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13055 SW Seca COUrt
CITY
�� ������ MASTER F'EFMIT
\ PERMIT#: MST7001-00179
DEVELOPMENT SERVICES DATE ISSUED: 5/22/01
1312.5 SW Hall Blvd., Tivard, OR 97223 (503) 639-4171
SITE ADDRESS: 13055 SW SECA CT PARCEL: 2S104DA-13000
SUBDIVISION: QUAIL HOLLOW- WEST ZONING: R-4.5
BLOCK: LOT: 116 JURISDICTION: TIG
REMARKS: New SF detached rawhouse in Building##12. Setbacks as per sheet A10.10
Plan B-S
BUILDING
REISSUE: STORIES: 3 !i FLOOR.60EAS REQUIRED SET BACKS 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 at GARAGE: 426 of FRONT: PARKING SPACES
TYPE OF CONST: 5N OWELLiNG UNITS: 1 FINSSMENT 560 of RIGHT.
VALUE: $136,630.00
OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 1 48H 00 of REAR:
_ PLUMBING
SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LA1'1TORIES: 4 DISHWASHERS. 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: . CATCH BASINS:
rUBISHOWERS: 2 GARBAGE DISP: I WATER HEATERS: 1 WATER LINES: 100 BCKFL W PREVNTR: GREASE TRAPS:
OTHER FIXTURES: 1
MECHANICAL
FUEL TYPES FURN<100K: 1 BOIUCMP<3HP: VENT FANS: 3 CLOTHES DRYER: 1
GAS FURN—100K: UNIT HEATEPS: HOOnS: OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: I
ELECTRII._4'.
RESIDENTIAL UNIT SERVICE FEEDER_ TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR I.Ess: I �0 200 amp: 0 200 amo: WISVC OR FOR: 2 PUMPIIRRIGATION: PER INSPECTION:
FA A1)D'L 500SF. 201 400 amp: 201 •400 amp'. Lt WIO sVCIrDR: 00 SIGNIOUT LIN LT: PER HOUR:
L IMI1 ED ENERGY: 401 •600 amp: 401 600 amp: EA ADDL SR CIR: I SIGNAL/PANEL: IN PLANT:
MANU FIMISVCIFDR: 6C1 • 1000 amp: 601+amps•1000v: MINOR LABEL:
1000.amplvolt
PLAN REVIEW SECTION _
Reconnect only:
a-4 RES UNITS: 7VCIFDR>•225 A.: >800 V NOMINAL: CLS AREAISPC OCC
ELECTRICAL•RESTRICTED FYERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 ETr,REO, VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: 0TH: ALL ENCOMB BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR
HVAC: DATArTELE COMM: N'.'RSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES' ,0 4,553.48
BROWNSTONE HOMES BROWNSTONE HOMES,LLC This permit Is subje,',u the regulations contained in the
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 accordance with approved plans This permit will expire 9
work is not started within 180 days of issuance,or if the
work is suspended for more than 180 days. ATTENTION
Phn„e, r.nmu: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Rap#: LIC 124627 forth in OAR 952-001-0010 through 952-001-0080 You
may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8, Underfloor insulation Electric,1I Service Low Voltage Firewall Insp Appr/Sdwlk Insp
Sewer Inspection PlmHmdslab Insp Eloctrical Rough In Gas Line Insp Rain drain Insp Electrical Fina:
Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Roof Nailing Mechanical Final
Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Water Line Insp Plumb Final
Slab Insp Plumb Top Out Exterior Sheathing Insl Gyp Board Insp Water Service Insp Final inspection
Issued By : L7Zr;lL_ Permi':tee Signature
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
CITYOF TIGAR® SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWF J1-00121
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 BATE ISSUED: 5/22/01
PARCEL: 2S 104DA-13000
SITE ADDRESS: 13055 SW SECA CT
SUBDIVISION: QUAIL HOLLOW- WEST ZONING: R-4.5
BLOCK: LOT: 116_ 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 ----
BROV/NSTONE 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: 5.,)3-598-7565 — Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
This Applicant agrees to comply with all t ie rules and regulations of the Unified Sewage Agency. The permit expires
180 days from the date issued. The tota, arnount paid will be forfeited if the permit expires. The Agency does not
guarantee the accuracy of the side sewer laterals. If the sewer;s not located at the measurement giv n,the installer
snall prospect 3 feet in all directions from the distance given. If not so located, the installer shall rc ase a"'fap and
Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you o fo ow rules adopted
by the Oregon Ut iity Notification Center. Those rules are set forth in OAR 952.001-0010,througOA 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling(503y 746-19`87\
Issued by: �_ _ _ Permittee Signature: _
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
Building Permit Application
Datereceived: �jA (t/ Permit no.W-f'-7M./-00/?
Cit of Tigard City � Projecdeppl.no.: Expiredate:
City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 -
Date issued: By:-' ><f Receipt no.:
1hone. (503) 639-4171 _
Fax: (503) 598-1960 Case file no.: I Payment type:
Land use approval: _ _ I&2 family:Simple Complex:
TYPE OF VVICNIAT
tl &2 family dwelling or accessory O Commercial/industrial U Multi-family New construction 0 Demolition
❑Additiott/altemtion/replacement U Tenant improvement U Fire sprinkler/plprm ❑Other:
30111 SITE INFORMATION
Job address: - ) rj j' `�-� fi -- 1- Suite no.:
Lot: �, Block: Subdivision: Up►r L ,ir . Tax map/Lax lot/account no.:
Project name: 9MA L 11J .--
Description and location of work on premises/special conditions: r�l?Qltenrtr3►J - �- -
t
Name: I'1UM
0 ,u 061-6 2�,r✓ p I &2 family dwelling:
Mailing address: I`uo? S
City: p L7 A — State:ter ZIP: X22.3 Valuation of work...................:�.............
Phone: c Fax: 19 e 1 E-mail• No.of bediooms/haths............ ............ _ — ---
r
Owner's representative: M IZ OWL Total number of floors................ ..............
Fax-57,13141- F-mail: New dwelling area(sq.ft.) .....L.`t.4Q......
Phone: 5779 --
Garage/carport area(sq.ft.)......��......... —__--
Covered pore' area(sq.ft.) ......,.-.............
Name: 4U F'
5" ---- -
Mailing address: _ Deck area(sq.ft.) .................... .... ...:..... _- -- —_--
State: ZIP: Other structure area(sq.ft.)........ ...........
City: _— Commercial/indurtrial/multl family:
l9x,n,: I car
U. nail:
Valuation of work........................................ $
UUTT-611ij __
Existing bldg.area(sq.ft.) .......................... —
Busin.ss name: 5A
ItAis A;, Af3tVG _ New bldg.area(sq.ft.)................................
Address: -- Number of stories
City: State: ZIP: Type of construction....................................
Phone: Fax: E-mail: Occupancy group(s): Existing: _
CCB no.: _. New:
City/metro lic.no.: Notice:All contractors and subcontractors are rrquired to be
licensed with the Oregon Construction Contractors Board under
P!w"neAqM�� Coll provisions of ORS 701 and may be required to be licensed in the
�� jurisdiction where work.is being performed.if the applicant is
Address: \kq\ `(OIJD t — exempt from licensing,the following reason applies:
Cit State:W ZIP: 14101 -
Contact person: Plan no.: —_ ---�-- - —_
llione:7%- 4(,l- Fax:'jpE 4E 7- Email:
Nnntc:X10-°�1 E6lC�• Contact person:$MI WII I,AAA Fees due upon application ........................... $
Address:JC> LA-' Ali N Date received: —
City: _ State:Of ZIP: X22 Amount received ........ ................................ $
Phone ft -'I o 33 Fax: � E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Na dl iurirdkdom K,p cmdl,code,pease an iuddkuon f«mac inro m.tion
attached checklist.All provisions of la s and ordinances governing this o Visa ❑MasterCard
work will be cem (plie�Cvit'h,whe ified herein or not. c'uai'card"umd>u _ — --1-1—
Expire
Authorized signature: _ Date: 3 S Name of cardholder as drown"n clad',and s
Print name: r M L A Ot — Cadhalder.ipw ure — Amnmt
Notice:This permit application expires if a permit is not obtained within I80 days after it has been accepted as complete. 440413(60000M.)
Mechanical Permit Application
Date received: Permit no
City Of Tigard ProjecUappl.no.: Expiredate:
GiyofTigard Address: 13125 SW flail Blvd,'i'i wu.OR 97221
Phone: (503) 639-4171 Datr 4u s�: By: Receipt no.:
Fax: (503) 598-1960 Case file no.: Paymenttype:
Land use approval: _ Building permit no.:
r�Newconstruction'
ly dweing or accessory 0 Commercial/industrial U Multi-family U Tenant improvement
❑Addition/alteradon/replacement L7 Other.
+ c + +
Job address: , c- 1 W _7e C_ Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: L Suite no.: value of all mechanical materials,equipment,labor,overhead,
profit.Value$ 3U� -
Tax map/tax lot/account no.:
Lot: Block: Subdivision:QUA,l Pol low w 'See checklist for important application information and
Project name: diction's fee schedule for residential permit fee.
City/county: ICTAL bWNPEN1 ZIP: 22 _ DWLLL1N,G PER31111T.TE SCIIIE1ULE
Description and location o work on premises: CCLARl .i•f
fec(ea.) Intal
Est.date of completion/inspection: _ Description lN9• kes.ordy lles.wily
Tenant improvement or change of use:
Is existing space heated or conditioned?U Yes U No A&e,,_-,_,tFng-nvxF-,ystem
unit CFM
Air conditioning(site plan required)
Is existing space insulated?0 Yes 0 No
-,CAL CONTRUIOR ILMRTT-5511-pff-Asors
Business name: t u VIff,P,T I?� t CCC3i►l� State toiler permit no.-
_ HP Tons BTU/H
Address: O fa Fire./smoke dampers/duct smoke detectors _
City: O(L-1
State t�r C 7.1P:cf 7 2490 e.ai pump(site plan required)
Phone: Fax: 7 -_ nsta rep ace urnae7bumer
7
Including ductwork/vent liner U Yes U No
CCI?no.: heaters-
_ -
2J _ __ _-_ - nsta iepace/reloocate eaters-suspen
City/metro lie.no.: DODO 1 G 2 _ well,or floor mounted -
Name(please print): v? Ml;',.,r`^ ens fat a ianceother than furnace
+ Refrigeration:
Absorption units-_ _ BTU/H
Name: I A1� � ( .) Chillers —_ HP -
Co —
Address: < �� m rressors 1If'
.��-� - —.— v ronmenta exWttl n vent anon:
City: -- State- ZIP: _ Appliance vent
Phone: Fax: E-mail: Dryerexhaust I
Hoods,Type res. tc a iazmat -
hood fire suppression system —
Name:_ 246A E- Asl�) 0 f, Exhaust fen with single duct(bath fans)
Mailing address: Exhaust system apart fromheatineH
Fuelpiping anddistributionr
(up o 4 out cts
City: IsLate. ZIP: Type: 1 F'G NO )� _ Oil
Phone: Fax: E-mail: Fuel i in each additional over 4 outlets
]Process piping(sc ematic required)
Name: !a M 1� �, Q Er V c Number of outlets
Other IWA app race or equipment:
Address: _ _ _ Decorative fireplace
City: _ State: ZIP_- Insert-i.pe -
Email oc stove/pe et stove
Phone: Fax:
Other:
Applicant's signature: Date: other.
Name (print): _--
Nd hall)otitd ctiam accW crtdit crdt,pleate call iuritdictiah for tnam Irdarmation. Permit fee•....................$
Ovisa U Mastercard Notice:This permit applic,Ilon Minimum fee....... . ......$ .
Credit card number:
expires tf a permit is not,lbtained Plan review(at _ %) $ '
!.— — _ -- —�-d-
tet within ISO days after it hes been State surcharge(8%) ....$
Nene d cardholder as shown on c t cte i rd-- accepted as complete.
$ TOTAL .......................$
FardhoW tipaity Ammiht 110-4617(MGCOM)
MECHANICAL_ PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: FEE: Description: Price Total
$1.00 to$5,000.00 _ Minimum fee$72.50 Table 1A Mechanical Code _ _ Oty (Ea) Amt
$5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace tis& 0 BTU
$1.52 for each additional$100.00 or Inclualn ducts
uccts 8 vents _ 14.00
fraction thereof.to and Including 2) Furnace 100,000 BTU+
_
$10,000.00. including ducts 8 vents _ 17.40
$10,001.00 to$25,000.00 5148.50 for the first$10,000.GO and 3) Floor Furnace
$1.54 for each additional$100.00 or Including vent _ 14.00
traction thereof,to and including 4) Suspended heater,w0 heater
$25,0g.0.00. or floor mounted heater 14.00
$25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included in appliance permit
$1.45 for each additional$100.00 or - 680
fraction thereof,to and includi,rg 6) Repair units
$50,000.00. 12.15
$50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Alr
$1.20 for each additional$100.00 or For Items 7.11,see or Pump Cond
fraction thereof. _ footnotes below. Comp"'
7)<3HP;absorb unit
ASSUMED VALUATIONS PER APPLIANCE: to 100K BTU _ _ 14.00
Value Tonal
8),1-15 HP;absorb
unit 100k to 500k BTU 25.60
Description: Qty (Ea) Amount 9)15-30 HP;abr,orb
Furnace to 100,000 BTU,Including 955 unit.5.1 mil BTIJ _ 35.00
ducts B vents 10)30-50 HP;absorb
Furnace>100,000 BTU including 1,170 unit 1-1.75 mil BTU 52.20
ducts 8 vents 11)>50HP:absorb
Floor furnace Including vent 955 1 unit>1.75 mil BTU 87.20
Suspended heater,wall heater or 855 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+
permit 17.20
Repair units 805 14)Non-portable evaporate cooler
<3 hp;absorb.unit, 955 10.00
to 10r1k BTU 15)Vent fan connected to a single duct
3-15 hp;absorb.unit, 1,700 A- 6.80
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 erhaust
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 _
31.75 mil.BTU 19)Commerclal or Industrial type lnclnergtor
Air handlirg unit to 10 000 cfm _ 656 69.95
Air handling unit,10,000 dm 1,170 20)Other knits,Including wood stoves
Non- ,table evaporate cooler _656 10.00
Vont fan connected to a single duct 446 21)Gas piping one to four outlets
Vent system not Inuludorl in 656 _ 5.40
sppllanr�_M!t 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: 7
Commercial or Industrial Incinerator 4,590
Other unit,Including wood stoves, 656 8%State Surcharge
In_se-'s�etcc.
Gas piping 1-4 outlets 360 _ 25%Plan Review Fee(of subtotal) ;
Each additional outlet 63 Required for ALL commercial permits only
TOTAL COMMERCIAL S TOTAL RESIDENTIAL PERMIT FEE:
VALUATION:
Other Inspection and Fees:
1 Inspections outside of normal business hours(minimum charge-two te)ijrs)
$72 50 per tour
2 Inspections for which no lee is speoificelly Indkated (minimum chartie-hall hour)
f72.50 per hour
3 Additional plan review required by changes,additions or revisions to plans(minimum
chargeone•haM hour)$12 50 per tour
"State Contractor Boller Certification required for units>200k BTU,
"Residential AIC requires alta plan shor anli;,IacemeM of unit.
I:1idstsVormsknech-fees.doc 10/11!00
Electrical Permit Application
STruill no.; �:. ,
At City of Tigwd .Ir r;hpgl:rM:__ enp. 6u., -—
Cr"yq I0,,f Addrass: 1312$SW Hall ewd'�lI. 1 sd,OR 97 Date linnd 8f: � n.�go,
iIWW: (505)639.4171 —'
ftr (S03)!961960 can Ds M Pelrmae type:
Land use gi"Mval:T
1 family dwellial tie srcesecwy U ComrrertAlArc+4rstnal U Multifamily U Tensm ifllpmwahe11t
Ncw cMtat(elc(irxt U ArklilbNaltcralicrNrepl4Kertxm U Omer. i�Psrtiel
Joh addmo: J BICE,no. Suito no. - ?Yr MWAAp "ou"coount no.: __.--
l4x Hkrk Subdivieloo: u Ail Flo!!esti Wy%r _
Pjecs none. ,w.^+�1 Ne I I o I.1 d Ion laid locat,oa o *01j704"Miles: New �o�►YfIW3 ne�1
L'eumatt!rlatt(.t c(in e6anllns tion:
t» rowa
"J409-0— _ t)«YY�tin,,, t.Yal aY.
6uslaess nu+tr ,S t r ea rI,n Fm e,t r*
retia: — IwaNYaM bdo"*ww4wdv"p
V ncouvr LtIt'e: WA : 98661
FTYOIts: 9 9 3- �' _ rnli I: I cw og n nr I$M-- _
Ino.:1 1 Pisc.but.lk_net 34-432C � IeOaa�`aa r. �0x won rc _ 737v 2_
CI /TOM 11C.W.: Lttrot.0eit1r aoa.K,Idemwl
Bich mMwfadu m mndul4f dwllirN
- Sefv{pa4rtdlorfs404r =
�h'_"�w YS�vpr"l i.n�wgY DNe 0r ferMtY�i11Yt4ae. � ---
416a.Mf1M LWIFILY l iaYnK no .IIHYsiM K rsis..tMw C'�_
]CO 4wtp nr 10.4 _ �
l u a e00_un II
N 014114 (ptn�t) a arnpt a i51 n naM_
MAI �IlddlCss;1L41G lL�•—�111� StAft-t Zip r IWIW J M YO n �
CI tr _�-. d
mcr,wMYol �' •-�—
.IlOttf: a R
F.tneil:
(owner Inrralik4tiest' iNtallati0ll s inp molds on pri+paq owm u't►"�y sr e»a.+
Ytulanallw.Danish%Y►r4-06—
which is wn lntariad for sale.I (Yr aschants aocvdhl to IM iw Ira.
()kS 447.4$9,479 PIO. M 1 ,,// oto an" 1
()~& tl Da►,. '710 1 401 we_
Frim" nwR..Do
•eu4aaMea�tib I
Nettie a ovY to brume r,ronl.0000 penhx*•,r
A &*": wK.we a lades air h a.Oh swan
City: -__ 511 : 7.IP «lo brYnah dreY .ehrNlt pws hwY
of"0+103 or%Ides f s fWW WIN h cir"A"
LmeiLZ; .WWQ�T-
Q N.IIWIII Y*Wky sir pa n FIs _
4 WM«e.Mil!0R+►noatwY+ew a ev0hrx2
OM,'*MMMSUIrtptMM%Of1R] OiGaardootbsMen a t1�;+t4lMtwrrxrYyp— i 1_
fan�tr dwYllleN Q nalW"em 10.0m W"M AM fbw e. _
O$yaw p rt6((10 ve+n Mt+w11r141 ROW M91800W VIVO to dY IrfYtsuw s11RMlan.<r e.yM1an-.��_-: ..
U lwWW4e.wenY Tett" u plum"n,#a Wr"or Mont •f�YYon ,o
0 01M Wool ager VO 1 U Manork aw/W"UM to e v v.rit . o •.w+rOr .at.1
C7(1♦rY.►fll`bItMIM•" Q OYr+. _.-_._ .�----- low ,� _
Ahold! _._•eu M piss v*b nn N tie ebe". Incas allots sa
T �� e � Rertnh fee...............
n..�.•.•e•le.l w w M. .s11Ml.sfM.
IoM 7 rY.r A,+arA.0�4101aw+rseY Ibr Yaw YMwYrYrl4a. HMO, peMtil sppliallilw Pill)rwAew(M
O ilii Q MswrCW expire►Its perm"is►101 ob-i 8
, WMhin 110 days star N as been Stele surchwp(146)
C'.*.0'
WWPtAd —OW.
--"""""-'"t"sd1� 41oa11�IM>eR•0ah
3181',013 3dI-1Wv3d.LS Z6051:6609"
Mar-06-01 03 . 05P Walcott PlUtTib ing 503 667 9891 P.01
.G-1!00/01 TUR 14 41 P.�x 50:t 5118 1960 C1 ('1' tlh"f1C,1RD
fQj 002
Plumbing Permit Application
City of Tigard Datereccived: Perrrutn0. �7: C 0/7
nddreiw: 13123 SW Hall Blvd,Ti`e I,OR 97221 3cwuparroit no.: Bu,ldinspe=,t no.:
ityvjTlttard Mone: (,a109)4539.4171 Projec✓aypl.nc.: 6rip4e4ete: -
Fax: (503)59R•1760 Datelswed' _ By: ReceiplIKI• -
LwW use approval: -_— -_ Cascfile no.: payment type --
U 1 &2 family dwelling ur aece.reory U ComrnitciaUtnduitnrl O Multifamily Q Trnrnt impi,ovemcnt
Q New cuostrucdon 0 Addit!<n/altentroe/replxernent U Food scrrice '-J Other
Job address: f,3 CJS 5 — Descrl tlop
P Qlr• Fee(... Tohl
814--nu.;nu.; 9uibo no.: - New 1-and 2-6rntiy dweWn�s ouZy
TPA mapJtax lo✓eccouut na: —"' ( ri+t W n.lartrecb utility roaeectlo�)
SfrR(I)bath
I'mi Block_ Subdivision: SFR(2)bat, "- - -
Pftylect ttttmc: � — SFIt(�'j�,-- --------- --
city/county: _ 21P: __ !ate-»d�FB —,
Descrlptton imd locaUon of wink on premises:�_ W site vallest --
_ _ Catch bitsidarea drain
Pit.date U%Ywcilsifleach I ins uenc -
aoli rain no. o.
1linufecty rhcxne unlitlea
Business name: w0 Cho 1'.M ro,_-_ an a es
Addteva; f1O. a Qh 7.007 J _~ 7114 dmin connecter
City; Lreg1•-gw. 3tekQ :1i' itt sewer(no,Ito —
Pltotte•Jo3-667-17Cu in,v—` -"
CCB no.: V3 g k1l I Plumb.bw.mg.co:2!.-10.d pp water irrvice no,6n K
Cityrmetm lic no.: Fbtrate or Meeh
Cnotrector's represenladvc sl nature: . _._._ Abx��tion valve
hack[low preveoter
i'tlnl name A� Z- e 1 U
ec wain valve � -
s asinN avrt --
Nante -CFOLhes was.ct -
ndArcct ds wns errtU - -
ri tiunta,r(s)-- � rt rump
Mix: ��F.rr _ is tna,l, x anslon tan --
ixtu sewer cap -- �-
Ntunt(print): Flatr d u�7as jwot sinks/hub
Malt.rddress: - — --� ur ay dls xLxrx3s
Hose brbb
City. v Stela UP' ce me it----_-.. . _ - —_
_...
Mile. FRA: E-mail meter tor/ tree trap —
Ownc( InetallrtluNresldcntlal mamicriarree urlly: Thi actual installation 1'nmer(:
will ba nia&1-y ins at the maintenance and repair nisde by my regulst ZOe ►ut:("ommert iaJ)
employee on the p:rtpeny i own M per ORS Chrpter 147 Psi (5,b_a�sln(y;,
Owner's signatutc. in. _ u5 mp �w
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L'p.ns
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Cd - - Staia�ZIP: •_ _ —
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UVIu QMsltarC,rs Plan revtcw(at
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Mar-06-01 03 :05P WoIc_ot.t. Plumb Incl 503 GG7 9$91 P.02
03,,'36/U1 111 14 4.' VAX SUI AA 19f 7 CIn (IF 1'1C.ARU
(Q'003
PLUMBING PERMIT FEES:
y RI Ir I TOTAL New 1 end 24#m11y dWlrNfrlps Only:
FI$TU�: n ivlduaiZ G1 Y' da t AMOUNT (hchrdes all mb ny'�Irtucea In Pt,ibk TOTAL
r51rk 8 61 IAa dwellrr.y and the 11r4iN00 tt.-. y ' QTY (4q AMOUNT
UvHory - 18.11
for WIS.Y tlaCllen
Tub W ub/SMMer,Omb, / -St bi 20
_ wo 2 bath ]5500 CO
��Ste,^war Ony 18.6) Tnree 13)bath _ �T39,,,`00 r ...
I — OOTOTAL
UNnal' 104) --6 AT*SURCIIAROF
C--u'�MAahcr 18 ea
PLAN REVIEW 45%R 11tOFSUBTOTAL
Garbage Glspaael 1 -tb-tK'L
Laundrjray 16113
osn 1>fj Machine 16.
Har0-11oV 0it$Ink 2` VJ 16f
;� --- PLEASE COMPLETE.
4" 16.10
1
+a(e1 Natter 0 canvera r)n Ilka kind tel
uire _ ' -puan I Wor P,e ortnld _
Cas pipmp reqs a soparats IW;h%rf l I '//� Fixltm Type,' New''- mbv Re
d'. p.cea Ibmtfveof
�Mnk.
MFG From NN9 9valer Serving 46.0 $ink
MhlFlv
7 rrla r:ew SaNStOrm ewet 48 r 0 lava) +-
Nota 8 be1614) u or i blShovrer
CambinaUon _
Roof D'aute 16.1,0 Aowof�nl-`
OMk'nQ Faunlain -��uF- I 16.10 Water Closet
J ar Fixturo-6(Specify) 16.110 nra -
._,_ -
`� Garbage Die 0341
Levndfv Room Ttfy
---- '-
Washing Ms na
9ewar•ori 10�- be Io n luor rilnl n .
_ 3'
Sower-lash addilk,let too'
Walar Sam c0.111 100 WvtqLhester
Water ervice•rechrodticfn3143 46 10 - Other FaWra3
10rtnb Rain Oraln• !ft 100•
Sltum—&Rain lair•each ada11 rinel 100' 4E.10 _
ommetcl Back FT0-*Tr wnlbn 0Oava 46 so -..------ —•
Raaidanllal llocieflcw Pleventkln avtca' _ 2155
CAlch Bitln —rte 18
IMpecllun 01 Eklsfl� Iur bine or peCieey -., 50
Requested_Inapecllolie el Ar COMMENT3 REGARDING ASI)gt
Rae,orate,
single
ingleTrrAy dweWo 86
3rC7ee rlaps 1660
QUANTITY TOTAL
t ortrtnc d 411er dIs"M n apu tad R I _ -
T__
at'lontity foul is >9 -
'SUBTOTAL —�
8%STATE'lUHCMARGE
''PLAN REVIEW 2514 OF SLRTOTAL
r Rat11,Yarl,ryh ilhrture C'Y•letld It.S
T TAL E
'MUIrWum potmil too is I1;.S0•sir Alto e1nav9e,uatpt Rest,14"la1660AWN
Nt4vMt:on a 11141 L1.11%slato iwahttae
"Au No.Gefnrnamial euhdlrpa squill 016 With 4omety a tM it&%ram ere
icon--o-
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CITY OF TIGARD
13125 S.W. HALT_ BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
WOLCOTT PLUMBING CONT. INC
FSO BOX 2007
GRESHAM, OR 97030
Plumbing Signature Form
Permit I/: MST2001-00179
Date Issued: 5/22/0'1
Parcel: 2S104DA-13000
Site Address: 13055 SW SECA CT
Subdivision: QUAIL HOLLOW - WEST
Block: Lot 116
Jurisdiction: TIG
Zoning: R-4.5
Remarks: New SF detached rowhouse in Building #12. Setbacks as per sheet A10.10
Plan B-S
Your company nas bees. indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return
this Plumbing Signature Form prior to the start of the work to the address above. ATTN: Building Dept.
No plumbing inspections will be authorized until this competed form is received
OWNER: PLUMBING CONTRACIOR:
BROWI4STONE HOMES WOLCOTT PLUMBING CONT. INC
12670 SW 68TH PKWY #700 PC) BOX 2007
PORTLAND, OR 97223 GRESHAM, OR 97030
Phone #: 503-598-7565 Phone #: 647-1781
Reg #. i Ir 23847
PI M 26-208PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of utho i ed Plumber
If you hr.ve any questions, please call (503) 639-4171, ext. # 310
CIT`/ OF TIGARD
13125 S.W. HALL BLVD. RFGr''
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE col.
STREAMLINE ELECTRICAL
6025 EAST 18TH STREET
VANCOUVER, WA 98661
Electrical Signature Form
Permit # MST2001-00179
Date Issued: 5122101
Parcel: 2S 104DA-13000
Site Address: 13055 SW SECA CT
Subdivision: QUAIL HOLLOW - WEST
Block: Lot: 116
Jurisdiction: TIG
Zoning: R-4.5
Remarks. New SF detached rowhouse in Building #12. Setbacks as per sheet A10.10
Plan B-S
Yr•..company has been indicated as the electrical contractor for the permit indicated above. In order for the
nermit to be valid, the signature of the supervising electrician is required Please have the
.1dividual from your company sign below and return this Electrical Signature Form prior to the
rk to the address above, ATTN-. Building Dept.
,r:spections will be authorized until this completed form is received
OWN[-R ELECTRICAL CON TRACTOR:
BROWNSTONE HOMES STREAMLINE ELECTRICAL
12570 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 34A32C
SUP *19f3-
ki SIV 1.5
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Sup rvisina Electrician
If you have any questions, please call (503) 639-4171, ext. # 310
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CITY OF TIGARD BUILDING INSPE=CTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BLIP
Date Requested (_AM_____—_PM BLD
Location �) C�t_ MEC
Contact Person -�Lc�-�-y Ph PLM
Contractor Ph SWR
BUILD!NG Tenant/Owner _ EL C
Retaining Wall FLR
Footing -- ----___--- --- --_.- .
Foundation ACCeSS FPS _ _ -
Ftg Drain _
Crawl Drain Inspection Notes SGiN
'lab SIT_
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear -
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fi,a Alarm
Susp'd Ceiling -
Roof
Misc: -
FPL
ASS ,PA%RT FA;i.
UWSING
Pos+ ° Beam -
Under,,;lab
Top Out -
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL -
Post&Beam
Rough In
Gas Line
Smoke Damners
Final -- --- - -
PASS PART FAIT_
ELECTRICAL - ---
Service
Rough In
UG/Slab
Low Voltage - --- ---------- -------
Fire Alarm
Final -- -- -- - --
PASS PART FAIL
srrE
Backfill/Grading
Sanitary Sewer
Storm Drain [ )Reinspection fee of$ requir-W before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ]Please call for reinspection
inspection RE: _ [ j Unable to inspect- no acc,3ss
ADA
l
Approach/Sidewalk
Other Date j _Inspector �_.) Ext
Final
PASS PART FAIL DO NOT PE!!^.ti VE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Haar Inspection Line: 63 175 Business Line: 639-4
BUP
_ DatN Requested l ', ��` (�f _AM ('M - BLD
Location 6' s -s �A�-t�-- �l Suite MEC
Contact Person ���-�j/ Ph 7`-1 S _3�j/S� PLM —�
-------T J ---- ---
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access FPS
Ftg Drain - SGN
Crawl Drain Inspection Notes -- — ------
Slah SIT
Post& Beam
Ext Sheath/Shear
Int Sheat`/Shear
Framing
Insulation -- -- - - ---- -- -
Drywall Nailing
Firewall - --- -- - ----- _
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Mise - - - --- - ---- - -
Final - ------
PASS PART FAIL -
PLUMBING r�
Post&Beam -- - ---
Under Slab
Top Out ---- - - -
Water Service
Sanitary Sewer -
Rain Drains
SS PART FAIL
ANICAL
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
Storm Drain ( ] Reinspection fee of$ required before next inspect;oii. Pay at:ity 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 C Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD DUII DING INSPECTION DIVISION
MST
24-Hour Inspection Line: 63. 175 Business Line: 639-4
PUP -- -
Date Requested -AM--—PM _ _ PLD _
Location_ I ��A �„'T' Suite A_ MEC
Contact Person _ Ph _— PL.M
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 --
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler —
Fire Alarm
Susp'd Ceiling -- -- ----- -
Roof
Misc
Final
PASS PART FAIL - - -- ---- - -- -
PLUMBING
Post& Beam --- - _-
Under Slab
Top Out --- --
Water Service
Sanitary Sewer - - - - - - -
Rain Drains
Final
PASS PART FAIL _
_ECHAN Alr �—
I lost& Hearn — - ---
I+ough In
c�as me -
Smq c),e Dampers
F
'PASS' PART FA&
ELECTRICAL
Service - - - - -- — ——
Servic:e
- - _---_ _..----------_----.. --- _ — -- --------.._..._.---
Rough In
UG/Slab
Low Voltage
Fire Alarm --
Final
PASS PART FAIL _-_ — --.--------_.-- —_--SITE _
Rackfill/Grading - - — -- - — -
Sanitary Sewer
Storm Drain ( ] R,inspection fee of$ _required before nert inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ( ]P,oase call for reinspection RF _ _ ( J Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk I 1J
ll Inspector ---__- 11
Other Date J ,____ __,...._,,,Ext
Final
PASS PART FAIL DO NCT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24•-Hour Inspection Line: 63 75 Business Line: 539-4
✓' BUP
Date Requested / ( ` AM_ ,_PM __� BLD
Lucation 3 C `� �`�-- Suit'a _ MEC
Contact Person r) e{--L`�— Ph 36-f 7 7 2- PLM —
Contractor _ _ Ph SWR
BUILDING — Tenant/Owner _ ELC _
Retaining Wall --_-- ELR -T
Footing Access,
FPS
Fig Drain
Crawl Drain Inspection Notes SGN
Slab
srr
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear ---- --"-"--"----�
Framing
Insulation --- - - - --
Drywall Nailing
Firewall ---
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof - - ---- ----
Misc
Final - -
PASS PART FAIL -- -- - --
I'LUMBING -
Post& Beam -- - -
Under Slab
Top Out - - - - -
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PARTFAIL
MECHANICAL_
Post& Beam
Rough In
Gas Line -
Smoke Dampers
Final -----
PASS PART FAIL _—
ELECTRICAL --
`'ervice
Rough In -- -_
UG/Slab
Low Voltage --- -
Fire Alarm
S. FART FAIL.
E - ---
SITI
Ba4fill/Grading - - ----- ----
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at(Ay Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ J Please call for reinspection RE: [ J Unable to inspect-nc access
ADA
Otoach/Slr+ewalk
he / 1 ,_ r1 p ��. Ext
Final
Date ! f [-(1—�C7 Inspector � .
-��
PASS PART FAIL 00 NOT REP40VE this inspection record from the job site.