13124 SW RAPTOR PLACE .0
13124 SW Raptor Place
CITY OF TIGARD MASTER PERMIT
PERMIT#: MST2001-00159
DEVELOPMENT SERVICES DATE ISSUED: '/19/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4:71
SITE ADDRESS: 13124 SW RAPTOR PL PARCEL: 2S104DA-06600
SUBDIVISION: QUAIL HOLLOW- WECT ZONING: R-4 5
BLOCK: LOT:052 JURISDICTION: TIG
REMARKS: New SF detached rowhouse in Building#4. Stbacks as per sheet Ali
Plan AS
BUILDING
REISSUE- STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NLW HEIGHT: 31 FIRST: 173 of BASEMENT: of LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 735 of GARAGE: 547 a1 FRONT: PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 580 of RIGHT:
VALUE: $141,590 00
OCCUPANCY GRP: R3 BDRNI: 3 BATH: 2 TOTAL: 1,488 00 of REAR:
PLUMBING
SINKS: I WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER I.INES: 100 SF RAIN DRAINS: 2 CATCH BASINS:
TUB/SHOWERS GARBAGE DISP• 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVN7R: GREASE TRAPS:
OTHER FIXTURES: 1
MECHANICAL
_ FUEL YPE9 FURN c 100K: 1 BOIUChiP c 7HP: VENT FANS: 3 CLOTHES DRYER: 1
Op,3 FURN>•IOOK: UNIT HEATERS: HOODS: OTHER UNI'rg: 1
MAX INP- btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: OAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT _ SERVICE rEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: 2 PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 5005F: 3 201 400 snip: 201 4C0 amp: let WIO svcirDR: 00 SIGNIOUT LIN LT: PER HOUR.
LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIR: 1 SIGNAUPANEL: IN PLANT:
MANLI HM/SVCIFDR: 601 • 1000 amp: 6011-amps-1000w MINOR LABEL:
10004 amplvolt
PLAN REVIEW SECTION
Reconnect only:
>•4 RES UNITS: 9VCIFL`R>•226 A.. -600 V NOMINAL CLS AREA/SPC OCC,
ELECTRICAL•RESTRICTED ENERGY
_A.SF RESIDENTIAL B.COMMERCIAL
AUDIO&STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT
BURGLAR ALARM: OTH: ALLENCOMB BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL:
GARAGE OPENER. CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATAITELE COMM: NURSE CALLS: TOTAL N SYSTEMS:
Owner: Contractor, TOTAL FEES: $ 5,696.13
This permit is subject to the reg-,lations contained in the
BROWNSTONE HOMES BROWNSTONE HOMES, LLC Tigard Municipal Code,State of OR Specialty Codes and
12670 SW 68TH PKWY#200 12670 SW 68TH PKWY all other applicable laws. All work will be done in
PORTLAND,OR 97223 PORTLAND,OR 97223 accordance with approved plans. This permit will expire If
work is not Started within 180 days of issuance,or if the
work is suspended for more than 180 days. ATTENTION
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center Those rules are set
Reg 0: LIC 124627 forth in OAR 952-001-0010 through 952-001-0080. You
may obtain copies of these rules or direct questions to
OUNC by calling X503)246-1987
REQUIRED INSPECTIONS
Erosion Control Insp 8, Underfloor Insulation Electrical Rough In Gas Line Insp Rain drain Ins Electrical Final
Sewer Inspection PLM/Underfloor Framing Insp Gas Fireplace 7Appr/)Sd
ng Mechanical Final
Footing Insp Mechanical Insp Shear Wall Insp Insulation Insp e In lumb Final
Foundation Insp Plumb Top Out Exterior Sheathing Ins{ Gyp Boald Insp rvicn ns inBl Inspection
Slab Insp Electrical Service Low Voltage Firewall Insp Ik Ins
Issued By : __ arrz�.,ar�-�� _. Permittee Signature '.
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the xt business r y
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOIPMENT SERVICES PERMIT#: S DATE ISSUED: 7/19/01 19/01 11 00101
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
PARCEL: 2S1040A-06600
SITE ADDRESS; 13124 SW RAPTOR PL.
SUBDIVISION: QUAIL. HOL.LOW - WFST ZONING: R 4 5
BLOCK: LOT: 052 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORN,: NEW DWELLING UNITS: 1
TYF E OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connecticn for new SF detached rowhouse.
Owner: FEES
BROWNSTONE HOMES Type By Date Amount Receipt
12.670 SW 68TH PKWY#200
PORTLAND,OR 97223 PRMT GTR 7/19101 $2,300.00 27200100000
INSP CTR 7/19/01 $35.00 27200100000
Phone: 503-598-7565 Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires
180 days from the date issued. The total amount paid will be forfeited if the permit expires. The cy does not
guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measureme t give ,the installer
shall prospect 3 feet in all directions from the distance given. If not so located, the ins r Shall Urcha e a"Tap and
Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law uir y u foll rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-�00 -0010 t r� gh OAR 52-001-0080.
You may obtain copies of these riles or direct questions to OUNC by calling (503 246-198 .
Issued by: Permittee Signature:
Call (503)r39-4-1-75 by 7:00 P.M. for an inspection needed the next usin ss day
a /2-Z00/ -DO/O/
Building Permit Application
- -- — Date teceived:.' G'/ Petmitno.:/1�j�lJ /•p(r/�
City of Tigard ::D —
Address: 13125 SW Hall Blvd,Tigard,OR 97223 lroject/appl.no.: — Expire date:
City of Tigard Phone: (503) 639-4171 Date issued. _- By: '!Teceipt no.•
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: 1&2 family:Simple Complex:
1
lel 6c 2 family dwelling,or accessory O Commercial/industrial U Multi-family New construction 0 Demolition
U Additioit/aL•eration/r(,r)lacemtenl U Tenant improvement LI Fire:eprinklvr/alarn ❑Other:
Job address: R 42 TE ' / Bldg.no.: ./ ,_suite no.:
LOL ? Block: _ Subdivision: L Tax map/tax lotlacatunt no.: —�
Project name: Cal L W
Description and location of work on premises/special conditions: eL&g _ ilc #'�ppll lckrlpps
e
dplaln,501 Ic capacity,solar,etc.)
Name: ,y.Y 1t3(A e-s � '
Mailing address: ►2io70 Sw (of3R"le r) 1 &2 family dwelling:
City: -t ir►Jrp — �`State:br ZIP: 7Q,23 Valuation of work........................................
Phone: •' Fax: rf)goll 1 E-mail: No.of bedrooms/baths.................................
.. ............
Owner's representative: i`h 0ACtC% Total number of floors _
Phone: W5775 Fax:57q�19'L F. mail: New dwelling area(sq.ft.) .....1..`t .410......
Garage/carport area(sq.R.)....... -F-4....,....
Name: � -
Covered porch area(sq.ft.) ........-
�r� !iS A �t �
Mailing address: ..... .
- Deck area(sq.ft.) 4U so �
-- State:-.--Ll
- Other structure area(s .ft.
City: State: 'I,11' ).........................
— T--
Phone: Commercial/Wdustrial/multi-family:
I;tr l�: mail:
tt Valuation cf work........................................ $
Existing bldg.area(sq.ft.)
Business name: `�lU.Ief A�� A iBC�1� — ............................... --_—_
Address: — New bldg.area(sq. ft.)................................
City: �— State: ZIP: ~ -- Number of stories........................................ _
Phone: Fax: 1',mail:
Type of construction....................................
CCB no.: -- -- -`—_ -- - -- Occupancy group(s): Existing:
New:
City/metro lic.no.. �Nodce: contractors and subcontractors are required to be
h the Oregon Construction Contractors Board under
Name: C�, ,� d provisions of ORS 701 and may be required to be licensed in the
Address: \1°� Ct71.� t ti (os� jurisdiction where work is being performed.If the applicant is
Citz: p= Stat—c:W�1 'LIP: fplpl-- exempt from licensing,the following reason applies:
Contact person:Wks Plan no.: -- -------.._.._._—_--
Phone:7%- 4(,)'7.rieFax:)a 41 7-atj F mail: ---- - ---- �e. --
Narme:W 'QE61W I Contact ix-t-sun: 6-rc` to 111 pjio lees due upon application .. ......... ..
Address: 'S4JL, 04e0 _ Date received:
City: StateOr- ZIP: 7223 Amount received ......................................... $_
Pho=ft 9 b 33 Fax: E-mail: Please refer to fee schedule. `_-
1 hereby certify I have read and examined this application and the Not all luris&tiotn weept ctedl came,please cdl runsdicrim trn mrxe lorexmauon
attached checklist.All provisions of le s and ordinances governing this U Visa U MasterCard
work will be complie it ,whe �s cified herein or not. cult�.d numter __�_.___ _ F_
'C�� p
ires
Authorized Signature:_ Date: - )( 1 -- Name of cardholder a dawn on credit card
Q- (_A Qt _ Cardholder ei S
Print name: �r&ARnarure �— Amount
Notice:This permit application expires if a permit is not ohtained within IRO days atlet it has been accepted es complete. 440-M13 t60a"COM)
Mechanical Permit Application
Date received: Permit
City of Tigard Projecl/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 date issued: By: I Receipt no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: Building permit no.:� _ �—
r
y dwelling or accessory U Commercial/industriai U Multi-family U Tenant improvement
uction U Addition/alteration/replacement U Other:
1
Job address: Y r_ rn Indicate equipment quantities in boxes below.Indicate the dollar
: �/ ' Suite no.: value of all mechanical matefials.equipment,labor,overhead,
Bldg,no.
profit.Value$
Tax map/tax lot/account no.:
�
fit; r Block: Subdivision:Q 1,11 0w *See checklist for important application information and
\ ��b tO 'M70 smo' jurisdiction's tee schedule for residential permit fee.
Project name: Q 1
ZIP: 22 I t
City/county: ICIA �1 --
1J,1114
Description and location o work on premises: -W f ('f I
I ec(1�.) •I MAl
Gst.date of ,
Description (Ay..Res.only Res.unh
completlon/inspecdon;
Tenant improvement or change of use: Air handling unit CFM �Uo _
Is existing space heated or conditioned?U Yes U No Air conditioning(site plan requir )
is existing space insulated?U Yes U No Alteration o existing HVAC system
of er compressors
State boiler permit no.:
Business name: ol) �f-f �� ► {C Irlr HP rons BTU/H
Address: O to(A _ Fir smo a amper uctsmoke detectors
Statet�r E ZIP:97 Z9O vet pump(site plan required) _
City: o!L"1 seta rep ace urn- arc burnerBTUIH
Phone: " r� 5 Fax:77S 1141 - E=mail' Including ductwork/vent liner U Yes O No
CCB no.: ZQX3 — __ seta rep[a re ovate heaters-suspended,
City/metro lie.no.: l�tJ uv 1 V L7 _. _ wall,or floor mounted
i►�d, ens or a t fiance other an furnace
Name(pleas print): '�t IM M A, FI-efrigeration:
Absorption units. BTU/H
Chillers HP
Name: I LA - Cam ressors _ HP
Address: <. :`� /t✓ rotlmenu ex Inst an root I ort:
City: State: ZIP: Appliancevent
F ^ eregust
Phone: ( _
1 IMas,Type VlVRs_.kftchenAiazmat
hood fire suppression system
Name: 11qJUA V_ n—; + Exhaust fan with single duct(bath fans)
Exhaust s stem apartfrom heating o
Mailing address: ue p p a st on(up to 4 outlets)
City: State: ZIP: Ty t,pt3 NO X__Oil
-
Photic t ;+, E-"I: Fuel pi in-each additional overt ou ets
p p =(scTiematicrequir )
Number of outlets
Name: �.a M l f�'� Q �:�b+ _ t err app anteof equipment:
Address: Decorative fireplace
City: _ State: _ ZIP: _ Insert-t)
tx stov pe et stove
Phone: Fax: Email: Other:
Applicant's signature: Date:- Y
Name(print): _ --
- Permit fee.....................$
Na d1{urlracuom WCC c e+at ends•pb+K can we&ctian frit "oe infornutian. Notice:"Thisrmit application Pc PP Minimum fee................$ —
U visa U MasterCard expires if a permit is not obtained plan inview(at __ %) $ _
Credit crd numt+a:___ ----------• within 190 days after it has been
r-apitesState surcharge(8%) ....$
c t era accepted as complete. TOTAL $ _�v
s
Cadhnldn UpLlurc Amount 440.1617(6000R'ON11
mss,
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: FEE: Description: Price Total
Table 1A Mechanical Code
$1.00 to$5,000.00 Minimum fee 572Furnace _ ok (E«) Amt
$5,001.00 to$10,000.00 $72.50 for the firs!$5,000.00 and 1) Fuce to 100,000 BTl1
$1.52 for each additional$100.00 or Including ducts&vents 14.00
fraction thereof,to and including 2) Fumace 100,000 BTU+
310,000.00.
including ducts&vents 17.40
_ ----
$10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace
$1.54 for each additional$100.00 or Including vent 14 00
fraction thereof,to and Including 4) Suspended heater,wall heater
325,000.00, or floor mounted heater 14.00
5. 6 60
5,001.00 to 350,000.00 5379.50 for the first$25,000.00 and 5) Vent not included in appliance permit
$1.45 for each additional$100.00 or -- -
fraction thereof,to and including i d) Repair units
_
$50,000.00. 12.15
$50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air
$1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond
fraction thereof. _ footnotes below. Comp*
7)<3HP;absorb unit
to 100K BTU 14.00
ASSUMED VALUATIONS PER APPLIANCE: 8)3.15 HP;absorb
r Value Total unit 100k to 500k BTU 25.60
Desq!LUon: Q Ea Amount 9)15-30 HP;absorb
Furnace to 100,000 BTU,including 955 unit.5-1 mil BTU 35.00
ducts&vents 10)30.50 HP;absorb
Furnace> 100,000 BTU Including 1,170 unit 1-1,75 mil BTU 52.20
ducts&vents 11)>50HP:absorb ^v-
Floor furnace Including vent 955 unit>1.75 mil BTU 67.20
Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM
floor mounted heater 10.00
Vent not Included In applicance' 445 13)Air handling unit 10,000 CFM+
unit 17.20
Re air units 805 14)Non-portable evaporate cooler
<3 hp;absorb.unit, 955 10.00
to 100k BTU 15)Vent fan connected to a single duct ^^
3-15 hp;absorb.unit, 1,700 a't 6.80
101k to 500k BTU 16)Ventilation system not Included in
15-30 hp;absorb.unit,501k to 1 2,310 appliance permit 10.00
mll.BTU 17)Hood served by mechanical exhaust
30-50 hp;absorb.unit, 3,400 L 10.00
1-1.75 mil.BTU _ 18)DomeStic incinerators _
>50 hp;absorb.unit, 5,725 17.40
>1.75 mil.BTU 19)Commercial or Industrial type Incinerator
Air handli i unit to 10 000 cfm 656 6915
Air handling unit!10,000 cfrrl 1,170 20)Other units,Including wood stoves
Non-portable evaporate cooler 656 10.00
Vent fan connected to a single duct 446 21)Gas piping one to four outlets
Vent system not Included In 656 5.40
_appliance permit __ 22)Mora than 4-per outlet(each)
Hood served by mechanical exhaust 656 1.00
Domestic incinerator 11,170 Minimum Permit Fee$72.50 SUBTOTAL: $
Commercial or Industrial Incinerator 4.590 I2
Other unit,Including wood stoves, 656 - 8%State Surcharge $
Inserts etc. °
Gas I in 1-4 outlets 360 _ _ 25%Plan Review Fee(of subtotal) $
Each additional outlet _ 63 Required for ALL commercial permits only
TOTAL. COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: $
4'
VALUATION:
_� �h r lnspsctlonl..!-n�l:i�
1 Inspections outside of normal business hours(minimvrn charge-two hoi ;)
$72.50 Der hour
Inspections for which no fee Is specifically indicated (mininuim charge-half hour)
$72 50 per hour
3 Additional plan review required by changes,additions or revisions to plans(minimum
charge-one-half:hour)$72 50 per hour
"State Contractor Boller CertBlcation required for units>200k BTU.
"Residential AIC requires site plan showing placement of unit.
I:\dsts\formslrnech-fees doc 10111/00
Electrical Permit Application
Dam rewived. 14nYt ne.: Q
City of Tim PM .h0.. Ettplradlte. _
Cln��+M Adders/: 13123 8W Hs1I Blvd,Tigard,OR 97223 Dataleltwd: 8y: �lleraslptso..
Phoria: (307)699-1171 –
Paz (SDI)39d 1960 cue rim , Payment Inc.
Lmd use approval: -
"L!towly dwctliRll at taccueary U Cwn-ArcialArwhitutal U Multi-family J Tenam implvvertlent
New coriamlCtIM J Add,tion/e;itratxtnimplueanrnt U Othu: U Partial
MMM1100 LU 19111111M
Job a(Idtt+al: _ ( 0 lal Tx), � $'lite no. ran rn t InulcecxiRt no.:
Bkxk: SubdiVlslM: uArt L,44 11r-.� we%r --
, 4
act rtalMt A+� Fb I IOtwJ De1cd ton said Itx ctmn 0f work 0ra�mieee Nt fOt�i11MCr1tsJ
t;mtlsedated� ttitx as .tion:
rM 1Ms.
hard t19 steer
TOW
B•TTw.I-Rw nantr S t r e a mll_�e_F�.Ls r r i r .r.ddimidd-w41•orrwT�`t�r11 w
/1UOrRaa: dtralau�...tlatlydrr tabr(hdprttra
Ci Vane o u v_ 3utc. W A 9 8 6 61 s.r.+oalreAa6ro
1 a�o.q n M Iwo I S
Awns 9 9 3-5 u• ,1 _ moil: _ --
_ PHa,bus.arc.not 3 4-4 3 2 n cadl�enal soo�n�a pc Ts_
f`C '11 Ej 51 iXMIodo a.ud.nulf
C11YIMM lie.no.: Lit!n eonincr,-rnWertutl
llaoaa muwlrcr, of modular dawlllq
,.,.�..,�►.__.._� ---"'r"'�..""-- SerylA color f«Oat =_
ar�,n iM Y �__�_....+.++r-•- 'tif�detr�i 1a1T Ier, _. _
soon,111111110 l.lcartR ro ltleedloa aY nN..tMa
]r111 ur�u ew lar __ G( � ..
Name B� l' -S I rL�L' t37— b –' -- 2
Mal eddrrll; --
0 n>A staft w UP�]2 rw 1000 Mrt�r rn vol ^'
p10M:
a E-Mail, Hctd" OW
� , �rr1 «Aa1rn.
(Pwfw ehUtt m " isltlllawn t inp cello on P.1'rM tr nwm Yrrllllatba ebtaMele.erria+nrtleae
whlr:h u"irlttmw for rade.I tN.(u•eachwip wcordlns to
IM
ORS 417,/SS,1791 col b ram–, 2
OVwnw$
etwM aruw, -
wal6we4ea per pwtb
Now: A_Fw to tltww%clu tqr wlol P Imhow ed
Addttru: MViaeabadar be,wahrnepQrlalW
$Uti1 - 7IF rdrErrwhdrer w�ahn,A
City: _ of rNNw dr leadw►r Mw Ntrot h C"wltt 2
E,-rrWl: g,rt,.ddWui�d�c+►cult; —
V latwbe�.w F3!nrnrv.+enarrwrurr Q tfeal0rser bretr� ��!��� etlrra crcls 2
0 M„lea:r.ra 320"14w{K'M of I&I O Ileewdoor lelaMen a ouU,rr
brnit►dw awwo 0 tsulleles nw I0,wo Aet fort of liftwow«_q litmaid emny
p{yrw..ewr Sw veno wgwffY now rwrbatlY V"rn not Nraobn YMrwlan,a ertatahatt� _ _
d
IV- e►arttwrt Partin O cordae.100 am"w awns •rune'
4()VC0 +'tw/owr p p rsww Ea M uwrrtdrra)ealMCtaraa w R V prk F1ca azar aa>d
11tr1tteN.-–Aga of pho 9*b my W dw sAaw, Lmrs eti�a lin g" _
'l'la•eM..ane Aral a- Q��w N h�sl��st7�w"�' __.__. -- �
rw.+rrwwNndoa fhn permlt aptgHcato'
Permit fes.»................._ •fa'
[�Wedavwd2www
�:waee a"r ew,tar arw.0 twtprt.r� ,tlw Pltita ttvinr(K
pe.mw ie r►or obtaiied
� llbiu 110 dryr aft r it ha boar StaRA Aurcharpe.�.....-___.__ __ , aotepUd«canplata TOT#4 »..._
1��� tai � ",� ��I2ll;a3�3 3JI�Wd3rl�.S 'E0SE6E09E 5��L1 10fi� '':0,'E13
Mar-06-0I 03 :05P 4lulcutt Plumbing 503 667 9891 P.01
o.t 'nU,'W '1171 14 41 M,SX 50:1 504 1960 CITY OF TI CARD 2002
Plumbing Permit Application
Daterrculved: Pemtttno„ / (XJ/s
City Of 'Tigard 9ewrrp.rraitno.: Du11e1rKpermirno.
nddrenio: 13125 SW Hall[fled.Ti`u 1,0R 97223 -
Crryc,Mjard Phone: 003)4519.4171 Ptvlecthppl.no.: eapitt4ate:
Fix: (50.1)5YR-1960 Darels.ucd By: I Recriptlotr
L uW use approval. _— Case rue no.. Payment type
a
U 1 64 2 family dwrlling ur sceer.ory Q eommureiabutdulnlJ 7 Nlu'.t•(amrly U Trnrmt srnprovemcn!
Q New CUOWUCUnn 0 Additil n/aileramna/mPiaceirent U{rood invite Cl Other
Bldg.no.. S b no.~ - hem i•and 1,Gettsl-Ty dweWne+only:
Twt map/taot IoVaecouut no OW)Wee 100 It.foreacle tuiUty con"Citina)
9 Mi
Lut. 2 _ Block' Subdivision: — SFR(1)beth ^� _
a
Cicyicoun : ZIP: ha— irdlilona Itc n
Description and location of work on prcmisea: _ _ �11btNWtlea;
Catch basic/area dram
fist.deo of titan lrllonhus hi,n � ywcT1 laic pe uenc
'ctotin dram no. n, r
ManufactjrM horne utilities
-Bluincssuame: in ore __.
\ddte4s: ,O, 2 0 0 0 _ Rain dmin connector—
Ctty,
Plronr 30;-ay47
111t Pas6L7-9 tl e I E moil, �c-will I Storm sewer(no.lin.rt.)
CCB no.- 2' Plumb.bus.seg.00:24.Zo q Pp Water srrvictt no,Un. l
Cityimetm lie no,: Fume or Nest
Cuatraetor's represtruadvc_s�ature:r. F �_ Ab nos valve
acic nw treveatcr
Yr in ntutte: tb 9Kz1Water -
KIM LIN m amilm
o .s was t
Nanta' _ — ----
w wether
Clrytesa - :1P. -- 4 n-tou n(s) --
JCC NT
tipansion tuil< -'--�
1�`xtur7r wu ca -
Name(print): Flour driaiWrlool ss it
oae a bt--�� --
City. - State !IP ce
maker FOA:
_ -----
PUune, Ftu: — F ma>1 tlurce cur reed se trip
Ownel imullaticxtrresldenual inaintenrtr:e ml;. Thc actual installation lI mer(a) _
will be mute Fy me or thc.maintenance and repairmade by my mplar oo ml: eommercig) _
employee on the pmperty 1 own as per ORS Chtgtttr 447 ink( ,bannlJ evs(q
Ownr.'s si nature. LI Ke ,um
-- - u &( nwc'T OWOwai pan
Unna
,.—
AJJreys, _ iter heater —
City 151ate tIP: r: —
Phone -, NxE•mai1-- _--- Total
,`!,.MI wrwacUeM x'taM wali tarda,rrkau tali wrlrUcaae to mete.n amaiirin Minimum fee.......... ..... _J.
i Nolix:This peomit appti:aaon r
U Yua o MatruCare expires if a der nh is nut obtained Plus review(at_945', _
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Mar-06-01 03:05P Wolcott. Plumbing 503 667 9891 P"02
"10'"I '1'UL" 1+•12 VAX 503 SAA 1960 C171 OF 'HCAkU
4003
PLUMBING PERMIT FEES:
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~Lavatory
EorAchullN txtinn�od
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or'ubJSMMer C,pnb 18.8) as gyp Z bath 0.00
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eler t.l0l cl 1 � �-
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waver Service•each and bonJi 100 416110 Other FlkWref
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GotCh Basin-�� 1660 —'-
Infpecliun of Eaift(ng Plumbing or pecialy 250 '7
Re uefleq Inspoetailapelt' COMMENTS REOAROINO ABOVE:
Rein 1 1811- •Ingle I■rwly dweling 6525 2
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CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
WOLCOTT PLUMBING CONT. INC
PO BOX 2007
GRESHAM, OR 97030
Plumbing Signature Form
Permit #: MST2001.00159
Date Issued: 7119101
Parcel: 2S104DA-06600
Site Address: 13124 SW RAPTOR PL
Subdivision. QUAIL. HOLLOW - WEST
Blor.l;: Lot. 052
,h irisdiction: T:+'�
Zoning: R-4.5
Remark!,. New SF detached rowhouse in Building #4. Stbacks as per sheet A10.10
Plan AS
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 aporopriate 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 Dept.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
BROWNSTONE HOMES WOLCOTT PL' IMBING CONT. INC
12670 SW 68TH PKWY #200 PO BOX 2007
PORTLAND, OR 97223 GRESHAM, OR 97030
Phone #: 503-598-7565 Phone #: 667-1781
Req #: I tc' 23847
PI M 26-208PB
AN INK SIGNATURE IS REQUIRED ON 1-I-11S FORM
Signatu , Auth i ed Plumber
If you have any questions, please call (503) 639.4171 , ext. # 310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
STREAMLINE ELECTRICAL_
6025 EAST 18TH STREET
VANCOUVER, WA 98661
Electrical Signature Form
Permit #: MST2001-00159
Date Issued- 719101
Parcel: 25104DA-06600
Site Address: 13124 SW RAPTOR PL
Subdivision: QUAIL HOLLOW -WEST
Block: Lot: 052
Jurisdiction: TIG
Zoning: R45
Remarks. New SF detached rowhouse in Building #4. Stbacks as per sheet A10.10
Plan AS
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 Electrical Signature Form prior to the
start of the work to the address above, ATTN: Etuiiding Dept.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR
BROWNSTONE HOMES STREAMLINE ELECTRICAL.
12670 SW 68TH PKWY #200 6025 EAST 18TH STREET
PORTLAND, OR 97223 VANCOUVER. WA 99661
Phone #: 503-598-7565 Phone #: 360••993-5080
Req #: LIC 116514
ELE 34A32C
SUP ANON -
AN INK SIGNATURE IS REQUIRED ON THIS FORM
JX ell 4ec�'1 -
Signature of Supervising Electrician
If you have any questions, please call (503) 639-4171, ext. # 310
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 839-4175 Business Line: 639-4177
BLIP
Date Requested -- -AM------—PM ---- BLD ---- -- -
Location_ it l Li �? Suite MEC —
Contact Person �_ Ph �e� � S J )�� PLM _.-----___---
Contractor _ Ph SWR
BUILDING _ - Tenant/Owner _ _ `LC - - -----
Retaining Wall ELR _--
Footing Access:
Foundation FPS
Ftg Drain _----- SGN
Crawl Drain Inspection Notes --
SlabSIT
Post&Beam
Ext Sheath/Shear --
Int Sheath/Shear
Framing C�41L1 rs
Insulation
Drywall Nailing
Firewall I _
Fire Sprinkler_. -
Fire Alarm
Susp'd Ceiling
Roof -
Misc - _ --
ASS PART FAIT_ --
PLUMBING
Post&Beam
Under Slab L:19TT"2- is-al
Top Out
Water Service _-_--___--
Sanitary Sewer
Rain Drains --- -
Final
PASS PART FAIL - --_ _ �.--_---- --
MECHANICAL
Post& Beam ---
Rough In
Gas Line
Smoke Dampers - _-- -
SS PART FAIL
EMTRICAL
Service -
Rough In
UG1Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL -_____�-_-_--._�
SITE
Backfill/Grading -`- —�
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Unable to inspect- no access
Fire Supply Line ( J Please call for reinspection RE _--__ ..____ I 1 P
ADA -
Approach/Sidewalk Data 10z42n Inspector -_ �-� -_ - -�Ext _
Other _ -
Final
PASS PART FAIL—1 DO NOT REMOVE this inspL-r:tion record from the job site.
CITY OF TIGARD BUIL DING INSPECTION DIVISION MST
24-Hour Inspection Line: 63S 75 Business Line: 639-4' f
BUP
!Date Requested _ �� Li AM ---.PM _ BLD
Location— "> / <� t_ f' �-- Suite MEG
Contact Person '� Ute-- Ph -7 FILM
Contractor]' �.vr_L_�rrs _/��•�i'i c K id Ph b�?--"J;'z_3 �Xb SWIR
BUILDING Tenant/Owner _— _ ELC
Retaining Wall ELF?
Footing Access: FPS
Foundation -
Ftg Drain --- -- SGN
Crawl Drain Inspection (Votes.
Slab I - - - ----__----- - SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing - ---�_-�- --- ----- - -
Insulation
Drywall Nailing ---- - — - - -- _
Firewall
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling '� E..
Roof
Misc: __ - --- -- - - - --- ---- ---
Final -- _ -- -
PASS PART FAIL ---- ----- - - - ----
PLUMBING
Post& Beam -- — -
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post&Beam
Rough
--
Rough In
Cas Line
------
Smoke
---Smoke Dampers
Final ----- -----___—__----. -._ ___ _ -- _--
PASS PART FAIL
ELECTRICAL
Service --
Rough In
UG/Slab
Low Voltage
Fire Alarm _ _— ----- --- -- ------_ - ----- - - _ --
fin 1r
PART FAIL
SI E _
Backfill/Grading ------ -- ----------- -___—._ __._
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Ulvd
Catch Basin [ ]Please call for reinspection RE: -- [ J Unable to inspect-no arces,
Fire Supply Line `--
ADA
Approach/Sidewalk
Other -__--- Date Inspector Ext _.
Final ✓�
PASS PART FAIL DO NOT REMOVE this inspection record from the job site,.
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24-Hour Inspection Line: 639 75 Business Line: 639-41, .
BUP
nate Requested -- ! _AM_ PM _ BLD
Location T I L�_�-� ',r- z _—_ Suite MEC -
l �C .�
Contact Person Ph 7 PLM
Contactor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall — ELR
Footir.g Access'
Foundation FPS _
Fto Drain w_ —
rrawl Drain Inspection Notes SGN
Slab ------ - SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation ! ---
Drywall Nailing
Firewall �-- - --
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof � �, — ----- -------- -.
Misc: --- - __ . . .- . - _r_-
Final
P T FAIL
LUMBING
t.8at3eam _____
Under Slab
Top Out ----- /
Water Service
Sanitary Sewer -
Rain Drains
m
SS PART FAIL
MECHANICAL �
Post& Beam -
Rough In
Gas Line ---Lee"
_- — -
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL - --�
Service
Rough In —
UG/Slab
Low Voltage
Fire Alarm
Final --
PASS PART FAIL
SITE
Backfill/Grading —
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ «required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ]Please call for reinspection RE ( ]Unable to inspect-no access
ADA
Approach/Sidewalk — /1 /
Other Date Q�. _Insl?�etor { ` _ _Ext
Final
PASS PART_ FAIL DO NOT REMOVE ti-vis inspection record frocn the job site.