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Cfl'Y OF•TIGARD BUILMNG INSPECTION DIVISION
24-1-four inspection Line: 639-4175 Business Lina: 439.4171
®UP •
DatA RequestedG,, 6 1 _� �Z PM _ BLD
Location 1 Suite —_ MEC
Contact Person _ Ph jcl�j—S��-I PL
Contractor Ph _
BUILDIt�Ir; T Tenant/Owner ELC
l
Retaining Wall ELR
Footing Access:
Foundation FPS
IFtg Drain --- 3(3N
6�rlfnin Inspection Notes:
Slab
Post&Beam -" —---- SIT —
Ext Sheath/Shear
Int Sheath/Shear r —
Framing v'V1C,�- � — A — —
Insul0on (� _
Drywall Nailing
Firewall
Fire Sprinkler —
Fire Alarm
Susp'd Ceiling
Roof
Misc.
Final ---
PASS PART FAIL
B
Ok
Under Slab
ak Top Out
Water Service
Sanitary Sewer -- -- - -—--- —
R Qrains
PART FAIL — --- —__^- -_--�--
ANICAL
Post& Bf.am
Rough In
Gas Line -- - - ---
Smoke Dampers
Final -PASS—PART FAIL
FAIL
ELECTRICAL - —'--- - -"--
n' Service
Rough In -----
tn UG/Slab
Love Voltage - --
Fire Alsrm
CID Final
5 PASS PART FAIL
Lu SITE
Backfill/Grading — —-- - -- -
Sanitary Sewer
Storm Drain [ I Reinspection fee of$ required before next inspection Pay at City Hall, 1312.5 SW Hall Blvd
C•.ach Basin
Fire Supply Line i J Please call for reinspection RE: _—_ [ j Unable to inspect-no access
ADA
Approach/Sidewalk Date
Other � b t Inspector _ _ --FXt�
Final'
PASS PART FAIL DO NOT REMOVE this Inspection record from the jab site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST _oo 17'(
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -'
BL➢P
Date Requested 5— AM ----PM �� BLU
Location 3// S�✓ n /' _ Suite MEQ:
Contact Person _ Ph ZPj!3 77 _ PLM
Contractor Ph _ SWR
UI�,pJt Tenant/Owner s ELc; — -- _—
Retaining Wall ELR
Footing Access: — -- --~
Foundation FPS
Ftg Drain +—
Crawl Drain Inspection Notes: SGN ---- ----- -----
Slab —_ 57
Post&Beam
Ext Sheatn/Shear
Int Sheath/Shear --
Framing --- —._. — -- —__ ------ —
Insulation
Dr/wall IJa;ling — -- _ —.___�.— __ __-----------_- -�
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc.-
6
ise
A PART FAIL —
PLUMBING
Post&Beam
Under Slab
Top Out �—
Water Service
Sanitary Sewer --
Rain Drains _
Final —� —^ ---- —
PASS PART FAIL _--_—
os eam —--- - - — — -- —
Rough In
Gas line ___--__--
Smok Dampers
PART FAIL
IL ;PC—TRICAL
Service
Rough In
C UG/Slab
Low Voltage
,J Fire Alarm
m Final
(a PASS PART FAIL
W SITE
J
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 relnetpection RE: _ — _— [ ]Unable to inspect-no access
Fire Supply line --
ADA
Approach/Sidewalk IR 110 Inspector �_ Ext
Other Date -- _
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIOARD BUILDING INSPECTION DIVISION &kB�2�
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
Date Requested ^� ! PM BLD
Location_ ?_.� Suite MEC --_---- i
Contact Person _! —� Ph `l _ PLI
Contractor _ Ph C-9 -
gUILU► �'� ' ° �' Tenant/Owner _ __ ELC — ---
Retaining Wa' ELR 17
Footing Access: �-
Foundation FPS _
Ftg Drain SGN
QmwA evfaU I Inspection Notes: --
Slab _— SIT V17 O 1_
Post A.Beam
Ext Sheath/Shear
Int /Shear .- 3_ L
Framingming v-� ' '
Insulation /' Z �T _
Drywall Nailing l
Fir-wall I
Fire Sprinkler
Fire Alamo
Susp'd Ceiling --_-_-- _ —___—
Roof
Wsc: _._— ---- ----_
Final
PASS PART FAIL%4 9W44rem
MBI
Under Slab —
Top Out
ater Service
tsa,,itnry Sewer
R*I Drains -- — --- ---_ — _---_ ..
r _ PART FAIL
MfieAANICAL
Post&Beam --
Rough In
Gas Line
Smoke Dampers
Final — -- --
PASS PART FAIL
ELECTRICAL
Service
Rough
� Rough In - --------------____._____.
UG/Slab
Low Voltage
Fire Alarm — _— --
Final
PASS PART FAIL
U SITE -----
Backfill/Grading -
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW I tali 111,d
Catch Basin [ )Please call for reinspection RE: [ ]Unable+o inspect-no access
Fire Supply Line
ADA
ApproachlSidewalk Date Inspector " Etttj
Other --�--- -----._
Final
PASS PART FAIL DO NOT REMOVE this Inspect)3n 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
Permit #: MST2000-00374
Date Issucd: 12/18/00
Parcel: 2S1 04DA-1 0000
Site Address: 13115 SW MERLIN PL
Subdivision: QUAIL HOLLOW -WEST
Block: Lot: 086
Jurisdiction: TIG
Zoning: R-4.5
Remarks: SFD - Bldg #7 - Master PI.-.n Review - Plan C-NB - Setbacks as per A10.10
Your company has been indicated as the electrical contractor for the perr.zit 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 Signa+-ire Form prior to the
start of the work to the adds ess above,ATTN: Building Dept.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL_ CONTRACTOR:
BROWNSTONE HOMES LLC STREAMLINE ELECTRICAL
17670 SW 68TH PARKWAY 6017-B EAST 18TH STREET
PORTLAND, OR 97223 VANCOUVER, WA 98
Phone #. 598-7565 Phone #: 360-993-5080
Req #: Ur- 116514
ELE 34-432C
SUP =Now
HTZ90,
AN INK SIGNATURE IS REQUIRED ^N THIS FORM
Signature of Sup, i�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
WOLCOTT PLUMBING CONT. INC
PO BOX 2007
GRESHAM, OR 97030
Plumbing Signature Form
Permit#: MST2000-00374
Date Issued: 12/18/00
Parcel: 2S104DA-10000
Site Address: 13115 SW MERLIN PL
Subdivision: QUAIL HOLLOW -WEST
Block: Lot: 086
Jurisdiction: TIG
Zoning: R-4.5
Remarks: SFD - Bldg #7 - Master Plan Review - Plan C-NB - Setbacks as per A10.10
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
piombing permit to be valid, please have tho 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- 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 68'rH PARKWAY PO BOX 2007
PORTLAND, OR 97223 GRESHAM, OR 97030
Phone #: 598-7565 Phone #: 667-1781
IL Reg #: I IC 00023847
ac PI M 264081313
r-
AN INK SIGNATURE IS REQUIRED ON THIS FORM
m
Signature utha ed Plumber��
If you have any questions, please call (503) 639-4171, ext. # 310
•
CITY
�� �'���� MASTER PERMIT
C
HERMIT#: MST2000-00374
DEVELOPMENT SERVICES DATE ISSUED: 12/18/00
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 13115 SW MERLIN PL PARCEL: 2S104DA-10000
SUBDIVISION: QUAIL HOLLOW-WEST ZONING: R-4.5
BLOCK: LOT:086 .JURISDICTION: TIG
REMARKS: SFP - Bldg#7 -Master Plan Review-Plan GNB- Setbacks as per A10.10
3UR.DING
REISSUE S TORIES: 3 F-_OOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 26 1 IRST: 324 of BASEMENT: of� L.EFT SMOKE DETECTORS: Y
TYPE OF USE: SF .UGR LOAD. 40 SECOND: 747 of GARAGE: 410 of FRONT PARKING SPACEa
TYPE OF CONST: 5N DWELLING UNITS: I FIN133MENT: 557 of RIGHT:
VALUE: f 123.525.64
OCCUPANCY GRP: R3 BDi,M: 3 RA-H: .3 TOTAL: 1,6280( r f REAR:
PLUMBING
SINKS: I WAI EP CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 5 D!a,IWASHERS: 1 FLOOR DRAINS! SEVER LINES: 100 SF RAIN DRAINS: 1 CATCH RASINS:
TUBISHOWERS: 2 GARBAOE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPt_S —^ FURN<100K: BOIUCMP<3Hi: VENT CANS: 2 - CLOTHES DRYER: 1
ELF FURN>-100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: htu FLOOR FURNANCES: VENTS. WOODSTOVE6: GAS OUTLETS:
ELECTRICAL _
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCfFEEDERB BRANCH CIRCUITS ~MISCELLANEOUS ADD'L WSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: W/SVC OR FOR: 1 PIIMPARRIGATION: PER INSPECTION:
EA ADn'L SOOsr: 3 201 400 arnp: 201 400 amptat Wr0 3VCWDR: 00 SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 SOL,amp: 401 - 600 amp: EA ADOL nR CIR: MONAUPANEL: IN PLANT:
MANU HWSVCIFDR: 6C1 1000 amp: 1101+4mps-1000v: .3INOR LADFL:
1000+amplvolt:
PLAN REVIEW SECTION
Reconnect Dory: —' ""•""—'
>e4 RES UNITS SVCIFUR>-225 I.: >600 V NOMINAL: CLS AREAISPC OCC-
ELECTRICAL-RESTRICTED ENERGY _
_ A.BE RESIDENTIAL B.COMMERCIAL
AUDIO&STEREC VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNOSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIO: PROTECTIVE SIGNL,
GARAGE Or 2NER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATArTELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 2,756.52
BROWNSTONE HOMES LLC BROWNSTONE HOMES,LLC Tigard
permit iP.uvea to the regulations contained in the
12570 SW 68TH PARKWAY 12670 SW 68TH PKWY Tigard Maniccai Code.State o k Specialty Codes and
PORTLAND,OR 97223 PORTLAND,OR 97223 n other applicable laws. All work will he done it
Rcoordance with eppl-teed plans. This permit will expire if
work is not started with in 180 days of issuance,or if the
ovork Is suspended for more than 180 day^.. ATTENTION:
Phone: Phone: Oregon law requires you to follow rules adapted by the
Oregon Ut9ity Notification Center. Those rules are set
Rog O: LIC 124627 forth in OAR 952-001.0010 through 952-001-0080 You
may obtain copies of these rules or direct questions to
OUNC by caning(503)246-1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8, Underfloor Insulation Electrical Service Insulation Insp Water Line Insp Rlumb Final
Sewer Inspection Plm/undslab Insp Electrical Rough In Gyp Board Insp Water Service Insp inspection
Footing Insp PLM/Underfloor Framing Insp Firewall Insp SpriAKer Final
Foundation Insp Mechanical Insp Shear Wall Insp Rain drain Insp ctrl Final
Slab 6 pp'Plumb Top Out Exterior Sheathing Inst Roof Nailing �echanl Final
Issu By : Permittee Signature
Call(50)6 -4175 by 7:00 p.m.for an Inspection needed the next business dsy
CITY OF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2000!'0255
13125 SW Hall Blvd.,Tigard,OR 97323 (503)639-4171 DATE ISSUED: 12/181100
SITE ADDRESS; 13115 SW MARLIN PL PARCEL: 2S104UA-10000
SUBDIVISION: QUAIL HOLLOW-WEST ZONING: R-4.5
VLOCK: LOT: 086 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF VSE.: SFA NO, OF BUILDINGS:
INSTAI 1.H YPE: I-TPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SFA.
Owner: _ _ FEES
BROWNSTONE HOMES LLC Type By Date Amount Receipt
12670 SW 68TH PARKWAY
PORTLAND,OR 97223 PRMT CTR 12/18/00 $2,300.00 27200000000
INSP CTR '2/18/00 $35.00 27200000000
Phone: 598-7565 s Total $2,335.00
Contractor:
Phone:
Reg#:
Required Inspections
Sewer Inspection
This Applicant agrees to comply-Kith all the rules and regulations of the Unified Sewage Agency. The permit expires
160 .lays from the date issued. The total amount paid will be forfeited:f the permit expires. The Agency does not
guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer
shall prospect 3 feet in all directions from the distance given. If not so located, the installer shal ;base a"Tap and
Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon lave r yo t (o ow rules adopted
by the n-UWity Notification Center. Those rules are set forth in OAR 952-001 10 th o h \ 952-001-0080.
You ay obtain ooplt�of these rules or direct questions to OUNC by calliny(503) 6-1987.
�' i
Issu d by: Permittee Sigr.dture:
Call (503) 839-4175 by 7:00 P.M.fdr an Inspection needed the next b lness da
CITY QF TIGARD Re�:Idential Building Permit Application Plan Check 0
13125 SW HALL BLVD. New Construction Recd By-
Date Rec'd,_d/
TIGARD, OR 97223 r Irl Single Family Attached Date to P.Ei. ��•
V 503-539-4171 I✓ Date to DST
F 503-684-7297 /I Permit x&9ZZ=_W-1
Print or Type
S,rcomplete or illegible applications will not be accepted
_--�- Name of Project —�----v � Na
Job 00041' 0011041) w �G
rr
Architect M ilin Address
Address She Addiess K- ronin+ J�
am'!
L CJtyla �� Zip Phone
P Z06
Owner ling Address Na'r�q
Engineer Ma lin Address
late ZrPho f ,fs �c
/Sc
CkG- �?Y�.3 �7SL5 ip
General Name /sta�rL 97�-Z"� 993 3
Contractor StZ93F owv-s �,(��_ Describe work New Addition O Alteration O Repan O
Mailing Address to be done
Prior to permit I10EWjDftIl CA/xwov'/ 4ddilional Description of Work: � � s>v
issuance,a copy ity/State Zi Pt
of all licenses
are required if Oregon Const.Cint Board Exp.Date PROJECT
expired in COT Lic Z7
# QS-IS-bO VALUATION
_$
I'�G'
database
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- L4C-X"MC1 _ Sq. Ft. Houser Ft.Garage —
Contractor Mailing Address
Prior to permit P.O. _s 6(p+61 Indicate the restricted energy installation by the electrical
issuance,a copy Ci /State Zip Phone subcontractor in the followin areas
of all licenses T tt C "172 ?75-`moi/
Restricted Audio/Stereo
are required if Oregon Const.Cont Board Exp.Date Energy System _ Alarms
expired in COT Lic# n 0 aJ7 ��l1U0 Installaticns Vacuum Irrigation
database System System
Plumbing Name c� (check all that Other:
Sub- 02Vr+w4-'1% C �u M.1�1A1 s Nom- ap I ) 1 -
Contractor Mailing Address Number of Units in Building Unit Number Designation
L
?605-.� J! JCAuF� _ � Has the Subdivision Plat recorded? N/A YDS NO
Prior to permit City/Stale Zip Phone VV
issuance,a copy t 13 L(ob' 47 D _ -
ol all licenses are Oregon Const Cont Board Exp Date
required if Lic
expired in COT # 7)2 'N31) L31 1 hearby acknowledge that I have read this application,that the
database Plumbing Lic # Exp Date information Oven iscorrect,that I am the owner or authorized agent
of the owner,and that pl s ub*litted are in compliance with
_
Oregon St a laws. _
Name �� Signatur� f Owner/Apt D%
Electrical s hU06 C�t2172,L
Contact Per on Name Phno
Sub- Mailing Address
Contractor -WI-7 -8 E I -
City/State Zip Pho
Prior to permit 'I pp I
issuance,a copyv� �'�gG'l^�i q13 FOR OFFICE USE ONLY:
of all licenses are Oregon Const Cont Board Exp Date Plat# MapfTL#:
required if Lic#
expired in COT I k 0151 aS/��9 �ODDO
---- `��"-- Setbacks:
database Electrical Lic 0
q3'Z Exp Date ZonQ- S A46
L _
Electrical Supervisor Lic # E>p Date LL Engineering Approval. Planning Approval TIF
WslsUorm0sfa-new doc 11/20/92
CITY OF TICAL D Credit No.: ��—
Date Iss�jed: _ June 8. 2000
i
Engineering
Authorization
Date: June 8, 2000 _
I
TRAFFIC IMPACT EEE
CREDIT VOUCHER Land Use
_• __ Casefi{e No.: 97-517-PD/S/DHA
I
In accordance with Ordinance 379 _ Cypress Ventures _
'nr+M"a«Mao•q
is entitled to $ 292.254.91 in Traffic Impact Fee Cred?ts tlfat n be applied to TIF
charges for development on lot(s) all of the Quail Hollow v WEST Developments. To use
this credit, present this form at the time of issuance of the building permit.
fDate Permit Numbers Lot Numbers Credit Used Balance
Beginning Balance $ 292,254.91
i
Balance carried forward to TIF Credit No.
• Ordinance 379 provides for an expiration 7 years from authorization.
Use Additional pages if necessary.
IoginwioWjv009,