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Permit •k ,. CITY OF TIGARD MASTER PERMIT PERMIT #: MST2003 -00277 c _ 1 11 DEVELOPMENT SERVICES DATE ISSUED: 11/3/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639171 SITE ADDRESS: 10935 SW 130TH AVE PARCEL: 1S133AC-HBOO4 SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R -25 BLOCK: LOT: 004 JURISDICTION: TIG REMARKS: New SFA dwelling. BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 32 FIRST: 108 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 636 sf GARAGE: 536 sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: 709 sf RIGHT: VALUE: 149,008.40 OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 1.453 sf REAR: PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: 1 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: 31 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 FD R: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 2 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EAADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 9 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,072.45 AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES INTigard M n is subject to the regulations contained C o i the a l l o d u h other applicable cal Code, State work OR. Specialty Codes and 9500 SW BARBUR BLVD., STE 220 9500 SW BARBUR BLVD #220 all other applicable l rov All work will be done i PORTLAND, OR 97219 PORTLAND, OR 97219 t 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. ATTENTION: Oregon law requires you to follow rules adopted by the Phone: 503 - 892 - 8758 Phone: 503 - 892 - 8758 Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You Reg LIC 58699 may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion Control Insp 8 Plm /undslb Insp Plumbing Top Out Shear Wall lnsp Water Line lnsp Mechanical Final Sewer Inspection Electrical Service Framing Insp Exterior Sheathing Insf Water Service Insp Building Final Footing lnsp Electrical Rough -in Gas Line Insp Firewall lnsp Smoke Detector Foundation lnsp Mechanical Insp Gas Fireplace Gyp Board Insp Electrical Final Slab Insp Low Voltage Insulation Insp Rain Drain lnsp Plumb Final • Issued y : / 4 ,fit Permittee Signature :,...S20( .‘ Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day r . Building Permit Application FOR OFFICE USE ONLY C R e c eived J Building Date/By: /° 7 ,� " Permit N o.: No.:// c - 4 0 0 7 7 City of Tigard RECEIVE Planning Approval other Date/By: Permit No.siMe c/Q 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date/By: 0-mo3 DSP Permit No.: Phone: 503 - 639 -4171 Fax: 50jLN8-2910 200 1[ l Post -Revi ew Case Noe Internet: www.ci.dgard.or.0 � IL I I � 9 � 7 Contact Juris.: El See Page 2 for 24 -hour Inspection Request: N DIVISION Name/Method: 776 Supplemental Information TYPE OF WORK REQUIRED DATA:' ... E'New construction ❑ Demolition . . -Z I & 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 ❑ 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 L Multi- Family ❑ Master Builder ❑ Other: Valuation g c lip? 008. `10 :,JOB SITE INFORMATION•and.LOCATION - No. of bedrooms: No. of baths: 2 Job site address: `OQ35 SW /so , -fjJ J UTE Total number of floors _ 3 — New dwelling area (sq. ft.) 1 `r'S Suite #: Bldg. /Apt. #: Garage/carport area (sq. ft.) Sad Project Name: HAWKS PEA 1-0■4146:44.4.a Covered porch area (sq. ft.) —3 Cross street/Directions to job site: Deck area (sq. ft.) 1 SW I 'SO"' A ift/egOe 7 ) sly. {(/t4KS B _ - \ Other structure area (sq. ft.) S er; ... - .. REQUIRED 'DATA: - = - COMMERCIAL ....USE CHECKLIST : ':' Subdivision: 11,4 JtCS 13644 1J..t EC Lot #: 4 Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate DESCRIPTION OF - WORK •• - •1 the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. r,,,e.I, � NE4� 3 ST Tarlr( politic, , , E � // 4-&f..) Valuation S l Existing building area (sq. ft.) New building area (sq. ft.) Number of stories 3 -:j P.ROPERTY_OWNER':. -I •.