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12968 SW PRINCETON LANE -----__ i---\� - - WI ------------ -------------- 6EE CML DRA MS R ORAD RAuID A FF E1.J=Y14T REFREWNf `► • ` i �, I I I (/,� FWsu WACE DWEMY attsDE CAP,4a DOOR GGLl7 �� . + M � M. � � \in 4 ` 2 FOR FLooR FF AT uEaTt� :�'Ac�.� A••�...e ,�,� �! �� 11-11 aPF'I�OXQIAT�LY b' TO ELEYAT1Ct1 814C�ttt1 lf� rat t I 1 1 0 3 J - ... c. I -1 5 7 "-. N T14E FURPOOE of 84ZET ami IS To PRCYIDE A KEY I I 'S As cr�E3 csa Ias 8 a 9 0 1 2 3 4 K=, I \/ TO BUILDW A AND WIT TYPES AS suave IN TUE I �5a '^c55 -�d5 —As -As --eN e5 5 l3a �•\ ` ARCu►TECTURAL DRAL A • ' \ \ rloTFr ARDIrrBCT +rr-mwrx.Y F TIt»ARE I VE1QFf DRIvF.nld►rS.; - \ C ,FLICT9 BETi M AND CML O 6' \ LOC.ATICH UT14 �` � DRAWWA Mr'�� _'l✓' I - Uva D '.� LOCATIAWA VERFY T l _ _ = tM clvL ones x' r►\ aura ve My as I INr I� I I % �' 7 N4 I BS 113 itb� BN Q \ \ 0 0 0 ' o Quail Hollo- ��` , Q�58 < �� o South �' - Townho _ nye 3, p r 01 ell TUard. Orepn 0 �fl Brorzstoft Homes, i.Io.C. 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L(.11 .11�.1.1_l.l IU llll� 1 �► l N to M ca N T 7 n ID O 7 CD 12968 SW Princeton Lane CITY OF TIOARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST _�2 —&j1�— INSPECTION DIVISION Business Line: (503)639-4171 BUP -_— Received Da a Requested - 7 AM - - PM BLIP - - - - Location CIL _ ILA,64 ' Suite MEC _ Contact Person C-- P PLM Contractor-_ -1' (�) — - a � SWR BUILDING Tenant/Owner _ ELC Footing ELC -- Foundation Access: Ftg Drain ELR Crawl Drain - Slab Inspection Notes SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing ----------— 1 Insulation Drywall Nailing Firewall Fire Sprinkler -- - Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL --�-�y— PLUMBING Post&Beam Under Slab _ Rough-In Water Service Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain - ------- Shower Pan Other: Final PASS PART FAIL MECHANICAL Post 8 Beam _-- Rough-In Gas Line Smoke Dampers --- - --- - --- Final PASS PART FAIL -- ELECTRICAL Service _ Rough-In UG/Slab Ffrr " t�c P ,IFaT', .etc c� Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. .PASS' PART FAIL ❑ Please call for reinspection RE:_ Ej Unable to inspect-no access Fire Supply Line ADA -� Approach/Sldewalk Date _ '' --D Inspector L� d � 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 _ G0/ U7 INSPECTION DIVISION Business Line: (503)639-4171 ---BLIP Received Received Date Requested __ G� AM_ PM _ BLIP Location _ ?-!2 6- Suite— MEC _----- Contact Person Ph(—) — 5 -3` PLM ----- _ Contractor _- ---__- - - Ph( —) _ SWR BUILDING Tenant/Owner _-_- ____._ _ -__ ELC Footing ELC Foundation Access: Ftg Drain ELR --_ --_--- Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear . Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post&Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: S PART FAIL HANICAL Post&Beam Rough-In Gas Line Smoke Dampers Final PASS PART _FAIL -- - ELECTRICAL Service Rough-In UG/Slab Low Voltage _ Fire Alarm Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: _ Unable to inspect-no access Fire Supply LineADA (� Approach/Sidewalk Oats Inspector_ Ext 666 111 Other: _ Final �- - DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL _ lot ► ► M ► R" • ,� ! ► rD o ; d o �37' o � ! M M r' ! rD p Cf IQ ! G o F■■� o �' o ► •' I`f ► 1-44 j /♦vvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvv♦vvvvvV\ i 0 0 O r T R � ;ZZ' ' a R o y et N _ . a a o n z o p I �n a ` O x �e a 00 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 OC INSPECTION DIVISION Business Line: (503)639-4171 MST BUP - Received -- Date Requested " _AM__ —PM BUP Location Suite MEC Contact Person Ph(—) y 3- S3YT PLM Contractor -_-_— Ph( ) -. __. -- - SWR BUILDING Tenant/Owner ELC Footing �-_---- Foundation Access: ELC Ftg Drain ELF! 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 - -- - - - - -- - Root Oth�er:� --- PASSi PART FAIL - PLUMBING Post& Beam Under Slab Rough-In -- _-.--------- Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain - Shower Pen Other:_ -- Final PASS_PART—FAIL - — MECHANICAL Post&Beam Rough-In Gas Line S ke Dampers _ — i S PART FAIL - - -- — ELECTRICAL Service _ - — -- --- — - Rough-In UG/SIE b Low Voltage -- Fire Alarm Final [� Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL_ SITE L] Please call for reinspection RE: — Unable to inspect-no access Fire Supply Line ^ ^ ADA � // ) Approach/Sidewalk Date -. O —Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASt3 PART FAIL — ELECTRICAL PERMIT- CITY O F T I GA R D RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: EL.R2002-00138 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 7/29/02 SITE ADDRESS: 12.968 SW PRINCETON LN PARCEL: 2S104DA-22000 SUBDIVISION: QUAIL HOLLO`N - SOUTH ZONING: R-4.5 BLOCK: LOT: 046 JURISDICTION: TIG Proiect Description: All encompassing Low Voltage, A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO 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: ALL ENCOMP X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: Owner: _ Contractor: BROWNSTONE QUAIL HOLLOW L.LC AZIMUTH COMMUNICATIONS INC 12670 SW 68TH PKWY STE200 P O BOX 508 PORTLAND, OR 97223 WILSONVILLE, OR 97070 Phone: 503-598-7565 Phone: 503-639-0110 Reg #: ELE 36-94CLE SUP 2312JLE LIC 145828 FEES Required Inspections Type By Date _Amount Receipt Low Voltage Inspection PRMT CTR 7/29/02 $75.00 2720020000 Elect'I Final 5PCT CTR 7/29/02 $6.00 2720020000 Total $81.00 This Permit is issued Subject to the regulations contained in the Figard Municipal Code. State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rule$jr irect questions to OUNC at (503) 246-1987. ��' � (r �L Permittee Si nature v� Issued by ,�_it v._. _�- g --- OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: — _ DATE:-------- CONTRACTOR ATE: - -_CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _(I �t j4�/r2-r DATE:____ LICENSE NO: - j. Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application Date received: PeMIit no. _ 26 City of Tigard Project/appl.no: Expire date: AL City q(%'igord Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639.4171 Fax: (503) 598-1960 Case file no. Payment type: Land use approval: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement gNew construction U Addition/alteration/rcpl;tcenrent U Other: U Partial JOB SITE INFORMATION Job address: ,� ), . C700� W Bldgno.:fa Suite no.: i,rax map/tax lot/account no.: Lot: Block: Subdivision: f L",IL J ProJect'name:QQ&L. out Description and location of work on premises: ( ' - Estimated date of completionhrispecuon: IEDULF Job no: 1 Mu.t S Description (ea) total no,iosp Business name: 1 &11,141L,10)s Ne"residential-single ormulti-family per Address: ''� j S,Irl• G' L dwelling unit.Includmami(tied garage. City: f >iJ4r1L.lt Slate:04 1 ZIP:CJ7o]b Service included: Phone, 0//L) I Fax;; 36,yy0//S" E-mail: I W)SCI rt.or less _ a /N r��r r Each additional 5(N)sq ft or portion thereof CC13 no.: Elec,bus.lic.no: C(L- Limited energy,residential City/nletro lit'.no.: C)Utt)6572 Limited energy,nun-residential _ Loch manufactured home of modular dwelling signature of supervising electric (requited) Dote service and/or feeder License no: Services or feeders—installation, Sup clect.narne(prinq E L� Z_j- aheratlonorrelocatlon: / 200 amps or less _ (p 1�U4�N S r1�� 201 amps to 400 amps - Name(print): 401 amps to 600 amps '- Mailing address: 601 amps to 1000 amps City; _ State: ZIP: Over 1000 amps or volt% 2 Phone: Fax: E-mail: Reconnect only Owner installation: The installation is being made on property I own Temporary semices or fteders which is not intended for sale,lease,rent,or exchange according to installation,alleratIon,orrelocation: 201 amps or less ORS 447,455,479,670,701. 2U1 amps to 4W amps Owner's si nature: Dale: _ 401 to 600 amps Branch circuits-new,alteration. or extension per panel: Name: _ ___ __ A Fee for branch circuits with purchase of Address: _ service or feeder fee,each branch circuit _ City: Stale: ZIP: b] Fee for branch circuits without purchase of service or feeder fee,fust branch circuit ?_ Phone; I;tx l tlLtil Each additional branch circuit Misc.(Service or feeder not Included): ^i U Service over 225 amps-commercial U Health-care facihry Each pump or irrigation circle U Service over.120 amps-rating of 1&2 U Hazardous location Each sign or outline lighting fanulydweihngs U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel. U System over 600 volts nominal more residential units in one structure alteration,orexlenston• _. U Building over three stones U Feeders,400 amps or more •Ikscri tion U tkcupatit load over 99 persons U Manufactured structures or RV park Fitch additional Inspedion over the allowable In any of the above: —1 U Egress/lightingplan U Other _ _ -- Per inspection L -7Y I Submit jets of plant with any of the above. Investigation fee Ilse above arc not applicable to temporary cottstnlction service. Other Nut all jurisdiction accept credit earls,please call jurisdiction for more information Notice:This permit application Permit fee................ . .. U visa U MasteKtard expires if a permit is not obtained Plan t^view(at w) $ Credit card number L_ within 180 days after it has been State surcharge(8%) . .. Expires accepted as complete. TOTAL ........ . .. No of cudholdet u shown on credit card S _ Cardholder signature Amaum +4ig-461 s I&M UM ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type(if Work Involved: Residential•per unit 1000 sq It or toss _ $145 15 4 I ❑ Audio and Stereo Systems" Each additional 500 sq ft or portion thereof $33.40 1 n Burglar Alarm Limited Energy $75.00 _ .S r I Each Manuf'd Home or Modular Dwelling Service or Feeder $9090 2 Garage Door Opener' Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80,30 2 r� 201 amps to 400 amps — $10685 2 0 Vacuum Systems' 401 amps to 600 amps _ $160 60 2 601 amps to 1000 amps — $24060 2 Other____ Over 1000 amps or volts — _ $45465 _— 2 Reconnect only _ $6685 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each systlm.......................................................... $75 00 200 amps or less _ $66852 (SEE CAR 918.260-260) 201 amps to 400 amps $10030 e _ 2 401 amps to 600 amps v� $133 75 —� 2 Check Type of Work Involved. Over 600 amps to 1000 volts, see•'b"above. ❑ Audio and Stereo Systems Branch Circuits i—1 Now,alteration or extension per panel LJ Boller Controls a)The fee for branch circuits with purchase of service or C] Clock Systems feeder lee. Each branch circuit _ $665 2 F—P Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ or feeder fee. Fire Alarm Installation First brands circuit _ $46.85 Each additional branch circuit _ $665 ❑ HVAC Miscellaneous instrumentation (Service or feeder not included) Each pump or imgation circle _ $53.40 Each sign or outline lighting — $5340 Intercom and Paging Systems Signal circuit(s)or a limited energy panel,alteration or extension _ S75 00 _ Landscape Irrigation Control' Minor Labels(10) _ $12500 Each additional Inspection over Medical the allowable In any of the above Per inspection — $6250 _ Nurse Calls Per hour _ $6250 _ In Plant $7375 _— Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ Other 8%State Surcharge $ T —_Number of Systems I 25%Plan Review Fee See-Plan Review"section on S " No licenses are required Licenses are required for all other installations front of application — — Fees: Total Balance Due $ — — Enter total of above tees ❑ Trust Account tf 8%State Surcharge S_— Total Balance Due S All New Commercial Buildings require 2 sets of plans. i Asts`,formsklc-fees doc 09/30/01 CITY OF TIGARD 1312 7) S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERM T `:OTICE WOLCOTT PLUMBING CONTRACTORS PO BOX 2007' GRESHAM, OR 97030 Plumbing Signature Form Permit #: MST2002-00107 Date Issued: 4!4/02 Parcel: 2S104DA.-)HS46 Site Address: 12968 S11V PRINCETON LN Subdivision: QUAIL FJOLLOW - SOUTH Block: I.ot: 046 Jurisdiction: TIG Zoning: R-4.5 Remarks- SF rowhouse,Unit 46,Bldg 10,13N plan with a deck 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 QUAIL HOLLOW LLC WOLCOTT PLUMBING CONTRACTOR! 12670 SW 68TH PKWY STE200 PO BOX 2007 PORTLAND, OR 97723 GRESHAM, OR 97030 Phone # 503-598-7565 Phone #: 667-1781 Reg #: 1 Ir 23847 PI M 26-208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signa ure of A66thoriked Plumber It 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 DBA LAVALLEY CORORATION 6025 EAST 18TH ST VANCOUVER, WA 98661 Electrical Signature Form Permit #: MST2002-00107 Date Issued: 414102 Parcel: 23104DA-Ql I S46 Site Address: 12968 SW PRINCETON LN Subdivision: QUAIL HOLLOW - SOUTH Block: Lot: 046 Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse,Unit 46,Bldg 10,13N plan with a deck Your company has been indicated as the electricol 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 QUAIL HOLLOW LLC STREAMLINE ELECTRICAL. 12670 SW 68TH PKWY STE200 DBA LAVALLEY CORORATION PORTLAND. OR 97223 6025 EAST 18TH ST VANCPUVER WA 98661 Phone #: 503-598-7565 Prrione 360-9 3-5080 Req #: LIC 116614 ELE 34-432C SUP 4601S AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of Supervising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 / CITY OF TIGARD __ MASTER PERMIT PERMIT#: MST2002-00107 DEVELOPMENT SERVICES DATE ISSUED: 4/4/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 12968 SW PRINCETON LN PARCEL: 2S104DA-QHS46 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT: 046 JURISDICTION: TIG REMARKS: SF rowhouse,Unit 46,13Idg 10,13N plan with a deck BUILDING REISSUE: STORIES + FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT FIRST: 172 at BASEMENT at LEFT: SMOKE DETECTORS e TYPE OF USE: SFA FLOOR LOAD: `,U SECOND: 733 at GARAGEof FRONT: PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: 733 at RIGHT: VALUE 5 1 :'UJ u� OCCUPANCY GRP: R3 BDRM• 2 BATH: 2 TOTAL: 1,639.00 at REAR: PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: I LAUNDRY TRAYS. RAIN DRAIN. TRAPS: LAVATORIES: DISHWASHERS. 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS CATCH BASINS: TUBISHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: i WATER LINES. BCKFLW PREVNTR. GREASE TRAPS: OTHER FIX1 ORES: _ MECHANICAL FUEL TYPES FURN c 100K: BOIL/CMP c 3HP: VENT FANS: 3 CLOTHES DRYER I I P' FURN>•100K: UNIT HEATERS: HOODS 1 OTHER UNITS. MAX INP: btu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS, + ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 1 0 200 amp: WISVC OR FDR: PUMPIIRRIGATION: PER INSPECTION. EA ADD'L 5009F: 3 201 400 amo: 201 400 amp: tat W/O SVCIFDR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL SR CIR: SIGNALIPANEL: IN PLANT, MANU HMBVCIF.IR: 601 • 1000 amp: 601.amp6•1000v: MINOR LABEL 1000+Imp/volt: PLAN REVIEW SECTION Reconnect only: >s4 RES UNITS: SVCIFDR>.225 A.: >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL-RESTRICTED ENERGY _ A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO A STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT. BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR HV4C: DATA(TELE COMM: NURSE CALLS TOTAL a SYSTEMS. Owner: Contractor: TOTAL FEES: $ 5,500.08 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 STE200 12670 SW 68TH PKWY PORTLAND,OR 97223 PORTLAND,OR 97223 all other applicable laws. All work will be done i accordance with approved plans. This permit will 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 Reg a: LIC 124627 forth IIT 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 Sewer Inspection Slab Insp Plumbing Top Out Shear Wall Insp Water Line Insp Building Final Footing Insp Plm/undslb Insp Framing Insp Exterior Sheathing Inst Smoke Detector Final inspection Foundation Insp Electrical Service Fireplace Insp Firewall Insp Electrical Final Wtr Proofing Bsm't Wa Electrical Rough-IIT Gas Line Insp Gyp Board Insp Plumb Final Wtr Proofing.8mT.We Mechanical Insp Insulation Insp Rain Drain Insp Mechanical F Issued 1 1116( ' Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00082 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/4/02 SITE ADDRESS; 12968 SW PRINCETON LN PARCEL: 2S104DA-QHS46 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT: 046 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SFA NO. OF BUILDINGS: INSTALL TYPE: LTPSVJR IMPERV SURFACE: Remarks: Sewer connection Owner: v FEES BROWNSTONE QUAIL HOLLOVV LLC Type By Date Amount Receipt 12670 SW 68TH PKWY STE200 —_ — PORTLAND, OR 97223 PRMT CTR 4/4/02 $2,300.00 27200200000 INSP CTR 4/4/02 $35.00 27200200000 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. Tne 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 Issued y: D1<L Permittee Signature: yr Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day Plumbing Permit Application Dateteceived: (/ 0� Pamlt oo.: City of 'Tigard Sewer permit no.: Building permit no.: — Address: 13125 SW Ifall I1lvd,Tigard,OR 97223 CiryojTigard Phone: (503)639-4171 I'rojecUappl.no.: Expire date: Fax: (503) 598-1960 Date issued: - lty: Fteccipt no.: - I Land use approval: _ , Case file no.: Payment type: { TYPE OF PERMIT U I &2 family dwelling or accessory U CommerciaUmdustrial U Multi-family U Tenant improvement U New construction U Ad(lition/alteration/replaccment U Food service U Other: O: ]ob address: jc('b-9 SW II Description (jt Y. I PC e2. Toln �VNew I-and 2-family dwellings only: Bldg.no.: tSuite no.: Owindes1000.fortact►utilityconnedion) Tax map/tax lot/account no.: _—� SFR(1)bath Lot: q6 Block: Subdivision: SFR(2)batik --�-- — - Project name: — -- SIFR(3)bath City/county: ?.IP: - Each additional bath/kitchen Description and location of wort on premises: SiteutlUtles: — Catch basin/arra drain Esc date of completion/insptxtiah:PLU51 III N(I CONTRACTOR-- - - -- -- Drywells/Ieach line/uench drain - Footing drain(no.lin.ft.) -_ Manufactured home utilities a...i—re Manholes --- -- -- Wolcott Numbing Rain drain connector PO Box 2007 Sanitary sewer(no.lin.ft.) Gresham OR 97030-0594 Storm sewer(no.lin.ft.) 503-667-1781 Water service(no.lin.ft.) _ ('('13:23847 11I.M #:26-2081113 Hxtureorhem: Absorption valve — Contractor's reptesentaUve signature: Back flow preventer _ Pri name: Date: Backwater valve t t Basinstlavatory _ J Name: Clothes washer _— - - -- - -- Dishwasher Address: Drinking fountain(s) City: State: _ LIP: Ejectors/sump — - -- Phone: I az Email: Expansion tank ixture/sewer cap _ }loor drains/floor sinks/hub _ Name(print): Garbage disposal Mailing address: Hose bibb _— City: State: — ZIP. Ice maker �- Plhone:—J F-mail: Interceptor%grease trap — Owner installation/residential maintenance only: The a►xual installation Primer(s) _ will be made by me or the maintenance and repair made by my regular Roof drain(commercial) — employee on the property 1 own as per ORS Chapter 447. Sink(s),basin(s),lays(s) _ — Owner's signature: _ — Date: Sum rubs/shower/shower pan - I Urinal 1 Name: - Water closet Address: _ _Waterheat_er_ _ City: ------ ---- .._.... tate: ZIP: Other. - — - —� Phone: TFax: f nhail: Total l Minimum fee................$ Na an haidicttaa kxreo c ed,cards,please earl jnis&-don ear I Hultman Notice:This permit application - Plan review(at _'i6) $ U Visa ❑Mastacard expires if a permit is not obtained l mil card number: --- ----1--1--- within 180 days after it has been State surcharge(8%)....$ __.. F:pba _ -------- accepted as complete. TOTAL ....................... Natty.d wdhold"r u elsow•o ae ctodi cant = Cardb.l tlpo Aaost 1 4"16(6MICO i McchanicalPermitApplicationNo Date reCelVed: .�"/-) 1'amll no.: /v"/ II'r_ City of Tigard Projecl/appl.no.: Expiredate: 16 CiryofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 -- --Date issued: B- Phone: (503)639-4171 y: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: TYPE OF PERMIT ❑ 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvemen, U New construction U A(1(iition/alteratioll/replacemenl U 01her: 1 { SITE INIPORMAT16N1 1SCHEDULE Job address: r��' U a �r. acne-- �v�-�---- IndlLAW equipment quantincr,in Nixes below.Indicate the dollar Bldg.no.: — Suite no.: value of all mechanical malcrials,equiptnent,labor,overfiead, Tax map/tax lot/account no.: _ profit. Value_$ Lot: Block: Subdivision: *See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: ZIP: - Description and location of work on premises: 1 1 1 1 1 _ Fee(m) Total Est.date of completion/inspection: — Description Qty. Res.only Rmotdy Tenant improvement or change of use: I�'V C. Air handling unit _--CFM Is existing space heated or conditioned?U Yes U No Air^—conditioning(site plan required) Is existing space insulated?U Yes U No A Iteration of existing HVAC systemNIECIIANICAL _ CONTRACTOR TioilTmpreasors - State boiler permi(no: HP Tons R'rU/11 Four Seasons Ileating&A/C Service Inc ire/smo a arnperiTucts-moteelectors- -- PO Box 66409 tatpump(a(siterequired)an - Portland OR 97290-6409 n-T-stal�eplacefurnaccW6i er_—BTU/11 503-775-5919 Including ductwork/vent liner 0 Yea O No CCB: 48283 Install/rep ac rrelocatehealers--suspend wall,or float mounted Name(please print): Vent fora) fiance other than furnace - 1 engemE . Absorption units_-- -_ IITU/Ii Nance: Cltilltxs --.- - IIP — -- -- - - --- - --- tesscxs--- -- IIP Co Address: nm trot stn vent ton: City: - State: - 7.IP: Appliancevent - -- -- Plione: _ - - I,ax. F mail: Dryer extaust--�- — - 1 loo s, ypGjlVieS k101cn/ha7m3t hood fire suppression system ---. Name: Exhaust!an with Bingle duct(hath fans) Mailing address: x taust system apart from heating or AU -^ State: 7.IP: pip-Ingon(up to 4 out cts) City: _ _ -- Type: 1,PG NG -- Oil Phone: 1�a x: Firman: Ivcl Tpiping-cO.5d`itional over 4 outlets 'rocesspiping(schematic required) Number of outlets Name: _ - ter ap or eq pu pmenf:--- -- ---- - Address: Decorative ftrcplace City: -_tate: ZIP_ pert-type -- Phone: Fax: E-mail: - stov etaove —_ - Applicant's signature: Date: �1-uille—r, Other. — _Name (print): Na all furlsdicU«u aroetw crtdit cards,pkau call juris&-don fur rnue idarMesorr Permit fee.....................$ Notice:ibis permit application Minimum fee................$ - U Visa U MasterCard expires if a permit, not obtained ordit cid mmtKr: _ --_ --- F L- within 18()days atter it has been Plan review(at —'!6) $ - Name d n ahowv oa credit card State surcharge acce,)ted as complete. (896)....$ -- = TOTAL .......................S — cardWda alxnamm Amoaol 440-4617(601AXWO Electrical Permit Application Date received: Permit no.: %Y19' OC G 7 City of Tigard Project/appl.no.: Expiredate: CiryofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no, Phone: (503) 6394171 Fax: (503) 598-1960 Case file no.: Payment type Land use approval: _ Id 9 1 ❑ 1 A 2 family dwelling or accessory U Cominercial/indusuial U Multi-family ❑Tenant improvement ❑New construction ❑Addition/alteratit)n/replacement U Other:_ _ ❑Partial joB Sin mokmAvON lob address: i1cn ., Tax map/tax lot/account no.: Lot: Block: Subdivision: Project name: I Description and location of work on premises: Estimated date of completion/inspection: CONTRAC]Oft1 $01EDULF Ab no: f n Mat .. - — ---- --- --- Dewrirtiun Qt). (ea.) Intal no.fns Streamline Electric Newresidattial-skwkorrarhi-famlls per DBA LaValley Corporation eweULsgmn.lneYsdxrlga esattactr e. 6025 East 18"'St �Ceh'cM'� Vancouver WA 98661 1000sq h orless — 4 Each additional 500 s ft.or portion thereof _ 360-993-5080 Limited energy,residential 2 CCB:116514 EI.0#: 34-432C SUP#: limited energy,nonresidential 2 Each manufactured home or modular dwelling Signature of su rvising electrician aired Uate Service and/or feeder 2 Sup elect.name(pnnt) J I,rcenseno, Ser rleeso►feeders•-InstallaAtra, alteration or relocation: PROPERIN OWNER 200 amps or leas 2 Name(print): 201 amps to 400 amps 2 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps 2 City: - State: J ZIP: over 1000 amps or volts _ — _ _ 2 i,hone: Fax: I E-mail: Reconnect only - _- I Owner installation:The installation is being made on property I own Iemporarraervic"orfeeders which is not intended for sale,lease,rent,or exchange according to Insr'Nation,alteratios,orrelocation: ORS 447,4.55,479,670,701. 2W limps or less 2 — 201 amps to 400 amps _ 2 Owner's signature: Date: 401 to60f1ons J 2 Branch circuits-new,alteration, or extension per panel: Name. A Fee for hramch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: smote: z1P: It Fee for branch circuits without purchase -- - -- of service or feeder fee,first branch circuit. 2 Phone: I'aK: F Inail: lachadditional branch circuo PLAN REVIEW(Please check all flint applit) Misc.(Service or feeder not Included). U Scn,wc„vrr 225 amps onr,nr v.,al U 11[A1111 care facility Elch pump or irrigation circle 2 ❑Service over 320 amps-rating of 1&2 U Hs2adouslocation Each sign or outline lighting _ 2 family dwellings U Building over 10,000 square feet four or Signal circuit(i)or a limited energy panel. O System over 600 volts nominal nxrre residential units in one structure alteration,or extension* 2 ❑Building over three stories U Feeders.400 amps or more *Description ❑occupant load over 99 persons U Manufactured structures or RV park Eich additional Yapedion over the allowable In any of the above: ❑Egressnightingplatt U(hher — Per inspection — Submit sets of plans with any of the oboire. Invesugationfee The above are dol applicable to(emporar)construction tierrice. Other Na sittuse tsactiau amept credit cards,pleacall jurisdiction for mac idermarim Notice:This permit application Permit fee.....................$ — U Eisai ❑MasterCard expires if a permit is not obtained Plan review(at _ %) S _—_— credit cant number. r at shown on _ within 180 days after it has been State surcharge(8%)....S TOTAL .......................$ .�.. Named wldrreedit card Expires accepted as complete S Cardhdder siltnatun ^Amow1 4404613 f6eDCOMI SEE 35MM ROLL # 20 FOR OVERSIZED DOCUMENT