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Permit 1 CITY OF TIGARD MASTER PERMIT PERMIT #: MST2007 -00194 COMMUNITY DEVELOPMENT DATE ISSUED: 6/26/2008 ',TIGARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S103AD - 07200 SITE ADDRESS: 12629 SW 108TH TERR ZONING: R -4.5 SUBDIVISION: MILESBROOK LOT: 003 JURISDICTION: TIG PROJECT: MILESBROOK Project- Description: New SF • BUILDING REISSUE: BVH3070 -4 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: 1,387 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: SECOND: 1,689 sf GARAGE: 669 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 3,076 sf 320,094.07 REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 4 MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 3 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 5 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: 6 201 - 400 amp: 201 - 400 amp: 1st WIO SVC /FDR: SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: 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 8 STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 6 SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable BUENA VISTA CUSTOM HOMES BUENA VISTA HOMES laws. All work will be done in accordance with approved plans. This 5665 SW MEADOWS RD SUITE 150 5665 SW MEADOWS RD STE 150 permit will expire if work is not started within 180 days of issuance, or LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 if the work is suspended for more than 180 days. 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 952- 001 -0080. You may obtain copies of these rules or direct Phone: 503 443 - 6033 Contact #: PRI 503 443 - 6033 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503 443 - 2443 Reg #: LIC 152235 TOTAL FEES: $ 12,770.89 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Engineered soils Issued B : i< / �� Permittee Signature : Call 503.63 '!! 7:00 a.m. for an inspection that busines • ay. 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 job site at the time of each inspection. a ' �� n C I ®Y 1 I ® MASTER PERMIT COMMUNITY DEVELOPMENT DATE ISSUED: MST2007-00194 6/26/2008 ;TIGA1D;, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 103AD -07200 SITE ADDRESS: 12629 SW 108TH TERR ZONING: R -4.5 SUBDIVISION: MILESBROOK LOT: 003 JURISDICTION: TIG PROJECT: MILESBROOK Project Description: New SF BUILDING REISSUE: BVH3070-4 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: 1,367 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: SECOND: 1,689 sf GARAGE: 669 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 3.076 sf 320,094.07 REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 4 MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 3 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 5 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: WISVC OR FDR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVCIFDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EA ADDL 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 8 STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable BUENA VISTA CUSTOM HOMES LOS PINOS GENERAL CONSTRUCTION laws. All work will be done in accordance with approved plans. This 5665 SW MEADOWS RD SUITE 150 14829 NE COUNTRYSIDE DR permit will expire if work is not started within 180 days of issuance, or LAKE OSWEGO, OR 97035 AURORA, OR 97002 if the work is suspended for more than 180 days. 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 952 - 001 -0080. You may obtain copies of these rules or direct Phone: 503 443 - 6033 Contact #: PRI 503 678 - 2895 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Reg #: LIC 174167 TOTAL FEES: $ 12,770.89 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 Engineered soils r I Issued By : , -.„-,- A ` _�_ Permittee Signature • / I ,/. P ..— Call 9.4175 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 job site at the time of each inspection. a 'c-6 / O v uz__ / ruct, 'Building Permit Appli .%,' on. 4 s_ I� ai d FOR OFFICE USE ONLY City of Tigard Received ° 13125 SW Flail Blvd Tigard OR 97 / �S T 2UU7 Pla Re L /0 ,. O • I . Permit No.: ,r 7 6O ., , 2 1 0 4 L Plan Review Phone: 503.639.4171 Fax: , 503 598.1960 ` Date/By: �0' Other Permit D�,s TIGARD Ins ection Line: 503.639.4( ! Ut 1 U ti ^r' p 7i� !R Dat Ready /By: S7� t yai See Attached Checklist for Internet: www.tigard- or.goy - Notified/Method V 3 � / (.: Supplemental Information iU1LBkNG D1 V 1SJ ON t? -,nr,,, %,-,‘ 4vl,1 . TYPE 'OF WORK. •REQUIRED.DATA: I- AND 2-;FAMILY DWELLING ":;: ® New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ., - , CATEGORY OF CONSTRUCTION work indicated on this application. ® 1- and 2- family dwelling 111 Commercial /industrial Valuation: $ /�jq 0-7 ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: 2 • 5 • , JOB- SITE INFORMATION AND LOCATION r Total number of floors: 2 l a 29 . ... SW 108th Ter race dwelling 7o70 q Job site address: 1 New dwellin area: square feet City /State /ZIP: Tigard, OR 97223 Garage /carport area: Z,7 S$ square feet Suite/bldg. /apt. no.: Project name: Milesbrook Covered porch area: square feet Cross street/directions to job site: SW 108 Terrace and SW Errol Street Deck area: Nit square feet Other structure area: square feet , _ • REQUIRED DATA COMMERCIAL -USE CHECKLIST- Subdivision: Milesbrook - _ Lot no.: 3 Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no • equipment, materials, labor, overhead, and the profit for the ' DESCRIPTION OFD -WORK work indicated on this application. NSFR Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: , Name: Buena Vista Custom Homes Type of construction: Address: 5665 SW Meadows Rd., Suite 150 Occupancy groups: City /State /ZIP: Lake Oswego, OR 97035 Existing: Phone: (503)443 -6033 Fax: (503)443 -2443 New: ® , APPLICANT, R . ❑ C ONT A CT PERSON , .,. , .. OT ICE , . Business name: Buena Vista Custom Homes All contractors and subcontractors are required to be Contact name: Austin Holmes licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 5665 SW Meadows Rd, Suite 150 jurisdiction in which work is being performed. If the City /State /ZIP: Lake Oswego, OR 97035 applicant is exempt from licensing, the following reasons apply: Phone: (503) 443 -6033 Fax: : (503) 443-2443 E -mail: AustinH @BuenaVistaHomes.com CONTRACTOR �' Business name: Buena Vista Custom Homes '` BUILDING `PERMIT FEES* Address: 5665 SW Meadows Rd, Suite 150 ?Please refer io fee schedule) Structural plan review fee (or deposit): City /State /ZIP: Lake Oswego, OR 97035 Phone: (503) 443 -6033 Fax: (503) 443 -2443 FLS plan review fee (if applicable): CCB lic.: 152235 Total fees due upon application: d Amount �/'"" received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Austin Holmes Date: 10/03/2007 * Fee methodology set by Tri- County Building Industry Service Board. 1: \ Building \Permits \BUP- PermitApp.doc 03/21/06 440- 4613T(1 I /02/COM/WEB) 10/03/2007 20:52 5034432443 JJ BUENA VIST PAGE 02/02 ' ►_ p n ' 'Y'`p " 3 xiit `,a'S� Ai echa ical ' • rmit ! j \ / � y :1:01101.1.1( . � t s a� r 1 v t ai i * .t s v: . 1 City ofTigard i C:r .o � �«"r M y 47 Permit �y��pp7-ed l ?..e. i " 13123 gW Hall Blvd.. Tigard. OR 97 r , Plati Review Other rrrntiu W Phone: 503.639,4171 Fax: 503.59 8. .1 0 1 [raf�rzly: i< `^ inspection Tine: 503,639.0 rt 0 2007 - Da � p dy � , . l , 1 y; ,m1 s: 55 sea our a aer )r4;,.a:. internee: www,tigard-or,go€ i U14 i , .....1,/ 3 . R...ri Non Ic&meihed: � Supplemental innrrm2Gon El New construction ❑ Addition(31ter0<ionfreplaeerent Mechanical permit Ilea are boned the value of the wink pertbrmai - 1ndiC ite the value (rounded to the newt dollar) of all ❑ Demolition ❑ Other mechanical materials equipment. labor, overhead and profit w •we t ,4t e. tr ": ' r s' *, , '4 Opt ... 'a.""• O Vibe: $ r ,t * tp, 1 'Y ,' _.' , x •`.._ ..: .. � . - -, _ i.,', a: ... ,,...0 .. .., . , ;ierit' ,, r , ;. mria a .*7 i 4 r °,��} y T r r' ® 1- and 2•familydwclling ❑ Commercial /industrial [] Aeeess, ry building For aperinI irtib mention rue ohockliar. ❑ Muki.frnily ❑ Master builder 0 Other: Detcrbettn Qty. Ea, Total Wd ' a A `�, ...1 `'' . -7 `s'.i` t_ .-, .3 : oft €fi. i '-?. Beat; 1 , - , lin ' + ° . Air conditioning or hest pup Job site address: (Z D f. .. i SW 108°' T pump errace (require alrel' n,l,pwinaplacameet) 14.00 City/State/VP: Tigard, OR 97223 Furnace 100,00013'm jdaats /vente) _ 14,00 `F urnace 100,000+ BTU (4u .errs) 17.90 Svite/bldgJapt.no.; Projcctnotlte : M.ileabrook 43as heat Tom 14.00 Cross street/directions to job site: 9W 108" Terrace and SW Errol Strati Duet work _ 14.00 III Hydronic hot rioter stem 1400 Residential boiler (radiator or , tonic 14.00 Unit heaters (fuel -type, not electric), in 11 in.du Au • • tied. etc. 10.00 Flue/vent for any of above 10.00 Subdivision: lvvtilcsbrook .ot no.: Other: 10.00 - Tax msp/parcel no Other ru,i y tisat ► ".AM 4 4,x, 41 1. ,s ,r ;'W3 ' r ' Water i. cr 10 00 t ' w�:• " > Sr x y. , a ..t x rip .0- One fireplace 2. 10.00 NSP R Flue vent Par water heater or Ira9 fi .1aoe 10.00 10.00 Wood • ellet rove 11111 10.00 IZSMIMMEE111111111.M 10.00 Ertillnill 10.00 Inn : i t t . v,O bar? i y ` k . . Joe; x rt plhcr 11.01 10.00 Name: 8nena Vista Custom Homes Range hood/othcr kitchen Address: 5665 SW Meadows Iftd., Slone 150 e•t env 10.00 10.04 City /9SStt /2iP: Lake Oswego, OR 97035 Single -duct exhaust (ba 1. , M phone: (503)443.6033 Fax (503)443-2443 toilet co . %-rttnents, mil; rooms P 2 'xtt� pe Ln4,� r*� t ( ' 4 . zf ilk ` VItit MOD f p 'i,F . ( 1 T �. ��; '; a.,r5it l F., A r}k r .t�et y Other: ] D,00 Basilicas name: Buena vista COMM Homes Fuel • 110: Contact name: Austin Holmes SSM ihr first ibur $1.00 for each additional Addr,.ss: 5665 SW Mendo+v Rd., SSaite 150 .___- ' City/St 1e'ZlP: Lake Oswego, OR97035 Wall /suspended /unit heater 111111=111 Water heater phone (n2)443-602 Fax:: (503) 443 -2443 _ Fir .lace E-mail: AustioR@BetenaVistaBomm.com g �� +` u - = `' F " a YrsC:L :i r . - �'�: 4 t tiV4A7i BY/! m ic ti ;�` x Clothes • er 'u+ Business name Other MN SUN GLOW INC. �.Y ° Noe. '' 4 ,14, -�, �dt1rC6.. r 4 . ,:. ( A o Heating & Air Conditioning City/state/VP: 2428 SE 105th Ave, Portland, OR 97216 Minimum permit fee (572.50) Phan!: ) (503) 253.7789 FAX (503) 253-7693 Flan rcvicw (25%ofpermltfee) I State surcharge QM of permit fee) CCB lie.: TOTAL PERMIT FEE ' do e 1 1 • This permit application rapira7 IA!. pq*rrxt at not 8 within IRO Autllorizcd signature; dsym tarter It her been accepted n. Date: IA c ^ Tcc methodology set ayTri• connti pulldingIndt usnV ScrreeDonwd A f Prim name: � t 44p4417r (1 r tcC �3.� ''�! ' , (I umldseineem,*Mrarrrwitinopde,e o o nee 10/04/2007 10:58 5036425815 ROSS ELECTRIC INC PAGE 02/02 10/03/2007 20:54 5034432443 BUENA VISTA PAGE 02/02 electrical Permit .411 eatioi > ,, i t • it : Mz Z.Vi' O. ,x � 1,� . ` 1'.IJIt t t1 , t rth °'`x� t ` t z, xa city of Ti .4 d Itccc, a 4y: - iat.•Y car > ,�i�¢,t „ . 1 L � 1 A° Dntc/F �� 7 A Pc,, •'d i' 0:' ?' 13125 SW 1 13IVd., Tigard, OR 97223 rm tNo, Ql Plan Renew n Pht7t14: 503.639.4171 Fax 0 8.1 bo ►at Other Permit • " �' f In ction Lane: 503.639 4 17Ut, ! -" 2007 Dace n sr rrG;• 1 intcmct. www•ltg or Notifi dRYt Ihnd 7unp e • r lnrn c c &1 r-r Supplemental rmation ; : . I it h 4 ` )� 1 1 1 S jrx • 3 E6,�,' � r r � a � Ilh' 'F ' � 4 �r l �� , �'J - r _ :• , i r . .r T - 2 . , t... , .- •` "i�•? :1;P.i '- i;.!.t;,Gha: :" Fu..,_:zi " . -,a;' 1 � 't-.,r.rt+4 .uji..1. \ t.lt. %? , ufa.itii , . ?"..C,.... ,. .. n:i � ih » ?. . } Ii 1 1 ,r f .. ,•, New construction dit T N f PTcaac chrcka11'at b p . 101 t+ � apD1Y (Submit s cu of lane w /items chec . below): • ` ❑ Sew;ec or feeder 400 arrpa or mom ❑ IIu;ld;,.g over tMcc t ❑ )]ty71011t10n Q Other: whew the aVai[ablc Pauli =tent ❑ Marinas and boatyards. t j � }; c i vu 7.,v rr r } Ir ,. c ' 1 l } rr'1. L . , ' r r nr f ? 1b 7 i i.. I cxactdr 10.000 a eat 150 Y t4.,,...i �. _ r s.- , . ,u. •n.^.: -r • x .:: .t. r �, ?. _',, h . 1 ^'P 011E or ❑ Ploattnq bmldingc. ® 1 - and 2-family dwelling ❑ Corttmcrc ;al /indusMal Q Acee.,5o building css t6 ground, or eve ear, 14,000 ❑ Commcmlel•wc agricultural • Q Multi-family � g amps R,r all otter installations. builds i . - fam ly .; , r 0 Mastcrbuilder 0 Ott,: ❑ Pimru , rRr. O [nsnnae'nn or7s x r yn .:Xr : ?. ∎" , .�f ' 71i ti'aaC,-, . ..'Tr•"Y7 7 ;•,• ;7 1, ^2 r ❑Ernvr n ; '� , � �.r. < 1 i`r'i � 'r r? ,: r r � � g crrc y s�9tcm, IargertepnmtelYde:ivcd GrS , Stw i1.r.;1'd, l•..l.:e, 1.�!,, r 4 E ....i.., 1 , I \ s r ,, 4; .„ i� b I ; . . _ . . k ., ",ti., '. D Addition ofnew motor load or Job no.: Job site addrelltl: 11- 62-9 SW , 08' Terrace loo] or more, oceupancy. ❑ 5 't ar mare r*;dcntinl m,,U. ❑ Rccrc4l■onal vchicicparte. . . City/State /LIP: Tigard, OR 97223 ❑ meroth.cmc rnoilitics. ❑ Supply voltage ftlr more than ❑Hazardous locatf0119. 600 volts heroin). • Suite/bldg. /apt. nn.: Project na, sbrook ° Service or feeder MO amps or more. Crots gtreetJdir ections to job site: SW 108` Terrace and SW Errol Street '` { w ` "- :a ]h tfon limit lmj■•=tawriiiii • New residential single -or multifamily dwelling unit. • Iactudc. attached garage. Subdivision: Milesbrook ••-• Ea. no.: 3 1.000 v._ ft. or leas - 1 t 145.15 4 , Tax map /parcel no.: Ea, add 1500 sq. ft or pardon 33.40 a --- .r , '' , _ Limited energy, residential ! ;, .' :.?. r `r Ll u..a,l'i; ^L �y < '.a :r.t. �- r? A i.i s i ,I,I 4 1, t` a i i : :: (with above 5q. A.) l 75.00 NSER Limited energy, multi-family 75.00 reelecntial v.40, above 5•. ft Services or feelers I ltatallation, alteration, and/or relocation — - r 200 amps or Tess 80.30 2 ., '.•. ,. _..: -. I 1._]•1 T-l'..� t �� ) , .�. . + �r!r fi , :-r: � 0ji _ " C: . _A. - 201 am to 400 amps 106.8,5 Name: Buena Vista Custom Homes 401 amps to 600 amps 160.60 601 a .n to 1,000 amps 240,60 1111/ Address: 5665 SW Meadows Rd., Suite 130 over 1,000 err ps or molts = 454.65 City/State/ZIP; Lake Oswego, OR 97035 Temporary services or Paden/ hI tallattnn, alteration, and /or relocation Phone: (503)443 -6033 I Fax: (903)443 -2443 200 amps or less — In 66.85 Ell Own*,r installation: This installation is being made on property that i Qom which is not .. 201 amps to 400 a 'g ` 100.30 , intended for sale, lease, rout, or exchange, according to ORS 447, 44'!, 670, and 701- 401 amps to 599 amps c c Owner signature: Data: grand; circuits •- new.1 I cr11tJ p, or extension, er panel . Fee for branch c A. ircul with • `:. . r It ...... i':' T ' ..,.r _ '1 , _ , ". r• q -' b, ` _ ,,, .i t;3 I" {.r -- , yt'sa"t..3 above service or feede f ee, r..., 6.65 2 Business name: Buena Vista Custom homes each for b ran circuit B. Fee for branch circuits — • C ontact name: Austin Holm w it h out service or feeder fcc, 46 2 first branch circuit Address: 5665 SW Meadows Rd., Suite 150 Each add') branch circuit 6.65 - - miscellaneous (lervlcQnr reader not Included) City/State/ZIP: Lake Oswego, OR 97035 13ac1r manufactured or modular 5090 2 - dwelling, service and /or feeder Phone: (503) 443 -6033 Fax:: (503) 443 -603? Reconnect only 66,83 2 8 -malt: AustinH @BucnaVistaHornes.com - Pump or irrigation circle 53,40 2 . :.. .I ..:.�x...u.� ... rt...,,•,. . .. ;,.1•: .�_.... t •, ;. arauttfncifgl-uiag 53.40 2 Business name: , 8 6 4 5 , c 1,, 0 7 c, =r�L Signal ctreuit(s) or limited- energy panel, alteration, or Address: acs 1 o S e - 76R let- *2.03 catcnainn" Describe: Page 2 a City /State/ZIP: ~ _Ai, y — 0 5'112_3 Each addtttonai ins ion o_vcr atluwabie in an of the above Per inspection 62.5 . Phati ( ..) ( 4 zr 2goc F..; ( 4 4i P S s 5- lnvcsdgation per hour (1 hr min) 62,50 T-- • CCB Lk.: ! 578 9 1 Electrical L1c LI. 3 , S Irv. [,ic - L f a3 -. Industrial punt per hour 73:75 Sum. Electrician signature, rcgmrcd ., - .: ! °° ;: " : t' s: t•::� i.!:;- Subtotal. l C� QL ^ ,,, ;) /t C Plan review (25°/n of permit fix): — Punt name (4� \ tL V O Aatc: - State surcharge (8% of permit fee): Authorized signature: TOTAL PERMIT FEE: This Dern* opplianHrr, expires If n permit is not attained wJthtn 180 Print name. Oak: ear after It has been acceotie na aosnplCtC- • Number ofimcrtion; allowed net 1 1:\ nulldlea1Peralkp )P..l4.PcmtitAPP.dcic 05125106 e40- 46151(1 ImvCQM„vxa • 10/04/2007 07:31 FAX 5036404483 THE MULLEN COMPANY 4 BUENNA VISTA 12002 /003 19/03/2007 04:44 5034432443 BUENA VISTA PAGE 02/03 8 � � 417: ° o ��*.�`"�� > �+4 �•.� 7 r ,��'7�e.r+l +w�i ... ,y .. �t ;� 3rr' �lunn i.n Permit A,>��iica an • , r �t t� *4-, 'Y`! ' 1 , ,, I .3, 2 r t for iiia City o f Ti C L T 0 :' Re ce iv /D Permit No.: . ! i • -- �� a 1 31 25 SW Hall B lvd., Tigard, OR 9" 23 200 Plan Review "p Phone: 503 - 639.4111 Pax: 503. y : � ° 2 k ..� 1( 6. � � a 410-._,..m inspection Line: 503.(39.4175 V 1 1 j-1 , Other Permit N r�t� Aria: El Seo po fni 44K-ci InInterned: www.tlgttrd•or,60v B : ' 1� T ' j _ Po s�IDptoinentel Information X . . { n +i S a R < . � F - rrt rt x i }Al ? .w. r4 r.: 1. � ' ° t "Ai�. x . 4 d ��w.ca � F � � ^c' r � �l � � � � ..Y y � _ ,al4�r �4..c:u., . �.. . .:.5: -, �� .,..� �� , �_ � ems ,. . . _.. ® New construetlon ❑ Demolition For spedol tnfomtmian use checklist Description 1 0t 1 Es - i Total [] Addition /alteratioa/replaccma;rtt ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) . rn > 'e, ,, 74:. : �� 4 ': sr•>z (1)both 249.20 ® 1- and 2- family dwelling ❑ Cornmercial /induor ial SFR (2) bath 350.00 0 Accessory building 0 Multi- family SFR (3) bath ?( 399.00 --� Each additional bath/kitchcn 45.00 ❑ Master 0 Fi p_ sq. ) Page 2 K my.ry t t-'.ti ': s= r 4. i* ." 'e ,c a H ! rc sprinkler ( fr Pa •u . c ,.a. � „;,:, • -•, ,,i,„�; dhu.mrie::' '� SIt9 Otilldas Job Site address: I D.. , 19 SW 108`0 Terrace Catch basin or area drain 16.60 City/StatdZTP: Tigard. OR 97223 Drywell, leach line, Err trench drain 16.60 SuittfbIdglapt. no.: Project name: Milesbrook Footing drain (no. linear ft. ) Page 2 1vlanufLottuad home utilities MINI 110,00 Cross street/dlrections to job site: SW 108° Terrace and 9W Errol St. Manholes 16.60 Rain drain connector 16 -60 Sanitary sewer (no. linear ft: ) Page Z Storm sewer (no. linear ft.; .) Page 2 Subdivision: Mileshrook Lu, no ; Water as vice (no. linear R.: ) Page 2 Fixture or item - �tTax m 4 ap /parool '10.: 1 e f"y '+C „� N '. TiFytt R° W -. } /- ' I T i ) i �f l O .. „ . Absorption valve 1 6.60 ;;At. ;ai : -f ' .. .s ' 1... .�. , ..- y'.-A.aZ V4 C i t - ra: e _ ° � 0. �1?+ •t A Backnowpreeutcr Pagc 2 NSFR Backwater valve _ 16.60 Clothes washer - 16,60 - Dishwasher 16.60 t v I . W_ „� l r,. , . 1 'R z r". ,1 i �� DriT1161 i bartait 16.60 �� `.} � .k' i t , ♦ i` 2 =i�r T,. _ «. il ' �• Ei„torst„mp 16.60 Name: Buena Vista Custom limas Expansinn i 16.60 Address: 5665 SW Meadows Rd., Salta ISO 1 Fiztwe/aewer cap 16.60 City/State/ZIP: Lake Oswego, OR 97035 Floor drain /floor sink /hub 16 -60 Phone: (503)443 -6033 Fax: (503)443-2441 Garbage disposal 16.60 -. < x Y w X .. , ii .- ,i g3 : a t '" Hose bib - tcc =Ref _ 16 Business name: Buena Vista Custom Heroes In tcrceptorlgrease trap 1 n.e0 Cuataet nettle; Austin JXolnaan Medical gas (valve; $ ) Page 2 MI Address: 6665 SW Meadows Rd, Suite 150 Printer 16.60 City/State/VP Lake Oswego, OR 97635 Roof drain (ooi .creial) - 16. Sink/basin/lavatory 16.60 Phone: (503) 443 -6033 Pax:: (503) 443 -2443 - Tub/showe /chows pan 16.60 E-mail ArrsbnH®.BuenaVistalloMeseon U 16.60 '1` e 4 ' a . �..e _.s :4f . ,�f. ! *. .,., pa * ; L f 1::44 -- water closet 16. Business flame: i 4_ L. � /� . 1, ' Water h©tcr 16.60 Address: - . . , � � b Other: - ■ • City /State/ZIP: ,I " '' ' '� -7 /...2_3. - Subrntol �. Minimum permit fee: $72.50 Phalle; . ,r # ..C:1/ Fax: rr3) ,. - ;i - t it Residential backflow minimum merrrdt roc: $96.25 1' Plumbing 1 tc. no.. -1 i Plan review (25% of permit foe) _,....•-• State surcharge (8% of permit fee) Authorized signature / . TOTAL PERMIT FEE _ print name: L ' , AL Delay& -- . _ .e271 Tile permit a pp IicRtIon expire,. if a permit I4 not obtained within 130 days after it hat been accepted as complete. *Fee methodology sot by Tri .County Building Induatry Service Hoard. t: tBvikling Tcrinite1.PLM- vTrd [Apr em Cd4WM 44O. ,IGT(I /Coww-F..R) PERMIT NO. /IA CleanWater Services Our commitment is clear. LOT EROSION CONTROL INSPECTION REPORT DATE c/� k) INSPECTOR f A %IY // ,e® SUBDIVISION ieSiA OWNER/PERMITEE A ,t, . Vi` g - it SITE ADDRESS ,� e APPROVED FINAL INSPECTION THIS SITE MEETS THE POST - CONSTRUCTION EROSION CONTROL REQUIREMENTS SET FORTH IN CLEAN WATER SERVICES RESOLUTION AND ORDER NOTE: IF POST - CONSTRUCTION EROSION CONTROL MEASURES ARE STILL BEING EMPLOYED ON THIS SITE TO MEET CRITERIA FOR AN APPROVED FINAL INSPECTION, THE MEASURE(S) MUST REMAIN IN PLACE UNTIL LANDSCAPING IS COMPLETE OR PERMANENT GROUND COVER IS ESTABLISHED. A COPY OF THE FINAL EROSION CONTROL INSPECTION REPORT MUST BE FORWARDED TO THE NEW OWNER, AT WHICH TIME NEW OWNER ASSUMES THE RESPONSIBILITY FOR MAINTENANCE, REPAIR AND REMOVAL. OTHER THANK YOU FOR YOUR COOPERATION! INSPECTOR izA PHONE �� STREET TREE CERTIFICATION I, ( �s f k j k t V V-6 , Owner /Agent for (PLEASE PRINT) (PERMIT HOLDER) Do hereby certify that the following location meets City of Tigard land use and ;development standards for street tree install A ADDRESS: `� t M5r2c.0'f' &prig SUBDIVISION: \J\ \ e s {00&<_ LOT: O SIGNATURE: DATE: � 23 -- 9 (OWNER /AG ) RECEIVED BY: DATE: (CITY OF TIGARD) 1:\ Building \ Forms \StrcctfrecCcrtificatc 01/19/07 CITY : F 'TI � ARD . r. BUILDING. DIVISION A t P #: MST2007 -0O'19 • 13125 W Hall ) BI�I SW Blvd., 1 Tigard, OR 97223 � DATE ISSUED: 6/2c 1200 # mii4II II (503) I Inspection Requests (24 Hrs.): (503) 639 - 41.75 INSPECTION WORKSHEET FOR DATE:' 1112J2009 TIME: 7 :00AM PAGE: 12 SITE ADDRESS: 2 . -� �f6�� SW 108TH T'ERR • CLASS OF WORK: SUBDIVISION: MILESBROOK. ;LOT ' # : 003 TYPE OF USE: PROJECT NAME: MILE SBROOK DESCRIPTION: New SF . OWNER: BUENA VISTA CUSTOM HOMES. PHONE' #: 60 4 6083 CONTRACTOR: LOS PINOS GENERAL "CONSTRUCTION • PHONE #: 503-678-2895 Inspection Request Scheduled For: Date: 1 / -y88c Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Dlectrica 1 final 079595 -01 503-642-2800 N Corrections /Comments /Instructions • • / /'P" sS a PARTIALrAPPROVAL ❑ CANCEL • ❑ NO ACCESS ❑ FAIL " . I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector. ._ _ Date: ' / 0 . Phone #: (503) 718- 2 C • • CITY OF TI;:GAR'D BUILDING DIVI_SI;OIV � PERMIT #,: t�ST'�ot�7- t�t�1!:� 13125 SW ll Blvd. Tigard, OR 97223 DATE ISSUED: €;j2 1000 13125 SW Hall lv Inspection Requests (24 Hrs.): (503) 639-4175 4,1 INSPECTION WORKSHEET FOR DATE: 1/9/2000 TIME: 7 :01AIVI PAGE: 16 SITE ADDRESS: 12528 SW 108TH TEAR CLASS OF WORK: • SUBDIVISION: MILE ROOK LOT #: 003 TYPE OF USE:. PROJECT NAME; Mtt.ESBROOK DESCRIPTION: New SF OWNER: BUENA VISTA CUSTOM HOMES, PHONE. #: 503. 443 - 60:33 CONTRACTOR: LOS PINOS :GENERAL CONSTRUCTION PHONE:#: 5(3.678-2895 Inspection Request Scheduled For: Date: . 11g/2009 Pour Time Code .# , Inspection Description Confirm. :# Contact # Message 199 Electrical final 079551 -01 503-642-2800 N Corrections /Comments /Instructions: • 1 i M r► 2 L. c C r® • PASS // PARTIAL APPROVAL ❑ CANCEL _ • ❑ NO ACCESS ALL FOR INSPECTION • ❑ ADDITIONAL.fEES,ASSESSED •Inspector: L Date: I/ /O' 1 Phone #: (503) 718- 2 6 4� CITY OF TIGARD e, BUILDING DIVISION PERMIT #: IviST2007- 0f!`i 131'25,SW Hall Blvd., Tigard, OR. 97223. DATE ISSUED: , 6/26/2008. Phone: (503) 639-4171 4 Inspection Requests (24 Hrs.): (503), 639 -4175 , ', INSPECTION WORKSHEET FOR, DATE: TIME PAGE: 9/24/2008 7 :00Am SITE ADDRESS: CLASS OF WORK: 12629 SW 108TH TFRR SUBDIVISION: LOT #: TYPE OF USE: I ILE:SBROOK 003 PROJECT NAME: Nill CSBROO K DESCRIPTION: New S • OWNER: BUENA VISTA CUSTOM HOMES, PHONE #: 503- 443.6033 CONTRACTOR : - LOS PINGS GENERAL CONSTRUCTION' • PHONE•#: ..a03•678-289..; Inspection Request' Scheduled For: Date: 9/24/2008 Pour Time: Code # Inspection Description Confirm # T Contact # Message ,120 F_Iec:trieaf rough -in 075866 -02 503 - 710.02'19 Y Corrections /Comments /:Instructions: • 1 (S //t t• • • • • PASS 'PARTIAL APPROVAL CANCEL 1 i'+NO ACCESS 0 FAIL ❑ CALL FOR INSPECTION ■ DDITIONALFEES' ASSESSED. Inspector: ° VI Date: _91 2al Phone #: (503). 718 • • • CITY OF TIGARD BUILDING DIVISION PERMIT #: MST2007-00194 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: tv26/2008 Rhone: (503) 639=4171 Inspection:Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 8/14/2008 TIME 7:00mvi PAGE: 14 . SITE ADDRESS: 12629 SW 108TH .TERR CLASS OF WORK: SUBDIVISION: MILESBROOK LOT #: 003 TYPE OF USE: PROJECT NAME: miie.S BROOK DESCRIPTION: New sf OWNER: BUENA VISTA CUSTOM HOMES, PHONE #: 603 • CONTRACTOR: BUENA VISTA HOMES PHONE #: 503.443-6033 v1-4%... • Inspection Request Scheduled For: Date: 8/1412008 . Pour Time: • Code # Inspection Description • Confirm # • Contact # Message 120 Electrical rough-in 0741801 603-642.2800 Corrections/Comments/Instructions: • • • ' . pp .0 teA • 4 ' J i \i'OR. 13,0 (,11(‘ 141 . kivL • • PAss 1 PARTIAL APPROVAL 0 CANCEL fl NO ACCESS n FAIL n CALL FOR INSPECTION • ADDITIONAL FEES ASSESSED Inspector: Date: ' J 1 Phone #: (503) 718- CITY OF TIGAR'D 0. BUILDING DIVISION PERMIT #: Wl ST2007 =00 °194 /�qud SW Hall Blvd ,Tigard, OR 97223 DATE ISSUED: 6/26/200f€ Phone: (503) q 39 41 1 Inspection ,Requests ( 24 Hrs.): 503 ) 639 =41 Z5 INSPECTION WORKSHEET FOR DATE: 8114/2008 TIME: 7 PAGE: 13 SITE ADDRESS: �� CLASS OF WORK: 12629 3 10t TH TER 2 SUBDIVISION: ho111,ESF3Rt)C?K LOT #: U0:3 TYPE OF USE: PROJECT NAME: IVIILESBROOK DESCRIPTION: New SF OWNER: BUFNA VISTA CUSTOM HOMES, PHONE #: x03- 443 -803:3 CONTRACTOR : BUENA VISTA HOMES PHONE #: 603- 443 -6033 Inspection Request Scheduled For: 'Date: 8/14/2008 Pour Time: Code. # Inspection Description Confirm # Contact # Message 1 i5 Electric al service 0741e 02 503 -642 -2800 Corrections /Comments /Instructions; • • in PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL U CALL FOR INSPECTION 1 ADDITIONAL FEES - ASSESSED ector; p Date: . � / V Ins Phone #; (503) 718- 1 _ J t M , ''- 42�'q CITY F T MASTER PERMIT T If ° 1 t .. - PERMIT #: MST2007- 00194 • ''' ��;/ COMMUNITY DEVE IC {P� DATE ISSUED: 6/26/2008 aEiGARD, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 ' PARCEL: 2S103AD - 07200 SITE ADDRESS: 12629 SW 108TH TERR ZONING: R - 4.5 SUBDIVISION: MILESBROOK LOT: 003 JURISDICTION: TIG PROJECT: MILESBROOK Project Description: New SF BUILDING REISSUE: BVH3070 -4 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: 1.387 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: y TYPE OF USE: SF FLOOR LOAD: SECOND: 1,689 sf GARAGE; 669 sf FRONT: 20 PARKING SPACES- TYPE OF CONST: 5N DWELLING UNITS: TmiRO: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 3,076 sf 320,094:07 REAR: . 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE OISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 4 MECHANICAL FUEL TYPES FURN < 100K: BOILJCMP e OHP: VENT FANS: 5 CLOTHES DRYER: 1 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 3 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS' 5 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 FOR: PUMP /IRRIGATION: PER INSPECTION: EA ADD'L SOOSF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY. 1 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL: 93 1000. amp /volt : O PLAN REVIEW SECTION Reconnect only: > =4 RES UNITS: SVC /FDR> =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL - RESTRICTED ENERGY f A. SF RESIDENTIAL B. COMMERCIAL AUDIO &- STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: . BURGLAR ALARM: OTH: ALL - ENCOMP BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: ,GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: 4 0 HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: This permit is subject to the regulations contained in the Tigard • Owner: Contractor: Municipal Code, State.of OR. Specialty Codes and all other applicable BUENA VISTA CUSTOM HOMES BUENA VISTA HOMES laws. All work will be done in accordance with approved plans. This ' 5665 SW.MEADOWS RD SUITE 150 5665 SW 'MEADOWS RD STE 150 permit will expire if work is not started within 180 days of issuance, or LAKE .O.R 97035 LAKE OSWEGO. OR 97035 if the work is suspended'for more than 180 days 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 952 - 001;0080. You may obtain copies of these rules or direct , •Phone:; 503443_033 Contact #: PRI 503- 443 -6033 questions to OUNC by calling 503.246.6699 or 1.800 332.2344. FAX 503 -443 -2443 Reg #: LIC 152235 TOTAL FEES: .$• 12,770:89 REQUIRED ITEMS AND REPORTS Ersn Critrl 68 -4444 ' Engineered soils.. , f / [sued B' ��. _ - ., Permit S : i Call 503.63': •y 7:00 a.m. for an inspection that busines cry. 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 job site at the time of each inspection. • ,4 �' �' t' . . .. , . . ..... y,r - , ,, • . • ,, CIT OF TIGARD BUILDING DIVISI . ' 13125 SW HALL BOULEVARD . • .:(5.03) 639 -4171 . JOB. ADDRESS 0 l r la OWNER - _ _ „ ,_ - _ - _ V , V n .� . P 1 I iy ' �N c v r , t� ,� ;, .1 CONTRACTOR - fir, - - ,-' PERMIT NUMBER . - If.- .�� "r - '® �', 1. Y • Y ARE 'I.N VIO�LATI N'OF THE FOLLOWING: , .r i H1r', /i ® BY w , _. ,. r " a n.7: �I r , 1C� a U D C 1F • 1.1111 • _ __ - 1 AND H, REBY ►TIFIED THIS D AY OF T 20 AT 'i M, THAT NO MORE WORK SHALL BE DONE -ON THESE PREMISES U IL THE ABOVE VIOLATION HAS BEEN CORRECTED AND '. .VERIFIED BY THE'CITY.. CORRECTIONS SHALL BE MADE WITHIN • ., DAYS OF THE ABOVE, DATE. FAILURE. TO COMPLY WITH THIS NOTICE WILL RESULT IN THE ISSUANCE OFA'CIVIL INFRACTION S''UMMONS. ,,,,. ' t P . t '',' e. - . . ' . ' • ' ' L III " �� 7 _ . , o p . .. :. _Pa NOT REMOVE HIS No I - 'fW :, Ir - -t: , 'r: as .�' �r rC:�t¢y 1 1 - ' B ,k ' , aING INSPECT° . A r 1 7 CITY OF TIGARD BUILDING. DIVISION ''''r A . PERMIT #: MST2007-00194 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: . 6/2612008 Phone: (503) 639-4171 E N I4 Itiii ' Inspection Requests (24 Hrs.): (503) 639-4175 .1.44.4fr''' l--.. • INSPECTION WORKSHEET FOR DATE: 2/1912009 TIME: 7:01AM PAGE: 7 SITE ADDRESS: 12629 SW 100TH TERR CLASS OF WORK: SUBDIVISION: MILESBROOK LOT #: .003 TYPE OF USE: PROJECT NAME: MI LESBROOK DESCRIPTION: New SF OWNER: BUENA VISTA CUSTOM HOMES, PHONE #: 503 CONTRACTOR: LOS PiNOS GENE(3AL CONSTRUCTION PHONE #: 503-871:1-2095 . . Inspection Request Scheduled For: Date: 2/1912009 Pour Tirne: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 0B0643-06 503-7%0219 N Corrections/Comments/Instructions: pi, ell tA i 6 Fwv ifc...- d' , k,sttrAftth.CAL_-4&::....regiikailtaaelortigN:,43.1:-....4.-.... ,--- . IF c.--....- . . . - . , . ' fl PASS 1 PARTIAL APPROVAL fl CANCEL 1] NO ACCESS i(15 GALL FOR INSPECTION / / . i 1 1 ADDITIONAL FEES ASSESSED a / Inspector Aaat.....1.1.—._ - -Niame. Date: I 0 Phone #: (503) 718- ' f • ( ( : ," ' ( %II -_, `, `I.N'•-■.:''''..'N. CITY OF T GA D 0 , BUILDING. DIVISION 'PERMIT #: MMST2007= 00194 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2&2008 Phone: (503) 639 -4171 i�7u rif II i i+ Inspection. Requests (24 Hrs.):, (5Q3)639 =4175 �_ e ` I. INSPECTION WORKSHEET'FOR DATE: 21190009 TIME: 7 :01AM PAGE: 9 SITE ADDRESS: 12629 SW 108TH TERR CLASS OF WORK: SUBDIVISION: MILESBROOK LOT #: 003 TYPE OF USE: PROJECT NAME, MILESBROOK DESCRIPTION : New SE OWNER: BUENA VISTA CUSTOM HOMES, PHONE #: 503 - 443.6033 CONTRACTOR: LOS P!NOS GENERAL CONSTRUCTION PHONE #: 503 - 678-2895 Inspection Request Scheduled For: Date: 2/1912009 Pour Time: Code # Inspection Description Confirm # Contact # Message 689 Mechanical final 080643 -04 503.410 -0219 N Corrections /Comments / I►i - P' RTIAL APPROVAL ❑ CANCEL ; 1 1 NO ACCESS. n FAIL / GALL FOR INSPECTION 1 1 ADDITIONAL FEES, ASSESSED - / /f Inspector — Date: / �� U Phone #: (503) 718- er r f,''Fr 4 ' _ - CITY OF TIGARD B to • UILDING DIVISION PERMIT #: • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/26 / 0C1'1 1 Phone: (503) 639-4171; „ h�ial , � (3 � 8 � Inspection Requests (24 Hrs.) :- (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: T IME: PAGE 1012/200B 7: ot�AM SITE ADDRESS: CLASS' OF WORK: 12629 SW 1013TH TERR 003 SUBDIVISION:. MILESBROOK #: TYPE OF USE: PROJECT NAME: MILESBROOK DESCRIPTION: New SP OWNER: BUENA VISTA CUSTOM FIOMES, PHONE #: 503-443-6033 CONTRACTOR: LOS PINOS GENERAL CONSTRUCTION PHONE #: 503 -67 &2895 Inspection Request Scheduled For: Date: 10/2 Pour Time: . Code # Inspection Description Confirm # Contact # Message PI 242 Interior shear walls 076226 -01 503 - 710 -0219 Y Corrections /Comments /Instructions: A Qer - Cc.v-- 5 c) a, 3 0. • • • 'PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector : 13s Date: aacl c Phone #: (503) 718= Z23 . CITY OF TIGARD • BUILDING DIVISION PERMIT #: pI1FST` }007 -{ f'. .13125 ;SW Hall Blvd., Tigard, OR :97223. DATE ISSUED: 6/26/2 _ 60f3 Phone: 503 639-4171 /a/v ,Inspection Requests (24 Hrs.): (503), 639 - 4175. _ INSPECTION WORKSHEET FOR DATE: TIME: : � PAGE:' ' 10/1/3000 TIME: SITE ADDRESS: 1 2629 SW 108TH TERR CLASS OF'WORK SUBDIVISION: MII ESSROOK LOT " #: 08 TYPE OF USE: PROJECT NAME "MILESBROOK DESCRIPTION: New SF • OWNER: E ;t,IENA VISTA CUSTOM-HOMES, PHONE #: 583- 443 -88 33 CONTRACTOR; LOS PINOS GENERAL CONSTRUCTION PHONE #: 503.678,2895 Inspection Request Scheduled. For. - Date: 10/1/2008 Pour Time: - Code # Inspection Description Confirm # Contact #t" Message .280 Insulation ' 076164-04 503-710-0219 ! Corrections /Comments /Instructions: • • • • `w Coves./ • • SS PARTIAL APPROVAL fl CANCEL. ❑ NO ACCESS FAIL 7 CALL FOR INSPECTION • ❑ ADDITIONAL FEES ASSESSED Inspector: S Date: ICC7I el e -Phone # :.,(503) 718 - /2 . • CITY OF TIG{AR,D • BUILDING DIVISION ' PERMIT #: . MST2n0 7 -0 11 g4 'Phone: (503) 4171 9 /n�i°I v�26i2t1[l 13125 SW Hall Blvd., Tigard OR 97223 0 , DATE ISSUED: Inspection Requests (24 Hrs {503) 639 -4175 •INSPECTION WORKSHEET FOR DATE: TIME: • PAGE 909/2008 - 7:02�AM 6 SITE ADDRESS: 1 X 529 S' 108TH TERR CLASS O,F WORK: SUBDIVISION:' , hr91kESBR {) C?K LOT' #c 0 6 3 TYPE OF USE: PROJECT NAME: MII..ESSROOK DESCRIPTION: N ° E-11+ • OWNER: BUENA,YISTA CUSTOM. HOMES, PHONE # 503 443 O CONTRACTOR: ,LOS PINOS GENERAL CONSTRUCTION PHONE #: 503,678_2 'Inspection Request Scheduled For , Date: , Pour Time: 9n9/20t18 Code # Inspection Descriiptiori Confirm # C #' Message 275 raming- 076060 -02 503. 710 -0219 Y Corrections /Comments /Instructions: . :,-00 060,1.s • :+v J554 _ .4 4 • SS ❑, PARTIAL APPROVAL ❑ CANCEL ❑ NO ACC n FAIL ❑ 'CALL FOR =INSPECTION ❑ ADDITIONAL. FEES ASSESSED • fns ��ector: .5 p 3 _ D 'ate a S,e, v S Phone #: (503) 718= s � j ' � 3. . a - CITY OF i BUILDING DIVISION PERMIT - #: MST200.7 -601i: 13125' SW Hall Blvd. Tigard OR 97223 /muNi DATE 'ISSUED: sl2fl20ti Phone: (503) 639 -4171 �� ii 111111 ' Inspection Requests (24 Hrs.): (503) 639 -4.175 _ INSPECTION`WORKSHEET F.OR . DATE : :; ' 0 TIME.; 7 , A PAGE: - SITE ADDRESS: CLASS OF WORK: 12629 SW •108TH JERK• SUBDIVISION: LOT # TYPE OF USE: MI L.ESBRO'OI� 0143 PROJECT NAME:, 1�11LESBI OOK DESCRIPTION: New SF OWNER: • P HONE # :[).q4 6U3 BUENA V'IST'A C USTO1v1 HOMES, CONTRACTOR LOS PINOS tENERAL CONSTRUCTION HONE # 503- 678 -289;5 Inspection Request; Scheduled` For: Date: 8/29/2008 Pour Time: Code # Inspection Description Confirm # Con #act # Message 615 Mechanical rouch -in 076060 -03 563- 71'0 -0219 .N Corrections /Comments / I nst_ructions S e.e Po t 4 c)4 ,2y,'S o`r ` ve:yt'.1� W '�1 roLaC�;11 e � 4 '� o✓i ® " . t PASS J. PARTIAL APPROVAL ❑ 'CANCEL• ❑ NO; ACCESS �. FAIL° n 'CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector / 3 , Date .2 0 Phone,# - (503) 718 Z`C /-75 CITY BUILDING DIVISION .. PERMIT, #: Nf: T t)tI7 ooi94 13125; SW Hall Blvd Tigard, OR 97223 DATE ISSUED: 6126/2000 Phone: '(503) 639.4171 41 l k Inspection Requests' (24 Hrs.): (503) 639: 4175 INSPECTION WORKSHEET FOR DATE:- TIME PAGE: - �il24l2t)f]l3 I: C10A�1i4 SITE ADDRESS: • . CLASS OF WORK: 1 `1(i ?�J ' 108TH Tf~.Rf� • SUBDIVISION: Mll,l SBRC OK • LOT # 00 TYPE OF USE: ,PROJECT NAME: • S MtLF�BFtOOi< , DESCRIPTION; N W SF OWNER: � .50 44 6033 • Dt.J�NA VISTA C:tJ51'OI� HOMES, PHONE #: CONTRACTOR: LOS °i iNOS.'GEN RA1 CONSTRUCTION PHONE #: 503_67112695 Inspection Request' Scheduled, For: • Date: 912412O08 Pour Time: Code # • Inspection Description Confi rm # Contact # Message .. nA ' • 615 Mechanical rough -in 075856-04 603-710 -0219 Y Corrections /Comments /instructions: ` • tkia.-kee Arjer 4-0 1/4,-reve• el: (-=-b'•- (4.1/ 4tro e Q �AreL ;a .' CC Vi e Q.- i • o : ►-5 *.) 'Z v-e■-■HA PASS • El PARTIAL APPROVAL ❑ CANCEL - U NO '-ACCESS S L 4GAL-L-FOR INSPECTION n ADDITIONAL FEES ASSESSED ' • Inspector' s Date:, a'`/ S-(„7O Phone #: .(503) 718- ,;292'3 • CITY 'OF TIGAR BUILDING DIVISION PERMIT #s h�la7 "A07 q[}`f`�4 13125 SW Hall Blvd., Tigard, OR 97223 DATE ,ISSUED:' '6/26/200$ Phone: (503) 639-4171 Alki Ilg��ii jil , • Requests (24 Hrs.): (503) 639 -4175- • INSPECTION;WORKSHEET,FOR DATE: TIME PAGE 0/24/200$ 7: Q t APV4 10 • SITE ADDRESS' • CLASS OF WORK: SUBDIVISION: 12629 SW 108TH.TE<l R MILIESBROOK LOT!: .008 TYPE OF USE: PROJECT NAME: h.1il_ESBRC.it7K DESCRIPTION; New SF „ • OWNER:• LOS VISTA CUSTOM C 3443 -6033 Lt 4 ONSTRUCTION` HOMES, PHONE #: 50367t3 -26 %�a BUENA U�NA vr�:a A...u,� COCONTRACTOR:, PHONE # 60 ` • • Inspection Request Scheduled For: Date Pour Time: Code # Inspection Description • Confirm # Contact # Message . 610 Gas line • 075866 --03 5 503- 710.0219 i • Corrections /Comments/Instructions: • • • • • nC I • PASS 1 PARTIAL APPROVAL n. CANCEL. I I NO ACCESS; .❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: - - • Date: Phone #: (503) 718 - " '� 3 • CITY OF TI , 40 BUILDING DIVISION PERMIT #: 13125.S,W Hall BIVd. Tigard OR 97223 DATE ISSUED: f�J2�J � Phone: (503) 639- 4171irugjml1p�l Inspection; Requests (24 His.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9 8 TIME: 7:00 AM. PAGE: 12 SITE ADDRESS: CLASS OF WORK: 12629 SW 108TH TE RR SUBDIVISION: , LOT: # TYPE OF USE: P:ROilECT' MILESBROOK 00 MILESBROOK DESCRIPTION: Nevi iF - OWNER: PHONE #: 503-443 BUENA VISTA CUSTOM HOMES, CONTRACTOR:;, . LOS f?INO�S GEI�lERAL CONSTRUCTION :. PHONE #: 503-678.2895 • Inspection Request Scheduled For: Date: Pour Time 904(2008 Code # Inspection Description Confirm # Contact # Message 275 Frazzling - 075866-01 503 = 710.0219 N Corrections /Comments/ Instructions: Ti ci.CA. c.v‘_ S'r • • • • • • • • • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL • n NO ACCESS ALL FOR INSPECTION ❑ : ADDITIONAL FEES ASSESSED • S Date: /cSr 6 Phone #: (503) 718- 2 4 /2 3 •Inspector: � / � � ) CITY OFTIGARD 40 . B 410 UILDING DIVISION ` PERMIT #: rdiST2007- 00194 13125 SW Hall Blvd., Tigard, OR .97223 DATE ISSUED: 6/2612001 Phone: (503) 639- 4171 ' ir " Inspection Requests (24 Hrs.): (503) 639 -4175 :_..•.: INSPECTION WORKSHEET FOR DATE: 8/8/2008 TIME: 7 :03AM PAGE: 26 SITE ADDRESS: 12629 SW 108TH TERR CLASS OF WORK: . SUBDIVISION: MILESBROOK LOT #: 003 TYPE OF USE: PROJECT NAME: MILESBROOK DESCRIPTION: New sF . OWNER:- PHONE #: 503 BUENA VISTA CUSTOIti!i``HOMES, CONTRACTOR; BUENA VISTA HOMES PHONE #: 503~.443 -8033 Inspection Request Scheduled For: ' . Date: 8/6/2008 Pour Time: Code # Inspection Description' Confirm # Contact # Message 235 `2 Shea! Wallslanchors 073803-01 503-710-0219 N Corrections/ Comments/Instructions: See Z eol ce44 C) 9 - 5 - CJ$' Cl`3 -3) k Re) c)041 "-5 Ac)) , 3 e c2c ;A ,-..s re C4', 7 17.x, .-i- 2 i i&c..:` -• „r- k--.5 D • - /Lic C) gc4\jteif 5 a1- • A.Jc 1 .12— % ' R e-1^C) %. ,,,- 5 r e- C_;` ' Ti"- _Sr (-44017 ee_ff4-4 o 1-Q___ c.\-0 5. J.< . . . n PASS- ARTIAL APPROVAL ❑ CANCEL . . ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED /�I Inspector: < S5 Date: at 00 Phone #: (503) 718. 242 3 • CITY OF TIGARD 0 0 . . BUILDING' DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/f:Z(10i3 ' �' Phone: (503) 639-4171 u � d N� , �i�klt ° l I Inspection Regyests (24 Hrs.): (503) 639 -4175:.' INSPECTION WORKSHEET FOR DATE`: 8/5/2008 TIME: 7 :onAM PAGE: 49 SITE ADDRESS: CLASS OF WORK: SUBDIVISION. 1?G2S R{ 108TH TH FZFt LOT #: TYPE OF USE: MIL ..� OOK 00 PROJECT NAME. MILESBROOK DESCRIPTION: New CF OWNER: - PHONE # 5 -6- BUENA VISTA CUSTt�I+�'FIt7MES 033 CONTRACTOR: BUENA VISTA HOMES PHONE #: 503 - 443-6033 Inspection Request. Scheduled For Date: Efl51 f108 Pour Time: Code # Inspection Description . Confirm # Contact# Message 235 Shear w allslanchors 073656-01 503.710 -0219 N Corrections/Cot-Tither-its/Instructions: � � - 1 Fe v\ . \ C V . ks -- \ \ €\'\ �'� few \\«'r s 4- ) k) a0 0 1 3\e- a i 0 °) ell': OCUN_S ' ' , it II II ` 1 * e 4 . Ct t a ni u, IA w-a- 1 I , 6/ l ,„ O. b „A., v= :..r- w ....-4. n PASS ❑ PARTIAL APPROVAL ❑ `CANCEL I NO ACCESS AI ALL FOR INSPECTION I I ADDITIONAL ,FEES ASSESSED Inspector: Date: 6.4.., d6 Phone #: (503) 718- � ! p l , ) , . 1 - 'CITY OFTIGARD BUILDING DIVISION PERMIT #: MS12007- 001 1 - 13.125 SW Hall BIvd., Tigard, OR 97223 DATE ISSUED: 6/761200L3 Phone: " (503) 639-4171 Inspection Requests (24 Hrs.): , (503) 639 -41.75 FAIL . J., INSPECTION WORKSHEET FOR DATE:, 7/17/2008' TIME 7 :00Alvi PAGE`, 64 SITE-ADDRESS: 12629 SW 109TH TERR CLASS OF WORK: - SUBDIVISION: MILESSROOK LOT #: 003 TYPE. OF USE: , PROJECT NAME: IMMILESBROOK DESCRIPTION: New SF OWNER: BUENA VISTA CUSTOM" HOMES, PHONE . # ' :' 503- 443 -6033, CONTRACTOR: BUENA VISTA HOMES , ,PHONE #: 503 - 443.6033 Inspection Request :Scheduled For: Date:, 7//712008 Pour Time: Code # •Inspection Description Confirm #' Contact #' Message 60' , . Post/beam mechanical 077739 -01 503410 -7360 N . Corrections /Comments /Instructions • • • • - PASS ' ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 1 FAIL 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector :.'. 5. Date: f , I 00 ' Phone #: (503) 718 2t/ 23 CITY OF TIGARD 40 , BUILDING DIVISION PERMIT #: MST2007 -00194 1 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/26/2008 Phone: (503) 639- 4171, i�11,41ii Inspection Requests (24 Hrs.): (503)' 639 -4175 . INSPECTION WORKSHEET FOR DATE: 7/17/2008 TIME, 7 00AM PAGE: 63. SITE ADDRESS: 12629 SW 108TH TERR CLASS OF WORK: 8UBDIVISION MIL.ESBROQK LOT #; -. 003 • TYPE OF USE: PROJECT NAME: IVifLESBROOK DESCRIPTION: New SF OWNER: BUENA VISTA CUSTOM HOMES,' PHONE # : 50 M3 -6033 CONTRACTOR: BUENA VISTA HOMES. • PHONE #:, 603-A43-6033' Inspection Request Scheduled For: Date: 1/1V/008 .. Pour Time: Code # Inspection Description Confirm # Contact.# Message 226 . Post/b :arn, structural 072739 -02 503- 710~7360 N Corrections /Comments /Instructions , VC Ci e PASS n PARTIAL APPROVAL ❑ CANCEL • ❑ 'NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector; 3. S Date: a 3 , 0 Phone #: (503) 718- 3-Y21 CITY OFTIGARD BUILDING DIVISION - PERMIT #.: MST2007-00194 13125 SW Hall' Blvd., Tigard, OR 97223 DATE `ISSUED: 612612008 Phone: (503) 639- 4171 u Nd NN"�'� Inspection Requests (24 Hrs.): (503) 639:4175 � INSPECTION' WORKSHEET FOR DATE: 7/9/2008 TIME:, 7 : OO A ! PAGE: 32 SITE ADDRESS: 12629 `;W 1Ok EH'TERR CLASS OF WORK: SUBDIVISION: l+ IILE5BROOK LOT # 003 TYPE OF USE: PROJECT NAME: MILESBROOK - DESCRIPTION Neva SF • OWNER: BUENA VISTA CUSTOM HOMES, • PHONE #: - 0:443.6033 CONTRACTOR: BUENA VISTA HOMES PHONE #: 503.443 - . 6033 Inspection Request Scheduled For: Date: 7/9120OG Pour Time: 1:00 Code # . Inspection Description Confirm # Contact # Message 210 Foundation walIs 072358 -02 503- 71.0 -7360 N Corrections/Comments/Instructions: hi - -;-o( GG-A/2 s> ze 'sP,oc: ; 5 _ /a S 314440.--4./ • t , 1 PASS • PARTIAL APPROVAL CANCEL 0 n NO ACCESS n, FAIL CALL FOR INSPECTION 0 ADDITIONAL, FEES ASSESSED Inspector:: Date: 7 — 6 Phone #: (503) 718- ! 4-S6lsi CITY. OF T;I BUILDING DIVISION - PERMIT #: MS12007 -OO194 13125' SW Hall Blvd., Tigard, OR ,9 DATE ,ISSUED 6/261200f1 PFione :'(503) 639-4171 400 /811 Inspection Requests (24 Hrs.): (503) 639 -4175 _., - INSPECTION WORKSHEET FOR DATE :' . 7/9/2008 TIME:- 7 :00AM PAGE: 33 SITE ADDRESS: 12629 SW 108TH TFRR 2 CLASS OF WORK SUBDIVISION: MILESBROOK LOT #: 003 TYPE OF USE: PROJECT' NAME: MILESBROOK DESCRIPTION: New SF OWNER;• BUENA . VISTA CUSTOM HOMES, PHONE #: 503.443 -6033' CONTRACTOR; BUENA HOMES PHONE #: 603 = 443.6033 Inspection Request Scheduled For: Date: 7/9/2008 Pour Time:, 1:00 Code # Inspection Description Confirm #. Contact #' Mess 206 Footing 07235801 503 - 710-7360 N Corrections/Comments/Instructions: [� -- 1, • • • 'PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ 'NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Ins ector: Date: 7— �r�i Inspector: � � Phone #: (503) 718- >� �- Jul. 3. 2008 3:57PM I IP i N o. 5947 P. 1 '\ s -• . P Eegiiiocling`inEff Real- World Geotechnical' Investigation • Design • Construction Support July 3, 2008 Project No. 08 -1389 Buena Vista Custom Homes 5665 SW Meadows Rd. #150 Lake Oswego, OR 97034 Fax 503-443 -2443 FOUNDATION EXCAVATION REVIEW LOT 3 — MILESBROOK CITY OF TIGARD, OREGON On July 2, 2008, GeoPacific Engineer, Jim lmbrie, visited the above- mentioned Lot 3 to review foundation excavation subgrade bearing conditions. No formwork was yet in place. We understand that the proposed residence is a two -story single - family home with slab -on -grade garage floor. The excavation probed medium stiff for two feet depth and stiff below. The subgrade soil consisted of native silt where exposed. The observed subgrade was adequate for spread foundation support to a maximum allowable bearing pressure of 1,500 psf;. Settlements should be limited to Tess than 1 inch total and 3/ inch differential. If desired, expected settlements can be limited further by assuming a 1,000 psf allowable bearing pressure and making the footings about 2 feet wide. Deck footing, patio, or other appurtenant structure subgrades were not observed, with the exception of the front right corner of the home, where a thin layer of fill over an old grass layer exists in places. If footings are to bear on the areas with organics, the subgrade should be deepened slightly to get below the organics.. Our work scope pertains to a geotechnical engineer's foundation excavation review only and the conditions existing and exposed at the time of our site visit. No warranty is herein expressed or implied. If you have any questions, please call. Sincerely, GeoPacifi ineering, Inc. �� pR OF s 4 14' i V f OREGON ✓ /23 ede, t 5'f. fN EXPIRES: 06130120 46 J D. Imbrie, P.E. Geotechnical Engineer . • 7312`'SW Durham Road Tel (503) 598 -8445 Po Oregon 9 9224 Fax (503) 598 -8705 • of ��Pad MASTER PERMIT COMMUN ,DEVELOPMENT PERMIT #: M2 6/200 -00194 • „, yl DAT ISSUED: 6/26/2008 • T;•IGAR 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S103AD - 07200 SITE ADDRESS: 12629 SW 108TH TERR ZONING: R -4.5 SUBDIVISION: MILESBROOK LOT: 003 JURISDICTION: TIG PROJECT: MILESBROOK Project Description: New SF BUILDING REISSUE: BVH3070 - STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: 1,387 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR. LOAD: SECOND: 1,689 sf GARAGE: 669 sf FRONT: 20 PARKING SPACES : TYPE OF CONST: 5N DWELLING UNITS: THIRD: sf RIGHT: 5 VALUE: OCCUPANCY GRP: R3 BDRM: BATH: TOTAL: 3,076 sf 320,094.07 REAR: - 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: 4 MECHANICAL FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 NAT FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 3 MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 5 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: 6 201 - 400 amp: 201 • 400 amp: 1st W/O SVC /FDR: SIGN /OUT LIN LT: PER HOUR: 0 LIMITED ENERGY: 1 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: Q ) A MANU HM /SVC /FDR: 601 - 1000 amp: • 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : O PLAN REVIEW SECTION C3 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: ALL - ENCOMP BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER; CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 4 SYSTEMS; This permit is subject to the regulations contained in the Tigard Owner: Contractor: Municipal Code, State of OR. Specialty Codes and all other applicable BUENA VISTA CUSTOM HOMES BUENA VISTA laws. All work will be done in accordance with approved plans. This 5665 SW MEADOWS RD SUITE 150 5665 SW MEADOWS RD STE 150 permit will expire 9 work is not started within 180 days of issuance, or LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 if the work is suspended for more than '180 days. ATTENTION: .Oregon law requires you to follow rules adoptedby -the Oregon.Utility Notification Center. Those rules are set forth in OAR 952 -0010 through 952- 001 -0080. You may obtain copies of these :rules or direct Phone: 503- 443 -6033 Contact #: PRI 503 -443 -6033 questions to OUNC by calling 503.246.6699 or 1.800.332.2344. FAX 503- 443 -2443 Reg #: LIC 152235 TOTAL FEES: $ 12,770.89 REQUIRED ITEMS AND REPORTS Ersn Cntrl 681 -4444 • . Engineered soils . / Issued B . 1L % �, ' s„!_ Permittee Signature : ' b Call 503.63`.• " -- •y 7:00 a.m. for an inspection that busines d y. 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 job site at the time of each inspection. CITY OF TLGAR® BUILDING DIVISI _ Vq PERM #: S W M ,aT�OE�t - � 131 SW Hall Blvd., Tigard, OR 9,7223 DATE IS - 6/26120013 Phone: (503) 639 41,71 1 :11��iiNl " � Inspection Requests (24 Hrs.): (503) 639 - 4175' ' ��..r ' INSPECTION WORKSHEET FOR 'DATE: 3125/2009 TIME: 7 :00Am . • PAGE: 2 SITE ADDRESS: 12879 SW foam! TERR : CLASS OF WORK: SUBDIVISION: MILESBROOK LOT #: 003 TYPE OF USE: . PROJECT NAME MILESBROOK DESCRIPTION: Ne4,it SF OWNER: BUENA VISTA CUSTOM HOMES, PHONE #: 503-443-6033 CONTR■CTOR :, LDS PINOS GENERAL. CONSTRUCTION PHONE #: 503-678-2895 Inspection Request Scheduled For: Date: 2/25/2009 Pour Tirne:, Code # Inspection Description Confirm #' Contact :# Mes g 399 Plumbing final 080843-04 503.710 -0219 Corrections /Comments /Instructions: (‘_,t ILA ' Aldj-e_ --, •455 ' :'.r- ‘/ ) . 19 44 ; ' ) ( ). EV , ' 4 , I - , - - = 4 , 1 = , , ra . � ,.. O . . 1� -2— ®/211 �� /1�®1lf��- A ®®��i®�::e ®a�wa ,, 1 r a 4 07 0 A ...., — AL --- . -_:' AA 1 •- . . - ....,- / r _ ..e ,a It f P t leiket 14 1 • ' \ I S ' Kileii 4/4* - A t/6 19/411--e< €(_,K `7 />-e • . - ` 1 �1�' 4 lJll` ,. ...„, , fff11Y C A' PAS' PARTIAL APPROVAL n CANCEL �,,- 0 . ❑ NO ACCESS 74 FAIL ' ALL F IN SPECTION 0 ADDITIONAL REES ASSESSED \Z - 4) • Inspector: Date: Phone #; (503) 718- • - . CITY OF TI BUILDING DIVISION , w Og / - 4 10 PERMIT #: tviS'OC)'1 001 13125 SW Hall Blvd., Tigard, OR 97223 - DA E ISSUED: 6/ 08 Phone: (503) '639- 4.171. iN @t° � Inspection Requests (24 Hrs.) (503) 639-4175 :- -__,. . 0 '® 11/ t INSPECTION WORKSHEET FOR DATE: /1912009 TIME: 7 :01AM PAGE: • 8 SITE ADDRESS: 12529 SW 108TH`TERP CLASS OF WORK: SUBDIVISION: MILES{3ROOK, LOT #: 003 TYPE OF USE: PROJECT NAME: ill LESBROOK DESCRIPTION: New SF ` - S PHONE #: 603- 443.6C)33 OWNER: �iUEf'�A VISTA t�IJ��TCI�;t-tOhf�FS, CONTRACTOR: LOS:PINOS GENERAL CONSTRUCTION PHONE #: 503-678.2895 Inspection Request Scheduled For: , Date: 2/19/2009 - Pour Time: Code # Inspection Description Confirm # Contact #- Message 399 Plumbing final OB0643-05 503.710-0219 N Corrections/Comme /Instructi'ons I k ` S ' , v ?o ff ' 0 VIA6t s sue 2 oik®_ 9-= S c_C- :o ICs: . ' . ' "V 0 0 • ■sf 1 ii. . ■d.." \ -2.-- ° ° n :PASS, I 1 PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS Cy FA' ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ��J . Inspector: Cs , � •Date: �/ /6q �/� Phone #: (503) 718- �).-)L 'CITY OF TIGARD . CI 0 BUILDING DIVISION PERMIT: #: I4i .3T2007-00194 3 13125 SW-Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6126/200 Phone:, (503) 639 -4171 48 4 � 1I'. Inspection Requests (-24 Hrs.): (503).639 -4175 �-"'� _I_.. INSPECTION WORKSHEET FOR DATE: 1/2712009 . ' TIME: 7 :,+ OA i PAGE: 9 • SITE ADDRESS: 12629 SW 108 11-1 TERR CLASS OF WORK: SUBDIVISION: Mlt:ESBROOK LOT #: 0103 TYPE OF USE: PROJECT NAME: MLESBROOK DESCRIPTION : Ne SF , - OWNER: BUENA VISTA CUSTOM HOMES, PHONE #: 503 - 443 -6033 CONTRACTOR :, LOS PINOS•UENERAL CONSTRUCTION. ' PHONE #: 50336713 -2695 Inspection Request Scheduled For: Date: • 1/27/2009 Pour Time: Code # Inspection Description ' Confirm # Contact # Message 399 . final 0000 19-01 603 - 710=0219 0 „....-- Corrections /Comments /Instructions: , Gt ` - NU Lvrn(3 ; Q sic R.,6 . . _.. . 1 _______---- . . . . . _ _ „ _ ,, ,_ . • , . - • . . , . I I PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS f ■ / FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C5 1 " ` s a Date k - 71 4 t . Phone #: (503) 718 - ligL_ er CITY OF TIGARD BUILDING DIVISION `: PERMIT # MST2007 =00 94 1:3125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 26I000 Phone: (503) 6394171 ,68 / 1 11,11t Inspection Requests (24 Hrs.):,(503) 639- 4175.._ • INSPECTION WORKSHEET FOR DATE: TIME: PAGE . 8/812008 . 70�1Atvi 11 SITE ADDRESS: CLASS,OFWORK`: 12629 SW 108TH TERR SUBDIVISION: LOT #:, TYPE OF USE: PROJECT NAME: hfili_ESBf2t�OK 003 DESCRIPTION: h4IlIwSE31(.)f3IC • New SF • OWNER: PHONE #: B03-443-6033 CONTRACTOR: BUENA'VISTA CUSTOM HOMES, PHONE #: r a BUENA VISTA HOMES 03-44376033 Inspection Request' Scheduled For: Date: 8/8/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 320. - Plumbing rough in 073968 702 503-710-0219 Y Corrections /Comments / Instructions: • • r. • • PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS' n FAIL • CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ; \` \' Date: )7' I Dom. Phone #: (503) 718- • CITY OF TIGARD • . 0 BUILDING DIVISION' PERMIT' #: MS 13125 SW Hall Blvd., Tigard, OR 97223 iirraNyN!�IIII �II l DATE ISSUED: ' 6/26 Phone: (503) 639-4171' Inspection Requests (24 Hrs.):' (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/15/2008 • TIME: 7 :00AM PAGE: SITE ADDRESS :, 12t 29 SW 108TH TERR CLASS OF WORK: SUBDIVISION: MILESBROOK LOT #: 003 TYPE OF USE: PROJECT NAME: MILESBROOK • . DESCRIPTION: Kew SF OWNER: BUENA VISTA •CU 7TOM HOMES, PHONE 503 -443 -6033 CONTRACTOR: F311ENA VISTA HOMES • PHONE'*: 503- 443 -0033 Inspection:Request Scheduled For. Date: 7/1512008 Pour Time: Code. # Inspection Description, Confirm # Contact # Message. 315 Post/beam plumbing 072660 503 - 710 -7360 N Corrections /ComMents /Inst ructions: • • • • • • • • • • • • • • • • iii _ M _ • • 54,PAs. ❑ ,PARTIAL APPROVAL ❑ CANCEL ❑ NO ,ACCESS • 1 FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED • Inpectoc.:d h3 J t• , Date: 7 i c I Phone # , (503) 718- • • CITY OF TIGARD • BUILDING DIVISION PERMIT # MST2007-00194 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 61261.2000 Phone: . (503) 639 -4171 �n, a41n�ofll. Inspection Requests (24 Hrs.): (503) ,__,: • INSPECTION WORKSHEET FOR DATE: 7/14/2008 TIME ; 7 :00AM PAGE: 12 SITE ADDRESS:. 12629 SAN 108TH TERR CLASS OF WORK: SUBDIVISION: MILEaBROOK LOT #: 003 1. TYPE • OF USE:: PROJECT NAME MILESBROOI< DESCRIPTION :. New SF' OWNER: BUENA VISTA CUSTOM HOMES, 4 , PHONE #: 503"443.6033 CONTRACTOR: BUENA VISTA HOMES - . PHONE # fiO3 -443 -6033 Inspection Request Scheduled For: Date: 7/14/2008 PourTime: Code # Inspection Description . Confirm # Contact # Message 335 Rain drain - 072594 -07' . 503-71G .N Corrections/Comments/Instructions: • • • `PASS' ❑ PARTIAL,APPROVAL • ❑ CANCEL _ NO ACCESS FAIL ❑ ' CALL FOR INSPECTION ADDITIONAL FEES ASSESSED • Inspector: C?-d n hf - Date: / / q/ Phone #: (503) 718- • CITY OF TIGAR,D Bu ILDIIV G DIVISION PERMIT #: P'�.ST2007-00 94, , - IVISI® 13125 SW Hall Blvd., .OR ;97223 DATE ISSUED: 6/2612008 Phone: (503) 639 -4:171 �u�rpl Inspection Requests (24 Hrs.): (503) 639 - 4'175±+ INSPECTION WORKSHEET FOR DATE: 7/14/2008 TIME: 7 :00AM, PAGE: 13 SITE.ADDRESS: 12629 SW 108TH TERR CLASS OF WORK. SUBDIVISION: MILESBROOK- LOT #: 003 TYPE OF USE: PROJECT NAME: MILESBROOK DESCRIPTION: New SF OWNER: BUENA VISTA CUSTOM HOMES, PHONE #: 503-- 443 -6033 CONTRACTOR: BUENA VISTA HOMES PHONE #: 503 Inspection - Request Scheduled For: • Date: 7/14/2008 Pour Time: Code # . Inspection Description Confirm ,# Contact - #• Message • 340 Storm drain 072584 -06 503-710 -7360 N Corrections /Comments /.instructions: - • • • • • • o PASS ❑ PARTIAL .APPROVAL 0 CANCEL n NO ACCESS 0 FAIL .1 1 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED • Inspector Date: - ! o't-I / Off: Phone #: (503) 718 - . CITY F TIGARD • ILDI PE RMIT # : ST2 07• -0 `t U NG DIVISION M • r 4 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2612008 Inspection Requests (24 Hrs.):'(503) 639 - 4175, Phone: (503 639- 4.171 irrdi�m , INSPECTION WORKSHEET FOR DATE: 7/1412008 TIME: 7 :00AM PAGE: 14 SITE ADDRESS: 12629 SCI 108TH TERR CLASS OF WORK: SUBDIVISION: _ MILES BROOK LOT #: 003 TYPE OF' USE: • PROJECT NAME: MILESBROOh'. DESCRIPTION: ' New SF • OWNER: BUENA VISTA CUSTOM' HOMES, PHONE, #: 503-443-6033 CONTRACTOR:_ BUENA VISTA HOMES PHONE #: 603. 443=6033 • Inspection,,. Request :Scheduled For: Date: 7//412008 Pour Time: Code .# , Inspection Description Confirm #` Contact, # Message 606 Sanitary sei' 'er 072684 -055 503- 71Q-7360 , N Correctiors /•Commen"ts /Instructions: • • • • PASS PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION ADDITIONAL FEESASSESSED Inspector: s i ��% Date - 2) 1(--4 Phone #: (503) 718- • CITY OF TIGARD 0 BUILDING . DIVISION PERMIT '# t�ST 007 -001 13125 SW Hall Blvd., Tigard, OR 97223 ; ,PATE - ISSUED: 6/2&2008 /Ni� ` Phone: (503) 639 -4171 Nl m Ul °�16 . Inspection Requests (24- Hrs.): (503)'639- 41.75' . INSPECTION WORKSHEET FOR DATE: 7/14 /2008, TIME: 7:00AM PAGE: 11 SITE ADDRESS: .12629 SW 108TH TERR CLASS OF WORK: 'SUBDIVISION: MILESBROOK LOT # 003, TYPE OF USE: • PROJECT NAME: MIL.ESBROOK DESCRIPTION: New SF OWNER:. BUENA VISTA CUSTOM HOMES, . PHONE #: 503-443 -6033 • ' CONTRACTOR: BUENA VISTA HOMES PHONE #: 503443 -6033 Inspection Request Scheduled For: • • Date: 7/14/2000 Pour Time: • Code # Inspection Description Confirm # Contact #- ,Message" 330 • Water service 072584 -00 603-710-7360 N Corrections /Comments /Instructions: • • • • • KPASS n ,PARTIAL, APPROVAL 111 CANCEL NO ACCESS FAIL . U CALL FOR INSPECTION. n ADDITIONAL' FEES •ASSESSED' 0 Inspector: sfV\I , _ Date / ft./ 1 d. co Phone #: (503)71:8