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Case File 15900 SW AVON PL., 77GARD, OR LEGEND LO T" 10 OF DURHAM OAKS SUBDIVISION W,4TER L ,-1,,TER-,AL 54N1T,,ART* 4 '- EWFF;R 1-4TEFR4�L 5ILT FENCE 0 TREE PROTEC710N FENCE ______ _ _ _____._ _____ SW AN' 'ON PLO 5 1r.5 14 1 W ---------- uj ul 1> n ......... . zz. N rso f. 4-1 Uj I is C� Cts �j � E F cn *"n T1 _J 051-011 SET ACK -011 51-011 SET ACK m __4 m A U) U3 7\- -vrl -;1�7 7\ . . ........�-36.00 N0: i5'. --A uj PLANT LIST MITIr4' CN TREE - OUC-31-45 FIR 3" TO 4"0 MEASURED 4T 1545E FRO (-`)5ED STREET TREE TOT,"L. �54. TOT41- IHC�4E�3 3" 154 zz 161'2" R FEC EIVED 4KEE�(-')NO FLOWERIN6 CPERRT PER LOT � _�__�� -___._____..._______._ ._._ ___.___ .__�_ ___ _____ --.. Fig r-11T11--%AT1 0- 1-� TREE - 4' T('--) 1 2004 %T 2.5' ca. 2 " TO 3p" ( MEA5UREC.-� 4T 5."5E ' ( TFY 01� TIGARU TIN(-'x TREE T(--� BE 54\,/Er--, TOT,41- " DE,. TOT."L 11\k'�'�4E�& -- 2 " 238., cm 41& " L D I N-G- D I V IS 1 o m -------- ------ ___............. 1 SITE PLAN z H01MES DO, -LOT10 E11,101A V13. 1"A CL1RT'f-J))hA -) I I I ► l �I 1 �' J_ i_k 1 ,�� _ 1�� ►__. �. I ! '� I .� �/ Y� i ►." A19 I SW MAI"ADAH] AVE., SUITE C; P,Q)RTIAVIU, DURHAM OAKS SUBDIVISION SW DURHAM RD AND SW HALL BLVD TIGARD, OR (6 10 3 A 4i' (s 0 3011 Pfl- F'L A 11 NOTICE.- IF THE PRINTOR TYPE ON ANYIII III IIIIIII III III IIIIIII -- IMAGE IS NOT AS CLEAR A" w '; THIS NOTICE 2t 3q r � � flll. �.1.�.L� I �. � � � I � L.�. .� II '� r i III ! � � III Ilr llI 111 . 111 I I III III III III III IIS III I I IIIIIII ' Ililllit IT IS DUE TO THE QUALITY OF THE No.36 ZilZ T Z lO Z lllllllllillilllllllllllllllllllillllllfllllll.�II Till 1111I.1I. 1I.1I 1 IIII IIll11�1 III!I►Illi fill 111111,II IL'll�.11l Illl 1.111 lel U 111 Z 1 MAN 6 1 --8 9 S; A1111 11IT1111111l'il '1111111 11 11 11 ORIGINAL DOCUMENT , 11 � 11 �11 111119, 11111111 ' Illllf�lf a co o 0 e lb z r i i ; i I i I I i I r 15900 SW AVON PL I� CITY OF TIOARD 24-Hour BUILDING Inspection Line: (F113) 639-4175 A 1 INSPECTION DIVISION Business Line: (503) 639-4171 MST BLIP Received ------- Date Requested AM--.-- PM BLIP Location __._-� � TzlY1 � _ Su``ite!! .`— MEC Contact Person __ _—_5 �� ---__ Ph ( ) �� J `p s�� PLM —.—_— Contractor — — - -------- Ph (----1 �r —- SWR —— — -- BUILDING Tenant/Owner __. . —_ _ —_ ELC Footing FoundationAccess: ELC Fig Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Ar,(.hors - 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 8 Beam -W`-� -- - -- �- -M-- -- — Under Slab ----_— Rough-In Water Service -- - — Sanitary Sewer Rain Drains -- - ---------- - — Catch Basin!Manhole Storm Drain -- -- — --- ---- Shower Pan Other: ---- Final PASS PART FAIL -- - i MECHANICAL— Post& Beam Rough-In ----- -_— Gas Line Smoke Dampers ----------------------- - - — Final PASS PART FAIL ----- -- - -- -- - — ELECTRICAL i)GiSlab - I ow Voltage -- ----_-- -- — Fire Alarm rr AS P_ART FAIL 1, Reinspection he of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SIT _-- �� Please call for reinspection RE:------ _. ❑ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Inspector N 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: tO3 4175 INSPECTION DIVISION Business Line: T1S �� ZU BUP - Received ____ -___ Date Requested J--- AM—.--- PM—� - BLIP _ Location _._ �.�� -_ �.Suite_-- __ MEC - Contact Person Ph(__ _) ��'-_ S-- PLM Contractor Ph( ) - ------- � 10 BUILDING _ Tenant/Owner - -_ '!LC �-� Q Footing Foundation ELC Access: - ELR Grawl Drain sm-- -" Inspection Notes: C•v� SIT Post& Beam 3hear Anchors e _- Ext Sheath/Shear c Int Sheath/Shear Framing Insulation - Drywall Nailing Firewall Fire Sprinkler --- -- -- Fire Alarm Susp'd Ceiling -- ----- - - - ------ - Root Other: -- - -- - Fi - -- -- AS PART FAIL -- - _BIN_G ---- -_ _- — — 'I Post&Beam --- Under Slab ------------------ ------------ Rough-In Water Service Sanitary Sewer Rain Drains ---------- Catch Basin/Manhole Storm Drain --- - - - ---- ShowerPan Other - -�- - __ --- - I __ AS$ PART FAIL _____ _-- ---- - - ----- ___--- _ NICAL ------------ --------------- Post& Beam - Rough-In -- Gas Line ---- -- Smoke Dampers Final PASS PART FAIL -- ---- --- -- --- - - - ELECTRICAL lervice Rough-In UG/Slab _. -- --- ---- - -- --------- Low Voltage Fire Alarm Final L7 Reinspection tee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect-no access Fire Supply Line \ ADA l Approach/Sidewalk Data_ � Inspector \��L�` - -Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL x 1oil, o U ► .v � U O O � V ► 7 bA. v �► `o n � [w, pop. / a 4 ► i ,oCIS U ► a � b 5 pop i a C44 i o U ! v a ► ^° rs ! ENO a ► w ► Q ► ?; a m a4 ► n y. W fD nc o L s •••1 o 0 � a w 0 o N �] gra ••��111 .7 Q G � � ti• N O J ^ [L f9 `•7 n ro y ,n v Q � 0 o � r S �0 P.R o A �0 CITY OF TIGARD 24-Hour U_ BUILDING Line: (503) 639-4175 MST o80 7 wU Z v INSPECTION DIVISION Business Line: (503)639-4171 BLIP ----- ----- Received Date Requested _ Z- -__ /1� PM SUP _ Location � s50U , i ��- MEC�Contact Person _ _- Ph ( PLM- ---- --------- - Contractor SWR BUILDING Tenant/Owner ELC Footing ELC _ Foundation Access: Ftg Drain ELR _- Crawl Drain -_- - Slab Inspection Notes. SIT Post&Beam I -- -- -- - -- ---... -- -- _ Shear Anchors Ext Sheath/Shear Int Sheath/Shear U U Framing Insulation Drywall Nailing -- Firewall Fire Sprinkler — - - - Fire Alarm Susp'd Ceiling -- — Roof Other: -- - EMBING PART FAIL 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 SmjQke Dampers --- - -- —- G � PART FAIL — - ELECTRICAL Service - Rough-In UG/Slab Low Voltage 11 ---- — - — ---- - - Fire Alarm Final ❑ Reinspection fee of$_ required before next inspection Pay at City Hah, 13125 SW Hall Blvd PASS PART FAIL SITE [] Please call for reinspection RE—._ _ - El unable to inspect-no access Fire Supply Line - ADA Inspector ^' - Ext - Approach/Sidewalk Date _ ------- - Other: Finai DO NOT REMOVE this Inspection recor from the)ob site. PASS PAP,T FAIL CITY O F T I G A R D MASTER PERMIT PERMIT#: MST2004-00020 DEVELOPMENT SERVICES DATE ISSUED: 2/27/04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 SITE ADDRESS: 15900 SW AVON PI_ PARCEL: 2S112CC-D0010 SUBDIVISION: DURHAM OAKS ZONING: k-12 BLOCK: LOT: ()10 JURISDICTION: THS REMARKS: Construction of new SF detached residence. BUILDING REISSUE: BVI11605 I STORIES: FLOOR AREAS e REQUIRED SETBACKS REQUIRED CLASS OF WORK- NEW HEIGHT- ,. FIRSTSf BASEMENT Sf LEFT. SMOKE DETECTORS. , TYPE OF USE: SF FLOOR LOAD: 41, SECOND- ''oO sf GARAGE. .'e•1 sf FRONT c, PARKING SPACES TYPE OF CONST 5N DWELLING UNITS "nN0 sl RIGHT. �Sb J9+7. OCCUPANCY GRP: R3 BDRM. '- BATH. 1 TOTALsl VALUE REAR ' PLUMBING SINKS- I WATER CLOSETS: I WASHING MACH. 1 LAUNDRY TRAYS: RAIN DRAIN TRAPS. LAVATORIES. DISHWASHERS. 1 FLOOR DRAINS: SEWER LINES. 1U4 SF RAIN DRAINS. CATCH BASINS. TUBISHOWERS. GARBAGE DISP 1 WATER HkATERS: 1 WATER LINES BCKFLW PREVNTR. GREASE TRAPS- OTHER FIXTURES. MECHANICAL FUEL.TYPES FURN<100K 1 BOILICMP<3HP: VENT FANS: .l CLOTHES DRYER-. 1 FURN>=TOOK. UNIT HEATERS. HOODS: OTHER UNIT-S I MAX INP btu FLOOR FURNANCFS. VENTS WOODSTOVES: GAS OUTLETS: 4 ELECTRICAL _ RESIDENTIAL-UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS _ MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 anip 0 200 amp- WISVC OR FOR PLIMP'IRRIGATION: PEP INSPECTION EA ADD'L 500SF 201 - 400 amp. 201 400 amp 1st WIO SVC/FDR: SIGIPOUT LIN LT PER HOUR. LIMITED ENERGY. 401 600 amp. 401 - 600 amp. EAADDL dR CIR. SIGNALIPANEL IN PLANT MANU HMISVClFDR. 601 - 10(10 amp 60, -..r65-1000v. MINOR LABEL: 1000-amplvolt PLAN REVIEW SECTION Reconnect only >=4 RES UNITS SVC:FDR>-225 A.. >600 V NOMINAL CLS ARMSPC OCC. _ ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL _ B.COMMERCIAL _ AUDIO R STEREO: VACUUM SYSTEM AUDIO B STEREO FIRE ALARM INTcRCOMIPAGING OUTDOOR LNOSC LT BURGLAR ALARM: 07H BOIL ERHVAC LANDSCAPLARRIG PROTECTIVE SIGNL. GARAGE OPENER CLOCK INSTRUMENTATION MEDICAL: OTHR. HVAC. DATAITELE COMM NURSE CALLS TOTAL 0 SYSTEMS Owner: Contractor: TOTAL FEES: $ 7,228.18 t1t IF NA VISTA HOMES BUENA VISTA HOMES This permit Is sub)ect to the regulations contained In the Tigard Municipal Code State of OR Specialty Codes and ,D931 SW MACADAM#C 6932 SW MACADAM HOMES all other applicable laws All work will be Clore in ,,r,PTI AND OR 97219PORTLAND 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 Phonc 503-44;-6033 Oregon Utility Notification Center Those ales are set forth in OAR 952-001-0010 through L'Q2-001-0080 You Reg 0: may obtain copies of these rules or direct questions to LIC 152.235 OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Ersn Chid 681-4444 Post/Beam Mechanica Plumb Top Out Exterior Sheathing Ins) Rain drain Insp Electrical Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage St drain Insp Mechanical Final Footing Insp Crawl Drain/Backwater Electrical Rough In Gas Line Insp Water Line Insp Plumb Final Foundation Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service Insp Building Final Post/Beam Structural Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Issued By : �' 'sf ,�""��'� !�-� Permittee Signature 7 Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT_— DEVELOPMENT SERVICES PERMIT #: SWR2004-00027 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/27/04 SITE ADDRESS; 15900 SW AVON PL PARCEL: 2S112CC-DO010 SUBDIVISION: DURHAM OAKS ZONING: It-12 BLOCK: LOT: ulu JURISDICTION:---I k i TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for new SF dwelling. Owner: - -- --� FEES BUENA VISTA HOMES Description Date Amount 6932 SW MACADAM#C. PORTLAND, OR 97219 �SWUSAJ Swr c onnect 2;27/04 $2,400.00 1SWUSAJSwr t minect 2/2.7/04 $0.00 Phone: 503-443-60 ;3 1SWINSPJ Swr Inspect 2/27/04 $35.00 [SWINSP] Swr Inspect 2./27/04 $0.00 Contractor: — — — - -- -- Total $2,435.00 Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations r""^ Clean Water Services The permit expires 180 days from the date issued The total amount paid will be forfeit,—, if the permit expires The Agency does not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase �A "Tap and Side Sewer" Permit and the Agency will install a lateral 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) 2 A6-6699 Issued by:i� fi��c .rt '��.�u Permittee Signature: - Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day �� /' Building Permit Application Received building UatriBv I' r __ Permit No M opal �� City of Tigard RECEIV Date/By proval — _ Other 13125 SW Hall Blvd. adBy Permit No iw . Plan Review- Other Tigard, Oregon 97223 JAN 9 3 1 Date/fiyr '�/�h Permit No Phone: 503-639-4171 Fax: 503-598-1.960 , Post•Revicv. Land Use Internet: www.ci tigard.or.us �atc''Bv Case No CI I Y ( I Contact JunsSee Face—224-hour Inspection Request: 50 Name Niethod�I DIVISION -- — Sul2Plemental Information El TYPE OF WORK New construction REQUIRED DATA: _ Demolition 1&Z FAMILY DWELLING LJ Additiort/alterationlre lacement Other: CATEGORY OF CONSTRUCTION -Note. Permit fees*are based on the total value of the work perfomied. Indicate 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 bed;ooms No.of baths: Job site address: 4 Lo Total number of floors................................... . Suite#: — New dwelling area(sq. ft.).............................. Bldg_/A t.#: Garage/carport area(sq. ft.)............................ Project Name: Covered porch area(sq. ft.)............................. _fir Cross street/Directions to job site: Deck area(sq. ft.).. ....... . ........................... Other structure area(sq ft ) ................... — REQUIRED DATA: v COMMERCIAL-USE CHECKLLST Subdivision: Y� __ Lot#: Tax map/parcel 4: ,l 1 NotePermit fees*are based on the total value of the work performed. indicate DESCRIPTION OK the value(rounded to the nearest dollar)of all equipment,matenrls,labor, (1 0 , fr overhead and profit for I'm work indicated on this application i l/ilJ Valuation............................................... .. . .. S Existing building area(sq. ft)... ............ ...... — ----- -- New building area(sq. ft.) ..... Number of stories.......... . .. PROPERTY OW NER TENANT Type of construction........... .............. ..... .... . Name: ir I 5 Occupancy group(s) Existing- Address: NCA Cit /St to 71 _ —_P ? 1 —� Phone: Cj U Fax: NOTICE: All contractors and subcontractors are required to be APPLICA CONTACT PERSON licensed with the Oregon Construction Contractors Board under — provisions of ORS 70, and may be required to be licensed to the Business Name: _ jurisdiction where work is being performed. If the applicant is exempt Contact Name: S from licensing,the following reason applies Address: --CAME 0 4, _ .City/State/Zip: — Phone: Fax: E-mail: MMyn -��1�P�(J ---- BUILDING PERMTC FEFS• CONTRA OR Please icier to tee iichedtile: � . Business Name: s Fees due upon application S — — Address: 4 4-C, -- Cit /State/Zt Amount received_ S Phone: Fax: 3 Date received. CC Lic. #: _ Authorized —� Signature / ='T— Date / 5 �' Y Notice: This permit application expires ifs permit is not obtained Nitho c_ - 180 days after It has been accepted as complete. --. *Fee methodologN set by Tri-Cnuntn RuildinR Industry Ser-Nicr R.»rl (Please print name) i NDsu'Peimit FomuN81d8PermitApp doe 01/03 • 01./20/2004 16:22 5032537693 SUN GLOW INC PAGE 02 Mechanical Permit Application Received Mecl,eniml Planng Apo�el BuidegCitY of Tigard : Pt, ,t tra. 13125 SW Hall Blvd Plus Re"rw 017htr Tigard,Oregon 47223 bat" umirrin.: M` Plume: 503-6394171 Fax: 503 598-1960 Pmt-1lMrw Land Usr Lnttraet: wrovw.ci.t ard.oc.us Uaor/By _ I Csae No.; Condo — Iuril.: gee fytr 2 far 24-hour Inspection ltAqucst. 503-639-4175 IVamcRNcthod: �pletnentnl[nrerautbn. OF W CONDIM( 6&G FEE•.. t>oMUIRMW New eomtruc ion Demolition MechamcaJ permit fres•are bused an the total value of the work AtididoNniterationJre laeenpeltt Other: perfbrmed. Indicate the value(rounded to the tI=CSt dollar)of el _:G1 GOiiY T X79' RUCTION mechanical materials,equlprnertt,labor,overhead d rofiL . � ;; ;� anP 1 &Z-Ftamily dwelling RZIIi-Farru� m_memial/lndumial Value: SSet rage 1 for Fes stbedule AccessoryRE=El Buildin tt2CrL tT��'tTis - - -- pascri�tioa j F eL Tele1 Master Builder Qthen e_�coo&n J� RN[tAT[ON sad LVS�&VION Furnace•add•on air conditionin •• 14.00 Job site address: / ~ VC,^ I' 'I Gat beat 14,L. 00 - Suite#: Bl JA. t,#: Et-work _ _ 11400 Project Name: ( I Hydtronic hot water system I 14.00 — — I Pesidential hoikr l-- _ Cross street/Directions to job site. I (@r radium or hytltvnic s m)_ 14.00 '" I 1 f Unit heatan(fuel,not electric) Ot�l/r - t�'>✓Ir �� / ��i �( �`v(/1 in wall,ut-4uct suspet)dad,cte l - 14.00 l _,- F_lue/vent for eny of above) 10110 Subdivision_ 1,0t;0 fI[ILqmt units12,15 Tax MA 1 el#: Wu&heater _ Utker Fatly itraaa —10,00 OF —DarGas fireplace _ _ c U _IL l; Flue vent water hcoac-+W fI=I&cc) 10.00 � DA` Lo li .ter ae) 10 00 ' '.lam--- Woo&?eikt stove 10.00 -Wood fireplace/insert --- 10.00 GhirAlneNfluc/vent _ 10.00 RA()MRZ'1!VWM Other. I 10.00 Name: C^ _'—" t•tronorntil exeaoa k v Range hoodiother kiuhen equipment 10.00 Address: 7 �clothtra dryer exhaust 10.0 Cit /St te/Zi ---- -- --� 5tngle duct eahaun Phorte: 0� ✓ Wax1 (battlrO0itt3,toilet aarrtpnronents, L/it?Ug ACT?ER901''( u0ty rooms) 680 Name: - Attic eqa space fans Address: ,< < -212: „ Cit /5 teM so for first 4.$lco at+eh ad4iti0 al Phori c(j FOX: ornate,etc - - '• __ _ - Gai heat pump _ •• E-n1alI: l Wallisuspent:�dtunit heater C0141rRA R Water heater Business Name: 611Y) hInII) LA L, Fire 1p a« Adtireas: g6 �- - ---- -�..— -•---� city/state/zip. Clothes dD7 ,s� ,-- •. _� - Yl,one;3- Dater: — .• CCB Lic,#: 0131 _ Total: Authorized � F.~ �• Signature. _ Dale: 3uLtoral 1 minimum crcrq'? a f72.50 I S P1att�Re�le+; Fcc 2S•h of Penrut Feel I S ipieeae�{ tnarne) State Surchal Edo ofPertnit Fes) I S rOttce: this permit 2pp6tatfoo spiral it■p•rmk Is fret el.Mlntd"Ithln *Fre atetbodolo!y set b+Tri-Covaty Eu1ldNE thdestrry"'WA-gosrd. 180 days ant-it hu bona tm"tttd u eaatplrre. ••Sate plmt regnlred ter extrtior AX uahc. ;;�DssstPernti�Pertutbt«pe*mttApp.Atx 01/07 l 01/20/2004 16 03 FAX 5036264633 THE MULLEN COMPANY 12002/002 Plumbing Permit ApplicationR Plumbing 12twEly: City of Tigard PlanningApp"ol Se Wer - t7are/B : Permit No 13125 SW Hall Blvd- Plan Review gt),cl Tigard.Oregon 97223 D&WD-y Permit No Pharw 503.6394171 Fax: 503598.1960 Paat-FAVIOW Md Use fitter iev wt~w,eLdgard.or usD`� Case N - ConuctI J1;111.: q',P■ge 3 for - 24-hour 10srection Request, 503-639 4 17A 5 Nanx^Nethod _ 18upp;eo,eeW[■Cortaat;0e 1YYCt OP WORK ., FES.•SCS MUU Qbr1pejWtafotIDtitfaiti t�cbedtltat ti Ir'ew consnctionDMAOjitiOnDeseti tYoa Dce(ra) Total Addition/alteration/re lacement Other; ">` � �Jf+� ' 7 c N - C airs>lo0 fa ie+lc �talli' �' "' 1 & 2-Family dwelling CoffunercialMdustrial SFR(1)bads SFR 2)bath � 350,00 A_ ory Building� Multi-Farm SFR�3 both 399.00 Master B,4der Ober' Each additional bath/kitchen 45,00 JOB S[TP_INFOP- T16ri"d_--' 1I _ FUc r tklcr•sq. ft.: _ Pa c 2 --� Job site address: �< <,uc Hv,.,1 :. Site ut9ittes g— Suite #: I Bld ./A t.k -- Catch basin area drain 16 60 11--'R DrywelOnch line/trench drain 16.60 Prniect Name; u-� r poring drain(no. linear ft.)_ _ __--- Pa e 2 Bross streetThrect(tons W job site; f h00ring F, e 2 �� r ► I�� N a 1 V/� Manholes _ - 1560 - - Rain drain comlectur 16 60 SanimtV sewer no linen A. Pa c 2 Subdivision; I.jj111Ay , S Lot#: Stotm scwct(na,lineal ft.) Water service no.linear fl. P e Z Tax mlip/parCel #: F"utureorltem 7 - besCrloN�oFwo -_ C - --- Absor�rion valve 16,60 Backflow pteventrr P o 2 )d LPUCr b� Backwater vale I6.60 _Clothes washer 16,60 ----- L)iahwasher 16.60 _ FIRf)PS1t TL1Yt'♦M Drinking fountain -- - 16.60 C F-'ectorti/sw 0 Er ansion tarLk 16.60 Address. Fixturelsewert - - 16.60 Cid/Statc/Z.1 : Floordrain/floar tirWhub 16,60 Fax: bG I I -Gar'Di4e disposal 16.60 Hose bib 16,60 APP p ^ CO '•F FLIP" Ice maker 1660 ame: i V'1 11'�--- Intcrceptor.6rea,a trs�_ 16.6 Addrm: c�^/YVI,Q L�, --- e� Wdic:al value. $ - - PaSe 1. - Cit �$tatC/zl Ptimer RQUI'dimin eommerci34 16.50 Phony: 222 l U L Fax: ,1/I�;Z,7 411 _Slnk/t ui avuorY _ - :6 60 - E-mail: rr1C I S Tub/showerlshowerpan - 1660 (;oNTRAC TOR _ Uiinsl 16.60 Business Name: AC-11& �l I - Water closet 16.60 Address: r &)�"� Water"�er t �� t� S4Zct1��L'r[1 Other. C li'/$LAtCIZi : 2 �- 1 Other. C:CB snbeoet s T ut orimi Minimum Pernut Fee$72.50 T Slgnatwe: ,l <- Dete f zv A`f PcsidrnrW Backfl",Minimum Fee S36.2.5 ,/ -7-� Flat.Review 2.5%of Permit Fee S _ -. �f� '- ��-= �! f P_ State 0 a 71 t Fee S (Fleu print name) TOTAL PtF>eL 5 Notice: This ptrmlt appllution orpirar if a pernut iv not obtained within All new commercial brtldlep squire 7 acts of pram wi;lr Iwmetric or IOU day-.after it Aae been■eeeprad as complete riser diagrvA far plan riMsw, *Fr mctho4cloty rrr by Tri-Camnry ltullding tnduatry Sarvk<beard. f;lDsts'Pt:rmit FormS�Pl:nr'ertniNpp rt.,e G1'0! IL 01/20/2004 16:08 5036425815 ROSS ELECTRIC INC PAGE 01 Electrical Permit ApplicationK41 Lim 31 ------- — Rtcti,,!a Elc.tncal Ds"Y: Pmt No City of Tigard Planning AFproval '— Sign - 13125 SW Hall Blvd. Dam Permit No.: Plan Review Other Tigtud,Oregon 97223 Date/By: Perrrri No.: Phone. 5Q3 6394171 Fax: 503-598-1960 Post-Revicw Land Use ~�— '-tternet. www,ci.tlgard.or its Datd6y: Case No: 24-hoi,•inspection Request 503 639-4175 C -- I )un+ See Pa arrie/ ge 1 for onvicNethod. �_�IL_ Su lemantal Infmmgtion. TYPE OF WORK �- PLAN Risrvr}F.W Ieaae t hhtreR�E thxtrpphr} New construction _ [ Demolition D service over 225 amps. Healrht;tte facility -- Addition/alkration/ri_placemtammercial ent Q7heT; ❑HMrdeua Ioaticn CATL►GORY OFCONSTRU _ N ❑Service over 120 amps-n ❑;ing of Building over I O,OOo squve fecL 1 &I family dwellings four m mart residential nitsin g;A &2-Family dwelling Commercial/Industrial ❑System over 60i volts nominal ane saucture ceessor�ildin Multi-Family 0 Building over three stones ❑Feedcrs,400 amps or more ❑Occupant load over 99 persons ❑Manufactratd structures or RV pant astcr Builder _Other: ❑Et!ress/11811ling plan I ❑other TOB SITE ORM,r1TION azid L_OCtttTION Submit, sets or plans rrith any of the above. Job site address:_ /5 c)C% r� 1�i .� 1l� Tfie above are not apnll�cgblr to temporary const uctlpn sorvtct. Suite 1t: -- -- FEE' Slit ./A t.# _ Nil mbcr of inI ons Per erimit allowed Project Namr_ Ihscriiion"- "— i._.—_��l�c---1 �--� �—. =--2!L Fee(Ml ram, Cross Stret:Mrection5 to fob site: New resldentW-sinsto or multi-fatuity per dwelliaa unit.Inclorlee attached tarage. WY�� 2� -a �l�ti 1 I P�1vdl sere Included 1000 .It or less Iasis a -_ t!! additional 0()!q.R,or portion tht neat I JJ.40 I Subd1V1511)11: - /��J� i—T---T�- imued eneray.rru�dentw 2 Jot�; 73.00 Lrmttenergy,non residential '1.3.00 2 1 alt map/pafcel#; P-ach manufactured home or modular dwelling DESCRIMON OR WORK service and/or feedr:r 90 90 Z _ Q n p�j-" I 9ervleeC for r dery.Instillation, " L 1/l C._(� Alteration or relneation; I00 am s M Ic+,+ Q----00 _, A0.30 2 201 am to a00 am 106 8S 2 401 amps to"amps---- - 160,60 2 PROPFR?Y OVYNIIcR iarnp I Ooo amus - — 24o.eo 2 Dame: over luau emia of volrs - asa 65 - 2 -- �—_._._- J (tat:aurect e". _ 6e as :- 2 Address: 2 I Temporary service+or feeder,-instillation, - i alteration,or Mocation: C ne te/Zi y U� 1 ZOO amps or leu 6 R5 1 Phone �D � Fax- D7 I _�1 I 1 am .. in 40o a� - - IOO.so i DANT CONTACT PERSON l Bol to 60o amp. _ 1?7'3 2 Name: Y 1 e� I I Branch orcuits new.alteration.nr tstenslon per pitael: Address: A Fee for bnt,eh circuits with purchaw nr _ service or r4e%kr I eAch branch circu 605 2 Ci /State/Zi _ — - B.Fer for Fr such circum without purchase of Phone Fax: 1/ Z�[I or rrr r«.rn:t_ eh�inuit ae.as 2 Each clonal branch circuit 6.65 2 fiVill: _,.l S. L � l ,"c(,Service nr ft^drr not included). �.,_ CO CTOR I GcFn-�'°"�or im�ation circle 1 I 53 40 2 �-�Jb Ai0 Each situ or ouHix lighunu l2 *' _ Signal c,reu,t(s)or a limited rneri v panel. t BUSIreSS .\3r1]C: 0.5.5 G�_ ,�� altcratlon,ur exlenaion — -I I Pqr1 1 'iddress: r C?�c,lpnnn - I Cl '/state/ZI hOrO D Foch Addldonal inspection over the allowable In an of the above: �mm I hour S 71 a,3 I —) _---- ti2Jo Phone: _� Z pC� L Pa inspection pet hour _ Fax: Z- l tnVt,riptiom rc-c _ CCB Lie. #_IS 73 / Lie, other Supervising electrician �-- ___.__�__ Elli+etdtyl Pt�ftJllNil!_-'5. signature-required- Subtotal S r Print Name: 1Ie J _ Plan Rcview(25%of Permit Fce S J_ S Lic. # 1� '� r - State Surchug.(8°'a of Permit FeeS-_� Authorized NOTAL PERMIT FEE e tiotiee: Thi,permit■pplleatlon etpire+If a pea ob rrnit not tained within Signature Date - IM days after it hu been accepted as complete. •Fee methodology set by Tri-Cearey Building Indu+try Service Board (Plea.',pent name) - - n tilhts^rrrrit F0rr*a'FlcPerm,rApp.doc 01!01 I SEE 35MM ROLL# 22 FOR LARGE DOCUMENT Main Office Salem Office Bend Office P O Box 23814 4060 Hudson Ave NE P.O.Box 7918 Carlson Testing, Inc. Tigard Oregon 977.81 Salem, 973Bend,OR 97708 Phone(503)684-3460 Phone(503)3)589.1212 52 Phone(541)330.9115 Fax(503)684-0954 Fax(503)589-1309 Fax(541)330-9163 �� G� 1 D rVllC�z U Page 1 of 1 M Special Inspection DAILY FILLD REPORT Project: Durham Oaks—Lot#10 Date: 04-01-04 Job Address: 15900 SW Avon Place, Tigard,OR. CTI Job No. T0405086.D Permit No.: MST2004-00020 — Type of inspection: Proprietary Anchors(Epoxy) Field or Fab Shop: Weather: Sunny 550 Inspection Notes(include location,testing data,substitutions/deviations,materials and methods of construction, non-conforming 9 items,acceptance criteria,corrected non-conforming items,etc.): As requested CTI representative was at the job site to conduct proprietary anchor special inspection on epoxy anchor installation for hold downs in concrete. 1. Anchor placed to correct a dislocated poured in place anchor in the north outside wall. 2. installation to be completed in accordance with the hoid down schedule. a. Embedment for this location to be 10" deep b. Using 5/8"0 all threat;. 3. Epoxy type not specified in the plans. a. 1 kit of Simpson SET22, lCBO ER 5279, Batch W251 W074, and Exp. H/05 were used. 4. The following observations/verifications were made on installed embedments. a. Hole depth and diameter were verified to be in accordance with the above described documentation. b. Hole cleanliness was verified by observing the hole blown out prior to the application of the epoxy. c. Adequate mixing of epoxy was verified by observing a small amount of epoxy dispensed from the manufactures mixing nozzles until a uniform grey consistency was achieved. d. Adequate application was verified by observing a small amount of epoxy discharged from the hole as the rebar was inserted. 5. All embedments completed today were installed in accordance %vith the ICBG report, and manufactures instructions. No non-conforming items observed. •"•CHECk ONE BOX ONLY... ITS NO 1. This is a prelirninan inspection only. -OR- El 2. The work inspected conforms to acceptance criteria listed above. If"No,"the portions of the work that are non- LJ conforming items are clearly stated above and will he added to the 1:CI,. Remaining portions of the work,which are not �� preliminary in nature.are to be considered as conforming. I" �_=j Inspector: i)ougl.ts Certification No.: COP#773/ICC#5123883-85 tIse of the information contained in this report constitutes acceptance of all terms on the reverse of this form and Carlson Testing.Inc.'s General Conditions. Information contained herein is not to be reproduced.except in full,without prior authorization from this office. i �d Main Office Salem Office Bund 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(541)PAX(503)684-0954ono (503)684-3460 Phone FAX(503)58991309(503)582 FAX(541)330-9163330-9155 Special Inspection FINAL SUMMARY LETTER July 29, 2004 T0405086.0 City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223-8199 Attn: Building Department Re: Durham Oaks - Lot#10 15900 SW Avon Place Tigard, OR Permit No.: MST2004-00020 Dear Sir or Madam: This is to certify that in ac::(,rdance with Section 1701 of the Uniform Building Code, Title 24, we have performed special inspection of the fallowing item(s) per our inspection reports only: Installation of Adhesive Anchors 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 arid 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 platter, please do not hesitate to contact this office. !respectfully submitted, CARLSON TESTING, INC. Andrew M. Ewing President mbw M Buena Vista Custom Homes- Kyle McBride