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13163 SW BROADMOOR PLACE I w rn w w n 0 a n b q -- 13163 SW B.:oadinoor Pl. — i CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BUP — _ _Date Requested 2 G _ _AM PM ^_ BLD — Location / :01/6,3 S"i2o. d�J?cc�2 �-� _ Suite — MEC Contact Person PhPLM -- Contractor — _ Ph SWR BUILDING Tenant/Owner ELC _ T Retaining Wal! +' ELR Footing Access: Foundation FPS Ftg Drain -- SIGN Crawl Drain Inspection Notes: -- ---- — Slab — ---- -- -- --- ---- SIT Post& Beam -- -- Ext Sheath/Shear Int Sheath/Shear —� Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'dCoiling -__- --- _-✓_-- Roof Mise -- -- -- - ---------- -- --- ---- ---- --- Final ------�----- PASS PART FAIL ----__-- PLUMBING Post 8 Beam - - ------------_..----------- __ ..--- -- Under Slab Top Out Water Service Sanitary Sewer - Pain Drains Final PASS PART FAIL _ MECHANICAL Bost& Beam - - - _ -- -- - Rough In GasLine - -- ------- ---- - -- ---- --- --- Smoke Dampers Final _ _ _- _-__------ -- --------- -__-_----._-._._ PASS ECR -� - -- - ------- -- __ - ^..- ------ ---------_---------- Service - Rough In UCS/Slab Low Voltage Fire Ala - ART FAIL --- ------- -.�----- ---- -- --- ------ - Backfill/Grading -- --- ----- ..-_— -_` _-_-- -- -- --- Sanitary Sewer Storm Drain [ J Reinspection fee of$_ required before next inspection. Pay at City Hall, 1317.5 SW Hall Blvd Catch Basin Fire Supply Line ( ] Please call for inspection RE -_ ( Unable to inspect-no access ADA Approach!Sidewalk ' r Other Date C�'U Inspector _ — --- Ext Final PASS -.-PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST n�-��' �4� BLIP _ Date Requested D YZt�_ AM PM BLD Location_._- l z��(� Sc& Xvle -1-e)iho Ij _ Shite MEC Contact Person Ph '4�0 - S" PLM _ _- Contractor _— Ph _ SWR BUILDING Tenant/Owner _ A ELC T Retaining Wall - ---� ------ Footing ELR --- --- Foundation A�CE55: ----- FPS Ftg Drain -- Crawl Drain Inspection Notes SGN Slab _-.__..----_--------_ ---- - ---- SIT Post& Beam -- -----__---_-- -_ -- Ext Sheath/Shear _ Int Sheath/ShEar ----- --- --_ -. --- Framing Insulation --- -______ Drywall hailing -- Firewall Fire Sprinkler Ire Alarm - ---- Susp'd Ceiling - Roof - - - Misc Final PASS PART FAIL )oM& lie=3111 Under Slab Top Out Water Service �( Sanitary Sewer Rain Drains '1168t PART FAIL -` ECHANICAL - - — - - Post& Beane --- ---- _--- -------__ -. Rough In Gas Line - - Smoke Dampers '� ---- - -- Final -- PASS PART FAIL - ------ _- -_ - -- i IIS ITE PART FAIL -_ Backfill/Grading ---- ---- - -- - __,-. Sanitary Sewer Storm Drain ( j Reinspection fee of$ required before next inspection. Pay at City Hall. 13125 SW Hall Blvd Catch Basin Fire Supply Line ( )Please call for reinspection RE: _ _ [ ] Unable to inspect- no access ADA Approach/Sidewalk Other M _ - Date _ Inspector — Ext . Final '- - PASS - PART_ FAIL_ 00 PLOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION, L-t-t` 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BUP — Date Requested • 6, AM PM — — _ BLD Locatiol, 13 I Cyd__ rroa,� �r e�� Suite MEC Contact Persons Ph °rte PLM Contractor Ph SWR BUILDING — Tenant/Owner ELC —� — Retaining Wall —` EI_R Footing Access: Foundation FPS Ftg Drain ---- -- Crawl Drain Inspection Notes: SGN Slab — _ -- SIT Post& Beam Ext ----- - ------. _M.--- Ext Sheath/Shear Int Sheath/Shear ---- - ----�_ Framing et�_L /'^ ALAL i&L-S- -77CAl — Insulation --- Drywall Nailing Firewall -- Fire Sprinkler Fire Alarm Susp'd Ceiling Roof ��-__ _ -- - -------------------- -------------- -------------..._..---- Fina _ AS >PART FAIL - --- --- -- --- --- ---- 'PLUMBING � - �---- ..---- Post& Beam �- Under Slab Op Out Water Service Sanitary Sewer __-- Rain Drains Final --- -- --- PASS PART FAIL MECHANICAL Post& Beam _-------_-- --_- Rough In -------- ---- --__-..�-- -- GasLine ------- -- --- - --- ------._......---- - -- - -- Smoke Dampers Final - - ---- -- ... Y_ ,_ _. PA'iS PART _FAIL ELECTRICAL - Service Rough In ----- UG/Slah - --------- Low Voltage Fire Alarm - -------- -------_------------ Final ------ ------ PASS PART FAIT. SITE Backfill/Grading -- - -- ----- Sanitary Sewer Storm Drain [ ] Reinspection fee of$ - required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection REQ_ — _ [ ]Linable to inspect-no access ADA Approach/Sidewalk Other Date �O_�? = J Inspector _—_ Ent Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. q' v ry 27 a a a n � fb Z o- � O L O G � p � n � C w• W o H• • a 0. v n IS C) fD � 0 n c ti a O i CITY OF TIGARD MASTER PERMIT PERMIT#: MST1999-0019-' DEVELOPMENT SERVICESTE ISSUED: 8/20/99 13125 SW Hall Blvd.,Tigard, OR 97223 (503) X-RIGINAt SITEADDRESS: 13163 SW BROADMOOR PL PARCEL: 2S104DB-90200 SUBDIVISION: AMESBURY HEIGHTS ZONING: R-4.5 BLOCK: LOT: 002 JURISDICTION: TIG REMARKS: PATH I: New single family dwelling w/attached garage, and deck. BUILDING REISSUE: u STORIES: ? FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK, NEW HEIGHT: ;'7 FIRST: 2,498 sl BASEMENT 177"O sf LEFT: 5 SMOKE DETECTORS. Y TYPE OF USE: `;F FLOOR LOAD: 40 SECOND: 1,920 sf GARAGE: 879 sf FRONT: 24 PARKING SPACES. TYPE OF CON31r: 5N DWELLING UNITS: I FINBSMENT. sf RIGHT. 5 VALUE: S' 1?6 749 rr, OCCUPANCY GRP. R3 BDRM. •I BATH: 5 TOTAL: sl REAR: 19 PLUMBING SINKS: 1 W.TER CLOSETS: WASHING MACH 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 7 DISHWASHERS: I FLOOR DRAINS: SEWER LINE 3: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 4 GARBAGE DISP: 1 WA1 ER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR. I GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES i-`FURN c 100W BOILICMP c OHP: VENT FANS: 6 CLOThES DRYER: 1 tsAS FURN—100K: 1 UNIT HEATERS: HOODS: I OTHER UNITS: 1 MAX INP. bill FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL.UNIT _ SERVICE FEEDER i_ TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS AOD'L INSPECTIONS 1000 SF OR LESS 1 0 200 amu: 0 200 amp: WISVC OR FDR: I PUMP/IRRIGATION: PER INSPECTION: FA ADD'L 500SF: 9 201 400 amp. 201 - 400 amp: 1st W/O SVC/FDR 00 SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANLI HMISVCIFDR: 601 1000 a.,p: 6011.amps-1000v: MINOR LABEL: 1000.ampfvol . PLAN REVIEW SECTION _ Reconnect only: —4 RES UNITS: SVCIF^R>=225 A.: >600 V NOMINAL: CLS ARFAISPC OCC' ELECTRICAL•RESI0,TED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 8 STEREO: X_ VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM. INTERCOMIPAGING: OUTDOOR LNDSC LT, BURGLAR ALARM: X OTH BOILER. HVAC: LANDSCAPEITRID: PROTECTIVE SIGNL: GARAGE OPENER: X CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: X DATA7TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS. Owner: Contractor: TOTAL FEES: $ 6,388,71 AUSE, DAVID RIVERSIDE HOMES This permit is subject to the regulations contained in the 10241 SW 69TH AVE 15455 NW GREENBRIER PKWY Tigard Municipal Code,State Specialty Codes and all other applicable laws. All woo rkk will be done in POR1 LAND,OR 97223 SUITE 140 accordance with approved plans This permit will expire If BEAVERTON,OR 97006-2115 work is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION Phone Phone Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set Rog M, I.IC 7011;', forth in OAR 952-001-0010 through 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion 844-8444 Post/Beam Mechanica Mechanical Insp Shear Wall Insp Water Line Insp Final inspectir,;l I Grading Inspection Underfloor insulation Plumb Top Out Low Voltage Appr/Sdwlk Insp Building Final l rooting Insp Crr.'.vl Drain/Backwater Electrical Service Gas Line Insp Electrical Final Foundation Insp Footing/Foundation Dr; Electrical Rough In Insulation Insp Mechanical Final PosVBeam Structural PLM/Underfloor Framing Insp Rain drain Insp Plumb Final �-'— Issued By Permittee Signature Call (503) 639 175 by 7:00 p.m. for an inspection needed the next business day SEWER CONNECTION PERMIT CITY OF TIGARD — DEVELOPMENT SERVICES PERMIT#: SWR1999-00116 13125 SW Hall Blvd., Tigard, OR 97223 (503) 63 4 DATE ISSUED: 8/20/99 SITE ADDRESS; 13163 SW DROADMOOR PL ), � NAL PARCEL: 2S104DB-00200 SUBDIVISION: AMESBURY HEIGHTS ZONING: 01-4.5 BLOCK: _ LOT: 002 JURISDICTION: TIG TENANT NAME: ASUE, DAVID USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE. OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for a new single family dwelling. Owner: — --_...__ ,_ - - DAVID AUSE FEES-- — --- 10241 SW 69TH Type By Date Amount Receipt TIGARD, OR 97223 PRMT GEO 8/20/99 $2,300.00 99-317822 INSP GEO 8/20/99 $35.00 99-317822 Phone: ___ Total $2,335.00 Contractor: OWNER Phone: Reg #: Required Inspections Sewer Inspection This Applican.agrees to comply with all the rules and regulations of the Unified SeoiapF- Agency The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires The Agency does not guarantee the accuracy of the side sewer laterals If tf a sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance even If not so located, the installer shall purchase a"Tap and Side Sewer' Perm,t and the Agencv will install a lateral AITENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952.-001-00110 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1967. Issued by: Permittee Signature_ c , AA- Call (503) 66-4175 by 7:00 P.M. for an inspection needed the next business day Plan Che J ac.nGAgD Residential Building Permit Application Rec'dBy�F. 13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd_ ' �- TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. V 503-639-4171 Date to DST F 503-684-7297 /I/� Permit#/tISlff Print or Type I `/ Called Incomplete or illegible applications will not be accepted _ 5 wR/T?9-oo //6 Name of Project - — Name Job Awjl�b uy" f�"q►tits 5i� _ Architect Mailing Address Address Sde Address W�+ --- — I'-51(o3Su t3rcadmro_4�I 1l)r.y l� — N me City/State Zip Phone _AVE_-_'' ��_. --- rT• —� 22S IbI Owner Mailing Address Name L r c �, KF�VA C'.ortl fAc.'rt t CitytState Zip I Phone �En ineer Mailing Address --. C2 �'TLz (� �S"1(1' C ._�Arns General Name t11 _7(40_ S-g City/State, OR Zip Phone �??I 23FS-o(o3 Contractor Ar YY� Describe work New Addition O All ration O Repair O Mailing Address to be done: .1IELI _� 1Ct�N-S`S.� Prior -- to permd Additional DNscription of Work: issuance, a copy City/State Zip Phone _ of all licenses T� ?3 are required if Oregon Const. Cont.Board Exp Date PROJECT expired in COT Lic# VALUATION database Mechanical Name NEW CONSTRUCTION ONLY: Sub- K 'Lw— Sq.T. House: '1 S Sq. Ft.Garage Contractor Marling Address _ Prior to permit _ Corner Lot YES NO Flag Lot YES NO issuance,issuance, a copy Gty/State Zip Phone (check one) ;< (check one) l� orall Ii required uses Restricted Audio/Stereo Burglar are required itEx Oregon Const. Cont Board p. Date Energy System /` Alarm expired in COT Lic.# _ _ database Installation Garage Door Y HVAC J Plurnbing Name `–— Opener /` Systems !� Sub- (check all that Other: Contractor Mailing Address --apply)�— �— Will the electrical subcontractor wire for all YES NO restricted energy Installations'? Prior to permit Ciryrstate Zip Phone issuance a copy Has the Subdivisicn Plat recorded? N!A Y S NO of all licenses are Oregon Const.Cont.Board Exp Date required if Lic# Reissue of MST#: Solar Compliance expired in COT (Calculation Attached) database Plumbing Lic # -- Exp Date I hearby acknowledge that I have read this application, that the information given is correct.that I am the owner or authorized — Name - agent of the owner, and that plans submitted are in compliance Electrical ..5A'Yt, with Oregon State laws — Sig ure of Owne gent Date Sub- Mailingl.ddress —� 1 Contractor Contact Person NA'02 Phone C!tytState V Zip Phoneyy%j _ Z Prior to permit FOR OFFICE USE ONLY issuance, a copy _ Plat#:+ pp Mapgl-# \ of all licenses are Oregon Const.Cont Board Exp Date - ��GIC�% required f Lic# acks: ZSolar: expired in COT one:_ /I database Electrical Lic.# Exp Date -• I orb Approval: Planning Approvsi: TIF: --- --- -- S ' ( c -0 I SFREM.DOC (DST) 4/97 Permit#:Kt�f I+1q O Issued by: C.�Xitc: _ 1859 Statement: Information Notice to Property owners About Construction Responsibilities Note: Oregon Law, ORS 701.05.5(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under DRS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes l and 2, and either box 3A or 313: 1. i own, reside in, or will reside in the completed structure. U 2. 1 understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. u 3A. My general contractor is I� (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 3B. i will he my own general contractor. If I hire subcontractors, i will '.sire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is registered with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above Information is correct and that I have read and do understand the Information Notice to Properly Q%vners about Construction Responsibilities on the reverse side of this form. Signature of permit applicant) (White copy to issuing apenc'v permit file, pink copy to applicant) 99 May 07 14:29:04 R:111 MAMESSURY Jwg JpF DAVE AUSE Owner/Builder Phone: 503)260-6„_ Site: 13163 SW Broadmoor Place Lot M2-Amesbury Heights City of Tigard Tax Lot: N2S104DB-00200 Zoning: R4.5 (Front 20'-side 5'-rear 20') 446 N 0'16'5" E 451 (9,807 50, fT.) — 8000 1 1 1 I I I _ - I o --T I � I 1 -0"I h — o w MAIN FLCOR m _ \ FFE=436' trn GARAGE a 1 I FFE.=426.5' I — 0, I 0 � I DRIVEWAY w 13500 P S[) v N Ip 9 I ' N A 19 26 1=62.16' 9 1 425 � w� _le'r" T 5/07/99 RDS — 5�C�pN� WALK` 428. S.W. BROADMOOR -� ARAN YASCORD DESIGN ASSOCIATES,NC O IS NOT LIABLE FOR TIE ACCURACY OF THE TOPOOMMY INFOftATIM WILDER THE SOLE NSeI RESPOITr OF TIE DfR TO VERIFY All SITE COWITIONS.NQIppG ANY FAL PLACED ON TIE SITE AND INFORM OWNERS OF ANY POTENTIAL FIELD MODIFICATONS A L A n nA1 ( 00D DCf10n A f f 0 ATFL 1305 NW 18TH AVENUE, PORTLAND, OREGON 97209 15 03) 225-9161 S C A L E 1 2 0 ' - 0 N A ITI 00 ell i It fl � J m n o f Ul 10, r a U N v z -- a � z ►v N -, U o x a W O j ° s it N � Na cn m CA) C cn C w3 � m a a CD ' 9b � o Q QQ. N (14D .. 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