Permit •
CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2004 -00054
- eil DEVELOPMENT SERVICES DATE ISSUED: 4/1/04
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15935 SW AVON PL PARCEL: 2S1120C -18600
SUBDIVISION: DURHAM OAKS ZONING: R -12
BLOCK: LOT: 022 JURISDICTION: TIG
REMARKS: New SF Detached
BUILDING
REISSUE: BVH1605 -1 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 22 FIRST: 616 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 989 sf GARAGE: 307 sf FRONT: 15 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5
VALUE 156,293.30
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 1,605 sf REAR: 15
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN <100K: 1 BOIL /CMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN > =100K: 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 FD R: PUMP /IRRIGATION: PER INSPECTION:
EAADD'L 500SF: 2 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EAADDL BR CIR: SIGNAL /PANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: 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:
Owner: Contractor: TOTAL FEES: $ 7,228.18
This permit is subject to the regulations contained in the
BUENA VISTA HOMES BUENA VISTA HOMES Tigard Municipal Code, State of OR. Specialty Codes and
6932 SW MACADAM #C 6932 SW MACADAM HOMES all other applicable laws. All work will be done in
PORTLAND, OR 97219 PORTLAND, OR 97219 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. ATTENTION:
Oregon law requires you to follow rules adopted by the
Phone: 503 443 - 6033 Phone: 503 443 - 6033 Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
Reg #: LIC 152235 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 Exterior Sheathing Ins F Rain d lnsp Electrical Final
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm rain lnsp Mechanical Final
Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Wat Line Insp Plumb Final
Foundation Insp PLM /Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final
Post/Beam Structural Mechanical lnsp Shear Wall lnsp Insulation Insp Appr /Sdwlk Insp
r
Issued By : A °• , • Permittee Signature: O/1
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the nex business day
�� /.3
��
Bttildia �'' 'iW FoROF�FT F: t'SE ONLY:
r PY Z ( �'� Building
Received �
6 2004 • , Date/By: & I Permit No.: ri 5Tzeac .. QB
City of TigaVia Planning Approval Other .
13125 SW Hall Blvd. Date/By: Permit No. p D4/• 60e-5-5 QF r 3 TIGARD Plan Review O ther
Tigard, Oregon Date/By: J 2 g - o t/ Permit No.:
Phone: 503 -63a � IM I V I 503-598-1960 �"��"��' t (' ` � Post•Revie ' r Land Use
Internet �
www.ci.tigard.or.us ''i �' I Contact Juris.N ►3 See Page 2 for
24 -hour Inspection Request: 503- 639 -4175 Name/Methoa: , it ' _ Supplemental Information
TYPE OF WORK . - .REQUIRED DATA ::` . :
:-..--:;::1..: : _',;.: -
.X1 New construction ❑ Demolition 1 & 2 FAMILY DWE LLIN G; .:
❑ Addition/alteration/replacement ❑ Other:
CATEGORY OF CONSTRUCTION . Note: Permit fees• are based on the total value of the work performed. Indicate
csj I & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building ❑ Multi - Family
❑ Master Builder ❑ Other: Valuation S
JOB SITE INFORMATION and LOCATION No. of bedrooms: No. of baths: 2 . �
Job site address: ;51 35 sw e„ 197/cL Total number of floors
New dwelling area (sq. ft.) 0
Suite #: Bldg./A Garage /carport area (sq. ft.) •
Project Name: Ru Covered porch area (sq. ft.) 2-4 Se
Cross street/Directions to job site: Deck area (sq. ft.) 0
�V� C t ?7\ D ��� /' 'nn O ther structure area (sq. ft.) p'S
` how ► I REQUIRED DATA: :..
Subdivision: COMMERCIAL = CHECKLIST.1 . .
pu,� hr �� K S I Lot #: ZZ
Tax map /parcel #: Note: Permit fees• are based on the total value of the work performed. Indicate
DESCRIPTION OF WORK the value (rounded to the nearest dollar) of all equipment, materials, labor,
PW l DN l ( ^ � �I U I' -, l �i LJc l overhead and profit for the work indicated on this application.
' ^ p
„ • - . A i I , 0 ` Valuation S
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories
1 PROPERTY OWNER • 1 ❑ TENANT • - Type of construction
Name: VAAfWA \I IS c tity1`(le5 Occupancy group(s): Existing:
Address: ► ' i U Q CI. 0A t V • New:
City /St to /Zi : P�y -t 4A,V) 0 0 1 - - 7 1 Phone: ej(7J 14L�• LepFax: ('— ) 4L}? Z14L} NOTICE: All contractors and subcontractors are required to be
❑ APPLICA CONTACT PERSON licensed w the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
Business Name: &\/(. jurisdiction where work is being performed. If the applicant is exempt
Contact Name: M•\ ' A\ 1\I 'i/s from licensing, the following reason applies:
Address: /, AA' _ j_ • /'
City /State /Zip: j
Phone: [ Fax:
E -mail r1n p �/�,'' ! ` BUII:DING :PERNIIT FEES* : • . -
t t 1 m e vuv, vista 1 DThe s . `•D -. s refer tateeithedute: - •
CONTRACTOR
Business Name: O PAila V t <)j Fees due upon application S
Address: h/ I]�. ► �a /. G I..Alt -C-
Cit /State /Zi.: f Amount received S
Phone: j ' 0 l, P Date received:
CCB Lic. #: I
Authorized / / /�
Signature: (/lN� (• Date: 2 l C cy Notice: This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
/MI k, f- k�(of
-Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
is \Dsts\Permit Forms \BldgPcrmitApp.doc 01/03
•
01/20/2004 16:22 5032537693 SUN GLOW INC PAGE 02
• ruk t11T1('F_ 1 "tik ONLY
ei'ili1II1C81 �Q`�i' . t:' I�' ation Received Mechanical
I}stc/B _ Permit No.: ✓/ -
City of Tigard Q Planning Approval
13125 SW Hall Blvd. f EB 6 20 Plan Review Otter
Tigard, Oregon 517223 Date/Br _ Permit No.:
Phone: 503- 639 -417l F PenvReview Land Use
���n �:, � , �" pate/By: Case No.:
Internet; wtwr.ei,tigard.or. DIVISION 11 _ Ii Contact runts.: ® See Page 2 for
24 -hour Inspection R.equet. MS -4175 - _ Name/Method: • Supplemental Information.
.. . ' 1YPT OF WORK ' • .. . COI' RCLA[rFEE'e. AULEI'm8>~'C'8HG[fLIST '.
E. construction r [ j olition Mechanical permit Fes' are based on the total value of the work
Ad dition /alteration/re lacement ❑ Other: perfbrmed. Indicate the value (rounded to the neatest dollar) of all
' _ CONSTRUCTION. i mechanical materials, equipment, Tabor, overhead and profit.
E 1 & 2- Farrel dwellin __ ■ Commercial/Industrial value: s See Page 2 for Foe Sebedule
ill Accesso Buildin:. r Multi -Famil ._: `I t1�7, L.. 1 t• .•:A T _ ___ ' E
Descri . :on Total
• Master Builder S Other: Heal npicoorn_g
• ' JOB SITE LNFORMATIfON.siiid•LO%AtEON Furnace - add.on air cenditiontn •'° 14.00
Job site address: 156i 31 Sw Ak, Pt. _ Gas beat pump 14,00 M `
Suite #: 1 B14JA. t. #: Duct work 14.00
erect Name: Akha,n � k' H creme hot water s -tern 14.00
Residential boiler
Cross street/Directions to job site: fbr radiator or h • •nic a : =m 14.00
D , /' �� r 1 11 �� (in it wall, in- (fuel, sP decl, etc.) ;//r] ` ` V (in wall, i healers (fu , not electric)
t:tc ) 14.00
Flue/vent for an of above 10.00
Lot #: Repair units 12.15
Subdivision: 1).1 Iv / .
Other Fuel Appliances
Tax ma./ • arcel #: Water !seater l 10.00
. r ESSCRIP'FTON OF WO' ' ' Gas fireplace 10,00
/ if % I I /I IL Ill Flue vent water heftierl. fi • lace) 10.00
Lo_ ii: et as 10.00
•
��� /I� Woad/Peltet stove 10.00 =I
1i,/ � /J� Wood Felle stove
i0.00
Ghirrme /liner/flue /vent 10.00
a MP1ROPtkffri"OWNER. , :' :.:. to 'TEN Other: 10.00
Environmental Exhaust & ventilation
Nam �. ' � � II���
e: yy � �� w page hood/other kitchen equipment 10.00
Address: •�%V1/1 r`• �� � i A ' Clothes dryer exhaust 10.00
' �ti /JIU � � A.W !� e� S Sin Single duct exhaust
Phone :�i��xM 1! �s'�t:i>�177P1►71f:>` • (ballrooms, tollet comperorients,
ill Attnic "TT 1t1:CONTAC'TPERSON utility rooms) 6.80
Name: V /BEM /A/ i�7rJ D i MIN Attie/crawl •ace fans 10.00
.,� Other: NM 10.00
.. t-, : . 1A�. CIO %) Fuel
e "SWAG for first 4 $1.00 each Rdelitiogal)
y Furnace, rte.
Plzen ,,; Fad: Gas heat • • *
.
E -mail: me , < - 15 VAY1r31'Yle. . 1 Wall /s ded/unit heater "
' , 7 ., i - CONTRACTOR Water heater
Business Name: 4 I . ._ A , Fire•laee im
,gdtjxess: L � 3 � - t- t ' Eall11111111
Ci /StatefZi • : 0 . A. it 6 '1 b Clothes dryer (Ras) NM "
Phoneme - 2.55' 17 " L RM �i di Other.
131 Total: MEM=
CCB tic, #: u,e cb*adaaiF t eas •
Authorized 'O Date l (z�109 Subtotal: 5
Signature: ( Minimum Permit Fee S72.SO S
. II MI ` _,. Plan Review Fee (25% of Permit Fee) $
des- t name) State Surch . : 8% of Permit Fee S
SP its a U TOTAL PERMIT FEE S
Notice: This permit application expired Era permit Is not obtained within 'Fee methodology set by Tri ButTtTng Industry Service Board.
as complete "`5ite plan regained for exterior A/C vans
ISO days after it has been aaaspted
iA Dsts \Qmnit FerenIIMecPermitApp•doc 01/03
01/20/2004 16:03 FAX 5036284633 THE MULLEN COMPANY 0 002/002
(�
g • _ G cgs Fog Oi�il'IE'F_ USE U_\LN'
Plumbing Per ►i lr l�- eon Received Plumbing J
` FE Date/13 . Permit No.:l(7 4 - o0 0 5
City of Tigard LD ,. .' •i Planning Approval Sewer
Date/9 : Permit No.:
13125 SW Ha1181vd. R D Plan Review Other
Tigard, Oregon 97223 CITY O TIGA De.te/U : • Permit No.:
Phone: 503-639-4171 Fax:
lrirou ON Poet- Review .
'''' •:. y ,•. I : DataB
ll>1terj T. www,ei.dgart(.or.us a 'I i Contact Aril.: '_ti Sax Page 2 for
=
24-hour Inspection Request: 503- 639 -4175 Name/Method: Su..lemeatai faformation.
TYPE OP. WORE, ' ,'.: ' ^ ' ' •FEE ";SCJE ULIE ('[br'3peiCal dstctier�Clist)' 'A.-
New construction ■ Demolition Description _j QV- 1 Ftc(a.l I Total
a Addition/alteration/replacement ■Other , ,;. �'- -: 5 , .f ,• r E ��'
' ',;�h1GO1 ,OP;1.t,..►:t ON •.'l da �titi to: +i l i +'•••''
I% 1 & 2-Family dwelling • Commercial/Industrial SFR (I) bath 249.20
Y i? SFR (21 bath 350. 0
.Accessory Building ■ Multi- Family SFR (3) bath 399,00
nem
■ Master Builder U Other: Each additional bath/kitchen 45,00
• JOB SUM IIVFORMA.TIOKaild•I.00ATION Fire sprinkler - sq. ft.: Page 2
Job site address: (511S 5 `"' A4G3^ /L . : -.• :: ,,:'.• % . t •. . . Site UtiiitfieS. is 'i; 1,''W,,,:, . .
Suite #: Bld • . /A. t. #: Catch basin/area drain_ 1 16.60
Drywall/leach line/trench drain 16.60
1'ro ect Name: • a /� �l� / /at# Footing drain (no, linear fl.) Page T
Cross stre to job Site: Manufactured home utilitica 110,00 •
- • t how() v r t' RA + I l► B I vt/ (� l• Manholes 1
Rain drain cormectar 16.60
. Sanitary sewer (no. linear ft.) Page 2
Subdivision: %J i A A AAA pd. Lot #: Storm scwcr (no. linear ft.) I Page 2
- I' mBp/pSLCCI #: Water service (no. linear ft.) _ Page 2
DESCRIPTION OF WO • Fa Item:' : '
� RIE MIN Absorption valve 16.60
,
�J���� Backflow preventer Page 2
■■t��� Z
' I I . Illr li I♦ "Ll LinSi 1 1 O Backwater valve 16.60
Clothes washer 16.60
Dishwasher 16.60
B14 :,tr I : a 1!iTEM . E ump utla 16,60
. ' • •� � �., -� �. ' _ Ejectors/sump 16.6 0
Name: i� �� / i �il(1 11 �r`TII•' Expansion tank 16.60
Address: I ' '��� * l / EM A al Fixture/sewer cap 16.60
Ci /S - -/Z Floordrain/tloor sink/hub 16.60
� � / ��L Garbage disponi 16,60
Phone: 5t3 4 27 - LQO Fax:calEfill Hosebib 16.60
r'.l ;d1PP__. " r :t COQ_ .... - R ON ' lee maker 16.60
Name: y,) �A� ugll 1 h Interceptor /grease trap 1 6.69
Address: �' a , / / A LEA e- Medical gas - value: S Page 2
Cit /State/Zi.:
Primer 16.60 -
Roof drain (commercial) 16.60 _
Phone: . • 1- )s2. IZEMIEVERVEN Sln&JbasiMavatory 16.60 ,_
'eau f/ 1 Itlis '. , D Tub /shower /shower pan 16.60
' • _c_GNTRACTOR • ' . Urinal 16 -60
Business Name: L water closet 16 -b0
G - �` �� Water heater 16.60
Address: / re ' .,,t 11 Other -
City / tatc/ ip: // < h.ro die C7 J 3 , -
Phon- 5d • , : r F , • ! ( Se oche. _t' .- .__u3 tetrabiiietenmi>~Se`�e ' , . - • ,
1 , Subtotal 5
CO3 Lie. #:
"FIR : • ` lumb. L'e. #: -,Z f r Minimum Permit Fee 572.50 5
Authorized - Rcsidcndal Iiackflow Minim Fee 536.23
- Z - D `
Signattare: ; F -- Date" l� a,Plan Review 2S% of Permit Fee S
Pgrf , f / State Stu'thte (S% of Permit Fee) S
(Pleas print name) TOTAL PERMIT FEZ S
Notice: This permit application ospira if a permit is not obtained within ' All new cotanterelal buildings squire 2 sits of plans with isometric or
180 days after it has been lowed u complete. riser diagram (or plan rovIcw.
*Fee methodology set by Tri- County Building Industry Service Board.
i ;1Dsts\Permit FarmssPlmPermitApp -doe 01/03
01/20/2004 16:08 5036425815 ROSS ELECTRIC INC PAGE 01.
Electrical Permit
Application
FEB 6 2004 e i a P No.: il l %Pea Ot' o
City of Tigard Planning Approval Sign "~
13125 SW Hall Blvd. CITY OF TIGARD Fla Rev Permit No..
Tigard, Oregon 97223 BUILDING DIVISION Da n Review Other —
Date/By: Permit No.:
Phone: 503- 639 -4171 Fax: 503 -598 -1960 Post- Review Land Use —
. <'h., DatdB
Internet: ww.v.ei.tigard.or.us �' c ontact Contact case No.:
24 -hour Inspection Request: 503 -639 -4175 - -*' Juris- l pee Page Z for
Namc/Method: ' Supplemental Information.
• :. ' .•TYPEOF'woRit . • ..: .
PISAN'EW lihtse c4ecA; i71:t6at':
New construction ❑ Demolition service over 225 a `
I:J
amps- Health�,� facility
Addition /alterationhe�lacement Q Other. 0 Hazardous location
• ' .:. ° amps-rating of Building over 10,000 • cnmmercta
❑ S ervi ce over 320 a
CAiTEE�4lIt 'II : square feet,
I & 2 family dwellings four or more residential units in
a1 & 2- Family dwelling 0 Commercial/Industrial ❑ system over 600 volts nominal one structure
[1] Accessory Building ❑ Building over three stories
$ M ulti -Famil ❑ Manufactured to a amps to or es more
j:] Master Builder ❑ o ccupant load over g9 persons ❑ Other: rfacttued structures or RV park
Other: ❑ Egress/lighting plan ❑Oth
- :. TOBSITE INFORIKATIO1V litiidLOCA TION' Submit sets of plans with any of the above.
Job site address: (S 51,0 Ak, PL The above are not applicable to temporary construction service.
Suite #: _ BIdg lF ,S,t EDUL .: { .; .i '::•,.:;•:::.,:
c� /A # r : '— Nuta of ins et-thins er I: e f .• -..�:•:
Project Name: fD A A( haw) ( K J Description rtnit allowtb
Qty Foe (ea) Total
Cross s�'eet/Directtons to job Site: Yew residential-single or rrrolti- family per
(����/ \� { dwelling unit. includes attached garage.
•
`k/ �/ 1 1( R ok 4- \� l {f'�1 vck • Service included:
V 1 tC/ v 1000 sq. R. or less 145.15 4
Each additional 500 sq. ft. or portion thereof 33.40
Subdivision: 'lym�'( ��� �:' Lot #: 1
energy, residential 75 00 2
Tax map /parcel #: LQni�IQ• non residential 75 DD 2
Each manufactured home or modular dwelling
• ' ` •DESCRIrrioN. OF R'ORK . :.. . service and/or feeder 90.90 2
�� ! �� 1 / I ��, i Services or feeders - IostallatIon,
. ! /�l�I alteration or reloeatiau:
1
•
ILtJ/� I _ 6 I V L ( / 200 am.s or less 80.30 2
201 amps to 400 amps 106_85 2
401 amps 160.60 24
' i • . •P . R O P E R T Y OWNER.: • ' • ..... TEl .: • ' : • - ..- , 601 ainPa to 103 ani
240.60 2
Name: 'e 4 ' g IA � '. Over 1000 am or vote 454.65 z
.J
Address: p.4% Reconnect Of �' 66.85 2
I� . u / / �. 1,11I A e, Temporary services or feeders - installation,
CI IS • te/Zi .: aB I / ► - ') 200 amps oro relocation:
l r a'a !! W ? 66.85 1
Phone .� j�(� � 20l em . to 4ao am 100.30 ' 2
!'' ' . . i I�':.CONTACT.PERSON: 40 o600
133.75 2
Name: Ii�►� u, B ranc h circuits - new. alteration, or i____ -
L 1 � extension per panel:
Address: ,a/&" /. L � I �, A. Fee for branch circuits with purchase of
City l '. : service or feeder fee each branch circuit 6.05 2
B. Fox for branch circuits without purchase of
Phone' A u, I D rM �J /� service or feeder fee fast branch circuit 46.85 2
E -mail: wept L Each additional branch circuit 6.65 2
;y:.'::;.. included);
V 1 P�1 Y1 QS . LOm Misc.(Servicc or feeder not mcl
• C0 • • , Each pump or irrigation circle 53.40 2 • Job No:
E ach sign or outline lighting 53,40 2
S c or a limited energy panel.
Business Name: R 055 t � .• alteration. or extension 2 2
Address: QS7o 54) ,1 cad3 - Destri
Ci /State/ZI : S 60 re. D12 171 a Each additional inspection over the ailowobie in an of the above:
- Phone:L9.3 (o E Z 7800 Fax: _
z � Per sa per hots (min. t hour) 62.50
4 ( investigation fa:
CCB Lic. #: )5 -7/ Lic. #: 3 9-413'C _ Other:
Supervising electrician �i : Etaetdi�tipe rt;aprrt±_: ..:.1 . „:.t... = ,_ ,..7,....,........v.
signature re. aired , � 't"�� Subtotal $
Plan Review 25 % of Permit Fee $
Print Name: ' (le. ) OSS Lic. #: J2 . State Surcharge 8% of Permit Fee) S
Authorized / TOTAL PERMIT FEE S
Signature; V .,/( / C}1 Notice: This permit application expires Ira permit is not obtained within
Date:
l ( 18A days alter it has been accepted as complete
i re *Fee methodology set by Trl-County Building Industry Service Board.
«GIl (
(Please print name)
is \Dsts1Permit Forms \ElcPermitApp,doe 01/03
CITY OF TIGARD Credit No.: 200 - 0003
Date Issued: 2/24/04
Engineering
pfd) „� Authorization
L Date: 2/2404
TRAFFIC IMPACT FEE
CREDIT VOUCHER Land Use
Casefile No.: SUB2002 -00009
In accordance with Ordinance 379 (Washington County Traffic Impact Fee Ordinance) ECF
Durham Oaks, LLC
developer) (name of
is entitled to $ 37,332 in Traffic Impact Fee Credits that can be applied to TIF charges for
development on lot(s) 1 -27 of the Durham Oaks Development. The use of TIF credits are subject
to the rules and limitations of the TIF Ordinance which are listed on the back of this voucher.
•
WARNING: This voucher must be presented at the time of issuance of the building permit, or if
deferral was granted, issuance of an Occupancy Permit.
a P.
Direct
Date Permit Numbers Lot Numbers Credit Used Balance
Beginning Balance $ 37,332
Balance carried forward to TIF Credit No.
• Ordinance 379 provides for an expiration 10 years from authorization.
login \viola \tif09.1
TREE C ERTIFICATION ..
V
STREET
I, A k e )% ; 5 , ! O
I wner /Agent for 13 zte,l,1 -
LEASE PRINT) (PERMIT HOLDER)
1 J
_ ,.
Do hereb �ge i£y that following location
I meets ityxof:Ti Bard /Was County
l and use and development standards for street tree installation. 0.
ADDRESS: 1 51 3 5 5 tu✓ Avao 1
LOT: S UBDIVISION: I
�br e t h r (02 S
BY: ZIA DATE: //
1 / 0-
RECEIVED BY: DATE: E 7 ei d c2 c/ _ 0.
L.
CITY OF TIGARD 2 - Hour
BUILDING • Inspection Line: (503) 639 -4175 MST 5 1-6 ° 6 Sy
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 9' - AM PM BUP
Location ( S 7 3 s uite MEC
Contact Person Ph ( ) -- r C� C 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear dgt'X // /f '7 • 0 q Ca %() CS�
Framing '
Insulation
Drywall Nailing
Firewall
•
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
ASS PART FAIL
PLUMBING
Post & Beam -V,• W
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
4i
PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE El Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date �y Inspector `L ��� Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour /
�
BUILDING Inspection Line: (503) 639 -4175 MST07 `t 466
INSPECTION DIVISION Business Line: (503) 639 - 4171
BUP
Received Date Requested g a 1 AM PM BUP
Location / � m �� Suite 1 / MEC
Contact Person . A / ' .( �- Ph ( ) O 7 `Z�� PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall fl V -6-t rI N
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
; Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA Approach/Sidewalk Date Inspector 1 AIPL6Fea Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL