Permit A . _CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2001 -00107
I& DEVELOPMENT SERVICES DATE ISSUED: 3/28/01
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
. SITE ADDRESS: 13021 SW RAPTOR PL PARCEL: 2S104DA 07600
SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R -4.5
BLOCK: LOT: 062 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FND FIRST: sf N: S: E: W:
TYPE OF USE: SFA SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: DOD. D 6
Remarks: Foundation permit for Building #6, Lots 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, & 73.
Owner: Contractor:
BROWNSTONE HOMES LLC BROWNSTONE HOMES, LLC
12670 SW 68TH PKWY STE 200 12670 SW 68TH PKWY
TIGARD, OR 97223 PORTLAND, OR 97223
Phone: 503 - 598 -7565 Phone: 503 - 598 -7565
Reg #: LIC 124627
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Foot/Found Insp
PRMT CTR 3/28/01 $62.50 27200100000 Final Inspection
5PCT CTR 3/28/01 $5.00 27200100000
EROS CTR 3/28/01 $40.00 27200100000
ERPC CTR 3/28/01 $13.00 27200100000
(additional fees not listed here)
Total $133.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. 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. ATT: TION: Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. ' /hose rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -1987. You
may obtain a copy o hese rules or direct questions to OUNC by calling (503) 246 -1987.
Iii
Pe rm itee 1
Sig Vie:
A Iss d By: , 1 • , ;�1 , i ce.
— l
Catt -4175 by 7 p.m. for an inspection the next business day
Building Permit Application n
Date received: -ff6® ,(P Permit no.:, ,// / . , . r
1� y( City of Tigard
' i
' Project/appl. no.: Expire date:
CiryofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: By: Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type: •
Land use approval: 1 &2 family: Simple Complex:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 New construction 0 Demolition
0 Addition/alteration /replacement 0 Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
7 Job address: /J02-/ , p . 1 p2 (_, . Bldg. no.: Suite no.:
Lot: I Block: 'Subdivision: I Tax map /tax lot/account no.:
Project name: �/ .
Description and location of work on premises/special conditions: 6 ,7D f9 r / /MN/7 � e! L � fj � .)a
�,e
A ,�,ss1S /30e2/ 4 hru /3/35" Set, KA "5 Q PL .
OWNER FOR SPECIAL INFORMATION, USE CIIECKLIST
.�C NameT W?J _ iJts (Flood plain, septic capacity, solar, etc.)
/ Mailing address: ZOOM %Z(Q ?v s. (a. GT.,— 4 zob 1 & 2 family dwelling:
City: 19Y) (State: O_ (ZIP: x7223 Valuation of work $
Phone: '$ - 151v5 I Fax: 5 Olt I E -mail: No. of bedrooms/baths
Owner's representative: e!nridts t-c- C-. VIA4rlS . Total number of floors
Phone: Fax: E -mail: New dwelling area (sq. ft.)
APPLICANT` Garage /carport area (sq. ft.)
Name: Covered porch area (sq. ft.)
Mailing address: Deck area (sq. ft.)
City: (State: I ZIP:
Other structure area (sq. ft.)
Phone: Fax: E -mail: Commerciallindustriallmulti- family:
CONTRACTOR Valuation of work $
/ Existing bldg. area (sq. ft.)
Business name: • c.dh5 • tM..- + , Pty.(
Address: \ Z.4 - 1 o S. 4a. (, g t" Zo a New bldg. area (sq. ft.)
Number of stories
City: 12 t9 ) State: C . I ZIP: 1 '022-3
Type of construction
Phone:15'157,,5 I Fax: I E -mail:
Occupancy group(s): Existing:
CCB no.: New:
City /metro lic. no.: Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: State: I ZIP: exempt from licensing, the following reason applies:
Contact person: I Plan no.:
Phone: Fax: E -mail:
Name: Contact person: Fees due upon application $
Address: Date received:
City: (State: 'ZIP: Amount received $
Phone: ( ax: I E -mail: Please refer to fee schedule.
I hereby certify I have re I. and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. A p wisions of laws and ordinances governing this ❑ Visa ❑ MasterCard
work will be compli • I ,� hether specified herein or not. Credit card number: / i /
�
Print n me J'�/
Slgn • e: Dat e: 3 ' Name of cardholder.as shown on credit cardP Print name: Cardholder signature Amount
Notice: This permit ap.o lication exp res if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6600 /COM)
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to
request additional plan sets for distribution purposes (for Contractor, City of
Tigard, Washington County, and Tualatin Valley Fire & Rescue).
1,1 otal #'of
� T ITTAL Plans v a KEY:
TYPE OFaSU'
"A : Sublltjed
S = Site Work (must include
S (New, Add or Alt) 4 location of all accessible parking)
B (New, Add or Alt) 1* B = Building
F (New, Add or Alt) 3 ** F = Fire Protection System
M (New, Add or Alt) 2 M = Mechanical
P (New, Add or Alt) 2 P = Plumbing
E (New, Add, or Alt) 2 E = Electrical
New = New Building
Add = Addition
Alt = Alteration to existing
building
*For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" requires that plans bear the original seal of an Oregon licensed fire
suppression engineer, or NICET level "3" technicians.
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CITY OF TIGARD. BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP ,DP/ 16 7
Date Requested �'� /6 AM PM BLD
Location / 3021 3 a , / Suite MEC
Contact Person Ph �ff3 5 7 PLM
Contractor Ph SWR
cBUILDIN : .; ..= : . Tenant/Owner L SS G 2.- 6 G ELC
Retaining Wall ELR
Footing Access:
FPS
Ftg rain 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:
F
lM PART FAIL
•
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 t';._, ; ti
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
• Backfill /Grading
Sanitary Sewer
Storm Drain [• ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date ' l� Inspector Ex t
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. •
ea
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP e 7 7 0o /-0b /0 7
Date Requested . AM PM v BLD
Location - / 3o &/ w f5 G t7/ Suite MEC
Contact Person Ph 7f .3 -.5 77 7 PLM
Contractor Ph SWR
B,UILD,IN . Tenant/Owner ELC
Retaining Wall ELR •
Footing Access:
!cc.— FPS
g g ain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation 6-1
Drywall Nailing �� t 5
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling •
Roof
Misc:
P S P FAIL
• PLJ
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 •
ELECTRICi!AL w
Service
Rough In
UG /Slab •
Low Voltage
Fire Alarm
Final •
PASS PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date 4 t ‘12 Inspector ! t / Ext
Final \\
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
, "` ,s - CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP (di — U o10
Date Requested I -(( AM Qavi, PM BLD
Location / 3 0 Z / Sw � 7kv Suite MEC
Contact Person Ph PLM
Contractor /� Ph SWR
Tenant/Owner (YO a^- j' 4`• ELC
Retaining Wall ELR
bo Access:
oundation FPS
Ftg Drain SGN
C
•
rawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
•
Int Sheath /Shear
Framing
Insulation
. Drywall Nailing \A) \ _ 1 No1 v C,LL �1I -
Firewall
. Fire Sprinkler I )■1-5 1 3 - < 1 c�D� MS .
Fire Alarm
Susp'd Ceiling
Roof 1 NE, k 4 C C.J5TA `R"�C� \)��l L
. Misc:
Fi I
PA PART FAIL a43vv ( C1Z2M
PLUMBING
Post & Beam
Under Slab
TO Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICALx. "r;
Post & Beam
Rough In
Gas Line •
Smoke Dampers
. Final • -
PASS PART FAIL
ELECTRICAL _ sn'. :
Service- .
Rough In
UG /Slab
Low Voltage
Fire Alarm .
Final
•
PASS PART FAIL
Backfill /Grading •
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk t
Date 11 Inspector
Other Ext
Final
PASS PART FAIL • DO NOT REMOVE this inspection record from.the job site.
:" :CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
Date Requested / AM PM BLD
Location t' 301 1 I�ec_( " ! 7h Suite MEC
Contact Person Ph 74 5 PLM
Contractor Ph SWR
r' Tenant/Owner ELC
Retainin Wall ELR
Foundation Access: FPS
Ftg Drain
Slab
Crawl Drain Inspection Notes a // , ,4 - SGN
Post & Beam / I IT
Ext Sheath /Shear
Int Sheath/Shear �7 do
Framing . —
Insulation
Drywall Nailing
Firewall
Fire Sprinkler \ - 7✓LE_ CS Q_ 3 AN -
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final Nvb 'CAIN-1 INS I b
A PART
t.
P Va2S •
Post & Beam
Under Slab v;',� - - ��T
Top Out
Water Service
Sanitary Sewer
Rain Drains ?U'l.p (t\4
Final \
PASS PART FAIL
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 fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA /
Approach /Sidewalk
Other Date Inspector 1, Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.