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13023 SW CADDY PLACE i c� Q �u Ln n w CL CL �c 73 d 0 m I 13023 SW Caddy Place CITN' OF TIGARD BUI' DING INSPECTION DIVISION MST 7�z'LGcu l Z 24 Hour Inspection Line: 61. .175 Business Line: 639-4, BLIP — __Date Requested l L' �% AM _PM BLD Location__- Suits MEC Contact Person �'..z Ph PLM Contractor _ — Ph _ —_ SWR BUILDING--- Tenant;t_wnerELC Retaining Wa!I — ELR Footing Access Foundation FPS Fig Drain -- SGN Crawl Drain Inspection Noies SlabSIT Post&Beam ---__.— _-_.... - - -- - -------- --- � -- Ext Sheath/Shear Int Sheath/Shear — ^ Framing Insulation Drywall Nailing Firewall - - ----- - --_----- --- - Fire Sprinkler Fire Alarm F„,;p'd Ceiling — -- - ------ -- -- _ _ ---'pool Miss _ -------------- ---- Final PASS PART FAA; - PLUMBING Post& Beam Under ------ -- - ---_.- ..- — Under Slab Top Out I --- --- - Water Service Sanitary Sewer - Ram Drains PART FAIL *EtHANICAL 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 I 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 r� Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 63: 175 Business Line: 639-4 �y BUP _ Date Requested_ � '�- �, AM_ —PM — _ BLD Location-1 3 _ ', _ r�L Suite ---- MEC Contact Person r)�l Ph PLM Contractor Ph SWR BUILDING Tenant/Owner _ ELC Retaining Well ----- EL.R _—_---- Footing Access: - —--- - — Foundation FPS Ftg Drain ---- Crawl Drain Inspection Notes: — SGN _ Slab _ — — SIT Post& Beam — - Ext Sheath/Shear Int Sheath/Shear ----- -- Framing -` Insulation - ------ Drywall Nailing Firewall — -------- ---- — Fire Sprinkler Fire Alarm — - Susp'd Ceiling Roof — -- Misc - —._.— ----- ._ FinalPASS PART PART FAIL — PLUMBING - ---- --'- Post& Beam -- ---- ------ - — Under Slab Top Out Water Service Sanitary Sewer __ -�_--- _----___ ---------- Rain Drains Final --- ----- --.——._—_— _ —_ — — - PASS PART FAIL. MECHANICAL _ -- Post& Hearn Rough In Gas Line Smoke Dampers Final --_ ____-- _ __ _ PASS PART FAIL _ ELECTRICAL - -- -- Serv!ce Rough In -- - ---- UG/Slat Low Voltage — - Fire Alarm ASS PART FAIL Backfill/Grading - _ --- --------- Sanitary Sewer Storm Drain i ) Reinspection f,e of$ —_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )please call for reinspection 4E.— —_— -- ) ] Unable to inspect- no access ADA _ Approach/Sidewalk 7 Ext Other Date /C i (nspt'ctc?r - r '1� — --- Final PASS PART FAIL Der NOT REMOVE this inspectiolis rec%�r�A from the job site. CITY OF T'GARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUR Date Requested I U - __AM --__F'M -_ BLD Location— r✓� ` '< _�_ Suite — — _ MEC — Contant Person � _ Ph __ PLM Contractor -- - Pti ---- 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: --- _a - --- ------ AS PART FAIL --------- - - - - - -- -- -------- --- ------- ------- PLUMBING Post 8 Beam Under Slab TopOut -- - ---- -.._-------_..------ Water Service _ Sanitary Sewer Rain D!ains Final ------ PASS PART FAIL — HANfCAlL Post&Beam ----- - - - - - —-----— ----- ... - Rough In Gas Line AnuZke Dampers ASS PART FAIL ELECTRICAL - Service Rough In UG/Slab - - ----- - --- ---- - Low Voltage Fire Alarn Final PASS PART FAIT_ SITE Backfill Grading -- — -- ---- - - Sanitary Sewer Storm Drain ( i.einspection 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 _ _ Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. \AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA A ► a :-C O -q poll .