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13109 SW MERLIN PL
C�TY Ca F h 1�A R D MASTER PERMIT v
PERMIT#: MST2000-00377
DEVELOPMENT SERVICES DATE ISSUED: 1120101
13125 SW Hall Blvd.,Tigard,OR 97223 (503)633-4171
SITE ADDRESS: 13109 SW MERLIN PL PARCEL: 2S104DA-10300
SUBDIVISION: QUAIL HOLLOW. WEST ZONING: R-4.5
BLOCK: LOT':089 JURISDICTION: TIG
REMARKS: SFD - Lot 89 - Master Plan Review- Model A-S- Setbacks as per A10.10
A UILDING
REISSUE: STORIES: 3 _ FLOCR AREAS RFQUIRED SETBACKS REQUIRED
CLASS OF WORK: NFW HEIGHT: 26 FIRST: 173 of BASEMENT: of LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 734 of GARAGE: 547 of FRONT: PARKING SPACES
TYPE OF CONST 5N DWELLING UNITS: 1 FINBSMENT: 56C of RIGHT:
VALUE: S 116,422.63
OCCUPANCY GRP. R3 BDRM: 2 BATH: 2 TOTAL: 1,467.00 of REAR:
_PLUMBIN1:
SINKS: 1 WATER CLOSETS- 2 WASHING MACH 1 LA UNDRY TRAYS: RAIN DRAIN: 10 TFIAPS:
LAVATORIES: 4 DISHWASHE.is: 1 FLOOR DRAIN 1: SEWER LINES: 100 SF RAIN DRAINS: 1 CATC11 BASINS.
TURISHOWERS: 2 GARBAGE OISP: 1 WATER HEATER S: I WATER LINES: 100 RCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES TURN t 100K: BOILICMP c 3HP: VENT FANS: 2� CLOTHES nRYER: 1 -
F I F FURN>-100K: UNIT HEATERS: HOODS: OTHER UNITS:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODBTOVF& OAS OUTLETS:
FLECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER _TEMP SRVCIFEEDEI',S_ BRANCH CIPCUITS -�MIS':ELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 200 amp: WISVC OR FDR: PUMPIIHRIGATION: PER INSPECTION:
EA ADD'L 500SF: 201 - 400 amp: 201 400 amp tat WIO SVCIFDR: 00 SICNIOUT LIN LT: PER HOUR:
LIMITED lNERGY: 401 600 Amp: 401 600 a-np: EA ADDL BR C.IR: SIONAILMANFL: IN PLANT:
MANU HMISVC'FDR: 601 - 1000 Amp: 601•ampe-1000•" MINOR LARE+L:
1000•ampfvoff: PLAN REVIEW 9CCTION _
Reconnect only:
>-4 RES REB UNITS: SVCIFDR>-223 A.: >600 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL-RESTRICTED ENERGY
A.Sr RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM. 4UDIO 6 STEREO: FIRE AL ARM: INTERCOIATAGING: O':TDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: L.ANDSCAPEARRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLUCK: INSTRUMENTATION: MEDICAL: 0711R•
HVAC: DATA7TELE COMM: NURSE CALLS- TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 2,859.32
This permit is subject to the regulations contained in the
BROWNSTONE HOMES LLC BROWNSTONE HOMES,LLC: Tigard Municipal Code,State of OR. Specialty Codes and
12670 SW 68TH PARKWAY 12670 SW 68TH PKWY all other applicable laws. All work will be done in
PORTLAND,OR 97223 PORTLAND,OR 97223 accordance with approved plans. This permit wit',expire N
work is not started within 180 days of issuance,or if the
a vrork Is suspended for more than 180 days. ATTENTION
(� Phone: Phone: Gregon law requires you to followrules adoptee by the
H Oregon Utility Notification Center. Those miss are set
I) Rep/: LIC 124627 forth ii OAR 952-001-00101(rough 952-001-0080. You
may obtain copies of these rules or direct questions to
J OUNC by calling(503)246-1987.
ED
REQUIRED INSPECTIONS
W Erosion Control Insp 8, Underfloor insulation Electrical Service Insulation Insp Water Line Ins Plumb Final
J Sewer Inspection Plm/undslab Insp Electrical Rough In Gyp Board Insp Water Service Insp Final inspection
Footing Insp P.M/Underfloor Framing Insp Firewall Insp Appr/Sdwlk In p
Foundation Insp Mechanical Insp Shear Wall Insp Rain drain Insp Ina
Slab Insp 1 Plumb Top Out Exterior Sheathing Inst Roof Nailing _ Mech Ica FI at
Issued By _ Permittee Signature \0�
Call(503)639-4175 by 7:0' p.m.for an inspection needed the next business ay
CITY OF TIGARD SEWER LUAINECTIONPERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2000-00258
13125 SW lull Blvd.,Tigard, OR 97223 (50)639-4171 DATE ISSUED-, 1129101
SITE ADDRESS; 13109 SW MERLIN NL PARCEL: 2S104DA-10300
SUBDIVISION: QUAIL HOLLOW WEST ZONING: R-4.5
BLOCK: LOT: 089 JURICDiCTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF I ISE: SFA NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SFA.
Ownar: _ _------_—.--- _ FEES
BROWNSTONE HOMES LLC
12670 SW 68TH PARKWAY 7YPg By Date Amount Receipt -_
PORTLAND, OR 97223 PRMT CTR 1129/01 $2,300.00 27200100000
INSP CTR -'� 1/29/01` $35.00 27200100000
Phone: 598-7565 Total $2,335.00
Contractor:
Phone:
Reg#:
Required Inspections
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This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Ayency. The permit expires
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180 days from the date issued. The total amount paid will be forfeited if the permit expires. Th Rgency does not
guarantee the accuracy of the side sewer laterals. If the sewer is not located at the uremt g the installer
shall prospect 3 feet in all directions from the distance given. If not so located, th rnstall, sha pur a a"Tap and
Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Onegonrequir yo to fol, ules ado- ted
by the Oregon Utility Notification Center. Those rules ane set forth in OAR 957-001-0010 t .-001-0J80.
You mayn &*es of these rulas or direct questions to OUNC by calling V03 246-198 .
I
issued by; �. � Permittee Signature:
Call(503)639-4175 by 7:00 P.M.for an Inspection needed the xt btisiness day
CITY CSF TIGARD Residential Building Permit Application Plan check#�
13125 SW HALL BLVD. New Construction Recd By
'TIGARD, OR 97223 Single Family acAtthed Date Recd_ -
Gate to P.E. ?'
V 503-639-4171 Date to DST
F 503-694-7297 C, �`� �%f" PemA 01 YC&?92a-_C 7
Print Or Type �/ CalledAW V M _
Incomplete or illegible applications will not ISe accepted to-/0-da G c
000 -
Name of Project NarpeL f LL
Job QI)Att, �Abllw W CC
Site Address ! it. Architect Mgill Addess
Address �1 99 rcw^ Ali57
J y/Slate Zip Phone (;
.Name u-L �jE'A!'N�u tKs A OIL1r,-1-,0(e17
Owner 'ling Address /�IQ� ( _�(
11� � �l
-�� — — -t Engineer Malin Address _--
it /State Zi Pho g ro�tsb �r 11),M6cl-S Ak5_
�M31 " /Statpzi Phone
General Name V1r 177-7- 1m3��3 j
Contractor IAAtAL-> L(.(-- Describe work New
clition O Alteration O Repair O
Mailing Address p — to be done: _
Prior to permit '10 ID'8 l""Ay Additional Description of Work:
issuance,a copy lPty/State Zi Phone
n
of all licenses w!/}�(� Of>E W
are required if Oregon Const Cont. Board Exp.Date PROJECT _
expired in COT Lic# Qy /r_6v VALUATION �$
database I."ZA
Mechanical Name — --^ NEW CONSTRUCTION ONLY: _
Sub �U�S� T`S �{�-?4n1�� — Sq. Ft. House: 1 Sq. Ft. Garage
Contractor Mailing Address
q Indicate the restricted energy installation by the electrical
Prior to permit
issuance,a copy Ci /State Zip Phone subcontractor in the followin areasi
r Restricted Audo/Stereo
of all licenses � ti1T �`JI-[ °%7Z �7�.i-�1/ _
art-aon;.ed if Oregon Const Cont Board Exp.Date Energy System Alarms
expired in COT Lic# / Installations Vacuum Irrigation
database �LS 3 _ P (9 too System System
Plumbing f rue (check all that I Other:
`tub- l6ko a Ply)
Mailing Addre Number of Units in Building Unit Number Designation
Contractor _
H:is the Subdivision Plat recorded? N/A 3S NO
Prior to permit City/s zip P one
issuance,a copy Li +71b —' -- -
of all licenses arp- Oregon o 1 Cent. oard E p Date
11
required-if' I_ir,#
1/v
'5/31
j I - --
expired in COT / X311 v1 I hearby acknowledge that I have read this application,that the
database Plumb g Lic # Exp Date information given is correct,that I am the owner or authorized agent
d. of the owner,and that pl s ubmitted are in compliance with
-
Oregon State laws.
Name Signalurg of Owner/ADate
Electrical '�1 hl_IA.e C(t%2f721L tr
Contact Perkin Name Phone q
Sub- Mailing Address 77
-� g 70,i6 (r Oa n
Contractor W11 _87 E (I?•� 9r
(? City/State Zip Ph o�g a
W Prior to permitp �6�
_J issuance,a copy `�'�'H FOR OFFICE USE ONLY:
of all licenses are Oregon Const Cont Board Exp Date plat# Map/TL#:
required if Lic#
expired in COT I(l�l.`t5 vn, 'S/011/4) /03J0 _
database Electnca�4 A'�3�Z G Exp Date — Setbacks Zone„+ y �Q
Electrical Supervisor tic # C:o Date Engineering Approval: Planning Approval ' TIF:
i\dsts\formsksfa-new doc 11/20/98
CITY OF TIGARD
13125+ S.W. HX.L BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
STREAMLINE ELECTRICAL
6017-B EAST 18TH STREET
VANCOUVER, WA 98
Electrical Signature Form
Permit #: MST2000-00377
Date Issued: 1/29/01
Parcel: 2S104DA-10304
Site Address: 13109 SW MERLIN PL
Subdivision: QUAIL HOLLOW -WEST
Block: Lot: 089
Jurisdiction: TIG
Zoning: R-4.5
Remarks: SFn - Lot 89 - Master Plan Review - Model A-S - Setbacks as per A10.10
Your company has been indicated as the elect,ical 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 individuai from your company sign below and return this Electrical Signature Form prior to the
start of the work to the address above, ATTN: Building Dept.
No electrical inspections will be authorized until this completed form Is received
OWNER: ELECTRICAL CONTRACTOR:
BROWNSTONE HOMES LLC STREAMLINE ELECTRICAL
12670 SW 68TH PARKWAY 6017-B EAST 18TH STREET
PORT a.-.AND, OR 97223 VANCOUVER, WA 98
Phone #: 598-7565 Phune #: 360-993-5080
Req #: LIC 116514
ELE 34-432C
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& y801
AN INK SIGNATURE IS REQUIRED N THIS FORM
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Signature of Su,, rvising Electrician
If you have any questions, please call (503) 639-4171, ext. # 310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
WOLCOTT PLUMBING CONT. INC
PO BOX 2007
GRESHAM, OR 97030
Plumbing Signature Form
Pei mit #: MST2000-00377
Date Issued: 1/29/01
Parcel: 2S1 04DA-1 0300
Site Address: 13109 SW MERLIN PL
Subdivision: QUAIL HOLLOW -WEST
Block: Lot: 089
Jurisdiction: TIG
Zoning: R-4.5
Remarks: SFD - Lot 89 - Master Plan Review - Model A-S - agfbacks as per A1010
Your company has been indicated as the plumbing contractor for the permit indicated sbove. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return
this Plumbing Signature Form prior to the start of the work to the address above, ATTN. Building Dept.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
BROWNSTONE HOMES LLC WOLCOTT PLUMBING CONT. INC
12670 SW 68TH PARKWAY P7 BOX 2007
PORTLAND, OR 97223 GRESHAM, OR 97030
Phone #: 598-7565 Phone #: 667-1 '81
L Reg #: 1_IG 00023847
t PI M 26-208PB
r
AN INK SIGNATURE IS REQUIRED ON THIS FORM
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Signature o Auth6ded Plumber
If you have any questions, please calf (503) 639-4171, ext. # 310
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CITY OF TIGARD BUILDING INSPECTION DIVISIONMSTP
24-Hour Inspection Line: 639-4175 Business Line: 039-4171
Date RequestedBUP_ J AM PM BLD _
Location_ / �f(Oy s j �_ Suite __ _ MFC ,
Contact Person Ph -72-3 6 771 PLM
Contractor Y Ph SWR(MW _
G Tenant/Owner Ex-C
etainiw)Wall _ a ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain inspection Notes:
Slab _— SIT
Post&Beam i "—
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing AJO7
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Coiling __-. _._--__�--- - __- -- ----- --.-- -
Roof
Misc: --- — --. — --------- _- ---- ---
F' I
3 PART FAIL
PLUMBING
Post 8 Beam _—
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final —
PASS T FAIL
RM
1
Rough In
Gas Line —
Smoke Dampers
ASS PART FAIL
ELECTRICAL -- —_- -- - --- -- _
fZ Service —
a, Rough In
F- UG/Slab —�—
U) Low Voltage
C Fire Alarm --- ---_---_--- _ -- _
J Final
m PASS PART FAIL --
C7 SITE
Backfill/Grading
Sanitary Sewer
Stone Drain [ ]Reinspection fee of$— —_required before next Inspection Pay at City HRII, 13125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection RE
Fire Supply Line --_ _ ( j Unvble to Inspect no access
ADA
Approach/Sidewalk
Other Date Inspector_ Ex!
Final
PASS PART FAIL UO HOT REMOVE this Inspection record from the job site.
Ci'�r OF TIGARD BUILDING INSPECTION DIVISION MIST W� _ �_ �A
24-Hour Inspectioi. Line: 639-4175 Business Line: 639-4171 --
BUP M
Date Requested__ _ AM_ PM _ riLD
Location"_� �y� Suite , _ MPC
Contact Person �_--� Ph _ PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC ......._
Retaining Wall -�� ELR _
Footing Access: -
Foundation FPS
Fig Drain -^ '-
Crawl Drain Inspection Notes: SGN
Slab _,. - SIT
Post A Beam -
Ext Sheath/Shear
Int Sheath/Shear -
Framing
Insulation
Drywall Nailing
Firewall
FireSprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final - -
PASS RT FAIL
Post A Beam
Under Slab
Top Out __��---- ---- - -
Water Service
Sanitary Sewier --- -` --- - --- -- - -
Ra� rains
inau
S PART FAIL �-
_ANICAL
Post&Beam -------- -- -.
Rough In
Gas Line _-.______ -
Smoke Dampers
Final --------- - - -----
PASS PART FAIL
ELECTRICAL -----__- ----- -- - --
d Service ----._.._-_--
p� Rough In -'
UG/Slab
Low Voltage
EFire Alarm
J Final -- -----------
m PASS PART FAIL
a SITE
W Backfill/Grading
Sanitary Sewer
Storm Drain [ J Reinspection fee of$_ ;squired bafore next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Easin Please call for reinspection RF:
Fire Supply Line [ J P __ [ J Unable to Inspect-no access
ADA
Approach/Sidewalk Date ��y y�1L Inspector ,,
Other � �
fir':v L ,!Ext _
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the fob site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 635-4175 Business Lina: 639-4171
BLIP
— y Date Reque:,ted� _ AM _ _PM BLD —
Location �� Suite
�— MEC
Contact Person Ph ��„ PLM
Contrac _ Ph — SWR .
Tenant/Owner ELG -_ ---
Retaining Wall ELR
Footing Access:
Foundation FPS -- —_-
Ftg Drain SGN
Crawl Drain Inspection Notes: ---
Slab —. — SIT
Post&Beam _—
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
'goof
Aisc:
SS, PART FAIL - -------- --.—___ _--_.-----_-- —. __—.
MMB ING
Post 8 Beam —
Under Slab
Top Out
Water Service
Sanitary Sewer ---- �-- — —_.—. __---_—
Rain Drains __—__------__®�_------ ---- __
Final
PASS FAIL
Post&Beam —
Rough In
Gas Line
Sm a Dampers
S,L PART FAIL
ECTfaICAL _--
Q, Service —
p� Rough In
�— UG/Slab
N Low Voltage
Fire Alarm
.J Final
Go PASS PART FAIL
a SITE
W Backfill/Grading
Sanitary Sewer
tone Drain [ ]Reinspection fee of$ —required before next inspection Pay at City Hall, 13125 SW Hal:Blvd
Catch Basin
Fire Supply Line ( )Please call for reinspection RF —__ _ ( j Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date _ Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST ��f&R227
24-Hour h upection Line: 639-4175 Business Line: 639-4171
[� BUR _
—L_ nate Requested. 1� AM PM _ BLD
Location 1 1 � *�_Jyxz/ Suite MEC —
Contact Person f Yip/�� _ _ Ph PLM _
Contractor— Ph SWIR
BUILDING Tenant/OwnerELC —_—
Retaining Wall ELR
Footing Access:
Foundation FPS _
Ftg Drain �-- SGN
Crawl Drain Inspection Notes: --- —
Slab — _ _. — SIT
Post&Beam ®_—
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler — —
Fire Alarm /�Q
Susp'd Ceiling `ter —
Roof
Misc: 52 •---
Final
PASS PART FAIL — —-
PLUMBING
Post&Beam
Under Slab
Top Out —
Water Service
Sanitary Sewer
Ra'n Drains
Final
PASS PART FAIL
MECR-I NICAL
3ost Q Beam -- -- - — —'
Rough in
Gas Line — - -�
Smoke Dampers
Final —�--� —�
PA FAIL
ice ----- - - - - --_.
Rough In
UG/Slab —._--
Low Voltage
F'
i5S PART FAIL
aBackfill/Grading ----�-_-- -- ——� —
Sanitary Sewer
Storm Drain [ i Reinspection fee of$ v_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin I ]Please call for reinspection RE: 1 1 Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk
Date Ext
Inspector
Other S� EXt _
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.