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Permit MASTER PERMIT CITY OF TIGARD �' r I ' I 'I DEVELOPMENT SERVICES DATE ISSUED: 8/5/2004 3 -00331 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10905 SW BRIARWOOD PL PARCEL: 1 S133AC -11200 SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25 BLOCK: LOT: 030 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 TURD: 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 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: 3 201 - 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•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 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 # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,199.57 AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES IN This permit is subject to the regulations contained in the 4949 SW MEADOWS RD SUITE 400 4949 SW MEADOWS RD SUITE 400 i and a Munidpal laws. Code, ws. Aof ll l o work w wil b o ne i n LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 a a ra cer applicable ed p. Al. This will 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: 503 233 - 0075 Phone: 971 - 233 - 0075 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg #: 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 Ins l Water Line Insp Mechanical Final Footing Insp Electrical Rough -in Gas Line Insp Firewall lnsp Water Service Insp Building Final Foundation Insp Mechanical Insp Gas Fireplace Gyp Board Insp Smoke Detector Slab Insp Low Voltage Insulation lnsp Rain Drain lnsp Electrical Final Issued By :. 2 f_a , Permittee Signature : ,5 L-2� Qic \,p \• Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day )aC/ — FOR OFFICE USE ONLY ' Build erm i ng P it Received , Building A/ Date/Bv: c � Q te i i Per No.:I P � /Wd J 5 9 1./U...1 - 5 , / City of Tigard ' P►atmtng Approval Other Petit N y 'JUN 'z 7 2003 Plarmi v: tn 4',��1�° O� 4Qo� 65 13125 SW Hall Blvd view Tigard, Oregon 97223 CITY OF TIGA - 9 Da P►an Review 4.30is O P ther er mit No.: Phone: 503- 639 -4171 Fax: SlinIZINSCD IVI "i''�1= �ri Post - Review Land Use [� I Date/Bv: Case No. Internet www.ci.tigard.or.us • — Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Method: 7/ 6 - Supplemental Information TYPE OF WORK - ..REQUIRED DATA : : ' -'.: aNew construction I ❑ Demolition 1 & -2 FAMILY DWELLING ' • ❑ Addition/alteration/replacement I ❑ Other: • '`...- • CATEGORY OF CONSTRUCTION -- - Note: Permit fees' are based on the total value of the work performed. Indicate ,g1 & 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 I Er Multi-Family ❑ Master Builder I ❑ Other: Valuation S q 5 , 2 9 6.' _ No. of bedrooms: 2- No. of baths: Z 72 ......' := : : ::TOB SITE IIYFORMATION and LOCATION. -��� -'� � Total number of floors Job site address: /0906 II�WGrJ� PLA (L I New dwelling area (sq. ft.) 1 Up Suite #: 1 Bldg. /Apt. #: I Garage/carport area (sq. ft.) / 50 4 } Project Name: NAW 4 .S 11042A Tc tAtichi ES Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) 51 1 ?1 , vg * SJW. des 13014 Other structure area (sq. ft.) Sr*kf REQUIRED DATA :.. - _ - - COMMERCIAL = -USE CHECKLI i::. -: _ Subdivision: I4AEw(CS &� 1Th.h F6E Lot #: a Tax map /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, -; L 1 oF N l T , ./ overhead and profit for the work indicated on this application. 3,E - C•� 3 Sr� IJM� Valuation $ Existing building area (sq. ft.) _ New building area (sq. ft.) Number of stories 3 O P.ROPF.RTY :OWNER:.. `'. 4. 'TE - - :. -. -'; = ._..__ Type yp e of construction V /4 Name: AtTriAv1 /J P/ K T6klrlN9lvI - L .L.c. Occupancy group(s): Existing: R-3 Address: O15on SW 12(yule &S1) Su l- 22.z) City /State /Zip: 'POerLA7J), ,o2 q - 7 2-19 Phone: 601) $Q2$75�j Fax P132- 4I NOTICE: All contractors and subcontractors are required to be L licensed with the Oregon Construction Contractors Board under Er APPLICANT'•. -' , - = ::-. : �-Q. CONTACT. PERSON::•. provisions of ORS 701 and may be required to be licensed in the Business Name: I f€. 1, . L4 C ADS / ( jurisdiction where work is being performed. If the applicant is exempt Contact Name: Nlfe K (44- !ScA) G2 etiCe PPA0z- from licensing, the following reason applies: Address: g5r)D S 0J $it2liut- ( i t Sl ( 7.e ZP.o City /State /Zip: Nt2T1,Ai cc qZ .t' Phone: -e tSe Fax:( eo 2...6e ( r . ` - :. •BUILDING PERMIT FEES E- mail: e - &i' k 4- I b corm Assoc , Coin :please Fefexto:fee schedule:'r- r;::-: -.- .... - - ..CONTRACTOR` • .., ... Business Name: Ilex ~ 1 J1J A.2cc06 lAiC" Fees due upon application S Address: 95x) SvJ QAi7JJ12 (BLVD ZZO City /State /Zip: RbezrU� 02 9-12161 161 Amount received. S Phone: \ 892 -5'768 ( Fax: (605\ S - S 1 Date received: CCB L' #: 61 Authorized / /� Date: a(C� . (02 Notice: This permit application expires if a permit is not obtained within Signatu �l L 180 days after it has been accepted as complete. /V l' F- A l (� ( • 14 *Fee methodology set by Tn - County Building Industry Service Board. (Please print name) i:\Dsts\Permit Forms\BldgPermitApp.doc 01/03 Electrical Permit Application FOR OFFICE USE ONLY � Electrical Date/By: Permit No.: 'IS l. . .V City of Tigard RECEIVED Planning Approval sign Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other ' Tigard, Oregon 97223 JUN 2 7 2003 Date/By: , Permit No.: Phone: 503 - 639 -4171 Fax: 503 - 598 -1960 Date / y: Land Use CITY OF TIGARD �' ; Post-Review Case No.: Internet: www.ci.ti ardor. , .'ll� ® See Page 2 for g c. Contac luris 24 -hour Inspection RequeSF!•+J�P1VISI c.,,._- 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: pg 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 N & 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: ❑ 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: / octoS Bet/k I,l % PLACE FEE *"SCHEDULE Suite #: B1d1?. /Apt. #: Number of inspections per permit allowed Project Name: jj- 1,411A MS /SePr . fiQW a✓tES Description Qty I Fee (ea.) I Total 1 1 I New residential - single or multi- family per Cross street/Directions to job site i dwelling unit. Includes attached garage. W S 150 ""''t A lib.JU6 Std N Service included: 3 1000 ft. or less 4 145.15 I (' 4 S7, l 5 Each ach additional onal l 500 so. R or portion thereof ' 33.40 g3,e40 Limited energy. residential 1 75.00 1c ,av 2 Subdivision:t1K� 714-44:74 Lot #: 30 Limited energy, non residential 75.00 2 Tax map /parcel #: Each manufactured home or modular dwelling • " - DESCRIPTION OF WORK service and/or feeder 90.90 2 r Services or feeders - installation, (0 ^t CTIG1-- Cr o l&J 3 sr alteration or relocation: a,, ' � jr /� ,� l 200 amos or less I 80.30 SO . 2 '-� °� ice+"' �- 201 amos to 400 amos I 106.85 2 401 amps to 600 amos 160.60 2 PROPERTY OW1Y R.` :.: ;_. • 1: TENANT:: - .. •- 601 amps to 1000 amps 240.60 2 Over 1000 amps or volts 454.65 2 Name: AIJ?7JWtb PIfieK 1 N4- ?k 4 S LLC, Reconnect only 66.85 2 Address: Cioo Ski gL) - gU 7 S11 INS 22Z) Temporary services or feeders - installation, alteration, or relocation: City /State /Zip: Fb2TLA , C. Ch 215 200 amps or less 66.85 o' Phone Sc) —g Fax:(�5 -i 8`4( 201 amps to400amps 100.30 2 �► 401 to 600 amps 133.75 2 APPL ANT'...:: p - , = , �� _: ❑ C /' ONT CT PERSOL�f Branch circuits - new, alteration, or Name:l ZCK & L• Dup.J f / S acJ4 / NG , extension per panel: gS� .Rlho & .-' S&)l€ Z20 A. Fee for branch fthh purchase of Address: BrCY ) service e or feeder er r fee.ee, each eacch branch circuit 6.65 2 City /State /Zip: eRj,z; 7 11, , CJ,- 91219 B. Fee for branch circuits without purchase of . service or feeder fee, first branch circuit 46.85 2 Phone: 603)N2-8156 Fax: (So3) 892. — E 4 / Each additional branch circuit 6.65 2 E -mail: mar K Q - d l tea t Uw)a -SSoc , Coe)-t Misc.(Service or feeder not included): • Each pump or irrigation circle 53.40 2 •: CONTRACTOR -''''-:•:.;.:'•:':• r ' `�- �� =� °"� -' � -• . Each ' or outlne • lighting 53.40 2 Electrum Inc Signal circuit(s) or a limited energy panel, alteration, or extension Page 2 _ 2 DBA Spectrum Electric Description: 2050 Vista Ave #100 Salem OR 97302 Each additional inspection over the allowable in an of the above: 503- 361 -1256 Per inspection per hour (min. I hour) 62.50 CCB: 116453 ELC: 24 -353C SUP: 2919S Investigation fee: Other: CCB Lic. #: 1 Lic. #: ' .: Electnt l PertnitEees ..a. ;;_.. — Supervising electrician Subtotal S T, 7c,55 signature required: Plan Review (25% of Permit Fee) $ — 05 , Lilo Print Na e: / Lic. # : State Surcharge (8% of Permit Fee) S 2 0 , i 1 TOTAL PERMIT FEE $ 44k. 0L- Authorized 1, ( Notice: This permit application expires if a permit is not obtained within Signature: s' ` Date: Notice: 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. tYl IC /J • Sep (Pleage print name) is \Dsts\Permit Farms \ElcPermitApp.doc 01/03 FOR OFFICE USE ONLY • /rvi echanical Pe • on Received Mechanical ?� , Date/By: Permit No. 1 rIVO3 - e O V i Planning Approval Building ' City of Tigard JUN 2 7 2003 Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 CITY OF TIGARD Date/By: Permit No.: g Post - Review Land Use �� Phone: 503 - 639 -41 Fax��Na�§A/($(P, it Date/By: Case No.: Internet: www.ci.tigard.or.us s l l l Contact Juris.: See Page 2 for 24 -hour Inspection Request: 503 - 639 -4175 -- - Name/Method: Supplemental Information. - Y. 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: f gl & 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 I 04. co Job site address: /Q S Si'401/OaP PL . Gas heat pump I 14.00 Suite #: Bldg./Apt.#: Ductwork I 14.00 l'{.°° K5 igFAe - b TOv 1401N Hydronic hot water system 14.00 Project Name: Residential boiler Cross street/Directions to job sit "/� �, I � ." w J � (for radiator or hydronic system) 14.00 S O 30 tN t!`✓ IJE/q/ ttyTeS Unit heaters (fuel, not electric) - ge i Saar (in wall, in -duct, suspended, etc.) 14.00 Flue/vent (for any of above) 1 10.00 10.A. � R� Repair units 12.15 3 o $ubdlVlSlOn: Lot #: Other Fuel Ap 'lances Tax map /parcel #: Water heater I 10.00 lo.'" - DESCRIPTION•O WORK Gas fireplace 1 10.00 10. "' C0/ .. T /2(,LGT1� At e-0) 4C0) I] 3 S -/ Flue vent (water heater/gas fireplace) 7 10.00 2U. i. �w/J i(oryrc, P�.1- (i4it Sam Log lighter (gas) 10.00 Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chinmey/liner /flue/vent 10.00 �PROPERT.Y OWNER. •-- -.:. • ( ❑.TEN ..._': _�.:: . Other. I 10.001 A., / Name: lrh K Tt7WiJl-iorrleC L� Environmental Exhaust & Ventilation 7 I V' ►/ t "�" / Range hood/other kitchen equipment 1 10.00 I 10 .'° Address: (3 ve SW v26ue IgiA / Ski 17'(6. 2 w Clothes dryer exhaust i 10.00 10 ,a' City /State /Zip: Paa,rub de Q ( q Single duct exhaust Phone :(5o3)1 2 -@758 I Fax: C � ) 89 2-- 8841 (bathrooms, toilet compartments, • (APPLICANT .' -❑ CONTACT PERSON utility rooms) 4 6.80 21. - . i aoc�' 8 A ci #i s i i . Attic/crawl space fans 10.00 Name: Other. 10.00 Address: Q 6 )1Qi tzg✓c22 (ib 81//71% 220 Fuel Piping City /State /Zip: To tiL14 S i ce 9-7249 ••($5.40 for first 4. S1.00 each additional) Phone:(C4 Nz-8 - 150 Fax: S o3'eI2 Furnace, etc. 1 '• -084( Gas heat pump •• E -mail: y -fr? C C d I brocu, o,_ S'dC , co"-- Wall /suspended/unit heater CONTRACTOR Water heater I Fireplace I *' FORECAST HEATING & AIR CONDITIONING Range 17135 NE GLISAN ST BBQ PORTLAND OR 97230 Clothes dryer (gas) CCB: 152194 Other: _ ■ Total: ' 1 6, L _ Mechanical Permit Fees* Authorized / /2 . ��q Subtotal: $ ISO . t!v Signature: Date: 'f Minimum Permit Fee $72.50 $ RUC,- Co ic _ Plan Review Fee (25% of Permit Fee) S 3 Z. , 65 (Please print name) State Surcharge (8% of Permit Fee) $ 60 .45 TOTAL PERMIT FEE $ I 1 S. 70 Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri -County Building Industry Service Board. 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 •.,buuullnb r IAt.ul Plumbing P t1Un FOR OFFICE USE ONLY R eceived Plumbing Date/By: Permit NoC [' � oa �� ° ��3•�� City of Tigard Planning Approval Sewer Date/By: Permit No.: 13125 SW Hall Blvd. JUN 2 7 2003 Plan Review Other Tigard, Oregon 97223 Date/By: Permit No.: Phone: 503- 639 -4171 F& ( • .0" D Post - Review Land Use L ®� � 10 � t Date/By: Case No.: Internet: www.ci.tigard.� �� 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) - (l New construction ❑ Demolition Description 1 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 (l) bath 249.20 cz 1 & 2- Family dwelling ❑ CommerciaUIndustrial SFR (2) bath 350.00 , ?# • Accessory Building ❑ Multi- Family SFR (3) bath 4- 399.00 .co ❑ Master Builder ❑ Other: Each additional bath/kitchen 45.00 • .: JOB SITE INFORMATION and LOCATION Fire sprinkler - sq. ft.: Page 2 Job site address: /OT QS" T /A'WUW�1) pi_ . Site Utilities • Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60 Project Name: {-, v� - FJ1'(L� - 1.4ome Drywell/leach line/trench drain 16.60 Footing drain (no. linear ft.) Page 2 Cross street/Directions to job silt Manufactured home urilities 110.00 SLJ 1 ;O S. Manholes 16.60 36-Ait. b - z r ' Rain drain connector 16.60 I Sanitary sewer (no. linear ft.) Page 2 / Storm sewer (no. linear ft.) Page 2 Subdivision: /- �R(�v'K } E/�gD Lot: fQ Water service (no. linear ft.) Page 2 Tax map /parcel #: or Item DESCRIPTION OF WORK Absorption valve 16.60 C,?- nOIJ OF IJEIA) 3 S I Backflow preventer Page 2 - rbJI1 tk)wv P(2J Ec r' (14l u Sc-Ft J Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 EtPROPERTYOWNER - TENANT • •.....- - . • Ejectors/sump 16.60 Name: A UTV 41(J P,4tz K T vtlN f &1'1 1 Li-C. Expansion tank 16.60 Address: 0 SC0 Svl -F & A 1 SUtN Z Z) Fixture/sewer cap 16.60 City /State /Zip: FoeTtAJD 02 q Z Iq Floor drain/floor sink/hub 16.60 Garbage disposal 16.60 Phone{ 3) S42 X57 SPj 1 Fax: �s) Sqz- SOL( I Hose bib 16.60 .;APPLICANT' . `.,,- t::_.:;; .• ::O CONTACT PERSON.: • Ice maker 16.60 Name: 1>F 1-1V L. QQp g 4 OUht^ES, ii,-k, Interceptor /grease trap 16.60 Address: 95C0 S &tegue. g1,11A, Su t't'E zza Medical gas - value: $ Page 2 Primer 16.60 City /State /Zip: poerUt- a q--7 Z I q Roof drain (commercial) 16.60 Phone:( 675e, Fax(503)61,2-6841 Sink/basin/lavatory 16.60 E -mail: rnAetle. C d i tairj f „ 1ha tCe C • Ca r.--% Tub /shower /shower pan 16.60 . - CONTRACTOR ' • . . Urinal 16.60 Water closet 16.60 PLUMBING EXPERTS INC Water heater 16.60 11925 SW PARKWAY Other. PORTLAND OR 97225 -5413 Other: 503 -469 -0443 : . :::-.Plumbing PerniitFees* : 's CCB: 149035 PLM: 34-391PB _ Subtotal S 2Sl _ 1 __ , _____ Minimum Permit Fee $72.50 $ Authorized • ' / „ Residential Backflow Minimum Fee $36.25 Signature: ..A111/.... L. Date: 1 � Plan Review (25% of Permit Fee) $ T7RUCE Ili' NE State Surcharge (8% of Permit Fee) $ a4 txt-&,2 (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 with isometricooE r CO 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 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE RECEIVED 'AUG 1 u 201 PLUMBING EXPERTS INC 11925 SW PARKWAY CITY OF TIGARD PORTLAND, OR 97225 -5413 BUILDING DIVISION Plumbing Signature Form Permit #: MST2003 -00331 Date Issued: 8/5/2004 Parcel: 1 S133AC -11200 Site Address: 10905 SW BRIARWOOD PL Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 030 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 4949 SW MEADOWS RD SUITE 400 11925 SW PARKWAY LAKE OSWEGO, OR 97035 PORTLAND, OR 97225 -5413 Phone #: 503 - 233 -0075 Phone #: 503 -469 -0443 Reg #: LIC 149035 PLM 34 -391 PB AN INK SIGNATURE IS REQUIRED ON THIS FORM 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 -00331 Date Issued: 8/5/2004 Parcel: 1 S133AC -11200 Site Address: 10905 SW BRIARWOOD PL Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 030 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 4949 SW MEADOWS RD SUITE 400 DBA SPECTRUM ELECTRIC LAKE OSWEGO, OR 97035 2050 VISTA AVE #100 SALEM, OR 97302 Phone #: 503 - 233 -0075 Phone #: 503 - 361 -1256 Reg #: LIC 116453 SUP 2919S 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. ./4sT7__vn - 33 kAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA ii ® ► STREET TREE C • • 1 • • ® I, U gt)Ce wl , Owner /Agent for DEtzEK C.- $ie-0uiN 4' Assoc. ■ ® (PLEASE PRINT) (PERMIT HOLDER) A ► 1 • • • ® Do hereby certify that the following location ® _ • ® meets , Cit y of.�, /Washington . County ■ ® land use and development standards for street tree installation. ■ ► • • • • • A • ® ADDRESS: / O ?O5 5 t kJ . cI4 W D ©p PL.... • ∎ • • ® LOT: 3 0 SUBDIVISION: HAw,es $'E42D • ® BY: DATE: Z /4 JO ..3 • 1 RECEIVED BY: DATE: ; /Z /o r ► %YYYYY VT VTVVVVVYVVVVVVVVVV V V VYVY VT YVY TV V VTVyyyyyyyyyyyyyyy0® CITY OF TIGARD 24 -Hour , ' BUILDING Inspection Line: (503) 639 -4175 MST . 0 - 6:3 -6 4 ( INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Reque ted : -".) - AM Pi, BUP Location / 90'5 041- Suite A 6 MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain - ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear � r /��T �6 (� -7/\76 / f/4■f �� Framing ` Insulation 1 , 4 Drywall Nailing - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Ot : : inal _ P •ART FAIL ' BING l Post & Beam 'Under Slab Rough -In Water Service Sanitary Sewer A. r 1 ) : ' ' : ' Rain Drains Catch Basin / Manhole v Allr - Storm Drain , Pan j r Other: Final PASS PART FAIL . ; - MECHANICAL .,�.// Post &Beam? Rough -In Gas Line Smoke Dampers ■ zip ART FAIL E RICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspection RE: 0 Unable to inspect - no access Fire Supply Line + _ ADA Approach/Sidewalk Date 3( -2.10 % Inspector v 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 ° 0a3 3 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received / Date Re uested ;7 '" AM PM l BUP Location / D l? ` .11�/I�f�C179 -> 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 43- Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: , / Final Al X 4 ' PASS PART FAIL % 0' PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: e q: 7 84 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 ' BG1LDING Inspection Line: (503) 639 -4175 MST „r17>.3 -6 3 J I INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date - equested AM PM BUP Location D i - _ Jra l Suite MEC Contact Person Ph ( )p — 4 1 1 0 - c 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam AMA Shear Anchors �� Ext Sheath/Shear NIMBI Int Sheath/Shear Framing Insulation Drywall Nailing N f' ( At; 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 Fir= Alarm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA n_ -/6,4 Approach/Sidewalk 2 �`� I nspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL