Permit CITY OF T I GA R D MASTER PERMIT
PERMIT #: MST2003 -00304
_ 111?‘ DEVELOPMENT SERVICES DATE ISSUED: 12/23/2003
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 10835 SW BRIARWOOD PL PARCEL: 1S133AC-11600
SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25
BLOCK: LOT: 034 JURISDICTION: TIG
REMARKS: New SFA dwelling.
6/15/04: Altered plan from 3 to 2 -bath.
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 32 FIRST: 48 sf BASEMENT: sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 640 sf GARAGE: 524 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: 728 sf RIGHT:
VALUE: 145,364.40
OCCUPANCY GRP: R3 BDRM: 2 BATH: 2 TOTAL: 1,416 sf REAR:
PLUMBING
SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS:
TUB /SHOWERS: 1 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: 1 BOIUCMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1
LPG FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 2
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: 1 GAS OUTLETS: 3
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 • 200 amp: 0 • 200 amp: W /SVC OR FDR: PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 2 201 • 400 amp: 201 • 400 amp: 1st W/O SVC/FOR: SIGN /OUT LIN LT: PER HOUR: .
LIMITED ENERGY: 1 401 • 600 amp: 401 • 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT:
MANU HM/SVC /FDR: 601 • 1000 amp: 601 +amps•1000r. MINOR LABEL:
1000+ ampNolt :
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL • RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 6 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,073.29
AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES I N-his permit is subject to the regulations contained in the
9500 SW BARBUR BLVD., STE 220 4949 SW MEADOWS RD SUITE 400 l and all f Municipal e Code, State of All OR. k will done
PORTLAND, OR 97219 LAKE OSWEGO, OR 97035 acct rd ra cer applicable ed laws. Al. This permit done in
accordance with approved plans. This permi t will expire
if work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days.
Phone: 503 - 892 - 8758 Phone: 971 - 233 - 0075 ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those
Reg a: LIC 58699 rules are set 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
Plumb Final Slab Insp Electrical Rough -in Framing Insp Insulation Insp Shear Wall lnsp
Ersn Cntrl 681 -4444 Plm /undslb Insp Mechanical lnsp Framing Insp Shear Wall Insp Shear Wall Insp
Sewer Inspection Electrical Service Low Voltage Gas Line Insp Shear Wall Insp Shear Wall Insp
Footing Insp Electrical Service Plumbing Top Out Gas Line Insp Shear Wall Insp Exterior Sheathing Insf
Foundation Insp Electrical Service Framing Insp Gas Fireplace Shear Wall Insp Firewall Insp
Issued By : Permittee Signature : gN /9 // /e.09 - 7 7 a P/
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
I
. FOR OFFICE USE ONLY
B PermAttliflgoo. Received ,?. `. , Building
• DateBv: Permit No.: ; ./
City of Tigard Planning Approval Other
o c(V ,,�,(.,. x16 .,,
b � Date/By: Permit No.:, � l' .1 , . , ,
13125 SW Hall Blvd. JUN 2UO3 Plan Review Other
Tigard, Oregon 97223 Date/Bv: /0 -L'f -0 150 Permit No.:
Phone: 503 - 639 -4171 Fax ' �1 V � y l '. 111 Post - Review Land Use
�$ DatrJBv: Case No.
Internet: www.ci.tigard.or.us *— ^^ Contact Juris.: See Page 2 for
24 -hour Inspection Request 503 - 639 -4175 Name/Method: �Ii 1 Supplemental Information
TYPE OF WORK . :.. -:: .
REQUIRED DATA: -
aNew construction ❑ Demolition . - 1 &I FAMILY DWELLING :. . -
❑ Addition/alteration/replacement ❑ Other:
".. -• CATEGORY OF CONSTRUCTION •. - . . Note: Permit fees' are based on the total value of the work performed. Indicate
g 1 & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building I Er Multi- Family / �
El Master Builder I El Other: Valuation S 1 1 1 - 5 3‘.,
• :=:,::JOB SITE INFORMATION and LOCATION -.• No. of bedrooms: - No. of baths: Z T2
Job site address: I C∎8 5 &i/ ..c, 1b PLA C I Total number of floors
New dwelling area (sq. ft.) 4 tfa _
Suite #: I Bldg. /Apt. #: I Garage/carport area (sq. ft.) st___
Project Name: HAWKS 13,E 1-0*-440CM,65 Covered porch area (sq. ft.) —11#
Cross street/Directions to job site: Deck area (sq. ft.) !if
5 1;,'"' itv E 4b S.w. 14Aulvz136A0 Other structure area (sq. ft.)
S ' • ; . DATA: - -
. COMMERCIAL -:USE CHECKLIST ` - - - 'f::.
Subdivision: I4/1w(C.S /W TdI.k -> ( ■ Lot #: 3Lt
Tax man /parcel #: Note: Permit fees' are based on the total value of the work performed. Indicate
-- ' - -'�-- DESCRIPTION OF•WORK _ the value (rounded to the nearest dollar) of all equipment, materials, labor,
S R uc T rrL OF' i. 5 Sro24 "rotia overhead and profit for the work indicated on this application.
.Pe,,ELA--- Valuation S
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories 3
.:TROPERTY:OW■ER=•..:. -f :.❑ -TENANT: , ...7. , ...7:7:_ - _ , : .. Type of construction V P1
Name: AU'Wmn1 PAgK T6kialielvtes L.L.L. Occupancy group(s): Existing:
R-3
Address: 9Sco S W Ighalgute, & 'lt Su 0.E. Z2-6
City /State /Zip: "PverLAb3> , 02 q - 7 2_11
Phone: 603 0i2- riSS Fax:6a) On-634( NOTICE: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
• (i` APPLICANT Y5 _ = -.: ; : r-EkCONTACI PERSON :. provisions of ORS 701 and may be required to be licensed in the
Business Name: ieEK {..BaO c J r../Ats / ( jurisdiction where work is being performed. If the applicant is exempt
Contact Name: ,Yt, e V (4474W ciz eta Pe.Aoz. from licensing, the following reason applies:
Address: cis° SbJ €M (1.-ilb 1 SI! (?* 22.0
City /State /Zip: ke_T1 02 q ct
Phone: 93)S2 -e,se ' Fax _= BiJII.DINGYERMIT'FEES ' -
E -mail: rr'1aric q.dl . ....
- Please're'fet:to fee - -. -
.:.- .7.. . _ -- ...' _ - r. ... •-•-• ., .. .. - . . ._
.. __.. .: ......; : ,. ...CONTRACTOR' -• • • - ... -
Business Name: IEPa L. 1?A JN 4 Agaborec, pkt, Fees due upon application S
Address:'Soc) Stn/ gAQ(3u12 13U/D S ,,tic ZZO
City /State /Zip: Rberl Q2 g Z ref Amount received S
Phone: 892-8'1' (Fax: (503\ S 2- 5941 Date received:
CCB Lic Q , C °�
Authorized ' / (� Notice: This permit application expires if a permit is not obtained within
Signature: L -474' t � �� 180 days after it has been accepted as complete.
/Y ITu I Al. SO *Fee methodology set by Tri -County Building Industry Service Board.
(Please print name)
i:\Dsts1Permit Forms\BldgPermitApp.doc 01/03
Electrical Perini FOR OFFICE USE ONLY
i ��'�5 R ece i ve d Electrical Permit N .. . •
DateJBy: Permit No.: � .� ` '1 � !I
City of Tigard Planning Approval Sign
2 Date/By: Permit No.:
13125 SW Hall Blvd. JUN 2 7 2003 Plan Review Other
Tigard, Oregon 97223 D Date/B
Post -R y: Permit No.:
Post - Review Land Use
Phone: 503- 639 -4171 Fax: � lrg iP6.0_ , , .� t, D atdBv: Ca se No.:
—Al" el e
Internet: www.ci.tigard.or.us II _� Contact luris.: Se e Page 2 for
24 -hour Inspection Request: 503 -639 -4175 Name/Method: Supplemental Information.
TYPE OF WORK PLAN REVIEW (Please check all that apply)
XNew construction ❑ Demolition ❑ Service over 225 amps- ❑ Health -care facility
commercial ❑ Hazardous location
❑ Addition/alteration/replacement ❑ Other: 0 Service over 320 amps - rating of ❑ Building over 10.000 square feet.
CATEGORY OF CONSTRUCTION I & 2 family dwellings four or more residential units in
H1 & 2- Family dwelling ❑ Commercial/Industrial ❑ System over 600 volts nominal one structure
❑ Building over three stories ❑ Feeders, 400 amps or more
❑ Accessory Building ❑ Multi - Family ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park
❑ Master Builder ❑ Other: ❑ Egressilighting plan ❑ Other:
• JOB SITE INFORMATION and LOCATION Submit _ sets of plans with any of the above.
The above are not applicable to temporary construction service.
Job site address: 10E35 Be (A ex% PL-AcE FEE*" SCHEDULE
Suite #: Blde. /Apt..#: _ 1' Number of inspections per permit allowed
�W
Project Name: S 6l� 1 L -afro iE5 Description Qty Fee (ea.) I Total I I I
New residential - single or multi - family per ■
Cross street/Directions 5 4-"` vt to job site: \ s , LA _ . / 1�' d welling unit. Includes attached garage.
�� AvaFJ`J rd"n_I� ) i N Service included:
I
1. Y S a. ft. or less _ 145.15 1 64• 1.5
I c.f.Q/1 -r' Each ach addditional l 500 so. ft portion poon thereof Z 33.40 64.0
: �l• 1 !' 3 Limited energy. residential I I 75.00 r 'Irj,eb 2
Subdivision: j
• � _- y 7 j t Lot #. Limited energy, non residential I 75.00 I 2
Tax map /parcel #: Each manufactured home or modular dwelling
- DESCRIPTION OF WORK - service and/or feeder 90.90 2
�kSr'crG!J C Services or feeders - installation,
l = V� 3 S alteration or relocation:
"'tVW / d t / !, 200 amps or less 80.30 2
�h '�`CV✓IC tc[ I 201 amps to 400 amps I 106.85 2
401 amps to 600 amps 160.60 2
?PROPERTY OWNER:::.::. 1:- ❑TENANT:: - _
601 amps to 1000 amps 240.60 2
� � �d �
Over o or volts I 454.65 2
Name• v✓1 ft2K �f�w►ES l-� Reconnect nnect nect only I 66.85 2
Address: C650 skj Le gue_ g�- SU (TEL 222i Temporary services or feeders - installation,
p alteration, or relocation:
City /State /Zip: IrL.LJ ?) trie. q-1 249 200 amps or less 66.85 1
PhonecS 812 —gi Fax :(5159 2-S'S ( 201 amps to 400 amps 100.30 2
401 to 600 amps 133.75 2
APPL :ANT - . _:•❑:CONY CT PERSON _= Branch circuits - new, alteration, or
Name:1EREt4 L. P JT) e E S_gx.1R-7'ES l /sX , extension per panel: of
Address: 9 CO S 6�p,R11i9 (Z� 501 Z2
A. Fee for branch edcircuits each branch circuit � � O service or feeder fee, each branch circuit 6.65 2
City /State /Zip: ,Z; A , Ge. 91 219 B. Fee for branch circuits without purchase of
service or feeder fee. first branch circuit 46.85 2
Phone: - k) eR 2 -8"158 Fax: ().3.) 692, -"eel( / Each additional branch circuit 6.65 2
E -mail: rin, r 1 a.. d I tro t,),Ja.SSoe , COM Misc.(Service or feeder not included):
"
_ CONTRACTOR - - Each pump or irrigation circle 53.40
r` ' ' ' - , " Each sign or outline lighting 53.40 2
Job No: x'12 A- Signal circuit(s) or a limited energy panel,
Electrum Inc alteration, or extension Paget 2
Description:
2050 Vista Ave #100
Salem OR 97 302 Each additional inspection over the allowable in any of the above:
Per inspection per hour (min. 1 hour) 62.50
503-3611256 Investigation fee:
CCB:1 16453/ELC:24- 353C/SUP:2919S Other
- .. -. . .Electrical.Perui(t:Eees* • ;:xt:- -.. •- - .
Supervising electrician Subtotal I $ • __-
signature required: Plan Review (25% of Permit Fee) $ '
Print Name: Lic. #: State Surcharge (8% of Permit Fee) $
TOTAL PERMIT FEE S z i• I
Authorized f� it( 7-6(a3 Notice: This permit application expires if a permit is not 011.--A within
Signature: / Date: `LC 1 a3 180 days after it has been accepted as complete.
'Fee methodology set by Tri -County Building Industry Service Board.
YYI&IC N . send
(Pl a print name) •
i:\Dsts\Permit Forns\ElcPermitApp.doc 01/03
I- FOR OFFICE USE ONLY
Miehanical Permit Ap lication Received Mechanical /
HL.CEI H E[) Date/By: Permit No.: :
Planning Approval Building
• City of Tigard Date/By: Permit No.:
13125 SW Hall Blvd. JUN 7 i 0 Plan ReV1Cw Other
Tigard, Oregon 97223 Date/By. Permit No.:
Post-Review Phone: 503 - 639 -4171 Fax: 503 - 59041. - NCOF T. ; ! eview ILand Use
IA Post -R y: Case No.:
Internet: www.ci.tigard.or.us BUILDING ', ' b jI Contact Juris.: IS See Page 2 for
24 -hour Inspection Request: 503 -639 -4175 -" Name/Method: Supplemental Information.
:::. .TYPE OF WORK. ',, " COMMERCIAL FEE* SCHEDULE - USE CHECKLIST .
,New construction ❑ Demolition Mechanical permit fees' are based on the total value of the work
❑ Addition/alteration/replacement ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead and profit.
• = CATEGORY OF CONSTRUCTION. •.; :'
'1 & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule
❑ Accessory Building ❑ Multi - Family RESIDENTIAL EQUIPMENT /SYSTEMS.FEE* SCHEDULE
Description I Qtv I Fee(ea.) I Total
❑ Master Builder ❑ Other: Heating/Cooling
• JOB SITE INFORMATION and LOCATION • I Furnace - add -on air conditioning" [ 14.00 11(
Job site address: /083 S ZYgfAZW909 Pc. . Gas heat pump 14.00
Suite #: Bldg. /Apt. #: Duct work I 14.00 lit Jo
(4 KS .g Owl Taw 401/1A-Cc Hydronic hot water system I 14.00
Project Name: Residential boiler
Cross street/Directions to job sit - I (for radiator or hydronic system) 14.00
s C) • ! ` , v ve A� 4 g�Al CS Unit heaters (fuel, not electric)
-- gE j 5 6r (in wall, in -duct, suspended, etc.) I 14.00
Flue/vent (for any of above) I 10.00 l0 • w
Subdivision: /-/A} PK> 5E4- /f I Lot #: 3 4 Repair units 1 12.15
Other Fuel Appliances
Tax map /parcel #: Water heater I I 10.00 I /0. "
• DESCRIPTION OF WORK Gas fireplace .1 10.00 10. "'
y .(S7 &CC710 OF /4G(A) 3 5 .1 -(JIeLe Flue vent (water heater/gas fireplace) 7 10.00 2D.1'
- roof kn'1i, Pe (14i4 Y t i4'U Sa m Log lighter (gas) 10.00
Wood/Pellet stove 10.00
• Wood fireplace/insert 10.00
Chimney/liner /flue/vent 10.00
PROPERTY.OWNER. - ... • 1 (].TENANT'' • : -- • • - Other. 10.00
Name: �., fl/ivl �,, 2 K T (» , C. LI,C Environmental Exhaust & Ventilation
71 �' t'/�` »v1 E / Range hood/other kitchen equipment 1 10.00 1 U . "
Address: ��lJd SW 24//e gl / SJ!?�6- 2w Clothes dryer exhaust 1 10.00 10 p1
City /State /Zip: p de Q ( 9 Single duct exhaust
Phone:5o3)8012 -8158 I Fax: ( 3 j 892-- 4( (bathrooms, toilet compartments,
.[APPLICANT I ❑ CONTACT PERSON
utility rooms) 4 6.80 21.
Name: I>E11 ( L. gt?acdAJ 8 /4Si /rll+ /A/c. Attic/crawl space fans 10.00
Other 10.00
r.
Address: Q x) 61,J 1,f1IZ I . ailb, Sl/IT 220 Fuel Piping
City /State /Zip: ,Ai- S q ? 219 •'(35.40 for first 4. S1.00 each additional)
Phone:(5o3) 2R2.-S'IS6 Fax: ( Furnace, etc. 1 -084( Gas heat pump ••
E -mail: rte t C d l belle "0-VoC . Can- Wall /suspended/unit heater
CONTRACTOR Water heater I
Smart Heating & Cooling LLC Fireplace I
7616 NE Everett St Range
BBQ ••
Portland OR 97213 -6347 Clothes dryer (gas) ••
503- 254 -5096 Other.
••
CCB: 154133
Total: : 1 5,40
- . - Mechanical Permit Fees*
Authorized
Date: I Subtotal: $ 1 "SO. 65
Signature: /L1... . 4. Minimum Permit Fee $72.50 $ -
,o. ' c , E CpNC--
Plan Review Fee (25% of Permit Fee) $ -
(Please print name) State Surcharge (8% of Permit Fee) $ ID • 4S
TOTAL PERMIT FEE $ _
Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri- County Building Industry Service Hoer....
180 days after it has been accepted as complete. **Site plan required for exterior A/C units.
i:\Dsts\Permit Formc\MecPermitApp.doc 01/03
1 g, £ 11LLLL1
• FOR OFFICE USE ONLY .
• Plumbing Per 1 1 • _ • . tl o n Received Plumbing
ra • , , I - .11 Date/By: Permit No.://c77 . 003o i
City of Tigard Planning Approval Sewer
Date/By: Permit No.:
13125 SW Hall Blvd. JUN z 7 2003 Plan Review Other
Tigard, Oregon 97223 Date/By: Permit No.:
Phone: 503 - 639 -4171 Fax: 50cf5�(AEOTIGA' Post- Review land Use
B UILDING DIVI ' �` �` I j Date/By: Case No.:
Internet: www.ci.rigard.or.us a e .I Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503- 639 -4175 - Name/Method: Supplemental Information.
.. • TYPE OF WORK . FEE* SCHEDULE (for special information use checklist) ' -
jJ New construction ❑ Demolition Description I Qty. I Fee(ea.) I Total
❑ Addition/alteration/replacement ❑ Other: New 1- & 2- family dwellings
CATEGORY OF CONSTRUCTION (includes 100 ft. for each utility connection)
SFR (1) bath 249.20
g I & 2- Family dwelling ❑ CommerciaUlndustrial SFR (2) bath 350.00 •
Accessory Building ❑ Multi- Family SFR (3) bath 1 399.00 3 oici .`°
❑ Master Builder ❑ Other: Each additional bath/kitchen 45.00
• .: JOB SITE INFORMATION and LOCATION Fire sprinkler - so. ft.: Pace 2
Job site address: /0, .5 ,eIA2i4JdYD P� Site Utilities
Suite ft: Bldg. /Apt. #: Catch basin/area drain 16.60 I
Project Name: t.�fr) k� i3 rLb TGkIIJ ( -10W1G c Footing l/leach (no. linear line/trench drain 16.60
Footing drain (no. linear ft.) Page 2
Cross street/Directions to job s it M anufactured home utilities 110.00
SLJ l ;()�� S Manholes 16.60
3El14);) j c/ i - Rain drain connector 16.60
Sanitary sewer (no. linear ft.) Page 2
Subdivision: /4 �,F/lRD Lot ft:
Storm sewer (no. linear ft.) Page 2
Water service (no. linear ft.) Pace 2
Tax map /parcel #: Fixture or Item•• ..,... ,..-
• . • - DESCRIPTION OF WORK • Absorption valve 16.60
('t)Mcheutz t& OF r4EIJI) 3 ST7 70 I Backflow preventer Page 2
Tai r/l1 tk)irtf. P EO' (11411g sal-Cf J Backwater valve 16.60
Clothes washer 16.60
Dishwasher 1 6.60
Drinking fountain 16.60
ig"PROPERTY'OWNER - . - TENANT'': ':-.! ..P.---.- E'l
ectors/sump 16.60
Name: AU TV f•- RV K T wJN F o*1 L'LC. Expansion tank 16.60
Address: (-i SoO SLR EArEgve &)b SllcN Z2.10 Fixture/sewer cap 16.60
City /State /Zip: tjQT1 02 Cr-1219 Floor drain /floor sink/hub 16.60
Garbage disposal 16.60
Phone k503j BS2 SZ 5e) 1 Fax: Cam) 9'2- SS ( I Hose bib 16.60
APPLICANT
1 Ice maker 16.60
:; - :: CONT?iCT'PERSON,
Name: br K L. 820u/l' S ASSOCIA- t'`ES, 11JL Interceptor /grease trap 16.60
Address: g5e0 S tom.) gt2BdiL gL,141, Su t'l'' ZZc? Medical gas - value: S Page 2
Primer 16.60
City /State /Zip: POer Liti)S , C. Ot- Z, 1 Roof drain (commercial) 16.60
Phone:(3)892- S7S8 Fax (So3)1N2. .5 4/ Sink/basin/lavatory , 16.60
E -mail: rnr4,LAc. O d I betic- Jnaccd C • Ca r''N Tub /shower /shower pan 16.60
: C O N T R A C T O R - : : - - - . . . : Urinal 16.60
Business Name: vily P1.,,,,Hg „ e,, ExPta rc , I A)G Water closet 16.60
Water heater 16.60
Address: it g 9,5 1 t, Y Other
City /State /Zip: f Tta d2 g 7 2p.5 - 5413 Other.
� i�09 pi{ .. �_::P lumbing:PermitFees* c
Phone: 3 Fax: . _. ... .,...- .�:�.. _,..:.:..:: �:
Subtotal $ ?,gel ra
CCB Lic. #: 1 , . _.5 Plumb. Lic. #:34_ 3g //b Minimum Permit Fee $72.50 $
Authorized Residential Backflow Minimum Fee 536.25
Signature: 7 4 _1/ Date: /,2_a AI - Plan Review (25% of Permit Fee) $ _
R'Ro C5 CjN/ • State Surcharge (8% of Permit Fee) $ 3i • a Z
(Please print name) TOTAL PERMIT FEE $
Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans with isometric or
180 days after it has been accepted as complete. riser diagram for plan review.
•Fee methodology set by Tri-County Building Industry Service Board.
i:\Dsts\Pemiit Forms\PlmPermitApp.doc 01/03
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
ELECTRUM INC
DBA SPECTRUM ELECTRIC
2050 VISTA AVE #100
SALEM, OR 97302
Electrical Signature Form
Permit #: MST2003 -00304
Date Issued: 12/23/2003
Parcel: 1 S133AC -HB034
Site Address: 10835 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 034
Jurisdiction: TIG
Zoning: R -25
Remarks: New SFA dwelling.
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 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 Division.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
AUTUMN PARK TOWNHOMES, LLC ELECTRUM INC
9500 SW BARBUR BLVD., STE 220 DBA SPECTRUM ELECTRIC
PORTLAND, OR 97219 2050 VISTA AVE #100
SALEM, OR 97302
Phone #: 503 - 892 -8758 Phone #: 503 - 361 -1256
Reg #: LIC 116453
SUP =Os - 5
ELE 24 -353C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
- - ° 1 ://
Signature of Supervising Electrician
If you have any questions, please call 503.718.2433.
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
PLUMBING EXPERTS INC
11925 SW PARKWAY
PORTLAND, OR 97225 -5413
Plumbing Signature Form
Permit #: MST2003 -00304
Date Issued: 12/23/2003
Parcel: 1 S133AC -HB034
Site Address: 10835 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 034
Jurisdiction: TIG
Zoning: R -25
Remarks: New SFA dwelling.
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for
the plumbing permit to be valid, please have the appropriate individual from your company sign below and
return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building
Division.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
AUTUMN PARK TOWNHOMES, LLC PLUMBING EXPERTS INC
9500 SW BARBUR BLVD., STE 220 11925 SW PARKWAY
PORTLAND, OR 97219 PORTLAND, OR 97225 -5413
Phone #: 503 - 892 -8758 Phone #: 503 -469 -0443
Reg #: LIC 149035
PLM 34-391PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X SA6e//0
Signature of Authorized Plumber
If you have any questions, please call 503.718.2433.
Ai ST2c 3 - c 304-,
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STREET TREE CERTIFICATION
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j I, .112Uc. CsiJ , Owner /Agent for Prf2E/& -L.. rgpov et 4_SSoC,
i (PLEASE PRINT) (PERMIT HOLDER)
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® Do hereby cert that the following location 0-
• meets ,Cit of Tigard /Washington County ■
• land use and development standards for street tree installation. ■
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• ADDRESS: /orr r $ - v . n2/AR.W 6o D Pc- _
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® BY: DATE: f ?5 b O4
► ( 3 ® RECEIVED BY: - DATE: / -7.,-7d ►
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST cV- - 6 C-
INSPECTION DIVISION Business Line: (503) 639 -4171
G p� BUP
Received Date Requested / - 4 AM PM BUP
/ c�
Location / Q b 3 Suite MEC
Contact Person Ph ( ) 7(O (e T ff q 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall Ails
Fire Sprinkler '
Fire Alarm 11101...11101..../ `V V
Susp'd Ceiling '
Roof ► -
ASS PART FAIL I , r
• LU :ING ` ►�1 \ I � �'
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection. e: 1503) 639 -4175 MST °� 3 -d 63044
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested " AM PM BUP
Location O g 3 Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm •
Susp'd Ceiling /7 fi 4 /. —/
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam •
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
- °•- FAIL
Service
Rough -In
UG/Slab
Low Voltage /✓!9
Fire ++ Alarm
't PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE E Please call for reinspection RE: fl Unable to inspect — no access
Fire Supply Line
ADA c
Approach/Sidewalk Date �� J �9 Inspector " . A.i. / /•� Ext
Other:
Final DO NOT REMOVE this inspection record from t job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST- 3 -66 3 °
INSPECTION DIVISION •
•
Business Line: (503) 639 -4171
BUP
Received Date Requested AM PM BUP
Location /6 R. 3 S Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
hit Shth/Shear
1 tJa�.c ,� ° Aos�rt -t ✓OTC e94—i
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
AS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date g 12. C o y Inspector 7 Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST Z 66 3 —6 °3e Li
INSPECTION DIVISION • • Business Line: (503) 639 -4171
BUP
Received Date Requested f — ( AM PM BUP
Location / 0 7 3 S wD- TY Suite MEC
Contact Person Ph ( ) (P 7 PLM
Contractor Ph ) /_� SWR
BUILDING Tenant/Owner f / /!lJI ! _- �i'�L�`� f s ELC
Footing S / O eh V 1 3 d'M ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear i 1 07 � �� S LPL ��i� - /4 r T ter
Framing rv/ GS��
Insulation (>�vNee /7- Q�cL.�ie�� G��,,,� 5 S��-S
Drywall Nailing
Firewall
Fire Sprinkler
Alarm "ti(,
Susp'd Ceiling —�
Roof 40IW tU C • ; V
Other: �% —
PASS PART
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
P PART FAIL
, MECHANICA
Post & Beam
Rough -In
Gas Line
j Damers
4AS FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA Q _ / s ,/
Approach/Sidewalk Date T—' Inspector Oct
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL