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10830 SW HUNTINGTON AVENUE C) 00 CA) 0 cn 2 C z --i z n z A m 4 i I 10830 SW HUNTINGTON AVE CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received Date Requested - AM---—____ PM 13UP Location ---Suite MEC Contact Person _k_el Ph 9 PLM Contrarlor Ph SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath,"ihear Int Sheath/Shear Framing Insulation Drywall Nailing Firowall Fire Sprinkler Fire Alarm Susp'd Coiling Roof Other. Final PASS PART FAIL P_LUMBIN_G - Post&Beam Under Slab Ruugh-In Water Service Sanitary Sewer Rain Drains Catch Basin/Mai ihole Storm Drain --- Shower Pan Other. 'At IS PART -FAIL HANICAL Post& Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRF&kL ____ Service Rough-In UG/Slab Low Voltage Fire Alarm Final Ll Reinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PAR FAIL Please call for reinspection HE:SITE F] Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Inspector... Ext Other. Final DO NOT REMOVE this inspects record from the job site. PASS PART FAIL r CITU' OF TIGARD 24-dour BUILDING Inspection Line. (503)639-4175 MST INSPECTION DIVISION Business Linc: (503) 639-4171 BUP Received __ 1_. date requested �_ AP' —_ PM_ BUP Location--_----__-_1 Ufa > _�' 46-7ZW--Suite_ 461-_ MEC Contact Person ---- ----- - -- ---- Ph(----) ------�_ PLM Contractor__. --____-- Ph(.._ ) ._ SWR BUILDING Tenant/Owner - --_----_ - _ ___ ELC Footing -- ELC Foundation Acce - Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT _ Post& Beam Shear Anchors --- Ext Sheath/Shear Int Sheath/Shear Framing - ---- -_ Insulation . I^� Drywall Nailing - — � � _----_------ - - - Firewall Fire Sprinkler - - ---- — -- --- Fire Alarm Susp'd Ceiling - - - —- --- Roof Other. - ----- --_ --- Final -----�T--__.. _PASS PART FAIL -- -- ---- — - — _ PLUMBING lost&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 - - ----- ----- ---- ---- -- --__— . ELF EL CTRICAL^ Service Rough-In --- - -- _ —.---- -- ---� ,IG/Slab ow Voltage --- ----- --- -- - - — - -------- arm SS) PANT FAIT_ U Reinspection fee of$ required before next inspection. Psy at City Hall, 13125 SW Hall Blvd. _— Please call for reinspection RE: — Unable to inspect-no access Supply I LiLine -- koach/Sidewalk Outs _ nC/ Inspector br: P DO NOT REMOVE this Inspection record from the fob site. S PART FAIL J. Main Office Salem Office Bend Office P.O.Box 13814 30 Hudson Ave.,NE P.O.Box 7918 Tigard,Oragci 97281 Salem,OR 97301 Bend,OR 97708 n C• Phone(503)684-33-160 Phone(503)589-1252 Phone(541)330-9155 Carlson Te S tin 1 r FAX(50.)684-0954 FAX(503)599.1309 FAX(541)330-9163 Special Inspection FINAL SUMMARY LETTER July 12, 2004 T0405321.I.CT1 City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223-8199 Attn: Building Department Re: Hawks Beard Townhomes (Lots 31-42) — Lot#39 10830 SW Huntington Ave - Tigard, OR Permit No.: MST2003-00309 Dear Sir or Madam: This is to certify that ir -cordance with Section 1701 of the Uniform Building Code, Title 24, we have performed special ins )n of the 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 arid apnlicaUe workmanship provisions of the State Building Code and Standards, as well as the struclural engineer's design changes, approvals and verbal instructions. Our reports pertain to the material tested/inspectec' only. Information 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 not hesitate to contact this office. Respectfu, submitted, CARLSO TESTING, INC. .Ja F. Hietpas ations Manager J /tt C. Derek 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 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received Date Requested AM.-----PM BUP Suite MEC Location Contact Person (_;12- Ph PLM Contractor Ph SWIR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Fig Drain ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam Sheer Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm SLJsp'd Ceiiinq Root 0 Z-SS eGRT FAIL Waf — 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 Smoks-LornpPrs ASS PART FAIL 44�AICAL Service Rough-In UG/Slab Low Voltage Fire Alarm Final LJ Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hali Clvd. PASS PART FAIL F] Please call for reinspection RE: 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 FAIL_j CITY OF TIOARD Residential Certificate of Occupancy Pcrmik No.: 5n?jp0V-� ?dress: 9,6 Owner/Contractor:Date of Final Inspection: inspector:This structure has been found to be in substantial compliance with the provisions of the State of Oregon One& Two Family Dwelling Specialty Code and is hereby approved for occupancy. c i � �' o d ! ! P a ► o Z 4 ! a \ (gyp "� ► Con rri ► a � tr, ► a ► Areeeeeeeiee�eieeeev►ieeeeeeeeeiiieeivess�seee��' MASTER CITE' OF TIGARD PERMIT MSTT nEl2MlT#: MST 2003-00309 DEVELOPMENT SERVICES DATE ISSUED: 12/23/2003 1 13125 SW Miall Blvd.,Tigard.OR 97223 (503)639-4171 SIl E ADDRESS: 10830 SW HUNTINGTON AVE PARCEL: 1S133AC-HB039 SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R-25 BLOCK: LOT: 03 JURISDICTION: TIG REMARKS: New SFA dwelling. BUILDING REISSUE: STORIES. - FLOOR AREAS REQUIRED SETBACKS REQUIRED v CLASS OF WORK: NEW HEIGHT 37 FIRST: 46 of BASEMENT: of LEFT SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 40 SECOND. 640 of GARAGE 524 of FRONT PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: I TMD 726 01 RIGHT: OCCUPANCY ORP: R3 BORM: VAI UE: 145,364.4) BATH: TOTAL: 1,416 si REAR. PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: Iou SF RAIN DRAINS: CATCH BASINS: TUBISHOWFRS: 1 GARBAGE DISP: I WATER HEATERS. 1 WATEn LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL _! FUEL TYPES _ FURN<100K. 1 BOILICMP<3HP: VENT FANS 4 CLOTHES DRYER: 1 LPG FURN—100K. UNIT HEATERS: HOODS: I OTHER UNITS: MAX INP: ntu FLOOR FURNANCES. VENTS: WOODSTOVES: GAS OUTLETS: 3 ELECTRICAL _ RESIDENTIAL UNIT _ SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCEL-., EOUS _ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 anp. W/SVC OR FDR. PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 5008F: 2 201 400 amp, 201 -400 amp1st W/0 SVC/FDR. SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 1 401 R00 a,no 401 600 amp EA ADDL BR CIR. SIGNAL/PANEL. IN PLANT: MANU HMJSVCIFDR: 001 1000 amp: 601+ampo•t000v MINOR LABEL: 1000+amplvolt PLAN REVIEW SECTION Reconnect only: sa4 RES UNITS: SVCIFOR>=245 A.: >600 V NOMINAL: CLS AREA15PC OCC. _ ELECTRICAL•RESTRICTED ENERGY A_SF RESIDENTIAL B.COMMERCIAL AUDIO 6 STEREO VACUUM SYSTEM: AUUIO 8 STEREO: FIRE ALARM INTERCOWPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION MEDICAL: OTHR- HVAC: DATAITELE COMM: NURSE CALLS- TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,112.49 AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN&ASSOCIATES "This�errnn Is subject to the regulations contained in the 9500 SW BARBUR BLVD, STE 220 9500 SW BARBUR BLVD#220 I andd alBi Municipal Code,State of Specialty Codes PORTLAND, OR 97219 PORTLAND, OR 97219 l other applicable laws. Alll w work will be done In 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 503-892-R'138 Phone: 503-892-8758 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Rap A: 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 1 Ersn Cntrl 681-4444 Pim/undsib Insp Plumbing Top Out Shear Wall Insp Water Line Insp Mechanical Final Sewer Inspection Electrical Service Framing Insp Exterior Sheathing Insf Water Service Insp Building Final Footing Insp Flectrical Rough-In Gas Line Insp Gyp Board Insp Smoke Detector Foundation Insp Mechanical Insp Gas Fireplace Rain Drain Insp Electrical Final Slab Insp Low Voltage Insulation Insp Storm drain Insp Plumb Final Issued By : 1 - Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF T I GA R D _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00243 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE. ISSUED: 12/2.3/2003 SITE ADDRESS; 10830 SW HUNTINGTON AVE PARCEL: 1S133AC-HB039 SUBDIVISION: HAWK'S BEARD 1'OWNHOMF:S ZONING: It-Is BLOCK: LOT: u3O� JURISDICTION: l lr TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNIT: 1 TYPE OF USE: SFA NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SFA dwelling. Owner: AUTUMN PARK TOWNHOMES, LLC =-— FEES 9500 SW BARBUR BLVD., STE 220 Description Date Amount PORTLAND, OR 97219 [SWUSA]Swr Conn ect 12/23/200: $2,400.00 [SWUSA]Swr Connect 12/23/2.00; $0.00 Phone: SU3-892-8758 [SWINSP]Swr Inspect 12/23/200; $35.00 Contractor: [SWINSP] Swr Inspect 12/23/200; $0.00 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 be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall 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 by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-0699. Issued by: _ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day $uildin� Permit lieation Received Building —_� �,! A 1...�... DateJBv: l = Permit No.: X71 plantun A nova Other City of Tigard Date/BB PerrnitNo..��w'e oma n Renew Other 13125 SW Hall Blvd. I l J pla N 2 � 2001 DateJBv: b'27'03 15 Permit No.: Tigard,Oregon 97223 G, 'post-Review Land Use Phone: 503-639-4171. Fax: 5143��6196b' Date/Bv Case No. Internet. www.ci.tigard or.us ''�Uit.DIPI(a Contact I �7ns.: See page for 24-hour Inspection Request: 503-639-4175 Name1Metho1: Su nicmental Information TYPE OF WORK REQUIRED DATA: New construction I I I Derrlolition i &2 FANM,Y DWELLING Additionialterationireplacement I Other: Noce: Pe CATEGORY OF CONSTRUCTION r mtit fees,are based on the total value of the work performed. Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor. 1 &2-Family dwelling, Commereial/Indusmal overhead and profit for the work indicated on this application. Accessory Building, Multi-Family a /115 y 40 Other: Valuation................. Z�210 Master Builder No.of bedroorns: _ No.of baths:__ JOB SITEOR,M1IATION and LOCATION fvt�U Total number of floors..................................... _ Job site address: (� New dwelling area(sq. ft.).............................. Suite#: Blde..'AI)L#: Garage/carport area(sq. ft.)............................ -�i Pro ect Name: WdW KS ( .. .............................. Tfa.l�ltt�IvlES Covered porch areas ft. Deckarea(sq. ft.}............................................ Cross streetiDirections to job site: Other structure area(sq. ft.)......................••••.• _ 541 (STM /h/"C A"6 sw. a' AWiCS BEAD � , � � IIt REQUED DATA: COMMERCIAL:-USE CHECKLIST Subdivision: "( ►� S I Lot vote Permit fees,are based on the total value of the work performed. Indicate Tax ma / arcel 'r#: the value(rounded to the nearest dollar)of all equipment,materials,labor, DESCRIPTION OF WORK overhead and profit for the work indicated on this application. ,1"puc net*( c�F NEzJ 5 SrvR Gv Existing building area I_sq.ft.)......................... New building area(sq. ft.)............................... Number of stories............................................ �— Type of construction....................................... PROPERTY OWNER TENANT Existing! — � Occupancy graup(s): g Name: lTfUm P P K L.L.c • New: Address:q5W SW Kine l�� Su 2 City/ '=e/Zip: 'Po +5 2- 9�219 NOTICE: All contractors and subcontractors are required to be Phone (SO3 0D4'"�5 Z Fax: i EA licensed with the Oregon Construction Contractors Board under ANT CONTACT PERSON _ provisions of ORS 701 and may be required to be licensed in the APPLICANT Business Name: L-•"3Rr� f15SA'aARs jurisdiction where work is being performed. If the applicant is exempt Q K (�ilrl w P�A+�Z ftom licensing,the follov ing reason applies: Contact Name: 01.ft Address: Sc50 Sh1 �'�•114e- -ALLz- Ci /State/Zi 9 OfL �� f�2 f`t�`0 Fax: 1533 e0f?, 6 BUILDING PERMTT FEES•, Phone:�sJ'� = ' E-mail: r►1VG Please refer to fee schedule: CONTRACTOR ?�F�EC �, �AR FS_ , N16, Fees due upon application.............................. S -- Business Name: _ Address: i Sw/ &A>e( n2 'c 22O s Amount received..................................... City/State,/Zi : fbar .e 9-1 Phone:So3 692 D Fax: Iry)-S ba2-V)R I Date received: --- CCB Lic. ____ — Autho Li / / !, -_ A1�70 Notice: This permit appliraf 'n expires if a permit is not obtained within Date: IRO days after it has been accepted as complete. Signature: -- �[ *Fee methodology set by Tri-County Building Industry Service Board. (Please print name) imsts\Permit Forms\BldgPermitApp.do: 01/03 L11 J1814 r*TiSE-ONor Electrical Permit Applic,.ition Received Clectmcal Dat&Bv: Permit No.: C>< of Tigard R E C t .. < 'd E 10 Planning Approval Sign 'J g Dateit3v• Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 11 J N 27 200 DatrjBv: _—_ Permit No.: Phone: 503-639-4171 Fax: 50 08� Post-Review Land Use Date/Bv: Cue No.: _ Internet: www.ci.tigard.or.us . 9DIN DI - Contact Juns.: See Page 2 for 24-hour Inspection Request: 503-63 -41 Names Method: Supplemental Information TYPE OF WORK PLAN REVIEW Please check all that a Iv New construction I Demolition C3 Service over 225 amps- 0 Health-care tacility commercial ❑Hazardous location Addition/alteration/r5 lacement Other: Rg 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 1 &2-Family dwelling: L CommerciaHrldustnal ❑System over 600 volts nominal one structure ❑Building over three stories ❑Feeders,400 amps or more _ Accessory Building Multi-Familv ❑Occupant load over 99 persons ❑Manufactured structures or RV park Master Builder 0 Other: ❑Egress/lighting plan ❑Other: - JOB SITE INFORMATION and LOCATION Submit_sets of plans with any of the above. The above are not applicable to temporary construction service. Job site address: SWtJlJWrT4sJ AVWUC FEE*SCHEDULE _ Suite #: BI g./A t.#: _Number of inspections per permit allowed Project Name: S T W 1tic s Description Qty Fee roa.J Intal New residential-single or muld4amiiy per i Cross�street/Dire b ns��U�e: dwelling unit.Includes attached garage. S W Service included: �A�� 1000 sq. ft.or less 145.15 IAS,�eg�_4 cm" > Each additional 500 sq.ft.or portion thereof 33.40 IFAll St1bdlViSlOn: Lot 4: Limiteenergy,residential 75.00 aw 2 Limited ener .non residential 75.00 2 Tax map/parcel #: Each manufactured home or modular dwelling DESCRIPTION OF WORK service and/or teeder 90.90 1 2 Services or feeder,-installation, S`(riu_�Tlut-1 Cr sr alteration or relocation: to �20 � 200 amps or less __ _ 80.30 ' 2 f' J 201 am to 400 amps 106.85 2 401 amps to 600 ams 160.60 2 ShPROPERTY OWNER JEITENANT - 501 amps to 1000 amps 240.60 2 ��,C Over 1000.= s or volts _ 454.65 2 Name: yvi l?rzk p0\01 �5 1--1--L Reconnect only bb.85 2 Address: �1 �p1 -1��-v',� Sl1 1N� 2 Temporary services or feeder-installation, �� alteration,or relocation: City/State/Zip: T t (e -7 2 200 amps or less 66.85 1 Phone89Z-?_,,750 Fax:50S 9 Z-d8 201 amos to 400 ams 100.30 2 APPL ANT CONTACT PERSON 401 to h c amps Branch circuits-new,alteration.or Name:h 7t,1;K ) . 1J C 5' 1(ff}'>�s /,-X" extension per panel: Address: 010 ZZO A.Fee for branch circuits with purchase of service or feeder fee,each branch circuit 6.65 2 City/State/Zip: rzT- Cc �;)-7 215 B.Fee for branch circuits without purchase of Lam — service or feeder fee,first branch circuit 46.85 2 Phone: '2 -�5 Fax: Sc3 8 � Each additional branch circuit 6.b5 2- E-mail: F^l (L d I trlo wk a OC COM Mise.(Scrvice or feeder not included): CONTRACTOR Each um or im arion circle 53.40 2 Each sign or outline lighting 5340 2 1'IC0111111 1110 Signal circutt(s)or a limited energy panel, 2050 Vista Ave##100 alteration,or extension Page 2 2 Description: Salem OR 97302 503-3G 1-1256 Each additional Inspection over the allowable in anv of the above: Per inspection per hour(min I hour) 62.50 ('CB:1 10453 FLU:24-353C Sup:2919S Investigation fee: CCB Lic. #: _ Lic.#: Other • ZIectNcal Petvilt Fees* _ Supervising electrician Subtotal S_ _ signature requir d: Plan Review f.25%of Permit Fee) S Print Name: Lic. #: State Surcharge(8%of Permit Fee) S TOTALPERNIITFEEAuthorized )WUD Notice: This permit application expires if a permit is not obtainer morinSignature; ate: 6L03 ILIO days after it has been accepted as complete. v *Fee methodology set by Tri-County Building Industry Service hoard. Sao (Pleaffe print name) 0,Dsts\Permit Form\E1cPermitApp.doc 01/03 i 1Veeb_anieal Permit Application Received Mechanic:1, M.sr �•°� VEE"' ``"+. D City of Tigard ate/Bv: Permit No.: ��i t-„-_p �/ 1_. Planning Approval Building Date/By: Permit No.: 13125 SW Hall Blvd. Pian Review Other Tigarri,Oregon 97223 I �N 7 ,-Q0. Date/BV' Permit Post-Review Lan•1 Use Phone: 503-639-4171 Fax: 503-59$,-J"O( .` DatelBv Case No.. Internet: www.ci.tigard.or.us �� L C COOVict Jung See Pap:2 for 24-hour Inspection Request: 503-638-41175" Non Method: 5u plemental ii:rormation. TYPE OF WORK COMMERCIAL FEE*SCHEDULE-USE CHECKLIST New constructionH Demolition Mechanical permit fees*are based on the total value of the work 1 ❑ Addition/alteration/replacetnent tither. performed. Indicate the value(rounded to the nearest dollar)of all CATEGORY OF CONSTRUCTION mechanical materials,equipment, labor,overhead and profit. 1 &21-family dwelling ❑ Commercial/Industrial slue: S See Page'for Fee Schedule Accessory Building Multi-Family I RES', LfnAL EQUr"1ZNT/SYSTEMS FEE'SCHEDULE Description �Itv Feelea.) Total Master Builder Other: — — Heatln Coofin JOB SITE INFORMATION and LOCATION Furnace-add-on air condinomn¢"' Job site address: C� U 1461,A/7i,�,„-� 1'as heat pump 14.00 .#: Ductwork 14.00 I�•0° Suite #: Bldg./A t Hvdronic hot water system 14.00 Project Name: TowResidential boiler Cross street/Directions to job sit (for radiator or hvdronic system) 14.00 Std Unit heaters(fuel,not electric) Te*zl <� (in wall.in-duct,suspended.etc.) 14.00 F'.ue/vent(for any of above) 1 10.00 10 Repair units 12.15 Subdivision: / (t/ICSEAn —Lot#: _ Other Fuel A uaneea Tax map/parcel #: Water heater 10.00 U." DESCRIPTION OF WORK Gas fireplace 10.00 to, 01 57-/-4kC-n OF GA) -7 ! Tro Flue vent(water heaters as fireplace) 10.00 2.0,w t. Log fighter(gas) 10.00 -1 LAJAJ ►'1� P J�cT l_`'31� SQ ::7j1 Wood/Pellet let stove 10.00 Wood fireplace/insert 10.00 Chirmev/liner/flue/vent 10.00 PROPERTY OWNER TENANT Other: 10.00 Name: m KTQ✓�� n�t S `[� Environmental Exhaust&ventilation _ Range hood/other kitchen equipment , 10.00 10.0 Address: � Clothes dryer exhaust 10.00 l(J ,lu City/State/Zi � d `12 l Single duct exhaust Phone: So3 BIZ- S Fax:(j)5 9 2--aO,4( (bathrooms,toilet compartments, 6.80 1-1.2v APPLICANT ONTACT PERSON utilitv rooms) Attwcrawl space fans 10.00 Name: SOther: -- 110000 Address: -l�_D —BAUVAy St/� (7-�- 220 Fuel PI in City/State/Zi C 21 ••($5.40 for first 4,51.00 each additional) Phone: Su3 $92-e75A Fax: Furnace,etc. " Gas heat pump E-mail: rhfM-C G d 1 brde,,Jnas UC GWall/suspended/unit heater "_ _ CONTRACTOR Water heater l Fireace — t Smart licating & Cooling LLC' ..Range — 7616 NE Everett St BB •' Portland OR 07213-6347 Clothes dryer(,gas) 503 254-5096 Other: ” C( B: 154133 Total: Mechanical Permit Fees* Authorized /,.ti`�� (�,��d!; Subtotal�S Signature: C �t!.t t t' `� Date: Minimum Permit Fee$"2.50 S �_--------7.-' >�(/tE (4f�1N1", Plan Review Fee(25%of Permit Feel S (Please print name) State Surcharge(8%of Permit Fee) S 6 TOTAL PERMPr FEE S Notice: This permit application expires if a permit is not obtained within •Fee methodology set by Tri-County Building Industry at, -•-- 180 days after It has been accepted as complete. —Site plan required for exterior A/C units. i:lDsts\Permit Fom;i;\MecPermitApp.doc 01/03 .1 1S1111U111i; � L1LUA CJ FOR OfftC-EUSE ONLY Plru ),lm�><na Permit Application Received Plumbing y _ Datrll3v Permit No.J/ City of Tigard H E11 , \-/� F4 "' `" Planning Approval Sewer DateiBv• Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 0 I N Date(B : Permit No.: Phone: 503-639-41711 Fax: 503-59109�(1 Post-Review Land Use ,� Y"c..)F Date/Bv: Case No.: Internet: www.ci.tig2rd.or.us zit, WContact Juns.: See Page 2 for 24-hour Inspection Request: 503-6345 (a NamerMethod: Supplemental information. TYPE OF WORK FEE"SCHEDULE(forspecial Information use checklist New construction Demolition Description I Qty. I Feetea.) Total Addition/alteration/re lacement [,] Other: New t-&2-family dwellings p�-- includes 100 ft.for each utiiity connection) CATEGORY OF CONSTRUCTION SFR(1)bath 249.'_0 1 &2-Family dwelling Cummercial/industrial SFR(2)bath 350.00 Accessory Building Multi-Fam lv_ SFR(3)bath _ 399.00 iviaster H Other: Each additional battvkitchen 45.00 JOB SITE INFORMATION and LOCATION Firesprinkler-sq. ft.: Page 2 _ � - (/ Site Utilities _ Job site address: 14(//V Bld ./A t.#: Catch basiniarea drain 16.60 Suite #: Drvwell/leach line•-trench drain 16.60 Pro ect Name: K B 4, '("Q�;Jfd :r G� -Footing drain(no. linear R.) Page 2 Cross streeVDire tions to job S t Manufactured home utilities 110.00 SLu 1 Z�'J /41/04,F_ Manholes 16.60 '�� J � �,� Rain drain connector 16.60 Sanitary sewer(no. linear ft.) Pae Subdivision: �{Aw'�.'= T i`+ �? Lot#: Storm sewer(no. linear ft.) Pae 2 Water service(no. linear ft.) Page Tax map/parcel #: Fixture or Item DESCRIPTION OF WORK Absorption valve 16.60 f(S7-kF,_Cr -A S7DCU Backflow preventer page 2 PQJ)�Ci✓T_ b1(.0 C,n t Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Dnaking fountain 16.60 ROPERTY OWNER TENANT E'ectorsisum 16.60 Name: AUry N1 rJ PV-K '7"aVVN f16MES i LLC, Expansion tank 16.60 Address: 9&X SNJ ?Z.g,UO, LA, SIJA Z Z0 Fixture/sewer cap 16.60 Ci /StatelZi l2 D Q(Z '12 Floor drainifloor sink/hub 16.60 Garbage disposal 16.60 Phone. 5c» 6 2- 5e Fac: S31 9'Z-e64 I Hose bib 16.60 APPLICANT _ CONTACT PERSON ice maker 16.60 Name: '>UCK I.• yA)_5 QOClA4'C.IAC' Interco ton grease trap 16.60 Address: 95LZ S'.) E:t�gue, gL.d f Su i16 2Z Medical as-value: S Page_2 Primer 16.60 City/State Zi : trl° 5-Ml I Roof drain(-ommerciat) 16.60 Phone 3 2- Sa Fa't�G63 PX- 8 Sink/basin/lavatory 16.60 E-mail: V_,j, tyr' jgCce7C Cath Tu5/shower/shower Zan 16.60 CONTRACTOR Urinal 16.60 Water closet 16.60 Plumbing Experts lnc Water heater i 16.60 11925 SW Parkway Other: Portland OR 97225-5413 Other: 1�EE 503-469-0443 _ Plumbing Permit Fees' CCB: 149035 PLM: 34-391 PB _ Subtotal s Minimum Permit Fee$72-50 S Authorized / Residential Backflow Minimum Fee$36.25 Signature: �G_ Date: /''� Plar+Review(25%of Perrrut Fee) S C ce me- State Surcharge(811.of Permit Fee) S (Please print name) TOTAL PERMIT FEE S Notice: This permit application expires if a permit Is not obtained within All new commercial buildings require 2 sets of pians with isometric or IAO days after it has been accepted as complete. riser diagram for plan review. *Fee methodology set by Tri-County Building industry Service Board. i:lDstsTetmit Farms%PFmPermitApp.doc 01/03 xPROJECT NO. MAT004 8" Ss S.W. HUNTINGTON AVE. DATE: ILLOL_ 12" SID JM DRIVE DRIVE • �11T` CIE TIGAFAL, �41XLMING DIVISION WATER METER —Ale 29.0- 2 —WATER METER 8' RUE 7- zol--- ------ 6" SID L LCN :cb ") a co N LOT 40 o LOT 39 5i 1,392 SF 1, 392, S I it ul PAD ELEV=204.6 1 I PAD ELEV=204 6 co I 29.0' 29.0' Ln rx LOT 33 LOT 34 ul §9 0 It( 1,285 SF 1,285 SF 'PAD ELEV=204.6 rn PAD ELEV=204 13 co 1 WATER > - < 2 5' PU) • 2 ----- 1^ WATER 3: 0 z 0 Z -29.0' 01- c co z 0 z cr Z to DRIVE DRIVE 0 v , 11 Lo Ul Ln a. 00 4, ............... 00 Q ry N00*07 18'/'W 0 —6" SID— w < z J < 0 rn BRIARWOOD FL. 0— m o m NOTE: WATER METERS FOR GARAGE (PUBLIC) = 20' LOTS 33 AND 34 ARE < GARAGE (PRIVATE) = 8' LOCATED ON THE NORTH 3: FRONT YARD (PUBLIC) = 15' SIDE OF WOODBRIDGE LANE, FRONT YARD (PRIVATE) = 3' WEST OF BRIARWOOD PL. LOT NO. REAR YARD = 15' 33\ 34 SIDE YARD = 3' (6- PER FIRE CODE) 391 )40 STREET SIDE = 10' 4 r CITY OF TIGARD - SITE PLAN ItF:VIE%N` BUILDING PERMIT NO.: &S1, SV17 t'LANNING DIVISION: Required Setbacks: ,� Approved Street Side: From. Guraur: 6 Rear: r Ctearmice: Approved ❑ Not Approved 'viw imum Building Hei#ht fr�� 1'/S S ervice Provider Low Regime,i: ❑ Yes14 No ❑ Received N�: �`',� I�;�t�: 7-a� •-Cir"', ► :I�;UF:E IN(i DEPARTMENT : NLIual Slope: A % (] Approved ❑ Not Approved Site I'lan: (TApproved 0 Nou Approved By: A4.��n•r�/ Raw zo3 z Notes: i I CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 9-1223 IMPORTANT PERMIT NOTICE ELECTRUM INC PSA SPECTRUM ELECTRIC 2050 VISTA AVE #100 SALEM, OR 97302 Electrical Signature Form Permit#: MST2003-00309 Date Issued: 12/23/2003 Parcel: 1 S133AC-HB039 Site Address: 10830 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 039 Jurisdictior- TIG Zoning: R-25 Remarks: New SFA dweliing. 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 9500 SW BARBUR BLVD., STE 220 DBA SPECTRUM ELECTRIC PORTLAND, OR 97219 2050 VISTA AVE #100 SALEM, OR 97302 Phone #: 503-892-8758 Phone #: 503-361-1256 Req #: I Ic 116.153 F1 JF 24-3530 AN INK SIGNATURE IS REQUIRED ON THIS I-ORM x 52 Signature of Supervising Electrician It 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 97225-5413 Plumbing Signature Form Permit#: MST2003-00309 Date Issued: 12/23/2003 Parcel: 1 S133AC-HB039 Site Address. 10830 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 039 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 TOWNHCMES. LLC PLUMBING EXPERTS INC 9500 SW BARBUR BLVD., STE 220 11925 SW PARKWAY PORTLAND, OR 97219 PORTLAND, OR 97225-5413 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 call 503.718.2433. MASTE ERMIT CITY OF TIGARD PERMIT : MST2 PERMIT#: MST2003-00309 DEVELOPMENT SERVICES DATE ISSUED: 12/23/2003 13125 SW Hall Blvd.,Tigard,OR 972is (503)639-4171 SITE ADDRESS: 10830 SW HUNTINGTON AVE PARCEL: 1 S133AC-12100 SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: lk-25 BLOCK: LOT: 039 JURISDICTION: T16 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: N6W HEIGHT, 32 FIRST: 48 of BASEMENT: if LEFT: SMOKE DETECTORS: V TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: Foo sf GARAGE: 5.'4 sf FRONT: PARKING SPACES TYPE OF CONST: 5N DWLLLING UNITS I THRO /18 st RIGHT OCCUPVCY GRP: R7 BDRM: 2 BATHTOTAL'. 14 1(; VALUE: 145 364 40 sf REAR: PLUMBING SINKS: 1 WATER CLOSETS: WASHING MACH: 1 LAUNDRY TRAYS- RAIN DRAIN: 1,t0 TRAPS: LAVATORIES: 3 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 10u SF RAIN DRAINS- CATCH BASINS: TUBISHOWERS1 GARBAGE FISP: t WATER HEATERS: I WATER LINES 100 BCKFLW',REVNTR GRF-ASF TRAPS: OTHER FIXTURES: -_y MECHANICAL FUEL TYPES TURN<10OK: 1 BOIL/CMP<]HP: VENT FANS 4 CLOTHES DRYER: I t F"-, FURN-100K UNIT HEATERS: HOODS: 1 OTHER UNITS: 7 MAX INP: btu FLOOR FURNANCES. VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL _ RESIDENTIAL_UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS _MISCELLANEOUS ADD1.INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp 0 200 amp WISVC OR FOR. PUMP/IRRIGATION! PER INSPECTION: FA ADD'L 500SF: 2 201 - 400 alryr 201 -400 amp. 1st W'O SVClFDR. SIGNIOUT LIN LT'. PEP HOUR. LIMITED ENERGY 1 401 600 amp 401 600 amp. EA ADDL BR CIR- SIGNAI.IPANEL. IN PLANT: MANU HMISVCFr)R: 601 1000 amp. 601famps•1000v. MINOR LABEL. 1000-anlPlvoll PLAN REVIEW SECTION _ Reconnect only: >-4 RES UNITS: SVC/FDR-225 A.: >600 V NOMINAL CLS AREAISPC OCC:. ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL _B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO d STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM OTH: BOILER: -'AC LANDSCAPE/IRRIG. PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR HVAC: DAfArTELE COMM: NURSE CALLS. TOTAL.0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,073.29 nI I TUMN PHRK TOWNHOMES, LLC DEREK L BROWN& ASSOCIATES "Tkis permit is,ublect to the regulations contained in the (yard Municipal Code, State of OR. Specialty Codes ,'tI,0 SW BARBUR BLVD , STE 220 4949 SW MEADOWS RD SUITE 400 and all other applicable laws. All work will be done in I'I IRTL.AND, OR 97219 LAKE OSWEGO. OR 97035 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance or if the work is Suspended for more than 180 days. Phone: 501-892-8759 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 tHugh 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-1987. REQUIRED INSPECTIONS Firewall Insp Slab Insp Mechanical Insp Framing Insp Gas Fireplace Shear Wall Insp Ersn Cntrl 681-4444 Plm/undslh Insp Mechanical rasp Gas Line Insp Insulation Insp Shear Wall Insp Sewer Inspection Electrical Service Mechanical Insp Gas Line Insp Shear Wall Insp Shear Wall Insp Footing Insp Electrical Rough-in Low Voltage Gas Line Insp Shear Wall Insp Exterior Sheathing Inel Foundation Insp Electrical Rough-in Plumoing Top Out Gas Fireplace Shear Wall Insp Firewall Insp Issued By : i . ' ' Ze_Via— Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day