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Permit • CITY OF T I GA R D MASTER PERMIT PERMIT #: MST2003 -00337 a Yl' DEVELOPMENT SERVICES DATE ISSUED: 8/5/2004 e7 ' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10950 SW HUNTINGTON AVE PARCEL: 1S133AC-13000 SUBDIVISION: HAWK'S BEARD TOWNHOMES ZONING: R - 25 BLOCK: LOT: 048 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 1 TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 640 sf GARAGE: 524 sf FRONT: PARKING SPACES : 1 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: 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: 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: 3 201 - 400 amp: 201 - 400 amp: 1st W/O SVOFCR: SIGN /OUT UN 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 +amp6- 10001x. 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: 0TH: 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 �his permit is subject to the regulations contained in the 4949 SW MEADOWS RD SUITE 400 4949 SW MEADOWS RD SUITE 400 i and all Municipal Code, State Aof ll l work k wil b o ne i n LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 acc rd ra cer applicable ed laws. Al. This will done in accordance with approved plans. This permi t will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. Phone: 503 233 - 0075 Phone: 971 - 233 - 0075 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Re g #: 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 Insf 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 : Permittee Signature : Si -c- Q1 Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day ' )29' � FOR OFFICE USE ONLY • Building - li Permi A gi ti .7, , : -� Receive • � = Wilding • DatdBv 61: 7'7'0.3 r: � ► "' Permit No .:���� ©� °� ®,16/ Planning Approval Other rr City of Tigard Date/13v: Permit No:rfu/% .2003 -,egg 7/ 13125 SW Hall Blvd. JUN 2 7 200 P l a n Review Other Tigard, Oregon 97223 Dat y' " 9 ,t3 Permit No.: ggl F TIG ' Post - Review and Use Phone: 503- 639 -4171 Fax: 56 6° DIV^ 'I,'I` Date/Br. Case No. Internet www.ci.tigard.or.us --r Contact J See Page 2 for 24 - hour Inspection Request: 503 - 639 - 4175 Name/Method: 7/11 ® Supplemental Information TYPE OF WORK • . REQUIRED DATA: . New construction I ❑Demolition • 1 &2 FAMILY DWELLING , . . ❑ Addition/alteration/replacement I ❑ Other: l'.-- CATEGORY OF CONSTRUCTION •. - Note: Permit fees' are based on the total value of the work performed. Indicate 21 & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building E' Multi- Family ❑ Master Builder • ❑ Other: Valuation S q 5 2 9 6.' :,:JOB SITE FORMATION and.LOCATION - -- • No. of bedrooms: 2- No. of baths: Z Y2 Job site address: 0 Su- 1- 64 -nd(r7 AI/ Total number of floors I I New dwelling area (sq. ft.) Suite #: I Bldg. /Apt. #: Garage/carport area (sq. ft.) O Project Name: HAW V.S 116. 1' ZM 4,MES Covered porch area (sq. ft.) Cross street/Directions to job site: ` Deck area (sq. ft.) Std I'r fi ,F,.lue f+7) S.ht• 1-A/KS 13010- Other structure area (sq. ft.) - ..,,..'f REQUIRED DATA: "= " -.: : :- �// �� .. COMMERCIAL. :USE CHECKLIST :- - - -,: : :: _': Subdivision: 1Is;2 (A4 ?DWattm4 S 1 Lot #: ,g Tax map /parcel #: Note: Permit fees' are based on the total value of the work performed. Indicate DESCRIPTION'OF - WORK - - .. the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. _ '�aC OF Ai� 3 Sr T a_Seti Valuation S Existing building area (sq. ft.) New building area (sq. ft.) Number of stories 3 ., PROPF.RTYOWNER :.:..f 'n - TENANT - - ::: L. ---. -. Type of construction V N Name: A1Tfber rJ PlgK - 16104.41.491446 1 L.L.L. Occupancy group(s): New Existing: R -3 Address: 9 15X SW Vitegui.e, &.ill) Su 0f Z2.6 City /State /Zip: ° Poerl,t'J ' , 02 q'7 Z19 Phone: Sol 632-675e F ax : t ~ So 1) PA2- 4I NOTICE: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under ErAPPLICANT ;.:',.: ' :---: Q CONTACT PERSON: =.- - provisions of ORS 701 and may be required to be licensed in the Business Name: bEe-EK 1. .3lt004 C 1 XJMtS / (4. , jurisdiction where work is being performed. If the applicant is exempt Contact Name: fvlite K (- -iEn(SW 02 tetc1G PP. from licensing, the following reason applies: Address: gSJo Sh1 igAtdue, ( ' Sil (7.e 210 City /State /Zip: prA2TZ4 012 qZ 2-1 ,! Phone :912 -6158 1 Fax :(',03 012-60 r y BUI DINGTERlv11T - - :;. E -mail: r+- 4-611 b (04_1)6 RSS(3C , C.0An _ :Please schedule:'r- ... r--- _.. _ ... . .• .. -. .. .CONTRACTOR: .,.. - - - _ . ........_ • . -.. - ... -- .. .. . - . • . : Business Name: L. 142ce.JTJ 4 ASkohlres 1 Fees due upon application S Address: 95:X.) Slnl gAlume. gum, j so,* ZZO City /State /Zip: i j2 - j ,-k Q2 9-1219 Amount received S Phone :3\892 -g14 ( Fax:(60s\ Sqz- &BA( ( Date received: CCB Lic. #: g(ag° Authorized , / 4t ig Notice: This permit application expires if a permit is not obtained within Signature: . I 0-A14560 A L after it has been accepted as complete. 1 X r' ' IC A/ . S I �- Date: 180 days a� *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 • 'Electrical Per �,� i � l � ( o �1 n � CBy: Electric DateBy: Pemtit No.H5 % doo ✓a °0o T3 City of Tigard Planning Approval Sign JUN 2 7 Date/By: Other Permit No.: 13125 SW Hall Blvd. 2��3 Tigard, Oregon 97223 nF WAR Post Date/By: Rev Land Use No.: Phone: 503- 639 -4171 F ' Q `t ;,1 U (] Post-Review Case Use is 1 f p .- I ; , Date/By: Case No.: — Internet: www.ci.tigard.or.us a e. , I Contact Juris.: See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name/Method: Supplemental Information. TYPE OF WORK • PLAN REVIEW aease check all that apply) XNew 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 I & 2 family dwellings four or more residential units in _R1 & 2- Family dwelling ❑ Commercial/Industrial ❑ System over 600 volts nominal one structure ❑ Building over three stories ❑ Feeders, 400 amps or more ❑ Accessory Building ❑ Multi- Family ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park ❑ Master Builder ❑ Other: ❑ Egress/lighting plan ❑ Other: JOB SITE INFORMATION and LOCATION Submit _ sets of plans with any of the above. The above are not applicable to temporary construction service. Job site address: I OW 51 Sua. rt*zrbv*1 k(EIJCJJ • FEE* SCHEDULE Suite #: Bleu. /Apt. #: Number of inspections per permit allowed Project Name: 4441 /VS e T S Description 1 Qty I Fee (ea.) Total I I New residential - single or multi family per i Cross street/Directions to job site: dwelling unit. Includes attached garage. SW tJ� S� 1'r Service Included: 1000 3 Each a. or less E 145.15 IA 'S 4 Each addditional l 500 sq. ft or portion thereof ` 33.40 g I i t a _ ,� n, TOM-$64 qS Limited energy, non r s id e 1 I 75.00 - I5 ,a2 2 Subdivision: ► !.� ° /�1AJ t %CJiV Lot #: 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 1 90.90 I . 2 r C � Services or feeders - installation, t 01-) CF AIE&J 3 --Crate alteration or relocation: Q ,, " rV i") . A6 ! t / fy� , 1 , 1 200 amps or less i. 80.30 Gv .3) 2 � /'�c7l�tcc. 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 :1ShPROPERTY'O R = : ='.: :_. I= ❑TENANT:" -• -_- ..: --.;. _.': 601 amps to 1000 amus 240.60 '4 , f- Over 1000 amos or volts 454.65 2 1Vame: AV/To/14 P K 1 OvJ�1L S LL.C., Reconnect only 66.85 2 Address: q6a) ( gLe._ gLJ S11 1 7.c 22z Temporary services or feeders - installation, alteration, or relocation: City /State/Zip: Par r% oe. 9/ 2 a l 200 amps or less 66.85 1 Phone c A) 8 —r7SS F :(5o &92 -38'(1 201 amps to 400 amps 100.30 2 401 to 600 amts 133.75 2 APPL ANT °_ : » :: = • ":,: `:... ❑.CONT CT PERSON : : =.:; • - • Branch circuits - new, alteration, or Nanle L. 6 P e 4S / i At extension per panel: FS21 f�- 1 SU1 Z2O a Fee for branch fe d rfee.te each branch of Address: CO l / service or feeder fee. each branch circuit 6.65 2 City /State /Zip: 'Rpet is , 0#2., c) 2 19 B. Fee for branch circuits without purchase of . �p '/ service or feeder fee. first branch circuit 46.85 2 '� Phone: f ) 9 -,S 1513 Fax: ( S ( � 2'- off+ / Each additional branch circuit 6.65 I 2 E -mail: we , rK a- d l tr ,con -, Misc.(Service or feeder not included): Eac pump or irrigation circle 53.40 2 , . = =: :-'r; ' ' CONTRACTOR ._ . :--..:i.]:::: 2 - Each sign or outline lighting 53.40 Electrum Inc Signal circuit(s) or a limited energy panel, alteration. or extension Page 2 2 DBA Spectrum Electric )escription: 2050 Vista Ave #100 Salem OR 97302 Each additional inspection over the allowable in anv of the above: 503- 361 -1256 'er inspection per hour (min. 1 hour) 62.50 . CCB: 116453 ELC: 24 -353C SUP: 2919S nvestigation fee: Other CCB Lic. #: I Lic. At: _ .'.: ---,' . : Electrical :Permlt:Eees* _ . -..a- - - . Supervising electrician Subtotal S 7 , ,85 signature required: Plan Review (25% of Permit Fee) S 33 . Print Lic. #: State Surcharge (8% of Permit Fee) S Z . 1 TOTAL PERMIT FEE S 4 4r . O G- Authorized dg ,I r r Notice: This permit application expires if a permit is not obtained within Signature: Date: € a 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. tYlilYt t N . Seh (Pleak print name) • is \Dsts\Permit Form \E1cPermitApp.doc 01/03 • I FOR OFFICE USE ONLY Mechanical Permit Application Received Mechanical RECEIVED Date/By: Date/By: Pemut No.:/ - ©02. Planning Approval Building City of Tigard Date/By: Permit No.: 13125 SW Hall Blvd. JUN 2 7 2003 Plan Review Other Permit No.: Tigard, Oregon 97223 Date/By: g Post - Review Land Use Phone: 503 - 639 - 4171 FITgA$i�l� >D , I r� Date/By: Case No.: Internet: www.ci.tigard.o3(t�LDING DIVISIO ► `� � I Contact Juris.: E] See Page 2 for 24 -hour Inspection Request: 503 -639 -4175 __.. Name/Method: Supplemental Information. . - .TYPE OF WORK. 7..:;-.-' 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. Hl & 2- Family dwelling ❑ Commercial/Industrial Value: $ See Page 2 for Fee Schedule Multi -Famil RESIDENTIAL EQUIPMENT /SYSTEMS. FEE* SCHEDULE ❑ Accessory Building ❑ Y Description I Qty I Fee(ea.) I Total ❑ Master Builder ❑ Other: Heating/Cooling JOB SITE INFORMATION and LOCATION • Furnace - add -on air conditioning ** ( 14.00 1 Job site address: /0 `'1S0 S tki iiukrbi/C.T°IJJ AWE.- Gas heat pump 14.00 Suite #: Bldg. /Apt. #: Duct work I 14.00 l.a° r k$ lg F �� TO Project Name: vJ Hydronic hot water system 14.00 OV+A -CS Residential boiler Cross street/Directions to job site:, / (for radiator or hydronic system) 14.00 SW ( ! ` 1 '` 6 t 4A tN' Unit heaters (fuel, not electric) - E01 - 2/) *eai (in wall, in -duct, suspended, etc.) 14.00 Flue/vent (for any of above) 1 10.00 I 0 • a Re units 12.15 Subdivision: �/Ai✓KS g:640 Lot #: Other Fuel Appliances Tax map /parcel #: Water heater I ( 10.00 (u. • DESCRIPTION OF WORK Gas fireplace '( 10.00 IO • u ' ( S -?21J?CC & , QF ilEiA) 3 5.1-0/2 Flue vent (water heater/gas fireplace) 7 10.00 I 2U. iO -roux) i 6,11 F, P'J `4 / (4 S . Q rn Log lighter (gas) 10.00 t `t Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner /flue/vent 10.00 . 0PROPERTY OWNER. .1 0•TENANT'" - -_.. __ - Other. 10.00 Name: �M A., tr Ai K TD W4flowrl6 S' LLG Environmental Exhaust & Ventilation AVM / Range hood/other kitchen equipment 1 10.00 10 . Address: ski vezy e / s1! !N � Z w Clothes dryer exhaust 1 10.00 1U p1 City /State /Zip: A d2 912 t 9 Single duct exhaust Phone:5o3)8P12_8?S8 I Fax: 892-- 88 4 {( (bathrooms, toilet compartments, IXAPPL' CANT ID CONTACT PERSON utility rooms) 4 6.80 Zl. 2-0 Name: 1> eia< L. Baa 4 J s A4SS M1 / , fit: • Attidcrawl space fans 10.00 10.00 � , gv. (b s Other. Address: bW 1 ' ►?t ZZO Fuel Piping City /State /Zip: �orerzis)j /pat -7219 "(35.40 for first 4. $1.00 each additional) Phone:(Co3) 2R -8156 Fax: SolieR2 -084/ Furnace, etc. Gas heat pump ". E -mail: 0hp2 C a d I brocJ, a.. UC , C4.7" 1 - - \ Wall/suspended/unit heater . • • CONTRACTOR . Water heater Fireplace 1 " FORECAST HEATING & AIR CONDITIONING Range . " 17135 NE GLISAN ST BBQ •• PORTLAND OR 97230 Clothes dryer (gas) " CCB: 152194 Other. •• Total: ` S•O Mechanical Permit Fees* Authorized COQ/ Subtotal: - $ 1307. 60 Signature: It41-2.A/0 D ate: Minimum Permit Fee $72.50 $ E al 0� Plan Review Fee (25% of Permit Fee) $ 3 2 , CO S (Please print name) State Surcharge (8% of Permit Fee) S iD . 4s TOTAL PERMIT FEE S 113. 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\Pemtit Forms\MecPermitApp.doc 01/03 .SunaiII , r 1X1,u1 . FOR OFFICE USE ONLY • ' Per; el!n Received Plumbing Date/By: Permit No.: 041.7 - ,4,0_737 City of Tigard Planning Approval Sewer JUN 2 7 2003 Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Outer Tigard, Oregon 97223 CITY OF TIGARD DateBy: , Permit No.: Phone: 503- 639 -4171 FaiaANP1NVISIO Post Review band Use ate/By: Case No.: Internet: www.ci.rigard.or.us Vi Contact Juris.: ® See Page 2 for c. 24 -hour Inspection Request: 503- 639 -4175 -- Name/Method: Supplemental Information. TYPE OF WORK • FEE* SCHEDULE (for special information use checklist) - g New construction ❑ Demolition Description 1 Qty. I Fee(ea.) 1 Total ❑ Addition/alteration/replacement ❑ Other: I New 1 - & 2 - family dwellings CATEGORY OF CONSTRUCTION (includes 100 ft for each utility connection) dwelling Commercial/Industrial SFR (1) bath 249.20 1 & 2-Family g ❑ SFR (2) bath D 350.00 35 Accessory Building ❑ Multi - Family SFR (3) bath ..-t-- � 399.00 ° ❑ Master Builder I ❑ Other: Each additional bath/kitchen 45.00 • : JOB SITE INFORMATION and LOCATION Fire sprinkler - so. ft.: Page 2 Job site address: /0 _S /4Ui/r/cJ6TU/J Av.a_ Site Utilities • Suite #: Bldg. /Apt. #: Catch basin/area drain 16.60 Project Name: 1-1if V - 60NL, 'rG1ti14 1-10n/tGS Drywell/leach line/trench drain 16.60 Footing drain (no. linear ft.) Page 2 Cross street/Directions to job s t Manufactured home urilities 110.00 SLJ 1;0 A1/�� S. Manholes 16.60 3ER-4 QYZa'' Rain drain connector 16.60 Sanitary sewer (no. linear ft.) Page 2 Subdivision: /-1/46 ,, C -RD Lot #: 4 y Storm sewer (no. linear ft.) Page 2 Water service (no. linear ft.) Page 2 • Tax map /parcel #: .. _ . Fixture or Item .... -. ._ . DESCRIPTION OF WORK Absorption valve 16.60 C aMSneU.C. no-) of 4E60 3 S i (7 1 J Backflow preventer Page 2 -. 1 . 610J 400 P € T 6141 541. f ,) Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 •:.E' ._- :' k TENANT - . = Ejectors/sump 16.60 Name: L ir() ill ,.I PAta K Ti) vW ! tV4 Lam- Expansion tank 16.60 Address: GI sop Sln/ FAIEve, &')b SUINL lla Fixture/sewer cap 16.60 City /State /Zip: PDeT1 D o2 Crl 21c Floor drain/floor sink/hub 16.60 C, FaX �92� � �j� { Garbage disposal 16.60 Phonek5o3, �s9,2- 87 SU Fax: (Sc�3� Hose bib 16.60 • ;APPLICANT' '. = -. : ❑CONTACT PERSON -- Ice maker 16.60 Name: bEWV L. 660 g 4SSOCIh+'`ES, 11•L Interceptor /grease trap 16.60 Address: 95 St,-) ghcigUie. g, -l1Ar Su ct'E ZZo Medical gas - value: S Page 2 Primer 16.60 City /State /Zip: , Clo cr7'Z I Roof drain (commercial) 16.60 Phone (, EF Z- 6758 Fax(cd) eSt2 b&4f Sink/basin/lavatory 16.60 E -mail: hit4et,k. 0 d. [ biticiiriacCe9C • Ca.. 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 ._. .... .s :Plumbing *.., _.."_,: :._:;i CCB: 149035 PLM: 34 -391 PB _ Subtotal S ill _- ° i Minimum Permit Fee S72.50 S ,LSD Authorized / , Residential Backflow Minimum Fee S36.25 Signature: �`�'� �V'G �/ Date: /�i Plan Review (25% of Permit Fee) S ai goas T RUCE CD NE State Surcharge (8% of Permit Fee) S _ `. ---: . °) (Please print name) TOTAL PERMIT FEE S _S 4- Notice: This permit application expires if a permit is not obtained within All new commercial buildings require 2 sets of plans with isometric N / Gb 180 days after it has been accepted as complete. riser diagram for plan review. J ' I ' •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 -00337 Date Issued: 8/5/2004 Parcel: 1 S133AC -13000 Site Address: 10950 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 048 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 ,��'� 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 PLUMBING EXPERTS INC CITY OF TIGARD 11925 SW PARKWAY BUILDING DIVISION PORTLAND, OR 97225 -5413 Plumbing Signature Form Permit #: MST2003 -00337 Date Issued: 8/5/2004 Parcel: 1 S133AC -13000 Site Address: 10950 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 048 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 X Signature of Authorized Plumber If you have any questions, please call 503.718.2433. y/457 - c7 337 LAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA ® ► 44 1k* STREET T EE CE TIFI R ATI R ON ► ® ► ® ► . , ► ® I, J312ucE C®NE , Owner /Agent for PEPE/` L. . ,QRaa4A1 iiit- -- QG, ► . (PLEASE PRINT) (PERMIT HOLDER) ■ • A • A • A • • ®t ' Do hereby certify that the following location k• • 4 meet City of ,.Tigard /Washington County ■ ® land use and development standards for street tree installation. ► • • t • ® ADDRESS: /0/50 0 �GV /4oN7,NG7o A2 A ; ® • t • ® LOT 4'F SUBDIVISION: i"4w/� YE4 • ® ► A • A • ® BY: /I...% • ii—' DATE: lerk•c ► A • A • ® RECEIVED BY: DATE: ® • • A VYYYYYVVYYYYYYYYYYY VYYVYYYVYYY YYYVVVVVVVVVVVVVVVVVVVVVVVVy♦ ®® GiTt OF TIGARD BUILDING DIVISION PERMIT #: MST2003-00337 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/5/2004 Phone: (503) 639 -4171 k Inspection Requests (24 Hrs.): (503) 639 -4175 s' e �.. INSPECTION WORKSHEET FOR DATE: 3/16/2005 TIME: 7 :11AM PAGE: 77 SITE ADDRESS: 10950 SW HUNTINGTON AVE CLASS OF WORK: SUBDIVISION: HAWK'S BEARD TOWNHOMES LOT #: 048 TYPE OF USE: PROJECT NAME: HAWK'S BEARD TOWNHOMES DESCRIPTION: New SFA dwelling. , OWNER: AUTUMN PARK TOWNHOMES, LLC, PHONE #: 503233 -0075 CONTRACTOR: DEREK L BROWN & ASSOCIATES INC PHONE #: 971- 233'0076 Inspection Request Scheduled For: Date: 3/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 4._ Final inspection 001865.04 503 - 866.4897 N Corrections /Comments / Instructions: , L.' , ,, , \,, , ,,,, i ,4, .. e , , ,, 11 / ,.. v - � / / / / ::// / PASS 111 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 3/ I te (0 Phone #: (503) 718- 4 - dirt OF TIGARD . BUILDING DIVISION PERMIT #: MST2003 -00337 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/5/2004 Phone: (503) 639 -4171 j�l Inspection Requests (24 Hrs.): (503) 639 -4175 s_ INSPECTION WORKSHEET FOR DATE: 3/16/2005 TIME: 7:11AM PAGE: 78 SITE ADDRESS: 10950 SW HUNTINGTON AVE CLASS OF WORK: SUBDIVISION: HAWK'S BEARD TOWNHOMES LOT #: 048 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 3/16/2005 p quest Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 699 ,-i Mechanical final 001865 -03 503 -866 -4897 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (' Date: 3/t ` ce / 0 / Phone #: (503) 718- CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST c 3 6 ° 3 37 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested r AM V PM BUP Location ) b 9 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: 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 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 AD Date `"L�`' &J Inspector Ext roc Sidew Other: �' DO NOT REMOVE this Inspection record from the Job site. PART FAIL CITY OF TIGARD BUILDING DIVISION PERMIT #: /71 S � _ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:. —cc3? 7 Phone: (503) 639 -4171 itt, Inspection Requests (24 Hrs.): (503) 639 -4175 s' 1!.. INSPECTION WORKSHEET FOR DATE: _/b TIME: PAGE: SITE ADDRESS: / 7C/S0 2 1 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: '4 4 _ � G 7 Inspection Request Scheduled For: Date: Pour Time: Code # 3 WInspection Description Confirm # Contact # Message - FL T ')/l) C/2. Corrections /Comments/ Instructions: 17.4-t .ve", / & • i n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: "//72 Date: h7 ///Phone #: (503) 718 - 1-1Ty OF TIGARD <. , in s i BUILDING DIVISION PERMIT #: a 4U - -&) 3 -3 7 1325 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 il Inspection Requests (24 Hrs.): (503) 639-4175 ,- - . INSPECTION WORKSHEET FOR DATE: 3 - TIME: i 0 • PAGE: SITE ADDRESS: /O9,S / i CLASS OF WORK: SUBDIVISION: I LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Q4,6, - L f e � 7 Inspection Request Scheduled For: Date: Pour Time: Code # 1 c \ Inspection Description Confirm # Contact # Message Corrections /Comments /Instructions: ,,, r■ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ,5 - 7- Cs Phone #: (503) 718- CITY OF TIGARD 24-Hour - BUILbING Inspection Line: (503) 639 - 4175 00337 INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Received Date Re ested a ta PM BUP • Location / 9 S 0 ��'`_ - `"' Suite I f 1S MEC Contact Person � '�� Ph ( ) 6' — Y 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: , 5 (,rasp _ 1 is SIT Post & Beam L, Shear Anchors h ` if��C , e S '1 Zia Ext Sheath/Shear �� 2 C' Int Sheath/Shear Framing Insulation Drywall Nailing '` n Firewall ( 1 2 L U N S f E c ?f i o - * , `__Ab E L_ 1} 1/-1 sQ6-- Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL 7-- PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer • Rain Drains \ Catch Basin / Manhole 7 Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PAS . .ART FAIL -41gAr _ e ry i •ugh -I1 e ab ' o ase ire•ar Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL girr El Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line QQ \\ \ ADA Date 1 r 1 v" 05 Ins ectorly� 5 C'E.L 0 v�.\�6 Ext Approach/Sidewalk P 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 c7 33 Z INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 1 — ? AM PM BUP Location / c f ! e r Suite MEC Contact Person Ph ( ) n6 - V e9 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: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL EL TRICAL erv' rAv.^ ough -In UG /Slab Low Voltage W Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. P •n PART FAIL SITE El Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA 71174 Approach/Sidewalk Date Inspector #; C: Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD • ( BUILDING DIVISION PERMIT #: a 3-- 66337 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 4"^ Inspection Requests (24 Hrs.): (503) 639 -4175 ��� INSPECTION WORKSHEET FOR DATE: 3 _ I b TIME: PAGE: SITE ADDRESS: / b C i,Sv r CLASS OF WORK: - SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: 76 / _ r ji C� 7 Inspection Request Scheduled For: Date: Pour Time: Code # ,_Inspection Description Confirm # Contact # Message Corrections /Comments /Instructions: "���•�I�� /AzSv41770AZ ,k ¢ - , 7 i w c o-) SJMoo�t� — �� . -1r ( L grZo o ��G� Y� "i�A p 4 . 10 T &C,C s, 4B ,€ :4 A ez 4)07— 4- c, ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL A CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: /G — a S Phone #: (503) 718- CITY OF TIGARD . — BUILlING DIVISION PERMIT #: n 5 -7 13125 SW Hall Blvd. Tigard, and L OR 97223 DATE ISSUED: O S -00 5 ` Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 _._' . 1 -- INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: /0 Oj `5 0 Pi 71 CLASS OF WORK: SUBDIVISION: (/ LOT #: (18 TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message LP/ / Corrections /Comments /Instructions: /7r vt� e CL.i. O��t + rep Lc C i cc:4 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /7) a K Date: 3 - /5 - 06 -- D Phone #: (503) 718-