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Permit I MASTER PERMIT CITY OF T I G A R® PERMIT #: MST2004 -00055 i l DEVELOPMENT SERVICES DATE ISSUED: 4/1/04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15915 SW AVON PL PARCEL: 2S112CC -18700 SUBDIVISION: DURHAM OAKS ZONING: R -12 BLOCK: LOT: 023 JURISDICTION: TIG REMARKS: New SF Detached BUILDING REISSUE: BVH1605 -1 STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 616 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 989 sf GARAGE: 307 sf FRONT: 15 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 THIRD: sf RIGHT: 5 VALUE: 156,293.30 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 1,605 sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: 1 BOIL /CMP < 3HP: VENT FANS: 4 CLOTHES DRYER: 1 GAS FURN > =100K: UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: 0 GAS OUTLETS: 4 . 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: EAADD'L 500SF: 2 201 - 400 amp: 201 - 400 amp: 1st W/O SVC/F DR: SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EAADDL 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 & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 7,228.18 BUENA VISTA HOMES BUENA VISTA HOMES This permit is subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and 6932 SW MACADAM #C 6932 SW MACADAM HOMES all other applicable laws. All work will be done in PORTLAND, OR 97219 PORTLAND, OR 97219 accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Phone: 503 443 - 6033 Phone: 503 - 443 - 6033 Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You Reg #: LIC 152235 may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987. REQUIRED INSPECTIONS Ersn Cntrl 681 -4444 Post/Beam Mechanical Plumb Top Out Exterior Sheathing Insf Rain drain Insp Electrical Final Sewer Inspection Underfloor insulation Electrical Service Low Voltage Storm drain lnsp Mechanical Final Footing lnsp Crawl Drain /Backwater Electrical Rough In Gas Line lnsp Water Line Insp Plumb Final Foundation Insp PLM /Underfloor Framing lnsp Gas Fireplace Water Service Insp Building Final Post/Beam Structural Mechanical lnsp Shear Wall lnsp Insulation Insp Appr /Sdwlk Insp / / / Issued By : I ` ` i P ermittee • Signature : � 11111rAii f ` ., Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the ne , f' busi . ess d • 13 At • FOR'OFFICE USE: ONLY Iui1 • ; Permit A lication Received 2,,e, ,e, Be y Building „ Date/By: 70 Date/By: C. Permit N. o. `7 0 (' ©O Pc City of T �E,VE Planning Approval Other Sv�1ZZ00y .60 s( y Date/By: Permit No.: 13125 SW Hall Blvd. 6 2004- Plan Review Other ' Tigard, Oregon 9f. DateBy:/''\gV .3-,7 0 (.l Permit No.: Phone: 503 -639 -4171 Fax: 5503_598 -1960 / 1 1*. 1li'� Date/By 1ew ,� / / / d / Case No Internet: www.c .. � 1►v c -- 1 N Contact . J u El See Page 2 for 24 -hour Inspectiejkaplt�StQ 3 -639 -4175 Name/Method: l J• N. / ( �,r y � ,.�j;4(), � � Supplemental Information ...TYPE OF WORK. ... ' • ' '. • ' :REQUIRED DATA: : : : .; :.',: '' ''' . .J New construction ❑ Demolition 1 & ILY 2 FAM DWELLIN G • -:.:: _ ' • ❑ Addition/alteration/replacement ❑ Other: CATEGORY OF CONSTRUCTION . Note: Permit fees* are based on the total value of the work performed. Indicate 0 1 & 2- Family dwelling ❑ Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building ❑ Multi- Family ❑ Master Builder ❑ Other: Valuation S . JOB SITE INFORMATION and LOCATION No. of bedrooms: 3 No. of baths:] • Cj 91 S S - ,/,I,� P Total number of floors Job site address: I S ,� fnve New dwelling area (sq. ft.) I Suite #: I Bldg./Apt.#: Garage /carport area (sq. ft.) . Project Name: n 5X y\ V& \< Covered porch area (sq. ft.) 2-4 SE Cross street/Directions to job site: Deck area (sq. ft.) H Other structure area (sq. ft.) "D\4\11 C1 \.1 �1�'�I -4 SW Dm( h& Inc , :REQUIRED DATA : - = :. Subdivision: 1�i l' n .m OC& Ks I Lot #: 7,� COhi11IERCIAI =USE CHECKLIST >: Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate - DESCRIPTION OF WORK the value (rounded to the nearest dollar) of all equipment, materials, labor, P Pi■1 /t D l 4 ( �]�` ^ � � ^ < . n � + � overhead and profit for the work indicated on this application. Im 1\ mac t� � d 1 T J1 V i 1 us . Valuation $ 1 I {? � — Existing building area (sq. ft.) New building area (sq. ft.) Number of stories } PROPERTY OWNER - 1 ❑ TENANT • .. - . Type of construction Name: V3,AfiVik \I 1S a dames Occupancy group(s): Existing: Address: 1 7� SAA lvl CO (Ur() New: City /St t o /Zi : P7� i n iz - Llci Phone: 5 � 4i_i_ to Fax: --)t)) L}L} j 43 NOTICE: sew t A lt contractors and subcontractors are re to be APPLICA licend ih the Ore Cons Contractors Board under ❑ CON TACT PERSON provisions of ORS 701 and may be required to be licensed in the Business Name: \j(', 4 jurisdiction where work is being performed. If the applicant is exempt Contact Name: M, v n Al \\i PAS from licensing, the following reason applies: Address: c-,af/lE' a s lub ave , City /State /Zip: Phone: Fax: . .,. . E-mail: BU>tLLD G PER F = al m k/ v1 �� �� , 1 I�m� �,�.�L ._.Ple s ief - e ule:'. ... . . .. CONTRACTOR - ` • - Business Name: r P.061 V 05 I Fees due upon application S Address: .' ,. ■ ,./ A /. P. ., if '�-L Cit /State /Zi.: I MIEW VA / / Amount received S Phone: if. I. IP , 3 Date received: CCB Lic. #: ,- _ / if Authorized IGN P� Notice: This permit application expires if a permit is not obtained within Signature: •`" Date: Zl(� ( � �,�j� 180 days after it has been accepted as complete. /r n 4 - / 466 ( � J /► .Fee methodology set by Tri- County Building Industry Service Board. (Please print name) is \Dsts\Permit Forms \B1dgPermitApp.doc 01/03 01/20/2004 16:22 5032537693 tin SUN GLOW INC PAGE 02 i. Mechanical Permitteplication Received Mechanical E /"'�'�i 111th By. Permit Na.: r6r -OGb S 5 �JF Planning Approval Building City O TAC DateJB�, Perlsmit 13125 SW Hall Blvd. cc? 6 1.0 Pin Reviaw Other Tigard, Oregon 97223 II- Dare/Br permit No Phone: 503 439 - 4171 Fax; S 0p ®60 P6lt " e'"' Use pate/By: Cabe No.: Liar :Suet: www.ei,tigarde O VISION . f =� J! Contact Saris.: El see Page 2 far 24 - hour Inspection J Q;.� ' 4175 , Name/Method: Supplemental tarormatlon. .. OF.WO]KC_ :: ; ' . . • . . coMlaERGIAGFE.V, Q:11X 1SECSERCUST. ' :•• 0 New construction • Demolition Meciasulical permit fees' are based on the total value of the work IN Addition/alteration/re i lacerncnt • Other: pe:rfbrmed. Indicate the value (rounded to the nearest dollar) of all <'; mechanical materials, equipment, labor, overhead and profit. ' a • • :CONSTRUCTION V alue; S Se Page 2 for Fee Schedule ►�^+'. 1 & 2-Tamil dwellizl_ f o CommerciaUlrtdustriaa ��� ;��, . lil Ancesse Building 11111 Multi -Fanul i. ;on • F. et. Teens I! Master Builder' • Other; ,seat i Coor;g JORSITE KFOR1 ATION•and•L a' ..TiON '' Furnace - addon air conditioning** 14.00 Job site address: S 1 S S.' '' ga/fle Gas heat ' ' 14,00 Suite #: Bl gfA..t. #: Ductwork 14.00 Pro'ect Name: .J I fs / / . ( s Hydntrac hot water system 14.00 Residential boiler CroSS Street/Directions to job site: (tbr radiator or hydtonic system) 14.00 / 1 V vl [.trait heaters (fuel, not electric) D 2��4/ �l '1?( � 1 O ` (in wall, in -duct, suspended, etc.) 14.00 Flue/vent (for any of above) 10.00 't units 12.15 Subdivisiast_ 'P I I ..I A WM Lot #: otueirynd Ap • tutoaes Tax ma. /.: el #: Water heater 10.00 r t • i• a O ,, e • r��r,,�� t Gas fireplace 10.00 elf -4 _i � , /I I g/III� � Flue vent (wow acne /gas fireplace) 10.00 M E A - / � /l� Wood/Pellet stove , / / � Lo - li : per • as 10.00 1111111r //Mar fellet epla en 10.40 Cltiritne Ainerlfltu /vent 10.00 MINI c$�'Ta)::�i �tsY•L�i :�'' ,., Other: 10.00 - .I /�� Sr IE i Environmental Exhausttc Ventilation Name: w R ange- hood /other kitchen equipment ' 10.00 Address: ►, /ice] /• _ I. /. 1 � ►' . Clothes dryer exhaust 10.00 • 017A �_.W��SI Single duct exhaust Phone :�i'a,� MZMl.1� ..rli. (bathrooms„ toilet camparonents, ill APPLIC NT N :C is :CONTACT PERSON utili rooms 6.80 V /� I Name: [ST/I 1 i III 0 Attic/crawl space fans 10.00 Other: 10.00 Address: . //A.' itiMPA %J Fuel iout Cit IS . teiZi • : •.. • .40 for first • S .00 each addi6o. al Fay: Furnace, �,i Phon - =watt .. E- Mail: me p ._' u .5, N(1f7 .0 WalilsuspendctUurtit • -. :.: . • CONTRACTOR . , .. Water heater Business Name: V . _ ► Fireplace •• ME .M Address: 'L • 3 • -on . e ' ` Ci /State/Zi • : 0 . / it c Z b Clothes dryer (gas) " Phone 1,. - 2.5 7 i ErISMIVEllirMI Other Total: H .: CC) ): ic, #: 1.4.!'t E3) ateeb�iau Parealit Vete Authorized 1 Subtotal: 5 Signature: �ld�A�� date: �Li MiNtmttan Permit Pee 512.50 S L.: Plan Review Fee (25% of Permit, Fee) $ �i MI State Surcharge (. % of Permit Fee) S (ply • • • e we) TOTAL PERMIT FEE S _ lk� application *Fee mMbodoloay set by Tri- Couniv Buttering Industry Service Board, Notice: This t a hcntion eapirr+ tea Fer Is oat obtained within loAstec plop required for exterior A/C malts- ISO days alter it has been accepted as complete. i;\Dst5\ ermitFore MecPermltAps.dtx 01/03 01/20/2004 16:03 FAX 5036284633 THE MULLEN COMPANY 2002 /002 P Permit Application _ �® Dal: ,,.- City of Tigar ��v planning Approval Sewer G aste/8 : Permit No.: 13125 SW Hall -f'na elan Review Other Tigard. Oregon 9 2 - DQ 0� Date/11 :' Permit No.: Phone: 503-639-4171V : Post Ravlaw - Is 51 9S• 1960 l :. Pate/$ Internet: www,ci.rigar .r.us ' ' ' _ 1i D _ a t� Contact 3ul"1s.: , : - .1 P � See age 2 f 24-hour Inspection Reque �43cD394 Name/Method: Su . , lemental information. Dale OP. WORK. ' I° : •.:'' '' .. I . • FEE':SC131E ULE (tbr'specfayi'ta[citloa ttgciyeefcltst) °.. - New construction • Demolition Description ( Qcl'• I Bet(m) ( Total Addition /alteration/replacement U Other; `'' t ' :' ;�ATEGO? ORC CTIOPI " , uifaiuP toa lir4ti i/ r ,, .•P . SFRA) bath 249.20 VI. 1 & 2 -Famil dwellin: Ir Commercial/Industrial SFR. (2) bath , 350.00 Accessory Building ■ Multi- Family SFRS3) bath 399.00 • Master Builder Other: Each additional batWkitchen 45.00 • Pp$ SITE I3VFORlV )IITIOPIantILOCATION FIN sprinkler • sq. ft: Page 2 Job site address: 64,5 Sc.) ...rte e - - .:- >: •- .'site Utilitie _ :';.,(41 1Y1:;r • • ,' Suite #: Bld:. /A. t. #: Catch basin/area drain 16.60 Pro'ect Name: • , I /�ni > wefg ack line/trench drain 16.60 Footing drain (no, linear ft,) Page 2 Cross street/Directions i e to job site: Manufactured home utilities 110,00 4J Jk ► 1 U t t • a - lid` I I VD v a - Manholes _ _ 16.60 �� 1 Rain drain cotmectar 16.60 . Sanitary sewer (no. linear ft.) Page 2 Subdivision: /, t A g A 1 ag •/, Lot #: - Storm sewer (no. linear ft.) Page 2 Tax ma • • at Gta #: Water service (no. linear ft.) Page 2 DESCRIPTION OIPti'VO • .- . - r . Fixture 'e Absorption valve 16.60 , M . ,n��X■I•FI'1.,■ . Backflow preventer Page 2 nallrJai u � binia B valve 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinkin fountain 16.60 a_+ PROPERTYOwNER ' •' ' - as TEN'i1d'iT • :' Ejectors/sump T 16.60 Name: i 1 / EINE '�, i I fillfit`arti Expansion tank 16.60 Address: I f i rxjo g / _ /� /� ►� =l a Fixture/sewer cap 16.60 Ci /State /Zi1: �jI'�j G �I1� /1 A Floor drain/floor sink/hub 16.60 �■ Garbage disposal 16.60 Phone: WM 4 - L , � � �j Hosebib 16.60 Cv . • E L_ ir3 COt.i! .... • WON '. lee maker 16.60 Name: TRIM1 1 Intercepter /grease t rap i 6. 60 / 1/yQ Medic gas - value: 5 Address; `� i �i � Page 2 Primer 16.60 City/State/Zip: Roof drain (commercial) 16.60 Phone:. • 9 Q 0 Q2 Fax: a 4 24 Slnk/basin/lavater 16.60 E -mail: rY)- X1%1mimm ri 1 gas • 0 Tub /shower /shower pan 16.60 O CTOR Urinal 16.60 , st less Name: Water closet _ 16.60 Bu fu�� Pl�j /I y }t . 1fG ` Water heater 16.60 Address: / , r• .i a _ •_'" • Outer: Phon- co' / ?Jia//.1M F. • SO M • A .7, �:. .,..,FlQmh PeriinR_Beres*f_ . Subtotal 5 CCB Lie. 4: - , ' ` lumb. L'C. #: -2&O MUsltnum Permit Fee 572.50 $ Au oriZod - - Z Residential Backflow Minimum Fee 536.25 Signature; '- Date:/r ` � plan Review (7.5% ofPermit Fee) S . grq, f/ State Surcharge (S% of Permit Fee) S l (Pleas print name) TOTAL PERMIT FEE. _ 5 , Notice: This permit application aspires if a permit is not obtained within ' All new commercial bulldlaes require 2 s is or plans with isom or 180 days after it has been ecsoptpd as complete. riser diagram for plan roilow, 'Fee methodology set by Trl County Buildlntg Industry Sarvlee board. i;\ Dsts \Permit Fotms\PtmPermitApp.ece 01/03 01/20/2004 16:08 5036425815 ROSS ELECTRIC INC PAGE 01 <r Electrical Permit Application }OR c,� FI( I: USE'ONLZ Received . • EIV Date : s City of Tigard REC ED Planning Approval a Pfd 13125 SW Hall Blvd. P n Rev Permit No.: Tigard, Oregon 97223 FEB Plan cvicw dther . •y: La se No.: Phone: 503 - 639 -4171 Fax: 503-c98400 Post PastReview Land and Use Internet: www,ci.tigard�tig , �J I , � `' Detdb3y: Case No.: 24 -hour Inspection R,gu gt4 � 1 - Contact Juris -: See Page 2 for III IV /SION Name/Method: J Supplemental ..... :. ; ' :. TYPE :OF wolf 1'LAN ' li$as c4Ei&altil i t New construction Ii Demolition • servi over 225 amps. Ei Health - c.'tt'e facility • Addition /alteration/replacement [10ther: commercial 0 Hazardous location 1.3 CATECORrOFTONSTRUC1,I.ON.... Service over 320 amps of Building over 10,000 s u feet, 1 & 2 family d dwellings foour or more residential unitnit y ;n n a 1 & 2- Family dwelling ❑ Commercial/Industrial ❑ System over 600 volts nominal one structure ❑ Accesso Bt111d1T1L — ❑ Building over three stories Multi -Famil 171 Occupant Feeders, 400 amps more MI Master Builder Occupant toad over 09 persons ❑ Manufactured structures or RV part Other: ❑ Egresallighting plan n ❑ Other • °' :. - JOB SITE INFORMATION'silicr OCATTON' : Submit sets of plans with any of the above. Job site address :.j 1 S St...) oy, Plc — The above are not applicable to temporary construction service. Suite #: BId_•. /A t. #: — • ..•.. . uLE.:; :. ...i .:: .. ;. :., 2: : Pro ect Name: _ Number of inspections per permit allowed T . . 1 A Ad 11/ K S — Dcecrtptlon Qty Foe (e>) Total Cross street / � /D J � iireections / to job site: /� 1 / � • New residential-single or multi-family per _k/ V v ` Y) " Nil t QV t 4- aV , 1 I (V U(/1 • Servi Includes attached garage. Service tneladed: 11100 sq, R. or less 145.15 4 Each additional 500 sq. R. or portion thereof 33.40 1 Subdivision: 7YMIVI/ NfilifFAMI Lot #: Limited ener,ry, residential 75.00 2 Tax map /parcel #: Each energy. non residential 75.00 2 Each h manufactured home or modular dwelling ' DESCRIPTION. OF woRK .' : :. ... • - service and/or feeder 90.90 2 • �♦« I I �j�j . i Services or feeders - installation, 1 � � RIR Alteration or relocation: 1 1�!M 1 ! , ' 6 —� I , 200 scrips or less 80.30 201 amps to 400 amps "" 106.83 — 2 401 amps to 600 amps 160,60 2 IN :PROPERTY OWNER. • • ' .. 3I 11M• ' 601 amps m 1000 amps 240.60 2 Name: 4 ��I /� Over 1000 amen of volts _ _ 454,65 2 Reconnect only 66.85 2 Address: PJ . U M I ��� � � Temporary services or feeders •installation, ,` s _ y • 1 - p alteration. or relocation: ■ 200 am or ps l ess 66.85 1 Phone , ► " .l iY i 5/0 i " 201 amps to go amps 100.30 2 off IA ITT<:.O'ONTACT.PERSSOON..... I 401 to 600 amps 133.75 2 W.lg a A^ Branch circuits altergtion. or /r l cztenslon per panel: Address: • �,�t /. /0/0411 i A Fee for branch circuits with purchase of C> t : service or feeder fee, each branch circuit 6.65 2 B. Fcc for branch circuits without purchase of Phone: , ► p Fax: 1L L/ 2� 4 service or feeder . fast 46.85 2 E-mail: V / , I /I / !ash additional (ranch fee circuit branch eireut p 6,65 2 ' :. :..- �� Cara G0hf 1 Misc.(,Servicc nr feeder not included): • CQLtOR;: Each pump or irrigation circle 53.40 2 Job No: E ach sign or outline lighting 53,4 2 Signal c or a limited energy panel. Business Name: 06.5 G -4 alteration, or extension Page 2 2 Address: Q $70 Std Description: Cl /State /ZI • : Hi S 601—e. 0 ' 171a_3 Each additional inspection over the allowable is any,of the above: Phone:5�3 Z 2.800 Fes; _ f Per al then per hour (min, t hour) 62.50 3 6 2. 2.1.S" Investigation cc: CCs Lie. #: 1 S7B9 / Lic. #: 3 ' 3I G other: --- Supervising electrician i t...,__ : £Ieietdc l:Petti l o t a l ;a ; ; ":. ":. si;+ afore re. aired I � subtot $ $ Print Name: (/e I 0S S Plan Review (25% of Permit Fee) , S State Surcharge (8% of Permit Fee) S Authorized I/ / 1 _ TOTAL PERMIT FEE $ Signature; / n / (� Notice: This permit application expires If a permit is not obtained within Date: N t / 1130 days after it has been accepted as complete. luC L / ` n / "Fee methodology set by Trl- County Building Industry Service Board. (Please print name) is \bsts \Permit Forms \EicPermitApp,doe 01/03 CITY OF TIGARD Credit No.: 200 - 0003 Date Issued: 2/24/04 Engineering 'r�� "'�r��p ;la�l��� Authorization Date: 2/2404 TRAFFIC IMPACT FEE CREDIT VOUCHER Land Use Casefile No.: SUB2002 -00009 In accordance with Ordinance 379 (Washington County Traffic Impact Fee Ordinance) ECF Durham Oaks, LLC developer) (name of is entitled to $ 37,332 in Traffic Impact Fee Credits that can be applied to TIF charges for development on lot(s) 1 -27 of the Durham Oaks Development. The use of TIF credits are subject to the rules and limitations of the TIF Ordinance which are listed on the back of this voucher. WARNING: This voucher must be presented at the time of issuance of the building permit, or if deferral was granted, issuance of an Occupancy Permit. a P. Direct Date Permit Numbers Lot Numbers Credit Used Balance • Beginning Balance $ 37,332 Balance carried forward to TIF Credit No. • Ordinance 379 provides for an expiration 10 years from authorization. login \viola \tifog.1 1 STREET T REE CE TIFIATION R R .. rr V I, ,�Y`2 ti� %5 , Owner/ '¢ en for ' 5 fk Ct5-4-em 'cCS ...4 g (PLEASE PRINT) (PERMIT HOLDER) i f :,:',Z;-1,,,. f ' fier l „,, * OF y ;k'`^'. }T I Do hereb e �a �tle f�o'lld: i y . wing location 4. :e a 1 . : I I meets x 'o ;g rd/ ashin land use and development standards for street tree installation. ADDRESS: / 5 °I 1$ 514/ 4 1 0. 0. LOT: P- SUBDIVISION: Tu,Y' I (.I 0ilG 0. BY: DATE: < 6/ 1 4/ /Oc( RECEIVED BY: DATE: a ° /q` Q 0. A VVVVVVVVVVVVVVVVY `w` CITY OF TIGARD 24 -Hour BUILDING 0 Inspection Line: (503) 639 -4175 0 � • INSPECTION` DIVISION Business Line: (503) 639 -4171 MST �� 4-'G SIS /1 BUP 8� Received Date Requested F-2-6 AM PM BUP Location I Sq 1 5 Suite MEC Contact Person Ph ( ) d — ' Co PLM Contractor Ph ( SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear �— Q q Framing �Ci ° O ( C C7 L' 0� Gj () Lam( s k i Insulation Drywall Nailing C- ft 1 'P L T G Fi rewal I Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: 4.441 Alld 1 PART FAIL f BING Post & Beam ,or 7 IMO Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line • Smoke Dampers 4W� PART FAIL CTRICAL Service . Rough -In UG /Slab Low Voltage Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: El Unable to inspect – no access Fire Supply Line ADA 8,� Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST aCX 4 d 5 3 ' INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested — l `l AM PM BUP Location ! 5 1 5 Itt- -v �Y� Suite MEC Contact Person Ph ( ) ?/ _l (e(o7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing 3-"` (/LA.440 - / / V d �rr r� O"C f Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: PART FAIL ANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE D Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line 16119`i.. ADA Approach /Sidewalk Date Inspector -'`�' /� �Y� Est Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST�P2‘) oos - � INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested 7 -7 AM PM BUP Location 1 5 7/s PL- Suite MEC Contact Person 0-44A-(:4) Ph ( ) 6 - agoo PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam ■C Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation lb & A. p S Ol R - Drywall Nailing Firewall ��s� it-bb �`� — . ) r� 4e Fire Sprinkler Fire Alarm � iti (�j Susp'd Ceiling , / 'w i Roof Other: Final PASS PART FAIL / PLUMBING kPf ) 4,9 vEzo v4t- $o&) cr i A-tew _ Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam • Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Fi PART FAIL 111 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. t Please call for reinspection RE: Unable to inspect — no access Fire Supply Line / / ADA , Approach/Sidewalk Date Inspecto Ivy Ext Other: Final DO NOT REMOVE this inspection record from the Job site. - PASS PART FAIL