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10820 SW HUNTINGTON AVENUE a C) 00 N 0 2 C Z Z G) I z D m 10820 SW HUNTINGTON AVE CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE ELECTRUM INC DBA SPECTRUM ELECTRIC 2050 VISTA AVE #100 SALEM, OR 97302 Electrical Signature Form Permit #: MST2003-00308 Date Issued: 12/2312003 Parcel: 1 S133AC:-HBO38 Site Address: 10820 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 038 Jurisdiction: TIG Zoning: R-25 Remarks: New SFA dwelling. Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Division. No electrical inspections uvill be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: AUTUMN PARK TOWNHOMES, LLC ELECTRUM INC 9500 SW BARBUR BLVD., STE 220 DBA SPECTRUM ELECTRIC PORTLAND, OR 972' 2050 VISTA AVE #100 SALEM, OR 97302 Phone #: 503-892-8758 Phone #: 503-361-1256 Req #: LIC r 104- ; SUP !M AN INK SIGNATURE IS REQUIREC) ON THIS FORM Signature of Supervising Electrician If you have any questions, please call 503.718.2433. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE PLUMBING EXPERTS INC 11925 SW PARKWAY PORTLAND, OR 97225-541: Plumbing Signature Form Permit #: MST2003-00308 Date Issued: 12/23/2n03 Parcel. 1 S133AC-HB033 Site Address: 10820 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 038 Jurisdiction: ',7G Zoning: R-25 Remarks: New SFA dwelling. Your company has been indicated as the plumbing co,-,tractor 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 abs ATTN: Building Division. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: AUTUMN PARK TOWNHOMES, LLC PLUMBING EXPERTS INC 9500 SW BARBUR BLVD., STE 220 11925 SW PARKWAY PORTLAND, OR 97219 PORTLAND, OR 972.25-5413 Phone #: 503-892-8758 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 c811 513,118,2433, d O r T � y O H cr c� c P� coo o � 75 01. i 4 p M S Q C 3 6 A ' X11 r, c ,A R D _ MASTER PERMIT CITY OF T I G PERMIT#: MST2UO3-00308 DEVELOPMENT SERVICES DATE ISSUED: 12/23/2003 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 SITE ADDRESS: 10820 SW HUNTINGTON AVE PARCEL.: 1S133AC-12000 SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R-25 BLOCK: Loi: 038 JURISDICTION: 'I•IG REMARKS: New SFA dwelling. 6/15/04: Altered plan from 3 to 2-bath. BUILDING _ REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 32 FIRST: 48 of BASEMENT: of LEFT: SMOKE DFTE-CTORS: Y TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 640 of GARAGE.: 524 of FRONT: PARKING SPACES, TYPE OF CONST: 5N DWELLING UNITS: 1 T144D 728 of RIGHT- VALUE: 145,384.40 OCCUPANCY GRP: R3 BORM: 2 BATH: 2 TOTAL. 1,416 of REAR. PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH 1 LAUNDRY TRAYS: RAIN DRAIN: too TRAPS: LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS. SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS: TUBISHOWERS: 1 GARBAGE DISP: I WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS. OTHER FIXTURES: MECHANICP,L FUEL TYPES FURN<TOOK: 1 BOILJCMP<3HP: VENT FANS 4 CLOTHES DRYER: I LPG FURN—100K: UNIT HEATERS: HOODS OTHER UNITS: 2 MAX IND: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 3 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCITEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 anq, 0 200 amp: WISVC OR FUR: PUMPIIRRIGATION: PER INSPECTION: FA ADD'L 500SF: 2 201 400%m 201 400 amp. lot WIO SVCJFDR SIGNIOUT LIN LT: PER HOP- LIMITED ENERGY: 1 401 - 600 amp: 401 600 amp: EA ADDL BR CIR SIGNALIPANEL: IN PLANT: MANU fIMISVCIFDR: 601 - 1000 amp: 601*ampo-1000v: MINOR LABEI: 1000-amp/volt PLAN REV1E W SEC 710N Reconnect only: >•4 RFS UNITS: 9VCIFDR>=225 A.: >800 V NOMINAL: CLS AREAlSPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL _ B.COMMERCIAL AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNnSC LT: BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL. GAR NOE OPENER* CLOr.K: INSTRUMENTATION. MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTA,0 SYSTEMS Owner: Contractor: TOTAL FEES: $ 6,073.29 AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN 8 ASSOCIATES I�Tiga permit Muniis subject to the regulations contained in the 9500 SW BARBUR BLVD., STE 220 4949 SW MEADOWS RD SUITE 400 and al other pal Code,State of l w Specialty Codes in PORTLAND, OR 97219 LAKE OSWEGO, OR 97035 and all other applicable laws. All work will i done x 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. PI'•"• 503-892-8758 Phone 971-233-0075 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg N 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 Cntri 6814444 Slab Insp Low Voltage Insulation Insp Shear Wall Insp Shear Wall Insp Sewer Inspection Plm/undslb Insp Plumbing Top Out Insulation Insp Shear Wall Insp Shear Wall Insp Footing Insp Electrical Service Framing Insp Shear Wall Insp Shear Wall Insp Exterior Sheathing InSf Footing Insp Electrical Rough-In Gas Line Insp Shear WBII Insp Shear Wall Insp Firewall Insp Foundation Insp Mechanical Insp Gas Fireplace Shear Wall Insp Shear Wall Insp Firewall Insp Issued BY ? �� ____ Permittee Signature _ �"�c✓C' T1t� Call (503) 639-4175 by 7:00 p.m, for an inspection needed the next business day CITYOF TI GARD SEWER CONNECTION PERMIT DEVELOPMENT CERVICES E ISSUED: #: ;;W 3/200 00242 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 121:3/2003 PARCEL: 1 S133AC-HB03E SITE ADDRESS; 10820 SW HUNTINGTON AVE SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R-25 BLOCK: LOT: 038 —_ JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SFA NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SFA dwelling Owner: — ------- -- �- -- -------- FEES AUTUMN PARK TOVVNHOMES, LLC (Description Date _ Amount 0500 S`N BARBUR 131-VD.,STE 220 — PORTLAND. OR :=)7210 [SWUSA] Swr Connect 12/23/200: $2,400.00 [SWUSA]Swr Connect 12/23/200: $0.00 Phone: X03-992-9759 [SWINSP]Swr Inspect 12/23/200 $35.00 [SWINSP] Swr Inspect 12/23/200: $0.00 Contractor: Total $2,435.00 Phone: Reg#: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will he forfeited if the permit expires. The Agency does rot guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer 0all prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted b} the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0101. You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-6699. Issued by: C' KJ� ��_ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day Building PermitAppfi��on Received , Building , — DatdBv lc Z 7 0 3 Permit No.tr/Sr.W City of Tigard Pluming A va other •.� ,. DatelBv Permit No.• 1/1� t7 � 3 �'� 13125 SW Hall Blvd. it IN 2 1 2001; Plan Review Other Tigard,Oregon 97223 TY F-r GAR' Date/Bv: -2 ,03 f Permit No.: Phone: 503-639-4171 Fax:, 'W-R�� Post-Review Land use U Datc1Bv: Case No. Internet: www.ci.tigardor.us Contact luns.: ESee Page- for 24-hour Inspection Request: 503-639-4175 Name/Method: 7-1&1Supplemental Information -TYPE OF WORK REQUIRED DATA: ~ New construction Demolition 1 &2 FAMILY DWELLING Additlon/aiteranorvreplacement I Other: CATEGORY OF CONSTRUCTION Note: Perimt fees*ars based on the total value of the work performed. Indicate I & 2-Family dwelling I CommerciaUIndustrjal the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. Accessory Building �r: Multi-Family Master Builder (J Other: valuation....................................................K'21'. JOB SITE INFORtitATION and LOCATION No.of bedrooms: � No.of baths: 2 h2 Total number of floors..................................... _ Job site address: O S` ^M^� (ritJU New dwelling area(sq. ft.).............................. Suite": Bldg..'A t.#. Garage/carport area(sq. ft.)............................ Project Name: N W KS SCA46 'ZA' A t:MES Covered porch area(sq. ft.)............................. Cross streeti Directions to job site: Deck area(.so ft.)............................................ 5w 13v TM RV"e 14-1b S.W. 9,+WKT B Other structure area(sq. ft.)............................ — REQL -?ED DATA: COMMERCIriL-CSu CHECKLIST Subdivision: TaX maviparcel #: — 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. T,cr( NE S STa+e- C4 wuE Valuation......................................................... S --- Existing building area(sq.ft.)......................... New building area(sq. ft.)............................... — Number of stories............................................ -PROPERTY OWNS R 1 7 TENANT Type of construction....................................... �— Name: l rn^t! K t•l(`�f Occupancy group(s): Existing: d _ New: Address: q522_5 W 1-2,410 quK &Jll , SV I TE Z C itY5tate/Zi : -TSU b J o 2 q-7 2-19 Phone: Sa3 �2$75� Fax: 3 J!112-�}�tl NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under APPL CANT CONTACT PERSON - nrovisions of ORS 701 and may be required to be licensed in the Business Name: t6tf K 1,•3rzat.A r A�9XJ ► ; indiction where work is being performed. If the applicant is exempt Contact Name: Nike k c2 ietct PfAijZ from licensing,the following reason applies: Address: 95DO ShJ K &4e. _Q Nc 2PA_ _ Citv/State/Zi 2 Or& q-i 2-.1 LJ — Phone:423 092-6; e Fax:NL3 e°t2-6 • '. BUII.DTANG PERMTT FEES*,',-,-, E-mail: r Please refer to fee idedule - - CONTRACTOR Business Name: b EC L• $4a tl j ASSLIfJ M Vvt;, Fees due upon application.............................. S —�. Address: TR)d Sal ,4au12 91.�tD vayc Z.Zv e 9-129Amount received............................................ City/State/Zip: Pbarth,_� Phone:(C_63)691-9149 Fax: Svc b`i2- Date received: — CCB Lic. &t099 - — --- Authonzed !I �� Notice: This permit application expires if a permit is not obtained within Signature: A 7 hate'— IAO days after it has been accepted as complete. �,'e r" ' �/„` 560 — _ "Fee methodology set by Tri-County Building Industry Service Board. (Please print name) i:lDsts\Permtt Foims\BldgPertnitApp.doc O1iO3 �t•s FOR OFFICE Electrical Permit Application Received Ela:;n�C csl ,t,/ Datej'Bv: Permit No.:.•/ST�QO s ' +' City of Tigard ,�_'1 r.J Planning Appmval —�— Sign DateiBv: ['ermit No.: 13125 SW Hall Blvd. Plan Revi, . Other Tigard Oregon 97223 ,r 2063 DatdBv _ Permit No.: Phone: 503-639-4171 Fax: 503r -8-1960 Post-Revues [and Use Ci IR Date By. Case No.: tJF"TI Internet: www.ci.tigard.onus G rNarric'Method: ontact Jung.: See Page-'for 24-hour Inspection Request: 50JD63"$� _ , Supplemental information. TYPE OF WORK PLAN REVIEW Please check all that apply) New construction Demolition Sen ice over 225 amps- Health-i;are facility commercial ❑Hazardous location Addition/alterationireplai:ementOther: Service over 320 amps-rating of [I Building over 10,000 square feet. CATEGORY OF CONSTRUCTION I&2 family dwellings four or more residential units in ;" 1 &2-Family dwellin CommereiaUlndusmal ❑System over 600 volts nominal one structure ❑Building over three stories [�Feeders.400 amps or more I�a ..ccessory BuildingMulti-Family ❑Occupant load over 99 persons j]Manufactured structures or RV park aster Builder Other: ❑Egresvlighting 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: O ZO SW 1T4rt0l'JI) FEE*SCHEDULE Suite#: �Bl�s,/A t.#: Number of inspections per permit allowed Pro ect Name' n W rVl S Description Qtv I Ft,te2.1 Tu(al I �--- W S L ek1✓ O New resideutial-single or muiti-family per i Cross streevDirections_CO job site: ` s� , / r t� unit.inciudc9 attached garage. Service Servicee included: d 1000 sq.ft.or less 145.15 ^ Each additional 500 sq,ft.or portion thereof L; 3J.40 GG �0 Limited energy,residential I 1 5.00 1 7ccv 1 2 cUbdiViSlOn: d4 WO- t-t)t 38 Limned energy,non residential 75.00 i ax map/parcel 4: Each manufactured home or modular dwelling DESCRIPTION OF WORK service and/or feeder 9 .90 I 2 Services or feeders-installation. a 545 CTIoJ t:F alteration or relocation: 1_00 amps or less 80,30 2 201 ant stn 400 snips i_ 106.85 _ 2 401.ams to 600 amps 160.60 2 ROPERTY OWN R TENANT - 601 ams to 1000 ams _ 240.60FDO2 Over 1000 amps or volts 454.65 2 Name: A017)w7 tJi'JJ-kw 5_LL- , Reconnect Only 66.85 2 Address: q �l��l Sl1 INc ZZ� Temporary service or feeders-installation, 7 alteration.or relocation. 56.85 1 Ci /State/Zip: Rjr�T" �i �-' 2 200 amps or lass � 201 amps to 400 amps 100.30 "hone �15 Fwr: `�� 92- � 401 to 600amns 133.75 2 'EZAPPL ANT CONTACT PERSON Branch circuits-new,alteration,or Name:laMK L. 1 ' t S ONES, !AX extension per panel: A.Fee i. hranch circuits with nurchase of Address:ISCO SWJ UIT� �� service or feeder ree.Tach blanch circuit 6.65 2 City/State/Zip: enc_ B.Fee for btani h cimui. withc ut purchase of service or feeder fe%.OI it branch circuit 46.65 5 Z 2 Phone: - 5 Fax: So( 3) 6`j2"�� Each additional b.�xh rrc, t 6.6 E-mail: d 1 �A S$OC .COQ i Misc.(Serv,ce o•feeder not t.,cluded): .-CONTRACTOR Each um s ^ . aci tion circle 53.40 2 '.;. - Each sign or outline 1; liting 53.40 2 Elect)uni Inc Signal circuits)or a limned energy panel, alteration.or extension Pae 2 ` 2050 VlSta Ave#100 Description: Salem OR 97302 Each additional Ins ectlon over the allowable in any of the above: _ 503-361-1256 Per inspection per hour(min. I hour) 62.50 (`,"R:116453 ELC:24-353(' Sup:2919S Investigation fee: CCB Lic. #: Lic. #: Other. Electrical PenliltFees* Supervising electrician Subtotal signature required: _. 1 Plan Review(25".of Permit Fee) S J Print Name. Lic. #: _� �_ State Surcharge(8116 of Permit Fee) S ��'rrr�� TOTAL PERMIT FEE _, .,, ��' 1 Authorized /� r Notice: This permit application expires if a permit is not obtained within Signature: (lll///�� Dote: �t'C 180 days atter It has been accepted as complete. *Fee methodology set by Tri-County Building industry Service Board. iv�� (pie a pent name i i:`:Dsts\Permit Forms\ElePermitApp.doc 01/03 FOR N'echanical Permit Application Received , Mechanical� ��- Date/BV: Permit No.: City of Tigard Planning Approval — Building DatcPlan Ry' Permit No.. EC E M V Plan 13125 SW Hall Blvd. Review ocher Tigard,Oregon 97223 Datv13v: Permit No.: Phone: 503-639-4171 Fax: 503-591lJ�i6O) Post-Review [and Use Date/Dv: Case No.: Internet: www.ci.tigard.or.us Contact I Juns.: See Page:Or 24-hour Inspection Request: 503-6-L901?7 , id Narne./Method_ Supplemental nformation. ItALDING DIVISION TYPE OF WORK COMMERCIAL FEE"SCHEDULE-USE CHECKLIST New construction I n Demolition Mechanical permit fees'are based on the total value of the work ❑ Addition/alteration/r lacement I L Other: performed. Indicate the value(rounder;to the nearest dollar)of all . -CATEGORY OF CONSTRUCTION it mechanical matenals,equipment, labor,overhead and profit. 1 &2-Family dwelliniz ! Commercial/Industnal Value: S See Page 2 for Fee Schedule Accessory Building - ❑ Multi-Family RESIDENTIAL E UIPMF.NT/SYSTEMS FEE"SCHEDULE Master Builder Other: Description Qty Fee(ea.) Total HeatinWCoolinil JOB SITE INFORMATION and LOCATION Furnace-add-on air condtnontntz" 1 14.00 Iii,co Job site address: Lo,? T-,U ALIE Gas hear pump 14.00 Suite #: Bldg./Apt.#: Duct work 14.00 1 At,00 Project Name: 7-ovi 146 Hvdronic hct water system 14.00 Residential boiler Cross street/Directions/t0 job sit - 1 (for radiator or hvdronic system) 14.00 .S W 1�TM'I`✓ uc�4 �V� ��5- Unit heaters(fuel,not electric) -�� (in wall, in-duct,suspended,etc.) 14.00 Flue/vent(for anv of above) I 1 10.00 Subdivision " Lot#: Repair units 12.45 Other Fuel Appliances Tax map/parcel #: Water heater 10.00u."' DESCRIPTION OF WORK Gas fireplace 10,00 lu. � _nC4✓ ()F Ew 3 S77;tr� Flue vent(water heaters as fireplace, 7 10.00 ZU." (,t�� I�'1 �� $4 Log lighter(gas) 10.00 Wood/Pellet stove 10.00 Wood fireplace/insert _ 10.00 -- Chimnevdiner/flue/vent 10.00 �1 PROPERTY OWNER TENANT Other: _ 10.00 Name: PYI _ ✓i T W� N'1 S L� Environmental Exhaust&Ventilation -r Range hood/other kitchen equipment fl 10.00 I U.w Address: ,;Dd SW &le ,A ,Stl lir, Z Zy 1 la Clothes dryer exhaust 10.00 City/State/Zi rtT -72iSingle duct exhaust Phone: -o3 2. S Fax: - 5 92-601q( (bathrooms,toilet compartments, APPLICANT _ CONTACT PERSON utilitv rooms) 4 6.80 Name: -� 1-. 9an4)01J—s 46rCJ1h��, /A/6. Attic/crawl space fans 10.00 Address: ,<�-D • � 220 Other: 10.00 _ Fuel Piping Cit /State/ZI ,ZTZ/fi,' j '�7 •lCJ •"(S5.40 for first 4,51.00 each additional) Phone: Sol 8q2-e-1�E� Fax: Sc3 Qq2;,p�( I Furnace,etc. •' ----1 Gas heat pump " E-mail: ✓ ,,' C 01 d I braci,,g-SSc'C cor,.� Wall/suspended/unit heater " CONTRACTOR Water heater " Smart Heating & Cooling; LI_( Fireplace I •• 7616 NE Everett St Range i Portland OR 97213-6347 0�— •* Clothes rlrver s) 503-254-5096 Othei. •• CCB: 154133 — TOS Authorized Mechanical Permit Fees• _ Signature: , � '�� Date• �"' �' t = Subtotal: $ ► - G Minimum Permit Fee$72.50 S ('c. F Plan Review Fee(25%of Petmit Fce) 3 (Please pant name) State Surcharge(8%of Permit Fee) $ TOTAL PERMIT FEE 5 Notice: This permit application expires if a permit is not obti0ned within "Fee methodulogy set by Tri-County Building Industry 3e/VILE uuaru. 190 days after it h•s been accepted as complete. "Site plan required for exterior A/C urits. ,0stsTerm,t Fortru fecPermitApp.doc 01/03 fjUH 111% r 1XLU1 Ca FOR OFFICE USE ONLY Plumbin Permit ARplication Received ?' bing.: Date/By: //S71GGI Oci �O 'LIVED V 1...% Planning Approval Sewur City of Tigard DataB : Permit No.: 13125 SW Hall Blvd. �()�f "� 2 Plan R,:view Other Tigard,Oregon 97223 Date/By: Permit No.: Phone: 503-639-4171 Fax: 503-S�tfLT�6� Post-Review Land Use F T1� Date/BV: Case No.: Internet: www.ci.tigard.or.us '31JILDING Contact Juns.: See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: Supplemental.Information. TYPE OF WORK FEE*SCHEDULE(forspecial Information use checklist) _ New construction _ Demolition Description l2ty. Feetea.) Total New I-&2-family dwellings Addidon/alteration/re lacement I Other: (includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)hath 249.20 _ ® I & 2-Family. dwelling ; Commercial/Industrial SFR(2)bath 350.00 Accessory BuildingMulti-Family SFR(3)bath 399.00 _q •�' ❑ Master Builder Other: Each additional bath/kitchen 45.00 _! JOB SITE INFORNIATION and LOCATION Firesprinkler-sq. ft.: Pave 2 Job site address: a �S t/7/ 1 . �►� Site Utilities Bld ./A t.#: Catch basiniarea dram 16.60 Suite#: Drvwell/leach lint,trench drain 16.60 Project Name: k �iE'1�L1 -1"OV,1rJ Foonniz drain(no, linear ft.l _ Page., Cross strectlDirections to job s4e, Manufactured home utilities 110.00 SLu 17th t'-' NOJUe +rte S �� Manholes 16.60 �E � Snr Rain drain connector 16.60 Sanitary sewer(no. linear ft.l Pave Storm sewer i no. linear ft.) Page 2 Subdivision: ,4 r&,Q Lot#: Wates service(no. linear V Pave 2 Tax ma % arcel #: Fixture or Item DESCRIPTION OF WORK Absorption valve 16.60 I fie ,,� nCIJ Q' V_ 7� S i IVU Backflow preventer Pae 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 _ Dnnkinfountain _ 16.60 r_ ROPF.RTY OWNER TENANT Ejectors/sum 16.60 Name: A111-- 141 r,f P69K r-a WN CM S l•-L Expansion tank 16.60 Address: 9&X S 4SUI�'fi ZZZ2 _1 Fixture/sewerca 16.60 C1 /State/Zl 2 D Q2 "1' Floor drain/floor sink/hub 16.60 Garbage disposal 16.60 Phone. ,�O �a2- 5�' Fay: 503 9Z-i✓e4 Hose bib 16.60 APPLICANT CONTACT PERSON ice maker _ 16.60 Name: 't>UCK L f') S•��OU�4+�JI�)(, Interceptorrgrease trap _ 16.60 Medical gas-value: S Pae 2 Address: 95X 5 � guz, 9a Su(T£ 2ZJ Primer 16.60 Ci /State/Zi : RX , Cr- q`7 119 Roof drain(commercial) 16.60 Pne•�3 &Z- 5,!', Fax So3 M- 8 la Sink/basitvvatory 16.60 Tub/sLo E-mail: f ta�ric ria, ,-Ce3 C, Car- Unnal ower/shower an 16.60 _� Urinal 16.60 CONTRACTOR @lutnbin Experts erts Inc Water closet 16.60 �' p Water heater 16.60 11925 SW Parkway Other: Portland OR 97225-5413 Other: - 503-400 -(►443 ___ PluunbiagPermitFees" ( '('13: 149035 PLM: 34-391 PB Subtotal $ _ Minimum Permit Fee S'2.50 S Authorized -T- /., � Residential Backflow Minimum Fee 536.25 Signature: _?/ / Date: _'�.-3 Plan Review(25%of Permit Fee) 5 17c E State Surcharge(8P'16 of Permit Fee) 5 (Please pant Hamel --- TOTAL PERMIT FEE 1.c Notice: This permit application expires if a permit is sot obtained within All new commercial buildings rtcluire 2 sets of plan- 180 days after it has been accepted as complete. riser diagram for plan review. *Fee methodoingy set by Tri-C:nunry Building Industry Service hoard. i:\Dsts\Petmit Fotms\PlmPermitApp.doc 01/03 PROJECT NO. MAT004 __ SV. HLINTINGTbN AVE. STREET T : DAE9 03 8" ss BARRICAD� PROJECT�EC DATE; 12" SID :MIME- juL 1 2003 DRIVE DRrVE BLOW-OFF TY OF I IGAHIo U LDING DIVISION ---------- 29.0, 34.0'/ WATER METER-, - - - - - - - - -1- - - - - - - ------ WA TE R METER 8' PUEA 6 SO -------I I IkL N Ln (D 00 LOT 38 00 LOT 37 00 U-) 1,392 SF 1,632 SF PAD ELEV=207.c PAD ELEV=2C7 0 29.0' 34.0 v Cr L LOT 35 LOT 36 LAJ X ca mm (I 1,285 SF 1,506 SF co PAD ELEV=207.0 PAD ELEV=207.0,"nl w I WATER < 1" WATER - 2.5' PLJ) 0 0 29.0' 34.0' cn x z CD t? z < r LIJ 0co D 1) till T_ 0 DRIVE DRIVE 0. 0 014 a" Ss cc N00*07'1 8"W 6 SID BRIARWOOD L."�� 00 5ETBA H,S: NOTE: WATER METERS FOR GARAGE (PUBLIC) = 20' LOTS 33 AND 34 ARE GARAGE (PRIVATE) = 8' LOCATED ON THE NOPTH FRONT YARD (PUBLIC) = 15' SIDE OF WOODBRIDGE LANE, FRONT YARD (PPIVATE) = 3' WEST OF BRIARWOOD PL. 1.0 T N0. REAR YARD = 15' SIDE YARD = 3' t 351, - (6' PER FIRE CODE) STREET SIDE = 10' 371(38 SCALE: ---------- CITY OF TIGARD - SITE PLAN BUILDING PERMIT NO.: /-/JL?00 3 PLANNING DIVISION: Required Setbacks: 0 Approved ❑ Not Appro-wed Side: Street Side: Faint. w631.18c: Rear: \1 Is 11a I (-,Ica ra lice: Q9 Approved ❑ Not Approved .0aximum Biiilding, Hei6ht, ZE legit S Service Provider Utter Required: Yes to No Received C,,� oktiL ec""j, not'. itum.ucim,; i)Lv.\wrmt-.NT Actual S1ojw:,,cL% 0"Approved C] Noi, ,,\ppruved Site Plea: aApproved D Not Apliro%cd i AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA, 7 Ccn �► i ► c� cn ► b ► � v, Uq ► rD Qn � � � � fir- �° ,�' ► rTl v� o ► �7 � �'' � O O r11 � ► 111 ► �I 44 4pollb � ► M 44 4 Q a ► A Mein Office Salem Office Bend Office P.O.Box 23814 60 Hudson Ave.,NE P.O.Box 7918 Carls\ Tigard,Oregon 97281 Salem,OR 97301 Bend,OR 97708 on Testing Inc. Phone(503)684-3460 Phone(503)589.1252 Phone(541)330.9155 C FAX(503)684.0954 FAX(503)589.1309 FAX(541)330.9163 Special Inspection FINAL SUMMARY LETTER July 12, 2004 1'0405321.H.CT1 City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223-8199 Attn: Building Department Re: Hawks Eeard Townhomes (Lots 31-42) — Lot#38 10820 SW Huntington Ave - Tigard, OR Permit No.: N'.ST2003-00308 Dear Sir or Madam: This is to certify that in accordance with Section 1701 of the Uniform Building Code, Title 24, we have perfornied special inspection of tt,9 following item(s) per our inspection reports only: Installation of Epoxy Anchors All inspections and tests were performed and reported according to the requirements of Project Documents and, to the best of our knowledge, the work was in conformance with the approved plans and specifications, approved change orders and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's design changes, approvals and verbal instructions. Our reports pertain to the material tested/inspected only. Infcrma.tion contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are any further questions regarding this matter, please do nog hesitate to contact this office. RespertfuVy submitted, CARLSO TESTING, INC. i JF. Hietpas ,rations Manager 1 H/tt cc: Derck L. Brown & Associates Inc. —Bruce Cone Froelich Consulting Engineers—Todd Nagle Mentrum Architecture— Bayard Mentrum CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST7� y0200""' INSPECTION DIVISION Business Line: (503)639-4171 BUP Received _ Date Requested /0 '– /3 AM !/_PM—____ BUP Location �C 102 G �; tri .Suite MEC .._..-__ Contact Person . !�?�'�u�----`� -- Ph( ) $� r - PLM -_-- Contractor _ Ph (_- ) -_ SWR BUILDING Tenant/Owner __T_ __ __ ELC Footing ELC Foundation Accel s: Ftg Drain ELR Cr, Ni Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors - - - Ext Sheath/Shear Int Sheath/Shear Framing Insulation p [ Drywall Nailing - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS _PART FAIL. PLUMBING - --� - - - Post& Beam - Under Slab ------ - Rough-In Water Service - - ---- -_T -- Sanitary Sewer Rain Drains --- -- --- -- Catch Basin/Manhole Storm Drain - - - ..._ - - --- ---_- ----- — Shower Pan - Other: -----------__ __--_-__- __ i APART FAIL ----------___.._.._------------__- --_---- -- ---_ - - _HA_NICAL ------ ---- -- - - _----��-_.- -- - Post&Beam Rough-In _ - ----- --- - -- -- --- --- ----- Gas Line Smoke Dampers --- - - --- - - --.- ---- --_._. Final PASS PART FAIL ELECTRICAL- Service Rough-In o-_�.--- �_�- - --- --- ------- UG/Slab Low Voltage - -------- -- --- - Fire Alarm -- ------- Final F] Reinspection fee of$ -- mquired before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE _ Please call for reinspection RE:----- _ ___-_ -_-__ _. _.___- 1 Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date_.-___-. Inspector --Ext ------- Other: ---- Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAII. CIT`! OF TIGARID 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP _ Received _ Date Requested 1 —f S AM---PM- -- BUP -- Location _46-9 ZU l - -4ry1 Suite_ MEC Contact Person P,>Al 11'-e, — Ph(—) ��-��- PLM Contractor —_._ ----__-_-- Ph( ) — SWR _-- BUILDINGI _ Tenant/Owner -- __ ELCFooting ELC — ELC Foundation ACC_ss: Ftg Drain ELR -_--.._ -- Crawl Drain SIT - Slab Inspection Notes: —�-- --� Post&Beam -- - - --- - Shear Anchors Ext Sheath/Shear -- —- -- Int Sheath/Shear Framing Insulation Drywall Nailing -- Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling Roof Other: -- - - - - -- -PASS RT FAIL - �- -- - -- NG Post&Beam _ Under Slab -"-- - Rough-In _ Water Service -- Sanitary Sewer _ Rain Drains ---- -- - ------- ,— Catch Basin/Manhole Storm Drain _ ---- _-- ------ - Shower Pan _Other:_ Final -----PASS- IL <ff_FCHANICAL Post& earn _ Rough-In — -- Gas Line __----- Smoke ers - - - PASS ART rAIL — ICAL — — — 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 r reinsp ction RE. _-_. Unable t inspect-no access Fire Supply Line ADA n r Date " -- Inspetor Ext Approach/Sidewalk / - --- — _.—.__._-_--_ Other: _ Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY (3F TIGARD BUILDING Inspection re— 1MST ZvG � Li603)639-4175 p O3O g �-- INSPECTION DIVISION Business Line: (503)639-4171 BUP Received —Date Requested I O - t AM QPM BUP l..ocation Suite c/ �l MEC Contact Person ___�T -rte Ph (---) ��-7 l 7 PLM Contractor -___- _ — Ph( -) _ SWR BUILDING TenanVOwner _— _-- -- ELC -- Footing ELC — Foundation Access: Ftg Drain ELR Crawl Drain 7SIT Slab Inspection Notes: - - _---� Post& Beam Shear Anchors Ext Sheath/Shear ----- ---- Int Sheath/Shear Framing Insulation % f� — 1 �� Drywall Nailing -- �' � -` LV1 �( — Firewall _ Fire Sprinkler -- --� -'- Fire Alarm -- — Susp'd Ceiling - --- - ------ ___ Roof --—Other:--------- Final -- PASS PART FAIL - - _-_.-------.—..— -- Post&Beam Under Slab dough-In _ Water Service — Sanitary Sewer Rain Drains --- -____ -_ ----- -- Catch Basin/Manhole Storm Drain Shower Pan Other: _ Final -- PASS PART FAIL -__--- - - ---------�__�_____-- - MECHANICAL -- Post Rough-In Gas Line — Smoke Dampers - Final PASS PART -All. — —---�-- — ELECTRICAL ------ Service Rough-In 1 I l�J �_N _ Q�__—_—_ UG/Slab Low Voltage "- Fire Alarm 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 A roach/Sidewalk Dote-�� -- — Inspeetor- ,__ '�'t/ Ext PP Other_-_."--___ Final DO NOT REMOVE this inspection becord from the Jab site. PASS PART FAIL