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13191 SW RAPTOR PLACE i 131b1 SW R,vtor Place CITY OF TIGARD BUII DING INSPECTION DIVISION MST 24-Hour Inspection Line: 639 75 Business Line: 639-41. SUP Date Requested __AM -_—PM BLD _ .C3� Suite MEC Location__ / '� `�1 _—___._— — Contact Person — _ _ _ Ph �W G� �� 2- PLM Contractor Ph `�Z �- _ SWR BUILDING — 1-enant/Owner — ELC -- —_ -- -- Retaining Wall EI-R Footing --- --- - --------------- Foundation ACCeSs FPS Ftq Diain 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 Roof Cr C Final -`---- -----... PASS PART FAIL — - PLUMBING Post& Beam --------. __ -------- _ -- - - - - -__ _- Under Slab _-- Top Out Water Service Sanitary Sewer - Rain Drains Fina PASS PART FAIL MECHANICAL Post& Beam -----__.__-._- Rough In Gas tine Smoke Dampers / Final _ - - ----- - - r- -- — PASS PART FAIL. ELECTRICAL _�-_ ----__._�—_ - ------- — Rough Ili l WS,lab I_ow Vollage Fire Alann ---- na PART FAIL _ ---- -- - Backfill/Grading — — Sanitary Sewer Storm Drain ( (Reinspection fee of$—� required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I ]Please call for reinspection RE:— _ ( ]Unable to inspect no access ADA Approach/Sidewalk Date p � . Other �/? - Ins et for Ext Final PASS PART FAIL DO NOT REMOVE this inspection rf cord from the job site. CITY OF TIGARD BU" DING INSPECTION DIVISION MST �S- 24-Hour ;nspection Line: 63.. -+175 Business Line: 639-4. F3UP _ ,_Dat,a Requested --AM — --PM -- — BLD - Location -L_:'. I'/ J) Suite - — — MEC -- — Contact Person Ph ��; 772 PLM ------____— Contractor _ __ Ph _ SWR BUILDING Tenant/Owner — ELC ---- ----___�___— Retaining Wall ELR Footing Access Foundation FPS Ftg Drain - SGN Crawl Drain Inspection Notes ----- --_- --------_.__ Slab --- - - - .. - - - SIT Post&Beam --_-_ ---�..------ -------- Ext Sheath/Shear Int Sheath/Shear Framing _ _ _— Insulation Drywall Nailing -- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- --- ------ _ -- -- ---- - _T - - - Roof Misc:__ - -- - - ------- - --- _- - --- Final - PASS PART FAIL - - -- - ---- ---.--_ - _ -- - _ - - -- -_ - PLUMBING Post& Beam Under Slab Top Out Water Service - Sanitary Sewer Rain Drains ASS PART ';AiL - ANICAL Pnst$ Beam -- --- ---- -- -- -- - - - -- Rough In GasLine - --..._- _- ------_--- --- --- ----- -- -------_ _ __ _ - Smoke Dampers Final PASS PART FAIL ELE( .'RICAL S ervice. ----- Rough In UG/Slap --- ----- - ------ I ow --I_ow Voltage Fire Alarm --- - - _. - - - - --- -- - --- ---- - — __------ --- Final PASS PART FAIL -- - --- . .----- ------- - f__.- ----- ------ --- ---SITE Nac:kfill/Grading -------- -._ _--------- -------------�--�-- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RF: —__ _ _--_—_ [ ] Unable to inspect -no access ADA Approach/Sidewalk 1 2, - Ins actor r I'e Other t)rte ---�' ! _ - — Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP ,__.___.–_—Date Requested –AMT _PM BLD Location �� c� � � C Suite MEG _-- ,, � �� r ��' �� Contact Person — �_i_ Ph PLM; -1._ �— Contractor Ph SWR -- 9V _D—IN G— _ Tenant/Owner ELC Retaining Wall ELR Footing Access. Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes. -- Slab SIT _ Post Bea Ext Sheath/Shear Int Sheath/Shear Framing Insulation t-" Drywall Nailing I-- Firewall \Firewall Fire Sprinkler2- -- Fire Alarm Susp'd Ceiling Roof Misc: c� --- ----- - � PART ING Post& Beam - Under Slab Top Out - Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL - MEr:.HANICAL Poc,t&Beam Rough to Gas Line Smoke Dampers41 ASS PART ELECTRICAL - - -_ - ---- _ - — ------- Service - Rough In UG/Slab !_ow 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 ( I Please call for reinspection RE Unable to inspect-no access Fire Supply Line - ADA I Approach/Sidewalk �—� Date _ �- Z- Inspector - '-, ___-- Ext Other Final PASS PART FAIL DO NOT REMOVE this Inspes til record from the jolt sit". �►.♦AAAAAAAAAAAAAA AAAA AAAAAAAAAAAAAAAAAAAAAAA.4 rTl � i tzl yA O 4 R c W cL M R a � j ' a ° CD ► Q- C1 t 00. V ~ r 44 a 44 - � y cvlot ► t7l A o CD 44 pol- 44 � u N � � � ► ' ► 44 44 44 4 q rD p w O w n N r 0 O -44a on A n o It N y 3 C x 3' x CITY OF T I G dA R D _ MASTER PERMIT PERMIT#: MST2001-00136 x DEVELOPMENT SERVICES DATE ISSUED: 8/6/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13191 SW RAPTOR PL PARCEL: 2S104DA-09300 SUBDIVISION: QUAIL HOLLOW- WEST ZONING: R-4.5 BLOCK: LOT: 079 JURISDICTION: TIG REMARKS: New SF detached rowhouse in Building #3. Setbacks as per sheet A10.10 Plan B-N BUILDING REISSUE: _ STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 31 FIRST: 173 afyBASEMENT: of LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 706 d GARAGE: 5;9 of FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 580 of RIGHT: VALUE: E 138,193 00 OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 1,459.00 at REAR: PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 2 CATCH BASINS: TURISHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLVV PREVNTA: GREASE TRAPS: OTHER FIXTURES: 1 MECHANICAL FUE.TYPES FURN<100K: 1 BOILICMP<3HP: VENT FANS: 3 CLOTHES DRYER: 1 GAS FURN>•100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: I WOODS TOVES 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 ON FDR: 2 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 400 amp: 201 400 amp: 1 at WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 •600 amp: 401 - 600 amp: EA ADDL BR CIA: 1 SIGNAL/PANEL: IN PLANT: MANU HMISVC/FDR: 801 - 1000 amp: 801+ampa•1000v: MINOR LABEL: 1000+amplvult: PLAN REVIEW SECTION Reconnect only: >•1 RES UNITS: SVCIFDR>•225 A.: >000 v NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL _ AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO A STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT BURGLAR ALARM: OTH: ALL ENCOMB BOILER: HVAC: LANDSCAPEnRRIG PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,683.49 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,State Specialty Codes and PORTLAND,OR 97223 PORTLAND,OR 97223 all other applicable laws. All woo rkk w will be done done ne accordance with approved plans. This permit will expire if work is not stprted within 180 days of issuance,or if the work is susperded for more than 180 days ATTENTION Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set Reg e: 1 Ir 12462; forth in OAR 952-001-0010 through 952-001.0080 YOt- may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion Control Insp& Plm!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 Wali Insp Insulation Insp Water Line Insp Plumb Final Slab Insp Plumb Top Out Exterior Sheathing Insl Gyp Board Insp Water Service Insp Final Inspection Underfloor insulation Electrical Service Low Voltage Firewall Insp Appr!Sdwik Insp Issued By: ? __ Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day _ SEWER CONNECTION PERMIT CITY OF TIGAR® DEVELOPMENT SERVICES PERMIT#: SWR2001-00128 13-!25 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/6/01 SITE ADDRESS; 13191 SSR' fL41'TOF-? PL PARCEL: 2S104DA-09300 SUBDIVISION: QUAIL 11-10L1_C/V - WE S i ZONING: RA 5 BLOCK: LOT. 0.79 JURISDICTION. TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NE_W DWELLING UNITS: 1 TYPE OF USE SI NO. OF BUILDINGS: 1 INSTALL TYPE 1. 1 P >WR IMPERV SURFACE: Remarks: Sewer connection for new S1=detached rowhouse. Owner: FEES BROWNSTONE HOMES 12670 SVS; 68TH PKWY#200 Type By Date Amount Receipt PORTLAND, OR 97223 PRMT CTR 8/6/01 $2,300.00 27200100000 INSP CTR 8/6/01 $35.00 27200100000 Phonc: 503-598-7565 Total $2,335.00 -- —--- Contractor: Phone: Reg #: Required Inspections I I 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) 2487. Issued by: Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the neyt business day Building Permit Application City of 'Tigard Date received: . '`'d /1 Permit no.;�-1'� yp.+/.����rf'g AProjecUappl.no.: _ Expire date: City'if Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: B )" n 1 hone: (S03) 639-4171 Y� Recei t. y� p o.: Fax: (503)598-1960 Case file 1:.,.. Payment type: Land use approval: 1&2 family:Simple Complex: Pfl &:2family dwelling or accessory U Commercial/industrial U Multi-family New construction U Demolition U Adn/alteration/replacenient U Tenant improvement U Fire sprinkler/alarm U Other: _ __ Bldg.no.: Suite no.: Job address: u /1A,_1) C. g. Lot: _t Block: Subdivision: p&*L- pzkloLo T . Tax map/tax lot/account no.: Projectname: QUAIL_ ilV__5tIt__W -- —_— Description and location of work on premises/special conditions: i2BtJ� 4�OticJ-E. !►�P�tleArte�hJ _- 01%N1 11 1 Oft SPUCIAL INI 0101;%1 ION, USF Name: T I,t3 M 1sS Mailing address: 11U&10 yw t'o6U1 t2"k , ':u O 1 &2 family dwelling: Y� Cit -t A►Jtp State:CN -LIP: 7Q2'� Valuation of work........................................ $ Phone: Fax: f5 qoa 1 I E-mail: No.of bedrooms/baths........,................ `—.- Owner's representative: M /Z 0ADCS Total number of floors.................. -1............ Phone: W`5775 Fax:"5'19rL E-mail: New dwelling area(sq.ft.) .....L.t5.40 Garage/carport area(sq,ft.)........fO.................. _ Covered porch area(sq.ft.) ........"-. Name: A .......,.... Mailing address: Deck area(sq.ft.) City: I State: I ZIP: Other structure area(sq.ft.).......... Phone: Fax: I E-mail: ('ommercial/industrial/multi-family: Valuation of work........................................ Business name: ` Existing bldg.area(sq.ft.) .......................... Address: New bldg.area(sq.ft.)................................ State: ZIP: — Number of stories........................................ City: _ Phone: Fex: E-mail: Type of construction.................................... _ Occupancy group(s): Existing: CCB no.: _ _ New: _ City/metro lie.no.t Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: C•1 ,� PS provisions of ORS 701 and may be required to be licensed in tic Add-:ss: \\�\ �(ten e t! loS� jurisdiction where work is being performed.If the applicant is Cit State:W ZIP: fa fp -'galie exempt from licensing,the following reason applies: Contact person: Plan no.: -- Phone:7W6b- (o - Fax:'lp(:.ct7- E-mail: — �----- Name:W Q E:61W. I Contact person:I EN LL�111 Fees due upon application ........................... $ Address: 5 04 e30 Date received: City: State fl(" ZIP:9 72Z Amount received ......................................... $_ Phone.ft -9 I E-mail: Please refer to fee schedule. I hereby certify 1 have read and examined this application and the Na at))orisdicriom amyN credit cards,pkv caii my ieaon tar mm information. attached checklist.All provisions of la s and ordinances governing this U visa U MasterCard Expires work will be complie vttl(,whe Xiled herein or not. Freda'card"o"'� _ Authorized signatures: Date: I&IC _ Narne of cardholder as shown on credit cad Print name: 1[`1M (_ A Ot _ ---- _ s Crdholder d�rwhue Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4444617(fi4aCOM) 1 Mechanical Permit Application -- Datereceived: Permit no.:/-I"tv/-QO/.0(,, City of Tigard Project/appl.no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By Receiptno.: Phone: (503) 6394171 Fax: (503)598-1960 Case file no.: Payment type: Land use approval: — Building permit no.: 1 0,1-&2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement I New cow trucdcro U Addition/alteration/replacement U Other:.___ Jr 1 ' SITIE INFOkl%l1 Job address: _ 4 j� p r' L Q L Indicate equipment quantities in boxes below. indicate the dollar Bldg.no.: uitr ❑� value of all mechanical mat s,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ .34)DO _ . L.ot: Block: Subdivision:Q AI l [161jew jgf5r •See checklist for important application information and Project name: (XA1 Fjyjlpo '179 VlMAt. jurisdiction's fee schedule for residential permit fee. City/county: f- ZIP: 22 _ t 111111 P, Description and location o work on premises: �tt) ilckAIRLUIrf, A1110101111,11wil pill 1111011111 Fee(".) To al Est.date of completion/inspection: Brescrl on . Res.only Res.only Tenant improvement or change of use: Is existing space heated or conditioned'?U Yes U No Air handling unit _ CFNI �2? space insulated?U Yes U No it conditioning(site plan required) Is existing P A terat on o existing HVAC system 1 MECHANICAL CONT111ACTOR Boiler/compressors Business name: fouv �`7, HE,p 11 ('t r►yr, State boiler permit no.: HP __Tons_.__BTU/H Address: Q Ler(IV 'ire smo e ampers/ uct smoke etectors City: v(L") Statet3r C ZIP: G7 7-4)C) eat pump(site plan required) Phone: Fax:775 nsia rep ace urnac umer ,L Including ductwork/vent liner O Yes O No CCB no.: nsta rep ac re orate heaters-suspen , City/metro lic.no.: L)D bo 1 O'Z wall,or floor mounted Name(please print): I tVA Vent fora iance oer than furnace (mcm1Refrigeration: units DTU/H Name: �IAJIChillers ______ HP Address: " fLCo rrssors HP7Absorption .a�rCity: Slate: ZIP: Appliance vent Phone: Fax: E-mail: Terex roust Hoods,Type res. etc a aamat hood fire suppression system Name: \ 61,1) ', Exhaust fan with single duct(bath fans) Mailing address: Exhaust system a artro�li-eatin or AC City: _^ I State: ZIP: Fuel piping a .O on(up to 4 outlets) Type: LPG __ NO X Oil Phonc_ Fax: E-mail: ucl i in each additional over 4 outlets rm piping(scematicrequi ) Numbtlets Name: S-A l Ne; _ Other I od aed appliance Other ante or equipment: Address: Decorative fir p ace _ City: State: ZIP: Tnsert-type Phone: Fax: E-mail: c stov pe et stove Cri er. Applicant's signature: Dute_ t Name (print): Not W juridkaom Scrap cradt cards,pleaw call iutidiction fa nvwr information Permit fee.....................$ _ UVisa U MasterCard Notice:This permit application Minimum fee................$ expire,;if a permit is not obtained plan review ' Ctodit card aumbtx: ter - within 180 days after it has been (at _' �) $ _ Now r simm on cradit end accepted as complete. State surcharge(8%)....$ _ l _ $ TOTAL .......................$ 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) I Amt $5,001.00 to$10,000.00 372.50 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 L'TU+ _ _$10,000.00. Including ducts&vents _ 1740 $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 traction thereof,to and Induding 4) Suspended heater,wall healer $25,000.00. or floor mounted heater 14 00 $25,001.00 to 350,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit $1.45 for each additional$100.00 or 6.60 -- fraction thereof,to and Including 6) Repair units _ $50,000.00. 1215 -- 350,001.00 and up $742.00 for the first$50,000.00 and Chet*all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For Items 741,see or Pump Cond _ fraction thereof. footnotes below. /)<3HP;absorb unit to 100K B_U 14.00 ASSUMED VALUATIONS PER APPLIANCE: 8)3-15 HP;absorb Value Total unit 100k to 500k BTU _ _ 25.60 Description: Qt Ea Amount 9)15-30 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 13)Air handling unit 10,000 CFM+ permit 17 20 Re eir units _ 805 14)Non-portable evaporate cooler -r 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 A- 6.8o 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, 3,400 10.00 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 Incinerator Alr handlln unit to 10,000 cfm 656 89.95 Air handling unit>10 000 clm 1,170- 20)Other units,Including wood stoves Non-portable evaaporate cooler 656 10.00 Vent fan connected to a sin le duct 446 21)Gas piping one to four outlets Vent system not Included In 656 5.40 appliance permit 22)More than 4-per outlet(each) Hood served by mechanical exhaust 656 1.00 _ Domestic Incinerator 1.170 Minimum Permit Fee$72.50 SUBTOTAL: q Commercial or Industrial Incinerator 4 590 _ s 1 Other unit,Including wood stoves, 656 - '- 8%State Surcharge 3 Inserts etc. Gas piping 1-4 outlets 360 _ 25%Plan Review Fee(of subtotal) $ Each additional outlet 83 Required for ALL commercial permits only TOTAL.COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: $ VALUATION: ____ _ ------ War 10901111112011 And D t 1 Inspections outside of normal business hours 0 ilnimum charge-two hours) $.72.50 per hour 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) $72 50 per hour 3 Additional plan review required by changes,additions or revisions to plans iminimum charyeone-hall hour)$72 50 per hour 'State Contractor Boller CartHlcation required for units>200k BTU. "Residential A/C requires sits plan showing placement of unit_ viidstsVorrnstme ch-fees.doc 10111/00 Electrical Permit Application -- — o.ummOvet. hrmitno.; r, City of Tiprd a►r, aevpl.ter � aa�: _._._. curelnRdtit AMmss: 13121 SW Hail Blvd Tljw t,OR 97227 Dateleaud: By: _lleaebtao� P110-w: (501)639.4171 -- - FAIV MI)59&196(1 Cast:fel.ne warmemIme. Land use approval: �2 fwr ly dwdlley a wcasory U ComrnereixL ufurvlal ©Mulu-ta dly U Tenarn impmvsaww QT Ne V conatreectica Ll Additkni/siterawvVmplaceownt 0 Oth U Partind Job addlteN: 5 �( - BidL•no_, Suiaa nci. Tu,m a Idlncaeunt ho.. > t: Bkxk. Subdivls u&1 L Ho 111rv� we.r —_ M� f�I lo!?� n�tlon and loc�t,on of w=tij'rnwZed tricarnle�ex �h:�W �0► a111�Krtt►J - cam stiodiU von: rwa+ Li : v a ncoavgr tiuto ivA ZIP: 98661 �^ a f4►arre: a ;_3-5 U 8 a,��' 4 mail __ alto n rn Isw I ,S '__ _ 3 4-4 3 2 n as Umt sot.�n M +' '.ior CCC no.: 1 _b 5 1 4 P_ler.,bIM�FIC.fM' I.pww m nUal _ 75Y j CITY/Mptre IIC.w: Lin�uc erqI:�nnn n.aWenaa� 2 pato marwfuwr'tif!Mane w tndulr dwslliq arwnatyaptrvM�njtTsw>ki«r�r�qu-Mf l- nrr SOf110aurihrrtedat -2-- L�aaue rn r 1.640" r1�r a1M1a16 .daft.Mf4 1: alleevelaa or raeaestlna+ zDO rm"Mw��� Na 1 , ibT rel�i a t at awe. I address; mix c� ---r-- .:.J' o 3late:�1'� 2 . L- ver rn vo MIC to - Y 5zwfl plycim - rnatallabon a Inv meds 'Jfr on F—pony - (�*K+ "� a*� whkh b not utter W for axle,I rx nachmp wconlins w � ��"� owes,0wo IM W"S 1w low 2 DRS 447,435,47wtr9, 1 ,// i011oWOr -- Oea's 1 rttln.w�w, «.SUMO..w pwb Nafne - A, Fat for braneh ormits WO pamlot of AddAaa: on vim a trerler t raaob tlrouh � Gf ....w S1�1: _ Z11a. Y � M Mr braafh drt Nithe.n ptrc I nr"I.er fader fee flrw twm h wall: phow: E.rrtail: B,d aAdW c __. (.%or4es w w to O Minta wvfr Ole nrye t�tttaesW t]KU&*sere laaYky Barth Poof 11a+crc k I Q fer+iee o+nr 97ft anp+rt�et I t2 t]Ftart►dwt lossMen M tuUiK --• t- forMy AwellMlp Q Hui"over 10.000«part ant bar a a ro.0 U ar a INtee�nrhv D ayOwd eww,.600 re a wrwrlrrl nea minnow snip In 0M tntwwn altltauun,rn ewtMdfln� I U hnlrrllaevs1MM ISM if u regd n 4M W""w Ment ilaarn vn p wd ever VO pptwr U M eavlrtard twootu s In a V pw* r«a deal a.,w art a U I4r..n1/MInRO4a. a ate. �r..__..._ PIP,imspw m - tfr►111 _mw of pas v*b my of dw abe+te, no Mweabb 19 M fit 04W Petnut ftp....................s Md aA, awry CPA,MW OW ahlft+�Ai owe bwnwra NnNus This pemil spplieafioa ' OrOr 0 McMet,:aN empires Its p"It if rete obwit W P1aa review fat tFl S dM+.aN rwgla� - _._ -_ wkhln 116 daye ante it bw been Sims hirci arr'10M S f+Md as crwnplsu TOTAL - ..S 10/Off 3Dbd 0I810313 34I1WV3d1S ZE0SE6E09E 6� T 1007,'90/0 Me,r-06-01 03:05P Wulcott. Plumb incl 503 667 9891 P.01 UVOU/01 TUR 14:41 PAX 50:I 59S 1560 (711'Y OF TI CART) VVW2 Plumbing Permit Application Uaterctxiv�d: Porrrutno.' fTTO�! City of Ti su'd `' g Sew"permit so.: Building permit no.: nddrrt*: 13125 SW Hall Blvd,TiiFsr 1,OR 97221 C.ity0fTirard Mune: MI)(539.417) Pr0*V4ppl.r+o.: � ExpVedete: Fax; (50.1)M-1960 Dateisiued' _ By: Recr:pt,K, Lund use approval: ___-- Casc file na. Payment type U 1 A 2 family dwelling ur aece.,ory U Cotnrnt;rctallmduatntd O Multi-family U Tcnant improvemcnt a New QM11tucuoir O Additi(n/alterattna/rrpixerrent Cl Food scrvict O Other Job address: I)curiptlon Qty. Fee(aa. Total Bldg.nv., Suite no.: [\ow I-anti 2-Gttttlly dwelllnS2 ouT — - (0cJudc+100ft.furaw•butiiitycontttctloa) Tax map/tax lo✓sccouut no SFX(1)bath J vt. cI Block Subdivision: �)Dai, t:ityieoun : ZIP: Ea itf tionT�aWMiichen Description and locacJtm of work on prctnlses: -_ 91t�glWikat Catch botio/aree drsun _ Est.date of ctxn IetioNtus eci, + �'�' ywc1lilleach I ins lietc tour r FooUng drain r _ o n = anufeetured home unhtki Business name; trJ o C o`f[ F 1�.� i ..� an v ci " Addtrva: ,�, 1007 ain dtu6l connector C:ty, t*eyl,trww+ 9tamQroatlli' n t uwet(no,ino Pltonr'503.447-I'7 ( Fat fiL7-9tl t I E• , yt oosr•��r'Y corm sewer no. . CCB no.. 2, Plumb.hos.tsR.Do!'L4-Ze`d Pp Water arvtce(no.Un. Cityrmetra tic no.: Flntwe sr 11M Ab aoa valve Cuatractor's reptcsenUre dvc si oatu : .V ack flow preventu Pttni none c" L-', U '— a• water valve t aJln oval Nance Tai`,ei vowhel - - AddrevR• �is`�nQ t�nLvn(i) - - c :1P: cgump - - Phoue w �- F sx E-Mail, Expansion vu+k i�— ixtu scwa cap hlot+l ,o0r sin�Cs/bu Kyrie(ptinl}: _ ---- W edistiodal tvtr, rddtees; �- Rose bibg ` City. m- ~ State i1P ce Iter _ Phone. Ftrx Email Illaceptorifereme trap Qwnet ,tntallahuNrelldrnual ma ntenmwe only: The actudd inslallaUon 1'r,mer(:) �. will be made Fy me at the maintenance and repair dude by my rngtlly ROof nt1 t mercial) employee on the pmpeay I vwo as Fier URS C'httput 147 Si s),btum(a�i pwncr's si ntlture: ---_ Date burn u a twist ower panMOM Lona Nance; __ _ atet c Roel AJtltcsi. r aler ltC[ __ Ctiy --�aZLP. t: 6 rna►I_ _ -� rata y,,JW1'j*WdC1j0 W Wqt vodt.&'pinus tall urlrUtwo(tx mwt.n C n'Ian ,,ojix.•iia permit spplitaton Plan review(at U V61 C Ma+terfod expires if a permit is aut obtained c+syud.uwlar within ISO days after it has bean Cyte sunhalQc 1896 S -L__ S a�nra 1'OTRsI. ----�.,o.o—i�at-dlol�+i,M•;en cttJ«---�--" 3 n.a pied of romp re ,,``� NlwGle,6'00'C ON) -- V Mar--06-01 03 .05P Wolccatt. Plumbinc7 503 667 9891 P . CJ 1106,ui 7'l'L 14 4.1 1'.13 50.1 59M 19G3 CITI OF '17CAku PLUMBING PERMIT FEES: RI TOTAL New 1 end Z4AmHy dWeNlrt�f only: - ,FIXTUItEl1 LlnplvWwl „F�' ee 1 61 0 (hdesl ellaall plumbinp'(Irturei iin Pl�l t T4,TAt. 1 QfY 51rk AMOUNT the dwellhty and the flr ll100 fl GTV. :Ifs'• AMOUNT l.wesur� IY 1e 6e) for Obehull1h �necllon 'Tie or��asntker u�w •-- tes i - ., one , ea� _ i� wo 2 b m 550.00 _ S�h^w Nail 1399.00 th'eter C1ae1 1 _ linnet a 1--- —�UOTOTAI ` e'tshwosner le e0TWO �P1,AN REVIEW$sea OF SUS'OTATL 'j— Carbfye Guselwp1 _ �� L T Laundry ray "' tbto Nntrtinq M�chnr- 1 . Ftua DrJiNi $I'k 2' Is f0 PLEASE COMPLETE: 4' _..�__. 1Melef serer OO canwrs on Ilke hhd 16( x.19 i ' 4uan :6 ork pe ortnld_ �1I Ceepipm0 tegvfres s separate Mrh:herocal I I/�,fD` F(xturr Type: '' New ' 1VIov d, Repbced Removed, ernA (!� _Cal MFG i+onto New www—Service 46-0 -� 1 4.$,nk !' ,I mkt;Hume New SeNSldrm ewei 48 r G levetOr �- Noee d be - je 4) u or ,t)lShower _- ComElneUon "1 Root Dame 1044) howof mI DtlnKng�ounrain 16.100 Water Closet��^ - O�ia Fletu'ea(SYeclfy) 16,10 uOrml Dishwasher ._ — _ Garba o L`la cel laundry Room Tr - - WashingMach ma Sewer-1erf0—Jam! 60.10 lour r4rinl 3. - — ry •• Sower-tee edditivvl 100' AB 10 _ -""" 4• - Welwaon+co•Isl w%m 9ery ce•Each aad lona 2 46 10 0(her rrrlurN S 6 Reln Orelr• 'f1 100' ss, - Slwm s Rain fair-each add11�1100' 16.10 C0mme(cm Beck Flow Oev a 46 Res,denw kipcxncw P,event�iccs 27 e5 Cafth Basi Inspediun of EExiSlln9 Plumbing or Specie/y 72 50 -- H6 ues,ed In,spec(Ioru I M COMMENTS RLGARDINO MOVE: Rein ofar^,single Ierr,i, ng es zs -Z Grceae rap+ _ r la 00 - — QUANTITY IC17AL -- ,Iwvmc nr+eel olepnm n eqv ed It ----- -th.fnktr 'SUBTOTAL 6% 6%STATE SURCHARGE ''PLAN REVIEW 2$66 OF SLRTOTAL letk N'i (^ T45TAL : 'm;nITJm pwmN rN Ie$7.1 SU•e'i erero•rrc,,arq►,saner Res-41441911 000474 f'rwtoo Ocv2e wn cn*334 23,k•;.rte•o rvrenerge 'fea Nfw commerolei eu111rrgr Tnuwf plant wkh Ieemel K 0r011r 9gren•nd 14x, -.e.. OistsWomwolm•kea.doe �Oi10/30 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 #: MST2001-00186 Date Issued: 816101 Parcel: 2S104DA-09300 Site Address: 13191 SW RAPTOR PL Subdivision: QUAIL HOLLOW - WEST Block: Lot: 079 Jurisdiction: TIG Zoning: R-4.5 Remarks: New SF detached rowhouse in Building #3. Setbacks as per sheet A10.10 Plan B-N 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 fXWY #200 6025 EAST 18TH STREET PORTLAND, OR 97223 VANCOUVER, WA 98661 Phone #: 503-598-7565 Phone #: 360-993-5080 Recd #: LIC 116514 ELE 34-432C SUP 4081S AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310