13210 SW RAPTOR PLACE m
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13210 SW Rapter Place
CITY OF TIGARD 1301 DING INSPECTION DIVISION
MST S y
24-Hour Inspection Line: 63` . 175 Business Line: 6394, —
_ B U P --------
_----Date Requested ( S __AM_ __I'M _ ®— BLD
Location 1 :�-�r C / � "' _ i Suite MEC
Contact Person _ Ph _—_ PLM
Contractor — – ----- Ph _ SWR
BUILDING I-enant/Owner Et_C
Retaining Wall -- — -- — ELR
Footing Access:
Foundation FPS --_--m--------------
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 -
Roof
Misc: - - ---- - -- --------
Final
PASS PART FAIL ---
PLUMBING
Post&Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
AS^ PART FAIL
HANICAL
Post R 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
SI1'E
Backfill/Grading
Sanitary Sewer
Storm Drain ( 1 Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin I I Please call for reinspection RE: ( Unable to Inspect-no access
Fire Supply Line '--- —
ADA
Approach/Sidewalk pate Inspector' �, / �`7 P Ext
Other -.�----. �--- —
Final
PASS PART FAIL DO NOT REMOVE this inspection record fry m the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION —(,
MST 7 e?Cl
24-Hour Inspection Line: 63` 75 Brjsiness Line: 639-4
13UP
_ Date Requested— AM---.—_PM BLD
Location- / 2- /U t n=W-2 3 . Suite MEC
Contact Person T✓� � _____ Ph e7• S �
3 � PLM
� ----------------
Contractor _ r, Ph SWR ______----.,.----_----
''� ELC
BUILDING -- Tenant/Owner ----
Retaining Wall — ELR
Footing Access: FPS ' +
Foundation
Ftg Drain - SGN
Crawl Drain Inspection Notes - -
Slab
Post 8 Beam ----
Ext Sheath/Shear
Int Sheath/Shear
Framing _—
Insulation _
Drywall Nailing ---
F irewall
Fire Sprinkler —� - -- ---- —
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
i PASS PART FAIL -------- --- --- -- _— _-
PLUMBING -- --_----
Post& Beam
Under Slab —
Top Out
Water Service _
Sanitary Sewer -
Rain Drains
Final -----
PASS PART FAIL -_ __— ---_---_-- r--
MEGHANICAL _
Post R Beam - ----- —� _ — - --
Rough In
Gas line
Smoke Dampers
Final
PASS PART FAIL.
ELECTRICAL _ - ------�__-- __------- -----__------- - ---
Service
Rough In
UG/Slab ---
Low Voltage
Fire Alarm - — --- -- - --- ---- ---
PART FAIL.
S E
Backfill/Grading ---- -� __ — —
Sanitary Srwer
Storm Crain [ Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ J Please call for reinspection RE:________ - [ )Unable to inspect-no access
ADA
Approach/Sidewalk � �Cp ,,. - y� —Ext
Other _ Date I Ins a .or ,c
Final
PASS PART FAIL 00 NUT REMOVE this inspection record from the job site.
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CITY OF TIGARD BUILDING I14SPECTION DIVISION
24-Hour Inspection Line: 63 175 Business Line: -4 8 U
� f
Date Requested 7 l _AM PM BLD _
Location -� %� _�-- Suite MEG _
Contact Person Ph �/ �' PLM
�—
Contractor Ph SWR -----
- - - — --
_ ELC ---
UII_D�— •I-enant/Owner ----
ELR
Retaining Wali
Footing Access'. FPS —_
Foundation
Ftg Drain SGN
Crawl Drain Inspection Notes: SIT
Slab —_ --_ —
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing _---
Insulation _
Drywall Nailing _
Firew.;l _
Fire Sprinkler
Fire Alarm
Susp'd Ceiling —
Roof _
Misc:
�rl�a-
SS
— .
ART FAIL
LU RING
Post& Beam
Under Slab _
Top Out
Water Service - — —
Sanitary Sewer
Rain Drains — ---_---- ----
Final
PAS ___.P RT FAIL -- —
ECHANICAL
rr.VA Beam
Rough In
Gas Line
Smoke Dampers ----
`Fina
SS PART FAIL _ —
EltCTRICAL
Service _--•— _. ..__ —._—
Rough In
UG/Slab —
Low Voltage
Fire Alarm -- —
Final —
PASS PART FAIL
SITE —
fiackfill/Grading
Sanitary Sewer
Storm Drain Reinspection fee of a required before next inspection Pay at City Nall, 13125 SW Hail Blvd
( j _
Catch Basin ( j Please call for reinspection RE ( j Unable to inspect-no access
Fire Supply Line \ 1
ADA
Approach/Sidewalk pate N-Z '7 J L Inspector
Other
Final
Do PART FAIL 0 NC,T REMOVE this inspection record from the job site.
MASTER PERMIT
CITY OF TIGARD
PERMIT#: MST2001-00154
DEVELOPMENT SERVICES
DATE ISSUED: 7/3/01
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS- 13210 SW RAPTOR PL PARCEL- 2S104DA-05600
SUBDI'VViION: QUAIL HOLLOW- WEST ZONING: R-4.5
BLOCK: LOT: 042 JURISDICTION: TIC
REMARKS: New SF detached rowhouse in Building#1. Setbacks as per sheet A10.10
Plan D-SB
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 31 FIRST: 173 at BASEMENT: of LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 735 of GARAGE: 547 of FRONT: PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS: 1 FINSSMENT: 567 of RIGHT:
VALUE: $140,209.00
OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 147500 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:
TUB/SHOWERS: 2 GAR13AGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES: 1
MECHANICAL
FUEL TYPES FURN<IDOW 1 BOIUCMP<3HP: VENT FANS: 3 CLOTHES DRYER: 1
GAS FURN>m100K: UNIT HEATERS: HOODS: OTHER UNITS: I
MAX INP btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS - _ MISCELLANEOUS I ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: 2 PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L SOOSF: 3 201 400 amp: 201 400 amp: let W/O SVCIFDR: 00 SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 900 amp: EA ODDL BR CIR: 1 SIGNALIPANEL: IN PLANT:
MANU HMISVCIFDR: 901 - 1000 amp: 9014amps•1000v: MINOR LABEL:
1000+amplvolt
PLAN REVIEW SECTION
Reconnect only: 1.4 RES UNITS: SVCIFDR>•225 A. >900 V NOMINAL: CLS AREA/SP(-OCC
_ ELECTRICAL•RESTRICTED ENERGY _
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT
BURGLAR ALARM: DTH: ALL ENCOMB BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION MEDICAL: OTHR:
HVAC: DATAFTELE COMM: NURSE CALLS: TOTAL a SYSTEM:.:
Owner: Contractor: TOTAL FEES: $ 5,691.92
This permit Is subject to the regulations contained in the
BROWNSTONE HOMES BROWNSTONE HOMES,LLC Tigard Municipal Code,State of OR Specialty Codes and
12670 SW 68TH PKWY#200 12670 SW 68TH PKWY all other applicable laws. All work will be done in
PORTLAND,OR 97223 PORTLAND,OR 97223 accordance with approved plans This permit will expired
work is not started within 180 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
Repl/: 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 e tFl
lk Insp
Sewer Inspection Plm/undslab Insp Electrical Rough In Gas Line Insp Rain drain Insp Final
Footing Insp PLM/Underfloor Framing Insp Gas Fireplace f Nalling I Final
Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Wat Line Ins al
Slab Insp Plumb Top Out Exterior Sheathing Insl Gyp Board Insp Water .R Sp ection
Issued By : �n nt-1 Permittee Signature
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the text business day
CITYOF TIGAR D SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES -ATE ISSUED: 7/3/01 PERMIT#: 7/3/01 1-00096
-� 1317.5 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 �
PARCEL: 2S104DA-05600
SITE ADDRESS; 13210 SW RAPTOR PL.
SUBDIVISION: QUAIL ROLLOW - WEST ZONING: R-4.5
BLOCK: _ LOT: 042_ JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NG. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURF ACE:
Rem arks: Sewer connection for new SF detached rowhouse.
Owner: — FEES
BROWNSTONE HOMES Type By Date Amount Receipt
12670 SW 68TH PKWY#200
PORTLAND, OR 97223 PRMT CTR 6/28/01 $2,300.00 27200100000
INSP CTR 6/28/01 $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. e A ency does not
guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measur ment iven,the installer
shall prospect 3 feet in all directions frum the distance given. If not so located, th ' taller hall p rchase a"Tap and
Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Orego law r s you to ollow rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 9 -001-001 r ugh A 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling 03 246- 7.
Issued by: _ Permittee Signature: —
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the n xt business day
Building Permit Application NNINMENii"M
Datereceived- 1 .'� Permit no.:/�C�Z4p�'(1�/_Sri
City of Tigard
F'roject/appl.no.: Expire date:
CirynjTigard Address: 13125 SW [fall Blvd,Tigard,OR 97223 � —
Phone: (503)639-4171 Dale issued: Bye Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: _ I&2 family:Simple Complex:
t
L'TI &2 family dwelling or accessory 0 Commercial/industrial U Multi-family New construction U Demolition
U Addition/al eeration/replacement U Tenant improvement U Fire sprinkler/alarm U Other:
Jobaddress: G_" j Bldg.no.: 7 jSuiteno.:
Lot: 2- Block: Subdivision: 0&j t! ojo Tax map/tax lodaccount no.:
Project name: C,1�All ;j-bl l(-UV
Description and location of work on pn�mises/special conditions:_ 120LO VXA)Sc. US -N
(Floodplain,septiccapacHy,%olar,etc.)
Name:
Mailing address: 111.0 Sw l'8 rL�Ct n 200 1&2 famlly dwelling:
City: FoctiAO State:Cc ZIP: 710-3 Valuation of work........ .............................. $ r�t�
Phone: Fax: f qoe f E-mail: No.of bedrooms/baths............�..............
Owner's representative: #Z140AWES Total number of floors................3..............
Phone: "75 Fax:5'M 5111L E-mail: New dwelling area(sq. ft.) .....1.. �?..Q:01 .......
Garage/carport area(sq.ft.)......l'��ei........ �—
Name: A A t.
Covered porch area(sq.ft.) .......77........
E Deck area(sq. ft. 40 3e F�
Mailing address: )........................................
City: State: ZIP: Other structure area(sq.It.)................I......
Phone: Fax. E-mail: CommerciaUinduntrial(multi-fitudly:
Valuation of work........................................ $
_ 5A/� Ae� � Existing bldg.area(ft. ft.) ................... ......
Business name: � � � New bldg.area(sq.ft.). ..
Address:
State: ZIP: Number of stories........................................
City: Type of construction
Phone: — Fax E-mail: Occupancy group(s): Existing:
CCB no.: _ New:
City/metro lic.no.: All contractors and subcontractors ane required to be
licensed with the Oregon Construction Contractors Board under
Nane: r'1 ,, d provisions of ORS 701 and may be required to be licensed in the
Address: \lq\ -Cl1D C� (05� t—Notice:
jurisdiction where work is being performed.If the applicant is
City: State:w 7.1 P: (p 1
exempt from licensing,the following reason applies:
Contact person: W I Plan no.: _ - — ---
Phone:761,- 40 - I-ax:W ct 7- E-mail:
Name:WQ E6t Contact person: FN) LL�11, Fees due upon application ........................... $
Address: - SLo A)i 04 t? .5 Date received:
City: State0l" ZIP:C1 122,!1 Amount received ......................................... $.
Phone; tp -9 b 33 1 Fax' I E-mail: Please refer to fee schedule.
1 hereby certify 1 have read and examined this application and the Not all jurisdictions scceis credit cattle,Please call jurisdiction for more informatinn
attached checklist.All provisions of la s and ordinances governing this U Visa U MasterCard
wort will be complie vl ,whe ified herein or not. Credit card number:
`` Expires
Authorized signature: Date: Uk U ` i Name d carditolder as shown on credit earl
Print name: 'T r. 9.Dt --- -__-.__ C"old"sipwwe Amount
Notice:This Hermit application expires ifs permit is not obtained within 180 days atter it has been accepted as complete. 4144613(6+n rOMI
Mechanical Permit Application
Date received: Permit no.:,11(71
City of Tigard Project/appl.no.: Expiredate: F
City of Tigard Address: 13125 SW liall Hivd,Tigard,OR 97221 Date issued: By:� Receiptno.: v
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Payment type: _Y-
Land use approval: Building permit no.:
t
=NewconAniction
ly dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
U Additiori/alteration/replacement U Other:
EMMEMSMIMU
Job address: ) 12 Indicate equipment quantities in boxes below. htdicate the dollar
Bldg.no.: Suite no.:— value of all mechanical mateli_als,equipment,lat or,overhead,
Tax map/tax lot/account no.: profit.Value$ �
Lot 7 Block: Subdivision:Q Atl �, •See checklist for important application information and
Project name: (�t.Ak Eib tO
T ) A� jurisdiction's fee schedule for residential permit fee.
City/county: 1�aAtD ASH ZIP: a 22 t t
Description and location of work on premises:��, a t t31 t t
Fee(ea.) 'Intal
Est.date of completion/inspection, �- Ik riltti�rn Qt . Res.only Res.onl
Tenant improvement or change of use: Air handling unit CPM C
Is existing space heated or conditioned?U Yes U No Air con ttionin (sue p an raga
Is existing space insulated?U Yes U NttA aeration o existing system
f
Boiler/corn pressors
State boiler permit no.:
Business name: UU i A {CO�to HP Tons BTU/H
Address: t�(oALI qtr smo a damper act smoke etectors —
City: cXL� A(JStatet�r ZIP:c(7 Zq0 eat pump(sue p an regm )
nsta tep ace urnace�f7urner BTU/
Phone: ej-51 Fax:-175 1141 E-mail' - Including ductwork/vent liner U Yes U No
CCB no.: 2 nsta rcp ac r ocate eaters-suspende ,
City/metro tic.no.: DD�b 10 2 wall,or floor mow'ed
Name(please print): I� f�1111} :�i Vent or a tante other an urate
e r erat on:
Absorption units BTU/H
Chillers-- HP
Name: rt�I _ U (.oro ressors�— -^ Hp
Address: A, ronmentall exhauqt and ventilation:
City: State: ZIP: Appliance vent I
I'tt�ne: Fax: E-mail: )ryerexhaust I
Hoods,I ypc res. tic a azmat
hood fire suppression system
Narnc: �� ZC Exhaust fan with single duct(bath fans)
Mailing address: J Ex gust systema art from tcadn or AC
Ci State ZIP: _ Tue Piping LPC) ut on(p to out ets)
City: __ X— Oil _
Phone: Fax: E-mail: tic tin eat a itiona over nu cis
ens p p ng(schematic required)
Number of outlets
Name: `al-04 AA e � A R r�e, ter-1Cvt�e app ante or egw,.otneet:
Address: Decorative fireplace
City: State: ZIP: nsert-type
U1-0v el stove
Phone: Fax: E-mail: er.
Applicant's signature: Date: Dam _ '"-
Name(print):
Na VI jurisdktinns acaert credit caadi,pleas can -
t ariuktion for mote iaformatton. Permit fee.....................$
i Notice:This permit application
Minimum fee................$
U Visa 0 MasterCard expires if n permit is not obtained _
Credit card number_— Plan review(at ___ 96) S _
------ - r�_ within 18O days after it tins been
_ rd State surcharge(89h) ...$
Nur,of cardaot4rr to n on c ' ccard TOTAL ...............•.......
$ accepted as complete
Cardholder rldrutttre Amount _ 4404617 t6a00"MI
MECHANICAL PERMIT FEES
COMMFRCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: FEE: _- Description Price Total
000.00 Minimum fee$72.50 Table Mechanical Code oty (Ea) Amt
$1.00 to$5
1) Furnace to 100,000 BTU .-
$5,001.00 to$113,000.00 $72.50 for the first$5,000.00 and Including ducts&vents 14.00
$1.52 for each additional$100.00 or ?) Fumace 100,000 BTU+
fraction thereof,to and including including duds&vents 17.40
$10,000.00. _ _
$10,001.00to$25,006-0-0- $148.50 fol the first$10,000.00 and 3) Floor Furnace
including vent _ 1400
$1.54 for each additional$100.00 or Suspended heater,wall heater
fraction thereof,to and Including 4) 14.00
$25,000.00. or floor mounted heater _--_
$25,001.00 to$50,000AO $379.50 for the first$25,000.00 and 5) Vent not Included in appliance permit
$1.45 for each additional$100.00 or 6.80
fraction thereof,to and Including 6) Repair units
12.15
$50,000.00, -
$50,001.00 and up $742.00 for the first$50,000,00 and Check all that apply: Boller Heat Air
$1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond
fraction thereof. footnotes below. comp* "
7)<3HP;absorb unit
----- to 100K BTU _ _ 14.00
ASSUMED VALUATIONS PER APPLIANCE: 8)3-15 HP;absorb
Value Total unit 100k to 500k BTU 25.60
Descr( tion: O. Ea Amount 9)15.30 HP;absorb
Fumace to 100,000 BTU,induding 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 fumace 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 CFM4
permit _ 17.20
Repair units- 955 14)Non-portable evaporate cooler 1000
<3 hp;absorb.unit,
to 100k BTU - 15)Vent fan connected to a single duct
3-15 hp;absorb.unit, 1,700 A- 6.80
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 5 725 18)Domestic Incinerators 17 40
>50 hp;absorb.unit,
>1.75 mil.BTU - 19)Commercial or Industrial type Incinerator
Air handling unit to 10,000 cfm _ 656 89.95
Alr handling unit>10,000 cfin _ 1,170 20)Other units,Including wood stoves
Non-portabl I eve to 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
a lian�rmil _- 22)More than 4-per outlet(earn)
Hood served by mechanical exhaust 656 -., _: _ 1.00
Domestic Incinerator 1,170 Minimum Permit Foe 572.50 SUBTOTAL
Commeor industrial Incinerator 4 590 T $
rcial 72
061st unit,including wood stoves, 656 8'/.Stats Surcharge $
Inserts,etc. _ -
Ges plling 1-4 outlets _ 360 255E Plan Review Fee(of subtotal) s
Each additilxtal outlet 63 Required for ALL commerdal permits only
TOTAL COMMERCIAL 3 TOTAL RESIDENTIAL PERMIT FEE: v E
VALUATION: _
Asher In mc one F tj:
1 Inspections outside of normal business hnuns(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(min'mum
chargeone-han hour)$72 50 per hour
'State Contractor Boller Certification required for units>700k BTU,
"Residential A/C requires site plan showing placement of unit
I:\dsts\forms\mech-fees dor 10/11/00
Electrical Permit Application
— �.uraxt�at. Rarraitao..�/Q.-as -n i
City of TiRsH pmompWl.M ____ e,lptradate:
rtgq/nea�f Aknes; 13123 SW Hall Blvd.Tigard,OR 97223 DatelesuW- By: Raoeipcwe.
Phwte: (503)639-4171
Pax (!R)3)59&1960 Caw r u no Ps>me a type
Lund use epprOvtl: -
=Z tinily dwellia«ar 4�up!' O CommercialAndustrld U Muld•family U Tenam improywreAt
Now Cooluwtion O AddAkWGlterati0WMPl6C$hent ❑Otho: (.l Partial
lob addt»aa: L 91d ao.: $uin no. T'ex m M Id/IICAALhI no,: W —
ltrt Block; Sulxiivblau: u�___L_,FM1�wa Wtt�.r , -- -
Projec+num: MI I I 0 tA2 Dani ion ul�d Iocat,on of work OR Isca: r�.ELu
..timaued dile d rnln etit WIN
raw M"
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0"It►aN nuun.' �,t r e a ti�iOd Al a� tf re
A— Q# dw�wea.halde.e/n1+aI lRa�a
Crr V" n c o u v r
State: TV A 98661.
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Pa�y� b Email: ftnroaMa
phOtw "' iat�..v�rrri.rw w MMer
(?wne►In1MNl�cm' rartailatiott a inp tarda on D^'Pr own btlatMrilwe a1NrMha►aeriaatelteea
whkh is tart intt7+rled for sale.I ne aaChYtp aotordlns to boo am m hL
()RS 117.ISS.419. 1 101 b�sray° , _
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arexbolea pw'awe4
Nww A F"for klw w is CMwitr wt$/mchwe N '
AddtW: w+.im or Nader aacb braaetl eareuh
9t�: 7ilp M hx IM°nth dee0 wlrhme!pate 2
Ci ; nl lN+lo a sod, am Ix—orch�grtMlC
plow: F.eltri' (iai rfd�ciltWr.
ta:.(fir N A aa1 1
oleo new us it a ouu+nc
QlNnr,.�rS7oY'Vera°iMofltf OHsneen�ch>NMe^ el cwu��xslrt�wer,rnvp
Awr ur O R.Im e4 aw 10,000 amm"ow tbve to
D yOioa w6M ee:u pnWWOW rtaaa MrlMndal IND rn one eme•.re N�weun.a c•uMan•_ —_ _
(.)Rarl a tlrae MeeMf to IrwhM 4M ar"w moue '4r.n ca
U(?eeapMM ead 0M 90 aOea U Manrhe""d°tM W"a RV nark .� — a+er r 7. V71
p�,w.,/t1�tMyNan 4 rJea• �.�..._._�. ._....-. ._._ t►«wp.cuon __._�... .._.
M%wm_ .m vf�cestb r'1 of dw 1110-0.nott9en nrM yrl�6cttlAa M
_ _ Rttmit fay.
MM r� r wfw.{ +d ax avo bMr*web► Nexiur 'MINpetmH 4yp11caficrn
e�tpirw If 0 pr-M is no obtsinw P1 rtvitw(W w. `Fl S `
a WNhla I r0 dsYt after is has bawl Stan suMhWV wvWAd S
a Mospiets ?OTAL ... ....._.......S
10/TO 39tfd :7I81'J313 34I-IWh38.5 1=r= + + SZ LT TOf+; -LVE0
Mar-06-01 03:05P Wolcott Plumbing 503 667 9891 P . c 1
U1!00/01 TUR 14-41 PAX 50:1 59Fi 1960 CITY OF TIGARD
Plumbing Permit Application
City of Tigard Date rUxtved PorTNt no, S��C'!J /.
nddrerrt: 13123 SW Hall Blvd,I igtu I,OR 97221 Scwa permit vo. putla)ng 40mi no.:
t'�rynJ'firard 639.4171 ptalect/tps•i.no 1
Fax: (5f1.1)39&1760 Datrtnucd By, i ReccipttK� —
LwW use approval: t=rsc rte�o P.yntemtype
U;New
g Sur acce.nury U COMM Tclal/ptdusin,d 0 9'luiL•ram l y Q Tenant to prnvemcat - -
O Adlditlr n/altornnr>o/replocement U Vow wcrvice Q Other
1 jDL I Uescriptlmu91-1-
_7 )Fee(e�. iota)
Bid u.: _ tlite no,: Nem ii•sad 2 Uirtslly dwellings oily—
L1 :
Tax maphu lot/occuuut no ((ascl w"IDott.for eachutitity cpaa"tloe)
SFR t I)bile)
Wt. Block. Subdhtsion: -
Prolect tlamC: -
C:ty;rounty: - ZIY: ytT eTLwyk-IChen
Descnptlon and location of wntk nn prcrttlsest site atWtl"t
Catch tutaidorea drun
fist.date orccm letioNsne ectitm '�4 tywc ►sac the uwu r _
Footing rata no.11n,
Busi:tcas name: anuroctu tine uhhties �_
Addrr.9R; ,O, 0 7.007
_ Rolm dmin connect;;
CUy. 1p. Sanitary fewer(no, o
Pltour'So;-d(.�- Part 6& -4tl1( Etttotl: y��Ox rao�Y torrnstwcr_( _ in. `
CCB no. 2 y� Plumb.bw.MR.ea'L4-to d PQ Wateriarvlce no.Un.�r '-
Cityrmetrtm lic no.: FUttwre or Neer
Cuotnctor's representadvc sigataturc- AbuNlition valve
'J�11d W ark ow preveotcr
print name o,• L all c U 13kckwater valve
salad aVel �� "-
Name- of s wvhct
AddresR
red nn tountnin(s)
_
City~.__._-__�_ Su►sr. 'aP: _ —
Phone: Fax E 0104---- �tctor,sur"i v�_._�_�
Et ens::.;,titrK
iatunveewcr
Nune(print) Flarr ' poor tit c�� u�
M_atUn :address: ��_ _--•—� to a din _—_ _
-- -----^—^-- ose br b
City, state '!IP
Ptlune. Fret; Email` afore tor/ tease trap
Ownrt tmtallrlicxt/rWtdentiol ma ntenmwe only: Th( actual uastallation ftmer(rt
wdi be made by the or the maintenance and repairnude by my Mgutat oil r'ult ctxnmetC4als
employee on the pmperly I uwa at per URS Chopin 447 ori (aj�btutn(s;iays(t
Owner's sl nature: D ate _ SUMP.
u :rt ower ower pan
Urinall
Name: stet c Me
AJWater heater
City_
Phunc — Ftaa: E•tnail — — Total
v.all i*'IdcUa«sera MAI Nfdl,plowt e.ti«h«urea 1w mac m a,MiteZ
Minimum fee..
U "r+ O Muw[,ro Notix'This permit apptiatron
capita if t retmil is out obteinod Man review(at — %; S
CRyirardeaw/er ------ -.— -..�.— within 180dovaafter it been Sla(e wrchaip(896! S
ai nru tl
tl+rnt W ci'�o-t�tl n rlw..no ped'«utr0
_._`t aeb We c ration I
Air onM r
�`' MtWlt 160a�f cY.'1
0;0"rr
D7
1 �
Mar-06-01 03:05P Wolcott Plumbing 50:3 667 9891 P.02
91`06/01 '111' I1 r 41 10.1X 509 SQA 19G3 CITS OF 1'ICil,kU r
.Q 003
PLUMBING PERMIT FEES:
r. RI 0; ?OTA6 New S end Z,l1imlly,dWeIllrlpf dnly:
C1IGTLLRRE 1(�edlvldua� _ _ QTY 0a 1 AMOI/N? (17cluders all plumb!n0'(hrtur*6 In PA14 TOTAL
�91rk 16 61 the dwelllny and the/Ir1iN00 f , GTY 1.10 AMOUNT
for flier ulllh n■cilvn
.s_
Ono 1 b� 524°20
Tub or'ub/SfKMer umb — — Se.s i Two 2 be350.00
Sh wsr Only 18.6) Tnree f3)bath S3g8 QO _
��GpTOTAL
_ 6%VAT' CIIA
SuriROr. ^�
C'ishwo.ner to tl) -' PLAN RJrYIRW 257.Of SU8'Ilf
U]AL —
Carbaye .i ial
Lsond;Tay
esmurp Msch�nr 16.
Floor OreIN wnr 3i 1k 2' tell
,r - PLEASE COMPLETE:
Nate1 Neater C1 convsr{On O 11x1 Rind 15 t 0 Z7usnti b�lor P_e onn6d
(tas pipng fequves a scparnts moN,ho-tat I �� r1JtWr•Type, New Moved R�a4 Rem"OvWf
F�rnR Ca d
MFG homy 40w WRW Service 4M•0 S nk
MPO Nome hew servgform 'ew•r48 rr 0 liv0io�
Hoe 11 Ga -gyp iA uu�Shovrer 1
CornbinsUon _ I
Roof0inte 20,14) shcwor
tinnk'nq famtsin 18.1iQ
wafer Claaet
rJmer Fix!u�ic l9pecly) 16110 na ----I
_ Isnwlsher
Garbage DIO 0141 —
Laundry Room r
--- --
Washing IAghme
yeNer•1st 100' 63 10 m lour inf
_ _ 1'
:,ower-eie�iddillonrl 100' as 10 4• _
tr:est ImS,IC , 1NSI�Mea4r
_Wier ServiCe•each a(MiDn3l 00 46 to OOter ify) r1a
5 c
vtafn 6 Kiln Oralr�'r 100' S5. _
Sloan tl Rain 46.10
romrne~ rcis k FIOW�r0V1��bn U0v • 46 10
Rosiaenhat toc0cw ie-ventbn evx:e• 11 O5
CaICA estln
1600
lnspec thin of ExlstlnQ F1umC)nq or�G 250
R• ulsltw In EctTotu Ir11' COMMENTS REGARDING ASOVI:
RonOrsh,srngielem4ydweiinq 6 25
Orcwe raps ��-
-` QUANTITY—T571-7
4dnslnc s lser dlepern Is•egv,,rr01f -
Misn tr Total m9
'SUB?OTAI -
__ !!'h$TATE SUREGI ---
-PLAN REVIEW 25%OP SLOTOTAL
Rey,lirw•�rM�f riRtur!Gy 1olt�h`s _
r---- - T 67AL s
•MiMmam PlrmN IN 1a F;so•e':!UM lir"hargr,asoep Rrsid'Mill leexlOar
prlWnr,.}n plvme,wn 0 a 1Se2D•V.4 stolo e.n Rola!
I NAA No.CeTmarcial 1.110 IN:rw�;uu!08, wNh 1500whe Or 043f ibayn ane
ti an•rnlw,
I�datsVomtatplm-kea dog '01000
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 #: MST2001-00154
Date Issued: 713101
Parcel: 2 S 104DA-05600
Site Address: 13210 SW RAPTOR PL
Subdivision: QUAIL HOLLOW -WEST
Block: Lot: 042
Jurisdiction: TIG
Zoning: R45
Remarks: New SF detached rowhouse in Building #1. Setbacks as per sheet A10.10
Plan D-SB
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. CONTRACT OR:
BROWNSTONE HOMES STREAMLINE ELECTRICAL
12670 SW 68TH PKWY #200 6025 EAST 18TH STREET
PORTLANU, OR 97223 VANCOU-UFR, VVA 36661
Phone #: 503-598-7565 Phone #: 360-993-5080
Reg #: uc 1'16514
ELE 34-432C
SUP 24",-.
/,ti I , S
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Supervising Electrician
If you have any questions. please call (503) 639-4171, ext. # 310