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13063 SW CADDY PLACE O a) W C: 0 a) 9. C2. n tD r,r i '13063 SW Caddy Place IA CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 63, 175 Busioess Line: 633-4 BLIP _ Date Requested_— AAl"I PM BLD Location L3 (o L- L. _ Suite _ MEC Contact Person 1 �� Ph Z- SL24, PLM Contractor _ _ Ph SWR BUILDING Tenant/Otroner ELC Retai;ging Wall -' --- -- -- tLR -------- --- ---- Fjo'rng rAccess: ---- Foundation FPS Ftg Drain ------._..- -- - Crawl Drain Inspection Notes. SGN Slab Post& Beam Y ------ -- ---- Ext Sheath/Shear Int Shenth/Shear -- ----- -- ----" Framing ------.____-- Insulation ---"-- ----- -- - Drywall Nailing Fire Sprinkler Fire Alarm _ Susp'd Ceiling -- Roof Misc: Final ---_------- PASS PART FAIL. PLUMBING Post& Heam Under Slab Top Out _—_-- Water Service i Sanitary Sewer - - - — -- Rain Drains Final - - PASS PART FAIL MECHANICAL — Post& Beam -- Rough In Gas !Jne --- -- --- — Smoke Dampers Final -_ _- - ---- ---- -- — _ PASS PART_ FAIL ELECTRICAL -- —"- - Service e Rough In _--- ------ -- ----- --- — --- UG/Slab Low Voltage --�— --- --_-- - Fire larm *At`Sj PART FAIL -- ---_-.- ----__--- --- -- Backfill/Grading - —_-- ------ Sanitary Sewer Storm Drain [ J Reinspection fee of$— _ _ryquired before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE:_ —_ _— ( J Unable to inspect-no access ADA Approach/SidewalkDatw Other _ Z v Inspector fat Final PASS PART FAIL J VO NOT REMOVE this inspection record front, the job site. CITY OF TIGARD DU111 DING INSPECTION DIVISION MST 24-Hour Inspection Line: 63: 175 Business Line: 6394, -- �/ BUP _Date Requested / AM PM BLD LocationSuite MEC Contact Person _=�` Cj� Ph S 3 PLM Contractor_ 67 Ph SWR BUILDING Tenant/Owner EILC _—�-- Retaining Wall El.i2 Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain I,ispection Notes: -- ---- Slab Post&Beam - ----- - .. - -- SIT - --- Ext Sheath/Shear Int Sheath/Shear - ---- Framinn In.ulation Drywall Nailing -----—_— - Firewall - - Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: -- Final --- PASS FART FAIL PLUMBING Post&Beam - - - ---- Under Slab Top Out -- Water Seivice Sanitary Sewer --- --" Rain Drains PASV PART I AIL - HANICAL _-_..-- Post& Hoam _ Rough In Gas Line - - - -- Smoke Dampers Final — - --- PASS PART FML ELECTRICAL -- Service Rough In -- - - - _ -- ------- ---- U '/Slab Low Voltage _. �_ ------- --- - ------ - Fire Alarm Final - --_— - --- — --- ---- PASS PART FAILSITE Backfill/Grading ---- -- - ---- -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ -required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Please call for reins e�'lon RE: Fire Supply Line [ 1 P [ )Unable to inspect no access ADA Approach/Sidewalk Other Date �� �/ Inspector, �-Q , --Ext Final PASS PART_ FAIL DSO NOT REMOVE this inspection record from the job site. AAAAAAAAAAAAAA AAAAAAAOAAAAAAA►AA A®I►,SAAAA,AAAA ► w w ( oil- Fa D R C". R w w a• � � R wrblio. w d n yr ► CL CD uo 014 �- - a i� � n ► � o o w o P ► � p wp n ► t o wo> ► w _ __ x ► w I ► w ► w � R w ► c� y fD r � I a yn rp c• � 6) o I c I b i CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BIJIP _Date Requested l d -�-{ AM PM BLD Location_ jClx> 'i ' ( _ S,.iite MEC -- -- `--- _ - Contact Person Ph _ �� '? S �.