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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspoctiot+ Line: 639-4175 Business Line: 639-4171
BUP
Pate Requested 3 'f `—AM_ ✓ PM - BLD
Locnticn.43o r1 s w /YL L� Suite — MEC —
Contact Person —_ _ Ph PLM
Contractor _ Ph SWR
BUILDING Tenant/Owner ELC _
ftN pining Wall ELR _
Footing Access:
Foundation FPS
Fig Drain --- ---
Crawl Drain Inspection Notes: ��-- 3CN -- -- -
Slab _ SIT
Post& Beam — -- ----
Ext Sheath/Shear
Int Sheath/Sheer -Framing
Insulation Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
RoofMisc
Final —
PASS PAr.T FAIL — �—
PLUMBING
Post&Beam
Under Sit,.,.
Top rut
— -
Water Service
Sanitary Sewer ----�' ---_�V —
Rain Drains I y�
Final
PASS PART FAIL
MECHANICA
Poi t& Beam ---
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
-
IL Service
Rough In
F- UG/Sleb
N Low Voltage �—---�-
Fire Alarm
J
W SS FART FAIL
F3
Lu Backfill/Grading
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ required before next inspectbn. Pay at City Hall, 1^125 SW HaII Erivd
Catch Basin i
ll f
a
Plese call rens ecticn RE:
Fire Supply Line [ ] p �._. ( ]Unable to Inspect-no access
ADA
Approach/Sidewalk -
Other Date - OZ Insps"tor Ext
Final
PASS PART FAIL DO NOT REMOVE this Insp+natio,i record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST • ��, ,�a�„ry
-24-Hour Inspection Lina: 639-4175 Business Line: 639-64171 T
_ w _Date Requestedt-� BUP
, !�j --AM—_PM BLD
Location / 3•a/l S ,r-�i Y, ,� w� suite MEC
Contact Person Ph PLM
Corti actor Ph _ _ SWR
BUILDING Tenant/Owner 'EEC
Retaining Wall ELR _
Footing Access: "V\0.�-� Dia-�s�2. � ��
Faurdation ~ �'�''� "'/ FPS
Ftil Drain _ G�-� -
Crawl Drain Inspection Notes — 8GN
Slab _ _ SIT
Pest&Beam ----------
Ext Sheath/Shear
Int Sheath/^hRar -'
Framing
Insulation `
Drywall Nailing
Firewall
-
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL -_---------- --_—_ ____
P
Post&Beam ----
Under Slab
Top Out
Water Service
Sanitary Sewer
RauOrains
ra
ASS PART FAIL
NEWNICAL
Post&Ream
Rough In
Gas Line - ------ __.
Smoke Dampers
Final --
PASS PART FAIL
ELECTRICAL-
9L
LEC CALa Sernice
cc Rough In
N UG/Slab
Low VoltageFire Alarm
Alarm
-4 Final ---- ---.._._.
to PASS PART F111�
SrrE
J Backfill/Grading - -- ------ -- ---- —.____ _-
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ __ required before next inspection. Pay at City t lall, 13125 SW Hall Blvd
Catch Basin
Fire Supply line I 1 Please call for reinspection RF: Unable to inspect- no access
ADA
Approach/Sidewalk Date C Inspector / Ext
Other - - - ,.
Final
PASS PART FAIL DO NOT REMOVE this Inspection recond from the fob site.
CITY OF TIGARD BUILDING INSPECTION DIVISION M8T
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
SUP
Date Requested 12-- AM ��PM — SUP
BLD
Location �r,�U �i �'w *�-/i Suite _ MEC
Contact Person Ph PLM
Contractor __— _ — Ph SWR
;, UI Tenant/Owner _ ELC _
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: --
Slab _ SIT
Post&Beam ---!
Ext Sheath/Shear
Int Sheath/Shear
Framing - -
Insulation
Drywall Nailing —.-
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling - — - -- ----- -------- --
Roof
Misc: ------ ----- - --- - -
i
ASS PART FAIL - ---
PL ING
Post 8 Beam --
Under Slab
Top Out --
Water Servi%.e
Sanitary Sewer — —
Rain Drains
Final
PASS T FAIL
Post&Beam -.---
Rough In
Gas Line ---_- -smoke Dampers —
F i
PART FAIL
ICAL
LL
M
---_ - — ----- -----
� Rough In -------- -
UG/Slab
Low Voltage �- ------� — ---——--.-_— --- -----
Fire Alarm
h"inal
t'ASS PART FAIL
W SITE
Bac/still/Grading -
Sanftary Sewer
Storm Drain [ ]Reinspection fee of 3 required before next Inspecticn. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ j Please call or reinspection RE: [ 1 Unable to inspect no access
ADA ✓�
Approach/Sidewalk pate Inspector Ext
Other _ -
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
s
Oct-09-00 10s24A Wolcott Plumbing 503 667 91391 P.06
CITY OF TIGARD
13126 S.W. HALL BLVD.
TIGARD.OR 97223
IMMRfANT PERMIT NOTICE
CROMWELL_PLUMBING
30856 S KAUFMAN RV
C V46Y,OR 970'13
Plumbing 619miure Form
auto Isr4ued: 0111111110000
Parcel: 28104DA-110.00
Site Adtfrvss' 13011 SIN MERL.IM PL
SUbdlvfsion: QUAIL 14OLLOW-WEST
Rtock- L..& 104
JUrfsdiodon: TICS
ZonWq: RAS
l Remetks. 8FY! -Rowtmtmn Plan Ar$Lot 104 Setbacks as per IPPMrtad e"plan
I
Your company fife bean Mdlcated ee the plumbing wnttactor tot the permit md"ted above. In order for the
plumbing permit tai be va ld, ploo*e haw the %On priete irmlitr U&I frnrn your company sign below and refuel
dills Plumbing 81grwture Form prior �,,)the sort of the work b the address above, A1-TI. 9uidkip Dept.
i
I1410 plumbing inepeclans w81 be author#md until fMet completed fonn ks ree alved
l
OWNF R:
NO CONTRACTOR
RR04MVITONE HOM" LLC A
a.1o1.�"'�t ��""'•,b r�
12070 SW WTH PARKWAY
p� 9�a3p
PORTLAND.OR Of 123
6ahme ft: 503.6".7965 Phone 0.
Reg*. 2 3 F?41
2�-2egPCi
CL
AN INK SIGNATURE IS REQUIRED ON THIS FORM
x
gi Signatu Plur;>R�r
W
J
,If Vali* hem any queeMns, please C911(503)63 J-4171, ext. #310
' CpIP tea 80;1i OR/to/QT
CITY OF TIGARD BUILDING INSPECTION DIV!SION Q-,6J-
rvy-�Uz�"J
24-Hour Inspection Line: 639-4176 Business Line: 639-4171
BUP _
Date Requested "� 0 _ ^PM !! BLD
Location ( 3 Oil
s C,.- /�'1 ov/, suite MEC —
Contact Person — __-r_ Ph J7 7 PLM
Contractor w Ph SWR
Tenant/Owner ELC
i Wall ELR
Foundation AsCe:3: PPS
Ftg Drain �.._
Crawl Drain Inspection Notes: 9GN 1
Slab SIT
Post&Beam — —
Ext Sheath/Shear _
Int Sheath/Shear
Framing
Insulation -
Drywall Nailing
Firewall
Fire Sprinkler �"� —L✓���. ��
Fire Alarm
Susp'd Ceiling
RoofC �
Misc: JCr zk'
_
Fi1
A3 PART — — -W-URBING
Post&Beam --
Under Slab
Top Out "—
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post&Beam _—
Rough In
Gas Line
Smoke Dampers
Final -
PASS PART FAIL
4. ELECTRICAL
rx Service
NRough In
C UG/Slab
Low Voltage
J Fire A!nrm
�q Final
(g
PASS PAR FAIL
W
J
ac fill/Grading
PQ
Sanitary Sewer
Storm Drain I inspection fee of$ _—required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I I f<ase call for reinspection RE: j Unable to inspect-r7n access
ADA I
A roach/SidewalkGate 111---1- (� L Inspector `r �'� Ext IS '
5
_----- — -
Fin
A PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
STREAMLINE ELECTRICAL
6017-B EAST 18TH STREET
VANCOUVER, WA 98
Electrical Signature Form
:'ermit#: MST2000-00250
Date Issued: 08/15/2000
Parcel: 28104DA-11800
Site Address: 13011 SW MERLIN PL
Subdivision: QUAIL HOLLOW -WEST
Block: Lot: 104
Jurisdiction: TIG
Zoning: R-4.5
Remarks: SFD - Rowhouse - Plan A-S Lot 104 Setbacks as per approved site plan
Yoljr 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;o the
start of the work to the address abive,ATTN: Building Dept.
No electrical Inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
BROWNSTONE HOMES LLC STREAMLINE ELECTRICAL
12670 SW 68TH PARKWAY 6017-B EAST 18TH STREET
PORTLAND, OR 97223 VANCOUVER, WA 98
Phone #: 503-598-7565 Phone #: 360-993-5080
R,aq #: LIC 118314
ELE 34-432C
IL SUP 21978
a
co
AN INK SIGNATURE IS REQUIRED ON THIS FORM
_J
Uj
m
-' Signature of Supervising Elec ncian
If you have any questions, please call (503) 539-4171, ext. # 310
CITYOF TIGA,RD MASTER PERMIT
PERMIT 0: M.CT2000-00250
DEVELOPMENT SERVICES DATE ISSUED: 08/15/2000
13125 SW Hall Blvd.,Tigard,OR 97 223 (503) 639-4171
SITE ADDRESS: 13011 SW MERLIN PL PARCEL: 2S104DA-11800
SUBDIVISION: QUAIL HOLLOW-WEST ZONING: R-4.5
BLOCK: LOT: 104 JURISDICTION: TIG
REMARKS: SFD- Rowhouse- Plan A-S Lot 104 Setbacks as per approved site plan
BUILDING
REISSUE STORIES: 3 FLOOR AREAS REQUIRED 3ETBACKS REQUIRED
CLASS OF WORK: HEW HEIGHT: 26 FIRST: 173 of BASEMENT: of LEFT: SMOKE DETECTORD.: Y
TYPE.OF USE: ST FLOOR LnAD: 411 SECOND: 734 of GAR/3E• 547 M FRONT. PARKING SPACES,
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT. 580 of RIGHr:
VALUE:
OCCUPANCY GRP: R3 BDRM: 2 BATH: 2 TOTAL: 1,487 00 sr REAR:
z - PLUMBING -- -„
SINKS: I WATER CLOSETS: 3 WASHING MACH: 1 L4UNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
I.AVATORIES: 3 DISIfWASHF..I&: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS- 1 CATCH BASINS:
TURISHOWERS: 2 GAnBAGF MSP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFL W PREVNTR. GREASE TRAPS:
-- OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN c 100K: BOIL/CMP a 3HP: VENT FANS: 3 —�CL.OTHES DRYER:
ELF FURN-10014 UN11 HEATERS: HOODS: OTHER IINITS: t
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: OAS OUTLETS:
_ ELECTRICAL
RE3I0�A7IAL UNIT SERVICE FEEDER TEMP SRVCIFEEUERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 8F OR LESS: 1 0 200 amp: 0 - 200 a,m,,:_— W.MVC OR FDR: 1 PUMPARRIGATION i PER INSPECTION:
EA ADD'L 500SF: 2 201 400 amp: 201 40G amp: lot W/O SVCrFOR: M) SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 800 amp: 401 600 amp: FA ADDL OR CIR: SIGNALIPANEL: IN PLANT:
MANU HM/SVI'IFDR: 601 - 1000 am: bill*ampa•t000v: MINOR LABEL:
1000.■"Nolt:
PLAN REVIEW SECTION
Reconnect only: '- -- ----
>W RES UNITS; SVC/FDR> 225 A.: >600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL-RESTRICTED ENERGY_
A.SF RESIDENTIAL. B.COMMERCIAL
AUDIO S STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE,ALARM: INTERCOM/PAOING: OUTDOOR LNOSC IT:�^
BURGLAR A'JARM: OTH: BOILER: HVAC: LANDSCAPEARWO: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INS"RUNIENTATION: MEDICAL: OTHR:
HVP.C: DATA/rELE COMM: NL RSF CALLS: TOTAL 6 SYSTEMS:
TOTAL FEES: $ 2,829.92
Owner. Contractor: This permit is sup led to the regulations contained in the
BROWNSTONE NOMES LLC BROW14STONE HOMES, LLC Tigard Municipal Codc,State of OR Specialty Codes and
12670 SW 68TH PARKWAY 12670 SW 68TH PKWY
PORTLAND,OR 97223 PORTLAND,OR 97223 all other applicable laws.BID prwork Th be done it
accordance with aoved p plans. This permit will expire M
d work Is not started within 180 days c4 lesuanoe,or if the
work is Suspended for mere than 180 days. ATTENTION:
Phone: Phone: Oregon law requires you to foNowrules adopted by the
Oregon Utility Notification Center. Those rules are Set
Rag 6: 1.1' 124627 forth in OAR 952-001-0010 through 952-001-0080. You
may obtain coples of these rules or direct questions to
OUNC by catling(503)246-1987
REQUIRE!)INSPECTIONSv
LLI Sewer Inspection Pim/undslab Insp Shear Wall Ir�sp Rain draln Insp Mechanical Final
Footing Insp Plumb Top Out Exterior Sheatl'ing Inst Roof Nailing Plumb Final
Foundation Insp Electrical Service Insulation Insp Water Line Insp Final inspection
Slab Insp Electrical Rough In Gyp Board Insp Appr/Sdwfk Insp
Underfloor insulation Framing Insp Firewall In^,p Electrical Final
Issued By : _ Permittee Signature
Call(503) 639-4175 by 7:00 p.m.for an 1,nspelctlon neode�the ext business day _
CITY OF TIGARD SEINER CONNECTION PERMrr_
DEVELOPMENT SERVICES PERMIT#: SWR2000-00'199
13125 SW Hall Blvd.,Tigard,OR 97223 (603)639-4171 DATE ISSUED: 08/15/2000
SITE ADDRESS; 13011 SW MERLIN PL PARCEL: 2S104DA-11800
SUBDIVISION: QUAIL HOLLOW-WEST ZONING: R-4.5
BLOCK: LOT: 104 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
;LASS OF WORK: NEV`i DWELLING UNITS: 1
YPE OF USE: SFA NO. OF BUILDINGS:
INSTALL TYPE: L TFSWR IMPEr V SURFACE:
R 9marks: Sewer connection for new SFA.
Owner: FEES
BROWNSTONE HOMES LLC
12670 SW 68TH PARKWAY Type By�~ Date Amount Receipt
PORTLAND,OR 97223 PRMT DLH 08/15/2000 $2,300.00 0004502
1NSP DLI-! 081,15/200( $35.00 0004502
Phone: 503-598-7565 1'otTi $2,335.00
Contractor:
Phone:
Reg#:
Required Inspections
Sewer Inspection
Q
QC
F-
m
wThis 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" Permit and the Agency will install a lateral. ATTENTION: Oregon !aw requires you to follow rules adopted
by the Oregon Utility Notifination Center. Those rules are set forth in OAR 952-00'. 9010 through OAR 952-001.0080.
You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-1987.
Issued by: Permittee Slgnsturb;
Call (503)639-4175 by 7:00 P.M.for an Inspection needed the ext buslneszs day
CITY OF TIGARD Res;dential Building Permit Application Plan check 7 .
_
13125 SW HALL BLVD. New Construction Recd By,to Dare Recd 7�
TIGARD, OR 97223 Single Family Attached � Date P.E._ -Z = ca aef
V 503-639-4171 �' ( Date to DST !r'
F 503-684-7297 ^j ` L' I Permit#LSTZ 0-10z Sa
Print or Type called.rn!L&!.S t&Z
Incomplete orr-III giblig applications will not be accepted >cd f2. zmoo - pv f q y
Name of Project "" ��r Nage L
Job 0A1 L N01lot.N �tlrk,(!%G IQ4
Address Architect M ilin Address
Site Address ICS/ 56eolvrl 415
IOU—
c —zip Phone,
,Name u� 19I y/slate IT1FI.t.Ns'A
L�
Owner ling Address J�� a� Nerpq'
i� Engineer Mjja//llliin�� Address
n /State �t,� Zi Pho It W NiM6_s �✓
VI 3 � /Sto ZIp Phone
General NName Mty�7-1 zi'79 3 3
Contractor C ,6-we NH=S t (.0-- Describe work flow Addition Alteration Repair
Mailing Address t2 f, to be done:
Prior to permit I�p�0 �W loy `1511 ' � Additional Description of Work: _
scow
Issuance,a copy qlty/State Zip Ph_gne_ �r �n j�19 't`1G�lb
of all licenses C �� _
are required if Oregon Const.Cont Board Exp.Date PROJECT _
expired In COT Lic# f S-1S-6u VALUATION $ �1r,
database I'�V2'
Mechanical Name `— NEW CONSTRUCTION ONLY:
Sub- ToU$t5 P� L4L-,XTXM-1 Sq. .'t.House: Sq. Ft. Garage
g Address
Mailing I g
Contractor Indicate the restricted energy installation by 1`a electrical
Prior to permit U. c�(o "�� subcontractor in the followingareas
issuance,a copy C /Slate Zip Phone
of all licensesr brC Restricted Audio/Stereo
°\7Z �?7.5�'3"f/
are required if Oregon Const.Cont. Board Exp.Date Energy System _ Alarms
expired in COT Lic#`T /28 aJ / 0 Installations Vacuum irrigation
database fl _ System System
Plumbing Name (check all that Other:
Q1
Sub- Cf1 w�`11 { 1U Mlbuyl<g 70(— apply)
_
Contractor
MailingAddress — Number of Units in Building Unit Number Designation
3605-! S 1CAVF1rn.v Has the Subdivision Plat recorded? N/A YDS NO
Prior to permit City/State Zip Phone
issuance,a copy o ' 6QF- q?p13 t"
of all licenses are Oregon Const.Cont.Board Exp Date
required if Lic# •�j/
expired in COT 7l z- X311 h� I hearby acknowledge that I have read this applic•.rtion,that the
database Plumbing Lic # Exp Date _= information give his correct,that 1 am the owner or authorized agent
IL of the owner,a a r plans submitted are in compliance with
Ore State I s _
Name nat0e o I ent
} Electrical 1 C-
5 �1 n�'''� ��T' �'----- Con act Person Name Phone 11
Sub- Mailing Address
Contractor
City/State Zip Ph o �
Prior to permit p
issuance, a copy 0w `'��N ' *1 43 5C-e✓ _ FOR OFFICE USE ONLY:
of all licenses are Oregon Const Cont Board Exp Date Plat�: Map/TL#
required if Lic# ���G,�
expired in COT I<40 -m 5 510 6
database Electrical Lic #q 3�Z Exp Date Setbacks ��� Zone �-1/. r n0
34, _ ___ _ J r
Electrical Supervisor Lic # Exp Date _ Engineering%pr val Planning Approval
2 n �lr AAt 567 9 ��,,k �-Ct 1 1.2•
k J-73 � v..r,.
.y.1 13q i klcts\forms\sfa-new doc 1 WOW,
CITY OF TIGARD Credit No.: 3 ��
Date Issued: J ne ^. 2000
Engineering
Authorization
Date: June 6. 2000
TRAFFIC IMPACT FEE
CREDIT VOUCHER Land Use
Casefile No.: 97-517-PQ&pHA
In accordance with Ordinance 379 _ Cypress Ventures. —p
(name d dwropM
is entitled to $_Z222.,5A,2L in Traffic Impact Fee Credits attccan be applied to TIF
charges for development on lot(s) all of the quail Hollow- WEST Developments. To use
this credit, present this form at the time of issuance of the building permit.
rDate Permit Numbers Lot Numbers Credit Used Balance
Beginning Balance $ 292,254.91
x
3 Balance carried forward to TIF Credit No.
a
• Ordinance 379 provides for an expiration 7 years from authorization.
Use Additional pages if necessary.
1ogin\vola\11109 1