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13079 ;;W Princeton Lane
CITY
�� �I���� _ MASTER PERMIT
PERMIT#: MST2002-00077
DEVELOPMENT SERVICES DATE iSSUED: 8/29/92
13125 SW Hall Blvd., Tigard, OR 9722.3 (503) 639-4171
SITF ADDRESS: 13078 SW PRINCETON LN PARCEL: 2S104DA-20200
SUBDIVISION: QUNIL HOLLOW - SOUTH ZONING: R 4.�,
BLOCK. LOl: 02,ti JURISDICTION: i'It i
REMARKS: SF rowheuse,Unit#28,Bldg 6,AS plan. STRUCTURAL FILL, REQUIRES GEO-TECH INSPECTION
AND REPORTS 4/14/03 add fireplace.
BUILDING
REISSUE: STORIES: FLOOP AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: FIRST: 472 61 BASEMENT. s1 LEFT; SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 703 if GARAGE: 547 s1 FRONT: PARKING SPACES:
TYPE OF CONST BN DWELLING UNITS: 1 THIM '33 H RIGHT:
OCCUPANCY GRP: R3 BORM: 2 BATH: 2 T01AL: I,636 of VALUE: 162 203 RO REAR:
PLUMBING
SINKS, I WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATURIES: DISHWASHERS: 1 FLOOR DRAT?IS• SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUBISHOWERS: GARBAGE LISP: I WATER HFATFRS: I WATER LINES: BCKFLV,PREVNTR: GREASE TRAPS.
OTHER FIXTURES:
MECHANICAL
FUeL TYPES FURN c 100K: BOILICMP<3HP: VENT FANS: 3 Cl OTHES DRYER: 1
LPG FURN>:10014: UNIT HEATERS: HOODS: I OTHER UNITS: 1
MAX INP btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAR OUTLETS: I
ELECTRICAL
_ RESIPEN r1A1_UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCE_LLANEOU9 ADD'L INSPECTIONS_
1000 SF OR LESS: 1 0 200 amp: I 0 •.1.00 amp: WISVC OR FDR: PUMPIIRRIGATION: PER INSPECTION•.
EA ADD'L 50CSF: 3 201 - 400 amp: 201 410 amp: let W/O SVC/FDR: SIGNI^"T LIN LT: PER HOUR:
LIMITED ENERGY. 401 600 crop: 401 e00 vnp. EAADDL OR CIR: SIGNAL/PANEL: IN PLANT;
MANU HMISVCIFDR. 601 1000 amp: 601+ampa-"000v MINOR LABEL:
1000+amolvoll
PLAN REVIEW SECTION
Reconnect only: --
>•4 RES UNITS: SVCIFUR>=225 A.: >600 V NOMINAL: CLS AREAISPC OCC:
_ ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL _ _ IS COMMERCIAL
AUDIO&STEREO. VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTFRcnMIPAGING: OUTDOOR LNDSC Lr:
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: $ 5,500.08
13ROWNSTONE QUAIL HOLLOW LLC BROWNSTONE HOMES,LLC This permit Ist0 the regulations contained In the
12670 SW 68TH PKWY STE 200 12670 SW 68TH PKWY Tigard Municipal
Code,
ode,State OR. Specialty Codes and
PORTLAND,OR 97223 PORTLAND,OR 97223 all other applicable laws. All work will be done
acnordance with approved plans. This permit will expire if
work is not started within 180 days of issuance,or if the
work is suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the
Phone: 503-598-7565 Phone: 503-598-7565 Oregon Utility Notification Center. Those rules are set
forth in OAR 952.001-0010 through 9.52-001.0080. You
Rep�' LIC 124627 may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Sewer Ins-jection Slab Insp Plumbing Tup Out Insulation Insp Shear Wall Insp Firewall Insp
Footing Inso Pim/undslb Insp Framing Insp Shear Wall Insp Exterior Sheathing Insl Firewall Insp
Foundation:nsp Electrical Service Framing Insp Shear Wall Insp Firewall Insp Firewall Insp
Wtr Proofing 9sm't We Electrical ROugh.dn Gas Line Insp Shear Wall Insp Firewall Insp Firewall Insp
Ftg Drain Bsm't Walls Mechanical Insp Insulation Insp Shear Wall Insp Firewall Insp Gyp hoard Insp
Issued Ely
7 / AJ ?)J� Permittee Signature
all (503) 639-4175 by 7.00 p.m. for an inspection needed the next business day
/ CITE( OF TIGARD ---SEINER GOhNEG1'!ON FEkMIT
h
DEVELOPMENT SERVICES PERMIT#: SWR2002-00053
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8!29/02
SITE ADDRE=SS; 13078 SW PRINCETON LN PARCEL: 2SI04DA-2.0200
SUBDIVISION: QUAIL I IOLLOW-SOUTH ZONING: R-4.5
BLOCK: LUT: 028 JURISDICTION: T1:3
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SFA NO. OFF BUILDINGS:
INSTALL TYPE: LTPSWR IMPFRV SURFACE:
Rcrnarks: Sewer connection
Owner: ---------- - —
— —_ F FEES _
BROWNSTONE QUAIL HOLLOW LLC T Ei Date Amount Receipt
12670 SW ^3TH PKWY STE 200 ype -. y p
PORTLAND, OR 97223 PRMT CTR 8/28/02 $2,300.00 27200200000
INSP CTR 8/28/L)2 $3.5.00 27200200000
Phone: 503-598-7565 v Total $2,335.00
Contractor:
Phone!
