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13230 SW RAPTOR PLACE i i i 13230 SVI Raptor Place CITY Or TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 63 175 Business Line: 639-4 - F3UP Date Requested ''� S AM _—F'M ___. BLD _ Location_ Z2?,72L ' S,uiitte,� MEC W Contact Person ____ _ Ph PLM ----- — Contractor_ �r"��',�,L,,,o �1� trig ��r �� ,.—,---- SWR ---- BUILDING Tenant/Owner ELC Retaining Wall —� i ELR Footing Access: Foundation FPS Fig Drain _ S('N _ Crawl Drain Inspection Notes: — Slab _ _ _ SIT Post&Beam - CA Sheath/Shear _ Int Sheath/Shear Framing — Insulation Drywall Nailing _ Firewall Fire Sprinkler Fire Alarm — - Susp'd Coiling Roof Final PASS PART FAIL ---- .---- - ------- PLUMBING Post& Beam - - - - - - — - - Under Slab Top Out ------"---- Water Service Sanitary Sewer - _ - ------ ---- ----- --_---__ Rain Drains Final PASS PART FAIL MECHANICAL - - - - - - - Post& Beam - - ------------- -._m.__..-.-- --- Rough In Gas Line ------- Smoke Dampers Final _— PART FAIL E CITCrt1L-) Service �— Rough In UG/Slab Low Voltage Fire Ajarm _ n AS PART FAIL_ SITE Backfill/Grading - - Sanitary Sewer Storm Drain ( j Reinspection fee of$ required before next inspection. Pay at City Mall, 13125 SW Hall Blvd Gatch Basin Fire Supply Line ( I Please call for reinspection RE: — [ J Unable to Inspect-no access ADA Approach/Sidewalk Other -- Date — Inspector_ � Lq._.�Ext Final -_� PASS _PART___FAIL DO NOT REMOVE this inspection record f m the job site. e CITY OF TIGARC 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received Date Req sted ( �3 AM_ ___ PM _ BUP Location / O - ' Ll' P —Suite— __ MEC 5 7 7`1 _ Contact Person _ �� ��_. Ph( 1 � - PLM -- Contractor__- _-_ __._.____ Ph SWR BUILDING Tenant/Owner __ �__ ELC �_-_ -- Footing ELC Foundation Access: Ftg Drain ELR - Crawl Drain Slab Inspection Notes: SIT —__-- Post& Beam ----____-- Shear Anchors - ----- -- --_- Ext Sheath/Shear Int Sheath/Shear Framing --_ _ --- ---- ---- - ----- --- Insulation Drywall Nailing -- --__.____ __ ----_ _-- Firewall Fire Sprinkler --------- Fire Alarm Susp'd Ceiling Root - --.__.. - - ---------- - _-_ _- -- --- -- -- Root Other. - - -_ _ -------- ---- --- - Final ----- --- - PASS PAPT FAIL Posi& &49am Undm Slab ------ Rough-In Water Service - SaNtary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other. -- _ ----- - - - ------ S A N! R'1- FAIL ----------- - - - -- --- -- ------ - ..®� -- QAPA4 _ CAL _ _.__--------------._.. Post 8 Beam Rough-In --- ----- - -- -- — - ------ - Gas Line Smoke Dampers -- -- ---------- - -__ -_ ------ ------___�-__ Final PASS PART FAIL --- ELECTRICAL Service Rough-in -- UG/Slab Low Voltage Fire Alarm Final F-1 Reinspection fee of$- _-__ required before next inspection. Pay at City Hall, 13125 SW Hail Blvd. PASS PART FAIL SITE - F1 Please cell for reinspection RE:. -- Unable to inspect-no access Fire Supply Line ADA iDxb '" 'Inspoetor Approach/Sidewalk tf-- ------ ------ - Other: Final - DO NOT REMOVE this ILhapectioln record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 , 061 00IS—Z INSPECTION DIVISION Business Line: (503) 639-4171 s MST _ _ SUP Received Date Requested_ _ _� — AM-__ ^ PM BUP — —. Location �- -c�-'L- ��f-- Suite—_ --_ MEC Contact Person _ �1--r�� _ Ph(­—) '-�1 PLM _ Contractor Ph(—) SWR BUILDING Tenant/Owner ---_ _ _ ELC Footing _ ELC Foundation Access: Ftg Drain ELR Crawl Drain __— Slab Inspection Notes: SIT Post&Bearn Shear Anchors --- -�-- Ext Sheath/Shear j Int Sheath/Shear �, _ /1 Framing Insulation41- Drywall Nailing - 1 ---- � — Firewall Fire Sprinkler ----- ----- — -- --- - -- Fire Alarm Susp'd Ceiling Roof Other - ----- - -----. Fin S� ART FAIL ---- - — -_ - Post&Be nu� Under Slab - -- - --- - ---- -.._-_._.--- -- - Rough-In Water Service --- Sanitary Sewer : Rain Drains Catch Basin/Manhole {' Storm Drain Shower Pan ' Other: .X �� - Fira 1 ;t PART FAII. CHANICAL Post& Beam ) 1 Rough-In �« p --- ---.- - --- - Gas Line~ Smoke Dambers ------ - --- - PASS-" PART FAIL ---— ------- - — - -— - A— RICAL Service — Rough-In --- -- —�__.._— — -- --- —. UG/Slab Low Voltage _- Fire Alarm Final 11 Reinspection fee of$__�_ required before next inspection Pay at City Hall, 13125 SW Hall Blvd. PASS PART_ FAIL -"� Please call for reinspection RE: F Unable to inspect-no access Firs Supply Line ( . ADA Approach/Sidewalk -J��� (� - I��Kre�r•.ov -- i - Other: Fina DO NOT REMOVE this Iiispoetion record from the fob site. 3 PART FAIL ee.�eeeeeeeeeeeeeee�ee�,��eeeeee�►eesoe�,eeeee�i� a m � f► � 1J � c ► d s 'v° ► ► pill � H ► CL too. d d ' aro ► t ' ro b p ► f G o © rD p ► � pop. 44 4 p i t � I o � ► ► 4 'b n � 7 0. w O c� c w• p �+. n N �• ro H of �✓ p O '10 _ 0 0 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, GR 97223 IMPORTANT PERMIT NOTICE STREAMLINE ELECTRICAL 6025 EAST 18TH STIMEET VANCOUVER, WA 98661 Electrical Signature Form Permit #: MST2001-00152 Date Issued: 713101 Parcel- 2S104DA-05400 Site Address: 13230 SW RAPTOR PL Subdivision: QUAIL HOLLOW -WEST Block: Lot. 040 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, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER ELECTRICAL CONTRACTOR: BROWNSTONE HOMES STREAMLINE ELECTRICAL 12670 SW 68TH PKWY #200 6025 EAST 18TH STREET PORTLAND, Or 97223 VANCOUVER. kNA 98661 Phone #: 503-598-7565 Phone #: 360-993-5080 Req #: LIC, 116514 ELE 34-432C SUP 241"l- ,�„-, 41"l-,�„- y AN IN',-'% SIGNATURE IS REQUIRED ON THIS FORM Signature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 � MASTER PERMIT' �� ® ,' I���� PERMIT#: MST2001-OC152 DEVELOPMENT SERVICES DATE ISSUED: 7/3/01 13125 SW ball Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13230 SW RAPTOR PL PARCEL: 2S104DA-05400 SUBDIVISION: QUAIL HOLLOW - WEST ZONING. R-4.5 BLOCK: LOT:040 JURISDICTION: TIG REMARKS: New SF detached rowhouse in Building#1. Setbacks as per sheet A10.10 Plan AS BUILDING REISSUE: STORIES: 3 FLOOR AREAS _ REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 31 FIRST: I73 sf BASEMENT: of LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 735 sf GARAGE: 547 of FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 580 sf RIGHT: VALUE S 141,590.00 OCCUPANCY GRP: R3 PURM: 3 RATH. 2 TOTAL: 1,48800 st 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 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: I MECHANICAL FUEL 17PES FURN<100K: 1 BOIL/CMP<3HP: VENT FANS: 3 CLOTHES DRYER: 1 GAS FURN>•100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOOOSTOVES GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDEF, TEMP SRVCIFEEDERS BRANCII CIRCUITS MISCELLANEOUS_ ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WIS.%OR FDR • PUMPIIRRIGATION: PER INSPECTION. EA ADD'L 500SF: 3 201 - 400 amp: 201 400 amp: let W/O I.VC/FDR: rw SIGNIOUT LIN LT: PER HOUR - LIMITFD ENERGY: 401 600 amp: 401 600 amp: EA ADDI.OR CIR SIrfNAIJPANEL: IN PLANT MANU HWSVC/FDR: 601 • 1000 amp: 601.ampo.1000v.. MINOR LABEL: 1000+amplvolt: PLAN REVIEW SECTION Reconnect only: >-1 RES UNITS: SVCIFDR>r225 A.: >600 V NOMINAL: CLS AREA/SPC OCC ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNOSC LT. BURGLAR ALARM: 0TH: ALL ENCOMB BOILER: HVAC- LANDSCAPEIIRRIG: PROTECTIVE SIGNL. GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS Owner: Contractor: TOTAL FEES: $ 5,696.13 BROWNSTONE HOMES BROWNSTONE HOMES, LLC This permit Is subject to the regulations contained in the 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 expire it work is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION Phon,,: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg# 1 IC 12411,17 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 IN Underfloor insulation Electrical Service Low Voltage Firewall Insp Appr/Sdwlk Insp y `1 Sewer Inspection Pim/undslab Insp Electrical Rough In Gas Line Insp Rain drain Insp )FIn rical Final Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Rain drain Insp anical Final Foundation Insp Mechanical Insp �— YShear Wall Insp Insulation Insp ger Line Insp b Final — Slab Insp Plumb Top Out Exterior Sheathing Ins{ Gyp Board Insp Water rvi sp IInspection J Issued By :, � 4_'<: z-`- Permittee Signature : L Call (.503) 639-4175 by 7:00 p.rn. for an Inspection needed the n .xt business day ADD _0009 Building Permit Application 7reccive��. Permit no.: City of Tigard - — Address: 13125 SW Ball IIIvd,Tigard,OR 97223 o.: Expire date: City of Tigard Phone: (503) 6394171 Date issued: — By:l Receiptno.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: I� &2 family dwelling or accessory O Commercial/industrial ❑Multi-family New construction U Demolition U Addition/alteration/replacement IJ Tenant improvement J Dire sprinkler/alarm ❑Other: t Job address: 1, L, Bldg. no.: Suite no.:— Lodivision: wt L l ov-> y peFST . Tax map/tax lot/account no.: Project'name: mc.11C to Description and location of work on premises/special conditions:_Qp 1_ R kA`-.9 . W tCkrit7nJ FOR- INFORMATION, picky,solar,etc.) Name: Doax1N rLW ` c3 A kzb fllllllllllllllI Mailing address: 1'2(670 Sw Lgt;h ti p 1 &2 farnllt d"elling: City: -f Np State:t:r ZIP: 97Q-2.3 Valuation of work ....................... $ Phone:5%�7,51p 5 iFax:5195 goil I E-mail: r No.of bedrooms/baths......................... _ Owner's representative: ►v1IZ OAO Ka Total numL_r of floors............... .............. --- Phone: 35779 11 „ 57q 519'L E-mail. New dwelling area!sq.ft.) .....1..�..7.Q ...... _— ;l 1005 - Garagelcarport area(sq.ft.) Covered porch area(sq.ft.) .....,., __-- Name �, A aeorG 4c,so f 1 Mailing address: Deck area(sq.ft.) ........................................ Other structure area(s . ft.)..... .. ............ City: _ State: ZIP: -- Phone: Fax: E-mail: Commercial/industrialhnulti-family: t Valuation of work........................................ $ Business name: A5 /4( Jf;, , Existing bldg.area(sq.ft.) .......................... Address: - Ne,,,bldg.area(sq.ft.)................................ State: ZIP: Number of stories........................................ _ City: Type of construction n : E-mail - Phone: F_x._-. Occupancy group(s): Existing: CCB no.: --- New: _ City/metro lic.no.: Notice:All contractors and subcontractors arc required to be. t licensed with the Oregon Construction Contractors Hoard under Name: provisions of ORS 701 and may lie required to be licensed in the Address: \\ \ �(t� m t ± 6so jurisdiction where work is being performed.If the applicant is Cexempt from licensing,the following reason applies: it . State:WZIP: (o I Contact 1x rson: AN(C Plan no.: Phone:766- Q(o - Fax:Ut 47- E-mail: — -- ----- ___ -- Name'DE61W. Contact person: FN Wi 11, 45 Fees due upon application ........................... $ Address: '5 LA-1 NI.A 01j Date received: Z City: Stateflf IP: Amount received ......................................... $_ Phone:ft' -116 33 Fax: E-mail: Please refer to fee schedule. -- 1 hereby certify I have read and examined this application and the Not all iudaactiom rap credit crds,please call jurisdiction for mote intortnabon attached checklist.All provisions of laFanddinances governing this ❑visa ❑Mastercard work will be complir ,whe erein or not. credit card number -- --- — / / Expires Authorized signature: Date: Iki�_t— Name of cardhoidn u shnwn on credit earn Print name:_ r I" � A t7 t _ s — __ - - --cadi�iaer si6natare �motmt Notice:Ibis permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 44DA13(601000M) Mechanical Permit Application -- Date received: o'ermit no.:4j<1Za f O1.i City of Tigard Prgtect/appl.no.: Expire date: Cityof regard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: �& 2 family dwelling or accessory U Commercial/industrial U Mulfi-family �0 Tenant improvement 'New construction U Addition/alteration/replacement U Other: 3011 SIVE INFORMAT]ION tUMNIERCIAL Job address: LS- (�; k'f, L Indicate equipment quantities in boxes below. Indicate the dollar Dldg no.: Suite no.: value of all mechanical mate ials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ �0( — Lot: Mock: Subdivision: [s ow *See checklist for important application information and Project name: 1-W-1\30MAE, jurisdiction's fee schedule for residential permit fee. City/county: 4 Zip: 22_ MWt I Fr t Description and location o work on premises: V0. l2 UUrY r t r t r Fee(ex.) Total Est.date of completiort/inspcction: lkwcrip4inn Rea.onl Res.00l Tenant improvement or change of use: &>a Is existing space heated or conditioned?Ll Yes U No Air handling unit �__ c'IT1 Is cxistin space insulated?O Yes U No Aircon itioning(siteplanrequired) •p' A teration of existing HVAC system t t or ei compressors Business name: j pU�_ �j `], [✓{- 11 ► i C r n� State boiler permit no.: —� _ HP _Tons BTU/14 Addres�0 (c(cAL-1 Fire/smoke amper uct smoke detectors City: c)(L1 F1 Statetx L .�I I': '17 290 eat pump(site'pian require ) Phone: tj-5`( Fax:7 75 1141 G-mail: nsta rep ace urnac urner Q 2 Including duct% ork/vent liner U Yes U No CCB no.: nsta rep ac reixateFieaters-suspen , City/metro lic,no.: DO 00 1 c??-S wall,or floor mounted - Name(please print): m MNi .-ir>A, ' ant ora rance other than furnace e era on: Absorption units_ BTU/H Name: -�ILA Chillers HP Address: Compressors HP Endironmental exhaust and ventilation: City: State: ZW: Appliancevent ) Intone: Fax: E-mail: hyerexhaust s, Type res. nc a azmat _ hood fire suppression system Name: E- Ll G ah.-ust fan with single duct(bath fans) Mailing address: 7x-hausk system open from Fen'ting or AC _ State: ZIP: Fuelp p on(up to out ets) City: � _ _ — Ty LPG NO X— Oil Phone: Fax: E-mail: Fuel pipingeach additional over 4 outlets cm piping(sc ematic requ r ) me: �-A AAV-,_ a, A ENC;� Numberofoutlets Na 3c �� 1 act p-plGece or equipment: Address: Decorative fireplace City: State: ZIP: nsert -ty Phone: Fax: E-mail: tov pe let Other: Applicant's signature: Date: Name (print): _ Na all im•isdictiau amep credit car&,pleaw cau)uriacktinn for nae inforrmuan. Permit fee....................$ _ U Mae O MasterCard Notice:This permit application Minimum fee................$ expires if a permit is not obtained Credit cad number: plan review(at __._ 96) $ 05 5 E, re, within ISO days after it hes been State surcharge(8%)....$ N a on rfedft earl accepted m complete. — _ $ TOTAL. .......................$ '77 - -C siprarme Amount 1141617(6)DOOMM) MECHANICAL PERMIT FEES COMMERCIAL S=EE SCHEDULE: 'I & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Description: Pack Total $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code _ Qty (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional$100.00 or including ducts 8 vents _ - 14.00 fraction thereof,to and including 2) Furnace 100,000 BTU+ - $10 000.00. __ including ducts&vent 17 40 L--`-- $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for eacl�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 _ 525,001 00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit -- $1.45 for each additional$100.00 or _ _ 6.80_ fraction thereof,to and including 6) Repair units _ $50,000.00. _ _ 12.15 $50,001.00 acid up - $742.00!or the first$50,000.00 and Check all that apply: Boiler Heat - Air - $1.20 for each additional$100.00 or Fur Items 7-111,see or Pump Cond -- traction thereof, footnotes below. Com 7)<3HP;absorb unit ASSUMED VALUATIONS PER APPLIANCE_: to 100K BTU _ - _ __- 14.00 ---- --- --- 8)3-15 HP;absorb - - Value Total unit 100k to 500k BTU _ _ 25.60 Description: Qt _ (Ea) Amount g)15-30 HP;absorb - -� Furnace to 100,000 BTU,Including 955 unit.5.1 mil BTU_ 35 00 ducts 8 vent, 10)30-50 HP;absorb - _-_ Furnace> 100,000 BTU Including 1,170 unit 1-1.75 roll BTU 5220 duct,8 vents 11)>50HP:absorb Floorfurnace Including vent 955 unit>1.75 mil BTI! 87.20 _ Suspended heater,wall heater or 955 floor mounted heater 12)Air handling unit to 10,000 CFM I - - -- .- _._... 10.00 Vent not Included in applicance' 445 13)Air handling unit 10,000 CFM+ permit Re alP r units _ � - 805 -_--_ t7.2n ---T <3 hp;absorb.unit, 955 _ 14)Non-portable evaporate cooler 10.00 to 100k BTU --- 15)Vent fan connected to a single duct �^I 3-15 hp;absorb.unit, 1 1,TOJ _ t 58o 101k to 500k BTU - 16)Ventilation system not Included in 15-30 hp;absorb.unit,501k to 1 2,310 mil.BTU appliance'ermil 1000 - 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 Air handling unit to 10x000 cfri 656 r 19)Commercial or Industrial type incinerator 69.95 'Air handling unit>10,000 ctn 1,170 20)Other units,Including wood stoves -Non-portable evaporate cooler 656 Vent fan connected to a single duct v 446 _10.00 -� Vent system not Included In 658 21)Gas piping one to foray outlets 5,40 app.ianceaemtit- 22)More than 4-per outlet(each) Hood served by m_echanlca_I exhaust 656 __ 1 00 Domestic incinerator - 11170- Minimum Permit Fee$72.50 SUBTOTAL: $IZ R Commercial or industrial Incinerator _ 4590 Other unit,Including wood stoves, 658 -- ---c. ({y,State Surcharge Gas piping 14 outlets 380 - Each additional outlet 63 25y.Plan Review Fee(of subtotal) _ s Required for ALI.commercial permits only TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: S �� VALUATION: Othor Insr»ctions and Fags: 1 InsperMons outside of normal business hours(minimum arae-two hours) $72 50 per hour 2 Inspedtons for which no fee Is specifically indicated (minimum charge-half hour) $72 50 per lour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one-he"hour)$72 50 per hour 'State Contractor Boller Certification requL ed for units>200k BTU. "Rarldentlal A/C requires aIle plan showing plarement of unit. I:Wsts\forms4nech-fees.doc 10/11!00 Electeical Permit Application City of Tio>lltd l'roylvpl.no.: PapMadate: --_ _ cltidn�.w A t mar 1312$SW Hall Blvd.Thad,OR 91223 Date laauad: Plow: (SOS)6394171 Pax: (5(13)5961960 Can rile no.: P.yrtrnnl type. Land use approval: j"k�2falumnlily dwelllrp ac rocuary U CdnrryrcWAnduavld O Maid-fondCI TenantImprorerr>Mtr New cooat vaiat ❑AddltkyValtenli(Wr"Worwill O Othw. U Partial Joh adJtlrN; . 131d no.: _ Suite nRi o, Tact 2.0 a iDUaaleunt a0.; Blo _- La: ck: Subd(vilfm: ,u�L . !{ollvw wr�,t Project naApt r*'1 Ne(IorJ —�Deuriplion ad location of wak on premises: NO w eoOb1&*nW - timmed d*W of clrrl Pet W1A r glum Job 1w Iw I►la>~ 6ualme"nAM! StreamlinE'. F+IIlle- r'ir- t •id "rut•�r hM dreea: Awaa k4um.been"wa*w l`I : v n c to u v Sfax: WA 7D 9 R 6 61 aet•1I0110110 a Y%"; 993- IatO g It er IMI 4_ t^CA no. 1 6 , tWe.bw.Ile,ne: 3 4-9� t lie�"- nudand wwLiMw Wag. � ruon � s •amu. r C1 AMM Ile.M.: _ Lrnl eo e� s nne�ra._Wenn+l ."lunf�and horns or owduio dw111q Aa iaa UseY ) _tM a llefvlfs andhw teedv ? .leretar ro aw e�e1 r ttw�Mrr-!moi M�. won aMr talhrobee or raNraflw '►o / e0u G 7 N Mte(yfl 1 10 wo wp" f�dT�mEf a isal elect � me Ntloat►: �.. _ Put, a 6-m/il: Rwa~a.T _ Owner ow 110 Inatallntk+lt 1 inp Indo an Own Maty a'aeMn w%ch is flat ittlended for tu.e.I ar aach"rocadinp to YMMadle�aMrallM�e.nlearrtles r I��le. i Z CTrrnrAa ei Dow! "74 �1 4 —.;01 I i0u M•pie,aT�rMTw, orahu"M raw t.wb NNW: _--- -- A.Fee fixbmw%eirm"rridt"we 6f arnioa or koft ft pre bnw A alraNt Gt Suaa: T Z1P. wh*ee+ec^dRr a.+rnoul nl aw.ta a resoR rr fNtt braarh grlalr �_. E frtlul [iid.11ddld'-'oral�r+lndt C*wr. fy or see O atwwewrw rro►e+a.,,a.rw' n tialR+oetenwuh� t ►awn 04 ' ka t,tcle _ 2 0101w Deer 3Z0�rgra+rbta of t R 1 Q Natrrdoo.lo"*M !�te�a eud rx fertilr&"1" O dattdl eovw 10 Ow own bet(btrta aT.lecwu�)a IMwernrr>)yprr�i _ a/ymwp n w 6M reits w"" nkws rtM/Mn+l awa ie Dirt fffawa alefalltl.n. >ra tWlot• __ ��� __• _. _ U awlmrg4ft-true rlar.a Q rrraden,aOD a n e w nwre •l4ron 4 taed*vw"rye U M"aw"rw rYe"My ov ww ESadA I erar air ()F4M,%RiO tlMO- Q Wim•. _ _.�._.-..+.. -__ po Inn1r1�ktImaper�u-m-�•� .��� at vmk_ sat/of t>� alar N� abaft wNb R aba kMT"_ Tw No...r.a.l• bY 1•ttlweaarUrltllMa Ildr9ite. Permit fee................ _... MM rlt Mop 1,WA4 W&,b'e"vd11arW'MW At..nWr.O... Nmdae Thra pCnr+N alrpllalirlr P1M rwrttio rat 461 = O Mw a Maa1nCW otoirea If/pormlf is not ebu nW rAhto 110 dayf after it has baw, Stats lurthMV(8%)H'..S —"• 7w-fir:isa �T r • e'roapWd n awap►Na. 'I OTAL . �'- /Od11011�•� 1u 1 -1'_ad OI81C13-13 341-1wr3d_S Z7EO;ebE09r 6� :Lt tOBC•:'90110 Meir--06-0 03 :05P Wolcott Plu-TIL) 1r)CI 503 667 9891 P.U? o.1 U-o) Tl'? 1! 41 F%X 50:1 594 196() CI.1'Y oi! ri CART) r6002 % Plumbius;Permit Application Dateracelved: Pm-nn City Of Tigard �. Addrese 11123 SW Hall Blvd,Ticar 1,OR 97227 9ewnp.rmhno,: Building Permutno„ CiryoJ'rlrard Mom (503)639.4171 Proiect/ImLoo.: Expuadate: Fart: (9(1.1)39A-1960 Dateissued. By: ReceipuKI LwW use approval: v_ Case file no.. - Payment type U 1 &2 family dwelling ur aecexeory U Conan mial/indusinrl O Muld•fam l y U Tcnsyt tmprnvemcnI Q New cmitrucuoo 17 Addibi n/altcratu>o/teplacetnent U Food acrvict Q 0dwr Job adtitess: 5 LLQ Uearrl doo Qfy. )Feera� ON, Bldg.nu.; - --=Suite no.: --- new I•and 2-totadly dweWnCI CIO Ttu map/tax Mom=no. (imcw^a IN IL tog atelr utility comt►tedoo) Sl7t(t)hath _ _ Wl: � Block• Subdivialon: ( �gaUi~- - -"` Project IIAMe: _ SFR(.,)both Cltylcoun : ZIY: '� Ut+t +,idditionalbath/kitcR_n Description and location of work on prcmises: _ SheptW111aa1 _ Catch bmia/area drays Fit Ante of mripletion/tuipection -- -� t., T( enc iae utric octure orae unbttes b;�si;tcesuame: 1,,)u�C..o•1 '�'^•..� . +��Address; ,O. O 200') _ connecirw 3tste(j :1P sewer(no.Itoft. _. P11011e•S03-60-111k. Fax 46 7-9tl R I L.1,10& SL f0 st.-ewiv Sloffn sewer(no. in,n CCB no.—2 a g ail Plumb.bus.left.00_:24-2.0 q Pp Water%mvice 01),lin. t Cityinietro lic no.: F1ltture or kew ('uatfactot's representative at1ontttM: ., Ab. don re valve (.', a1 p flow palve ct _ Ytlrll mope: � N water valve aJlfl aVNI ..�. .— Nsnte to'ttkmi wambct v n wnsher Address: t'6"tr _n�t'uunsiftw City: �_ �_1_wte: :JP; Fi ac/e>tm �_ Phone: Fax E atad. Expansion 4u+k ittu s;war;,P - — _Nattte(Ptint): �.. f-- F1orn n�nsl} it 3inJUAiu Hose br b City. — statC' •lIP: Ce n er —� Phone. ntt:rccptor Brea-�e trap Qwne! ma nienmwc only: The actu.'J imrallaoun llnmer(i) will be mately teteorthe maintenance and repair mi de,by my regular IMF A ,!Icornmetcial _ ernpluyce on the property I uwa as per ORS Chap:ct 447 i (s), tutn(s;Lnvx(1 Owner's si nmute: u� m Tu set nwet owl pan Crinaf _N:urie: _ atet C171—et Addrcas. _ water weatit LIP.^ �----- Phunc T Prta E-mail. oh - Min+rnum fee.,. MA 011l14-Mac INN W04-'"i�,1'1ow 41"'irUttiaa to more.n orm� tilOtl7e'Thia permit applisat m U Vtaa a Mwatfsra expires if a petrnll is not obtained Plan review(at-i3%:. S CrVA tad Sumba within hos be 110 days after it an State turcharBo(896) . .S - ►a)•au- TOTAL nea.t,tedw compk:a •......•'......,'......S A__nwo / MI�+Oiu�M)0'[ON) 01 01 1 � ' Mar-- 06-G1 03 :05P Wo'Icott Plurnbinc) 50 667 9P91 f7.0 13/06/ol T1.1 14 4. 1'.1.1 Sol SOA 19 , j;3 r(Tl OF "t'IC4kU .�IOOJ PLUMBING PERMIT FEES: -_T VKhe f ; TOTAL � Newt end -0Irnlly dWeNlnps OnIY ^-� _ FixrIIR(tS (individual) _� " QTY L4a-J' AMplyNT (t•rchrdosall ptumbmp'fleturt•OIn MkICE TOTAL , ?'(,_ O IN;dwelltne AnC the 11n)R100 fl ! GTY (ep AMOUNT lavatory 16 6) for Ach uut�Ilky oonnecllon _ Ono(1)baCr ~^ 4?2U uubwr,b/SSWAW.ornb. ,86) fwo 2 balm _ 134000 t Sh;wdr Only - 16.6 i V Tnr-�e t31 b+e - $39000 stir Clmel , ) _ � I OTOTAL Urinal 1e, _ e�.m A BuRCHARfiE _-- Duhwasner to e� ,r- LAN REVIEW�S'/.OF SI;B'OTAI '- -'• '�� Garbage Disposal t 0 ,, laundr7Truy t G t 9 Watn;ng MacKno I is-. Floor Dnl N our 9tnk r..-� Is f0 �-r- --- PLEASE COMPLETE: 4" —� IUD %&lei neater 0 conveys on like Mord 1B t 4uanG _ Vork pirtonned Gas pipmp reQuues a acparsla rruf:h4nical I I//� Fixture Type. ew Moved Rep4cdd Removedl e,•n4 fr _ _ Cameo MFG t,onto flow WRtrrr Serviee 46,0 Mho Horne 1Jew Sarvsto m sewol 4610- -ubiSnower �� -� Hose tl be tb l4) or --�'-- C ub b ornaUor. Root DYnie ,e.IQ -f '- - _Mho 13 Donk'np Foinlain 9.rd Water Closet Oster Fix!uriti IgVecl I - � 16.110 DNhwuher �� - leuntlry Room it -- -- — Washing Mau ne sewer•1st— 10�-�— 6tf.10 p Floor rsinl I - j' !,ower-sac additweial r00' w8 10 '- 4• Waley 3ary to•+►t too )C Wet ester _ - Ws'or.yery^!•each a ion 4e 10 — Other raluraS S ,,been 6 Rdn Dralr• 'at 100' 55.110 5twm 6 Rain Ofir•inch edtl,t oriel 100' d6.10 Coorme(ciel(lack Flo—w Pf6illlnn Dev a 46 W 4 Rask'Yrlhall0cdcwPieventk>n .wKa' IT 55 Catch astir, --- InspKt-)n o►E■ratlnQ PlVmbi- ng or Specall ---- Y Re uesledIrlepercliorls im• COMMENTS REGARCINU ASOVE. -Rain Uiai,,%ng4 smily dwesinyeb 25 t A Gress-a tf;17%- --� loco QUANTITY TOTAL v iaomatnc rx ifr alagrsm rs•agmed it � - --- -- -- -- — 'SU9TOTAL --+�- ----- AY,S'ATF SURGHARIi! "PLAN REVIEW 25%OF SLOTOTAL J �, R.gr,�`'!Q.?rn it Aelura a'Y•trip,N>1 -- - T TAL f 'Minimum pa"it fN to 612 w•e':sero s.n.parge,asoapi Resid rr r eaaao.. PraVar ,n Dever.wh.tn i$14 73•ON Palo strcharea "A:1 Naw Cemeurelal eali#IM$newer,pais wkh monist•x w 1%,,Magrsn n 0 ran rraw. F1iehJUorms,plm•kee.doc �CrtO!JO CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES E ISSUED: #: 7/3/01 01 00094 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/3101 PARCEL: 2S104DA-05400 SITE ADDRESS; 13230 SW RAPTOR PL SUBDIVISION: QUAIL. HOLLOW - WEST ZONING: R-4 5 BLOCK: LOT: 040 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS- CLASS OF WORK: NEW DWELLING UNITS: 1 T`/PE OF USE: SF NO OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached rowhouse. Owner: _ _ FEES BROWNSTONE BROWNSTONE HOMES Type By Date- Amount Receipt T' 12670 SW 68TH PKWY #200 --- - PORTLAND, OR 97223 PRMT CTR 6/28/01 $2,300 00 27200100000 INSP CTR 6128/01 $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 y u t follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 1{1010 thr ugh AF�952 UOi 0080 You may obtain copies of these rules or direct questions to OUNC by calling O 246l 98 i 1 1 Issued b / Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed then It business day