❑ .TENANT = - . — Type of construction V N Name: AJfbrn PAK TO1A-04- L.L.L. Occupancygroup(s): Existing: R-3 Address: 9500 SW 'fie Rule &SI) Su 11•E Z2.6 City /State /Zip: ?oendt'1A. , 02 9-i 2-19 Phone: 601) 6i2-$7SS Fax'' 012-' 0 4( NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under . (r APPLICANT'.. °s' : :..[]='CONTACT PERSON::':` provisions of ORS 701 and may be required to be licensed in the Business Name: bfiefK L. e /ISSac1A i' f (4, . jurisdiction where work is being performed. If the applicant is exempt Contact Name: Mike K (4/44KW C+2 etc.r PPeAoz from licensing, the following reason applies: Address: g2o SrJ gbt te, l Su tba 210 City /State /Zip: kivniti 012 q "'r Phone: + 6 - 6Es 1 Fax:(5:53ject2 ,BUILDING'PERMIT'FEES *° E -mail - & r k 4.. d I b noon ASSOG , C.D/In Please' refer: to" fee schedule: ,---..•::;".-.. - : - •CONTRACTOR •• • ._ -.._., • ..... - '"'••••• ,- • • . . ._ . . . • Business Name: beck : L. gectiO $ Agaikte Y-t, Fees due upon application $ Address: ' x) SIAJ 8,40Sul . gt-Vb s 220 City /State /Zip: fbQrl Q2 ?" 9 Amount received $ Phone:(�3\ 8928 `t S$ I Fax: 5630 2-804 l Date received: CCB Lic. #: 869 Authorized / / Notice: This permit application expires if a permit is not obtained within Signature: ✓lam Date: � ( � G? 180 days after it has been accepted as complete. /v l,47'L K N . 1440 9,AJ *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) • i:\Dsts\Permit Forms\BldgPermitApp.doc 01/03 - -• Electrical Perm l l FOR OFFICE USE ONLY R ece i ve d Electrical , Date/3v: Permit No.: / 3 -QO 7 9 City of Tigard JUN 2 7 2003 Date/ Planning Approval Sign Date/B : Permit No.: 13125 SW Hall Blvd. CITY OF TIGAN p Plan Review Other Tigard, Oregon 97223 DateBv: Permit No.: Phone: 503- 639 -4171 Fax: WJPlN4PIVIS • Post - Review Land Use t DateBv: Case No.: Internet: www.ci.tigard.or.us ■g, ei Contact !uris.: El See Page 2 for 24 -hour Inspection Request: 503 -639 -4175 '—' Name/Method: Su lemental Information. • TYPE OF WORK I - • 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 1 & 2 family dwellings four or more residential units in �1 & 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: 10935 s(� 13c) � JE/1�OE FEE *SCHEDULE I Suite #: I B1 g. / Apt. #: Number of inspections per permit allowed Project Name:.f..�All�{gs e --rOW/iN 'Ai g5 I Description l Qtv 1 Fee (ea.) l Total I Cross street/Directions to job site: New residential- single or multi- family per i S � 1 ' 0 +" AV U- � !� N �_ _ / � dwelling unit. Includes attached garage. JV J /��" Service included: ` l � ? 1 �� ��� 1000 so. ft. or less _ 145.15 4 6 Sr Z•CC � Each additional 500 so. ft. or portion thereof a. l 33.40 I 6C S 1 I _ I ' Limited energy, residential I 1 75.00 I '1S .� Subdivision: I' � e rr* Lot #: I Limited energy, non residential I 75.00 I Tax man /parcel #: I Each manufactured home or modular dwelling ' - DESCRIPTION OF WORK service and/or feeder 1 90.90 I 2 Services or feeders - installation, I (4 - rue -CT1& CF 0I�/..J 3 sr7 alteration or relocation: -- aW . / i J V✓(C g r' /. c t� T1JtcC -, I I 200 amps or less 80.30 _ . ' 2 Al. /'t`C 201 amts to 400 amos 106.85 2 401 amos to 600 amps 160.60 2 : ;PROPERTY "OWP1 R. j El TENANT: -:- 601 amps to 1000 amps 240.60 2 / 4 , U 1 7) )�04es R on nect only or volts 454.65 2 Dame' l�✓ihi �� �� t'+'Ti L� Reconnect nly 66.85 2 Address: ci560 SA) gLr- gi. 17'. - 222 Temporary services or feeders - installation, alteration, or relocation: City /State /Zip: r2rLAr'�, ce. 9 219 200 amps or less 66.85 1 Phone 5 o�13 Z —P� 7 Fax :(Sos,G�'92 -be Lit 201 amps to 400 amps 100.30 2 . . 401 to 600 amos 133.75 2 . XAPPL ANT,-,1 .7 - ': :: :: - - •.❑CONT �A► CT PERSON- Branch circuits - new, alteration, or Name:1 1G L, Geou.Thp 8 4 , 4 41 s , 1 At extension per panel: Address: 9SO°j ski &ip.R1 f L\ l SQl ZZO A. Fee for branch rfe.e each branch circuit 6.65 2 of service or feeder fee, each branch circu City /State /Zip: ,z; , 012. 9 21 q B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit 46.85 2 Phone: 6,,- )04 9_tS l58 I Fax: (So3) eca—eetfj Each additional branch circuit 6.65 2 Q - d I tr t .Jw)0.csoc , COM Misc.(Service or feeder not included): E -mail: Y+'1 �, r• 1( Each pumo or irrigation circle 53.40 2 - r. - -. ;: .;74: . :. ' _:: CONTRACTOR •. • • Each sign or outline lighting 53.40 - 2 • Job No: 1'12,x-' Signal circuit(s) or a limited energy panel, alteration. or extension Page 2 , 2 Electrum Inc Description: 2050 Vista Ave #100 Salem OR 97302 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 • _„ ..... ..Electrici Pertri(t-Eees* :: t-:: : - '~=' :. -. Supervising electrician Subtotal $ _ Signature required: - Plan Review (25% of Permit Fee) $ Print Na Lic. #: State Surcharge (8% of Permit Fee) $ _ _ TOTAL PERMIT FEE $ Authorized `' ` 4(( Notice: This permit application expires if a permit is not obtained wiwin Signature: Date: 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. (Pie a print name) • i:\Dsts\Permit Forms \ElcPermitApp.doc 01/03 1ii111(1111g r • l i. Plumbing r erm iC ge Received FOR OFFICE USE ONLY Plumbing Date/By: Permit No.: /.S/a -04,2 77 City of Tigard JUN '4 7 2003 Planning Approval Sewer Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 CITY OF TIGAR P DateBy: Permit No.: Phone: 503 - 639 -4171 Fax: gUkUtlftiCAVIS !'. Post - Review [an Use + Date/By: Ca a No.: Internet: www.ci.tigard.or.us ` I iI e. 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) Ei New construction ❑ Demolition Description 1 Qty. 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 (l) bath 249.20 M 1 & 2- Family dwelling ❑ Commercial/Industrial SFR (2) bath I 350.00 350, °°• Accessory Building ❑ Multi- Family SFR (3) bath 399.00 ❑ Master Builder ❑ Other: Each additional bath/kitchen 45.00 • .. JOB SITE INFORMATION and LOCATION Fire sprinkler - so. ft.: Page 2 Job site address: /09.5 .S&J' ['& - 44-V E_ Site Utilities Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60 Project Name: 1-1,41nJ V ' - rovJ tJ P(7W1g S Dr,welUleach line /trench drain 16.60 Footing drain (no. linear ft.) Page 2 Cross street/Directions to job s1 Manufactured home utilities 110.00 5.,‘.3 I �C��� S. Manholes 16.60 36/14 (if Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Page 2 Subdivision: /-6.9. /K S 0.619,?1) I Lot #: .4 Storm sewer (no. linear ft.) Page 2 Water service (no. linear ft.) Page 2 Tax map /parcel #: Fixture or Item DESCRIPTION OF WORK Absorption valve 16.60 C.0 isiS - 72,(Ac. rtcP OF N Eln) S i Q7 .J Backflow preventer Page 2 Th 4J 4 jw i P( Ec ( )Z(0& Si 4 ) Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 . ErPROPERTY'.OWNER. ... TENANT • Ejectors/sump 16.60 Name: Air) ry 1 PAte K - o \AIN I brVIeS 1 L1-C. Expansion tank 16.60 Address: q SCO S'4 14,e it2. g,...‘/6, Si./tNc Z ZD Fixture/sewer cap 16.60 City /State /Zip: FbQT1 D 02 q Z iq Floor drain/floor sink/hub 16.60 C, f �/ Garbage disposal 16.60 Phone{ 3 Bq2- 8750 I Fax: C5c)3) 8'12- 00'T I Hose bib 16.60 APPLICANT:. ••- c- ., : ' . •.. - ':12 CONTACT PERSON. -- - • Ice maker 16.60 Name: bg,ety L. 8P1Ju/l.) S ASSociii i (1J(, Interceptor /grease trap 16.60 Address: 95,00 S>.) g4t.g1Jie, gulb, Su crt 22.0 Medical gas - value: S Page 2 Primer 16.60 City /State /Zip: Ft)22 , CE g7 L I Roof drain (commercial) 16.60 Phone 3)8F Z- 6675 Fax(So3) e.Z 6& f/ Sink/basin/lavatory 16.60 E-mail: h'1Aft . 1 d i tlrrjv,JhQ.(Cel G . co ►^^ 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 . -. • ...•...;r•- '•Plumbing Permit Fees* .. • _." Subtotal S 3 S O. a' CCB: 149035 PLM: 34 -391 PB Minimum Permit Fee 572.50 S Authorized 7 / Residential Backflow Minimum Fee 536.25 _ Signature: 7 .. / L.. a /�� /�� Plan Review (25% of Permit Fee) S _ . U C E- CJlVC State Surcharge (8% of Permit Fee) 5 . ° (Please print name) TOTAL PERMIT FEE S 3 7�8 Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans wu..m.,........... 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 Forrns\PlmPermitApp.doc 01/03 / - �• } FOR OFFICE USE ONLY ' /. lr• echanical P on Received Mechanical Date/By: Permit No.: /157; -Oa72 Planning Approval Building City of Tigard Date/By. Permit No.: 13125 SW Hall Blvd. JUN 2 7 2003 Plan Review Other Tigard, Oregon 97223 C{ TI� Date/Be. Permit No.: ( All Post -Review Land No e Phone: 503 639 - 4 171 F � F , Post - Review Case Use Internet www.ci.tigard.or. _11.1. e . Contact Juris.: S 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. :: CATEGORY OF CONSTRUCTION. • _ ' j'1 & 2- Family dwelling ❑ Commercial/Industrial Value: S See Page 2 for Fee Schedule Building Multi-Family RESIDENTIAL EQUIPMENT/SYSTEMS FEE * • El Access0 Accessory g ❑ y IP Description Qty I Fee(ea.) I Total ❑ Master Builder ❑ Other: Heating/Cooling • JOB SITE INFORMATION and LOCATION - Furnace - add -on air conditioning** 1 { 14.00 14. Job site address: /077 jai /5,92t_ ` ..4 (YY • Gas heat pump 14.00 Suite #: I Bldg. /Apt. #: Ductwork { 14.00 I I+{, � � ig.rh � TOW'- MOYiA -Cc Hydronic hot water system 14.00 Project Name: Residential boiler Cross street/Directions to job sit I (for radiator or hydronic system) 14.00 S(,t) j t'. ! `1 / v � SW � Unit heaters (fuel, not electric) - g04-2I S'7y er (in wall, in -duct, suspended, etc.) 14.00 v Flue/vent (for any of above) 1 10.00 10. °' � Repair units 12.15 I Subdivision: f'/�4GvlC� ��i=7g P Lot #: ¢ Other Fuel Appliances Tax map /parcel #: Water heater I 1 10.00 10. - . • - • DESCRIPTION•OF WORK Gas fireplace I 10.00 10. CC. / rI2(JCC T?C&) OF 4E(A) 3 S otaLt Flue vent (water heater /gas fireplace) Z.. 10.00 20 • " 3W/J &w)1F r i .r ( (4(p 0 Log lighter (gas) 10.00 Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner /flue/vent 10.00 PROPERTY OWNER - - • l' I •TENANT - •.. Other. 10.00 Name: A7JTUMAC O2K T Wi..)l-(awrec L-C Environmental Exhaust & Ventilation Range hood/other kitchen equipment 1 10.00 10 . "' Address: (30(1 SN/ �,2Ave Rl.l / S> r 1 Z Z t ) Clothes dryer exhaust 1 10.00 10. °o City /State /Zip: Pat2TL d2 Q i9 Single duct exhaust Phone :(503) gg2_g�S$ I Fax: (S)c) 89 2.-88'4( (bathrooms, toilet compartments, /,, (gAPPL CANT El CONTACT PERSON utility rooms) .5 6.80 20 .40 10.00 Name: 'i>ceF,( I.. Rf?ocJJ s �4SSrcid - r`e ', ink • Attic/crawl space fans 10.00 Q :y ^ ' g � � Other Address: c �W 1 zZC� Fuel Piping City /State /Zip: T o r Zifv76 q-] 219 • (S5.40 for first 4. $1.00 each additional) Furnace, etc. { •• Gas Q�Q2- �'i'1S8 Fax: (i,1g2 -084( Gas heat pump as E -mail: r► C 0 d I brow,^ - cic ,C.0,- Wall/suspended/unit heater " CONTRACTOR Water heater I " Smart Heating & Cooling LLC Fireplace I 7616 NE Everett St Range BBQ Portland OR 97213-6347 Clothes dryer (gas) •• 503 -254 -5096 Other. CCB: 154133 Total: _ 5 5, 40 Mechanical Permit Fees* Authorized / / Subtotal: . �D Signature: Date: Ul! a / $ I Permit Fee $72.50 $ _ FOIE Co NE_'_ - Plan Review Fee (25% of Permit Fee) $ __ (Please print name) State Surcharge (8% of Permit Fee) $ ( 1 . 90 TOTAL PERMIT FEE $ - Notice: This permit application expires if a permit is not obtained within - *Fee methodology set by Tri -County Building Industry Service noara. 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 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 -00277 Date Issued: 11/3/03 Parcel: 1 S133AC -HB004 Site Address: 10935 SW 130TH AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 004 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 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 -00277 Date Issued: 11/3/03 Parcel: 1 S133AC -HB004 Site Address: 10935 SW 130TH AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 004 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 Reg #: LIC 116453 SUP 2 3 �-s ELE 24 -353C AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Supervising Electrician If you have any questions, please call 503.718.2433. m 1 2 oz) 3- crr..) 277 ® AAAAAAAAAAAAAAAAAAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAAAAAAAA I It- STREET TREE ,.. ® .V$4.166 I �` �� , Owner/ @ gent for OBEAVG. [ Z vw1) et Assoc ' is (PLEASE PRINT) (PERMIT HOLDER) IC 4i II> it ill It* ® Do CERTI 44 � ' F Y fat ol i g location 0. meets ,] d /W ash i L ' gt on n County • ® l and use and development standards for street tree installation. its ts ® ADDRESS: / ©`l.ss' Su' ae ,4 LJ5. 44 III. ® LOT: SUBDIVISION: /-f 4wK,S ' 4gj if 1 44 BY: DATE: ‘//4/04-- W . 44 Br. ® RECEIVED BY: DATE: W. W. ® VVVVVVVVVVVVvYvvYYvYYvYYvYYYv YVVVVVVYYYYvvvvvvvv®®®VVVVVV®®® CIT" OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 41 5 MS T�Ov3 —ova-77 INSPECTION DIVISION Business Line: (50 6 9 1 BUP Received Date Requested (a 18' A PM BUP Location /0 933 l j D P - mot "e- Suite MEC Contact Person Ph ( ) e( Q 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 • a: P; PART FAIL P ' RING • .st & Beam / nder 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 Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE fl Please call for reinspe tion RE: Unable to inspect — no access Fire Supply Line ADA ` . Approach/Sidewalk Date • 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) 9 -4175 MST a 3 _ c 7 7 INSPECTION DIVISION Business Line: (50 - 4171 BUP Received Date Requested —/ 7 A PM BUP Location Suite MEC Contact Person Ph ( ) 3 (o — C W 7 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors - Ext Sheath/Shear - Int Sheath/Shear � , Framing /� "V� Insulation n k- ;� Drywall Nailing V �l Firewall` S ,k , /Z Fire Sprinkler , d "` Fire Alarm \re r • /�/ , Susp'd Ceiling ` Roof Other: ASS PART Ai PLUMBING — �' - Post & Beam C ` G �' �—r Under Slab M 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 S 21 • e Dampers �� PART FAIL R ICAL 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 (0! Approach/Sidewalk Dat Le 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 MST 3-6 -7 • INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested PM BUP Location /613." / 3D Suite MEC Contact Person Ph ( ) 7 66 7 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 Fire wall Fire Sprinkler ,� DD 1-�'i T 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 T FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA 62 Approach/Sidewalk Date �/ y ©Y Inspector � �- ft Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL