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13250 SW KINGSTON PLACE w N N O cn a N O 3 n m I i 13250 SW Kingston Place CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 �1c- ' INSPECTION DIVISION Bsrr,mess Line: (503) 639-4171 MST rJ BLIP Received —Date Ile uestej /6 - 9, _ AM-- -_- PM BUP 3 a � --- Location -- --- _-- 5 1_ _--- Suite MEC __- Contact Person _- -_ _ Ph( ) PLM Contractor -_ Ph ( _ SWR BUILDINU--------- Tenant/Owner - - --- ELC Fcoti1ig -- Foundation ELC -_ - Ftg Drain Access: ELR Crawl Drain - Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing -- -- Firewall _ Fire Sprinkler _ 4-- �� Fire Alarm Susp'd Ceiling - --- ---- -- -- - Roof Other: -� -- —. Final _PASS_PART FAIL PLUMBING Post&Beam Under Slab Hough-In -- Water Service Sanitary Sewer Hain Drains -__- Catch Basin/Manhole I Storm Dram Shower Pr Other: Final ?ASF PART FAIL MEQ ANICAL Por .Beam - - Rc ,jh-In --- --- --- - -------- G. Line S' 1he Dampers 1 PART FAIL _- _- -- ------- _ -- --- ---- — - E iCtFiICAL -- 8( ice - Rc gh-In U1 Slab Li Voltage F -Alarm ---------_— �._.__�—.—_- --- -._� F al 11 Reinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ASS PART FAIL Please call for reinspection RE:_ U Unable to inspect-r to access .re Supply Llite _ ,T� ADAI Approach/Sidewalk Date '__ _- Illspactor•1 ! � ._ Ext Other: _ Final DO NOT REMOVE this Inspection record frock the Job site. PASS PART FAIL CITU' OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST —d0 D INSPECTION DIVISION BUSiness Line: (503)639-4171 - ,, � 1) BLIP -- Received Date Requested �_ AM PM __ - -- BLIP Location 1.-2) _ Suite - -- MEC Contact Person — Ph Contractor - — Ph - SWR - BUILDINGi TenanUOwner _ ELC Footing 1 Foundation Access: --- ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation _ Drywall Nailing Firewall Fire Sprinkler -- — Fire Alarm Susp'd Ceiling — —--- --- --_ Roof Other. Final SS_ PAR"i FAIL PLUMBING —_ Post& Beam - Under Slab -- Rough-In Water Service Sanitary Sewer --- ._--_--_ _- __-- Rain Drains Catch Basin/Manhole Storm Drain -___-- Shower Pan Other:AS PART FAIL V ANICAL Post&Beam -- Rough-In _T Gas Line ------- -- --_______._ Smoke Dampers Final PASS PART FAIL --- - - ELECTRICAL _ Rough-In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$ --_ required before next inspection. Pay at City Hall, 13125 SW Hail Blvd. PASS PART FAIL SITE Please call for reinspection 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 Lure: (5U3) 639-4175 ( -� INSPECTION DIVISION Business Line: (503) 639-4171 �� BUP Received D to Requested—_y_1 _.—_ _--- PM _._-__- BUP Suite MEC Location _�.��----G`''-i-��—�—�' — - -- ------------ Contact Person Ph PL.M - — Contractor _�_ __. — Ph(___ ) SWR 2�_ BUILDING Tenant/Owner _ _ ( L) _ z 2— Footing Footing — ©��(yr-� `ej a ELC - �7 Foundation Accass: '� V�1 Z'3 Ftg Drain LR Crawl Drain Slab Inspection Notes. SIT Pc-r&Beam -- :n,, Anchors — --- --- L rt '.ea'h/Shear Int oheath/Shear Framing — - -- Insula",on 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 —-- ECTRIC Rough-In — UG/S ow Volta — -- --- -- _�__' m F AS PART FAIL Reinspection fee of$ __required before r1ext inspection. Pay at City Hall, 13125 SW Hall Blvd. �i F] Please call for reinspection RE:—__ F-1 Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Itnsprrator_ - Ext—_—_ Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL MASTER PERMIT bITY O F I GA R D PERMIT#: MST2002-00045 DEVELOPMENT SERVICES DATE ISSUED: 4/11/03 13125 SW Hall Blvd.,Tigard,OR 97173 (503) 639-4171 SITE ADDRESS: 13250 SW KINGSTON PL PARCEL: 2S104UA-17500 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: It-4.5 BLOCK: LOT: 001 JURISDICTION: I(Ii REMARKS: SF rowhouse, Unit 1, bldg 5,CS plan with deck. STRUCTURAL FILL, REQUIRES GEO TECH INSPECTION AND REPORT. 4/10/03, adding a/c&gas fireplace. BUILDING REISSUE STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: 320 of BASEMENT: of LEFT: SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 744 if GARAGE: 412 of FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: I TMPD 132 d RIGHT: 30,560 OCCUPANCY GRP: R3 BDRM: 2 BATH: 3 TOTAL: 1.796 of VALUE: 173, REAR PLUMBING SINKS: I WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: TRAPS- LAVATORIES: DISHWASHERS: I FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUBISHOWERS: 7 GARBAGE DISP: I WATER HEATERS: I WATER LINES: BCKFLW PREVNTR: GREASE I RAPS: OTHER FIXTURES: MECHANICAL FUEL T iPES FURN<100K: 0 BOIUCMP<3HP: I VENT FANS: 3 LLOTHES DRYER: 1 (;AL; FURN>-TOOK: UNIT HEATERS: HOODS. I OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: 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 FDR: PUMPIIRRIGATION: PER INSPECTION. EA ADD'L 50CSF: 3 201 400 amp: 201 400 amp: tat WAJ SVC/FDR: SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EAADDL BR CIR: SIGNALIPANEL: IN PLANT: MANU HWSVCIFDR: COI • 1000 amp: 601{amps-imov: MINOR LABEL: 1000+amp/volt: PLAN REVIEW SECTION Reconnect only: >-4 RES UNITS: SVC/FDR>-225 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B COMMERCIAL AUDIO&STEREO VACUUM SYSTEM: AUDIO&STEREO: FIRr_ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 07H: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK INSTRUMENTATION: MEDICAL: OTHR: MVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,347.71 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 and 12670 SW 68TH PKWY STE 200 12670 SW 68TH PKWY 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 issuance,or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to ollow rules adopted by the Phone. 503-598-7565 Phone: 503-598.7565 Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-0080. You Rep r: I I( 124627 mny obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRE!?INSPEC TIONS Erosion Control Insp 8, Footing/Foundation Dr; Gas Line Insp MochanicAll Final Sewer Inspection Plm/undslab Insp Insulation Insp Plumo Flnol Footing Insp Framing Insp Gyp Board Insp Final inspection Foundation Insp Shear Wall Insp Firewall Insp Building Final Slab Insp Exterior Sheathing Insl Rain drain!nsp Water Service Insp Issued By� 1�.)L yu �vt Permittee Signature �� �L Call (503) 639-4175 by 7:00 p,m. for an Inspection needed the next business day CITYOF TIGARD SEWER CONNECTIONPERN;IT DEVELOPMENT SERVICES PERMIT#: SWR2002-00024 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4111/03 SITE ADDRESS; 13250 SVS/ KINGSTON PL PARCEL: 23104DA-17500 SUBDIVISION: t,�l ':�II. IIUI.I.UVv -Sol:111 ZONING: R-4.5 BLOCK: _ LOT: 001 JURISDICTION: TI(I 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: —,------�._� BROWNSTONE QUAIL HOLLOW LLC FEES — 12670 SW 68TH PKWY STE 200 Description Date Amount PORTLAND, OR 97223 --- -- — [SWUSA]Swr Connccl 4/11/03 $2,300.00 Phone: 503-598-7565 ISWUSA]Swr C'onnccl 4/11/03 $0.00 [SWINSI')Swr Inspect 4/11/03 $35.00 Contractor: [SWINSI'I S�%r Inshccl 4/11/03 $0.00 Total $2,335.00 Phone: Reg #: Required Inspections I 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' Perm h38Ued y: I Permittee Signature: t' t (" Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Building Permit Application U 1Ity of Tigard Daterwelved: o Permit no.: -- Ciryof'178ard Address: 13125 SW Hall Div ; 7223 ProJect/appl.no,: Expire date: J Phone: (503) 6394i 71 b Date issued: Fax: (503) 598-1960 __ n__';0 Receiptno.: Case file no.: Payment type: Land use approval: UY $ 4 1&2 rainily:Simple complex: �� U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U 011ier: Job address: 1 U 'j c; Lot: 1 Block: Subdivision: P, Bldg. no,_ Lam_ Suite no.: Project name: C ! 0 Tax map/tax lot/account nom!;�L •A— Description and location of work on premises/special conditions:s` 00 of Name: 4' _s�l1�r..c Mailing address; 1 &2 family dwelling: City: �r'�- c��..� Stale:p� 'LIP: ��_ Phone , Fax: p E-mail: _ Valuation of work..........................•............. $ Owner's representative::ve: , No.of bedrooms/baths................................. ------ Phone: - Total number of floors..........................•...... Fax: _ E-mail: New dwelling area(sq, ft.) , 01 Garage/carport area(sq. ft.).....•..•..•............. Name: f 6 o t N A IS L - Covered porch area(sq.ft.) .... .......... ........ -- -- Mailing address; w Deck area(sq, ft.) City: �. State: 7.I Other structure arta(sq. ft. Phone: Fax: t mail Commercial/industrial/multi-family: Ell Valuation of work.....................................•.. $ JL4 area(s Exisdng bldg. q. ft. Business name: r- to t,,t (� ft.) .......................... g t�-L` New bldg,area(sq,ft.) Address• N - ................................ Swtc:p ZI Number of stories..•..................................... Fhone• _ - Fax:62p mail: Type of construction.......•............ CCB no.: Occupancy group(s): Existing: City/metro lie.no.: New: ___ 1K 11M Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: (�Q provisions of,)(- ORS 701 and may be Address: •� � y required to be licensed in the r -S c E� jurisdiction where work is being performed. If the applicant is Cit : t State ZIP: exempt from licensing,the following reason applies: Contact person: ,v Plan no.: _ Phone:2,0C x: E-mail: Name: person: pees due 11111A.111 application ................. ..... $ _ Address: •tU—) .... " " ' Date City: � , Ftate: received: Z1P: Phone: 3 Amount received ......................................... $ � ax. Please refer to fee schedule, I hereby certify I have read and examined this application and the Nadi bunt Uoru accelrr erect;,wd.,plew Coll lurirdicaon F_attached checklist.All provisions of laws and ordinances governing this U visa mare inrauwioa U MasterCard work will be complied Yft,whcGle -ed herein or not. Credli card number / / Print name: Authorized sign ure: te. — ---- Name of-1,11.1d.uwtder u shown on credit card _ Cardholder si_we $ Notice:This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete 4141613(60tY+C1t)M) Plumbing Permit Application Date received: Permit no.: City of Tigard Sewer pertnit no: Building permit no.: Address: 13125 SW Nall Blvd,Tigard,OR 97223 City a/7igard Mone: (503)639A171 Pr jecuappl.no.. -- Expi;cdate: Fax: (503)598-1960 Date issued: By: Receipt no. -- Land use approval: — i ase file no: Payment type: Ia U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant in:p nrvcmcnt 0 New construction U Add iIiot✓alter•abon/replacement U mood ur-vice U Ocher. .__ J011 SIA INFORMATION Job address: _�•,��<'�W �`�. � 11r�ccriplian Qt ' lee(ea. Total —�` �� 4e.c- u— New I-and 2-family dwellings only: —L ) Bldg. no.: J Suttc no.: Tax map/tax lot/account no.: (Inclurks 100 0.for each utility connection) Lot: _�_ Block: �Sulxlivisiun: --- i— SSFR(1)ball. --_— --- — — _ F7t(2)ba01 Project name: ---—v—— SFR(3)bath ------ City/(•.aunty• __ Zip: Each additional batlilkitchen — — Descrif-Jon and location of work on premises:_— Sheutililies: Catch basin/area drain Est.date of completiott/inspection: 0 Drywells/Icach hne/treuch drain PLUMBING Footing drain(no. lin. it.) 1 Manufactured home utilities Manholcs Wolcull 1'lunthing Rain drain connector PO Box 2007 Sanitary sewer(no lin. ft.) liresham OR 97030-0594 Storm sewer (no.lin. ft.) — 503-667-1781 Water service(no. lin.ft.) ('('13:23847 PI.M#:26-2081'11 Fixture or Item: _ Ccrntrar:tors representative signature: Absorption valve_. Kaci,flow preventcr —' Prim[name: Date: Backwater valve -- — Basins/lavatory —_— — Name: Clothes washer ^— — Address: -- — Dishwasher —�__ — Drinking fountain(s) _ City— — — Starr: ZIP: Ejectors/sump Phone: Fax: E-mail: Expansion tank — Fixture/sewer cap - Name(print): Floor drains/floor sinks/hub --- -- Mailing address: Garbage dissalHose bibb City — ——_ State: 7.:P: — Ice maker — Phone: _ Tl-'ax: f mail: interreptor/gMaser— — Owner installation/residential maintenance only. The actual installation Primer(s) will he made by me or the maintenance and repair made by my regular Roof drain(commercial) employer on the pmpcny I own as per ORS Chapter 447. Sink(s),basin(s), lays(s) — Owner's signature: Date: --_—_— Sum -- — 1"104 11 —_ Tubs/shower/shower pan Name: Urinal Address: Nater closet — -- --Water heater_ City: State: ZIP: Other. — Nmne: E-mail: — Total No OU .�C,Vdirare plewCan jus.dcumfa,rmmtanam Notice:This permitapplication Minimum fee................5 _ O Visa O MasterCard expires if a permit is nal obtained Plan review(at — %) S cud emniber —— — — --1 within 180 days after it has been State sttrcharge(8 ). ..$ —_- - Name d eardrraldn u--._ taaflt card com--- accepted as complete., TOTAL.......................S -- _ aAvw�r S Ammar-- 410-1616(60YO(M) l�1echanP- 'Permit Application _ . - Date received: R.mit no.: City of Tigard Project/appl.no.: Expr^e date: City of7igar ' Address: 13125 SW Hall Rlvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issu&: Ry-_ Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: —_ Building permit no.: ( U I & 2 fancily dwelhnf or accessory U Commercial/industrial U Multifamily U Tenant improvement U New construction C Ad,9ition/alteratiordreplau•rnent U Other. JOB SITE I '� ( ON t Job address: j . `i•''S L,U L,K' r c« Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suttc no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value S Lot: L Block: I Subdivision:—� *See checklist for important application information and Project name: jutisdirnon's fee schedule for residential permit fee. City/county: ZIP: — 1 r w t f3escription and fixation of work on premises: W00113111111ACK 1 m --- F..r(ea.)++ Total Lst date of completion/inspection: I'kwrrf fon —_ "y. Res.oulylRm.only Tenant improvement or change of use: IVAU Is existing space hearted or condrtioned7 U Yes U No Air handling unit ___CFM Is existing space utsulatrd''U 1'cs U Nu �condiuoning(sitep antequired) gallonof existing IIVAC system MECHANICAL CONTRACTOR fioilcr/compressor.. State boiler po-rrgit no.: Four Seasons I leating&A/C Service In HP Tons BT'U/H PO Box 66409 a smookc Jarnpc uct smo c ctectorr _---_ Neat pump(site planrequu'�Ci )-- Portland OR 97290-6409 InstalUreplacefuma urner _TTMT 503-775-5919 Including ductwork vent liner U Yes U No C'CB: 48283 n`sta1UrcpIace re ocrteeaters--suspended, -- wall,or floor mounted Name(please t'ittt): Vent for appliance other than furnace CONTACT t eerigem Absorption units Bill/if _Name: till — Address: -- —l— - ---- ---- Com re sops fill -- 1111vironmentall exhatni&Q ven ton: City: State: LIP: Ap_pliancevent Phone: Fax' — I;-mail Hoods,"1 ypeIt H/res.k rte a azmi at -- — hood fire suppression system Name: Exhaust fan with single duct(bath fans) �Mailinp,address: Ex cost s stem a ari rom eating or t. _ 17P°=tttn a on(up to ou eta City: Sta — ZIP: -——_ Type _ LPG __ NG Oil I'itone: Fax: 1-F mail Pini in each a ruen-al—over ou ets —piping(schematic requi ) Name.. Number of outlets Address: — ter steda�Iaecr or eq Pment: _ LVeorative fireplace City: -- State_ ZIP: —Insert-type Phone: Fax: E-mail: V stov pelletstuve Applicant's signature: Uate Other Name (print): - -- — ---' NW all hri.eicur,m accetM creatrnh,pteaK cdl}ari.eicria,fa tnar Ierorterirn Notice:This pMntl application Permit fee..._....... .......$ Uvrsa O MasterCard Minimum fer................$ gi recrud aamts ----- expires if a permit is nrN oblarncd `- —L�e_ Plan review(at i %) $ r within 180 days atter it hat been State surcharge(8%)....$ - - Nam ar carmroldes as gums on aafn are aoccpttd as complete. TOTAL. .......................S �— _ i Cardlwlder tiplatm — A1114>®1 W-4617(60WODM) Electrical Permit Application --- --- - DaterueiveJ. Permit no.: City of Tigard Project/app'.no Expire date: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Dateissueo: By: Receipt no Phone: (503) 6394171 Fax: (503) 598-1960 Case fleno.: Paytnenttype: Land use approval: TYPE OF PERMIT ❑ I 2 family dwrllinp Ire accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction ❑Addition/alteration/replacerrent U Other. U Partial Job address: :?,S Bldg.no.: Suite no.: Tax .Ip/tax lot/account no.: _ - Lot: Block: Su ivision: J Pmject name: Description and location of work on premises: Estimated date of cnmplctionhnspcction: CONTRACTOR 1ULEN 1 Fee Mav .lob no: __ ----- IlYseY�p11W1 Y,(y y. (ti) ibis) nr.:.arP JEROME ELECTRIC Nen•rtddnuhl-airgknr or fanfl nr per drtellu�ullt.hrrMsdrs uucird garage. 110 BOX 751 Sen*-r Included. HILLSBOROOR 97123 1000 sgfearless _ 4 503-G48-5144 Earh additional 500 ft.or pion thereof Limited energy,residential 1 2 CCB: 36051 ELC: 34-1190 SUP: 2877S Limited energy,non-residential 2 Each manufactured home or modular dwelling Service and/or feeder 2 Si nature of supervising electrician(r wired) bale Servlcesorfeeders—Installation, Sup,elect name(prim) License no Alteration or relocallon: #ROP1KRTVO1V4K 2W amps or less 2 201 amps 10 400 amps 2 Name(print): — 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps 2 City; Slate: ZIP: Over 1000 amps or volts 2 Phone: Fax: I E-mail: Reconnectonly I es Owner installation:The installation is being made on property 1 own Temporary servicor feeders- hshllallon,ahendlar,orrelocatlon: which is not intended for sale,lease,rent or exchange according to 200 amps or leu 2 QRS 447,455,479,670,701. 201 amps to 4W amps _ 2 Owner's signature: Date: 401 to 600 amps 2 Branch circuits-new,alteration, or eatemion isr pne4 Nair,:: _ _ A. Fee for branch circuits with purchase of A,'.dress: service or fader fee,each branch circuit B. Fee for branch circuits without purchase City: S ate ZIP of service or feeder fee,first branch circuit 2 Phone: Fax: ( rata)): Each additional Manch circuit Misc.isc.(Service or feeder not included): FAch pump or imganon circle 2 O Sema rn over 225 amps-comenciel U Health-carr facility — 2 ❑Service over 320 amps-rating of 16&2 O Hazardous location Each sign or outline lighting family dwellings U Building over 10,01x1 square feet four on Signal cnrcuitls)or a limited energy panel, U System over 600 volts nominal more residential units in one structure alteration,or extension• 2 U Building over three stories U Feeders.400 amps or more •Descn on: U Occupant load ovu 99 persons U Manufactured structures or RV park Each additiaaal Inspection over the allowable In a)at the above: U EgressAighting plan U Other --_---__ _- Perinsn6cm C 1 }- Submit seta of plans with any of(he above. Investigation fee The above are not applicable to temporary construction service. other - Not an jurisdictions accept credit cards,peen call jurisdiction la mac udtXrnuim Notice:This permit application Permit fee.....................y U Visa U MasterCard expires if a pennit is nM"ined Plan review(at -_— %) $ ___----- credit card numbrr _ __ within 190 day-,after it has been State surcharge(8%)....S accepted as complete. TOTAL .......................S Name of olds u shown on c 1 card s 440 4615(6OWI) cardholder slgnuurr Amount CITY OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2003-00122 DEVELOPMENT' SERVICES DATE ISSUED: 3112/03 13125 SW Hall Blvd., Tiqard, OR 97223 1503) 639-4171 PARCEL: 2S104DA-'7500 SITE ADDRESS: 13250 SW KINGSTON PL SUBDIVISION: QUAIL HOLLOW-SOUTH ZONING: R45 BLOCK: LOT : 00 t JURISDICTION: TIG Project D ascription: Install temp service. RESIDENTIAL UNIT — _TEMP SRVC/FEEDERS __ MISCELLANEOUS_ 1000 SF OR LESS: 0 - 200 amp: 1 PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OL)T LINE LTG LIMITED ENERGY: 401 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10). SERVICE/FEEDER - _ BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FUR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RESUNITS: > 600 VOLT NOMINAL. Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: BROWNSTONE QUAIL HOLLOW LLG DAVID JEROME ELECTRIC 12670 SW 68TH PKWY STE 200 PO BOX 751 PORTLAND,OR 97223 HILLSBORO,OR 97123 Phone: 503-598-7565 Phone: 548-5144 Reg#: LIC 10051 -- — Still 28775 FEES I:I.I i t-I Ivr Description Date Amount Required Inspections 11 l I'IiM'I I F?L.�'I'crmil 1%121111 $66.85 _. .------_--_._ 1:1.\I R'S;,shute Tax 3112103 $5,35 Rough-in Elect'I Service Total $72.20 Elect'I Final This Perrnii 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 180 days of issuance,or d work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility N A'rfication 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 que't,ons to OUNC at(503) 246.6699 or 1:Z-2344.2 Issued By: . a to :/ ( (, y Permit Signature: A 1 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 ATE:_ __-- LICENSE NO: -----A --- — ... ---� - -----. Call 639-4175 by 7:00pm for an inspection the next business day 1 ^ \ Flectrical Permit Application Datereceived: ltd' Of Tigard Pmject/appl.no Expire date: - City ofTigarrl Address: 13125 SW hall Blvd.Tigard,OR, P7223 " 'Date issued: By Recctptno.. Phone: (503) 639-4171 I _. _.-.. 1"ax: (503) 598.1900 Case file non,: Payment type: Land use approval: V I &2 family dwelling or acccssrn3 C]Commercial/inrluslrial U Multi-fa Wily U Tenant improvement U New construction U P ildiliun/altcr,ru, nhchlaceinc is 0 nthcr: Partial 1 Joh address: 3 2�ZJ ,S W I � �J� _ 13ldg.no.: tiulrr.no.: Tax map/tax lot/account no.: i „ 131uck: Subdi sion Uta a. Q z \, . .r -' _ .__ L._ .._ _.._.-.... : Pi, t ct name: T 1 _. p - 1L l 1 I)c,scri Kion and luc,ruun of work on rcmt�,•ti: I. tnn;ucd date rd'cam conn/inspctailm: - ti APPLICATIONl Job no: {�+.c, `� p Fee Max Business numC: D t[EAOM - - Iltwerlpllon Ql (ca Total no.Ins i ----_-� E I.lwCR� __ _ New re Idential-slnRk or midi-family W Address: ' — dwcllbrgunh.Inchillmntlailwilgaroge. City _ H I L L S B O R 0 Stutc: O R 7.IF 9 712 3 Senlrelnchuled: Phcme:64.-R8•---5-1144 1�ax648-972, E-mail: Icxloaftor 1c... _ ' q CCB�no,;+ 6J 0 5 � 1 1 q C' f nth Additional 500 yr IL or porn'.n there'd - _ flee,hus. lie.no: _ �L _ __- City/metro Nc.nlr.:.._1 -" - - Limitedcnrrgy,n•molenlial - - I.unirrd energy,ricin•rcxidcutiul 2 - - I _ (c L faith manufactured home nr modular dwelluig - _ _ _ T Service and/or lmdrr 2 Slgnnturc u�rrrvising cicruicinn he rcd� _ Date Sup elect Allah(pringD A V I D A J E R 0 M E!— Licrnsr.no:2 B]]S Services orfecihnr-•instill lotion, - 1111111 W alteration or relocation: 200 Amp¢or less NAlnr(print): 1111 traps to 40400 amps Mailing address: '.-•__u �_.� - 4(iTam l uh 6O0 alnpe 601 Amps to ION Amps 2 City: Stnto: 'LIP: - Over 1001)amps orvnlm 2 Phone: I'a - r-mail: Reconnrctonl —� -- Owner installation:'Flit, i allntion is hemp made on property I own 7empmmrywrilceaorfeeders- which is not intended r sale, lease,relll,or excllallge asci Idilty w Installntlnn,alteration.orrelocation: S ORS 447,45.5,47 ,670,701. 200:unpsol less _ _1 6u 2 201 amps to 400 Amps~ 2 Ounci':. Signature: ---- - -• _ nate: 101 to 600 ....amps 2 Rranch vircolts-new,alteration, Name: - - - or ettcnsion per panel: - ----- A Fee fur L ranch circuNs with purchnse or Address: -` -4` service or fader fee,each brunch circuit Q Y _ I R Fee for branch circuitq without purchase _ I ar servizr or feaier fcr,first branch rircu(t 2 t'Itone: _ ti I - _� - Mach additional Irrarrrh arcuir --� --- Mile.(Service wi lerdernot Included); U Service over,!?s nqr I l_l 1 .dth-care Li. i Faith pump nr irrigation circle 2 U Scrvicrovet J2o amps. - - — — ....�"� I•v2 U Il;icarduuslornuun I:nchslgnorouliinehghting �� 2 familyefwellings U Badding over 100)(lsyuarr feet four m 'iittnAl cirnritls)ora limited merpy panel, -- _ U System nv!r6tx)vnLts nnminni more residential units m Ane stnirrurr di r.n ni. next m;m„� �2 U Ruildhr rrvrrthrcesrari,•s - --- - -_ �_.-- B U Fecden,4tsl amps or marc - - U Occupant load over 99 persons U Manufactured stnrciures or RV park L3 t gress/lighlingp:an U Other lath nddltJnnnl Impct tion over the allowable hr any of the Above. __ _ . _ _ per ius ircriun :�ullndt sets of plans wpb an of are Alnive, -'T'1`-'-- -- - - _- v y hivemyntion far __-�- The AbnYe Are nqt ApplIca ble•to temporary COM trucllit n srnice, giber nt ull pnisdiciium acrpi rmdii,nnt�.plena roll pniadicNnn far(nom Intmm.vinnC`luti,r' ibis prrririt ilpplirulinn I'c'lelil hr .... -- -- - UVisa U Allister( rnl expires il'a permit is not obtained I'Lul rt•s icss fat _.. %) $ ---- Ucdil cind n(,mtxr within 180 clays aflvr 11 has been St:uc surcharge(8%). $ fzpfrrs accepted as enmpe. Th'to T'AI, $ �inme of cnrdhnirji•r nt thnwn nn epi car •••••••••••••••••••••• +Ahnlrkr signature Amnw -' ar "nun440 4615 119ADCOM) i CITY OF TIGARD 13125 S.W. HALL. BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE HECFIVED DAVID JEROME ELECTRIC APR 1. 5) 2.003 PO BOX 751 UT's OF FIGAFID HILLSBORO, OR 97123 BUILDING DIVISION Electric-al Signature Form Permit#: MST2002-00045 Date Issued: 4/11/03 Parcel: 2S104DA-17500 Site Address: 13250 SW KINGSTON PL r Subdivision: QUAIL HOLLOW - SOUTH Block: I. of 001 Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse, Unit 1, bldg 5,CS plan with deck. STRUCTURAL FILL, REQUIRES GEO TECH INSPECTION AND REPORT. 4/10/03, adding a/c a gas fireplace. 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 comr•I,.-ii::1 form is received OWNER: ELECTRICAL CONTRACTOR: BROWNSTONE QUAIL HOLLOW LL.0 DAVID JEROME ELECTRIC 12670 SW 68TH PKWY STE 200 PO BOX 751 PnRTI ANn, ()R 97223 HILLSBORO. OR 97123 Phone #: 503-598-7565 Phone #: 648-5144 Req #: 1A 360511 St 11 28775 t;t I 34-1190 AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Supervising Electrician 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 #: MST2002-00045 Date Issued: 4/11/t13 Parcel: 2S104DA-17500 Site Address: 13250 SW KINGSTON PL Subdivision: QUAIL HOLLOW - SOUTH Bloc Lot: 001 Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse, Unit 1, bldg 5,CS plan with deck. STRUCTURAL FILL, REQUIRES GEO TECH INSPECTION AND REPORT. 4/10/03, adding a/c & gas fireplace. 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 appr..-)priate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above. ATTN: Building Division. No plumbing inspections will ba authorized until this completed form is received OWNER. PL( 111BING CONTRACTOR: BROWNSTONE QUAIL HOLLOW LLC WO► COTT PLUMBING CONTRACTOR! 12670 SViI 68TH PKWY STE 200 PO 6OX 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 X c -- Signature ut rized Plumber !f you have any questions, please call 503.718.2433. April 29, 2003 CITY OF TIGARD OREGON Ron Estey 12670 SW 68'x' Parkway, Suite 200 �! Tigard, JR 97223 RE; Plan review of conversions and additions. Dear Ron, have completed the plan review of the 15 units that have been or are to be converted to additional space options or have been altered for increased living space. personally reviewed the pictures provided by your site superintendent for building #4, and found that the 24" X 24" X 12" pad under the point load transferred down through the inside bathroom wall was not installed. Y-1a will have to arrange for a 2" core drill at that area to check for adequate bea.ing for this load at lots 7, 9, 59, 60, 61, 62, and 63. Or, you might contact your engineer to address the footing pad issue. Lot 24 was approved and lots 2, 3, 4, and 5 have not been poured. Lot 19 has been revised to reflect storage space in lieu of the original bedroom. The bay was also credited and the added "niche" was recorded. Do insure that there are no headers or jambs at the "niche" so in no way can it appear to be a closet. Lots 7, 9, 59, 60, 61, 62, and 63 have been flagged "no further inspections" until the testing or design is complete for bearing pads and/or shear walls. If you have questions, please call me at 503-718-2440. Sincerely, Darrel "Hap" Watkins Inspection Supervisor 1312.5 SW Hall Blvd., figurd, OR 97223(503)639-4171 TDD(.503)684-2772 --- ELECTRICAL P - CITY OF T 1 G A R D RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00237 13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 DATE ISSUED: 8/6103 PARCEL: 2S104DA-17500 SITE ADDRESS: 13250 SW KINGSTON PL SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT: 001 JURISDICTION: TIG Prosect Description: Installation of limited energy for audio/stereo. A.RESIDENTIAL _ B.COMMERCIAL _ AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MFDICAL: HVAC: DATA/TELE COMM: NURSE ALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LAN,!DSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER. TOTAL# OF SYSTEMS: Owner: Contractor: BROWNSTONE QUAIL HOLLOW LLC AZIMUTH COMMUNICATIONS INC 12670 SW 68TH PKWY STE 200 P.O. BOX 508 PORTLAND, CR 97223 WILSONVILLE, OR 97070 Phone: 503.598-7565 Phone: 503-039-01 i n Reg#: ELL 36-94CLE SUI' 23121 !.A LIC 14 58 FEES v Required Inspections Description Date _ Amount Low Voltage Inspection �t l l'lm l I I.I-R I'ermir 816/03 X75 00 Elect'/ Final ! 1:ANJ s `dale Tax 8/6/03 $6 00 Total $81.00 This Permit is issued subject to the regulations corlained in the Tigard Municipal Code, State of OR. Specialty Codes and gill other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not I started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION: Oregon law requires you to Wew-RiTe3adopted by the Oregon Utility Notification Center. those roles are set forth in OAR 952-001-0010 throuc Issu d b I �� f���"� Permittee 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 Electrical Permit Application "1D)aterecei"ved::::::: 8jtr,05 Permitno.:f ,;3 City of Tigard Pruject/appl.no.: Expircdate. CityojTigard Address: 13125 SW Hall Blvd,'fibard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: ❑ I &2 family dwelling or accessory U Commercial/industrial U Multi-family ❑'reliant improvement JKNew construction ❑A(I(lition/alteia(ion/repiacemcnl O Other: -__ U Partial JOB SITE]INFORMATION Joh address: S e,t 5 kl, L Irl 1, n"- Suite io , ITax map/tax lot/account no.: Lot: bSubdLkt lock: ivision: A(L S Project name: Q(i A i l_ jLtL 1±1 Description and location of work on premises: VCNI CE t Estimated date of corriQlction/instlection. CON URACUOR APPLICATION FEE SCHEDULE Job no: Fee I1tar ilex i_ntio,l t)ly. (ra.) 11,411,11 no.ins r Business name: iz U t � Nen re%irkntial-shipic o ndtl-family per Address: L.) /, 6 6 Ci,& dryelfingaidt.Includes ndachedgarage. City:(,llklsdti)jILL CE I S(alc' 7.1 P: () ) Senicelncluded: Phone: 3(2f 1)l I U Fax: % 01 I i E-mail: 1000 sq.fl.or less - _ 4 .� �, Fach additional 500 sq.fy I.or portion thereof CCB no.: ( 4 5�2r Elec,h _a � us.lic.no: (e r`'1 rL Lfmiledenergy,residential - City/metro lic.no.: wI Limited energy,non-residential 2 ZMi— Foch manufactured home or modular dwelling Signature of su rvisingetrician(required) Late _ Service and/or feeder Sup.elcct.name(prim) j"I til EIeL. License no - Services or feeders-Installation, alteration or relocation: PROPER OWNI It 0 200 amps or less _ 2 S Zl�.l C 201 amps to 400 amps Name(print): 2 — - - - - " 401 amps to 600 amps Mailing address: __ - 601 amps 10 1(XX)amps - -- — City: Stale: ZIP: Over 1000 empa or volts - - - 1-- Phone: I E-mail: Reconnect only Owner installation:The installation is heing made on property 1 own IcmPoraryunicesorferders which is not intended for sale,lease,rent,or exchange according to f vitallation,alteration,orrelocalion: 2(X1 analis or less ORS 447,455,479,670,701. 20 I amps 6r 4(X)amps = Owner's si nature: Date: _ _ 401 t,)Gnu ams -- Branch circuits-new,alteration, or extension per panel: Name: _ _ - A, fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: StalC: 7i1); B. Fee forbranchcircuits without purchase - Phone: of mice or feeder fee,first branch circuit: 2 I ax: F. mail: — i:ach additional branch circuit: Misc.(Service or feeder not Included): ❑service over 225 amps-co..:merciai U Health-care facility Fach pump or irrigation circle 2 U Service over 321)amps-rating of 1&2 U Hazardous location Fach sign or outline lighting 2 familydwellings U Building over IOAX)square feet four or Signal circuil(s)or a limited energy panel. •System over 600 volts nominal more.residential units in one structure alteration,or extension" 2 U Building over three stories U feeders,41X1 amps or marc +111tscri tion: U occupant load over 99 persons U Manufactured structures at RV park Foch additional Iropecllon over the allowable In any of the alcove:— U F:gress/lightinlrpinn J t)ilw[ -- [letinspection Subndt . sets of plans with any ofthe above. Investigation fee File above are not applicable to lcmporary colMrtldlon service. other --------- Not till jurisdictions accept credit,ard5,please call jurisdiction Err mrnr InPorrnatiat Notice:This permit application Permit fee.....................$ U Visa O MasterCard expires il'a permit is not obtained Plan review(at _— %) $ �. credit card number____ ___I—/ within 180 days afler it has been State surcharge(9%) ....$ — lixpires accepted as complete. - - 'TOTAL .......................$ Name d cardholder as shown on credit--cater--- ^ Cardholder signature Amount 440 4617,tW)OICOM1 ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES. Complete Fee Schedule Below: _TYPE OF WORK INVOLVED - RESIDENTIAL ONLY _ Restricted Energy Fee......................................�.......... ;75.00 Number of Inspections per permit allowed) (FOR ALL SYSTEMS) Service included: Items Cost Total y Check Type of Work Involved: Residential-per unit 1000 sq it.or less $1115 15 4 ❑ Audio and Stereo Systems' Each additional 500 sq,It or portion thereof $3340 1 Limited Energy $75 00 F-] burglar Alarm Each Manufd Home or Modular Dwelling Service or Feeder $9090 2 ❑ Garage Door Opener' Services or Feeders ❑ Installation,alteration,or relocation Heating,Ventilation and Air Conditioning System' 200 amps or less __ $80.30 2 201 amps to 400 amps $106.85 _ 2 ❑ Vacuum Systems' 401 amps to 600 amps $160.60 2 601 amps to 1000 amps — $240.60 i 2 Other Over 1000 amps or volts $454.65 _ 2 - - - - - Peconnect only _ $66.85_ 2 Temporary Services or Feeders TYNE OF WORK INVOLVED - COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system......................................................... $7500 200 amps or less $66,85 7 (SFE OAR 918-260-260) 201 amps In 400 amps $100.30 2 401 amps to 600 amps _ $133 75 2 Check Type of Work Involved Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits New,alteration or extension per panel ❑ boiler Controls a)The fee for blanch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit _ $e rs! b)The fee for branch circuits Data Telecommunication Installation without purchase of service or feeder fee. ❑ Fire Alarm Installation First branch circuit $4685 Each additional branch circuit _ $665 L� HVAC Miscellaneous (Service or feeder not included) Instrumentation Each pump or Irrigation circle $5340_ Each sign or outline lighting _ _ $53.40 ❑ Intercom and Paging Systems Signal circuits)or a limited energy - ❑ panel,alteration or extension _ $7500 Landscape Irrigation Control" Minor Labels(10) $12500 Each additional Inspection over ❑ Medical the allowable In any of(lie above Per inspectionA� $62 50 ❑ Nurse Calls Per hour _ $02.50In Plant $73 75 4 _ ❑ Outdoor Landscape Lighting' Fees: 0 Protective Signaling Enter total of above fees $ _ n Other 8%State Surcharge $ -- _, --Number of Systems 25%Plan Review rep. See"Plan Review"ser,l011 on $ No licenses are required Licenses are required for all other installations front of application - - Fees: Total Balance Due $ Enter total of above fees ; ElTrust Account p - — 8%State Surcharge $ All New Commercial Buildings roquira 2 sets of plans. Total Balance Due t_ i'xkts`fimns'cic-tirti duc nN Ynnl kAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA `w o d � y ► pit Un � o y •� r ,.p ►, -.i n ► r . rD o ► r, .. �T' ► ► 44 A �7— o ► 44 y Y ► Ti ► `?�• ( rb ► n . _ ► _�. n G On ► 44 �INo. i1 M.■■� ► 14 Poo. i ► C o b 'l. M cT n. a Q6 a ft cp o""• N � v o � f Ll r�• C C F ro CITY OF TIGARD 24-Hour BUILDING Inspection Line: (50 9-4175 �,- 060 q6- INSPECTION DIVISION Business Line: (5 -4171 / BUP Received Date Requ sted_._Lj=f� AM—_-PM BLIP Location —132- 5o - _Suite_ MEC Contact Person Ps-va E=s ;i:dy Ph(nQ ) —may-3 — S 2 7AM — Contractor Ph( ) SWR ILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftq Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors — Ext Sheath/Shear Int Sheath/Shear Framing Insulation t �/ Drywall Nailing - — -- Firewall Fire Sprinkler ---� — Fire Alarm _ Susp'd Ceiling "-- Roof — Fina P PART FAIL - _U BING — &Beam Under Slab — -- — Rough-In Water Service ------- -- — Sanitary Sewer Rain Drains Catch Basin/Manhole Ar _ Storm Drain -- Shower Pan Other: Final _PASS PART FAIL MECHANICAL Post&Beam Rough-In Cas 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 SITE F-] Please call for reinspection RE: __ [_] Unable to inspect-no access Fire Supply LineADA /f Approach/Sidewalk Date , \- — Inspector_ �' ~/ — Ext-- Other: ._. Final DO NOT REMOVE this inspection record from the fob site. PASS PART FAIL