Permit CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2003 -00306
.Vit DEVELOPMENT SERVICES DATE ISSUED: 12/23/2003
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 10815 SW BRIARWOOD PL PARCEL: 1S133AC-11800
SUBDIVISION: HAWKS BEARD TOWNHOMES ZONING: R - 25
BLOCK: LOT: 036 JURISDICTION: TIG
REMARKS: New SFA dwelling.
6/15/04: Altered plan from 3 to 2 -bath.
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 DO RE 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: i VENT FANS: 4 CLOTHES DRYER: 1
LPG FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 2
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 3
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 • 200 amp: W/SVC OR FDR: PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 2 201 - 400 amp: 201 - 400 amp: 1st W/O SVCJFDR: 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 & 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 4 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,073.29
AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES I This permit is subject to the regulations contained in the
9500 SW BARBUR BLVD., STE 220 4949 SW MEADOWS RD SUITE 400 i and al other iapal Code, State of All work will b o ne i n
PORTLAND, OR 97219 LAKE OSWEGO, OR 97035 ac rd ra applicable ed laws. Al. This 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 0: LIC 58699 rules are set forth in OAR 952- 001 -0010 through
952 - 001 -0080. You may obtain copies of these rules or
dired questions to OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Plumb Top Out Foundation Insp Mechanical lnsp Gas Fireplace Shear Wall Insp Shear Wall Insp
Ersn Cntrl 681 -4444 Slab lnsp Low Voltage Insulation Insp Shear Wall Insp Shear Wall Insp
Sewer Inspection Plm /undslb Insp Framing Insp Shear Wall Insp Shear Wall Insp Exterior Sheathing Insf
Footing Insp Electrical Service Framing Insp Shear Wall Insp Shear Wall Insp Firewall Insp
Footing Insp Electrical Rough -in Gas Line Insp Shear Wall Insp Shear Wall Insp Firewall Insp
G
Issued By : • , i — Permittee Signature : GrN 61P/ /
all (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
FOR OFFICE USE ONLY •
is • Buding il Permit - &t Received Building
® Datev: WZ-7(03 X717 Permit No.: if S ��003 -00 ,3®
Planning Approva Other
City of Tigard Date/By: PermitNo.: -5Gt/ €22VO
13125 SW Hall Blvd JUN 7 21'43
Plan Review •�3,d / S� other
Tigard, Oregon 97223 CITY OF TI - t No.:
D Date/Bv. )D 3 a Permit il l . ,, , Past - Review land Use
Phone: 503 - 639 - 4171 Fax: 503�� D a y � ( I � „ I Da�,� Case No.
Internet www.citigard.or.us ^^ c . ►� Contact Juris.: ® See Page 2 for
24 - hour Inspection Request: 503 639 - 4175 Name/Method: 7k3 Supplemental Information
TYPE OF WORK .REQUIRED DATA: -
aNew construction El Demolition • . 1 &2 FAMILY DWELLING
❑ Addition/alteration/replacement ❑ Other:
-- CATEGORY OF CONSTRUCTION . - Note: Permit fees* are based on the total value of the work performed. Indicate •
g1 & 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 Multi- Family / 9
❑ Master Builder ❑ Other: Valuation s 1 75 i
' :� •::TOB SITE INFORMATION .and LOCATION: `�:. --- 1
No. of bedrooms: 2- No. of baths: ___Z Y
Job site address: /CO I S 1Ik_Waas Ply I Total number of floors
New dwelling area (sq. ft.) lam_
Suite #: Bldg. /Apt. #: Garage/carport area (sq. ft. ) 2
Project Name: I4414 1.6 Tc (11M,E5 Covered porch area (sq. ft.) 2
Cross street/Directions to job site: Deck area (sq. ft.) 10
structure area (sq. ft.)
SkJ I - SO I '' ltv E �b S.W. gAWKS BEAR.
:.„`. ' REQUIRED DATA: _ : -
COMMERCIAL: :USE CHECKLIST - - ::
Subdivision: I4Aw(CS - Mid 1 Lot #: 3(0
Tax map/parcel #: Note: Permit fees' are based on the total value of the work performed. Indicate
- , ,. : .- -; -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.
/ C N : Smfa.� T` r ,
-Pe..3,Etl— Valuation S
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stones 3
J YROPERTY:OWNER -:.. 1.0 .TENANT: ---'.---- .. _ . - .. Type of construction V N
Name: A t.T1V,n !J PAS K - 76v -lP�4� I _ 1146 / L . L. C . Occupancy group(s): New Existing:
R-3
Address: 950 544 egulG & ib/ Cu R-E. 226
City /State /Zip: 'PO 7. , o 2 q-7 Li 9
Phone: 603 612- SS Fax:6o3) su-ge41 NOTICE: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
ErAPPLICANT'- :: = :- • ;_- =: :_' : ••Q= °CONTACT PERSON::_: provisions of ORS 701 and may be required to be licensed in the
Business Name: b e e - E K I.. - 3,200 c , Z J,4It / (4 . , jurisdiction where work is being performed. If the applicant is exempt
Contact Name: Mite K (4irigio 02- 2tclr /VA' Z.-- from licensing, the following reason applies:
Address: gSt) Shl i?k ( Su (' * 2Z
City /State /Zip: Pbeerz l Oil *"1219
Phone :(SotER2 -6 i Fax:603) eot2-6 ( _ ..... •BUII..DINqPERMMT FEES *` -- _ - __
E -mail: rrtia.r K 4 d ii b rbwn ASSvc, , C. /t^1 Please refer:to'fee ichedule: ` -
_.. -• -`' •CONTRACTOR ..
Business Name: s beekt L. elece..*) # 1ifte 1 . Fees due upon application s,
Address: 'X) Sal gAQfiul2 gu/b j Sll cr1'G 2ZO
City /State /Zip: ibtzrL k Oil 912 9 Amount received. S
Phone :3\892 -8759 , Fax: (60s\ Sq2 - 2eNI Date received:
CCB Lim #: , e .99 ,
Authorized / Notiee This permit application expires if a permit is not obtained within
Signature: 1 L. L r Date: ?'e/ Q3 180 days after it has been accepted as complete.
Mk t. I A • �MSo7 •Fee methodology set by Tni- County Building Industry Service Board.
(Please print name)
i :\Dsts\Permit Fotms\BldgPermitApp.doc 01/03
. , Electrical Permit Application FOR OFFICE USE ONLY Electrical
R EC E I V .� Date/By: Permit No.MJT 20 03 p 304,,
• City of Tigard E Planning Approval Sign
Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 JUN 2 7 li Date/By: Case No.: 200 Date/By: • Permit No.:
Phone: 503- 639 - 171 Fax: 5081 060. ' ; . a �, � 1l Post - Review Land Use
Internet: www.ci.tigard.or.us DI ' 731. - / 6712". Contact See Page 2 for
53Y
24 - hour Inspection Request: 5= Name/Method: Supplemental Information.
TYPE OF WORK • PLAN REVIEW (Please check all that apply)
XNew construction ❑ Demolition — 0 Service over 225 amps- ❑ Health-care facility
commercial ❑ Hazardous location
❑ Addition/alteration/replacement ❑ Other: pi 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
12 & 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: I OS (5 Be (Afideeb ei,AcE FEE SCHEDULE
Suite #: Blcls. /Apt. #: Number of inspections per permit allowed
Project Name: ,I.j 4 iAMS e e an'tE Description I Qty Fee(ea.) I Total
New residential - single or multi- family per +
Cross street/Directions to job site: (e dwelling unit. Includes attached garage.
sv J AVE J oe SA) H Service included:
Ell'‘ ,Sr4Clrir 10 a. ft. or 5s ' - 145.15 l .r .tl 8 4
Each ch addditional l 500 sq. ft or portion thereof � 33.40 0 � S e l
Limited energy. residential 1 75.00 '1c,av 2
Subdivision: „,L. _ / :i Lot #: I. 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
'r Services or feeders - installation,
^t C� C4J t:F oil 3 sr 4 alteration or relocation:
"'Ia/ , 1 J 1 , 200 amps or less — - 80.30 2
W/ . 4 CWIC I'' �yy_, �tu ( r 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 I 2
'4 EROPERTY OW1Y R'.: .:_. 1: TENANT: ,, — " 601 amps to 1000 amps 240.60 2
Over 1000 amps or volts 454.65 2
1Vame: A0/7)1414 PATZ -K 17OWrJ�wlfS LL Reconnect only I 66.85 , 2
Address: C1550 SW ( 2-gtJ - gL- SU INc 222 Temporary services or feeders - installation,
alteration, or relocation:
City /State /Zip: P;12LTLhr) )) Oil. q 219 200 amps or less 66.85 1
Phone( 892 -x Fax:(So \ &92-s 1 201 amps to 400 amps 100.30 2
401 to 600 amps 133.75 2
. APPL A NT::::"•: :'- . .❑.CONT CT •PERSON ' -=-=- ' - B ranc h c - new, alteration, or •
Name: I ZEK L. L , •D b I•S �}� cI ES , i,t extension per panel:
Address: /cap ��- iZog, &_y,j> 5U0"f Z20
A. Fee for branch fe feeder with branch of
service or feeder fee, each branch circuoit 6.65 2
City /State /Zip: )erL./I A , Or& 9 21 B. Fee for branch circuits without purchase of
service or feeder fee. first branch circuit 46.85 2
Phone: 6,3) N 2_8.15$ Fax: ((o2.) 6392-864/ Each additional branch circuit 6.65 2
M isc.(Service or f eeder n ot included):
E -mail: w4� a = d l tea t,�.Ja SSoc ,con -� 2
:.:'CONTRACTOR • Each pump or d ine l ig circle 53.40
Each sign or outline lighting 53.40
Electrum Inc Signal circuit(s) or a limited energy panel,
alteration, or extension Page 2 2
2050 Vista Ave #100 Description:
Salem OR 97302
Each additional inspection over the allowable in any of the above:
503 - 361 -1256 Per inspection per hour (min. I hour) 62.50
CCB:1 16453 ELC:24 -353C Sup:2919S Investigation fee: -
Other:
CCB Lic. #: I Lic. #: . ...- . �,..... = _ . , . ..
Electrical .Pt:rta[t' . A�- : ::�;._... .
Supervising electrician _ Subtotal S _
signature required: Plan Review (25% of Permit Fee) S _
Print Name: Lic. # State Surcharge (8% of Permit Fee) S
I TOTAL PERMIT FEE S
Authorized / ^2 Notice: This permit application expires if a permit is not obtained trithin
Signature: D ate: (1 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
(P1 print name) •
is \Dsts\Permit Forms \ElcPermitApp.doc 01/03
' FOR OFFICE USE ONLY
;/ Mechanical Per 101 _ 1!, ! f '11 Received Mechanical
Date/By: Permit No.: /l f72O 3 - e a e,
Planning Approval Building
City of Tigard JUN `4 7 2003 Date/BY Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 CITY OF TIGA r' D Date/By: Permit No.:
Phone: 503 - 639 -4171 Fax: 50SEp13.DENG DIV_ 0 � , Date/By Case No.:
Internet: www.ci.tigard.or.us a ,4 Post - Review Land Use
i Contact Juris.: 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
CATEGORY OF CONSTRUCTION. mechanical materials, equipment, labor, overhead and profit.
"a1 & 2- Family dwelling ❑ Commercial/Industrial Value: S See Page 2 for Fee Schedule
Building Multi-Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE* SCHEDULE.
I0 A ccessO Accessory g ❑ y Description Qty I Fee(ea.) Total
❑ Master Builder ❑ Other: Heating/Cooling
JOB SITE INFORMATION and LOCATION - • 1 Furnace - add -on air conditioning " ( I 14.00 I ii{.o
Job site address: /cps g, 'f4E1(/BB.D r I Gas heat pump J 14.00
Suite #: Bldg. /Apt. #: Ductwork j 14.00 Ik.°°
' I ^ W WS ig i �� T � Hydronic hot water system 14.00
Project Name: +Yt W OVA �S Residential boiler
Cross street/Directions to job site:, (for radiator or hydronic system) 14.00
.SLD j T'` /i-V6 cie. .S1s■J 4 /er Unit heaters (fuel, not electric)
-EA-(LI < Ac (in wall, in -duct, suspended, etc.) 14.00 •
Flue/vent (for any of above) 1 10.00 10. w
Repair units 12.15
Subdivision:' /GAWKS gEAgl� Lot #: .5k Repair
Fuel Appliances •
Tax map /parcel #: Water heater 1 10.00 to.-
DES • O � F WORK • Gas fireplace '1 10.00 10. ''
C01IS- , &LCnC&✓ OF !^4pG� 3 S T- Flue vent (water heater /gas fireplace) 7 10.00 I 2o. °°
(.t�� f(on?F Peo.1 (1414 Sal6 Log lighter (gas) 10.00
Wood/Pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner /flue/vent 10.00
XrPROPERTY OWNER. - -1 0 TENANT "` :- Other: I 10.00
Name: JV' T11trini t2K To ( 91 . 1 < on ie LLG Environmental Exhaust & Ventilation
7 V / Range hood/other kitchen equipment t 10.00 10 .'°
Address: ( 304/ SN/ I/Wile 1 / SJ 17' 726 Clothes dryer exhaust l 10.00 1 U , a'
City /State /Zip: ParzTG D d2 Q12 _
9 Single duct exhaust
Phone:(563) X12 -8)' 8 I Fax: ( S % ) 3) 84 2-- ' ( (bathrooms, toilet compartments,
(APPLICANT : • •- I❑ CONTACT PERSON utility rooms) 4 6.80 Z - 1- 2 10.00
I Name: )Etna( L. gaitAp J & m Ie -" /^ • Other. /crawl space fans 10.00
Address: q<00 Sly Bi42gi/dL aibi Et/ 17.k_ 226 Fuel Piping
City /State /Zip: �ocrl4 S / de q -72-19 "(55.40 for first 4. $1.00 each additional)
Phone:(So3) PR2 -856 Fax: lr Furnace, etc. 1 ••
-�8�( Gas heat pump ..
E - mail: ✓► Je C C d I bi'owAckcs'UC , C. f" , Wall /suspended/unit heater "'
... . CONTRACTOR - • Water heater I "
Smart Heating & Cooling LLC Fireplace I F*
7616 NE Everett St Range **
BBQ
Portland OR 97213 -6347 Clothes dryer (gas) "
503 -254 -5096 Other.
CCB: 154133 Total: "i I5AO
Mechanical Permit Fees'
Authorized 0 , GCS /_7 e / C Subtotal: S 1 . 66
Signature: /1i.i... L ' Date: Minimum Permit Fee $72.50 $ _
PC/CE (j,E-- Plan Review Fee (25% of Permit Fee) $
(Please print name) State Surcharge (8% of Permit Fee) $ 40 • `eS
TOTAL PERMIT FEE $ _ -
Notice: This permit application expires if a permit is not obtained within 'Fee methodology set by Tri- County Building Industry S.... -- .- - -. --
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
bullUiiig r 1.2iLU1
.
Plumbi P erm it A FOR OFFICE USE ONLY
Received Plumbin g
RECEIVED Date/By: No...H.W y ° ®0. ? e
City of Tigard D arning Approval Sewer
Date/By: Permit No.:
13125 SW Hall Blvd. p Plan Review Other
Tigard, Oregon 97223 JUN 2 7 00 Date/By: Permit No.:
Phone: 503- 639 -4171 Fax: 503 -598 -.a - Post - Review Land Use
Y i I t ontac Case No.: ®
Internet: www.ci.tigard.or.us 3U �IN C I,, , l Date/By: Juris.: See Page 2 for
24 -hour Inspection Request: 503- 639-41 -" Name/Method: Supplemental Information.
'TYPE OF WORK FEE* SCHEDULE (for special information use checklist) - 1
El New construction I ❑ Demolition Description I 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 (1) bath I 249.20
I & 2- Family dwelling El Commercial/Industrial I - SFR (2) bath I 350.00 '
['Accessory Building ❑ Multi- Family SFR (3) bath I, 399.00 tq .
❑ Master Builder ❑ Other: I Each additional bathikitchen 45.00
• .: JOB SITE INFORMATION and LOCATION I Fire sprinkler - so. ft.: Page 2
Job site address: /p /_y � Tc'IARt4PD PC,. I Site Utilities
Suite #: Bidg. /Apt. #: Catch basin/area drain 16.60
Project Name: NAtiJ VS - 1 -0 wa mg S DtywelUleach linehrench drain 16.60
Footing drain (no. linear ft.) Page 2
Cross street/Directions to job s Manufactured home utilities LJ 1 �O�� t 110.00
S ' �'� Manholes 16.60
3E)) Sj l t/ r' Rain drain connector 16.60
Sanitary sewer (no. linear ft.) Pace 2
.� Storm sewer (no. linear ft.) Page 2
Subdivision: /� I Lot m: ��j
Water service (no. linear ft.) Pace 2
Tax map /parcel #: • • .. _ Fixture or Item • . r .
DESCRIPTION OF WORK Absorption valve 16.60
Ca ms no- OF l4Eti) 3 ST Backflow preventer Page 2
"To 4)wtF, P . €cr ( (w Si 1 ) Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
.E"PROPERTY' . - 4• ❑TENANT •• - .. • •,.. • • • • • Ejectors/sump 16.60
Name: AO P4 < ¶ n vk/N f-1O i4 S I L L.C. Expansion tank 16.60
Address: gSOO Sv) - 13,he.gj2 (3oia, st elt Z 2 Fixture/sewer cap 16.60
City /State /Zip: Pot2TL JD 1O2 Ci`7 Z q Floor ge disposal sink/hub 16.60
Garbage disposal 16.60
Phone{S03) 9(12- S7 SS I Fax: ()3) 92- SO4 I Hose bib 16.60 ,
;arAPPLICANT' '... •" " .:: 0 -CONTACT PERSON.. - Ice maker 16.60
Name: 1>E ( L. 620u/t1/4) S,4SSoCl #i' id(' Interceptor /grease trap 16.60
Address: 95cb S v-) &4e, gut& gi.tib., Su at 2Z0 Medical gas - value: S Page 2
Primer 16.60
City /State /Zip: PoerLit , ce q-7 2 i 9 Roof drain (commercial) 16.60
Phone:3)EZ - S75e , Fax ( b84/ Sink/basin/lavatory 16.60
E -mail: re 4rt,k. J. d 1 beYibiria CCd C • Co .s'‘ 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 . • - •• ...o =. -. ".Plumbing.PermitFees ...: '- ,:- :.: _t_: •':
Subtotal S , r °D
CCB: 149035 PLM: 34-391PB Minimum Permit Fee 572.50 S
Authorized Backflow Minimum Fee S36.25 _ -
Signature: ( e /2
,�/�t.�� Date: Plan Review (25% of Permit Fee) S
RieUCE GDNE State Surchar a (8% of Permit Fee) 5 a t • a Z
-
(Please print name) T --
Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans wan isuu.c......•
180 days after it has been accepted as complete. riser diagram for plan review.
•Fee methodology set by Tri -County Building Industry Service Board.
i:\Dsts\Permit Forms\PlmPermitApp.doc 01/03
•
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
ELECTRUM INC
DBA SPECTRUM ELECTRIC
2050 VISTA AVE #100
SALEM, OR 97302
Electrical Signature Form
Permit #: MST2003 -00306
Date Issued: 12/23/2003
Parcel: 1 S133AC -HB036
Site Address: 10815 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 036
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 mpg 2 .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.
1
CITY OF TIGARD F
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 -00306
Date Issued: 12/23/2003
Parcel: 1 S133AC -HB036
Site Address: 10815 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 036
Jurisdiction: TIG
Zoning: R -25 -
Remarks: New SFA dwelling.
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for
the plumbing permit to be valid, please have the appropriate individual from your company sign below and
return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building
Division.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
AUTUMN PARK TOWNHOMES, LLC PLUMBING EXPERTS INC
9500 SW BARBUR BLVD., STE 220 11925 SW PARKWAY
PORTLAND, OR 97219 PORTLAND, OR 97225 -5413
Phone #: 503 - 892 -8758 Phone #: 503 -469 -0443
Reg #: LIC 149035
PLM 34-391PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM •
X SI( 2 //1/4 t
Signature of Authorized Plumber
If you have any questions, please call 503.718.2433.
•
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STREET TREE C
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• I, 7 'gVC (�N� , ; Owner /Agent fo r p artE & L. C/L.6a/A) L°�' ASSOC. •
• (PLEASE PRINT) (PERMIT HOLDER) ►
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• Do hereby certify that the' f`ol location ►
• , ; ; f , : ,, :‘ .,� ; ■
• meets ,;C zy otT an/ rto '
d Waihiign County ■ ►
• l and ■ use and development standards for street tree installation. ►
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• ADDRESS: /O /.S S � Z (A RWO69 P L % •
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• LOT: 3 0 SUBDIVISION: /MA/kJ iCti fD ■ •
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• BY: D ATE: 7/2 44--
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1 RECEIVED BY: DATE:
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST 2° 63-663 ° Co
INSPECTION' DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requester( / AM PM BUP
Location / ? / et Suite MEC
Contact Person Ph ( ) & - q 8'77 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 MAS
Fire Alarm
Susp'd Ceiling ��i
Rt
Roof III .��•�
PART FAIL \ BING • i ,
Post Beam = ,i nin1W
Under r Slab ; � ��
Rough -In i II
Water Service
Sanitary Sewer V
Rain Drains I�
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
S Dampers
PART FAIL
TRICAL
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: 0 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) 639 -4175 MST °24)-- 3 - -6 °3°
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested — �� AM PM BUP
Location / 87—S
Suite MEC
Contact Person Ph ( ) F66 4s' 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 Pit5D � r — Fi / Y 4 /
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
j Alarm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
KASS PART FAIL
S ' ❑ Please call for reinspection RE: Unable to inspect — no access
Fire ADASupply Line / GCf
PP A roach/Sidewalk Date �� Inspector )
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 ST ,'"ed 3 _ . Q d 3 1)1
INSPECTION DIVISION Busi ess Line: (503) 639 -4171
/� BUP
Received Date Requested % 7 AM PM BUP
Location ���� S � %1 met~.✓ W d a cX Suite MEC
Contact Person Ph ( ) 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
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS ART FAIL
P B1
P eam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
0th
a l
A S PART FAIL
H ANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE fl Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date V Inspector ) Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL