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Permit , , , , A, CITY OF TIGARD MASTER PERMIT PERMIT #: MST2003 -00339 r ;� DEVELOPMENT SERVICES DATE ISSUED: 8/5/2004 _A- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10955 SW HUNTINGTON AVE PARCEL: 1 S133AC -13200 SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25 BLOCK: LOT: 050 JURISDICTION: TIG REMARKS: New SFA dwelling. BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 32 FIRST: 108 sf BASEMENT: sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 636 sf GARAGE: 484 sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THRP. 709 sf RIGHT: VALUE: 147 744.80 OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: 1.453 sf REAR: PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 1 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: 1 BOIL/CMP < 3HP: VENT FANS: 3 CLOTHES DRYER: 1 LPG FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 2 WOODSTOVES: GAS OUTLETS: 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 W7O SVC /FDR: 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 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 # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,205.71 AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN & ASSOCIATES T his permit is subject to the regulations contained in the 4949 SW MEADOWS RD SUITE 400 4949 SW MEADOWS RD SUITE 400 i MMunicipal pal Code, Of ill be e y doo bne ne i n n LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 and d all othee applicable laws All l work k will 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 8: LIC 58699 rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies cif 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 Insr Water Line lnsp Mechanical Final Footing Insp Electrical Rough -in Gas Line Insp Firewall Insp Water Service lnsp 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: t 22 !'l1 Permittee Signature : Zi.e . - F . Q T . 1 P Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day Building Per I I ', ' . . . E i M E D Date/By: d �� ©`' Y Building ,r atdBy: (` Permit No./ Cr-Z7/2 0/� � .�'.7 City of Tigard Date/ Planning Approval Other 'JUN 2 7 Date/By: Permit No. /1W. 40A 13125 SW Hall Blvd. Plan Revie Other Tigard, Oregon 97223 2003 Date/By: it - J " - O T ( 8s a Permit No.: i , Post - Review Land Use Phone: 503 - 639 - 4171 Fad 1L 1lt11 IdAR r' I I of ING DIVIS :4�� I Date/By: Case No. Internet: www.Ci.tigard.or. Contact Juris.: ® See Page 2 for 24 - hour Inspection Request: 503 - 639 - 4175 Name/Method: 776 Supplemental Information TYPE OF WORK _ . .REQUIRED DATA:'.• .._ - ZNew construction ❑ Demolition • 1 8i•2 FAMILY DWELLING • . ❑ Addition/alteration/replacement ❑ Other: ' " • 'CATEGORY OF CONSTRUCTION • .:. - Note: Permit fees' are based on the total value of the work performed. Indicate 1 & 2- Family dwelling ❑ Commercial/lndustrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building L Multi- Family ❑ Master Builder ❑ Other: Valuation Si J l gL9 . ` i ::JOB SITE INFORMATION and.LOCATION -• :, No. of bedrooms: .3 No. of baths: Job site address: L0 .5W 1-tut41 cetek/ /i1/ uri Total number of floors New dwelling area (sq. ft.) Ali Suite #: Bldg. /Apt. #: Garage/carport area (sq. ft.) Project Name: HAWKS S.EAA 1 ZNtbM,ES Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Svoi I .TM / / OE ,b S.W. SKr IREAft Other structure area (sq. ft.) SSA ` :,.:. REQUIRED : DATA:. COMMERCIAL =USE CHECKIJST y .:.' :: Subdivision: l00A • TOksNk Lot #: ) . Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate 7 ' . •- 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. Ce.(,Sr ucr<.+L of NELJ 3 Srova 1► ?"9-.3,Etir Valuation S Existing building area (sq. ft.) New building area (sq. ft.) Number of stories 3 - - P.ROPERTYOWNER'.:.. ". •1:.12 TENANT -. .- Type of construction V N Name: A Jf vm 4 P, K �1�alJe (t i L . L. L . Occupancy group(s): Ne Existing: R -3 Address: q5co SW Wegu(e. &-ib/ Cu (1f 22-D City /State /Zip: 'POef .A A, , 02 9 21q Phone: 601) So3 ) $Q2$75f, Fax :6D3) &3Z- 4l NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under (r APPLICANT: • : II CONTACT 'PERSON.. provisions of ORS 701 and may be required to be licensed in the Business Name: bEie.EK 1... - Ea0 4 e, f4CJAIPtS / (4, , jurisdiction where work is being performed. If the applicant is exempt Contact Name: Alike K (44.4coo G2 etcic PeANz from licensing, the following reason applies: Address: 95rb Sir./ Bite( I SU t'M 22.0 City /State /Zip: prA2rz 4J Oil Q -12th Phone:( Shc2 -6 1 Fax:(503_163t2-6V1( BUILDING:PERMIT 'FEES *° E -mail: rrti a r K 4 d 1 b tbc., hi Assoc , CD/v1 Please refer to'fee schedule - - " •CONTRACTOR ..:.. . Business Name: lbeekt L. 1J 4 AcseciAtte, 1AfG, Fees due upon application $ Address: a2c) Slnl BAQ,l3u1e. gum Sl tree t no City /State /Zip: �er oa. 9 la Amount received S Phone:( 892-875$ I Fax: 5 )0 2-884 ( Date received: CCB Lic. t Q( Authorized ' v j?. �7 Notice: This permit application expires if a permit is not obtained within Signature: �� ,r -. 1 Date: `( (((( ll 180 days after it has been accepted as complete. r " YT''- 4 �Jh/ *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) i :\Dsts\Perrnit Foms\B1dgPermitApp.doc 01/03 . r FOR OFFICE USE ONLY �Electr>lcal Per l; 1, Dl � �� an Received Electrical Date/B : Permit No.: Nf re - 00 3 9 2 Planning Approval Sign City of Tigard JUN 7 2003 Date/Bv: Permit No.: 13125 SW Hall Blvd. CITY OF TIGARD Plan Review Other Tigard, Oregon 97223 ' - ���S10 Date/B : Permit No.: Phone: 503- 639 -4171 Fax 5t3 ®U Post - Review Land Use 1 � + Date/Bv: Case No.: Internet: www.ci.tigard.or.us e�' I Contact Juris.: El See Page 2 for 24 -hour Inspection Request: 503 -639 -4175 °"-"'- Name/Method: Su . lemental Information. TYPE OF WORK - PLAN REVIEW (Please check all that apply) X % New construction ❑ Demolition ❑ Service over 225 amps- 1:1 Health-care facility commercial ❑ Hazardous location ❑ Addition/alteration/replacement ❑ Other: 0 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 a1 & 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: 109rjs 510 u0TINWv.1 6JUe FEE* SCHEDULE Suite #: Bld2. /Apt. #: _ l' Number of inspections per permit allowed Project Name: 4-441,414S ice02 �QWriII4CNtg Description I Qty I Fee (ea.) Total New residential - single or multi - family per .+ Cross street/Directions to job site: , unit. Includes attached garage. ,N,) 1' �'"t AVEj -Jue S � Service included: • 1000 3 Each a. ft. or less E 145.15 1 45, 4 5 4 Each addditional l 500 so. ft g3 or portion thereof � I 33.40 �3,t.(p I 1 ' a Limited energy. residential l 75.00 15 .co 2 Subdivision: ,LI ° {{Ltl �eA2� T(�tA.l Lot #: 58 Limited energy, non residential 75.00 2 Tax map /parcel #: Each manufactured home or modular dwelling • •- DESCRIPTION OF WORK service and/or feeder 1 1 90.90 1 2 Ca 45 7- -CTI Services or feeders - installation, e� C O�EeJ 3 sr alteration or relocation: Q,, " tV GJ . / l / ey , -I Go 200 amps or less l 80.30 .c1 2 mil. �' f 'c71�w� 201 amps to 400 amps 106.85 2 401 amos to 600 amps 160.60 2 _:.. 601 amos to 1000 amps 240.60 2 �}PROPERTY.O . R 1_ ❑TENANT:' -. _ . A0171;414 � i / , 1 T �WfS Reco n Reconnect amps or volts 454.65 2 ��e; iNf /�� (7W � v►' 1 -� Reconect only I 66.85 2 Address: C1593 S.,0 Me_gUe.- guJ' Sl1 ,?.. 22 Temporary services or feeders - installation, alteration, or relocation: City /State /Zip: RIerLkr ) 0 7 2(j Lit 200 amps or less 66.85 1 Phone Sp 'c, 892 -g FaX:(5169 -S8 t 201 amos to 400 amps 100.30 2 �� 401 t o 600 amps 133.75 2 APPL ANT •. ; [�'.CONT CT PERSON' " ' .• ' Branch circuits - new, alteration, or Name :b . L. ( 1' e E4SSvUR'rj5 / l "X, , extension per panel: Address: 9SQ S &4pfkJl PL.\b cox Z20 A. Fee ic orfeedfeecircuits each branch of service or feeder fee. each branch circuoit 6.65 2 City /State /Zip: e LA , C' . 9121 B. Fee for branch circuits without purchase of p� , Q oC service or feeder fee. first branch circuit 46.85 2 Phone: (c'3) N? -, `SS Fax: � . 692'E 4 / Each additional branch circuit 6.65 2 E -mail: brae' (- d 1 tl'' t,J oc , COQ -- Misc.(Service or feeder not included): Each pump or irrigation circle 53.40 2 .-= .E:r:..- ;:.... 'CONTRACTOR Each sign or outline lighting 53.40 2 Electrum Inc Signal circuit(s) or a limited energy panel, alteration. or extension - Page 2 2 DBA Spectrum Electric Description: 2050 Vista Ave #100 Salem OR 97302 Each additional inspection over the allowable in an of the above: 503- 361 -1256 Per inspection per hour (mm. I hour) 62.50 . CCB: 116453 ELC: 24 -353C SUP: 2919S Other . CCB Lic. #: ( Lic. #: .. Electri Perm[t'Eees #..r ....., ~ Supervising electrician Subtotal S z 3,85 signature required: Plan Review (25% of Permit Fee) S — 5 , `KA Print Name: I Lic. #: State Surcharge (8% of Permit Fee) $ 2-0 i 1 TOTAL PERMIT FEE S 4, 0 Authorized Notice: This permit application expires if a permit is not obtained within �r r Signamre: Date: a3 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. t YlAYL IC IQ • (P1e a print name) • is \Dsts\Permit Forms \ElcPetmitApp.doc 01/03 FOR OFFICE USE ONLY Mechanical • r cati Rec eived Mechanical Date/By: Permit No.: /y1TSQ0.3�.01? Planning Approval Building City of Tigard JUN 2 7 2003 Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 CITY OF TIGARD Date/By: Permit No.: Post - Review Land Use Phone: 503 -639 -4171 Di EN ,u) N ,. D ate /B y: Case No.: Internet: www.ci.tigard.or.us � a � t.' l l 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. H1 & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule ❑ Accessory Building ❑ Multi- Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE' Description I Qty I Fee(ea.) I Total ❑ Master Builder ❑ Other: I Heating/Cooling • JOB SITE INFORMATION and LOCATION • Furnace - add-on air conditioning ** [ 14.00 14.0 Job site address: /07..0 N aAir/NGT�0.> 4 VE- Gas heat pump 14.00 Suite #: Bldg. /Apt. #: Duct work [ 14.00 14."' Project Name: I I ,� t/� 'g - b TO W tJ klO Wo-CS Hydronic hot water system 14.00 7 �'` Residential boiler Cross street/Directions to job sit (for radiator or hydronic system) 14.00 SW ? A VC SW 1,) ec Unit heaters (fuel, not electric) g2 T < 7 er (in wall, in -duct, suspended, etc.) 14.00 v Flue/vent (for any of above) 1 10.00 W . ' / 1 f� `. Subdivision: 7 K E-f} gD Lot #: S O Repair units 12.15 Other Fuel Appliances Tax map /parcel #: Water heater I 10.00 10.' . - • DESCRIPTION'O WORK Gas fireplace I 10.00 10.'"' CGv 1.-Tr JcCT?C OF DtEIA) 3 5 ataL I Flue vent (water heater /gas fireplace) Z, 10.00 20 �(,t�Ai { fyi)~. 2j- ( 1 b) ` Log lighter (gas) 10.00 Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner /flue/vent 10.00 PROPERTY OWNER . .1: 0- TENANT'•' - =1.-- • Other. 10.00 Name: Arnim Ai I<-1 a -6iv1 e S LLG Environmental Exhaust & Ventilation / Range hood/other kitchen equipment I 10.00 (0. cu Address: (3.)4J Sh/ t244ue Jgl.l a / S� L z2.6 Clothes dryer exhaust I 10.00 10.' City /State /Zip: Q ra.-t AD de C11 l9 Single duct exhaust Phone:-87 I Fax: (5) 5) 892-- 884( (bathrooms, toilet compartments, [�'APPL CANT ❑CONTACT PERSON utility rooms) 3 6.80 20 .40 Name: I>CeF:AC 4. gaat,J J 8 A-rctcmi Nc • Attic/crawl space fans 10.00 Other 10.00 r. _ Address: C( 607/12.E02, a_lib 51/ 2ZO Fuel Piping City /State /Zip: eporazifr75 t ot g 121 / ••($5.40 for first 4. $1.00 each additional) Phone:(Co3) 2 2.-S'l58 Fax: ( §i3p12 -0Geli( Furnace, etc. Gas heat pump .. E -mail: rr C L d I bra,,.Jn _ c,C : c -, Wall/suspended/unit heater • • CONTRACTOR Water heater T Fireplace [ ** FOR ECAST HEATING & AIR CONDITIONING Range 1 7135 NE GLISAN ST Clothes dryer (gas) *. PORTLAND OR 97230 Other •.s. CCB: 152194 Total: 3 • S. 0 Mechanical Permit Fees* Authorized G /2( Subtotal: $ 123,530 Signature: � tLA.: /V Date: - Minimum Permit Fee $72.50 $ • P USE- CO NI--- Plan Review Fee (25% of Permit Fee) $ 30 , g5 (Please print name) State Surcharge (8% of Permit Fee) $ , a0 TOTAL PERMIT FEE $ 10'1'615 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\MecPermitApp.doc 01/03 billll111ib C 1ALUl co • • - 1 P1 u lllbin Pe •Un Received FOR OFFICE USE ONLY Plumbing Date/By: Permit Nor/ S 7 1 &i 0®3.3 9 • City of Ti JUN 2 7 2003 Planning Approval Sewer DateiBy. Permit No.: 13125 SW Hall Blvd. Plan Review other Tigard, Oregon 97223 CITY OF TIGARD Date/Bv: Permit No.: Phone: 503- 639 -4171 EltstILINNSEDlikf81014 , Post - Review Land Use Date/By: Case Na.: Internet www.ci.tigardor.us '&1_41 Contact Juris.: E 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) 1 (l New construction I ❑ Demolition Description Qty. I Fee(ea.) I Total 1 ❑ Addition/alteration/replacement I ❑ Other: New 1- & 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF C ONSTRUCTION SFR (1) bath I 249.20 yr I & 2- Family dwelling ❑ Commercial/Induszial I SFR (2) bath I , 350.00 50. °O' I ❑Accessory Building I ❑ Multi- Family I SFR (3) bath I I 399.00 I (=I Master Builder I ❑ Other: I Each additional bath/kitchen I I 45.00 - . JOB SITE INFORMATION and LOCATION I Fire sprinkler - so. ft.: I I Page 2 Job site address: /D 955-- Ski PCIAJ A.l6 x) 4z_ Site Utilities Suite #: Bldg. /Apt. Y: I Catch basin/area drain I I 16.60 Project Name: N/kl,tJ kS �� "rGtiJrl l- !aYvlG S I Dn"'ell / leach line�trench drain I 16.60 Footing drain (no. linear ft.) I Page 2 Cross street/Directions to job s t Manufactured home utilities I 110.00 SLO 1;0 i1)/F�v G S. Manholes 16.60 3E/14. S? Z 't Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Page 2 1 Storm sewer (no. linear ft.) I Page 2 Subdivision: /-64A/4" S ��� I Lot T: SO W service (no. linear ft.) I I Page 2 Tax map /parcel: I _: Fixture or Item • ......--z-:... -- -:• - . • - . • DESCRIPTION OF WORK Absorption valve I 16.60 C aN,Sb2, "MCP OF r4Elni S7012 I Back flow preventer I Page 2 --rf.1 J . i- 1 rj y 6 P €C ( 1 ( SQA') Backwater valve 16.60 I Clothes washer I 16.60 Dishwasher 16.60 Drinking fountain 16.60 ••IS PROPERTY'OWNER. .._-= I:.0-TENANT - • Eiectors/sumo 16.60 Name: A(J7`V vt 1 iJ PA < T v04 Afwvi es , 1- Expansion tank 16.60 Address: ci SCO 5'+1 EAtegVe, CL/D , Si.V Z 20 Fixture/sewer cap 16.60 City/State /Zip: Poen D 02 q--7 2 i9 Floor dram/floor sink/hub 16.60 Garbage disposal 16.60 Phone 5o3) S ae- 81 5a 1 Fax: (5 013) & 2- SS4 I Hose bib 16.60 ;APPLICANT - -,,, - •.: • •_::- `:O•CONTACT PERSON,-- .•.- Ice maker 16.60 Name: b V L. ( Ou/t g,4SSOCIA- +''ES, (J(i Interceptor /grease trap 16.60 Address: g5ao S t,i g t•e. gLe. gi. , Su It zza Medical gas - value: S Page 2 Primer 16.60 City/State/Zip: Fter , Ct Ct7 Z i 9 Roof drain (commercial) 16.60 Phone: 3)t 2- 67581 Fax (54) eq2. esL[/ Sink/basin/lavatory 16.60 E -mail: rnAitic 1. d.I tYrjc,ThQ -c iC C.o' 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 PermitFees* ...:•••::':':.:: -a::.: CCB: 149035 PLM: 34 -391 PB _ Subtotal s 3 5 O. ap I - _ t Minimum Permit Fee 572.50 S Authorized Residential Back flow Minimum Fee $36.25 Signature: Date: /Z � / Plan Review (25% of Permit Fee) S X31 • $ (&lV (� State Surcharge (8% of Permit Fee) _ S :. °O '� (JOE_ (Please print name) TOTAL PERMIT FEE S 4 to S! So Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans with 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 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 -00339 Date Issued: 8/5/2004 Parcel: 1 S133AC -13200 Site Address: 10955 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 050 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 BEY.- /.. .1.41./ Signature of Supervising Electrician If you have any questions, please call 503.718.2433. CITY OF TIGARD 13125 S.W. HALL TIGARD, OR 9 223 BLVD. RECEIVED IMPORTANT PERMIT NOTICE AUG 1 0 2004 CITY OF TIGARD PLUMBING EXPERTS INC BUILDING DIVISION 11925 SW PARKWAY PORTLAND, OR 97225 -5413 Plumbing Signature Form Permit #: MST2003 -00339 Date Issued: 8/5/2004 Parcel: 1 S133AC -13200 Site Address: 10955 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 050 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 -391 PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Sign of Authorized Plumber 9 If you have any questions, please call 503.718.2433. S7 2.vo —cro fiw®®®®®®®®®®®® L®®® ®®®AAAAAAAAAAAAA,AAAAAAAAAAAA®®® STREET TREE C . '1 „8. I 6i'vcE , ,Owner / for PERSIL L . 1312EWN A- SSOC. r (PLEASE PRINT) ; ' `� (PERMIT HOLDER) 4 Do hereby certify th'At:th'efol'ldwing location meets City `of .' ' Bar Wak kb' on County land use and development standards for street tree installation. ADDRESS: /ogs - r S, CV . LOT: 5V SUBDIVISION: ki ;it Liemoe BY: • • ! oitl.� _ DATE: �� ¢0� RECEIVED BY: DATE: v0'1' Vu, YVVVVVYVVVVVVVVVV "t VVVOVVVV®VVVVVVVVVVVVVV VVVVVVVVVVV ®'l® CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2003 -00339 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/5/2004 Phone: (503) 639 -4171 1 I Inspection Requests (24 Hrs.): (503) 639 -4175 s_ J' — INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 77 SITE ADDRESS: 10955 SW HUNTINGTON AVE CLASS OF WORK: SUBDIVISION: HAWK'S BEARD TOWNHOMES LOT #: 050 TYPE OF USE: PROJECT NAME: HAWK'S BEARD TOWNHOMES DESCRIPTION: New SFA dwelling. OWNER: AUTUMN PARK TOWNHOMES, LLC, PHONE #: 503- 233 -0075 CONTRACTOR: DEREK L BROWN & ASSOCIATES INC PHONE #: 971 - 233 -0075 Inspection Request Scheduled For: Date: 4/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 004827 -02 503 -866 -4897 N Corrections /Comments /Instructions: 12 4 ._.....__ 1071/4 ___,,, u t ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITION FEE ASSESSED Inspector: t� i `, � Date: lI L ✓ Phone #: (503) 718- CITY OF C O TIGARD BUILDING DIVISION PERMIT #: NIST2003-00339 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/5/2004 P (503) 639 -4171 4211' l Inspection Requests (24 Hrs.): (503) 639 -4175 .. I-. 1 INSPECTION WORKSHEET FOR DATE: 4/11/2005 TIME: 7:10AM PAGE: 49 SITE ADDRESS: 10955 SW HUNTINGTON AVE CLASS OF WORK: SUBDIVISION: HAWK'S BEARD TOWNHOMES LOT #: 050 TYPE OF USE: PROJECT NAME: HAWK'S BEARD TOWNHOMES DESCRIPTION: New SFA dwelling. OWNER: AUTUMN PARK TOWNHOMES, LLC. PHONE #: 503. 233-0075 CONTRACTOR: DEREK L BROWN & ASSOCIATES INC PHONE #: 971- 2330075 Inspection Request Scheduled For: Date: 4/11/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message d N 199 Electrical final 004195-01 503 -866 -4897 N Corrections/Comments/Instructions: 1 0 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: i Date: ` -cf) - Os Phone #: (503) 718- • CITY OF TIGAi BUILDING DIVISIO PERMIT #: MST2003 -00339 1 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/5/2004 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/18/2005 TIME: 7:14AM PAGE: 53 SITE ADDRESS: 10955 SW HUNTINGTON AVE CLASS OF WORK: SUBDIVISION: HAWK'S BEARD TOWNHOMES LOT #: 050 TYPE OF USE: PROJECT NAME: HAWK'S BEARD TOWNHOMES DESCRIPTION: New SFA dwelling. OWNER: AUTUMN PARK TOWNHOMES, LLC, PHONE #: 503 - 233.0075 CONTRACTOR: DEREK L BROWN & ASSOCIATES INC PHONE #: 971 -233 -0075 Inspection Request Scheduled For: Date: 4/18/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 004709 -01 503-866-4897 N Corrections/Comments/Instructions: S> pi t, kG6 - CT /A? Ig - . SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED P/3 Inspector: Date: Phone #: (503) 718- • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2003-00339 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/5/2004 Phone: (503) 639 -4171 Ape �'� Inspection Requests (24 Hrs.): (503) 639 -4175 - -IL INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 78 SITE ADDRESS: 10955 SW HUNTINGTON AVE CLASS OF WORK: SUBDIVISION: HAWK'S BEARD TOWNHOMES LOT #: 050 TYPE OF USE: PROJECT NAME: HAWK'S BEARD TOWNHOMES DESCRIPTION: New SFA dwelling. OWNER: AUTUMN PARK TOWNHOMES, LLC, PHONE #: 503 - 233 -0075 CONTRACTOR: DEREK L BROWN & ASSOCIATES INC PHONE #: 971- 233 -0075 Inspection Request Scheduled For: Date: 4/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 004827 -01 503-866-4897 N Corrections /Comments /Instructions: i I % : army -,:t l' 7 \ , • ..... ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITION L F/Phone S ASSESSED Inspector: 411W Date: ` ` #: (503) 718 - 1