Reg #:
Required Inspections
Th,s 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
guar-,ntee 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' Permit and the Agency will install a lateral. ATTENTION- Orngon 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 m copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issue py: r,� Permittee Slgnature:k'
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
.tr
ft f
-^ Building Permit Application- Datcreceived: r Or Permitno.698- LaV7'
CityCit Of Tigard a:
g Project/appl.no.: data:
City ofrigurd Address: 13125 SW Hall Blvd.TiWECEIVE1,
OR 9'1223 )ate issued: By�,,1j Recei it no.: —
Phone: (503) 639-4171 Fax: (503) 598-1960tIaserileno.: Paymenttyiw,:
Land use approval: 1&2 family:Simple Complex:
0 I &2 family dwelling or accessory Ll Com FC�6l QDM SjNamily U New construction 0 Demolition
0 Addition/alteration/replacement ❑Tenant improvement U 1`irr sprinkler/a!arni U Other. —
JOBSITEIN
/` r /i L f C/I ;L POISON Bldg.no.: Suite no.:
Job address: 7 ' s -
Lot; Block: Subdivision: - Tax map/tax lotlaccount no.: ` raq�zlN�ft C
Project name:
Description and location of work on premises/special conditions: --- - ---
W MEIN Ikq'l 0111,
Name
Mailing address: L r' �� „ �,r - �} 1 &2 family dwelling:
City: o rl c.�.
State:b 'ZIP: J Valuation of work.................................... f ---
Phone•�- Fax: E-mail: No.of bedrooms/baths.............................. . -
Owner's representative: Total number of floors.................................
— New dwelling area(sq.ft.)
Phone: KY F E-mail _
daragelcaiport area(sq. tt.) ........................
Covered porch area(sq. ft) ......................... -_
_Name: f W n L'c 1 1 ' 1 Deck area(sq.ft.) ................................ ......
Mailing address��i �_(y__j _�''
-C4�� Other structure area(sq. ft.)..:...................... -------
ity: r w Sta"e: Z[ .
CommerclaUlndustriaUmult i-!amity:
Phone: r Fax.; E-mail: �
Valuation of work................................ �--
-� Existing bldg.area(sq.ft.) ..........................
Business name: Q c- e� N Q 5�5 New bldg.area(sq.ft.) ................................
Address fid. -� - Number of stories........................................ --
City: State:p ZI _ Type of construction ......•••.......••••••
�, Fb2o -mail: Existing:
Phone- '��. ax:�-�--- — - Occupancy group(s): g: --
CCB no.: !a y S��L New:
City/metro lic.no.: Notice:All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
�� provisions of ORS 701 and may be required to be licensed in the
Name: __ — jurisdiction where work is being performed.If the applicant is
Address: t rSw=JQy_ - p exempt from licensing,the following reason applies:
Cit L —_ StateI ZIP:
Contact persp-L.A, Plan no.: -• M �_
Phone: r E-mail:
Nan.^:rh,. rtrerrl Contact person: Fces due upon application ........................... S_
. --
Address: (36_9 15 U-) _ c c Date received: _
City: ,",c
_ tate: ZIP: ,�,�3 Amount recrived ......................................... $
Phone: ,i Fax: �E mall; _ Please refer to fee schedule.
I hereby certify I have read and examined this application and the Na all jujis&ctioru accept rxedii c adr,plane call luris&dca r«mrrr wnrmufoa
attached checklist. All provisions of laws and ordinances governing taus ❑v+a UlilwteiCtud
work will be complial whetiie _q*cd hcrrtn or not.
Credit card numbs:- to
Authorized si ure:
Print name:_ —_ - Cr bx It
tnafne�- Atsromt
440413 OW COM)
Notloe:This permit application expires ire permit is not obtained within 190 clays after it has been accepted as compl!tt.
Plumbing Permit Application
— Aatertcxiv d: Permitno.:
Ci of Tigard -- — �T�o2�onr,
� �+ Sewer permit no.: I Building permit no.:
Address: 13125 SW Hal.Blvd,Tigard,OR 97223
Cirynjyigard phone: (503)639"4171 ProjecUappl.no.: F�cpiredate. -
Fax: (503) 598-15160 Date issued: By: leceiptno.:
Land use approval: raw file no.: Payment type:
1
0 1 Rr 7.family dwelling or accessory U Commt•rcialfindustnal U Multi-family U Tenant improvement
U New construction U Addition/altc-aliotJreplaccn.ent U Food service U Ocher:
li. 1?escription (jPy. I ev(ea. Total
ob address:
13�'J- (.Q `'�tnr c` -"` �- Nen U and 2-family dwellings only:
Bldg no.: _ Suite no.: _ 14klilIGOit.for escfiutility Connection)
Tax map/tax lot/account no.. _ SFR(1)bath
Lot: Block:- _ Subdivision: SFR(2)bath --- _ --
Project name: SFR(3)bath
City/count,; ZIP: Each additional badMtchen
Dem-ription and location of work op.premises:_ SltetaWities:
Catch basin/area drain_ _
l st.date of rr�mplctiun/in,;pcctioo D welMeach line trench drain —
1 13 FoWng drain(no.lin.ft.)
19 Manufactured home utilities
.,.. ,--------
Manholes
Wolcott Plumbing Rain&In connector _� y
PO Box 2007 Sanitary sewer(no.fin.ft.)
Gresham OR 97030-059.4 Storm sewer(no.lin.ft.)
503-667-1781 Water service(no.lin.ft.) —
CCB:23847 PLM#:26-208PB Feature or ken:
Abso tion valve
Contractors telreG ntative signature_ Hack flow preventer
_ _
Prin:name: Date: Backwater valve _
1 1 3asins/lavatory
Name: Clothes washer
Ai— — Dishwasher
ddress: _
Drinking fountain(s) _
City: i -- - State: J 711P Ejectors/sump —
Phone,: Fax: I E-mail: Expansion tank _
1 Mixtum/sewer cap
Name(print): Floor diains/floor sinks/hub
Mailing address: -------- ---- Garbage disposal
-��,, Hose bibb
City: _ _ State: : Ice maker -�-
-Phone: ---- Fax - 'rtai1: Interceptor/ tease tees -- —
Owner installation/residential maiwenance only: T1ce actual installation Primer(s)
sill be made by me or the maintenance and repair made by my rrg,rlar Roof drain(commercial)
employee on the property I own as per URS('halter 447 ink(s),basin(s),lays(s)
Owner's signature:—_- _ Irate: Sump — —
Tubs/shower/shower pan
Urinall _
Name:
Address: _ _ Water heater
City: _ _ State: M (h1ter. --
Phone: —I E-mail: T;w-
Plat atl plaeacdon well aadit"'i Oem all)wls"00 ear nate td«n d= Notice:T%is permit application Mlnlmum fee................S
O Wt G MastaCardexpires if a permit is riot obtained Plan revie,�' at _ %) $ —
Ci It cad cambL _ withir.190 days after it has hear State surcharge(8%)....$
---dime r doll as ague cid armed as omViete. TOTAL ................... --
S
4a46t15(doa'l
Mechmiical Kermit Application
Datere-ceived: -- l I'm mit no.:/
City Of Tigard 1'roje�cdappl.no.: [apiredate:
Ci(vofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223paieissucd -- By: �ecciptno.:
)'hone: (533) 639.4171 — —
Fax: (503) 598-1960 Case file no.: �— Payment type.:
Land use approval: Building permit no.:
1
U 1 &2 family dwelling or accessory U Coc-imerciaUlndustrial U Multi-lamiiy O Tcnant improvemrni
U New construction U Addition/alterati m/replacement U Ocher:
JOU SlIfElINFORMATIOOMUPRCIAL1SCHEDULE.
-Jobaddress: _ 0�8 SW C ,t,Z Indicate equiprncnl quantities in boxes below.Indicate the dollar
Bldg.no.: Suite no.: value of ell mechanical materials,equipment,labor,overhead,
Tax map/tax lotlaccount no.: profit.Value$ _
Lot: Block: Subdivision: 'See checklist for important application Wormation and
Project name: �— jurisdiction's fee schedule for residential pe nlit fec.
City/county:_ T—� ZIP: A t1
Description and location of work on premises:— — _ 1 1 a 1
_ Fee(ea.) fatal
Est.date of completion/inspection: Descriptiou Res.only Res only
Tenant improvement or change of use:
nd
Is existing space hr; u ated or conditioned"U Yes U No Airconditioning
unit _ CFI)i
(site p en required)
Is existing space insulated?U Yes U No I Alteration o extstcl— n��_ system
CONtRACTO11 seas
Stile boiler permit no.:
TUIH
four Seasons Heating&A/C Service Inc lip --Tons—_B
i smo c am act smoke detectors
I'O Box 66409 Heat pump(site plan requi ) —
Portland OR 97290-6409 Install1replace urna�umer_�=TfitTlfl
503-775-5919 Including ductworldvent liner U Yes O No _
CCB: 4R283 nstall1rep a re ocate eaters—auspe�
l---r --- - ---- - --- wall,or floor mounted
Name:(please print): ent fora is r-Tier than urruce_ -
e on:
Absorption units BTU/11
Name: ClIII71Z _— —_ HP -
Address: `----� __ Com pressors_ lip
—__ -- nv tnm�en TWA tis a rea�II t a.
City: — State:_ I ZIP: Appliancevent
Ptlonc: l'ar F mail: rycre aust
1Hoods, 'ype lihes.kitcheamat
hood fire suppression system
Name: Exhaust fan with single duct(bath fans) _
Mailing addrtw: — Exhaust c stecm.�a artroma ii Tit or AC
City: — — State: ZIP: piping aW°fti^ oa up to 4 outsets
Type: _ UK] NG __— Oil --
Phone: Fax.: F.mail: Fuel tl in each over -ou ets
f1 10 1 a e"p p (schematic requt�) _
_Name: umber ofoutletsIN
t rMap�ance or egrr pl mmt:Address: DecorativefireplaceCity: Slate: iIP: nsert-t — —
Phone: Fax: G-rnallwtov pc let stove
er.
Applicant's signature: ----_ Date: Oth
Other.
Name(print): ---
Na all)Wkikt oro sooetu credit cards,Meer call Iuris&cdon for moR loforrorian Permit fee.....................$ — --
t7 visa O MasteK'srd Notice:This permit application Minimum fee................$ —
expires if a permit is not obtained Plan review at — %
C,edit card mmtKe ._�_. --- ---Elpim-_ within 180 days atter it has been ( ) $
ame n on vedit c — accepted as complete. State surcharge(896)....$
-- —l:ardholder alanatnxe —— �'Ww� 4"17(60"4
]Clectrical Permit Application
----- pate received. P.rmit no./�S��D
City of Tigard Poject/appl.no.: Expire date:
(-to-of 7igard Address: 13125 SW Hall Blvd,Tigard,OR 97223 pate issued: By Receipt so.:
Phone: (503) 6394171
Case(503) 598.1960 se file no.: Payment type:
Land use approval:
TYPEOVVERMIT
O 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
U New construction U Addition/alteration/repl.ict nwnt U Other U Partial
11 SITE INFORMATION
Job address: U-) r 1*0 M—�d�N�_ _ BWg. no.: Suite no.: Tax map/tax lot/account no.:
Lot: 9 Bloc{: Suhdivisiow _
Project name: Description and location of work on premises: �—
Estimated date ci c Ictionhnspection:
1 l
.lob no: Fee 11fa�
_Uesrrip:ion oty (ea l in",
no.insp
Streamline Electric Newrr5Wntial a4WkorWWIi-fan"IV prr
DBA LaValley Corporation dwelWtgudt lnciode outf,edgar ge
6025 East 180'St Swvimio.-bk4
Vancouver WA 98661 1000 sq h or less
360-993-5080 Each additional 500 sq.ft.or portion thereof
Limited energy,residential 2
CCB:116514 ELC#: 34-432C SUN: Limited energy,non-residential 2
Each manufactured home or modular dwelling
Si nature of su tvising electrician(required) pate Service and/or feeder _ 2
Sup -iect name( tint): I.icenseno. Services or feeders-installation,
alteration or relocation:
WA
1 1 200 amps it less 2
Name(print): 201 amps to 400 amps 2
— — ---— — 401 amps to 600 amps 2
Mailing address: _ __ 601 amps to IOOO amps �u _ 2
City: State: ZIP: Ov:r 1000 amps or volts 2
Phone; Fax: Email Reconnectonly I
Owner installation:The installation is being made on property 1 own Tensporaryserrkes c;feeders-
which is not intended for We,lease,rent,or exchange according to hstallrilmalteration orrelocation:
200 amps or less 1
ORS 447,455,479,670,701. ^,
201 amps!o a00 amps 2
Owner's signature: _ _ Date: 401 to 6m)amps— _ 2
Branch circuits-new,dte"don,
Name: or exlemlon per pare4
_ _ -_ A. Fee for branch circuits with purchase of
Address: service or feeder fee,each brant'.circuit 2
City: — — State, 7,IP: B. Fee fir branch circuits without purchase ——
��. ��_ _of service or fader fee,first branch circuit 2
Phone: Fax. E-mail
Fish additional branch circuit:
Mbr.(Semis a keder mol included):
O Service over 225 amps-commercial U health-care facility Each pump or irrigation circle _ 2
U Service over 320 amps ruing of 1&2 O Hazardous location Fwch signor outline lightinF� 2
family dwellings U Building over 10,000 Mune feet four or Signal circuit(s)or a limited energy panel,
U System over 600 volts nominal more residential units in one structure alteration,or extension• _ 2
R Building over three stories O Feeders,400 amps tv,more .perition
U Occupant load over 99 persons U Manufactured swxtures or RV park Frch additional impMlon over the allowable In any of the sbose:
U Egress/lightingplas U Other. Per inspection
Submit v acts or plans with any of the above. Investigation fee
The above are not applicable t n temporary condfudloa arvice. (Rhee
--- Permit fee.......... ..........$
Na dl iurisdlttlrxn reels reedit ends,pkax call jurisdiction for more Nrfrtarton Notice:This permit application ---
U Visa U Masttif and expires if a permit is not obtained Plan review(at _ %) $
Credit card oumtur _ __ ___/L_ within ISO days after it has been Slate.surcharge(8%)....$
me�
_ Expim accepted as complete
Na —eardhol r u an tend
S
Ctnrd6dder dyWwe _ Arrant ' W4613(60tPDK.10M)
CITY OF TIGARD BUILDING INSPECTION DIVISION
2a 4-Hour Inspection Lin-: 639-4175 Business Line: 639 171 MST —
BU '
------------.—Date Request6d — _ AM _FM _._ BLD
Location
— �i(� $ �` ,�-� Suite - MEC --__
Contact Person — --- — Ph l q3— -S734 c- PLM —
Contractor -- _ Ph SWR
(;
BUILDING , Tenantwner ELC
Footing
F'etaining Wall A -- `- - —`-
. -- --- -- - -
Foundation Access ELR
Ftg Drain FPS -_..--- ----
Crawl Drain Inspection Notes SGN
Slab - ---- ---- -
Post& Bean; —--- -- --- -- SIT
Ext Sheath/Shear
Int Sheath/Shear -- - - - ----------_--
Framing
Insulation - ----------
-
Drywall Nailing
Firewall - --- --
Fire Sprinkler -
Fire Alarm - - -
Susp'd Ceiling _-
Roof -
Misc:
Final _--__ -______ - -—•------- - ----_-.__
PASS PARI' FAIL
PLUMBING
Bost& Beam ---- -- - _ _
Under Slab ~---
Top Out ------ _.--- ------- - -
Water Service
Sanitary Sewer ---- - -- - -- _
Rain Drains
PART FAIT_
CHANICAL ----- ------- -
Post& Beam ---- -__.----_---_._-_-u
Rough In
Gas Line - - - - - --- ------------ --- -_.
Smoke Dampers _---�
Final --- - --
PASS PART F.41L - - ----_ _.----- -- - -- ----- - ------__
- S --
EI..ECTRIGAL
Service
Rough In -- --- --_ ------ ——_—_ __
UG/Slab
Low Voltage
Fire Alarm
Final - -- --- -._.__ -- --- -
PASS PART FAIL
SITE
F
ackfill/Grading ---- _-_.— _ -..-- -----------_-- - __
anitary Sewer -
torm Drair. ( )Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supp'y Line I 1 Please call for reinspection r2F -- )Un'A le to inspect-no access
ADA
Approach/Sidewalk '
Other _ _�— — Date U _1 _ _—�— InspectorExt� .-
Final ---------- -
P/a8.': PART FAIL Iib NOT REMOVE thirf Inspection record from the jai) site.
ELECTRICAL
CITY OF TIGARD _ RESTRICTED ENRIGY
DEVELOPMENT SERVICES o PERMIT#: ELR2003-00027
13125 SW Hail Blvd., Tiaard, OR 97223 (503) 639-4171 DATE ISSUED: 2/4/03
SITE ADDRESS: 13078 SW PRINCETON LN PARCEL: 2S104DA-20200
SUBDIVISION: QUAIL HOLLOW-SOUTH ZONING: R-4.5
BLOCK: LOT: 028 JURISDICTION: TIG
Proiect Description: I
A.RESIDENTIAL _ _ B.COMMERCIAL
AUDIO & STERE=O: AUDIO F, STEREO: rNTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM. FIRE ALARM: OUTDOOR LANDSC LI E:
OTHER: ALL ENCOMP : 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: 503-039-0110
Reg#: IiLI'. 36-94C'LF.
sur 23121LFA
M� —_-- — LIC 145828
_-- — —FEES - Required Inspections
Description _ — Date Amount Low Voltage Inspection
IELPRM fj ELR Permit 2/4/03 $75.00 Elect'I Final
IT AXI 8"„State Tim 2/4/03 $6.00
Total $81.00
This i'c~rnit is issued subject to the regulations contained in the Tigard Municipal C)de, State of OR. Specialty Codes and
all other applicable laws. All work will bu done in acrordance with approved plans. This permit will expire if work is not
started within 180 days of issuance, or if work is suspended for roore than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc
Issued by , st 4 _/�t16,�/.i/ti Permittee Signature
--- OWNER INSTALLATION ONLY
The installation is being mar «, 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:
L.ICFNSE NO: --- — --- -- -- ----- _
Call 639-4175 by 1:00 P.M. for an inspection net,dLd the next business day
aassaaa�•w
Electrical Permit Application
— Date received:,,?, -�Z+ Permitno.:L-'L/�-
City of Tigard Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: kecei-t no.:
Phone: (503) 639-4171 --
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval:
U 1 &2 family dwelling or accessory U Comrmercial/industrial U Multi-family U Tenant improvement
ANew construction U Additic;n/alteration/replacement U Other: U Partial
Jobaddress: 13079 i.J, Ae1.tl( L.- A)__� ltitntc liar. Taxmap/tax lot/account no.:
Lor. _ Block: Subdivision: LLU J
Project name: (ALL,+q_ µ,,t4XVj Description and location of work on premises: Voice-ku l'nem
Estimate(;(laic of.:nfnpletion/inspecflrul-
1 5
Job no: _ _ Fre Max
Business name.: , O Oiwm it A)i eA(ic)S Uescriptiuu Qtr. (ea.) Total no.lns
Address; �f- Newresldential-singleormulti.familyper
L'6 dwelting unit.Includes attached garage.
City: Udl( j OrJVt"Ir- State: ZIP:1>y 2 Servicelncluded:
Phone: �(,,3c1 o Jr fax 6' per jj E-mail: _ 1000 sq fl.or Ics% _ a
Each additional 500 sq.N.ur portion thereof
CCB no.: Y EIeC.bus. IiC,no: fo 9 Cr r Limited energy,residential 2
City/mltrolic.no.: Limited energy,non-residential 2 _
Z. ? Each manufactured home or modl,lar dwelling
Signature of su rvisin elg ectriclVr r uired) i Date -Service and/or feeder 2
Services or feeders-Installation,
Sup.elect name(print): ��C License no: /2 C alteration or relocation:
200 amps or less 2
Name(print): J) J S'I,4.AJ C 201 amps to 40n amps _ 2
Mailing address: 401 amps to 600 amps �- 2
601 amps to 1000 amps 2
City: —tate: ZIP: (Iver 1000 amps or volts 2
Phone: _ Fax: E-mail: Reconnect only - I
Owner installation:The installation is being made on property I own Temporary services or feeders-
which is not intended for sale,lease,rcml,or exchange according to Iru4allation,alteration,orrelocation:
ORS 447,455,479,670,701. 200 urnps or less _ 2
201 amps to 400 amps
Owner's si nature: Date: 401 to 600 amps
Branch circuits-new,■lieration,
or extension per panel:
Name' A Fee for branch circuits with purchase of
Address: _ service or feeder fee,cacti branch circuit 2
City: State: ZIP: B. Fee for branch circuits without purchase
—� of service or feeder fee,first branch circuit: 2
Phone: Fax: E-mail: Each additional branch circuit.
Mtsc.(Service or feeder not Included):
O Service over 225 amps-commercial U Heelth-rare facility Each pump or irrigation circle __ 2_
U Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting _ 2
family dwellings U Building over 10,000 square feet fouror Signal circuit(s)or a hraitr;d energy panel.
O System over 600 volts nominal more residential units in one structure alteration,or extension* _ _ 2
U Building over three stories U Feeders,400 amps or more *Description
U occupant toad over 99 pemons U Manufactured structures or RV park Each additional Inspection over the allowable In any of the alcove:
U Egress/lighungpinn U(lrher -Perinspection
Submit sets or plans with any of the alcove. Investigation fee
The above are not applicable to tempoi ary canstructlon service. Other
_ Permit fee.....................$
Not all jurisdictions accept credit cards,please call junsdicr.on for mcrr informatin,i Notice:This permit application ------
U visa U MnsterCnrd expires il'u permit is not obtained Plan review(at M %) $
Credit card number: —_ _ �- ��-_[_-_ within 180 days after it has beery State surcharge(8%)....$
Ezplren accepted as complete. TOTAL . $
14 am of ca o ras own on cQ11c —"—'
_ __ S _
____ Cardholder signsture _ Amount 440.4615 tb0al[OkiI
CITY OF'TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175 -7
INSPECTION DIVISION Business Line: (503) 639-4 h9ST
Received _-._ —�_Date Requested AM _ __ PM BLIP
LocationSuite _
:ITEC _------_----
Contact Person _ Ph(_-__ _ -_) -_� cl J .��{S PLf1I
Contractor
-_— ---- _. _ Ph SWR
BUILDING TenanUOwner --- -_-- _.— - ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain --
Slab Inspection Notes. SIT
Post& Beam
------ --- ------
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear -
Framing �'0 r d.? 04L. — - ---
Insulation
Drywall Nailing - - --Firewall
Fire Sprinkler - -
Fire Alarm
Susp'd Calling --— -- -
Roof
Other. — _--
AS PAR?_ FAIL
MBING_
Post 6 Heam ----- -
Under Slab --
Rough-In
Water Service — ------ ----
Sanitary Sewer
Rain Drains --- _— — --- —_ �_
Catch Basin/Manhole
Storm Drain -- — --- - ----
Shower Pan
Other: - — _._ ----- -- --._ ---
Final
PASS_PART FAIL --`----- — - -`- --- _--� -MECHANICAL
Post 8 Beam -------- --^.— __._ __ ---- -- ----
Rough-InGas Line
Line
Smoke Dampers
4EL_ECT_R_1C_KL____
PART FAIL
Service - - -- -- - -- ----.— — _ ------- ---
Rough-In
UG/Slab
Low Voltage
Fire Alarm — -
Final f Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hell Blvd.
PASS PART FAIL
Please call for reinspection RE:__ _ _ L� Unable to inspect--no access
Fire Supply Line
ADA
Approach/Sidewalk Drb - Inspector Ext
Other:
Final - IDO NOT REMOVE this inspection record from they job site.
PASS PART FAIL
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STREET TREE CE-R&T-FFIA"A. BION �►
Owner/Agent for ►
(PLEASE P (PERMIT HOLDER)
!
'i
i Do hereby certify that the following location
meets City of Tigard/Washington County `
!
land use and development standards for street tree installation. �
! ADDRESS: U �►
SUBDIVISION:
\ 1� !��--��'���' <� ��---�� -- I,►
! LOT: c i�
! 1 (! �' ,►
!� BY: DATE: l� f►
-Q 1►
! RECEIVED BY. DATE:
10.
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A
ICm of nGaRo
Residential Certificate %f Occupancy
Permit Nc;_. — `7 Address:
Z22��,�Owner/Contractor: a A
Date of Final Inspection: �i/V� Inspector:
:iris structure has been found to be in substantial compliance with the provisions of the State of Oregon One Two Family Dwelling i
_kecialtv Code and is hereby approved for occup-.rcv.
i
CITY OF TIGARD BU►t MNG ,NSPFCTION DIVISION
74-Hour Inspection Line: 63; 176 SusineSS Line: 639-4 MST —
/ / BUP
Pate Requested_ AM PM — BLU
Location G .7 Sr 1 1 .r � .� Suite MEC
Contact Person — _ Ph l' — j S PLM —`_
Contractor _ Ph SWR
BUILDING ��-- Tenant/Owner ELC 2_
Retaining Nall -- - -- --� El_R �� 3-0 ,2
Footing Access: "-
Foundation FIBS
Fig Drain _ ---- -
Crawl Dalin Inspection Notes: SIGN
Slab
Post&E,eam ---�-
Ext Sheath/Shear
Int Sheath/Shear ----- -
Framing
Insulation --- ----- ----
Drywall Nailing ----_-- -------
Firewall ---__------ ----------_ -- --------------.-_------
Fire Sr rinkler
Fire Alarm ----- ----
Susp'd Ceiling
Roof --- ----. -- ------ -- -------
Misc: _ ----- -- - — �_-----_
FinalPASS PART FAIL 1 -- - --- -_
PLUMBIN tG --
Post&Beam - ._. ... - ------ _ - --- - --- ------------ ------ -----
Under Slab
Top Out -- . . ---- - -- - .
Water Service
Sanitary Sewer --- ---
Rain Drains
--- ------ -- --------
Final - --- --
PASS PART FAIL
MECHANICAL ---- - -
Post d Beam
i
Rough In
Gas Line - - ---- ----- -- - -
Smoke Dampers
Final -- - ------- -
PASS PART cAll —
FL_ECTRICAL -- -- -- -- ------ - -----
Seivice ~�
Rough In --- - --- -
UG/Slab
Low Voltage
Fire Alarm
JIM PART FAIL
sl'IF
Barkfill/Grading
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I t ]Please call for reinspection RE: ]Unable to Inspect-no access
ADA ..� �
Approach/Sidewalk L /
Other _ - nate _ -1_'�� Inspector ,L '>� _ Ext
Final JPASS - PART FAIL DO NOT REMOVE! this inspection* record from the ob site.
CITY OF TIGARD
13125 S.W. HALL BLVD.
T7GARD, OR 97223
IMPORTANT PERMIT NOTICE
DAVID JEROME ELECTRIC
PO BOX 751
HILLSBORO, OR 97123
Electric=al Signature Form
Permit#: MST2002.00077
Date Issued. 8129102
Parcel: 2S104DA-20200
Site Address: 13078 SW PRINCETON LN
Subdivision: QUAIL HOLLOW-SOUTI-t
Block: Lot: 028
Jurisdiction: TIG
Zoning- R-4.5
Remarks: SF rowhou4e,Unit 428,1111Idg 6,AS pian. STRUCTURAL FILL, REQUIRES
GEO-TECI11NSPECTION AND REPORTS
Your company has been indicated as the electrical contractor for the ,aeimit indicated above In order fi r the
electrical permR to be valid. the signature of the, supervising electrician is requirad. Please have the
appropriate individual from your company sign below and return this Electrical Signature Furm prior tote
start of the work to the address above, ATT N: Building Division.
No electrical inspections will the authorized until this completed form is received
OV'JNFR- ELECTRICAL CONTRACTOR:
BROWNSTONE QUAIL HOLLOW LLC DAVID JEROME ELECTRIC
12670 SW 66TH PKWY STE 200 PO BOX 751
PORTLAND, OR 97223 HILLSBORO, OR 97123
Phone #: 503-598-7565 hone#: 649AI"
Reg #: 1,1C OWA]
SUP 1.8775
FLF 3e-119i"
AN INK. SIGMA PURE IS REQUIRED CN THIS FORM
ignature of Supervising Elec r_ian
If you have any que�tians, please call (503) 639 4171, erl, it
rnnV,, .Ld96 !)Tlq "V91j. 140 A.1,13 1R9CKAM TVA 9911 I9J CO/01/1C
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 #: MST2002-00077
Dal-- Issued: 8/29102
Parcel: 2S104DA-20200
Site Address: 1'1078 SW PRINCETON LN
Subdivision: QUAIL HOLLOW - SOUTH
Biock: Lot: 028
Jurisdiction: TIG
Zoning: R-4.5
Remarks: SF rowhouse,Unit #28,Bldg 6,AS plan. STRUCTURAL FILL, REQUIRES
GEO-TECH INSPECTION AND REPORTS
YOL)r 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
OWNE=R. PLUMBING CONTRACTOR:
BROWNSTONE QUAIL HOLLOW LLC WOLCOTT PLUMBING CONTRACTOR!
12670 SW 68TH PKWY STF_ 200 PO BOX 2007
PORTLAND, OR 97223 GRFc;HAM OR 9703n
Phone #. 503-598-7565 Phone #: 667-1781
Reg #: I Ir 23847
pl M 26-208PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signatur Au ' ized Plumber
11 /c)u have any questions, please call (503) 639-4171, ext. # 310