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13035 SW Seca Court
CITY OF TIGARD BUILDING INSPECTION DIVISION MST ZAET
24-Hour Inspection Line: 6: 175 Business Line: 63,9 --�' ��
BUP _
Date Requested r l —fatit_ FIM B!_D
Location_ 3 G�� -� - L � _ Suite MEC
Contact Person Ph•3L,& 77 Z SL Z�e PLM
Contractor Ph SV'JR -- —
BUILDING -- Tenant/Owner _ ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain GGN
Crawl Drain Inspection Notes:
Slab _ — --------- -- _ SIT
Post&Beam
Ext Sheath/Shear ----- --
Int Sheatn/Shear
Framing ---
Insulation
Drywall Nailing
Firewall
Fi,e Sprinkler +,r�,� �7
Fire Alarm °"
Susp'd Ceiling --- -- -
Roof
Misc'-- - — lt►r --r-r�+sr. ---- - ----
Final
PASS PART FAIL - ---- ----
PLUMBING
Post&Beam _ --�-1-,�'=�- �1.,�G%-.��-�-�..z y --�-►�=- �-�-:�� ---------
Under Slab
Top 0u2 -------
Water Service
Sanitary 19ewer
Rain Drains _
Final
PASS PART FAIL
MECHANICAL
Post&Beam ------ -- ---- - ---------
Rough
---Rough In
Gas Line -- — - --- —
Smoke Dampers
Final — --- -- --
PASS PART FAIL
ELECTRICAL
Service.
Rough In
UG/Slab
Low VoltagF
Fire Alarm —
PART FAIL _ -- �- ----- ---
MW
Backfill/Grading --- —-- --
Sanitary Sewer
Storm Drain [ Reinspection fee of$ —required before next Inspertion. Pay at Cltv Hall, 13125 SW Hall Blvd
Catch Basin [ Please call for reinspection HE: [ I Unable to Inspect-no access
Fire Supply line --
ADA _
Approach/Sidewalk Date / ��1 "'d —_Inspector Ext
Other J `1
PASS PARI FAIL DO NOT REMOVE this Inspection record from the)ab site.
CITY OF TIGARD M!" DING INSPECTION DIVISION MST -2oo1_ 00127
24-Hour Inspection Line: 6's .175 Business Line: 639-4 — -
BLIP
-- --Date Requested _A�____. pM BLD
Location 13:35 "�!� ,.,cite
C= r MEC
Contact Person Ph —_ PLM
Contractor Ph SWR
BUILbINGTenant/Owner ELC
Retaining Wall 4
--- -- - - • --•--- -----__-------- ---------
Footing -- ---
Access: ELR
Foundation FPS
Ftg Drain _ --- --
Crawl Drain Inspection Notes ---'— SGN _—
Slab
Post& Beam l
Ext Sheath/Shear
Int cath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
------. __- _-�_. _----- ----------._._---------- -
Fire Alarm
Susp'd Ceiling ----- ---- - .._.--- ------- .....------ - - _ ----- -- --
Roof ------`
Mise
Final - ----
PASS PART FAIL - - ----- - -- - --- --- ------
PLUMBING
Past& Beam -- -- ----- ---- --- _ - ----
L,,ider Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS __MQ T FAIL
Post& Beam - -- - - --- -------- -
Rough In
Gas Line - -- - --
Smoke Dampers
PASS ART FAIL
ELECTRICAL -- -- -_--- - ----- -- -----
Service --
Rough In _—.----- --- -------r.-_
UG/Slab
Low Voltage ------ --------
Fire Alarro
Final --- -- —_-------.- —�_—_--__--- _----------_--
PASSPART FAIL
SITE.. ------ ---- ---._— . _.._____. __ -- --------—
Backfll/Grading -- ---- --------- ---- --__---- _
Sanitw Sewer
Storm Drair: ( j Reinspection fee of$—_ _--required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire S„pply Line [ ]Pleas,,call for reinspection RE --_ _ [ ► Unable to inspect-no access
ADA
Approacn/Sidewalk
OthP, — Date Inspertor____—__— -------Ext
Final -
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
MASTER PERMIT
CITY OF T I G A R D
�1 DEVELOPMENT SERVICES DATE ISSUED: 5 22 01 00177
13125 SW Hall Blvd.,Tigard. OR 97223 (.503) 639-4171
SITE ADDRESS: 13035 SW SECA CT PARCEL: 2S 104DA-12800
SUBDIVISION: QUAIL HOLLOW- WEST ZONING: R-4. )
BLOCK: LOT: 114 ,JURISDICTION: TIG
REMARKS: New SF detached rowhouse in Building#12. Setbacks as per sheet A10.10
Plan B-N
BUILnING
REISSUE: i STORIES: 3 _ FL001•AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 31 FIRST: 173 of BASEMENT: of LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 706 of GARAGE: 513 of FRONT: PARKING SPACES:
I YPE OF CONST: 5N DWELLING UNITS: 1 rINBSMENT: 580 of RIGHT:
OCCUPANCY ORP: R3 BDRM: 3 BATH: ,. TOIAL: 1,469.00 of VAI UE. $138,1q300 REAR:
_ PLUMBING
SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: IOC TRAPS:
LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 2 CATCH BASINS:
TUSISHOWERS: 2 GARBAGE DISP• I WATER HEATERS: 1 WATER LINES: 100 BCKFI.W PPEVNTR: GREASE TRAPS,
MECHANICAL OTHER FIXTURES: I
_ FUEL TYPES FURN<100K: 1 BOIUCMP<3HP: VENT FANS: 3 CLOTHES DRYER: 1
(;Al, FURN>.1COK: UNIT HEATERS: HOODS OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS 1
ELECTnICAL
RESIDENTIAL UNIT _ SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 31'OR LESS: 1 0 200 amp: 0 200 arop: W/SVC OR FOR: 2 PUMP/IRRIGATfON: PER INSPECTION:
EA ADD'I 500SF: 3 201 •400 amp: 201 40n amp: 1st W/0 SVC/FDR: 00 SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 600; •0: EA ADDL SR CIR: I SIGNAUPANEL: IN PLANT:
MANU HM/SVC/FDR: 601 • 1000 amp: out-amps•100OV: MINOR LABEL:
1000.ampNolt:
Reconnect only:
PLAN REVIEW SECTION
>•4 RES UNITS: SVCIFDR-225 A.: >BUO V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL S.COMMERCIAL
AUDIO 6 STEREO VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: 0TH: ALL ENCOMB BOILER: HVAC: LANDSCAPE/IRRIG: PROI EC*IVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA,'TELE COMM: NURSE CALLS: TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 3,553.49
BROWNSTONE HOMES BROWNSTONE HOMES,LLC This permit is subject to the regulations contained in the
12670 SW 68TH PKWY#200 12670 SW 68TH PKWY Tigard Municipal Cede,State OR. Specialty Codes and
PORTLAND,OR 97223 PORTLAND,OR 97223 all other applicable laws. All work will be done it
accordance with approved plans, This permit will expire H
work is not started within 180 days of issuance,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 Those rules are set
Rog N: LIC 124e1, forth in OAR 952-001-0010 through 952.001-0080. You
may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8, Underfloor Insulation Electrical Service Low Voltage Firewall Insp M Ins action
Sewer Inspection Plm/undslab Insp Electrical Rough In Gas Line Insp ain Insp M Chanicll Final
Footing Insp PLM/Underfloor Framing Insp Gas Fireplace /� Roof Na ng PI Mb Fi at
LFoundatlon Insp Mechanical Insp Shear Wall Insp Insulation Insp r Water U Insp F al In action
Slab In3p Plumb Top Out Exterior Sheathing Insl Gyp Board Insp Water Se Ic ns
Issued By ; �C.►i' �,�. .1�_ Permittee Signature : e_-- ,•
Call (503) 639-4175 by 7:00 p.rn. for an inspection needed thili next business day
CITYOF TIGAR® SEWERCONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2001-00119
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/22/01
SITE ADDRESS; 13035 SW SECA CT PARCEL: 2S104DA-12800
SUBDIVISION: QUAIL HOLLOW-WEST ZONING: R-4 5
BLOCK: LOT: '114 JURISDICTION: TIG _
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SF detached rowhouse.
Owner:
BROWNSTONE HOMES
12670 SW 68TH PKWY#200 _Type By Date Amount Receipt
PORTLAND, OR 97223 PRIVIT CTR 5/22/01 $2,300.00 27200100000
INSP CFR 5/22/01 $35.00 27200100000
Phone: 503-598-7565 --- --
- Total $2,335.00
Contractor:
Phone:
Reg #:
—_ Required Inspections
This Applicant agrees to comply with all the rules and regulati:,,is 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 accuracy of the side sewer laterals. If the s% er is not located at the m91nessday
efi,the installer
shali prospect 3 feet in all directions tram the distance given. If not so located, the inst .hake a"Tap and
Side Sewer" Permit ,=1(! the Agency will inst, 'I a lateral. ATTENTION: Oreon law.
g regIluw rules adopted
by the Oregon Utility Notification Center. Th, se rules are set forth in OAR 952- 1-00 P,9 2.-001-0080.
'ou n-ay obtain copies of these rules or direct questions to OUNC by calling (5"3! 2 F
Issued by `
.�' C Permittee Signature:'Call (503) 639-4175 by 7:00 P.M. for an inspection needed the�ex� ay
�' R,z0O/ - DD//
Building hermit Application
Date received: f/_ Permit no.:l�'!j?�� Q 7
city of Tigard Projecdappl.no.: Gxpiredate:
cu �, liarG
Address: 13125 SW Hall Blvd,Tigard,OR 9723 —
y f 8 Phone: (503) 639.4171 Date issued: By:t. Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: I&2 family:Simple Complex:
1
Ph &2 family dwelling,or accessory U Commercial/industrial U Multi-family New construction U Demolition
U Addition/alteration/replacement G Tenant impmvemcni U Fire sprinkler/alarm U Other: __._
INFORMATIONJOB%1111'k
Job address: S �,! i r L - I Bldg. no.: Suite no.:
Lot: / '-/ Block: Subdivision: Quili liov-> - T. Tax map/tax lot/account no.: ---
Project name: QA L LU x...
Description and location of work on premises/special conditions: �ItC kr 10^S
Name: 3RG�1n1 trot-jl vMtcs
Mailing address: 1*7-(o70 C 1 do 2 fatally dwelling:
City: p �_/t►�1O 1Statc:br ZIP �2Z3 Valuaron of work...................: ............. $
Phone:5t?1 at,5 Fax: 18 ytnt) I E-mail: - No.of bedrooms/baths............ .............
Owner's representative:_" M_—��+lot:s - Total number of floors................3..............
--- --
Phone: 5775 l ai 57�X19'1_ r nr i New dwelling area(sq.ft.) .....�..��.Q ......
Garage/carport area(sq.ft.)
(eC�� ........
Covered porch area(sq.ft.) .......
Name: A�3Qr1E --
E _ Deck area(sq.ft.) 4U'So �..
Mailing address: -_ � ..........�............
City: State: TLIP: Other structure area(sq.ft.)......................... _ ---
1�---— CommercloYindustrial/multi-family:
Phone: Fax: E-mail:
11 Valuation of work........................................ $ —
1
Existing bldg.area(aq.ft.) ..........................
7Addmss:
name. �i6&
— Pr. -- — New bldg.area(sq.fl.)................................
Numberof stories........................................
StaterTLIP:
Type of construction....................................
Fax.: E-mail• Occupancy group(s): Existing:
CCB no.: _ New:
City/meurr lie.no.: —Notice:All contractors and subcontractors are required to be
t licensed with the Oregon Construction Contractors Board under
Name: "1 ,� d provisions of ORS 701 and may be required to be licensed in the
Address: �\q C01��D li (a$�l jurisdiction where work is being performed.If the applicant is
exempt from licensing,the following reason applies:
city: : Statc:W ZIP: (01()1 -
Contact person: Plan no.:
Phonc:'j66- Q(0 - r Fax:'l 7- Email: - --
Name:W A 'pE6on:tEW 011, Fees due upon application ........................... S.—
Address: -5Date received:
City: _ StaterDi ZIP q Amount received ......................................... $_
PhoneL t cg - A G 33 1 Fax: I E-mail: -- — Please refer to fee schedule.
1 hereby certify I have read and examined this application and the Na all junsdktilxn arcept credit cards,please call Jurisdiction for rues inf(Ktlution.
attached checklist. All provisions of Is s and ordinances governing this U Visa U Mastercard
%ork will be complie�11,,whe{�e s 04- ifeed herein or not. Credit cwd number:---- —�-�'-
�t e)�ll.�,- Expires
Authorized signature:_� 1G__1 - Date: S G Name of cartlholAer u shown on cttdil erd
Pent name:.,
't r. ►M )A-(_" --- _ Cwndeeriign,•u,e s Amount
Notice:This permit application expires if a permit is not obtained%kidiin 180 days after it has been accepted as complete. .4101613(6KOK'ohl)
Mechanical Permit Application
Dare received: Permit no.: 41(7� /.Q /7'
City of Tigard Project/appl.no.: Expire date:
Cityojltgard Address: 13125 SW Hall Blvd,Tigard,OR 97223 y, P
Phone: (503) 639-4171 Date issued: B Receipt no.:
Fax: (503)598-1960 Casc file no.: _ Payment type.
Land use approval: lluildinp permit no.:
)Ell a
l� &2 family dwelling or accessory U Commercial/industrial U Multi-family U'Tenatlt improvement
®New construction U Addition/alteration/replacement U Other: —
.1011 S11 FE 1
Job address: 1 ) SGC Cr Indicate equipment quantities in txpxes below.Indicate the dollar
Bldg.no.: .Z Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax Int/account no.: profit. Value$ 3 —
Lot: Block: Subdivision:QUAd Fol low LL 'See checklist for important application information and
Pro jurisdiction's fee schedule for residential permit fee.
City/county: j ICjAtX> ,WIA ,
Description and location or work on premises: =,_O l 1 t
_ Fee(m.) 7 otcl
Est.date of completiordinspection: Dewrilpdon Qt Res.oldy Res.onl
Tenant improvement or change of use:
Is existing space heated or conditioned?U Yes U Nu Air handling unit CFM
it con r oning(site plan required)
Is existing space insulated?U Yes U No I Alteration f existing HVAC system _
1 ioi er compres:iors
Business name: fouep6mb, F• 1!Y 1 (cel r n r State boiler permit no.:
----------- _— HP Tons BTUfH
_Address: O` to('0 AL _ it smo a dampers/duct amo a detectors
Cit U(L"1 Statet�L ZLP:Cf7 Z�O eat pump(site pan rcqui
Phone: fj-2ftj q I Fax:775 1141 1 E-mail: _ nsta rep ace urnac urner___
Including ductwork/vent liner is Yes U No
CCB no.: QQj2�3 _ _ nsta UrepTeTrelocat—eer-F aters-suspen ,
City/inetro lic.no.: t5o 60 1 2� _ _ wall,or floor mounted _
Name(p lease print): I kV1 MAOVA- ens ora anceot er an ace
e er:
Ahsorptionunits _ BTUM
Name: -111 ILA V1p,Nf� -__ Chillers— —_ HP - -
Address: < E Cc7 ressora HI'_
rotunentai,,Tiaurt arnTvent at on:
City; State: ZIP. Appliance vent _
Phone: Fax: Email: eicx aust I _
ids TypeiTlTlrcs. ttc et azmat
hood fire suppression system
Name:
e7- r, Exhaust fan with single duct(bath tans)
Mailing address: Y x aunts stem a artromheaii�n—or�Z
City: State: ZIP: rte piping an st Tor,(up t' 4 outlets
Type: ^_L.PG AG X—Oi
Phone: Fax: E-mail: ucoi pin each ac iuonTeiout
rocs piping(sc erratic r:guar
Name: S i4 I1A r A EN i Number of outlets s _—
---A L_ — ter11sted apr equipment:
Address: _ Decorative fireplace
City: State: ZIP:
Phone_ Fax: E-mail: stov pe etstove75U—
Applicant's
:Applicant's signature: _ _ - Date: Other. _
Name(print): _ __
Na all juriarticaom arrrl+credit cards,pirar call jurisdiction for mcxle inrarnWian. Minimum
................$ !V•
U Visa U MasterCard Notice:This permit application Minimumm feeee.......
expires if a permit is not obtained Plan review(at — %) $ _
Credit rad ramtra:�_ —� ___L 1 _._ within 190 days after it has been State surcharge(896)....$ -
Etplrea
— -
Now- �d C10, t —� accepted as complete. TOTAL TOTAL.......................$
_77—
,� .CardWder ailnartae ��Atraamr 410-4617(W)WOM,
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEUULF-:
TG__ 0
TOTAL VALUATION:! FEE: __ Description: - Price Total
$1.00 to$5,000.0Minimum fee$72.50 Table 1A Mechanical Code Oty (Ea) Am!
001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Fumace to 100,000 BTU
$1.52 for each additional$100.00 or ,lciuding ducts&vents 14.00
fraction thereof,to and including 2) FUmace 100,000 BTU+ �-
____ $10,000.00. _ including d-icts&vents 17.40
$10,001.00 to$25,000.00 $148.50 for the- st$10,000.00 and 3) Floor Furnace
$1.54 for each additional:100.00 or includin vent_
fraction thereof,to and including 4) Suspended heater,wall healer ---
_
$25,000.00. _ or floor mounted heater _ 14.00
$25,001 00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included in apNuanoe permit
$1.45 for each additional$100.00 of _
fraction thereof,to and including f) Repair units -�
_ $5u,000.00. _ _ _ _ 12.15_
$5Q001.00 and np $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 Gond
fraction thereat _ footnotes below. Com • •+
7)<3HP;absorb unit
AS
__M_E_Q VALUATIONS PER_A_PPLIANCE: ___ to 100K BTU 14.00
Value total 8)3-15 HP;absorb
unit 100k to 500k BTU 25.80
DescriQtlon__ ____ Q (Ea) Amount p)15-30 HP;absorb
Fumvc,:to 100.000 BTU,including 955 unit.5-1 trill BTU _ 35.70
-ducts&vents 10130-50 HP;absort,
:e>100,000 RTU Including 1,170 unit 1A.'s 5 mil BTU _ 52.20 _
&vents 11)>50HP:ab3orb
.,jmace including vent _ 955 unit 11.75 mil BTU 87.20
Suspended heater,wall heater or 955 _ __L_
12)P,Ir handling unit to 10,000 CFM I
floor mounted heater 1000
Veal not Included in appllcance' 445 1
13)Air handling unit 0,000 CFM+
permit 20
Re air units 805 14)Non-portable evaporate cooler
<3 hp;absorb.unit, C55
1000
l0 100k BTt l 15)Vent fan conned3d to a single duct �1
3-15 hp;.absorb.unit, 1,700 � 6.80
101k to 5001,BTU
Ej
15-30 hp;absorb.unit,501k to 1 2,310 16)Ventilation system not Includeo in
r^11.BTU appliance permit 10.0f)
30-50 hp;absorb.unit, 3,400 17)Hood served by mechanical exhaust
1-1.75 mil.BTU 10.00
>50 hp;absorb.unit, 5,725 18)Domestic Incineref•ors
>1.75 mil.BTU 17.40
Air handling unit to 10,000 cfm 656 1 19)Commercial or indWrial type Incinerator
Air handling unit>10,000 cfrrl 1 170 - 89.95
Non-portabl4 evaporate cooler 858 20)Other units,Inr�uding wood strves
Vent fan connected to a single duct 446 _ 10.00 --
Vent system not Included in - E56 21?Gas piping one to four outlets
5.40 _
appIianceemail __, -� 22)More than 4-per outlet(each)
Hood served by mechanical exhaust 656 _ 1
.00
Domestic Incinerator 1,170- Minimum Permit Fee$72.50 SUBTOTAL: q
Commercial or Industrial incinerator 4,590 _ Y': $!Z X-
Inserts,ePltcinduding wood stoves, 858 801,State Surcharge $ rr
Gas p1pinq 1 4 outlets 360 25%Plan Review Fee(of subtotal)
Each additional outlet e3 $
Required for ALI_commercial pormlts only
TOTAL COMMERCIAL �• �
- _ _ � TOTAL RESIDENTIAL PERMIT FE _. �. $
VALUATION:
Qther InspitftlonLend Fegj:
1 inspections ooitrlde of normal business hours(minimum chargedwn hours)
$72.50 per'
2 Inspection, no fee Is specifically indicated (minirrnrm charge half hour)
$72 EL pe
3 Aoditlons required by changes,additions or revisions to plans(minimum
charge one-iw,..h,jr)$72.50 per hour
*Stats Contra:•lor Boller Certification required for units 400k BTU.
"ResidenVi.1 A/C require site plan showing placement of unit.
I:ldstsVonnslrrlech-fees.doc 10/11/00
Electrical Permit Application
City 4f l fgnW ppa a pp'00. `�-- Napredot r:Ali L
- —
Adtimes. 13125 S W 4 1 Blvd,7l )R 97221 —�- -
clnarntbrtr ice• Dat•Utuad: »f' R+oelptta
Pbnne: (305)639.1171 —. - —
Paz (St13)59&1960 Cur uta ao.: Payrrwot type __j
band ute approval:
,,A 2 fasiily dwellial tx as PIKWy U Cotn"rtiaV,-.&str!al U Multi-family J Tenant improvement
VA New Cmaeawtit-'it O 0 Other. __ U pamal
Job a9N% _ �1 M'- Suits no., rw: ,
Suhdivialtao QuAI+1. Foo hirer war
t ntttna: ^'-r41 40 11 c o Deacnpli(xt and kation of wtxk on Demlux N eW e4*J'4T11Ak Tim1
Umaad data cf axr,-etioniltu non:
JBOIL so
w•�1nwa naete_: S,rer eam1 i ne t w f.1.1 r' -J--- _WWnridvdW-a'IteaW ► M.. T I�.
eras, __ __ IrMr,tilRdl iwMM.rabrMa/��.
V n c o u v
1t}IOtM: 9 9 3_ rat _ ' tnaii: - ---- IOOU�e r<or i•ae I S �
1 1 E3eo.bue.Iks.not 3 4- 4 3 2 .acaaatlllittrl SOo n.a��K
�.-� Liartna �werdr+tH_ �S�
CI hltanre 1k.tlo.: .- ....__ _ L;1nfaC coag j��a re/ideMul
--- - mtrwfeau a W ttndul•r d"Ib"
n.wn K gpervytna a 'M�a'9VI ardhwfMO•I 2_
rltcat aMttn lrN/, t.biMK ro w rt�ee4'>�r lal�lrr,` .r
4ltetaa"K wlrratter
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Nantc(pti itorsno«q.
.all,
d pcfdrr�a 1►y► .at tap to
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rt �tillia:� � F _.rr mm r.�b-�
0 &mail: Rota ow and
(Mrnlr 1f1/alUt+tlon'' ins"Hi m is Ming Mala on pin bttl y I);; orf •ai 1a�AKs.
CIAY UMP
Phe
` wMCh Is toot bflddW for sale.I t>r aaclimi r Wcomins toIM!no rA ku
bafitttapttrtie!►aMaAa.�iacaMas
OILS 417,6!'.179.,10T.t1'01. T�4 ie ji}arfr4 2
401 te
ft+w hr rtww,a11w+17464
..asrw,u»a FINIF PAWL
A. Fw rot btw%crwrita Mdt purclver of
Add": ^'W4 via or arrh tttaa411 pwh
Ci � Suer 72P 11"ft trtteeot dre• .;
Mar-06-01 03:05 ' walCOtt Plumbing 503 667 9891 P.01
01!x0/01 TV-' 14 41 FAX 501 SOS 1960 C(•[Y rw nCAIM r6 002
Plumbing Permit Applications
City Of Tigard note rcccived: N mn
Scwei p:rmit vo.: Budding permit no„
ntklre�:e: 13123 SW Hall Blvd,'Tigarl,OR 97223
Cayor'Tirafd (Mone: (503)639.4171 RolecVaptl.no � t3apirs4atc:
hx: (50.1)59R-1960 Dille is ued By: ReceipttlQ.• —
IA use approval: _-- _ CCU file na - _ Paytncnt type
U 1 &?family dwclling ur acceNsory 4 Comimici-Minduitnal O Multi-family Q Tenant improvement
Q New cuotuucuon 0 Additi(n/alle►warWreplacernent U Food wrvice Q Other:
lobAdd � � e T- L»crl�Ya� Qty. lFeo(ea. Total
rwr. _
Bldg.nu.; /Z. _ suite no.: New l•and 1-tants+;,WeWnga't' y:
BldTLR.nu.; ><IoVaccouut no.: �y rbctudra Ice n.for M46 utility roaseettoa)
—• SFR(1)bath
Lul Bltx4_�Subdirtslonr 2--�ath ----__�•_ �_
I'roject Dame: (.) r - - -
Cayicounty: ZIP: Ea ijd i ortal at, lichen
Desc•Iption and location of work on prr"Usec Site alultfea:
Catth basin/area-put
Est,dote or c(unplotlotslluspectnnr� - _— tywe ileac Ilp`eJuutandraT
0o n dram nu. n. 4
.Manufactured home unhtien
I DAJi:lcSsLame: uJo1C•o`st 1�� ergan tic,
- Sa � Rain connector)
City;
aollu sewer(no.Ila
Pltolle 30)-447-i7 1 Fax bi7-9tl 1 I E•InoA; y►. pta_ts�tcv Storm Jewer(Do. in.fl.)
CCB no.: 2?g yl Plumb.but.Mg.oo:24-7 o 4 Pp Water arrvice(no, •n. t
Flitture or heou
rCityimeuv sic no.. 14
Ab tion v111ve
Cuotrrctor's represeelativc si assure: .. ._..
.�.---- �a.:k(low praveotet
1Dd Hitckwater Valve
�asln avato
CIO 9 IN
Nanta es,wns ter
Addteea: -
Ci L State: ;Ip; r-6 i tuuntatn(t)
. ��` :jcc tvm
Phone Fax l E-mail. -apenitueiinT
ixtu sewer Ca _
Name(print): _ �,!_ F1wlr not ri /bu _ - _
Ma _•xtldress: _ -- �bagee di: ,01121 �
Hose bilin
City. ---� State :IP: ce n er
hunei----- FaA: F-mail rtts:rcc for reaktra - ---
Owner rastallatiutv'tesldrntlr! ntalnunami; only: Thtactwxl utstallation 11r.mer(.,) _
will be made by one or the malntcnaace and repair alfa de by my regttlu oo tirmr(commercial) _
cmployce nn the pmpeny I own a.1 per ORS Chapter 14' i a,barm(s�,uvs( )
Qwncr's signature; urnP
WL u a ewer ower
t;nna _
Nuns, lR'atercotal
AJJrcst. _ neer akr
ZIP; __
Phone: Pea: E rnnil �, Tota I _ _
Minimum fox...
r+w ell jOwftaoat MW aoid1%Utilli.PWM tallIudwUtlir ra n+ett•a nm lift •100e''1'llis permit appifeabas
U Ail O Mutercrrd expires if a permit is nuc obtained Plan review(at S
_9b;
CRJII data ltithin 190 days after it ha ball State tgrcharr(11%) -
ral rte TOTAL .......••........,...•.
eTiU-Jwai+i(n(.:r iia mhtM' 4NT ""'
csyptedv:ompkte
+_.. —Talell itItMlWa _ Alr ou^� t� IM W61n f6V0'CiM)
17)
( ID i
Mar-06-01 03:05P Wolcott Plumbing 503 667 9893 P.02
�J.-Oliiul r'l'L' 14:4: VAX 503 SAA 1963 CITI f)F TICARV
if 003
PLUMBING PERMIT FEES:
'7rQTi�L New 1 end 746mllydw le ps only.
