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Permit MASTER PERMIT CITY OF T I G A R D PERMIT #: MST2003 -00281 1 DEVELOPMENT SERVICES DATE ISSUED: 11/3/03 I AU- II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10855 SW 130TH AVE PARCEL: 1S133AC-HBOO8 SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R -25 BLOCK: LOT: 008 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 THRO: 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 BOILJCMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1 LPG FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 2 WOODSTOVES: GAS OUTLETS: 3 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W/SVC OR FOR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 2 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/F DR: SIGNIOUT 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 INTigard Municipal c p l Code, to the regulations contained C o i the a l l o d other Municpal Code, State work k w Specialty Codes and 9500 SW BARBUR BLVD., STE 220 9500 SW BARBUR BLVD #220 all other applicable laws. All work will be 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 #: 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 lnsp Building Final Footing Insp Electrical Rough -in Gas Line Insp 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' : Permittee Signature : Q Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day Biilding Permit FOR OFFICE USE ONLY p Building ,, . D R (0 / "2 7 /O-3 Permit No.;/yST 003'QQ,2 Date/By: Ci of Ti and Planning Approval Other ty g IUN 2 ► ' fl l ' Date/By: Permit No.:S&)ieo2 DO�y o 3 13125 SW Hall Blvd. J U Plan Revie1 _ t34 J other Tigard., Oregon 97223 CITY OF TIG: 0 , Date/By Q� Permit No.: Phone: 503 - 639 -4171 Fax: 50 k{��Q D " Post - Review Land Use - t g el �I " � DateBv: Case No. Internet: www.ci.tigard.or.us �'' Contact Ju El See Page 2 for 24 - hour Inspection Request: 503 639 - 4175 Name/Method: _ Tl(> Supplemental Information - .- - ' . TYPE OF WORK REQUIRED DATA Jil New construction ❑ 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 IA2 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 � d� ❑ Master Builder ❑ Other: Valuation 7 � ':c: .:JOB SITE INFORMATION and LOCATION No. of bedrooms: 3 No. of baths: Z - 3 Job site address: I ()ass SW l 50 )c/E Total number of floors - / L $3 New dwelling area (sq. ft.) - j — HAW #: B ldg. /Apt. #: Garage/carport area (sq. ft.) Project Name: �W 1CS �F • Tc11�M ES Covered porch area (sq. ft.) 3 L Cross street/Directions to job site: Deck area (sq. ft.) .1 5k.1 l 30 Avegug ,4 S. Kt. 14Abit s BEA Other structure area (sq. ft.) e ` : REQUIRED DATA COMMERCIAL - USE CIIJ CKLIST - -..- Subdivision: F64 4 S Toviv V 11S Lot #: 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. 15TRUc.ra•( of NELJ 3 sr Tbolil l jw+f. ` 3_Sev r 4 l Valuation S l J Existing building area (sq. ft.) New building area (sq. ft.) Number of stories .EVP.ROPERTYOWNER'. 1 ❑ TENANT - - Type of construction Name: A tTTUm n1 PAt2 K ` t M ,1 ''t / L . L • L • Occupancy group(s): FE R-3 Address: 9Soo SW tegute- &Jib Cu 0-E Z2 City /State /Zip: 170e r L 4, J ` 6 . , O . q--72_19 Phone: Sod. 642-67SEj Fax: '3' PAZ-8041 NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under gr APPLICANT • -- .L. Q CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the Business Name: bfeEK L . - grLOW4 L AgizattiS (,,t, . jurisdiction where work is being performed. If the applicant is exempt Contact Name: rvlfre K (4n1Sal.) G2. etrx PeA*)Z from licensing, the following reason applies: Address: gS)o S J f t e d ( ,- & + SU (7 210 City /State /Zip: k,2T7./4* a& q-i 2 a ', Phone:(SoteR2 -e`se 1 Fax:( . .- . '. BUILDING:PERMITTEES *° E -mail: ma. r K q . . d l b rbwrt RSSve ' Conn ..., �Please'refer"to fee schedule. -- CONTRACTOR , . .:: . Business Name: 'Meet L. (4eawo 4 Aga !l4R'e, A.Z. Y, Fees due upon application S Address: 950c) SUl $AQ,l3in2 gLL/D Surd 27.0 City /State /Zip: fber Q2 9-12 5 9 Amont received S Phone: , •1) 842-8 `l s8 [ Fax: ( l Date received: CCB Lic. #: 5 9( P °( --- )4/ . Authorized J/Z i (Q Notice: This permit application expires if a permit is not obtained within Signature: Date: l ( l� 180 days after it has been accepted as complete. / (c r A Sew *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) i:\Dsts\Permit Forms\BldgPemutApp.doc 01/03 • Lieetrical PermitAtregift Rece FOR OFFICE USE ONLY Electrical Date/B : Permit No.: STE200.3- ODo2?/ City of Tigard Planning Approval Sign JUN h �I Date/Bv: Permit No.: 13125 SW Hall Blvd. ( L U Plan Review Other Tigard, Oregon 97223 CITY OF TIGA , D Date/Bv: Permit No.: Phone: 503 - 639 -4171 Fax: S 211I��DIV •• y Post-Review Land Use i� ' + Date/B : Case No.: -- Internet: www.ci.tigard.or.us "�,� II Contact Juris.: 0 See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Method: Su lemental Information. TYPE OF WORK PLAN REVIEW (Please check all that apply) XNew construction ❑ Demolition —❑ Service over 225 amps- ❑ Health-care facility commercial ❑ Hazardous location ❑ Addition/alteration/replacement ❑ Other: Z) 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 2-1 & 2- Family dwelling ❑ Commercial/Industrial ❑ System over 600 volts nominal one structure ❑ Building over three stories ❑ Feeders, 400 amps or more O Accessory Building ❑ Multi - Family ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park Master Builder I ❑ 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: (OS �S SW ISO UE FEE* SCHEDULE Suite #: B1(la. /Apt #: Number of inspections per permit allowed Project Name: ,4.44 j{'S 6101 ! ` l QLJ nrigS Description Qty Fee (ea.) I Total L New residential - single or multi- family per i Cross street/Directions to job site: i �S dwelling unit. Includes attached garage. ,-CV) ' -0 +"r A Ve t,6 S� N" I Service included: £ S I 1 or less _ I 145.15 I6� 4 Each ach ad ad di ti h portion 500 sq. or poon thereof '�. _ 33.40 _ Limited energy, residential 1 75.00 I - j5 ,ao 2 Subdivision: Lot #. r Limited ener 2 qy, non residential 75.00 TaX map /parcel #: Each manufactured home or modular dwelling - DESCRIPTION OF WORK service and/or feeder 90.90 1 2 Services or feeders - installation, Cato rit“..CTICAJ C 1'I6i,J 3 sr alteration or relocation: "i7E.J . A j 1 J CV✓rC -I ! , r 200 amps or less 80.30 2 (. �'` 201 amps to 400 amps 106.85 2 401 amDS to 600 amps 160.60 2 &PROPERTY OWNER. . I- ❑ TENANT -- - - - _ 601 amps to 1000 amps 240.60 2 q /'-`" zo , Over 1000 amps or volts 454.65 2 lame: 4JTjj1.vl P frek �(�t P es LLL Reconnect only 66.85 2 Address: C1 gue. gL- SU fNc 22Z Temporary services or feeders - installation, alteration, or relocation: City /State /Zip: I trL Oie.. 9 -1 c (9 200 amps or less 66.85 1 Phone�, 8 O 42 -2r7 F :(5 \ 89 2 8 1 J 201 amps to 400 amDS 100.30 2 ��� 401 to 600 amps 133.75 2 - �APPL p � ANT' -- Q , - ,�1 ( CONT CT PERSON Bi ch circuits - new, alteration, or Name: 1b KG L. , L03 e A-Syx - is- 1 1/..6, extension per panel: Address: 9SQC SW (419,RIl1f P _\t/> Su a.f Z2.0 A. Fee for branch circuits with purchase of service or feeder fee, each branch circuit 6.65 2 City /State /Zip: e , Of& 9 2,i B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit 46.85 2 Phone: J) 2_815(3 Fax: 5:a) ST/ —eel( / Each additional branch circuit 6.65 2 E -mail: wig, r Q. d t tr ,Con -, Misc.(Service or feeder not included): Each pump or irrigation circle 53.40 2 - 7-."••:;.:'.:.74: 7 •' =, - =: ant CONTRACTOR - • Each sign or outline lighting 53.40 _ 2 Job No: -1 k Signal circuit(s) or a limited energy panel, Electrum Inc alteration, or extension Page 2 • 2 Description: 2050 Vista Ave #100 Salem OR 97302 Each additional inspection over the allowable in any of the above: Per inspection per hour (min. 1 hour) 62.50 503 - 361 -1256 Investigation fee: . CCB :116453/ELC:24- 353C/SUP:29195 Other . Electrical PermltFees* '' - Supervising electrician _ Subtotal S signature required: Plan Review (25% of Permit Fee) S _ Print Name: I Lic. #: State Surcharge (8% of Permit Fee) $ — TOTAL PERMIT FEE S Authorized Notice: This permit application expires if a permit is not obtained within Signature: `/ I Date: 4 (a3 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. ill/ht i■J , g_iou Seir3 (Pleak print name) is \Dsts\Permit Forms \ElcPermitApp.doc 01/03 , / l _ FOR OFFICE USE ONLY Mechanical Per u_} Received Mechanical ' Date/By: PermitNo.: /7 '', - 09" - 0O3 - : (P/ Planning Approval Building City of Tigard JUN 2 7 200: Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, g Ore on 97223 CITY OF TIG ' Post-Review Land Use Date/By: Permit No.: I Phone: 503 - 639 -4171 Fax: 5081ENDRI1G DIV, h'11 Post -R y: Case No.: Internet: www.ci.tigard.or.us 9, e . Contact Juris.: 1E2 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 ❑ Addition /alteration/replacement ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all CATEGORY OF CONSTRIICTION 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* SCHEDULE Description Qty Fee(ea.) Total ❑ Master Builder _ Other: Heating/Cooling JOB SITE INFORMATION and LOCATION Furnace - add -on air conditioning ** I 14.00 14. Job site address: l6 �.Cti. /1>"0 ±--- AVE- Gas heat pump 14.00 Suite #: Bldg. /Apt. #: Ductwork I 14.00 14, Project Name: vi KS ' 4eb T IJ 14p1/0.Cc Hydronic hot water system 14.00 ] Residential boiler Cross street/Directions to job site: (for radiator or hydronic system) 14.00 .SI.J j /t v Fi +JU ' 'jeS Unit heaters (fuel, not electric) Be,A.(1-I <; e? (in wall, in -duct, suspended, etc.) 14.00 Flue/vent (for any of above) 1 10.00 ID. °" Repair units 12.15 Subdivision:/ ff} G(/,C� 6.&,1-g-_0 Lot #: Other Fuel Appliances Tax map /parcel #: Water heater I l 10.00 (O.' •- DESCRIPTION IPTION O / F WORK Gas fireplace 1 10.00 10. C c / 7 OR Cvi 3 \ C Flue vent (water heater /gas fireplace) 2- 10.00 20 �WAi krY?F PeoJrCLT (j4�D � ) Log lighter (gas) 10.00 Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner /flue/vent 10.00 PROPERTY OWNER - • I' ❑ TENANT - • • -. Other. 10.00 A Name: ., 1 /Yl ^� K T wi.)Now e S Ll-6 Environmental Exhaust & Ventilation 7 I V' I/ �" ) Range hood/other kitchen equipment I 10.00 10. W Address: (3610 SW ` ISI�L� , Sll 1 2 � Clothes dryer exhaust I 10.00 IQ. °Q City /State /Zip: 9 r de Q -72 Single duct exhaust Phone:�5o3) &I2 -6758 I Fax: (5) ) 89 2- 8841 (bathrooms, toilet compartments, n 1-41) - LAPPL CANT El CONTACT PERSON utility rooms) 3 6.80 u0 . Name: I>EilaC l-. Bac kJ 8 A-Siclif*eS, ! , iC • Attic/crawl space fans 10.00 Other Address: 9....0 SlA) B4e...e (� 6_4), Sl/I t ZZd Fuel Pipin City /State /Zip: ep T ot c?-7 2.19 * *(55.40 for first 4, $1.00 each additional) Furnace, etc. I ** Phone:(So3) ail -8 Fax: (�,�2 -e�'( Gas heat pump '* E -mail: ✓hA2 C C d i brcW,nasS . C , c Wall/suspended/unit heater ** - CONTRACTOR Water heater 1 ** 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 ' S. fl Mechanical Permit Fees* Authorized ` 4/�/ ©� Subtotal: 5 l 2 3. 610 Signature: 'jaI► IA.. Date: Minimum Permit Fee $72.50 S - • /S PcUCE- N Plan Review Fee (25% of Permit Fee) S (Please print name) State Surcharge (8% of Permit Fee) S Q . _ _ TOTAL PERMIT FEE $ _ Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri- County Building Industry aervrnce warn. 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 1SUiia ig .r 'Atilt • Pl robin P erm it A MAW FOR OFFICE USE ONLY R eceived Plumbing Date/By: Permit No.. /.5/c 'QQ 7 City of Tigard JUN 2 7 2003 Planning Approval Sewer Date/By: Permit No.: 13125 SW Hall Blvd. CITY OF TI CA U Plan Review Other , Tigard, Oregon 97223 BUILDING D ISI o N Date/By: Permit No.: Phone: 503- 639 -4171 Fax: 503 -598 -1960 Post - Review Land Use �+aer� i ' Contac Case No.: Internet: www.ci.tigard.or.us .� II ® g . c Contac Juris.: See Page : Car 24 -hour Inspection Request: 503 -639 -4175 Name/Method: Supplemental Information. TYPE OF WORK • FEE* SCHEDULE (for special information use checklist) E New construction ❑ Demolition Description Qty. Fee(ea.) 1 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 & 2- Family dwelling ❑ CommerciaUlndustrial SFR (2) bath •_ 1 350.00 '5o. Accessory Building ❑ Multi- Family SFR (3) bath 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: /0375 .j Gv /70+2:1 ,4 VE Site Utilities Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60 ' Project Name: HAW kc "BFA-21 " "Ov-Itsi wtG S Footing n line/trench .i ar drain 16.60 Footing drain (no. linear ft.) Page 2 Cross street/Directions to job sit Manufactured home utilities 110.00 SLJ 1;0 Alfa S ' �` Manholes 16.60 3ERlt Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Page 2 Subdivision: AlAWK S G Lot #: 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 a mis -C T1c J of IV Eln) S i (')(t I Backflow preventer Page 2 - ro, .flab,- P2. Ecl ( 4(. 5 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 ROPERTY`OWNER_ :1I -Q TENANT " " " Ejectors/sump 16.60 Name: AUT VVI A) PA - K -r vVN OcktilES L1-C. Expansion tank 16.60 Address: 9 SCo SvJ 'E4te.g1J2 &9 , cipA ZZO Fixture/sewer cap 16.60 City /State /Zip: ga LA/ .ID 02 on z jot Garbage drain /floor sink/hub 16.60 & 2-� S S'i � Garbage disposal 16.60 Phone kS4 9 q,2 F aX 67 5� Fax: � ) Hose bib 16.60 ;APPLICANT • ":x - -.. -` ... .12 CONTACT PERSON= • ; Ice maker 16.60 Name: 1>E K L. 62001/4) S AsSocuI-+^e, I i.A, Interceptor /grease trap 16.60 Address: 95,00 S+J gt€.gJJ igl..r1A, Su t'1'f ZZo Medical gas - value: S Page 2 Primer 16.60 City /State /Zip: PoerL , C".t q--7 Z l Roof drain (commercial) 16.60 Phone:(03)892- 6 - 7 5 8 Fax(So3n 612.-6e4/ Sink/basin/lavatory 16.60 E -mail: rnAitic. c di tacC.)t;JiZatCe G • Co r'' Tub /shower /shower pan 16.60 , - CONTRACTOR ' ` Urinal 16.60 Plumbing Experts Inc Water closet 16.60 g p Water heater 16.60 11925 SW Parkway Other: Portland OR 97225 -5413 Other: 503- 469 -0443 .. .Plumbing PertnitFees* CCB: 149035 PLM: 34 -391PB Subtotal $ 3 c al Minimum Permit Fee $72.50 $ Authorized / Resid Backflow Minimum Fee $36.25 /ad 10_5 Signature: Date: Plan Review (25% of Permit Fee) $ �� � C&rJa_ State Surcharge (8% of Permit Fee) S 1 . °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 wan Isometnc 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 FormsPPlmPermitApp.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 -00281 Date Issued: 11/3/03 Parcel: 1 S133AC -HB008 Site Address: 10855 SW 130TH AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 008 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 R #: LIC 116453 SUP 3 ' 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. .j TIGARD, OR 97223 IMPORTANT PERMIT NOTICE PLUMBING EXPERTS INC 11925 SW PARKWAY PORTLAND, OR 97225 -5413 Plumbing Signature Form Permit #: MST2003 -00281 Date Issued: 11/3/03 Parcel: 1 S133AC -HB008 Site Address: 10855 SW 130TH AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 008 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 24 -Hour BUILDING Inspection Line: (503) 639 -4175 r MST ,9-c INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Received Date Requested / 1S AM PM BUP Location G gs �� Ci ,� Suite 1 MEC Contact Person Ph ( )6 — C 7 F 2 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing 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: 4 - i ti PART FAIL • 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 MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final I I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE I I Please call for reinspection RE: Unable to inspect – no access Fire Supply Line ADA ` Approach /Sidewalk Date 7 — / J / U Inspecto � •I 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 ,;23 -aaZ� INSPECTION DIVISION Business Line: (503) 639 -4171 _) BUP Received Date Requested ! - ( AM PM BUP Location /C 5 ? - 5 / 3 ()‘ �� Suite MEC _ � Contact Person Ph ( ) (0 k97 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 b` Insulation Drywall Nailing /-7?: > Firewall � Fire Sprinkler � Fire Alarm . `.. 4 (2 7L r Susp'd Ceiling Roof Other: air Final PASS PART FAIL PLUMBING /ice. - / ` milk■ Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Oth - r: - AS • PART FAIL E • ANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final I 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 l �j /727V Approach /Sidewalk Date 1 / l 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 3 - od ¥� l INSPECTION DIVISION - Business Line: (503) 639 -4171 BUP Received Date Requested ` — A M PM BUP • LA–Suite Location L I suite MEC Contact Person Ph ( ) q PLM Contractor Ph ( ) 63' 7091‘., SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain 10 00 ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors / � , r Z Ext Sheath/Shear Nd� "' : 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 MECHAIICA Post & Be Rough -In Gas Line Smok ampers -- SS PART F ELECTRICAL Service Rough -In 2Cr r L Ai/C r f l UG /Slab Low Voltage arm `(F "' Reinspection fee of $ required beTore next inspection. Pay at City Hall, 13125 SW Hall Blvd. ART FAIL — — — — ❑ Please call for reinspection RE: Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date / /(, — 0 "f Inspector Est 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 ° 6d INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received _ Date Requested 7 - 7 AM ` PM BUP J Location / O g S / 3 ' (-1- ■ Suite MEC Contact Person Ph ( ) 9(a ` '1 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam ■l Shear Anchors Ext Sheath /Shear Int Sheath /Shear \ Framing op Pte N C '( f! 06, S s) — G FC F p -Er C-eP -1-6 Drywall —� IDg By (; E Dtr _ 5T /14 Drywall Nailing Fi reveal I W y,,,,�� f n � CF(;i351) Gc � Fire Sprinkler �� C�� `vim G�� Fire Alarm Susp'd Ceiling - �7,� Roof �� - iTnL G F C.L N 0E-1.3 S &Lai-G - L4 c-,t c 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 Fir- Alarm PART FAIL 1 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA .-- , l�iQ. Ext Approach /Sidewalk Date 7 � O I l Y Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503 -4175 MST�d3 Zg/ INSPECTION DIVISION Business Line: (' 49 -4171 q BUP Received Date Requested I BUP Location / G Y5 /.2 4 -4J- .- Suite c MEC Contact Person Ph ( ) .�� — —f ��(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 1 S A �`�` L/�/f� 7/ /d %/ Framing U l} J Insulation > �� J '2A/5 l l /, (�� n Drywall Nailing J l� Firewall Fire Sprinkler I �' Fire Alarm "2--x) ` � � , 5 ^ w s �€ Susp'd Ceiling _ v� / 6 (2&) Roof 7 /`V Other: m in I tl - PASS PART FAIL PLUMBING Post & Beam Under Slab l r _6 V K i Rough-In \ Water Water Service / Sanitary Sewer t) r 7 r CAe— \) �(` L & Rain Drains / Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line S • ke Dampers in. lap PART FAIL EL TRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE I I Please call for reinspection RE: Unable to inspect - no access Fire Supply Line f ADA 1 / Approach /Sidewalk Date I I nspector V Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL