Permit f
y CIT 1 OF TIGAR® MASTER PERMIT
PERMIT #: MST2004 -00053
141 DEVELOPMENT SERVICES DATE ISSUED: 3/30/04
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 08412 SW COLTON LN PARCEL: 2S112CC -17200
SUBDIVISION: DURHAM OAKS ZONING: R -12
BLOCK: LOT: 008 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: 156,593 30
OCCUPANCY GRP: 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 BOIL /CMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS:
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
BUENA VISTA HOMES BUENA VISTA HOMES This permit is subject to the regulations contained in the
Tigard other Muni l e Code, State work k w Specialty Codes and
6932 SW MACADAM #C 6932 SW MACADAM HOMES all other applicable law All work will be done i
PORTLAND, OR 97219 PORTLAND, OR 97219 t
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 K Storm drain Insp Mechanical Final
Sewer Inspection Underfloor insulation Electrical Service Low Voltage Water Line Insp Plumb Final
Footing Insp Crawl Drain /Backwater Electrical Rough In Gas Line lnsp Water Service Insp Building Final
Foundation Insp PLM /Underfloor Framing Insp Insulation Insp Appr /Sdwlk Insp
Post/Beam Structural Mechanical Insp Shear Wall lnsp Rain drain Insp Electrical Final
Issued By : I ' Aft Permittee Signature :lee__,efrfpgL;A
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
ly
� FOR OFFICE ESE ONL
Building. Permit Apt: to ..;ttb n
:- tf' P , i ,..- Received 7_, . O L/ Building M S.
� j Date/By: (/ L Permit No.: 2 O ti -- (9110
City of Tigard a V � � `• Planning Approval Other 4 ' [z2
Y g 7 � , 00y ' DateDate/By: Permit No 06 y, (9 .0. 5∎I
13125 SW Hall Blvd. `( �l Plan Review Other
Tigard, Oregon 97223 -\' Pi Date/By: t/ - '5 • 2g'D Permit No.:
Phone: 503 639 -4171 Fax: 503 59 � �j G / ,;,;y..: : F ; l • \ Post - Review Land Use
�� � J _' I ' Date/By: Case No.
Internet: www.ci.tigard.or.us C, G �
``� . -. -
Contact ►. See Page 2 for
24 -hour Inspection Request: 503I75 Name/Method: a Supplemental Information
...TYPE OF WORK- - _ -. ':REQUIRED DATA
,� New construction ❑ Demolition � I,& 2 FAMILY DWELLING,
❑ Addition/alteration/replacement ❑ Other: —
CATEGORY OF CONSTRUCTION . • Note: Permit fees* are based on the total value of the work performed. Indicate
ail & 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 $
. JOB SITE INFORMAIJON and LOCATION No. of bedrooms:. No. of baths: i.e S
Job site address: - - - , - - -- :.= . . -•� • Total number of floors
fl� � " New • dwelling area (sq. ft.) / War
Suite #: `' I . e .. p t.: CO 1 +0 4 1.4 i Garage /carport area (sq. ft.) .
Proj ect Name: Ruvi lcum Oa_ K5 Covered porch area (sq. ft.) •
Cross street/Directions to job site: Deck area (sq. ft.) ii
' \,\I 6 C/ 1 � �� 4 � � D ham inn ^ Other structure area (sq. ft.) I
` ` V v r Ut i „ I,� , ..-: RE DATA: :.;
'COMMERCIAL' ='USE C -. ' -
Subdivision: D A,'r ha OCk KS Lot #: ?j .. .... . ,
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,
• P1�1�1 `' n o� C---1-1 C M, ^ C'l • ,� ` Le overhead and profit for the work indicated on this application.
. 1A a. . A - l . ° i _ t , - f _ I Valuation $
- Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories
0 PROPERTY OWNER -• - 1 0 TENANT . • • • Type of construction
Name: /tf'l('O\ V1 IS , a \- t mes Occupancy group(s): Existing:
New:
Address: t201-23-2, SA,& Ma carp Aro
City /St.to /Zi.: 7tfy A 0 An OR 0 11 - 2-11
Phone: �� / „ Fax: J x NOTICE: All contractors and subcontractors are required to be
[h 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: ev(',i -i. jurisdiction where work is being performed. If the applicant is exempt
Contact Name: M \ n(A t \y eiv,s from licensing, the following reason applies:
Address: �/Y\e a s (,„,• jvve
City /State / Zip:
Phone: I Fax: .
E -mail: m v 'BUILDING .
YID e5 � , .
*:..." - ,
mono •� P[e ' - ase re feesch :::'.- . , . :::
• CONTRACTOR •
Business Name: r' P,IC\ V V$t"A 03 Fees due upon application S
Address: / . ► ,,, /. /, I, ♦, j/ 4-C
Cit /State /Zi.: . IS] . ,WjalKi Amount received S
Phone: ? L143 l'Q3 Fax: 5a?, 443 3 Date received:
CCB Lic. #: ) 577 -
Authorized � f Notice: This permit application expires if a permit is not obtained within
Signature: /-�ti 147_ Date: ' aO 180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
is \Dsts\Permit Forms \BldgPermitApp.doc 01 /03
01/20/2004 16:22 5032537693 SUN GLOW INC PAGE 02
e chanical Per is -.�;' A , - r 11a tion Mechaniml
r �+ :py Datenly: Permit tin.: TO alp -cao
` �
City' of Tigard A afd C Planning Approval
pai Building —
[� d Permit No.:
13125 SW Hall Blvd. ` % • Plus Review Other
Tigard, Oregon 97223 Of � 0p 12ate/By permit No.:
Phone: 503 -639 -417l Fax: 503• -593 94Gp‘.:. Pest•RevIew Land Use
Date/Sy: Cane No.:
Internet: www•ci,tigard.or -us 00- .-_' j I coated J el sec Page 2 for
24 -hour Inspection Request: 503 -639 -4175 - Name/wiled: /C o• Supptemenml rarortation.
.. • E O OF ORRK .. • . , . : CO t, ;a • - FEE*. DU ' ( ST. ., A •,
► New construction IN Demolition Mechanicai permit fees' are based on the total value of the work
L U Addition/alteration/rej�l • Other: perfbrmed newest _ indicate the value (rounded to the neest dollar) of all
' f.;/1fEGO T± F:CO�S r'RU( TIO Q• < mechanical materials, equipn+ent, labor, overhead and profit.
. 1 & 2- Family dwellitt_ f ■ Commercial/Industrial value: S See Page 2 for Fee Schedule
Multi-Famil y " �'• • • '. EA Y'STEMSFEI '�
Accessary BUildltt � .. M ` fi .: on KTMEMIMINerniilenl
■ Master Builder • Other. II - . • : Coorru:
' JOBSFI'E . F'ORMATEON•afldi.•'. ' ' 'Furnace • add•oti air conditionln -" 14 -00
Job site address: L. v 1i Cl.' Gas heat ' • MI 14,00
Suite #: Bl. _./A. s t.ft; Duct work IIIIII 14.00 `
Pro'ect Name: .4, 14 / ,/I ]W'5 14.00
Residetttial boiler
Cross street/Directions to job site: for radiator or h • • nic s = =m 11111 14.00
�� 1 �� unit l (fuel, nt eric)
in- o lect f/ V h. M'7 �I +- 4111 V in wall, induct, s not
etc. 14.00
Flue/vent for an of above illiiii 10.00 —
Lot #: 12.15
SubdiVi310ri _ Other oa A •tu:ms Mail
Tax map/parcel #: � � . � �
10.00
r ES 'PION OF WO ' r�, Gas fire.laee )♦ 10,00 MOM
4 4 _/ iii .// AMMAN - 10.00
"'�f�f✓ - / , ,/-4 - Lo: 1i: , er :as WWII
L llt►Qad/I'ellet stove 10.00 mum
NME/ 11/J* Wood fite•laeelinsen 10.00
Gtti►rine /liner/flue /vent 10.00
Plrai l:: �ti11•L_� , 1:1 •J • ;-.:.•.',;,, , ',., Other: 10.00 —
Name: T A ',.4111 ►41IIMEIN Environmental Exhaust & ventilation iim � w Ran hood /other kitchen equipment ment 10.00 aim
R'�L�j-1y ��1 L A
Address: . sa \1. Clothes dryer exhaust 10.00
nt11Wi1oM Single duct exhaust
Phone. 0 sp Eh asih: (baatrooms, toilet aoaw:meats.
IA AIPPLIC . NT • Ir 1:0:11`lt PERSON Will rooms 6.80
V�'�� / X7/1 11 Attic/crawl • • e fans gm 10.00 MINN
Name:
Utter. 1 10.00
Address: l • 5 //e
Ci IS - t`.e/Zi.: •• .so for irtt - k.tfd T.3iM— Lllr,7 )a►
Furnace, etc,
Phon - Mil Fax: Gas heat u. • MEM •"
E 1a .R ! ....At VA I ' S .( wall/s tied/unit heater ' r �
i:-..-.•.:?,,....-. ,. . COh}'FRAGR .. . Water heater
Business Name: IfillnIMIIIII Fire.lace ..°
Address: ,. ZK 3E L.0...-,t.) EThillillIMINEME _ ••
Ci /State/Zi.: f . git at C Z , b Clothes . :as NM " A
Phone "f - 2.53- 77 Fax: - 'r. - 2a3--7 Other: Total: � r�
CCB Lio, n • i l3 u
Authorized Z Subtotal: S
Signature: io Date: 1 o Minimum Permit Fee 574,50 S
__ <• fr „ fl plan Review Fee 25% of Permit Fee) $
`(IC C (Jl l YI 1 (P1ea�c name) tOTaL FEE EXIIIIIMONI
*fee osetbodolopy set by Tri-County Budding Industry Service Board.
Notice: This permit application expired Wm prrrtti< is net obtained within orAgne plan required for exterior A/C units.
180 days alter it has been asxepten as complete.
i:\Dsts\Penni i Famu\MccPermitAPp•doc 0143
01/20/2004 16:03 FAX 5036284633 THE MULLEN COMPANY 01002/002
Plumbing Permit ti FOR OITICF USE: ONLY
Received _
Dam : . - ,riOS3
City Of Tigard * Planning Approval Sewer •
�J 1 a 1 Date/13 : Permit No.:
13125 SW Hall Blvd. �SV Plan Review Other
Tigard. Oregon 97223 , C40 Date/H : • Permit No.:
Phone: 503 - 639 -4171 Fax: 503.5984%69 O ' - S 1 ;\ post- view
'
Internet: : vuww,ei.tigarc or -us CA"
0 44.1 _ t •i �� Contact ;US$.: _ See Page 2 for
'
24-hour Inspection Request; 503-6394175' -_ Name/Method: SII .. 'mental ti(ormation.
DAM OP. WOE ' FEE•; SCJ EiEQIILRbraptsCal 'ia[ti>E�attsCClietirltsl-
Po New construction • Demolition Description Qt/. ae(- Total
Additionlalteration /re>; lacement • Other: " ' : ,,::' ; ;�` 'F'k`7-I..� ii ii 41 -:;''
,EA'Y> IOR y 9 h 1: , ri :� i ON • .. a'diioO' rz,:ezhla4�� .' �.... „.,:
SFR l bath 1 • 249.20
•1% 1 & 2 -Fami1 dwellin_ l■ Commercial/Industrial SFR (2) bath 350.00
Accessory Building ■ Multi Family SFR (3) bath 399,00_ •
• Master Builder Other: _ Each additional bath/Icitt hen 45,00
'SOB SITE FOR3 TIONan LOCATION Fire sprinkler - sq ft _ Page 2
Job site address: cR---1 1 Z" (" j9 I -t--11 . : -..: :: •..` . .SiteUtilftles._ ; ..4°;a4404" -
Suite #• Bld" . /A. t. #: Catch basin/area drain_ 1 16.60
/ R�
Pro 'ect Name: • , , 2 1 - . /�`i. l DrywelUleach line/trench drain 16.60
Footing drain (no. linear ft.) Page 2
Cross street/Directions to job site: /� Manufactured home utilities 110,00 '
DAM A/ M s � I i B1 vC 16 -6U
r I I 1 Rain brain cormectar 16.60
Sanitary sewer (no linear ft.) Page 2
Subdivision: , I MIIPAI Lot #: /� Storm sewer (no. linear ft.) Page 2
Tax map/parGel #: Water service (no. linear ft.) Page 2
F'nhrreoe ittein: ' '`r " '
l DESCRIPTION OF WO • Absorption valve 16.60
II . Ig I " I / 1 Backflow preventer Page 2
artj pinJJli , u ��bl 11 - '11�i I Backwater valve 16.60
Clothes washer 16.60
'Dishwasher 16.60
' -
XI PROPERTYOWNE1 • : �6
Drinking umo taln 16.60
'" � " �' TEST • ' ' : , -. .. � Ejectors/sumo 16.60
Name: i WA (`I 1 , I n Wi l l ' ! Expansion tank - 16.60 •
Address: ► /E'y�� /� / it I _Fixture/sewer cap 16.60
.t a /I � . Floor drain/tloor sink/hub 16.60
Garbage disposal 16,60
Phone :ea L - LW, gelialriaftlnt Hose bib 16,60 _„
L 2y , ' ' _.__ 111 CO ek .., ' ' E SON lee maker 16,60
ame: 9n� N/a Miail Interceptor /grease tray 16.69
Address: S'i //1 ei / • 1DA e-- Medical gas - value: S Page 2
Cit I$ta�te/Zi Primer 15.60 ,.
_ Roof drain (commercial) 16.60 _
Phone: . • 9 # 12 Fax: a 4 2-4 slnktaasin/lavatory 16.6_
'Ya%� ft a tie '. • 0 r Tub /shower /shower pan 16.60
._ . • • , CONTRACTOR ' • ' Urinal 16.60
J Water closet 16.60
Business Name: L z _ -,, 4.( Water heater 16.60
Address: / , re ' ..0.c _ t_.1 Other:
City/State /zip: j/ < 17, r..), 12e_ 9'7/ A-3 . ocher.
Phan- c6' , : _Jr , Fa So , • f, .74‘1;:.: ... _ t"
:• . .s Jt�atiiaeRe .
t Subtotal 5
CCB Lie. #: 157#,M11 ` 1umb. L'c. #: -26O toil Minimum Permit Fee $72,50 S
Au orizcd '' / - �� Residential Backflow Minimum Fee S36.2S
Signal:WV; , .4 / 4-- Date:/ F_ Z� Plan Review c2.3% of Permit Fee) S
(4 f / State Su rchm3:e (I% of Permit Fee) S
(Plc • print name) TOTAL PERMIT !Mg S .
Notice: This permit application ospirca if a permit is not obtained within ' All new commeretai buildings require 2 sets et puns with isometie or
190 days after it has been accepted as complete- riser diagratio kw plan review.
`Fee mcehodolog . set by Trl- County Building Industry Service Board.
is \Dsts\Permit Fotms\PimPermitApp -doe 01/03
01/20/2004 16:08 5036425815 0 ROSS ELECTRIC INC PAGE 01
,. E \•
�,i
•
E Per c , ;. I I 1 : , On
' i . Received Electrical
City of Tigard ° Date/p : pp Permit No.: }l %ma -0 00,57
Sign
Ro P lannin Approval
13125 SW Hall Blvd. Z�C'A bate/By: Permit No,;
Tigard, Oregon 97223 Oil GIP'
Date/By: Review Other
P
•
ermit No.:
Phone: 503- 639 -417I Fax: 50$131960 Post-Review Land Use
� t o t .. i': I . Da
Internet: www.ci.tagard.or.us ' , l contact Case No.:
24 -hour Inspection Request: 503 -639 -4175 �`�'�! - �" Nme Juric.: Su seepage a r
Name/Method: 1 Supplemental information.
•
r�� .TYPEi'OF WORK ` . , .: —, N W . lerYs'e chtEik;E 4
New construction : Iracil
peiholitit)tl � Service over 225 amps. ■ Health-care facility
Addition /alteration/r •easement Commercial 0 location
[] Other:
❑ Service over amps - rating of ❑ Building over 10,000
• :CATEGORYOPCONSTRUCTTON.. : 320 g square feet.
W 1 & 2 family dwellings four or more residential units in
Mi 1 & 2- Family dwelling Q Comrnerclal/Industrial ❑ System over hew) volts nominal one structure
❑ Building over three stories ❑ Feeders, 400 amps or more
❑ Accessory 8uildin_ • Multi-Famil
■ Master Builder ❑ c over 99 persons ❑ Manufactured structures or RV pane
��: El Eg Egress/lighting pllan n ❑Othth Other:
s oBSrrE INFO
' � TIONlild1LOCAE'1'ION' :: -� Submit sets of plena with any of the above. • Job site address: > ( Gd 1 te, The above are not a [legible ble to tem ra constructs servi
Suite #: BId ./A t. #' .. ITEE" SQIEDUL .. ; construction
.R ce _
Pro act Name; Number of ins actions er ermit allowed
4. 1 �� AA ���� S Deacrl tlon Qty Foe (ea) Total
Cross street/Direction5 to job site: New resi - single or mill-family per
�� I dwelling unit. Includes attached garage.
- / V A/ ► 1n I Rd 4 - � /^ 1 ( �\ Vd • Service included:
v ` �/ ° ` `+ 10(10 s9. R or less 145.15 4
Each additional 500 . ft, or rtion thereof 33.40
Subdivision: �� Pa , Lot #: ;� Limited en , ces i den t j� 75,00 2
Tax map /parcel #: E energy. non residential 73.00 2
Each manufactured home or modular dwelling
ti •UESC RIP'I'ION. OF WORK . • :: ' • - service and/or feeder 90.90 2
, fit { V I II I /�I
Services or feeders - Installation, —
� & P � alteration or relocation:
■ IFI , ' 0 I I I , 200 arri.s or less 80.30 2
201 amps to 400 am
401 antes to 106.85 2
i a'.e a . . J , 7 `I7 • " n em, • • 601 am to 1000 16060 ernes
2
2 40.60 2
Name: ".� /A / Over 1000 amps of volts 454.65 2
Reconnect only 2
Address: a . u / / Ail • Temporary services or feeders - installation, 6b.85
, i /L ► J alteration, or relocation:
200 am s or less 6 6.85 1
Phone , ► w► Ji4 ff mpti ?, t,m1 201 em to 00arr � am 100.30 2
gm t1► CONTACT PPERSSOON.:., 401 to 600 amps 133.75 2
W 11� Y �/, c : e p- new. aieroti0n, or
extension per r panel:
Address: 4 , 44/A2 & a .. Q A. Fee for branch circuits with purchase of
• City lZl ' v service or feeder fee ach branch circuit 6.65 - 2
B. fee for branch circuits without purchase of
Phone: , it) Fax: /_g 4 Z� 4 service or feeder fee. first branch circuit 46.85 2
Each additional branch circuit 2
E-mail: ,� ' V ��\r 6.65
e V ► V is . cz m . Miss. {Service or feeder not included): • • :' CpLI>;Ag;; . Each pump or irrigation circle 53.40 2
Job No: Each sign or outline lighting 5 3.40 2
Signal circuits) or a linked energy panel.
Business Name: 0S s -. , alteration, or extension Page 2 2
} 5
Address: Q 370 5 Description:
Ci /State /Zi • : Hi S 601-6 Or 1 P ? Each additional ins . • ion over the allowable in an of the above:
Phone:ib -3 (Z 2800 Fax: �7 Pcr in, . (Lion • hour min. t hour 62.50
E } cegZ ' �S - Investigation fee:
II
CCB Lic. #: 1$739 / Lic. #: 36oc. DttrC .
Supervising electrician, � : Elekt itttl:Peritiff reef : <� •,. ; la:,; _ ,,' .;
si;+ afore re. utred ,� '!^-' Subtotal $
Plan Review (25% of Permit Fee) $
Print Name: j VC 1 OS S Lic. #: 1)23 as State Surcharge (8% of Permit Fee) - S
Authorized TOTAL PERMIT FEE $
Signature; Notice: This permit application expires if a permit is not obtained within
Date: ISO days after it has been accepted as complete.
*Fee methodology set by TM-County Building Industry Service Board.
(Please print name)
i:\Dsts \Permit Forms \E 01 /03
•
CITY OF TIGARD Credit No.: 200 - 000-3
Date Issued: 2/24/04
Engineering
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.
fr y
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.
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STREETTREE CERTIFICATION
1 PA- Os
s
I, i , �wner/ ent for u•fri. V f
(PLEASE PRINT) (PERMIT HOLDER)
lk .,
%,
l et
a
Do herebP , `°' i �, ag h o1lddwing location
meets Ci- '' :i�grd /Wa `a hi g ton County
. �� PK��� a:�sw..�
l and use and development standards for street tree installation.
i O-
• ADDRESS: g j C e (-, fi
• LOT: SUBDIVIS 1 /0'6 , 7('^ O G5 0.
g
�l 0.
BY: a DATE: 762 �/
RECEIVED BY: DATE: � / _
One & Two - Family Dwelling
._.. Plan Check Fees
City of Tigard
PERMIT INFORMATION: •
Permit #: M — no y - oo c,s 3 Plan #: BVN 1675" ! Date: 3 / / - oy
Site Address: qi q -/Q 5 y col_ c L ni Parcel #:
Subdivision: LDIA a i .1 A OA k S Lot #: 75 Zoning: R - ,
Jurisdiction: Ts'4i Setbacks: Front: i 5 .--- Rear: / s Left: S Right: 5 --
Class of Work: N Stories: a First Floor: 63s TA
Type of Use: SF Height: 'a ' Second Floor: / Oyp 0
Construction: S N Floor Load: • # Third Floor:
Occupancy Group: p 3 Dwelling Units: / Bonus Room:
Valuation: i E, - 3, 06 1, 30 Bedrooms: 3 Total Floors: /G 75 0
Bathrooms: '3 Basement:
Decks: - Garage: 3os tit
Porches: 5_3 II Other:
FEES: Description: Fee Amount: Amount Paid: Balance Due:
Plan Check: Building: 64/6, �sa. V 3 9G.oy ,/ Extra Set: —
Permit: Building: c y3, 96 3, 90
Tax: 79, s/ "7 9. 5
Mechanical: 76. 76 ,.l) ✓
Tax: (, /3 6 . /'3 \%
Plumbing: 319.00 3 99 V
. Tax: 31. 9a, 31 9 ✓
Electrical: a,/,q5— 'a, l . 9 5 ✓
Tax: l( . % /(,9(� ,/
Low Voltage: — —
Tax: -- —
SDC: CDC Bldg. Rev.: — —
CDC Ping. Rev.: 'J17, 1 4 O . 0 . 0✓
Parks: /'5 ,c;0' /455�, ✓
TIF Res.: 2. i-10. oo a 3 L IO. c)o ✓
TIF MT: / ei O, po / 9 '/
Erosion Per 6q. no G I1, or,
Erosion CWS: ,20, fs0 • o. �D
Erosion COT: ap_ 1� a6, w
Water Quality: _ —
Water Quantity: a 7 07s,On
SUB TOTAL: 7a 6 _ od - i 700447_
447_
Sewer: Permit: a 1 100 - E)1-100.c.20
Inspection: 3S , av 35.co
SUB- TOTAL: �c.l -- SAX) .R r 13SCr)
TOTAL: o f 6 99. 61 2 5-0,(22 9 r
i:\Buildin \Forms \ResPlanCheckFees.doc 04/03 Page 1
CITY OF TIGARD 24 -Hour
BUILDING AS Inspection Line: (503) 6 • -4175 r MSTeC (1 --3
INSPECTION DIVISION Business Line: (50 '39 -4171
BUP
Received Date Requested g _ t AM PM ✓ BUP
Location 8 I Suite MEC
Contact Person tl'k-4.:L2_ P ( ) 7(6 — /Ce C PLM
Contractor 'h ( ) 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 Framing th /Shear USA eR� ` � l r F - � A ,// --
Insulation �—r e --- E - T -- — FR l � L p n
Drywall Nailing l �
Firewall ._��� I If
Fire Sprinkler v LA—
Fire Alarm /Ili
Susp'd Ceiling
Roof /
Other:
� 1
PART FAIL
• • BING CASE
Post & Beam
Under Slab
Rough-In •
Water Service 7 , JI
Sanitary Sewer
Rain Drains
Catch Basin / Manhole IPIPIPW
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smo - Dampers
PASS PART FAIL
LE ' ICAL
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: i 0 Unable to inspect — no access
Fire Supply Line •/ /� � �_ /1
ADA , l
Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection r ord from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING • Inspection Line: (503) 639 -4175 MST .2Ce.)4 0S�
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested IA AM V PM BUP
Location Suite MEC
Contact Person n ' �/ /t..r i i Ph ( ) 7/0 _ 1 e Co 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
Framing
Insulation 2
Drywall Nailing /
Firewall LLL
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ,/
Roof Other: f/ / / _ L/ _ - A.0/
/—
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:
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 0 Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Dat® Inspector 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 MST oTDO el- ddb 53.
INSPECTION DIVISION Business Line: (503) 639 -4171
'7 BUP
Received Date Re uested ! �/ AM PM BUP
Location �,�, cfY1 Suite MEC
Contact Person Ph ( ) 6 /Jo/ - ZBFde 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 .1 r,� t � _ T � _..� t i 6 1/Q 1
Insulation
t� t P __WS
Drywall Nailing ' _ C Ve` C
Fi rewal l • 01.E 1 Ea El\` MN
Fire Sprinkler
Fire Alarm ( 1L�
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL lb --
PLUMBING =�1v►: t =�dA\>_
Post & Beam
Under Slab
Rough -In 111111%111k
Water Service
Sanitary Sewer 116111-11 � s L
Rain Drains IVAI LW Catch Basin / Manhole
Storm Drain OW
Shower Pan
Other: —
Final ` —� _
PASS PART FAIL MECHANICAL ��_`\ WV"
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final \ ■`_
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fir- i arm _
a_ —
,,Inr - einspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd.
• S PART i
SITE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA n ,� ^ C
Approach /Sidewalk
Other: Date �0� Inspector � 1 v Ext
v
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL