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Permit
A CITY OF T I G A R D MASTER PERMIT PERMIT #: MST2003 -00308 V DEVELOPMENT SERVICES DATE ISSUED: 12/23/2003 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10820 SW HUNTINGTON AVE PARCEL: 1S133AC-12000 SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25 BLOCK: LOT: 038 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 THROE 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 FDR: PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 2 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT UN 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- 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: $ 6,073.29 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 igard Municipal Code, State of OR. Specialty Codes PORTLAND, OR 97219 LAKE OSWEGO, OR 97035 and all other applicable laws. All will be done in This p 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: 971 233 - 0075 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg a: 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 Insp Low Voltage Insulation Insp Shear Wall Insp Shear Wall Insp Sewer Inspection Plm /undslb Insp Plumbing Top Out Insulation Insp Shear Wall Insp Shear Wall lnsp Footing Insp Electrical Service Framing Insp Shear Wall Insp Shear Wall Insp Exterior Sheathing Insl Footing Insp Electrical Rough -in Gas Line Insp Shear Wall lnsp Shear Wall Insp Firewall Insp Foundation Insp Mechanical Insp Gas Fireplace Shear Wall lnsp Shear Wall Insp Firewall Insp Issued By : ' i - - Permittee Signature : �/ "1 ° / 43 e - /6A - T7ON Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day t B Z �liiding Perini "ed / , A/� Buil Date/By: tv / FOR OFFICE USE ONLY .1- 0 3 �Yfp Permit No.t��S g Qa °, Planning Appro val Other City of Tigard JUN 2 2003 Date/By: Permi Other t No. NR.2vo3 x 5/(2. 13125 SW Hall Blvd. Plan Review Tigard, Oregon 97223 C TY OF TIGAR �� DatvB" (f io- 2��0 Sj Permit No.: +� Phone: 503-639-4171 Fax: � �a �; `'a „ Post-Review Post -R Post -Rv [and Use Case No. Internet www.ci.tigard.or.us .*=° _. Contact Juns.: I El See Page 2 for 24 Inspection Request: 503 - 639 - 4175 Name/Method: 776 I 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 g 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 ErMu1ti- Famil I O ❑Master Builder ❑Other: valuation 5 J ��►� :=: :.JOB SITE INFORMATION and LOCATION -.:,. • No. of bedrooms: 1. No. of baths: Z ) Job site address: 10820 St) ! t L Ai/ A-'/C I Total number of floors New dwelling area (sq. ft.) I 1 4((0 Suite #: I Bldg. /Apt. #: Garage/carport area (sq. ft.) _ .'jtf Project Name: 14414 KS 'WA 1r0.4414cmES Covered porch area (sq. ft.) 2 to Cross street/Directions to job site: Deck area (sq. ft.) I SO `3..1 I vF- E , Slit. giffmit4s EF.M Other structure area (sq. ft.) - REQUIRED DATA:.....-s±: -- � �/ '^ COMMERCIAL: - .USE CHE :- - = - :' ::: :' : Subdivision: Wid A4 ►ltt� I Lot #: 3$ Tax map /parcel #: Note: Permit fees' are based on the total value of the work performed. Indicate • • • i''•"?- '' r' 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. Cc4STRuCTnc•r: of NEtJ 3 srae.1 TGW+1 11 . ',Evr Valuation $ Existing building area (sq. ft.) New building area (sq. ft.) Number of stories 3 : %PROPERTY OWNERY to -TENANT -. _ •... Type of construction V isi Name: A U T I " nl P / 4 K T 6 t . . . lN9 ' E S / L . L. L . Occupancy group(s): F R -3 Address: gSoo S V4 egule g1- CU rTE Z26 City /State /Zip: "PUerL,hJ), , ore. cr 7 2_11 Phone: 663 092-6155 Fax :6D3) &z-4( NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under . V APPLICANT '. %::::-= .:....: •O= CONTACT. PERSON: provisions of ORS 701 and may be required to be licensed in the Business Name: � FieEK 1, . '3(L01A t AZZJA .6 / ( jurisdiction where work is being performed. If the applicant is exempt Contact Name: 01A+e K 01500 aL 2i,c,r / - from licensing, the following reason applies: Address: 'Rs) S i iy12J3tAe J ..1 (7 zzo City /State /Zip: Pbcriita6 Cr?... Q'i 2-1 c Phone :03)612- 6158 ' Fax:&5ij el 2,-60 ( yg LNG PERMIT_ fFEES .- E -m rn0.rK 4 d l h rown ASSVC , C.On1 i =- ..: Please'refe :to:fee :ichedtile.' - _ -. ��•:• -.- ... - ....CONTRACTOR` .. _. •• .- . - ._ - s Business Name: bEJZF L. .4.1 # Aga) Ate 1�l. Fees due upon application S Address: ' x) £vJ gA gut'!) / .5 iii rec 21.0 City /State /Zip: T¢I 02 97211 Amount received. $ Phone :3) 892-8`M Fax : 5o3 Sq2 - 29 41 Date received: CCB Lic. #: e , • Authorized , /n� 4 l„ � /a3 Notice: This permit application expires if a permit is not obtained within Signaturre:: L/Fl . L 1 DaLe: "Gl 180 days after it has been accepted as complete. r” ' N k , 4/ZrWdo � *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) i :\Dsts\Permit Forms\BldgPermitApp.doc 01/03 ectrical Permit Application FOR OFFICE USE ONLY Received Electrical ,� Date/By: Permit No.:' , t/STgoO. ` - 0433? City of Tigard RECEIVED Planning Approval Sign Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date/By: Permit No.: I li a Post-Review 503 - 639 -4171 Fax: 5W-598-1960 ` Use ry 2003 i r Post -R Case eview [and Use Internet: www.ci.tigard.or.us CITY OF TIGAR r - I y: 11, `. e!I I' Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 1 )U t ' Name/Method: Supplemental Information. TYPE OF WORK • 7.: • PLAN REVIEW Tase check all that apply) XNew construction ❑ Demolition — 0 Service over 225 amps- ❑ Health-care facility commercial ❑ Hazardous location ❑ Addition/alteration/replacement ❑ Other: (g 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 _121 & 2- Family dwelling ❑ Commercial/Industrial I ❑ 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: 108W SW 44u onl*Xr�� ,I nv.IJUe FEE* SCHEDULE Suite #: I Bldi?. /Apt. #: Number of inspections per permit allowed Project Name: ,14111A kS 4 { e-rQW•Ji- -oni.ES Description I Qty I Fee (ea.) I Total New residential - single or multi- family per j Cross street/Directions to job site: dwelling unit. Includes attached garage. ..\/J 1 +" AV 1J. .SAJ / Service included: S Each ad . it or less 145.15 147, t f O Each additional 500 sq. ft. 'L or portion thereof i 33.40 • 44 � „' • • V � G Limited energy, residential t 1 75.00 i ''s,ao 2 Subdivision:tlkS ryCl ' Lot #: CJ Limited energy, non residential 1 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, Ca 4S'r C71CA.7 cF 04 3 .Sr alteration or relocation: '"7' vW . / r � CWIC f ' �„ Jtc 1! , c -I i 200 amps or less - 80.30 - 2 mil. �ycZl 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 : PROPERTY :O . R :- ...'I• ❑ TENANT = -_- .: —... . _ 601 amps to 1000 amps 240.60 2 � � P T /wf L 5 Over nett amps or volts 454.65 2 Name NZ R�L � d �/ �'t'Ti LL C, Reconnect only 66.85 2 Address: cI2 glJe.- gt...\& j SUi7•i- 22Z Temporary services or feeders - installation, alteration, or relocation: City /State /Zip: rL P)raAr' - G}2. 91 2 200 amps or less 66.85 1 Phone (sp - c ) 892 —alca FaX:(5 6928141 201 to 6 600 00 amps amps 100.30 2 �[ 133.75 2 APP ANT. :: : ' _= _:DCONT CT.PERSOLY.: • : :: . to 401 a Branch circuits - new, alteration, or Name : 1Zg VV. � 1� t 4S CC/*7iS A , extension per panel: Address: i•SCO eeteAuIQ . gill, <11(T¢ Z20 A. Fee for branch circuits with purchase of service or feeder fee. each branch circuit 6.65 2 City /State /Zip: i),tr , G2- 9'1 2107 B. Fee for branch circuits without purchase of . service or feeder fee, first branch circuit 46.85 2 Phone: F A) N 2 -, I Fax: (C=a) 892 —E€41 Each additional branch circuit 6.65 2 Misc.(Service or feeder not included): E -mail: N'1fa r a— d l T r.J.J T cSoe , COM Each pump or irrigation circle 53.40 2 ONTRACTOR Each sign or outline lighting 53.40 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: 503-361-1256 Per inspection per hour (min. I hour) 62.50 CCB:1 1645 3 ELC:24- 35 3C Sup:2919S Investigation fee: CCB Lic. #: I Lic. #: other. Electncal.Pe - - --- = • Supervising electrician Subtotal S . signature required: Plan Review (25% of Permit Fee) S 77 _. . - j Print Name. I Lic. #: State Surcharge (8% of Permit Fee) S _47,& / TOTAL. PERMIT FEE _ ... J7 Authorized / H N otice: This permit application expires if a permit is not obtained w Signature: Date: 180 days after it has been accepted as complete. *Fee methodology set by Tri -County Building Industry Service Board. MAYt k N 4A S& (Plea& print name) • i : \Dsts\Permit Forms \ElcPermitApp.doc 01/03 • FOR OFFICE USE ONLY • 1V�,echanical Perm App lication Received Mechanical Li Date/By. Permit No.: // 3 -ea la? Planning Approval Building City of Tigard Date/By. Permit No.: 13125 SW Hall Blvd. RECENT.* Plan Review Other Tigard, Oregon 97223 Post-Review Permit No.: � 7 I Post -Review Land Use Phone: 503-639-4171 Fax: 503 -59 �� 6 , � /� Date/By: Case No.: Internet: www.ci.tigard.or.us 4 1 , e .' I I Contact Juris.: See Page 2 for 24 -hour Inspection Request: 503- 6 ?ItI?bF , . I Name/Method: Supplemental Information. SUILDING DIVISION ;.. TYPE OF WORK : - .... COMMERCIAL FEE* SCHEDULE - USE CHECKLIST. r Demolition Mechanical permit fees' are based on the total value of the work New construction ❑ ❑ 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. j'1 & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule 1=1 AccessO Multi-Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE` SCHEDULE. ry Building ❑ amy Description I Qty I Fee(ea.) Total ❑ Master Builder ❑ Other: Heating/Cooling • JOB SITE INFORMATION and LOCATION • • Furnace - add -on air conditioning•' I ( 14.00 I iii •cc' Job site address: /o7. 0 S a/ It'' /itJCTo ti A VE Gas heat pump 14.00 Suite #: I Bldg. /Apt. #: Duct work j 14.00 I tit . �� Igfi�� Project Name: IQ HiovvtEc Hydronic hot water system 14.00 Residential boiler Cross street/Directions to job sit (for radiator or hydronic system) 14.00 .SL) i30l'' (/C /� g ` JCS Unit heaters (fuel, not electric) - 7 1 5471126i (in wall, in -duct, suspended. etc.) 14.00 Flue/vent (for any of above) 1 10.00 I 10 • w / 3 Subdivision: /- a.il�j Z'S4 Lot #: y Repair units 12.15 Other Fuel Appliances Tax map /parcel #: Water heater 1 10.00 Iv. °' • • DESCRIPTION OF WORK Gas fireplace 1 10.00 10. `"' Cc /S 7 /�(xrici) OR Ate iv 3 s-r-otaLi Flue vent (water heater /gas fireplace) 7 10.00 I 2o. i' -(A)/J ,/_ t4f Pea / `4:6 SQ � . Log lighter (gas) 10.00 tKJ l Wood/Pellet stove I 10.00 I Wood fireplace/insert 10.00 Chimney/liner/flue/vent 10.00 PROPERTY OWNER - - - • I ❑ - TENANT - . - - Other. 10.00 I Name: A., � iJ LLC Environmental Exhaust & Ventilation 7l v' �r2KTo( / Range hood/other kitchen equipment ` 10.00 10 .'° Address: a$(4(1 SNl veb/e OA ,ski ix_ z 20 Clothes dryer exhaust i 10.00 lo a City /State /Zip: Pme d2 Q 2 i q Single duct exhaust Phone:5o3)&0,2_87 8 I Fax:(Se)5) 892 - egg( (bathrooms, toilet compartments, • [HAPPL' CANT 0 CONTACT PERSON utility rooms) 4 6.80 21.2 Name: bEe L. gaoupJ fi 11-Sirxmi'ES /ic • Attic/ctawl space fans . 10.00 Other. 10.00 Address: 9 60 TLMe.. aib, SI/l7 ZW Fuel Piping City /State /Zip: 'p z,fr'4S l ac i2-19 "($5.40 for first 4. $1.00 each additional) Phone :( 2R2.-81 2R2.-81 Fax: So.y.A Furnace, etc. 1 2 -084( Gas heat pump E -mail: mpv . C Q, d 1 bedcUf'O- do , C.af' -•,. Wall /suspended/unit heater -. • • CONTRACTOR Water heater • 1 lace Smart Heating & Cooling LLC Fireplace .. 7616 NE Everett St Range BBQ Portland OR 97213 -6347 Clothes dryer (gas) " 503- 254 -5096 Other. " CCB: 154133 Total: 'i `6 ,40 Mechanical Permit Fees' Authorized l �( /2 WOj Subtotal: $ 1'SC9 , (n 0 Signature: (�� Date: - Minimum Permit Fee $72.50 $ _ / �� VC E � Plan Review Fee (25% of Permit Fee) $ _ , !, (Please print name) State Surcharge (8% of Permit Fee) $ LD • L f* TOTAL PERMIT FEE $ _ Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri -County Building Industry a crvicc avaru. 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 tSuiiUiAg r 1LLui Ca . Plu mbin Permit lication Received FOR OFFICE USE ONLY Plumbing ,y p ® Date/By: Permit No.:/ /57aDO� �DDO City of Tigard Planning Approval Sewer Date/By: Permit No.: 13125 SW Hall Blvd. JUN 2 7 21 I Plan Review Other Tigard, Oregon 97223 Date/By: Permit No.: Phone: 503 - 639 -4171 Fax: 503- 50W6 ®F TI c ' - • Post - Review Land Use Internet: www.ci.tiard.or.us Date/By: Case No.: g 3U ILDING g •� r.-:.:,111 Contact Juris.: ® See Page 2 for ard.or.us I 24 -hour Inspection Request: 503- 639 -4175 Name/Method: Supplemental Information. • 'TYPE OF WORK • I FEE* SCHEDULE (for special information use checklist) New construction ❑ Demolition Description Qty. Fee(ca.) Total Addition/alteration /replacement ❑ Other: I New 1- & 2- family dwellings CATEGORY OF CONSTRUCTION (includes 100 ft. for each utility connection) SFR (1) bath 249.20 g 1 & 2- Family dwelling ❑ Commercial/Industrial SFR (2) bath 350.00 Accessory Building ❑ Multi - Family SFR (3) bath . 1 399.00 5 "i . ❑ Master Builder ❑ Other: Each additional bath/kitchen 45.00 • .: JOB SITE INFORMATION and LOCATION I Fire sprinkler - sq. ft.: _ Paee 2 Job site address: / 0 g p_0 S Gtr /4(/IVT /All (70 A✓ Site Utilities Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60 I g S Project Name: HAW kS 3F 1> 'r tJ Po col Drool l/leach line/trench drain 16.60 Footing drain (no. linear ft.) Paee 2 Cross street/Directions to job s it M anufactured home utilities 110.00 SLJ 1 --() �''� • Manholes 16.60 egEAlt BIZ& Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Page 2 Subdivision: /- 1,dw ); r I Lot #: ' k I Storm sewer (no. linear ft.) Page 2 Water service (no. linear ft.) Page 2 Tax map /parcel #: • . • . _. Fixture or Item • ._ . . DESCRIPTION OF WORK I Absorption valve 16.60 ('.01457 2utC. nci of r4 E(4) 3 S i !7 I Backflow preventer Page 2 T J +irol ; P0-4EC.7' (1411v Sl. -Q-1 ) Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 ..E"PROPERT.Y.'OWNER .. -,- 1 •I] TENANT .• ... -• . -- . - Ejectors/sump 16.60 Name: At O$1t\) PM-K- v 4PoiviES, LLC.. Expansion tank 16.60 Address: q sco Sw t tte.gje 13t a cut Z Zo Fixture/sewer cap 16.60 City/State /Zip: Pj2T1Ar.6 L)2 Cr7219 Floor drain/floor sink/hub 16.60 • Garbage disposal 16.60 Phone 3, 9(32- 67 Se Fax: � ) 892 - i784 I Hose bib 16.60 ';®'APPLICANT' . . . •.- =:❑ CONTACT PERSON:.- Ice maker 16.60 Name: i>a€EV L. t32ou/r) g ,4SSocliH' ; i'L Interceptor /grease trap 16.60 Address: 9560 S>J gt'Zgure. gt✓11Ar SU at ZZc) Medical gas - value: S Page 2 Primer 16.60 City /State /Zip: J•( J tl) , C"It° 4-72, l q Roof drain (commercial) 16.60 Phone:3)E2- 6758 Fax(553)612-684/ Sink/basin/lavatory 16.60 E -mail: re,q z,Ic, J.. d I tairjb,Jna ccd c • Caw- Tub /shower /shower pan 16.60 CONTRACTOR Urinal 16.60 Plumbing Experts Inc Water closet 16.60 Water heater 16.60 11925 SW Parkway Other. Portland OR 97225 -5413 Other. 503 -469 -0443 . ._. ... ..- : ; ; ;:.''Plumbing ...: • 5..' CCB: 149035 PLM: 34 -391 PB Subtotal gcl • m Minimum Permit Fee $72.50 S Authorized // Residential Backflow Minimum Fee 536.25 Signature: Date: � /�� Plan Review (25% of Permit Fee) S 77Rv c& Cm Nj State Surcharge (8% of Permit Fee) S al + a 2- PERMIT FEE c (Please print name) T OTAL P - Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plan_ ....- .__. 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\Pertnit 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 -00308 Date Issued: 12/23/2003 Parcel: 1 S133AC -HB038 Site Address: 10820 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot:. 038 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 SMS .•a 3 — S 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 -00308 Date Issued: 12/23/2003 Parcel: 1 S133AC -HB038 Site Address: 10820 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 038 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 aC J6 ,te Signature of Authorized Plumber If you have any questions, please call 503.718.2433. • / S T 2 o� 3- 3 )� 50 ® ♦ AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA A ■ • ■ • ■ I STREET TREE C • • . ■ • I, . C ONS , Owner /A for Q EgE/& . L. ITR u�rl 4. A CS ©C, ■ ■ • (PLEASE PRINT) (PERMIT HOLDER) ► • ■ • ,_ ;; ► , • ► r, i ► • ► • Do hereby certify that the` follgwing location ► • ■ • meets ,,Ci:trof Ti and /ZX1ashin on Count • • land use and development standards for street tree installation. ■ • I. • ► • ■ i ADDRESS: / 0FZ D S�� ■ • ► • ■ • LOT: 3 $ SUBDIVISION: f1A WKS U EA-RP I. • ► • • BY: _ DATE: / 4741' ► • ► • • RECEIVED BY: DATE: CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST , -o d 3 -003 a 9' INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested J b - r AM PM BUP Location • . Z6 _ 1. �.1411--// Suite MEC Contact Person / Ph ( ) 24,6 LI P17 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 I Fire Sprinkler Fire Alarm Susp'd Ceiling-- Roof " Other: SS RT FAIL r NG Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final P IL EC HANICAL _ Post & Beam Rough -In Gas Line Smoke ers F' PASS ART FAIL ICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Ei Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call r reinsp ction RE: Unable t inspect — no access Fire Supply Line �0�1 ►.� 1 ADA D l " 1-5 I ns ect .1�� 4 f ` / Ext Approach/Sidewalk P 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 7-6613 e INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 1 — '3 AM PM BUP Location / D /I .■ Suite MEC Contact Person Ph ( ) nee 7 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 �/� ' ,(� G / Drywall Nailing ` Firewall Fire Sprinkler Fire Alarm a Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: PART FAIL TI_= , HANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ 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 Lin (5 J3) 639 -4175 MST zv03- 0 4330 8 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested O AM FPM BUP Location • D g Z 6 4ia_,JA _ .L_... Suite_ MEC Contact Person ( Ph ( )_ 8 7 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 9 V ' � � J V S �� PL— , I A ` t D 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 l/ 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 1 3✓ Vv I T7 _G lV () UG/Slab Low Voltage Fire Alan I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PAC:. PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA �) Approach/Sidewalk Date /� /�,� Inspecto �`��: Ext Other: Final DO NOT REMOVE this inspection record from the ob site. PASS PART FAIL •