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10845 SW HUNTINGTON AVE
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171 —1-
BLIP ------- ----
Received --Date Requested— � �- AM-- PM BUP
Location 7J-� -; . — Suite -- - - MEC
Gontact Person _ Ph(--) __ _.-___ PLM
Contractor------- ------ - - _ - - Ph (-- --) ----- - ----
SWR
BUILDING — Tenant/Owner —_. _-- --__._ ELC
Footing-- -- ELC -
Foundation Access:
Fig Drain ELR
Crawl Drain _ ---
Slab i Inspection Notes: SIT -----__--_. -__�
Post& Beam ---- -- - - - -._._�.------- ---
Shear Anchors ------ __._-
Ext Sheath/Shear
Int Sheath/Shear
Framing _----
Insulation
Drywall Nailing - - -- - --- ------ -- --- - �.._�
Firewall
Fire Sprinkler - - - - ------ - - - -- -
Fire Alarm
Susp'd Coiling
Roof - - --
Other.---- - - /
Final
PASS_ _PART _F_AIL - -- -- ------------ ----- ------- ---- -----
PLU_MB_ING
Post&Beam
Under Slab ------______- - ---_----- �__-_e
Rough-In
Water Service --
Sanitary Sewer
Rain Drains - -- - - - ------
Catch Basin I Manhole
Storm Drain - - -- - --_ .�-_-- --- - --
Shower Pan
Other: I - _ _- ----- -- ----__----_-_
Final
PASS T---FAIL.
:IECHANICA
eam
Rough-In --
Gas Line
Smoke Dampprs -- ------ -- - ----____-._
Final
PASS ART FAIL - - - -- ---------- ---------- -
_IC-_
Se.-vice - - ---- ------ ---_--- -
Rough-In _
UG/Slab
Low Voltage - - --- -- ------ --- --
Fire Alarm
Final
[� Reinspection tee of$__._____-_. required before next inspection. Pay at Cit;' Nall, 13125 SW Hall Blvd.
PASS PART FAIL__ _
SITE [ Please call for reinspection RE -- — F] Uiable to inspert-no access
Fire Supply Line
ADA
Approach/Sidewalk Dot* _- Inspector _- - -_ Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24-Flour
BUILDING It,spection Line: (503) 639-4175 MST3�—
INSPECTION DIVISION Business Line: k503) 639-4171
EUP _
��
Received _- Date
Requested_I _—_ AM--_ ..,.F-M�—�- -_ BUP
Location _ I OBy5— t '4J LLKGTrn! - _ Suite MEC ----- -----_---
Contact Person -- _.�__ Ph PLM __-
Contractor _. _— Ph ( ) _— SWR _
BUILDING Tenant/Owner _-_----- -- - ELC --- --__--
Footing _. ELC -
Foundation Access: ELR
Ftg Drain ! - --
Crawl Drain — --- -' SIT
Slab Inspection Notes:
Prst&Beam ------ --- -- - -- ----- ------_
Shear Anchors
Ext Sheath/Shear ---
Int Sheath/Shear
Framing �. -- _ ---- ------ —
Insulation
Drywall hailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final - --
PASS PART FAIL
PLUMBING - --
Post&Beam
Under Slab
Rough-in _
Water Service -_- - -- ------- _
Sanitary Sewer J
Rain Drains - -
Catch Basin/Manhole —
Storm Drain
Shower Pan
Other: -
Final
PASS_ PART FAIL —
MEC_HANICA_L ----
Post& Beam
Rough-In - - - -- ---------__- --.-
Gas Line
Smoke Dampers - -- --- - -
Final
PASS PART
ELEC'i RICAL - - -
Service ---- -
Rough-In - - --
UG/Slab
Low Vultage
Eiw Alarm
[I Reinspection fee of$_ required before next inspection. Pay at City Hell, 13125 SW Hall Blvd.
ASS PART FAIL
- --. Please call for reinspection RE:-__ --_—_�__._____ n Unable to inspect- no access
C__J
Fire Supply Line
ADA Q
Approach/Sidewalk Date_�_` Z' __ _-_ Inspector
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection line: (503) 639-4175
MST
INSPECTION [DIVISION Business Line: (503)639-4171
c� BUP -_-_---
Received Date Requested___— _1_ Z� AN, -.�-- .._._ PM __-__ __ 3UF
Location -- G t��SL L �'1 - - Suite - ---- MEC --
Contact Person __-
— Ph FLM — -- ��---
contractor Ph( i SWR _
BUILDING Tenant/Owner ---_�
____ --- - -- --e ._.a..._ 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 - --- -- — _-
Insulation
Drywall Nailing --- —_
Firewall
Fire Sprinkler --- -
Fire Alarm
Susp'd Ceiling -- --- -- ---
Roof
Other: ---
Final
PASS PART FAIL - ----- - — - -
PLUMBING
Post&Beam
Under Slab _—
Rough-In
Water Service - -
Sanitary,Sewer
Rain Drains --------- --- _-- --_ -
Catch Basin/Manhole
Storm Drain — - - - -- -- -----
Shower Pan
Other: --
A PART FAIL _ - - --- —
_ANICAL
Post&Beam - --
Rough-In
Gas Line
Smoke Dampers ----- __-
Final
PASS PART FAIL --- -- --
ELECTRICAL
Service
Rough-In
UG/Slab u -- —
Low Voltage
Fire Alarm --
Final Relnspectlon fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS_ PART FAIL
SITE Please call for reinspection RE:— —__ —_ Unable to inspect-no access
Fire Supply Line
ADA r `
Approach/Sidewalk DAt�. v�-__ Int pactor_ --------- - -- t -..----
Other:_
Firial DO NOT REMOVE this Inspection record front the Job site.
PASS PART FAIL
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 C MjYJO 3/
INSPECTION DIVISION Business Line: (503) 639-4171
BUP
Received Date Requested _ AM_ P _`�--_ BUP —_
Location _ JO "-^ itY1 Suite_ _ MEC __—
Contact Person �1 --� Ph(_ ) -WC'�6a PLM
Contracto _____._ Ph(—) SWR
13,64111W -Tenant/Owner _-- — - _---___-- ELC __---
Flft
g ELC
Foundation Access: --- - ---
Ftg Drain ELR
Crawl Drain __
Slab Inspection Notes: SIT' -
Post&Beam
Shear Anchors
Ext Sheath/Shear
IntSheath/Shear
Framing - - -- -- - ---- - - - ---
i insulation
Drywall Nailing
Firewall
Fire Sprinkler --- — - --- -- -- --_--_ ---
Fire Alarm
Susp'd Ceiling
Root
Other:
- -
in
_PART FAIL
P MBI_NG
Post& Beam
IAJ
Under Slab
Rough-In
Water Service ----- -
Sanitary Sewer
Rain Drains ----- - — _ __
Catch Basin/Manhole
Storm Drain -- _
Shower Pan
Other: --- --- — --_
Final
PASS FAIL
MEORAMCAC—
Post&Beam
Rough-In
Gas Line —
Smoke Dampers -- --___--__- _ -- — -- -
20 PART FAIL
CTRICAL
Service
Rough-In
UG/Slab — --- —_----- -- — -- --
Low Voltage
Fire Alarm
Final Reinspection fee of$ - -- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
_PASS PART FAIL
SITE Please call for reinspection HE:— —. ❑ Unable to inspect-no access
Fire Supply Line r e
ADA
Approach/Sidewalk Date �-�-- Inspector `-'' --
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL_
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CITYOF TIGARD -__ n�.�.sTERPERMIT
PERMIT#: MST2003-00314
DEVELOPMENT SERVICES DATE ISSUED: 12/23;2003
1312.5 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171
SITE ADDRESS: 10845 SW HUNTINGTON AVE PARCEL: 1S133AC-HB059
SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: K-25
BLOCK: LOT: 059 JURISDICTION: TIG
REMARKS: New SFA dwelling.
BUILDING
REISSUE: STORIES. l FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW 14EIGHT: 3; FIRST- IDN sf BASEMENT: sf LEFT: SMOKE DETECTORS. Y
TYPE OF USE: SFA FLOOR LOAD. 10 SECOND: 636 sf GARAGE. 451 of FRONT: PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: I THRP 709 S1 RIGHT:
n
OCCUPANCY ORP: R3 BDRM: { BATH. TOTAL: 1.453 sf VALUE: 141 144 eREAR:
PLUMBING
SINKS: 1 WATER CLOSETS' 2 WASHING MACH. 1 L ,aNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: I DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS:
TUBISHOWERS: 1 GARB03E DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKrLW PREVNTR: GREASE TRAPS:
MECHANICAL OTHER FIXTURFS:
FUEL TYPES FURN<100K: i BOIL/CMP<3HP: VENT FANS: I CLOTHES DRYER: 1
Lf'13 FURN>-TOOK: UNIT HEATERS: HOODS: 1 OTHER UNITS: I
MAX INP: btu FLOOR FURNANCES: VENTS: 2 WOODSTOVES: GAS OUTLETS 3
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS _ ADD'L INSPECTIONS _
1000 SF OR LESS: 1 0 200amp: 0 200amp WISVC OR FOR PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 2 201 •400 amp: 201 -400 amp. tat W/O SVOFOR: SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 1 401 600 amp: 401 -600 amp: EA ADOL BR CIR: SIGNAUPANEL: IN PLANT:
MANU HMISVCIFDR: 601 - 1000 amp: Bo11r8mts-1000v: MINOR LABEL:
10004 amp/volt:
Reconnect only: PLAN REVIEW SEC TION
>.4 RES UNITS: SVCIFDR>•225 A.: >600 V NOMINAL: CLS AREA/SPC OCC
_ ELECTRICAL-RES i P.ICTEO ENERGY _
A.3F RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM S i STEM AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH, BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATArTELE COMM, NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL_ FEES: $ 6,065.71
This permit is subject to the regulations contained In the
AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN&ASSOCIATES "'T
9500 SW BARBUR BLVD., STE 220 9500 SW BARBUR BLVD#220 igard Municipal Code,State of OR.Specialty Codes
PORTLAND, OR 97219 PORTLAND, OR 97219 and all other applicable laws. All 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' 503-892-8758 Phone: 503-892-8758 ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those
Rap w: LIC 58699 rules are set forth In OAR 952-001-0010 through
952-001-0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246-1987.
REQUIRED INSPECTIONS
Ersn 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 Inst Water Service Insp Building Final
Footing Insp Electrical Rough-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 : � G ' i Permittee Signature :_ ._L2.1, L_ --
Call (503) 639-4175 by 7:00 p.m.for an Inspection needed the next business day
CITY OF 1 IGARD ___-_ MASTER PERMIT
DEVELOPMENT SERVICESPERMIT 3: MST2003-00314
13125 SW Hall Blvd.,Tigard, OR 97223 (503)6394171 DATE ISSUED: 12/23/2003
SITE ADDRESS: 10845 SW HUNTINGTON AVE PARCEL: 1S133AC-HBO59
SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R-25
BLOCK: LOT: 059 JURISDICTION: TIG
REMARKS: New SFA dwelling.
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS — REQUIRED SETBACKS REQUIRED _
CLASS OF WORK: NEW HEIGHT: 32 FIRST: 108 sf BASEMENT: 51' LEFT: SMOKE DETECTORS
TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 0'A sf GARAGE a04 sl FRONT: PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: 1 THFID 709 of RIGHT.
OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL 1,453 sf VALUE 147 744.80
REAR:
PLUMBING
SINKS: 1 WAl-ER CLOSETS: 2 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: 100
TRAPS:
LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS:
CATCH BASINS:
TUB/SHOWERS: 1 GARBAGE DISP: I WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR; GREASE TRAPS:
MECHANICAL OTHER FIXTURES:
FUEL TYPES FURN<100K: 1 BOIUCMP<3HP: VENT FANS: 3 CLOTHES DRYER: 1
FURN 1.10OK: UNIT HEATERS: HOODS 1
OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 2 WOODSTOVES: GAS OUTLETS: 3
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDER3 BRANCH CIRCUITS MISCELLANEOUS _ ADD'L INS.'ECIIONS
1000 SF OR LESS: 1 0 - 200arM 0 200 alm W/SVC OR FDR: PUMPIIRRIGATION: PER INSPECTION;
EA ADD'L 500SF: 2 201 400 amp201 400 amp. let W/O SVC/FDR:
SIGN/OUT LIN LT: PER HOUR:
LIMITED ENERGY: 1 401 B00 amp 401 600 amp' EA ADDL BR CIR SIGNALIPANEL:
IN PLANT:
MANU HM/SVC/FDR: 801 - 1000 amp: 601+amps-1000" MINOR LABEL:
1000.amp/volt:
Reconnect only: PLAN R EVIE W S EC TION
.4 RES UNITS: SVC/FDR>•22S A.: 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL-RESTRICTED ENERGY
A.SF RESIDENTIAL
B.COMMERCIAL
AUDIO 6 STEREO* VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INIERCOMIPAGING: OUTDOOR LNDSC LT.
BURGLAR ALARM: 0TH: BOILER: HVAC• LANDSCAPE/IRRfG: PROTECTIVESIGNI
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM NURSE CALLS: TOTAL 0 SYSTEMS:
Owrer: Contractor: TOTAL FEES: $ 6,065.71
AUT;IMN PARK TOWNHOMES, LLC DEREK L BROWN&ASSOCIATES I This permit is subject to the regulations contained in the
9500 SV/BARBUR BLVD., STE 220 9500 SW BARBUR BLVD#220 i"TIgard Municipal Code,State of OR.Specialty Codes
PORTI.AND, OR 97219 PORTLAND, OR 97219 and all other applicable laws. All 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
Phone: work is suspended for more than 180 days.
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: LTC 58699 rules are set forth in OAR 952-001-0010 through
952-001-0080. You may obtain copies of these rules or
REQUIRED INSPECTIONS direct questions to CLINICby calling(503)246-1987.
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 Inst Water Service Insp Building Final
Footing Insp Electrical Rough-in Gas Line Insp Firewall Insp Smoke Detector
Foundation Insp Mechanical Insp Gas Fireplace Gyp Board Insp Electrical Final
Slab Insp Low Voltage Insulation Insp Rain Drain Insp Plumb Final
Issued BY : ! - -- ---
Permittee Signature
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
CITYO F T I GA R D _ SEWER CONNECZ ION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2003-00248
13125 SW Hall Blvd., Tigard, OR 97223 (503) 539-4171 DATE ISSUED: 12/2.3/2003
SITE ADDRESS; 10845 SW HUNTINGTON AVE PARCEL: 1S133AC-HBO59
SUBDIVISION: II,^WK'S.BEARDT0 %VNIIOMES ZONING: R-1>
BLOCK: LOT: 059 .JURISDICTION: llcl _
TENANT NAME:
USA NO: FIXTURE UNITS-
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SFA NO. OF BUILDINGS:
INSTALL. TYPE: LTPSWR IMPERV SURFACE-
Remarks: Sewer connection for new SFA dwelling
Owner: ---
--�- __ __ _FEES___ _
AUTUMN PARK TOWNHOMES, LLC Descripticn _ Date Amount
9500 SW BARBUR BLVD., STE 220 __
PORTLAND, OR 97219 [SWUSAJ Swr Connect 12!23/200: $2,400.00
[SWUSAJ Swr Connect 12/23/200: $0.00
Phone: 503-892-8758 [SWINSPJ Swr Inspect 12/23/200: $35.00
[SWINSP]Swr Inspect 12/2.3/200; $0.00
Contractor: _
Total $2,435.00
Phone:
Reg #:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180
days from the date Issued. 'rhe 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. <ou
may obtain copies of these rules or direct questions to OUNC by calling(503) 246-6699.
Issued by: -;- _ Permittee Signature: .- �t--�---
Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day
FOR OFFJCE !4E ONLY
Building Permit Application
_ Received // Building
Date(BV: `/ « .//C) PermitNo.�
City of Tigard Date/BPlanning Approval Other >S
�1{N �� 1 DateJBv Permit No.
13125 SW Hall Blvd. 211'1 ate(Plan Review Other
Tigard,Oregon 97223 ATY,)F r1GP; DateiBv: D"23'03 I Permit No..
Phone: 503-639-4171 Faxr+ftF1WffI lS D (and Use
Z
atelBv: (.:ase No.
Internet: www.ci,ti ard.onus – —
g Contact luns.: See Page:fur
24-hour Inspection Request: 503-639.4175 Name/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:
New construction Demolition 1 &2 FAMILY DWELLING
Addition/alteration/replacement Oth_rr:
CATEGORY OF CONSTRUCTION Note: Permit fees*are based on the total value of the work performed. Indicate
1 &2-Family dwelling CommerciabIndustrial the value i rounded to the nearest dollar)of all equipment,rnatenals,labor,
overhead and profit for the-ork indicated on this application.
Accessory Building Multi-Family
Master Builder I LJ Other: Valuation..................r...................................... $ /V7 7yy,8
- JOB SITE INFORMATION and LOCATION No.of bedrooms: : No.of baths: Z
Total number of floors.....................................
Job site address: lU 5 S UnCT7 - --
New dwelling area(sq. ft.).............................. _
Suite#: Blde.i.4 t.#: Garage/carport area(sq. ft.
Project Name: HAWVs T�KevMES Covered porch area(sq. ft.)............................. — Z
Cross street/Direcnons to job site: Deck area(sq. ft.)............................................ 7L
1,0TM t vE/ e Ar✓b S.W Other structure area(sq.ft.)............................
REQUIRED DATA.
COMMERCIAL-USE CHECKLIST
Subdivision: S 76-W tLtEs Lot#:
Tax map/parcel #: Note: Pemvt fees*are based on the total value of the work performed. Hdicate
/DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor,
'Si'�lx Tr.K N :S qz(� overhead and profit for the work indicated on this application.
�- Valuation......................................................... S
Existing building area(sq. ft.).........................
New building area(sq. ft.)...............................
Number of stories............................................ _
-PROPERTY OWNER I El TENANT Type of construction.......................................
Name: AUTL;Mt ► NK Wa L.L. • Occupancygroup(s): Existing: _
Address:9500S W Rule &. S() Z Zv New: �3
City/State i : 7->v Oe 9-72-19
Phone: So3 X42$75 Fax:tSO3 PA2-� + NOTICE: All contractors and subcontractors are required to be
ADPL CANT CONTACT PERSON ,. '.- licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
Business Name: K L.BROU4 c R55yUwjurisdiction where work is being performed. If the applicant is exempt
Contact Name: rIlAt k' (�/t'^l vL IeLct PeAoZ from licensing,the following reason applies:
Address: q590 SW &Ae, t'�-+�2�Sf1_t7Yc 2P.o2P.O
Ci /State/Zip: Fbe_TZAik Ore, q+-12-1 ct _
Phone:b2t692- 8 Fax: 1 ' tZ-6
E-mail: BUILDING PERMIT FEES* - ..
E
CONTRACTOR Pleasrefer to fee schedule:
Business Name:bfe�1~ L. 4.ajo J AkZ X1AM NG. Fees due upon application.............................. S
Address: 9�R:d SW AQ" &�Ib SJ1* ZZO
City/State,/Zi RjfLT- (L "1 ( Amount received.............................................
Phone:Go3 PZ-8-71;9 Fax: 5' 3 Z-694 1 Date received:
CCB 'c. #: _
Authorized �L O7 Notice: This permit application expires if n permit is nut obtnined within
Signature: It
Date: '�i J IAO days oftrr it has been accepted as complete.
MA-ev- W.
'fee methodnlogy set by Tri-County Building Industry service linard.
(Please print name)
i:\Dsu\Permit Fomu\BldgPermitApp.doc 01/03
r
NLY
E1ee611Ca� Per aft ligation �e1� , OFFICE Electrical /,t�
Permit No.I 1Y
Planning
,
Planning Approval Si
City of Tigard r
Date/Bv: Permit No.:
13125 SW Hall Blvd. .11�'� JIJ() Plan Review Other
Datt-B Permit
Tigard Oregon 97223 "IT Use
Datef9v: Land Use
Phone: 503-639-4171 ,� 9�11 �r)rl - Date/Bv: Case No.:
Internet: www.ci.tigard.or.us Contact Juns.: See PaGe'_fur
24-hour Inspection Request: 503-639-415 Name/Method: Sa Icmcntal Information.
TYPE OF WORK PLAN REVIEW Please check all that apply)
New construction Demolition Service over 225 amps- Health-i:are facility
commercial 11 Hazardous location
❑ Addition/,ilteration/replacemient Other: Service over 320 amps-rating cf luilding over 10,000 square feet,
CATEGORY ON CONSTRUCTION I&2 family dwellings four or more residential units in
❑System over 600 volts nominil one structure
1 &2-Family dwelling? Commercial/Industrial C Building over three stones ❑Feeders,400 amps or more
Acces$ory BulldlnS Multi-Farnily__ ❑Occupant load over 99 persons ❑Manufactured structures or RV park
(� Master Builder Other: p Egressnighneg plan — El Other:
Submit sets of plans with any of the above.
JOB SITE INFORMATION and LOCATION The above are not applicable to temporary construction service.
Job site address: 5W �7«rT� FEE*SCHEDULE
Suite #: Bl g./A t.#: J Number of inspections per permit allowed
�– IVI S Description Qty Fee(em) Total
Project Name: s �/' w New residential-single or multi-family per +
Cross streevDirections o job site—dwelling unit.Includes attached garage.
;J �n" Service Included: d
S� 1� 1000 s .ft.or less 145.15 1'k�►15 4
q,� Each additional 500 So.tt.or rnon thereof 33.10 ``.� I
tx
� �p! Limited ener .reside nnai 75.00 wD 2
ision: _ Limited enerav,non restdennal 75•� 2
/ arcel#: Each manufactured homs.or modular dwelling
service and/or feeder
2
DESCRIPTION OF WORK Services or feeders-Installation,
r*�.r„ CT1�j �F — SrWZt�1
titer tion or reloca:fon:
r """ �yy, 200 am s or less 80.30
J f 2,DJr 201 am s to 400 amps _ 106.85 2
401 am s to ti00 n:n s 160bO 2
601 am s to Il)Di)amos 210.60 2
ROPERTY OWN R TENANT Over IOOD amRsitvolts 454.63 2
Name: '1-Uwl RFK �VJrJ S LLC, 66.85 2
C,, 1 n p �p L fNt 2 Temporary services or feeders-installation,
Address: u1 SIJ — alteration.or relocation:
�afx�:((Jc
Z 200 am s or less 66.85 1
Ct /Suite/Zip: r 201 am s to 400 ams 100.-0 2
Phone 92- � 92--dg 401 to WO am I 133.75 =1
ADPL 'ANT CONTACT PERSON Branch circuits-new,alteration,or
d
Name:l.� 5 ic!!1 /GS l,,,X, extension per panel:
A.Fee for branch circuits with purchase of
Address: fxj � UIT�ZU service or feeder fee.each branch circuit 6.65
Civ✓/State/Zi 't-6 ce- t Z B.lee for branch circum without purchase of85 — 2
oC service or feeder fee,rust branch circuit 2
Phone: S Fax: �03 Each additional branch circuit 6.65
Hisc.lService or feeder not included): 2
E-mail:` Yr1 Q- d l t►' J0. OC 7� tach pump or irrigation circle ___ 53.40
CONTRACTOR Each st ur outline li hon S3•40 2
1'lectr ni hic Signal cimuitiv or a limited energy panel. Pa 2 2
alteration.or extension
200 Vista Ave #100 Description:
S:I leni OR 97302 Each additional instiection over the allowable in an of tha above: f
503-3G 1-1.25G Per—inspection per hour min. I hour) 62.SD
CCB:110453 PLC:24-3530 Sup:2919S Other.ver. non fee: –
CCB Lic. #: I Llc. #: - Electrleal Perriilt Fees'
Supervising electrician Subtotal S
si afore reouired: –��
Plan Review 25°'0 of Permit Feel 3
Print Na Lic. #: State Surcharge 18°1e of Permit Feel S
TOTAL PERMIT FEF S
Authorized f //I Notice: This permit application expires if a permit is not obtained within
Signature: VVV (/ �e&� 180 days after it has been accepted as complete.
Slgtt C, �-
*Fee methodology set by Tri-County Building Industry Service Beard.
SO v
(Ple a print name)
is\Dsts\Perrrnt Fomis\E1cPermitApp.doc 01/03
,&=A
FFICE USE ONLY
Mc ^blanical Peit>�i>r dation '
Received Mechanical
Date/Bv: Permit No:/f'/1'7'.4 7 ���-`fit
)UN / lOOJ Planning Approval Building
City of Tigard Date/Bv Permit No.
13125 SW Hall Blvd. CITY OF rlGApp Plan Review other
Date/BTigard,Oregon 97223 3UILDING DIVY10NI Post-R - Permit Use
Phone: 503-639-4171 Fax: 503-598-196 Post-Renew land Use
�`� ( Date/Dy: Case No..
Internet: www.ci.tigardor.us Contact Juns.. � ,, See Page:for
24-hour Inspection Request: 503-639-4175 Name/Method: Sup Ip emental Information.
TYPE OF WORK _ COMMERCIAL FEE*SCHEDULE-USE CHECKIdST
construction Demolition Mechanical permit fees*are based on the total value of the work
ffNew
Addition/alteration/replacement Other: performed. Indicate the value(rounded to the nearest dollar)of all
CATEGORY OF CONSTRUCTION mechanical materials,equipment,labor,overhead and profit.
1 &2-Fainly dwelling ❑ Commercial/Industrial Value: S See Page 2 for Fee Schedule
Accessory Building Multi-Family RESIDENTIAL EQUIPMENT/SYSTEMS FEE*SCHEDULE
Description I Qtv I Fee(ea.) Total
7-.Master Builder Other: HeatinpwjConlin
JOB SITE INFORMATION and LOCATION Furnace-add-on air conditioning" 14.00
Job site address: % .Y4. k.' N-Ity 7m,74) AVE Gas heat pump 14.UO
Suite #: Bld ./A t,#: Duct work 14.00
Proj ect Name: TOW p Hvdromc hot water system 14.00
Residential boiler
Cross street/Directions to jIobsit � eS
jt' for radiator cr hvdronic system) 14.00
sLA) J7TM / Unit heaters(fuel,not electric)
TL� (in wall,in-duct,suspended,etc.) 14.00
Flue/vent(for anv of above) 10.00 10.40
Subdivision: KS lam', 4P— Lot#:.S Repair units I2.I5
Other Fuel Apellances
Tax map/parcel #: Water heater I 1 10.00
DESCRIPTION OF WORK Gas fireplace 1 10.00 0.
Cbq=57—e(&-na) QF EA) -S ! Flue vent(water heweii as fireplace) 10.00 24-10
�� #OMf P� ELS W lighter(gas) I0.00
ood/Pelleilet stove 10.00
Wood fireplace/insert 10.00
Chimnev/liner/fluPivent 10.00
PROPERTY OWNER TENANT Other: 10.00
Name: �}1JTUm KTvW� wt "S �� Environmental Exhaust&Ventilation
Range hood/other kitchen equipment 10.00
Address: 1;D0 SW SJ I-ic Z ZC) --1' b
Clothes nr,er exhaust I IO.OU IQ.
City/State/Zip:- r2.-r -7 2( Single duct exhaust
Phone: 'So S) 2,_ S Fax:N 3 9 2—8egl (bathrooms,toilet compartments,
APPLICANT CONTACT PERSON utilitv rooms) 6.80 20-4b
Name: , Cl. C 4. Rf?0w 8 /T9S CIAKS /AC Attic/crawI space fans 10.00
Address: q �� �/I ZZc� other: 10.00
Fuel Piping_
City/State/'ZI : 2t 7-19 **($5.40 for first 4.SLOO each additional)
PhoFurnace.etc. I "
Gas heat pump
E-mail: r",,&C 0,cl I brownagc c eon- Wall/suspended/unit heater "
CONTRACTOR Water heater "
Smart Beating & Cooling LI•(• FireplaceRanve
"
70 10 N F t'verett St BBQ
Portland OR 97213-6347 Cloth
Clothes dryer fyas) —
503-254-5096 Other-
(111:
ther(111: 154133
r Mechanical Permit Fees*
Authorized
Subtotal: S
Signature: �,�((_- Date: I _ I
Minimum Permit Fee$72.50 I S
VC cr' (__S&1P Plan Review Fee(25%of Pernut Fee) S _
tTlease print name) State Surcharge(13%c Permit Feel S _lTv—_
TOTAL PERMIT FEE S
Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri-,County Building Industry srrnce noarn.
180 days after it has been accepted as complete. **Site plan required for exterior A!C units.
c\Dsu\Pemiit Fnrms\MecPermitApp.doc 01113
Iylllllllil� 1' 111.01 CJ
FOR OFFICE �Si:ONLY
Plumbing PermitAni on
Recnved Plumbing
Date/B Permit No//s 1 7UG
City of Tigard Planning Approval Sewer _
JUN l 7 2003 Date/By: Permit No.:
13125 SW Hall Blvd. Plat Review Other
DateTigard Oregon 9723 crry oi., I_iGAR; Post-Review
Permit Use Post-Review hod Use
Phone: 503-639-4171 Fazll,�p�bi9j�>{S��QIS, uuteBv Case No.. _
Internet: www i.tigard.or.us Contact I Juns Z See Page 2 for
24-hour Inspection Request: 503-639-4175 NameAlcthod. f_ Supplemental Information.
TYPE OF WORK FEE*SCHEDULE(for special information use checklist)
New construction Demolition Description Qty. Feeiea.; I Total
�] Addition/alteration/rep Iacement Other. New I-&2-family dwellings j
CATEGORY OF CONSTRUCTION (Includes too R.for each utility conncctioni
SFR(1)bath 249.20 I
_Nrl &2-Family dweilinuT Commerctah[ndustrlal SFR(2)bath _ 350.00
Accesso BLuldine ;Multi-Family Sr•R 13)bath` _ 399.00
Master Builder FC1 Other: Each additional bath/kitchen 45.00
JOB SITE INFORMATION and LOCATION Fire sprinkler-soft.. Parte 2
Job site address: A, ,L _S4v 1.461 77& t Tun/ Site Utilities
Suite#: Blde.,'Ap[.if: Catch basin.,arca drain 16.60
Drvwell/leach linertrench drain 16.60
Pro ect Name: �}W k Z&i " 'pjr N G S Footing dram(no. linear tt.) Page 2
Cross streetiDirections to lob sl,t' Manufactured home unities 110.00
SLJ 1�v �✓ 0� S' 44vA Manholes 16.60
'�� ►� gyl
j' Rain drain connector 16.60
,� Sanitary sewer ino. linear ft I _ Page 3
Subdivision: �{ K LJ:/*� Lot f#: � Storm sewer(no. linear ft.) Palle:
Water service i no. linear ft.) Pave
Tax rna / arcel#: Fixture or Item
DESCRIPTION OF WORK absorption valve I 16.00
r,1S?72(�C?1C OF E(A) Si'YdA Backflow oreventer Page 2 1MhN -
lyt G Backwater valve 16.60 _
t:lothes washer 16.00
Dishwasher 1(1.50
_ __ Dunkin¢fountain 16.60
PROPERTY OWNER, TENANT Eiectorsisump 16.60
Name: AUT Ytt1J 7_)W^)0045, LLL Expansion tank
Address: q&X 51� / ,� SUl Z Fixturdsewer cap 16.60
C1 /State,�Zi D Q2 Z 1 r`.00r drauvtloor sinkrhub 10.60
Garbage dis osal 16.60
Phone. ';A F 2- (Sc�s g2-X64 I Hose bit, - _ 16.60
APPLICANT -1 0 CONTACT PERSON Ice maker 16.60
Name: De'jeE� L. eeClu,!� b ASQ(_04'C 1,iJC Interceptor%urease trip 16.60
Address: 95X 5, e9je, SU(Tt ZZJ Medical vas .value_S Page 2
City/State/Zip: k.x rL -� , Cr_ ->_i 9 Primer 16.60
�_. Roofdmin(commercial) 16.60
j Phone&3)E-,9Z- 67!;e, Fax Ge'FA2- t Sink basin lavatory 16.60
E-mail: MAtv-1, d I t ,,! _J SCC C Ca r„N Tuh,showerishower par. �- 16.60 ----
�1 CON'T'RACTOR Unnal 16.60
Plumping Experts Inr Water closet 16.60 J
11925 SW Parkway Water heater
ther
Portland 01: 97225-541:3 Other
503-469-0443Plumhing Permit Fees"
CCR 149035 PLM: 34-391 PH --- _ Subtotal S
Minimum Permit Fee 572.50 S `
Authorized //'' - j Residential Backflow Minimum Fee 536.25
signature: _ �-Date: Plan Review(25".of Permit Feel S
UC E (f6'NC- _ State Surcharge(811.of Permit Feel S
(Pleast.,pent name) _ TOTAL PERMIT FEE S
Nodec: This permit application ecpirm if a permit is not obtained within All new commercial buildings require 2 sets of plans wito isometric ori!
IAO days after it has been accepted as complete. riser diagram for plan review.
*Fee methodologv set by Tri-Coun(v Building IndustryService Board.
i:'DstslPerm;t Forms�PImPermiu\pp.do(• 01/03
PROJECT NO. MAT004
STREET BARRICADE--,
DATE: 7/9/03
BY: TJM
WATER
20 7/ - METER � IEUH V E I
L I7717
LOT 62
I1"1'OF TIGARD
2,440 SF i I I 0 ILDINGDIVISIOr
PIA D ELEV=206. I J I a I > v)
CA
61.0'
rC-4
Lj
�oL > V)
OT 61 Ir
F .- -
.830 SF 1 l h p I co
<
WAJ17
-R
PI 12
ELEV=206. MET z
L 0
K:r
1 61.0
z........ .....
SS—
Ln
z U)
r LOT 60 4"
1 1,830 SF I
PIA D ELEV=204.0
ca
LI ; o c
61.0'
00
LLJ 0
�o�
LOT 59 > I 3:
1,830 SF
Z
co
Ln >
PELEV=204. WATER z (N < L.LJ
METUR 03
L C,
I's �n o
4
61.0'
0
LOT 58 (V 0 �: O �> <
2,196 SF u��j 0
>
0 CC 00
P�
CL
202 -- l- ..... ..... U)
(6" AD ELEV=202. 2
co
4" S 00
0
—
61.0
1.0 8, PUE t 6„ SD
i: C,
4
07 X
SETBACKS: i-OT N
GARAGE (PUBLIC) = 20' REAR YARD = 15' �� �`J9 j
GARAGE (PRIVATE) = 8' SIDE YARD = 3'
FRONT YARD (PUBLIC) = 15' - (6' PER FIRE CODE) 58 62
FRONT YARD (PRIVATE) = 3' STREET SIDE = 10' SCALE: (1"=20')_
CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT
PLANNING DIVISION:
Required Setbmks: W Approved ❑ Not Approved
Side: 3 Street Site: �1-�--
From. t t iarac �'— Rear:
Visual Clearance: t-Approved ❑ Not Apprmt:d
Maximum Huildine fleikht• � feet
CWS Service Provider Letter Required: ❑ Ye, } .,
►
❑ Rccei�,.d
k
C�:rtc: -fib -03
E,NGINLI=: ING tit;P;>R i iMl'N"1'
:actual Slope: Z% [TApproved ❑ Not Approved
Site Plan- [Y-Approved Not Appro�cd
_13\. 001, Date: 7d?
i, ..
%
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 #: MST2003-00314
Date Issued: 17/73/2003
Parcel: 1 S133AC-HB059
Site Address: 10845 SW HUNTINGTON AVE
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 059
Jurisdiction: TIC
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, AT-rN: 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 #: LIC 116453 r-
SUP $00W .2o7S
ELE 24-3530
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Supervising Electrician
It you have any questions, please cAl 503.718.2.433.
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 Farm
Permit #: MST2003-00314
Date Issued: 12/2312003
Parcel: 1 S133AC-HB059
Site Address: 10845 SW HUNTINGTON AVE
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 059
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
th( plumbing permit to be valid, please have the appropriate individual from your company sign below and
return this Plumbing Signature Form prior to the siart of the work to the address above, ATTN: Building
Division.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMO[Jf; 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.
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Line: (503) 639-4171 'f
BLIP
Received _______ __Date Requested— AM PM BUP
Location __ L' Sr —Suite --__ MEC _—
Contact Person — —_ h(____) ___�____ PLM
Contractor____ 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/Shear
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing -- --
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling - -
Roof
Other:_ - — — - - -- -- - --- -- -- - -
Final
PASS PART FAIL ---____...-�._.----_- ------- ---_.__-------------- - - - - ---- ---
_PLUMBING
Post& Beam
Under Slab - ---- __ -----�
Rough-In
Water Service -- -- r,<- —'�' '.--- -- — -- -.._� ------ - -- - -- -
Sanitary Sewer
Rain Drains - — ------ - --
Catch Basin/Manhole
Storm Drain - --
Shower Pan
Other: - -
Final
PASS PART FAIL --
MECHANICAL
Post& Beam
Rough-In - - -
Gas Line
Smoke Dampers ---
Final
PASS PART FAIL - -- - --
ELECTRICAL
Service
Rough-In
UG/Slab --- - --
Low Voltage
Fire Alarm
Final f l Reinspection tee of$_
PASS PART FAIL L.� p -----rehuired before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE _ l Please call for reinspection RE: �� Unable to inspect-no access
Fire Supply Line
ADA
/Sidewalk j Date Inspector -- - _Ext -.
Ot -
Final - DO NOT REMOVE this Inspection record from the job site.
P 9 PART FAIL