13041 SW MERLIN PLACE aJOOd UllJGfL MS MCI,
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13041 SW MERLIN PL
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Flour Inspc ztion Line: 638-4171 Business Line: 639-4171
BUP
Gate Requested_ 15."o _ AM PM _ BLD
Location_ Shite —_— MEC
Contact Person _ Ph _ PLM
Contractor_ Ph SWIR
rR'NLOING —~' Tenant/Owner ELC
Retaining Wall EI R
Footing Access: -
Foundation FPS
Fig Drain GN �-!_---
Crawl Drain Inspection Notos: --- —
Slab _ SIT
Post&Beam ----
Ext Sheath/Shear
Int Sheath/Shear
Framing , l• eT Q w�._
Insulation -
Drywall Nailing -
Firewall
Fire sprinkler -
Fire Alarm
Susp'd Ceiling _ ��'� ✓` -
Roof
Misc:
Final - —
PAS RT FAIL
PLUMBIN
Post&Beam -
Under Slab
Top Out '-
Water Service
Sanitary Sewer _ v -"-
arn r
PAS PART FAIL _
MECHANICAL ~�
Post&Beam - - --
Rough In
Gas Line — --— ---
Smoke Dampers
Final - - — - --
PASS PART FAIL
ELECTRICAL ---- -- — --- --- _—
�- Service
� Rough In
W UG/Slab
Low Voltage
J Fire Alarm
Final
PASS PART FAIL
W S'.TE
R,c11II/Grading - - -- ------- - - — - ______
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$_ required before next'Inspect on "ay at City Nal:, 13125 SW Nall Blvd
Catch Basin [ )please call for reinspection RE__.--___�_____ [ ]Unable to inspect-no Access
Fire Supply Line
ADA
Approach/Sidewalk ''
Other _
Date ��- U k_ Inspector NQ �"` Exts
Final
PASS PART FAIL DO NOT REWOVE this inspections record from the job site.
Mar 13 tll OStOOr
TRC ExcOvOtinB. Ine. 503-p74-8872 '' 1
TRC F,XGAVATING, INC PAX WX
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1,0 Whom id tnq Conccsn.
The fbuawkV it a brkLf'deK0W0n Of the sw►, �b in nu biadiud i l at the k'rtnwr.�onr
Qu
ail HOM�.1 site. We McWed the b Inch pipe channig to ABS at the ootroee km Foam r'w
Fenwc conneakm we rta the ptpe up t� -ards tFte bwl k*witb a WYe off 10 the le for the tirnt
Rin drains followed by a WYC to ttw right for the fOut*drain wokitt$ww thrt t)'M wea tKM'n
S
positive flaw, ICyou have any que!tbro P*AW ea'I me at 503-572-0193.
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CITY OF TIGARD
13126 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
STREAMLINE ELECTRICAL
6017.13 EAST 18TH STREET
VANCOUVER, WA 98
Electrical Signature Form
Permit * MST2000-00254
Date Issued: 8/15/110
Parcel: 2S104DA-`12100
Site Address. 13041 SW OERLIN PL
Subdivision: QUAIL FOLLOW - WEST
Block: Lot: 107
Jur;sdictiun: TIG
Zoning- R-4.5
Rmarks: SFD - Rowhouse - Lint 107 - Plan A-N - Setbacks as per site pian
Your company has been indicated as the electrical contractor fo-the permit indicated above. In order for the
electrical permit tc be vaiid, the signature of the supervising electrician is required. Please have the
appropriate individual tom your company sign below and return this Electrical Signature Form prior to the
start of thr: wc,rk to the address above, ATTN- Building Dept.
No electrical inspections will he authorized untii this completed form is recelafed
OWNER: ELECTRICAL CONTRACTOR:
BROWNSTONE HOMES LLC STREAMLINE ELECTRICAL
12670 SW 68TH PARKWAY 6017-B EAST 18TH STREET
P.'?R.TLAND, OR 97293 VANCOUVER, WA 98
Phone #: 503-598-7565 Phcne#: 360-993-5080
Req #' Lit' 110811
ESE 3t-432C
Q slip 2'978
H
AN INK SIGNATURE IS REQUIRED ON THiS FORM
_ �01 ,= --
-' Signature of Supervising Elec-a6
If you have airy questions, please call (503)639.4171, ext. # 310
• CITY OF TIGARD - �MASTERPERMIT
PERMIT M MST2000-00254
DEVELOPMENT SERVICES DATE ISSUED: 8/15/00
13125 SW Hall Blvd.,Tigard,OR 97223 (503) 639-4171
SITE ADDRESS: 13041 SW MERLIN PL PARCEL: 2S104DA-12100
SUBDIVISION: QUAIL HOLLOW -WEST ZONING: R-4.5
BLOCK: LOT: 107 JURISDICTION: TIG
REMARKS: SFU- RowhOuse- Lot 101- Plan A-N-Setbacks as per site Ilan
� _e►wLo1Na _ __ __ _
REISSUE.r..� STORIES: 3!_ FLOOR AREAS - REQUIRED SETBACKS REQUIRED
CLASS OF WORK' NEW HFIGIEr, 26 FIRST: 173 H BASEMENT: of LEFT: SMOKE DETECTORS: Y
TYPE OF USE: Sr FLOOR LOAD: 40 SECOND: 735 of GARAGE: 547 sf FRONT: PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS: I F:NRSMENT: 507 N RIGHT
VALUE: S114,HRS RD
XCUPANCY GRP: R7 BDRM: 2 BATH: 2 TOTAL: 1,07500 of REAR:
PLUMBING
SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNORY TRAYS: RAIN DRMN: 100 �Y TAr P!1:
LAVATORIES, 2 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB/SHOWERS: 2 GARBAG4 DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K: 801t)cMP<)HP: VENT FANS: 3 CLOTHES DRYER: 1
[LF. FURN>-t00K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVFS: GAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT _ _ SERVICE FEEDER I'MPSRVt:IFEEDERS BRANCH CIRCUITS_ MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 - ::0o nnm: W/SVC OR FDR: 1 PUN.PIIRRIGATION: PER INSPECTION:
EA AOn'L S00SF 2 201 400 amp: 201 •40 emp: let W/O SVCIFDR: 00 SION/OUT LIN LT: PFR HOUR:
LIMITED ENERGY: 401 1100•Lp: 401 -600 amp: to ASDL L!R CIR•. SIGNAUPANEL: IN PLANT:
MANUHMVSVCVFDR: SLI _ 1P—mo: BOt•ampe•100nv WHORLABEL:
1000.amotyc"
PLAN REVIEW SECTION_ _
Reconnect onN: •—'—'
>-4 RES UNITS: AVCIFDR>=220 A.:— >000 V NOMINAL: CLS AREAMPC OCC:
ELECTRICAL.-_,2STRICTED ENERGY
_
A.SF RESIDENTIAL `~f 0.COMMERCIAL
AUDIO S STEREO: VACUUM SYSTEM: AUDIO A STEREO: FIRE ALARM: INTERCOMMAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: MMC: LANOSCAPEARRIO: PROTECTIVE SIGNI:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
MVAC: DATA,ELE CORM: NURSE CALLS: TOTAL N SYSTFMIL
Owrer: Contractor: TOTAL FEES: $ 2,623.43
BROWNSTONE HOMES LLC BROWNSTONE 1 oOMES,LLC This permit n Is subject to the regulations contained in the
12670 SW 68TH PARKWAY 12670 SW 68TH PKWY Tigard Municipal Code,State of OR. Specialty in and
POPTIAND,OR 97223 PORTLAND,OR 97223 all other ce wit bb laws Ail work wilTh be done it
accordancewith approved plans. This permit will expire K
4. work is not started within 180 days of issuance,or it tho
0Lwork 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 am set
Rep! LIC 124827 forth in OAR 952-001-0010 through 952-001-0080. Yoe
may obtain copies of these rules or direct questions to
J_ '�//� �'�Y�`'�`'j OUNC by calling(503)246-1987.
FO — / / t REQUIRED INSPECTIONS
W Sewer Inspection Plm/undslab Insp Framing Insp Firewall Insp Appr/Sdwik Insp
Footing Insp Mechanical Insp ShFar Wall Insp Rain draln Insp Fleefrical Final
Foundation Insp Plumb Top Out Exterior Sheathing Inst Roof Nailing Mechanical Final
Slab Insp Electrical Service Insulation Insp Water Line Insp Plum-,Final
Underfloor Insulation Electrical Rough In Gyp hoard Insp Water Service Insp Final.nspection
Issued By : .(Z �'� _._ �_ Permti:tee Slgnatut
Cell(503) 6394175 by 7:00 p.m.for an Inspection n4ede the xt ,in-ws day
CITYOF TIG ARD _ SEWER CONNECT'ON PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2000-00203
13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 8/15100
SITE ADDRESS; 13041 SW MERLIN PL PARCEL: 2S104DA-12100
;SUBDIVISION: QUAIL HOLLOW-WEST ZONING: R-4.5
BLOCK: LOT: 107 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SFA NC. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPFRV SURFACE:
Remarks: SEWER CONNECT FOR NEW SFA
Owner: _ FEES
BROWNSTONE HOMES LLC Type By Date Amount Receipt
12670 SW 68TH PARKWAY
PORTLAND,OR 97223 PRMT RCP 8/15/00 $2,300.00 0004505
INSP RCP 8/15/00 $35.00 0004505
Phone: 503-598-7565 � Total $2,335.00
Contractor:
Phone.
Reg#:
Required Ins eztlons
Sewer Inspection
a
_J
m This Applicant agrees to comply with all the rules and revul itions of the Unified Sewage Agency. The permit expires
LU 180 days from the date issued. The total amount paid w6' be forfeited if the permit expires The Agency does not
guarantee the accuracy of the side sewer laterals. If the s,wer 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 S-wee' Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to fnliow rules 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 by: C-ICIPermittee Signaturb.,,__ _
Call (50.) 639-4175 by 7:00 P.M.for an inspection needehe n t business day l
CITY OF TIGARD Residential Building Permit Application alancnearr - �,��.
13125 SW HALL BLVD. New Cons!ruction Recd By
TIGARD, OR 97223 Single Family Attached nate Rec'd_�- d
V 5n3-639-4171 9 y Date to P.E
Date to DST_ irb
F 503-684-7297 '/4�l " Perw �rL'o Bt9
mit
Print or Type Called
Incomplcte or illegible applications will not be accepted 7
JW R Z ow -1002 0
--- N"of Prosed to,
&F Nage
Jab (t'ttn i!, ���llo.r.f-(,(� /0 7 kt Com' ( �
_ I A%chitect Mi�
Address site ddre s 715aeoNn
A3 �
Lr1ra Pc,
s t-
ame - C /State Zip Phone .
me o r f yd s,i '76101 (,7-00cet
Owner ling-)dUdress N(/lJ.
'C — -/state Engineer Malin Add[rUess
IL
,Zi
3h4 ' M /StN
ji�DB�JS Phone
General
honeGeneralName aA-& -A
1,,3-,,,3
Contractor Describe work New Addition O Alteration O Repair O
Mailing Address to be done.
Prior to permit 1?,00 foo IDS PAA*-WA-W Additional Description of Work:
issuance,a copy ily/Slate Zi P n
of all licenses �,W We, '�W
are required it Oregon Const.Cont.Board Fxp.Date PROJECT
expired In COT uo.2 g-15-60 VALUATION
database i' 4Ie27 '
Mechanical s--
NameNEW CONSTRUCTION ONLY:
Sub- fbotstwefi�zt L{tc'Anmcq rSq. Ft. House: /,/-; Sq.Ft.Garage 5�7
Contractor Mailing Address — 'f_
Prior to permit (7, &(o+61 Indicate the restricted inergy Installation by the electrical
issuance,a copy Ci /State Zip Phone subcontractor in the follow in areas
of all licenses 2r brV 1'77, 775-31/ Restricted Audio/Stereo
are required if Oregon Const.Cont.Board Exp.Date E=nergy System Alarms
exaired In COT Lic# n 8 3 l Installations Vacuum Irrigation
database 't vy 7 ��(Da System System
Plumbing Name (check all th-it Other:
Sub- C&Y""01 C r�1u Ml6wis Tot- 3 I
Contractor
MailingAddress Number of Units in Suilding Unit Number Designation
�� 5 KwuFirrn.� 0-0 Has the Subdivision Plat recorded? N/A YDS NO
Prior to permit City/State Zip Phone
issuance,a copy di' 3 7Gb'of all licenses are Oregon Const.Cont.Board Exp Date
required if Lic.N 44712 _
expired in COT � 31� �1 I hearby acknowledge that I have read this application,that fire
database Pidmbing Lic.0 Exp.Date information given ii,c)rrect,that!am the owner or authorized agant
of the owner, tat plans submitted are in compliance with
AOregon Stple
Name ature w /Agent D to
Electrical woe �(6t?ZIL. c t Perso �me — Ph ne f!
Sub- Mailing Address QQ
fill
Contractor tib '1 - E (� yir: 43�T7
City/State Zip Pho&4_
Prior to permit ���,� r 11 ���Q
issuance,a copy FOR OFFICE USE ONLY:
of all licenses are Oregon Const.C, and Exp Date Plat n: Map/T---
required it Lic X L#:
expired in COT I%(D 5 Zb _ IO 64—
database Electrical Lic #1^�L L 'G Exp.Date Setbacks: N6 Zone: 2- �� I
34- "1 1
Electrical Supervisor Lic k Exp.Date Engineed Approval: Planning Approval: IF.
I
2 U 2 gA
i Astslformstsfa new doc 1112019E
f '
CITY OF TIGARD Credit No.:
Date Issued:
Engineering
Authorization
Date: .lune 8. 2QQ
TRP—9C IMPACT FEE
Cf J VOUCHER Land Use
Casefile No.:
In accordance with Ordinance 379 QYGJ'e lymltu(no"41 oevempr4
.. _._.__
is entitled to $ 22,254.91 in Traffic Impact Fee Credits that can be applied to TIF
F.Ail Apt
charges for development on lot(s) ail of the Quail Hollnw" WEST Developments. To use
this credit, present this form at the time of issuance of the building permit.
a. --
Date Permit Numt,ers Lot Numbers Credit Used — Balance
Beginning Balance $ 292,254.91
Balance carried forward to TIF Credit No.
I
Ordinance 379 provides for an expiration 7 years from authorization.
Use Additional pages if necessary.
inp�n�v�iawrcx��
CITY. OF TIGARD BUILDING INSPECTION DIVISION
MS'f ,Z,( y...Gu21'Y
24-Hour Inspection Line: 639-4176 Business Line: 639-1171
BUP
_Date Requested -7 _AM —PM - BLD '
Location '1-3u �L� -51, 22244 r, �� _ Suites MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/OwnerELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Fig Drain SGN
Crawl Drain Inspection Notes.-
Slab
otes:Slab ^_ _ SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Ftp ewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling _
Roof
Mises_ --- --
Final
PASS PART FAIL --- --
PLUMBING
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 ----- — _ _�
P635 EAtiT FAIL
191 Ef-URIG
L Service �_--_-
Rough In
UG/Slab _ __—
Low Voltage
F"
3 F 1
0 PA � PART FAIL ^- -- - - - — —_—_-r—_
.i Backfill/Grading -- -- -'�-"�
Sanitary Sewer
Storm Drain ( J Reinspection fee of$ _ —r required before next inspection. Pay st City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( J Please call for reinspection RE:�- ]Unable to inspect no access
ADA
Approach/Sidewalk pate /-7 a' Ext.
Other — --�-Inspector_
Final
PASS PART FAIL DU 40T REMOVE this Inspection record hom the Job site.
CITE' OF fIGARD BUILDING INSPECTION DIVISION s �vo_v��
8UP
24-Hour Inspectk)rr Line: 639-4176 Business Line: 639-4171
--
Date Requested op— AM PM !iSLD _
Location_/ 3o�j _5.v 177-fl--11,. F Suite MEC —
Contact Person Ph _ PLM
Contractor Ph SWR
LD T-enant/Ciwner ELC _
Retaining Wall ELR
Footing --
Foundation ACCeSS,:
FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post&Beam -- ----
Ext Sheath/Shear
Int Sheath/Shear
Framing Z-
Insulation
Drywal(Nailing
Firewall \
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misr::
Fin PART FAILS - -�' w-
UM81
Post Beam
Under Slab _
Top Out e
Water Service ?��/Q 1 � � � '�---s
Sanitary Sewer
Rain Drains
PART FAIL
Post&Beam - -
Rough In
Gas Line
Smoke Dampers
PART FAIL
ftECTRICAL —
p" Service `
Rough In
UG/Slab
Low Voltage -- -` --
Fire Alarm
"incl
OD PASS PART FAIL
3 SITE
Jfiackfifl/Grading - -� -- — --- --- ----- ---
Sanitary Sewer
Storm Drain [ ]Reinspection fee of E _ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line i ]Please cal(for reinspecticn RE: __ __ __�_' _ [ ]Unable to inspect-no across
ADA ,, p /
Approach/Sidewalk v/ V '� t
Other Date 4 � � Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
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CITY
ITY O F t I G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2004-00200
13125 SW Ha,'l Blvd.,Tigard,OR 9722.^0 (503)639.4171 DATE ISSUED: 4/20/04
PARCEL: 2 S 104 DA-12100
SITE ADDRESS: 13041 SW MERLIN PL
SUBDIVISION: QUAIL HOLLOW -WEST ZONING: R-4.5
BLOCK: LOT: 107 JURISDICTION: Tia
CLASS OF WORK: ADD FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS WIO APPL: VENT SYSTEMS:
STORIES: BOILERSICOMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: I DOMES. INCiN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15-30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP: CLQ DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS _ OTHER UNITS:
FURN >=100K BTU: <=10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: AC install.
Owner: _ _ _FEES_ y_
GUSTAFSON, NANCY Description Date Amount
13041 SW MERLIN [MECN] Permit Pee 4/20/04 $72.50
TIGARD, OR 97224 [TAX]8%State Surchari 4/20/04 $5.80
F ;e: 503-590-8581 Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Phone: 503-640-3607 Cooling Unt Insp
Final Inspection
Red#: LIC 66578
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 952-001-0010 thrnugh OAR
952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246-6699 ! .
Issued By: F -�-G�-����s /rPermittee Signature:
Call(503)6394175 by 7:00 P.M. for Inspections needed the next business day
: c hanical Permit Application
Received Mxhanica�j
�, 1 I?31" �(I Permit Noel Y"f,
City of Tigard �["'(,_�` V V Planning a! I uilding
13125 SW Hall Blvd. G�•J Dlan R"eB PernsitNo.:
P
Tigard.C►teQneview Other
t7•ton 97223 1Q0� Ptnmit No.:
Phone: '03-639-4171 fax: 30d•io8r1960 Pat-l:wiew Lsnd Use
lnteroet www.ci,tigard.orms �IG�1 DatcHy� Case No.:
✓� 24-;lour Inspection ctinn Request: 503 3WA,ItN Contact t ,r Arm Hnae 2 Narrtc�Method: Su /amental fnfr rmauon.
t1U1L
TYPE OF W _ COMMxCtwl,ErL>E-�t'tilED -i -CAECKL tSi
Vew construction Demolition Mechanical permit few are based on the total value of the work
Addi ion/alteration/r,%,placement Otb-r: performed. Indicate tite value(rounded to the nearest dollar)of all
__. CATEGQRY OFC'f1NSTRUCTION mcchnnital materials,equipment, labor,overhead and prottt,
I &.1-Family dwell ConUnercialfIndustrial value: S _ See t'aGo 2 for Fee Schedule
Acctr.;Sory Building Multi-Fad >tEStn Pl'I7+AAG�UM?LAr /S 'STEMS FEE*SCRLDtrLR
jJob
rBuilderQt11Ur Dcso�lpdctyQtv Fev'ea. Tots'
Olt SITE IN; ORMAT�OIY rand IACATION t CooUa
urnace-add- n air condition! '• 14.00
site a do toss: f bt ' 4 v ��. f' (;as;teat pum -�l
#: HIdK./_Apt.lf: Duct work
Pro ".Ct Name- Hvdronic hot water system � 14.00
Cross Str(;t/DireCtions to job site: Residential boder
fLr radleror or hydronic system) 14,00
Unit heaters(fuel,nor electric)
in wall,in-duct,4uspcndcd etc.) _ 14,00
r �_ _ Flue/vent(for-an)--of above I I O IIU
Subc VISI m: Lot#: Repair units 12.15
Tax Islip/')arcel#; Otber Fuel A lianeq
DFS("R,LPTIQN OF W4 K - Water heater 10.00
Gas Are Itce 10.00
--- Flue vent water heater/gait tiro lace) 10.00
JL L4C L_og lighter gas) I ) -
wood/Peliet stove 10.00
-- - - wood flre lace/insert 1000
Chimney/]iner/flue/vent - 10,00
PROP)E:1t,TY OWNER I,lY�('T__.__`�_� other: - 10.()0
Nam.:: -L' �.tI L-4 _4
. ` e r _ 6nrlmRnaeatal Exhatwt A•ventilation
Address: Range hood/other kitchen equipment 10.00
Ci /.State/L1t) Clotu°a dryer exhaust 10.0
-r-l-
PhonSingle duct exhaust -
- ,' FaY: athrooma,
AP:PLIC 1NT (b toilet rompnmrtcnts,
CONTACT HERS utility rooms) 6.80
Name: Attic/crawl space funs 10,00
Addrt'ss: Other: 10,00
City/hate Itp: _Eyel P
_ •'.5.40 for first i,Si.oO each addidona
Phonc -` Fax, Furnace,etc.---- ••
E-mail: Gas heat H n _ .. _�
^- CO NTRAC - ��/suspendcd/unlrheater ~ •• - v
Water heater_ ..
Business Clame: L 1��� T 11.4,7. 1 r1r, Fir lace — .•
Address: a_t- ,f, Ronge
PChitoyn/Semetate/`Zaisi c - BBQ
ffax �i Clothes
0 T 53 d r as '.•.
other: _ ..
CCB Lic, it.,
4� CI, - j Total:
Authons
ed _ Methaniwl Permit Fees*
Signature Date:`- ` C"1 Subtotal: S —'--j
Minimum Pctt t'cc 572.5 5
i� L1 1�`~ m,Plan Review Fee 25%of permlt Fec S
(Please print name) State Surcharge 8%of Permit F-cc) I S
_ TOTAIL Pcnlvtrr PSE S
Notleet 1'h13 Permit Application expires if a permit is not obtained Within *Fee Math Wology,set by TO County Building Industry Service heard.
IRO days after h has tWn accepted as complete. —Site plan required for exterior A/C Unita.
i.\D3ts\Pei-nit f'cmns\MccPwmitApp.doe 01/03
�� •Cl 811-0 869 EOG au F 2V0H Ra T a T oadS dtrS t bO io s t -3clu
SITE PLAN
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Specialty Heating & Cooling, Inc.
9528 5W Tigard Street
Tigard., OR 972.203
Phone 503.620.5643 Fax 50 598.0718
�H'il] sboro Phone 503.6403607 Fax 503.681 .0793
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CITY OF TIGARD /Bness
BUILDING 0 Line: (603)133441780 MST
INSPECTION DIVISION, Line: (503)639-4171���� � SUP _
Received G� `/ Date Reque ted "1-)� )_AM.—._�PM�Z''�C> SUP _
Location _ ! �� 7 I Px suite___. _ �q
Contact Pelson _14 _ Ph( __)L 0 7 PLM
Contractor _——.a�.� Ph( — ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation CCe88: ELC - ---
Ftg Drain ��4c_#4 uT- Sri: i"SZ-
ELR
Crawl Drain
Slab Inspection Notes: SIT
Post 8 Beam
Shear Anchors
Ext Sheath/Shaer V �
Int Sheath/Shear
Framing
Insulation _
Insulation
Dkywall Nailing -- _
Firewall
Fire Sprinkler - - -
Fire Alarm
Susp'd Ceiling - -- — - _
Roof
Other: _ -- -- --
Final
PASS PART FAIL �-
PLUMBING_
Post B Seam
Under Slab �-
Rough-in
Water Service
Sanitary Sewer
Rao'n Drains - --- --
Catch Basin/Manhole
Storm Drain -------- - —
Shower Pan
Other: ---
Final
PAS RT FAIL
Pos Beam
Rough-In �• - -----_-
Gas Lino
�-
i
AS8 PART FAILSLIEWRIC ---
A _
Service -
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection tee of --_._ _�required before next Ins y ,i12�4SffT aff Blvd. .
PASS PART FAIL f Inspection. Pa at City Hall, t
_SITE__-__-..__'____ n Please call for reinspection RE:_ Un to Inspect-no access
Fire Supply Une ) r-
ADA C,G
Approach/Sidewalk Date- --�-- Inspector
Other:
Final �- — DO NOT REMOVE this Inspe0on record frost Um fob alts.
PASS PART FAIL
Ott-09-00 10:23A Wolcc.tt Plumbing 603 667 9892 P.03
CITY Or TIGARD
i 13126 5-W.HALL BLVD.
TIGARD,OR 67223
iMPORTANT Pr=RMff NOTICE
CROUVINILL PLUMBING
30556 8 KAUFMAN RD
CANBY, OR 97013
Plumbing Signature Form
! Purr*#: MS`i2M-00254
DaW Issued. 9/13M0
Parcel: 2804DA-12100
8I1e Addrep: 13041 SW ANERLIN PL
Subdt+rleim-. QUAIL.HGLJLOW -VNAT
Slack- Loi: 107
Jurladiotion: TIG
Zoning' R-4.5
Romarkty 8FD-Rowhouse-Lot 107-Plan A-N-halbert: as per site plan
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Ypur company has been IndWAftd as the plurnMn0 contrecter for the permit Indicahtil above. In order for the
olumbirg perml to be vwbd, planes have the appmvprials Individual from yota company si0n below and ratum
lids PlumiNnq 610rreture Form pilar to the Marl of Ow work to the addrass above,ATTN: tluikling Inept
No pluvnMmy Inspections,will bo atAhodmad until this oon4 teted farm is ,van-tvrd
OWNER: PLUMBING CONTRACTOR: UldfVT 941!g6/fju\
BROWNSTONE HOMES LLC PO x 2UD'7
12970 SW WH PARKWAY 'inal A AM o►'�
PORTLAND, OR 97 723 ct-Mb
y' Phone 8 603-598-7565 f1�r�p: �+M�fflaw_�
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f AN INK SIGNATURE IS REQUIRED ON THIS FORM
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CITY OF TIG,ARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-/175 Burliness Line: 639-4171 --" '
� BUP
Date Requestedw "' AM _PM BLD
LocationUTO�
1 W 1 h Suite ` MEC
Contact Person Ph �7a 3 —5"7 7,* PLM ��-
Contractor_ Ph SWR
<=0111110 Tenant/Owner ELC
Reladffl Wall ELR —
Foundation Access: FPS
Fig Drain 3GN
Crawl Drain Inspection Notes: - --
Slab SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear I
Framing S S V� --
Insulation
Drywall Nailing
Firewall
Fire Sprinkler — —
Fire Alarm
Susp'd Ceiling -- —
Roof
Misc..
Fina[-11`
AS PARPEWT —
RING
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
ELECTRICAL
a Service — --- —
�Ix.. Rough In
N UG/Slab -- --
Low Voltage -�
J Fire Alarm _
Final
PASS P,�►R.T FAIL — —
W
P_ackfill/Grading
Sanitary Sewer r I D
Storm Drain �Iti n ( ]Reinspection fee of E_ — required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Gatch Basin /Q1, ( ]Please call for reinspection RE: _ [ )Unable to inspect-no access
Fire Supply Line l —
AC�A
A roach/Sidewalk ate tic- L Inspector_ Ext r
th AN VS
As PART FAIL DO NOT REMOVE this Inspection record from the job site.