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Permit
° Building Per II • FOR OFFICE USE ONLY '� , • n Received pm a 9 1 Building .t,� , f. :C)70 ° © �9 - II Received ‘ . �. �, �r Permit No. ,� :. ��. � Planning Approval Other r'-' City of Tigard JUN 2 7 2003 ba nning Permit NodP� ®3 �1AD� 13125 SW Hall Blvd. P lan Review - / � J J C � Other Tigard, Oregon 97223 CITY OF TIGARD Date/By: G Permit No.: i } Phone: 503 - 639 -4171 ll�@ ; jl J sf'll I Post - Review L Use Date/By: Case No. Internet: www.ci.tigard.or.us �" 'i Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Method: 71& Supplemental Information -. ,_, :: . ••TYPE OF WORK - : :. -. .RE QUIRED DATA: •'.: aNew construction El Demolition • . 1 &-2 FAMILY DWELLING . ; - El Addition/alteration/replacement El Other: �!" ". .-- • - -CATEGORY OF CONSTRUCTION - • - Note: Permit fees* are based on the total value of the work performed. Indicate Z 1 & 2- Family dwelling El 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 L Multi- Family ❑ Master Builder ❑ Other: Valuation $ c lg J 1 c t(o • a' J"; : -,:,JOB SITE INFO V-and. LOCATION . - No. of bedrooms: 3 No. of baths: Z Job site address: (D a`t'e Sr! t1Uonlit, lr'' A'/E4 Jv4 Total number of floors New dwelling area (sq. ft.) Suite #: Bldg. /Apt. #: Garage/carport area (sq. ft.) 'Ir : r - Lf• Project Name: HAW ICS %€AP -rMI40MES Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) SJ 1 30 1" /tVegUE 4. S.W. 14A14KY ESA Other structure area (sq. ft.) e ` -1,.:"? . REQUIRED DATA: ,'-' COMMERCIAL: - :USE CHECKLIST 1 _ - : Subdivision: H/ gialri 'fT ►(- Lot #: 51 Tax map /parcel #: Note: Permit fees' are based on the total value of the work performed. Indicate 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. Cc)4sr oF NELJ 3 Crorty Tam NCA 3_SEvr, Valuation S Existing building area (sq. ft.) New building area (sq. ft.) Number of stories 3 O PROPERTY:OWNEIU: . : TENANT --.. - '' . - . -. -- Type of construction V N Name: A1J Vrn r.J PAgK T6k1rlI -bees J L .L... Occupancy group(s): New: R-3 Address: g15oo SW pure &-lb, CU r)-€ Z 2.6 City /State /Zip: 1'oerl hA. , 02. q-7 2-11 Phone: So3 692$ISs Fax :6:1) 012 4( NOTICE: All contractors and subcontractors are required to be (, licensed with the Oregon Construction Contractors Board under Er APPLICANT ` -, :i.....'.7.::-'• • : '?-❑. PERSON. provisions of ORS 701 and may be required to be licensed in the Business Name: bEeEK L, .T(10 4 c Agooktif f (4 . jurisdiction where work is being performed. If the applicant is exempt Contact Name: Mike K l•(hn(Sao c,2 21,ce Pe Z from licensing, the following reason applies: Address: g5cb SKI ry f , Su (7* ZYo City /State /Zip: k Oil 9 21`1 Phone: -e1S 1 Fax:(503j°t2-6S4( - •BUILDINGYERMIT'FEES E -mail: .s- Ia.rC cp. d l bcvt), ASSOC. , C..0in - - Please Tefei to'feeschedttle: Business Name: Q ,F,t L. /0 $ /459cx.mit S 1 Fees due upon application $ Address: ' x) SIA/ gAi?&A - gL1b stoic ZZv City /State /Zip: Rb¢.rM 1 L 9 Amount received. $ Phone: :)3\ 692-s159 ( € Fax: 5153)09 2 -804 Date received: CCB Lic. #: Authorized I (vala Date: Notice: This permit application expires if a permit is not obtained within Signature: e/ l_ 180 days after it has been accepted as complete. I • ti. 1-th ' .Fee methodology set by Tri -County Building Industry Service Board. (Please print name) i:\Dsts'Permit Forms\BldgPermitApp.doc 01/03 FOR OFFICE USE ONLY E lectrical Per 11 %; 3!I l Received Electrical ,..7 Date/By: Permit No.,(� -� A ..d 'WY 4e/ City of Tigard Planning Approval Sign - JUN 2 7 2003 DateBy: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 CITY OF TIGAR II, Date/By: Permit No.: Phone: 503- 639 -4171 Fax: alisILDING 31 VISI %! + r . Post - Review Land Use Contact Case No.: Internet: www.ci.tigard.or.us ( J ._ contac y: t Juris.: ® See Page 2 for 24 -hour Inspection Request: 503-639-4175 - Name/Method: Supplemental Information. TYPE OF WORK -• PLAN REVIEW Ty check all that apply) C N ew construction ❑ Demolition — 0 Service over 225 amps- ❑ Health -are facility commercial ❑ Hazardous location ❑ Addition/alteration/replacement ❑ Other: 4 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 •1 & 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 I Submit _ sets of plans with any of the above. The above are not applicable to temporary construction service. Job site address: ( Opt 45 5 )AJ }4uari+.XrTc9J /(6Ju€ I • FEE* SCHEDULE Suite #: Bldg. /Apt. #: Number of inspections per permit allowed Project Name: ,1-1,41/04S egA'2 5 -roc ,) Jf+CtV1 g S Description Qtv I Fee (ea.) I Total New residential - single or multi- family per 1 Cross street /Directions to site: \ � dwelling unit. Includes attached garage. J`/ A v U e 4. 7% ). s f J I`� Service included: d 7 � 1000 so. ft. or less k 145.15 1 "1, 1 4 �f"`�) Each additional 500 so. ft. or portion thereof I I 33.40 I _g3 -t.4 f I " s ,� ` ,�• n I Limited energy, residential I I 75.00 I 'j5 ,ec 2 Subdivision: + LI V /11A1 1% ' Lot's: Limited energy, non residential I 75.00 I 2 Tax map /parcel #: Each manufactured home or modular dwelling - DESCRIPTION OF WORK service and/or feeder I 90.90 I 2 ' ` Services or feeders - installation, C a ,, ri.“ C't l 04 C /46(^) 3 sr alteration or relocation: ( Q,, 'e , t . 01.J� 1 / � , 1 — 200 amps or less I. 80.30 Gv . O 2 �fy✓iC 'cZytu. 201 amps to 400 amps 106.85 I 2 401 amts to 600 amps 160.60 2 ;:PROPERTY :OWN R`-..= ;_. 'I- ❑.TENANT:'....__. ...: _ -,. _. _ -- 601 amps to 1000 amps 240.60 I 2 r J To �� L Over amps or volts 454.65 2 lqan'ie' y'i k 1444 Reconnect only 66.85 2 Address: q5aj gi _ guJ' SlJ /7._ 22Z Temporary services or feeders - installation, �� ) alteration, or relocation: City /State /Zip rL N , oe. 'i-7 219 Q j 200 amps or less 66.85 1 Phoneg ANT' -.: ` 0 ) 812 -8 58 Fax:(So \ &92 � U 201 amps to 400 amps 100.30 2 401 to 600 amps 133.75 2 APPL 7:1 ` - = ` CONT CT .PERSON . :• •- � Branch circuits - new, alteration, or Name :'iF . L. J •' e 45SCU*7'Es, l t,,iG , extension per panel: Address: 9c OD SJ «p.4Il� �..\�� Si)l' Z2.0 service Fee for branch fedee. circuits each branch circuit 6.65 2 h purchase of service or feeder fee, each City /State /Zip: e 1 , CJ- 9 21 q B. Fee for branch circuits without purchase of . p� I' / / service or feeder fee, first branch circuit 46.85 2 Phone: C 3) 2-E Fax: (al) �p V 2. 8e 4 Each additional branch circuit 6.65 . 2 E-mail: i^'1 ra r a... d IN r 4.3a -ssoc , con - 1 Misc.(Service or feeder not included): _ Each pump or irrigation circle 53.40 2 ',:-:;-,€:::-":.4.'24:.'i'':',.- .. :=CONTRACTOR : . • • . •• •••,..:--. 53 2 • " = :.:.:. Each sign or outline lighting Electrum Inc Signal circuit(s) or a limited energy panel, alteration. or extension Page 2 . 2 DBA Spectrum Electric Description: 2050 Vista Ave #100 Salem OR 97302 Each additional inspection over the allowable in any of the above: 503- 361 -1256 Per inspection per hour (min. 1 hour) 62.50 CCB: 116453 ELC: 24 -353C SUP: 2919S investigation fee: CCB Lic. #: I Lic. #: ocher ._ ,: -. . . . . ... Electrical. : Permlt :Eees� ' �Y• '• -• • Supervising electrician Subtotal $ SS sly attire re•uired: Plan Review 25% of Permit Fee) 112.1111DRiMI Print Name: Lic. #: State Surch • :e (8% of Permit Fee) _ TOTAL PERMIT FEE IL',: 0 AM Authorized dft (� 2 Notice: This p ermit a pplication expires if a permit is not obtained within Signature: Date: \ 5 180 days after it has been accepted as complete. •Fee methodology set by Tri-County Building Industry Service Board. A t lk.) . g_ii.,,) SeA (Ple a print name) • i : \Dsts\Permit Forms \ElcPermitApp.doc 01/03 . • :: r- i FOR OFFICE USE ONLY . Mechanical Per u'i - �► ticiatibn Received Mechanical Date/By: Permit No.:/ i, fr 7 J "CD3V6 JUN z 7 2003 Planning Approval Building City of Tigard Date/By: Permit No.: 13125 SW Hall Blvd. CITY OF TIGARD Plan Review Other Tigard, Oregon 97223 BUILDING DIVISI a Date/Bv: Permit No.: Post - Review Land Use Phone: 503 - 639 -4171 Fax: 503 - 598 -1960 P, w A DateBBy: Case No.: Internet: www.ci.tigard.or.us `- .1 Contact uris.: ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Method: Supplemental Information. _ COMMERCIAL FEE* SCHEDULE - USE CHECKLIST .;. ... _:::� - �: TY OF�WORK : =..: - � :::'•" P rNew construction ❑ Demolition Mechanical permit fees* are based on the total value of the work El Addition/alteration/replacement El Other: performed. Indicate the value (rounded to the nearest dollar) of all mechanical materials, equipment, labor, overhead and profit. "' • _ CATEGORY OF CONSTRUCTION. • �•:` • H1 & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule ❑ Accessory Building ❑ Multi- Family RESIDENTIAL EQUIPMFNr /SYSTEMS FEE * • Description Qty I Fee(ea.) I Total ❑ Master Builder ❑ Other: Heating/Cooling • JOB SITE INFORMATION and LOCATION V Furnace - add -on air conditioning** I 14.00 t4.0 Job site address: iD945 SGT yvNTN. TUN A_tE Gas heat pump 14.00 Suite #: Bldg. /Apt. #: Ductwork I 14.00 (4.4' Project Name: W KS 1gl%4et� TO W IQ HOVo -CS Hydronic hot water system 14.00 7 Residential boiler Cross street/Directions to job sit to:, (for radiator or hydronic system) 14.00 SU) 130 t '` /1 1 ✓ v6 � w CS Unit heaters (fuel, not electric) g 4 i) 5 y 4 r (in wall, in -duct, suspended, etc.) 14.00 Flue/vent (for any of above) 1 10.00 10. a Subdivision: // rr r',E 4 P Lot #: 5 / Repair units 12.15 / 7i4 Gl/KS f Other Fuel Appliances Tax map /parcel #: Water heater I 10.00 I 10.- . - •..--: • -. . • DESCRIPTION OF WORK Gas fireplace 1 10.00 10. Coy,(ST72vc.71ca) OR aCEiA) 3 5 -roteLe Flue vent (water heater /gas fireplace) 2 10.00 W (,4)/J &, 'i P�J (i Log lighter (gas) 10.00 Wood/Pellet stove 10.00 Wood fireplace/insert I 10.00 Chimney/liner/flue/vent 10.00 'PROPERTY OWNER . , l' 0-TENANT- Other. 10.00 Name: AVrtJm 4 K T W /J,4340 E S LLC Environmental Exhaust & Ventilation Range hood/other kitchen equipment 1 10.00 (O. "' Address: (3 Sh/ %Aim,/e 01, / SJ l 2 Zr) Clothes dryer exhaust I 10.00 10. ° City /State /Zip: Qor2TChJD de 9 19 Single duct exhaust Phone:So3) &7i2_Ens8 F 89 2- i i'�( (bathrooms, toilet compartments, ,, �APPL CANT 0 PERSON utility rooms) i 6.80 20 . ` 0 Name: 'bCe .L. gI2CLJJ $ A-Sir.cll+CS', /AlG • Attic/crawl space fans 10.00 Q ' ) ^' g am ( 3 S r Other. 10.00 Address: ca w t zZC) Fuel Piping City /State /Zip: r ,4, -7'z * *($5.40 for first 4, 51.00 each additional) Phone:(So3) �1?2 -S'158 Fax: 3'�2 -0L'4( Gas heat e u I as •• pump E-mail: ✓ jv7_ t C d I broc.)na.sSdc ,c,,, Wall/suspended/unit heater •• ,. CONTRACTOR Water heater (f •• Fireplace •• FORECAST HEATING & AIR CONDITIONING Range •• 17135 NE GLISAN ST BBQ •• PORTLAND OR 97230 Clothes dryer (gas) •- CCB: 152194 Other. •• Total: 3 5.40 Mechanical Permit Fees* Authorized Signature: ti . l Subtotal: $ I Z 3. �O �h Date: / / Minimum Permit Fee $72.50 $ 0P /CE C Je_ Plan Review Fee (25% of Permit Fee) $ o. (Please print name) State Surcharge (8% of Permit Fee) $ , cio TOTAL PERMIT FEE S ((Q , (ds 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 Jiuuulllb r tALu! c Plumbing Permit Application FOR OFFICE USE ONLY Received Plumbing ,� Date/By: Permit No./7,51 -e:n City of Tigard RECOVEDA Planning Approval Date/By Sewer Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 J �- Date/By: Permit No.: Phone: 503- 639 -4171 Fax: 503- 9 1 ` 6 `� 2003 Post - Review Land Use w Date/By: Case No.: CITY Internet: www.ci.tigard.or.us OF TIGA -.•;� e ! � I Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: UILDiNG7DIVI ''''j Name/Method: Supplemental Information. TYPE OF WORK • FEE* SCHEDULE (for special information use checklist) I g New construction ❑ Demolition Description I Qty.I Fee(ea.) Total ❑ Addition/alteration/replacement ❑ Other: New 1 - & 2 - family dwellings CATEGORY OF CONSTRUCTION (includes 100 ft. for each utility connection) SFR (1) bath i 249.20 g I & 2- Family dwelling ❑ Commercial/Industrial SFR (2) bath I 350.00 O, -' 1 Accessory Building ❑ Multi - Family SFR (3) bath I 399.00 ❑ Master Builder ❑ Other: I Each additional bath/kitchen 45.00 • . JOB SITE INFORMATION and LOCATION I Fire sprinkler - so. ft.: { Page 2 I Job site address:/O45 slu /4UlU 7' /AJ6 - mid A ✓EI Site Utilities Suite #: Bldg. /Apt. #: I Catch basin/area drain I 16.60 I Project Name: HAW) k� �F� -�Gi " -0v PO Wlg C I Footing )/leach lineltrench drain 16.60 Footing drain (no. linear ft.) Page 2 Cross street/Directions to job s Manufacrured home utilities SLJ 1 �C� f� 1/�� t 1 10.00 S' Manholes 16.60 36 sbrzur. T" Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Page 2 Subdivision: /-//4WK :, Storm sewer (no. linear ft.) Page 2 S G'�R�1� Lot m: S/ Water service (no. linear ft.) I Page 2 Tax map /parcel #: • .:. Fixture or Item • . .... - ._ ' • . DESCRIPTION OF WORK Absorption valve 16.60 C C)ks ncP OF 1\10A) S i CYZ d I Backflow preventer Page 2 T -i tkjw16 PI2MS X ( )4(.98 Se P ) Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 ••1E'PROPERTY'OWNER. .. - -I •D TENANT • ••• • -- Ejectors/sump 16.60 Name: A Jr WI n) PARA PCi4 4 eS L 1..C. Expansion tank 16.60 Address: q COO SW 1g4,e.glJQ (30/6 SUtN Z ZO Fixture/sewer cap 16.60 City /State /Zip: POI2T/ittr0 02 a - 12 jq Floor drain /floor sink/hub 16.60 Garbage disposal 16.60 Phone :Sv3, 9q2 I 81 So Fax: ( 92- Oa I Hose bib 16.60 ;APPLICANT' .: • - ::D CONTACT PERSON Ice maker 16.60 Name: 'W V L. 820v11%) S 4SSOCU4-'a Ii.) Interceptor /grease trap 16.60 Address: 95,00 S te gee, gL11A, Su t'1'f ZZCJ Medical gas - value: S Page 2 Primer 16.60 City /State /Zip: fberzit.OS , Cl q-2, 19 Roof drain (commercial) 16.60 Phone 3)892- 5758 Fax(c 3) eyt'z 6&4/ Sink/basin/lavatory 16.60 E -mail: Yr1A+t.k. 0 d. l taer3UJhacce c . Co rn Tub /shower /shower pan 16.60 . -- ...... . Urinal 16.60 PLUMBING EXPERTS INC Water closet 16.60 11925 SW PARKWAY Water heater 16.60 PORTLAND OR 97225 -5413 Other. Other. � � 503- 469 -0443 - : • ~ '• CCB: 149035 PLM: 34-391PB Subtotal S 3 S 0. l,l,D Lll:. ft. �^ l r 11.1.1111.1.1111.J. i iiii. i�rr ... l Minimum Permit Fee 572.50 $ Authorized Residential Backflow Minimum Fee 536.25 Si ature: Date: 1'an �,� J ! /a /a_.7 � Plan Review (25% of Permit Fee) S X31. 5 �, _ � (ICE_ (&i'! State Surcharge (8% of Permit Fee) S 2 0 . (Please print name) TOTAL PERMIT FEE S 4 CO5 ! SO 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 -00340 Date Issued: 8/5/2004 Parcel: 1 S133AC -13300 Site Address: 10945 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 051 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 3 di/. , 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 RECEIVED IMPORTANT PERMIT NOTICE AUG 1 U 2004 PLUMBING EXPERTS INC CITY OF TIGARD 11925 SW PARKWAY BUILDING DIVISION PORTLAND, OR 97225 -5413 Plumbing Signature Form Permit #: MST2003 -00340 Date Issued: 8/5/2004 Parcel: 1 S133AC -13300 Site Address: 10945 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 051 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 /,e/7/ e Signature of Authorized Plumber If you have any questions, please call 503.718.2433. / i & 5 CT 3 - cj 3 9 7o akekAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA4 • • • • STREET TREE CERTIFICATION r .. 00 AIE , ,Owner /gent for PERE G.• PROWIJ 4sf0c , • • (PLEASE PRINT) �' (PERMIT HOLDER) • • • Do hereby cert' tlat' ''foll'own location .tip ',:, s. �g , meets ,c4 ► land use and development standards for street tree installation. ► ► ADDRESS: / D cI4Sr Lid) . ► LOT: S/ SUBDIVISION: &Mce._ • • ► BY: <<_ DATE: /¢ /0 • • RECEIVED BY: DATE: ► w CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2003 -00340 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/5/2004 [4 Phone: (503) 639 -4171 l 0, , Inspection Requests (24 Hrs.): (503) 639 -4175 a 1'. INSPECTION WORKSHEET FOR DATE: 4/15/2005 TIME: 7:08AM PAGE: 66 SITE ADDRESS: 10945 SW HUNTINGTON AVE CLASS OF WORK: SUBDIVISION: HAWK'S BEARD TOWNHOMES LOT #: 051 TYPE OF USE: PROJECT NAME: HAWK'S BEARD TOWNHOMES DESCRIPTION: New SFA dwelling. OWNER: AUTUMN PARK TOWNHOMES, LLC. PHONE #: 603- 233 -0076 CONTRACTOR: DEREK L BROWN & ASSOCIATES INC PHONE #: 971- 233 -0075 Inspection Request Scheduled For: Date: 4/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 004630-03 603-866 -4897 N Corrections/Comments/Instructions: t .. )___e ... ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ® i Date: 1 05Zone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2003-00340 i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/5/2004 Phone: (503) 639 -4171 Alk k Inspection Requests (24 Hrs.): (503) 639 - 4175 INSPECTION WORKSHEET FOR DATE: 4/15/2005 TIME: 7:08AM PAGE: 67 SITE ADDRESS: 10945 SW HUNTINGTON AVE CLASS OF WORK: SUBDIVISION: HAWK'S BEARD TOWNHOMES LOT #: 051 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 - 2330075 Inspection Request Scheduled For: Date: 4/15/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 004630 -02 503-866-4897 N Corrections /Comments/ Instructions: 4 Ad Si IW. [ Ir J PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL FEE ASSESSED Inspector: 4 .14 /A _ Date: 16 CST:hone #: (503) 718- CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 2 -frO 3 06 3 �v INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Regue / sted 3- AM c_/ PM BUP Location / 6 �j � � � 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 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 0 Please call for reinspection RE: 0 Unable to inspect – no access Fire Supply Line ADA Date — 2 _ �b Ext roach/Sidewal Inspector Other: F� DO NOT REMOVE this Inspection record from the Job site. PASS/ PART FAIL CITY OF TIGARD , UILDING DIVISION PERMIT #: MST2003 -00340 1 125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/512004 Phone: (503) 639 -4171 ICI Inspection Requests (24 Hrs.): (503) 639 -4175 "_ _.. INSPECTION WORKSHEET FOR DATE: 4/11/2005 TIME: 7:10AM PAGE: 48 SITE ADDRESS: 10945 SW HUNTINGTON AVE CLASS OF WORK: SUBDIVISION: HAWK'S BEARD TOWNHOMES LOT #: 051 TYPE OF USE: PROJECT NAME: HAWK'S BEARD TOWNHOMES DESCRIPTION: New SFA dwelling. OWNER: AUTUMN PARK TOWNHOMES, LLC, PHONE #: 503.233 -0076 CONTRACTOR: DEREK L BROWN & ASSOCIATES INC PHONE #: 971- 233 -0075 Inspection Request Scheduled For: Date: 4/11/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message - \ 199 Electrical final 004195.02 503-866.4897 N 0 Corrections/Comments/Instructions: • ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: O - os Phone #: (503) 718- CITY OF TIGARD ` BUILDING DIVISION PERMIT #: MST2003 -00340 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/5/2004 Phone: (503) 639 -4171 f 1n Inspection Requests (24 Hrs.): (503) 639 -4175 _ -• °'-L. INSPECTION WORKSHEET FOR DATE: 4/14/2005 TIME: 7:10AM PAGE: 43 SITE ADDRESS: 10945 SW HUNTINGTON AVE CLASS OF WORK: SUBDIVISION: HAWK'S BEARD TOWNHOMES LOT #: 051 TYPE OF USE: PROJECT NAME: HAWK'S BEARD TOWNHOMES DESCRIPTION: New SFA dwelling. OWNER: AUTUMN PARK TOWNHOMES, LLG, PHONE #: 503- 233.0075 CONTRACTOR: DEREK L BROWN & ASSOCIATES INC PHONE #: 971 - 233-0075 Inspection Request Scheduled For: Date: 4/14/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 004525 -01 503-866-4897 N Corrections/Comments/Instructions: I Cr _A. - , . ���� f ...m...- [PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: V Date: 6 ® O Phone #: (503) 718-