Permit ,. ..,,
... ,•
as, CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2003 -00320
1 , DEVELOPMENT SERVICES DATE ISSUED: 7/28/2004
j I� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 10940 SW BRIARWOOD PL PARCEL: 1 S133AC -10100
SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25
BLOCK: LOT: 019 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 at GARAGE: 536 sf FRONT: PARKING SPACES :
TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: 709 sf RIGHT:
VALUE: 149
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 BOIL/CMP < 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/FCR: 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 U SYSTEMS:
Owner Contractor TOTAL FEES: $ 6,212.45
AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES Il�his permit is subject to the regulations contained in the
9500 SW BARBUR BLVD., STE 220 4949 SW MEADOWS RD SUITE 400 i and a Municipal ica l State of All w k wil b o i Codes
PORTLAND, OR 97219 LAKE OSWEGO, OR 97035 acct a ra cer applicable laws. s . work permit 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 - 892 - 8758 Phone: 971 - 233 - 0075 ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those
Reg 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 Plm /undslb Insp Plumbing Top Out Exterior Sheathing Ins[ Water Line Insp Building Final
Sewer Inspection Electrical Service Framing Insp Firewall Insp Water Service lnsp
Footing Insp Electrical Rough -in Gas Line Insp Gyp Board Insp Electrical Final
Foundation Insp Mechanical Insp Insulation Insp Rain Drain lnsp Plumb Final
Slab Insp Low Voltage Shear Wall Insp Storm drain insp Mechanical Final
Issued By : / /., Permittee Signature : ..S_1,'ti 4r\
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
y oxa�...- -L RECEIVED I VE ® B FOR OFFICE USE ONLY
Building Permit Application uildin
g PP ation N 2 7 2003 DateBy (/I /3 Pe rmit No.: / 1 6
City of Tigard CITY OF TIGAR A Planning Approval
DatelBv Other Permit No.:�✓.sf.V 2 3 - ,A0OSV
13125 SW Hall Blvd. Plan Review Other
BUILDING DIVI • ON
Tigard, Oregon 97223 Date/By: !�' � PermitNo.:
Phone: 503- 639 -4171 Fax: 503 - 598 -1960 � 1 tw ��l1' Post -Ry: ew L an d Noe
Inte www.ci.tigard.or.us Contact Juris.: i 1$1 See Page 2 for
24 -hour Inspection Request: 503 -639 -4175 Name/Method: 776 Supplemental Information
• - TYPE OF WORK •
.�. �..� . .. � � - REQUIRED DATA: ": '''•::.::•:. `'::..:: • . .
New construction E1 Demolition • . 1 &r2 FAMILY DWELLING •
❑ Addition/alteration/replacement ❑ Other:
• " -- -CATEGORY OF CONSTRUCTION - - . - - Note: Permit fees' are based on the total value of the work performed. Indicate
1 & 2-Family dwelling El m
Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building Li Multi- Family
❑ Master Builder ❑ Other: Valuation S i J 1 3L • ` tt)
::JOB SITE INFORMATION-and .I: CATION No. of bedrooms: 3 No. of baths: 2.
Job site address: I04 (Z( P /k( Total number of floors
New dwelling area (sq. ft.) a1�
Suite #: I Bldg. /Apt. #: Garage/carport area (sq. ft.) 48
Project Name: IaAW KS 13F.Aga)s Tc imet S Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
SW 130 Al/f. 4- S.hl {At4Kr soka. Other structure area (sq. ft.)
S . REQUIRED DATA_
d COMMERCIAL - US CHECKLIST :::1` "��.=: ' :..:. '
Subdivision: 1-M -)ks aorr. `TOMh 4 4 Lot #: i l
Tax map /parcel #: Note: Permit fees' are based on the total value of the work performed. Indicate
i' " "' DESCRIPTION OF WORK ' - : -- the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
Cr7�IS ucT)cr1 OF IVA) 3 ST - o2.1 T 0414 l+jw�
x
1Se � t / i i . &8 } Valuation S
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories 3
%P.ROPERTY:OWNER -1:-.11 TENANT :•.7:-.• -•- • .. Type of construction v iv
Name: Ain?" rJ P/g K TO1R•1/NI(-'" / L .L.0 . Occupancy group(s): Existing:
R-3
Address: 9 150o S W '[. Rule & Su ITE 22.6
City /State /Zip: 'POerLA J , 02 q 7 219
Phone: 601) 692 -$?Ss Fax :63) 012-4041 NOTICE: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
APPLICANT. - •: .- • . • : - [l :•CONTACT PERSON -.. provisions of ORS 701 and may be required to be licensed in the
Business Name: .,e.EK L . E2tOt.l4 C AgXGAPti' / (4 • jurisdiction where work is being performed. If the applicant is exempt
Contact Name: Mike K (- Gb4Scio ce etzt Pe.A,JZ from licensing, the following reason applies:
Address: 990 SaJ giteektAe &lb Su (7.e 224
City /State /Zip: keraiI, O12 q 7_l c
Phone:( 6`
S42 -68 ' Fax:(56iject2-6e4(
*_
E -mail: 'narK 4c1lbtownASSe)e, Cdn i ... . . BUILDING edule•°' - —
�
.- . _ .._ -.. ' CONTRA CTOR - .:: ,.
. ....
.. ..
.
Ylease�.'r efei�tti :feesth
Business Name: 'ilea L. &2aiwN A&&lAm, NG, Fees due upon application S
Address: ' x) sp./ gAiesu e aim) 11 Sll rec zao
City /State /Zip: fb¢.rLA.7.) oe -1219 Amount received s
Phone: 8928'75$ ( Fax: 5.63)09 2 -88'4 I Date received:
CCB Lic. #: 8(
Authorized 4----- 4 e ? Notice: This permit application expires if a permit is not obtained within
Signature: Date : 180 days after it has been accepted as complete.
/ " Y `vt ' I x/» *Fee methodology set by Tri- County Building Industry Service Board.
(Please print name) •
i :\Dsts\Permit Forms\BldgPermitApp.doc 01/03
V • FOR OFFICE USE ONLY
- El Permit Ap p ca 1 i Received Electrical /k
JUN 2 7 Date/By: Permit Nori,) / , 3 - 4e O
2003 Planning Approval Sign
City of Tigard CITY OF TIGAR Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 BUILDING DIVISIO' . Date/By: Permit No.:
Phone: 503- 639 -4171 Fax: 503 -598 -1960 Post - Review Land Use
J t':
f
Contact Case No.:
Internet: www.ci.tigard.or.us e`I Contact Juris.: ® 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) •
(New construction ❑ Demolition ❑ Service over 225 amps- ❑ Health -care facility
commercial ❑ Hazardous location
❑ Addition/alteration/replacement ❑ Other: pg 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
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 INFOAMATION and LOCATION Submit _ sets of plans with any of the above.
The above are not applicable to temporary construction service.
Job site address: IN 1.. Be(Al2 1Ck1� PLACE FEE* SCHEDULE
Suite #: Bldg. /Apt.#: Number of inspections per permit allowed
Project Name: 4 j S 61gfj� el S Description Qty j Fee (ea.) I Total 1 1
New residential- single or multi- family per
Cross street/Directions to job site• � � dwelling unit. Includes attached garage.
s� 1 AEI Ue .5-Ai ` y ' Service included: d
1000 ft. or less k 145.15 ("1 15 4
Each h additional 500 sa. ft. portion or portion thereof L I 33.40 0 I 3.4D I
C Ta. n I ' p Limited energy, residential 2 I I 75.00 I - 15 v
.a
Subdivision: 1% ' '.' Lot #: L Limited energy, non residential I 75.00 I 2
Tax map /parcel #: Each manufactured home or modular dwelling
- DESCRIPTION OF WORK • service and/or feeder 90.90 2
P - "
Services or feeders - installation,
^ "^ J CamrJh+ Cr oil ST-ewe-4-1 3 alterration tion relocation:
ation: Q,, .2, 2 �/� k ( I / e i
" (So 50
mil. F7GWlG 200 amps or less I. 80.30 201 amps to 400 amps 106.85 I 2
401 amps to 600 amps 160.60 I 2
&13PROPERT.Y OWN R I TENANT:' - . -- . :'' :: _" . 601 amps to 1000 amps 1 240.60 I 2
t Over 1000 amps or volts I 454.65 I 2
lgame: A i-ru i✓I 4 pAi. I q n3�IN►ES L LC Reconnect only I 66.85 I 2
Address: q5e0 SvJ Me.gue.gt" c (7'(c 22z Temporary services or feeders - installation,
alteration, or relocation:
City /State /Zip: Fi)2rL1I7�'�, C12. 9 2 ' 1 1 c 2l9 aQ' I / 200 amps or less 66.85
Phonec5 -prlsa Fax :(� \ G�'92 -SS`1l 201 amps to400amps 100.30 2
� 133.75 2
APPI: ANT :<t ...:' _ ❑:C /' ONE CT •PERSOL�F2 .. 401 to 600 amps
Branch circuits - new, alteration, or
Name:1b I. p L. t E4S / / "X • extension per panel:
�5� c n M . o'', SU t f Z2 A. Fee for branch fee
d ci.ts with purchase of
W
Address: �+�1 glY hJ- service e or feeder fee, each branch circuit 6.65 2
City /State /Zip: er 1 t' , , C' - 9 7 2 i B. Fee for branch circuits without purchase of
GjTt� service or feeder fee, first branch circuit 46.85 2
Phone: �cp -k)b P S Fax: (*"...1) e92 -8e4 / Each additional branch circuit 6.65 1 2
E -mail: rIr„ 1. d 1 t o t. ». a. soe , CO/t''t Misc.(Service or feeder not included):
; Each pump or irrigation circle 53.40 2
?::r i -" ; CONTRACTOR , : Each sign or outline lighting 53.40 2
Electrum Inc Signal circuit(s) or a limited energy panel,
alteration, or extension Page 2 2
DBA Spectrum Electric 1 Description:
2050 Vista Ave #100 I
Salem OR 97302 I Each additional inspection over the allowable in any of the above:
503- 361 -1256 Per inspection per hour (min. 1 hour) 62.50
Investigation fee:
CCB: 116453 ELC: 24-353C SUP: 2919S Other. I
CCB Lic. #: 1 Lic. #: , •:.. - . - . .Electrical Per tnit:Eeie; xf:r. = ;;:` -- . =,
Supervising electrician Subtotal S 7 -3 - . 7 .1 4 5
signature required: Plan Review (25% of Permit Fee) S 3 .
� re 4
Print Nari Lic- #: State Surcharge (8% of Permit Fee) T S 2- 0 + i
/ TOTAL PERMIT FEE S 44. O
Authorized � ( g � 7/` r Notice: This permit application expires if a permit is not obtained within
Signature: (((/// Date: ` 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
tY ft IC N . /u SeA
(Ple print name) •
is \ Forms \ElcPetmitApp.doc 01/03
R Eq V � D FOR OFFICE USE ONLY
i ' M Perm' Applicatio Received Mechanical �
JUN 2 7 2003 Date/By. Pemrit No.:Hgl t1 3 `0:7 2c2g
Planning Approval Building
' City of Tigard CITY OF TIGARD Date/By: Permit No.:
13125 SW Hall B1'd BUILDING DIVISION Date/By: Review Permit No.:
Tigard, Oregon 97223
Post - Review Land Use
Phone: 503- 639 -4171 Fax: 503 - 598 -1960 t: w F r, Date/By: No.:
Internet e gill I 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 . -,
,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.
7..'1 :: CATEGORY OF CONSTRUCTION.
'1 & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule
Multi-Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE * - SCHEDULE.
El Accesso Accessory Building ❑ y Description I Qty I Fee(ea.) I Total
❑ Master Builder , ❑ Other: Heating/Cooling
JOB SITE INFORMATION and LOCATION - Furnace - add-on air conditioning ** 1 14.00 I'4, A
Job site address: / °WO gfelAPGJ00J PG . Gas heat pump 14.00
Suite #: Bldg. /Apt. #: Ductwork 1 14.00 14.
� � igIA'e� _j_Q
Project Name: wt,-) Hydronic hot water system I 14.00 401M �S Residential boiler
Cross street/Directions to job site :, (for radiator or hydronic system) 14.00
.S (JO { I` , v / / 4,.- Unit heaters (fuel, not electric)
— g 4 i> < e1--- (in wall, in -duct, suspended, etc.) 14.00
Flue/vent (for any of above) 1 10.00 10.
q Repair units 12.15
Subdivision: HA/4-4‹ ggf} Lot #: / Other Fuel Appliances
Tax map /parcel #: Water heater I 10.00 10..
DESCRIPTIONOF WORK '"'
- Gas fireplace 1 10.00 10.
C�,►i reLtGT1� OF Ate- (A) 3 S-roe Flue vent (water heater /gas fireplace) 2 10.00 20 .
'/_� r►'1F Pealed-- l r 4 � U � ,` Y Log lighter (gas) 10.00
��� 7f� Wood/Pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner/flue/vent 10.00
PROPERTY OWNER -- - . • I' 0- TENANT "' :_ ..•. • - Other: 10.00
Name: /t7/1 i Oral< T WAJl-lowteC LL.-C Environmental Exhaust & Ventilation
Range hood/other kitchen equipment 1 10.00 10 • a)
Address: (3 SN/ i'y/e 131.1) / $ / 1T€ Z 2) Clothes dryer exhaust I 10.00 10. °o
City /State /Zip: Q de 9 Single duct exhaust
Phone:(5,13)e _8'?S$ Fax: (5)5) 99'2-- 884( (bathrooms, toilet compartments,
(APPLICANT . • El PERSON utility rooms) 3 6.80 20 .
Name: I>ce ,<C L.. &2cu)�J s A tct,eES', NC • Attic/crawl space fans 10.00
Q_r ^ g Ri_libt Other:
Address: �w ' S./17*. OW Fuel Piping
City /State /Zip: woe z4 l ot 9-72.19 *•($5.40 for first 4. $1.00 each additional)
Phone:(ScJ3) Pt?2-8'158 Fax: ,P5i1,-084( Furnace, etc. 1 "
Gas heat pump
E -mail: over- C a d 1 browner -VdC . C .7"."N Wall/suspended/unit heater "
- .. . • CONTRACTOR . Water heater I "
— - - V Fireplace I "
Ranee "
FORECAST HEATING & AIR CONDITIONING BBQ
17135 NE GLISAN ST Clothes dryer (gas) ••
PORTLAND OR 97230 Other: "
CCB: 152194 Total: 3 Sa' 0
Mechanical Permit Fees*
Sutnonzea / 6 • 2jS03 Subtotal: $ 12.3. 91 )
Signature: Da te: � `'`� Minimum Permit Fee $72.50 S
/ $ 7 V cE ex o G Plan Review Fee (25% of Permit Fee) $ 30,9
(Please print name) State Surcharge (8% of Permit Fee) $ , 1 0
TOTAL PERMIT FEE $ 10 t , ld5
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\Pemut Forms\MecPermitApp.doc 01/03
1$U r txl.ul c ► LL
• �, Pl Permit to FOR OFFICE USE ONLY •
D ace /Bed Plumbing /liw DD S
Date/By: Permit No.
City of Tigard JUN 2 7 2003 Planning Approval Sewer
Date/By: Permit No.:
13125 SW Hall Blvd. CITY OF TIGA' ■ Plan Review Other
Tigard, Oregon 97223 'UILDING DIVI' ON Date/By: Permit No.:
Phone: 503 - 639 -4171 Fax: 503 -598 -1960 Post - Review Land Use
'''�� Date/By: Case No.:
Internet: www.ci.tigard.or.us ^14.11 II 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)
(Fg New construction ❑ Demolition Description I Qty. I Fee(ca•) I Total I
❑ Addition/alteration/replacement ❑ Other: New 1- & 2- family dwellings
CATEGORY OF CONSTRUCTION (includes 100 ft. for each utility connection)
SFR (l) bath 249.20 . �
Cg 1 & 2- Family dwelling ❑ Commercial/Industrial SFR (2) bath 350.00 O, N
['Accessory Building ❑ Multi - Family I SFR (3) bath ]� _
399.00
❑ Master Builder ❑ Other: I Each additional bath/kitchen 45.00
• . JOB SITE INFORMATIg}v and LOCATION Fire sprinkler - sq. ft.: Page 2
Job site address: /6/ 4-0 /.)gI4P-(/1/O0i f L Site Utilities
Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60
Project Name: I- 4AAJv� Zvi 1Q JtL l-oM C I D oting ack line/trench drain 16.60
Footing drain (no. linear ft.) Page 2
Cross street/Directions to job s1t Manufactured home utilities 110.00
5‘..,0 1 ..0 Alfv i 1-(11Wid Manholes 16.60
36/1"4 /r Rain drain connector 16.60
Sanitary sewer (no. linear ft.) Page 2
Subdivision: /f/4WK 5 L7E14-gj) Lot #: / 7 Storm sewer (no. linear ft.) Page 2
Water service (no. linear ft.) Page 2
Tax map /parcel #: - - Fixture or Item s .
• DESCRIPTION OF WORK Absorption valve 16.60
C. 6/4S - 7 2(AL?10i-) OF riEIn) 3, ST Backflow preventer Page 2
--�r� 140046 P E� ( I (a& SI -42•{' 1 Backwater valve 16.60
✓ Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
- ErPROPERTY'OWNER. .- d •❑TENANT• • •-- . _ • Ejectors/sump 16.60
Name: A UrO W I r•J P,44 K T WN F icevi L'LC- Expansion tank 16.60
Address: q SCo SW S4re.gVe 6LA■1 Slit Z z Fixture/sewer cap 16.60
City /State /Zip: poles ¢,.JD 02 q z Floor drain floor sink/hub 16.60
Garbage disposal 16.60
Phone{o3J S ae- 81 sa i Fax: �$() S 2- 884 I Hose bib 16.60
:APPLICANT- . : . ::::: -: . • ::D•CONTACT PERSON, Ice maker 16.60
Name: 1).F.e(V L. O./i ) g, 45SOCul-+'`ES, (l.X, Interceptor /grease trap 16.60
Address: 95a) St.) fyte gu/e. glib, Su at ZZ[) Medical gas - value: S Page 2
Primer 16.60
City /State /Zip: Ftxr2A-3•S , Ct q- 2, l 9 Roof drain (commercial) 16.60
Phone � S o 3 ) t Z,- 5758 F a x ( g c S 2 , - 6 a 4 1 I1 Sink/basin/lavatory 16.60
E -mail: l'r1A+Lle_ ci d I tvriom a-cCtl c. Cow.% 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* ... :•:i
CCB: 149035 PLM: 34-391PB - Subtotal S 360.0D
Minimum Permit Fee $72.50 $
Authorized Residential Backflow Minimum Fee $36.25
Signature: G i'/
ate: ZO /0 $Z
Plan Review (25% of Permit Fee) $ .5
-�� U C E_ �iV State Surcha (8% of Pe rmit Fee) $ Z S .
(Please print name) TOTAL PERMIT FEE S /ps.S
Notice: 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
11 ' •
PLUMBING EXPERTS INC
U I Y NG DIVISION
11925 SW PARKWAY
BUILDING DIVISION
PORTLAND, OR 97225 -5413
Plumbing Signature Form
Permit #: MST2003 -00320
Date Issued: 7/28/2004
Parcel: 1 S133AC -10100
Site Address: 10940 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 019
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 -391 PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X i X/ 1 44/4/`"e-
Signature of Authorized Plumber
If you have any questions, please call 503.718.2433.
AA S 72-an 3 — 32-0
LAAAAAIAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA V
44 go•
STREET TREE C
..
,z.
i ..,
„: O.
® i r
® I, p.UCE CONE- , ,Owner /Agent f or P G • CRP /N $ ��SOG. kb
® (PLEASE PRINT) (PERMIT HOLDER)
® Do hereby certify that. location 0.
tit-
meets C t _: :�Ti ard /W o 'County Count
Y___ = of g _ - : Y
® land use and development standards for street tree installation. its-
iil Re.
41 10.
® ADDRESS: /Q c j ¢0 gal CA wd0D PL
1 Ro-
1 Ito-
® LOT: / 7 SUBDIVISION: HA 04 -5 UE4-eD itx-
1 to-
® BY:
1 DATE: ) //3/0 s
®
/ / /
RECEIVED BY: �, :�,( � ---. DATE: /- / 4 d'�
V YVY VVVVY YVYYYYYVVY VYYVY YVVVYYYYYYVYVVYVYYYV®®®®®®VVVVV VVYN
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST ;1_003 3 2 'C-)
INSPECTION DIVISION Business Line: (503) 639 -4171
/ BUP
R 4
eceived Date Requested `✓ f AM PM BUP
1t
Location / d f d ! Suite MEC
Contact Person Ph ( ) 74'6 Sl 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:
PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
AS T FAIL
!M ECHANIC
PosT& Weam
Rough -In
Gas Line
Smoke Dampers
iuF r
PART _FAIL
CTRICAL
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: Unable to inspect — no access
Fire Supply Line
ADA / Approach/Sidewalk Date / — /4- Inspector 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 MSTZ013 -v032_0
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested r! _ ( 3 AM PM v BUP
Location / 19c l Suite MEC
Contact Person Ph ( ) 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
Storm Drain
Shower Pan
� Otthh - er:
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 El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: 1=I Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 1 S Inspector J Ext
Other: •
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line1503) 639 -4175 MST a°03 U o3 Z v
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested / ` / 3 AM PM BUP
Location /6 ?Ill) ,r% 4, LL7?Y -t -7 Suite �} MEC
Contact Person Ph ( ) �'� — 4d PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation 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
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
PASS PART FAIL
0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE ❑ Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA ?
Approach/Sidewalk Date J - Inspector Ext
Other:
Final DO NOT REMOVE this Inspection recur from t Job site.
PASS PART FAIL