13005 SW SECA COURT 13005 SW Seca Court
CITY
OF
T I G A R D MASTER PERMIT
PERMIT#: MST2001-00174
DEVELOPMENT SERVICES DATE ISSUED: 5/22/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 13005 SW SECA CT J06 SALES TRAILER PARCEL: 2S104DA-12500
SUBDIVISION: QUAIL HOLLOW -WEST ZONING: R-4.5
BLOCK: LOT: 111 JURISDICTION: TIG
REMARKS: New SF detached rowhouse in Building#12. Setbacks as per Sheet A10.10- Plan C-S
BUILDING
REISSUE STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 31 FIRST: 173 of BASEMENT: of LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FI.00R LOAD 50 SECOND: 735 of GARAGE: 426 at FRONT: PARKING rPACES:
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 580 of RIGHT:
VALUE: S 1311,630 00
OCCUPANCY GRP: R3 BDRM: 3 BATH. 2 TOTAL: 1,48800 of REAR:
PLUMBING
' SINKS: 1 WATEP CLOSETS: 2 WASHIVG MACH: 1 LAUNDRY TRAYS: RAIN DRAIN 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS CATCH 13ASINS:
'URISHOWERS: 2 GARBAGE DISP: I WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR GREASF TRAPS
OTHER FIXTURES: 1
MECHANICAL
FUEL TYPES FURN<100K 1 BOIL/CMP<3HP: VENT FANS: 3 CLOTHES DRYER: 1
GAS FURN>•100K: UNIT HEATERS: HOODS: OTHER UNITS: t
MAX INP: btu FLOOR FUF NANCES: VENTS: I WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEL ER _ TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADO'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp. 0 200 amp: WISVC OR FOR: 2 PUMPIIRRIGATION: PER INSPECTION:
EA AOD'L 5005F: 3 201 •400 amp: 201 400 amp: IatW/O SVC/FOR: 00 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 -600 amp: 401 600 amp: EA ADDL SR CIR: 1 SIGNAL/PANEL: IN PLANT:
MANU HMISVC/FDR: 601 • 1000 amp: 401+3mp9•1000v: MINOR LABEL:
10004 amplvolt: PLAN REVIEW SECTION
Recnnnect only: >•4 RES UNITS: 9VCIFDR>•225 A.: >BOD V NOMINAL: CLS AREAISPC OCC:
_ ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL S.COMMERCIAL
AUDIO&STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
aURGLAR ALARM: OTH: ALL ENCOMB BOILER: HVA(.: LANOSCAPEIIRRIG PROTECTIVE SIGNL:
GARAGE OPENER CLOCK INSIRUMFNTATInN MEDICAL: OTHR:
HVAC: DATAf7ELE COMM: NURSE CALLS TOTAL N SYSTEMS:
TOTAL FEES: $ 3,553.49
Owner: Contractor: This permit Is subject to the reg,ilations contained in the
BROWNSTONE HOMES BROWNSTONE HOMES, LLC Tigard Municipal Code,State of OR Specialty Codes and
12670 SW 68TH PKWY#200 12670 SW 68TH PKWY all other applicable laws. All work will be done in
PORTLAND,OR 97223 PORTLAND,OR 97223 4.nce with approved plans. This permit will expire if
wor,(is rot 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
Ordgon Utility Notification Center. Those rules are set
Rag#'. LIC 124627 forth in OAR 982-001-0010 through 952-001-0080. Ycu
may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8, Underfloor insulation Electrical Service Gas Line Insp Rain drain Insp lectrical Final
Sewer Inspection Plm/undslab Insp Electrical Rough In Gas Fireplace Roof Nailing rFI
echanical Final
Footing Insp PLMiUnderfloor Framing Insp Insulation Insp Water Line Ins lutoo Final
Foundation Insp Mechanical Insp Shear Wall Insp Gyp Board Insp ter rvice nspnal Inspection
Slab Insp Plumb Top Out Low Voltage Firewall Insp ApprlSd Ik In T
LrL Permi!tee Signature 0A/V
Issued By : -
Call (503) 639-41'5 by 7.00 p.rn. for an inspection needed the next busmoss day
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT #: SWR2001-00116
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/22/01
SITE. ADDRESS; 13005 SW SECA CT JOB SALES TRAILED PARCEL: 2S104DA-12500
SUBDIVISION: QUAIL HOLLOW-WEST ZONING: R-4.5
_ BLOCK: _ LOT: 111 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE.
Remarks: Sewer connection for new SF detached rowhouse.
Owner: _ FEES _
BROWNSTONE HOMES Type By Date Amount Receipt
12670 SW 68TH PKWY#200 - —
PORTLAND, OR 97223 PRMT CTR 5122/01 $2,300.00 27200100000
INSP CTR 5/22/01 $35.00 27200100000
Phone: 503-598-7565 Total $2,3:35.00
Contractor:
Phone-
Reg #:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires
180 days from the date issued. The total amount paid will be forfeited if the permit expires. T e agency does not
guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurepent gi en,the installer
shall prospect 3 feet in all directions from the distance given. If not so located, the installer sIlliall pur hase a"Tap and
Side Sewer" Permit and the Agency will install a lateral ATTENTION: Oregon law F"pires u to fo low rules adopted
by the Oregon Utility Notification Center. Those riles are set forth in OAR 951-00 10tPlo gh O 952-001-0080.
You may obtain t
s o
p
coief hese rules or direct questions to OUNC by calling( 03 246-
_ -� -_- � � �
Issued by: 79Zc1 3� Permittee Signature: _
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
IDI
wilding Permit Application
Datereceived: �!�"/^' Permit no.0!7:
City of Tigard -- —
Address: 13125 SW ilall Blvd,Tigard,OR 97223 l'ruject/appl.no.: Expire date:
City of Tigard '
Phone: (503) 639Date issued: B4171 y:.-, f Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: _ _ 1&2 family:Simple Complex:
t
C'J'1 &2 family dwelling or accessory U Commercial/industrial U Multi-family New construction U De=molition
U Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other:_—
10111111 IN It
Job address: j c 61.5* 3 ) j t C 4: <_.j— Bldg.no.: 2. Suite no.:
Lot: Block: Subdivision: 4Z 0.r L Hothrw _ T. Tax map/tax lot/account no.:
Project name: Q A 1 l W
Description and location of work on premises/special conditions: ear+ts�� _
INFORMAl.r16141
NIN.111111111 OTTINAT CTM�S
Mailing address: I' eV) Sw L$ akwAle O 1 do 2 family dwelling:
City: oct_1/t ftp State: ZIP: 70-3 Valuation of work........................ .............. $ C!r^
Phrme: Fax: 8 goe I E-mail: No.of bedrooms/baths............ .............
Owner's representative: M IZ bAG%E'% Total number of floors...............3..............
Phone: J3')775 fax:574 3'19'L- E-mail: New dwelling area(sq.ft.) .....1.154.0......
Garage/carport area(sq.ft.)......................... _
Covered porch area(sq.ft.) ........-...... ......
Name: _ � AS_- AP_16 -�
Mailing address: Deck area(sq.R.) ..............I.4V. t
City: State: ZIP: Other structure area(sg. ft.).......... .. . --
Phone: Fax: E-mail: Commterclal/Indastriallmulti-family: —�
Valuation of work...... . .............................
Business name A i1 Existing bldg.area(sq.It.) ..........................
Address: — New bldg.area(sq.ft.)................................
City: State: ZIP: Number of stories........................................
Phone: E-mit: -
Type of construction....................................
_ Fax: :+ ---
CCB no.: Occupancy gtoup(s): Existing: —_
--- - - ----- _ New:
City/metro lic.no.: Notice:All contractors and subcontractors are required to he
licensed with the Oregon Construction Contractors Board under
Name: G C1 ,\ d provisions of ORS 701 and may be required to be licensed in the
Address: \Iq\ `(CK_n WE IL I lc$O jurisdiction where work is being performed.If the applicant is
City: St;?+T'11 E Statc:W QIP: r�o l o exempt from licensing,the following reason applies-
Contact Person: WM Plan no.:
Phone:766- 4(0 -rfA Fax:'47- E-mail: � ---
Name:W Q$ E61W. Contact person: FN LL. 1), Fees due upon application ...........................
Address: '5LO fit nit o Date received: _
City: tZ_ Statelr ZIP: Amount received ......................................... $_------ -.—
Phone;ft -9 b 33 1 Fax: E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Naw Jurisdiction accep cleM cards,pteav call iurtadiction r«true infomntion
attached checklist.All provisions of la saHndordmanccs governing this U Viisa U MasterCard
work will be complit ,whe erein or not. Or&card numbs:
��,��� Fapims
Authorized signature. — Date: i c t Nam'of cardhotdcr as shown on credit card
Print name: C m _ ! A Ot sS
Cardholder Nanature Amount
Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 440.161)(WWOM)
Mechanical Permit Application
Date received: Permit no.:/ r .!
City of Tigard Project/appl.no.: Expire date:
Address: 13125 SW Flail Blvd,Tigard,OR 97223
City of Tigard Date issued: By: Recr.ipt no.:
Phone: (503) 639-4171 —
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: . Building permit no.:
iiiiiiiiiiiiiiiiig
:LJ &=f:am�ily inc or actessory U Commercial/industria! U Multi-faniily 0 Tenant impmvetnent
New U Addition/alteratioti/replacement U t tthcr.
t 1 � � 1
Job address: S u� S c Indicate equipment quantities in boxes below. Indicate the Bullar
Suite no.: value of all mechanical mate s,equipment,labor,overhead,
Blclg.no.:
profit.Value$
Tax map/tax lot/account no.: —
Lot; // Block: Subdivision:Q p,l W 'See checklist for important application information and
Project name: Qt)P1k E) U•� '(L414�1�btub. Inri;diction's fee schedule for residential permit fee.
City/county: -
.1IElpvUDH ZIP: 22
Description and location o work on premises: =7.J t t r 1 r
Fee(ea.) Total
Est.date of comp letion/inspection: De+criptlon Qt • Res.only Res.only
Tenant improvement or change of use: Air handling unit CFMo
Is existing space heated or conditiop.•d?U Yea U No it con iuomng(site p an requir )
L existing space insulated?U Yes U No -Alteration oexisting HVAU system _
of er compressors
}�` r State boiler permit no.:
Business name: t)t �%. ,�tt A 1U�1 HP Tons BTU/H
Address: to(o A4n 9 Fireismoke damper uct smo a detectors _
City: jVCXL1 I A Statef�r k ZIP:97 L9 eat pump(site p an required) _
5 Sej Fax: nsta rep ace urnac� turner
Phone: - J75 114) E-mail: -- Including ductwork/vent liner U Yea U No
CCB no.: 2 osis rep ac re ovate eaters-suspen ,
City/metro lic.no.: D0 DO 1 07-1;— wall,or floor mounted
tNe:
please print): N M♦1}it7a� ens ore ianceother an furnace
e eria on:
Absorption units i_ BTU/H
111 LA f Chillers HP
Com ressors HP
: i �! n onmenta exhaust an rent ton:
City: State: I ZIP: Appliance vent 1 _
Phone: Fax: E-mail: fryer exhaust _
oo3s, 'ype res. itc a azmat
flood fire suppression system E
: Exhaust fen with single duct(bath fans)ng address: x gusts stem apart rom eaten or
State: ZIP: Fuelpiping• on(up to out ets
City: Type LPG NG X— Oil
Phone: Paz: L' mail: uel i in eac additional over outlets
Deese piping(schematic required)
Number of outlets
Name: Other IF-ded appliance or equipment:
Address: Decorative fireplace
City: State: ZIP: Woodnsert--t —
Phone: Fax: E-mail: stov pe et stove
Other:
Applicant's signature: Date: _ ter:
Narne rpriny: .— — y
Not all jtuiadicuaro am"ciedii ardt,D call iutiadkUm fa mat iMexnwlm. Permit fee.....................$
Notice:This permit application Minimum fee................$
U visa U MasterCard expires if a permit is not obtained
Credit card number:.____.��— / / Plan review(at ` 96) $
Papims within 180 days after it has been Stat-surcharge(11%)....$
,ea,d s accepted as complete. TOTAL .$
—� Cardhddn signature Atoami 440-4617(WI)COM)
MECHAWICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 $ 2 FAMILY DWELLING FLEE SCHEDULE:
TOTAL VALUATION_: FEE: Description: Price Total
_$1.00 to_S5,_000.00 Minimum fee 572.50 _ Table 1A Mechanical Code _ _ Qty (Ea). _Amt
$5,001.00 to$10,000.00 $72.50 for the first 55,000.00 and 1) Fumace 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, _!aquding ducts&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 14.00
vent -
fraction thereof,to and Including 4) Suspended heater,wall heater
_ ___ $25,000.00. or floor mounted heater _ 14.00 _
525.001 00 to 350,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included In appliance permit
$1.45 for each additional$100.00 or 6.60
fraction thereof,to and including 6) Repair units
_
$ 0,000.00. 12.15
5
$50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply? Boller Hest Alr
$1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond
fraction thereof. footnotes below. Com_
7)<3HP;absorb unit
to 100K BTU 14.00
ASSUMED VALUATIONS PER APPLIANCE_: 8)3-15 HP;absorb
Value Total unit 100k to 500k BTU 25.60
Des ? Ea Amount 9)15.30 HP;absorb
Fumace to 100,000 BTU,Inclur'ing 955 unit.5-1 mil BTU _ 35.00
ducts&vents 1U)30-50 HP;absorb
Furnace>100,000 BTU Including 1,170 unit 1-1.75 mil BTU _ 52.20
ducts&vents _ 11)>50HP:absorb
Floor furnace Including vent 955 unit>1.75 mil BTU 1 87.2.0
Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM
floor mounted heater ( 10.00
Vent not included In applicance' 445 13)Air handling unit 10,000 CFM+
em111 17.20
Repair units 805 14)Mon-portable evaporate choler
<3 hp;absorb.unit, 955 10.00
to 100k BTU 15)Vent fan connected to a single duct
3-15 hp;absorb.unit, 1,700 6.8o
101k to 500k BTU 16)Ventilation system not included in
15-30 hp;absorb.unit,501k to 1 2,310 appliance permit 10.00
mil.BTU --- 17)Hood served by mechanical exhaust
30.50 hp;absorb.unit, 3,400 10.00
1-1.75 mil.BTU 18)Domestic Incinerators
>50 hp;absorb.unit, 5,725 17.40
>1.75 mil.BTU 19)Commercial or Industrial type Incinerator
Alr handlingunit to 10,000 c(m 656 69.95
Air handling unit>10,000 cfm 11170 20)Other units,Including wood stoves
Non-portable evaporate cooler 656 10.00
Vent fan connected to a single duct _ 446 21)Gas piping one to',Our outlets
Vent system not Included in 656 5.40 _
applianoe permit 22)More than 4-per outlet(each)
Hood served by mechanical exhaust 656 1.00
Domestic Incine,ator 1,170 Minimum Permit Fee$72.50 SUBTO?AL:
Commercial or Industrial Incinerator 4,590
r _ 5 12
Other unit,Including wood stoves, 656 v 8%State Surcharge 5
Inserts etc. _ _
Gas piping 1-4 outlets _ 360 25%Plan Review Fee(of subtotal) s
Each additional outlet 63 Required for ALL commercial permits only TOTAL COMMERCIAL. $ TOTAL RESIDENTIAL PERMIT FEE: j AF
VALUATION: -
Q,jer IniiRtStions and,F9
1. Inspec:lions outside of normal business hours(minimum charge-two tours)
$72.50 per hour
2 Inspections for which no fee Is speelec3ily indlealud (minimum charge-half hour)
$72 50 per hour
3 Additional plan review required by changes,eddhions or revisions to pians(minimum
charge-one-hall hour)$72 50 per hour
'State Contractor Boller Certification required for units 3,200k BTU.
-Resldemttal Ivr requires site plan showing placement of unit.
I:\dsts\fomts\mech-fees.doc 10/11/170
Electrical Permit Application
at&realved; 1'xrRlt tto.:
City of TignM PMS.M. -- I e>,poredate:
Cldarl'>M� Ad4ms.. 13125 9W Hail BNA TISard,OR 91227 hrtl&1: RaoebtRo 8y -
Plenese: (SOT)6394171 Date � -
Pa& (03)39d 1960 cuc rrl.no.: varmrnr tom.
.and use aMmval:
",LA
2 fmily dvvelll%S Of&oceaeary U CammertisOndustrial U Multi family U Term"imrr'ovwhent
New cornua 600 U ActdiUd+tlalter&uon/rcplacerrxnt _M Chlscr U Partial
Job addn&e: no. T"ur m u■ InU•co.wnt NO.:
>�: -; Block; Subdivbkp: (9uwrt L Ho flow wr.r _ -� _
Project rt11rt1: __ MI Ne I Iowl Deacrip(1on sed icleAtm of work oR Pmrn►aal: NO-4 to►-htTN.11cncw� _ �T
Catintelad drtAt d crnt edofilllta ton:
via
rve Mail
Job ares � res roes
Dual to"I am! S t tr i r- -- **L.r WINWOMMIT per
a �aet�aell er�./wartMlpt�e
Ci ! V ncouv matte: WA 98661 M^+t�w
F—ww-, 141
9 9 3- efe: - 1000 n mr IoM — _
nYll: iltad tkwma1100S0_0�• �n,�orJoww d�rrof
re no,:1 Pled.MA.ik,nor 3 4-4 3 2Q Llraaad ee&t� M artentlal
Cl Mtetre 11C.11D.: L—tWo rolon ,ran residewsal�
Mfr muwfawrd!A01nr ur wrridulr dwolhwa
>
of errparvbrwa --wA(rpv t>Mne Service rrdlortater ---
t.ie m rso M Isadan'�rir�i laeT fri,
react.eeaua eNreteli&&K rek"llo a
200 VM M-idea--- —
I IM 10 4110 CAP
e01 IYtI�•iV ISOO alae ]
'Wlt04111
1'hOAe Sy 4]J 'f'S7'a 5 I� ,,,,x b Fi mail; AeraM.re �.
owfw lft a tion'' rnucallatiotl a ing Ind&on property nam amm"r1 a tt•erera
vrltkft is tad:intrTMW for sale.1 rx&ucaoo dins to ms snr
ORS 447,11!.479. 17w tot b `rMw 2_ ]
Ow"We ei 1
eRuteaelw e«patteb'•
M Elm
Nem A Foe for ttrMth rimo,rvrt}r lFaecr rot of
�dl�a. --'—�—.-• - — /Mv Wr or keew wrl:hrvwh ILMMtTy: ]
Gi SUba: - 73V r..___..- Mlwe i>roeh dree •rerhnrll prMe
of eer•t w a lades rr Ikv brrarc h ci r*t: ]
_.+• aa, y;r11R1�; B.i+rldelo�rsdreirc t:
O il&rvlee w+u iJ7 rrt'►�"retwr Mr l]11aaYl.aeea(eY1r1 h ro tlon dMia
q N►vsna o.re Sw Vila rererre of I&1 O Knordoos bMMen Aw a ew�tn• 1
1 O Bol eve 10.000•mwe be Ihw ea Weal elroe+w)of t ROW rnerty p�
hr+tr etre uqp eh ]
D Meww a•at 600 vW u rx+mMW nxreu rvlMebY etMb in mrt strroa.n Ye eeMara,a ea Ana
• _
U iar
r•e►tllrr�� IJ Mwedan.�ream r mete ya
U(kapp"revel o►r eW p•eaoer U,N.enrhebal eevetreaa M Rv peh yr CAwal=Aft. • r1 d
to r&e..anlN,rrar+aa o vmr. (eerier. am C
leu%"-—a&a of pkw 1*b Roy of Ire*91
- 11e Mere ehtilel o�b6 It*Iwo My11MIAM t+Rrsltl• 04w
+� � entim Permit
agar a*I*m a/r ler wai Mlorwwlw Notio& 1'r�+Oc�^�+in aUeboai,ue PIN review(M
ow. nlM.werred n Stan&wehette
wltAlo 110 day!aMr N has be&n
TOTA,1, ......-...._......,..i
.exmpw�d•cxxapiNe.
I6+lT0 3Jbd DI810313 34I1wd3d_'-- �E05t6609E 5Z:&'1 tC+O�•'E0.'Fil
i
Mar-06-01 03:05P Wolcott Plumbing 503 667 9891 P. 01
0i'o6i0I TV7 14.41 PAX 503 !99 1960 CITY OF TICARD G;Cu
Plumbing Permit Application
City of TigardDaterusrvM: Pcrnutno.; .r_C2, -(c�t,
Addrvw 13125 SW Hall Died,Ticar 1.OR 97221 Sewes permit no.: Building Permit no.:
Cityof'1'Irard Mone: (503)639-4171 ProjeeWypl.no.: Expuedw:
h;tx: 1501)19&1960 Date lswed �— 6y Rlctipt tKI
LwW use approval' Csserileno.. Paymenitype
1
U l ik?family dwelling ur acteiiaay G Comiriacial1indualrud Cl Multi•farnily G Tcnaot improvemcnt
O New coastrucuan O Addidt tdal(erwndreplacement U Food service U Odwr
M min
J(,'t)ik& has. ,S (� ,/f tr Deawrl tJeptJep _ Qfy. Feefeaa Tahl
- Heir •ast t"l—
Bld .no; /'�?, Sudo no.: r � Y�
Tu map/tax lo✓accouut no. (��t+100 M tw each utiUty roa wdoo)
Bloch SubdivWon: SFR(t)bith
Project tlMte; -
Citylcounty: sdtiMl naaTF-w kitohen
Description and location of work un pmudses: Silis"011"..
Catch bmitt/asea dra►n
crxnp!ctinNluspe^trim -- - tywc7I lassT C-71aetrine
Ling run(:sa lTn fi
h dim-in
I M Ell IN
aufacturM home unlitio
AddtCVA-, 0>r Z O�� _ 9415 dta connector
C:ty. re5l.ar~_ te>M11,11'
o tt. —
Phmne•So 3-44�-Il ti( Cox 64 J-4 ti k 1 (y..yt�-ww Storm sewer(T. .n:D. -
Ml no.- ?."3 g�, `=utnb.bvs.teR.oo:'L4-to�d fop Water swYke(no.
Cityanetrn lie no.. iFbtttue or Ilepsl
C:rotractor'a rcpteseMadvc si oattue:r.. — Abs an rave
1 D hack aw preven'tet
Yrlo0106Aa
a1t.0• xc water valveBa3insdaAViiAcryNoClothes wwbct
n_ nQ tountStn(s)
City. State! :1P; i jcctesumr
Mile: Fax E-mail, Bpanslon u►nk
ixtu ven sewet ca
Name(print): Wocot sinks/hug
--- ---- Gubse dis
Matlin)t ddress,
Hose br b
Ciry: — -- 9tetc. rIP ce m er ��---
Mile. _ Fox; ! mail. :ticrcc for rano tragi
Owne installehurt/iestdrnhal metntenwe only: nc actual inoallation 1,r.mer(:) _
will be triode by ma or the.maintenance and repair uu de try my negula 100fdruill(Commencial
employee on the prapcny I uwa m per ORS Chapter 147
Ownct's s1 nature; Date•
u yT b shower s ovtror pan
Unnxl — _
AJJteys_ __ _ -- arae stet
City ----1 r _ Zip, r.
Phone _— Nta �E-nail_ ata 1
A rs)Wndvi Mwr eredl r �+1i en«u-e..to,wc n«m.e� Niti-This mmit appliest,on
Minimum fbe...
t
U vies a MuunCsd expires it a rtimit is twt obtained Plan AvltMr Stale wrcharc
whhin'80 days after it has seen p
saiaru IOTA L ......................S
Dior a�m�,i�+Tm..�:�o ne.+� ncccvttd nt.ompbu�
,`/ Ml�Ntetele0�t'tw1
''7 f1(
CITY OF TIGARD DMI DING INSPECTION DIVISION MST
24-Hour Inspection Line: 639 .75 Business Line: 639-41, ,
BUP
_ Date Requested i / AM _PM - BLD
Location .3 On Z-- L1 - Suite MEC
Contact Person Ph 7 3 S .7 PLM
Contractor— — Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: -- – --
Slab _— _ SIT
Post& Beam Y ,
Ext Sheath/Shear I --
Int Sheath/Shear
Framing
Insulation
Drywall Nailing _ _ -__-
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceding -.- - --- --
Roof
Misc; --
Final i
P T FAIL -------- ---
LUMBING
low --EF—
Pe" am - -- - - ---
I lnder Slab
Top Out
Water Service
Sanitary Sewer -
Rain Drains -_- • ---. --_
PASS PART FAIL
'REMANICAL
Post&Beam -- -- --- -- ---- -- -
Rough In
Gas Line - -- -- --- - - -----
Smoke Dampers
F inal --- -- ---- -------,
PASS PART FML
ELECTRICAL ------
Service
Rough Ire
UG/Slab
L ow Voltage
Fire Alarm -.--.-
Final
PASS PART FAIL _ _ _-�---- ----- - --- -SITE
Backfill/GradingSanitary Sewer
Sewer
Storm Drain [ ]Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( 1 Please call for reinspection RE: --.__ _ -.-_-_ ( ] Unable to inspect no access
ADA
Approach/Sidewalk Date 2 r ,Inspector — Ext
Other --
Final
LPASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD BUILnING INSPECTION DIVIS,(;N MST 10Z)/ G61 �Y
24 Hour Inspection Line: 639-•. . 5 Bu-?ness Line: 639-41,
BUP
Date Requested 2 AM PM BLD
Location 3 Suite MEC
Contact Person Ph _ L-7 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:--
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: r? /K� ) --
Slab �' /I/(- I SIT
Post&Beam
Ext IiheathiSnevr _
Int Sheath/Shear _
Framing 2� _-� /`
Insulation
Drywall Nailing V?V�- _-
Firewall
Fire Sprinkler -_Z-
Fire Alarm
Susp'd Cel,ing
Roof
Misc: SL-4:1 ca C�, �_�,`�jl�-�. C_ J (�
rlaal
PASS, PART FAIL ---- T~gEL=-- --
GING
Post 6 Beam
Under Slab
Top Out -�-
Water Service
Sanitary Sewer - - - -- -- -
Rain Drains
Flr'.al --_��-----
PASS F.4 RT FAIL _
MECHANICAL T
Post& Beam -- -- - - ---
Rough In
Gas Line
Smoke Dampers
AS PART FAIL
ELECTRICAL -- ------------- --- .
Service
Rough In _--
UG/Slab ----- — ----------- ---
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading - —'-- —'
Sanitary Sewer
Storm Drain [ ] Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE: __! [ ]Unable to inspect-no access
ADA
.Approach/Sidewalk
Other Date —__�_f �c'� Inspector Ext
Final
PASS PART FAIL-- DO NOT REMOVE this Inspection record from the job site.
CIT ( OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 63E 75 Business Line: 639-41. MST
BUP
Date Requested AM PM
BLU
Location 13 &1 e'L- Suite MEC
Contact Person Ph- PLM
Contractor Ph-7 7 7 SWR
BUILDING Tenant/()wner ELC
Retaining Wall ELR
Footing ---Access-
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Sherr
Framing
Insulation
Drywall Nailing
Firewa;l
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
misc
Final
PASS PART FAII,
PLUMBiNE;
f. Post& Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
• Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post& Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
, rvice
Rough In
UG/Slalb
Low Voltage
Fir Alarm
PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain Reinspection fee of$ required before next inspection. Pay at CitY Hall, 13125 SVv Hall Blvd
Catch Basin
Fire Supply Line Please call for reinspection RE: Unable to Inspect-no access
ADA
Approach/Sidewalk
Other Date 1:2 Inspector lrt�Z,3 Ext
Final V 7-7--
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
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A
i4 R D - BUILDING PERMIT
CITY OF T I G _
PERMIT#: BUP2000-00429
DEVELOPMENT SERVICES DATE ISSUED: 10/26/00
13125 SW Hall Blvd., Tiqard, OR 97223 (5031639-4171 PARCEL: 2S103CB-04901
SITE Au <t. -,: 13005 SW SECA CT JOB TRAILER
SUBDIVISION: ZONING: R-4.5
BLOCK: LOT: JURISDICTION: URB
REISSUE:–! FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ACS FIRST: 480 sf N: — S: E:— W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: — S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 48000 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 4 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: 9 ft GARAGE: sf OCCU SEP. RAl ED:
BSMT?: ME7_Z?: RE_Q_D_Sr-TBACKS _ REQUIRED
FLOOR LOAD: psf LEFT ft RGHT: _ ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 2,000.00
Remarks: Placement of Temporary Office Trailer 12 X 40
Ownpr: Contractor:
BROWNSTONE HOMES, LLC
12670 SW 68TH PKWY
PORTLAND, OR 97223
Phone: Phone: 503-598.7565
Reg #: 1-1c 124627
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Foot/Found Insp
PRMT CTR 10/26/00 $62.50 27200000000 Final Inspection
5PCT CTR 10 196/00 $5.00 27200000000
PLCK CTR 3/00 $46.87 272000'J001.,0
FIRE CTR 1Li26/00 $2500 272000'j0000
(addiJonal fees not listed here)
Total $451.87
This permit is issued subject to tK-, regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days oi issuance or if work is suspended for more
than 180 days. ATTE=NTION: Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. Those rules ogre set forth in OAR 952-001-0010 through OAR 952-001-1987. You
may obtain a copy of the ules or direct questions to OUNC by calling (503) 246-1987.
Pe mn itee
Signature:
Issued By:
('.rr 639-4'175 by 7 p.m. for an inspection the rext business day
Building Permit Application _
Date received: icl"' /r'' r� Permit no.: f Zoog
City of Tigard -
Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Nall Blvd,Tigard,OR 97223
Phone: (503) 639-4171 Date issued: By: Receipt no.:
Fax: (503) 598-1960 ,,S1 T'; r,Crr 300y� Case File no.: Payment type:
Land use, approval: iQ�q ^ ' ^ -_^ r 1&2 family:Simple Complex:
-
TYPE
OF PERMIT
❑ 1 &2 family dwelling or accessory U Commercial/industrial U Multi f.unik ❑New construction U Demolition
❑Addition/altcration/replacement U Tenant im,-rt vottiont U I n,• .ht il.1ci.1•thrn1 ❑Other: ArexTL
1 ; SITE INFORMAT111ON
Job address: k cM St,W 540_0- LT, I Bldg. no.: Suite no.:
lot: Iq� Block: Subdivision: Q�Attr We iia wtrST Tax map/tax lot/account no.:�,�- 104CL o
Project name: Qu it- No iiyw
Description and location of work on remises/s cial conditions:_ `-A f u'� -MAI t�7L '
P P 1 ---SYN —---------
1FOR SPECIAL INFORMATION,
Name: �jf jAd11111tsrihs; LX- tsolar,
Mailing address: (16•71p J !Ww I & 2 family dhelling:
City: yotru WV)
State: ?.1P: 9')LL 5 Valuation of work..............
Phone: c3t' t,S Fax: Sr i, log i E-mail: No.of bedrooms/baths.......
/..�..... -T
Owner's representative: JZ kpe�, _- 'Total number of floors.............
Phone. o - Fax: E-mail: New dwelling area(sq.ft.) ...5-3..............
Garage/carport area(sq.ft.)......................... --
Name: Covered porch area(sq.ft.) ......................... -- _
Mailing address: AMW - Deck arca(sq.ft.) ........................................
City: State:_ ZIP: Other structure area(sq.ft.)......................... _
Phone: mail`--- Commercial/industrial/multi-family:
1 1i Valuation of work........................................ $
Cosiness name: --
Existing bldg.area(sq.ft.) .........................
-- � 4g.area ft.
ew . _
�-
Nbld (s )
. ................................
Address:
City -- State: ZIP: Number of stories........................................ _
- -- - Type of construction
rE-mail: ....................................
Phone: Fax:
---- - Occupancy group(s): Existing:
CCB no.: 12A10 -_ New:
City/metro lic.no.: Notice:All contractors and subcontractors are required to be
j licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed.If the applicant is
city: State: ZIP: exempt from licensing,the following reason applies:
Contact person: Plan no.:
Phone: ►uY --
Name: t untact person: bees dot.upon application ........................... $
Address: Date received! .-_-�_ -
City: — State: _ 7..IP: v Amount received .. ..................... ................ $-- _
Phone: - Fax: -,_ -mail: Please refer to fee schedule. -_
hereby certify I have read and examined this applic ation and die Nor all judOictiona-ccept credit cards.please cell jurisdiction I'm more inferrnatian
attached checklist. All provisia
told ordinr.nces governing this U visa U MasterCard
work will he complied i,wifled herein or not. Credit card numberExpires
Authorised signature. L_/
�-_ Date: (ot0 b V —Name of cardrtolder r.nown on credit card
Print name:_—:Ib11,1 QkCIA
Cardholder a gnoure Atrtnuat
Notice:This permit application expires if a permit is not obtained svithir 190 days aper it has been accepted as complete. W4613(60M)M)
I
CITYOF TIGARD PLUMBING PERMIT _
DEVELOPMENT SERVICES PERMIT#: PLM2000-00384
13125 SW Hall Blvd., Tigard, OR 9i223 (503) 639-4171 DATE ISSUED: 10/26/00
SITE ADDRESS: 13005 SW SECA CT JOB -FRAILER
PARCEL: 2S 103CB-04901
SUBDIVISION: ,ZONING: R-4 5
BLOCK: LOT: JURISDICTION: URB
CLASS OF WORK: NEW GARBAGE DISPOSAL-S: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: B FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURESLAUNDRY TRAYS: SF RAIN DRAINS:
SIrrKS� URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: 40 ft
WATER CLOSETS: WATER LINE: 40 ft
DISHWASHERS: RAIN DRAIN: 100 ft
Remarks: Pltinihincl site utilities for temporary sales office. _
--- ---
Owner: — -- �--
Type By Date FEES _Amount Receipt
BROWNSTONE HOMES, LLC 5PC2 CTR 10/26/00 $13,20 27200000000
12670 SW 68TH PAPKWAY
PORTLAND, OR 97 223 PRMT CTP. 10/26/00 $152.60 27200000000
Total $165.80
Phone 1: 503-598-7565
Contractor:
WC' COTT PL.UMBING CONT INC
PO BUX 2007
GRESHAM, OR 07031
REQUIRED INSPECTIONS
Phone 1: 667-1781 Sewer Inspection
Reg#: LIC 00023847 Water Line Insp
Water Service Insp
PLM 26 208PB Final Inspection
This permit 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.
1-his permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION Oregon law requires you to follow rules adopted by ti,e O.recon Utility
Notific:Aion Center. Those rules are set forth in OAR 952-0001-0010 through OAR �2�0G01-0080.
Ycli may obtain copies of these rides or direct questions to OUNC by calling�503 216-'9 7.
Issued 63y,;^s_ Permittee Signature:
Call (503) 639.4175 by 7:00 P.M. for an inspection needed the next business day
Plumbing Permit Application
7ProjecVappl.
/0 /G 07� Permitno.:,Zit,olZppQ_O�?�P
Cit of Tigard City o.: Building permit no.:
Aduress: 13125 SW liall Blvd,Tigard,OR 97223
City ofTigard phone: (503) 639-4171 .: ExpiredaG::
Fax: (503) 598-1960 Date issued: By: Receipt no.:
Lased use approval: _-- Case file no.: Payment type:
U I Sk 2 frimily dwelling or accessory U(nnuncrcialhndusuial U Multi-family U Tenant improvenccnt
U New cc nstrI Ar
vction U Add ition/alteration/replacement ❑Ftxxf service U Other:i LAI (t
1 t
Joh address: I�Id ` 5W _��_/� CT . Description � _ city. Fee(ea.) 'Total
_7_ v New 1-and 2-fancily dwellings only:
Bldg.no.: Suite no..
Tax ma /lax I, account no.: 'E� 5 ti , (Includes I00ft.loreachutilhyconnrctionl
p Utz �!� SFR(1)bath
Lta: Block: Subdivision: - _---- -"
alt. Ho i lave W01SFR(2)bath
Project name: l t, (�Icti(tu.' SFR(3)bath
City/county: _ ZIP: q Z Each additional bath/kitchen
Description and lot ation of work on premises: SiteWilitles:
t�"D WArlm a.5u Catch hasin/area drain - A_
Est.date of completion/inspection: 2t., Drywclls/Ieach line/tre,dch drain_ —
Footing drain(no.lin.ft.) _
t Manufactured_hnmc utilities _
Business name: Manholes
Address: Vo 64Q zocn Rain drain connector
L -Wel _ I State: ZIP:q20�10 Sanitary sewer(no.lin. ft.) 40.
Phone: ' Fax: E-mail: — Storm sewer . ft (;
CCB no.: 17 3 , -7 Plumh, bus.reg.no: 17141714--2c)V PB. Water service(no lin. ft.) 40
Q
City/metro lic.no.: Fixture or Item:
Contractor's representative signature: Absorption valve
Back flow preventer
Print name: _ ,l hntc: I ac) [3ac-,,water valve----
Basins/lavatory -�
Name: Clodies washer — --
Address: Dishwasher
City: �A&A jState:CLr_ ZIP: 9 72.2:} Drinking fountain(s) -
E'ectors/sump
Phone: ('ax: E-mail. Expansion tank
Fixture/sewer cap
Name(print): 5 floor drains/floor sinks/hub
`� � —
Mailing address: l tg I to A Garbage disposal
—
Hose bibh
_City: 1L`
L4k,jri or G State t- ZIP: 17 2-.3 Ice maker
Phone: 9WY5 C15 I Fax:5"f0gobi I F.-mail: _ Interceptor/grease trap_
Owner installation/residential main • cc only: The actual installation Prinier(s)
will he made by the or the maint• an e d repair made by my regular Roof drain(commercial)
employee en the prtc(fet�I o p O S haptcr 447. Sink(s),basin(s),lays(s) _
( mier's signature: `` latw-���' I cv Sum
OEM 10111 1� fubs/shower/shower pan
Urinal �^— --
Name: _--__--- Water closet _
Address: _ Water heater _
City: j State: ZIP:_ Other:
Phone: ax: E-mail: lt►vtl
Not all jurisdictions.crept credit suds,please call Jurisdictitm for mote Inf—tatlon. Minimum fee................$ /; .C jAJotice:This permit application
O Visa U MnsktCard expires if a pemrit is not obtained Plan review(at _ %) $
Credit card number __ ____-�� _�__ within 180 days after it has been State survharge(8%)....$
Expires accepted as complete. TOTAL .......................$
Name of cardhol,kr u shown ort credit cord �
S
Cardholder NRnutae Amount 44114,,16(6AX)CON1
PLUMBING PERMIT FEES:
PRICE TOTAL New 1 and 2-famlly dwellings only:
_FIXTURES (inrtfviduai) _ QTY ea AMOUNT (Includes all plumbing fixtures In PRICE TOTAL
Sink 16.60 — the dwelling and the first100 ft. QTY (ea) AMOUNT
Lavatory —� 16.60 for each utility connection) _
Ong1)bath $249.20 _
Tub or TublShower Comb 1660 Two 21 bath4_350.00
Shower Only 16.60 Three 3)bath _ $399.00 _
Water Closet — 16.60 _ _SUBTOTAL
Urinal 16.60 _ _ __8_%STATESURCHARGE _
Dishwasher 16.60 — PLAN REVIEW 25%OF SUBTOTAL
-----— -- TOTAL _
Garbage Disposal 1;.60
Laundry Tray 16.60
Washing Machine 16.60
Floor Drain/Floor Sink 2" 16.60 PLEASE COMPLETE:
3" v 16.60
4" 16.60
— Quantit h Work Periormed
Water Beater O conversion O like kind 16.60 - - --
Gas piping requires a separate mechanical Fixture Type: New Moved Replacedj Removed/
hermit. _ _--_ — 1 Capped
MFG Home New Water Service 46.40 Sink _�—
MFG Home New San/Storm Sewer 4640 — I_avator ry _
-- Tub or Tub/Shower
Hose Bibs 16.60 Combination _
Roof Drains 16.60 Shower Only _
Drinking Fountain — 16.60 Water Closet
Other Fixtures(Specify) 18.60 Urinal _
_ Dishwasher _
Garbs a Disposal
-- --` Laundry Room Tray
-- -
Washing Machine
Floor Drain/Sink: 2"
Sewer- ist 100' 55.00 5 3"
Sewer-each additional 100' 49.40 _ 4"
Water Service-list 100' 55.00 or Water Heater
Water Service-each additional 200' 46A0 Other Fixtures
(Specify)
Storm 8 Rain Drain-let 100' ( 55.00 -tw —
Storm 6 Rain Drain-each additional 100' 46.40 --
Commercial Back Flow Prevention Device 46.40 -- ---
Residential Backflow Prevention Device' 27.55 ---- —
CatchBasin 16.60
Inspectlon of Existing Plumbing or Specially 7250 —
Requested Inspectionsper/hr COMMENTS REGARDING ABOVE:
Rain Drain,single family dwellinq 6525
Grease Traps 16.00 --- ----- ---
QUANTITY TOTAL
Isometric or riser diagram Is required if —
Quantity Total Is >fl__ — ----- —— '—---
'St1B-TOTAL
8%STATE SURCHARGE - ----- — --
"PLAN REVIEW 25%OF SUBTOTAL
Required only If fixture qty,tofar is�>9
fo rAL
*Minimum permit fee Is$72 50•8`Y state surrharge,except Residential Backnow
Prevention Device,which Is S36 25•8%state surcharge.
"All New Commercial Buildings require plans with Isometric or riser diagram and
plan review
I:\dsts\forms\ptrn-fees.doc 10/10/00
CITYOF TIGAR[� SITE WORK PERMIT —
DEVELOPMENT SERVICES PERMIT# : SIT2000-00049
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED : 10/26/00
SITE ADDRESS: 13005) SW SECA CT JOB TRAILER
PARCEL : 2S103CB-04901
SUBDIVISION: ZONING : R-4.5
BLOCK: LOT: JURISDICTION : URB
CLASS OF WORK: PAVING ?: Y RESO. NO:
TYPE OF USE: COM GRADING ?: Y VALUE: $3,000.00
EXCV VOLUME: ry LANDSCAPING?: Y
FILL VOLUME: cy SITE PREP ): Y
ENG FILL?: STORM DRAINS?: Y
SOILS RPT REQD?: IMPERV SURFACE: sf
Remarks: Site Prep for Temporary Office Trailer
Owner: — -
_ FEES
Type By Daite Amount Receipt
PRMT CTR 1ut26/00 $72.10 27200000000
5PCT CTR 10/26/00 $5.77 27200000000
PL CK CTR 10126/00 $46.87 27200000000
Phone: FIRE CTR 10/26/00 $28.84 27200000000
Contractor: PRM4 CTR 10/26/00 $72.10 27200000000
BROWNSTONE HOMES, LLC Total $225.68
12670 SW 68TH PKWY -
PORTLAND, OR 97223
Phone: 503-598 7565
Reg #: LIC 124627
Required Inspections
Grading
Paving Insp
Strm Drain Insp
Landscaping Insp
Driveway surfacing
Final Inspection
/ phis permit 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 he done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or ifwork is s, pended for more than 180 days ATTENTION Oregon law
requires you to follow rules adopted by the Orevg�,on U it y Ndfificotion Center Those rules are set forth in OAR952-001-0010 through OAR 952-001-i:060. You ain copies of these rules or direct questions to OUNC by
calling (503) 246-1987 y
Permittee Signature:
Issued By: --
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the -iext business day
ti � � �•I�/Y1Q'
Building Per tnit Application
-- Datereceived: �r� ,) Permitno.: S-/7-f000- &,-'/`J
Lit of Tri Tard —
A" y � ProjecUappl.no.: Expiredate:
Cityujl'igurd Address: 13125 SW hall fllvd,'l'ipaid,OR 97223
Date issued: By: Receipt no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Lf/0 V 9 Case file no.. Payment type:
Land use approval: 1&2family:Simple Complex:
UPE OF PERMIT
U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-farnily U New construction EI Demolition
U Addition/alteration/rcplaccment U Ten.,nt iml) ( ement U Fire sprinkler/alann U Other: f.Alt rRA1 t_r__R-
It i ' i
Job address: 13v OS f r• Bldg.no.: - Suite no.:
Lot: q Block: Subdivision: � c Ilvry W E%r Tax map/tax lot/account no.:wc r.n j,S t u�cc'
Project name: uA i t_ -- -
Description and location of work on premises/special conditions._
Name: l--t-L -- I
%^ailing address: 17. 70 5G f; te IJ-104L _ 1I &2 iamlly duelling: s
Cit n, State:V ZIP: r 711 3 Valuation of work...........��i.N.R.............. $
Phone: - Fax:y�yf` eel L-mail: No.of bedrooms/baths.................................
Owner's representative: �� AvAtIts•- _ Total number of floors................................. -
•
Phone: '��') `t Fax: --- E-mail: New dwelling area(sq. ft.) ..........................
Garage/carport area(sq.ft.)......................... ----
Coveted porch area(sq.ft.) ......................... _
Name: ;"'mac A_ Ate% — Deck area(sq.ft.) ...... C-441'. -
................ . .
Mailing address:
ZIP: stnicture area(sq. ft.).SN ......P!'!..�fJ'"
City: 1
titate:
- --- ComrnerciaUindustrialhnuiti-family:
Phone: Fax: F n,.til
Valuation of work...................... ................. $__---- --
iNMUM1.1'
Existing bldg.area(sq.ft.) ..........................
Business name: - New bldg.area(sq.ft.) .......................I....... _
Address: H r" Number of stories -
City: StateZIP: Type of construction -
Phone: Fax_ _ E-mail: Ckxupancy gmup(s): Existing:
CCB no.: 111�{�fL7 _ New:
6cit /metro tic.no.: Nonce:All contractors and subcontractors are required to be
t'11DIUSIGNER licensed with the Oregon Construction Contractors Board under
provisions of URS 701 and may be required to be licensed in the
Name: _ jurisdiction where work is being performed.If the applicant is
exempt from licensing,the following reason applies:
City: Statc: Zll
'
Contact person: Plan no.:_
Plronc•
Name: Contact pefsow Fees due upon application ........................... $
Address: � at—
Date received:
._
�
City: State: Z11' _ Amount received ......................................... $.
—- - Please refer to fee schedule.
Phone: _— Fax_ __
I hereby certify I have read and examined this application and the Na alt Juriadicttaa accent credit cards.Mean can Jurisdiction for tttore inrorrtw+on
attached checklist. All provision aws and orriinances governing tris O visa O MasterCard �__��
work will be complied vyo 1w e pecified herein or not. Credit°srd nu, ner ---- e— t<j
Authorized signature: °t^s ✓ Date: t e f - — a•e�tder�•how on credit card -
$ _
Print name: I C tiahot
t (Z NvA10% - Carder s+pu,ure _Ao,ouui_
Notice:This permit application expires ifs permit is not obtained within 180 days rtler it has been accepted as complete.
410 bu teon"rx+t
SITE PERMIT CHECK LIST
Commercial and Multi-Family: Complete ENTIRE form.
Residential: Complete SHADED are:3s only.
Excavation Volume: cu. ds.
Grading Volume:
Soils re ort rewired for >5,000 cu. yds.) �D cu. yds.
Fill Volume: i
(Fill exceeding 12" in depth shall be compacted to
90% of n -?ximum density) cu. yds.
Retaining structure? (Check one) U Rock
Lj CMU
❑ Concrete
Ll Other
Li
Total new impervious area including all buildings,
sidewalks, and paving: sq.
I
Utilities (Complete all that app
Storm Sewer: gAa r, (za qZ).. - Linear Ft. ICst
Sanitary Sewer_- Linear Ft. _
Fresh Water: Linear Ft. 4(0
Catch Basins: _ # —`
Clean Outs: _ _ _ # — —
Plans Required: See "Application/Plans Submittal Requirements" attached.
The following must accompany this application_ Parking (il:
Site Plan with Vicinity Map �cludiny ADA) and
showin 4 ADA compliances _ Ljghtin�Plan
Gradinq Plan and details__ ' Landscaping
Erosion_Control Plan and details Retaining Structures _
Site Utility Plan and details Soils Report (if required)
(showi;tg connection to approved
system _
I:\dsts\torms\sltechecktist.doc 10105/00
October 17, 2000
CITY OF TIG
Brownstone Homes OREGON
12670 SE 68`h Parkway
Portland, Oregon 97223
RE: Temporary Sales Office SITE: 2000-00049
13005 SW Sela Court
Dear Applicant:
Your plans for the proposed temporary sales office cannot be reviewed for the following reasons.
1. Plans must be drawn to a recognized scale.
2. Provide an accessible ramp and entrance detail.
Provide three(3) sets of revised drawings.
Sincerely,
Robert Poskin, CBO
Senior Plans Examiner
13125 SW Hall Blvd., Tigard, OR 972.23 (503)639-4171 TDD (503)684-2772 ---- - - - ---
11ri11
i
CITY Of TIGARD C�
Approved....................................................... .( 4
L.� Conditlonelly Approved................................... .(
For only'he work as described in: b
PERMIT NO. 5:t '!Iri cud ly — r�qP Vii 4
See Lotter 1c:Follow.................. ......................f ) I
♦ Job Address: Agew�1..........................................
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By: _If Date: d
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//A\ CITY OF �'I G A R D — ELECTRICAL PERMIT
PERMIT#: ELC2000-00592
DEVELOPMENT SERVICES DATE ISSUED: 10/26/00
13125 SW Hall Blvd.. Tiqard, OR 97223 (503) 629-4171 PARCEL: 2S103CB-04901
SITE ADDRESS: 13005 SW SECA CT JOB TRAILER
SUBDIVISION: ZONING: R-4.5
BLOCK: LOT : JURISDICTION: URB
Proiect Description: Electrical service for temporary sales office.
_ RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS _
1000 SF OR LESS: 0 - 200 amn: 1 PUMP/IRRIGATION:
EACH ADD'L 500SF: 20 - 400 crop: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS_ _
0 - 200 amp: W/SERVICE OR FEEDER. 1 PER INSPECTION:
,•)1 400 amp: list W/O SRVC OR FUR: PER HOUR:
^' 600 amp: EA ADC'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: __ _ PLAN REVIEW SECTION _
1000+ arnp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC/FDR >= 225 AMPS_,_ _CLASS AREA/SPEC OCC:_
Owner: Contractor:
BROWNSTONE HOMES, LLC STREAMLINE ELECTRICAL
12670 SW 68TH PARKWAY 6017-B FAST 18TH STREET
PORTLAND, OR 97223 VANCOUVER, WA 98
Phone: 503-598-7565 Phone: 360-993-5080
Reg #: LIC 116514
ELF 34-4320:
SUP 2197S
FEES Required Inspections _
Type By Date Amount Receipt Elect'I Service
PRM3 CTR +10/26/00 $73.50 2720000000( Elect'I Final
5PC2 CTR 10126!00 $5.88 2720000000(
Total $79.38
This Permit is issued subject to the rr ju ations a)ntaine in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable laws
All work will be done in accordancewith approved pl s: This permit will exp!re if work s riot started within 180 days of issuance,or if work is
suspended for more than 180 days ATTENTION sgn law requires you to follow rules adopted by the Oregon Utility Notification Center Those
rules are set forth in OAR 952-001-9010 thr ugh O F 95 001 0080 You may obtain copies of these rules ordirec:questions to OUNC at(503)
246-1987 �
PERMITiEE'S SIGNATURE, ► ISSUED BY:
OWNER INSTALLATION ONLY
T_he 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 SJPP.. r' EC'N: _ _— __ _— DATE:_
LICENSE NO: ---
Call 6394175 by 7:nOpm for an inspection the next business day
Electrical Permit A,pplication
- -- Date received: 11�111, , permitno.:
city of 'Tigard Project/appl.no.: natpiredate:
city of'figard Address: 13125 SW Hall Blvd,'Tigard,OR 97223 Date issued: By: 7 kecetptno.:
Phone: (503) 639-4171
Case file no.: Payment type:
Fax: (503) 598-1960
Land use approval:
TYPE OF
U y&2 family dwelling or accessory U Coll"nelcial/IWIL",tllat U Multi:family U Partial improvement
New construction U Addition/alteration/replacement U Other: �ial� rAltu tJ4]Partial
13 SITE INFt ' a
Job address: 130[ e,4e, � CI Bldg. o.: Suite no.. Tax map/tax lot/account no.:
l.ot: 2 Block: Subdivision: tcr-rm 25 i c44L�l "'/oz
Project name: QvAte, gotDescription and location of work on premises: �s/e OpWe� A/C_�'�"�✓� ��
Fslimaletl date of complrtion/inspt Ilion 1t'' t /. r '�
1 1 7 "' '
1'
ee Mat
Job no -------- DeseripNo„ QI ( 7ulalno.impBusiness name:'iirL!,p� �Jl` G-1L"UW4 ez -- Ne""dential-sin{le ur multi(amihIMr
Address:(poles ,trr dRelliligamt.Inente,atiatbedrarage.City: �(o't lersimincludctl:I000 sq.ft.or less - 4
Phone:1y .,Z Fax:, W3��State:WA. ZIP:
Foch additional Soosq.it.or portion thereof
CCB no.: 1 I Elec.bus.lic.no: fj4 —A3)-C Urnitcd enorgy,residential 2
City/metro lic.no.: Limited energy,no n-residential 2
�-- to �C J Each manufacturt.1 home or modular dwelling
Date Service and/or feeder 2
Signature of su rvis �cric (re uired) --�— services or feedem-Installation.
Sup.elect.name(print): � l( 1) L' tT Lic ase no:Zl 1 7 alierailun or relocation:
PROPERTY200 amps or less 2
201 amps to 400 amps 2
fName( rint : 2
p ) 401 amps to 600 amps
n address: / �` ,VR6(11 amps to 1000 amps 2
ZIP:Q'7Z. 3 Over 1000 amps or volts 2
Fax: ¢ Reconnectonl I
e: ) - ��t E mall. I emponryserrlces or leaden-
Owner installation:The installation is being made on property I own lnsianauon,■heraii-n,artcl-eatihm'
which is not intended fors e,lea % tit,or exchange according to 200 amps or less 2
ORS 447,455,479,( 701. 201 amps to 41x1 amps _p __ 2
Owner's si nature: L_ _ -
Dale: i��(�' 401 to 600 ams 2
Bronch ctrcuih-nen,■lier■tlon,
or extension per panel:
Name: A Pee for branch circuits with purchase of
-, service or feeder fee,each branch circuit -z
Address- �< -
State: ZIP: B. Fee for branch circuits without purchase
City: __ - of service or feeder fee,first branch circuit: -
Phone: 1'ax: ( mail: P.achndditionalbranch circuit
Mt.c.(siervice or feeder not included):
I :nhpumparimgmonctrcic _ _ 2
❑Service over 225 amps-crnnmercial U Health-care facility Poch sign or outltm•lighting _ _ 2
❑Seryice over 320 amps-rating of I Ret U Hvmdouslr•cadon Signal eircuit(sl or a lindted energy panel.
familydwellings Ultuildinguverlll,(xlOsyuarrfectfourar g
U System over 600 volts nominal moicresidentialunitsinonestrucuue alteration,of
U Building over three stories U Feeders,40(1 amps or more "Description: --- -- — --
U Occupant load over 99 pet sons Id Alanufactured structures or RV parte Eich addiflon al Inspection over tte all-n able in am of he ebove:
U F.gress/hghtinFhl,o U Other -- — fertnspeetton
tiulimit -_-_sets of plans with any of the above. Investigation fee
The above are not applicaMe to temporary construction service. 1 tether
NotK. .;,fee.....................$ — 3
Not all jurisdictions accept credit cods,please call juri;iction fa moa•Infornution expire
This permit application Plan review(at _ %) $
U visa U MasterCard expires if a permit is no:obtained
_ _L�_ within ISO days after it has been State surcharge(896)....
Credit card numtha'. hsplrcsTOTAL .......................$ -__�
accepted as complete.
Name of cardholder to shown enc n e s
Cardholder signutrrc Amount X401615(6h0arCOM)
Electrical permit Fees: Limited Energy Fees:
TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
Complete Fee Schedule Below: --� T— – ----
Restr-icted Energy Fee...................................................... $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: items Cost Total Check Type of Work Involved:
Residential-per unit
1000 sq ft or less _ _ $14',1 4 Audio and Stereo Systems
Each additional 500 sq it or
portion thereof _ $3140 _ ._— l Burglar Alarm
Limited Energy __-._ $75 00 . ---
Each Manurd Home or Modular Garage Door Opener'
Dwelling Service or Feeder $9091)
Services or Feeders I ❑ Heating,Ventilation and Air Conditioning System'
Installation,alteration,or relocation
200 amps or less _ $80.30 2 Vacuum Systems'
201 amps to 400 amps $106.85 _ 2
401 amps to 600 amps $160.60 _ 2 a Other
601 amps to 1000 amps _ $240.60 _, ?
Over 1000 amps or volts $45465 2
Reconnect only $66.85 ?
Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Installa!ion,alter,tion,or relocation
200 amps or less J^ $66.85 7 Fee for each system.... .................................................... 375 On
201 amps to 400 amps _ $100.30 7 (SEE OAR 918-260-260)
401 amps to 600 amps $133 75 Check Type of Work Involved:
Over 600 amps to 10u0 volts,
see"b"above. ❑
Audio and Stereo Systems
Branch Circuits
New,alteration or extension per panel Boller Controls
a)Thf,fee for branch circuits
with purchase of service or
feeder fee. Cloak Systems
Each branch circuit $6.65 2
b)The fee for branch c.cults Data Telecommunication Installation
without purchase of service
or feeder fee. Fire Alarm Installation
First branch cit cult $46.85 _
Each additional branch circult $6.65 HVAC
Miscellanenus
(Service or feeder not Included) Instrumentation
Each pump or irrigation clrcic $5340 _
Each signor outline lighting $5340 —! ❑ Intercom and Paging Systems
Signal rircuit(s)or a limited energy
panel,alteration or extension $75.00 I andstzpe Irrigation Control'
Minor Labels(10) $125.00 _ _Each additional Inspection over Medical
the allowable in any of the above
Per inspectiu, $6250 Nurse Calls
Per hour $62.50 _
In Plant _ $7375
Outdoor Landscape Lighting'
Fees:
Protective Signaling
Enter total of above fees $
8%State Surcharge
$ �.�.cP� Other_—�--� — —
________Number of Systems
25%Plan Review g=ee
See`Plan Revhw"section on $ ' No licenses are required Licenses are requlred for all other inst,,llations
front of application
Total Balance Due $ Fees:
Enter total of above fees $
ElTrust Account a
8%State Surcharge $
Total Balance Due $—
i\dsLs\forms\eIc-fees doc 1010900
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARr ,, OR 97223 RF��
IMPORTANT PERMIT NOTICE
CUTAMUN,
STREAMLINE ELECTRICAL �-
6025 EAST 18TH STREET
VANCOUVER, WA 98661
Electrical Signature Form
Permit #: MST2001-00174
Date Issued: 5/22/01
Parcel: ZS104DA-125UU
Site Address: '13005 SW SECA CT JOB SALES TRAILER
Subdivision: QUAIL. HOLLOW -WEST
Block: Lot: 111
Jurisdiction: TIG
Zoning: R-4.5
Remarks: New SF detached rowhouse in Building #12. Setbacks as per Sheet A10.10 -
Plan C-S
Your company has been indicated as the electrical contractor for the permit indicated above In oraQr fo, the
elr,ctrical perrnit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your company sign below and return this Electrical Signature Form prior to the
start of the work to the address above, ATTN: Building Dept.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
BROWNSTONE HOMES STREAMLINE ELECTRICAL
12670 SW 68TH PKWY #200 6025 EAST 18TH STREET
PORTLAND. OR 97223 VANCOUVER. WA 98661
Phone #- 503-598-7565 Phone #: 360-993-5080
Req #: LIC 116514
ELE 34-A32C
SUP 4tm
,qf of S
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X --
Signature of Supervising Electrician
If you have any questions, please call (503) 639-4171, ext. # 310
CITY OF TIGARD BUILDING INSPECTION DIVISION - MST
24-HOL r Inspection Line: 639-4175 Business Line: 639-417
/BUP
—Date Requested � /—&-----AM PM BLD --_— ----
Location �� _ 1i1� �'6+4 C't -__ Suite MEC
Contact Person —_ 5 Ph s7)-3 LM-� 2-yo0 - 00��
Contractor _— --- Ph - —_ SWR -
BUILDING Tei.ant/Owner _ — _ _ ELC
Retaining Wall ELR
'rooting Ac 'esu 'S—_ 77/r-sf ,0F 43
Foundation FPS
Ftg Drain
Crawl Drain Inspection motes:
Slab ---- -- -- IT
Post&Beam
Ext Sheath/Shear I
Int Sheath/Shear �\G�\
Framing - - --
Insulation
Drywall Nailing --
Firewall
Fire Sprinkler _—_---.._--- — --- —
Fire Alarm
Susp'd Ceiling - --- - - -------
Roof
Misc:_ _ --- --- -- -
Final
P PARI' FAIL --- --- .. _-- - -- -
`.
PLUMBING) __ — ---- -- ------- -----
o m
Under Slab -----
Top Out
Water Service
Sanitary Sewer
' rains ___------ ------------- ---
F'
SSRT FAIL ___ _- ------ - - _. - - ---- - --------------- --_ ____- --
ANICAL
Post& Beam ------------ -------- -- ------- _---
Rough In
GasLine _ _ -- --. .--- - _____..-- ----------------------..._- -
Smuke Dampers -------- ----- -----
Final - - --- -
PASS PART FAIL
ELECTRiCA L
-
Servi^e _ _ --------
Rough UG/Slab
Low Voltage
Fire Alarm --
Final
PASS PART FAIL -- ----- -- — - ---
IfE
Backfill/Grading —1---- - -
Sanitary Sewer7
Storm Drain ( j Reinspection fee of$ required before next inspection. Pay at City Hall. 13125 SW Hall Blvd
Catch BasinUnable to
Fire Supply Line I 1 Please call for reinspection RE: Inspect• no access
_._ - - _ _.T-_-- I 1
ADA / (/ - �`j
Approach/Sidewalk Date - l �C 1 Inspector �`` 'L - EXY,
PART FAIL__J, DO NOT REMOVE this inspection record from the job site.
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
Permit #: MST2001-00174
Date Issued: 5/22/01
Parcel: 2S104DA-12500
Site Address: 13005 SW SECA CT JOB SALES TRAILER
Subdivision: QUAIL HOLLOW -WEST
Block: Lot: 1 !1
Jurisdiction: TIG
oning: R-4.5
Remarks: New SF detached rowhouse in Building #12. Setbacks as per Sheet A10.10 -
Plan C-S
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing pennit to be valid, please have the appropriate individu,d 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: JIUMBING CONTRACTOR:
BROWNSTONE HOMES WOLCOTT PLUMBING CONT. INC
12670 SW 68TH PKWY #200 F'O BOX 2007
PORTLAND. OP 97223 GRESHAM, OF, 97030
Phone #: 503-598-7565 Phone #: 667-1781
Reg #: 1 Ir. 23847
P1 M 26-208PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X -� —_ - --
nature o Aut prized Plumber
If you have any question, please call (503) 639-4171, ext. # 310