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13245 SW KINGSTON PLACE i G' r W N A N cn 7 N O .0 0r n fD 13245 SW Kingston Plane: ACITY OF TIGARD — MASTER PERMIT A' DEVELOPMENT SERV!CES DATEEIS ISSUED: 3/6 U3 U2 00074 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 SITE ADDRESS: 13245 SW KINGSTON PL PARCEL: 28104DA-19900 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT: (125 JURISDICTION: I'I(i REMARKS: SF rowhouse,Unit#25,8Idg 3,13S plan with deck e'JILUING REISSUE: STORIES i FLOOR AREAS REQUIRED SETBACKS REQUIRED _ CLASS OF WORK: NFW HEIGHT. FIRST. sf BASEMENT. sf LEFT: SMOKE DETECTORS: ' TYPE OF USE: SFA FLOOR LOAD: `,o SECOND: ':I,, sf GARAGE '.I r sf FRONT: PARKING SPACES: 1 YPE OF CONST: `N DWELLING UNITS: I THRD 731, of RIGHT, : ' r. OCCUPANCY GRP: H"1 BDRM: 2 BATH: TOTAL. I,1;a; VALUE115 sl BEAR: PLUMBING _ SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDR`;TRAYS: RAIN DRAIN. TRAPS: Lt JATORIES: DISHWASHERS: 1 rLOOR DRAINS: SE•NER LINES: SF RAIN DRAINS: CATCH BASINS: UB/SHOWEr.S: 2 GARBAGE DISP: 1 WATER HEATERS: I WA I'ER LINES: BCKFLW PREVNIR: GREASE TRAPS: MECHANICAL OTHER FIXTURES: _ FUEL TYPES FURN c 100K. BOIL/CMP<3HP: VENT FANS: CLOTHES DRYER: i 1116 F'jRN>000K: UNIT HEATSRS HOODS: I OTHER UNITS. MAX INP'. btu FLOUR FURNANCES. VENTS. i WOODSTOVES GAS OUTLETS: I ELtI:TRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCFEEDERS BRANCH CIRCUITS M19CELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS. 1 0 - 200 amp, 1 0 200 amP--•` W/SVC OR FOR PUMPIIRRIGATION: PER INSPEC110N. EA ADD'L 500SF. 1 201 400 amp-. 201 - 400 amp: tat W/O SVC/FOR SIGNIOUT LIN LT PER HOUR. LIMITED ENERGY: 401 - 600 angc 401 600 amp. EAADDL BR CIR SIGNAL/PANEL IN PLANT. MANU HMISVCIFDR 601 1000 anl0 SO•amps-1000v MINOR LABEL: 1000♦amplvoll PLAN REVIEW SECTION Reconnect only: —4 RES UNITS SVCIFUR>=225 A.: >600 V NOMINAL. CLS AHEA/SPC OCC ELECTRICAL•RESIRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL _ AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO&STEREO,. FIRE ALARM INTERCOM/PAGING: OUTDOOR I-NUSC LT. BURGLAR ALARM. OTH: BOILER: HVAC I.ANDSCAPEIRRIG� PROTECTIVE SIGNL. GARAGE OPENER: CLOCK: INSTRUMENTATION, MEDICAL. OTHR: HVAC. DAIA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS Owner: Contractor: TOTAL FEES: $ 5,500.08 BROWNSTONE(QUAIL HOLLOW LLC BROWNSTONE HOMES, LI_C This permit 1s subject to the regulations contained in the 12670 SW 68TH PKWY STE 200 12670 SW 68TH PKWY Tigard Municipal Code, State CR Specialty Codes and PORTLAND,OR 97223 PORTLAND.OR 97223 all other applicable laws All woo rk will be done it 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 Oregon law requires you to follow rules adopted by the Phone: 503-598-7565 Phone: 503-598-7565 Oregon Utility Notification Center Those riles are set r" forth in OAR 952-001-0010 through 952-001-0080 You Rap M: LI( 124627 may obtain copies of these rules or direct questions to OUNC by calling(503)246.1987 REQUIRED INSPECTIONS Sewer Inspection Electrical Service Gas Line Insp Gyp Board Insp Mechanical Final Footing Insp Electrical Rough-in nsulation Insp Water Line Insp Building Final Foundation Insp Mechanical Insp Soear lhsll Insp Smoke Detector Final inspection Slab Insp Plumbing Top Out Extorior Sheathing Insl Electrical Final Plm/undslb Insp Framing Insp Firewall Insp Plumb Final Issued By : ---- Permittee Signature : _ 1 Call (503) 639-4175 by 7:C0 p.m. for an inspection needed the next business day SEWER CONNECTION