Permit CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2003 -00301
111'j DEVELOPMENT SERVICES DATE ISSUED: 12/23/2003
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10865 SW BRIARWOOD PL PARCEL: 1 S133AC -11300
SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25
BLOCK: LOT: 031 JURISDICTION: TIG
REMARKS New SFA dwelling.
6/1 5/04: Altered plan from 3 to 2 -bath
ING
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 THRP 728 sf RIGHT:
VALUE: 145
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- 1000v: 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 & 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 IlThis permit is subject to the regulations contained in the
9500 SW BARBUR BLVD., STE 220 4949 SW MEADOWS RD SUITE 400 igard Municipal Code, State of OR. Specialty Codes
PORTLAND, OR 97219 LAKE OSWEGO, OR 97035
and other applicable laws. Al. will done in
accordance anrace with approved ed This pe rmit 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 8: 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
Framing Insp Footing lnsp Electrical Service Low Voltage Framing lnsp Shear Wall lnsp
Electrical Final Foundation Insp Electrical Rough -in Plumbing Top Out Gas Line Insp Shear Wall Insp
Ersn Cntrl 681 -4444 Foundation Insp Mechanical Insp Framing Insp Gas Fireplace Shear Wall Insp
Sewer Inspection Slab Insp Mechanical Insp Framing lnsp Insulation Insp Shear Wall Insp
Footing Insp Plm /undslb Insp Mechanical Insp Framing lnsp Shear Wall Insp Shear Wall Insp
Issued By : Permittee Signature : c711 "1.°G /c ....9-7
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
, r ,
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2003 -00301
it■ DEVELOPMENT SERVICES DATE ISSUED: 12/23/2003
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
SITE ADDRESS: 10865 SW BRIARWOOD PL PARCEL: 1S133AC -HB031
SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25
BLOCK: LOT: 031 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
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 BOIUCMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1
LPG FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 2
MAX INP: btu FLOOR FURNANCES: VENTS: W00DSTOVES: 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 FOR: 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 +a 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEWSECTION .
Reconnect only:
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 4 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,112.49
AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES It-his permit is subject to the regulations contained in the
9500 SW BARBUR BLVD., STE 220 9500 SW BARBUR BLVD #220 i iapal Code, S of wo rk k will il l b be y doone ne i n
n
PORTLAND, OR 97219 PORTLAND, OR 97219 and d all o of theer applicable laww s. All l wo
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
direct questions to OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Ersn Cntrl 681 -4444 Plm /undslb Insp Plumbing Top Out Shear Wall Insp Storm drain insp Plumb Final
Sewer Inspection Electrical Service Framing Insp Exterior Sheathing Insr Water Line lnsp Mechanical Final
Footing Insp Electrical Rough -in Gas Line Insp Firewall Insp Water Service lnsp Building Final
Foundation Insp Mechanical Insp Gas Fireplace Gyp Board Insp Smoke Detector
Slab Insp Low Voltage Insulation Insp Rain Drain Insp Electrical Final
Issued By : 4� Permittee Signature :
L/
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
. l z
. • • • . . . . � FOR OFFICE USE ONLY
• Budding Permit d , Building
• Date/Bv: (j r ,-- • . *V Permit No. r,ff O2 - D7) we/
Platming Approval Other
City of Tigard JUN ( 2U I Planni y: Permit No.: 0lZatm.3 1 3
13125 SW Hall Blvd. CITY OF TIG RD Plan Review ocher
Tigard, Oregon 97223 B�JILLpI G DI tl , Date/Bv: 10.4. - / % Permit No.: Land Us
Phone: 503 - 639 -4171 Fax: 503 - 548=1 ` it '�jll'I' Post-Review Lane Noe
Internet www.ci.tigard.oI.us -` �+ ^i � Contact J El See Page 2 for
24 -hour Inspection Request: 503- 639 -4175 Name/Method: 7 6" - Supplemental Information
: . TYPE OF WORK REQUIRED DATA:.. .:. :
ErNew 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
' 1 & 2- Family dwelling I ❑ 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 I`.3�/:
❑ Master Builder ❑ Other: Valuation
:-:.:;IOB SITE INFORMATION and LOCATION -• No. of bedrooms: - No. of baths: Z T 2
Job site address: 1 O $Ce S sQI/ wait puk-a. Total number of floors •
•
New dwelling area (sq. ft.) I (.14_____ Suite #: Bldg. /Apt. #: I Garage/carport area (sq. ft) ` L 2t
Project Name: MAW ICS S€AA - fi�4M&' ,t& Covered porch area (sq. ft.) —_2
Cross street/Directions to job site: Deck area (sq. ft.) l
CLJ I W AVa Ad Sm. 0.1r4r BEA Other structure area (sq. ft.) & .J el F
= REQUIRED DATA:. -
. ' COMMERCIAL: - .USE CHECKLIST
Subdivision: I4AiJ((S (EMb 1 Ann.el Lot #: 3 l.
Tax map/parcel #: Note: Permit fees' are based on the total value of the work performed. Indicate
.. _ .. -; - DESCRIPTION OF' WORK . _ ' I the value (rounded to the nearest dollar) of all equipment, materials, labor,
w-:; L OF N 3 Sr T` r overhead and profit for the work indicated on this application.
`Pea.SEc -� G� r Valuation S
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories 3
O P.ROP_ERTY:OWNER -t'.❑ 'TENANT; 7: .. Type of construction V 14
Name: A tT1 J PAg K Tat.tatio ti6S , L .L.6. Occupancy group(s): Existing:
New: fR-3
Address: 9Soo SW EA¢guit & ib Su 1 1 f 22o
City /State /Zip: Toei'Z & , 02 97 2-19
Phone: 601) 092$7Sb Fax:633) 0Az- 4( NOTICE: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
'Er APPLICANT " -: . == CONTACTPERSON:.:.: provisions of ORS 701 and may be required to be licensed in the
Business Name:'ie.EK L . aQp4L4 C I UAAPLf' / (4 • jurisdiction where work is being performed. If the applicant is exempt
Contact Name: rYlm+e K ( (SW G2 eice P koz- from licensing, the following reason applies:
Address: 9so Shl 1§te & - &-Ob i Su (z.e 2Zo
City /State /Zip: Ne: Cr Q 219
Phone:3��2 -+e-66 1 Fax:603je°t2 -6W-t BUITPINGPERMIT FEESt` •
E -mail: rn0.rk. 4- ctI b nowt% ASSe)e,,CAM =Pleaser't:'ferto:feeschedule. - _ • ..CONTRACTOR' - _ .. . . - - , :]z. - , • . r . ... ._.... .._ ..__...
Business Name: 'bEekt L. (2aJ0 4 AsaiAte 1 Fees due upon application $ —
Address: arc) Slnl 6Aegui . gum. , .5,,,,* ZZO
City /State /Zip: fberMA Q2 9- II Amount received. $
Phone:P.)3\892 -8'D ( Fax: (505\ e ) qz- 594 L Date received:
CCB Lic. #: . 8 9 9
Authorized Date: (2'61°3 Notice: This permit application expires if a permit is not obtained within
Signature: ���///CC( 180 days after it has been accepted as complete.
Mk t. K A * 1- (-MS07" •Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
i:\Dsts\Perm t Fomts\BldgPermitApp.doc 01/03
• ' • Electrical Per ' -..:, on Received FOR OFFICE � ON
- � ' Date/Bv: Permit No.: A; ST / ° 'OD2FI i
City of Tigard Planning Approval Sign
JUN 7 2003 Date/Bv: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 CITY OF TIGARD Date/B : Permit No.:
Phone: 503- 639 -4171 Ig@1ig - :fl 10 Post - Review Land Use
. t Date/Bv: No.:
Internet: www.ci.tigard.or.us ■� e f I� Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503- 639 - 4175 r'
Name/Method: Su . lemental 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: pg 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
_al & 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
❑ jvIaster Builder ❑ 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: � �S�OS �Q( � P FEE••SCHEDULE
Suite #: Blde. /Apt. #: Number of inspections per permit allowed
Project Name: ,1441 /{4S eep, �
T S Description 1 Qty I Fee (ea.) I Total I I
New residential- single or multi - family per 4
Cross street/Directions to job site: ./ dwelling unit. Includes attached garage.
•� 150 AV ve ,51-) K � Service Included: l�ti. 15
364.4 S\^ � 1 in or less _ 145.15 _ , 4
t rc.t•Q/I Each ach a ad dditional 500 sq. ft ar portion thereof Q 33.•t0 � �r. � I
f v tti �Alu i Lot #: ( Limited energy, residential 1 75.00 `15 _ao 2
Subdivision: t ° Limited energy, non residential 75.00 2
Tax map /parcel r#: Each manufactured home or modular dwelling
- DESCRIPTION OFWORK - service and/or feeder 90.90 2
Services or feeders - installation,
C o I 'J C� eA. Cr /46!"1 3 sr alteration or relocation:
" 7 .' . `h f r CWIC / fy'' �c r / y , t! , - _ 1 200 amps or less 80.30 12
Q 201 amps to 400 amps 106.85 2
401 =DS to 600 amos 160.60 2
EROPERT7(O,WNR'.:', 1:= ❑TENANT: -- -:. -
601 amps to 1000 amps 240.60 2
Over 1000 amps or volts 454.65 2
I`7ame: Ai) 1 PA TQvJ►J049kres LL, Reconnect only 66.85 2
Address: C1569 5 $Ue. guk SU p-r, 22z Temporary services or feeders - installation,
7 alteration, or relocation:
City /State /Zip: e d 4 , 0 1 2 . 9 2 21�1 200 amps or less 66.85 1
Phone ' ) $1Z -pf758 Fax :(S 59 2-0,e q 1 201 amps to 400 amps 100.30 2
133.75 2
APPI: ANT :`= - =. :[]:CONY CT PERSON-.: =` ` 401 to 600 amps Branch circuits - new, alteration, or
Name:) iZCK L K b p S&xiti ->�5 1 �G extension per panel:
Address: icQ) SW & j oo, f�- i Si.Kre 220 a Fee for branch feeder fee. each c hh ranch circuit of
service or feeder fee, each branch circuoit 6.65 2
City /State/Zip: Der 1 , GQ, 9-7 21 C► B. Fee for branch circuits without purchase of .
service or feeder fee, first branch circuit 46.85 2
Phone: fc:A) N2_8 - ice Fax: (So3) 892 - ,41 Each additional branch circuit 6.65 - 2
E -mail: rear a. d I t°o a1w)A SSoc , CoM
Misc.(Service or feeder not included): 2
• Each pump or irrigation circle 53.40
::_ �+= : y::: CONTRACTOR ; :: : : •. - 53.40 2
7:-::::=;:!;:::: - Each sign or outline lighting
Job No: -nO Signal circuit(s) or a limited energy panel,
alteration. or extension Page 2 2
Electrum Inc Description:
2050 Vista Ave #100
Salem OR 97302 Each additional inspection over the allowable in anv of the above:
Per inspection per hour (min. 4 hour) 62.50
503 - 361 -1256 Investigation fee:
CCB :116453/ELC:24- 353C/SUP:2919S Other.
. :' Electrical Pertnit:Eees*
Y• yam. • :
Supervising electrician Subtotal S _
signature required: Plan Review (25% of Permit Fee) $ _-
Print Name: Lic. #: State Surcharge (8% of Permit Fee) $ —
TOTAL PERMIT FEE $
Authorized / � r Notice: This permit application expires if a permit is not obtained within
Signature: d ` Date: ` /`( 03 180 days after it has been accepted as complete.
r *Fee methodology set by Tri- County Building Industry Service Board.
Mire- t lkJ, f) Sea
(Please print name) •
is \Dsts\Permit Forms \ElcPermitApp.doc 01/03
•
/I
FOR OFFICE USE ONLY
, k ./. Mechanical Per a n Received Mechanical , „
Date/By: Pen-nit No.: <- . f T , •• ,/,. )2O/ -
Planning Approval Building
City of Tigard JUN 7 2003 Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 CITY OF TIGA' A Date/By: Permit No.:
Phone: 503-6394171 Fax: IV
� iffepvI Post - Review Land Use
. " t , z� Date/By: Case No.:
Internet www.ci.tigard.or.us . i i Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503 - 639 -4175 - Name/Method: Supplemental Information.
_ - - TYPE OF' WORK. •:, • - COMMERCIAL FEE SCIQEDUI:E - 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
El Accessory Building ❑ Multi - Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE* SCHEDULE
Description I Qty 1 Fee(ea.) I Total
❑ Master Builder ❑ Other: Heating/Cooling
JOB SITE INFORMATION and LOCATION Furnace - add -on air conditioning" ( I 14.00 04.
Job site address: ) p ebX OgrAewOo.D 17.., . Gas heat pump 14.00
Suite #: Bldg. /Apt. #: Duct work 1 14.00 1'{ •°°
.g>%M1 TOW 401M -C
Project Name: Hydronic hot water system 14.00 Residential boiler
Cross street/Directions to job sit (for radiator or hydronic system) 14.00
5'W j30 TK 141/ U _SW 4 A - IA ) eS Unit heaters (fuel, not electric)
-Ke < &--- (in wall, in -duct, suspended, etc.) 14.00
Flue/vent (for any of above) I I 10.00 10 • w
I Repair units 12.15
Subdivision: /-f �}tSJR' c�/�}p Lot #: Other Fuel Appliances
Tax map /parcel #: Water heater I 10.00 I [u.
. . • DESCRIPTION "OF WORK Gas fireplace . I 10.00 I to . "'
/'9 /S r t�(tcnoi) OF t t LA) 3 5 oeti Flue vent (water heater /gas fireplace) 7 10.00 2‘..). i•
- wJ ttCJ ,/- r►?I! 'Jr ea Sari") Log lighter (gas) 10.00
Wood/Pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner /flue/vent 10.00
PROPERTY OWNER: - • • I El- TENANT _ Other. J 10.00 '
Name: A rvl ^I; KT wAilion4es LLG Environmental Exhaust & Ventilation
d/
Range hood/other kitchen equipment ` 10.00 I 0 . '
Address: gQifi Ski 28ue / Ski 1l (c 2 w Clothes dryer exhaust l 10.00 10 , q7
City /State /Zip: P de Q - 72 t Single duct exhaust
Phone:5o3) a412_ &7S8 I Fax: (Sn ) 89 2--384( (bathrooms, toilet compartments,
• 1:g APPLICANT 0 CONTACT PERSON utility rooms) 4 6.80 ii. 2-0
Name: 'bce&E4C 4. Bf10Gp.J 8 R-SSrci, #v i i • Attic/crawl space fans . 10.00
Other: 10.00
Address: Q 6A) Bi42gi/ie, mib SI/17. 220 Fuel Piping
City /State /Zip: `porz7Z,4,, /eye q -721'7 "($5.40 for first 4. $1.00 each additional)
Phone:(SoSi B 2. -8156 Fax: (Solp12 -0084( Furnace, etc. Gas heat pump «*
E -mail: ✓ J Z. C `, d I brdetyta. c c. C.ort --\ 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: "i 5.4
Mechanical Permit Fees'
Authorized � b/2/0; Subtotal: $ I c2 . t'a
Signature: �J r' (,. Date: Minimum Permit Fee $72.50 $ _
14C c_ ( f �j _
✓ _ _ Plan Review Fee (25% of Permit Fee) $ _
(Please print name) State Surcharge (8% of Permit Fee) $ 6D • `tc
TOTAL PERMIT FEE $ _
Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri -County Building Industry .aoi vice noeru.
180 days after it has been accepted as complete. "Site plan required for exterior A/C units.
i Msts\Permit Forms\MecPennitApp.doc 01/03
11
liuiiuiiig, r u l u1 CJ
• : ' Plumbin Permi 1.5 ' . ' 1
�
g - ,i ` Received FOR OFFICE USE ONLY
Plumbing
Date/By: Permit No.:/'C. -'.79. ~.' ° - ' ,30/
City of Tigard Planning Approval
Date/By: Se Date/By: Permit No.:
13125 SW Hall Blvd. JUN 2 7 2003 Plan Review Other
Tigard, Oregon 97223 Date/By: Permit No.:
�,�+���� TIGA' D Post - Review Land Use
Phone: 503 - 639 -4171 Fax: 5 I O DIVI' / `'T�±.�I r Date/By: Case No.:
Internet: www.ci.tigard.or.us o f I f Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503 - 6394175 Name/Method: Supplemental Information.
TYPE OF WORK FEE* SCHEDULE (for special information use checklist) • -
New construction ❑ Demolition Description I Qty. I Fee(ca.) 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 _
1 & 2- Family dwelling I ❑ Commercial/lndustrial SFR (2) bath 350.00
Accessory Building ❑ Multi - Family SFR (3) bath .
399.00 . 3 `icl .
❑ Master Builder I ❑ Other: Each additional bath/kitchen 45.00
- .: JOB SITE INFORMATION and LOCATION I Fire sprinkler - so. ft.: , Page 2
Job site address: /,62.9---- a.,A,�ctWOOp PL. Site Utilities
Suite #: Bldg. /Apt. #: Catch basin/area drain I 16.60
Project Name: I-1 K� 'a 21 'rGtiJk PoWIGS Footing Uleach line/trench drain I 16.60
Footing drain (no. linear ft.) Page 2
Cross street/Directions to job sit M anufactured home utilities 110.00
SLJ 1 A✓� S. �' Manholes 16.60
36/1.4) Q Rain drain connector 16.60
Sanitary sewer (no. linear ft.) Page 2
Subdivision: / -f,4A. _1: . Lot #: / Storm sewer (no. linear ft.) Page 2
Water service (no. linear ft.) Page 2
Tax map /parcel #: • .. -. Fixture or Item • . ' I.. ---• • . DESCRIPTION OF WORK Absorption valve 16.60
C. 0N Srz utC - mt.) of tdEIn) 3 ST7712 -4 Backflow preventer Page 2
- - e pp ((ti j t f 1 Backwater valve 16.60
�/ Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
E'PROPERTY:OWNER ..:•-:I •I] TENANT •••• - >• • •--E:•• . - Ejectors/sump 16.60
Name: AlJ(O Al 4 PAle K - I a vt/N F1oi'14ES L LC Expansion tank 16.60
Address: q Soo S1i Eehe.gve, gt•.vb1 S11t. L Z 2) Fixture/sewer can 16.60
City /State /Zip: PjR.T2i¢rJ1 0(2 q z Floor drain/floor sink/hub 16.60
,1 Garbage disposal 16.60
Phone�So3J SS2- 81 SP1 Fax: (5O3) q2- SS I Hose bib 16.60
.;APPLICANT • '' . • • ❑ CONTACT •PERSON • • Ice maker 16.60
Name: b V L. 820v/k) S ASSOCiA4 'p✓L Interceptor /grease trap 16.60
Address: 95,00 St,-) gAeguie, gi.l1D , Su crf ZZa Medical gas - value: S Page 2
Primer 16.60
City/State/Zip: PaQr[hz.s , et q-7.1; Roof drain (commercial) 16.60
Phone :()3)& Z - 6758 Fax (563) t1ZL 1S94/ Sink/basin/lavatory 16.60
E -mail: relAnl[. 0 cif bitiGJna.CCd G • ca rN Tub /shower /shower pan 16.60
• .. - - .. • y .• . CONTRACTOR ' > Urinal 1 6.60
Water closet 16.60
Plumbing Experts Inc Water heater 16.60
11925 SW Parkway Other:
Portland OR 97225 -5413 Other:
503- 469 -0443 • -• •
...,. ... "•Plumbing ... ._.:
CCB: 149035 PLM: 34-391PB Subtotal S ;S tq 0D
Minimum Permit Fee 572.50 S
Authorized . " - 7 6 Backflow Minimum Fee 536.25
Signature: Date: �/2� - Plan Review (25% of Permit Fee) S -
T : 5 Cm NE State Surcharge (8% of Permit Fee) , �� I.9. Z
(Please print name) TOTAL PERMIT FEE S
Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans wil ... - ...... ur
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\Permit Forms\PlmPermitApp.doc 01/03
.4
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 -00301
Date Issued: 12/23/2003
Parcel: 1 S133AC -HB031
Site Address: 10865 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 031
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
Signature of Authorized Plumber
If you have any questions, please call 503.718.2433.
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 -00301
Date Issued: 12/23/2003
Parcel: 1 S133AC -HB031
Site Address: 10865 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 031
Jurisdiction: TIG
Zoning: R -25
Remarks: New SFA dwelling. .,
Your company has been indicated as the electrical contractor for the permit indicated ab 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 07-7. 3 - S
SUP
ELE 24 -353C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X ...- -_-4(.4 4. ..Z.__Z 4 44-3 --
Signature of Supervising Electrician
If you have any questions, please call 503.718.2433.
. SYo-o3- crfp3o/
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® • V
A •
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1 •
STREET TREE CERTIFICATION
® •
® •
•
® ►
•
1 I, c ., aide- Owner/Agent for ► ■
(PLEASE PRINT) (PERMIT HOLDER) ■
•
• •
►
1 ':
® Do hereby certify that the following location
1 meets Cityi_of .Tigard %Washingto Count ► ►
® land use and development standards for street tree installation. •
•
® I.
• ►
A DDRESS: /01'65 5. (a �A W & o D PL.
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® • LOT: ) i SUBDIVISION: f 4WKS 1548
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® BY:
® .//. . • ! DATE: �Z 5" D� ►
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® RECEIVED BY: D ATE: (d y
® P'Y YYYVVvvvvvvv vvvvvvvvvvvvv vvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvv®
CITY OF TIGARD 24 -Hour
BUILDING ip Inspection Line: (503) 639 -4175 MST 3 `0 < <
INSPECTION DIVISION Business Line: (503) 639 - 4171
' cc BUP
Received Date Requested O — 01 AM PM BUP
Location / 0 8 (P S Suite l MEC
Contact Person Ph (. ) ge G - c g q 7 PLM
Contractor Ph ( ) SWR
13 Tenant/Owner ELC
-• g
oundation 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:
ft ART FAIL
G / y
Post & Beam
Under Slab , ' - ,k/
•
Rough-In ,
�.
Water Service k`
Sanitary Sewer
Rain Drains t .
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
P SS PART FAIL
MECHA IO L
eam
Rough -In
Gas Line
Dampers
411 ':A, 1 49 PART FAIL
RICAL
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 E Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line /
ADA O "I 7 ( v
Approach/Sidewalk D 11 '1 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 ,a0 —46 d
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested ZS AM PM BUP
Location S Suite MEC
Contact Person Ph ( ) ev — q ?97 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 Sheath/Shear ,
Framing �4 Y kww/ L p U d cq�cc. Oi/— n _
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:
ASS 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: E Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date 719 I Dy Inspector 01h-A--/ Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL