Permit • A
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2003-00326
, �I�; . DEVELOPMENT SERVICES DATE ISSUED: 8/5/2004
^ 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10955 SW BRIARWOOD PL PARCEL: 1S133AC -10700
SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25
BLOCK: LOT: 025 JURISDICTION: TIG
REMARKS: New SFA dwelling.
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 32 FIRST: 48 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y
TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 640 sf GARAGE: 524 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 TURD: 728 sf RIGHT:
VALUE: 145,364.40
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 BOIL/CMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1
LPG FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 2
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: 0 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: 3 201 - 400 amp: 201 - 400 amp: 1st W/O SVQFCR: 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+ ampNolt :
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 # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,199.57
AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES T This permit is subject to the regulations contained in the
4949 SW MEADOWS RD SUITE 400 4949 SW MEADOWS RD SUITE 400 � d l f all o e laws. Code, ws. Aof ll l o work OR. wil bey done in
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 and a ra cer applicable ed p. Al. This will done in
accordance with approved plans. This permi t will expire
if work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days.
Phone: 503 233 - 0075 Phone: 971 - 233 - 0075 ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those
Reg #: 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 PIm /undslb Insp Plumbing Top Out Shear Wall Insp Storm drain insp Plumb Final
Sewer Inspection Electrical Service Framing Insp Exterior Sheathing Insr Water Line Insp Mechanical Final
Footing Insp Electrical Rough -in Gas Line Insp Firewall Insp Water Service lnsp Building Final
Foundation Insp Mechanical Insp Gas Fireplace Gyp Board Insp Smoke Detector
Slab Insp Low Voltage Insulation Insp Rain Drain Insp Electrical Final
Issued By : % t / �C�(,� Permittee Signature : ..S.-e- y \()
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
$nilding =Per o f splication FOR OFFICE USE ONLY
r - __ I / C D Received r , F • Building
Date/By: • o 9.3 1., ,, . Permit No. c c_: o, � P *-
-:�
Tiand Planning Ap�to� val' Other
City 0 g Date/Bv: Permit No.r�o�IA2d � � �q�'�
13125 SW Hall Blvd. JUN 2 7 2003 Plan Revie i , .. 4 Other
Tigard, Oregon 97223 y Date/Bv: Of s& Permit No.:
Phone: 503- 639 -4171 T �09F9� 1 b1D ' yp�'.'Ijl Post Land Use
LDINGDIVISIO,.: I., D st-Re Case No.
Internet www.Ci.tigard 0 . Contac Juri , : ® Se Page 2 for
24 - hour Inspection Request: 503 - 639 - 4175 Name/Method: 76 Supplemental Information
TYPE ..REQUIRED DATA:"
EOFWORK... .. ._::.:..
aNew construction ❑ Demolition •
.. 1 &-2 FAMILYDWELLING DWELLING ' - .
❑ Addition/alteration/replacement I ❑ Other:
---". .-- CATEGORY OF CONSTRUCTION - . - Note: Permit fees' are based on the total value of the work performed. Indicate
X 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- Famil
❑ Master Builder ❑ Other: Valuation S 15 2 9 6.'
:_ :: :JOB SITE INFORMATION LOCATION •• • No. of bedrooms: 1. No. of baths: 2 Y2
Job site address: `Oq•S5 E i e t jb PLhf,(..- Total number of floors
New dwelling area (sq. ft.) l 4 ((p
Suite #:-.. I Bldg. /Apt. #: Garage/carport area (sq. ft.) 5 0
Project Name: NA414S P 1 NtES Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
SO 13v T " fiVal0e ,?) S hl. giff4Ks aoka. Other structure area (sq. ft.)
_ ::; ,..' : REQUIRED DATA;:- :`: :g= . =; ":
• COMMERCIAL -:USE CHECKLI
Subdivision: 14Aw((S 1i.• Try F1w'.kL Lot #: 25
Tax man /parcel #: Note: Permit fees' are based on the total value of the work performed. Indicate
. - � WORK . . _ the value (rounded to the nearest dollar) of all equipment, materials, labor,
w- overhead and profit for the work indicated on this application.
lONi L / 3 Creel TGv1�( Pow*.
,E� (/41(9 \ Valuation S
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories 3
O PROPERTY :OWNER -t...0 .TENANT: - -: : ':. 7 : ,, .: . - Type of construction V tV
Name: ,AUTbrn4 PAgK TbWriNowt,ES L.L.G. Occupancy group(s): New Existing: R-3
Address: q5oo S W f3Aegule, 8SI), Su ►1• 22.6
City/State /Zip: 7 0kraAtJ \ t> , 02 9 219
Phone: 601) $Q2. ?1S Fax:�3) PAZ - 4( NOTICE: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board'under
. °( `APPLICANT.. `: r . = ° L.. . co 4TACj'PERSON:::::' :. provisions of ORS 701 and may be required to be licensed in the
Business Name: bEe. L . .31204L/4 a I1 fZJAPis / (`- . • jurisdiction where work is being performed. If the applicant is exempt
Contact Name: Mike K 4/WSW c2 lel,c,r PeA+oZ from licensing, the following reason applies:
Address: ciSr)o S J I Su (7* ZPo
City/State /Zip: IkrL77A4 Oil q'I 2-1471 " , /
Phone: Fax:�53)�t2-6Yt+ ( _ .. -BUILDINGPERMIT_FEES
*.. :.
E -mail: r+n0.rKgi. - :: Please:refec:to :
-. .. - . .... - - •CONTRACTOR'' .
Business Name: ' Name: laza L. l ltc,lN $ AS X1A l l46, Fees due upon application S
Address: 95x) -Sid eAQeue. aL vt3 Sol* ZZo
City/State /Zip: iberi ,) Q2 91219 Amount received S
Phone: :)3) 892 -8 `l SS ( Fax: (503\ Sgt- Se4 ( Date received:
CCB Lic... ,e,- • ,
Authorized Zara, Date: 'MI 03 Notice: This permit application expires if a permit is not obtained within
Signature: 180 days after it has been accepted as complete.
/Y Iltl't } Al • ( /fNSo1 -Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
i :\Dsts\Permit Forms\BldgPermitApp.doc 01/03
Electrical Permit Application FOR OFFICE USE , ONLY A �C !f ® D te/B
y No f
City o f Tigard Planning Approval Sign
Date/By: y: Permit No.:
13125 SW Hall Blvd. r Plan Review Other
Tigard, Oregon 97223 JUN 27 1003 Date/By: Permit No.:
Phone: 503- 639 -4171 Fa. - 88)199�(RD Post - Review Land Use
+ Date/Ely: Case No.:
Internet: www.ci.tigard.or r�. e! Contact luris.: El see Page 2 for im
24 - hour Inspection Reques ' Name/Method: Supplemental Information.
TYPE OF WORK • PLAN REVIEW (Please check all that apply)
New construction ❑ Demolition ❑
,, Service over 225 amps- ❑ Health —care facility
t , commercial ❑ Hazardous location
❑ Addition/alteration/replacement ❑ Other: IN 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
_al & 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.
Job site address: I D9SS eQ(,4�I�Cx>> PL -,�LCE • The above are not applicable to temporary construction service.
FEE *•SCHEDULE
Suite #: Bl /Apt. #: Number of inspections per permit allowed
Project Name: .4-1/1v./KS TQWr-340N1E S Description I Qtr I Fee (ea.) I Total I
New residential - single or multi - family per •
Cross street/Directions to job site: . unit. Includes attached garage.
S� 159 -''t AV lie s k Service Included: d
1000 sq. ft. or less k 145.15 147, 1 4
Each additional 500 so. ft. or portion thereof 1 33.40 _g3,40 I
^"'�- ��, Limited energy, residential I 75.00 'Ir ,ho 2
Subdivision:tIKS rtV 'l�wu Lot #: 2,6 Limited
energy, non residential 75.00 2
Tax map /parcel #: Each manufactured home or modular dwelling
- . DESCRIPTION OF WORK • service and/or feeder I I 90.90 I 2
J CS Services or feeders - installation,
CJFJ CF o\li.J 3 sr alteration or relocation:
�y
'�/� mir 1 / y ., t , r 200 amps or less I. 80.30 80 . 2
l. E}`CV✓lC f"'�� -I 201 amps to 400 amps 106.85 2
401 amts to 600 amps 160.60 2
.. -. : 601 amps to 2
. ... t 1000 amps 240.60
I�PROPERTY O.WNR.: - •: -- °❑TENANT.: ,:
'4 n I1I 1� � � q I,,,,� -� � Over 1000 amps or volts 454.65 2
lgame: / t(/7 m 4 P F. IMAi n t -lows i5 L� Reconnect only 66.85 2
Address: 1 gLJJ- gt-' Su iT 22,0 Temporary services or feeders - installation,
�� ) alteration, or relocation:
City /State /Zip: R ; 1 2 1 i 1 7 - % , cte.. h 2 4 9 200 amps or less 66.85 I
Phone(S 201 amps to 400 amps 100.30 2
o'�$g2 -8258 Fax:(So�92 -� �1 133.75 2
33�� ANT: 401 to 6ao amps
APPI: .is� . -: '= : ❑:CONY CT •PERSON = .. Branch circuits - new, alteration, or
Name :'eZg . L. >) e. pp- i �� 'S . c(l/4 -i S, / / J(. , extension per panel:
6 &4P.R. M, hJ..� S
� ll C Z20
A. Fee for branch f feeder rfee,ts each branch Address: 9SQo circuit ui
�y service or feeder fee, each branch circuit 6.65 2
City /State /Zip: {� LA-r rj , O - 49'7 21 Cj B. Fee for branch circuits without purchase of
service or feeder fee, first branch circuit 46.85 2
Phone: (Y N 9_815S Fax: ( 892 -E 4 / Each additional branch circuit 6.65 1 2
E -mail: v.ne,,r Cl- d l tea t,,l, 3a.SSoc ,con -)
Misc.(Service or feeder not included):
• .2, .:.` CONTRACTOR ..
:•,::...-;::.., . - 53 40 2
Each pump or irrigation circle 53 40
''',•:::;:• _. � • •- �°' '- Each s or outl l
Electrum Inc Signal circuits) or a limited energy panel,
DBA Spectrum Electric alteration. or extension Page 2 2
2050 Vista Ave #100 Description:
Salem OR 97302 Each additional inspection over the allowable in an of the above:
503- 361 -1256 Per inspection per hour (min. I hour) 62.50
CCB: 116453 ELC: 24 -353C SUP: 2919S Investigation fee:
CCB Lic. #: Lic. #:
Other: _ , . •- .. .
. -� ; . . Electrtcal.Pe - r .. _ _.
Supervising electrician _ Subtotal S Z - i,85
signature required: Plan Review (25% of Permit Fee) S 03 ,
Print Name: Lic. #: State Surchar:e (8% of Permit Fee) S 2. -
/ TOTAL PERMIT FEE S ' . 0
Authorized / /� ( Notice: This permit application expires if a permit is not obtained within
Signature: (((///LLL (/ l Date: lZ/` 180 days after it has been accepted as complete.
w1 *Fee methodology set by Tri -County Building Industry Service Board.
(PI print name) •
is \Dsts\Permit Forms \ElcPermitApp.doc 01/03
i FOR OFFICE USE ONLY
-- Me chanical Per nit j� W. • I Received Mechanical �
r1 Date/By: Permit No. 2o ° °�c!<�G� 1, JUN 2 7 2003 Planning Approval Building
' City of Tigard Date/By: Permit No.:
13125 SW Hall Blvd. CITY OF TIGAH n Plan Rev1eW Other
Tigard, Oregon 97223 BUILDING DIVI ON Date/By: Permit No.:
Post - Review Land Use
Phone: 503 -639 -4171 Fax: 503 -598 -1960 , �� Date/By: Case No.:
Internet: www.ci.tigard.or.us a i e ." Contact Juns.: El See Page 2 for
24 -hour Inspection Request: 503 -639-4175 -- Name/Method: Supplemental Information.
_... •. :.. TYPE OF WORK. ' : ": • _ COMMERCIAL FEE* SCHEDULE - USE CHECKLIST. • .:.
Ig 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. _:' •
HI & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule
❑ Accesso Building ❑ Multi- Family RESIDENTIAL EQUIPMENT /SYSTEMS.FEE' •
ry Description Qtv Fee(ea.) I Total
❑ Master Builder ❑ Other: HeatinWCooling
JOB SITE INFORMATION and LOCATION I Furnace - add -on air conditioning" I [ I 14.00 11.1.c
Job site address: / 095-5 eg AP -Wl7OD PL , I Gas heat pump I 14.00
Suite #: Bldg. /Apt. #: Duct work 1 14.00 I4.0
Project Name: 4-1,4(41<S � FAib TO 40 - CS Hydronic hot water system 14.00
J Residential boiler
Cross street/Directions site:, (for radiator or hvdronic system) 14.00
.S (,c) j Unit heaters (fuel, not electric)
`gE 1 S ' l VC e r (in wall, in -duct, suspended, etc.) 14.00
V Flue/vent (for any of above) 1 10.00 10. a
Re units 12.15
Subdivision: H wK5 �SeD Lot #: Z S Other Fuel Appliances
Tax map /parcel #: Water heater I I 10.00 Jo. '
. . • • • DESCRIPTION OF WORK Gas fireplace I 1 10.00 10. u '
CO /- 7 &hG71cJ OF (^4Gu 3 S'1-o Flue vent (water heater /gas fireplace) 7 10.00 2U. f6
wiJ Z r►'1i, PeDJ&r ( j4j Sa P6 Log lighter (gas) 10.00
Wood/Pellet stove 10.00
• Wood fireplace/insert 10.00
Chimney/liner /flue/vent 10.00
%PROPERTY, OWNER. .• . I ❑TTENANT'" Other: 10.00
Name: A 1m 4 K -1 o LLc Environmental Exhaust & Ventilation
7 l V' V / Range hood/other kitchen equipment l 10.00 10 . "'
Address: (30O Sh/ ? 2b/e° / S>/ i?'�� 2 w Clothes dryer exhaust 1 10.00 10 , '
City /State /Zip: gr2TLAA de Q Single duct exhaust
Phone:5o3) gg2.8 ?S8 ( Fax: (5, 5 J 89 2.-584( (bathrooms, toilet compartments,
• [APPL CANT 0 CONTACT PERSON utility rooms) 4 6.80 27.
Name:
I>Ezic< L. t 0 i»J A-s m-f•ES; /A/C , Attic/crawl space fans
10.00
Other 10.00
r.
Address: Cl Vizzae, (_A, SI/17 _ OzO Fuel Piping
City /State /Zip: 1 / Ott q-1 _i' ••($5.40 for first 4. $1.00 each additional)
Phone:(So3) QR2 -8156 Fax: (033012 -e84( Furnace, etc. 1 Gas heat pump
E -mail: y p_ C Q. d 1 b/'ocono -sVoc , Cc.7e1--\ Wall/suspended/unit heater
CONTRACTOR •• Water heater I "
Fireplace 1
FORECAST HEATING & AIR CONDITIONING Range c
17135 NE GLISAN ST Clothes dryer (gas)
PORTLAND OR 97230 Other
CCB: 152194 Total: _ "i S AO
Mechanical Permit Fees'
Authorized
Signature: D Foik5 Date: Subtotal: $ 1 . 6 )
l'i Minimum Permit Fee $72.50 $
/I Icg_ ( I Ju;_ . Plan Review Fee (25% of Permit Fee) $ 3 2.6 rJ
(Please print name) State Surcharge (8% of Permit Fee) $ ii') • LfS
TOTAL PERMIT FEE $ I I S. 70
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 NecPermitApp.doc 01/03
hulloing r IALU1 C3
' ` Plumbing Permit Application Received FOR OFFICE USE ONLY
ceived Plumbing
Date/By: Permit No.:" (,,r1,„,,,,, V 0.1ei 0
City of Tigard Planning Approval
Da Sewer
teBy Permit No.:
13125 SW Hall Blvd. REC E' .� D Plan Review Other
Tigard, Oregon 97223 Date/By: Permit No.:
Phone: 503- 639 -4171 Fax: 503 - 598 -196 , Post Review Land Use
N p' /� Date/By: Case No.:
Internet: www.ci.tigard.or.us ��,l■ es Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503 639 -4�/ C ARD Name/Method: _ Supplemental Information.
BUILDING DI VISION
'TYPE OF WORK FEE* SCHEDULE (for special information use checklist) '
•
(s( New construction ❑ Demolition Description I Qty. I Fee(ca.) I Total
❑ Addition/alteration/replacement ❑ Other: New 1- & 2- family dwellings . •
CATEGORY OF CONSTRUCTION I (includes 100 ft. for each utility connection)
SFR (1) bath 249.20
rgr I & 2- Family dwelling 1 ❑ CommerciaUIndustrial SFR (2) bath 4 350.00 31a SD
❑Accessory Building ❑ Multi- Family SFR (3) bath .. 399.00
❑ Master Builder ❑ Other: I Each additional bath/kitchen 45.00
• .: JOB SITE INFORMATION and LOCATION Fire sprinkler - so. ft.: Page 2
Job site address: //7155 ,R /A, 'C4Jd OD PL- I Site Utilities •
Suite #: Bldg. /Apt. #: I Catch basin/area drain 16.60
Project Name: HAW EM .-' 1 0�,JrI Wowt .G. S D oting rack (no. line/trench drain 16.60
Footing drain (no. linear ft.) Page 2
Cross street/Directions to job s t Manufactured home utilities 110.00
SLJ L �v� '� Manholes 16.60
30-e. jii, ' Rain drain connector 16.60
Sanitary sewer (no. linear ft.) Page 2
Subdivision: /- •1,4m' - t511-RP I Lot #: 25- Storm sewer (no. linear ft.) Page 2
Water service (no. linear ft.) I Page 2
Tax map /parcel #: - .. _.. Fixture or Item •. ' .... -. ._ . • .
• • • DESCRIPTION OF WORK Absorption valve 16.60
C. 0 MST2 -C TI& of '4E60 3 S7770-/ Backflow preventer Page 2
- i?mi 1 . 4v p f P2.f).ler r (141(0 S+a-Ft J Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
E"PROPERTY °OWNER • ' : - - - • - E ; ' - ' . . - - " • - TENANT -.. • -'... Ejectors/sump 16.60
Name: A tJrV IM /J P K r VJN f1&i4OS, 11-4.- Expansion tank 16.60
Address: "i SCO ,)4 EAlEgve g. Jh SU6Nc. Z Z) Fixture/sewer cap 16.60
City /State /Zip: PoienAr4D O2 q0219 Floor drain/floor sink/hub 16.60
Garbage disposal 16.60
Phone{ 3, BS2- 67 5,a I Fax: ((S) 892- SSL( I Hose bib 16.60
':'-g APPLICANT• - - . . .: CONTACT PERSON, - - Ice maker 16.60
Name: brlel;K i_- 6Qp S ASSoCi,4i C j1✓L Interceptor /grease trap 16.60
Address: 95) 5+ fete igUe. g1.11D, Su t'1'€ ZZo Medical gas - value: S Page 2
Primer 16.60
City /State /Zip: P7i2rUta)S , CIr? f `1- Z l ' Roof drain (commercial) 16.60
Phone: 3) &2- 6758 Fax(cd PA,2 b64/ Sink/basin/lavatory 16.60
E - mail: hi/4.21c C. d, I ivrif,)r) CLCCd C • Co ■•'N 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 • .. g
1• : _. Plumbin Permit Fees•. ...,: . - : - ,.- :_,;:::::::., ,... •.
CCB: 149035 PLM: 34 - 39I PB Subtotal S -
Minimum Permit Fee $72.50 S
Authorized - Residential Resi Backflow Minimum Fee 536.25 _
/ �`
Signature: a.. Date: (eki.1 _ Plan Review (25% of Permit Fee) S .-+��`
�,QUGE � N Q'
(Please print name) TOTAL PERMIT FEE S •
Notice: This permit application expires if a permit is not obtained within MI new commercial buildings require 2 sets of plans with isome c tr
180 days after it has been accepted as complete. riser diagram for plan review. b 0
•Fee methodology set by Tri-County Building Industry Service ‘ard.
i :\Dsts\Permit Forms\P1mPermitApp.doc 01/03
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE RECEIVED
AUG 10 1004
PLUMBING EXPERTS INC
11925 SW PARKWAY CITY OF TIGARD
PORTLAND, OR 97225 -5413 BUILDING DIVISION
Plumbing Signature Form
Permit #: MST2003 -00326
Date Issued: 8/5/2004
Parcel: 1 S133AC -10700
Site Address: 10955 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 025
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
4949 SW MEADOWS RD SUITE 400 11925 SW PARKWAY
LAKE OSWEGO, OR 97035 PORTLAND, OR 97225 -5413
Phone #: 503 - 233 -0075 Phone #: 503 - 469 -0443
Reg #: LIC 149035
PLM 34 -391 PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
x *//a4-90/4
Signature of Authorized Plumber
If you have any questions, please call 503.718.2433.
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 -00326
Date Issued: 8/5/2004
Parcel: 1 S133AC -10700
Site Address: 10955 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 025
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
4949 SW MEADOWS RD SUITE 400 DBA SPECTRUM ELECTRIC
LAKE OSWEGO, OR 97035 2050 VISTA AVE #100
SALEM, OR 97302
Phone #: 503 - 233 -0075 Phone #: 503 - 361 -1256
Reg #: LIC 116453
SUP 2919S
ELE 24 -353C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
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Signature of Supervising Electrician
If you have any questions, please call 503.718.2433.
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STREET T REE CERTIFICATION R
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■ 5RU g CONE , Owner /Agent for PEREIc- L. L12,OWN On iSSOc , ►
(PLEASE PRINT) (PERMIT HOLDER) •
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• Do hereby certify that the following location ►
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® meets ,City_of:._Tigard /Washington County ■ ►
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® land use and development standards for street tree installation. ■
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® kDDRESS: /D95S 3, ()- 4141-
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• LOT: 2 S .-- SUBDIVISION: jea4k ►
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® BY: /. DATE: 3 lea 1 O5 '
1 RECEIVED BY: GOAN Q
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2003-00326
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/6/2004
Phone: (503) 639 -4171 I
Inspection Requests (24 Hrs.): (503) 639 -4175 '1 _..
INSPECTION WORKSHEET FOR DATE: 3/23/2005 TIME: 7:08AM PAGE: 75
SITE ADDRESS: 10955 SW BRIARWOOD PL CLASS OF WORK:
SUBDIVISION: HAWK'S BEARD TOWNHOMES LOT #: 025 TYPE OF USE:
PROJECT NAME: HAWK'S BEARD TOWNHOMES
DESCRIPTION: New SFA dwelling.
OWNER: AUTUMN PARK TOWNHOMES, LLC, PHONE #: 503. 233 -0075
CONTRACTOR: DEREK L BROWN & ASSOCIATES INC PHONE #: 971 - 233-0075
Inspection Request Scheduled For: Date: 3/23/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 002557 -05 503 - 866-4897 N
Corrections/Comments/Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL III NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6 Ze, -w Ll G� Date: ; " 3 -0 5 Phone #: (503) 71 S -2 4/ V1
CITY OF TIGARD Alt
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BUILDING DIVISION PERMIT #: 3 -00 30, 4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 i
Inspection Requests (24 Hrs.): (503) 639 -4175 ;
INSPECTION WORKSHEET FOR DATE: 3 TIME: A , PAGE:
SITE ADDRESS: (6 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:4,6, _ T 29y
Inspection Request Scheduled For: Date: Pour Time:
Code # k °I 9 Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector //i V / U"`_ Date:. c' Phone #: (503) 718 - r ��
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2003 -00326
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/5/2004
Phone: (503) 639- 4171�li
Inspection Requests (24 Hrs.): (503) 639 -4175 _����
INSPECTION WORKSHEET FOR DATE: 3/23/2005 TIME: 7:08AM PAGE: 76
SITE ADDRESS: 10955 SW BRI ARWOOD PL CLASS OF WORK:
SUBDIVISION: HAWK'S BEARD TOWNHOMES LOT #: 025 TYPE OF USE:
PROJECT NAME: HAWK'S BEARD TOWNHOMES
DESCRIPTION: New SFA dwelling.
OWNER: AUTUMN PARK TOWNHOMES, LLC, PHONE #: 503 - 233 -0075
CONTRACTOR: DEREK L BROWN & ASSOCIATES INC PHONE #: 971-233-0075
Inspection Request Scheduled For: Date: 3/23/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 002557 -04 503 - 866 -4897 N
Corrections/Comments/Instructions:
P SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 64 ✓ 1-4 u� ((L �/ Date: 3'23-0,- Phone #: (503) 718- 2 qt