Permit 4 4., CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2004 -00058
.viii DEVELOPMENT SERVICES DATE ISSUED: 3/30/04
a 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 08382 SW COLTON LN PARCEL: 2S112CC -17000
SUBDIVISION: DURHAM OAKS ZONING: R -12
BLOCK: LOT: 006 JURISDICTION: TIG
REMARKS: New SF Detached
BUILDING -
REISSUE: BVH1675 -1 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 22 FIRST: 635 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,040 sf GARAGE: 305 sf FRONT: 15 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5
VALUE: 163,061.30
OCCUPANCYGRP: R3 ' BDRM: 3 BATH: 3 TOTAL: 1,675 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 BOIUCMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1
` GAS FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 0
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 3
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 FDR: PUMP /IRRIGATION: PER INSPECTION:
EA ADD'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: $ 7,264.61
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
Rey #: 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 Insj Storm drain lnsp Mechanical Final
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Water Line lnsp Plumb Final
Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line Insp Water Service Insp Building Final
Foundation Insp PLM /Underfloor Framing Insp Insulation Insp Appr /Sdwlk Insp
Post/B-. r . ral Mechanical lnsp Shear Wall Insp Rain drain lnsp Electrical Final
Issu - d By : 1 ! � -%— Permittee Signature :
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
17
Bni1din; Permit i FOR OFFICE USE ONLY
R eceived .2�(iv - ' i Building /"t SfZO
` p�jsa
FEB 6 f . Date/By: [o L Permit No.:
City of Tigard EB 6 2004- Planning Approval Other W�Z ®�fsBABsq
y g Date/By: Permit o.:
13125 SW Hall Blvd. Plan Review Other '
Tigard, Oregon 97223 Y n OF TIGAR► Date/By: /1/1v — 3 - 2 7 - 0i Permit No.:
Phone: 503- 639 -4171 Fax 548°791Y !,.,t. � , Post-Review Land Use —
I I Date/By: Case No.
Internet: www.ci.tigard.or.us 4 1,, _.� Contact Juris.: El See Page 2 for
24 -hour Inspection Request: 503- 639 -4175 Name/Method: Supplemental Information
.. _TYPE OF WORK . ...:. • • :REQUIRED DATA: v
.gj New construction ❑ Demolition 1& Z FAMILY DWELLING .=.: =::-:: • .
❑ Addition/alteration/replacement ❑ Other: —
CATEGORY OF CONSTRUCTION . Note: Permit fees• are based on the total value of the work performed. Indicate
g 1 & 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: _1J' No. of baths: 26
Job site address: 6 3f Co (ft n (,,,.) Total number of floors
New dwelling area (sq. ft.) / It.
Suite #: Bldg./Apt.#: Garage /carport area (sq. ft.) '
Project Name: D,"flaAm UcoLs Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.) t
''''\i'\) J .0 CA ,1 V7\ v J 4 w DIM `1 ;nn P � , Other structure area (sq. ft.)
CJ� (I U� f I : REQUIRED DATA:.:,-. •
I � - ` • COMMERCIAL . USE CHECKLIST .;_
Subdivision: 'Dj�,i nal-Y\ Uo KS Lot #: (p
Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate
DESCRLPT[ON OF WORK the value (rounded to the nearest dollar) of all equipment, materials, labor,
ek I „ ` n Dr t. CI-- 0 ^ I I 11 if overhead and profit for the work indicated on this application.
A A �' , 1 1 , I Valuation S
- - - Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories
I_ PROPERTY OWNER { 0 TENANT • • .• Type of construction
Name: RA 'X'(n U IS Gil \vines Occupancy group(s): Existing:
Address: [ D'(7 A Ca r �.m *G New:
Cit /St. to /Zi.: re (I ctt. IP
Phone: Q�� / ���► j L 2 NOTICE: All contractors and subcontractors are required to be
II APPLICA CONTACT PERSON licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
• Business Name: I3\J(,H . jurisdiction where work is being performed. If the applicant is exempt
Contact Name: 1\A•\ n6 mq �/S from licensing, the following reason applies:
Address: l,Me. (�, b ove,
City/State /Zip:
Phone: I Fax: :;BUQ.tiING:PERMIT FEES*
E -mail: al p���� / VI D e � . -,-; -, :.: .. R-•. e-: .
CO
m CONTRACTOR �� 1 I C C � . � Plea .... .. r., to fee sct .
NTRACTOR -
Business Name: RAevi 'a V 6-A Fees due upon application S
Address: / k 4 /. la 1 Al 11-6...
Cit /State /Zi.: �f+i 1 �PAI iL / Amount received 5
Phone: I ' I . 4113131MMSZW3 Date received:
CCB Lic. #: ,j
Authorized , , l n
Si nature: / ���"' \ \\ / Notice: This permit application expires if a permit is not obtained within
g l � Date: �(,'��� 180 days after it has been accepted as complete.
wee-- (41(.. 1fJ *Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
ii ,
is \Dsts\Permit Forms \BldgPermitApp.doc 01/03
. •
01/20/2004 16:22 5032537693 SUN GLOW INC PAGE 02
Mechanical Permit Application FUR 01 r1c'1:: USE ONLY
14E I v EU . Dat teive d P e er mit No.:
Llacll3 - Per 1i
City of Tigard Planning Approval IN _
13125 SW Hall Blvd. FEB 6 2004- Plan Review Other
Tigard, Oregon 517223 bate/8 . - +=nitNos
Phone: 503 -639 -4171 Fax; 503 -598 -1960 post.Revlew Land Use
CITY OF TIGARD , t -! ` I varc/B : Case No.:
);ntetzrct: vWVUr,ci,Ligard.ar_u II
24 -hour Inspection Raques8M -1PP SIO '' ''.1.- '' NameNethud: lialitiggEMPE
4F . WOIhwK :. COMMERCIAL FEE *. DELE DIISEE+C,nR 3! '., k; "•
1 i 0
New congtluction I Demolition Mechanical permit fees are based on the total value of the work
pi Addition//alteration/re • Iacement • Other: p Indicate the value (rounded to the unrest dollar) of all
C&TEGO F a" :CONSTRUCTION s + i s mechanical materials, equipment, Tabor, overhead and profit.
Kg 1 & 2- Famiil dwellin_ 10 ComnlnerciaUlndust:r.al Value: S See Page 2 for Fee Schedule
I$ Accesso Bttildin Ir IrvIulti -Famil D .: on Tam
IN Master Builder • Other; Bdatinp'coormg
JOBSITE INFORMATION afd•LOCAT'tON '' Furnace - add•on air canditiontn "" 14.00
Gas treat . , 14,00
Job site address: e392- Si:w col wt (..�
Suite #: 131 JA•t. #; Duct work EMI 14.00 1.1111011 -
HydCOrlie hot water system
14.00
Pr Name: 1. 4 ,/I �s Residential boiler
Cross street/Directions to job site: (fbr radiator or hydronic system) 14 -00
D1 1 / � G^ � ^� /� 1 �� Unit healers (fuel, ∎ .ended electric)
�L/r ,V' / I K ` ` in wall, mutt, s ■ .ended a • 14.00
Flue/vent (for any of above) . 1 1 ,, Y1A t2,t5
Subdivisi0ri lY Other ua A • . tiaurtes
Tax map /parcel #: _ water heater 10.00
r ESCRIPTION OF WO' • ' Pas fire. lace 10,00
4 in' , /, DOMAIN Flue vent water heater /gas fireplace) 10.00
/ , ' I Lo. 1i: ,er :s9 10.00
QodlPellet stove 10 ou MI.
/A
SEMBIT Wood fre•lace /insert
Chimney/her/flue/vent 10.00
P%) 110, ER'f ICONV1'1ER • ; ': r.' ID TEN !:' ` 'h Other: I 10.00
Environmental Exhaust & Ventilation
% Address: • � ' � � �� w 1 0.00
' R ange hood /other kitchen equipment 10.00
Ai�%V)�1•] / I _ �. i. 1i ►'. clothes dryer exhaust
. ; nt a _ /.W1♦l��i%ii/z Sin duct exhaust
Phone: 50?) — 1 ) !4a i G ig: ; (bathrooms, toilet comparneots,
As
NI ALPPLIC 'ST � Ir9:b' �� UK �� fACT PERSON utili' rooms 6.80
Name: V / ��1►JAIVIA 0 I AMIN Attic/crawl •- e fans IIIIII 10.00 IIIIIIIIIIII
Other: M. 10.00
Address: . X11.' AVIRENNSIMINI FuelRilrinlr_
IrEEMPAIMINIMIMMEIMMIIIII •• ' .so for firtt 500 each ad4itirr al
Phan 50 *IttjErk. Fax: Furnace, etc,
Go9 heat u .0 4 . IMMIIIIIM
E-mail: me Ir . c< r \St(4)(71 - 11C_S •(. I wall /s • . dui/unit heater "
• • '' CONTRACTOR ' • Water heater IMINICE11.1111111
Business Name: irfirsigirdrimill11 Fireplace '�
Address: 2, • 3 I �h Ran.
BB• ••
Ci /State/Zi • : l! . A I. C Z & Clothes dryer (Ras) MIMI MN.
Phone*3 - 2.5 - 773''1 Fax: "Ir - 2,35--7 Other
Total:
CCB Lic, #; (3) d�aten:0 F, , ea*
Authorized Subtotal: S
Signature X10 Date: 1 IZOI 09 Minimum Permit Fee $7230 $
Kan Review Fee (25% of Permit Fee) $
1:1i fIt?)1 1. • Pl State Surch i8% of Permit Fee S
(pima Li . m are) TOTAL PERMIT F E S
P ew application CJJ *Fee bodoloey set by Building Industry Service Board.
1'uotice: This t a ldettfpn ezplyd+ Ka permit is net obtained within augh plan required for exterior A/C wilts
ISO days after it has beep adaepeed as complete.
i :'DstaVPnrmi t Futrat1MecPermltAp .doe 01/03
01/20/2004 16:03 FAX 5036284633 THE MULLEN COMPANY 11002 /002
11( F, L
''SF. ONLY
.., P1umbin Permit A creation ��� FOR 0 i Plumbing
C ® Nte18 ; Permit No
l Of an
Tl d Planning : Appro"ol Sewer
L, g Oare1B Perutit No.:
13125 SW Ha11131vd. FEB 6 I Plan Review Other
Tigard. Oregon 97223 Date/B : • Permit No.:
Phone; 503 - 639 -4171 Fax: 503.591.1260 Poet Fevlew
CITY OFT �i. 1r ll l3titaB . Jots.: Iacernt wo/W , t t.tlgar Ot.uS a _ •A Contact I J.: - ).::1 See Page 2 for
24-hottr Inspection Request: 503 -63� ��NG �„ _' Name/Method: Su..lemental Information.
' 1IIME OP. WORK. 1 FEE " ;SC)LEDULE (tbr' 'ia[oittpftst> eCatclit;irdtat -
f 0 New construction • Demolition Description
l� y L QV. lee(ca.) Total
• Addition /slteration/r . , lacement Other; ; , �i
Ja'i' i
;L"A 'GOLCSFi•iO 9 51. 1: >ut •1Pl ON F' dfarS�itiO - lor e iroli l ;t! :` � SFR( l }bad 249.20
e 1 & 2 -Famil dwellin_ IN Commercial/ILtldustrial SFR (2) bath 350.00
Accessory Building ■ Multi- Family SFRS3) bath 399,00
Ill Master Builder • Other: Each additional bath/kitchen 45,00
.dORSITE INFO . • TIOI4a ttfLOC cTION Fire sprinkler - sq. ft.: Page 2
Job site address: e li`i L 5,../ CC,i.i,.. l.rl ::.' . , .'Site Utilities. - • '..,-;,...,1;.'i.,;(4 511s.',.,'.• . "•.::., _
Suite #: i Bldg. /Apt. #: Catch basin /area drain 16.60 _
Pro ect Name: • , , /� ��� 94 Drywell leach line/trench drain 15.60
Footing drain (no. linear ft.) Page 2
Cross street/Directions to job site: Manufactured home utilities 110,00 •
r1 , A/ln Nyn 'a k t;) " I I B1 //,I • Manholes 16.60
�JI(► I 1 1 Ij //ti ` 1/ V 1 Rain drain cormector 16.60
. Sanitary sewer (no. linear ft.) Page 2
Subdivision: J ii a / Ij& - Lot #: / Storm sewn (no. linear ft.) Page 2
Tax map/ arGt:l #: Water service (no. linear ft.) _ Page 2
P • FtzturecrItem: ' -.••.
DESCRIPTION OF WO • Absorption valve 16.60
MITRIEEITISIMINFA1171111M11 Baca ow preventer Pagc Z
1140 ��!1 au a ar �1 �i�V � Backwater vacua 16.60
Clothes washer 16.60
pishwasher 16.60
i!_t >Q`ROPERTTOWN It '. " , 11139'TEPiAT1T • , :' larittki fountain 16,60
Ejectors/sump 16.60
Name: ;i1 . l infillakia 11 . oral.' Expansion tank 16.60
Address: 1' rillX.S 1 i li £ ii �(i Fixture/sewer cap 16.60
�, ���� n ' , Floor drain/floor sink/hub 16.60
Garbage Phone: a/ 4 t[ - U O IMAM In ►�P��L•so Fleiebib 16.60 _
Y —._� MI CO %P_ .� 0 lee maker 16.60
Name: ei I u *.l Interceptor /grease trap 1 6.69
Address: Se. /IC' / / A giA e. Medical gas - value: $ Page 2
Primer 16.60
Cit /State/Z.:
Roof drain (eommetcial) 16.60
Phone: 5D3 910 t.0022 I Fax: 503 4 244 sln/basiMavatory 16.60 �—
E -mail: in 1. 7J '6 1// sot '• • 0 r Tub /shower /shower pan 16.60
. •'1 • • � O , � NTR4<Cr TOR ' Urinal 16 -60
Business Name: L l water closet 16 - b0 ___,
` r l �` Ay Water heater 16.60
Address: . / , r e • ...• at -02 , Other:
City /State / OILS hr 0 1 P c7/ 2-3 Other: ,'
Phon 5'6' , , -- , r. Fak SO . a I, ;, :: w:1, . -. .7,...Ylambiii;�'$emfi>'�& i "._ • • •
�
lumb. L:c.#:
Subtotal 5
CCB LiC. #: ., � �' "Z �aQ iii "' M Perm F oe 572.50 S
Au orized _ ZQ - �� Residential Backflow Minimum Fee 536.25
Signature; ' d / Date:/ plan Review (25% of Permit Fee) 5
44 / . State Saucherye (S% of Permit Fee) S
(Pleas print name) TOTAL PERMIT FEE 5
Notice: This permit application sspird if a permit is not obtained within • All new cote bulidleS1 require 2 sets of plans with isometric or
180 days after it has been aceOplad as complete. riser diagram toe. plan riviaw,
'Fee methodology set by Tri County Building Industry Service Board.
i;lDsts \Permit Fonns\PlmPermitApp -doe 01103
01/20/2004 16:08 50364258 ROSS ELECTRIC INC PAGE 01
E lectrical P .: pOatio>o� t MI F i� i:: � �,• t.�
� Received Electrical
Date/By: Permit No.:
City of Tigard 0 Planning Approval Sign
13125 SW Hall Blvd. V OF 11 GApl ON Plan Review Permit No.:
Tigard, Oregon 97223 G1Z 1N G 0 \' `J Date/By: Other rmit No.:
Phone: 503- 639 -417I Fa$s�D3 -598 -1 960 Date/13y: vices Land Use
6 ;^,:,' ,... t .': 1
Internet: www.ci.tigard.or.us 1 I N t Case No.:
24 -hour Inspection Request: 503 -639 -4175 ` -- - Namc Jtrris. pee Page 2 for
Method: Supplemental Information.
if New constructs � �: ;` . '�"�'���'�' 1��se ctieeR;i7E•;'tTxat' ... '
on 77 �� Dcmoliti.on Service over 225 amps. Health-care facility
• Addition /alteration/r- slacement commercial
Other: ❑ Hazardous location
❑ Service over 320 amps - rating of ❑ Building
:CATEGO f'1t DECOiVSTRECITON g over 10.000 square feet,
i I & 2 family dwellings four or more
units in
1 & 2- Family dwelling ❑ Commercial/Industrial ❑ System over 600 volts nominal one structure
Multi- Famil ID over three stories CI Fecdcr 400 amps or more
❑ ACCe5S0 Bt111dirt�
i n Master Builder ❑ 0� «pant load over 99 persons ❑ Manufactured structures or RV park
!1♦ Other: ❑ Egress/lighting plan ❑ Other:
' • ; .`. ..T tt• OCAtTION.' :..• Submit sets of plans with a ny of the above.
Job site address: 'e 3£i2 Sr i k—r (, .i' The above are not applicable to temporary construction service. `
Suite #: �g p IiEE' S,4TTI1£.:,:..;..i; °• .r: ; ::,
Pro ect Name; I A �� 4111 K Deacrlptlon Number of ins talons er ermit allowed
Qty Foe (ea) Total
Cross street /Directions to job site: New residential- single or molt!- family per 1
�
dwelling unit. Includes :mantled garage. •
`Y✓ V v' n� 1n 0 ► ��nn I RCA -a- Re. I I ? vi vo ? • e
Included: _
Each additional 5011 . R. or rtion thereof 143. I 4
Subdivision: EIMU ��R# Lot #: Limited "' °r . ro al is.o�a I +
Limited energy. non residenti 2
Tax map /parcel #: Each manufactured 3.00 z
hued home or modular dwelling .
DESCRIPTION Og • WORK :::..." .. service and/or feeder 90.90 2
= f �� I OIVA i Services or feeders - installation,
( r���� l�r,�l�I xlteratlnq Or rel oea tieor
■(�7 iiMI gi 4 / , 200 am.s or less 80.30 2'
201 amps to 400 amps 106.85 2
b'i •PROPER Iy O 401 amps to 600 amps 1 60.60 2
R • • •gill' N ' 601 amR5 to 1000 an 240.6 2
Name: �AZI[rl�U OOer t000 am volt 54.65 2
s 4
Re connec t °" or 66.85 2
Address: o_
Pr . U / /� / AA • e. ' Temporary services or feeders - installation,
Cl /S . te/Zi s : 'M /L ► / Ot alteration. or relocation:
S� 5D / � � 200 am less 66.85 1
t
Phone ,� �/ I L•1f 20 amps to 400 smp Z
100,30
IN A : 1Y r.,:. ON'EACT J 4 to 600 amps
C PERSON: 133.75
' V� �, C 1 1 e i^ Bra nlr per p - new. altera ar
` Jr 1 extension per pante!:
Address: izmaf S a I 0 i A. Fee for (ranch circuits with purchase of
Ci /State/Zi service or feeder fee, each branch circuit 6.65 2
B. Fcc for branch circuits without purchase of
Phone: ,, D , .-L ]! r , ` 1 I II service or feeder fee. first branch circuit 46.83 Z
t `7 Each additional branch circuit 6.65 2
.0 /I • II tau ! S • Corn . Misc.(,Setvicc or feeder not included):
• :' ` : " ' !'.CON CPOR': Each puny or stru circle 53.40 2 • Job No: Each sign or outline lighting 53.40 2
Signal circuit(s) or a limited energy panel.
Business Name: .13055 ,..r—ht. q � :iteration, or extension 2 2
Address: Q370 .S 0 Oa) Y1 i e . . � r Description:
rT�`L
Cl /StatelZl • : Ifi s 6(m-6 e> . T71 Z3 Each additional inspection over the allowable in an of the above:
Phone:,Sb3 (v Z 2800 Fax: / Investigation etion per hour (min. t hour 62.50
Z.(s- nvesti tigationfec:
CCB Lic. #: I S / Lic. #: 3 36oc. Other: --
Supervising electrician
E1t ietrltRT :PeriftiFei§c :; + : :; ",'a:, " ::.
si;. acute re. aired. ' l"� Subtotal $
Plan Review 25% of-permit Fee S
Print Name: • ' (.16 I OSS Lic. #:
ii23 o7,s State Surcharge (8% of Permit Fee) S
Authorized / / TOTAL PERMIT FEE S
$igrla ri e; .. / L /`� l Notice: This permit application expires If a permit is not obtained within
Date: [[! LLL6 180 days after it has been accepted as complete.
"Fee methodology set by Tr1- County Building Industry Service Board.
•
(Please print name)
i:1 Oats 1Permit Forms 1 ElcPermitApp,doc 01/03
CITY OF TIGARD Credit No.: 200 - 000-2
Date Issued: 2/24/04
Engineering
� iaaaii�it 6�i Authorization
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.. f �
Direct
Date Permit Numbers Lot Numbers Credit Used Balance
Beginning Balance $ 37,332
iv i
AV OW
_��
-y
AMA
Balance carried forward to TIF - •it No.
• Ordinance 379 provides for an expiration 10 years from authorization.
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STREET TREE CERTIFICATION
0
2
I, ike ti+tr5 , ,,Owner /Agent for i V5
0.
( E AS E PRINT) " ` (PERMIT HOLDER)
•
a / a ,
Do hereby c ;r fy t ° e ; i.11'ow n location
-r .300 : 7,'t„ '
meets : vor igard /Wakh� ngton 'County
s >. a,v-x w.aafiY,�,..�..,, „.,zr.„z.�.%sa sr� :.wr
l and use and development standards for street tree installation.
ADDRESS:
11: 3- d7- 5 C „ fro LP)
0.
LOT: � SUBDIVISION: c r h #V 4 E LC S
0 °(/ 0
BY: gik 9,0; DATE:
(' /
RECEIVED BY: ) DATE: (7` C) 2 —(
41 . i kit,
CITY OF TIGARD 24 -Hour ,, `�
BUILDING Inspection Line: (503) 639 -4175 MST �vc� T 6 —
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested g ( AM PM BUP
Location * S 3?Z CALO Suite MEC
Contact Person Ph ( ) 7// — ( 6 7 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
Drywall Nailing
Drywall N
Firewall
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
J Ot PART FAIL
HANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS 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 Please,. all for reinspection RE: ; El Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Dat // Inspector / V 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) 6 '' 75 MST � c{-cioos
INSPECTION DIVISION Business Line: s 639 -4171
BUP
Received Date Requested O 4 AM PM BUP
Location S 3 7 2 Suite MEC
Contact Person Ph ( ) 7/6 - l c (O 7 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 ;7._,�� i - A /) / .9. O C E u O
Framing I�C� h X l y 4,-7;
Insulation
Drywall Nailing o Nt "Pc
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling �
Roof -►
O • -r:
I � i r
1 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
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 ❑ Please call for reinspection RE: 0 Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date CD LY Inspector ` Ext
Other:
Final DO NOT REMOVE this inspection reco fr the Job site.
PASS PART FAIL
CITY OF TIGARD , 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST - - t�t7 0 S?
BUP
Received Date Re uested U / AM PM BUP
Location s . 2-2 F;- 1 Suite MEC
Contact Person Ph ( ) � � - 2 -ZOO PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC / ka
Footing
Foundation Access:
ELR ELC
Ftg Drain
Crawl Drain /r /
Slab Inspection Notes: SIT /
Post & Beam
•
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
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
4P anm.4111 El Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd.
PART FAIL
Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA
Date -- .. 0 I A Inspector C 2u N 0 � ` Ext
Approach /Sidewalk `
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL