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10840 SW HUNTINGTON AVENUE ,r p O O Cn G 2 G z z 0 z < '; rn I 'i � 1 4 i 5 10840 SWI HUNTINGTON AVE Main Office Salem Office Rend Office P.O.box 23814 50 Hudson Ave.,NE P.O.Box 7918 Tigard,Oregon 97281 Sal9m,OR 97301 Bend,OR 97708 Phono Carlson Testing, Inc. FAY,(500)684-09540 Phone FAX(503)58991309(503)582 (541)hone 330-X (.541)330-91963155 Special Inspection FINAL SUMMARY LETTER July 12, 2004 T0405321.J.CT1 City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223-8199 Attn: Building Department Re Hawks Beard Townhomes (Lots 31-42) - Lot#40 10840 SW Huntington Ave - Tigard, Ori Permit No.: MST2003-00310 Dear Sir or Madam: This is to certify that in accordance with Section 1701 of the Unitorm Building Code, Title 24, we have performed special inspection of the following item(s) per oir inspection reports only.- Installation nly: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 Cade and Standards, as well as the structural engineer's design changes, approvals and verbal instructions. Our reports pertain to the material tested/inspected 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 y submitted, CARLSO TEST"ING, INC. J406 s,F. Hietpas 6p ations Manager J H/tt ec: 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)63:�-4171 BUP � Received Date Requested C1 ` ( ( - AM--.___ _ PM_ BUP --- — Location __ U U � •^^ �--� , _Suite __ _--__-- MEC Contact Person -__ — Ph(---) (4 PLM Contractor ___ _ __-- _ _ Ph(--) _ ___ — SWR BUILDING Tenant/Owner ELC — Fo7tiny ELC Foundation Access: FtgDiain 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 Root 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 S PART FAIL - HANICAL_ - - Post& Beam Rough-In -- - -- Gas Line Smoke Dampers - Final __— PASS PART FAIL -- --- - ELEC_T_RICAL -- ----- Service Rough-In --- UG/Slab Low Voltage Fire Alarm Final U Reinspection fee of$___._ __required before next.n^,,-ction. Pay at City Hall, 13125 SW Hall Blvd. PASS PARI FAIL V 317E Please call for reinspection RE: _. ___._ ❑ Unable to inspect-no access Fire Supply Line ADADais J v Inapoator -- ---- - --- Ext _--- - Approach/Sidewalk -�`" - Other_,. - - 41� - Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 74-Hour BUILDING Inspection Line: (503)639.4175 MST - INSPECTION [DIVISION Business Line: (503)639-4171 SUP Received ___ Date Requested T �L AM_��- Plvl _ BUP - Location _-. G u 1_" _Suite �q w� MEC Contac! Person -_ _ � �� --� Ph( ) -- ► --- �-1-� PLM - -------^-- Contractor_ ___`__ --- Ph ( _) SWR BUILDINGTenant/Owner -_ _ ELC _-----.__ Footing _._ ELC ---_ - -- _ Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT - Post&Beam _-- Shear Anchors Ext Sheath/Shear --- -- Int Sheath/Shear Framing - - - - -- -- ---- --- Insu'ation Drywall Nailing - --- -- Firewall Fire Sprinkler _-� `•' ;�� t ' �Z- �f N� --v- — --- 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 Hough-In -- Ras Line Smoke Dampers - Final PASS PART FAIL_ - - ELECTRICAL Service Rough-In Low Voltage - -Fite_Alarm �n Reinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL Please call for reinspection.RE: _ _ __._ _ �� Unable to inspect--no access Fire Supply Line ` ADA -2-'2-- -!� L `� , , � �/ Ext ._-- A roach/Sidewalk Data -- (/- _ Inspectorr �� 1-�--- - PP Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL I►AAAAAAAAAAAAI kAAAAA.AAAAAAAAAh AAAAAAAAAAAAAA 14 -- - --- --- - r d P d P J' p.� Abw i a P d ~ o �, G ► �S t"1 f P � pollti 71 d on d a d a, ► � 4"-jCDr- P 4.4 d •n U � � q �, .� OCU d (A I d M► d d w 7:� O �_ � � P � a ► .� P d � ► d � Q oi. d � �rvvvvvvvvvvvvvv ►vvvvvvvvvvvoivlfvvvvvvvvvvvvvI CITY OF TIGARD 24-Hour '3UILDING Inspection Line: (503)639-4175 MST -d _Ude O INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received __- _ _ Date Requested_ AM_ P _ BLIP _ Location Suite MEC Contact Person � Ph PLM Contractor- ---— - --- —- Ph( ) — - SWR - ---- — Tenant/Owner ELC Footing ELC Foundation Access: L1 Fig Drain f�1�- 1 V &T Se EI.R ----- --- Crawl Drain _ Slab Inspection Notes: SIT' Post&Beam Shear Anchors Ext Shea:h/Shear Int Sheath/shear - - - -- - Framing Insulation Drywall Nailing - - — -- - ----- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - - - --- ----- - --- -- ---- - --- Roof -;;r S PARTFAIL YPM_BINa -_- _ Post&Beam UnderSlab ------ - — ---- - - ..► --_.._ .-.._.._.-..__._._._...-- - - Rough-In Water Service -- --------- ---------- -- Sanitary Sewer Rain Drains -- -- Catch Basin/Manhole Storm Drain -- --- - -- - -- Shower Pan Other: ---- __ -----____-----___-- Final ---- --- -- --------------------- PA —PART FAIL C--- COAL - Post& Beam Rough-In Gas linee Salo Dampers _. >'in PART_ FAIL - ---- - ftt-CTRICAL ^- Service Rough-In _----- -- -- ------- __.---_--------- ------ — UG/Slab Low Voltage _— -- - ----- -..._ ---------- ---.__.� --- Fire Alarm Final Reinspection fee of$_-T_--_ _-_required before next inspection. Pay at City H311, 13125 SW Hall Blvd. _ PASS PART FAIL SITE _ Please call for reinspection RE __._ Unable to inspect -no access Fire Supply Line ADA �/ ` Approach/Sidewalk Dats—____1__-- -- Inspector - �r CI LS �-- ,_.. Ext -._---_- Other. ---- ---- Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CIT �� OF 1 I VAR® MASTER PERMIT PERMIT#: MST2003-00310 DEVELOPMENT SERVICES DATE ISSUED: 12/23/2003 13125 SW Hall Blvd.,Tigard,OR 97273 (503)639-4171 SITE ADDRESS: 10840 SW HUNTINGTON AVE PARCEL: 1S133AC-12200 SUBDIVISION: HAVVK'S BEARD TOWNHOMES ZONING: It-25 BLOCK: LOT- (wo ,JURISDICTION: TIG REMARKS: New SFA dwelling. 6/15/04: Altered plan from 3 to 2-bath. BUILDING REISSUE: STORIFS. FLOOR AREAS REQUIRED SE FBACKS_ REQUIRED CLASS OF WORK: 'IEW HEIGHT. 32 FIRST: 49 sf BASEMENT: at LEFT: SMOKE DETECTORS: Y TYoE OF USE: SFA FLOOR LOAD: 40 SECOND: 640 sl GARAGE: 5:4 sf FRONT. PARKING SPACES: TYPE OF CONST- 5N DWELLING UNITS: 1 THRO 726 sf RIGHT: OCCUPANCY GRP: R3 BDRM 2 BATH: 2 TOTAL: 1.415 sl VALUE: 1.15 354 40 REAR: PLUMBING SINKS: I WATER CLOSETS: WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS: TUBISHOWERS: 1 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES'. 100 BCKFLW PREVNTR- GREASE TRAPS: OTHER FIXTURES. MECHANICAL FUEL TYPES FURN<100K: 1 BOILICMP<3HP. VENT FANS: 4 CLOTHES DRYER: I LPG FURN>=100K: UNIT HEATERS HOODS: 1 OTHER UNITS: 2 MAX INP. btu FLOOR FURNANCES-. VENTS w000s rovEs. GAS OUTLETS: 3 ELECTRICAL,v RESIDENTIAL UNIT SERVICE FEEDER_ TEMP SRVCIFEEDERS —_BRANCH CIRCUITS _ MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200amp. 0 260 amp WISVC OR FDR. PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 500SF: 2 201 400 rnp. 201 -46o amp 1st WO SVC/FOR: SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 1 401 900 amp: 401 600 amp. FA ADDL 13R CIR. SIGNAL/PANEL: IN PLANT. MANU HM/SVC/FDR: 901 - 1000 amp: 601+ampe.1000v MINOR LABEL: 1000+amplvolt I LAN REVIEW SECTION - Reconnect only: >•4 RES UNITS: 9VCIFOR>-225 A.: >900 V NOMINAL: CLS AR.tA/SPC OCC' ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL^ B.COMMEICIAL _ _•_ AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO&STEREO: EIRE ALARM: !NTERCOMIPAGING: OUTDOOR LNDSC'_T: BURGLAR ALARM: OTH: BOILER: HVAC: L.ANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS. TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,073.29 AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN 8 ASSOCIATES I This permit is subject to the regulations contaneo in the 9500 SW BARBUR BLVD., STE 220 4949 SW MEADOWS RD SUITE 400 and al�gard other pal Code,Stale of I woR.rk Specialtyillbe Codes PORTLAND, OR 97219 LAKE OSWEGO, OR 97035 and all other with approved laws. All work will i done in accordance with approved plans. This permit will expire if work Is not started within 180 days k f issuance,or If the work is suspended for more than 180 days. Phone: 503-892-8758 Phone: 971-233-0075 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg w: 1.117 58699 rules are set forth In OAR 952-001-0010 through 952-001-0080. You may obtain cc ples of these rules or direct questions to OUNC by calling (503)246-1987. REQUIRED INSPECTIONS Firewall Insp Slab Insp Electrical Rough-in Plumaing Top Out Gas Line Insp Shear Wall Insp Ersn Cntrl 681-4444 Plm/undslb,Tsp Mechanical Insp Framing Insp Gas Fireplace Shear Wall Insp Sewer Inspection Electrical Ser Ice Mechanical Insp Fireplace Insp Gas Fireplace Shear Wall Insp Footing Insp Electrical SeN ce Mechanical Insp Fireplace Insp Gas Fireplace Shear Wall Insp Foundation Insp Electrical Rough-in Low Voltage Gas Line Insp Insulation Insp Shear Wall Insp Issued By : ` f — - Permittee Signature :_ i'">t/ r4T'/ac-✓r_ '7�N Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TI GARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00244 13125 SW Hall BlvJ., Tigard, OR 97223 (503) 6,19-4171 DATE ISSUED: 12/23/2003 PARCEL: 1 S133AC-.HB040 SITE ADDRESS; 10840 SW HUNTINGTON ,sVE SUBDIVISION: IIAWK'S IiI AILD TOWNHOMES ZONING: It BLOCK: LOT: 040 _ JURISDICTION: IIt 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. O.jner: TEES _ AUTUMN PARK TOWNHOWS, LLC Description Date Amount 9500 SW BARBUR BLVD., S1 E 220 - PORTLAND, OR 97219 [SWUSAI Swr Connect 12/23/200: $2,400.00 [SWUSA]Swr Connect 12/23/200: $0.00 Phone: 503-892-8758 1S1'VINSP]Swr Inspect 12/23/200: $35.00 ISWINSP) Swr Inspect 12/23/2001 $0.00 Contractor: Total $2,435.00 Phone: Reg #: Required Inspections _J 6 I 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 di,3ctions 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) 246-6699. Issued by: � '?Ic_ Permittee Signature: 1 1 f" Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day FOR OFFICE USE ONLY BuRdina Permit Apgii a 14 -Received Budding f N f DateJBv tJ' O S Permit No.:4`,� 200„3' -v Planning A roval Other City of Tigard Datri13v —____. Permit No.:Sjdx. 003- 13125 SW Hall Blvd. JUN r:; I Au'l Plan Review Other Tigard,Oregon 972-73 DatdFlw 10-277-03 A5'A Permit No.: Post-Review land Use Phone: 503-639171 Fax: tll J . Case No. Internet-. wwwxi.tigard.or.us Contact Z See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method. Supplemental Information TYPL OF WORK REQUIRED DATA: New construction Demolition I &2 FAMILY DWELLING Addition/alteratiorvreplacement I _Ej Other: CATEGORY OF CONSTRUCTION Note: Permit 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-Fanti1v dwelling Commercial/Ind istnal overhead and profit for the work indicated on this application. Accessory Building I Multi-Family ° �yS 3Li� go Master Builder I Other: Valuation....................................................... _..' .JOB SITE INFORMATION and LOCATION No. of bedrooms: �- No.of baths: Z Y2 5 �rn�lGOtJ (r�U Total number of floors..................................... --_ ---__-_— Job site address: New dwelling area(sq. ft.).............................. Suite#. I Bldg.!A t.#: Garage/carport area(sq. ft.)............................ SsY — Proiect Name: H WIGS S Covered porch area(sq. ft.)............................. ZM Cross street/Directions to job site: Deck area(sq. ft.)............................................ R� gAQt4S QIEAR� Other structure area(sq. ft.)............................ S1 ' REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: JWP I Lot#: Tax map/ arCCl#: I Note: Permit fees*are based an the total value of the work performed. Indicate DESCRIPTION OF WORK the value(r ended to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. .�T,u�l of NELJ S srote�' �� Valuation............................................................................. S-- Existing building area(sq. ft.).. _ New building area(sq. ft.)............................... Number of stones............................................ PROPERTY OWNER TENANT Type of construction....................................... Occupancy group(s): Existing: Name: A UlDrn n1 P K Td l�l4�lyl fs�L.L. New: _ Address:9500 S W EAe Rule &A S0 ( Z Z City/State/Zi : -TSU Oe 9-72-19 : So3 �Q2$75 � FaK:l�i F�t2�?i ( NOTICE: All contractors and subcontractors are required to be Phone licensed with the Oregon Construction Contractors Board under APPL CANT CONTACT PERSON _ '` provisions of ORS 701 and may be required to be licensed in the Business Name: 3raOU4 c AgWWS jurisdiction where work is being perf. -ned. If the applicant is exempt from licensing,the following reason applies: Cot.iact Name: M,te k' 1•(•it>`lsrit� az. 2tcr PtA*JZ _ Address: R53cis►tJ Pi (JA- �SIl I?*!Lo- City/State/Zip: Lo ct A.d City/State,/Zi : rz (NL aZ 2,APhone:4J 592-6E 18 Fax: Ll e�Z"S� BUELDING'PERMITFEES* E-mail: n-,arK¢ }��W��SSVG.Chi+~► r lNeasi refer to fee i edule. - CONTRACTOR Business Name: b ccs L (�.a w r4 W06 YWG, Fees due upon application.............................. S Address: Slnl AQ(�ili2 l3t-�D Utar'c ZZo Citv/State./Zi : 1 Amount received............................................. S Phone: --- 692-jj�� e 9�tax:(15oSb9Z- ?)841 Date received: CCB Li #: _ -- Authorized �/� !l d Notice: This permit application expires if a permit is not obtained within Signature: •• '' [! _ Date: -! V t80 days after it has been accepted as complete *Fee methodology set by Tri-County Building industry Serviee Bo2rd. (Please pnnt name) i:\Dsu\Perr7titFortns\BldgPermitApp.doc 01/03 t.� tJSIE ONLY FTICE Electrical Permit ' 'on Received ° ° Electrical DaWBv: P'rmit No. Planning Approval Sign City of Tigard erm r 2003 DateBY: Pit Nom JUN � 13125 SW Hall Blvd. Pian Review Other Tigard, Oregon 97223 �� , ARD D Post-Review Permit Use Phone: 503-639-4171 Fa�l�O��tV�`-i71a Post-Review Case Use — Qsl { '^-?A DafegBV: Case No.: _ Internet: www.Ci.dgard.oG Contact lulls.: vi See Page 2 for 24-hour Inspection Request: 503 1394175 I NarrivIviethod: I Su tlementai Information. t TYPE OF WORK PLAN REVIEW(Please check all that apply) New cons'ruction Demolition service oyer 225 amps- Health-care facility 4 commercial ❑Hazardous location _ Additior alteration/replacement Other: 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 I & Family dwelline _ I Commereial/Industnal ❑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 Other: ❑Egressilighting plan C]Other: Submit�sets of plans with any of the above. JOB SITE INFO NIATION and LOCATION The above are not applicable to temporary construction service. Job site address: SW ;4UOTW4 FEE*SCHEDULE Suite#: BI 4./A t.#: Number of ins ections per permit allowed Pro'ect Name: 5 / wig S Description Qty I Fee(ca.) Total New residential-single or multi-family per i Cross street/Directions to job site: dwelling unit.includes attached garage. Service included: rI \ tacos .a. legs 145.15 �jjl Eaah additionn al 500 s .tt.or rnon thereof 33.•W ✓ i Limited energy.residential "5.00 dp 2 Subdivision: Limited energy,non residential 75.00 1 2 Tax map/parcel#: Each manufactured home or modular dwelling DESCRIPTION OF WORK service and/or feeder 9090 I 2 Services or feeders-installation, s'%7r,1•l_CTICJF� CF 3 sr -r-' a:t.r.d n or relocation: 210 amps less 30.30 20; imps to to 400 amps 106.85 2 401 amps tc`'. amps 160.60 ROPERTY OWNER �TENANT - Over 100 to toxo ams 244.65 2 I_I,,,� � Over 10011_ amps or volb 454.65 2 Name: •-rVW? 1gel- QW 1r -bwiES LL.C, Reconnect only 66.35 2 Address: _19,4ue- 1,A SCJ ING 222 Temporary Cervices or feeders-installation, alteration,or relocation: CI /State/Zi : r�T/�4 tit 9-7 2 200 amps or less 66.85 i Phone 201 amps to 404)ams 104.30 2 451 to 600 amps 133."5 2 APPL ANT CONTACT PERSON Branch circuits-new,alteration,or Name:'�, tG L. ( l J1J_ _e E S�J�1f}'1� ^� extension per panel: A.Fee for branch circuits with purchase of Address: ISCO 4S suix ~!.0 service or feeder fee.each branch circuit 6.65 2 City/State/Zip: t CiQ �"?2I 9 B.Fee for branch circuits without purchase of service or tee uer fee,mint branch circuit 46.35 2 Phone: 5 Fax: !;o3 Each addinona'.branch circuit 6.65 12 E-mail: yr a- d l w)0. OCco'-" Misc.IServicc or feeder not mciuded): CONTRACTOR - Each um or im non circle 53.40 2 Each sign or outline fighting 53-40 2 1'•lectr1I111 l ill' Signal circuit(s)or a limited energy panel, alteration.or extension Pae 2 2050 Vista Ave #100 Description: Salem OR 97302 _ I Each additional Inspection over the allowable in any of the above: 503-361-1256 Per inspection per hour(min. 1 hour) 62.50 CCB:110453 VLC':24-353C Sup:29I9S investigation fee: CCB Lic. #: LIC. #: Oth—r Electrical Perut Fees' Supervising electrician Subtotal S si ature required: _ Plan Review(25%of Permit Feel S Print Na. e: &Lic. #: _—�f State Surcharge(8%of Permit Fee) S TOTAL PERMIT FEE S Authorized L __- � Notice: This permit application expires if a permit is not outaint- .••••••r Signature: [JR _—v_,_— Date: ' 180 days after It has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. M/fic�CN SCAJ -- iPle. a pilot name i i:\DstsTermtt rorms',EWermrtApp.doc 01/03 l D leehanical Permit- APPll at o Received Mechanical "'�'�"'�� l�oo� Date/Bv: Permit No.://.S 1r 00 ��Q� V ISI planning Approval Building City of TigardCITY OF Da`�y an —- Peut No.: 13125 SW Hall Blvd. NIS Plan Review Qther Tigard,Oregon 97223 11AIDINC' IV -'IOhI Data/Bv: Permit No-Post-Review Land Use j Ph(ne: 503-639-4171 Fax: 503-598-1960 DatelBv Case No.: --jl Internet: www.ci.cigard.onus .tuns.: Ll See Page.'for 24-hour Inspection Request: 543-639-4175 NameiMethod: I Supplemental Information. TYPE OF WORK COMMERCIAL FEE*SCHEDULE-USE CHECKLIST TR New construction H Demolition Mechanical permit fees'are based on the total value of the work Addition/alteration/replacement 1 _Other: performed. Indicate the value(rounded to the nearest dollar)of all -CATEGORY OF CONSTRUCTION mechanical matenals,equipment,labor,overhead and profit. I &2-Family dwelling I I Commercial/lndustrial Value: S^ See Page 2 for Fee Schedule Accessory Building Multi-Family RESIDENTIAL EQUIPMENT/SYSTEMS FEE-SCHEDULE Description I Qty _ Feelea.) Tatal Master Builder Other: Ileatin ICooiin JOB SITE INFORMATION and LOCATION I Furnace-add-on air conditioning'" I 1 1 ,14.00 u' Job cite address: FH U .SUI 140k r/-A),,-rC k A I = Gas heat pump 14.00 I Suite #: Bldiz./APt.#: Duct work �� 14.00 1 1IHvdr •'° Project Name:! �C 40Residential nt hot water sysrem 14.00 Residential boiler Cross streetfDirection5 to job sit (for radiator or hvdronic system) 14.00 s(,L) I� 1►.�/ (iEf� �� 5 Unit heaters(fuel,not electrics ! (in wall, in-duct,suspended.etc i I 14.00 I s �► Flue/vent(for anv of above) 1 10.00 f 10 -- �1/ -� r41 ) 1 Lot # : Repair units 1 12.15 II Subdivision: 4 - .,�. 1o_0 Other Fuel Appliances Tax map/parcel #: Water heater _I 10.00 1 10. ' DESCRIPTION OF WORK Gas fireplace 10.00 1 0 FFC,WS/ Tl ' Q� GJA) STS t2' Flue vent(water heaterraa.,tirenlacei ! 2 10.00 1 2G. LAJAJ m . PI JFK. ' 5a Lo lighter( ass 10.00 Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 _ Chimnev/liner/flue/vent T 10.00 PROPERTY OWNER TENANT Other! 10.00 Name: f"V lI 6l6nzK-T_-DWl S L.(� I Environmental Exhaust&_ ventilationW'J Range hood/other kitchen equipment 10.00 to Address: i;W Sat/ ?,*?-&e .Si!IN- Z zo Clothes dryer exhaust I 1 10.00 IU Ci /State/Zi rz'rL'I d `12 19 Single duct exhaust Phone: ,So3 2-75 Fax:(5)5)89 L-eeq I (bathrooms,toilet compartments, APPLICANT _ CONTACT PERSON utilitv rooms) _ 6.80 Name: 7>CCEE� 1-• E20trt1� t� �4SS '��S I�� • Atticrcmwl. ace fans I 10.00 I , I--- -� Other: �_��10.00 Address: C1��c}_ p,�bzgv-tom ($�t b4 sh?,� 220 - Fuel Piping City/State/Zi : ToprtM 2l ;"(55.40 for first 4.S1.00 each additional) _ Furnace,etc. Phone: jj3 212-?,-756 Fax: 3X92-ICS' ( Gas heat pumpI— E-mail: Q d I brdWt)cLsVfJC czw--, Wall/suspende unit heater " CON'I72ACTOR Water heater Smart Ileat'lig & Coolinu, I.I ( Firc lace 7616 NE Everett St Ranee BBV Portland OR 97213-6347 Clothes dryer(Sas) 503-254-51196 Other: Total: CCB: 1541.33 Mechanical I Permit Fees Authorized Date: • 7- lccu� LL SubtoSubtotal: S Signature: �u(� Minimum Permit Fee 572.50 S 1 h��6 �l t, Plan Review Fee(25%of Permit Fee) S (Please print name) State Surcharge(84,10 of Permit Fee) Ifj TOTAL PERMIT FEE _ Notice: This permit application expires If a permit is not obtained within *Fee methodology set by Tri-County Buitding Industry Service Soarl. 180 days after it has been accepted as complete. "Site plan required for exterior A/C units. i:0stsTermit FormsNccPerrnitApp.doc 01103 J$UJJUJJU; r It tw CJ Flg�umbinPermit Ayolieation Received PIImbing g NLY Date/By Pe.mit No.: City of Tigard R EC'E E V I"'�; Planning Approval Semi ��„// I �„J Date/By:: Permit*10.: 13125 SW Hall Blvd. Plan Review other Tigard,Oregon 97223 Date/Bv: Permit No.: Phone: 503-639-4171 Fax: 503-598-14WN 0 Post-Review Land Use Date/Bv: Case No.: Internet: www.ci.tigard.onus , 'Y O Contact Juns.: See Page 2 for 24-hour Ins ection Request: 503-639 Name/Method: 3u lententat Information. P q ��-ING blViSl(;it`� TYPE OF WORK FEE*SCHEDULE(for special information use checklist) � New construction I�eIH011tlOn Description rQry. feica-i Torsi New 1-&2-family dwellings Add ition/alteratianireplacement Other: (Includes loo rt.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bstii s 149.20 l & 2-Family dwelling Commercial/lndustna! SFR(2)bath 350.00 Accessory Building Multi-Family -� SFR(3)bath L 399.00 5-019 [] Master Builder Other: Each additional bath/kitchen 45.00 JOB SI'Z'E INFORNIATION and LOCATION Fire sprinkler-sq. ft.: Page 2 Job site address: S /-MV r U VIF, Site Utilities Catch basin/area Suite#: Blda.!A 1.#: _dram 16.60 Drvwe alin:trench drain ProacName: JK B6 -r7VA MfFooting drain Ino. linear ft.) Pante 2 Cross street/Direct ions to jobs t� Manufactured home utilities 110.00 S' Manholes 16.60 Rain drain connector 16.60 Sanitarysewer(no. linear ft.) Pae 2 Subdivision: K T' Lot t': O j Storm sewer(no. linear ft.) Pa e 2 Water service(no. linear ft.) Paae 2 Tax matpiparcel #: Fixture or Item DESCRIPTION OF WORK Absorption valve 16.60 gcA.0 flC r SSW S i 7-ed Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinkinj fountain 16.60 TENAT _ 16.60 �ROPERTY OWNER ['N'ame: ,AVruMr,J PA9K r,X6,1 PCMf S} LLC. Expansion tank 16.60 Address: &t o S)AI St!(.rE Z ZLI) Fixture/sewer cap 16.60 Cit /State/Zi /Z Zj Q2 �-7Z i Floor dmin/floor sink/hub 16.60 - Garba a disposal 16.60 Phone. �3\, 2' 5a Fax: b9=' Hose bib 16.60 APPLICANTCONTACT PERSON lee maker 16.60 Name: '>Uf� L. aeo%,t/r) g ASSOCIA-r" !JC. Interceptor/ ease trap16.60 Address: 95X 5� 8��e. qi.v�r Su Qf G Zc� Medical as-value: S Pae 2 Primer 16.60 Cl /State./Zl : F}3leT_�t _ CV. q-7i,9 Roof drain(commercial) 16.60 Phone 31�fl2- SeFlix So3 P�12- Sink/basin/lavatory 16.60 E-mail:_rn&tV.d, d Tub/shower/shower pan 16.60 16.60 CONTRACTOR _� Urinal Water closet 16.60 Plumhing EXPLIAS II1C Water heater 16.60 119215 SW Parkway Other. Portland OR 97225-5413 Other: 503469-0443 .• Plumbing Permit Fees* _ Subtotal S CCB: 149035 PLM: 34-391 PB Minimum Permit Fee$72.50 S AuthorizedL Residential Backflow Minimum Fee$36-25 Signature: �' _ Dater Plan Review(25%of Hermit Feel $ UC E Ce N- State Surcharge(8%of Permit Fee) S A4 1 -� (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 �•.�•• - 180 days after it has been accepted as complete. riser diagram for plan review. *Fee methodology set by Tri-County Building Industry Service Board. u0swPermit ForrnsTImPermitAppAoc 01iO3 PROJECT NO. MAT004 ............. 8" ss— S. W. HUNTINGTON AVE. GATE: 7/9Z03 12" SID 7-11177 T M I— DRIVE DRIV u OF i 6APIP 29.0' -IN(-, DIVIS ON .........7T.L 29. WATER METE WATER METER kn 8 PUE I 9 29 6" SO ad i0o T 'w LOT 40 -0 LOT 39 1 'A 9 ob U-) it 1,392 SF 1,392 SF co P AD ELEV=204.6 I Z PAD ELEV=2 04 q cl, 29.0' Zp 29.0' V) cc L LOT 33 LOT 34 ul QC:) 1,285 SF 1,285 SF con PAD ELEV=204.6 PAD ELEV=204 f CD w > 1" WATER 2.5' PUE_j 1" WATER X Z 0 0 0 0 129.0 - _2.9.0' 3: o z CO z 3: 0'� E Z L'Lj DRIVE DRIVE / Ln _'o 11" CL Ot /8" s-s- co cc 0 NO o'0 7'1 8'/l 0 < 0 SD-- < Z:c I:_- Ln a_ -t 0 BRIARWOOD PL «)) f-) 0 00 C SETBACKS: NOTE: WATER METERS FOR GARLOTS 33 AND 34 ARE < = 20AGE (PUBLIC) ' LOCATED ON THE NORTH GARAGE (PRIVATE) = 8' SIDE OF WOODBRIDGE LANE, FRONT YARD (PUBLIC) = 15' WEST OF BRIARWOOD PL. LOT NO, FRONT YARD (PRIVATE) = 3' REAP YARD 15' 331 ,34 ," SIDE YARD 3' - (6' PER FIRE CODE) 39,40 STREET SIDE = 10' SCALE: CITY OF TIGARD - SI` E PLAN REVIEW 111111-DIN ) PERMIT NO.: 3_ DO.�"i PLANNING DIVISION: N+,t A l►+�%ed Required Setbacks: Approved ❑ pl Side: .,.:L._ Street Side: ^ C+arage: I rntt. Not A ►roved Visual t.'tcarauce: Ap r+wed L] If '�!;+xi►ttunt Nuildiog Height fret Service Provider Letter Required: ❑ Yr; N+, Keccived :� I C`JGII�I-EIt NG UVPAItTMLNT: Actual Slope _,�.,_% Q�Approved ❑ Not Apprt�ved Site plan: ' Q Approved Not Approved B �f�•r+G� Date: 2 Note,. I i i i i i t 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 #: MST2003-00310 Date Issued: 1212312003 Parcel: 1 S133AC-HB040 Site Addr..ss: 10840 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 040 Jurisdiction: TIG Zoning: R-25 Remarks: New SFA dwelling. Your company has been indicated as the electrical contractor for the permit indicated above. In orderfor the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company ssgn 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 DESA SPECTRUM ELECTRIC PORTLAND, OR 97219 2050 VISTA AVE #100 SALEM, OR 97302 Phone #: 503-892-8758 Phone #. 503-361-1256 Req #: LIC 110453 �- Si1P now .-7;�'2 3 - ELE 24-3530 AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Supervising Electrician If you have any questions, please call 503.718.2433. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE PLUMBING EXPERTS INC 11925 ':: FARKWAY PORTLAND, OR 97225-5413 Plumbing Signature Form Permit P: MST2003-00310 Date Issued: 12/23/2003 Parcel: 1 S133AC-HB040 Site Address: 10840 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 040 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 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.