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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MST2003 -00310 jib DEVELOPMENT SERVICES DATE ISSUED: 12/23/2003 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 10840 SW HUNTINGTON AVE PARCEL: 1S133AC-12200 SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25 BLOCK: LOT: 040 JURISDICTION: TIG REMARKS: New SFA dwelling. 6/15/04: Altered plan from 3 to 2 -bath. BUILDING REISSUE: STORIES: 2 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 THR 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 BOILJCMP < 3HP: 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 SVCIFDR: 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 +amrs•1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS ARENSPC 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 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,073.29 AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES T his permit is subject to the regulations contained in the igard Muniapal 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 Firewall Insp Slab lnsp Electrical Rough -in Plumbing Top Out Gas Line Insp Shear Wall Insp Ersn Cntrl 681 -4444 Plm /undslb Insp Mechanical Insp Framing Insp Gas Fireplace Shear Wall Insp Sewer Inspection Electrical Service Mechanical Insp Fireplace lnsp Gas Fireplace Shear Wall Insp Footing Insp Electrical Service Mechanical Insp Fireplace lnsp Gas Fireplace Shear Wall Insp Foundation Insp Electrical Rough -in Low Voltage Gas Line Insp Insulation Insp Shear Wall Insp . 1111 Issued By : I / — Permittee Signature : dV / -70 all (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day 5 uiiding Perini nn Recei 2 FORO 7 10E . SEONLY 103 (r f'+ Permit No.: � 0� '� AO . � ' 093/ A • Planning A Other A City of Tigard Date/By: Permit No.: SF)/Z 00.9 1.90AV9 13125 SW Hall Blvd. JUN 2 7 2003 Plan Review Other Tigard, Oregon 97223 DardBy: /4' - � Permit No.: Phone: 503 - 639 -4171 Fax: 4 lyt.i.kyGA ',:. � , � Post - Review Land Use 1 Iv' -.tJ,1. I 11 Date/Bv: Case No. Internet www.citigard.or.us .*�° ^,• . Contact Jun .: See Page 2 for 24 - hour Inspection Request: 503 639 - 4175 Name/Method: I 7 7 Supplemental Information TYPE OF WORK .REQUIRED DATA:' aNew construction ❑ 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 g 1 & 2 - Family dwelling I ❑ 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- Familv ❑ Master Builder ❑ Other: Valuation ` y5,- 30 - - :-:,:JOB SITE INFOTylATION.and LOCATION' •:.. --- • No. of bedrooms: 2- No. of baths: Z Y Job site address: I 00 SW 1404nn!(, /E1/614C.- Total number of floors New dwelling area (sq. ft.) 1 -._4 ((O — Suite #: Bldg. /Apt. #: Garage/carport area (sq. ft.) 5 _ Project Name: Hr4W KS �Q6 A 1 'P1i`UcMES Covered porch area (sq. ft.) 2t Cross street/Directions to job site: Deck area (sq. ft.) Ry. SO 1 z, i tv e ,4 Shf.. i4M+JKr 13010- Other structure area (sq. ft.) Sritier; -::, = REQUIRED DATA: '� 40 I COIVIIVIER :USE CHECKLIST - ._- Subdivision: 4 d &OA '1Z714014owtes I Lot #: • Tax map /parcel #: Note: Permit fees' are based on the total value of the work performed. Indicate ... DESCRIPTION - WORK . . .. - - the value (rounded to the nearest dollar) of all equipment, materials, labor, A-' 4. o, Al 3 Sr �� T` I r overhead and profit for the work indicated on this application. 