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13174 SW RAPTOR PLACE W V Ob M V O rah d n fD 13174 SW Raptor Place CITY OF TIGARD 24-Hour _ BUILDING Inspection Line. (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 _ BLIP _ Received __ ________.__ Date Requested AM PM BLIP Location __. �%� a- -- Suite _______ ___ MEC Contact Person _ __--- Ph(-) 1 PLM Contractor _. ___ --_ _ _ -- Ph( ) __- SWR -- BUILDING Tenant/Owner __ -_-__ -- ELC Faoting__ ELC Foundation 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 BINQ Post&Bearn Under Slab — - -- -- Rough-in Water Service -------_ -. — - __ Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain --`�----- Shower Pan Other: - — -- — --- __ — _—_ ,Ff ASS PART FAIL _ ASS ANI AL P�� Bearn Rough-In - —-- Gas Line Smoke Dampers Ptl5>al J PART FAIL - RICA Service Rough-In UG/Slab Low Voltage --- -- — --— —---- - - - EWlarm i ASS PART FAIL Reinspection fee of$,—_ required before next inspection. Pad :i City Hall. 13125 SW Hall Blvd. — - F� Please call for reinspection RE: —_ —_— Unable to inspect-no accesr, Fire Supply Line &__�InvpeetorADA ''Appraach/Sidewalk � __ ___ Ext Other: Final DO NOT REMOVE this In pection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639 441 1 MST ^�i0/ SUP Received - —I`Date Requested�_ s 7 —_ AM PM BLIP - - Location -Suite_ -----_.__-- MEC Contact Person �c c_/ � _ Ph( _) zl -3 pi_M _ Contractor _ Ph(-- ) ----_._-----------.---�.__ SWR - _-- BUILDING_ Tenant/Owner _ _ ELC Footing ELC Foundation Access: Ftg Drain ELF! Crawl Drain Slab Inspection Notes: v — SIT -_ Post&Beam Shear Anchors - Ext Sheath/Shear Int Sheath/Shear �,- s- / -�-- -- Framing � `t a__ � Q Insulation `� �/ ( ' L-4,Ir,i- Drywall Nailing Firewall T, �-�t� (" S� Fire Sprinkler _�-L�"'- ""__--S ``- Fire Alarm Susp'd Coiling -- -- ----- -- --- Roof Oth r: PAS PART FAIL _ MBING Post& Beam Under SlabU I�( � -_ Rough-In P41 Water Service C --- Sanitary Sewer Rain Drains ` --- Catch Basin/Manhole Storm Drain --- --- - -- - - Shower Pan Other: Final _ PAf?T FAIL ,MECHANIdW Post&Beam 'lough-In ------- Cas Line Smoke Dampers Fin _ A PART FAIL _- -------- ------- --- ___� ELECTRICAL Service Rough-In UG/Slab L/ -- Low Voltage Fire Alarm Final Reinspection fee of$._ __ _ required before next inspection. Pay at City Hall. 13125 SW Hall Blvd. PASS PART FAIL. SITE —� F1 Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA ~'Z,, Approach/Sidewalk Data.._-�_ —_ Inspector- V ( L Other: Final ---- -� 00 NOT REMOVE this Inspection record from the)oh site. PASS PART FAIL d O b r 71 m ry O• C 0 v W n c:, O I � a O a O Q C7 Y �e It i AAAAAAAAsoon AAAAAAAAaeAAAA AAAAAAAAAAAAAA AA ► ! C '9 o \ ! ac � ► a I ► ;..., it ► w LIP) .� �, ► � Q4 I AiiirViir�Vi�iivivvwvivv"� 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 #: MST2001-00165 Date Issued: 10/30/01 Parcel: 2-104DA-06000 Site Address: 13174 SW RAPTOR PL Subdivision: GUAIL HOLLOW - WEST Block: Lot: 046 Jurisdiction: TIG Zoning: R-4.5 Remarks: New SF detached rowhouse in Building #2.Setbacks as per sheet A10.10 Plan A-S 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: Building 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 98661 Phone It. 502-598-7565 Phone #: 360-991-5080 Req #: UC 116514 ELE 34.432C SUP 4081S AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of 