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13250 SW RAPTOR PLACE d 13250 SW Raptor Place CITY OF TIGARD BUILDINC INSPECTION DIVISION 24-Hour Inspection Line: 6� 175 Business Line: 639-4 1 IBU BUP Date Requested i( D _AM PM _ BL.D Locaticn _ , Z. ��J G�r — _�— Suite r c� MEC Contact Person �— — Ph 7 %3= 3 7✓� PLM SWR ContractorPh _--�- ____ BELC UILDING Tenallt!OWner -- Retaining Wall ELR Footing AccessFfr S Foundation -- - ---- __- Ftg Drain -- -- SGN -- ------ Crawl Drain Inspection Notes --— Slab - - -- -- ----- ---- - SIT --- ----�._. Post&Beam Fxt Sheath/Shear I - ----_ ------_--___. -- Int Sheath/Shear Framing - -- --- -- - --.. Insulation Dn,waii Nailing Firewall Fire Sprinkler --- - --- - - --_ - Fire Alarm Susp'd Ceiling - Roof Misc: Ina 70A§,5), PART FAIL -- - - - -- -UMBING Post& Beam _ - ------ -- Under Slab lop Out Water Service —_ — Sanitary Sewer — Rain Drains -- Final PASS PART FAIL ------ MECHANICAL Post&Beam - - -- --- Rough In Gas Line Smoke Dampers A PART FAIL _ ELECTRICAL Service --- Rough In — UG/Slat, Lo.v",)liege _ Fire Alarm -- ------ - — Final PASS PART FAIL _-____--._--- SITE -- Backfill/Grading �! - Sanitary Sewer Storm Drain ( )Reinspectior fee of$ _._ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin 1 ) Please call for reinspection RE _— Unable to Inspect-no access Fire Supply Line t^ ADA Inspector 1 Approach/S'dewalk Date ) ?,(-7 L 1 �" L Ext t Other _ Final PASS PART FAIL DO NOT REMOVE this inspection record from tF j job site. ! ! p p ► 4 a b ! � ! v, ¢- rb O - rL CD E 0 � �, ! Z p PL p o ! `Lotop) 15 �, ► 4 CD is via. � ► D 0 r) pr+ 41 p F��I i �► pop- 414 4 p 1. ► 414 44 � O 44 44 p,. ► A ► � zr a —1 to to o = n • ,ti p, � O n � co 0 r � A ^ 0 Q e� O A 00 CITY OF TIGARD Bir'" DING INSPECTION DIVISION MST '7 7-1 ?.4-Hour In�sp^ction Line: 6-" - .175 Business Line: 639-4.. i - -- -- -- i _ BLIP — Date Requested / -``? AM— _PM --- BLD Location 2 5 - � � 1 - - Suite _ —_ MEC - Contact Person �� �✓ — Ph `� `� 3 4/S PLM 17 Contractor Ph SWR -- BUILDING TenantiOwner _ ELC Retaining Wall Wall ELR Footing Access: Foundation FPS ��— Ftg Drain SGN Crawl Drain Inspection Notes: _._.----- Slab — SIT Post&Beam _—.— Ext Sheath/Shear Int Sheath/Shear Framing ------ -- -- Insulation Drywall Nailing ------ Firewall Fire Sprinkler ------ — ---- Fire Alarm Susp'd Ceiling Roof Misc: _ — -- ------ -- - Final PASS PART FAIL --- --- --- -- - — -- PLUMBING Post& Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains SS TART FAIL MEMANICAL Post&Beam - --_-- Rough In Gas Line -----�—'— Smoke Dampers Final __-_-_- PASS PART FAIL ELECTRICAL — ----- ----- __�______-------__- -__---------__.______.--__._.__...------_-_-- -- ._ Service ----__ - _ Rough In UG/Slab ---_—__------.,--- --- _—_ ____-----_ _.._ ---- __—_ Low Voltage Fire Alarm Final PASS PART FAILSITE --- Uackfill/Grading "-- — - Sanitary Sewer Storm Drain ( ]Reinspection fee of$— required before next inspection, Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE ( j Unable to inspect-no access ADA Approach/Sidewalk Other Date I *!A�1 Inspectors l� _e Ext Final PASS PART FAIL DO NOT RIFMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 63'. 75 Business Line: 639-4' BLIP Date Requested - `� —AM__PM BLD _ Location I �� z `� k Suite MEC e' -2z Contact Person r s Ph l -� PLM Contractor Ph SWR BUILDING _ Tenant/Owner ` ELC Retaining Wall ELR _ Footing Access: FPS _ Foundation Ftg Drain SGN Crawl Drain Inspection Notes: Slab —_ SIT Post&Beam Ext Sheath/Shear - _ Int Sheath/Shear Framing - Insulation Drywall Nailing - -- - _- -�_ Firewall Fire Sprinkler - - Fire Alarm Susp'd Ceiling --• - r Roof Misc� - - Final -- -- - --- - PASS PART FAIL - PLUMBING _ Post&Beam Under Slab Top Out ^ Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL --- MECHANICAL Post&Beam - --- -" Rough In --- Gas Line - -- Smoke Dampers Final - - FASS PART FAIL ELECTRICAL Service Rough In UG/Slab _ ---------_ -. - -- Low Voltage Fire Alarm _- - PART FAIL — —'—" Backfill/Grading Sanitary Sewer Storm Drain I ]Reinspection fee of$ mquired before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I please call for reinspection RF.: Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date /aZ —61 Inspector.. '7 �_ Fxt Other �.J Final PASS PART FAIL 00 NOT RMMOVE this inspoction rocord from the.Job site. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE STREAMLINE ELECTRICAL 6025 EAST 18TH STREET VANCOUVER, WA 9867,1 Electrical Signature Form Permit #: MST2001-00150 Date Issued' 7/3/09 Parcel: 2S104DA-05200 Site Address: 13250 SW RAPTOR PL Subdivision: QUAIL HOLLOW - WEST Block: Lot 038 Jurisdiction: TIG Zoning: R-4.5 Remarks: New SF detached rowhouse in Building #1. Setbacks as per sheet A10.10 Plan C-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 CONTRACTOR: BROWNSTONE HOMES STREAMLINE ELECTRICAL 12670 SW 68TH PKWY #200 6025 EAST 'r8TH STREET' PORTLAND. OR 97223 VANCOUVER, WA 98661 Phone #: 503-598-7565 Phone #: 360-993-5080 Req #: LIG 116514 ELE 34.432C SUP 244;4- q h -(/ 48iCqh -(/ I AN INK SIGNATURE IS REQUIRED ON THIS FORM X. L P//� _ Signature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITCITY/ �� ������ MASTER PERMIT Y PERMIT#: MST2001-00150 DEVELOPMENT SERVICES DATE ISSUED: 7/3/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 132.50 SW RAPTOR PL PARCEL: 2S 104DA-05200 SUBDIV19ION: OUAIL HOLLOW-WEST ZONING. R-4.5 BLOCK: LOT: 038 JURISDICTION: TIG REMARKS: New SF detached rowhouse in Building #1. Setbacks as per sheet A10.10 Plan C-SB BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 31 FIRST 371 of BASEMENT: of LEFT: SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: tin SECOND: 72� sf GARAGE: 410 of FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: I FINSSMENI 56sf RIGHT: VALUE: ti 149.440 00 OCCUPANCY GRP: R3 BDRM: 3 BATH: TOTAL 1619'I sf REAR: PLUMBING _ N SINKS: I W,�TER CLOSETS: 2 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: IDO TRAPS. LAVATORIES 4 DISHWASHERS: I FLOOR DRAINS: I SEWER LINES: 100 SF RAIN DRAINS: 2 CATCH BASINS. TUB/SHOWERS: GARBAGE DISP. I WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS. OTHER FIXTURES- MECHANICAL FUEL TYPES FURN�100K. BOILICMP,3HP: VENT FANS: 3 CLOTHES DRYER: I (;AS FURN—100K. UNIT HEATERS: HOODS: OTHER UNITS: I MAX INP. blu FLOOR FURNANCES. VENTS: 1 WOODSTOVES. GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRC'ZITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDI I: 2 PUMPIIRRIGATION: PER INSPECTION. EA ADD'L SOnSF. 3 201 400 amp: 201 - 400 amp: tet WIO QvCfrOP uG SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 - 600 amp: EA ADDL BR CIR 1 SIGNAUPANFL: IN PLANT: MANU 14MISVCIFDR: 601 - 1000 amp: 601-amps-1000v: MINOR LABEL: 1000•amplvolf PLAN REVIEW SEC71::!! Reconnect only: >G4 RES UNITS: SVCIFDR>=2c5 A.. >600 V NOMINAL: CLS AREA,'SPC OCC ELECTRICAL-RESTRICTED ENERGY _ A.SF RE_SIDEN71AL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT BURGLAR ALARM, OTH: .ALLENCOMP BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE.OPENER CLOCK: INSTRUMENTATION: MEDICAL: OTHk: HVAC z UATAITELE COMM: NURSE CALLS TOTAL M SYSTEMS: Contractor: TOTAL FEES: $ 5,729.82 Owner. This permit is subject to the regilations 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 expire if work is not started within 180 days of issuance,or if the work is suspended for more then 180 days ATTENTION Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set Raga I IF 1.'462' 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- Plm/undslab Insp Electrical Rough In Gas Line Insp Roof Nailing Mechanical Final Sewer Inspection PLM/Underfloor Framing Insp Gas Fireplace Water Line In \ Plumb Final Foundation Insp Mechanical Insp Shear Wall Insp Gyp Board Insp Water Servic Indp Final Inspection Slab Insp Plumb Top Out Exterior Sheathing Insl Firewall Insp p dwIk I sp ` Underfloor Insulation Electrical Service Low Voltage Rain drain Insp Electrl n I Issued By :r; r �7` _�_ Permittee Signature Call (E03) 639-4175 by 7:00 p.m. for an inspection needed the next business day X00 — Building Perinit Application Date received:— --n �'� Permit no.f tr'Z00/-00 15,r City of TigardProject/appl.no.: Expire date: Ci and Address: 13125 SW Hall Blvd,Tigard,OR 97223 — rY of Ti 8 Phone: (503) 6394171 Date issued: By:1 � Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: — 1&2 family:Simple Complex: 131 &2 family dwelling or accessory U Commercial/industrial U Multi-tatnily 0 New construction O Demolition U Addition/alteratiott/replacement U Tenant improvement U Fire sprinkler/alarm U Other: _ 511' 401111 S11 L I NFORMATION Job address: 32� ,� ! � Bldg.no.: Suite no.: Lot: Block: Subdivision: par L_ 1 ou.) %fST . 1"fax map/ta.:lotlaccount no.: Project name: Cal A L In 11 If uy Descriptionandand location of work on premises/special conditions: esnA� NL?p11C t1y7� Na ��ln,septic capacity,solar,pfc.) me: _ Tts�1or MtUMes Mailing address: 12(010 Sw' U6U, rift"'e 11 200 1 &2 family dwelling: W— CitState:dr I ZIP:41701 Valuation of work Phone: Fax: 8�jv8 1 E-mail: No.of bedrooms/baths......................... -- Owner's representative: M P? bADcS Total number of floors........... ....3.............. -- Phone: q3`7 `1 [Fax.57c1319'L Email: New dwelling area(sq.ft.) .....LrF. -4Q...... - Garage/carport area(sq.ft.) Nam e: E A _ Covered porch area(sq.ft.) ........-............. _ —� Deck area(sq.R.) F� Mailing address: ................40.5.1°........... -- ----_- -- -- — Other structure area(s .ft.).........7-............ City: State: ZIP: Phone: I + F'.-mail CommerciaUindustriallmulti-family: rt Valuation of work........................................ Existing bldg.area(sq.ft.) .......................... Business name: iuc p��, ANew bldg.area(sq.ft.) Address: -- Number of stories........................................ -- — city: State: ZIP: Y' -- _- Type of construction.................................... Phone: Fax: E-mail fkcupancy group(s): Existing: CCB no.: New: City/metro lic.no., Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: C'1 ,, (� _ provisions of ORS 701 and may be required to be licensed in the Address: \\ \ '(qP_b t 3i (per jurisdiction where work is being performed.If the applicant is — exempt from licensing,the following reason applies: Cit : Statc:W ZIP: lal I - Contact person: Plan no.: Phone: b- 4(07-tY F mail: Name:W Q 1PE51W. lContact person:r6W Fees due upon application ........................... $ Address: 'St�� X11 H Date received: Cit State:pP ZIP: 7 Amount received ......................................... yPlease refer to fee schedule. hone �)pg -9 b 3 Fax: E-mail: — I hereby certify I have read and examined this application and the Not all iudedictionr mccerA credit cards,please call jurisdiction r«more infomu6 attached checklist. All provisions of Ia s and ordinance3 governing this U visa U MasterCard work will be complie�",whe ified herein or not. Credit card number: Expires Authorized signature:_� Dater Name of cardholder as drown on credit oral �1 $ Print name: �r YVt K. A Ot --� Cardholder dpature __ -- Amount Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 440-461.4(NtxYCOM i Mechanical Permit Application pare received: Pertnit aa.:/' X7,=00 -00/s City of Tigard Project/appl.rim: Expire date: ('iryofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 pate issued: f�Payrrlent Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: type: Land use approval: _, _ Building permitno.: all 0 W 113 11 &2 family dwelling or accessory ❑Commercial/industri-il U Multi-family U Tenant improveinciv -- New construction U Addition/alteration/replaccmcnt U Other: J09 t WINIERCIAL VALUATION Job address: _ ,, ; , Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: / Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ � — Lot: Block: Subdivision:(!DA,I ow •See checklist for important application information and Project name: (A\ �jt) (,)..l I jurisdiction's fee schedule for residential permit fee. City/county: ICS VR �-� ZiP: 22'x- 1 r t Description and location o work on premises: It.k uW t t 1 r1101111k,1111 10011111:11 _ Fee(ea.) Total Est.date of coin pletion/inspection: Description Qty. Res.unly Res.only Tenant improvement or change of use: Is existing space heated or conditioned?O Yes U No Air handling unit CFM "mac ,r conditioning(site plan required) Is existing space insulated?❑Yes O Note�of existing HVAC7system 01 er compressors Business name: -UU ` t A 11x1 t('op)1►� State boiler permit no.: HP Tons BTUM Address: O (o(, Fite/smoke damper uct smo a etectors City: c�(L� f�iti StnleL^-� ZIP: (7 2410 eat pump(sue plan required) Install/replace Phone: 5-5 Fax:-175 1141 E-mail: — urnac -- Including ductwork/ve•it lipe liner O Yes O No CCB no.: 4aZb3 nsta rep ac re ovate h,iters-suspendede City/metro lic.no.: DODO ?-S wall,or floor mounted Nance(please print): '� )V1 M('�'++>a, Vent for a pharice other than furnace Refrip t'ONTA(l'PERSON Brat rw: Absorptionunits _ BTU/H Name: IILA X11�NC� Chillers HP Compressors HP Address: c �/� .- - -- - ronmenta exhaw"andventilation: LIl City: State: : _! Appliance vent _ I Phon Fax: E-mail: Dryer exhaust I Hood%,Type res. 1tc a azmat hood fire suppression system Name: -_jAt&e - efQk , Exhaust fan with single duct(bath fans) Mailing addmss: x • a ar Exhaust system t from heatingor AC ZIP: Fuelpiping on(up to outlets) State: City: �� Type: __LPG NG X_Oil Phone:J Fax: ( mail; mmmue i winelle- Ta3dition l over outlets Arocessp p (schematice _7 maticrequire ) Number of outlets Name: t app or equipment:t: Decoratveiddess: lace City: State: ZIP: ser -ty — Phone: Fax: E-mail. Woodsiovelpe letstove Other: Applicant's signature: Date: Otber- Name(print): Not d1 jud edicaom weep cndi,cants,pww call jurikiction for nm infamadm. Permit fee.....................$ !�' G vise G Mes,ert'en1 Notice:This permit application Minimum fee................S expires if a permit is not obtained Plan review(at __ %) S Credit cid number:_4_. Bx ,es within 180 days after it hes been `--7 —� - �-ii th"a„C1e I cud : accepted as complete. Sta.e surcharge(896) TOTAL .......................$ C der sipature Amount 3161611(61tII)iC'OM) MECHANICAL PERMIT" FEES COMMERCIAL FEE SCHEDULE: I & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL_VALUATION: _ FEE: Description: Price notal $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code _- City (Fa) 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 ineludin dues&vents _ 14 00 ` fraction thereof,to and including 2) Furnace 100,000 BTU+ __ $10,000.00. nciudin ducts&vents 17.40 -- $10,001.00!o$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 14.00 525,001.00 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 unlLs $50,000.00. _ 1215 ` $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: BoilerHeat 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 ASSUMED VALUATIONS PER APPLIANCE: to 100K BTU 14.00 _ 8)3-15 HP;absorb Amount Vale Total unit 100k to 5001;BTU -_ 2:.60 Description: 9)15.30 HP;absorb Fumace to 100,000 BTU,including 955 unit.5.1 mil BTU 35.00 ducts&vents 10)30-50 HP;absorb Furnace>100,000 BTU Including 1,170 unit 1-1.75 mil BTU 52.20 ducts&vents 11)>50HP:absorb Floor furnace Including vent 955 unit>1.75 mil BTU 87.20 Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater 10.00 Vent not Included in appllcance' 445 13)Air handling unit 10,000 CFM+ permit 17.20 Repair units 805 <3 hp;absorb.unit, 955 ` 14)Non-portable evaporate cooler 1000 to 100k BTU --.---- 1E)Vent fan connected to a single duct _ 3-15 hp;absorb.unit, 1,700 680 '101k to 500k BTU -- 15-30 hp;absorb.unit,501k to 1 2,310 18)Ventilation system not Included In mil.BTU appliance ermit 10.00 _ 30-50 hp;absorb.unit, 3,400 17)Hood served by mechanical exhaust 10.00 1-1.75 mil.BTU >50 hp;absorb.unit, 5,725 18)Domestic incinerators 17.40 >1.75 mll.BTU 19)Commercial or Industrial type Incinerator Air handlingunit to 10,000 cfm 656 69.95 Air handlin unit>10,000 ctm 1.170 Non- rtable evaporate cooler - 658 20)Other units,Including wood stoves 1000 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: q Commercial or Industrial Incinerator 4,590 Other unit,Including wood stoves, 656 8%State Surcharge Inserts,etc. �_ S Gas piping 1-4 outlets 360 25%Plan Review Fee(of subtotal) f -aeh additional outlet 63 Required for ALL commercial permits onty TOTAL COMMERCIAL s TOTAL RESIDENTIAL PERMIT FEE: >; VALUATION: Other Ins9t0on4 aid F+es: 1 Inspections outside of normal business lours(minimum charge two Ixwws) $72 50 per hour 2 Inspectloos for which no fee Is specifically Indicated (minimum charge-half tx)uf i $72 50 per hour 3 Additional plan review required by manges,additions or revisions to tAans(minimum chargeo(e-half hour)$72 50 per hour Slab Contractor Boller Certification requlred for units�-200k BTU. "Residential AIC requires she plan showEng placement of unit. I:\clsts\formcvnPch-fees.doc 101/1/00 Electrical Permit Application Dsu receiv td ptrndt no.: City of Tigard ESP"date: Cirraynir,nd AUmse: 13129 SW Hall Blvd,Tiprtl,OR 97223 Dateltnnd: 8y: 1 Rieftiptao.. Pwww: (301)619-1171 Par. (St)1)998 1W Care file no.; Parrnrrnr type. Land use approval: ;conomrticon dwrillal a OWCIKn Q Canrt+erCiaUlncfu,V,�I U Multi-family U Tenant improvarnont NU AdditbrJ.IttralicvVrrplbc ment ❑Chher: V pu'"ai job Bid ta.; 9uia rro., Yan m 1tylacoeYat ao.: _ -_-� Lot Bock: _ Subdi oft: 000kIL Ho 11rw W!nr Na10 oHm: t/ tM of wtitlt oa p++nUeee N tonrifl�Mt rlt►J Gtimataxl dale of C=0166 W Job 1W tow Dwlnw Hama Sr.e a - Kt.�>W—r u _ d"W4Wr Wdsot.araKowpWvW Orr. V 11 c o u v Slaae' w A 9 B 6 61 11000aat 0 oil or lrt 41 145- , fRrvrta: 9 9 3- aa' _ rl►ail: D.nnl�lraw Mo M n.of �—Trtiof CCR no.:1 6 1 Elia.bw.Ik.net 3 4-9 3 2C j�n,sa prLn.rfenu �s_ Cityht,ntm iic.no.: _ --- l rn��•e c.agY ncM re.laenn.� -- ltWMWWfaau-ndFeMae w module dwelling - � SQM-We rdlor(es0ar -2-- IS _t♦1p(arpprvM�n�.. •wi�r�gY _ -��— - a, ar fwltn-+� a iilNlatl. ren ams ): ��; phtr�loaorrpfpt-PAW c) Mx, 2 l u�••to tOn T Name(p>de _ _ tom.. G" 4 0W tson wW 2 ZIP cl f't10ltt; Vrnail. tir11OKt "' Pa1t � b . oww itlotallacltal'' [MORON ins Mack on p"'peny I own ar YrrllrtlMlt�atren,dale,«nbcMieat whiefi to"!nettled lar sale.I txexchan p eocorrlMr t to tep blm�,,,lea, 2 ORS 447,455 179.�7(1�101. 2/� 1 'ml_��-w�orve _ � ,e !n 7 eol K aalalreiw P pnt4 WiAWA NorA. tee fa bwteh e+n�tw er+dr putahre of mmviw or Inder-ke,and bmah 0uM► Addripst' M nfr DnrKh dreg w'NhmA pwL Gl 9t1 ZIp 4 uric or bafle ha rwo twwwh 4rp1C 2 Bart, oar iitlwlainM73larK+►+p'ArwwMd OIWkl+anedaYbt 4a' of IR9 O llatardoo,loalMenBeek airof ourhgt jWN Otleniaovrl70amp u1 •rc.uUaelthttaernnry7- - 0 Bal ever 10,000 rmMr'o A,at Ann a n tfy&a o�w600 v*ra-fr kW Romw@66WA&I etMb,n MW,trwNn a11et•Ia t,a er uM1•rt 1 U Fn"o Reit—1- U ppwlen KIO aar0 w rtwrc �Iraon ._ q gttrprw�Ww pnr i0 p/fawr t]Mutrhturd taacurw or nv wk F>teloiedbiletialeb"Vt M."W ift"WW •Y von _abovu t�atrwlt_ .ata of pka v*b my of tlwr aMw. �suoe�e Tk+Nota ai!!Lye it!!! III W�dlN—1k. - - 7_V it liatahaa Permit fea.... ...............S It �etd+w.4,ptrra MIi uito me.for swe vo ko.. Nntiur 71tu gcrn+ ap{f Plan rrvielp(at— %) s ar� 1 tafiIf• Ovl• 0MaeirCod 14 fIn ddaayme an mi,riif tioutrtb0W Stats$UMh� (p9) S .w @WNW wdf atxaKtad M raapleu, 7 OTA.11 .................«... « • '+a ua It,, to _31,rd �12i1��3�3 Sal It+~�,�i__� �,iYtSE.E.EE19 S� :ZT iiN.'W.!F0 Mac`-06-01 03:05P Wolcott Plu-binq 503 667 9891 P -01 01!00/01 TUR 14:41 PAA 500 59S 19F0 Cl'rY 0F TICARD Iioo: Phimbing Permit Application Date received: Parrlut'fo.. City of Tigard nddre+u: 13123 SW Flail Blvd,T i`ar i,OR Y722:1 Sewer permit:to.: Building permit no.: t iryoJTieard Mune (S(11)(330.4171 holac✓apFl.no.: l3xptttdau: 1-01: +5(1.1)59A-1960 Datelscued' BY' Receipuro Lund use approval: Cgscfileno.. _ PaymenttyFs U I &?family dwciling ur acce.epry U Comrm:rcial/industnul O Mu!t•family CI Tentwl improvement G New cuoittuction ©Additir n/ritenn,ia/rrplacetrent U Food service Q Other AM Mjmnl3m Job address: r. �'/r f7( tl�,cr► - (}tr.�Fee(&a. Totol New I•and 2•tmwly d,truings crufy i TSwte no.. LTL--nV.: (iockwenIpot1-tore.r6utitirycc>aa,rcnocl Tax mop/tax lo✓accouut no., SFR(U bath _ I WI. Block Subdhisinn: a ,^_ - Project tlllrnc: SFR(, both Cityicounty: 2i1': _ Each ylWitiona ilc n --" flasctiption and locatiton Af wink un ptcmises: _ sile"Wlkat C'alLh basia/ama drain C-7-76%of corn Ictlonlius ttnn —��- tYWOl leacT c linetuencdiiihn oolin drain na. n. snutactyhome unlitiea Business name: wokc"O'IT --`-- -Addreci .O, -Box 2007 -� a10 dMinconnect;; _ Gly. re yl.t.� 9lste� ;I ani; tewrr(no,i PI1011C So3.447-1111 Cax (r i'7-9tl 1( &mall, AL0Ox-a"t Storm sewer(no. in, CCB no: 2,B y1 _ dumb.bus.ttR.oo:-?4-Zo 5f'PQ Hater service(na lin- r Cityanetro he no. F•bttare or Newt Cuotnctor's rep atgoantre: 410water 1010a valve 2 a=cnw preveatcr print name: e.�_-- Z- a1 t valve -- �n avatory '�' Ofts t -.r Nantes _ v .vnsher — --- Addreu: rB lnk�o tuun�n(sj City. Salle: 1P. �a�etIXSNm - I Phone: Far 6 Mall. £xpenslon uuik not ixtu sewer oa 11M me(print): s tib a+Un-rddress: Hose br b City. State !Ip ce m ec Phune. Fru; F-mail orrice tnr Raxe trap Owner tmtallahun/reltt}ential matntenwwc only: The actual installation llnmer(i) _ wt11 be maria by me air the maintenance and repairmiJc try my regular oe t; cort+merctal emplo/ee an the p:rrperly I own m per URS Chapter 147 r (s), snn(s;, avx(t pwne:'s signature. _ L1ste _ um u i✓s nwcr shower pan — Enna aten c t t aterate; Ctty _ Stue Ll1'_---- tar: Phunc, Minimum Cut- mo ee mo tit le odcueM wow U"k •;'VA"tdl iWiwUt►n la mart-n trnu,inn gMS13C' Fla Perron application Plan review(at �. S U vtu U MaitnCstd ettpitts if a rctmil is out obtained , Cndir twit emNt, �_ - J.•-�-- wlthln 180 days offer it has It"n Stale:uuhatpc f896, S r� - +trnru VOTA S _ nece�ud os complete ..... . `� V.rvd�y��n11M::naaWM� —� r tnuri S Airwo r ar.+ero,aoo2� 1 —-- p (o. Mar-06-01 03:05P Wolcott. Plumb ittt7 503 667 9891 P .62 11 •081111 TILL 14'.42 I Ad 503 500 19113 Ci•71 OF 1'1CAkU Q003 PLUMBING PERMIT FEES: P40TOTAL New 1 and Z46r111y dweNMp+pnty: 1 r-woRLSILnQlvlduel1` nTy +e 1� AmoLUNT� (licludes ac p1umb,np'p•rtutea In PAlI* TOTAL �5irk 16 61 G 'the tlwetltnq end the f]r1ct100„ 1; 4TY (ell) 'AMOUNT r-----�--�- - --^ More\ehu"in "onn■eUon Lavalol! fy ub 0T 0,�ua5huNer .omb 18.61 11 ba 1 49.20 Wr0121 bath O.GO S�h^werOnfy 16.6) Tlree 3 troth _ 839V ,E LOTgTAL I•- _ 0%STAT�5ut7JCf1AR0l. QistMOsnRr 1657 �( - �ftAN REVIttW 43%OF SL15-0TAL OCL Garbage Gi•potal 1 S T Laund�T4 — - Me 0 a%KrigMach',ne, 1 . Floor Drtliov our Sink 2` a 16 f0 PLEASE COMPLETE: 4- 16,t 0 1A'alll 14+tier O WnWr1 un Ilka mind 16 t _ Gugn b�(t..�.fa.+ Oonnld_ C;FI pipmp teQuu+s a sopsrata mw:harncat Ffxtul't type tuew Mav, d Replaced Remov�df romit __ MFG I,,TM New AW Sarvloe 411.0 Mho)i{orne flew SaNStolm SOW91E, Leval_xY Nose N bs to 1A - 1�t� ub er Ti WShowet I CombinaUar Rout O'aule t6d 0 nOwUf [ittnkng Founuin 18.1.0 WOW Cleset Met Fla'u�irt tSVecUyl 10110 ere ,_ Isl+washer _ Garbago Dismal Laundry Room Tr --_ �— WashIng Mschne 0 d 1loos rain! 1"k 9ewir-1st 100 )' SBaer eddvd 100• 46 10 ewer aw 4' _ V:eIM Sory rd•I It -- S,)C Wa%quHleat+r Wa.er 5err c! each aoe tonM 200 4tl i0 - Other r xlvrss _ 5 Warm 6 RNn Orsln•il 100• S5. Storm b Rain rear-each eddll onill 100' COJnlnet Bsck Flow Oev a 0 W Reaidanl,al tiacxflcw preta+ventevlce' 27 55 CJICh 91111" 18 SO inspet bon of Fitsi4 lumpino or qac»sy Z 50 Riluelled�nspaxtlona lRP COMMENTS REGARL)ING ABOV!: Rein Gtai Slngle I:mlty dv C;ro�sa r�arn 16 --- QUAN111V TOTAL 1 4omaltxd4Sf'diawsmIS-equ,'WIt - *SUBTOTAL T— — -' sy,[;TATE SURCHARGE - 1 "PLAN REVIEW 25-A 0—F BLBTOTAL geQYYeQ,^c, �rilrutuq •rctJ'n>s - f' 'Minlrham parrr•N fee 1a N;w•sa euro$I-Nope e,caet Rf.,d vilel 66cMnoq 1rIveMF,PA GaVltf,Wh,Ln J SJt��ISv JIa.O JYRhara! r•AA Naw COMMOrclN 11-11611"9• 0211"1"180""'t or'll"6lapran"'a {tan• •taw. IA_1�tt'ro�nstpinrlCt7�dpc 'b10r1O CITYOF TIGARD SEWER CONNECTIONPERMIT DEVELOPMENT SERVICES #: SWR1001 UOO�i2 13'125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATEE ISSUSSUED: 7/3/01 PARCEL. 2S 104DA-05200 SITE ADDRESS; 13250 SW RAPTOR PL SUBDIVISION: QUAIL HOLLOW- WEST ZONING: R-4.5 BLOCK: LOT: 038 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. 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 SW 68TH PKWY #200 ---- PORTLAND, — -PORTLAND, OR 97223 PRMT CTR 6/28/01 $2,300.00 21200100000 INSP CTR 6/28i01 $35.00 27200100000 Phone: 503-598-7565 Total^$2,335.00 +� Contractor: Phone: Reg #: Required Inspections _ t This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expire 180 days from the date issued. The total amount paid will be forfeited if the permit expires The Agency does riot guarantee the accuracy of the side sewer laterals If the sewer is riot located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If riot so located, the installer shall pur dse a"Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION Oregon law r vires ou to f l rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001�1�thr ugh p R 52-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (50 �46-1 8 j Permittee Signa,ure: Issued by: - -.- Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day