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10850 SW HUNTINGTON AVENUE 0 co cn 0 cn 2 L Z Z G) --1 O Z D rn 10850 SW HUNTINGTON AVE CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST ✓��3_ INSPECTION DIVQ)ION Business Line: (503) 639-4171 BLIP Received —_ Date Re'luested - �S — AM --- PM_ BLIP Location �J v '� �' '-� Suite MEC Contact Parson Ph (-----) 2�ei�e PLM ---- Contractor _ __ ----__- -- Ph ( ) _ SWR - BUILDING Tenant/Owner _ _. ELC Footing - ELC -_-- Foundation Access: Ftg Drain ELR Crawl Drain - - - Slab Inspection Notes. SIT Post&Beam - - - - - - Shear Anchors Ext Sheath/Shear L. - -- - - Int Sheath/Shear Framing _ -------------- — — Insulation Drywall Nailing -- Firewall Fire Sprinkler — Fire Alarm Susp'd Ceiling - - --- - - Roof Other: _ - - ----- ___ -- --- - -- Final T _PASS PART FAIL PLUMBING Post& P yam Under Slab Rough-In Water Service ---- - ---- - --- - Sanitary Sewer Rain Drains - - -- — Catch Basin/Manhole Storm Drain - - --- - -- -- Shower Pen Other: - -- Final PASS PART FAIL - MECHANICAL Post& Beam Rough-In Gas Line Smoke Dampers _— Final PASS PART FAIL ELE:CTAICAL Service Rough-in UG/Slab Low Voltage Fi L11arm �tnaLL_ Reinspection fee of$ required before next inspection !'ay at City Hall, 13125 SW Hall Blvd. PART FAIL S �� Please call for reinspection RE: Unable to inspect-no access Fire Supply Line _. . Ext Approach/Sidewalk Ants ___.___. _ ____ Inspector _ ADA Other: Final DO NOT REMOVE this Inspection reww!d from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 _ OUP Received �. _ Date Requested �� AM '� PM-__-___.___. BUP _ Location -____ Suite —� MEC Contact Person _ �"-�— Ph( ) _jy�o 61 `( PLM Contractor _-- Ph( ) _ _ SWR __ -----_ - BUILDING Tenant/Ownor _ �.__ _ ELC Footing Foundation I ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Most& Beam Shear Anchors ;xt Sheath/Shear Ii t Sheath/Shear Framing - - - -- ---- - -- - ---- Insulation Drywall Nailing -- - -- - - - Firewall Fire Sprinkler - - ----_ -- - -- -- - ----- -- -- ---�_ Fire Alarm E-usp'd Ceiling -- - - -- F cof 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 - -- rn A _ PARTFAIL - - _ HANICA_L Post& Beam --- - Rough-In Gas Line Smoke Dampers --- _ - - Final PASS PART FAIL_ ELECTRICAL—� Service Hough In ------------ UG/Slab --,-----__- _—_-� Low Voltage Fire Alarm ------- --_-- ---- ---------.T Final Reinspection fee of$ riquired before next inspection. Pay at City Hell, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: �� Unable to inspect-no access Fire Supply Line - ADA Approach/Sidewalk Date -- L_ �' -Z _- inspector -�� - _ -_—E�►t.�_ Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL A _ � IF A ► q i a � � r q � w � 13IIS 01.► 1 ft q o o �' ► ► q o '�' o � b w w ► v -c ► q 1 ► q �• �'` I► � 0 bA c~i, ► Iz q A 7"t v ► CiL q C ► r4 AL /♦TTTTTTTTTT!♦TTT�'TTT7TTTTTTTTTTTTTTTTTI►T�'T`�'��' CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 60 INSPECTION DIVISION Business Line: (503)639-4171 --7 BLIP -------------------- Received _� —Date Req sted /.f / _ P BLIP Location Suite__—_ �_ MEG Contact Person /��u Ph - ) -- too - . ---7 PLM Contractor Ph SVIR BUILDI G Tenant/Owner ELC 0o mg -- --- Foundation Access: ELC Ftg Drain ELR Crawl Drain - Slab Inspection Notes �~ SIT Post&Beam - Shear Anchors --- - - Ext Sheath/Shear i Int Sheath/Shear -- Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- - -- - ------ -. _-- Roof - Oth - ---- --- S PART FAIL PLV--&I—NG _ Post&Beam — -- Under Slab i An _ Roug�i-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain -- Shower Pan Other: - - Final - IL MECHANICAL Rough-In Gas Line Srn2ke Dampers — in SS PART FAIL t-L-ROMICAL Service - Rough-In UG/Slab Low Voltage Fire Alarm Final El Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASSPARI' FAIL _ SITE i - E] Please call for reinspection RE: �_. F] Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Iospoctor Other: Final SAO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITYOF TIGARD MASTER PERMIT PERMIT#: MST2003-00311 DEVELOPMENT SERVICES DATE ISSUED: 12/23/2003 -- 13125 SW Hall Blvd.,Tigard, OR 97223 (503)6394171 SITE ADDRESS: 10850 SW HUNTINGTON AVE PARCEL: 1S133AC-12300 SUBDIVISION: HAWK'S BEARD TO\NNHOMES ZONI';G: R-25 BLOCK. LOT: 041 JURISDICTION: TIG REMARKS: New SFA dwelling. 6/15/04: Altered plan from 3 to 2-bath. BUILDING REISSUE: STORIES: -i FLOOR AREAS REQUIRED SETBACKS _ REQUIRED _ CLASS OF WORK: NEW HEIGHT: 32 FIRST: 48 of BASEMENT: of LEFT: SMOKE DETECTORS. v TYPE OF USE: SFA FLOOR LOAD: 40 SECOND: 640 of GARAGE: 574 of FRONT: PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: 1 TOD: 728 of RIGHT: 'E. OCCUPANCY GRP: R3 BDRM. 2 BATH- 2 TOTAL: 1.416 of VALL14,SFA 40 REAR: PLUMBING SINKS: I WATER CLOSETS: 2 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN. 100 TRAPS. LAVATORIES! 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES. loa SF RAIN DRAINS: CATCH BASINS: TUB/SHOWERS: I GARBAGE DISP: 1 WATER HEATERS: 1 WATcR LINES: 10,1 BCKFLW PREVfITR' GREASE TRAPS. OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: 1 BOIL/CMP<3HP. VENT FANS: 4 CLO"IHES DRYER- I 1 PF, FURN>000K: UNIT HEATERS HOODS: I OTHER UNITS MAX INP: btu FLOOR FURNANCES: VENTS. WOODSTOVES: GAS OUTLETS: i _ ELECTRICAL _RESIDENTIAL UNIT SERVICE FEEDER— TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEnUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200amp. 0 - 200amp WISVC OR FOR PUMOARRIGATIOW PER INSPECTION: EA ADD'L 500SF: 7 201 -400 amp. 201 •400 amp. tet VAO SVC/FDR SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 1 401 600 amp: 401 600 amp E4 ADDL BR CIR SIGNALIPANEL: IN PLANT: MANU HMIS�CIFDR: 601 1000 amp: 601+amps.1000v. MINOR LABEL: 1000♦amplvolt: PLAN REVIEW SECTION Reconnect only: >-4 RES LNITS. SVCIFDR>-225 A. „600 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL _ B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL N SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,073.29 AUTUMN PARK TOWNHOMES, LLC DEREK L BROWN 81 ASSOCIATES I�T.'permit Is subject to the regulations contained In the 9500 SW BARBUR BLVD., STE 220 4949 SW MEADOWS RD SUITE 400 pard Municipal Code, State of OR.Specialty Codes PORTLAND, OR 97219 LAKE_OSWEGO, OR 97035 and all other a laws. All work will done in accordance withith approved ved plans. This rermIt will expire if work is not started within 180 days of Issuance,or if the work is suspended for mora than 180 days. Phonal 503-892-8758 Phone: 971-233-0075 ATTENTION: Oregon law requires you to follow nines adopted by the Oregon Utility Notification Center. Those Reg N 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 (5 03)246-1987. REQUIRED INSPECTIONS Ersn Cntrl 681-4444 Slab Insp Low Voltage Insulation Insp Shear Wall Insp Shear Wall Insp Sewer Inspection Plm/undslb Insp Plumbing Top Out Shear Wall Insp Shear Wall Insp Shear Wall Insp Footing Insp Electrical Service Framing Insp Shear Wall Insp Shear Wall Insp Exterior Sheathing Insl Footing Insp Electrical Rough-in Gas Line Insp Shear Wall Insp Shear Wall Insp Exterior Sheathing Insl Foundation Insp Mechanical Inap Gas Fireplace Shoal Wall Insp Shear Wali Insp Exterior Sheathing Insl Issued By : - — Permittee Signature _ X71/ /'?f'L' ;,70 V Call (503) 639-4175 by 7:00 p.m, for an inspection needed the next business day CITE( OF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00245 13125 SW Hall Blvd., Tigarc;, OR 97223 (503) 639-4171 DATE ISSUED: 12/23/2003 SITE ADDRESS; 10850 SW HUNTINGTON AVE PARCEL: 1S133AC-HB041 SUBDIVISION: IIAWK'S I3FARD 1O11'NIIOMES 1NING: h-25 __3LOCK: LOT: 041 _ _JURISL,_ (ION- I k TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SFA NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SFA dwelling. Owner: T AUTUMN PARK TOWNHOMES, LLC FEES--- — 9500 `3W BARBUR BLVD., STE 220 Description Date Amount PORTLAND, OR 97219 ISWUSA]Swr Connect 12/23/200: $2,400.00 Phone: 503-892-8758 ISWUSA]Swr Connect 12/23/200; $0.00 ISWINSP]Swr Inspect 12/23/200; $35.00 ISWINSP)Swr Inspect 12/23/200' $0.00 Contractor: _ Total $2,435.00 Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 962-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-6699. rl�eIssued by: -c-- Permittee Signature: //- Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day 13u' ding Permiiltat�i�n ' ' ' ' Received '/-%/O� Building / ��IN 2003 DateBv /^ ! PermitNo.P5 r-200- Ci of Tigard Planning Approval Other `J g Datvl3v: Petmit No.: L .240 13125 SW Hall Blvd. (CITY OF TIGARG Ply,PLr,,cw Other Tigard,Oregon 97223 BUILDING DIVIS101 DatdBv' lD-2�-D3 Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Date/Bv- Case No. _ Internet: www.ci.tigardor.us Intact Juns.: See Page=for 24-hour Inspection Request: 503-639-4175 vamc Mechn� _ T�GI SupQlemental I formation _ TYPE OF WORK REQUIRED DATA: New construction I Demolition 1&2 FAMILY DWELLING Addinon/alterationire laccment I L Other: i CATEGORY OF CONSTRUCTION Note: Permit fees'are based on the total value of the work performed. Indicate 1 &?-Family dwellingCommerciaUlladustrial the value(rounded to the nearest dollar)of all equipment.materials,labor, overhead and profit for the work indicated on this application. Accessory Building I , : Multi-Family96 Master Builder I Other: Valuation....................................................... /Y5, �6�"�" __.. No.of b-drooms: No.of baths: Z Y2 • • .JOB SITE INFORMATION and LOCATION Total number of floors...... Suite#: Bld Job site address: D S fi � New dwelling area(sq. ft.).............................. �— g.;'APt.#:t.#: Garage/carpon area(sq. ft.)............................ Proiect Name: N W kS SeAj Ti7M lHIµCM $ I Covered porch area(sq. ft.)............................. Cross street/Directions to job site: Deck area(sq. ft.)............................................ SW 17,0— Ott "15 4+*6 S.W. J4AWKS l3� Other structure area(sq. ft.)............................ REQUIRED DATA: .. COMMERCIAL-USE CHECKLIST r Subdivision: 0 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. ti.lSic a( � NEA) 5 ST-orz, CW44 L� valuation......................................................... S _ Existing building area(sq. ft.)......................... New building area(sq. ft.)............................... Number of stones............................................ PROPERTY OWNER TENANT Type 'construction....................................... YN Name: l'Tbm tJ P KWt W-S L.L.L. nccupam y group,): Existing: _ New: Address: �15ot� W vie &- SU Z 2') Citv/State'?i : TPU OZ 9-72-11 Phone: 'Sol 6042.675 Fax: 3 SR2-80 ( NOTICE: All contractors and subcontractors are required to be APPLICANT CONTACT PERSON . licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be requited to be licensed in the Business Name: bie-fK jurisdiction where work is being performed. If the applicant is exempt Contact Natne: 01AY-K (,� WSW &L ieLcic FOsiZ from licensing,the following reason applies: Address: qSho SvJ r 7*ZW City/State/Zip: e Ore Q-12-1 -- Phone:�1 S92-6-68 Fax: �0.rK !b W>•ASSvc, f�/►'1 BUILDING PERAM FEES" E-mail: CONTRACTOR r Please refer to fee ichedule - _ Business Name: EL' L. P-mJN J Asj,mWG, Fees due upon application.............................. S- -Address: 9 5:0 SIn1 Ae&w- 9LVD Sll q* ZZO City/State/Zip: PjeT e- � 12 tj Amount received............................................. S _ Phone:C-63 6q2-8740' Fax: , vA ell-W1 Date received: CCB LIC- #: Authorized Notice: 7•his permit application aspires if a permit is not obtained within Signature: �{,,� Date, d3 180 days after it has keen accepted as complete. f V`ham ' r" � *Fee methodology set by Tri-(_•ounry Building Industry Service Board. (Please pnnt name) iMstsTermit Fomis\BidgPermitApp.doc 01/03 ]�OR OFFICE USE ONLY _Electrical Permit Application Rece;ved Electncal DateiB : Permit No.: 00.?// City of Tib.ird Planning Approval Sign DateiBV: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 ION Date/Bv: Permit No.: Phone: 503-639-4171 Fax: 503-g98-1960 Post-Review Land Use s C Internet: www.ci.tigard.or.ul TY OF I i( DateBv: Case No.: Contact :urs. See Page'_for 24-hour Inspection Request: 50M4"4tD1`„ Name,,Method: _Jy�t llemrntal Information. TYPE OF WORK PLAN REVTEW(Please check all that apply) New construction Demolition Service over 225 amps- Health-.:are facility commercial Hazardous location Additionialterationireplacement FOther: P9Service over 320 amps-rating of ❑Building over 10,000 square feet, CATEGORY OF CONSTRUCTION I&2 family dwellings four or more residential units in f &2-Family dwelling Comrriercial/Industrial ❑System over 600 volts nominal one structure ❑Building over three stones ❑Feeders,400 amps or more eeessory Buildin Multi-Family ❑Occupant load over 99 persons ❑Manufactured structures or RV pork Master Builder Other: ❑Egressilighnng plan ❑Other: JOB SITE INFORMATION and LOCATION Submit_sets of plans with any of the above. The above are notapplicable to tem orary construction service. Job site address: SW «�n4rrad 6J FEE'SCHEDULE Suite#: BI B./Apt^.#: Number of inspections per pe mit allowed Project Name: / �0_ Description I Qty Fee(ea.) Tout New residential-single or multi-family per Cross street/Directions to job site: dwelling unit.Includes attached garage. s� 1 AVbJU6 "'14 .5 Service included: r/ 1000 sil.ft.or less 145.15 15 15 4 G44 Each additional 500 sq.ft.or poman thereof rj 33.40 n�� Limited energy,residential 75.00 a Subdivision: i Lot# � Limited energy.non residential 75.00 2 Tax map/parcel#: � Each manufactured home or modular dwelling DESCRIPTION OF WORK service and/or feeder 90.90 2 CJFJ CrC� 3 Sri-+ I Services or feeder-installation, S'prft-t-C`t-i alteration or relocation: { 200 amps t less 90.30 201 amps to 40))ams 106.85 401 amps in 600 ams 160.60 ROPERTY OWN R TENANT - 601 ams to 1000 amLm 1 1,40.60 2 ".0 — Over 1000 am or volts _� 454.65 2 17ame: wt r4lZ K (��p� 4Y� 1-(, Reconnect only i 66.85 2 Address: q � UW-gl,-A, 22Z Temporary services or feeders-installation. --rZ alteration,or relocation: City/State/Zip: T t ce - 200 ams or less 66.85 c] Fax: 5o 9 2-d8 201 ams to 400 ams I Qo.30 2 Phone 6 — '�S 401 to 600 ams 133.75 2 APPL ANT MCONTACT PERSON Branch circuits--new,alteration,or Name:l�, L A S 0QA- .5 l N, extension per panel: A.Fee for branch circuits with purchase of Address: �Q% Ul ZZO urvice or feeder fee.each branch circuit 6.65 2 Citi/State,iZi i (%� �'"t 2I cl B.Fee far branch circuits wiu'tout purchase of p' service or feeder fee,first branch circuit 46.85 2 Phone: 5 Fax: So-_11$ -et—et4 Each additional branch circuit 0.65 2 E-mail: L d l ta+ i,U O_ OC co -,I Misc.(Service or feeder not included): - CONTRACTOR Each pump or im tion circle 53.40 2 Each sign or outline lighting 53.40 2 L IC01't1111 1110 Signal circums)or a limited energy panel. alteration,or extension Pa e 2 2 '1150 Vista A\•C %(l OU Description Salem OR 97302 Each additional Inspection over the allowable in an of the above: 503-361-1256 Per inspection per hour(min. I hour) 62.50 ('('B:116453 FLIC:24-3530 Stip:2919SInvest_gnonfee: --- CCB Lic. #: I Lic. #: other: --_— Electrical Permit Fees* Supervising electrician Subtotal c si ature re wired: _ Plan Review 25416 of Permit Fee) S Print Na e: Lic. #: State Surcharge Win of Permit Fee) S TOTAL PERMIT FEE S Audtonzed (s Notice: This permit application ecpiret If*permit is not obtained within Signature: _ Date: I80 days after it has been accepted as complete. rr� -� *Fee methodology set by Tri-County Building Industry Service Board. MAyt IC N. Soo (Pleale print name) _ is\Dsu\Permit Forms\E1cPermitApp.doe 01/03 Alechanical Per it Application RecC1Ved Mechanmcal rmit Datc/BV: PeNo./ Planning Approval Building City of Tigard Date/By: Permit No. 13125 SW Hall Blvd. If Plan Review Other Tigard,Oregon 97223 Date/Bv: Permit No.: Post'Bvw eaUse StS31 Phone: 503-639-4171 Fax: 3-1960 DateBy- Casese No.: Internet: www.ci.tigard.or.us �IJ I I_N N(� D I V I ConLict Juns. See Page:for 24-hour Inspection Request. 503-639-4175 - LNameilvtethod �I Supplemental Information. TYPE OF WORK COMMERCIAL FEE`SCHEDULE-USE CHECKLIST l';�New construction i H Demolition Mechanical permit fees'are based on the total value of the work Addition/alteration/replacemer. Other: performed. Indicate the value(rounded to the nearest dollar)of all -CATEGORY OF CON`rRUCTION mechanical matenals,equipment,labor,overhead and profit. 1 & 2-Family dwelling Commcrciai/Industtial Value: S See Page 1. for Fee Schedule Accesso Buildm ❑ Multi-Family Descri don Fee(ea-1 Total RESIDENTIAL E UIPMEN (SYSTEMS FEE*SCHEDULE tv _Master Builder ❑ Other: _ Heatin Conlin JOB SITE INFORMATION and LOCATION Furnace-add-on air condiuomnQ*• 1 14.00 IAJ.w Job site address:/G,S U 5� U,t1 r/ti1u7aN 9t= Gas heat pump 14.00 Suite #: Bldg./A t.#: Duct work 1 14.00 I it.°o Project Name: TDW Hvdronic hot water system 14.00 Residential boiler Cross street/Dir7cnons to j b sit � �5 (for radiator or hvdronic system) 14.00 .SLA) tISO Unit heaters(fuel,not electric) --gcm-b (in wall,in-duct,suspended_etc.) 14.00 Flue/vent(for anv of above) 10.00 10-01 Repair units 12.15 Subdivision: 14AK s gD Lot#: 4 Other Fuel Appliances Tax trap/parcel#: _ Water heater 10.00 1 U." DESCRIPTION OF WORK Gas fireplace 10.00 to, ()F Cl) 3 Sroeqq Flue vent(water heaterigas 6repiace) IOAO Za." �� r►'1 P� �� I sa Lo li hter(gas) �� 10.00 Wood/Pellet stove 10.00 Wood fire lace/insert I 10.00 Chimnev/liner/flue/vent 10.00 PROPERTY OWNER / TENANT Other: 10.00 Name: 7 i�r m (1 T UJ� �►? S. L� Environmental Exhaust&Ventilation Range hood/other kitchen equipment ` 10.00 1 U.` Address: '5(X1 Sh/ !! L&e z 2-0 Clothes dryer exhaust 10.00 1U City/State/Zi ar -72 l Single duct exhaust Phone: SA Z- S Fax:( 1S 92-604 (bathrooms,toilet compartments, APPLICANT CONTACT PERSON utilitv rooms) 6.80 Z'•2J Name: j_ /�(?Q(,t) fi f}S�C/M`�S r�G Attic/crawl space fans 10.00 Address: - Other: I555 7gv�l� Fuel PipingTJiZZc City/State/Zip: e-(ZM21 •"(55.40 for first 4,51.00 each additional) Phone: Su3 89Z-0-756Fax: �3�qZ- Furnace.etc. " Gas heat pump " E-mail: rvNp C d I brownaM)c coo N Wall/suspended/unit heater " CONTRACTOR Water heater " Smart I leating & Cooling LLC Fireplace I " 7616 NE Everett St Range BB " Portland OR 97213-6347 Clothes dryer(gas) " 503-254-5096 other: CCB: 1:4133 Total: Authorized / Mechanical Permit Fees*. Subtotal: Signature: 'lit ��-- Date: l� Minimum Permit Fee 572.50 S r Plan Review Fee(25%off—l—FeeS (Please print name) State Surcharge(84%of Permit Fet► S Lf� � TOTAL PERMIT FEE S Notice: This permit application expires If a pet mit Is not obtained within *Fee methodology set by Tri-County Building Industry Set,-,- 180 em,-,-180 days after It has been accepted as complete. •'S?te plan required for exterior A/C units. i:lDsts\Perut Forlm\MccPermitApp.doc 01/03 1S1111di1llt; 1' 11!u1 �� FOR OFFICE USE ONLY Plumbinng? r g&mjtpi ration Received Plumbing _ ! _ DatelB : Permit No.: /S%00.Y 10311 City of Tigard Planning Approval Sewer ,� � 2 03 DataBv: Permit No.: 13125 SW Hall Blvd. KIN G U Plan Review Other Tigard,Oregon 97223 1 4,9614wom TIGARD Date/Bv: Permit No.: Phone: 503-639-4171 . DatvBPost-R : Land Use DateiBy: Case Na.: Internet: www.ci.tigard. Contact Juns.: E See Page 2 for 24-hour Inspection Request: 503-639-4175 Name Method: I Supplemental information. _ TYPE OF WORK FEE'SCHEDULE(forspecial Information use.checklist) New construction I Demolition Description I Qty. t Fee(cm) I Total l-� Additiolvalteration/re lacement Other: New 1-&2-family dwellings CATEGORY OF CONSTRUCTION (includes 100 ft.fm'each utility connection) SFR(1 I bath _ 249.=0 I &2- amily dwelling__ CommerciaUlndustrial SFR(2)bath 350.00 Accessory Buildinit Multi-Family SFR(3)bath 390.00 °a 77 Master Builder Other: Each additional bath/kitchen 45.00 JOB SITE INFORMATION and LOCATION Fires nnkler-sq. ft.: Pace Job site address: 0_k 5-&, >•N� Nv/v 77�1c:TVN AVE Site Utilities Suite#: Bld ./A t.#: � Catch basiivarea drain Site DrvweiUleach line-,trench drain 16.60 Project Name: TGW14 P( Foonne drain(no. linear ft.) Pae 2 Cross st-eet/Directions to job sit Manufactured home utilities 110.00 SLS 1%() t" AVEnlue ATJ1> sLA) Manholes 16.60 3ER+�b gwa-r- Rain drain connector 16.60 Sanitary sewer(no. linear ft.) Pae 2 Subdivision: 14A 'Z C Storm sewer(no. linear ft.) Pae 2 Water service(no. linear ft.) Pog e 2 Tax ma / arcel #: Fixture or Item DESCRIPTION O-F' WORK Absorption valve 16.60 erl�h2�rico o C,1� W i''fd./ Backflow reventer Poe 2 P( l ((A Str"LF{ Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Di-inking fountain 16.60 ROPERTY OWNER TENANT Ejectors/sum 16.60 Name: AUTUMrJ Af- M 5 LLL Expansion tank __. 16.60 Address: 9SX ,51/11 V� SUlirf zw Fixture/sewer cap 16.60 Ci /State/Zip: PcP-7L,4iJb 0('- UFloor draitvtloor sink/hub 16.60 Garbage disposal 16.60 Phone. ':;c)'S $ 2-675a Fax: 5ta3 12-C- 41 Hose bib 16.60 APPLICANT CONTACT PERSON Ice maker 16.60 Name: 'pUEK L. �) 5 AS& I.^- ff- -C- Interce tori grease rraR 16.60 Address: q5X S 9J4 LA, SQ(If ZZJ Medical gas-value: S Pae 2 Pnmer 16.60 Ci /State,iZi : P_VT , Cr- q-7 Z1 Roof drain(commercial) 16.60 Phone -3)C-9Z Fax Gb3 PAZ- $ Sink/basindavatory 16.60 E-mail: V-Q, d Car- Tub/shower/shower pan 16.60 CONTRACTOR Unnal 16.60 Plumbing Experts Inc Water closet 16.60 Water heater 16.60 11925 SW Parkway Other: P011hind OR 97225-5413 other: 503-469-0443 Plumbing Permit Fees* . CCB: 14t035 PLM: 34-3911113 Subtotal 5 � Minimum Permit Fee$72.50 S Authonzed Residential Backflow Minimum Fee$36.25 Signature: Date: ki kl Plan Review(250,10 of Permit Fee) _5 C a CmN-Z I State Surcharge IV/.of Permit Fee) S�; L I (Please print name) TOTAL PERMIT FEE S Notice: This permit application expires if a permit Is not obtained within All new commercial buildings require 2 sets of plans wiu, ISO days after it has been accepted as complete. riser diagram for pian review. "Fee methodology set by Tri-County Building Industry Service Board. r0stsTermn FormskPlmPermitApp.doc 01/03 PROJECT NO, MATQ04 —a" Ss — �,L S.W. HUNTINGTO VE. DATE: 7/9/93 _4 A 1A moc— V i n in DRIVE DRIVE WATER IMEITER--,,_ I "IT 29.0 .. .............. -*"I-DING DTVI, ION �► � � rel. n, ( , n WAm WATER VE LLJ 8' PUE J TER ( tn SID X .0 LOT 42 LOT 41 0 %Ln, 1,450 SF -n U- 2,116 SF 1 c Ln x AD EI-EV=202.0 (71 " PAD ELEV=2C,' 0 z 42.3' 29-0, 9 ul ck: 40.3' 31.0, 0 f 1 -1 "5. EROSIONx— 4 PU E 'LOT 32 CONTROL I r LOT 31 11.31 2 SF SEDIMENT NI FENCE Ire 1,706 SF VIS ON PAD LLEV=202 0 w L �1+D ELEV=201.0 LLJ. 4ARIANCE� 1 WATER 0 > TRI�ANPLE ..511 PUE < Z z................ ........ 40,3' 31.0, cn 0 ..........*...... I L 3: 0 0 7 7-1 of z cn V) 1" WATER -- bk? �r- Z ry 7 00 0 m DRIVE DRIVE -7 0 Lij Ln Ln 0 00 (o C) 8" ss 5? 00 BAr,41<ED WATER METERS o ry a: - FOR LOTS 1 . 3,6 < THRU Q 6" SID _j W z BR'IARWOOD PL. a- MLn CD Ln co LE._TF3ACK S: \—`3111-r SACK INLET GARAGE (PUBLIC) = 20' PROTECTION (TYP.) GARAGE (PRIVATE) = 81 FRONT YARD (PUBLIC) = 15' FRONT YARD (PRIVATE) = 3- (-OT NO. REAR YARD - 15' 31 32 SIDE YARD = 3' 1 - (6' PER FIRE CODE) 41 \42 STREET SIDE = 10' 2 0') N CITV OF TIGARD - SITE PLAN REVIH W BUILDING PERMIT NO.: PLANNING DIVISION: Required Setbacks: 0 -\pprovtd ❑ not Approved Side: 3 Street side: 10 . Front, Oarage: V It ear: .....�. Visa;+I Clearance: Approved ❑ Not Apprrwe(t :'vl,txintum Rttilding Height- .31 feet CWS Service Provider Letter Required. n Y.> No rJ 3.�:.:.��... F'N(�INI_C: INci I►FPARI ;`IFNI . Actual Slope:-42—%) [B'Ahpr,,\ed [] Not ANpnneti Site Plan: BAppruved [] Not Approved Date: tiutrS: 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 #: MST2003-00311 Date Issued: 1212312003 Parcel: 15133AC-HBO41 Site Address: 10850 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 041 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 Req #: 1 i( 1!6,453 .7 EI E 24-3530 AN INFO SIGNATURE IS REQUIRED ON THIS FORM Signature of Supervising Elech c�J it you linve 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 #: MST2003-00311 Date Issued: 12/23/2003 Parcel: 1 S133AC-HB041 Site Address: 10850 SW HUNTINGTON AVE Subdivision: HAWK'S BEARD TOWNHOMES Block: Lot: 041 ,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, A TTN: 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 Signature of Authorized Plumber It YOU have any questions, please call 503.718.2433. CITY OF TIGARD h. Residential Certificate o f Occupancy Permit No.: 014'-3—:�O/ Address: -(Og'6' 0—dv Owner/Contractor: . ) 'S Date of Final Inspection: /04— Inspector: This structure has been found to he in substantial compliance with the provisions of the State of Oregon One do Two Family Dwelling Specialty Corte and is hereby approved for occupancy.