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10855 SW HUNTINGTON AVENUE i1 co V• n / f `1 T c z C. 0 z r m I 10855 SW HUNTINGTON AVE CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received Date Reau sted -------- PM.---- BUP L-hol Location - 1/6 e� �� =��z 1 -- Suite MEC Contact Person Ph Pt -M IM 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 _ T/1 " Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Root Other: Final PASS PART FAIL PLUMBING �� Post&Beam UndAr Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: F;naI PASS PART FAIL MECHANICAL Post&Beam Rough-in Gas Line Smoke Dampers Final PASS PART FAII. R1 Rough-In UG/Slab Low Voltage Pir.AlarmS) El SS PART FAIL Reinspection fee of required before next inspection. Pity at City Ht,ll, 13125 SW Hall Blvd. -4 - grim Please call for reinspection RYE: Unabie to Inspect-no access Fire Supply Line ADA Date 9 21- Approach/Sidewalk Inspector Other: Final DO NOT REMOVE this Inupectlon record from the job site. PASS_ PART FAIL CITY OF T'IGARD 24-Hour BUILDING Inspection Laine: (503) 175 MST INSPECTION DIVISION Bu,iness Line: (50;1W BUP Received Date Requested MA P BUP Locationy g �`� _Suite MEC _ Contact Farson 02'Lt.c.cam__ Ph(---) PLM Cont to _ — Ph( _) SWR B DI G __ Tenant/Owner __ ELC _ Footing ELC Foundation Access: Fig Drein ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam - Shear Anchors — Ext Sheath/Shear Int Sheath/, hear r"-raming — --- -_ Insulation Drywall Nailir I -- — — Firewall Firu Sprinkler -- - - Fire Alarm Susp'd Ceiling - -- Roof % Other: -�— PAS PART FAIL • PLUMBING Post& Beam Under Slab ---------- -- Rough-In Water Service - — -- 41 Sanitary Sewer Rain Drains ---------- --- - Catch Basin/Manhole Storm Drain ---- ---- --- — - ShowerPan Other: — Final PASS RT FAIL - PICRA"I. Rough-In - — Gas Line Smake Dampers ---- -- - mal4kPART FAIL --- - ELEMRICAL -Service -- -- Rough-In _ UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$_- required before next inspection. Pay at City Hall, 13125 SW WeN Blvd. PASS PART FAIL SITE — ❑ Please call for reinspection RE: — � Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date- 61lRepeater Other: _ __ __ _ Final — - DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL c ®kAAAAAAAAAAAAA AAAAAAAAAAAAAAA 1AAAAAAAAAAAAA > ► r� .etTl ,i ✓ 0 ► ► fD tzl ► o.o 4 Poo.r ► con O rb crq O ► 1 ~ 7 Un Iy � ��` rr fD ► �! F� ► M C,1 ► rD 44 No. rD �Ajj ° r 41 o ► .j *1 N � � r ► d Q' ► •1 -�' f ► 44 n CITY ®F T I G A R D — MASTER PERMIT DEVELOPMENT SERVICES PERMIT#: M 23/20 00313 DATE ISSUED: 12//23/2003 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 SITE ADDRESS: 10855 SW HUNTINGTON AVE PARCEL: 1S133AC-14000 SUBDIVISION: HAWI<'S BEARD TOWNHOMES ZONING: R-25 BLOCK: LOT: t)5` JURISDICTION: TIG REMARKS: New SFA.dwelling. 9-20-04 AC unit addax. _ BUILDING REISSUE, STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED___ CLASS OF WORK: NEW HEIGHT: "f1 FIRST: 106 of i BASEMENT: of LEFT: SMOKE DETECTORS t TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 636 of GARAGE: 404 of FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: 1 TRRO: l09 of RIGHT: OCCUPANCY GRP: R3 BDRM: 1 BATH 2 TOTAL: 1,453 of VALUE: 147,74480 REAR. FLUMSINO _ SINKS: 1 WATER CLOSETS! 2 WASHING MACH: 1 LAUNDRY TRAYS RAIN DRAIN: i W, TRAPS LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: +Ou SF RAIN DRAINS: CATCH ,ASINS: TUB!SHOWERS: I GARBAGE DISP: 1 WATER HEATERS: 1 WArER LINES- mo OCKFLW PREVNTR: GREAF-TRAPS: MECHAN19 OTHER FIXTURES: FUEL TYPES FURN<100K: + BOIL/CMP<31-1 11. VENT FANS: 3 CLOTHES DRYER: 1 I I'�1 FURN> 100K. UNIT HEATERS: HOODS I OTHER UNITS I MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: _l ELECTRICAL _ RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFE£DERS BRANCH CIRCUITS Y MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200amp0 - 200amp: W!SVC OR FOR PUMPIIRRIGAr1ON. PFR INSPECTION: EA ADD'I.500SF 201 - 400 amp: 201 400 amp: lot WO SVCIFDR SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY. + 401 600 amn: 401 -600 amp: EA ADDL B7 CIR SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 601 1000 amo 601wamo&1000v: MINOR 1-ABEL 1000.amnlvoll: Reconnect only: PLAN REVIEW SECTION �.— >•4 RES UNITS: SVC/FDR>-225 A.: >600 V NOMINAL: LLS AREAISPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOMIPAGING OUTDOOR LNDSC LT, BURGLAR ALARM. OTH: BOILER: HVAC: LANDSCAPEIIPRIG. PROTECTIVE SIGNIL GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: 01HR HVAC: DATA/TELE COMM: NURSE CALLS. TOTAL S SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,112.08 AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN 8 ASSOCIATES chis permit is subject to the regulations contained in the 9500 SW BARBUR BLVD„ STE 220 4949 SW MEADOWS RD STE 400 l d al oche opal Code,State of l w Specialty Codes PORTI.AND. OR 97219 LAKE OSWEGO. OR 97035 and all other applicable laws. All work will it done in accordancewith approved plans This permit will expire if work Is not started within 180 days of Issuance,or N 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 Roo 0: LI(' 58699 rules are set forth in OAR 952-001-0010 through 952-001-0060. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-1987. REQUIRED INSPECTIONS Ersn Cntrl 681-4444 Slab Insp Low Voltage Gas Fireplace Shear Wall Insp Shear Wall Insp Sewer Inspection Pim/undslb Insp Plumbing Top Out Gas Fireplace Shear Wall Insp Shear Wall Insp Footing Insp Electrical Service Framing Insp Insulation Insp Shear Wall Insp Shear Wall Insp Footing Insp Electrical Rough-in Framing Insp Shear Wall Insp Sh,ar Wall Insp Shear Wall Insp Foundatlon Insp Mechanical Insp Gas Line Insp Shear Wall Insp Shear Wall Insp Shear Wall Insp Issued By :/`--�C+--�- �-"'" -� Permittee Signature : Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day L.0 T NIC, CITY OF TI GAR D SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00247 13125 SW Flail Blvd., Tigard, OR 972.23 (503) 639-4171 DATE ISSUED: 12/23/2003 SITE ADDRESS; 10855 SW HUNTINGTON AVER PARCEL: '33AC-HB058 SUBDIVISION: IIAWK'S Iil ;ARI) I'OWNHONI1 S ZONING: R-25 BLOCK: LOT: 0x JURISDICTION: 1Ic; 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 — �T Description Date Amount 9500 SW BARBUR BLVD., STE 220 PORTLAND, OR 97219 1SWUSA) S\�r Connect 12/23/200 $2,400.00 1SWUSA) Swr Connect 12/23/200< $0.00 Phone: 503-892-8758 [SWINSI') Swr Inspect 12/23/200; $35.00 1SWINSP) Swr Inspect 12/23/200' $0.00 Contractor: _ -- Total $2,435.00 Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-6699. Issued by: � � f-tc Permittee Signature: Call (503) 639-4175 by 7:00 P.M.for an inspection needed the next business day _kirFOk OFFICE IUSk ONLY iilding Permit Application Recerved , Building tt DatrJB 7 0, Permit No.r�(r,2o09' �.! 1 Planning Approval Other City of Tigar Date/Bv: PermitNo.4(x)11.21103 2y7 13125 SW Hall Blvd. Plan Review Other I�N ,� Tigard,Oregon 97223 2003 DatefB 0-23.03 Permit No.: Phone: 503-639-4171 Fax: 503-5Q 1960 ra Fist-Review Land Use �� DatrJBv: Cue No. Internet: www.ci.dgprd,c7t.U6 a S ib ti it��+¢ Contact Jun .: See Page 2 for 24-holo'Inspection Request: 50 - i9�I'75v Name/Method: T�C� Supplemental Information TYPE OF WORK REQUIRED DATA: New construction LJ Demolition I &2 FAMILY DWELLING .Addition/alteration/replacement Other: CATEGORY OF CONSTRUCTION Note: Permit fees'are based on the total value of the work performed. Irdicate 1 &2-Familv dwelling CommerciaUlndustrial the value(rounded to the dollar)of all equipment,materials,labor, overhead and profit for thea work work indicated on this application. ,kccessory Building ( Multi-Family Q I y 7 71q.00 Master Builder Other: Valuation......................................................... JOB SITE INFORMATION a d LOCATION No.of bedrooms: 3 No.of baths: Job site address: Q Sul 71nIG'lUJ UE Total number of floors..................................... 