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13038 SW PRINCETON LANE COI) 0 w ao Cn M 3.A eD O fD 13038 SW Princeton Lane CITY OF TIOARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION VIVISION Busiress Line: (503)639-4171 BLIP Received --. _Date Requested l Q_-- AM PM -- BDP - - -- -- Location Lg 1) =�W��4w--' - ---Suite MEC Contact Person _._-_—_ — Ph( ) . - PLM - Contractor - ------ — - Ph( ) - SWR _ ---- LC BUILDING Tenant/Owner - - - Footing ELC Foundation Access: Fig Drain ELR - Crawl Drain - ----- -- SIT Slab Inspection Notes: Post&Beam - --- _ Shear Anchors Ext Sheath/Shear Int Shea!h/Shear Framing Insulation Drywall Nailing firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other. -�.... -. Final _ PASS PART --FAIL PLUMBING -J- 1'ost&Beam Lloder Stab -Rough-In Water Service -- Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain Shower Pan Other: - - /j'PP9 PART FAIL - - - - - - - - ------..�_ --------- CHANICAL_- Post& Beam Hough-In ---- Gas Line Smoke Dampers - Final PASS PART FAIL --- ELECTRICAL Service Rough-In _ -�------ — - - - UG/Slab Low Voltage -�- - - Fire Alam Final Reinspection fee of$____ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE _ -_�_ [� Please call for reinspection RF:._ _ Unable to Inspect-no access Fire Supply Line _ t -� ADA Data Inspector -_..,J'[ 4� /- _ut Approach/Sidewalk // T Other: Final DO NOT REMOVE this Inspoction Mc rd from the Job site. PASS PAn T FAIL AAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAjeAAAAAA AAAAAAAAAAF ' i' ' CERTIFICATIONST�� . , Owner/Agent for , 01.4 I, (PLEASE PRAT) (PERMrr HOLDER) ► tl ' ti I►• ®� Do hereby certify that the following location ► meets City of Tigard/Washington County land use and development standards for street tree installation. ADDRESS. �� LOT: SUBDIVISION. - 100. ► BY: % DATE: I. t ► RECEIVED BY: DATE: __ i, CITY OP nGMW r Residential Certificate of Occupancy i s Permit No.: M 57 2002-OM9I address: 150-348 F Owner/Contractor: Ir_ Date of Final Inspection: l ��'— ' �3 Inspector: This structure has been found to be in substantial compliance with the provisions of the State of Oregon One& Two Famih•Dwelling S ecialty Code and is hereby roved for occupancy. CITY OFTIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST s1_ 4C2 C� INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received _____ Date Required_ ( _ 1� AM __. PM BUP Location � � —�,-- Suite_ MEC — Contact Person _ Ph Contractor �. �1�u 'IcH: 4L Ph( --) — SWR __-- BUILDING Tenant/Owner —.T —. —_ _— 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 PLUMBING --FAIL - _ - --_- -- -- --- -- 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 Low Voltage ---- Fire Alarm PART_ FAIL � Reinspecdon fee of$- required before next inspection. Pay at Ciry Halt, 13125 SW Hall Blvd. SITV - Please call for reinspection RE: - - _ Unable to inspect-no access Fire Supply LineADA Approach/Sidewalk Dates .-- �- Inspector ��f Q/ Other Final DO NOT REMOVE this ins?action record from the Joh site. PASS PART FAIL CITY GF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 M S't INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received —_ _Date ReTested _ V 3 - AM PM BLIP Location . 3�> '�- �1 D1ti.- _ - Suite MEC Contact Person Ph (_ ) PLM - Contractor __ ,_ Ph (_ ) SWR -- BUILDING Tenant/Owner _ - ELC _- Footing - EI.0 Foundation Access- Ftg Drain ELR - - Crawl Drain ------ ---- -------- -- Slab Inspection Notes SIT -_ Post& Beam - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulations Drywall Nailing -$,= Firewall / 7--(f Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof r ._..i�•rs L' �L' __ Other: 1 aliING_ ART FAIL - ---_��` - J --- --- Post&Beam Under Slab - ---- Rough-In Water Service - -- Sanitary Sewer Rain Drains Catch Basin!Manhole Storm Drain -- I I - -- Shower Pan '3 Other: Final _PASS PART FAIL MECHANICAL - _- - -- --- Post&Beam Rough-In -- - Gas Line Smoke Dampers -- - " r PART FAIL -- EL CTRICAL Service Rough-In UG/Slab Low Voltage - — - Fire Alarm Final �' Relnspectlon fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd PASS PART FAIL SITE F] Please call for reinspection RE: ❑ Unable to inspect-no access Fire Supply Line ADA U�`^-� �J`-W' Approach/Sidewalk Initpector ut Other: Final DO PIAT REMOVE this Inspection record from the,fob site. PASS PART FAIL �� TI��R D MASTER PERMIT CITY PERMIT#: MST2002-00081 DEVELOPMENT SERVICES DATE ISSUED: 7/30/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13038 SW PRINCETON LN PARCEL: 2S104DA-20600 SUBDIVISION: QUAIL. HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT: 032 JURISDICTION: TIG REMARKS: SF rowhouse,Unit#32,Bldg 7, AS plan. STRUCTURAL FILL, REQUIRES GEO-TECH INSPECTION AND REPORTS BUILDING REISSUE: STORIES: 3 _ FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: 172 of BASEMENT: of LEFT: SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: SO SE^OND: 733 of GARAGE: 547 of FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: I FINBS+TENT: 733 of RIGHT: VALUE: S 162,203 80 OCCUPANCY GRP: R3 BDRM: 2 BATH: 2 TOTAL: 1.63800 of REAR: PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN TRAPS LA:At CRIES: 2 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS CATCH BASINS. TUBISHOWERS: 2 GARBAGE DISP I WATER HEATERS: I WATER LINES: BCKFLW PREVNTR GREASE TRAPS: OTHER FIXTURES. MECHANICAL FUEL TYPES_ FURN 4100K: 1 BOIL/CMP<3HP: VENT FANS: 3 CLOTHES DRYER: I LPI; FURN 1•1100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 • 200 amp: 1 0 200 amp: WISVC OR FOR: PUMPIIRRIGATION. PER INSPECTION: EA ADD'L 50OBF: 3 201 - 400 amu: 201 400 amp: tat W/O SVCIFDR: SIGNIOUT LIN L r PER HOUR: LIMITED ENERGY: 401 • 600 amp: 401 •600 amp: EA ADDL BR CIR: SIGNAL/PANEL- IN PLANT: MANU HWSVCIFDR: 601 • 1000 amp: 601+8mpa•1000v: MINOR LABEL.: 1060•amplvolt PLAN REVIEW SECTION Recnnnect Only: >=4 RES UNITS 9VCIFDR>•226 A: >600 V NOMINAL: CLS AREA/SPC OCC: _ ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO a STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT. BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION. MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS TOTAL N SYSTEMS Owner: Contractor: TOTAL FEES: $ 6,000.08 BROWNSTONE QUAIL HOLLOW LLC BROWNSTONE HOMES,LLC This d Munrmiticipal is al Cod t0 the regulations S contained In the 12670 SW 68TH PKWY STE 200 12670 SW 68TH PKWY Tigard Municipal Code,State o k w Specialty Codes and PORTLAND,OR 972.23 PORTLAND,OR 97223 all other applicable laws. All work will be done accordance with approved plans. This permit will expire H 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 rales are set Rea#: LIC 1246"? 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 Plmlundsib Insp Framing Insp Firewall Insp Electrical Final Fooling 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 Final Slab Insp Plumbing Top Out Exterior Sheathing Ins{ Smoke Detector Final Inspection Issufald BY ' 1 �^ _ Permittee Signature I -a=`t 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#: SWR2002-00057 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/30/02 S!' ' ADDRESS; 130.38 SW PRINCETON LN PARCEL: 2S104DA-20600 SUBDIVISION: QUAIL HOLD)W - SOUTH ZONING: R-4.5 BLOCK: LOT: 032 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWEL'.ING UNITS: 1 TYPE OF USE: SEA NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer conn(�clicm Owner: ----- --- ----- - -- --- FEES BROWNSTONE QUAIL HOLLOW Lt C; 12670 SW 68TH PKWY STE 200 _Type BY Date Amount Receipt PORTLAND,OR 97223 PRMT CTR 7/30/02 $2,300.00 27200200000 INSP CTR 7/30/02 $35.00 27200200000 Rhone: 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 frorn 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 Issu�d by: Permittee= CCl . ; , , Peittee Signature: _ Call (503)X639-4175 by 7:00 P.M. for an inspection needed the next busIVess day v Building Permit Application -'� lDatereceived:,; �/ Permitno.: City of Tigard Hall EIVEr Project/appl.uo.: date: CiryojTtgard Address: 131225 SW hall N/ � Phone: (503) 639-1171 Date issued: y Receipt no.: Fax: (503)598-1960 Case file no.: Payment type: Land use approval: I&2 family:Simple Complex: U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family O New construction 0 Demolition U Addition/alteration/replacement U Tenant improvement U Fire spnnkler/alarm U Other: .1011 SITE,INFORMATION Job address: JC% 3 ' Bldg.no.: Suite no.: Lot: Block: Subdivision: Tax map/tax lot/account no.: Project name: Description and location of work on premises/special conditions- OWNER FORINFORMATION, Name: � Mailing address:1� j. 6c 1 2(rratlly drrclling: City: o r--1t�cti�� State:4►Q 7_iP: Valuation of work.................................... Phone - - Fax: E-mail: No.of bedrooms/baths.............................. Owner's representative: ' Total number of floors................................. Phone: B Fax: Email: New dwelling area(sq. ft.) .......................... Garage/carport area(sq.ft.)......................... V_ Name: f �� t. Covered porch area(sq. R,) Mailing address: W _ Deck area(sq.ft.)........................................ — City: State: Ll . �j Other structure area(sq.ft.)......................... Pltonc: Fax E-mail: CamwerciallindustriaUmultl-family: Valuation of work........................................ $ Existing bldg.area(sq,ft.) .......................... Business name: r t Address: g New bldg.arra(sq.ft.)................................ ` Number of stories �- .. Statcrp 7.1 ........................................ City: Phone - Fax:61p mall: Type of construction•................................... CCB no.: Occupancy group(s): Existing: New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: Cy 6 (10 _ provisions of ORS 701 and may be requited to be licensed in the jurisdiction where work is being performed.If the applicant is City: State 7_IP: exempt from licensing,the following reason applies: Contact person: H Plan no.: _ - u- Phone: x: E-mail: - - - Name:" ;,�, ,� , Contact person: Fees due upon application .......................... $ Address: •t j r c c�— Date received: y City: e t_a �. tate: ZIP:ZL 3 Amount received ......................................... $__ Phone: g,1 _ Fax: E-mail: Please refer to fee schedule. V� T I hereby certify I have read and examined this application and the Naw lurisdicriam acoq*credit cards,please call iurisdktim Cox arae iftfor aum attached checklist.All provisions of laws and ordinances governing this U vis. U MasterCard work will be complied whet)te e ' ed herein or not. t_�plyd AUthOrlTetl SI IUPC: Now d cardholder its shown no credit card — S Print name: � dex a utas �mor�r Notice:This permit application expires if a permit is not obtained within 180 days after it has been scecpted as complete. 440-4613(MMIA) PlunIDIng Pcranit Application -` Date received: Permit no.:/ City OC A Tigard jgard Sewer permit no.: --- Building permit no.: Address: 13125 SW HalI B)vd,"I igard,OF 97223 -- ciry of Tigard 1'r phone: (503)639-4171 oject/appl.no.: Expire date: Fax: (503)598-1960 Date issued:_ By` Fa eipt no.: Land use approval: ^— ®._ --.____ Case file no,:� Payment type: _ TYPE Of PERMIT U 1 2 family dwelling or accessory U Comrnercial/indusmal U Mulli-family O Tenant improvement U New construction U Addition/alteratiort/replacement U Food service U Other: Job address: ( t� LA _� I)escri lig �, --___ � '• fire(ca.) l olal c` " New 1-and 2-family dveellirips only: Bldg.no.: Suite no.: Wades 100 A.foreachu(tlit yconnect Ion) Tax map/tax lot/account no.: SFR(1)bath Lot: ,_S Z Block: Subdivision: SFR(2)bath Project name: SFR(3)bath City/county: ZIP Each additional bath/kitchcn Description and location of work on premises:, __ Sheutflitles: Catch basin/ama drain Est.date of completion/inspection Drywells/Ieach line/trench drain Footing drain(no.lin.ft.) _ 1 1 Manufactured home,utilities _ Manholes Wolcott Plumbing Rain drain connector — PO Box 2007 Saniuuysewer(no.lin.ft.) Gresham OR 97030-0594 Storm sewer(no.lin.ft.) 503-667-1781 Water service(no.lin.ft.) C('13:23847 PI.M 11;26-208P[3 Fixture or Item: Absa tion valve C.�ntractot's tepnesentadve signature: Bac flow pmvcnter P. ..t name fate: Backwater valve 30MU= Basins/lavatory __ _ Clothes washer Name: --_ ------ Dishwasher -- Address: Drinking fountain(s) City: _ State: ZIP: E'ectors/sum Phone.: FIX N-mail Ex mansion tank Fixture/sewer sewer cam_ Floor drains/floor sinks/hub _ Name(print): Garbage disposal Mailing address: _ Hose bibb City: Stats: ZII' _ Ice maker _ Phone: Fax: &mail: _ Interceptor/grease trap Owner instal ladon/residential maintenance only: The actual installation Primers) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the pmperty I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's signature: Date: Sum Tubs/shower/shower pan - Urinal Name: _ ___ Water closet Address-7 Water healer City: _ Star: ZIP: _ other. Phone: Fax: E-mail: To Pho --- — ra< eramr�.. Minimum fee................$ Na vl rrt�d�d►am roepi credit crdi,t�an i Notice:This permit application 0 vaa 0 MasterCard expires if a permit is not obtained State surcharge Planesu rrchh (at ��) $ credit card wnAxv -- within 180 days atter it has been staiarge(896)....S acceptemd as complete. TOTAL. .......................S _ Nunn d cardfnldrr d down a• _ CardAoldu tlpurse '�— — 4104616(60U'CmOar) Medianical'PcrmitApplication —` Date received: Permit no.q -L-00a 1 City of Tigard Projecl/appl.nu.: _ Expire date: CiryoJ75gard Address: 13125 SW Hall Blvd,Tigard,Olt 97223 Phone: (503) 6394171 Date issued: — By: Recciptno.: Fax: (503) 598-1960 Case file no.: - — Payment type: -- Land use approval: -- Building permit no TVPIE'OF PERM It U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U'1'enant improvement U New construction U Add;tion/alteration/n placement U gaffer. r u 1 Job address: 3n 3 $W Indicate equipment quantities in boxes below.Indicate the dollar Bldg,no,: Suite no.: - value of all mechanical materials,equipment,labor,overhead, Tax mapRax lot/account no.: pro,tt.Value S _ I ot; _Z B►o,ti: Subdivision: *See checklist for important application informer;en and Project name: Ittri,,diction fee schedule for rc,:dcntia! permit it _City/county: ZIP: ____ IMmowl 1 Description and location of work on premises:— __--._ r0114INA111 1011W611 11H Ll 4 OWUME OIL 1 ll pec(cti.) 7 octal Est.date of completiordinspection: Desai on R.es.only Resonly Tenant improvement or change of use: Air handling unit CFM Is existing space heated or conditioned?U Yes U No Wir conditioning(site plan req Uri) Is existing'spare insulated?U Yes U No ierauonofextsTUE ,MICA], CONTRACTOR ung system - sot er compressm State boiler permit no.: IIP --Tons`_BTU/11 Four Seasons heating& A/C Service Inc •irds=okc am ductsmokedetectors PO Dox 66409 eat pump(sue p an requtr ) Portland OR 97290-6409 ns rep acefuma urncr T 503-775-5919 Including ductwork/vent liner U Yes U No CCD: 48283 nstal reps meocatc icaters--suspen c , wall,or floor mounted ase Name(pleprint): — entforap hancx other than furnace CONTAff PERSON Refrigeration: Absorption units Name: Chillers---- __ -- - Compressors Address: Favironmental ex uusi and ventilation: -CIty. — State: 'LIP: -_- Appliance vcnt _ I'ttonc: ._—-;ax. G-mail: ryerex ausi--^� . i DIHoods,Type i(Tres tcFcr haMW hood fire suppression system Name: Exhaust fan with single duct(bath fans) Mailing address: _ aunts stem a,art rom eat n or C _ State: ZIP: -FWp ping rstt but on up to outlets) City: _ Type: LPG NO -- tail Phone: Fax: 7Utnai1: Fuel piping rach addiuona over 4 outlets 'r.cen piping(schematic requ ) - .- - Numberofoutlets Name: _ .__ --5lfierlul oppill5ince or equipment: Address!_ _ Decorative fireplace City: — -- State: 'LIP: -- Insert-type _—! -- -C� lov pellet stove _ Phone: Fax: Email ( ter. -- Applicant's signature: Date: Other. LH Name (print): _ — --- Na as)ucidk6a s acct credit ate.pan)mfr Co_ru moR Information.' Permit fee.....................$ Notice:1145 permit application Minimum fee................$ U Visa O MasterCard 'expires if a petmil is not obtained , (Wdit cad number. -p - within 180 days after it has been Ilan review(at _fir) S State surcharge are a dwwv on a cid S accepted as complete. (8%)... $ TOTAL .......................S (rdiwidu 11VoFR aye Amom 440.1617(E Electrical Permit Application -- —� �— Date received: Permit no: T 2-0,2 _ I City Of Tigard Project/appl.no.: Expiredate: Ciryn(Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.:� Phone: (503) 639-4171 Case file nn.. Payment type: Fax: (503) 598-1960 band use approval: — �`f l V,TVPr OF �w ' I 2 family dwelling or accessory U Commercial/industrial U M0111,-1,amllyp ❑Tenant improvement New construction U Addition/alteratiunh 1-p1m eIII 1:nt 0 OthcPartial Jolt SITE INFORMAT10N 10101011,1 Job address:► 3�3� F31dg.no.; Suire no,: — Tax map/tax lot/account no.: Lot: 2 Block; Subdivision: Project name:- Description and location of work on premises: yy .e,t zj— ( - Estimated date of coni tlelion/inspection ill traso 1 i � �t Fce Max Job no: Descri lion Q ea. Total no.Insts Business name: Newresldential-stng;N:ormultl-familyper Address: dwellingunit.Include.,attached garage. City: HILLS 8 0 8 0 State: O p ZIP: 9 712 3 Service Included: 4 Phonc:648 •"14Q Fax648--972 E-muiL g.�o3ft•orlesa _ Each addhlonal 500 sc�ftor purlion thereat - CCB no.: 3 Ei U�1 - f ec,bus. lie. no: 3 4-119 C _ Limited energy,iesrdenual _- 2 City/metro lic.no.: 1 3 Lirnitedenergy,non-residential 2 -�_ Fanch Innnuractured home or modular dwelling service and/or feeder 2 Signature of supervising electrician Ite rcd) _lite_-._ LIl C1n5C 110 2 Q 7] Services or feeders-Installaflon, Sup elect.name(pnnt)D A V I D A J E R O M E alteration or relocation: 1liffRTY OWNER 200 fail or less 201 amps to 400 amps _ 2 Name(print), V'c�.�wo Wt/ _ 401 amps to 600 amps Y 2 Mailing add ross: ,r.�t� g -__ _ 601 amps to IOW amps _. ` City: Stat 7.1 P: jl_2� Oyer 1000 amps orvolu 2 Reconnectonl i Phone: 7�� Fax: E matt: Temporary services or feeders- Owner installation:The installation is being made on property I own Installation,alteratinn,or relocation: which is not intended for sale,lease,rent,or exchange according to 200 amps at less _. 2 ORS 447,455,479,670,701. 201 maps to 400 amps _ 2 Owner's signature: � DatCT 401 to 600 ams 2 Branch ell cnlfsnew,nIteration, or extenoon per panel: blame: A Fee for branch circuits with purchase of Address: u service or feeder fee,each branch circuit 2 B Fee for branch circuits without purchase City: State: ZIP: _ --- of service or feeder(cc,first branch circuit: 2 Phoney Fax' E-nlail Eachaddililmalbranch circuit Mise.(service or feeder not Included): Each pump ur imgiumn circle _ 2 U Service over 225 amps-commercial U Health-care facility Edell sign or ouUlne lighting _ 2 G Service over 320 nmps-rating of 1&2 U Hazardous location Signal citcuit(s)or s limited emrgy panel, familydwellings 0 Building over 10,(X)0 squarr feet four or g 2 U System over 600 volts nominal more residential units in one ttmclure alteration,or catension' U Building nverthree stories 0 Feeders,400 amps or more 'Desch tion: ----- U Occupant load over 99 persons O Manufactured stnrciures or Rv park Finch additlonal lnspecilon over the allowable in any of the atmve: U Egremlighting plan O Other Pr.rins ection _ T- Sul nit__sets of plans with any of the above. Inveetigation fee _- 11hrhove are not applicable to temporary construeflon service. other — Nal ail)1111.111: :l accept cmillt cants,please call Jud.11ictlon for more Infmmanen. NoIICC-This permit applicalinn Plan review(at %) $ -, uvisa O MnstrrCard expires if a permit is not obtained �_— within 180 days atter It has been �tnt'e surcharge(830) ....b _ Credit card number.--- -�—.� - spires accepted as complete. T07 AL .......................$ ^ Name of cardha r u shown onre N ecard S Q� Cardholder slgutaturc Amounts - em4t 15 rwvcow \ CITE( OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00566 13125 SW Ball Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/13/02 PARCEL: 2S 104DA-20600 SITE ADDRESS: 130.,6 SW PRINCETON LN SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT:032 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: _ FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: OD GAS PRESSURE: 50 + HP: CLO DRYERS: OTHER FURN < 100K BTU: AIR HANDLING UNITS HER UNITS: 1 FURN >=100K BTU: <= 10000 cfm: a-�— GAS OUTLETS: 1 > 10000 cfm Remarks: Installation of gas fireplace and gas piping. Owner: v _FEES_ BROWNSTONE QUAIL HOLLOW LLC Description—i ^Date Amount 12670 SW 68TH PKWY STE 200 PORTL4ND, OR 97223 ]MI.('11] I'rrmit Fee 12/12/02 $72.50 [TAXI H State'l'.ix 12/12/02 $5.80 Phone: 5u3-598-7505 Total $78.30 J Contractor: FOUR SEASONS HEATING & A/C PO BOX 66409 PORTLAND, OR 97290 REQUIRED INSPECTIONS Phone: 503-775-5919 Gas Line Insp Mechanical Insp Reg #: 1 48283 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 i Issu By: :1C� _ f'errnittee Signature �C Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical'Permit Application IDatereceived:/ / D? Permit no.:HS zto City of Tigard Projecl/appl.no.: f3xpire date: _ CitynjTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued; PB • Receipt no Phone: (503) 639-4171 mens type Fax: (503) 598-1960 Case file no.; Y YP : Building permit no.: KSTTL00ll� - Land use approval: _ --- 1 ' �/ U Multi family' U'renant intprovement /�p�1 &2 family dwelling or accessory U Commercial/industrial L New construction U Addition/alleration/replaccmcnl U Other: _ -__ -- It 1 ' 1 Job address: tr; _)l' .J�' { ((,�-'_ (�Ir �(hf_ Indicate equipment quanuUcs in hexes below. Indicate the dollar i{ Svalue of all mechanical materials,equipment,labor,overhead, Bldg.no.: uite no: profit.Value$ Tax map/tax to account no.: LOU. � Block: Subdivision: t *see checklist for important application information and juri�diclion's fee schedule for residential permit fee. Project name,'-},: I t t I City/county: ZIP: I t t Description and I c on of work opkrircmis s: ------ - I ce(ea) 11da1 (,tV11t" l — IkwcriplionQI). Rty.nnly Res.only Est.date of completion/inspection: _ 1-1 _"'AC: Tenant improvement or change of use: kState dling unit CFM Is existing space heated or conditioned?U Yes U No Air itioning(sits p an required) _ Is existing space insulated?U Yrs U No on n existing VA 'system -- 1 1 ompressors _ iler permit no.: 'Business name: LCV' C t-` Y HPTons BTUM Addre 'ire/smo a amper uct smo a etectors _ an requrrc State ZIP: I eal pump(site p —) City: nsta rep ace urnac urner Phone:su3 539-g14j Fax E-mail: Including ductwork/vent liner U Yes U No CCB no.: nsutl hep aceire ocate caters-sus�ed, City/metro lic.no.: wall,or floor mounted int or it lance of cr t an urn c Nance(please print) etr germ(on: 1 1 Ahsorption units BTI1/H Chillers III' Name: Com ressors__ Address "-ft-7 ; _ nv ronmenta ex usi sl. vent Allow CitY: . ((�i 1� Stat 7 •`' Appliance vent } t - Fax: L-mail: hycrex aust _ Phone•' o s, ypc /res. tilt ten/hazmal hoot fire suppression system Exhaust fan with single duct(hath tans) Name: x ousts y stem a art from isatin or AC. Mailing address: — ue p p ng an Or wt on(up to out ets) City: State: ZIP: _ Tye' _ LI'(; NO Oil _ - Phone Fax: l mail: Ucl i m eat a ltional ovcv amu!e!s roceaspip ng(sc ematicrcquired) Number of outlets -- Name: _ t er )st app succor equ pment: Address: Decoralivc fireplace State:_— ZIP: nscrt-type _ ('jly: t slov pe elstove — I'Inmc: Fax: L mail Cx cr: Applicant's sig( tur A Date: Permit fee.....................$ Not all jmisdiclians accept_credit cards,please call jurirdicilon ear(luxe inrannation. Notice:This permit application Mini mum fee................$ a U Visa O MasterCard expires if a permit is not obtained plan review(at — 191 $ within 180 days it has been State surcharge 0) .... Cteditcud numberithis a ------.--.—.._--_ tpiKl h (817 �� accepted as complete. TOTAL . None d cetdholder as,chow-on credit card " •s 440-1617 INOatCOMI Cardholder si`nsttue Atrwunt S MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: _ PERMIT FEE: Table 1A n: Price total Table 1A Mechanical Code _ Qty (Fa) _Amt $1.00 to$5,000.00 Minimum fee$72.50 t) Furnace to 100,000 BTU $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and Including ducts 8 vents 14.00 $1.52 for each additional$100.00 or Furnace 100,000 BTU+ fraction thereof,to and including 2) including ducts 0 vents 17.40 _ $10,0q0.00. 3) Floor Furnace 510,001.00 to$25,000.00 $148.50 for the first$10,000.00 and including vent 14.00 $1.54 for each additional$100.00 or 4) Suspended heater,wall healer fraction thereof,to and including 14.00 $25,000-00. or floor mounted heater $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 12.15 $50,000.00. $50,001.00 a-nd up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heal Alr $1.20 for each additional$100.00 or For items 7-11 see or Pump Cond fraction thereof. footnotes below. Comp 7)<3HP;absorb unit Minimum Permit Fee$72.50 SUBTOTAL: $ to 100K BTU 14.00 8% tate Surcharge 8)it 15 k t absorb 25.60 S unit 100k to 5UOk BTU 9)15-30 HP;absorb 25•/.Plan Review Fee(of subtotal) Z unit.5-1 mil BTU 35.00 Required for ALL commercial permits only10)30-50 HP;absoro TOTAL COMMERCIAL PERMIT FEE: $ unit 1-1.75 mil BTU 52'20 - -. 11)>50HP;absorb unit>1.75 mll BTU 87.20 12)Air handling unit to 10,000 CFM 10.00 ASSUMED VAL(ATION_S PER APPLIANCE: Value Total 13)Air handling unit 10,000 CFM+ Description: _ Q Ea Amount 17.20 Furnace to 100,000 BTU,Incluaing 955 14)Non-portable evaporate cooler ducts R vents 10.00 Furnace>100,000 BTU Including 1,170 15)Vent fan connected to a single duct ducts 8 vents 6.80 Floor furnace includin vent 955 16)Ventilation system not included In Suspended healer,wall heater or 955 a (lance ermit 10.00 floor mounted heater _ 17)Hood served by mechanical exhaust Vent not Included in appliance 445 10.00 permit 1B)Domestic Incinerators Repair units 605 _ 17.40 __Z3 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 500k BTU _ 10.00 _ 15 30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets mil.BTU 5.40 30-50 hp;absorb.uidt, 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 SU©7UTAl-: $ _>1.75 mil.BTU Air handling unit to 10,000 c1m 656 8%State Surcharge - a Air handlin unit>10,000 cfm 1,170 _ _ Non-portable evaporate cooler 656 - TOTAL RESIDENTIAL PERMIT FEE: s Vent fan connected to a single duct446 Vent system not Included in -656 -- -� - appllance pemtit - Other 1 • ctlQnt<and Fees: Hood served by mechanical exhaust 656 1 Inspections outside of normal business hours(minimum charge-two hours) Domestic Incinerator 1,170 _ $62 50 per hour Commercial or Industrial Incinerator 4,590 2 Inspections for which no fee is specifically Indicated (minimum charge-half hour) Other unit,Including wood stoves, 656 $82 50 pot hour 3 Additional plan review required by changes,additions or revisions to plans(minimum inserts,etc. --- charge-one-half hour)$62 50 per hour _Gas plying 1.4 outlets _ 360 Each additional outlet_ - 63 'State Contractor Boller Certification required for units>200k BTU. v "Residential A/C requires site plan showing placement of unit. TOTAL COMMERCIAL E VALUATION: All New Commercial Buildings require 2 sets of plans. I:dstsVorms4nech-fees.doc 02/11102 CITY OF TIGARD ELECTRICAL ENER - RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00271 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639.4171 DATE ISSUED: 11/27/02 SITE ADDRESS: 13038 SW PRINCETON LN PARCEL: 2S104DA-20600 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT: 032 JURISDICTION: TIG Prosect Description: All encompassing Low voltage. A.RESIDENTIAL B.COMMERCIAL 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 FNCOMP X HVAC: PROTECTIVE SIGNAL: I INSTRUMENTATION: OTHER: L__ _—_ _—____`_— _— _ TOTAL# OF SYSTEMS: Owner: Contractor: BROWNSTONE (QUAIL HOLLOW LLC AZIMUTH COMMUNICATIONS INC 12670 SW 68TH PKWY STE 200 N O BOX 508 PORTLAND, OR 97223 WILSONVILLE, OR 97070 Phone: 503.508-7505 Phone: 503-639-0110 Reg #: 1:1_E 36-94CLE SUP 2312LEA LIC' 145828 FEES — Required Inspections Description_ Date Amount Low Voltage Inspection [Lil_I'RN1 I I LLR 11crmu 11127/02 $75.00 Elect'I Final (TAXA 8°6 Statc fa. 11/27/02 $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 952-001-00'10 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699 r � Issued by /-11-i'l/- d << Y- -- _ Permittee Signature LL� L� (,,A/,z OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR ELEC'N DATE:_ _ LICENSE NO: i. ' � Lu ---- — ----- --- — ---_Y. _� -- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application Uatereccived: / I'rtii t � City of 'Tigard Pruject/appi.no Expire date: ('in„/Tr,Gnrd 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: eTun U 18c 2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement *New construction U Additio,i/ultcration/lei)lat:cnlrnl U Other: U Partial .1011 SITE INFORMATION Job address: D �i plefrik -0/i f- Bidg. no:: 7 Suite no.: Tax map/tax dol/account no.: Lot: ,� Block: Subdivision: L S0(t ;-#1 Project name: At4 At L StY•r r& IDescriktionandlocat of work on premises: 1/wr<< Estimated date of com Ietion/ins cclion: Fee Job no: 1h,(ription Qty. (ea) 'lotal no.ins Business name: qbrY1LtT1t C01'VI' L'L0; 4C41/p),JS Newresidenti:d-siiiglcormulti-family Per Address: E' _ dwellingunil.IncludesanaclK•dgarage. City: State:41/1.1 ZIP: ci 7620 6- 0 Servicelncluded: 1000 sq.ft or less 4 Fitx: 't '67`Ur/j F mail: Each additional 500 sq.ft.or portion thereof CCB no.: ';?j` Elec.bus.lie.no: 3G 4'4 r Limited energy,residential Cilyh elro Iic•noLnuitetlenerg ,non-residential _ F:ach manufactured home or modular dwelling Sign re of sit _, ising elects n(ret aired) Date Service and/or feeder Services or feeders-Installation, f License no ,Jtt_�J Sup cicrt,namelprinU. alteration or relocation: 11ROPERTY OWNER 200 amps or less '- 201 amps to 400 amps 2 Nundc(pent): l��Clt�r,1'1! 4rLi� -- 401 amps to 600 amps 2 Mailing address: _ _ 601 amps to 1000 amps _ '- ('11Y: Slate: ZIP: _Over1000ampsorvolts 2 Phunc: I;rx; E-mail: Reconnectonly Temporary services or feeders- Owner installation:The installation is being made on property I overt installation,alieratlon,orrrinca0an: which isnot intended for sale,Icusc,rent,or exchange according to 200 amps of less URS 447.455,479,670,701. 201 :w,ps to 41 F01.71 -- -- _—_-_- Ulsner'ti Late: 401 to600amp, Branch circuits-ne tv,alteration, 'In 101111111 or c%lensimt per panel: Name: _ _ _______ A Fee f,,r branch circuits with purchase of Address: service or feeder fee,each branch circuit i l'1ly: Stale: ZIP: B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit 2 Phone: I'aX: ( tllail: teach additional branch ci«un Mise.(Service or feeder not Included): F.ach pump or irrigation circle ❑Service over 225 umps•cunnncntal U I Iralth-circ facility U Service over 120 amps-rating of 1 Art U Hazardous location Erich sign or outline hghtin - family dwellings U Building over 10.000 square feet four or Signal circuit(s)or a limited energy panel. (7 system over 600 vniis normnld more residential units in one structure alteration,or extension* U Building over three stones U Feeders,400 amps or more •lkscn tion -- — U lkcupaw load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable In any of Ilse Owl"_ U Fgress/lightingpian U Other ----- Per inspection Submit.__sets of plass with any of the above. investigation fee _. 1'he above are not applicable to temporary construction service. other State review ( 85'0) . T Not all jurpsdpcuons accept credit cards,please Lail julmiciion for more informelim Notice:This permit application Permit fee...................) U visa U MasterCard expires if o permit is not obtained Plan review(at — r�E Credit card number ____ _�__ within 190 days after it has beensurcharge( ...$ E spires accepted as complete. TOTAL .......................$ Name of Ler older ai shown on credit cud s C'vdholda signature —~ Amount 440 4615(b"A'"M 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 #: MST2002-00081 Date Issued: 7/30/02 Parcel: 2S104DA-20600 Site Address: 13038 SW PRINCETON LN Subdivision: QUAIL HOLLOW - SOUTH Block: Lot: 032 Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse,Unit #32,Bldg 7, AS 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 Crept. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: BROWNSTONE QUAIL HOLLOW LLC WOLCOTT PLUMBING CONTRACTOR! 12670 SW 68TH PKWY STE 200 PO BOX 2007 PORTI_ANI). 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 SignatUre-oMthe ized Plumber It you have any questions, please call (503) 639-4171, ext. # 310