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13018 SW PRINCETON LANE w C) 00 rn 1 0 m r o� CD 13018 SW Princeton Lane r CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 6394175 MST �_ � ? INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received - —�j_ Date Requesjed_� - 1 1�' .-.—AM-- _ PM- BUP Location -_/ 3v-.1�_ - L/�.�Y✓� Suite MEC -_ Contact Person Ph( ) �� 3 5.3�{$�PLM _ Contractor ---- - --- - - -- Ph ) SWR BUILDING Tenant/Owner - _ -__ _-__ E L C Footing ELC Foundation Access: Ftg Drain ELF! Crawl Drain — Slab Inspection Notes: SIT Post&Beam --- --- Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - - - Insulation Drywall Nailing --- Firewall /7 y Fire Sprinkler - --- - --- --- Fire Alarm Susp'd Ceiling -- Roof Jther: --- Final PASS PART FAIL PLUMBING Post&Beam Under Slab - — -- ---- -- ------- Rough-In Water Service -- -- -- -_---- ------ Sanitary Sewer Rain Drains - --_--- - Catch Basin/Manhole Storm Drain Shower Pan -.-- in A PART FAIL CHANICAL -- -- --- -------- ---- -- --- - Post&Beam Rough-In _-- Gas Line Smoke Dampers - Final PASS PART FAIL - '_- - ---.--- -- --- -- ELECTRICAL _- _ Service -------- ----------------- ---- - -- Rough-In UG/Slab — — Low Voltage Fire Alarm Final lPART FAIL Reinspection fee of$ __--_.required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASSSITE _ Please call for rein pection RE: ____�-_-_---_ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk I1Is°e '>rnr f` �?_,� Ext Other. Final 4O NOT REMOVE this Inspection record fir, m the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP — Received ___ Date ReVested_, ` L AM--_ PM — BUP Location --�� Suite MEC Contact Person --r-77-v - - Ph PLM --_— Contractor_ E_ SWR BUILDING Tenant/Owner _ _ - -__--._ ELC _ Footing ELC Foundation Access: Ftg Drain � ;9a Crawl Drain r SIT 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 -- -- 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 — ----.- -. _._-- _ - --- —Y—Slab FLaAlarm !in F-1 Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. jPART FAIL --- F-] Please call for reinspection RE: ---.— [] Unable to inspect-no access Fire Supply Line ADA Daft, / "' = Inspector _ Ext Approach/Sidewalk Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL i' CITY OF TIGARD 24-Hour Q BUILDING inspection Line: (503) 639-4175 MST _G UG C) INSPECTION DIVISION Brtsiness Line: (503)639-4171 Blip -_-_.— Received _- -_ Date Reques d— �U AM ___ _-. PM _ Blip Location _—_-_ .__L_�-�-' JL SUite--- MEC _PLM _.--_--- ) - -- - Contact Person -- -- — Ph( - - -- Contractor—_� -- Pr' ( ) SWR BUILDING Tenant/Owner _- --- ELG - Footing - --- ELC Foundation Access: Ftg Drain ELR - - Crawl Drain ------ - SIT Slab Inspection Notes: - Post& Beam - - - - - Shear Anchors Ext Sheath/Shear - Int Sheath/Shear Framing - Insulation (�,, 16 -.0-TDrywall Nailing -,+�' --- --- — --- - Firewall Fire Sprinkler ---- Fire Alarm Susp'd Coiling -"-- Roof Other: PASS PART FAIL PLUMBING _ - ----—-- -" �� •rJ Post&Beam Under Slab Rough-In 14V-d-ke' Cie l - Water Service - ---�— - Sanitary SewerJ�- wS - - Rain Drains ---T Catch Basin/Manhole Storm Drain — _ �— Shower Pan IV e�'� Y C Other:--- - - . -- -_ Finalto PASS -- PASS PART FAIL MECHANICAL =-- ---- Post&BeamR f Rough-In — - - - Gas Line Smoke Dampers ------- ___ \ -- ---- `i"I al> -- -`f%KSS PART_ FAIL ELECTRICAL ----- Service Rough-in ------ UG/Slab __._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 31TE [� Please call for reinspection RE: -_ Unable to inspect-no access Fire Supply Line ExtADA Date _.1" 3D�3 Inspoator 1�# 3 rGr Approach/Sidewalk Other:_ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD _ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#- MEC2002-00568 13125 SWHall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/13/02PARCEL: 2S104DA-20800 SITE ADDRESS: 13018 SW PRINCETON LN SUBDIVISION: QUAIL HOLLOW- SOUTH ZONING: R-4 5 BLOCK: LOT:034 JURISDICTION: i lc CLASS OF WORK: OTR 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: DOMES. INCIN: I-PG 3 15 HP: COMML. INCIN. MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1 FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Installation of gas fireplace and gas piping. Owner: _ FEES _ BROWNSTONE QUAIL HOLLOW LLC Description Date Amount 12670 SW 68TH PKWY STE 200 �tl t'111 Permit Fee 12112/02 $72.50 PORTLAND, OR 97223 Y, 51;1te"I'u.r 12/12/02 $5.80 Total $78.30 Phone: 503-598-7505 Contractor: FOUR SEASONS HEATING &A/C PO BOX 66409 PORTLAND, OR 97290 REQUIRED INSPECTIONS Gas Line Insp Phone: 503-775-5919 Mechanical Insp Reg#: LIC 48283 Final Inspect;r)n This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 C� yr> Permittee Signature: Issued _ Call (503) 9-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application — �- — Datcrccived: 6�- Permit no.: K� a. 14jp city of Tigardo.: Ex iredate: City of Tigard Addrc�s: 13125 SW IIaII BIvd,Tigard,OR 97223 Date issued: F11 JWJ Receipt no.: Phony (503) 639-4171 Fax: (503) 598-1960 Casc file no.: Payment type: Land use approval: _ Building permit no.: K-,5T,cG9 - QQQ OF T1 PC 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement we(: U Addition/alteration/replacement ❑Other: "Blbdg.no.: ., , ,,7�� (`((`�� r ��r Indicate equipment quantities In boxes below. Indicate Ulc Jullai Suite no.: value of all mechanical materials,equipment,labor,overhead, profit.Value$ Tax map/t ot/lccount no.: Lot: t_� Block: Subdivision: ( 'See checklist for important application information and tnwn': Ice schedule for residential permit fee. Project name: 1 City/county: ZIP: 1 t61 1 DiI Description and I on of work o resin ss s: -- Y � -- Fee(ea.) 'total Ikwt riplion thy. Res.only Res.onh Est.date of completion/inspection: — ; Tenant improvement or change of use: Air handling unit Ch-M Is existing space heated or conditioned?U Yes U No Air conditioning(sitep an require ) Is existing space insulated?U Yes U No Alteration o'exisung system of er compressors State holler permit no.: Business ame: (,t 11_yl t�� Y _ — tip Tons BTU/1-1 Addre ,ire smo a dampers/duct uct— smoke electors City. Slate 'LIP: -Teat pump(site It an require ) Fax: Entail: install/replace urnac urner__ Phone:.5-0 539-914 Including ductwork/vent liner U Yes U No CCB no.: I nsta rep accTrefocate eaters-suspendei�d, City/metro lie.no.: wall,or floor mounted _. Will for app iance of er t ran furnace Name(please print): Ref gerat on: Absorption units BTU/11 l Chillers_ -__ NP Name: Cessors tip nr rohmenta exhauqt and vent ddt on: City_f(•y' ��(' 1[ Stat z 7r�T Aprliance vent Fax: Email: yerex gust Phone: r_ s o s, 'ypcIll res. ilc a Jhazmat t a hood fire suppression system Name: _ Exhaust fan with single duct(bath fans) Mwling address. -- - - x must systema an ruin Feat n or C Fuel ji ping an or rut on(up to outlets) City: state: ZIP: Type: 1-11U NG Oil Phone: - I ar Ema .are i n eac a itiona over out els rocess piping(sc ematic require ) Number of oc'llels _ Name: ter s1 ■pp lace or equ pment: / n�50 Address: —_- D curativcfireplece / Cily: tate: ZIP: nsen-ty _ 0o stov pe.etstovc _ _ Thune: Ir ax: -E-mail: er. Applicant's sig to . ,% Date:I Name(print): / - - Permit fee.....................$ Noi all jurisdiction,accept credit cards,please call jurisdiction for more information. Notice:This permit application Minimum fee................$ _ a U Visa U MasterCard expires if a permit is not obtained plan review(al _ `Ra) $ -- Credit card number: - .Rpima— within 180 days a"er it has been State surcharge(8%) ....$ Name or co o der u a own on credit c accepted as complete._ P p TOTAL, .......................$' `7$ ('ardhdder alsrtutue Amount — 4IP4617 16r00ICOMi CITY PERMIT- \ V'ITII OF TIGARD RESTRICTED ENERGY PERMIT#: ELR2002ooz7:3 DEVELOPMENT SERVICES 13125 SW Hall Blvd.,TiqDATEISSUED: 11127/02ard, OR 97223 (503) 639-4171 PARCEL: 2S104DA-20800 SITE ADDRESS: 13018 SW PRINCETON LN ZONING: R-4 5 SUBDIVISION: QUAIL HOLLOW- SOUTH JURISDICTION: TIG BLOCK: LOT: 034 Project Description: All encompassing Low Voltage. -- A.RESIDENTIAL _ B.COMMERCIA_,_�_.__—.— —.---- INTER ------ _ AUDIO & STEREO: COM & PAGING: AUDIO & STEREO: X BOILER: LANDSCAPEIIRRIC 4T: BURGLAR ALARM: X CLOCK: MEDICAL: GARAGE OPENER: X DATAITELE COMM: NURSE CALLS: HVAC: X RMOUTDOOR LANDSC LITE: VACUUM SYSTEM: X FIRE ALA HVAC: PROTECTIVE SIGNAL: — JI OTHER: ALL. ENCOMP . X INSTRUMENTATION: OTHER: �_ TOTAL# OF SYSTEMS: __ Contractor: Owner: AZIMUTH COMMUNICATIONS INC BROWNSTONE QUAIL HOLLOW LLC P 0 BOX 508 12670 SW 68TH PKWY STE 200 WII SONVII_LE. OR 97070 PORTLAND,OR 97223 Phone: 503-598-7565 Phone: 503-639-0110 Reg #: ELE 36-94CLE SUP 2312LEA LIC 145u28 FEES Required Inspections f=Description Date Amount_ Low Voltage Inspection LPRNITJ ELR Permit 11/27102 $75.00 Elnct'I Final I'AXJ 80,.,State'I'ax 11127/02 $6.00 Total $81.00 of y Codes This Permit is sued subject to Ihwo regulations donetnlne6 in the accordance'with approved plrd Municipal ans. This eperOmiitt will expire tif work is and all other applicable laws not started within 180 days adopted be if w Oregon Utility Not fc for more adays. of at on Center. Thosea rules set forth inOOAR n law requires you to follow rules p Y the 952-001-0010 through GAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at (50 3) 246--6699. Permittee Signature Issued by OWNER INSTALLATION ONLY — The installation Is being made on property I own which is not intended for sale, lease, or rent. DATE- _ OWNER'S SIGNATURE: -- -- CONTRACTOR INSTALLATION ONLY ------------- DATE: .--- SIGNATURE OF SUPR. ELEC'N LICENSE NO - Call 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WOLCOTT PLUMBING CONTRACTORS PO BOX 2007 GRESHAM, OR 97030 Plumbing Signature Form Permit #: MST2002-00083 Date Issued: 7130102 Parcel: ZS104DA-ZO800 Site Address: 13018 SW PRINCETON LN Subdivision: QUAIL HOLLOW - SOUTH Block: I_ot: 034 Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse, Unit #34, CSB plan. STRUCTURAL FILL, REQUIRES GEO-TECH INSPECTION AND REPORTS Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the Plumbing permit to be valid, please have the appropriate individual From your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed form is received (I,WNFR. PLUMBING CONTRACTOR: BROWNSTONE QUAIL. HOLLOW LLL; WOLCOTT PLUMBING CON*rRACTOR! 12670 SW 68T1-I PKWY STE 200 PO BOX 2007 PORTLAND, OR 97223 GRESHAM, OR 97030 Phone #: 503-598-7565 Phone #: 667-1781 Reg #: I IC 23847 PI M 26••208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature o Aut rized Plumber If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIG�►RD --- BUILDING PERMIT PERMIT#: BUP2002-00298 DEVELOPMENT SERVICES DATE ISSUED: 7/16/02 13125 SW Hall Blvd.,Tiqard. OR 97223 (503) 639-4171 PARCEL: 2S104DA-20800 SITF ADDRESS: 13018 SW PRINCETON LN SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT: 034 JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION,_ CLASS OF WORK: FND FIRST: sf N: �S: E: W: TYPE OF USE: SFA SECOND: sf PROJECT OPENINGS? _ 'TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 000 st ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: GARAGE: sf OCCU SEP. RATED: STOR: HT: ft BSMT?: MEZZ?: REQD SETBACKS _REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR- PARKING: VALUE: $ 4,500.00 Remarks: Foundation only permit for Building#7. Owner: J Contractor: BROWNSTONE QUAIL HOLLOW LLC BROWNSTONE HOMES, LLC 12670 SW 68TH PARKWAY #200 12670 SW 68TH PKWY PORTLAND,OR 97223 PORTLAND,OR 97223 Phone: Phone: 503-598-7565 Reg#: LIC 124627 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Footing Insp Foundation Insp PRMT CTR 7/16/02 $187.50 27200200000 Final Inspection 5PCT CTR 7/16/02 $15.00 27200200000 Total $202.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Permittee ,^ �Q Signature: Issued By: Call 639-4175 by 7 p.m.for an inspection the next business day t / rlr�i aha -C�oD83 Building Permit Application Date received: l Perrrut no { Cityof Ti and Projeedappl.no.: date: ss: 5 1� 223 -' City Addre1312 of Phone: (503) 63. 1� Date issued: Receipt no.: Fax: (503) 598-1960 Case rile no.: Payment type: Land use approva,. _ _ 1&2 family:Simple Complex: ". 'PE OF PERMIT U l &2 family dwelling or accessury U ConuncrciaUindustrial U Multi-family U New construction -0-Demolition ❑Addition/alteration/replacement ❑Tenant improvement O Fire sprinkler/alarm U Other: 1l SITE INFORMATION Job address: Fk7�Aubdivision: `/1 Bldg.no.: Suite no.: Lot: Blt _ _I Tax map/tax lot/account no.: bh T. Project name: Q- d' Description and location of work on premises/special conditions: — — - 1 1)WI 1 MITT, � i Mi Name: � • ItiC�t,�c .(�nr,1 ,(.�- Mailing address: in � 1 &2 family dwelling: " u Cit J max. State:OR2 Z[P: Valuation of work........................................ $ y: o v- Phonm,S - Fax: a E-mail: No.of bedrooms/baths................................. Owner's representative: RO ' Total number of floors................................. Phone; 3 g Fax: E-mail: New dwelling arca(sq.ft.) ..............I........... Garage/carport arca(sq. ft.).................•....... Covered porch area(sq. ft.) Natrtc. ( C�6'� !� Deck area(sq, ft.) ,g' S� ...........................:. .......... Mailing address: W E_ -. Other structure area(sq.ft.)............ .:.........• City: 4- 1 State: ZI • 4 Commereiallirrdtustrial/multi-family: !'bone: Fax: E-mail: $ Valuation of work...............•........................ 1ki t 4 1 Existing bldg.arca(sq.ft.) •......................... Business name: f t-. o New bldg.area(sq.ft.) Address: gam- r - Number of stories........................................ City: HA. State ZI Type of construction................................•... Phone• - Fax:62o- z ' mail: Occupancy group(s): Existing: CCB no.: - __ New: City/metro lic.no.: Notice:All contractors and jubcontmctors are required to be t a r licensed with die Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the G L'p -_ -- - jurisdiction where work is being performed.if the applicant is Address: QL ryvc. -S c`c Ei O exempt from licensing,the following reason applies: State ZIP: Contact person: Plan no.: Phone: r E-mail: Narnc: Contact person: Fees due upon application w. C� e,- A4 r c cam} Date received: r City: c tate: Zllr: ;3 Amount received ......................................... $ Phone: p Fax: E-mail: Please refer to fee schedule. I hereby certify I have read and ex in this a plication and die Nd all Jurisdictions scop credit cant,prase call jorirdicuon fa rr-ae inronnatioo. attached checklist All provi ns of I s an aances governing this cretin caOv�aa OMuterCard work will be complied ++ h�thnr herein or not. rd number. —r pL�L-- card Authorized sivrinttrre: - -U, Nome c u a � Print name: U._..-�U�' f;I(�R - %4 .L Caa tn.rare S Amomt Notice:This permit application expires If a permit is not obtain in 190 days atter it has been accepted u complete. Wo�u tdodcnsn - _.-MAST[RPERMIT CITY OF TIGARD PERMIT #: MST2002-00083 DEVELOPMENT SERVICES DATE ISSUED: 7/30/02 13125 SW Hall Blvd.,Tigard, OR 9722.3 (503) 639-4171 SITE ADDRESS: 13018 SW PRINCETON LN PARCEL: 2S104DA-20800 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT:034 JURISDICTION: TIG REMARKS: SF rowhouse, Unit#34, CSB plan. STRUCTURAL FILL, REQUIRES GEO-TECH INSPECTION AND REPORTS BUILDING REISSUE: STORIES: 3 FLOOR AREAS _ REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: 320 of BASEMENT: of LEFT: SMOKE DETECTORS: TYPE OF USE: SFA FLOOR LOAD: 119 SECOND: 14.1 of GAR".GE: 412 :' FRONT: PARKING SPACES: TYPE.OF CONST: 514 DWELLING UNITS: 1 FINBSMENT 132 of RIGHT: VALUE: $173,30560 OCCUPANCY GRP: R3 BORM: 2 RATH: 3 TOTAL: 1.79500 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: TUBISHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN c 100K: 1 BOIL/CMP c 3HP. VENT FANS d CLOTHES DRYER: 1 I PG FURN>•100K: UNIT HEATERS: HOODS. i OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES GAS OUTLETS: t ELECTRICAL. RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF CV LESS: 1 0 - 200 amp: 1 0 200 amp: WISVC OR FDR: PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 50CSF: 3 201 400 amp: 201 400 amp: td WIO SVCIFDR: SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 800 amp: 401 800 amp. EA ADDL OR CIR: SIGNAL/PANEL: IN PLANT: MANU HMISVCIFDR: 801 - 1000 amp: 8014ampsoonov: MINOR LABEL. 10004 amolvolt PLAN REVIEW SECTION Reconnect only: >•4 RES UNITS: 9VCIFDR>•225 A.: >800 V NOMINAL: CLS AREAISPC OCC. _ ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING OUTDOOR LNDSC LT BURGLAR ALARM 0TH: BOILER: HVAC: LANDSCAPEIIRRIG. PROTECTIVE SIGNL. GARAGE OPENER. CLOCK: INSTRUMENTATION: MEDICAL: OTHR, HVAC: DATArTELE COMM: NURSE CALLS TOTAL a SYSTEMS, Owner: Contractor: TOTAL FEES: $ 5,896.83 BROWNSTONE QUAIL HOLLOW LLC BROWNSTONE HOMES,LLC This permit subject to the regulations contained in the 12670 SW 68TH PKWY STE 200 12670 SW 68TH PKWY Tigard Municipal Code,State OR. Specialty Codes and PORTLAND,OR 97223 PORTLAND,OR 97223 all other applicable laws. All woo rk wilTh permit done In accordance with approved plans. This permwill expire K 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 Ren a uc 1245::1 forth in OAR 952-001-0010 through 952-001.0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1981. REQUIRED INSPECTIONS Sewer Inspection Plm/undslb Insp ^Framing Insp Exterior Sheathing Inst Smoke Detector Final inspection Footing Insp Electrlcal Service Fireplace Insp Firewall Insp Electrical Final Foundation Insp Electrical Rough-In Gas Line Insp Gyp Board Insp Plumb Final WIT Proofing Bsm't Wa Mechanical Insp Insulation Insp Rain Drain Insp Mechanical Final Slab Insp Plumbing Top Out Shear Wall Insp Water Line Insp Building Final ' Issued 8y ' Permittee Signature Call (503) 639-4175 by 7:00 p.n1. for an inspection needed the next business day CITYOF TIGARD EWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: S30/02 00059 DATE ISSUED: 7/30102 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S 104DA-20$00 SITE ADDRESS; 1301$ SW PRINCETON LN SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 FLOCK: LOT: 034 _ __JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNIT: 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 7/30/02 $2.300.00 272on200000 INSP CTR 7(30102 $35.00 27200200000 Phone: 503-598-7565 Total $2,335.00 Contractor: Phone: Reg#: Required Inspections _ This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located,the installer shall purchase a"Tap and Side Sewer" Perm 6(A" ,j Permittee Signature: Issued kir ;:__-- --- Call (503) 6394175 by 7:00 P.M. for an Inspection needed the next business day 1Plunibing Pe.rnit Application Ihtctocelved: - Permitno.: City of Tigard Sewer permit no.: Building permit no.: , Address: 13125 SW Hall Blvd,Tigard,OR 97223 City of Tigard Phone: (503)6394171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Nate issued- By: Receipt no.: Land use approval: — Case file no -- Payment type ) U 1 &2 family dwelling or accesuary U Commercial/industrial U Multi-family U Tenant improvement U New construction U Addition/altaation/replace-,lent U Food service U Other: .aJOR SITE INFORMATION Job address: I �'( S s Ilk-ccrlption Y. l ee(ea.) Total w —�° Ne" 1-and 7.-famll)dwellings onl): Bldg.no.: _-- Suite no.: — (1ncludes100ft.for each utility. connection) Tax map/tax lot/account no.: SM(1)bath _ Block: 1Subdivision: SFR(2)bath -- -'- ---,_ Project name: -- -- SFR(3)bath City/county: — ZIP: Each additional bath/kitchen Desand location of work on pr cription emises: SltetadWNes: Catch basiNarra drain _ Est.date of conipletionrnspection: — DrywelleAcach line trench drain - - tNTRAC]01r' Footing drain(no.lin. ft.) — Manufactured home utilities Manholes � - Wolcott 1'Inrnhingt -Rain drain connector _ 110 Box 7007 Sanitary sewer(no.lin. ft.) — Gresham OR 97030-0594 Storm sewer(no.lin.ft.) _ 503-657-1781 Water service(no, lin. ft.) CC11:23847 111,M 0:,!6-2ttSl'li Fixture or Nem: Contractors representative signature: Absorption valve — _— _ - flack flow reventer Prim name: Dale: -�-------- ---- _ Backwater valve — — t PERSON Basins/lavalory - --_-_ _- Name Clothes washer — ---- - Dishwasher Addmss: -- Drinking fountain(%) City: — --_ State: ?1P: Ejec:turs/sum Phone: Fax: E_ il: — Expansion tankk — Fixture/sewer cap Name(print): _ - Moor drainstfloor sinks/hub Mailingaddress: -- --� - -- Garbage disposal __-_ —.--.-.—_ Hose bibb City: State: ZIP._ —_ ja maker �- Phone: ---�— Fax: E-mail Interceptor/gam— -- Owner instal Iation/residential maintenance only: The acUul installation Primer(s) will be made by me or the maintenance and repair made by my trgular 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^ —w City: -TI' Phone: Fax: JE-_ l — Total Not all}aiedictlatr am, credit card,,pieaer cd)uriaLcrion fQ road fdatmrlaa Notice:This permit application Minimum fee............ $ ..-- UVisa 0MastaCud expires if a pe mit is not obtained Plan review(at — �) $ a (.]edit card%meet —._-_-- _-_ p / within 180 days after it has been State sur�ktatgc(8%).,..$ _---�- accepted as complete TOTAL . .....................S _-_--- Name d eardVdda r aboMn s aedr atd _ S —�� Cardt�aide At ort 440,4616(&UDKX) ) Mcchanicai'Pcrmit Application Date received: Permit no.-./tL1 City of Tigard Project/appl.no.: Expiredate: CirvofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Datcissued: By: Receipt no.:_ I'Itone: (503) 639-4171 — Pax: (503) 598-1960 Case file no.: Payment type: Lwid use.approval: __�� Bui{dingperrnilno.: TYPE Of PERMIT ❑ 18t 2 family dwelling or accessory U CommerciaUindustrial U Multi-family U Tenant improvement ❑New construction U Addition/alteratiordtrpl:,cemcnt U Other: 1 { SITE INFORMATION1 1 1 1 Job address: S�x-.1 �� i t.r-< �`� n t .t Indicate equilimcnb yuantitir:,in Ix)xes below.Indicate the dollar Bldg.no.: - Suite no.: —i value of all mechanical materials,equipment,labor.overhead, Tax map/tax lot/account no.: profit.Value _ Lot: c Block: Subdivision: _ *See checklist for important application information and Project name: _ jurisdiction's fee schedule for residential permit tee. City/county: ZIP: — ► 1 Description and location of work on premises: i 1 t 114110111C161 1 _ Fee(M) Total Cast date of complelion/mspection: _ - Description Qty Res-only Res.only (:: Tenant improvement or change of use: Air handling unit CPM Is existing space heated or conditioned?U Yes U NoyA-jr—co n is tinning(sue plan required) _- - Is existing spa c insutatrd'?(-t Yes U No Aterauonofexisting I-IVAC system 1 1 0 ler compressors Slate boiler permitt no.: fill Tons_„BTU/Il _ Four Seasons Beating&.A/C Service Inc it smoke am uctsmoke detectors PO Box 66409 licat pump(site plan requlrr _ Portland Olt 97290-6409 nstallhep acefu�c umer__ t 503-775-5919 Including ductwork/vent liner U Yes U No ( ('13: 48283 _ nsta Ureplacelre ocaleheatcrs-suspcn wall,or floor mounted ^ Name(please print): Beat a lliance othcrihanT mace Refrigeration: on: 1 Absorption unit.-;_____ BTU ll — Name: Chiltcvc.----------_---- HP -- -- Com rlessors_ till Address: lrt t-ottmental e: rut an___ten ton: City: Stale:_ ZIP: Appliancevent --- _ Phone: Pax* I mail: ryerextaust 1 -90-Rs,Type V/TfTres.kilch-a Tn haunat hood fire supptession system Name: —_ P.xhaust fan with single duct(bath fans) Mailingaddress: TTaust system a art from rearing or - Fuel piping d1strtimmt on(up to out cis) City: Typc: LPC; —_ NO Oil _ — 1'Ironc I ax: I: ntail:� TiicT,i ing eT--acfi ndditionai-over 4 ort Pets rocesspiping(srhematicrequired) Number of outlets Name: _-- (-St-Trer1F-dQ appliance or equipment: Address: _ Decorativefireplace City: _ ---- --_ - --- Stale— ZIP: inscn-type - — — — Fax: [: mail: tov pc ets(ovc _ Phone: (mac% _ Applicant's signature: late: U K Name Qninl): - Permit fee Na al kKisd"ota credit eDmit cm&,oew can)aris&c too for mac ldarnation. m ................ Notice:71ris pct-mit application Minimum fee................$ U MISS U MasterCard expires if a permit is not obtained - -- --�- c edit card number: ------ Kithin t 80 da s atter it has tern Plan review(at __%) $ _ r1 y State surcharge(11%).-..$ Nturr d as.tr" on cieM card -- accepted as complete. TOTAL. .—~ <'ardlroldcr aRsarre -- -- AootlM — W V,17(~-f)W) Electrical Permit Application Date received: Perin itno.: -000 City of Tigard Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.. Phone: (503) 639-4171 Fax: (503) 598.1960 Case file no, Payment type: Land use approval: TVPF OF PERMIT 0 I roily dwelling or accessory L)Commercial/industrial 0 Multj� atnily O Tenant improvement ew construction 0 Addition/altcrtuunlrcplacenu Odler �'"' ?"C�Partinl JOB SITE INFORMATION .lob addres -_ Hid • 1W.: 5tltte n0.: Tux nlapltax IOVACCount no.:__ Lot: Block: Subdivision: ' Project nar e: I Description and location of work on premises: k.c_.�y— r Estimated date of completion/inspection: CONTRACTOR APPLICATION1 Job no: ��3 FcL: Max pcscti Ilett Qt . (CIL) Total no.ins Business(lame: New resldenlinl-sbi*or mmatl-Gamily per Address: P dwelling anll.Includes attached!grirnge. City: H I L L S B U H U State: q p ZIP: 97123 r.servicehmclodetl: Phone:648-5144 Fax1348-972 E-mail: ItxlOsq.rt.orleaa 4 L•ach additional 500 s .ft.or onion thereof CCB no.; 3 6751 Elec.bus. lic. no: 34-119C ry United energy,residential 2 Cit)'/metra lic,no.: 1 3 _ I-��`'\ Limitcdaur y,nonresidential 2 Each manufactured home or modular dwelling SI nnhur.of supervising electrician rc red) w� tate Service and/or feeder 2 2©7 7 S -Scrvlcasnrfecders-Instnllatlon, Sup elert.name(print)D A V I D A -1 FROM l License no alteration or relocation: PROPERTY1 200 amps or less 2 t^`ea Name tri nt ' 201 amps to 400 amps 2 c 401 amps to 600 amps 2 Mailing•►ddress: _ ,�jle) gj ZC�C _ 601 amps to IOOU amps —� 2 City: i TStat `-1 Z)P: 'i L2-S over 1000 amps or volts 2 Phnnc: M7S- X: I E-mail: Reconnect 1 Owner installation:The installation is being made on property I own Temporary services or feeders which is not Intended for sale, lease,rent,or exchange according to Inoallatlan,alterstinn,orrelocation: 21111 amps of less _ - 2 ORS 447,455,479,670,701. 2..01 mops to 400 amps 2 Owner's si nature: Dat t 401 to 600w —� 2 Branch ciremlts•new,alteration, of M 10 A 01 or extension per panel: Name: _ __ _ —_ A. Fee fur branch circuits with purchase of Address: ~` service or feeder fee,each branch circuit 2 tate: ZIP: B Fee for branch circuits without purchase City: S __.. ----- of service or feeder fee.,First branch circuit: 2 phone; 1 at I mail' Each adcfifional branch dreulr. PLAN REVIEW(Please cheek rill that apply) Ise.(Service or feeder not IncIuded): OSe•iviccovo225antps-connncroal UHealth catefncility Each pump or irrigation circle _ 2 0 Service over 320 amps-rating of I&20 Each sign or outline fighting 2 liazardous location . family dwellings U Building over 10,000 square feet tour or Signal citcuit(s)or n limited energy panel. 0 System over 600 volts nominal more residential units in one stmcture Alteration,or extension* Y 2 0 Building river three stories 0 reeders,400 amps or more 'Description: 0 occupant load over 99 persons O Manufactured structures or RV park Each additional Inspection over the allnwable In any of the above: Cl Egress/lightingplan 0 Other' per inspect on 5iuhatlt_.sets of plans w}th am of the above. Investigation fec The Above are not applicable to temporary construction service. Other �Y Not all judsdicdons accept credit cards,please ca11 jut+-1'cfion for more Inforrnanon Notice:This permit application Permit fee.................... 0 Visa 0 MasterCard expires it's permit is not obtained Plan review(at _ %) $ Crwu card namber __ �� — ____-- --- —1— within 180 days eller It has been State surcharge(846) ....$$ " Ifej accepted as complete. TOTAL . Name of cardholder as shown oncirc ii card Cardlw er alRnaturc Amount J (IQ� S IS it iF i! STREET TREE CERTIFICATION ► a -� I► io Oa ner/Aent fbor (PLE.-ISE PRINT) (PEPWIT HOLDER) i I► i Do hereby certify- that the following location i meets Citi- of Tigard/Washington Count- ► 1 ► land use and development standards for street tree installation. pol. Al r cf110.�U Lam, ; ADDRESS. , `�—J —__ ► i LOT: �.� SUBDIVISION: ' S � ` ► i l� f► i BY: DATE: � ,�.- REC EIVED BY: _� DATE: 3 ► �FVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVI IticaCITY OF TIGARD te D Occupancy RE'.�IL1�e11t1(7l CPI t1, ,f panc.1° Permit No.: 1"tSr 2Ctt2-C�dCB3 �.i�.r�" 30 ati�C.�.T'J Owner/Contractor: �� -''`� G4' — Date of Final Inspection: ` X03 Inspector: This structure has been found to be in substantial compliance with the provisions of the State of Oregon One& TH•o Famitr Dwelling Specialty Code and is hereby .�d for occupancy.