Permit ® A CITY OF T I G A R D SITE WORK PERMIT
(ft DEVELOPMENT SERVICES PERMIT # : SIT2005 -00003
A. Ali 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED : 8/30/2005
PARCEL : 1 S135AA -AC001
SITE ADDRESS: 10390 SW 90TH AVE ZONING : R -4.5
SUBDIVISION: ASHBROOK CONDOMINIUMS LOT: 001 JURISDICTION : TIG
Project Description: Site improvements for 10390, 10420,10450,10480 SW 90.
CLASS OF WORK: NEW PAVING ?: • RESO. NO:
TYPE OF USE: SFA GRADING ?: VALUE: 60,178.00
EXCV VOLUME: 1,370 cy LANDSCAPING ?:
FILL VOLUME: cy SITE PREP ?:
ENG FILL ?: STORM DRAINS ?: Y
SOILS RPT REQD ?: N IMPERV SURFACE: 11,340 sf
Owner: FEES
RCM DEVELOPMENT Description Date Amount
8401 NE HALSEY ST #202 [BUPPLN] Pln Ck - Valu 3/3/2005 $345.13
PORTLAND, OR 97220 [FLS] FLS Pln Rv 3/3/2005 $212.39
[BUILD] Prmt Fee -Valu 8/30/2005 $530.97
Phone: 503 [TAX] Valu 8% State Surcharg 8/30/2005 $42.48
[ERPRMT] Erosion Cntl 8/30/2005 $80.00 .
Contractor: [ERPLN] Ersn Plck -CWS 8/30/2005 $26.00
[EROSN] Ersn Plck -COT 8/30/2005 $26.00
BRIAN CLOPTON EXCAVATION INC Total $1,262.97
P 0 BOX 509
WILSONVILLE, OR 97070
Phone: 503 - 682 -0420
REQUIRED ITEMS AND REPORTS
Reg #: LIC 50337 Ersn Cntrl 681 -4444
•
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance, or if 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 OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1- 800 - 332 -2344.
Issued By so7! J Gr !/J Permittee Signature: (7' / 4 -1 6.7 -
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.
O3?e4-1 of R o -1 o f
Site Work �w�'" !`� ,,,, . • root
Buildin P ApplieB i E I" `. _ t,. ,� w.,
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City of Tigard MAR 0 2 7005 � Received ,.
Date /By: �/0� L4 PermitNoJS /T2o�S -0() vo
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie �t
- Phone: 503.639.4171 Fax: 503.598.1960 Date /By: 3 - 7-9 -OS / f! 5 3 Other Permit:
Inspection Line: ,503.639.4175 CITY OF TIGA'. ' I� ' Date Ready /By:Q - l i X Juris: 0 See Page 2 for
E� ��
Internet: www.ci.tigard.or.uS BUILDING DIVISION Notified/Method: O / ` 1 /�i Supplemental
•
withri"; %; ,. ms s , , ?' %, :�: ,:� V .ira ,, '': Sir " "'•�':, "•i•
:: 'a= : " :, °�, < Y; ! P erm i t fees * 1
are based on the value of the work performed.
�. '::` .vTl' :OH': ";'4VO �;� =� f" aj: %
�`W?. EE ctio ° <,.- a:; a .;:.•.. .: •,. „ .;•: - ; ff« e ", .,. , -R •;,..",,.:.,. *'. °,:.:
LL ° ` ' '. " °""' Indicate the value (rounded to the nearest dollar) of all
"
❑ Demolition equipment, materials, labor, overhead, and the profit for the
❑ Addition/alteration/replacement ❑ Other: work indicated on this application.
;:: - a: ,,.,. , Valuation $ 22
�;4,. , .." CATEGORY O *.NSTRUCTION `,� .,
�Y,° >. ,.._.- ,b,.�,, .,.,, r ,. ,_A , ,z J
❑ 1- and 2- family dwelling ❑C Commercial /industrial Number of bedrooms:
L� Multi -famil X510 "�n�' Number of bathrooms:
El Accessory building y CC01400t st-ntUv^3
❑ Master builder ❑ Other: Total number of floors:
_, .? t ' S JOB_ STTE I4ORMATION AND LOCATION �� � New dwelling area square feet
Job site address: 10420; 10450 4. 10 '18o S\/ 903 4 3st4tke. Garage /carport area: square feet
City/State /ZIP: '"T I y As.e.c, 0Q_ 97723 Covered porch area: square feet
Suite/bldg. /apt. no.: -- Project name: 4Q1z,,,,K. 1.:��-4_ Deck area: square feet
Cross street/directions to job site: Other structure area: square feet
S W . 0 07..mUA 4 SW (5.6..e..____21-- i R 2EQ.UIRED DATA:"CO1VIlVITRCIAL'L?SE CIIECKT I ST
Permit fees* are based on the value of the work performed.
Subdivision: Lot no.: — Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
Tax map /parcel no.: 1 S i 3SAA L, - O42 -oo work indicated on this application.
Valuation: $
� ' � ,�; � D � 9 a ` � , � � � ation:
N£W laCES_) 0G11 V1+ /aL1.S A.10 'PE100.4.)C% Existing building area: square feet
NE ° 1 q - Ul v I T' / -1- - - Butt.Oly S / 12...—Stom µ•P1 AL CrE: New building area: square feet
Number of stories:
„,� , t . of construction:
� `; : ��Fr�PR4PERTX� QVVNER, �� , . ..,r.� ....� _ �'� ❑! i TErI � .. Type ruction:
Name: M A..T 12,1 sic Nl� MTe1J C>. Occupancy groups:
Address: Existing:
City/State /ZIP: AS
_QEA — New:
Phone: ( ) Fax: ( ) °r::, Via, x': •;.e ;n,. :., Fa_,,:,z,=°
° z €. /, ,, .' .,. -C A PL . -
ICAN'1 , ;. ,, .,�Aa`..,.,,°,N ,, *� ..: M1� C ONTACT � PERSON ..
-.... - .wra�> ., . s. ,� . � -..� . �� All contractors and subcontractors are required to be
Business name: MArrE X yW ,p¢Wo tT' Cow- licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Contact name: M2, *----,64joy r jurisdiction in which work is being performed. If the
Address: (Z'( 55 S \ el G tl' , + �tlENtA-E� �uTe 1T 100 applicant is exempt from licensing, the following reasons
City/State /ZIP: i�o�� �2 97 Zz3 apply:
Phone: (5 a ty Q Fax: : (S03) 598 - 8900
E -mail: --..
,
' r x BU ILDING PERMIT��FEES'Y- d 1<�
J n. _•,. � ��;�:, ,,, " i
Business name:
Address: 7 Q -30>c: SDI' Please refer to fee sched
City/State /ZIP: W .t \ 3 (jl \ - \ \-2.. !?1 70 7 Fees due upon application 53( .5 Z
Phone: ( J) 6 —oc42 -l� F ( ) 5' a�0 Amount received Alik CCB lie.: 63 Date received:
/
Authorized signature: I o."-....11, 1 W This permit application expires if a permit is not obtained /
Print name: Rat,x>) r Date: within 180 days after it has been accepted as complete.
_,F QUU2 „ tixvrE ,; y * Fee methodology set by Tri- County Building Industry
REED DATA: 1 ANVD 2 FAI ILY DWELLIN : Service Board.
i:\Buildin5,\ Permits \SIT- PermitApp.doc 12/03 • 440- 4613T(11 /02 /COM /WEB)
-
Main Office Salem Office Bend Office
P.O: Box 23814 4060 Hudson Ave., NE P.O. Box 7918
Tigard, Oregon 97281 Salem, OR 97301 Bend, OR 97708
Carlson Testing Inc • Phone (503) 684-3460 Phone (503) 589 -1252 Phone (541) 330 -9155
FAX (503) 684 -0954 FAX (503) 589 -1309 FAX (541) 330 -9163
Special Inspection
FINAL SUMMARY LETTER
May 11, 2006
T0509129D
City of Tigard
13125 SW Hall Blvd.,
Tigard, OR 97223 -8199
Attn: Building Department
Re: Ashbrook Condominium's
10390 SW 90 Avenue- Tigard, OR
Permit# SIT2005 -00003
Dear Sir or Madam:
This is to certify that in accordance with Section 1704.1.2 of the International Building Code, we have performed
special inspection of the following item(s) per our inspection reports only:
Structural Masonry
All inspections and tests were performed and reported according to the requirements of Project Documents and, to
the best of our knowledge, the work was in conformance with the approved plans and specifications, approved change
orders and applicable workmanship provisions of the State Building Code and Standards, as well as the structural
engineer's design changes, approvals and verbal instructions.
Our reports pertain to the material tested /inspected only. Information contained herein is not to be reproduced,
except in full, without prior authorization from this office.
If there are any further questions regarding this matter, please do not hesitate to contact this office.
Respectfully submitted,
CARLSON TESTING, INC.
Neil S. 62/614.4.A.AitA4A,
ann
Project Manager
NSS /ks
cc: RCM Homes Inc- Ron Lightner
J2K Engineering Inc- Kevin Clemo
CITY OF TIGARD , _t,„..
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' e
BUILDING DIVISION A . i 11 .
PERMIT #: SIT2005-00003
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/30/2005
Phone: (503) 639-4171 1"ilittip
Inspection Requests (24 Hrs.): (503) 639-4175 .4,14 t l....
INSPECTION WORKSHEET FOR DATE: 1/3/2006 TIME: 7:01AM PAGE: 68
SITE ADDRESS: 10390 SW 90TH AVE CLASS OF WORK:
SUBDIVISION: ASHBROOK CONDOMINIUMS LOT #: 001 TYPE OF USE:
PROJECT NAME: ASHBROOK CONDOMINIUMS
DESCRIPTION: Bldgs 1, 2, 3 & 4: Site work improvements.
Primary building addresses: 10480, 10450, 10420 & 10390 SW 90th Ave.
OWNER: RCM DEVELOPMENT, PHONE #: 503-251.916B
CONTRACTOR: BRIAN CLOPTON EXCAVATION INC PHONE #: 503-682-0420
(..-
Inspection Request Scheduled For: Date: 1/3/2006 Pour Time
-. 9.00
Code # Inspection Description Confirm # Contact # Message
205 Footing 024233-06 503-209-7386 Y
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Corrections/Comments/Instructions:
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L ev I '--;-„,--\ 77) s4 v2e_ pe-iz__* ___. , • k /1/ - d i c '
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tg(PASS I 1 PARTIAL APPROVAL fl CANCEL fl NO ACCESS
1 I FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
1 L (f
1 Inspector: V Date: Phone #: (503) 718-
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CITY OF TIGARD G v� o -odoa
• BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 4171u�l
Inspection Requests (24 Hrs.): (503) 639-4175 0 0
INSPECTION WORKSHEET FOR DATE: - 5/(1 / r) & TIME: PAGE:
SITE ADDRESS: 1 D 7 j D (:) J CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
-ii D 1f4/Ud S L N W
`c tions /Comm is /Instructi ns:
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• e \A i 4 ' e. C_,(\ 54.3
•- do -‘71A .....
I PASS XPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Vi) Date: J Phone #: (503) 718 - 2 ''
(
111111
CITY OF TIGARD
BUILDING DIVISION AtIo PERMIT #: SIT200SM0003
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/301200G
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/24/2006 TIME: 1:12AM PAGE: 71
SITE ADDRESS: 10390.SW 90TH AVE CLASS OF WORK:
SUBDIVISION: ASHBROOK CONDOMINIUMS LOT #: 001 TYPE OF USE:
PROJECT NAME: ASHBROOK CONDOMINIUIVIS
DESCRIPTION: Bldgs 1, 2, 3 & 4: Site work improvements.
Primary building addresses: 10480, 10450, 10420 & 10390 SW 90th Ave.
OWNER: RCM DEVELOPMENT, PHONE #: 503 - 257 -9168
CONTRACTOR: BRIAN CLOPTON EXCAVATION INC PHONE #: 503 - 682 -0420
Inspection Request Scheduled For: Date: 5/24/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
499 Final inspection 030447 -08 .503- 209 -7386 Y
Corrections /Comments /Instructions: R e. 1 IA. 5 I
•
il/
i
•
cc/
r
4
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL CALL FOR INSPECTION ❑ ADDITI NAL EES ASSESSED
Inspector:
Date: Phone #: (503) 718-