13444 SW 128TH PLACE r All
13444 SW 118`" PIS,el
r
CITY OF l IGA!RD 24-Hour
BUILDING inspection Line: (503)639-4115
PAST
INSPECTION DIVISION Business Line: (503)6.39-417
/ BUP _
Received Date Reaueste i �1 Z �'_._ FSM PG' � BLIP
Location --
-�-1----._�_ ^-'� -- -�L- Suite --- - -- - MEC _
Contact Person ___ ---�_ Ph
�--- ) -- - ---- __.. PLM �JW � — d L�
Contractor— — _ _ Ph {-_——_ ? _-- SWR --
BUILDIN3 Tenant/Owner - _ _ ELC
Foori,^,y _
Foundation Access. ►=LC
Fig Drain - �
1
Slab Inspection Notes: sir
Post&'seam
Shear Anchors --—
Ext Sheath/ghear
Int Sheath/Shear - -
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler --f
Fire Alarm
Susp'd Ceiling ---
Roof
Fina
S PART FAIL
elJJNMING
Post&Bea
Under Slaly
Waley Sen;:
Sanita Sewer p
Rain Dins —
Citc#Basin/Manhole ` _
finorm Drain
Shower Pan
0 ---_iher:--- J��-1/ Vyl-
— — __
S H_ PAIIrT F L —_
CAL04
Post&Beam _
Das ine
OCThDampersPART FAILICAL
Service
Rough-in
UG/Slab -
Low Voltage
Fire Alarm - ---
Final Ej Reinspection fee of$ -_—...__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
81TE Lj Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line
ADA I l/2 Z /_'C! �._._---
Approach/Sidewalk Date / Inspector _ IExt
Other._
Final DCC, NOT REMOVE this Insp,oction record from the job site.
PASS PART FAIL
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-hour Inspection Line: 63L 175 Busine. s Line: 639-4;
BJP
Date Requested_ -/ _AM—A __PM BLD
Location � 2 Suite
MEC
Contact Person '--��% PhJ t�`j.5� KpLM)
Contractor Ph _ SWR +
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access: - - -
Fov9dation FPS
Ftg Drain -- --
Crawl Drain Inspection Notes: 7- SGN
Slab ---------- _ 7- --- —
Post&Beam T" SIT
Ext Sheath/Shear V _
Int Sheath/Shear --- ---_
Framing _
Insulation ---
Drywall Nailing fes/R Cz2 HdV<
Firewall -- - - -
Fire Sprinkler -
_ ------
Fire Alarm -- - - --
Susp'd Ceiling
Roof -7
Misc: - ----__,_
–PA
SS ART FAILA 45
se&m S
Under Slab
Top Out - - —• - _`
Water Servica +v �-��
17
Sanitary SPvver fG �
Rain Drains ii !_' _
r n �� ---�
PART FAIL
MECHANICAL.
Post&Beam
Rough In
Gas Line ------
SmgM Dampers -
/ ✓ r�
f FAIL
ECT
ervice
Rough Ir• - -
UG/Slab --
Low Voltage
i
pss '
m
------
PART FAIL
ITE
Backfill/Grading
Sanitet, :.,ewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at Clty Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE: —_ _ [ ]Une'+le to inspect-no access
ADA
Approach/Sidewalk nate _�()h I
Other _ Inspector Fxt
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the .job site.
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CITY OF
TIGARD MASTER PERMIT
PERMIT':. MST2000-00365
DEVELOPMENT SERV!;ES DATE ISSUED: 3/5/01
13125 SW Hall Blvd., Tigard, Ok 97223 (503) 639-4171
SITE ADDRESS: 13444 SW 128TH PL PARCEL: 2S104DA 02200
SUBDIVISION: QUAIL HOLLOW-WEST ZONING: P,-4.5
BLOCK: LOT:008 JURISDICTION: TIG
REMARKS: Construct single family residence Path 1
BUILDING _
REISSUE: STORIES: 2 - FLOOR AREAS REQUIRED SETBACKS__ REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,el% sl BASEMENT: at LEFT, 11 SMOKE DETECTORS:
1 vPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.372 sl GARAGE: 555 at FRONT: ;7 PARKING SPACES:
TYPE Or CONST: 5N DWELLING UNITS: 1 FINBSMENT: at RIGHT: 11
VALUE: $199,715.36
OCCUPANCY GRP: R3 SDRM: 4 BATH: 4 TOTAL: 2,66800 at REAR: 41
PLUMBING
SINKS I WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 10 TRAPS.
LAVATORIES: h DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS.
TUBISHOWF.RS. 4 GARBAGE DISP. 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR. 1 GREASE TRAPS:
OTHER FIXTURES.
MECHANICAL
FUEL TYPES FURN<100K: BOIUCMP<3HP: VENT FANS: 6 CLOTHES DRYER: 1
GAS FURN>=100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS 1
MAX INP btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: C OUTLETS: 1
ELECTRICAL —
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUz, ADD'L INSPECTIONS
+000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FOR: 1 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 5 201 400 amp: 201 400 amp: tat W/O SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 000 amp: 401 600 amp: EA ADOL OR CIR: SIGIIAUPANEL: IN PLANT:
MANU HMISVCIFDW 60' • 1900 amp: 601-amps-1000y: MINOR LABF':
1000♦amplvolt: PLAN REVIEW SECTION
Reconnect unly: >=4 RE UNITS: 9VClFDR>=225 A.: >600 V NOMINAL: CLS AREA/SPC OCC:
_ ELECTRICAL•RESTRICTEL ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO d STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH. BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA7TELE COMM. NURSE CALLB: TOTAL 0 SYSTEMS:
TOTAL FEES: $ 4,060.79
Owner: Contractor: This permit is subject to the regulations contained in the
NORTHWEST CONSTRUCTION NORTHWEST CONSTRUCTION INTLTigard Municipal Code,State of OR. Specialty Codes and
296 NW PACIFIC GROVE DR 296 NW PACIFIC GROVE DR all other applicable laws. All work will be done in
BEAVERTON,OR 97006 BEAVERTON,OR 97006 accordance with app•Tved plans This permit will expired
work is not started within 180 days of issuance,or if the
work is suspended for more than 180 days. ATTENTION:
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg#: tic 141600 forth in OAR 952-001-0010 through 952-001-0080. You
may obtain cooims of these rules or direct questions to
OUNC by calling(503)246-1987
REQUIRED INSPECTIONS
Erosion Control Insp 81 Post/Beam Mechanical Mechanical Insp Framing Insp Gas Fireplace Electrical Final
Sewer Inspection Underfloor Insulation Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Fi-ol
Footing Insp Crawl Drain/Backwater Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final
Foundation Insp Footing/Foundation Drl Electrical Service Low Voltage Water Line Insp Final Inspection
Post/Beam Structural PLM/Underfloor Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Building Final
Issued y : L
��LL.>�lzirt,�.. Permittee Signature
Call (503)839-4175 by 7:00 p.m.for an inspection needed the next business day
CITYOF TIGARD ^SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2000-00250
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/5/01
SITE h DDRESS; 13444 SW 128TH PL PARCEL: 2S104DA-02200
SUBUIViSION: (QUAIL HOLLOW - WEST ZONING: R-4.5
BLOCK: LOT: 008 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new single family residence.
Owner:
NORTI-IVVEST CONSTRUCTION — FEES -----
296 NW PACIFIC GROVE DR _TY_Pe By Date Amount Receipt
BEAVE RTON, OR 97006 PRMT CTR 3/5/01 $2,300.00 27200100000
INSP CTR 3/5/01 $35.00 27200100000
Phone: 201-9850 ---- --- — --
Total $2,335.00
Contra17tor:
Phone:
Reg #:
Required Inspections
Sewer Inspection
I
1 his Applicant agrees to co ,ply 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" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow ndes 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.
Issued �y: Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection nvedetme next business day
Plan Check
.-.ITY OF TIGARD Residential Building Permit Application Rec'dBy
13125 SW HALL BLVD. New Construction Date Reed 9-15"d-M
TIGARD, OR 97223 Single Family Detached Date to P.E.
V 503-639-4171 Date to DST
Pemift# H"-P~-603_6
F 503-6$4-7297 Called C,
Print of T
YPe �
Incomplete q�ftFii�le applications will not be accepted � .
Name of ProjectName kdress^�.1®b I a Ci 1 �' Architect MaitingAth
A6 ress Site Address f3�Vf[ � l t4 n
/Stat Zip Phone
Na o --- r�►'�C
• y�i I l� - — ame
Owner Malting Address- '— C��P//
�— Engineer ting Addie
clty/State Pnone zip ,�
City/Stan / Zip 0
GenQral Name
Describe work Newo Addition O Alteration O epair O
Contractor �. `J. CGY15 N� r � Z r� to be done:
Mailing Address Additional Description of Work:
Prior to permit C!� I ) )�A , i L Vivo• I)
issuance,a copy City/State ZlpPhone
of all licenses Apel✓e 1J!1�.C._- t)1)
are required f`, Oregon Const.Cont.Board Exp.Date PROJECT' (f
expired In COT l.ic.# 4L/ �,c 0 3 /� ox VALUATION $
database NEW C0IJSTRUCTIN ONLY:
Mechanical Name
Sq. Ft. House: Sq. Ft._Garage
Sub- C �IL1YY! l`?�� r'11 f�,, :1 C�. SSS —
Contractor Mailing Addre s Indicate the restricted energy installation by the electrical
Prior to permit / 7 44 C (.t j — subcontractor in the followina areas
issuance,a copy City/Sta Zip P one Restricted Audio/Stereo
of all licenses lo ArEnergy S stem Alarms
are required If regon Const.Cont. Board Exp,Date Installations Vacuum Irrigation
expired in COT Lfc.# �' C �� C System S stem
database
Plumbing Name (check all that other:
C lL ..5h pr �l- , 1111 C+ a I
Sub- Number of Units In f3ullding Unit Number Designation
Contractor Mailing Address
4,J-_5cr U Vc"I d , �n Has the Subdivision Plat recorded? N/A YES NO
Prior to permit Cit /State Zip 1 Phone
Issuance,a copy I-
of all licenses are Oregon Const.Cont.B,3erd xp. Date
required If Lfc.# —
expired in COT U I hearby acknowledge that I have read this application,that the
database Plumbing Lic 0 Exp. Date
information given is correct,that I em the owner or authorized agent
of the owner, and that plans submitted are in compliance with
Name Ore on State I WS.
J Signature of O /Agent Date
Electrical Y "/�t: /' t
Sub- Meiling Addi iss Contact Perso ame Ph ne#
#
Contractor .�LCt '(, 1). f �It\� ��.-il�o�.,�.� c,�tv�1
City/Bunte Phone �I
Prior to permit 11. .)YkIj
issuance,a copy '7* -/3 5 FOR OFFICE USE ONLY:
of all licenses.,re Oregon Const.Cont.Board Exp Date Plat a'f: I a Mapes L�� `a 'C'1,'';
I required H Lic N �j yL ; et 0
ex, 'red in COT J.�--- Setbacks: WA jo Zone:
database Electrical Lic 0 xp ate G��,�
1 C / I CC
Electr cel Su rylsor Llc # Exp ate E Ineering Approval: P anning Approval: IF: _
I Wsts\forms\sfd-new doc 11/20/98
00 Dae 08 1::11:05 R:\It\ItSghw.dwg MRF
—
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MAIN FLOOR \
olrn I EL :100 0' /
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GARAGE
EL :99 5' /
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8 0 DRIVEWAY /
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COURT
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10,07 so.
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
CHESHIER PLUMBING INC.
34798 SE COUPLAND RD
ESTACADA, OR 97023
Plumbing Signature Form
Permit #: MST2000-00365
Date Issued: 315101
Parcel: 2S104DA-02200
Site Address: 13444 SW 128TH PL
Subdivision: QUAIL HOLLOW - WEST
Block: Lot: 008
Jurisdiction: TIG
Zoning: R-4.5
Remarks: Construct single family residence Path 1
Your company Has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing permit to be valid, pleaEe 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 ret eived
OVOIFR: PLUMBING CONTRACTOR-
NORTHWEST CONSTRUCTION CHESHIER PLUNIBING INC.
296 NW PACIFIC GROVE DR 34798 SE COI!PLAND RD
BEAVERTON, OR 97 006 ESTACADA., OR 97023
Phone #: 201-9850 Phone #: 201-1856
Reg #. I Ir. 140381
PI M 3-439PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
x � -Z_-
L'd "_
Signature of Authorized Plumber
If you have any questions, please call 1503 j 639-4171, ext. # 310
JUN 12 '00 09:24AM P.1
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 87223
IMPORTANT PERMIT NOTICE
tW3W413Ma AtiNnoo3
BEAR ELECTRIC cool v i
P O BOX 389 "�
DONALD, OR 97020 03A1303d
Electrical Signature Form
Permit #: MST2000-00365
Die lssued 3/5161 ----
Parcel: 25104DA-02200
Site Address: 13444 SW 128TH PL
Subdivision: QUAIL HOLLOW -WEST
Block.- Lot: 008
Jurisdiction: TIG
Zoning: R-4.5
Remarks: Construct single family residence Path 1
Your company has been indicated as the electrical contractor fo, 'ie permit indicated aoove, 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
OWNERS ELECTRICAL CONTRACTOR:
NORTHWEST CONST RUCTION BEAR ELECTRIC
296 NW PACIFIC GROVE DR P O BOX 389
BEAVERTON, OR 97006 DONALD, OR t1T020
Phone : 201-8850 Phone #: 503-678-1155
Reg 4: LIC 20012
ELE 24.1070
SUP 3162-R
AN INK SIGNATURE: IS REQUIRED ON THIS FORM
Signature of Superv;sing Electrician
If you have any o,uestion3, please call (503) 638-4171, ext. # 310
CITYOF TIGA►RD PLUMBING PERMIT
PERMIT#: P28/01 ooaol
DEVELOPMENT SERVICES
DATE ISSUED: 9/28/01
13125 SW Hall Blvd.,Tigard, OR 972.23 (503) 639-4171
PARCEL: 2S 104Dy=,-02200
SITE ADDRESS: 13444 SW 128TH PL
SUBDIVISION: QUAIL HOL!OW -WEST ZONING: IG
BLOCK_ _ LOT: JJURISDICTION: TTIG A�
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS: 'TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
-^ —SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Irrigation backflow prevention device. _—---
FEES
Owner: _ �_ Type By Date Amount_ Receipt
NORTHWEST CONSTRUCTION PRMT CTR 9/26/01 $30.45 27200100000
296 NW PACIFIC GRO'1E DR PRMT CTR 9/28/01 $5.80 27200100000
BEAVERTON, OR 97000 5PCT CTR 9x26/01 $2.90 27200100000
Total $39.15
Phone 1: 201-9850
Contractor:
ANCTIL PLUMBING INC
16900 SW MERLO RD
BEAVERTON, OR 97008 REQUIRED INSPECTIONS
RP/Backflow Preventer
Phone 1: 503-642-732.3 Final Inspection
Reg#: LIC 24184
PLM 26-162Pb
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable I�-ws. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law rerluires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
)l r-
Issued By:' , -a �-��-c;1�,r,� y Permittee Signature: LL ,c1L
Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day
w
Plumbbig Permit Application
`—` Datcreccived: 9 Z$ ^/ Pennitno,:/9�w-M0
CityCit of Tigard r%%
� Sewer permit no.: Building permit no.:
Addiess: 13125 SWIfall Blvd,Tigard,Olt 97223 —
CirynjTigard Phone: (503) 6394171 ProjecdappLno.: Gxpiredate:
Fax: (503)598-1960 Date issued: By Receipt no.:
land use approval: __-- Case rile no.: Paymco'!ypc:
l t'I & 2 family dwelling or accvssury U Conunen Mi/indusUi-d U Multi-family _.1';cn;uU impmvcment
Ncw construcliral U Additions/alteration/replacement U Food service lJ!ii wr:
1 1 1 1 1 -Desc .d
Job address: �(�(� '�N Gq(E flesh ldwel O1 hee(ca. Total
Bldg.no.t Suite not: - -New I• and 2-fan►lly dwellings only:
(Includes 100 ft.for each ulnily connection)
_Tax map/tax lot/account 70.: SFR(1)bald ---_..--
Lot: . Block: bdivlsion: SFR(2)bath
Project name: N. ✓G SFR(3)bath ---
City/county: I ZIP: Each additional bath/kitchen
Description and locatiSIon of work on remises: Slteutllltles:
_ �'/Ir ��A� j �a U6,66 -i(C l/A V Catch basin/area drain _ -
Est date of completion/inspection: Drywellstleach line/lrenc t drain
Footing drain( lin.ft.)
Manufactured home utilities
_Business name: L ✓11 :janholes
Address: ()U a Ran drain connector
City: 11 State:D ZIP: (v Sanitary sewer(no.Un.ft.) _
I'lsone: Fax: '.41�6E-mail: Storm sewer(no.lin.ft.)
CCB no.: 2 t,((Xtf Plumb.bus.^.no: ,- Water service no. in.ft.)
City/metro tic.no.: Fixture or Item:
Absorption valve
Contractor's representative signature: Back tl0w preventer
I,[—nano <. t. a7 Bac water valve _
PENSIONBasin. lavaory _
C o ics was ler
Name: —
ishwAslrer
Address: nking fountains)
City: State: ectors/sum
Phone: Fax: C mail: x ansion tank
ixturelsewer cap _
dour drains/(loor siWAW _
Nnrne(print): _._ Uurbu c irlxrsu _
Malting address: I lose bibb
City: State: _ ' P: ce ma er _
1'llone: Fax: Email:LInterce for rease trap _
Owner installntfon/residential maintenance only: The nctunl installaUun �'r mer(s) _ —will be matte by me or the maintenance and repair made by my regular asf drain(comrnercia)
employee on the prtrperty I own ns per OPS Chapter 447. 5 n (s), as n(s), ays(s)
Owner's signature- _ We: Sump _-
u s/shower/s tower pan _
Urinal
Name: Water closet
Address: Water tester
City: Stntc: ZIP: other:
Phone: --.�I ax:_ E-mail: olll
NM dl)INWkdons acept c[ahl cmda.pleau call IuritdicUun ror mue inlom0lon. Plan
nllnutn fee.,.......... ) $ --
Notice:This permit application flan review(at — 96) S
U visa U MuterCard expires If a permit is not ublafaed
redo card number_ within 180 days nRer it has been State surcharge(896)....
c
—--- accepted lu complete. '1'o�'A1, .......................$
S ��--�--
��irne a c r u own on c n[
--- Caret[Inure Amami 1101616( 'OM)
Id
NOVEMBER 20, 2002
CITY OF TIGARD
BUILDING INSPECTION DIVISION
TIGARD, OREGON
DEAR SIR:
IN REFERENCE TO LCT 8 QUAIL HOLLOW WEST. NORTHWEST
CONSTRUCTION TH DONELL UUARANTETESTING E THAT THE SHOWER WIMASTER L AND IT
DOES NOT LEAK.
LEAK.
BEST REGARDS
NORTHWEST CONSTRUCTION