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Permit • I , , . I , , CITY OF TIGARD MASTER PERMIT PERMIT #: MST2003 -00322 1, DEVELOPMENT SERVICES DATE ISSUED: 7/28/2004 °�I - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 10960 SW BRIARWOOD PL PARCEL: 1S133AC-10300 1 SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25 BLOCK: LOT: 021 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 TKR 709 sf RIGHT: VALUE: 149 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 BOIUCMP < 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 FOR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 2 201 • 400 amp: 201 - 400 amp: 1st V100 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 REVIEWSECT1ON 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: 0TH: BOILER: HVAC: LANDSCAPEIIRRIG: 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 This permit is subject to the regulations contained in the 9500 SW BARBUR BLVD., STE 220 4949 SW MEADOWS RD SUITE 400 i MMunicipal pal Code, S of il l b be e y done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. Phone: 503 - 892 - 8758 Phone: 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 lnsp Plumbing Top Out Shear Wall Insp Storm drain insp Plumb Final Sewer Inspection Electrical Service Framing Insp Exterior Sheathing Ins Water Line Insp Mechanical Final Footing Insp Electrical Rough -in Gas Line lnsp Firewall Insp Water Service lnsp Building Final Foundation lnsp Mechanical Insp Gas Fireplace Gyp Board lnsp Smoke Detector Slab lnsp Low Voltage Insulation Insp Rain Drain lnsp Electrical Final Issued By : , Permittee Signature : _S (' T ,n Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day '�� FOR OFFICE USE ONLY huilding Permit A�b ® Received „��4 [ Building , v q r Date/By: w ,%” i ®' Permit No.:/'i'S,t 73_1' °. V ' City of Tigard JUN 2 7 200 Planning te /Bv: provai Other �,� Da Permit No.crlU�akG'2 /f,, ISA 13125 SW Hall Blvd. CITY OF TIG . • D Plan Revi Other Tigard, Oregon 97223 ll ''�� NN��; DaDate/By: � 7 — � �� �� Permit No.: Phone: 503 - 639 -4171 Fax: 50 ,,'' S9sQ�b� DI 4 l'� 1 '1 Post - Review Land Use --a e `' I I Date/By: Case No. Internet, www.ci.tigard.or.us �� ^ - Contact Jusis : - ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Method: . d Supplemental Information TYPE OF WORK REQUIRED DATA:' : New construction ❑ Demolition • 1 8i.2 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 ❑ 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 $ C IE3 J 1 a(o • °D ..-' -: SITE INFORMATION and LOCATION •• - No. of bedrooms: 3 No. of baths: Z Job site address: 10 S(tO g(L/,4rt.e/ Ac.A4— Total number of floors New dwelling area (sq. ft.) ILTCae Suite #: Bldg. /Apt. #: Garage/carport area (sq. ft.) 4E34 Project Name: I444 ACS 'QE Tc.•lt I4, t Covered porch area (sq. ft.) Cross street/Directions to job site: ^ - \ Deck area (sq. ft.) Skl I So Iv- /h/� ,4 E . s.w. {� BEAD Other structure area (sq. ft.) Srif3r; - :,: REQUIRED DATA :. _ - : /' COMMERCIAL = :USE.CHECKI:IST - Subdivision: .4• It (EA -taw Lot #: Z ( . - 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. Ce4sreucrcrl of NELJ 3 sro2.1 ToAti NC1wlf- 0,ecX"; (/4-0Y) Valuation S Existing building area (sq. ft.) New building area (sq. ft.) Number of stories 3 : PROPERTY:OWNER'=::- ..-. • •f ..0 .TENAPIT• - - Type of construction V N • Name: ALTnrni ni P/ig K 761,4,41.491146 ; L.L.• Occupancy group(s): Existing: R-3 Address: 950 S aJ e gUle- &rn SU 0+ 22.e) City /State /Zip: 'Poer7 t'J , 02 97 219 Phone: 601) 682 -$7SS Fax :6o3) e2.4I NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under . fir APPLICANT.; -- =:•',."-T.:: , - , - : [j:-CONTACT PERSON-..::;:? -: provisions of ORS 701 and may be required to be licensed in the Business Name: 'EieeK L .3r2ot.1,4 a AS oOk f / (4. . jurisdiction where work is being performed. If the applicant is exempt Contact Name: rYlAe K (41-1.1Sao G2 etc.t PeA,0Z from licensing, the following reason applies: Address: gstp Shlf I Su (zt 224 City /State /Zip: Novh.t6 02 q z 2t t Phone:KA)S 2 -6 Fax:603ject2-6e ( • BU>I.uirtG , pExlvnT ES - ;__ _ ... -. . E -mail: (na r Kq..di brot)n ASSOC. , Cvi► -► - ;i'•,: - .. .i, : . - •�Pleaserefei_�to °feu: schi:dtile ;��:• - .- -, . - . .•CONTRACTOR _ , - .. . Business Name: �EQ,EC L. 0....4..) A' & JI49'6 " ' Fees due upon application s Address: c i SW gAQ,(un2 gLVb Stir t ZZO City /State /Zip: Rber1Jk-A.) Q2 - 1 Z izi Amount received $ Phone:( \ 692 ( Fax: 5 l Date received: CCB Lic. #: . e699 Authorized �'' cc Notice: This permit application expires if a permit is not obtained within Signature:: �i , �!c , 1 Date: w 180 days after it has been accepted as complete. y� (/ - ( C /r I `t �N *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) i :\Dsts'Permit Forms\BldgPermitApp.doc 01/03 • ' El e ctrical Permit firED FOR OFFICE USE ONLY Received Electrical Date/By: Permit No.:1V,r'.- „ 9 .0p__-',..,-?_?, City of Tigard Planning Approval Sign JUN 2 7 20! Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 CITY OF TI • RD Date/By: Permit No.: Phone: 503- 639 -4171 Fax: 503iget tiNG D i , Post- Review L and Use Internet: www.ci.tigard.or.us I Contact Case No.: ■ ell I Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 503- 639 - 4175 ''" Name/Method: Su . lemental Information. - TYPE OF WORK • • PLAN REVIEW (Please check all that apply) I ANew construction ❑ Demolition ❑ Service over 225 amps- ❑ Health -care facility commercial ❑ Hazardous location ❑ Addition/alteration/replacement ❑ Other: 4 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 Erl & 2- Family dwelling I ❑ 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 ENFORMATION and LOCATION I Submit _ sets of plans with any of the above. . nt r The above are not applicable to temporary construction service. Job site address: Q gob Be (/mac xy�' � P/. FEE *" SCHEDULE Suite #: Bldg. /Apt. #: Number of inspections per permit allowed Project Name: , 4 4S C {A ,---/- O w l4-FonYE S Description I Qty I Fee tea.) I Total I I New residential - single or multi - family per 4 Cross street/Directions to job sit , \ s ' �/rti" L � . / dwelling unit. Includes attached garage. x/ {wr A v e d ' n" 4 h . � /' Service included: 1000 sq. iti or less E 145.15 ( "17. 1 5 4 Each additional 500 sq. ft or portion thereof ` 33.40 g3,40 I I -'t4 &2P ' j n' z ( Limited energy, residential l 75.00 1C j ,M 2 Subdivision: v 1; ' J t/ r"F' Lot #: Limited energy, non residential 75.00 I 2 Tax map /parcel #: Each manufactured home or modular dwelling - - DESCRIPTION OF WORK . service and/or feeder I 90.90 2 � C Services or feeders - installation, thJ CF OlEeJ 3 .5,2 alteration or relocation: —77)G) . / I / . � 1 , t t 200 am or less I. 80.30 2:0 .50 2 mil. t i `CWIG �•I 201 1 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 PROPERTY: UWN R:..:..�.' ( := ❑TENANT.: - -- - 601 amps to 1000 amps 240.60 2 Over 1000 amps or volts 454.65 2 1�'ame: . O�v4 PAT1K TdvJt..) lonneS L1 Reconnect only I 66.85 2 Address: c1560 Ski gAe.gue- gL-1 si i7c. 22Z Temporary services or feeders - installation, alteration, or relocation: City /State /Zip: ( rz rL,4, , 012. 219 200 amps or less 66.85 1 Phone4,6c) 8 6 _42 —al ca Fax:(S 59 2- / 084i ( 201 amps to 400 amps 100.30 2 133.75 2 APPL ANT ; AN' � =;` `; : ❑.CONY CT PERSON -= 401 to 600 amps Branch circuits - new, alteration, or Name: l ozztG L. e it.S iCi es 1 / "X. . extension per panel: of Address: 9SCO 61-pjUl� RL\ b 5UIN Z20 A. Fee ic branch circuits each purchase ui service or feeder fee, each branch circuit 6.65 2 B. Fee for branch circuits without purchase of . City /State/Zip: �j G12 9-7 2 service or feeder fee, first branch circuit 46.85 Phone: 6, -8 t5S Fax: 503j S92 -8E4/ Each additional branch circuit 6.65 2 M isc.(Service or feeder not included): E -mail: ran. a. d l two r�J.JcL�Soc , con -� 2 ' -: � CONTRACTOR •.- Each Pm++P or irrigation circle • " :, r.: • •- Each sign or outline 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 any of the above: 503- 361 -1256 Per inspection per hour (min. I hour) 62.50 CCB: 116453 ELC: 24 -353C SUP: 2919S Other . CCB Lic. #: 1 Lic. #: '....•::.;:-:..•:,: ::.:::. z_: ...: Electrical :Pcitiilt:Eees" ;`,`;•t:P.: �'c;;:.:.; _:... Supervising electrician Subtotal S b5 signature required: Plan Review 25% of Permit Fee)RVIi:MIll Print Na' e: ,, I Lic. #: State Surch. :e 8% of Permit Fee) EjIIIIMNIMM TOTAL PERMIT FEE 5 • • ' . D Authorized Notice: This permit application expires if a permit is not obtained within �r Signature: Date: 4( 180 days after it has been accepted as complete. *Fee methodology set by Tr-County Building Industry Service Board. A t Ai , pt-k) (Pleak print name) • is \Dsts\Permit Forms \ElcPermitApp.doc 01/03 FOR OFFICE USE ONLY ' . - 'Mechanical Per n • Received Mechanical Date/Bv. Permit No.: S C .. ° Ci e Planning Approval Building ' City of Tigard JUN 7 2003 Date/B, PermitNo.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 CITY OF TIGAR 4i Date/By: Permit No.: $ ¢�II1�R�IV1 Post - Review Land Use Phone: 503- 639 -4171 Fax: „, , l � Date/By: No.: Internet: www.ci.tigard.or.us , e . Contact luris.: See Page 2 for - 24 -hour Inspection Request: 503- 639 -4175 - Name/Method: Supplemental Information. TYPE OF WORK .. . ••' COMMERCIAL FEE* SCHEDULE - USE CHECKLIST . ,gNew construction ❑ Demolition Mechanical permit fees* are based on the total value of the work performed. Indicate the value (rounded to the nearest dollar) of all El Addition /alteration/replacement ❑ Other: - CATEGORY OF CONSTRUCTION. mechanical materials, equipment, labor, overhead and profit. Page 2 for Fee Schedule H '1 & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Pa g ❑ Accessory Building El Multi - Family 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** I I, 14.00 14, ix) Job site address: / 09 (P0 Z$R /A-- (t)60.) PC- . Gas heat pump I 14.00 Suite #: I Bldg. /Apt. #: Ductwork I 14.00 (t{."' �KS"g � .ro H OVE -05 Hydronic hot water system 14.00 Project Name: Residential boiler Cross street/Directions to job sit (for radiator or hydronic system) 14.00 SU) j TK / ` ✓ 6 � 4 A - v ) e 5 Unit heaters (fuel, not electric) -Em smacer (in wall, in -duct, suspended, etc.) 14.00 Flue/vent (for any of above) 1 10.00 to.- p Repair units ] 2.15 Subdivision: H/4 WA/5 9Al`" Lot #' Z / Other Fuel Ap liances Tax map /parcel #: Water heater I 10.00 I Id•' DESCRIPTION OF WORK Gas fireplace 1 10.00 LO.A' C / Tr&LG77c Q - ge(A) 3. S- ti Flue vent (water heater /gas fireplace) I 2- 10.00 20 •' -1,4A 7 1, Pe / ` 4 ( s) Log lighter (gas) 10.00 t s) Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner/flue/vent 10.00 PROPERTY OWNER -- ; I (]-TENANT - -. .. Other: 10.00 Environmental Exhaust & Ventilation �� ar Name: jTUrni 2KT W�l{OwtES Ll.0 Rangehood/otherkitchenequipment I 10.00 Address: (304 SN/ i &IA i SJ Ix. 2 w Clothes dryer exhaust I 10.00 (o. °O City /State /Zip: Poe - rtAA de Q-7 2 l q Single duct exhaust Phone: { 503 8 —B 7 8 I Fax: (5)3) 89 2-- 884( (bathrooms, toilet compartments, • [APPLICANT . • 0 CO NTACT PERSON utility rooms) 3 6.80 20 .4 Name: 1>E€1,<- 4. ogaocApJ b L4-SS m-r'Es, NBC • AtticJcrawl space fans 10.00 Other 10.00 r. Address: Q 7Azet (J Sthrk. 22e Fuel Piping City /State /Zip: ` oo- bd)) ( -] 2-19 ••(55.40 for first 4. $1.00 each additional) Furnace, etc. I . Phone:(So3) 2?2 -S1 S Fax: �3,QA2 -0e1 ( Gas heat pump ._ •• E -mail: yvvez- C a di brdcJftc c C : CaM Wall /suspended/unit heater " CONTRACTOR Water heater I "' Fireplace I ` .. FORECAST HEATING & AIR CONDITIONING Range 1 7135 NE GLISAN ST BBQ PORTLAND OR 97230 Clothes dryer (gas) _ «* CCB: 152194 Other: Total: 3 5,17 Mechanical Permit Fees* Authorized 7 if , � /Z 0/a f Subtotal: $ I 2.3.430 Signature: ) / � i(.�.(L ( .// Date: Minimum Permit Fee $72.50 $ • (3 0 PVCE Ce NE- Plan Review Fee (25% of Permit Fee) S 3O , grJ (Please print name) State Surcharge (8% of Permit Fee) $ . 1 TOTAL PERMIT FEE $ 10 i , (05 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 1iu11Qllg r ',Atli! . Cb � s� ,t■ n ' ' r 1�1'mb)�n�• r' tion Received FOR.OFFICE USE ONLY Plumbing Date/By: Permit No. /Sf .O VA, 2 Planning Approval Sewer City of Tigard SUN �' 2003 Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 CITY OF TII v ID AFFI Date/By: Permit No.: Phone: 503 639 - 4171 q = 598 - i T6b Post - Review Land Use � � Date/By: 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 • FEE* SCHEDULE (for special information use checklist) Ef New construction ❑ Demolition Description Qty.) Fee(ea.) ) Total ❑ Addition/alteration/replacement ❑ Other: I New 1- & 2- family dwellings CATEGORY OF CONSTRUCTION (includes 100 ft. for each utility connection) SFR (1) bath 249.20 Er I & 2- Family dwelling ❑ Commercial/Industrial - SFR (2) bath 350.00 150 , °° ❑Accessory Building ❑ Multi - Family SFR (3) bath I 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 9 (,Q O [sit f/4(1J001) FL-- Site Utilities Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60 Project Name: HAW) k - WI 1 I WO Me c. Drywell/leach line trench drain 16.60 Footing drain (no. linear ft.) Page 2 Cross street/Directions to job silt Manufactured home utilities 110.00 SLJ 1 �c�� S Manholes 16.60 36-Ait S7 Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Page 2 Subdivision: //64(n/K 5 OEAJ) Lot #: 2_ / Storm sewer (no. linear ft.) Page 2 Water service (no. linear ft.) Page 2 Tax map /parcel #: I . - •. Fixture or Item _ . DESCRIPTI OF WORK Absorpt • va 16.60 C f)MS7 7ZL�L. ?1CP OF F' Ell1) 3, crow Q I Backflow preventer Page 2 -rOVOJ 046 P .. Ec..T' ( )1 ( S ) Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 ..0 PROPERTY'OWNER .. - -:..Q TENANT • = - • • Ejectors/sump 16.60 Name: AUTUMN PA - < T vJ 1- 10ViES LLC. Expansion tank 16.60 Address: cisco Sv1 EAtegve &.)b., stioi Z ZD Fixture/sewer cap 16.60 City /State /Zip: poem/l,.1D 02 q-iz Floor drain/floor sink/hub 16.60 C Garbage disposal 16.60 Phonek5o3, 9 S2- &l 5 C� � Fax: ( 8 9 2- SSL( I Hose bib 16.60 .;TAPPLICANT• ..,.: •::❑ CONTACT PERSON: - - Ice maker 16.60 Name: 1) K L. 62Gu/r) S AcSoClh-ii - e, iJ(i Interceptor /grease trap 16.60 Address: cl5 O 5),J l te.gi - glib, Su r€ ZZ6 Medical gas - value: S Page 2 Primer 16.60 City /State /Zip: F}J2rvt Cle 4 1 Roof drain (commercial) 16.60 Phone 3) &2- 5758 Fax(953)QN'Z- &i( Sink/basin/lavatory 16.60 E -mail: &I 1, cif betic.1na_cce C . Co r,,,N 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 Permit Fees* .:.�._s CCB: 149035 PLM: 34-391PB Subtotal S 3 5 O. ao , Minimum Permit Fee S72.50 S Authorized .---- , / / Residential Backflow Minimum Fee 536.25 Signature: t( , / _ / 6,2/a/0_3" l� Date: /Z 0 ^ Plan Review (25% of Permit Fee) S 43Z. SO eV at U �lV(� State Surcharge (8% of Permit Fee) S 2 S • co . (Please print name) TOTAL PERMIT FEE $ 4 (n 5 ! 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 �i�`�..J PLUMBING EXPERTS INC ., 202h 11925 SW PARKWAY C :TY OF TIGARD PORTLAND, OR 97225 -5413 BU;LDMG DIVIS'.ON Plumbing Signature Form Permit #: MST2003 -00322 Date Issued: 7/28/2004 Parcel: 1 S133AC -10300 Site Address: 10960 SW BRIARWOOD PL Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 021 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 -8753 Phone #: 503 - 469 -0443 Reg #: LIC 149035 PLM 34 -391 PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Sig ature of Authorized Plumber If you have any questions, please call 503.718.2433. /1/15 7C 37;2_ ® AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA ® ■ 4 • • • • • STREET TREE • • • • f? • • • • I, E VCE ,,(wn /Agent for pE12EK G L. L / wi 4SSO . • • (PLEASE PRINT) (PERMIT HOLDER) ► • , f / �, • • Do hereby .certify that th following location ■ • ■ • • meets � i_t - :1.of:•, 'i arc /Washiri ' on•Count ► 0. • land use and development standards for street tree installation. ■ • • • • • • 1 ADDRESS: /© '/60 Z.GV • /3gf4eW001) PL. • • ■ • ■ i LOT: Z I SUBDIVISION: H4itMS -FEA f2 D • -4 ■ 1 • 1 BY: D ATE: • it l0 S� • ® ► • • RECEIVED BY: DATE: V 1 Z/ 6' • • • AV VVVVvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvv,' CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST , . 2 •0 03 _6o3 ZZ INSPECTION DIVISION Business Line: (503) 639 -4171 BUP — Received Date Requested I AM PM BUP Location / 0 96n 134,6aA Suite MEC Contact Person Ph ( ) Ro 6- 1 PLM Contractor Ph ( ) SWR = i G Tenant/Owner ELC Fo • ing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation n I u ,. V 5 �� ��� (��� mom, Drywall Nailing Il Firewall LeAA.-- ‘ Fire Sprinkler Fire Alarm Q Susp'd Ceiling � y� Rdof Other: PART FAIL LITBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain • Shower Pan Other: Final PAS PART FAIL w MtraaAVICAL / Post & Beam Rough -In Gas Line See • Dampers A ra PART FAIL TRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please II for reins ection RE: ❑ Unable to inspect — no access Fire Supply Line pp�� ADA V �/ /(� C Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. I i PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 2003'o INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested AM PM BUP Location 1 96 v 6✓)244 J) e.' a Suite (y MEC Contact Person Ph ( ) W la ' 'd 9 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 A% / • 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 Othe P. S PART FAIL ECHANICAL 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: El Unable to inspect — no access Fire Supply Line • ADA Approach/Sidewalk Date /i}10 Inspector / Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Lino. (503) 639 -4175 MST 03 -6 O 3ZZ INSPECTION DIVISION Business Line: (503) 639 -4171 / BUP Received Date Requested f `— AM BUP Location /6 9! C) - Suite MEC Contact Person Ph ( ) g % '48' i PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain • Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final P SS PART FAIL AL Service Rough -In UG /Slab Low Voltage Fire Alarm S PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SI ❑ Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date 1 v Inspector w� `S� �""' Ext Other: 111 Final DO NOT REMOVE this inspection record fro the job site. PASS PART FAIL