13111 SW MERLIN PLACE aaeld UTAG� AAS 6 L 9 C 6
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CITY OF
PERMIT 0: "AST2000-00376
DEVELOPMENT SERVICES DATE ISSUED: 1;29/%�'
13,25 SW Flail Blvd.,Tigard, r,R 07223 (503)639-4171
SITE,ADDRESS: 13111 SW MERLIN PL PARCEL: 2S104DA-10200
SUBDIVISIO;.: QUAIL_ HOLLOW-WEST ZONING: R-4.5
BLOCK: LOI:088 JURISDICTION: TIG
REMARKS: SFD - Bldg#8 Master Pian review- Plan A-S-Lot 88
BUILDING
RFISSUF STORIES: .3 _ FLOOR AREAS REQUIRED SETBACKS_ REQUIRED
CLASS OF WORK: NFW HEIGHT: 2R FIRST: 173 of BASEM:3NT: LEFT: SMOKE DETECTORS: v
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 734 or GARAGE: 547 of FRONT' PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS: 1 NBSMFNT: 580 of RIGHT:
VALUE: S 115,1 18 q9
OCCUPANCY GRP: R3 SDRM: ? BATH: 2 TOTAL- 1,497(10 of REAR:
PLUMBING
SINKS: WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FInR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS:
TUBISHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL _
^— FUEL TYPES FURN,100K: BOILICMP c 2HP: VENT FANS: 2 ^— CLOTHES DRYER: I
FI F s FURN>HOOK: UNIT HEATERS: W)ODS: OTTER UNITS:
MAX INP: btu FLOOR FURNANCES: VFNTZ: WOonSTOVES: GAR OUTLETS:
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADWL INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 200 a,np: WISVC OR FOR: PUMP/IRRIGATION: PER INLPEC11ON:
EA ADO'l.S00SF: 2 201 400 amp: 701 40G amp: lot WIO SVC7FDR: 06 SIGNIOUT LIN LT: PER HOUR:
LIMITFO ENERGY: 401 - 600 imp: "1 - 600 amp: EA ADOL OR CIR- SIGNALIPANEI.: IN PLANT:
MANU HM/SVCIFDR: Sol • 1000 Amp: CIO,+ampa•t000r MINOR LABEL:
1000.amplvolt
PLAN REVIEW SECTION
Reconnect only: — m
>=4 RES UNITS: SNCIFDR-226 A: >600 V NOMINAL: CLS AREAISPC OCS:
ELECTRICAL•RESTRICTED ENERGY ^
A.SF RESIDENTIAL S.COMMERCIAL
AUDIO A STEREO: VACUUM SYSTEM: AUDIO a STEREO: FIRE ALARM: INrERCOM/PAOING: OUTDOOR LNDSC LT:
B'JRGLAR ALARM: OTH: BOILER, HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL:
13ARAGE OPENER: :LOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: PURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: _ 2,659.32
This permit is subjeci to the regulations contained in the
BROWNSTONE HOMES LLC BROWNSTONE HOMES,LLC Tigard Municipal Code,State cf OR SpecialtyCodes and
12670 SW 68TH PARKWAY 12670 SVv 68TI I PKWY all other applil;able laws. All work,will be done in
PORTLAND,OR 97223 PORTLANL`,OR 97223 accordance with appr.Ived plans This permit will expire If
IL work Is not started within 180 days of issuanne.or if the
work is suspendeu for more than 18C days ATTENTION
F„ Phone: Phone: Oregon law regLdres you to follow rul m adopted by the
N Oregon U1111ty Notification Center. Those rules are set
Rep 0. LIC 124627 forth in OAR 952-001-0010 through 952-001-0)80. You
may obtain copies of these rules or direct questions to
J_ OUNC by calling(50.1)246-1987.
m REQUIRED INSPECTIONS
Erosion Control Insp& Underfloor Insulation Electrical Servicd Insulation Insp r l-fine Insp Plumb Final
Sewer Inspection Plm/undslab Insp Electrical Rough In Gyp Board Insp Waterervice In p final Inspection
Footing Insp PLM/Underfloor Framing Insp Firewall Insp Appr/S wlk In
Foundation Insp Merhanical Insp Shear Wall Insp Rain draln Insp Elec:M i Fina
Slab I Plumb Top Out Exterior Sheathing Ins[ Roof Nailing Meehan ul I
IssuBy : � 1 Permittee Signature
Call (503) 639-4173 by 7:00 p.m.for an Inspection needed the next business day
CITYOr I IGARC _ SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT 0: SWR2000-00257
13125 SW Ha!I E'Ivd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/29/01
SITE ADDRESS; 13111 SW MERLIN PL PARCEL: 2S104DA-10200
SUBDIVISION: QUAIL HOLLOW-WEST ZONING: R-4.5
BLOCK: LOT: 008 JURISDICTION: TIG
TENANT NAME:
USA NO: FIX-r URE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SFA NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SFA.
Owner:
---__—__ FEES
BROWNSTONE HOMES LLC
12670 SW 68TH PARKWAYType By Date _ Amount Receipt
PORTLAND, OR 97223 PRMT CTR 1/29/01 $2,300.00 27200100000
INSP CTR 1/29/01 $35.00 27200100000
Phone: 598-7565 e� Total :2,335.00
Contractor: w
Phone:
Reg#:
Requirad Inspections
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This Applicant agrees to comply with all the rules and regulidlons 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 accura y of the side sewer laterals. If the sewer is not located at the measurem i�ase
n,the installer
shall prospect 3 feet in all directions from the distance given. If not so located, the installer sh I ra"Tap and
Side Sewer' Permit and the Agency will install a lateral. ATTENTION: Oregon la e'q 'res u o k�llow rules adopted
by the Oregon Utility Notification Center. Those rulas are set forth in AJAR 952- 1-001 thro h R1952-001-0080
You may o ies of these rules or direct questions to OUNC'b%j calling( 03) 246-1
Issued b ��LC�� +1 >! Permitted Signature:
Call(503)639-4175 by 7:00 P.M.for an Inspection needsd the next buslnoxs ay
CITY OF TIGARD Residential Building Permit Application Plan Check M_r.,�'_y
1312; SN; HALL BLVD. New Construction Recd By "r
MARC, OR 97? 9 Y 23 Single Famil Attached Date Recd ,
Date to f'.E 'F ? pd [a
V 503-6394171 ,/���� Date to DST Ori
F 503-684-7297 Permit 0Al's1r
Print or Type ,/ C.aucd�q� ✓ �►
Incomplete or illegible applications will rnot be accepted /V -/V- d° eL
Name of Project c� Nage
Job tU6T V
Site Address dress t^��g /+�rhitect M91lin Addr{ecn
Address AW-
RIA � � (I�! �r:
rw C'ty/S(ale Zlp Phone
Name , I _ � 11711 aAs A 7i p (o-7-0<e
Owner ling Address �� �/ A NGv.
AaW
A" I)- --- t Engineer Mail*n Address r
fait /State � ZIQ�3 P./7Q ?�� �(�l#� ill IVil�l�s i4✓v
1/ C� �1 Stayo Zt Phone
5General -R Name Girt= 97z-z 6Z3_94 3 3
Contractor F- � 'I-We oatM'S �.�.�-- Describe work New Addition O Alteration O Repair O—
5 Mailing lddressp to be done _
Prior to permit �Uo70 �10stb Fis/LkWAY Additional Description ofWork:*3 SR• Ib0*)t#µ4:
issuance,a copy ity/State Zi P ne -
o'all licenses tha -r
are re%;-rired if Oregon Const Cont Board Exp Date PROJECT _
expired in -OTLic. ('2l Q,i-IS-brJ VALUATION �$
database _
I' --
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- t7yrGSr�l6d1� �{l:"A11NC� Sq. Ft. House. Sq. Ft.Garage
Contractor Mailing Address —
q
Prior to peimil Indicate the restricted energy installation by the electrical
T_L ,(7j:������
issuance,n copy Ci /Slate Zip Plane subcontractor in the following areas
r Restricted Audio/Stereo
of all licenses IbT (��. °`�Z, ����//
are required if Oregon Const.Cont.Board Exp.Date Energy System Alarms
expired in COT Lic#�j n 3 'nslallations Vacuum Irrigation
database "1 � 7 A 100 I System� 4_ System
Plumbing ame i (check all that Other-.
�
Sub- - -�
apply)
Mai Address Number of Units in Building YUnit Number Designation
Contractor ,
500 Has the Subdivision Plat recorded? NIA YDS NO
Prior to permit City/S a Phone �_ ✓
issuance,a copy y Zlb' 41 D
of all licenses are Oregon t Cont Bo 'Exp.Date
required H Lic..#
ZIP
311 VI, I hearby acknowledge that I have read this application,that the
expired in COT information given is correct,that 1 am the owner or authorized agent
database lumbing Lic.# fc . e
tX of the owner, and that pi s ubmitled are in compliance with
Oregon Stale laws.
Name Signature f Owner/ ate
�n 4 r-.
Electrical /jT hL Ae C(t-CA74L. _ Contact Per on Name Phor. #
Sub- Mailing Address
Q 1 7
O Contractor
W City/State Zip P+oT o
Prior to permit �� ,� C�f,► I y 3 S%'ti+G
issuance,acopy _GG/� FOR OFFICE USE ONLY:
of all licenses are Oregon Const Cont Board Exp Date Plat-# MaprTL#:
required if Lic# r�
expired in COT (�(D� t)
database Electri al Uc Ng3rZ C Exp Date Seibacks: Zong�'/,
s
14 ,
Electri(;al Supervisor Lic # Exp Date Engineering Approval: Piauning Approval: TIF:
i ldstsVorms%fe-new doe 11/20198
CITY or 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
Permit#: MST2000-00376
Date Issued: 1/29/01
Parcel: 2S104DA-10200
Site Address: 13111 SW MERLIN PL
Subdivision: QUAIL HOLLOW -WEST
Block: Lot: 088
Jurisdiction: TIG
Zoning: R-4.5
Remarks. SFD - Bldg#8 - Master Plan review - Plan A-S - Lot 88
Your company has been indicated as the electrical contractor for the pam mit indiralcd 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 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
OWNER: ELECTRICAL 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 116914
a ELF. 34.432C
SUP 4ws
N
AN INK SIGNATURE IS REQUIRED ON THIS FORUM
W
X
Signature of Supe sing Electrician
If you have any questions, please call (503) 639-4171, ext. # 310
Cin OF TIGARD
13126 S.W. HALL BLVD.
i TIGARD, OR 97273
IMPORTANT PERMIT N'JTICE
WOLCO fT PLUMBING CONT. INC
PO BOX 2007
GRESHAM, OR 97030
Plumbing Signature Form
Permit#: MST2000-00376
Date Issued: 1/29/01
Parcel: 2S104DA-10200
Site Address: 13111 SW MERLIN PL
Subdivision: QUAIL HOLLOW -WEST
Block: Lot: 088
Jurisdiction: TIG
Zoning: R-4.5
Remarks: SFD - Bldg#8 - Master Plari review - Plan A-S - Lot 88
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing per.nit to be valid, please have the appropriate individual from your company sign below and return
tlii y ,'Iumbing 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 received
OWNER: PLUMBING CONTRACTOR:
BROWNSTONE HOMES LLC WOLCOTT PLUMBING CONT. INC
12670 SW 68TH PARKWAY PO BOX 2007
PORTLAND, OR 97223 GRESHAM, OR 97030
Phone #: 598-7565 Phone #: 667-9781
Reg #: I_Ic. 00023847
PI M 26-208PB
AN INK SIGNATURE ES REQUIRED ON THIS FORM
ttl X �
J
Signnt6r-&f"rutWi7ed Plumber
If you have any questions, please call (503) 639-4171, ext. f 310
.CITY•O'F TIGARD BUILDING INSPECTION DIVISION 74ft,_00�x
24-Hour Inspection Line: 639-4175 Businoss Line: 639-4171 ---- —
BIP" _
Date Requested AM PM i BLD
Location 13_f7k&b,,,Ad Suite MEC
Contact Pei-son y Ph -2q-�3 -9 7W � PLM
Contractor Ph SWR
BUILDING 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:
Final
PASS RT FAIL ---- -- - ---- -- -_
Post$Beam ----- --- ----- - - ---.
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain reins
S PART FAIL
MOMANICAL
Post&"earn ��--.-- - _-_-- -
Rough In
Gas Line -
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In ------------- - � � _ -._�_
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading -`--
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Ball Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE:_- M _ _ -_ [ )Unable to Inspect-no access
ADA
A roach/S!Jewalk =
opr er Date G' Inspectors�l/ Gil Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour�1nopection Line: 639-4175 Business Line: 639-4171 MST -?ne _G 0
BUP _-
-� Date Requested_ I',"` l%M ' PM — ESLD _
Location 3/�/ S w ,' may H_ l S, ',te _ MEC s.
Contact Person Ph .. —•3 � _ PLM —
Contractor Ph SWR
Tenanto'Owner _ .'; ----- —
Retaining Wall ELR _ _ -
Footing Access:
Foondation EPS —_
Ftg Drain SGPT
Crawl Drain Inspection Notes,-
Slab
otes:Slab __-�- _ SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear ^
Framing -�-
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
n --
T3 - PART FAIL
PI)MBING
_
Post B Beam -
Under Slab -
Top Out
Water Service
Sanitary Sewer -
Rain Drains
Final
P RT FAIL
Post R Beam - - ---- --- - -- - -
Rough In
Gas Line - - ------- - _
Smoke Dampers
Fin -------- ------ --- �_-�._�_.__ _
SS," PART FAIL
EMTRICAL
O. Service - ------ ----- --_--.. ___��
a Rough In
H UG/Slab
Low Voltage
Fire Alarm --
J Final
m PASS PART FAIL -__-
t9 SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ j Reinspection fee ofrequired before next inspection. Pay at City Hall, 13125 SW Hall B'vd
Catch Basin ( (Please call for reinspection RE:-� -- [ ]Un able to Inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date (✓� l / Inspector Ext
Other _ —
Final
PASS PART FAIL DO NOT REMOVE this Inspection record irons the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISIOV MST �-,�%�-�-
24-Hour Inspection Line: 639-4175 Pusiness Line: 639-4171
BUP
Date Requested— —AM---PM BLD
Location ��_ f i Suite �T7-� _ MEC
Contac: Personi'L�� •i_ h � 1 L�_ PLM _
Contractor_— Ph ---- — SWR
BUILDING Tenant/Owner _ _ ELC _
Retaining Wall ELR _—
Footing Access: FPS
Foundation —
Ftg Drain _ ----- SGN
Crawl Drain Inspection Notes:
Slab _ -- SIT s_ _
Post&Beam
Ext Sheath/Shear ----- — --
Int Sheath/Shear
Framing —___-- -- --
Insulation
Drywall Nailing
Firewall
Fire Sprinkler _—
Fire Alarm
Susp'd Ceiling ---- 02
Miscf: —_ —_l�.c �G � C[7 T`/ L�—_—�.r y�" -
Final
PASS PART FAIL_ -- - --
PLUMBING
Post&Beam _
Under Slab _
Top Out J
Water Service
Sanitary Sewer
Rain Drains -
Final
PASS PART FAIL --
MiECHANICAL
Post R Beam -- ---- -
Rough In ✓
Gas Line
Smoke Dampers
Final ---
PASS PART FAIL
Service —
C Roiigh In
UG/Slab -
Low Voltage
_ Fire Alarm --
d
0 SS PART FAIL ---
9
Backfill/Grading _ —
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection RE: _ _ — [ ]Unable to Inspect-no access
Fire Supply Line
ADA
Approach/SidewalkDate � Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the Job site.