Certificate of Occupancy evl
CITY OF T I GA R D CERTIFICATE OF OCCUPANCY
PERMIT #: MST97 - 00527
4k DEVELOPMENT SERVICES DATE ISSUED: 12/09/1997
li 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S114AB - 01201
ZONING: R - 4.5
JURISDICTION: TIG
SITE ADDRESS: 16283 SW 92ND AVE FILE Copy
SUBDIVISION:
BLOCK: LOT:
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
•
TENANT NAME:
REMARKS: Single family new residential - Path 1
Owner:
Phone:
Contractor:
RAYMOND MILLS
2772 SW 84TH PL
PORTLAND, OR 97225
Phone: 292 -5163
Reg #:
This Certificate issued 07/12/2000 grants occupancy of the above referenced building or
portion thereof and confirms that the building has been inspected for compliance with the
State of Ore • _•n Specialty Codes for the group, occp • ancy, an use under which the
referenced z mit was issued. •
BUILDING INSP CTOR BUILDIN c OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION - dQ D-7
24 -Hoer Inspection Line: 639 -4175 Business -. -4171
q ii � a-- BUP
/A Date Requested T l Z _ ex:2 AM G BLD
/ (!�
Location / g 9 4 '- Suite MEC
Contact Person -/444 44 #f • Ph ,AbO D 37 PLM
Contractor Ph SWR
ILDI, Tenant/Owner ELC
• -e aining Wall ELR
Footin Access:
Foundation 0 j44•. � fi�� a ix/ FPS
Ftg Drain
Crawl Drain Inspection o e s: A � w � / I � SGN
Slab 4/U / � , Lj ( / e SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear •
Framing 'I i L_. 0 C • •
Insulation
Drywall Nailing /� '1 p ( I�
Fire wall `/ V v�1 SG � `J` a \ ?,j L e,/'-
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
PART FAIL
PLUMBING Oki i
Post & Beam
Under Slab Cy ,1
Top Out Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
L
RUT
Rough In
Gas Line
Sm•ke Dampers
1 • _ PART FAIL
ELECTRICAL (61/77
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading -
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date 7/ / G
/ U Inspector �1 C�1 EXtJ L
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
07/12/2000 Activities for Case #: MST97 -00527
3:45:02 PM '
Assigned Hold Updated 3
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA005 Application received 11/25/1997 DRA RECD DRA 11/26/1997
MSTA008 Permit Created 11/25/1997 DRA DONE DRA 11/26/1997
MSTA010 Check for prcl. restrict. 11/25/1997 DRA DONE DRA 11/26/1997
MSTA012 Plans routed to Plans Examiner 11/25/1997 DRA DONE DRA 11/26/1997
MSTA026 Plans approved by Pln Examiner 12/03/1997 RT PASS BT2 12/03/1997
MSTA030 Reviewed plans routed to DSTS 12/03/1997 RT PASS BT2 12/03/1997
MSTA032 DST Post - Review Completed 12/03/1997 JSD PASS JD 12/03/1997
MSTA700 Erosion Control Insp 844 -8444 DRA 11/26/1997
MSTA705 Footing lnsp 01/22/1998 KS FAIL J *H 01/25/1998 1. USA erosion control
approval. 2. Provide string lines
for set back requirements. This
inspection AM
MSTA706 Foundation Insp 01/26/1998 KS PASS J *H 01/26/1998
MSTA710 Post/Beam Structural 02/03/1998 TLP PASS J *H 02/03/1998
MSTA711 Post/Beam Mechanical 02/03/1998 TLP PASS J *H 02/03/1998
MSTA713 Crawl Drain /Backwater valve 02/03/1998 TLP PASS J *H 02/03/1998 Sump pump being used for
underfloor crawl drain.
MSTA717 PLM /Underfloor 02/03/1998 TLP PASS TLP 02/24/1998
MSTA720 Mechanical lnsp 03/06/1998 TLP PASS J *H 03/09/1998
MSTA722 Plumb Top Out 02/24/1998 TLP PART TLP 02/24/1998 dwv ok no test on water
MSTA723 Electrical Service 03/09/1998 TLP PASS J *H 03/10/1998
MSTA724 Electrical Rough In 03/09/1998 TLP PASS J *H 03/10/1998
MSTA726 Shear Wall Insp 03/09/1998 TLP PASS J *H 03/10/1998
MSTA728 Low Voltage 05/28/1998 BRP PASS . J *H 06/04/1998
MSTA735 Gas Line lnsp 03/06/1998 TLP PASS J *H 03/09/1998 Tag 134875
MSTA736 Gas Fireplace 03/09/1998 TLP PASS J *H 03/10/1998 Gas fireplace clearances okay.
MSTA740 Insulation Insp 03/12/1998 TLP PASS J *H 03/12/1998
MSTA745 Gyp Board Insp 03/20/1998 TLP PASS J *H 03/20/1998
MSTA755 Rain drain lnsp 03/11/1998 TLP PASS J *H 03/12/1998
MSTA760 Water Line lnsp 03/11/1998 TLP PASS J *H 03/12/1998
MSTA765 Appr /Sdwlk Insp 05/27/1998 PI PASS J *H 06/03/1998
MSTA790 Electrical Final 05/26/1998 BRP FAIL J *H 05/27/1998 No access.
MSTA795 Mechanical Final 05/26/1998 TLP FAIL J *H 05/27/1998 no access
Page 1 of 3
07/12/2000 Activities for Case #: MST97 -00527
3:45:02 PM
Assigned Hold Updated )-
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA797 Plumb Final 05/26/1998 MS PART J *H 05/27/1998 Cleanout for sanitary line in
roadway not in yard box.
Contractor to install box to City
• standards. This roadway is not
yet paved full width and serves
parcel 2S 114AB- 01200, not the
subject parcel. See inspection
notes and correspondence in
file for information.
INSPECTION OF 052698:
PLUMBING INSIDE OKAY
FOR MST97 -0527. SUBJECT
TO APPROVAL OF
PLM97 -0466 (BLDG
LATERAL).
MSTA799 Building Final 05/26/1998 TLP FAIL J *H 05/27/1998 No access, needs plumbing
approval for sewer clean out.
MSTA080 (F) Ready to issue 12/03/1997 JSD PASS J *H 12/09/1997 120397: Need Mechanical,
Plumbing, and Electrical
contractors identified. Also,
need copies of appropriate
licenses, if necessary. jsd
120597: Also needs sewer
permit. jmh
MSTA092 (F) Issue combination permit 12/09/1997 JDA PASS JDA 12/09/1997
MSTA095 Issue plumbing signature form 01/06/1998 JT RECD JT 01/06/1998
MSTA097 Issue electric signature form 12/23/1997 SW RECD S *W 12/23/1997
MSTA705 Footing Insp 01/22/1998 KS PASS J *H 01/25/1998 This inspection PM.
MSTA722 Plumb Top Out 02/26/1998 WA PASS J *H 02/26/1998 Water test okay, top out okay.
MSTA720 Mechanical Insp 03/09/1998 TLP PASS J *H 03/10/1998
MSTA725 Framing Insp 03/09/1998 TLP PART J *H 03/10/1998 Note to builder: Install baffles
for eave vents entire house.
Check at insulation.
MSTA797 Plumb Final 05/28/1998 MS PASS J *H 06/04/1998 Cleanout compacted with rock.
Final approved per MS.
MSTA790 Electrical Final 05/28/1998 BRP PASS J *H 06/04/1998 Final pass, low voltage pass.
MSTA770 Misc. Inspection 02/18/2000 02/18/2000 02/18/2000 JMT DONE No Hold JMT 02/18/2000 research inspection request
MSTA153 Expired by limitation 06/05/2000 HAP DONE No Hold AKJ 06/05/2000 card sent to contractor
MSTA055 Hold Release to Issued 07/11/2000 HAP DONE No Hold HAP 07/11/2000 Returned to issued to clear up
small paper records
oversight...no fees due...
MSTA795 Mechanical Final 07/12/2000 RB PASS No Hold RB 07/12/2000
MSTA799 Building Final 07/12/2000 RB PASS No Hold RB 07/12/2000
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07/12/2000 Activities for Case #: MST97 -00527
3:45:02 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MSTA798 Final inspection 07/12/2000 RB PASS No Hold RB 07/12/2000 House Previously occupied.
No known safety violations- OK
Case Final- OK No
record of USA Final Erosion.
MSTA960 (F) Issue Cert. of Occupancy 07/12/2000 RB DONE No Hold JMT 07/12/2000
Page 3 of 3