13923 SW HINDON COURT �1!
13923 SW HINDON COURT
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,Carlson Testi n& Ince
F.O.Box 29i14
y1pmd,Otepon•M23
phom(609)$"-34W
CP-29'1?
two REPORT OF IN-PLACE SOIL DENSITY TESTS october 23, 1966
sctmidt Excavat in g
Client_._.
Cotswald Meadows III ---
ProleCt
*,hewn S:lty Sandy Clay/Brcwn Silty Sand —
Snil Description ----
*95.8 22.9 �% Method of Test Nix_- epr
Max. Ivry Density-,_��---- lbs./cu. h. Optimum lvtoiatixe_ �
t�Iv � / rrtt0 IN•r'1.ACe O(NfITt ,
r t t r TEST LOCATION r . x0. 0111 us ILDI.CCN. VTJ
out or „ wil
Jnr
U 23 1
Ise-test ��f I,rt ?5� Grade 24.3 125.0 100.6 96.'i
— t 25.0 118.5 94.5 98.6
10-23 2 Re-test of Lot 153 !
25.8 114.8 91.3 95.3
10-23 3 Re-test of Ilot 154
— 23.8 125.9 101.6 97.7
10-23 4 p.-tesi- of Lot 117w_ _ -
,� ' 2"1.3 121.9 95.7 99.8
0-23 5 pe-tes':� of Lot 97 _.. •
17.3 113.4 1616] 100.U4
Re-test of Lot 99
10-23 6 _
'. 16.4 125.3 107.6 100.0+
10-23 7 Re-test of Lot 108
— — CARLSON TESTING INC
/ r pm.ibx 2DY- 1
CITY OF TIGAR D PLUMBING ; 97� �`i
Applicam;s must hold Oregon Registration to conduct a plumbing PERMIT 634-4.75
bvs►r,ess r must be property owner/operator not hiring outside help. ,2-
Name of Development
Plursbtnpt Permil Na.
_.�_ ---
Description
ORS 614.21.610 t311AN PRICE AMT
Job Tax Lot `Mep.No.
Address FIXTURES _
Iol �� Block Subdivision Sink 7.60
or name o7lxisiness Lavatory ZZ 7.60 -
_ Tub or Tub/Shower Comb f 750 IMailing ress Shower Only 7.50 y-
Owner City/State v' Zip WalerCloset
__ 1.50 _
Dishwaal►er _ _ 7.. 7 50
Phone Garbage Disposal _ '� '-5 /
Wa Shing Machine 750
Name - ---_-___ _.
7so
Floo►Drain
aunnq ress - _ --------- Phone - _Wa►erHeater -- - - _.?s�- 7-50 -
M LaundryRoom Tray _-- ?`50
Occupant City/State 7q► Urinal 7.50 --
- Other Fixtures(Specify) -y 7.50
y_ 7.50
t esa >s 7.50 _
_iG' = .�'j�� 22 7,60
Contractor -Aty/State -�� ZIP _- -------- ----
MISCELLANEOUS -
City Bus.Tax No Sower 1st 100' _ 30.00
Sewer-ea.Addit 100 - 15.00 -
State s. No_ to -
(Res►denlial) water Service 1 at 100' _ __ �-
1 hereby acknowledge that I have read this appMcsttcr►,that the InformationWater Service ea.Addit.200' 16.00
Information — -
plvrr►is coned.that I am regWered with the State Boi{der s Board,and also Storm&Rain Drain 1 at 100' _ d 30.00 -
he"a State Pkx**V license that It*ntwAx"gtven we coned.that anSfArtrt 3 P:ks Drain AddH.104' 1500
pk �
R► n9 work nne k wig be Ain eacwdance with appolcon
able provisis d Om -. _ __ _._.
g'on Revised Statutes Chap("44 7 sM 693 ar+J WPNoab►e codes AM ftl Mobile Home Spats
no help wIll be atr►pkoyed unless Itconsed under ORS 693.(11 exempt from - -
State repbarstkm,pieaee give reason below) Back Flow PrevsrMion 760
HOM�.l iyHFgS-I hereby cettlfy M►at I am the Cotner of Moe Property de- Device or Mtl•PoNtAion Device _
eortmi above.N W ild►ballon 1 propaes in make■plunbklpp ksMNlatlon for Any Trap at WaeN Not
my aw 1 use and Ifols property M flat beMrp for sale.lease or rent C xviecfed to e Fixttxe
Ca"Bdk+ 1.60
i kap.of Exist Plulm np 40,00 Per Fk
Cl`� / y 5• -
Specialty Reyus stsd l^speotlora - 40 00 Per 14t
r % Allier.of Pk►rrlbksp wNtok►
an Fx"V 16.00 nMn
New Bldg.or Budd.Ad~ 89.00"ll"8ioNATtin Uase --
_
Describe worts r*wV(__&Witio C1 alteration O m(*r C7 t3ieLl 15A) Jl
be done resW* of non 1seMMNaI C]
Eltlarirlp use of
LuMOlnporpropor►Y-______ _____-.___ M1►TOMp.
Ptqppwd ,per t8Ul10R1M41/
U"of
Pwp�tY _ _ .._.�._._._.__
err _ --_ �'d11A1. y S1
YMs R.rrllt Wrltortae nuN and>Mold M work r ooratruodrx►auMso•1te0 M roc!sort►
snarled 1sMMn 110 dayutar M Narsslnrr�or►K wok M elwpenrtad a rtbaMlr►ed far
a par4od of 1t1U days M arty rme ow work is oxmwmorxsd
Oats issued ._�-�1_._! lobo -. '/•
W W
/ I'.o.11.)X 233'_'1
3125 <Y Hall tela:i-
(' ITY 01-` TIGARD PUNBIING Ti4mdCR `T7223
Applicants must hold Oregon Reglsi,al;o o to Conduct a plumbing PER M IT 639-4175
business or must be property owner/operator not hiringoutside help. r
Name of De"Wrisent Plumbing Pe,-nit No. �!�-
Add//k �s � ) f d tl+'\ C / Description 10 �� PLAICE AMT
9 2 ��-J`` OAS 814-21.13
L._---L�_? — -------------
Job Tax LM PAa-� p•No.
Address FIXTURES
lcMF)kx 1c Sdivislrxt
�� Sink
� ZZ
a� or Herne o-T&s Hass -�_ Lavatory 7.50
_�--- - .
;' I Tub or Tub/Shower Comb `50
7•
al 191 r". U Shower Only -- �- — _ _ 7.so-
Z,?-
o-'-'
Water Closet
ZZfro 7.50
Owner CltyiTiate - Ztp Dishwasher 7.50 t
------------------
Phone
Garbage DisposalV _ .� -- 7.50 _
-- Washing Machine _ 7,50
Name 7.50
Floor Drain _ten __ . -
►aailirig Tess Pxxoe - Water Healer
Laundry Room Tray — 7.50
Occupant City/Stets ---' ZipUrinal - 7.50
, — other Fhdures(Specify)_ __ 7.50
l�L� .��•�� _,..___-- _ _.a— 7.50 _
_ Phone 7.50
7.50
Contractor CHY/State
MISCELLA`4EOUS
Cite Bus.Tax Na sewer 1 st 100' _ --- 30-00 - —-
Sewer-ea.Addd.100 — 15.00 _
(Residential) Water Servloe 1st tlxl
Water Service sa.Addit.200' 15.00
dt
I hereby anowkmVe that I have read 009 applics ion.the!the k4o mation 30.00
given is ooned,that 1 am regls(ered with the State Bulkiar's&card,and also Storm 6 Rain Drain 1 at.100' _--
have a State PkmftV Noetwe that the numbers given we o`n*d that an -- 15.00
plumbing work will be done in socordenoe with applicable Provisi^r'i r0 Ors' Sloan 6 P�Jn Drain Addit.100' �-
gon Revised Slab des C%Wen 447 and 693 and appMcsble oo'ss and that Mobile SPS ---- _ 25.00
no help will be err><rkysd W4043. llcensad under ORS 803 1';exempt from
State registration,please give reason belDevlow), Back Flow Prevention 7.50 -
os or Arrs.F>oNtAion Device
W)MEOWNERS-1 hWetrto owtRy OW I am the owner of the property de --
scrbed.nave,at which loca ion I propria to mskw a Pkxd*V Irtt"Milon for Any Trep or Waste Ncit
"I own use and thk pmp"is,"bsoleMes
. e or rood CortnetAod 10 a Rxk" - 7.50b" d kx -
lA�r CaWh BaNn 7.50
Mrp.d EtdM.Pknrbing � 10.00 Per Hr
-Specially RsgtMtlsd Inst 40.00 Per to
IF
--_ Aller.of I l rf"W1111Yt 15.00 n n
_ = an ExMrnp f31dg. - --
86.00 r"in
1Z_ SIC4NATup Dalie
New 9klp,or&M.Ad~ _
ina fartil —
Describe work newjg.-jkCIddloq❑ aMetlfbn repel►[7 ]5.o0
to be done reekien al rxxt al
use of AUFTOTAL
haft of property--— __- -- - -- — _1
PI U"01 *6 GUNCIOMA
TOTAL 4511
(NOTIM
ThM pwffd beC m null and Vold tl wok a aonetrutom eLowwWed M not oor- a
I list wad,*00n t110 deyam tt M M&troftn Or wXAts auspanded or"i'lim ted fa
Aperiod d If10 ears at&W blase al W wOft M wommbrWad (( 7
Date issued ___
� a �■r
CITY OF TIGARD MECHANICAL. PERMIT ` "
Permit N
Iaeacrlptlon• ------""�
City of Tigard
Table 3A Mechanical Coda CITY PRICE AMT
.�..-- ----- -�-- -
13125 S.W. Hail Blvd. 1) Permit Fee -0- -0- 10.00
P.O Box 23397 - -
Tigard, OR 97223 2) Supplemental Permit 3.00
639-4175 Furnace to 100,000 BTU m
1) 00
incl.ducts&vents 6
Furnace 100,000 BTU + -
2) incl.ducts&vents 7.50
Name of Development --- -�— Floor Furnace
3) incl.vent 6.00
Job Address W -` Suspended heater,wall heater
Address _ 4) or floor mounted heater 6.00
—
Tax Lot Map No. r ,- .. Vent not incl.In
rot Block Subdivision 5) appliance permit 3.00
Name(or rame of business) Repair of heating,refr ig.,
r ��f_ A - 6) cooling,absorption unit _- 6^GO
r
Owner Mailing Address phone -" 7 Boiler or comp to 3 HP _
6.00
.,-,r - S/4, r. -absorp.unit to 100,000 BTU
cnyrstate - Zip Boiler or comp to 3 HP-15 HP
e) absorp.unit to 500,000 BTU 11.00
Name — 9) Boiler or comp 15-30 HP
absorp.unit 112-1 million 15'00
Mailing Address phpa Boiler or comp to 30-50 HP
10) absorp.unit 1-1.75 million 22.50
Contractor City/Slate T-- ZIPBoiler or compto 50 HP
11)
absorp.unit 1,750,000 BTU 31.50
State Registratbn No. city Bus.Tax No. Air handling unit to
12) 10,000 CFM 4
I hereby acknowledge that I have read this application that the information given is 13) Air handling unit 7.50
gen
correct,that I am the owner or authorized at of the cwner,that plans submitted are in 10,000 CFM +
compliance with State laws,that I am registered with the State Builders'Board,that thei 4) Non portable
number given is correct (11 exempt from State registration please give reason below), evaporate coolet 4'50
Vent fan connected
15 to a single duct 3.00
- Ventilation system not
16) included in appliance permit 4.50
17 Hood served by
mechanical exhaust / 4.50
Sig owner Date _
Domestic type
Describe work ❑ addition ❑ alteration ❑ repair ❑ 18) incinerator 7,50
to be done hGt) residential,,E) non-residential ❑ Commercial or industrial
Existing use of 19) type incinerator —— 30.00
building or properly—_ _ Other i.e.,woodstova,water -
Proposed use of 20) heater,solar,clothes dryers,etc. 4.50
building or property _ _ —_ — — 21) Gas piping one to four outlets 2,00
Type of fuel- oil ❑ natural gas I I LPG [I electric/0' - -
22) More than 4-per outlet
NQT1SE ---- - --__ -
THIS PERMIT BECOMES NULL. AND VOID IF WORK OR CON- SUB-TOTAL ,Z 2)
STRUCTION AUTHORIZED IS NOT COMP iENCED WITHIN 180 5•&10 486 SURCHARGE 1.33
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER - — -
WORK IS COMMENCED. TOTAL
Special Conditions
Date issued 1 _..� b
y ---_
r
BUILDING PERMIT APPLICATION DATE---
THE
ATE_THE UNDERSIGNED I•IERE13I'APPLIES FOR A PERM I" FOR THE WORK HEREIN INDICATED BUILD R PH 24 a-44 1
E ONE __24!)-
_
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER Z_IX
m2PF 014 _
LOTN0.�9 � _ CT
OWNER Ebelmesser C oCyC9lN-!d�'A�
nstK)SADDRESS 13923 S.W. 1+indon Ct. r -- _
_._ ------—_ �—4jL4 -___.
970,14 ARCHITECT
NGINEER
BVILOER taamo ADDRESS 8210 S.w. 19 Pj%T j& ESIGNER
STRUCTURE EX NEW ❑ REMODEL ❑ ADDITION I_] REPAIR ❑ RENEWAL ❑ FIRE DAMAGE El DEMOLITION
X*ESIDENCE ❑ COMM 11 EDUCATIONAL E-1GOV'T ❑ RELIGIOUS C_] PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ BLASE) FENCE
OCCUPANCY .r2-3 _LAND USE ZONE +2 5 BLDG.TYPE 5N —_FIRE ZONE_____PLAN CHECK BY _BCR_HEAT
Construct single family dwelling w/atttached gara!2e,-all per approve(3 plans.
5tabject tC 85 rode.
SEWERPERMIT# '14076 2_baths, 10 traps ganige area 470
OCC.LOAD FLOOR LOAD 4a HEIGHT 21 NO.STORIES 2 AREA 1.464 NO_.BEDROOMS_ 3 VALUE 67,600
BUILDING DEPARTMENT SETBACKS FRONT :12 REAR ?3 LEFT SIDE 10 ' RIGHT SIDE 131 '
Permit F 337.00THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
7'GULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 219.a5 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL WJPLICA9LE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICrN;jEr SEPARfi PEAPITS 9EQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax _16.8,... [[DD UU
�e 572.90 SDC- 600.00
Total
By 100.0() PDC# ' 150.O IYAPPIPLICANT ORA NT —
Approved� 472.90 Receipt No.
ADDRE33 PHONE
_ 2 r..::) -
DATE INSP. TYJE INSPECTION EMARKS PLUMBING DATE
Contractor_.. _ 9 Lr _�' �S'r'2
Permit No.
Rough-in
Fixture
11:21
^ ktg Final
�nL HEATING
1a s /(• _ Contractor
/Ga Permit No.
11- 3 r �1 S 0-0,,48Gas or Oil
Rough-in
Final
SEWER
—• .._ _—�—�_�r_� Final
'DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
— Sidewalk
Curb&Street Final 10y
--- Approach RC /Q t
ELM.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY final
Landscaping
Zoning Final
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CITYOF T167ARD No. 25004
13125 S.W. HALL BLVD
P.O. 23397
i TIGARDRD, OI•i 97223
Name ==+ �:�.�,��_ , . G`., t ►:��
Address �-
Lot B—T to M p7 SubdivislonlAddress
Permit M's Bldg. y Plumb — Cash
Check
Sewer Other — ---
Other pec, {
Acct. No. Description —'
10.432 Bulldin permit Fees Amount
10.431.800 Plumbing Permit FeesY�
10-431.601 Mechanical permit Fees
10.230-501 State_Bidg. Tax --
If 10.433 Plans Check Fee
30.443- Sewer Connection i
30.44_4 Sewer Inspection_ _ �--
51.448 Street Syst. Dev._Charge
52.449.610 Parks I Svst, Dev, Charge
52.449.620 Parks II Syst, Dev. Charge —'"
31.450 Storm Drainage Syst. Dev, Cha, - i
- 10.430 Business Tax age - --_
10.434 Alarm Permit
10.227
10-455• _ Fine-s - Traffic/�11ad/Parking
10.2307CPTH traff /Vlc. A
lc/Mlsdsst. --"--
10.456- Indigent Defense ---'—
30-122-401 Sewer Service/USA 30- 22-402 Sewer Service/City 30°i° -
30-123 Sewer Sevice/CIty MaInt.3671?-5 Unmatched -'— ----- _
31.124 Storm Drainage `�`-- "------ -- - t
40.4 � ancroft rin. Pym(--' --
40.471 Bancroft MT. pymt. -
TOTAL
DEPT. )