Permit C ITY OF TIGARD MASTER PERMIT
PERMIT #: MST2003 -00336
,,iy� DEVELOPMENT SERVICES DATE ISSUED: 8/5/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10940 SW HUNTINGTON AVE PARCEL: 1S133AC-12900
SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25
BLOCK: LOT: 047 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 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: 3 201 • 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: SIGNAL/PANEL: IN PLANT:
MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps - 1000x. MINOR LABEL:
1000+ amp/volt :
PLAN REVIEWSECTION
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: $ 6,199.57
AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES I This permit is subject to the regulations contained in the
4949 SW MEADOWS RD SUITE 400 4949 SW MEADOWS RD SUITE 400 i and all other laws. Code, ws. Aof ll l OR. work wil by done in
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 acc rd ra cer applicable ed p. Al. This permit be 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: 503 233 - 0075 Phone: 971 - 233 - 0075 ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those
R " # : 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
Plumb Top Out Slab Insp Low Voltage Insulation Insp Rain Drain Insp Electrical Final
Ersn Cntrl 681 -4444 Plm /undslb lnsp 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 lnsp Water Service Insp Building Final
Foundation Insp Mechanical Insp Gas Fireplace Gyp Board Insp Smoke Detector
Issued By : . /i[ S'_1.L2 i Permittee Signature : 5P '-'"cc
\e
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
y 7
FOR OFFICE USE ONLY •
Building Perini ' on ;v� Building
- Date/Bv: � /���Q Permit N o .< rovo2 -Qfl314
City of Tigard Date/ Planning Approval Other
DatelBy: Permit No.: S/OR - ,0o,A7B
13125 SW Hall Blvd. JUN 7 2003 Platt Review is Other
Tigard, Oregon 97223
� f Date/By: " �'D��S V Permit No.:
Phone: 503 639 - 4171 Fax 3GA ' � i I't Post - Review Land Use MD ( D l _ I J = l�'" a tl l Date/By: Case No.
—
Internet w ww.ci.tigard onus Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503- 639 -4175 Name/Method: 77( Supplemental Information
._..: _ . ••TYPE OF WORK .... „• ...
- REQUIRED DATA: - : . ..
aNew construction ❑ Demolition I &•2 FAMILY DWELLING ..
❑ Addition/alteration/replacement ❑ Other:
- ''' -• CATEGORY OF CONSTRUCTION - .. - • . - Note: Permit fees* are based on the total value of the work performed. Indicate
' 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 [Multi- Family_
❑ Master Builder ❑ Other: Valuation s q 5 2 4 1 6.`x'
:.:JOB SITE INFORMATION and LOCATION -- No. of bedrooms: 2. No. of baths: 2 r2
Job site address: ( 0q,4O SW Nvttn..lG AVE∎OUC. Tom number of floors
New dwelling area (sq. ft.) I / qu a
Suite #: I Bldg. /Apt. #: Garage/carport area (sq. ft.) 504•
Project Name: HAWKS 13.0 Tvt.ZMt cm,&S Covered porch area (sq. ft.)
Cross street/Directions to job site: ^ • \ Deck area (sq. ft.)
51.61 { T" �e.fUE �)) S.W. '4+4/KS Bt4 Other structure area (sq. ft.)
S - . REQUIRED DATA: >P-t _
R_st/t'� '1U►"i a ItCM�S I Lo #: �� COMMERCIAI:: - :USE CHECKLIST :' :.=`; " : :. :' ::
Subdivision: KC
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,
`�L OF NF.L-J 3 ST-021 T` r .l �� overhead and profit for the work indicated on this application.
l
`Pe,�.SEv ( U � Valuation $
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories 3
. :Er: YROPERTY.OWNER 70 -TENANT :. :.- _ . -•-... __ Type of construction V N
Name: A 1 T f b r n rJ P A y e K 49 h 1 L . L. L . Occupancy group(s): New Existing: R-3
Address: gtSoo SW Fitielcute. gL� Su i Z 2.o
City /State /Zip: 1'o 7 h , O.. (47 IN
Phone: 6o3) 612-615S Fax :6A) PA 2.—ije '41 NOTICE: All contractors and subcontractors are required to be
g
licensed with the Oregon Construction Contractors Board under
i APPLICANT" `' :': : I - O= PERSON.:':;: -- provisions of ORS 701 and may be required to be licensed in the
Business Name: b i e E K 1..Tac . / 4 c A x t / (... , jurisdiction where work is being performed. If the applicant is exempt
Contact Name: rrfre K (.h4Si1) a2 ler a PeA.0z- from licensing, the following reason applies:
Address: g5tb S J €A2( &J/41. Si (7
City /State /Zip: k ruhi 012 ql 2-19
Phone: -6`l5e 1 Fax:(503i - 604 ( _
E -mail:
r+ No a. Ibrb .. -.. D
_ d r Yl ease refei :f " =. .; :; :,'�_;;'- -. _.
..._ ._..._,..... - _..CONTRACTOR` .. - - _ ....:•• •
Business Name:11Ee L. elecalJ iti ACkariftS 1 Fees due upon application S
Address: 95x) £vJ gAQ&Ae. gL'Ib slid c ZZo
City /State /Zip: fber il3 Q2 9'1 L 9 Amount received. $
Phone:3) 892 -8 ` 59 � Fax: (503\ 8q2- 2) l Date received:
CCB L' #: ,• (a"
Authorized / / ``1,, n / Notice: This permit application expires if a permit is not obtained within
Signaturre:: 1 L Date: - i "�, 180 days after it has been accepted as complete.
M AIL ' 4 IC v I/ L tS ifi *Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
i:\Dsts\Permit Forms\BldgPermitApp.doc 01/03
- Electrical Permit Application FOR OFFICE USE ONLY
Received Electrical
Date/By: Permit No.: it sr-2003-.0o33 f,
City of Tigard RECEIVED Planning Approval Sign
Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 JO 2 7 2003 Date/By: Permit No.: Phone: 503 - 639 -4171 Fax: 503-98-1960 �; Date/By: Use
y: Case No.:
Internet: www.ci.tigard.or.us
CITY OF TIG '�� e`I Post - Review
I I C on t ac t Ju ris.: ®See Pag 2 for -
24 -hour Inspection Request: abhLIO G�IVI '.,�. __.. 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: 721 Service over 320 amps - rating of ❑ Building over 10,000 square feet.
CATEGORY OF CONSTRUCTION I & 2 family dwellings four or more residential units in
ja1 & 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 INFO4MATION and LOCATION Submit _ sets of plans with any of the above.
The above are not applicable to temporary construction service.
Job site address: (�q SW >1�I1►Jri*xr'F� /wave FEE* SCHEDULE
Suite #: Bldg. /Apt. #: _ l , Number of inspections per permit allowed
L
Project Name: .444 AI S g42.'> TQLJ/-LL. M Description Qty I Fee (ea.) 1 Total
New residential- single or multi - family per +
Cross street/Directions -5 n V� 6e: (5 dwelling unit. Includes attached garage.
U .5" Ai l� Service Included:
6644 Each so. It . or less E 145.15 1" d
17. I
Each addditional l 500 sq. ft or portion thereof I ` 33.40 I g3.� I
�� Limited energy. residential I 1 75.00 'j5 ,a2 2
Subdivision: Iyi - wL�' i�% Lot #: Limited energy, non residential 75.00 2
Tax map /parcel #: Each manufactured home or modular dwelling
- DESCRIPTION OF WORK . . service and/or feeder 90.90 2
'J C � "� Services or feeders - installation,
ca4 , , "^ . CF 0\16( 3 sr N alteration or relocation:
-- Q,,
. aLJ . r _ /.a 80
200 amos or less I. 80.30 O 2
mil. � ! 'r`/ CV✓lC r 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
1 ;7 : ❑
�PROPERT)l'O. R' TENANT: _.. 601 amps to 1000 amps I 240.60 2
,,
" � ",,� L� Over 1000 amps or volts ( 454.65 2
lqame: A n
i7j .4 /24it? f. t� 1 0 ,w 9 NJy i5 Reconnect only I 66.85 , 2
Address: c gUe. QL" l SO i7 4. 22z Temporary services or feeders - installation,
alteration, or relocation:
City/State /Zip: R2rLj&? Ore- 9 t9 200 amps or less 66.85 1
2 01 amps to 400 amps 100.30 2
Phoneso' ) $`�2 —$Z58 Fax :(So� -�8 '� l 133.75 2
�C 401 to 600 amps
. XAPPL ANT !, : :'•- ,'-': ❑ CT' .PERSON --.- Branch circuits - new, alteration, or
Nalnefleregi4. �� 1>J ff il- S j col - e - 5 , l �G extension per panel: of
Address: i$ OD SWJ e40,R.UIve, �\1,/> St)(f Z20 A. Fee service branch f feeder chhranch circuit ui
service or feeder fee, each branch cirerrit 6.65 2
City/State /Zip: 9),rLtt'r , C#2., 9-1 219 B. Fee for branch circuits without purchase of .
service or feeder fee. first branch circuit 46.85 2
Phone: ��pA) N2_ 155 Fax: (c=a) 892 -ee,4 / Each additional branch circuit 6.65 2
E -mail: ran, r K a- d l tr t�l.JcLSSoc , con n
Misc.(Service or feeder not included):
_ Each pump or irrigation circle 53.40 2
'.:t �r '`' .- _ -.++'' _ rCONTRACTOR -� • - :— --: - Each sign or outline lighting 53.40 2
Electrum Inc iignal circuit(s) or a limited energy panel,
dteration, or extension Page 2 2
DBA Spectrum Electric )escription:
• 2050 Vista Ave #100
- Salem OR 97302 Each additional inspection over the allowable in any of the above:
- 503- 361 -1256 'er inspection per hour (min. I hour) _ 62.50
_ CCB: 116453 ELC: 24 -353C SUP: 2919S nvestigation fee: .
CCB Lic. #: I Lic. #: other: '' ' _ . Electrtcal:P_ermit :Eel's*' Y . -
Supervising electrician Subtotal $ Z 3 ,45 ,
signature required: Plan Review (25% of Permit Fee) $ '5 ,'40
Print Name: Lic. #: State Surcharge (8% of Permit Fee) S
TOTAL PERMIT FEE S 4 . 0
Authorized
j , ,
Notice: This permit application expires if a permit is not obtained within
Signature: L Date: `t(`'4 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
MerYt t M . '1
(Plea& print name) •
is \Dsts\Permit Forms \ElcPermitApp.doc 01/03
I ! n
FOR OFFICE USE ONLY
1V echanical Per I s , z !:.: ;_ •fir, Received Mechanical
i `! or DateBy Permit No./`7.S%
Planning Approval Building
City of Tigard Date/By: Permit No.:
13125 SW Hall Blvd. JUN 2 7 2003 Plan Review Other
Ore o n 97223 O Y O F T IGA' Daffy' Permit No.:
Tigard, g Post - Review Land Use
Phone: 503 - 639 -4171 Fax: �11 D _ tt. `6 . �` 1 , .. Date/By: Case No.:
Internet: www.ci.tigard.or.us __.,iJ,- e . I Contact Juris.: ® See Page 2 for
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 I El ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all
CATEGORY OF CONSTRUCTION. mechanical materials, equipment, labor, overhead and profit.
'1 & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule
❑ 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 l I 14.00 tkt
Job site address: /0 74O S Il/ //UN77N6700 AVE_ Gas heat pump J 14.00
Suite #: Bldg. /Apt. #: Duct work 1 14.00 lit .
W$ � � _ �-- o W 14O1Nt ,ES Hydronic hot water system 14.00
Project Name: Residential boiler
Cross street/Directions to job site:, (for radiator or hydronic system) 14.00
5 L 1 j ! ` 6 ' " / ,,
v E i. " l C S Unit heaters (fuel, not electric)
-g E�I *au?'" (in wall, in -duct, suspended, etc.) 14.00
V Flue/vent (for any of above) 1 10.00 10. w
Subdivision: k 7 Repair units 12.15
14t✓K� �, �� Lot #: Q Other Fuel Appliances
Tax map /parcel #: Water heater . ( 10.00 Iv.-
• DESCRIPTION O p F WORK Gas fireplace 'I 10.00 1O. 4 '
C . 7 &(�L
/ G71� OF I ^(E.� 3 S- I-og.Le Flue vent (water heater /gas fireplace) 7 10.00 2o. °O
7 - (A /J log. PD JE7 ( 1 SQ Log lighter (gas) 10.00
l Wood/Pellet stove 10.00
• Wood fireplace/insert 10.00
Chimney/liner/flue/vent 10.00
PROPERTY OWNER. -- - .• .1 ❑TENANT' Other: 10.00
Name: AITI m Ai 19.0eK —ro f.Wi f{owt E S' LLG Environmental Exhaust & Ventilation
Range hood/other kitchen equipment l 10.00 W.'
.'°
Address: qexi Sh/ 194rade lg- / Sd c l r� Z w Clothes dryer exhaust l 10.00 10 .'
City /State /Zip: P de (4-72/9 Single duct exhaust
Phone :(503) go1Z_g 563 l Fax: () 5) 891-884( (bathrooms, toilet compartments,
• 2rAPPL CANT 0 CONTACT PERSON utility rooms) 4 6.80 21. 2.0
Name: 1> elr,t( 1.. gpot.JW e A /.'Es, /A/C • Attic/crawl space fans 10.00
q 7 ,AravdL (4_1 S 2ZC
Other:
Address: Fuel Piping
City /State /Zip: 021 S -7219 ••($5.40 for first 4. $1.00 each additional)
Furnace. etc.
Phone:( ‹Z) P1i2-S1SS Fax: So 3,1=A2 -084( Gas heat pump ••
E -mail: mpg C C d 1 bror.,.JnaS'SoC . C.,,sti - 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: Z, 6.4
1 Mechanical Permit Fees*
Authorized T /2 0/03 Subtotal: $ 13C) , 60 ,
Signature: M11r, . __ Date: Minimum Permit Fee $72.50 $ /
411111/ / J� )C5 OE' Plan Review Fee (25% of Permit Fee) $ 3 2 • (! 5
(Please print name) State Surcharge (8% of Permit Fee) $ bD • `6S
TOTAL PERMIT FEE $ 11 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
building r 1MU1 CJ
FOR OFFICE USE ONLY
. Plumbing Per l f - • 1 n Received Plumbing
�
• i . 1
Date/By: Permit No. eff,20 a/ A01. 4,
City of Tigard Planning Approval Sewer
2 2003
Date/By: Permit No.:
13125 SW Hall Blvd. JUN 2 7 Plan Review Other
Tigard, Oregon 97223 Date/By: Permit No.:
1 7 I SI p � t" � Post - Review Land Use
Phone: 503 - 639 -4171 Fax 9 f rat a. r Date/By: Case Use No.:
Internet: www.ci.tigard.or.us a {, �� eM I Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503 639 - 4175 Name/Method: Supplemental Information.
- TYPE OF WORK • FEE* SCHEDULE (for special information use checklist) -
fsi New construction ❑ Demolition Description I Qty. I Fce(ca.) Total
❑ Addition/alteration/replacement ❑ Other: New 1 - & 2 - family dwellings
CATEGORY OF CONSTRUCTION I (includes 100 ft. for each utility connection)
SFR (1) bath 249.20
g 1 & 2 Family dwelling ❑ Commercial/Industrial I SFR (2) bath I 1 _ 350.00 ❑Accessory Building ❑ Multi Family I SFR (3) bath_ 399.00 '
❑ Master Builder I ❑ Other: Each additional bath/kitchen 45.00
JOB SITE INFORMATION and LOCATION I Fire sprinkler - so. ft.: Page 2
Job site address: /,9 /40 S 4 (JlJ7/AJ 67 iIJ AV- . Site Utilities
Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60
Project Name: HAW ks 3Fh21� Tt IJ 11Air C Footing l/leach line/trench drain 16.60
Footing drain (no. linear ft.) Page 2
Cross street/Directions to job s2 .7. - : M anufactured home utilities 110.00
SLO 1;v A✓V ' g ' Manholes 16.60
'13E 41 S rZ ' Rain drain connector 16.60
Sanitary sewer (no. linear ft.) Page 2
Subdivision: ki,4 6/ ,� L i4-RP I Lot #: 4-7 Storm sewer (no. linear ft.) Page 2
Water service (no. linear ft.) Page 2
Tax map /parcel #: _. • Fixture or Item r
.... -. ._ - I
DESCRIPTION OF WORK Absorption valve 16.60
C. 0F•1.S772iAZ no--) OF i'l E(A) 3 ST Backflow preventer Page 2
Tn+0.1 4.0cyle, P2s.lEc." (t i4 i !n s 1- ) Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
- -Er PROPERTY' OWNER 1 •❑ TENANT ••';-- • . • - - Ejectors/sump 16.60
Name: Alin) Al iJ PAR. K T VJN 140tMES 1 L LC. Expansion tank 16.60
Address: gSoo SW j ve.gv2 gok., S1ltN ZZO Fixture/sewer cap 16.60
City/State /Zip: pj2T,Ar4D 02 q-1Z19 Floor drain/floor sink/hub 16.60
Garbage disposal 16.60
Phone{So3j 592- 87 58 1 Fax: � S) 92- SOLI I Hose bib 16.60
- ,APPLICANT • '-
- , L:=_: • =• : - .... • I • ❑ CONTACT PERSON -- - Ice maker 16.60
Name: bEe-CV L. 8Q.o S /4SSoCM -ti , 11• Interceptor /grease trap 16.60
Address: 9560 51,..) ff€gui. gt,11A, Su It Z26 Medical gas - value: $ Page 2
Primer 16.60
City /State /Zip: Pue- .?S , CL° q- Z l 9 Roof drain (commercial) 16.60
Phone {03) &2 - 6758 Fax (So3' Z. 6&4/ Sink/basin/lavatory 16.60
E -mail: rvvhtk. Ci, l tlrxjWnctCCc7 C . cow. 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 0 .- .:-:-Plumbing PermitFees• ...-' 2: =' ..,.:; 2:
CCB: 149035 PLM: 34-391PB Subtotal $ 6 _
Minimum Permit Fee S72.50 $ ,3,r1
Authorized '9. Residential Backflow Minimum Fee $36.25
Signature: Date: Plan Review (25% of Permit Fee) $ �s�
J R(J&& GP s/ State Surcharge (8% of Permit Fee) $
(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 isometric or
180 days after it has been accepted as complete. riser diagram for plan review. c/
•Fee methodology set by Tri-County Building Industry Service Board.
i:\Dsts\Permit Fomas\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 -00336
Date Issued: 8/5/2004
Parcel: 1 S133AC -12900
Site Address: 10940 SW HUNTINGTON AVE
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 047
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
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
X "4/1144/
Signature of Supervising Electrician
If you have any questions, please call 503.718.2433.
CITY OF TIGARD
13125 S.W. HALL BLVD. RECEIVED
TIGARD, OR 97223
AUG 10 2004
IMPORTANT PERMIT NOTICE
CITY OF TIGARD
PLUMBING EXPERTS INC BUILDING DIVISION
11925 SW PARKWAY
PORTLAND, OR 97225 -5413
Plumbing Signature Form
Permit #: MST2003 -00336
Date Issued: 8/5/2004
Parcel: 1 S133AC -12900
Site Address: 10940 SW HUNTINGTON AVE
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 047
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
X
Signature of Authorized Plumber
If you have any questions, please call 503.718.2433.
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STREET TREE
CERTIFICATION
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® I, n ucF. Coop__ , Owner /Agent for 1)ERE t. . fR))LL2 J * 4 S ®C.
(PLEASE PRINT) (PERMIT HOLDER)
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® Do hereby certify that the following location rt
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• meets . City „ of. - �.Tigard /Washington' Co unty
• land use and development standards for street tree installation. •
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ADDRESS: /OW VA/ I4CIJJTrn1G704 4vE. ■
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LOT: 4 - ? SUBDIVISION: 14-A -W KJ PEA*
® BY: l / / 4,..# DATE: 3 / /8
® RECEIVED BY: DATE: •
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CITY- OF TIGARD
BUILDING DIVISION PERMIT #: MST2003 -00336
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/5/2004
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ^' I I..
INSPECTION WORKSHEET FOR DATE: 3/16/2005 TIME: 7:11AM PAGE: 79
'4 1
SITE ADDRESS: 10940 SW HUNTINGTON AVE CLASS OF WORK:
SUBDIVISION: HAWK'S BEARD TOWNHOMES LOT #: 047 TYPE OF USE:
PROJECT NAME: HAWKS BEARD TOWNHOMES
DESCRIPTION: New SFA dwelling.
OWNER: AUTUMN PARK TOWNHOMES, LLC, PHONE #: 503 - 233.0075
CONTRACTOR: DEREK L BROWN & ASSOCIATES INC PHONE #: 971 -233 -0075
Inspection Request Scheduled For: Date: 3/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 ge. Final inspection 001865 503 866.4897 N
Corrections /Comments /Instructions:
/-- r
. ` `I', in
8
r`
N PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
V& 0 1--
3/ �
Inspector: Date: ( � /6h
p D #: (503) 7 18-
CITY OPTIGARD .
BUILDING DIVISION PERMIT #: MST2003 -00336 I
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/5/2004
Phone: (503) 639 -4171 i1l1
Inspection Requests (24 Hrs.): (503) 639 -4175 s_'
INSPECTION WORKSHEET FOR DATE: 3/16/2005 TIME: 7 :11AM PAGE: 80
~ SITE ADDRESS: 10940 SW HUNTINGTON AVE CLASS OF WORK:
SUBDIVISION: HAWK'S BEARD TOWNHOMES LOT #: 047 TYPE OF USE:
PROJECT NAME: HAWK'S BEARD TOWNHOMES
DESCRIPTION: New SFA dwelling.
OWNER: AUTUMN PARK TOWNHOMES, LLC, PHONE #: 503.233-0075
CONTRACTOR: DEREK L BROWN & ASSOCIATES INC PHONE #: 971- 233.0075
Inspection Request Scheduled For: Date: 3/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 fii, Mechanical final 001865 -01 503-866-4897 N
Corrections/Comments/Instructions:
Ill PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
\L4' V 1 141 /D
Inspector: Date: / Phone #: (503) 718 -
P � )
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST 2 2 3 -ooj 34:
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested
- AM PM BUP
Location d ∎a__AA li Suite MEC
Contact Person Ph ( ) 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
Roof
Other:
Final
PASS PART FAIL (�
e .3
PLUMBING `J
Post & Beam
Under Slab
Rough -In c2cis
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 \ et) (
�
pproach/Sidewalk Date Inspector Ext
er:
DO NOT REMOVE this Inspection record from the Job site.
PART FAIL
CITY OF TIGARD lb v\ „Si
BUILDING DIVISION PERMIT #: ,v J
d - e=t)3 3k
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED:
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175 s - !i- p.1...
INSPECTION WORKSHEET FOR DATE: 3 - 7 TIME: , , I ! ' , PAGE:
SITE ADDRESS: / O 9b /, CLASS OF WORK:
SUBDIVISION: / LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #: _ r' { � 9
CONTRACTOR: PHONE #: � �� ` C-)
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
3 //
Corrections /Comments/ Instructions:
6 (1
((( .4e,"ee 1/4_.-2e
►n -!Ss ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 111 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: �' l Date: Phone #: (503) 718-
CITY OF TIGARD s i
� m
BUILDING DIVISION PERMIT #: aOD _ 60 3 3,0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .- !i- 1 ...
INSPECTION WORKSHEET FOR DATE: 3 — 1 TIME: t c 0 ' PAGE:
SITE ADDRESS: / Q cJ LD G � CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #: ciie (, 6_ ([ Q'9 7
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
7
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N�X—k-ki 7/ " Date: 4 — eu� Phone #: (503) 718- ( / , /
y
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: - (503) 639 -4175 MST )3 -003 3
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested / — � � AM ✓ PM BUP
Location Suite MEC
Contact Person ' Ph ( ) Ct % p �� 7 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 r-� 6 � r . �
MECHANICAL ��
Post & Beam L \ \D ,0� ` h,. \ .
Rough -In l �" " `" " \ l7 1 °v °)
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
E : 'ic=
ugh -
I N/. _ •
• •w Voltage /! /
Fire •-
F Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
A RT FAIL
SITE l Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA > �� W91.---`r Approach/Sidewalk Date f / l d� Inspector U4 t-
Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OE TIGARD 24 -Hour •
• BUILDING Inspection Line: (503) 639 -4175 MST '7J • 3 - 6 0 3
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested AM PM BUP
Location 0 7 / Suite I p MEC
Contact Person Ph ( ) (o — cT O 9 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
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
:y ) /
. 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
ough -In
UG/Slab t d )
Low Voltage
Fire Alarm
Fina Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
AS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date d y Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL