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13105 SW MERLIN PL
• CITY
ITY O F T I GAR D MASTER PERMIT
PERMIT#: MST2000-00379
^' DEVELOPMENT SERVICES DATE ISSUED: 1/29/01
13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171
SITE ADDRESS: 13105 SW MERLIN PL PARCEL: 2S104DA-10500
SUBDIVISION: QUAIL HOLLOW- WEST ZOWING: R-4.5
BLOCK: LOT:091 JURISDICTION: TIG
REMARKS: SFD - Bldg 8- Master Plan Review- Lot 91 -Setbacks as per A10.10
BUILDING
HEI%SUF, a STORIES: —3 FLOOR AREAS _ REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT' 2F FIRST: 324 of BASF.MiWl: of LEFT SMOKEDETF-CTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 141 of GARAGE: 410 of FRONT: PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS: FINBbMEN7: 55 of RIGHT:
VAI.UE: S 12ZI528.64
OCCUPANCYORP: R3 BORM: 3 BATH. TOTAL: 1,5211— of OEF.T:
PLUMBING
SINKS: I WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: tOrl RAPS:
LAVATORIES: 5 DISHWASHERS: I FLOOR DRAINS: SEWER LINES, 100 SF RAIN DRAINS: 1 CATCH BASINS:
TURISHOWERS: 2 GARBAGE DISP. I WATER HEATERS: 1 WATER LINES: 100 eCKFLW PREVNTR: GREASE TRAPS:
CT14ER FIXTURES:
MECHANICAL
--FUEL TYPES _ FURN�LOOK: BOIL/CMP-c 7HP. VENT FI.NS: 3 CLOTHES DRYER: 1
F1 F FURN>000K: UNIT HEATERS: HOUDS: OTHER UNITS:
MAX INP: bta FLOOR FURNANCES: VUNTS: WOODSTOVES: OAS OUTLETS:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDF.R TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADO'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp:�— 0 200 amp: WISVC OR FDR: 1 POMPARRIGATION: PER INSPECTION:
EA ADD'L 5003F: 3 201 400 am^: 201 - 400 amp: lot W/O S1'CIFDR: 00 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 800 amp: 40f 000 amp: EA ADDL OR CIO: SIGNAL/PANEL IN PLANT:
MANU HM/SVC/FOR: 601 - 1000 amp: 60f+omes-i0m: MINOR LABEL:
1000•amplvoN
PLAN REVIEW SECTION
Roconnect only:
>•4 RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAL: CLS AREAIPC OCC:
ELECTRICAL-RESTRICTED ENERGY
A.SF RESIDEPIT1AL B.COMMERCIAL
AUDIO 6 91"EREO: `,ACUIJM YSTEM: AUDIO a STEREO: F'RE ALARM: INTERCOMMAGING: OUTDOOR LNOSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANI'SCAPEIRRIG: PROTF_CTIVF SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL OTHR:
HVAC: DATA/TFLE COMM: NURSE.CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTA_FEES: $ 2,756.52
This permit is E'.bject to the regulations contained in the
BROWNSTONE HOMES LLC BROWNSTONE HOMES,LLC Tigard Municipal Code State of OR Specialty Codes and
12670 SW 68TH PARKWAY 12870 SW 68TH PKWY all other applicable laws Allwork will be done in
PORT!AND,OR 97223 PORTLAND,OR 97223
accordance with approved plans. This permit will expire A
work Is not started within 180 days of Issuance,or if the
Worn is suspended for more than 180 days. ATTENTION.
�- Phone: Phone: Or-gon law requires you to follow rules adopted by the
Oregon U111ty Notification Center. Those riles arta set
Slog 0: LIC 124027 forth in OAR 952-001-0010 through 952-001-0080. You
may obtain coplaS of these rules or direct questions to
ID O1,'!C by caping(503)246-1987.
L^ REQUIREIi INSPECTIONS
LU Erosion Control Insp 8, Underfloor Insulation Electrical Servlcal Insulation Insp Water I Ina Insp Plumb Final
a
Sew v Inspection Plm/unds'ab Insp Electrical Rough It, Gyp Board Ins T a Servit .nsp� Final Inspection
Footil I Insp PLMnJnderfloor Framing Insp Firewall Insp Appr/ Ip
Foundation Ir.s? Mechanical Insp Shear(Nall Ins-, Rain drain Insp Elerfri i Fi I
Slab Insp _ Plumb Top C'ut Exter!or Shf rthing Insl Roof Nailing Mechan ai
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Insued By' — Permittee Signature :
l
Call (503)639-4175 by 7:00 p.m.for an Inspection needed the ne . business day
CITY OF TIG
A RD _ SEWERCONNEC",.ON PERMIT
DEVELOPMENT SERVICES
PERMIT#: SWR2000-00260
L13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 1/29/01
SITE ADDRESS; 13105 SW MERLIN PL PARCEL: 2S104DA-10500
SUBDIVISION: QUAIL HOLLOW-WEST ZONING: R-4.5
BLOCK: LOT: 091 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SFA NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Rer-arks: Sewer connection for new SFA.
Owner: — __ _ FEES
BROWNSTONE HOMES LLC Typa By Date Amount Receipt
12670 SW 68TH PARKWAY —
PORTLAND,OR 97223 PRMT CTR 1/29101 $2.300.00 272001['^000
INSP GTR 41/29/01 $35.00 27200100000
Phone: 598-7565 Total $2,335.00
Contractor:
Phone:
Reg
Required Inspections
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® This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires
0 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not
J guarantee the accuracy of the side sewer laterals. If the sE,+ver is not located at the easurement given,the installer
shall prospect 3 feet in all directions from the distance given. If not so located, the ' staller Stela I purchase a"Tap and
Side Sewer' Permit and the Agency will install a lateral. ATTENTION: Oregon 1 r uires to follow rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 1 10 thre h OAR 952-001-0080.
You may , rn copies of these rules or direct questions to OUNC by galling( 03) 4 -19 7.
Permittee Signature:
Issued b�jr�1' .r 4/ � 9
Call(503) 639-4175 by 7:30 P.M.for an Inspertinn needed the next business day
CITY OF TIGARD Residential Building Permit Application Plan Chea«0
13�25 SW HALL BLVD. New Construction R«'d By r
Date
TIGARD, OR 97223 Single Family acDate tto Attached P.E.
W
o PP.E.E.
V 503-639-4171 A Date to DST
F 503-684-7297 Permit# OOD-0 1 J,9
Print or Type /� Called f 7
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av,n
Incomplete or illegible applications will not be ccepted l0 /o-�'•
1A, Si
Name of Prloject �� `Jar 0-7 ( (�
Job 00 JaLArchitect M ilin Address
Address Site Address La (�N �Il�� 5C-eCAIA /Q
COY/StateZip I Pho,i
am5� �FCX 17yt`IIYK A I�t��L (0'7-oto2
Owner ling Address ( .
Ma
/Slate ZPho Engineer
/ CNn Address
� i 11 3 75%.5" log?50 uU Gmews AV4 -
�General /stat!Je 97zrz 93 4i3
Name
Contractor IN6,Twe o Describe work New Addition Aheration0 Repair
Ulailing Address �+ to be done'
Prior to permit dy
1;40 ""Ay Additional Description of Work. SM� T���
issuance, a copy ity/Slate Zi Phone _
of all licenses twi Orr, 9M
are required if Oregon Const Cont.Board Exp.Date PROJECT
expired in COT Lic# Qf-IS-OU VALUATION
database ('�L'Z-7 -----
Mechanical Name — — NEW CONSTRUCTION ONLY:
Sub- _ Sq. Ft.Housa: Sq.Ft. Garage
Contractor Address Mailing Adss �^
p lin dare q Indicate the restricted energy installation by the electrical
Prior to pennil
issue ice,a copy Ci !State Zip Phone subcontractor in the fohowin areas -
r Restricted i Audio/Stereo-
of all licenses f I6 [ )Z �75-�7/
are required it Oregon Const.Cont Board Exp.Dale Energy _ S Clem Alarms
expired in COC Lic# Installations Va,;uum Irrigation
database `T 121g3 -7 A�00 _ System 5_Stem
Plumbing am" (check all that Other
Sub- 1.1 -4A
1111W1UL a pl )
Contractor
Mailing Ad&MSY
Number of Units in Building Unit Number Designation
�g Has the Subdivision Plat recorded? NIAY�S NO
Prior to permit City/St �, P e r V
issuance, a copy dY +71b
of all licenses are Oregon Co ont. Boar p ate
required if Lic# nj - —
expired in COT ��7I 1 I� Vfr I hearby acknowledge that I have read this application,that th-
database lumbing Lic # p. to information given is correct,that I am the owner or authorized agent
d of the owner,and that pl is ubmitted are in compliance with
i Oregon Staile laws.
N Name SignalwC f Owner/A ,nl D Y
Electrical hj w-t �t?,F�ZI __ _ \ 'L ` 1 ter- ---------------
h- 0
_ Mailing Address - � Contact P r on Name Phone
-i Sub- ,14v
m Contractor 'A 9j _
City/state Zip Phr]p
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Prior to permit p
�1Y
tssuande, a copy ����' `USN ' �L' � 3 5G-ac'_ FO OFFICE USE ONLY:
of all licenses are Oregon Const Cont Board Exp.Date
11-V
required Lic# -5Plat# M�apr/rL!!:
d
expired in COT 1110 Z(J -- LZ-4-A9 solo ---I
database Electrical Lu_ # 3 Z Exp Date Setbacks: Zone
V
Electrical Supervisor Lic # Tcrp Date Engineering Approval: Planning Approval TIF:
i WstslformsWa-new doc 11/20/g8
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CITY OF TIG,6 i0 BUILDING INSPECTION DIVISION MST •_ ®a
24 Hour Inspection Line: 639-4176 Business Line: 639-4171 y
BUP
Date Requested AM Pnn BLD —_
Location _ Suite MEC
Contact Person _ Ph PLM
Contractor _ _ Ph Stint —_
BUILDING Tenant/Owner — —__ ELC
Retaining Wall ELR —�
Footing Access:
Foundation FPS -- -
Ftg Drain _.._ SIGN
Crawl Drair Inspection Notes:
Slab IS— ISIT
Post&Beam ---�
Ext Sheath/Shear I _
Int Sheath/Shear 7�
Framing ;61 t C]s 1' d1"�4._tAs'.z
Insulation
Dry•vall Nailing di rz --
Firewall
Fire Sprinkler -• --- -
f ire Alarm
Susp'd Ceiling - - -
Roof
Misc: _ -- - -- -
Final --
PASS RT FAIL --------- - -- --
.0
Post&L'am --
Under Slab
Top Out — --------- — —
Water Service
Sanitary Sewer
Rain ins
MS PART FAIL
ANICAL
Post&Beam - -- ----- - - —
Rough In
Gas Line --- --- -
Smoke Dampers
Final —
PASS PART FAIL
ELECTRICAL �-
IL Service
Rough In
F" UG/Slab
N Low Voltage -
Fire Alarm _ ----- --- --
Final
W PASS PART FAIL
0 SITE
Lu
Backfill/Grading -- — _ _ --
Sanitary Sewer
Storm Drain [ J Reinspection fee of$_-- required before next inspection. P&y at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Lir; ( j Please call for reinspection RE: _ — [ j Unable to inspect-no access
ADA t
Approach/Sidewalk pate -- Q 'OK Inspector q�� EXt
Other
Final
PASS PARI FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
,.^ BUP _
f� Date Requested (D /J AM PM ESLD —
Location — x'' Suite 2 _ MEC
Contact Person Ph tPLM
Contr — Ph — ---- SWR —
PUILRPW Tenant/Owner _ _ _ _ ELC-ffl _
e wining Wall ELR —_
Footing Access: FPS
Foundation --
Ftg Drain SGN
Crawl Drain lltspection Notes: --- —
Slab _ _ _— SIT _
Post&Beam
Ext Sheath/Shear - —
Int Sheath/Shear
Framing --- —
Insulation
Drywall Nailing --_—
Firewall
Fire Sprinkler --- — —
Fire Alarm
Susp'd Ceiling — — —
Roof
Misr,: --- — —
SS PART FAIL —`--"
i31NC
Post&Beam -- — _.—
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains ----
Final
PAS§_,jPART, FAIL --
CH
Post&Beam - — ------ — --
Rough In
Gas Line ---� -- " —
Smok ampers —
--PART FAIL __------
ELECTRICAL
a Service
Rough In
NUGISlab _ --- -----— -- -- —
Law Voltage -- -- -- — --- ----
Fire Alarm
Final -- _-- ---
PASS PART FAIL ---
W SITE _—
'� Backfill/Grading ^—
Sanitary Sewer
Storm Drain [ ]Reinspe,iion fee of$ —_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
` Catch Basin i ]Please call for reinspection RE: _ [ ]Unable to Inspect- no access
Fire Supply Line
ADA
Approach/Sidewalk Date
Other �_ Inspector, _ —Ext
Other
Final
FABS PART FAIL DO NOT REMOVE this Inspection record from the job site.
w
CITY OF TIGARD BUILDING INSPECTION DIVISION MST �
24-Hour Inspection Line: 639-4176 Business Line: 639-4171
,,,;IIP _
/Date Requeste�i�( AM� PM _ JHILD
UP _
Location_ [ (0 slit/ _ Suite M1.0
Contact Person Ph PLM
Contractor Ph _ _ SWR
BUILDING Tenant/OwnerELC ------- _-----
Retaining Wall - — ELR —
Footing Access: FPS
Foundation -- _
Ftg Drain SGN
crawl'-)rain Inspection Notes: — ---------
Slab _— �_— SIT
Post 6 Beam --'- -"-
Ext Sheath/Shear
Int Sheath/Shear
Framing _
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Mise: Pate
__ —
Final —
PASS PART FAIL - - -- -
PLUMBING
Post&Beam —
Under Slab
"cop Out
Water Service
Sanitary Sewer —
Rain Drains
Final
PASS PART FAIL --
MECHANICAL
Pr,ct J! Beam
Rough In
Gas Lime _-
Smoke Dampers
Final -- ——
PA P—T
FAIL
CCT ---- _ �— — ------
Z erviee
� Rough In -�--------�—
N UG/SI-_b _-- _--- -- _--
Low Voltage
J Fire Alarm
m A56' )ART FAIL
W
Backfill!Grading
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$_ -required before next inspecilrm. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin please call for reinspection RE: _ Unable to ins
Fire Supply Line [ ] p ---- - [ 1 Peet no access
ADA --
Approach/Sidewalk Date elt" - -Inspector_ ,�!�!7/� _ Ext
Other - -----
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD
13126 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
STREAMLINE ELECTRICAL
6017-B EAST 18TH STREET
VANCOUVER, WA, 98
Electrical Signature Form
Permit #: MST2000-00379
Date Issued: 1/29/01
Parcel: 2S1 04DA-1 0500
Site Address: 13105 SW MERLIN F'L
Subdivision: QUAIL HOLLOW -WEST
Block: Lot: 091
Jurisdiction: TIG
Zoning: R-4.5
Remarks: SFD - Bldg 8 - Master Plan Review - Lot 91 - Setbacks as per A10.10
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 cornppny sign below and return this Electrical Signature f=orm prior to the
start of the work to the address above, ATTN: Building Dept.
No electrical inspections w!I1 be authorized until thls completed form Is received
OWNER: ELECTF.ICAL CONTRACTOR:
BROWNSTONE HOMES LLC STREAMLINE ELECTRICAL
12670 SW 68TH PARKWAY 6017-B EAST 18TH STREET
PORTLAND, OR 97223 VANCOUVER, WA 98
Phone #: 598-7565 Phone #: 360-993-5080
Req #: LIC 118814
ELE 34.432C
SUP ~a
Hvj I
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X _
Signature of Supe sing Electrician
If you have any questions, please call (503) 639-4171, ext. # 310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223 '
IMPORTANT PERMIT NOTICE
WO LCOTT PLUMBING CONT. INC
PO BOX 2007
GRESHAM, OR 97030
Plumbing Signature Form
Permit#: MST2000-00379
Date Issued: 1/29/01
Parcel: 2S104DA-10500
Site Address: 13105 SW MERLIN PL
Subdivision: QUAIL HOLLOW -WEST
Block: Lot: 091
Jurisdiction: TIG
Zoning: R-4.5
Remarks: SFD - Bldg 8 - Master Plan Review - Lot 91 - Setbacks as per A10.10
Your compa;iy 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-. Buildipg Dept.
No plumbing inspections will be au::yorized until this completed form is receivid
OWNER: PLUMBING C014TRACTOR:
BROWNSTONE HOMES LLC WOLCOTT PLUMBING CONT. INC
12670 SW 68TH PARKWAY PO BOX 2007
PORTLAND, OR 97223 GRESHAM, OR 97030
Phone #: 598-7565 Phone #: 667-1781
i
Reg #: 1 tC 00023847
Pi M 26-208PB
j AN INK SIGNATURE IS REQUIRED ON THIS FARM
i
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Signature o Au orized Plumber
If you have any questions, please call (503) 639-4171, ext. # 310