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8995 SW OAK STREET I WAS VIVO AAS 5668 f I .r Y eo � U ty cn w a � os co 8995 SW OAK ST CITY OF TIGARD BUILDING PERMIT PERMIT 0: BUP2005-00373 DEVELOPMENT SERVICES DATE ISSUED: 8/3/2005 13125 SW Hall Blvd.,Tigard,OR 97223 503-639-4171 PARCEL: 1S135AA-04200 SITE ADDRESS: 08995 SW OAK ST ZONING: R-4.5 SUBDIVISION: ASHBROOF ARM LOT: 010 JURISDICTION: TIG Project Description: Derno 1000 residential dwelling on sewer. DEMO CREDITS APPLY FOR SDC FEES. REISSUE: _ FLOOR AREAS_ EXTERIOR N/ALL CONSTRUCTION CLASS OF WORK: DEM FIRST: of N: S: E: W: TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0 sf FOOF COI lqT: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP.RATED: 3TOR: HT: GARAGE: sf OCCU SEP.RATED: BSMT?: MEZ7": READ SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: 1 RE!'P- ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFAC PRO CORR: PARKING,: VALUE: —_ Owner: Contractor: MATRIX DEVtrOPMENT RCM HOMES 12755 SW 69TI4 AVE. SUITE 100 12670 SW 68TH PKWY #200 TIGARD, OR 97223 PORTLAND,OR 97223 Phone: Phone: 503-598-7565 FEES Reg#: LIC 158043 Uescrlptlon Date Amount REQUIRED ITEMS AND REPORTS [BUILD]Permit Fee 8/3/2005 $62.50 [TAX]8%State Surcha 8/3/2005 $5.00 [ERPRMT]Erosion Con 8/3/2005 $26.00 [ERPLN] Erosn Pin Rv( 8/3/2005 $8.45 (additional fees not listed here) Total $110.40 IL RE NThis permit is issued subject to the regulations contained in the Tigard Municipal Code State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work ir-not started within 180 days of issuance,or If work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utili'y Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy m of these rulas or direct questions to OUNC by calling 503-246-6699 or 1-800-332-2344. Issued By: t�o' Permitten Slgnaturcc Call 503-639-4175 by 7:00 a.m.for an Inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the Ick s;te at the time of each inspection. Sitt Wd-rk �1 �^ Building, Permit Application City of Tigard - -;)a, p+umit No. l,�i.Gc�J r J ?� 13125 SW IIall Blvd.,Tigard,OR 97223 Ptee Review — Phone: 103 639.4171 Fax: 503.598.1960 Dre/B . Inspection Line: 503 639.4175 one Rcadyrtiy rr,— a gas Meet for Inttvaet, www.ci tipard.o.us Notifie&Method_ — SSop/l•n•n el khmatles TYPE OF WORK — —� RIrtQUp<i0 DATAr 11-AM 24A1Nill T P^. AR '::,t; City of Tigard: Site Work Permit Checklist Page 3 -Supplemental Information Commercial. Mmlti-Family and Ope- and Iwo-Family 17well U: No permit. is required if fill is less than 50 yard3(5 dump truck loads),or less than 3 feet deep and will not be supporting a structure. If a building will be constructed on the fill, it must be engineered fill. If fill is in a flood plain, drainage way, or wetland, the applicant mast apply for a sensitive lands review (SLR). Please complete all items below, unless otherwise noted. Excavation_Volt:me: Grading Volume: Soils report required for>5,000 curds. __ cu.oda_ Fill Volume: (Fill exceeding 12" in depth shall be compacted to 90°'o of maximum density cu. yds. Retaining structure? (Check one) ❑ Rock ❑ CMU ❑ Concrete ❑ Other: *Total new impervious area including all buildin s sidewalks,and v' , ft. Site Militia Plumbing Work: Complete the Plumbing Permit Application r site utilities plumbing work. _ Plans Required: See"Site Work Permit A plication - Plan Submittal Requirements" attached. _Tbc followLra must accompany t is application: Site Plan wit 'tip bowing C *Parking (including ADA)and ADA comp!:pnce _ Luing Plan Grading Plan arta details _ Ldgca ' Plan Erosion Control Plan and details TJ Soils Repoff tt f"w ivod,) Ret'aining Structures *Does not apply to One- and Two-fa ily dwellings. h TYPE OF b MMAL r: _ (Irludes Nom_ ' ions or Aitext►ftonal B�lNrlrsi'iatr W C mercial 7 W Multi-F mily R-1 Occupancy 2 Two-Family Dwelling 2 i:\Building\FormsVSlT-PermitApp.doc 1/13/N 2 co ' /i 'ENUE BIO-F R 15463 PE ETAII. 4-24, 71418 $NT. / Aa SHED SHED (•-CURB .• m� / / /'/ / EpcGT 480 L.F. 5 ... �� PER DETAIL, 4-IE EXISTING O / •JF / '� FENCE 5NOWN OR BUILDING / C9 VISUAL CLARI tY —1310-FILTER BAGS / C �`?�g MAINTAIN ALL \ PFR 14-24, � �w' MEA3L;RE5 OT1411, TNIS,BNT. / b OR RIGWVOr--WA �P``' / 10"PVC 7C" b� '4- IE-174.70' / .. �� .. x- -x-x-x- cp IE=173.38 --- -••-- a --.--- -� -r- --q ---v---- 0 ---Et) F-C-- \\,� _BI ILTER BAGS CB #1 5.W, O14< G 12"� ORM PE DETAIL 4-24, TNI3-014T. 00 1"ss- - -// — — — — — — — — — — y- - -- -- -- - - -.- - - - - - - - - - - -- _- - _ -- ASWIBR�O CONDOMINI "PUBLI �IMPRo.tMENTS" PLANS FOR OAK ST IMPROVEMENTS IE=172.89 )00 5UJ 0,4< 5TREET 89x0 5W 0,4K STREET f • LN_ 4`L r (%I-" �,r.. Ti IGARD .r.�tmed............................................. 00 .. ..................... .[ 1 For only thy: a: ::;cr;i;ed in: . J PERMIT NO' 1�3 See Letter to: Follow...............................[ j Attach............................. .( a Job Addr s:__ --' By; ..,_Date CITY OF TIGARD iO r BUILDING DIVISION PERMIT 0. BUP20D5.00373 13125 tiW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 813/200., Phone: (503) 639-4171 Inspection Requests (24 His.): (503) 639-4175 At L INSPECTION WORKSHEET FOR DATE: 9126120% TIME: 7:12AM PAGE: 85 SITE ADDRESS: CLASS OF WORK: SUBDIVISION: 009%SW OAK .^5T LOT #: 001 TYPE OF USE: PROJECT NAME: ASHIMOOK TOWNHOMES DESCRIPTION: *Ino,!ft sqR. nlwid"Od*Mllfltg 40 000 DEMO CREDITS APPLY FOR SDC:FEES. OWNER: MATRIX IFVFLOPMENT, PHONE C CONTRACTOR: RCM HOMES PHONE #: 60359&7f:M Inspection Request Scheduled For: Date: 9126/20M Pour Time: Code # Inspection Description Confirm # Contact # Message / 299 Final inRpertion 01655301 503 793.6778 Y' rrections/Comments/Instructions: A�kz ( - Q) �&a , O S Jt Jia - -- - 1w '000or rR 5 W J -- ------ -- -- -- -- -- - -- — 6PASS PARTIAL APPROVAL i ❑ CANCEL — ❑ NO ACCESS — ❑ FAIL CALL FOR INSPECTION F] ADDITIONAL FEES ASSESSED Inspector: — Date: �/ `F' Phone #: (503) 718- 'CITY OF TIGAR© _ PLUMBING PERMIT (DEVELOPMENT SERVICES PERMIT#: PLM2001-00013 '13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 1/19/01 SITE ADDRESS: 08995 SW OAK ST PARCEL: 1S135AA-04200 SUBDIVISION: ASHBROOK FARM ZONING: R-4.5 BLOCK: LOT: 010 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: FLOOR DRAINS, TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXIrURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOVIERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: 60 :t DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of back.flow device and 60'of water line. Owner: ---- .�'�' ---FEES-- — — —� — Type By Date Amount Receipt SUMMIT, DORSI Y WAY NE PO BOX 23099E PRMT CTR 1/19/01 $91 25 27200100000 TIGARD, OR 972.81 5PGT CTR 1/19/01 $7.30 27200100000 Total $98.55 Phone 1: Contractor: CHRISTIAN PLUMBING INC DBA CROWN PLUMBING 5429 SE FRANCIS REQUIRED INSPECTIONS PORTLAND, OR 97206 �- Phone 1: 771-9449 Water Line Insp RP/Backfiow iPreventer Res#: LIC 42671 Final Inspection PI-M 34-70pb a oc r� This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of t%R. W Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. W This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted Ly the Oregon Utility Notification CEsnter. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 Issued By: I –�7 --- Permittee Slgnatun+ 'T` —7 Call 50 639-4175 b 7:00 P.M.for an Inspection needed the next bual est da ( 1 Y P Y Plumbing Permit Application Tigard City y of rt Date recti vad: Permit no. ;vol >t g Address: 13125 SW Hall Blvd,Tigard,OR 97223 Sewer permit no.: Building permit no.:- City ofTigard phone: (503) 639-4171 Project/appl.no.: Expiredate: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: Case file no.: Payment type: 1 &2 family dwelling or accessory U Commercial/industrial Multi-family U Tenant improvement U New constmchon U Addition/alteratiordreplacement U Fond service U Other: Job address: q 5— �, C v0 M44 S llJ M_" n . Fee ea. Total Bldg.too.: Suite no.: — New 1-and 2-f I dwell only: Tax ma tax lot/account no.: (ladailes 1100 R.forraeb odlkyc+onw ilon) P/ -- SFR(1)bath Lot: Block: Subdivision: SFR(2)bbatki -- ----- -- Pmject name: SFR(3)bath19 _ City/county: / ZIP: 2'77L. 3 Each additional ba*&Kitchen _v Description and location of work on premises:— e WZ> Skeotilkla: ly o�Xa�. �pV L,_:, a'—e' o+ti Catch basin/area drain Est.date of completion/inspection L well each line/trench drain Focting drain(no.lin.ft.) Manufactured home utilities Business name: C(w�_jft c v,, Z26,4 C vcv^- Manholes Address: g I= -a„vcr Rain drain connector City: State: oft ZI7 Cs (o Sanitary sewer(no.lin.ft.) PI-one: ]7/-9 4Vy 9 Fax: -g ys- -mail: Storm sewer(no.lin. ft.) CCB no.: 0 a4 7/ Plumb.bus.reg.no: _ O P Water service(no.lin.ft.) 5)SICY.) L7 City/metro lic.no.: /.931 Future or ftm: Contractor's representative signaturle: Abso ion valve / tack ow venter 7 ,� Print name: - Kt a�b+ Date: /-/7­0 Backwater valve _ Basins/lavatory Name: `S'�,µ>AV C othes washer Address: ishwasher —' — Drinking fountain(s) City: State: ZIP: �— E'ectors/sum Phone: Fax: E-mail: Expansion tank _ Fixture/sewer cap Name(_print): Floor drains/floor sinks/hub Mailing address: — -- Garbage disposa Hose bibb _ City: State: ZIP: _ Ice miker Phone: I E-mail: nterce or trap Owner installation/residential maintenance only: The actual installation Primers) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s), ays(s) j Owner's signature: Date: _ Sumer 0 TubJe'�c•wer/s�awer lean __ a Name: Urinal — d -- — Water closet _ l Address: ater seater T=F I City: State: ZIP: (fir: Phone: Fax: I E-mail: _ - Na NI)uriutictiapt a n accept calls,Akre call hriedktlm for a mc Mfamrion. Notice:This permit application Minimum fee................$ U Visa U MasterCard expires if a permit is not obtained Plan review(at ____ %) $ Credit card mmixi: within ISO days after it has been State surcharge(11%)....$ _ TOTAL . .$ S Name ofeardholdes r on credit card accepted as complete. .................... s C AmoaM j 404616(6I0(VC.'OM) PLUMBING PERMIT FEES: — PRICE T TOTAL �i4WI:rift!240nliy Inps Only: FIXTURES fladivldua_-i1_— QTY eat J AMOUNT priduda all ournbing fixtures In PRICIE TOTAL Sink 1660 the dwelling and the tirat100 tit. QTY (04) AMWNT Lavatory - 18.80 — ��h�� -- � One 11 bath $249.20 . Tub ol T,,b/Shower Comb 16.60 Two(2)bath -_- $350,00 _ Shovre;Only — 16.60 Three 3 bath Wales-Closet V 16.60 - _ SUBTOTAL _ Urinal 16.60 8%STATE SURCHARGE — Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL _ Garbage Disposal 16.60 TOTAL Laundry Tray 16.60 Washirg Machine 16.80 Floor Drain/Floor Sink 2" 16 W 3" _ 16.60 PLEASE COMPLETE: 4" 16.60 Watnr Heatsr O conversion O like kind 16.50 Quantq b f Work Pe ad Gas piping requires a separate mechanical Fixture Type: Now Moved Replaced Removed/ permit. _ Capped MFG Home New Water Service 46.40 Sink MFG Home New Sail/Storm Sewer 46.40Lavator�i _ Tub crr Titb/Shower Hose Bibs 16.60 Combination Roof Drains _ 16.60 Shower Only Drinking Fountain ——- 16.60 Water Closet Urinal _ Other Fixtures(Specify) _ -'�_ 16.60 Dishwasher Garbage Disposal____Laundry Roan�Tra -- Washing Machine Floor Drain/Sink: 2" Sewer-1 at 100' 55.00 — —3" Sewer-each additional 100' — 46.40 4" — Water Service-let 100' ��—— 56.00 Water Healer -- -- Water Service-each additional 200' 46.40 Other Fixtures _ S Storm 6 Rain Drain-1-:100' 55.00 Storrs&Rain Drain-each additional 100' 46 40 Commercial Back Flan Prevention Device 46.40 Residential Backflow Prevention Device' 27.55 — Catch Basin 16.60 !` Inspectior of Existing Plumbing or Specialty 72.50 — Re uasted Inspections _ rl!1 COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps 16.60 — — — QUANTITY TOTAL IL Isometric or riser diagram is required If Ouantlfy Total�s >_a _ 'SUBTOTAL -- — 8%STATE SURCHARGE — - "PLAN REVIEW 25%OF SUBTOTAL Regained only Ir axtui�ia.total Is 19 W TOTAL = .J —--— -- - --- "Minimum permit fee is$72.90•a%Mate surcharge,exoW Residential Rackllow Prevention Device,wnk:h Is SM 29•a%*tate surcharge All New Ccmmerelsl Building*require plans with hOmetric a rtser diagram and plan review i:\dsts\forms\plm-fees.e')c 10/10/00 CITY OF TIGARD Plumbing Permit Application Plan Check. 13125 SW HALL BLVD. Commercial and Residential Rec'd By TIGAF2D, OR 97223 Date Recd (503) 639-4171 Dale to P.E Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit Related SWR Called_Y Name of Development/Project FIXTURES (Individual) QTY PRICE AMT Job - ---- 11.50 Address Street Address �-f Suite Lavutory 11.50 d 95" 5" L� _� I~ Tub or Tub/Shower Comb. 11.50 Bldg t City/State Zip Shower Only 11.50 Water Closet/Urinal (Sp�city) 11.50 Name SCA.W �)� Dishwasher 11.50 " Owner Mailing Address Suite Urinal 11.50 S- SW 0 _ Garbage Disposal 11.50 City/State Zip Phone Laundry Tray 11.50 Named Washinn MachineA_aundry Tray (Specify)_- 11.50 J 4w r Floor Drain/Floor Sink 2" 11.50 Occupant Mailing Address Suite 3" 11.50 _- 4" 11.50 City/Star Zip Phnne --- - - - Water Heater O conversion O like kind 11.50 Gas piping requires a separate mechanical rmit. Name MFG Home New Water Service 28.00 ova c �W...� /�,.,,�,� - --- Contractor Mailing Address Suite MFG Home New Sen/Storm Sewer - 23.00 , ,/;L? 5e, FV evre,s Hose Bibs 11.50 Prior to permit C /slate Zip Phone of(rains 11.50 Issuance,a copyri, 0R 9710 b ;pinking Fountain 11.50 of all licenses are r gon Const.Cont.Board Lic.a Exp.Date - required If W G, 1 L%_A;L-O 2 Other Fixtures(Specify) 15.00 expired In COT Plumbing Lic.t Ext Date I database -4p Q _ d(o- 30"c Name Architect _ Sewer-1sl 100' - 38.00 Or Mailing Address Suite Sewer-each additional 100' 32.00 CI /State Zip Phone Water Service-1at 100' t 38.00 gi;i q9 Engineer h Water Service-each addVional 200' 32.00 Describe work to be done: Storm 6 Rain Drain-1st 100' 38.00 New Repair O Reolace with like kind: Yes O No O Storm 6 Rain Drain-each additimel 100' 32.00 Resid n ial O Commercial O - Commercial Back Flow Prevention Device 32.00 Additional description of work: / Residential Packilow Prevention Device' 19.00 p C1 wA� 5 Iry o i Be.e(��ee� Catch Basin 11.50 Are you capping,moving or replacing any fixtures? Insp.of Existl%Plumbing or Specialty Requested 50.90 a Yes O No P, Inspections rlhr If yes,aee back of form to indicate work performed by Rain Drain,single family dwelling 45.00 U) fixture. FAIL'LIRE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50 WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL I hereby acknowledge that I have read this application,that the information Isornetdc or riser diagram is requked K ournt rasl b >9 given is correct,that I am the owner or authorized agent of the owner,and r ag-- hatlans submitted are In compliance with Oregon State Laws. *SUBTOTAL � b 0 Signature o Owner/A artt Date J1/- 1 9- O/9 -k 8%SURCHARGE Contact Pe,ion Name �Plionev,,, ��� ""PLAN REVIEW 25%OF SUBTOTAL 9 Re uThW only N fixture ytv.total Is;,9 _ i 1 BATH HOUSE;178.00 A } � TOTAL BAtN 11Qu3h;25o.`.00 `o s BATH'HOUbE 1285. y - ------ i ;1 Is fit nElud , all plumIng fixtures In t+hvA Ilti�an heY •Minimum permit fee is$50+8%owt harpe,oxcep!ResidentkN Sackfim Prevention O;tti s iilttiry; l r storm t6swir un' raa,servlr ) j1 Devine,which y$25+8%swc hargn -All New commercial Pulldings require plans with bomonric or riser diagram and plea revlew. I klst%Vormstpksnapp doe.10/1/9A PLEASE COMPLETE: Fir*ure Type Quantlty'by Work Performed New Moved Replaced Removed/Capped, Sink Lavatory ---_--- Tub or Tub/Shower Combination Shower Only Water Giosef Dishwasher__ _ _Urinal Garbage Disposal ` Laundry Room Tray_ — Washing Machine Floor Drain/Floor Sink 2" 411 Water Heater Other Fixtures (Specify) - COMMENTS REGARDING ABOVE: W tldsisvormlplumpp doc airee .. . CITY OF TIGARD BUILDING INSPECTION DIVISION MST. 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BU _ __Date Requested /-' Z AM _PM gL — Location � fes' UG l( 3/` Suite MEC Contact Person Ph I�LMU�– o 1.3 Contractor Ph —_ SWR BUILDING TcnantiOwner _ ELC _ -- Retaining Wall _ ELR _ Footing Access:Foundation FPS Ftg Drain rM Crawl Drain Inspection Notes: SGN — ;lab SIT Post&Beam (Ext Sheath/Shear Int Sheath/Shear i Framing _--_ Insulation Drywall Nailing Firewall Fire Sprinkler __._� _ _ �_ _ —••____ Fire Alarm Susp'd Ceiling Roof Misc: _ — A A �.. ---- Final PASS PART FAIL -- -- - --- .�— Post A Beam Under Slab Top Out anitary Sewer IFWa.Qains I ART _FAIL Post&Beam -- Rough In Gas Line Smoke Dampers Final -- - -- ----- PASS PART FAIL I. EL CTRICA � Service Rough In UG/Slab — Low Voltage _ _ — Fire Alarm Final PASS PART FAIL 8 Backfill/Grading -- _- — -- — Sanitary Sewer Storm Drain [ J Reinspection fee of$u_—_--required before next inspection. Pay at City Hall, 13125 5W Hell Bbd Catch Basin Please call for reinspection RE: Fire Supply Line [ 1 p — _ —_—.___. I 1 Unable to Inspect-no access ADA / Other Date Date �`-y�— —Inspector L Z i/_ r` 1 / E�� Final PASS PART FAIL DO NOT REMOVE this Inspoctlon r9colyd from tho blob silts.