Permit CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2003 -00286
l DEVELOPMENT SERVICES DATE ISSUED: 11/3/03
- -� °''' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10830 SW BRIARWOOD PL PARCEL: 1S133AC -HB013
SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25
BLOCK: LOT: 013 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: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 636 sf GARAGE: 536 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 709 sf RIGHT:
VALUE: 149,008.40
OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 1,453 sf REAR:
PLUMBING
SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 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: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: 1 BOIUCMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1
LPG FURN > =100K: 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 /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 2 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EAADDL BR CIR: SIGNAL /PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps 1000v: MINOR LABEL:
1000+ amp /volt :
. PLAN REVIEW SECTION
Reconnect only:
> =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,072.45
AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES INTiga p rd Mun Municipal Code, State of OR. Specialty Codee s and
9500 SW BARBUR BLVD., STE 220 9500 SW BARBUR BLVD #220 all other applicable laws. All work will be done in
PORTLAND, OR 97219 PORTLAND, OR 97219 accordance with approved plans. This permit will expire if
work is riot started within 180 days of issuance, or if the
work is suspended for more than 180 days. ATTENTION:
Oregon law requires you to follow rules adopted by the
Phone: 503 - 892 - 8758 Phone: 503 - 892 - 8758 Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through 952 -001 -0080. You
' Reg #: LIC 58699 may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Erosion Control Insp 8 Plm /undslb Insp Plumbing Top Out Shear Wall Insp Water Line Insp Mechanical Final
Sewer Inspection Electrical Service Framing lnsp Exterior Sheathing Insf Water Service Insp Building Final
Footing Insp Electrical Rough -in Gas Line lnsp 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
r.
Issued : i ! ���� Permittee Signature : -A/
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
i , s,/) — = pt EC�E YE
P ermit A 1 1CatioII FOR OFFICE USE ONLY
'Building pp Received Building
JUN 2 7 2003 Date/By: 4/ 2 s Permit No..eSr;2-00 - 06.2PC,
City of Tigard Planning Approval Other
CITY OF TIGA' A Date/By: Permit No.: c O / , 603 90o?/ 9
13125 SW Hall Blvd. BUILDING DIVI' ON Plan Review Other
Tigard, Oregon 97223 Date/By: / 0,.23' 0 3 A O Permit No.:
Phone: 503 - 639 -4171 Fax: 503 -598 -1960 4, #`1'00ill's; Post-Review ew Land Use
er Case No.
Internet: www.ci.tigard.or.us -- Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503- 639 -4175 Name/Method: 7/6" Supplemental Information
TYPE OF WORK REQUIRED DATA:
2rNew construction ❑ Demolition _ 1 & FAMILY DWELLIN G '':
❑ Addition/alteration/replacement ❑ Other:
;".- - .CATEGORY OF CONSTRUCTION - = - . - . Note: Permit fees* are based on the total value of the work performed. Indicate
Z.1 & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building (i Multi- Family iii 9 008, ate ❑ Master Builder ❑Other:
Valuation
':...` - f ::::: :, SITE INFORMATION LOCATION - - No. of bedrooms: 3 No. of baths: ..
Job site address: !O8 7 BRIArztoccib pma. Total number of floors . ;
New dwelling area (sq. ft.) _ / `I fl
Suite #: Bldg. /Apt. #: Garage/carport area (sq. ft.) _ 534
Project Name: HAWKS 1 €.AR To..lrltlnM,ES Covered porch area (sq. ft.) 32
Cross street/Directions to job site: Deck area (sq. ft.) 7 g.
sv.► I ' Avigoe ifk sAv. SKr BEA Other structure area (sq. ft.)
REQUIRED DATA:.
COMMERCIAL = USE CHECKLIST -:.: : 7 --; :; -:; • :,`
Subdivision: 1.-1A04‘ a ) T 4 "ES Lot #: 1,3
Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate
DESCRIPTION'OF WORK . H` the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
l"�I or NEiJ 3 ST - 02.i Tai , �
`P243SEt5 / Valuation $
(r / Existing building area (sq. R.)
New building area (sq. ft.)
Number of stories
J P.ROPERTY OWNER :.:...".. -I: -.❑ TENANT 7..- �•:' . :: --•- - Type of construction
Name: Atrun1 PAie K TO1.41449IvLES / L . L. L . Occupancy group(s): F
R-3
Address: 95co 5 VJ We Btj>e &A, Su 0f. Z2.6
City /State /Zip: - PoerLho \ i> , 02 q7 Zla
Phone: 601j ei2 -$15' Fax:6,3' enz- 41 NOTICE: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
V APPLICANr' ` . da CONTACT PERSON..: = provisions of ORS 701 and may be required to be licensed in the
Business Name: lEKEK L .3G4 ,2O1. c M0006 / ( , jurisdiction where work is being performed. If the applicant is exempt
Contact Name: Mike K (644S az- etcr Pe z from Licensing, the following reason applies:
Address: g5t3o SbJ + Sj t?Yc 2ld
City /State /Zip: Nefrzittt6 Oil ' 1 2-1
Phone: l 1 Fax:(5cAgat2.-6e4( • ... - - -.._. :.
BUUJMNG: PERMITTEES 'r`
E- mail.: ,a.r K 4-d 16 roLd6 i4SSoc , con-► . Ylease schedule.' -'
' .CONTRACTOR ,. .,. .._ .
Business Name: 'bf 4 L. ( 1N 4 Ask,ls vvG, Fees due upon application $
Address: ' x) Stn/ 6 Aia&iig BLVD i Su 220
City /State /Zip: RbeT'LAi.) Q2 - 12 9 Amount received $
Phone:3\ 692 -875 ( Fax: (Sd3 )0QZ-86 4 l Date received:
CCB Lic. #:
Authorized ' 4(a03 Notice: This permit application expires if a permit is not obtained within
Signature: ✓ ✓ ✓��` Date: 180 days after it has been accepted as complete.
/ 1/ 1 4e- A[ J 'Fee methodology set by Tri -County Building Industry Service Board.
(Please print name)
i:\Dsts\Permit Forms\BldgPermitApp.doc 01/03
Electrical Pe> )
bion FOR OFFICE USE ONLY FOR
Electrical
Date/By: Permit No.:itS 03 '60,2i - '(
City of Tigard Planning Approval Sign
JUN 7 2UU Date/By: PermitNo.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 CITY OF TIGAND Date/By: Permit No.:
Phone: 503 - 639 -4171y ` q �p Post- Review Land Use
>DSIIL���V LION + Date/By: Case No.:
Internet: www.ci.tigard.or.us _AI- e`i I I Contact Juris.: . El See Page 2 for
24 -hour Inspection Request: 503- 639 - 4175 ""
Name/Method: Supplemental Information.
• TYPE OF WORK PLAN REVIEW ' lease check all that a t .1
,New construction El Demolition ❑ Service over 225 amps- • Health -care facility
commercial ❑ Hazardous location
❑ Addition/alteration/replacement ❑ Other: (zg Service over 320 amps- rating of ❑ Building over 10,000 square feet,
CATEGORY OF CONSTRUCTION 1 & 2 family dwellings four or more residential units in
R1 & 2- Family 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 ❑ Other: ❑ Egress/lighting 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: 1003D 8Q {/ �� Wait P >F, FEE *SCHEDULE
Suite #: Blcla. /Apt. #: _ 1, Number of inspections per permit allowed
Project Name: .1.4411A/KS 1, p 1E1-)r�'' �QW,"&CMgC Description 1 Qty Fee (ea.) Total j
New residential - single or multi- family per
Cross streer/Directions o jobsiite: , \ . / , , IA. dwelling unit. Includes attached garage.
SW ) 50 EI- e mo d" ' ,"J -. s f -t'f(W `` Service included:
����� 1000 sq. ft. or less 145.15 145. I, 4
SI Tc.t.Q/1 Each additional 500 sq. ft. or portion thereof . 33.40 4.90 1
.7-0,.4.44),4 Lo # : Limited energy, residential f1 75.00 '15 , av 2
Subdivision: Limited energy, non residential 75.00 2
Tax map /parcel #: Each manufactured home or modular dwelling
- DESCRIPTION OF WORK service and/or feeder 90.90 2
Services or feeders - installation,
e jt 1/4 . / cF Aiei,J 3 sTG✓ alteration or relocation:
� �// �� e �� 200 amps or less • 80.30 — 2
'�GJW. SIC 1"'�y� -I 201 amps to 400 amps 106.85 2
401 amts to 600 amps 160.60 2
l ❑ 601 amps to 1000 amps 240.60 2
i OWNER." = TENANT: - — Over 1000 amps or volts 454.65 2
Name: AtfrOwt4 pftrz. k 1'du1 n4lowtfS LLB, Reconnect only 66.85 2
Address: CJ Si.) ( gig- gt-\ Si iNL 220 Temporary services or feeders - installation,
alteration, or relocation:
City /State /Zip: POrLrL 1 -) oe- 91 2 19 200 amps or less 66.85 1
A S 201 amps to 400 amps 100.30 2
Phonel $ �2 —S"lSS Fax. SG9 2-�8 `-� 401 to 600 amps 133.75 2
X APPL ANT:,a • .. -; - ` : :.1. -� -. � - ❑•.CONT CT'PERSON� := ��..:`-,-.•., Branch circuits - new, alteration, or
Name:1bCI(.[<G L. ,r`'' 1 j
b p S A
X -5/ l " pension per panel:
Address: 9SCO SW &40 gJ _\ ) SU (T€ Z2.0 ice
service A. Fee for branch or fee, each feeder feeder cifee each chh branch c cir rcuo i 6.65 2
t
9-721 oT B. Fee for branch circuits without purchase of .
City /State /Zip: /�r�f� , C'Jl 9 p� ,/ / 1 service or feeder fee, first branch circuit 46.85 2
Phone: � �� N 2 -,i t5S Fax: ( 2 .) v t �q 2. - &4 Each additional branch circuit 6.65 2
d)
d
l
i
d
f
Misc.(Service or :
feeder not included):
E -mail: O. 4. Cl 1 tea HJ�cLSSoc , Con -� 2
Each pump or irrigation circle 53.40
": i :.: CONTRACTOR - Each sign or outline lighting 53.40 _ 2
Job No: Signal circuit(s) or a limited energy panel,
1 alteration, or extension Page 2 2
Business Name: Description:
Electrum Inc Each additional inspection over the allowable in an of the above:
2050 Vista Ave #100 Per inspection per hour (min. 1 hour) 62.50
Investigation fee:
Salem OR 97302 Other.
.. - Electrical.Pertnit-EeeeS .:nt,t..T::_ -_:. ... -._ . •
503-361-1256 Subtotal $ -_.
CCB :116453/ELC:24- 353C/SUP:29195 Plan Review (25% of Permit Fee) $
Print Na 1 Lic. #: State Surcharge (8% of Permit Fee) S
/ g TOTAL PERMIT FEE 5 _ Authorized / I Notice: This permit a pplication expires if a permit is not ontainea wttntn
Signature: ((( /// ��� Date: t 1 Q 3 18 0 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
t Al , S�
(Plc print name) •
i:\Dsts\Permit Forms \ElcPermitApp.doc 01/03
•
h FOR OFFICE USE ONLY
Me P Received Mechanical
Date/By: Permit No.: // t OO.3 - DOc2 J
Planning Approval Building
City of Tigard Date/By: Permit No.:
13125 SW Hall Blvd. _ION 2 7 2003 Plan Review Other
Tigard, Oregon 97223 V W A , Date/By: Permit No.:
� g Post - Review Land Use
Phone: 503- 639 -4171 F 1( ISl P Date/By: Case No.:
Internet www.ci.tigard.or.u? _,�,,� ;.� Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503 -639-4175 Name/Method: Supplemental Information.
_. ° .: -,., ' :. COMMERCIAL FEE *'SCHEDULE - USE CHECKLIST
:�, _ - - TYPE OFWORK ';:.: .
,New construction ❑ Demolition Mechanical permit fees* are based on the total value of the work
❑ Addition/alteration/replacement ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead and profit.
CATEGORY OF CONSTRUCTION.
0 & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule
Accessory Building Multi-Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE *
ry g ❑ am}' E. Description Qty Fee(ea.) Total
❑ Master Builder ❑ Other: Heating/Cooling
JOB SITE INFORMATION and LOCATION Furnace - add -on air conditioning ** , 14.00 (
Job site address: /®8/ fit / /52 1.t/000 GL • Gas heat pump 14.00
Bld /A t. #: Duct work 1 14.00 (4."'
Suite #: Hydronic hot water system 14.00
Project Name:( ��j}21� TO W I�OY�CS Residential boiler
Cross street/Directions to job sit (for radiator or hydronic system) 14.00
,SLc) 130 t " th/r -)U1 ANJA SW 4i4'1A)L5 Unit heaters (fuel, not electric)
- ge . 1 S4/Y2ar (in wall, in -duct, suspended, etc.) 14.00
Flue/vent (for any of above) 1 10.00 10 • a '
Repair units 12.15
Subdivision: �/Rl(/KS rE ep 1 Lot #: / Other Fuel Appliances
Tax map /parcel #: Water heater l 10.00 10. -
• . - • DESCRIPTION OF WORK Gas fireplace i 10.00 10.'
C -, ' � � .• C � OR t _S S' i t Flue vent (water heater /gas fireplace) Z, 10.00 20 •'o
(•� ,,//--� GG ,, Log lighter (gas) 10.00
�(.J� t7�rY1� P���iT I� V� Wood/Pellet stove 10.00
_ Wood fireplace/insert 10.00
Chimney/liner /flue/vent 10.00
PROPERTY OWNER - . I' [] TENANT '•" - -.: Other 10.00
Name: VW t 2 n K T 194110n4 E C LLG Environmental Exhaust & Ventilation
7 JV I v f'!`�` / Range hood/other kitchen equipment 1 10.00 10.a
Address: S>1/ 2ESl//L° / SJ 1?'�� Z Zv Clothes dryer exhaust 1 10.00 10. °°
City /State /Zip: Po2rL d2 Q--7 21 Single duct exhaust
Phone:(503) p}412 -8"158 I Fax: ( � j 89 2- i it( (bathrooms, toilet compartments, A
E'APPL CANT El CONTACT PERSON utility rooms) 3 6.80 2(J .
Name:
I>Ce ( 4-• gO 4 J 8 A iAk, • Attic/crawl space fans - 10.00
Other: 10.00
Address: q�c) cSL� B4fzeviL (T S✓I t1E ZZc� Fuel Piping
City /State /Zip: `�oiv'Z.4 S l eZ q-7 219 * *($s - for first 4, 51.00 each additional)
Furnace, etc. 1 **
Phone:(Sv3) 2R2.-8 Fax: (���a2 -�e ( Gas heat pump **
E -mail: y►j z e ( di br'okyNo- 'c.)c ,c4.7,-6.-\ Wall/suspended/unit heater **
CONTRACTOR Water heater 1 **
�
Smart Heating & Cooling LLC Fireplace 1 *` Range **
7616 NE Everett St BBQ **
Portland OR 97213 -6347 Clothes dryer (gas) **
503- 254 -5096 Other **
Total: _ 3 5. 4 0
CCB: 154133 / Mechanical Permit Fees*
Authorized �C' /�&/ ® Subtotal: T $ ( 2.5.1;36
Signature: Date: Minimum Permit Fee $72.50 $
ti c , . /I Q ive_- Plan Review Fee (25% of Permit Fee) $
(Please print name) State Surcharge (8% of Permit Fee) $ q.. RD J
TOTAL PERMIT FEE $ J
Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri- County Building Industry Service Board.
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
tSuuuilg r IALLLI Cb
• FOR OFFICE USE ONLY .
• h ulm�in� Pe 1 , k t f Received Plumbing
�-
Date/By: Permit No.. / /57: 2 003 - ZO 2 P6'
Cl of Ti and Planning Approval Sewer
City g JUN 2 7 2UU� Date/By: PermitNo.:
13125 SW Hall Blvd Plan Review Other
Tigard, Oregon 97223 CITY OF TIGAR , Date/By: Permit No.:
Phone: 503 - 639 -4171 Fax: AllitteltslaDIVI li Post-Review Land Use
Uie aan I Date/By: Case No.:
w
Internet: ww.ci.tigardor.us ,..i) ; I I Contact Juris.: ® See Page 2 For
24 -hour Inspection Request: 503-6394175 Name/Method: Supplemental Information.
TYPE OF WORK FEE* SCHEDULE (for special information use checklist)
(s' New construction ❑ Demolition Description Qty. Fee(ea.) Total
❑ Addition/alteration/replacement ❑ Other: New 1- & 2- family dwellings
CATEGORY OF CONSTRUCTION (includes 100 ft. for each utility connection) -
SFR (1) bath 249.20
01 & 2- Family dwelling ❑ Commercial/Industrial SFR (2) bath _ t 350.00 550,
❑Accessory Building ❑ Multi- Family SFR (3) bath 399.00
❑ Master Builder ❑ Other: Each additional bath/kitchen 45.00
. JOB SITE INFORMATION and LOCATION Fire sprinkler - sq. ft.: Page 2
Job site address: / 0 S ) 'O OR /A/20 1 .' V Site Utilities
Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60
Drywelllleach line/trench drain 16.60
Project Name: 1- Vc ZFJI TOvJk I-loMf c Footing drain (no. linear ft.) Page 2
Cross street/Directions to job s t M anufactured home utilities 110.00
S1.., 1 .%L) �I1IFJ`iUG S. Manholes 16.60
36/4,t) S? 1 Rain drain connector 16.60
Sanitary sewer (no. linear ft.) Page 2
Subdivision: /L{/4(n X rEAJ) Lot #: /, 3 Storm sewer (no. linear ft.) Page 2
Water service (no. linear ft.) Page 2
Tax map /parcel #: -. Fixture or Item
DESCRIPTION OF WORK Absorption valve 16.60
t1
C tL TW OF Nan sma,, Backflow preventer Page 2
.-. wf, P €o ( 1 1• ca& SO 0i-) Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
E'PROPERT.Y'OWNER. .t -QTENANT . -- Ejectors/sump 16.60
Name: 74(J1`) tvI I PAleK T vJN I1OW1ES i 0_4. Expansion tank 16.60
Address: 1 1500 SW Silegje &V) tit -•E titz-•E ZZO Fixture/sewer cap 16.60
City /State /Zip: PoQn .JD 02 q- 1z q Floordrain/floorsink/hub 16.60
Garbage disposal 16.60
Phonek5o3j 8442-87 5S I Fax: (54 '12- SS'f 1 Hose bib 16.60
..gAPPLICANT' _-. -. ,- ❑CONTACT PERSON: - - Ice maker _ 16.60
Name: '>E.9.X L. 6et'j i) S f1.5SoCIA -i f FX✓ Interceptor /grease trap 16.60
Address: a5a) S - g4e -Btre. ti _ QA r Su t'i'p 2ZC3 Medical gas - value: $ Page 2
Primer 16.60
City /State /Zip: Poe.i LAt , CL°gt- L 1 9 1 Roof drain (commercial) 16.60
Phone 3) Z- 6758 Fax(So3�i°�t2 �b ( Sink/basin / lavatory _ 16.60
E -mail: rnm,k. d•I1.1/tjf,.J/7iti'tCe9L• Car+ Tub /shower /shower pan 16.60
CONTRACTOR Urinal 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 $ 3 S • °D
CCB: 149035 PLM: 34-391PB Minimum Permit Fee 572.50 - $
Authorized / Residential Backflow Minimum Fee $36.25
4 Signature: ki , Date: z4 0 � Plan Review (25% of Permit Fee) $
Y r v CE.- t,N j State Surcharge (8% of Permit Fee) $ . co
(Please print name) _ TOTAL PERMIT FEE $
Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans wan isomcu 4/1
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:\Dsts\Permit Fotmms\PlmPermitApp.doc 01 /03
CITY OF TIGARD 24 - Hour
BUILDING ' Inspection Line: (503) • ,, - 4175 MST A° doZ�
INSPECTION DIVISION — Business Line: (50;) • 4171
,r BUP
Received Date Requested 7 —` AM PM BUP
Location ��� 3C Suite f MEC
Contact Person Ph ( ) Vo 6 97 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
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: °'a„
PART FAIL '`'' a
∎ KING ,
Post & Beam ' _
Under Slab •
Rough -In
Water Service . - -
Sanitary Sewer +' 7
Rain Drains -"
, -
Catch Basin / Manhole IF Mfr
Storm Drain -
Shower Pan
Other: ' ""
,5
Final
PASS PART ' FAIL ''
ME H,At)1CAL
Post -& Beam
Rough -In
Gas Line
S 4 , - Dampers
PART FAIL
'' ' C TRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE El Please call for reinspection RE: ' 0 Unable to inspect - no access
Fire Supply Line
ADA (- Vd r
Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from- the Job site.
PASS PART FAIL
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 -00286
Date Issued: 11/3/03
Parcel: 1 S133AC -HB013
Site Address: 10830 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 013
Jurisdiction: TIG
Zoning: R -25
Remarks: New SFA dwelling.
Your company has been indicated as the electrical contractor for the permit indicated above. I n 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 #: 503 - 361 -1256
Reg #: LIC 116453
SUP V.2 a 3 - .S
ELE 24 -353C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Supervising Electrician
If you have any questions, please call 503.718.2433.
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
PLUMBING EXPERTS INC
11925 SW PARKWAY
PORTLAND, OR 97225 -5413
Plumbing Signature Form
Permit #: MST2003 -00286
Date Issued: 11/3/03
Parcel: 1 S133AC -HB013
Site Address: 10830 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 013
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 34-391PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X _r
Signature of Authorized Plumber
If you have any questions, please call 503.718.2433.
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
MST 3 � v6 Z
INSPECTION DIVISION Business Line: (503) 639 - 4171
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BUP
Received Date Requested 7 AM PM BUP
Location r/ 0 03 a �'1-44-'?_C Suite � MEC
Contact Person Ph ( ) ��p ea — '4 8'77 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR -
Crawl Drain
Slab Inspection Notes: - SIT
Post & Beam ,w
Ext Shear Sheath/Shear th / ear ZMII
Ext eah/h ` Q o ' C�� ,
Int Sheath/Shear t- , ,� y �• � ` 1 O'� '
Framing
Insulation �-. s \\L `` 2� F
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling i1 -�•
Roof Al y . ,8,o �s� Y'0 1 'OI N V ..
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:
PART
1 "�'� NICAL
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 call for reinspection RE: 111 Unable to inspect — no access
Fire Supply Line ��� n /�
ADA
Date Inspector 1 V Ext
Approach/Sidewalk P
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL