Permit f • I }
•
CITY T I G A R D MASTER PERMIT PERMIT #: MST2003 -00285
I
DEVELOPMENT SERVICES DATE ISSUED: 11/3/03
A 3
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171
SITE ADDRESS: 10820 SW BRIARWOOD PL PARCEL: 1S133AC - HB012
SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25
BLOCK: LOT: 012 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: sl LEFT: SMOKE DETECTORS: V
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:
EAADD'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 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 6 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 all other r applicable cal Code, State work k w Specialty Codes and
all other applicable approved All work will p done i
PORTLAND, OR 97219 PORTLAND, OR 97219 t
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 ": LlC 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 lnsp Exterior Sheathing Ins F 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 lnsp Electrical Final
Slab Insp Low Voltage Insulation lnsp Rain Drain Insp Plumb Final
Issued : I_ �k�CJ Permittee Signature : .x _"_ p
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
_ ', \,/
Building Pern l WgiV FOR OFFICE USE ONLY
Rece ived 1., Building
Date/By: y I.1-7;�0 ' / , : s y Permit No.: `'P.S% X09 '6.l -o
J UN � '� 2003 Date/ ng Approval Other
City of Tigard Date/By: Permit No. ✓0003 00eVef
13125 SW Hall Blvd. CITY OF TIGARD Plan Review • ., 4 a Permit No.:
Tigard, Oregon 97223 BUILDING DIVISIO ►,
Phone: 503 - 639 -4171 Fax: 503-598-1960 s O 1 Post-Review
Date/Bv: Case Noe
Internet: www.ci.tigard.or.us Contact Juris.: E See Page 2 for
24 -hour Inspection Request: 503 -639 -4175 Name/Method: rig-- Supplemental Information • • ..._.: .. - E 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 L Multi- Family 5 �9
❑ Master Builder ❑ Other: Valuation
- - ':',:.JOB SITE INFORMATION and.L OCATION No. of bedrooms: 3 No. of baths: Z
Job site address: (OP 2rJ gelAie oov PIAFce Total number of floors _ 3
New dwelling area (sq. ft.) — / /s1
Suite #: Bld2. /Apt. #: Garage/carport area (sq. ft.) '136
Project Name: N 4 L kS 'QED Tch1ti(4,■ES Covered porch area (sq. ft.) 1
Cross street/Directions to job site: _ Deck area (sq. ft.) T L
SW 17 /tti E ,t $,y I AloiKS BEA Other structure area (sq. ft.)
S .., -
. REQUDZED
. COMMERCIAL .=USE C_ I ECKL;IST : "::_.:..
Subdivision: IJA .A4S 4L 1w4 1-(CvS Lot #: ( 2-
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.
Ce►.(,srgu4.'n6g oF NEiJ 3 srael T041i .
' , E � (/ 4 - 0 ) Valuation $
/ Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories 3
' ,$r P.ROPERTY:OWNER - -.. : - . .I - . ❑ TENANT :-7 :. .. Type of construction _ VN
Name: A Jf trni , i PrA2 K - 761.4l1I� Vte J L . L. G • • Occupancy group(s): F
R -3
Address: gSoo SW ig e Rine & Cu t)€ 22.(3
City /State /Zip: - poerLdt , J , 0 2 q7 219
Phone: 601) $Q2$75S Fax:6a) Pf 12_4( NOTICE: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
. (r APPLICANT"; , : :..a CONTACT PERSON-.".:":1:7' •. --7 provisions of ORS 701 and may be required to be licensed in the
Business Name: f--EK L . 3r20t.L4 e 14 ) JA.i' 1 (,.t . jurisdiction where work is being performed. If the applicant is exempt
Contact Name: rv,Ae K (4A- NiCi.) c,7 Qice PC/41,Z- from licensing, the following reason applies:
Address: 95th S F J t (,it, 1 Su (?Yc 22.0
City /State /Zip: kt2TU 012 Q- 2.4 4 1
Phone: -6`15 1 Fax:(503je°t2
BUILDING PERMIT TEES t'.: r: : ::
E-mail: n- o_rI4.dl brou»i ASSDG s CdM
CONTRACTOR ' • -'`'`
..... PleaseYefer.to "fee;schedule.''
Business Name: leekt L• (424cuo 4 /1geci,4 , l■ , Fees due upon application $
Address: 9530 SW 13 Aia&ule at-UD S ll tic ZZO
�(�,J
City /State /Zip: lb pa_ 972141 Amount received $
Phone:(G 3) 892 -S `ISO ( Fax: (5[93)9 2-884 l Date received:
CCB Li #: 8( /a �g
Authorized i' ( 4(43 Notice: This permit application expires if a permit is not obtained within
Signature: �lC� ,/ a Date: 180 days after it has been accepted as complete.
Air r s ' � *Fee methodology set by Tri -County Building Industry Service Board.
(Please print name) •
i:\Dsts\Permit Forms\BldgPermitApp.doc 01/03
FOR OFFICE USE ONLY
Electrical Perms Received Electrical
Date/By: Per 10L'J ' a 7 -. 00.2 , ':s'
Plamting Approval t�
City of Tigard JUN 7 2003 Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 CITY OF TIGARD Date/Bv: Permit No.:
ig
Phone: 503 -639 -4171 Fax: BctittclAVIS1 fjj, Post - Review Land Use
+ DateBv: Case No.:
Internet: www.ci.tigard.or.us J� e .' l ll 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 1:::] 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
.1 & 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: /0,e20 �Ql�k121,�Ck>> P4�CE • FEE •SCHEDULE
Suite #: BIc1S. /Apt.#: 1i + , Number of inspections per permit allowed
Project Name: ,�44 f{<$ �{ fi)WrJ40,0.ES Description I Qty 1 Fee (ea.) 1 Total 1
New residential - single or multi- family per +
Cross street/Directions to � jo � b 1 site: � dwelling unit. Includes attached garage.
s `-' I 5 AVel"Ue SA-1 ?I ,/ Service included: d
1000 so. ft. or less _ 145.15 1'} �► 5 4
Each additional 500 sq. ft. or portion thereof 33.40 :6 0 L l
Limited energy. residential 1 75.00 7S,ca 2
Subdivision: Lot #. Z Limited energy, non residential 75.00 2
Tax map /parcel #: Each manufactured home or modular dwelling
' - DESCRIPTION OF WORK service and/or feeder 90.90 2
r Services or feeders - installation,
e a ^t Cri cAJ cr old 3 sr alteration or relocation:
— /Vi/ . Ah / 6 r / l 200 amps or less - — 80.30 2
}�CWIC /'' ? � 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
RPROPERTYOWN R.'....: TENANT:''._- 601 amps to 1000 amps 240.60 2
Over 1000 amps or volts 454.65 2
/qame: 4017) 01 4 2A 1 nil -jowIES LL-C. Reconnect only 66.85 2
Address: Ci50 Siki (z gllie- gu Sij . 22z Temporary services or feeders - installation,
(� 7 alteration, or relocation:
I (z
City /State /Zip: T LA'? Gle.- q-1 2l 9 200 amps or less 66.85 1
Phone 40'c1$a2 -8 Fax :(50S)592-£�8`{1 201 400 amps 100.30 2
rC 401 to 600 amps 133.75 2
.XAPPL 'ANT' :.• .:':: =:: - ' _ :❑.0 - ONT CT PERSOLY2 _ to 600 a „ =.. Branch circuits - new, alteration, or
Name:1 p
L. 110 b f�S&JC/A- i'S i /� , extension per panel:
� Q 0i , 5 A. Fee for branch feeder each purchase ui
Address: Br f�- U l 22.0 service or feeder fee each btartch circuit 6.65 , 2 ,
City /State /Zip: j L , C - 9 of B. Fee for branch circuits without purchase of
service or feeder fee, first branch circuit 46.85 2
Phone: 6-0- T) N2_8-256 Fax: (So3) $92,-ee,41 Each additional branch circuit 6.65 2
E-mail: w\ K n- d to uJ.3a SSoc , con M isc.(Service or feeder not included):
-� 2
_ . • Each pump or irrigation circle 53.40
•1..: ".: .:... ,....; .:..r .:'=..:' CONTRACTOR - .....�. ; • .. ;. ,. . . . . -. .. p 53.40 2
"" Each sign or outline lighting
Job No: 1"0- Signal circuit(s) or a limited energy panel, 2
alteration, or extension Page 2
Electrum Inc Description:
2050 Vista Ave #100
Each additional inspection over the allowable in any of the above:
Salem OR 97302 Per inspection per hour (min. 1 hour) 62.50
503 - 361 -1256 Investigation fee:
Other.
CCB :I16453/ELC:24- 353C/SUP:2919S ,.... :.:- Electncal .PermitrEeii*.;:rr.:= -,?:.
Supervising electrician Subtotal S
signature required: Plan Review (25% of Permit Fee) S _.
Print Na e: 1 Lic. #: State Surcharge (8% of Permit Fee) $
TOTAL PERMIT FEE S
Authorized )4/(j g r .�/�I Notice: This permit application expires if a permit is not obtained within
Signature: Date: ik �� 180 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
Iti1- N . ho sefr3
(Pleage print name) •
is \Dsts\Permit Forms \ElcPermitApp.doc 01/03
• ' FOR OFFICE USE ONLY
. • Mechanical PENOWItrAtidMtion Received Mechanical
Date/By: Permit No.:// //r00S 40dei
Planning Approval Building
City of Tigard JUN 2 7 2003 Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
CITY OF TIGARD Date/By: Permit No.:
Tigard, Oregon 97223
Phone: 503 -639 - Fag.UMAIUVg0N ISIO o, r, Post - Review Land Use
Date/By: Case No.:
Internet: www.ci.tigard.or.us i l l y Contact Juris.: El See Page 2 for
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: I performed. Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead and profit.
CATEGORY OF CONSTRUCTION. --,::'
Nil & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule
❑ Accessory Building El Multi - Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE * •
Description I Qty I Fee(ea.) I Total
❑ Master Builder El Other: Heating/Cooling
JOB SITE INFORMATION and LOCATION : Furnace - add -on air conditioning** l 14.00 14,0
Job site address: / ?. i 0 f R/AR11JB0D PG . Gas heat pump 14.00
Suite #: I Bldg. /Apt. #: Ductwork l 14.00 I 14.
K'g fAe TOw IQ 4OWt - CS Hydronic hot water system 14.00
Project Name: Residential boiler
Cross street/Directions to job sit 1 (for radiator or hydronic system) 14.00
S j l ' / C � _ YV g .4�eS Unit heaters (fuel, not electric)
- K 1 547Y-166r (in wall, in -duct, suspended, etc.) 14.00
Flue/vent (for any of above) 1 10.00 1D . w
Lot #: / L Repair units 12.15
Subdivision: /44 We. /�E�4/z/� Other Fuel Appliances
Tax map /parcel #: Water heater I I 10.00 10.'
• DESCRIPTION OF WORK • Gas fireplace 1 10.00 10.'"'
C -��
/ 5 c.6.) OR Alto), 3 t,
s- - / Flue vent (water heater /gas fireplace) Z. 1 0.00 20 • "
L� / r►?F Poi (N6 U) i Log lighter (gas) 10.00
Wood/Pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner /flue/vent 10.00
0 - - , I' El TENANT Other. 10.00
Name: Aururyi 4 KTo WAiftloJ 1 C. LLC Environmental Exhaust & Ventilation
d/
Range hood/other kitchen equipment I 10.00 10.a)
Address: qs04 Sh/ 2b/e t / S>I 1 T�C Z Z!� Clothes dryer exhaust l 10.00 10. °O
City /State /Zip: Parz'2 D de 912 19 Single duct exhaust
Phone:(o3) & -B7' 8 Fax: (* ) 89 2- iegl ( bathrooms, toilet compartments,
ILAPPLICANT . [] CONTACT PERSON utility rooms) .5 6.80 20
Name: '1>E/ t< I. i 4
20/AW 8 -ccrc /fried NAG • Attic/crawl space fans 10.00
Other
Address: Q 61A) egv (?_1iD Cork 2 z Fuel Piping
City /State /Zip: `�o2rzifr>6 i ce q7 • _19 • "(55.40 for first 4, $1.00 each additional)
Phone:(So3) 2R2.-8150 2R2.-8150 Fax: (03,�2 �G
-e ( Furnace, etc. I Gas heat pump ••
E -mail: yrv-z C a d I be dc,mN . c c : c.0n --\ Wall/suspended/unit heater ••
_ CONTRACTOR Water heater l ••
g Cooling Fire place
Smart Heating & Cooling LLC I ••
7616 NE Everett St Range „
BBQ
Portland OR 97213 -6347 ••
Clothes drier (gas)
503 -254 -5096 Other. ••
CCB: 154133 Total: 3 5,40
Mechanical Permit Fees*
Authorized Subtotal: $ 1 3, ci0
Signature: C l /) x (/ .1.4/ - /� / J Date: Sv _ Minimum Permit Fee $72.50 $
:F TOCE COME M Plan Review Fee (25% of Permit Fee) $
(Please print name) State Surcharge (8% of Permit Fee) $ A. , 9O
TOTAL PERMIT FEE $ _
Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri -County Building Industry Service tfoarm
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
liuli(1 111b r IALL11 CJ
P FOR OFFICE USE ONLY
Plumbing Permit Application
Received Plumbing
RECEI r`{, Planning Date/By: Permit No. :�.rjv 1)4 d„$
! V L•� Planning Approval Sewer
City of Tigard
Date/By: Permit No.:
13125 SW Hall Blvd. 2 7 2 003 Plan Review Other
Tigard, Oregon 97223 II IN Date/By: Permit No.:
Phone: 503- 639 -4171 Fax: 5 Q'IGA''0 Post- Review Land Use
Gt7'r� t Date/By: Case No.:
Internet: www.ci.tigard.or.us U�LDII�I DIVI^,,,� � 11 Co ntact Juris.: El See Page 2 for
24 -hour Inspection Request: 5 3-039-4175 r.. Name/Method: Supplemental Information.
TYPE OF WORK FEE* SCHEDULE (for special information use checklist) I
Eg New construction ❑ Demolition Description 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 (I) bath 249.20
rg I & 2- Family dwelling ❑ Commercial/Industrial SFR (2) bath 1 350.00 L50. :
Accessory Building ❑ Multi - Family SFR (3) bath r 399.00
❑ Master Builder ❑ Other: Each additional bath/kitchen 45.00
• .. JOB SITE INFORMATION and LOCATION Fire sprinkler - sq. ft.: Page 2
Job site address: /0 goZO _612I412 c11 dot) p L • Site Utilities
Suite #: Bldg. /Apt. #: I Catch basin/area drain 16.60
Project Name: i- ,4.i k. - a�2� TGklt I4OMg S 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
51,0 I �C� ' �' �' Manholes 16.60
3EA�� gilick,r Rain drain connector 16.60
Sanitary sewer (no. linear ft.) Page 2
,.
Subdivision: /ff1WK S G�1) Lot #: / v I Storm sewer (no. linear ft.) Page 2
Water service (no. linear ft.) Page 2
Tax map /parcel #: . _. ' Fixture or Item ` ._ .
• ' • DESCRIPTION' OF WORK Absorption valve 16.60
C. c)niSTR AC. rclJ Ol N E1A) 3. S Ll I Backflow preventer Page 2
- }J• lowtf. P2 QE0 (l C08 S ") Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
.IETPROPERTY'OWNER. • : :I.• • 1 Ejectors/sump 16.60
Name: AUTV$lpJ PAteK T vV J rvvieS Li..0 Expansion tank 16.60
Address: q coo SW Eihe.gj a el Sut7 Z 2./3 Fixture/sewer cap 16.60
City /State /Zip: Potan_ rJD 02 C`72I9 Floor drain/floor sink/hub 16.60
,! Garbage disposal 16.60
Phone {So3) Sae- Si 5£� Fax: ( L3) 892- SS`1 I Hose bib 16.60
APPLICANT' .. - -- - .- ::12-CONTACT PERSON,.-- • - Ice maker 16.60
Name: 1> k L. QQC) /t C ASSOCiAl C , jJJL Interceptor /grease trap 16.60
Address: 95CO S vi g4egue., gu1A i Su aE ZZc) Medical gas - value: S Page 2
Primer 16.60
City /State /Zip: F}J12rjJt2. S , CL° 4-7 L l Roof drain (commercial) 16.60
Phone:(1)84Z - 6758 _ Fax(5:53)PA.2 6,541 Sink/basin/lavatory 16.60
E -mail: InAnlc. i 7 d,1 {yrj f„JI7G�' cce9G • Co ■••■ 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* ....- :: :: ::':
CCB: 149035 PLM: 34 -391 PB Subtotal S 3 S O • °D
_ Minimum Permit Fee $72.50 S
Authorized _ -
/Zl! /0 f Residential Backflow Minimum Fee 536.25
Signature: O - Date: Plan Review (25% of Permit Fee) S
U C l- NE_ State Surcharge (8% of Permit Fee) S Z 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 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 Fornu\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 -00285
Date Issued: 11/3/03
Parcel: 1 S133AC -HB012
Site Address: 10820 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 012
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 219:1:9s a a 3 - .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.
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 -00285
Date Issued: 11/3/03
Parcel: 1 S133AC -HB012
Site Address: 10820 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 012
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 7/
Signature of Authorized Plumber
If you have any questions, please call 503.718.2433.
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STREET TREE CERTIFICATION 0.
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44 meets 6: , t: �,. , o and as� % on , ounty
424 land use and development standards for street tree installation. 0.
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® ADDRESS: / 0 g'Z O -SW 13r;'ar -00t8d PL.
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® BY: " DAT E: 7 - W - o Zl It
® RECEIVED BY: DATE /L-476
AVVVVVVVYVYYYVYYYYVVYYYYVVYVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVV1
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 6 5 MST 020.3 62 .4? --
INSPECTION DIVISION Business Line: (503) 39 71
/ BUP
Received Date Requested AM BUP
Q
Location ` O O a 6 8 4 4 D'z f Suite / 7 � MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
DI 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:
PART FAIL
• MBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole .
Storm Drain
Shower Pan
Other: -
Final
PAS
M� RT FAIL
AL
Post & Beam
Rough -In
Gas Line
Sm.. • Dampers
• �1 - ' PART FAIL
E. - TRICAL
S- ice
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 (`"( 1 Inspector Ext 21(
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 h � 7 —66 Z
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 7 — AM PM BUP
Location / 6 2 z 0 /2/1 Gv Suite MEC
Contact Person Ph ( ) 6— PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain IA
Slab Inspection Notes: SIT ��.
Post & Beam
Shear
Ext Sheath/Shear 'v
Int Sheath/Shear
AIV
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 Alarm
PART FAIL ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line r r O ADA — Nus
L i
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-9 - d -3 - 2- J3 —
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested — Z ( t ° AM PM BUP
Location / a g 2 - v /frl4Q./1 C ��'� ri Z f Suite MEC
Contact Person Ph ( ) gf - i0 c 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 (I" 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
HANICAL
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 fl Please call for reinspection RE: / n Unable to inspect — no access
Fire Supply Line
ADA /11) Approach/Sidewalk Date ° ' / G � Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL