Permit -r D _ FOR OFFI USE ONLY
Bu Perm li�ati al
Rece Dat ived � O�o � / � Building 137:2,6 -Q13 •
dBv: � Permit No.:
City Of Tigard D amtm g Approval Other /
Date/By: Permit No Cet. � �J.. ?S,,0c257
13125 SW Hall Blvd. JUN 2 7 2003 Plan Review / Other
Tigard, Oregon 97223 Date/Bv: ' '30 -0y ,LSD Permit No.:
ILUIIVta S � � ' ll , l Post - Review Land Use
Phone: 503- 639 -4171 Fax t T .' , e � I Date/13v: Case No.
Internet www.ci.tigard.or.us ^� -� Contact Juris.: ® See Page 2 for
24 -hour Inspection Request: 503- 639 -4175 Name/Method: 776 Supplemental Information
TYPE OF WORK
• REQUIRED DATA:
aNew construction ❑ Demolition ., SE-2 FPu1ZII.Y DWELLING . . .
❑ Addition/alteration/replacement ❑ Other:
-- • - CATEGORY OF CONSTRUCTION - - . - . Note: Permit fees' are based on the total value of the work performed. Indicate
0 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 1 Multi- Famil
❑ Master Builder I ❑ Other: I valuation s q 5 , 29 6.`X'
-...:::_ : :- .:JOB SITE INFORMATION-and.LOCATION. No. of bedrooms: 2- No. of baths: 2 T2
Job site address: 1 0°166 TFKlke.wcJb PLAC,_ Total number of floors
New dwelling area (sq. ft.) , {/ 4 ((p
Suite #: Bldg. /Apt. #: Garage/carpon area (sq. ft.) 0
Project Name: N,4■ ICS 11664s 1b 4LikomES Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
51AI { -Sv r, /tV E ifkJ SW.. i4FWKr 13Eft, , Other structure area (sq. ft.)
S' r
- ::;.•:: :'1REQUI ED DATA :.
. COMMERCIAL: - :USE CHECKLIST :.:::? = -.:
Subdivision: f 4Aw(<S i A in hit t6AA Lot #: 24
Tax map /parcel #: 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,
overhead and profit for the work indicated on this application.
CeNI,S7 NEk) 3 sro z.1 Tai I'
- Pez..Sea" , (/41(e • valuation S
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories 3
gr 47 ..0 -TENANT. =: - :: .-- -- Type of construction V N
Name: AlVm /J PA K - r6v -(rl, 4t'l5S', L . L.G • Occupancy group(s): New Existing: R-3
Address: g5c0 SW Rule & lb/ cu 0.€ Z 2.[)
City /State /Zip: 1 , 0 2 9 7219
Phone: 601) oj2- -iss Fax:�5o3) &12- 4I NOTICE: All contractors and subcontractors are required to be
J licensed with the Oregon Construction Contractors Board under
: gr :f. - " ':: ::-.::.;, ,: :CONTACT PERSON::::;;;;: provisions of ORS 701 and may be required to be licensed in the
Business Name: bieEK L . 3,20u4 6 f XU/4PiC / (4t . jurisdiction where work is being performed. If the applicant is exempt
Contact Name: Mike K (4i.hi C4- 21.0 y Pe44*07.- from licensing, the following reason applies:
Address: 9Seo SW Wig- Su (7`e 220
City /State /Zip: ke. Olt 9z 2 t `t -6e it f
Phone :�2 -6 1 Fax :(�3 .1E°t2 BVUD NG EIUVnT s
-:_ -
Email• - rnca.rKCPC1ibrot,JnASS6C.,(�m - - —
- - • : ..`_..•. .. -.. .. CONTRACTOR : .. .� - r .. . :
. .. ..:r Please refez•to:fee.sc`hedtile:
Business Name: C L. e2tX.4J 4 AsiA ) NG, Fees due upon application S
Address: 95x) So/ gAl2(n2 gLIb i SIliNc ZZO
City /State /Zip: RberlA i Ors c)-1219 Amount received. S
Phone:(�3\ 892-8 Fax: (503i vg2 - 'e'i l Date received:
CCB Lid #: ib • °(
Authorized Notice: This permit application expires if a permit is not obtained within
Signature: • Date: ��?'� �' 180 days after it has been accepted as complete.
/Y Are I A • l4AhISONI *Fee methodology set by Tri -County Building Industry Service Board.
(Please print name)
i:\DstsTermit Forms MBldgPermitApp.doc 01/03
1
Electrical Perm t i FOR OFFICE USE ONLY '
' R ece i v ed Electrical � /
Date/By: Permit Nol "!i4 . OQ 3 4S
City of Tigard JUN 2 7 D te/By: pproval Sign
20U3 DatdBy: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 CITY OF TIGAA I Date/By: Permit No.:
Phone: 503 - 639 -4171 Fax: ERSILDVODIVIS :! Post- Review Land Use
Internet: www.ci.tigard.or.us III Date/By: Case No.: Contact Juris.: El See Page 2 for
24 -hour Inspection Request: 503- 639 - 4175 '"'""' Name/Method: Supplemental Information.
TYPE OF WORK • PLAN REVIEW (Please check all that apply)
XNew construction ❑ Demolition ❑ Service over 225 amps- ❑ Health -care facility
commercial ❑ Hazardous location
❑ Addition/alteration/replacement ❑ Other: fg 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.
The above are not applicable to temporary construction service.
Job site address: ( 09(0S BQ CxJib (A�t PL FEE* SCHEDULE
Suite #: Blcls. /Apt.#: l' I . Number of inspections per permit allowed
Project Name: ,J- 4A e� �bw,440�E� D escription 1 Qty I Fee(ea.) I Total I I
New residential - single or multi - family per ■
Cross street/Directions to job site: / dwelling unit. Includes attached garage.
SW J +v AV oe .5 l-r Service included: A
Each additional ft. or less 4 145.15 I"\ .3 5 4
Each additional 500 so. ft or portion thereof ` 33 0 3,4p I
`, 2 -r0.4.4.464 �4 Limited energy. residential I I 75.00 1 .a2 2
Subdivision: leS 1;t1Ui�i1) Lot #: 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 1 2
Services or feeders - installation,
e ak.t.5'rIA -C- cF 0■164J 3 sr alteration or relocation: Q ,,
"�G•) , J I) Z t 200 amps or less 1 80.30 Gv .50 2
mil, d /''�1J 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
601 amos to 1000 amps 240.60 2 • ?PROPERTY OWN R.:. •. ;_.: *El TENANT:: :.. — Over 1000 amps or volts 454.65 2
lame: ,4LPi71 car b4 P4rz i. -rovJ rJ1-,9wifS LLC Reconnect only 66.85 2
Address: C1 gie e.g1JIe gL-\, Sl1 lr c 2 2 0 Temporary services or feeders - installation,
. alteration, or relocation:
City /State /Zip: Fl)rarL}h•'�, G12. 9 2! 9 200 amps or less 66.85 1
-::::-:,•‘:::.-,---.
Phone
A) 89Z -8258 Fax: (5o3)59 2-e5 ij 201 amps to 400 amps 100.30 2
401 to 600 amps 133.75 2
• CT .PERSOPi f=
XAPP ANT':• �'�. =- ` Branch circuits - new, alteration, or
Name: l eje K L. ( Dun.) e p IA'.5 � � y, 'J Q -TFS, l , , extension per panel: of
Address:'SQ7 SA.) pAile - fJ_\ ) Sl1[N Z20
A. Fee for branch fe feeder each branch circuit service or feeder fee each branch circuit 6.65 2
GQ 91 2 1 9 - B. Fee for branch circuits without purchase of .
City /State /Zip: {rv/��,1� , service or feeder fee, first branch circuit 46.85 2
Phone: (3) N 2 -8 Fax: (So3) 692 -8e4 / Each additional branch circuit 6.65 2
E -mail: N'1(` !� a- d I tee, t vw)e� cSoe , COM Misc.(Service or feeder not included):
• ':•:...-:':-;7'.:.;4:.1;,- Each pump or irrigation circle 53.40 2
=. :' . CONTRACTOR - Each s or outl l 53.40 - 2
Electrum Inc Signal circuit(s) or a limited energy panel,
alteration. or extension Page 2 2
DBA Spectrum Electric Description:
2050 Vista Ave #100
Salem OR 97302 I Each additional inspection over the allowable in any of the above:
503- 361 -1256 Per inspection per hour (min. I hour) 62.50
CCB: 116453 ELC: 24 -353C SUP: 2919S Investigation fee: .
Lic. #: Other.
CUB Lic. #: . Y . :'. : Electncal..P .;...:- :. — .-
Supervising electrician Subtotal S Z ,E)
signature required: Plan Review (25% of Permit Fee) S 3 , 1 -1/47
Print Name: Lic. #: State Surcharge (8% of Permit Fee) S 2 0 + 1
TOTAL PERMIT FEE S 44k. OZ.-
I
l "�, \
Authorized / � �/�( Notice: This permit application expires if a permit is not obtained within
Signature: V — Da te: � 180 days after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service fYlAft IC Ai . }� SCJh
(PIe print name) •
is \Dsts\Permit Forms \ElcPermitApp.doc 01/03
1 FOR OFFICE USE ONLY
• 7 'Mechanical U Permit ligition Received Mechanical
AHD DateBy: Permit No. ^457;270 . ?" eg Fe?>S
(WILDING DIVISION Planning Approval Building
City of Tigard Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Odra
Tigard, Oregon 97223 Date/By: Permit No.:
Post - Review Land Use
Phone: 503 - 639 -4171 Fax: 503 - 598 -1960 ,,,_ , i Date/By: Case No.:
Internet: www.ci.tigard.or.us a C ." Contact ]ups.: ®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
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Addition /alteration/replacement ❑Other:
.CATEGORY OF CONSTRUCTION. .• • I mechanical materials, equipment, labor, overhead and profit.
'1 & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule
RESIDENTIAL EQUIPMENT /SYSTEMS.FEE*SCHEDULE. •
❑ Accessory Building ❑ Multi- Family
Description I Qty I Fee(ea.) I Total
❑ Master Builder ❑ Other: Heatinp/Cooling
• JOB SITE INFORMATION and LOCATION • Furnace - add -on air conditioning" I 14.00 III.O'
Job site address: j1-) b5" gerACW6O1" /-1-. Gas heat pump 14.00
Suite #: Bldg. /Apt. #: Duct work 1 14.00 (i{.Oo
Project Name: 4441.41.<5 ig>G,4eb- TOI H t l 1M-CS Hydronic hot water system 14.00
J Residential boiler
Cross street/Directions to job sit � 1 / (for radiator or hydronic system) 14.00
S W 1 '` /41/C -)06/ S W 4/4-1-des'
Unit heaters (fuel, not electric)
-- 1? 01-21 5 e r (in wall, in -duct, suspended, etc.) I 14.00
Flue/vent (for any of above) 1 10.00 10 • w
Repair units 12.15
Subdivision: /Al(/,�f ��.¢reD Lot #: 2 4- Re p Other Fuel Appliances
Tax map /parcel #: Water heater I 10.00 I N. .
. • DESCRIPTION OF WORK Gas fireplace '1 10.00 I Icy. w
C r .(S 7 OR OttG ) 3 5-r-o Flue vent (water heater/gas fireplace) 7 10.00 2U. fO
-(».J krylf, Pealed- Nilo SQp Log lighter (gas) 10.00
l Wood/Pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner /flue/vent 10.00
. OPROPERTY•OWNER. - - Other. 10.00
.1 ❑.TENANT......:_ __• .
Name: ttirfh I� Oral< TWA) L/� Environmental Exhaust & Ventilation
7'V f 1/ ) Range hood/other kitchen equipment , 10.00 (U .'°
Address: q SN/ vQ4ue° / 51 1 1 76- Z w Clothes dryer exhaust 1 I 10.00 io a
City /State /Zip: Atz de Q (9 Single duct exhaust
Phone:(So3) 8612 -8 5 8 I Fax: ( � ) $9 2 -18'-tI (bathrooms, toilet compartments,
• arAPPL CANT • : I 0 CONTACT PERSON utility rooms) 4 6.80 11.
Name: N I>Et 4. gaoup..1 i R tm'ec,1 Alc • Attic/crawl space fans . 10.00
^ .rd,, ° n Other: 10.00
Address: q..36 t7W ' lyvcal�l2 alb S✓17. 2zo Fuel Piping
City /State /Zip: r Porz. /0'1Z 1 2-19 '•($5.40 for first 4. S1.00 each additional)
Phone:(So3) NZ -8156 Fax: S o3,�A2 Furnace, etc. " -eeig Gas heat pump ••
E -mail: ✓hPez- C C d I bs"c - S'ue , c;,, Wall /suspended/unit heater "
„ CONTRACTOR Water heater I ..
Fireplace I
FORECAST HEATING & AIR CONDITIONING Range
17135 NE GLISAN ST BB Q ••
PORTLAND OR 97230 Clothes dryer (Ras) `"
CCB: 152194 Other.
Total: 1 1 6. *
Mechanical Permit Fees*
Authorized /i 4, / 2 G � 5 Subtotal: S I "SO , 66
Signature: ( /I/1P� Date: Minimum Permit Fee $72.50 $
IF F06 Cigli Plan Review Fee (25% of Permit Fee) $ S 2 • CO 5
(Please print name) State Surcharge (8% of Permit Fee) $ tO • `+tc
TOTAL PERMIT FEE $ I 1 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:lDsts\Pemtit Fornss\MecPermitApp.doc 01/03
A
lksutiutttb r ixtu! Ca Iii geaffbil �� Plumbin Permit A i I FOR OFFICE USE ONLY
Received Plumbing
7 2003 Date/3y: Permit No./t�sfo?mi DDg�
JUN
City of Tigard Date/By: Approval Sewer
D rmit No.:
13125 SW Hall Blvd. CITY OF T • `IUD Plan Review Other
Tigard, Oregon 97223 BUILDING 'i • ON Date/By: Permit No.:
Phone: 503 - 639 -4171 Fax: 503 -598 -1960 Post - Review Land Use
Contact Case No.:
Internet: www.ci.tigard.or.us a (� e.' I + Contact Juris.: ® See Page 2 for
s
24 -hour Inspection Request: 503- 639 -4175 - Name/Method: Supplemental Information.
• * TYPE O F WORK FEE* SCHEDULE (for special information use checklist) ' -
• Er New construction ❑ Demolition Description I Qty. I Fee(ca.) 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
®' 1 & 2 Family dwelling ❑ Commercial/Industrial SFR (2) bath I 350.00 r � ,
Accessory Building ❑ Multi Family SFR (3) bath --+- 399.00 �I .
❑ Master Builder I ❑ Other: Each additional bath/kitchen 45.00
.: JOB SITE INFORMATION and LOCATION Fire sprinkler - so. ft.: Page 2
Job site address: /0 /6'S` fRtkZ ((1110 PL Site Utilities
Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60
Project Name: N�4'1AJ V� Z � - 1 - 0/..114 140Nll%S Drywell / leach line/trench drain 16.60
Footing drain (no. linear ft.) Page 2
Cross street/Directions to job s Manufactured home utilities 1 10.00
SLJ 1 ;c�� S. Manholes 16.60
3E/1it 2r4,-'r Rain drain connector 16.60
Sanitary sewer (no. linear ft.) Page 2
Subdivision: 44W4 CM.RP Lot #: .- Storm sewer (no. linear ft.) Page 2
Water service (no. linear ft.) Page 2
Tax map /parcel #: or Item
DESCRIPTION OF WORK A valve 16.60
Ca(iS tAC nos) OF •lEw 3 S i (7( Backflow preventer Page 2
Tc flowf. p0_,J€cX (04/ti cctft Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
.- P R O P E R T Y . • . O W N E R "-";' -0 TENANT .. _ .... - Ejectors/sump 16.60
Name: A UTU M NJ P,412- K T kAltil OoOV1ES L Expansion tank 16.60
Address: 9 coo S■nl IZAegje, go/D Siltri lla Fixture/sewer cap 16.60
City /State /Zip: PjICT1 D Ca, q z y Floor drain/floor sink/hub 16.60
Garbage disposal 16.60
Phonek5o3j 9S2- 81 SFR 1 Fax: C ) q SS I Hose bib 16.60
;APPLICANT : - L= :f--.:....
f : .. : - . ❑ CONTACT PERSON: =• Ice maker 16.60
Name: b V L. &€OvJPJ f 45SOC.il'ES, (l)(-- Interceptor /grease trap 16.60
Address: g5Cb 5,.•.) ghe Bum gL1b, Su at 220 Medical gas - value: S Page 2
Primer 16.60
City /State /Zip: 12r2JtDS , C. �►` L t Roof drain (commercial) 16.60
Phone:(S03)89Z- 6758 Fax(So'nM 6$4( / Sink/basin/lavatory 16.60
E -mail: h c t d I beric,Thacce9G . Co r„v 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 ..
3 469 0443 . -. ... ' Permit Fees* ..,: • :''•,.: : -;•
CCB: 149035 PLM: 34-391PB Subtotal S t 00 .75
Minimum Permit Fee $72.50 S
Authorized l D Residential Backflow Minimum Fee 536.25
Signature: � �� Date: /�� Plan Review (25% of Permit Fee) S C(. ,"Iff
g. I u OP R cE NE State Surcharge (8% of Permit Fee) S rat 7� -
(Please print name) TOTAL PERMIT FEE S
Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans with isometricor�` (*
180 days after it has been accepted as complete. riser diagram for plan review. ✓ j o
•Fee methodology set by Tri-County Building Industry Service Board.
i:\DstsTemtit Forms\PlmPemtitApp.doc 01/03
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223 RECEIVED
IMPORTANT PERMIT NOTICE
AUG 1 -k- ) ?uu4
PLUMBING EXPERTS INC
CITY OFTIGARD
11925 SW PARKWAY BUILDING DIVISION
PORTLAND, OR 97225 -541
Plumbing Signature Form
Permit #: MST2003 -00325
Date Issued: 8/5/2004
Parcel: 1 S133AC -10600
Site Address: 10965 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 024
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 . 1 . , 9 ° , e, i4 /74/0. cA-
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 -00325
Date Issued: 8/5/2004
Parcel: 1 S133AC -10600
Site Address: 10965 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 024
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
X-
Signature of Supervising Electrician
If you have any questions, please call 503.718.2433.
A4 5 - 7-2_0 - 03 - a )3Z5
® AAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA A
® •
® •
®
STREET TREE CERTIFICATION
® •
® I, 7 5UCE 3JL/ , Owner /Agent for PL IeEI- G • iS e9/ V ' A.SSOc . •
(PLEASE PRINT) (PERMIT HOLDER)
• •
® Do hereby certify that the following location •
®
44 meets ,City of -.Tigard /Washington County ■ ;
® land use and development standards for street tree installation. •
ADDRESS: / 094' 5 - S . kJ. ��. ;
® •
4 •
® LOT: Z A- SUBDIVISION: 44 It-
® BY: l DATE: 5/34/al
•
1 RECEIVED BY: DATE:
AL
CITY OF TIGARD
BUILDING DIVISION
A ?: #: MST200-00325
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/5/2004
Phone: (503) 639 -4171 la,
Inspection Requests (24 Hrs.): (503) 639 -4175 "LL.
INSPECTION WORKSHEET FOR DATE: 3/31/2005 TIME: 7:05AM PAGE: 31
SITE ADDRESS: 10965 SW BRI ARWOOD PL CLASS OF WORK:
SUBDIVISION: HAWK'S BEARD TOWNHOMES LOT #: 024 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: 3/31/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 003368 -02 503-866-4897 N
Corrections /Comments /Instructions:
O A ' I CP----- ; } t
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: t4 Date: 3/ 3 1 4 S Phone #: (503) 718-
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2003-00325
r- -V125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/5/2004
Phone: (503) 639 - 4171 Vit Inspection Requests (24 Hrs.): (503) 639 -4175 �'
INSPECTION WORKSHEET FOR DATE: ±N15/2005 TIME: 7:13AIv1 PAGE: 41
SITE ADDRESS: 10955 SW RRIARWOOD Pi - CLASS OF WORK:
SUBDIVISION: HAWS S 'EARD TOWNHOMES LOT #: 024 TYPE OF USE:
PROJECT NAME: I D _ TO. ojc MES,
DESCRIPTION: N €W SFA dwelling.
i
. OWNER: AUTUMN PARK TOWNHOMES, LLC, PHONE #: 503- 233-0075
' CONTRACTOR: OMEK L BROWN & ASSOCIATES INC PHONE #: 971 - 233 - 0O5
Inspection Request Scheduled For: Date: 3/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
• 199 Electrical find 001743 -02 603866-4897 N • .
' Corrections /Comments /Instructions:
, 1 Ri4/61‘. : /4-/vde _ ..
______,_______ . ..
_________________
. .
.....) ..
..:..:
_--------- ... -1
...-----
• _/-
. •
,/'
...,..-------- •
• • ;
• -(...----- .
N ........._ .•
________ _________
• .
. •
______________ ,
....
....., "
s.,..,
,. ,.,..„..
..
, .••,
..
P2 'ASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: b4" k"/ Date: Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MST2003 -00325
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/5/2004
Phone: (503) 639 -4171 ytt
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/30/2005 TIME: 7:11AM PAGE: 25
SITE ADDRESS: 10965 SW BRI ARWOOD PL CLASS OF WORK:
SUBDIVISION: HAWK'S BEARD TOWNHOMES LOT #: 024 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
Inspection Request Scheduled For: Date: 3/30/2005 Pour Time:
Code # Inspection Description # Message
Confirm # Contact s e
P P 9
399 Plumbing final 003214 -10 503 - 866.4897 N
Corrections/Comments/Instructions:
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E PASS 7 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i ii -5 Date: Phone #: (503) 718-