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Permit 0. CITY OF T I G A R D MASTER PERMIT PERMIT #: MST2003 -00299 141 DEVELOPMENT SERVICES DATE ISSUED: 11/3/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10850 SW BRIARWOOD PL PARCEL: 1S133AC - HB015 SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25 BLOCK: LOT: 015 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: 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: 149,006 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: EAADDL 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: $ 6,072.45 AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES INTigaTga u n is subject to the regulations ec C o i the rd d Municipal Code, State of OR. Specialty Codes s and 9500 SW BARBUR BLVD., STE 220 9500 SW BARBUR BLVD #220 all other applicable laws. All work will be done in PORTLAND, OR 97219 PORTLAND, OR 97219 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: 503 - 892 - 8758 Phone: 503 892 - 8758 Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You Reg 5: LIC 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 : , ,♦ ‘.-.1 Permittee Signature : dit ..ot 4 Q Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day - 7 4- , RE EI Permit App FOR OFFICE USE ONLY � cildln�; pp Received Building • JUN 2 7 2003 Date/By: , 0/ _ �= 1 4 Permit No./157 , D„2 City of Tigard Date/By: y: ro yal Other CITY OF TIGAR r D arning Permit No. g- 20-03 '/10 13125 SW Hall Blvd. BUILDING DIVIS • Plan Review/ - L - �� i, Other Tigard, Oregon 97223 Date/Bv: d f G Permit No.: Phone: 503 639 - 4171 Fax: 503 - 598 - 1960 4 '''`a i• '1 Post - Review Land Use ,..,.1,1 : i J I Date/By: Case No. Internet: www.ci.tigard.or.us s— °^ Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Method: T/e' Supplemental Information : .. :. TYPE OF WORK REQUIRED DATA:" • aNew 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, .r-] - overhead and profit for the work indicated on this application. ❑ Accessory Building Li Multi - Family r Lj9 009 i tO ❑ Master Builder ❑ Other: Valuation ::-....f.";. SITE INFORMATION LOCATION • No. of bedrooms: 3 No. of baths: 2. Job site address: /085.9 .SO $k'-lA+2kt P1,A(,E Total number of floors — /fl — New dwelling area (sq. ft.) — / — Suite #: Bldg./Apt.#: Garage/carport area (sq. ft.) rye — Project Name: HAWKS %E`� T MMES Covered porch area (sq. ft.) S= Cross street/Directions to job site: Deck area (sq. ft.) I Z SW 1 IV' itvE ,4 $.w. j4,44 S BC Other structure area (sq. ft.) - : REQUIRED'DATA• COMMERCIAL - USE CHECKLIST = :: Subdivision: 1- 1 i it th-J S Lot #: (5 .. . . .. . 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. Cr�l op NEtJ 3 ST-oR,i 1_0,44 No►� 'P>2,3_Sea'- l / I 4 & \ Valuation $ Existing building area (sq. ft.) New building area (sq. ft.) Number of stories '.-OP.ROPERTY :OWNER ': :..' :.. 4: TETENANT � =•:'- -.... Type of construction • Name: AtYWrn J PAg K "Ta14a1�� i L.L.L Occupancy group(s): E. R-3 Address: g t50o SW VAegu(e. &-JTb, CU 0{. 22.C.) City /State /Zip: 7041A , 0 e qri 2-19 Phone: 661) 692$15E, Fax:6o3) PAZ -6341 NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under riz' APPLICANTS : • =•:. ,- . : '- ]: CONTACT PERSON: - 7 provisions of ORS 701 and may be required to be licensed in the Business Name: ' EieEK t, . - E(LOI..4 C ASSa JMt / 1.t • jurisdiction where work is being performed. If the applicant is exempt Contact Name: mike K (ti!>`lcoo at_ eig.r Pe .4,0Z, from licensing, the following reason applies: Address: g2tb 51 1 f edit, (S+. -t6 1 Su (r.e 210 City /State /Zip: pot2l Olt RZZ -12 Phone:(S te -e se 1 Fax :( ( *� :BUILDING: PERMIT TEES :: . E-mail : rrtia.rk4d1 ,4SS )c b/P :-Please refer. ..tofee. schedule.'' ' - . - ". ...._..::. _ ..•CONTRACTOR .. . . :• : - -: , Business Name: s bEQ,€t L. 42c6.1rJ # A59eX1"S PG, Fees due upon application S Address: `lac) St4 BAi2& A2 gum t1a4 ZZo City /State /Zip: fbt2rLm. Q2 97 Z 9 Amount received $ Phone:(�3� 892-81' ( Fax: 5 I Date received: CCB Lic. #: Q( Authorized Notice: This permit application expires if a permit is not obtained within Signature: ' " •/� , ` Date; "[ 2>9 03 180 days after it has been accepted as complete. /, r •c' 6 (v , a / t % S .Fee methodology set by Tri- County Building Industry Service Board. (Please print name) i:.Dsts\Permit Forms\BldgPermitApp.doc 01/03 ' ' Electrical Per • 4 n FOR OFFICE USE ONLY Iii Receives Electrical Date/By: Permit No -r %o 3 '40,2 q 4 City of Tigard Planning Approval Sign 13125 SW Hall Blvd. JUN 2 7 2003 Date/By: Permit No.: Plan Review Other Tigard, Oregon 97223 Date/By: Permit No.: Phone: 503- 639 -4171 Fa: F di. g 1 RD Post - Review Land Use 1 .5� �'�o'- + Date/ 3y: Case No.: Internet: www.ci.tigard.or.us _4 Ali Contact Juris.: El See Page 2 for 24 -hour Inspection Request: 503 -639 -4175 "'" ' Name/Method: Supplemental Information. • TYPE OF WORK • -•.... PLAN REVIEW lease check all that apply) XNew 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 ErI & 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 08 , ) 82(A 2.ltckib P FEE * Suite #: Blds. /Apt. #: Number of inspections per permit allowed Project Name: .. icep z e-- ffigc Description • l Qty l Fee (ea.) I Total l New residential - single or multi - family per ■ Cross street/Directions to job site• / dwelling unit. Includes attached garage. sv 1 A U U6 .sAi ki Service included: 1 145.1...._ 1000 sq. ft. or less F 145.15 4 3 04 SNciir - Each additional 500 so. ft. or portion thereof � 33.40 I I( �� ""� Limited energy, residential I I 75.00 C b, 2 Subdivision: f�`�"� lye! �) 'Tj�gJ Lot #: 1 Limited energy, non residential I 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, ea 45 ' 7 �1� Cam& c o'l&G.) 3 sr alteration or relocation: "tVW A(• / < I / ! ,r— 200 amps or less - 80.30 2 - fCf�✓IC tuA 201 amps to 400 amos 106.85 1 2 401 amos to 600 amps 160.60 I 2 ., - 601 amps to 1000 amps 240.60 2 [�PROPERTY.OWN R :. TENANT.' _- ......... . I T ,4 r U N -r Over o nect o nly or volts 454.65 2 !Name: �h �f. W��t'►"G5 1 - 1 -� i Reconnect only 1 66.85 I , 2 Address: C1D S guie- guJ s INL 22Z Temporary services or feeders - installation, alteration, or relocation: City /State /Zip: IFb2rL}Fr ) 00e- 9/ 249 QQ 200 amps or less 66.85 1 Phone sp'�) -p�/SS Fax :(So�G�'9 —V�1 201 amps to 400 amps 100.30 2 133.75 2 APPL ANT :, - : �` •❑: [ C j ONT CT PERSOLY =T� 401 to 600 amps Branch circuits - new, alteration, or Name: �€IlzK L• ( a0w N e n S:QA'rj's / 1,..x, , extension per panel: of Address: isco � &40_RU� IL \ Sv t7'f ZZO A. Fee for branch feeder fee, each ranch circuit ui service or feeder fee, each branch circuit 6.65 2 City /State /Zip: i , Oe.. 9 21 q B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit 46.85 2 Phone: 6 Fax: (So3) 692 -egi4 / Each additional branch circuit 6.65 2 E -mail: W1 ar 4.. d I fa"O t,J.-)t -cSOC , COM Misc.(Service or feeder not included): Each pump or irrigation circle 53.40 2 ;ac: - CONTRAC _ ... ac 2 s '` r' "` ' — Each sign or outline lighting 53.40 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 of the above: 503 - 361 -1256 Per inspection per hour (min. I hour) 62.50 CCB:1 16453/ELC:24- 353C/SUP:2919S Investigation fee: CCB Lic. #: I Lic. #: Other - __ .. - ... .• !•Electrical . Permlt-Eees *,. . rY , Supervising electrician Subtotal S _, Signature required: Plan Review (25% of Permit Fee) S " " - _, Print Na .e: Lic. #: State Surcharge (8% of Permit Fee) S / TOTAL PERMIT FEE S Authorized , / .1 � (((23 Notice: This permit application expires if a permit is not obtained within Signature; Date: 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. (Pleale print name) i:\Dsts\Permit Forms \ElcPermitApp.doc 01/03 • FOR OFFICE USE ONLY I Meehanical P f lop Received Mechanical D a t e / B y : Permit No.:17S V 3 -00c29q • Planning Approval Building City of Tigard JUN 2 7 2003 Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 CITY OF TIGARD Date/By Permit No.: Phone: 503-639-4171 FI 11 1 MI Post Land Use I ,. Date/By: Case No.: w Internet: ww.ci.tigard.or.us 11. ci i I Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 503 -639 -4175 �` "" Name/Method: Supplemental Information. ::: TYPE OF WORK • :... - , COMMERCIALIZE* SCHEDULE - USE CHECKLIST - 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. j'1 & 2- Family dwelling ❑ Commercial/Industrial Value: S See Page 2 for Fee Schedule ❑ Accessory Building ❑ Multi- Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE * Description Qty I Fee(ea.) I Total ❑ Master Builder ❑ Other: Heating/Cooling JOB SITE INFORMATION and LOCATION - Furnace - add -on air conditioning'* I ( 14.00 i4. Job site address: /OS 5 O JJR /y2 AND re-- Gas heat pump 14.00 Suite #: Bldg. /Apt. #: Duct work ( 14.00 14.4' "gF I _� tJ 4O>�CS Hydronic hot water system 14.00 Project Name: Residential boiler Cross street/Directions to job sit (for radiator or hydronic system) 14.00 S(,0 j30 1 '`!` v UC Yk CS Unit heaters (fuel, not electric) gy j5 5 eJ (in wall, in -duct, suspended, etc.) 14.00 v Flue/vent (for any of above) 1 10.00 10. ' Repair units I 12.15 Subdivision: f7/AGvKS CE�� I Lot #: Other Fuel Ap liances Tax map /parcel #: Water heater 1 1 10.00 10.' DESCRIPTION OF WORK Gas fireplace 1 10.00 10. /',, /S7 QF Alt 3 5� ,� Flue vent (water heater /gas fireplace) Z. 10.00 20 . iO �(AJAJ t70 ` Pgai ( 1 U) Log lighter (gas) 10.00 U Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner/flue/vent 10.00 PROPERTY OWNER. - . • I:' ❑. TENANT .. ".•- : .. Other: I 10.00 • Name: A., - urn Ai 1 K T WJflaw - rg LLC Environmental Exhaust & Ventilation 71 v' t/ ) Range hood/other kitchen equipment 1 10.00 10 . Address: a -Chi .4ue / SJ 1 ? Z Zv Clothes dryer exhaust I 10.00 10. ao City /State /Zip: 6%,ar h' de Q I q Single duct exhaust Phone: f 5 03) 8$2 -87ce Fax: (5.)) 892.- 9841 (bathrooms, toilet compartments, ($APPLICANT . ❑ CONTACT PERSON utility rooms) 3 6.80 20 • `5 Name: '1>Eera< I gactAPJ 8 14'Sic /rf*�S, //JC • Attic/crawl space fans 10.00 SCX� Address: c7W lita�L 6._A, S✓t?�' ow Other Fuel Piping City /State /Zip: `Pp2 / eye 1 2-19 '•($5.40 for first 4. SI.00 each additional) Phone :(So3) PR2 -815 Fax: :,,P542 -0084( Furnace, etc. 1 .• Gas heat pump " E -mail: vrlprL C 0., d I browf'o- dC . cc.7n --. Wall /suspended/unit heater •• -. -. • CONTRACTOR • . Water heater I " Smart Heating & Cooling LLC Fireplace ( " 7616 NE Everett St Range •• BBQ •• Portland OR 97213 -6347 Clothes dryer (gas) 503 -254 -5096 Other: Total: •• 5, �#0 CCB: 154133 Mechanical Permit Fees* Authorized t I , k I 6 , /03 Subtotal: $ 12. 5. S30 Signature: / ee'� ' Date: I Minimum Permit Fee $72.50 $ R U6 E C _ Plan Review Fee (25% of Permit Fee) $ _ (Please print name) State Surcharge (8% of Permit Fee) , S k / 'J TOTAL PERMIT FEE $ _ Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri- County Building Industry .,... •............ - 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 batwing r l�l.0 a Plumbing Per 1�Jl Cdl Received FOR OFFICE USE ONLY Plumbing �1 7 2003 Date/By: Permit No.: /15%2003 -4,oa9.7 JUN Planning Approval Sewer City of Tigard C ITY OF TIGARD Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 BUILDING DIVISIO ∎ : Date/13y: Permit No.: Phone: 503- 639 -4171 Fax: 503 -598 -1960 Post - Review Land Use . ii �I Contact : Case No.: Internet: www.ci.rigard.or.us a � e , 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) El' New construction ❑ Demolition Description 1 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 Er 1 & 2- Family dwelling ❑ Commercial/Industrial SFR (2) bath 1 350.00 150, Accessory Building ❑ Multi - Family SFR (3) bath ( 399.00 ❑ Master Builder ❑ Other: I Each additional bath/kitchen 45.00 .. JOB SITE INFORMATION and LOCATION I Fire sprinkler - sq. ft.: Page 2 Job site address: / D g O gghigwoop FL . I Site Utilities Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60 Project Name: NA'kJ VS � � 'rOvJ rl Pa roc" Footing l/leach line/trench drain 16.60 Footing drain (no. linear ft.) Page 2 Cross street/Directions to job s t Manufactured home utilities 110.00 SLJ 1 ;O �1fFJd/ � ' gAttild Manholes 16.60 'Ii6Rit gYlitivr Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Page 2 Subdivision: RAMC" 5 0164,D Lot #: (5-- Storm sewer (no. linear ft.) Page 2 Tax map/parcel #: Water service (no. linear ft.) Page 2 -. Fixture or Item .. .... -_ • . DESCRIPTION OF WORK Absorption valve 16.60 a ks - nemz. T1C J OF Id ElA) sroeu I Backflow preventer Page 2 --r Wt P € T ( 'Wag' SQ 4 ,) Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 •-E'PROPERTY'OWNER. ..- :: TENANT -- -• - - Ejectors/sump 16.60 Name: . NaMe: A ll r) Al /J p,412. K T o/N f40✓4/)es L LC. Expansion tank 16.60 Address: c1503 5■WJ - g i l i ceve LLD, S11tz-E zzo Fixture/sewer cap 16.60 City /State /Zip: PoeT2it.i 02 CO t9 Floor drain/floor sink/hub 16.60 ' FIX Garbage disposal 16.60 PhonekSc�3, 9 q,2- Sj7 SF 1 : X5(33) �q2� �j Hose bib 16.60 . A PPLICANT•' - ,::_:: -:: ' .. • .:.- )::❑•CONTACT PERSON • - -..• Ice maker 16.60 Name: l>aecv L. 6QOu/t.) S AcSocut-t'`C 11.1 Interceptor /grease trap 16.60 Address: 95,00 5,...i g.te,gum gulA, Su at 2W Medical gas - value: S Page 2 Primer 16.60 City /State /Zip: Poerz , Cl X1`72,19 " Roof drain (commercial) 16.60 Phone: 03)Ei Z- S7 Fax (So3) is ct2. bb'ff Sink/basin/lavatory 16.60 E -mail: I ' im,Ic. C d, l tYrj c • co w‘ 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 , • . ... ....,.'.y:- Plumbing Permit Fees• " :..:: •_ : •:... . CCB: 149035 PLM: 34 -391 PB Subtotal $ 3 6 a. Gip Minimum Permit Fee $72.50 S Authorized _ _ /� /�� Residential Back low Minimum Fee $36.25 Signature: �I Lt' Plan Review (25% of Permit Fee) S 7 U LE C..421‘1 C-_-__ State Surcharge (8% of Permit Fee) S • °O (Please print name) TOTAL PERMIT FEE S Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans Waiu lass,". 180 days after it has been accepted as complete. riser diagram for plan review. •Fee methodology set by Tri Building Industry Service Board. i:lDsts\Permit Forms\PlmPermitApp.doc 01/03 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 -00299 Date Issued: 11/3/03 Parcel: 1 S133AC -HB015 Site Address: 10850 SW BRIARWOOD PL Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 015 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 2$4:05 ELE 24 -353C AN INK SIGNATURE IS REQUIRED ON THIS FORM X De. f Signature of Supervising Electrician If you have any questions, please call 503.718.2433. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE PLUMBING EXPERTS INC 11925 SW PARKWAY PORTLAND, OR 97225 -5413 Plumbing Signature Form Permit #: MST2003 -00299 Date Issued: 11/3/03 Parcel: 1 S133AC -HB015 Site Address: 10850 SW BRIARWOOD PL Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 015 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 /A Signature of Authorized Plumber If you have any questions, please call 503.718.2433. AS 7 - 2 6 - 0 3 - C . 3 - 0 2 -°c' ® AAAAAAAAAAAAAAAAAAAAAAAA®®®®® ®AAAAAAAAAAAAAAAAAAAAAAAA®®®® ®® ® ®. 1 Its. I to- ® STREET TREE C ,.. 1 lot. I, rnUA (AL - �GcobSe� , caner /�z gent for berel L w IN i, Ricpc. ® g ® (PLEASE PRINT) (PERMIT HOLDER) A ® Do hereb �! +' . `�x��� t� f� � =�' i �'11`�� � i g location ® 44 = meets _t: z a ` ' o an a jn on ounty ® land use and development standards for street tree installation. 4 lit A I ® ADDRESS: / O g- © 5 � �, 0. -�DOO PL. 44 It■ ® • LOT: /S SUBDIVISION: niiinvu,_ F / it• ® BY: DATE: 7 ' 20 . 2 / 44 rt. ® RECEIVED BY: ` DATE: & 6 ® - ® ®VVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVY. Its CITY .OF TIGARD 24 -Hour • BUILDING Inspection Line: (503) 63' • 75 MST e.2Da3 - 66- ' INSPECTION DIVISION Business Line: (503) • 39-1; 1 BUP Received Date Requested g ( L C AM P BUP Location /0 g Suite 1 Contact Person Ph (_ ) 7(a (o —Y997 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 alr.„9 PART FAIL '/,• BING • Post & Beam Under Slab Rough -In Water Service Sanitary Sewer ~ Rain Drains • Catch Basin / Manhole _ Storm Drain f - Shower Pan Other: Final PAS PART FAIL ICAL Post & Beam Rough -In Gas Line Smoke Dampers 411W1P PART FAIL CTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date S// d �/ y 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 4:2CT).3 , INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested a- AM ✓ PM BUP Location / lS g 5 Suite � MEC Contact Person Ph ( ) 766 —ci d y 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: 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: PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE E Please • - II for reinspection RE: Unable to inspect — no access Fire Supply Line ADA ((f f,�.., 76 - 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 MST ZNI) (50V INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received Date Requested ) "NO AM " PM BUP Location t 6 S E d Ni -W Suite MEC Contact Person Ph ( ) $ () - PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT 'Ma Post & Beam Ar�� 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 PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Alarm CD Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA N�Y3L� Approach/Sidewalk Daft J Inspector �y Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL