10835 SW HUNTINGTON AVENUE �s
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10835 SW HUNTINGTON AVE
CITY OF TIGARD 24-11our
BUILDING Inspection Line: "r,03)63J-4175 MST Z& 3' U_ /S
INSPECTION DIVISION Business Line: (503) 630-4171
_ SUP _
Received _— Date Re nested AA4�� _—_PKI BUP
Location — i ' Y Suite MEC
Contact Person Ph( ) ' - �� �_ PLM
Contractor._ - - ------ Ph ( —) — ------ - SWR -- -- - --
BUILDING Tenant/Owner - ELC
Footing ELC
-- -----------------
Foundation Access-
Fig Drain ELR
Crawl Drain _
Slab Inspection Notes: — SIT
Post&Beam
Shear Anchors -----
Ext Sheath/Shear
IM She.^th/Shear
Framing - -- - --- ------------
Insulition
Drywall Nailing _ --- -- - --- --- - - ---- ---- -
Firewall
Fire Sprinkler —-
Fire Alarm
.usp'd Ceiling --------
Root
Other: - --- - - ---�—.
Final -
_PASS PART FAIL
PLUMBING _
Post& Beam
Undor Slab
Rough-In
Water Servire
Sanitary Sewer
Dain Drains -- ----- -
Catch Basin/Manhole
Storm Drain -- ---
Shower Pan
Other:--- --- _ __---_
Final
PASS PART FAIL
MECHANICAL
— ---.._---..__.--
Post& Beam
Rough-In
Gas Line
Smoke Dampers _--
Final
KSS PART _FAIL ----
ELECTRICAL
Service - - -
Rough-In
UG/Slab .---- W----
Low Voltage
Fire Alarm
Xn nI PART FAIL [� Reinspection foe of - -__required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SS __
$I __ _ Please call f r reinsp ction RE: —_- [_] Unable to inspect -no access
Fire Supply Line �A
ADA
Date / Inspector '!! . ''-""
Approach/Sidewalk -- ----- P Ext —
Other:
Final DO NOT REMOVE this inspection record from the, ob site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175 MST
INSPECTION DIVISION Business Line: (503) 639-4171
BLIP _
Received ._- Date Roquested_ G AM l-"-' PM_ BLIP v
Location ___ �__.i_-'____ Suite f MEC
Contact Person - - -- Y� .Q.. _— Ph(--- ) �% �'cf-7 PLM -- -- - --- ----
Contractor ( _)
- — ----- Ph SWR
BUILDING Tenant/Owner -_ ELC
-
Footing _-__--
Foundation Access: ELC
Ftg Drain ELF!
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors - --- --_- -
Ext Sheath/Shear
Int Sheath/Shear - -
Framing
Insulation -
Drywall Nailing - -- — - -;4_ --j - —- - -'---- -
Firewall /
Fire Sprinkler ��� = `--
Fire Alarm
Susp'd Ceiling ------- --- �,--- -- — - --_ --�_..
Roof
Other: ----- -
Final
PASS- PART FAIL — - --
PLUMBING
Post&Beam — -- ----
Under Slab
Rough-In -- ------ ---.
Water Service — - — -_-- ------_____ _---- --_ -__
Sanitary Sewer
Rain Drains - ----- _ __
Catch Basin/Manhole -
Storm Drain
Shower Pan
Other:
A PART FAIL - —-
CHANICAL
Post&Beam
Rough-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL - --- ---
ELECTRICAL
Service _— - ----- --- -- _.
Rough-in
UG/Slab - -- -- --- -- - —Low Voltage ___--
Fire Alarm - -_- - -_--_-- —�—
Fina! Reins action fee of$
PASS PART FAIL Elp ---required before next inspection. Pay at City F;a:i, 13125 SW Hall Blvd.
SITE Please call for reinspection RF:.._—.-___ _ _ Unable to inspect-no access
Fire Supply Lino
ADA r
Approach/Sidewalk DatA _ _ r lespoctor __ T
Other: _
Ext
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
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CITY OF TIIGARD► 24-Hour
BUILDING inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171
BLIP
Received Date Requested�� _ �� AM PM _'__ BLIP
Location Suite MEC
Contact Person Ph (__.._) PLM
Contractor _- _ ---_--- _— —___ Ph( ) SWR
BUILDING Tenant/Owner _ ELG
Footing - EL,C
Foundation Access: —
Ftg Drain ELR
Crawl Drain _
Slab Inspection Notes: SIT _---_--.-----.--___
Post& Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shea-
Framing - - - -- ------
Insulation
Drywall Nailing - --
Firewall
Fire Sprinkler -- — -------- _--
Fire Alarm
Susp'd Ceiling --
Root
other --- —
EMM
PART FAIL
NG
Post& Beam
Under Slab ---
Rough-In
Water Service - __ _ --
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storrn Drain - ----------— ---
Shower Pan
Other:
Final
_PASS_ PART FAIL
_ME_CHANICAL
Post& Beam
Ruugh-In - -
Gas Line
Smoke Damper
�n
AS�PART FAIL_
ELECTRICAL
Service
Rough-In
UG/Slab
I ow Voltage _---__-
Fire Alarm
Final Reinspection fee of$___.-....... required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART _FAIL
SITE Please call for reinspection RE:--- _—_— Unable to inspect-no access
Fire SLpply Line
ADA i
Approach/Sidewalk Date IZ-_ _C c_ 4- InspwCtor- -- -- -----...----- _- Ext
Other
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
���� ®� �I���� i MASTERF_RMIT
PERMIT#: MST2003-00315
DEVELOPMENT SERVICES DATE ISSUED: 12/23/2003
13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171
SITE ADDRESS: 10835 SW HUNTINGTON AVE PARCEL: 1 S133AC-HB060
SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R-25
BLOCK: LOT: 000 JURISDICTION: TIG
REMARKS: New SFA dwelling
BUILDING _
REISSUE: STORIES: �3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 32 FIRST. 106 Sf BASEMENT: SI LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 636 of GARAGE: 4134 Sf FRONT: PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: 1 THRD 709 SI RIGHT:
7 744
OCCUPANCY ORP: R3 BDFIM: I BATH: 2 TOTAL: 1,453 sf VALUE. 14 F70 REAR:
PLUMBING
SINKS: I WATER CLOSErs: 2 WASHING MACH: 1 LAUNDRY 1RAYS: RAIN DRAIN: 1111) TRAPS.
LAVATORIES'. 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS.
TUBISHOWEHS: I GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES 100 BCKFLW PREVNTR: GREASE TRAPS
OTHER FIXTURES'.
MECHANICAL
FUEL TYPES FURN<100K: BOIL/CMP<3HP: VENT FANS: I CLOTHES DRYER: I
1 p1; FURN>-100K: UNIT HEATERS: HOODS: I OTHER UNITS I
MAX INP. btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS, I
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 - 0 - 200amp: 0 - 200amp: W7SVC OR FOR PUMPIIRRIOATION: PER INSPECTION:
EA ADD'L 500SF: 2 201 400 amp- 201 400 amp: tat WIO SVCIFDR: SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 1 401 600 amp: 401 •600 amp- EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HMISVCIFDR: 601 1000 amp: 601+amp3-1000V: MINOR LABEL.
10004 BmplVolt: PLAN REVIEW SECTION
Reconnect only: >-4 RES UNITS 9VCIFDR>=225 A.: >600 V NOMINAL: CLS AREAISPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE.ALARM: INTERCOM/PAGING- OUTDOOR LNDSC LT
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATAn'ELE COMM: NURSE CALLS. TOTAL 0 SYSTEMS:
Contractor: TOTAL FEES: $ 6,065.71
Owner: This permit is subject to the regulations contained in the
AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN&ASSOCIATES 'i"Nard Municipal Code,State of OR.Specialty Codes
9500 SW BARBUR BLVD., STE 220 9500 SW BARBUR BLVD#220 and all other applicable laws. All work will be done in
PORTLAND, OR 97219 PORTLAND, OR 97219 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: 503.892-8758 Phone•. 503.892-8758 ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those
Reg N: 111 59699 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 Water Line Insp Mechanical Final
Sewer Inspection Electrical Service Framing Insp Exterior Sheathing Iris; Water Service Insp Building Final
Footing Insp Electrical Roudh-in Gas Line Insp Firewall Insp Smoke Detector
Foundatlon Insp Mechanical Insp Gas Fireplace Gyp Board Insp Electrical Final
Slab Insp Low Voltage Insulation Insp Rain Drain Insp Plumb Final
Issued BY ��"� "xF Permittee Signature
-
Call (503) 639-4175 by 7:00 p.m.for an inshr�ction needed the next business day
CITY OF TIGARD - -
SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2003-00219
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/23/2003
SITE ADDRESS; 10835 SW HUNTINGTON AVE "RCEL: 1 S133AC-HB060
SUBDIVISION: II \WK'S H1 ARD TOWNHOMES ZONING: R- ,
BLOCK: LOT: 060 JURISDICTION: 11(,
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:
Ro marks: Sewer connection for new SFA dwelling.
Owner: --- — --
___ FEES
AUTUMN PARK TOWNHOMES, LLC Description Date Amount
9500 SW BARBUR BLVD., STE 220
PORTLAND, OR 97219 [SWUSA]Swr Connect 12/23/200: $2,400.00
[SWUSAI Swr Connect 12/23/200: $0.00
Phone: 503-892-8758 [SWINSP] Swr Inspect 12/23/200: $35.00
[SWINSP] SNkr Inspect 12/23/200; $0.00
Contractor:
—— Totii $2,435.00
Phone:
Rey #:
Required Inspections
This Applicant agrees to comply with all the rule;and regulations of the Clean Water Services. The permit expires 180
days from the date issued. The total amount pais'will be forfeited if the permit expires. The Agency does not guarantee
the accuracy of the side sewer laterals. If the sew it is not located at the measurement given, the installer shall prospect
3 feet in all directions from the distance given. If net so located, the installer shall purchase a "Tap and Side Sewer"
Permit and the Agency will install a lateral ATTENI 'ON: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are sE t forth In OAR 952-001-0010 through OAR 952-001-0100. You
may obtain copies of these rules or direct questions to OUNC by calling(503) 246-6699.
Issued by: ,�'� � 'f ' Permittee Signature: ---
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
Btillding Permit A tion '
Received building
L�a,�..t C _: Date1B ^ G1 Permit No�/, OO-� (l(/. /e
Cl of Tigard Planning A proval Other
`,1 g Date/Bv: PermitNo.:-W/1-�'-00-3 '40.22 p
13125 SW Hall Blvd. II IN 2003 Plan Review Other
Tigard,Oregon 97223 Cy Date/By: -t?-o� Permit No.:
Post-ReviewCane UsePhone: 503-639-4171 (063, DatefBv: Case No.
Internet: www.ci.ti ard!df &INIG DIVISION
Contact Juns.: See Page 2 for
24-hour Inspection Request: 503-6394175 Name/Method: T Supplemental Information
TYPE OF WORK REQUIRED DATA:
New construction I LJ Demolition 1 &2 FAMMY DWELLING
F Addition/alteration/replacement Other:
CATEGORY OF CONSTRUCTION Note: Permit fees*are based on the total value of the work performed. Indicate
1 &2-Family dwellin Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor,
' Multi-Family overhead and profit for the work indicated on this applir ition.
Accessory$uildin
Master Builder I LJ Other: Valuation........................................................ S 7. 751V go
JOB SITE INFORMATION and LOCATION No. of bedrooms: No.of baths:�•�
Total number of floors.....................................
Job site address: 7j5 5 �
Suite#: B1dE.�'A t.L#: New dwelling area(sq. ft.)..............................
l
��..�_ Garage/carport area(sq. ft.)............................
Project Name: WKS %CA*� T r`tNvMES Covered porchwea(sq. ft.)............................. lsI
Cross street/Directions to job site: Deck area(sq. ft.)............................................
SW I Tb:,,Tr' A•V"f A,'b S.W. {4 WVS $ Other structure area(sq. ft.)............................ ----—__--
REQUIRED DA t ^.
COMMERCIAL-USE CH);(:Ia.IST -
Subdivision: ICS r177b•f`► Lot#:
Tax ma / arcel #: Note: Permit fees'are based on the total value of the work performed. Indic.to
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.
�5'rP-ucnu( oF NES S score � lr!
Valuation............................ $_
Existing building area(sq. ft.).........................
New building area(sq. ft.)...............................
Ni-mber of stones.............................................19^ _
PROPERTY OWNERTENANT i,pe of construction.......................................
Name: AlJrrbmtf PA*K Tdkff�l IM�S� L•L.�• Occupancy group(s): xisNewng ---_
Address: �i5w S W gale &- SV i TE Z ZU -_--
City/State/Zip: 'PUer�o 2 9-72-11
Phont 7 NOTICE: All contractors and subcontractors are required to be
Soj) 642$'7SE) Fax:(5y 1 PA2-�} + licensed with the Oregon Cot.struction Contractors Board under
APPL CAN'T I Ll CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the
Business Name: biP I,.-gaa a/)Sr$QC.!#6 junsdiction where work is being performed. If the applicant is exempt
Contact Name: Mlfee K (•4i4>`1 W c L eirt "Z from licensing,the following reason applies:
Address: 991 Shl �&Ae- , SU ft 2Lo
Ci /State/Zip: Pb2'7-' AZ Q-i 21
Phone: BUILDING PERMIT FEES*
E-mail: rn xrK !broLdA ASSOC-,Cp/vi Please refer to fee ichedule:
CONTRACTOR
Business Name:1 EC I- Keq,JN h 4SWe'fS N6, Fees due upon application...................
Address: 9Sbo SyJ L s
Bf4Q(3tr12 (� UD St1t�c ZZ•t�
Citv/State,/Zi : Pot2r ? -1 ►t� Amount received............................................. S
Phone:(C_63 697.-8'15S Fax: 5 3)09 Z-88 I Date received:
CCS Lic. —
Authorized
E�+ Q� Notice: This permit apps:cation expires if a permit is not obtained within
Signature: N� Date: 180 days after it has been accepted as complete.
OM .M •Fee methodology set by Tr-County Building Industry Service Board.
(Please print name)
i:\Dsts\Permit FomislBldgPermitApp.doc 01/03
Electrical Penafti-Application Received ' • ` Electrical , /f�
' DateiBV: PermitNo.AST42aO2 -00315
Cl of Tigard 'JUN Planning Approval Sign
g II iN �F Dat-iBw Permit No.:
13125 SW' Blvd. Plan Review other
Tigard,Oregon 97223 CITY OF r k-Allriv Date/Bv: Permit No.:
Phone: 503-639-4171 FJAh)03H51�8{D98CSI Post-Review — Land o..
Uatt-Re Lase Use
Internet: www.ci.tigard.onus Cuntact Juns.: I Ll See Page'-for
24-hour Inspection Request: 503-6394175 j Namr_,,Method: i Supplemental Information.
TYPE OF WORK PLAN REVIEW Please check all that apply)
New construction Demolition Service over 225 amps- Health-caro facility
commercial ❑Hazardous location
Addition/alteration/replacementJOther: service over 320 amps-rating of ❑Building over 10,000 square feet,
CATEGORY OF CONSTRUCTION l 8t 2 family dwellings four or more residential units in
1 & 2-Family dwelline Commercial/Industrial
System over 600 volts nominal one structure
❑Building over three stones ❑Feeders,400 amps or more
AccessoryBuilding Multi-Family _ ❑Occupant load over 99 persons ❑Manufactured structures or RV park
i ❑EgresVightmg plan C3 Other
_Master Budder ether:
Submit_sets of plans with any of the above.
JOB SITE INFOWMATION and LOCATION The above are nota hiicable to temporary construction service.
Job site address: _5 W► t6 FEE*SCHEDULE
Suite #: Bl Q./A t.#: Number of inspections per permit allowed
Project Name: 5 T w NIEs Description I Qtv I Fee(e2.) I Total
New residential-single or multi-family per
Cross street/Directions to Job site: '_ / dwelling unit.Includes attached garage.
,5\,,) /1 1 e_f�� � s /rrr �J Service Included: l�� I t�
AVv_ 1000 sq.ft.or less 145.15
Each additional 500 sq,tt.or portion thereof Z 33.40 Drof.to I
Limned enerity.residential _ 75.00 4w 2
Subdivision: I ly�!'�U Lot#• Limited enertsY.non restdennal 75.00 2
Tax map/parcel#: Each manufactured home or modular dwelling
DESCRIPTION OF WORK service and/or feeder 90.90 2
services or feeders-Installation,
�,�t_eT1�J Cts STt� alteration or relocation:
200 ams to less
t�JK.C.! 2q l amps to 400 amps 106.85 2
401 ams to 600 ams 160.60 2
ROPEOnFR TENANT 601 1 s to1 oms a244.60 2
RTY
' Ovcr IlN)D am tiss or volts 454.65 2
Dame: �yyj C', '�72k (�V�1�� LLC_ Reconnect only 66.85 2
Address: 01 � � Lam- i-- SIJ INc- 22,Z) Temporary services or feeders-Installation,
alteration,or relocation:
Citv/State/Zi : t"/ 2 200 amps or less _ 66.85 I
-- 201 ams to 400 amps 100_1 2
Phone 9Z- -7 Fac: '�� 92-£8 401 to tim amus 133.75 2
ADPL ANT CONT CT PERSON Branch circuits-new,alteration,or
N�pe: 1j d S C1fI'1-ES !/��, extension per panel:
r�.�
A.Fee for branch circuits with purchase of 6.65 2
Addres.::'4<()D SSW U I ZZO service or feeder fee. ;ach branch circuit _
City/State/Zip: i t� t (JQ •]2 B Fee for branch cir wts without purchase of 2
service or feeder toe,first branch circuit 46.85 2
Phone: ' t -� S Fax: Sa3� '� Each additional branch circuit 6.65
E-mail: d l p uJ►�0. OC pM Misc.(Service or feeder not included): 2
_ Each umv or irrigation circle 53.40
CONTRACTOR _ Each signor outline lighting 53.40 2
�—
EIC0111111 Illi' Signal circuit(s)or a limited energy panel, 2
alteration,or extension Pae 2
2050 Vista Ave 4100 Dest;nption:
Salem OR 97302
Each additional inspection over the allowable In an of the above:
503-361-1256 Per inspection r hour(min. I hour) 62.50
CCB:116453 ELC:24-353(' Suh:?t119S Investigation fee:
Other.
CCB Lic. #: I Lie. #: Electrical Permit Fees*
Supervising electrician Subtotal Si
signature required: _ �f Plan Review(259'a of Permit Fee) S
Print r Lic. #: I State Surchair a Ig_ 8%of Pernut Fee S
TOTAL PERMIT FEE I S_
Authorized / Notice: This permit application expires If a permit is not obtained within
Signature: ( r Date: ^�'�� 180 days atter it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
-0� scro -
(Pleale print name)
i:lDsts\Permit FomWElcPertttitApp.doc 01/03
.�;._, �r e e e
NLY
r: _eek4nieal ]Pert>��t A�ii� t><on km ived Mechanical
it No.
Date/Bv: Perm :�fS� nC-
City of Tigard 'JUN r ( 2II1IJ 1 Planning Approval Building
Date/Bv: _ Permit No.
13125 SW Hall Blvd. GITY OF TIGAH Plan Review other
Tigard,Oregon 97223 lVl� �� Date/Bv: - Pennit No.. _
Phone: 503-639-4171 Fax: 3 -598 �b� Post-Review Land Use
Date'Bv: _ 1 Case No.:
Internet: www.ci-tigard.or.us Contact Juns. See Page 2 for �I
24-hour Inspection Request: 503-639-4175 NameiMethod: i Supplemental Information. J1
TYPE OF WORK COMMERCIAL FEE''SCHEDULE-USE CHECKLIST
New eonstruet_1on Demolition_ Mechanical permit fees'are based on the total value of the work
Ej Addition/alterationireplacr,nent Other: performed. Indicate the value(rounded to the nearest dollar)of all
CATEGORY OF CONSTRUCTIONmechanical materials,equipment,labor,overhead and profit.
1 & 2-Famil dwelling CoenmerciaNridustnal value: S See Page 2 for Fee Schedule
❑ Accessory Building [�Multi-Family RESIDENTIAL 1QUEPbZENT/SYSTEMS FEE'SCHEDULE
Description 1 2 tp Fee(ea.) 1 Total
❑ Master Builder ❑ Other. Hentin Coelin
JOB SITE INFORMATION and LOCATION Furnace-add-on air conditioning** 14.00 1 114i,
Job site address: p .SP, '-/(/l r1 N,, V C Gas heat pump_ 14.00
Suite #: I Bidi;./A t.#: Duct work 14.00
Project Name: 4- -70v,) c)YOJE.5 Hvdrontc hot water system 14.00
Residential boiler
Cross street/Directionss job sit sw � (for radiator or hvdronic system) 14.00
Unit heaters(fuel,not electric)
(in wall, in-duct,suspended,etc.) 14.00
Flue/vent(for anv of above) 1l 10.000•-
Subdivision: E: P' Lot#: U
Repair units
Other Fuel A�Ilancd
Tax ma /parcel #: Water heater I 10.007 id.
DESCRIPTION OF WORK Gas fireplace ( 10.00 1 to.
a�i�C� Q� [I/1� Sl��t2 t-/ Flue vent(writer heater,gas fireplace 10.00 1 ZO
W� m f�jea- Wood/Pelletlighter(gas)stove 10.00
Wood fire lace/insert IO.OU
Chimney/lineriflue/vent 10.00
-VrPROPERTY OWNER ,/ TENANT Other 10.00
Name: ¢}1177)m -r1 TQ w�j /Yl � LL-C Environmental Eihaust&Ventllatlon
Range hood other kitchen equipment 10.00 10.10
Address: ,�Od SW &le S11 I z w Clothes dryer exhaust ( 10.00 10.00
City/State/Zip: 2T -7 2 l Single duct exhaust
Phone: 50 Z,8-7-1:;8 Fax:(56 5) 9 2•-ae4i (bathrooms,toilet compartments,
APPLICANT CONTACT PERSON utility roams) 6.80 20.
Name: 'I>F E /-. gRvW i ,45 /M'£s )AIL• Attic/cmwi space fans 10.00 _
Address: � w-
_ g� . &44 V11 220 Other: 10.00
Furl Piping
City/State/Zi 2'�fs� 2l '•(55.40 for first 4,$L00 each additional)
Phone:(5o3)99Z-0-15 Fax: So31Qg2-�� ( Furnace,etc_ `.
Gas heat pump "
E-mail: ri, Lt d I bree.-inc7 gvic cora-\ Wall/suspended/unit heater '"
CONTRACTOR Water heater
8
Smart Heating & Cooling LLL' Fire lace _�
7616 NE Everctt St BRange
BB "
Portland OR 97213-6347 Clothes dryer I as) "
503-254-5096 other: ""
CC113: 154133 Total:
Authonzed Mechanical Permit Fees'
Signature: 1 Jli(/tt� Lkik4l- Dote: It /`u�_ Subtotal: S 1
Minimum Permit Fee$7—U S
,Plan Review Fee(25%of Permit Fee.) S
(Please print name) _ State Surcharge(81/0 of Permit Fee) I S
TOTAL ;ERMri FEE S
Notice: This permit anplication expires if a permit is not obtained within *Fee methodology set by Tri-County Building Industry ..---•-•
180 days atter it has been accepted as complete. "Site plan required for exterior A1C units
imstsTermu Fonns`MecPennitApp doc 01103
ltSulAl11L� r 1At1111 C3 e • e
Plumbin Permit Application Received Plumbing , ;•�
Date1H : _- Permit No.: .�le�0
Planning Approval Sewer
City of Tigard 1UN Date/By: Permit No.:
13125 SW Hall Blvd• CITY OF TIGARD Plan Review other
Tigard,Oregon 97223 1't Date/BV: Permit No.:
g g 15V3=� 8 19601S10 Post-Review Land Use
Phone: 503-639-4171 Fax: DatuBv: Case No.:
Internet: www.ci.tigard.or.us Contact Juns.: See Page 2 for
24-hour Inspection Requ:st: 503-639-4175 NameiMethcd: Su l :mental Information.
TYPE OF WORK FEE"SCHEDULE(forspecial information use checklist)
New construction I Demolit,tm Description Qty Fee(ea.l_ Total
New 1-&2-family dwellings
Addition/alteration/replacement Other: I (includes 100 ft.for each utility connection)
CATEGORY OF CONSTRUCTION SFR(1)bath 249.20
7-1 &2-Family dwelling Commercial/Industrial SFR(2)bath 350.00 O'do.
Accesso Building _ Multi-Familv SFR(3)bath 399.00
Master Builder Other: Each additional bathikitchen 45.00
JOB SITE INFORMATION and LOCATION Firesprinkler-sq. ft.. Paste 2
Job site address: G',�'n Site Utilities
Bldg./A t.#: Catch basin/area dram 16,60
Suite#: 1 DrvwelUleach lineitrench drain 16.60
Project Name: k" T � ry�� Foontiv drain(no. linear ft.) Pave 2
Cross street/Directions to job s>,tManufactured home utilities 110.00
SLJ 17zJ t", NEJJue >' s Manholes 16.60 _
•i�E/1ib Rain drain connector 16.60
Sanitary sewer(no. linear ft.) Pave 2
Storm sewer Ino. linear Pae
Subdivision: /-{/4 < Lot #: ft _
Water service(no. linear ft.i Paas 2
Tax mai arcel #: Fixture or Item_ r
DESCRIPTION OF WORK Absorption valve 16.60
C f)f•l I NL?1C QF EIS 3 if7 / Backflow preventer Patel
L I (o�j 5 _� Backwater valve 16.00
Clothes washer _ 16.60
----- - Dishwasher 16.60
Drinking fountain _ 16.60
ROPERTY OWNER TENANT Ejectors/sump 16.60
Name: ALl r rel N P,49 K-ro wN fbM S• LC- Expansion tank _- 16.60
SJO -'-S- �+ 12`• i2 QLJb1 SUIS Z
Fixture/sewer rdrain/ r cam_ 16.60
Address: q
Floor drain/floor sink/hub 16.60
CI /State/Zi : 2 A Q2 '1� Garbage disposal__ 16.60
PhonF3 � 2- 5a, Fax:(So3 4'2-� q ~ Hose bib 16.60
T CONTACT PERSON Ice maker 16.60
Name: J>UtE L IJ S,AQCIAI �(r [nterce ton rase e: Page
2
Medica! as-value: S Page 2
Address: 95,X S .J >3�=&,& g��, Su`�ZZJ Primer _ 16.60
Cit /State/Zi : �2f Cr- L I Roof drain(comtnercial) 16.60
Phone 3 i�Z. S Fax 503 PA2- 8 Sin"asindavato 16.60
Tub/shower/shower pan 16.60
E-mail: ,4&V-j C• CC r--% 16.60
CONTRACTOR Urinal
'--- -- Water closet 16.60
Plumbing Experts (tic Water heater 16.60
11925 SW Parkway other:
Portland OR 97225-5413 other:
503-469-0443 _ Plumbing Permit Fees*
Subtotal S v•
Fee 72.5
CCB: 149035 PLM: 34-391 PB $572.5 l 3
Minimum Permit 0 S
Authorized //.' - Residential Backflow Minimum Fee$36.25
Signature: "Date:,U' ��/G Plan Review(25%of Permit Feel S
/' State Surcharge(8110 of Permit Feel S °D
(Please print Csrunt Hamel Nl- _-- TOTAL PERMIT FEE S
Notice: This permit application expires if a permit is not nhmined within All new commercial buildings require 2 sets of plans wit"iw•�•••---
180 days after It has been accepted as complete riser lan review.
*Fee metthodologyagram for pret by Tr-County Building Industry Service Board.
rosts\Permit FomuTimPemtitApp.doc 01/03
PROJECT NQ,- MAT004
STREET BARRICADE
DATE: 7/ /03
...61.0
`o..
WATER R
\� 2v7- METER- 4-
4," --,-S—
11 1 1' IT'y Cji- DGAHL,
LOT 62
2,440 SF 1 ql. ILDING DIVISION
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Lli tn
PIA D ELEV=206..3 o� o
61 0' CA
z
Li in
> vi
LOT 61 Li
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1,830 SF 00 vi
< 00
C)
WATER J a10,
PI AD ELEV=206. I I METUR z 0) 7
L . 1 0
ss
1 61.0' 0
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tn
z
...... .....................
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to
a) q. 0
L -j LOT 60 o Lu
1,830 SF I
PI, ELEV=204.c
Iul)
61.0' 00
02
^
LOT 59 Z
1 V) z
c) 1 1,830 SF 0 z <
0
pnC, c0 u
d I
PFLEV=204. WAT,R Z < LLJ
L METER 0 0 00
Z ry
0
Lo
r,
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6 1.0'
co
LOT 58 <
ui
2,196 SF > V) w 00
Ln
o 202 -- '-- - - - —To Ir
Pffl ELEV=202.0 n]
(.6 co
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Ike 00
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61.0 8' P U E
SETBACK
,L-. -01 NO
GARAGE (PUBLIC) = 20' REAR YARD = 15' ;,- �o )
GARAGE (PRIVATE) = 8' SIDE YARD = 3' %
FRONT YARD (PUBLIC) = 15' - (6- PER FIRE CODE)
FRONT YARD (PRIVATE) = 3' STREET SIDE = 10, SCALE (1"-2Q1)
_ CITY OF TIGARD SITE PLAN HE' VIP:W
EU,LUING PERMIT NO.:
PLANNING DlutSl(,'v
Required Set cks: WAPProved
Side: ( tiirtetG"Wil ❑ Not Appro� ��
tiicie: 1 u
Visual Clearance: ge: --,a-0 Rear: —L-=-
Maximul» 13uildin He�tA roved D Not Approved
rWS Service provider Letter Required:red:
1 CD 1 ��ti Na
B
FN(tINL .kINCl DEI f lva_Date: ) -rf� -v3
Actuttl 'Slope:Y% 01/Appruved t] Not Approved
Site flan: WApproved n 13v: Not Approved
�,. !/
Uatr: 2Z e]
`olc•s:
I
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 #: MST2003-00315
Date Issued: 12/23/2003
Parcel: 1 S133AC-HB060
Site Address: 10835 SW HUNTINGTON AVE
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 060
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 thil, completed form is received
OWNER: ELECTRICAL CONTRACTOR:
AUTUMN PARK TOWNHOMES, LLC ELECTRUM INC
9500 SW BARBUR BLVD., STE 220 DESA SPECTRUM ELECTRIC
PORTLAND, OR 97219 2050 VISTA AVE #100
SALEM, OR 97302
Phone #: 503-892-8758 Phone #: 503-361-1256
Req #: L.lc 116453
Slip yAW 3
FIT 24-3530
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Supervising lectrician
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 #: MST2003.00315
Date Issued: 12/23/2003
Parcel: 1 S133AC-HB060
Site A 1dress: 10835 SW HUNTINGTON AVE
Subcivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 060
Jurisdiction: TIG
Zoning: R-25
Remarks: New SFA dwelling.
Your company has been indicated as the phimhing 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
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 503.718.7.433.
CITY OF TIGARD 24-Hour
BUILDING Inspection Line. (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
BLIP
Received -------.- Date Requested AM PM BUP
Location ------2� Suite MEC
Contact Person Ph PLM
Contractor Ph(—) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELF!
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 Jll,
-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
'JG/Slab
Low Voltage
Fire Alarm
Final L Reinspection fee of$
PASS PART FAIL required before next inspection. i-av at City Hall, 13125 SW Hall Blvd.
---
SITEPlease call for reinspection HE:_ - ___ _-__ _____ ❑ Unahle to inspect-no access
Fire Supply Line
ADA 7Y
ApprO-ac-fi/Sidewalk Data Inspector Ext
DO NOT REFdOVE this Inspection record from the job site.
PASTS PARTFAIL
CITY OF TIOARD
Residential Certificate o,f' Occupancy
Permit No9-00 3/_S� Address: �QB_ �`' :�e!•t�'�/ -- —.__. - ---
Owner/Contractor: Z1&&ZK S - �-
Date of Final Inspection: 1Dd=�¢ Inspector: T
'This structure has been found to be in substantial compliance with the provisions of the Stale of Oregon One& Two Family Dwelling
Specialty Code and is hereby approved for occupancy.
c