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12998 SW PRINCETON LANE N (A W C� C V M a n (D rt rJ r- a� CMD 12998 SW Princeton Lane CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 Mss INSPECTION DIVISION Business Line: (503)639-4171 --— rk BUP Received Date Requests —AM--_—__ PM _ _ BUP Location 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 l ll ' 'at.latd6 -y Fire Sprinkler T- Fire Alarm ,/ Susp'd Ceding .-`'� Roof Olh r?F -----...- -- -� -.. -� in _ PART 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 -- -� MECHANICAL Post&Beam Rough-In -•- - - --- --- Gas Line e Dampers PART FAIL ELECTRICAL^^ Service ---- - - --- - --- - -- --- Rough-In - UG/Slab Low Voltage _ Fire Alarm -� Final Reinspection fee of$. required before next in,aection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL_ SITE - Please call for reinspection RE:- _ _ L] Unable to inspect-no access Fire Supply Line ,•s t ADA / ApproachiSidewalk Date 1 '� Inspector - -__-_Ext__- Other: Final DO NOT REMOVE this Inspects in record from th ,o job site. PASS PART FAIL CITY OF TIGARD 24-Houi BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 AP --- Received _-_ ----- Date Reque ed_ 3 v AM____ PM___ .UP Location "__ _ �1�ri.GL --- Suite MEC Contact Person __ — Ph(- Contractor Ph(_Contractor - ---- -- -- Ph(_ ) — SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access' Ftg Drain ELF Crawl Drain Slab Inspection Notes. SIT Post&Beam - Shear Anchors Ext Sheath/Shear �. Int Sheath/Shear Framing —_ -- Insulation Drywall Nailing - -J - - ---- - Firewall Fire Sprinkler Fire Alarm Q2C- Susp'd Ceiling Roof Other:_ S' Final L ----- PASS PART_ FAI (, PLUMBING Post&Beam Under Slab Rough-In Water Service --- -- — ---� Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain --�---- Shower Pan Other: -------- ------- --...- - - ;.___ Z AS PART FAIT_ E_C_HANICAL Post& Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL ELEC?RICAL Service - - - Rough-In ---- UG/Slab Low Voltage -- Fire Alarm Final ❑ Reinspection fee of$ required before next Inspection. Pay at City Hell, 13125 SW Hall Blvd. PASS PART FAIL SITE _ - ❑ Please call for reinspection RE: ❑ Unable to f'nspect-no access Fire Supply Line 1 /� ADA DaAb D U,' fn�spector _6C_ Ext _ Approach/Sidewalk Other: _- Final DO NOT REMOVE this Inspections record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BLIP Received Date Requeste PM_. -__ BUP _ c�' l 1 ✓�.//1 ��llV �C.cti - - Suite MEC Location _ - Contact Person _--_..._— -7�'`�1'� Ph(—) 3 '+3�5 PLM Contractor Ph (- t _�.. SWR - - - - BUILDING Tenant/Owner ELC -- Footing ELC FrlaAccess; ELR � Ftg tg Drain in Crawl Drain - ----- SIT Slab ( Inspection Notes: Post&Beam - -- -- -- - TyY►H'16�cr.r�7 Shear Anchors Ent Sheath/Shear - --- - --- Int Sheath/Shear Framing -- Insulation Drywall Nailing --- - ------- Firewall Fire Sprinkler — Fire Alarm Susp'd Ceiling -v -- -- - 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: --- Final _ PASS PART FAIL MECHANICAL - Post&Beam- Rough-In -- - - -------- - _.. . . - ---- - Gas Line Smoke Dampers ------ - Final PASS PART FAIL "- --- ---- _ ELECTR!1;AL Service Rough-in ----- --- - -. UG!Slab Low Voltage - ----.__..- --- _--- ---- - Fire Alarm t'tfi Reinspection fee of$.__- __-_required betore next inspection. Pay at City Hell, 13125 SW Hall Blvd. PART FAIL - ---- ___- Unable to inspect-ru access SITE Please call for reinspection RE:_- ___-_-�-__ Fire Supply Line - ADA Date . Inspector - _._Ext_ Approach/Sidewalk Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL Main Office Salem Office Bend Office P.U.Box 23814 10 Hudson Ave.,NE P.O.Box 7918 Tigard,Oregon 97281 Salem,OR 97301 Bend,OR 97708 hone(503) Phone(541) Carlson Testing, Inc. `FAX(503)684-0954684-3460 Phone FAX(503)589-91309-1252 8 991 3 0 9(503)582 FAX(541)330-9330-9155163 Special Inspection FINAL SUMMARY LETTER October 31, 2002 T0009300.B City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223-8199 Attn: Building Department Re: Quail Hollow South — Building #8 (Lots 35-37) 13008/13000/12Q98 SW Princeton Lane—Tigard, OR Permit No.: '_002-00084/85/87 Dear Sir or Madam. This is to certify that in accordance with Section 1701 of the Uniform Building Code and Chapter 24.20, Title 24, we have performed special iw;pection of the following item( ) per our inspection reports only- Installation of Epoxy Anchors All inspections and tests were performed and reported according to the requirements of Project Documents and, to the best of our knowledge, the work was in conformance -with the approved plans and specifications, approved change orders and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's design changes, approvals and verbal instructions. Our reports pertain to the material tested inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectf✓Ily Fuhmitted, JaF ESTING, INC. tpas rance Manager Becker Concrete Co. Froelich Consulting Engineering GGLO Architecture & Interior Design P WMRr"FrOFT.. N1 TRIMMW 9 CITY. w U F T I A(�.'+A R® — ELECTRICAL PERMIT- RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00220 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 10/15/02 PARCEL: 2S104DA-21100 SITE ADDRFSS: 12998 SW PRINCETON LN SUBDIVISION: QUAIL HOLLOW- SOUTH ZONING: R-4.5 BLOCK: LOT: 037 JURISDICTION: TIG Proiect Description: Instail low voltage for voice/video. A. RESIDENTIAL_ _ _ B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR At-ARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC; DATAITELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL# OF SYSTEb.1S"_ Owner: Contractor: BROWNSTONE QUAIL HOLLOW LLC AZIMUTH COMMUNICATIONS INC 12670 SW 68TH PKWY STE 200 P.O. BOX 508 PORTLAND,OR 97223 WILSONVILLE, OR 97070 Phone: 503-598-7565 Phone: 303-639-0110 503-639-0110 Rey #: FLF 36-94CLE SUP 2312JLEA LIC 145828 FEES Required Inspections Description Date Amount Low Voltage Inspection I t:LI'KM'1 11:1-11 Permit 10/15/02 $75.00 + Elect'I Final J'I'AX I �"%'n State Tax 10/15/02 $6.00 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 follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc Issued by �� r' h.. Permittee Signature OWNER INSTALLATION ONLY The Installation Is being made on property I own which is not intended for sole, lease, or rent. OWNER'S SIGNATURE: DATE: _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N " 1 'K—tI '� cL4 r iti� _ DATE: LICENSE NO: Call 639-9175 by 7:00 P.M. for an inspection needed the next ., !c;iness day �., ielec:trical Peanut Application [)ate received: _ �.� `L Permit no.: - City of Tigard ProjeLt/appl.no.: Expire date: �ityofTigard Address,: 131-15 SW Hall Blvd, Tigard,OR 97223 Date issued: Byte Receipt no Phone: (503) 639-4171 - - Fax: (503) 598-1960 Care file no.: Payment type: Land use approval: U 1 &2 family dwelling or accessory 0 Commercial/industrial ❑Multi-family U Tenant imp-ovement New construction ❑Addition/alteration/replacement U Other: U Partial Jot)address: ,,j&E:Tp, Bldg.no.: Suite no.: Tax ma /tax lot/account rto.: Lot: Block: Subdivision: U44 L SLrcc Project name:QkA L 9,01tT7r I Description and location of work on premises: Estimated date of completion/inspection: CONTRAC70111 APPUCATIONI Job no: Fee MjL` l.ttu f"f,` ,y , r -- Description Qt . (e&) Total Business Hume: no.lits New residential-single or multi-family per Address: V -+ dwrllingunit.Includes attached garage. City: ' � 4 t• It LC! Stater'! ZIP: %&.w Serviceiucluded: Phone:�t ti, Fa x,5 . Email: 1000 sq.ft.or less -- -- -.-a_.. Each additional 500 sq ft.or portion thereot CCB no.: Elec.bus.IIC.no: qV Ce7i Limited energy,residential City/metro lic.no.: O t(,1'')(p Pe' Limitedenergy,non-residential _ �. Each manufactured home or module-dwelling Signature of su rvisutg electricianlrequired) Date Service and/or feeder �--'—� Services or feeders-Installation, Sup.elect,nLicense nu: z L L: t � alteration or relocation: PROPEliffy 200 amps or less 2 % 'r r�f )IL 201 amps to 400 amps 2 Name(print): 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps _ 2 City: Slate: ZIP: Over 1000 amps or volts 2 Phone: T Fax: E-mail: Reconnectortly Owner installation 'I lie itNallation is being made on property 1 own Temporaryaervlcmorfeeders- which is not intended fur sale,lease,rent,or exchange according to Installation,alteration,or relocation: ORS 447,455,479,670,701. 200 amps or less — 2 201 amps to 400 amps Owner's si^nature: Dale: _ 401 to 600 am s '- Branch circuits-neva.alteration, or exlenslon per panel: Name: _ ______ A Pee for branch circuits with purchase of Address: service or feeder fee,each branch circuit City: ---J tate. ZIP: _ B. Pee for branch circuits without purchase of service ar feeder fee,first branch circuit: Phone: lax; E-mail: Each additional branch circuit: Mese.(Service or feeder not Included): U Service over 225 autps-covunercial U Health-care facility Each pump or irrigation circle U Service over 320 amps-rating of 1&2 U Hazardousloca0un Each sign or outline lighting fomllydwellings U Building over 10,000 square feet four or Signal ctrcutt(s)or a limited enerlty p,meL �I U System over 600 vols nominal inure residential units In one structure alteration,or extension* O Building over Aver stories U Feeders,400 amps or more *Description, U occupant load over 91,persons U Manufactured structures or RV park FAch additional Inspection over the allowable In any of the above: U Egress/lightingplan U Other --_— --- Per inspection ` I I I I— Submit_sets of plans wlth any of the above. Invesligafion fee _ 17he above are nol applicable to temporary construction service, other Nur all jurisdictions accept crcdn cords,please call jurisdiction for marc information'. Notice:'1.1115 pGr11111 application Permit fee............... ..... U visa U MasterCard expires if a permit is not obtained Plan review(at ` %) S Credit card number. within 160 days after it has been State surcharge(8%) ....$ Expires accepted as complete. TOTAL .......................S _ Name a cxrdhulder as shuwn an credit card S Catdholdcr signature Amount LIU 1615 t6t1rY('Okl i CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORT,ANT PERMIT NOTICE STREAMLINE ELECTRICAL DBA LAVALLEY CORORATION 6025 EAST 18TH ST VANCOUVER, WA 98661 Electrical SicgnatUre Form Permit #: MST2002-00087 Date Issued: 7116102 Parcel: 2S104DA-21100 Site Address: 12998 SW PRINCETON LN Subdivision: QUAIL HOLLOW - SOUTH Block: 037 Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse,Unit #37,Bldg 8,AS plan.STRUCTURAL FILL. REQUIRES GEO-TECH INSPECTION AND REPORTS Your company has been indicated as the electrical contractor for the permit indicated above In order for the elec'(rical 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 wort: 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 68TH PKWY STE 200 DBA LAVALLEY CORORATION PORTLAND, UR 3'/Z[3 6025 EAST 18TH ST VANCOUVER WA 98661 Phone #: 503-598-7565 Phone It: 360.03-5080 Req #: LIC 116514 ELE 34-432C SUP 4801S AN INK SIGNATURE IS REQUIRED ON THIS FORM ;i Signature of Suervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITY ®F T'G A R D MASTER PERMIT PERMIT#: MST2002-00087 DEVELOPMENT SERVICES DATE ISSUED: 7/16/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12998 SW PRINCETON LN PARCEL: 2S104DA-21100 SUBDIVISION: QUAIL HOLLOW - SOUTH ;L1 IING: R-4.5 BLOCK: LOT: 037 JURISDICTION: TIG REMARKS: SF rowhouse,Unit#37,Bldg 8,AS plan.STRUCTURAL FILL, REQUIRES GEO.-TECH INSPECTION AND REPORTS BUILDING REISSUE: STORIES FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: 172 of BASEMENT: a1 LEFT: SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 733 of GARAGE: 547 of FRONT: PARKING SPACES: TYPE OF CONST: SN DWELLING UNITS: 1. FINBSMENT: 733 of RIGHT: VALUE: S 102.20260 OCCUPANCY GRP: R3 BDRM: 2 BATH: 2 TOTAL: 1.630 00 at REAR: PLUMBING SINKS: I WATER CLOSETS. WASHING MACH 1 LAUNDRY TRAYS: RAIN DRAIN. TRAPS: LAVATORIES: 2 DISHWASHERS I FLOOR DRAINS SEWER LINES: SF RAIN DRAINS CATCH BASINS: TUB/SHOWERS: GARBAGE DISP I WATER HEATERS: I WATER LINES: BCKFI W-REVNTR GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN c 100K BOILICMP�3HP VENT FANS- 3 CLOTHES DRYER: I LPG FURN>000K: UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: I 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: PUMP/IRRIGATION: PER INSPECTION. EA ADD'L 5005F- 3 201 400 amp: lot 400 amp: let WtO SVCIFDR: SIGNIOUT LIN LT: PER HOUR. LIMITED ENERGY: 401 500 amp: 401 500 amp: EA ADDL art CIR: SIGNAL/PANEL: IN PLANT: MANU HMISVCIFDR: 601 - 1000 amp: 601+amps•1000v: MINOR LABEL: 1000+amplvolt PLAN REVIEW RECTION Reconnect only: >•0 RES UNITS: SVCIFDR>=225 A.: >600 V NOMINAL: f,19 AREAISPC OCC: _ ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIONL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATArTELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,000.08 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 STE 200 12670 SW 68TH PKWY all other applicable laws. All work will be done in PORTLAND.OR 97223 PORT' IND,OR 97223 accordance with approved plans This permit will expired work is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION Phone Phune. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set Reg a: 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 Plm/undsib Insp Framing Insp Firewall Insp Electrical Final Footinq Insp Electrical Service Gas Line Insp Gyp Board Insp Plumb Final Fnundation Insp Electrical Rough-in •nsulation Insp Rain Drain Insp Mechanical Final Wtr Proofing Bsm't Wa Mechanical Insp Shear Wall Insp Water Line Insp Building Final Slab Insp Plumbing Top Out Exterior Sheathing Insl Smoke Detector Final infection Issued By :( ,�'- tit = ,�T� yl -- Permittee Signature : 144 Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next biisln day CITYOF TI G AR D — SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00062 13125 SW Hall Blvd., Tigard, t- R 97223 (503) 6,39-4171 DATE ISSUED: 7/16102 SITE ADDRESS: 12998 SW PRINCETON LN PARCEL: 2S104DA-21100 SUBDIVISION: QUAIL HOLLOW - SOUTH 70NING: -�-4.5 BLOCK: --- LOT: 037 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: -- ---- --- -- — BROWNSTONE QUAIL HOLLOWFEES 12670 LLC _ -- — --- -- 12670 SW 68TH PKWY STE 200 Type By Date Amount Receipt PORTLAND, OR 97223 PRMT CTR 7/16/02 $2,300.00 27200200000 INSP CTR 7/16/02 $35.00 27200200000 Phone: 503-598-7565 Total $2,335.00 Contractor: Phone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap a d Side Sewer" Perm 1 / Issued by: j,t,0_ ��i Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next b 4rngs day r Building Permit Application r �Dateroceived: i1 y r'% Permitno.: City : 1 Tigard "GEN n Crrr.,jliguni Address: 13125 SW Hall Y 6� P►oject/appl.no.: a date: Phone: (503) 639-4171 Date issued: y Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: e w ry 91-- ... 1&2 family:Simple Complex: r• ' 7-1 U i k 2 family dwelling or accessory Q Commercial/industrial U Multi-family U New construction U Demolition Add iti orvalterat ion/replacemen t U chant improvement U Fire sprinkler/alarm U Other: 3011 SITE INFORMATION Job address: �, �� / Bldg.no.: Suite no.: Lot: Block: Subdivision: _ _ _ Tax map/tax lot/account no.: 5/D� ✓7- 5 Project name: All — Description and location of work on premises/special conditions: Name: O(,1, t�S ' Mailing address: 6,FTN 1 Ar 2 family dwelling: City: nr4,. I State:0R I ZIP: Valuation of work........................................ � Phone• - Fax: p E-mail: No.of bedroomJbaths................................. Owner's representativr: a Total numberof floors................................. -- — Phone: 8 I n x:C., E-mail: New dwelling arca(sq.ft. _ Garage/carport area(sq. ft.)......................... Name: Covered porch area(sq.ft.) ......................... _ Mailing address: 90 s W _ Deck arca(sq.ft.) .. .. City: State: LlI. 4 Other structure area;sq. ft.)._ Phont•: ,s Fax: E-tnail: _ Commercial/industrial/r-.rtdti-family: Valuation of work........................................ $-- Business name: t I�s ( t Existing bldg.area(sq.ft.) .......................... — - Address: 6TVIA New bldg.area(sq. ft.) ................................ — r _ ` Number of stories City: TYn v TlG•F $tatC:Q ZI Phone - .- ,' Fax:b ara mail: Type of construction................................. .. - - ---- Occupancy group(s): Existing: CCB no.: _-6- ---- - - --- New: _ City/metro lie.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: G 6 LIC) provisions of ORS'101 and may be required to be licensed in the Address: Q ;� -5 c. lc— G jurisdiction where work is being performed.If the applicant is Cit : Stute ZIP: - — exempt from licensing,the following reason annlic.;. Contact person: Plan no.: - Phone: _ ix: E-mail: Name: ,r Contact person: Fees due upon application ........................... S Address: �-��w r c c� Date received: __ City: c•,.r-ct tate: ZIP — 3 Amount received .................. _ S---- Phone: ,4_gf),p Fax: E-mail i Please refer to fee schedule. J I hereby certify I have read and examined this application and the Na all iud"Ldow exept cmdjt cards,please call Jurisdiction for more information attached checklist.All provisions of laws and ordinances governing this U Visa U MaalerCard work will be complied whcdi ed herein or not. Cre&card number Cep Authorized sign arc: e: — Num der as alma on credit card Print name: ' ---caMhotder s tmatwAmount onnt Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted m complete. 110.4617(WOOMM) Plumbing Permit Application — Datcraxived: Permit no.: r)f U 0 7-Owe�. City of Tigard Sewer permit no.: Building pemdt no.: Address: 13125 SW liall Blvd,Tigard,OR 97223 Pro cell Expire date: cin.J7;f;nr'1 phone: (503) 639A]71 i �p1 no.: — Fax: (503) 599-1960 nate issued: _ _ By: Receipt no.: Land use approval: v Cau rile no Payment type. TYPE OF PFAMIT U I R 2 family dwelling or accessory U commercial/industrial ❑Multi fanuly U Tenant improvement U New construction U Addition/altelation/iepkiccuient U Food service U Other: 1 information Description (h Fee(ca.) Total Job address:(2r"1 , r �ct �_____. NeA I-and 2-family dwellings only: Bldg.no.: I Suite no.: _ (Includes 100 ft.for esichutility connection) Tax map/tax lot/account no.: SFR(1)bath Lot: ' i Block: Subdivision: SFR(2)bath Project name: SFR(3)bath -- City/county. ZIP: - _ Each additional badVkitchen Description and location of work on premises:_ SitetrtWties: Catch basirdarea drain wellstleach lineltrench drain Ist date of ccmy It-11ou/inspr_Ctiort: FotKing drain(no.lin.ft.) 11 Manufactured home utilities Manholes _ Wolcott Plumbing Rain drain connector PO Box 2007 Sanitary sewer(oo.lin.ft.) _. Gresham OR 97030-0594 Storm sewer(no.lin.it.) 503-667-1781 Water service(no.lin.ft. CCB-23847 PLM //:26-20s'Ti Fixture or item: Absot tion valve Contractor's representative signature:_ Back flow prrvcnter Print name: Date: _Backwater valve WNTACT e pasinstlavato _ Clothes washer Name: - _ —_ Dishwasher Address: _ Drinkin..fountain(s) City: —_ - _�Statc: ZIP: E�ors/stun Phone: 1'ax l3 snail: Eatpansion tank Fixturelsever cap Floor drains/(loor sinkslltub Name(print): Garbage disposal _Mailing address: Hose bibb _ City: State: ZIP fce maker Phone: Fax: &mail: interceptor/grease trap t ;Wer installation/residcntial maintenance only: Thr adtral installation Primer(s) will be made by me or the maintenance and repair made by my regular Root drain(commercial) _ employee on the property I own as per ORS C:Itaptei 447. Sin (s),basin(s),lays(s) Owner's signature: _ Date: __ Su111 IN I N m _ Tubs/shower/shower pan Urinal Name: _ Water closet ^— — Address: _ Water hester _ City: State: — Other. Phone: Fax: mail: 7'0 Minimum fee................S Na.0 Wgdwdm Wa*ee&i c",View call} Ls&cttm for ow is<arsmk& Notice:this permit application Plan review(at _rib) $ U Vise U MssterCwd expires if a permit is not obtained State surcharge(11%)....s __ - ;t within 180 days after it has beat air e.a = accepted as complete. TOTAL ......................s __ Can4idda Pam — Meow 44&416(6011000M) r Mechanical Permit Application nate received: City of Tigard pmjecl/appl.00.: Expire date: City ofTigard Address: 13125 SW]fall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 6394171 Fax: (503) 598-1960 Case file no.: Payment type: _ Land use approval: Hui ldingpennitno.: TYPIE-61F ❑ 1 &2 family dwelling or accessory l]Commerciallindustrial ❑Multi-family U Tenant impmvement ❑New construction U Addition/alteration/replacement ❑Other: _--- JOB SITE t , u t r Job address: & !!!� ��c t �� a Indicate cquipmemn quantities in boxes below.Indicate the dollar Bldg.address- no. Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ l,ot: Block: Subdivision: *See cherrklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: ZIP: t m Description and location of work on premises: 71AU Fec(ea.) TOWEst.date of completion/inspection: -- Res.od Rr.sol Tenant improvement or change of use: Air handling unit -CFM Is existing space heated or conditioned?U Yes 0 No Aircon itionng(alep an trqumr ) — Is existing space inrulaterP U Yep U N A terauono e-x cystem t ( Boller/compressors MECHANICAL. State boiler permit no.: HP Tons BTUNI _ Four Seasons Healing&A/C Service Inc , 3mo a uctsmokae ectors PO Box 66409 Heat pump(e�mte plan tegw: ) Portland OR 97290-6409 nstail7repplacefurnacetburmmur-- 503-775-5919 Including ductworldvent liner O Yes❑No CCI3: 48283 nsta I rep to eaters-suspen , wall,or flow mounted Name(please print): Vent fora rarm000-Tri«than furnace Ism Absorption units BTU/H Clmillcrs__ HP Name: Cor rmssars — Hp Address: EnThvUsawellsoms an ventilation: City: Talc: ZIP:_ Appliancevent -- _ Phone: Fax: E-mail: ryere csi �doo s, U-ffTr��citc mer raimat hood fire suppression system — Name: Cxhaust fan with single duct(bath fans) _ ?xhaust system a artf� rom ng or KC Mailing addrrss: ;vep on(up to outlets) City: Stale— ZIP: Type; IYG —__ NO —oil Phone: mail: Fuel pipingam iuona over 4 oar eV piping( ematirequr ) Number of outlets 1A7ddt,,-, iter I[d�iance or eq pment:Decorative fireplace Slate: ZIP: r ert-typeity: _— �__ - tov et Bove Phone Pax: E Frail: (xr. Applicant's signature_ Date: Name(print): — Permit fee.....................S --- Nd all hrcirtdicelans t credit sada rlea+e coil Jwidicuan ra nae 4Jamrton. Notice:'Ibis permit application Minimum fee................$ —.----- U Visa ❑MasterCard expires if a permit is not obtainal - Credit card numbs.-- -_--- — t within 180 days after it has been State review(el — ,) S — State surcharge(8%)....$ — rnae or u on c.d acid accepted as complete. TOTAL. .......S —r rdbolda tltprsune Amour 4"17(610 KI" as Electrical Permit Application Date received: Permit no.: City of Tigard Project/appl.no.: Expire date: C•rrvnjT+gard Addrors: 13125 SW Hall Blvd,'Figard,OR 97223 Date issued: By: Receipt no Phone: (503) 639-4171 Payment type: Fax: (503) 598-1960 Gsefileno.: Land use approval: _ 1 rr�_J�1 &2 family dwelling or accessory U Cornmercialfindustrial U Mule-family U Tenant improvement U New construction U Addition/alteration/wpIaccnnc tit U Other _ U Partial 40ORMkTiON Job address: -S W ��c._ 1 Bldg.no.: Suite no.: — Tax map/tax lot/account no.: Lot; Block: Subdivision: — Project name: I Description and location 0f work on premises: _ Estimated date of completion/inspection: CONTRACTOR Job no: — Fee —_ - — -- -- - Dewription Ory. (n) lolal noMai.fns Q,..:. .- Streamline ElectricWewresidential-atiociroraautl-famllyper DBA LaValley Corporation dwrtwv unit.e"ceinclud MM x.tt,rheag.r.ge. Service Yx•Iaded: 6025 Fast 18"'St 1000 sq ft or less a _. Vancouver WA 98661 Each additional 500 sq ft.or portion thereof 360-993-5080 Limited energy,residential 2 CCB:116514 ELCM; 34-432( SUM _ _ Limited energy,non-residential _ 2 Each manufactured horse or modular dwelling — _Service and/or feeder 2 Si nature of supervising electrician(required) Date Servleesorfteeien-lastillation, Sup elect.name(print) lJcetteeno: alteration or relocation: PROPCRTV OWNER 200 amps or less 2 201 amps to 400 amps 2 Name(ptin* 401 amps to 600 amps - 2 r Aaiting addre,s: _ 601 amps to 1000 amps 2 City' Slate: ZIP:+ ^ _ Over 1000 amps or volts - 2 Phos+!: Fax: E-mail: Reconncctnnl t Ownei installation:Thr installation is being made on property I c wn btsuitaran taretcn or feeders- Yatallation.dtentloa,or relocation: which is not intended for sale,lease,rent,or exchange accordin f,to 200 amps or leas __ 2 ORS 447,•455,479,670,701. 201 amps to 400 amps _ _ 2 Owner's signature: Date: 401 to 600 ams — 2 Bratteb circuits-arse",alteration, or exteaslon per panel: Name: _ _ A. Fee for branch circuits with purchase of Address: - service or feeder fee,each branch circuit _ 2 Stale: ZIP: B. Fee for branch circuits witho+u purchase City: of service or feeder fee,first branch circuit _ 2 Phone: Fax: E-mail: fetch addnuonal brach circuit _ Mkc.(service or feeder not Included): or ttti auncircle 2 ❑Service over 225 amaFoch pum o ps-comntercinl U Health-care ��.--�-- --- 2 O Service over 32o amps-rating tit 13k2 U Hazardous fixation Each sign or outline fighting _ _ familydwellings U Building over 10,(100 square feet four of Signal r^rmt(s)or a limned rnengy panel. U System over 600 volts rrominal more residential units in one suuctute alters..on,or extension' 2 U Building over three stories U Fellers,400 amps or more •ikon tion. _ — — U Occupan load over 99 persons U Manufactured structures or Rv pink Each additional bsapeetlon over the allowable In any of the above: U Fi4ms gightingplan U Other --_-- - Pernnspectton -- - -- Submit—,rets of plane with any of the above. Investigation fee The above are not applicable to temporary conslrnctioo service. Other _ Notice:This rmit application Pennit fee....I. ..............S _ NM all)unsdirtiotu accco ar dr cards,pkase call Juriuktim fa more irdor"W'"o Pe pp Plan review(at __ 96) $ U VIS] U MasterCard expires if a permit is not obtained ('relit card cumber within 180 days after it has been State surcharfe(11%)....$ -- `�1tf accepted as complete TOTAL .......................$ — Name of cardholdrr uihrwa an credit card s Cardbotder sipattre - AnwW W-4615 O6WA 0!71 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 #: MST2002-CCIJ87 Date Issued: 7116/02 Parcel-. 2 S 104DA-21100 Site Address: 12998 SW PRINCETON LN Subdivision: QUAIL HOLLOW - SOUTH Block: Lot: 037 ,Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse,Unit #37,Bldg 8,AS plan.STR.UCTURAL FILL, REQUIRES GEO-TECH INSPECTION AND REPORTS 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' 12670 SW 68TH PKWY STE 200 PO BOX 2007 PORTLAND, OR 9722:3 GRESHAM, OR 9IU3U Phone #: 503.598•-7565 Phone #: 667-1781 Reg #: I Ir 23847 PI M 26-208PB .AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature o uthori d Plumber If you have any questions, please call (503) 639-X1171, ext. # 310 AAAAAAAAAAAAA IAAAAAAAAAAAAAAi .AAAAAAAAAAAA/, 4 ► 4 pop. ► L,Ulet ► ► jro d Poo. 4 r ro ► ro 4 d rD1,4 n ar ► ro ► J N ' - -', � O loo. �I a � ► rt) M ► �- � a 7 ►i , n . ► pool ( 1 _ 40*0 ► ► 44 .q44 ► x (`� ► 44 44 4 ► i � � o � w � � � � �. � � ° n � n n z �' � � � � � � p. y .n. N. � � O � � n N G O < a a� b °' � �` � � 3 � � � J N � � � � R � �� . � � � � a ti a (� �0 � � � � o � o � ;-� �. � n � a �� ' �0 v ,� g O � O o � `� � � ° � '� o � � a� n 0 :� 0 s`