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13000 SW PRINCETON LANE O 7 13000 SW Princeton Lane CITY T`Y' ®F T I A`;A R D MASTER PERMIT PERi."IT #: MST2002-00085 DEVELOPMENT SERVICES DATE ISSUED: 7/16/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-417'1 SITC- ADDRE'•S: 13000 SW PRINCETON LN PARCEL: 2S104DA-21000 SUBDIVISION: QUAIL HOLLOW- SOUTH -ZONING: R-4.5 BLOCK: LOT- 036 JURISDICTION: TIC REMARKS: SF rowhouse,Unit#36, Bldg 8, As plan. STRUCTURAL FILL, REQUIRES GEO-TECH INSPECTION AND REPORTS BUILDING REISSUC: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS RECUIRED CLASS OF WORK: NP VV HEIGHT: FIRST: 172 of BASEMENT: at LEFT: SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 733 of GARAGE: 547 of FRONT: PARKING SPACES: TYPE n'CONST: 5N DWELLING UNITS: I FINBSMENT: 733 0l RIGHT VALUE: S 162.203 00 CCCoPANCY C.AP: R3 BORK 2 BATH: 2 TOTAL: 1.63800 of REAR: PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 2 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS. TUBISHOWERS: GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOIL/CMP<3HP: VENT FAN3: 3 CLOTHES DRYER: 1 LPG FURN>•1001(: UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: I ELECTRICAL RFSIUENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BP.,NCH t,:RCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 1 0 200 amp: WISVC OR F'1R: PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 400 amp: 201 400 amp: tat WIO SVCIFDk SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 •600 amp: EA ADDL BR CIR: Si?NAUPANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 6W+ampa•1000v: MIN(IR LABEL: 1000+amolvoll: PLAN REVIEW SECTION Reconnect only: 1:4 RES I(NITS SVCIFDR>.225 A.: >600 V NONINAL C LS AREA/SPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM:PAGING: OUTDOOR LNOSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE,Ii'RIO: PROTECTIVE SIGNL: 3ARAGE OPENER CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAfTELE COMM: VURSE CALLS: TOTAL N SYSTEMS Contractor: TOTAL FEES: $ 6 000.08 Owner: This permit is subject to 'he reg Mations contained in the BROWNSTONE QUAIL HOLLOW LLC BROWNSTONE HOMES, LLC Tigard Municipal Code,State o OR Specialty Codes and 12670 SW 68TH PKWY STE 200 12670 SW 68TH PKWY all other applicable laws. All w rk will be done in PORTLAND,OR 97223 PORTLAND,OR 97223 accordance with approved ple Is. This permit will expire if work is not started with in 180 Jays of issuance,or if the work is suspended for more I tan 180 days ATTENTION Phone: Phone: Oregon law requires you to fallow rules adopted by the Oregon Utility Notification C enter Those rules:re set Rog 0: LIC 124927 forth in OAR 952-001-001( through 952-001-0080. You may obtain copies of thes.rules or direct questions to OUNC by calling(503)2,6-1987 REQUIRED INSPECTIONS Sewer Inspection Plm/undslb Insp Framing Insp Firewall Insp Electrical =1nai Footing Insp Electrical Service Gas Line Insp Gyp Board Insp Plumb F 1al Foundation Insp Electrical Rr'Igh-In Insulation Insp Rain Drain Insp Mechar cal Final Wtr Proofing Bsm't Wa Mechanical Insp Shear Wall Insp Water Line Insp Buildir j Final I Slab Insp Plumbing Top Out Exterior Sheathing Ins{ Smoke Defector Flna spectlon � -- t Issued By : �- <<<. _ Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the r ext b sill day CITYOF TIGARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: S 16/02 . 00061 DP's "'iUFD: 7/16/02 13125 SW Hail Blvd., Tigard, OR 97223 (503) 639-4171 1R C E L: 2S 104DA-21000 SITE ADDRESS; 13000 SW PRINCE-I ON LN SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT: 036 _ JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USt: SFA NO. OF BUILDINGS: INSTALL TYPE: L-rPSVVP IMPFRV SURFACE: Remarks: Sewer connection Owner: FEES BROWNSTONE QUAIL HOLLOW LLC Type By _ Date Amount Receipt 12670 SW 68TH PKWY STE 200 - 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 #i: 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 Cie 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 Se)" Perm I Issued by: ,� t2� Pormittee Signature: 4 f 'n I (, �;'� �tGt cit t - -- Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next b4siness day r i Building Perinit Application 70iCtjppl.no.- =Etdte-. o.:Cit of Ti andy a • !dress: 13) 6 SW Hall fir"' � } � s Pho •: (503) 639-4171 ` Date issued: 4y! J I Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Ladd use approval 1&2 family:Simple Complex: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family 17 New construction U Demolition U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other JOB.SITE INFORMATION ,lob address: C L�L�' ' r Bldg.no.: Suite no.: Tax ma /tax Lot: ,3 b Block: Subdivision: lot/ ccount no.:" P � Project name: - --- --•- - — Description and location of work on premises/special conditions:.__ -- - — 1 '11 , , Name: Mailing address: n - 11 do 2 fatmlly dwelling: City: p r•I eA State:0 ZIP: Valuation of work........ .... .......................... Phone• Fax: E-mail: No.of bedrooms/baths................................. _ Owner's representa'ive: P.0 ' e. Total number of floors............... ................. "e: (' '� Fax: Email New dwelling area(sq.ft.) ...................... Garage/carport area(sq. ft.)......................... -_-- t," � - Covered porch area(sq.ft.) ........, Deck area(sq.ft.) ........................ Mailing address: 1 Cit State: ZII. Cj Other structure arca(s .ft.)......................... _ y' t- Commercial/industriallmal(l-family: Phone: � � Fax E-mail: Valuation of work......... $ 1 1 Existing bldg.area(sq. ft.) .......................... _ Business name: R r-e t.(.! t✓.A New bldg.area(sq,ft.) Address: g r Number of stories........................................ City: StatcxD ZI Type of construction Phone _ -&Yj Fax:610- ' mail. _ - Occupancy group(s): Existing: CCB no.: 6-12. New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name:_ r✓n provisions of ORS 701 and may be required to be licensed in the -� jurisdiction where work is being performed.If the applicant is Address: v e. a te ZIP: exempt from licensing,the following reason applies: Cit Sta Contact person: Pleur no.: --- Phone: _� x: E-mail: Name: j;w. t vn¢l!c I. Contact person: Fees due upon application ........................... $ i Address: (t r c c Date received: _ f�� ................................. $_ Cit ��.c{ tate: Z1P: 3 Amount received ........ Y Phone: Fax: E-mail: Please refer to fee schedule. _ I hereby certify I have read and examined this application and the Nd all)urixtfcOns accept« 'cards,plane calf)urtsdicdm ra"w`tn(ormauoa. attached checklist.All provisions of laws and ordinances governing tans U Visa ❑MastetCard work will be compliedFwhethe WA ed herein or not. credii card number - P Authorized si lute: — Name of urdlwldet u ohm""00"M erd s �„ —� Aaatmt Print name: - -- c'rw°td«d�nume Notioe:This permit application expires if it permit is not obtained within 180 days after it has been accepted as complete. I(60arC'OM) \ Plumbing Permit Application Datereceived: Permit no.:MSf.;C o G moA City of Tigard Sewei permit no.: Building pennit no Address: 13125 SW Hall Blvd,Tigard,OR 97221, Ciry ojTigard Phone: (503)639A 171 Project/appl.no.. Expire date: Fax: (503) 598-1960 Date issued: BY: Recript no.: Land use approval: _—__ _ Case file no Payment type U I &2 family dwelling or accessory U Commer-cialfindustrial U Multi-family U Tenant improvement U New construction U AdditiorL/alteratiottheplacement U Food wrvitx U Other. ( t Job address: Descrip-tion . l re(es.) "l Dial `-=�`t''`� — Nen 1-and 2-fam11y-dellings only: bldg.no.: I Suite.no.: (includes loo ft.forraeh unlit y connection) Tax map/tax lot/account no.: SH,' (1)bath Lot: ' Block. Subdivision: SFR(2)bath -- Project name: SFR(3)bath -- City/county: ZIP: -_ [inch additional bath/kitchen Description and los-.oc i of work on promises:—�_ SitetutWties: _ Catch basin/area drain Est.date of completionhnspeo;rr: i Dr wells/leachline/trench drain Footing drain(no.lin.ft.) PLUMBING CONTRACtOk Manufactured home utilities Manholes Wolcott Plumbing Rain drain connector PO Box 2007 Sa U7 sewer(no.lin.ft.) Gresham OR 97030-0594 St -.t sewer(no.lin.ft.) 503-667-1781 V der service(no.lin.ft) CCB:23847 PLM t/:26-20811B Fixture or hem: — Absorption valve _ Contractors representative signaWre: _ fleck flow prevzmter _ Print name: Date: Uackwater valve Basins/lavatory -- Cloches washer _ Name: Dishwasher _ Address: _ Drinking fountain(s) City: - State: ZIP:— jectors/sttmp - -- Phone: Fax: E-mail: Exansion tank — I�lxture/sewer t& Floor drains/floor sinks/hub _ Name(print):_ _— Garbage disposal Mailing address: Hose bibb C%ty: State: _ ZIP: kx maker _ - Phone: Fax: E-mail: Interceptor/grease trap -- Owner installation/residential maintenance only: The achal installation Primers) _ 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),Iays(s) — Owner's signature: Date: Sum Tubs/shower/shower pan Urinal _ Name: - Water closet - Address. _ ater heater City: Sa-t--teT: - Other. Phone. Fax: I B-nufl: Tobd Nat d1 krtdiafon�coept uedit ardr.s an)ul c:ia"tQ'°°'e Yf^'�rtm Notice:This permit application l nir�ltun fee............ ) S permitO Vi" O MutaCard expires if a pmnit is not obtained Plan re (at _%)) $ Cm&t card..weer: within I SO days after it has leen State surcharge(896)....$ _—_— TOTAL.......................S toaeptrd as complete _--- Now at M100f r bore as ae&u�i S Ctrdenyfa f— �— — Ansa 440 4616(6) OOW) MechanicalPermit Application Datereceived: City of 'Tigard Projoct/appl.no.: Expiredate: CiryoI Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: I Receiptno.- Picone: (503) 639-4171 Fax: (503) 598-1960 rBui file no.: Payment type: —-- ing permit no.: Land use approval: U 1 &2 family dwelling or accessory U c m inercial/indw tr,al U Multi-family U Tenant improvement J Addition/ah�iauuttI[ pla�rrlcnl la Oflicr: – ---- ❑New construction - - - � - r IT ll Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: Job address: -� �' S w '�`!Swtc no..::e ` ��= value of all mechanical materials,cyuipment,labor,overhead, n profit.Value$ _ Tax map/tax lot/account no.: Ib Block: Subdivision: *See checklist for important application information and jurisdiction's fee schedule for residential permit fee. Project name: t ZIP. City/county: r Description and location of work on premises: __� c t t sr Fee(".) Total Bt.date of completion/inspection: lkutilNinn (�y. Rrs.only Rcs.nnlr Tenant improvement or change of use: Air handling unit CFM Is existing space healed or conditioned?U Yes U No Aircon r ontng seep an regmr ) _ Is existing space insulated?U Yes U No Alleradono exrsung Csystem i a compressors State boiler pertnit ro.: ...._:__•_ - HP Tons BTU/II Four Seasons Beating w A/C Service Inc _�rrAmoo eTam octsmoke aecturs PO Box 66409 eat pumpto s pan ; Irr� Portland OR 97290-6409 TnsWU eplacefurn?a burner Including duc_tworkivent liner O Yes O No 503-775-5919 _T__1UT reocate teeters-suspend , CCR: 48283 wall,or floor mounted enT/—t foTp_pTa_n_ce5ffier than furnace Natnc(please ptwt): e6911111low, t Absorption units__ BTU/II Chillers---- III' Name: -- - __ - __— —— Co ressors _ HP Address: FAvimarmial ex est and ventilation: _City: State: ZJR Appliance vent Picone: Fax r-mail: -Dryerexhaust s, 'ypc res. 'tc c armor hood fire suppression system Name- Uhaust fan with single duct(bath fans) --- Ix aust systema art from ea nor C Mailing address: -- j eppppj - on(up- tooutlets) City: State: ZIP: Type: UIG __ Na (NI Phonc: Fax: Email: c1piriingeazTia i ona over oar ets Tag(. emaucrerpt r ) NUmber of ont!ets Name: ter ftp ceerequpmenl: Address: Decorative fimplace — CState: ZfP: _ -insert-type City: (oe Phone: Fax' &mail: mer: Applicant's signature: Date: _ Other. Name(print): Permit fee.....................$ _ Not.n + GI *W an juri"m`u°a for um wmnsfi 1L Notice:This permit application Minimum fee................$ U Yue U Mastercard cxpirts if a permit is not obtained plan review(at —%) $ _ Geett crrd number. ---- ---L—�-- within 180 days alter it has been �t y State surcharge(8%)....$ _ _F «��rhI oo=AM Md accepted as complete. pUbdeer aReaure ,-- —Aooai 4104617(doovoa) Elech ical Permit Application Date received: Penult no.: 00 zipoaf5 City of Tigall d Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: I Receipt no.: Phone: (503) 639-4!71 Fax: (503) 598-1960 Case file no.: Payment type: Land tine approval: t U 1 &2 family dwelling or accessory U Commercial/industrial U Multi family ❑Tenant improvement U New construction U Addition/alteration/replacement Cl Other: � U Partial t . Pr t �. rc. Bldg. no.: Suite no.: Tax mapltax lot/account no.: I Block: Subdivision: Project name: Description and location of work on promises: _ Estimated date of completionhnspection: S1 INTO I IVMV� Fee 111ax .)fob no: __ putt loo this f-a) foul no ins Streamline Electric �ara�-�y� deeded: `auicheil�' DBA LaValley Cotporatiou SarviabeYtded: 6025 East 18°i St 1000 sq ft.or leas -- 4— Vancouver WA 98661 Each additional Soo sq ft.or portion thereof 360-993-5080 l.imitedenergy,residenual _ z CCB:116514 E1,01: 34-4320 SUPil: Urnitedener y.rron-reatdential Each manufactured home or modular dwelling Dale Service and/or feeder 2 Signature of su rvising clecMcian( uired) serrkesorfeeder%-InstallatWit, Sup.elect.name(pnno. Ucenseno: alteration ormloation: 200 amps or less 2 201 amps to 400 amps 2 Name(print): 401 amps to 600 amps _2 Mailing address:r 601 amps to 1000 amps _ 2 City: State: ZIP: over 1000 amps or volts _ 2 Faz: Eil: Reconnectonl I Phone: -maTeary aarrlcea or fe4alera- Owner installation:The installation is being made on property I own Temdiorary dtentloe, a relocation:which is not intended for sale,lease,rent or exchange according to Ins200 amps or less 2 ORS 447,455,479,670,701. 201 amps to IW amps _ 2 Owner's si nature: Date: __ 401 to 600 ams 2 Branch circrrlts-new,alteration, or exteadoo per Panel- Name: A. Fee for branch circuits with purchase of Address- - service or feeder fee,each branch circuit — ?_ City: State: ZIP: B. F a for branch circuits without purchase _ of service or feeder fee,first branch circuit: 7 Phone: Fax: E-mail: Ext additional branch circuit: Mise.(Service or feeder not included): Each Pum or irrigation circle 2 O Service over 223 amps comrnercid O Fiealthtare frility —�' --- Z Each sign or outline fighting _ O Service over 320 amps rating of 1&2 U Hazudous location Signal circuit(s)or a limited energy panel. familydweIIinV. OBuildingovv10.0(l0square feet four or g U System over 600 volts nominal more residential units in one structure alteration,or extension* U Building over three stoner U Feeders,400 amps or more •Desch tion: - U Occupant load over 99 persons O Manufactured structures or RV park Each additional Ygw4dio t over the allowable In any of the above: O fgressAightingplan U fes' -- -- Per inspection Submit_was;of plans with any of the above. Inves,igation fee _The above are not applicable to temporary coesttttcllon trerviee, other Permit fee.....................S _ Noi ani;-r(sdictioru a:cepn credit cards.please call Judsdicuon tar mare irdarmrian Notice: s permit application Platt review(at -- %) $ _— U Visa O MaatcrCard expires if a permit is not obtained Ll_ within 180 days after it has been State surcharge(896)sass$ Credit card number: ��_ _—— Upim accepted cess complete TOTAI. .......................S Name of wdlwId"u shown on credit card s Cssdholdcr N6oature —, — 440-4615 wwtcom) 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 #: iulST2002-00035 Date Issued: 7116102 Parcel: 2S104DA-21000 Site Address: 13000 SW PRINCETON LN Subdivision: QUAIL HOLLOW - SOUTH Block: Lot: 036 Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse,Unit #36, 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 electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your coropany sign below and return this Electrical Signature Form prior to the start of the work to the address above, AT-TX 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 L.AVALLEY CORORATION PORTLAND, OR 97'223 6025 EPA18THAST Phone # 503-598-7565 Pho NC#: 36F 93 X50808661 Req #: LIC 116514 ELE 34.432C Slip 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 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WOLCOTT PLUMBING CONTRACTORS PO BOX 2007 GRESHAM, OR 97030 Plumbing Signature Form Pert-nit #: MST2002-00085 Date Issued: 7116/02 Parcel: 2S 104DA-21000 Site Address: 1: 000 SW PRINCETON LN Subdivision: QUAIL HOLLOW - SOUTH Block. Lot: 036 Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse,Unit #36, Bldg 8, As plan. STRUCTURAL r,ILL, REQUIRES GEOJECH INSPECTION AND REPORTS Your company has been indicated as the pl,ambing 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: P'L(JMBING CONTRACTOR- BROWNSTONE QUAIL HOLLOW LLC WOLCOTT PLUMBING CONTRACTOR! 12670 SW 68TH PKWY STE 200 PO BOX 2007 PORTLAND, OR 97223 GRESHAM, OR 97030 Phone #: 503-598-7565 Phone #: 667-1781 Reg #: i it 23847 P1 M 26-208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signatur&ZWAuthmTized Plumber If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD ELECTRICAL \ t RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00219 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6-59-4171 DATE ISSUED: 10/15/02 SITE ADDRESS: 13000 SW PRINCETON LN PARCEL: 2S104DA-21000 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT: 036 JURISDICTION: TIG Proiect Description: Install low voltage for voice/video. A.RESIDENTIAL B.COMMERCIAL_ AUDIO & STERFO: 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: PPOTECTIVE SIGNAL: INSTRUMENTATION. OTHE=R: TO I AL#OF SYSTEMS: Owner: Contractor: BROWNSTONE QUAIL HOLLOW LLC AZIMUTH COMMUNICATIONS INC 12670 SW 68TH PKWY STE 2.00 P.O. BOX 508 PORTLAND, OR 97223 WILSONVILLE, OR 97070 Phone: 503-59K-7565 Phone: 503-039-0110 503-639-0110 Reg#: ELF. 36-94CLE still 2312.11.1?A _ FEES Required Inspections Description Date Amount Low Voltage Inspection [[:LPRMTJ ELR Permit 10/15/02 $75.00 Elect'I Final ITAXj 8%,State Tax 10/15/02 $6.00 Total $81,00 1 his 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 Permittee Signature l 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 ! � C�- _�� DATE: LICENSE NO: D 3!'1 I C-44 Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application ADatereceivcd. _I _UZ Permit no. City of Tigard Pruject/appl.no.: Expire date: CiryujTigard Address: 13125 SW Hall Blvd,,rigard,OR 97223 Date issued: Byr Jeceiptno.: Phone: (503) 639-4171 Fax: (503) 598.1960 Case file no.: Payment type: Land use approve!: OV PERMIT U I &2 family dwelling or accessoryU Commercial/industrial 0 Multi-family U Tenant improvement New construction ❑Addition/alteration/replacement U Other: U Partial .1011 SITE INFORMATION Job address: Suite no.: jTax map/tax lot/account no.: Lzt: 13luck: Subdivision: f u —iof Project r;ame:(&Att_ 5-ytijK_ Description and location of work on premises: 7 c Estirwited:late of r;, ,;l,icuoniur,pection: CONTRACI'OR APPLICATION Jot)Ito: Fee iMar --- — Description Qty. (ea Total no.ins Business name: Ll,+tuTN Crp;l! r ,+ C r New residential-singleonnulU-fanrilyper Address: '� G` >, cl j 'SCcG dwellingunitIncludes attached garage. City: tt/.0 State:C{1_ ZIP. x'76, Servlceinciuded: Phone. •) .-fit v e: Fax.r E-mail: 1000 sq.ft.or less 4 Each additional 500 s ft.or portion thereof CCB no.. jtFSb' .Y Elec,bus.lic.no: e/ ',Ce� Limited energy,residential 2 City/metrolic.no.: G+ Wr�SI` Limited energy,non-residential 2 Each manufactured home or modular dwelling signature of su wtvismf:cle ;in(re uired) Dare Service and/or feeder License no:7� Servlcesorfeeders—Installation, Sup.elect.name(pnim, '477 r L o alteration or relocation: 200 amps or less '- 201 amps to 400 am s Name(print): _ irl I r r 1 N(i _ —_ 401 amps to 600 ams 2 Halling address: —_ 601 amps to 1(100 amps —_ 2 City: State: ZIP: Over IWOamps orvolts 2 Phone: fax: E-mail: Reconnect only1 owner installulinn:'I'bc installation is being made on property 17-11 Temporaryservlcesorfeeders- Installation,alteration,or relocation: which is not intruded for sale,lease,rent,or exchange according to 200 amps or less _ 2 oRS 447,455 479.670,701. 201 amps to 4uo amps owner's sipm tufc: -- - -- Date: 401 to 600 ams 2 Branch circuits-new,alteration, WF extension per panel: Name: A. Fee for branch circuits with purchase of Audit ti: service or feeder fee,each branch circuit _ -- — Stater ZIP: B Fee for branch circuits without Furchase City: _ --- of service or feeder fee,fire branch circuit Phone: — Fitx: E-mail: Each additional branch circuit: Mise.(service or feeder not Included): U Service over 225 amps-cununercinl U Nenitlrcare facility Each pum or irrigation circle 2 Each sign or outline lighting 2 U Senvice over 320 nngrs-ming of 1&2 l7 Hazardausloca0on Signal circuits)or a limited energy panel. famiiydwellings UBuildingover10,000squarefeetfouror g 2 U System over 601 volts nominal more residential units in one structure alteration,or extension* U Building over Dace scot+es U Feeders,4(10 awps•tr more *—Description: — U Occupant load over 99 persons U Manufactured swctares or RV park F,ach additlonal Inspection over the allowable In any of the above: U Egress/lightingpla+r U Other __ Per inspection Submit_,sett of pans with any of the above. Investigation fee 'Che above are not applicable io temporary construction service. Other _ Permit fee................I——$ Not alt junsdktions ncepr credo cauls,please trill junsdicn,m rut more iafonanon. Notice:This permit application Plan review(at %) U visa ❑Masrert'urd expires if a permit is not obtained — {/,_,�_ within 180 days after it has been State surcharge(8Rt) .....$ Credit card number: ---_— — �Fcplrn accepted as complete. TOTAL .......................$ —' Name of cudlr I_&i mihown on cretin— cam— $ Cardholder signature — Amount "14611 iWWOM CITY OF TIGARD 24-1-four BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 - BNP Received Date Requested._ C' �AM. - PM BUP Location —_ CCS R"'a-fl—LaWSuiteMEC -_ Contact Person ---- Ph(—) 63 2 O U 0 PLM - Contractor_ Z,, I�C72�'t�+•��i c�fl h(� ) �L[3 `�5� SWR -_ BUILDING Tenant/Owner — _ - - ELC - Footing EL.0 Foundation Access: Fig Drain 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 - - - --- - IPLUMBING 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 ELECTRICAL Service Rough-In UG/Slab Fire Alarm Find[_ Reinspection fee of$--__ _._required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. A PART FAIL SITE Please call for reinspection RE: Unable to inspect- no access Fire Supply Line C� ADA f Date IiP or �0 r _ ExtApproach/Sidewalk - Other: Final DO NOT REMOVE this Inspection rocord from the job site, PASS PART FAIL Main Office Salem Office Bend Office P.O.Box 23814 �0 Hudson Ave.,NE P.O.Dox 7918 -.r Tigard,Oregon 97281 Salem,OR 97301 Bend,OR 97708 Phone(503)68L Phone(541) a r l s o n Testing, Inc• FAX(503)684409540 Phone FAX(503)589.1309L FAX(541)330-9163330-9155 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) 13006113000/12998 SW Princeton Lane -Tigard, OR Permit No : 2002-00684/85/87 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 inspection of the following item(s) 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 submitted, J N TESTING, INC. Hietpas ssurance Manager erry Becker Concrete Co. Froelich Consulting Engineering 061_0 Architecture & Interior Design P 1W0AMFP0RT5VM 7WID IC0R CITY OF TIGARD 24-Hour BUILDING Inspection Line: J3) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received _ Date Requested r __ — - AM—_—___-_ PM _ BLIP Location __ _. _ �� _Suite /^ 'I _- MEC Contact Person -- --- Ph(----) - �' S,34 5 PLM — - - Contractor — -- - Ph(- ---) SWR - - — BUILDING Tenant/Owner ---- -_� -- ELC - Footing--------------- ELC Foundation Access: Ftg Drain ELR Crawl Draln -- Stab Inspection Notes: SIT Post&Beam --- - - - - - - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -- - - Z Insulation Drywall Nailing Firewall 2 Fire Sprinkler - Fire Alarm Susp'd Ceiling - Roof Other: Final PASS PART_ FA!L P_LUMBI_N_G Past&Boam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain I "-- Shower Pan Other. - .— - - AS PART FAIL HANICAL Post& Beani Rough-In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service - _-- Rough-In UG/Slab Low Voltage _-- ------- ------- Fire Alarm FinalPAFT FAIL Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd PASS_SITE_ _ _ — Please call for reinspection RE:_.. -_—__�__—_ n Unable to inspect no access Fire Supply Line ADA Approach/Sidewalk DibExt .. y— Inspector _ Other: - Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIOARD 24-Hour BUILDING MST Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP — Received Date Requested. __. AM PM--_ BLIP - -- - -- LocationL 3 O&U /i /)��1�- Suite MEC ------- - -- Contact Person --___ _ -- Ph(— ) � - '�— PLM Contractor__ ` Gr ,G 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 Su,3pd Ceiling Roof - Other: Final PASS _PART FAIL PLUMBINQ Post&Bea_m__ 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 ELECTRICAL Service Rough-In — UG/Slab _ Low Voltage - --- --- -- - Fire Alarm Reinspection fee of required before next inspection Pay at City Hall, 13125 SW Hall Blvd V;-67k PART FAIL 8 Please call for reinspection RE:_— — [_] Unable to inspect-no access Fire Supply Line ADA Date_ Inspector Ext Approach/Sidewalk Other:-- -- ---- Final DO NOT REMOVE this Inspection record from the doh site. PASS PART FAIL k,6,AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA PF 4 o a 10. 4 Q d � ► a ► 4 d � A ► a � -- ► i a � a _ .. ► , ` -� ION- 4 ► i �� d ► v ► VION. lop, d o `� ► ► a 2 r r v ► Om a r• ` a U O ► fD J I r j A:+ . TJryl o � � ► rte, ► a P ► � ►. s 4 lo" a /vvvvvvvvvvvvv rvvvvvvvvvvvvvv1 . vvvvvvvvvvvv\� �H ►L � r� Q Q C O 0 o � W � `= r0 � n c , V a �+ Re (� z �C ell a O IO CITY OF TIGARD 14-Hour _ BUILDING Inspection Line: (503) $39-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP -- Received __._Date Request -- _ -- AM_ - ---- PQM _ SUP Location ` JU ---- ��.G- �. ''Y ---Suite _ _-- _ MEC Contact Person -- - -- - - Ph(--- -! --- - -- PLM - - - Contractor - Ph( - --) -__ SWR -— BUILDING Tenant/Owner _ ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain _ Slab Inspection Notes: SIT Post&Beam _-----Shear Anchors Ext Sheath/Shear Int Sheath/Shear - Framing Insulation Drywall Nailing Firbwall L Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: nPART FAIL R � - — --�- __ BINQ ,- Post& Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains _ Catch Basin/Manhole Storm Drain ---- Shower Pan Other. Final t PASS PART FAIL -------- - --- -- — __— _ _ -- MECHANICAL Post&Ream ------- Rough-In --------------- Gas Line Smoke Dampers ��/ ( �t✓G/fes" (..'L= A! /C A PART FAIL -- E_ECTRICAL Service — Rough-In UG/Slab - - Low Voltat a Fire Alarm - -- _-__--------- ------ -- Final L Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Halt Blvd. PASS PART FAIL SITE ' [j Please call for reinspection RE:-_ _ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dates C - Inspector Ext- - Other: Final DO NUT REMOVE this Inspection record from this fob site. PASS PART FAIL