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13220 SW RAPTOR PLACE n� a 540 0 0 0 13220 5W Raptor Place CITY OF TIGARD 24-Hour BUILDING n, Inspection Line: (503)639.4175 MST ? INSPECTION DIVISION {� Business Line: (503)639-4171 BLIP Received —_. Date Requested_ __ -� � 7 AM__L--_' PM __ BUP Location . _. __ 1 L �- r✓ t--' 'L Suite MEC Contact Person - ________ ��"e-�-�' Ph( � -) 7 Z Z� PLM _— Contractor --- _____-__-----.--_-__ Ph( ) SWR _---__, BUILDING Tenant/Owner ELC — Footing -- ELC - -- --- — Foundation Access: Fig Drain ELR Crawl Drain Drain —' SIT Slab Inspection Notes: --- Post&Beam Shear Anchors Ext Sheath/Shear -- --- Ini Sheath/Shear Framing — Insulation Drywall Nailing ---� Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling - Roof Other: Final PASS PART FAIL V - PLUMBING Post&Beam Under Slab - Rough-In Water Service - Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other --- Final _ _ _�— PASS PART FAIL _ MECHANICAL -- Post&Beam _---� Rough-In --- --- _-- - -- -- - Gas Line Smoke Dampers -- Final PASS PART _FAIL --- _ —� --- —' -- ELECT'AICAL______� -- Service Rough-In �_— UG/Slab Low Voltage FiJr Alarm S U Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE --� H Please call for reinspection RE: Unable to inspect-no access Fire Supply LineADA Approach/Sidewalk --- Other: Final OO NOT REMOVE this inspection rev, -d from the Jab site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 os- 6v/r,3 INSPECTION DIVISION Business Line: (503) 639-4171 44; UP _ Received _______—__ —_ Date Requested AM-_ __ PM _.'r v BUP Location ___ 1 � Q_.___—�i�� .� —__Suite____ MEC Contact Person _r ____ _— Ph PLM Contractor Ph SWR ILDI TenanUOwner __ _ _ _ ELC Ro .r- , ing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: _ S S SIT _�— Post&Beam Shear Anchors - Ext Sheath/Shear - Int Sheath/Smear Framing -- Insulation Drywall Nailing - =�- ---1 -- Firewall �L d��r•1 I}hp Fire Sprinkler -- --- — - Fire Alarm Susp'd Ceiling — — -'----- Roof in S AR_T FAIL Post&Beam / Under Slab - Rough-in Water Service i Sanitary Sewer Rain Drains - - -- ---- Catch Basin/Manhole Storm Drain - --- -- ---- ----- ---� -- Shower Pan ina ------- —•-- �� -- ------ AS PART FAIL HANiCAL_—__— _— _- - ---__—___, _------------- ----___.^_ Post&Beam — Rough-In -_.---------- Gas Line Smoke Dampers -- Final PASS PART FAIL -- ELECTRICAL Service ------- ------------- ---- -------- Rough-In - UG/Slab Low Voltage -- Fire Alarm Final Reinspection fee of$.___ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART _FAIL BITE- l J Please call for rein-pection RE: Unable to inspect-no access Fire Supply Line ADA onto _�IZ In�►pecti-ie _ 4L � Approach/Sidewalk __-� - Kxt Other: Final — DO NOT REMOVE this Inspection record from tho joist site. PASS PART FAIL � P '► R CL o A ►o° ► syr h — �.h6 tj •�I �„� O R � �. n' R poll pool 44 P A R y d � N Inv a y CD a. 0 a G C, ° ti Q L 1 k �) f1 a N f�9 00 1� � v O y t� O O x �e 70 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 #: MST2001-00153 Date Issued: 113/01 Parcel: 2S104DA-05500 Site Address: 13220 SW RAPTOR PL Subdivision: QUAIL HOLLOW - WEST Block: L.ot: 041 Jurisdiction: TIG Zoning: R-4.5 Remarks: New SF detached rowhouse in Building #1. Setbacks as per sheet A10.10 Plan AS 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, ATi"N: Building Dept No electrical inspections will be authorized until this completed form is received OWNER. ELECTRICAI_ CONTRACTOR: BROWNSTONE HOMES STREAMLINE ELECTRICAL 12670 SW 68TH PKWY #200 6025 EAST 18TH STR►:ET PORTLAND. 