Permit g
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2003 -00327
' t it DEVELOPMENT SERVICES DATE ISSUED: 8/5/2004
* " '�J �� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
•
SITE ADDRESS: 10945 SW BRIARWOOD PL PARCEL: 1S133AC-10800
SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25
BLOCK: LOT: 026 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: 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: 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: 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: $ 6,199.57
AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES I This permit is subject to the regulations contained in the
4949 SW MEADOWS RD SUITE 400 4949 SW MEADOWS RD SUITE 400 I and al other iapal Code, State Aof ll l o work w wil by done in
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 ac rd ra applicable ed laws. Al. This will be 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 lnsp Storm drain insp Plumb Final
Sewer Inspection Electrical Service Framing Insp Exterior Sheathing Insr Water Line lnsp Mechanical Final
Footing lnsp Electrical Rough -in Gas Line Insp Firewall lnsp Water Service lnsp Building Final
Foundation Insp Mechanical Insp Gas Fireplace Gyp Board lnsp Smoke Detector
Slab lnsp Low Voltage Insulation Insp Rain Drain lnsp Electrical Final
Issued By : , � /. Permittee Signature : _.1.1...7C.... C 1•.{'
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
� � RECEIVED
FOR OFFICE USE ONLY
• Budding Permit Application �� � u
JUN 2 ? 20u3 D I t i 0 0 a�*"r✓ Per No. :o7 772V ? - 03 ?A1
City of Tigard CITY OF TIGA I Planning Approval Other Date/By: Permit No.:S &'c 02- - v ,..;,,,,,,
13125 SW Hall Blvd. BUILDING DIVI', ON Plan Review Other
Tigard, Oregon 97223 Date/Bv: 1 ' � -v 0 Permit No.:
Phone: 503- 639 -4171 Fax: 503 - 598 -1960 I It Post - R v: ew Case NoLand
I www.ci.tigard.or.us * - - -i Contact Juris.: 1E See Page 2 for
24 - hour Inspection Request: 503 Name/Method: 77 Supplemental Information
_.. • :. TYPE OF WORK '. - ..REQUIRED DATA : :: ... ... .- .
2rNew construction I ❑ Demolition .. • 1 &-2 FAMILY • . '
❑ Addition/alteration/replacement I ❑ Other:
- -- • • - .CATEGORY OF CONSTRUCTION •• - . - I Note: Permit fees* are based on the total value of the work performed. Indicate
Ell & 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 ETMulti- Family
❑ Master Builder I ❑ Other: Valuation S q 5 29 6.`'"
:JOB SITE INFORMATION and LOCATION ---- No. of bedrooms: No. of baths: Z Y2
Job site address: lei 45 'Ike_Wafb pure_ Total number of floors
New dwelling area (sq. ft.) l / S (gyp
Suite #: I Bldg. /Apt. #: Garage/carport area (sq. ft.) Or{
Project Name: 1 WS SEA TvwlM&Wt&S Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
Std I W,r itV e 44/3 Sit. giffait45 i Other structure area (sq. ft.)
Ste' _
: :;,.� : - REQUIRED DATA:. - :;� -. : :-' � :< := � = = :: - _
COMMERCIAL : = USE CHECKLIST : -==; _'=
Subdivision: I4Aw(cS &Mb 7TH i Lot #: 26 ..
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,
w - i oF N S1 ` r l Pc mg.
overhead and profit for the work indicated on this application.
l.C , 1rf'( 3 r � UM1+� r7Jw�
t' 1 Valuation 5
3 Existing building area (sq. ft.) .
New building area (sq. ft.)
Number of stories 3
. PROPERTY_OWNER' -..". .•D TENANT: --= ."- = .. Type of construction V N
Name: A JWm n1 PA a K - l6k(r(N9 wiz L.L.C. Occupancy group(s): New Existing: R-3
Address: g500 SW Else gne. 8iS S(1 ►T e Z
City /State /Zip: 1 , 02 ci 7 2,3
Phone: 503 6Q2$7'S Fax :6a) eq2.4a41 NOTICE: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
`( .APPLICANT - 4;? : : . .. - ::::-,:.; .: •LaCONTACT PERSON:- provisions of ORS 701 and may be required to be licensed in the
Business Name: bbeEK 1..3,2004 c A 1UA S / (4 • jurisdiction where work is being performed. If the applicant is exempt
Contact Name: Mite K (. # 1Sw e(cr PedtwZ from licensing, the following reason applies:
Address: gSo SW 'Wi t t e - 1 S(1 2 0
City /State /Zip: Nt2TU az, RZ u 9 ,,
Phone:( 93)f�2 -+Else 1 Fax:(So'3je°t2 -6e 4
BUILDING PERMIT.TEES* = _ =-
E -mail: rn a r K q.. di b r oo»' ASSe)e. , C /r1 : Please refe :to fee ialedule'' - -
..t .. . _ _ . r . . . .... ...... ... - . . -. .-, .. ..
-- - ....� :.._.. :..,• ....CONTRACTOR` � - :.. _ . ..
Business Name: F,t L. eiQawN 4 Agabots YvG. Fees due upon application S
Address: 95) SW €AEI. Ae. gLVb j Sr1 ZZO
��
City /State /Zip: I:bar oe 9 Z 9 Amount received. s
Phone: \ 6 -8 - l5$ f' Fax: (503 Sa t - Segi l D ate received:
CC B L' #: , S6g I
Authorized / i/ 4 ( ' . ( o Notice: This permit application expires i[ a permit is not obtained within
Signature: L✓ ' / Date: Cp 180 days after it has been accepted as complete.
/YITS'` K Al ` , 4 ,f 5 L 'Fee methodology set by Tri -County Building Industry Service Board.
(Please print name)
i:\Dsts\Permit Fotms\BldgPermitApp.doc 01/03
' Yectrica l Perm' FOR OFFICE USE ONLY
R ece i v ed Electrical
• Date/By: Permit No. Sr.�2 -aa, �2_
City of Tigard Planning Approval Sign
13125 SW Hall Blvd.
JUN 2 7 2003 ° an Review
Perm it No.:
Tigard, Oregon 97223 � bog6T IGAR, IVI Da ffy: Permit Land Use CI Post - Rse Phone: 503- 639 -4171 Fax: � Post-Review ® r Post -R y: Case No.:
Internet: www.ci.tigazd.or.us �f e!' I Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503 -639 -4175 rr
Name/Method: Supplemental Information.
TYPE OF WORK PLAN REVIEW (Please check all that apply)
1New construction ❑ Demolition ❑ Service over 225 amps- ❑ Health-care facility
commercial ❑ Hazardous location
❑ Addition/alteration/replacement ❑ Other: ig 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
.... & 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: ❑ Egressnighting 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: toq 4S 13e (Aidarib PC,Ac FEE •SCHEDULE
Suite #: B1442. /Apt. #: Number of inspections per permit allowed
Project Name: 4_j41A/44S 6 ePii. fiQGJ -'OME Description I Qty I Fee (ea.) I Total I
New residential - single or multi - family per +
Cross street /Directions to b j
\ 4 , L t _ -r Service ��' unit. Includes attached garage.
,_c
Nvv] -1-vi , AA., ,s / 'T / rt'" t�� Service e i ncluded: dd
Z e/
1000 sq. ft. or less 145.15 I . 3 � C 4
Each ch additional ft. 500 sac or portion thereof 1 I 33.40 ,t,.(rj 1
Limited energy, residential 1 I 75.00 1c _a� 2
Subdivision: Al
Tt�wu � Lot #: Limited energy, non residential I 75.00 2
Tax map /parcel #: Each manufactured home or modular dwelling
- DESCRIPTION OF WORK . service and/or feeder 1 90.90 2
Services or feeders - installation,
C ip, .cr CF 9IE) 3 s7 alteration or relocation:
"-/VG) . / E r / t 200 amps or less I. 80.30 8o .50 2
a1. - ff�V✓lC f'' �yy, � 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
QPROPERTIF O.WN R - : :❑ TENANT:' ' :. ;.. _ . _. .
601 amps to 1000 amps 240.60 2
LL C, Over 1000 amps or volts 454.65 2
A
Ig 17J(M fMr2-K 'r4vJ►3 4 L-LL S Reconnect only I 66.85 2 1
Address: g1 gL./1, SU !7'. 22z Temporary services or feeders - installation,
alteration, or relocation:
City /State /Zip: PO XL & , C . 9 1 ' r 200 amps or less 66.85 1
Phone q Fax:(50159 2 �8 `t ( 01 amps to 400 amps 100.30 2
401 to 600 amps 133.75 2 • APP 1..... -.: • -;-:.- � _ : ❑.CONT CT .PERSON 'Z . : Branch circuits - new, alteration, or
Name:'l ZE K 1"
L. (a 4J t p i S� eS / .X' , extension per panel:
Address: gSQ7 �Q ll (�- � �Ul Z�
A. Fee ic branch circuits c hh purchase of
service or feeder fee, each branch circuit 6.65 2
City /State /Zip: e-r , OIL. 9-7j 1 9_ B. Fee for branch circuits without purchase of
��+ service or feeder fee, first branch circuit 46.85 2
!1�
Phone: �73) 9 -$156 Fax: ( .2.) 892 - 4 / Each additional branch circuit 6.65 2
E -mail: w16,r K a. d 1 ae t,J,Ja csoc . con -1
Misc.(Service or feeder not included): 2
• CONTRACTOR Each pump or irrigation circle 53.40
,_� =': + :"_,.: 2
- - Each sign or outline lighting 53.40
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 any of the above:
503- 361 -1256 Per inspection per hour (min. I hour) 62.50
CCB: 116453 ELC: 24 -353C SUP: 2919S Investigation fee:
L ic. #: Other.
l:C;ti Lic. #: - M '• :: :•EIectneal.Peimlt: Fees* : :i:-.,� : :
; : :...- :- - .,_
.: .
Supervising electrician Subtotal $ 45 5 5
signature required: Plan Review (25% of Permit Fee) $ .A
i� re 4 3 ''
Print Name: 1 Lic. #: State Surch • :e (8% of Permit Fee) $ 2 - .
TOTAL PERMIT FEE $ • ' ' . 0
Authorized 71 � /� Notice: This permit application expires if a permit is not obtained within
Signature: U( Date: zE 180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
YyIifYLC ik1. sib
(Ple a print name) •
•
is \Dsts\Permit Forms \E1cPermitApp.doc 01/03
•
, 7 :
FOR OFFICE USE ONLY
Mechanical Per A . ation C 1 v ed Mechanical
� � E L Date/By: Permit No.: r7f7 2 '03 0./ 7
Planning Approval Building
City of Tigard Date/By: Permit No.:
13125 SW Hall Blvd. JUN Z 7 2003 Plant Review Otter
Tigard, Oregon 97223 Date/By Permit No.: Land Use
Post- Review
Phone: 503 - 639 -4171 Fax: 5�3��Y8�6�IGA i, t. Date/By: Case No.:
Internet www.ci.tigard.or.us B UILDING DIVI ' a e . ' I I Contact Juris.: El See Page 2 for
�
24 -hour Inspection Request: 503- 639 -4175 _r Name/Method: Supplemental Information.
- .: c 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.
J"1 & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule
❑ Accessory Building ❑ Multi - Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE•VSCHEDULE.
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 1
Job site address: / 0 9 45 - rgm,etv0 pc-. Gas heat puma I 14.00
Suite #: Bldg. /Apt. #: Duct work I I 14.00 I l►�.a°
�� igolib - Hydronic hot water system I 14.00
Project Name: vJ QY��s Residential boiler
Cross street/Directions to job sit (for radiator or hydronic system) 14.00
SW • I Tv ' /11/ vE /� g e5 Unit heaters (fuel, not electric)
8e, 7 sN f (in wall, in -duct, suspended, etc.) 14.00
Flue/vent (for any of above) 1 10.00 10 • w
E15
Subdivision: /-f<}I✓iNS �� / Pp I Lot #: 2 Repair units 12.15 Other Fuel Appliances
Tax map /parcel #: Water heater I 10.00 I 10 . y
• • DESCRIPTION O p F WORK V • Gas fireplace 1 10.00 1 (0 , w
Co%(S i 77caJ OR fI(E 3 STv12 Flue vent (water heater /gas fireplace) 7 10.00 I 2o. a'
- roIA)/J ibrY7 PeDJF.a- / (4(t sa p Log lighter (gas) 10.00
l Wood/Pellet stove 1 10.00
• Wood fireplace/insert 10.00
Chintney/liner /flue/vent 10.00
PROPERTY OWNER. - • I ❑TENANT'' - :V - • Other: 10.00 I
Name: ITUm4 0.n2 K - wid Non 4gc. LLG Environmental Exhaust & Ventilation
/ Range hood/other kitchen equipment l 10.00 I U .'e
Address: cKx1 SN/ vaue / S>! !7'�L Z!7 Clothes dryer exhaust 1 10.00 1U a
City /State /Zip: Por2TU D de Q12 l9 Single duct exhaust
Phone:503) &42_6-75$ ( Fax: (5.)S j $9 2-- aeq( (bathrooms, toilet compartments,
(APPLICANT 0 CONTACT PERSON utility rooms) 4 6.80 2'12-0 10.00
Name: Ea (L-• gaotAPJ A / i /dc . Attic/crawl space fans 10.00
Other:
Address: q Bi�t2gi/12 -�
�, sotk_ ZZc� Fuel Piping
City /State /Zip: 7osti7,f►'7) / dl2 9-7219 "($5.40 for first 4. $1.00 each additional)
Phone:( .)3) an -8156 Fax: §iyA2 -0eL( Furnace, etc. 1 *a G heat pump
E -mail: tMP•'2 t C d I brocUf O.. dC ,c,,, 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 5.
Mechanical Permit Fees'
Authorized f- U /Z /�� Subtotal: $ 13C) . 60
Signature: Date: Minimum Permit Fee $72.50 $
(/C 09 'VG- Plan Review Fee (25% of Permit Fee) $ 3 2.6 5
(Please print name) State Surcharge (8% of Permit Fee) $ 6l) • 4S
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
. .. i uliuiig r L% Lut
Plumbing Permit Application Received FOR OFFICE USE ONLY
Plumbing ii ', r�
Sewer
Date/By: Permit No. s 0� U3�
City of Tigard Planning Approval
Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 JUN 2 7 200 Date/By: Permit No.:
Phone: 503 - 639171 Fax: 50 Post - Review Land Use
6�TIG ' =a+. Date/By: Case No.:
Internet: www.ci.tigard.or.us . f � j�, e . ' I� Contact Juris.: El See Page 2 for
24 -hour Inspection Request: 50 ! DI . _. ,._ _ ..
Name/Method: Supplemental Information.
'TYPE OF WORK FEE' SCHEDULE (for special information use checklist) -
(i New construction ❑ Demolition Description 1 Qty. I Fee(ca.) J 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 ❑ Commercial/Industrial SFR (2) bath 350.00 .l.��
❑Accessory Building ❑ Multi- Family SFR (3) bath 399.00 •+���, "'
❑ Master Builder ❑ Other: Each additional bath/kitchen 45.00
• .: JOB SITE INFORMATION and LOCATION Fire sprinkler - so. ft.: Page 2
Job site address: / 0? 45 7 T2 (# 9 PC--- , Site Utilities •
Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60
Project Name: NA"tJks 7FJ1 -2� "rGtiJnl W1GS D oting rack (no. linear drain 16.60
Footing drain (no. linear ft.) Page 2
Cross street/Directions to job sit Manufactured home unlities 110.00
SLJ I ;v� S. giltAild Manholes 16.60
3E,4i S? t Rain drain connector 16.60
Sanitary sewer (no. linear ft.) Page 2
Subdivision: /4 6 Lot #: 2.( Storm sewer (no. linear ft.) Page 2
Water service (no. linear ft.) Page 2
Tax map /parcel #.
_. Fixture or Item . ... =. ._ .
DESCRIPTION OF WORK A valve 16.60
CaMs CF tNiEinJ 3 SThad Backflow preventer Paget
- rm./1J tIcw•f P(2,)Ec r (1411g LQ Sit ) Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
••0"PROPERTYOWNER _.- I ❑ TENANT - • = - • Ejectors/sump 16.60
Name: Air() Ali P,42 K T vJN gat/l S I Lt.c. Expansion tank 16.60
Address: gSt) sw solegve 6Lk, SUcrE ZZto Fixture/sewer cap 16.60
City/State /Zip: PoeTt D 02 a 219 Floor drain /floor sink/hub 16.60
G I r Garbage disposal 16.60
Phone(So3,S9,2 -8Z5U Fax: ( So3)S 2 -SS I Hose bib 16.60
;APPLICANT' -• .-- ❑ CONTACT PERSON• - - Ice maker 16.60
Name: bUEV t • ,eou/■I S As - Sowl.t -+^ES 1i Interceptor /grease trap 16.60
Address: 95,03 St..-1 ghegue, gi_Q , Su crf 2Z6 Medical gas - value: S Page 2
Primer 16.60
City /State /Zip: Fber/_AOs , C . g721 Roof drain (commercial) 16.60
Phone(3)892,- 5756 Fax (sc;) 64,2,..-6,94/ Sink/basin/lavatory 16.60
E -mail: rr),htic. cl., d. Ibrricid ia_CCoC. C.o' 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:
"tnitFees' •:' ,. .� :- . .. :� : :r
503 - 469 -0443 �...- ...�� -.-•••Plumbing
.
CCB: 149035 PLM: 34 -391 PB Subtotal S ?'
l �-�-�- -- - -• •• - _� Minimum Permit Fee $72.50 S
Authorized / Residential Backflow Minimum Fee $36.25
Signature: / D / /7 Plan Review (25% of Permit Fee) $ ,
� , 1Q(/ GE COVE State Surcharge (8% of Permit Fee) S a 2 Z
(Please print name) TOTAL PERMIT FEE S . Ste.
Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans with isometric o
180 days after it has been accepted as complete. riser diagram for plan review. 3 n
•Fee methodology set by Tri Building Industry Service Board.
i :\Dsts\Permit Forms\PlmPerrnitApp.doc 01/03
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
RECEIVED
AUG 1 u 2004
PLUMBING EXPERTS INC
11925 SW PARKWAY _ OF TIGARD
PORTLAND, OR 97225 -5413 UILDING DIVISION
Plumbing Signature Form
Permit #: MST2003 -00327
Date Issued: 8/5/2004
Parcel: 1 S133AC -10800
Site Address: 10945 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 026
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 34-391PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X ,i/a7-
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 -00327
Date Issued: 8/5/2004
Parcel: 1 S133AC -10800
Site Address: 10945 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 026
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
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Signature of Supervising Electrician
If you have any questions, please call 503.718.2433.
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® I, CSRUc� COPE , Owner /Agent for PEZEK F L. OWN et As.sece 1. 1.
. (PLEASE PRINT) (PERMIT HOLDER)
® Do hereby certify that the following location
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® meets ,City.of :Tigard gt oun
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® land use and development standards for street tree installation. •
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CITY OF TIGARD
BUILDING DIVISION — PERMIT #: MST2003 -00327
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/6/2004
I Phone: (503) 639 -4171 V
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/30/2005 TIME: 7:11AM PAGE: 30
SITE ADDRESS: 10945 SW BRIARWOOD PL CLASS OF WORK:
SUBDIVISION: HAWK'S BEARD TOWNHOMES LOT #: 026 TYPE OF USE:
PROJECT NAME: HAWK'S BEARD TOWNHOMES
DESCRIPTION: New SFA dwelling.
OWNER: AUTUMN PARK TOWNHOMES, LLC, PHONE #: 503- 233 -0075
CONTRACTOR: DEREK L BROWN & ASSOCIATES INC PHONE #: 971 - 233.0075
Inspection Request Scheduled For: Date: 3/30/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 / Final inspection 003214 -05 503 -866 -4897 N
CorreVions /Comments /Instructi ns:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 3 / 3 ° / 6 N Phone #: (503) 718-
CITY OF TIGARD m
BUILDING DIVISION PERMIT #: 0 3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 i l l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3-7 TIME: PAGE:
SITE ADDRESS: / / �2 1' f � CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #: 56 6 _ f 9
Inspection Request Scheduled For: Date: Pour Time:
Code # 199 Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
la PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / LAM��vl/ / Date:3 ✓ ( )
Y � Phone #: 503 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2003 -00327
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8!512004
Phone: (503) 639 -4171 AI'vlWilit
Inspection Requests (24 Hrs.): (503) 639 -4175 1!.
INSPECTION WORKSHEET FOR DATE: 3/23/2005 TIME: 7:08AM PAGE: 74
SITE ADDRESS: 10945 SW BRI ARWOOD PL CLASS OF WORK:
SUBDIVISION: HAWK'S BEARD TOWNHOMES LOT #: 026 TYPE OF USE:
PROJECT NAME: HAWK'S BEARD TOWNHOMES
DESCRIPTION: New SFA dwelling.
OWNER: AUTUMN PARK TOWNHOMES, LLC, PHONE #: 503 - 233-0075
CONTRACTOR: DEREK L BROWN & ASSOCIATES INC PHONE #: 971-233-0075
Inspection Request Scheduled For: Date: 3/23/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 002557 -06 503-866-4897 N
Corrections /Comments /Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (l'.c V Lni Date: 3-23 "v Ph one #: (503) 718- 2 �" �` r
CITY OF TIGARD Vfl s
BUILDING DIVISION PERMIT #: aO 3—,ao 3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 Aft,
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: "S _ TIME: ft m' , PAGE:
SITE ADDRESS: / C t i S y � CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #: $c2 - cts'
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
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Corrections /Comments /Instructions:
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$.ASS 111 PARTIAL APPROVAL El CANCEL El NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Ins ector: 9 Date: hone #: (503) 718 -