The URL can be used to link to this page

13021 SW MERLIN PLACE 0301d UIPO V AAS CZnE l- r a ac � m m � e� uuu a. -' c z d T N C R'7 T 13021 SW MERLIN FL CITY OF TIGARD BUILDING INSPECTION DIVISION " •s��_�� 24-Hot:r Inspection Line: b38-417 Businas�s tire: 639-417 A SUP Date Requested �� SAM —PM BLD Location �d 2 \ � `�Y��✓ �L. Suite ` MI`G — Contact Person Ph ('"'PLM Contractor_ _ Ph SWR BUILDING 'Fenant/Owner ELC Retaining Wall ELR Footing Foundation Access: PIS Ftg Drain _ Crawl Drain Inspection Notes: SGN Slab Post&Beam -- - -- SIT �- - Ext Sheath/Shear _ Int Sheath/Shear ,, Framing �1f (--••'�.J`-�-� "��'� '- �,Q_ Insulation Drywall Nailing Fire Sp Fire Sprinkler � Fire Alarm n Susp'dC'eiling � � �-tJ'� VAC c"e-r 1��.��.._. <; Roof ��" � Misc: Final - ART FAIL LUMBIN — Pos eam ---' --- Under Slab Top Out - `----- Water Service Sanitary Sewer —' R ' Drains ina -- ASS PART IL _ MECHANICAL Post& Beam Rough In Gas Line Smoke Dar,,ers Final — -- — — — --_ _— PASS PART FAIL ELEC'T'RICAL - --- -- -- — — – a Service Rough In T - - UG/Slab Low Voltage Fire Alarm ..� Final - �1 PASS PART FAIL C SITE J Backfill/Grading --- - - --- -- - Sanitary Sewer Storm Drain I I Reinspection fee of$ required before next in ;action. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line f 1 Please call for reinspection RE _ w ( j Unable to Inspect-no access IADA pp Other Date _ Date42k4U Inspector_ Ext L� Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING, INSPECTION DIVISION MS1. 2&" c 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BZIP Date Requested_ 3`3v _,,.._AM �PM — BLD _- Location / 3 a u S 1.1i ^ _ Suite _ MEC Contact Person -- _ Ph PLM Contractor_ — Ph $AR ELC BUILDING Tenant/Owner - _ EL.R Reta.riing Wall Footing Access: FPS Foundation Fig Drain 71 SGN _ -- Crawl Drain Inspection Notcs: Slab _ ___- _ SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear _ Framing _ - - Insulatioi Drywall Nailing Firewall �� -!L q -�" -_ - Fire Sprinkler - - Fire Alarm 5usp'd Ceiling - Roof Misc: ------ - --_._-s. -- Final PASS PART FAIL __-,._------ PLUMBING_ Post&Bc-n -- - -- - Under Slab Top Out Water Service -.- - - Sanitary Sewer Rain Drair,s I _ ��_ _� -- - _' -• - Final _ PASS PART FAIL _ - ---- --- - MECHANICAL _ Post 8 Beam Rough In --- _ - ---- Gas Line Smoke Dampers _ - - Final PASS ! ART FAIL _- IEC CL .ervice (� Rough In F UG/Slab - W Low Ntolflge Fire arr i ® ASS PART FAIL W-1 9ackfill/Grading ---�- - ---f - _- Sanitary Sewerre wired before next inspection. Pay at City Hell, 13125 SW Berl Blvd Storm Drain ( J Reinspection fee of$ _ 4 Catch Bashi ( please call for reinspection RE: _ [ ]Unable to Inspect-no access Fire Supply amine ADA Approach/SidewalkDate Inspector Ext _ Other Final PASS PART FAIL DO NOT REMOVE this Insaectinn record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST �� 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 SUP Date Requested AM_______ _PmL! SLD _ +_ocation� 07-/ c./ A±t-Z/•+ J2.., Suite _ MEC Contact Person Ph PIRA Contractor Ph _ SWR _ BUILDING Tenant/Owner y _ ELC Retaining Wall ELR Foo ink --------- Foundation Access: Np,�) (s ' o �' "( tc�..ut FPS Ftg ]rain N CraNI Drain Inspection Notes: - SGN Sla'a — --_ SIT Post&Beam ---------- —_ Ext Sheath/S~par Int Sheath/Shear Framing Insulation — Drywall Nailing Firewall Fire Sp•;nkler Fire Alarm Susp'd Ceiling Roof Misc: Final PA PART FAIL Post&Beam Linder Slab Top Out "- Water Service sanitary Sewer -"- Rain Drains Finar 115'SS PART FAIL Post J&Beam Rough In Gas Line Smoke Dampers Final --- - --_ ---- PASS PART FAIL ELECTRICAL IX Service N Rough In UG/Slab Low Voltage J Fire Alarm LQ Final 0 PASS PART FAIL W - -� SITE Backfill/Grading --------- Sanitary Sewer Storm Drain I J Reinspection fee of$ required befare!next Inspection. Pay at City Hail, 13175 SW Hall Blvd Catch Basin ease call reinspection RE: Fire Supply Line ( Plll fip _ _ ( J Ureble to inspect no aCress ADA Approach/Sidewalk [►ate Other /,641nspectorExt �._.,�.._�._.M.�. Final PASS PART FAIL DO NOT REMOVE this Inspection (record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST "r,-,•ru�s-� 24-Hour Inspection Line: 631►-4175 Business Line: 638-4171 —T-' SUP Date Requested �°' —AM PM �''�'� BLD _ Location ! !O?-, ,�c.� I?�,�,-i/h Suite MEC Y Contact Person Ph PL&I Contractor_ Ph SWR Tenant/Owner ELC _ Retaining Wall — EL.R Footing Access: Foundation Fina Fig Drain Crawl Drain Inspec",in Notes: SGN — — Slab J— SIT Post& Beam Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof PASS PART FAIL _-- PLUMBING Post&Beam Under Slab I np Out _ Water Service Sanitary Sewpr - - -- —��- Rain Drains Final PASS PART FAIL Post R Beam Rough In Gas Line ---- ---— — _. molDampers PART FAIL EL CTRICAL _—.— a Service fx Rough In N UG/Slab Low Voltage -- FiieAlarm J Final m PASS PART FAIL W 8171E —1 Backfill/Grading Sanitary Sewer Storm Drain [ j Reinspection fee of$ _ required before next inspection. Pay ar.City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: __ __—_, __ [ j Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Other _ —_`..—Inspecto Ext Final — -- PASS PART FAIL DO NOT REMOVE this inspection record fliom the Job site. a o � d \l O a V � o d d o �- & � I � a . 43 Cal o N v > IL Cu 8 �, 0 Ilk 4+ h a CITY OF TIGAR D MECHANICAL PERMIT DEVELOPMENT SER(ICES PERMIT ft: MEC2001-00325 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 9/14/01 PARCEL: 2 S 104 DA-11900 SITE ADDRESS: 13021 SW MERLIN PL SUBDIVISION: QUAIL HOLLOW - ,/VEST ZONING: R-4.5 BLOCK: LOT: 10.5 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN �~ EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENTSYSTEMS: 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: WOODSTOVES: GAS PRESSURE: 50+ HP: CLO DRYERS: FURN <100K BTU: AIR HANDLING UNITS OTHER UNITS: 1 FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Installation of freestanding gas fireplace and gas piping. Owner: _ _ FEES SUSAN ROBINSONTypo By Date Amount Receipt 13021 SW MERLIN PL PRMT CTR 9/14/01 $72.50 2720010000 TIGARD, OR 97223 5PCT CTR 9/14/01 $5.80 272001OLZ ' J Phone:503-524-6874 Total --- $76.30 --- Contractor: JOHN D. STAGG ENTERPRISES INC 38440 SE r"OUPLAND RD ESTACADA,OR 97023 REQUIRED INSPECTIONS Gas Line Insp Phone:727-2419 Final Inspection Reg#:LIC 127925 IL rc 1- N C7 W This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes ana A other applicable laws. All work will be done in accordance with approved plans. This permit v Kpire if work is not started within 180 days of issuance, or If work Is suspended for more than 180 & 4TTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Cen..s,. Those rules are set forth in OAR 952-0 b tFroug AR 952-001-0080. You may obtain copies of these rules or direct q estio o y calll�y Issue By: ,� �rS�� Permittee Signature: Call(503) 639-4175 by 7:00 P.M.for inspections eded tb next buslns y • L ]Mechanical Permit Application Date received: Permit no.: zoal- City City of Tigard Project/appl.no.: Expire date: CifvojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: Bye IReceipt no.; Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ — Building permit no.: mily dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U i -onstruction Add ition/altera(ion/re placement U Other: likill Ekli K111["notr Job address:42 Q 2 s Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: I Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax mafAax lot/account no.: ~� profit. Value. $ LAW Block: I Subdivision: *See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: LIP: Description and location of work on premises: - Ftee(ea.) Total Est.date of completion/inspection: Deccri ion Res.mnl Res.mnl Trnant jt;provement or change of use: Air handling unit CFM Is existing space heated or conditioned?.J Yes U Notrcoj�--n t3`tt n ng(sn— a jinn req e,U uj — Is existing space insulated?U Yes U No Alteration of exit system of er compressors Staic boiler permit no.: Business name: GC['j, %tires HP Tons BTU/H Address: / r J� _ i smoke dampers/duct smoke detectors City: fS!tate.!4�0c' I ZIP:0 70 2 3 -Teat pwnp(site p an rey iru e3)—_ i Phone: '?�7 2c//� Fax: E m:il: �— nsta rep ace furnace/burner Including ductwork/vent liner U Yes U No _ CCB no.: 2---7 —7, rep ac re ocate eaters-suspen e City/metro lic,no.: - _ wall,or floor mounted Name(please print): Vent for a Lance other than furnace _ c t Brat on: Absorption units BTU/H Name: Chillers—_—_ HP Address: Com ressors HP nr ronmentiexhaust an ventilation: City: Stale: ZIP: Applianceveni Phone: !-ax: E mail: ffycrex aunt Hoods,Type res. rite a tazwat hood fire suppression system Name: -V Q _ Exhpust fan with single duct(bath fans) Mailing address:�30 7 j- S. GC aus6 t system apart from eaten or C City: 6 'Staten ) ZIP: - �L tle piping a ut on(up h) out ets Phon��b Fax: E-mail: ______J-Tu-el Type: __LPG _�, NG Oil ueT trio enc a drttrrc�on' al over 4 outlets _ Process piping(scematicrequtre ) Number of outlets Name: _ Other N app ance or equ�rm. Address: Decorative fireplace City: state: ZIP: nasc'rt-type stov pe et stove Phone: mail: (.Xher: Gy ESr Applicant's signatur • Date: EOther. �A�E Name (print): Noi all jurisdictions accep cn dit cards,please can jurisdiction for more inrnrmaricm. Permit fee.....................$ 0 Visa U MasterCard Notice:This permit application Minimum fee................$ expires if a permit is not obtained credit cora number:_i_ _ -__ L1_ Plan review(at , 96) S -- F.spires Within IRO days after it has been State surcharge(8%)....$ -pow—of cowider as shown on credit card accepted a3 complete. $ TOTAL .......................$ 2Q Cardholder signatu_'. Amount 440-4617(61t1nfCOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FTE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description: Y P. Total $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mftcl;jnical Code Oty (Ea) -Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional$100.00 or Including ducts A vents 14.00 fraction thereof,to and Including �� 2) Furnace 100,000 BTU* $10,000.00. Including ducts A vents 17.40 $10,001.00 to$25,000.00 $148.50 for the first 110,000.00 anti 3) Floor Furnace $1.54 for each additional$100.00 or Including vent _ 14.00 fraction thereof,to and Including 4) Suspended heater,wall heater $25,000.00. or floor mounted heater 14.00 v! $25,001.0010$50,000.00 $379.50 for the first$25,000.00 and 5) �.ant not Included in appliance permit $1.45 for each additional$100.00 or .6.80 fraction thereof,to and including 6) Repair units $50,000.00. 12.15 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond fraction thereof. footnotes below. Comp* 7)e3HP;absorb unit Minimum Permit Fee$72.50 SUBTOTAi:: $ to t00K BTU 14.00 _ 8)3-15 HP;absorb -t T 8%State Surchar/e $ unit 100k to 500k BTU _ 25.60 9)15-30 HP;absorb 25%Plan Review Fee(of sub(otal) $ � unit.5-1 mil BTU 35.00--- Required 5.00Re uired for ALL commercial permits only10)30-50 HP;absorb TOTAL COMMERCIAL PERMIT FEE: $ unit 1-1.75 frill BTU 1 52.20 11)>50HP:absorb ^��--- unit>1.75 mil BTU 87.20 12)Air handling unit to 10,000 CFM ASSUMED VALUATIONS PER APPLIANCE: 10.00 -'slue Total 13)Air handling unit 10,000 CFM+ Description: C Es Amount 17.20 ^` Furnace to 100,000 BTU,including 955 14)Non-portable evaporate cooler duct,,✓$vents 10.00 Furnace>100,000 BTU Including 1,170 1 1 Venl fan connected to a Tingle duct ducts&vents 6.80 Floor furnace lncludin vent 955 16)Venii at(on system not Included In Suspended heater,wall heater or 955 appllance permit _ _ 11.00 floor mounted heater 17)Hood serves by mechanical exhaust Vent not included in applicance 445 10.00 _ permit _ 18)Domestic Incinerators Repair units 805 17.40 <3 hp;absorb.unit, 955 19)Commercial or industn, type Incinerator to 100k BTU 69.95 3-15 hp;absorb.unit, 1,700 20)Other units,including wood stovss 101k to 500k BTU _ 10.00 15-30 hp;absorb,unit,501k to 1 2,310 21)Gas piping one to four oudnts mil.BTU _5.40 30-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each) 1-1.75 mil.BTU _ 1.00 _ IL >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $ X >1.75 mil.BTU � Air handling unit to 10,000 cfm e56 _ 8%State Surcharge $ U) Air handling unit>10,000 cfrn 1,170 Non-portable eva rate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: $ J Vint fan connected to a single dud 448 Vent system not Included in 656 appliance permit Other Insp"tions and : 1!1 Hood served by mechanical exhaust 656 1. Inspections outside of normal business hours(mini.num charge-two hours) _j Domestic incinerator _ 1,170 $72 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 - =72.50 per hour Inserts,etc. 3 Additional plan r�+view required by changes,additions or envisions to plans(minimun charge-one-half hour)$73 50 per hour Gas piping 1-4 outlets 380 Each additional outlet 83 *State Contrac%jr goiter Certiticstlon required for units>200k 8 ru. **Residential Air requires site olon shr. Ing placement of unit. TOTAL COMMERCIAL $ VALUATION: 1:\dsts\forms\meth-fees.dor. 08/06/01 M M 8G CDG vrn oho' oho .Q., 0001 oG C v. rn ON -r G G tn �1 µ] bA N vi V)i W V W a a $ a d P1 0 0 00 0 0 0 ° C.� l z z z z z z a M 8 8 8 r4 8 8 EA 00 00 U a a ON a b CU c v U N '� d u fu 'p C iC U. Qjtj .a Lu W a ° Oa 00 a 0 8 r x H CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE STREAMLINE ELECTRICAL_ 6017—B EAS o 18TH STREET VANCOUVER, WA 98 Electrical Signature Form Permit#: MST2000-00251 Date Issued: 08/15/2000 Parcel: 2S1 04DA-1 1900 Site Address: 13021 SW MERLIN PL Subdivision: QUAIL HOLLOW -WEST Block: Lot: 105 Jurisdiction: TIG Zoning: R-3.5 Remarks: SFD - Rowhousa - Plan A-S - Lot 105 - Setbacks as per site -lan Your 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 anu -sturn 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 rereived 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 Re- 0: uc 116514 ELE 34-432C SUP 21979 AN INK SIGNATURE IS REQUIRED ON THIS FORM X - Signature of Supervising EI c ncian If you have any questions, please call (503) 639-4171, ext. # 310 MASTER PERMIT CITY OF TIGARD -- PERMIT#: MST2000-00251 DEVELOPMENT SERVICES DATE ISSUED: 08/15/2000 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 SITE Ar DRESS: 13021 SW MERLIN PL PARCEL: 2S104DA-11900 SUBDIVISION: QUAIL HOLLOW-WEST ZONING: R-3.5 BLOCK: LOT: 105 JURISDICI'ON: TIG REMARKS: 5FD - Rowhouse- Plan A-S -Lot 105- Setbacks as per site plan BUILDING REISSUE: STORIES: 3 r:LOOR AREAS _ REQUIRED SETBACKS _ REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST: 113 of BASFMENT: of LEFT: S;AOKE DM-CTURS: Y TYPE OF USE: Sr FLOOR LOAD: 40 SECOND, 734 of GARAGE 517 of FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: 1 rINBSMFNT: 513n at RIGHT: VALUE- S 115,750 35 O•:CUPANCY GRP: R3 BDRM: 2 BATH: 2 TOTAL: 1,107 00 of REAR: PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 11 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 3 DISHWASN ERS: I FLOOR DRAINS: SEWER LINES: 100 9F PAIN DRAINS: 1 CATCH BASINS: TURISHOWERS: 2 GARBAGE DISP: I WATER HEATERS: I WATER LINES: 10O BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL _ FUEL TYPES FURN'100W BOIL/CMT 3HP: VENT FANS: 2 CLOTHES DRYEA: 1 ELF FUHN»100K: UNIT HEATERS: HOODS: OTHER UNITS: MAX INP: hh1 FLOOR FURNANCE& VENTS- WOODSTOV45: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS _ BRANCH CIRCUITS MISCELLANEOUS ADWL INSPECTIONS 1000 SF OP.LESS: 1 0 200 arlp: 0 200 amp: WISVC OR FDR: 1 PUMPARRIGATION: PER INSPECTION: EA ADD'L 500SF: 2 ]01 400 amp: 201 - 400 amp: 101 W/O SVCfFDR: 00 SIGNtOUT LIN LT: P.FR ROUP LIMITED ENERGY: 401 600 amp: 401 600 amp: FA ADDL BR C:R: SIGNAL/PANFL: IN PLANT: MANU HWSVCIFDR: 601 • 1000 amp: 601*ammo-1000v: N41HOR LABEL: 1000•■mp/voK: FLAN REVIEW SECTION Reconnect onty: >*4 RES UNITS: SVCIFDR>-226 A.: >600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIALr- AUDIO A STEREO:� VACUUM SYSTEM: AUDIO a STEREO: FIRE ALARM- INTERCOMPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPFARRIG: PROTECTIVE MONL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAI-: OTHR: HVAC: DATArTELF COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 2,829.92 BROWNSTONE HOMES LLC BROWNSTONE HOMES,LLC This permit is subject to the nsgulations contained in the 12670 SW 68TH PARKWAY 12670 SW 68TH PKWY Tigard Ml Code,State Specialty ,des and PORTLAND,OR 97223 PORTLAND,OR 97223 a8 a other applicable laws. All work wit in be done accordance with approved plans. This permit wilit l expire H work Is not started within 180 days of izatianoe,or if the work is suspended for more then 180 days. ATTENTION Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. ThoRe rule,are set Reg s. uC 124627 forth In OAR 952-001-0010 through 952-001-0080 You • may obtain copies of these rules or direct questions to j OUNC by calling(503)246-1987. REQUIRED INSPECTIONS _ I Sewer Inspection Plm/undslab Insp Framing Insp Firewall Insp Appr/Sdw1k Insp jFooting Insp Mechanical Insp Shear Wall Insp Rain drain Insp Electriczl Final Foundatlon Insp Plumb Top Out Exterior Sheathing Inst Roof Nailing Mechanical Final Slab Insp Electrical Service Insulation Insp Water Line Insp Plumb Final Underfloor Insulation Electrical Rough In Gyp Board Insp Water Service hlsp Final Inspection r Issued By: �4C. Permittee Signature.>.' �!X1,17_ e -- LL�_ Gall(503)639-4173 by 7:00 p.m.for an inspection need�d ths,ltext business day _, CITYOF TIGARD SFWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2000-00200 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 08/15/2000 SITE ADDRESS; 1302.1 SW MERLIN PL PARCEL: 2S104DA-11900 SUBDIVISION: QUAIL HOLLOW-WEST ZONING: R-3.5 BLOCK: LOT: 105 _ _ JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WOKK: NEW DWELLING UNITS: 1 TYPE OF USE: SFA NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SFA. Owner: -- `� BROWN; FEES ,TONE HOMES LLC ---- 12670 SW 68TH PARKWAY Type By Date Amount Receipt PORTLAND,OR 97223 PRMT DLH 08/15/200( $2.,300.00 0004504 INSP DLH 08/15/200( $35.00 0004504 Phone: 503-598-7565 �~ Total =2,335.00 Contractor: Phone: Reg#: Required Inspections Sewer Inspection IL r� t J This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires w 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and amide Sewer' Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted b,,the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You.-nay obtain copies of these rules or direct questions to OUNC by calling(503) 246-1987. Issued by: Permittee Signet Call(503)639-4175 by 7:00 P.M.for an inspectlon nse�id th next busineer,day CITY OF TIGARD Residential Building Permit Application Plan Check —�- 13125 SW.HALL BLVD. New Construction Recd By� Date Recd 7 G nG g TIGARD, OR 97223 Single FamilyAttached � Date to P.E. V 503-639-4171 '� Date to DST_ •0 F 503-684-7297 Permit 0 ti TZ C00 -002'5-I f Print or Type called. 0-M Incomplete or illegible applications will not be accepted SwP- zo0o - 00zip 0 Name of Project Job Architect M ilia Address f Address Sic ddress �IQ�l 5arely^ Are S ��G)'L { W qA Grl h,0 ISL C#y/Staatep P one f- .Name ame �� UPJ �—� � Na►rrpp Owner ling Addressfl (/lJ. e,Ajllkmb� SAY Engineer Mann Address/I� I /state eta Zi Ph a /0"P -W ,fi)"o Js h✓c:. _ N3 General Name 9nz�1 lit7399 i j Contractor 6pfW46 11 5 UC Describe work New Addition O Alteration U Repair O Mailing Address p to be done: _ _ Prior to permit 10 5W10$ _ \A/ w Additional Description of Work: `3 QW^ds- 6TV1f4 yb� AC041: i.suance,a copy ity/State Zi P -- — - of all licenses - �A�� 'E—are required if Oregon Const.Cont Board Exp.Date PROJECT expired in COT Lic. !'S-eo VALUATION $ database I' A C T-1 Mechanical Name NEW CONSTRUCTION ONLY: Sub- T"f)U5tW0l� L{l�►T1NC� Sq. Ft.House: i,{!,r1 Sq. Ft.Garage � Contractor Mailing Address ln.iicate the restricted energy installation by the electrical Prior to permit �� subcontractor in the followin areas issuance,a copy Ci (State Zip Phone of all licenses T q]Z�ILy "j7�'-` / Restricted Audio/Stereo are required if Oregon Const Cont Board Exp.Date Energy System - Alarms expired in COT Lic N 2a 3Installations Vacuum Irrigation database 'T � t(DO System System Plumbing Name (check all that Other: Sub- C.RmU-r"11 ylu il%kol G� TPL- apply) _ Contractor Mailing Address Number of Units in Building Unit Number Designation �56Q 5-� 5 kA91lC a My Has the Subdivision Plat recorded' N/A YDS NO Prior to permit City/Slate Zip Phone V issuance,a copy d 1K 6(r y'7 f 3 1"- +71b of all licenses are Oregon Const Cont.Board Exp.Date . 4 71� X131)V� I hearby acknowledge that I have read this application,that the required if Lilexpired in COT - information given is correct,that I am the owner or authorized agent CL database Plumbing Lic # Exp Date of the owner,and that plans submitted are in compliance with Ore on State laws. ~ Name _ ure wn r/Agent Qatt Electrical /jT"1L4o e?,(n1L. -__. — �o _ Sub- Mailinq Address - L nta Perso e Phon S# 00 Contractor s E (It WCity/State Zip Ph a Prior to permit issuance,a copy owuiue' ' qB 3 Ste, FOR OFc'rrE USE ONLY: of all licenses are Oregon Const Cont Board Exp.Date Plat# MaprTL#: required if Lic# '1 5 Z� 945- jE q„� expired in COT (1 U�SI� _ — e database Electrical Lic # Exp Date Setbacks: Zone. ,Z- 4 31 7 I L Electrical Supervisor Lic # Exp.Date Engineering al: Planning Approval: TIF: _ 1 `x-f e 2 6A LLi4t s4 Fns 4 Z . rrta c� 2 u.�h 2,,,c 7�y i WstWormstsfa-new doc 1 I 12019 CITY OF TIGARD Credit No.: _. 3 Date Issued: June 8. 2000 117� Engineering Authorization Date: June 6. 2000 TRAFFIC IMPACT FEE CREDIT VOUCHER Land Use Casefile No.: � V,7-617-PD/S/DHA In accordance with Ordinan:s 379 Cvi2ress Ventures is entitled to $_.Z2?2,k4,QL In Traffic Impact Fee Credits thha�t�can be applied to TIF FAVIrcharges for development on lot(s) gall, of the Quail H4 •w LFII - I Deve�iopmenM To u3e this credit, present this form at the time of issuance of the building permit. Date Permit Numbers Lot Numbers Credit Used Balance Rci,;nning Balance oc _ Balance carried forward to TIF Credit No. m w • Ordinance 379 provides for an expiration 7 years from authorization. Use Additional pages if necessary. IOplrnvlpl•ulfpo.l Oct-09-00 10:24A Walcott Plumbing 603 667 9891. P.06 CITY OP Inc"D iS125 S.W. HALL%L.VD. T1iARA.OR 97223 IMPORTANT tT NOTICE CROM14MIL .PLUMMING 30568 2 KAUFFAAN RD CMIB-f,,OR 07013 PlurnkAng Signature Form P'effn t* M1ST20004X1231 nate issued: ON1512000 Parcel: 211104DA-'11000 Site Address: 13021 SW MERLIN PL Subdivisions, QUAIL HOLLOW-WG$T Bhx;k- Lot: 100 Jurisdiction: w i Inning: R4.5 Renmft; 8FD -RoMrheuse -Thian A•$-A o!105 .Setback$ as per site Plan I Your company has been indicated as the plumbing coWnclor for the perrnit lndk,;a% 1 abave. 1n ardw lbs ttW 0IhtmbirM pe mk 6o be valid, pleaxe hava the appropriate Ind"Uattmm v:,ur aompanr sign below and m"i rthlo Plumbing f3ipnerture Form prior to the stat nf Ow wok to the aVress above,ATTN Building Dept. I No plumbing Inopecdorm willf be outhalsed until *:J•-con*ftVd farm in rec+aived I OWNE:-R: PLUM131 'UNTRA TOR: y,�a1Qo1'T p�um6►'�`1 BROWNSTONR HOMES LLC fo fon-7 j -12070 BW 46T4t PARKWAY U►'€ PORTLAND,OR 072i-dab /f 4 10 Phone#: 903-0011-731119 Plxme fit: 5a!�- (0&7 /7$l Reg il:: /L.3�7�d Pfd a. oc AN INK SIGNATURE 1S REQUIRED ON TM8 FORM rn � aD 9Mgneilu Plum W N you have any gtwflons, pleese call(SM)533-417'1,ext. 310 I 4 1 r►>T MZZ 00/tO/OT