Permit L
41"
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2003 -00343
i
Iopi DEVELOPMENT SERVICES DATE ISSUED: 8/5/2004
�- — 13125 SW Wall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 10915 SW HUNTINGTON AVE PARCEL: 1S133AC-13600
SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25
BLOCK: LOT: 054 JURISDICTION: TIG
REMARKS: New SFA dwelling.
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 32 FIRST: 108 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 636 sf GARAGE: 484 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THROE 709 sf RIGHT:
VALUE: 147
OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 1.453 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 BOILJCMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1
LPG FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 2 WOODSTOVES: GAS OUTLETS: 3
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADDL 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 VI00 SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNALJPANEL: 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: $ 6,205.71
AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES Its his permit is subject to the regulations contained in the
4949 SW MEADOWS RD SUITE 400 4949 SW MEADOWS RD SUITE 400 i iapal Code, S of Al work will ill be e y doo bne ne i n
n
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 and d all other of theer applicable laww s. l wo
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 #: 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 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 lnsp 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 lnsp Smoke Detector
Slab Insp Low Voltage Insulation Insp Rain Drain lnsp Electrical Final
Issued By : Q f' Permittee Signature : S? rC - \p .D
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
' �� FOR OFFICE USE ONLY • Building Permit Application Received 0 ft 4 Building
No. ��� � ,�,;. oe► 3 et.?
�� .
City of Tigard Date/By: Permit No.: Approval other 690 7
tty DteBy: ��!� 1 «�9 �
13125 SW Hall Blvd. Plan Review }� Other
A Tigard, Oregon 97223 JUN 2 7 2003 DateY: 4'3 CSD Permit No.:
Date/BY: Phone: 503 -639 -4171 livl� b J , i 1 Tl�q Ff V a !4 e l I , Past - Review Land Use
il Date/By: Case No.
Internet: www.ci.tigar �� D 41 �/j$ '° ' "' Contact Juris.: ® See P age 2 for
24 - hour Inspection Request: 50 #3 9 /5 Name/Method: 11 6 Supplemental Information
:. TYPE OF WORK REQUIRED DATA: ":.' .`.;`
New construction El Demolition • . 1 8i&2 FAMILY DWELLING .,:: .
❑ Addition/alteration/replacement ❑ Other:
'' .CATEGORY OF CONSTRUCTION - = • • - Note: Permit fees* are based on the total value of the work performed. Indicate
z. 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 (J Multi - Family
❑ Master Builder El Other: valuation $ ./ 1 C 140 • ''D
+ -f `- :i: JOB SITE 1NFORMATION-and. LOCATION .. -. - No. of bedrooms: 3 No. of baths: Z
Job site address: )()q is SW gtidn -7r/dA,�./tA� Total number of floors
New dwelling area (sq. ft.)
Suite #: Bldg. /Apt. #: Garage/carpon area (sq. ft.)
Project Name: HAW VCS 13 €.AAA T004414196AES Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
Ski { 3v TM Av!vg , 4 S 14i 4Kr QEA Other structure area (sq. ft.)
,; . REQUIRED
COMMERCIAL •USE.CHECKLIST' + :-
Subdivision: grc/ IrAallbhifi Lot #: 54
Tax map /parcel #: Note: Permit fees' are based on the total value of the work performed. Indicate
- . •- DESCRIPTION OF - ..: - ''. '. --. - the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
CO S7auc le.ti of NEIL) S Src2. Tai 1 +fivif-
?e43.Sta—, Valuation $
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories
- OP.ROPERTY:OWNER'.:.. 4.0 TENANT- -=• - _-1 . Type of construction
Name: ALTUM PIC T!)k-(I`1�9h4S, L . L. L Occupancy group(s): New Existing: R-3
Address: gSoo S 1 14 Eiie gUte, 13a11), Sv rTE 2
City /State /Zip: 'Poet] A , ore. q 219
Phone: 601) 92- 7SS Fax :6)3) 012- 41 NOTICE: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
ii APPLICANT :: .. • : [j :CONTACT PERSON:.'.. provisions of ORS 701 and may be required to be licensed in the
Business Name: )69-.EK 1, .'Brtot.G4 c AgaigiC f (4. . jurisdiction where work is being performed. If the applicant is exempt
Contact Name: Mire K (-tibAlSeN 62. 21a PeA+-12, from licensing, the following reason applies:
Address: qso Sb•1 i ( l .S(1 rise 2to
City /State /Zip: Pbt2TUl4 �3f7g O02 q'i 7-1 `i
Phone:(�2 ' Fax:(So���t2 ( : •BUILDING:PERMITTEES":'
E -mail: rncLr K (4.. d l b r Assoc. , co (Please refer:to:fee.schedule.' - ;`'; ": _',
Business Name: s bE,Pa L.. elecr.10 $ Aalihtfs, YvG. Fees due upon application $
Address: ' :c) S1n1 g A l um. gL1(b i si I * ZZo
City /State /Zip: Rb12 - jJ ,3 pa. 9-12 9 Amount received $
Phone:k) 892 -8 '75$ � Fax: (St93 2 -884 i Date received:
CCB Lic. #: g (09
Authorized ,( � �'� /O Notice: This permit application expires if a permit is not obtained within
Signature: )4 ` /( Date: _ 1 180 days after it has been accepted as complete.
/ AL /44- COO *Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
i:\Dsts\Permit Forms\BldgPermitApp.doc 01/03
• I •electrical Per i i u . �� bleldn Received FOR OFFICE USE ONLY
Electrical
JUN
DatdBy: Permit No.: �4cwn -�d c' �
• •
7 Planning Approval Sign
City of Tigard
JUN 2003 Date/By: Permit No.:
13125 SW Hall Blvd. CITY OF TIGARD Plan Review Other
Tigard, Oregon 97223 BUILDIN Date/By: Permit No.:
Phone: 503- 639 -4171 Fax: 503 - vfoiu • IO' Post - Review Land Use
+ Date/By: Case No.:
Internet: www.ci.tigard.or.us a(,1► A Contact Juris.: (83 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)
XNew construction ❑ Demolition ❑ Service over 225 amps- ❑ Health-care facility
commercial ❑ Hazardous location
❑ Addition/alteration/replacement ❑ Other: 4 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
01 & 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. 1
The above are not applicable to temporary construction service.
Job site address: 1096 51 44t)artt•.XrT6J A (JUU FEE* SCHEDULE
Suite #: Bldg. /Apt. #: Number of inspections per permit allowed
Project Name: ,.0,41A MS CcE,4 ' i i1 -ONIE$ Description I Qty I Fee (ea.) Total
New residential - single or multi- family per +
Cross 1-5o 4-' street/Directions to job site: ' kS dwelling unit. Includes attached garage.
Ava. -f s� !' � Service included: d
1000 so. it or less 4 145.15 1_7. 15 4
3 ad
Each additional 500 so. ft. portion or portion thereof I l 33.40 _/ I a I
A ,� , n'N C� Limited energy, residential 1 75.00 1C .ao 2
Subdivision: 1 Kr-,41,1 ' Lot #: J Limited energy, non residential 75.00 2
Tax map /parcel #: Each manufactured home or modular dwelling
- - DESCRIPTION'OE WORK. service and/or feeder 90.90 2
r Services or feeders - installation,
^t Cr Ch cr 0\16(,J 3 sme4.4 alteration or relocation:
--rOW . A / r / tg2Z - r— 200 amps or less L 80.30 .50 2
(. � 201 amps to 400 amps 106.85 2
401 amps to 600 amos 160.60 I 2
' TENANT:: ...... .:::s.: .7 601 amps to 1000 amps 240.60 2
PROPERTY.O R : ; -.' ❑ Over 1000 amos or volts 454.65 2
Name: 7r 0 141 4 p K - 1 - 041 t�140l s LL Reconnect only I 66.85 2
Address: c1503 $J Q,4 g1J - gL cu IT(c- 22z Temporary services or feeders - installation,
1' 7 alteration, or relocation:
City /State /Zip: Fbrz1 - ! �, 012 9 200 amps or less 66.85 1
Fax: �� 201 amos to 400 amps 100.30 2
Phone�3) $92 -x )�92 -88�� 401 to 600 a 133.75 2
APP ANT'- ;i:. :.: ` :.:,- _•; - O•. / CONTACT PERSON = -. -`::- • Branch circuits - new, alteration, or
Name :lbeizF K L. P , J>J 8 p S * Of e5 , 1 � extension per panel:
A. Fee for
Address: /SOD SW &40.R1h(ZJ
v, _\ > St. ZZO branch circuits with branch circuit of
purchase
p service or feeder eder r fee, each brranch crcuoit 6.65 2
City /State /Zip: 9,r L,4,�'t� , Ore, 9-7 21 �t B. Fee for branch circuits without purchase of .
service or feeder fee, first branch circuit 46.85 2
Phone: (5J) 2 -, 15S Fax: (So3) 892 -&{ / Each additional branch circuit 6.65 2
E -mail: W1 l,. r Q.- d I tea a oc , Conn Misc.(Service or feeder not included):
Each pump or irrigation circle 53.40
. -...., .., ••_ = °CONTRACTOR :.:. 53.40 2
-- .,'r: - -: -. -:••^: Each s ign or outline lighting
-, ' , :::;-s:-=:';:';:::: 4
Electrum Inc Signal circuit(s) or a limited energy panel,
DBA Spectrum Electric 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 .Pertnit:Eees *...:... :F.:-
Supervising electrician Subtotal S 17) ,85
signature required: Plan Review (25% of Permit Fee) S 5 ,'4!A
Print Name: Lic. #: State Surcharge (8% of Permit Fee) S
/ TOTAL PERMIT FEE S 4 4 . oz- I
Authorized / /// r Notice: This permit application expires if a permit is not obtained within
Signature: «c///lll ( // ( Date: ` 180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
A IL ,V . send
(Plea& print name) •
is \Dsts\Permit Forms \ElcPermitApp.doc 01/03
/ FOR OFFICE USE ONLY • / i M e c hanical Per .1 [ Received Mechanical
Date/By: Permit No.:/ ; 6-?,y'C 0
J UN 2 Planning Approval Building
City of Tigard 7 2003 Date/By: Permit No.:
13125 SW Hall Blvd. CITY Plan Review Other
OF TIGA I Date/By: Permit No.:
Tigard, Oregon 97223 R
Phone: 503 - 639 -4171 Fax: S� �>���IIVI$I �` Post Review Land Use
Contact Case No.:
Internet: www.ci.tigard.or.us , .f I I t � i Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503 -639 -4175 Name/Method: Supplemental Information.
- -• _:.: r :•. TYPE OE 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
CATEGORY OF CONSTRUCTION. mechanical materials, equipment, labor, overhead and profit.
E & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule
Building Multi-Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE * •
Accesso
❑ Accessory g ❑ y Description I Qty I Fee(ea.) I Total
❑ Master Builder ❑ Other: Heating/Cooling
JOB SITE INFORMATION and LOCATION - • Furnace - add -on air conditioning ** I i 14.00 I4,
Job site address: /09/5" Stet/ 1-/UK1Tlv6' AVE. Gas heat pump 14.00
Suite #: Bldg. /Apt. #: Ductwork ( 14.00 (t{. '
gble� _T--o
Project Name: - vJ 01/A-05 Hydronic hot water system 14.00 Residential boiler
Cross street/Directions to job sit (for radiator or hydronic system) 14.00
,Si,J j j 1 '` /h/c..J01 / � Ski gM' ' Unit heaters (fuel, not electric)
- gei 5-7-a667i (in wall, in -duct, suspended, etc.) 14.00
Flue/vent (for any of above) 1 10.00 10 . °'
Subdivision: A•GUKS 1 0,}P-P t�i Repair units 12.15
/� Lot #: S Other Fuel Appliances
Tax map /parcel #: Water heater I 10.00 Id•'
- • • DESCRIPTION OF WORK • - • Gas fireplace 1 10.00 10.°t
Cow /5 T &LC`71a) OF ft.K) 3 K-1--00-t-( Flue vent (water heater /gas fireplace) Z.. 10.00 24 . '
-w� kryi PwJr (`4(o �� Log lighter (gas) 10.00 l
l Wood/Pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner /flue/vent 10.00
(PROPERTY OWNER -- .. • I I] TENANT . - .... Other. 10.00
Name: �., to n( n K To Wi.J/•{orrt E c Ll,C Environmental Exhaust & Ventilation
7 iV' i/ t'�T" ) Range hood/other kitchen equipment 1 10.00 10.
Address: Sh/ +2b/e / SJ l Z U Clothes dryer exhaust I 10.00 10. °o
City /State /Zip: Po2TLA d2 Q--72 l q Single duct exhaust
Phone:5o3) &1 . —EnS8 I Fax: (5.) j 99 2— 884( (bathrooms, toilet compartments, n
• �'APPL CANT . I ❑ CONTACT PERSON utility rooms) _5 6.80 2U • 4
� 4. g�� A 'Sic rti /ic , Attic./crawl space fans 10.00
10.00
Name: Other.
Address: Q... *MIZ &. 6.16 51/1 . ZZO Fuel Piping
City /State /Zip: `. l ot 9-7249 ••($5.40 for first 4, $1.00 each additional)
Phone:(So3) NZ -8156 Fax: .3.QA2 Furnace, etc. -OJi( Gas heat pump as
E -mail: „,,,,,..t C d l brow>^o- c,c ,c.„,„, Wall /suspended/unit heater "
- CONTRACTOR ., • Water heater I "
Fireplace 1 *'
FORECAST HEATING & AIR CONDITIONING Range *.
17135 NE GLISAN ST BBQ
PORTLAND OR 97230 Clothes dryer (gas) •'
CCB: 152194 Other. ••
Total: 3 S. i-f17
Mechanical Permit Fees*
Authorized ij(t � / / Q / Subtotal: $ 1 3 W Signature: 1 Date: (I/ Minimum Permit Fee $72.50 $
Plan Review Fee (25% of Permit Fee) $ 7:0,15
lease print name) State Surcharge (8% of Permit Fee) $ . 1 0
TOTAL PERMIT FEE $ I (Q q . ( a5
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 Forms1MecPermitApp.doc 01/03
isuilaiiig r 1XLui
' Plumbing Permit : lication FOR OFFICE USE ONLY •
51. , Received Plumbing t /� - .42, 1 - , °��
. C E V E L) Date/By: Permit No.
City of Tigard Date/By: Approval Sewer
ateBy Permit No.:
13125 SW Hall Blvd Plan Review Other
JUN I l Date/By: Permit No.:
Tigard, Oregon 97223
Phone: 503- 639 -4171 Fax: 503- 5gTY(OF TI D Post - Review Land Use
��. t Date/By: Case No.:
Internet: www.ci.tigard.or.us !UIL ®ING D ,;,� l l �l
g e.► Contact Case El See Page 2 for
24 -hour Inspection Request: 503-6394175 Name/Method: Supplemental Information.
TYPE OF WORK - FEE* SCHEDULE (for special information use checklist)
Is' New construction ❑ Demolition Description I Qt 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 (l) bath 249.20
• 1 & 2- Family dwelling I ❑ Commercial/lndustrial SFR (2) bath 350.00 350,
Accessory Building I ❑ Multi - Family I SFR (3) bath f 399.00
❑ Master Builder ❑ Other: I Each additional bath/kitchen 45.00
• .. JOB SITE INFORMATION and LOCATION Fire sprinkler - so. ft.: 1 Page 2
Job site address: /0 W5 sal. HU/UTj,J 7VA) AVE_ Site Utilities
Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60
Project Name: HAW V - &I%h2b 1"0v lnl WO C I Drywell/Ieach line trench drain 16.60
Footing drain (no. linear ft.) Page 2
Cross street/Directions to job silt Manufactured home utilities 110.00
SLJ 1 - ;() fk1/F,�v G S' �' Manholes 16.60
1E,4 Z)1 4. siriti-r Rain drain connector 16.60
Sanitary sewer (no. linear ft.) Page 2
Subdivision: /-f j9(n/K > 0619-I) Lot #: 54- I 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.0145 rlcs3 OF I' EIA) s7 I Backflow preventer Page 2
- - r i - p F P EC ( 1 ( SC,'- -) I Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
..E'PROPERTY'OWNER A.- 0 .TENANT . Ejectors/sump 16.60
Name: Au /•-) P14< T wfty ij ivi es, L i-c Expansion tank 16.60
Address: g 5 o .5w 11egv,e i ..ib, SUtri Z Zed Fixture/sewer can 16.60
City /State /Zip: PoQT Atf.JD o . GI-12H Floor drain/floor sink/hub 16.60
�92� � Fjl{ Garbage disposal 16.60
Phone {So3) s q2- 67 58 Fa X' Fax: � ) Hose bib 16.60
- APPLICANT - : •- - ::❑•CONTACT PERSON...-- Ice maker 16.60
Name: 1>E 41V L. & OuJl✓ i ACSOClh+'a, i IJL Interceptor /grease trap 16.60
Address: 95so s,...) gitegue, gLA, Su t'1'f Z2c) Medical gas - value: S Page 2
Primer 16.60
City /State /Zip: P7P17 , C"1C f1`i l Roof drain (commercial) 16.60
Phone: 03)892.- 6758 Fax(503)e)12. Sink/basin/lavatory 16.60
E -mail: rnA+ile- 1 di betj f ,.) h accd C . CO r. 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 .
03 469 -0443 . • .. ..- ......,.....,.;.. Permit Fees •• �; "'•.. - " - •.: ,:
CCB: 149035 PLM: 34 -391 PB Subtotal S 3 S 0. c°
_ _ Minimum Permit Fee $72.50 S
Authorized /' / Residential Backflow Minimum Fee 536.25
Signature: rr'" ' /(i% ate: hJZ /0� �S1
Plan Review (25% Permit Fee) S .$O
1 i? UCE. C .-ea State Surcharge (8% of Permit Fee) S 2 S . °O
(Please print name) TOTAL PERMIT FEE S 4Loc,5O
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\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 -00343
Date Issued: 8/5/2004
Parcel: 1 S133AC -13600
Site Address: 10915 SW HUNTINGTON AVE
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 054
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
Signature of Supervising Electrician
If you have any questions, please call 503.718.2433.
CITY OF TIGARD
13125 S.W. HALL TIGARD, OR 97223
LVD. J I ,"
IMPORTANT PERMIT NOTICE AUG 1 0 2004
CITY OF TIGARD
PLUMBING EXPERTS INil VI�D�NG DIVISION
11925 SW PARKWAY
PORTLAND, OR 97225 -5413
Plumbing Signature Form
Permit #: MST2003 -00343
Date Issued: 8/5/2004
Parcel: 1 S133AC -13600
Site Address: 10915 SW HUNTINGTON AVE
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 054
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 34-391PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X is a- de/eV e — -
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, 5 RUCE C JE- , Owner /Agent for /) E'Ci4 DR0.2hu 1- Assec. ►
(PLEASE PRINT) + ; (PERMIT HOLDER) ►
Do hereby certify t.hati "folfiowing location
meets C ity- of i.'Ti /Wa §hi-n County ►
land use and development standards for street tree installation.
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ADDRESS: 109i SGt) ,,`
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LOT: 3 SUBDIVISION: kfrAw &Z4
BY: DATE: 4/ 7 /05
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• RECEIVED BY: DATE:
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CITY' OF TIGARD
BUILDING DIVISION PERMIT #: 4 MST2003-00343
i 13125 SW Hall Blva., Tigard, OR 97223 DATE ISSUED: 8/5/2004
Phone: (503) 639 -4171 A b
Inspection Requests (24 Hrs.): (503) 639 -4175 s_' 1 �i
INSPECTION WORKSHEET FOR DATE: 4/8/2005 TIME: 7:10AM PAGE: 69
SITE ADDRESS: 10916 SW HUNTINGTON AVE CLASS OF WORK:
SUBDIVISION: HAWK'S BEARD TOWNHOMES LOT #: 054 TYPE OF USE:
PROJECT NAME: HAWK'S BEARD TOWNHOMES
DESCRIPTION: New SFA dwelling.
OWNER: AUTUMN PARK TOWNHOMES, LLC, PHONE #: 603 -233 -0075
CONTRACTOR: DEREK L BROWN & ASSOCIATES INC PHONE #: 971- 233 -0075
Inspection Request Scheduled For: Date: 4/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 004114 -04 503866 -4897 N
Corrections /Comments /Instructions:
A ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /i Date: 4- Y-os Phone #: (503) 718-
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CITY' TIGARD
BUILDING DIVISION PERMIT #: MST2003-00343
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/5/2004
Phone: (503) 639 -4171 X
Inspection Requests (24 Hrs.): (503) 639 -4175 . -'�. ''I L..
INSPECTION WORKSHEET FOR DATE: 4/8/20Q5 TIME: 7:10AM PAGE: 70
SITE ADDRESS: 10915 SW HUNTINGTON AVE CLASS OF WORK:
SUBDIVISION: HAWK'S BEARD TOWNHOMES LOT #: 054 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: 4/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 004114 -03 503-866-4897 N
Corrections /Comments /Instructions:
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: IA Date: ¢ -P--o Phone #: (503) 718-
II
CITY OFTIG, - 'D
BUILDING DIVISION PERMIT #: MST2003 -00343
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/5/2004
Phone: (503) 639 -4171 j111
Inspection Requests (24 Hrs.): (503) 639 -4175 _.. IL.
INSPECTION WORKSHEET FOR DATE: 4/6/2005 TIME: 7 :10AM PAGE: 53
SITE ADDRESS: 10915 SW HUNTINGTON AVE CLASS OF WORK:
SUBDIVISION: HAWK'S BEARD TOWNHOMES LOT #: 054 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: 4/6/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 003842 -05 503-866 -4897 N
Corrections /Comments / Instructions:
5 :A-RISS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ,
Date: .. Phone #: (503) 718-
I
CI TIGARD
BUILDING DIVISION PERMIT #: MST2003-00343
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/5/2004
Phone: (503) 639 -4171 ill
Inspection Requests (24 Hrs.): (503) 639 -4175 1L.
INSPECTION WORKSHEET FOR DATE: 4/7/2005 TIME: 7:14AM PAGE: 6B
SITE ADDRESS: 10916 SW HUNTINGTON AVE CLASS OF WORK:
SUBDIVISION: HAWK'S BEARD TOWNHOMES LOT #: 054 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: 4/7/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 003976 -03 503.866.4897 N
Corrections /Comments/ Instructions:
'CI PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ¢ Date: C — 01 Phone #: (503) 718-