PERMIT CITY OF TIGARD DEVELOPMENT SERVICES PERMIT#: SWR2002-00050 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/6/03 SITE ADDRESS; 13245 SW KINGSTON Pl. PARCEL: 2 S 104 DA-19900 SUBDIVISION: (fl :111 I 1()l I.UW-SUI'I I I ZONING: R-4.5 BLOCK: LOT: 02� JURISDICTION: TIG TF DANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SFA NO. OF BUILDINGS: INSTALL TYPE: LFPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF rowhouse. Owner: I --- - _ FEES BROWNSTONE QUAIL HOLLOW LLC Description Date Amount 12670 SW 68TH PKWY STE 200 _ PORTLAND, OR 97223 1SWUSAJ S%vt Connect 3/5/031 $2,300.00 1 SWUSA] Swr Connect 3/5/03 $0.00 Phone: 503-598-7565 1S11'INSI'l Swr Inspect 3/5/03 $35.00 ISWINSI'1 S%\r Inspect 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 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 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: —� ,� — Permittee Signature: --- 4 " _ c Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day t Building Permit Application "Ds%.tcmctiv"ed: / Oi Ile rmitnoJ `if Y -GZ City of Tigard � Pruject/appl.no.: Pxpirtzdate: Address: 13125 SW Hall B N 2 F' Phone; (503) 639-4171 Date issued: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: L'tnd use approval: E:l it Y U 1 AjAI. 1&2 family:simple Complex: OF PERMIT U 1 &2 family dwelling or accessory LICommercial/industrial U Milli family ❑New construction O Demolition 0 Addition/alteration/replacement U Tenant improvement Ll Fire sprinkler/alarm 0 Other: — JOB SITE.INFOlkMATION lob address: ti. •, ( ,_ c_ _- Bldg.no.: _u Suite no < ' Ta ma /tax lodacct ant no.: Lot: Block: Subdivision: tll I / t l c r!� � Project name: Description and location of work on premises/special conditions: -- OWNER FOR SPECIAL INFORMATION, USE CJIECKLIS*11� (Floodplain,septic capseltv,solar,etc.) - Name: ' 'fQW hltn4st Mailing address: n - 1 &2 family duelling; City o �r CA. State:OR ZIP: �72� Valuation of work........................................ $ Phone - ,y Fax: p E-rnail: No.of bedrooms/baths................................. --- Owner's representative: y _ Total number of floors................................. Phone: B f ax.L li mail: New dwelling area(sq.11.) _ — Garage/carport area(sq, ft.)................I........ Name: C Q c, Covered porch area(sq.ft.) ...... ..I...... ....... Mailing address: "� SW �`:::: Deck area(sq, ft.)........................................ StateOfher stricture area(s .ft.).........................City: cc Stal,,x: Commercial/industrial/multi-family: 1 1 � Valuation of work........................................ G Existing bldg.area(sq.ft.) .......................... _- Business name: r6 W ,. New bldg.area(sq.ft.) Address: S' r - e Number of stories ........................................ ` City: -� State 7_I Type of construction.................................... —_ Phone- - �' Fax:6Ao • -mail-:, Occupancy group(s); Existing: CCB no.: L46 aNew: City/metro lie.no.: Notice:All contractors and subcontractors arc required to be t licensed with the Oregon Construction Contractors Board under Name: �� fs � provisions of ORS 701 and may ae required to be licensed in the 30 I _ jurisdiction where work is being performed.If the applicant is / L exempt from licensing,the following reason applies- Cit - State 7..1P: Contact persue: H ) Plan no.: ,_ — ,----- l a� --FI nutil Nwne: w. �' mart Ixrsun: :) Fess due upon application .................. $ Address: tt ) �c�- Date received: _ City: late.. ?.IP: 3 Amount received ......................................... $ �,�.c -- Aione: Fax: E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Na Wt jwiu kaatu accept credit ca- a,please call jurisdiction for min infanuaua attached checklist.All provisions of laws and ordinances governing this a Ansa (]MasterCard work will be complied ,wheth > ed herein or not. Credit card number: 1p Authorized si ture: _ Naxafcv&wlduu shown on credit card $ Print name: r__ _ r --- der a ttaature Amomt Notice:'ibis permit application expires ifs permit is not obtained within 180 days after it has been accepted as complete. 44044617 MAXIM a•v Plumbing Peri,iit Application Datereceived: Permitno.: Al� City of f i T bard Sewer permit no.: Building pet�rtit no Address: 13125 SW Hall Blvd,Tigard,OR 97223 — _ CiryoJTigard Phone: (503) 639-4171 Project/apri r,o.: Expire date: Fax: (.503)598-1900 Date issued Hy: Receipt no: Land use zpproval: _^--- _ _--^_ _ case roe no Payment type: — ❑ 1 &2 family dwelling or accessory U Cominemalfindumnal Ll Multi-family U Tenant improvement O New constntetion U A.ddition/alteration/rcplacxment U Food service U Otlter: JOBSITIE INFORMATIONSCHEDULE Job address:v✓ 5 S UJ ��.- I)Mscriplion (jt I-c, (ca.) '!oral i ^ —� a c ti P�a<< J_-, Nen 1-and 2-famll)dwellings only: TaBldx no.: tn Swte no.: (Includes 100 ft.for each utWtyconnection) Tax mep/tax lot/account no.: SM(I)bath J` [31ock: Subdivision:v` SFR(2)bath - Project name: =1 SFR(3)bath -- -- -City/county- — �Z1P: — Each additional hadYkitchen � - Description and location of worst on premises: SiteutlliUes: Catch basin/area drain Est.date of completion/inspection. Drywells/leach line/trench drain ICOOR Footing drain(no. lin.ft.)— Manufactwcd home utilities Manholes _ - �Vulc Ott I'Itnnhing Rain drain c:onne.;tor PO Box 2007 ---- — Sanitary sewer(uo. lin. ft.) Gresham OR 97030-0594 Storm sewer(no.lin. ft.) - 503-007-1781 Water service(no. lin. ft.) ---- C'C'13:23847 I'I %I 20-208111 nxture or item: ^- Abso on valve Contractor's representative signature: -._ Print name: — nate: sack flow reventcr Backwater valve _ 1Liu I W X two Basins/lavatory Name: Clothes washer Address: -- - — - Dishwasher —� City: State: Drinking fountain(s) —te-: -7Z—[P: -- -- E'cctors/sump Phone: Faplaiiiiion tank �- 1 F ixtute/sewer cap---- Name ---- ,print): ap __Name :print): Floor drains/floor sinks/hub _ Mailing address: Hose bibb ---- — - Garbage disposal__ - City_ �——�Stwe:� ZIP: lex maker Phone: I E-mail: _ Interceptor/grease tra Owner installationdrrsidential maintenance only: The actual installation Primer(s) will he made by me or the maintenance and repair made by my rrgular Roof drain(commercial) employee on the propetty 1 own as per ORS Chapter 447. Sink(s),Tasin(s),lays(s) Owner's signature:—_ Date: _--_ Sum 7Ubs/shower/shower Name: Urinal - -____ — —. Water closet — Address: W iter heater — City:y -- Starr— ZIP:- Other._ Phone__ 1 Fa t-: F-mail: Total - Nd as�rridktioa amgit uedi�cards�i+e carr�ladiction ra arxe idiaram�tlar l Minimum fex................ I IJotice:This permit application nvua r1Mutercatd Plan review(at _ _ %) S e.rpire,if a permit is not obtained ----- nv&card'a1°� —- —'-1 ev,thin 180 days after it has been State surcharge(896)....$ _ — Nrmed acoct;tz+as onnipiete TOTAL .......................S arAaldn u rborra t.tredN card S C antbotdc atp+a4rAc —� AMIN 4404616(6050)M) Mechanical Permit Application rDatereceived: Permitno.: City of Tigardl.no.:Address: 13125 SW Nall Blvd,TiBard,OR 9'1223 Expire date: �-I ry Of fl�pr// }, '-- Phone: (503) 639-4171 late issued: B) Receipt no.: Fax: (503) 598-1960 Case file no.: `---- Paymerii type. - L.and use approval: Building permit i -- 1 U I &2 farni!y dwelling or accessory U Commercial/industrial U Multi-fancily U Tenant improvement U New construction CJ A(ldit on/alteration/rcplacerncnt U Other: Job address: ,) ,S Indicate equipment quatuitics in boxes below. Indicate Lie dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax IoUaccountno.: �- profit. Value`D Lot: j ;— Block: Subdrvrsion: 'See checklist for important apolication information and Project name: jurisdiction's fee schedule for residential permit fee City/county: ZIP: I I Description and locauon of work on premises:_ _ I r I t a I -------- Fee(ea.) Total Est.date of completion/inspection: Descritifion Qty. Rrs.only Res.only Tenant;tnprovement or change of use: (: Is existing space heated or conditioned?U Yes U No Air handling una -_ __CFM Is existing P s c(c insulated?U Yes U No Air conditioning(stpean required) — Alteration of existing HVACsystem 1 1 oils cr,'compressorx o•.M..----- State boiler permit no.: Four Seasons I lealing& A/C Service Inc _ NP Tons BTU/H PO Box 66409 ire/snio ce ampers/ uct smoke etectors ea�3-•t pump(ci(e p an requir ) -" - Portland OR 97290-6409 nsta I/rep ace furna urner T — — 503-775-5919 Including ductwork/vent liner U Yes U No C(Al •482fO ItsT-lalVreT[a relocate eaters-suspende , wall,or floor mcxcnted Name(pieasc print): eV tit ioi a iana o rcr thanJurnacc -7— CONTACT PERSONe era Absorption units- BTWII ?Tante: - Chillers_____ � HP Address: Compressors _^ City: � -- slate._ ZIP: '� roomette a tat an yen ton: -- - Appliance vent Phone: Fax �ryerexheust - 0 i s, ype res. tc c azmat � --- F.od fire suppression system Nance: - _ Exhaust fan with single duct(bath fans) Mailing address: — '--- hausr ay�;rm span fiiim actin or AC City: State ?.IP: pjP'jnR-s �vt on(up to out els) Type 11'C; NC Oil Photic: - Fax 1{ mail I'Piping eacha iticna over o-� uticis - p p nS(sc iematicrequi ) Name: Number of outlets Address: --- -- APP aI-ace'or egtr�l►menl:— -- _ Lecorauvefireplace City: _ — te: ZIPS nsen-type — — Plcone: Fax: E-mail: — tovjr-letstove -- — — -- Applicant's signature: Dale: ( er -- - Name (print): O NU dt � ---- --J- 1 cumn r'i'p—fif card&,pieta tail ►miduum rpt rt�te la/annarion Pemlll fee.....................$ Notice ibis app --..- OYw ❑Mastert'trd patron IrudiO° Minimum E file................$ rye&card mpahm. v �- expires if a permit is not c„•ainal , -- - kap; ,h within ISO days after it ha!been Ian review(a; — �) $ ��a ti�>aJa tl on aee»card - accepted as complete. State surcharge(8%)....$ ----— --- $ -- TOTAL .......................$ — --- Cardtwtdu�Rnar,tc A,�� ----- __ 4#)�M 17(60()MM) a>•.. Electrical Permit Application Date received Permit no.: City of Tigard Project/appl.no.: Expire date: CirygfTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Da;e issued: By: Rtxeipt no.: Phone: (503) 6394171 Fax: (503) 598-1960 Case rite no.: Payment type: Land use approval: O 1 &2 family dwelling or accessory O Commercial/industrial U Multi-family U Tenant improvement Q New constniction U Addition/alteration/replacement U Other: U Partial lob address: Bldg. no.: Suitt no.: jTax map/tax lot/account no.: Lot: Block: 5u ivision: Project name: Description and location of work on premises: Estimated date of completion/inspection: Job no: Fee I►tan -- Description Qty. (ea) total no.ins JEROME ELECTRIC NeNreaidrntist! Wngleormulti familvper PO BOX 751 dwelling .I°`iudrsWatched garrse. Srr.ier Witrded: HILLSBORO OR 97123 10(x)sq it otless 4 503-648-5144 Each additional 500 sq ft.or portion thereof Limited energy,residential 2 CCR: 36051 F.LC: 34-1190 SUP: 2877S "Limitedener _ _ energy,non-residential 2 ,Factured home or modular dwelling Si nature of su rvisin electrician(required) Dale or feeder 2 Sup.elect.name(print). License no feeden-kni allation, r relocallon: less 2 Name(punt): 201 amps to 400 amps 2 Mailing address: 401 amp-to 600 amps 2 601 amps to 1000 amps 2 City: Slate:�1P: Over 1000 amps or volts 2 Phone: Fax: E-mail: Reconnect only_ l Owner installation:The installation is being made on property I own Temporaryv fwfeeders- which is not intended for sale,lease,rent,or exchange according to Yulallatlo%alleralikin,orretncation: ORS 447,455,479,670,701. 200 amps or less 2 201 amps to 400 an,ps 7 Owner's signature: Date: 401 to 600 amps 2 lan 10 it 01 Branch etrcalts-sew,alteration, w extension per pool: Name: A Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: State: ZIP: B. Fee for branch circuits without purchase - of serviceor feeder fee,firs(branch circuit. 2 Phone: FaX: E-mail: Eachsddttioruilbranch circuit: _ Mise.(Servlee or feeder aot Included): •Service over 225 amps-commeirial U Health-care facility Each pump or irrigation circle 2 U Service over 320 amps-rating of 1&1 O Hazardous location Each sign or outline lighting 2 family dwellings O Building over 10,0W square feet four or Signal circuit(s)or a limited energy panel, U System over 600 volts nominal more residential units in onr structure alterauon,ot extension• 2 U Building over three stories U Feeder,4W amps or more .tri tion; U Occupant load over 99 persons U Manufactured structures or RV park Each additli aat Inspectlon oxer the allowable in any of the pbove: O EgtrssAightingplan O Other per inspection _ Subtnll—sets of plans with any of the above. Investigatinnfee The above are not applicable to temporary cominwtlon service. Other Not all jurisdictions accts credit cods.plesse call)unsdicuon for ince information' Notice:This permit application — Permit fee.....................S O visa U MasterCard expires if a permit is not obtained Plan review(at — %) $ Credit card number within 180 days after it has been State surcharge(8%)....$ xn'et S Name d otifrr u shown on c 't er�iird accepted as complete. TOTAL- S Cardh'lder aipaiure —� Aioouat 440.4615{6a0RbM) CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 APORTANT PERMIT NOTICE DAVID JEROME ELECTRIC PO BOX 751 HILLSBORO, OR 97123 Electrical Signature Form Permit #: MST2002-00074 Date Issued: 3/6/03 Parcel: 2S104DA-19900 Site Address: 13245 SW KINGSTON PL Subdivision: QUAIL HOLLOW - SOUTH 131ock: Lot: 025 Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse,Unit #25,Bldg 3,13S plan witn deck 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 Division. No electrical 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 HILLSBORO. OR 97123 Phone 1/: 503••598 7565 Phone #. 648-5144 Req #: 1( 16051 S1 1' 28775 rr 1: 34-111)( AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Superv' rn, ectrician If you have any questions, please call 503.718.2433. CITY OF TIGARD 13125 S.W. HALL BLVD. T° ,ARD, OR 9722:3 IMPORTANT PERMIT NOTICE WOLCOTT PLUMBING CONTRACTORS PO BOX 2007 GRESHAM, OR 97030 Plumbing Signature Form Permit #: MST200 a-00074 Date Issued: 3/6/03 Parcel: 2S1 ne aA-19900 Site Address: 13245 SW KINGSTON PL Subdivision: QUAIL HOLLOW - SOUTH Block: Lot. 025 Jurisdiction: TIG Zoning: R-4.5 Remarks SF rowhouse,Unit #25,Bldg 3,13S 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 retarn this Plumbing Signature Form prior to the start of the work to the address above, ATTN Building Division. No plumbing inspections will be authorized until this completed form is received OWN[-.R. PLUMBING CONTRACTOR. BROWNSTONE QUAIL HOLLOW LL-C WOLCOTT PLUMBING CONTRACTOR! 12670 SW 68TH PKWY STE 200 PO BOX 2007 PORTLAND, OR 97223 GRESHAM, OR 97030 Phone fl 503-598-7565 Phone #. 667-1781 Rocl0 LIC 23847 PLM 26-208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM i X _ -..Ae -- P� Signdtur Aut ized Plumber If you have any questions, please call 503.718.2433. ELECTRICAL PERMIT- CITY OF TI(;A RD DEVELOPMENT SERVICES - RESTRICTED ENERGY 13125 SW Hall Blvd., Tigard, OR 97223 (5(13) 639-4171 PErMIT#: ELR2003-00170 UED: 6/17/03 SITE ADDRESS: 13245 SW KINGS-1ONPL DATEPARCELL: 2S O4DA-19900 SUBDIVISION: QUAIL HOLLOW- SOUTH BLOCK: LOT: 1)25 ZONING: R-4.5 Proiect Description:All encompassing low voltage. JURISDICTION: TIG rj� SIDENTIALB.COMMERCIALAUDIO & STEREO: X AUDIO & STEREO —URGLAR ALARM: X INTERCOM & PAGINGARAGE OPENER: X BOILER: LANDSCAPE/IRRIGAT: HVAC: X CLOCK: MEDICAL: VACUUM SYSTEM: X DATA/TELE COMM: NURSE CALLS: OTHER: ALL. ENCOMP : X FIRE ALARM OUTDOOR LANDSC LITE: HVAC: PROTECTIVE SIGNAL: INS rRUMENTATION: OTHER: Owner: _ ---- TOTAL #OF SYSTEMS: FIRUWNSTONE QUAIL HOLLOW LLC 2670 _---- 12670 SW 68TH PKWY STE 200 AZIMUTH COMMUNICATIONS INC PORTLAND, OR 97223 P.O. BOX 508 WILSONVILLE, OR 97070 Phone: 503-59K-7565 Phone: 503-639-01 10 Reg #: III{ 36-94CLE 2312LFA FEES IIr 14828 _ Required Inspections F ption Date —� Amount Low Voltage Inspection 1TJ lil"It Pr6/1 /7 03 $75.00 Elect'I Final ".4.Statc 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. Spedalty Codes and all other applicable laws, All work will be done in accordance with approved plans. This started within 180 days of Issuance, or if work is suspended for more than 180 dayspermit will expire work is not You to follow rules adopted by the Oregon Utility Notification Center. Those rules are et forth in C c.Oregon law requires R 952-001-0010 throuc Issued by Permittee Signature r INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, leave, or rent. OWNER'S SIGNATURE..: -------- - DATE -� --"— ----"-----_---- _e. CO_._NTR/1CTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N —_ — -- ----� LICENSE NO DATE: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day V — I Electrical Permit Application Date rcceive4-1 ?-p r Permit nu`� p�j�, 0171) City of Tigard I'roject/appl.no.: _ Expire date. _- Ciivo/Ti,grrrd Address: 13125 SW Hall Blvd,Tigard,OR 97223 Dale Issued, B-:{4 Receipt no.: Phone: (503) 639-4171 Case(503) 598-1960 ase file no: payment type: Land use approval: _ U I &2 family dwelling or accessory U Commercial/industrial J Multi-family U Tenant impto�cmeta At New construction U Addition/alteration/replac orient O Other;_ U Partial JOB SITE INFORMA'I ION Job address: I Bldg. no.: 17 Suite no.: fTax map/tax lot/account no.: Lot: Sc,..TH Project name: Utk t_ c: a�n-f Description and location of work on premises; t, L)ie I 0p ))1,L, Estimated date of con lotion/ins ecuon: ' SUIEDULE Job no: Fee Man Description _i Otv', (ea.) l utas no.lost, Business flame: 1 )1� New residential-singleormulli-fatnlly per Address: jLflcjs S',LO, _ e r ' 460 dwellhlgunit.Includessiltachedgarage. City: ix • State ) Z. ZIP: C Service Included: 1000sq ft or less 4 y � —1 Phone: ' 'r FAX;C 65cj-Cil l S Email: Bach additional SUO sy ft ur portion thereof _,- CCB no.: I Elec.bus. Ilc.no: (1 I.inutedenergy.residenual 2 City/metro lic.no.: 000 06 1_-9 Ltmuedenergy,non•residential L _ Service and/or feeder 6 l 1 u If u 3 Each mnnufuctwed home or modular dwelling Signature or supervising electric hln lred) egn �� Date -----� �, Su .eleet,none( nal) Licrnseno 2311 Services orfeeders-Installalion, .t � L allerat Ion or relocation: PROPERTY OWNER 1 200 an, s or less Name(print): �1L<J�;ai Lt. 2o11a„ s1o4U0amps -- 401 amps to 600 amps Mailing address: 601 amps lo 1000 amps City Slate: ZIP, (leer 1000 amps or volts Phone: _ ('ilx: I.mail: Krc'onttect onl (Ak ler installation:The installation is being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to Installs(lon,olterotion,urreloc•a0mt: 200 amps til Icss ORS 447,455,479,670,701, 20 I amps to 400 amps Owner's si mature: Date; -401 to 600 amps Branch circuits•new,alteration, or exlension per panel Name: A For for branch circuits with purchase of Addl-M service or feeder fee,each branch circuit I lay: - State: ZIP: Fee for branch circuits vithout purchase of service or feeder fr. first brunch circuit R Pllone: Fax: 1 E-Mail: Mach additional branch e wil. Misc.(Service or feeder not Included): Each um or Ira anon circle ' U Service oser225nnys•conu,Icrnnl J Health earcl-aelhn �.-p C`� LI Service os cr 120 amps-rating of IC U azardous location Each sign at oullinc hghtiag ? 1 family dwellings U Huddingover 10,0(10 square feet fouror Signal circuit(s)or u limited eneigs panel, 0 System over 600 volts nominal more residential units in one structure alteration,or extension* I I 2____ •Building user three stories U Feeders,4W amps or more c Description U occupant load over 99 persons U Manufactured structures or KV park Tach Idltlonol Inspection wee the allureablc in an)of the alwpe: U Egress/lighlingplan ❑Other —_ prrinsprcyu,❑ Submit__-_,sets of plan+with any of the above. _Tr wrsugatr.n fee The above are not applicable to temporary construction sery Ice. Other Permit fee, Not all lurtMlactions accept credit cards,picric call jurisdiction lot mote mformauon. Notice: 1-his permit application O Visa t7 MasterCard expires if o permit is not obtained Plan review(at __ `✓ 1 Credit cud number: . _ within 190 days after it has been State surcharge(8%) .... .spires _ accepted as complete TOTAL ....................... risme of cardholder u shown on ere at cud _ S Cudhnlder sl nature i Amount 446 4615 IMAht'C)M AAAAAAAAAAAAA ' tAAAAAAAAAAAAAAI kAAAAAAAAAAAA r i � o d ► 44 d `� ► .� ! 7 ► 44PL '� a 44 4 a � �,-, loo.d d r �/ 0 p ► o � n C� ► p Y O Oil ► ! poll A Ito 44 ► 44 ► 4.4 ,4 44 i► a � � O Q 1 0 Q R : N co n _N G Ir S ,1 S CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST a INSPECTION DIVISION Business Line: (503)639-4171 ---F— n BUP Received �_ _ ___ ,—/ Date Requested b Z� .AM_ PM BUP Location � f1 a 7 j -_ ..._/�/-��c1� nn-� Suite _ MEC Contact Person _ __ --__ ____-_- Ph( ) 3-57FL6 PLM Contractor _ _ Ph(--) _-__ SWR BUILDING Tenant/Owner _ _ ELC Footing ._._ ELC — Foundation Access: Ftg Dtain ELR Crawl Drain _ Slab Inspection Notes SIT Post& Beam - ------ -- - Sh,aar Anchors --- Ext Sheath/Shear Int Sheath/Shear Framing nsulation --- -- - - - - Drywall Nailing —_- --- - --- Firewai, �Q: -� Fire Sprinkler - - - - - Fire Alarm ' Susp d Ceiling --- Roof Other: ...------ -- ._ _ . r.ASS/ PART FAIL -----_ -- Post S Beam - Under Slab Rough-In Water Service ------ --- Sanitary Sewer Rain Drains -- Catch Basin/Manhole Storm Drain - - - -- Shower Pan Other. -- -_ Final ASS PART FAIL MECHANICAL- _ -- Post& Beam Rough-In — -_ Gas Line Smoke Dampers -- - —-- -- M-kICAL PART FAIL -- -- --- Service Rough-In UG/Slab Low Voltage Fire Alarm Final u Reinspection fee of$ - _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE:_ _ Unable to inspect_ no access Fire Supply Line Approach/SldeWalk Dtato - /t Inspector -- Ext --- Other: Final T 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 BLIP ----_�___--- Received Date Requested_g' O3 __ AM__ _ PM .._. _--___ BLIP Location 32y S w �� NAS otJ L,_Suite_ MEC Contact Person -- __-___, Ph( ) -- _-_ PLM Contractor ._ — — -- - Ph( ) - ---- -- -- SWR BUILDING Tenant/Owner _—_�___ ELC Footing E tX Foundation ---------_ ---- -.-- Ar..cess: Ftg Drain ELR Crawl Drain Slab Inspection Notes: �I� - --- ---- ----. Post&Beam - Shear Anchors ---_---- ,--- - _-- Ext Sheath/Shear Int Sheath/Shear -- _- - Framing - - - - - - !nsialation Drywall Nailing __- _ _ Firewall Fire Sprinkler ---- - 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 Other. - - Final PASS PART FAIL - MECHANICAL Post&Beam Rough-In - Gas Line - Smoke Dampers — Final PASS PART FAIL ELECTRICAL Service —'--- ------ - —_. _ ___.--- Rough-In ILIG/StallZ Low Volta e T L ,�`� �� Qui�x- 1-70 �- Fite Aiarfn FJ - PASS PART FAIL �-} Reinspection fee of$ required before next inspection. ay at City Hall, 13125 SW Hall Blvd. SITE n Please all for reinspection RE: _. i Unable to inspect-no access Fire Supply Line ADA 3 Approach/Sidewalk Dates ? inspector Cj1 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 2• nd�� 7 5/. INSPECTION DIVISION Business Line: (G03)639-4171 BLIP -- Received . _ —__-___ Date Requested F��j=- - -- ��/►--- -- P�"_—__-- -- BUP Location -___J `� _ S(.v K;tiA.r fa N, Suite _— MEC Contact Person CI,..-I r, — Ph(—) 4 u PLM - - --_- ---- Contractor- _- --- Ph(—) SWR ------ BUILDING Tenant/Owner R ELC __"--- -- ELC Footing Foundation Access: Fin Drain ELF! -- Grawl Drain SIT -_ Sian Inspection. Notos: -- Past& Ream Shear Anchors Ext Sheath/Shear -- _ Int Sheath/Shear �— f-'remind t—r�-w c�✓ ►'u c, v.It - _ __.__. Insulation _ Drywall,Nailing ------I-----------__._ T_ Firewall raw Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final P_A_ PART_ FAIL — k� � PLUMBIN C P✓G Pill,' Wa-It✓ /�z�.k✓ I�ay ��'rc�w3cJ-JC1 S I m �1 Tb U i c c"r .Sµ..Li a i_"( o `T tN t tSw. 1C,%- Under c,%-Under Slab -' Hough-Int� Water Service Q t` j'► 6 i,.� 1•t'�Y w$ S d L �a.41..� CG ��t2 ,�v.�+►blat�Iv S7'ec..el...-.�r i'J5 PS�, Sanitary Sewer -tr...` -� ' ✓ Lj^AL._ tP�., K) S hti t 1 Qt h1 j ,w.�,.r-L ----- Rain Drains — _ ( Catch Basin/Manhole b 1-QwL�� y May` w.r.�.. 2 1 c�T A bow c c1vn.J►t\ C'V, 1-1"Storm Drain Drain —'- Shower Pan In .. ( PART X!J _ NICAL ---- — —_ -- Post& Beam Rough-In Gas Line Smoke Dampers -- _ Final PASS PART FAIL ELECTRICAL - Service Rough-In -- -- -- UG/Slab — Low Voltage Fire Alarm Final Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd, PASS PART FAIL SITS E] Please call for reinspection RE: Unable to inspect - no access Fire Supply Line ADA Date. St J 2 t2 d?----- Inspector J' Ext ------ Approach/Sidewalk Other:- Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL