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10860 SW HUNTINGTON AVENUE CD ao rn 0 N C z Z G7 O z D m i I 10860 SW HUNTINGTON AVE Main Office Seiem Office Bend Office P.O. Box 23814 50 Hudson Ave.,NE P.O.Box 7918 Tigard,Oregon 97281 Salem,OR 97301 Bend,OR 97708 a r l s o n Te s u n g n C Phone(503)684-3460 Phone(503)589.1252 Phone(541)330-9155 FAX(503)684-0954 FAX(503)589-1309 FAX(541)330.9163 S-eciai Inspection FINAL SUMWIARY LETTER July 12, 2004 T0405321.L.CT1 City of Tigard 'i 3125 SW Hall Blvd., Tigard, OR 97223-8199 Attn: Building Department Re. Hawks Beard Townhomes (Lots 31.42) - Lot#42 10860 SW Huntington Ave -Tigard, OR Permit No.: MST2003-00312 Dear Sir or, Madam: This is to certify that in accordance with Section 1701 of the Uniform Building Code, Title 24, we have performed special inspection of the following item(s) )er our inspection reports only. Installation of Epoxy Anchors All inspections and tests were performed and reported according to the requirements of Project Documents ant, to the best of our knowledge, the work was in conformance with the approved plans and specifications, approved change orders and app;icable workmanship provisions of the State Building Code 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. Respectfully-Submitted, CARLSON ESTING, INC. s F. Hietpas /O erations Manager i / JFN!tt / cc. Derek L Brown &Associates Inc. - Bruce gone Froelich Consulting Engineers-- Todd Nagle Mentrum Architecture -- Bayard MentrUm CITY OF TIGARDI 24-Hour BUILDING Inspection Line: (503)639-4175 ,�,oa 3�--6631 Z INSPECTION DIVISION Business Line: (503) 639-4171 NEST BUP Received —___— _._ Date Requested . AM__ PM______.__ BUP . T Location _-�� U �%C -[��.�.-�rw�� l i _ Suite-------rte—, MEC --- - - -- Contact Person ( C:2 Ph( _) �`,�!�o '" 6 -/ 7 PLM Contractor _ _ Ph(__ ) __ SWR BUILDING Tenant/Owner --_-__ ELC Footing - Foundation F LC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes SIT Post&Beam Shear Anchors Ext E heath/Shear Int St•ath/Shear Frami g Insulat on Drywali'Nailing Firewall Fire Sprinkler FM '--�--- - 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 Rough-In Gas Line Smoke Dampers - - - - ------- ---.--.-- - Final PASS PART FAIL - -_.- -- --- -____-_ _------ - ELECTRICAL Service _._. — -- -------- _ Rough-In UG/Slab - Low Voltage 4ESarm S PART FAIL F1 Reinspection fee of$� required before next inspection Pay at City Hall, 13125 SW Hall Blvd. g _ (:] Please call for reinspection RE: -___-T_.-- u Unable to inspect-no access Fire Supply Line Approach/Sidewalk Date ADA -� ✓��- Inspector -k Other: Final -� DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received ._._Date Requested � AM��.___ PM — BUP .— / r7 Location —�rQ SLlittee �J MEC ----- Contrct Person .- � � ( -) �- '�-`=L� PLM - -- Contractor -- --_- _-- Ph(— . 1 SWR _ -- BUILDING I'mant/Owner _ — ELC Footing ELC Foundation Access: Ftg Drain ELR _ _-_._---_---- Crawl Drain SIT Slab inspection Notes: - - ---- Post&Beam - ------ ---- - ---- _ Shear Anchors -- Ext Sheath/Shear -- --- Int Sheath/Shear Framing -- - ----- --- — ----- --- Ins-ilation Drywall Nailing —---- - - - -— Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling —_ ------------ _--_ _ -_-_-- Roof Other: — Final --- ---- -- -- --- PASS PART FAIL PLUMBING_ - _—_- - - - --- _ - -- Post& Beam Under Slab -- ----_ ------ ------- - - -- - -_ Rough-In Water Service - - - -- - - Sanitary Sewer Rain Drains - ---- -- - ---- - ------ -------_ --__p_ Catch Basin f Manhole Storm Drain - - -__ — --. -- - --- ------ - ---- Shower Pan Other - _--------__ --- ---------- ------_ _._--- - � I PSS PART FAIL -- --_.. ....------ ECHANICAL - - --- Post&Beam- Rough-In - -- - Gas Line Smoke Dampers -- - Final PASS PART FAIL --- --_.- ELECTRICAL Service Rough-In UG/Slab Low Voltage -- - Fire Alarm — Final Reinspection fee of$___—_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please gall for reinspection RE:__ --___ C� Unable to inspect- no access Fire Supply Line ADA !� ✓ _ --- Approach/Sidewalk Date �_ inspector Ext Other _ Final DO NOT REMOVE this inspectiGn record from the Job site. PASS PART FAIL 07/12%04 MON 16:48 FAX 303 984 0954 CARLSON TESTING 10,1024 40181"Office ,dem Office Bend Office Inc. P.O.Box 23814 4D60 Hudson Ave.,Nr P.O.Box 7918 Carlson Te s ting �i c a Twp 503) -3A6 Salem, 09-1? one( OR 97706 r�tlorls(50.9)r;N4.3460 Ffrone(503)588-1252 Phone(541)330-9155 FAX(503)684.0954 FAX(503)919-1309 FAX(541)WO-9163 Special Inspection FINAL SUMMARY LETTER July 12, 2.004 T0405321.L.CTI City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223-6199 Attn: Building Department Re-, Hawks Beard Townhomes (Lots 31-421, -Lot#42 10860 SW Huntington Ave-Tigard, OR Permit No.: MST2003 00312 Dear Sir or Madam' This is to Certify that in accordance with Section 1701 of the Undorm Building Code, Title 24,we have performed special inspection of the following item(s) per our inspection reports only: Installation of Epoxy Anchors All inspections and tests wero performed and reported according to the requirements of Project Documents Rnrt, to the best of our knowledge, the work was in conformance with the approved plans and specifications, approved change ciders and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's design changes, approvals and verbal instructions. Our reports pertain to the material testedl)nsperted 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. Respectful) ubmittesd, CARLSO ESTING, INC s F Hietpas U erations Manager JFH/tt r,C. Derek L Brown b Associates Inc. Bruce Gone Froelich Consulting Engineers- 1 odd Nagle Mentrurn Architecture-Fayard Mentrurn i � ► o � � � n rD rD r , z ,Ott ► C4 C pUn plo. °, ► p ► y H lit ► tTl trf o p f . a ►, ► r o 0 , 4 pool � n � pol. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639. 1175 MST 2cL673`C'('31 -1-- INSPECTION DIVISION Business Line: (503)639-4171 BLIP — Received __—Date Requested � Z'Z'' AM ___.PM � BLIP Location __ Suite MEC ---- __ Contact Person Gr,)4AXJZ-- _ Ph ( ) — —� PLM Contractor ---__---—-- Contractor v _ Ph `/R BUILDING Tenant/Owner EL - --- _—__-- Footing ELC Foundation Access: Fig Drain ELR --- —_ -- - Crawl Drain ----- Slab Inspection Notes: SI'T --_ --_ Post&Beam Shear Anchors Ext Sheath/Shear - - - --- - Int Sheath/Shear Framing - Insulation Drywall Nailing -� Firewall Fire Sprinkler -- - - -- Fire Alarm Susp'd Ceiling -- -` Roof Other: - SS PART FAIL - BIND - j-om&Beam Under Slab T Rough-In Water Service - - --- Sanitary Sewer Rain Dre;ns -- - --- ---- Catch Basin/Manhole Storm Drain Shower Pan Other: _ Final PASS PART FAIL - — _MePANftll. — -- -- - — — -. Post earn Rough-In — Gas Line Smuke.Dampers - PART FAIL --- RICAL Service Rough-In UG/Slab Low Voltage — -- —- Fire Alarm Final F-1 Reinspection fee of$- _-__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE -`^- -- Unable to Inspect-no access Please call for reinspection RE:__ Fire Supply Line ADA Approach/Sidewalk Date / "r __C Inspector Other:--- Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIOARD MASTER PERMIT PERMIT#: MST2003-00312 DEVELOPMENT SERVICES DATE ISSUED: '12/2.3/2003 13125 SW Hall Blvd.,Tigard,OR 97221 (503)639-4171 SITE ADDRESS: 10860 SW HUNTINGTON AVE PARCEL: 1S133AC-12400 SUBDIVISION: HAWK'S BEARD T OWNHOMES ZONING: R-25 BLOCK: LOT: n-l_' JURISDICTION: "1'I(; REMARKS: Ne,v SFA dwelling. 6/15/04: Altered plan from 3 to 2-bath. BUILDING _ REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT. 12 FIRST: 48 of BASEMENT: at LEFT: SMOKE DETECTORS. Y TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 640 of GARAGE: 574 of FRONT: PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: ! THRO 728 of RIGHT: : OCCUPANCY GRP: R3 BORM l BA1I1 .- TOTAL VALUE145 36.1 40 1,416 of - REAR: PLUMBING SINKS: 1 WATER 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 I WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<10OK: I BOILCMP<3HP: VENT FANS: 4 CLOTHES DRYER: I LPG FURN>-TOOK: UNIT HFATERS: HOODS: ! OTHER UNITS: 2 MAX INP: btu FLOOR FURNANCES: VENTS. 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: W/SVC OR FOR: PUMP1IRRIGATION: PER INSPEC110N: EA ADO'L 500SF: 2 201 •400 amp: 201 •400 amp 1st WOSVGFDR SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 1 401 -600 amp: 401 •600 anp: FA AUDL 13R CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 801 1000 amp: 6014 ampo-t000v: MINOR LABEL: 1000+omolvolt PLAN REVIEWS ECTION _ Reconnect only: >=4 RES UNITS: 9VCIFDR>=225 A.: >800 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL-RESTRICTED ENERGY _ A.SF RESIDENTIAL COMMERCIAL AUDIO A STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOWPAGINL! OUTDOOR LNDSC LT. BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL. GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL. OTHR: HVAC: DATA1TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,073.29 AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN 8 ASSOCIATES IThls permit is subject to the regulations contained In the 9500 SW BARBUR BLVD., STE 220 4949 SW MEADOWS RD SUITE 400 nd al otherMunipal Code,State of I woR.rk Specialty Codes PORTLAND, OR 97219 LAKE OSWEGO, OR 97035 and all other applicable laws. All work will i done in aroordance 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: 971-233-0075 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Red•: LIC 58699 rules are set forth In OAR 952-001-0010 through 952-001-0080. You mayobtain copies of these rules or direct questions to OUNC by calling (503)246-1987. REQUIRED INSPECTIONS Ersn Cntrl 681-4444 Slab Insp .,echan.cal Insp Plumbing Top Out Gas Line Insp Shear Wall Insp Sewer Inspection Plmlundslb Insp Mechanical Insp Framing Insp Gas Line Insp Shear Wall Insp Footing Insp Electrical Service Mechanical Insp Framing Insp Gas Fireplace Shear Wall Insp Footing Insp Electrical Rough-in Mechanical Insp Framing Insp Gas Fireplace Shear Wall Insp Foundation Insp Mechanical Insp Low Voltage Framing Insp Insulation Insp Sheat Wall Insp Issued By Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day Ck N OF TI GARD SEWER CONNECTION PERMIT — DEVELOPMENT SERVICES PERMIT#: SWR2003-00246 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/23/2003 SITE ADDRESS; 10860 SW HUNTINGTON AVE PARCEL: 1S133AC-HB042 SUBDIVISION: HAWK'S BEARD TOWNHOMF'� ZONING: R-25 BLOCK: LOT: 0=42 JURISDICTION: l it; TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 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 Description Date Amount 9500 SW BARBUR BLVD., STE 220 p --_ — PORTLAND, OR 97219 [SWUSA] Swr Connect 12/23/200; $2,400.00 [SWUSA] Swr Connect 12/23/200: $0.00 Phone: 503-892-8758 [SWINSI'J Swr Inspect 12/23/200; $35.00 [SWINSI'J 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: 7 -� ��7� Permittee Signature: �L Call (503)639-4175 by 7:00 P.M.for an Inspection needed the next bLisiness day Luilding Permit Application � Z I im 7f 171 IF Received Building ..� ? R E G L f � j E Planning v 03 Permit No.: City of Tigard II l \/ Platming ApprovAl other `,t g Date/Bv: Permit No.: ,s'` .Zy 13125 SW Hall Blvd. )��N �7 ,7 ?Q� DaReview Z O} other Tigard,Oregon 97223 0 }� f Permit No: Phone: 503-639-4171 Fax: 54jW-(Wtll, Past-Review Card use DattJBv: Case No. Internet: www.ci.tigardor.us BUILDING DI Contact 1 see Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: supplemental Information -TYPE OF WORK REQUIRED DATA: New construction Demolition I & 2 FATY13LY DWELLING Additioni'alterationire lacement LE Other: CATEGORY OF CONSTRUCI:ON Note: Permit fees'are based on the total value of the work performed. Indicate 1 &2-Family dweiliniz I Cornmercta VIndustnal the value(rounded to the nearest dollar)of all equipment,materials•labor, overhead and profit for the work indicated on this application. ccessory Building Multi-Family 4y Master Builder Other: Valuation..................................................... S /# JOB SITE INFORMATION and LOCATION No.of bedrooms: No.of baths: 2 Y2 Job site address: IQEfQCJ Su) k6qnjUc,,1 _ Total number of floors..................................... New dwelling area(sq. ft.).............................. V L4 lig _ Suite#: I BIdE.'Aot.#: Garage/carpon area(sq. ft.)............................ st Project Name: HAW 4S S IZ7.4411eMES Covered parch area(sq. ft.)....I........................ -- Cross street/Directions to job site: Deck area(sq. ft.)............................................ 5W 11.)," /h/"G Ab S-hl. 9AWKS 1304 Other structure area(sq. ft.)............................ ` REQUIRED DATA: COMMERCIAL:-USE CHECKLIST �,. �• - '. •': Subdivision: �K� "�7wa l Lot#_� Tax map/parcel #: I Note: Perrrut fees'are based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value(rounded to the neamst dollar)of all eouipment,materials,labor, �' NE�J 5 Srt�ta � overhead and profit for the work indicated on this application. 1�u,( Valuation......................................................... $ ' — Existing building area(sq. ft.)......................... New building area(sq. ft.)............................... — Number of stories............................................ •PROPERTY OWNER TENANT Type of construction....................................... Name: IJR m ft( PA?-K �lrlWl+tE 4.1.6• Occupancy group(s): Existing: New: Address: gt5W S W VwV 1 to &- 5111 Z 2Z) --City/State/Zip: 'PO , Oe 9-72-19 Phone: So3 692.675 Fax:rwleA2-- 3 NOTICE: All contractors and subcontractors are required to be APPL[CAIYT 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: bWK l..-E(tCU4 C AS$MI}�f' jurisdiction where work is being performed. If the applicant is exempt Contact Name: O'1/t+e K (441,19jO U2 lli!Lct PGA j7, from licensing,the following reason applies: Address: qSo SrJ P5 (AAe• ( 7YC ZtO — City/State,/Zi e OrL qr-7 2a Phone:4ot092-6-6i8 Fax:&jX2-6 - 13UELDING PERMLT TEES',- E-mail: CONTRACTOR ............• 1= 'lease refer to Yee schedules - Business Name:beFC L 4&wfJ f490C1,4gQ YJG, Fees due upon application.............................. 3- Address: 9 bd SIT &3 /b Su ZZO Girl'/State/Zi t2'[- (L 9-1 Amount received............................................. S Phone:C-oM-9195 I Fax: 6u5 qZ-?'g l Date received: CCB --- AtlthaNotice: This permit application e,plres if a permit is not obtained within Signature: Date: dj 180 days after it has been accepted as complete- M/4- iA) *Fee methodology set by Tri-County Building Industri•Service Board. (Please print nrme) i:lDm\Permit Fornv\BldgPenmitApp.doc 01/03 Electrical Permit Alication OFFICE r - - Received Electrical Date/By: PermitNo. City of Tigard esti �� Planning Approval Sign "� •� RECEIVED Data/By- Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 u J1�1 .. p Date1B : Permit No.: Phone: 503-639-4171 Fax: 5'03�5"'Li b Poct-Review Land Use Date1B : Case No.: Internet: www.ci.tigard.or.u�1TY OF TIGAR contact tuns.: See Page 2 for 24-hour Inspection Reque �Qj( 71151 Namc/Method: Su i Icmental Information. TYPE OF WORK _ PLAN REVIEW Please check all that apply) New construction Demolition Service over 225 amps- LJ Health-care facility Addirionialteration/re lacement Other: commercial ❑Hazardous location Service over 320 amps-rating of ❑Building over 10,000 square feet, CATEGORY OF CONSTRUCTION l&2 family dwellings four or more residential units in �711 &2-Family dwelling Commercial/Tndustrial ❑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 strurtures or RV park Master Builder LJ Other: ❑Egress lighting plan ❑Other: JOB SITE INFORMATION and LOCATION Submit_sets of plans with any of the above. The above are nota licable to temporary construction service. Job site address: I D 5.101 ,�7i �►J FEE'SCHEDULE Suite#; BI g./A t.#- Number of Ins ections per permit allowed Project Name: 444W4<S 'T" (,J HIES Descri tion V Qty Fee lea.) Total New residential-single w multi-tantifv per + Cross street/Directions^t�o job Site: /,Jt dwelling unit.Includes attached garage. S� AVCJ"U6 -S Service included: ��nnW�� 1000 sq. ft.or!ess 145.15 I`J 4 �YJTMi' Each additional 500 s .ft.or mon thereof 33.40 `ifi.h I n� -- Limned energy,residential 75,00 47 2 Subdivision: l� Lot#: Limited energy,non residential 1 115,00 2 Tax ma / arcel#: Each manufactured home or modular dwelling DESCRIPTION OF WORK service and/or feeder 90.90 2 Services or feeders-installation, S"r t,,(.�.CT104 CF 3 sr� alteration or relocation: ""fJ1J200 ams or less 80.30 2 '01 ams to 400 ams 1 106,85 1 2 401 amps to 600 ams 160.60 1 2 ROPERTY OWNER _� 'TENANT - 601 ams to IWo amus 240.60 z Name: A)-rV k✓1�r,� CNJrJ Iw� )_ Over nett amps or volts 454.61 2 •r'G5 � Reconnect only 66.85 2 Address: 9 LW-&�A, , (U INS 22Z Temporary services or feeders-installation. Cl /Stott'/Zl :" �bqT— t alteration.or relocation: - '2 00 amps or less 66.81 1 Phone 9 — i•75 401 to 600 am 133.75 2 Fax: 5o3 9 z-ee [ 201 ams to 400 ams _ 100,30 2 ADPL ANT CONTACT PERSON Branch circuits-new,alteration.or Name: d SC�J(f�Q- S /�1�, extension per panel: Address: cS11 Y�JW—AVI �w A.Fee for branch circuits with purchase of service or feeder fee,each branch circuit 6.65 2 City/State/Zip: CC �-7B.Fee for branch circuits without purchase of Phone: �31�. n 513 Fax: So3 service or feeder f'ee,tint branch circuit 46.35 2 Each additional branch circuit 6.65 2 E-mail: yrs (L d I tr`0 wtJ0. OG C0e,�i Wsc.(Service or feeder not included): =' CONTRACTOR - Each tun or irrigation circle 53.40 2 Each sign or outline lighting 53.40 2 F IC0111111 I I1C Signal circuit(s)or a limited energy panel, 2050 Vista Ave h 1(111 alteration,or extension Pae 2 2 Salem OR 973112 Description: 503-361-1256 Each additional Inspection over the allowable in any of the above: Per inspection pei hour i min. I hour) 62.50 CCB:116453 ELU:24-3530 Sup:2919S Investigation fee: _ CCB Lic. #: �Lic. #: other: Supervising electrician Electrical PertiiltFees* - Subtotal 1' Signature required: Plan Review(254'0 of Permit Fee) W - J Print Na Lic. #: State Surcharge(8%of Permit Fee) S Authorized L TOTAL PERMIT FEE S gn I^ Notice:This permit application expires if a permit Is not uotnuitu"iuiui Signature: DateA66 180 days after It has been accepted as complete. / "Fee methodology set by Tri-t-ounty Building Industry Service Board. IF ITAli S013 (Pleale print name) i:\Dsts\Permit rvtms\ElcPermitnpp.doc 0103 / F10111 1 ONLY- --P,leehanical Permit Application Received Mechanical DaIeJBVt I Permit No.: RE G E I V EF Planning Approval Building City of Tigard D, te�av: _ Permit No.: 13125 SW Hall Blvd. �y Plan Review I other Tigard,Oregon 97223 JUN 200. Post-Review Permit Use �— g PosDate/Bv:ew Land Use Phone: 503-639-4171 Fax: 50T�V6?(IIGJ- Datell3v Case No.: Internet: www-ci.tigard.or-lis Contact Juns.: See Page'for 24-hour Inspection Request: 5b39 �3 DIV Name/Method: upplemental Information. TYPE OF WORK �� COMMERCIAL FEE-SCHEDULE-USE CHECKLIST New eonstrucUoll Demolition_ Mechanical pernut fees'are based on the total value of the work AdditlOn/alteration/replacelnent Other: performed. Indicate the value(rounded to she nearest dollar)of all mechanical materials,equipment,labor,overhead and profit. CATEGORY OF CONSTRUCTION 1 &2-Family dwelling Commercial/Industrial I Value: S _ , See Page:far Fee Schedule RESIDENTIAL E UIPM :N /SYSTEMS FEE'SCHEDULE �[ Accessory BuildingMulti-Family Description I Qty_ Feee(ea—) Total Master Builder Other: Heatin Conlin JOB SITE INFORMATION and LOCATION Furnace-add-on air coridinnnmg" 14.00 .GO Job site address: /0Y410 _J;A/ /4UAWA167r01Q AVE Gas heat pump 14.00 Bldg./A t.#: Duct work 14.00 I .°o Suite#: Hvdronic hot water system 14.00 Proj ect Name: 1�r4e W 0 Residential boiler Cross street/Directions to job sit - I (for radiator or hvdronic system) 14.00 SW 150 �hi �E � -]VvUnit heaters(fuel,not electnc) (in wall,in-duct,suspended,etc.) 14.00 Flue,vent(for anv of above) 10.00 lo.a Repair units 12.15 Subdivision: P—P Lot#: Z-- Other Fue:A liances map/parcel Tax #: Water heater` 10.00 u.V DESCRIPTION OF WORK Gas fireplace _ 10.00 A/ S/ QF &J _S S 1– �/ Flue vent(water heater/gas Creplacei 10.00 ZU." Log I ghter Inas) 10.00 Wood/Pellet:stove _ 10.00 _ Wood fireriace/insert 10.00 Chimne-liner/flue/vent 10.00 PROPERTY OWNER ENANT Other: 10.00 Name: ?MM 49�K'r(w� /N S LC-G Environmental Exhaust&Venulallon Range hood other kitchen equipment 1 10.00 10.10 Address: 1 SIV s�ll�c Z Zv Clothes dryer exhaust 10.00 10 " city/State/Zip: T(/h '12 l Single duct exhaust Phone: So's 'Z-67S Fax:N) 80?--aegi A (bathrooms,toilet compartments, APPLICANT CONTACT PERSON utility rooms) 6.80 Z7.ZD CC�dC < B(1vcJ b �45IM�S /�C• Attiacrawl asp ce fans _ 10.00 Name: Other: 10.00 Address: q<,co J*gV;6 0=44SI/1 2?w _ -- Fuel Piping _ /State/Zl 't- Cir ZI "(55.40 for first 4,51.00 each additional) Phone: So3 �R�--8-7SB Fax: 503 eqz-ee ( Furnace,etc. •• Gas heat pump " E-mail: ✓heti C G d I brecin a, 5v C.,7n--\ Wall/suspended/unit heater `« CONTRACTOR Water heater "« Smart Heating& Cool LLC Fireplace 7616 NE E\'erett St Ranee " BBQ " Portland OR 97213-6347 Clothes drver(gas) 503-254-5096 Other: — `• ('CB; 154133 Total: f Mechanical Permit Fees. Authorized �j�� A7 Subtotal: S � C) Signature: _ Date: Minimum Pemut Fee S72.50 $ Plan Review Fee(251,10 of Permit Fee) S (Please print name) State Surcharge(80/62f Pemut Fee) S TOTAL PERMIT FEE S ( _ Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri-County Building Industr �••^ 180 days after it has been accepted as complete. **Site plan required for exterior A/C units. i:\Dsts\Permit Forms\MecPermitApp.doc 01/03 1*:illlll[1�:, 1' 11.1L1iA c:a MCE USE Plumbing Permit Application Received Mit , Plumbing , NL DateJBv: _ Permit No.: �. t i jr : t Planning Approval Sewer City of Tigard R L-ka� e y t---` Date/13y Permit No.. 13125 SW Hall Blvd. Pian Review Other Tigard,Oregon 97223 ��N ,y �7 DateiSv: Permit No. Phone: 503-6393171 Fax: 5 3- 8-1960,�i i Post-Review Land Use -�r DaterBv: Case No.: __ Internet: www.ci.tigard.or.us CI f'l'OF TiGAt C vitact Juns.: Sec Pate 2 for_ -� 24-hour Inspection Request:;*A Namea,Me:hod: I Supplemental Ininrmadon. TYPE OF WORK FEE"SCHEDULE(forspecial Information use checklist) New construction Demolition Description I Qty- Ll Fee(ca.l Total Addition/alteration/re lacement Other: New I-&2-family dwellings CATEGORY OF CONSTRUCTION (Includes 100 ft.for each utilitv connection) 1 &2-Familydwcllin _Commercial/Industnal SFR(1)bath _ 249._0 '1 SFR(2)bath �� 350.00 Accessory BuildingI L Multi-Familv SFR(3)bath -�' 399.00 as Master Builder I Ll Other: Each additional bath/kitchen 45.00 JOB SITE I NFOILNIATION and LOCATION Fire s nnkler-sq. ft.. Paae 2 Job site address: 5'�'G ,lV 7 Nc 7 i/ Site Utilities Suite#: Bld ./A t.#: Catch basin/arca drain 16.60 Project Name: k �� -' by Jk M FootinDrvweg drain no. linear a ar dram aae 2 Foonn dram(no. linear ft.) Paae 2 Cross street/Directions to fob sit Manufactured home utilities 110.00 SI,J I7,C t''` N� F, �� S' �' Manholes 15.60 36A �ri��-' Rain drain connector 16.60 Sanitary sewer(no. linear ft.) Paae 2 Subdivision: �4 'K� �C`�+E'� Lot#: 1i Stoi7n sewer Ino. linear ft.) Paee'_ Water service(no. linear ft.) Paae Ta ma / arcel #: Fixture or Item DESCRIPTION OF WORK Absorption valve 16.60 Ct)kSMIA-C710JOr E(A) 3 S i Backflow preventer Page_2 -rrjw1j 1Wb L ( J ID SQ Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 ROP ERTY OWNER TENANT M Ejectors/sump 16.60 Name: A(N' M�LA K Ti) 6NJ F4 MES, LLL Expansion tar..k 16.60 Address: q GX 5VJ '&f_4,V/ SUV( Z ZO Fixture/sewer cap 16.60 Cit /State/Zi D Or,, Cil Z Floordrainifloorsink/hub 16.60 Garbage disposal _ 16.60 Phone. cj)32- 15 Fax: So3 92-Eleq I Hose bib 16.60 -B-APPLICANT CONTACT PERSON lce maker 16.60 J Name: UCC L. u/P1 s.ASOCJh:�S �)Q, Interceptor/grease trap 16.60 Address: 95th 5 i.J fyt>;8�IIID Su tTE z2 Medical gas-value: S Pae 2 Primer 16.60 CL '/State/Zip: a, Cr- g-7 11 Roof drain(commercial) 16.60 Phone 3&Z-6756 1 FaxGd3 JN.2` 6 Sink/basuvlavatory 16.60 E-mail: V_d, I C Carte Tub/showenshower an 16.60 CONTRACTOR Unnal 16.60 _ Water closet 16.60 Plumbing Experts Inc Water heater 16.60 11925 SW Parkway Other: Portland OR 97225-5413 Other: 503-469-0443 Plumbing Permit Fees• Subtotal S °D ("('F3: 149035 PLM: 34-391P13 Minimum Pe'lnit Fee 572.50 S Authorized `/ //,,>> /�� Residential Backflow Minimum Fee 536.25 Signature: �f� (,G'1+✓." Date: Plan Revicw(259%of Permit Feel S _ ( ,�y c E ce All State Surcharge 189'0 of Permit Feel S (Please print name) TOTAL PERMIT FEE Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 1 sets nl'plans witn isomeu is 0- 180 days after it has been accepted as complete. riser diagram for plan review. *Fee methodology set by Tri4.aunty Building Industry Service Board. i:\Dsts\Permit Fomu\PlmPernutApp.doc 01103 16 PROJECT N0. MAT004 SS> 8" ZS — S.W. HUN TINGTON AVE. DAT03__11,ku t I V l4jK1 Vi WATER DRIVE DRIVE "TY 0F TIGARD .......... 29.0 WA.TEFf 00 Lit 8' PUE–T' ITER SD of X L".jI I u. LOT 42 6 LOT 41 0l �.z Lo K 0 .116 SF 1,450 SF 2 I 40 ELEV=202.0 ca x PAD ELEV=202 u 00 z 42.3' 29.0' wl .0, �,j EROSION-- -:c 1 .5' PUE 'i x 'LOT 32 00 Cc a 40.3' 31 CjON TROL LOT 31 1012 SIF EDIME`NT L FE-.NCE 1,706 SIF PAD ELF--',/=202 0 w VISION I�p 0 ELEV=201.0 ............. C L E*A RANCE 1 1WATER uj > RI NILE JI a. .51 < Z 3 11.0' 00 40.3" C Z Z LTJ Z 1 WATER v 7— m DRIVE10- 00 RIVE C 00 8A KED WATER METERS a: FOR LOTS 31 THRU 1,116— 00 '1 w Lr)< Z 6SID 0 'BRIARWOOD PL. a- m a)oo oLn coo 0 SETBACKS: SILT SACK INLET GARAGE (PUBLIC) = 20' PROTECTION (TYP.) GARAGE (PRIVATE) = 81 FRONT YARD (PUBLIC) = 15- FRONT YARD (PRIVATE) = 3' REAR YARD = 15' SIDE YARD 3' 11 32 – (6- PER FIRE CODE) STREET SIDE = 10' 41, `42 CITY OF TIGARD - SITE: PLAN REVIEW RUILDINCi PERMIT NO.; /Y,§ oa3 3/ I'LANNING DIVISION: Required Cetbacks: F Approved ❑ Not Approved Side: jr-3 Street Side-, -1-0— I'l-ow. y Rear: Clearance; IYj Approved ❑ Not Approved ',I:�,. .z�unt $uildins Meiultl•,�, test C'11 -, 'wrvicc Provider l.xltcr Required: ❑ `v% (� No , , MAIAR i HENT: Ca'Appro\%:d Ll Ni'll Approved []'A ppro.od ❑ Not A plxoved Ditty. 1, /.f 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 #: MST2003-00312 Date Issued: 12/23/2003 Parcel: 1 S133AC-HB042 Site Address: 10860 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 042 Jurisdiction: TIG Zoning: R-25 Remarks: New SFA dwelling. Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Division. No electrical inspections will be authorized until 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 it: 503-361-1256 Req #: 11( 11645 SLIP .211111111W - ELE 24-3530 AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of , upervisiog Electrician It you have any questions, please call 503.718.2433. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE PLUMBING EXPERTS INC 11925 SW PARKWAY PORTLAND, OR 97225-5413 Plumbing Signature Form Permit #: MST2003-00312 Date Issued: 1212312003 Parcel: 1 S133AC-HBO42 Site Address: 10860 SW HUNTINCTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 042 Jurisdiction: TIG Zoning: R-25 Remarks: New SFA dwelling. Your )mpany 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, LL.0 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. 1 CITY OF TI©ARD Residential Certificate of Occupancy tits��t1 3- o -�.-- dC Permit No.: Address: Owner/Contractor: Date of Final Inspection: This structure has been found to be in substantial compliance with the provisions of the State of Oregon One& Two Family Dwelling ,S ecialt Code and is hereb a rnved for occupancy.