5upprvising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITY �� MASTER PERMIT �! PERMIT#: MST2001-00165 DEVELOPMENT SERVICES DATE ISSUED: 10/30/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRES;: 13174 SW RAPTOR PL PARCEL: 2S104DA-06000 SUBDIVISt:1N: QUAIL HOLLOW-WEST ZONING: R-4.5 BLOt',K: LOT-046 JURISDICTION: TIG REMARKS: New SF detached rowhouse in Building#2.Setbacks as per sheet A10.10 Plan A-S BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 31 FIRST: 173 of BASEMENT: of LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 735 of GARAGE: 547 of FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 580 of RIGHT: VALUE: S 141,59000 OCCUrANCY GRP: R3 BDRM: 3 BATH: " 2 TOTAL: 1,488 00 of REAR: PLUMBING SINKS: I WATER CLOSETS: 2 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 2 CATCH BASINS: TUSISHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS MECHANICAL OTHER FIXTURES: I FUEL TYPES FURN<10OK: 1 BOIL/CMP<3HP: VENT FANS: 3 CLOTHES DRYER: I ',AS FURN—100K: UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS I WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEOERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 imp: 0 200 snip: WISVC OR FDR: 2 PUMPIIRRIGATION: PER INSPECTION EA ADO'L 500SF: 3 201 400 amp: 201 400 amp: let WIO SVCIFDR: 00 SIGN/OUT LIN LT: PER HOUR LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL OR CIR: I SIGNAUPANEL: IN PL ANT MANU HMISVCIFDR: 601 • 1000 amp: 6014amUo•1000v: MINOR LABEL: 1000♦amplvoll: PLAN REVIEW SECTION Reconnect only: —4 RES UNITS: SVCIFD0-225 A.: >6C0 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY A.OF RESIDEN rIAL B.COMMERCIAL AUnIO&STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL ENCOMB BOILER: HVAC LANDSCAPE/IRRIO: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATArTELF COMM: NURSE CALLS- TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 5,696.13 This permit is subject to the regulations 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 Rota#: 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 IN3PECTION4t Erosion Control Insp IN Underfloor Insulation Electrical iorvice Low Voltage Firewall Insp ApprlSdwlk Insp Sewer Inspection Pimrundslab Insp Electrical Rough In Gas Line Insp Rain drain Insp Electrical Final Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Roof Nailing Mechanical Final Foundation Insp Mechanical Insp Shear Wall Irsp Insulation InsD Water Line Insp Plumb Final Slab Insp Plumb Top Out Exterior Sheathing Inst Gyp Board Insp Water Service Insp Final Inspection Issued By : � �C _ >�! _. Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITY OF TIGARD __.___ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT #: SWR2001-00107 13125 SVb Hall Blvd., Tigard, OR 97223 (503) 639.417DATE ISSUED: 10!30101 1 PARCEL: 2 S104DA-(1;000 SITE ADDRESS; 13114 SW RAPTOR PL SUBDIVISION: QUAIL HOLLOW -WEST ZONING: R-4.5 BLOCK: LOT: 046 , --,____.________._JURISDICTION: TIG�p TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW 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 By Date Amount Receipt 12670 SW 68TH PKWY#200 — PORTLAND,OR 97223 PRMT CTR 10/30/01 $2,300.00 27200100000 INSP CTR 10/30/01 $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 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" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 2.16-1987. Issued by: J,e? At t Permittee Signature: "\ Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day Building Permit Application City of Tigard Datcreceived:_`2d D/ Permit no.: -"� fkojecUappl.no.: Expire date: CityojTigard Address: 13125 SW Hal, 31vd,Tigard,OR 97223 Phone: (503) 6394171 Date issued: By: IReceipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: — l&2 family:Simple Complex: d1l &2 family dwelling or accessory U Commercial/industrial U Multi-family New construction ❑Demolition U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: 11111110111111111101"111411111 a rol Job address: 1, / 1-1 -; i C i. / Bldg.no.: �, Suite no.: Lot: Block: Subdivision: $&I L p4 kto"r r T. Tax map/tax lot/account no.: ProjAIL_ ticl I ku W Description and location of work on premises/special conditions:—��,�_� iSC�_h I tCAru7na _ 1 (Floodplain,Septic elpacit's"%olar,Mr.) Name: v w n1 e--!' Mailing address: 12U(010 Sw b6t-' PArIk4A O I do 2 family dwelling: Cit -{ /k State:br ZIP: FQz3 Valuation of work........................................ $ e6-,re City: Phone Fax: P god 1 E-mail: No.of bedrooms/baUis............ ............. --- Owner's representative: /M-12pAn�� Total number of floors........... ...3.............. _ ffione: `775 Fax:579 399'1- E-mail: New dwelling area(sq.ft.) .....f..`�.?.Q ...... �A- _ Garage/carport area(sq.ft.)......�4......... Name: E Rc�_ q ._ • Covered porch area(sq.ft.) ..4U�..�....... Mailing address: Deck area(sq.ft.)........................................ City: State ZIP: Other structure area(SQ.ft.)....................... —_--_-- Phone: - Fax: Email: CommercloVindustrialimulti-family: t Valuation of work........................................ $ Existing bldg.area(sq.ft.) .......................... Business name: A New bldg.area(sq.ft.) ............................... - Address: --- Number of stories ....................................... City: State: ZIP: _ ................................... _ Phone: Fax: Email: Type of construction.Occupancy group(s): Existing: _ CCB no.: New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: "1 , d provisions of ORS 701 and may he required to be licensed in the Address: \� \ �CtJf�?rJ 1 IL l�S10 jurisdiction where work is being performed.If the applicant is Cit st'NI-M E Statc:WA ZlP (p1 1 _ exempt from licensing,the following reason applies: Contact person: ^X. Plan no.: -- — Phone:76,- 407- 1'ax:Vk 4 7- E-mail: - Name:W Q E61t1�. Contact person: MI 4v 111 Fees due upon application ........................ .. $ Address:_UL4SL2___ L't-- t H l3 V Date received: City: 1 Stateor` 7.IY:�j 7 Amount received ......................................... $ Phone;fes�t a 33 Fax: Email: -- Please refer to fee schedule. I hereby certify I have road and examined this application and the Not art lmitKoom weep acre,cards,prose cart iurisdicNon fen mom infamuflon attached checklist. All provisions of laE__ ordinances governing this O Visa ❑MasterCard work will be complie tt whe herein or n.ot. c'�i't"'d"°mn�" -- — — —L-1— F.rpires Authorized signalum:.,1 Date: Name of cardholdn u shown on credit cod�1r Print name: M 4t A OLS;,_ --- Cardhotdet sipature — Arnmat Notice.:This permit appiicrtion expires if a permit is not obtained within ISO days after it has been accepted as complete. 4404613 t6oatCOMi Mechanical Permit Application -- — Datcreceived: Permitno.:/u(��(,/1S5 City of Tigard Project/appl.no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 —" Date issued. Phone: (503) 639-4171 By. Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: - Land use approval: _ Building permit no.: t U &2 family dwelling or acccssery U Commercial/industnal U Multi-family U Tenant improvement ®New construction U Additionlalteration/replacement U Other: _______JOB SITFIN11:011111,%I ION t Job address: L,, l roec, .1/ Indicate equipment quantities in boxes below. Indicate the.dollar Bldg.no.: Suite no.: value of all mechanical matt s,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ — _W: i Block: Subdivision:Q Ad P611ow 'See checklist for important application information and Project name: Q(A'l IJV(Jco `MI%JVkNAIE- jurisdiction's fee schedule for residential permit fee. City/county: 1C-jAtJD }-1 ZIP: L T75 M=1t Description and location o wont on premises:KsLtA .('f I t I ill Fee(ea.) Total Est.date of completion/inspection: _ DeKAption Res.only Res.only Tenant improvement or change of use; Is existing space heated or conditioned?U Yes U No Air handling unit CIN � _ — Air con iuoning(site plan required) Is existing space insulated"U Yrs U No ATterauon of existing VA system _ t t Boiler/compressors Business name: -t)U _ �l J t P 11 t C601Ikr-, State boiler permit no.: _. HP __Tons BTU/14 _ Address: 0, U(,ACcl _ -ir smo a dampers/duct smoke detectors ately C ` City: O(L-1 StZIP:c17 2�0 eat pump(site plan required) Phone: fj-5 Fax:-175 141 E-mail: — nsta rep ace urnac umer Including ductwork/vent liner U Yes U No C ., nsta rep ac re ocate eaters-susl>en , City/metin lie.no.: h0 Do 1 0?_S wall,or floor mounted Name(please print): I-o M f'+Or)A./ Vent fora iance o erian furnace e erat on: Absorption units BTU/H Chillers-•s _ HP Name: -1-1 LA N(> .) Com ressors_ H!' Address: rr�►L1 �t E n ronmental Pxhausl and ventilation! (_i!y: _ State: ZIP: _ Appliance vent I — Phont: Fax: E-mail: Jryerex aust mac, ype I/fl/res. nc a aimat hood fire suppression system Name: n j::7- A,y -LEt , Exhaust fan with single duct(bath fans) 3 -^ Mailing address: _ -Exhaust s stem a art from heatmvw Cit State: ZIP: tie piping andistribution(up to outlets) Y: Ty LPC` NG Oil _ Phone: Fax: E-mail: uc p pingeach additional over 4 ou ets eas piping(sc ematic required) Name: 5 P M Q (�JC; Number of outlets - ter xt app or eeq@pmeot: Address: Decorative fireplace City: t�ate:- ZIP: nsen--type Mone: Fax: E-mail: tov pe let stove _ cr; Applicant's signature Date: '0 p Name (print): Not all jtrtrliclinns axep creat card$,pkiue call Jimmktion rix more Mra'matim. Permit fee ................$ O Visa �MestrtCani Notice:This permit application Minimum feeee.............$ �, expires if a permit is not obtained plan review(at — 96) $ Credit card number:�_. Hit m� within 180 days after it has been State surcharge(896) $ -�- ,l a. on credit card accepted as complete. "" e>< TOTAL Car 11"der alpetwe Amount 4111-4611(6,OaCnM) MECHANICAL. PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Description: -�� I Prior, Tuta1 $1.00 to$5,000.00 _ Minimum fee$72.50 Table 1A Mechanical Code _ - I Qty (Ea) _Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional$100.00 or including ducts&vents fraction thereof,to and including 2) Furnace 100,000 BTU+ - __ $101000.00. Includin dg ucts&vents _ _ 1740 $10,001.00 to$25,000.00 $148.50 for the first$ln,000.00 and 3) Floor Furnace $1.54 for each additional$100 00 or inch din vg ent _ 14.00 fraction thereof,to and including 4) Suspended heater,wall heater $2_5,000.00. or floor mounted heater $25,001.00 to$50,000.00 $379.500 for the first$25,000.00 and 5) Vent not included in appliance permit $1.45 for each additional$100.00 or _ 6.60 fraction thereof,to and including 6) Repair units - $50,000.00. _ _ _ _ 12.15 $50,001.00 and up $142.00 for the first$50,000.00 and Check 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. Comp* 7)<3HP;absorb unit ASSUMED VALUATIONS PER APPLIANCE: to 100K BTU _ _ - 14.00 Value Total R)3-15 HP;absorb Descri tion: Q Ea Amount _'9)1 1 30 to;abs00k r TU 25.80 Furnace to 100,000 BTU,Including 955 9)15-30 HP;absorb ducts_&vents unit.5-1 mil BTU _ 35.0010) _ Furnace>100,000 BTU Including 1,170 unit 1-11.7.75 mil absorb 30 unit BTU _ 52.20 ducts&vents 11)>50HP:absorb Floor furnace indudin vent 955 unit>1.75 mil BTU 87.20 Suspended healer,wall heater or 955 floor mounted heater 12)Air handling unit to 10,000 CFM I 10.00 g uni Vent not Included In appiicance' 445 m1ll 13)Air handlint 10,000 CFM+ _ 17.20 Repair units - 805 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 10.00 to 100k BTU - 3-15 hp;absorb,unit, - V 1,700 15)Vent fan connected to a single duct 101k l0 500k BTU � 6.80 15-30 5 absorb.unit,501k to 1 2,310 16)Ventllation system not included In mil.BTU appllan(*permit 10.00 30.50 hp;absorb.unit, 3,400 - _ 17)Hood served by mechanical exhaust 1-1.75 mil.BTU10.00 - >50 hp:absorb.unit, p 5,725 18)Domestic Incinerators _ 17.40 _ >1.75 mil.BTU 19)Commercial or Industrial type Incinerator Air handling unit to 10,000 cfm 656 _ 69.95 Air handling unit>10,000 chn 1,170 -- Non Mable evaporate cooler ems, 20)Other units,Including wood stoves 10 00 Vent fan connected to a Single duct 448 _4 21)Gas piping one to four outlets Vent system not Included In 656 pg 5.40 appliance permit _ 22)More than 4-per outlet(each) Hood served b mechanical exhaust 858 1.00 Domestic Incinerator 1.170 _ Minimum Permit Fee$72.50 SUBTOTAL: Commerdal or Industrial Incinerator 4,590 $ Other unit,Including wood stoves, 656 --- 8'/s State Surcharge f Inserts etc. _ - Gas PIPin9 1-4 outlets _ _ 380 --- - -- -r 25%Plan Review Fee(of subtotal) S, Each additional outlet _ 83 Required for ALL commercial permits only136. TOTAL COMMERCIAL $ - TOTAL RESIDENTIAL PERMIT FEE: $ VALUATION: Pfher Ins2fctloitf and Ft": 1 Inspections outside of normal business hours(minimum charge-No h(xrs) $72 50 per hour 2 Inspections for which no fee Is specifically indicated (minimum charge-half hour) $72.50 per hour 3 Additional plan review required by granges.additions or rnvlslons to plans(minimum rirarge one-half hour)$72.50 per hour 'State Contractor Boller Certlncatfc ret ulred for untts 3,200k BTU. -Residential A/C requires site plan showing placement of unit. I:kistaVonns4nech-fees.doc 10711700 Electrical Permit Application Dturoaelvtd: fbmlttto.: 'i� � , . City of ■�fr�1 IRM)NUtppl.ho.. -_ Empire date: r�,dyyse1f Address. 1312$SW Hall Blvd,1'llaM.OR 97227 MleIssued: 8y: Reniptso.. Plow: (505)639.4171 --- Pale: (x03)59d 1960 cue f�lr an.: Paymem type Land use approval: =21imWly dwdliag a eocamy 0 CanmareiaUindwWr U Muld-family U Tenant irnpmVerr" ctiotl ❑AAditlorl/tlrcnuicxJrrplliCement U CHher U Partial loA addltisa: J eldi•m. "sire no. T.-m t l0dacbmml Iso.: 9104: Subdivilkv: UA1 L F�611vw W�T~_FFj;jednWWtty. GU0401 00110to Dtttcrilglon Ul�d location of wtr_h2!Vmlrer N0.4 t!O0`f19.Y riW Nlimew date of ctxn e'doNlne t,on: Jot►tact 00. @w11 raw- m Duval wan nava: S r e a tnli.n a Fsl,�„C *i�� -M�..e b P+ r: _ 6walilalaa�It.laoaaereaataraApr9tla V ncouv 145- Sots WA 99661 �'^+ + Awns: 9 y 3- sat _ mail: Iolx�.Zn .Ira 21so,Fnu.lk,not 3 4-9 3 2 � CC no.:l 51 LUr1nnen �d..eua�- X_ 75t r t:1 /n1M 11c.n0.: LIOMW rwrlr nm Vida nal ` Kaon muwfrKw�ee w siodular dwtlli"a et "M!nJ a tt,birr nqy Ur e� Servkr rr•;h,r tawdu -2--- e1reO 1jamwno �••• .s«r..�en�-" rT"i.t.i►Nlaa, •Itet�rnae K►alKrba: 9 give to ala R1L"_e MO' O 3 AM.apt a&M Mal C1 ? � soft-u-, UP_g7 Z •a, !Ln T- 3 { - 7-4t09 55* ROarrw`� - Ci4vit+e Msalilstit,tl' *1"'d ins msdt(Mn pr`;,on nwm 91f7 �r Ar�wr r:nich Is Pat h mimetx att:hange amcwdins to X10 al,ll CW k"buffrlsls,e.nlrartlawc 0"441.453,479. avo-tx kY 3 '301a_ nip^ 2 Ownet'a I?*M' "" 0 rK aaMtrrlr"�►osrwb Now: A Fw fa flows"e+fM140 W1tS{+Crohaa to Adllms: cnhMdtf arh h!*Mb r110uh _ � CIStagy T.IP. ai tax txwncn arc w1thodr TY: pwt - .- of Otnla w krdtr ha flow MMch elfwC _ 2 F-matt, �r1dY1-o�ii cwt _ (. tr s► rwO GlwMwn.wtJJrrpst + OMra1rA-a.raGaYb P�'of1FTWtWncv!ie Z w Dara ne I ago, visa 130 rogw+atirl et Ief 4 NatedouOlonllen W ftAlydtO LWV 9NOW"ever 10,000MIMabwto-a erewllr)xtlMnd.ne.ayPte_ _ C1 lyes,"o w 600 VWt•"Dowral MMS Rassmal arts in one,rnaMtc U huldlotl evararae MOH" D Meals.rM an*or awns •LLMC, U(k.6"M MW"or 94 refcom U MutwAnand pVwUMU to Nc'7411 f7a� !Y, w.wr rM�1WwwW r ri>M w Nr.r U 14ewwRlOW"y04w 0 Oer, ^._.___ -.-. _..— Ar lrPattlow meet"_ wear rf plan v*b my of do ttbe iUM inm suss rTi TIMO Nati ars*af�fr pQAilr M bOa . MMM wnM cM' tsnw pear lrr"rem b row Yd,*uNw NMiur Yltir penttM epplie.lit>fp t]vls O Irtsawt aMl expires If•VFMM is not ot"WW J M10 revlcrr(at C aM meow _... 1^ wlollin I110 days after it Ase bot Sm ltncharr(!9I)„,..% ,.,_.1k 2_i acrotgMd M carepitta. irOT14 . _ _ w �s,,ilii iM�l'----• s W/i0 39dd Old10313 3411WV381S ZE0SCH09E 5c :L 1 1000. '90.'►0 Mar-06-01 03:05P Wulcott. Plurnbincl 503 667 9891 ►'. 01 Dh00/01 TUIR 14 41 p.A.1 $oa s09 l4no CITY 0505' 'f1CARU Plumbing Permit Application City of Tigard Datercccived: perm„nti Addt'eru: 13123 SW Hall Rlvd,Tiear 1,OR 97223 g`wu Permit no.: purid)n$p,emit no. 011YoJ77ra►d 1410ne; MIS 0539.4171 praise✓app).no.: exD usdete: Fox: (54.1)39A-1760 Vateirturd —`_ By. Rrce;pu., rAuW UBe approval: - - Ccv:rile nuPaymttit type T -- -_ U I &2 family dwelling or aue,sory U Conlrni-Tcial/Industnul O Mu,L-family Cl Tenrwt improvement Q New ctiastrucuon O Atidib(t✓aheranrst,/rcplacement U Food WrNrce la Ot er Jgbadclress: j 7cj tj 4&etpec Bid . Acriptson nu.. I SWIM no.: •an(I2-_Mhwlo_ : �7Fcc lea. Tohl W TaxmW/tax lot/eecouutno flticaadn100&rwea 6rnllit)cormecauio) Lot: 4Block — 4SFR I I 1 bath -`--- Subdivision: Project tlunr: (.)bath Cityicounty: ZIP Na ddiionn itches Description and location or wutk on ptrmisec______ _ ylle trdlUlleat Catch basin/area drun Est,date orcorit letlowiaa tint',—— - -- �— ywc leac at ch"re 'omtin; n wo. ` Buaiacra sante: anuractu rine utthtie, _ W o C.o rh .�. i\ddty ,O• 6 Gh �.O O -- 3- -- --- an o cs _ a ti dmin connector City; rebir A*-" SlatcQ ;U' it t sewer -- Alone,So3-i47-11 r6t I fat 6L7-iI1( E•moA; L CU-00'q term sewer(no. in, CCH nn. V31 til Plumb.bus.reg.oo:'L4-Z 0 jj Pp water ati 'ice no.7n77L --- rCitytroetra lic no.: EMUrure er he0tt Contractor's repreieMadvc a�tuft: Ab can valve aeir ow preveolet Prinin�a�ne 4--"Pp old I D VOCS.Water valve a�ln -avat _NanrE other wa.•Fril Address: _ Is, wns er — City. SWC"_ .IP: — r-b-GriEn0unuun(ijump Phot:c Fat wrik wer ca ,ri ibu MarlirtK sddteas:� Ty_ - w6 a dos City. State ;Ip. use br b _ _ -- ce m tr Pbune. TE ntailnlace to�ream urn Qwnrr rmtallrrUutVreirdrntiu>J muntenan<e only: Tht actual installatlon 1'`r,mer. _ will be made by the or thc maintenance and repair ilia de by my regular oo n�Tr-eommerci:J — employer on the p:vperty I owa as pet ORS Chapter 447 t s),btuun(s)iws(1 Ownv:'s signature, DKr' WET; m ._ is NMI u T;r" er7a ItaWL" Lon Nanta: Unna AJ_dm:is. Cr1y — -Water atcr ZIP, eta �..�....�. Minimum foe _ i d y l ail jtlttdltueM setsM wall ural, trate ta11 ruusutusa to mut.n mrnmtinn WOIim:nil prrttn)t sppiitat, — U Vita O MutaCud expires 1 f a pconit it out obtainrd Klan review(at Chari td stabs within I0.days after it has b"n State,vn:harp(896) S �t ru -----��--�- 1.4%pled ru complete \R n t,LIt1Y��n11 hf�l.i OM a I,0 .. ..................'.s All 4.7— 6`y/�M1�.14'C hrq•r.l'1•'1 1 � �p�o. Mar-06-01 03 :05P WulcoLt. Plumb ir'iq 503 667 9891 F'.02 73i06i01 IVV 14 4.' V1X 501 59A 19(;) CIT) (IF '11C. u OOJ PLUMBING PERMIT FEES: ( �_-- � I T ,�RIC� TOTA6 �Newi end 4•lhrnll; dwoMtn�f only. ` '; I FIXTIjRRI rldlyldWl)" " 4aTY"_ jia�l : AMOUNT (I 1di�dee all Pfumbiny' Irttures In NRICE I TOTAL �t+mli ?as) the dwe0hnd end the lIr111.100 R GTY (9R1 AMOUNT r----- for etch utility voinrctton L■v■sor� led) Una tba I - fee,-z - ub or-utVSZ_"r Comb. 16.6) wo olm -�iO-4 3Dd.go Shown Ony 1676) T11ree_ eUi _77S39900 - Watir rt - - }renal d• 6% SURCIIAROf.I- DfahWo>nerPLAN REVIEW 25%OF SUBTOTAL Garbage Gbpo/el ins- (a lrw�ndrj fray��- 1E D Wast;rtg Mach's 6 Flow 04W AorSink r_^ teeo PLEASE COMPLETE: yam_ 4• 16,10 _ N.Ier teeter O comHre un uK•Ke,d 18 t • '' uAn i '�f Ork Pori— d.. (',#I piping requve�s as a0pareu inM:•urncal ( f//�� FtaWre type' New Pill d RepSiced RemOwdl iii G korr}o- W111Itr JINIQe •Q rr Jrink -_ I Mho Norrie view SaNgWrm ew•t 46.0 Lavatory Hose d b• t0 i Q f7or t,b/Shower 'I Cembinadon Root D ame 10.1,0 ower nt _ r UnrtK ng hbintain 16.1.0 Water Closet Oth•i FIM!urr(SV•Cly) r J 16110 nrs _ •-----+ hhwalher Garbe o CII Octel _ Lsundr Room_ r Welhirls Sewer-tet ROW ~V DD 10 laor qmf 1 3' Sower ■■eh•ddiutnrr to -'! 46 10 4• Wier 3drvco•lel __._ 5, C �. Wet ester _ _ W■m 5ery ce•each ar,A t ondl X09 4e to vut.r'awns rorm b R•In Drelr• 'ft 100' S5. $grin 6 ROin fav -a■ch Addlt 01181 100' 46•t0 Cdnmer I Back FID Ilion Da-Vk- 46 W R•eke'nGet L;xsAcw entla,[;evK•' 27 65 oKh t�iiln 16 00 G Inspwivm of E.•retin-06;m 5pecioly ]T 50 RaquesrW I-s.p�ctlotu COMMENTS RECARL)ING AROV!� Rain Dfah,srnglit■mNy dWsG I -~� 66 25 Z _ CifCYee 'elle ------------ QUANTITY TOTA 4omernc a 4xr me0rern n••pwW Ir I 'R` I 'SUBTOTAL T 8%STATE SURCHARGE "M Al N REVIEW 15%OF fILSTOM _ aeQ r•p f t IIR}Yfe rM'�1-•c _ TaT AL f 'Minlinam pomA fee t6/7;Su•8%eraM 11"K ilr,02060 rtf "to(eadMlgr PNVMOJn Devrcr.wh 0 s ISO 13•!!t pare Urchelee rbAA New commarvial euifernge nwiuwe Ptah with IWWAA,w 04 v Sear+,ed pianr•iew I\;fete'tnmu�pim-ke4doc 'G10/1q