Permit CITY OF T I G A R D MASTER PERMIT
PERMIT #: MST2003 -00305
��� DEVELOPMENT SERVICES DATE ISSUED: 12/23/2003
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10825 SW BRIARWOOD PL PARCEL: 1 S133AC -11700
SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25
BLOCK: LOT: 035 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 THROE 728 sf RIGHT:
VALUE: 145
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 BOIUCMP < 3HP: 1 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 FOR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 2 201 - 400 amp: 201 - 400 amp: 1st W/O SVCIFDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: 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 AREAISPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,073.29
AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES
This permit is subject to the regulations contained in the
i
I gard Municipal Code, State of OR. Specialty Codes
9500 SW BARBUR BLVD., STE 220 4949 SW MEADOWS RD SUITE 400 and all other applicable laws. All work will be done in
PORTLAND, OR 97219 LAKE OSWEGO, OR 97035
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.
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 #: 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
Mechanical Insp Foundation Insp Mechanical Insp Gas Line Insp Shear Wall Insp Shear Wall Insp
Ersn Cntrl 681 -4444 Slab Insp Low Voltage Gas Line Insp Shear Wall Insp Shear Wall Insp
Sewer Inspection Plm /undslb Insp Plumbing Top Out Gas Fireplace Shear Wall Insp Shear Wall Insp
Footing Insp Electrical Service Framing Insp Insulation Insp Shear Wall Insp Shear Wall Insp
Footing Insp Electrical Rough -in Framing lnsp Shear Wall Insp Shear Wall Insp Shear Wall lnsp
Issued By : Permittee Signature : Dom/ - , 4/6-'9-il0N
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
- t , 1- 1
e $i1L11lCIlII Per FOR OFFICE USE ONLY
R ece ived , �}g / Building ,, C
Date/Bv:
:42403 FOR
PennitNo.:/1 7.2 °QD Q
O Date/
Planning A val Other � �� 5 ,
City of Ti DatrlBy: Permit No.: � c+1B -, -49e2 9
13125 SW Hall Blvd. JUN 2 7 2003 Plan Review -0 � Other
Tigard, Oregon 97223 Date/Bv:1O / Permit No.:
Phone: 503- 639 -4171 Fax : � t.:X99ilif A �� Post - Review Land Use DateDate/13v: v: Csse No.
'' u � � Internet www.Ci.tigazd Or.US Contact Jtui : I El See Page 2 for
24 -hour Inspection Request 503- 639 -4175 Name/Method: 7/61 Supplemental Information
TYPE OF WORK REQUIRED DATA: .. : ..
3aNew construction ❑ Demolition I &I FAMILY DWELLING ' . - . •
❑ Addition/alteration/replacement ❑ Other:
.. . CATEGORY OF CONSTRUCTION - • - . Note: Permit fees* are based on the total value of the work performed. Indicate
211 & 2- Family dwelling ❑ Com nercial/Industrial I the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
El Accessory Building ETMulti- Famil I S 36 u 40
❑Master Builder ❑Other: I Valuation s / _
..7 SITE INFORMATION and.LOCATION ..- I No. of bedrooms: 2- No. of baths: Z Y2
Job site address: j OS 25 '&Ikte...WCrft RA-a_ I Total number of floors
New dwelling area (sq. ft.) _1441(0
Suite #: Bldg./Apt.#: Garage/carport area (sq. ft.) 2
Project Name: HAWKS 1€ T &M.ES Covered porch area (sq. ft.) •• —le; Cross street/Directions to job site: Deck area (sq. ft.)
Std ` 1 ' if1/ g ,4 . gituirez 13E Other structure area (sq. ft.)
ST> - - - -
1 : REQUIRED DATA:.
. COMMERCIAL: -.U CHECKLIST :-'- : :.
Subdivision: (4AwV. T .h) (.6",L4 Lot #: 3 5
Tax man /parcel #: Note: Permit fees' are based on the total value of the work performed. Indicate
7.:.4 OF-WORK .,:• - the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
Cc74SrP,UX -7 NELJ S ST Tooili i
_SEcl-; Valuation S
Existing building area (sq. ft)
New building area (sq. ft.)
Number of stories 3
OPROPERTY:OWNER: .. ". -f:❑ 'TEN "" .7:7:-...
.. Type of construction V N
Name: Aim n1 P/�2K Tdk-(l4{� 1 L .c.c. Occupancy group(s): New Existing: R-3
Address: 9500 SW shague. BLib, Su ITE Z2-6
City /State /Zip: 'PoerM i1> , 02 9 - 7 2_19
Phone: 503 $Q2-6155 Fax:6D3) & z- 4' NOTICE: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
•`V APPLICANT::; •,: - ° ;; ::-: ; :•• .: qC,1 == CONTACT' PERSON : provisions of ORS 701 and may be required to be licensed in the
Business Name: �FieEK I, . gact,/#4 a A ZJM tS f (4 , jurisdiction where work is being performed. If the applicant is exempt
Contact Name: frl,kc. v (4i74s01) 0+2 etex pe.A.07.... from licensing, the following reason applies:
Address: g5d0 StrJ clue- I , S11(? 2P�
City /State /Zip: kg_Tuht6 02 qi 2.1
Phone:(503)S2 -e`t58 '_ Fax:(5c5ii z--6 4( _ - - _
BUILDING: PERMIT FEES *. : . "
E- mail: rr K q-d! b roe.Jn RSSe3C , GO/P1 - -: Yle ise refec.:to'fee schedule: - -
- ...- ...._..._..:.m......... •CONTRACTOR` �- - .. -
Business Name: 'beat L. terx,JN 0 AgairtiteS NG, Fees due upon application S
Address: 9Cc) St.J 13AIa(L/le- 1&L1/b Skid* ZZO
City /State /Zip: Rj¢r�� 02 97211 Amont received S
Phone: 8q% -8 74$ ( Fax: ( )3 S' Z- Se's L Date received:
CCB Lic,#: 5 699 .,.
Authorized >A / Date: C/1 4( 1 Notice: This permit application expires if a permit is not obtained within
Signature: (/U 180 days after it has been accepted as complete.
Mk t- K Al. (tA5&J *Fee methodology set by Tri -County Building Industry Service Board.
(Please print name) •
i:\Dsts\Permit Fotms\BldgPermitApp.doc 01/03
Electrical Permit ® FOR OFFICE USE ONLY
Received Electrical
• ' Date/By: Permit No.::' - l , - CO ?QS •
•
City of Tigard JUN 2 7 2003 Planning Approval
Date/By: sign
Date/By: Permit No.:
13125 SW Hall Blvd. CITY OF TIG ' Ft ■ Plan Review Other
Tigard, Oregon 97223 BUILDING DI ISIO Date/By: Permit No.:
Phone: 503- 639 -4171 Fax: 503 -598 -1960 Post - Review Land Use
e I + Date/By: Case No.:
Internet: www.ci.tigard.or.us :VII.
� n .J I I 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 -- 0 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
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: /00 z5 EQImkJb PL-,tCF FEE *
Suite #: BIdQ. /Apt. #: _ l Number of inspections per permit allowed
Project Name: .1.4111/0 Ll
l;!'y el oji-&O Description I Qty I Fee (ea.) I Total I
New residential - single or multi- family per 4
Cross \ W -hl 1/'17 eet1uechonS to job site: \ L � r 1� dwelling Includes attached garage.
v�J /1,r)., x, s� / 'r/f �" l Servervice ce in d
& S\zL 4 1000 so. ft .o5s _E 145.15 _ 15 4
i 7c.r.Q/1 Each additional 500 so. ft or portion thereof 2 33.40 I �r� go I
n' -� Limited energy, residential t 75.00 if ,ilk 2
Subdivision: rSUIu""E Lot #: 35 Limited energy, non residential I 75.00 2
Tax map /parcel #: Each manufactured home or modular dwelling
- DESCRIPTION OF WORK • service and/or feeder 1 90.90 2
Services or feeders - installation,
Cor4S c-T1CA J CF old 3 sr alteration or relocation:
--fin.-)0•Z 1 / _ �y (! ," 1 200 amps or less — 80.30 , 2
<'�`CWIC (''�Z1�rccA 201 amps to 400 amos 106.85 2
401 amps to 600 amos 160.60 2
_ .:: 601 amps to 1000 amps 240.60 2
EROPERTY OWN R.? ..::.,_. '�_: ❑ TENANT: -- : =. Over 1000 amiss or volts 454.65 2
lgame: 401 - 0c41 , 4 PA -row►3l�kV Lam Reconnect only 66.85 2
Address: cis D (4egt>e- guN S11 /7"(c. 22) Temporary services or feeders - installation,
alteration, or relocation:
City /State /Zip: Pb z re �, oe. q? 2,19 u ' r 200 amos or less 66.85 1
Phone ,01 892 -8 - 758 Fax:(5. \ A � q 2-ti'8 `t I 201 amps to 400 amps 100.30 2
133.75 2
APP( ANT':.: p : , = : �] G /I ONT CT'PERSOLYz'-= = -. °': 401 to 600 amps
Branch circuits - new, alteration, or
Name: 'I e7?zIG L. a p z4-$ ` :K -re5 / i extension per panel: of
Address: 9 CQ SW &4thm� f�.\?b SUl1� service e ZZO
A. Fee for oraf e hhanch circuit or fee eder r fee, each branch crcuui t 6.65 2
City /State /Zip: ?R rL
eA , Oe_ '3-1215 B. Fee for branch circuits without purchase of
service or feeder fee, first branch circuit 46.85 2
Phone: (•'pR) N2_815$ Fax: ( 2.) S92 -ee4 / Each additional branch circuit 6.65 2
E -mail: I^'1ta/' Q l te t U,Jta.�Soc , co — Misc.(Service or feeder not included):
.. . d Each pump or irrigation circle 53.40 2
-- , _�r;:i=.: .,:., = ;1: ::: CONTRACTOR _ . _ _ .... .
Each sign or outline lighting 53.40 2
Job No: -'le A- Signal circuit(s) or a limited energy panel,
Electrum Inc alteration, or extension Page 2 2
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 Electrical Pe - — -
-.. .- . rnift:Eees * '�:;;_..
Supervising electrician Subtotal $ _
signature required: Plan Review (25% of Permit Fee) $ _
Print Name: I Lic. #: State Surcharge (8% of Permit Fee) S _
TOTAL PERMIT FEE S
Author / ,L .�/�( Notice: This permit application expires if a permit is not mamma mum
Signature: �� // l� / Date: `LCw\� 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
Mire- IC lv . sa3
(Plea& print name) •
i : \Dsts\Permit Forms \ElcPermitApp.doc 01/03
•
• 1V�eehanical Perini FOR OFFICE USE ONLY Received Mechanical - , .. . • . .
Date/By. Permit No.: . • •
Planning Approval Building
' City of Tigard Date/By.. Permit No.:
13125 SW Hall Blvd. JUN 2 7 21 1 Plan Review Other No.:
Tigard, Oregon 97223 I 6n F TI AR D Post - Review Land Use
Phone: 503- 639 -4171 Fax: 503 4 - 6 • /¢ `'� ' J: l � i Date/By: Case No.:
Internet: www.ci.tigard.or.us e .1 Contact Juris.: ® 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.
H1 & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule
❑ Accessory Building ❑ Multi- Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE' SCHEDULE. •
Description I Qty I Fee(ea.) Total
El Master Builder ❑ Other: Heating/Cooling
• JOB SITE INFORMATION and LOCATION • Furnace - add -on air conditioning** [ I 14.00 I Ka'
Job site address: /0 8_2.5 T g /A,E i. ) 0 D /JC- Gas heat pump 14.00
Suite #: Bldg. /Apt. #: Duct work , 14.00 lk .°°
KS 1g Ffie _T__O
Project Name: vJ •14G1/vtES Hydronic hot water system 14.00 Residential boiler
Cross street/Directions to job site:, (for radiator or hydronic system) 14.00
SW t TM f}1/6 /AiieS Unit heaters (fuel, not electric)
-gE4) si r (in wall, in -duct, suspended, etc.) 14.00
Flue/vent (for any of above) 1 10.00 1 ) • a
'�[ �1
Subdivision: / .GAWKS � r - g L I Lot #: 5 S Repair units 1 2.15 Other Fuel Appliances
Tax map /parcel #: Water heater ( 10.00 ( u.
. • • DESCRIPTION OF WORK Gas fireplace - 1 10.00 t0. to
C okt7 e,v-c 1ati QF &IA 3 S-r Flue vent (water heater /gas fireplace) 7 10.00 20.1'
CAW WorY/F PeOJr Nita sore) Log lighter (gas) 10.00
`t 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: ¢}i1TU vt4 19-1.2K -ID WiJNowte's LLG Environmental Exhaust & Ventilation
Range hood/other kitchen equipment l 10.00 I U .'*
Address: ae41 SW ? 2ISr/e / SJ 1 Z w Clothes dryer exhaust l 10.00 lc , a
City /State /Zip: A de Q . 1 2 t 9 Single duct exhaust
Phone:5o3) &42.-8?S8 I Fax: (SUS) 89 2-884( (bathrooms, toilet compartments,
[ APPLICANT ❑ CONTACT PERSON utility rooms) 4 6.80 1.1. 2.0
Name: 1>E ( 1-. B(201AW 8 45irct,41 /A/C • Attic/crawl space fans
10.00
q ..r.) vegt_ a_41 Si /tt1 . 2ZC Other. 10.00
Address: Fuel Piping
City /State /Zip: T f '3 e 9-72-19 **($5.40 for first 4, $1.00 each additional)
Phone:(So3) NZ -8156 l Fax: (50.017,-084( Furnace, etc. I " Gas heat pump ••
E -mail: y► t C d l br'ocJetassoc , con- Wall/suspended/unit heater ••
CONTRACTOR Water heater 1 ••
Smart Heating & Cooling LLC Fireplace I ••
7616 NE Everett St Range ••
Portland OR 97213 -6347 BBQ ••
Clothes dryer (gas)
503 -254 -5096 Other. ••
CCB: 154133 Total: "i - 6.4 0
Mechanical Permit Fees*
Authorized �� Subtotal: $ 1 3C) . Co
Signature: =� Date: / Minimum Permit Fee $72.50 $ _
( RuCe_- CONE- Plan Review Fee (25% of Permit Fee) $ _
(Please print name) State Surcharge (8% of Permit Fee) $ 6(2_1C _
TOTAL PERMIT FEE $
Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri- County Building Indust', __.....c uoarn.
180 days after it has been accepted as complete. **Site plan required for exterior A/C units.
i:\Dsts\Pemtit Forms\MecPemritApp.doc 01/03
ISUliglilg r IALUI CJ
Plumbing Peri F& n FOR OFFICE USE ONLY
► Received Plumbing -
• • Date/By: Permit No.: .
D a t e /By: Approval Pe
City of Tigard JUN 2 7 2003 Permit Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 CITY OF TIGARD Date/By: Permit No.:
Phone: 503- 639 -4171 FaxPW83 AWISIO't Post - Review Land Use
/ Date/By: Case No.:
Internet: www.ci.tigard.or.us 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) ' -
New construction ❑ 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 249. I
NI I & 2- Family dwelling ❑ Commercial/Industrial SFR (2) bath 350.00
['Accessory Building ❑ Multi- Family I SFR (3) bath I. 399.00 5 'tq .
❑ Master Builder ❑ Other: I Each additional bath/kitchen 45.00
• :. JOB SITE INFORMATION and LOCATION Fire sprinkler - sq. ft.: Page 2
Job site address: /02/25 gz /Aew00J) PL Site Utilities •
Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60
Project Name: I- k� �1'A-il -- 140.4.e DrvweUlleach 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) �� ' Manholes 16.60
36./4.. 071/10' Rain drain connector 16.60
Sanitary sewer (no. linear ft.) Page 2
L ot #: Storm sewer (no. linear ft.) Page 2
Subdivision: /�i4W f��D I 3
Water service (no. linear ft.) Page 2
Tax map /parcel #: . . .. _ . Fixture or Item • _.
r . -
DESCRIPTION OF WORK Absorption valve 16.60
CvNi tA.c n& of 4Eln) 3 ST770-4 Backflow preventer Page 2
-- ri -ivAi f- P Ea- ( Cp Ste, -C1-. ) Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
Drinking fountain 16.60
. -E PROPERT.Y. . - - -- :`I •❑ TENANT • 1:-: - Ejectors/sump 16.60
Name: iri) WI pJ PAR - K T- vt/N POi44 S LJ..C. Expansion tank 16.60 I
Address: 'St) SW 13 &k sulti Z Zi Fixture/sewer cap 16.60
City /State /Zip: (o2TjifrZ 02 q 19 Floor drain/floor sink/hub 16.60
Garbage disposal 16.60
Phone{6v3j Sq2- 87 so I Fax: (S(. 3) 89'2- sag I Hose bib 16.60
;KAPPLICANT• -. - : :I] CONTACT PERSON:- Ice maker 16.60
Name: 1>E:9-CV L. Q20 g >4sSOW- +'DES, 0J(, Interceptor /grease trap 16.60
Address: c15 ) Sm.J gt•e.guit, gLJA( Su crf 22c3 Medical gas - value: $ Page 2
Primer 16.60
City /State /Zip: F er, , a qt? 21 Roof drain (commercial) 16.60
Phone 03)2 - 6758 Fax( 612. S&4/ Sink/basin/lavatory 16.60
E -mail: i- t,tc. O., d I tarr3t.-na cce c • CO ■^'\ Tub /shower /shower pan 16.60
-' : CONTRACTOR . Urinal 16.60
Plumbing Experts Inc Water closet 16.60 ,
p Water heater 16.60
1 1925 SW Parkway Other.
Portland OR 97225 -5413 Other.
503 - 469 -0443 .: • ::•:•:•Plumbing PermitFees* __.'"..,�:: '::•',.,
CCB: 149035 PLM: 34 -391PB Subtotal $ ga a0
Permit Peit Fee $72.50
Authorized Residential Backflow Minimum Fee $36.25
Signature: Date: /�/C /I Plan Review (25% of Permit Fee) $
RU GE C6 NE State Surcharge (8% of Permit Fee) $ al . ct y .
(Please print name) TOTAL PERMIT FEE $
Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans i .0 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 For ms\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 -00305
Date Issued: 12/23/2003
Parcel: 1 S133AC -HB035
Site Address: 10825 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 035
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 ,Za S
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.
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 -00305
Date Issued: 12/23/2003
Parcel: 1 S133AC -HB035
Site Address: 10825 SW BRIARWOOD PL
Subdivision: HAWK'S BEARD TOWNHOMES
Block: Lot: 035
Jurisdiction: TIG
Zoning: R -25
Remarks: New SFA dwelling.
Your company has been indicated as the plumbing contractor for the permit indicated above. I n 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
Si nature of Authorized Plumber
If you have any questions, please call 503.718.2433.
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STREET TREE CERTIFICATION
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1 I, 15 P-UCE GIVE-- , Owner/Agent for PERE/ 4 - gR•910,4 AS,SVC
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• Do hereby certify iciat 0.e4ollOwing location
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meets gAtOtT-garcl/Washintork County ■
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• land use and development standards for street tree installation. ■
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ADDRESS: /a5)2 3 s,a/. g A. iAR IV cap FL . ■
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• LOT: 5 ) SUBDIVISION: ifilk)Ks frEARD i.
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• BY: Al ' . . DATE: Oile24— •
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1 RECEIVED BY: DATE: •
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST oler 3"603 6,S
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested — D AM PM BUP
•
Location / o g a s Suite MEC
Contact Person Ph ( ) R'6 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation ►(` .� ' . .` �` /► _ J I `! �'� •
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
P PART
PLUM 7 NG Y�
- Beam j
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains Alia a.
Catch Basin / Manhole AMIF
Storm Drain
Shower Pan ; ViA ■ `∎
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
S.. • - 'ampers
PASS PART FAIL
RICAL
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 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 A 3'30 S
INSPECTION DIVISION Business Line: (503) 639 -4171 •
BUP
Received Date Requested — ° - (4 AM F PM BUP
Location /0 2' a S Suite I- 3 MEC
Contact Person Ph ( ) gee —q gi 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR � .1.111■
Crawl Drain NMI
Slab Inspection Notes: SIT
Post & Beam UMW
Shear Anchors w
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation CP _:-
Drywall Nailing
Firewall ) &7f A- 30 /, n e- ,D
Fire Sprinkler , / /�- t?flL�l�i� p,�
Fire Alarm 2 i Cori Pxs ] P P A) G�S L 5 //4r i �C
Susp'd Ceiling �� /� �l p�,��, �`�6�
Roof & i2 & wcsr 0s1 C_ m /sp /I'& c
Other:
Final .15Mtge011EaRitegag""F-Xid/C,
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service a L t_ .' a Jul — M WHILE
Sanitary Sewer 1 " I ,� ,! J E
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final P $ 01 i t
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fir larm
PASS PART FAIL El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
ITE ❑ Please call for reinspection RE: D Unable to inspect — no access
Fire Supply Line
ADA Q � 16A,LA-60,E-6-60)Ext A roach/Sidewalk Date 1 I I n spector
PP
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
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested — AM 'PM BUP
Location / 0 S Suite r-p MEC
(
Contact Person Ph ( ) �° T o 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
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 PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
• • r:
PART FAIL
HANICAL
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 0 Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date ft Inspector /7 ---)r. QA , Ext
Other:
Final ' O NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL