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13195 SW Raptor Place
CITY OF TIGARD DU" DING INSPECTION DIVISION MST
24-flour Inspection Line: 63.. .175 Business Line: 639-4.. � -
BLIP
--Date Requested / _ S AM —_PM BLD
Location / /-' , A �-'e_, Suite _ ,MEC
Contact Person Ph 7 -3, a 7 7 PLM
Contractor Ph SWR.
BUILDING Tenant/Owner ELC
Retaining Wa,l �^ ELR
Footing Access.
oundation FPS
Fig 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 ____-__----_----_--__________�_ _
Roof _-
Mise:
Final
PASS PART FAIL --- --- — -----
PLUMBING
Post& Beam
Under Slab
1 op Out ------------ - --
Water Service
Sanitary Sewer -
Rain Drains
AS PART FAIL
HANICAL
Past& 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 Sewer
Storm Drain [ J Reinspection fee of$ _-required before next inspection Pay at City Hall. 13125 SW Hall blvd
Catch Basin
Fire Supply Line f J Please call for reinspection RE: -_ [ ] Unable to inspect no access
ADA
Approach/Sidewalk Date �i- -�� Ext
Other - A ---Q-�---inspectort 1L�L._ _- ---
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. L
CITY OF TIGARD BUILDING INSPECTION DIVISION NIST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
_ 7 AM ---
--,—.---Date Requested PM BLIP
BLD _
Location I�� (>'C� n ��L Suite MEC
Contact Person Ph -7 2 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access.
Foundatioi, FPS
Fig Drain SGN
Crawl Drain Inspection Notes: -
Slab SIT
Post& Beam —
Ext Sheath/ShearrC�C. G rtil I d �r
Int Sheath/Shear — —�
Framing _
Insulation ---^
Drywall Nailing
Firewall �-- -
Fire Sprinkler
Fire Alarm ----- -----_ ___
Susp'd Ceiling
Roof
Misc:
PART FAIL
PLUMBING
Post&Beam - - -- ---- - —
Under Slab
Top Or it --
Water Servr,:a
Sanitary Sewer -- —' --- -
Rain Drains
Final _ _ - _-------
PASS PART FAIL
MECHANICAL ----- _—__
Post&Beard - - - -- - --
Rough In
Gas Line - - -�LWke Dampers
PART FAIL
RICAL — - - -- - - -
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final �—
PASS PART FAIL
SITE
Backfill/Grading - — -- - -
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Please call for reins ertion RE:
Fire Supply Line [ J p _ [ J Unable to inspect-no access
ADA
Approach/Sidewalk
Date ____L_ _Z2�-. Inspector Ext
Other ---- ---
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the joky site.
CITY ®F T I G A R D MAS'TER PERMIT
PERMIT#: MST2001-00188
DEVELOPMENT SERVICES DATE ISSUED: 8/6/01
t4 13125 SW Hall Blvd.,Tigard. OR 97223 (503) 639-4171
SITE ADDRESS: 13195 SW RAPTOR PL PARCEL: 2S104DA-09500
SUBDIVISION: QUAIL HOLLOW-WEST ZONING: R-4.5
BLOCK: LOT:081 JURISDICTION: TIG
REMARKS: New SF detached rowhOLlse in Building#3. Setbacks as per sheet A10.10
Plan C-S
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS _ REQUIRED SETBACKS_ REQUIRED
CLASS OF WORK: NEW HEIGHT: 31 FIRST: 324 of BASEMENT: of LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 747 of GARAGE: 410 of FRONT: PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 567 of RIGHT:
VALUE: S 151 166 00
OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 1,63800 of REAR:
PLUMBING
SINKS' 1 WA'i ER 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: i
MECHANICAL
FUEL TYPES FURN<100K: i BOIL.ICMP<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 amu: 0 200 amp: WISVC OR FDR: 2 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 5009F: 3 201 400 amp: 201 •400 amp: let W/O SVCIFDR: 00 SIGN/OUT LIN LT: PER HOUR.
LIMITED ENERGY: 401 600 amp: 401 -600 amp: EA ADDL OR CIR: 1 SIGNALIPANEL; IN PLANT.
MANU HMISVCIFDR. 601 - 1000 amp: 601+ampn1000v: MINOR LABEL:
1000+amplvolt:
PLAN REVIEW SECTION
Reconnect onlv:
>-4 RES UNITS: SVCIFDR>e225 A.: >600 V NOMINAL: CLS AREAISFC OCC
ELECTRICAL-RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO d STEREO: FIRE ALAPM: INTEP:OMIPAGING: OUTDOOR LNDSC l.T':
BURGLAR ALARM: OTH: ALL ENCOMB BOILER: HVAC: LAN SCAPEARRIG: PROTECTIVE SIGNI.
GARAGE OPENER: CLOCK INST'tUMENTATION• MEDICAL: OTHR:
HVAC: OATARELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL_ FEES: $ 5,738.25
This permit is subject to the regulations contained in the
BROWNSTONE HOMES BROWNSTONE HOMES, LLC Tigard Mun icipal Code,State c f OR. Specialty Codes and
12670 SW 68TH PKWY#200 12670 SW 68TH PKWY RII other applicable laws. All work will be done in
PORTLAND.OR 972.23 PORTLAND,OR 97223
accordance with approved•'ane This permit will expire if
work is not started within 1d0 days of issuance,or if the
work is suspended 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 0: LIC 124627 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 Voltage Firewall Insp Appr/Sdwlk Insp
Sewer Inspection 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 Wall Insp Insulation Insp Water Line Insp Plumb Final
Slab Insp Plumb Top Out Exterior Sheathk:a Insl Gyp Board Insp Water Service Insp Final Inspection
Issued By : 'e r __. Permittee Signature
r'
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
/ \ CITY 4F TIGARD _ SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2001 001.30
13125 SW Hall Blvd., Tigard, OR 97:223 (503) 639-4171 DATE ISSUED: 8/6/01
SITE ADDRESS; 13135 SW RAPTOR F'l.
PARCEL: 2S104DA.-U9500
SUBDIVISION. QUAIL HOLLOW - WEST ZONING: R-4,5
BLOCK• + LOT: 081 _ ,jUR15DICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPIE OF USE: SF NO. OF BUILDINGS: 1
INSTA!_L TYPE: L-1 PS`NR IMPERV SURFACE:
Remarks: Sewor connection for new SF detached rowhouse
Owner: ____
FEES
BROWNSTONE HOMES
12670 SW 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
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 Ny calling (503) 6-1987.
Issued by: _ 4-C- Permittee Signature: ----.__,
Call (50) 639-4175 by 7:00 P.M. for an inspection needed the next business day
00/_ 00/ 0
Building Permit Application
City of Tigard i Date received: 4^ Permit no.;/
Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expiredate:
City of Tigard Phone: (503) 639-4171 Date issued: By-' -'! Receipt ria.:
Fax: (503) 598.1960 Case file no.: Payment type:
Land use approval: 1&2 fancily:Simple Complex:
at1 &2 family dwelling or accessory O Commercipl/industrial ❑Multi-family New construction 0 Demolition
❑Addition/alteratit:t/replacer ent 0 Tenant improvement U Fire sprinkler/alarm ❑Other:
Job address: ' ,; L Bldg.no.: Suite no.:
Lot: S I QV*, L- Her%luLp Tax map/tax lot/account no.:
Project name: Qq L W
Description and location of work on premises/special conditions:
FOR t
Name: 'j%5, ho M G s
Mailing address: 11,1610 sw (08t�6Pk"-T, "I p 1 do 2 family d„elling:
City: F0 7 A 0,1110 1.9tate:CrZIP: 7v_?, Valuation of work........................................
Phone: Fax: F 9o8 I E-mail No,of bedrooms/baths................... _
Owner's representative: --/” M Total number of floors................3..............
Phone: 713577y Fax:57q x'19'4 E-mail: New dwelling area(sq.ft.) ...../..`F, 40......
��Alww talks Garage/carport area(sq.ft.)...... :........
Covered porch area(sq.ft.) ....... F,.....
Mailing 4050
address: Deck area(sq.ft.) ........................................ -
7!
Other structure area(s .ft.).......................
City: State: ZIP: - -
Pttone: Fax: E-mail: Commerclal/Industrial/multi-family:
Valuation of work........................................ $
Existing bldg.area(sq.ft.) .......................... _ ..
Business name: `jAfjV,, A`Q A New bldg.area(sq.ft.)
Address:
State: ZIP: — Number of stones........................................
City: Type of construction
.....................
Phone: Faz: E-mail: ----- -
Occupancy group(s): Existing:
CCB no.: New:
City/metro lic.no.: Notice:All contractors and subcontmct��:are required to be
licensed with the Oregon Construction ConVactors Board under
Name: �A "1 A a provisions of ORS 701 and may be required to be licensed in the
Address: \�� " Ct�`L� t Ii V 50 jurisdiction where work is being performed.If the applicant is
City: State:WA I ZIP: Ito II
exempt from licensing,the following reason applies:
Contact person: AtiM I Plan no.: _
Phone:766- 4(c7-% Fax:l,F dF 7- E-mail:
Name: -Pmelf,). Contact person: EN) 4N 11, Fees due upon application ........................... $ _
Address:I C>09SI, 1t, 1 04 11 Date received:
_City: `Ui_yNy State r ZIP 22 Amount received ......................................... $
Phone:ft,5 --9 6,33_ Fax: 'r- E-mail: Please refer to fee schedule.
1 hereby certify I have read and c xamined this application and the Not all judarkdons accept credit cards,please call juh"cNon fa maze infarnwtion
attached checklist. All prov-sions of la s and ordinances governing this ❑Visa O MasterCard
work will be complie¢�itT�,who ifled herein or not. c'"'a'card"""'�' lr-1--
�t r
Authorized signature: Date: .3 C Name or ca"Molder at shown on credit card
Print name:a 1 1'V\ C A Ut cardholder signature An owi--
Notice:'This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 44OA13('MCOM)
Mechanical Permit Application
Date received: Permit no.:/''Si /JP
City of Tigard Roject/appl.no.: Expire date:
City ojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223
Phone: (503) 639-4171 Date issued: By: Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: Building permit no.:
&2 family dwelling or accessory U C'cmmercial/industrial U Multi-family U Tenant improvement
New construction UAddilJun/altcra!rrmhchl,recnu-nt U Other: ___--—
ion NITF;w6kN1,01ON COMMERCIAL'VALUATION
Job address:=7 9 S r1 1 /L f��- Indicate equipment quantities in loxes below. Indicate the dollar
Bldg.no.: ;3 Suite no.: value of all mechanical mat als,equipment,labor,overhead,
Tax map/tax lot/account no.: profit.Value S —
Lot: ,y Block: Subdivision:Q A,1 *See checklist for important application information and
Project name: Q►A) NC uW Tt` Ib1ut;. jurisdiction's fec schedule for residential permit f,e
City/county: I�U tA-) {t�jA ZIP: -LZ-75
Description and location o work on premises: � 1 1 1 0 1
F�'clr'++) i��tal
Est.date of completion/inspection: Usut1 ono __� T
. It�y_unh
Tenant improvement or change of use: Air handling unit _
Is existing space heated or conditioned?U Yes ❑No it connditioning(site plan requtr ) _ _
Is existing space insulated?U Yes U No A teratiou of existing FIVAC system
1 of er compressors
State boiler permit no.:
am
e:Wae: 4-oUV- �7 �`;��>,F� 11 COO 1nr _ HP .,Tons_.—BTU/H
Address: �0, L-O AJr"I Fire/smoke dampers/duct smoke detectors
City: o(L") Statet-),t ZIP:G7 Z�O eat pump(site pan require ) —
Phone: ` tj-5`1 Fax: 775 119) E-mail: nota replace furnac urner
Including ductwork/veni liner U Yes U No
CCB no.: Q 'Z nsta rep ac re ocale heaters-suspended,
City/metrolic.no.: DODO k a V5 wall,or floor mounted
Name(please print): tkel /VI II�'rk; Vent fora iance o er an furnace
e e le
o
Absorption units BTU/H
Chillers HP _
Name: �1 L\ _ A011) Co ressors HP
Address: �.�4'c►tiLtJ�t✓ r onatental exhaust and ventilation:
City: State: _ ZIP: _ Appliancevent tl
Phone: Fax: E-mail: Dryetexhaust _ I
s, ype res, itc a azmat
hood fire suppression system
Name: F 0 _, Exhaust fan with single duct(bath fans)
Mailing address: _ Exhaust system a art from healin or
City: -� State: ZIP: Fuel piping a on(up to 4 outlets)
Type: LPG NG X_ Oil
Phone: Fax: E-mail: ue t m each addittona over 4 ou ets
Process piping(schematic required)
Number of outlets
Name: S+4 M 1G `� C d, ; era app a or eq poen[:
Addltss; fkcorativefire lace
City: State: ZIP: Insert.-ty
Phone: Fax: E-mail: stov pe et stove
Other:
Applicant's signature: Date:
Nerve (print): _ _
Na an)prtarlkd�o accept crdar cw&,piem call we(icNun fa mm tnrmnoon Permit fee.....................
U Visa O Mretert and Notice:This permit application Minimum fee................$
expires if a permit is not obtained plan review(et _ 96) '
Credlr card drmlkr:�_ — — FAplm within 180 days after it has been
p on c r c accepted a,complete. State surcharge(896)....$
.me TOTAL $
$
Aaaowrt 410.4617(MC'OM)
MECHANICAL PERMIT S=EES
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 Mechanicz '.ode Qty (Ea) Amt
$5,001.00 to$10,000.00 $72.50 for the first$5.000.00 and 1) Fumsoe to 100,000 BTU
$1.52 for each additional$100.00 or Including ducts&vents 14.00
fraction thereof,to and including 2) Fumaoe 100,000 BTU+
$10,000.00. Including duds&vents 17.40
$10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Fumace
$1.54 for each additional$100.00 or Including vent 14.00
fraction thereof,to and including 4) Suspended heater,wall heater
$25,000.00. or floor mounted heater 14.00
$25,001.00 to$50,000.00 $379.30 for the first$25,000.00 and 5) Vent not Included In appliance permit
$1.45 for each additional$100.00 or 6.80
fraction thereof,to and Including 6) Repair units
$50000.00. _ 12.15
$50,001.00 and up $742.00 for the first$50,000.00 and Check all than apply: Boiler Heat Alr
$1.20 for each additional$100.00 or For items 7.11,see or Pump Gond
fraction thereof. footnotes below. Com
7)<3HP;absorb unit
ASSUMED VALUATIONS PER APPLIANCE: to 10oK BTU 14.00
Value Total 8)3-15 HP;absorb
VAmount unit 100k to 500k BTU 25.60
Description: Q al
30 Nabsorb
Furnace to 100,000 BTU,Including 955 9) l
ducts&vents unitt..5.1 mill BTU - 35.00
absorb
Fumace>100,000 BTU Including 1,170 - unit
30..7 roll BTU
duds&vents unit 1.1.75 mil BTU 52.20
Floor furnace Including vent 955 unit
>11.75 absorb
Suspended heater,wall heater or 955 - unit>1.75 mil BTU 87.20
floor mounted heater 13)Air handling unit to 10,000 CFM
10.00
Vent not Included In applicance' 445 13)Air handling uiA 10,000 CFM+
permit
17.20
Repair units 805
<3 hp;absorb.unit, 955 14)Non-portable evaporate cooler
10.00
to 100k BTU
3-15 hp;absorb.unit, 1,700 15)Vent fan connected to a single duel A- 6.80
101k 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)Hood served by mechanical exhaust
1-1.75 mil.BTU 10'00
>50 hp;absorb.unit, 5,725 18)Domestic incinerators
17,40
>1.75 mil.BTU 19)Commercial or Industrial type incinerator
Air handlingunit to 10,000 dm 658
69.95
Alr handling unit>10,000 cfrn 1,170
20)Other unitsIn
Non-portable eva rate corder 656 ,Including wood stoves
g
10.00
Vent fan connected to a single duct_ 446
Vent system not Included In 656 21)Gas piping one to four outlets 5,40
appliance rmil 22)More than 4-per outlet(each)
Hood served by mechanical exhaust 656 1.00
Domestic Incinerator 1,170-
Minimum Permit Fee$73.50 SUBTOTAL:
Commercial or Industrial Incinerator 4,590 =7Z
Other unit,Including wood stoves, 658
8%State Surcharge f
Inserts etc.
Gas piping 14 outlets 360
Each additional outlet 83 25%Plan Review Fee(of subtotal) E
--- Required for ALL commercial penults only ?,(
TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: L-JL-
Other
VALUATION: Inspections and Fe":
1 Inspections outside of normal business hours(minimum 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(minimum
charge-one-hatf hour)$72 50 per hour
"State Contractor Boller Certification required for units>200k BTU.
"Residential A/C requires site plan showing placement of unit.
i Adsts\forms\mech-fees.dcx: 10111/00
Electrical Permit Allpplilmflon
city of Tig*H pro)MVIPP1 no Exomdate: -
�yM„�n�i4 Addfeet: 13125 SW Hall Blvd,Tigard,OR 97223 DateIsswW: ^- By! --elptno
1tivttte: (507)619.4171 -_ ___- _
Pox: (301)398.1960 Cue fiM no.. Nynvnr type
Land use approval:
"�'LA
2 6lxnily dwc;ila{o•rocueoey U Ct mTner ialAnduitnal U Multi family U Tenant improvement
Kaw caneewicxl D AdditlOtl/eltettUcrtJrtplaCltrrtenc O Ulher. U Par"
Joh uidatfee: /_' IL
to no. ?an MVW.IW/aer+cllMf 110.:
I,r: Blcxk� Suhdlvblw t�t�t L F1e Ilw.� wC'ti?' _ _
men name' W��+f IJe I OrJ - Iarftd location of wvrk0ftpfS i/ea' h O-Ij �onfy�MKrle►J
N(JMKcd date of !ori edoNlne 1ti0n:
Jetrr!>a n• MM
Doarst �_� �, a► tie 11 tat ht rp
Btalaau tw►►t' ct I P.cl tIl11i7L'�E� E',.:r1 � i t• tw� -*tF+ �+h w
cEg2�. F:_ 1 Fi i h E' awet�ksbA�r8rl.i..�h.A��
V ncouZn°: 98661
Phorxl: 9 9 3- 5 0 0 0 i F"I 99 3met l 1 txx,t�n n.l«e I X15
CIM no.: 16 5 4 6c�bw.Ik.rin! 34--432C L14rtee*"I,n+wknUal 73
CI /'JIFUD Ike.no. _� - Ltwrtnr eeretal etWentwi __ _
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ri _
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+)wflee ateiMdrxl'' tf milawn I ing made on pt'PrM I own eA*dkw&owy rno�'
whic+►Is wx ImlewWd fo►rale.t .rx oxchamra ec�cordlnk to tntYtlMtltOrMu rM+r«.aittwlonc
OitS 447,1!1 17P,�ocT�1C 1 -� rr t� -
aWTIWS firm Date:
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NaeOo: _ 1t F 6 for btv►rtr rere.relt Md+/anhOwOf
Addfw; _— sm,ko a Madel 4!!q brafth drub
city: nl lw
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D tiytawtt Vr w 6M ran wff&nt mewe feMtawd6l trot,rn me tow am altteetlun a e+rMNan' ..._.._._ - 1
U MnWlitisf—Mo t tat1N L7!Maslen WO nr"w to" •(loon w � M'e1w�1
p OtewP'tw twd ort 90 r-- LJ M&ANPwtened HfWA M a R v PSI* G74 1 w.n< w tar d i
ra l4r..+At�rlan Q w.• ________ --_-- _-__ f^u taepttune M _ 1-..�_T"...�.-
Mts.+l-- ..ern of plme V*b my of late abae. --
Tlta Nr:afte tteA a calla N lewd _e0ee�tieAw ern. -
Ma www Mal eteet t+r�wn!'•wate.fw ww.. Nodar Trio pc+ma No Uatina flim rvmew(at
vlr U lAmMrCed expim 1t a Mar nN n not eboited �Z
dtAe eaN tararer / 1.... *kbin 110 d-t after it his ban St1bf wechttr�e(1�)....S
--
wot*pledr,mrr;illu, 7O'TAll, .... _...._....„,.,t 4S1
--- a�-- Ne.M1e la�'�►
I&TO 3Jdd 3I81A13 3411WV3dIG ZE09E6609C 6':Lt 1002"SVE0
Mev-06-01 03 :05P Woleatt Plurrrb ing 503 667 9691 P .01
US'n0/01 TUN 14 41 FAX 50:1 504 1960 CI'T'Y (W TICARD
' �JOU2
Plumbing Permit Application
City of Tigard r and Data receival:--- Prrrntl no.-
Addrem: 13125 SW Hall Blvd,Tiger 1,OR 97223 Sews, Budding permit no.:
Caryc;r7irard Phone: (5(13)4530.4171 _Ro1 +pt'ecV I.aO:
_ eapaedete:
Fax: (50.1)59R-1960 Dateil%ucd BY——ReceipttK,
LwW ase approval Cesc me flu
Payment type
U 1 &?family dwelling ur actesntxy U Conlrni aCia1/Irldusirtil O tifu:e•ramily U Tent nl tmprovtmcnt
Q New cunitrucuoa O Addiu(ni,lteraar)a/rcptacerrenr CJ Food bc"". Q Otlur
Iob addtess. _� ii 1 L UeasdpUop Qfy. Fee(ea.� rotes
.
Bid nu.: 1—81pte no.: t\t sod 2-LnslTUlr dwetlInga o�y:
TMap/taxlourccouut no
-- (INc)udre100rt.tot"K-6wlirycono"t; c) --
SFR(1)bath
Lal. c�' Black —
Subdivision: ( � ath --
ptoiect tIM1e; SM(, ath
t:ay'ccunry: zip: Each o dl6oAaIbMK/ki10hgR
Description and location of wt on premises: _ Allieti0 lee:
_ Catch basic/area drain
Est.date ofctxa letiorviar turn -- _-- ywC leaf UntAmich
F
ooting dram no n, .)
Bwiacis name: t,,)O C o w,M s„� home unHUei a
all V l'/
AddrocN; ,O. 6 oh.
'10 O _ Rain driain connector -"
C1ty, I'eyl.kw. 9lrtefl ;1P•� a t sewet(no, to .
Phoar SC3-i41-!'1��Iutnb.
E•1taa11. y�loft-awlq totrnsewer(tso. in, 1CCH no. 2,y1 41 bus.leg.oo!24-to V pp Waler service no.bn-Tt'
Ciriyimtro lie no.: - r4tura or Items
.b tion valve
Cuotnclot'a rcpresenlativc n;Deltic: . ack ow preveolet
Yrsnt Detre r^' C '. 'e r d ittwater va ve
Nance' llO�ashcr— �—
Ljishwnsher
City. Sino: I lip,
n n tcurtvn(s)
•ec n1m 1L
mile: Fat E rnril. x ansion Lank
ixtu sewer ea w
Name(print): Haar ,00►si u
M"a aJdress: -
Hose bibb
Cary. Stluc UP: c-et o er
Mile. Fax: F-triad attscc for teak tar
Ownc1 mstalirllunhesldential m►intenam-c only, Th< ac rwJ ufstallation I'rmer
will be niade 1-y the or the mainteriaAce aad repair nu at by my Mgu'a, 00 arm,1: commercial -
employer on the p openy I uwo as per URS Chapter 147 ink(s),btuin(s; av+ s
Owner's si nadire; -- - imp
Tum sl�wcrs�sowcr pan
AJilmas, star a er
ZIP,
Phone: Total
ow Mt)v .Svio a aesW pY,w raft mrlr rt flat la Drell 4olMinimum rte
U Yua a mlitercrtd expi7e:This pe ill is nutiata rn plan review(at tM; S _
expiry if a pertnh u out oblrned Mate wnhat (wE _ +
CnJi etd.away ._ -- .•L_ within 150 drys ager it nw eNn $
— �
aaaia U TO ..
nca pied w 4orrlplete
tM:r cit aWM�-�"
�=-J!nlY r tl(n-I- I11r 0atN M1u01l�MYYCi Na
v
1 01'o.
Mar-05-01 03:05P Wolcott Plumbing 503 667 9891 p.02
03:Oliiul 7'L'L' 14:1: I'A!( S01 SflA 1963 CITY 6F '11C,4Rll
40-03
PLUMBING PERMIT FEES:
t• _�_ RIC ; TOTAL New t and 240mily dWoplrlps only:
FIxT4RE4Ondw10441l QTY ' •a I AMOUNT (helud•s all piwribmp'llxtures In PIT .j. TOTAL
;Irk 6.611 the dweflhtb and th•fltaII100 ft ! t GTY ( AMOUNT
Lavetoij q/ 16 E 1 for HehutlM;oonnpctlon
One bq124.620
Tub arm�p/SIKrWEr COmb 18.61 w0 2 bath3- 0
Sh:wsr Onty 18.8) Three 113)bath 39900 y
--- `
stir Giwtf
Unnai 16,61 SI;ETOTAL
sR A uRC11ARCiF. _ `, I
Ciahw�.ner
lea '0 PLAN RFVIRW 45%OF SUBTOTAL ^�I
Garbage Gispoaal 1Fi, 0 __ 'TOTAL
Laundry ray 1 E e�
WasMngMochne t .
Fluor DNi(V out le
f0—PLEASE COMPLETE:
4" 16.f 0
water raeur O convarG on 0 Ilk.whd 15(6— �,1� ' - Cluan i or Ptr�ortned
Cas pip rig requces a separets moichil mal ' I/� Flxtu►e Tlype;' New MOvsd ReNlaced Removedl
•ruff. tr �cap -
MFG ,am -40% �5arolce 45•(I $Ink
MrQ Moore New SaNgiprm ewar 4610 4-01 _
u or utwShower �- I
Nos B b. 1E 1 0 Cembinsuon
Rod Dane tE•l 0 —r
.no«ar n� I _
nMk.ng Fa mtain 161 Wolof Closet t
Olha Flr!u��c tSpecify) 15110 lira
Ishwesher_
Laundry Room Tr
Washvi Mach ne
Floor rain! 'nk'
sewer-Ist 10� , 65 ro C 3„
Sower-eaaf•addilWial 100' 4E 10 4•
Water rorvto•lsf 5. C Wolof Mester
Waver Service•e.cn ar,d tlon3l00 4E 10 Ogler F x1YrN
—for—M&Rain Drain'sl 10o' S5,
Storm 6gainbtir-each addll onal 100• 46.10
r..n;;,—,-T Baal, w rrevt-ltbn O.v • 4E st}
R..banllul llacAnCW PlePreventlon *vice* 21 6E ----��
Catch Basin 1660 —'—'
Inspection at Eiratinq Plumbing or peciaay 2 So
Ra uesl•otrispectlons IRI• COMMlNTS REGARDING ABOVE:
ash Drab,single 7irrAy dwelling Be 2S
Li/eWE rape ---.. 11600 .. -.—_--
fiUANTITY TOTAL ' —
aarrtne a sur Oleprarn A equrad n 1 _�_--- --�
'SUBTOTAL -
8%STATE SURCHARGE -------.__.�
•'PLAN REVIEW 25.14 OF ALSTOTAL
T TAL f
'1linleo+m p"A eat 1$N:W•81A Glatt,sk r.hoge,moGa Rerid rnnel E.eMtev
p,over),,pcv¢e,wh,c., 114.L! h.�JII10 iYn:h.ryG.
"a-a(Noun Commercial■ulle"s r/rrulre rMa16 Will,llomelYC Nr4 7r 01"ram,rd
I\datllforinstplm•keadoc �OnOl30
CITY OF TIGARD
13125 S.W. HALL 7.
T IGARD, OR 97223
IMPORTANT PERMIT NOTICE
STREAMLINE ELECTRICAL
6025 EAST 18TH STREET
VANCOUVER, WA 98661
Electrical Signature Form
Permit #: MST2001-00188
Date Issued: 8/6/01
Parcel: 2S104DA-09500
Site Address: 13195 SW RAPTOR PL
Subdivision: QUAIL HOLLOW - WEST
Block: Lot: 081
Jurisdic;tion: TIG
Zoning: R-4.5
Remarks: New SF detached rowhouse in Building #3. Setbacks as per sheet A10.10
Plan C-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 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
OWNCR: ELECTRICAL CONTRACTOR.
BROWNSTONE HOMES STREAMLINE ELECTRICAL_
12670 SW 68TH PKWY #200 6025 EAST 18TH STREET
PORTLAND. CR 97223 VANCOUVER, WA 98661
Phone #: 503-598-7565 Phone #: 360-993-5080
Req #: LIC 116514
ELE 34432C
SUP 4061S
AN INK SIGNATURE I' REQUIRED ON THIS FORM
Signature of Supervising Electrician
If you have any questions, please call (503) 639-4171, ext. # 310
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