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13325 SW KINGSTON PLACE w w N SCA C LC N O n cD • t h i 13325 SW Kinnston Place A CITY OF TIGARD MASTER PERMIT___ PERMIT#: MS 2002-00064 DEVELOPMENT SEROIiC ES DATE ISSUED: 2/15/03 13125 SW Hall Blvd. Tigard,OR 97223 (533) 639-4171 SITEADDRESS: 13,25 SW KINGSTON PL PARGEI.: 2S104DA-19100 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4,.� BLOCK: LOT: u17 JURISDICTION: 'I'l(i REMARKS: S BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK, NEW HEIGHT: FIRST. 17; of HASFMENT: �of LEFT: SMOKE DETFCTORS: Y TYPE OF USE: SFA FLOOR LOAD: 50 SECOND 733 sf GARAGE: 547 t f FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: I THRO 733 of RIGHT: _''Z;uPANCYORP: R1 DORM: 2 CATH: 2 TOTAL: 1.636 of VALUE.: 162,203 80 REAR: PLUMBING ^� SINKr,: I WATER CLOSETS: WASHING MACH: 1 LAUNDRY TRAYS. RAIN DRAIN: TRAPS: LAVATT,RIES. 2 TIISHWASHERB. 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS. CATCH BASINS. TUBI-.10WERS: GARBAGE DISI• 1 WATER HEATERS: 1 WATER LINE:: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: _ MECHANICAL FUEL TYPES T FURN<100K: BOIUCMP<3HP: VENT FANS. - CLOTHES DRYER: I LPG FURN-10014: UNIT HEATHRS! HOODS. I OTHER UNITS: MAX INP bb, FLOORFURNANCES: VEN'iS: 1 WOODSTOVES, GAS OUTLETS: 1 ELECTOCAL _ RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS_ GRANCH CIRCUITSMISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS. 1 0 •200 snip: 1 0 - 200 amp: WISVC OR FPR. PUMPIIRRIGAT.ION: PER INSPIrCTION: EA ADD'L 5003F. 1 201 - 400 amp: 201 400 cep. 1st WIO SVC/FDR SIONfOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 . 600 imp EAADDL BR CIR SIGNAUPANEL: IN PLANT: MANU HMISVCIFDR 401 1000 amp: 601-amps-Imov. MINOR L.AbZL: 1000+■mp/volt: PLAN REVIEW SECTION Reconnect on1v: )-4 RES UNITS SVCIFDR>-225 A.: >600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL •RCorRICTED ENERGY_ A.SF RESIDENTIAL B.COMMERCV,L AUDIO&S tREO: VACUUM SYST4 M: AUDIO 6 STEREO: FIRE ALARM INTERCOWPAGING: OUTDOOR LNOSC LT: BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIONL: GARAGE OPENER: CLOCK: INSTRUMENTATION, MEDICAL. OTHR: HVAC: DATATTELE COMM: NURSE CAI LS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,500.08 BROWNSTONE QUAIL HOLLOW LLC BROWNSTONE HOMES,LLC This permit iE subject to the regulations contained in the 12670 SW 68TH PKVVY STE 200 12670 SW 68TH PKWY Tigard Municipal Code,State k w Specialty Codes and PORTLAND,OR 97223 PORTLAND,OR 97223 all other applicable laws. All work will be done accordance with approved plans. This permit will expire if work is not started within 180 days of Issuance,o,-if the work Is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Phone: 503-598-7565 Phone: 503-598-7565 Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-9080. You LIC 124627 may obtain copies of these rules or direct quel,lions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Sewer Inspection Plm/undslb Insp I raining Insp Firewall Insp Plumb Final Footing Insp Electrical Service Gas Line Insp Gyp Board Insp Mechanical Final Foundation Insp Electrical Rough-in InSL'lation Insp Water Line Insp Building Final Wtr Proofing Bsm't Wa Mechanical Insp Shea:Wall'�Tsp Smoke Detector Final inspection Slab Insp Plumbing Top Out Exterio:SheathlnC Ins[ Electrical Final Issued By . _� � ��y�1/ / ' Permittee Signature dl�� Call (503) 639-4175 by 7:00 p.m.for an inspection needed the next business day CITU OF TIGARD —SEWER CONNECTION PERMIT DEVEL WMENT SERVICES PERMIT#: SWR2002-n0041 13125 S'V Fall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/19/03 SITE ADDRESS, I s32534 KINGSTON PL PARCEL: 2S104DA-19100 6013DIVISION: WAIL 1101-10W -SOUTH ZONING: R-4.5 BLOCK: LOT, 017 _ JURISDICTION: TIG — TENANT N ME: USP. NO: FIXTURE UNITS: CLASS OF WORK: NEV) DWELLING UNITS: 1 TYPE OF USE: GFA NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: S Owner: -- -- — --- -- FEES BROWNSTONE QUAIL HOLLOW LLC Description —gate Amount — 12670 SW 68TH PKWY STE 200 --- PORTLAND, OR 97223 1SWUSAI Swr Connect 2119/03 $2,300.00 1SWUSAI Swr Connect 2/19/03 $0.00 Phone: 503 c's8-7545 ISWINSP] Swr Inspect 2/15/03 $35.00 ISWINSP] Swr Inspect 2/19/03 $0.00 Contractor: - — — -- ------- --- Total $2,335.00 Phone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If riot so located, the installer shall purchase a "Tap and Side Sewer' Perm Issued b Permittee Signature: y Y Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Building Permit Application eeivPerm City of Tigard Dated a Project/appl.na.: t' date:i City cJTigard Address: 13125 SW {all BRIMk& 9 V ED ;:one: (503) 639-4171 Date issued: — Ny:�,_ t' Rece pt na.: Fax: (503) 598-1960 Case file no: Paym^.nt type: Land use approval ISc2 family:Simile Complex: e U I &2 family dwelling or accessory U CommerciaUindustrial U Mult. family 0 New construction U Demolition U Addition/alteration/replacement U'renant irnprovemcm U Firc sprinl1er/alarm U Other: { 1 1 Job address: ��_ . .C_ Bldg. no.: Suite no.: Lot: {clock Subdivision: l( ;( �.� ,(T# I Tax ma /tax IoUaccount nt.: ,�5/Otfr�tq +QN,,17 Project name: Description and location of work on premises/special conditions: Name: t o S �s—_QSw �c1L Mailing address: ��;�>�^C�. tN _ 1 &2 family dwelling: City ro I tti u. State:OR 7,I1) Valuation of work........................................ '6 PFtonc -A5 No.of bedroonm/baths................................. Owner's representativ.: ' Total number of floors................................. Phon^. t -r Fax: _s E-mail: -- � New dwelling arca(sq. ti.) ......................... (;arageicarp)rt area(sq. ft.)......................... Nance: _ - In �1Covered p„n•h area(set. ft.) ......................... Mailing address: .S f el _ Deck area(sq. ft.) .................................... ... _ LI f q 4c? ? Other structure area(.sq. .ft.) ............... . ...... Phone: Fax: E-mail: Commercial/Industrial/rnultl-family: tPValuation of work........................................ $ ----- -- Existiny hldg.area(sq. ft.) .......................... --- ----- Business name: r u, ,A _ 4t Lb::�:_ New bldg,area(sq.ft.) Address 0 g aL.S�� r ............................... -- l'it Slate (I"'ZI Number of stories........................................ __-- 1'hone _ _ Fax:6 zp e .mail: Type of construction..................................... - - �'��— --- -- Occupancy group(s): Existing: -- CCB 70_— ILL y b A —__� -- _ New: City/metro lie.no.: — Notice:All contractors and subcontr•3etors are r..quired to be r. liceriml with the Oregon Construction Contractors Roard under Narrte { s (,Q provisions cf ORS 701 and may be required to be licensed in the _Ad�dres�s:_ r jurisdiction where work is bring performed. If the applicant is Citv:�• 1.IA _. _ State ZIP: exempt from licensing,the following reason applies: _Contact persow A I'm no.: Iruiai1: -- — -- _.. --- Name: L �' Contact person: p t&N Fees due upon application ........................... $ -_--! At dmsS: 6 < w Date received: City: c,- _ r tateZIP: _ ��3 Amount received ......................................... $-------- .Ahp_r FaxA F mail _ Please refer to fee schedule. _ I hereby -ertify I have read and examined this application and the v Nd all)uriadicaotu atom tit rards,please call jurisdiction for nxmr lntoxmarion attached checklist. All provisions of laws and ordinances governing this U Visa U MasterCard work will be compliedO whether ' ed herein or not. Credit raga numxr Authorized sign - 1 � —= Non- Print acaroduu�mm oo r canf UP IMS ar Print name _ IC _,y ` -S Canirwldet ilanattue Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted m complete. 440-4A I I tt OW)OMr Plumbing Permit Application City of Tigard Daterxeived: Permit no.:/+/ CD2•t .� Address: 13125 SW hall Blvd,Tigard,OR 97223 Sewer permit no.: Building permit no.: City of Tigard phone: (503)639-4171 Prqject/appl.no.: Expire date: Fax: (503)598-1960 Dateissued: --- E:y_ Receipt Land use approval: -- .:ase file no.: Payment type: C I &2 family dwelling or accessory U Commercial/induscial C Multi-family 0 Tenant imps;„enrenl U New construction U Addition/alteratiorureplacemen( U Food service U Other: JOB SITE INFOliNIATION ' , , lob address:f �_� 5 SUS �� —�- f7[ g- �+cri tion _tel_ 'L_� 1�ec(ea. Total Bldg. no.: __ 1 Sun. 1'dew 1-and 2-[amlly dwellings only: -`�_---- '.Ddud.100 ft.for each utllit _Tax map/tax IoUaccount no.: YcotDectlou) 1.cx: Block: Subdivision: 'I??(1)bath _SFR(2)haUi Project name: City/county: __v---- ZIP; --- Lech additional bath kitchen— _ I Description and locatin• of work on premises: Site utWties-tch hisin/area drain CaI Est_date of a tnpleLion/inspeetion: — — Urywclls�eaclintrench drain — PLUMBING Ct Footing drain(no. lin. Manufactured home utilities -' Wolcott 1'lunlhing Alanholes _ - - PO Rox 2007 Rain drain conal .tor - Gresham t)R 97030-0594 Sanitary sewer(no. lin. ft.) 503-667-1781 Storm sewer(no.lin. ft.) R 17 I'1 �1 ii;2G-208PR Waler service(no.5n.ft.) _ Uxtrrre or Nem: Contrecter s rpepresentative signature: Absor 'on valve Print name: - _ --- Uatr. Beck flOwprcventer Backwater valve tiesins/lavatar -- Name: Clothes washer -- Address: i Dishwasher - City: A State: Zfp; Drinking fountains) Phone: �� Ejeetors/sump Fax: E-mail: Mpansion tank — Fixturelsewercap - Name(print): Floor drains/floor sinks/hub Mailing tultiress: — - Garbage disposal - — Hose bibb — City_ ZIP: — Ice maker --- flrgn� ^_ Fax: E-mail: — —� lnrcx�or/g teres.”trap _--_ Owne, installation/residential maintenance only: TFu rMhra! installation Fiimer(s) will be made by fine or the maintenance and repair made Ly my regular Roof(fin(commercial) employe^_on the property 1 own tts per ORS Chapter 447. Sink(s),basins ,lays(s) - Ownet's signature: _ Date. Sump - 'irlTubs/showcr/shower pan — — Nar:ie: Urinal- _ -- Address Water closet _ - -- Water r Other. - --- Phone: E-snail_ Tdal - Na W jrei�icllm WTI G&I Mrd►01—call JuH1"m . ;finimum fee.................$ 0 Vita U MuteWard Notice ThI+cnnit application ex rir-s if; Plan review(at _`. % $ Cyt cid� f permit is tart oblained ) -- ._ -� -`-- -=e - within 180 lays a,ler it her been State surcharge(8%)....$ --N—.m- aCrtarnJoh accepted 6.Ont{l ste TOTAL ...................... �M _ 1101616(60(1"OW Mechanical Permit Application Date received: Permit no.:MST QAC L 'i G City of Tigard ProjhxUappl.no.: N.xpiredate: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97221 — Phone: (503) 639-4171 Darc issued: — _ By: Receipt no.: Fax: (503) 598-1960 Case Iileno.: Payment type: Land use approval: _ Buildlog permit no.: TVPC1 .� U 1 &2 family dwelling or accessory U Commeruial/industrial U Multi-family U'renant ifr pmveme.nt U New construction U,Addition/afte.ratioti/rr.placcment U Other: _-- t MIT INKWMATIONffL, 1VALVATIOASCHEDULE lob address: 3��-j ' .Sw — , Indicate equipment quantities in boxes below.indicate the dollar Bldg.no.: Swte no.: value of all mechanical materials,equipment,labor,overhead, Tax lnap/tax lot/account no.: pr^f".Value S Lot Block: Subdivision:_ •Sec checklist for important application information and Project name: jurisdiction's fee schedule for residential,emit fee.. City/county: )Description and location of work on premises: PE 1 _ — Fee(ea.) ToW Est.date of completion/inspection: _ _ DQty. Rrx.onlY Res.ewly Tenant improvement or changr of use: Is existing space heated or conditioned?U Yes U No Air handling unit —_— CFM Air conditioning(Rite plan n require ) Is existing space insulated?C]Yes U No teraxrsungHVAC system --- 1 1 mailer/compressors --- State boiler permit no.: Lour Seasons I leasing& A/C Service Inc NP —_Tons___—BTU/tlF�Us PO Box 66409 sonoa arnpers/duct amo c detectors Portland OR 97290-6409 eat pump — plan requu j nstalUroplaZece fumacc�rner 501.775-5919 Including ductwork vent liner U Yes U No ('('L': 48283nst�Ihcplacereoc�ateheaters--suspended, --- _ _ wall,or floor mounted Name(please print): Vent for appliance other than furnace—�— — 1N R 'TAtT PE SON cy a Absorption unitsBTU/ _ Name: Chillers-_ -_- —_ Hp _ Address: _-- -- Compressors___ HP kbTiMUMMIL&Itu'1 iia Ten on: City—_—` State: ZIP: Appliance vent Phone. Fax: E-mail: Dryer exhaust — - --' — 1 s,Tyin res. tc icTi Te`n/ha7inat-- --� ---- hood fire suppression system Name: _ Exhaust fan with single duct(bath fans) Mailing address: — �— Faust rystteem a an m.a reattn oruC ne p! Tpin iibwt on up to oar eLs City: -- --- — State: ZIP: Type: LPG -- NO __ Oil_ Phone: Fax E-mail: ucl r:rn 'eachi7diticnal o�ovtlet — roemp P (schematicrequt.-ii) Name: Nnmtxr of outias Address:---1-- --- ---- -� er app nc aeor-ijuilp teni: _ _ _ Decorative fireplace City: — state: ZIP. ns_crt-type — '---- — — Phone: ___ Fax: E-mail: W tov pc etstove Applicant's signature: tate: ther- cr. Name (print): - No w juri.ekuom aenept cr�h c",place call rr"ctim f !luticx:This permit application ar nae WmhaGaa Permit fee...............�5 VMS -- _. U a U MasterCard Minimum fee................$ expires if a permil is not obtained rpt card.omtrr ----[ �_- Plan review(e( %) $ _ Fxprhra within 180 days after it has been State surcharge(11%)....$ N ow d cxitx leet rm_J m haeea,�.rd v accepted as complete. TOTAI. .......................S _ -- --—_ Cardbolder daammv �-— -- --Amomh_ 440-4617(GODODW Electrical Permit Application Date received: - – Permit no.: q4r�00 •Q�'�2 City of Tigard Project/appl.no.: Expire date: ML fln n Address: 13125 SW Rivd,Tt),ard,UR 97223 J"1%f;nrd ys' luDate issued: � By. etptno.: Phone (503) W94171 -- Fax: (503) 598-1960 Case file no.: Paymenttype: Land use approval: . 1 ' U7iop welling or accessory U Commercial/industrial U Multi-farnily O Tenant improvement C] U Addition/alterauon/replacemcnt U Other: U Partial 11 f 1.lob �' 71r1g. 110.: Sui' n0.: 1 ax map/tax lotlsccount no.: Lot: r BBlock: Su i��ision: — --•-- _ ___ ___ _— Project name_ _ Description and location of work on pm.,iises�_ Estimated date oft- nnpletion/inspectrm 1 N I]R APPLICATION 7TEE SUIEDUIX Job no: Ifee Max ---�.a....._..__.._..__ Description Qly. (ea) Total no.lns Streamline Electric NewresideaWl ai�korrr>ttHl-famllyper DBA LaValley Corporation dwelliMmit.Inciorksararl,edgrwW. 6025 East 181h St serumsola". Vancouver WA 98661 1000 all it or less 4 Each additional 500 sq ft.or portion thereof 360-993-5080 Limited energy, CCB:116514 ELC#: 34-432C StIP#: non-enUd 2 Littuled energy,twn•residendal -2 Each manufactured home or modular dwelling Signature of supervising electrician(required) IJate Service and/or feeder -_ - 2 Sup elect name(priot) I.uen•rnl, Senlcesorfeeden-lirmalUtIon, P1tallentiatr a relocation: 1 1 200 amp,or less _ 2 (lame(print): 201 amps to 400 amps — 2 - ------ 401 amps to 600 amps 2 Mailing address: 601 amps to 10(10 amps _ 2 City_ State: ZIP: Over 1000 amps or volt_ — _ 2 Phone: Fax: E-mail: Reconnect onlI Owner installation:The installation is being made on property I own Temponryservkesorfeeders which is not intended for sale,lease,rent,or ex(,hange according to kwallatlon,ahcrati n,of reloca:4on! 2 ORS 447,455,479,670,701. 01 amps or 2 W00 201 amps to 400 amps 2 Owner's signature: _ Date: 401 to 6(Ki amps -- 2 Branch circuits-new,rheral Ion. or exleosloa per Panel: Name: �N A Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit _ C Ily: -�— Stale: Zip: B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit: 2 - fax E-mail: -- - ------ Foch additions;branch circuit: Misc.(Service or(ceder not included): U Servrcx over 225 amps-cornrnrtcial U Health-care facility Each pump or irrigation circle 2 U Service over 320 amps rating of 1&2 U Hazardous location Each sign or outline lighting - _2 _ family dwellings 0 Building over 10,000 square feet four or Signal circuit(s)or a!irniled energy panel, U System over 600 volts nominal more residential units in one structure alteration,or extension* 2 C3 Building over three stories U Feeders.400 amps or more +Ikscri tion:—` 1:]Occupant load over 99 persons U Manufactured structures or RV park Each additional ins"lon over the allowable N my of live above: U Egressllightingplan U Other Per inspection Submit!sets of plans with any of the above. Invutisarr>n fa _ The above are not appOcobie to temporary coulruction service. ,i CITY OF TIGARD 13125 S.W HALL E,LVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WOLCOTT PLUMBING CONTRACTORS PO BOX 2007 GRESHAM, OR 97030 Plumbing Signature Farm Permit #: MST2002-00064 Date Issued: 2119103 Parcel: 2S104DA-19100 Site Address: 13325 SW KINGSTON PL Subdivision: QUAIL HOLLOW - SOUTH Block: Lot: 017 Jurisdiction: TIG Zoning: R-4.5 Remarks: S 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 GREENAM, OR 97n-)n Phone #: 503--'98-7565 Phone # 667-1781 Reg #: LIC 23847 PLM 26-208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature uth ized Plumber If .,ou have any questions, please call (503) 639-4171 , ext. # 310 CIT!OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE DAVID JEROME ELECTRIC PO BOX 751 HILLSBORO, OR 97123 Electrical Signature Form Permit#: MST2002-00064 Date Issued: 2/19103 Parcel: 2S 104DA-19100 Site Address: 13325 SW KINGSTON PL Subdivision: QUAIL HOLLOW - SOUTH Block: Lot: 017 Jurisdiction: TIG 7oninv. R4.5 Remarks: SF rowhouse, unit#r17,Bldg 2, AS plan Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required Please have the appropriate Individual from your company sign below and return this Flectrical Signature Form prior to the start of the work to the address above,ATTN: Building Division. No alectrical inspections will be authorized until this comple'pd form is received OWNER E-LLC 1 RICAL CnM*1RACTOR BROWNSTONE QUAIL HOLLOW LLC DAVID JEROME EI_E(__;'RIC '12670 SW 68TH PKWY STE 200 PO BOX 751 PORTLAND, OR 97223 HILLSBORO, OR 97123 Phone #: 503-598-7565 hone #: 648-5144 Reg #' LIC 36051 SUP 28775 ELE 34-119c / AN INK SIGNATURE IS REQUIRED ON THIS FORM Xc_�_.� Signature upervi q ,.rician �! If you have any questions, please call 503,718 2433. Lnoz iaia 9?7q aavgj,L HO U13 T99Ct'7,8C09 TVA 99.7.1 ]Hl C0i02/eo ELECTRICAL PERMIT- RESTRICTED ENERGY CITY OF TIGA,RD DEVELOPMENT SERVICES PERMIT#: ELR2003-00'128 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639.4171 DATE ISSUED: PARCEL- 2S104DA-19'.00 SITE ADDRESS: 13325 S'N KINGSTON PL ZONING: R-4.5 SUBDIVISION: QUAIL HOLLOW - SOUTH JURISDICTION: TIG BLOCK: LOT: 017 Ps oiect Description: Limited energy for voice/video. A.RESIDENTIAL.— B.COMMERCIAL AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT: CLOCK: MEDICAL: II GARAGE OPENER: NURSE CALLS: HVAC: DATA/TELE COMM: VACUUM SYSTEM: FIRE.ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: — _ TOTAL#OF SYSTEMS_ (-- Contractor: Owner: AZIMUTH COMMUNICATIONS INC BROWNSTONE QUAIL HOLLOW LLC P.0 ROX 508 12670 '.V 68TH PKWY STE 200 WILSONVILLE, OR 97070 PORTLAND, OR 97223 Phone: 503-5987565 Phone: 503-639-0110 Reg#: ELE 36-94CLE Slip 2312LEA LIC 145829 FEES Required Inspections D�: crlptlon Date Amount Low Voltage Inspection $75 00 Elect'I Final [ELPRMT] ELR Permit 518/03 (TAX] 9%State Tax 5/8103 $6.00 Total $81.00 This Permit is 'ssued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicatle laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 18C days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follaw ruLe,,adopted by the Oregon Utility Notification Cenler. Those rules are set forth in OAR 952-001-0010 throuc Q')" Issue }� Permittee SignatureL �. OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, ar rent. OWNER'S SIGNATURE: _-_-- ---- DATE: --- CONTRACTOR INSTALLATION ONLY _ SIGNATURE OF SUPR. ELEC'N DATE:__ —_ -.---------- -- LICENSE NO: — Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application Date received: �J" G>:3 Permit no.. Xfioo cv/, T City of Tigard Project/appl.no.: redate: City ltldress. 13125 SW liall Blvd,Tij ard,OR 97223 Date issued: B�jp Receipt nu. Thune: (503) 639-4171 Case file no.: Payment type: Fax: (503) 598-1960 Land use approval: ---- TYPF t ❑ I &2 family dwelling or accessory ❑Commercial/industrial U Multi-family U Tenant improvement 9�New construction U Addition/alteration/replacement U Other:__ U Partial JOB Silh INFORMATIONtea, Joh address: S' y,1. , / '(� Bldg.no.: Suite no.: Tax map/tax lot/account no.: Lot: 12Block: Subdivision: Project name: u.ir Sett tN Description and location of work on premises: ✓�)1 c f /,, i)t 0 Estimated date of completion/ins ection: XIDUUM 11111111 i Fee Max Job no: bescri tion Qt , (ea.) Cntot nn.ins Business name: ?InuiLd, CrOril s utvIC' 11t✓JS Ncwreddeniint-single ormuld-familylrer AddresL '1g t-7f4"') /K) s]DUr �(- ds+cllinganit.lncludesallarlwdgnrngc. City: S SlalC:�)E' ZIP:e� Jfj J� Senicelncluded: 4 Phone j r,s p C Fax:("F Oils E mai I: l oU0 sq.rt.or less {:ach additional SOU sq Il.or portion thereof CCB no.: / Elec.bus. lic•no: 7,6" Limitedenergy•residential 2 City/metro lic. no.: V j(V6S 1`/ Lt,nitedencrgy,non•residcntial 2 Fact.manufactured home nr modular dwclh ig _ __3r pct_ Service nndlur feeder 2 Si noturc of supervising lectriciaircd) [)ate Set vices or feeders—Installallon, Sup.elect.name(print).D L L ZE-4 License no j/j L t ra alteration or relocation: 200 amps or les- 2 201 amps', e A amps , Name(pent): �ttij)� 5 D,�f 401 amps OU amps 2 Mailing address: __ 601 amps to )00 amps 2 2 City: State: ZIP: over WOO amps or volts Reconnecionl I Phone: Fax: E-mail:. Temporary serried or feeders- Owner in.;tallation:The installation is being made on property I own installation,alteration,or relocation: which is not in; nded for sale,lease,rent,or exchange according to 200 amps or less '- ORS 417,455,479,670,701. 201 amps to 400 amps _ Owner',, si'natUll" --- Date: aoI w600amps -- - Branch circuits-new,alteration, or extension per panel: Name: A Fee for branch circuits with purchase ul -- _ _ A , Address, r service or feeder fee,each brooch circuit State: ZIP: H Fee for branch circuits without purchase CItY. -- of service or feeder fee•first branch circuit 2 PhoneFax: I mail Bach additional branch c,rci it — Misc.(Service orfeeder no;Included): U Service over 225 amps•cornmercial l7 Health-rarc I, ,i ' Each pump or ort•�anon circle 2 Each sign or outline lighting U Service over 32(l arnps•raling of&2 U Hazardous loc.nnIn Signal circuit(sJ or n limited energy panel. firmly dwellings UBuilding over 10,W0square feet four oi g U System over 600 volts nominal more residential units in one structure alteration,ur extensiun• U Huilding over three stories U Feeders,400 amps or more Description U t kcupant load over 94 persons U Manufaciwed structures or RV park FAch additional Inspection over the allowable In any of the abuse: U 1igres0ightingplan U Other _._--_- per Inspection 5uboill____sets of plant with any of the above. Investigation fee The above are not applicable to temporary construction service. other rPermit fee... ................ $ Nur all junadtcoons accept credit cark please call jurisdiction for more inforoatrat Notice:This permit application Plan review(at _ %) S Visa U MasterCard expires if a permit is not obtained [ / within 180 days after it has been State surcharge(8%) ....$ Credit card number Expires accepted as complete. 1'01'AL .................. Name of cardholder as shown on ere It Tarir s —`�� Cardholder rigmuure _ Amount Ia)•JelS MU/CU�Ii �bk�.AAAAAA�AAAAAAA AAAAAAAAAAA4oAA_AA - 4sAAA,AAAAAAAAA 44 44 Ong �d i I� , I v, + is • W LIP r I 41j Lr 0 010 I I ` c 40 I '? d, b O }� I 44' I ; '�i �►r► � � .rTr ♦ rr� ririr i ►iririv� e�►� �i► x�► � � ri�IV a � y C CD -e Cr a do �? a d' a N� 0 t-* Imp 0 O o 4 X 0o CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 -� INSPECTION DIVISION Business Line: (503)639-4171 MST BLIP Rect ived _-.--__ ___ Date Requested.- _ AM_�/PM BUP __— Location --- -,� -- -- T-_-..—_Suite______ MEC Contact Person Ph �s7�d --- --- ( ) 1�1-- - --- -- PLM _-- - ---- Contractor -__...__------ -- -- Ph (--`) -- -- SWR ----__-- BUILDING - Tenant/Owner -__ ELC Footing ELC Foundation Access: - Ftg Drain ELR Crawl Drain — Slab Inspection Notes: SIT Post& Beam Shear Anchors - Ext Sheath/Shear Int Sheath/Shear Framing Insulation ,LL (J Drywall Nailing Firewall Fire Sprinkler `�r ------- Fire Alarm Susp d Ceiling { — Roof Other: - - Final -------__—__ PASS PART FAIL PLUMBING Past&Beam ----!_- —�- Under Slab Rough-Ir Water Service Sanitary Sewer Rain Drains _— Catch Basin/Manhole Corm Drain - Shower Psi UthOr:- - ------ _ A PART FAIL --- ------- - - ------ -. _ -- -- - - -- - - -- _W At Post&Beam Rough-In - -- ---- Gas tine Smoke Dampers -------- - Final PASS PART FAIL - _ - -- ----- - -- - - . ELECTRICAL Service -- - - Rough-In UG/Slab - -- ---------- --- ----.....-_. Low Voltage _ Fire Alarm Final Ll Reinspection fee of$__ _ required before next inspection, Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE r Please call for rein$pection RE:-- _ ._._ __ ..- n Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Inspector - _ Ext Other: l Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST -2— I INSPECTION DIVISION Business Line: (503)639-4171 Received ___—___- -Date Requested PM — BUP _ Location ____-__ 33�.�__ .._. -- -_Suite _ MEC Contact Person __—_ __ _—__ Ph( _) 7 7 PLM Contractor Ph---^ __ _._ -- - -� Ph SWR tU'ILD{ Tenant/Owner _ —_ _—_ ELC Fooling ---��---- Foundation ELC Access: Ftg Drain ELR _-_-- Crawl Drain Slab inspection Notes: SIT Post&Beam Shear Anchors -- --�-- - Ext Sheath/Shear Int Sheath/Shear t ---------____ Framing __ C �� 1�► "Y —�� `> _ -- Insulation Drywall Nailing -�' -, VL V - tffii+V 6''x�tt, Firewall C-��v► 1 [7 � IF ,-(� �1 Fire Sprinkler -- --�— --�•—`�- -- Fire Alarm Susp'd Ceiling 1----11 - --- - Roof CC' ek -- -- -- PART FAIL 1 Tripruma NG -- Post& Beam Under Slab — Rough-In Water Service -- -------_ - __-_ -----^�- Sanitary Sewer Rain Drains ------ Catch -----Catch Basin/Manhole Storm Drain __------. ._._- _ _--- - Shower Pan Other: -- -_--- -- -- Final - 3S PART FAIL ---CHAN —_L - — — ------ Post& Beam - Rough-In --- - Gas line _ --- -- — Smoke Dampers -- --- - - — ----- A PART FAIL ---- - ---- .. --- ---- __--- --- - EL- CTRICAL — ----------- -- Service - - ---- --`- Rough-In UG/Slab _ ----------.__--- -----._ Low Voltage Fire Alarm Final u Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd PASS PART FAIL SITE Please call for reinspectiem RE: _-_. _ C� Unable to inspect-no access Fire ADAcupply Line / ./- � - �__ ----- - - Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION D'�dISION Business Line: (503)639-4171BUP -- 2! Received __— __._...______ Date Requested, _777 — AM_ !/ PM— __ BUP — Location —._.__AJ. .._— -, —.-.-_Suite--_ MEC Contact Person Ph 77 /C-3"- PI ^!! - --- —— Contractor ____ ------- -_.---___-- ___-..._ __ — Ph SWR BUILDING Tenant/Owner __— ____ ELC Panting-- --�- ELC Founcaation Access: Fig 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 Hain Drains Cutch Bassin/Manhole S Storm Drain Shower Par Other: - - - -- -- Final PASS PAFiT FAIL MECHANICAL Post& Beam Rough-In - - -------- — Gas Line Smoke Dampers --- -- ---- Final PASS PART FAIL -- --— - - ------- --- - -- _--_ ELECTRICAL Service Rough-In _ UG/Sla , Fire Alarms�� , Reinspection fee of$ -.required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL Please call for reinspection RE - - -__ _____f�� Unable to inspect-no access Fire Supply Line ADAt Approach/Sidewalk Date �� _-__ Inspector` ---�~;? F tnal DO NOT REMOVE this Inspection record from the Jalfi site. PASS PART FAIL