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13285 SW KINGSTON PLACE ,.. :,,...:.,...:�,, .:✓.e. ,fix, . �. r W N 00 01 C� C X 3 to N 1 i n,. 13285 SW Kingston Place CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received ___ —_.Date Requested 2 b Q .3 —__-_ AM PM -- BUP Location 3� ^_ k, - - � ?..� S� � < --. Suite -- - ------- _-- MEC -- Contact Person Ph( ) _- PLM Contractor_._____.-_______ --___ _ Ph BUILP',NG TenantiOwner ---- _ _ _-__-_- - -- - ELC -------------- — ,'uoting ------ ELC Fouiidation - Access: Ftg Drain ELR -- - -- - - Crawl Drain slab Inspection Notes. Sht — Post& Beam --- - ------- -..... Shear Anchors - Ext Sheath/Shear Int Sheath/Shear - - Framing Insulation Drywall Nailing ! — - — — — - - Firewall Fire Sprinkler --- -- Fire Alarm Susp'd Ceiiing -- -- Roof Other: Final PASS PART FAIL _ Fi.Ut1AslNG ' Post& Beam _ --.--...- Under Slab — --- - Hough-In Water service 7.P. it'.ry Sewer - --- Ga;ch Basin/Manhole Storm Drain — -- Sho' r Pan Otr -------- - -- -- - -- - --- - - ----- --- - - - Fi J ASS PART _FAIL r ,IECHANICAL Post& Beam — r Rough-In -------- -- - -- Gas Lire Sr,ioke.Dampers -_ --- _ ._ --- --- --- -- ----- -- -- --- - -Final p09S.--P T FAIL ELECTRICAL) Service - --_-- - Rough-In UG/SIat2 - �� --- ------ - -- - -- Fin y Reinspection fee of� _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PA* PART FALL_ SITE FPlease call for reinspection RE: _ -- __— Ll Unable to inspect no access Fire Supply Line ADA Approach/Sidewalk Date r� 2 .. Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PAPT FAIL CITY OF TIGARD 241.-Hour BUILDING Inspection Line: (503)639-4175 MST 7n INSPECTION DIVISION Business Line: (503)639-4171 S�f BLIP Received Datp Heyiested — AM PM BLIP Location 4isL_ Suite MEC Contact Person PLM Contractor SWR BUILDING Tenant/Owner ELC -------- '-F0-6j7 ing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Sh(-ar Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm 1.3usp'd Ceiling Roof Other. ------ Final PASS PAPT FAIL Post& Beam Under SIW Rough-In Water Service Sanitary Sewer Rain Dre'os Catch;3asin Manhole Storm Drain ShowerPan '�F' P40 PART FAIL MMHANICAL Post& Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough-In UG/Slab Low Voltage Fire_ arm AS PART FAIL Reinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please of spection 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"i"IGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP —�— Hecelved ________—.___.— Date Requested__ �a— ____ AM— _—PM_ _.�_ BUP Location —_---/ Suite MEC -- Contact Person Ph(--) PLM -----------_ __-- Contractor_— ------- ---------- -- Ph(_ - ) ----_____ —_____---- SWR _BUILDING Tenant/Owner _ __ —_,_.__-_ ELC Footing -- � ELC _ Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: Sir ''o , & Beam - -- - -- - - - --�._.. She Anchors -� Cir' ,neath/Shear Int Sheath/Shear Framing A- _ Insulation �'� CJ �� Drywall Nailing Firewall Fire Sprinkler — Fire Alarm Susp'd Ceiling Roof Other: -- - — n � _ _ S ART L r — U IN_a —---- —-— ---- Under Slab -- Rough-In Water Service - Sanitary Sewer Rain Drains --- - - -- -- Catch Basin/Manhole Storm Drain -- - ---------- — Shower Pan Other ----- .------ - - Final PART PASS FAIL --------- - --- - ----- - -- --- -- ASS _ _MECHANICAL Post&Beam Rough.In - -- - Gas Line Smoke Dampers --- - - - SS t PART FAIL - TRICAL _.._------.__---- 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 _�r ❑ Please call for reirs.nection RF: _T_____—_— _—_- Unable to inspect-no access Fire Supply Line -17 ADA c7� � �` Approach/Sidewalk Date _.irJ _ Inspector_--.. —__Ext Other: Final DO NOT REMOVE it%!- inspection record from the joh flkite. PASS PART FAIL AAAAAAAAAAAAA ' tAAAAAAAAAAAAAAI ' AAAAAAAAA ,eai� 1^yJ r ► fD n �31 Q rTl CD ► 44 r° (') crq y ► rb .� e � Jj- ! d! ► 41 �� ► 4 �, b �, y ► e ► A ► APFVVieiiVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVTVvv��' Q' fD . � 2r .;y z crG O . On _� co y O `n O J a CITY OF T I G A R D MASTER PERMIT DEVELOPMENT SERVICESPERMIT#: MST2002-00070 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 3i6/03 SITE ADDRESS: 13285 SW KINGSTON PL PARCEL: 23104DA-19500 SUBDIVISION: QUAIL HOLLOW- SOUTH ZONING: R-4.5 BLOCK: LOT: 021 JURISDICTION: HG REMARKS: SP rowhouse, Unit#21, Bldg 3, AS play, BUILDING REISSUE STORIES: 3 FLOOR AREAS _ REQUIRED SETBACKS REQUIRED _ CLASS OF WOR!i: NEW HC!,HT: FIRST: 172 of BASEMENT: of LEFT: SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 733 of GARAGE: 547 of FRONT: PARKING SPACES! TYPE OF CONST: 5N DWELLING UNITS: t THRD 733 of RIGHT: OCCUPANCY GRP: R3 SDRM: 2 BATH: 2 TOTAL: 1,638 of VALUE: 11311 203 80 REAR: PLUMBING SINKS: I WATER CLOSETS: 2 WASHINri MACH: 1 LAUNDRY TRAYS: RAIN_P;MN: TRAPS: LAVATORIES: 2 DISHWASHERS- 1 FLOOR DRAG S: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: I WATFR LINES: RCKFLW PREVNTR: GREASE TRAPS: -- MECHANICAL OTHER FIXTURES: FUEL TYPES TURN r 100K BOIL/CMP<3HP VENT FANS: 3 CLOTHES DRYER: i LPG FURN>•10JK. UNIT HEATERS HOODS: I OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT _ SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPEC1IONS 1000 SF OR LESS: 1 0 200 amp: 1 0 - 200 amp: W/SVC OR FDR: PUMP/IRRIGATION: PER INSPEC71ON: EA ADD'L 50OBF: 3 201 400 amp: 201 - 400 amp: tat W/O 9VCIFOR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 600 amp: EA ADDL OR CIR, SIGNAL/PANEL: IN PLANT: MANUHMISVCIFDR: 601 • 1000 amp: 901+ompa•1000y: MINOR LABEL 1000+amplvolt: Reconnect only: PLAN REVIEW SECTION >-4 RES UNITS: SVCIFDR>=d25 A.: >800 V NOMINAL. CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIALELECTRICAL COMMERCIAL AUDIO d STERFn VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCCMIPAGING: OUTDOOR LNUSC L 1: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS- Owner: Contractor: TOTAL FEES: $ 5,500.08 This permit is subject to the regulations contained in the BROWNSTONE QUAIL HOLLOW LLC BROWNSTONE HOMES, LLC Tigard Municipal Code,State OR Specialty Codes and 12670 SW 68TH PKWY STE 2.00 12670 SW 68TH PKWY all other applicable laws work will be done i PORTLAND,OR 97223 PORTLAND,OR 97223 p accordance with approved plans. This permit will expire H work is not started within 180 days of issuance,or if the work is suspended for more than 180 days. ATTENTION. Phone: Oregon law requires you to follow rules adopted by the 501-;98.7565 Phone: 503-595-7565 Oregon Utility Notification Center. Those rules are Set forth in OAR 952.001-0010 through 952-001-0080. You Reg 0: I IC' 124627 may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion Control Insp 8, Slab Insp Plumbing Top Out Exterior Sheathing hist Electrical Final Sewer Inspection Plm/undslb Insp Framing Insp Firewall Insp Plumb Final Footing Insp Electrical Service Gas Line Insp Gyp Board Insp Building Final Foundation Insp Electrical Rough-in Insulation Insp Water Line Insp Final inspection Wtr Proofing Bsm't We Mechanical Insp Shear Wall Insp Smoke Detector Issued By : .Icl _. Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an Inspection needed the next business day 'r„ 7 CITYOF TIGARD SEWER CONNECTION PERMIT SWR2DEVELOPMENT SERVICES PERMIT#:DATE ISSUED: 3/6/03 3/6/03 2-00045 13125 SW Ha' Blvd rigard, OR 97223 (503) 639-4171 PARCEL: 2S104DA-1 J5UO SITE ADDRESS; 13285 SW KINGSTON PL SUBDIVISION: QUAIL HOLLOW-SOUTH ZONING: IIG I BLOCK: LOT: 021 __ _ JURISDICTION: fl �_—_-- _ TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SFA NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF rowhouse. Owner: � ------ _ ----------- FEES—� BROWNSTONE QUAIL HOLLOW LLC Description _— Date Amount 12670 SW 68TH PKWY SIE 200 -- --- --PORTLAND, OR OR 97223 [SWUSA]Swr Connect 3/5/03 $2,300.00 [SWUSA]Swr Connect 3/5/03 $0.00 Phone: 50:-s'�X-7;0, [SWINSP]Swr Inspect 3/5/03 $35.00 [SWINSP]Swr Inspect 3/5/03 $0.00_ Contractor: _ _ _ Total $2,335.00 Phone: Reg#: Required Inspections — This Applicant agrees to comply with all the, rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given,the installer ch-.;l prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001 0100 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699 / r Permittee Signature: Issued by: Call 1503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Building Permit Application Datereceived: Pep mitno.:NiT'�,ca,'(vro� City of Tigard Chy a%Tignrrl Address: 13125 SW Il t ProJecdappl.no.: i3r,,ircdate. Phone: (501) 039-417 Date issued: Receipt Receipt no. Fax: (503) 598-1900 BBBBBB Case file no.: IPaymenttype: Land use approval. I&2family:Simple Complex: ❑ 1 &2 family dwelling or accessory _ mercial/industrial U Multi-family U New construction ❑Demolition U Addition/alteration/replacement U Tenant improvement U hire sprinkler/al:rrn CI Other: li SITE INFORMATION Job address: I�-r A , �u c { Bldg.no.: Suite no.: Lot: .11 1 Block: Subdivision: ' Vii` ��a,;� - _-rete I"/ I Tax map/tax lot/account no.: g Project name: Description and location of work on premises/special conditions: FOR SIPFCIAL INFORMATION, Name: Mailingaddress: 61 &2 family dwelling: City: o Statc:0R ZIP: t� _ Valuation of work........................................ $ Phone�y -' - Fax: F' mail: No.of bedrooms/baths................................. Owner's representative: r' Total number of floors..................... Phone: Fax: ...r f mail: New dwelling area(sq.ft.) .......................... joij Garagc/carpor.arca(s+ft.)......................... Nanta v�� ,�_ ,* Covered porch arca(sq. ft.) ......................... Mailing address SLJ _ Deck area(sq.ft.) ........................... ............ City: h _tate: ZI Other structure area(sq. ft.)..................I...... Plnonc: Fax: &mail: Commercial/indastrinl/multi-family: 1 RA(TORValuation of work......... .... ......................... _-- Business name: (j 0 W Existing bldg.area(sq.ft.) .......................... r ti t g^ _ New bldg.area(sq.ft.)................................ Address: ' 5tale�. ZI Number of stories........................................ City: Type of construction........................ ........... Phone - - Fax:62p.c -mail; CCB no.: �Cl New: - Occupancy group(s): Existing: City/metro lie.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: �_ (�j provisions of ORS 701 and may be required to be licensed in the - _ jurisdiction where work is being performed. If the applicant is Addres:_..L�.QL_C1r VC,_.�c,.��e. 0.1.-� j g Pe City: �, State ZIP: exempt from licensing,the following reason applies: Contact person: Plan no.: _ — - Phone: Ix: h-mail — Name: - ¢ Contact person: Fees due upon application ........................... $ Address: w t 4„c c4 Date received: City: tate: ZIl': 3 Amount recd ved ......................................... $ Phone: _ p Fax: E-mail: Please refer to fee schedule. --_ hereby certify I have read and examined tris application and the Not an jurisdictlorn accept credit war,pteue W1 iurtAcuon for mote information. attached checklist.All provisions of laws and ordinances governing this OVisa t]MasterCard work will be complied yitp whethe ed herr.in or not. eYedp card number. Flap Authorized si re: — �tt: �. Name of cardholder u shown on credit real _— Print name S — . �___--------- Cardhnldu alanatore Atrvwot Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613(b(YWOM) Plumbing Permit Application - Date raxivea: Permit no.: City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl no.: - Expiredatc: City of Tigard Phone: (503) 639-4171 -- - -- Fax: (503)598-1960 Date issued: By: Receipt no. -rse file no.: Payment type_: Land use approval: _—-- 0 1 &2 family dwelling or accessory 0 Commercial/industrial U Multi-family U Tenant improvement 0 Ncw co t' U Addition/alteration/replacement U Food service U Other: Descrintion Qt . tee(".) Total Job address:( _ '� S W `��. .��ac�_- _ - New 1-and 2-tamily dwejlingx only: Suite no.: -, (Includes 100 ft.for each utility cOmwdiou) Tax map/tax lot/accoun(no.: _ - SFR(1)bath ( ,� / Block: Subdivision: -� SFR(2)bath -- Project -__-- City/county: _Y ZIF': _ - Each additional batlt/kitc'hen Site otWtler: Description and location of work rite premises:- -- Catch basin/area drain fhywells/leach lineltrench drain Fst.date of completion/inspxtion: Footing drain(no.lin. fl.) f Manufactured home utilities B,'siness name: Manholes Rain drain connector _ -- Wolcott 1'lumbtng -Sanitary ie.er(no.lin.ft.) Stone sewer(no.lin.ft.) PO Box 2007 Water service(no.lin.ft.) Gresh. .1 OR 97030-0594 lrlxture or Item: 503-667-1791 Absorption valve CCB:23847 PLM o/:26-208PB _ --- �r Back Oow preventcr -� Print name: Dam: Backwater valve-- 1 Basins/lavatory - Clothes washer Name: - - Dishwasher Address: ---_--- �- Drinking fountain(s) -- -- City: __ - state: _ Dectnrslsump _ -- Phone: lrax: G marl: Expansion tank t IAN 111� Fixturr/sewer cep Floor drains/floor sinkOiub Name(print): _-- _.-- - Garbage disposal -_ Mailing address: F1ose bibb _ City: JNta _�`j'' - --- Ice maker - Phone: - _LjFax: - Email: Inte or/grease tray--- Owner installation/resi�lential maintenance only: The actual installation Primer(s)will be made by me or the maintenance and repair made by my regular Root drain(commercial) employee on the property 1 own as per ORS Chapter 447. Sink(s),basin(s),Icvs(s) _ - - I)ate: um -- Owners signature:- -- Tubs/shower/shower an r urinal _ Name: Water closet -__-_-- Address: -----_-- --- _- _ -_ Wateiheaut _ City: - _- State: ZIP: J--- Other. Phone: Fax: `r�E-email: 7'oW Minimum fee................$ -___---- - Na sa)wiut✓bi soupy Vest ardk glare cal hcidredao fa more idanutlm Notice:T is permit application Plan review(al ` %) $ O Yeas U Msste Cud expires if a permit is not obtained ;tate surcharge(9%)....$ -- � cmd=raw - ___F�- within IRO days aflc it has beexr _ TOTAL .......................$ accepted as comple+c. N.me d a.!wader as Bowratai a s 11(11616(blldC01611) MechanicalVermit Application7,v ,: l Permit no.�City of Tigard .no.: Expire date:City of Tigard Address: 13125 SW flail Blvd,'Tigard,OR 97223 Bv: RecciptnPhonc. (503) 639-4171 PaymentsFax: (503) 598 196(1 ylie_— --- Building pennit no.: Land use approval: _ illy Q U Multi-family U Tenan,impmveuttnt ❑ I &2 family dwelling or accessory U Commerrialfindustrial - �- U New construction U Addition/al'eration/replacement U Other: _ � S 111 A ( : t ' r' , to I c` Indicate equipment yuatttitics in hazes belc,w.Indicate the dollar !ob address:f j `;_ S-_L1 value of all mechanical materials,equipment,labor o�erhead, Sutte no.: rBldgn --__ — profit.Value S _ IoNaccount no.: — See checklist for important.pplication information and Block: Sut>•fiviston:----— jurisdiction's fez schedule for residential permit fee :. 7.IP: 11 1W I 1and location of work on premises: — -- -- i er(►a) Total — — pesniption _Qt . Res.oul• Rec.only Est.date of completion/inspcction: C: Tenant improvement or change of use: Air handling unit _Cllvl_--_-- Is existing space heated or conditioned?U Yes U No -Kir- .ion nng(site plan regt�) Is existing space insulated?U Ye: U No Alicrat of n )Fexisting ( system -- _ '11 Lt r mol er comfxs essor 1116 1 FAL State hoiler permit no.: BT1Jtll --- �ir onto a amlx ductsmok.: etec.ors Four Seasons I leating& A/C Service Inc eat pum—p(site fl,.,roqutt -- PO Box 66409 1 ata rep acefuroa7Urn er Portland OR 97290-6409 Including ductwork/vent liner U Yes U No —- 503-775-5919 nstall/rep a relocate eatetr•-susPen ed, ff'B: 48293 wall,or floor mounted_ -- ent fora fiance other t ran urnaa- Name(please print): a era CONTACT PIE1tSON Absorptionunita------- BTT1/11 HP L _ Com ressors—_.__ Ill _ _ _ __ -..------ _ onmentila— State: ZIP: _- ApplianceventFax: E mail: Dryer ex aust yl�eUiDreSTtticTic azmat hood fire suppression system Exhaust fan with single duct(bath fans) — Nnme: `__ - - — ElTaust system a art rem heaun orC _Mailing address: __ - p� st�r on up to ou ets) City: _— State: ZIP: TYPe Li'G NC; C)il _ phone: Fax Email: tie l to eac a iticnal over outlets L'i HUS LU asp p (st emaUcrequi ) Numlter of outlets -- Name: __ —_-----._ t6er- tit-erapp wKc or eq pineal: Addrr s Decorativefrreflace _ -- _ Insert-type _ City: ctoveTpcl etatove Phone: - Fax: E marl: er: Applicant's signature:- Date- _ U Name (print) — - - - Permit fee.....................$ Nd an Juri�tictiarn aur{•anal rardt,Okatt call peiulic60"far mare 4damrtim. Notice:This it hexGOn ' t app Minimum fee............. $ _ O crus O MasterCard expires if a permit is not obtoi,ted Plan review(at _ %) $ — ---• �r cad 00n*,M --- ---- Eat- within 1 Bo days after it ho been State surcharge(840)....$ - -- accepted as complete. -- _— Naim d ccdt+nlda a as reedit crd TOTAL .......................$ —_---`— Cardfwlder Hraatue _-- Ara°aa� Electrical Permit Application -- Date received: Permit no.: City of Tigard Project/appl.no.: Expire date: — — C:iq n(Tif arA Address: 13125 SW Hall Blvd,T�pard,OR 97223 Date issued: By:— Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: TYPE OF PERNUT U I &2 family dwelling or accessory U Commercial1industrial U Multi-family U'renant improvement U New construction U Addition/alteration/replacemei,t U Other. U Partial 1 1 'y 1 131dF. n Suite ria: Tax map/tax lot/account no.:_^_-_ l.ot 2.L_ Block Subdivision: Project name:, _ -- Description and location of work on premises: _ Estimated date of compaction/inspection 1L1111W.1 W WIFILS11 I1 Fee Flat Job no: __ ------— .DesertP tion Qq. (n.) Total -10.ins .JEROME I LECTRIC New residerrtLI-tthngieofaarltl—tandlyper dwelling mit Inclstil s attired Rarage. PO BOX 7`1 ServicehKiand: 1-11 LLSBORO OR 97123 1000.,.q n or less _ —_ _-- __--- _ — 4 503-h48-5144 Fach additional 500-Ili or portion thereof - 2 8 775 Limitrd energy.residential 2 CCB: 36051. EI.C: 34-119C SUP: Limitedenergy,non iL11:1enual_ 2 - --- Each manufactured home or modular Each Service and/or feeder 2 Signature of supervising electrician(required,, pate Servimorfteders-Irrdallaliun, Sup.elect name(print). License r o alteration or relocation: 1 1 200 amps or less _ _ 2 201 amps to 4(10 amps — 2 Name(print): - 401 amps to 600 amps 2 Mailing address: _ 601 amps in 1000 amps - 2 City: __ Slate: ZIP: — Over 1000 amps or vohs - 2 Rernnnect ons Phone: Fax: Fr---m ail: --- Owner installation.17ic installation is being made or property I own Temporary wi vires or feeder which orrcbcatlou: which is not intended for sale,lease,rent,or exchange according to 200 amps ORS 447,455,479,670,701. 201 amps to 400 amps Owner's signature: Date: _ 401 to 600 s 2 Branch circaits-new,alteration, of eIlenswe per panel: NA A Fee foi lhranch circuits with purchase of Address: - -_ service of feeder fix,each branch circuit _ 2_ �_— (ale: ZIP: B. Fee for branch circuits without purchase City: of service of feeder fee,first branch circuit _ 2 Phone F tx' Tz�1.mail: Each additional branch circuit — Mlsc.(Service or feeder not Included): Each pump or irription circle 2 U Service over 225&nips tonmw•i'rel U Health-care facility Fach sign_or iffine h ncirc 2 U Service over 320 amps-rating of 1&2 U Hazardous location Stprod circuit(s)or a limited energy panel, family dwellings U Building over IO,0Wsquare feet(our or g I 2 U System over 600 volts nominal rmne residential units u;one structure alteration,or extension• _ s U Building over three stories U Feeders.400 amps or more •Gescn tion -- U Occupant load over 99 persons U Manufactured aructures or RV park Fach addiiitral Inspection over the allowable in w)of the above: U Egress/Iightingplan U Other - _--- --- Perhnspect,on Submit__Wil of plarm with may of the above. irrvestigeiirnr%tx _ The above ars not applicable to temporary construction service. Other _ _ - Pctmit fee.....................$ Not W jurisdictions ecce"cm1ir cods,please call jurisdiction for more infarnatio n Notice Tltts permit application plan review(at _— %) $ –- U visa U MasterCard expires if a permit is not obtained credit card number _--__ ___ _____I�L._ within 180 days after it has been State surcharge(8%)....$ Expires accepted a+complete. TOTAL .....................S — Nurr r!carsatoldrra -ii—own nu--c�-card S — Cardttddcr situature �_Atnount 4 l}4615 IfvOGCOMI CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WOLCOTT PLUMBING CONTRACTORS PO BOX. 2007 G,2ESHAM, OR 97030 Plumbing Signature Form Permit #: MST2002-00070 Date Issued: 316103 Parcel- 2S104DA-19500 Site Address: 13285 SW KINGyTON PL Subdivision: QUAIL HOLLOW - SOUTH Block- Lot: 021 Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse, Unit #21, Bldg 3, AS plan Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the Plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN' Building 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 #: 503-598-7565 Phone #: 667-1781 Reg 11: LIC 25847 PLM 26-208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM --- = Sig natureat--Aithcriz I,,.,rr ber If you have ,any questions, please call 503.718.2433. CITY OF TIGARD 131215 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE DAVID JEROME ELECTRIC PO BOX 751 HILLSBORO, OR 97123 Electrical Signature Form Permit #: MST2002-00070 Date Issued: 3/6/03 Parcel: 2S104DA-19500 Site Address: 13285 SW KINGSTON PL Subdivision: QUAIL HOLLOW - SOUTH Block: Lot. 021 Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse, Unit #21, Bldg 3, AS pla. Your company has been indicated as the electrical cont-a:- s,,, the permit indicated above. In order for the electrical permit to be valid, the signature of the supe, uiectrician is required. Please have the appropriate individual from your company sign bels . return this Electrical Signature Form prior to the start of the work to the 'ddress above, ATTN: Buil ,ng Division. No electrical inspections will be authorizeA 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 #: Lica 36051 SUP 28775 FLE 34-1190 AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature o -Supery ing E ec+.rician If you have any questions, please call 503.718.2433. ELECTRICAL PERMIT- CITYOF TIGARD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00166 13125 SW Hall Blvd..Tiqard, OR 97223 (5031639-4171 DATE ISSUED: 17/03 EL: 2 P 19500 SITE ADDRESS: 13285 SW KINGSTON PL ZONING: R-4.5 SUBDIVISION: QUAIL HOLLOW - SOUTH JURISDICTION: TIG BLOCK: LOT: 021 Project Description: All encompassing low voltage. — A.RESIDENTIAL _ B.COMMERCIAL AUDIO & STEREO: X AUDIO& STEREO: INTERCOM & PAGING: BURGLAR ALARM: X BOILER: LANDSCAPE/IRRIGAT: CLOCK: MEDICAL: GARAGE OPENER: X NURSE CALLS: HVAC: X DATAiTELE COMM: VACUUM SYSTEM: X FIRE ALARM: OUTDOOR LANDSC LITE: HVAC: PROTECTIVE SIGNAL: OTHER: ALL ENCOMP : X INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: Contractor: Owner: AZIMUTH COMMUNICATIO14S INC BROWNSTONE QUAIL HOLLOW LLC P.O. BOX 508 12670 SW 68TH PKWY STE 200 WILSONVILLE, OR 97070 PORTLAND, OR 97223 Phone: 503-598-7505 Phone: 503-639-0110 Reg #: ELE 36-94CLE SLIP 2312LEA LI( 145929 FEES Required Inspections — Description Date Amount Low Voltage Inspection it l.l'RM`I'j L•LR Permit 3/17/03 $75.00 F_lect'I Final 1 A X 911 1,,State Tax 6117/03 $6.00 Total $51.00 This Permit is issued subject to the regulations contained in the Tigard unicipal Code, State of OR. Specialty Codes and M all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started ollohw rules 0 days of s ado tedSsuance, or if by the Oregon Utility Notificationk is dfor Center. Thotse80 days.rules are set forth ION� Oregon law nn OAR 952001 001 O thrc�uc you b follow p Issued by 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 SUPRDATE:. ELEC'N _ --- -- — LICENSE NO: Call 639-4175 by 7:00 P.M.for an inspection needed the next business day Electrical Permit Application — Date receiver-/"? ,�, Permit no.•;j/('- a _a)14 +1tV Of Tigard Projecdappl.no.: Expire date: Address: 13125 SW Flall Blvd,Tigard,OR 97223 pate issued: 13y: _ Receipt no. City of Ilgard Phone: (503) 639-4171Glse file no.: Payment ment I e: Y type: Fax: (503) 598-1960 Land use approval: strial U Multi-lunuly Jlcn;uu inili ,rntenl U 1 &2 family dwcllir g or accessory Addition/alter ion/rplacemcltt ❑Other: U Partial Art construction job address: /3 ' 5 A,16 L Bldg. no.: Suite no.: ITax map/tax lot aunt no. Block: Subdivision: Lot: � �__-__-- ---- -- - Project name: C,(t� t_ cr<<rn bescription and location of work on premises: UO lir C L) Estimated date of completion/inspection. { ,•. Mas )lob not - Desertt ti„❑ Qly. (ea.) I ural no.insp Business nafne: Z.1 M S&A" t' ry,e i I "J'5 New residential•%Ingle lir multi-6nnjls ewer 7.i/r dw ,ellhr unit.Includes altaclrs'l garngr. Address!'-%,c �' ie A D City: r . - State ) 7(P: ej G Service included: -- a ' 1000sq fl lir less Phone: ri 1 FaX:�,� -L'I 1 S E Incl l: (lath additional 5110 sq f! or portions lhereol CCB no.: ( ►E Z' Elec.bus. lie.Lo: ctV CC t' Limited energy.residential _ 2 2 City/ntetrolic.no.: (,1CC)[vG•+S Icl_ _- Limiledenergy_nun•residrnUnl /U U U3 Each manufactured home or modular dwelling v Date Service and/or feeder Signator of supervising electric (required) __ 5erricrsorfeeden-installation, I..icen%e no. Z 3 t 2 LO Sup.elect name(print): I C alteration or relocation; 7 1,RopERty OWNER 200 snips or less l t t 20!amps to 400 am s Name(print); �(��!�J lv 1 b,�_I 401 amps to 600 amps Mailing address. _ _. 601 amps to 1000 amps 2 St - _ ate:_ V over 10(10 snips or volts City: i Fax: E mall: Reconnectmhl Picone: Temponry services de or feers- Owner installation: ,"he installation is being made on property I own Installation,alteration,or relocation: which is not intended for sale,lease,rent,or exchange according to 200 amps or less ORS A47,455,479,670,701. 201 amps to 400 amps O%vncr's 51 nature: _ l>;ur - -- 401 to 600 strips Branch eircom-new,alteration, or extension per panel: Name: A Fee for branch citcu its with purchase or service or feeder fee.each branch circus Address: It '-cc for branch circuits without purchase - State: ZIP: 2 Cll)' of service or feeder fee,first branch circuit Phone' Fax: TIi-nail• Each additional branch ee r not rnot Ise.(Service or feedIncluded); Each pump lir irrigation circle 2 O Service over 225 arnps-conunercial J Health-care facility Each sign or outline lighting U Service over 320 amps-rating of 1&2 U Hazardous locauot+ Signal circuit(s)or a linuted ever anal. U Building over 10.(100 square feel four or g Fy p 2 family dwellings g alteration,or extension' U System over 600 volts nominal more residential units in one structure U Building over three stones J Feeder,400 amps or more •Descn lion — tkcupantload over 99 persons J Manufactured structures or RV park Each additional Inspection over the ellowabie in any of the above: U Fghcsslhghangplan J Other ferrnspection Submit sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. ()(her _ -- Permit fee.....................$ - lJor all funsdi:nom accept credit tarda,please call jurisdiction for more mfrxmation Notice: this permit application plan review(al %) $ U visa U MasterCard expires i1'a permit is not obtained State surcharge(8%) $ C'redrt card number -_ — — ` within ISO days after it has been -"•'- Expires accepted as cornpkle, TOT ....... ...3r _�-- Name of cardholder u shown on ere it car _ S .t.r110I1iMxvl'i.HI Cardholder stpnuum Amount