3 ^4 , E � •V � Valuation S Existing building area (sq. ft.) New building area (sq. ft.) Number of stories 3 - %PROPERTY-_OWNER': -} `❑ • TENANT -' = ._:. ._ Type of construction V N Name: A tT /Mi 4 PA;g K T6If Wf 1 N wter / L . L. C . Occupancy group(s): EE . R -3 Address: g tSoo S lrJ tote gene glib Cu t1€ 22.6 City /State /Zip: 'POet•Zh3 , D 2 q-7 2-19 Phone: 601) 8Q2$75s Fax :6)1) PA2- 4I NOTICE: All contractors and subcontractors are required to be y licensed with the Oregon Construction Contractors Board under - � APPLICANT..... ; ° PERSON: ON'_; :_*.:i > - :.. < provisions of ORS 701 and may be required to be licensed in the Business Name: I F P - E K 1... - gaol 04 c I -We / (4. , jurisdiction where work is being performed. If the applicant is exempt Contact Name: Mme K (44)49W 02- IeLc.t PedlroZ from licensing, the following reason applies: Address: g5r o S ,./ - l i Sj t'i`c 2 .0 City /State/Zip: N277/ Oil q'i 2-19 Phone: S' 2 -6-150 Fax:(Je°t2-6S BUILDINGYERMIT °FEES' - E -mail: (nar ka. d 1 bnot.I.)n4SSVC. . (O/ Pleaserefer:to'feef hedule: - - _ - _ . - -r... . -. - . CONTRACTOR •- . Business Name: 'bEe t I- 142a.io # 1i4 6 YvG, Fees due upon application S Address: 'lac) .-Si) n BM&iie. gun, , ZZo City /State /Zip: �t2r � 02 C-1 219 j Amount received S Phone: ( 892 -8 `l's ( Fax: (5103) S &e`b � Date receiv CCB Lic, #: , e a " Authorized EhrAiii, 41-24a3 Notice: This permit application expires if a permit is not obtained within Signature: (C � Date: 180 days after it has been accepted as complete. i t / t/W. ' ( C A) r tk �45 •Fee methodology set by Tri- County Building Industry Service Board. (Please print name) i:\Dsts\Permit Forms\BldgPermitApp.doc 01/03 FOR OFFICE USE ONLY •lecti'lcal Per II . _i,, g ' :' _f - oII Received Electrical Date/By: Permit No.:MS7■ n003/0 City of Tigard Planning Approval sign Date/By: Permit No.: 13125 SW Hall Blvd. JUN 27 2003 Plan Review Other Tigard, Oregon 97223 ARp Date/13v: Permit No.: Phone: 503 - 639 -4171 FaxPO _ Post - Review Land Use � JIL D I 6 • . r • " SIO V : : ∎- Date/By: Case No.: Internet: www.ci.tigard.or. ,_31,1.."11 Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 ~ 1- Name/Method: Supplemental Information. TYPE OF WORK • • PLAN REVIEW (Please check all that apply) t , New construction El Demolition ❑ Service over 225 amps- ❑ Health -.:arc 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 01 & 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: ❑ Egressrlighting plan ❑ Other: • • JOB SITE INFORIATION and LOCATION I Submit _ sets of plans with any of the above. The above are not applicable to temporary construction service. Job site address: I 09 SW 44uart )-Tao l ki6\JUe I FEE"' SCHEDULE Suite #: B1cle. /Apt. #: Number of inspections per permit allowed Project Name: .1.4Ay\j S 61g e-rQWN`'tt7/✓lgs Description Qty I Fee lea.) I Total New residential - single or multi- family per 4 Cross street/Directions to job site: � \ � dwelling unit. Includes attached garage. +� 1 0 4'vt A lV Ue ' - i , Si..) Service included: d 1000 l• ,S \ - . L4" Each so. it or less onal 500 sq. ft. or portion thereof 145.15 1"\7 / I 4 I ctq/1 Each additional � I 33.40 I . 46 + 1 ' A ,� 7.0144:2•4,E3 n Limited energy. residential 1 75.00 I - IS , 2 Subdivision: ` LI V { Lot #: U Limited energy, non residential 75.00 I 2 Tax map /parcel #: Each manufactured home or modular dwelling .:- DESCRIPTION OF WORK service and/or feeder I 90.90 2 Services or feeders - installation, C at -C•T1C -) C 04 3 sr alteration or relocation: �W . / 1) � la 200 a t " arms or less 80.30 — Al. d KWIC l''c71� 201 amps to 400 amps 106.85 2 401 arms to 600 amps 160.60 1 2 ':�PROPERTY'OWN R'-;'. .:•'� 0•TENAN.T:: = - -- - -- ; ;>. ': 601 amps to 1000 amps 240.60 2 9 Over 1000 amps or volts 454.65 2 Iqame: O i7J(�✓I4 P i. I � I JrJ1 5 LL [I Reconnect only I I 66.35 2 Address: al Me..gL - gt.- U ,7 22z Temporary services or feeders - installation, alteration, or relocation: City /State /Zip: IQ.11A - r ) ) Oil. t pp Z 219 ( 200 amps or less 66.85 1 So�)$92 -c)812. Fax:(So� �38`11 201 amps to00am amps 100.30 2 Phone �► 401 to 600 4 0 0 133.75 2 . XA T = PP AN :::= • : . := w :: ;. - . - �❑• '.CONT CT PERSON - Branch circuits - new, alteration, or Name :) ? . L. ry e A- SScQ/ES, /At , extension per panel: Address: 9SX Ski &4pk111.. KJ...\D Sl) l€ Z2.0 service Fee ic branch circuits each ranch circuit of service or feeder fee, each branch circuoit 6.65 2 City /State /Zip: o2; L , Cq2 9 C7 B. Fee for branch circuits without purchase of . service or feeder fee, first branch circuit 46.85 2 Phone• Fax: S3 ap p C�p'k �rf- S- •l5g � � V (2 "'C.Cj Each additional branch circuit 6.65 2 \ J Mi or feeder not included): E-mail: ),16. r u- d l tro uJ.3a•SSoc , Co 2 E ach pump or i circle 53.40 :.....�.. ; ..-'•-:',.-.:---: ;CONTRACTOR ;: _.:- 53.40 2 • - r — - Each sign or outline lighting _ 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. 1 hour) 62.50 CCB:1 16453 ELC:24 -353C Sup:2919S Investigation fee: , CCB Lic. #: Lic. #: other. EI -. ,.. __ —•.. -•_ :. . ectrial:Pelt'E R _ Supervising electrician Subtotal $ signature required: Plan Review (25% of Permit Fee) $ Print Na ,e: Lic. #: State Surcharge (8% of Permit Fee) $ • TM" D ate: 1 80 days after as TOTAL PERMIT FEE S ' or _.J Authorized �/ �r r Notice: This permit application ezpires if a permit is pot maine_ .....r Signature: it has been accepted as complete. •Fee methodology set by Tri-County Building Industry Service Board. (Pie print name) • i :\Dsts\Permit Forms \ElcPermitApp.doc 01/03 • C © i) FOR OFFICE USE ONLY • ' ' /echanica1 Permit Ap Jd y ca o Received Mechanical Date/By Permit No.: Mt °003/0 JUN 2 7 2003 Planning Approval Building ' City of Tigard CITY OF T a : RD Date/By: Permit No.: 13125 SW Hall Blvd. 8(JILDIN Plan Review Other Tigard, Oregon 97223 • ION post - y. Penrit No.: Post - Review Land Use Phone: 503- 639 -4171 Fax: 503 -598 -1960 ww 4, , , �� Date/By: Case No.: Internet: w.ci.tigard.or.us . e . Contact ]uric.: El See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 — Name/Method: , Supplemental Information. _ COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ._. ��•,. :. . - ...: : OF'WORK. •� : = :. -... . : . -- • , "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. '1 & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule Building ❑ Multi - Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE* SCHEDULE ❑ Accessory Description I Qty I Fee(ea.) I Total ❑ Master Builder ❑ Other: Heating/Cooling JOB SITE INFORMATION and LOCATION • _ Furnace - add -on air conditioning" ( I 14.00 Ili • c° Job site address: /0840 5W /- •/O»Th.)6Toa/ AVE- I Gas heat pump I 14.00 Suite #: Bldg. /Apt. #: Ductwork , l 14.00 lAt.c° ig b TO.J � IkOY�ES Hydronic hot water system 14.00 Project Name: Residential boiler Cross street/Directions to job sit (for radiator or hydronic system) 14.00 SU) • j30 •N ✓6kAie/ SW g ec Unit heaters (fuel, not electric) — gE 1 5'11(260-- (in wall, in -duct, suspended, etc.) 14.00 Flue/vent (for any of above) I I 10.00 10. w P-40/ S V T P I 4 Repair units f 12.15 Subdivision: !� Lot +* Other Fuel Appliances Tax map /parcel #: Water heater I I 10.00 Iv. " DESCRIPTIONO p F WORK - Gas fireplace I 'I 10.00 10. °" C11 / S / icri� OF YWC(A) 3 s Lt Flue vent (water heater/gas fireplace) 7 10.00 20. tO — rawk1 kryrf, Pe ie (:41 SQ r6 Log lighter (gas) 10.00 l `t Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner /flue/vent 10.00 grPROPERTY OWNER. • I Q.TENANT'' — • • Other. 10.00 Name: AvTl/m4 49.4K-10 WAi1 S: LLX Environmental Exhaust & Ventilation ) Range hood/other kitchen equipment 1 10.00 10 . " Address: ai.xl Sp,/ veade 01, / Sir 1Trk Z Clothes dryer exhaust 1 10.00 IU , °7 City /State /Zip: A yer - LSD de ql 2 l q Single duct exhaust Phone :(So3)8012 -E 788 I Fax: (5)5) $92 -884( (bathrooms, toilet compartments, • [APPL CANT 0 CONTACT PERSON utility rooms) 4 6.80 17. Name: 1>Eg L.. B2CL4 8 A-SS / 1 id • Attic/crawl space fans 10.00 �l_x.) 6W Bitegla (4-4 S✓ 1k Other. 10.00 Address: � ZZC� Fuel Piping City /State /Zip: ( itatifz S -7219 "(55.40 for first 4, 51.00 each additional) "' Phone: (.)31 i 3J 2 -8'156 Fax: �3�PA2 -0e4( Furnace, etc. Gas heat pump E -mail: ✓■Pk'y C `i d 1 brocJf'o c)C , coin—. Wall/suspended/unit heater " _: . CONTRACTOR Water heater I '" 1 lace Smart Heating & Cooling LLC Fireplace Range "" 7616 NE Everett St BBQ " Portland OR 97213 -6347 Clothes dryer (gas) "' 503 -254 -5096 Other. CCB: 154133 Total: 1 6•s Mechanical Permit Fees* Authorized 0 61/2d0 Subtotal: $ l 3(2 . ea Signature: TdiAAL "� Date: Minimum Permit Fee $72.50 $ . PUCE CO Ne: Plan Review Fee (25% of Penult Fee) $ _ �� 1 (Please print name) State Surcharge (8% of Permit Fee) S • TOTAL PERMIT FEE . 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\Permit Forms\MecPenrtitApp.doc 01/03 .bulialllb r Lu U1 Cb • • plumbing Permit Application FOR OFFICE USE ONLY Received Plumbing Date/By: Permit No.: P7S .2003 - D03/0 City of Tigard _ Planning Approval Sewer EC E I V ., D Date/By: Permit No -: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date/By: Permit No.: Phone: 503- 639 -4171 Fax: 503 - 598 -1jN 2 10 Post - Review Land Use 41" l I II t Date/By: Case No -: Internet: www.ci.tigard.or.us Y O _� el l 1 Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 503 -639 �ING DIVISION Name/Method: Supplemental Information. TYPE OF WORK FEE* SCHEDULE (for special information use checklist) - New construction ❑ Demolition Description 1 Qty. 1 Fee(ca.) 1 Total ❑ Addition/alteration/replacement ❑ Other: New 1- & 2- family dwellings • CATEGORY OF CONSTRUCTION (includes 100 ft. for each utility connection) SFR (1) bath 1 249.20 • cg 1 & 2- Family dwelling 111 Commercial/Industrial SFR (2) bath 350.00 ❑Accessory Building ❑ Multi- Family SFR (3) bath ..- _ t 399.00 le . °D ❑ Master Builder ❑ Other: Each additional bath/kitchen 45.00 • .. JOB SITE INFORMATION and LOCATION Fire sprinkler - sa. ft.: Paee 2 Job site address: /pf?4 SA) /-/UNT /A/67VAJ 4VS. Site Utilities Suite #: Bldg Footing Catch basin/area drain 16.60 Project Name: 1- {A1A)Vc T)FJI -21 "TG -It4 14°Me ll/leach line/trench drain 16.60 Footing drain (no. linear ft.) Page 2 Cross street/Directions to job slt Manufactured home utilities 110.00 SLJ l ;c�V Manholes 16.60 36 S alci-4` Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Page 2 Subdivision: /' rr #: Storm sewer (no. linear ft.) Page 2 / tj4 (N',� � Lot m Water service (no. linear ft.) Page 2 Tax map /parcel #: Fixture or Item • DESCRIPTION OF WORK I Absorption valve 16.60 (, 014s fC1J of ! E1A) 3 S17)21-1 I Backflow preventer Page 2 --r(1 4ln -, PO-4EC,T (04i to Sta- - ) Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 - .E"PROPERTY'OWNER • :I.0 TENANT • - • _ - • • Ejectors/sump 16.60 Name: AUTO W1 r•J P,4 K - i a vtlN FIC,MES L LC. Expansion tank 16.60 Address: ci Sca) sw-E g 5vcri Z Za Fixture/sewer cap 16.60 City/State /Zip: PO41/1,.6 Q2 Cj q Floor drain/floor sink/hub 16.60 G r Garbage disposal 16.60 Phone(503, 69,2 - 81 s C� Fax: (5(13 ct2- SS 1 Hose bib 16.60 .;jAPPLICANT • t=_. - •- . . _. • ❑ CONTACT PERSON,:- • Ice maker 16.60 Name: >E ( L. geri S ASSQO,4 S, j i./G Interceptor /grease trap 16.60 Address: 9560 56.-1 ghe.gLe. i i a, Su I't'f ZZCJ Medical gas - value: S Page 2 Primer 16.60 City /State /Zip: PoerziEA , Ct 412 i i Roof drain (commercial) 16.60 Phone 3 ) & Z- 6756 Fax (5:5) 2 .554f Sink/basin/lavatory 16.60 E -mail: Yr1A+zIC. d. I tvr3(,)na.cCe7 C • Co v"t Tub /shower /shower pan 16.60 • - r : -. ` :• ;• •.- 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 �: CCB: 149035 PLM: 34 -391 PB Subtotal $ 5`la • a " Minimum Permit Fee $72.50 S Authorized " ij /' , ... / Residential Backflow Minimum Fee $36.25 Signature: i /L�/ Plan Review (25% of Permit Fee) S 7' /', Date: 1 RUGE tJ State Surcharge (8% of Permit Fee) S ;St a a Z (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 with .- -• 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 -00310 Date Issued: 12/23/2003 Parcel: 1 S133AC -HB040 Site Address: 10840 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES • Block: Lot: 040 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 R #: LIC 116453 SUP MiSig 272 3 - 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 -00310 Date Issued: 12/23/2003 Parcel: 1 S133AC -HB040 Site Address: 10840 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 040 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 z, Signature of Authorized Plumber If you have any questions, please call 503.718.2433. ,/1/15 2c 3 av3/ • ■ • ■: • ■ STREET TREE CERTIFICATION • • I, 7 CtCe C i -- ,,Owner/Agent for pege 1F. L. $9.GW A) di-.CSOc ■ • • (PLEASE PRINT) (PERMIT HOLDER) • , ► • A' • • • n'` �' • • Do hereby certify that t fo11 location ► • meets ji -:of_ tigard /Washin on 'Count ■ • - Y • • land use and development standards for street tree installation. ► • • • • • • ADDRESS: 1084' 5,CO - _ s k- - ■ • • . • • LOT: 4 0 SUBDIVISION: 0- p(4 , QcN L • • • • BY: DATE: k 3 / 0� ► . • L / • • . RECEIVED BY: DATE: /?_ / G ► • ► AV YYYYY YYYYYYVV YYYYVV VV VVVY VYV YVVVYYYYYVYYYVYVYVYYYVYYYY®VYV' CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 �a .3�6 3/ o b INSPECTION DIVISION Business Line: (503) 639 -4171 ST UP Received Date Requested Ct — 2 3 AM / P BUP Location 6 ? U Suite ( / b MEC Contact Person Ph ( ) to PLM Contra or Ph ( ) SWR Tenant/Owner ELC Footing Foundation Access: / ELC Ftg Drain /(. Q) S 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 O •er: dear AS PART FAIL • BING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final �I PAS PART FAIL tfitSUANICAL Post & Beam Rough -In Gas Line Dampers m 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: E Unable to inspect – no access Fire Supply Line ADA G Approach /Sidewalk Date O Inspector � � Eat 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 cPC.) 6a 3i O INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested _ 1 go AM PM BUP Location /U g C7 ►�A-41,A 414.-._441 AA. 4 Suite MEC Contact Person / Ph ( ) S'`6 4 8 97 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 O ti S 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 0 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 ///: j�' / Approach/Sidewalk Date G v � Inspector irt Ext Other: ll 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 3/ v INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Red ested AM PM BUP Location 10 U .1 - -� -,i Suite I.4 t 110 MEC Contact Person " Ph ( ) 6 ye Cl7 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 I na Sheath /Shear 411, Framing Insulation Drywall Nailing Firewall P A jl 5 ,Gi 1 n/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 F : Alarm ill4p PART FAIL ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. P Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ✓ ADA Z o c � ) 6ft ff y Approach/Sidewalk Dat Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL