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13025 SW PRINCETON LANE 13025 SW Princeton Lane CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 pd MST r 0 ��— INSPECTION DIVISION Business Line: (503)639-4171 BUP Received _ --Date R este.d__ "�_ AM_ — PM_._ _ BUP Location _ �� . J Suite._— ____- MEC _ Contact Person --___.____ __ —__ Ph(—) __^ PLM _— Contractor_ _ _ —. —____ _ Ph SWR _— BUILDING Tenant/Owner ELC �.— Footing ELC Foundation Access: Ftg Drain ELR Crawl Drai.i SIT Slab Inspection Notes: — -- ---- - -- Post& Beam - ---- -- 4 ----- --------- Shear Anchors Ext Sheath/Shear --- -- Int Sheath/Shear Framing —�-- _ Insulation — Drywall Nailing --"-- Firewall Fire Sprinkler Fire Alarm a C.i Susp'd Ceiling 1 r Hoot _70- Other: _-- -------�._ / Final -G — PASS_ _PART FAIL i Post&Beam T — Under Slab - ------ - —- Rough-In Water Service --- --- - Sanitary Sewer Rain Drains - -- Catch Basin/M ole Storm Drai -- - - —— — Shower P n Other: in A r04<�W FAIL ------_ _ HANICAL — Post& Beam Rough-In Cas Line Smoke Dampers -- - -�--�- - Final PASS PART FAIL --------_--- ELEC_TRICAL — Service Rough-In -- UG/Slab Low Voltage -- Fire Alarm FinalReins tion fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL L� P� SITE [ i Please call for reinspection RE:_—_—__ — E] Unable to Inspect-no access Fire Supply Line /� 1 ,''► ADA A Date L Inspector Approach/Sidewalk '' PP Other: ----- _- - Final DO NOT REMOVE this Inspection recordi fro ::~i the Job site. PASS PART FAIL CITY OF TIGARD 13125 S.W. HALL BLVD, TIGARD, OR 97223 IMPORTANT PERMIT NOT"_;E DAVID JEROME ELECTRIC PO BOX 751 HILL.SBORO, OR 97123 Electrical Signature Form Permit#: MST2002-00091 Date Issued: 914/02 Parr el: 2S104DA-22900 Site Address: 13025 SW PRINCETON LN Siffidivision- QUAIL HOLLOW - SOUTH Block: Lot: OSS Jurisdiction: TIG 7oning: R-4.5 Remarks: SF rowhouse, Unit$5, Bldg 12,13N plan with deck. STRUCTURAL FILL, REQUIRES GEO-TECH INSPECTIONS AND REPORTS Your company has been Indicated as the electrical contractor for xhe permit indicated above. In order for the electrical permit to be valid,the signature of the supervising ek:ctrician is required. Please have the appropriate Individual from your company sign belrjuv and return this Floctrical Signaturp Form priorto the start of the work to the address above, / TTN: Building Urvision. No electrical inspections will be authorized until this complebod form is received OWNER. ELECTRICAL_ CONTRACT I UR BROWNSTONE QUAIL HOLLOW LL.0 DAVID JEROME ELECTRIC 1:670 SW 68TH PKWY PO BOX 751 STE 200 HILLSBORO, OR 97123 PORTLAND, OR 97223 Phone#. 503-598-7565 hone#: 848-6144 Fteg # LII; 36051 SLIP 29775 FLE 34-119c AN INK SIGNATURE I'S REQUIRED ON THIS FORM Signature'of Supervising Electrician If you have any questions, please call (;b03) 639-4171, Pxt. #,a fr ro0z .Idrqa Drmq amv�1d. ,ao XITa Tloctape0g XVd 27:O1 ,1113. C0/7.0/TO CITY OF TI +�V,�AR® MASTER PERMIT PERMIT#: MST2002-00091 DEVELOPMENT SERVICES DATE ISSUED: 9/4102 1312.5 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13025 SW PRINCETON LN PARCEL: 2S104DA-22900 SUBDIVISION QUAIL HOLLOW SOUTH ZONING: R-4.5 BLOCK: LOT: 055 JURISDICTION: TIG REMARKS: SF rowhouse, Unit 55, Bldg 12,13N plan with deck. STRUCTURAL FILL, REQUIRES GEO-TECH INSPECTIONS AND REPORTS BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: 172 of BASEMENT: of LEFT: SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 50 SECOND: 733 of GARAGE: 547 at FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: 733 of RIGHT: VALUE: $162,203.60 OCCUPANCY GRP: R3 BDRM: 2 BATH: 2 TOTAL: 1,636.00 of REAR: PLUMBING SINKS: 1 WATL'R CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN TRAPS: LAVATORIES: 2 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS. GARBAGE DISP: I WATER HEATERS: 1 WATER LINES: BCKFLW PREVNTR GREASE TRAPS: OTHER FIXTURES: MECHANICAL _ FUEL TYPES FURN<100K: BOILICMP<3HP: VENT FANS: 3 CLOTHES DRYER: 1 I pG FURN>000K: UNIT HEATERS: HOODS: I OTHER UNITS: MAX INP: hlu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: I 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 500SF: 3 201 400 amp: 201 400 amp: lot WIG SVCIFDR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL SR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 601 1000 amp: 601+amp9•t000v: MINOR LABEL: 1000+amplvolt: PLAN REVIEW SECTION Recnnnect only: >600 V NOMINAL: CLS ARF-AISPC OCC: >=4 RES UNITS: 9VCIFOR>=225 A.: ELECTRICAL-RESTRICTED ENERGY _ A.SF RESIDENTIAL a.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMWAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTW BOILER: HVAC: LANDSCAPFARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL M SYSTEMS: TOTAL FEES: $ 5,500.08 Owner: Contractor: 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 68'1 H PKWY 12670 SW 68TH PKWY all other applicable laws. All work will be done in STE 200 PORTLAND,OR 97223 accordance with approved plans. This permit will expired PORTLAND,OR 97223 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 Rog 0: LIC 124627 forth in OAR 952.001-0010 through 952-001-0080. You may obtain copies of these rules r direct questions to OUNC by calling(503)24E 1501 REQUIRED INSPECTIONS Sewer Inspection Electrical Service Gas Line Insp Gyp Board Insp Plumb Final Fooling Insp Electrical Rough-in Insulation Insp Rain Drain Insp Mechanical Final Foundation Insp Mechanical Insp Shear Wall Insp Water Line Insp Building Final Slab Insp Plumbing Top Out Exterior Sheathing Inst Smoke Detector Final Inspection Firewall Insp Elertrical Final Plmlundslb Insp Framing Insp Issued By : / r r' /r' Permittee Signature : .1 Call (503) 639-4175 by 7:00 p.rn. for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00066 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 4171 DATE ISSUED: 9/4/02 PARCEL: 2S104DA-22900 SITE ADDRESS; 13025 SW PRINCETON LN SUBDIVISION: QUAIL HOLLOW- SOUTH 'ZONING: R-4.5 BLOCK: LOT: 055 _JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SFA NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for SF rowhouse. Owner: FEES BROWNSTONE QUAIL HOLLOW LLC Type By Date Amount Receipt 12670 SW 68TH PKWY - STE 200 PRMT CTR 9/4/02 $2,300.00 27200200000 PORTLAND,OR 97223 INSP CTR 9/4/02 $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. 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) 246-1987. Issued by ' r i'_ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day RECEIVED Building Permit Application ✓ Datereceived: /y /1A Permitno.: City of Tigard C11•Y up '11UAKLI, Project/appl.no.: Expire date: Ciryol 8d Ti anAddress: 13125 SW Hall 131"M> Phone: (503) 639-4171 j Date issued: By: It) Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: —W-_ — 1&2 family:Simple Complex: 7UUI &2 family dwelling or accessory U Commercial/industrial U Multifamily U New construction U Demolition Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: JOB t Job address: / GAS <'w Y 'w c L!h. c, Bldg.no.: Suite no.: Lot: Block: Subdivision:l!lH�G !111^1-krQ Ll Tax map/tax lot/account nu.:,-/ nr9 S5� Project name: _ Description and location of work on premises/special conditions: __ ___ -- ------- --- 1 1 1 11 Name: r 0 Mailing address: ID-611i D.rax: 1&2 tinnily dwelling: City: o '�' rti�. Stntc:b�INo.of ZIP: _ Valuation bedrooms/baths.................... .... . .... $ -- Phone' y Owner's representative: Total number of floors................................. _ Phone: F:tx: f mail: New dwelling area(sq. ft.) .......................... Garage/carport area(sq. ft.) Name: r , N t` Covered porch area(sq.ft.) ......................... Mailing address: S W _ Deck area(sq.ft.) ......................................•. Cit State: ZI . R Other structure area(sq.ft.)......................... Commerclal/luduttrial/multi-family: Phone: Fax: E-mail: 11 Valuation of work........................................ $ -- Existing bldg.area(sq.ft.) .......................... Business name: r-Q W v.st} t New bldg.area(sq.ft.) Address: g r Number of stories........................................ City: Swterp Zl Type of construction Phone' Fax:62o --mail: 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: provisions of ORS 701 tnd may be required to be licensed in the Address. p jurisdicUon where work is being performed. If the applicant is State ZIP: exempt from licensing,the following reason applies: Cit s_ _ Contact person:A N Plan no.: — Phone: x: E-mail: --- — Name: ,w. ,� � Contact person: Fees due upon application ........................... $ Address: 69w r c c Date received: City: 61— tate: 7.1P: 3 Amount received .........................I............... $--- Phone: I E-mail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Na gat luds"otn wcW credit cants,please call iurisdicaon for mac information attached checklist. All provisions of laws and ordinances governing Uiis O Vias U Mastercard work will be complied ' ,whethe ed I in or not. `"rd°U°'�`r'--- Cspires Authorized sign tum:- _ — -- Name R ZRMIder"u'own O°nedit card Pfint dame: L l L.Lf-- — der �nuure Amami Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 4404611~r>M, Plumbing Permit-Application i Date received. Permit no.: City of Tigard Sewer permitno. Buildingpcnnitno: 72k f ML Address: 13125 SW Ball Blvd Tigard,OR 97223 -- City oJTigard Phone: (503)639-4171 Project/appl.no.; _ Expiredatc: Fax: (503)598-1960 Li FY UP I IUA D nate issued: 13;-�eipt Land use approval: ��LDMG�MgjQL_ case file no.: Payment type: 1 mom"U I &2 fancily dwellrgl or accessory U C(nnn1<.1ciauindnstriA U Multi-family U'Cenant improvement O New construction U Addition/alteration/replacencent U Ircx1 service U 011ier: { 1 1 Job address:/, scri tion Qty- Fee(ea Total `" t New 1-anily dwellings only: Bldg.no.: Suite no.: (ltaeludes 10each utility c�rnnc lion) Tax map/tax lot/account no.: SFR(1)b Lot; --.>- Block: Subdivision: SFR(2)bath _ Project name: -- - — SFR(3)b -- — City/county: _�7.IP: Each addiath/kitchen Description and location of wort:on prrniises:- - Slteutillti;7- m Catch basidrain Est date of rompletion/inspection: U wells/ ineltrench drainhooting drno.lin.ft.)Manufactome utilities _ Mantcoles Wolcott Plumbing Rain drain connector — PO Box 2007 Sanitary sewn(no.lin.ft,) Gresham OR 97030-0594 Storm sewer(no.lin.ft.) 503-667-1781 Water service no.lin.ft.) CCB:23847 PLM N:26-2081113 MtureorItem: -- Absorption valve Contractor's representative signature: — Back clow preventer — Nint name: I BackwaU r valve ONTAVF PETtgo—KBasins/lavatory Clothes washer _ Name: ---------- Dishwasher _ Address: - Drinking fountain(s) Cit ----— State: ZIP: _ E ectors/sum Phone: Fax: E'-mail: Expansion tank Fixture/sewer cap — oor drains/floor sinks/hub Name(print): Fl Garbage disposal Mailing address: Hose bibb City: _ State: 7.1p: Ice maker Phone: Fax: E-mail: Interceptor/grease Owner installation/residential maintenance only: The actual installation Primer(s) _ will be made by me or clic 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 — NO—1911. Tubs/shower/shower pan Urinal Name: _ --___ Water closet Address: Watcr heater _ City: State: ZIP: Other. Phone: — T1:ax:_ Mail: Total c� O,for a— Minimum fee................$ Nd dl j�sird;aiau snon+t credit cards.*Mh�+�+ Notice:This permit application plan review(al _�) $ - U vi.:s Q MasterCard expires if a permit is not obtained Credit cord wfobwwithin 180 days after it bas been State surcharge(89'0)....$ 1° accepted as concplele. TOTAL ....................... _ Nude d ardtnl+ler u dioivo m tredl ean�-- $ — —` Crdhddct dtsutmc -- AO w 44DA16(ti00S7Caq MechanicalPermit l'ca received: Permit ao.:f�� City of Tigard Project/appl.no.: _ Expi.edate: _ CiryoJTigard Address: 13125 SW Ball Illvd,Tigard,OR 9223 Date issued: _ By: Receiptno.: Phone: (503) 639A I71 - Fax: (503) 598-1960 CITY UP IIUAK se filen.: Paymcottype: r31 JILDING T3M9I Iding permit no.: land use approval: _ - — ---�-- 61 Mom III n 3 11 U 1 & 7family dweiling or accessory U Commercial/industrial U Multi-family UTenant imprmeinemU Ncw tion U Add ition/alteration/replacement U Other:- __---- / , t I r 111 ffl ess: O 2L S W r'vtiG v tr Indicate equipment quantities in boxes below.Indicate t11c dollar Suite no.: value of all mechanical materials,equipment,labor,overhead, .: - profit.Value$ _ - map/tax lot/account no.: Block: Subdivision: *See checklist for important application information and �� jurisdiction's fee schedule for residential Ipermit tcc name: _ I r unty: ZIP: t r tion ar►d location of work on premises:_�------ i;M(�) 1.�Descri tion Qty. Res.only Res.onl e of completion inspection: �:improvement or change of use: Air handling unit CFM Is existing space heated or conditioned?U Yes U No it conditioning(sue plan required) is existing space insulated?U Yes U No A terauon o eusung system - . . of er compressor: State boiler permit no.: 1--out Seasons I lcating&A/C Service Inc HP Tons BTUM 110 Box 66409 'u r smo a am duct sma a etectors Portland OR 97290-6409 eat pump(site p an requir ) _ 503-775-5919 nsta l/rep acefuma umvi-.-_ T Including ductwork/vent liner U Yes U No CC13: 49293 lnsta Vrep a re Deere eaters--suspen City/mctro tic.no.: --- —_ - - wall,or floor mounted _ enter for a p ianct ier an furnace Name(Please print): a era on: 1 Absorption units BTUM (millers- lip Name: -- Com ressrxs Hl, Address: _ - n uamenta a tut an teo ton City: State: ZIP: Appliancevent _ - hex: E-mail: Dryer ex Faust Phone: -I� Type 1 res. is c iazmat rffiWlDI hood fire suppression system - — Exhaust fan with single duct(bath fans) Name: _ _ - - hanst cystcm a from euun or C Mailing addmess: _-�_ -- e p p trot on up to outlets City: _Ste: IIP_ _ Type; --L3'G Na Oil Phone: hex: Email: 'ue Lpi n each a ition over ou ets rocess piping( temauc requ re 1 Numtper of outlets - 4 Name: -Sorerlisrt4 app ce or eq-pment: ! Address: _ bccorative fireplace ------ State: ZIP: Tnsert-type _ City: W tov pe let stove ' Phone: I'ax: E-mail: Applicant's signature: Date o Name (Print): - - - Permit fee.....................$ ctedii earth,pws call 1�s"0"rex rtrxe�"'-"'a0A- Notice:This permit application Na d1)<,dsd,ctlap+� t aPP� Minimum fee................$ - ❑Visa O MasterCard expires if a permit is not obtained Plan review(at _ `!b) $ —_ aedii cad num J — ;- within I go days after it his been State surcharge(8%)....$ —�— _� d�� u� - accepted as complete. =00 it Card TOTAL .......................5 _ d«N(:atturc Amo"a' 44944%417( + Cardl,ol p Electrical Permit Application A� ie received Permit no.: rr • L-. City of Tigard HLU �� ojectlappl.no. _ Expire date: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 Case file no.: Payment type: Fax: (503) 598-1960 CITY UP d AjA1U Land use approval: TILDING=f TON ❑ I &2 family dwelling or accessory U Commercial/industrial U Multi-family ❑Tenant improvement ❑New construction U Add ition/altetation/rcplacenien1 O Other: ❑Partial JOB SITE INFORMAtIQN Joh address: l.S w 1 Itilti ( �•�- Bldg• no.: .`,uiie nu. Tax ma /tax lot/account no.: Block: Subdivision: Project name Description and location of work on premises: Estimated date of completiorihnspection: tM1ikD1ULE,, ten alar Job no: Description '►Jry. (r,.) 'lural no.fro Streamline Electric New residential-deKk or multi-family per DBA LaValley Corporation dwelling unh.Inckodesatuctsrdgarae. Serrkelinc-tded: 6025 Gast 18't'St IoW sq ft.or leu 4 Vancouver WA 98661 Each additional SW sq.ft.or portion thereof 360-993-5080 Limited energy,residential 2 CCB:116514 EI-C#: 34-432C SUP#: Limltedenergy,non-residential 2 Each manufactured home or modular dwelling Signature of supe ising electrician(required) Date _ Service and/or feeder 2 License no: Services or feedera-Installation, Sup.elect.name(prim) alteration or relocation: 1 1 I V1 0 1 200 amps or less 2 201 amps to 400 amps 2 _ Name(print): -_--- 4oI amps to 600 amps 2 Mailing address: am ___ 601 amps to 1000 ps City: Stale: ZIP Over 1000 arrips or volts _ 2 Phone: Fax: E-mail: Reconnectonl Owner installation:The installation is being made on property 1 own TQ10porary cervices or feeders- which is not intended for sale,lease,rent or exchange according to hstallation,alteration,or relocation:2W amps or less � 2�_2 ORS 447,455,479,670,'101. 201 amps to 400 amps _ 2 Owner's signature: Date: .____ _ 401 to 600 ams —, ;A [-ce circuits-sew,alteration, sion per peel: Name: _ _ nr branch circuits with purchase of Address. ce or feeder fee,each branch circuit(til Stale' ZIP: __ ur branch circuits wilhotn purchase Y' rvice or feeder fee,first branch circuit: 2_ Phone: Fax: tttail Each aJdinonal branch circuit Misc.(Geake or feeder not Included): 2 U Service over 225 amps-mrr merc,al U Healthcare foc,i„ Each Pump or irrigation circle ) �— U Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting — familydwellings U Building over 10.000 square feet four or Signal circuit(s)or a limited energy panel, U System over 600 volts norninal more residential units in one structure alteration,at extatsion' 2 U Building over three stories U Feeders,400 amps or more •Descrition U Occupant load over 91 persons U Manufactured structures or RV park Each additional inspection over the alloviable in any of the above: U Egressnightingplan 0 Other- - --- Per inspection Submit_eels of plans with any of the above. Investigation fee Thr above are not applicable to temporary cotidmd1oo aerAce. Other -- ..................... Permit fee S No art Jwiadkrios,rapt pedis cards,please tail Jurisdiction ft"trrart in(onttarks, Notice:This permit application - U Visa 0 MauuCard r�f.ires if a permit is not obtained Plan review Oct �) $ -- C"i card oomber within ISO days after it has been State surcharge(8%)....S — `�"` accepted as complete TOTAL $ Name Iden as shown on cutin card s Cardholder siptuntc Amok 446.1!15((An"INi CITY OF TIGA RD 24-Hour BUILDING Line: (503) 639-4175 MST QGO i_ INSPECTION DIVISION Business Line: (503)639-4171 - --- .- BLIP — Received Daaje Requested .3 1 AM_.._ __-__ PM BLIP Location o a _ — - —Suite.-_ MEC Contact Person . Ph(— �)"� �Z 3 PLM - - Contractor ----- - _---- --- ----- - Ph(—) — SWR BUILDING TpnanVOwnef ._..__ -.___ __-_.__-_ ELC Footing -- ELC Foundation ACCP,SS: 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 N 1►�. PASS PART FAIL ----- _. PLLIME ING _— - 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&Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL --- - - -- — -... - - - -- — ELECTRICAL Service ----- —� ---- -- - Rough-In UG/Slab Low Voltage Fire Alarm u Reinspection fee of$_. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PAS_ PART FAIL. SITE _ Please call for reinspection RE:T ____ _ ❑ Unable to inspect-no access Fire Supply Line - I�JN �� ADA fDAte_ 2-� -" O 7 Inspector ''-- -- Ext_ Anproach/Sidewalk Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL r LAAAAAAAAAAAAAAA`AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA. f STREET TREE CERTIFICATION ► Owner/Agent for ! (PLEASE PR %T) (PEK.Urr HOLDER) ril '► !! I Do hereby certify that the following location ! ► meets City of Tigard/Washington Count- loll. land use and development standards for street tree installation. ADDRESS: ►v ! loo. A Lar:a : � SUBDIVISION: L �� C � ► 1 : BY: DATE: Z ! h CEIVED BY: .�� DATE: >�Z�/�`� i► � t► i �fvvvvvvvvvvvvFvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvVVVVN CITY Of T{G"D Residential Certificate of Occupancy Permit No.: �� U 5 ( Address. �� 1 �2-� Owner/Contractor: Date of Final Inspection: V Inspector: One& Two Famih•Dm etling This structure has been found to be in substantial compliance with the provisions of the State of Oregon ` Specialtn Code and is hereby approved for occupancy. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 Ono INSPECTION DIVISION Business Line: (503) 639-4171 BLIP - Received ___- —Date Requested_—L _AM PM -__ -__ BUP Location ----.-_I -_ Suite MEC _ Contact Person _ Ph(—) 7�3�S3 S PLM _ Contractor _- - Ph( ) __ _ SWR _ -__— BUILDING _ Tenant/Owner ELC - -- Footing - ELC Foundatior 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: -- - -� - - -- - FI" ) ASS PART FAIL --- -_._.._ - ---- -- - -- -- ow Post&Beam Under Slab -------- -. -- - Rough-In Water Service ------------------- - -- - - - Sanitary Sewer Rain Drains -- Catch Basin/Manhole Storm Drain -- J-- - -` - - Shower Pan - Other: -- ---- -- Final PASS PART FAIL - - - - MECHA_NICAL ---- Post&Beam Rough-In _--_ -------- --------- -- Gas Line Smoke Dampers --.... ---- - -- ----- _- -- Fin�l,�, I� P<.-T FAIL -- ---- --- --- ----- --- - ------ ELECTRICAL -- Service Rough-In ---- --.- _--_ - -.--- - UG/Slab Low Voltage --� _-- _-_ -. ---------- - Fire Alarm Final t-I 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 Line ��f� ADA inspector \ � `< ��-�'" - Ext Approach/Sidewalk Other: Final ISO NOT REMOVE this Inspection recoirdl flrom the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 75 INSPECTION DIVISION Business Line: (503) MST -. Received Date Requested BLIP -- -- -- -- - Alvl PM .� BLIP Location l 716 Z `� 4, J w�cam._— Suite Contact Person _. _- __— — Ph(—) _ _ PLM - Contractor _-- _ P ( ) SWR - BUILDING Tenant/Owner ELC Footing - -- —---- Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: �— ------ SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - Insulation Drywall Nailing -- _ Firewall J Fire Sprinkler Fire Alarm Susp'd Ceiling - . - - - --�—JU - Roof s Other: Final PASS PART FAIL - --— — PLUMBING�---- Post&Beam — --- - - -- - - __ 10 - f-----— Under Slab - Rough-In Water Service - - Sanitary Sewer Rain Drains - - - -- Catch Basin/Manhole Storm Drain Shower Pan Other: _-------- --- - ----- - Final PASST FAIL AN L e Pos - am ---- - ---- — -------- Rough-In `�' -- ----- —� Gas Line 2S ke Dampers ASS PART FAIL --� - _RICAL Service -- -— �—__ -- -- Rough-In UC/Slab - - - — Low Voltage Fire Alarm -- - Final I Reins PASS PART FAIL. pectlon fee of$— required before next inspection. Pay at City Hell, 13125 SW Hall Blvd. SITE A Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA d Approach/Sidewalk Date Z 4/ - Inspector Other: Final - _—I DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503j 75 INSPECTION DIVISION Business Line: (5067MST _ Bl1P ReceivedDate Requested - /� 7_ AM _ PM _ BUP Location bW�c.. — --_-Suite EC Qv �-" Contact Person Ph(_-_- ) _ --_-__- PLM Contractor__ _ __.. Ph �._ -� SWR ----------- BUILDING Tenant/Owner — ELC Footing Foundation Access: ELC -_-- _ Ftg Drain ELR Crawl Drain _ Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing ---- -- --- Firewall Fire Sprinkler _ Fire Alarm • Susp'd Ceiling Roof Other:.---- Final PASS PART FAIL - — PLUMBING Post&Beam Under Slab Rough-In Water Service _ Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain Shower Pan Other:_ Final PAS T FAIL ME --- ---- Post&Beam Rough-in { �� Gas Line Smoke Dampers -ina P PART FAIL E CTRICAL Service Rough-In UG/Slab Low Voltage Fire Alarm — Final Reinspection fee of$ 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 Line ADA ' Approach/Sidewalk D�— Z.� d Inspector v 1..� Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITYOF TIGAR® MECHANICAL PERMIT DEVELOPMENT SERVICES DATE ISSUEDDPERMIT :: 4 4/1/03 3-00162 /1/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S104DA-22900 SITE ADDRESS: 13025 SW PRINCETON LN SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT: 055 JURISDICTION: TIG CLASS OF WORK: NEW �! FLOOR FURN EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS _ HOODS: FUEL TYPES 0 3 HP: DOMES. INCIN: Pc; 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITSOTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Installation of'gas Furnace. Owner: �__— FEES BROWNSTONE QUAIL HOLLOW LLC Description _ Date _ Amount 12670 SW 681-H PKWY JMtiC'I{] permit Fee 4/1/03 $72.50 PORTLAND, OR 97223 STE 200 [TAX] 8%,StateTax 4/1/03 $5.80 -- � Total E78.30 Phone: 503-598-7565 ---- Contractor: THERMOTECH 26716 S. BOLLAND RD. CANBY,OR 97013 _ REQUIRED INSPECTIONS Mechanical Insp Phone: S01-263-8000 Final Inspection Reg #: L IC 118695 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will he 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 in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 Issued By:• Permittee Signature: — Call (503)639-4175 by 7:00 P.M. for inspections needed th� ne t business day gEQEIV�p . OFFICEUSE Mechanical Permit ASU icatmi Received 4 Mcchamcal� Date/BY l / Q� C'2tNo./y Planning A pr al Building City of Tigard Ul(Y OF 1 IGAHU Datcmy: Permit No 13125 SW Hall Blvd. lgl)II_f�lt`1G nIVIS10f Plan Review other Tigard,Oregon 97223 Date/B � Permit NoPost-Re .'. Phone: 503-639-4171 Fax: 503-598-1960 Date/By: yCand Use Case No.: Internet: www.ci.tigard.or.us Contact See Pape 2 for 24-hour inspection Request: 503-639-4175 Narnc/Method _ Su lemenral Information. TYPE OF WORK _ "COMMERCIAL FEE*SCHEDULE-USE CHECKLIST New construction _ Demolition _ Mechanical permit fees'are based on the total value of the work Addition/alteration/ lacetnent Other: performed. Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead and profit. CATEGORY OF CONSTRUC'T'ION 1 &2-Famidwelling. Commercial/Industrial Value: S See Page 2 for Fee Schedule l Multi-Family RESID.KNI-141 EQUIPMENT/SYSTEMS FEE* _Acccsso Buildin _ Description ____L t Fec ea• Total Master Builder Other: _ Heatin I ""-ling — JOB SITE INFORMATION and LOCAT N_ Furna -add-on air conditioning----- 14.00 Job site address: i X011 m a- — sus heat pump 14.00 Suite#: Bld /A t.#: Duct work 14.00 —gam ---- H dronic hot waters stem 14.00 Project Name: Residential boiler Cross street/Directions to job site: for radiator or h dronic system) 14.00 Unit heaters(fuel,not electric) in wall in-duct,suspended,etc.) _ 14.00 Flue/vent(for any of above) 10.00 Repair units 12.15 Subdivision: Lot#: S _Other Fuel Ap illances _ Tax ma / areal #: Water heater — 10.00 DESCRIPTION OF WORK Gas fireplace 10-00 Flue vent water heater/gas fireplace) 10.00 � Log lighter as 10.00 Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner/flue/vent_ 10.0_0 _ [�PROi'ERT OWNER I'- 1�T-- Other: 10.00 Environmental Exhaust&Ventilation N'a1rie:- _ - 11' --- Range hood/other kitchen equipment 1000 Address: l u' . 4'� Clothes dryer exhaust 10.00 City/State/ZipsPbA,4t 'r ) Dom' -el Single duct exhaust Pholle: -211t Fax: _ (bathrooms,toilet compartments, APPLICANT_ �_ CUNTAC'f 1'ERSO titilit rooms) 6.80 Attic/crawl space fans 10.00 Na111C:-� -— -- -__--- -- Other: 10.00 Address: J` Fuel PI hi Cit /State/7i _ **(55.40 for first 4,St. each additions -- Furnace etc. Phone: Fax: _ ___ Gas heat pump _ •• E-mail: Wall/sus nded/unitheater _ Cc-ACTOR Water heater -" -- Fireplace Business Name: -_ Range .. Address: ,- r ' >_r , _�. fss' I ,f1 -— BB _ .. -- Cit /State/Zi e L t_ 11" CP" 07711 t _ Clothes dryer 2m __ Phone: 7 r. ; _ '),-v Fax: _ other - •` _ Total: CCB Lic. # /t .� _- Mechanical Permit fees* Authorized t��, _ Subtotal: S _ Signature: I Date:-- - Minimum Permit Fee S72.50 $ 5 Review Fee2( 5°40 of Permit Fcc) S _ -- (Please print name) ---�- State Surcharge 8%of Permit Fee) $ S: d TOTAL PERMIT FEE S ^ Notice: I Ili%pet mit application expires if a permit Is not obtained within --;-Fee methodoiopy set by Tri-County Btilidinit Industry Service Board. IAO days after it hai been accepted as complete. i\Usts\Pemiit Foms\MecPcrtnitApp,d<K 01%111 Mechanical Permit Application - city of'Tigard Page 2 - Supplemental Information Commercial Fee Schedule:___ Total Valuation: Permit Fee: 51.00 to$5,000.00 Minimum_fec_$72.50 $5,001.00 to S10,0W.W $72.50 for the first S5,(W.00 and V 52 for each additional$100.00 or fraction _ thereof,to and including S10,M)00. 510,001.00 to$25,000.00 $148.50 for the first$10,000.00 and $1.54 for each additional$100.00 or fraction thereof,to and including $25 000.00. $25,001.00 to$50,000.00 $379.50 for the first$25,O1N).(N)end $1.45 foreach additional$IW.Wor fraction thereof,to and including _ $50,000.00. 550,001.00 and up $742.00 for the first$50,000.00 and 51.20 for each additional$I(Y)W or fraction thereof. Assumed Valuations Per Appliance: Value Total J>Ss-c QtY (Fa) Amount Furnace to 100,000 B1'U,including 955 ducts&vents Furnace>100,000 BTU including ducts 11170 &vctlLc_ _ Floor furnace including vent _ 955 Suspended heater,wall heater or floor 955 mounted heater _ Vent not included in appliance permit 445 Repair units _ 805 <3 hp;absorb unit, 955 to I Wk B'I'U 3-15 hp;absorb.unit, 1,7W 101k to 5Wk B1'U 15-30 hp;absorb.unit,501 k to 1 mil 2,310 BTU __ 30-50 hp;absorb.unit, 3,4W 1-1.75 mil.BTU _ >50 hp;absorb.unit, 5,725 >1.75 mil B-111 Air handling unit to 10,(M cfm 656 Air handling unit>10,000 cfm 1,170 Non• ortable evaporate cooler _ 656 Vent fen connected to a stele duct 446 Vent system not included in appliance 656 permit Hood serve ay mechanical exhaust 656 Domestic incinerator 1,170 Commercial or industrial incinerator 4,590 _^ Other unit,including wood stoves, 656 inserts etc. Gas piping 14 outlets 300 Each additional outlet 63 _ TOTAL COMMERCIAL $ VALUATION: iADsts\Permit Fonns\MecPermitAppl'g2.doc 01103 CITY OF `rIGARD 24-Hour BUILDING Inspection Line: (503)6 5 INSPECTION DIVISION Business Line: (503)631 SUP — Received —Date Requested �� AM_ PM — BLIP -_ Location —__ ..__...� 0 Com' suite Suite---- - _ �7, " Contact Person ---- --- Ph Contractor r -- ----------- -- Ph(--.) SWR UILDING7Tenant/Owner - - _ — -- -- ELC F otina ELC F undation / Access: Ft Drain ELR Cr I Drain Sla , Inspection Notes SIT _— Pos R Bea - - - - - She r Anc ors I-xl hea /Shear Int S eat /Shear Frami g - Insula n Drywa Nailina - Firew Fire S r kler __+--- Fire ar Sus Ce rrnl - - - Roo Ot r: ASS PART_FAIL — 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&Beam Hough-In ------- Gas Line Smoke Dampers - -m PART_FAIL - -----�-- --J-- ELECTRICAL — Service Rough-In -- UG/Slab Low Voltage - Fire Alarm Final Reinspection tee of required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. _PASS PART FAIL SITE _-� [� Please call for reinspection RE: — — F� Unable to inspect-no access Fire Supply Line �j ADA /t711d �✓ '-`_'_� Approach/Sidewalk Dab_ -- - 111ap�tof - _-_-- _- Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITYOF TIGARD MECHANICAL PERMIT__ DEVELOPMENT SERVICES PERMIT#: MEC2003-00152 13125 SW Hall Blvd., Tigard, OR 97223 503) 639-4171 DATE ISSUED: 3/28/03 g ( PARCEL: 2S 104DA-22900 SITE ADDRESS: 13025 SW PRINCETON LN SUBDIVISION: QUAIL HOLLOW SOUTH ZONING: R-4.5 BLOCK: LOT: OSS JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS. 'TYPE OF USE: SFA UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: _FUEL TYPES _ 0 - 3 HP: 1 DOMES. INCIN: (;AS 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE. 50 + HP: CLO DRYERS: FURN < 100K BTU: _ AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000cim: GAS OUTLETS- > 10000 cfm: Remarks: Installation of exterior n('unit. Cannot he placed in the required setbacks. Owner: FEES BROWNSTONE QUAIL HOLLOW LLC Description Date Amount 12670 SW 68TH PKWY 3/"28/03 $72..50 STE 200 [MLC.'tl) I crmit Pec PORTLAND, OR 97223 [TAX] 8 Statcl'a\ i 3!28103 $5.80 Phone: 503-598-7565 Total $78.30 Contractor: THERMOTECH 26716 S. BOLLAND RD. CANBY, OR 97013 REQUIRED INSPECTIONS Phone: 503-263-8900 Cooling Unt Insp Final Inspection Reg#: LIC 118695 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. 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 in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 Issued By: Liz I, Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next bushiess day FOR OFFICE USE ONLY Mechanical Permit Application ReceivMechanical DatPermit No.i, Planning Approval Building City of Tigard Date/By- Permit No _ 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.. _— Phone: 503-639-4171 lax: 503-598-1960Post-Review Land Use L" Datc/By: Case No.: Internet: www.ci.tigard.or.us Contact Juns.: IsScc Parc 2 for 24-hour Inspection Request: 503-639-4175 Name/Method Su Icmental Information.__ _ TYPE OF WORK COMMERCIAL FEE*SCHEDULE-USE CHECKLIST _ New construction _ Demolition Mechanical periiit fees"are based on the total value of the work Addition/alteration/re�lacement ❑ Other: performed. Indicate the value(rounded to the nearest dollar)of all CATEGORY OF CON TRUCTION mechanical materials,equipment,labor,overhead and profit. 1 &2-Family dwellin Commercial/Industrial Value: $- See Page 2 for Fee Schedule Accessory Building Multi-Famil RESIDENTIAL EQUIPMENT/5YSTEMS iiNe SCHEDULE Description rFee(ea.) Total _Master Builder LJ Other: — Heating/Coolinst _ _JOB SITE INFORMATION and LWATION Furnace-add-on air conditioning' 14.00 Job site address: /30-� i� c Gas heat um 14.00 Suite#: Bldg./Apt.#: Duct work 14.00 II dronic hot waters stem 14.00 Project Name: Residential boiler Cross street/Directions to job site: for radiator or_ydronic system) 14.00 Unit heaters(fuel,not electric) in wall in-duct suspended,etc. 14.00 _ Flue/vent for any of above 10.00 —_ _— -- - Repair units 12.15 Subdivision: _ Lot#: Other Fuel A uaneea Tax ma / arcel #: V Water heater 10.00 DESCRI_P_Tl N OF WORK Gas fireplace _ — 10.00 _ r /I �� Flue vent(water heater/gas lire lace 10.00 -tA— Log lighter as 10.00 _ Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chintne /liner/flue/vent 10.00 PERTY OWNER �NANT Other: 10.00 Environmental Exhaust&Ventilation Name: tL:��S-�pg�_ �ti Range hood/other kitchen equipment 10.00 Address: _ Clothes dryer exhaust 10.00 Citi/State/Zip: _ _ _.._ Single duct exhaust Phone: Fax: (bathrooms,toilet compartments, APPLICANT CONTACT PERSON utilityrooms 6.8U Name: Attic/crawl space fans 10.00 --- — -- _.__ Other: 10,00 Address: Fuel Piping _ City/State/Zip: **($5.40 for first 4,S1.00 each additional Furnace,etc. Phone: I'aX_ Gas heatpump " E-mail: _ Wail/sus ended/unit heater _ •' __ CONTRACTOR Water heater — Fireplace _Business Name �� ..,,�,.� �� ., — Address: Rangy LB -- — _ '• City/State/Zip: Clothes dtyer asl •� FaX; •' Phone' �---�— Other: — Total: CCB Lic. #: Mechanical Permit Fees' Authorized '"" ? _ Subtotal: $ Signature: Date: T Minimum Permit Fee$72.50 S Plan Review Fee(25%of Permit Fee) $ State Surcharge(8%of Permit Fee $ (Please print name) —'� TOTAI:PERMIT FEE $ Notice: 'I his permit application expires If a permit Is not obtained hithin Fmethodology h dol requlcered fqvt or xte for AIC Building Industry Service Board. IAO dans after It has been accep ' ella ted as complete. Pt I\Dsts\Permit Norms\MccPennuApp.duc 01/03 Mechanical Permit Application - City of'I'igard Page 2 - Supplemental Information Commercial Fee Schedule: 'Total Valuation: �M Permlt fee: SI.00 to$5,000.00 Minimum fee$72.50 55,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof,to and including 510,000.00. $10,001.00 to$25,000.00 5148.50 for the first 510,000.00 and S1.54 for each additional 5100.00 or fraction thereof,to and including _ 525,000.00. $25.001.0(Tto$50,000.00 $379.50 for the first S2`-�rx1.00 and $1.45 for each additional W W.00 or fraction thereof',to and including 550,000.(x). $50,001.00 and up 5742.00 for the first 550,000.00 and $1.20 for each additional$100,00 or fraction thereof'. Assumed Valuations Per A llance: -- �� Value Total Description: t 1[a Amount Furnace to 100,000 BTU,including 955 ducts&vents _ Furnace>100,000 BTU including ducts 1,170 &vents Floor fumace including vent_ 955 1 _. Suspended heater.wall heater or floor 955 mounted heater Ventnot included in appliance permit 445 Ite Bair units _ $05 <3 hp;absorb.unit, 955 to I 00 BTU 3-15 hp;absorb.unit, 1+700 101k to 500k B'ru 15-30 hp;absorb.unit,501 k to I mil. 2,310 BTU 30-50 hp;absorb.unit. 3,400 1-1.75 mil.BTU >50 hp;absorb.unit, 5,725 >1.75 mil.BTU _ 0000 Air handling unit to 10,000 cfm, 656 Air handling unit>10,000 cfm 1,170 Non-portable evaporate cooler 656 _ Vent fen connected to a single duct 446 Vent system not included in appliance 656 rmit --- flood served b mechanical epthwisl 656 _ Domestic incinerator 1+170 Commercial or industrial incinerator 4,590 Other unit,including wood stoves, 656 inserts,etc. (las piping 14 outlelg _ 360 Each additional outlet 63 TOTAL COMMERCIAL $ VALUATION: is\Osis\Penni(romps\MecPermitAppPg2.doc 01103 Mar 28 03 10: 03a BROWNSTONE HOMES 503-620-9965 p . ? 1�NIT G ��I UNIT q;,F,i UNIT �. B N I 6 tNIT I' LNIT B-° wwl � �oQP.unro C4,1 1 D 5 j B-5 I rs�uncal , (opP. DO* r--- I ''LAN; LEVEL ------ _�--~ i - --- -----•, � jib �-', �.�.�- `'� � ,, _ II laa+.l v NIT I 6 I$ UNIT ori ° - 1F3..5 I LEVEL ELECTRICAL PERMIT CITY OF TIGARD • RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00295 13125 SW Hall Blvd., Tigard. OR 97223 (5031639-4171 DATE ISSUED: 12!16/02 PARCEL: 2S 104DA-22900 SITE ADDRESS: 13025 SW PRINCETON LN SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOT: 055 JURISDICTION: TIG Protect Description: All encompassing low voltage. A.RESIDENTIAL _ B.COMMERCIAL_ AUDIO & STEREO: X. AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP : X HVAr PROTECTIVE SIGNAL: INSTRUMENTATIt- OTHER: _ TOTAL#OF SYSTEMS___— Owner: — Contractor: BROWNSTONE QUAIL HOLLOW LI-C AZIMUTH COMMUNICATIONS INC 12670 SW 6bTH PKWY P.O. BOX 508 STE 200 WILSONVILLE, OR 97070 PORTLAND, OR 97223 Phone: 503-598-7565 Phone: 503-639-1)111, Reg#: ELE 36-94('LE SUP 2312LEA LIC 145828 _ FEES Required Inspections _ Description Date --_ —Amount Low Voltage Inspection (E.LI'RNI I I 1 i.lt Pcnnit 12116/02 $75.00 Elect'/ Final ITA\ 8"/o State I'm 12/16/02 $6.00 Total $81.00 This Pen-nit is issued subject to the regulations contained in the Tigard 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 worts 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 lhrouc Issued X [�-�tiy\/0._ �.____ Permittee Signature _— _ 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 INSTALLATION ONLY _ SIGNATURE OF SIJPR. ELEC'N LICENSE NO: .._— ---------�^.-- -------- -- ---- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application _ Datereceived: /A /� 0� Permitno.: City of Tigard RECEIVE Project/appl.no.: h ire date: City(!f Tilard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: y J I Receipt no.: Phone: (503) 639-4171 13 200[. Fax: (503) 598.1960 DEC Case file no.: Payment type; Land use approval: CITY OF TIGARD U 1 &2;familywelling or accessory U Commercial/industrial U Multi-farnily U Tenant improvement New ion ❑Add idon/alteration/replac:ement l]Other: U Partial Job addrebdLS Sit . 't,v�t Id.. LA Bldg. no.: /a Suite no.: Tax map/tax lot/account no.: Lot; Tc; Block: Subdivision: 014194L 5,W Proiect name: CIO-, i` Saes rr+ Description and location of work on premises: Y01C01,10,F0 Estimated date of completion/inspection: CONTRAV11*0111 A111111,11CATION FEE, SCHEDULE Job no: F'ee t+1nx Business name: Az4m"TA C1DMr�1 u�I C'ATldnJ l --"- - Description Qty. (res.) Total no,Insp New reAdential-single or multi-family per Address,'�30) 5- ). Mpg dwelling wdt.Includes attached garafr- City: Uj fL-,C 4411 LL&:- State:0,(2- 1 ZIP: 97706 Service Included: Phone: G Fax G3 o/r E-(nail: 1000 sq.It.or less 4 FAch additional 500 sq.ft.or portion thereof _ CCB no.: 1µ5 Elec.bus.lic.no: ,66-y Limited energy,residential 2 City/metro lic.no.: aW U52`) Limited energy,non-residential 2_ `z /Z�/-��Q Z Each manufactured home or modular dwelling Signe ore of supervising elect iv an(required) Date Service and/or feeder 11 Sup.elect.name(print): y License no:.Z,3/2 e.Eq Services or feeders-Installallon, alteration or relocation: 200 amps or less 2 7(print): A)PTyA)E _ _ 201 amps to 400 snips 2 401 amps to 600 amps 2 _ 1401 amps to 1000 amps 2 Cit Stale: ZIP: Over 1000 un s or volts 2 Phone: Fax: E-mail: Reconneuonl I Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended fir sale,lease,rent,or exchange according to Instalint ion,sdteratIon,orretocation: ORS 447,455,479,670,7(j;. 01 i. 2amps or less 2 2 _ 01 amps l0 400 amps _ _ 2 Owner's si nature: Date: _ 401 to 600 ams — 2 �01 11101.1i 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: State: ZIP: B. Fee for branch circuits without purchase - - ----------- -- of service or feeder fee,first branch circuit 2' I'hnne; I'ax: F,-mail: ----- -- -- Each additional branch circuit: Misc.(Service or feeder not Included): U service over 225 amps-commercial U Health-care facility Each pump or irrigation citcle '- U Service over 320 amps-rating of 1&2 U Hazardous loeation Each signor outline lighting 2 family dwellings U Building over 10,w)square fen four or Signal circuit(s)or a limited energy panel, USystem over 600volts nominal more rcsidendalunits inone structure alteration,orextrmoon• 1 U Building over three stories C: Feeders,4(x)amps or more •Descri pion U occupant load over 99 person U Manufactured structures or RV park each additional Inspection over the allowable In any of the alcove: U Egress/lightingplan U Other" - —_ Pet inspection Submit—sets of plans with any of the above. Investigation tee_—__—__ The above are not applicable to temporary conslniction service. Other _- - Permit fee.....................$ Not alictitxu accept credit cards,please call jurisdiction fa nose Infxrnatlon Notice:This permit application -- r U MasterCard expires if a permit is not obtained Plan review(at — %) $ „card number: _-- --" --_ I within 180 days after it has been State surcharge(8%) ....$ _—_�— t_rpirrs accepted as complete TOTAL . ......$ Naar.d cardholder u shown on credit cum ,-- Cardholder signature Atnonot 440.4615(firWrCOM) CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00570 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 15104 2 PARCEL: 2S10402 SITE ,ADDRESS: 13025 SW PRINCETON LN oUBDIVISION: QUAIL HOLLOW- SOUTH ZONING: R-4.5 BLOCK: LOT: 055 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SFA UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS_/COMPRESSORS HOODS: FUEL TYPES_ 0 - 3 HP: DOMES. INCIN: LPC; �Y 3 15 HP: COMML INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS _ OTHER UNITS: 1 FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 Cf m: Remarks: Installation of gas fireplace and gas piping. Owner: FEES BROWNSTONE QUAIL HOLLOW LI-C DescriptionDate Amount 12670 SW 68TH PKWY Ihtla'111 1'ermit I er 12/12102 $72.50 STE 200 I'AX) R"s,Sw(e fay 12/12/02 $5.80 PORTLAND, OR 97223 Phone: 503-594-7505 Total $78.30 — Contractor: FOUR SEASONS HEATING & A/C PO BOX 66409 PORTLAND, OR 97290 REQUIRED INSPECTIONS Gas Line Insp Phone: 503-775-591() Mechanical Insp Reg#: LIC 48283 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Centei. Those rules are set forth in OAR 952-001-00 Issued 4Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for lospections needed the next bus;nPss day Mechanical Permit Application Date received: / p� Permit no.:N� 5 70 City of Tigard ProjccUappl.no.: Effpim date: C'iry(if Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: B Receiptno.: Phone: (503) 639-4171 (. Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: Rf5j_,14CG } - TYPE OF PERMIT &2 family dwelling or accessory U Commercial/industrial U Multifamily U Tenant improvement New construction U Ad(Iitiort/alteration/replacement U Other: _- 11 SITE IN FORIMATIONCOMMERCIAL 1SCHEDULL Job address: �C ; '-)(L, 116"1 1C y� (( Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.:U Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax ot/ticcount no.: profit. Value$ l ot: Block: S tbdivision: t *See checklist for important application information and Projec e: t juris,iiction's fee schedule. for residential prnttit Ice City/county: y ZIP: - MMMMUM go AL 1111111111 Description and I t on of work o remissgs: 7A,rr 1 1 r t1 I� l V" J r — I cc(rr.► !ural Est.dale of completion/inspection: Ihnwriplion Qcy. Res.only Rm.only Tenant improvement or change of use: ng unit __CFM Is existing space healed or conditioned?U Yes U No Air conditioning(site plan required) Is existing space insulated?U Yes U No _JL Alteration ofcxistingliVACsystcm MECHANICAL CONTRACTOR o er compressors Business ame: Uwr State boiler permit no.: — -- -- Addie. NP _Tons BTU/N - atnpersn uct smoke detectors City: V c/Y-tStale ZIP: qT0 Bear pump(site plan reyutrec) Phone:,5i3 5-39-9141 Fax: E-mail: ":i I/rep ace urnace urner MUM Including ductwork/vent liner U Yes U No CCB no.: I _— nstall/replace re ocate heaters-suspcn e , City/metro lic.no.: wall,or Floor mounted Nance(please print): — Vent for appliance other t :,, f-mace 1 1 of gest on: Absorption units__ Iil'lflll Name:r L v' - ( Chillers Address. j Compressors HP Environmental exhaust and ventrlal Frr. City:/ �." (l(.( � f Stat I APPlianccvrnI Phone: Q Fax: E-mail: �ryerex roust _ or s,Type res.kite cr azmat hood fire suppression system N. Exhaust fan with single duct(hath fans) Mailing address: �— 'x roust s�stcm a art from heatingor AC City: - state: ZIP: •ue piping an rclr ul on(up to outlets) Type. ___LNj _ NG Oil ucl IiPhone: Fax: E-mail: over 4 outlets roces!piping(schematic require(r) Name: Numt,cr of outlets _ 1-.ler listed oppillance or equ patent: Address: _ _ Decorativefireplacc City: State: ZIP:_— T nseri type Phone: Fax: E-mail: stov ped et stove _LaCE Applicant's signature: Date: other: Name (print): -- Na all jurisdictions accept credit cads,please call jurisdiction for note inftttnation I'ei reit fee.....................$ _� �0 U Visa U MasterCard Notice:This permit application Minimum fee................$ _ , expires if a permit is not obtained Plan review(at — 96 $ Credit cad number _-__-_ — F i / within ISO days after it has been ) ---1� p State surcharge(8%) ....$ J5 _ -- — -re accepted as complete. Nana d cardholder a that i t � credit cad acce s TOTAL ....................... Cardholder signature -- Amount —^-- ---- 440I617(6Ag4'OM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description: Price Total $1,00 to$5,000.00 _ _ Minimum fee$72.50 Table 1A Mechanical Code oty (Ea) I 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 _ 14 00 ------ fraction thereof,to and including 2) Furnace 100,000 BTU+ $10,000.00. Including ducts&vents 17 40 $10,001.00 to$25,000.00 $148.50 for the first$16,000.00 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 $25,000-00. or floor mounted healer 14.00 $25,001.00 t $$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. 12.15 $50_,0_01.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boller Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond I fraction thereof, footnotes below. Comp Minimum Permit Fee$72.50 SUBTOTAL: $ 7)<3HP;absorb unit to 100K BTU _ _ W52.20 . B°/.State Surcharge $ 8)3-15 HP;absorb unit 100k to 500k BTU25%Plan Review Fee(of subtotal) 9)15-30 HP;absorbRequired for ALL commercial permits oni $ unit.5-1 mil BTU 10)30-50 HP;absorb TOTAL COMMERCIAL PERMIT FEE: $ unit 1-1.75 mil BTU 11)>50HP;absorb unit>1.75 mil BTU 87.20 ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM 1000 -- Value Total 13)Air handling unit 10,000 CFM+ Descriptions CiEa Amount 17.20 Furnace to 100,000 BTU,Including 955 14)Non-portable evaporate cooler ducts&vents _ 10.00 Furnace>100,000 BTU including 1,170 15)Vent fan connected to a single duct ducts&vents 6.80 Floor furnace Including vent 955 16)Ventilation system not Included in Suspended healer,wall healer or 955 appliance permit 10.00 floor mounted heater 17)Hood served by mechanical exhaust Vent not Included in appliance 445 10.00 permit - 18)Domestic Incinerators Repair units 805 17.40 <3 hp;absorb.unit, 955 19)Commercial or Industrial type Incinerator to 100k BTU 69.95 3-15 hp;absorb.unit, 1,700L 20)Other units,Including wood stoves 101k to 500k BTU 10.00 15-30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets mll.BTU _ 5.40 30-50 hp;absorb.unit, 3,400 22)More than 4-per outlet(each) 1-1,75 mil.BTU 1.00 >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $ >1.75 mil.BTU Air handling unit to 110,000 cfm 656 - -8%State Surcharge $ Alr handling unit>10,000 chn _ 1,170 Non- rtable evaporate cooler 656 Vent fan connected to a single duct 446 TOTAL RESIDENTIAL PERMIT FEE: $ Vent system not Included In 656 _ _appliance permit _ Hood served b mechanical exhaust 656 Other Insect Ions and Foes: 1 Inspections outside of normal business hours(minimum charge-two hours) Domestic incinerator 1,170 $62 50 per hour. Commercial or Industrial Incinerator 4,590 2 Inspections for which no fee is specifically indicated (minimum charge-half hour; Other unit,Including wood stoves, 656 $62 50 per hour Inserts,etc. _ 3 Additional plan review required by changes,additions or revisions to plans(minima 1 Gas I in e 1-4 outlets - _360 charge-one-half hour)$62.50 per hour Each additional outlet 63 'State Contractor Boller Certification required for units>200k BTU. TOTAL COMMERCIAL $ `Residential AIC requires site plan showing placement of unit VALUATION: All New Commercial Buildings require 2 sets of plans. I:Wstslforms\mech-fees.doc 02/11/02 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE WOLCOTT PLUMBING CONTRACTORS PO BOX 2007 GRESHAM, OR 97030 Plumbing Signature Form Permit #: MST2002-00091 Date Issued: 9/4/02 Parcel. 2S104DA-22900 Site Address: 13025 SW PRINCETON LN Subdivision: QUAIL HOLLOW - SOUTH Block: Lot: 055 Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse, Unit 55, Bldg 12,BN plan with deck. STRUCTURAL FILL, REQUIRES GEO-TECH INSPECTIONS AND REPORTS 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 PO BOX 2007 STE 200 GRESHAM, OR 97030 PORTLAND OR 97223 Phone #: 50'3-598-7565 Phone #. 667-1781 Reg # I Ir 23847 PI M 26-208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature o uth nz_ed Plumber It you have any questions, please call (503) 639-4171, ext. # 310