1 FIXTIZR (Indlvidrial) __ '_ . G><Y"+ tis r AMO�ujN�f (i�cludrs all ptumbinppT,itturel in Pf ICE TOTAL
Sift 6.6) the dwell!n9 and thi flrl�(.100 It!��' QTY (ep) AMOUNT
!orel.chutlik n�cllon
LfvNory �/r te,e) _)
�G'ne(1bath24.2 20 0
Tub or-ubtShwler comb. 16.8) Twuu t2)bath _350.Gu
Shower Only 18.6) Thrre(3l bath - Z399.00
Water Claet
Urinal 18. UOTQTA_h — `
t-. a%a3�AT�'��URCiIAROI! � ��
CietlwasnEr '! te.eJ PLAN REVIEW_25%OF SUBTOTAL
Garbage Cispofal
LvnrdryTray 1e.E
oth nqMacKn� 1 .
Frog Uriir bot Shk 2' Iota
Y. PLEASE COMPLETE:
4- 16,110
walef tNe4lar O tanv4rf10n G like kind 16( "7}-' uan ark ferformda
Cat piping requires a 600eri114 nwhenrcal I p lFIaWr'e Type;' `'• New Rep,m6v d,. RRecod R�ovedl
FG mo
hIHoNew titer Service 403-0 trr Ink
Mr U Moms Nevi,SarVSIOfm UW01 4810 level _ -
Nose B to 1 1e q Tub or ub/Shower
CombinaUon _
Raul 0,41116 --- ?e,lq nrr+vof y
orinit'nq Fourtoin i 16110 Water Closet
O w Fbrlulera jSpecllyl _ 16110 _ n --
fhwutler
Laundry
c Ola meal
ry Room r
-'-- Wafhin Ma me _
loor rain/ iNr
9.rer•1it 00' tS6 10 m 3.
Sewer-faeb eddltiulal 100' A6 to 4' —�-J
weler smved- ar b.)C Wit Healer
wiser7Jery ce ..d 4e to Other F•a1urN
_ ISPeCIt'rl _
6 Rai,Ola,l -�- 55
Sb m e ROIs fe I� 46.10
Cormnefui Bach Fr 46 —
Residenliel w3crcflc.. y 21 r5
r*Ich Baffin 18 110 �—
!nfpeCtlon ai ENrftlnq 1" - 760
IT' CbAMENTd REG4RDIN0 AIOVI"lWRugFord 66Ziiainha , tlofns -
Grease rimpit
QUANTITY TOTAL
laonrtric ar 4fe1 d!Wvm Is•44wf6d It
8%STATE SURCMARQ3!
-PLAN REVIEW 75%OF SLOTOTAL
RaquYu,�,r kitfrAlYfa tCr♦1�N 1
T TAL E
�Minlmam Prmit 10416 412 so a!1%stall altrhargt,aaald At rid eNlal 6eeNW4
wev"7un Deme 1.inKma 214.1!•0%stoic 7u it merge,
rtAU Naw Cetnt"mial 0ullerrvr rommk4 itlela with isame..0 a eo 1r sfet.m and
Nan-e d6w.
f F�dabllorrnslplm•kee.dcc 1Q/101JO
CITY OF TIGARD
13115 S.W. HALL BLVD.
TIGARD, OR 97223 l:
IMPOm WANT PERMIT NOTICE
WOLCOTT PLUMBING CONT. INC
PO BOX 2007
:RESHAM, OR 97030
Plumbing Signature Form
Permit #: MST2001-00177
Date Issued: 5/22/01
Parcel: 2 S 104DA-12800
Site Address: 13035 SW SECA CT
Subdivision: QUAIL HOLLOW - WEST
Block: Lot: 114
Jurisdiction: TIG
Zoning: R-4.5
Remarks: New SF detached rowhouse in Building #12. Setbacks as per sheet A10.10
Plan B-N
Your company has be-,n 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 Plu!nbing Signature Form prior to the start of the work to the address above, ATTN' Building Dept.
No pluribing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
BROWNSTONE HOMES WOLCOTT PLUMBING CONT. INC
12670 SW 68TH PKWY #200 PO BOX 2007
PORTLAND, OR 972.23 GRESHAM, OR 97030
Phone, 11 503-598-7565 Phone #: 667-1781
Keg #: 1 1(' 23847
PI M 26-208PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
. _
Signature )Nuth ri .ed Plumber
If you have any questions, please call (503) 639-4171, ext. # 310
CITY OF TIGARD
13125 S.W. HALL 3LVD. RECEI\IFC)
TIGARD, OR 97223
EMPORTANT PERMIT NOTICE COMMut+Ilr ufv'l�} Y .�
STREAMLINE ELECTRICAL
6025 EAST 181-H STREET �3�
VANCOUVFr-1, VVA 98661 I
Electrical Signature Form
Permit #: MST2001-00177
Date Issued: 5/22/01
Parcel: 2S104DA-12800
Site Address: 13035 SW SECA CT
Subdivision: QUAIL HOLLOW -WEST
Plock: Lot: 114
,li! :1sdiction: TIG
Zoning: R-4.5
Remarks: New SF detact.ed rowhouse in Building #12. Setbacks as per sheet A10.10
Plan B-N
Your company has been indicated as the electrical contractor for the pe.rrot indicated above. In girder for the
electrical permit to be valid, the signature of the supervising electrician is requirea. 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 cornpleted form is receivers
OWNER: ELECTRICAL. CONTRACTOR:
BROWNS ,ONE HOMES STREAMLINE ELECTRICAL
12670 SW 68TH PKWY #200 6025 EAST 18TH STREET
PORTLAND, OR 97223 VANCOUVER, WA 98661
Phene #. 503-598.7565 Phone #: 360-993-5080
Red #: LIC 116514
FLE 34A32C
SUP -21ws-
-T
'J�ims
AN INK SIGNATURE IS REGI BRED ON THIS FORM
X u
- T
Signature ref Supervising Electrician
If you have any questions. please call (5031639-417 1, ext. # 310
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line. 639-4175 Business Line: 639-4171 MS'P -U'Z'— � )7
BUP
_ --Date Requested_ I L 12 AM —__PM BLD
Location —� 3 !_' `yz-G�c� Cif Suite —_—__ MEC _
Contact Person _ �'Lc�-may Ph _ PI-M
Contractor C/ Ph SWR
BUILDING Tenant/OwnerELC _
Retaining Wall -� -�-�_- F_LR
Footing Access-
Foundation FPS
Fig Drain _ -------- SGN
Crawl Drain Inspection Notes ---
Slab
Post&Beam --------»_-.--------------------------- -- SIT ------ -----
Ext Shoath/Shear
Int Sheath/Shear
Framing - --- -----__. _-- - --- - -
Insulation � _____--� -- ---------i----
Drywall Nailing --- -_ - -- - ---- - _----- - _-- ---- -- ---
Firewall
Fire Sprinkler
_.------ --------- ---------------------------Fire Alarm
Alarm
Susp'd Ceiling
Roof ---------- -----_--___ --
J MI
iS-S ` PART FAIL ---- ----- - --- -- -- -- - - -----
PLUMBING
Post&Beam -
Under Slab
Top Out -----
Water
- -- --- - -- -- -- - ._..
Water Service
Sanitary Sewer -------.. .---------- - - - ---,_.-----_----- ----_-
Rain Drains
Final
PASS PART FAIT_
MECHANICAL_
Post&Beam ~' - -- - --- --- - -- - - - - -------------- -- - ---. -- - - -
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 fetr of$_ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ 1 Please call for reinspection RE _ ( Unable to Inspect-no access
ADA
Approach/Sidewalk i
Date
Other ae — _---_- Inspector-.` ..J�� _ Ert
Final � v
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUJI DING INSPECTION r'►I"J1SI,,)h+ MST -7-ev/a�17_[
24-Hour Inspection Line. 63,-Q.175 Business Lin,9: 339-4.
BLIPDate Requested p _ �1 - ANI_ Pi.4 --- BLD
Location U � `� � Suite —_---- MEC
Contact Person '�-R Ph -�� `1 c `>".> PLM
Contractor_ _ +_ Ph _ ----- --_ SWR
BUILDING Tenant/OwnerELC —_
Retaining Wall — - Et.R
Footing --
Foundation Access FPS
Ftg Urain
Crawl Drain Inspection Notes - — `AGN
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 PART FAIL - --- - --- --- - -- - -- - - - - -- - -- ---
PLUMBING
Post& Ream - - -- -- --
Under Slab
To+, Out
Water Service
Sanitary Sewer
Pain Drains
AS9� PART FAIL
ANICAI. - _ -
Post&Beam - -
Rough In _—--- -- --- -- ...------ ---
Gas Line
Smoke Dampers -
Final -
PASS PART FAIL
ELECTFtICAL
Service
Rough In - - --
LIG/Slab
Low Voltage -- ---- -----..---- ----
Fire Alarm
Final --- - --- --- -
PASS PART FAIL
SI TE
._ - ------ ----
B ackfill/Grading -- --- ----- -- --- _�_� --
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ _ required before next inspection. Pay at Cite Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I l Please call for reinspection RE:-__ _- -- [ ]Unable 0 inspect-no access
ADA
Ot,eoach/P;Idewalk -- Dxt@I __ Inspector r1� I/� __— Ext
Final —
PASS PART_ F-AIL_J DO NOT PEMOVE this inspection record from the job site.