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Permit •! . • r— di A MASTER PERMIT 1 CITY OF TIGARD PERMIT #: MST2003 -00300 w �i�� DEVELOPMENT SERVICES DATE ISSUED: 11/3/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10860 SW BRIARWOOD PL PARCEL: 1S133AC -HB016 SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25 BLOCK: LOT: 016 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 THIRD: 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 FD R: 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: EAADDL 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 0CC: 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: $ 6,072.45 AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES IN This permit is Subject to the regulations contained in the 9500 SW BARBUR BLVD., STE 220 9500 SW BARBUR BLVD #220 Ti Municipal Code, State Specialty Codes and PORTLAND, OR 97219 PORTLAND, OR 97219 all l o otd ther applicable laws. All work will be d done i 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. ATTENTION: Oregon law requires you to follow rules adopted by the Phone: 503892 Phone: 503 - 892 - 8758 Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You Reg #' L1C 58699 may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion Control Insp 8 Plm /undslb Insp Plumbing Top Out Shear Wall Insp Water Line Insp Mechanical Final Sewer Inspection Electrical Service Framing Insp Exterior Sheathing Insf Water Service Insp Building Final Footing Insp Electrical Rough -in Gas Line Insp Firewall Insp Smoke Detector Foundation Insp Mechanical Insp Gas Fireplace Gyp Board Insp Electrical Final Slab Insp Low Voltage Insulation Insp Rain Drain Insp Plumb Final Issued B .)t �(' J . �l .t1 4A-7 Permittee Signature : �QQ_ . �i Q� Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day s. N11'diIIQ Permi P FOR OFFICE USE ONLY b Received /fi / tiding • lO Date/By: Z`� /B3 4 d Permit No�.ST.. 0 3 - trio. !,j(j JUN 2 7 2003 Planning Ap ro yal Other City of Tigard Date/By: Permit No.SM/R02003 DDS, y 13125 SW Hall Blvd. CITY OF TIGARD Plan Review / ocher av t Tigard, Oregon 97223 BUILDING DIVISI Date/By: /0•Z Permit No.: Phone: 503- 639 -4171 Fax: 503 -598 -1960 it � � ll'h Post-Review Land Use www.ci.tigard.or.us s° Contact Juris.: ' El Page 2 for 24 -hour Inspection Request: 503 -639 -4175 Name/Method: pc,> Supplemental Information • .. TYPE OF WORK ._ •. .. .. � .REQUIRED DATA:' :. - .• New construction El Demolition . 1 &-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 dwellin ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, + r * am overhead and profit for the work indicated on this application. Accessory Building Li Multi - Family ❑ Master Builder ❑ Other: Valuation 9 ooV. * = SITE INFORMATION andL :: :.. - No. of bedrooms: .3 No. of baths: 2. Job site address: 10 OW 2i 4 . % Odb 71k6 Total number of floors _ 3 New dwelling area (sq. ft.) — y— Suite #: Bldg. /Apt. #: Garage/carport area (sq. ft.) S Project Name: HAW KS 1E Toy- iNf4M.ES Covered porch area (sq. ft.) i 7,&: Cross street/Directions to job site: Deck area (sq. ft.) r & SW 1 zT" AValUe APb &hl. l(itWKr 3044 Other structure area (sq. ft.) . : ; ;; REQUIRED DATA:: COMMERCIAL:- USE CHECKLI ~ _:...: °- Subdivision: I'NkS 717G, S Lot #: /to . 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, overhead and profit for the work indicated on this application. C274Si'RUC: of NUJ 3 ST 1 I'jwIE- iPQ.3.lecx (/46,5) Valuation S 1 Existing building area (sq. ft.) New building area (sq. ft.) Number of stories 3 : %P.ROPERTY:OWNER'..:.:' -1 TENANT - ..:-::-..• .. Type of construction V N Name: Atr(Lrn PArgK - r - Nta(- 1 19m6 1 L.L.G. Occupancy group(s): Existing: R -3 Address: 9'Soo SW mogul. &.i1b, SU 0 .E. Z2.) City /State /Zip: T'oetZAJ> , 02 q-7 2-19 Phone: 661j 612-61SS Fax :' 3) 0U-8041 NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under . 6ir APPLICANT. : - U CONTACT PERSON..'.:;.; : ..-.7 provisions of ORS 701 and may be required to be licensed in the Business Name: ieEK L . A c Acsaatit / ('-4 , jurisdiction where work is being performed. If the applicant is exempt Contact Name: Alit+e K (WS c4- eicr PeA+)Z from licensing, the following reason applies: Address: g2o S J 1 lkte- 13 1.11 Su I7Yc 22.0 City /State /Zip: pbe_T1 O12 q 1 I ' � Phone:( o'Syi92 -e1Sd 1 Fax:( ie°t2 1 . BUILDING: PERMIT 'FEES* :,._- 7 ,•. E -mail a r k q.. d t b n,Wt t ASSoe. , Chin _ 'Please refe :to :fee schedule:•' = "- . ... ...�:. _...., .....:..CONTRACTOR - ...: _. .. Business Name: ee L. «(2&%.4.l 4 Aget'1A9'6 1 Fees due upon application $ Address: ' x) SiJ gAme. gu b sorec ZZO City /State /Zip: rjA 3 ,, 02 9-12 Ii_ Amount received $ Phone:(53A 692-8 ZS$ Fax: 5 2.-604 l Date received: CCB Li . #: 8691 Ql /�(7 Notice: This permit application expires if a permit is not obtained within Signature: , 1 Da te: 'Tl l"� 180 days after it has been accepted as complete. M r l N' t ' iACI *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) • i :\Dsts\Permit Forms\B1dgPermitApp.doc 01/03 r,iectr Per gegivg !..1 FOR OFFICE USE ONLY : • ' Received Electrical Date/By: Permit No.: fr,2B .3'00,3 City of Tigard Planning Approval Sign JUN 7 2003 Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 CITY OF TIGAR B Date/By: Permit No.: Phone: 503- 639 -4171 Fax: �pkliM Post- Review Land Use I �UICT CJIVIS �+t�� t C Case No.: Internet: www.ci.tigard.or.us �-a r! � I� 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) • XNew construction ❑ Demolition — 0 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 la1 & 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: (OKaO 13Q(Aevf o e FEE *•SCHEDULE Suite #: Blil?. /Apt. #: Number of inspections per permit allowed Project Name: ,l-,4VJ S e -ow -ONlES Description 1 Qty I Fee (ea.) I Total I New residential - single or multi - family per • I Cross street/Directions to job site: ' \ � dwelling unit. Includes attached garage. • W 1 A V ' " ti6 � - J4� S A) Service Included: S\^ � 1000 so. ft. or less L 145.15 .1 4 Z 044 I ► Each addditional l ft. thereof � b 145. 500 so. or portion thereo 33.40 �0 I � • n 1H � 1 (e Limited energy, residential i 75.00 - 1S .co 2 Subdivision: ,l/r'a'},WI!'i} LOt #: Limited energy, non residential 75.00 2 Tax map /parcel #: Each manufactured home or modular dwelling - DESCRIPTION OF WORK - service and/or feeder 1 90.90 2 ri. f I . 1 Services or feeders - installation, ^ C� UN c F o4E, -.� 3 sr alteration on or r relocation: , ., — �/.J / l / �y� ,, t ,' 200 amos or less _ _ 80.30 _ 2 Al, � I''c71JtuA 201 amps to 400 amps 106.85 2 401 amps to 600 amos 160.60 2 ?ROPERI7' OWNR. 1::❑ TENANT. -- :.. _. 601 amps to 1000 amos 240.60 2 Over 1000 amps or volts 454.65 2 iTame: Aerv Pfrz. ' -- row JlkwlfS 1 -LC , Reconnect only I 66.85 2 Address: q5 SA) I gue- gL.h., Su » t 222) Temporary services or feeders - installation, alteration, or relocation: City /State /Zip: POIZr1}Ir'�, Ole- 91 9 ' 200 amps or less 66.85 1 Phone';) 892 -8 Fax:(Sc a9 Z-' `I I I 2011 amps to 400 amps 100.30 2 401 to 600 amos 133.75 2 XAP A NT':,:= , r :: `: ❑.CONY CT PERSODFLz!„ Branch circuits - new, alteration, or Name: 'I K L. t 4'5.1x/4 -rE5 1 nJG , extension per panel: l6W .J2AJl9i f�-� 5U17€ Z� A Fee for branch fe d with purchase circuit ui Address: service or feeder fee, each branch circuit 6.65 2 City /State /Zip: 9DerLA, , Cie_ C31'1t Cj B. Fee for branch circuits without purchase of . service or feeder fee. first branch circuit 46.85 2 Phone: (i) eA 2 -8 Fax: (So3) 892. -e64 / Each additional branch circuit 6.65 2 E -mail: vnar a. d 1 o uJ..)aSSoc , Coin Misc.(Service or feeder not included): .. _. ::'CONTRACTOR . - 53.40 2 • Each pump or irrigation circle 53 40 .. - -.:: r.: . - _�.. .._ Each sign or outline lighting Electrum Inc Signal circuit(s) or a limited energy panel, alteration. or extension Page 2 2 2050 Vista Ave #100 Description: Salem OR 97302 Each additional inspection over the allowable in any f the above: 503 - 361 -1256 Per inspection per hour (min. 1 hour) 62.50 , CCB :116453 /ELC:24- 353C/SUP:2919S Investigation fee: CCB Lic. #: Other. Lic. #: -. . . ,J::.::: • . Electrical..Pertiitt:Eees rY,kf-, - _.._.. . Supervising electrician Subtotal $ signature required: Plan Review (25% of Permit Fee) $ _- Print Name: Lic. #: State Surcharge (8% of Permit Fee) $ .1 / TOTAL PERMIT FEE S --- - -- U Authorized �' ,/ I � r ( Notice: This permit application expires if a permit is m hin Signature: t/` Date: l/` 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. tYlibt I C lki . AO se (Pleak print name) i:\Dsts\Permit Forms \ElcPenmitApp.doc 01/03 • FOR OFFICE USE ONLY .r �� M i e chanical Per ' ' .. I on Received Mechanical hi Y 1 I. DateBy: PemtitNo.�� /57r - Q ©.Sw Planning Approval Building . • City of Tigard Date/By: Permit No.: 13125 SW Hall Blvd. JUN 2 7 2003 Plan Re"1eW Other Tigard, Oregon 97223 Date/By: Permit No.: Phone: 503- 639 -4171 Fax 5 a31p9 (g6b Post - Review Land Use Internet: www.ci.ti and onus BUILDING DIVI �'I Date/By: Case ris.: No.: g ■ c. Contact Juris.: El See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Method: Supplemental Information. •: COMMERCIAL FEE* SCHEDULE - USE CHECKLIST . -.,,, . .:.. ...." :•: . c TYPE OE WORK. "': =.:: ", -..�!i H 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. Sal & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule ❑ Accessory Building ❑ Multi- Family RESIDENTIAL EQUIPMENT /SYSTEMS.FEE' • Description I Qty I Fee(ea.) I Total ❑ Master Builder ❑ Other: Heating/Cooling • JOB SITE INFORMATION and LOCATION • Furnace - add -on air conditioning ** 1 I 14.00 11.00 Job site address: jo ffE./4QU/AOD pi. • Gas heat pump 14.00 Suite #: Bldg. /Apt. #: Ductwork I 14.00 (t{."' K Z IFib " 1 - 7 - 9 W n ] Hovvt Hydronic hot water system 14.00 Project Name: Residential boiler Cross street/Directions to job sitm, (for radiator or hydronic system) 14.00 SCA) j /h/E.J A 4 Unit heaters (fuel, not electric) -g,,-I 5 ` 4 J (in wall, in -duct, suspended, etc.) 14.00 Flue/vent (for any of above) 1 10.00 10. ' Subdivision: ^I / ,4 OA(' . gE.A 2 ( Lot #: 4 Repair units 12.15 � Other Fuel Appliances Tax map /parcel #: Water heater I 10.00 IC). - DESCR IPTION WORK ' • Gas fireplace 1 10.00 l0.'"' C tS r&L Ttc&) of D■CEA/ 3 5-1-Ie.L( Flue vent (water heater /gas fireplace) 2-, 10.00 20 . '° -r i J ibmi P -r Je / ` ,( 6 ) C Log lighter (gas) 10.00 'L Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chinmev /liner /flue/vent 10.00 PROPERTY OWNER -- • . • I' D TENANT ' -- Other. 10.00 Name: ,l'(JT rYiAi 0.1eLK TO WiJflaw1E C. LL-C Environmental Exhaust 8c Ventilation / Range hood/other kitchen equipment 1 10.00 10 . "' Address: ( 34041 Sh/ veisue 0 ,ski i z Zv Clothes dryer exhaust I 10.00 (0. °O City /State /Zip: Aar/AA de 91 219 Single duct exhaust Phone:(503) &12.-FnSS ( 5 ) K 139 2- 8841 (bathrooms, toilet compartments, - ( APPL CANT I 0 CONTACT PERSON utility rooms) 3 6.80 20.`4) b i Name: e14( 4. 2c 4" S A Scecifri`i.S, Ink • Attic/crawl space fans 10.00 Other Address: q ezne, RZ_ 1 S✓rt 22O Fuel Piping City /State /Zip: `p j f oe 9-72..19 * *($5.40 for first 4, $1.00 each additional) Furnace, etc. I .. Phone:(So3) PJQ2 -SASS Fax: �3,PA2-�i'L'�( Gas heat pump «« E -mail: ✓ham C a ci I beoco, accoc . caM Wall/suspended/unit heater •• - .. CONTRACTOR • . Water heater I «• Smart Heating & Cooling LLC Fireplace 1 «« 7616 NE Everett St Range •« BBQ •« Portland OR 97213 -6347 Clothes dryer (gas) •« 503- 254 -5096 Other. •« CCB: 154133 Total: 5 5,40 Mechanical Permit Fees* Authorized `/ & / G a Jt0� Subtotal: $ I 2.51 C3° Signature: ` Date: / - Minimum Permit Fee $72.50 $ - [JRUCE (j O_ Plan Review Fee (25% of Permit Fee) $ (Please print name) State Surcharge (8% of Permit Fee) $ Q,,. C IO TOTAL PERMIT FEE $ -- Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri -County Building Industry berme nu..... 180 days after it has been accepted as complete. **Site plan required for exterior A/C units. i:\Dsts\Permit Forms\MecPemvtApp.doc 01/03 iSPIllalllg, r iX1,u1 FOR OFFICE USE ONLY , ' rumbin2 Per II. 41110 n Received Plumbing M Date/By: Permit No.: 0 3 DDJOr) City of Tigard Planning Approval Sewer J l awl 2 7 2003 Date/By: Sewer 13125 SW Hall Blvd. V �V Plan Review Other Tigard, Oregon 97223 CITY OF TIGARD Date/By: Permit No.: Phone: 503- 639 -4171 Fax: $EM9DOVISI • ► Vill Post - Review Land Use Internet: www.ci.tigard.or.us Cont act Case No.: 1 Contact Juris.: IS] 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) 1 (i 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 Cg 1 & 2- Family dwelling ❑ Commercial/Industrial SFR (2) bath . l 350.00 3 Accessory Building ❑ Multi- Family I SFR (3) bath 399.00 ❑ Master Builder ❑ Other: I Each additional bath/kitchen 45.00 • . JOB SITE INFORMATION and LOCATION Fire sprinkler - sq. ft.: Page 2 Job site address: /03'6/0 IJJlftpvv00.D P L_ Site Utilities • Suite #: Bldg. /Apt.#: Catch basin/area drain 16.60 Project Name: 1-4/41A) S - E) i> 'rGVJ14 140yvtgc Drywell/leach line/trench drain 16.60 I Footing drain (no. linear ft.) Page 2 Cross street/Directions to job s t Manufactured home utilities 110.00 S1.,0 l �c��� ' W. Manholes 16.60 36/1.4 STrza -r Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Page 2 Subdivision: Af gW,C 9 064-g1) Lot #: /tj I Storm sewer (no. linear ft.) Page 2 Water service (no. linear ft.) Page 2 Tax map /parcel #: or Item DESCRIPTION OF WORK A valve 16.6 C.QN.S772(t.0 nett OF IV EIII) Si pad I Backflow preventer Page 2 T( /vJiJ 4v 1F Po_Alcc (l was Sc ) Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 • -. • - Ejectors/sump 16.60 ROPERTY'OWNER -- .`I . ..TENANT - • "- Name: >q l rU 't l IJ PAhe K -r vt/N 14.0WIES, L' --C- I Expansion tank 16.60 Address: ci SOO SW 14,e.gve, &,JD/ SUtN Z20 FixtureJsewer cap 16.60 City /State /Zip: Poenh41, OR, Cri Z iq Floor drain/floor sink/hub 16.60 Garbage disposal 16.60 Phone {S03) 9q,2- 87 S i I Fax: (13)45,2- SOLI I Hose bib 16.60 ErAPPLICANT • - - . . ::❑•CONTACT PERSON: -" - Ice maker 16.60 Name: 1>ae1k L- g217ult,) 5" AS P•Ci Interceptor /grease trap 16.60 Address: 9500 S>J ghe gte, gi lit., SU tit Zza Medical gas - value: S Page 2 Primer 16.60 City /State!Zip:Ut-2 , Ct 4-7 I Roof drain (commercial) 16.60 Phone: 6758 Fax(50' ' 2 X&4/ Sink/basin/lavatory 16.60 E -mail: re,q,R,lc. d. I ietj(.)ha cce9G • co 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 -044 . � ..,�:..... Plumbing mit Per Fees* '._ ..: - 1...:...n:.:::: CCB: 149035 PLM: 34-391PB - Subtotal S 3 5 0. m Minimum Permit Fee 572.50 S Authorized / / Resid Backflow Minimum Fee 536.25 Signature: /Ptl,Q , ate: C� /z /01 Plan Review (25% of Permit Fee) S p U C ��� State Surcharge (8% of Permit Fee) S Z e • °O (Please print name) TOTAL PERMIT FEE q "' Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans .......-- ... -...- -. 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 lP1mPermitApp.doc 01/03 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE RECEIVED • 10 2003 PLUMBING EXPERTS INC 11925 SW PARKWAY CITY OF TIGARD PORTLAND, OR 97225 -5413 BUILDING DIVISION Plumbing Signature Form Permit #: MST2003 -00300 Date Issued: 11/3/03 Parcel: 1 S133AC -HB016 Site Address: 10860 SW BRIARWOOD PL Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 016 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 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 -00300 Date Issued: 11/3/03 Parcel: 1 S133AC -HB016 Site Address: 10860 SW BRIARWOOD PL Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 016 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 9500 SW BARBUR BLVD., STE 220 DBA SPECTRUM ELECTRIC PORTLAND, OR 97219 2050 VISTA AVE #100 SALEM, OR 97302 Phone #: 503 - 892 -8758 Phone #: 503 - 361 -1256 Reg #: LIC 116453 SUP ass Z1 S 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. A ST2 o-p3 —p 3 ®AAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA V T E ET TREE S R CERTIFICATION 1 rt. kit- itt. ® M I I ® I , 1 la htu� .-.� C Cvb SQ,1 , wner /P gent for L. L . ‘. / cf 'tee. r t ® (PLEASE PRINT) (PERMIT HOLDER) ® ,r^ f..-: ® Do hereb ' : d :.. _ '. , .l : w location ® Al meets �y �' t'of.1. : ard/ ' la on ounty ® land use and development standards for street tree installation. 41 10- ® p ■ ® ADDRESS: / O $'t© SW Q (-8 l poo[ P/- . 1 lie ® LOT: /4 4 SUBDIVISION £7 M rt / r- /( ® BY: `2 e /1 DATE: 7 • 2-4 . ' / 0. ® RECEIVED BY: DATE: 0 7 7 L i 411 0* VVVVVVVVYYVYYYYVYYVVVVVVVYYYV VVVVVVYYVVVVVVVYVYYYYVVVVVVVYY" CITY OF TIGARD 24 -Hour �i BUILDING Inspection Line: (503) 639 -4175 MST 9 63°6 INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received Date Requested — AM M BUP Location / 0 S//. v ,( 76`64 Suite c/ MEC Contact Person p, Q Ph ( ) ? �o —�" (M7 PLM Contractor Ph ( ) SWR ��BUILD Tenant/Owner ELC Foo ing 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 ASO Susp'd Ceiling Roof ` i — Other: PASS PART FAIL PL = ING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL IVECHANICAr> Rough -In Gas Line Smoke Dampers �j PART FAIL '� ■ RICAL Service ► l Rough -In WA - -•/ AP' `�w/ UG /Slab AKWAVilirRiV oi,. 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 BUILDING Inspection Line: (503) 639 -4175 MSTo/cr7 3 _ x34 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 1 AM PM BUP Location 10 gig v G Suite MEC Contact Person Ph ( ) We 4 -1D / G � j 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC MAE Foundation Access: , Ftg Drain � ELR � / Crawl Drain SIT AP' M Slab Inspection Notes: 4riAr, Post & Beam Shear Anchors Airy 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 PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fi larm 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 n - 3 C) - 0 y CT"Q N O 8 (2 Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. ' PASS PART FAIL 1 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 2 v 03-603°6 INSPECTION DIVISION • Business Line: (503) 639 -4171 MST , /� BUP / Received Date Requested - 2 - ' AM PM BUP Location / 6 g o d &1,6e2/1z-0 Suite MEC Contact Person Ph ( ) F66 -, ,F9 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 - a Firewall (/3 3 Fire Sprinkler R� 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: la PART FAIL ANICAL 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 El Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Date V • / Approach/Sidewalk / Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL