Permit I
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2003 -00298
A DEVELOPMENT SERVICES DATE ISSUED: 11/3/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10840 SW BRIARWOOD PL PARCEL: 1S133AC -HB014
SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R -25
BLOCK: LOT: 014 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: 149,008.40
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 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 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 AREAISPC 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 INTigard M n ci al C subject Code, the regulations contained C o i the
9500 SW BARBUR BLVD., STE 220 9500 SW BARBUR BLVD #220 a l l o d u
h other applicable cal Code, State work OR. Specialty Codes and
PORTLAND, OR 97219 PORTLAND, OR 97219 all other applicable law. All work will be 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. 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 #: LIC 58699 may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Erosion Control !lisp 8 Plln /undslb Insp Plumbing Top Out Shear Wall Insp Water Line lnsp Mechanical Final
Sewer Inspection Electrical Service Framing Insp Exterior Sheathing Ins( Water Service lnsp Building Final
Footing Insp Electrical Rough -in Gas Line lnsp Firewall Insp Smoke Detector
Foundation Insp Mechanical lnsp Gas Fireplace Gyp Board Insp Electrical Final
Slab Insp Low Voltage Insulation Insp Rain Drain lnsp Plumb Final
Issued B : Permittee Signature : -L-.- .._042..p
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
����„ L • FOR OFFICE USE O
iv
Building PermitflILii� ONLY
Received Building N N
. Date/By: W 2-7/u.-) Permit No.// S7� 3 ' Oo 9 p
City of Tigard JUN 2 `I 2003 D Planning
te/By: Approval Other
DateBy: Permit No.: SGarg003 '0i0e,1
13125 SW Hall Blvd. Plan Review Other
Tigard, Ore on 97223 CITY OF TIGA' A Date/By:IO L3 SP Permit No.:
Phone: 503-639 -4171 Fax: AYi I' d) t'1': ,� Post - Review Land Use —
. - aj i ' I I Date/By: Case No.
Internet: www.ci.tigard.or.us * � °- Contact Juris.: El See Page 2 for
24 - hour Inspection Request: 503 - 639 - 4175 Name/Method: 776 Supplemental Information
..TYPE OF WORK .
REQUIRED DATA: - :.. :.': :.:: .
aNew construction ❑ Demolition .. 1 &-2 FAMIL,YDWELLIN G . .
❑ 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 a 008.'/0
❑ Master Builder El Other: Valuation
::::JOB' SITE INFORMATION LOCATION - - No. of bedrooms: .3 No. of baths: .Z
Job site address: 10&40 820.24J 3b PLACE Total number of floors
New dwelling area (sq. ft.) — ___.--K___
Suite #: Bldg. /Apt. #: Garage/carpon area (sq. ft.) _ s'`
Project Name: NAW KS li,E Tot.1/4 0MES Covered porch area (sq. ft.) 1 L
Cross street/Directions to job site: \ Deck area (sq. ft.) 7 C.
SlrJ I TM RvaivE ,4 S.iv. 44 Kr 30%4 Other structure area (sq. ft.)
Sritiiir; ,:;: REQUIRED
• COMMERCIAL = USE CHECKLIST :: =.-::- °=
Subdivision: 4- Vrtd(t5 le,E140 Zwr►rbwtL Lot #: 14 .
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.
CeNtSr2ucnc r(OF NELJ 3 CrOtel TOolrl I f jwIE-
`t�et)r (/463") Valuation $
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories 3
. . , ErPROPERTY:OWNER •-f •.❑ TENANT =• :::-:-::.• _ Type of construction v N
Name: At7Tbrn r.1 PAg K 76k1t11 - Jo l.E' L.L.L Occupancy group(s): E
R - 3
Address: 9500 SW 1Z tegute &-J1) Su of. 22.1
City /State /Zip: 'POQTZh/A. , 02 q 1 2l9
Phone: Spa 642'67SS Fax:6;1) 012- 4I NOTICE: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
tir APPLICANT:` . .1 .•• : "•:: • : : ❑: CONTACT PERSON L2.7.-7- provisions of ORS 701 and may be required to be licensed in the
Business Name: bEe-eK L . c ACSCOA * / (4. , jurisdiction where work is being performed. If the applicant is exempt
Contact Name: rv1A'e K 44Sav G2 leiC.IC Pet Z from licensing, the following reason applies:
Address: gs.10 S4J Cick. 131..11 I Su t�Yc 2PA
City /State /Zip: kt2TZ,4 Oil g1 2t 9
Phone: 2 - se 1 Fax:CSc>3jeot2-6e4(
-... BUILDING; PERMIT '
E -mail: rna.r Please:refer•to 'fee;schedule.'' -
._. .... - .CONTRACTOR --; ..,...• .-. • .
Business Name: bEP,EL' L° (ec.& '1A , 1vG, Fees due upon application $
Address: cl4x) SUl 13 Acme. gL' b S llt -c ZZo
City /State /Zip: Rbt2 - j , J Q2 -12 II Amount received $
Phone: 692 -8'1S$ ( Fax: s�3 2-6e ( Dat received:
CCB Lic. #: 6,69° / .
Authorized ,/ / / ` `. L °/o3 Notice: This permit application expires if a permit is not obtained within
Signature: /� � ( (��/ I Date: '[ (l (l 180 days after it has been accepted as complete.
�'i' A R -416- • *Fee methodology set by Tri -County Building Industry Service Board.
(Please print name) •
i:'.Dsts\Permit Forrns\BldgPermitApp.doc 01/03
• FOR OFFICE USE ONLY
' Electrical Perm 1�1 C1ved Electrical
Date/By: Perm N o.: 5 3-00 9(
City of Tigard Planning Approval Sign
JUN 7 ? uU3 Date/By: PermitNo.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 CITY OF TIGAR' Date/By: Permit No.:
Phone: 503- 639 -4171 Fax: A1DIVI • Post - Review Land Use
} + Date/By: Case No.:
—
Internet: www.ci.tigard.or.us a � : �� ' I 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 ❑ 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
01 & 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 INFOpIATION and LOCATION Submit _ sets of plans with any of the above.
r A.�� The above are not a to temporary construction service.
Job site address: (O a LlQI ib et_AcF, FEE *SCHEDULE
Suite #: Bids. /Apt. #: _ 1' Number of inspections per permit allowed
Project Name: ,,14AI/�/RS L{ �QWti1—ONIES Description Qty I Fee (ea.) I Total I
New residential - single or multi - family per 1
Cross street/Directions to job site' dwelling unit. Includes attached garage.
s� 150 -1 ^'' II VE ii SA & t Service included:
lb
1000 sq. ft. or less _ 33.40 ! 33. I - a , L 5 4
Each ach additional 2 ditional 500 sq. ft. or portion thereof 33.0 (;� � 10
Limited energy, residential ! 75.00 _ S ,av t
1
Subdivision: ,tll� (�e 'I'�itsV Lot #: Limited energy, non residential I I 75.00 2
Tax map /parcel #: Each manufactured home or modular dwelling
- DESCRIPTION OF WORK service and/or feeder 90.90 2
Services or feeders - installation,
Co kkS7 Cr 04'(,J 3 -5:77:2A alteration or relocation:
--tVGJ . A / E-t`r / Cl�✓IC r''cZ1J �yy, t�C 1 , 1 i 200 amps or less - _ 80.30
- _
l. 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
c - = _. _ .. 601 amps to 1000 amos 240.60 2
.. PROPERTY O, R �: ❑TENANT:: --
f'; r U N 'rOVJ 1 �i -k fS Reconnect nect or volts I 454.65 2
Name: � � � t't' L Ti � Reconnect only I 66.85 2
Address: ci560 S.A.) &4 t L gurl si !7'i . 22z Temporary services or feeders - installation,
alteration, or relocation:
City /State /Zip: Fb(T LJ & cle. h 249 200 amps or less 66.85 1
Phone4 892 —P Fax:(SoS59 -68`41 201 amps to 400 amps 100.30 , 2
� ► 401 to 600 amos 133.75 2
•XAPPL ANT' .. :,":-';:'::;-:::.•'...:.. . ❑•.CONT CT.PERSOBF _ �=.. - Branch circuits - new, alteration, or
Name:' R.E L. J ) SGA S 1 1/. X. extension per panel: of
Address: i3CO � Q.R1 g CU17'f Z2U
A. Fee for branch f d feeder fee, with purchase ui
t 6.65 2
service or feeder fee, each branch circuit
GC 9" 21 B. Fee for branch circuits without purchase of
City /State /Zip:,� service or feeder fee, first branch circuit 46.85 2
Phone: (�3 X12 -8` Fax: 5:al) &)2 - -P&4 / Each additional branch circuit 6.65 - 2
E -mail: ywar . d 1 trri t Jw)0. , COM Misc.(Service or feeder not included):
• Each pump or irrigation circle 53.40 2
__:‘._. ..:...::....r,. :;I. . :CONTRACTOR •; •�--
r' :. :- ^°: : - ' Each sign or outline lighting 53.40 - 2
Job No: 1%.k Signal circuit(s) or a limited energy panel,
alteration, or extension Page 2 2
Electrum Inc Description:
2050 Vista Ave #100
Each additional inspection over the allowable in an of the above:
Salem OR 97302 Per inspection per hour (min. I hour) 62.50
503 - 361 -1256 Investigation fee:
CCB:116453/ELC:24-353C/SUP:2919S Other Iectncal Pe ` -- -
E nr-.. _
Supervising electrician Subtotal S
signature required: Plan Review (25% of Permit Fee) S
— R
Print Name: Lic. #: State Surcharge (8% of Permit Fee) S
TOTAL PERMIT FEE S
Authorized Notice: This permit application expires if a permit is not ootained within
Signature: Date: TC Q3 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
MANtt N . A SeA
(Plea& print name) •
i:\Dsts\Permit Forms \ElcPermitApp.doc 01/03
/ �� s FOR OFFICE USE ONLY
M m echanical Per C i n Received Mechanical
Date/B r Permit No.:iSS? 003 -do a 9P
JUN 2003 Planning Approval Building
' City of Tigard CITY OF TIGARD Date/By: Permit No.:
13125 Tigard, SW Hall Blvd. BUILDING DIVISI d Plan
T Permit No.:
igard, Oregon 97223
Post - Review Land Use
Phone: 503 - 6394171 Fax: 503 -598 -1960 W A Date/By: Case No.:
'
Internet: www. ci.tigard.or.us `' C Juris.: ® See Page 2 for
s
24 -hour Inspection Request: 503- 639 -4175 - Name/Method: Supplemental Information.
' _: TYPE OF WORK • ' . - : ' COMMERCIAL FEE *.SCHEDULE - USE CHECKLIST • -
, New construction ❑ Demolition Mechanical permit fees* are based on the total value of the work
El 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.
Er1 & 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 ** I 1 14.00 144°
Job site address: /o ?10 ;,4,e' /go D PL . Gas heat pump 14.00
Suite #: Bldg. /Apt. #: Ductwork 1 14.00 1+{.°
Project Name: ' ' n IN KS' f 4 b TO v.) tit HOVvA.CS Hydronic hot water system 14.00
] * Residential boiler
Cross street/Directions to job sit (for radiator or hydronic system) 14.00
St}) 130 l '` ft1/ U6 . Is.) > e' Unit heaters (fuel, not electric)
- gemzI S - fr (in wall, in -duct, suspended, etc.) 14.00
Flue/vent (for any of above) 1 10.00 10 . '
Repair units 12.15
Subdivision: pm /Ks 5��}U Lot #: / Other Fuel Ap fiances
Tax map /parcel #: Water heater I 10.00 (0•'
- DESCRIPTIONO p F WORK - Gas fireplace i 10.00 10.°Q Colo reJCnat) OF ACES _3 S�0/2-11 Flue vent (water heater /gas fireplace) 2. 10.00 Zo
(A)IJ Z`KJmf, P�J / l ' (, J �) L Log lighter (gas) 10.00
L Wood/Pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner /flue/vent 10.00
PROPERTY OWNER • 1' 1:1 .TENANT "` - Other: 10.00
Name: i., 1m ni 2 n K T W�f�Orvt E C L.L. Environmental Exhaust & Ventilation
7IV' l/ t"�`T" ,�,'� '�}}��,, ) Range hood/other kitchen equipment 1 10.00 10. a'
Address: a Sh/ ` At2}SI/e /SL.�/r� / Si/ 1?'� 72.O
Clothes dryer exhaust I 10.00 10. "o
City /State /Zip: Pal -ruiA de 9 Single duct exhaust
Phone:(So3)&j Fax:( .) ) 89 - sag( (bathrooms, toilet compartments,
• ($APPLICANT . • I ❑ CONTACT PERSON utility rooms) 3 6.80 2.0 . `1)
Name: I>ci� L-. gaCLJ�J 814SS M1 / /JG • Attic/crawl space fans 10.00
