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12948 SW PRINCETON LANE I�r — •ate-.. —�tiaaaaaaaa�.a=: asaa - - SEE CML PRA+urr A FOR r�WA FLAK _ I i 1 I I I __ F --- - _ __ _ _ ` �.� ` �� FF EL.EYATFCta m4om ON CML DRAIUQJ 56 RU RE.WNT I `!� \ ,v� � FPllBN �A,ca` oi�crt.Y �gPAcH.GARAGE� °� �. 1 i ` - ` FOR c�WW FLOOR FF AT FFA � ► ftc in �' �°' ` �\ APF' UMATELY h TO ELEvATICN 6No1K � j`i d1 M 0 3 J y TFE PUFZf'o8E of BEET b vID T ATo PRoE A KEY �,,-� 1 I 1� T I -15 8 �,�, t�, N , \/ To BUILDWA AND WR rrms As WOM H TW (�►+•'�-•er, I I C.SB As Aa csB I CSB AS AS c5B B 0 1 e 3 !4 025 �. + I �3a �.\ ARCWTECIIRAL DRAulasGs� 7AS -AS "8N B5 � � � •.`' '�.-_. � NO'TF7 ARCHITECT Ih?•E'DWTELY IF nM � Oc�� 0 DRAWWA \ Loc.AnaH IUTaVVL M" VE V% S�r�� LXATICN UN ICIV_DIIU& If �. 1 � � 7� � IIN 4 I �3I � 3 BS �2 CS -8 � \\ _ obs �s f V� \ I _ o� 2 �► \ ITI --ft _ 41 Quafl Hollo, 0 U 0 ` ,- South y, 3% 'w, Townhome o Turd. Ompn tar IV 3 �p ` 1 Brvwnitow Homes, LLC. �✓ 4U e�G 1 DZmK tit L PF 0 VIL `// 9 \ IVI \ p ,i > 0 A,4p� lop , .0001i x 4 <2 qs, O 00 c* r P d i 00 X OC 5 0 A( 11A ISO 7 \ 0 2001026.00 (D �X 0 • � ;• � .�, a Daax�lc TMA 0 SITE PLAN JO" al scillV qBW Na 11� SITE f'1.AN —' I• . .� °3 A10 . 00 �. � �-(I__i -�--� �—� �-I-� 1� � � i ' i � � -�---�—� � �� _� �--I -I-II III I -� � ► III I III Ill -I I ( I II _I i.-I-II--I-I-I—I -111 i_ll Jill ( ( I I I- 1 > I � ► I ( I l III -iII Jill iII1II2INOTICE: IF THE PRINT OR TYPE ON ANY IMAGE IS NOT AS CLEAR AS THIS NOTICE 3 4 I ] 111 y , - fITIS DUE TO THE QUALITY OF THE ---- ---- -- -- - ----- _ - _-_ �____ No.36 ORIGINAL DOCUMENT -Te 9 - --- E 6Z 8Z LZ 9Z 5Z fiZ EZ ZZ TZ OZ 6T 4I LT F1111�11` 8iL II IIII IIII IIII IIII IIII IIII IIII (III ll .Ill IIII �� .IIII IIII llll[l.�.11 L .1.1 1 IU �� IIII J N �D 00 f1 fD r+ O Jr cD 12948 SW Princeton Lane CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP _-- A Received __ Date Requested._4K 6- AM_ ___,PM SUP Location _ _Y- a Suite MEC - -- - — Contact Person —. Ph(_—) --- ___ _ 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 Roof i ASSBING PART FAIL Post&Beam Under Slab --- - Rough-In Water Service t 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 inat PART FAIL - -- -- - - TRIC_AL____— _ _ -- 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 SITE _ [] Please call for reinspection RE: [] Unable to inspect-no access Fire Supply Line ADA 07/' /J T�O~2 ✓- EXt ✓`+►__ ---�. Approach/Sidewalk Data Irospnatrar ---- Other. Final CIO NOT REMOVE this Inspection record frolftt+ the Job site. PASS PART FAIL a CITYOF TIGARD MASTER PERMIT PERMIT#: MST2002-00110 DEVELOPMENT SERVICES DATE ISSUED: 4/4/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12948 SW PRINCETON LN PARCEL: 2S104DA 0IIS48 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4 5 BLOCK: LOT: 048 JURISDICTION: TIG REMARKS: SF rowhouse, Unit 48,BIdq 10,E3S plan with deck BUILDING REISSUE: .r S IORIES I Ft.00R AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT FIRST: 17; sf BASEMENT st LEFT: SMOKE DETECTORS. r TYPE OF USE: SFA FLOOR LOAD. 50 SECOND: 735 sf GARAGE 541 sf FRONT: PARKING SPACES. TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 735 sf RIGHT, VALUE. S 162,566.20 OCCUPANCY GRP: R3 BDRM. BATH: 2 TOTAL: 1 642 00 sf REAR. T PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: I LAUNDRY TRAYS. RAIN DRAIN TRAPS: LAVATORIES: 2 DISHWASHERS, I FLOOR DRAINS: SEWER LINES SF RAIN DRAINS. CATCH BASINS: TUBISHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES, BCKFLW PREVNTR- GREASE TRAPS: OTHER FIXTURES MECHANICAL FUEL TYPES FURN c 100K BOILICMP c 3HP: VENT FANS: CLOTHES DRYER: I I•rFURN 1.100K: UNIT HEATERS: HOODS. 1 OTHER UNITS: MAX INP: ht" FLOOR FURNANCES. VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVcIFEEDER3 BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: : 0 200 amp: 1 0 200 amp: WISVC OR FDR: PUMP/IRRIGATION: PER INSPECTION: EA ADO'L 300SF: 3 201 400 amp: 201 400 amo: tat W/O SVCIFDR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp 401 600 amp: EA ADDL OR CIR: SIGNALIPANEL: IN PLANT: MANU HWSVCIFDR: $01 • 1000 amp: 601-amps-1000y: MINOR LABEL: 1000.amp/volt: PLAN REVIEW SECTION Reconnect onlv: ,-4 RES UNITS: SVCIFDR,-225 A.: >600 V NOMINAL: CLS AREAISPC OCC ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM AUDIO&STEREO: FIRE ALARM, INTERCOM/PAGING OUTDOOR LNDSC LT: BURGLAR ALARMS OTH: BOILER: HVAC. LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER. CLOCK: INSTRUMENTATION. MEDICALOTHR: HVAC: DATA/TELE COMM: NURSE CALLS TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,500.08 BROWNSTONE QUAIL HOLLOW LLC BROWNSTONE HOMES,LLC This permit Is subject to the regulations contained in the 12970 SW 68TH PKWY STE 200 12670 SW 68TH PKWY Tigard pal Code,State OR. Specialty Codes and PORTLAND,OR 97223 PORTLAND,OR 97223 all otherr applicable laws. All work will be done In accordancece with approved plans. This penult will expire H 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 e I Ic 1;402; 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 Sewer Inspection Electrical Service Gas Line Insp Gyp Board Insp Mechanical Final Footing Insp Electrical Rough-in Insulation Insp Water Line Insp Building Final Foundation Insp Mechanical Insp Shear Wall Insp Smoke Detector Building Final Slab Insp Plumbing Top Out Exterior Sheathing Insl Electrical Final Final inspection i PIm/undsIb.4n Framing Insp Firewall Insp Plumb Final / / a zo� Issued 6y : c Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT PERMIT#: SWR2002 60085 DEVELOPMENT SERVICES DATE ISSUED: 4/4/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S104DA-QHS48 SITE ADDRESS; 12948 SW PRINCETON LN SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT: 048 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SFA NO, OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection Owner: FEES _ BROWNSTONE QUAIL HOLLOW LLC Type By Date Amount Receipt 12970 SW 68TH PKWY STE 200 PORTLAND, OR 97223 PRMT CTR 4/4/02 $2,300.00 27200200000 INSP CTR 4/4/02 $35.00 27200200000 Phone: 503-598-7565 Total $2,335.00 Contractor: Phone: Reg #: Required Inspections 1 his 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" Perm � D� j/" Permittee Signature: Issued by: �� Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Building Permit u City Of Tigard "Dateeved: ,41 l` Permitno.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 Projectlappl.no.: date: city njTJgard Phone: (503) 639-4171 uN I Date issued: By: Receipt no.: Fax: (503) 598-1960 al'i tt %11 �-� ll C� Case rile no.: Payment type: Land use approval: 1 '� I&2family:Simple Complex: 1 U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: INFORMATION.1011 SITE Job address: ,G `• (;/I A2 I Bldg.no.: Suite no.: Lot: Block: Subdivision: I Tax map/tax lot/account no.: Project name: Description and location of work on premises/special conditions: OWNER 1 ' SPECIAL INFORMATION, USE CIIECKLIST ' dprain,septic capacity,solar,etc.) Mailing address: n 1 &2 family dwelling: City: PC, -4- CA, State:plk I7.11 : .4 Valuation of work Phonc -9S17ax:620 E-mail: No.of bedrooms/baths................................. -- Owner's representative: P.0 Total number of floors................................. a : 8" Fax: E-mail: — New dwelling area(sq.ft.) .......................... Garage/carpwtt area(sq.R.)......................... Name: r 6 U2 L, Q_ Covered porch area(sq.ft.) ......................... Mailing address: sW _ Deck area(sq.ft.) ......................................Z.690 - — City: State: ZIf. 3 Other structure area(sq. ft.)......................... tAddress: -) 5 1 - E'-mail• Coromerclal/industrial/mulil-family: Valuation ofwork........................................ Existing bldg.area(sq.ft.) .......................... ssname: ( , t>ld�_��' New bldg.arca(sq.ft.) ................................ _ ` Number of stories City: Statc�0,1 ZI 111 _ _ - Fax:620=� email_- --- Type of construction.................................... Phone• -- CCB no.: a y t? a - (krupancy group(s): Existing: _ - - New: _ City/metro lic.no. Notice:All contractors and subcontractors arc required to be licensed with the Oregon Construction Contractors Board under Name: 6; L,�� _ provisions of ORS 701 and may be required to be licensed in the Address: L r v G -S .Ee_'rZ0 jurisdiction where work is being performed. If the applicant is City: State 7_IP: exempt from licensing,the following reason applies• Contact person: H Plan no.: -- Phonc:u,C y { ax E-mail - ----- -- Name: ,w, ,�� Contact person: pS1bAL_. Fces due upon application ........................... $ _ Address: 6 962 SU-) Date received: City: r - � talc: R IZIP:122,13 Amount received ......................................... $ -- Phone: Fax: E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Na all jurisdiction accept credit cards,please call iuridiction for mare infarma ion. attached checklist. All provisions of laws and ordinances governing this U visa U Mutercard work will be complied epi ,whether t ed herein or not. Credit cud oumner Authorized SI upirel Ure: Name ot cudholda u shown on credit card S Print name: _ Cart%dder siguture Amount Notice:This permit application expires if a permit Is not obtained within 180 days atter it has been accepted as complete. 444J613(WYCOM) Plumbing Permit Application Date ruxived: /!y Permit no.-tb City of 'Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 CityojTignrd phone: (503)6394171 ProjccUappl.no.: I:xpircdatc: Fax: (503)598-1960 Date issued: By: Roccipt no. Land use approval: _ Case Ole no.: Payment type.: TVPE OF PERMIT U 1 &.2 family dwelling or accessory U Commercialtindustrial U Multi-family U Tenant improvement U New construction U Addition/alleraliorl/replaceniciiI U Food service U Other: 1 1 1 1ULE(for special Information use checklist) Job addiessl aI 9 S-W r�tDescription (Jf I cr(ca.) Total Bldg.no.: Suite no.: _ Nevi I-And 2-farnily dwellings only: Tax map/tax lot/account no.: (includes 100 R.foreach ulility connection) _ _ SFR(I)bath Lot: 5 Block: Subdivision: —- ---- SPR(2)bath— — — ------ Project name: SPR(3)bath — -- City/county: LIP: _ Each additional bath/kitchcn Description and location of work on premises: SlteutWtles: Catch basin/arra drain Est.date cif completion/inspection: - -- - -- ---- Drywells/leach line/trench drain_ _ PLUNIBING Footing drain(no.lin.ft.) _ Manufactured home utilities Manholes ----- - Wolcott Plumbing Rain drain connector _ -- PO Box 2007 Sanitary sewer(no.lin.ft.) Gresham OR 97030-0594 Storm sewer(no.lin.ft.) 503-667-1781 Water service(no.lin.ft.) CCB:23847 PI,M#:26-209P11 Fixture or Item: Contractor's representative srguaturt Absorption valve - --- - - ---ABack flow preventer Print nanrc. Date: Backwater valve 1N"I"ACT PERSON Basins/lavatory Name: Clothes washer Address: — _ - - Dishwasher _ Drinking fountain(s) Cit': Slate: 71P: _ Ejcctors/sump _ Phone: Fax: 11-mail: Expansion tank Mixtutr/sewer cap _ Name(print): floor drains/floor sinks/hub Mailing address:- _- Garbage disposal�� flow bibb City: — - -- — State: ZIP: _ Ice maker Phone: Fax: — E-mail: Intcrue for/grease trap Owner instal lation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's signature: _ Date: Sump LM Tubs/shower/shower pan Name: Urinal - _- -- -- - -- ------- Water closet Address: Water Treater City: - --- State:--- 71P: Other. -� Phone: Fax: E-mail: Total J Not W kxWwOom accept credit eardr,please cAl hnis&ctim for more ldarmrlm Notice:This permit application Minimum fee................ O Ytaa ❑Mute CArd expires if a permit is not obtained Plan review(at _%) $ t]edit card number.-_-- —. Fipha VA pin 180 days after it has been Stale surcharge(896)....$ Natee of cardholder u d6orro a aedti card = accepted as complete. TOTAL .......................$ Cardhold"URaatrae Amor- 440-4616(60000W t Mechanical Permit Application Date received: )l qQi PertNtoo.:�f %lk� ,� �Gj City of Tigard Project/appl.no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 972.23 Phone: (503) 639--0171 Date issued: Ry: Receipt no.: Fax: (503)598-1960 Case file no.: Payment type: Land use approval: - Building permit no.: TYPE OF PERMIT C.1 I &2.family dwelling or accessory U Commercial/industrial U A1u111-Lvnily U'I'enant improvement U New construction U Ad(lilion/alteratiorr/repl:raenlcnt U Other: Job address: Indicate equipment quantities in boxes below.Indicate Ilse dolls Bldg.no.: -%SUlte no.: x'alue of all mechanical materials,equipment,labor,overficad, Tax map/tax lot/account no.: ploilt. Value 5 Lot: q JBIock: Subdivision: _ -- - 'See checklist for important application information and Project name: jurisdicti(rtt's fee schedule for residential nermit fee. City/county: ZIP: Description and location of work on premises: t t 1 1 ) Fee(ea.) 'fatal Est.date of completion/inspection: Description Qty. Rrs.only 1(es.orily" Tenant improvement or change of use: - Is existing apace heated or conditioned?U Ycs U No Air handling unit _C(M_ Air con i6omng(sue plan required) -- - Is existing space insulated?U Yes U No Iteration of existing 1 C system CMECHANICAL ONTRACTOR oiler compressors --- �- ------_... State boiler permit no.: _ HP _-Tons IITU/Ill Four Seasons HeatinIn g�L �,( sc, lir g ire s�irrokcdam duct smoke detectors -- - PO Box 66409 eat pump(sue plan required) - Portland OR 97290-6409 ns1aIUrepIacefumac urner__ - 503-775-5919 Including duetworkfvent liner U Yes O No CCD: 48283 nstalUreplac relocate lcater< Sir, spenjeT - wall,or floor mounted Name(please print): eP ni for a hance other Ulan furnace - --- 'CONTACT PERsoNof crit on: -� Absorption units----- 11TI I/ll Name: Cullers -�- III' -- Address: Compressors---______ III, -- __- ir ronmenta asst rug rent lad on: City: v _ Stale: ZIP: - Appliance vent Phone: Fax: li-mail: )ryerexhaust — - - - 'ypeV rres. rtchcn/trarmat -- - - _ hood fire suppreFsion system Name: - E_xhaust fan with single duct(bath fans) Mailing address: Exhausts system apart from eating or C -- -- City: fie p p ng err grit on(up to out ets) State: ZIP:T --- ''rre. `_EIG Nr, oil Phone_ -- I rx: - Email: I've i in wc7i�i d-iiional over 4 oulets - rocesspiping(whernatictequired) Name: Number of outlets Address: -- -�- - t t '111 siii jztsice or equ pmnent: Decorah ve f irciilace City: =late: ZIP: Insert-type ---- _ Phone: �- Ifax: I E-mail: tov pc elstovc : —"---- Applicant's signature: _ Date: UthcrOther„ Name(print): Nor all Jurbdicdom woq%m it ca*.plan call Jwicdictim rm nwm hfanratm. Permit fee.....................$ U Visa U MasterCard Notice:This permit application Minimum fee............. - expires if a permit is nod obtained "'S -- - cnur��aumt,a-:`-"---- -�--_-- �jt� within 180 days after it has hero Plan review(at - %) $ Naw d crdbol a oa r era - - within 1 0 complete. State surcharge(8%)....$ -� _i TOTAL.......................$ C,-Wdwtdaaltorrae Amar - W4617(60XMM) Electrical Permit Application Dale received: �') J/'.;, Permit no.. 11 0,Olt City Of 7'igard Project/appl.no,: Expiredate: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: I Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Cane file no.: Payment type: Land use approval: .TYPE OF PERMIt U I &2 family dwelling or accessory U Commercial/industrial (_I Mulu-family U Tenant improvement O New construction U Addition/alteration/rerlat en(•rtt l_)OtheI ._ __ U Partial JOB SITE INFORMATION AJobEaddress:lc, �t,/J r �.c.` ►..e_ Bldg. no.: Swteno.: 'Tax map/tax IoUaccount no.: Block: Subdivision: Project name: I Description and location of work on premises: Estimated date of completion/inspection: g 1 Fee Max Job nn: Streamline Electric Description Qty. (n) Total no.Insp Ne DBA LaValley Corporation wrr *intial-alttgleorM"i-faatliyper dwelling turn.InclaOea Mtadrd garage. 6025 East 18"'St So lkeirsclu led: Vancouver WA 98661 1000&q It or less 4 360-993-5080 Each additional 500 sq ft or ponjon thereof CCB:116514 ELC#: 34-432C SUP#: Umitedenergy,residential 2 LItyrnletro nc.no.: Umitedenergy,non-residential Each manufactured home or modular dwelling Date Service and/or feeder Signature of supervising electrician(required) Servlcesorfeeden-IrutallaUon, Sup elect name(print) License rnr alteration or rrlocalion: PROPEIdT OWNER 200 amps or less 2 201 amps to 4f10 amps 2 Name(print): - 401 amps to 600 amps — 2—_ Mailing address: 601 amps to 1000 amps 2 City: _ State: ZIP: Over 1000 amps or volts 2 Phone: Fax: E-mail: Rewnnect only Tt-roporary anises or feeders Owner installation:The installation is being made on property I own law,nation,etentaon or relocation which is not intended for sale,leasee,rent,or exchange according to eat amps or ICU _— 2_ ORS 447,455,479,670,701. 201 amps to 400 amps — 2 Owner's signature: Date: 401 to 600 ams 2 Branch circuits-mew,alteration, or eater slon per peek Name: A Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 State: ZIP: B Fee for branch circuits without purchase CITY: of service or feeder fee,first branch circuit 2 Mone: ax: E-mail: Each additional branch circuit. Marc.(Service or feeder not Included): Each pumr or irrigation circle __ 2 O Service over 225 amps-commerrui U Health-care facility or e lighting 1 U Service over 320 amps rating of 1 g:2 U Hazardous location Signal Bch sign ncirof ouVg)tlinin a limited energy panel. family dwellings U Building over WAX)square feet four or B more residential units in one structurr alteration,or extension* 2 1]System over 600 volts nominal ---- - •Building over three stories U Feeders,400 amps or more •pescri ucim U Occuparu load over 99 persons U Man facturod structures or RV park Each additional butpedion over the allowable in any of the above: U Eilms/lightingplan U Other. Pr inspection r Submit--acts of plans with any of the above. Investigation fee The above are not applicable to temporary co1111dr dloa twvice- other _ Permit fee..................... Na all jurisdicuN= pi apr credit cods,pkAw call jurisdiction for more irdamgtlan Notice:This permit application plan review(et � � S U Visa O Maslct(lard expires if a permit is not obtained Credit card number -- --� within 180 days after it has been State surcharge(8%)....S accepted as complete. TOTAL ..................... .S — Name of eardholdn u sMwso m crodit card s t'ardbolder slgn'uurr e _ Attsaan 44DI6151�t� 1 SEE 35MM ROLL.. # 20 FOR OV ERSIZED DOCUMENT CITY OF TIGA, .D 24-Hour BUILDING Inspection Line: (503)639-4175 *2 MST INSPECTION DIVISION Business Line: (503) 639-4171 SUP — c Received _- _ Date Requested_ 7 — AM—___ PM __- - _ BLIP _ Location �"C1 /fil �—�- � —Suite—.- MEC Contact Person _____ _ Ph( ) . PLM Contractor - -- — _ Ph(—) _ - SWR BUILDING Tenant/Owner _ -_ ELC Footing ELC Foundation Access: b t� Ftg Drain ELF! OCA- V Crawl Drain -- Slab Inspection Notes: SIT -- Post&Beam _ -- -- __ Shear Anchors Ext Sheath/Shear - --- Int Sheath/Shear Framing --Insulation Drywall Drywall Nailing ------ Firewall Fire Sprinkler l Fire Alarm Susp'd Ceiling - - Roof Other: Final PASS PART FAIL PLUMBING Post&Beam Under Slab Rough-In Water Service --- - - - Sanitary Sewer Rain Drains n Catch Basin/Manhole ��LR '�j C) o O l�V Storm Drain Shower Pan Other: --- - _ ----- Final _ PASS PART FAIL MECHANICAL Post&Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough-in Fire arm Fes_ ❑ Reinspection fee of$ required befora next inspection. Pay at City Hell, 13125 SW Hall Blvd. jilp PART_ FAIL Please call for reinspection RE: Unable to inspect-no access SITE —____ [:] P Fire Supply Line ADA Approach/Sidewalk Dab. d Inspector Ext Other:_ Final DO NOT (REMOVE this Inspection record from th Job site. PASS PART FAIL Aj CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST l INSPECTION DIVISION Business Line: (503) 639-4171 G1—�' 4_ � SUP Received _ _____ Date Requested_3 - AM PM - _ BUP Location S" ePh ti CZ lr' ___- Suite _ MEC Contact Person Ph y 3� 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 W-Al Fire Sprinkler -- Fire Alarm Susp'd Ceiling ---- Roof Other: - - - — Final — PASS PART FAIL ost& Beam Under Slab -- -- Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain - Shower Pan Other:_ -- CPA PART FAILHANICAL Post&Beam Rough-In -- --------- Gas Line Smoke Dampers - ---- Final PASS PART _FAIL --- ELECTRICAL_ Service Rough-In ——_ UG/Slab Low Voltage ------ Fire _ _Fire Alarm Final Reinspection fee of$—___ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL_ SITE_ Please II for reinspection RE:. _ E] Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date _ v Inspector /�- __—_--ut Other:_ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-N��ir BUILDING Im pection Line: (503)639-4175 INSPECTION DIVISION Business 1-ine: (503)639-4171 MS BLIP Received - Date equeste __ AM - PM BLIP Location —_-_- _-_.- __- - - Suite - MEC Contact Person . ----- - _ Ph(—) PLM Contractor_ Ph I(—) SWR BUILDING TenantlOwner ELC — Footing - - Foundation Access: ELC Ftg Drain Crawl Drain ELR Slab Inspection Notes: Post&Beam - - - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation - - Drywall Nailing Firewall 1 . ` Fire Sprinkler - r- Fire Alarm Susp'd Ceiling -- Roof Other:- -- -- ----- --- -- --— -`- Final PASS PAR_ T FAIL — - - - PLUMBING Post&Beam - - - - Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: Final PASS _PART FAIL _MEC_HANICA__L Post&Beam Rough-In Gas Line -Smok e Dampers Final PASS PART FAIL ELECTRICAL _ Service - Rough-In UG/Slab ---- Low Voltage - Fire Alarm PART FAIL u Reinspection fee of$ required before next inspection. pay at City Hall, 13125 SW 11.0 H!:,f SITE l Please call for reinspection RE: _ _ Unable to inspect-no access Fire Supply Line /�/ ADA ` Approach/Sidewalk Daft - intip�elo Ext Other' -- - ---- Final DO NOT REMOVE this Inspection record from they f ob site, PASS PART FAIL : o b i : m44 ► _ ► NIN rD a a � d y ► n � M � ► _ N , rQ r ► y y ° 0 " ► : � ► arTl ° " `` ► n CD oil. 44 a .1 � ''' o ► �i ► a ► a ► a ► � z 71 0 0 � N s o c. a Q y ' T 1 n T n O — O � � 7 � O A O Q x �e s' x CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE STREAMLINE ELECTRICAL DBA LAVALLEY CORORATION 6025 EAST 18TH ST VANCOUVER, WA 98661 Electrical Signature Form Permit #: MST2002-00110 Date Issued: 4/4/02 Parcel: 2S104CA-QFiS48 Site Address: 12948 SW PRINCETON LN Subdivision: QUAIL HOLLOW - SOUTH Block: Lot: 048 Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse, Unit 48,Bldg 10,13S plan with deck 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 QUAIL HOLLOW LLC STREAMLINE ELECTRICAL 12970 SW 68TH PKWY STE 200 DBA LAVALLEY CORORATION PORTLAND, OR 97223 6025 EAST 18TH ST yANCOUVER WA 98661 Phone #: 503-598-7565 Phhone # 360-993-5080 RCC] #: LIC 116514 ELE 34-432C SUP 4801S AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD i3125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WOLCOTT PLUMBING CONTRACTORS PO BOX 2007 GRESHAM, OR 97030 Plumbing Signature Form Permit #: MST2002-00110 Date Issued: 414!02 Parcel 2S104DA-QHS48 Site Address. 12948 SW PRINCETON LN Subdivision: QUAIL HOLLOW - SOUTH Block: Lot. 048 Jurisdiction: TIG Zoning: R-4.5 Remarks. SF rowhouse, Unit 48,Bldg 10,13S plan with deck Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR.- BROWNSTONE QUAIL HOLLOW LLC WOLCOTT PLUMBING CONTRACTOR! 12970 SW 68TH PKWY STE 200 PO BOX 2007 PORTLANn, OR 97223 GRESHAM. OR 97030 Phone #: 503-598-7565 Phone # 667-1781 Reg #. 11C 2.3847 P1 M 26-208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature n uth �z:;u Plumber If you have any questions, please ;all (503) 639-4171, ext. # 310 ELECTRICAL PERMIT- CITY OF T I G A R D RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00140 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 DATE ISSUED: 7/29/02 SITE ADDRESS: 12948 SW PRINCETON LN PARCEL: 2S104DA-22200 SUBDIVISION: QUAIL HOLLOW- SOUTH ZONING: R-4.5 BLOCK: LOT: 048 JURISDICTION: TIG Proiect Description: Install Low Voltage all encompassing. A.RESIDENTIAL _ B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: 'TO'TAL #OF SYSTEMS: Owner: — Contractor: BROWNSTONE QUAIL HOLLOW LLC AZIMUTH COMMUNICATIONS INC 12970 SW 68TH PKWY STE 2.00 P O. BOX 508 PORTLAND, OR 972.23 WILSONVILLE, OR 97070 Phone: 503-598-7565 Phone: 503-639-0110 Reg #: ELE 36-94CLE SUP 2312JLE Lic 14828 FEES Required Inspections____ Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 7/29/02 $75.00 272002.0000 Elect'/ Final 5PCT CTR 7/29/02 $6.00 2720020000 Total $81.00 __l This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952 001-0080 You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987 '" _ ) Issued by xJi �� - ZZ f Permittee Signature OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: - DATE:_ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ _ DATE:__`__ LICENSE NO: >> (j,) Call 6394175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application 77- 7777- Phone: .: city Of Ilgard ate: Address: 13125 SW Hall Blvd,Tigard,UR 97223 Receipt no.: -�_ Phone: (503) 639-4171 Case file no.: Payment type: Fax: (503) 598••1960 Land use approval: J I &2 family dwelling or accessory U Commercial/indt strial U Multi-family U Tenant improvement pd New construction U Addition/alteratiottrreplacement U Other: U Partial .100 SITE INFORMATION Al Job address: /a9� S,!O, �•Gr Bldg.no.:/(� Suite no.: Tax map/tax lot account no.: Lot: Block: Subdivision: jgoL� - -- Project name: LL ke 1 Description and location of work on premises Estimated date of completion/inspection: I Fee Max. Job not Descriplion Qty. (es.) lblal no.Ins Business name: it TN singleormuld-farnllyper j Address: 5, Ir i b dielIingunit.IitclurksattatIx-d garage. City:W r L v,- t c- Stat : t)ICIZIP.el"?,06 Senicelncluded: t Su3 Fri U// E-mail: loon aq rt.or leas -Phone.5&4 -Ot r v Fax• Each additional 500 s h or 1.11`11011-Owl hcut CCB no.: /q ,,? Elec,hos.tic,no: 3h f Y C Limited energy,residential City/metro lir:.no.: ,p / I-imuedenergy,norrtesidenual Z Each manufactured home or medular dwelling Doe Service and/or feeder Signature u ape ,sin electri•' (re aired) Doe Sup elect.name(print) "L`� U3t1Q� License no: alteration or relocation: 11 W 2(N)am s or leis 1 i �s 2U 1 amps to Nanta(pant): /SC� /{�rrd�E — 401 amps to 600 amps .- Malling address• �__— 601 amps to 1000 amps C'rly; ---- SlalC:_�I': Over l(100amps arvolts 2 Rrcoanect only Phune: Pax: E-mail: - 'frmpors"services or feeder Owner installation:The installation is being made on property I own Installation,alteration,or relocation: which is not intended for sale,lease,rent,or exchange according to 200 amps or less ORS 447,455,479,670,701. 201 amps to 400 amps 2 Owner's si nature: Date: nal to 600 antis Branch circuits nen,alteration, or ettetulon per panel: Name: A Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit Stale: ZIP: B Fee for branch circuits without purchase 2 Illy: of service or feeder fee,first branch circuit Phone'. f aX: F rttail F.achadditional branchcircuit. Mbc,(Service or feeder not included): 2 Each pump or irrigation circle U Set-vice over 225 oral:.-cununerctnl U Health-care facility ? Each sign or outline lighting U Service over 320 anips•rating of 1 Ret t]Ilazardous location Signal circuits)or a loaned energy panel. familydwellings ❑Building over 10,000 square feet four or Signation,orextension• U System over 6(10 volts nominal more residential units in one structure U Building over three stories U Feeders,400 amps or more •lkscn tion. U(kcupanl load over 99 persons U Manufactured structures or RV park FAch additional In;prrtlon over the allowable In any of the above. U Egress/ligholwlan U Other _ - Prnnspecuon I I Submit _sets of plans with onv of the above. Investigation fee The above are not applicable to temporary constrvctlon seri ice. Other _ Permit fee..................... Nor all jurisdictions accept credit cards,please call jurisdiction for more Infrwrtutian Notice:This permit application Plan review tat _ 96) $ O vise O MasterCard expires if n ermit is not obtained - — wi hin I RG d896 ays after it has been State surcharge( ) ....$ Credit card number L'•Oar Expires accepted as complete. TOTAL. .... .................. Namr of cerdhnlder u shown on credit card s C'vdholder tlsnature Amount a.w 4615 WI/C(N ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: rc om tete Fee Schedule Below: _TYPE OF WORK INVOLVED - RESIDENTIA_L ONLY p Restricted Energy Fee............................................ ..... $75 00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Check Type of Work Involved Residential-per unit 1000 sq ft or less $145 15 4 El Audio and Stereo Systems' Each additional 500 sq ft or portion thereof $33.40 1 Burglar Alarm Limited Energy _� _ $75,00 Fach Manufd Home or Modular Dwelling Service or Feeder $9090 — 2 ❑ Garage Door Opener' Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $60 30 2 ❑ 201 amps to 400 amps $106.85 2 Vacuum Systems' 401 amps to 600 amps _ $160.60 _ 2 601 amps to 1000 amps $24060 2 Other Over 1000 amps or volts $45465 2 Reconnect only _ $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system................................. ........................ $75 00 200 amps or less $6685 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps _ $133 75 2 Check Type of Work Involved. Over 600 amps to 1000 volts, see"b"above. Audio and Stereo Systems Branch Circuits New,alteration or extension per panel Boiler Controls a)The fee for branch circuits with purchase of service or Clock Systems feeder fee. Each branch circuit $6 65 _ _ 2 Data Telecommunication Installation b)The toe for branch circuits without purchase of service Fire Alarm Installation or feeder foo. First branch circuit $4695 _ O Each additional branch circuit $665 HVAC Miscellaneous Instrumentation (Service or feeder riot included) Each pump or irrigation circle _ $53.40 _ Each sigh or outline lighting _ $5340 Intercom and Paging Systems Signal circuit(s)or a limited energy panel,alteration or extension $7500 Landscape Irrigation Control' Minor Labels(10) $125.00 Each additional Inspection over ' Medical the allowable In any of the above r� Per inspection _` $6250 L__.J Nurse Calls Per hour _ $6250 _ In Plant _ $73.75 Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ �� Other 864.State Surcharge $ _ _ Number of Systems 25%Plan Review Fee See"Plan Review"section on $ No licenses are required Licenses are required for all other installalions front of applicaton Fees: Total Balance Due $ ----'---� Enter total of above tees Trust Account# __. 8:4 State Surcharge $ Total Balance Due : All New Commercial Buildings require 2 sets of plans. 41sts\forms\elc-rees.doc 08/30/01