0F: 917224") uANCOU :ER, WA 983£1 Phone #: 503-598-7565 Phone #: 360-993-5080 Req #: LIC 116514 ELE 34-432C SUP -2498-• `+ Z-/I' AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Supervising Electrician If you have any questions, please cal; (503) 639-4171, ext. # 310 / 1 �I� ._ MASTER HERMIT CITY �� A�� T PERMIT#: MST2001-00153 DEVELOPMENT SERVICES DATE ISSUED: 7/3/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13220 SW RAPTOR PL PARCEL: 2S104DA-05500 SUBDIVISION: QUAIL HOLLOW -WEST ZCNING: R-4.5 BLOCK: LOT:041 JURISDICTION: TIG REMARKS: New SF detached rewhouse in Building#1. Setbacks as per sheet A10.10 Plan AS BUILDING _ REISSUE STORIES: 3 v FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 31 FIRST: 173 of BASEMENT: al LEFT. SMOKE DETECTORS: Y TYPE OF USE: St FLOOR LOAD: 50 SECOND: 735 if GARAGE: 547 of FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS- 1 FINBSMENT: 580 of VALUE: $141,590.00 RIGHT: OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 1,488 00 of REAR: PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS: TUBISHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLN'PREVNTR: GREASE TRAPS: OTHER FIXTURES: I MECHANICAL FUEL TYPESFURN<I00K: 1 BOIL/CMP<7HP: VENT FANS: 3 CLOTHES DRYER: 1 GAS FURN>•100K: UNIT HEATERS: HOODS: OTHER UNITS: I MAX INP: btu FLOOR FURNANCES: VENTS: I w000STOVES: GAS OUTLETS: I ELECTRICAL -� RESIDENTIAL UNITSERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRr.UITS MISCELLANEOUS ADUT INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 200 amp: W!SVC OR FDR: 2 PUMPIIRRIGATION: PER INSPECTION EA AOD'L 500SF: 3 201 -400 amp: 201 400 amp: let W/O SVCIFDR: 00 SIGWOUT LIN LT: PER HOUR LIMITED ENERGY: 401 600 amp: 401 -600 amp: EA ADDL DR CIR: 1 SIGNALIPANEL: IN PLANT MANU HM/SVCIFDR: 601 • 1000 amp' 6014ampa•100ov. MINOR LABEL: 1000*amplvolt PLAN REVIEW SECTION Reconnect only: »I RES UNITS: 9VCIFDR>z226 A.: >600 V NOMINAL- CLS AREA/SPC OCC. ELECTRICAL.•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO A STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC L1 BURGLAR ALARM: OTH: ALL ENCOMB BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR HVAC: DATA7TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS TOTAL FEES: $ 5.696.13 Owner: Contractor: This permit Is subject to the Iegulations 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 nther applicable lawn All work will be done in PORTLAND,OR 97223 PORTLAND,OR 97223 accordance with approved plans This permit will expire if 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 Rog#: 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 Rain drain Insp Electrical Final Sewer Inspection Plm/undslab Insp Electrical Rough In Gas Line Insp Roof Nailing Mechanical Final Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Water Line In Plumb Final Foundation Insp Mechanical Insp Shear Wall Insp Insulation InspServic In Final Inspection Slab Insp Plumb Top Out Exterior Sheathing Ins{ Gyp Board Insp I Appr/S wl i p "1 Issued 6y : ✓. `k r�`�`-- — Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the xt business day CIZ ! OF TIGARD SEWER CONNECTION PERMIT ' DEVELOPMENT SERVICES PERMIT#: SWR2001-0006 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/3/01 PARCEL: 2S 164 DA-05500 SITE ADDRESS; 13220 SW RAPTOR PL. SUBDIVISION: QUAIL HO1.1.OW - WEST ZONING: R-4.5 BLOCK: _ LOT: 041 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF r:n. OF BUILDINGS- 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached rowhouse. Owner: FEES BROWNSTONE HOMES Type By Date Amount Receipt 12670 `,W 68TH PKWY #200 PORT:-AND, 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 expire ."Tie Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the mea rem nt given,the installer shall prospect 3 feet in all directions from the distance given. If not so located, the install r shat pW se a"Tap and Side Sewer' Permit and the Agency will install a lateral. ATTENTION: Orego w requi es you qfollrules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9 2-0 \� (61 hroug A 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 7. Issued by: ,' Jr#: ' ' __ Permittee Signature: ` Call (503) 639-4175 by 7:00 P.M. for an inspection needed the r,bxt business day Building Permit Application City received:�� D/ Permit no./'•, -"'OO/ City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProjecUappl.no.: Expire date: City oJ7'lgord phone: (503) 639-4171 Date issuw," By: Receqn no.: - Fax: (503) 598-1960 Case file no.: Payment type. Land use approval: 1&2 family:Simple Complex. 6F PFIRNOY d1l &2 family dwelling or accessory U Commercial/industrial U Multi-fanulyNew construction U Demolition ❑Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: t _Job address: ,7. Bldg,no.: Suite no.: - Lot: Block: Subdivision: w l- 0%1_) > T Tax map/tax lot/account no.: Project name: C'1i 0 All_ to Ale— Description and location of worl on premises/special conditions:- CtcztO HWSC tl�� 1 tCArdd� _ Name: T V _rv%trs -- Mailing address: 1"U610 r w (oO R"✓LUC) 1 &2 family dwelling: City: o 't A State:bf' ZIP: '72.2-3 Valuation of work........................................ $ _ 8 9o8 1 E-mail: No.of bedrooms/baths............ 11141............. Phone: Fax: _ Owner's representative: m 0AOES Total number of floors.................moi.............. _ Phone: X775 Fax•574 5"MOL. Email: New dwelling area(sq.ft.) .....1.1??..Q- ...... MIUUMI Oarage/cttrport area(sq.ft.)......,�?..'�.:......... — _ - Covered porch area(sq.ft.) ........r:............. Name: E A� A tIG • ^------ Mailing address: Deck area(sq.ft.) 4C.......c Fi Other structure arca(s .ft.)......... ..... City: State: ZIP: "'•"'. - Phone: I aK F-mail: Commerclal/induatrlallmulti-fondly: Valuation of work.............. ......................... $ Existing bldg.area(sq.ft.) .......................... Business name: A i; . Address: - New bldg.area(sq.ft.)................................ City: State: ZIP: — Number of stories ........................................ Fax: Type of construction.................................... Phone: E-mail: - Occupancy group(s): Existing: CCB no.: _ New: 1-ity/metro lic.no.: Notice:All contractors and subcontractors are required to he licensed with the Oregon Construction Contractors Board under Name: C'T,� d provisions of ORS 701 and may be required to be licensed in the Address: \I \ '-001.1D (AVE 3! �� jurisdiction where work is being performed.If the applicant is city: St0- 1 ZIP: exempt from licensing,the following reason applies: Contact person Plan no.: --- ---- _-__ Phone:76( - 4(0 -%11?,l l ,i0 _C AF'7- E-mail: — — --- -- -- Nairne:W12- E.61Cty Contact person: ER' Wil►, Fees clue upon application .........I................. $ Address: 't,to h 19 US Date received: City: i*YtW1State:prZIP.�j� Amount received ......................................... Phone-.ft45 -9b33 Fax: E-mail: Please refer to fee schedule. d-- I hereby certify I have read and examined this application and the Not dt juridictioru rap credit cards,Maw cart Imtdiction for nim inforwrWon attached checklir'. All provisions of la sand ordinances governing this UViae q MasterCard work will be complie�i$1,whe ified herein or not, Credit card mtmber: � //__ p Authorized signature:_ Date: ✓&J.4 1 Now of eatdhotder.,shownrW crnfu card Print name: C'tM Q-14c A Q — - — s Cardholder signature Amount Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. exti4613(~'Ohl Mechanical Permit Applicati'nn Darr.received: Permit no.&t e .DD/$, City of 'Tigard Proieck/appl.no.: Expire date: cYrvr fT'i.qurd Address: 13125 SW Hall Blvd.Tigard,OR 97223 Date issued- By: , Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: 4J =family ling or accessory U Commt:rciaUindustrial U Multi-farnily� 0 Tenant improvement NU Addition/alteration/replacement U Other: . 101"1241111ra1 Job address: '1 ,I c c_, r , l Zr /f� L Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, profit.Value$ Tax map/tax lot/account no.: V Lott Block: Subdivision:<Q.()All I ow *See-checklist for important application information and .RAt�Eb►kAkF jurisdiction's nein-: D,, fee schedule for residential permit fee. Project in-: (�t}F�1� Ebb to J _ City/county: 1CJA't-ID . I-1 ZIP: 2.2r Description and location o work on premises: =W r( I t Fee(ea.) lbtal Est.date of completion/inspection: Desc!i+►Lon QXy. Res.only Res.onl Tenant improvement or change of use: Air handling unit _ CFM��' Is existing space heated or conditioned?U Yes U No Air con atoning(site plan require ) Is existing space insulated?U Yes U No Alteration of existing-HVAC system Boller/compressors _ t r State boiler permit no.: Business name: vu E �`� ��* HP Tons BTU/14 Address: 1C7, (a i smo a damper. uct smo -dors — City: vfL"1 A Statet�r t ZIP:c(7 V90eat amp(site plan required) Fax;-��j )14) E-mail: - ns'a rep ace urnac umer Phone: rj- >� In_luding ductwork/vent liner U Yes U No CCB no.: 2 nate m-,ac re orate eeatcrs-suspend - City/metro lic.no.: ISD DO 1 C wall,or floor mounted Name(pleaseprint): M11�iC>I� Vent forappliance ot err an urnace e era on: Absorption units BTU/H Chillers_ _ HP Name: �I1J1 Grin ressors HP Address:— -TA—vrrotimentil ex taust and rent ton: City: State:_ ZIP: Appliancevent 1 Phone: Fnx: E-mail: -rex east Ncios,Type res. utc a azmst hood fire suppression system :Phon e: Exhaust fan with single duct(bath fans) _ A aust system a cart From eattn or AC ing address: __ ue p p st ut on(up to out ets : 14tate: ZIP: Tape: EPO __ NG Oil e: I at f; nrtil. vcl r +n cac r a tuona over ou ets rocesapiping(schematic require ) Number of outlets Name: �:D 1 fel 1 a.�_ �.�.; r`' r -Tapp or egatpuseot: Address: 7-17- City: rativefi lace State: ZIP: -ry stov et stove E-mail: Phone: Fax er: Applicant's signature: Date: __ _ Name(print): Permit fee.....................$ ria all}urr.arcuon..ccYtM n«ar c.rdF,please calll�utdkuon r«more mrm,ru+nn. Notice:This permit application Minimum fee................$ U Visa U MasterCard expires if a pertnit is not obtained Plan review(at %) $ Cmdlr cud number _____._ — Ra Re within 180 days after it has been State surcharge(896)....$ S accepted as complete. TOTAL ............... .......$ --Antoom — 440-/617(MCOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: DescTOTAL VALUATION:_ FEE: Table I M _ price Total Amt 51.00 to 55,000.00 Minimum lee$72.50 Table'IA Mechanical Code Qty (Ea) Amt 1) Furnace to 100,000 BTU 55,001.00 to 510,070.00 572.501or the first 55,000.00-and including ducts 8 vents 1400 $1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ fraction thereof,to and including indudin ducts 8 vents 17.40 $10,000.00. $10,001.00 to$25,000.00 $148.50 for the first 510.000.00 3) Floor Furnaceand including vent 14.00 $1.54 for each additional 5100.00 or 4) Suspended heater,wall heater fraction thereof,to and including $25000.00or flcor mounted heater 1400 .$25,01.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit 680 $1.45 for each additional$100.00 or fraction thereof,to and including 6) Repair units 12.15 $50,000.00. - $-, J1.00 and up $742.00 for the first$50,000.00 and Check all that apply: 1 Boiler Heat Alr $1.20 for each additional$100.00 or For Items 7-11,see or Pump C and fraction thereof. i footnotes below. Com " 7)<3111`1;absorh unit to iOON.BTU 14.00 ASSUMED VALUATIONS PER APPLIANCE: 8}3-15 HP;absorb Value Total unit took to 50_Ok r1TU 25.60 Deacrtptlon: Q Ea Amount qj 15-30 HP;absorb Fumace to 100,000 BTU,Including 955 unit 5-1 mil BTU _T: 35.00 ducts 8 vents _ -- 10)3050 HP;absorb Furnace>100,000 BTU Including 1,170 unit 1 1 75 mil BTU 52.20 ducts&vents - i1 j>SOHP:absorb Floor furnaceInduding vent 955 1 unit>1.75 mil BTU 87'20 Suspended heater,wall heater or 955 __1T)Air bundling unit to 10,000 CFM floor mounted heater 10.00 Vent rrot included In appllcance' 445 13)Air handling unit 10,000 CFM+ permit_ _ 17.20 Repair units 805 14)Non-portable evaporate cooler <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 6.80 101k to 500k BTU 16)VWOlation system not Included In 15-30 hp;absorb.unit,501k to 1 2.310 appliance permit 10.00 mll.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 Alr handlingunit to 10,000 dm 858 89.95 Air handlingunit>10.000 efmcfm _ 1 170 20)Other units,Including wood stoves Ncxl porta-bre eva orate cooler 856 10.00 Vent fan connected to a single 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: ' Commercial or Industrial Incinerator 4.590 _ r` 12 Other unit,Including wood stoves, 658 8Y.State Surcharge ,t' $ Inserts etc. _ Gas piping 1-4 outlets 380 25%Plan Review Fee(of subtotal) Each additional outlet 83 Required for ALL commercial permits only G TOTAL COMMERCIAL S TOTAL RESIDENTIAL PERMIT FEE: VALUATION: -- 41her Inspectiont and FeM: 1 Inspections outside of normal business hours(minimum r harge-two hours) $72.50 per hour 2 Inspectlons for which no fee is specifically indicated (minimum charge-hail Irnur) $72 50 per hour 3 Additional pian review required by changes,additions or revisions to plans(minimum charge-one-hall hour)$72 50 per hour 'State Contractor Boller Certification required for units>200k BTU. ""Residential AIC requires Alto plan showing placement of unit I:kLlsVormsVttsch-feee.doC 10I11I00 Mar-06-01 03:05P Wulcol-t Plumb incl 503 667 9891 P .01 U.t 'a6/01 '1 r 14.41 PAX 50:1 Sft9 1960 CI'l'Y f)F"fiCARD �Qj U U 2 F"Jun>ibing Permit Application Il City of iigard�-"--- Dotcrcutve4: _ PltrrNi?w-.H drenii; 13123 SW Hall Blvd,Ti`ar 1,OR 9.7 Sewer Per Fall no. Building permit no.: rihoJrirord �d Phone: (501)009.4171 ho1ecv f.no.: t3pue 4ea: - I~ax: 15(1.1)19R-1960 DetelswetiBY•'-,ReceipIOKI Lund'jsr approval: --- — r Ccsc file ymtnttype: - FTIUA"nawtax 3 family dwcllinE ter acceatory to COmtn.rclal/Indualnal O Multi-family G Tenant improverlicnl cWltructlon U A kliur n/sllennrxirrepia rtrenl U FocA wryke U UUier Css: ) Ihrcrfptton �' 941- )Eee(ea. Total : Sudono.: new 11-and 2 t"ly dwelfin 2 -941-1— ') r Io1/aeeouut no' —� (MKa+dc+loo8.(weaciuulihcomeetloro) Jew. 1 ` Bloch Satdivislon: —�_� Proect thine: (3)both Cityieoun l— ,ni ,irj ttona, itc lien Description and location of wick on pncrdsea:__ _ �Ita alWtleet __ __ _ _ Catchbx ic/andram-i— a st date of completiorvsuspeen-M — quit IeaC foe/trent noun drain no lin, .) LAW Business name: . ufoctn V clu rine utilities lr�0 C O _ Mvv� _ a -Address: .O. g& S00-1 _ Rain drujin connector - C;ty, ey6,uw. _ 3lett0 ; Pllrne S0;-`47 17 rax bt;7-9tl e i &mnA; -twol Storm sewrr(Go. i�n�.�� -- CCB no.: 1,31 y1 Plumb.bw.tsR.00:24-to y Pp Water service no.linL- ( Cityrmetra tic no.: F'bttnre or kepis Ab hon valve Cuatnctor's rcp_resenladvc s,�oature; . - ?�P — Yrtol natne ti,� 1, ; s1 r U _.___. $uir pow preveatet Ka water va ve nU av^'1 aiory ` — '— NuMim o -3—W L ..i Addrem- City: ► aun W - n(s) atimecopfian Wk NEI illu +ewercenst u Name(pent): —" '— Gub!16 d'ispos C.ty. Stale• �'!IP: Most WWI PLone. Fax; Email nlixcepto�r/ tt_axe era Ownet rmtalleh(Wresidenuol muntenarwe url;. The act�ialiatlon 1'r,mer( j P"' wda be triads 1y me or the maintenance and repair tltedr,by my regulu Roo rut, cornmerclid) - employee on the properly 1 uwa as per URS Chapwr 147 S1riF(s),btutn(s;, awp Llwnrr's si ntmtrt: Llstt 7 -i tempu6 / owot pan l'nnalCityaCity - ----._—_ Slue tIptotic: neat _ NA MI)+witJaw WW rr%*1 wdr,vVw tali urnaareea for mw n onry 1 Minimum ret..... .. _. o Q U Vue U h'Ie31610"I 401ix:This permit apptieaLon - txpira if a fiormit is nut obtaimd Plan review(al W. 3 ate Wrchaf w(dthi 180 days offer it hos Dien St �(9961, S .— -- —4—'iia.ei�saefdsi r rn�::so atri er �tL�+.+ ncu Died W:omplete TOTAL _ ,...........•,......S Uq.- -.•-.-._'r'in10 r rl�lun I��'d1rM �Iluelei6bh[�—iw-") i �V. Mar-06-01 03:05P Wolcott Plumbing 503 667 9EI91 P.C2 13106/01 '1'l'L' 11:12 PAX 501 59A 19f0 C1T1 (IF '1.1C,AM) 4003 PLUMBING PERMIT FEES: PRIG TOTAL New i and 2-Ihrrllly dwellings Only: --....... FtXT1�Ras (Individual _ _ ' ` . as I AMOUNT (Ioch.dev all plumb ng'VK:ures In PRICE TOTAL r51rN 1b.61 �� 'the dwell,rng and the 11rtg100 ft QTY (es) AMOUNT for Nch ullllt vo�necUon LrvHoryTub or or-ubofti.Mer ,omb-- 10.6) Ono 1)ba I _ 212 20 _ wo 2 balm $35000 worOnly 16.6) TMeolufth _ 1399,00 rClact -�L-;.7" -; SUETOTT Unnnat -� �- t6,6) 6% Aif 8URC1?IAPit Gf. C'ia)1wa:eu t6 67 P6AN REVIRW 45%OF SUVOTAL —� Garbage CApotal 16.EJ ~ - Ib-f XL l suu ndry ray 151!3 Wasril Mach-ne t . Fiuor Oralru pouf 31nk 2` _ 16 t0 -- 17PLEASE COMPLETE: 4- 16.f 0 Natal Maaur Oconver90n 0 liK:Krid t6t � 4uantir.b _ off,Performed, � Cas piping r"wres a loparete rnachmmal I '/n Flittlxe Type I New Mnvad ReNt6ced Removedl ETH - uu�� _�Ca_p ed MFG liomo New WINer Service 4S• Mho Fiume Naw SANStOrm owl' ofl leVetOr Now B be 10 c0 u or Lb/Shower w t Combinau�r Rout 0-aure -- — ted 0 howor nly pnnikng Fourdain 16.1,0 Wolof Closet OiRofItpedty) r 10.110 nra —_� Ishwu er Garb - ------ — Wo oval LeunddRoom -r ashln _ — Ma ne - luvr rafnf I ' Sewer-lit 100' Sower•sac addlWiel 100' 46 10 q' Waley Sam ca•1 P-Tu Other wa:m Service•each and bona)a00 46 10 t)tne5City) ut lj Riin Oran• ,n 10o, Storm 6 ROIsrely=nch sdn1l Duet 100' 6.40 �f Cemtnercl Back Flaw Is rew�ibn %' a Oa46 s0 Reeldentitri ttv.Kncw Prevention evice" 21 05 Catch Basn�---� 16 60 — Inspecllun of Earotlnq Plumbing or pecaly 2 b0 Re uestedIn�ta m' CC*MlNTS RfOARDiNO ASOVI: Rain Ural,,sing4_Ta`mHy dwelinq 66 25 Greene raps y 16 6o _ gUANTITV OTAL laorrvinc a iSlr meersm n•eouneo Ir 1 I �"' ---- _Qven 'SUBTOTAL — 8%STATE SURCHANG "PLAN REVIEW BRA OF SLRTOTAL Rrqufrr.�nr'ILii ruiura 4'Y telly;i1>S r-- - TaTAL 'Mialmem pnm11111 b N2 so•1%11,1111,10,1korlia qr,eaeepi R...oll SOCK" P#1vM9±n Dl;wcr,wn.t.n a 231 La I en Ktero wn:hArgt I.Atl New Cenananaal 6ull01ngl rpjur1 plat1 wfth 11oma1'1r o•Ni.It sJoill and 11an r i1w. I\�ntsVnrmslpini•kesdoc �Crt0la0 Electrical Permit Application t?surecelved. nrwlno.: -o iso City of Tigardttr„�nterlppl tM ruy�ynRnN Akmas: 1312 8W Hai!Blvd.Tlgard,OR 97227 Dolclnuod Ay; tta0oiocao.. Plxme: (4W)619.4171 - - (9)1)391 1960 cRef r i•no 1741t, P.ymrnt irpe Land u!c appmval: �"2 nily dwrMax ct*crew wy U Comriw itialArAvotriN t7 Multi-family U Tensm,rnpovommi New corwMWtion IJ Addition/slteMU(wVnlacatrxnt ❑Qther. U partial Jcth addtwrBI- d�«�. s. Suits no• T%A m r It tl.caount no.. 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