13280 SW KINGSTON PLACE J
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13280 SW Kinrj%ton Place
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IMASTER PERMIT
TV OF IGARD
PERMIT#: MST2002-00048
DEVELOPMENT SERVICES DATE ISSUED: 4/11/03
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-3171
SITE ADDRESS: 13280 SW KINGSTON PL PARCEL: 2S104DA-17800
SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5
BLOCK: LOT: 004 JURISDICTION: TI(i
REMARKS: SF rowhouse, unit 4,bldg 5, BN plan with a deck. STRUCTURAL FILL, REQUIRES GEO-TECH
INSPECTION AND REPORT. 4/10/03, adding a/c 8 gas fireplace.
BUILDING
REISSUE: _ STORIES: 3 FLOOR AREAS _ REQUIRED SETBACKS REQUIRED
CLAS'OF WORK: NEW HEIGHT: FIRST: 172 st BASEMENT: of LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAn• 50 SECOND: 733 %t G%RAGE: 547 of FRONT: PARKIM'SPADES
TYPE OF CONST: 5N DWELLING UNITS: 1 TRFO 73l of FIGHT:
O:CUPANL'Y GRP: R3 BDRM: 2 BATH: TOTAL: 1539 of VALUE: 16 2,20 F30REAR:
PLUMBING
SINKS: 1 WATER CLOSETS 2 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: TRAPS:
LAVATORIES: 3 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS:
TUB/SHOWERS. 2 GARBAGE UISP: I WATER HEATERS: 1 WATER LINES: SCKFLW PREVNTR: GREASE TRAPS:
OTHER FixTURES:
MECHANICAL
FUEL TYPES FURN<100K: 0 BOIL/CMP<3HP: I VENT PANS: 3 CLOTHES DRYER: 1
(,AS FURN>=100W UNIT HEATERS: HOODS: I OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES. VENTS: 1 WOODSTOVES. GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 -400 amp: 1 0 - 200 amp: W/SVC OR FDR: PUMP/IRRIGATION: PER INSPECTION:
EA A"U'L 500SF: 3 201 - 400 nnp: 201 400 amp: tat W/O SVC/F DR: SIGNIOUT LIN LT: PER HOUR.
LIMITED ENERGY: 401 -600 amp: 401 - 000 amp: EAADDL BR CIR: SIGNAL/PANEL: IN PLANT'
MANU HM/SVC/FDR: 901 - 1000 amp: 601-amps-1000v: MINOR LABEL.
1000.01110/v01t
PLAN REVIEW SEC!lot,
Reconnect only:
>=4 RES UNITS: SVCIFOR>=225 A.: >900 V NOMINAL: CLS AREA/SP'.:OCC:
ELECTRICAL-RESTRICTED ENERGY
_ A.SF RESIDENTIAL 0.COMMERCIAL
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO&STEREO FIRE ALARM: INTFRCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRI0: PROTECTIVE SIGNL:
GARAGC OPENER: CLOCK INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,304.74
BROWNSTONE QUAIL HOLLOW LLQ BROWNSTONE HOMES,LLC Tins permit is •,oda c.3 to the regulations contained in the
12670 SW 68TH PKWY STE 200 12670 SW 68TH PKWY Tigard Municipal l,c 1e,State o OR. Specially Codes and
PORTLAND,OR 97223 PORTLAND,OR 97223 all other rce with a laws. All work will ba done in
:lccbrdance with approved plans. This permit will explro H
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 folloA rules adopted by the
P"tl"• 503-598-75G5 P lone: 503 598-?5b5 Oregon Utility Notification Center. Those rules are set
forth in OAR 952-001-0010 through 952-001-0080. You
Rea": LIC 124627 may oh.ain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8, Plvilundslb Insp Framing Insp Firewall Insp Electrical Final
Sewer Inspection Electrical Service Gas Line Insp Gyp Board Insp Plumb Final
Footing Insp Electrical Rough-in Insulation Insp Rain Drain Insp Mechanical Final
Foundatlon Insp Mechanical Insp Shear Wali Insp Water Line Insp Building Final
Slab Insp Plumbing Top Out Exterior Sheathing Insl Smoke Detector F nal inspection
Issued BCLPermittee Signature :
Call (503) 639-4175 by 7:00 p.m.for an Inspection needed the next business day
CITY OF TIGARD _ SEWER CONNECTION PERMIT
DEVELOPMENT SERACES PERMIT#: SWR2002-00027
13125 SW Hall B!vd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/11/03
SITE ADDRESS; 13280 SIN KINGSTON PL PARCEL: 2S 104DA-17800
SUBDIVISION: olJAIL HOLLOW-SOUTH ZONING: k-4,�
BLOCK: LOT: 004 JURISDICTION: TIG
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 rowhousP.
Owner: — -- -_- ES
BROWNSTONE QUAIL HOLLOW LLC Description FEES Date Amount
12670 SW 68TH PKWY STE 200 p
PORTLAND, OR 97223 1, VUSA] Swr Connect 4/11/03 $2,300.00
1SWUSA] Swr Connect 4/11/03 $0.00
Phone: 503-598-7565 ISWINSP] Swr Inspect 4/11/03 $35.00
1\WINSP] Swr Inspect 4/11/03 $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 daie issued. The total amount paid will be forfeited if the permit expires. The Agency does riot
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 shAl 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 952-00)-0010 through 00 52-001-0100.
You may obtain copies of these rules or direct questions to OUNC by calling (50 ) 24 -6699.
Issued by: 6 / - Permittee Signatu e•.
Call (503) 639-4175 by 7:00 P.M. for an inspection needed'Me next business day
wk�oo�-t�%iD
Building Permit Application
.. •� Date received: Permit no.:i'%
City of Tigard � � -
Ctry njTlgard
Address. 13125 SW Hall Blvd,Tigard,OR 97223 Projecdappl.no.: Nx ' Cdate:
Phone: (503) 639-4171 Date issued: R'y: ./' ltecelptno,
Fax: (503) 598-1960
Case rile no.: Payment type:
—
Land use approval: _ VMON 1&2 family:Simple — Complex:
O 1 &2 family dwelling or accessory 0 Commercial/industrial U Multi-family U New construction U Demolition
U Additiort/alteration/replacement U Tenant improvement Cl fire sprinkler/alarm U Other:
li SITE INVORMATION
Job address: / Z , Bldg, no.: Suite no,:
[A L�[ Block: Subdivision:{ il�Nrt_i_�'Z ( ,_, i 1l Tax map/tax lot/account
`s Project name:
Description and location of work on premises/special conditions:
Name:
To ` .1as---LY SE- ' '
Mailing address: f , c�_j4AA' 1 &2 famlly dwelling:
city:�o IState:O1Q -"113: Valuation of work.........
Phone; - Fax: Q E-mail: No.of bedrooms/baths.................................
Owner's representative: ' Total number ui floors................................. _
Phone: Fax:G 7 E-mail: New dwelling area(sq. ft.
Garage/carport area(sq.ft.).........................
n, Covered porch area(sq.ft.) .........................
Mailing address: Et. _S Deck area(sq.ft.) ........................................ _
Cit}: Oilier structure area(sq. ft.).........................
Phone: e,- r Fax - E-mail: — CommereiaUlndustrial/multi-family-
YONTRUTOR i Valuation of work............................... ........ - -
Business narne:�� , Q - (4,J Existing bldg.area(sq.ft.) ..........................
AL��, New bldg,area(sq. ft.) ................................
Addmsr.: If.— Number of stories
..„
City: „_ Statc;d ZI ................................... --- ---
Phone Fax:bi F nt.�il�_—
TYIx of cots'ruction....................................
CCB n .: Occupancy group(s): Existing: _
-- -- -- New:
City/mi;iro lie.no. Notice:All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
Nem provisions of ORS 701 and may be required to be licensed in the
Address: r v _ E --�. jurisdiction where work is being performed.If the applicant is
1 �._ L c.. t X01--
Cit :Sr. ` State LIP:c" exempt from licensing,the following mason applies:
Contact person::_ Plar.no.:
P'hanp -qoz x: E-mail: --- — - _
Name: ;r„, r - u' L Contact person: 0�A Fees due upon application ......................... . $
Address: IL) r zcK} Date received:
City: c`- tate. 7,IP: _ Amount received .........................................
Phone: _ Fax: 1 E-mail: Please refer to fee schedule.
1 hereby certify 1 have read and examined this application and the Na alt jorls&-tioni seep uemi c",vtwe rau piri"cum for nxn„ro lon
attached checklist. All provisions of laws and ordinances governing this t-1 Vin Ct MasterCard
work will be complied i whetlte e ' ed hereir.or not, cwdt cud mmnlrr
_ r
Authorized Siire: �— Norse of rardholde-t u d,ewn oo credit card
T
Print name: -" -----— $ -
c- Anm mt
Notloe:This permit application expires ifs pertnit is not obtained within 180 days efler it has been accepted a:,complete 470-1813((i00dCOM)
_Plumbing Permit Applicationlaateroceiv _
. ed: ;��/ Gi Prrmitoo.:il'�f�+0
City of Tigard Sewer mit no.: Building Address: 13125 SW Hall Blvd,Tigard,OR 97223
PC1 g permit no.:
Cirr of Ngard Mone: (503)639-4171 Project/appl.no.: Expiredate.:
Fax: (503)598-1960 Date issued: — By Rece.pt.
Land use approval: _ _ Case rile no: Payment type: _
'OF PERMIT
❑ 1 &2 family dwelling or accessory ❑Commercial/industrial U Multi-family U Tenant improvement
❑New„onstruction ❑Addition/alteratiort/replacement U good service U(Mier:
1 1 1
M2EM=of 1 , 1
Job address:', ,�, 7 SW <_��� cy_�cLcc
Description Qtv. Tcc(ea. Total
Bldg.no.: State no.: New 1-snd 2-family dwellings only:
---- (Includes 100 R.foreslch utility comrertion)
Tax map/tax lot/account no.: SFT.(1)bath
W:: _ Block: Subdivision: SFR(2)bath__
Project name: _ SFR(3)bath -- --
City/county — ZIP: v Each additional baddl6tchen
Description and location of work on premises: Siteumities:
Catch basin/area drain
Est.date of completion/inspection: Drywells/le.tch line/trench drain
1 1 Footing drain(no.lin. It.)
Manufactured home utilities
Manholes
PO Sox 2007 —
Wolcott 2inf Rain drain connector
007 Sanitary sewer(no. lin. ft.) --
Greshani OR 97030-0594 Storm sewer(no.lin.ft.)
503-667-1731 Water service(no,lin.ft.) —
CCB:23847 PLM #:26-208P13 Wixtmr or item:
Contractor's reproAbsorption valvesentative signature: Back flow,preventer
Print name: Date: Backwater valve Basins/lavatory --
N ('lothes washer _
Address �— - Dishwasher — -- --
Drinking fountain(s) —
City: Stagy: Z[P: EjP,ctors/sump - - --
Phone: --- Fax: _- Email: Expansion tank
1 Fixture/sewer
Name(print): Floor drains/floor sinks/hub -
Mailing address:-- - — - Garbage disposal
City: Hose bibb
Ice_ _ TStaic: _ 7.U': --- -
_ maker
Phone: _ �ax:— E-mail: Interce or/grease trap
Owner ittstallation/residential maintenance only: 'I?1c sewal installation Primcr(s) -will be made by me or the maintenan(c and repair made by my regular Roof drain(commercial)
employee on the pmperty I own as per ORS Chapter 447. Ss*4(s),basin(s),lays(s)
Owner's signature: Date: S,
nTp —
Tubs/shower/shower Pon
Name: Urinal
Address: — —_... 'A ater closet '—
_ss
Water heater
City: _ �� �State:
21P. _ (titer.
Phone: -� "' maiI:^---- - Total
Notion Thin pt.-nit application Minimum fee................$
O Via U MasterCard miPlan review(al _ %) $
expires if a IKtt is rn�'.�btainal ------
dOd't"�°0 ' --- -- �-_ within 190 deys after it has b xn State surcharge(896)....$ _
Name d crd ito.�.w &are acoepled as oomplete. TOTAL .......................$
N f
~ +!tta AMMM 440-4616(60WOO )
Mechanical'Permit Application
Dateroceived: Pcmlitno.:
City of Tigard Project/appl.no.: Expire date:
Ciryoj Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223
Phone: (503) 639-4171 Date issued: -—_ Rv. t Rec.Ipt no.:
Fax: (503) 598-1960 Case file no.: _1P�ymcnttyp_
Land use approval: —__ Building permit no.: _J
MM1
U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvt.ment
U Ne w construction U Addi6or>/alteration/replacement U Odder. -
1 4 a 1 1IN JIMEIRCIAL-VALIPATION SCHEDULE
Job address:(. p90 SW Lx. t __ Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: Sui(c no.: value of all mechanical materials,equipment,labor,o-crlicad,
Tax map/tax lot/account no.: profit.Value S
Block: Subdivision: - *Sec checi'ist for important application information and
Project nam:: jurisdiction's fee schedule for residential permit fee.
City/aou nw- -1 P: TA 11ILVIDIVELLING1
DerLription and location of work on premises:
_ Fee(ei.) Total
Est.date of completion/inspection: _ Descirl[st" Qty.1 Res.only Res.oaly
Tenant improvement or change of use:
Is existing space heated or conditioned?U Yes U No At handling unit CFM
it coag toile p a-i n roqutrod) --
(s existing space insulated?U Yrs ❑No -Alteraoonofexisting HVACsystem
•1 1 boiler/compressors -
State boiler permit no.
Four Seasons heating&AX'Service Inc Ni' _ Tons _BTU/H
e/smo e am—uct smoke detectors
PO Box 66409 -`_
cat pump p(is plan requtr .) —I
Portland Olt 97290-6409 instalUreplace fumaceiturner BTU/ 1
503-775-5919 Including ductwork/vent liner U Yes U No _
CCB: 48283nstaWrepTa-cWm-locitekeaters-suspen , —
_ wall,or floor mounted
Name.(please print): T -Vent for a iatrce other than furnace
1 e era :
Absorption units - BTT)/N
Name: rltiIiers _ _� HP -
-- -'- - - - Com ressors HP
Address: _ - --
FWoro UAA exTunrt�n eclat ton:
City: _ State: LIP Appliancevent
Phone: Fax: TF trail. ryerex aust
-Tlo-Ito s�-UT irri-lite a azmat
hood fire suppression system
Name: _ Exhaust fan with single duct(bath fans)
Mailing address: must system a-an from heating
City: ----_� TState: 'IP: od p p oo up to outlets)
Type. —_IPG _ NG _ Oil
Phurte — Fax E email: ve i Ing each venal ovcffr ou7e_ss - —
ji"I 1`11 Process p ea'schematictequi ) _
Name: Number of outlets
Address: ter app sitwe or eq_ptment:
_ Ikcorativefi eplact `T-
City: �- ------ -- State: IP: _ Insert--type
Phone: -� Fax:-^ E-mail: stov pe ctstove -
er:
Applicant's signature: Date:
Nance (print): -- -- - - _
Na an hsidictlam accep cndt cards,pleme call reidictim In more iafarmtlian. Permit fel tar t..................$
Notice:This permit application
❑Visa ❑MasterCard Minimum fee................$
expires if a permit is not olMamed r, M_ ,v(al _-
(W&card mmilr: _-_ - -_-_-- --FRpir�- within 180 days after it hes bern ) $ - -
State attrcharge(8%)....$ +.
Nam d atm u�Tiowe eo at&card - s accepted as complete. TO'i'AI, .......................$ --
CardLoderilpsh" ._ Amoco' 41"17(60W70K)
Electrical Permit Application
IDatc received: � 07" PermitCity of Tigard roject/appl.no.: Expire date•
I T
Cavo i Address: 13125 SW Hall Blvd,Tigard,OR 97223
Faid bate issued: By__ Receipt no
Phone: (503) 639-4171 -- --
Fax: (503) 598-1960 Case file no.: Payment type-
Land use approval: _
OF
U I & 2 faTiiv dwelling or accessory U Commercial/industrial U Multi-family U Tenant implTrvement
O New constntetwr. U Addition/alteration/replacement U(deer: U Partial
11 SITE INFORMATION
Joh address: 7-7131dy n:t-: `lS_uite no.: ax map/lax lot/account no.
Lot: Block: Stiivision:
Project name: I Description and location of work on prrriiscs:
Estimated date of completionlinspection:
CONTRAQOR ArPLICATION
Job no. For Max
Qty- (m) Total no.insp
New redderMial single or multi Inh pe
dr _ -- --
JEROME ELECTRIC dwell;rgnon.Incilaaesall,cl,r gnrW.
PO BOX 751 Ser iceiseiaded:
1000 sq (I or less 4
HILLSBORO OR 97123 Each additional sono! ft.or portion thereof - --
503-648-5144 Limited energy,residential 2 -
Limiled energy,non-residential 2
CCB: 36051 ELC: 34-1190 SUP: 2877S FAchmanufactured homeormodular dwelling
Signature of supervising electrician(required) — Date Service and/or feeder 2
Sup.elcel.neme(pri 1): License no Services or f"drnt-installation, � —
alteration or relocation:
PROPERIN OWNER 200 amps or Mss 2
Name(print): 201 amps to 400 amps _ 2`-
Mailing address: 40l ampsto600amps - 2
601 ams to 1000 amps 2
City: _ — State: _ ZIP:_ Over 1000 amps or volts — 2
Phone: Fax: E-mail: Reconnect only j
Owner installation:The installation is being made on property I own Temporaryaer�kmorferders-
which is not intended for sale,lease,rent,or exchange according to bstallsti rim alteration,orrelocation:
ORS 447,455,479,670,701. 200 amps or less _ 2
201 amps to 400 amps 2
Owner's signs ure: Date: 401 in 600 s _—
P Branch 6rcalts-new,allerellnn -
Name: or exleodou per panel.
�— —� A. Fee for hmnch,In.mts with purcha�c d
Address: _ _service of feeder fee,es,h Imnch circuit 2
City: __ Stale: 1 ZIP: -B Fee for brand!cvcuux without purchau_
of service or feeder fee,first branch circuit: 2
Phone: Fax: E-mail: Foch additional branch circuli --- - - -
Misc.(.Serriee or feeder not included):
•Service over 225 amps-rnnuneirial i]Health-care facility Each pump or inig:uwn circle 2
•Service over 320 amps rating of 1&2 O Hazardous location FAch sign or outline lighting
familydwellingr U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel,
U System over 600 volt.%nominal more residential units in one structure alteration,oreatension• 2
U Building over three stories U Feeders,400 amps or more *Description:
U Occupant load over 99 persons U Manufactured structures or RV park Each addillaaal InssptvNrwt over the allowable In any of Mr above:
13 EgtessAighting plan U Other _
Per ins ptxllOn
!Submit—sets of plana with any of the above. Investillalion fee -- —�—
The above are not applicable to temporary coostructlon service. Other
Nd all judsdktiorn accept credit cards,plum call Jurisdiction for urxe information Notice:This permit application Permit fee.....................$
O Visa U MasterCard expires if a loc nit is not obtained Plan review(at — %) S
Credit card number: / / within 190 days after it has been State surcharge(8%)....$ _
Cstnrer accepted as complete. TOTAL .... .... . ...........S
Name d of a own one t c _
Cardboldet siguture `� Amount
----- 4K1J615(NotN('041!
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223 HECEIVED
IMPORTANT PERMIT NOTICE APR 15 2003
CA' ARD
DA' iD JEROME ELECTRIC UI 1 Y OF MVT10IS10
���;I��INc plvi81t7;1a
PO BOX 751
HILLSBORO, OR 97123
Electrical Signature Form
Permit #: MST2002-00048
Date Issued: 4111103
Parcel: 2S104DA-17800
Site Address. 13280 SW KINGSTON PL
Subdivision: QUAIL HOLLOW - SOUTH
Block: Lot: 004
Jurisdiction: TIG
Zoning: R-4.5
Remarks: SF rowhouse, unit 4,bldg 5, BN plan with a deck. STRUCTURAL FILL, REQUIRES
GEO-TECH INSPECTION AND REPORT. 4110103, adding a/c & gas fireplace.
Your company has been indicated as the Mectrical 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 you,, company sign below and return this EIE!ctrical Signature Form prior to the
start of the work to the address above, ATTN. Building Division.
No electrical inspection: 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 #: 503-598-7565 Phone #: 648-5144
Req #: LIC zeo51
still 28775
ELI ;4-I1W
AN INK SIGNATURE IS REQUIRED Ot: THIS FORM
Signature of Supe ' it ctrician
If you have any questions, please call 503.718.2433.
CITY OF TIGARD
1317.5 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
WOLCOTT PLUMBING CONTRACTORS
PO BOX 2007
GRESHAM, OR 97030
Plumbing Signature Form
Permit #: MST2002-00048
Date issued: 4i11iO3
Parcel: 2S104DA-17800
Site Address: 13280 SW KINGSTON PL
Subdivision: QUAIL HOLLOW - SOUTH
Block: Lot: 004
Jurisdiction: TIG
Zoning- R-4.5
Remarks: SF rowhouse, unit 4,bldg 5, BN plan with a deck. STRUCTURAL FILL, REQUIRES
GEO-TECH INSPECTION AND REPORT. 4/10/03, adding a/c & gas fireplace.
Your curnpany has been indicated as the plumbing contractor for the permit indicated above. In order for the
plui-nbing 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 ATI-N- Building Jivision.
No plumbing, inspections will be authorized until this completed form is received
OVVNER: PLUMBING CONTRACTOR:
BROWNSTONE QUAIL HOLLOW L LC WOLCOTT PLUMBING CONTRACTOR!
12670 SW 68TH PKWY STE 200 PO BOX 2007
PORTLAND, OR 97223 GRESHAM, OR 97030
Phone #: 503-598-1565 Phone #: 667-1781
Reg #: LIC 23847
PLM 26-4108PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of atzed Plumber
If you have any questions, please call 503.718.2433.
j
i
i
April 29, 2003 CITY OF TIGARD
OREGON
Ron Estey
12670 SW 68"' Parkway, Suite 200
Tigard, OR 9722.3
RE- Plarr review of conversions and additions.
Dear Ron,
I have completed the plan review of the 15 units that have been or are to he
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.
Yor- will have to arrange for a 2" core drill at that area to check for adequate
b;;aring for t'nis 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 ;ras been revised to reflect storage space in lieu of the original bedroom. i
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 C have been flagged "no farther 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
13125 SW Hall Blvd., Tigard, OR 97223 (503)6,39-4171 TDD(503)684-2772 ----- ---
�\ ELECTRICAL PERMIT-
CITY OF TIGARD —_
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR2003-00240
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/6/03
PARCEL: 2S104DA-17600
SITE ADDRESS: 13280 SW KINGSTON PL
SUBDIVISION: QUAIL HOLLOW- SOUTH ZONING: R-4.5
BLOCK: LOT: 004 .JURISDICTION: TIG
Proiect Description: installation of Iii cited energy for audio/stereo wiring.
A.RESIDENTIAL _ B.COMMERCIAL _
AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING
BLRGLAR ALARM: BOILER: LAN DSCAr-1E/IRRIG.:f:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYS 7 EM: FIRE ALARM: OUTDOOR :.ANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
_ TOTAL#OF SYSTEMS:
Owner: Contractor:
BROWNSTONE QUAIL HOLLOW LLC AZIMUTH COMMUNICATIONS 1NC
12670 SNr 68TH PKWY STE 200 P.O. BOX 508
PORI LAND, OR 9723 WILSONVILLE, OR 97070
Phone: 503-598-7565 Phone: 503-639-0110
Reg #: FLE 76-94CL1
,(!13 2312LEA
FEES _ Required Inspections __
Description nate Amount Low Voltage Inspection
(I 11kMT] ELR Permit 8/6/03 $75.00 FlPrt'I Final
ITA X 18`0 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 6s adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95L-001-0010 throuc
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Issued by �� �� Permittee Signature t✓� ^,� ✓1
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease. or rent.
OWNER'.)' SIGNATURE: - — — _ `--- DATE:-----
CONTRACTOR
ATE: ---.CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR ELEC'N _ f DATE:_--_
LICENSE NO: —
Call 639-4175 by 7:' P.M. for an inspection needed the next business day
n Electdcal"eramit Application
Date received: Permit no.: -- J..r�
City of Tigard Project/appl.no.: Expire dote:
CityufTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: I Receipt no,:
Phone: (503) 639-4171 —
Fax: (503) 598-1960 Case file no.: Payment type
Land use approval:
j3fiF PERMIT
U I &2 family dwelling or accessory U Commercial/indu,atrial U Multi-family U Tenant impruvement
New construction U Addition/alteratioNreplacement U Other:- U Partial
tF
.INFORMATIQ
1o,t address: 13a8'0 S,la/ u f n j- ti PL Bldg. no.: Suite no. Tax snap/tax lot/account no.:
Lot I Block: Subdivision: (L S�lxttom_
Project nam ` ` r Description and location of work on premises: (�� if)�
Estimated date of c-omplelion/inspection:
CONTRACTOU APPLICATION 111,111: l
Job no: Fa Max
Business name: � u�� ^ ��i cit , r
Description Qty. (ca. Total no,ins
New residential-mingle or multi-fandly,.,
Address: r' ' t -I, �� dweltlnRunit.Includes attached garage.
City: IL aA!Jlt_LE I State ZIP: t,1- ServtrxIncluded:
Phone:r' 3�1 U(t U Fax: / dl t S Email: -1000 sq.ft.or less 4
CrB no.: i c{5 g,2 S .�/ �, c LimaLoch ed energy)500 sq ft.or portion thereof `
Elec.bus. lie, no: w �{C
_ Limited energy,residential
City/mete Ilc.no,:� 5 9Limited energy,non-residential 2
12-Y 1 Fach manufactured home or modular dwelling
Signature of su eervisin eFct is re uired) Date Service and/or feeder
Sup alert rtnme(print) (1 L i t�L- Liccnseno: jams
fceden-Installation,
r relocation
r less 2
Name(print): x �) ji7��.1 G 400 amps --��-v-- 2
W)amps 2
Mailing address: o 1000 amps 2
City: State: ZIP: Over 1000 amps or vol.s - - 2
Phone: FBX: E-mail: Reconnectou _ I
Owner 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 Installation,alteration,or relocation:
ORS 44',455,479,670,701. 200 amps or less 2
201 amps to 400 umps _
Owner's si nature: Date: 401 to 600 ams 2
s Branch circuits-nen,alteration.
or extension per panel:
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
Phone: Fax: Email:
of service or feeder fee,first branch circuit 2
Each additional branch circuit
PLAN REVIM(Pleatiie check all 'it ripply, Misc.(Service or feeder not ii;,luded):
U Service over 225 amps-commercial U Health-care facility Each pump or irrigation ctrde 2
U Service over 320 amps-rating of I&2 U Hazardous location Fach sign or outline sign or outline lighting 2
hmilydwellings U Buiidutg over 10,0W square feet four or Signal circuit(,)or a limited energy panel,
U System over 600 volls nominal mor--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"persons U Manufactured structures or RV park Fisch additional Inspection over the allowable In any of the abose:
•tgress/lightingpimr U Other Per inspection
Submit_sets or plans with any of the above. Investigation fee a
The alcove are not applicable to temporary construction service. other
Not.11 (ions accept credit cards,please call jurisdiction for more htfnrmetitxt Notice:This permit application Permit fee.....................$ _
U Visa U MasterCard expires il'a permit is not obtained Plan review(at -_-- %) $
Credit cud number __ —L LL within ISO days after it has been State surcharge(8%) ....$
Expire' accepted as complete. TOTAL . $
Name of--ar&a7&er u shown on credit cud
Cardholder signature Amoum .W 461 s(WYCOM
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (5 -4175
INSPECTION DIVISION Business Line: ( 3 639-4171
BLIP
------ --._
Received Date Requested l M f --AM-- --_ _____PM_-- _ BLIP
Location 3 2 il� _.— Suite_
_------ MEC ------ -----_ -----
Contact Person Ph( ) — - PLM
Contracto — ---- - -- Ph ( - -) -- SWR
ILD_ Teoant/Owner �� y �I �S_ --Q - -- - �...� Ems:; --- --
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain -
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors -- - - - -
Ext Sheath/Shear
Int Sheatfr/Shear - QL
Framing
insulation
Drywall Nailing -- - - -
Firewall
Fire Sprinkler ---
Fire Alarm
Susp'd Ceiling ---
Roof
Ottlen _
PQPASS P:AR f FAIL
RING -
Post&Beam
Under Slab --------_---___— --.__-.
Rough-In
Water Service -- -.-- ----�- -- - _ _.-__---
Sanitary Sewer
Rain Drains ---- -----__.__..__ _ — -- --
Catch Basin/Manhole
Storm Drain - --- - ----- -- _
Shower Pan
Other:_-Y_.--- "_ __ -- AZ
�.-.
Final -
_PASS PART FAIL ----�- -- - -- -- ---
MECHANICAL
Post fl Beam `-
Rough-In
Gas Line ---- -_ --------- — --_._-_ __.__
Smoke Dampers
Final - -- -
PASS PART _ FAIL
ELECTRICAL- -
Service
Rough-In _ -
UG/Slab - - -- -_�
Low Voltage --- --_ -
Fire Alarm - -�-
Final Reinspe-ction fee of$ -__rec 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 Line
ADA O I`{ ?
Approach/Sidewalk ��-•- _-L._J Inspecttwr �'f L '"- _
Ex! _
Other: _
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
l
i
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST -0—0�e
INSPECTION DIVISION Business Line: (503)639-4171
BUP —_—
Received —__. Date R quested _1!.--1- AM _PM , BUP —.
Location 2- PL _._Suite____---. MEC _�—
Contact Person _61kL Ph PLM --�
Contractor Ph(------) --- _ SWR
BUILDING — Tenant/Owner ELC —
Footing ELC
Foundation Access:
Ftg Drain ELR —
Crawl Drain SIT
Slab Inspection Notes: -- -�--�—
Post&Beam --------------- --- ------- -- __ --.
Shear Anchors
Ext Sheath/Shear --
Int Sheath/Shear
Framing --- --- r
Insulation
Drywall Nailing ' v
Firewall ,D -� �'
Fire Sprinkler ------ —�- -
Fire Alarm
Susp'd Ceiling — —
Roof
Other:--- — _-- — —
Final -17
—
PASS PART FAIL
PLUMBING
Post&Beam
Under Slab --- --. _ .-----------_._— --
Rough-In
Water Service
Sanitary Sewer
Hain Drains
Catch Basin/Manhole
Storm Drain —
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post&Beam -
i
Rough-in —
Gas Line
Smoke Dampers ------
Final
PASS PFAIL —
LECTRIC
Ser_ -------------- — --
Rough-In
UG/Slah
o' w'_�otia�
Fi --far-6
Fi a (� Reinspection fee of$ requirer+.before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
PlVcall, inspection RE: Unable to inspect-no access
Fire Supply Line JADADate ,.. Inspector^ --`�L����' — - ---
Approach/Sidewalk
Other:_
Final DO NOT REMOVE this inspection record fromth Job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639.4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
BUP
Received ___� _Date Reques ed__��� _ AM PM BLIP
Location D
R -- Suite�- _ MEC
Contact Person. _ _ —_—_ Ph(_ ) _- ___—_-- PLM
Contractor Ph(_ 1 _ SWR
BUILDING Tenant/Owner _ ELC
Footing
Foundation Access: ELC -----
Fig Drain
Crawl Drain ELR
Slab Inspection Notes: SIT
Post& Beam -- -- -
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear ---
Framing --Insulation
Drywall
— --
Drywall Nailing
Firewall L�
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 —
F.
PA PART FAIL
CHANICAL
Post R Beam
Rough-In ----.. ---
Gas Line "-'-
Smoke Dampers --- ------..
Final - ---._---
PASS PART FML - - -- _
ELECTRICAL -
erVIC@ ----
Rough-In
UG/Slab --- —
Low Voltage
Fire Alarm - --- ---- -- - - - ----
Final
PASS PART FAIL El Reinspection fee of$ --__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
SITE Please call for reinspection RE: _- _ Unable to inspect -no access
Fire Supply Line
ADA �(
Approach/Sidewalk Data L� � --_ IAspeewExt
_
Other: _
---- ---- ---_ _-.
Final — DO NOT REMOVE this Inspectloin record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST T _
BUP _
Received _— Date,Requestedy AM_ _ PM_ --_ BUP _
Location _SuiteMEC
Contact Person Ph (__ ) PLM
Cont .: for_—_ -- - -- Ph(--._) --_ ---- SWR ---
BUILDING Tenant/Owner __— ELC _
Footing `--'
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
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
'ASS PART FAIL --
Post& t3eam ----- �— --—
Rough-In
Gas Line
Smoke Dampers -- - - --------
A S PART FAIL
L TRICAL
Service -- ------- ---- - -- -
Rough-In
UG/Slat, ------ --- - -
Low Voltage
Fire Alarm - - ---- -- -----.__—_-__._.--_.,--
Final
PASS PART FAIL Reinspection fee of$ required before next inspection. Pay at City Ball, 13125 SW Hall Blvd.
_
SI*E_ l l Please call for reinspection nE: _ 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
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