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Permit CITY OF T I G A R D MASTER PERMIT PERMIT #: MST2003 -00334 4Ij; DEVELOPMENT SERVICES DATE ISSUED: 8/5/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 10920 SW HUNTINGTON AVE PARCEL: 1S133AC -12700 SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25 BLOCK: LOT: 045 JURISDICTION: TIG REMARKS: New SFA dwelling. 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 THIRD: 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: 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: 3 201 - 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 +amps- 1000v: MINOR LABEL: 1000+ ampNolt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,199.57 AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES I This permit is subject to the regulations contained in the 4949 SW MEADOWS RD SUITE 400 4949 SW MEADOWS RD SUITE 400 igard Munidpal Code, State of OR. Specialty Codes LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 and all other applicable laws. All work will be done in 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: 503 233 - 0075 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 Ersn Cntrl 681 -4444 Plm /undslb Insp Plumbing Top Out Shear Wall Insp Storm drain insp Plumb Final Sewer Inspection Electrical Service Framing Insp Exterior Sheathing Insl Water Line Insp Mechanical Final Footing Insp Electrical Rough -in Gas Line Insp Firewall Insp Water Service Insp Building Final Foundation Insp Mechanical Insp Gas Fireplace Gyp Board Insp Smoke Detector Slab Insp Low Voltage Insulation Insp Rain Drain Insp Electrical Final Issued By : .....,/). _C 2(.... iZ ) Permittee Signature : „.L -_ (' \ Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day Y2(0 FOR OFFICE USE ONLY Building Permit Application i„� Building Date/13v: '/ ' 1�" r ' I /7.5/. ` 7 m tP Permit No.. -- . �� I E , �� Planning Approval Other City of Tigard DateBv: Permit No. .SRi51 #3 each 6, 13125 SW Hall Blvd Plan Revie`" Other Tigard, Oregon 97223 JUN 2 7 21 * DateBv: ' ')0 13 Permit No.: Phone: 503 - 639 -4171 Fax: 50 t r� Post - Review Land Use �al`k Tl e . i Date/Bv: Case No. Internet www.ci.tigard.or.us BUILDING DI - • t Contact luris.: ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Method: 7/6- Supplemental Information TYPE OF WORK ... -• REQUIRED DATA: • ' [ New construction I ❑ Demolition 1 & 2 F_AM]LY DWELLING . . ❑ Addition/alteration/replacement I ❑ Other: .•''.... • - -CATEGORY OF CONSTRUCTION •• .. - . - Note: Permit fees' are based on the total value of the work performed. Indicate j{ 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 - Family ❑ Master Builder ❑ Other: I Valuation s q 5 , 29 b.' No. of bedrooms: 2- No. of baths: Z �2 - .:::'..":7:: .::TOB SITE INFORMATION •and.L,OCATION �•:. - I Total number of floors Job site address: (�c'z Sep {- �t1n�t,.I(r7 A i -JUE New dwelling area (sq. ft.) I /t Suite #: I Bldg. /Apt. #: Garage/carport area (sq. ft.) 50 Project Name: HAWKS 'RE.A41 lbe-IN CNI,ES Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) 51.41 I T " 1jt.E Apb sw. 14/tJKr 13E.A4 Other structure area (sq. ft.) Srki.. - _';;' '- REQUIRED DATA: = �� 45 I .. COMMERCIAL - USE CHECKLIST : _.: :::": 41 :-- . Subdivision: 1. d (S {A8 ?dwjttowe I Lot #: L{ 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, A f G OF N S Sr �� T overhead and profit for the work indicated on this application. Pe_Sec JM� 4 Valuation $ uiJ Existing building area (sq. ft.) New building area (sq. ft.) Number of stories 3 OPROPERTY_OWNER'•: -.:': -4 TENANT: -::: . -- Type of construction V N Name: AU bm nI P/4Z K 761,..(Jtl145 / L.L.C. Occupancy group(s): New Existing: R -3 Address: O15oo SW Fite gate g1- / SU 0-€ 2 2.6 City/State/Zip: 'PoerM 0) , 0 2 q 21 e1 Phone: 661) 612-61SEj Fax :6o3) aq2.4a41 NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under 10 APPLICANT • : : u •;--= ::•:. ' ❑= CONTACT PERSON: _ : provisions of ORS 701 and may be required to be licensed in the Business Name: 1... ' Assoc MtS J (4 . jurisdiction where work is being performed. If the applicant is exempt Contact Name: Mite K (-ti4'n(Soo az. etcr pe44.07-- from licensing, the following reason applies: Address: g5io SbJ e J Sat?* 22.0 City /State/Zip: kt2Tj,/l OIZ Q'i 2-1'1 ' f Phone: -6`663 Fax:( 'i� l-6e :- ... - = BUILDINGYERMITTEE_S *:._ = - "' E -mail • l b rvwn ASSOC. , c.on, - : refe :to: fee schedule: •r'- :; '-- CONTRACTOR -r... . Business Name: ,EC L. �Qac,lN ' 1J 1 »' Fees due upon application S Address: 95x) -S J gkeme. gLvb j _cork ZZo City /State /Zip: %M' Q2 Amount received S Phone: 5)3 6-l' ( Fax: (6,05) SQ2- e)94( Date received: CCB Lic. #: 5 69cl _ Authorized` �[ l ,, n I! d Notice: This permit application expires if a permit is not obtained within Signature: Date: Y 180 days after it has been accepted as complete. r' ' k N Y 0-A145-60 *Fee methodology set by Tri -County Building Industry Service Board. (Please print name) i:\Dsts\Permit Forrns\BldgPermitApp.doc 01/03 FOR OFFICE USE ONLY E lectrical Permit A lication Received Electrical RECEI Date/By: Permit NO. tisr' 693-aosl City of Tigard Planning Approval Sign Date/By: Permit No.: 13125 SW Hall Blvd. JUN 2 7 Plan Review Other Tigard, Oregon 97223 ��� Date/By: Permit No.: Phone: 503-639-4171 $'-L 171 Fax: 50 � OfIG • , Post - Review Land Use � ? Date/By: Case No.: Internet: www.ci.tigard.or.us BUILDING DIV,� 11.,.. e!l� AI Contact Juris.: El See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 - -- Name/Method: Supplemental Information. TYPE OF WORK • -. PLAN REVIEW P( check all that apply) ,New construction ❑ Demolition — 0 Service over 225 amps- ❑ Health-care facility commercial ❑ Hazardous location ❑ Addition /alteration/replacement ❑Other: 4 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: ❑ 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: 109W SW Abfri 4b 2*-) 06JUe FEE* SCHEDULE Suite #: Blcig. /Apt.#: �� Number of inspections per permit allowed Project Name: ,..1A4nfVVS 4 Epp el- QWon'1ES D escription 1 Qty I Fee (ea.) Total I 1 New residential- single or multi - family per + Cross street/Directions to job site: / dwelling unit. Includes attached garage. .,c\/..) 1.50 +''' R ii&i Ue S� f Service included: d 1000 S4 t ib l. . sq. ft. or less k 145.15 1 "17,. 5 4 I Each Each additional 500 so. ft or portion thereof l 33.40 3,e..10 I • n I ' L Limited energy, residential 1 75.00 'j5 ,a0 2 Subdivision: ' Lot #: -'CS Limited energy, non residential 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, t CTI C C o1E4J 3 sr alteration or relocation: Q,, 2, �(,J / t / y�„ r - ,,— 200 amos or less I. 80.30 80 ..7-+ 2 A(. �'r`CW(C 'cZ1Jlt -C I 201 amps to 400 amps 106.85 2 401 amos to 600 amps 160.60 2 •.I.. ❑ _ 601 amps to 1000 amps 1 240.60 2 : '[y}PROPERT]l'O.. R ':= TENANT:' :- :. > .. — LL C, Over 1000 amps or volts I 454.65 2 l7ame: ��y'i/•6 PAr �atrUN3 91 S LL, Reconnect only I 66.85 2 Address: cl .gl� gl.- SO !Nc 2� Temporary services or feeders - installation, Q alteration, or relocation: City /State /Zip: (2rL P41 ) ( 91 ( Q ( a 200 amps or less 66.85 1 Sp Phone , 8�2—g�58 F l�')U9 2-(.'8 � 1 J amps 201 amp to 400 amps - 100.30 2 20 133.75 2 APPL ANT ?;i. ='= []'. CTPERSOPi ... :. 401 to amps Branch circuits - new, alteration, or Name: - beR . L. � e 4s ju s / / nX , extension per panel: Utz - r � , c A. Fee for branch circuits purchase of Address • i 5 CO S140 g Qi CV J f�- U 17f Z20 service e fee or feeder r fee. each eacch branch circuit 6.65 2 City /State /Zip: ; r , GQ �3' 7 21 ' t B. Fee for branch circuits without purchase of . / service or feeder fee. first branch circuit 46.85 2 Phone: (cp3) 2 -8`15$ Fax: ( 2.) S92-&S4/ Each additional branch circuit 6.65 2 E -mail: Prat' a.- d l tt''O r.Jw)A -cSOC COM Misc.(Service or feeder not included): Each pump or irrigation circle 53.40 2 .,. :, . , .. . . ... - :..:_.c CONTRACTOR _ 53.40 2 - • •^ •:,.r,' ° - '= •= • °^TM � � ••• Each sign or outline lighting - Electrum Inc Signal circuit(s) or a limited energy panel, 2 alteration, or extension Page 2 DBA Spectrum Electric . Description: 2050 Vista Ave #100 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: 116453 ELC: 24-353C SUP: 2919S Investigation fee: - Other. C(..13 L1c. #: I Lic. #: Electrical. :Pe (CEet ter= :,.... -_ - Supervising electrician _ � required: Subtotal S � 3 , &5 signature re uired: Plan Review (25% of Permit Fee) S P33 , Print Name: I Lic. #: State Surchar :e (8% of Permit Fee) S 2. TOTAL PERMIT FEE S ' ' ' , 0 Authorized /J ate: I l ( Notice: This permit application expires if a permit is not obtained within Si atu 4( 0 - 5 180 days after it has been accepted as complete. 'Fee methodology set by Tri- County Building Industry Service Board. AIM- N. A seA (Pleak print name) • i:\Dsts\Permit Forms \ElcPermitApp.doc 01/03 FOR OFFICE USE ONLY Mechanical Permit Application Received Mechanical A �o �� _ Planning y Permit No A/ a O y R EC E B � r Planning Approval Building City of Tigard Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review otter Tigard, Oregon 97223 JUN 2 7 in Date/By Permit No.: Post - Review Land Use Phone: 503 - 639 -4171 Fax: 503 -581 1 3 TI � 1'' , A. Date/By: Case No.: w Internet: ww.ci.tigard.or.us V 1 - �. Contact Juris.: ®See Page 2 for !!''' Oa �' -� Name/Method: Supplemental Information. 24 -hour Inspection Request: 503- g� - • , _• ° COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ..., . - �:.:." ., .. - ..::. .TYPE 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 mechanical materials, equipment, labor, overhead and profit. CATEGORY OF CONSTRUCTION. :;;;I. '1 & 2- Family dwelling El Commercial/Industrial Value: S See Page 2 for Fee Schedule ❑ Accessory Building ❑ Multi - Family RESIDENTIAL EQUIPMENT /SYSTEMS.FEE *SCHEDULE. Description Qty Fee(ea.) I Total ❑ Master Builder El Other: Heating/Cooling JOB SITE INFORMATION and LOCATION Furnace - add -on air conditioning ** ( I 14.00 IK.a Job site address: /C `jam 0 SIR/ /10A177A) 6 T q ,J 4V Gas heat pump I 14.00 Suite #: I Bldg. /Apt. #: Duct work 1 14.00 14. Pro 7 ` ect Name: 1 I 4W igoz - b TOv.1/..) H oI M - CS Hydronic hot water system Residential boiler 14.00 Cross street/Directioon ss to job sit (for radiator or hydronic system) 14.00 • W • t 't+. ! ` v vE /� SW 4.4-tAieS Unit heaters (fuel, not electric) - g 0 S4befAir (in wall, in -duct, suspended, etc.) 14.00 Flue/vent (for any of above) 1 10.00 10. a G1il< !E1�� Lot #: Subdivision: /-iA 45- Repair units 12.15 Other Fuel Appliances Tax map /parcel #: Water heater I 10.00 I (u. . • DESCR IPTION O p F WORK Gas fireplace -I 10.00 10 . °" C /S - ' e / ( .7?c ✓ Q(� YWE� 3 S-��L Flue vent (water heater /gas fireplace) 7 10.00 20. 1 O - (AJAR i JMI P�.1 ( tiblo Sal6 Log lighter (gas) 10.00 Wood/Pellet stove 10.00 • Wood fireplace/insert 10.00 Chimney/liner /flue/vent 10.00 I %PROPERTY. OWNER. =- - : Other: 10.00 I Name: /W TI/ " K To WA Morel g S LL-C Environmental Exhaust & Ventilation 7 I/ t" ) Range hood/other kitchen equipment l 10.00 10 ...° Address: aQQ SA/ tSr/!° gax , S i x_ Z Z() Clothes dryer exhaust i 10.00 10 ,A City /State /Zip: ArerL de Q-7 2 ( 9 Single duct exhaust Phone:503) &Q12 -8?S8 I Fax: (5 l 89'Z.- 884( (bathrooms, toilet compartments, �APPL CANT • :. • ❑ CONTACT PERSON utility rooms) 4 6.80 2.7• LO 10.00 Name: I>Ete< I- gfo(n)� 8 �4Si /�+ e.c; /A/c • Attic/crawl space fans 10.00 . Other. Address: q BIt2gi e_ (1 _Jb[ c 7.k. 22t) Fuel Piping City /State /Zip: Tp2 >6 r oe q * *($5.40 for first 4. $1.00 each additional) Phone:( NZ -8156 Fax: ( -084( Furnace, etc. Gas heat pump ** E -mail: Yhp2 C `i d I breeUi' tdC . C - Wall /suspended/unit heater " CONTRACTOR Water heater I '" Fireplace 1 " FORECAST HEATING & AIR CONDITIONING Range " 17135 NE GLISAN ST BBQ PORTLAND OR 97230 Clothes dryer (gas) " 503- 253 -7020 Other: " CCB: 152194 Total: 5.4 Mechanical Permit Fees* Authorized (iika_..- /Z / v � Subtotal: $ l 3C7 . � Signature: Date: Minimum Permit Fee $72.50 $ 1.2-V C E- Ce N J E__ Plan Review Fee (25% of Permit Fee) S S Z ■ 65 (Please print name) State Surcharge (8% of Permit Fee) $ 11) . itS TOTAL PERMIT FEE S I I S. 70 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\MccPermitApp.doc 01/03 If ui aillig r i.l,u1 1ui11bin Permit) Received FOR OFFICE USE ONLY Plumbing Date/By: Permit No.. 572.w eg2sy Planning Approval Sewer City of Tigard 2 Date/By: Permit No.: 13125 SW Hall Blvd. JUN 2 7 200 Plan Review Other Tigard, Oregon 97223 Date/By: Permit No.: 171 Fax: 5 TlG D Post - Review Land Use Phone: 503-639-4171 3 pjV l :ar� ;t j t Date/By: Case No.: Internet: www.ci.tigard.or.us _Ask, � I� Contact Juris.: ® 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) Ej New construction ❑ Demolition Description 1 Qty. I Fee(ca.) 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 ET 1 & 2- Family dwelling ❑ Commercial/lndustrial I SFR (2) bath I ( 350.00 i2 ❑Accessory Building ❑ Multi - Family I SFR (3) bath ,i.--- 399.00 °° ❑ Master Builder ❑ Other: I Each additional bath/kitchen 45.00 - .: JOB SITE INFORMATION and LOCATION Fire sprinkler - so. ft.: Page 2 Job site address: /Oq ,20 St) / Tox) AtEI Site Utilities Suite #: Bldg. /Apt. #: I Catch basin/area drain 16.60 Project Name: HAW kS Z 'rO Jrl Pomgc DrywelUleach line trench drain 16.60 Footing drain (no. linear ft.) Pace 2 Cross street/Directions to job s2 Manufactured home utilities 110.00 SL) L �v� S. �' Manholes 16.60 30 CI(ji,r Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Page 2 #: Storm sewer (no. linear ft.) Page 2 Subdivision: /4,4 I Lot T: � S Water service (no. linear ft.) Page 2 Tax map /parcel #: • ..... . Fixture orItem . • ...... :_ . . DESCRIPTION OF WORK Absorption valve 16.6 C 0nlSn2N.0 11GiJ OF If EIA) 3 S i C '- Backflow preventer Page 2 Tnw/tJ - irj v f P CcX (141ly S J Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 --E" PROPERTY.'OWNER :...-1-0 TENANT .• . • = -- - - - Ejectors/sump 16.60 Name: A UTU $1 PA K T A/N F!or/l L1-C. Expansion tank 16.60 Address: q Soo Slit1$1te.gve (,JD, S11cnE ZZo Fixture/sewer cap 16.60 City /State /Zip: PjenA,0. 02 c - 7 Z 19 Floor drain/floor sink/hub 16.60 i7�Z� � j> =j�{ Garbage disposal 16.60 Phone (So3j -S75�} F aX • � ) Hose bib 16.60 ;APPLICANT' .7 .. ..- .:.0 CONTACT PERSON:- - Ice maker 16.60 Name: L. L. geou/tJ s .4SSOCl,+1 - ES, '1JL Interceptor /grease trap 16.60 Address: 95,00 S)..-1 g•te.Bue. g1-lker Su try ZZa Medical gas - value: S Page 2 Primer 16.60 City/State/Zip: poQ2 , et 0 1i Z l Roof drain (commercial) 16.60 Phone {03)E2- 6753 Fax (5o3> PA2 6f II Sink/basin/lavatory 16.60 E -mail: h-1,4 0 d 1 tan-3c,.Jnaccd G . co r.--■ Tub /shower /shower pan 16.60 • -. • . CONTRACTOR ' - Urinal 16.60 -- Water closet 16.60 - PLUMBING EXPERTS INC Water heater 16.60 - 11925 SW PARKWAY Other. _ PORTLAND OR 97225 -5413 Other. 503- 469 -0443 '.Plumbing Permit Fees *.. }:;1 • - CCB: 149035 PLM: 34-391PB Subtotal S i - T -4° _ Minimum Permit Fee $72.50 S . k.7-.1 Authorized ` /,' Residential Backflow Minimum Fee $36.25 Signature: Af, .._ �_ ./J . _ Date: /�i /� Plan Review (25% of Permit Fee) S tO" T7 RUCS GPNf= State Surcharge (8% of Permit Fee) S ?,r (Please print name) TOTAL PERMIT FEE S 550_,_k2...___ - Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans with isometri c or d) 180 days after it has been accepted as complete. riser diagram for plan review. •Fee methodology set by Tri-County Building Industry Service Boar . i:\Dsts\Pemvt Forms\PlmPe atApp.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 -00334 Date Issued: 8/5/2004 Parcel: 1 S133AC -12700 Site Address: 10920 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 045 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 4949 SW MEADOWS RD SUITE 400 DBA SPECTRUM ELECTRIC LAKE OSWEGO, OR 97035 2050 VISTA AVE #100 SALEM, OR 97302 Phone #: 503 - 233 -0075 Phone #: 503 - 361 -1256 Reg #: LIC 116453 SUP 2919S ELE 24 -353C AN INK SIGNATURE IS REQUIRED ON THIS FORM X G� /s 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 RECEIVED IMPORTANT PERMIT NOTICE AUG 10 2004 BUILDING NG DIVISION PLUMBING EXPERTS INC IO BUILDING DIVISION 11925 SW PARKWAY , PORTLAND, OR 97225 -5413 Plumbing Signature Form Permit #: MST2003 -00334 Date Issued: 8/5/2004 Parcel: 1 S133AC -12700 Site Address: 10920 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 045 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 4949 SW MEADOWS RD SUITE 400 11925 SW PARKWAY LAKE OSWEGO, OR 97035 PORTLAND, OR 97225 -5413 Phone #: 503 - 233 -0075 Phone #: 503 -469 -0443 Reg #: LIC 149035 PLM 34-391PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X — X; / ; - r/i4V - &--- Signature of Authorized Plumber If you have any questions, please call 503.718.2433. t ./!457 zcrv3 a-v 35 4 1 lisAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA/teAAAA ® ► ® ► ® ■ ® • STREET TREE CERTIFICATION ® • • • 1 • • • 7J COLE_ Owner/Agent ent for ► • g �F� AIL G . 73 u �' a - �SOC, • ,I (PLEASE PRINT) (PERMIT HOLDER) fl' ► • • ► •r J � • • ® Do hereby certify that the following location ► • ® gt County ■ meets .Cty�of;.Tigard /�XTashin on Count ■ • land use and development standards for street tree installation. 1 • • • • 11 • • ADDRESS: /© qzo so /4(i,v-rivG7J Q✓� • . ► ® LOT: 4 3 SUBDIVISION: g 4Wk t E4 ED • ® ■ ® ■ • BY: DATE: 3 It /or — ► ® ► ® • 1. RECEIVED BY: DATE: CITY OF TIGARD 01 51 BUILDING DIVISION PERMIT #: ��o ✓�G3 f 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: L Phone: (503) 639 -4171 j�l Inspection Requests (24 Hrs.): (503) 639 -4175 ^: INSPECTION WORKSHEET FOR DATE: 3 __c TIME: /} - PAGE: SITE ADDRESS: / D 9 Z D s CLASS OF WORK: SUBDIVISION: / LOT #: . TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: 6ii/f.!C_X PHONE #: Q'� 6 _ ( / 97 U �" U Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 6(--1). 1'Y‘)Q_e_ p4q6La Corrections /Comments /Instructions: li _ 4 111 11�1tr ,. h -/k . f 1 I iir PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED AP vtA -I AP Inspector: , 1 �, =�� Date: _ Phone #: (503) 718 - _- CITY OF TIGARD 24 -Hour BUILDING. Inspection fine: (503) 639 -4175 INSPECTION DIVISION r Business Line: (503) 639 -4171 MST �� BUP Received Date Requested — D.4 AM PM BUP Location /d 92-0 N--Gi_44.1A Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: \ \N-) Othe Final P ASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post& Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm 417 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 'AS PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk b Inspector Oct Other: Final DO NOT REMOVE this inspection record f m the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING. Inspection Line: (503) 639 -4175 MST a 003 -ad 3 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested � - — 2 ' AM PM BUP Location .141 ' ,■4 ,L:... Suite MEC Contact Person / Ph ( ) _ PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain - ELR Crawl Drain Mr .,/ Slab Inspection Notes: SIT Post & Beam 11,67 Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing 0) off - Me - a— N6&5 buBBL ce› (NEC e/0 , , ( 3 Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm (/i't2 D7N. -i . 1 SS ti Susp'd Ceiling Roof Other: Final . ASS PART FAIL i�i G o � `' m 0 '� U der Slab p pa Rough -In / Water Sery a U l Sanitary Se er Rain Drains Catch Basin / Manhole Storm Drain Shower Pan •t = =: 44 • SS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL CT CAL ervice Rough -In UG/Slab Low Voltage pie 1;c- &. F ire Alarm PASS PART Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE 0 Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA 2- 22 D �,,n Approach/Sidewalk Date Inspector V 16 / 4Dt'-F15t . 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 X33 cl INSPECTION DIVISION Business Line: (503) 639 - 4171 BUP Received Date Requested AM PM BUP • Location • AN/L.—dig L.«, Suite MEC Contact Person Ph ( ) - j 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan 1� 1� z Other: Final \' t-\ \o \f\a' `. W\411 PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL e ic= oug - n I�FSIah )/ Volta e / �' Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. .,..TA- PART FAIL SITE Please II for reinspection RE: Unable to inspect – no access Fire Supply Line ADA J a � 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 Eine: (503) 639 -4175 MSTc'2 3 —60 (( INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested F - 3-6 AM PM BUP Location f Z • AL-id _ L, Suite MEC Contact Person Ph ( ) 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 \I (� Drywall Insulation V \lfv` , ��j D all Nailin g Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL EL �� ICAL Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE El Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA 4 W Ext Other: Approach/Sidewalk Date 0 , 3d �`� Inspector / Final DO NOT REMOVE this Inspection record from t4e Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST 20 �.0-33 INSPECTION DIVISION i Business Line: (503) 639 - 4171 BUP Received Date Requested 3 -( AM L M BUP Location / 2-6 A _ . � i�__:�.Jj Suite MEC Contact Person Ph ( ) - ((ecl 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: 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: P . IS PART FAIL CHANICAL 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 ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Da Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour i BUILDING . Inspection Line: (5099-4175 MST 7 -6 °3 3 i INSPECTION DIVISION Business Line: (500 39 -4171 BUP Received Date Requested 3 - AM BUP Location / Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC • Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear • Int Sheath/Shear C 4 �� Framing ' ' ' 7 Drywall Drywall Nailing Firewall . 7-•Z) v•-•-•e- Fire Sprinkler Fire Alarm •. - , 1 Susp'd Ceiling � - Roof Other: • SS PART 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 / • S PART ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final o Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. • SS PART FAIL art 0 Please call for reinspection RE: El Unable to inspect - no access Fire Supply Line ] ADA / al 65 1� Approach/Sidewalk Date Inspector 4 " V ' V Ext • • - r: 1_ DO NOT REMOVE this inspection record from the job site. •AS PART FAIL