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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MST2003 -00309 �^ D EVELOPMENT SERVICES D ATE ISSUED: 12/23/2003 -4 Ii 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10830 SW HUNTINGTON AVE PARCEL: 1S133AC -12100 SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25 BLOCK: LOT: 039 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: of 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 THIRD. 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 BOIL/CMP < 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 FDR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 2 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EA ADDL ER 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 8 STEREO: VACUUM SYSTEM: AUDIO 8 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 f! SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,073.29 AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES I his permit is subject to the regulations contained in the 9500 SW BARBUR BLVD., STE 220 4949 SW MEADOWS RD SUITE 400 lgard Municipal Code, State of OR. Specialty Codes PORTLAND, OR 97219 LAKE OSWEGO, OR 97035 and rd racer with approved ed laws. Al. This permit done In accordance with approved plans. This permi t 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 Phone: 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 Firewall Insp Slab Insp Mechanical Insp Framing Insp Gas Fireplace Shear Wall Insp Ersn Cntrl 681 -4444 Plm /undslb Insp Mechanical Insp Gas Line Insp Insulation Insp Shear Wall Insp Sewer Inspection Electrical Service Mechanical Insp Gas Line Insp Shear Wall Insp Shear Wall Insp Footing Insp Electrical Rough -in Low Voltage Gas Line Insp Shear Wall Insp Exterior Sheathing Insl Foundation Insp Electrical Rough -in Plumbing Top Out Gas Fireplace Shear Wall Insp Firewall Insp Issued By : Permittee Signature : axl /0G /C"9 - 77oN Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day AI: CITY OF TIGARD MASTER PERMIT PERMIT #: MST2003 -00309 .tilf DEVELOPMENT SERVICES DATE ISSUED: 12/23/2003 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 SITE ADDRESS: 10830 SW HUNTINGTON AVE PARCEL: 1S133AC-HB039 SUBDMSION: HAWK'S BEARD TOWNHOMES ZONING: R - 25 BLOCK: LOT: 039 JURISDICTION: TIG REMARKS: New SFA dwelling. 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 TURD 728 sf RIGHT: VALUE: 145,364.40 OCCUPANCY GRP: R3 BDRM: 2 BATH: 2 TOTAL: 1.416 sf REAR: PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 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 BOIL/CMP < 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 FDR: PUMP /IRRIGATION: PER INSPECTION: EAADD'L 500SF: 2 201 - 400 amp: 201 - 400 amp: 1st W /OSVC/FOR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 1 401 • 600 amp: 401 • 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 . 1000 amp: 601 +amps - 1000x. 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 8. STEREO: VACUUM SYSTEM: AUDIO 8. 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: $ 6,112.49 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 i gard Municipal Code, State of OR. Specialty Codes PORTLAND, OR 97219 PORTLAND, OR 97219 and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. Phone: 503 - 892 - 8758 Phone: 503 - 892 - 8758 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 6814444 Plm /undslb lnsp Plumbing Top Out Shear Wall Insp Water Line Insp Mechanical Final Sewer Inspection Electrical Service Framing Insp Exterior Sheathing Insl Water Service lnsp Building Final Footing Insp Electrical Rough -in Gas Line Insp Gyp Board lnsp Smoke Detector Foundation Insp Mechanical Insp Gas Fireplace Rain Drain lnsp Electrical Final Slab Insp Low Voltage Insulation lnsp Storm drain insp Plumb Final m pr Issued By : Permittee Signature : Al 1 _ 1 Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day . )°A ..z Ft _ 'ca �O FOR OFFICE USE ONLY 8�11ld1II Perini Received Building Date/Bv: : B. Permit No.:4 ; 033, City of Tigard Date/Bv: A Other ateBy Permit No. <4.),-.2 ©03 Cede ii„5 13125 SW Hall Blvd. JUN 27 2003 Plan Review Other Tigard, Oregon 97223 Date/Bv: 1V ' Z7 • nwi cm Permit No.: — Phone: 503- 639 -4171 Fax: 51 1Ys�56T)GA `. ,p �jlj" Post - Review Land Use BUILDING DIV 4/i t. I Date/Bv: Case No. Internet www.ci.tigard.or.us �� Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 503 -639 -4175 Name/Method: 776- Supplemental Information -.TYPE OF WORK • • ..... . . REQUIRED DATA: . aNew construction I ❑ Demolition • 1 &•2 FAMILY DWELLING ❑ Addition/alteration/replacement I ❑ Other: .''. -- CATEGORY OF CONSTRUCTION - . - Note: Permit fees* are based on the total value of the work performed. Indicate g1 & 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 I E' Multi- Family P PIS 5 3(y 10 ❑ Master Builder I ICI Other: I Valuation -' -:; ;JOB SITE INFORMATION and LOCATION :::,. •-- • No. of bedrooms: No. of baths: Z Y2 Job site address: 10630 SW 1404nduct.l AveouC Total number of floors New dwelling area (sq. ft.) 1, ((o Suite #: I B1de. /Apt. #: Garage/carport area (sq. ft.) *24 _ Project Name: 1 KS P €ARC 1 .ZM4r;M tES Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) 8 SO I TM /tValUe A34>) S.W... gAlaiKS 134 Other structure area (sq. ft.) S 1 :' . :� = ' .' REQUIRED DATA:. - - _ 'I COMMERCIAL: - -USE CHECKLIST ::- Subdivision: ( wa A4 - ratan S I Lot #: -51 Tax map /parcel #: Note: Permit fees' are based on the total value of the work performed. Indicate :7;.:•. .. 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. Ce Sr 1.C1 , 1 of NUJ 3 Crere.1 T . Valuation S Existing building area (sq. ft.) New building area (sq. ft.) Number of stories 3 Type of construction V N �PROPERTY:OWNER'; :'-' tip -TENANT .... . ... :.: _. . - YP Name: Awl" 4 PAg K TOWa� / L Existing: . L. L . Occupancy group(s): New g: R -3 Address: ' Address: qsco SW 1ieguns &-/J/ 'u rE Z2o City /State /Zip: 'PoetZhO> , 02 q-7 2-19 Phone: 601) ei2 -$iS 3) &3Z- Fax: " 4( NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under (ia'APPLICANT : ::i< +:;:- 40- . CONTACT. PERSON: provisions of ORS 701 and may be required to be licensed in the Business Name: 1.. . c AgooAPt ' f ( jurisdiction where work is being performed. If the applicant is exempt Contact Name: ,V,,4e K (44./cov Cat retch A2 Z from licensing, the following reason applies: Address: gso Sb.1 .&tegiAe- ( .i + S1('11fc 2Po City /State /Zip: ke T71 at q-1 -t c Phone:(�3� &2 -6`6E3 1 Fax:(503'eat2 _ . BUILDING PERMIT * i 7 — . " - '� +-0. rKa. l brvt)n ASSOC. , C- ' :• .._.. -... :... . .�., E -mail: r, _ d ._:Please iefei:to fee:.sc`hedtile:. - ;�.:' -.- .. ,. ...CONTRACTOR . - , - i' _ ... Business Name: leeft L. 942c4i0 # AgabOKS ;kit, Fees due upon application S Address: 95a) ski gAme. QUID i SticNc 130 City /State /Zip: t:bQ -LAS O2 972 9 Amount received. S Phone: )3\ 892 -8 ( Fax: (503' e92- S 1 Da received: CCB Lic. e6 Authorized / Notice: This permit application =pires if a permit is not obtained within Signature: v` - 180 days after it has been accepted as complete. r' ' k A) r 14 *Fee methodology set by Tri -County Building Industry Service Board. (Please print name) i:\Dsts\Permit Forms\BldgPermitApp.doc 01/03 ' Electrical Permit Application Received FOR OFFICE USE ONLY Electrical C �1 / ® DateBy: Permit No.: /Sf V 3 —®0•-3 O 2_ City of Tigard Cv �/ Planning Approval Pe Date/By: Permit No.: 13125 SW Hall Blvd. 2 7 Plan Review Other 2 Tigard, Oregon 97223 JUN e 200: Date/By: Permit No.: Phone: 503 -639 -4171 Fax: 50 Post - Review Land Use T�V�G' �t Date/By: Case No.: Internet: www.ci.tigard.or.us BUILDING DI �Pi elli 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) • t , New 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 . l& 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: 10030 SW 4401 MSJcUE FEE* SCHEDULE Suite #: I B1 S. /Apt.#: �� (, Number of inspections per permit allowed Project Name: 4441// S e TQW�f'sOnigs Description Qty I Fee(ea.) I Total New residential- single or multi - family per + Cross street/Directions to job site: y ��,,/ dwelling unit. Includes attached garage. S'� 150 +" t V Ul .5") ' Service included: d ��� 1000 so. ft or less 145.15 I"15. 1 4 & 64.4 Se .ci r Each additional 500 so. ft. or portion thereof 1 33.40 66.86 u_ J Subdivision: t (,I ° {{ 1 ' t ( ' ,� ,�- n It �{ Lot #: "1 3n Limited energy, residential I 75.00 "rrj ,w 2 t n' t f�,yNt%� 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 ' J Services or feeders - installation, I I I rtu_ C� cF oil 3 sr alteration or relocation: - W ! 1 ]! , — / 200 amos or less _ _ 80.30 L 2 Al. {'fCWIC �-I 201 amps to 400 amps 106.85 I 2 401 amps to 600 amps 160.60 I 2 .. _ - ,.;:;..;,;; " . - 601 amos to 1000 amps 240.60 2 :�PROPERTY'O.. R ::..': 1: ❑TENANT - _. . Over 1000 amps or volts 454.65 2 Name: I -rum fArLK I ro JnJ14 kpleS LLC, Reconnect only 66.85 2 Address: C1 gLJ�- gt-0 Sii 220 Temporary services or feeders - installation, alteration, or relocation: City /State /Zip: Pxt:r1Ar ) G0e- 9 /2- 19 / 200 amps or less 66.85 I Phone q03) 892 -�J�SS F :('� �G�9 2 43814 1 amps to 400 amps 100.30 2 401 133.75 2 ; APPL ANT:.:-: :'.7:z-.'-' - [] •C /I ONS CT PERSONi = 401 to 600 amps Branch circuits - new, alteration, or Name :' Zg L. p e E�'S5()QA -res /, , extension per panel: l � � qN , C A. Fee for branch hh purchase of Address • F 5 SA.) ll l� Z20 fe service or feeder err feeee, each branch circuit 6.65 2 City /State /Zip: o,z; i, , C' , 9 721 q B. Fee for branch circuits without purchase of . service or feeder fee. first branch circuit 46.85 2 Phone: C A) N2 -8'i58 Fax: (So .' S92 -e4 / Each additional branch circuit 6.65 2 E -mail: win, r K a- d 1 trio t,.1,JA -s oc , COM Misc.(Service or feeder not included): Each pump or irrigation circle 53.40 2 '' ? _ : i .. ``CONTRACTOR .- .- Each sign or outline li 53 2 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 - 361 -1256 Per inspection per hour (min. I hour) 62.50 CCB:116453 ELC:24 -353C Sup:2919S Investigation fee: Other CCB Lic. #: I Lic. #: . ... •Electrical :PertulCEeee �Y .' - -. :. .. .. - Supervising electrician Subtotal S _ signature required: Plan Review (25% of Permit Fee) S _ Print Name: Lic. #: State Surcharge (8% of Permit Fee) S / _ TOTAL PERMIT FEE S • Authorized ,/ / Notice: This permit application expires if a permit is not obta Muni' Signattrt : (((///Ill L Date: / a 180 days after it has been accepted as complete. V *Fee methodology set by Tri -County Building Industry Service Board. (Ple 1 (.- print name) • is \Dsts\Permit Forms \ElcPermitApp.doc 01/03 • ''! 1Vechanical Permit Application Received OFFICE USE ONLY ved Mechanical Date/Br. Permit No.: /sr�� ''.0� 269 RECEIVED Planning Approval Building City of Tigard Date/By: Permit No.: 13125 SW Hall Blvd Plan Review Other Tigard, Oregon 97223 JUN 2 7 00 ' Date/By: Permit No.: � tOF Post -Review Land Use Phone: 503 - 639 - Fax: 503 -59 1 ��- p Date/By: Case No.: Internet www.ci.tigard.or.us .8U.114) IN r,0:1,- r1111! , y_' Contact Juris.: g See Page 2 for 24 -hour Inspection Request: 503 -63 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 mechanical materials, equipment, labor, overhead and profit. CATEGORY OF CONSTRUCTION. ' -• =:' 10 & 2- Family dwelling ❑ Commercial/Industrial Value: $ 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 IK. Job site address: / C 2, 3 i7 Sp) /-JdN X1A1 GI "0 41/E Gas heat pump I 14.00 Suite #: Bldg. /Apt. #: Duct work l 14.00 lAt.m Project Name: I l ^ �� 'g ,FAe - b TOvJ 401A/1-CC Hydronic hot water system 14.00 7 ` Residential boiler Cross street/Directions to job sit (for radiator or hydronic system) 14.00 sW 130 t'` h/C. JvE/ 4 ) er Unit heaters (fuel, not electric) 8e a. r (in wall, in -duct, suspended. etc.) 14.00 Flue/vent (for any of above) 1 10.00 10. a Subdivision: /f 4Gtl ks 6,9-gD Lot #: 1c7 I Repair units 12.15 Other Fuel Appliances Tax map /parcel #: Water heater I 10.00 I to. • • DESCRIPTION OF WORK Gas fireplace 'I 10.00 ( to. w Co/ . r GT1ok) OF f'WEJ 3 SID12t,/ Flue vent (water heaterigas fireplace) 7 10.00 2U.1° (.» J krvii P D.1 F-a- / ` 1 SaPT Log lighter (gas) 10.00 l Wood/Pellet stove 1 10.00 • Wood fireplace/insert 10.00 Chimney/liner /flue/vent 10.00 PROPERTY•OWNER. • I ❑TENANT•- Other. I 10.00 Name: f1VTUm Ai 19-f2K To wAidowrg c. L.LG Environmental Exhaust & Ventilation / Range hood/other kitchen equipment l 10.00 l U .'.* Address: qc0.61 Sill �e / SJ Ix. z w Clothes dryer exhaust 1 10.00 10 , Al City /State /Zip: Ayer /.JIA de C1-7 2 l9 Single duct exhaust Phone:(50s) 84+2-8755 I Fax: (5 � ) 892-1:3841 (bathrooms, toilet compartments, f 'APPL CANT 0 CONTACT PERSON utility rooms) 4 6.80 11.2 .0 � � I-. ga11G 8 � i 4.ES / /A/c . Attic/crawl space fans 10.00 Name: Other. 10.00 Address: Q ' y) 4z.0 Z2 (4_4), Sl/s 7 226 Fuel Piping City /State /Zip: T iZ,4i j 1 d12 "7219 **($5.40 for first 4, $1.00 each additional) Phone:(So3) 2R2 -S'15S Fax: 5631e92 -0826( Furnace, etc. 1 Gas heat pump *' E -mail: mprL C C d I brd ' c - vc , cis► -■ Wall/suspended/unit heater " ._. - . •• • CONTRACTOR . ' Water heater I " Smart Heating & Cooling LLC Fireplace 1 " Range 7616 NE Everett St BBQ Portland OR 97213 -6347 Clothes dryer (gas) " 503- 254 -5096 Other. CCB: 154133 Total: "i 6,40 Mechanical Permit Fees* Authorized , (20J Subtotal: $ 13C� , �a • Signattt Y re: L l.�' Da te: 4 ' Minimum Permit Fee $72.50 $ -_ 5 72() CE,.. Coq... Plan Review Fee (25% of Permit Fee) S (Please print name) State Surcharge (8% of Permit Fee) $ PO TOTAL PERMIT FEE $ — Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri -County Building Industry poi ...... -- -- 180 days after it has been accepted as complete. **Site plan required for exterior A/C units. i:\Dsts\Permit Forrns\MecPermitApp.doc 01/03 b lliullig r L Lu1 CJ FOR OFFICE USE ONLY Plumbing Permit Application Received Plumbing ! 7 "J Do Jog P D Date/By: Perim No. City of Tigard EC °s \I Planning Approval Sewer Date/By: Permit No.: 13125 SW Hall Blvd Plan Review Other Tigard, Oregon 97223 JUN Z 7 21 Date/By: Permit No.: Phone: 503- 639 -4171 Fax: 503- 5t�68 TI Post - Review Land Use r ='ir c 4.; ; i t r Date/By: Case No.: Internet: www.ci.tigard.or.us a Co ntac t Juris.: See Pa e 2 for ,801.19I „�� . y ® g 24 -hour Inspection Request: 503- .) Name/Method: Supplemental Information. . 'TYPE OF WORK_ • FEE* SCHEDULE (for special information use checklist) D New construction ❑ Demolition Description I Qty. I Fee(ea.) I Total Addition/alteration/replacement ❑ Other: New 1- & 2- family dwellings CATEGORY OF CONSTRUCTION (includes 100 ft. for each utility connection) SFR (1) bath 249.20 M & 2- Family dwelling ❑ Commercial/lndustrial SFR (2) bath 350.00 _ ['Accessory Building ❑ Multi- Family SFR (3) bath l 399.00 3 cie{ .°p ❑ Master Builder ❑ Other: Each additional bath/kitchen 45.00 JOB SITE INFORMATION and LOCATION I Fire sprinkler - so. ft.: Page 2 Job site address: / g5O SW AkikiT A)6 AV Site Utilities Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60 Project Name: NAinJ K - E, t2 TGyd f4 l-omg S Dryweil/leach line/trench drain 16.60 Footing drain (no. linear ft.) Page 2 Cross street/Directions to job s t Manufactured home utilities 110.00 SLJ l '-() Al/FJlvG S. Manholes 16.60 30')) )r Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Page 2 Subdivision: 1-1 c t ' 4-/ I Lot #: 39 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. 0 /451i(A.0 fC3 OF t• 141i 3 Si C7421-4 Backflow preventer Page 2 --ro vJ .J ) P CB (j7 Sit ) Backwater valve 16.60 l Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 -E'PROPERTY °OWNER ._ --::k0 TENANT'. - ;: - Ejectors/sump 16.60 Name: .A UTV N/1 /J PA e K ¶? vJN 1•!7Yl/1ES 1 L 'LC. Expansion tank 16.60 Address: q St0 sw - EAte , gV2 &»?b SUITE Z ZO Fixture/sewer cap 16.60 j - 22WD 02 q-7 iq Floor drain /floor sink/hub 16.60 City /State /Zip: �+ Garbage disposal 16.60 Phonek54 -87 so I Fax: (5 89 2- 084 I Hose bib 16.60 .:KAPPLICANT' : -=-• - - • :=❑•CONTACT PERSON• Ice maker 16.60 Name: 1>E4EV L. 62au/r) S ASSo(:A4'ES (,JC, Interceptor /grease trap 16.60 Address: 9560 5>...) ghegthe, gl.ilD, Su if Zzo Medical gas - value: $ Page 2 Primer 16.60 City /State /Zip: Fberz 4' , a Ci -2l 9 Roof drain (commercial) 16.60 Phone:(S03)E9Z- 6758 F3.X 664/ Sink/basin/lavatory 16.60 E -mail: i-vA,rr,l[. 0 di jc Jhacce9 C • 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 *. ... CCB: 149035 PLM.: 34-391PB - Subtotal $ a9a • ° D Minimum Permit Fee $72.50 $ Authorized // //,, /� �, Residential Backflow Minimum Fee 536.25 - Signature: ji i fi>�f . (4__-Date: !1 Plan Review (25% of Permit Fee) S .. . lR(/G5 Q.DNi State Surcharge (8% of Permit Fee) S . 31 a ct Z (Please print name) TOTAL PERMIT FEE $ - Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans with isometric or 180 days after it has been accepted as complete. riser diagram for plan review. •Fee methodology set by Tri-County Building Industry Service Board. i:\Dsts\Permit Forms\PlmPerrnitApp.doc 01/03 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE ELECTRUM INC DBA SPECTRUM ELECTRIC 2050 VISTA AVE #100 SALEM, OR 97302 Electrical Signature Form Permit #: MST2003 -00309 Date Issued: 12/23/2003 Parcel: 1 S133AC -HB039 • Site Address: 10830 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 039 Jurisdiction: TIG Zoning: R -25 Remarks: New SFA dwelling. Your company has been indicated as the electrical contractor for the permit indicated above. I n 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 - 5 ELE 24 -353C AN INK SIGNATURE IS REQUIRED ON THIS FORM X 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 -00309 Date Issued: 12/23/2003 Parcel: 1 S133AC -HB039 Site Address: 10830 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 039 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 34-391PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X �G� `� l Si ature of Authorized Plumber If you have any questions, please call 503.718.2433. r ,4'75 20,3_ _ , 3o`r kAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA • ■ • ■ • ■ • ■ 1 STREET T REE CERTIFICATION • R ► . ► . ► • I, 2.11G C®Ne, ,,Owner/Agent for �j ec . EtL L. r:c PWN Ey A 50-e.. (PLEASE PRINT) (PERMIT HOLDER) • 1 ," ,, i■ . `_. ► • ► • Do hereby certify that th followin location I. • meets : ,Cty ofard /Washington - `County ►► • land use and development standards for street tree installation. ■ • ► • ■ . ■ - ADDRESS: /© y3 © 5 4)) . J4VNT! 1U G T9N AVE • • • • • - • .LOT: 5 q -- U�C ■ SUBDIVISION: 1 ��5 S ► • ■ • ■ ® BY: Citkt COLL DATE: 7/044— ► ®. ■ • • 1 RECEIVED BY: DATE: • • CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST ( — 0 63 d INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 9—)-- 9 AM PM BUP Location A : d _ _ A -. _ Suite MEC Contact Person / Ph ( ) 8 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC 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 — VP- Roof 0 Ali ' " • T FAIL dral .11177 G 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 Smo I - mpers . 40 • PART FAIL ICAL 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: Unable to inspect – no access Fire Supply Line ADA 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 c9-463 vo3o INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested — AM PM BUP Location 10 S 30 /4-0 4/ �j 7��Yt Suite MEC Contact Person �Q , Ph ( ) WP6 - ( P77 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: 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: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Dat / Inspector Ext Other: Final DO NOT REMOVE this Inspect! record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST WO3 - INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested q - P2- AM PM BUP Location 10 8 3 14 o-11T1 A/67 DV Suite /Pr 3 9 MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC /011110■ Foundation Access: Ftg Drain ELR Crawl Drain NUM Slab Inspection Notes: SIT Post & Beam Iligagrr Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation /% 4 F v�- L Drywall Nailing 7 7 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 arm Fi Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SS PART FAIL 0 Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line Approach/Sidewalk Date v ► Inspector //1 Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL