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Permit CITY OF TIGARD MASTER PERMIT PERMIT #: MST2004 -00262 ��, DEVELOPMENT SERVICES DATE ISSUED: 10/22/2004 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10260 SW 90TH AVE PARCEL: 1S135AA-07400 SUBDIVISION: PACIFIC CREST PARTNERS ZONING: R - 4.5 BLOCK: LOT: 002 JURISDICTION: TIG REMARKS: New SF BUILDING REISSUE: BH2484H STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,226 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,258 sf GARAGE: 654 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THRD: sf RIGHT: 5 VALUE: 246,17740 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 2,484 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: ' VENT FANS: 4 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FOR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 5 201 - 400 amp: 201 - 400 amp: 1st W/O SVCIFDR: 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- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEWSECTION 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: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 8,454.99 BEACON HOMES NW, INC BEACON HOMES NORTHWEST This permit is subject to the regulations contained in the 67TH (151251) Tigard Municipal Code, State of OR. Specialty Codes 12703 SW and all other applicable laws. All work will be done in TIGARD, 67TH H AVE AV (1512 1) SW 67TH TIGARD, 6 H AVE AV accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. Phone: 503 - 570 - 2282 Phone: 503 - 570 - 8828 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Reg #: LIC 151251 rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Ersn Cntrl 681 -4444 Post/Beam Mechanical Plumb Top Out Gas Line lnsp Water Line lnsp Plumb Final Sewer Inspection Underfloor insulation Electrical Service Gas Fireplace Water Service lnsp Building Final Footing lnsp Crawl Drain /Backwater Shear Wall lnsp Insulation lnsp Appr /Sdwlk lnsp Foundation Insp PLM /Underfloor Exterior Sheathing ins F Rain drain Insp Electrical Fin - Post/Beam Structural Mechanical lnsp Low Voltage Storm drain lnsp Issued By : 7 T SL€ Permittee Signature /_ A Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the n business day CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE TIP TOP PLUMBING 2193 PARK AVE NE SALEM, OR 97303 Plumbing Signature Form Permit #: MST2004 -00262 Date Issued: 10/22/2004 Parcel: 1 S135AA -07400 Site Address: 10260 SW 90TH AVE Subdivision: PACIFIC CREST PARTNERS Block: Lot: 002 A Jurisdiction: TIG Zoning: R -4.5 Remarks: New SF Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Division. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: BEACON HOMES NW, INC TIP TOP PLUMBING 12703 SW 67TH AVE 2193 PARK AVE NE TIGARD, OR 97223 SALEM, OR 97303 Phone #: 503 - 570 -2282 Phone #: 503 - 881 -6724 Reg #: LIC 160062 PLM 24 -417PB AN INK SIGNATURE IS REQUIRED ON THIS FORM / X //./� �.�.. Signature of Autho z-• Plumber If you have any questions, please call 503.718.2433. CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE CONNECTIONS ELECTRIC PO BOX 7136 SALEM, OR 97303 Electrical Signature Form Permit #: MST2004 -00262 Date Issued: 10/22/2004 Parcel: 1 S135AA -07400 Site Address: 10260 SW 90TH AVE Subdivision: PACIFIC CREST PARTNERS Block: Lot: 002 A Jurisdiction: TIG Zoning: R -4.5 Remarks: New SF 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: BEACON HOMES NW, INC CONNECTIONS ELECTRIC 12703 SW 67TH AVE PO BOX 7136 TIGARD, OR 97223 SALEM, OR 97303 Phone #: 503 - 570 -2282 Phone #: 503 - 390 -7914 Reg #: LTC 65444 ELE 24 -248C SUP 3611S AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of upervising Electrician If you have any questions, please call 503.718.2433. L�1 /I 6.. Building Permit Application 4 FOR OFFICE USE ONLY City of Tigard CEIV D _ � 3 y �� Permit No.: 13125 SW Hall Blvd., Tigard, OR 97/3E Plan Review D , � � . � b Phone: 503.639.4171 Fax: 503.598.1960 ��° "d,� I `` Date/By: r1 ,q j / 1, — /C3'v Other Permit J ,�� y Inspection Line: 503.639.4175 SEP P O 9 41- 'I I,� Date Ready/3y: j ® See Attached Checklist for Internet: www.ci.tigard.or.us JL Notified/Method: /P 6 q ' )( Supplemental Information CITY OF TIGARD NVI ' 44 12EQ 'tj IRED DATA 4 -AND 2- FAMILY DWELLING ® New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF ,C011 work indicated on this application. 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $250000 El Accessory building ❑ Multi- family Number of bedrooms: 3 ❑ Master builder ❑ Other: Number of bathrooms: 2.5 JOB SITE INFORMATION. AND LOCATION " Total number of floors: 2 Job site address: 10260 SW 90 New dwelling area: 2484 square feet City/State /ZIP: TIGARD, OR Garage /carport area: 654 square feet Suite/bldg. /apt. no.: Project name: Covered porch area: 46 square feet Cross street/directions to job site: BETWEEN OAK & LOCUST Deck area: 0 square feet Other structure area: 0 square feet REQUIRED DATA: taAI.4s ITCKLLST . Subdivision: Lot no.: , /'j Permit fees* are based on the value of the work performed. Tax map /parcel no.: 1 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. NEW SINGLE FAMILY RESIDENCE Valuation: $ Existing building area: square feet New building area: square feet PROPERTY OWNER OwMat 1, ❑ _T'ENANt Number of stories: Name: BEACON HOMES NW, INC. Type of construction: Address: 12703 SW 67 AVENUE Occupancy groups: City/State /ZIP: TIGARD, OR 97223 Existing: Phone: (503)570 -8828 Fax: (503)570 -8869 New: AP1 LICANT ? s ❑ CONTACT PERSON TICK _ , .;NCI ,�, •� ,�. : � , ... ', Business name: BEACON HOMES NW, INC. All contractors and subcontractors are required to be Contact name: DAVID DALBEY licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 12703 SW 67TH AVENUE jurisdiction in which work is being performed. If the City/State /ZIP: TIGARD, OR 97223 applicant is exempt from licensing, the following reasons apply: Phone: (503) 570 -8828 Fax: : (503) 570-8869 E -mail: ddalbey @BeaconHomesNW.com CONTRACTOR Business name: BEACON HOMES NW, INC. PERMIT FEES* BUILDING Address: 12703 SW 67TH AVENUE Please refer to fee schedule City/State/ZIP: TIGARD, OR 97223 Fees due upon application Phone: (503) 570 -8828 F : (503) 570 -8869 Amount received CCB lic.: 151251 Date received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: DAVID DALBEY Date: * Fee methodology set by Tri -County Building Industry Service Board. isBuilding \Permits0BUP- PermitApp.doc 12/03 440- 4613T(11/02 /COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY Clty,of Ti Received 9 ? PermitNo.419ravq' ce , 2 4 2 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 /i �nr 'uiF tl4 \ Date/By Other Permit: Inspection Line: 503.639.4175 . III ■ Internet: www.ci.tigard.or.us r __.. Date Ready/By: Axis : Supplemental See Page for g Notified/Method: �/s . Supplemental l Information p 90 n d x ,,` ; d113'41 � 'S:O$>E T3SE"F- AFCKL`IST ,,: max... �.� { �� 4 ❑ New construction ❑ Addition/alteration/replacement Mechanical petmit 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. 4 f:t: s g g eZ -__° -° a r . � . .: w°It a €� 4V Value $ ❑ 1 - and 2-family dwelling C =' $. W l ..... . . > T /;SY .S;FEMS RTES* y g ❑ ❑ Acc essory building El Multi-family ❑ Master builder For special information use checklist. ❑ O ther i ,� g� Description l Qty. I Ea. I Total S n 7' sE 4 s+.d ,` t y,4 -4 b ° a e 7 , t t 9 ; ' 3 t `� y h.,s , £ « . ,, _ i s« __ � s i a `� .:: r Heating/cooling Job site address: /0„9..6 4 O �( (/ - 1.1) Air conditioning or heat pump � (requires site plan showing placement) 1 4.00 City/State/ZIP: �c+ � ia Furnace 100,000 BTU (ducts/vents) 14.00 t Furnace 100,000+ BTU (ducts/vents) 17.90 Project name: Suite/bldg. /apt. no.: 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 j Subdivision: Lot no.: Flue/vent for any of above 10.00 • Other: 10.00 Tax map /parcel no.: Other fuel appliances ' :'armrr ? x ` a r' a s • ' _ ' ' ` 1 :_ . 1. t a ° e -. � . Wa ter heater 10.00 Gas fireplace 10.00 Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner /flue /vent 10.00 8 . } ; 7_ q z -. ` ... µ . ' ' A ', tZ Other: 10.00 .�_az3.5 st.� >� a.: �. d c.,. , .._ , . ._ -. _. 4- .':'...:?:2 . t , .� -_ ° _. .:� � � x �..;� + . .. Name: B cosi h es N w Environmental exhaust and ventilation Address: C.� Range hood/other kitchen equipment 10.00 City/State/ZIP: Clothes dryer exhaust 10.00 Phone: ( ) Fax: Single -duct exhaust (bathrooms, ( ) toilet compartments, utility rooms) 6.80 ._ - t om . / i, "`' � aa �� , . .. Attic /crawlspace fans 10.00 Business name: Other: 10.00 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 E -mail: , Fireplace Range girl" a �.. _ V � < : u B Clothes dryer (gas) Busint - Salem Heating - Other: Addre PO Box 12005 . .4r §,� , 5� -: f tai ` ��. e : sa ds,,,„„, city /s Salem, OR 97309 subtotal Phone 503 - 581 -1536 Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB h�.CCB 1505 State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized si a • / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ` �__ t 1, Date: lk 1y O y * Fee methodology set by Tri- County Building Industry Service Board i:\ Building \Pemuts\MEC- PermitApp.doc i2/03 440 -46I7T (I I /02/COM/WEB) ' Building Fixtures Plumbing Permit Application FOR OFFICE USE ONLY City of Tigard Date/By: ived co 9 Q Permit No.:NSr,,.,. -�� 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review P'I' Phone: 503.639.4171 Fax: 503.598.1960 Axin Other Permit No.: 24- Hour Inspection Line: 503.639.4175 , _.•. I 7ur Internet: www.ci.tigard.or.us L.. Date ed /Me Supplemental �� See Page 2 for Notified/Method: /Ka. upplementallnformation t. awc Wi t , 3 a A . a , K t i6i .. " �,�..,�:�. � rn � ue. � 3 :"� ,�' - ., " °...£4E � �x � s ❑ 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) f mss: 33 �_t a �?�4* 4,... , IK: SFR (1) bath 249.20 r A _ .. ❑ 1- and 2- family dwelling ❑ Commercial/industrial SFR (2) bath 350.00 ❑ Accessory building ❑ Multi - family SFR (3) bath 399.00 Each additional bath/kitchen 45.00 ❑ Master builder ❑ Other: Fire sprinkler ( , sq. ft) Page 2 lf , 7p'.c - 4 f' t,. ' A•7 - ® i ' ' d ,�."' �, "rr` :ff:4 Z::::`'. am :�' ,`, �:� .� °.. _ .,,. _ � Site utilities Job site address: 10 p 7 96 G C _ Catch basin or area drain 16.60 / / City/ State/ZIP: -� r O2 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.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 Subdivision: I Lot no.: Water service (no. linear ft.: ) Page 2 Fixture or item Tax map /parcel no.: ,„ ; , „ Absorption valve 16.60 2s a .Ci_ ?,±fir;_ _ .'= v-�,__ Backflow preventer Page 2 Backwater valve 16.60 Clothes washer 16.60 Dishwasher 16.60 .r ` -� 4 . . , s :" 4'1 , $ ` > .1:',;-4;.,A,`,•4 � Drinking fountain 16.60 te ' .. . ' , ._ _ ` '3-.W4 _ a . .a . *1 ^ � . ° .. sue - E /sump 16.60 V r '�• Name: t i . �" 1 Expansion tank 16.60 Address: V "' Fixture/sewer cap 16.60 City/ State/ZIP: Floor drain/floor sink/hub 16.60 Phone: ( ) Fax: ( ) Garbage disposal 16.60 = zv t vv - Hose bib 16.60 ;V : _ -''s'.)'' ..." .-, ._u °s ' ' �5 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: ( ) I Fax:: ( ) Sink/basin/lavatory 16.60 Tub /shower /shower pan 16.60 E -mail Urinal 16.60 q> Water closet 16.60 - r Tip Top Plumbing Water heater 16.60 2193 Park Ave NE Other: - Salem, OR 97303 Subtotal Minimum permit fee: $72.50 - 503 - 881 -6724 Residential bacicflow minimum permit fee: $36.25 _ CCB: 160062 PLM: 24 -417PB Plan review (25% of permit fee) State surcharge (8% of permit fee) Authorized signature: TOTAL PERMIT FEE 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. is\ Building \Pertnits\PLMF- PermitApp.doc 12/03 440- 46 16T(10 /02/COM/WEB) Electrical Permit Application FOR OFFICE USE ONLY City•of Tigard Datee/By: q 9 Permit No.:V ',T , , _6096 2 13125 SW Hall Blvd., Tigard, OR 97223 y B Pl an R eview Phone: 503.639.4171 Fax: 503.598.1960 / i;7 f1 I l' ` \ Date/By: Other Permit: Inspection Line: 503.639.4175 •1 „ Date Ready/By: Jeri+: H See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: ! '�.O Supplemental Information v, .�.,._ _... �.. �"�.. .s �.�� ?'a,,,.... ?a...r�....'?�.•.#_�r. ...� � i}!:!ka9dr. ,3 =�ni . . ._ . � � ..� - "; ", ❑ New construction ❑ Addition/alteration/replacement Please check a ll that ap ❑ Demolition ❑Other EService over 225 amps, comm'l ❑Hazardous location F W ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., _t � L ❑ 4 - W N WI - ''' : µ't i of 1- and 2-family dwellings 4 or more new residential ❑ 1- and 2- fami dwelling Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ❑ Multi-family ❑ Master builder ❑ Other ['Building over three stories [Weeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or �'� 0 4' t rl a a 5 ao s 6a� ,,_-__ RV ark � .� ❑Egess/lighting plan P Job no.: Job site address: 2� // ,,.., 4 ` F e- ❑ Health -care facility ❑Other: �°�((XJ d� / Submit 2 sets of plans with any of the above. City /State /ZIP:�ecp.2r O The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: f ct a ` 4 - `= �4~` ~ ".> ,..-a.-° • ' *• Description Qty. Fee. Total 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: Lot no.: Ea. add'1 sq. ft. or portion 33.40 1 Tax map /parcel no Limited energy, residential ` 75.00 2 Limited energy, non - residential 75.00 2 F , i . , L Ri b f y+t 1 q� : ,, t ; .5 � '�,.} �:t �,.�� _;�. �~�§. � - �0- :,>�?...'�.. a -�_- _ � " °.. � ?_� �� _� � �- � �� ,��._ � -"x� Each manufactured or modular dwelling, service and/or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 �' �<� .''''',w.-'-' Ss ' x '", t ri-- z, + 5 201 amps to 400 amps 106.85 2 t , w 401 amps to 600 amps 1 60.60 2 Name: as povi es �` w 601 amps to 1,000 amps 240.60 2 Address: t � Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State /ZIP: Temporary services or feeders installation, alteration, and/or Phone: ( ) 1 Fax: ( ) 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 3 r P-x i ` c �% : f.; 44'.; .,..;1. :, . ' l ` A. Fee for branch circuits with . , ", �- . 4 '. _ 5, ... . .,r -- , .._ . :. w_''''''' ' '' service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 Address: each branch circuit Each add'I branch circuit 6.65 2 City/State /ZIP: Miscellaneous (service or feeder not included) Phone: ( ) I Fax :: ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - Ax '� =' i �' % �7 +,. ;. - - "'' a t ener anel, alteration, or n ,.� •; :371.x+ ' ; f a 3 .`� f � �' * ` . ,� * ` gY P �.. ..'� `- .a. "., .� "` ` �� : extension. Descr Page 2 2 Bu3in n ame• j #'ilk Addr Connections Electric Each additional inspection over allowable in any of the above PO Box 7136 Per inspection 62.50 City/ Salem OR 97303 Investigation per hour (1 hr min) 62.50 Phon 503- 390 -7914 Industrial plant per hour ss 73.75 CCB CCB: 65444 ELC: 24 -248C SUP: 3611S I l - 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: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board •' Number of inspections per permit allowed. i:\ BuildingTermits \ELC- PennitApp.doc 12/03 440.4615T(10/02/COM/WEB r CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2004 -00262 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/22/2004 Phone: (503) 639 -4171 "'4 /hipillif Inspection Requests (24 Hrs.): (503) 639 -4175 ._' INSPECTION WORKSHEET FOR DATE: 4/28/2005 TIME: 7:24AM PAGE: 54 SITE ADDRESS: 10260 SW 90TH AVE CLASS OF WORK: SUBDIVISION: PACIFIC CREST PARTNERS LOT #: 002 TYPE OF USE: PROJECT NAME: PACIFIC CREST PARTNERS DESCRIPTION: New SF 11/10/04, ADDING NC OWNER: BEACON HOMES NW, INC, PHONE #: 503- 570 -2282 CONTRACTOR: BEACON HOMES NORTHWEST (151251) PHONE #: 503- 570 -8828 Inspection Request Scheduled For: Date: 4/28/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 005570-01 503 -407 -0580 N Corrections /Comments /Instructions: I I �: ' ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: ( 9P- Phone #: (503) 718 - CITY OF TIGARD • BUILDING DIVISION PERMIT #: MST2004 -00262 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/22/2004 Phone: (503) 639 -4171 �� I'IN Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/20/2006 TIME: 7:11AM PAGE: 22 SITE ADDRESS: 10260 SW 90TH AVE CLASS OF WORK: SUBDIVISION: PACIFIC CREST PARTNERS LOT #: 002 TYPE OF USE: PROJECT NAME: PACIFIC CREST PARTNERS DESCRIPTION: New SF 11/10/04, ADDING NC OWNER: BEACON HOMES NW, INC, PHONE #: 603 - 570-2282 CONTRACTOR: BEACON HOMES NORTHWEST (151251) PHONE #: 503-570-8828 Inspection Request Scheduled For: Date: 6/20/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 007393-03 503 -407 -0680 N Corrections /Comments /Instructions: C-e zgLi T L - 0 4 . 0 IN T 1 -1- 1 j i - ems ( ' a- tl 1 r- PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 5 �� ' �' I nspector: AkV Date: Phone #: (503) 718- CITY OF TIGARD • B 0 UILDING DIVISION PERMIT #: MST2004 -00262 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/22/2004 Phone: (503) 639 -4171 �i� ,,,,,,, i��,;,H��,ii�I�� Inspection Requests (24 Hrs.): (503) 639 -4175 __.. INSPECTION WORKSHEET FOR DATE: 5/20/2005 TIME: 7 :11AM PAGE: 21 SITE ADDRESS: 10260 SW 90TH AVE CLASS OF WORK: SUBDIVISION: PACIFIC CREST PARTNERS LOT #: 002 TYPE OF USE: PROJECT NAME: PACIFIC CREST PARTNERS DESCRIPTION: New SF 11/10/04, ADDING NC OWNER: BEACON HOMES NW, INC, PHONE #: 503 - 570 -2282 CONTRACTOR: BEACON HOMES NORTHWEST (151251) PHONE #: 503 -570 -8828 Inspection Request Scheduled For: Date: 6/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 007393 -04 503- 407 -0580 N Corrections /Comments /Instructions: Co (UZE c' So.NS .tutu. -0 1-- -0 J - Zq -0 Ce"v L6 -T . ['PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Pki Date: S -05 Phone #: (503) 718- /r 5T4 °v )-6" ► I STREET TREE C . . • • • • • • I , 4- G(1 kk(A/k , owner/ „gent for V)IFA-021\.) �'`'(, ` S 0. 4 (PLEASE PRINT) ► (PERMIT HOLDER) ► I R ECEIVED . a ► " • a ■ • Do hereb ;� ,4! ii, t' , _ � to e ' i h g location CITY OF TIGARD ► • fi t ; BUILDING DIVISION ► • meets it fo fµ : rd W ■ • � -, - :* e e on�ounty • land use and development standards for street tree installation. ■ ■ • • 1► A 100" lleiDDRESS: 10 -60 c,1/4.) a0+ /VE 1 tv 0 Q(- CGO • M. • • LOT: 2- SUBDIVISION: ic I N V 11,x' f Rwt S [P(1/4.-IFIc_ e QeST F "11-�r�S' ` � M. • • • • • BY: _ _ / i — DATE: 5 — 0 6 05 1'' • ► • ■ • RECEIVED BY: _ / ' 44-- ; • .� �I� ✓�.� DATE: A IYV♦ VY® TYVOVTTVVOVVVVV VVVY♦ YVVVVVVVVVV VVVVVVVVVVVVVVVVVVVV71k Fineview Partitions • -- MLP 2003 -00011 1. The screening that is required along the north property line of the flag pole next to tax lot '906' could be either a fence or vegetation. If the property owner of tax lot `906' agrees, a vegetative screen will be placed on that property, in the space between the retaining wall and the property line. Otherwise, a 6' -high wood fence will be constructed on the property line, as shown on the construction drawings 2. Street trees are required along the north side of the driveway, since the developer is not able to retain the six larger fir trees along the south side of the proposed driveway (within the flag pole area of MLP 2003 - 00012). However, because there is not enough room physically to create a suitable planter strip, the developer will plant 4 or 5 trees elsewhere on the site in lieu of the street trees. 3. The tree plan submitted with the application is adequate. 4. The developer will construct a sidewalk along the south side of the shared driveways, in flag pole area of the Parcel 1 created via MLP 2003 - 00012. MLP 2003 - 00012 1. The screening that is required along the south property line of the flag pole next to tax lot `1001' could be either a fence or vegetation. 7 ( - New street trees are not required because there is not enough room for both street trees and the sidewalk along the south side of the driveway. / 3. The tree plan submitted with the application is adequate. 4. The City will not require a fire apparatus turn - around. r ' _ 5. The developer will construct a sidewalk along the south side of the flag pole. There are also a couple items on the construction drawings that either were not specifically required, or that are different from our previous understanding. I have discussed these items with Craig Harris, LDC Design Group, and he concurs with the following comments: 1. Two street lights are shown on the construction drawings. These were not specifically required as a condition of approval, and normally street lights are edmurphy /boyden/fineview/mattfaz9 /12/08/03 2