Permit CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2003 -00302
V DEVELOPMENT SERVICES DATE ISSUED: 12/23/2003
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10855 SW BRIARWOOD PL PARCEL: 1S133AC-11400
SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25
BLOCK: LOT: 032 JURISDICTION: TIG
REMARK t New SFA dwelling.
6/15/04: Altered plan from 3 to 2 -bath.
DING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 32 FIRST: 48 sf BASEMENT: sf LEFT: SMOKE DETECTORS:
TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 640 sf GARAGE: 524 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 TIR D: 728 sf RIGHT:
VALUE: 145
OCCUPANCY GRP: R3 BDRM: 2 BATH: 2 TOTAL: 1.416 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: 4 CLOTHES DRYER: 1
LPG FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 2
MAX INP: btu FLOOR FURNANCES: VENTS: 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 FOR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 2 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FOR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EA ADDL 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 8 STEREO: VACUUM SYSTEM: AUDIO 8 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 N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,073.29
AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES I his permit is subject to the regulations contained in the
9500 SW BARBUR BLVD., STE 220 4949 SW MEADOWS RD SUITE 400 igard Munidpal Code, State of OR. Specialty Codes
PORTLAND, OR 97219 LAKE OSWEGO, OR 97035 and all other applicable laws. All will be done in
This p
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: 971 - 233 - 0075 ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those
Rea n: 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 Slab Insp Low Voltage Insulation Insp Shear Wall Insp Shear Wall Insp
Sewer Inspection Plm /undslb Insp Plumbing Top Out Shear Wall Insp Shear Wall Insp Exterior Sheathing Insl
Footing Insp Electrical Service Framing Insp Shear Wall lnsp Shear Wall Insp Exterior Sheathing Ins
Footing lnsp Electrical Rough -in Gas Line Insp Shear Wall Insp Shear Wall Insp Exterior Sheathing Insl
Foundation lnsp Mechanical Insp Gas Fireplace Shear Wall Insp Shear Wall lnsp Firewall Insp
/71
Issued By :"(19 Permittee Signature : emi 4 / e.
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
- PA, s
1 u il i n Permit i C ti FOR OFFICE USE ONLY
Received ,, .. �. Y i ' Building
Date/By: r ` 1 Permit No.'
City of Tigard D ammng Approval Other `) Date/By: Permit No.r- f
0/420o? /!)� (,
13125 SW Hall Blvd. JUN 2 7 201. Plan Review R other
Tigard, Oregon 97223 Date/Bv: i0 ' V( -63/6
Tigard, No.:
TIG'' 'r tt Post - Review Land Use
Phone: 503-639-4171 Fax 503��8 Y 1�t,F0 �s 1 � I l I Date/Bv: Case No.
Internet: www.ci.tigard.or.us BUILDING DI :_ ' 1.6' Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503- 639 -4175 Name/Method: . /K" -- Supplemental Information
TYPE OF WORK • . .. REQUIRED DATA: ..,. :.:' .
aNew construction ❑ Demolition • . 1 &-2 FAMILYDWELLING
❑ Addition/alteration/replacement ❑ Other:
I. -- • - .CATEGORY OF CONSTRUCTION - • • - . • Note: Permit fees' are based on the total value of the work performed. Indicate
1 & 2- Family dwelling I ❑ 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 Multi- Family � � S ,y O
❑ Master Builder ❑Other: Valuation 34
No. of bedrooms: - No. of baths: Z T2
..- ._ ...- = :.::TOB SITE INFORMATION and LOCATION -•:•• - "- I Total number of floors
Job site address: 1 855 �RI1�t,xtJb PC/�CL I New dwelling area (sq. ft.) Z -(o
Suite #: I Bldg. /Apt. #: Garage/carport area (sq. ft.) __
Project Name: HAWKS PEA 'rMES Covered porch area (sq. ft.) — Pt
Cross street/Directions to job site: Deck area (sq. ft.) Pt
Ski 1"&"''' /tvFvE ,)) S.hl. JAIr s ac.A, Other structure area (sq. ft.)
S REQUIRED DATA:. •^r -
. • COMMERCIAL; - FUSE CHECKLIST -=.:::- :;_'_
Subdivision: (-4Aw(CS i& 1Th.4- F6A Lot #: :c 2
Tax man /parcel r#: Note: Permit fees* are based on the total value of the work performed. Indicate
-' - DESCRIPTION OF _ • - .' - • the value (rounded to the nearest dollar) of all equipment, materials, labor,
r , overhead and profit for the work indicated on this application.
et. ,Sr2.t.�c.T�c r( 3 srort1 U T` M1ii rTJa i S
- ' , E � Valuation
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories 3
.:J PROPERTY:OWNER: - - :. -f'.D •TEN - .. Type of construction V I`4
Name: AUTfUm7J PAg T�kdl�lwiz - L.L.G. Occupancy group(s): Existing:
New:
R-3
Address: 950) S W Ignieguie, BLd1J Su 11.6. Z Zo
City /State /Zip: Tog:nh/A , 02 q - 7 Zl9
Phone: 603 6Q Fax:
6n1) FLS03) ef32- 4I NOTICE: All contractors and subcontractors are required to be
J licensed with the Oregon Construction Contractors Board under
:: g APPLICANM:: • -` ;,;•!:_ -1:: -Q- CONTACT PERSON.. _ : - provisions of ORS 701 and may be required to be licensed in the
Business Name: 'EIeEK L .3r 004 c 14. XCJAtis / (4, , jurisdiction where work is being performed. If the applicant is exempt
Contact Name: Alike K (tArlSW cat tew.1G PeAwZ from licensing, the following reason applies:
Address: g5t�o SW &4e-due- &-ill, t St1 t 2/0
City /State /Zip: kt24 012 q - i 21 G
Phone: -6`158 _ Fax:(5oije° i - 6V4 ( - = _
. BUILDING :FEES *;
E -mail: ina-rK4- dl -► - P lease' re'fer:to :feeschedule - - • _ __ _ . .�.. •. . • . . . .. ... - . • ._. •.. V....__.._ -.:_
-- - ...._.. 4":',:;-'73:::;-:;.--"-• CONTRACTOR:..; .. . ..
Business Name: *be L. 13,2c610 4 AgauAPes y Fees due upon application S
Address: 95x1.) Stil BAZ Ae- (L[b _cd c ZZO
City /State/Zip: fbetijkliN 02 q rel Amount received S
Phone:PAfig% -815$ I Fax:(503� Sgt- 5941 D ate received:
CCB Li #: , e 9 °�
Authorized Notice: This permit application expires if a permit is not obtained within
Signature: I Date: � (2-&10.3 180 days after it has been accepted as complete.
/Y IJtl F- AI ` y 47450/J *Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
i :\Dsts\Permit Forms\BldgPermitApp.doc 01/03
•
', Electrical Perm! ..\ , • et. r FOR OFFICE USE ONLY
Received Electrical
DateBy: Permit No. ! /�'.:i: ! - ` �i c�
• City of Tigard Planning Approval Sign
JUN ? 2003 Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Ocher
Tigard, Oregon 97223 CITY OF TIGA - ' D Date/By: Permit No.:
Phone: 503- 639 -4171 Fax: 5 Post - Review Land Use
�LJ1L�f1v�Dl :t,ci t Date/By: Case No.:
Internet: www.ci.tigard.or.us _1� e!1 I� Contact Juris.: El See Page 2 for
24 -hour Inspection Request: 503- 639 -4175 Name/Method: Supplemental Information.
TYPE OF WORK 7 - ... PLAN REVIEW (Please check all that apply) •
XNew construction ❑ Demolition ❑ Service over 225 amps- ❑ Health -care facility
commercial ❑ Hazardous location
❑ Addition/alteration/replacement ❑ Other: Vg Service over 320 amps - rating of ❑ Building over 10,000 square feet.
• CATEGORY OF CONSTRUCTION I & 2 family dwellings four or more residential units in
a1 & 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: ' 00 55 Eel /W. 1 .ra% P4ACF, FEE *• SCHEDULE
Suite #: B1 g. /A #: Number of inspections per permit allowed I
Project Name: 4441,A./14..S e . . -I - Mg $ Description I Qty Fee (ea.) I Total
New residential- single or multi- family per 4
Cross street/Directions to AVE/Joe \ L A _ .I 1 dwelling unit. Includes attached garage.
J` �� ! / ' 1 7 t J C_ J r 4 x � .5A) /'r/�" ic--) Service included: dd
1000 so. ft. . or less 145.15 1 "\7� 15 4
0 SN•Ceir Each additional 500 sq. ft or portion thereof � 33.40 L “ P , 1
,�� n i Limited energy, residential 1 I 75.00 I 'TS .cc, 2
Subdivision: r Lot #: Limited energy, non residential 75.00 I 2
Tax map /parcel #: Each manufactured home or modular dwelling
- DESCRIPTION OF WORK service and/or feeder 90.90 2
� C � Services or feeders - installation,
e/+J CF 0■IE,.) 3 5,7-0444 alteration or relocation:
"t7)(.J / dl j CWIC ,� 1 ( � l 200 amps or less _ _ 80.30 2
mil. '( 201 amps to 400 amps 106.85 2
401 amts to 600 amps 160.60 2
I._ I- t 7;:•....:.:.: 601 amps to 1000 amps 240.60 2
PROPERTY O.WN R.'..::.._.: LJ TENANT:' - Over 1000 amps or volts 454.65 2
17ame: 4017l1414 PleK 11-4S 1-LC, Reconnect only 66.85 2 1
Address: c6f0 sAj Q�.p — .gl� gL� SU 17.4. 22z Temporary services or feeders - installation,
V 7 alteration, or relocation:
City /State /Zip: RitZTL}4r' ci2. 9 200 amps or less 66.85 1
20 1 amps to 400 amps 100.30 2
Phone SO� —PZ58 Fax :(�3 -S8`I 133.75 2
A 401 to 6 0o amps
APPI: T.,:? = ❑' CONT CT PERSOLY 4•: ' r " Branch circuits - new, alteration, or
Name:'. L. 6ED.AJI0 t p Z 4 S h JGIA - ris / / �' , extension per panel: of
Address: ice) Ski &p,R W, f�.V,) t/1 22.0 A Fee for branch feeder ee. each chh branch i t ui
h service or feeder fee, each branch circuit 6.65 2
City /State /Zip: t�l2i t , Ora. 9" of B. Fee for branch circuits without purchase of .
service or feeder fee. first branch circuit 46.85 2
Phone: ekAp eA2_8158 Fax: (cza) $92.8E4I Each additional branch circuit 6.65 2
E -mail: vase-„ r Q. d l tea t,Je>c _ cc , COM Misc.(Service or feeder not included):
Each pump or irrigation circle 53.40 2
- ::= "": CONTRACTOR • : — Ea Each sign or outline lighting 53.40 2
Job No: -1 _ Signal circuit(s) or a limited energy panel,
1 2
alteration. or extension Page 2
Electrum Inc . Description:
2050 Vista Ave #100
Salem OR 97302 j Each additional inspection over the allowable in any of the above:
Per inspection per hour (min. 1 hour) 62.50
503 - 361 -1256 Investigation fee:
CCB :116453/ELC:24- 353C/SUP :2919S Other EItctn Pe - -
. , .. rmlt•Eee§ Rte:
Supervising electrician Subtotal S _
signature required: Plan Review (25% of Permit Fee) S
Print N Lic. #: State Surcharge (8% of Permit Fee) S
A TOTAL PERMIT FEE S •
Authorized / ,// 4(7-€(0-5 Notice: This permit application expires if a permit is not ..' ••
Sim t/l•. G( Date: 180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
Mmtk N. k Se A
(Plea& print name) •
i:\Dsts\Permit Forms \E1cPermitApp.doc 01/03
FOR OFFICE USE ONLY
‘,/ Mechanical Permit Application Received Mechanical` � t,r ® i
E (/ , �A / Date/By: . Permit No r 3 .. :
VVV li �/ Planning Approval Building
' City of Tigard Date/By: Permit No.:
13125 SW Hall Blvd. V II I 2 7 21 I Plan Review Other
Tigard, Oregon 97223 J Daffy Permit No.:
Post - Review Land Use
Phone: 503 - 639 - Fax: 503 -9®fl1 )F TI e. i, t Date/By: Case No.:
Internet: www.ci.tigard.or.us BUILDING B �, Ii.•, i I Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503 -639 -4175 �- -" Name/Method: Supplemental Information.
TYPE OF •WORK ., >.. •. - COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
,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
CATEGORY OF CONSTRUCTION. :`
R1 mechanical materials, equipment, labor, overhead and profit.
'1 & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule
Building ❑ Multi- Family RESIDENTIAL EQUIPMENT /SYSTEMS. FEE* SCHEDULE . •
❑ Accessory Description I Qty 1 Fee(ea.) I Total
❑ Master Builder ❑ Other: Heating/Cooling
JOB SITE INFORMATION and LOCATION - Furnace - add -on air conditioning" [ I 14.00 04. CI
Job site address: / 085 Lg / /xiV 00.I Pc.. Gas heat pump 14.00
Suite #: Bldg. /Apt. #: 1 Duct work , 14.00 I 14.0°
� WS igFAe TOE J 40 gc Hydronic hot water system 14.00
Project Name: U Residential boiler
Cross street/Directions to job sit , (for radiator or hydronic system) 14.00
Su) - ` tb f - V6..JvE � ,W 4.4-, v 1 es Unit heaters (fuel, not electric)
-gE s-Thaei (in wall, in -duct, suspended, etc.) I 14.00
Flue/vent (for any of above) I I 10.00 I0 . w ,
Repair units l 12.15
Subdivision: /�f} /,tIKS g�/�� Lot #: 3 Other Fuel Appliances
Tax map /parcel #: Water heater I I 10.00 (u. '
. • - DESCRIPTION OF WORK Gas fireplace 'I 10.00 10 . w CO &LCT100 OR Je. Flue vent (water heaterigas fireplace) 7 10.00 20.°O
- ra (A)J - a I, Pe0JET- (:4u, Saki') Log lighter (gas) 10.00
l Wood/Pellet stove 10.00
• Wood fireplace/insert 10.00
Chimney/liner /flue/vent 10.00
PROPERTY -OWNER -:. • I ]•TENANT - Other: 10.00
Name: $1' Q <-r �l-/oniEc LLG Environmental Exhaust & Ventilation
/ Range hood/other kitchen equipment l 10.00 I O . '
Address: q ski/ vrade J / SJ t? Z Clothes dryer exhaust I 10.00 it) a
City /State /Zip: Pa2'rC j de, q - 7 2 c 9 Single duct exhaust
Phone:(So3)�12 -8 I Fax: (5, J 892 -884( (bathrooms, toilet compartments,
. 11AP.PL CANT ❑ CONTACT PERSON utility rooms) 4 6.80 21.
Name: E€ ( 4-. g�l.4)� 8 A-Si / /VG • Attic/crawl space fans
Other. 10.00
^ '
Address: q...0 6w $4zevie ret_A, Sl/1r 2z6 Fuel Piping
City /State /Zip: 7 02. Z,4)) ,.0 Z. g 7Zi9 "(S5.40 for first 4. $1.00 each additional)
Phone:(<)3) 2 2. -S1' S Fax: (c/.3.p??,-084( (c/.3.p??,-084( Furnace, etc.
Gas heat pump
E -mail: rMPez- t C d I broc. r o,_ c,e . C.c9n- \ Wall /suspended/unit heater "
. __ -
. . • • CONTRACTOR- . Water heater I "
I Fireplace "
Smart Heating & Cooling LLC F irep **
7616 NE Everett St Range
BBQ ••
Portland OR 97213 -6347 Clothes dryer (gas) ._ ..
503- 254 -5096 Other. "
CCB: 154133 Total: "i '6.40 c Mechanical Per mit
Authorized 0 (Z / ®� Su btotal: 3C� . �n
Signature: C! Date: Minimum Permit Fee $72.50 Fees' $ $ 1 _
�U ( � � �� Pl an Review Fee (25% of Permit Fee) $ .
(Please print name) State Surcharge (8% of Permit Fee) , $ i) . *5 -
TOTAL PERMIT FEE $ -- Notice: This permit application expires if a permit is not obtained within 'Fee methodology set by Tri- County Building Industry aervice 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
builalnb r 11.‘Lui
FOR OFFICE USE ONLY
7 ' . ' Plumbing Per I I
•
• 1 tetiVit t I Received Plumbing
• It Date/ Ely: Permit No../.Jsre20 0- -B 31�
City of Tigard Planning Approval Sewer
JUN 2 7 2003 Da Re Permit No.:
13125 SW Hall Blvd. Plan Review other
Tigard, Oregon 97223 CITY OF TIGAR Date/By: Permit No.:
Phone: 503- 639 -4171 Fax: ��,p Post Land Use
�IY�1 pI�/I$ n' + Date/By: Case No.:
Internet: www.ci.tigard.or.us _Ai. cA I Contact Juris.: El See Page 2 for
24 - hour Inspection Request: 503 - 639 - 4175 Name/Method: Supplemental Information.
•
.. - • TYPE OF WORK FEE* SCHEDULE (for special information use checklist) -
Description Qty.
El New construction ❑Demolition p � I Fee(ea.) I 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 I _
Cgr I & 2- Family dwelling ❑ Commercial/lndustrial SFR (2) bath I 350.00 �-
Accessor Building ❑ Multi- Family I SFR (3) bath I, 399.00 Pict .°
❑ Master Builder I ❑ Other: Each additional bath/kitchen 45.00
• JOB SITE INFORMATION and LOCATION I Fire sprinkler - sc. ft.: Page 2
Job site address: / CR5S UPrAP -Gl OJ) PP C.. . I Site Utilities
Suite #: Bldg. /Apt. #: I Catch basin/area drain 16.60
Project Name: 1-1A1AJ Z '1"GtiJ14 MG, C Drywell/leach linetrench drain 16.60
Footing drain (no. linear ft.) Page 2
Cross street/Directions to job slt Manufactured home utilities 110.00
SLJ I ;C� S'� Manholes 16.60
1 filt g-airo- Rain drain connector 16.60
Sanitary sewer (no. linear ft.) Page 2
i Storm sewer (no. linear ft.) Page 2
Subdivision: /- �,4( } ,C�f7 Lot #: S 7�
Water service (no. linear ft.) I Page 2
Tax map /parcel #: • - - . - Fixture or Item • `
DESCRIPTION OF WORK Absorption valve 16.60
Ca/.(STRAAc ri& OF N EI&) 3 S i (7eid Backflow preventer Page 2
-- rosn.) t-kolf, p- (0-06g Sit- J Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
E' PROPERTY'. OWNER =:`1 -D TENANT •. - - Ejectors/sump 16.60
Name: A l V 't1 /J PACK MA/t J g0✓VIOS 1 L I.C. Expansion tank 16.60
Address: 'I SCO s vti t te.gUQ &, t 1 SUcN z zo Fixture/sewer cap 16.60
City /State /Zip: Po272/174D 02 q-72 9 Floor drain/floor sink/hub 16.60
�I Garbage disposal 16.60
Phone {So3) 9 92- 81 SP Fax: �Sc13) 9'2- SSL I Hose bib 16.60
•;APPLICANT • • •-=. •- ..... 0 •CONTACT PERSON- • • Ice maker 16.60
Name: b V L- g 2O u /^l SASSOCIA -i'CS, ti✓' Interceptor /grease trap 16.60
Address: 95z SI.J gife. Bum gi..i, Su a€ ZZCJ Medical gas - value: $ Page 2
Primer 16.60
City /State /Zip: Foer�tt•� , a q--- L I q Roof drain (commercial) 16.60
Phone: 03)892- 5 7 5 8 Fax(5:3"ig2. 1S84/ Sink/basin/lavatory 16.60
E-mail: r lAn.lc. i cif bitic..lna (COC • Ca r•-• 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.PermitFees* .: . ,.,:,::
CCB: 149035 PLM: 34-391PB Subtotal $ 9 f 0D
Minimum Permit Fee 572.50
Authorized � Residential Backflow Minimum Fee $36.25 -
Signature: i Da te: (ek 1 Plan Review (25% of Permit Fee) S 77RU GE GP n/E State Surcharge (8% of Permit Fee) $ l _
(Please print name) TOTAL PERMIT FEE S ti
Nodce: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans with isometric or
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 Forms\PlmPermitApp.doc 01/03
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 -00302
Date Issued: 12/23/2003
Parcel: 1 S133AC -HB032
Site Address: 10855 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 032
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 #: 503 - 361 -1256
R #: LIC 116453
SUPS 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 -00302
Date Issued: 12/23/2003
Parcel: 1 S133AC -HB032
Site Address: 10855 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 032
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
Signature of Authorized Plumber
If you have any questions, please call 503.718.2433.
./L 5 72.0 63 - a-o 36 2_,
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STREET TREE • ►
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• I, 5 C ,9E_ , ; Owner /Agent for PEREIL .. fUpi4 4- Assoc. ►
I (PLEASE PRINT) `. (PERMIT HOLDER)
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• Do hereby certify that t he` f - Z, ollowing location ►
• meets C ty of 'igard /Washirigton_'County ► ■
• land use and development standards for street tree installation. ■
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• ADDRESS: joys S- to. TS g, 4q,a., D D P _ ■
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i LOT: ?j' SUBDIVISION: HAtoeS iCE PI) ►
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/ /o4 • BY: �� �, � DATE: [ ■
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• RECEIVED BY: l/ A DATE: V ?' /� y
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CI .Y ifF TIGARD 24 -Hour
BUILDING Inspection Line: (50 19 -4175 MST a °6 3 06 3 ( L)---
INSPECTION DIVISION Business Line: ;03/
BUP
Received / Date Requested 3 . • PM BUP
Location / d ' 5,c 611/6:!2A-(0-r54 Suite � MEC
Contact Person Ph ( ) SVP - 4 g q7 PLM
Contractor Ph ( ) SWR
Tenant/Owner ELC
Fo• •
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 Ceil;; • 7
Roof '
Other:
? PART FAIL •
MBING
Post & Beam ° Under Slab
Rough -In
Water Service
Sanitary Sewer
:4>gete
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS ��P RT FAIL
NICI#AT4f
Post & Beam
Rough -In
Gas Line
S in k e Dampers
m
PART FAIL
' RICAL
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 0 Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 3/e In spector v' v � Ext
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 a
INSPECTION DIVISION Business Line: (503) 639 -4171
MST �� 3 —0 3 o Z
BUP
Received Date Requested (` ( AM PM BUP
Location / 6 g S S Suite MEC
Contact Person Ph ( ) gr!o (o c ( ? 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 / u' 17cw l OU
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:
g lI S . 0 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 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE fl Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA arl 1 1 0 1 ,,, A . J ( 1r
Approach/Sidewalk Date �-( I nspec tor '� l^'� Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
V CITY OF TIGARD 24 -Hour
BUILDING Inspectio ` . (503) 639 -4175 MST 2 3 - 6030 Z
INSPECTION DIVISION Business Line: (503) 639 - 4171
BUP
Received Date Requested ( AM v PM BUP
0�S' '
Location / � Suite MEC
Contact Person Ph ( ) 7GfQ — 09 7 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:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Vg,
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
,g Millpo PART FAIL El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
S El Please • II for reinspection RE: Unable to inspect — no access
Fire Supply Line /
ADA
i 1
Approach/Sidewalk Dater Q Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the • b site.
PASS PART FAIL