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13053 SW CADDY PLACE w 0 W V: :7 �Z ;1 v� a) n m F f 1 ll! f i i i i l i 'w 13053 SW Caddy Place CITY OF TIGARD BU" GING INSPECTION DIVISION MST Z 00I 24-Hour Inspection Line: 63- 4175 Business Line: 639-a. PUP -_Date Requested_ AM_ _ PM _ BLD Location. --- -�''_-- ,, Suite MEC Contact Person _ `� � Ph PLM Contractor Ph SWR BUILDING Tenant/OwnerELC Retaining Wall — ELR Footing -------------_. ._.__ Access FPS Foundation Ftg Drain - - SGN Crawl Drain Inspection Notes - — ---- - Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing ---- ------ ____- ---- _----..._...------- ----- - --- -- ---- __._..--Insulation DrywaDrywall ll Nailing __ -------------___ __....._.._ __.._._------------ -- - ----------__ ___...------- ...----.._----- Firewall Fire Snrinkler ---.___.-___.__._._... - Fire Alsrm Susp'd Ceiling Roof Mise ___ --- -- --------- - -..---- — -- --------- Final PASS PART FAIT_ -- --- - - - ------- ----- - PLUMBING PnctR Roam � _ _____ — ----—-- --_ ------ - --- _._____-----...--------------- Under Slah Top Out Water Service Sanitary Sewe, Rain Drains m ASS PART FAIL ANICM_ Post&Beam ----- - - - -- -- Rough In Gas Line - Smoke Dampers Final - - ----- - — - -- __.._ --- ----- ----- -- PASS PART FAIL ELECTRICAL Service _---- ---- - -- -- — Rough In UG/Slab --- - -- ---- --- _. Low Voltage Fire Alarm --. .- --_--- -----.___ Final PASS FART FAIL ------_--- -_-_-- - -------- SITE Backfill/Grading - --a --- Sanitary Sewer Storm Drain [ j Rellispection fee of$ __-required before-next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( j Please call for reinspection RE: [ j Unable to inspect-no access ADA Approach/Sidewalk Other Date Irysp.ector .�a lc�� Ext Final PASS PART FAIL DO HOT REMOVE this Inspection record from the job site. e. kki AAA AAAAAAAAAAAAAAAAAAAAAAAAA AAA O,AAAAAAAAAAFV , 7 Poo.r ► l pop.► ► J ► t +� n loo. p. 14 71, u > ► o ° � p�J bn 0 v -� aj 0 L4 1-4 4 lop, 71 lot. •a o �? om N ► �. CLI ► ° ► ► �a �d ► l ► 4.4 ► w w ► _ ► i I � o V � o 0 Q N t.' o 4 � �!I •y u r iN. b o. o v u � o •C-n V O W � C � O � � e O � N O O [ C � N .d CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Linc: 639.417.5 Business Line: 639-4171 BUP Date Requested % _AM_v PM BLD UP -. Location Suite ��– - MFC Contact Person / Ph PLM Contractor Ph SWR BUILDING Tenant(Owner ELC - Retaining Wall^ v_v -------�- ELR Footing Access: Foundation FPS Fig Drain -�------—------ Crawl Drain Inspection Notes SGN Slab - .---- --------------- T_�__..- - _- SIT Post&Beam - ---- --- Ext Sheath/Shear Int Sheath/Shear -� - - Framing Insulation ----------�-------- Drywall Nailing Firewall -- Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof --- 1`0iSC: - - - -- - - ----- - - ASS ART FAIL - - ------ -- PLUMBING Post& Beam - -- _ --- - Under Slfjb Top Out Water Service Sanitary Sewer Rain Drains Final t A' aS, PP RT FAIL MECHANICA 19ctst{tt-i3F'3in - - -- --- - Rough In Gas Line - -- ---- - - Smoke Dampers PA55 PART FAIL ELECTRICAL — -- Service - -- Rough In UG/Slab Low Voltage - - - Fire Alarm Fuel PASS PART FAIL SITE Backfill/Grading ---' —` Sanitary Sewer Storm Drain ( ]Reinspection fee of$ _required before next rnsper"-•n. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection'�E:__. [ J Unable to inspect-no access ADA Approach/Sidewalk Other Cate } Inspector �,M,� _Ext _ Final PASS PART FAIL DO NOT 1131_M017E'. this- inspection record from the job site. CITY OF TIGARD BUII DING INSPECTION DIVISION MST -2 CL-) 24-Hour Inspection Line: 63! 175 Business Line: 639-4. BUP —Date Requested — 2- AM _PM BLD --^----- Location O� C..� Suite — -- MEC _ Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall - ELf� — -----^- Footing Access: -- --- - --- Foundation FPS Ftg Drain Crawl Drain Inspection Notes SGS' Slab — --------_. - -- --Post&BeamSIT Ext Sheath/Shear Int Sheath/Shear �' — ----- ------ Framing Insulation Drywall Nailing Firewall - - - - - --.. Fire Sprinkler Fire Alarm __-- ----__---_----.-. Susp'd Ceiling Roof -_ -- -- ------- _. ---- Mise - ------ Final f PASS PART PART FAIL PLUMBING IV Post&Beam - — Under Slab Top Out - J Water Service _ Sanitary Sewer - Rain Drains 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 FilsAjarm PAS` ART 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 ( J Please call for reinspection RE —_ ( J Unable to Inspect-no access ADA ^/� Approach/Sidewalk Other nate _ Inspector — _Ext Final PASS PART FAIL DO NOT REMOVE this inspection 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 Forrn Permit #: MST2001-00214 Date Issued: 4/10101 Parcel: 2S104DA-13300 Site Address: 13053 SW CADDY PL Subdivision: QUAIL HOLLOW - WEST Block: Lot: 119 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, A I-TN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: BROWNSTONE HOMES LI-C STREAMLINE ELECTRICAL 12670 SW 68TH PKWY 4200 6017-B EAST 18TH STREET PORTLAND, OR 97223 VANCOUVER. WA 98 Phone #: 503-598-7565 Phone #: 360-993-5080 Req #: LIC 116514 EI_E 31Id32C SUP J48;<& d'>Vl S AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of Supervising 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 #: MST200 1-00214 Date Issued: 4/10/01 Parcel: 2S104DA-13300 Site Address: 13053 SW CADDY PL Subdivision: QUAIL HOLLOW - WEST Block: Lot. 119 Jurisdiction: TIG Zoning: R-4.5 Remarks: New SF detached rowhouse in Building #14. - Setbacks as per Sheet A10.1 Plan B-S Your company has been 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 Plumbing Signature Form pricr 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 PKWY #200 PO BOX 2007 PORTLAND, OR 97223 GRESHAM, OR 97030 Phone 4: 503.598-7565 Phone #: 667-l-, 31 Reg #' IIr 23847 PI M 26-208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM x 6EL2Ai�- Si4in-aitar6idf Au horized Plumber If you have any questions, please call (503) 639-4171, ext. # 310 CITYOF T I G A R D ___MASTER PERMIT PERMIT#: MST2001-00214 DEVELOPMENT SERVICES DATE ISSUED: 4/10/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13053 SW CADDY PL PARCEL: 2S104DA-13300 SUBDIVISION: QUAIL- F101-LOW - WEST ZONING: R-4.5 BLOCK: LOT: 119 JURISDICTION: TIG REMARKS: New SF detached rowhouse in Building#14. -Setbacks as per Sheet A10.10 Plan B-S BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 31 FIRST: 173 at BASEMENT: yat LEFT: SMOKE DETECTORS. TYPE OF USE: SF FLOOR LOAD: .-, SECOND: 736 of GARAGE: 428 of FRONT. PARKINC SPACES TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: Seo of FIGHT: OCCUPANCY ORP: R3 BDRM: 3 BATH: 2 TOTAi.: I nee no al VAt UE: S 138,630.00 REAR: PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH ' LAUNDRY TRAYS RAIN DRAIN. 00: TRAPS: LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEVIFR LINES, n,'I SF RAIN DRAINS: CATCH BASINS: TUBISHOWEPS: 2 GARBAGE DISP: 1 WATER HEAT2RS: 1 WATER LINES. I,10 BCKFLW PREVNTR: GREASE TRAPS, OTHER FIXTURES. I MECHANICAL FUEL TYPES FURN c 10011 1 BOIL/CMP c OHP: VENT FANS: 3 CLOTHES DRYER: I GAS FURN>=100K: UNITHEATERS: HOODS. OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES. GAS OUTLETS: 1 _ ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: PUMP"RRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 400 amp: 201 - 400 amp: lot W/O SVCIFDR: 02 SIGNIOUT LIN LT: PFR HOUR: LIMITED ENERGY: 401 - 600 amp: 401 600 amp: EA ADDL OR CIR: 1 SIGNALIPANEL: IN PLANT: MANU HM/SVC/FDR: 001 - 1000 amp: 601-ampc•1nuov: MINOR LABEL: 1000♦amplvolt PLAN REVIEW SECTION Reconnect only: >-4 RES UNITS: SVCIFDR>=225 A.: >600 V NOMINAL: CLS AREAISPC OCC ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO d STEREO: VACUUM SYSTEM: AUDIO d STEREO FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT. BURGLAR ALARM: 0TH: At L ENCOMB BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE EIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA7TELE COMM: NURSE CALLS. TOTAL#SYSTEMS: TOTAL FEES: $ 3,553.49 Owner Contractor: This permit is subject to the regulations contained in the BROWNSTONE HOMES LLC BROWNSTONE HOMES, LLC Tigard Municipal Code,State of OR. Specialty Codes and 12670 SW 68TH PKWY#200 12670 SW 68TH PKWY PORTLAND,OR 97223 PORTLAND,OR 97223 all other applicable laws. All work will be done accordance with approved plans. This permit will expire N work is not started within 180 days of issuance,or if the work is suspended for more than 180 c-4ys. ATTENTION: Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg#: LIC 124627 forth in OAR 952-001-0010 thrOLgh 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, Underflnor insulation Electrical Ro-•7h In Gas Line Insp Rain drain Ins Electrical Final Sewer Inspection Plm/undslab Insp Framing Insp Gas Fireplace Roof Nailing Mechanical Final Footing Insp Mechanical Insp Shear Wall Insp Insulation Inspr Line In p Plumb Final Foundation Insp Plumb Top Out Exterior Sheathing Insl Gyp Board Insp WatI/Te ervic Insp Final Inspection Slab Insp Electrical Service Low Voltage Firewall Insp Appr/S wl In p ---- Issued By : - _ Permittee Signature A 6 Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITE' OF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES' PERMIT#: SWR2001-00142 13125 SW Hall Blvd., Tigard, OR 97223 (503) b39-el" DATE ISSUED: 4110/01 SITE ADDRESS; 13053 SW CADDY PL PARCEL: 2S104DA-13300 SUBDWISION: QUAIL HOLLOW-WEST ZONING: R-4 5 BLOCK: LOT: 119 _ JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: GLASS OF WORK: NEW DWELLING UNITS: TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached rowhouse. Owner: - BROWNSTONE HOMES LLC -- — - FEES 12670 SW 68TH PKWY#200 Type By Date Amount Receipt 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 meas eri en given,the installer shall prospect 3 feet in all directions from the distance given. If not so lucated, the install r sh II rchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. A l?EN�TION: Orego equir s yo follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9 -001-0 1 rou AR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling 50�) 246• 7. Issued bar {_' Pprmitiee Signahir�_lW \ T Call (503) 639-4175 by 7:00 P.M. for an inspection needed the I'laxt busineiv.11ay A Building Permit Application Date.received: rf/��� / Permitno.:�f`ii,7n�?/-^('�"/ City o� Tigard - Addrss: 1312.5 SW Ball Blvd,Tigard,OR 9':.- Projecdappl.no.: Expire date: CityofTigard B ,' Pltauc• (503)639-41Date issued: x' .71 — _.�" Receipt no.: Fax: (503)599-1950 Case file no.: Payment type: ' Land use approval: I&2 family:Simple Complex: * I &2 family dwelling of accessory U Commercial/industrial U Multi-family wrlcw construction U Demolition U Addition/altrmtion/t-eplacement U Tenant improvement U Fire sprinkler/alarm ❑Other. 11130111 ? Job address: ( CYC ', i C L"� 1.� ( - Bldg.no.: 5uitr,no.: Lot: I I Block•_ Subdivisiop: Cxuq;\ I1o�l_'�� �` Tax map/tax lotraccount no.: -Project name:_ o.a�'( F1 u 11 n^3 Description Description and location of work on premises/special conditions: DLy-) mctkbc OEW +STf?tJ[. , d F0111 SPE IAL INFOICUATION, Name• FWuE'b �� � Mailing address: r"t r to Q,'" 11A tW i&I family dwelling: City: 1L statex.Y ZIP: X727 3 Valuation of work........................................ $_ ----- Phonc:!IrgQ 75U5 Fax: tr1f-1ool E-mail: No.of lr-droornstbaths............. .............. _ -- Owner's representative: IN - de Total number of floors............... ............ Pnone: -1 -5-77ti !"ax:'1}�2399 Tmail: -- New dwelling area ft. 1 � g (sq. ) .......... .............. --- -- Garage/catT-ort area(sq.ft.)....P.VA..... _Name: -5A fiC�__A S A ofW&F Covered porch area(sq.It ... ....... Mailing address: Deck area(sq.fl_) ................................R. _ City: _ S'�te: ZIP: Other structure area(sq.ft.).........." '....... Phone: Fax: E-mail• - CommercinUindustria!/multi-family: Valuation of work........................................ $ Business nam': Existing hldg.area(sq.ft.) .......................... Address: New bldg.area(sq.ft.)................................ - Numtx.r of stories........................................ City: State: ZIP: —.�. Type of construction.................................... Phone: Fax: E-mail: - --- - Ok,cupancy group(s): Existing: CCB no.: — -- _-- — New: _ City/metir�lie.no.: Notice: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractor Board under Name: � provisions of ORS 7(11 and may be required to be licensed in the Address: e� Cl ti� 14tf� jurisdiction where work is being performed.If the appli-•ant is City: ° tT t 4; State: W i'IP:'q 1,Zq , exempt from licensing,the following reason applies: Contact person: AWE Plan no.: - - - - Phone'Zt',1-4(,t75f1f: Fax: 67'Di<Z E r ,tl: --- - - - AIMI Name: ke_ Contact person: uw ll,' Fees due upon application ........................... -- Address: pt p c Date received: --_ City: Istateur ZIP: 972 Amount received ......................................... s; +__-- Phone: ttf,,gt'Ja�' I Fax: E-mail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Nat sit judxktiom arcep cmht ards.please cart jodxhctton for mom idmnuton. attached checklist.All provisions of laws a d ordinances governing this O visa O MpsterCard work will be complied w' whether s i ed herein or not. ctxxt:r cud numba — t Expires Authorized signature: Date: Now of atdboldet as shown on cn% t ant Print name: 4 9 A I --- i _ _ t.a�alder sfpWnte Atnotmt Notice:T,,:s permit application expires if a permit is not obtained within 180 days atter it has been aaxpted as complete. 44G46l t(emecot 1 Mechaideal Permit Application Dateremived: 1'txrriitno.:l�Sj � �Do�/� City of Tigard R - AULM �a ojecdappl.no.: Expire date: City of Tigard 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: _ [Bu dlddngpertnitno.: 7U I &2 family dwelling or accessory U Conunen.ial/industrial U Multi-family U Tenant improvement U New constriction U Adcli►ionialteration/replacemer t U Other.------_ lob address: ! . i r 1 67 y piLZ Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: jn Suite no.: value of all mechanical materials,equipment,latxtr,overhead, Tax map/tax lottaccount no.: profit.Value$ I-= Lot: _ Block: Subdivision: qUAll *See checklist for important application information and Project name jurisdiction's lie schedule fir residential permit fee. City/county: `„ p r ►� ZIP: FIX Description and location of work on premises: gmin ILIN _- Fer(ea.) Total Est.date of completion/inspection: Deirai Qly. Rec.onl y Res.only Tenant improvement or change of use: C: Is existing space heated or conditioned?U Yes U No Air handling unit ____CFM l Is existing S insulated?U Yes U No Air conditioning(sitep ane an-7 required) g'p ace teration of cxfis_tj_n_g_flVAC system Boiler/compressors State boiler permit no.: Business name: (=Lr()�,. yl -t5• _ _ HP Tons B'CUf!I Address: v(p p n smoke dampers�c uct smoke detectors - City: ) Itllla State(t� ZIP:ry -Heat pump(sitc p a- gquua Phonc:tel'Jtj'_Ci t ej Fax:7 11 E-mail: InstalFriplace fui5ce76urrict ti'I CCB no.: 'L — - Including ductwork/vcnt liner U Yes U No nsta- 11Trepiace relocate/ Faters-suspen ed. City/metro lic.no.:Z)00D N b Z5 wall,or floor mounted Name(please print): I V,A IIA"0"t-) Vent for appliance other than furnace 110 RN 0 11 MUM Refrigetation. Absorption units_ _ BTU/" Name: i A.g gdat�`Vc Chillers _— HP - Address: — Co tessors _ HP -- CilV:� State: 7.IP: FAvIr000eata ex wd a vrn1 ahon: Appliance vent Phone: Fax: E-mail: hyercx dust -- ---- I s, ypc / res.Tritchc azr�Ti h mal — - 1 hood lire suppression system �T. _ A-A__6_ p vj Q.eJc,, _ Exhaust fan with single duct(bath fans) Mailing address: aus�i t system as rAC _ - City: _ State: ZIP: Feel pippiptag a oo up to 4 ou ets Type: LFt, _-- NG Oil Phone: Fax: I E-mail: -Fu-J—piping each additional over 4 outlets rote"p p ng(sc emauc required) _ Number of outlets Name: _ ' rFt! tlisted-ap mace or egn�pmenl:— Address: _ Decorativefireplace City: State:_ 'LIP: nsert,-type Phone: Fax: E mail: stov pe etstove Applicant's signature: �..-- Date: 4 U, (Xher. Name(print): JbM Na tit joriatric iom wee"credit c tds,&.mL At iuiadktim Iv mt.e itdtxr.utinn Permit fee.....................$ U Visa U MasterCard Notice:Thi:.perrr►ii not obtain Minimum fee................$ expires if s p-emit is not obtained Credit era raimber: — --1 - within 190 da•s aRcr it has been Plan review(at _ 96) $ Slate surcharge(8%)....$ _ S Nm of erdWder ae dxmn on credit card— accepted as cor.iplete. TOTAL . $ -7-2 _ Crdholder siantme AmoaN 1441ti17(tiidail'OM) C n 21:91 11:49 :613993508: STREAMLINE ELECTP.:C PAGE 0: 0: ElcctricsJPeradtApplica!d-„>s �••.-�" City of Tigard Dttsrrleelvtd: Ibt ks dtte: (",j),(",j),q'71pnd Addptte 13125 91y Hdi Blvd,Tigard,OR 97223 Dhate IoWVappl.nn "vet�: (303)6.19.4171 __ OY: Racrlpae Pa:(503)1196.1900 'Caw All to., pti *tri, Land use app'svtd: U I A 2 farnity dwelling or acrosowy 0 C.arwMOM1 WndwWa U Muld•famlly U Ten at ImpovaMN, U New vwnwuotion U AdditiorlalteradoNmplaCom m U 011ter: ___ O partial Ellin vs i0b Id4111ot: ( r r \__7(,1 I Pi .no.: Sniu no._ Tu mal loytjooatlt ao,: Lot: �" Block. bdiv V 0%.1 t Na 1lrrvs wlnr _�_ - Project Marro: 1e,41 flo I(dtl_�pa�jon tlld louden of varork.«r_�eml�ta V N�N C[�.r�'1talCrlt►.) .___._ CrIlmatrd date td cont leliWint Bort Job Riot---••_--...� M vt+a Bot» w u nuns S er D Addrewu 1;fl l` * N Camey_V' l St+tq: WA 8b61 ar .a r`"�war► I4x—": 9 9 -5 0 8 Pu: mall: 1000 eq n•a Im r "' ,achaddillonalS00 R'xpOr9onlhr•rm� — - a'8 110.:1 1 6 51 9 B1ec.baa.llc.no: 34-432C Lilnl,ed L�drml ku — - � ('It h"mrvlk.11o.: Lal i tnkni rkon*rtlaenaai 1 fierh mam,techrn�Ix�we w rt»�r�dwe�lln j — - �� �r!'Q_.� �ervks trx14.faaw _ __ _ 1 ufr 1 111 x,.4.41 Up sttat.au"v wo IL no ! '�afslVtlaa.� akerow t K nrwelea 700 or less __ 1 Nune�rint): 4001 w eta` t alinf wwre": '"'►a . . _. ?- Cl"' at Phn* Pan' l ma11 � Rac�>� » 1 c►wrrtr inahlWrxl TZM Inro111al1etl a pain,Made ee Ixq"ly►0" rewww wrv-km -which to art!tfftrtd kd for ule.I K or eacNwr twooWkng to � m610D er"a"r'reeC "l! 2 ORS 11.170,'"1.N t OwnWo Ii f MIA. v 1 1 0sr - - IFFOAA e •MIr. K ank"O a Far PWL Ntmer_.—._ .__._,—..__ �. .�.._ _ A FseRwbnrlekr�rrrrltrwrthrurdrtseef A64rea Mtvios K lard r be,sock bravo clrwh ! 1rd 1aroufts 1""''"e. City .te: ZIP _..� PtiOfM' Pas h-rrlall of servica or taadw rot,nrn benchyrn,t11111-WIN 1 1 « Isetbe 1NsaC (7kaMetamwwt.a.ra.ettrald 011x10.-raaMntry lindi akn 7r,druts-_ 0/Nva o+er.w amperatl'ni M IA I O"AuR1a>t loealnl K hru11y"011nos U 110114kilmK 10410egrtrsewobw tr sow alrfdl(a)Or*URdledr"alyPend, O Oygnn swr W vn u rpMPt; new pelt ;rill et1)n In nee wro"Vrr ahefatloa,n.akwwlarle 1 U Ya.ldtno ever Sake etrw U nrad/t,4d1""a nen .Daae U on""load War M nwwm ;1 mvvhwund waemEa M Rv pork Ir �. - .—.41=11f th I llet!ntk--woof view v*b an er torr aa,". - l. ISO &$I meett> eaWto%am-r7O"Ouvoweon"". Nearr — No tr hrhdAetr srr OWO seek Mean an low►dw 1w acre lrkwar�w Ivatia This permit app brAa l PCmlt for................. C3 vin U 164~:bd mrkine If a parent to rat tbttinod 11'la ravltw(al -__, r#.) f .wk erre skww __ withln 110 dayr aAtr it hr begirt halt tun harye(991.) S ead i —" I MaAlrnornplNe. 7WA➢ ..... f _ ���7�il _..���waifM I a�Y1v1MbCOt11 { ri Plumbing Permit Application Datereceived: Permit ao. City of Egillyd Sewer permit ao.: Building 1 Address: 13125 S W Hall Blvd,Tigard,OR 97223 C1tyoJ7ignrJ Phone: (50) 6-49-4171 Ptujrc:/appl.no--: _ Erxpireda.te: Fax: (503)598-1960 Dataivsued: By: Rmdptno.:, { Land use approval: _ _ Case fi.cno. Payment type: eM, =EMew arAly dwclli,lg or accessory t-'Con►mercial/industrial O Multi-family U Tenant improvement n tructior. Ll Addition/alteration/mplacenccnt U Food service O ter fill I LOW Job address: Desniptlon . Fee ea. Tool , Bldg.no.: Suite no.: New 1-and 2-UmAy dwellings only: (Includes 100 R.for awb atllity cemectba) Tax malVtax _ lYot/accountno.: SFR(1)bath - 131ok_ lLo _ — Pm�ect name_ rpi( olle,J SFR(3)bath City/coun'.y: r Ar[� t�f,Tl�, Zlr: `j JZZ�-- - tech additional baMitchcn Description and location of work on premises: "aAj Siteatilides: _ Catch basin/area drain Est.dale of completionlinspection: Dryweils/lea-h line/trenc!,drain Footing drain(no.lin.ft.) Manufacturrd home utilities -' Business name: (j._)Okr o-N-N �Vr�tC4m t�`r 1 Manholes Address: - kair drain coanector - 0ty: G-)P-eS N State: ZIP: Sanitary sewer(no.lin.ft.) _- phone: - Fax:(o 7 981► E-mail: Storm sewer(no.lin.ft.) — CCB no,: Plumb.bus.reg,no: Water service(no.lin.ft.) City/intim he.no.: —! 1Flxture or Itna: COatractoes representative signature: Absorption valve Back flow preventer Print nate: Date: Backwater valve Basins/lavatory Name: Clothes washer _ - -- Dishwasher Address: Drinkin fountain(a) City: State:_ ZIP: Phone: i Fax: i',-mail lax ansion tank Fixture/sewer cap Name(print): Floor drains/floor sinks/hut) Mailing address: Garbage di�sal _ Hosc bibb City State: ZIP:- Icemaker Phone: Fax: - E-mail: Interceptor/ase trap -- Owner installation/residential maintenance only: The actual installation Primers) will be made by me or the maintenance and repair made by my rrgular Roof drain(commercial) _ employee on the property I own as per ORS Chaph:r 447. Sink(s),basin(s),lays(s) Owner's signature: Date: Sum Tubs/shower/shower pan ` Urinal Name: _- _ _ Water closet Address: Water heater City — State: 7..IP: Other: y- Phone: PaA: _Email• -` Total -— - -- Vol all paiadktiar accept crat cot*.rleex call turi.d"oo res mar udamwhi,. Notice:This permit application Minimum fee............ ) $ _ O Visa O MasterCard expires if a permit is not u'otained Plan review(at -� 96) $ Qedit csd mmeer —1 -�- within 180 days after it has been State surcharge(8%)....$ Expires accepted as complete. TOTAI(. ....................... _ Name of cWholder r ai–iorvrt an coda cad iadholder ai(taalum —Amouat 440-4616(6 OVOM) Mar-06-01 03 : 05P Wolcott. Plumbing 03 667 9891 P.02 13,,'06/01 111 14 42 I'•1X S0.1 598 l9(;3 CIT) 01, :f 003 PLUMBING PERMIT FEES: i. 'TOTAL lrnlly 4W FtumbinppnKtuGrr4oInnly: t _ICE TOTAL.AIaAt '.1 rx 16 61 rntl the 11100 111;, QTY (9ttJ AM( I�NT "lee) Tuba 'ub/5htlwtlr.off 16.6) -3-NOF Showtr On)y 18.61 tit 1369 00 _— l,rn„1� AL - 3G ITA-R0 C anwa.ntr _ t6 e] r '” 75•R OF lUBTOTAL �••C�arb-o--f rpoitl 1( J r - 707, I 9r —La u-ndry rYy 16l7 1Nnth ng Mach no Floes Drei our Slnk 2' 16 to COMPLETE. 4• `-� - 1e`to `haltr sutler O wnversh)n IIAe Mnd 16 t ','' 1' pan _ O,f.�.P.�r�urmed, Cis plpnp req uuts r separate rnerhitnrcal I New ' #i ov d. ROp,4laaR�ornovtdf ap ed MFG FromO New 41-w Servito - - 46 0 �I --1 Mho t{nn-w New EarVStOrm ewer 46 0 Ilose d bs - - -T6- IA _ 7001 D a ne 165 0 r ----- - DnnK'nq Fomtsin 01h«fi,ruea4Specify) -- —r largo --y� -----"r-,tt stW.r- 10o ae`in a 3• V �, ;ower tact-eddillo"iel 100' 46 10 4' tarter 3arry rd•,p ....._ 5.)L '81- r� --. - _ - 93 Wa'er errce•etch ZATW- 100 46 s0 $prm d R81n fNr-uch addtl onl.l 100' 40.10 Cemmtrd AxA FIOW rew�lbn t)evTci 16 10 -- � `_`-"' Itis denIV Id2csllcwPrevenlbn ev cL�.t' - 27 65 - I:JICh Basin --r� - 16 60 n!petilOn 01 E�Mtlnq Plumping or poc�Ay 7 SO R• a 1s 110 1n!Lecuorn __� 141' C 11EGARDING ASOVt atom Olaf-,sln9w Isrrily dwesmq 66 2S =1 Or- 4 lops ----- -- --- QUANTITY TOTAL 4omttnc w isn dttptrn is-egm'ed It I — -- O,,anstr - •RUSTUTAL -- -�� 6•/, STATE SURCMARaLs - �� r'PLAN REVIEW 25%OF SLRT01'AL Re frad,r'f ilhdvrtQ lot$1 5 _ - ----�-. TOTAL 'Minim4 n pe—A lot It 9 50.ex rnnn"rcharvr "Dots"A•`4 nmol eeo•Wr p4vanq rn De-,.rh.cn a 114 t9•VA,Uro 6-142100 ••A'A Har cemma.e lad a�nen.e,rnqura two„wNh r,oinel•a a A,.r l,atran n� r�an'r•.ar I\Jsb'lorms,ptm-keedoc �G,0I30