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13008 SW PRINCETON LANE 13008 SW Princeton Lan CITU' OF TIG ARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST BLIP _ Received _- _ _ ate Reqqested �/ Aa AM___ PM BUP Location -.___-_1-�� Suite-------- MEC Contact Person Ph(--) S PLM Contractor _ Ph( —_ ) — SWR BUILDING _ TenanVOwner _.... ELC Footing Foundation -"---- ELC Access: Ftg Drain EL.R Crawl Drain --- Slab Inspe(aion Note,; ----- ----- SIT - - - Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing --t--- x�-� Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -,� -- - — -- ----- ------ -- - Roof Za Other:----- - Finalli PASS PART FAIL PLUM9ING Post&Beam Under Slab -------_ ----. -- Rough-In Wtsr Service - --- Sanitary Sewer Rain Drains - ------ -- - Catch Basin!Manhole Storm Drain - - --- - - -- Shower Pan Other: ----- - -- S / PART FAIL _ ___..--.----- --- - --- _CHANICAL - -__---- _---- - _ Post&Beam Rough-In --- Gas Line Smoke Dampers --- -- --- -- Final PASS PART FAIL ------ - --- - ELECTRICAL Service ------ --- -- - --- Rough-In UG/Slab -- --- ---------- Low Voltage -.-- _-_-----_--- __-- - _ Fire Alarm Final Reinspectic 1 fee of$._-_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE - F'� Please call or reinspection RE:-___-_- ------__ ❑ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk bath--{ � - Inspoetor Other:_ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-H.jur BUILDING Inspectior. Line: (503) 639-4175 MST 60F INSPECTION DIVISION Business Line. (503) 639-4171 —� II BLIP Received . Date Reauested rL_�Z_L AM —_ _ PM__ _ -_ Bt1P Location �_ UG �-� Suite _ MEC Contact Person ---- -- Ph( ' -913�j 5__ PLM Contractor Ph SWR BUILDING �— TPnanUOwner ELC Footing — ELC Foundation Access: w Ftg Drain ELR Crawl Drain — Slab Inspection Notes: —�-- -- SIT _— Post&Beam _ Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - --1- ---- ---_. - - - Insulation — Drywall Nailing - Firewall Fire Sprinkler Fire Alarm SCeiling ��jlild -- Roof Other:--- _. -_.. ----- —. 1!2SS PART FAIL —_ PLUMBING ------- Post& Beam Under Slab 1 Q' 1 --_-�_._— Rough-In Water Service - ---- Sanitary Sewer Rain Drains - --- -T- - Catch Basin/Manhole Storm Drain ---- -------- - - ---_ - - Shower Pan Final PASS PART FAIt.. ------------ MECHANICAL Post& Beam — -- Rough-In -- -- -- --- — - - Ras Line 5ASSN PART FAIL - ---._-._. --- _—.----- -- EL TRICALe Servic Rough-In — ------�, -- --- ---- --- Ur/Slab Low Voltage Fire Alarm Final Reinspectlon fee of$_ _—required before next inspection. Pay at City Hall, 13125 SW Hall Rlvd. PASS PART FAIL SITE ❑ Please call for reinspection RE:_ F-] Unable to inspect-no access Fire Supply Line r 'r0 ADA Date ( Inspector -- { Approach/Sidewalk --- N - - Other: Final T-. DO NOT REMOVE this Inspection record frorn the)oke site. PASS PART FAIL a� 110. �II i► al ► STREET TREE CERTIFICATION ► Owner/Agent for (PLEASE PRINT; (PERMIT HOLD ) ► ► a ► f a ► a a I► a Do hereby�t-ertit`- that the folloR-inn location �► �► s meets City of Tigard/Washington County No. a land use and development standards for street tree installation. a ► POO- a ► ADDRESS: . SUBDI"JISION: l� 1 --- ► LOT._ — ► aj 6 ► BY. DATE: - •► ► -: DATE: �-� �� �' J No.a RECEIVED BY A FVTVVTTTTTTVTT`PTTTTTTVVTTTTTTVVVTTVTTTVT` TToriTTTTTTTTVTTTTTN CITY OF TIGARD ' Residential Certificate of Occupancy Permit No.: �� �� Address: ► �s ��w' Owner/Contractor: i Date of Final Inspection: 3 Inspector: This structure has been found to be in substantial compliance with the provisions of the State of Oregon One& Two Fariil-Dwelling Sperialn,Code and is hereb•approved for occupancy. "ITY OFTIaARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST A �, BrJP Received _ Date Request d_ �_ AM_--. PM BUP _ - Location --- .���� g "�l-� �� Suite--- MEC - Contact Person —_— Ph(__) _72 3 >_ 3 415 PLM Contractor —__ Ph( _) SLUR BUILL'NG Tenant/Owner _ _ ELC Footing Foundation Access: ELC _ Ftg Drain ELR _ Crawl Drain Slab Inspection Notes: SIT Post& Beam __ tiLd1 Q C.r Shear Anchors �) --- Ext Sheath/Shear �-N1 `^�`'o-^ (�✓�-�- Int Sheath/Shear --- Framing Insulation — Drywall Nailing Firewall Fire Sprinkler ----- -- -------- _---_ �_ Fire Alarm _- Susp'd Ceiling -----_- -- --._ _ _ Roof , Ottler: _ .--_ — _ -- - ---------- ----- FTn , SS PART FAIL --- - __ ING Post& Beam Under Slab Rough-In Water Service -------- -- — _ —. Sanitary Sewer A Rain Drains ----- ---- ------- _ Catch Basin/Manhole Storm Drain --- -- -- e_� — Shower Pan Other: -------._ ----- - -- ---- - Final PASS_ PART FAIL MECHANICAL Post&Beam Rough-In - — - --- Gas Line Smoke Dampers Final _PASS PART ___FAIL ELECTRICAL — Service— ---------_ Rough-In UG/Slab -- --- Low Voltage —. ------ -- ----- — — Fire Alarm Final Reinspection fee of s_—� required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: — Unable to Inspect-no access Fire Supply Line ADA d-z-_ Approach/Sidewalk Date__ - ° ___- Inspector V — - Ext W Other: — Final - DO NOT REMOVE this Inspection rec(.rd firom the Job site. PASS PART FAIL Mein Office Salem Office Bend Office P.O.Box 23814 j0 Hudson Ave.,NE P.O.Box 7918 Tigard,Oregon 97281 Salem,OR 97301 Bend,OR 97708 Carlson Testing, Inc• Phon (503)684-0954 00 Phone FAX(503 13 FAX 35899257 Phone(541)330.9155 09 FAX(541)330-9163 Special Inspection October 31, 2002 FINAL SUMMARY LETTER T0009300 B City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223-8199 Attn: Building Department Re (wail Hollow South - Building #8 (l-ots 35-37) 13008/13000/12998 SW Princeton Lane - Tigard, OR Permit No. 2002-00084/85/87 Dear Sir or Madam This is to certify that in acco dance with Section 1701 of the Uniform Building Code and Chapter 2.4.20, Title 24, we have performed special inspection of the following item(s) per our inspection reports only Installation of Epoxy Anchors All inspections arid 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 ti contact this office. Respectf Ily submitted, CARLS N TESTING, INC r. Jas F. Hietpas Au lit y Assurance Manager rIc. H/Is Kerry Becker Concrete Co Froelich Consulting Engineering GC-'LO Architecture & Interior Design P 1WORDWPORTmrIM.1 RITONI WR CITY OF TIGARD 24-Hour �^ BUILDING Inspection Line: (503) 639-4175 MST _boo-o INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received Date Requested 'L AM— PM BUP _ Location l 3 e)v - � —.- —Suite -- _----- � MEC Contact Person Ph ( ) _7 `? -.S �_L� PLM Contractor �. 1� G c { /Cph ( - - ) r�-��--' SWR BUILDING Tenant/Owner _ —�_ ELC Footing ELC Foundation Access: Fig Drain ELR �i.C^j�/Q Crawl Drain _ �+ Slab Inspection Notes- SIT e 1Ze -_ Post&Beam Shear Anchors ---- — Ext Sheath/Shear Int eat hear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other:_ Final PASS PART_ FAIL PLUMBING Post&Beam _ Under Slab _ Rough-In — Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: -- Final _PASS PART FAIL ---�- _ --- _MECHANICAL Post Post&Beam Rough-In --- --- - - - — - - -.----- — Gas Line Smoke Dampers _-- Final PASS PART _FAIL — --- - — -- ----- --- — — ELECTRICAL Service --- - — Rough-In UG/Slab ------ - ----_— __.---- ---------- Low Voltage Fire Alarm m Reinspection fee of$ _ required before next inspection Pay at City Hall. 13125 SW Hall Blvd. PART FAIL Please call for reinspection HE: �_ 1 Unable to inspect--no access Fire Supply Line ADA Approach/Sidewalk Daft +- j hnp•ctor_ _ Ext Other: Final DO NOT REMOVE this Inspection record from the doh site. PASS PART FAII. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 _ BUP _ Received __ _Date Requeste _ S AM—__ PM BUP Location Suite— MEC —— —---— Contact Person T YI _ Ph(_— ) �� 3'_ 57346 PLM _ -- Contractor --__ Ph SWR BUILDING Tenant/Owner —_ E'.: __________-- Footing ELC Foundation Access: — Ftg Drain ELR Crawl Drain Slab Inspect?on 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 WART FAIL -- --- --- -- __ PLUMBING _--------- ----- ----- - Post&Beam ps�—< Under Slab -- ------ ----- - 1� —��' n� Rough-In Water Service —------_ Sanitary Sewer Rain Drains --------- - Catch Basin/Manhole Storm Drain -- ------- - Jam, --- Shower Pan Other:-_ — ----- - Final PASS_PART FAIL ----_._ -- -- -- -- M_E_C_HANICAL Post&Beam ---- - -- `— - — Rough-In -----_------- _ __-- Gas Line Smoke Dampers -- - --- -- Final PASS PART FAIL ---- - - - ELECTRICAL Service —� Rough-In UG/Slab Low Voltage --- Fire Alarm finnaV ❑ Reinspection fee of$ required before next inspection. Pay at City Hall. 13125 SW Hall Blvd. PASS PART FAIL _ SITE — ❑ Please call for reinspection RE: —_— —. ❑ Unable to inspect-no access Fire Supply LineADA J Approach/Sidewalk Date _ __ Inspector-� "7�. --Ext---- Other:_ Final DO NOT REMOVE this Inspection record from the job sits. PASS PART FAIL. 7 MECHANICAL PERMIT CITY O F TI GA R® DEVELOPMENT SERVICES PERMIT#: MEC2003-00001 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/2/03 PARCEL: 2S 104 UA-20900 SITE ADDRESS: 13008 SW PRINCETON LN SUBDIVISION: QUAIL HOLLOW SOUTH ZONING: R-4.5 BLOCK: L0T: 0,3 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SFA UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL• VENT SYSTEMS: STORIES: _ _BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 • 3 HP: 1 DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT. BTU 15 - 30 HP FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + VIP: CLO DRYERS: S: FURN < 100K BTU: AIR HANDLING UNITS C OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: > GAS OUTLETS: 10000 cfm: Remarks: Installation of exterior AC unit. Cannot be placed in the required setbacks. Owner: FEES BROWNSTONE QUAIL HOLLOW LLC Description Date Amount 12670 SW 68TH PKWY STE 200 — PORTLAND, OR 97223 [MECII] Permit Fee 1/2/03 $72.50 [TAXI R%,StateTax 1/2/03 $5.80 0 — Phone: 503-598-7565 --- ----Total $78.3.3 Contractor: FOUR SEASONS HEATING & A/C PO BOX 66409 PORTLAND, OR 97290 REQUIRED INSPECTIONS Phone: 503-775-591() Cooling Unt Insp Final Inspection Reg#: LIC 48283 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All worts 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 in the Oregon Utility Notification Center. Those rules are set forth OAR 952-001-00 1 , •- Issued By Permittee Signahir6: Call (503) 639-4175 by 7:00 P.M. for inspections n6eded the next business day FOR OFFICE V741711 Mecha11.k-al Permit A ) )Ilcation - � Received t Date1B Permit No.a i fl � Planning Approval Building City Of Tigard Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97221 Post-Review : Permiteview Land Use Phone: 503-639-4171 Fax: 503-598-1960 Post-R Date/By: Case No.: Internet: www.ci.tigard.or.us Contact 1uris.: I IN see Page 2 for 24-hour Inspection Request: 503-6394175 Name/Method: —_ Supplemental Information. _ TYPE OF WORK COMMERCIAL FFE*SCHEDULE-USE:CHECKLIST New construction _ I I.J Demolition— Mechanical perntit fees*arc based on the total value of the work Addition/alteration/replacement Other: - performed. Indicate the value(rounded to the nearest dollar)of all CATEGORY OF CONSTRUCTION mechanical materials,equipment,labor,overhead and profit. _VW=q_ Value: S_ See Page 2 for Fee Schedule &Z-hamily dwellin Commercial/Industrial RESIDENTIAL F UIPMENT/SY EMS FEE*;SCHEDULE Accessory Building _Multi-Family Description a Fee ea. Total Master Builder Other: Hestin Coouna JOBtSITE I FORMATION d LOC TIO Furnace-add-on air conditioning 14.00 Job address: �W tY t V— – Gas heat um 14.00 site Duct work 14.00 Suite#: Bld ./A t.#: Duct dronic hot waters stem 14.00 Pr jcct Name 1 Residential boiler Cross strect/Directions to job site: for radiator or h dronic system) 14.00 Unit heaters(fuel,not electric) Cin wall in-duct suspended,etc. 14.00 Flue/vent for any of above) _ 10.00 _ Lot#: !',epair units 12.15 Subdivision � C1l( v _ — Other Fuel A llances Tax map/parcel N: _ _ _ _ Water heater 10.00 DE�5 RIPT ON OF\VORK _ Gas fireplace 10.00 Y Flue vent water heater/ as fireplace) 1000 - l� Lo li hter as 10..00 -- Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner/flue/vent 10.00 n0PERTY'OWNTR ___TMTFNANT. Other: 10.00 --- _ Environmental—r' &Ven"'Won Name: Range hood/other kitchen equipment 10.00 Address: Clothes dryer exhaust 10.00 _ Cit /State/Zi _ _ __- Single duct exhaust Phone: Fax: (bathrooms,toilet compartments, PERSO, utilityrooms) 6.80 Attic/crawl space fans 10.00 Name: U `= V Other: –- 10,00 _ Address: L rA V TAXA Puel Pllfing City/State/ i : � *'($5.40 for first 4,$1.00 each additional Furnace etc. Phone: 0-", Fax: 1� Gas heat pump E-mail: _ _ Wall/suspendcd/unit heater " CON;I'ItACTOR Water ocater Business me: t� 1 C Fireplace � Range Address: DB _ Ciit/Slate/Zt : r Clothes dryer as — " Phone:5()-3X' Other: " Total: _ CCB Li A Mechanical Permit fees* Authoriz �i J�/ Subtotal: $ 1 L4 TJ Signatur : lk `_ Date:-- Minimum Permit Fee$72 50 S Plan Review Fee 25%of Permit Fee S -- State Surcharge g%of Permit Fee) S �� (Please print name) TOTAL PERMIT FEE S Notice: This permlt application expires If a permit k not obtained within 'Fec methodotolw set by Tri-County Building Industry Service Board. 180 days after it hai been accepted as complete. is\Dsts\Pcrmit l:otms\MccPemritApp.doc 01/03 Mechanical_Perrait application - City of Tigard Page 2- Supplemental information Commercial Fee Schedule: Total Valuation: _Permit Fee: $1.00 to$5,000.00 Minimum fcc $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction __ thereof,to and including$10,000.00, $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and a 1.54 for each additional 5100.00 or fraction thereof,to and including $25 0000.00. 525,001.00 to$50,000.00 $379.50 for the first$25,000.00 and $1.45 for each additional$100.00 or fraction thereof,to and including _$50.000.00. _ $50,001.00 Tnd up $742,00lot the first$50,000.00 and $1.20 for each additional$100.00 or fraction thereof Assumed Valuations Per A Mance: — Value Tolal Description: t Ea Amount Furnace to 100,000 BTU,including 955 ducts&vents Furnace>100,0(10 B'I'U including ducts 1,170 &vents floor furnace including vent 955 Suspended heater,wall heater or floor 955 mounted heater Vent not included in appliance Mrmit 445 Repair units 805 <3 hp;absorb.unit, 955 to 100k BTU 3-15 hp;absorb.unit, 1,700 101 k to 500k BTU 15-30 hp;absorb.unit,501k to 1 mil. 2,310 BTU 30-50 hp;absorb.unit, 3,400 1-1.75 mil.[ITU >50 hp;absorb.unit, 5,725 >1.75 mil.BTU Air handling unit to 10,000 cfm 656 Air handling unit>I 0,000 c 10170- Non-portable 170Non- ortable evaporate cooler 656 Vent fan connected to a single duct 446 Vent system not included in appliance 656 rmit Hood served by mechanical exhaust 656 Domestic incinerator _ 1 170 Commercial or industrial Incinerator 4 590 _ Other unit,including wood stoves, 656 insem etc. _ _DI.Lripin 14 outlets 300 Each additional outlet y 63 'TOTAL COMMERCIAL � VALUATION: ODsts\Permit Forms\MecPcrnutAppl'g2 doc 01/03 12/30/2002 15:04 5035793992 BROWNSTONE HOMEc. -HA PAGE 02 Dec 7D Of OP;Sup BROWNSTt7ME tfonf8 503-F2U-9B&5 r.? .• w t eAW 4+ !I � so I i I ail" �;sl i I I 71 -..---------- _ � I i L6vkL�� _ � "EYE, 2 11N'� r�f'E coo l-J UNIt t�r°C CITYOF TIGARD __ MASTER PERMIT PERMIT#: IAST2.002-00084 DEVELOPMENT SERVICES DATE ISSUED: 7/16/02 A 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13008 SW PRINCETON LN PARCEL: 2S104DA-20900 SUBDIVISION: QUAIL HOLLOW- SOUTH ZONING: R-4.5 BLOCK: LOT: 035 JURISDICTION: TIG REMARKS rowhouse, Unit#35,Bldg 8,CS13. STRUCTURAL FILL, REQUIRES GEO-TECH INSPECTION AND REPORT Bull.DING REISSUE STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: 320 of BASEMENT. if LEFT SMOKE DETECTORS. +'~ TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 744 of GARAGE 412 of FRONT PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 FIN13SMENT: 132 of RIGHT CCCLIPANCY GRP: R3 BORMBATH: TOTAL: 1,79800 if VALUE: $113.305.90 REAR PLUMBING SINKS: 1 WATER CLOSETS: l WASHING MACH I LAUNDRY TRAYS RAIN DRAIN TRAPS: LAVATORIES: 7 DISHWASHERS: I FLOOR DRAINS SEWER LINES. SF RAIN DRAINS: CATCH BASINS, TUBISHOWERS: GARBAGE DISP: 1 WATER HFATERS i WATER LINES. BCKFLW PREVNTR' GREASE TRAPS: MECHANICAL OTHER FIXTURES: FUEL TYPES FURN a 100K: 1 BOIL/CMP<3HP: VENT FANS, .1 CLOTHES DRYER: I I.PG FURN)•100K• UNIT HEATERS: HOODS 071AER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1 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: PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 5008F• 3 201 400 amp: 201 400 amp: tat W/O SVCIFDR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 • 1100 amp: 401 •900 amp: EA ADDL OR CIR SIGNAL/PANEL: IN PLANT: MANU HM/SVC/FDR: 001 • 1000 amp: 901+81"13e•1000v: MINOR LABEL: 1000.amplvolt: ReconneCf only: PLAN REVIEW SECTION --- >-4 RES UNITS: SVCIFDR>•225 A.. >900 V NOMINAL: CLS AREA/SPC UCC ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: nTH: BOILER HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK. INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATArtELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS. Owner: Contractor: TOTAL FEES: $ 6,099.33 BROWNSTONE QUAIL HOLLOW LLC BROWNSTONE HOMES LLC This permit Is subject to the regulations contained in the 12670 SW 68TH PKWY STE 200 12670 SW 68TH PKWY Tigard Municipal Code.State of OR Specialty Codes and PORTLAND,OR 97223 PORTLAND,OR 97223 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 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 Reg S: I IC 124f;.-' forth in OAR 952-001-0010 through 952.001-0080 You may obtain copies of these rules of direct questions to OUNC by calling(503)246.1987. REQUIRED INSPECTIONS Sewer Inspection Plm/undslb Insp Framing Insp Firewall Insp Electrical Final Footing Insp Electrical Service Gas Line Insp Gyp Board Insp Plumb Final Foundation Insp Electrical Rough-in Insulation Insp Rain Drain Insp Mechanical Final Wtr Proofing Bsm't Wa Mechanical Insp Shear Wall Insp Water Line Insp Building anal 1 Slab Insp Plumbing Top Out Exterior Sheathing Inst Smoke Detector Final in ection Issued By : Tit Lam- v�1C t { �iL _ Permittee Signature : i !� ��i'� T Call (503) 639-4175 by 7:00 p.rn. for an inspection needed the next bD i ass Wf SEWER PERMIT CITY OF TIGARD DEVELOPMENT SERVICES PERMIT#: S 16/02 00060 DATE ISSUED: 7/16102 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PARCEL: 2S104GA-20900 SITE ADDRESS; 13008 SW PRINCETON LN SUBDIVISION: OUAiL HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT: 035 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SFA NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection Owner_ — FEES BROWNSTONE QUAIL HOLLOW LLC Type By � Date Amount Receipt 12670 SW 68TH PKWY STE 200 --- - — PORTLAND, OR 97223 PRMT CTR 7116/02 $2.300.00 27200200000 !NSP CTR 7/16102 $35.00 27200200000 Phone: 503-598-7565 Total v $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 and Side Sewer" Perm Issuer) by: — vc sci i=Sc�� —e-. Permittee Signature:—.- �r i VL Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next b ine �ay Building Permit Application City of Tig Datereccived: ' Permitno.:l'>7 �- 8y AL Project/appl.no.: date: City of Tigard Address: 13125 S W a ir��12�'9 r Phone: (503) 639-4171 Date issued: 4y;' L4j Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approvalU _ 1&2 family:Simple Complex: U 1 &2 family dwelling or accessory U Commercial/industtial U Multi-family U New construction U Demolition U Addition/alteration/replacement U Tenant improvement U lire sprinkler/alarm U Other: { SITE INFORMATION Job address: 3 0 ' i 1 L " / /�% Bldg. no.: Suite no. Lot: C I Block: Subdivision: Tax map/tax lot/account no.: Project name: --- - , LP Description and location of work on premises/special conditions: OWNER' INFORMATION, (Flood plait),septic capacit V,solar,etc Name: f Q(a- Kt4f)l.tt L knt,s Mailing address: n 1 &2 tam0y dwelling: City: PC, R II{': Valuation of work...................... ................. $-.—_ Phone -9Y- Fax: i E-mail: No.of bedrooms/baths................................ Owner's representat;.ve: P.0 ' Total number of floors...................I............. - - Plr�nc g l;t: 6,1 •` F, mail. New dwelling area(sq. ft.) .......................... --APPucANT Garage/carport area(sq. ft.)......................... Name: cQ6 �Q Covered porch area(sq. ft.) ........................ - f t � v� t... �,n • Mailing address. s tn, _ - , Deck area(sq. ft.) ........................................ ------ City: ,, State: ZII. q� Other structure area(sq.ft.)......................... Phone: Far G mail: �- CommereiaUindustrial/multi-family: t t Valuation of work........................................ $ — Business name: C N t Existing bldg.area(sq.ft.) .......................... —— New bldg.area(sq.ft.) Address: �5'a City: Number of stories....................................... StutcdO ZI "—' Phone _ - Fax:6�D mail: Type of construction CCB no. Occupancy group(s): Existing: ��� - - --- New: City/mein(lie.no.. Notice:All contractors and subcontractors are required to be ISM 1111 licensed with the Oregon Construction Contractors Board under Name: (�[� provisions of URS 701 and may be required to be licensed in the Address: r p jurisdicfon where work is being performed.If the applicant is Cit State 7,)p: exempt from licensing,the following reason applies: Contact person:��; Plan no.: -- P1un;r K -y I' mad, — -" Name: I , i-vr�a u L Contact person Fees due upon application ........................... $ Address: 6 9 69 L J �. 4 r c c-}- Date received: City: 1 c•`� tate: ZIP: 3 Amount received ......................................... $ _ Phone: ,1 _ Fax: E-mail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Not all jurisdictions accept or"(cads,pleas call jurisdiction for more information attached checklist. All provisions of laws and ordinances governing this U Visa U MasterCard work will be complied whcdi;ijrq'f cd herein or not. CreAlt card number dipim Authorized Sign re: _ �. ,-_.__ Name of cardholder as shown on credit cad —" Print tram _ s .-- Crdtal dyutae Amount Notice:This permit application expires if a permit Is not obtained within 180 days after it has been accepted as complete. amts(bt woM) Plumbing Permit Application Date received: Permit no.:/i� 't 17' City of Tiga•rd Sewer permit no.: RuildinF permit no: Address: 13125 SW Hari Blvd,Tigard,OR 97223 City of Tigard I'ttone: (503)639-4171 ProjecUappl.no.:� - Expire datc Fax: (503) 598-1960 Date issued Hy Receipt no Lind use approval: -_ Case file no.: Payment type: TYPE OF.PERM IT U 1 & 2 family dwclhnft or accessory U Commerciallrndmtrial U Multi family U Tenant improvement U New construction U Add ition/alteration/replacxmenl U F(xxl service U Odicc -------- JOB 1 1 1 1 Job address: /.3C y_ -_ �cC= ISH tion Qti. Tec tea.) 'TotaLkil Bldg.no.: Suite no..- New I-and 2-family dwellings only: (includes 100 ft.for rsch utility connection) Tax map/tax lot/account no. _ -_ IT(1)bath Lot: j Block: Subdivision: - - SFR(2)bath Project name: SFR(3)bath City/county: ZII'. Lacli additional bat)✓kitchen Description and location of work on premises:. - Siteutilities: Catch basin/atra drain Est.date of r:omplr.tion/inspection--� --f- _ _ U wells/leach line/trench drain Forting drain(no.lin ft.) PLUMBING 1 1 M — anufactuted home utilities Business name: Manholes - Rain drain connector -- --- - Wolcott Plumbing Sanitary sewer(no.lin. ft.) - PO Box 2007 Storm sewer(no.lin.ft.) Gresham Olt 97030-0594 Water service(no. lin.ft.) - 503-667-1781 Fixture or item: ccB:23ti-17 1'1 %1 11:26-20"1'I Abso tion valve Back flow preventcr Print name 1 l�atc Backwater valve _ 1PERSON' Basins/lavatory _ - Name: Clothes washer ---- ------- Dishwasher Address: _ - -_- ----- -----.....__ __ .--- _-- _ - --- - - Drinking fountains) City: Ctatr 1.IP. - ---- .._ .. ._-�'___ ,_--- Ejectors/sump Phone: Fax. 1. mail Expansion tank !- 1LamFixture/sewer ca Name(print): Floor draiadfloor sinks/hub ------- -- Garbage disposal --- - -- Mailing address: - `_— Hose Bibb City: State: LIF' -- - _ �- -_�- --_. Ice maker Phone: _--� _ Fax: ---- Email: ^_ -- Interco to0greaseimp -- - __— Owner in-stallation/residentiai maintenance only: The actital installation Primers)will be made by me or the maintenance and rrpair made by my rrgular Roof drain(commercial) -- employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) _ Owner's signature ----_- -- Date: Tubs/shower/shower pan Urinal Name: - -� --- - - ---_----__- - -- -___ - --- Water closet _ Address: _ Water heater - City_ _ -----_- �- State: 7lP: _ Other �--------- --_�_ Phone: - -- Fax: F,ntai l: ---- ToW U MastaCard expires u Misdictlarr fix"arcs ends,r sw call�c AKtim fa mr ida Nam Minimum fee............ ) $ Nee. Notice:This permit application O Viaa es if a permit is not obtained Plan review(at -- � $ -_ Cr&s card mmbn._—____—_____._—� —L within 190 days after it bas been Stale surcharge(8% ....S Name d eardbdder u dr+rn as ova,card-l- _ accepted as complete. TOTAI. ................ $ Crdbukfn a�aatse — — --Ama�at1 4104616(6KI(V b!) Mechanical Permit Application Datc received: permit no.: City of Tigard projecdappl.no.: _- Expire date: - Ciryof'Iigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By. Receiptno.: Phone: (503) 6394171 — — Fax: (503)598-1960 Case file no.: payment type,: Buildinp.permit no.* band use approval: __ - _ TVPE OF PERMIT U I &2 family dwelling or accessory U Commercial/industdal U Multi-family U'renant improvement U New construction U Ad(fitionlalteration!rcplacemcnt U t)(Jeer- _ _ — I ! 1 1 0 III 10,"TO 1 1 Job address: 30n� $W QC �%­r2L Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: I Suite no.: value of all mechanical materials,equipment.labor,overhead, profiL Value$ Tax m 'S map/tax lot/account no.: _ _ _ _-- Lot: - t� Block_�Subdivision: _ cc checklist for important application information and juri:xliction's fee.schedule for residential permit fa:. Project name: 1 1 City/county: _ �- 7.I P: 1 Description and location of work on premises:—,.— - r 1 1 Fee(ea.) Total - Dr-WriptIon Qty. Res.only Rmonly Est.date of ompletion/inspection: I C: Tenant improvement or change of use: Air handling unit ________CFM Is existing space heated or condidoned7 U Yes U No Air conditioning(site plan rrquir�e Is existing space,insulated?O Yes O No ATtMECUANWAL eralion of existing HVAC system _ -�_ 1NTRAC]0H foile7compressoix State txriler permit no.: •• _ 1{I Tons BTUAI Four Seasons Heating& A/C Service Inc f►re7s-mok�am duct smo edetec:tors PO Box 66409 - eat pump(arse p an mquired) Portland OR 97290-6409 octet rep ace frrnaceTliurnci T3T /T- -5919 Inclt:ding ductworldvent liner U Yes U No 503-775 nstaLrep i- acc reloc CCB: 4arc -591 maters-suspen ei� wall,or loot mounted -- - enc or ae r if ance other than utnace Name(please print): t f ,Uac 1 Absorption units---.-- BTU/I I -.,-- (7rillcrs�__ --- lit -- Name: _ Compressors — IIP Address: — - mvlroomm test Ten ton: City: -- �Slaw, 7.11': ---- Applianccvent —_ - _-- Phone: rax: I, maul. Urycreusi -_ 1 a Zf s, 'yp e 1 res. tc a iarmat hood fire suppression systern Name: - - Exhaust fan with tingle duct(bath fans) Mailing address: - - __ — ? hausl system a an from eatMg—or—AC ere p p reg■ oo(up to out els) City: State: ZIP: T __tJG NG Oil _ I`hone: Fax: &tnaiL -T-ucl i in�g,eac aiddiuo- na ove�ets Proem piping(schematic reyurred) -- Number of outlets Name: — --- _— -STI ret ■pp ce or equipment: -- - -- - - Address: Uecoratirefireplace _- City: ---- -_ -_-__ State: ZIP: —_ Insert-type --- ��—` '— _Vtw&tove7pelletatove Pltonc: — ----- Fax: Email cr - Applicant's signature: O -- - ---- Name (print): — - -- Permit fee.....................$ Na dl)urcrdietloae scntV credit rnh,plane call jusisdictian for mac w«®era. Notice:Thisrmit ligation tK application Minimum fee................$ -- U Visa U Mastel and - expires if a permit is not obtained Plan trview(at _%) $ credi -- t cid cumber:- --- within ISO days after it has been State surcharg-(896)....S ._ timed u Jwm na aedre cant accepted as complete. TOTAI. .................. f cardbatdu tla+uaee -- — 4*4617(MOOMWI 3v Electrical Permit Application --- -- -- — - _ _ Datereceiv cL.: Permtt n 7 _--- City of Tigard Project/appl,no.: Expiredate: C'ir)•n.ITigard Address. 13125 SW Hall Blvd,Tigard.OR ') ??{ Dateiseucd: 9y: Receipt no. Phone! (503) 639.4171 Case file nn.. Paymenttypc: Fax; (503) 39R-1960 �• Land use approval; , : t.CL �-E:.���-• --EX..� t 2 family dwelling or aeceseoty 0 Commercial/industria) U Multi family 0 Tenant improvement onstruction a Addition/aitcration/repincemcnr ;eew 7 f)thclQ• e'"'�`"�rartial 1 lath address: � ',�% > C/Zt �tG� t illi . no; Suirc no,: � Tax map/tnx lodaccount no.: Lot; 0lock: _Sith ivision: _ Project natmu: Dr.scripl,ion and Incation of work on premises: f tr►•r - r1%tirnated date or compleInn hngilt 010TI. s F'm M:u Joh nn: ---- Uncripllnn Q ca Tnrnl no.In, Business name t nrmalH-fkmil r _. D 1��1-LUJA EFLE�C TA I O�_ _�.___ new rrsiAcnHai xingf• r rR -Address' 7 51 ttrrrlllnn emir,Inclndr v ntrncM d ptrnrc•, City: H I L L S B O R O Slate: Z1P 9 7 12 3 - s.rlceinrinrlrrl: innfl,q,ri or lea ° Phone:648-5 144 Fnx 6 419-9 7 2 E-mail: - ---- _ _ .-_...—..3 4^�,�.�C F°ch ndditlonol 3M)xq,ft.nr�lan thcrcnf CCB nu.: Ii0 Elee,bus, IIG,rap: _ I,dmltedenergy,rexidenrinl 2 City/metro lie,no.: 1-U 3 Limitedener ,non-rceldentinl 2 Each mnnurneiveed home or modular dwrltinp i Signatutc of w rvrsilrg eleRtician reds—� Dale . Service nndlnr feeder n nr eak.Up Skip elect.nnmr.(print)D A V 10 A J E R O M E I Ucenee nn-2 8 7 7 5- e rn•-Inrtaliatlnn, dreradan or relrieafian: 1 200 nmp s or less 2 , 20 1 am ^to Ono emPs N9me `-' Warn 411 nrtr tit)dnmpk 2 MRiling ZJ�� 6f11 nmpstn 10(lOnmpk -_ Z City: Stat . _ 7.IP q'1 L7�� Ovar tOfroompsorvolts 2 Phone; r�S6SP'aX: [E-mail: Rccanncctonly i Owner instalhttion:The in is heing made on property i own Temparnryaenrleesorfeedem imtnlletfnn.aitontinn,nr rclecatinn: which Is not Intended for sale.Icase,rant,or exchange according to Ina 2 ORS 447,455,479,670. 701. 2a 1 Work In 4nri amp. Owner's si nnture: pat 401in 500 nm k 2 Branch circnlb•verve,n1leMtina, or eutenklan per plrnel: Name: A Fcc for branch circuits with purchnte of AddfPgS: r— service or fcadar fee.,each hrnnch clrcult 2 5 Wilt; ZiP: fl Fee for hrnnch circuick without purchase City: or kervice or feeder fre,fiat branch circuit: 2 I'llmic. T 7y E-mR11: ich QA iilnnol hrnnch circuli. Mbc.(•. .rvlce nr feeder nailIneheded); Cl Service nver225nmpa-xmmere4al U !1•alihcamfacility Each umrnrirrigation eitclr 2 U Serviri over 320 ramps-ragnp of 1 R2 U Hazardnw locntinn Fitch sign Mr outline II htin 2 family dwelling; 0 Building over Io,nm square feat four or Signal circuit(,)or a limited energy rnncl, 0 Syatemn.er6Mvnir,nnminnl mom MAIdenilalnniu,inaneMnIciure altaratinn,orexicrionn• Cl hnlldingnvcrth►aaxtndea 11 Fecdera.400amr%ormore •Deem tion: — — 0 Uceupnnt Innd ever99 prrsnnc Cl Mnnufnetwed stnteturea nr RV park r ch additional Impertion river the allowable In nnY of the AL-ve: O F.gt"%AighHngplan 0 other — P,Inaticolon F— ,rirrhrnit `.krrk or pians wkh any of tine above. Inwrkngntinn ice The above are not appllcnhtr to Iremporary•ennatrhtetion servlee. Other - ------- Permit fee..................... Nm-nil joriniktinns ecegn efrAt rents,plenee en11 lllH! H1on for men inrnaMr,e,. Notice:This permit nrplicntion 0 Vikn ClVinstrrCnRl expires if a permit is not nhlnincd Plan review(at -_ %) 5 �_- Or,&Bent ikober: .. __ _ _ within ISO days eater it hes been State surcharge(11%) ,...$ / 2 . accepted'Is com-)icte. `* • f" grog of earean u t wit an Credit ger __ f - to der aiRnalure — mount W461.1(AM1120M) CITY OF TIGARD 13126 S.W. HALL BLVD. TI©ARD, OR 97223 �I IMPORTANT PERMIT NOTICE DAVID JEROME ELECTRIC ' PO BOX 751 HILLSBORO, OR 97123 Electrical Signature Form Permit*: MST2002-00084 Date Issued: 7116102 Parcel. 2S104DA-20900 Site Address: 13008 SW PRINCETON LN Subdivision: QUAIL HOLLOW- SOUTH Blrjck: 1„ot: 035 Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse, Unit#35,Bldg 8,CSB. STRUCTURAL_ FILL, REQUIRES GEO-TECH INSPECTION AND REPORT 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 Flerirical Signature Form prior to the start of the work to the address above, ATTN: Building Division. No ulectrical inspections will be authorized until this completed form is received OWNER: FI_FCTRICAL CONTRACTOR. BROWNSTONE QUAIL HOLLOW LLC DAVID JEROME ELECTRIC 12670 SW 68TH PKWY STE 200 FO BOX 751 PORTLAND, OR 97223 HILLSBORO, OR 91123 Phone #: 503-598-7565 hone # 648-5144 LIC 36051 Stir 28715 ELF 3+-11yc AN INK SIGNATURE IS REQUIRED ON THIS FORM -� , �-. Siqe of Supervising Flectrician P you have any questions, plr•ase call (503) 639-4171, ext # 3'� 10018 1,110 S(nii c121VNI A0 AID rR9C1.7.ACo5 TFd NT 60 NOW za/De"r] CITYCITO F T'I GAR D ELECTRICAL PERMIT- RESTRI:TGDENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00218 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 10/15/02 SITE ADDRESS: 13008 SW PRINCETON LN PARCEL.: 2S 104DA-20900 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT: 035 JURISDICTION: TIG Proiect Description: Install low voltage for Voice/video. A. RESIDENTIAL B.C0hi"".7='^!AL ___ AUDIO & STEREO: AUDIO & STEREO INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL-: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#_OF SYSTEMS: Owner: Contractor: BROWNSTONE QUAIL HOLLOW LLC AZIMUTH COMMUNICATION 5 INC 12670 SW 68TH PKWY STE 200 P.O. BOX 508 PORTLAND, OR 97223 WILSONVILLE, OR 97070 Phone: 503-598-7565 Phone: 503-639-01111 503-639-0110 Reg #: ELh 36.94(A-L SUI' 23121JLI--A LI( 14582.4 FEES Required Inspections _Description Date Amount Low Voltage Inspection I I I'IZM I I kLR Permit 10/15/02 $75.00 Elect'I Final 1 \ t; 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 i 11 Issued by ,., ;; uC.C: Permittee Signature OWNER INSTALLATION ONLY The Installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATl1RE OF SUPR. ELEC'N _� I DATE LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application Date received: Penou no.�t � �{ City of Tigard Project/appl.no.: Expire date: ( c'iry e,1 I t),'urd Address: 13125 SW Hall Blvd,'figard,OR 97223 nate issued: By:f"(� I Receipt no,: Phone: (503) 639-4171 Fax: (503)598-1960 Case file n0.: Payment type: Land use approval: 1 U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvcn icio KNew construction U Addition/-Ih•rn(i(in/replaccnr,•nt U Other: U Partial Job address: ja � �' � Lk/` I Bldjg no.: I guile no.: ITax map/tux lot/account no.: Lot: 5 Bltxk: Sub(livision:�U Project name: ,j ,11 Sn,;u Description and location of work on premises: / / Estimated date of completion/inspection: CONTRACUOR APPLICATION FEE SCUIEPULE Job no: Ik•,cription l)N. (rn.l Ii�6d no.insp Business name: 42joitA174 Cr /k r C New midential-single or mule randiy IMr Address: S, d, G' �� dwelling;unit.lnclnrlrsattaclKdrarnCr. City:t4)1 r.l� Slate:cy ZIP: ')L,7(, service included: 4-1i I YJ Fax 1: mIIll: l asq It.or less 4 Each i:2ch ch additional SW sq.f1.or portion thereof CCB no.: Elec.bus,lic.no: G% (eel) Limitedencrgy,residential 2 City/met lic.no.: 0010}i lI Limited energy,non-residential 2 Each manufactured home or modular dwelling Signature of su rvis ng electtfctAn(required) — Uute Service and/or feeder 2 ---gcf- Services or feeders-Installation, Sup.elect.name(print) �'� ` .' I.icrnse nn:7t ZTfX alleratlon or relocation: 200 amps or less _ 2 201 amps to 4W amps 2 Name(print): ''Glu tti�STD _ _ .� 401 amps to 6W amps _ _ 2 Mailing address: 601 amps to 1000 amps _ 2 City: Slat): I Zi I_ Over 1000 amps or volts _— 2 Phone: Fax: (.-mail: Reconnect only l Owner installation:The installation is being male on property I own aeinporaryservicesorfeeders- whichIS not intendedfor sal),lease,rent,or exchange according to Installation,alleratlon,orrelocation: omps or less 2 ORS 447,455,479,670,701. 201 amp,to 4W amps - v 2 (tuner's si'naturr: Date: _j 401 to 600anips -- 2 Branch circuits-new,alteration, or extension per panel: 7Addre, A. Fee for branch circuits with purchase of service or feeder fee,each branch circuit 2" St 't�'— ZIP:_ B. Fee for branch circuits without purchase --- - of service or feeder fee,first brunch circuit: 2 Phone: FOX 1, mail: Each additional branch circuit: — Misc.(Service or feeder not Included): U Service over 22.5 amps-unnnurrct:d U Health-care facility Each pump or irrigation circle _ 2 0 Service-ver 320 amps-rating of 18&2 U ttnzardous bxation Each sign or ouoiue lighting 2 fnmilydwellings LI Building overl0,00(h%quarefeet6ruror Signal circunWornlimited energy panel. U System over 6W volts nominal more residential units in one structure ahereti-n,-reztension• :i •Building-verIlreestorics UFeeders.4Wamps(it more •I)Lsuri ium LI Occupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable in any of the above: U Egress/lightingplan U Other: _ _�__ Perimpection Submit__sets of plans with any of the above. Investigation fee _ lite above are not applicable to temporary construction service. Other Not all jutisdictions arcepi credit carers,plena cnll juriuiiction fix more Infornanon. Notice:This permit application Permit fee.....................$ U Visa U MasterCard expires it's permit is not obtained Plan review(at _ %) $ Credit card number:. _. within 180 days after it has been State surcharge(8%)....$ _ -- zpires accepted as complete. TOTAL .......................$ _ ,q w of cardholder nsshown on credit tat carr Cardholder signature Amount 440.4615(&WICOM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: — TYPE OF WORK INVOLVED _RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee..................................................... 75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq It or less g14`'t —._ 4 �f Audio and Stereo Systems' Each additional 500 sq fl.or portion thereof — _- $33 40 - Burglar Alarm Limited Energy $75 00 -- Each Manul'd Home or ModularEl Garage Door Opener' Dwelling Service or Feeder $90.90 _---- ._ Services or Feeders Heating,Ventilation and Air Conditioning System' Install:lion,alteration,or relocation 2 200 amps or less _ $80.30 ❑ Vacuum Systems' 201 amps to 400 amps $106.85 2 401 amps to 600 amps $160.60 2 601 amps to 1000 amps _ $240 60 2 Other L�t Cr V - _ Over 1000 amps or volts $454.65 _ 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Fee for each system.......................... ... _... $75.00 Installation,alteration,or relocation $66,85 2 (SEE OAR 918-260-260) 200 amps or less — 201 amps to 400 amps _ $10030 2 Check Type of Work Involved: 401 amps to 600 amps $133.75 2 yp Over 600 amps to 1000 volts, ❑ Audio and Stereo Systems see"b"above. Branch Circuits ❑ Boller Controls New,alteration or extension per panel a)The fee for branch circuits ❑ Clock Systems with purchase c'servtce or /odder toe. ❑ Each branch circuit $6.65 .� � Dela Telecommunication Installation b)The lee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder lee. First branch circuit $4685 ----.-- ❑ 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 $53.40 Signal circuit(s)or a limited energy ❑ Landscape Irrigation Control' panel,alteration or extension $75,00 Minor Labels(10) $125.00- - _ ❑ Medical Each additional Inspection over the allowable in any of the above Nurse Calls Per inspection $62.50 Per hour $82.50___ ❑$73.7 Outdoor Landscape Lighting' In Plant Fees: ❑ Protective Signaling Enter total of above fees $ ❑ Other -- 8%Stale surcharge $ _ _._ Number of Systems 25%Plan Review Fee $ No Iicensns are required Licenses are required for all other Installations See"Plan Review"section on _ — front of application. Fees: Total Balance Due $ Enter total of above fees S Trust Account# — _ e State Surcharge s. — _- --- --- — Total 9alance Due $ All New Commercial Buildings require 2 sets of plans. i:\dsts\fomu\elc-fees.doc 0813001 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 Perr.iit #: hiST200:-000214, Date Issued: 7116102 Parcel: 2S104DA.•20900 Site Address: 13008 SW PRINCETON LN Subdivision: QUAIL HOLLOW - SOUTH Block: I-ot: 035 Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse, Unit #35,Bldg 8,CSB. STRUCTURAL FILL, REQUIRES GEO-TECH INSPECTION AND REPORT 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, ATTW 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 rr68TH PKWY STE 200 PO BOX 2007 P0RM 1 LAI'0, OR 9i 223 GREGHAM, OR 07030 Phone #: 503-598-7565 Phone ## 667-1781 Reg # I Ir 23847 PI M 26-208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signatu uthc rized Plumber If you have any questions, please call (503) 639-4171, ext. # 310 C'17 OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 KIST BUP - - - - - - Received Date Requested (» AM PM _-____ BUP Location --i- SC,) Pf i n �A_guite MEC Contact Person _ Ph( ) 4 3�Z-- D(j© PLM --- --_ Contractorfrs'YZr"j-1 , l7N�ryiLar�iC 7'� Ph( ) ate$ SWR BUILDING Tenant/Owne� _- _- .- ELC Footing ELC Foundation - ACCASS: Ftg Drain ELR C-L); � Crawl Drain — Slab Inspection Notes: SIT f Post&Beam — L�D/,a ZU�J Shear Anchors Ext Sheath/Shear # Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler - -- - Fire Alarm Susp'd Ceiling Roof Other:--- - - - - Final PASS PART FAIL PLUMBING Post&Beam Under Slab ------ Rough-In Water Service — ---- -- ---- - - - Sanitary Sewer Rain Drains --------- - — Catch Basin/Manhole Storm Drain ---- — Shower Pan Other:----- _---- .._ —- -- 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 Final Reinspection fee of$_ _.___.___ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd PART FAIL SITE _ [� Please call for reinspection RE Unable to inspect-no access Fire Supply Line ADA r' Approach/Sidewalk Date. 2�(? __ Inspector �L� Ext Other:_ _ - Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL