Permit CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2003 -00303
iy; DEVELOPMENT SERVICES DATE ISSUED: 12/23/2003
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10845 SW BRIARWOOD PL PARCEL: 1 S133AC -11500
SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25
C LOT: 033 JURISDICTION: TIG
ARKS: New SFA dwelling.
6/15/04: Altered plan from 3 to 2 -bath.
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 32 FIRST: 48 sf . BASEMENT: of LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 640 sf GARAGE: 524 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THRo- 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: 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/FDR: 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 - 1000x. 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 & STEREO: VACUUM SYSTEM: AUDIO & 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 # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,073.29
AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES This permit is subject to the regulations contained in the
9500 SW BARBUR BLVD., STE 220 4949 SW MEADOWS RD SUITE 400 I d l all other iapal Code, State of l o w k wil b o ne i n
PORTLAND, OR 97219 LAKE OSWEGO, OR 97035 and a ra 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 5: 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
Ersn Cntrl 681 -4444 Plm /undslb Insp Mechanical Insp Plumbing Top Out Gas Fireplace Shear Wall Insp
Sewer Inspection Electrical Service Mechanical Insp Framing Insp Insulation Insp Shear Wall Insp
Footing Insp Electrical Service Mechanical Insp Framing Insp Shear Wall Insp Exterior Sheathing Insl
Foundation lnsp Electrical Service Low Voltage Framing lnsp Shear Wall lnsp Firewall lnsp
Slab lnsp Electrical Rough -in Plumbing Top Out Gas Line lnsp Shear Wall Insp Firewall Insp
/
I �r /
Issued By •/�_�`>•ii�- �_ x771
Permittee Signature : / �i°Gie- ¢i'70�0
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
• • ' r
MASTER PERMIT
CITY O TIGARD PERMIT #: MST2003 -00303
ai;y;�l� DEVELOPMENT �
I , SSERVICES 39 4171 DATE ISSUED: 12/23/2003
SITE ADDRESS: 10845 SW BRIARWOOD PL PARCEL: 1S133AC-HB033
SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25
BLOCK: LOT: 033 JURISDICTION: TIG
REMARKS: New SFA dwelling.
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 32 FIRST: 48 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 640 sf GARAGE: 524 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THROE 728 sf RIGHT:
VALUE: 145,364.40
OCCUPANCY GRP: R3 BDRM: 2 BATH: 2 TOTAL: 1.416 sf REAR:
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 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 BOIL/CMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1
LPG FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 2
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: 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/FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps - 1000x. MINOR LABEL:
1000+ amp/volt :
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 it STEREO: VACUUM SYSTEM: AUDIO it 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: $ 6,112.49
AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES This permit is subject to the regulations contained in the
9500 SW BARBUR BLVD., STE 220 9500 SW BARBUR BLVD #220 igard Muniapal Code, State of OR. Specialty Codes
PORTLAND, OR 97219 PORTLAND, OR 97219 and all other applicable laws. Al work will be done in
accordance with approved plans. This permit 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: 503 - 892 - 8758 ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those
Reg 6: LIC 58699 rules are set forth in OAR 952 - 001 -0010 through
952 - 001 -0080. You may obtain copies of these rules or
dired questions to OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Ersn Cntrl 6814444 Plm /undslb Insp Plumbing Top Out Shear Wall lnsp Storm drain insp Plumb Final
Sewer Inspection Electrical Service Framing Insp Exterior Sheathing Ins; Water Line Insp Mechanical Final
Footing Insp Electrical Rough -in Gas Line Insp Firewall lnsp Water Service lnsp Building Final
Foundation Insp Mechanical Insp Gas Fireplace Gyp Board Insp Smoke Detector
Slab Insp Low Voltage Insulation Insp Rain Drain lnsp Electrical Final
Issued By : "r � i Permittee Signature
~C"1._
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
1uilding Permit 4Ff&W FOR OFFICE USE ONLY
Received . , :.., f. Building , �,. H , , „
Datev: ., , - .%77 , ! - ' ' Permit No. /•. u!
• <-• ,. t . st)
JUN 7 21111 B
Planning Approval Other
City of Tigard Date/By: Permit No.:, ).4' /"1 ' - ; `,. ;r tt
13125 SW Hall Blvd. CITY OF TIGA 'D Plan Review . . let ..,,,,, Other
Tigard, Oregon 97223 BUILDING DIV ION Date/By: j WI' v , v Permit No.:
Phone: 503 -639 -4171 Fax: 503 -598 -1960 � 't Post - Review Land Use
� .' I I Date/Bv: Case No.
Internet www.ci.tigardor.us Contact Juris.: D:j See Page 2 for
24 Inspection Request: 503 - 639 - 4175 Name/Method: 'OP, Supplemental Information
:. TYPE OF WORK
REQUIRED DATA:
, New construction ❑ Demolition • 1 &•2 FAMILY DWELLING -
❑ Addition/alteration/renlacement ❑ 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 [' Multi- Family / �0
El Master Builder ❑ Other: Valuation s 11
- :,::JOB SITE INFORMATION and LOCATION. No. of bedrooms: L. No. of baths: Z T2
Job site address: (OS 45 E iA-e-wajb Pte-(.- I Total number of floors
New dwelling area (sq. ft.) 1 1 a---
Suite #: I Bldg. /Apt. #: I Garage/carport area (sq. ft.) _Si, 4
Project Name: HAWKS 'F - r 114ikkoMES Covered porch area (sq. ft.) Z'/
Cross street/Directions to job site: Deck area (sq. IL) _11-----
SVJ 13v? - itlit'joe ,4 &iv. gA•Wv acik4 Other structure area (sq. ft.)
' ' ::;, . ' REQUIRED DATA:. "
. • COMMERCIAL: - .USE CHECKLIST ` " --.
Subdivision: I4AAw(CS We Td1.10 t-(w 1 Lot #: 33
Tax map /parcel #: Note: Permit fees' are based on the total value of the work performed. Indicate
, : - DESCRIPTION OF the value (rounded to the nearest dollar) of all equipment, materials, labor,
' overhead and profit for the work indicated on this application.
CehlSF'Rucl ciF NEkJ 3 Srbee.i Tai I pvIt•
.Pa,Ecx" Valuation S
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories 3
) - t.0 'TENANT - .-- -
.
-. :. '..- .... Type of construction V N
Name: A J fl ) / ' r l !J P A g K �1414� v t f $ / L . L. L . . Occupancy group(s): New Existing: R'3
Address: 9500 514 igite Rule CLIP), Su o-€ Z 1_e)
City /State /Zip: 'POeTLh3`t, , 0 2 q 7_11
Phone: 601j 503 612$75b Fax :6o3) enZir341 NOTICE: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
ErAPPLICANT.' : •:: ;'::-: ; : • =°CONTACT PERSON : :;: provisions of ORS 701 and may be required to be licensed in the
Business Name: IFieEK L .'$(2O1.G4 a kiti r ( jurisdiction where work is being performed. If the applicant is exempt
Contact Name: ry1A K (4lr(Sau c,2 from PO-41.).Z from licensing, the following reason applies:
Address: g2o SIrJ g/teecAe, (i 1 Su 1?Yc 22.0
City /State /Zip: _T ,4 Oil Q'i 2.1
Phone : -E�58 j Fax :(sD3i8°t2 BUILDING 'FEES*
E -mail: rr &r k q_ CI I brooM ASSe)C , coin - Please 'refer to :fee schedule: - - ' - ..CONTRACTOR` .. � - , -
Business Name: 'Mgt (JN AcCx1A4e 1 YvG .. Fees due upon application s
Address: c x) Stn/ g A2&112 guib , S ri ac Z ZO
City /State /Zip: fbartAxi 0e. 972 9 Amount received s
Phone : )3\ 892-8 `iSD Fax: (51 Sca- S941 Date received
CCB L # 8
Authorized Q 03 Notice: This permit application expires if a permit is not obtained within
Signature: V L /V ' r r Date: C� 180 days after it has been accepted as complete.
i 1 / 1/6 K ' ['t/ So I *Fee methodology set by Tri- County Building Industry Service Board.
(Please print name) •
i :'Dsts\Permit Forms\BldgPermitApp.doc 01/03
• 1 Electrical Permit Received FOR OFFICE USE ONLY
Electrical ,!,
Date/Bv: Pettit No.: '7ST. • `t, `i ?r9�e 0
JUN 7 2003 Planning Approval Sign
City of Tigard Date/By: Permit No.:
13125 SW Hall Blvd. CITY OF TIGA -' Plan Review Other
Tigard, Oregon 97223 BUILDING DIVI' 10 Date/Bv: Permit No.:
—
Phone: 503 -639 -4171 Fax: 503 -598 -1960 Post - Review Land Use
r • Date/Bv: Case No.:
Internet: www.ci.tigard.or.us ■� t:` I Contact Juris.: EI See Page 2 for
24 -hour Inspection Request: 503 -639 -4 175 - 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: 951 Service over 320 amps - rating of ❑ Building over 10,000 square feet.
CATEGORY OF CONSTRUCTION 1 & 2 family dwellings four or more residential units in
.l & 2- Family dwelling I ❑ Commercial/Industrial ❑ System over 600 volts nominal one structure
❑ Building over three stories ❑ Feeders, 400 amps or more
❑ Accessory Building I ❑ Multi- Family ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park
❑ Master Builder I ❑ Other: ❑ Egress /lighting 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: /OP 4.s Be ( A Pptcg FEE •SCHEDULE
Suite #: B1¢g. /Apt. #: Number of inspections per permit allowed
Project Name:4W1 61C1'yz. 7 L i4on'IES Description Qv/ I Fee (ea.) I Total
New residential- single or multi- family per :
Cross street/Directions to job site: � dwelling unit. Includes attached garage.
sv J I -"i A iVbJU6 .5 .5 / y ' Service included:
1000 sa. ft. or less _I 145.15 Ili 1, 5 4
04 Each additional 500 sq. ft. or portion thereof . 33.40 I ,B 1
Limited energy. residential ( I 75.00 � 'RS .42 2
Subdivision:t1lCS (4� 'T(�qJ Lot #: 33 Limited energy, non residential I I 75.00 I 2
Tax map /parcel #: Each manufactured home or modular dwelling
- DESCRIPTION OF WORK service and/or feeder 1 1 90.90 2
Services or feeders - installation, I
c ata7 - 71, 4 A.tral.) CF oI&J 3 sr alteration or relocation:
"'tV/ . ( l t) CWIC f''cZl .e �yy, Jtcc t , A 1 200 amos or less - — 80.30 _ 2
Al. ` 201 amps to 400 amos 106.85 2
401 amps to 600 amps 160.60 2
: &P.ROPERTY OWNER::::::. -._. '�: ❑ TENANT: - - - .' ;: _. _ . .
601 amps to 1000 amps J 240.60 2
� !' T /-4 f-
Over Reconnect amos or volts I I 454.65 2
N <M h � � QW � rp' 1-�-�i Reconnect only I I 66.85 2
Address: Dl5a) Ssij eiLe.gue_ gL t1 co t/7.4_ 22z Temporary services or feeders - installation,
p alteration, or relocation:
City /State /Zip: llorzX& L, C . 9/ 2/9 200 amps or less 66.85 t
Phone(S $`�Z— r7ca Fax:(5c 1 69 2. -S -t 201 amos to 400 amps 100.30 2
�� 401 to 600 amps 133.75 2
APPL ANT:..:: • . .. EJ CONT N= = CTPERSO �= .. -:=.:= Branch circuits - new, alteration, or •
Name: L. /At" ,: t ASSxj�is, lAt extension per panel: of
Address: . ZC j SW g+p,R1M ( -� SUa. 22.0 aFeeiceorfed feeder fee. each anchcir circuit service or feeder fee, each branch circuit 6.65 2
City /State /Zip: e lj6rr1 , G,2 9 '1 (q B. Fee for branch circuits without purchase of
service or feeder fee, first branch circuit 46.85 2
Phone: 6c-R) 2_S SB Fax: (cza) S92 -864/ Each additional branch circuit 6.65 2
E -mail: 1^'1!`.. rK a- d l tea t4)#i0.s'$OC , eon-) Misc.(Service or feeder not included):
Each pumo or irrigation circle 53.40 2
, - ; ;• ° . ,:: - L', :. CONTRACTOR - --:' - ?.:_::::::: - ,..5 1 : ,. .:. 53 2
Each sign or outline lighting 53.40
Job No: -rejr Signal circuit(s) or a limited energy panel,
Electrum Inc alteration. or extension Paget - 2
Description:
2050 Vista Ave #100
Salem OR 97302 i Each additional inspection over the allowable in any of the above:
Per inspection per hour (min. I hour) 62.50
503- 361 -1256 I Investigation fee:
CCB :116453/ELC:24- 353C/SUP:2919S other
. • Electrical : PertaitEee * *:: rr . - -„ .-..
Supervising electrician Subtotal $
signature required: Plan Review (25% of Permit Feel $ r
Print Na e: Lic. #: State Surcharge (8% of Permit Feel $
I TOTAL PERMIT FEE S
Authorized ( Notice: This perm a pplication expires if a permit is not obtained within
Signature: Date: 4C -S 180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
* t N . seh3
(Plea& print name)
is \Dsts\Permit Forms \ElcPern[itApp.doc 01/03
•
FOR OFFICE USE ONLY
M Permit p c a E Rec eived Mechanical , 9
1 Permit No.: ' ' `
JUN �e 20 3 Planning Approval Building
City of Tigard CITY OF TIGA ■ Date/By: PermitNo.: Other
SW Hall Blvd. BUILDING DIVI = 10 ` Date/By: Review Permit No.:
Tigard, Oregon n 97223 Post Review Land Use
Phone: 503 - 639 - Fax: 503 -598 -1960 o, A Date/By: CaseNo.:
Internet: www.ci.tigard.or.us a (r c ., iI Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503 -639 -4175 Name/Method: Supplemental Information.
_... • . S': .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
.CATEGORY OF CONSTRUCTION: mechanical materials, equipment, labor, overhead and profit.
'1 & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule
❑ Accessory Building ❑ Multi- Family RESIDENTIAL EQUIPMENT/SYSTEMS FEE* SCHEDULE
Description I Qty I Fee(ea.) I Total
❑ Master Builder ❑ Other: Heating/Cooling
' JOB SITE INFORMATION and LOCATION Furnace - add -on air conditioning** [ I 14.00 14. to
Job site address: / 0 fgfA4tl PoD Pt-. Gas heat pump f 14.00
Suite #: . I Bldg. /Apt. #: Duct work 1 14.00 IA{.°o
Project Name: ' i (,1KS � -1-01".1/•-)1401A.4-Cc Hydronic hot water system 14.00
7 ` Residential boiler
Cross street/Directions to job Sit (for radiator or hydronic system) 14.00
S W 13 A°'' SW gA-vies
Unit heaters (fuel, not electric)
g 2 55- f., (in wall, in -duct, suspended, etc.) 14.00
Flue/vent (for any of above) 1 10.00 1 0 . a
Subdivision: 144-(MKS 6E,4gD Lot #: IT Repair units 12.15 Other Fuel Appliances
Tax map /parcel #: Water heater I 1 10.00 I Iv.
. • • DESCRIPTION IPTION O r F WORK Gas fireplace -I 10.00 I 10. w
/' �, / atc -nc& !'
OF We-(AJ 3 S 12 Flue vent (water heater /gas fireplace) 7 10.00 2o. A.
-W� Z rY1C. P�JEr (i41 Sag') I Loa lighter (gas) I 10.00
l `t Y tg Wood/Pellet stove 10.00
- I Wood fireplace/insert 10.00
Chimney/liner /flue/vent 10.00
g(PROPERTY.OWNER. - - . • - Other. 10.00
• 1 ❑ •TENANT �' • -- -
Name: AVTUrriAi #9.4 Wed -6 Y EC' L!-C Environmental Exhaust& Ventilation
d/th
/ Range h000er kitchen equipment l 10.00 I O . "°
Address: a Sh/ i2. ue / Sl 11 . Z w Clothes dryer exhaust l 10.00 I 10 • '
City /State /Zip: Po d2 Q1 219 Single duct exhaust
Phone: (503)&12_8158 Fax : (S) J 89 2,-854( (bathrooms, toilet compartments,
(gAPPLICANT • : - 0 CONTACT PERSON utility rooms) 4 6.80 11. 0
>E < L-
Name: " . B CLI)PJ S A-Sir.umi'ES /AIC • Attic/crawl space fans . 10.00
c Other: 10.00
Address: q cSln� 7m.frvCr (4 _,6, aV t?t Z2) Fuel Piping
City /State /Zip: ' / de q- -i9 ••($5.40 for first 4. $1.00 each additional)
Phone :(<Z) 2R2--8 -8 - 756 Fax: (o3'FA Furnace, etc. 2 -0e2i( Gas heat pump ..
E -mail: r v C C d I broc ii o voc. C.0 - Wall/suspended/unit heater "
-. .. • . CONTRACTOR Water heater I
Smart Heating & Cooling LLC Fireplace I "
7616 NE Everett St Range BBQ
Portland OR 97213 -6347 BBQ ' rr
Clothes dryer (gas) "
503 -254 -5096 Other:
CCB: 154133 Total: 6•4
Mechanical Permit Fees*
Authorized , 64 W0 3 Subtotal: $ 13C�, 4n0
Signature: 6�
Si
� �� Da te: Y�
Minimum Permit Fee 572.50 $
/VC L CO /c) Plan Review Fee (25% of Permit Fee) $ _
Permit F
(Please print name) State Surcharge (8% of Permee) $ bD • `e
TOTAL PERMIT FEE $ J
Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri -County Building Industry aervice warn.
180 days after it has been accepted as complete. "Site plan required for exterior A/C units.
i:\Dsts\Permit Forms\MecPermitApp.doc 01/03
01111111IIb rlitulC FOR OFFICE USE ONLY
WAN& Plnmbin Per
Received Plumbing , � . ., , ,
• JUN Date/By: Permit No.:// . • fiY% •
City of Tigard J 2 7 2003 Planning Approval Sewer
Date/By: Permit No.:
13125 SW Hall Blvd. CITY OF TIGAR 9 Plan Review Other
Tigard, Oregon 97223 BUILDING DIVIS • Date/By: Permit No.:
Phone: 503 - 639 -4171 Fax: 503 -598 -1960 Post - Review Land Use
Date/By: Case No.:
Internet: www.ci.tigard.or.us a e.' �+ 1 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)
If New construction ❑ Demolition Description 1 Qty. 1 Fee(ca.) I Totai
❑ Addition/alteration/replacement ❑ Other: New 1- & 2- family dwellings
CATEGORY OF CONSTRUCTION (includes 100 ft. for each utility connection)
SFR (1) bath 249.20
Er 1 & 2- Family dwelling ❑ Commercial/Industrial SFR (2) bath 350.00 •
Accessor Building ❑ Multi - Family SFR (3) bath 399.00 5''I et . °D I
❑ Master Builder I ❑ Other: Each additional bath/kitchen 45.00
• .: JOB SITE INFORMATION and LOCATION Fire sprinkler - so. ft.: Page 2
Job site address: /o845 23E'/AR /()it 0 D PL • Site Utilities •
Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60
Project Name: HAW) kc zEA-ib -rawf4 WIG C Drywell/leach line/trench drain 16.60
Footing drain (no. linear ft.) Page 2
Cross street/Directions job sit Manufactured home utilities 110.00
SLJ I �(� Alf CJ" �i S' Manholes 16.60
3E/1"4 Ija4 Rain drain connector 16.60
Sanitary sewer (no. linear ft.) Page 2
Subdivision: /j4W ' t'I4RP Lot #: 3 3 Storm sewer (no. linear ft.) Page 2
Tax map/parcel #: Water service (no. linear ft.) Pace 2
..... Fixture or Item ..... -
._ .
• - • • DESCRIPTION OF WORK Absorption valve 16.60
(_ r7M 2 (AL nci or I'EIn) 3 S777eld Backflow preventer Page 2
ThvalJ t4owv -- Pas)Ec.T (�4l p s -Q- J Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
••2"PROPERTY-OWNER .. ? -:?1. ❑ TENANT '• ••• -- • _ - • Ejectors/sump 16.60
Name: AurumfJ PA c K MA/N gem es , `Lc.. Expansion tank 16.60
Address: ci SCo S■1 - 13/41e.gi2 (.* S1/cti Z 20 Fixture/sewer cap 16.60
City /State /Zip: P02.714-.6 0 2 q-i z tel Floor drain/floor sink/hub 16.60
Fax: ��2- � b� Garbage disposal 16.60
Phone�503 . )84.2 - 8Z SF� :(So3) Hose bib 16.60
;APPLICANT' -- - -- • •-: • []•CONTACT PERSON : ••- - Ice maker 16.60
Name: br V L• 6200 oCIA- C JJL Interceptor /grease trap 16.60
Address: 956.0 Sj gheguie, gLlibt Su at ZZCw Medical gas - value: S Page 2
Primer 16.60
City /State /Zip: F t l e r 2 j € ) , Cle q Z 19 Roof drain (commercial) 16.60
Phone:( f Z- 6758 Fax(563)612.-684/ Sink/basin/lavatory 16.60
E -mail: rv d i tirrj CCe c • car-, Tub /shower /shower pan 16.60
. .... ' -.. ...• CONTRACTOR
Urinal 16.60
Plumbing Experts Inc Water closet 16.60
11925 SW Parkway Water heater 16.60
Other.
Portland OR 97225 -5413 Other:
503- 469 -0443 . -. •....,..:.:..:' Plumbing Perniit .......,. ''
CCB: 149035 PLM: 34-391PB Subtotal $ ;; aD
- -- - Minimum Permit Fee 572.50 5
Authorized Residential Backflow Minimum Fee 536.25 -
Signature: �1 Ate..' -- II Date: /gal Plan Review (25% of Permit Fee) $
1i2UG5 GPO= State Surcharge (8% of Permit Fee) $. 31 • ct 2-
(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\Perrnit 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 -00303
Date Issued: 12/23/2003
Parcel: 1 S133AC -HB033
Site Address: 10845 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 033
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
R #: LIC 116453
SUP IWO& a.. 3 -
ELE 24 -353C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
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 -00303
Date Issued: 12/23/2003
Parcel: 1 S133AC -HB033
Site Address: 10845 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 033
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 -391 PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X 7K//:///K--Q-________
Signature of Authorized Plumber
•
If you have any questions, please call 503.718.2433.
/ 745 i Zo- 3 -c303
® ►
®
STREET TREE CERTIFICATION ►
A ■
• I, nWCE ( , Owner /Agent for PER L v , i ec, r.
,
(PLEASE PRINT) (PERMIT HOLDER)
1
• •
•
® •
' ,. •
® Do hereby certify that the followin location
• •
• meets .Cityrof. ...Tigard /Washington'County ■ ►
® land use and development standards for street tree installation. ■ ► ■
1 ■
Al t•
a ►
ADDRESS: ■
l D11 s aigiA,ewosci pc.,
411 01*
® LOT: 'S SUBDIVISION: HAWKS jj .g�
® J
® BY : L y� D ATE: ►
® RECEIVED BY: DATE: G V 0*
A rVVVVVVVVVVVVVVVVVVVVVVVVVVV7V VVVVVVVVVVVVVV®®®®®®®®® ®e®®®®®
CITY OF TIGARD 24 -Hour
BUILDING 411 Inspection Line: (503) 5 MST . 3 - 00,3 0 3
INSPECTION DIVISION Business Line: ( 50 71
BUP
Received Date Requested S - Z 7 AM PM BUP
LJ
Location v g . � `�' v- ° 1q Suite '5' MEC
Contact Person Ph ( ) '& C — 4 irt 7 PLM
Contra sr Ph ( ) SWR
B DIN ' Tenant/Owner ELC
Fo• ' •
Foundation ELC
Ftg Drain Access:
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
Roof
Other:
nal
PART FAIL
P NG
6
Pos : Beam
Under Slab
Rough -In
0 4111 :
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole ;
Storm Drain
Shower Pan
Other:
Final
PAS • . RT FAIL
M r AL
Po : Beam
Rough -In •
Gas Line
She Dampers
Zr' PART FAIL
4400 - TRICAL
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 1=1 Please call for reinspection RE: ❑ Unable to inspect — no access i
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 Line: (503) 639 -4175 MST -206: v 3
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested $ AM PM ✓ BUP
Location /0 ' 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
Int Sheath/Shear
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:
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 f'✓c2P■
Fire Alarm
SS PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SIT 9 Please call for reinspection RE: 9 Unable to inspect — no access
Fire Supply Line
ADA ��
Approach/Sidewalk Date �t fi /V Inspecto AAA '� D Ext
Other:
Final DO NOT REMOVE this Inspection record rom the jo site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST (90 o.3-0030____
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested — AM PM BUP
Location 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
Int Sheath/Shear
Framing T it s- . �`,'� V a v�✓ /1 J d
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:
d r. 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 Ext
Approach/Sidewalk Date T fr2 jo Inspector cri< ��✓) i'I"'�' --
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL