The URL can be used to link to this page

Permit CITY OF T I G A R D MASTER PERMIT PERMIT #: MST2003 -00307 i1ij DEVELOPMENT SERVICES DATE ISSUED: 12/23/2003 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 SITE ADDRESS: 10810 SW HUNTINGTON AVE PARCEL: 1S133AC-11900 SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25 BLOCK: LOT: 037 JURISDICTION: TIG REMARKS: New SFA dwelling. 6/15/04: Altered plan from 3 to 2 -bath. BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 32 FIRST: 48 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 640 sf GARAGE: 524 sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: 728 sf RIGHT: VALUE: 145,364.40 OCCUPANCY GRP: R3 BDRM: 2 BATH: 2 TOTAL: 1,416 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: 4 CLOTHES DRYER: 1 LPG FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS: 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 IVR: 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: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601+amps- 1000v: MINOR LABEL: 1000+ ampNolt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS ARENSPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,073.29 AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES IN This permit is subject to the regulations contained in the 1 igard Munidpal Code, State of OR. Specialty Codes 9500 SW BARBUR BLVD., STE 220 4949 SW MEADOWS RD SUITE 400 and all other applicable laws. All work will be done In PORTLAND, OR 97219 LAKE OSWEGO, OR 97035 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. Phone: 503 - 892 - 8758 PhonB: 971 233 - 0075 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg #: LIC 58699 rules are set forth in OAR 952 - 001 -0010 through 952- 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Ersn Cntrl 681 -4444 Slab lnsp Mechanical Insp Framing Insp Shear Wall lnsp Shear Wall Insp Sewer Inspection PIm /undslb Insp Low Voltage Gas Line Insp Shear Wall Insp Shear Wall Insp Footing lnsp Electrical Service Plumbing Top Out Gas Fireplace Shear Wall Insp Shear Wall lnsp Footing Insp Electrical Rough -in Framing lnsp Insulation Insp Shear Wall Insp Shear Wall Insp Foundation lnsp Mechanical Insp Framing Insp Shear Wall Insp Shear Wall Insp Shear Wall Insp Issued By : 47� r. / - Permittee Signature :."-/- 6 4 7 C- r5L / eV r Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day B Permit 1 FOR OFFICE USE ONLY 1 1 �'�► i 1� 'I i t Received � � 2 �� ® � �f�i Building Datt/Bv: ,<PT V Permit No.Hs— D0.3 - onlo 7 City of Ti JUN 2 7 200 Planning Approval Other Date/By: Permit No. :Std/ ° ,6 1 0Agi 13125 SW Hall Blvd. Plan Revie k /0"11 Tigard, Oregon 97223 CITY OF TIG ' - D Date/Bv: Permit No.: Phone: 503 - 639 -4171 Fax: 5040gort.g DI ' jjffi .ik'II' Dat V view Case No Internet www.ci.tigard.or.us Contac Juris. ®See Pag 2 for — 24 -hour Inspection Request: 503 - 639 -4175 Name/Method: -77 & 1 Supplemental Information TYPE OF WORK - REQUIRED DATA: aNew construction ❑ Demolition • • 1 &I FAMILY DWELLING ' • ❑ Addition/alteration/replacement , ❑ Other: ' •••" CATEGORY. OF CONSTRUCTION .. - . • Note: Permit fees' are based on the total value of the work performed. Indicate X 1 & 2 - Family dwelling I ❑ 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 Er Multi-Famil I 40 ❑ Master Builder ❑ Other: Valuation S itS36y ' : := :,:.JOB SITE IIYFORMATION:and LOCATION' `::,. •-- No. of bedrooms: 2- No. of baths: Z T2 Job site address: toeIC) 5 4u m4t A eouC I Total number of floors New dwelling area (sq. ft- ) lija__ Suite #: I B ldg. /Apt. #: Garage/carport area (sq. ft.) 5& if Project Name: 1-66.14S .S ' E.AA "ro.-114/10%.4.6,5 Covered porch area (sq. ft.) 3y Cross street/Directions to job site: Deck area (sq. ft.) AT SO 13,1 A e ,4 Sly.. 14AulKs 304 Other structure area (sq. ft.) S e ` - ' •REQuI ED DATA .. ^r•_.- .- _: -: ...: COMMRC EIAL =.USE CHECKLIST =,::` :: : _' Subdivision: ! 4t R,s'EAi1� T0 I Lot #:. — 1 . Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate • -....i,'.-...''':;',7-:::::=.';.- DESCRIPTION'OF-WORK . • • I1-104, _ '"- : - • the value (rounded to the nearest dollar) of all equipment, materials, labor, C:j1L OF N� 3 Srove.•' Tagil overhead and profit for the work indicated on this application. C,�y.�,S reZ_S Valuation S Existing building area (sq. ft.) New building area (sq. ft.) Number of stories 3 ::NFfPROPERTY :.....:' . f •:❑ .TENANT : ::'' - _ , _- - -. __ Type of construction V l• Name: AIJfUm � PI K T61�Irl Slvl L.L.C. Occupancy group(s): Existing: R -3 Address: 95aO S W 1z>te gule &"t11)/ Su 0+,, Z2.6 City /State /Zip: 1POeTLh7J , 02. q-7 219 Phone: 603 092-615S I Fax :' 3) 0/24041 NOTICE: All contractors and subcontractors are required to be l licensed with the Oregon Construction Contractors Board under ' 'APPLICANT` : : - ii'- > -_ - ' :1 CONTACT. PERSON: -:: provisions of ORS 701 and may be required to be licensed in the Business Name: 'Eie.EK I.. ."3,2001 c Aga/A46 (4 , jurisdiction where work is being performed. If the applicant is exempt Contact Name: Ali°tee K (•/ .1Sa1) c,2 Ietce Pe Z from licensing, the following reason applies: Address: q SrJ gitateut, &-4 r Sit (7 220 City /State /Zip: ke:ruhl 012 Q `t Phone: (4t)3)S42 -6`66 1 Fax:(5c53 _ - 'BUILDING PERIW T FEES E - mail /'k 4.d j brow /A ASSoc. ,Conn .ti - - " -:Ylease'refe :to:fee :faiedule. - _ - - - -r ... .. ........... • • -- --e • ---'---• - .-. - -. ;�... -.� . -.. - ...CONTRACTOR` ._ - -.:_ - : :, Business Name: 11E,2F,� L• gear.*) 4 fcC!'1AQ'tc l Y��. Fees due upon application S Address: 95:c) SW g 4i?(3u12 gLv ,.5,,a-e, ZZO City /State /Zip: fberml..) Q2 9-1219 Amount received. S Phone :��31 892-g - 14 . � ( Fax: 8 g2- 2' ( Date received: CCB Lic. - ` 86 - J 9 - Authorized a G , l� �� Notice: This permit application expires if a permit is not obtained within Signature: . 1 Date: "L 180 days after it has been accepted as complete. f v `At N L iC Y I-�� *Fee methodology set by Tri -County Building Industry Service Board - (Please print name) i:\DstsPPermit Forms\BldgPermitApp.doc 01/03 Electrical Permit Application FOR OFFICE USE ONLY Received Electrical 2003�OD3�7 • Date/By: Permit No.: i 7iSf ®� \ Planning Approval Sign City of Tigard E I !/ • Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 � � c� 03 Date/By: Permit No.: Phone: 503- 639 -4171 Fax: 503-59d- �" 7 Post - Review Land Use i ' Contact Case No.: Internet: www.ci.tigard.or.us CITY OF T • "' Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 503 - i C] ■ 7-'6. 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: 0 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 INFOR11MMATION and LOCATION Submit sets of plans with any of the above. The above are not applicable to temporary construction service. Job site address: I De I0 5111) Ai ari 4rre)1 ,WF&JUE FEE* SCHEDULE Suite #: Blcie. /Apt. #: Number of inspections per permit allowed Project Name: 4- j4v'.J < 61C1'?ii fiQW,..340,iigc Description I Qty I Fee (ea.) I Total I I New residential - single or multi - family per . Cross street/Directions to job site dwelling unit. Includes attached garage. s� I •5p -, 1V Ue SA1 N Service included: 1 . ft. i or 5s t 143.45 1 ti_ Each ach ad additional l 500 so. ft. or portion thereof t 33.40 46 �� $O 1 I 1 ' t ,� , � - n ' Limited energy, residential I 75.00 i '1 tj • av 2 Subdivision: 1 1.I y {ttt l ' Lot #: 3'7 Limited energy, non residential 75.00 I 2 Tax map /parcel #: Each manufactured home or modular dwelling - .DESCRIPTION OF WORK. I service and/or feeder 90.90 2 Services or feeders - installation, O y[4.S'7`/AA-C-TIU•1 C1 O'1EieJ 3 sr alteration or relocation: ly �TJJ - zn . / fr / CW1C f''y, l 200 amps or less 80.30 2 - A(. '�` 201 amps to 400 amps 106.85 I 2 401 amps to 600 amps 160.60 I 2 :.&PROPERTY.O R- .._. ] _ . ❑ .TENANT :' = -. ....._ ;.,:. ::_ ._ 601 amps to 1000 =MS 240.60 2 nI' Over 1000 amps or volts 454.65 I 2 /'tV 17ame: Jvet 4 J QA2 jW S 1 - 1 -G Reconnect only I 66.85 I 2 Address: c660 SA) ague_ gL-' SU i7-(c- 22z Temporary services or feeders - installation, alteration, or relocation: City /State /Zip: RjtZXLJ , Oa 91 2.49 200 amps or less 66.85 1 Phone45c)$12 —a Fax :(=�o 69Z-8844( 201 amps to 400 amps 100.30 2 133.75 2 APPL ANT:: ,':: =: = EJ'CONT CT PERSOLY -.`; 401 to 600 amps Branch circuits - new, alteration, or Name:' 1ZEV. L. ) b L4-5 1 cbi - res , i extension per panel: of Address: g5CC) 6tQp�ll� ' ZZO A. Fee for ora r f ee. te c hh ran ui service or feeder fee, each branch circuit 6.65 2 G 9 - 219 B . Fee for branch circuits without purchase of . City /State /Zip:�� service or feeder fee, fast branch circuit 46.85 2 Phone: 6, Fax: 503) 892-864/ Each additional branch circuit 6.65 2 E-mail: yret� r i< a- d I trp [.00)0.SSOC ` - -- c Misc.(Service or feeder not included): Each pump or irrigation circle 53.40 2 °t:';:.:;:- :' : ?: :: = +'". :.:CONTRACTOR ' ...- _ .. 53.40 2 Each sign or outline lighting .40 Electrum Inc Signal circuit(s) or a limited energy panel, alteration, or extension Page 2 2 2050 Vista Ave #100 Description: Salem OR 97302 Each additional inspection over the allowable in any of the above: 503 - 3611256 Per inspection per hour (min. I hour) 62.50 CCB:116453 ELC:24 -353C Sup:2919S Investigation fee: CCB Lic. #: I Lic. #: Other Electn _ • -.:,.. .. : .Y. : :;`.:: : t:al.Pennit:Eees* Supervising electrician Subtotal S signature required: Plan Review (25% of Permit Fee) S . Print Nairi I Lic. #: State Surcharge (8% of Permit Fee) S , • T -- J OTAL PERMIT FEE S Authorized � r r Notice: This permi a pplication expires if a permit is not o:,.....sa wand' Signature: Da te: / 18 0 days after it has been accepted as complete. 'Fee methodology set by Tri-County Building Industry Service Board. A IC N . g_! --0 seip (Pleak print name) • is \Dsts\Permit Forms \E1cPermitApp.doc 01/03 • / FOR OFFICE USE ONLY , - /. Mechanical Perm App lication Received Mechanical +�� Date/By Permit No.://57.2d0.3 - Q ®34 7 Planning Approval Building City of Tigard Date/By Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 JUN 2 7 200 A Date/By: Permit No.: Phone: 503 -639 - Fax: 501191,-L9.601_ IG �.e:� 6I a l Date/By: Case No.: Use 1 Contact C Case Internet www.ci.tigard.or.us DI ._11�.. e .� Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 5031$114C0149 U," - Name/Method: Supplemental Information. _.. - - . = :. .TYPE OF WORK. = COMMERCIAL FEE* SCHEDULE - USE CHECKLIST 21 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 mechanical materials, equipment, labor, overhead and profit. .CATEGORY OF CONSTRUCTION. gl & 2- Family dwelling ❑ Commercial/Industrial Value: S See Page 2 for Fee Schedule ❑ Accessory Building ❑ Multi- Family RESIDENTIAL EQUIPMENT /SYSTEMS.FEE * SCHEDULE Description Qty I Fee(ea.) Total ❑ Master Builder ❑ Other: Heating/Cooling • JOB SITE INFORMATION and LOCATION - Furnace - add -on air conditioning ** [ 14.00 I tii. Job site address: /0 &/Q CV P•/ON T/NGTU/O A (/ Gas heat pump I 14.00 Suite #: Blddg. /Apt. #: Duct work I 14.00 l4.co KS ig .e &b TO W IQ 4O1M cS Hydronic hot water system 14.00 Project Name: Residential boiler Cross street/Directions to job sit (for radiator or hydronic system) 14.00 .S1,0 • i I' CI JOC / 4 • eS Unit heaters (fuel, not electric) BED) *ace" (in wall, in -duct, suspended, etc.) 14.00 Flue/vent (for any of above) 1 10.00 10. w �41.J 66 /or) 1 Lo #: Subdivision: Repair units 12.15 Other Fuel Appliances Tax map /parcel #: Water heater I 10.00 l u . ' . • • DESCRIPTION OF WORK Gas fireplace '1 10.00 10. u ' C .y / O R 6IE 3 S'� t Flue vent (water heater /gas fireplace) 7 10.00 2U. � (A tfCJ ,/_ � Pea JFL ( :4i SQ Log lighter (gas) 10.00 l 't Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner /flue/vent 10.00 PROPERTY OWNER: - • I ❑•TENANT'"` : Other. 10.00 Name: A /W m Ai /i 2K -17) Wx)flowt E S Lt-C, Environmental Exhaust & Ventilation A , Range hood/other kitchen equipment , 10.00 to .'° Address: (3 Sh/ ` rzeive gLA 1 St1 t7<- 2 I Clothes dryer exhaust 1 10.00 10 O7 City /State /Zip: PorirLA D de (4 2 ( 9 Single duct exhaust Phone:5o3)& 2--8 S i Fax: (50 ) 992 - i - ( (bathrooms, toilet compartments, • [gAP.PL CANT • ❑ CO NTACT PERSON utility rooms) 4 6.80 21. Name: 'rely �4 4. gaou1AJ 8 ccect iNc.s, ink • Attic/crawl space fans 10.00 Other Address: Q) 60 Br4z. V reL_A, Vat 22) Fuel Piping City /State /Zip: `pow_lzif S / dlZ 9-7z-19 * *($5.40 for first 4. $1.00 each additional) Phone:(503) 2R1-S SS Fax: 9.,'ZiPA2 Furnace, etc. 1 .0« -e84( Gas heat pump `. E -mail: ✓rvez. C C d 1 brocunavoc . c.t,st -. Wall/suspended/unit heater *• - • CONTRACTOR . Water heater 1 " Smart Heating & Cooling LLC Fireplace 1 7616 NE Everett St Range BBQ ** Portland OR 97213 -6347 Clothes dryer (gas) 503 -254 -5096 Other. •* CCB: 154133 Total: ^si 5•4O Mechanical Permit Fees* Authorized / ' L (� g q Subtotal: $ I "SO . 620 • Signature: / til./ _- L Date: Za /l Minimum Permit Fee $72.50 $ - E gucE CoAf EE_ _ Plan Review Fee (25% of Permit Fee) $ _ (Please print name) State Surcharge (8% of Permit Fee) $ IA. 't5,_ _ 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 Fomts\MecPermitApp.doc 01/03 • LSiliiUttlb r IAl.u1 CJ FOR OFFICE USE ONLY P�umbin Per e . 1 ■ � i � . K". !Nov � . Received Plumbing , • Date/By: Permit No.:/ / y Sra 2 003 - M 0 307 City of Tigard JUIV pp'� 27 2003 Planning Approval Sewer J Date/By Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 CITY OF TIGARD Date/By: Permit No.: Phone: 503- 639 -4171 Fax VISI • Post Review Land Use � •' + Date/By: Case No.: Internet: www.ci.tigard.or.us :� e . A� I� Contact luris.: El 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) New construction ❑ Demolition Description I Qty. I Fee(ea.) 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 0 1 & 2- Family dwelling ❑ Commercial/Industrial ` SFR (2) bath I 350.00 Accessory Building ❑ Multi- Family SFR (3) bath I. 399.00 3 .°D ❑ Master Builder ❑Other: Each additional bath/kitchen 45.00 • .: JOB SITE INFORMATION and LOCATION I Fire sprinkler - sa. ft.: Page 2 Job site address: /0 0 .S AlVNn7AJC70/0 AVE- Site Utilities • Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60 Project Name: 1-1 JV ZFJ14,1 - row f.I ( WI GS Drvwell/leach line.trench drain 16.60 Footing drain (no. linear ft.) Pace 2 Cross street/Directions to job s Manufactured home utilities 110.00 S1..,3 L ;c� �� ' gAletild Manholes 16.60 3E/ e) k(( Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Page 2 Subdivision: 7-704W n,E-74Rp $ Lot #: 1 7 Storm sewer (no. linear ft.) Page 2 Water service (no. linear ft.) I Page 2 Tax map /parcel #: • . Fixture or Item DESCRIPTION OF WORK Absorption valve 16.60 - C JP(sn ncP of 14 ELAJ 3 S7 Backflow preventer Page 2 T Jl j - ifoy P2M.. Ca - l 0 -l1(p Sc.).Ff J Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 . E'PROPERTICOWNER .._•• ::=1 -❑ TENANT - . Ejectors/sump 16.60 Name: Au PAt - K T vwN I-loiMES / L. LC Expansion tank 16.60 Address: q 5C0 SW 13A e.g1) (306 Svcit Z20 Fixture/sewer cap 16.60 City /State /Zip: ( is J�D 02 Ci` 2. 19 Floor drain/floor sink/hub 16.60 G �g2� �jFjt{ Garbage disposal 16.60 Phone 5o3j S 4�2- b7 S Fax: : CS03� Hose bib 16.60 •;APPLICANT • ',,�-=: :, - I] CONTACT PERSON.. - Ice maker 16.60 Name: )> y L. 620u/tJ S /}SSoCfA- EES, ti Interceptor /grease trap 16.60 Address: a5ao S+....) Ig- fe.gue, gt_Ilbr Su at 220 Medical gas - value: S Page 2 Primer 16.60 City /State /Zip: PoerzA2.)S , Cit° q---/ Z. I Roof drain (commercial) 16.60 Phone{ & Z- 675e, 1 Fax(50)612.-68 Sink/basin/lavatory 16.60 E -mail: r C d.1 to r c ana ccd G • C.a 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 PermitFees* .,: _r :; CCB: 149035 PLM: 34-391PB Subtotal $ 9 00 Minimum Permit Fee $72.50 Authorized - Residential Backflow Minimum Fee $36.2 Signature: . /�,� _ _ �i ._ Date: _ Plan R ev i ew ( of Permit Fee) $ I le yc& GP i E State Surcharge (8% of Permit Fee) $ _ 3J • 42, (Please print name) TOTAL PERMIT FEE S r 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 Tn-County Building Industry Service Board. i:\Dsts\Permit Forms\PlmPermitApp.doc 01/03 CITY.OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 • IMPORTANT PERMIT NOTICE ELECTRUM INC DBA SPECTRUM ELECTRIC 2050 VISTA AVE #100 SALEM, OR 97302 Electrical Signature Form Permit #: MST2003 -00307 Date Issued: 12/23/2003 Parcel: 1 S133AC -HB037 Site Address: 10810 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 037 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 ' o?2 a 3 - .S ELE 24 -353C AN INK SIGNATURE IS REQUIRED ON THIS FORM X /.''�✓ �.� Signature of Electrician If you have any questions, please call 503.718.2433. • CITY OF TIGARD 0 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 -00307 Date Issued: 12/23/2003 Parcel: 1 S133AC -HB037 Site Address: 10810 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 037 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 Signature of Authorized Plumber If you have any questions, please call 503.718.2433. f _//1 Si 2-0 3 — X 3 7 ® AAAA AAAAAAAAAAAAA AAAA AAAAAAA AA AAAAAAAAAAAAAAAAAAAAAAAAAAAAA A • A • • • • • STREET TREE C • . ► • ► 1 I gRuce_ Ce Na- Owner/Agent for mE I( L. s 4 A ssoc. ■ ■ (PLEASE PRINT) (PERMIT HOLDER) ► • • • ,� • • • ® 1 ; f • • Do hereby certify that the followin location ■ • • meets,Cty /Washington County ► ■ • land use and development standards for street tree installation. ► • ■ ADDRESS: / "1° o SW . l/VNT/ R) CTD ti) AU L_ • • • LOT: 3 7 SUBDIVISION: e t f Aki/tS L4et • ® 1 ___ BY: DATE: �/� 0 i 04-- ► • . • ► 1 RECEIVED BY: DATE: 1. CITY OF TIGARD 24 -Hour ' . BUILDING 0 Inspection Line: (50 • !-4175 MST 3—°° 3� -7 INS CTION DIVISION Business Line: ( `sil: 4171 BUP Received Date Requested AM PM L BUP Location 0 2' 3 kit I4 _ ✓4 6J ,,. Suite MEC Contact Person c Ph ( ) 3 (0 q 0 617 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 rr Fire Alarm r Susp'd Ceiling Roof I °� / SS PART FAIL i _,......_ ING 4 ,_ . Post & Beam Under Slab _ Rough -In a 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 ❑ 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 / D 9 / 2\ b \-7(,:: Approach/Sidewalk I nspector 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 Za 33 — co 30 7 INSPECTION DIVISION Business Line: (503) 639 -4171 q BUP Received Datte � R equested �' / _ AM PM BUP Location _g__1 /r / v, Suite MEC Contact Person Ph ( ) 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: AZT S PART 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 call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA �f/70 Approach/Sidewalk Dat 7 Inspector I Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY CIF TIGARD 24 -Hour BUILDING Inspection Line: (503) • ' 175 MST 66 3U 7 1 INSPECTION DIVISION Business Line: (5 1 . ' i• 171 BUP Received Date Requested - a--0 A PM BUP Location /0 5?/ d )41-0 i l Suite 37 G MEC Contact Person Ph ( ) 8� 6 `ci g / 7 PLM Contractor Ph ( ) SWR UILDING' 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 �/� ` c It Framing ""J� o Insulation '•f e...9...k - W s k‘2 C5 -' ° (i 9/ 7--a/d 7 (e Drywall Nailing Firewall `` __ Fire Sprinkler ! "� S (- �`--'— V �/ Vb 0 Fire Alarm 1\1 ti #'1l Q, `N■S V Susp'd Ceiling 1 r Roof iPPMF / l ' • �r l / - IAA - V I -# VIA- -0 - r V �+ i/ PASS PART , PLUMBING ��` P 6l S L-d� Post & Beam ''� LAS , I Under Slab \ t.3 ` Rough -In el-AA-" ( --ia� l S S s Water Service Sanitary Sewer .. • A / , vm (es • Rain Drains Catch Basin / Manhole ( Storm Drain �'= �� ' "'� • C^ �, Shower Pan +• ( p.4- ok 61a. • Other: ``-� i ` Final �L l�,h ��• - N 0 PASS PART FAIL f L lN`' -e—el Post & Beam .$ + Rough -In 6,4 •�sL� C` S S `vS z VI�Q -L-9 Gas Dampers 11 Smoke Smoke e Dampers PART FAIL CTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final 0 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 vU Approach/Sidewalk Date �/d y Inspector V Est Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL