Loading...
Permit 4. , ' , CIT ^ O F TIGARD MASTER PERMIT PERMIT #: MST2003 -00321 #1'. DEVELOPMENT SERVICES DATE ISSUED: 7/28/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10950 SW BRIARWOOD PL PARCEL: 1S133AC -10200 SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25 BLOCK: LOT: 020 JURISDICTION: TIG REMARKS: New SFA dwelling. BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 32 FIRST: 108 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 636 sf GARAGE: 536 sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 TIU20: 709 sf RIGHT: VALUE: 149,008.40 OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 1,453 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: 3 CLOTHES DRYER: 1 LPG FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 2 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- 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: $ 6,212.45 AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES IN-- permit is subject to the regulations contained in the rd 9500 SW BARBUR BLVD., STE 220 4949 SW MEADOWS RD SUITE 400 I and all Municipal el Code, laws. of l work Specialty il e o ne i n PORTLAND, OR 97219 LAKE OSWEGO, OR 97035 acc rd ra cer applicable ed p. Al. work 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 #: 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 Insp Mechanical Final Footing Insp Electrical Rough -in Gas Line Insp Firewall Insp Water Service Insp 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 : 7) 2 Permittee Signature : ,...1.0 \p,0 Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day ' 1� -� FOR OFFICE USE ONLY 1 wilding Permit 1 R eceived ®„ o wilding ,t� - DateBy: 4/ /. f Permit NoaSfol i) 61'0. n2/ City of Tigard 'JUN 2 7 2003 Planning Approval Date ot Date/By: Permit No. "t)s/l: ®-y' -,> 4 .2-5� 13125 SW Hall Blvd. CITY OF TIGA " ■ Plan Review ? other Tigard, Oregon 97223 BUILDING DIVI •r • Date/By: q '2 7 ' U J /�S{ Permit No.: Phone: 503 - 639 -4171 Fax: 503 -598 -1960 r i §' l l ' I� Post Date/By: - Review Land Use Internet www.ci.tigard.or.us 'V W' e ---' Contact Ju See Page 2 for 24 - hour Inspection Request: 503 639 - 4175 Name/Method: /� ® Supplemental Information E OF WORK TYPE : REQUIRED DATA:'":'''.:::: ' jaNew construction ❑ Demolition 1 8i 2 FAMILY DWELLING . • ❑ Addition/alteration/replacement ❑ Other: CATEGORY OF CONSTRUCTION " -V - . - Note: Permit fees* are based on the total value of the work performed. Indicate 'r * ( & 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 li Multi- Family ❑ Master Builder ❑ Other: Valuation $ i J 1 a(o • jo No. of bedrooms: .3 No. of baths: ::::::::5:::',40B SITE INFORMATION LOCATION Total number of floors Job site address: vq� Pef�c� New dwelling area (sq. ft.) 11(a Suite #: Bldg. /Apt. #: Garage/carport area (sq. ft.) 4 Project Name: R44 ICS , €AA 1770-114‘444.46$ Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) SW I.&,•r, /h/f-i-We Alb S.1J. g.tt4ra BC Other structure area (sq. ft.) Sift .. - _ :,... REQUIRED'DATA :: �_ ::- ,= COMMERCIAL - :USE CHECKLIST : :` ` ... V. : . Subdivision: (.11k(C KEA4 Ta-4 Lot #: ?.a . 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. CO4Si" RUX:r of NF.LJ 3 sro2.1 Tai r 7 3 , E � C / 48) Valuation S Existing building area (sq. ft.) New building area (sq. ft.) Number of stories 3 O PROPERTY.:..OWNER'... - f..::': -1•.0 TENANT - -• Type of construction V N Name: Al�)rn J P/gK �k-(f` - , L.L.C. •. . Occupancygroup(s): Existing: R-3 Address: gSoo S W 2itegute, & b Cu Of Z2. ) City /State /Zip: "Poen,A7A. , 0 2 9 219 Phone: 660 F12$1S Fax :(503) Pf12-80,4( NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under . sir APPLICATcr . . • : : -D..CONTACT PERSON :.:: ' :. provisions of ORS 701 and may be required to be licensed in the Business Name: bEieEK L, . e /ISamtiS / (4. • jurisdiction where work is being performed. If the applicant is exempt Contact Name: rylAe K (4A -ftl io 02 eta Pedwz- from licensing, the following reason applies: Address: gStb S J Cite114,te. rut41. Su (7* 220 City /State /Zip: Ng... u Oil QZ 7a9 Phone:(593��2 1 Fax:(5O3j 2-6e ( _ .... .. : •13UILDINGPERMIT *` - E -mail: r+-oarK4 d1 btoun 4SSVC.,COft - Please. refer to Tee, FChedule.e::: �':•CONTRACTOR Business Name: 'beat L. (2aic iN Y /gol'lkilES lAJG, Fees due upon application $ Address: `KW SW g /it em_ gLVb j SU iNc ZZO City /State /Zip: lbl2rijo. oe 9-1211 Amount received $ Phone:( \ 892-8'1' ( Fax: 5 2-8041 Date received: CCB Lic. #: 91 Authorized / . /� Notice: This permit application expires if a permit is not obtained within Signature: e /V `/ Dale: "T I 180 days after it has been accepted as complete. / t iA 2) ) *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) i :\Dsts\Permit Fotms\BldgPermitApp.doc 01/03 • A 2 )1 E Q a o n FOR OFFICE USE ONLY Electrical Per 111111 P P Received Electrical JUN z 7 2003 Date/By: Permit N0.11,57;0 - ®4r g4/ City of Tigard Planning Approval Sign CITY OF TIGARD Date/By: Permit No.: 13125 SW Hall Blvd. BUILDING DIVISION Plan Review Other � U Tigard, Oregon 97223 Date/Bv: Permit No.: Phone: 503- 639 -4171 Fax: 503-598-1960 h.,_ ,,, t Post-Review Land Use t': Contact Case No.: Internet: www.ci.tigard.or.us _ Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 503 -639 -4175 - - - -- Name/Method: Supplemental Information. TYPE OF WORK PLAN REVIEW (Please check all that apply) • ,New construction ❑ Demolition ❑ Service over 225 amps- ❑ Health -care facility commercial ❑ Hazardous location ❑ Addition/alteration/replacement ❑ Other: fig 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 a1 & 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: I 0clip EQ( b PL-CF FEE* SCHEDULE Suite #: B1 g. /Ap - t. #: _ I Number of inspections per permit allowed Project Name: ../-1,041A/VS ' �- { QW/�l'.0M 5- De I Qty I Fee (ea.) I Total I New residential - single or multi- family per 1 Cross t J --« 4 s eet to job site: , \ s L N-) dwelling unit. Includes attached garage. 5 vJ /d ) /' h� Service included: d Each additional ft. or less k 145.15 17. 15 4 6 ,9YZI-C.Ir Each additional 500 so. ft. or portion thereof ` 33.40 g3,e{D I Limited energy, residential l 75.00 'lrj ,M 2 Subdivision: 1-1A4.14 761444606 Lot #: 2.0 Limited energy, non residential 75.00 2 Tax map /parcel #: Each manufactured home or modular dwelling - DESCRIPTION OF WORK service and/or feeder I 90.90 2 Services or feeders - installation, ( 4S -CT C I o\1E J 3 .Crage alteration or relocation: Q , v "� r �(. N l CV✓6C I''cZl Z �ltcc.I ! „ - 200 amos or less I. 80.30 G .50 2 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 }PROPERTY OWNR. "1' ❑ TENANT: _:...:.. . 601 amps to 1000 amps 240.60 2 � - � Over 1000 amps or volts 454.65 2 lame: AerV Vt t4 19/972.K TOvJNJ{40wIES LL-C, Reconnect only 66.85 2 Address: ci gue_ gL' ., Sit i - 22Z Temporary services or feeders - installation, Q alteration, or relocation: City /State /Zip: Fbert %) Oe. qZ 2 i 9 200 amps or less 66.85 1 Phone (�3 )$12 -&'7 Fax:(��,592 �8'-1( 201 amps toaooamps _ 100.30 2 tf 401 to 600 amps 133.75 2 . 3ZAPPL ANT' : : ' ..7. .- :: ❑ CONT CT PERSON= - = - Branch circuits - new, alteration, or Name: - Ieregt1. L. P J'J t SSva s, 1 " • extension per panel: �SC SA) o' ) A. Fee for branch circuits purchase of Address: Y e hL \ SU Clf ZZO service e or feeder r fee, ee, each eacch branch circuit 6.65 2 City /State /Zip: er t, , GQ, .9-7z1 9 B. Fee for branch circuits without purchase of 8 I �p �Q service or feeder fee, first branch circuit 46.85 2 Phone: Cs )0'42_815e Fax: ( a2'j Z u/ L� / Each additional branch circuit 6.65 ,_ 2 E -mail: W1 G.I' K 4.. d 1 tr a t.,J.JeLcs , CO - Misc.(Service or feeder not included): 2 Each pump or irrigation circle 53.40 r;':;f: i =r-:- _ :r' __ CONTRACTOR , - _ . -- Each sign or outline lighting 53.40 2 Electrum Inc Signal circuit(s) or a limited energy panel, or extension Paget 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 lnvesngation fee: Ir CCB Lic. #: Other. Lic. #: - ... • Y . Electra ai Permit:Eees* .., _ - ._ - - - ., � Supervising electrician Subtotal S � 3 ,85 signature required: Plan Review (25% of Permit Fee) S )' , ` 0 Print Na I Lic. #: State Surcharge (8% of Permit Fee) S 2 0 , e i TOTAL PERMIT FEE S �F�4. Authorized /' Notice: This permit application expires if a permit is not obtained within CJ 'e Signature: (/ l D ate: '1, ( 1 � 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. i / IL IQ . Se4 (Pleage print name) • i :\Dsts\Permit Forrns \ElcPermitApp.doc 01/03 • FOR OFFICE USE ONLY �/ 1Vtech aIIieal Permi._;,�! • _!�� :, Received Mechanical ,��yy �, r Date/By. Permit No.:eigtAni'm3.2/ Planning Approval Building City of Tigard JUN 2 7 20! Date/By: Permit No.: 13125 SW Hall Blvd. Plan Rene" Other Tigard, Oregon 97223 CITY OF TI Date/By: Permit No.: RD Post - Review Land Use Phone: 503 - 639 -41 Fax: 5033@at�11QG 0 �r •'t A Post -R y: Case No.: Internet: www.ci.tigard.or.us �jt �:'��1 Contact ]uric.: 121 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 mechanical materials, equipment, labor, overhead and profit. "• CATEGORY OF CONSTRUCTION. 0'1 & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule ❑ Accessory Building El Multi- Family I RESIDENTIAL EQUIPMENT /SYSTEMS FEE' Description I Qty I Fee(ea.) I Total El Master Builder ❑ Other: Heating/Cooling • JOB SITE INFORMATION and LOCATION •• Furnace - add-on air conditioning ** 1 14.00 14, Job site address: /0.750 fit /g2 ./SIO/' PG , Gas heat puma 14.00 Suite #: Bldg. /Apt. #: Ductwork I I 14.00 t'(."' W igIMb -- Io Hydronic hot water system 14.00 Project Name: W Ol/� �S Residential boiler Cross street/Directions to job site:, (for radiator or hydronic system) 14.00 SUL) 150 1 '` f}i/ UE 5W des" Unit heaters (fuel, not electric) - gE I S47'2661-- (in wall, in -duct, suspended, etc.) 14.00 Flue/vent (for any of above) 1 10.00 10 . °7 Repair units 12.15 Subdivision: ,1-/i4G(/KS ����D Lot #:,...i0 Repair Fuel Appliances Tax map /parcel #: Water heater I 10.00 10.' • DESCRIPTION O p F WORK - • Gas fireplace 1 10.00 10. °i' Cot - e c ,(u` ri) OF Ate(A) 3 S oet_i Flue vent (water heater/gas fireplace) Z., 10.00 2!7 • �o -ro w J ,ita PeoJ ( 146 S) Log lighter (gas) 10.00 Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner/flue/vent 10.00 PROPERTY OWNER I' 0 TENANT Other. 10.00 Name: ¢}1JrV ivi 4 (MK T We►/4vm E s LLG Environmental Exhaust & Ventilation Range hood/other kitchen equipment 1 10.00 10 . ' Address: ( 3 � 0d Sh/ vehie / Si 17'( Z Zv Clothes dryer exhaust I 10.00 D. ° O City /State /Zip: Po2TLAD de C112 l Single duct exhaust Phone:So3) 8412.-8158 I Fax: (5) �) 89 Z- 884( (bathrooms, toilet compartments, - C$APPL CANT 0 CONTACT PERSON utility rooms) 3 6.80 20 .4° � EeL( 4. g( 201 .�^� 8 � ieE ! ' C , Attic/crawl space fans 10.00 10.00 Name: Other Address: Q SLAP 4Z,&IL retilb v ZZ) Fuel Piping City /State /Zip: `P ?Z4' g►2 9 - j'LICf * *(55.40 for first 4, S1.00 each additional) Furnace, etc. I .. Phone:(503) 2 i2 -8'158 Fax: So3�>= A2 -�Ge�( Gas heat pump •• E -mail: r►vprLC 0 d 1 broc..wio_ QUc . C17n -1 Wall /suspended/unit heater ** CONTRACTOR • Water heater I " Fireplace I '" ' FORECAST HEATING & AIR CONDITIONING Range " 17135 NE GLISAN ST BBQ r• PORTLAND OR 97230 Clothes dryer (gas) CC B: 152194 Other. Total: 3 5, 40 Mechanical Permit Fees* Authorized Subtotal: $ I Z 3. ( AO //, ! // 11 f Date: �& ©5 Minimum Permit Fee $72.50 $ C R CL� OA � Plan Review Fee (25% of Permit Fee) $ ?S , g5 (Please print name) State Surcharge (8% of Permit Fee) $ h .1 TOTAL PERMIT FEE $ 10 4 .425 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 1SullalAb r LXIALIC, " • Plumbing Permit • Q gle FOR OFFICE USE ONLY Ac ® DateBy: eB Date/By: Plumbing ` Permit No.: / f J7 9I 3,,,y City of Tigard Planning Approval Sewer Date/By: Permit No.: 13125 SW Hall Blvd. JUN 2 7 ;0 Plan Review Other 72 9 Oregon Tigard, Ore 23 - Date/By: Permit No.: Phone: 503-639-4171 on 9722 Fax: 503 '.AR Post - Review Land Use 1 rTI/ s- " Date/By: Case No.: Internet: www.ci.tigard.or.us ■ !1 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) rsi New construction ❑ Demolition Description I Qty. I Fee(ea.) I Total ❑ Addition/alteration/replacement ❑ Other: New 1- & 2- family dwellings CATEGORY OF CONSTRUCTION (includes 100 ft for each utility connection) SFR (1) bath 249.20 I & 2- Family dwelling ❑ Commercial/Industrial SFR (2) bath t 350.00 15o, 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 - sa. ft.: Page 2 Job site address: j oq 5 I SRA g- UJO-0 P PC-- Site Utilities Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60 Project Name: N, 4i tJ Kc - E,CA-2> -raw f4 po Wllr S DrywelUleach line trench drain 16.60 Footing drain (no. linear ft.) Page 2 Cross street/Directions to job s Manufactured home utilities S51,1/4 l .;0 f�1/F��G t 1 10.00 S.19. � Manholes 16.60 36 g( t Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Page 2 Subdivision: NAA/K 5 L A->e) Lot #: 2 0 Storm sewer (no. linear ft.) Page 2 Water service (no. linear ft.) Page 2 I Tax map /parcel #: . . Fixture or Item .: - • DESCRIPTION OF WORK Absorption valve 16.60 C akS leLAC.'RCP OF I'•lEIA) S S � C .l Backflow preventer Page 2 - - & w- P E % () 4(. S(,1 -i2#) Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 ••E"PROPERTY'OWNER 1 - D TENANT • - Ejectors/sump 16.60 Name: .rg tyro Wl f) f), 412.K T vJN f1c44 es 1 L 1..C. Expansion tank 16.60 Address: q SCo .5v/ EAye.gje CiLA. , stiti Z20 Fixture/sewer cap 16.60 City /State /Zip: f oeTLAriD 02 q-12161 Floor drain/floor sink/hub 16.60 Garbage disposal 16.60 Phone {503 )6 SI 5o I Fax: Csc)3� 892- Seal I Hose bib 16.60 ;APPLICANT.• :. : :� ::D CONTACT PERSON!.. -- - Ice maker 16.60 Name: V L. Qp_o S /KSOCIM'`ES ('J(, Interceptor /grease trap 16.60 Address: 9503 S>.J g4 gtire... gu1At Su at 2ZcJ Medical gas - value: $ Page 2 Primer 16.60 City/State/Zip: a72t(Jts CIt? d 7 Z 1 Roof drain (commercial) 16.60 Phone:3) &2- 6756 Fax(-8&E Sink/basin/lavatory 16.60 E -mail: W1A4,1L. t di taiYibirlacCe7 C . Ca r'N Tub /shower /shower pan 16.60 CONTRACTOR -:: . • .: - • •. Urinal 16.60 Water closet 16.60 PLUMBING EXPERTS INC Water heater 16.60 1 1925 SW PARKWAY Other. PORTLAND OR 97225 -5413 Other: 503- 469 -0443 • -- .- -Plumbing Permit Fees* ..: __= ": CCB: 149035 PLM: 34-391PB _ Subtotal $ 3 S 0.c° Minimum Permit Fee 572.50 $ Authorized Residential Backflow Minimum Fee $36.25 Signature: / L.. i ate: kk /0� Plan Review (25% of Permit Fee) $ €51.5 - _� r i P U C E_ C. 6/ State Surcharge (8% of Permit Fee) S . S . ° (Please print name) TOTAL PERMIT FEE S 4 O (o S. SO 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\Permit Forms\PlmPermitApp.doc 01/03 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 > IMPORTANT PERMIT NOTICE JUL 2004 PLUMBING EXPERTS INC CITY OF'i IGAI1D 11925 SW PARKWAY BUILDING DIVISION PORTLAND, OR 97225 -5413 Plumbing Signature Form Permit #: MST2003 -00321 Date Issued: 7/28/2004 Parcel: 1 S133AC -10200 Site Address: 10950 SW BRIARWOOD PL Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 020 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 ' / /4/1 Signature of Authorized Plumber If you have any questions, please call 503.718.2433. A4672 cx 3 ( ® ® 1 TREE 1 IS 44 It' 44 is 44 iN\ Is ' 44 Is STREET ,.. , ® I, [3PUC 0 d' , ® wner/ ° gent for PE PE L . 13{39w1V 4' ,4.$ t . (PLEASE PRINT) (PERMIT HOLDER) 44 Is 41 Is ® Do hereb,. " . tJ =f . ` R s o ` el 4 )' 1 g location ® 44 meets '; t� , o ard' a�s • on ounty ti ® land use and development standards for street tree installation. 1 i it I . 0. ® ADDRESS: /O9'5 - 0 SGt) I /AeWth4Q P(. IS 44 Ot• 41 It■ ® LOT: o . 2 - 0 SUBDIVISION: / 4 G t / X 5 1 4 P Is .® It- ® BY: c,2� DATE: / / Ps 44 Pr. ® RECEIVED BY: DATE: Ito A VVVVVVVVVVV®®®®®®VVVVVVVVVVVV ®®®®®®®®®®®®®®®®®®®®®®®®®®®®®®N CITY OF TIGARD 24 -Hour BUILDING - Inspection Lin& (503) 639 -4175 MST 3 -6632 I INSPECTION DIVISION Business Line:. (503) 639 -4171 BUP Received Dat Requested / V AM PM BUP Location" 7�57) o'D7/ Suite MEC Contact Person Ph ( ) to R9 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: 'Fi4 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 ( MECHAN Post- & - Bea i Rough -In Gas Line Smo Dampers nal ART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call for reinspection RE: fl Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date / 14 S 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 Z.D03 _3 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 3 AM PM BUP Location /b 9 D Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling 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 • RT FAIL LECTRI L Service • Rough -In UG/Slab Low Voltage Fire Alarm a ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S PART FAIL SITE ❑ Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA Date , ✓ Approach/Sidewalk Inspector Ext Other: Final DO NOT REMOVE this Inspection record f m th ob site. PASS PART FAIL