3 _ New dwelling area(sq. ft.).............................. _ 140 _ Suite#: I Blde./A t.#: Garage/carport area(sq. ft.)............................ _ 4eq _ Project Name: H W1CS UTvwlrlHDMt;S Covered porch area(sq. ft.)............................. 37- Cross street/Directions to job site: Deck area(sq. ft.)............................................ Other structure arca(sq. ft.)............................ REQUIRED DATA: 16 COMMERCIAL-USE CHECKLIST Subdivision: Lot#: Tax map/parcel #: Note: Permit fees*are based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value(ruunded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. r,cr( taFF NES) 5 sroR T +Nf- Valuation......................................................... S Existing building area(sq.ft.)......................... New building area(sq. ft.)............................... Numberof stones............................................ EROPERTY OWNER TENANT Type of construction....................................... Name: tT17JM t� PA9K1.(�—L.L.G• Occupancy group(s): Existing: Address: 95w S�Rule Bc- 5u Z ZX) New: City/State/Zip: 'TSU �-O2 972-19 Phone: So3 �q2•�~5 Fax: 3 Ff12-$� � NOTICE: All contractors and subcontracto•s are required to be APPL CANT CONTACT PERSON licensed with the Oregon Construction Connectors Board under provisions of ORS 701 and may be required to be licensed in the Business Name: K l-._ga0Q4 a fKSW#f jurisdiction where work is being performed. If the applicant is exempt Contact Name: rvlAt K (�QW c.2 IeLct PtA+JZ from licensing,the following reason applies: Address: q5ab SW &Ae ?.e 2PA Citv/State/Zi Ore, qZ 21 PhoBUILDING PERMIT FEES* E-mail: en a P k Q..d(b rig W A ASSOC-i CO/Irl Pleasi refer to fee schedule. CONTRACTOR Business Name:jfg,�_t L_KawiN A AS wM N6, Fees due upon application.............................. Address: TRX-) _SW_skisi►2 6 S a* 220 tg� 1 Amount received............................................. S C1 /State/Zi : fb2:l Phone.So 897A 7S$ Fax: S 3 " 88 l Date received: CCB Lic. #: Authorize ,� Notice: This permit application expires If a permit is not obtained within Signature Date: 180 days after it has been accepted as Complete. k ' t *Fee methodology set by Tri-County Building Industry Service Board. _(Please print name) i:\Dsu\PermitFomu\BldgPeffnitApp.doc 01/03 c FOR OFRCE USE ONQ Electrical Permit Application Received Electrical AiN 7 201�.i Date/B : Permit Not j 1.2003-()01/17 Ci of Tigard Planning Approval Sign City anCITY g OF TIGARE; Date/'av: Permit No.: 13125 SW Hall Blvd. WILDING DIVIS10f Plan Review Other Tigard,Oregon 97223 Post-RV: Permit Use Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Card Use ?"?ia++,1 DatdBv: Case No.: Internet: www.ci.tigard.or.us Contact Juns.: See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: SUS I_me ital Information. TYPE OF WORK PLAN REVIEW Please check all that apply) . New construction Demolition Service over 225 amps- Healthware facility commercial ❑Hazardous lot;tion Addidon/alteration/re lacement 1 U 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,n 1 &2-Familv dwelling Commercial/Industrial ❑System over 600 volts nominal one structure ❑Building over three stories ❑Feeders,400 amps or more Accessory Building Multi-Family ❑Occupant load over 99 persons ❑Manufactured structures or RV park Master Builder Lj Other: ❑Egressftlghting plan ❑Other: JOB SITE INFORMATION and LOCATION Submit_sets of plans with any of the above. The above are not applicable to temporary construction service. Job Site address: 05W �n � _ (SUE - FEE*SCHEDULE Suite #: Bl I;./A to Number of los ections per permit allowed Project Name: S W4C ffiE S Description Qty Fee(ea.) Total New residential-single or multi-family pe; i CrossseeC/DlrethOnS_t0 Site: \ � `f� dwelling unit.Includes attached garage. J` rQ,v Uf Service Included: d 1000 sq. ft.or less 145.15 Each addinonal SW sq.ft or m1on thereof � 73.40 � I I-tmued ener ,residential 75.00 dD 2 Subdivision: ,ted energy,non residential 75-00 2 Tax map/parcel #: Fat i manufactured home or modular dwelling DESCRIPTION OF WORK set-ice and/or feeder 90.90 2 c — services or feeders-installation, -rLu CT1Ut.J Cr 3 STGve-,_4 � alteration or relocation: 200 amps or less 80.30 1 f+ 201 ams to 100 ams 106.85 2 401 amps to 600 ams NOV 2 -ROPE RTY OWNER TENANT - 601 amps to 1000 amps _ 240.60 2 Over 1000 amps or volts 454.65 2 Name: AV-17)P,14 f2ftjk Td%1►ppJ b- t ES LIQ Reconnect only 66.85 2 Address: q 11�-D�- SO INc. Z2Z Temporary services or feeders-installation, alteration.or relocation: City/State/Zip: rZ T-' I Com. 2 200 amps or less _ 66.35 1 i12_— �S� Fax �92'L'U 201 amps to 400 amps 100.30 2 Phone401 to 600 amps 133.7s 2 ADPL ANT CONTACT PERSON Branch circuits-new,alteration,or Name:l�, d a+ S 47S I/NG I extension per panel: �S ( A Fee fpr branch circuits with purchase of Address: uJ �'�1 � Ul Z� service or feeder fee,each branch circuit 6.65 2 Ct /StatelZl : 'R)rt r( `J� �'U B.Fee for branch without purchase of service or feederr fee.tint branch circuit 46.85 2 Phone: S Fax: So3 Each additional branch circuit 6.65 2 E-mail. rr (1.- d(trat COM Misc.(Service or feeder not included): .CONTRACTOR - Each um or,m ation circle 53.40 2 Each sign or outline lighting $3.40 2 l'll'Cll'11111 I I1C Signal circuit(s)or a limited energy panel, alteration,or extension Pa 2 2 20 VISICt Ave 100 Description: Salem OR 97302 Each additional inspection over the allowable In any of the above: 5O3-301-1250 Per inspection pethour(min. Ihour) 62.50 CUBA l0453 IA,C:24-353(' Su11:21119S i investigation fee: Lie. t#: I other_ _ .:CB Lic. #: Electrical Peniilt Fees* ' -• - --t' ' Supervising electrician r Subtotal S signature required: _ _ Plan Review(25%of Permit Fee) S Print N e: Lic. : _ State Surcharge(8%of Permit Fee S ---�- TOTAL PERMIT FEE S Authorized �2 Notice: This permit application expires if a permit is not obtained within Signature: __ "" Oate: a. 180 days after It has been accepted as complete. 9L9_p� f ' I f *Fee methodology set by Tri-County Building Industry Service Board. _ —N— [ �-- (PIO pent nartic 1 i:`r)sts\l,emut Fnnns\ElcPerrnitApp.doc 01103 NLY Mechagical Permit Application ' !�N Received Mechanical �� _ Date/Bv: permit No.: City of Tigard ' r i Planning Approval -- Building -- Date/BN: _ Permit No.: 13125 SW Hall Blvd. Plan Review other ?0O1 DatdBv: Permit No.. Tigard,Oregon 97223 _.� Phone: 503-639-4171 Fax: 503-5987 Post-Review — Land Use „, Data/Bw Case No.: Internet: WWw.ct.tigard.or.us Contact Juns.: I E See Page 2 for 24-hour Inspection Request:- 60i�'6 9*49 Name-,Method: Supplemental Information. TYPE OF WORK _ COMMERCIAL FEE"SCHEDULE-USE CHECKLIST fNew construction Demolition Mechanical permit fees'are based on the total value of the work [] Addition/alteration/re lacement I F1 Other: performed. Indicate the value(rounded to the nearest dollar)of all CATEGORY OF CONSTRUCTION . mechanical materials,equipment,labor,overhead and profit. 1&2-Family dwelling ❑ Commercial/Industrial Value: S _ See Page 2 for Fee Schedule Accessory Building Nfulti-Farnily RESIDENTIAL EQUIPMENT/SYSTEMS FEE*SCHEDULE Description 1 Qty I Feefea.) I Total Master Builder Other: _ Heatin Coolin JOB SITE INFORMATION and LOCATION Furnace-add-on air conditioning'• 14.00 1 ,X Job site address: /GYM:;- f1UA1'r1Al(>'rvK1 AVE Gas heat pump 14.00 Suite #: I Bldg./A to Duct work 14.00 1 14"o '�� Hvdronic hot water system 14.00 Project Name: aOW Residential boiler Cross street/Directions to jobbsstt j SW (for radiator or hvdronic system) 14.00 Unit heaters(fuel,not electric) Te � Se6r (in wall,in-duct.suspended.etc.) 14.00 Flue/vent(for any of above) l 10.00 10.40 Subdivision: fK✓ /�. 1> Lot#: .7 Y. Other Fuel A (lances Repair units 12.15 Tax map/parcel #: Water heater I 10.00 I(7•' DESCRIPTION OF WORK Gas fireplace ! 10.00 0. Sr ()1` Lo� ST Flue vent(water her.ten as fire lace) 10.00 2.0 Log lighter(gas) _ 10.00 VIond/Pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner/flue/vent 10.00 PROPERTY OWNER TENANT Other: 10A0 Name: ji lw( (�t2K-t'�(,,�, pr►� S LLt: Environmental Exhaust&ventilation Range hood/other kitchen equipment 1 10.00 Address: SA/ 6v� SV ik Z 2v ao Clothes dryer exhaust 1 10.00 10. Ci /State/Zi ^ 2T �L( Single duct exhaust Phone: Su3 2- S Fax:N)9 92 aeq( (bathrooms,toilet compartments, ,I� APPLICANT RS CONTACT PEON utilitv rooms) —5 6.80 r`N Name: CSC �.. RRvul��► 8 rxIM�S /A/CAnic/cmwl ace fans 10.1,10 Address: � D S—j/i 27-0Other: 10.00 Fuel Piping City/State/Zip— a_( 21 **($5.40 for first 4.$1.00 each additional) _ Phone:(S-al) 2R2-x"158 Fax: �;3 ER J ee Furnace,etc. " Gas heat pump E-mail: rnP�C C d I bra>wnassc)c cz ev-, Wall/suspended/unit heater •' CONTRACTOR Water heater " Smart Heating & Cbolil)g 1,1.0' Fireplace •'_ 7616 NE Everett Sl Ranee •' __ Portland OR 97213-6347 BBQ — Clothes drver(gas) 503-254-5096 Other: _� •• CUR. 154133 _ Tocal: Authorized Mechanical Permit Fees• _ Signanre: /�f�( Ll/: � Subtotal: S I L(_ Date: 6' y.3 Minimum Permit Fee$72.50 $ LS L) E NF1 Plan Review Fee(25116 of Permit Fee) S _ (Please print name) State Surcharge(8%of Permit Fee) S �t7 TOTAL PERMrP FEE $ Notice: This permit ap,rlicstion expires if a permit Is not obtained within *Fee methodology set by Tri-County Building Industry Service Board. 190 days rafter it has b-en accepted as complete_ ••Site plan required for exterior A/C union. i:0sts\Penmt Forms\M mPermitApp.doc 01103 tSlillUlll� 1' 1.1L111 �� Plunihinty PermitApoliealtion Received Plumbing. tORLY ' "It aoo Do d��, Datci}3v: _ Permit No: � 3' City of Tigard t- Planning Approval Sewer Date/Bv Permit No.: 13125 SW Hall Blvd. iIN ) 7 Plan Review Other t �u,; Tigard,Oregon 97223 Post-RDate�Beview _ Permit Use Phone: 503-639-4171 Fax: �4 �9�60 Post-Rev,e.v [and Use I�D1�(a ('11j, Datal3v: Cane No.: Internet: www.ci.tigard.or.us Conrad Juns.: See Page 2 for 24-horn Inspection Request: 503-639-4175 Nantc Method: Supplemental Information. TYPE OF WORK FEE*SCHEDULE(forspecial information use checklist) :F---New construction Demolition Description Qty. Fee(ra.) Vital Addition/alterationire/alteration/replacement Other: New I-& family dwellings CATEGORY OF CONSTRUCTION Includes 100 ft.for each utility eunnectlonl SFR(1)bath 249.:0 i 1 & 2-Family dwelling- CotnmerciaUIndusmal SFR(2)bath 350.00 -n,411 Accessory Building :Multi-Familv SFR(3)bath 39900 LJ iyiaster Builder ❑ Other: Each additional bathilcitchen 45.00 JOB SITE INFORMATION and LOCATION Fire s nnkler-sq. ft.. Page 2 Job site address: CI SW 14VA1-r 1i, Ail Site Utilities Suite#: Bldlz./A t.#: Catch basin/area drain 16.60 Drvwell/leach line/trench drain 16.60 Pro'ect Name: ks � � TG)v� k PM S Footing drain(no. linear ft.) Pae 2 Cross street/Directions to job s�te^ 1d ;Manufactured home utilities 110.00 jLJ 1�0 n, AV&Jue �+ ' S• I�. F�+ Manholes 16.60 36/4-4b S� w� Rain drain connector 16.60 Sanitary sewer(no. linear ft.) Pae 2 Subdivision: Af 4W<�� Lot#: 5 Storm sewer(no. linear it.) Pa�e 2 Water service(no. linear ft.) Page 2 _ Tax map/parcel #: Fixture or Item �J DESCRIPTION OF WORK Absormnon valve 16.60 ii 1A.0 T1G F i-,V&4 Backflow preventcr Page 2 ( 1 (d8 5 Backwater valve 16.60 Clothes washer 16.60 -- Dishwasher 16.60 Drinking fountain_ 16.60 ROPERTY OWNER TENANT �ectors/sum 16.60 Name: ,A IJ rote N MM 5 LC. Expansion tank 16.60 Address: 9&X < VJ &4, Sl/(t-C ZZO Fixture/sewer cap 16.60 Ci /$tate,�Zi Q A U2 '-12 Floor dmttvtloor sinluhub 16.60 Garbage disposal 16.60 Phone. Sv52- 5EI Fax: 5c)3 612-E-6 l Dose bib 1660 APPLICANT CONTACT PERSON Ice maker 16.60 Name: bEerE L. Mv//�) S AZOUA41 S I PC. Interceptor/arease tra 16.60 Address: 95X S t J &ff Bee, gLAr SU rTE Zza 1 Medical gas-value: 5 Pae 2 Primer 16.60 City/State/Zip: RXr Cr a'7 111 Roof drain I commercial) 16.60 Phone 3 Z-6758 Fax Gdl eTZ-6641 Siniubasin/lavato 16.60 E-mail: It-J, G• Ca w-, Tub/shower/shower pan 16.60 CONTRACTOR Unnal 16.60 ` Water closet 16.60 _ Plumbing iA.xperts Inc Water heater 16.60 1 1925 SW Parkway Other: Portland OR 97225-5413 Other: t= 503-469-0443 Plumbing Permit Fees* ('C'B: 149035 PLM: 34-391 PB Subtotal f C)_ Minimum Permit Fee 572.50 S Authorized //'' Residential Backflow Minimum Fee$36.25 Signature: /. IAAV Date: !� 'f!/U Plan Review(254%of Permit Fee) S 7 . ,c E (fdN _ State Surcharge(8%of Permit reel 5 °r' (Please print name) 177_ TOTAL PERMIT FEE Notice: Phis permit application expires if a permit Is not obtained within All new commercial buildings require 2 jets of plans -�• 180 days after It has been accepted as complete. riser diagram for plan review. *Fee methodology set by Tri-County Building industry Service Board. i:\DstsTermit Forms\PlmPermirApp.doc 01103 PROJECT NO. MAT004 STREET BARRICADE-- ., DATE: 7/9/g.3 61.0' WATER o O� - 207-- METER. ._ ow k i L,` t.,IFY Cif- I IUA o' i LOT 62 i -QUI DING DIV SION� � 2,440 SF L. PIA D ELEV=206. I I '01 1 0 61.0' N + c - - •- N v 1 X00 I LOT 61 I IQ))o I o! j x V S— I 1,830 SF I I o 1 cc , Q + o WA.T R O � G � PI El EV=206. I MET Z a cc cn J �� I ' O a % S a O Q M1 1 61.0' uj 1!�D I Q)co 4� 5 S z LY, rn W o s, r LOT 60 v -D m a 1 I 1,830 SF PIA D ELEV=204. I J I W I I I a V) 61.0' _ I o 0 1 LOT 59 I I O Z o I 1830 SF I �' n o ` iv ZLn ; O 1 PI ELEV=204. I I WAAR Z ?'s 00 a W 1 Of l a } ,� M ETER �,;,_ - O O 5sLn �- 002 C� I 61.0 - .... ...._ ....._. � ? 1I I � Q Q LOT 58 p = O 9 I 2,196 SF I �` > cn `c .J Im Ln 1. _ _ ... � ..... ..... ... _ �;'.. 202 -P ELEV=202. I I ;xa I (j)�Ln Lao 61,0'_ 8' PUE L !t 6" SD - - - - - - - 2 - ETBA GARAGE (PUBLIC) = 20' REAR YARD = 15' GARAGE (PRIVATE) = 8' SIDE YARD = 3' — 62 FRONT YARD (PUBLIC) = 15' - (6' PER FIRE CODE) FRONT YARD (PRIVATE) = 3' STREET SIDE = 10' „ SCALE. CITY OF T—IGARD - SITE PLAN REVIEW BUILDING PERMIT NO., & PLANNIN6, DIVISION: -','voulred Sethucks: M—Approved ❑ Nut Apl)ro%t(l tilde: sireel Side- From. Garage: -A y Renr: suml Clearimce: Approved C3 Not Approkvtt 'laxillium Building Height. -y-5 reel t. A'S Service Pawider Letter RetIttowd. No 19b -C) '(i 1)1--'PAR*Ipl:.N; I Not Appro%vo site Plan: [!rAppro%ed C11 Not Apprmed Nv Al. Date: 2/03 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 #: MST2003-00313 Date Issued: 12123/2003 Parcel: 1 S133AC-HB058 Site Address: 10855 SW HUNTINGTON AVE Subdivision HAWK'S BEARD TOWNHOMES Block: L-ot: 058 Jurisdiction: TIG Zoning: R-25 Remarks: New SFA dwelling. Your company has been indicated as 'ne 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 yo-ar company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Division. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL_ CONTRACTOR: AUTUMN PARK TOWNHOMES, LLC ELECTRUM INC 9500 SW BARBUR BLVD., STE 220 DBA, F PECTRUM ELECTRIC PORTLAND, OR 97219 2050 VISTA AVE #100 SALEM, OR 97302 Phone #: 503-892-8758 Phone #: 503-361-1256 Req #: LIC r lo-453 SUP ELE 24-3530 AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Supervising Fle0rician If 'Vc,U I-w-e 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 #: MST2003-00313 Date Issued: 12/23/2003 Parcel: 1 S133AC-HB058 Site Address: 10855 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 058 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 X Sigrtature of Authorized Plumber If you have any questions, please call 503.718.2433. a CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPEr.TION DIVISION Business Line: (503)639-4171 BUP Received _ Date Requested —_Z+ __ AM ` _ PM—_.__-___ BLIP Location _—_ `S __Suite__._— MEC --_ Contact Person _—_-__— & kee.� Ph 3('(4 — t 1 _ PLM Contractor-- --- -- - - -– -- Ph( —) 3 7!5 (10 SWR ----------- BU_ILDING Tenant/Owner - ELL Footirg ELC ------ Foundation Access: Fig 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 ----- - - -- - -- __r_. - - - ------- ---- Fire Alarm Susp'd Ceiling - --- - - - Roof Other: -- Final PASS PART FAIL _PL_U_M_BING_ _ Post& Beam Under Slab -_- --- - --- - --- - - - - -- Rough-In Water Service - - Sanitary Sewer Rain Drains --- - - -- Catch Basin/Manhole Storm Drain - ------- ------ ---._.__.. _. _� Shower Pan Other: -�- - - ---- PAS PART FAIL - _MtUANICAL Post& Beam Rough-In Gas Line Smoke Dampers - — - - - ----------- Final PASS PART FAIL —_--- ELECTRICAL Service Rough-In UG/Slab Low Voltage ---------- Fire Alarm Final f Pa Inspection.required before next Reinspection ter of $ _ re ins Cl Hall 13125 SW Hall Blvd, PASS PART FAIL l � p 4 p y at ry SITE �� Phase call for n:rnspectinn RE: Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date ? i >�� ( Inspector (Oro Ext I Ext Other: _ Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2004-00696 DEVELOPMENTSERVICES DATE ISSUED: 11/1/2004 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S133AC-14000 SITE ADDRESS: 10855 SW HUNTINGTON AVE ZONING: R-2.5 SUBDIVISION: HAWK'S BEARD TOWNHOMES LOT : 058 JURISDICTION: TIG BLOCK: Project Description: Installation of(1)200 amp or less service and (3)branch circuits. RESIDENTIAL..UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL_ (10): SERVICE/FEEDER BRANCH CIRCUITS -- ADD'L INSPECTIONS 0 200 amp: 1 W/SERVICE OR FEEDER: 3 PER INSPECTION: 201 - 400 amp: Ist WIO SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: — PLAN REVIEW SECTION 1000+ amp/volt: —4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: _` SVCIFDR—225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: AUTUMN PARK TOWNHOMES LLC ELECTRUM INC 4949`"N MEADOWS RD#400 DBA SPECTRUM ELECTRIC LAKt_ SWE GO,OR 97035 2050 VISTA AVE#100 SALEM,OR 97302 Phone: 971-233.0075 Phone: 503-361-1256 Reg #: LIC 116453 _— SUP 22235 FEES ELE 24-3530 Description Date Amount Required Inspections__ 1J.PRMT1 ELC'Terrill 1 I;1 2004 $100.25 Rough-in — I AX1 8%,State Surchm c 111,200-i $8.02 Elect'/Service Total $108.27 Elect'/ Final Tlus Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR Specjalty Codes 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 work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rare set forth id OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at(503) �468699 or 1$00-33 344. (Issued B !6I,� Permit Signature OWNER INSTALLATION ONLY , —The installation is being made on property I own which is riot intended for sale, lease, or rent. OWNER'S SIGNATURE: —_ — —_.— DATE: _-- CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _� aZ ��'---- DATE: ------ I_I C E N S E N O: —--— 'Z ---_ --------- — -- -- - Call 639-4175 by 7:00pm for an inspection the next business day 10/26/2004 16:37 5033618810 5PECTPUM ELECTPIi: PAG[ 01 L'ectrical Pc rmit .Application (City of Tigan' R Wined 1317.'iSWNallBW, TiRKdOR 97.123 NmRcv� Plvovfr +01.659.4171 Fay 301.591!1460 OAe P!m+a 1+sgtxLon Lintz SOJ.619 4115 Ali kRandy _ 0 1w i Irr tfslnnel WWW tr.apJrrdnr.ua I4apficdMetborl_._-_--- F_ I l�pkawn�MILAO_ramcon t" - --- --7"M cW WOe11C Ei.AN l 'I1S91 u _ [deMl OOe�ltucAton []AddiboWelteat odrM. Womarit Plow c W Ort apply _ p Deow uan A_.Other ery - -- U9im am 211 orm camn'l UHuArdm a taoalino %waive oAm 320 a mm--nmig ❑Briking*%w 10.000 Rol ft., 1 ; 1yI;: r a•^, • 1l ®R�:OPy_1irItUCI1bl1 � of 1-rod 2-fkuky dwellings 4 or mons new roti&3mw 1-end 2-&xudy d"Ihft CmmacWAndtutt nI C1Aoctas0ty b UByrsn oast 600 volt-"iful Wob,in vee.arcwne `[f Mt11ti•3MUZ 1 as tfuildG Li 099 ot'toildlne mer ttv"era•+. ❑Feedm,400 awe m twn fit ❑0mupwf lordarer"venom ❑WwuftdwvdWuatu aam h:;!�4!I<. vf{' ;��C7B 1l�7 ^ID +"eve"wI_.r 1g4 'iMM'7L'r: ..'u ❑�M�✓� tl Rvpow Job oo.: _ Ion site I/�$J`J U Iyu X117 ', ❑Haaluraa*ti gay ---- 9ulndt,j aeel dplam*ft kn of dw abnre. Clty/sa ) The stow re a+gn4k2ble to ttmpor.y oonstrudWa Wrvioe. Suitb%IftJMA.no FMat pens: FIM- K11191M- BMW-All �qq�►r i��•• Ctw+iumi/dimb au to job site. 13 C� New r.slistld slope.13 r»aw e.nib dw SR wrtit Ift""S'r�u+dsed"X20. 1,0001%R.a lets 145.1 S 4 Subdivision. I S t, ` �� Lot no,: Ba,add'l 500 94 A or portion 33t+0 t — Linited WW,�aidtllrld 7100 r Or Wo _2 lex mepJpeocel rkf,. ,��,iramal_ — 75.00 2 - -� _ _ LimnedF.arA irssu0u.tcac,l or marltla �- — dMIK" arv"os&(r Radar irsayloes K 4Nan 100105"M%,dkawtlw,_NNnr r%10*A M ;�, � 300 tmp or kss 11010 ct iii i uwmm D TwtmT .. 201 Imp to 100 rl�t 10681 - 1 -167.60 7 I 6111 to 1,000 - 240.40 2 mdm-. U ca oK.t•000.mpr ar yofK _-- - 4 s4 d s — 2 Ram City/9taWLlP: sL� d 3 S T p.ta�r aetMersser.lers er Ildeas ral.rttla4 eikr+salel .kAler a Phate ( A) Z J'3 c U-)S Fax: ') )2 {�U `1 100 turps a t� 6615 -- -T t Owner irstalistion:This ipMUntion is beim made an plop oty thimjo"wbjrhjqno 201 100.50 2 intended fa;vele,ltwm,MOM or"rhange,according to ORS 447,449,670.and-ITJI 401 ante to 600 atrlpt 153 7S 2 Ownrtsignett a' •�_Datt: _ — _ sr+ItrAelntib`wiw.sNtnllssLsrsstealNm, Cl A1T1,1CAM O CID14 AM rRAWN A.Per fbr brandy avc m rlrh Business. rulme: < �, � (J J < S (JL- brut cin:rh B, m Fbr bnrrrfi tifCUfh Comw name. ' - C _- �# _Sa3 SSW 6- $�i wrrhow m 0 CA nr feed"far. Addrrss C (�� `a (� !!dl brumh eirm — - � !&add'I brtneh alrmit 6.65 2 CityBtaldZlP:j ,� r r- R CL')0� s MimmIlmmom (- Wee or bader.aa.d..e., - deep or uriptlan 6rcle — 13 40 �' 2 C epr_aratbe:u� 15.40 2 E�teil: - iFlpltl c+rad(a)a lievn� Ch}f7 RALTOR amp PmL vk"iew or BtMtlass 11afie � &"Wmim D"MAN Parr 2 2 Eads slelNtuJ Yn_ aner dMsa►Nls>rs A�._ir�.�--•-�-►5� _ - �°--,.c�Y_,E_'_.5.r��_�1.��.Y. _ re• im a:_awerat 269ve City/31a11J '��'�r�yj Q 9T Ca 111vdi�Iaoo�ea boor(1 it rlN) 61.30 -- Phone:(S.03I ex (sem> ) ljp� CCB Lic,; ElerMcAl 1"tc __ 111.IIC?X1GL FIRM FW* Sup".tic ---_ SWv Electrician aWatma,tequ __ ��_---Plsarevia..(2sxofpwndewt) �. ._ Pri»r nares Vete: 91aee•aelltegp(attdptlatN fie) _� Authorited sipuAvs: _ — �__---- TOTAL r6RMff r __. __ -iM4 Inewii eplle�tl•a�Mn+if a parwk N nd--oMirwd� wrAN 1 tlr f�fl)1t Oettle, -�»_ Am"Aer N Im bwe eec*pM s rapMi Dole. Fee nxYwaolnlp ret br•1'n l o.aRy ea+l.tryl Ixt.,..vena r I'rn.af .—.---.�_."—.. •"*fienA•r d tnw+e.,.en�ea e.+rrrH dlnrwrl CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-41'71 4L n MST — Received _- Date Requested— ( ZZ' AM PM BLIP Location Suite— MEC Contact Person Ph(—..,) PLM Contractor Ph(— ) —_ SWR BUILDING Tenant/Owner ELC Footing ELC:1?10U`� Foundation Access: Ftg Drain ELR Crawl Drain — Slab Inspection Notes: SIT Post& Beam — -- -- ---- �.---- ---- Shear Anchors --_.-- Ext Sheath/Shear Int Sheath/Shear Framing Insulation - - -- --- Insulation Drywall Nailing -- --- - - -- -- Firewall Fire Sprinkler - ----- - -- - - --- ----- -- ----- Fire Alai Susp'd Ceiling --- - -- - - - -- -- - Roof Other: ---- ------- -- -- ------ Final %ASS 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 Rough-In -- ---- - Gas Line _ Smoke Dampers - - ---- - - - -- Final PASS PART FAIL -- - ----- �- ------------- --------------- ----- .m— --- ELECTRICAL OW "M—ugh-in UG/Slab Low Voltage - - ---------rFlgal Alarm - 1 1 Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall BlvcJ. PART FAIL _ -_ —- SITE ] Please call far reinspection RE:__--___-_..___ n Unable to inspect-no access Fire Supply Line ADA ,/� r � Approach,'Sidewalk Date a�__ Inspector --f--!:^�� r+ 2 _--_ Ext Other: Final DO NOT REMOVE this inspection record from the lab site. PASS PART FAIL. CITY Of TIGARD � Residential Certificate of Occupancy { 1l O 1 'M1�-ry "� Permit No� Address: �" � � Perm ----- __ Owner/Contractor: -- Date of Final Inspection: /1� Inspector: '�— This structure has been found to be in substantial compliance with the previsions of the State of Oregon One& Two Family Dwelling S ecralt Code and is hereby approved for occu ancy. - _ c