•5 PLM — — Contractor Ph SWR BUILDING - � Tenant/C,.,.er - ELC Retaining Wall ELR Footing Access: — Foundation FPS Fig Drain SGN — Crawl Drain Inspection Notes: ---- -- Slab SIT Post& Beam -- — - ---- --- Ext Sheath/Shear Int Sheath/Shear ~R Framing Insulation -------------.. _ - ------------- ----- Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof M13c: -- -- ----- PART FAIL MWIMING Post&Beam --___-- Under Slab TopOut - ------------------ -- ---- ------_ ___..._..___ Water Service SanitarySewer - _____ --- _.._..._._ ..._-------...---_ _ --------------------- ---- - -------------------. Rain Drains Final - - PASS PART FAIL_ _ C ANIC Post& Beam --.-- - - ---_-__.._ Rough In Gas Line ---- ----- -- - _ -- ------ - - --- Smoke Dampers Ir -- ---- - ---- -- hSg PART FAIT_ EL CTRICAL Service Rough In - ----------_--__ --.-. UG/Slab Low Voltage � ---- ---- --------- - ----- Fire Alarm Final PASS PART FAIL SITE �— Backfill/Gradino - - -- -- — -- — - -- Sanitary Sewer Storm Drain [ j Reinspection fee of S required before next inspection. Pay kit City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE:—� — [ ]Unable to inspect-no access ADA Approach/Sidewalk Date ate —Inspector- - _7f Ext _ F'nal PASS- PART - FAIL DO NOT REPAOVE this inspection record from the job site. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 972?3 IMPORTANT PERMIT NOTICE STREAMLINE ELECTRICAL 6017-B EAST 18TH STREET VANCOUVER, WA 98 Electrical Signature Form Permit #: MST2001-00213 Date Issued: 4/10101 Parcel: 2S104DA-13200 Site Address: 13063 SW CADDY PL Subdivision: QUAIL HOLLOW - WEST Block: I_ot: 118 Jurisdiction: TIG Zoning: RA.5 Remarks: New SF detached rowhouse in Building #14. Setbacks as per Sheet A10.10 Plan C-S 11,our company hos begin indicated as the elechical contractor for the permit indicated above. In order for the electrical permit to be vaiid, 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 OWNLR FLECTRICAL CONTRACTOR: BROWNSTONE HOMES LLC STREAMLINE ELECTRICAL 12670 SW 68TH PKWY #200 6017-B E/,ST 18TH STREET PORTLAND, OR 97223 VANCOUVER, WA 98 Phone #: 503-598-7565 Phos re #, 36u-993.5080 Reg #: Lrc 116514 ELE 34A32C SUP -etBTS AN INK SIGNA i-LIRE IS REQUIRED ON THIS FORM Signature o 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 #: MST2001-001213 Date Issued: 4/10/01 Oarcel: 2S104DA-13200 Site Address- 13063 SW CADDY PL Subdivision: QUAIL HOLLOW WEST Block: Lot: 118 Jurisdiction: TIG Zoning: R-4.5 Remarks: New SF detached rowhouse in Building #14. Setbacks as per Sheet A10.10 Plan C-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 prior to the start of the work to the address above, ATTN: Puilding Dept. No plumbing inspections will be authorized until this compPeted form i�. received OWNER: PLUMBING CONTRACTOR: BROWNSTONE HOMES LLC WOLCOTT PLUMBING CONT. INC 12670 SW 68TH PKWY #200 PO BOX 2007 PORTLAND, OR 97223 GF:ESHAM, OR 97030 Phone #: 503-598-7565 PhG;ie #: 567-1781 Reg # G it 23847 PI M 26-208PB AN INK SIGNATURE IS REQUIRED ON T HIS "-ORM X Signatur6-6TAuttkifized Plumber If you have any questions, please call (503) 630-4171, ext. # 310 �'1�� --- MASTER PERMIT CITY OF T i G PERMIT #: MST2001-00213 DEVELOPMENT SERV ICES DATE ISSUED: 4110/01 13125 SW Hall Blvd., Tigar::, OR 97223 (503) 639-4171 SITE ADDRESS: 1306:3 SW CADDY PL PAp..,;EL: 2S104DA-13200 SUBDIVISION: (QUAIL HOLLOW- WEST ZONING: R-4.5 BLOCK. LOT: 118 JURISDICTION: TIG REMARKS: New SF detached rowhouse in Building#14. Setbacks as per Sheet A10.10 Flan C-S BUILDING REISSUE: S''ORES 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT 31 FIRST: 324 sf BASEMEOT: of LEFT: r SMOY,F:DETECTORS: Y TYPE OF USE: SF Ft OOP LOAD 50 SECOND: 747 sl GARAGE. 410 sf FRONT: PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS 1 FINSSMFNT: 567 sl RIGHT: VALUE: E 151,'6600 OCCUPANCY GRP: R3 RaRM RA114 2 TOTAL: 1,636.00 at REAR: PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 2 CATCH BASINS: TUBISHOWERS: GARBAGE DISP, 1 WATER HEATERS: 1 WATER LINES: 1,10 BCKFI.W PREVNTR: GREASE TRAPS OTHER FIXTURES. 1 MECHANICAL FUEL TYPES FURN<100K: BOILICMP c 3HP: VENT FANS: 3 CLOTHES DRYER: 1 GAS FURN)•10011: UNIT HEATERS: HOODS: OTHER UNITS: +1 MAX INP: blu FLOORFURNANCES: VENTS: I WOODSTOVES: GASOUTLETS. 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: 2 VUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 400 snip: 201 400 amp: lel W/O SVC/FDR: 00 SIGN/OUT LIN LT: PER HOUR. LIMITED ENERGY: 401 600 amp: 401 600 rmp: EA ADDL OR CIR: 1 SIGNALIPANEL: IN PLANT. MANU HM/SVC/FDR: 601 1000 amp: 601-81 v• 000v: MINOR LABEL: 10004 amplvolt PLAN REVIEW SECTION Reconnect only: >-4 RE9l+NITS• SVCIFDR>=225 A.: >600 V NOMINAL CLS AREAISPC UCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B COAIMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6.STEREO: FIRE ALARM. INTERrOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL FNCOMB Boll FR: HVAC LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: OATArTELE COMM: NURSE CALLS TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 3,608.25 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 Cade, State Specialty Codes and PORTLAND,OR 97223 POR rLAND,OR 97223 all other applicable laws All woo rkk w will be done i accordance with approved plans. This permit will expire If work is 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 Rep 6: LIC 1246.7 fo11h in OAR 952-001-0010 through 952-001-OORO You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQIIIRED INSPECTIONS Erosion Control Insp 8& PLM/Underfloor Framing In3p Gas Fire;':ice Appr/Sdwl nap Sewer Inspection Mechanical Insp Sh=ar Wall Insp Insulatio. Insp Electri • Fin Footing Insp Plumb Top Out Exterior Shnathirlg Insl Rain drain Insp Mecha cal FI Foundation Insp Electrical Service Low Voltage Water Line InspPlumb anal Underfloor Insulation Electrical Rough In Gas Line Insp Water Service Insp al I Tectio XIssued By : _ Permittee Signature \�A ,�� Call(503)639.4175 by 7:00 p.m.for an inspection needed the xt busi ss day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001 00141 '13125 SW Hall Blvd.,Tigard, OR 97223 (503) 339-4171 DATE ISSUED: 4/10/01 PARCEL: 2S 104DA-13200 SITE ADDRESS; 13063 SW CADDY F - SUBDIVISION- QUAIL. HOLLOW - WEST ZONING: R-4.5 BLOCK: LOT: 118 JURISDICTION: TIG _ TENANT NAME: IJSA 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. Ownpr: _ - — — FEES BROWNSTONE HOMES LLC Type By Date Amount Receipt 12670 S\N 68TH PKWY#200 — -- — PORTLAND, OR 97223 PRMT CTR 4/10/01 $2,300.00 27200100000 INSP CFR 4/10!01 $35.00 27200100000 Phone: 503-598-7565 Total $2,3"5.00 Contractor: Phone: Reg #: Required Inspections I This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the date issued. The total amount paid will be forfeited if the pennit expires The Agency does not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer all purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral ATTENTION: 0.egon law requires ou to follow rules adopted by the Oregon Utility Notification Center Those ruies are set forth in OAR 952-00 ,OQ10 t ough AR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (5246- / 4 Permittee Si nature; Issued by:� '��_ fJ _ — Call (503) 639-4175 by 7:00 P.M. for an inspection needed then xt business day Building Permit Application Darr,received: '/%J! Permit no.• j f.2 p � J� / .. _ 11, 1 Cidtys�of 11 sgaHl#all t �! 'igard,OR 97221 Project/appl.no.: Expire date: i; Cityn/Tigard Phone: (503)6394171 Date issued: _ By:;'11H 1H Rcceiptno.: Fax: (503)598-1960 Case file no.: Payment type- Land ype-Land use approval: _ 1&2 family:Simple Complex: &I lit.2 family dwelling or accessory O Cornmetciallindustrial U Multi-family 15 cw cemstruction U Demolition U Addition/altcration/re.placement Ll'l'crant improvement U Fire.sprinkler/alarm U Other. Job address: _ g\1') tr _ Bldg.no.: 't r'_ Suite no.: Lot Black__$ulxlivision: tit+A i 11v�u T" Tax map/tax lot/account no.: -- Project name: C�tlF•,'( Nu llama Description and location of work on premiws/special conditions:� i/�' —IJt� C49NS1VU f 1 \ Mailing address:_2 e,-W 6*" ,tjCw_ 'ZW 1 &2 family dwelling: rPh]o yStatc:w ZIP: X727 Valuation of work.....................................ne:°1 fj Q 7"L r� Pax: LTi F oo( f;-mail: -- No.of bedrnomslbatiu.............2 . ........... wner's representative: jRT_ok"'- _ Total number of floors............... ............. Phone: 7 -�7ri Fax•'t]r 5912- E-mail: New dwelling area(sq.ft.) ........�.:.C-.... _ 112151110 Garagc/carpori arca(sq.ft.).....(e..V.4..... Name: �p fi6 R S A 6a,; Covered porch ares(sq.ft.) .............:.......... ------ — (� s to rt Mailing address: Deck area(sq.(L)................ ...................... _ City: State: '7_Ip: Other structure area(sq.ft.)...........' ......... Phone: i ax. ii-mn't!: CommerchtUtudintrWlmulti-famlty: 111610. : Valuation of work...................... ......... ....... $_ Business name: �do(E Existing bldg.area(sq.ft.) .......................... _ A New bldg.area(sq.ft.)................................ Address: � - -- —City: state: ZIP: Number of stories....................................... -- —'^ Phone:_ I?ax: �E-mail: Type of construction.................................... tkcupancy gmup(s): Exi'ting: CCB no.: _ New: City/metro lie,no.: Notice:All contractors and subcontractors are required to he — its III I KE Ij U Eli L"13 licensed with the Oregon Construction Contractors Board under Name: 6 1,(0 —_ provisions of ORS 701 and may he required to be licensed in the Address: ( j cy ;��rtiy� ���: jurisdiction where work is being performed. If the applicant is Cit �' �klT"+4' _ Statc: 'uit LIP:�{r ? . cxemp, :rom licensing,the following reason applies: Y _ -._1 -ICI 'ft{ Con"act person` N13Y_ c Planno.: ------ -- — Phone:7tf— .U:: N7 CGZ E-mail: — — imp Name: /tC1—� N Contact person: bruwI),'A4, Fees due upon application ........................... $. Address: SkO K) , _ _ Date received: __ StatcX3 ZIP:g72Z-5 Amount received ........................... $ _ Phone: k. ',JM'O Fax: — E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not dt)ufi+dk+ws mcce+rA,c3r&.ptexx call puiadiction for mac tnrn,�t�nl attached checklist.All provisions of laws d ordinances governing this p visa Masts.and w++rk will be complied w' whether s i ed herein or not. ('Ts,:,„,t TM"'Aw -- --- .—-L--L— �� �� � Expi,cc Authorized signature:_ _�_ Date: --h'�-'ti Nmme of mdkAkr w dw�n on c,nur cwd 1 H - ---- s Print name: _— _ crdtwteu dtrna►we _ .— Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete W 4613(btl'0M) Mechanical Permit Application Date received: Perutit no. s Cit of Tigard Y g Projcct/appl.no.: Expire dale: CityojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 - Pllone: (503) 6394171 Date issued: _ By. - Rceeipt no.: Fax: (503) 598-1960 Case 1110 no.: -� Pa finent type: Land use approval: Y -_ Building permit no.: U 1 &2 family dwelling or accessory U CommerciaVindustrial U IMulti-family U Tenant improvement 0 New construction C]Addition/;tltrratioN'replacement L-1 Other._ INFORMATION ----- JOB SITU Job address: ` 1 I Indicate,equipment quantities in boxes below. Indicate the dollar Bldg.no.: _- Suite no.: value of all mechanical materialfequipment,labor,overhead, Tax map/tax lot/account no.: — - profit.Value$ '7 LAX: ii Block: _ SubdJ�o � u *See checklist for important application information and Project name: r, ` jurisdic(ion's fee schedlde for residential permit fee. City/county: -i ZIP: - Description and location of work on premises:_ IJP) Fee(eL) ToW Est.date.of completion/inspection: _ Ilcsni iotl Qt . Iaes.arly Res.only Tenant improvement or change of use: Air ban dlingunit CFM Is existing space heated or conditioned?U Yes U No Is existing space.insulated?U Yes U No Air con iuonmg�&tep a-1 nmquir�) Alteration of existing HVAC system 1 oi�corrpressor.s — Business name: LUlScsy.)S State boiler permit no.: — HP Tons BTU/t1 Address: i10(0(,-'ACA - State7 i smo a am uclsmo a eectors City: )IkW : y ear pump t;^pTan require Phone: .. '54f l Cj Fax: 7 J)41 E-mail: — r.st1 rep aceturiocc/burner--T3 �1(T- Includin,g ductwork/vrnt liner U Yes U No CCB no.: Z nsta rep ar rr ocatcM^tern-suspended, City/metro lic.no.:d DC* wall,or floor mounted Name(please print): I Mn t�iq —� Venfor at p lance of eri-fthan furnace e erat :- Absorption units. '3TU/11 Name: M A:S t�I3G'>rt:� Chtllcrc —. _---__— HP -- --- -`- C oin ressors _ III' Address: w ron0eota extiimt a�Tir ienITtron: City: State: ZIP: Appliancevent Phone: Fax: E-mail. Dryer exhaust --- floods, 'yype VTWres. tc P azmat --- hood fire suppression system Name: --- G' 7 .44 x'.= Exhaust fan with single duct(bath fans) Mailing ndd_mss: x►aust system apart in Fe City: State: ZIP: _ P�mWdr at on(up- to outlets) Phone: ax: �!? mail: Type. LPG _ _ NO Oil - --- - fue inn eaeri edifititmsl ovv els X"11041111111 Proem 4 p p (schem qr.required) Name: ) r,.- )A, /}r, Number of outletsOtherilsiRa ^------ Address: PP egtdrmenl:_ Dmorativefireplace City: State: ZIP: Insi7rt-type_ Phone: - Fax: I E-mail: stov pe etstove - App!icarlt's signature: �.-- Datc: 4 v, Other: Name(print): h& I�s�n�� Not dl jurta&dom accept credit cm1s.ple—call jwiodimicm for rrac inrametion. Permit fee.....................$ ,� – U Visa U MasterCard Notice:This permit application Minimum fee................$ Credit card mmeer—- expires if a permit is not obtained Plan review(at __ %) $ Fa tea within IRO days atler it has been ,x- --- Name of cerdimidrr as a wn en c eir c.d — accepted as complete. State surcharge(896)....$ $ _ TOTAL .......................$ -7 Cardholder signatureAmattit 4/0-4617(6MVOM) i' P.3/07,12P01 11:49 269993508: STREWILINE ELECTRIC PAGE 0:41. Electrical Permit Application {� �y. � - t�>rroa.ivrd: PenRltlte.c�/a•,����- �'r= City o l ig2pY ik-AcVlpyi,n�a�— Alt Ire date: r-iti„lnr.ra AdAleta. i 1 125 9W 4v11llvd,Turd,ON 97,29 6Mre 1..1ted erg waip aa: Pas.:(50-3) S98-1960 Ca.c 1`114 tto f'aywtewtyr-: Und use Approval --- — — 4LU1, A 2 fearnity d"11 ling or tM Oelpacy a COMMArcit LUcluarlal U Mufti-family 0 Tenat IffTmvw,teel New caM4trtggtpn U AddtbQ Wlitemda%/mplttc nxnl U Otmr:t.no. 1,Block; uttdiv �-- .�_.__._ ._.-.�__ Kucwttt se,�--_ _ a oa tJ*!L 1�tt lov4 wt-%r 'tttlaget Rune: ICka f o I Ittt.) De1cr1 irtr&nd k A#m of WiMV c n remwui K ELxi tc,�'!•rxyGnw 'UIIM' d due(if c9m leUon/lnt tirm Job ret _ r 9uw naeN�1�..1 �1�► - 31:2* i r- a� .r YAP- Add;i t w ern1 p City. V' lir 5ttwte: WA X661 tM ��� Pfwwr 9 -50E1 Pu: _c Iii; Io00.tr.al«w-Fz -- CC_651y^ E1ec.batt.Hc.nn: 34-432C h•aa aon� x poroa,�h�mnr - CII hr►Mrr11k.nn I�nll�rlcnt*t�in.�an�rt_wldwntu'I�— __ _ _�- tl1 YN1 it 1 � I-,ry�` IM�_II.d •- •• IJat •^•-� Sef'Itd l"fttOr SIN--�-R+��-�� __. _-? •ION�f�fRN«\-MROCriMY4 Wp rlweu stew V100. t.tttM4 eo 4bde,Awee«frre..fAw I oo m tit Ntunie ntJvWv- wo i. i4 eoo� --- - - wtlJtnl lladdtCl4: lW� �— d to I 4rot � 7 'h: * f�Jp _ ,tell: _ Z1P: FZ -r i tat I'hopt - . 2 Pu fi n W I; R eaay4oa m! 0wrW in*. Wwdw, R1`iMd:lRNof1�i ink muse oil prapearty 1 etvn T�"'r"'�11ie`�'�'- s'� which f1 wx I"nded for We.I Rt,M e■chuw wo me:lttb to YtMrllWea�4Rwr411w,wnMeRtlNtr ORS 41�,d�1, 179,pir1lt)I kM,rnyw« 2 b Qwnae'1 d ruin: Date: �f' 0 e or NWW a F«OW hrtrtel,drtglN WOryrd,.R of Ad*W: 4M41ed as.Ntv4W 1n.VWA bnWA elffmn t:l� ����` _ $uee:~ IZIP: '— hwtxr�ieirwka« 1►IRttwr. lalrOtM' fttlttl IrttW of trio Cr M40a Iw,(IM htt+ro C!"I' 2 Of1�ct t: - t « r.�itrrtar�e'r'Ir-- V laNe4 mer 7?.i nrp te+�nwrrinl CJ 16MIb+yr.%rrity Wdl a tgnsoo — f]deur a•tr i2t:tKeprndy M lA2 O F!�,treloetrcrnON of aruanr WIMPI _ hrd!r Att�llitt�, U oei*"Ofw I O a0 grfuMt ItM Aror r>r 11 4 mt• nd'atd r"Mly PU 1. Q m m w 14(1 vn!n t1t11MmIt Area n4ddrortt4l ttdU Isnot t.W len W4nttasA•o.r ata w,an� Q Re,kRn1dvadmrrt,fid4 lJ r4 wo 4M"Mmom • � U oompant lo.d O-W"omm -t M WAMvtd 4Y*owmfr ma RV p4tk w ow* rdNw tw)at I* ;'" 1 G!•�,MY/h1hTb4r14n U00 r-7 !I!�...�-Mtb of/11Iw 41'!16�twf IfM�M't'r• ��.. I t t1`sAtrw arra mel W u e1rh�MIN e.Ma. ...... Pcmttt ft+e.....................f ,.. mo v ov% ow waV*W w•i,Oka w11 pe%WkSw h•rain WAwRwb+ 14wob This re'"Al lkwirtatitm U vW U M~-'&,'d _ --- erjirp If 4 romto!I net awam 0 Moa nvftw(il 9b1 S ,.w am 600etr --11j"" within 110 d4yg afM M ha Mel gate gunhet>e(9%)....S Art 11eo"m to°!'"'pM1e 7 OTAL ...................... ,.—. -- 1�4tIa1� MFNnttl�n l� Plumbing Pernut AppL 'on ,1 Daterweived: Peri' Cltv of �g 1 Sewer permit no.: Building permit no.' ,.; Address: 13125 SW Hail Blvd,Tigard,OF 97223 Cilyof77gard Phone: (503) 639A171 Prujcct/appl.no.:— Expiredatc: Fax: (503)598-1960 Date issued: By: JR:axiptno.: Land use approval: _ Case file no.: Payment type: 17-01 family&fling or accessory U Cemmercialrndustrial U Multi family U Tenant improconstruction U Addition/alteration/replacement U Food service U Other:„ e% I" Job address: ! ()(c� I t C.,ta t� )�� — [>�scr1I Qty. Fee ea. Total Bldg.no,: t _ Suite no.: _ New 1-and 2- y wellin&ponlyt Tax map/tax lot/account no.: (includes 100 for each aeiury comectloto) SIR(1)bath Lot: 4') Block: Sulxlivisio-n �r�,it. ptu thou,u>t SIR(2)bath Project nameiAi l lo-) _ SFR(3)bath ^— City/county: T1( NO WMA. ZIP: `�ffZZ75- '_— Each additional bath/kitchen D.-wription and location of work on premises:_ �O J Siteatilitles: C!.cn basin/area drain Est.date of completion/inspection: Drywells/leachl line/trench drain PLUMBING t Footing drain(no.lin.ft.) - — Manu011 factured home utilities Busincssnanie: u�p��p� �VnnY3nlxt 4—Riain anholes _ Address: drain connector City. ft.�� }�rq _ State:o- Zip: initary sewer(no.lin.ft.) — Phone: -7 r Faax•.(0(07g9; r E-mail:-- — ormsewer(no.lin.ft.) - CCB no.: _ Plumb.bus,reg.no: Water service(no.lin.ft.) City/metro lic.no.: -- — Oxtare or Item: Contractor's representative signature: Absorption valve ---- Rack flow preventer _ Print name: Date: 10i:kwater valve 13mins/lavatory _ Name: Clothes washer --- Address: ----- -- _Dishwasher - Drinking fountain(s) _ City: ---__ Stare: ZIP: — E'ectors/sump —_ }'hone: Fax: E-mail: Eximision tank Fixtur!sewer cap — Name(p;1): Floor drains/floor sinks/hub Mailing dress: Garbage dis sal Hose bibb Ciiy: State: -�IP: la maker —�-- Phone: Fax F-mail: Interce or/gyrase trate --- Owner instal lation/residential maintenance only: Tire actur' installation Ptimer(s) will he made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on on the property I own as per ORS Chapter 44/. Sink(s), in(s),lays(s) - - - - Own,!r's ;ignaturv: Date: Sump Tubs/shower/shower pan Name.: Urinal - -- - - --- --- Water closet Addtss: Waterbe_ster C'ly:-- _ -- State: _ ZIP: _ Othcr. — Phone: IFtx: ra all juritdkrieos a'ce"errdit emits,rk,ue call jtaisdiction tet ram iararmatkn Mirlinl'lm[CC................$ Notice:"lh;s per.nit application Yiss U MasterCant expires if a permit is not obtained Plan inview(at _—%) $edit emd mmbe __—_- _ 1_�_ within I1%0 days after it has been Stale surcharge(8%)....$ teas Complete TOTAL .......................$ _J Nape d cydholda u dto,m on credit Dant"+ accepted p —_- ----. J Cmdtrotder sipsittue A 44U-1616(bOtN_'OM) Mar-06-01 03 : 05P Wolcott. Plumbing 3 667 9891 P . OZ )3 '06•ol 1'L'L•' 14 4; I'.1� 5U't S98 1Br.;3 CI?1' 0; :�0U3 PLUMBING PERMIT FEES: RI F TQTAL lly dill �r,pt air: _— FIxfURt Indtvldusl •at MAU'NT, ubinp'naturrtIn p ICE TOTAL 166 ` d th�11r11 D fl ,:� QTY ep AMOURI c inn�al'p y Tb or u0/Srluwer�0+tb -161 I Sh w•r Orly _ '_ $399 Lair Clwet 1 ) — _UOTOT L4 .14 l UrinJl` 10•A] _ STATL -URGIIAIN: CiJhwo.na T lee] —'� 25.9 OF SUBTOTAL CarGapG GiGpotll 16.CJ -MAL Lyondry�ray toe0 ' Wathlny Mach no fluaD—�N�ek 1' 16110 COMPLETE: W;7 meati O convr9 on like wrid 16( - (.--•i� utn or PGG tinned,. C'•spipmp requtle••separvie twhanical ( I//� ` New 1r1or d Replaced mo o ew MFG 1,orw New Sarvlcr 4!S•0 —ko HornNg e i4w Satofm •w•f �i4oJ• be Pool 0title ___—_�-__i �ea•p — .�._ -- --- -- Dflllk n9 Fo�nl:•m 181A — r0►lufitrwk(3:'aclry) --I Sower ti�dd lk,'l 100' _ d6 10 4' �L v:•Irr 9:ry to caster sarwce.each and ton31 loo ae to ,Iorm 6 R•In 01a1r• 'to 1l)0' �, 55.)C 81o•rt 6 ROir1Ir-uch ad1111 ontl 1U0' dE.10 CORMTI!(n L�ecA FIOW�rlWnlWn[)•XG, — 10 I - ---- --- -- ReudanT:rl ItxRncvrm enttor -1 - GJRh I ImpMlon of EarStlnO Pluml;lnp or�ecply /2 5D I R•gu•atld!nom! r�cn�on! Ifi- l COARDINQ ABOVE: aan ptal- tl—ngMZarrAy dwelling 65?5 GrtrOG ripe _--_—— — le e0 _ -- -- ------- QUANTITY TOTAL t owwtnc m ite•illapon is•epu-•ed It i .•i - 'BUNTUTAL SYr STATE 9URCHARGE �— �� ------ PLAN REVIEW 25'4 OP%LRTOTAL - �$TAL = 'Mlnitl•+m P.—A fat It$12 SO•tS Glatt,tl.charga,a1,A01 Re"d•n1111"SCRIarr P'tv Kr.Nn Oev't e,wt,0 t»t 13 1 Gt,t$1810 nrcnelpe 11'.1,aw Cemt emial rullingt rwquue YMliG r'kh tanmel,c Of 1%it llayran.-d den •.y.. I�iittltfornslplm-Res doe 1C11000