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13045 SW PRINCETON LANE 13045 5W Princeton Lane CITY OF TI AARD 24-Hour BLIILJIN., Inspection Line: (503; 639-4175 2 INSPE.;TION DIVISION Business Line: (503)639-4171 MS1 Bt1P _.. --- ------- Received __ __ _—_Date Reqs sled___ �y .. AM_--_— PM____ BLIP Location ��3"�— - ----Suite _ MEC Contact Person -- _ Ph ZL3 5-3.-j PLM Contractor_ __^— _—___— Ph ( _) - SWR BUILDING Tenar UOwner _-_ _ 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 I Insulation Drywall Nailing ---Firewall Fire Sprinkl3r Fire Alarm Susp'd Ceiling Roof , Other: --- Final I PASS PART FAIL -----PLUMBING Post — Post& Beam --� Under Slab -- ------ -- --- -- Rough-In Water Service - -- —-- Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other- f=inal PASS PART FAIL MECHANICAL Post& Beam Rough-In — Gas Line Smoke Dampers '"t� Final PASS PART FAIL —� ELECTRICAL Service Rough-In UG/S� - ---- Ila I rm inal U Heinspection tee of g _ _ _required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL 3 C� Please call for reinspection RE: __ _ n Unable to inspect-no access Firs Supply LineADA 7 Approach/Sidewalk Detat 5 C! c�- Inspector Other. 181 DO NOT REMOVE this Inspectir-i rotord m 1'ob sift. `SS PART FAIL CITY OF TIGARD 24-Hour BUILDING inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line. (503) 639-4171 BLIP Received Date Requ sted_�3 �- AM ___ PM BLIP Location _— ( �� 7 �— Suite MEC Contact Person j7ajeh pill—) _75�q_2 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 'S- Susp'd Ceiling — — Roof Other: Final PASS PART FAIL � j PLUMBING Post Beam �A //,_ Underr Slab --- �-•��C� _ Rough.In Water Service -- Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain ShowerOther: WV PART FAIL elPan ANICAL Post&Beam - Rough-In Gas Line Smoke Dampers Final PASS PART FAIL - ELECT_RICAL Service --�- Rough-In UG/Slab Low Voltage —-----_ --- ------- Fire Alarm Final Reinspection fee of$ required befor:;next Inspection. Pay at City Hall, 13125 SW Hall Blvd, PASS PART FAIL SITE _ — [ ] Please call for reinspection RE: F-1 Unable to Inspect-no access Fire Supply Line ADA �,� 1 Approach/Sidewalk Date _ 6 Inspector _�✓ EXt_ Other. V 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 INSPECTION DIVISION Business Line: (503)639-4171 �( BLIP Received _ Date Re nested J AMI " PM_._—__ BLIP Location _ r JJ1.c�►1,G� ---Suite_------- MEC Contact Person ___ _. Ph( ) �-; ` L 1 7� PLM Contractor__ _ _—__ Ph( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam _- --Shear Anchors Anchors — - — Ext Sheath/Shear __- Int Sheath/Shear Framing Insulation Drywall Nailing C. �"�3 .••JJJ"' Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling --- --— Ot of PASS PART AIL PLUMBING Post& Beam Under Slab l l _ l Water Service - �o `� CiL1�S �1. . Sanitary Sewer Rain Drains -- Catch Basin/Manhole Storm Drain --- - Shower Pan Other: - Fina! PASS _PART _ FAIL MECHANICAL Post Post& Beam Rough-In Gas Line Se Dampers --- m , PART FAIL EUECTR05"AL �_ 1L��b �� i�l ! lZ • C "C Service Rough-In Low Voltage --__ _ Fire Alarm Final -- Reinspection fee of$__ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE — [� Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dote ` Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour WILDING Inspection Line: (503);9i MSTINSPECTION DIVISION Business Line: (503) BUP Received Date Requeste ��3 _a AM__ _ PM BUP Location �_— �Q s / Suite MEC _ MEC Contact Person Ph(.--_—.) _ PLM _ Contractor_ _ Ph(--) SWR BUILDING Tenant/Owner _ ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT _ Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear --- Framing _ V� Insulation Drywall Nailing Firewall v/� Fire Sprinkler Fire Alarm I Susp'd Ceiling 4-n Roof : Ot PASS PART AIL PLUMBING Post&Beam �CT Under Slab -_ Rough-In Water Service Sanitary Sewer j L Rain Drainst - _ Catch Basin/M hole / R _� Storm Drain _- Shower F'an Other. T Final PAPART FAIL - MECHAN_ICAL Post&Beam ---- Rough-In Gas Line Smoke Dampers Lr I /fA-fV PARTrtkkfffi_1CFA_L Service --- - --u--- Rough-In UG/Slab Low Voltage Fire Alarm - - - - - Final ❑ Reinspection fee of$.__.__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FALL -SITE-- L-] Please call for reinspection RF: _._ Unable to inspect-no access Fire Supply Line ADA ^t ` Approach/Sidewalk Dab-----? � Inspector Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL r STREET TREE CERTIFICA.I.P10TV � r low- /A Owner ent for � g 1 (PLEASE PRIN7) (PERMIT HOLDER) Do hereby certthat the following location 1► t� meets City of Tigard/Washington County ► land use and development standards for street tree installation. � I► t ADDRESS: — DPP4Lceink—) C �1 ► LOT: SUBDIVISION: l� � -' ► BY: �, �!% - DATE: lop. i �I n �► RECEIVED BY: DATE: / + �c! ► L GeVTVVTTVVVVVVVVVTTVVVVVVVVVreVVVVVVVTVVVVVVTTTVVVVVVVVVVVVVN h CITY Of TIGARD Residential Certif ictite of Occupancy Perntit ho t�T2— W Address: Owner/Contractor: Date of Final Inspection: 1,7 7 Inspector: Ibis structure has been found to be in substantial compliance with the provisions of the State of Oregon One& Two Famil-DweQing Specialty Code and is hereby a oved for occupancy. CITY OF TIGARD 24-Hour q BUILDING Inspection Line: (503) 1639-4175 MIT INSPECTION DIVISION Business Line: (503) 6 71 BUP Received —_. Date Requested - a -7 AM - PM -_-_ BLIP Location _ — Suite MEC — Cr )tact Person — --- _ -- — _ Ph(-- ) PLM Contractor _ --- ----------- Ph(--- --- ) SWR BUILDING Tenant/Owner Tenant/Owner _ ELC Footing - - - Foundation Access: ELC Ftg Drain ELR --------- ------- Crawl Drain Slab I 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: -------- — - -- - -- A S PART_ FAIL -- -------- - --- BING Post& Beam Under SlabHough-In Water 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 h S"Dampers 'jI n --- -------- - ----- VL_TECTt%IR4lCAL 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-nc access Fire Supply Line ADA _ Approach/Sidewalk Date �l 2 /� Inspector ~ V`�" _._Ext_�— Other Final ®O NOT REMOVE this Inspection record from the job site. PASS PART FAIL ELECTRICAL PERMIT - CITY OF TIGARD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00297 13125 SW Hall Blvd., Tioard. OR 97223 (503) 639-4171 DATE_ ISSUED: 12/16/02 SITE ADDRESS: 13045 SW PRINCETON I_N PARCEL: 2S104DA-23100 SUBDIVISION: QUAIL HOLLOW-SOUTH ZONING: R-4,5 BLOCK: LOT: 057 JURISDICTION: TIG Proiect 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 HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#_OF SYSTEMS: Owner: Contractor: BROWNSTONE QUAIL HOLLOW LLC AZIMUTH COMMUNICATIONS INC; 12670 SW 68TH PKWY P.O. BOX 508 STE 200 WILSONVILLE, OR 97070 PORTLAND, OR 97223 Phone: 503-599-7565 Phone: 503-639-0110 Reg#: FLE 36-94C'LE Slip 23121.1?A _ LIC 14582X _ FEES _ Required Inspections _Description Date Amount Low Voltage Inspection I I Ilk NI I 111,11 Permit 12/16/02 $75.00 Elect'I Final I'\X I x Ante"I ax 12/16/02 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. Al' vork will be done in accordance with approved plans. This permit will expire if work is riot started within 180 days of' Dance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc Issue by dCa,�A'k Permittee Signature � (�• OWNER INSTALLATION ONLY The Installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE _— _-- DATE:-- CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ _ _ DATE:____________ LICENSE NO: C311 6394175 by 7:00 P.M. for an inspection needed the next business day � Electrical Permit Application Date received: /,� pJEuQ��q - Pertnitno.: CA? � City of Tigard RECEIVED Project/appl.no.: re date: v - City a(Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: B Receipt no.: Phone: (503) 639-4171 Fax: (503)598-1960 DEC 1 ,i ?�D? Case file no.: Payment type: Land use approval: GITY (.)1 pti ill nit L; 7 ❑ I &2 family dwelling or accessory O Commercial/industrial ❑Multi-family ❑Tenant improvement 0,New construction U Addition/alteratinii/replaceinent ❑Other: C.1 Partial Job address: /:3 •tC t/. r n/ c- da/ L_ Bldg.no.: JAI Suite no.; ITax map/tax lot/account no.: Lot: 1 Block: Subdivision 11644 SOU 7W Project name: 40-414- 5use7-ef Description and location of work on remises: Estimated date of completion/i st Action: Job no: Business name: ZIM "MA i eA%dJ S Description Qty. (ea) Total no.It New residential•single or multi-family per Address; t,f. dwelling mdt.Includes anaclsedgarage. City: ci_ ,Ut/1 LLL State:02 ZIP: sP7o26 ServlceIncluded: Phone: LFax$ o� E-mail: 1000 sq.ft.or less 4_ /4 S Each additional 500 s ft.or onion thereof _ CCB no.. Elec.bus.lied no; 6-9 ['E P Limited energy,residential 2 _ City/metro Ile.no.: aZo bIn Limited energy,non-residential _ 2 10- Q- /0 2— _ Each manufactured home or modular dwelling Signature of supervising electricia . equircd) _ Date Service andtor feeder 2 Sup.elect.name(print): License Services or feeders-Installation, alteration or relocatlon: 200 amps or less 2 Name(print); AJ 77J 101 amps to 400 amps __- _ _2 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 ams 2 City: State: ZIP: Over 1000 amps or volts 2 Phone: Fax: �I E-mail: ReconnectonnlyI Owner installation:The installation Is being made on property 1 own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to installation,al(eration,orrelocation: 200 ampsorless _ _ _ 2 ORS 447,455,479,670,701. 201 amps to 400 amps 2 Owner's sl nature: Date: 401 to 600 amps 2 Branch circuits new,alteration, or exteruton per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee,each brunch circuit _ 2 City: Stale: ZIP: _ B. Fee for branch circuits without purchase — of service or feeder fee,first branch circuit: 2 Phone: Fax: E-mail: Each additional branch circuit: Misc.(Service or feeder not Included): U Service over 22.5 amps-co mnnerci&1 ❑Health-care facility Each pump or Irrigation circle- 2 ❑Service over 320 amps-rating of 1&2 ❑Hazardous location Each sign or outline li htg ing 2 _- farnilydwellings ❑Building over 10,000 square feet four or Signal circuit(a)or a limited energy panel, ❑System over 600 volts nominal more residential units in one structure alteration,or extension* 2 ❑Building over three stories ❑Feeders,400 amps or more •Descri tion: __ ❑Occuparu load over 99 persons ❑Manufactured structures or RV nark Fich additional Irupeclion over the allowable In any of the above: ❑Fgress/lightingplan ❑Other Per Inspection - Submit_sets of plain with any of the above. Investilialionfee Ile above are not applicable to temporary coaatrnetion service. Other Na all Jurisdiction,accept credit cards,plastic call jurisdiction for more Information Notice:This permit application Permit fee................. ) $ ❑visa 13 MasterCard expires if a permit is not obtained Plan review(at 96) S credit card number: / / within 180 days after it has been State surcharge(8%) ....$ _�....."._ Expires accepted as complete. TOTAL $ ....................... Nsrrre of—cu'd�o'I�er u shown one It e S Cardholder signature Amount 440-4615(&WK vAl CITY OF T I G /� RD _ MECHANICAL PEF.. DEVELOPMENT SERVICES PERMIT#: MEC2002-00571 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 4171 DATE ISSUED: 15104 2 PARCEL: 2S10412/13/02 SITE ADDRESS: 13045 SW PRINCETON LN SUBDIVISION: QUAIL HOLLOW- SOUTH ZONING: R-4.5 BLOCK: LOT: 057 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SFA UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VEN1 S W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS _ HOODS: FUELTYPES 0 - 3 HP: Jv DOMES. INCIN: l-PG 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 B1'U: - AIR HANDLING UNITS OTHER UNITS: 1 FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfin: Remarks: Installation of gas fireplace and gas piping. Owner: FEES BROWNSTONE QUAIL HOLLOW LLC Description Date Amount 12670 SW 68TH PKWY IMFUIII Permit Fee 12/12/02 $72.50 STE 200 PORTLAND,OR 97223 ITA X1 8" State"I'u.e 12/12/02 _ $5.80 Phone: 503-598-7565 Total $78.30--- Contractor: FOUR SEASONS HEATING& A/C PO BOX 66409 PORTLAND, OR 97290 _REQUIRED INSPECTIONS______________ Gas Line Insp Phone: 503-775-5919 Mechanical Insp Reg #: LIC 48283 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adoptee in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 i Issued B I� Permittee Signature: —"L _7 '_ Call (503)639-4175 by 7:00 P.M.for Inspections needed the nex, business day r Mechanical Permit Application rDatceceived:/ /?- p 7 Permit no.: ST��->Z_57/ City of Tigard Projecl/appl.no.: Et p�dacity of ngard Address: 13125 SW Hall Blvd,I igard,OR 97223 Date issued: By jeceipt no.: Phone: (503) 639-4171 Payment Case filcno.; Y type: Fax: (503) 598-1960 Building permit no.: Land use approval' -_-- t ' rkvw family dwelling or accessory U Commercial/industrial U Multi fanuly C3 Tenant improvement nntitnution U Addition/alteratioiVreplacement U Other: t t t f Joh address: / _ l�f`-� /"�_/ y� u Indicate equipment quantities in boxes below. Indicate the dollar Suite no.: value of all mechanical materials,equipment,labor,overhead, Bldg.no.: ��_ _ profit.Value$ _ Tax m tam o count no.: Lott , Block; tiuhdivision: *See checklist for important application information and jurisdiction's fee schedule for residential permit fee. Project name: I t t City county: i ZIP: - f w f � it Description and 1 on of worko rermsse�s:- l rc(ea) 1 Mat"y. Res.only Res.onit Est.date of completion/inspection: I "- Tenant improvement or change of use: Air handling unit _ CFM Is existinf-;once heated or conditioned?U Yes U No -Air condi ioning(site p an require ) _ Is existing:.pace insulated?U Yes U No A te-ration of existing tiVAL,system EFLMof er compressors State boiler permit no.: Business ame: >. _V CL` Y - _ _ HP Tons _I3TU/H - Addre i Fire/smo a amper uct sm�i ce delectors _ - ZIP: eat pump(site p an require() City: State 1 Insta rep ace urnac urncr__ Phone:.5 o3 53y-91W Fax: E mall: Including duetwork/vent liner U Yes U No _ CCB no.: nsta rep ac re ocate (eaters-suspen e City/metro lic.no.: __ wall,or floor mounted _ ent i or arin I iance of ner than furnace Name(pleaseprint): a gent on: AbsorptionBTU/H Chillers _— --- lip — Name: W_ Com ressors _ III' Address:l�""]/,V I nr ronrnenta ex ust an Tenfilal on: City: f SLY (�G-'yl Stat Z Appliance vent Faxo s, : E-mail: aunt Phone:��:. - o s, 'ype I at N` hood fire suppression system Fxhaust fan with single duct(bath fans) Nume: .xhaust s stem a an from caun or C Mailing address: _ Ue p p ng s sl ut on(up to out ets) City: State: ZIP: Typc: LPG NG �{ _ Phone: I E-mail: uefin enc a itiona over out etl s— rocesspiping(schematicrequire ) N mber of outlets Name: ter listed appliance or equ pmenl: Address: �- I)ecorative fireplace State-, ZIP: naen-type City: _ _ : ia-liov so mail: Wx re Phone: Fax er: Applicant's s afargr :,�' pis' r Date: i Name(print): ( / __ Permit fee.....................1; [Nowtll ptrisdiefiom accept c"i cards,please cd:iuriuficaon for mar inforftuafxf Notice:This permit application Minimum fee................S -��9r2�sa U Mastercard expires if a permit is not obtained Plan review(at _ %) I card numher �rxpt--1_ within ISO days after it has been c;atc;urchnrge(896).... - � _ accepted as complete. TOTAL . ...... Name of cardholder as shown on c t- c�� s 4411161716rtt)['0MI Cardholder signature mnYM MECHANICAL PE.:ZM!T !SEES 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 - 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 14.00 fraction thereof,to and Including 2) Furnace 100,000 BTU+ $10,000.00. including duds&vents 17.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or Including vent 14.00 fraction thereof,to and including 4) Suspended heater,wall heater $25,000.00. or floor mounted heater 14.00 $25,001.00 ho$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit $1.45 for each additional$100.011 or 6.80 fraction thereof,to and Including 6) Repair units _ $50,000.00. _ 12.15 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boller Heat Air $1.20 for each additional$100.00 or For Items 7-11,seeC m Pump Cond _ fraction thereof. footnotes below. p Minimum Permit Fee$'/2.50 SU8TOTAL: 7)<3HP;absorb unit 14.00 $ to 100K BTU 8%StateFb $ 8)3-15 HP;absorb 25.60 unit 100k to 500k BTU 25•/.Plan Review Fee( 9)15-30 HP;absorb Required for ALL commercial p $ unit,5 1 mil BTU 35.00 10)30.50 HP;absorb TOTAL COMMERCIAL PER $ -- unit 1-1.75 mil BTU 52.20 11)>50HP;absorb --- -_-_- unit>1.75 mil BTU 1 87.20 ASSUMED VALUATIONS PER A_PPL_IANC: 12)Air handling unit l0 10,000 CFM 1000 Value Total 13)Air handling unit 10,000 CFM+ Description: Qt Ea 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 Includln vg ant 955 16)Ventilation system not Included in Suspended healer,wall heateror 955 appliance permit 10.00 _ floor mounted heater -. 17)Hood served by mechanical exhaust Vent not Included In appliance 445 10.00 ermit18)Drm�stic Incinerators Repair units 805 i 17.40 <3 hp;absorb.unit, 655 19) nrnmerclal or industrial type Incinerator to 100k BTU 69.95 3-15 hp;absorb.unit, 1,700 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 mil.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 mll.BTU Air t.• fling unit to 10,000 cfm _ 658 ---- 80/.State Surcharge $ Air han_ dling unit>10,000 cfn, 1,170 Non-portable evaporate cooler 656 -- TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a single .duct 448 Vent system not Included In 656 a liance permit _. _�_ Hood served b mechanical exh st 656 1 Iii pectus otsottom' _.r - 1 Inrpecti�rla outside of normal business txwre(minimum charge-two hours) Domestic Incinerator 1 170 $e2 50 firer hour. Commercial or Industrial Incinerator 4,590 _ 2 Inb,ect,ons for which no fee is specifically indicated (minimum charge-half hour) Other unit,Including wood stoves, 656 $e2 5:,oee hour inserts,etc. 3 Adddionsl plan review required by changes,additions or revisions to plans(minimum Gas I in 1 4 Outlets 380 cha ge<ne•half hour)$62 50 per hour Each additional Cutlet _ _ 63 *State Lontractor Boller Certification required for units>200k BTU. TOTAL COMMERCIAL $ "Residential A/C requires site plan showing placement of unit. VALUATION: LI-1=_ All New Commercial Buildings require 2 sets of plans. I:\dsts\forms\rnech-fees.doc 02/11/02 CITYO F T I GA R D _ MASTER PERMIT PERMIT#: MST2002-00093 DEVELOPMENT SERVICES DATE ISSUED: 9/4/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 13045 SW PRINCETON LN PARCEL: 2S104DA-23100 SUBDIVISION: QUAIL_ HOLLOW- SOUTH ZONING: R-4.5 BLOCK: LOT: 057 JURISDICTION: TIG REMARKS: SF rowhouse,unil 57, Bldg 12, Bs plan with deck STRUCTURAL FILL, REQUIRES GEO-TECH INSPECTIONS AND REPORTS BUILDING REISSUE: _ STORIES: t FLOOR AREAS REQUIRED SETS'C_KS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: 172 of 13ASFMLNT of LEFT: SMOKE DETECTORS TYPE OF USE: SFA FLOOR LOAD: 50 SECOND 735 of GARAGE: 5,17 at FRONT: PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 735 of RIGHT: VALUE: ,05 ,r) OCCUPANCY GRP: R3 BDRM: 2 BATH: 2 TOTAL 1.C42 00 of REAR: PLUMBING _ SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES 2 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES, Sr RAIN DRAINS: CATCH BASINS: TUB/SHOWERS. GARBAGE DISP: I WATER HEATERS: i WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOIL/CMP<3HP: VENT FANS: 3 CLOTHES DRYER: 1 FURN>a100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: OAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FCEDERS BRANCH CIRCUITS MISCELLANEOUS AOD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 1 0 200 amp: W/SVC OR FOR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 3 201 400 amp: 201 400 amp: fat W/O SVCIFDR SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: N ANU HM/SVCIFDR: 601 • 1000 amp: 601.amps•1000v: MINOR LABEL: 1000♦amp/volt PLAN REVIEW SECTION Reconnect only: >-4 RES UNITS: SVCIFUR 225 A.: >600 V NOMINAL: CLS AREAISPC OCC. ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO: VACUUM SY5TEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM OTH BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION. MEDICAL: OTHR: HVAC: DATA/TELE COMM NURSE CALLS: TOTAL 0 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 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 expire if PORTLAND,OR 97223 work is not started within 180 days of isE Ince,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 Rep N: LIC 124827 forth In OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Sewer Inspection Electrical Service Fireplace Insp Firewall Insp Electrical Final Footing Insp Electrical Rough-in Gas Linf-Insp Gyp Board Insp Plumb Final Foundation Insp Mechanical Insp Insulation Insp Rain Drain Insp Mechanical Final Slab Insp Plumbing Top Out Shear Wall Insp Writer Line Insp Building Final Plm/undsib Insp Framing Insp Exterior Sheathing Insl Smoke Detector Final inspection I Issued By : 1 f �' / 7_ ermee nature PittSi L - 9 � 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#: SWR2002-00068 13125 SW Halt Blvd., Tig4rd, OR 97223 (503) 639-4171 DATE ISSUED: 9/4/02 SITE ADDRESS; 13045 SW PRINCETON LN PARCEL: 2S104DA-23100 SUBDIVISION: QUAIL HOLLOW - SOUTH ZONING: R-4.5 BLOCK: LOI. 057 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: I TYPE OF USE: SFA NO. OF BUILDINGS: INSTALL. TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for SF rowhouse. Owner: - _ F_E_ES BROWNSTONE QUAIL. HOLLOW LLC T e B Date Amount Receipt T 12670 SW 68TH PKWY yp y p 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' Pennit and the Agency will install a lateral A fTENTION 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: _ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Building PermiPfO lication LIEEQ Bw g PP � City of TigardDate received: � y QaZ Permit no.:,, -IZIVI;-lows .� Project/appi.no.: Expire date: City of Tigard Address: 13125 SW 11111 1�1^ � � t' Phone: (503) 639-4171� �- Date issued: eceipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: ❑ I &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction ❑Demolition U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm ❑Odier: O; tRt Job address: U : r �.�� J(ca_c Bldg.no.: / Suite no.: Lot: Block: Subdivision: f/j i _ < Tax map/tax lot/account no.:,, /,p Project name: Description and location of work on premises/special conditions: OWNIR 1:011 SPIXIAL INFORMATION, USE CHECKLIST Name: ,-- Mailing address: fl cL D1 & 2 family dnelling: City: Po—,4.- c...,I jStatc:(!)R ZIP: Valuation of work........................................ Phone - ,5 Fax: E-mail: No.of bedrooms/baths................................. —_-- --- Owner's representative: Total number of floors................................. Phone: Fax: _ E-mail: New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.)......................... Name: f a �� c,� �� Covered porch area(sq.ft.) ....I......I............. Mailing address: Do S LJ _ Deck area(sq. ft.) ........................................ City: 8Q �(. t.- I State: Zll. 4 Wier structure arca(sq. ft.)......................... Phone: Fax: E trail: Commercial/industrialhttultl-family: _ 41-1151-111 Valuation of work........................................ F __ Existing bldg.area(sq. ft.) .......................... Business name: Brow ', t New bldg.area(sq. ft.)................................ _ -- Address: ,;- O _�r5' Its - ` Number of stories ...................................... City: _ StatcK`j ZIType of construction.................................... Phone ! Fax:(Zo • mttil: Occupancy group(s): Existing: ` CCB no.: l 6 .1 a - New: - -- City/metro lic.no.: Notice:All contractors and subcontractors are required to he licensed with the Oregon Construction Contractors Board under Name: LQ provisions of ORS 701 and may be required to be licensed in the Address: 12 r. v C_ _5c�. p jurisdiction where work is being performed. If the applicant is City: L_ I State ZIP:9rel 0 exempt from licensing,the following reason applies: Contact person: I'lan no Phone: x: —7-mail: - Name: ,,. z -- Contact person: Pees due upon application .......................... $ Address: c'LL) ZIP4 cc4- Date received: City: c tate: : y3 Amount received ......................................... ----- Phone: I E-mail — Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Not all jurisdictions accept credit cant,please call Juaisdiction for nKxe Infornution attached checklist.All provisions of laws and ordinances governing this O visa U MasterCard work will be compliedp,:Whctl�lcedr nut. credit card rumbaAuthorized Sign ture: : Name W cardholder as shown on credit cord S Print name: ac, ' —' — ca*"da�Rnarore — Notice:This permit application expires if a permit is not obtained within 180 days after it has been aueepted as complete. WAt 3(r t X)M: Plumbing-Pe '�}�� Date received: Permit Cityof %ard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City of 771gard Phone: (503)639 171 Project/appl.no.: — Expire date: �-11-Y UP JIUAKU Fax: (503)598-1960 111_nDING DMSIOK Date issued: _ By: Receipt no.: _ Land use approval: -- Case file no.: Payment type: TVPE OF PERMIT aaaaaaa U I &2 family dwelling or assessor} U Commerciai/industrial U Multi-family U Tenant improvement U New consmiction U Addition/alteration/replaa•mcnt U Food service U Other: .T,_�_ __- II Joh address: /JC' ' Dc-cription O<� E ee(ea.) Total _ -- �—'��=—'- New I-and 2-famlly dwellings only: Bldg.no.: _ Suite nu.: (inc•luda 100[t.for each utility connection) Tax map/tax IoUaccount no.: _ SFR(1)bath Lot: - Block: Subdivision: SFR(2)bath I'Micct name: __ SFR(3)bath City/county: ZIP: Each additional bath/kitchen Description and location of worts on premises: __ Siteutllitles: _ Catch bmin/arca drain _ Est date of completion/inspection: Drywells/leach line/tmncb drain Footing drain(no.lin.ft.) — Manufactured home utilities Manholes Wolcott Plumbing 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.) CCI3:23847 PIN #:26-208PB Fixture or Nem: — -- Absorption valve Contractor's representative signature: -_ Back flow pmventer -- - I'rint l):uc: Backwater valve CONTAU'PERSOIN Basinsflavatory Clothes washer Name: -- -- ----- --- — - - Dishwasher Address: _ -- Drinking fountain(s) : State: ZIP: Ejectorsl Cit ^ -- y _ —_ � ----_ sump --- Phone: Max: Email: Expansion tank - — 1 Fixture/sewer trap —_— Floor drainsthoor sinks/hub Name(print): _ _ --- Garbage disposer! ^� _ Mailing addrrs, — Hose bibb -- City: _- `__.. ._ State: 7.IP: __ Ice maker Phone: -1 Fax: Email: Interceptor/grease trap Owner itistallalion/residential maintenance only: 91ic actual installation Primers) _ will be made by me or the maintenance and repair made by my frVular Roof dnun(commcreial) employee on the property 1 own as per ORS Chapter 447. Sink(s),basin(s),lays(s) _ Owner's signature: _--__ Date: _._ Sump Tubs/shower/shower pan Urinal _Name: Water closet - - - ---- - - — 1 Address: _ __ Water heater —W _ City: _� -- Stale ZI!': --- Otlicr: _ Phone: --�-- Fax: I E-mail: -_- -- Total Not dl)urldictiom&me"aedN eras,please alt)+ci�didla+ra mar idarmtim Notice:'ibis permit application Minimum fee................Plan t --- U Visa U MasterCard expires if a permit is not obtained surcharge (at �96) 5 5 err&card number.numb ---�---L-- within 180 days after it has beepStale UrCarge(896)....$ tiplyd d s accepted as complete. TOTAL....................... Cydlrol8rr u yy� Aeom 410-4616(6i0(U06fj Mechanical Permit Application QVED Date received: Permit no.:��ja '? Ci of Tiandg F'rojoct/appl.no.: P.xpiredatc: Ciryof7igorel Address: 13125 SW Nall v , rgard977.23 Date issued: By: Receiptno.: Phone: (503) 639A171 Fax: (503) 598-1960 _�S Case file no. Payment type: Land use approval: Cf1-yOF IWAKL/ Building pertnit no.: - TYPE OF PERMIT ❑ I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U Addition/al lc ration/replace meitt U Other: __- JOB SFI E' 1 1 1 1 Job address:13C S W i tit F,� 4 Indicate equipment quantities in t>cxcs below.Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value$ Lot: — Block: Subdivision: •See checklist for important application information and Project name: jurisdiclioo's feeschedule for residential permit fee. City/coutrty: ZIP: 1 1 Description and location of work on premises: _ 1111hIMIN171 F1 W 11161111111 ITIT7- 1Ly ____ F er(ra.) Est date of completion/inspection: brscri on —_ Itmonly R Tenant improvement or change of use: Aa"' Is existingspace heated or conditioned?U Yes U No -Air handling unit --CI-M-- Is CI M _ P Arrcon iuoning(sutcpanrequir ) Is existing space insulated?U Yes U No Alteration of existing MVAC systcm MECHANICAL CONTRACTOR of v conuptessors State boiler permit no.: 11P Tons BTU/N Folli•Seasons Ileating&A/C Service hic 7i0smokedampa duc(snto a detectors PO Box 66409 Heat pump(site plan regmr ) _ Portland OR 97290-6409 Install/replace urnace/burner__BT A 503-775-5919 Including ductworidvent liner U Yes O No CCB: 48283 nsta rep a relocate heaters-suspended, wall,or floor mounted _ Nance(please print): Vent for apVlianceother than furnace tcli- r_ta ort: Absorption units BTU/li _ Name: Chillers Address: iry ronmeo^ uM an vent tat on: City: — State: ZIP:-- Appliancevent --- I'hone: Fax: E-mail: )ryerexraust —I-1oodS,Type11Ihcs.Tcitcicn faunal hoo<1 fire suppression system Name: 7-Exhaust fan with single duct(bath tans) _Mailing address: —_rExhaustsystem a art fromheating or ACCit 3lale: ZIP: p 11 ing a d bl on(up to out ets)y' : _ I.F'G _-. NG OilPhone: I ax: Email: i m,each a iuona over outlets ffj 'rocessp p g(cchematicrequired) _ Numl>rr of oallcts Name: - - — Other ah-ai—ncc or PquT6mcnl: Address: _ Decorativefireplace _ City: TState: ZIP: -- tov pc Ictgove Phone: _ Fax; {s nutil: — CRhcr. Applicant's signature: Date: Omer- Name er-Name(print): _ —_ sisdictioro accq+l credit cards,plrau call jurisdiction for"rare� iarm�n. Minit m .....................$ Not as h Notice:this permit application �-- U Visa O MasterCard Minimum fcc................$ __—_—-- expires if a permit is not obtained flan review(al — '� $ �. Cledil card romtxr.---�-�- _-_ — —- t � within ISO days after it has been ) - --' at eWdWWer as drosmn on ii card -- $ accepted as complete. State surcharge(896)....$ TOTAL .......................$ C:Wn ides dpratare —_~— Asoom� 404617(bgaOnAf) CITY OF TIGARD 13125 S.W. FOALL BLVD. TIGARD, OR 1,17223 IMPORTANT PERMIT NOTICE DAV!: JEROME ELECTRIC Pr BOX 761 MILLSBORO, OR 97123 Electrical Signature Form Permit#: MST2002-00093 Date Issued: 9/4/02 Parol: 2S104DA-23100 Site Address: 13046 SW PRINCET(IIN LN Subdivision: QUAIL HOLLOW SOUTH Block: Lot: 067 Jurisdiction: TIG Zoning: R-4.5 RPmarics: SF' rowhouse,unit S7, Bldg 12, Be plan with deck. STRUCTURAL FILL, REQUIRES GEO-TECH INSPECTIONS AND REPORTS Your company has been indicated as the eledrical 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 S,gnature Form prior to the start of they work to the address above, ATTN: Building Division. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: BROWNSTONE QUAIL HOLLOW LLC DAVID PO BOX 76 STE 2000 OME ELECTRIC 68TH PKWY HILLSBORO, OR 97123 STE 2 PORTLAND, OR 97223 Phone#: 503-596-7566 hone#. 648-5144 Reg# LIC' 364"1 9uP 24774 ELF 34-119C AN INS( SIGNATURE IS REQUIRED ON THIS FORM x Signature of Supervining L ec hcian It you have any questions, please call (503) 639 171, Art. N�33 Soo(�j M3Q 5(nif MD11. 30 .UD 199M0009 1VJ QVOT rJ111, VO/70.-To 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 #: MST2002-00093 Date Issued: 9/4/02 Parcel. 2S104DA•23103 Site Address: 13045 SW PRINCETON LN Subdivision: QUAIL HOLLOW - SOUTH Block: Lot- 057 Jurisdiction: TIG Zoning: R-4.5 Remarks: SF rowhouse;unit 57, Bldg 12, Bs 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 37223 Phone #: 50'3-598-7565 Phone #: 667-1781 Reg #: I it 23847 PI M 26-208PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of AMhorized Plumber If you have dnv questions, please call (503) (339-417 1 , ext # 310