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Permit t 2 43 lo? EPA tom" o-ur -vmi ...4.0_,✓✓14,.. IN w ITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00393 COMMUNITY DEVELOPMENT DATE ISSUED: 2/13/2006 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 109 DC - 00601 SITE ADDRESS: 15990 SW 133RD AVE ZONING: R -7 SUBDIVISION: LOT: JURISDICTION: URB PROJECT: NUESS Project Description: Move existing house onto in -fill lot, add garage and second story. 11/28/07, ADDING TEMP ELC. SERVICE. BUILDING REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: ADD HEIGHT: FIRST: 379 of BASEMENT: 3,337 sf LEFT: SMOKE DETECTORS: y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,205 of GARAGE: 2,700 of FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD. sf RIGHT: VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 1,5134 sf 0.00 REAR: PLUMBING SINKS: WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 3 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN + 100K: BOIUCMP < 3HP: VENT FANS: 2 CLOTHES DRYER: FURN > =100K: 0 UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 anp: 1 0 - 200 amp: 1 WSVC OR FOR: 15 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp 201 • 400 am p. 1st WG SVCFOR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 • 600 asp EA ADM BR CR: SIGNAUPANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 .amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN RENEW 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 p SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable CASCADE PACIFIC DEVELOPMENT LLC CASCADE PACIFIC DEVELOPMENT LLC laws. All work will be done in accordance with approved plans. This PO BOX 231195 PO BOX 231195 permit will expire if work is not started within 180 days of issuance, or TIGARD, OR 97281 TIGARD, OR 97281 if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct Phone: 503 332 - 3857 Contact #: PRI 503 332 - 3857 questions toOUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503 -848 -7727 Reg #: LIC 161808 TOTAL FEES: $ 8,810.55 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Structural welding Issued . 't Permittee Signatu e : - - � I Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. o-At -4.6t1 V JUN , 2 (2007 Permit Type: : RESACC Activity Number : 04013,'1 j Permit Status : APPROVED Date : 06 -07 -2007 Project Number :iS Site Address : Applied : 05/31/2007 Issued : 06/07/2007 Parcel Number 2S1 -09DC -00601 Completed : Owner : CASCADE PACIFIC DEVELOPMENT LLC To Expire : 10/05/2007 Applicant Name :CASCADE PACIFIC DEVELOPMENT LLC Valuation : $0.00 Applicant Address : PO BOX 231195 • Applicant Phone : 503- 332 -3867 Validated By : /t 4k)414:411/4 Applicant Fax : Permit Description : APPROVED TO CONSTRUCT 6/6/07 11161"Fr Permit Fee Obligation:Permit Account Status: Access Permit : $309.00Fees Calculated : $639.00 Access Bond : $250.00 Additional Fees : $0.00 Dev. Compl. : $80.00Total Fees Due : $639.00 Other Acc. Bond : 0 Payments to Date : $639.00 Other Operations : 0 PERMIT BALANCE : $0.00 Other Dev. Compl. : 0 Access Conditions : Cond: CON0124323 FOR SFR ACCESS ONLY. ALL ACCESS TO SW BEEF BEND ROAD MUST BE PERMANENTLY CLOSED. LAND USE APPROVAL MAY BE REQUIRED FOR PLACEMENT OF A SINGLE FAMILY HOME. PROVIDE EVIDENCE OF A BUILDING PERMIT IF IT WAS ISSUED BY CITY OF TIGARD. Entry: 06/06/2007 By: CHENGVAN Action: AP POSTED 25 MPH. S/D = 200' TO THE NORTHEAST, 267' TO THE SOUTHWEST. VEGETATION (TREES), HORIZONTAL CURVE. REMOVE TREES AS MARKED FOR SIGHT DISTANCE PURPOSE. EDGE OF DRIVEWAY CAN NOT EXCEED ROADWAY'S SHOULDER HEIGHT. NO CULVERT. DW -205 STANDARD. Call 503- 846 -7645 for FINAL INSPECTION * ** ** *Your bond will be released only after final inspection and approval of access construction. Applicant may have to address off right of way drainage concerns due to this construction. An asphalt transition is required between the end of the concrete driveway and the edge of the asphalt roadway in the Urban area. Maintain roadside vegetation so as to maximize sight distance. Technical Guidance Handbook Gravel Construction Entrance DETAIL DRAWING 3 -IA. Any damage to the asphalt road surface is to be repaired with an approved asphaltic material. REMOVE TREES ON BOTH SIDES OF PROPOSED DRIVEWAY LOCATION FOR SIGHT DISTANCE PURPOSES. SAND SEAL NEW ASPHALT TO ROAD SURFACE. R? CEIVED ' 3 1 2007 Effective 7/1/06- 6/30/07. �t4GTONCGG WASHINGTON COUNT Submit this application with two s Dept. of Land Use & Transppt tfty Vc( . ;;P•,,1;-i^ i- sEnvl ^ES8Y /" x 11" copies of a site plan & /' Land Development Services e ) 155 N. 1" Avenue, # 350 -13, �c & fNNIJaPGN TA +ivikurrent tax maps, a copy of / �z: ue easement & CWS letter (if Hillsboro, OR ue r ° Ph. (503) 846 -8761 Fax (503) 846 -2908 applicable), & a check for S http:llwww.co.washington.or.us $639.00 ($389.00 fee / $250.00 refundable deposit) payable to .`'~ Access Permit Application Washington County, for EACH access point. n (FOR FRONT COUNTER USE ): ACCEPTED BY ,Q Y `! DATE: /R/ 4 Please submit a separate ap liiation f e for each access requested. LEGIBLY PRINT OR TYPE Applicant/Owner Name:Ca Po 4 - t T t C l l r `c � � l. C-C f X603 - 33a' 3e 6) / , Mailing Address: ��V- `f /C4S Q 6 �� , City: T) ( J°�'� 5 State: C)C-- Zip: 76,0 IU NOTE: THE PERMIT WILL BE SENT TO THE NAME AS LISTED ABOVE. THE REFUNDABLE DEPOSIT WILL BE SENT (AFTER FINAL INSPECTION) TO THE NAME LISTED ON THE CHECK (OR CREDIT CARD) USED AS PAYMENT. � p Tax Map & Lot Number: �S f t2 ®� (0 (1 (7 I. CPO: `f r) Zoning: I"^ (,, ,-.Urban or ❑ Rural NOTE: All Urban sites are subject to a Sensitive Area Pre - Screening Site Assessment by Clean Water Services. Call (503) 681 -3600 for more information. Type of Permit Requested: (Single Family Residence ❑ Shared Access ❑ Commercial ❑ Temporary/Construction ❑ Access Closure ❑ Agricultural Reason for Permit Request (check all that apply): I am constructing a new access approach. Proposed total width of access: / ( feet ❑ I have an existing access approach to be improved or inspected for compliance. N Existing width of access: feet Proposed total width of access: feet �� ED ❑ Condition of Approval of Casefile # (or building permit # if no casefile #) JO/ Q ❑ County road access per City Project (file #) ,� �p��# 1 V 4 407 Public road is constructed of: !4 Asphalt El Concrete ❑ Gravel O S`t � q / �i Approach will be constructed of: 5. ' sphalt ❑ Concrete Ell Gravel (not allowed in Urban area) Is a curb cut required? ❑ Yes ! No Is a Sidewalk Cut Required? 0 Yes ,O No Site Address, obtained from Washington County, Survey D ision. (NOTE: you must have this prior to submittal): /6 OSki) (33rd Ave_ i 1-c > Dc'�- r '- - Nearest Cross Street (or dire ions to ite): ./ 51S D _ * tf � %A-K l Tr jar q Contractor: SIe 4 - Q G cI T' C ‘&61 t t---4C Applicant agrees to construct said access to Washington County Uniform Road Improvement Design Standards. The Access Permit (with instructions for construction) will be mailed to the applicant's address after an Inspector conducts an initial site inspection. Submit the following items to the Development Assistance counter in the Land Development Services Division: 1. This double -sided access permit application with all appropriate spaces marked on the front page 2. Payment to Washington County of $639.00 for each access requested. 3. Two (2) copies of a legible, 8'/2" x 11 ", site plan with all proposed /existing accesses indicated 4. Two (2) photocopies of the site's current Assessment &Taxation tax map. 5. A copy of a recorded easement agreement is required if crossing over adjacent property for access 6. A signed Sensitive Area Site Assessment letter from Clean Water Services (Urban sites only). ALL ACCESS(ES) APPLIED FOR MUST BE CLEARLY MARKED WITH A FLAGGED STAKE AT THE SITE (FLUORESCENT SURVEYOR'S RIBBON ON A TALL STAKE IS ACCEPTABLE). Please allow at least 10 working days for initial review. Applicant Signature 4( � L.0 Date Property Owner Signature / iL/ /9 `� ''° Date 6/ Access Application.doc 4/9/07 GiON APPROVED FOR BOND RELEASE ��d CO W ASHINGTON COUNTY WASHINGTON COUNTY DEPARTMENT OF Z Dept. of Land Use & Transportation LAND USE AND TRANSPORTATION Land Development Services Division FULL _ PARTIAL 155 N. 1' Avenue, #350 13, AMOUNT $ DATE Hillsboro, OR 97124 OREGON Ph. (503) 846 -8761 Fax (503) 846 -2908 BY http.liwww.co.washington. TITLE Access Permit (to be filled out by LUT staff) (FOR INTERNAL USE ONLY) PERMIT NUMBER 0400 r3( 8 Land Development Review: Date: 6 - -0 By: I &-c Title: (J I 1 1 -e"---' Conditions /Related CaAefile(s): ( C f ° AA � . ALL a"Ac, Sl/ .) 6 e.ci- .mad mi.4.41 be- m Ala ; 9 - CI(),r, : Lavtd 1 r, (, 21 , hie- r tot 4)1 10 1 ,t : 2 1 it - _ V - tG I ` < Meet Sight Dist. (10x posted speeta) ❑ Maximize Sight Distance ❑ See Attached Addt'l Info 6/C1 Operations Initial Inspection: Date: �o7 By: (,hP��I- va4.1 Title: %& C l hee.r Te. c. Required Culvert Size: _ _A( Construct to Driveway Standard: a D vv— 2 - 0 5 - Posted Speed: 2 - 5 - Existing Sight Distance Measurements: 2.o n ii -/ ,rice rr 2-C7 / 4-6 , i4,2 SW Distance Obstruction(s): Ve_9.Q,ht )irrt ( Ar e.P_ S) i'1 o Yi yr+-1 c'wt.- Instructions /Conditions /Comments: IZpivno v-f '4r-�,e_5 ,1-.-. 0,4_ k-QR 4 .-z_71.1- otz,,i---, ) ,,,, r , r_. . , o( i e___ 4_ ce,,,_ We ,2cP c. ,e� :o ,c�0(w,y a %° S'ker“ , +e-r 1 I ❑ See Atta Additional Info Operations Final Inspection: Date: By: Title: Final Sight Distance Findings: ❑ S/D was Met (10x posted speed) ❑ S/D was Maximized. Final Measurements: Sight Distance Obstruction(s): Other Comments: The Applicant is hereby granted permission to enter the public right -of -way for the purpose of constructing an access at the above legal description and agrees to construct said access to Washington County Uniform Road Improvement Design Standards. PLEASE CALL 503 - 846 -7623 or 503 - 846 -7645 FOR INSPECTION 24 HOURS PRIOR TO POURING CONCRETE OR PAVING. APPLICANT: You must call 503 -846 -7623 or 503 - 846 -7645 for final inspection after constructing the access to Washington County Standard (to receive your $250.00 bond release). Final inspection for release of deposit is required. Failure to construct to standard and request a final inspection may result in a delay of approval for other permits related to this parcel. DO NOT PLACE YOUR BUILDING MATERIALS ON ANY PUBLIC STREET OR RIGHT -OF -WAY! This permit shall become null and void, the deposit amount may be forfeited, and re- application may be required if final inspection (or one extension) is not requested within 120 days from the date of issuance. EXPIRATION %D/ 7 /0 (You may call Teri Heino at 503 - 846 -3834 for a one time extension). Access Application.doc 4/9/07 Street Name 1 33'i �� Q Minimum Sight Distance — I Minimum Sight Distance C' j ' - F I� i �� Curbing or edge of pavement 1 if curbing is not present. POSTED MINIMUM SPFFn ntCT CE 25MPH 250FT 35MPH 350FT 40MPH 400FT N C) N 45MPH 450FT O1 o 50MPH 500FT i 55MPH 55OFT Street Name •M) `( L' 1 59 q v Minimum sight distance is measured at 15 feet from edge of pavement or curbing. To determine how much of the obstruction is to be removed, simply stand at the 15 foot mark at an eye height of 3.5 feet, you should be able to see an object that is 4.25 feet tall at the distance specified on the diagram. • These distances have been marked on the pavement for your assistance. • DATE: 62 / I 07 TIME : ° I : AM X PM ADDRESS: '\ 59 90 �� A � �` -Svc, (71 C �vaJ S ��C y�►�1C� SI 1Kl w I L-L- +2>e N 0 Permit of Service Request Number n400 �� j Access Permit Conditions Permit # 4- 3/ S f Date / ry / °7 ❑ DW -200A ❑ DW -200B ❑ DW- 200 -PM1 n DW-201A ❑ DW-201B ❑ DW -202 ❑ DW -202 (annotated) DW -205 ❑ CS -300 ❑ CS -301 ❑ CS -305 ❑ Curb ❑ Curb & gutter ❑ Sidewalk is away from curb. ❑ Sidewalk is at curb. ❑ Call 5 3 - gT6- 7 -3 for ❑ Form inspection Dir FINAL INSPECTION * ** ❑ All sidewalk repairs are to be full panel replacement. (i.e. joint to joint) The work area is to be barricaded and an alternate pedestrian route provided. ❑ All curb /curb and gutter repairs are to be full panel replacement. (i.e. joint to joint) (O Applicant may have to address off right of way drainage concerns due to this construction. ❑ Provide adequate drainage through ditching to prevent water from collecting on the roadway. ❑ Culvert required Inside Diameter. DO NOT use bell and spigot concrete culvert pipe. Concrete tongue & groove culvert is preferred, installed with the tongue downstream. ❑ See attachments regarding construction standards. ❑ Letters of Nov 3, 1989(revised Mar 29, 1990) & Sep 21, 1990 ❑ Inter - departmental correspondence of Jan 4, 2000 ❑ If culvert pipe other than concrete tongue & grove, corrugated metal, C -900 PVC or C905 PVC is to be used there must be a minimum of 36" of cover to finished grade over the culvert. ❑ Culvert pipe is to be of all one type and diameter through entire installation. ❑ Provide a smooth ditchline to ensure adequate flow through the culvert. ❑ Point of access to be constructed so as not to interfere with existing drainage structures. [J' An asphalt transition is required between the end of the concrete driveway and the edge of the asphalt roadway in the Urban area. A gravel transition is permitted in the Rural area. 0 Maintain roadside vegetation so as to maximize sight distance. ❑ Restore point of temporary access to original or better condition prior to final inspection. ® Technical Guidance Handbook Gravel Construction Entrance DETAIL DRAWING 3 -1A. ❑ Secure the point of access so as to restrict casual entry. (,j Any damage to the asphalt road surface is to be repaired with an approved asphaltic material. E Other: _p,w, 0 y � r±Xt o OCuV-P. / ® / S ***your bond will be released only after final inspection and approval of access construction. White copy: Applicant Yellow copy: Land Development Services Pink copy: LUT Operations /Inspection F:\ Shared\ Admin\ Wpshare \]nspect\AccPerConditions Revised 12/4/02 This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. BUILDING DIVISION / : TIGARD TRANSMITTAL LETTER TO: L I DATE RECEIVED: DEPT: DING DIVISION i $x ' \` APR 1 FROM: 1.2 D1 . -/ (4 E- ' 0 COMPANY: 6cs G�i iii -I - PHONE: 6 0 - 3 >-- S 7 :.. _. ,,.,, RE: 5 4 n A.() / �_ 6 H 5 cx 59,5 Site Address) (Permit/Case Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: I Description: Copies: Description: r 3 Additional set(s) of plans. Revisions: x Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: -- 4,0 J am' _ .Q_ -- 4 I .. d J ! ■ - 1 ' • /2 d FOR OFFICE USE ONLY Routed to Permit Technici Date: Initials: Fees Due: ❑ Yes [�] a o Fee Description: Amount Due: 3 $ $ $ $ $ 4 Special Instructions: Reprint Permit (per PE): ❑ Yes [ ❑ Done Applicant Notified: Date: Initials: L\ Building\ Forms \Transmittal Letter - Revisions.doc 4/4/07 CITY OF TIGARD MASTER PERMIT PERMIT #: MST2005 -00393 .h,,,, DEVELOPMENT SERVICES DATE ISSUED: 2/13/2006 '=' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S109DC -00601 SITE ADDRESS: 15990 SW 133RD AVE ZONING: R -7 SUBDIVISION: LOT: JURISDICTION: URB Project Description: Move existing house onto in -fill lot, add garage and second story. BUILDING STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED C: CLASS OF WORK:, '' '' HEIGHT: FIRST: 379 sf BASEMENT: 3,337 sf LEFT: SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 50 SECOND: 1,205 sf GARAGE: 2,700 sf FRONT: PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: VALUE: 541 890.40 OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 1,584 sf REAR: PLUMBING SINKS: WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: TRAPS: LAVATORIES: 3 DISHWASHERS: FLOOR DRAINS: SEWER LINES: SF RAIN DRAINS: CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: WATER HEATERS: WATER LINES: BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 2 CLOTHES DRYER: FURN > =100K: 0 UNIT HEATERS: HOODS: OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 0 - 200 amp: 1 0 - 200 amp: W/SVC OR FDR: 15 PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps - 1000x. 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: This permit is subject to the regulations contained in the Owner: Contractor: Tigard Municipal Code, State of OR. Specialty Codes WILLIAM A. NUESS CASCADE PACIFIC DEVELOPMENT L and all other applicable laws. All work will be done in PO BOX 5961 PO BOX 5961 accordance with approved plans. This permit will expire ALOHA, OR 97006 ALOHA, OR 97006 if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules Phone: 503- 332 -3857 Contact #: FAX 503- 848 -7727 adopted by the Oregon Utility Notification Center. Those PRI 503- 332 -3857 rules are set forth in OAR 952 -001 -0010 through 952 -001 -0080. You may obtain copies of these rules or Reg #: LIC 161808 direct questions to OUNC by calling 503 - 246 -6699 or TOTAL FEES: $ 8,038.35 1- 800 -332 -2344. REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Structural welding r Issued By : %�`'-, . �' ' ,� Permittee Signature : t e / t. /. ?Z - f- �,?� Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. M 5 7 05 00373 1 5 9�i� Sw 133 ki> CleanWater Services September 12, 2005 Bill Nuess Cascade Pacific Development, LLC. PO BOX 5961 ALOHA OR 97006 RE: 2S109DC00601 (2S109DC01600 for sanitary sewer connection) Beef Bend Road CWS File #05- 003301 Clean Water Services has received your Sensitive Area Certfication for the above referenced site. District staff has reviewed the submitted materials including site conditions and the description of yourproject. Staff concurs that the above referenced project including the off site sanitary sewer extension will not significantly impact the existing Sensitise Areas found near the site. In light of this result, this document will serve as your Service Provider letter as requied by Resolution and Order 049, Section 3.02.1. All required permits and approvals must be obtained and completed under applicable local, state, and federal law. This letter does NOT eliminate the need to protect Sensitive Areas if they are subsequently identified on your site. If you have any questions, please feel free to call me at 503 -681 -3613. Sirfcerely, i Adis -Casey nvironmental -Phan Review E: \Development Svcs \SP 00 -7 \SPR Letters\2S 109DC00601_Beef Bend CWS File 05- 003301.doc 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 Phone: (503) 681 -3600 • Fax: (503) 681 -3603 • www.CleanWaterServices.org Permit #: 06 - 000433 - 00 - PE C1eanWater Services RECEIVE Our commitment is clear. nspection Request Line: 503- 681 -4444 2550 SW Hillsboro Highway 4 hour notice required for all inspections Hillsboro, OR 97123 FEB 1 3 2006 Ph: (503) 681 -3600 UU Project Name: 15990 SW 133RD AV CITY OF TIGARD Project Address: 15990 SW 133RD AV BUILDING DIVISION Issued By: Nichole Vanderzanden Type: Sani/SWM Connection Issued: Feb 10, 2006 Single Family Expires: Aug 09, 2006 Project Description: MOVING HOUSE ON TO SITE AND WANT TO PULL BUILDING PERMITS FROM TIGARD FOR ADDITIONS. OK TO ISSUE CONNECTION PERMIT IN CONJUNCTION WITH SITE PERMIT FOR SANI EXTENSION PROJECT NO. 8953 PER TERRY KEYES. 2/6/06 cl Owner Applicant Contractor WRIGHT, BUNNY TRUST BY WRIGHT, BU/' CASCADE PACIFIC DEV. LLC *BILL NUESS NONE 15685 SW 116TH AVE B -159 PO BOX 5961 TIGARD OR 97224 ALOHA OR 97006 Number of Equivalent Fixture Units (FU) 16 Number of Sq Ft 2640 Treatment Plant Durham Water District Tigard Fee Description Amount Erosion Control Inspection Fee 136.00 Erosion Control Plan Check Fee 88.40 Sanitary SDC Fee (Connection) 2,600.00 Water Quality SDC 225.00 Water Quantity SDC 275.00 Sub Total 3,324.40 TOTAL 3,324.40 I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS CORRECT. SIGNATURE: C.J,., // r.4=►.- °` ' 1 Date: c9/ 6 CASCADE PACIFIC DEV. LLC *BILL NUESS* Site Development Project #: 05 - 004368 - 00 - SD CleanWater. Services on, commitment is clear. ECEiV i nspection Request Line: 503- 681 -4444 2550 SW Hillsboro Highway . C 14 hour notice required for all inspections Hillsboro, OR 97123 Ph: (503) 681 -3600 - g 1- `3 2I3 Project Name: BEEF BEND ROAD SANI EXTENSION Project ect Address: 15990 SW 133RD AV Pro j G OF GAA© $UILO T D I i VISI Issued By: Nichole Vanderzanden Type: System Extension - ROW Issued: Feb 10, 2006 Sani Expires: Feb 10, 2008 Project Description: Owner Applicant Contractor WRIGHT, BUNNY TRUST BY WRIGHT, BUI` CASCADE PACIFIC DEV. LLC *BILL NUESS NONE 15685 SW 116TH AVE B -159 PO BOX 5961 TIGARD OR 97224 ALOHA OR 97006 EC Only? N Site Grading Area (acres) 0.39 Fee Description Amount Plan Check Sani Fee (SD) 573.50 Inspection Sani Fee (SD) 860.25 Erosion Control Inspection Fee 80.00 Erosion Control Plan Check Fee 52.00 Sub Total 1,565.75 TOTAL 1,565.75 I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS CORRECT. SIGNATURE: l/-r -ems` - `*-` �Y 9 Date: jl CASCADE PACIFIC DEV. LLC *BILL NUESS* CleanWater Services Our commitment is clear. November 2, 2005 Vic Accomando Consulting Engineer 7250 SW Ashdale Drive Portland, OR 97223 Subject: BEEF BEND ROAD SANI EXTENSION - Project No. 8953 Clean Water Services has reviewed the construction plans for the above referenced project. Construction of the project cannot begin until the following requirements have been submitted. Please also review the information on the enclosed Supplemental Information Sheet for additional general rules. 1. Plan Submittal: The plans are approved. 2. Site Permit Fees: Please submit a check in the amount listed on the attached invoice. 3. Signed Construction Permit Agreement (enclosed) Must be signed by property owner: 4. DEQ/District Joint Erosion Permit (enclosed if required): [ ] Required [x] Not Required [ ] Already Received 5. Performance and As -built Assurance (Forms enclosed): Please note that your project must bond 100% of the improvements. 100% Bond Option Performance Amount $29,175.00 As -built Amount $ 2,000.00 Bond Total $31,175.00 2550 SW Hillsboro Highway • Hillsboro, Oregon 97123 Phone: (503) 681 -3600 • Fax: (503) 681 -3603 • www.CleanWaterServices.org BEEF BEND ROAD SANI EXTENSION - Project No. 8953 Page 2 6. Sanitary Easements: [ ] On -Site Easements (onsite may be platted and are not required prior to site permit issuance). [ ] On -Site Easements have been received. [ ] On -Site Easements are required. [ ] Off -Site Easements required — must be received prior to site permit issuance. [ ] Off -Site Easements received. 7. Storm Easements: [ ] On -Site Easements (onsite may be platted and are not required prior to site permit issuance). [ ] On -Site Easements are received. , [ ] On -Site Easements are required. [ ] Off -Site Easements required — must be received prior to site permit issuance. [ ] Off -Site Easements received. Maintenance Bonding Information: After the completion of the project and as a condition to final acceptance by Clean Water Services, the developer shall file a one -year maintenance assurance on the sanitary and storm pipe and /or the water quality /quantity facility construction in the amount of $3,257.50. The maintenance assurances will be held for one year, AND until released in writing by the District. If you have any questions regarding the requirements outlined in this letter, please call Cathy Lindholm at 503- 681 -3620. Sincerely, Marvin Spiering✓ Plan Review Project Coordinator Enclosures CleanWater Services Invoice Date: November 2, 2005 Our commitment is clear. INVOICE Bill #: 92315 155 N. First Avenue Suite 270 Hillsboro, OR 97123 Permit #: 05 - 004368 - Ph: (503) 846 -8621 Project Name: BEEF BEND ROAD SANI EXTENS Site Address: Applicant Name: CASCADE PACIFIC DEV. LLC *BILL NUESS* FEE DESCRIPTION AMOUNT Erosion Control Inspection Fee $80.00 1 Erosion Control Plan Check Fee $52.00 1 Plan Check Sani Fee (SD) $573.50 1 Inspection Sani Fee (SD) $860.25 1 TOTAL DUE: $1,565.75 Building Permit Application FOR OFFICE USE ONLY City of Tigard Received > n P ermit No.: 1 Tigard, OR 97223 Plan Review : i . 7 a / ' S - '� 13125 SW Hall Blvd., Ti g Plan Re Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Inspection Line: 503.639.4175 m arl, 4`� I Date Ready/By: r; y See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method: U pplementalInformation _ �- ,: �, . TYPE OF N \ORIi: �: ,� ,.' " 3% i' �a..k � s l .�' 4:,,s' .. tT a I AND FowyDWE.:LLING (New construction ❑ Demolition Pe 1 t fees* are based on the value of the work performed. Indic. e the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ,{:1 Other e, t t) )i c,{ re/01.4 equipment, materials, labor, overhead, and the profit for the r . work indicated on this application. CATEGORY OF CONSTRUCTION ,z ;:l Yk y & :4 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $ .67 ry,11�G) ❑ Accessory building ❑ Multi- family Number of bedrooms: t ! 4 'Zt/. �Q ❑ Master builder ❑ Other: Number of bathrooms: JOB SIT IIVFORYIA I ION AND. LOCATIOI ° � . * � Total number of floors: Job site address: :39 C1 0 / ( t- 1 f New dwelling area: square feet City/State/ZIP: t.- a rCY a tit-- I Garage/carport area: square feet Suite/bldg. /apt. no.: I Project name: Covered porch area: square feet Cross street/directions to job site: G4yd,114_; 7t) Deck area: square feet 42 , '' - ' k.t / �,.res1r " S cv (3,3,d 2r y ard s " D , i , (-- Other structure area: square feet J �. REQUIRED DATA: CO:\1 \1ER( IAL -t'SE CHECKLIST Subdivision: i.,4) ~C t - ; CI Xi I Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ ../".,"...' ,, * ` - ` - :'.. — ' / 5 �: r , G -" T `C s4; 1 'U f f∎elA); it 'y�l'i i, ot�7 "� 6 �L1 Y 1 1 t ff A F GJ - 3f. r - �L?.r Existing building area: square feet New building area: square feet F] PROPERTY OWNER < A "❑ TENANT l Number of stories: Name: „t r7 `. L A,, > , y, j 1 ( 4 j Type of construction: Address: / -- 5 j , f) /4 lea'''- 4 4 —/ S Occupancy groups: City/State/ZIP: ? jj�Yd 0 / ..e 9? 17 Existing: Phone: (:518 ) 1,;,5'x` -- / Fax: (60:j ) & : ,' 77 (i New: IV:W:47W, a �e �' .T C ONTACT PERSON - r-- , is i Business name: C. iS (cx tom. 'Iot-t .C. Lie L'ei c"NA 1 h1,-- ( _ All contractors and subcontractors are required to be Contact name: j 1 t 1Q�S licensed with the Oregon Construction Contractors Board ti,. under ORS 701 and may be required to be licensed in the Address: 7 0 a i : - 9 6 f jurisdiction in which work is being performed. If the • applicant is exempt from licensing, the following reasons City/State/ZIP: 3 A t p L. �+2 r501> app Phone: (- - ) 3 &,j& -3 S S J Fax:: (,. i 5 ) . M7 7-7 E -mail: f C c. Li C (e , ";wt cz:S; . , ' " CONTRACTOR u. t Business name: L at f t:tt. i 4 '( #Je iJ�:1 phl t✓akt- Ltt : ( « s ` ' et a t * f� Address: P. tJ 6 e X 5-44 e h }�/ Please refer to fee schedule. l City/State/ZIP: f e' it-,..v 0 FCC 6 1)6; 6. � r� Fees due upon application Phone: (:SU .) ._ -..3. 3:3` .3 Fax: ( �y 'r ) 7fl q'' 7 CCB lie.: /i .. (:),,dc Amount received Date received: Authorized signature: � � C �. y y -7 ! L' Z � (` f f This permit application expires if a permit is not obtained !( within 180 days after it has been accepted as complete. Print name: ., . ; ., ,:,., /f /V ,-, , :.. Date: ( ( 41 f r S * Fee methodology set by Tri -County Building Industry Service Board. i:)Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(I1 /02/COM/WEB) Plumbing Permit Application FOR OFFICE USE ONLY City of Tigard Received �, g Date/By: /I (. 3 J � Permit No.: t... ✓ ) 13125 SW Hall Blvd., Tigard, OR 97223 / � r % �j ' 5 � Plan Review Phone: 503.639.4171 Fax: 503.598.1960 DateB Other Permit No.: 24- Hour Inspection Line: 503.639.4175 •'+l+ \ Date - -.� Ready /By: B Y 1 u � ` , ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: tit Supplemental Information TYPE O , �� AI m ix* "_ E t ❑ New construction ❑Demolition For special information use checklist. - Description I Qty. I Ea. I Total ❑ Addition /alteration /replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION i :d SFR (1) bath 1 249.20 ❑ 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi- family SFR (3) bath 399.00 ❑ Master builder Each additional bath/kitchen 45.00. ❑ Other: - - Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LO�C- ATIIOON- Site utilities Job site address: / b L. j C 6, big / 6 ' f I (� Z - Catch basin or area drain 16.60 I City/State/ZIP: .-- ((�t�r Q p„..... C 7 2q Drywell, leach line, or trench drain 16.60 Suite/bldg. /apt. no.: Project name: Footing drain (no. linear ft.: ) Page 2 Cross street/directions to job site: Manufactured home utilities 110.00 Manholes 16.60 Rain drain connector 16.60 Sanitary sewer (no. linear ft.: (Q) Page 2 x`40 Storm sewer (no. linear ft.: 4 Page 2 SS Subdivision: I Lot no.: Water service (no. linear ft.: Of) Page 2 Sp, pp Tax map /parcel no.: Fixture or item ... - Absorption valve 16.60 DESCRIPTION OF WORKli' " r �a� Backflow preventer Page 2 11ct t X l'3T 1 n 't Q. )Lit9Y c" .) l � 1 kiln) ) -r r Backwater valve 16.60 i Clothes washer I 16.60 16,6 Dishwasher 16.60 ' i_ Drinking fountain 16.60 LJ P OWNER ❑ T Ejectors /sump 16.60 Name: J 1.) , ‘ ,.... ) Q1 k.,,-.1:4,4,,c.„ tt 1 I' -u , r- Expansion tank 16.60 Address: 1 5 L l 6-159 Fixture /sewer cap • 16.60 City / State/ZIP t `. - " S a 9 '1.q Floor drain/floor sink/hub 16.60 Phone: (5/ %j) •s4 -. 4 1 .� F ax: ( ) Garbage disposal 16.60 ❑ APPLICANT Hose bib 16.60 ❑ CONT PER Ice maker 16.60 Business name: Interceptor /grease trap 16.60 Contact name: Medical gas (value: $ ) Page 2 Address: Primer 16.60 City/ State/ZIP: Roof drain (commercial) 16.60 Phone: Sink/basin/lavatory V 16.60 j4 ( ) Fax: ( ) E -mail: Tub /shower /shower pan ; 16.60 4, Go Urinal 16.60 CONTRACTOR Water closet 16.60 1�,� Business name: )P 1j , Water heater 16.60 Address: 6 Other: City/State/ZIP: Subtotal Minimum permit fee: $72.50 Phone: ( ) Fax: ( ) Residential backflow minimum permit fee: $36.25 CCB Lic.: Plumbing Lic. no.: Plan review (25% of permit fee) Authorized signature: State surcharge (8% of permit fee) TOTAL PERMIT FEE 1 Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Permts\PLM- PermitApp.doc 12/03 440- 4616T(10102/COMJWEB) Electrical Permit Application FOR OFFICE USE ONLY City of Ti and Received _ 4 'f g Date/11 Pe nni t N �. ( „J” 0 J ' 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 �Hr� r I Date/B : Other Permit: Inspection Line: 503.639.4175 ^' Date Ready/By: I ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: I Supplemental Information ° . 3 x -F . ti re79 ,t,i e ' u '`L+ �` t�: .. ' '❑ New construction ❑ Addition /alteration/replacement Please check all that apply: ❑Service over 225 amps, comm'l OHazardous location El Demolition ❑ Other CATEGORY OF CONSTRUCTION '`ret st xv " • r R F ['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., .,, of 1- and 2- family dwellings 4 or more new residential ❑ 1 and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ❑ Multi ❑Master builder ❑ Other ❑Building over three stories ❑Feeders, 400 amps or more y DOccupant load over 99 persons ❑Manufactured structures or vo rox 414—:tee-at l � :: ®6 o E : t , , ` ' t ; ['Egress/lighting plan RV park Job no.: Job site address: 1 5 C q 1 ( , t 5� 0 / -, ['Health-care facility ['Other: Submit 2 sets of plans with any of the above. City/State /ZIP: ---11 6 t G t The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: I Project name: FEE' S('HEpTJL1r Description Qty. Fee. l Total I k Cross street/directions to job site: New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: 1 Lot no.: Ea. add'] 500 sq. ft. or portion 33.40 1 Tax map /parcel no Limited energy, residential 75.00 2 . ' ` `N .l Each anufactu manufactured or modular l 75 00 2 fit' Limited dwelling, service and/or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation 200 amps or less ' 80.30 2 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: A,/ , ,,_ by t ..- may. , ,,-S 601 amps to 1,000 amps 240.60 2 Address: f �� . cc) 1 1 46 - � C j Over 1,000 amps or volts 454.65 2 // Reconnect only 66.85 2 City/State/ZIP: i - a(C'( / /4e ?t GV Temporary services or feeders installation, alteration, and/or Phone: ((-403) k r q / Fax: 4..5'' C. eq c(J) relocation 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel rp ❑ yAPPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, Address: each branch circuit 46.85 2 Each add'l branch circuit 6.65 2 City/State /ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) Fax: ( ) Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited- , q "_' _ : energy panel, alteration, or : extension. Describe: Page 2 2 � Business name: 0 . irvfZ la Address: ' Each additional inspection over allowable in any of the above — — Per inspection 62.50 City /State/ZIP: Investigation per hour (1 hr min) _ 62.50 Phone: (f , Fax: - Industrial plant per hour 73.75 0 t.tiT FEES *' CCB Lic.: — 1 Electrical Lic.: Suprv. Lie.: Subtotal Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name: Date: State surcharge (8% of permit fee) � TOTAL PERMIT FEE Authorized signature: �v i .. L ( , / / This ermit a pplicatio p application expires if a permit is not obtained within 180 • days after it has been accepted as complete Print name: t /. lb a „p-,. /4 - /Vu•e Date: %fl, / { • Fee methodology set by Tri- County Building Industry Service Board f ! J "• Number of inspections per permit allowed. i:\ Bui lding\Permits\ELC- PennitApp.doc 12/03 440- 4615T(10 /02/COM/WEB Mechanical Permit Application FOR OFFICE USE ONLY City g of Tigard Received % � Date/By: l� ! y: � Permit No.: J/_� 5 r 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 km. ryi \ Other Permit: Inspection Line: 503.639.4175 . p r•' I Date/13y: Date Ready/By: 1 is: * - ^^ -■ y y: �) ® Supplemental See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: i s. ft Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE -;USE CHECKLIST CI New construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ $W i T4 EgUII'LV ❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building NT SYS7AWFEES* Iii ❑ Master builder ❑ Other: For special information use checklist. Description I Qty. I Ea. 1 Total F` JOB SITE INFORMATION AND LOCATION .i;44&;,-._;v.,- Heating/cooling Job site address: 1 3L ic ,? ,, a' -1` H Air conditioning or heat pump (requires site plan showing placement) 14.00 City/State/ZIP: Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work ` 14.00 Hydronic hot water system 14.00 Residential boiler (radiator or . . hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Lot no.: Flue/vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 J t'1 Gas fireplace 10.00 / / "tt L "' s ti -1 t 6 c/ .5 ,.J . /.) � ^-e - * --' Flue vent for water heater or gas > ef l / 1 - 7 f %4.,' 44 G '-(uj C -.1'f^ fireplace 10.00 f .1 l Log lighter (gas) 10.00 1 Kez5c Wood/pellet stove 10.00 Wood fireplace /insert 10.00 s ' ; 1€ ` . NER ❑ TENANT Chimney/liner /flue /vent 10.00 A ,.. Other: 10.00 Name: ,�3 CL A µ. j I, )/ 5 �- t ,t ST Environmental exhaust and ventilation Address: AS6 / t ; / / /6" ._ " �. >` � : t I - Range equip hood /other kitchen equipment 10.00 City/State/ZIP: 4,,, d 0 Clothes dryer exhaust 10.00 `/ Single -duct exhaust (bathrooms, Phone: (4(? j) h ,�'if - 4/�� Fax: ( 5ZZ ) 1� �y / 4/� toile compartments, utility rooms ('!�, 6.80 ❑ APPLICANT CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City/State/ZIP: Wall /suspended/unit heater Phone: ( ) Fax:: ( ) Water heater Fireplace E -mail: Range CO NTRACTOR Barbecue Business name: J . , Clothes dryer (gas) i'l � i Other Address: R C 6 ,� b t ; ", % . MECHANICAL, PERMIT FEES* City/State/ZIP: g a iG , C;i c'')t 66 Subtotal ' Minimum permit fee ($72.50) Phone: (() J) -- 35 - 3S: & ? Fax: ( 3 ) x - 7 7 Plan review (25% of permit fee) CCB lic.: /6 f E3103. State surcharge (8% of permit fee) t I TOTAL PERMIT FEE ' " `6 7/ ) This permit PP expires ermit a lication ex if a permit is not obtained within 180 Authorized signature: y days after it has been accepted as complete. Print name: 1.t /a� A ,„ - A/ Sr - I Date: / i c --, 1 3 /61 ' Fee methodology set by Tri- County Building Industry Service Board 0 . 1:Wilding\PemutAME.GPcniitAoo.doc 12/03 4an - 4617' 11 I mlirnn.rnr✓r. a1 Permit Application J FOR OFFICE USE ONLY r� 7 Tigard • Date/By: � ( � G Permit No.: tI j {`( v .,W Hall Blvd., Tigard, OR 97223 Plan Review .te: 503.639.4171 Fax: 503.598.1960 ��, >N�•�� I Y� Date/By: e .ispection Line: 503.639.4175 ., , ` �ti� Date Read /B sa See Attached Checklist for �W Y Internet: www.ci.tigard.or.us Notified/Method: 4 6 S • pp1ementa1 Information ;, h , 1,"° A ,, A: ^ sW0- O �. � �," „ QUIRED AT ADA 1- AND 2- FAMILY DWELLING "_,� J .' .. „ � 1v�. - .x. -. - .. « a.... .,a-... . -, _, F � e. , ....� ... w r, � _ (10 New construction ❑ Demolition Pe t fees* are based on the value of the work performed. Indic, e the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement C_: Other: EX-S7? ' h 0 ' > Pe/C(401 equipment, materials, labor, overhead, and the profit for the , i 4'0 +46 work indicated on this application. Valuation: $ f A 1- and 2- family dwelling El Commercial/industrial c ❑ Accessory building ❑ Multi - family Number of bedrooms: hi S I , 1I LO• Li O ❑ Master builder . ' ❑ Other: Number of bathrooms: «: s ° as x.- k'` r .. � .,,v .,g � .., a„ - s 3 � :. , - Total number of floors: � `+- 3'•..-. r ,�, - p •S`.'*� er �` �'.��.''• Job site address: ( 5 C C1 0 ' .( 1 ” 'r 4 j f New dwelling area: square feet City/State/ZIP: gafCJ 0 ��' """ Garage/carport area: square feet Suite/bldg. /apt. no.: 1 I Project name: Covered porch area: square feet Cross street/directions / to job site: 97 Deck area: square feet ?i7 e,o (`L K 8. . west+. .S cC 3 i 3.3' d 4�y rd.S D, FI�C Gt r Other structure area: square feet Subdivision: ikii2 +a j a 2:j a. I Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the � � � � � �: � t . . 17-17� _ � � . ,� � . =�` � � � � �� work indicated on this application. �. i /' 1 �� s40 ,� __ / CDs i Valuation: $ �^ A 4 C 7C, 5 �� Ut U Cl 1r �Lir. 6 lames asFucY !O hie �Zt /' , cb., v 1 iji fhe Seim e1 t 7 ,,44) .. ca - r .e , Existing building area: square feet p New building area: square feet *.: - + Number of stories: Name: 411W 23 ,t, K r;: Gt f 17 as Type of construction: Address: / t$ 5t /a7 ,Opte 4 / S Occupancy groups: City/State/ZIP: ffyelyd 0, e. 9> ,i 7 Existing: Phone: ( ) b " / Fax: ( ) e e — f ci/ 7 New: T - Business name: C -as C ei t " t o C - i 'G be L e /9D/1'le4 I L.L C All contractors and subcontractors are required to be B-11 licensed with the Oregon Construction Contractors Board Contact name: 8 l I I under ORS 701 and may be required to be licensed in the Address: 0 . b ri ( /6 / jurisdiction in which work is being performed. If the y�;; applicant is exempt from licensing, the following reasons /9 City/State/ZIP: (6446,_ _ 0 t )`l�l1 a pply : Phone: (62.5.3) 3 3:.) -33-3 I Fax: : () 7 7:3-7 E -mail: C c- s Ca Zile r C 1Y C- L` C e eO frs t e .S V ; i' f Business name: ' CGZSC ack G-C [ CC DE't,elep eo-i LC( AiWgi,'inlF�,��IY40Wi* + +t� *. Address: ( Please refer to fee schedule. e City/State/ZIP: 1 ,-° 4')) 6-6 /f'' r� Fees due upon application Phone: (c 3) •- :� e , / Fax: (r) 'e ` �� Amount received CCB lic.: (16,? d -/ 'I `" �� • �/� ` F °� Date received: Authorized signature: � ,4 .iv "� �� l ` a(` ( / 1 This permit application expires if a permit is not obtained / within 180 days after it has been accepted as complete. Print name: L'ii', / /(a yv. 4 5S Date: (f ') /c)j * Fee methodology set by Tri- County Building Industry Service Board. is \ Building 'Permits\BUP- PcrmitApp.doc 12/03 440- 4613T(11 /02/COM/WEB) ;;:;REVISED* ,, , ' Bill Nuess 503-332-3857 _ 1 5990 SW 133rd AvP. 1 4 r R 2 : i ! Tigard, OR 97224 H 5r b 5- c 393 N �. \ pry ! -, a \ 1 \ \ \ \ 1 \ 0 1 ^' \ ` N 1 d 11 Z Cit \,� . I rn \� 4. 1 E \C‘ \ M . ‘1 \\ �$fl$ \, C13 i „m a\ \ - All of \1 \ \ \ 1 , 1 � \ \ te ZI \ "1 ‘Il ilit , 1 , , , 'I A Oita -;- , . \ 1 m[• 1111 \N, I o' DE' 4 m N UT 0 A cr Q. ra m 500DECs19'00'W 20432' w CD w C ' PROPOSED EDGE o w 0 2" CLASS 'C' A.C. OF SHOULDER 0 o Q 0 4" 2 " -0 PROPOSED EDGE z OF PAVEMENT l I ` o ° SLOPE VARIES a. 0 ---_� _ H ;_ N. i , �`L� \O A` n TYPICAL SECTION A.C. DRIVEWAY PROPOSED EDGE I 2" 3/4 " -0 OF SHOULDER 4" 2 " -0 PROPOSED EDGE OF PAVEMENT -.6 111111 i- o g SLOPE VARIES � m z :;V:itilliiillitr...w.. w iii 4.,14 :, - • I \ N N O :ic`:`i:. _i U ' / 1 L TYPICAL SECTION GRAVEL DRIVEWAY - s PROPOSED EDGE OF SHOULDER i(:-.3 w I -f 4 PROPOSED EDGE OF PAVEMENT 'X © I SLOPE VARIES 1 .. - GR =10% • TYPICAL PLAN A.C. OR GRAVEL DRIVEWAY \ 0 SUNLESS OTHERWISE NOTED TYPICAL SECTION ALTERNATE SEE DWG. N0. DW -202 r- WASHINGTON COUNTY DRIVEWAY DETAILS FOR ANDATRANSPORTATION uSE NON-CURBED AREAS � • l REVISION DATE WASH. COUNTY NO. DW -205 CITY OF TIGARD 5/30/2007 ---: 13125 SW Hall Blvd. 4:30:23PM --`— Tigard, OR 97223 503.639.4171 Activity Listing T1 ,A,le,D Case #: MST2005 -00393 Primary Name: NUESS Project Name: NUESS Site Address: 15990 SW 133RD AVE CODE DESCRIPTION DISP DONE BY NOTES , z Descendm Order) ,„ vex. ,... 4,;'.P4::1,4.,„:,: _. 080 Revisions /Info routed to PE 4/24/2007 DONE DEB Revised site plans. 080 Revisions/Info routed to PE 4/10/2007 DONE DEB (3) sets of revised plans, adding elevator, additional foundation, redo upper floor plans, add porch overhang. He is supposed to bring in a revised site plan also. q . ,��/ 710 Phone call (see note) 3/1/2007 DONE DEB Bill Nuess called and he will be submitting revisions soon. j 0/ p.'„,9 ,( 730 Case update (see note) 10/13/2006 DONE DEB Driveway approach permit is to be issued by WA Co. Y " 11 210 Foundation walls 9/26/2006 PASS RB 037194 -01 - 503- 332 -3857 — VM - Y e�'r - C 215 Footing drain 9/26/2006 PASS RB Dura -drain System � 080 Revisions/Info routed to PE 9/20/2006 DONE DEB Compaction report received and routed to Rick Bolen. i `" , ' • 205 Footing 9/14/2006 PASS RB 036538 -01 503- 260 -4813 VM - Y tv 205 Footing 9/13/2006 FAIL RB 036462 -01 — 503- 332 -3857 — VM - N —160 120 Revisions apprvd/routed to PT 5/10/2006 APRV BSB revised floor plans 080 Revisions/Info routed to PE 5/1/2006 DONE DEB 3 sets of revised floor plans and 2 sets of eng calcs. 280 Issue permit 2/13/2006 DONE DEB 460 Return to "R" status 2/10/2006 DONE DER CWS letter submitted, OK per Sue Ross regarding moving permit. 240 Post - review completed 2/8/2006 DONE DER Need plbg. & elect. contractor info. 420 HOLD for (see note) 2/8/2006 HOLD DER Need moving permit from Sue Ross & CWS permit before issuance. Applicant notified. 110 Approved plans routed to PT 2/7/2006 DONE CW 100 Building plans approved by PE 2/6/2006 APRV CW 080 Revisions/Info routed to PE 12/30/2005 DONE DER Engineering calcs. 070 Revisions /Info requested 12/12/2005 DONE CW See plan review letter for details. 065 Begin plan review 12/9/2005 DONE CW 050 Site plan revwd/route to PT /PW 11/28/2005 DONE DEB 060 Building plans routed to PE 11/28/2005 DONE DEB 030 Check for parcel tags /CWS 11/23/2005 DONE DEB CWS letter received at submittal. 010 Application received 11/23/2005 RECD DEB 1 oft CaseActivityShortFomupt CITY OF TIGARD BUILDING DIVISION PERMIT #: MST 2(105 0343 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/13120V; Phone: (503) 639 -4171 r Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1213/2007 TIME: 7,00MA PAGE: 9 SITE ADDRESS: 15990 SW 133RD AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: NUESS DESCRIPTION: Move existing house onto in -fill lot, add garage and s:.econd 5tory I L , _ A )DIN`S TEMP EEC. SERVICE. OWNER: NU .SS, 1+R!i! LIAM PHONE #: 503-332-385/ CONTRACTOR: CASCADE PACIF IC DEVELOPMENT LLC PHONE #: f303-332--3857 Inspection Request Scheduled For: Date: 1213/2007 Pour Time: Code # Inspection Description ,edntirrrt # Contact # Message 110 Temporary electrical s.e+vkc: 7 080668-01 X3 329.5853 N tit Corrections /Comments /Instructions: — — SS I PARTIAL APPROVAL ❑ CANCEL (l NO ACCESS ❑ FAIL I I CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: 1 v ():?:• Date: 1 Phone #: (503) 718- 1L 4 • CITY OF TIGARD BUILDING DIVISION PERMIT #: I+AS1 J00 .003 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: : 1' 2 0;; Phone: (503) 639 -4171 �ypi l i l i ' h Inspect Requests (24 Hrs.): (503) 639 -4175 ...' �' INSPECTION WORKSHEET FOR DATE: 111301007 • TIME: 7 :00A„M,M PAGE: 13 SITE ADDRESS: 15990 SW 133RD AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: Nut---, DESCRIPTION: Move witting house onto in -fill lot, oM garage and second story. 11128/01, ADDING FE.;MP NLC. SERVICE. OWNER: NU£ ` S,' !U LIAM PHONE #: 503-332_38c? CONTRACTOR: CASCADE `CAD PAS IF IC DFVf t.OPMFNT [IC PHONE #: 503-332-38ti7 Inspection Request Scheduled For: Date: 11/30/209/ Pour Time: Code # Inspection Description Confirm # Contact # Message 1 it Terripocary electrical sf rvice 060583 -01 503 329- 13 N Corrections /Comments /Instructions: A 4 PS 61 o' O G 1.. *_ : 1. f0.3 6 2 c\tca Q . k_ O k (1, \)Iit;t SAND IA v7 Q CON ti - I - # G-cztu � t--S 41n6 cAN.Z. M w. A4- WO . `30 . (., S e .,\11 -. r NV:ig 6* cztTLITEE 4%4 boba. 11441 b pct A`i ivev. 1 1 c). 3 () (iA) I I PASS ❑ PARTIAL APPROVAL ❑ CANCEL Li NO ACCESS I I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G- , 1\)66 1 ' Date: «l 30109 Phone #: (503) 718 - � -4 CITY OF TIGARD BUILDING DIVISION PERMIT #: , f ?0055 -00393 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/1/: 0h. Phone: (503) 639 -4171 // ix�iiJ4 j + Inspection Requests (24 Hrs.): (503) 639 -4175 __.. INSPECTION WORKSHEET FOR DATE: 1 TIME: 7 :00AM PAGE: 77 SITE ADDRESS: 15%Q SW 133RD AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: NI DESCRIPTION: Moe existing house onto in - fill lot, add garage and second story. OWNER: NUESS, WILLIAM PHONE #: !x03332 - 3t3f 7 CONTRACTOR: CASCADE +'C:ADE PACIFIC DEVELOPMENT L I 0 PHONE #: 603.332.3867 Inspection Request Scheduled For: Date: 111fit7 ); Pour Time: Code # Inspection Description Confirm # Contact # Message I W Temporary electrical service M9019-01 01 503-32 8f 3 N Corrections /Comments /Instructions: WI f . P .. iNktv i sil f & W Ga-K, ftr1ti0.. t p CAU off° 11roa.. (�t 5f ► 4i�� . PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS •►i` FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: `'+ Ua Date: Phone #: (503) 718 -.., .- <---.._\, I • ii r e al • � A L 3T � � L i � N U ■ \ /01, 'vt ■ Ilk 61 Al Fil T ~ a I ti 11 , ___ ._,..____ - ' - ' --------- -----/-z,;//4„,,,,,../ /,/, is . , ,,< , ,,,t„. , ,/ .„, �v kir",,,,,u 10 4 4, 4 0‘. -wir „. . , - 1 c z `C7 //, ' AA, ■ / 4 ' V ---(----, 0 ,,,,,,10,..;:z: ' � ' 'N LOW TOP 1 i � \ '2 ,%- CND v �° �� if P \ P EAL ' wiTrillt-L7 111111111 rjIMIIIIIIIIIII imp AI& MIEN ii .M.TIG l gram- . � � =lIIIi 11 1 '� 1 sF x v ii IT 1111■ .� 11111 -: -- Q a R 53 � „� 111111111 .. lit —� S CE 11111 /1 �� • � j1 pm �� aril 53 Iwo 1■1111110 111 11:= - :?— � tams �1 .�'� • is w ter► Elm No ;;pa �'� , vow owl H W E X1111111 I } ' - - co � Q N WAY Z; . - � s -- h- -1 � i , 1 1 ' '\ _ 0 � 1 -- a i i�l� "��i -1 i lj � � �� 1'u� - il i 1 1 i I I Ti � I I _ _ I ? - CITY OF ��ou m ��m TIGARD . BUILDING DIVISION PERMIT #: hAS F288w3W3 13125SVV Hall 8lvd, Tigard, ORO7223 DATE ISSUED: 2/\; Phone: (503) 639-4171 Inspection Requo�u(24Hmj:(503)O3Q'4175 �� ^ INSPECTION WORKSHEET FOR DATE: 2K17/2007 TIME: 7:01AM PAGE: 17 SITE ADDRESS: i6E90 [W133ROAVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: NUESS DESCRIPTION: Move existing house onto in-fill lot, add garage and second stoi. OWNER: NUESS PHONE #: 603-332-3851 cONTRACTDR: CASCADE PACIFIC DEVELOPMENT LLC PHONE #: 583'332-3857 Inspection Request Scheduled For: Date: 0/1712007 Pour Time: Code # Inspection Description Confirm # Contact # Message 305 F1urUhingUnders|ah 054240 01 583-329'5853 il Corrections/Comments/Instructions: • �� PASS PARTIAL APPROVAL I | CANCEL I I NO ACCESS FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: (1 i y»-4~�) .\ \ t �~~.4-- Date: C-//-1 I 0 r 7 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION ( PERMIT #: IMtST20(r5 -0031 3 E 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2.117:12;4:: Phone: (503) 639 -4171 _' "ryP ' I d � Inspection Requests (24 Hrs.): (503) 639 -4175 .."' ",, - -`'I .. INSPECTION WORKSHEET FOR DATE: 8/15/2007 TIME: 1.00AM PAGE: 3 SITE ADDRESS: 15990 SW 133RD AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: NUESS DESCRIPTION: Move existing house onto in -fill lot, add garage and second .iory. OWNER: NUESS. WILLIAM PHONE #: 503.3'!2 3057 CONTRACTOR: CASCADE PACIFIC DEVELOPMENT LLB : PHONE #: 5Q3- :332 - 3136/ Inspection Request Scheduled For: Date: 8/15/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 330 Water service 054055.01 503-329-5853 l Corrections /Comments /Inst uctions: , if - 5a--- • c «t ■ , PASS ❑ PARTIAL APPROVAL I I CANCEL NO ACCESS • FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED ' 27/ Inspector: Date: ( 1 c/ #: 503 718- p Date. ) CITY OF TIGARD BUILDING DIVISION PERMIT #: M ST2O0- O0:t93 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/1' ° 2 ^�31 ' Phone: (503) 639 -4171 ��qt ''�� ' Inspection Requests (24 Hrs.): (503) 639 -4175 -�#!ki °__.. INSPECTION WORKSHEET FOR DATE: 8/1512007 TIME: 7 :00A.M PAGE: 4 SITE ADDRESS: 15990 SW 133RD AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: NUESS DESCRIPTION: Move exiting house onto in -fill lot, add garage and serrond ;tort' OWNER: I MESS, Wit.LIAM PHONE #: 503332 -3851 CONTRACTOR: CASCADE ADE PACIFIC DEVELOPMENT LL.0 PHONE #: ma 3 32° '38r.i7 Inspection Request Scheduled For: Date: 8115f 11 Pour Time: P q �( Ok i {� Code # Inspection Description Confirm # Contact # Message e 0. Numbing underslab 064054 0 I 503 -32 %•5853 Y ! c Corrections /Co /In uctions: / ' )1 te--eL ci v I I PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS AFAI4 I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: 1✓ (d Date: W' 6 ? Phone #: (503) 718- L1 CITY OF TIGARD BUILDING DIVISION A, PERMIT #: MST20(Y)-00393 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 2/1 Phone: (503) 639-4171 7 ,eivith Inspection Requests Requests (24 Hrs.): (503) 639-4175 .4N. ■ IL INSPECTION WORKSHEET FOR DATE: 8/10/2007 TIME: 7:00AM PAGE: 62 SITE ADDRESS: 15990 SW 133RD AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: NUESS DESCRIPTION: Move existing house onto in-flit lot, add garage and second story OWNER: NUESS, MUM, PHONE #: 603-332-3051 CONTRACTOR: CASCADE PACIFIC DEVELOPMENT LLC PHONE #: 5 3:32 3 857 Inspection Request Scheduled For: Date: t.3/100007 Pour Time: Code # Inspection Description Confirm # Contact # Message SOS Sanitary sewer 053756 503-329.5053 N Corrections/Comments/Instructions: 1 " 1 / ,.... KO Ci 11 / g s-: / I 0,S 3 6,3 (-1 9 PASS I I PARTIAL APPROVAL I CANCEL 0 NO ACCESS I I FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: crt, 1-ya.),,-;) I , Date: ili b / 0 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: M =1200 -00393 13125 SW Hall Blvd., Tigard, OFD 97223 DATE ISSUED: 211312V Phone: (503) 639 -4171 ta�pi oil" i f� Inspection Requests (24 Hrs.): (503) 639 -4175 '' ., INSPECTION WORKSHEET FOR DATE: 7/2/n007 TIME: 7 03AM PAGE: 03 SITE ADDRESS: 15990 SW 133RD AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: NUESS DESCRIPTION: Move existing house onto in -fill lot, add garage and second story. OWNER: NUESS, WILLIAM PHONE #: 503-332-3867 CONTRACTOR: CASCADE PACIFIC DEVELOPMENT LLC PHONE #: 503332.857 Inspection Request Scheduled For: Date: 7/27/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message ,-.-..L6 Rain drain 052852.01 503 - 329.5853 N Corrections/Comments/Instructions: ... 4) .„.t.A.: _ v„__ && ";, d-,,r--' - .e_G-A-c-4.,-N‘ ,,T ca) e_ .? te S (N 6 . .: ci,<__Ar_le-e. e...e-y---c s hf,.___ge— . -( ( , I I PASS PARTIAL APPROVAL I I CANCEL I I NO ACCESS ❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: t- 45 Date: 77Z (6-7 Phone #: (503) 718- 7 -' ‘ i l I. CITY OF TIGARD BUILDING DIVISION / PERMIT #: , F 003':13 13125 SW Hall Blvd., Tigard, OR 97223 ' ) DATE ISSUED: 2' i J 3)( . Phone: (503) 639 -4171 '''� H IIt" I i '� / Inspection Requests (24 Hrs.): (503) 639 -4175 I ,. INSPECTION WORKSHEET FOR DATE: 11/16/2007 TIME: 7 :01AM PAGE: 70 SITE ADDRESS: 16990 SW 133RD AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: NLJISS DESCRIPTION: Move existing house onto in -fill lot, add garage and Second Corr. OWNER: .JE = a, Wit LIAM PHONE #: 503 - .332 - 313' CONTRACTOR: CASCADE PACIFIC DEVELOPMENT LLC PHONE #: :,03-332-361:7 Inspection Request Scheduled For: Date: 11/1/2017 Pour Time: Code # Inspection Description Confirm # Contact # Message AO ,°xterior :heathinq 069496-01 603-329 N Corrections /Comments/ Instructions: -- D---e.: ,,i ) \,--\ "...' C.— 9A42 ---€ 5 - Loz c t PASS 1 ( PARTIAL APPROVAL ❑ CANCEL U NO ACCESS n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED ` Inspector: Date: ' ( r Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: M1;:?0 { ?F1ij'i` 411114, 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2113/260E Phone: (503) 639 -4171 40441 ii il Inspection Requests (24 Hrs.): (503) 639 -4175 °T _ _ .. INSPECTION WORKSHEET FOR DATE: 10/1 wow TIME: 7:0 IAIMI PAGE: 70 SITE ADDRESS: 1599(1 ` \.'V 1 33RD AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: 1 }It_)f=:;5 DESCRIPTION: Plioie exitting house onto in -fill lot, add garage and second toryF. OWNER: NUE a *, WILLIAM PHONE #: tr j3 3323U7 CONTRACTOR: CASCADE' PACIFIC DEVELOPMENT LW PHONE #: 50 Inspection Request Scheduled For: Date: 1O /18 /2007 Pour Time: 9:0 Code # Inspection Description Confirm # Contact # Message 220 if‘ lab 057819 -01 503 N Corrections /Comments/ Instructions: PASS I I PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS ❑ FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED VCA Inspector: 0 v Date: v 1 ` C Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: I `t ';t t) .01.)393 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Fi 3f: c)o Phone: (503) 639 -4171 1 , +� Inspection Requests (24 Hrs.): (503) 639 -4175 ° '� INSPECTION WORKSHEET FOR DATE: 1Ot1WON TIME: 7.G AM PAGE: 62 SITE ADDRESS: M990 SW 133RD AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: Ntjtwc DESCRIPTION: love existing house onto in - fill tot, add grarage s d sec nd store OWNER: Ntlt:RS . WILLIAM PHONE #: {)3 - 387 CONTRACTOR: CASCADE PACIF IC F VF 1 OPMENT LI_C° PHONE #: 503. 332-3657 Inspection Request Scheduled For: Date: 10/1 2001 Pour Time: 1 I:00 Code # Inspection Description Confirm # Contact # Message 2O) Footfall 0672E_ 0 503 329-5663 N Corrections /Comments /Instructions: ----- ma c ��z a- , 1 , 1(17,pe-c__0 PASS I I PA'TIAL APPROVAL n CANCEL NO ACCESS I I FAIL w ALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: / Date: ` Phone #: (503) 718 - ■ CITY OF TIGARD BUILDING DIVISION PERMIT #: iv = ' °a° .0;;r; 3 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: )/ (2t , Phone: (503) 639-4171 NAt N j / L Inspection Requests (24 Hrs.): (503) 639 - 4175!x- 'LL INSPECTION WORKSHEET FOR DATE: q ?/i2007 TIME: 7 {)At PAGE: 3 SITE ADDRESS: 15990 `w 133RD AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: NU FSS DESCRIPTION: M existing house onto in -fill lot, add garage and :second story. OWNER: Nu€ :3S, WILLIAM PHONE #: rAy5.. 337-3857 8r 7 CONTRACTOR: CASCADE' PA {. IHC DEVELOPMENT f.l.E PHONE #: .501-r- 33 '>tM3:'_ 1 Inspection Request Scheduled For: Date: w27/2007 j 3 it Pour Time: % \' 10 :00 Code # Inspection Description Confirm # Contact # Message 220 Slab 0b648OEO1 503-329-58E3 N Corrections/Comments/Instructions: PASS I I PARTIAL APPROVAL I 1 CANCEL NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: (PL__------- . Date: 9/17 4 7 Phone #: (503) 718- 2 CITY OF TIGARD BUILDING DIVISION (- -- , ....„: PERMIT #: MST2005-0039 ( 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2,130006 Phone: (503) 639-4171 LL V ' Inspection Requests (24 Hrs.): (503) 639-4175 ...,.34- INSPECTION WORKSHEET FOR DATE: 711 912007 TIME: i:0?,At`rA PAGE: 63 SITE ADDRESS: 15990 SW 133RD AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: NUESS DESCRIPTION: Move existing house onto in-fill lot, add garage and sera stori. OWNER: NUESS, WLLIAM PHONE #: 503.332-3857 CONTRACTOR: CASCADE PACIFIC DEVELOPMENT LLC PHONE #: 503-332.3051 Inspection Request Scheduled For: Date: 7/19/2007 Pour Time: 2:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 052333.02 503-758-3930 N Corrections/Comments/Instructions: Cril22'e Ct/C"- /— 6 \e-e--t - A---.(---f - 1- PASS I PARTIAL APPROVAL EI CANCEL I I NO ACCESS FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED I■a e?----- I Inspector: Date: Phone #: (503) 718-#2)(2d CITY OF TIGARD BUILDING DIVISION / PERMIT #: 1v181"20V4-00393 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/1Y:1006 Phone: (503) 639-4171 /4449 0100\ _AI, il t."-------- Inspection Requests (24 Hrs.): (503) 639-4175 .,.,,. - -A -.., INSPECTION WORKSHEET FOR DATE: 7/19/2007 TIME: 7:03AM PAGE: 54 SITE ADDRESS: 16990 SAI 133RD AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: NUESS DESCRIPTION: Move existing house onto in-fill lot, add garage and second story. OWNER: MESS, WILLIAM PHONE #: 503-332-385/ CONTRACTOR: CASCADE PACIFIC DEVELOPMENT LLC PHONE #: 503 Inspection Request Scheduled For: Date: 7/19/2007 .s /. Pour Time: Code # Inspection Description Confirm # Contact # essage 105 Footing 052333-01 503-75B3936 ----Y---' t, Correct ns Comments/Instructions: o qi 51e,6( a,(, eft- ,g- I4PASS , I PARTIAL APPROVAL 0 CANCEL I I NO ACCESS FAIL I ] CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED .—--- D ate: •Vk C ( ". Inspector: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MS [' ;hit 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/1 -u2006 Phone: (503) 639- 4171*4,1y�i �')'/ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 91:Y6,2006 TIME: 11 3.4P PAGE: 2 SITE ADDRESS: 1f7,40 « 133RD AVE` CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: Nt . -;: DESCRIPTION: Move cxisRmg house onto in - fill lot, add garage: and second si OWNER: t'i§ tt : S, WILLIAM PHONE #: 603 ..; f - i CONTRACTOR: CASCADE S zADE `ACh I C l »''VI L OPMENT LIC PHONE #: Q3,-3 :'Q : 3857 Inspection Request Scheduled For: Date: 91:9000t Pour Time: 11:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation wall;:. 037194-01 03 -33/ -3857 Corrections /Cot /Instructions: ,� ,� .. /v/4-- LT1 - -- - .c... 7, 6 t ,,,,, �ff ti t � c: --r•�. k el t+ R i . t5'�� I � � � .. - 1 i 4, , i __ c ' *4,, i ) t, _ - - ,.. .› c-4-9.-.."4---\ - 6- ' 7 ,- fr , - it . ' ..4 Law .._ 7 . PAS - S - ' I I PARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL F I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: ( 1. , 4 / Phone #: (503) 718- Z' 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MS'T2005- 00 :.93 13125 SW Hall Blvd., Tigard, OR 97223 i ./ ...... DATE ISSUED: ?113/200(.; Phone: (503) 639 -4171 A. Ate ,, i � + � Ir . Inspection Requests (24 Hrs.): (503) 639 -4175 AL. INSPECTION WORKSHEET FOR DATE: 7/15/2007 TIME: '7 t3 AM PAGE: 43 SITE ADDRESS: 15990 SW 133PD AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: NUESS DESCRIPTION: Move existing house onto in -fill lot, add ;;: -rage and second story. OWNER: NI. lESS,WILLIAM PHONE #: 503332 -305/ CONTRACTOR: CASCADE PACIFIC DEVELOPMENT LLC PHONE #: 503332-385' It 1 I L l. Inspection Request Scheduled For: Date: 1/1&2 7 Pour T' P q _QC) Code # Inspection Description Confirm # Contact # M sage j 255 VVtt proofing basement waIIy 062011-01 503332-3867 Y , l I Corrections/Comments/Instructions: P ASS I I PARTIAL APPROVAL ❑ CANCEL ( I NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Iv L Inspector: Date: I / I 0 Phone #: 503 718 - p f � ) CITY OF TIGARD BUILDING DIVISION PERMIT #: ms1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ?/? ,l1 Phone: (503) 639 -4171 Pl i i.L Inspection Requests (24 Hrs.): (503) 639 -4175 irt .. INSPECTION WORKSHEET FOR DATE: 9/14/.,N)06 TIM 7 00Alyi PAGE: lc, SITE ADDRESS: 16,;490 sw 133RD AvE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: NHESS DESCRIPTION: Move existing house onto in - fin lot, add are and second stork OWNER: NUESS, WILLI PHONE #: 603-3323857 CONTRACTOR: CASCADE PACIFIC D>" VEL(PME F LLC PHONE #: 503332 33 3857 Inspection Request Scheduled For: Date: 8114/200 € -, Pour Time: g:f Code # Inspection Description Confirm # Contact # Message 205 Fooling 036638 - 01 503-- 260 V yi Y Corrections /Comments /nstructions: A (\ 0 a,,,, _ T Q Q w ,,, ,,r(, \erL & ' D '.2 64 7 ; 7 S"---7"--- V 4 cJ .i-v.c . ti \PASS I I PARTIAL APPROVAL I I CANCEL I I NO ACCESS I FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED tc Inspector: Date: V `/ Phone #: (503) 718- - %1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MS ',005 1O:3m 13125 SW Hall Blvd., Tigard, OR 97223 �r� DATE ISSUED: ,j17:v ?O •, Phone: (503) 639 -4171 4,111 ,�� Inspection Requests (24 Hrs.): (503) 639-4175 ∎ 11� INSPECTION WORKSHEET FOR DATE: C i i"12 " • `°O?AM PAGE: / SITE ADDRESS: I,` ;tl SW 133D AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: Ntjl.=;:y DESCRIPTION: Move existing house onto in -fill lot, add garage and second atoms OWNER: NUESS, WILLIAM PHONE #: 503 3'32.3857 CONTRACTOR: CA SCADE PACIFIC DEVELOPMENT LLC PHONE #: 503-3P-3857 ) Inspection Request Scheduled For: Date: g11 i Pour Time: i' Code # Inspection Description Confirm # Contact # Message ( i':, Footing 036462-01 503~332.3857 • �� c Corrections /Comme s /Instructions: V —t b �,' _sti lh J r t. ` ■ Ow ___ - V)) 71.\''")e (.5 .3,__,vk JA),,e_ A '' r Q a \____ �r . 9 PASS I J PARTIAL APPROVAL I I CANCEL I NO ACCESS AIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED t Inspector: Date: ('/I3(0 Phone #: (503) 718- -- z_L z ECEIVED FILE COPY CITY OF T - SITE PLAN REVIEW 4- .; X005 • BUILDING PERMIT NO.: j &O -.gt N O �{ G .. PLANNING DIVISION: R -7 // CITY OF f i6 /-0- Required Setbacks: ,Ei Approved ❑ Not Approved / BUILDING IV St N I Side: _ Street Side: _I % Front. 15 Garage: o Rear: 1 Visual Clearance: CEt Approved ❑ Not Approved Maximum Building Height LA-fa feet / ('WS Service Provider Letter Required: 0 Yes y Na ❑ Receiv 13, : 91.t.4-- 0. ('c u w Date: r 7 i - - vS ENGINEERING DEPARTMENT: / Actual Slope: 1� % Approved ❑ Not Approved i Site Plan:, St Approved ❑ Not Approved i 1 - By: Date: i Notes: "�1 u - cLatc c1n �t,-ti. .-v 2 c .t :v, - / s o 0 i ' e e j o z85 2a� GRAD1 EROSION COWI � ,. PLNI I 5 �� 7 1=6:04, �V\ NA Z % 1 0 � t C. 0 00 (aO., s � 1 �3 �� ¢� \\ ' 5 84D;44�0� E • "1 ' — --- 11\4.- , 7 c 1�,t.E 1 O — , 5 ,,�.J'�' � �,� 285 �,;�. � '" � ' -- .1113 4 d 2,5 ,4v _ 3 � �� n —, 280 - ��:- �/>�r��i ;� 9 V ✓ It) a i 1 ISUS 6 0 - - 215 .k � t a it. , ...- - - - CONST>`.UIG`C -47(7. LE OF Sll7 �1GE / ,1 111111111 1 1 9 , '" ► _ % _.pt op..T0 ANY SOIL. DISTUt2l!3. KIC-E / / -.I ...17..;_,N11. 16:-.4111410.101:1g4/114010.... '03 / a mm — _ — - - -tC.ES ( % 210 5541)E654‘°°. 84 g0 4�' _ __- - - ,_/ • . _ _ -- / W �� L _ _ — i= B END RC ______------- - F1LF Po" i I 2 (�- .Y City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 October 30, 2008 TIGARD William A. Nuess, Owner Cascade Pacific Development LLC, Contractor PO Box 5961 PO Box 5961 Aloha, OR 97006 Aloha, OR 97006 RE: Permit MST2005 -00393 for 15990 SW 133r Avenue This letter is notification that the referenced permit for the work at the above address has not received a final inspection. Since more than six months has elapsed with no inspection activity, it is assumed that the work has either been suspended or abandoned and this permit will be expired by limitation as provided in Section R105.5 of the Oregon Residential Specialty Code. Since this property is in Washington County's jurisdiction, you must make arrangements with that building department to complete this project under and active permit. The City of Tigard cannot re- instate or renew this permit, as we cannot accept payments of any type for work in the county. The plans and inspection documents up through December 3, 2007 will remain on file in our Building Division Records Section for a period of two years. Copies of these documents can be requested during that time. All fees and charges, other than those for this permit, have already been submitted to the appropriate jurisdictions per intergovernmental agreement. No portion of the permit fees is refundable. If you wish to continue this project, please make arrangements with Washington County. If you have any questions about the permit or its status, please call Jeanne Temple in our office at 503 - 718 -2433, Monday — Friday, 7:00 a.m. to 3:00 p.m. Sincerely, I / Darrel "Hap Watkins Inspection Supervisor cc: Property File Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard or.gov • TTY Relay: 503.684.2772