Other 10.00
Address: Q 6 342grlYL alb Sj/r1*. 2Zc) Fuel Piping
City /State /Zip: '7o2rt./fr>7j / de -7219 * *($5.40 for first 4, $1.00 each additional)
Phone:(So3) an-S 15>3 Fax: o'eA�G
Z -8 ( Furnace, etc. Gas heat pump '•
E -mail: yprz t `- d I bror, . tO- c C , Cco/►M Wall/suspended/unit heater
•
CONTRACTOR • Water heater I '*
Smart Heating & Cooling LLC Fireplace I **
7616 NE Everett St Range
BBQ ' ••
Portland OR 97213 -6347 Clothes dryer (gas) ` "
503 -254 -5096 Other: "
CCB: 154133 Total: 3 5 +0
Mechanical Permit Fees*
Authorized 'f /!i _ Subtotal: $ I2.3.90
Signature: / Date: o % P • Minimum Permit Fee $72.50 $ _
c� LS �/U�� - Plan Review Fee (25% of Permit Fee) $
(Please print name) State Surcharge (8% of Permit Fee) $ ci .. � _
TOTAL PERMIT FEE $
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
JtSllll(11Ab I' 1XI LL1 C
' thumbing Per 1 R eceived FOR OFFICE USE ONLY
Plumbing
Date/By: Permit No.` /,s% 200 -& 9f
City of Tigard JUN 2 ,e y 2003 Planning Approval
Dat Sewer
e/By: Permit No.:
13125 SW Hall Blvd. CITY OF TIGAM 0 Plan Review Other
Tigard, Oregon 97223 RUILDING DIVIS 4 Date/By: Permit No.:
Phone: 503 - 639 -4171 Fax: 503 -598 -1960 Post - Review Land Use
t Date/By: Case No.:
Internet: www.ci.tigard.or.us a�'IIf 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)
IN 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 1
cg I & 2- Family dwelling ❑ CommerciaUlndustrial SFR (2) bath I ( 350.00 350,
Accessor Building ❑ Multi- Family SFR (3) bath 399.00
❑ Master Builder ❑ Other: 1 Each additional bath/kitchen 45.00
.. JOB SITE INFORMATION and LOCATION Fire sprinkler - sq. ft.: Page 2
Job site address: /c7 S4O � (�Ci Site Utilities
Suite #.: Bldg. /Apt. #: Catch basin/area drain 16.60
Project Name: { -�AW 70-4> "TGtiJrl 1-1orAg Footing l/leach (no. linear drain 16.60
Footing drain (no. linear ft.) Page 2
Cross street/Directions to job s t Manufactured home utilities 110.00
SLJ I �c� S. Manholes 16.60
3671-4. - fzz Rain drain connector 16.60
Sanitary sewer (no. linear ft.) Page 2
,. Storm sewer (no. linear ft.) Page 2
Subdivision: /�{g(n/K S G'�i9 Lot #: / 4
Water service (no. linear ft.) Page 2
Tax map /parcel #: - . - Fixture or Item ` -
- • DESCRIPTION OF WORK Absorption valve 16.60
6/.(57 .tn,C ri& of F4 E60 ST770 I 1 Backflow preventer Page 2
-- r7-, 4-iI F. Pic .7 ( )4(08 SCa -ile) Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
••E'PROPERTY'OWNER _- :'I..0 TENANT - •• Ejectors/sump 16.60
Name: AL TU WI N) PAQ K Tn vAVN!%vVl ES, L L.C. Expansion tank 16.60
Address: 11509 S W &,eg /Q &..V / SUlNc Z 20 Fixture/sewer cap 16.60
City /State /Zip: poe ,.JD o2 q-12161 Floor drain/floor sink/hub 16.60
Garbage disposal 16.60
Phone 5o3J Sae- 8Z S0 1 Fax: �5C13) 892 - sa4 I Hose bib 16.60
;APPLICANT-• _ : - •- ::Q CONTACT PERSON Ice maker 16.60
Name: 1>ERIV L. 8e.Oulr) S ACSoCIA-ti , (t' Interceptor /grease trap 16.60
Address: c15a0 S ghe.gJie- gi-ik, Su at ZZc.3 Medical gas - value: S Page 2
Primer 16.60
City /State /Zip: F� er/Jt�- S , Cl 6`l- 2 I 9 Roof drain (commercial) 16.60
Phone: 03)E2- 6758 Fax(c63)61,2.-684/ Sink/basin/lavatory - 16.60
E -mail: yr,4a,1c. Liter ..)nC,..CCc7t:. CO w% 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 Perna Fees* ;:•.: .: •:: •.
CCB: 149035 PLM: 34 -391 PB Subtotal 5 3 c 0. °D
Minimum Permit Fee 572.50 S
Authorized / / Residential Backflow Minimum Fee 536.25 _
Signature: fit♦ . u � / a ! D ate: q / 01 Plan Review (25% of Permit Fee) S -
`- VC l= (&N ` State Surcharge (8% of Permit Fee) S 20 . °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 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 \PlmPerrnitApp.doc 01/03
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 -00298
Date Issued: 11/3/03
Parcel: 1 S133AC -HB014
Site Address: 10840 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 014
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 /
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 -00298
Date Issued: 11/3/03
Parcel: 1 S133AC -HB014
Site Address: 10840 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 014
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 NEPA aag3 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.
,A4 5 - 1 - 20z) 3 -cam 2R g'
kAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
44 10-
44 tit.
4 1 11
44 lo•
TREE CERTIFICATION
44 It.
441 to*
44 10.
1 iii\ rit.
ST EET R
LI
® I, I �LU e tz dab t.�N I , 0 wner/ i . gent for bre, L. n lqfro
it (PLEASE PRINT) (PERMIT HOL ER)
1 11x•
r
® Do hereb j r , ; �.h W i g location
® meets ,_ of ' • ard/ Wa� - on ounty
® land use and development standards for street tree installation.
44 It*
44 1 4 ■
® O( PG.
ADDRESS: I v 8� �{ O 5 CO L 3 r;G1 - �O� 0.
44 10.
® LOT: SUBDIVISION: ��G
44 1s.
® BY: , DATE: 7 2 0 - o L/ fii
® RECEIVED BY: DATE: .6
41 10.
AVVVVVVVVVVVVVVVVVVVVVVVVVVVVV VVVVVVVVVVVVVVVVVVYvYYYVVVVVVV
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 6 175
INSPECTION DIVISION Business Line: (503 - 171
MST ge 6 3 --0 07 9•9
BUP
Received Date Requested S —( 1 AM PM ► BUP
Location /0 Suite "� MEC
Contact Person &A. —4R Ph ( ) — ( 16C' f 7 PLM
Contrac Ph ( ) SWR
B D I Tenant/Owner ELC
Foo g " 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:
0.1 PART FAIL
RING
Post & Beam
Under Slab
Rough -In
Water Service
0 11111 / /00 1)11 2,- -
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
IVg UAt1ICAL
Post & Beam
Rough -In
Gas Line
S • e Dampers
nal
• PART FAIL
E L ' RICAL
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 c Approach/Sidewalk Date 1 Inspector
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour __� �y
BUILDING Inspection Line: (503) 639 -4175 MST 4 3— COD-9 INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Re uested d — AM PM BUP
Location `d $Y � JL�! Suite MEC
Contact Person Ph ( ) .364 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
Fi rewal I
Fire Sprinkler
Fire Alarm ^ c �
Susp'd Ceiling
Roof
Other: boa/7:A Final l PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
dalin
0 "ART FAIL
CHANICAL
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 -II for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA j Y 17 `
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 403 —U
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 7 — 3 ' 6 AM L/ PM BUP
Location / 0 S z' 9 6Ge:0-4 G'' z, Suite O MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR .
BUILDING Tenant/Owner ELC ��
Footing
ArAM
Foundation ELC
Ftg Drain Access: 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
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alar
` PART FAIL ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
❑ Please call for reinspection RE: Ell Unable to inspect — no access
Fire Supply Line I
ADA � _ '30 „ O �N 1 `�
Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL