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12985 SW PRINCETON LANE t N to CO CA SN 1 1 12985 SW Princeton Lane CITY QF INGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 SUP Received ___Date Requ5sted .._�� AM— _ PM _� BUP Location - �- �s t`11' 11L - --Suite - MEC __7 "� S~ PLM Contact Person �` '=1 -----_ Ph Contractor - -- Ph( _ ) SWR - BUILDING i Tenant/Owner ELC -_ Footing ELC -- Foundation Ccess: F!g Drain f L m O�i�-�?Gi f� .j ELR - - C'ra,vl Drain ___ SIT Slab Inspection Notes: Post&Beam Shear Anchors Ext Sheath/Shear - Int Sheath/Shear _ Framing - Insulation Y� Drywall Nailing -- _ Firewall Fhe Sprinkler — Fire Alarm tee' Susp'd Ceiling _ - --- Roof Other: _----- - - - ---- — "t•/a PASS PART PLUMBING — ---- Post&Beam Under Slab Rough-In --` — Water Service - --- Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain ---- ---- ----------..._--------- ShowerPan Other: ------- -- �- --------- F _ LAPART FAIL NICAL Post&Beam- Rough-In Gas Line Smo rJampers ---- -- F ---- A PART FAIL-ME ---- -- - - CTRICAL ----- --- Service Rough-In — UG/Slab Low Voltage' Fire Alarm Final Reinspection fee of$._ —__,-required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE:-- __- Unable to inspect-no access Fire Supply Line ADA Dolts ---- —_ Ext --- Approach/Sidewalk Other: Firal — DO NOT REMOVE this Inspection record fr ,n the 106 site. PASS PART FAIL 1 � eeeeeeeeeeee �eeeaeee,�eeeeeei �aeeeeee�eeeeir �► Cd ► d ► loo- Ln n N r •c Q, ► o ► � CDrD ► d ► � f r-f j CL ► N cn + I► r-f � o ► ulq rD too. .I ., ► 44 a ► r• ► 44 �rvvvivvvvvvvvviivovvvivvvvvvvsvvwsvvvvvvvvvvI CITY OF TIGARD 24-dour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 � BUP Received —_ — Date Reques ed 1 4 -- AM V'r PM _ BLIP Location —Suite--- -- .. _-__ MEC _- Contact Person - -- -- - Ph(—) - �' - .S� _� PLM Contractor - - - - — -- -- Ph( ) - -- - --- SWR - I BUILDING Tenant/Owner -- _. ELC Pauling — ELC Foundation '11";cess: lam' Ftg Drain � /� ' ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - - ------ - Insulation Drywall Nailing —_--- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof Other: _ — Final PASS PART _FAIL PLUMBING Post&Beam Under Slab ---- - - -- _ -------- - --------- -- -- ------- Rough-In Water Service - -- -- ------------ -- ------ Sanitary Sewer Rain Drains - ---- -- - --_—.-- �_-- ------ - - — Catch Basin/Manhole Storm Drain -- - -- -- — -- --------- Shower Pan Other: ---- ---- ------- r _ S PART FAIL — _ ANICAL — - ------ - -- - - — -- Post&Beam Rough-In - — ---- - - --------- - ---- Gas Line Smoke Dampers --- ------- ------- ----- Final PASS PART FAIL - EL_ECTRI_W_AL _ Service — Rough-In — --___-- ,__ ---- UG/Slab Low Voltage - Fire Alarm Final LJ Reinspection fee of$_—__ _required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. _P_ASS PART FAIL SITE Please call for reinspection RE: -__ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Qate. v _ Inspector - -----Ext---. - - - Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGo RD 24-Hour BUILD54131 Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received _ Date Requested_ �d41 - AM_ PM -- BLIP Location Suite MEC Contact Person -- --- . ff�Y►i1 Ph(--— —) PLM — Contractor-__s�f:�2�4. 'A 4f- E=7 ,e�C Ph SWR BUILDING Tenant/Owner ELC Footing ELC — Foundation Access: Ftg Drain ELR _- Crawl Drain Sla) Inspection Notes. SIT Post&Beam __- Shear Anchors -�--�_—- Ext Sheath/Shear Int Sheath/Shear --- Framing Insulation Drywall Nailing -- Firawall Fire Sprinkler ---- Fire Alarm Susp'd Ceiliny Root Other: -- Final PASS PART FAIL PLUMBING Post —_— 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-V Post& Beam ----- Rough•In Gas Line Smoke Dampers - Final PASS PART FAIL ELECTRICAL Service -+—— Rough-In ------- _ - -- - -- _- ----- — UG/Slab Low Voltage Fire Alarm --------- ---------- -- -- ---- D Relnspectlon tee of$�_— required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL _ $I i- Please call for reinspection RE:__ __ ____. Unable to inspect-no access Fire Supply Line ADA -) Approar!-�iSidewalk Dates��'�-}�4�'�j-C)Q--- In4ttwctor �' <-`!�� _KXt Other: Final 00 NOT REMOVE tIols Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING ;nspection Line: (503) 639-4175 MST 7�Q� � '�l 1 INSPECTION DIVISION Business Line: (503) 639-4171 BUP — Received 1� __- __Date Requested' 3 1 -____ AM _- PM BUN Location _1'2�� _mac � L1_ n C e 4-cr_.t-v\ Suite MEC Contact PersonPh(_ ____-) _ PLM Contractor ? ILW' S 0'A -f __�-- Ph(_ ) SWR BUILDIN Tenant/Owner . - - -_- ELC Footing ELC Foundation Access: Ftg Drain ELF Crawl Drain Slat Inspection Notes: SIT Post&Beam Shear Anchors Fxt Sheath/Shear Int Sheath/Shear Framing - Insulation Drywall Nailing _ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof C C O e'. p 1 o, U ._ Fin -- ----- 1) 4, e V 4 T) V 0'A 1 SS-I'PART FAIL -WOMBING - ------- - - � Post&Beam Under Slab Rough-In Water Service - --- -- Sanitary Sewer Rain Drains - - Catch Basir,!Manhole Storm Drain -- — Shower Pan Other: -- Final PASS PART_ FAIL MECHANICAL Post&Beam _ Rough-In -- --_ Gas Line Smoke Dampers --- Final PASS PART FAIL - - ELECTRICAL Service Rough-In UG/Slab -- - - ------ ---- ----_ . _ Low Voltage Fire Alarm Final Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW(fall Blvd. PASS PART FAIL SITE _ Ej Please call for reinspection RE:____ _ Ej Unable to inspect-no access Fire Supply Line „ ADA Approach/Sidewalk Dote __L�1. _ ( _ 2 Inspoetor - �' -`r L. . Other: Final �- DO NOT REMOVE this inspection record From the Joh site. PASS PART FAIL n J o J � con � o Er o ti O II S c+ CA O o no �' _ ►V n l J F e r i� CITY OF TICARD 24-Hour BUILDING Inspection Line: (503) 639-4175 "DIST -- - -- --- - INSPECTION DIVISION Business Line: (503) 639-4171 BUP - -- - - Received --_Date Requested AM— PM /- - _- __ BUP Location _- �''� hS�uite - MEC Contact Person _ ._ Ph#( ) ____ PLM -- Contractor_ - z,i►-►y Ph �� f7 SWR BUILDING _ Tenant/Owner _— — ELC Footing ELC Foundation Access: Ftg Drain ELRJ0 � Crawl Drain Slab Inspection Notes: / SIT _— Post&Beam _- Shear Anchors U Ext Sheath/Shear Int Sheath/Shear � - Framing Insulation Drywall Nailing -`- Firewall Fire Sprinkler —.--- - - -- ----- _ _--�� — Fire Alarm Susp'd Ceiling - - - -- —" Roof Other:--- - ---- -- i------ -- - Final _PASS PART FAIL - PLUMBING - Post&&omni Under Slab - Rough-In Water Service - Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain Shower Pan _ Other: Final ----- __ PASS PART FAIL MECHANICAL _ — — -- --- ---- Post Post&Beam Rough-In Gas Line Smoke Dampers -- — - - ---------- ----- -- - --- -- Final _PASS PART FAIL -- ---- - - - -- ----- -- ELECTRICAL Service -- -- Rough-In _ - -- UG/Slab Vo _. Fire Alarm ---- ------ ---- ---- ----- - Final Reinspection fee of$-- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _&' PART FAIL SITE — Please call for reinspection RE: __--__ __-_-_ Unable to inspect-no access Fire Supply Line ADA ' �,�,, ` Approach/Sidewalk Date�7 Inspector Other: Final DO NOT REMOVE this Inspection record) frsrm the jab site. PASS PART FAIL CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE STREAMLINE ELECTRICAL ,JUN i o no? DBA LAVALLEY CORORATION "j) Y U1. 6025 EAST 18TH ST bU_7 .D1TNG VANCOUVER, WA 98661 Electrical Signature Form Permit #: IvIST2002-00111 Date Issued: 616102 Parcel: 2 S104DA-QHS51 Site Address: 12985 SW PRINCETON LN Subdivision: QUAIL HOLLOW - SOUTH Block: Lot: 051 Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse,Unit 51,Bldg 11, BS plan with deck. STRUCTURAL FILL, REQUIRES GEO-TECH INSPECTIONS AND REPORTS Your company has been ind,cated 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 frorn 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 12670 SW 68TFI PKWY DBA LAVALL.EY CORORATION STE 200 b025 EAS I" 181'H S'l pp Lq 97 VANCOUVER WA 98661 PhoRne # 50 X98-75653 Phone #: 360-9b3.5080 Req #: LIC 116514 ELE 34-43zc SUP 41301 S AN INFO SIGNATURE IS REQUIRED ON THIS FORM X � . Siqnature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF T I G A,R® MASTER PERMIT PERMIT #: MST2002-00111 DEVELOPMENT SERVICES DATE ISSUED: 6/6/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12985 SW PRINCETON L.N PARCEL: 2S104DA-QHS51 SUBDIVISION: QUAIL HOLLOW- SOUTH ZONING: R-4.5 BLOCK: LOT: 051 JURISDICTION: TIG REMARKS: SF rowhouse,Unil 51,Bldg 11, BS plan with deck. STRUCTURAL FILL, REQUIRES GEO-TECH INSPECTIONS AND REPORTS BUILDING REISSUE: w STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: 172 of BASEMENT: e1 LEFT SMOKE DETECTORS: r TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 735 of GARAGE: 547 of FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: 735 of RIGHT VALUE: S 162.566 20 OCCUPANCY GRP: R3 BDRM: 2 BATH: 2 TOTAL: 1,642.00 of REAR. PLUMBING SINKS: I WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 2 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS: 2 GARBAGE DISP: I WATER HEATERS: I WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOILICMP<3HP: VENT FANS: 3 CLOTHES DRYER: I �pI} FURN>•100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 1 0 200 amp: WISVC OR FDR: 'UMPIIRRIGATtON: PER INSPECTION: EA ADD'L 500SF: 3 201 •400 amp: 201 •400 amp: tat WIO SVCIFDR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 11014ampo•1000v: MINOR LABEL: 1000+amplvolt PLAN REVIEW SECTION Reconnect only: >•4 RES UNIr3: SVCIFDR>•225 A.: >000 V NOMINAL: CLS AREAISPC OCC ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO IL STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL. OTHR: HVAC DATA/TELE COMM: NURSE CALLS TOTAL 0 SYSTEMS' Contractor: TOTAL FEES: $ 5,500.08 Owner: This permit is subject to the regulations contained in the BROWNSTONE QUAIL HOLLOW LLC BROWNSTONE HOMES,LLC Tigard Municipal Code,State of OR Specialty Codes and 12670 SW 68TH PKWY 12670 SW 68TH PKWY all other applicable laws. All work will be done in STE 200 PORTLAND.OR 97223 accordance with approved plans This permit will expired PORTLAND,OR 97223 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 Rap N: LIC 12462; 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 Mechanical Insp Shear Wall Insp Water Line Insp Building Final Footing Insp Plumbing Top Out Exterior Sheathing Insl Smoke Detector Final Inspection Foundation Insp Framing Insp Firewall Insp Electrical Final Plm/1lndslb Insp Gas Line Insp Gyp Board Insp Plumb Final Electrical Service Rain Drain Insp Mechanical Final Insulation Insp i� ( Permitter Signature Issued By : — ----- Call (503) 639-4175 by 7:00 p.fn. for all inspection needed the next business CITY OF TIGARD —SEWERCONNECTIC,NPERMIT — DEVELOPMENT SERVICES PERMIT#: SWR2002-00086 ' 13125 SN/ Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/6/02 S17 ADDRESS; 12985 SW P11INCETON LN PARCEL: 2S104DA-GHS51 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 BLOCK:_ _ LOT: 051 _ JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS. PLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SFA NO. OF BUILDINGS: INSTi- LL TYPE: l_1 P"')WR IMPERV SURFACE: Remarks: Sewer connection for SF rowhouse. Owner: - ----- __ — BROWNSTONE QUAIL HOLLOW LLC FEES— — 12670 SW 68TH PKWY Type By Date Amount Receipt STL 200 PRMT CTR 6/6/02 $2,300.00 27200200000 PORTLAND,OR 97223 INSP CTR 6/6/02 $35.00 27200200000 Phone: 503-598-7565 Total $2,335.00 Contractor: Phone: Reg #: Required Inspections ll This Applicant agrees to comply with all the rules and regulations of the UnifieJ 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 Issued by: ?. � Permittee Signature: -� ` Call (503) 639.4175 by 7.00 P.M. for an inspection needed the next business da r � RECEIVES '` Building Permit Application Datereceived: r} 0� Permit no.: r 2 /// City of Tigard(-i-Y up i.i:UA.P.a:� Address: 13125 SW t(f�**��,, ��y�, Project/appl.no.: expiredate: r rry nJ l ig�rrd '�7Va.��t J'1IT)i� Phone: (503) 6394171 Date issued: By j, Receipt no.: Fax: (503) 598-1960 �� Case file no,: Payment type: Land use approval: _. 1&2 family:Simple Complex: A& TVPIE OF PERMIT U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition C3 Addition/alteration/mplacement U Tenant improvement U Fire sprinkler/alarm U Other: .1011 SITE'INFORMATION Job address: %a 5 t, 1 I Bldg.no.: Suite no.: Lot: r Block: Subdivision: Tax map/tax lot/account Project name: Description and;ovation of work on premises/special conditions: Name: ,r 0 Ly Vg At A MID t Mailing address: pI dC 2 family dwelling: City: jStatc:0)Q ZIP: — Valuation of work........................................ $ Phone — Fax:62a E-mail: No.of bedrooms/baths................................. Owner's representative: � 1�'&4c, Total number of floors................................. Phone. ,QIF-ax: E-mail: New dwelling area(sq.ft.)i �IWUNIWI _ Garage/carport area(sq. ft.)......................... — Name: f t.` eel Covered porch area(sq.ft.) ......................... _-- Mailing address:1ZSW L'- Deck area(sq.ft.) ........................................ _ City: — � State: ZIP. 4 Other structure area(sq. ft.)......................... Phone; �� Fax: E-mCommereiaUludustriral/multi-family: t a Valuation of work........................................ S Existing bldg.area(sq. ft.) .......................... 7Businesinanie: New bldg.arca(sq. P)g ...............................r1 r _ -� Number of stories;- staler zlType of construction_ -- '" Fax:(;� mail: .................................... ' y t7 — — — Occupancy group(s): Existing; --- CCB no.: New: City/metro lie.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: 6 6 LID provisions of ORS 701 and may be required to be licensed in the _Address: -1 v C, _S _. ft 3rj jurisdiction where work is being performed.If the applicant is Cit State Z1P: exempt from licensing,the following reason applies: Contact person:At,."kL OAU Plan no.: — Phone: tr I E-mail: —— Name: c i, &piz L� L Contact person: Fees due upon application ........................... $ Address: S U_) "r Com}- Date received: City: c• � _ tntc: ?.IP: 3 Amount received ...... ............ $_ Phone: _ Fax: E-mail: Please refer to fee schedule. I hereby certify 1 have read and examined this application and tic Na rvi juris&-dons ttccep tit cards,pteaw call iuris&don for um WarmWon. attached checklist.All provisions of laws and ordinances governing this Uvisa U Masten&H work will be complied �,w_heth ed herein or not. Credit cwd number Authorized si are:_�� — �' _ acme of cu'dholda u owa oa t card Print name:� — Catdlalda d natwe Amotmt Notice:This permit application expires if a permit Is not obtained within 180 days after it has been accepted as complete. 440-"11(60YOOM) Plumbing FSW .on Date received: Permit City Of TigardDate permit no.: Building permit no.: Address: 13125 SW Ifall Blvd,tigard,OR 97223 City of Lgard F'lione: (503)63911171 KATY UP 11(sAARD Pro)ectlappl.no.: Expiredatc: Fax: (503)598-1960 BLUDING DTMON Date itstred: By: Receipt no.: I rind use approval: _ �` Case file no.: Payment type: OF PERMIT F0 1 &2 family dwelling or accessory U Commercia�ndustria! U Multi family U Tenant improvement U New construction U A(lditinn/altcmtion/rrplaccrrtcnt U Focx1 u rvicc U Other: .,�� F�:_ress: Description ee(ea.) 'Total Job add 2 �' � �'` �"" �—- Nen 1-and 2-family dtseRWgs only: Bldg.no.: i Suite no.: ('includes 100 n.for each utility connection) Tax map/Lax lot/account no.: Slll(1)r bath_ _ Lot: / Block: Subdivision: SPR(2)bath Project name: SFR(3)bath City/county: ?.Ip: Each additional bath/kitchen Description and location of work on premises:�. Siteutililies: _ Catch basin/area drain Csl.date of completion/inspection: Drywclistleach line/trench drain _ Footing drain(no.lin.ft.) _ I'LIJ511111ING CONTRALTORManufactured lame utilities Manholes _ Wolcott I'lumbing Rein 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 PLM 11:26-2081111 CFxturcorHein: - Absorption valve Contractor's representative signature: Back flow preventer print name: Backwater valve — L�Klw Basins/lavat(xy Clothes washer Name: -_ Dishwasher _ Address: _ Drinking fountain(s) City: _ State: 7.[11: G'ectors/sump Phone: Fax: &mail: Expansion tank Mixture/sewer cap floor drains/ft-Zr einks/hub Name(print): _ _ _ Garbage dis,iosal Mailing address: Nose bibb City: _ ��: w': _ Ice maker Phone: Fax: &mail: Interco ortgrease trap Owner installation/residential maintenance only: The actual installation Primers) will be made by me or the maintenance and repair made by my regular Roof drain(cornnx cial) employee on the property I own as per ORS Chapter 447. Sink(s), asin(&),lays(s) — Ownces signature: Date: Sump _ Tubs/shower/shower pan 4: Urinal F�dms: War r closet Waterheater _ _ City: _ "tate: ZIP: Other: =4=:=1 Piton: Fax: &mall: Total L, Na dl*Udkitam wcW�t cata.Oew as 1��O"►a mac hi m�aan Notice:This permit application Minimum fee............ $ u Vin U MuterCud expires if a permit is not obtained Plan review(at _%)) Cmdlt card number: within 180 days atter it has been State surcharge(8%)....S E accepted as complete. TOTAL ....................... None d eudbddrr u dire a aerru arG ; --- Crdt`otda dputsie Aanr 440-4616(691rM) Mechanicato"Em on — ----- Daterwelved: Permit no.: City of Tigard pNject/appl.no.: Gxpiredate: Address: 13125 SW Hall Bit Cityoj77xard � '( 1-kms Dale issued: By: Recciptno.: Phone: (503) 639-4171 L D �� ON ---- -•--- Fax: (503)598-1960 Case filen.: Paymenttype: -_ Land use approval: Buildingpermi(no.: OF PEAHT ;Job &2 family dwelling or accessory U Contmercial/industrial U Multi-farnily U'Fcnanl improvement ewonstruction U Addition/alteratiort/tcplacement U Other1 { 1 1 1 ddress:. !,-51�t < v s, t, Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: - Suite no.: value of all mechanical materials,equipment,lattor,overhead, Tax map/tax lotlaccount no.: profit.Value S Lot: 5-/ 13lock: - _ Subdivision: -- -_ "See checklist for important application information and Project nanic: _--- jurisdiction's fee schedule for rrsidcntial Irennil fee Cily/county: T--- ZIP: -_-_. - - i Description and location of work on premises: ____ _- __ I 1 i 1 11 Ei ___ III Fec(m) Total Est.date of completion/inspection i --_ Ikxription Q(y. Res-only Res.only Tenant improvement or change of use: I t' Air handling unit -CFM_— _ Is existing space heated or conditioned?U Yes U No lar ccnditionutg(site plan requires-W Is existing space insulated?U Yes U No TAlteration of existing IIVAU system — ioiler compressors State boiler permit no.: HP Tons BTU/11 Four Seasons heating&A,'('Service Inc I irc/smokeamptxa�uctsmoke detectors -- PO Box 66409 Tleat pump(sr c rfin required) Portland OR 97290-6409 InsiaWreplaccfum unict—BIW FF 503-775-5919 lncludin.o ductworli/vent liner U Yes O No - ('CI3: 48283 nslalur^pace-/rite caters-sus pen wa l',,.:r floor mounted Nantc(please print): �rnt fora liance terthar,hrnace 1 s 1 et7 OIL' — Absorption unit _ BTU/11 _ Namc: (]Tillers Address: _ ,uv ronmenta exhaust and vent lat on: City: -_ - St ZIP: Appliancevenl -- Plionc--- -- - Fax: -tail: )rycrex oust - w_`_ 1 p T Hoods,Type 1 Fra. rtchen/liar.mat hood fire suppression system _— -- -_ Name: Exhaust fan with single duct(b..th fans) - ---- -- - — Mailing address: in iaust Sys tom a�tar-t from heating or C Stale: ZIP: Mel piping 1 W"�" on(up to outlets) Type: 1-110 __ NG Oil Phone. 11-x: G mail - vc l mg hWi-tiona oTver�'ouiiets 'rocessppnll g(0trivadcrequir ) Number of outlets Nume: Address: -- - - — ------- Decorativefreplace --- — - _City: - -------_ - State: ZIP: �- Insert-type - — Phone: �_--- Tax: E-mail: tov pelletstavc _ (Mier Applicant's signature - Name (print): ---__-_-- _-� - Nd all jwrsdictlant accep credit cards,piew call Jurisdiction for mom idarmWea Permit fee..................... Notice:'IlTis permit application Minimum fee................ $ U Visa U MasterCard expirc�if a Pel-mil is not ob(sirml —__-_ Credit card numl,er: __---__,--_---- --- —� Man review(AI —96) $ -- Nspi� %Nidiin 180 days aT`.i 1,-, t has boon State surcharge(8%)....$ --Name d endo-d,owa oo credit card -— accepted as complete. TOTAL .......................$ Crdbolde-t tlxnamra — At>btd` 440A17(600510DM) Electrical t"FA tion Date received. Permit no.: City of Tigard I'roject/appl.no Expircdate: t rry 471gard Address: 13125 SW Ha=Vj,(DjkI,Q 3 Date issued � By: Receipt no.: Phone: (503) 639-4]WLDINd DTMOT, Fax: (503) 598-1960 tau file no.: Payment type: Land use approval: TWE OIV PERMIT ❑ I &2 family dwelling or accessory U Commercial/industrial Li Multi-family L7 Tenant improvement ❑New construction U Add idon/alteration/replacement U Other. __--_ U Partial JOB Slit liNFORMATION Job address: os ]S W r r".cam�c (.G•�4 [ild)^no.: Suttr nu.: Tax map/tax IoUaccount no.: - Lot: S~ / Block: Subdivision: Project name: Description and location of work on premises: — F,stimated date of(orrlpletiorl/:nspcction: CONTRWFOR Job no: Fee Max --- --- ---_-- Uescripticxi Uty. Ira.)_Total no.ins Streamline Elcetric Newrasidetitial-sllawleoratadti-fanJtyper D13A LaValley Corporation dwelling unh.lnetudesAttached RNage. 6025 East 18"'St ServiceInclu Vancouver WA 98661 —I(Y10 ft�_or less 4— --- - ---- 360-993-5080 Each additional 500 tq ft.or portion thereof _ ('('(3:116514 ELC#: 34-432C SUP#: Limited energy,residential 2 _ Umitedenergy,non-residential — 2 Each manufactured home or modular dwelling Si nnturc nt sacxLrvisin elcctncian(required) v—v� bate Service and/or feeder 2_ tacense no Services or feeders—Inst illatlon, Sup elect nnme(prim) alteration or relocation: rmoPERTY OWNER 200 amps or less 2 Name(print): 201 amps to 400 amps 2 401 amps to 600 amps 2 _ Mailing address: 601 amps to 1000 amps 2 City: State: ZIP: Over IOW amps or volts _ 2 Phone: Fax: I E-mail: Reconnectonl 1 Owner installation:The installation( is being made on property 1 own Temporary aervicanorfeetim- which is not intended for sale,lease,rent or exchange according to Installation,alteraf loo,or relocation- 2W amps or less _ _ _ 2 ORS 447,455,479,670,701. 201 amps_w4W amps _ _ 2 Ocvncr's signature: Dale: 401 to 6W ams 2 _1 10"IN ME Branch circuits-new,alteration, or extension per panel. Name: A Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 -- --- -- City: $late: ZIP: B. tee for bench circuits without purchase _—_ — of service or feeder fee.first branch circuit: _ 2 I'11tg1C Fax: E-mail: Fadi add,nnnnl branch circui! Misc.(Service or feeder not Included): U Service over 225 an,P%-simmers ia! U I lealth-care facility Each pump or irvi ation ein:le 2 O Service over 320 amps-rating of 1 del U Hazardous location Each sign or outline lighting family dwellings U Building over I0,(Kx)square feet four or Signal circuit(s)or a limited energy panel. U System over 6(1(1 volts nominal more residential units in ane struct irr alteration,or extension' _—v 2_ U Building over three stories U Feedm,4W amps ra noire '1) rition U Occupant load over 99 persons U Manufactured structures or RV park Fach additional hsretybn over the allowable In any of the above: U Egress/lighdngplan U Other ---— Per inspection F_ Submit__avis of plans with any of the above. Investigation fec _ The above are not appOcable to temporary cotsstatisdiou service Other � jurisdiction fa mote ififarfiiatian Notice:This permit application Permit fee.....................$ Ncw all junsdictions acrsp credit cards.please call) pe pl O Visa U MastttGrd expires if a permit is not obtained Plan review(at — %) S Credit cud number _ within 180 days after it has been State surcharge(8%)....$ ._ accepted as complete TOTAL ........... ...........$ _— Nante dcafitholdef Yon etedltc— S -------cardhdder alpWiree Afaoaol 4Y1-4G1�I60(1[[N11 , CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WOLCOTT PLUMBING CONTRACTORS PO BOX 2007 GRESHAM, OR 97030 Plumbing Signature Form Permit #: MS .2002-00111 Date Issued: 616/UZ Parcel: 2S104DA-QHS51 Site Address. 12985 SW PRINCETON LN Subdivision: QUAIL HOLLOW - SOUTH Bloci�: Lot: 051 Jurisdictior,: TIG Zoning. R-4.5 Remarks: SF rowhouse,Unit 51,Bldg 11, BS plan with deck. STRUCTURAL FILL, REQUIRES GEO-TECH INSPECTIONS AND REPORTS Your company has been indicated as the plumbing contractor for the permit indicated above. In orier 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: 3RO%NNSTONE QUAIL HOLLOW LLC WOLCOTT PLUMBING CON"TRACTOR: 12670 SW 68TH PKWY PO BOX 2007 STE 200 GRESHAM, OR 97030 PORTLAND OR 97223 Phone #: 503-598-7565 Phone #: 667-1781 Reg #: 1 IC 23847 PI M 26-208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X Sig u�e oTAutIAKed Plumber If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF T I GA,R D ELECTRICAL PERMIT- RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00169 13125 SW Hall Blvd.,Tiqard, OR 9722.3 (503) 639-4171 DATE ISSUED: 8/28/02 SITE ADDRESS: 12985 SW PRINCETON LN PARCEL: 2S104DA-22500 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT: 051 JURISDICTION: TIG Proiect Description: Limited energy for audio/stereo. A. RESIDENTIAL B._COMMERCIAL _ AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING: ^� BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: IiVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM. OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL #OF SYSTEMS___ Owner: Contractor: BROWNSTONE QUAIL HOLLOW LLC AZIMUTH COMMUNICATIONS INC 12670 SW 68TH PKWY P.O. BOX 508 STE 200 WILSONVILLE, OR 97070 PORTLAND, OR 97223 Phone: 503-598-7565 Phon:: 503-639-0110 Reg #: ELE 36.94CLE SUP 2312J1.E LIC 145828 _ FEES Required Inspections Type By —_Date Amount Receipt I ow Voltage Inspection PRMT CTR 8/28/02 $75.00 2720020000 Elect'I Final 5PCT CTR 8/28/02 $6.00 2720020000 Total $81.00 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 fo'low rules adopted by the Oregon Utility Notification (';enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-9080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-11987. '/'- Issu d by �� ' I•� �h ti��;' Permittee Signature k .++' � ' i OWNER INSTALLATION ONLY T he 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 LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application Date received��W Y Permit no.: fckf[Aa,�-��161� City of Tigard Projecl/appl.no.: Ex 're date: CityofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: :(4 _ Receipt no.- Phone: (503) 639-4171 T Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: TYPE,OF PERMIT U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement New construction U Addition/alteration/replacement U Other: U Partial 11 SITE INFORMATION Job address: /�,?�f 5 $:tel. NCC n.i _ — Iilrl) ur Suite no.: jTax map/lax lot/account no.: Lot: rl3ltxk: _ Subdivision: UAIC tA'Lf_kLJ _— Project name: ( )t I- Description and location of'work on premises: - f 6 Estimated date of cotnllclionhnspeclion: CONTRACtOR Job 110: t ec 111:n Ih•%(ription QI . (ea.) Ionil no.imll Business name: Ll/W IH (a1/11ff1N.r(h44MIV-1 !Ne"rmidential-single or multi-famlhper Address: )&3,)S Y. eLr r� dNrllingunit.Includrsattaclrwlguro)n•. Clly: �j'(t p r4 y't f State: ZIP:e, )ti[__ Senfeeincluded: 1000 sq.ft.or less 4 Phone: 0�[ Fax: t�E / [ E-mail• Each additional 500 sq.ft.c r +oroon thereof _ CCB no.: /t4 j S,2 f Elec.bus.lic,no: 3% 4"YC[ Limited energy,residential 2 City/metro tic.no.: , S( I imited energy,non-residential 2 _ /Z ,IP l Each manufactured home or modular dwelling Service and/or feeder 2 Signalof supervisin elect n(required) Dote l ure Services or feeders-Installation, Sup.elect.name(print) L7i / [.70_G License no 2.TLE alteration or relocation: PROPERV OWNER 200 amps or less 2 �N f�rU� 201 amps to 400 amps -- --- , .__ Nance(print): d ,& - 401 amps to 600 amps Mailing address: 601 amps to 1000 amps 2— City: SWe: ZIP: Over 1(x10 amps or volts _ 2 ._ Plane: Fax: E mail: Reconnect only Owner installation:The installation is being made on property I awn Temporary ser0ces or feedeiA- herotlon,orrclocatiou: Zai amps oralte which is not intended for sale,lease,rent,or exchange according to Inslallatlnn, 2 ORS 447,455,479,670,701. 201 amps to 4a)amps Owner's sipnatufc: Dale: 401 to6(K)ampsAim - -' Branch circuits-neN,alteration, or ealenslon per panel: Name: A I ev far hranch circuits with purchase of - ---- AJdress: service or feeder fee,each branch circuit City; 1 Stale: ZIP: d. Hee for branch circuits without purchase -_ of service or feeder fee,first branch circuit- 7-- Phone: ircuit: Phone: E-mail: 7 Each additional branch circuit OM!i ILIA I KIWI Misc.(Service or feeder not Included): U Service over 225 anip-%-conittictoal J Hcalth carefacilily Each pump or irrigation circle -- _ 2 U Service aver 120 amps-rating of I&: Ij Hazardous location Each signor outline lighting 2 family dwellings U Huildir.g over 10,(xx)square feet four or Signal circuit(s)or a limited energy panel. USystem river 60voltsnominal nxtreresidentialunitsinonestructure alteration,or extension* 2 0 U flu flding over three stories U Feeders.400 amps or more •Dcscri tian --- U(kcupant load over 99 persons U Manufactured structures or RV park FAch additional Inspection over the allowable In any of the above: U Egress/lightingplan U Other _ --__�_ P rinspeclion Submit cels of plans with any of the above. Investigation fee 1 he above are not applicable to(emporary construction service. Other Notice:This permit application Permit fee.....................$ 7�r Not all Jurisdictions accept credit carte.I Iraw can'uriWhctwn f-„mo,r rnfurnatirrr Plan reVICW(al a) $ U Visa U MasterCard expires il'a permit is not obtained — —� Credit card number ,_ _ x ace - within 190 days after it has been State surcharge(9%) ....$ �Q_�_— _ accepted ac complete. TOTAL .......................$ I/ Nam of cardholder u shown on cmdit card S ('udhaldrr signature - -— T-Amount 440 461'1(6gxYt'OMi ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: — —` TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below _Restricted ee....... Energy F .............. ................................. $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Check Type of Work Invo:,jed Residential-per unit 1000 sq ft or less _TJ 5145 1' _ 4 Audio and Stereo Systems' Each additional 500 sq It,or portion thereof $33 40 1 ❑_� ------ Burglar Alarm Limited Energy $7500 __ Each ManuTd Home or Modular E Garage Door Opener` Dwelling Service or Feeder $90.90 Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 2 ❑ Vacuum Systems' 201 amps to 400 amps $106.85 2 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 ❑ O+her Over 1000 amps or volts $454.65 _ 2 Reconnect only $66.85_ _ 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Fee for each system..................................... ... ... ...... ..... $75.00 Installation,alteration,or relocation (SEE OAR 918 260-260) 200 amps or less $66.85 _ 201 amps to 400 amps _ $100.30 (;heck Typo of Work Involved: 401 amps to 600 amps $133.75 Over 600 amps to 1000 volts, ❑ Audio and Stereo Systems see"b"above. Branch Circuits ❑ Boller Controls New,alteration or extension per panel a)The fee foi branch circuits ❑ Clock Systems with purchase of service or feeder fee. ❑ L:ach branch circuit $6.65 � � Data Telecommunication Installation h)1 he fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fre. First branch circuit _ $4685 ❑ HVAC Each additional branch circuit $665 Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or Irrigation circle $53.40 Intercom and Paging Systems Each sign or outline lighting $53.40 Signal circuits)or a limited energy ❑ Landscape Irrigation Control' panel,alteration or extension $75.00 Minor labels(10) Y�_ $125.00 ❑ Medical Each additional inspection over the allowable In any of the above ❑ Nurse Calls Per inspection _ $62.50 Per hour —__Y $62.50 In Plant 573.75 ❑_ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ ❑ Other ---- — a State Surcharge $ —_ Number of Systems 25%Plan Review Fee $ ' No licenses are required Licenses are required for all other installations See"Plan Review'section on front of application Fees: Total Balance Due $ __—_- Enter total of above fees $ ❑ Trust Account p _ _._- __ 8%State Surcharge $ — Total Balance Due All New ;omrnercial Buildings requiro 2 sots of plans. i:\dsls\formsklc-fees.doc 08/30/01