-- ► a �� 0. a D ,� ti � ► ..q ► a CD � � ► CTI rb a a ► d CC «� a z y ► ru ► 010 t" 01. d d o n ► (� 0 a ► a l y � r (A ° ► a M rlto /. a Cr•►° cn f a a r- o � ► a J ► a -� fQ • ► a ► a ► POSvvvvvvvvvv` vvvvvvvvvvvvvvvvvvvvvvevvvsvvv\ 7 I� 0 � R � o CA. "1 � y O b ` 0 � h o s R. E 0 a 1 O w 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 #: MST2001-00217 Date Issued: 4/10/01 Parcel: 2S104DA-13600 Site Address: 13023 SW CADDY PL Subdivision: QUAIL HOLLOW - WEST Block: Lot: 122 Jurisdiction: TIG Zoning: R-4.5 Remarks: New SF detached rowhouse in Building #14. Setbacks as per sheet A10.10 Plan B-S 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 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: ELEC-fRICAL CONTRACTOR: BROWNSTONE HOMES LLC STREAMLINE ELECTRICAL. 12670 SW 68TH PKWY #200 6017-8 EAST 18TH STREET PORTLAND, OR 97223 VANCOUVER, WA 98 Phone #: 503-598-7565 Phone #: 360-993-5080 Req #' uc16514 ELE 34-432c SUP AN INK SIGNATURE IS REQUIRED ON THIS FORM x �,� _- Signature of S�pervising 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 #: MST2001-00217 Date Issued. 4/10/01 Parcel. 2S104DA-13600 Site Address: 13023 SW CADDY PL Subdivision: QUAIL HOLLOW - WEST Block: I_ot: 122 Jurisdiction. TIG Zoning: R-4.5 Remcrks: New SF detached rowhouse in Building #14. Setbacks as per sheet A10.10 Plan B-S Your company has been indicated as the plumbing contractor for the permit indicated above. lir 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: Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: BROWNSTONE HOMES LL.0 WOLCOTT PLUMBING CONT. INC 12670 SW 68TH PKWY #200 PO BOX 2007 PORTLAND, OR 97223 GRESHAM, OR 97030 Phone #: 503-598-7565 Phone #: 667-1781 Reg #: 1 Ir 23847 PI M 26-208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X , S�gnature of Authorized Plumber If you have any qu ,stions, please call (503) 639-4171, ext. # 310 CITYOF T I O A R D MASTER PERMIT DEVELOPMENT SERVICES DATES UIED: 411010101-00217 13125 SW Ilall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13023 SW CADDY PL PARCEL: 2S104DA-13600 SUBDIVISION: QUAIL HOLLOW- WEST ZONING: R-4.5 BLOCK: LOT: 122 JURISDICTION: TIG REMARKS: New SF deta,hed rowhOLlse in Building#14. Setbacks as per sheet A10.10 Plan B-S _ BUILDING REISSUE STORIES: 3 FLOOR AREAS _ REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 31 FIRST: 113 of BASEMENT: of LEFT SMOKE DETECTORS: TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 735 of GARAGE: 426 sf FRONI: PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 FINeSMENT: 580 of RIGHT: OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 1,488VALUE: $138,630.00.00 of REAR. PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: ml) SF RAIN DRAINS: ] CATCH BASINS: TUBISHOWERS. 2 GARBAGE DISP: 1 WATER HEATERS. I WATER LINES: 100 BCKFLW PREVNTR GREASE TRAPS: MECHANICAL OTHER FIXTURES- ) FUEL TYPES FURN<100K: 1 BOIL/CMP<3HP: VENT FANS, 3 CLOTHES DRYER: CAS FURN>-100K: UNIT HEATERS. HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES. GAS UL TLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS A001 INSPL:CTIONS 1000 SF OR L ESS: 1 0 - 200 amp: 0 200 amp: WISVC OR FDR: 2 PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 400 amp: 201 •400 amp: 1st WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 800 amp: 5A ADDL BR CIR: I SIGNAL/PANEL IN PLANT: MANU HMISVCIFDW 601 • 1000 amp: 601+amps-1000v. MINOR LABEL: 1000.amplvolt: Reconnect only: PLAN REVIEW SECTIO14 >•4 RES UNITS: SVCIFDR>•215 A.: >600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC Lr: BURGLAR ALARM: 0TH: ALL ENCOMB BOILER: HVAC: LANDSCAOE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENEP: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL a SYSTEMS: Owner: Contractor: TOTAL FEES- $ 3,553.49 BROWNSTONE HOMES LLC BROWNSTONE HOMES, LLC This permit is subject to the regulations contained in the 12670 SW 68TH PKWY#200 12670 SW 68TH PKWY Tigard Municipal Code,State of OR Specialty Codes and PORTLAND,OR 97223 PORTLAND,OR 97223 all other applicable laws All work will be done in accordance with approved plans. This permit will expire If work:s not started within 180 days of issuance,or if the work Is suspended for more than 180 days. ATTENTION: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set .leg 0: 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 calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Underfloor insulation Electrical Service Low Voltage Firewall Insp Appr/Sdwik Insp Sewer Inspection Plm/undslab Insp Electrical Rough In Gas Line Insp Rain draln Insp Electrical Final Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Roof Nailing Mechanical Final Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Wat sr Line Insp Plumb Final Slab Insp Plumb Top Out Exterior Sheathing Insl Gyp Board Insp r�Servi I p Final inspection 47 Issued By : _ Pennittee Signature Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITYOF TIGARD► _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00145 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/10/01 SITE ADDRESS; 13023 SW CADDY PL PARCEL: 2S104vA-13600 SUBDIVISION: QUAIL HOLLOW-WEST ZONING: R-4.5 BLOCK: _ __— LOT: 122 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: Ll PSWR IMPERV SURFACE: Remarks: Sewer connectio,i for new SF detached rowhouse. Owner: -- — --– -- --- -�- FEES BROWNSTONE HOMES LLC Type By Date Amount Receipt 12670 SW 68TH PKWY #200 _ PORTLAND, OR 97223 PRMT CTR 4/10/01 $2,300.00 27200100000 INSP CTR 4/10/01 $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 regulations 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 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 shall h base a"Tap and Side Sewer' Permit and the Agency will install a lateral. A rTENTION: Oregon law requires you tj fo ow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001 0 throu A 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (50.3) 46- 87. Issued by: ' �� Permittee Signature: A( ✓" Cail (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day I Building Perndtt Application Datereceived: Permit no. City of Tigardit ik — - Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: — Expiredate: Cityoj7igard — Phone: (503)6394171 Date issued: By: I Receipt no.: Fax: (503)598-1960 Case file no.: Payment type.- Land ype:Land USC approval: _ 1&2 family:Simple Complex: C'1 &2 farnily dv,elling or accessory ❑Commercial/industrial ❑Multi-family U144ew construction 0 Demolition O Addition/altemtion/replacement ❑Tenant imp–weniew ❑Fin.sprinkledalarm ❑Other. 100 SiTIE IN I-011NIATION Job address: 1 > '�na,) ('M r)I✓`i Bldg.no.: I �- Suite no.: Lot: I i! Block: Subdivision: ax map/tax lot/account no.: Project name: Un,t'( No 11vtoo ---T--�— Description and location of work on premises/special conditions: � — Sr; Nt�s'�aual EY� 1I ILI 11 hN F1 N 124 11110 KI1 Namc: tµr E t Mailing address: Z SA,U tp et-0 a LvA eW 1&2 family dwelling: City1-�� State:vt� ZIP: � 2Z� 7Valuation of work........................................ $ �— Phone:tr $75(0 5 Fax: h-46ool E•-mail: No.of bedrooms/baths.............f. ............ Owncr's representative: ► `'- Total number of floors................. _ - Phone: -1 -577cl Fax.-IN J3917a E-mail: — New dwelling area(sq.f1.) ......�. �.... _ Garagetcarport area(sq.ft.).....4P..V.4..... Name: A 4167- .4 Ib4°aa F Covered porch area(sq.ft.)....................... Mailing address: Deck area(sq.fL)...................d..5�.�. City: _ State: I ZIP: Other structure ansa(9.ft.)...........^ ....... Phone: Fax: I E-mail: Commercial4ndustriaUmultl-family- Valuation of work........................................ $— --- Business name: t: Existing bldg.area(sq.ft.) .......................... New bldg.area(sq.ft.)................................ +ddre Number of stories........................................ City: State: ZIP: F'Irone: Type of construction Fax: mail: .................................... CCB no.: — - -- -- Occupancy group(s): Existing: ---_ --- _.. New: City/metro lie.no.: Notice-All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: y _ provisions of ORS 701 and may be required to be ficenred in the Address: l -e-IWO M& - jurisdiction where work is being performed.If the applicant is City: QAF#kyr 1 k State: W A Zip:41C )I .29 exempt from licensing,the following reason applies: Contact person: N1�._ Plan no.: - -- — --- Phonc:'Zcz-"gfky: Fax: 0-1,GZ E-Mail: --- --- — - Name: /j,^ N lContact person U W Il tAft Fees due upon application ...........................$ Address: I tLI Date received: City: Stateur ZIP: 972 Amount received ......................................... $ Phone: fr+0'',,90">� Fax: E-mail: Please refer to fee schedule. I hereby certify 1 have read and examined this application and the Naw judedlctiau Weem creat raft.Please r,n jarisdicow for MW hd�. attached checklist.All provisions of lawsd ordinances governing this O visa O MasterCard work will be complied wjl whether s i ed herein or not. Croat cod number:—_--_—_ Authorized signature:— Date: q/Al let— Name or carlmW a:abown on credit cant Print name: 1 A. ---- •$ Cardholder dpmure Amort Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as oomplete. 440-4613 tettWW Mechanical Permit Application .y Date received: Permit no./! T I City of Tigard Project/appl.no.: .Expire date: - �� City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Rexciptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: l Payment type: Land use approval: Building permit no.: 0 I &2 family dwelling or accessory U Cornin:rcial/industrial 0 Mulfi-family U Tenant improvement U New construction U Addition/alterationlrr-placerncnt U Other:_ JOB SITE INFORMATION COINIMUICIAll Job address: j Ohl,�. /I tJ t ��Jj li Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: ,; lam_ Suite no.: value of all,mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ Lot: Block: Subdivision:QUoI(r �jgQOK\ cut:i 'See checklist for important application information and Project name: ili+l 1... , ' jurisdiction's fee schedule for residential permit fee. City/county: 1 ,C.#14 ZIP:-777-27a Description and location of work on premises: 111119IN11K.1 I Fee(m) 7 otat Est.date of completion/inspection: DeKd c�/y. Res. _ Res.only Tenant improvement or change of use: C0 � Air handling unit __ CFM Is e.dsting space heated or conditioned?U Yes U No 1 Airconditioning(site plan requtrcu! Is existing space insulated?U Yes U No -1-Alteration of extsting-RVA17syBoiler/compressors -- Business name: �U 7e15a" StAte boiler permit no.: _ HP Tons BTU/H Address: ��(0(�, O�_ — ii smo a dampers/Tact smo a Jcteclors City: )&W I StatctfC-I ZIP: -7 eat pump(site plan requi ) Phone:Im. 5el1 el I Fax:7 /Jr{/ E-mail: nstare-IlT pTI'urnace )tuner — Including ductwork/venl linear U Yes U No CCB no.: q Z. j Instal rep acenoca-tcHeaters-suspen e , City/metro Iic.no.:d SOU V LS _ wall,or floor mounted Name(please print): - 1 N� l�q �--- ent for a iance�other than furnace e ea n: Absorption units_ BTU/Ii Name: A r Cs: p.r, 44?5e- Chillers_— HP -- Address: c'om rcssors HP - nsIronmenta exFoust mW venillsition. City: — State: 'LIP: Appliancevent Phone: Fax: E-mail: Uryere�x taust t II(Kids,Type res. 'tc a azmat hood fire suppression system Name: N o) 4,60ye% Exhaust fan with single duct(bath fans) _ Mailing address: _ aust s stem— a�mm eating or AC City: State: ZIP; Fuell piping u h n up to 4 outlets) Phone: Fax: E-mail: v-- Type: --LPG NG _ Oil Phone: l piping each a diiional over Proce." p (schematic requirc ) _ 4} Number of outlets Name: t 61$11:7 Other listed applime or equipment: went: Address: _ Decorative fireplace City: State: Zi P: 7nsert- type _ _ - Phone: Fax: E-mail: Wooaslov pelietstove_ -_ (Xhera Applicant's signature: Date: 4(4 /0, Ntune(print): N' (Ap,OrrS No an imidictiuns accem credit canis,please call jurid"im fcr mae infmnutim. Pennil fee.....................$ U Visa U MasterCard Notice:This permit application Minimum fee................$ _ expires ifs permit is not obtained Credit cadnumtKr —_--- ----.�. _____ L Plan review(at _ 96) $ pies within ISO days after it has been -rte State surcharge(896)....$ -- Namea cardwtder o shnvm an cedera -- accepted as complete. v $ TOTAL .......................$ �7 CwdhoW"sittoature— Amowt 44GA17(6W)MM) I"i0i,2�01 11:49 =509935©9�' STREAMLINE EL=CTP:C Electrical PermitApplication City of Tigam aeeteaal.ed Parmltatp. Protacthpp)ha. law yadata: cmyayltpnl Addleec 13125 9W Ball Blvd,Tigtud,OR 97223 � ----_ Phom (303) 639x171 Nteltram __'. By: �; '= Put:(303)398.1960 Gum file so. Pay,�t,, :ypr Lend use appmal: _ U T A 2 f"17 dwolling or el:oeatrery Q ConrmtreiaUtneluseWd U Multi-fomlly 0 Tenant imprevom"t C:Nen cotutfw1mon O AdditioNaltemillonimpincenwrtl U Othef:._ O Pluiid lab aMmot Bl Ito.; rJuiu rto.. Tax me a lot/woourpt�o Lot: 91ock: ubdtye u�t� F{e11uv�_ Project um C I�kl Ne I low I Ni crfpion mod Ioca0m or work on prem m: New tALftT &I'll s.7 1240metr4 date of 09TH ledonllmtion _ lab Icor h "So Builkwe male S tr :1 •r r i r• ._ " ea .a A.Ciry V n swce: WA 8661 •+ 9 9 -5 0 El 0 Pa:: -U 8L&f"11l: I QW1 ry n or Iga g CCB rlv,: 1 " F,',I Elec.bMl.lic.nor 34-432C �aoeir4t��+el w,��o �R�poro�m Ihertclr _ _ uTlted" d.t,li.i - Clty1mmiauli fill_ _ - lnwU, arw_ry_ n�r, o�Rrot_loenael - y------- Bach mamfum d hotvc or mo e!r dw llift b -le Irgl"a emmil �t fl9trT ~ �ervk�UId�Or kwo J Ivo,Mea.nuns a0: Ltegrleaao irlfig�gr'- tl�rtit�tteR. eklargtlN N rvlge�rleet 11}0 rn lett Num! nQ: / Aj tuto eRtpN — 7 f.it (yhp ' lot Rim":dtwZfPa wr etoo.-rrt�. Z L� i trRRr or tMn 7 Phoee; f'aa Fa.rrutl: i+eronaeln oni - ()WTW rn htldt 'i?U inetallaNan g pains MR&on property t own T«�«lerr�lw w .vhich N Rot IMend06 for sale.I Rt,or exchim le a000rding to brtWlAett�eMrttetietrt r+lgaaMMk ORS 417,e35.179. 'I01 .,'r!r14W Owneef el aiure: Chan: Y" 01 � 1 e •trtr. N az**Ne p pe"t. Nltma- .� _. A Foe hw bmwk dme1M WO pr4aw of Adt9rtse' elrrior or boost 444,garb Noah clnvh t C _-- Sued ZIP: '� wig her t�sr:rlt+� au�►vrdrw PibtifM��- Prdt: fi-tttllll.,r 11 gwvlca or IMear tw.ruu hrmch cifniem NMI 3 Wcaal tNwt,cimrjt; - (Ie.rMge w tggt ire.Igtl}, y lrMa.e.w 21d rtp�entrwM AW U rbawcara ft"Iltr Yadl of ttn � 0 eervnr over 7�0 rryr�ahtb df IA2 O Ral.Idnrtilocalt�l a voU�° � htri'Y Atre4lrtp U Be11�orw I Q,t1op tggng NR�et J IOl m g RNad rnerTY W�"I O�yfYM Mrr IAS Ynia 1eMtei mng rtglA.aW gNa IB lex Mro"We "shag,er atwwtun� 7 U 1110-Ldlns over per Akwr U Radot,sae wtvw M weftSWIM- U l?Rw,+Mrtlord M!r M rylrgrtt �t M Mllreattegd avawvrlg tv R V .it Q Mime "rMar U 00m lMalMwpMlea.+.. getlg...dg rtp g1tM w t+t I sle.ak Y_.nn of rrMtr RNb elry Ktbe IM.grr. Fall ria trAer�e on taco lag�d W W 7 eetrtTMIN IttrNN. � ". w a 1 1 it wow goo seer,poem etll W40--,;7;;'w —1pef" "t fee.....................S MAW 12 moewcae �""a0'I galla.It illi Mot a lean Pule Hula*(ri ,. _ � � ettt�inM tf a pNmlt a nM at,rined c,.w.tee.rw. _ �n within 110 Jaye 00 it hr ttetpn BMtb sta hbp - raw --. aconl�IbooetpNle. TOTAL.....................S Ina y^ s r 'r,:" , "'a?�'_�1"'thti";TR'r*i��,�e��►�,/�•.�r�� }t�' . . Plumbing Permit Application p i Date rreeived: '�'� Prxrrtit rto.: ) r„ City Of "'TArd Sewer permit no.: Building permit ao.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City of Tigard phone: (503)630A 171 1'roject/appl.no.. Expircdate: Fax: (503)598-1960 Date issued: By: Receipt no.: Land use approval: (asr rte no. Payment type: "S.2 family dwelling of accessory U CommerciaUmduslrial U Multi-family U Tenant improvement &New construction U Addition/alteration/replacement U Food service U Other Job address: 1,' ��� '>�1-11►) �i� (�' Description . Fee ea. ToW Bldg.no.: t �'t cl Suite no.. New 1-std 2-&"y dwellingit only: -- (includes 100 It.forerttclh utility connection) Tax man/tax x lot/acc:ount no.: _ SIR(1)bath Lot: Block: Subdivision: uA(t. ►tu 1ou�tit r SER(2)bath _ Project name: s �)I i I 1100 _ SFR(3)bath City/ccwntviTlU�� tu'5l1. ZIP: 'r72Z3 Each additional bath kitchen Description and location of work on prtmises:_ "S-0 SiteutFlities: __�or.tSiYlttwt-— Catch basin/area drain F--%t.date:of completion/inspcxtion: Drywells/leach lineltrench drain Footing drain(no.lin.ft.) _ Manufactured home utilities _Business name: wq\ VI-j WIv Ol l'-X- _ Manholes - Address: Rain drain connector _city: 7--)(ZE i\AOA State:( LIP: Sanitary sewer(no. PFtone: ' -j Fax:(v 71011 E-mail:- -_ Stonn sewer(ao.lin.ft) CCB no.: _ Plumb.bus.reg.no: — - Water service(no.lin.ft.) City/metro lic.no.: - - llxture or New: Contractor's represcatative signature: Absorption valve Back flow prevent�r Print name: - - Date:013 SZE= Backwater valve Backwaa Backwater tory valy - Name: Clothes washer Address: - Dishwasher - City: State: ZIP: Drinking fountain(s) -- _ Ejectors/sump Phone: rax: E-mail: I Expansion tank Fixturelsewer cap Name(print): Iloor drains/floor sinks/huh- G - alt)age disposal Mailing address: .-_--fit ------------ — Il��se bibb City: Ci -- _- State: p ZIP: Ice maker - - Phone: _-- - Fax: E-mail: Interceptor/grease traT Owner installation/residential maintenance only: The actual installation -Primer(s) will be made by me of the maintenance and repair made by my regular Roof drain(commercial)_ _ _ -- employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) _ Owner's signature: _ Date: _ Sump _ Tubs/shower/shower pan Urinal -- Name: _ —_-_- Water closet ----- Address: i _ Water healer - �M City; State: ?.IP: _ Other. --1--� -�- Phone: -=Fax. E-mail: Total Nti a!l irvixttctiam acxvo u"t carts,please can jtnitdict on for nimr inra"twianMinimum fee................ Notice:"This permit application ------"- O Visa U MasterCard expires if a pr,mit is not obtained Plan review(al _ %) $ Credit cart numbre ---,--- _--- -- !;x within 180 days after it has been Stale surcharge(8%)....$ TOTAL .......................S --Nutte of cardtwtdrr as shown ao aad'it and _--- accepted?is complete. -- S --- Cardboldn iilpruure Amaor — 410J610(60lKY1MY Mar-06-01 03 :05P Wolcott Plumbing 503 667 9891 P , O2 11.06'ui I'L'L 11 /Z 1',JX 50'1 SqA CM nF X003 PLUMBING PERMIT FEES: 'TDT71L r 246M rII dons --- --� a. .,w, o a r- rT Flxy Rt3 ndlvldua! •a r AMOUNTInbin4'(�etu ,t Inpoti, TOTAL 'Sir•k 0 anb Mill fl11R1 DO fl., GTY (on) 7AMOUNT LavMur/ ` !L' 155) f 1ygs�n'NOflg11 _ 'J ' I 4o 20 -- I TuOor=uCrsMMer�OTC- ,e.ei- � —�—'' '";yoco ���Sh-wee Only 16.5) - _ ith _ 139900 th et�r l;larN 1 _ - 1 l t)rnal -� 14.6 �-UQTOTAL 1 1 ei� T—ii`9uR�ilAROL Cis11w0;hlr 15 QJ `a0 IfW 45%OF SUBTOTAL Garbage C1lposaf 1 �3'AL r - L:wnd-ry�r•y'------ - ibt3 Wnsrl;ny R1ad1,n•-- - � t � Flo«13,90 oof Slnk 2' 15 f 0 ,' ---- - F E COMPLETE- \\ailt eater OconWrS On ( Ilke Mend 15! -- ' Nevis �- uw �T�IOf�t P• ORnid _ Cas piping requites.scoervta rf hsnical I '//� 1 �; ' N•w: AAov d hRepi•cea M,.m..dvad! FLttd _ _ - l'�d I MFG Irorno Now service_ 15.0 F Mh U Borne Mew SaNRtprm evrer 46,0 hole•b 6e _ i5 t 0 ( Shower ROCA Dane 14•I41 - DrlltknpFo.rnlam -sitlet 15 0 t' r Qther Fia^urv.ltp•clfy) 151i0 nom r F nl I -�� 9rwe+ tat 1001 — - 55 10 • 3• - - ;bWer each eddiWTl lU A6 10 4' - VYelwTS•-rved•11t -5 )c \' jle--w - - -_-_ `�:c300wwJbrv!ce a6rt 1 - ,e 1p llrf! .,toren 5 RaM DrNr•• 'fi 100' 6S, 1 -- -' Sarm d ROin ralr •rich adnu onet 100' AE.10 Comme�r' Back Flow Provo Oev • Ad 10 -Reetdenl,al Hx■flcw Prevenlbn l r Ke' 27 SS - __� - -------1 03tch Basin -�- 15 90 - -- - - -J impede m Of Eatallrlq Plumping or peciely 750 R• vesr•d me •clloru _ ml 01h. c TS REGARDINO ABOVE: Rein pram tin9M bendy dwelling - 6525 7 Gress Maps - loco ��- QUANTITY TOTAL — - -- aortrtnc rx 1W dlegram n•epured It - - -- 06 - SYr STATE SURCHARGE MLAN REVIEW YS'!e OF�l BTOTAI. �t1fQ,Md•�rj J r,.tu re rets'n e r.- - T(3TAL 'Minims-Pencil see tc WI SO•a•A arartt at.'h.ee,nOeP Rrre„{Ir eeoMW.. prevP'9"t,0mre. a SN is.!•.t,staro wrr rler•e '•a'J New coo,"w w•ullertge rw,luue Iw 11 wNh leomel•K a rY tr llaeran sr0 {J an ­411 I\Jsls!fom%\plm krea dac Cn 0l)0