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13235 SW KINGSTON PLACE f r, r w N W Cn 6 _X 7 N O .0 m n fD 13235 SW Kingston Place awes CITY OF TIGARD 13125 S.W. HA1..L BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE DAVID JEROME ELECTRIC PO BOX 751 HILLSBORO, OR 97123 Electrical Signature Form Permit #: MST2002-00075 Date Issued: 3/E/03 Parcel: 2S104DA-20000 Site Address: 13235 SW KINGSTON PL Subdivision: QUAIL HOLLOW - SOU I H Block: Lot: 026 Jurisdiction: TIG Zoning: R-4.°, Remarks: SF rowhouse, Unit #26,Bldg S,CS plan with deck Your company has been indicated as the electr,cal 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 Division. No electr;ral inspections will be authorized until this completed form is received OWNER. ELECTRICAL CONTRACTOR: BROWNSTONE QUAIL HOLLOW LLC DAVID JEROME ELECTRIC 12670 SW 68TH PKWY STE 200 PO BOX 751 PORTLAND, OR 97223 HIL.LSBORO, OR 97123 Phone #: 503-598-7565 Phone #: 648-5144 Req #: LIC 36051 SUP 28775 r?I.F 34-1190 AN INK SIGN,. ")RE IS REQUIRED ON THIS FORM X ' -,nature of Supervistrlg ectrician If you have any questions, please call 503.718.2433. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WOLCOTT PLUMBING CONTRACTORS PO BOX 2007 GRESHAM, OR 97030 Plumbing Signature Form Permit #: MST2002-00075 De to Issued: 3/6/03 Parcel: 2S104DA-20000 Site Address: 13235 SW KINGSTON PL. Subdivision: QUAIL HOLLOW - S—,UTH 'lock: t-ot: 026 Jur, yin: TIG ong: R-4.5 Remarks: SF rowhouse, Unit #26,Bldg 3,CS plan with deck 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: Build;ng Division. No plumbing inspections will be autliorized until this completed form is received OWNER: PLUMBING CONTRACTOR: BROWNSTONE QUAIL HOLLOW LLC WOLCOTT PLUMBING CONTRACTOR! 12670 SW 68TH PKWY STE 200 PO BOX 2007 PORTLAND, OR 97223 GRESHAM, OR 97030 Phone #: 503-598-7565 Phone #: 667-1781 Reg #- LIC 23847 PLM 26-208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Signabu uth rize�ber If you have any questions, please call 503.718.2.433. ELECTRICAL - CITY OF TIGARD RESTRICTED ENRIGY DEVELOPMENT SERVICES PERMIT#: ELR2003-03171 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 6/17/0; SITE ADDRESS: 132.35 SW KINGSTON PL PARCEL: 2S104DA-20000 SUBDIVISION: QUAIL HOLLOW- SOUTH ZONING: R-4.5 BLOCK: LOT: 026 JURISDICTION: TIG Proiect Description:All encompassing low voltage. A.RESIDENTIAL B.COMMERCIAL _ AUDIO& STEREO: X AUDIO & STEREO: V INTERCOM & PAGING: BURGLAR ALARM: X BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: X CLOCK: MEDICAL: H%IAC: X DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: X FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS_ Owner: Contractor: BROWNSTONE QUAIL HOLLOW LLC AZIMUTH COMMUNICATIONS INC 12670 SW 68TH PKWY STE 2.00 P.O. BOX 508 PORTLAND, OR 97223 WILSONVILLE, OR 97070 Phone: 503-598-7565 Phone: 503-639-01M Reg #: ELE 36-94CLE SUP 2312LEA LIu 145828 FEES Required Inspections Description Date Amount Low Voltage Inspection 11.11161-1] L'LR Permit 6/17/03 $75.00 Elecl'I Final I \X 1 8"i, State Tax 6/17/03 $6.00 .� Total � $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 130 days of issuance,or if work is suspended fo,more than 180 days. ATTEN TION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc Issued by ,- a -f. �l G�� c -�- --- Permit-tee Signature— OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE. DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day ( Clectrical Permit Application Date recerved6 Permit nu&rgjt .0 City of Tigard Project/appl.no.: Expire date: 01yofTigard Address: 13125 SW liall Blvd,Tigard,OR 97223 Date issued: - By` Receipt no.. _ Phone: (503) 639-4171 Fax: (503) 598-1960 1 Case file no.. Payment type: Land use approval: 0 I &2 family dwelling or accessory U Cummercial/industrial 0 Multi-family LI Tenant inlpruvcnient A New construction 0 Addition/alterntion/replacemenl 0 Other: 0 Partial JONSITE INFORMATION Job address „? ,5",tJ, K(AA ;day 17C__l Bldg. no.: Suite no,: Tax map/tax lut/accouilt no.: i Lot: - (� Block: Subdivision: Project name: ().yr41 t- �c,c t i nt Description and location of work on premises: 11("W L t', [')t c Estimated date of completion/insp "'ATION I hh, FEE SCHEDULE Job no: - ------ Fee 11ax r Description QI ea Total nu.Ins Busine , name: Zbr�1_sA Cv,�,yvMlwry.CA sTst,t+� New residential-sin le ornmdti-fandly tsr ( ) Address: A 3ClS S.l•�`• '��'t: z C)R/� dwellingunh,Includeaattachedgorvge.i ' City: (,t:►1 ✓ - Slate ) " ZIP: 1 Service Included: Phone: ei l C Fax:4,j'j-r_%j E-mai': 1000 sq ft ar less 4 finch additional 500 sq it or portion thereof CCB no.: ( fjZ Elec.bus. lic• no: r it C'tt Limited energy,residential 2 Cit y/melt lic.no.: 9 )Cy�, _ y (.Gyf. S Limited energy,non-residential j (� �l IQ 1 3 Each manufactured home or modular dwelling --1 Signature o supervising clecutcia required) _ Date Service and/or feeder 2 Sul) elect.name(print) , l ' c L(^ 1.3tZIt � Services or feeders-Installation,I alteration or relocation: POPERTY OWNER 200 amps or less Name(print): 'vW r,,j')i UL 201 amps in 400 amps 2 —---- 401 amps to 600 amps Mailing address: 601 amps to 1000 amps City: Stale: i LI P: Over 1000 amps or volts 2 Phone: fax: I E-mail: keconnectonly I 0t+ner installation:The installation is being made on property I own Tem porarysenlcesorfeeder%- which Is not intended for sale, lease,rent,or exchange according to Installation,alteration,orrelucnllon: URS 447,455,479,670, 701 200 amps or less _ 2 201 amps to 400 amps Ow'ner's si'nature: _ Dille, 401 to 600 amu I Branch circuits-new,alteration, or extension per panel: Address: A Fee for branch circuits with purchase of Addservice or feeder fee,each branch circuit City: Shite: LIP: It Fec for branch circuits without purchase Fof service or feeder fee,first brunch circuit 2 Phone: Fax: 1'-mail: -I ,ch additional branch circuit NI Ise,(Service or feeder not Included): 0 Service over 225 amps-commercial O Health-care facility Each pump or irrigation circle 2 J Service over 320 amps-rating of 1&2 Cl Hazardous location Each sign or outline lighting 2 family dwellings UBuilding over l0,0Msquare feet fouror Signal circut(s)oralimited energy panel, U System over 600 volts nominal more residential units in one structure aftetauon,or extension' 2 U Building over three stories U Feeders.41X1 amps or more «Descn tion __ U Occupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over lite allowable In any or the ii= J Egress/Itghtingplan J t)iher _ Per inspection L Submit—_sets of pians with any of the above, Investigation fee e The above are not applicable to temporary construction ser,Ice. Other Not all junsdtctinas accept credit cards•pleite call Jurisdiction for more infotmauon Notice:This permit application Permit fee..................... $ _- 0 Visa U MasterCard expires if a permit is not obtained Plan review(at — °k) Credit card number —�_1within 180 days after it has been Sate surcharge(8%) .... $ L� _ Expires accepted as complete. TO'T'AL .......................$ `fi 1 -- Name of caro r as shown on credit car —� Cardholder vitimilure Amount 440-4611,f,UJI'UM i CITY Y OF TIGARD — MASTER PERMIT PERMIT#: MST2002-00075 DEVELOPMENT SERVICES DATE ISSUED: 3/6/2003 13125 SW Hall Blvd.,Tigard, OR 97223 (503)6394171 SITE ADDRESS: 13235 SW KINGSTON PL PARCEL: 2S104DA-20000 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: 1 45 BLOCK: LOT: 026 JURISDICTION: TIG REMARKS: 10/27/04: THIS PERMIT IS REINSTATED FOR PURPOSE OF FINAL INSPECTIONS FOR A PERIOD OF 30 DAYS. SF rowhouse, Unit#26,Bldg 3,CS(Option 3)plan with deck BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: 370 at BASEMENT. al LEFT: SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 744 of GARAGE: 412 at FRONT: PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 THRO 7"+7 at RIGHT: OCCUPANCY GRP: R3 BDRM: 1 BATH: a TOTAL: 1"'96 51 VALUE: 173,305 60 REAR: _ PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 3 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS: GARBAGE DISP: 1 WATEP ":ATERS: I WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL _FUEL TYPES FURN,100K. I BOILICMP-JHP: VENT FANS: •1 CLOTHES DRYER: I PG FURN-=100K: UNIT HEATERS HOODS: I OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: ' WOODSTOVES. GAS OUTLET S I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS _ MISCELLANEOUS _ ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 1 0 200 amp. WISVC OR FOR PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 400 amp: 201 400 amp: tat WO SVCIFDR: SIGN/OUT LIN LT. PER HOUR: !IMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL.13R CIR: SICNALIPANEL: IN PLANT: MANU HM/SVCIFDR: 601 • 1000 amp: 601+ampa•1000v: MINOR LABEL: 1000+amplvolt PLAN REVIEW SECTION Reconnect only: -=4 RES UNITS: SVCIFDR-=225 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 8 STEREOVACUUM SYSTEM: AUDI)&STEREO- FIRE ALARM. INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,724.33 This permit is subject to the regulations contained in the BROWNSTONE QUAIL HOLLOW LLC BROWNSTONE HOMES, LLC Tigard Municipal Code, State of OR. Specialty Codes 12670 SW 68TH PKWY STE 200 12670 SW 68TH PKWY and all other applicable laws All work will be done in PORTLAND. OR 97223 PORTLAND, OR 97223 accordance with approved plans This permit will expire if work is not started within 180 days of issua.ce•or if the work is suspended for more than 180 days Phone: 501-598-7565 Phone: 503-598-7505 ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those Reg N: LIC 124627 rules are set 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 Mechanical Insp Footing Insp Slab Insp Electrical Rough-in Mechanical Insp Gas Line Insp Gas Line Insp Footing Insp Slab Insp Mechanical Insp Plumbing Top Out Gas Line Insp Electrical Final Foundation Insp Slab Insp Mechanical Insp Framing Insp Insulation Insp Plumb Final Wtr Proofing Bsrn't Wa Pim/undslb Insp Mechanical Insp Framing Insp Insulation Insp Sewer Inspection Fig Drain Bsrn't Walls Electrical Service Mechanical Insp Gas Line Insp Shear Wall Insp Issued By : - Permittee Signatur `; Call (503) 639-4175 by 7:00 p.m.for an inspection needed the next usiness day CITYOF TIGARD SEWER CONNECTION PLRMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00051 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/6/03 ITE ADDRESS; 13235 SW KINGSTON PL PAW-tL: 2S 104DA•20000 SUBDIVISION: 11 1101.1 ()%V - SOUTH ZONING: It45 BLOCK: LOT: 026 JURISDICTION: 11(; TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SFA NO OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF rowhouse. Owner: --------- — --- _ FEES BROWNSTJNE QUAIL HOLLOW LLC: 12670 SW 68TH PKWY STE 200 Description Date ` Amount PORTLAND, OR 97223 [SWUSAI Swr Connect 3/5/03 $2,300.00 [SWUSA] Swr Connect 3!5/03 $0.00 ' Phone: 503-598-7565 [SWINSP] Swr Inspect 3/5/03 $35.00 (SWINSI'l Swr Inspcci 3/5/03 $0.00 Contractor: — - --- --- Total $2,335.00 Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. 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-wer 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 purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699. Issued by: �L _ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day cccuR" 5 Building Permit Application City of Tigard "Dateiiw=aivad: o� Permit no.i�!sf - r Cu.uf7�ir;trnl Address. 13125 SW Ilah f31vc�IZ i�UVED �oj�vappl.no.: re(latc: Phone: (503) 639-4171 Date issued: %y:) ,Ii'., Receiptno.: Fax: (503) 5911-1960 Case file no.: Payment type: Land use approval: .., , a 1A_Awl.3 1&2 family:Simple Complex: U I & 2 family dwelling of accessory U Conirnerclar.';ndustrial U Multi-family U New construction U Demolition U Additiotvalteratiott/replacement U Tenant improvement J Fire sprinkler/alarm U Other: 1I SITE INIPORMATION Job address: I CU t L-­n c' (cLc. Bldg. no.: Suite no.: Lot: Blocker Subdivision: t�, ii Tax, ap/taxlot/accountno. Project name: - q,> Description and location of work on premises/special conditions: Name: &O C9 ill C 4-nJdS___l_]G��r�l 6W kr�1 f�- Mailing address: /. 6 in, jl & 2 fandly dwelling: City: 41 r-k- l State:© ZIP: Valuation of work....................................... $ Phone - - Fax:620 E-mail: No.of bedrooms/baths................................. Owner's representative: ' Total number of floors................................. Phone: e �Fa : -yEmail: New dwelling area(sq.ft.) Garage/carport area(sq. ft.)......................... Name: r Covered porch area(sq. ft.) ...I.... .•............. N t. - Mailing address: E, A Deck area(sq. P ) ....................................... -� _ y` - Other structure.area(s ft. _ City: t c __ State: ZIR. q �� q )... ............. ..... Phone: Fax E-mail: Commerelailindustrial/multi-family: CONTRACTOR Valuation of work........................................ $ _ Business name: r " Existing bldg.area(sq, ft.) ...... .................. g New bldg.area(sq.ft.) ................................ Address. - City: , rState:p� ZI :���__ __ Number of stories....................................... Type of construction.................................... Phone- ag - Fax:b 2o- -mail: CCA no.: Occupancy group(s): Existing: -------- New: City/metro lie.no.: Notice:Al! :ontractors and subcontractors am requited to be icensed with the Oregon Construction Contractors Board under Name: �� L,[� T_ provisions of ORS 701 and may be required to be licensed in the Address: _S c. c fc _s�C�` jurisdiction where work is being performed.If the applicant is City:. _ State. ZIP:9��10 _ exempt from licensing,the following reason applies: Contact person:a�.N� _ flan no.: ---- --_- Phone: x: E-mail: -- - Name: ,w, ` Contact person: Qtam Fees due upon application ........................... $ —.e Address: `;LU Date received: City: 17r r_.- tate: ZIP: _ Amount received ......... ........................ ...... $ s 3 Phone: . ~ Fax; I&mall: Please refer to fee schedule. I hereby certify 1 have read and examined this application and the NM all iurl"ctions accept ctrdit c",'plcaae c,u luri"ctiom for m«e Information. attached checklist. All provisions of laws and ordinances governing this U Visa U MasterCard work will be complied whetlic e r ed herein or not. Cruet cud oamher Authorized Si re: Name 4cardholder uihown on c"t card Print name: —__� .. —Crdbnlrter allnattrce Amami Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted d,complete. 440-4613(~10M) lumbing Permit Application Date received: Permit no.: City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 — City ofTigard Phone: (503)639-4171 Projec,.'gpl.no.: Expiredate: Fax: (503)598-1960 Date issued• By: Receiptno.: Land use approval: - C.xse.file no.: Payment type: 1 U I &2 family dwelling or accessory L'Commercial/industrial O Multi-family O Tenant improvement O New construction U�,ddition/alteratior✓mplacement U Food service U Other: 1 1 1SCHEDULE Job addressi- 31-1. S t �. •�ey` ,Lcc Description Fee(ca.) Total Bldg.nu.: Suutc no.: New 1-and 2-family dwellings only: (includes 100 ft.for each Wilily connection) Tax map/tax lot/account no.: _ SFR(1)bath 1 oto BlockSubdivision: SFR(2)bath - Project name: SFR(3)bath _ City/county: _—T ZIP: — Each additional bath/kitchen Description and location of work on premises:_ Siteotilitkc: _ Catch basin/area drain _ Fst.date of completion/inspection Drywells/leach line/trench drain - Footing drain(no. lin. ft.) ILUNI III NG CONTRACrOR Manufactured home utilities .....:__..___ Manholes Wolcott 1'lunthing Rain drain connector - PO Box 2007 Sanitary sewer(no.lin.ft.) (iiesh-.m OR 97030-0594 Storm sewer(no.lin.ft.) 503-667-1781 Water semoi ..(no.lin.ft.) ('('13:23847 PLM#:26-208PB Fixture or hem: Abso ion valve - _Contractor's representative signature: _ _ Back flow prrventer _ Print name: Date: Backwater valve _- 1 Basim lavalory Name: Clothes washer --- ---- ---- -- Dishwasher _ Address: Drinking fountain(s) — City: -_— - — stateTZIP: l iectors/sump_ - Phone: Farr: E-mail: Expansion tank _ [fillFixture/sewer cap Name(print): - -T Floor drains/floot sinks/hub�_ -------- --- Gant a dis sal Mailing address: — Hosc Bibb — - City: --- Statc: ZIP: _ Ice maker Fax. Phone: � �ail: Interco or/grease trap Owner installation/residential maintenance only: The actual installation Primers) will be made by me or the maintenance_and repair made by my regular Roof drain(commercial) employee on the property I ower as per ORS Chapter 447. Sink(s),basin(s),lays(s) —�- — Owner's signature: _ Date. _Summa - _ _- - Tubs/shower/shower pan - Urinal Name: —— _-_ — --_-- Water closet - Address: — Water heater City: _---- - State: ZiI': _-__— Other. Phone: —_ Fax: E-mail: low No dt knidwoom rxW m-&cw6.1L%w call! for n"e Id0'o040 Notice:Thi-c permit application Minimum fee................$ ❑Vise O MuterCard expires if a permit is nor obtained Plan review(at _ %) $ _— t �cad mm� ---___—. -_.__._. _ wilhiu 180 days after it he<been State surcharge(846)....$ acoepted as complete. TOTAL .......................$ d ar darder n afx>M•oredM csd S Aad _ 4"16(bMM0 Mecha>n W'PerimitApplication Date receivod: Permit no.: City of Tigard Project/appl.no.: expire date: Ciryo/Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-417 I Date issued: By: Receipt no.: Fax: (503) 598.1960 Case file no.: Payment type: Land use approval: Bdilding permit no.: U 1 &2.family dwelling or a,.".ssnry U Commercial/indnstrial U Multi-family U Tenant improvement U New construction. U Addition/alteratiun/replacentent U Other. O; e 1VAL�A1rJON.WjEDUkE Job_addre;s:_13-23-1)'_ SU <4 Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: St. no.: value of all mechanical materials,equipment,labor,overhead, Tax map'tax lot/acwcnt no.: profit.Value$ _. Block: I Subdivision: *See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: ZIP:-v vU&2YAMILY 1SCHEDULE Description and location of work on ptrmises: Fee(ea.) Total Est.date of completion/inspection: Description QtL. Res.tuly Res.onl Tenant improvement or change of use: Is existing space heated or umditioned?U Yes U No AT handling unit �CIT1 Is existing space insulated?U Yes U No Arco- -don ofcxn i(silt plan C system€ P' Alterauun of ezisung-�l'VAC system moiler compiemsorx State boiler permit no.: Frau Seasons Heating g &, A �'Service Inc _ Hr' Tons_ BTU/li — b 'ire smo etc argil duct smoke ctcctors PO [lox 66409 -feat pump(site plan rcqurred) - -- Pot rand OR 97290-6409 ustarep acT afurnu�rner 1 503-775-5919 Including ductwdrk/vem liner U Yes U No CCB: 48283 Instal I/rep ace/re exit-e caters-susfxn —' _ will,or floor mounted Name(please prin!). -'Pani for a i—Tante othu trim-ace -- 1 1 e Sm - Absorption units _ 13Tt1/H Name: (hillexs----._.� - - -- - - -— - Cbm Lessors. lip - Addrers: ___ _ _ Environmental rithanst i&d v City: — - _ Shite: �ZIP� - _ Appliance vent Phone: I Fax: r,ma -Ury_uexhaust WAs,Type V I Ures. tc a azmat hood fire suppression system Nance: Paohaust fan with single duct(bath fans) Mailing;tddress: - Exhaust system art from o--r AC City: - State: ZIP: __ piping oa up to ou els ._ Type. LPG NO Oil Phone: Fax: E-mail: 'F;LeTi tcacti 3 itid-cnal ovet 4 outlets --Ig IL-1 x 111 Pivcea piping(scematicrequr ) Name: Number of outlets _- _--------._----- - !tomer-twa_Xp_�&nce or equipment: Address: _ -_ Decorative fireplace _ City: --- State: ZIP: -_ In Seri rt-type -- Phone: Fax: E-mail: _W00&t0VC7pCllCAstt,Ve Applicant's signature:- -- Name (print): n jr ----- —_-- No aairNceiom anoetw arAl earth,pleat ndt}urialictli�n for,wxr lydrrr.=an F�ermit fee.....................S Notice:This permit application Minimum fee................$ ❑ l c u bar.MasterCard 'expires if a permit is not obtainad cmdir card aemtrr. _,.L-1__ Plan review(a( ._ 96) $ __ ____-- .- Fap within 190 day:after it has bran State surcharge(896)....S -_ Namr ct cardb,�n simme an ar&cod_.___ $ accepted as complete. TO'T'AL .......................$ ._ Catdbclder rlrpaturr T J�„ _Amamt — 4"17(AMM) Electrical Perinit Application 1.4 Date received: Permit no-: City of Tigard Project/appl.no.i Expire date: Address: 13125 SW Hall Blvd,Tigard,OR 97223 Cin�nf7i�nrd Date issued: !- By: Receipt no.: Phone: (503) 6394171 -------- Fax: (503) 598-1960 Case file n-: Payment type: Land use approval: 1 U 1 Rc 2 family dwelling or accessory U CommerciaUindustrial U Multi-family U Tenant improvement U New construction U AddiIion/al eraliordreplace men( U Other:—_ _ U Partial JORSITF INFORMATION Job addre�— _ `j��� -� �_�_ Bldg. no.: Suite no.: Tax map/lax lot/account no.: 1. -_ ot: �1T"BI_—ock: Su. tvision: Project name: escn __ ----�Dption and location of work on premises: Estimated date of completion/inspection ^� CONtRACT01111 APIrLICATION Job no: Fear Max Description Qty. (ems) Total no.Ins ,1 E R O M E E L.EU I R I( New rvsidevaial-angle or soulti-fu,rly per PO BOX 751 dweun igunk.locludesanarivedgarioge. service:xladed HILLS' )RO OR ()7123 1000 sq he.or less 4_ r6-5144 Each additional 500 sq ft.or ponion thereof 503-6 Li�—miffed energy,residential 2 CCB: 36051 1:L(': 3a-119C SUP: 28775 Limited energy,non-residential —� 2 tach manufactured home or modular dwelling Signature of supervising elecMcian(required) Date Service and/or ieeder — 2 Sup elect name(print). License no Seerfeeder Installation, liberation or relrwration: PROPERTY OWNE11t Nxl amps or less 2 Name(print). znamps to 400 amps — — 2 -- 401 amps to 600 amps 2 Mailing address: All amps to 1000&mps 2 City: --- State: ZIP:- cher 1000 a""or volts — Phone: Fax: E•mat I: Reconncctonly _ t Owner installation:The installation is being made on property I own Temporary arrvkesorfeeders- which is not intended for sale,lease,rent,or exchange according to kwaItatfon,all"lon,of reloryuon: ORS 447,455,479,670,701. 20()&trips or less - - 2 201 amps to 400 amps 2 Owner's signature: Date: —__ -401 to 600strips 2 Branch cirruhs-new,alteration or exlenslaa Fei Anel: Lime: A. Fee for branch circuits with purchase of Address: service tx feeder fee,each branch circuit 2 City' State: ZIP: B. Fee for branch circuits without purchase ------ —— of service or feeder fee,first branch circuit. 2 Plronc: Fax: E-mail. Each additional branch circuit. Misc.(Service or feeder not Included): U Seryice over 225 amps romnxtcial U Health rare facility Each pump or irrigation circle 2 U Service over 320 amps-rating of 1&2. U Ha7mAcius location FAch sign or outline fighting _ 2 family dwellings U Building over 10.000%quare feet four or Signal circuit(s)or a limited energy panel, U System over 600 volts notninal n>ttr residential units in one structure aheration,,x extension• — _— _— 2 U Building over three stories U Feeders,400 amps or more "Description U occupant load over 99 persons U Manufactured strictures or RV park Fach addil(nwsal inspection over the allnwabk N any of lie above U F-gress/lightingplan U OtherPer inspection — Submil,--__sets of i*,ns with any of the above. Invesugabiv The above are not applicable .o temporary coastrnctlon service._-- Other — -- Permit fee............ Nd VI jurirdicliats leapt credit rar[r5,plat%call jurisdiction frx tiara mformalinn NOIICe:This permit application .""...$ --�""-- U Visa U MasterCard expires ifs permit is not obtained Platt review(al _ %) $ Credit card nuinta _ —_— _.._ I—_— within 180 days after it has been State surcharge(8%)....$ Expires accepted as complete. TOTAL . S Name of cardholder as ahawrt on ardir card S _ - .-.--._.._..—_._-.Cadholdrrsigplaturr ---- Amount 44f?Jh15IFrt 'OM) d Ub ► �- ► , t r i s rtloll ► O U ro !9'� ly \ Cb 4 ► O n ► • `� ' �7 O l► 44 b � y ► i � ► CITY OF TIOARD 24-Hour BUILDING Inspection Line: (503)F39-4175 Doo 2�— INSPECTION.DIVISION Business Line: (503)639-4171 -- t-t`Y BLIP Received ' Cst�14-6 T_ Date Requested.-//Z� AM _____. II v �' BLIP Location -s'2?' ___ l -,� __Suite MEC Contact Person _- - Ph( .) . /2i S AF6 PLM —_ Contractor ___ (__ _ _ SWR FF000ting ILDIN Tenant/Owner _ _ _ _ _-___— ELC Foundation ELC Access: Fig Drain ELR Crawl Drain -- ---- Slab Inspection Notes: .� SIT Post& Beam Shear Anchors - - - ------------ - ----- -- F-xt Sheath Shear Int Sheath/Shear --- ---- --- Framing 2 Gam_ __--_---- _ Insulation ,� r Drywall Nailing Firewall Fire Sprinkler - --= Fire Alarm Susp'd Ceiling -- -- - --- — - Roof Othgt: rn_ S PART FAIL - - - -- -- Pos eam Under Slah Rough-In — Water Service --- ---- Sanitary Sewer Rain Drains Catch Basin/Manhole -2 Storm Drain �/� Shower Pan / Other: l ------ - S PART FAIL — - "-"- -- - CHANICAL st&Beam --- - -- ------------ �__—.___ ---- — -- Rough-In _—_-- Gas Line Smoke Dampers -- -- - ---- _- ------ --- ----_- �inal PASS PART FAIL --- - _ - -- ------- -� _--- ELECTRICAL Service Rough-in UG/Slab -------------__..-- -------�.-- ------ ------ ----- -- Low Voltage _---_-_-___-_-- -- Fire Alarm - - -------- ------------____�-____-- Final FJ Reinspection fee of$____._._______requirr d before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _PASS PART FAIL C7 Please call for reinspection RF _. �_ Unable to inspect-no access Fire Supply Line ADA �� Approach/Sidewalk Date___ _ — Inspector--_----_------ - - ----- -. Ext Other: Final — DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 2 —060 INSPECTION DIVISION Business Line: (503)639-4171 BLIP _ Received Date Requested. q_Z7__— AM.__L.,- PM BUP — — Location 13 2 3 2 ._ Suite _ MEC _ Contact Person – _—_ Ph( 2� ) _ 3 ' S�c�d PLM Conti If Ph(----) -------- SWR --__ Tenant/Owner ELC Footing ELC Foundation Access: - -"_-- Ftg Drain Crawl Drain ELR Slab Inspection Notes- SIT Post&Beam 7� Shear Anchors ----.-.- Ext Sheath/Shear Int Sheath/Shear '------- Framing Insulation fl+117 D Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling �� '�-'----- Roof ` r 7o Inal ) - _AlS PART FAIL ---- - -- ------ PLUMBING _— Post& Beam Under Slab --_.._...----- - ---- --- - -------- --- -- Rough-In Water Service -- --- - ---- -- ---- - Sanitary Sewer Rain Drains - --- .-.-- - --- - -._..-.— Catch Basin/Manhole - Storm Drain ----- -- -- - _-_ Shower Pan Other - -------- -- -- - - - - - - - - Final ----- - .?Ass.. PART FAIL __--_-�- Post&B@Rm Rough-In Gas Line ____- - --- --------- -------------- S mpers - -.-- - _- ----- -- ---- - - -- -- Fin I AS PART FAIL -.- - - - - --...- ------ --------- - - -RICAL Service ---- --- -- - -- ---- _- -- --- Rough-In UG/Slab --------- -__.-- -- --- ----- --- --__ Low Voltage Fire Alarm Final PASS PART FAIL [-� Reinspaction fee of g_ T required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE [ l Please call for reinspaction RE:_- , [] Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Inspector - Ext Other: Final DO NOT REMOVE this Inspection record from the job site, PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection L;;ia: (503)639-4175 MST INSPECTION DIVISION Businc-ss Line: (.503)639-4171 -75� BUP Received .-- Date Reque ted_ .-. �,� E,M `�PM BUP _ Location _ �_ 3 _ _ _ Suite_ — MEC Contact Person ._ Ph(---.,) -_— PLM Contractor__ Ph(—) - SWR BUILDING Tenant/Owner ELC Footing — — "--�- Foundation ------- ELC Fig Drain Access: �---- - ---- Crawl Drain ELR Slab Inspection Notes: SIT Post&Beam — -Shear Anchors ----------_— Ext Sheath/Shear Int Sheath/Shear ---- --- Framing Insulation Drywall Nailing Firewall - Fire Sprinkler -7_�i � Fire Alarm -- Susp'd Ceiling Roof Other: - Final PASS PART FAIL PLUMBING Post&Beam -- Under Slab Rough-In , Water Service Sanitary Sewer - Rain Drains Catch Basin/Manhole Storm Drain Shower Pan tPAOtheS PART FAIL -�---- --- --- — _HANICAL - Post&Beam Rough-In Gas Line - Smoke Dampers Final — - PASS PART FAIL -- -- --- - -- _ ELECT ICAL _ Service Rough-In UG/Slab -------- -- ---- - Low Voltage Fire Alarm --- - -- --- -- ---- Final PASS PART FAIL -� Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for reinspection RE Unable to inspect-no access Fire Supply Line ADA !� Approach'Sidewalk dab - _ -- Incpoctor Ext - - -- - Other: - Final _ DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received _Date Requested_ __— AM _._ PM _— BLIP __-- Location —_������`� �i cr -__- —Suite �- _ MEC _ Contact Person C 1'1 tea__. Ph(5� ) _ -f?2-5 �U PLM Contractor _-.. __- -__� -- Ph(— ) ----- --__—_ SWR -- BUILDING Tenant/Owner —_ __-- —___ ELC Footing--� ELC Foundation Access: — Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam -__- cti�y-Anchors -- -- Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailing -- -------- ---- -------- ___—_ Firewall Fire Sprinkler - — --- ---- - - ---- - -- - --------- _ Fire Alarm Su:;p'd Ceiling - -------- ----- -- --- — --- Roof Other: - - - -- -- --_—_--- - ---- -- Final PASS_ PART _FAIL ---- ----- -- -- ----- --------- - ---- ---- _PLUM_BING _ Post 8 Beam ---- ----------- ---- ----------- Under Slab __- Rough-In Water Service Sanitary Sewer Rain Drains ---- --- - - -- ---- Catch Basin/Manhole Storm Drain ---- ---- -------- _-___- - _-�_— - Shower Pan Other. --- r-..._-_-- — - - -- -- ----- - Final PASS_PART FAILT - MECHANICAL Post& Beam Rough-In --- ---- - ------- Ras Line Smoke Dampers -- _--- -_-- ---------__._-.-- -__-- _-. -- Final �VP ------_... ____----___-------------------- ART FAIL ECTAIC L _ Service - Lo Rough-In ---- ----- --- -- UG/Slab Low Voltage Fir Alarm PAS PART FAIL Fj Reinspection fee of$ ---__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE LJ Please call rur reinspection RE _-. Unable to inspect-no access Fire Supply Line _ ADA Q (� Approach/Sidewalk Date_ -` � _-- -- Inspector --__ _�_— O4 ,_-- Ext-----___-- Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIOARD Residential Cerli f icate of Occupancy I', r►nit No.: G Q6 7� Address: 3� _T�-✓�� N ner/Contractor: Date of Final Inspection: ) V�;-4y Inspector: 'This structure has been found to be in substantial compliance with the provisions of the Stale of Oregon One& Two Family Dwelling Specialty Code and is hereby approved for occupancy.__