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13345 SW KINGSTON PLACE 7MM w w Ul 5 X S, U3 U. O iu n cD 13345 SW Kingston Place Lo4- I fj 14 3 4 45 'Sui K w ptw W-0 --- Z- 00#3 (ocp 4'{1 ot u4F i I \ a w V GAP.40Cj m a PI WrT j p� � I � XI' r-----_. .._ 1 � — ir sort R� w ® LA- r i •r i I - _ REVISION r. , 1 ►* r ► .r ?a1 r r FILE C MK APPROVED �OIO Ml ���� LEvFL I --7__� _ L.EvEL 2 �-' LIT TYPE Cc, -- --ELY l..+NIT TYPE C. CD �� 7 � CITY F TINA, i r• _, MASTER PERMIT �' ( PERMIT#: MST2002-00030 DEVELOPMENT SERV;CES DATE ISSUED: 2/19/03 13125 SW Hall Blvd.,Tigard,OR 97223 1503)639-4171 SITE ADDRESS: 13345 SW KINGSTON PL PARCEL: 2S104DA-18900 SUBDIVISION: QUAIL. HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT: 015 JURISDICTION: I'lc j' REMARKS: SF rowhouse, Unit#15, Bldg 2 :SB plan. 6/10/03, adding gas fireplace and gas piping. BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: 320 at BASEMENT: at LEFT: SMOK°DETECTORS: Y TYPE OF USE: SEA FLOOR LOAD: 50 SECOND: 744 sl GARAGE: 417 sf FRONT: f ARK14G SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 TWID 732 of RIGHT. 305 60 OCCUPANCY GRP: k3 BORM: 2 BP-'t'. 3 TOTAL: 1.796 of VALUE: 173. REAR: _ PLUMBING SINKS 1 WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS. RAIN DRAIN: TRAPS: LAVATORIES: 3 DISHWASHERS. I FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS. CATCH BASINS'. TLIBISHOWERS: 2 GARBAGE DISP: I WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR GREASE TRAPS: OTHER FIXTURES: MECHANICAL !� FUEL TYPES FURN<100W I BOIL/CMP<7HP: VENT FANS: 4 CLOTHES DRYER. I 1 Pr; FURN>•100K: UNIT HEATERS HOODS: I OTHER UNITS: ' MAX INP: bfn FLOOR FURNANCES: VENTS. I WOODSTOVES: GAS OUTLETS: 1 _ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEED!:RS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: I n 200 amp: 1 0 -200 ampWISVC OR FDR PUMPIIRRIGATION: PER INSPECTION. EA ADD'L 500SF: 3 201 - 400 amp gni - 400 amp: 1 at W/o SVCIF DR. SIGWOUT LIN LT: PER HOUR. LIMITED ENERGY: 401 - 600 amp: 401 000 amp: EAADDL BR CIR SIGNAL/PANEL: IN PLANT: MANU HMISVCIFDR: 601 - 1000 amp: 001-amps-1000V: MINOR LABEL 10004 amplvoll PLAN REVIEW SECTION Reconnect nnly: >=A RES UNITS SVClEDR>=^25 A.: >BCO V NOMINAL: CLS AREA/SPC OCC. ELECTRICAL.-REST'tIGTED ENERGY _ A.SF RESIDENTIAL B.COMMERCIAL �- AUDIO&STEREO: VACUUM SYSTEM: AUDIO 6 STEREO. FIRE ALARM: INTERCOMIPAGING. OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIONL: GAIAGEOPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC DATA/TELE COMM. NURSE CALLS. TOTAL"SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,647.21 This permit is subject to the regulations contained in the BROWNSTONE QUAIL HOLLOW LLC BROWNSTONE HOMES,LLC Tigard Municipal Code,State of OR Specialty Codes and 12670 SW 68TH PKWY STE 200 1-,670 SW 68TH PKWY all other applicable laws. All work will be done in PORTLAND,OR 97223 FORTLAND,OR 97223 accordance with approved plans. This pennit will expire If work is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Phone: 50;-SC)K 75(15 Phone. 503-598-7565 Oregon Willy Notification Center. Those rules are set forth inOAR 952-001-0010:,hough 952-001.0080 You Reg 0: LIC 124627 may obtain copies of these rules Or direct questions to OUNC by calling(503)246.1997 REQUIRED INSPECTIONS Electrical Service Wtr Proofing Psm't Wa Electrical Service Plumbing Top Out Insulation Insp Exterior Sheathing Inst Electrical Rough In Fig Drain Bsm't Wali,, Electrical RoughinPlumbinq Top Out Insulation Insp Firewall Insp Sewer Inspection Slab Insp Mechaniccl Insp Framing Insp In ' n Insp Firewall Insp Footing Insp Slab Insp Plumbing Top Otrt Gas Line Insp hear all Insp Firew I I sp Foundation Insp Plrn/undsib Insp Plumbing Top Out Insulation Insp Shear all Insp Gy o rd Ins Iss6ed By �u-�-j Permittee Signature --- Call (503) 639-4175 by 7:00 p.m.for an inspection needed t ext business day CITYOF TIGARD _SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SVVR2002-00039 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/19/03 SITE ADDRESS; 13346 SW KINGSTON PL PARCEL: 2S 104DA-18900 SUBDIVISION: UI ./N11 HOLLOW-SOUTH ZONING: R-4.5 BLOCK: LOT: W JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SFA NO. OF BUILDINGS: II LL TYPE: LTPSWR IMPERV SURFACE: Remark S Owner: — — — — �- FEES — BROWNSTONE QUAIL HOLLOW LLC Uescril !ion Date Amount 12670 SPIV 68TH PKWY ST E 200 — PORTLAND, OR 97223 ISIVUSA]Swr Connect 2/19!03 $2,300.00 [SWUSA]Swr Connect 2/19/03 $0.00 Fhone: S(0-598-75r6 [SWINSP]Swr Inspect 2/19/03 $35.00 [SWINSP1 Swr Inspect 2/19/03 $0.00 Contra:aor: — ---- Total �_-- -------- — - 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 not so located,the installer shall purchase a "Tap and Side Sewer" Perm Permittee Si nature: �^''��yy� Issued by:� � f -_,� q — Call (503) 639-4175 by 7:00 P.M. for Fin inspection needed the next business day f Ll Building Perinit Application jDaterweived: r/ e� Ncnnit no.: City of Tigard �� ED Address: 13125 SW Ball DIVd,' tgar ,OR 97223 +Projecdappl no,: E date: CJry of Tigard Date issued: B Reda t no.: Phone: (503) 639-4171 Y: P Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: ��lt Y UP r%nag 11 1&2 family:Simple Complex: HUILU11"i 11, 1 U 1 &2 family dwelling or accessory U Commercial/industrial U Multi tarntly U New construction U Demolition U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarrn U Other: 11 SiTE INFORMATION Job address: J s _ _r %;: , ;_ Bldg.no.: Suite no.: Lot: (� Block: Subdivision:(4 i y ��;c c tt s c'r !' Tax map/t lot/account no.: /Or r Project name: - Descripdon And location of work on premises/special conditions: INFORMATION,1'6111 S111111AL loodplaill_ g psolar, _Mailing address: lr� �^ r - 1 &2 family dwelling: City�n,4, c��-.c State:C) zll'� 3 Valuation ofHork...................................... t Phone -V Fax: &mail: No,of bedrooms/baths................................. --, ___-- �_ Owner's representative: Total numb:, f floors.......................... Phone: Fax: E-mail: New dwelling area(sq ft.) ................. ...... /JGarage/carpwt area(sq.ft.)......................... _ Name: Q t 6 cn� y.S�b��s QCovered porch area(sq.ft.) ........................ Mailing address: Deck area(sq. ft.) ........................................ - Other structure area(s . ft.)......................... City: Q� , _ _ state: zl ��:.� - 1'1u,nr:, {>S Fax I: 't1ail: "mmercial/industrial/multl-family: 1 1 Valuation of work........................................ $ -- Business 11,11 Ile: Existing bldg.area(sq,ft.) .......................... a"' t New bldg.area(sq.ft.) S �- � ............................... AddAddress: _ - Statc:p 1. Number of stories........................................ -- Type of construction.................................... _ Phone -r Fax:420 - :mail: Occupancy group(s): Existing: CCB no,: t� E, , __-- — New: City/metro lie.DO.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the - ----- F -- Addressjurisdiction where.work is tieing performed.If the applicant is �-_ 1 rye V G -Sc. .'Ee1_� City: State ZIP: LQ exempt from!: .:. ensinge the following reason applies: Contact person: �H� Plan no.: Phone: ; ix E-mail: Name: i ht_ l(intact Jx'sem: -�) � I'(es rl:-c upon appli:ation ........................... $ Address •ti-% t��}r c c d`__ Date received: _ City: r c, .arc: 7If: -3 AmouiJ received .................I ........I............. $ Phone: ,Z Fax: E-mail: `—_ Please refer to fee schedule I hereby certify I have read and examined tlus application and the Mal all J•visdictioru ai.V credit'srds,please call jurisdiction for imm infortrnnon attached checklist. All provisions of laws and ordinances governing this UVisa UMasterCard work will be complied• ,wheth, Jt e " ed herein or not. C�redlt eard diinieen- Authorized sl re: Nam ct ca,dhotder as shown on credo cad— S Print name: Lam._ __ '--C-dh(ildu Amami Notice Uis pennit application expires if a permit is not obtained within I SO days after It has been accepted as complete. 440-M13(&W=M) Plumbing Permit Application Date roceived: Permit no.:, Cit; of Tigard Sewer permit no Bui►ling permit no. v Address: 13125 SW Ha:: R?vd,Tigard,OR 97,123 `- - CiryaJTigard I Phone: (503) 639-4171 'rnjrxdappl.nu: Lxpiredatc: Fax: (503).598-1960 nate issued: ——__ By Keceipt Land use approval: — Case file no.: Payment type — 1 U 1 &2 family dwelling or accessory U l_om nerraal/mdusuial U Multi family U Tenant improvement U New construction U Ad(lition/alteratior/repiacc..ment U Food service U odder. __— JOB SITE INFORMATION ?I9 1special information Job address 3�iCf S S 1�,}-_�<_ a c c - Dcxription . I ee(ea.) Total 1, y-and Z-faintly dwellings only: Bldg.no.: - Suite nu.: (includes lOtlft.for each utilltyconnection) Tax map/tax lot/account no.: Shit(1)bath Block: �Sulxlivision: SPP(2)bath - Project name: _ — SFR(3)bath City/county: _—___ ZIP: ErCatch h dditional batlt/kitchen _ lfdes: Description and location of work on premises: � asin/area drain Est.dateof completionlinspectionls/leach line/trench drain Footing.drain(no.fin. ft.)PLUMBING CONTRACTOR Manufactured home utilities — Manholes — Wolcott 1'Itnnhing Rain drain connector PO Box 2007 Sanitary sewer(no.lin. ft.)) — --- Gresham OR 97(13(1-0594 Storm sewer(no.lin.ft.) - 503-667-1781 Water service(no.lin.ft.) CCB:23847 1'I.M ti:26-208PB Fixture or item: Absorption valve Contractors rcpresenlative 4ignatum: Back flow reventrr _ Print name: Date Backwater valve Basinsllavatory _ — Name: Clothes washes — —_ _—_ -- Dishwasher Address: -- Drinking fountain(s) _-- — City: —� state: ZIP. Ejectors/sump - Phone: Fax: -- E-mail: Expansion tank — — 1z1a 0 tw, ewer c - Floor drains/floor sinksthub Name(print.)- --- — --- - - ----- Garbage disro !!I —. Mailing address` _ Hose bibb City State 7IP. lee maker —�— Phone: ------ lax• - E-mail: Interceptor/ELw.,�-- -- (hvner irtstallation/residentW maintenance only: •llie actual installation Primers) will be made by me or the maintenancr and repair made by my regular Roof drain(commercial) etttlrloyee on the property I rrwn as per ORS Chapter 447. Sink(s),basin(s),lays(s) _ Owner's signature: -- -- Date: Sump _ Tubs/shower/shower pan Urinal Name: ---- - - - -- ---- ---- Water closet -- Address: Water heater -- -- City:_------- State: ZIP: — Other. - Phone: _--�- Fax: E-mail: TnW Na all}(riadictiar.prep ue4i(card4 plraar cyn he;,eiceian ry mae loraerlm. Minimum fee................$ Notice:This permit application O vua ❑MasterCard c>'pires if a permit is not obtained Plan review(at ^ %) c*41 ere mndw. _---. -.-- —_-- ---1--�--- within 180 days atter it has been State surcharge(89'0)....$ accepted as complete TOTAL .......................$ — -- Namc d cm4roldrr u atrowa rr actin card = -Crdtardrr vine f Aavo�r— 4404616(6A6C`JM) Mechanical Permit Application 7PWrojjec1)appl. ed: 7F.piur r ^� ^ . 6 City of Tigard no.: M : City gfTigard Address: 13125 SW Hall Illvd,Tigard,OR 97221 --- Date issued — BV: Receipt no. Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ Building,rern»I no.. _ 1 ❑ I & 2 family dwelling or accessory U Commercial/industnal U Multi-family U Tenant improvement U New construction U Addition/altcmtion/replacemenl L, ;cr. _— JOB SITE 114F60WATIONf 1 'SaWAXE Job address "1 1 i_ t_v ` - -o.: e � Indicate c4luipmr�nt quantities in boxes below. InJicate Udiedollar Bldg.no.: -- Suite nvalue of all mechanical rnatenals,equipment,labor,overhead, Tax mapltax lot/account no.: profit.Value$ Lot: Block: Subdivision: 'See checklist fx important application information and Project name: jurisdiction's fee schedule for residential permit fee City/county: — ZIP: --� _ - I &I.FMI'MV61VIELLING,PERNItir FEE SCHEDULE Description,.nd location of work on premis.:s: 7Afirraticn t t 1 Fer(ea.) Total Lst.date of complenon/inspection: — btwctiption Qly. RK.only ltcs_!)W Tenant improvement or change of use: g unit CFM.—__Is existing space heated or conditioned?❑Yes ❑No oning(sr to plan r jre_d)Is existing space insulated?U Yes U No o existing HVAC system- 1 itaolc7/com(xcssors -- State boiler permit nc.: Dour Seasons I leating& A/C Service Inc . HP . Tons_ PIWH •rr smoke amper_s 3c uct smoke detectors 130 Box 664119 Ileal pump'site plan rTqu,f ) — - — Portland OR x)7290-6409nstalureplacefumace u�rner__ 1 503-775-5919 Including ductwork/vent liner t]Yes O No CCB: 48283 -InstalUrep acc/rek)catehaatcrs-suspen wall,or floor mounted Name(please print): ent fora Nance other Than furnace 1 e era Absorption units BTU/11 _ Name: ('hillets--_-- --_ HP Addrtss: - Com rrssors, _ HP tmt�eifiatut an ventilation: City: State: ZIP: Appliancevent Phom Fax: 7y.,—Mail: )ryer ex Faust MINIM- Ti�'iype, res. tc a raamat hoed fire suppression system Narne: _ Exha est fan with single duct(bath fans) _ Mailing address: — T -xliaus(s�ste=m R aNn fmm eat rig of AC' City: —vStale: ZIP: -V�-- P on(up to outlets) --- - Type: UIG `._ NG _(hl Phone: —A-- Fax: F-mail: "irel lr inp a—�chaddiiionaTov�utleu Proem (schematic required) Num;—r of outlets Name: _ —-- Wt6erRacw pp1Un__e o--r cgalpmeat: — Addrtss Decorative fueplace City: ---�Y State: ZIP.-- nseri--type -V55 ►'!rune: ^_ -- Fax: I mail t_ov pe I let stove ^ er — Applican!'s signature:v_- _ pate_ Name (print) Per i Na W)rrtidictian swe{n acd t cods,pime call j4 dwbm for uric lelarr xkm Minfee to................$ _ Notice This permit application ---- I a Ysa p MasterCarrr Minimum fee................S _ expires if a permit is not obtained Plan review — (]redi(card.umber: ----- — --�---L_ (at -- �') S _ — - within 180 days aftt it hoc bene) State surcharge(8'16)....$ accepted as complete --- mrc w ou ante —ear�1--- s �P P TOTAL .......................$ ---- c'ardboldrt dRoerur --_ .___Amour --- — 491-617(60DU M) Electrical Perinit Application - - Uatereceisecl Permit no.:/ City of Tigard Pro)ect/appl.no. �^ Expire date. - Cuyoj7igard Address: 1312.5 SxN Hall Blvd.Tigard,Ok 97221 Date issued -_ by Receipt no.: Phone: (503) 639-4171 �- Fax: (503) 598.1960 Case file no Payment type. Land use approval: TYPE OF PERMIT U I & 2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement U(cher. U Partial JOB SITE INFORMATION Job aJrlress: j� e 131dg. nr.t . Swte no_ 'fa% map/tax ludaccuuut nu L alt: L�2Rlock: Suf ivision: Project name: ____ Description and location of work on premises: Estimated date of cc nipletion/inspection: 1 1 1 Hee Max Job no: _------�---�._- --- --- Descriplion Qt1• (es) -Total nno.ins Streamline Electric Newm%idndhd-ingleorismili family per � DDA La*valley Corporation dwelling a*.lnrlydenattached garage. Service laid sded: 6025 East 18`li St I011c sq ft or less _—_- 4 Vancouver WA 98661 Each additional SW sq ft.or ponion theteof 360-993-5080 Limited energy.residential — 2 CCB:116514 I:I.01: 34-4320 sl 1110. Urnitedenergy.non-residential 2 _- Each manufactured Ironer or modular dwelling Dere Service and/or feeder _ _ 2 Signature of su .ivising electricirn(required) Services or feeder s-installation, Sup.elect name(print): License no alteration or relocation: PROPERTYOWNER 200 snips or less 2 _ 201 amps to 400 amps 2 PNM�ame(priltl): 401 amps to 6W amps 2ailing address: 601 ampsto 1000 amp, �— _ 2 City: TTState: ZIP: t7ver 1000 amps or volts I Phone: Fax: E-mail: Recottnectanly __-- .------- Temporary aerrlces or feeders- owner ins illatiorr The installation is king, made on property 1 own Temporfon,iri vie or eeor relocation:which is not intended for sale,leave,trn4 or exchange according to knuita2:x1 anip�or less `--_ 2 _ ORS 447,455,479,67U,701. 201 amps to 4W amps --_�— _ 2 Owner's signature: __- Date: 401 to 60 amlrL 2 Branch circuits-nen,alteration, or rxteaslera per panel: Name: _ n Fee for hra:ch circuits with purchase of Address: — srrvicr w feeder fee,each branch circuit - 2 State ZIP: H Fa frcuit or hear It cis without purchase Oily: -------- nl service a fet ire feu,first hunch circuit: Phone: Fax LE mall FAchadditionalbranchcircuil Misc.(Ser ice a feeder not included): Each pump or irrigation circle 2 U Service over 225 amps-mmnrricial U fleelth-care facilrry Each mgr or outline lighting - _ 2 U Service over 320 amps-rating of 1 k2 U P aadous location Si rad circuits)at a limited energy panel, familydwellings U Building over 10.000 square feet four or g 2 U System over 600 volts nominal marc residential units in one stricture al enition,or extension U Building over three stones U Feeders,400 amps or more rDet,cripitun — U Occupant load over 99 persons U Manufactured sure:tures or RV park pj��ditio ni krspMfon over the allowable in my of Me above: U FgressAighting plan U Other ..— Per ins pccticm Submit_BMs of plans with tnv of the afrove. In,esugatiarfee 'Ilse above are not applleable to temporary construction service. Other _ -- -- Permit fee...... Na all jurisdirtoru accept credit cards•please call jurisdiction for roam Information Notice:This permit application Plan review(al �) Z U Visa U MasterCard expires it a permit is not obtained within IRO days after it has been State surcharge(8%)_.$ _ Credit card number - — �` sulci accepted as txrmplcte. TOTAL .......................$ Named cardholder wWwan candle cart) $ -- C ardhddtr algoauue Atttrruat 441461S(riMCOM) CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WOLCOTT PLUMBING CONTRACTORS PO BOX 2007 GRESHAM, OR 97030 Plumbing Signature Form Permit #: MST2002-00060 Da f:� Issued: 2119103 Parcel: 2S104DA-18900 Site Address: 13345 SW KINGSTON PL Subdivision: QUAIL HOLLOW - SOUTH Block: Lot: 015 ,Jurisdiction: TIG Zoning: R-4.5 Remarks: S Your company has been indicated as the plumbing co�,ractor 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 Req # LIC 23847 PLM 26••208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature o uthc i ed Plumber If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIOARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE DAVID JEROME ELECTRIC PO BOX 751 HILLSBORO, OR 97123 Electrical Signature Form Permit* MST2002-00060 Date Issued: 2/18103 Parcel: 2S104DA-18900 Site Addrorm: 13345 SW KINGSTON PL Subdlvlslon: QUAIL HOLLOW - SOUTH Block I-ot. 015 Jurisdiction: TIG Zoning- R-4.5 Romwks- SF rowhouse, Unit#15, Bldg 2, CSB plan Your company has been indicated as the electrical contractor for tho permit Indicated above. In ord©r for the: eirkctrical permit to be valid, the signature of the supervising electrician is required. Please have the Appropriate individual from your company sign below and return this Electrical Signature Form prior to the Mart of fhe work to the address above,ATTN Building Division No electrical In ;pections will be authorized until this completed form is received OWNER L:LLCTRIC;AI.. CONTRAC[OR: BROWNSTONE QUAIL HOLLOW LLC DAVID JEROME ELECTRIC 12870 SW 68TH PKWY STE 200 PO BOX 751 PORTLAND, OR 97223 HILLSBORO, OR 97123 Phone # 503-598-7566 hone#: 648-5144 Req /t LIC; 36nSt SUP 28775 flF 34. 1i�[' AN INK SIGNATURE IS REQUIRED ON THIS FORM / Signature of Supervising Electrician If you have any questions, please call 503.718.2433. sootb ,Ld3a o(nff awgi1, Ao Ali'` T M29co4 It'd tt:21 111,L co;oa, -n RMIT - CITY Off' TIGARD _ ELECTRICALRESTRICTED ENERGY RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00126 low 13125 SW Hall Blvd., Tiqard. OR 97223 (5031639-4171 DATE ISSUED: 5/8103 SITE ADDRESS: 13345 SW KINGSTON Pt. F,ARCEL: 2S'104DA-18900 SUBDIVISION: QUAIL HOLLOW-SOUTH ZONING: R-4.5 BLOCK: LOT: 015 JURISDICTION: TIG Project Description: Limited energy for voice/video. A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION OTHER: �^ TO FAL#OF SYSTEMS_�___.____J Owner: Contractor: BROWNSTONE QUAIL HOLLOW LLG AZIMUTH COMMUNICATIONS INC 12670 SW 68TH PKWY STE 200 P.O. BOX 508 PORTLAND, OR 97223 WILSONVILLE, OR 97070 Phone: 503-598-7565 Phone: 503-639-0110 Reg#: ELF 36-941I. Still 2312LE,,\ Lic 145828 _ FEES 'Y Required Inspections Description _ Date Amount Low Voltage Inspection 1I:I1PRMT) FI-R Permit 5/8/03 $75.00 Elect'I Final 1"1'AX Ik'!..State T'ax 5/8/03 $6.00 Total $81.00 t This Permit is issued sut+ict to the regulations contained in the Tigard Municipal Code, State of OR. Sped0ty Codes and all other applicable laws. All work will be done in accordLice with approved plans. This permit will expirt .f work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires your to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc Issued red V`�_ C Permittee Signature — c OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or mmt. OWNER'S SIGNATURE: _ _ >TE:^___ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: -- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day 'w Electrical Permit Application �Datcreccived: it no.: ' �f, JC'�City of Tigard Project/appl.no.' Expire date: CiryofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 6394171 - Fax: (503)598-1960 Case rile no.: Payment type: Land use approval: U I &2 family dwelling or accessory U Commcizial/industrial U Multi-family U'fenant improvement i(New construction U Addition/alteration/replacement U Other: U Partial INFORMA]ION Job address: 1 y,- S.i), oewcs t_e Wdee I Bldg.no.: Suite ria.: Tax map/tax lot/account no.: Lok I$ Block: Subdivision: G � 54'1'?ft Project name:&u,elif� Sd�( TN i Description and location of work on premises: l/Q/C� DE.Z Estimated date of completion/inspection: CONTRMTOR APPLICATION FEE SCIIEDUCE Job no: - 1 cf, **I:t� Business saltie: � �ytLL 1 t;tQ� f_L /JSIle or uiun OIC. (ea.) I...:d no,ins t 1 M- / N1 IL sill C,' T d• ,Ven rrshkntlal-single or multi-fumlly per Addrers:_2kf I Q�i� _ d»eltm(;mdl. City:WIL jSIate:,4,e 'ZIPa ' p Serylee Included: Phone. ' (,Y1 Otto I Fax:` 0011- C:-mail: 1000 sq ft.or less a Each additional 51x1 s .A.or portion thereof CCB no.: /N,Ss1>y Caec.hos.tic.no: c' C[/� -- - i.imUrdenergy,residential 2 City/metro lic.no.: (?b(,XOeSf"/. Limited energy,nnn-rusidcnunl 2 Each manufactured home or modular dwelling Signature orsupeNising Slectrician( uirvd) Date Service and/or feeder 2 Sup.elect.mane(print):V i T ( License no: ?512(!ra Services or feeders—Installation, alteration or relocation: 200 amps or less 2 INamcc(print): L( c.1 A,,s r D,J�_ 201 amps to 600 amps 2 401 amps to 6(1O amps 2 Mailing address: 601 amps to 1000:nips 2 City: State: ZIP: Over IOW nnrps or colts 2 Phone: Fax: I E-mail: Reconnect only I Owner installation:The installation is being made, on property I own Temporary wryIces orfeeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,orrelocalion: ORS 447,455,479,670,701. 200 anis or less _ 2 201 amps In 400 amps 2 O per's signature: Date: 4011 to 6OV ams 2 Branch circuits-new.alteration, or extenslon per panel: Name: A. Fee for branch circuits with purchase of Address: service or rneder fre,each branch circuit 2 City: Stale: _ ZIP: B. Fee for branch c ircuits without purchase -- of service or feeder fee,first brach circuit: 2 Phone: I ;tx: E-mail: --- — Each additional h:anch circuit: PLAN REVIFW(Pleniie cloeck all that apply) M Ise.(Service or ret Lt.-not Included): U Service over 225 amps-commercial U Health-care facility Each pump or irrigation circle 2 O Servior river 720 amps-ro"ng of 1 rh2 U Hazardous location Each sign or outline lighting 2 fnmilyd-..sings U Building over 100NI square feet four or Signal circuit(s)or it limited energy panel, U System over 600 volts nominal inure residential units in one structure alteration,or extension" 2— U Building over three stories U Feeders,400 amps or more ttkscri tion __ U Occupant load over 99 persons U Manufxtured structures or RV park Vach additional Inspection over the allowable In any of fine above U EgreWlightingplan U Odtcr ----_ — Pennspection — Submit__-sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all Jurisdiction+accept credit cants,pteam call Jurisdiction for more information Notice:This permit application Permit fee.....................$ U visa U MasterCard expires if a permit is not obtained Plnn review(at —_ %) $ t'tedit card number —_�---�_��_ �� _ within IAO days after it has leen State surcharge(8%)....$ t aplres accepted as complete. TOTAL .......................$ Name of cardhol�r as shown on credit card _S Cardhol s signature —^ Amount __ 440-4613 ICmluapCtPub ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES. TYPE OF WORK INVOLVED -RESIDENTIAL ONLY I Complete Fee Schedule Below: ---N� Restricted Energy Foe...................................................... $75.00 'umber Inspeclionsper Eermit 2I10weo (FOR ALL SYSTEMS) Service included: Items Cost Total y Check Type of Work Involved: Residential-per unit ❑ 1000 sq ft or less _ $145.15 __ Audio and Stereo Systems' Each additional 500 sq.ft.or portion thereof $13.40 �. t ❑ Burglar Alarm Limited Energy _ $75.00 Each Manufd Home of Modular ❑ Garage Door Opener' Dwelling Service or Feader $90.90_ Servi^es cr Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 .raps or let s _ $80,302 201 amps to 400 amps !� $10E.85 2 ❑ Vacuum Systems' 401 amps to 600 amps $160.60 _— 2 601 amps to 1000 amps $240.60 2 Other Over 1000 amps or volts $4b4.65 2 i Reconvert only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or rJocation Fee for each system.......................................................... $75.00 200 amps or loss $66.85 2 (SEE OAR 918.260-260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps s $'3.1 2 Check Fype of Work Involved: Over 600 snips to 1000 volts, ❑ see"b"above. Audio and Stereo Systems Branch Circuits �❑ Boller Controls New,alter alion or extension per panel a)The fee for branch circuits with purchase of service or ❑ clock Systems feeder foe. Each branch circuit $6.65 _-_ �❑ Data Telecommunication Installation b)The fee for branch circuits wlthouf purchase ofservf, Fire Alamt Installetlon or feeder foe. First branch circuit $46.85HVAC Each additional branch circuit $6.65 _ ❑ Miscellaneous ❑ instrumentation (Service or feeder not included) Each pump or Irrigation chole $53.40— _ ❑ Intercom and Paging Systems Each sigr or outline lighting _ $53.40 Sig al ed ene ane!atltteration oor a r exltensionrgy $75.00 � 0 Landscape Irrigation Control' Minor Labels('J) _ $125.00 _ �❑ Medical Each additional inspection over the allowable in any of the above Nurse Calls Per inspection $62.50 ❑ Per hour __ —_ $62.50_ In Plant _ $73.75 ❑ Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above tees $ ❑ Other_ -- 6°/State Surcharge $ - Number of Systems 25%Plan Ii Fee No licenses are required Licenses are required for all other installations See"flan Rewaw sect on nu $ front of aprlication --- — — Fees: Total Balance Due $ _ Enter total of shove taes -- ❑ Trust Account q -_ 8%State Su-charge Total Balance Due ----—All New Commercial Buildings requirta 2 sets of plans. i:tdsts\forrns\elc-fees.doc 08/30/01 f 1►AAAAAAA.AAA►, AAAAAAeAAAAAAAAAAAA.&AA.AAAAA►:&AAAAAA/ Ali. .. _._.._..___ _.... _. _... .. .. .. . . _ _.. ..__._.. .__._ . _ _. ., . ._ ._ .- `I► w r R 10. C, lip ld 44, �\ ► UoIt ~' r ;� �; ► ow 44 w '� ► '� . ► 4-1 -� s lop FAO ;� (a Lr Eno .41 �s 40 ro 'lop 41 ,► 40 44 lip lob / �r���t�i►iiiisi�rii���i►����i►i►�ii�a'i�i���s����i�irwii�►� c ~� z r, C � 7 � w .. ctJ � o ry � � n �• I G 0 t +� N f � �1 1 i I• ti � I r I CITY OF TIGARD 24-Hour BUILDING inspection Line: (503)45?9-1175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP v Received —.—_—___�2._(_,_Date Requested___._ 3 ( AM--_—_ PM ___—____ BUP Location _ 1.� T.Z_ �` M -L-- ----Suite- _ _ MEC Contact Person -----�� __--(/-- Ph( ---) � 5- � PLM -----..__ --- Contractor ---- -- - --- - -- Ph(----) -- - ------- SWR ----- ----- DIN0 Tenant/Owner -_-_ - - --------- -- __---- ELC -�..--- �ing -- -- - �_� ELC ---- - -- - _ Foundation ACGdss: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT _._-- Post&Beam - ----- -- -- ---- ------------ - Shear Anchors ---------- -- -- --.- Ext Shoath/Shear Int Sheath/Shear - Framing - Insulation 7 Com , l�K��_ef�eil 1�J <' �� �• �� _, Drywall Nailing LIF - - Firewall Fire Sprinkles -- — -- -- Fire Alarm Susp'd Ceiling Root ! d - Other: --- - - - /� n8 C 7 L/- AS PART FAIL ft-WBING Post&Beam Under Slab -- - -- Rough-In Water Service - -- - - -- Sanitary Sewer Rain Drains - ---- ---- _ Catch Basin/Manhole Storm Drain - Shower Pan Other - -_ - Final PASS PART FAIL - --_ -- -- - �c�1M NI L - - - - -- 176MA-5eam Rough-In - - - - - - - -- ---- Gas Line Smoke Dampere, -- - - - - Fria A PART FAIL - _- -- - - - ELECTRICAL Service Rough-In UG/Slab Low voltage ----- -- -- Fire Alarm Final -� Reinspection tee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL Unable to ins h t-no access SITE 1 Please call for reinspection RE __ ____.....-_ - P. Fire Supply Line ADA Approach/Sidewalk 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 DIVISION Business Lin : (503)639-4171 BUP Received Dat(- 14e,quest�d AM PM -- ----- BUIP q S- Location Suite MEC Contact Person Ph PLM Contractor SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors F:,i Sheath/Shear Iril Sheath/Shear Framing Ins, ation Di wall Nailing rirewall Fire Sprinkler Fire Alarm Susp'd Coiling Root Other Filial PASSPART FAIL PLUMBING —----- Post& Beam Under Slab Rough-In Water Service Sanitary Sower Rain Drains Catch Basin/Manhole Storm Drain _-- Shower Pan Other: Final PASS —PAR-T—FAIL MECHANICAL Post&Beam Rough-In Gas Line Smoke Dampers —------ ------ Final ----PASS _-PART FAIL -ELECTRICAL Service Rough-In P UG/Slab L Fire Alarm SS PART FAIL Reinspection fee of required before next inspection Pay at City Hall, 13125 SW Hall Blvd Please call for reinspection RE Unable to inspect-no access Fire tSupply Line ADA Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL L-