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Permit MASTER PERMIT CITY T I G A R D PERMIT #: MST2003 -00284 . hil DEVELOPMENT SERVICES DATE ISSUED: 11/3/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10825 SW 130TH AVE PARCEL: 1 S133AC -HBO11 SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R -25 BLOCK: LOT: 011 JURISDICTION: TIG REMARKS: New SFA dwelling. BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 32 FIRST: 108 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 636 sf GARAGE: 536 sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD 709 sf RIGHT: VALUE: 149 OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 1,453 sf REAR: PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: 1 BOIUCMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1 LPG FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 2 WOODSTOVES: GAS OUTLETS: 3 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W/SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 2 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/F DR: 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 This permit is subject to the regulations contained in the AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES INTigard Municipal Code, State of OR. Specialty Codes 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 #: LIC 58699 may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion Control lnsp 8 Plm /undslb lnsp Plumbing Top Out Shear Wall lnsp Water Line lnsp Mechanical Final Sewer Inspection Electrical Service Framing Insp Exterior Sheathing Ins( Water Service lnsp Building Final Footing lnsp Electrical Rough -in Gas Line Insp Firewall Insp Smoke Detector Foundation lnsp Mechanical lnsp Gas Fireplace Gyp Board Insp Electrical Final Slab lnsp Low Voltage Insulation lnsp Rain Drain lnsp Plumb Final Issued : / ^ CL Permittee Signature :--- Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day II FOR OFFICE USE ONLY B uilding Perm1 it Received � /� ��a3 P �; °N r�oa3 oo��� Date/By / S 7 City of Tigard JUN 2 7 2003 Planning Approval Other Date/By: Permit No.: S thea 13125 SW Hall Blvd. CITY OF TIGARD Plan Review ��tt OJ Other Tigard, Oregon 97223 BUILDING IVISI I ► Date/By: . r J f PermitNo.: Phone: 503- 639 -4171 Fax: 503 - 598 -1960 `" "•hs�t�l :ill I '` Post - Review Land Use DateBy: Case No. Internet www.ci.tigard.or.us ^ =. c ---' Contact J uris.: El See Page 2 for 24 -hour Inspection Request: 503 - 639 -4175 Name/Method: 7/6 Supplemental Information •� -TYPE OF WORK . . . - REQUIRED DATA: ZNew 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 Z. 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. R Accessory Building L Multi- Family ❑ Valuation 9 � V/ 448. 4o Master Builder Other: -:JOB SITE INFORMATION and LOCATION :; -. No. of bedrooms: .3 No. of baths: Z Job site address: tQ eL j SW (30 M E✓U� Total number of floors New dwelling area (sq. ft.) 14 J.7 Suite #: Bldg. /Apt. #: Garage/carport area (sq. ft.) _S3y Project Name: HAW KS 'RFC Ta41414,M&S Covered porch area (sq. ft.) , I. Cross street/Directions to job site: Deck area (sq. ft.) 74. SW 1;" AvrJE ,4 S.w. fit« BEPA Other structure area (sq. ft.) REQUIRED DATA:. . COMMERCIAL - USE CHECKLIST Subdivision: 14;44 4 ei - 1 - I Lot #: /1 Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate i - t , 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. C049 .raLL of NELJ S srixe.1 TOold PC1wi- ?9-J,E[X (/465) Valuation $ J Existing building area (sq. ft.) New building area (sq. ft.) Number of stories : PROPERTY'OWNER • I ❑ TENANT --- . - . Type of construction Name: A UIDt i r.j PPoe K TOt ll�lt-5 wI.ES' / LL.. Occupancy group(s): New Existing: R -3 Address: gt500 94 '(te gum el- SHOE Z 2.)) City /State /Zip: "PUet•ZA7A. , 0 2 q v Phone: 603 S42-e''S ' Fax:' 3) &3z- 41 NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under g APPLICANT , 0 CONTACT PERSON- provisions of ORS 701 and may be required to be licensed in the Business Name: bEeEK 1.. - gao Lr4 e, A XlM't ' / ( jurisdiction where work is being performed. If the applicant is exempt Contact Name: mike K (-th>J.Srio Cs2- etct PeA0Z from Iicensing, the following reason applies: Address: 95ao SW 'SHAW.- (WAII i Su (7 22 City /State /Zip: 17 Oil QZ 2t' Phone:( os)F12 Fax:(Sp3j ea -6e/4( . -- . -. BU ILDING PERMIT TEES* - . E -mail: rt- a r K Cf. d l b rown ASSVC . GOM - ' •Please to'fee schedule. 7 CONTRACTOR Business Name: sbuit L. 1fJ 4 Agairl 1 Yom, Fees due upon application $ Address: 95:x.) S(/ gActoe- gut b ( &lla* ZZo City /State /Zip: R)er ) 0t2 4 9 - 12 fel Amount received $ Phone:k1892-8Z0 [Fax: 15 t Date received: CCB Lic. #: Q Authorized 4 ((" J Notice: This permit application expires if a permit is not obtained within Signature: Date: ('� 180 days after it has been accepted as complete. /' j4 ff It ►' r Af5,3P *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) i:\Dsts\Permit Forms\BldgPermitApp.doc 01/03 El Pe t1UII FOR OFFICE USE ONL Received Electrical DateBv: Permit No.•4 '4 / at City of Tigard Planning Approval sign g Date/B Permit No.: 13125 SW Hall Blvd. JUN 2 7 2003 Plan Review Other Tigard, Oregon 97223 Date/13v: Permit No.: Phone: 503- 639 -4171 Fcti.Th9FAIWID Post - Review Land Use LDI DIVISIO � fl�t Date/B : Case No.: Internet: www.ci.tigard. r� e I Contact Juris.: CI 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: Jig Service over 320 amps - rating of ❑ Building over 10,000 square feet. CATEGORY OF CONSTRUCTION l & 2 family dwellings four or more residential units in 21-1 & 2- Family dwelling ❑ Commercial/Industrial ❑ System over 600 volts nominal one structure ❑ Building over three stories ❑ Feeders, 400 amps or more al 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: 1OE2 AIJ A S SW 13 * lit FEE* SCHEDULE Suite #: Blcig. /Apt. #: Number of inspections per permit allowed Project Name: ,4441/0 ic f—rowrif'ON1g5. Description r Qty I Fee (ea.) I Total I I New residential - single or multi - family per + Cross \eet 4-1.1 to job oe -1 e: \ s � L 'r ` dwelling unit. Includes attached garage. _XJ T /1 7 vJ / x a /'r h � Service included: Each ad . ft. or less 145.15 I+>. 4 0 SZY4C4F/r Each additional 500 sq. ft or portion thereof � 33.40 �► ` e 1 • t r* Limited energy, residential l 75.00 - j5 ,c,cc, 2 Subdivision: IM `f1: ` c Lot #: 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 Services or feeders - installation, C o ,1.5> C o■lfA,J 3 sr— alteration or relocation: / J�,� ,� � j;� 200 amps or less 80.30 2 �� W `� IU t— t "'Y 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 aPROPERTY"OWN R. ►. ❑ TENANT -- - - 601 amps to 1000 amps 240.60 2 q `" , 1-L Over 1000 amps or volts 454.65 2 IIame: 4j?u 10/172.K 10/172.K TdvJ1J�wtES Ci Reconnect only _ 66.85 2 Address: QI ( g1J- gL-■, Sii tNc 222 Temporary services or feeders - installation, alteration, or relocation: City /State /Zip: Fb .rL14 -) ne- q - 1 2 / 200 amps or less 66.85 l Phone qdc) 8 cp y2 Cfl SS Fax:(sc 2 -e ( 201 amps to 400 amps 100.30 2 EE(( 401 to 600 amps 133.75 2 APP T' AN'. p `= _: ,[ CONT Cr PERSON ' Branch circuits - new, alteration, or m Nae: L• gJa j J b /JS. ES , 1 nt extension per panel: YcW P-11M o' ) S A Fee for branch ese hh purchase of Address: W SW � , hJ.- V l� Z� feed service or feeder fee, each branch circuit 6.65 2 City /State /Zip: 'R),z; t, , Gi 91 21 B. Fee for branch circuits without purchase of service or feeder fee. rust branch circuit 46.85 2 Phone: ('{-) S7 -8 S Fax: (So3) 692 -8e4 / Each additional branch circuit 6.65 2 E-mail: y r K a- d l tea t,.),J0.c$OC ' cOM Misc.(Service or feeder not included): Each pump or irrigation circle 53.40 2 r ;.» :_' CONTRACTOR - Each sign or outline lighting 53.40 , 2 Job No: - _ Signal circuit(s) or a limited energy panel, 2 alteration, or extension Page 2 Electrum Inc 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: er CCB :116453/ELC:24- 353C/SUP:2919S °t'1 ._ - Electrical Permlt:Eees* _ Supervising electrician Subtotal $ „ signature required: Plan Review (25% of Permit Fee) $ Print Name: Lic. #: State Surcharge (8% of Permit Fee) $ TOTAL PERMIT FEE $ Authori2 �l ( Notice: This permit application expires if a permit is not ootarnea wttnrn Signature: a ft Date: '1 \� 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. A ki. g_iou.RA3 (Ple a print name) i:\Dsts\Permit Forms\ElcPermitApp.doc 01/03 • FOR OFFICE USE ONLY Mechanical Per �Cibn Mechanical DateBv'. Permit No.:,/ ' -."- JUN 2 7 2UU3 Planning Approval Building City of Tigard DateBy: Permit No.: 13125 SW Hall Blvd. CITY OF TIGARD Plan Review Other Tigard, Oregon 97223 BUILDING DIVISI • Date/By: Permit No.: Post- Review land Use Phone: 503- 639 -417 Fax: 503 - 598 -1960 ,,,,,,. da Date/By: No.: Internet: www.ci.tigard.or.us �.' Ii Contact Juris.: ®Ste 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 CONSTRUCTION •. -• mechanical materials, equipment, labor, overhead and profit. '1 & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule Building Multi-Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE* SCHEDULE. ❑ Accessory g ❑ y Description I Qty Fee(ea.) I Total ] Master Builder ❑ Other: Heating/Cooling JOB SITE INFORMATION and LOCATION Furnace - add -on air conditioning ** 1 14.00 144 Job site address: 10 S'25 5.G(/. /1D - fit X41/ Gas heat pump 14.00 Suite #: Bldg. /Apt. #: Duct work 1 14.00 14." Project Name: 144 4K.S - g.FAi b TOv.i i 40 vvt c Hydronic hot water system 14.00 Residential boiler Cross street/Directions to job sit N, � � 5 , (for radiator or hydronic system) 14.00 .S(}..) I ` ✓ A Unit heaters (fuel, not electric) -- ge. -1 .s5 6r (in wall, in -duct, suspended, etc.) 14.00 v Flue/vent (for any of above) 1 10.00 10. °" Re units 12.15 Subdivision: f /ffGU /�j �L���U Lot #: / / Other Fuel Appliances Tax map /parcel #: Water heater I 10.00 10•' • DESCRIPTION OF WORK Gas fireplace 1 10.00 10.` C ram /S7- CT700 OR (E(A ... S -� ,� Flue vent (water heater /gas fireplace) Z,,, 10.00 2(y • iO -awAi t Mj ro 00.1 / l ' ( , [ a 0 Log lighter (gas) 10.00 L Wood/Pellet stove Wood fireplace/insert 10.00 Chimney/liner /flue/vent 10.00 PROPERTY OWNER • I 0 TENANT"` Other 10.00 Name: AVIV m t4 6 TO W I 4om E S LI.0 Environmental Exhaust & Ventilation Range hood/other kitchen equipment I 10.00 (0 . a) Address: ( 3s()d Sit/ is e gl.l / $ J !?' . Z Clothes dryer exhaust I 10.00 ip . * City /State /Zip: Pa de Q 2 19 Single duct exhaust Phone: /5o3) &712. -8'JSS i Fax: (5) �) D9 'L- 884( (bathrooms, toilet compartments, �APPL CANT ❑CONTACT PERSON utility rooms) 6.80 . Name: 4. gaoufr J 4 ci,tre5, idd . Attic/crawl space fans 10.00 Other. Address: Q 6"- (.11D Eliot - ZZC' Fuel Piping City /State /Zip: epocru ✓ 6 / eye Q'721 * *($5.40 for first 4. $1.00 each additional) Furnace, etc. I ** Phone: PR2 - Fax: C�31�2 -0�'�( Gas heat pump ** E -mail: rhlkez- C C d 1 broeJn . c)e : c.,7"--\ Wall/suspended/unit heater ** . CONTRACTOR Water heater I ** Smart Heating & Cooling LLC Fireplace I ** 7616 NE Everett St Range ' ** Portland OR 97213 -6347 Clothes dryer (gas) ** 503 -254 -5096 _Other ** CCB: 154133 Total: 3 15, /- l l Mechanical Permit Fees* Authorized / 4t.4'Q Z Subtotal: S I 23. 10 Signature: Date: - Minimum Permit Fee S72.50 S _ L$ oC E_ CO W Plan Review Fee (25% of Permit Fee) S (Please print name) State Surcharge (8% of Permit Fee) S q . 90- TOTAL PERMIT FEE $ - Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri -County Building Industry Service /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 1Sullu4ng r IALut ft o ,QED Plu Permit pp I ca on FOR OFFICE USE ONLY Re ceived Plumbing � JUN 2 7 200 Date/By: Pern 7 ;=ritNo.:/� ) :e:- - City of Tigard / Planning Approval Sewer CITY OF TIGARD Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 BUILDING DIVISI • Date/Bv: Permit No.: Phone: 503- 639 -4171 Fax: 503 -598 -1960 Post Review Land Use ca, I D ontac t Case No.: ® Internet: www.ci.tigard.or.us r� ce4 1 l 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) (T New construction ❑ Demolition Description Qty. Fee(ea.) Total E 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 t 350.00 UO, 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: /0 1,2 3 S t) 13 o'-- AV:__ Site Utilities Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60 Project Name: NA J kS ZIA-21 "rOvjf4 I WIG Drywel bleach line/trench drain 16.60 Footing drain (no. linear ft.) Page 2 Cross street/Directions to job s t , N� Manufactured home utilities 110.00 SI.J I �v S' W'� Manholes 16.60 1 Efr b Stria,' Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Page 2 Subdivision: f//4wK 5 004-g' t) Lot #: / f 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 N.STkutk. T1CP CF ian) l S7 -I Backflow preventer Page 2 - rim -1 1-k/i44f, P EL,r- (i24( 54-f.) Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 . E' PROPERT.Y'OWNER - :"I ❑ TENANT - - - Ejectors/sump 16.60 Name: 71) Al i) PAe. i< T tn1N F1 ci 4 S i L t.C.. Expansion tank 16.60 Address: q L0 S\l 13Alegje &.V SIII?E ZZD Fixture/sewer cap 16.60 City /State /Zip: P02T1J4r.1� 02 cil 2219 Floor drain /floor sink/hub 16.60 Garbage disposal 16.60 Phone {So3) 9 q2- &7 5a Fax: (S),0`12.- 04541 Hose bib 16.60 ;APPLICANT • -. -. . - :;❑ CONTACT PERSON - Ice maker 16.60 Name: burr! L- ge.cj ti,' i' S 4SSOC1A- C ( /JL Interceptor/grease trap 16.6 Address: 95,00 S+--) g , gjre. gc,r1A, Su l'E ZZa Medical gas - value: $ Page 2 Primer 16.60 City /State /Zip: 92A , CL° l l q Roof drain (commercial) 16.60 Phone 3 2- 5758 Fax(§ 3) 61'L bb f / Sink/basin/lavatory 16.60 E -mail: 1.,- -0,2,1c.1 61 be► cc d C. • Ca ,M 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 .,.:. ...T: Plumbing Permit Fees* CCB: 149035 PLM: 34-391PB - Subtotal $ 3 S o.00 I Minimum Permit Fee 572.50 $ Authorized / 4 / Residential Backflow Minimum Fee $36.25 b _ _ Signature: Date: 1 _ Plan Review (25% of Permit Fee) $ t (ICE_ (&Iv(` State Surcharge (8% of Permit Fee) $ B . ° (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 1.,........G...... 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\PlrnPermitApp.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 -00284 Date Issued: 11/3/03 Parcel: 1 S133AC -HB011 Site Address: 10825 SW 130TH AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 011 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 O�� Si nature o 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 -00284 Date Issued: 11/3/03 Parcel: 1 S133AC -HB011 Site Address: 10825 SW 130TH AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 011 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 3- S ELF 24 -353C AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Supervising Electrician If you have any questions, please call 503.718.2433. MsT2a 3- 6-6 20`f V • • • •' • • • • I 1 STREET TREE CERTIFICATION • • . • . • sr,,,,, . • . • I, fivice Cc ► • wnerNent for pEeF� G. _"Au;kJ � 4. o c.. • (PLEASE PRINT) (PERMIT HOLDER) • ■ • • • ■ • ~� " • • Do hereb ' ' _ ,- ie • 1. • l ocation ■ • .. ■ • g • meets of .mow v r on , ounty ■ • l and use and development standards for street tree installation. ■ • ■ • ■ A • `SAVE • ADDRESS: Ip1ZS S.W. /S© ■ • ■ • ■ • LOT: 11 SUBDIVISION: AUT Vlyld P Ag )�� ■ • ■ • • BY: , _ _ , DATE: 7 /7)0.4-- ■ • V • • • • W''' 1 RECEIVED BY: DATE: d '/ ► • ► • A VVVV7VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV7VVVVVVVVVVVVVVVVVV1 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503 -4175 , INSPECTION DIVISION Business Line: (5 ) 4171 MST ��3 -� `1t BUP Received Date Requested A PM BUP / Location L d gia S /3 6 ° I -1 ^- -cJ' -e - Suite / / 1 MEC Contact Person Ph ( ) 2 (o — q o p 9 7 PLM Contractor Ph ( ) - SWR :ker G 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: 407. PART FAIL PL MBING Post & Beam Under Slab 0115/ Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL 411 Q/ HA AL P ost & eam Rough -In Gas Line Smo. - Dampers nab r ' PART FAIL E TRICAL 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 Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA a C �� 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 MSTAU --.06 gq INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 7 AM PM BUP Location J 0 oZ3 / 3v \frh Suite MEC Contact Person Ph ( ) ��� 1 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: 4iral PART FAIL ANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final n Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE U Please call for reinspection RE: n Unable to inspect — no access Fire Supply Line ADA ri TO( Approach /Sidewalk Date V Inspector v V Ext Other: Final DO NOT REMOVE this inspection r ord from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST ' -(1/ -- -3-66-2- INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested - AM PM BUP Location f v _ 1,36 Suite MEC Contact Person Ph ( ) ' — 9 g9 / PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR ,411111.i■ Crawl Drain Slab Inspection Notes: SIT guff Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath /Shear Framing Insulation a y _ , . , „ �. W �� Z? Drywall Nailing c �� V" DE-4 Firewall Fire Sprinkler Fire Alarm j-6 'TiL O 2. E r 7 /14E-4__s Susp'd Ceiling Roof 2 V b Other: � Final PASS PART FAIL PLUMBING MP key A6 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 l Fire Alarm 4� a l D Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART /4h! � i' j I I Please call for reinspection RE: Unable to inspect - no access Fire Supply Line ADA -2 n Approach /Sidewalk Date J v D ( Inspector v ; 4 1 -� Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL