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Permit
M d , . A CITY OF TIGARD MASTER PERMIT _ PERMIT #: MST2003 00335 a �� + � l DEVELOPMENT SERVICES DATE ISSUED: 8/5/2004 . I r. --° 13125 SW Hall Blvd., Tigard, OR 97223 503 9 ( ) 639 -4171 SITE ADDRESS: 10930 SW HUNTINGTON AVE PARCEL: 1S133AC -12800 SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25 BLOCK: LOT: 046 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 TKRD: 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: 3 201 - 400 amp: 201 • 400 amp: 1st WlO SVC /FDR: 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- 1000v. MINOR LABEL: 1000+ amp /volt : PLAN REVIE W S ECTION 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 E. 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 N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,199.57 AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES I �his permit is subject to the regulations contained in the igard Muniapal Code, State of OR. Specialty Codes 4949 SW MEADOWS RD SUITE 400 4949 SW MEADOWS RD SUITE 400 and all other applicable laws. All work will be done in LAKE OSWEGO, OR 97035 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: 503 233 - 0075 Phone: 971 233 - 0075 ' ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg 0: LIC 58699 rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or dired questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Ersn Cntrl 681 -4444 Plm /undslb Insp Plumbing Top Out Shear Wall Insp Storm drain insp Plumb Final Sewer Inspection Electrical Service Framing Insp Exterior Sheathing Ins Water Line Insp Mechanical Final Footing Insp Electrical Rough -in Gas Line Insp Firewall Insp Water Service Insp Building Final Foundation Insp Mechanical Insp Gas Fireplace Gyp Board Insp Smoke Detector Slab Insp Low Voltage Insulation Insp Rain Drain Insp Electrical Final Issued By : ✓ �- Permittee Signature : 3.4 2, p Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day ) 1,,,Le__, .- � `Bui Perm /� -4. t`. FOR O E USE ONLY `� � l ' / Building D R Received O /A 7 /1')_; Permit No. ,5%: 9. ? - 90 ?. 'JUN 2 2003 Plarming /Bv: proval other City of Tigard 0 Datr/By: Permit No.: 50/&20 13125 SW Hall Blvd. Plan Revie Other CITY OF TIGARD Date/By: 1 1%.70 - UT/ Permit No.: Tigard, Oregon 97223 BU .19L� � I Phone: 503- 639 -4171 Fax Uj 59r ISI 0;:' l Post - Review Land Use -.i� A I I DateBv: Case No. Internet: www.ci.tigard.or.us ^° Contact Juris.: See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Method: 116'1 ® 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 gl & 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 Multi- Family ❑ Master Builder ❑ Other: Valuation S q 5 9 6.' :. :::.:JOB SITE INFORMATION and LOCATION • No. of bedrooms: 2- No. of baths: Z T2 Job site address: 1OC1 O Sri) f itAt*T1PJ /n/(r. -'ue I Total number of floors New dwelling area (sq. ft.) I q 142 Suite #: I Bldg. /Apt. #: Garage/carport area (sq. ft.) 0 Project Name: 14,4114 11.A 17744&ME5 Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) SO I r+- ev a /b,, Sys/,. 14/141KS BE4 Other structure area (sq. ft.) •= ,:t' l"•REQUIRED DATA; . : . ::. Ike COMMERCIAL. - :USE CHECK :.'_: Subdivision: 4W( 4 701001 S I Lot #: Ike I Tax map /parcel #: Note: Permit fees' are based on the total value of the work performed. Indicate • ,. " ; - :. • - WORK _ ... - .. - - ' the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. Cr�J or NEiJ 3 ST Tadrl 004.. 1 . Valuation S Existing building area (sq. ft.) New building area (sq. ft.) Number of stories 3 ..,e- PROPERTY_OWNER- - - -.. .•:❑ •TENAPLT - - • .-- . _ . .. -- Type of construction V N Name: A tT1?Jr' 4 PAgK T61,,la{- 7 / L . L. L . Occupancy group(s): New Existing: Address: g5o0 s tegule &-�/ cu l z ) W. City /State /Zip: Toer h73J , 0 2 q 2_11 Phone: 601) 2-61SS Fax :603) 0A2 -4I NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under - (� APPLICANT. , ` - -t,'•::: = :✓-: ::.[Q= - CONTAl '. PERSON:.: : provisions of ORS 701 and may be required to be licensed in the Business Name: bEeEK L .'3rto1,iO4 c Agabwe I (-t , jurisdiction where work is being performed. If the applicant is exempt Contact Name: Mike K (SSW 02- etc.t PeA0Z- from licensing, the following reason applies: Address: '32o S i Cit teo.✓ (1-j + . 2P� City /State /Zip: PbrLT7 4J Olt Q12-1 Phone: -6-758 1 Fax:(si3jeot2 -6S4 ( .. _ - . . BUII,DINGPERMIT E- mail: r+-tia.r K4dIbroc,�niSSex, (:t -t _ 4T lease ' ... _.....,, ....:... CONTRACTOR` .. ':':,;:-.:":2-r.:.--,:' Business Name: IE,ZEL' L. eQr>GJN $ A5910A9'ec 1 34G, Fees due upon application S Address: clSx) Sin/ gAeguie. (BLVD jj S ua ZZo City /State /Zip: 1:bt2TL 02 972 9 Amount received. s Phone :3\ 897,-8 Fax: (50S) S 2.- 2,94( Date received: CCB Li #: e , 9 . Authorized /' /a3 Notice: This permit application expires if a permit is not obtained within Signaturre ' l a ace 11 `� 180 days after it has been accepted as complete. / : ) r' ' ( C A tk , I �- *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) 1:\Dsts\Permit Fotms\BldgPermitApp.doc 01/03 `Electrical Permit Application FOR OFFICE USE ONLY Received Electrical Date/By: Permit No. rl 7Y 'a) Z City of Tigard EC Planning Approval Sign �� Date/By: Permit No.: 13125 SW Hall Blvd. LJ Plan Review Other Tigard, Oregon 97223 Date/By: Permit No.: Phone: 503- 639 -4171 Fax: 5g /} P 1 6(2003 Post - Review and Use I � DDate/13y: L y: Case No.: Internet: www.ci.tigard.or.us t T e l I I Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: -tl3 1T1 A - i t -- �. Name/Method: Supplemental Information. BLDING DIVISION TYPE OF WORK -. • PLAN REVIEW (Please check all that apply) XNew construction ❑ Demolition — 0 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 I (fit 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: I O 01.) 51.J 441Jr JrkicrTeiJ A (ekve FEE' SCHEDULE Suite #: I Bldg. /Apt.#: Number of inspections per permit allowed I Project Name: 444IA/Ks IS '-/-611.Jr-ji4Onitgc Description Qty I Fee (ea.) I Total New residential- single or multi- family per i Cross street/Directions to job site: dwelling unit. Includes attached garage. ,S..) I -50 +I' R V tie SA) 1- kS Service Included: d v� 1000 sq. ft. or less 1 145.15 145, I 4 S t& Each additional 500 sq. ft. or portion thereof ` 33.40 3,1.40 1 ,�• n I ,l� Limited energy, residential I I 75.00 1' ,M 2 Subdivision: l; 1lM'�' Lot #: —f Limited energy, non residential i 75.00 2 Tax map /parcel #: Each manufactured home or modular dwelling DESCRIPTION OF WORK service and/or feeder 90.90 2 • r J C � Services or feeders - installation, l 4c' "^' " C /4 3 -Cr alteration or relocation: Q,, '�W mi ( ! _ 200 amps or less . 80.30 Gv .50 2 l. �}`CWIC 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 601 amps to 1000 amps 240.60 2 :PROPERTIC :O. R:.; :_..' ❑•TENAN.T.:' _.. 454.65 2 4. I,,,, LLC, Over 1000 amps or volts Name: TOwt^t f2�K I it.. Reconnect only I 66.85 2 Address: C1 SJ M guy- gU-v 1}�, t4 f � SU INc. 22.0 Temporary services or feeders - installation, L' alteration, or relocation: City /State /Zip: ri.f rLJ4 ) 0 Ch 219 _se ' r 200 amps or less 66.85 1 Phone S O� 8a2- f758 Fax:(SD)592 -se 201 amps to 400 amps 100.30 2 401 to 600 amps 133.75 2 APPL :.'•s�_ ' `�. -:. -- :-❑':CONT CT'.PERSOPl Branch circuits - new, alteration, or Name:'I L. pD J e AssvCiA 715 / Aic extension per panel: A. Fee for Address: gSQ) 6 �QflUif � vl€ service servi � S Z20 e or feeder branch fe ed er r ff eee. each with branch circuit of G doit 6.65 2 ',Z City /State /Zip: ; i.,4,1'1 , oe 9-7 219 B. Fee for branch circuits without purchase of service or feeder fee. first branch circuit 46.85 2 Phone: ( 3) ? -8-1S S Fax: 5:a.) 692. -8e4 1 Each additional branch circuit 6.65 2 E -mail: K a... d I tea uJ.J0.SSoc , com Misc.(Service or feeder not included): . � r a "CONTRACTOR Each pump or irrigation circle 53.40 2 • -�?_ :_�;; "" = - =�* " Each sign or outline lighting 53. 2 Electrum Inc ignal circuits) or a limited energy panel, Iteration, or extension Page 2 2 DBA Spectrum Electric , i - 2050 Vista Ave #100 - Salem OR 97302 ,ach additional inspection over the allowable in an of the above: - 503- 361 -1256 er inspection per hour (min. 1 hour) 62.50 _ CCB: 116453 ELC: 24 -353C SUP: 2919S westigation fee: Other: #• CCB Lic. -:, . •- • ..'."-..•' .... ' Electrical Pe es , :..... . = ..... . Supervising electrician Subtotal S z 3 45 signature required: Plan Review (25% of Permit Fee) S — bib 3 .'4GQ Print Nam - : Lic. #: State Surchar:e (8% of Permit Fee) S 2- ' t TOTAL PERMIT FEE S A ' ' . 0 Authorized I 'L Notice: This permit application expires if a permit is not obtained within Signature: L Date: 4( 180 days after it has been accepted as complete. r *Fee methodology set by Tri -County Building Industry Service Board. (Ple a print name) • i:\Dsts\Permit Forms \ElcPermitApp.doc 01/03 • / • _ t ' FOR OFFICE USE ONLY Me> hanical Per " L - ! • on Received Mechanical ,, tt. . - . 7 , - . _. Date/By: Permit No.:/7.; °M. ?, Planning Approval Building ' City of Tigard Date/By: Permit No.: 13125 SW Hall Blvd. JUN 7 2003 Plan Review Other Tigard, Oregon 97223 Date/By. Permit No.: GA r Post - Review Land Use Phone: 503 - 639 Fax: gl-ggii, lvl .�rm � r I �� Date/By: Case No.: Internet: www.ci.tigard.or.us a �i e I I Contact Juris.: El See Page 2 for P 24 -hour Inspection Request: 503 - 639 -4175 _ Name/Method: Supplemental Information. TYPE OF • - 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. .1:0'1 & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule ❑ Accessory Building ❑ Multi - Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE* SCHEDULE. Description Qty I Fee(ea.) I Total ❑ Master Builder ❑ Other: Heating/Cooling JOB SITE INFORMATION and LOCATION • Furnace - add -on air conditioning•• ( I 14.00 Pi. to Job site address: /0 93 O cS HUNT /N670I3 A Gas heat pump I 14.00 l Suite #: Bldg. /Apt. #: Ductwork 14.00 I IAt.°o � Ks ig ,ri1� Project Name: 401A.A Ec Hydronic hot water system 14.00 Residential boiler Cross street/Directions to job site:, (for radiator or hydronic system) 14.00 ,S LD r50 T'` f ('✓ I 4A-v) 4A-v)e.0 Unit heaters (fuel, not electric) ', I 5 i (in wall, in -duct, suspended, etc.) 14.00 Flue/vent (for any of above) I 10.00 10. w Re units 1 Subdivision:h', WK ' ac-4-p) D Lot #: 4/9 Repair Fuel Appliances Tax map /parcel #: Water heater I 10.00 (u. ' . DESCRIPTION OF WORK Gas fireplace 'I 10.00 10. 01 (.oki - 2(K`?ok) oR t(EA) 3 S'1- -L� Flue vent (water heater /gas fireplace) 7 10.00 20. f' �W� �'►?F PwJFc- / SQ Log lighter (gas) I 10.00 l `t Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner /flue/vent 10.00 PROPERTY OWNER : - • -: • I 0-TENANT -.: - Other. 10.00 Name: tv �,nn -TO W iJ/- K lo , viE C. LL.G Environmental Exhaust & Ventilation r/'Tr` / Range hood/other kitchen equipment l 10.00 10.' Address: q()Q SN) faue 1 5 /SJ 1NL Z Z!7 Clothes dryer exhaust l 10.00 10 . City /State /Zip: Poiv de (4-7 2 ( q Single duct exhaust Phone: So3)&Qg2_g••?SS Fax: (Sn3) 892- ( (bathrooms, toilet compartments, - (gAPPL 'ICANT • : I d CO NTACT PERSON utility rooms) 4 6.80 2.7• 2- Name: 'brg C I-. i avcJ' A - 8 c tv , NC • Attic/crawl space fans 10.00 Other: Address: Q 60 Bi4 -g - (_A, s /I? . 2zo Fuel Piping City /State /Zip: `Po zitjb')S o 9-7z-19 ••($5.40 for first 4. $1.00 each additional) 1 rr Furnace, etc. 1 Phone :( PR2 -8156 Fax: So3'�AZ -e84( Gas heat pump •• E -mail: m C C d 1 br'ocusNa Sde , c. 'f' Wall/suspended/unit heater •• -. CONTRACTOR . _ _ • Water heater I "' Fireplace I •• FORECAST HEATING & AIR CONDITIONING Range •" 17135 NE GLISAN ST BBQ •• PORTLAND OR 97230 Clothes dryer (gas) •• CCB: 152194 Other. •• Total: 6, o Mechanical Permit Fees* Authorized '- //,, / ' / /Z 10...5 Subtotal: $ 1'SO. 6 0 .411A....411A...-2 /� Signature: � Date: ( Y Minimum Permit Fee $72.50 $ P (/C & 5 f1/4).e_ Plan Review Fee (25% of Permit Fee) $ S 2 • Co 5 (Please print name) State Surcharge (8% of Permit Fee) $ 6D • `fc TOTAL PERMIT FEE S I 1 S. 70 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 Forms\MecPermitApp.doc 01/03 Sulio.1IIb r 1tLU1 ` P4uinbing P erm it Application FOR OFFICE USE ONLY • Received Plumbing ,c� RECEIVED Date/By: Sewer No. / ST�O de. ? ? -- City of Tigard D arning Approval S Date/By Permit No.: 13125 SW Hall Blvd. 2 °`� 2003 Plan Review Other JUN Tigard, Oregon 97223 Date/13y: Permit No.: Phone: 503-639-4171 Fax: P ate - B eview Land Use 'a} ••• > ateJy: Case No.: Internet: www.ci.tigard.or.u$ i�m'nr i : I A c' 1 AlII Contact Juns.: 12:1 See Page 2 for 24 -hour Inspection Request: � 9-T75 --" Name/Method: Supplemental Information. ,. - • "TYPE OF WORK • FEE* SCHEDULE (for special information use checklist) ' - El New construction I ❑ Demolition Description [ Qty. I Fee(ca.) I 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 El SFR (2) bath . j 350.00 W ❑Accessory Building ❑ Multi- Family SFR (3) bath .[-- 399.00 ❑ Master Builder I ❑ Other: Each additional bath/kitchen 45.00 • .: JOB SITE INFORMATION and LOCATION I Fire sprinkler - sq. ft.: Page 2 Job site address: /0 'no ski /4 pmesibT) AUK Site Site Utilities • Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60 Project Name: HAW kS B.' "TOvJ rl l- o rtn G S Footing l/leach lineltrench drain 16.60 Footing drain (no. linear ft.) Page 2 Cross street/Directions to job Al/ s Manufactured home utilities SLJ 1 �c� � t 110.00 . �' Manholes 16.60 36-A) Q Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Page 2 Subdivision: /fAWR'.L t'4 I Lot #: 4 (p I Storm sewer (no. linear ft.) Page 2 Water service (no. linear ft.) Page 2 _ Tax trap /parcel #: - ... . Fixture or Item . • . :.... . ~ ... . -• . - . • DESCRIPTION OF WORK Absorption valve 16.60 re) K5neutc. ncQ of rJEtA) 3 Si �i Backflow preventer Page 2 Tip6AJ -t-lot P2s.ICcr (04/62 Sca-Q-t ) Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 - 2rPROPERTYOWNER: .... • ; I TENANT ' = - Ejectors/sump 16.60 Name: AtflV WlPJ PAIeK Think 4 ES i LLC. Expansion tank 16.60 Address: ci Sc o SW - g € j2 &-iaJ OA Zan Fixture/sewer cap 16.60 City /State /Zip: PoeTLATJD 02 (112.161 Floor drain/floor sink/hub 16.60 6 Garbage disposal 16.60 Phone:{So3, $ 9,2- b7 so Fax: (Sc)3) 92- sail 1 Hose bib 16.60 .;APPLICANT • . ❑CONTACT PERSON • • - Ice maker 16.60 Name: >Ee,EV L. 620v/r S,4SSOC(ht' l OX. Interceptor /grease trap 16.60 Address: 95,00 S>� gifegue., gLAr Su at 22.0 Medical gas - value: S Page 2 Primer 16.60 City /State /Zip: Fk1eru , Cr_ (4 - 7 z l Roof drain (commercial) 16.60 Phone 03)E42- 6756 Fax (So3' /312-684/ Sink/basin/lavatory 16.60 E -mail: rim,I[.1 di, fvrjc,Jl -la CCc9 c • (0,--. Tub /shower /shower pan 16.60 C 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 S Minimum Permit Fee $72.50 S 3s Authorized / /�� / Residenti Backflow Minimum Fee $36.25 4 Signature: / Date: Plan Review (25% of Permit Fee) ` S ` � J i s Ru cE GO NE v State Surcharge (8% of Permit Fee) S (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 with ison t 180 days after it has been accepted as complete. riser diagram for plan review. u7 •Fee methodology set by Tri-County Building Industry Service Board. i:\Dsts\Pemtit 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 -00335 Date Issued: 8/5/2004 Parcel: 1 S133AC -12800 Site Address: 10930 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 046 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 4949 SW MEADOWS RD SUITE 400 DBA SPECTRUM ELECTRIC LAKE OSWEGO, OR 97035 2050 VISTA AVE #100 SALEM, OR 97302 Phone #: 503 - 233 -0075 Phone #: 503 - 361 -1256 Reg #: LIC 116453 SUP 2919S ELE 24 -353C AN INK SIGNATURE IS REQUIRED ON THIS FORM ignature 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 RECEIVED AUG 1 u 2004 PLUMBING EXPERTS INC CITY OF TIGARD 11925 SW PARKWAY BUILDING DIVISION PORTLAND, OR 97225 -5413 Plumbing Signature Form Permit #: MST2003 -00335 Date Issued: 8/5/2004 Parcel: 1 S133AC -12800 Site Address: 10930 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 046 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 4949 SW MEADOWS RD SUITE 400 11925 SW PARKWAY LAKE OSWEGO, OR 97035 PORTLAND, OR 97225 -5413 Phone #: 503 - 233 -0075 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. 3 7 c 5-6 3 ® AAAAAAAAAAAAAAAAAAAAA AAAAAA A AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA STREET T EE CE R TIFICATI R ON • • ® • • r • • • • • I 5RUCE tj J , Owner /Agent for PER L . D:floaJ 0 4SSOC. (PLEASE PRINT) (PERMIT HOLDER) 0* ® Do hereby certify that the following location • 414 meets ,City of ,Tigard %Washington County ■ ►► ® land use and development standards for street tree installation. • ® ADDRESS: /©73 0 �S Gt) 14ihi - rivc- J �4-V ■ • LOT: 4- (p SUBDIVISION: 6K5 R-A • ® BY: 7,17/41. DATE:. 3/f 1p5-- 1 RECEIVED BY: DATE: CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 2.0 ; — �dc. 33 — INSPECTION DIVISION • Business Line: (503) 639 - 4171 BUP Received Date Re 3 ( AM PM BUP Location O Suite MEC Contact Person _ Ph ( ) 76 6 -4 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: Z IP PART FAIL 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 � App roach/Sidewalk Date Inspect° Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY O /TIGARD 24 -Hour WILDING Inspection Line: (503) 639 -4175 MST' e 3 3 INSPECTION DIVISION-- Business Line: (503) 639 -4171 BUP Received Date Requested 3 J( AM PM BUP Location 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: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In i- ab / ow v Ita�e fl O / L Fire Alarm in Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. AS PART FAIL SITE D Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA / Approach/Sidewalk Date - / r 5 Inspector _ _ / : - Ext Other: Final DO NOT REMOVE this Inspection record from the job Ito. PASS PART FAIL CITY OFTIGARD 24 -Hour BUILDING • Inspection Line: (503) 639 -4175 MST ; °03 —cc-) 3 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date,Requested ) LZ— AM PM BUP Location A U k. _ - .-1.i 4..i Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: >--, Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam imaiiW Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation l.% 07;* l ,,05 Gi! 7m11 GGA,44P / S L0 6 Drywall Nailing Firewall ( ODD _ , COM P LO d1 Fire Sprinkler �/ Fire Alarm )(SCVYWV ECr Ara MPL 7 O Susp'd Ceiling 4 Roof Other: Final P S ART FAIL -PED G ( No �c ISst S Post e m� �( f7i Unde Slab Rough -In r ( rf Water Service VOA Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Sh• •er Pan PASS PAR a • MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL LEE AL Service Rough -In L olt / L= 4Q Low Voltage /Vp A. Fire Alarm S ASS PAR FAIL / / 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE 0 Please call for reinspection RE: Unable to inspect — no access Fire Supply Line J ��1� ADA D ate Z --- ZZ J O � n I8 ector / IIM ` �`�'� Ext Approach/Sidewalk p Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY & TIGARD 24 -Hour BUILDING • Inspection Line: (503) 639 -4175 MST - 2 - 6-6 :3 633 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received / Date Requested _ �' AM PM BUP G Location d q 1 36 `f'c -tN1 ir;c.r :rn Suite — MEC Contact Person 1.c,c,C�� Ph ( ) n6� / 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 Drywall Nailing Firewall Fire Sprinkler ,,�r nl , ,�I p Fire Alarm I ) 0 v fl U N L j 1 W �L'LL �� S 01 ` � N D Susp'd Ceiling c Roof ` U (. LoS e 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 (� ` j Z`/`t\ '` - r,• \P , w 1 .e UG/Slab 1w VQItaga Fire Alarm Fines Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. )1 P.ASty PART FAIL SITE ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date \ ` l r � L " Q J Inspector .411• Ext Other: Final DO NOT REMOVE this inspection recor from th = job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING • • Inspection Line: (503) 639 -4175 MST -7 3 -i3 3 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Re I uested / 7 AM PM BUP Location Suite /T 7 MEC Contact Person Ph ( ) Re6 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR .� Crawl Drain Slab Inspection Notes: SIT Post & Beam MAW Shear Anchors Ext Sheath/Shear — Int Sheath/Shear Framing Insulation 11,1-5s5--p Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer • Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL EL RICAL C Fft ` IN 1;1 ow,- Abocrevz BW Ly3 rvic UG/Slab Low Voltage Fire Alarm Fi El PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. Please call for reinspection RE: 0 Unable to inspect – no access Fire Supply Line ADA 1 ih i ' i Q�Q Approach/Sidewalk Date v 7 (-/•-•:' Inspector , r 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 03 3 3 5 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested ' £ AM PM BUP Location dP v ,A ..� 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 Framing Sheath/Shear v e a % L !L� 1 A a Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL UG/Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE ❑ Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line Approach/Sidewalk Date t Inspector .Al ice% _ / o LI Ext Other: Final DO NOT REMOVE this inspection rec d from t e job site. PASS PART FAIL