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13005 SW PRINCETON LANE C) CA 3 0 13005 SW Princeton Lane crry OF TIGARD 24-Hour BUILDING Inspection Line: (503)539-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received __ Date Requested_ _ l J3 AM - -_ PM BLIP _ Location Suite _ ____ MEC Contact Person - --- Ph(—) �_�'" 7�r PLM Contractor - _ —__ _� Ph( ) --- - SWR BUILDING TenanVOWner -- - _ FI_C ---- Footing-- -- ELC Foundation Access: Ftg Drain ELR Crawl Drain --_.— Slab Inspection Notes: SIT - -- Post R Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shur 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 -_Sanitary Sewer Rain Drains ---- Catch Basin/Manhole Storm Drain Shower Pan Other - - -- --_ -- -- PASS PART FAIL _ CHANICAL -----_ - - Post R 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$. __._—required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SI_TEPlease call for reinspection RE:—_ __._____m_—_—_.____—______ L] Unable to inspect-no access Fire Supply Line ADA peb Inspector Ext Approach/Sidewalk —- Other: Final _ DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 539.4175 MST 2-dU C/ INSPECTION DIVISION Business Line: (503) 639-4171 gUP Received ----__----.._ __._ _ Date Requeste — AM— PM - BLIP Location _. •--�� —Suite _ - MEC _ � �3 d d� — Contact Person - Ph(.----) �--r- PLM _ ---- Contractor ___��1L� iri/l�.�l �J'il� P;• SWR _ - -- - - BUILDING Tenant/Owner --_ _—__-_ ELC _- Footing ELCFoundationAccess:Access: Ftg Drain E14 222— Crawl Drain -- �IT - Slab Inspection Notes: Post&Beam ---- - ------ -- -------- - ` - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - Insulation Drywall Nailing Firewall Fire Sprinkler _ Fire Alarm Susp'd Ceiling— _ �- Root _ - Other: Final -- PASS _PART FAIL PLUMBING_ -- Post Under Slab - - ---- — Rough-In Water Service -- Sanitary Sewer -_._— Rain Drains - Catch Basin/Manhole Storm Drain -----------_.__.__- ----- -- Shower Pan Other:-- - ------ -- _ - Final - --- --- PASS PART FAIL --- --^----- --- -- ---- ---- MECHAN_ICAL Post&Beamv�-- Gas Line Smoke Dampers --- ----- - - - — Final - _ - PASS PART FAIL ----------------_.----- - ---------------- _ ELECTRICAL — Service Rough-In UG/Slab Low Voltage Fir-el-Alarm �n Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SIM,-- L7 Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA Dab_JVQy' Inspodor_ Ext Approach/Sidewalk - Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL LAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA it ► Al s :I STREET TREE CERTIFICATION .l ► -r4 i'!I Iw a-1 , , Ov�,ner/Agent for , � �!1/� ► - (PLEASE PRINT} (PERMIT HOLDER) ► Do hereby cenify that the following location ►► meets City of Tigard/Washington County ► land use and development standards for street tree installation. loo- ADDRESS: S'�CJ lJ Ave t( LOT: J SUBDMSION: J6 ► DATE: / 1 C�L ► S BY: ► RECEIVED BY: DATE: r! - - ► AFVVVTVVTTTVVVVVTTTVVTVVVVVVTVVVTVVVVTVTV®VTWTVVVVTVVVVTVVVV'm CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 !UN 1 n 2001 IMPORTANT PERMIT NOTICE Co xy Ur STREAMLINE ELECTRICAL DBA LAVALLEY CORORATION 6025 EAST 18TH ST VANCOUVER, WA 98661 Electrical Signature Form Permit #: NIST2002-00114 Date Issued: 616102 Parcel: 2S104DA-QHS53 Site Address: 13005 SW PRINCETON LN Subdivision: QUAIL HOLLOW - SOUTH Block: Lot: 053 Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse,Unit 53,bidg 11,CS plan with deck. STRUCTURAL FILL, REQUIRES GEO-TECH INSPECTIONS 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 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 68TH PKWY DBA LAVALLEY CORORATION SApTE 200 0 66025 EAST 18TH ST PI oRT��5p -598 7 5653 Pho Ne#: 360 943 O8p8661 Reg #: LIC 116514 ELE 34.4320 SUP 4801S AN INK SIGNATURE IS REQUIRED ON THIS FORM /r X Signature of 6upervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 t CITY OF TIGARD � MASTER PERMIT PERMIT#: MST2002-00114 kad DEVELOPMENT SERVICES LATE ISSUED: 6/6/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 SITE ADDRESS: 13005 SW PRINCETON LN PARCEL: 2S104DA-QHS53 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT:053 JURISDICTION: TIG REMARKS: SF rowhouse,Unit 53,bldg 11,CS plan with deck. STRUCTURAL FILL, REQUIRES GEO-TECH INSPECTIONS AND REPORTS BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACK$ REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: 320 of BASEMENT: of LEFT: SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 5o SECOND: 744 sl GARAGE: 412 of FRONT: PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: 732 of RIGHT: VALUE: $173,306.60 OCCUPANCY GRP: R3 BDRM: 2 BATH: 3 TOTAL: 1.796 00 of REAR: _ PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUSISHOWERS: GARBAGE DISP: I WATER HEATERS: I WATER LINES: BCKFLW PREVNTR- GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<10OK: I BOIUCMP<3HP: VENT FANS; 4 CLOTHES DRYER: 1 LPG FURN>0001(: UNIT HEATERS: HOODS: I OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VEN i S: 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: 0 - 200 amp: WISVC OR FDR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 400 amp: 201 - 400 amp: 1 at W/O SVCIFDR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 •600 amp: EA ADDL OR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp 601.amps•1000v: MINOr.LABEL: 1000.sniplvolt: PLAN REVIEW SECTION Reconnect only: >.4 RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL _ B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE.OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM NURSE CALLS: TOTAL a SYSTEMS' TOTAL FEES: $ 5,599.33 Owner: Contractor: This permit Is subject to the regulations contained in the BROWNS TONE QUAIL HOLLOW LLC BROWNSTONE HOMES,LLC Tigard Municipal Code,State of OR Specialty Codes and 17.670 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 RegM LIC 124627 forth in OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direr!questions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Sewer Inspection Electrical Service Gas Line Insp Gyp Board Insp Plumb Final Footing Insp Electrical Rough-in Insulation Insp Rain Drain Insp Mechanical Final Foundation Insp Mechanical Insp Shear Wall Insp Water Line Insp Building Final Slab Insp Plumbing'Top Out Exterior Sheathing Ins{ Smoke Detector Final Inspection Plm/undslb Insp Framing Insp Firewall Insp Electrical Final >� IPermittee Signature Issued By : Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next busine s ay / CITY OF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT #: SWR2002-00089 13125 SW Flail Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/6/02 SITE ADDRESS; 13005 SW PRINCETON LN PARCEL: 2S104DA-QHS53 SUBDIVISION: QUAIL HOLLOW- SOUTH ZONING: R-4.5 BLOCK: LOT: 053 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 for SF rowhouse. Owner: — FEES _ BROWNSTONE QUAIL HOLLOW LLC Type By Date Amount Receipt 12670 SW 68TH PKWY STE 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: Rey #: 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 and Side Sewer" Perm Issued by: /_/�/X�!�`_ �/ 1'i Permittee Signature: Call (503)639-4175 by 7:00 P.M. for an inspection needed the next business d7c i RECEIVED �aoa- ivProBuilding Permit Application / Daternceived: oz y �+� Permit no.• /'000.2_901/ City of Tigard W Ha ( V ject/appl.no.: Rxpire date: Address: 13125 S City of Tigard Phone: (503) 639-4171 iia ' Date issued: Hy: Receipt no.: Fax: (503) 598-1960 I Case rile no.: Payment type: Land use approval - I&2 family:simple Complex: TYPE OF U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Addititm/alteration/replacement ❑'tenant improvcnuont U Fire sprinkler/alarm U Other: INFORMATIONJOIN SITE Job address: 7 5 L i e. Bldg. no.: // Suite no.: Lot: �" Block: Subdivision: ///�iG �IJi COIc.' �Ol�7,�" Tax map/tax lot/account no.: ^ / S Project name: Description and location of work on premises/special conditions:_ OWNERFOR SPECIAL INFORMATION, IJS Name: Mailing address: 1 do 2 family dwelling: City: lState:0R ZIP: Valuation of work..................................... $ Phone -9,y _J Fax: E-mail: No.of bedrooms/baths................ ............. .. Owner's representative: ' e Total number of floors................................. Phone: g Fax: Email: New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.)......................... Name: f t., - _ Covered porch area(sq, ft.) ......................... Mailing address: .SW LL' Deck area(sq.ft.) .............................. ......... City: f. t State: ZI . q 3 Other structure area(sq.ft.)........ ................ Phone: e:'-ax: E-mail: Commereial/industria4,,multi-family: t Valuation of work........................................ $ Business name: LC Existing bldg.area(sq.ft.) .......................... Brow - `��- New bldg.area(sq.ft.) Address: g 4 ...••.........•................. Cit �_ ,� State:p ZI Number of stories Ph ne Fax:b]•o mail: �.�-- Type of construction.................•...•...•.......... CCB no. — - Occupancy group(s): Existing: New: i "iii Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: Es (_,0 provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: State Z1P: exempt from licensing,the following reason applies: Contact person: e^ Plan no.: _ Plione: ttrail: ---- - — Name: r,,,, rvnaLu L F V'�6' lt t,ntuct Ixrson: 0 CAN Dees due upon application ............ .............. $ _ Address: Lo r c cd- Date received: .r City: ATo.Q` cti. _ , tate: ZIP: Amount received ......................................... $ Phone: 4 1 Fax: _ E-mail: Please refer to fee schedule I hereby certify I have read and examined this application and the Na all Jurisdictions accept credit cads.pleas cats Jurisdiction For tn,�;Wonnuion attached checklist.All provisions of laws and ordinances governing this U Visa U Mastercard work will be complied (I,whether e ' ed herein or not. c'teait care oumna* _. v .�,_ --Esp i Authorized sign Ure: _ Name u shown ae credit cad _. _ -- f Print name: da s to.t�— Aawaot Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. "0-413(&MMM) Plumb , tion Dawreceived: Permilno.:f��/°? ) City of 1%ard Sewer permit no.: Building permit no.: d� Address: 13125 SW Nall Blvd,Tigard,OR 97223 -- — City ojfif;ord phone: (503)639-41tl�j�y Uk I I•U�d 1'rojecUappLno.:,��_- F.xpircdate: Fax: (503)598-19%UILDING T)TVM Imo. Date issued: By: Receipt no.: Land use approval: _ _ Case file nn.: Payment type: I V PE OF PERM IT 7 U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U AdrlitirnJaltcralionli-eplacenirnt U I'ocxl service U 011ier: _— l 1 1 1 + Job address: Ct'6 __ IDescn�fiOr. Qty. Fec(ea.) Total �tnc {cam-. LRvuc - Bldg.no.: Suite no.:; - — Nen I-and 2-family dwellings only: — (Includesl00fl.torcaclrurilitycronr�lfon) Tax map/tax lot/account no.: _ _ _ SMY(1)bath Lot: ---- - . S Block: Subdivision: Sh'R(2)bath Project name: SIR(3)bath City/county: — ZIP: Each additional bath/kitchcn Description and location of work on premises: �- Slteudlitles: Catch basin/arra drain Est.date of completio�nspectir.) Drywells/leach line/trench drain Footing drain(no.lin.ft.) r CONTRACTOR Manufactured home utilities Manholes ^� Wolcott Plumbing Rain drain connector _ PO Box 2007 Sanitary sewer Gresham OR 97030-0594 Storm sewer(no,lin.ft.) 503-667-1781 Water service(no.lin.ft.) CCI3:21847 PLM#:26-2081,1t Fixture or Item: -- Absorption valve Contractor's representativt tdgntttlre: Back flow pmvcnter _ Print name: I1atc: Backwater valve CONTY"I PERSON 1 s asins/lavatory Name: Clothes washer - --- - — Dishwasher Address: -- Drinking fountain(s) City: — I State: IZIP E'ectors/sum Phone: I-aa F mail: Expansion tank Fixture/sewer cap _ Name(print): — Moor drains/floor sinks/hub -- Garbage dis )sal Mailing address: _ Hose bibb City: _ State: Ice maker Phone: - Fax: Email: Dnterce tp or/grease trap Owner installation/residential w!-;ntenancc only: The actual installation Primer(s) _ will be made by me or die rets.) nance and repair made by my regular Roof drain(commercial) cmployce on die property I ower as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's signature:—�_ _ Date: Sump _ MUMM Tubs/shower/shower pan - Urinal Name: Water closet Address: Water heater City. — ---_!__— State: ZIP Other. Phone: - - Fax: _+ Email: Total Nail a )rrt"Ctiow Uvq*ezr&Crrl &,Pkmw Can r'11 irrlcrmrit. Notice:This permit application Minimum fee................ — U Visa U Masunc'.ard expires if a permit is not obtained Plan review(at _�) $ $ _ Nadir cad Dumber - _---- ._ L--1--- witlttn t RO days after it has lrxn State surcharge(8%)....$ t lrtim - accepted as complete. TOTAL .......................$ N ame d ardbolder u drrnvo a aedl card = Gtdlwlder drprYut `— A.nwxnrr 4WY4616(610tyCOK' MechanicalVa"WWn - Date received: Permit no.: -7 / City of Tigard Projectlappl.no.: Expire date: CityoJTigard Address: 13125 SWIlalll3IATJL ya&,� kliLrk,dt Date issued: By: Receipt no. Phone: (503) 8-1960 1 VI�['J� �fileno.: Payrnenttype: fax: (503) 598-1980 — Land use approval: _ —__ -- Building permit no.: TYPE OF PERMIT U I &2 family dwelling or accessory U Commercial/indust ial ❑Multi-family U'1'cn uu improvement U New construction U Add ition/altemtion/replacement U Other. - 1 1 TM Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: Suite no.: value.of all mechanical materials,equipment,labor,overhead, profit.Value S Tax map/tax lot/account no.: L,ot: Block; Subdivision. 'Sec checklist for important application information and jurisdiction's fee schedule for residential permit fee Project name: Moir, City/county: ZIP:__ �1 __ 1 Description and location of work on premises:__ t 1 a I ee(ea.) l utal — Desert on ply. Rea.only Res.onl Est.date of completion inspection: --- 1 AC': Tenant improvement or change of u-•c: Air handling unit ---CFM Is existing space heated or conditioned?U Yes U Na Air conditioning(site pan requt ) Is existing space,insulated?U Yes U No Alteration of exng system Fijia oollix/compressoa State boiler permit no.: HI' Tons BTU/II Four Seasons Ideating&A/C Service Inc _ it smo edampers�7ducismo a detectors PO Box 66409 eat pump(site p an requ ) — Portland OR 97290-6409 nsta rep acefurna umer 3 503-775-5919 Including duetwtxk/vcnt liner U Yes U No CCB: 48283 nstal rep ac reocatcheaters-sus wall,or floor mounted -- -Vent for—0pp Fiance other than fusrace Name(please print) a era ar,Absorption units __..___ I3TI1fII Name: Address: n.roti mitt ex ad a vent lat on: 5r — State: 7.I P:_ Appliancevent Phone: I•ax. E-mailer )rycrex ausi— t d {T s>c3�'�y{�c p rte. �tci� armat hood fire supprrssion system Name: Exhaust fan with single duct(bath fans) --- ausi system apart rom eat n or _, Mailing address: _ le p p tig andt1iMrbut oa up to 4 outlets) City: State: ZIP: TYPC: LPG NO Oil Phone: rax: Email: tie t n eac ad itionsl ov— 4 oude s mcessp p (sc emati^required) Number of outlets Name: (her 11holetapp ce or equ pment: Address: Decorative fireplace State: - ZIP: -Insert-type — tov pe et stove l Phone: Fax: Email: er. Applicant's signature: _ Date:--� e; ^� - 1 Name(print): Permit fee.....................$ Na all hnisdicdow accept credit cards,&Aw call jurisdiction fu more fafumudon Notice:This permit application Minimum fee................$ U Visa O MasterCard expires if a permit is not obtained plan review(at _— %) $ _— Credit card aumtxr--_ ---- -- txpim— within 180 days atter it has boon State a 896 $ raid accepted as complete. Tl?�I AL ...............>.....S _ S siRoaturr �- -- At00°°t 481617(GiOdCOAr- Electrical PeriMeJEWfffll Date received: Pcnnit no.: City of Tigard Projecdappl no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd, r and OR 97223 Uatc issued By: Rea.,.,no.: Phone: (503) 639-4171 Ll Y Ul' I IUAKU - Fax: (503) 598-1960 3UILDTNG DMWI( ��file no.. Payment type: Land use approval: O 17&t2famitly dwellingor accessory O Commercial/industrial O Multi-family U Tenant improvement O Nuction U Addition/alteration/replacement O Other:— U Partial Job address: W r%��, N t,.� Bldg.no.: Suite no.: Tax map/tax lot/account no.: Lot: S Block: Subdivision: Project name: I Description and location of work on premises: Estimated date of completionhnspection: 1SCHEDULE .lob no: fee assassau—M11as Descriptirat Vt). (ea) fatal no.insp Strearnline Electric Ne"residential-dngleortaulu-fasdlyper D13A LaValley Corporation dwdituit IscWesrndredgarW 6025 East 18`1'St Ser i0t� ' Vancouver WA 98661 1000 sq ft.or less 4 3G0-993 5080 Each additional 500 s ft.or portion thereof CCB:116514 F.LC#: 34-432C SUPN: U led energy.residential 2 Limited energy,non-residential Each manufactured home or modular dwelling Signature of supervibing supervisingelectrician(required) Date Service and/or feeder 2 Sup elect.name(print). License no. Servictsorfeeders-Installalion, alteration or relocation: III ILI]1110 ti 1XI111101 It 200 amps or less 2 Name(print): 201 amps to 400 amps 2 - 401 amps to 6W amps 2 Mailing address: 601 amps to 1000 amps _ 2 City. State: ZIP: Over 1000 amps or volts 2 Phone: Fax: I E-mail: Recoruwct only l Owner installation:The installation is being made on property 1 own Temporary set v or feeders- which is not intended for sale,lease,rent.or exchange according to bustallation,alteration,orrelocation: 201 amps 2 ORS 447,455,479,670,701. to less _ 201 Imps 10100 amps _ 2 Owner's signature: Date: 401 to 600 amp, _ 2 Branch clrrurts-ne",alteration, or exlemlon per panel: Fume: A. Fee for branch circuits with purchase of Address: service or fader fee,each branch circuit 2 City: State: ZIP: B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit: 2 Phone: Fax: E-rnajl: Each additional branch circuit. Misc.(Servke or feeder isot Included): U Service over 225 snips-commercial U Healthcare facihly F•Ach pump or irrigation circle 2 O Service over 320 amps-ruing of 1&2 ❑Hazardous I x"on Each si nor outline liP,hting _2 familydwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel, U System over 600 volts nominal more residential units in one sttucturr alteration,or extension" 2 U Building over three stories U Feeders,400 amps or more "Description •Occupant load over 99 persons O Manufactured structures or R V pts A Eich additional fnspedlon over the allo"able in any of the above: O Egressnighting plan U Other _ - Per inspection Submit__ ark of plans with any orthe above. Investigationfee The above are not applicable to temporary comlradloe wMee. other _Not all jurisdictions accep credit cards,please call jurisdiction far Mort bdarnsss o= Notice:This permit appliedlion Permit fee.....................S U visa U MasterCard expires if it permit is not obtained Plan review(al — %) $ Credit card number _. / — within Igo days after it has been State surcharge(11%)....$ _ accepted as complete TOTAL .......................$ _ - �eits�iolder as shewo an credit earl _ S Cardholder signat e - — Amount 4404615(tiRlll"t''I CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WOL.CO1'T FLUMBING CONTRACTORS PO BOX 2007 GRESHAM, OR 97030 Plumbincl Signature Form Permit #: MST2002-00114 Date Issued: 6!6102 Parcel: 2S 104DA-QHS53 Site Address: 13005 SW PRINCETON LN Subdivision: QUAIL HOLLOW - SOUTH Block. 1_ot: 053 Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse,Unit 53,bldg 11,CS plan with deck. STRUCTURAI FILL, REQUIRES GEO-TECH INSPECTIONS 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 PO BOX 2007 STE 240 l]RESIrlr.M, Or 57C30 PORTLANLO OR 97223 Phone #: 50 -598-7565 Phone #: 667.1781 Reg #: I W 23847 PI M 26-208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X f -- - Signature o uth i ed Plumber If you have any questions, please call (503) 639-4171, ext. # 310 ELECTRICAL PERMIT- CITY OF T I G A R D RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00171 ML 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 8/28/02 SITE ADDRESS: 13005 ,W PRINCETON LN PARCEL: 2S104DA-22700 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT: 053 JURISDICTION: TIG Proiect Description: Limited energy for audio/stereo. A. RESIDENTIAL _—_ B. COMMERCIAL AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILED: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TEL.E 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 AZIMU-fH COMMUNICATIONS INC 12670 SW 68TH PKWY P.O. BOX 508 STE 200 WILSONVILLE, OR 97070 PORTLAND,OR 97223 Phone: 503-593-7565 Phone: 503-639-0110 Reg#: ELE 36-94CLE SUP 2312JLE LIC 145828 FEES Required Inspections TypeBy Date Amount Receipt Low Voltage Inspection PRMT CTR 8/28/02 _ $75.00 2720020000 Elect'I Final 5PCT CTR 8/28!02 $6.00 2720020000 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-091-0010 tftugh OAR 952-001-0080. You may obtain copies of these rules or(iirect questions to OUNC at (503) 246- 987. ) Issu�d by �. �`��' � _ s�.�1� Perrnittee Signatur4l �. OWNER INSTALLATION ONLY The installation is being made in property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: ----------------- _ -- -- DATE: -- CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _—_ _ DATE: _LICENSE N O: __... --- ------- --- ------- - ---- Call 639-4175 by 7:00 P.M. for an Inspection needed the next business day Electrical Permit Application ?Date received:$;tg p, Permit no.:4 -7 City of Tigard Project/appl.no.: _ Exjfirc date: lits,(Pt r'igaid Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: (Al.), ' I Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 ('ase file no.: Payment type: Land use approval: _ TVPIE t U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement �Q New construction U Addition/alteration/replacement U Other: U Partial INFORMATIONJOB SITE Joh address: QUA W" 1041en'C[Td,✓ Lk' I Bldg. n(t.: tiuuc no.: Tax map/tax IOMICCOunt no.: Lot: Block: Subdivision: Q /�(��r� Project name:6jfi4j L - Descriplion and location of work on premises: (I Ot7 Estimated date of completion/inspection: SCHEDULECONTRACTOR APPLICATION FEE Job no: rtt• � nf,tx Description pty. (ea.) total no.hop Business name:AZnclo# C'+,�t t - r i . __� New rrrirh•nli:d-single or multi family per Address: .off. 606iV& �� dtsCnini Iltdt.ItICIUthSAllAflMdknrnRe. City' L 'p,e)hLL9 Slate: I ZIP: i G Sersivelneluded: Phone: C ,c.,t. rQ e' Z n E-mail: itxN)1,l tt or less 4 Ott Fa-- Each additional SW sq.fl.or portion thereof CCB no.; t4 (-ts2 Cleo.bus.tic.no: t( t r Limited energy,residential 2 City/metro lic.no.: Limited energy,non-residential 2 /'? d L Each manufactured home or modular dwelling Signature o—supervising etc triCia aired Date Service and/or feeder 2 73r's?� Services or feeders—Installation, Sup.elect.mmne(print): t"r C License no: alteration or relocation: 200 amps or less 2 201 antp�to 41x1 amps — 2 Name(print): /,• iLL)��U Tt'i✓� 2 -- 401 amps t��nc)amps Mailing address: 7b01 amps I(xx)amps 2 Cjty; State: Z1P: Over 1(x)0 amps or volts _ 2 Phone: Fax: E-mail: Reconnect only I (honer installation:The installation is being made on property I own Temporeryservices or feeders- which is not intended ft KInstallation,alteration,orrelocalion:ase,rent,or exchange according to 2tx)amps or less _ 2 ORS 447,455,479,670, r 201 loops to 40(1 amps 2 Owner's signature: Date: 401 ft,6W ampsKill us 0 li� Branch circuits-new,alteration, or extension per panel: Name: A Fee for branch t ircuits with purchase of Address: service or feeder fec,each branch circuit City: Slate: ZIP: — _ B. Fee for branch circuits without purchase _ of service or feeder fee,first branch circuit: 2 Phone: I ;i I (nail: t-.trchudditiunalbrnnchcucuit: Misc.(Service or feeder not included): Each um t t irrigation circle '- 7uucr er225amps-comnxrcial U Health-carefucibty pump g i — er320amps-ntingof IU UHazardouslocation Each sign otoutline lighting _ _ llings U Building over IO.om square feet four or Signal citcutt(s)or a limited energy panel. 6(x)volts nominal more residential units in one structure alteration,or extension' 2 U Building over three stories U Feeders,400 amps or more •1 h"u n oou _ U fkcupattl load over 99 persons U Manufactured structures or RV park tach additional Inspection over the allowable In any of the above: U I:gress/lightingplat, d Other. -- _ -- Per nopecnon submit sets of plans trill►any of file Above. Investigationfee The above are not applicable to temporary construction service. Other Permit fee.................. $ 7� Not all jutis fictions accept credit cards,please call itiowliction tot moor information Notice:This permit application Plan review(at ) $ U visa U MasterCard expires if a permit is not obtained Credit cnrtl number within IRO days after it has been Stale surcharge(896)....$ — ---rspires accepted as complete. TOTAL .......................$ Name of crtrdholder as shown on credit card s Cardholder signature Amount 440-4615(600WOM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY _ Complete Fee Schedule Below Restricted Energy Fee................... ..........................� $75.00 Number of Ins ecttons er ermit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Check,Type of Work Involved: Residential-per unit ❑ 1000 sq ft or less $145.15 4 Audio and Stereo Systems' Each additional 500 sq ft.or portion thereof $33 40_ 1 Lturglar Alarm Limited Energy $75.00 Each Manufd Homo or Modular El Garage Door Opener' Dwelling Service or Feeder $90.90 2 Services or Feeders LJ 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 — 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 Other Over 1000 amps or volts $454.65 2 Reconnect only S66.85 2 or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less $60.85 _ 2 (SEE OAR 918-260-260) 201 amps to 400 amps $10030 _ 401 amps to 600 amps $133 75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, ❑ see"b"above. Audio and Stereo Systems Brar ch Circuits E] Boller Controls New,alteration or extension per panel a)The fee for branch circuits ❑ with purchase of service or Clock Systems feeder foo. Each branch circuit $6 65 2 Data Telecommunication Installation b)rhe fee for branch circuits without purchase of service Fire Alarm Installation or feeder fee. First branch circuit $4685 _ ED HVAC Each additional branch circuit _^ $6.65 _ Miscellaneous Instrumentation (Service or feeder not Included) Each pump or Irrigation circle $53.40 Intercom and Paging Systems Each sign or outline lighting $5340 Signal circuit(s)or a limited energy Landscape Irrigation Control` panel,alteration or extersion $75 Ou -_ IJ Minor Labels(10) $125.00 __. Q Medical Each additional inspection over the allowable in any of the above Nurse Calls Per Inspection $62.50 Per hour $62.50 In Plant $73.75 _ Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ - Other o%State Surcharge $ _. _ Number of Systems 25%Plan Review Fee ' No licenses are required Licenses are required for all other Installations See"Plan Review"eclion rm $ front of application _ Fees: Total Balence Due ` -- r-� — Enter total of above ices $__ — LJ Trust Account!f _ _ - _ 8%State Surcharge $ Total Balance Due $—_ All Now Commercial Buildings require 2 sets of plans. i\dsts\formsklc-fecc.doc 08/30101 CITY OF TIGARD Residential Certificate of Occupancy Permit NoulAddress: Owner/Contractor: 4-� 's-3 Date of Final Inspection: Z, Inspector: 42 This structure has been found to be in substantial compliance with the provisions of the State of Oregon One& Two Family Dwelling Snecialh•Code and is hereby approved for occupancy_ CITY OF TIGA,RD 24-Hour BUILDING Inspection Line: (503)634-4175 MST INSPECTION DIVISION Business Line: (503) 638-417 i - / BLIP Received _— _Date Reg4ested� _! AM_ _ PM _ -- - BLIP - - - Location / 3 O n , ✓L��+ --- - - -_Suite._ __. MEC -_---_- --_1— Contact Person _ - - _ Ph( -- -__) 779 3 -`7- PLM ----- '/ Contractor— -- - -- - - -- —� Ph( --) --- - SWR - - --- - — BUILDING Tenanl/Owner _ --- _..._-- -___- --- _ ELC _.---------- Footing Foundation ELC — Access: Ftg Drain ELR Crawl Drain — Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -- - _- Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Suspd Ceiling Roof Other: PART FAIT. ZS9B� ING Post& Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains --- -- Catch Basin/Manhole Storm Drain - ----- Shower Pan Other: -- Final PASS PART FAIL — — MECHANICAL Post& Beam - — Rough-In -- Gas Line rmnke Dampnrrl -- Final PASS PART FAIL - ELECTRICAL Service -- Rough-In _ UG/Slab Low Voltage _ Fire Alarm Final Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE _ F] Please call for reinspection RE:_� _ u Unable to inspect-no access Fire Supply Line ADA _ Lj Approach/Sidewalk Dab i d Inelpecfnr —_ E -_ Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL