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13028 SW PRINCETON LANE 13028 SW Princeton Lane CITY OF TIGARD 13'25 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE STREAMLINE ELECTRICAL DBA LAVALLEY CORORATION 6025 EAST 18TH ST VANCOUVER, WA 98661 Electrical Signature Form Permit #: MST2002-00082 Date !csued. 7;30/02 Parcel- 2S104DA-20700 Site Address: 13028 SW •i:NCETON LN Subdivision: QUAIL HOLLOW - SOUTH Block: Lc t: 033 Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse,Unit #33,Bldq 7, AS plan. STRUCTURAL FILL, REQUIRES GI_O-TECH INSPECTION AND REPORT -ur 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: ELECTRICA!_ CONTRACTOR- BROWNSTONE QUAIL HOLLOW LLC STREAMLINE ELECTRICAL_ 12670 SW 68TH PKWY STE 200 DBA LAVALLEY CORORATION PORTLAND, OR 07223 0.025 EAST 18TH ST PVANC 360 9J3-5080661 Phone #. 503-598-7565 hh Reg #: LIC 118514 ELE 34-432C SUP 4801S AN INK SIGNATURE IS REQUIRED ON THIS FORM x l �- Signature of Supe sing Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TI ARD _ MECHANICAL PERMIT PERMIT#: MEC2002 QU567 DEVELOPMENT SERVICES DATE ISSUED: 12113102 13125 SW Ball Blvd., Tigard, OR 97223 (502) 639-4171 PARCEL: 2S104DA-20700 SITE ADDRESS: 13028 SW I'RINCE_FON LN SUBDIVISION: QUAIL HOLLOW - SOUTHZONING: R 4 5 BLOCK: LOT: 033 'JURISDICTION. TIG 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: FUE_L_TYPES _ 0 - 3 HP: _ DOMES. INCIN: 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' FURN >=100K BTU: <= 10000 cfm� GAS OUTLETS: a 10000 cfm: Remarks: Installation of gas fireplace,gas range/oven,and gas pipuig. _ Owner: FEES _ _ BROWNSTONE QUAIL HOLLOW LLC Description Date Amount 12670 SW 68TH PKWY STE 200 IMECI-11 Permit Fee 12/12/02 $72.50 PORTLAND,OR 97223 [TAX I 81%,State'Tax 12/12/02 $5.80 Total $78.30 Phone: 503-598-7565 Contractor: FOUR SEASONS HEATING &A/C PO BOX 66409 PORTLAND,OR 97290 REQUIRED INSPECTIONS_ _ Gas Line Insp Phone: 503-775-5919 Mechanical Insp Reg#: LIC 48283 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of Issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-66 . _ y� /UGiC�./, `% Issued By:,,- Signature: [' '-�'t"�� ' 1 `_-_ Permittee Signat -- Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application Date received: ! /Z ex Permit no.:WW .q540 City of Tigard Project/appl.no.: Expire date: City njTignrd Address: 13125 SW Hall Blvd,Tigard,OR 9722.1 Date issued: ByA�A I Receipt no.: Phone: (503) 639-4171 Fax: (503)598-1960 Case file no.: Payment type: Land'.�se approval: Buildingpermitno.: MS7FaQQg - (JCJOO TYPE1 11F PERM I &2 lumily dwelling or accessory, U CommerciaUindustnal U Multi-family U Tenant improvement New construction U Add ition/alleration/replacement U Other: Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead. Tax ma 10Uaccount no.: profit.Value$ Lot: =j?) Block: Subdivision: �. *See checklist for important application information and Project a jurisdiction's fee schedule for m.idonli;d p ,mil I-- City/county: Description and I-PSAr on of work o rerniissels: r unli_ lr c (' ltt'(te.► total Est,date of completion/inspection: Ucsrri torr Qt . Rrw.only Res.only Tenant improvement or change of use: Air handling unit _ _CW Is existing space healed or conditioned?U Yes U N0 r con itiomng(site an Mylltek Is existing space insulated?U Yes U No teration of ex sting _ ARE LU Boiler/compressors Slate toiler permit no.: Business arae: Llr Com` Y _ IIP Tons BTU/" Addre 1 lire s' camper. act smoke detectors City: XC State Ki7.IP: X9 Q,-; eat pump(sift p an reyu Ared) nsta rep ace urnac urner Phone:.,_]0 537-914 Fax: Email: Including ductwork/vent liner U Yes U No CCB no.: nsta rep ace re ocale caters-suspen e , City/metro lic.no.: wall,or floor mounted _ Name(please print): Vent for ap Hance ofter than furnace Refrigeration: Absorption units _—_ BTU/H Name: Chillers^ _ HP Addres , _. Com ressors_ � HP IIV ronmenta exhaust an ventilation' City:[. ((.(.l j Stat Z ? > Appliance vent Phone: Fox: Email: )ryerex gust ni;0,Type res. arc a azrnat hood fire suppression system Name: Exhaust fan with single duct(bath fans) Mailing address, Exhaust system a art from Lewin or C State: ZIP: 'Ue piping andistribution(up to outlets) City: — Type: I.PCl NU Oil Phone: IF-mail •ue piping eat a itiona over 4 outlets Process p p ng(sc ematicrequirc ) Number of outlets Name: Other Wed appliance )r equipment: / '7a5� - Address: Decorative fireplace City: State: ZIP: - -Insert type E silt o stov pe et stove Phone; F 011ier: Applicant's signal re: Date: / 1 oj1 n- Nnme(print): ,/ f" ' l i Permit fee.....................$ Not all Jurisdictions rcept credit cards,please call Jurisdiction for more inforn ation. Notice:Thisnail application� pp Minimum fee................$ U visa U MarlerCard expires if a permit is not obtained Ctedu cord mnnbn: --- / / witbm Ig( days eller it as beenIan review(at — %) $ Expires ---�'-- Slate surcharge(8%) --- — rete ted 119 complete. None cu�tnlder o shown on c",c S P TOTA1 Cardholder sipalure Amount 4"17(~'0W MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Descrlption: Price Total $1,00 to$5,000,00 _ Minimum fee$72.50 Table 1A Mechanical Code Oty (Ea) Amt $5,001.00 to$10,000.00 $72,50 for the first$5,000.00 and 1) Furnace to ducts &vents 14.00 0 BTU $1.52 for each additional$100.00 or including duccts fraction thereof,to and Including 2) Furnace 100,000 BTU+ $10 000.00. including ducts&vents 17.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or including vent 14.00 fraction thereof,to and including 4) Suspended heater,wall heater $25000.00. or floor mounted heater 14.00 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included in appliance permit 6.80 $1,45 for each additional$100.00 or fraction thereof,to and including 6) Repair units $50,000.00, 12'15 $50,001,00 and up $742.00 for the first$50,000.00 and Check all that apply: Boller Heal Air $1.20 for each additional$100.00 or For Items T-11,see Coor m Pump Con d _ fra:tion thereof. footnotes below. p Minimum Permit Fee$72.50 SUBTOTAL. $ 7)10HP;absorb unit to 100K BTU 14.00 8%State Surcharge $ V 8) 15 absorb 25.60 unit t 100kk t to 500k BTU _ 25%Plan Review Fee(of subtotal) $ 9) HP;absorb 35.00 Required for ALL commercial permits onl unit .5.1.5.1 mil BTU TOTAL COMMERCIAL PERMIT FEE: $ 30absorb unit 1-11.7.75 mmil BTU 52.20 unit 11)>50HP;absorb ----�- unit>1.75 mil BTU 87.20 ASSUMED VA_LUATIONS PER APPLIANCEt 12)Air handling unit to 10,000 CFM 1000 Value Total 13)Air handling unit 10,000 CFM+ Description: O Ea Amount 17.20 Furnace to 100,000 BTU,Including 955 14)Non-portable evaporate cooler ducts&vents 10.00 Fumace>100,000 BTU including 1,170 15)Vent fan connected to a single duct ducts&vents 6.80 Floor furnace Including vent___ 955 16)Ventilation system not included in Suspended healer,wall heater or 955 appliance permit 10.00 floor mounted heater 17)Hood served by mechanical exhaust Vent not Included in appliance 445 10.00 permit 805 18)Domestic Inninerators 17.40_ Re air units <3 hp;absorb,unit, 955 19)Commercial or industrial type Incinerator to 100k BTU 69.95 3-15 hp;absorb.unit, 1,700 20)Other units,including wood stoves 101k to 5001;BTU 10.00 15-30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets mll,BTU 5.40 30-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each) 1.1.75 mil.BTU _ 1.00 >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL_ $ >1.75 mil.BTU Air handling unit l0 10,000 cfm 656 - 8%State Surcharge $ Air handling unit>10,000 cfm _ _JJ70 Non-portable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a single duct 446 Vent system not Included in 656 appliance_ permit Hood served by mechanical exhaust 656 other ins cuons and Fees: 1 170 I inspections outside of normal business hours(minimum charge-two hours) Domestic Incinerator $62 50 pet hour Commercial or Industrial incinerator 4 590 2 Inspections for which no lee is specifically indicoled (minimum charge-hall hour) Other unit,Including wood stoves, 656 $62 50 per hour Inserts etc. 3 Additional plan review required by changes,additions or revisions to plans(minimi,, Gas piping 14 outlets _ 360 charge-one-half hour)$62 5o per hour Each additional outlet 69 'State Contractor Boller Certification required for units>200k BTU. `Residential A/C requires site plan showing placement of unit. TOTAL COMMERCIAL ; VALUATION: All New Commercial Buildings require 2 sets of plans i\dsts\forms\mech-fees.doc 02/11/02 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 Pw.-:�SPT Received — // _Date R sted—__-3�3 AM PM—_ - SUP Location �L.�� 2 g _ —_. Suite MEC — 00 SZ, 7 Contact Person _—�— —_—__ Ph -7 PLM Contractor —__ _ _ Ph(__ ) _ SWR _ BUILDING _ Tenant/Owner --� _ ELC -- Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain — Slab Inspection Notes: SIT Post& Beam Shear Anchors ---- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler -— ---- Fire Alarm Susp'd Ceiling - ---- -- Roof Other: Final _ ---� PASS PART FAIL — ------ "-- — PLUM_BING -Post&Beam -- ----- — — - Under Slab Rough-In Water Service -- ------ _ _ Sanitary Sewer Rain Drains ----- --— - Catch Basin/Manhole J Storm Drain -- ---—-- -- -- ------ - Shower Pan Other: -- -- - — Final PA _Aeamp- Rough-In FAIL -- ----- ----..---- Af __tCR - -- - ------------ ---- jinZeDampors — ------ ------ -- PART FAIL ---- _...-----_--_ —_-,- _ Service- — Rough-In UG/Slab --"------ -- ---Low Voltage Fire Alarm -- Final Reinspection fee of a_—_.._ -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 acces, Fire Supply Line 71/ ADA � V Approach/Sidewalk �� Inspeear Other: Final - DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OFTIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST - /� 2.� INSPECTION DIVISION Business Line: (503)639-4171 7 BUP Received . Date Re ted "� _ AM__ - -__ PM -- BLIP Location d - Suite - MEC _— Contact Person —_ Ph(—__) __-- PLM Contractor Ph( ) SWR BUILDING Tenant/Owner —__— ELC Footing ELC FoundationAccess: Ftg Drain ELR Crawl Drain Slab I Inspection Notes: SIT Post& Beam Shear Anchors -- — -----� Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: -- Final RT FAIL�PPast& am Under Slab - - Rough-In Water Service -- —--- — Sanitary Sewer Rain Drains --------___.._._...__------- Catch Basin/Manhole Storm Drain —ShowerPan AS PART FAIL _ HANICAL Post&Beam Rough-In _ Gas Line Smoke Dampers --- --- Final PASS PART FAIL - ELECTRICAL Service --- Rough-In _ UG/Slab Low Voltage _ _ �— Fire Alarm Final F1Reinspection 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 Approach/Sidewalk Date — Inspector J�� Ext Other: Final Db NOT REMOVE this Inspection record from the job site. PASS PART FAIL LAAAAAAAAAAA`AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA-.A A,A a ► a ► STREET TREE CERTIFICATION ► a ► i' Is a lop- 4 ► a 1\ � . Ovv ner/A ent for �� • �� (PLEASE PRI\T) (PERMIT HOLDEP.i a !► ► a ► a ► a Do hereby certify- that the following location a " meets Citv of Tigard/Washington County a land use and development standards for street tree installation. � a Lc E : �- a ADDR SS ► a SUBDIVISION: � ► ,t ► LOT: ,►— a ► BY: DATE: ► RECEIVED BY: � - DATE: �/-�� 1 ,2 �� 4 CM OF TtGARD Residential Certificate of Occupancy Z- dQ 0 Z Address: Permit No.: Owner/Contractor: � C�wv\ S�-✓�S�- Date of Final Inspection: 3/ O 3 Inspector: This structure has been found to be in substantial compliance with the provisions of the State of Oregon c'.: i Two Famiiv Dwelling Specialty Code and is hereby approved for occupancy. CITY OF TIGARD 24-Hour BUILDING inspection Line: (503)63 75 MST INSPECTION DIVISION Business Line: (503)63 1 BUP _ Received Date Re ested, �_ AM-- PM BUP — Location .3,0 Z Z .DLA Suite_ MEC — Contact Person —_— _ Ph(____) 9 PLM Contractor - Ph(_ ) __- SWR BUILDING Tenant/Owner _ — ELC —_ Footing ELC Foundation Access: Fig Drain ELR Crawl Drain Slab Inspection Notes: SIT fes, , — Post$Beam Shear AnchorsZ -- - Ext Sheath/Shear /J-��C Int SheatidShear �- Framing Insulation Drywall Nailing -- ----- ��_- -- Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling Roof in SS PART FAIL & 0 Post$Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains A -- — Catch Basin/Manhole ' Storm Drain - ------ Ask - Shower Pan Other: Final Other:.---- -_-- PASS PART FAIL - - _MECHANICAL Post R Beam Rough-In -- Gas Line S ke Dampers ins WTAICAL PART FAIL --- ServiceRough-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 _ - Please call for reinspection RE: -- F-1 Unable tL,inspect-no access Fire Supply Line ADA Approach/Sidewalk �� - -�-�-- Inspector Other: Final ----- - DO NOT REMOVE this Inspection record hom the job site. PASS PART FAIL �\\ CITY ITY O F T I G A R D MASTER PERMIT PERMIT#: MST2002-00082 DEVELOPMENT SERVICES DATE ISSUED: 7/30/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13023 SW PRINCE FON LN PARCEL: 2S104DA-20700 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT: 033 JURISDICTION: TIG REMARKS: SF rowhouse,Unit#33,Bldg 7, AS plan. STRUCTURAL FILL, REQUIRES GEO-TECH INSPECTION AND REPORT BUILDING REISSUE: STORIES: t FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: 172 at BASEMENI: a1 LEFT: SMOKE DETECTORS: r TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 733 of GARAGE 547 of FRONT: PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 733 of RIGHT: VALUE: E 162.20360 OCCUPANCY GRP: R3 BDRM: 2 BATH: 2 TOTAL, 1.63600 of REAR: PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS. LAVATORIES: 2 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUBISHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 13CKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOIL/CMP<3HP: VENT FANS: 3 CLOTHES DRYER: 1 LPG FUHN>-10014: UNIT HEATERS: HOODS: I OTHER UNITS: MAX INP: blu FLOOR FURNANCES: VENTS, I WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LISS: 1 0 200 amp: 1 0 200 amp: WISVC OR FDR: PUMPIIRRIGATION: PER INSPECTION: EA ADO'L 500SF: 3 201 - 400 snip: 201 -400 amp: tel WIO SVC/FOR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 500 amp: 401 600 snip: EA ADDL OR CIR: SIGNALIPANEL: IN PLANT: MANU HM/SVCIFDR: 601 1000 amp: 601+amps•t000v: MINOR LABEL: 1000+•amp/volt: PLAN REVIEW SECTION Reconnect only: ---`--- ).4 RES UNITS: SVCIFDR -225 A.: >600 V NOMINAL. CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL _ B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: 11UROLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTfTION MEDICAL- OTHR: HVAC. DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: 8 6,000.08 This permit Is subject to the regulations contained in the BROWNSTONE QUAIL HOLLOW LLC BROWNSTONE HOMES,LLC Tigard Municipal Code.State of OR. Specialty Codes and 12670 SW 68TH PKWY STE 200 12670 SW 68TH PKWY all other applicable laws. All work will be done in PORTLAND,OR 97223 PORTLAND,OR 97223 accordance with approved plans. This permit will expire N 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 Rep 0: LIC 124827 forth in OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Sewer Inspection Electrical Service Gas Line Insp Gyp Board Insp Mechanical Final Footing Insp Electrical Rough-In Insulation Insp Water Line Insp Building Final Foundatlon Insp Mechanical Insp Shear Wall Insp Smoke Detector Final inspection WIT Proofing Bsm't Wa Plumbing Top Out Exterior Sheathing Ins[ Electrical Final Plm/undslb Insp Framing Insp Firewall Insp Plumb Final Issued Ely : �C��_ Permittee Signature : _��. f 1 - Call (503) 639.4175 by 7:00 p.m. for an inspection needed the next business day CITYOF 'TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT #: SWR2002-00058 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/30/02 SITE ADDRESS; 13028 SW PRINCETON LN PARCEL: 2S104DA-20700 SUBDI`IISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT: 033 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SFA NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection Owner: FEES _-- ---_ -- _ BROWNSTONE QUAIL HOLLOW LLC 12670 SW 68TH PKWY STE 200 Type By Date Amount Rec-iot PORTLAND,OR 9722.3 PRMT GTR 7/30/02 $2,300.00 27200200000 INSP CTR 7/30/02 $35.00 27200200000 Phone: 503-598-7565 Total $2,335.00 Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Pen-nit and the Agency will install a lateral. 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 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-1987. Issudo by: _ 1 il � Permittee Signature s7_i Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Application Dateromived: Permitno.:�.�S1K�fjL- Oor'P; City of Tigard Sewer permit no.: Building permit no.: Addn s: 13125 SW Hall Blvd,Tigard,OR 97223 City of Tigard phone: (503)639-4171 froject/appl.no_: — Expire date: __— Fax: (503) 598-19(A) Date issued: By. R-ceipt no.: Land use approval: _ Calc file no.: Payment rync — 6F PERM IT ❑ 1 &2 family dwelling of accessory U Commerciallmdustrial U Multi-family U Tenant improvement U New construction U Addition/alteration/rrplacement U Food service U Other- JOB ther11 SITE INFORNIATIONSCHEDULE Job address:1 2-J,i-y S W P✓r inr eke _L_�}�y_� Description ()tv. Fee(ea.) 'focal Bldg.no.: �uitc no.: _- — Nen 1-and 2-fatally dwellings only: (includes 100 fl.for each utility connection) Tax map/tax lot/account no.: _ SFR(1)bath Lot: Block: Subdivision: SFR(2)bath Project name: _ _— SFR(3)hath - City/cmnty: — ZIP: Each additional batlm/kitchen Description and location of work on premises: _ _-- Slteudlitles: Catch basin/arra drain Est.—date of complctionhnspeciion: Urywells%Ieach line/trench drain Footing drain(no. lin. it.) PLOWING1 1 Manufactured home utilities Business name: Manholes _ __._ - _ ----------------- _Rain drain connector — Wolcott 1'lunlhill� Sanitary sewer(no.lin. ftj I'0 Box 2007 _Storm sewer(no.lin.ft.) Gresham OR 97030-0594 Water service(no.lin. ft.) 503-667-1781 Fixture or Item: CCH:23847 I'LM IJ:26-208p1; AbsoTtion valve — -- __-_ -- Back flow rreventer print name: 1 male BaO ,titer valve 1NTi(I PEKSON Basins/lavato - Narnc. Clothes washer _ - ------- ---- - --- --- - Dishwasher — Address: _ ---- Drinking fountain(s) _City: State: IIP: -` --- - -- �-- L------ Ejectors/sump__— _ 11 i nc: Fax. L-mail: Expansion tank Fixture/sewer Cap ise _Floor drains/floor si_nks/hub Name(print): -•___-- _--- -.___--• Carose ies a dmsal — Mailing addrr.ss: _ Hgd City: State: ZIP. Ice maker — Phone: --- ____fax: &mail: Interceptor/greaseyap Owner installation/residential maintenance only: "Rx actual installation Primer(s) will be made by me or the mainlenanx and repair made by my r*gular Roof drain(commercial) employee on the property I own as per OILS(7hapter 447. Sink(s).basm(s),lays(s) Owner's signature: — __-- _ - Date: Sump_--1---- — -- Tubs/shower/shcwer pan U inal ' — Name: —� - _-_- - — — Water -- Address: _ Water heater City: - State: Zlp: Other. - --- Phone: Fax: E-null: Cbltl -- ---- -- Minimum fee................$ —.--- Noe W itridwfiwA crmbt cartb.Pk»r call rridictim ra mese idotmom. Notice.This permit application U Visa Q MastrlCard expires if a permit is not obtained Plan review(at _ �) $ __1--L- within 180 days after it has been State surcharge(8%)....$ Tn'fAl, ...S _ _ — acngAed as ccxnplcte. .................... Marc d urdlwldrt„t6o�rc r C�1 C" s - Git-bolder tiprtaR -Awot t 4104616(MOK)QN) Mechanical'Plermit Application Date received: Permit no.:, i City Of Tigard Project/appl.no.: F.xpiredate: Ciryofl'igard Address: 13125 SW hall Illvd,Tigard,OR 97223 Phone: (503) 6394171 Dateissucd: Ily: Receipt no,: Fax: (503) 598-1960 Case file no.: payment type Land use approval: Building permit no.: TYPE OF U 1 & 2 family dwelling or accessory U Contmercial/industrial I Multi-family U Tenant improvement U New construction U Addition/alteration/teplace-ment U Other: 1 { SITE INFORMATION1 1 1 ULE Job address: 3 i g Uj r^�� _77.7 Indicate cquipmenl quantities in boxes below.Indicate the dollar Bldg.no.: I Suite no.: - value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value$ Lot: 33 JBIock: Subdivision: 'See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: ZIP: 1611 1 Description and location of work on premises: _ IMIM W I P1 14[Ohl F1 1W1 s 1 Fee(ea.) Total ' Est.date of completion inspection: Ik�tTi try. Res.only Res.only Tenant improvement or change of use: AC: Is existing space heated or conditioned?U Yes U No Air handling unit _CFM Air conditioning(site p anIs existing space insulated?U Yes U No IAlteration of exlsung IIVAC -- Boiler/compressors — .,..-:____ ..__._. State boiler permit no.- {'our Seasons Healing&A/C tics Ice Inc NP _—Tons_ BTU/11 W snrcT—iokedampen/duct smo ecTdetectors PO Box 66409 Heal pump(site plan required) -- ---- - Portland OR 972.90-6409nsta rep�macOFEr r BT0711 -- 503-775-5919 Including ductwork/vent liner U Yes U No CCB: 48283 -Instal rep ac rt ocatc heaters-suspended. ---- wall,or floor mounted Name(please print): Vent for a iance other than furnace — 1 on: Absorption units Name: Chillers lip - - - Address: - Compressors l� III' it roume nta uct an �enl ton: City: Slate: ZIP: Applianccvcnt Phone: Fax: E-mail: ryerex must — — - -� Ti— s,Type pts. itc a a7mit_--- -- — - hood fire suppression system Name: Ex�h—au—st fan with single duct(bath fans) Mailing address: x i7aunt system mart iron7cattng or AC City: - State: ZIP Te pdistribution(up to 4 out els Type: _ I P(; _ N(; Oil Phone: Faxes I�rnail: Tucl ging eachndditional over outlets 'rocessp�T(schcmaIicreq uircd) _ - Name: Number of outlets -- -- - -- ter st sppi�ncc or e:qu pm-T ant: -- ------ ----- Address: Decorative fireplace City: —- -- -- State: '1.11': rt-type `��----- — - Phone: l-'ax: 1:-mail: stov Ix_lelalove — Applicant's signature. Ualc: -Mlcr. _--- -- ------ - Other: Name (print): -- - — Noe all kxUdk6om aoceM aodit cards,*w call)ioidiction fu mac idamrim Permit fee.....................$ _-- - oUcC:This permit application C]Visa ❑MasterCard Minimum fee................$ --_-- ` _ —1_L expurs m if a peut is not obtained tyodit end��— �s within ISO days alter it has heal Plan review(et — �) $ Name o as a end accepted as complete. State surcharge(8%)....$ S TOTAL........................$ Cardbotder 911natu a _—' ra aat- ,.o•,eti crmMaq Electrical Yerinit Application ---�— -- 1)ate ruei\mlPermit nota( T Z -)D Cillly Of Tigard Project/appl.no.: Expire date: Cityoffigard Address: 13125 SW Hal Blvd,Tigard,OR 97223 Date issued: By: Recciptno.: Phone: (503) 639-4171 — _ Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: OF PERMIT 2 family dwelling ur accessory U Commercial/industrial J Multi-((atriily 0 Tenant improvement ew construction LJAddition/aher,,lion/ret,lacemrnr 0 Otltcl►r -, �rpartial JOB SITIE INFORMATION Joh address: c - Bld ria.: Suite nn.: Tax Wrap/tax lot/account no.. Lot: 3 131ock�, Subdivision: ��_- -_ Project name: _ Description and location of work on premises: — F.srrrnated date of completion/inspection: CONTRACTOR APPLICATION FEE SCHEDULE Job Ito: ' , V 1 ire 1Liv BUSlne39 name: �TT —ELECTRICl r Ikscri tion Qty. (ca.) total nu.in9 r� Q BOX� w New residential-stngle or mrdtl-Gunlly per Address: P .Q� 751 dwelling unit.Includes attached gnrn{;c. City: H I L L S B O R O Statc: Of ZIP: 9_712 3 Servireinctuded: Phone:6 4 8-514 4 I ax 6 4 8-9 7 2 E-mail: 1000 sqfl or Iess 4 CCB no. 36051 _�Elec.bus. lic,no; 34-1-1-9—c - tach additional 500 sq.ic or umun tlrcreot Limited energy,residential 2 City/metro tic.no.: 1 3 —C(' Limited ener ,non-residential 2 FAch manufactured home or modular dwelling Signature of supervising electrician(rc ncd) late Service and/or feeder 2 Sup elect.name(pringD A V I D A J E R O M E I License no z 0 7 7 S Services or feeders-instn1hit loti alteration or relocation: PROPERTY 200 amps or less Name -d 201 emus to 400 amps —2 g J TgZ'-7�} —— 401 amps to 600 amps 2 City: address: ZC�( _ -601 amps to 1000 amps 2 City: rt)ver 1000 amps or volts, 2 Phone: -7J?mY I Fax: E-mail: Reconnect onl; I Owner installation:The installation is being made on property-1 own Temporaryservices or feeders- which is not Intended for sale, lease,rent,or exchange according to Installatinn,alteration,no-relocation: ORS 447,455,479,670,701. 200 amps at less _ _.. 2 201 atnpi to 400 air) 2 Owner's st nature: Date-- 401 to 600 amu 2 Y Branch clrcolts-neiv,alteration, or extension per panel: Name: _,.__ ._ _ K Fee for branch circuits with purchase of Address: _ _ service or feeder fee,each branch circuit 2 City: State. (�T..II': B Fee for branch circuits without purchase ------- --- ____�-.-.- il: -- of service or feeder fee,first branch circuit: 2 f brine. lax. TF-mail' Fachadditional branch circuit. Misc.(Service or feeder not Inchultd): *Scrvice uver 22.wiips.cormnercial t-1 health care Ri,:1. tacit punip or irrigation circle 2 0 Service over 320 amps-rating of 1&2 0 Hazardous 10L.1111 Each sign or outline lighting family dwellings G Building over 10,000 square feet four or signal circuit(e)or a limited energy panel, ❑System over600volt%nominal more residential units in onestmcture alieratlon,oresnnsiau' 2 O Building over three stories ❑Feeders,400 amps or more •Descri tion: U Occupant load over 99 persons 0 Manufactured structures or RV park Eaclr additional Inspection oser the allowable In any of the above. O Egress/lightingplan 0 Other _ — Per inspection Submit___sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other �— Not all jurisdiciinnr accept credit cords,please call jurisdiction for more infrntnaoon Notice'This permit application Permit fee.....................$ O Visa 0 h(nsterCard expires if a permit is not obtained Plan review(at _ %) $ Credit card numvcr ____.._______— _ ___L../-___ within 180 days after it has been State surcharge(8%) ....$ F`p1fes accepted as complete. TOTAL $ —�— None of cardho dr•r as shown on crc it card �J �� S Cardholder signature Amount 410.4615 16A0IC� CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 c� •-�>� MST ----____--~_-- INSPECTION DIVISION Business Line: (503)639-4171 BLIP --- - -- ---- Received —__._ / ___ ._Date Requested - 3 S— AM ___— PM -_- BLIP Location _--1�d-2' g �� Suite - MEC Contact Person __ Ph PLM Contractor--_ --- -- Ph(--- ---- ) ---- - --- SWR BUILDING Tenant/Owner —_. _ __ ELC - Footing ELC Foundation Access: Fig 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 Susp'd Ceiling Roof Other: — Final - dJ 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 _MECHANICA_L -- --------- Post&Beam _ Rough-In Gas Line Smoke Dampers - - - -- Final PASS PART FAIL --- — -- - E_LECTRICAL _ Service Rough-In UG/Slab Low Voltage Fire Alarm 7115AS PART FAIL u Reinspection fee of$_—__ __required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SIPlease call for reinspection RE: F] Unable to inspect-no access Fire Supply Line ADA Approach/SidewalkInspe Date �..� ct Other:__--. -_-_ Final DO NOT REMOVE this Inspection record rom the)o site. PASS PART FAIL 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 #: MST2002-00082 Date Issued: 7/30/02 Parcel: 2 S 104DA-20700 Site Address: 13028 SW PRINCETON LN Subdivision: QUAIL HOLLOW - SOUTH Block: Lot: 033 Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse,Unit #33,Bldg 7, AS plan. 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, ATTN: Building Dept. No plumbing inspections will be authorized until this completed form is received OWNF_ R: PLUMBING CONTRACTOR: BROWNSTONE QUAIL HOLLOW LLC WOLCOTT PLUMBING CONTRACTOR: 12670 SW 68TH PKWY STE 200 PO BOX 2007 PORTLAND, OR 97223 GRESHAM, OR 97030 Phone #: 503-598-7565 Phone #: 667-1781 Reg #: I Ir 23847 PI M 26-208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature o ut arized Plumber If you have any questions, please call (503) 639-4171, ext. # 310 CITY O F T I G A R D ---- ELECTRICAL PERMIT- RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: EL-R2002-00272 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/27/02 PARCEL: 2S 104DA-20700 SITE ADDRESS: 13028 SW PRINCETON LN SUBDIVISION: QUAIL HOLLOW- SOUTH ZONING: R-4.5 BLOCK: LOT: 033 JURISDICTION: TIG Proiect Description: All encompassing Low Voltage. A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: X BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: X CLOCK: MEDICAL: HVAC: X DATA/TIELE COMM: NURSE CALLS: VACUUM SYSTEM: X FIRE ALARM: OUTDOOR l_ANDSC LITE: OTHER: ENCOMPASS X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER. TOTAL #_OF SYSTEMS: Owner: ^—^ Contractor: BROWNSTONE QUAIL HOLLOW LLC AZIMUTH COMMUNICATIONS INC 12670 SW 68TH PKWY STE 200 P O BOX 508 PORTLAND, OR 97223 WILSONVILLE, OR 97070 Phone: 503-598-7565 Phone: 503-639-0110 Reg #: ELE 36-94CLE SUP 23121-E:A Iff, 145829 _ FEES Required Inspections Description Date Amount Low Voltage Inspection IIJ.I'RNl l I ELR 1'crnn: 11/27/02 $75.00 Elect'I Final ITAXj 84„Swic I&\ 11127102 $C 00 Total $81.00 I 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 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699 • , i. Permittee nature Issued by .;� � � � t< <tt_ PiSi �,.._, �� —._ g -- -'---�;—L' OWNER INSTALLATION ONLY The installation is being made on property I own whir,h is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N LICENSE NO: — Call 639-4175 by 7:00 P.M. for an inspection needed the next business day / Electrical Permit Application / Date received: ? -rT - Permit no ?". --UD a !!!� City of Tigard Project/appl.no.:_ Sxpiredate: CityrrjTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: �� Receipt no Phone: (503) 639-4171 Fax: (503) 598-1960 L Case file no.: Payment type- Land use approval: 1 U I &21•amily dwelling or accessory U Commercial/rlulustrial U Multi-family J Tenant improvement *New construction U Adrlition/alterition/replacement U Other: U Partial JOB SITE INFORMATION Joh address: d� it�r t�rrt�'F" DrL( 1 ti' {tlag no.: l Suite no.: Tax map/tax lot account no.: Lou 3 Black: Subdivision: Uq(L got, r& Project name: Biu At t S Yd rNJ.Description and location of work on premises: i/(1 i Cc Estimated date of coin letion/inspcction: FEE SCHEDULE Fir �t.iv Job na: Description � 121). (ru.) luntl nu.lns Business name: . ZitYII VI ('0w1i1' toL, t6i 1(L'I� J __�-_ Nenrrsldentlnl-single ormulti4nndlyper Address: •' ''_ibl Jr k', � ' �E' � dtvellingunll.Includrsallaclteslgarnge. City: its: -t't L t State:4 i "LIP: e ' �i" v Service included: 1000 sq n Icss _ ' Phone; :-� et t I v hax: t"GS,cl�j" E-mail• — Duch additional 500 sq,11 ur portion thereof CCB no.: Elec.bus. lic.no: 34. ri�1�'t"/� 2 / ,..6- I.inuledenergy,rrsiden0ol City/metro lic. no,: I e`LL'L S/re- Li nutedenergy,non-residential Each manufactured home or modular dwelling Signature orsupervising, icimt(required) Date < _ Service and/or feeder Signature i - I.icemeno services or feeders-Installation, Sup Acct name(pruui 4� [ll £{'( Jrr �i alteration or relocation: PROPERTYOWNER 200 nmps or less 201 amps to 4W amps Nance(print): L11 ,�,c ,,�- _ 401 amps to 600 amps 2 Mailing address: 601 amps to IOW amps City: State: ZIP: Over 1000 amps or volts 2 Reconneclonl Phone: Fax: E-mail: i Owner installation:l'he installation is heing made on property I own Temporary services or feeders- installation,alteration,or relocation: which is not intended for sale,lease,rent.or exchange according to 200 amps or less 2 ORS 447,455,479,670,701. _201 amps to 400 nmps ()++nes signature: Date: 401 to 600 ant s Branch circuits-neN,alteration, or extenslon per panel: Name: or Fee fnr Manch circuits with purchase of Address: service or feeder fee,each branch circuit — _.. — C IIV: SUtic LII' B Fee for branch circuits without purchase V of sen ice or feeder fee,first brunch circuit 2 Each additional branchcitcuit Misc.(service or feeder not Included): U Service over 225 anips r(nun,cre,;tl U Health-care f rolit) Each pump or irrigation circle ❑Service over l2Oamps•retingof I&). U Nazardouslocation Each sign or outline lighting foamy dwellings U Building over I O,OW square feet four or Signal circuit(s)or a limner)enerpy panel. U System over 6W volts nonunal more residential units in one structutr alteration,or extension' - U Building over three stories U Feeders,4110 amps or more r Ikscn non _"� --- -- U Occupant load over 99 persons U Manufactured structures or RV park Each additional inspection oter the ailoNable In any of Ilx alsote_ U Egress/lightmgplan U Other —.�—.._ -- per inspection _ Submit—sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Penna fee ............. . Nnt all lunsdicnons y�Cepi Lredd rnrd.,i.;.,,.. -all ju,isnccnon rot inure information Notices 7hts permit application ... . . U visa J MasterCard expires it a permit is not obtained Plan r^.vtrw tet •_ %o (Tedd cord number —_- within 180 days after it has been Stair surcharge(896) ....$ Expifes accepted as complete. TOTAV .....................$ Name of cardholder u shown on credit card S f udholder sisnarure Amount a.ut 4tfl5 t6AJJ/t.'0%1