13025 SW SECA COURT 13023 SW Seca Court
CITY OF TIGARD MASTER PERMIT
PERMIT#: MST2001-00176
t DEVELOPMENT SERVICES DATE ISSUED: 5/22/01
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 13025 SW SECA CT PARCEL: 2S104UA-12700
SUBDIVISION: QUAIL HOLLOW-WEST ZONING: 1345
BLOCK: LOT: 113 JURISUICTION: TIG
REMARKS: New SF detached rowhouse in Building#12. Setbacks as per sheet A10.10
Plan B-S
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 31 FIRST: 173 at BASEMENT: of LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 735 of GARAGE: 426 of FRONT: PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT: 580 of RIGHT:
VALUE: $138,870.00
OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 1,486 00 of REAR:
PLUMBING
SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 2 CATCH BASINS:
1 TUBISHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR GREASE TRAPS:
OTHER FIXTURES: 1
MECHANICAL
FUEL TYPES FURN<100K: 1 BOIL/CMP<3HP: VENT FANS: 3 CLOTHES DRYER: I
("AS FURN)100K: UNIT HEATERS: HOODS: OTHER UNITS: I
MAX INP. htu rLOOR FURNANCES: VENTS: 1 WOODSTOVES GAS OUTLETS: I
FLECTRICAL
RESIDENTIAL UNIT SERVI E FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: 2 PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L SOOSF: 3 201 400 amp: 201 400 amp: 1st WIG SV(./FDR: 00 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 800 amp: 401 600 amp: FA ADDL BR CIR 1 SIGNALIPANEL: IN PLANT:
MANU HMISVCIFDR: 001 1000 amp: 801+ampe-1000v: MINOR LABEL:
1000•amplvolt: PLAN REVIEW SECTION _
Reconnect only: >.4 RES UNITS: SVCIFDR>*228 A: >400 V NOMINAL: CLS ARE"PC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.9F RESIDENTIAL e.COMMERCIAL
AUDIO&STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT
BURGLAR ALARM: OTH: ALL ENCOMB BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGr.OPENER: CLOCK INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATAITELE COMM: NURSE CALLS: TOTAL N SYSTEMS:
To rAL FEES: $ 3,583.49
Owner: Contractor: This permit is subject to the regulations contained in the
BROWNSTONE HOMES BROWNSTONE HOMES 1 1 r Tigard Municipal Code,State of OR Specialty Codas and
12670 SW 68TH PKWY#200 12670 SW 68TH r-lw':vY all other applk.able laws. All work will be done In
PORTLAND,OR 97223 PORTLAND,OR 97223 accordance with approved plans. This perm!
CITYOF TIG e RD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2001-00118
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-41 i1 DATE ISSUED: 5/22/01
SITE ADDRESS; 13025 SW SECA r,F PARCEL: 2S104DA-12700
SUBDIVISION: QUAIL HOLLOW-WEST ZONING: R-4.5
BLOCK: LOT: 113 _ _ 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 5/22/01 $2,300.00 27200100000
INSP CTR 5/22/01 $35.00 27200100000
Phone: 503-598 7565 Total $2,335.00
Contractor:
Phone:
Reg#:
Required Inspections
This Applicant agrees to comply with all the ri:!es and regulations of the Unified Sewage Agency Th pormit expires
180 days from the date issued. The total amount paid will be forfeited if the permit expires. ThgAbe cy does not
guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurem nt gi en,tie installer
shall prospect 3 feet in all directions from the distance given If not so located, the installer shall pur ase a"Tap and
Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon lal r vires yo tc fc�low rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-601-00 th oug . O 952001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling(5 3) 246-1 8 %
Issued by��l� Jam-- _ Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needeJ the ' ! t business day
Building Permit Application
Date received: fr'/ Permit no.;,
City of Tigard
Project/appl.no.: Expire date:
-
Address: 13125 SW Hall Blvd,Tigard,OR 97223 -
Ciry of Tigard phone: (503)639-4171 Date issued: By:_ Receipt no: _
Fax: (503)598-1960 Case file no.: Payment type:
Land use approval: 1&2 family:Simple Complex:
CTI &2 family dwelling or accessory U C.O1111111CR ua1/IhtlU."lrtal U Multi-family New construction U Demolition
U Addition/alteration/replacement U Tet ant improvement U Fire sprinkler/ala m U Other:
.108 SITE,INFOR t
Job address: / ) 2. _ -( _ Bldg.no.: /L Suite no.:
Lot: ', V Blwk: Tax map/tax lodaccount no.:
Project name: Q0 61t_ LIP11t W
Description and location of work on premises/special conditions:—g_1- 1 "SIC. /k-Dl)I1CAh0-
011 NI It FOR SPE.CIAL INFORMATION, USE ('111ECKCIST
(Floodplain,septic capacily,solar,etc.)
NamAOfA c-S
Mailing address: x'2.(070 Sw (06t-" R",e "I,uo 1&2 family dwelling:
City: Fovt)A State:�- 7.1P: �2Z3 Valuation of work........................................ I
Phone: Fax:610 900 1 1 E-mail: No.of bedrooms/baths......................... ----_
---
Owner's representative: m GtAo�: Total number of floors............... ..............
Phone: 57 y f-ax:5'7A 999'L Email: New dwelling area(syr ft.) .....r'.. 7.....
MIMGamge/carport area(sq.ft.)......................... _
Covered porch area(sq.ft.) ........-.
Name: ABOIIG - - - -
-�_�-- — —� Deck arca(sq.ft.) 4V so t --
Mailing address: -
City: State: ZIP: Other structure area(sq.ft.)....................... _
Phone: Fax: E-mail: CommerciaUh;ductrlallmultl farolly:
Valuation of work........................................ 9;- - - -
Existing bldg.area(sq.R.) ..........................
Business name: 5Afj&,- A5 A-14& New b!dg.arca(sq.ft.)................................ - -
Address: Number of stories...................................... - -
City: _ State: ZIP: Type of construction
Phone: Fax: E-mail: Occupancy group(s): Existing:
CCB no.: New: _
City/mein lic.no.: Notice:All contractors and subcontractors are required to be
go IVA 11 ILI licensed with the Oregon Construction Contractors Board under
Name: G G'� o provisions of ORS 701 and may he required to be licensed in the
Address: \�q ll E is (050 jurisdiction where work is being performed. If the applicant is
Cit :5tATn Lr-
State:W ZIP: (p I exempt from licensing,the following reason applies:
Contact person: WW _ Plan no.: --
Phone:766- 40 - Fax:')p(-47- E-mail: --------
Name:W 9_0, -pF6jj a . Contact person:t FW M I), Fees due upon application ......I.................... $
Address: 1 to �-1 t Mtn Date received:
Statelotr- ZIP: _M� Amount received ......................................... $_
City: [�
Phone;ft -9 b 33 Fax: E-mail: Please refer to fee schedule. _
I hereby certify I have read and examined this application and the Not all jurisdictions raccer ctedii card.,plme call Jurisdiction for mate informs ion.
attached checklist.All provisions of l�kifiead
nordinances governing this U Visa ❑MasterCard
work will he cont lie % tt ,whe herein or not. Credit card number: _ _pr-.Rlrarct
Authorized signature: Date: �C( — Name of cantmider a Alm"on o
cw
Print name:
— s
Anouat(rdtotder aiRtatre
Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted w complete. 4404613(WWOM)
Mechanical Permit Application
113atereceived: Permit no.:,' r zoo Al/z�
City of Tigard Project/appl.no.: Expire date:
CityojTigard Address; 13125 SW Hall Blvd,Tigard,OR 97223
Phone: (503)639-4171 Date issued: By: Receipt no:
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval: Building permit no.:
t
UOl&2 family dwelling or accessory U Cununcrci.il/industrial 0 Multi-family U Tenant improvement
C New construction U Addition/alteration/re placement U Other:
! SCIIEDULE
Job address: Indicate equipment quantities in boxes below.Indicate die dollar
Bldg.no.: /,� Suite no.: — value of all mechanical mate6als,equipment,labor,overhead,
Tax map/tax lot/account no.: profit.Value$ rx "
Lot; Block: I Subdivision:Q p,ri u., "See checklist for important applicatiun information and
Project name: (�}Fr� E) uJ 'fiY�1JN0►u►t� jurisdiction's fee schedule for residential permit Ice
City/county: �laAtJp 0 WASIAj
ZIP: Z 2 rloll, r
Description and location o w-)rk on premises:_ =LWO X141 r 1 t01910111KIII Dill
Fee(m) 11)(21
Est.date of completionhn�pcction: Description QI1. Res.only Res.01111
Tenant improvement or change of use:
Is existing space heated or conditioned?U Yes U No Air handling unit ---('FM
r)
Air con rtroning(site plan requirere4)
Is existing space insulated?U Yes U Noy Alteration of existing HVAU system _ —
! of er compressors
Business name: oU ` E,, }06o r State boiler permit no.:
Hp Tons BTU/H
Address: le(o it smo a amper uct smo a electors u
City: M-1 I N Statct�r C ZIP:q7 ZeJO Heat pump(sue plan required)
Phone: — tj-Sq Fax:-175 1141 E-mail• — nsta rep ace urnac urner
Including ductwork/vent liner U Yes U No
CCB no.: 2b-3 r1wits rep ac rclocate heaters-suspen
City/metro lic.no.: (_')D 0_0 1 as wall,or floor mounted
Name(pl•-ase print): z, 1"'. M ent o�r a fiance other than furnace ;
e erat .
t Absorption units___ BTU/H
Chillers HI'
Name: I LA Co ressors
_Co
Address: i E ,n U_mnenta exhattid and vent at nn:
City: State: ZIP: Appliancevent
Phone: Fax: E-mail: Drycrexhaust I
Hoods, ype res.kitchenfhazmat
hood fire suppression system
Name: 24AA E- 0 , Exhaust fan with single duct(bath fans)
Mailing addreas: x ausi system aart from heaten or
Citv: State: ZIP Fuel p p o up to 4 outlets)
T ___LPG _"_ NO X_ Oil
Phone: Fax: E-mail: ue i in each additional over outlets _
Dews piping(schematic ream )
Number of outlets
Name: ��M Ic a°. Q����' 01&r vt oppilince or equipmeott,
Address: Decorative fireplace
City: State: ZIP: Insert-"ty
Phonc; Fax: E-mail: 'Woodstovetpellet stove
Other:
Applicant's sipnature: Date:
Name(print): �}y
Nd all par.dreliau accept c1►Alt colds,grease cal)jtaiadkdm fa rrore Inferrrtatlan. Permit fee.....................$
Notice:This permit application Minimum fee................S
U Visa U Masteruani expires if it permit is not ob•ained
Credit cid lrumber.__ _. __ —. 1__�— Plan review(at _ %) $
within 180 days after it hes been State surcharge(896)....$
Nam-- aof c leer n own on cm;i c—dr -
accepted as complete. TOTAL .......................$ '7 7
S
C;_"del signature Amowt 440.4617(60WOM)
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING-, FEE SCHEDULE:
AL VALUATION FEE: _ Description: _ Price Tot
TOTa
TOT Table 1A Mechanical Code oty (Ea) Amt
$1.00l0 55,ALU Minimum fee 572.50
$5,001.00 l0$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 0 BTU
ducts
&
$1.52 for each additional$100.00 or Including duccts R vents 14.00
fraction thereof,to and including 2) Furnace 100,000 BTU+
$10,000.00. Includingducts&vents 17.40
$10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace
Including vent
4 1400
$1.54 for each additional$100.00 or Suspended d heater,wall heater
fraction thereof,to and including ) 14 00
$25,000.00. or floor mounted heater
525,001.00 to S(50,000_.00 $379.50 for the first$25,000.00 and 5) Vent not Included In appliance permit
6.60
$145 for each additional$100.00 or
fraction thereof,to and Including 6) Repair units
12.15
----$50,000.00. -
$50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boller Heat Air
I $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond
fraction thereof. footnotes below. Comp*
7)<311P;absorb unit
to 10UK BTU 14.00
ASSUMED VALUATIONS PER APPLIANCE: 8)3-15 HP;absorb
Value Total unit 1uOk to 500k BTU 25.60
Description: n Es Amount 9)15-30 HP;absorb -
Furnace to 100,000 BTU,Including £55 unit.5-1 mil BTU 35.00
ducts&vents 10)30-50 HP;absorb
Fulriace> 100,000 BTU In hiding 1,170 unit 1-1.75 mil BTU _ 52.20
ducts&vents 11)>50HP:absorb
Floor furnace Indudin rent 955 unit>1.75 mil BTU 87.20_
Suspended heater,wall healer or 955 12)Air handling unit to 10,000 CFM
floor mounted heater__ _ 10.00
Vent not Included In applikonce' 445 13)Air handling unit 10,000 CFM+
trail __ 17.20
RD)air units _ 805 14)Non-portable evaporate cooler
<3 hp;absorb.unit, 955 10.00
to 100k BTU 15)Vent fan connected to a single duct �1
3-15 hp;absorb.unit, 1,700 A- 6.80
101k to 500k BTU 16)Ventilation system not included in
15-30 hp;absorti.unit,50 iA to 1 2,310 appliance permit 10.00
Incl.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 mll.BTU - 19)Commercial or Industrial type Incinerator
Air handlingunit to 10,000 0m 656 69.95
Air handling unit>1 00'.- 1.170 20)Other units,Including wood stoves
Non-portable evaporate oouler 656 _ - 10.00
Vent fan connected to a sin le duct 446 _- 21)Gas piping one to four outlets
Vent system not Injuded In 656 5.40
appliance permit 22)More than 4-per outlet(each)
Hood served by mechanical exhaust 656 1.00
Domestic Incinerator 1.170 Minimum Permit Fee$72.50 SUBTOTAL:
Commercial or industrial Indnerator 4,590
Other unit,Including wood stoves, 656 8%State Surcharge � s
Inserts etc.
Gas plying 1-4 oudets 380 25%Plan Review Fee(of subtotal) s�
Each additional outlet 83 Required for ALL commercial permits only
TOTAL COMMERCIAL- $ J TOTAL RESIDENTIAL PERMIT FEE: S
4
VALUATION: ------ --
Other Insoectlons and Fees:
1 Inspections outside of normal business hours(rninirnum charge-1,A10 hours)
$72 50 per hour
2 Inspections for which no fee is spedkolly indicated (minimum charge-half hour)
572 50 per four
Additional plan review required by chenUes,additions or revisions to plans(minimum
(iiargeone-haM hour)$72 50 per how
'State Contractor Boller Certification requlred for until),200k BTU.
"Rssldentlal AIC requires site plan showing olacemenl of unit
I:\dsts\formi\mech-fees.doc 10111/00
Electrical Permit Applimtion
�.-._.�:__...__ t)egneoel�wt. Pantltne.:/'r..,�•�,,� %- "�'��►
City of Tigard Qroleal/appl.no eeplfea•le: �.__ -
t lrrnrnR.rd Addtt•e: 1312'SW Hell Blvd,Tiaarti,OR 91227 Date WPM: B R�oelplao
Pwww ttol)639.4171 -`"-
Pet, MI)39&1960 Can[�>•he.: Perrtrrt type
Land use approval
3 family dwrillag a &-caeury O ComnomlOndu•trlal 0 Multl•ta+�ly U Truant irnptovrfnertt
New conat-Wtiou ❑AdditlWallerWON11011WMlent O 011ier:� U Pvtial
Jub addtsa•: (. .7 ' suita no.. Tan m ae Ic.rlecor+lenl no.
Block; Subdividw: Q At I. Ho I lvv.$ W e%r _. ..
ay �►.� N+I l o l� pexr1glon and locator of work on
�!�" fe►raTx�(rltlw)'
mated da0e a ctm COWIN rntion:
r.• nla
11W h+ra TOW M.
Btalaw naa+a'
—re a M _ 1�C t. i r ilei— « ei•+y rte+
Chy
e V ncouv r State WA 98661 I4
IOm4L A n•NW _
Phofla: 9 9 3- a•oal�aw 3a':n a< nbn R _-
'FF—W.:1 16 514P_lao.bus.lk,no: 3 4-4 3 ZC-- i,n,r„ ,.-Kr'a
�I /nletRl lk.I1D.: _ Ltellcee ew% ,nae-re•men" -
n m.rnf tcw a mod ul�dwetilq
"" Servla.rdhw GrOer _ 2
et��.r-nl..�-•iM u Dire
deet.Was UMM no .Ner+uoa of retermiea.Emma
l u 10 400 Wv
N erne U?91!!) _ e-oTamo a gra" ]
/Mel atidrtM: __ Y•�� i tr,
Pa1-S" o Frmai : Raa�ne�lad
1'1 rw own rwr9 —a IN
( lnsallllerleln'' laet>aiatiotl a ie�mom on ptt,p6rtrTmvn IeAttaed+..•terMtt�eee.teauMee
whiCh is Pat InWMW for•ale.1 t+f a11CAMj•aOCOtdin�t0 Nr1afn m rrra 1
ORS 447.4619,479.t"'
c)wrttY• liwouprt-IL DWI
1 eat►ii8>�
M•.w•w,Aq*TvK46k' F1
K et•eaeee pr eeueb
New, A Foe forbrWW%armIllwOI'MhOw6f
rrvloe or teedet owl b.+eoA tlleuh
AddhVt ••• ;;8jjjn1
N
for hMWh dery W"h'� pwe
slur ZIP. dW"e %or Ift , foe fin.tWWKhnroNt:
— F'trld: et.(. oe w eee MO11erJra+eebe".�'°r'0 Garbe ever 3"rrp►teeaMwnMl ev t. _ 2
O pr.lee o.nr!!O n oye +'11 of 1It1 O t{awAoot loeenen �l efeowtivl or• IMbd rner•y �ii
brdlf dwellh# O 60llAlq over I0,t1Mo•4iMe M f�w a►
a Iyelnle ever b00 va+n taonwrl ernes nrteet♦nel mite In ane emterLre elwrwt w v+u�la+• ---- 2
l�hddld orwtltlee MM" D I�ee►en eao or"w"we •[�eeon m
a 0MVpW Ovral""",Wool t]M•erhasnj eavuWge a R PW* t`eeJt l •ve►flaiMf
O ft—A169i l,Ab0 Q Orin — —^ Pe feejeetlon
t•rlttall__—eaq H filar•wM�u)t��ebe�e. In:e.eyetlea�ie- .
7►eUNe-atoM4 Miee!IMMcw•4*e8�nrrlos' — 1tErfMtSOS.».»,.,,... .....S ��
,r., aea*en+ .t+r�" "� v�"•�e+�i�+k+��* rs n.e.. Nodor Mepunk a►pliaetiat - 213
Mm r*Aew(W tv) S
t,'Mr O McMerCerr eapita if•Por+dh a nol eblaiud
wiftl 110 day aka N hee bMt OM hath(ems).. -�
=yam pre eee�lteer- _.---_....— --- T M�« eooepbtla cc,ntplata. ..,,..,.._....»...S
n r `
_ P e6415IYdROW
10 TP 3Eitid '0Ia1:313 ZE0St6E09E
Mar-06-01 03:05P Wolcott P1Utnb irrg 503 667 9891 P.01
01!00/01 W7 14:41 MAX 50:1 SAH 1960 Cl'ry (,F' 'rl sm?r) F0002
Plumbing Permit Application
City of Tigard Dater=ivi4: _ PrnNl!10 t ^ p
Addrer s: 13125 SW Hall Blvd,Tiger 1,OR 9722:1 Uwe parfait no.: Building permit no..
('itynrTirard Mone: 004)A39.4171 ROject/aprl.no.: t3xpue441e:
Fax: I:50.1) 5W1960 Datelssue4: By: Re:eiptml
Lund use approval: caserrleno.. Psymenitype:
U I &2 family dwelling ur a[crr gory ll Com•n,,rciaUrndualniJ Tenant lmprovemcni
Q New ewsltrucUon O Additir r✓altennoo/tcpix n.ent U F,-,cx)ecrrice Q Odor
Job address: / U L S c.� c' _.. - Ueacri tlou Fee.laa. Tobi
14 V-
Bid&nu.; /,,7 Sous m': New I•aaT2-fA fly dwe ge o y:
1
RA MW/lax lot/nccouut 110. ( r"100 Lt.ro.Owls mjuty cons"doe)
L,ul. / t3buk �Subdit,slon: SBR(1)bath _
._� 2 bath
Pi0'aJ cttltunc; _ (ti�— _
Citykounty: 2I1s hates I&Itlona ,uonen
Description and locau,n of work on prcrnises: yhelaflllftear
_ Catch bxsiWmis dravi
En' date_ of ccwnpiction/ruspectwil — —' — ywe leac int tion
•ootln ram no.lin, . —
Manulocumd home utilities
Addre.vs: PC. a 'e00'? _ ain drain connecter
CUy; I'eyI,-AWV. - alatcQ ;.IP• Saul—sealer(no,Tjo-i
PI1011e•S03- rax (60-11 t! E•nmll; y%. Det-aw,q Maiiii sewcr(no.Fi.fl.F
CCB no. 1'5_141 Plumb.bus.MXL 110:24-7 d PO Water servit;e d,-n- L
Cityrmew Tic n0.: --- Future or Netto
Cuatnuorb reptcsengdvc sigauture: �tt'�,��,.sT 1 BaAILtion rave
-�------ - L� � ace cw preveat_ct
Yrint name o.� l ( x water valve �—
' ullI lavrto -
Name• a %wLgher —
Addre". �r'iri�0e ti,u�nLyn(1) _
Clty, Stew 1P� W._
eC LUm
Phone:
Fax ��r 6 pinil. x em`lon Turf _
ixtu server ca
Name(print): Flor,'tti oor s n u - - - _
MarIlnY.rddtess: -
Glubus ddism- it _
-- ---- — Rose brbf;
City: State !IP ce ma9er
Mile. rex: E tttail_ ntuc �lAm trap
Ownc, mamienuwc only: Th( actual installation a'rmer(y
wtll be made by hearth( maintenance ma repair nu Jo by my mgulw M-o Mcojnmticial
cmplrycc on the prrpetty 1 own at per ORS Chapter :41 (s,btu►nly;ws(1 -r
Owncr's sl nature; D stc _ um
- -- - u s nwct 11howor pan
titin
Nunn, arer c tis i
AJ_ 9WeJr0S. ._ _ T ater attt
City _ tW: n
Plume: - Email.--- _Total
h4,w1),a,uac44M Mvsrr+� .rrYw ear,«..«dew.t«mre "anon*" Noiix:This permit application Min,mvm rce- _ _ 0 --
U viu o MciwCard expiry 11 a rtrnil is Out obtained Plan review(at _—V S
cm4ii cord name, _-�- .�.- wlthln 180 days*Iter it has been State cu►(•harpro(11%) . .S
TOTAL .......................S _
— met cmOci+�,M:;�e aeJwwTntecDted at.ompk e
_s Ti,M, urr,�miare — f A„uaiM bq
��� ) cam,
Mar-06-01 03:05P Wolcott P'lumbinq 503 557 9891 P. 02
13"'06/01 1'CL., )4 4: IA,S 509 599
136J CIT) OF 'L'ICAkL
: 003
eLl3MBING PERMIT FEES:
'TOTAL New t 41^ Z='Vy,d A S only:
�FI%1t�Rt� odl4WutiIL' ea AMOUNT. (1!ICh<das all p41mb1np'(IktulrN in PAlbk TQTAL
>51r�% 6.61 lhs dwr Otnp and th6l0lrstlo0 It,, r .CIT" (PK) .MOUNT
tr,r aVth ulllli nn�otla '
LivNoly 7� 16.f!) Y� -
DiC 21-20
uub ar-uUShuNer ,o nb. 0.6) rwo 2 bam o O.CO
�.,.S�h:�werOmty 10.6) Three -
�istir Cla cl t ( OTOTAL
Ilrin,l _ t6, ; KMATI SuaCtiAR3F. -- -�
s... .
CiaFaei,her - 16 07 PLAN REVItFW�3'/�OF SU8'OTAL
Garbage Glepofal 1 , 0 21TT+t
L&mdyy iy t6 t7
ath'rp Molnlnr I 15.
Fluor DNlrwf our 31111ir 111110
PLEASE COMPLETE:
4e 16,f 0
watel ruler 0 wnvef o
rn ka kind ttt t — - -' — Guintl or Pe onntd
Cil OlpmO reQwras a sopifslf mrtchar»cal I '� FlYture Type, t New A11ov d Replse4d INrtltlwdf
'a'"!
MFG Homo New ter Sflvioe 46.0 Sink
MN Home New SarvSWrm 'ewer— 48 f 6 Uwe! `� }
Nose d ba Ia I u or ublShower "1�1
_ ComAlnabon _ i
Roof 0,41115 16,1 0 havor nt _ I
Onnk'np Fountain "'- 1M i 0 VY61sr Clofdt
gther FIKlurie ISueclry) 15110 nrf
-
-
Lound Room Pay
--�-- --
WashingMa
Floor rain! Ink'
Sewer•1u 10J 116.10 d --
:,ower•uc iddilW,al 100' 46 t0 4
William 9,m to•+ft S,)C Wal heater",,_
w'rm Service•each aid on�1200 46 10 Other Val ernll
5twm 116 Riln Fair•—,m 100' 6S,
Sb m fl ROIn1r•sach addll anal 100' fN.10
Comm11 Bee%Flowriwnllon Div 46 CO — —
Hf6 anGul NxKflcw F+rcvent ev r a' 27 55 — ---j
Gatch Basin r� — J 16 00
Infpedlun of Eaft}nNbinq Of Speec ey _ _72-SO
IreectlnRf S-11C � 8 1M• COMMENTS REGARDING ABOVE:
Pain Dial,,Singhfamily dwil416 _—
J
65 25 !2--
Grease
Grease ropy -- — -- Iti 50 _
�! QUANTITY IOTA - -
4anetrle
'BUSTWAL --- -----
D-i STATElURCMARGE
"PLAN REVIEW 25%OF SLRTOTAL
Ret�ki4?rh if ruture Qy feta 11' _.
—Y T5TAL
-Minimum peffrN IN le f I;97�e!i NNo UrRlvargr.ucer>+Rea�4!Mlel 6ffkWn
pfiveary,m Device.WK0 a 934 Is•f%3106$Vfthbrae
-.All No.Coommercial llullemge rnauxe 1+lalr"Nh leor.el•fc orAe)r llgram and
gn•r-iea
I\dSle'f0fmsnplm-le•cadoC 'U1000
0-
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 #: MST2001-00176
Date Issued: 5122101
Parcel: 2S 104DA-12700
Site Address: 13025 SW SECA CT
Subdivision: QU:;IL HOLLOW - WEST
Block. Lot: 113
jurisdiction: TIG
Zoning: R-4.5
Remarks: New SF detached rovihouse in Building #12. Setbacks as per sheet A10.13
Plan IB-S
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 retu,n X71*
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 fort" is received
I
OVVNFR PLUMBING CONTRACTOR
BROWNSTONE HOMES WOLCOTT PLUMBING CONT. INC
12670 SW 68TH PKWY #200 PO BOX 2007
POI'T' AND, OR 97223 GRESHAM, OR 97030
Phone !1 503••598-?565 Phone #: 667-1781
Reg #: I Ir. 23847
PI M 26 208PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X
Signaf -* A--1KWzPdPlurnber
If you have any questions, please call (503) 639-4171, ext. # 310
r
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
rn ?MUtll', pFurtnvMENT
IMPORTANT PERMIT NOTICE 0e,
(� ,
STREAMLINE ELECTRICAL
6025 EAST 18TH STREET
VANCOUVER. WA 98661
Electrical Signature Form
Permit #: MST2001-00176
Date Issued: 5122101
Parcel: 2S1 04DA-12700
Site Address: '13025 SW SECA CT
Subdivision: QUAIL HOLLOW - WEST
Block: Lot: 113
Jurisdiction: TIG
Zoning: R-, 5
Remarks: New 3F detached :owhouse i,n Building #12. Setbacks as per -'-,eet A10.10
Plan B-S
Your company has been indicated as the electrical 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 individLIal from your company sign below and return this Electrical Signature Form prior to the
start of t',ie work to the address above, AT-TN- Building Dept.
No electrical inspections will be authorized until this completed form is received
OWNFR ELECTRICAL. CONTACTOR:
BROWNSTONE HOMES STREAMLINE ELECTRICAL
12670 SW 68TH PKWY x`200 6025 EAST 18TH STREET
PORTLAND, OR 97223 VANCOUVER, WA 9F661
Phone #: 503-598-7565 Phone #: 360-993-5080
Req #: uc 116514
ELE 34-4320
"U' !1973_
AN INK SIGNATURE IS REQUIRED ON THIS FORM
x 'k j
Signature of Supervising Electrician
If you have any questions, please call (503) 639-4171, ext. # 310
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BLIP
_Date Requested—__-__.� � ` AM–_ PM BLD `-- -�-----
Location 3 C% .5 ¢,.C� Suite —------ --
MEC
Contact Person Ph 7 7 PLM -
Contractor Ph SWR
IBU1LDING Tenant/Owner ELL
Retaining Wall ELR
Footing Access
Foundation FPS
Fig Drain ---- - - ----
Crawl Drain Inspection Notes - SGN ,_—
Slab SIT
Post&Beam ---- -- - ----
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulatiun -
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof - -
Misc:tlr - -�� --- _-
ii �
ns PART FAIL -- - — _--_.. ---.--------- ---- --PLUMBING
Post&Beer -- �__-._—. --- -- — -- ----- ---
Under Slab
Top Out -- --�. - -- -
Water Service
Sanitary Sewer
Rain Drains
Final _ _-
P i_-PART FAIL_
HANK -
Post& Beam -
Rougn In
Gas Line - -
Smoke Dampers
SS ^',PART FAIL
E RICAL --
Service
Rough In
UG/Slab
Low Voltage - -
Fire Alarm
Final -
PASS PART FAIL
arm
Backfill/Grading - --- - - --
Sanitary Sewer
Storm Dmin ( j Reinspection fee of$___-_ , required before next inspection. Pay at City Hall. 13125 SW Hall Blvd
Catch Basin Please call for reinspection RE:
Fire Supply Line ( j p --- ( )Unable to inspect-no access
ADA
Approach/Sidewalk DI
Other ate __ _1 ,' Inspector____._ t" Ext
Final r
PASS PART FAIL- 00 NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639 5 Business Line: 635-417 MST �� / 4�'>/ ) �'
BUP
Late Requested, _AM / �� PM BLD
Location— �� .� .C��-fc� Suite _ MEC
Contact Person -- _ Ph — — PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall — ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Nates --- --
Slab SIT_
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear 14p, . — --
Framing tt.► -1 •a. C >>-- \__
Insulation
Drywall Nailing
Firewall l _
Fire Sprinkler 2
Fire Alarm
Susp'd Ceiling
Roo`
Miac:
—
Final
PASS PART FAIL `�''�� �'ti�•--
PLUMBING
Post&Bearn —�
Under Slab `.- C U
Top Out
Water Service A1.
Sanitary Sewer /�__� o �—
Rain Drains rT,., c_—��- - ---- _L -
ina �� A
IS S._ PART FAIL \...•fl �,'� tL.JC Z_�.! v �' [—�,/' �ti��._� --- , �-
_ 1ANICAL —
Post& Beam ---
Rough In
Gas Line ---------- -- — --- — -- ---
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL -
Service
Rough In
UG/Slab
Low Voltage — -- ------- .____-.----- ----_----
Fire Alarm
----- --- ----
Final
PASS PART FAIL
SITE
Backfill/Grading - ---- -- --- --- --
Sanitary Sewer
Stony Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 131.25 SW Hall Blvd
Catch Basin
Fire Supply Li.. I 1 Please call for reinspection RE __ —_—_ ( ]Unable to inspect no access
ADA n
Approach/Sidewalk
Other ns Date ��` Inspector. (U --�""""— Ext
Other -- p �— _. _—..._
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.