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13020 SW BROADMOOR PLACE R(4Ci10N5 DA rE A' M e W BID 6s X66 �ERmr ee +->6 e i I \ \ 31lh 316 316 38- LOT a z OfQ � LOT 12 016% d 3e6 310C O \ See \ S.. — \ 1 cs 0 n 7_.AvL \ X 40'00' 404 13 1�!LOT I \ -- I FT LOT 28 DECK Ace AGO WIDE PUBLICe'OAM CRAW AND 6ANRARI'eELLER EAeE*'EV' 4p1,4p 1I :• -, LarERAL a 36e1o'r •P' �r \\ 1 PR0P000 7111 DO Ft .� 4 ABS 4a•,L'QAW–202 STORY WOUR \ ` MAN4 FLOOR E.Fv 40000 Lu 400,401 x po II - /1(� LOWER F.0OR[LEY M,00 Q FPON( SEt RACY 1 F 1p A'1I C ItANITAR- / LA'"AL 10 00 a O �. - II C ( i� 6EJ3R UNE O Q IA EXIII A66VEGATE I ` v.A ,' 40100E \ O O CCNCRETE DRIVE I ' i Y7 ` �' I CC) s I q T I'COP'ER WEIR L NE I ,f�. II %' f �, i �• \ F-i 40630 i J i _.. _ _ _ _ _ _ 61LT i7110E �j,�. 0 )A' �'`•i•.04.00'- $ o � � I r ;� 5 hATER V ( 7-7 — ,' X '^ �, —'ti 404`ca cb' u: � ! 1 � METER � � I Pat! \ Q / 40130' 40e 406I 6C C5 ; 314 v 4004 4oT 400 )ee 396 334 3e7 Seo )ee 316 344 3e7 Seo re �� )x 400 J'DE°RIVA'E STORM 011 AND IANITARY 6MR EASEMENT ) D LOT 21 Ll 10 LOT 14 L� -Z n 0 Ll( !�N U "'G Ln uz -z 0 Z SITE PLAN NORTH I l LOT 13, 'AME5BURY HEIGHTS I E11A LOCATED IN THE S.E. U4 OF SECTION 4, APPL!CANTI TOWNSHIP 2 SOUTH, RANGE I WEBT, WILLAMETTE MERIDIAN,CITY OF TIGARD, WASHINGTON COUNTY, OREGON VERN AND JEAN PMMANP.O.BOX 7312113020 S.W, BROADMOOR PLACE TIGARR.OR 97251 503 1 550-3970 TAX MAP •26104D5 TAX LOT • DOO ZONING; R-4S SICU 1 NOTICE: IF THE PRINT OR TYPE ON ANY �� 1 ► � � � � ilc � � i � ► I � I � IiI � IIIi 1111111 11111-IT rjll'r]T'TIT[ Iif.Fl �� "T�1� III Ii111 �1 I � Illii III IIIIIIII lilt 111111 ) 1-� I� 11-I 1If-11ii I-111-ril r1rrl1�r1111-1I-TI ICrlII1 1 � C� 11-I 1111111 1pilil IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 I 2 3 I I I I - II I 12 o c E, - — ---- -- -- --- -- 5 6 --- - _ - - 9 - — 10 11 - 1 IT IS DUE TO THE QUALITY OF THE No.38 ORIGINAL DOCUMENT E 6�;— S Z L 7�'8 T, 4 Z Z E Z Z T Z 0 Z — 6 T 8 I g �,— E Z T 3,a��w I g ii � iii i ii!i ilI III .< < Illl�llllILIIIIIIIIIIIII�II I ii i I I� � � � - ' � �� ►►ii i i ii i i��i < < ii ii iii i� i�i� lull 11 � l i ii i i � ii i�li 1111 �� I �� 1111 ��II �� ll 1111 .11l 1111 Ill) ll.� 1111 u� u� � � W C) N 0 cn W X 0 v 3 0 0 4 i 13020 SW BROADMOOR PL. CERTIFICATE OF OCCUPANCY CITY OF TIGARD PERMIT#: MST1999-00289 DEVELOPMENT SERVICES DATE ISSUED: 09/2811999 13125 SW Hall Blvd., Tigard, OR 97223 (503) 1639-4171 PARCEL: 2S104DB-01300 ZONING: R-4.5 JURISDICTION: TIG SITE ADDRESS: 13020 SW BROADMOOR PL FILE y SUBDIVISION: AMESBURY HEIGHTS BLOCK: LOT:013 CLASS OF WORK: NEW TYPE OF USE: SF TYPE OF CON STR: 5N OCCUPANCY GRP: R3 TENANT !:AME- REMARKS: PATH I. New single family dwelling w/attached garage & deck. Owner: PITTMAN,VERNON & JEAN PO BOX 23126 TIGARD, OR 97281 Phone: 503-643-325G Contractor: _ CARLSON CUSTOM HOMES INC 17051 SW RIVE14DELL RD TIGARD, OR 97224 Phone: 620-6699 Reg #: LIC 00008740 This Certificate issued 05/8/2000 grants ocru-pancy of the above referenced building or portion thereof and confines that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occu ancy, and pse under which the referenced permit was issued. BUILDING INSPECTOR BUILDIN OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION r q-oD z 89 24-Hour InspLi ection ne: 639-4175 Business Lire: 639-4171 Dats, Requested � � �f� AM_ PM/�? BUP BLD _ location �� (D6(Ctr 10l�K Suite Contact Person r )"- - Ph Contractor Ph SWR UILDIN Tenant/Owner _ ELC _ Retaining Wall ELR Footing Access: 0/A — - Foundation ( 2�0 (el FPS Ftg -- raw ra Inspection Notes SGN Slab _ Post&Beam - SI Ext Sheath/Shear Int Sheath/Shear L - --- Framing � _- Insulation Drywall Nailing ]. � �h--� • Firewall Fire Sprinkler Fire Alarm - -- - - - Susp'd Ceiling _ Roof Misc: - ------ - --- - --- SS PART FAIL _..--- - --- - -- - - —-- 131NG ---- Post& Beanr r --- --- -- - -- - 1--- - Under Slab Top Out --_ -- - --- ---- -- - --- Water Service Sanitary Sewer - --- - RainDyains Final✓ - ---� _-_ — PA FAIL ECHANICA Ruugh In Gas Line __ ------ -- - - - Smoke Dampers naP - - - -- FART FAIL_ TRICA_L _-- -- _."__-- Service Rough In - UG/Slab Low Voltage --- --- -- --- -- ------- — Fire Alarm Final✓ SS PART FAIL Backfill/Grading Sanitary Sewer `OU Storm Drainr�\1�n M1_ ]Reinspection fee of$ y required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin �! Fire Supply Line 1 Please call for reinspection RE: ( ]Unable to inspect-no access ADA Aroach/Side alk✓. ' ►'"' � �� ther Date l O Iprslu t tor Ext it I PART _ FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MSTDOZ �� 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ —_ _Date Requested S/ s/QD AM PM BLD Location ;D7 suite MEC s Contact Person Ph ._ 2U(D'7S PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Forting Access: — Fo.indation /_ FPS V-- Ftg Drain ll/ SGN Crawl Drain Inspection Notes: Slab SIT Post 8. Beam -u---- ---�`-i-- - — Ext Sheath/Shear _ Int Sheath/Shear Framing — Insulation Drywall Nailingi.�r� ? G�✓lZ�' -----L 'L c -,� --- Firewall �- Fire Sprinkler __- Fire Alarm Susp'd Ceiling -- Roof M.sc:— - -- ------------ --- Final ---- PA PART FAIL. _.._ .. - -- �-- -------- ----- -- LUMBI Pos can -- Under Slab TopOut - ----_._.--.-------------- ----- Water Service Sanitary Sewer - - -- - - ---------- - - - Rain,Drains PART FAIL _ MECHANICAL — Post& Beam Rough --- - --- ------ ---- -__J -- ----- Rough In Gas Line - - - - ----- ----- ----- - —_--- -- - -- --- --- Smoke Dampers Final PASS PART FAIL ELECTRICAL - ---- - - ----- ------ - _� Service _ Rough In UG/Slab Low Voltage Fire Alarm Final _. _-----� ------ ---_ PASS PART FAIL SITE — ---- Backfill/Grading - ----- Sanitary Sewer Storm Drain ( j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin RE:reinspection lease call for reins Fire Supply Line P ( � p --__ ( )Unable to Inspect-no access ADA Approach/Sidewalk Other Date5/5//11 —Inspector :✓ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-H,3ur Inspection Line: 639-4175 Business Line: 639-4171 BUP _ _ Date Requested Z= AM .PM BLD Location � �,r,2 0 i�)) t�f�1� Suite — MEC _ Contact Person V7 Ph (02-6-(1 Cc ' PLM Contractor Ph SWR BUILDING Tenant/Owner _ ELC Retaining Wall r ELR Footing r" Foundation Access: / � Ftg Drain 6) Z.,-)ICS FPS Crawl Drain Inspection Notes: SGN Slab _ Post& Beam -- -- SIT — Ext Sheath/Shear Int Sheath/Shear --- ---- Framing insulation --_---- -- - Drywall Nailing Firewall - -- —- Fire Sprinkler Fire Alarm - -------— - Susp'd Ceiling - -- -- -- - --- 0o Misc. - Final / PASS PART FAIL PLUMBING — Post&Beam ---- --- ------ - --- ---- ---- ----- --- Under Slab Top Out Water Service Sanitary Sewer ---- Rain Drains i Finan - - PASS PART FAIL MECHANICAL. Post& Beam -- - - Rough In --_ Gas Line Smoke Dampers Final PASS PART FAIL Service Rough In UG/Slab Low Voltage -- -- Fire Alarm 29M!-Ea ART FAIL -- - - -- -------- Backfill/Grading - -- --------- - Sanitary Sewer Storm Drain [ ]Reinspection fee of$_ - required before ne r spection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE ]Unable to Inspect-no access ADA Approach/Sidewalk Other nate _ --�5;;, n:v Inspecto Ext Final "-�--- PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. MASTER PERMIT CITY OF TIGARD PERMIT M MST1999-00289 DEVELOPMENT SERVICES ! I NA ATE ISSUED: 09/28/1999 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6 1 SITE ADDRESS: 13020 SW BROADMOOR PL PARCEL: 2S104DB-01300 SUBDIVISION: AMESBURY HEIGHTS ZONING: R-4.5 BLOCK: LOT: 013 JURISDICTION: TIG REMARKS: PATH I: New single family dwelling w/attached garage & deck. BUILDING REISSUE: STORIES: FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT. MI FIRST: 1;,98 9f BASEMENT: 596 00 of LEFT: 5 SMOKE DETECTORS: f TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 980 sf GARAGE: 638 el FRONT: I PARKING SPACES: TYPE OF CONST: % DWELLING I.INITS: I FINBSMENT: sl RIGHT: 5 VALUE: S 223,306 C2 OCCUPANCY GRP P! BDRM: 4 BATH 4 TOTAL: at REAR: 7� PLUMBING SINKS ' WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS. TUBISHOWERS 4 GARBAGE DISP I WATER HEATERS. I WATER LINES: 100 BCKFLW PREVNTR: I GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES _ FLIRN<100K: BOIL/CMP<AHP. VENT FANS 5 CLOTHES DRYER: 1 -, TURN>=100K: I UNIT HEATERS. HOODS- I OTHER UNITS: I MAX INP: btu FLOOR FURNA14CES: VENTS. WOODSTOVES: JAS OUTLETS: I _ ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amu: 0 - 200 amp: W!SVC OR FDR. I PUMP/IRRIGATION. PER INSPLCTION: EA ADO'L 500SF: 6 201 400 amt: 201 400 amp: 1st WIO SVC/FDR: nI SIGNIQUI LIN LT PER HOUR: LIMIT ED ENERGY: 401 600 an1p. 401 - 600 amp: EA ADD'.BR CIR. SIGNAL/PANEL IN PLANT: MANU HMISVCIFDR: 601 • 1000 amp: 601.amts•1000v, MINOR LABEL: 1000•ampNolt _ PLAN REVIEW SECTION Reconnect only: >=4 RES UNIT¢. SVC/FDR>=225 A >600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF kESIDENTIAL. B.COMMERCIAL AUDIO&STEREO. VACUUM SYSTEM. AUDIO&STEREO. FIRE ALARM. INTERCOM!PAGING: 0111 Dr JR LNDSC LT: BURGLAR ALARM OTH: BOILER. HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIGNL GARAGE OPENER CLOCK INSTRUMENTATION: MEDICAL OTHR: HVAC DATA'TEI_E COMM NURSE CALLS: TOTAL a SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,586.56 This permit Is subject to the regulations contained in the PIT TMAN,VERNON&JEAN CARLSON CUSTOM HOMES INC Tigard Munic,pal Code. State of OR Specialty Codes and PO BOX 231,26 17051 SW RIVENDELL RD all other applicable laws All work wi!I be done in TIGARD,OR 97281 TIGARD,OR 97224 accordance with approved plant, This permit will expire if work Is not started within 180 rays of Issuance,or if the Work is suspended for more fnan 180 days ATTENTION Phone. Phone Oregon law requires you to follow roves adopted by the Oregon Uiillty Notification Canter Those rules are set Rog# I Ir. rr„Ira,4, forth In OAR 952-001-0010 through 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 P.EOUIRED INSPECTIONS I Erosion 844-8444 Post/Beam Structural PLMlUnderfloor Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Grading Inspection Post/Beam Mechanica Ftng Drain Bsm't Walls Framing Insp Insulation Insp Electrical Final Footing Insp Underfloor insulation Mechanical Insp Shear Wall Insp Gyp Board In p Mechanical Final Foundation Insp Crawl Drain/Backwater Plumb Top Out Low Voltage Ra#ri rain Plumb Final Wtr Proofing Bsm't Wa Footing/Foundation Dr Electrical Service Fireplace Insp Final inspection .�'r// Issued By : / c- eo� � c Permittee Signature•._ _i _ _ Call (503) 639-4175 by 7:00 p.m. for an Inspection needed the next business day ER CONNECTION PERMIT CITY OF 'TIGARDORIGI — DEVELOPMENT SERVICES MIT#: SWR1999-00178 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 09/28/1999 PARCEL: 2S 104DB-01300 SITE ADDRESS; 13020 SW BROADMOOR PL SUBDIVISION: AMESBURY HEIGHTS ZONING: R-4.5 BLOCK: LOT: 013 JURISDICTION: TIG TENANT NAME: PITTMAN, VERNON AND JEAN USA NO: FIXTURE UNITS: 0 CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILD!NGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connecation for a new SFD. Owner: --- — -- -- --FEES PITTMAN,VERNON & JEAN Type By Date Amount Receipt PO BOX 23126 — — TIGARD, OR 97281 PRMT DST 09/28/199E $2,300.00 99-318678 INSP DST 09/28/199E $35.00 99-318678 Phone: 503-643-3250 Total $2,335.00 Contractor: ACI MECHANICAL_ USA INC 12300 SW G9 I H AVE 1-IGARD, OR 97223 Phone: 598-4798 Reg #: LIC 137663 PLM 3-243PB Required Inspections Sewer Inspection J This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit exp res 180 days from the date issued The total amount paid will be forfeited 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 shap'Purchase a"Tap and Side Sewer' Permit and the Agency will install a lateral. ATTENTION Oregon law requires�jghOAR ti to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 thr952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-19 8 C. r ` �� Permittee Signatur Issued r L ` Call (503) 639-4175 by 7:00 P.M. for an inspection needed the nex business day CITY OF TIGARD Residential Building permit Application Plan Check - Rec'd 13125 SW HALL BLVD. New ConstructionDate .� TIGARD, OR 97223 Single FamilyDetached to P g E !_/✓'"? Dale to P E � � el V 503-639-4171 - - Date to DST / 1: 503-684-7297 / J Permit# X315/�7 -66 Print or -Type Called_ ;? .,F � t � Incomplete or illegib!a applications will not be accepted [rir v,� �rffss.9q - Name of Project Name ' l i_/ i/_ e i Job C,-771 #,v\ 0t,J Nip_ � �I; •.� c� L Address Architect Mailing Address / th Site Address City/State Zip �Phi3ne Name r Jf ti Owner Mailing Address - Name r,J rr• , / > Engineer Mailing Address , City/Stale Zip Phone g jjye-, 9LO !tls-%2i(� Ci /Sate 7_ip Phone General ame / I I -r' V� Z!w/ ,i�,� t)) /r1 ZSC,--19,0L Contractor Q�_�[.�C /U Ci fdo',r 1 e�t -t Describe work New Addition O{ Alteration O Repair O Ma�l_y,Addres to be done �j/��( Prior to permit / , !=, 5,CC ' ( j')- Additional Description of Work: issuance,a copy y/StateZip Phone of all licenses tn� C/-/' I ({ ,:�' �(-, are required if Oregon Const Cont Board Exp Date PROJECT expired in COT Lic# O rJ� , VALUATION $ ,� __ database 0 L� � Mechanical Name NEW CONSTRUCTION ONLY: Sub- F Sq. Ft. House: Sq. Ft. Garage Contractor Mailing Ad ss _ r Prior to permit / / ( - S, to Indicate t it a restricted energy installation by the electrical issuance,a copy City/ late i p e subcontractor in the followin areas _ of rill licenses / C ,4 J c� S�jl- Restricted ✓ Audio/Stereo are required if Oregon Const Cont. Board Exp,Date Energy -__ System-_ Alarms expired in COT Lic.# p ( Installations Vm acuuIrri ation database O ' `� 1 'l i7"�/ r System System Plumbing Name T f/�� +� r apply) all that — Other: — - Contractor Mailing Address l Number of Units in Building Unit Number Designation 4, 7U Has the Subdivision Plat recorded? N/A YES NO r rior to permit City/State rp Photie :-suance,a copy '( or �Irt' -)%y-Y7J8l ------ --- t all licenses are diregon Unst.Cont.Board Exp. Date required if Lic# expired in COT ce# _— database Plumbing Lic # Exp bate I hearby acknowledge that I have read this application,that the information given is correct, that I am the owner or authorized agent 3 ! of the owner, nd that plans submitted are in compliance with Name Oregon Stat laws. _ Electri^alele, z xE Signatur of caner/Agent Date Mailing Address — Conta - r-on Name Phone# Contractor City/S,ate ZIP Phone Prig to p?rmrt issuance,a copy 7{ / /d`/G FOR OFFICE USE ONLY: _ of all licenses are Oregon Const.Cont.Board Exp.Date Plat#: Map/TL#: required if Lick expired in COT - 8�� database Ele I Lic.# Exp Date Setbacks Zone: (� 77 - S Elercal Supervisor L # Exp Date Engin ring Approval. Planning Approval: TIF. -- - o — -- - �o g11 I\dsts\forms\sfd-new doc 11/20/9P, SEE 35M m ROLL# 22 FOR LARGE DOCUMENT I JOHN McDONALD ENGINEERING SOILS - CIVIL - GEOTECHNICAL Cround-Penetrating RADAR 10116 SE Stanley Avenue Portland, Orogon 97222-4361 (603)664.0180 Fox (603)664-8766 Taz :D 93 C"'4 6595 October 6, 1999 Carlson Custom Homes 17051 SW Rivendell TiS1ard, Oregon 97224 SOIL TESTS AT 13010 SW BROADMOOR PLACE, TIGARD The foundation soils at this house site were thought to contain earth fills. A ^.heck on their firmness was requested. The soil firmness was tested using the Wildcat Dynamic Cone Pisnstrometar. This device consists of a pointed rod that is driven it.to the soil by a falling weight. The pointed and of the rod has an enlarged point that slips off and stays in the ground after the test. Lubricant can be injected just above the point to eliminate rod friction so that only the point resistance is meAtsured. The device hes been calibrated to give results equal to the ASTM D1586 Standard Penetration Test Blow Counts. ' LST RESULTS Center of Upper Center if Middle Lower Left Hand Corner Foundation Pull Foundation wall 0' 13 9 49 FIRMNESS 19 11 60 0 to 4 16 11 45 VERY LOOSE 1' 14 7 37 4 TO 10 11 6 5o LOOSE 11 115 59 10 TO 30 31 8 12 43 MEDIUM DEN8E 9 10 50 for 3" 30 PLUS 8 8 DENSE 3 ' 6 6 10 The tested locations are all much, denser than ordinary soil, which usually gives a Blow Count of 6 or 8. The foundation soil is satisfactory. Very truly yours, Xto � QRIGCMl K. MCDO tnd nN 9t4nfid ��,a