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13270 SW KINGSTON PLACE F .e. W N y O r� y O 3 T N 0 fD f 13270 FpVV Kingston Place MASTER PERMIT CITY OF T I G A R D PERMIT#: MST2002-00047 DEVELOPMENT SERVICES DATE ISSUED: 4/11/03 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 SITE ADDRESS: 13270 SW KINGSTON PL PARCEL: 2S104DA-17700 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 i BLOCK: LOT: 003 JURISDICTION: TIG REMARKS: SF rowhouse,unit 3,bldg 6,BS plan with a deck.STRUCTURAL FILL,REQUIRES GEO-TECH INSPECTION AND REPORT. 4/10/03, adding a/c& gas fireplace. BUILDING REISSUE- STORIES: 3 FLOOR AR'-'AS REQUIRED SETBACKS REQUIRED CLASS 01:WORK: NEW HEIGHT: FIRST: 177 sl BASLMENT st LEFT SrAOKE DETECTORS: Y TYPE OF USE: SEA FLOOR LOAD: 50 SECOND: 135 st GARAGE. 547 st FRONT: PARKING SPA' TYPE OF CONST: .5N DWELLING UNITS: 1 THIRD 735 sf RICHT: OCCUPANCY GRP: R3 BDRM: 2 BATH: 2 TOTAL 1.642 e/ VALUE: 162,55b 20 REAR: PLUMBING SINKS: I WATER CLOSETS: •2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 2 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUBISHOWERS. 2 GARBAGE DISP: I WATER HEAL ERS: 1 WATER LINES: BCKFI_W PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL.TYPES FURN<100K. 0 BUIL/CMP<3HP: ? VENT FANS: 3 CLOTHES DRYER I GAS FURN>=IDOW UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: blu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLErS: ELECTRICAL _ RESIDENTIAL UNIT— _SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS ..:SCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: I 0 2n0 amp: 1 0 -200 amp W/SVC OR ED R: PUMPIIRRIGATION: PER INSPECTION: EA ADO'L S00SF: 1 201 - 400 amp: 201 1Ce amp: iM W/O SVC/FDR: SIGNIOUT LIN LT: PER HOUR, LIMITED ENERGY: 401 600 amp: 401 000 amp F AADDL BR CIR SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 601 1000 amp: 601+amps-1000v: MINOR LABEL: 1000+8mp1volt PLAN REVIEW SECTION Reconnoct Only: >-4 RES UNITS: SVCIFDR> 225 A.: >600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO d STEREO: FI TE ALARM: INTERCOM/PAGING OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER CLOCK: INSTRUMENTATION MEDICAL: OTHR: HVAC: DATAITELE COMM NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,911 74 BROWNSTONE QUAIL HOLLOW LLC BROWNSTONE HOMES,LLC This is subject to the regulations contained in the Tigardd Municipal Municipal Code,State of OR S;.lecialty 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 dais of issuance,or if the work is suspended for more than 180 days. ATTENTION- Oregon TTENTIONOregon law requires you to follow rules adopted by the Phone: 503-598-7565 Phone: 503-598-7565 Oregon Utility Notification Center. Those n,les are set forth In OAR 952-001-0010 through 952-001-0080. You Rep N: 11(' 1246:7 may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, Underfloor insulation Plumbing Top Out Exterior Sheathing Inst Water Line Insp Building Final Sewer Inspection Plmlundslb Insp Framing Insp Firewall Insp Smoke Detector Final inspection Footing Insp Electrical Service Gas Line Insp Gyp Board Insp Electrical Final Foundation Insp Electrical Rough-in Insulation Insp Engineered grading fin Plumb Final Slab Insp Mechanical Insp Shear Wall Insp Rain Drain Insp Mechanical Final Icsued By`i � _,,�--a � Permittee Signature Call (503) 639-4175 by 7:00 p.m.for an Inspection needed the next business day CITYOF TIGARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00026 13125 SW Hall Blvd., Tig;ird, OR 97223 (503) 639-4171 DATE ISSUED: 4/11/03 SITE ADDRESS; 1321 70 SW KINGG FON PL PARCEL: 2S104U4-17700 SUBDIVISION: Q( AIL HOLLOW-`S )U"1 I I ZONING: k-4.5 BLr3i.K: LOT: 001 _ _ JURISDICTION: Ilr; TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS- 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 qW 68TH PKWY STE 200 (Description Date Amount PORTLAND, OR 97223 1SWUSA] Swr Connect 4/11/03 _ $2,300.00 1SWUSA]Swr Connect 4il1/03 $0.00 Phone: 503-598-7565 [SWINSI]Swr Inspect 4/11/03 $35.00 Contractor: ISWINS1'] Swr Inspect 4/11/03 $0.00 _--- 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 pen iit 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 req fires 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 b �p�,, Y �/1���� -- Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business y i � l�c��•� Buildi>ng POrmit Application ate received: ewe,A Permit no.:yhr.7"a 05/; City of T><galyd Address: 13125 SW Hall Blvd,';'igRrMCE . oject/appl.no.: Rx •-daI C njTigar`f t no Date issued: Recei .: Phone: (503) 639-4171 Y�1•,J'• P Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: d t" ilk 1 1&2 family:Simple Complex: 1 U I &2 family dwelling or accessory U Commercial/industrial U Multi family U New constriction U Demolition U Addition/alteration/replacement U Tenant improvement ❑Fire splinkler/alamt Q Othc,: 11 1 Job address: k --j. Bldg.no,: Suite no.: Lot: Block_ Subdivision^ Gr P/i c CA• d1c U Tax map/tax lot/account no.: A5/o ynR �atflSc v Project name: < . Description and location of work on premiscs/special conditions: 1 1 r Name: CRq- rQ 6W flL1:. r r , Mailing address: _n 1 &2 family dwelling: Clty: ort ca y ,State:01ZIP�S2 Valuation of work........................................ $ Phnne - ,5 , lax: q E-mail: No.of bedrooms/baths....... ......................... _-- Owner's representative: P.0 5�'k- Total number of floors................................. Phone: , Fax: l-mail: New dwelling area(sq.ft.) ..................... ... ----------- ,UUM[1191 (3atrge/carport area(sq.ft.)....................... Name: r 6(,, 6\ t _ t.LL, Covered porch area(sq,ft.) .......I...... . Mailing address: SW � a Deck arca(sq. ft.) ........................................ _ ------ City: State: 7.11' Other structure area(sq.ft.)..................._.. y �"L; -famil Phone: Fax: L;-mail: Y' 7. Existing aluation of work........................................ Business name: bldg.area(sq. ft.) .......................... r v. o�t s L.L —_— Address: -2A r , _ eu bldg,area(sq. ft.) ................................ City: 4,_ State;D� umber of stories ....................... . .......... ... Phone _ _ Fax:b�p- mail: YPe of constriction................... ... ........ ...CCB no.: ccupancy gtoup(s): Existing:- New: City/metro lis.no.: otice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: 6. 6 (_,0 - - provisions of ORS 701 and may be requited to be licensed in th " �1 j r �.�, jurisdiction where work is being performed.If the applicant is Address: t .� -S(�� O exempt from licensing,the following reason applies: Contact person: H� Plan no.: --- -- —_— — Phone: _C -yr x: E-mail: — ----- ----"Naj:V0,zContact person Fees due upon application ........................... $69 LU r c cam} Date received: — City: 1',tate: ZIPP��3 Amount received .. .............. $---___------ Phone: ;Z _ p Fax_ E-mail: Please refer to fee schrdule. J I hereby certify I have read and e;.amined this application and the Not all Jurisdictions accept credit wa.•ptrare call iurMcaan for mare in[mWiom attached checklist.All provisions of laws and ordinances governing this Uviss 0MasterCard wont will be complied ej�t,whetheq' credit card nuurber.--. /ed herein or not. -- --- — r.,ptrra Authorized sign re: _ dune or f&"r:r shown no re R ca -- Print name:_ ------ s C A Fwurt Amount Notice:This permit application expires It's permit is not obtained within 180 days atter it has been accepted as complete 440-4613(&""M) Plumbing Permit Application Datereceived: ; Pexmitno.:'��,[d/c' _ � City of Tigard Sewer permit nc. Building permit no.. Address: 13125 SW Hall Blvd,Tigard,OR 97223 Cityoj7igard Mone: (503)6394171 Pmject/appl.no.: Expiredate: — Fax: (503)598-1960 Date issued: By: Receipt naA—_ Land useappr-.val: — CaxfiIrno.: Paymenttype- U I &2 family dwelling or accessory U Conanerrial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteration/replacernent U Food service U Other: —_ JOB SUIT.INFORNIA11 ION 14-11] SCA1111111 JLE.(for special information t1%e.ciie0,-13 Job address: j.:?-`)C' a w c." F L a c — Descrllrtion Qty- Fee(ea. Total Bldg. no.: 3 rto,; — New 1-and 2-family dwellings only: _ (Includes 100 ft.foreach utility connection) Tax map/tax IoUaccount no.: _ __ SM(I)bath l,ot: — Block: —Subdivision: SFR(2)bath — Project name: SFR(3)bath City/county: Zip: �— Each additional batlifkitchcn --' — Description and location of work on premises: _ Siteumities: Catch basin/area drain _ Est.date of completion/inaptxxttion: Urywellsflcach line/trench drain — Footing drain(no.lin. ft.) _ Manufactured home .tilities n^� Manholes Wolcott Numbing Rain dtain connector — PO Box 2007 Sanitary sewer(no. lin. ft.) Gresham OR 97030-0594 Storm sewer(no.lin.ft.) - 503-667-1781 Water service(no.lin.ft.) CCD:23847 PLM 11:26-204PI1 Flxture or Item: Absorption valve _ Contractor's representative signature: _— Back flow preventer _— Print name:: Date: Backwater valve ! Basins/lavatory — Clothes washer Na ne: Dishwasher — Addrpss: Drinking fountain(s) — rity — — r�tlte' ZIP: _ E eeICNS/allmp Phone, Fax: F mail Expansion tank -- _ 1 Fixtute/sewer cap — — Floor drains/floor sinks/hub Ilame(print). — Garfiagr disposal — — ailing address- —_ Hose bibb -- City: --state. 71P. _ ---- Ice maker J----- — i'horte: Fax: __�f mail: Interceptor/grease trap Owner installation/residential maintenance only: The actual installation Primers) a Will be made by me or thr maintenance and repair made by my regular Roof drain(conunercial) __— employee on thr property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's signature: _ __ Date: — Surrp Tubs/shower/shower _ Urinal Name: U _——__- - .._—.—._--- ------- Water closet Address. Water heater City: --- State: ZIP:_ Other. Phone: —y— Pax: Vi E-mail: Total No MI jwtvumaw wee"arae Cana,oem can kziG&dm ra nae bfamrlm� Plan Minimum fee............ ) 1s �_--_-- N�rtice:This permit application 0 Via O M.ste Card expires If a permit is not obtained Plan re�vicw(at _, �) em&cwd enmbv — ------- -=spm within ;!n days after It has Ix-en Statr.surcharge(8%) ....$ _.—_—.—.-- _ 9,d — wldrr r a n at&and —— accepted as c»tryade. TOTAL ............... .......$ -- __ t -- 4taK R — Aaw.wt 440-1616(600MM) Mechanical'Permit Application Date received: . Permit no.: City of Tigard Projecsppl.no.: Expire date: - City n!Tigard Address: 13125 SW 4all Blvd,Tigard,OR 97223 Date issued: By: Receipt no,: Phone: (503) 639.4171 -- — Fax: (503) 598-1960 Casee file no.: _—_ payment type: Land vse approval: — Building permitito.: TWE Of OURMIT U 1 8e 2 family dwelling or accessory U Commercial./industrial U Multi-family U Tenant improvement U New constriction U Addition/alteratior✓replaccment U Other: 1 1 1CON11NIERCIAL VWLUATIO&' 1 Job address_:I'? ) w ( CC Indicate,equipment quantities in boxes below Indicate the dollar - Bldg.no.: Swte value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: --- profit.Value$ .._.— Lot: Subdivision: *See checklist for important application information and Project e. "-- urisdiction's fee schedule for residential permit fee. nam City/county _-� ZIP: DWEIILING PurtmiTIrEc sollEDuu. Description and locatie,n of work on premises: 1 •1 1 1 t Fe+r(ea.) 'Total Est.date of completion/inspection — -u- � Qt . Res.nal n.00l Tenart improvement or change of use: — hVAIandling Is existin space hratec'or conditioned?U Yes U No Air handling unit -_CFM g P t co�uonmg(s(siie plan iequlr ) Is existing space ins,dared?U Yes U No Alicratio-n-of existiingAPAC system WCHANICAL 1 1 ilaTpressors — State boiler pennit no.: (:our Seasons Beating&A/C:Service Inc HP Tons BTUM Vie smc a am uct smoke detectors PO Box 66409 Heat pump(pan required) Portland Olt 97290-6409nsia rep ace furnace/burner—_)-T'iT/T 503-775-5919 Including ductwork/vent litier U Yes O No —_ CCB: 49283 inntalWi lace/rel<rauems-suspened— wall,or fkw_r mounted Harm;(please print): Zen t tot appliance otherai nurnac- —� 1 e era Absorption units BTU/Fl _ Name: Chillers ___ _-- HP — Adtiress: --� — — -` Com ressors _ HP — �s ttm exhaust am tent t oa: City: State:—�ZIP: Appliance vent _ Phone: Fax E-mail. I et exlausi — oil Hoods. ypc res. tic team7mat hood fur suppression system _ Name: Exhaust fan with single duct(bath fans) _ Mailing address: _UFau i system Apartrom 6calm— C_ Cit State: Z[P: TWI piping rrBW al up to outlets) >': —_�— L.PG NG Oil rnx �= - Phone: Fat: Email uc i tin eac tF i_HtticnaTover out reaees g p (sc ematicmquired) Nur.i,er of outlets Name: Uihex iislel app Ltnce or -- Address: _ Decorative fireplace — C.ity. _ State: ZIP: Tnser--type-- ------ Phone: Fax: Email: o stov pe I let stove ()dFcr Applicant's signature: —__ Date:Y— O(her.__� - Name (print) —�___--- s-- ----- — Na dl)urltdictiom nr q4 ardii cult,plew call)uritdiction fa tnme itdormuioct Permit fee fee ................$ _.—. QYisa O MuterCar:1 Notice:this permit application Minimum fce................$ expires if a permit is not eMained Plan review(at —_, %) $ _ -- tSedit circa number --- _ _ --- --"--- within 190 days alta ii her hoer — staff W r tea, on_�Card____ ,ted as omn plete State arge(896)....$ = TOTAALL .L.....................$ Cudtwlda dptWR u_, A tT 4#1-4617(60KIDW Electrical Permit Application IDatcreceivecl .2 d�' Permit no.. <1-oVa eW City of Tigard I'roject/appl.no: Expire date: CiryojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 bate issued-- ^� By: �eipt n_— o.:— Phone: (503) 639-4171 ------- Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U uirtitinn/alrcration/n place mc;u U UthCr: _.� U Partial JOMSITIF INPORMATION �Joo address:I `' '4 _P i_ Bldg. nee: isuite no.: Tax mI lot/account no.: Lol: 71 Plock: Su i m: — Project name: _ Descnpnon and location of work on premises: — Estimated date of conlldcuon/inspection '— CQNTIRACTOR APPLICATION I" Max p �e������ - Descriptlom Qty. (ea.) Total no.ins JEROME ELECTRIC Ncpresidential-sins*(wnwhi-fanJiyper PO BOX 751 dwelihn N.lariudesat.sch-dgarage. .Service rlCladed: H I LLSBORO OR 97123 1000 sq n.or less 4 503-648-5144 Each additional 500 sq ft.or portion therecif --" Limited energy.residentialJ CCB: 36051 EM 34-119C SUP: 28775 _Limited energy,non-residential 2 _ Each manufaaured home or modular dwelling — SInature of supervising electrician(required) pate Service and/or feeder 2 Sup.elect.name(prim) License no Services orfeeden-Installation, alteration or relocation: 1 1 200 amps or less 2 Name(print): 201 amps to 400 amps - —2--- 401-- --- 401 amps to 600 rumps _ 2 Mailing address: 601 amps to 100 amps — 2 City: -�--- —_ — State: I ZIP: Over 1000 amps or volts — 2 Phone: _ Fax E-mail: Reconnect only Owner installation:The installation is being made on property I own Temporary wrvtonorfeeders- -- which is not intended for sale,lease,tent,or exchange according to Installation,aNaruioa,orrelocation: ORS 447,d55,479,670,701. 200 amps or leu — 2 201 amps to 400 apps y ~" Owner', signature: Date: _ 401 to 600!M5 Branch circuits-new,alteration, Name: or extenslw per panel: _ A. Fee for branch circuits with purchase of _Address: —_ _ service or fader fee,each brach circuit _ 2 City: Stale: ZIP: B. Fee for branch circuits without purchase — - Pltone: Fax: E-mail: --_- of service or feeder fee,first branch circuit: _ 2_ FAch additional branch circuit: — Mim.(Service or feeder not Included): PLAN RIEVIEW(I'Iea%e�lrfirck all that apply) U;ervi a over 225 apps-conuncu.ial U Health-care facility Each pump or irrigation circle 2 L)Service over 320 amps-rating ni 1&2 U Hazardous location Foch-hgn oroutline lighting 2 fanulydwellings U Building over 10.000 square fat four or Signal circuit(s)or s bruited energy panel, U System over 6(I(I volts nominal more residential units in one structure rltersuon,or extauion• 2 U Building over three stories U Feeders,400 amps or more •Desch limn: U Occupant load over 99 persons U Manufactured suvoures or RV park Lich additbanl inspection over the allowable in any of tle above: U EgressAighdngpla U Other Pennspection Submit____acts of plans with env of the above. Inveatigatiaofee The above are not applicable to temporary construction service. r other —— Na all jurisdictions accept credit cants,please call funsdicunn fa mote hnfamarion Notice:This permit afpLcation Permit fete... .............s O Visa O MuterCard expires if a permit is 11-0.obtained Plan review(at _ %) $ Cmdin card number within 1$0 days after it hats been State surcharge(8%)....$ `�re1 accepted m complete TOTAL $ Noor of o der u slhawn on cretin rad ------------- Cardboldn❑goaure � Amount 440-4615(M)WON(I CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 E C E V t IMPORTANT PERMIT NOTICE APR l ;i 2003 F TIGARD DAVID JEROME ELECTRIC �ult.atni _tatTY UDIVISION PO BOX 7 51 HILLSBORO, OR 97123 Electrical Signature Form Permit #: MST2002-00047 Date Issued: 4/11/03 Parcel: 2S104DA-17700 Site Address: 13270 SW KINGSTON PL Subdivision: QUAIL HOLLOW - SOUTH Block: Lot. 003 Jurisdiction: TIG Toning: R-4.5 Remarks: SF rowhouse,unit 3,bldg 5,13S plan with a deck.STRUCTURAL FILL,REQUIRES GEO-TECI; INSPECTION AND REPORT. 4/10/03, adding a/c & gas fireplace. Your company has been Inaivated 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 t-) 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 r ORTLAND, OR. 97223 HILLSBORO, OR 97123 Phone #: 503-598-7565 Phone #: 648-5144 Req #: H( .16051 �I 1' 28775 1 1 I- 34-111)( AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of up€fivisin lec!r;cian 9 If you have any questions, please call 503.718.2433. I. 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 #: MST2002-60047 Date Issued: 4111/03 Parcel: 2S104DA-17700 Site Address: 13270 SW KINGSTON PL Subdivision: QUAIL HOLLOW - SOUTH Block: Lot. 003 Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse,unit 3,bldg 5,13S plan with a deck.STRUCTURAL FILL,REQUIRES GEO-TECH INSPECTION AND REPORT. 4/10103, adding a/c & g�.s 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 appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTW Fuilding Division. No plumbing inspections will be authorized 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 #: 503-598-75615 Phone #: 667-1781 Reg ll. LIC 23847 PLM 2.6-208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X e - Signatui'e cif Autho ized Plumber If you have any questions, please call 503.718.2433. i� April 29, 2003 CITY OF TIGARD Ron Estey OREGON 12670 SW 681h Parkway, Suite 200 \ Tigard, OR 97223 RE: Plan review of conversions and additions. Dear Ron, I 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. I 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. You will have to arrange for a 2" core drill at that area to check for adequate bearing for this load at ;ots 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 riot been poured. Lit 19 has been revised to reflect storage space in lieu of the original bedroom. The bay was also credited ar!d 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, ind 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. Sin;9V � Darrel "Hap" Watkins Inspection Supervisor 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772 -------____ ^ CITY ^ F TI GARD ELECTRICAL PERMIT- �% RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00239 13125 SW Hall Blvd.. Tiqard. OR 97223 (503) 639-4171 DATE ISSUED: 8/6/03 SITE ADDRESS: 13270 SW KINGSTON PL PARCEL: ?S104DA-17700 SUBDIVISION: QUAIL HOLLOW- SOUI-H ZONING: R-4.5 BLOCK: LOT: 003 JURISDICTION: TIG Proiect Description: Installa 'on of limited energy for audio/stereo wiring A.RESIDENTIAL _ B.COMMERCIAL_ AUDIO & STEREO: X AUDIO& STEREO: INTERCOM 8 PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _TOTAL# OF SYSTEMS: Owner: Contractor: BROWNSTONE QUAIL HOLLOW 11C AZIMUTH COMMUNICATIONS INC 12670 SW 60TH PKWY STE 200 P.O. BOX 508 PORTLAND, OR 97223 WILSONVILLE, OR 97070 Phone: 503-51)8-750S Phone: 503-639-011() Reg #: ELE 36-94CLE SUP 2312LEA _ 1,1(' 14592E FEESRequired Inspections_ _ Description _Date _ Amount Low Voltage Inspection [ELPRMT1 1.1.k 11cimit 8/6/03 $75.(;0 Elect'I Final [TAXI x'%n State Tax 8/6/03 $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 pen-nit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rule's adopted by the Orenon Utility Notification Center. Those rules are set forth in OAR 952-001-0010'hrouc i Issued b �t �� n�0-l`1 Permittee Signat"re _ OWNER INSTALLAT113N ONLY The installation is being made on property I own which is not in.-ended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATt1RE OF SUPR. EL.EC'N _ DATE: LICENSE NO: Call 639-4111 by 7:00 P.M. for an inspection needed the next business day Electrical Perrot Application _ —— Date received: (f >, Permit City ,,i Tigard Project/appl.no.. Cxpirednte: C'irvnjTigard Address. 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no,: Phone; (503) 639-4171 -- Fax: (503) 598-1960Case file no.: Payment type: Land use approval: TYPE OF PERMIT J 1 &2 family dwelling or accessory O Commercial/industrial U Multi-family U Tenant improvement XNew construction U Additian/alteration/replac(•ment 0 f)Iher: - ._ _ ❑Partial JOII SITE INFORMATION Job address: /3a7V 6-0J, 1A, suite nn: Tax map/tax lot/account no.: --- - Lot; Block: jSubdivjsi�n: 113 l Sw 7H Project name: )(t kI L- SU(k-cN — Description and 'ocation of work on premises: (; �' �t f Estimated date of cornplction/inspection: APPLICATIONI Job no: Q TOUT n Fee N1av Business name: uw/ C t tJ Description (ea.) o.Ins � -- New residential•single or mu di•famlly per Address: t 1, 5 6 veL dwellingunit.Includes at*—ct ed garage. City: \L dA;JlLt J_Statcj�L ZIP: Service Included: Phone:e 3(,3t!U(t U Fax: % Olt S I E-mail: — 1000 aq It,or less - ------ 4 1 CCB no.: ( 4 53'26- Elec. bus. lie.no: �� f L Foch additional 500 sq ft or p n t m ihcreol `' �'�{C'= — Limited energy,residential 2 City/metro lic. no.: J 00I Limited energy,non-residential 2 Each manufactured home or modular dwelling Signature oT superyisini electrics (re uited) bate Service and/or feeder 2 Stp.elect.name(prinU L TT ((-(_ tlt!_ License no: Services or feeders—Installation, alteration or relocation: 200 amps or less J 1 201 amps to 400 amps 2 Name(print): xlj -0ti 401 amps to 600 amps 2 Mailing address: 601 amp.to 1000 amps 2 City: State: ZIP: O,er 1000 amps or volts 2 Pltum+: Fax: — E-mail: Recnnnectonly I Owner installation:The installation is being made on property 1 own 'Temirorsty services or feeders- which is not intended for sale, lease,rent,or exchange according to Instailsuiun,riterstion,or relocation: 200 amps or ess , ORS 447,455,479,670, 701. l _ 2U1 amps to 400 amps 2 Owner's si nature: _ __ Date: 401 to 600 nmris 7of anch circuits-new,alteration, extension per panel: Name: _ Fee for branch circuits with nurchase of Address: service or feeder fee,each branch circuit _ '- City: — Stale ZIP_ Fee for brnnch circuits without purciiw e service or feeder fee,first branc't circuit 2 Phnnr rax: [? ttlail: Each additional branch circuit: Misc.(Service or feeder not lnclud(d): J Service over 225 arnps-commercial J Health-care facility Each pump or inigation circle 2 U Service over 320 amps-rating of 1 de2 J Hazardous location Each sign or outline lighting 2 family dwellings J Building over 10,000 square feet four or Signal circuit(s)or a limned energy peel 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 *Description. U occupant load over 99 persons U Manufactured stroctures or RV park Foch additional Inspection over the allowable In any of the above: U Egressi'llghtingplan U Other' _v per inspection Submit__sets of plana wHh any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all jurisdictions accept credit carth,please call jurisdiction fw more information Notice: This permit application Permit fee.....................$ U visa U MasterCard expires it'a permit is not obtained Plan review(at _ %) $ Credit cud number / within ISO days after it has been Slate surcharge(8%) ....$ Expires accepted as complete. TOTAL $ _ Name of cu older-ushown on credit cud Cardholder signature Amount 44r 4615(&Mk,okt Oil oz H S 4 06 0 9r r � O H O � O • n n �e i U i� E a' 00 i. 3 CITY OF TIGARD 24-Hour MS BUILDING Inspection Line1199-4171 39-4175 z— dOC� Z Business Line: (BU iNSPECTION DIV1310N BuBUP tieceived ----.--Date Re uested_ 0/(Y — AM_—.____ PM_____ . BUP __-- — --- Location Sulte MEC Contact Person _._____— __ _ Ph(----) -------- PLM --- Contracts _—.._--- 1�Ph( ) _ SWR __ -----._ __-- allLIAG Tenant/Owner _ !:_?�L—'!_�— _ ELC --- Footing --- ELC - Foundatiun Access: Ftg Drain ELR Crawl Drain - -- SIT _ Slab Inspection Notes: — Post& Beam -. ---------- -- ..-- --- ..---- Shear Anchors Ext Sheath/Shea - - - Int Sheath/Shear Framing __- InsulationLOS _- Drywall hailing -- Firewall —-- - - - - - - ----- Fire Sprinkler .— Fire Alarm Susp'd Ceiling --- ----------- Roof tBiliOthPART FAIL_G - - Post& Beam~ Under Slab -- - -- ---- �, Rough-In Water Service Sanitary Sewer Rain Drains ------ -- -- -- - - - Catch Basin/Manhole Storm Drain - Show3r Pan Other: - Final Ile -- PASS PART FAIL - -------------- MIoCHANICAL - — ------ -- ---... -- - — Post&Beam Rough-In - -- - - - - ,ac Line _ Smoke Dampers -- r=mal PASSPART FAIL -- ------- --_-_ __.-_ -..._---- ------ ------- ----------- ItLEd;�_RIC-AL — — -— --- ---- — Service Rough-In --- UG/Slab Low Voltage - --- ---- - -- --- - --—-- --- --- -- lre Alarm Phial L1 Reinspection fee of$_______-_._-required before next inspection, Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL Please call for reinspection RE:.------- �.. � -- - _ -_. r Unable to inspect -no access SITE _- Fire cupply Line i �/l /� `"� �/f .` �_ Date ( Inspector Ext ADA Approach/Sidewalk -- --_--- - Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL C'IT'Y OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST _'K__60 0 -�,-7 INSPECTION DIVISION Business Line: (503)63E-4171 BUP -- Received — Date Requested—_ D AM___ PM—_-- - BUP 1 ��4 Suite __ MEC --- - - - Location - - Contact Person _- _ -�---------- Ph�— ) ___--- - PLM Contracior -- - -- — Ph SWR r' Tenant/Owner ____ ______-_ _ ----- BUILDING ELCELC --------- Footin5 Foundation Access: ELR Ftq Drain Crawl Drain SIT ___—.�-------- Slab Inspection Notes: Post& Beam -_- ---- -- - - _- -- --- ---- - --- Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing _-_—�f.—.------ --------------_-_ Insulation -- - Drywall Nailing ----j'7----- Firewall ---- Fire Sprinkler Fire Alarm -- Susp'd Ceiling Pool —_ Other: Final - / - PASS PART FAIL PLUMBING --- `-------- Post& Beam Undei Slab Rough-In Water Houg -- Water Service Sanitary Sewer -- , Rain Drains = — � -- Catch Basin!Manhole -- Storm Drain Shower Pan - -- �~-- Other. r#hSS PART EC NICA%iiL -- - ----- &Beam n _ ----- - Rough-in 77 Gas Line --•------ Smoke Dampers - -� (PAO PART FAIL - CTRICAL -- Service _ Rough-In UG/Slab Low Voltage ----- ------^-_-- Fire Alarm Final CJ Reinspection fee of$_.._--_--_-- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd SASS PART -FAIL_ Unable to inspect-no access SITE^ F] Please call for reinspection RE: -_ --- _ Fire Supply Line ff ADAllnspectorExt Approach/Sidewalk Dot* � - Other: site. - - Final -— DO NOT REMOVE this Inspection record from the job s te. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST =�DC3d C1 INSPECTION DIVISION Business Line: (503)639-4171 �f- BUP Received . _�. Date Requested_-- _ __ AM PM_ _ BLIP _--_— Location _____L ---- - Suite_ �. MEC —__--__ Contact Person ___. — -- Ph( ) —_ _— PLM Contractor_---------- __-- -_---- Ph(---- ) ---- -- - SWR _—__— BUILDING Tenant/Owner —___— _— ____--._-- ELC — -- Footing— ELC -_-_-__-- Foundation Access: Fig Drain ELR -_- Crawl Drain SIT Slab Inspection Notes: — -- Post&Beam — -- ----- --- _-- --- _ __ _ Shear Anchors --- — Ext Sheath/Shear ------ - -- -- - Int Sheath/Shear Framing _._--___.--------------------------- --- ------- Insulation Drywall Nailing ------ - ---- --- -- - -- ---__-�.__-- ---- ---- Firewall Fire Sprinkler --_--- ---- _..._-------- — ------------------ - Fire Alarm Susp'd Ceilirg ---___-------- -- - - _---------------------- �------- ----__------- _ - Roof -- Final PASS PART FAIL_ Post& Beam Under Slab - Rough 'r, Water Service _�_---.------_--- Sanitary Sewer Rein Drains .T-------- Catch Basin/Manhole Storm L,rain Shower Pan Final ----- _ -------- ---- _----- ---- —.._ PASS PART_ FAIL M_ECH_ANICA_L Post& Beam Rough-In -- - - - -------------- - ------- _ -- Gas Line Smoke Dampers ------ --- -- - .. __-- _ _-- --- -- - A PARI' FAILMIE -�.---- _ -- -__----------------_-_ _-_ ---------- ---- C7RICAL -__-- Service Rough-In - --- - I.ow Voltage Fire Alarm _ Final I Reinspection fee of$- _-_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL - Unable to ins 31TE r-_� Please call for reinspection RE inspect-no access_ __-_-__ .-__-----__----------...-_-- � P Fire Supply Line ADA -- Ext Approach/Sidewalk Dats_ ' ---_- Inspnctor_1_ _. . _____- .._____ _ Other:,----- Final ther:,—____Final DO NOT RIMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Lite: (b03)b39�4175 ST 114SPECTION DIVISION Business Line: (503)639-4171 -�- BUP —__-- Received Z_�7--Date Requested_-_/_Q- _ SAM _—PM_-_____ BUP -- — Location - -/ ___�/ � --�`- Suite _ _ MEC Cc ntacy t Person ___ -__._4Pig ' ?�J S �0 PLM Contractor _-- _ ___.__. _____-- __---___ _-- Ph SWR _--- - BUILDING Tenant/Owner ELC - FootingT ELC _. Foundation Ftg Drain Access: ELR Q Z� Crawl Drain -�- Slab Inspection Notes: SIT Pn.t&Beam -- --- -- ------- - _ __ _ Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing ------ ---- -- - -- insulation Drywall Nailing - — -- - -- —-- -- �_-- -- Firewall Fare Sprinkler -- -- - ---- --" Fire Alarm Susp'd Ceiling - --- -...- - — ----- - - Roof --- Final --- -- -- - PASS PARI" FAIL PLUMBIN_G_ Post&Beam Under Slab - -- -- - -- - -- - _ -- - -_--------- -- Rough-In Water Service ----------- --._ _ --- -- -- --- - Sanitary Sewer Rain Drains - --- ---- - --_v-_-__-- - ___---- C-rtch Resin/Manhole Storm Orain ------- --- - -- - Shower Pan Other: ------- ------- -- --- - ----- - --__. _--------- - --..__.� - -- Final PASS PART FAIL - - MECHANICAL --...- Post& Beam Hough-In -- -- -- -- ---- - --- Gas Line Smoke Dampers -- -------- - -- --- ------------ ------ Final PASS PART FAIL _--- -- - - -- - - "- - CT Rough-In --_-- -- -- _ - ---- _ --- - UG/Slab ow Volta YASS' arm 1 PART FAIL --J Reinspection fee of�_�__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. -- Please call'ror reinspection RE:__ __-_-____.___ _ __ �_T j Unable to inspect-no access Fire Supply Line ADA - /f t I Date _ -___ nspecor `�f _�^ y'L Approach/Sidewalk -_4 Y - ---- Ext Other: Final DIO NOT REMOVE this inspection record from the fob site. PASS PART FAIL ♦♦AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA/ r0 plo- p � `-i t:) ► 4 co ► d ► 4 ► � plo► ► UnQ '^ Poo,fi �- 00. j � ► t C n cr ► ► i ► t A"• f D ► ► i `f ro ► ► � r-tn o ov ► IJJ 44 �J /^~ R b � IPi Pol 44 w 44 ► t ► 4 ► t ►