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'� SW COLE LANE
t SITE PLAN
TIGARD, OR
25110AB-04800, LOT 1
HAWK MEADOWS SUBDIVISION
45°6 LOT COVERAGE
_ R4.5, fRONT 20', SIDE 5, REAR 15'
�OBE�T LIBERTY DESI �NE�S , -'
BUILDIN DESIGN CONSULTING i
- 1751 N. JANTZEN, PORTLAND, OR 37217-7820
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11488 SW COLE LN
CITY OF T I GA R D CERTIFICATE OF OCCUPANCY
PERMIT#: MST1999-00191
DEVELOPMENT SERVICES DATE ISSUED: 05/19/1999
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110AB-04800
ZONING: R-4.5
JURISDICTION: TIG
SITE ADDRESS: 11488 SW COLE LN I
SUBDIVISION: HAWK MEADOWS
L E C Y
BLOCK: LOT:001
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: PATH I: New single family dwelling w/attached garage, and deck.
Final Building Inspection and Certificate of Occupancy Approved
10/8/99 by Rick Bolen, Building Inspector
Owner:
NIELSON, KEN E
7650 ERICA PL
BEAVERTON, OR 97008
Phone:
Contractor:
KEN NIELSON CONSTRUCTION
7785 SW SORRENTO
BEAVE RTON, OR 0,7008
Phone:
Reg #: LIC 32.871
This Certificate grants occupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the State of Oregon
Specialty Code pr the group, ocr.upancy, and use under which the referenced permit was
issued. / -P )
BUILDING INSPECTOR BUILDI G OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
G q BUP
Date Requested /0 AM PM BLD
Location �� C�l1L (IVN- Suite MEC _
Contact Person LX,Y 1 Fh •72 Z PLM
Contractor Ph SWR
Tenant/Owner ELC
Retaining Wall ELR _
Footing Access:
Foundation FPS
Ftg Drain SGN
Grawl Drain Inspection Notes:
Slab _ SIT
Post R Beam
Ext Sheath/Shear
Int Sheath/Shear -"—
Framing — — -- —
Insulation
Drywall Nailing --__--
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
LP
ina
fi
9' PART AIL ---- -- -- — — -- -- -- - -- ----.-_-
GING
Post Beam
Under Slab
Top out
Water Service
Sanitary Sewer
Rain Drains
Final _----- -__---
-P-"S=;C&U FANIL
MECHANICAV MW
-- - ---------- ----------------------------
Post eam -- --
Rough In
Gas
- -- ---------------_._-...-
Gas Line ---- -
Srn Dampers
if i n -- --- - -----
PART FAIL
CTRICAL - -
Service
RoughIn -------__-- __._____-------_-__-�_
UG/Slab
Low Voltage -------- � -- ---- ---- ----
Fire Alarm
Final --------- - ---- --
P S PART FAIL ------— - ---- --- -- ----- --- ------
I
-ackfill/Grading - - -- -------- --- - --
Sanitary Sewer
Storm Drain ( I Reinspection fee of g required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( )Please call for reinspection RE:-- _ -- ( J Unable to inspect- no access
ADA
Approach/Sidewalk
,fir — Date 1�_- —Inspector V(.�lExt
As PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF T I G A R D MASTER PERMIT
PERMIT M MST1999-00191
DEVELOPMENT SERVICES A�DATE ISSUED: 5/19/99
13125 SW Hall Blvd.,Tigard, OR 972-3 (503)"IGIN
SITE ADDRESS: 11488 SW COLE LN PARCEL: 2S110AB-04800
SUBDIVISION: HAWK MEADOWS ZONING: R-4.5
BLOCK: LOT: 001 JURISDICTION: TIG
REMARKS: PATH I' New single family dwelling w/attached garage, and deck.
BUILDING
REISSUE: STORIES: 1 _ FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 16 FIRST: 2,409 of BASEMENT: of LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SI- FLOOR LOAD: 40 SECOND: of GARAGE: 769 of FRONT: 21 PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 5
VALUE: $186.433 91
OCCUPANCY GRP: R3 BDRM: 3 BATH: 2 TOTAL: of REAR: 15
_ PLUMBING _
SINKS: I WATER CLOSETS: 2 WASHING MACH: I LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 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: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
_ FUEL TYPES FURN<10OK: BOIL/CMP,3HP: VENT FANS: 1 CLOTHES DRYER: I
tn5 FURN>-100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1
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: 1 PUMPIIRRIGATION: PER INSPECTION:
EA ADU'L 500SF: 4 201 400 amp: 201 " 400 amp: 1st W/O SVC/FDR: 00 SIGNIOUT LIN 1-1': PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT.
MANU HM/SVCIFDR: 601 1000 amp: 601+amps•1000v: MINOR LABEL:
1000•amp/volt
PLAN REVIEW SECTION
Reconnacl only:
—4 RES UNITS: SVCIFDR>+225 A.. >600 V NOMINAL: CLS AREA/SPC UCC:
ELECTRICAL•RESTRICTEO ENERGY
A.SF RESIDENTIAL - B.COMMERCIAL
AUDIO 6.STEREO: VACUUM SYSTEM: AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC. DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 5,173.27
NIELSON, KEN E KEN NIELSON CONSTRUCTION This permit is subject to the regulations contained in the
7650 ON, K PL KEN IE SORRENTO Tigard Municipal Code,State of OR Specialty Codes and
BEAVERTON,OR 97008 BEAVERTON,OR 97008 all other applicable laws. All work will be done it
accordance with approved plans This permit will expire d
work is not started within 180 days of issuance,or if the
work is suspended for more than 180 days ATTENTION
Pho,1: Phora: 641"3862 Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center Those rules are set
Rag M LIC 32071 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 Plumb Top Out Insulation Insp Mechanical Final
Grading Inspection Underfloor insulation Electrical Service Rain drain Insp Plumb Final
Footing Insp Footing/Foundation hr. Frarning Insp Water I ine Insp Final inspection
Foundation Insp PLM/Underfloor Low Voltage Appr/Sdwlk Insp Building Final
Post/Beartl Structurgl Mechanical Insp Gas Line Insp Electrical Final
Issued By : Permittee Signature
Call (503) 639-4175 by 7:00 p.m. for an inspection needed Me nex Usines day
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVIC N A� PERMIT#: SWR1999 0011
13125 SW Hall Blvd.,Tigard, OR 97223 1 DATE ISSUED: 5/1999
PARCEL: 2S 1 1 0 46-04800
SITE ADDRESS; 11488 SW COLE LN
SUBDIVISION: HAWK MEADOWS ZONING: R-4.5
BLOCK: LOT: 001 JURISDICTION: TIG
TENANT NAME: NIELSON, KEN E
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: FEES
NIELSON, KEN E Type By Date Amount Receipt
7650 ERICA PL
BEAVERTON, OR 97008 PRMT DST 5/19/99 $2,300.00 99-315509
INSP DST 5/19/99 $35.00 99-315509
Phone: Total $2,335.00
Contractor:
AAPPLE PLUMBING
PO BOX 1543
HILLSBORO, OR 97123
Phone:
Reg #: LIC 104311
PLM 34-308PB
Required Inspections
Sewer Inspection
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency 1 he oermit 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 the sewer is not Ionated at the measurement given, the installer
shall prospect 3 feet in all directions from the distance given, if not so located, the installer shall purchase a"Tap and
Side Sewer' Permit and the Agency will install a lateral. 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 OAY952 1-0080
Yore may obtain copies of these rules or dire-ct questions to OUNC by calling (503) 2.46-1987
Issued b �� �C�. L( � Permittee Signature:
y: -
Call (503) 639-4175 by 7:00 P.M. for an inspection needed t O next bu ess day
IPlan Ct�`
CITY OF TIGARD Residential Building Permit Application �-•
13125 SW HALL BLVD. New Construction Rec'diy- �r
TIGARD, OR 97223 Single Family Detached Date Recd 5 In �
Date to P.E.T-/3-fe, .
V 503-639-4171 Date to DST ✓ -/'7 -12
F 503-6$4-7297 /. Permit# A' / -oo/y/
Print or TypeI / Called -/ 9_
Incomplete or illegible applications will not bg ca cepted GEF 0"1"44"r- 'R.63
- — -- 5.W,,e aw ootid
Name of Project Nam -
Job ) 1,
Architect Mailing Address
Address Site Address � ,
y -f
Name, City/State Zip Phone
Name la� C,CE 27./'7 6V c.� 2 D2
Owner Mailing Address
(41
ZIP- Phone
Engineer Mailing Address
City%State —
( (c_%,} i oDe t._I t City/State ZipPhone
General Name
Contractor Describe work New
Y -Addition O Alteration O Repair O
Mailing Address to be done
Prior to permit / _ .�..xr/ Additional Description of Work
issuance,a copy City/State Zip Phone
of all licenses L:'C,,' C)f c 'I' (r r, , ; i - --— - —�—
are required if Oregon Const Cont Board Exp. Date PROJECT
expired in COT Lic.# VALUATION $ - 04,1r
_ database ,; i_ t) / I ('0'. 'L I 1 jam_ , ( (J
Mechanical Name �+'`�`
NEW CONSTRUCTION ONLY:
Sub- .r ( 0 ,r w4 I i, --§q—Ft. House Sq Ft. Gardge
Contractor Mailing Address
Prior to permit Indicate the restricted energy installation by the electrical
issuance,a copy �Ity/State Zip Phone subcontractor in the followin areas
of all licenses 1 a, Restricted Audio/Stereo
are required if Oregon Const Cont Board Exp Date Energy �� System IG 0 Alarms
expired in COT Lic# j , Installations Vacuum Irrigation
database __ __ 'h System fy) S stem
PlumbingName -- -�--
(check all that Other.
.Sub- l /f i I!1 { apply)
—
Contractor Mallln§Address Number if Units in Building Unit Number Designation
f- _ Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/tete Zip y Phone — — -
issuance,a copy 1`tll0 O(' _ -- ---
_r
of all licenses are Oregon Const. Cont. Board Exp. Date
required If Lic p o0
expired in COT /043//
database Plumbing Lic # Exp Date 1 nearby acknowledge that I have read this application, that the
/J0��12 information given is correct, that I am the owner or authorized agent
% " L �d" 3� yT of the owner, and that plans submitted are in compliance with
Name aZ�5 Ore on State laws. _
Electrical Si !9r of Owner//a nt Date
Sub_ Mailing Address Ga Tj r 'l
Contact Persdn N ��1e - Phone#
Contractor '` 1 r, ("k'�Gk
City/State Zip Phone --
Prior to permit h`F , . '1 -/1 l
issuance,a copy _ �pPG FOR OFFICE USE ONLY:
of all 6c- ses are Oregon Const Cont. Board Exp Date—.—
required
a -- —
required if Lic#, Plat# _ Map/TL#:
expired in COT /
database Electrical Lic # — Exp at Setbacks:1 Zone: �-
Electrical Supervisor Lic # Exp D to Engipeerinp Approval: Planning Approval f TIF.
�•` / L s/�
_ -- II J
..
Ir) ;-i -, I i C-9{�^yt�/ n ( 1 A.'. �Zj r' i, �e� ✓�( _.._—_ ---
i\dststformslsfd-new doc 11/20/98
SEE 35MM
ROLL# 22
FOR
LARGE
DOCUMENT
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