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13',50 5W Raptor Place
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 #: MST2001-001 a6
Date Issued: 7/19101
Parcel: 2S104DA-06300
Site Address: 13150 SW RAPTOR PL
Subdivision: QUAIL HOLLOW -WEST
Block: I..ot. 019
Jurisdiction: TIG
Zoning: R-4.5
Remarks: New SF detached rowhouse in Building #4. Setbacks as per sheet A10.10
Plan AN
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 Dept.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR.
BROWNSTONE HOMES WOLCOTT PLUMBING CONT. INC
12670 SW 68TH PKWY #200 PO BOX 2007
PORTLAND, OR O7223 GRESHAM. OR 97030
Phone #: 503-598-7565 Phone #: 667-1781
Reg #: I W. 23847
PI M 26-208PB
AN 6NK SIGNATURE IS REQUIRED ON THIS FORM
X_ - -�jj''��T � —
Si9 naturAuthbred 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 9866.1
Electrical Signature Form
Permit #: MST2001-00156
Date Issued: 7119101
Parcel: 2S104DA-06300
Site Address: 13150 SW RAPTOR PL
Subdivision. QUAIL HOLLOW - WEST
Block: Lot: 049
Jurisdiction: TIG
Zoning: R-4.5
Remarks: New SF detached rowhouse in Building #4. Setbacks as per sheet A10.10
Plan AN
Your company has been indicated as the electrica' actor for the permit indicated ab,,),/e. In oder for the
electrical permit to be valid, the signature of the cul, , wising electrician is required. Pl,-,'.se 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: Building Dept.
No electrical inspections will be authorized until this completed Porn► is received
OWNED ELECTRICAL 3ONTRACTOR:
BROWNSTONE HOMES STREAMLINIE ELECTRICAL
12670 SW 68TH PKWY #200 6025 EAST 18TH STREET
PORTLAi'U. OR 97223 VANCOUVER, WA 98661
Phone #: 503-598-7565 Phone # 350-993-5080
Req #: uc 116514
EL.E 34432C
SUP
9�� /-S
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X-A, 4�i'll
Signature of Supervising Electrician
If you have any questions, please call (503) 6'9-4111, ext. # 310
CITY OF TIGARD _MASTER PERNil
PERMIT#: MST2001-00156
DEVELOP MENI SERVICES DATE ISSUED: 7/19/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 13150 SW RAPTOR Pt PARCEL: 2S104DA-06300
SUBDIVISION: QUAIL HOLLOW - WEST ZONING: R-4.5
BLOCK: LOT: 049 JURISDICTION: TIG
REMARKS: New SF detached rowhouse in Building#4. Setbacks as per sheet A10 10
Plan AN
BUILDING
REISSUE: STORIES.I FLOOR AREAS --REQUIRED SET13ACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 31 FIRST: 173 at BASEMENT —^ef LEFT: SMOKE DETECTURS.
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 735 of GARAGE: 547 of FRONT PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: 1 FINSSMENT: 580 of RIGHT:
VALUE: $141,59000
OCCUPANCY GRP: R3 BDRM 3 BATH: 2 TOTAL: 1,488 00 at REAR:
PLUMBING
SINKS: I WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS 1 FLOOR DRAINS: SEWER LINES: 100 OF RAIN DRAINS: 2 CATCH BASINS:
TUB/SHOWERS: 7 GARBAGE DISP 1 WATER HEATERS: 1 WATER LINES. 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES: 1
MECHANICAL
FUEL TYPES FURN c 100K: 1 BOIL/CMP c 3HP: VENT FANS: 3 CLOTHES DRYER: 1
GAS FURN>000K: UNIT HEATERS: HOODS: OTHER UNITS: 1
MAX INP: blu FLOOR FURNANCES VENTS: 1 WOODSTOVES: OAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FOR: 2 PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 800SF: 3 201 -400 amp: 201 •400 amp: lel W/O SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 •Sao amp: 401 •800 amp: EA ADDL OR CIR: 1 SIGNALIPANEL: IN PLANT•
MANU HMISVCIFDR- 601 • 1000 amp: 601+8mps•1000v: MINOR LABEL:
1000+amplvolt:
PLAN REVIEW SECTION _
Reconnect on1V: •
4 RES UNITS: SVCIFDR>•228 A.: >800 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL•RESTRICTED ENERGY
_ A.SF RESIDENTIAL S.COMMERCIAL
AUDIO&STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: ALL ENCOMB BOILER: MVAC. LANDSCAPFARRIG: PROTECTIVE SIONL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC DATArTELE COMM: NURSE CALLS: TOTAL a SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 5,696.13
BROWNSTONE HOMES BROWNSTONE HOMES,LLC This permit is subject to the regulations contained in the
12670 SW 68TH PKWY#200 12670 SW 68TH PKWY Tigard Municipal Code,State OR Specialty Codes and
PORTLAND,OR 97223 PORTLAND.OR 97223 all other applicable laws All work will be done
accordance with approved plans This permitwilit
l expire N
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
Rego: 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(503)246-1987
REQUIRED INSPECTIONS
Erosion Control Insp 8, Underfloor insulation Electrical Service Low Voltage Firewall In 1 Appr/Sdwik Insp
Sewer Inspection Plm/undslab Insp Electrical Rough In Gas Line Insp drain ns p Electrical Final
Footing Insp PLM/Underfloor Framing Insp Gas Fireplace //Roof lallin Mechanical Final
Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Wate Lie nsp Plumb Final
Slab Insp 'lwlrib Top Out Exterior Sheathing Inst Gyp Board Insp Wate S i e Ins Final inspection
Issued By : 1_G1_r Permittee Signature . L/
Call (5 3) 639-4175 by 7:00 p.m. foi an inspection needed the next business Gay
CITYOF TIGAR® SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SwR2001.000()8
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/19/01
SITE ADDRESS; 13150 SW RAPTOR PL PARCEL: 2S104DA-06300
SUBDIVISION: QUAIL HOLLOW-WEST ZONING: R-4 5
BLOCK: LOT: 049 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEN/ DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SF detached rowhouse.
Owner: FEES
BROWNSTONE HOMES Type g Date Amount Receipt '
12670 SW 68TH PKWY#200 yP y --- p
PORTLAND. OR 97223 PRM T CTR 7/19/01 $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. �h permit expires
180 days from the date issued. The total amount paid will be forfeited if the permit expires. Th A ncy does not
guarantee the accuracy of the side sewer laterals If the sewer is not located at the rneasureme t ' en,the installer
shall prospect 3 feet in all directions from the distance given. If not so located, ler s all pu lase a"Tap and
Side Sewer" Pernit and the Agency will install a lateral. ATTENTION: Oreg law requi s )L
o fII rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 9 2-001-0010 t g O R 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by callin (503) 46-19811
Issued by: Permittee Signature ---
call (503) 639-4175 by 7:00 P.M. for an inspection needed the nest business day
Building Permit Application� ua„recaivEd;,3 Zp n� Permitmo.�.lT�ollr- is
City of Tigard .
ProjecUappl.no.: Expire date:
CiryofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223
Phone: (503) 639-4171 Date issued: By: j Receipt no.:
Fax: (503) 598-1960 Case file no.: Pament tpe:
Land use approval: 1&2 family:Simple jCo`mple,.'
C'1 &2 family dwelling or accessory U Commercial/industrial U Multi-family New construction U Demolition
U Addition/alteration/mplacement U Tenant improvement U Fine sprinkler/alarm CI Other:
t t
Job address;
Lot: ,cj C I Block: Subdivision; 7_ �1 a� T• Tax map/tax lot/account no.:
A Suite no.:
di
Project name: C� L_ l 1t_LU
Description and location of work on premises/special condition, eol'o LVALf-C- h Itickrit7►J 1! i"�
� t
Name: TCN3 6 KUMQs '
Mailing address: 126'70 Sw (r6t-" 2kwq✓ O I &2 family dwelling:
City: Q T State:tx ZIP: 7Q23 Valuation of work............................ $r
............
Phone: FaxIlf9ciS I E-mail: No.of bedrooms/baths............ _
Owner's representative: � Mi tArD%"S Total number of floors...............3.
.............
Phonr: W': IF-mail: New dwelling area(sq.ft.) ....Jl. .4.0...... —^--�—
Garageicarport area(sq.ft.)......kfQ4.........
Name: Covered porch area(sq.ft.) ....................... ,.
----
Mailing address: Deck areas ft. �U 5o t�1
--
City: State 7..1P: Other structure area(sq.ft.).........77
_
Phone: Fax: I E-mail: ('ommercial/industrial/multi-family:
11111 IF 11 Valuation of work.....................................•.. 5_
Business name: pts q , • Existing bldg.area(sq.ft.) ..........................
Address: - New bldg.area(sq.ft.)................................ --
City; 1 Number of stories.................•......................
-- State: ZIP: Type of construction.................................... _
Phone: 1-ax: Email:
Occupancy group(s): Existing:
CCB no.: _ New:
City/moro lic.no. Notice:All contractors and subcontractors are required to be
11111&1111,411 t licensed with the Oregon Construction Contractors Board under
Name. (-� d provisions of ORS 701 and may be required to be licensed in the
Address: \1 \ I `(0t-M (; t Si (o jurisdiction where work is being performed.If the applicant is
Cit State•W R I ZIP: 1(ol.01
exempt from licensing,the following reason applies:
Contact person: WM I Plan no.: - — --
Plrone:76b- A(a - Fax:)A*4E 7- E-mail: -- _ ------ —
Name:WQ_t° E51e-t . 1Contactperson:rM) Wj11,A&i Fees due uixm application ................. 9.
Address: ('0 0i w 13 5 Date received: .__
City: State&- Amount received ........................•................ 5 _
Phone -q b 33 1 Fax: I E-mail: _ Please refer to fee schedule.
1 hereby certify I have read and examined this application and the Na all jurisdictions acLe"emit earth,prase wt jurisdiction for more information.
attached checklist.All provisions of la sand ordinances governing this a visa U MasterCard
work will be complie it ,whe ,Id herein or not. credit gra nnmbex
Authorized signature: _� Date: JName of t ider as shown on credit cod p
Print name: �'YV� Q- ( A Dt -- s
C si�tnaturc Amoum
Notice:This permit application expires if a permit;s no,obtained within 180 de,s after it has bten accepted as complete. 40461 3(69WCOM)
Mechanical Permit Application
Datereceived: Permitro.A%S/ZpQ Q
City of Tigard Project/appl.no.: Expire date:
Address: 13125 SW Hall Blvd,Tigard,OR 97223
f:iryojTigard Date issued: By: Receipt no.:
Phone: (503) 639-4171 --
Fax: (503) 598-1960 Case file no,: Payment type:
Land use approval: Building permit no.:
1
V� &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
®New construction U Addition/alteration/replacement U Other:
Jolt SITFINFOICNIA'l ION C(AIMERCIAL VALUATION S( D1 I LE
Job address: ' J L Indicate equipment quantities in boxes below.Indicate the dollar
Bldg.no.: i Suite no.. _ value of all mechanical mate als,equipment,labor,overhead,
Tax map/tax lot/account no.: profit.Value$ �GDO
Lot: q q 113lock: Subdivision:QUA%l Hol low W_E 'See checklist for important application information and
Project name: Ql '11 �616W 1ZY4JE40tul:F' jurisdiction's fee schedule for residential permit fee.
151
City/county: IC: t c) }-� ZIP_g1'Z2 1 t
Description and location o work on premises: putty t51�y32i _ICU.(Y t 1 t t
Iree(tst.) Total
Est.date of completion/inspection: Descrl oo . Res.only Res.onl
yl
Tenant improvement or change of use: >c7
Air handling unit
Is existing space homed or conditioned?U Yes U No it conditioning(site plan required) �-
Is eh.isting space insulated?U Yes U Nuteration of existing HVAC s stem
Boiler/compressors
_� ,.�-�� � State boiler permit no.:
Business name: vUYL �/rrv�T 1�t f* 11 C°D�in HP --Tons—BTU/11
Address: O L.- Firelsmoke amper duct smo a detectors
City: yfL"f Statet',r ZIP:cf-7 2q0 eat pump(srteTrequir )
Fax: nsta rep ace urnac umer
Phone: ej 5' -175 I X41 E-marl: — Including ductwork/vent liner U Yes O No
CCB no.: 2 r mato rep ac re ocaieheaters-suspenTd
City/metro lie.no.: DO w 1 O _ wall,or floor mounted
Name(please print): V1 M��m� - vin—,Ti-)a•,Lanceof er anfurnace
Rr etat oo:
Absorption units � $TUM
Name: �I Chillers _s HP
_ Compressors--- _ HP
Address: / L �11m ronmeota ex oust an vrnt at on:
City: State: ZIP: Appliance vent I
Phone: Fax: E-mail: )ryerex aust I _
s, ype res. rte a azmat
hood fire suppression system
Name: Act Brti�G . Exhaust fan with single duct(bath fans)
Mailing address: .x hoist s stemmart ram heatingor
Stale: ZIP
Fuel piping and""' oo(up to ou
: els
City: Ty LPG NO ,ice_ Oil
Phone: Fax: E-mail: ue i rn eac a r oma over octets
Process pip GFTrequrequite )
Numberof outlets
Name: S�1 M Ic c g � — er �sitd a p ace or equ pment: --
Address: — _ _ Decorativefiroplace
City: —_—� State: ZIP: --- Tnsen-ry
-- stov pe et stove
Phone: Fnx: E mail: ri er: _
Applicant's signature: Date: Ot —�
Name (print):
tit)uriadkums scary"credit care..pkae call}urikkdm I'M nvnm int«wi0n. Minimum
fee
Not ................
Notice:This permit application MMinimum fe.e $................E
Oviss U MasterCard expires if a permit is not obtained
Credit card number: — __�_ Plan review(at — 96) $ —
t;xr4R, within 180 days after it has been State surcharge(8%)....$
-- Norrie on ctedil cad accepted as complete. TOTAL $
C'rdh,d Amount 414 617(&Ol V0M)
1
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION_: FEE: Description: �~ Price Total
Tto$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code Uty (Ea) Amt
$OT
9) Furnace to
$5,001.00 to$10,000.00 $72.50 for the firs'$5,000.00 and ducts
& 0 BTU vents 14.00
$1.52 for each additional$100.00 or Including duccts
fraction thereof,to and including 2) Fumace 100,000 BTU+
$10,000.00. 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) Suspender)heater,wall heater
$25,000.00. or floor mounted heater 14.00
$25,001.00 to$50,000.00 $379.50 for the first$25,000,00 and 5) Vent not Included in appliance permit
$1.45 for each additional$100.00 or 6.80_
fraction thereof,to and including 6) Repair units
$50 000.00 12.16
$50,001.40 and up $742.00 for the first$50,000.00 and Cherie all that apply Boiler Heat Alr
$1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond
fraction thereof. footnotes below. Com
7)<3HP;absorb unit
- to 100K BTU 14.00
ASSUMED VALUATIONS PER APPLIANCE: 8)3-15 HP;absorb
Value Total unit 100k to 500k BTU 25.60
Description; Q Ea Amount 9)15-30 HP;absorb
Furnace to 10,),000 BTU,Including 955 unit.5-1 mil BTU _ _ 35.00 _
ducts&vents __ 10)30-50 HP;absorb
Furnace>100,()00 BTU Including 1,170 unit 1-1.75 mil BTU 52.20
ducts&vents 11)>50HP:absorb
Floor furnace Including vent 955unit>1.75 mill 87.20
_
Suspended heater,wall heater or 955 1�)Air handling unit to 10,000 CFM
floor mounted heater 1 10.00
Vent not Included In applicance' 445 13)Air handling unit 10,000 CFM+
permit
17.20
Reair units 80`' 14)Non-portable evaporate cooler
<3 hp;absorb.unit, 955 10.00
to 100k BTU 15)Vent in,,.connected to a single duct �l
3-15 lip;absorb.unit, 1,700 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
mil.BTU 17)Hood served by mechanical exhaust
30.50 hp;absorb.unit, 3,400 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 handling unit to 10 000 ctm 658 89.95
Air handling unit>10.000 cfm 1_j 70 20)Other units,Including wood stoves
Non- rlable eve rate ceoler 656 _ 10.00
Vent fan connected to a singie duct 446_ 21)Gas piping one to four outlets
Vent system not Included In 656 5.40
appliance point) 22)More than 4-per outlet(each)
Hood served by mechanical exhaust 656 1.00 _
Domestic incinerator 1,170 Minimum Permit Fee$72.50 SUBTOTAL: $
Commercial or Industrial Incinerator 4,590_ _. 72
Other unit,Including wood stoves, 656 8%State Surcharge f
Inserts etc.
Gas piping 1-4 outlets 360 25%Plan Review Fee(of subtotal) � $
Each additional outlet 63 Required for ALL cclmmercial permits only
TOTAL COMMERCIAL �, TOTAL RESIDENTIAL PERMIT FEE:
VALUATION: ---
OMharInseecOM end Foot
1 inspections outside of normal business tx>nrs(minimum charge-two hours)
$72.50 per hour
2 Inspections for which no fee Is spedfrcally indicated (minimum chafpe-half hour)
$72.50 per hour
3 Aodltional plan review required by changes,additions or envisions to piens(minimum
charge.one-half hour)$72.50 per hour
'Stab Contractor eoiisr CartMutlon requited for units>200k BTU.
"RwAdentlal AIC requires•Hs plan showing placement of unit.
I!\dsts\formgVniech-fees.doc 10/11100
Electrical Permit Application
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City d Tig*td Pto�eaVappl no eltpMaasle: --
C Jrr rt/ntr�rtP Andreas: 13121 SW Hall Blvd,Tl`vd,OR 97223 Dah Haued Ay ltwoeip(ao.:
pfirwx: (501)4539-4111
Pa:: (56)198 1966 Can Gu no.. Paymeatyr.
Land use APPMVel: _
=A2 dwrllla=Of arocur,ry ❑ omrr+srCartU Multl•family .]Te.naM irnpmv*fromt
ll«► 0 AddltbrlJaltctaticxtlrplacerrxnt U Other: U Plutial
lob atiAnpaa:� rl C. pld{.n� i 9uia noYvt map/Caa lewlacatwnt 1M,: -
lnt: b
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which b Pd itllr%led for sale.1 fw elchanre acco+dins to mar
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rrin aw+1.t+r�tlw+�w'1°'�s+rr.rt�.isa Norioa 1-hisparchappucwicw
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WNhlp 110 de a ath,r it hu baa, Stan aurchatle(>!`lb).. S
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.�.-_..._.�. ta,eplaE eta ccraplata
TO/10 3r)bd :1181;1313 34I1WV3diS
Mar.06-01 03:05P Wolcott Plumb incl 503 667 9891 P.01
01!00/01 TO 14 41 WAX 50:1 SAA 1960
CI'T'Y t)f' '171CANfi
�Qj0U2
PlumPermit A pplics,Son
City of Tigard Date rGrxIvad: Partrtil no,; < /
Addrextt. 13123 SW Mall Blvd,l'ig&r 1,OR 97223 Sewer parfait no.: Building permit no,:
l lryc;r7irard 19lone: OKM 4539.4111hoes✓ Lno.:
i apC eaputdate:
hut: (503)S9&1960 Dateiswed- � —
BY 1'tIC utc,
".curd use approval: _ — Ccac fila no. Parmcnt type
EmErikall-A 61 X! I
U 1 &2 family dwcllmg ur wce4+tN•y U COOIInIRCial/Indwrli l U Mu:a•fam l
Q New clxtstrucuotl 0 Additit n/altennrra/irplacement U food scc�tce Q Tcnwt tmprc,v<mcnt
Q Ut1xr
Qum
Job addrElr. - Ueacrlpnlop Ftte(es, Totel
Bld .rev.; Swee no.: Nen 1.
-trod 2'hinally y:
Trtxmap/tax ot/aeCOUutno• (tw—Wesloon.for""utility[ppte"don) ,
Lut. C Block Subdivialon: - SFR t i 1 bath
ptoj-ntVnc. - - SFTf 2i batTi"— ---
_ S
Citylctwn : 2Qs: — �ricTi aJdhiOna�at�l�nichc _
Description and localilon of wutk on pmmiser._�_` _ site WULII sea:
Catch basintarea draw+
Est date of ccxnpletionituspertuvt— tywcIT&-rie-27 Ilse/trencTi
wottn dram no n. �— --
Bueincss name: l►�OIG p k uroctvred orae utllints
M -s"`3---- - aa
n cs
ilddtr4e�0�j ��2
-00'� a n drain connector - --
Clcy; re y4.p r�. 9latc j� ;1P. --- a t sewer --
Pllortt,So;-dd7-Iy far 467-911 R i B-mail: yt Ori-cw1Y Sinrm saver ao. in, - --
CCB no.: 2 11f yl t Plumb•bas•reR•oo 'L4-Za pp W ater service 1`--' - - -'
Citynnetru lic no: Futttre or Newt
Cuntraecor's repscstriladvc stgoattue: Abs tion valve
kvoates
4 waur va ve
earn ova:txy 1111'
Name C o x wwhcl -`
Addrem- - _ --- is wtis �r
City: — -- 9tnte -.�:IP: ri_�k,tn—n(1)
L'ac rump
Phut.e:
Fax E tnaO F- ezn 1-1 on(an -
ixtu sewer cap -- _
hantc(pnnt). Flair 'oot tinJcAuW
M__!LUj nddteas: ---"-- a des
- ase bt b
City. �Stw..- r,'up: ce m er
Ptrune. Fan: Emailliterceptorigmtse trtisp -
tlwntt m+lallrtiuNttStdenttnl ma ntename only: Th. actucd installation 1'r,mer(.
will be made ay one or the maintenance aad tepau-nude by my regular —re—ofr 1.r,Icoritmetl ial -
emplcryce on the pmpeny i own a1 ref URS Ch 147rfTi -i;baatn(a; ays 1
Owner's si nature: _ Due• umpp -
-® u aha tswt:r ower pan
Nutie: l,nnT—
---
AJJrest.
- neer atcr
City RWa-7i1p. _ r.
pllUhe' _11'.11.._-.'�Y r: E•ttlnll. � Ott
tk+all i111 vjawmwcradludr•f1mucallmdrUrbw(ae�nmrMuee 14woe•11ria permit Minimum he'..
UYtu OMatucrud
P out obt,on plan review(tit , %; S -
cxplrca Oil permit u out obtained - -
c"y'trd*Oak, within 180 d,ys altef it has Bien State mitcharpo(R96) $ _
-- ncccd led fit aomtl lete
C•1.-�OtdEt Y itNw�e11 hf�1M CMO
-__' "-arae inuun Air3Air 111.4 -
-- .— r l 0� saruelcaVrCcN;
�rI
� a
Mar-06-01 03:05P Wolcott Plumbing 503 667 9891 P. 32
93/06/u1 '1•L1•• 11 1; FAX 501 .59A 19G0 C171' OF '11CAND 4003
PLUMBING PERMIT FEES:
__-- .—�-- RI ; TOTAL rvw t and 24,6 y,dw.pi a.only: -r--.
KIXTt�Ai�' endividuil) ;. � ! [7TY' ear , AMOAT, (lq¢hui•s alFptumbtnt�' atW01,Ip p1'✓lth TOTAL
ap AMQUNT
51rk t0 bt the dwe0lny and the At1�t100 ftp tiTY l
Lavatory Q/
16 0) for sibch uU1G nsellon
;, aite�l ba71 524e 10
T-ub or'ub/SMMer comb, 10.6) vn 2 bath 36000 _
Sh^wor Only _— 1813) -- Thos i31 balk $39900
"Mato
linnal-
Cishwaahlr t611) PLAN RAVItfW 45a/a Of 9UBTClTAL _
Garbage 6Ypoaal
lstundry frpy tOE�
pltkrlq Machine t
Floor uralro our 31nk 2• r 16 to
;�------ , PLEASE COMPLETE-
4' 410
1A.ter Heater O c nwra un Ike.lmd td c 0 uxn i b v foi i phi►ortned
Cas 01p�n0 requires s sdparste rrw;hsrncal I f Flxttxe Type: New Mov tl Replaced RimdveW
MFG HaR*Mew MM Sarvida 111.0 Sink
Mrti Horne Naw SaN9tprm ev+ar 10 twat _
Hose a be to 10 Tub/Shower
ADODiulo
gnnk'rtg Founlain 1s 1 o water Closet
01her Fiitursw(apeCl ) 16 n0 hra
Dishwasher
Garbage Cb osal
—
Laundry Room r
4�1r.
Washln Mo ne'ink'Ist 1501 as
Sower•ue adduwvl A6 104'wst�iest�r5ernce.sach aa46 10OthK F x1urNSlorm L Rain L`lair •eacx6.10 —
Commerd• Bach F10w�teW 1bn qav • 4G 10
Kosldpnlial jja,flcw preventbn 27 55 —�
L'atCh Basin 16 60
InspeCtIun of EatatlrlQ plumbinq or peciaey
A6 ueeled ms.Pa_ctions COMMENTS RECARDIND A80Vt
Rolm U1 ah,singl_amity dwellny
,reale rfsps
CIUANTITV OTAL —
laomltnc at it,dlapenl IS•agm'ed It
*SUBTOTAL — "'-
8%STATE SURCHARGE - -- --
`•MEAN REVIEW 15'!1 OF�I.BTOTAL •
geck,YaQ•nrrr J hdurr Ch-rrran•S
T TAL
'Mlrrlm.T permit fit U a7;so•!ts Nara alrelsrer,save Rra;A!MIM eteaavr
Prs�rr t,-1n Dever.wr1 cn,a tae la•1%0#10 W Knalee
r•Aa naw Celrlmaroal sunernva renins VU»wllh laorrMt t w its v!!loran aro
pian•r.'.aw.
I�,ietsVomistptm-trea,doc �Q/t0/00
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639 75 Business Line: 639-•41
� SUP
Date Requested ) - l `1 -AM PM Li- BLD
Location i_ ' l SZ)
i1L`-r - '� Suite MEC
Contact Person �C'LU-0- Ph 7:2 2. Sl Uc PLM
Contractor c������� -�-
111�eJ✓}7 -% L ���i Ph �/, --�fj SWR -- �-
E3UILDING Tenant/Owner ELC
Retaining Wall ELR —
Footing I Across: —
Foundation FPS
Ftg Drain -
Crawl Drain Inspection Notes: 6GN —_—�
Slab
. .--- -_-_-_--------- ------ SIT
Post&Beam ---
Ext Sheath/Shear
Int Sheath/Shear - — --
Framing
Insulation
Drywall Nailing
Firewall -----------__
Fire Sprinkler -
Fire Alarm -
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL. _
PLUMBING
Post& Beam -•—
Undpr Slab
Top Out - --
Water Service
Sanitary Sewer —
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post& Beam -- - -._
Rough In -----_-------
Gas Line _ _ - _ - ------ ------- - --- - -_
Smoke Dampers
Final --- -- - — — --�
PASS PART FAIL
ELECTRICAL
Service
Rough In ----- - --- �- -
UV/Slab
Low Voltage ----
Fire Alarm _
PART FAIL
sin
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 -- _A-- ( ) Unable to inspect-no access
ADA
Approach/Sidewalk Date / /1� � Ins ecforOthe►
_-Ext
Final -
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 26-2) / d7) � 5
24-Hour Inspection Line: 639-411 5 Business Line: 639-4171
BLIP
--Date Requested / - _C.. AM PM __- _ _ BLD _
n
Location Suite MEC
Contact Person _ Ph S PLM
Contractor —_—_--_ �_ Ph — SWR ---------._�..__--
BUii.DING Tenant/Owner — _ _ ELC —__--
Retaining Wall FLR
Footing Access: FPS
Fowidation -------- - ---
F!g Drain - - SGN
Crawl Drain Inspection Notes: ---- -Slab SIT
�- _ __- SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing [
� - �
Firewall
Fire Sprinkler - _- - -- --- -
Fire Alarm
Susp'd Ceiling -- -- ----- -- -
Roof
Misc.- -- - �— --- __ - --- ,.- --
rna ..._�
MS§ PART FAIL—
PLUMBING
AILP T BING ---
Post& Beam
Under Slah
Top Out
Water Service .--------_-_--
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post&Beam --
Rough In
Gas Line
Smoke Dampers
5 PART FAIL.
ELECTRICAL
Service --- -
---
Roughln —
UG/Slap
Low Voltage
Fire Alarm
final
PASS PART FAILSITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ I Reinspection fee of$ --___ required before next inspection Pay at City Hall, 13'25 SW Hall Blvd
Catch Basln
Fire Supply Line [ J Please call for reinspection RF -_. -. [ J Unable to inspect- no access
ADA _
Approach/Sidewalk Ext
Other _ Date ..�I _—_._- Inspector
Final
PASS PART FAIL 130 NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BU!' 71NG INSPECTION DIVISION MST Z
24-Hour Inspection Line: 639 - .75 Business Line: 639-41, .
BUP
_Date Requested t/ �� AM PM ELD
Location �� ��' — Suite MEC _
Contact Person Ph % `i7 7PLM
Contractor _ Ph _ SWR _
BUILDING — �— Tenant/OwnerELC
Retaining Wall — ELR
Footing Access:
Foundation FPS
Fig Drain SGN
Crawl Drain Inspection Notes'
Slab SIT
Post 8 Beam ---- -- ---
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation —
Drywall Nailinrg
Firewall
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling - - -- -- -
Roof
Misc: -
Final
PASS PART FAIL - --
PLUMBING
Post& Beam - -
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
S r''+RT FAIT_
M CHAI L
Post&Bear --
Rough In
Gas Line -- .. - - - --- -
Smoke Dampers
Final - - - ----
PASS PART FAIL_
ELECTRICAL -
Service
Rough In
UG/Slab -- - -- - - - -
Low Voltage
Fire Alarm
Final - - -- -- _- _ ---- - ------ -- - — - -
Final
PASS PART FAIL �._.�-----
SITE
Back filllGrading ---__ ---------- ---------- _ -- -----
Sanitary Sewer
Storm Drain ( J Reinspection fee of$s—_—required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ]Please call for reinspection RE: _ [ J Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date Z �+p6*r' _.�Inspector � --.__-A'�'�- ---- —__.—Ext
Final
PASS—PART FAIL. DO NOT REMOTE this inspection record from the joky site.
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