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13050 SW CRFEKSHIRE DRIVE
_ CERTIFICATE OF OCCUPANCY
CITY O F T I G A R[�
PERMIT#: MST98-00181
DEVELOPMENT SERVICES DATE ISSUED: 8/20/98
13125 SW Hall Elvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S104CB-052.00
ZONING: R-7
JURISDICTION: TIG
SITE ADDRESS: 13050 SW CREEKSHIRE DR
SUBDIVISION: HILLSHIRE HOLLOW
BLOCK: LOT:005
CLASS OF WORK: NEW
TYPE OF USE: SFA
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: PATH 1: New attached single family dwelling w/garage
Final Inspection Approved 6/7/99 by Tom Plescher, Building Inspector
Owner:
WINDWOOD HOMES
12655 SW NORTH DAKOTA
TIGARD, OR 97223
Phone: 590-4700
Contra tor:
WINDWOOD HOMES
12655 SW NORTH DAKOTA
(FAX # 590-7606)
TIGARD, OR 97223
Phone: 590-4700
Reg #:
This Certificate grants occupancy of the above referenced building or portion thereof and
confirmi$.that the building has been inspected for compliance with the State of Oregon
Specidlt Codes for the roup, occupancy, and use under which the referenced permit was
iss ed
BUILDING INSPECTOR BUILDING 4FICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DI'V'ISION C�g�1
MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested lYI _AM _ FM rl — BLD _
Location S U ,~�u Suite —� MEC
Contact Person �/1�`�� Ph _ �'' PLM
Contractor Ph - SWR
r UILDIN ELC1
Retaining Wall ELR
Footing Access:
Foundatioi, c�JZ �),� c ( S7-;P1 s FPS
Fig Drain -- SGN
Crawl Drain Inspection Notes: n --
Slab ------- — � E SIT
Post&Beatn _
Ext Sheath/Shear
Int Sheath/Shear
Framing
------- ----
Insulation
Drywall Nailing ,_. ---_-------—__--- --
Firewall
Fire Sprinkler ---_---- ----- -----_-----_--
Fire Alarm ---
Gusp'd Ceiling
Roof
Misc. --- - ----- - ----- ---------- -
PART FAIL - - -- ------- —
BI
Pos eam -
Under Slab
Top Out -- - -- - -- - ---
'Nater Service _
Sanitary Sewer
Rain Drains
AS'a PART FAIL
M A MIS
Post 8.Re-am - ----
Rough In
Gas Line
Smoke Dampers
SS PART FAIL
-
Service
------ ---------
Rough In
UG/Slab - - — - ------ -
Low Voltage
Fire Alarm
Final
PASS PART FAILSITE
Backfill/Grading - - —
Sanitary Sewer
Storm Drain I J Reinspection fee of$ _ required before next inspection Pay at Olv Hall 13125 SW Hall Blvd
Catch Basin I J Please call fcr reinspection RE: � I J Unable to inspect ne arcoss
Fire Supply Line
ADA
Approach/Sidewalk
Other Date ��-�=� - Inspector _ Ext
Final
PASS PART FAIL j DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD MASTER FERMI,.
DEVELOPMENT SERVICES PERMIT #. . . . . . .. : M) i qH-4, s1
13125 SW Nall Blvd., Tigard,OR 9723 939.4171 DATE ISSUED: 061 x.'01 JS
P'ARI,L'I_: i='S104CB-05200
SITE ADDRESS. . . : 1.3050 SW C:RE KSHIRF_ Dig
SLJBD I V I S I ON. . . . :H I I..L.SI-1 I RE HOLLOW LLJN I NL_ : R-7 PD
BLOCF' . . . . . . . LOT. . . . . . . . . . . . . :00b JLJRISDTCTIION: TIL,
Remarks: PATH 1: New attached single favily dwelling w/garage
-------------------------------------- _ ----------------------- BUILDING ---------------------------------------------------------- --- I
REISSUE: STORIES.......: 3 FLOOR AREAS----------- BASEMENT...: 0 sf REQUIRED SE'BACKS---- REWIRED- --------- -
CCLASS OF WORK. :NEW HEIGHT........: 25 rIRST....: 1030 sf GARAGE..... : 57 sf LEFT..........: 20 SMOKE DETECTRS: Y
TYPE OF USE...:SFA FLOOR LOAD....: 40 SECOND...: 531 sf FRONT.........: 10 PAR046 SPACES:
TYPE OF CONST.:5N DWELLING UNITS: 1 FFNBSMENT: 0 sf RIGHT.........: 0
OCCUPANCY GRP.-R3 BDRM: 3 RATH: r TOTAI------: 1561 sf VPLUE..S: 114544 RFAR..........: 17
- ------------------------------- PLUMBING ---------------------------------—---------—-----------------
.
SINKS ........: 1 WATER CLOSETS.: 2 WASHING MACH..: I LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 100 TRAPS.........: 0
LNVPiORIES....: 2 DISHWASHERS...: 1 FLIIOF DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS, 1 CATCH BA51NS..: 0
r!,':,/S'IOWERS...: 2 GARBAGE D1SP.,: I WATER HEATERS.: 1 WAFER LINE ft: 100 BCK.FLW PREVNTR: I GREASE TRAPS..: 0
OTHER FIXTURES: 0
------------------------------------------------------------ MECHANICAi- -------------------------------------------------------- -----
FUEL TYPES----------- FURN ( 100K ..: 1 BOIL!CMP ( 3HF: 0 VENT FP45.....: 3 CLOTHES DRYERS: 1
GAS FURN ?=100K ..: 0 UNIT HEATERS..: 0 HOODS......... : 1 OTHER UNITS...: I
MAX INP.: 0 PTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTUVES.... : 0 GAS OUTLETS...: 1
------------------------------------------------------------------- ELECTRICAL ------------
--•RESIDENTIAL UNIT--- ---SERVICF/FEEDER---- --TEMP SRVC/rEEDERS-- ---BPANCH CIRCUITS--- ----MISCELLANEfrJS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 1 0 - 200 amp..: 0 0 - 2.00 alp..: 0 W/SVC OR FDR..: 0 R)MP/IRRIGAT16N: 0 PER INSPECTION: 0
EA ADD't 5005F.: 3 201 - 400 amp..: 0 11 400 amp..: N 1st W/G SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 amp..: P "'01 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL../PANEL....: 0 IN PLANT 0
MANE HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+82ps-1000 v: 0 MINOR LABEL -10: 0
1000+ amp/volt.: 0 ------------------------------------- PLAN REVIEW SECTION -------------------------------.. .
Reconnect ^ily.: 0 )=4 RES UNITS..: SVC/FDR)=e25 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
-- --.-------------------------------------------- ELECTRICPI. - RESTRICTED ENERGY
A. SF RESIDENTIAL-------------------------- B. COMMERCIAL----------------------------------------------------------------------------
AUDIO I STEREO.: VACUUM SY5TFM..: AUDIO & STEREO.: FIRE PLARM..._ : INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURG4_PR ALARM.. : 0TH: :: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GAw OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR:
H';AC........... . DATA/TELE COMM.: NURSE CALLS.... . TOTAL t SYSTEMS: 0
Owner: --- -------------------------------Contractor: ---------------------------- TOTAL FKES:1 4389.11
WINDWOG. r10MES WINDWFIOD HOMES This permit is su�,.ect to the regulations contained in the
14076 SW BENCHVIEW TERRACE 12655 SW NORTH DAKOTA Tigard Municipal Crde, State of Ore. Specialty Codes and all
TIGARD OR 97224 (FAX 0 590-7606) other applicable laws. All work will be done in accordance
TIGARD OR 97223 with apprnved plans. This permit will expire if work is
Phone N: 590-4700 Phone N: 5%-4700 not started within 180 days of issuance, or ,f the work is
Reg C.: 000501 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 9552-001-0010 through OAR W 001-0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246-1987.
------------------—----------—-----------------------— REQUIRED INSPECTIONS .... ------------------------------------------.
Erosion Control Post/Beam Struct Plmlundslb Insp Plumbing Top Out Insulation Insp Water Service In
Grading Inspecti Post/Beam Meehan Electrical Gem Framing Insp Shear Wall Insp Appr/Sdwlk Insp
Footing Insp Ple/Underfloor Electrical Rough Fireplace Insp Firewall Insp Sprinkler Underf
Foundation Insp Crawl Train/Back Mechanical Insp Gas Line Insp Rain Drain Insp Sprinkler Rough-
Wtr Proofing Bsm Slab Ins Low Voltage Gas Fireplace Water Line Insp Additional......
1 asi.ted By :WL .����t4/v Permittee Signati.ire : P � r • __
+ 1 ++++++++++++++++++-+++++++++•+++++++4+++++ +-1-i-++i--+ ++i+-++•++++ +++.++++1-++++++++++
Call 635-4175 by 7:00 p. m. for an inspection needed the ne><t bossiness day
CIT' OF TIGARD SEWER CONNECTION
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (003)639.4171 PERMIT #. . . . . . . : SWR98-0095
DATE ISSUED: 08/20/98
PARCEL: 2S104CB-05200
SITE ADDRESS. . . : 13050 SW CREEKSHIRE DR
SUBDIVISION. . . . :HILLSHIRE HOLLOW ZONING: R-7 PI)
BLOCK. . . . . . . . . . :005 JURISDICTION: TIG
TENANT NAME. . . . . :WINDWOOD HOMES
USA NO. . . . . . . . . . : FIXTURE UNITS. . . .- 0
CLASS OF WORK. . . :NEW DWELLING UNITS. . : I
TYPE OF USE. . . . . :SFA NO. OF BUILDINGS: I
INSTnt-L 'r,T,r!E. . . . a r,L j:,w,r,% I11rERV 9'—'0FnrF- 0 -1 f
Remarks: Sewer connection for a new attached single family dwelling w/garage.
caner: FEES
WINDWOOD HOMES type amoi-tnt by date rerpt
14076 SW BENCHVIEW TERRACE PRMT $ 2300. 00 DRA 08/20/98 98-308480
TIGARD OR 97E24 INSP $ 35. 00 DRA 08/20/98 98-308480
Phone #:
Lontractor:
WINDWOOD HOMES
12655 SW NORTH DAK07A
(FAX # 590-7606)
TIGARD OR 97223
Phone #: 590-4700 23:35. 00 TOTAL
Reg #. . : 000501
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewagf 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 the sewer is not located 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 rill install a lateral.
ATTENTION: Oregon law requires you to follow ruin adopted by the
Oregon Utility Notification Center. Those rules are set forth in DAR
952-881-8010 through OAR 952-MOI-OW. You may obtain copies of
these rules or direct questions to OX. by calling 1503)246-1987.
Issi-ted by: %MA&1V— Permitter ignatLtre:—
............................ ................ ....................................
Call 639--4175 by 7:00 p. m- for an inspection needid the next business day
++++++++++++...4..+++++i++++++++++++.... . . ..4.....................................
17Y OF TIGARD Residential Building Permit Application Plan
�Che By&f0
s 125 SW HALL BLVD. New Construction Additions or Alterations Date Reed
IGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.C. !!T
503-639-4171 Date to DST q- Y
703-684-7297 Pe"Mill00412 5` , (Ui '
Print or Type �' Called_?-
Incomplete or illegible applications will not he accepted �'',r,,C
--
Job
Name o��Olect -` ,_-- ___.v._._.__ Na`��.� /
i Address Site Address Architect Marti gAddr sLt r jr'L Zip
s C .
Name �� Cityi. Ate
1 �� i AA,.6- AAA-. J Name
- 7 _I a) c le;- ,"
Engineer Mailing Address
Ci /state Zip
Phonee�, g
- �
Genera , -�-�- f City/State - Zip Phone
l Na
:ontractor .54 In r Describe work 0 Afleration 0 Repair 0
Mailing Address to be dnne:
Prior to rermit Adoftianal Or.scnption of Work:
;ssuanca,a copy citylstate Zip Phone ,
or all tk inses
aro requ red if Oregon Const.Cont. Board Exp.Date PRO-'ECT
expired in COT uc.* VALUATION
database 15-019`46
i Mechanical Na;e / «NEW CONSTRUCTION ONLY:
Sub- ✓��, ��G // Sq. Ft. House: Sq Ft. Garage '
Contractor ----Marling Address _ 44 ,,) z
Prior to oernri t �f/ 5L �u Comer Lot YES NO Flag Lot YES NO
l ifance.a " c. state zio Prions �;-� (check one) (check one)
>f all ricenses t Restricted Audio/Stereo Burglar
are required rf Or on Const. Cont. Board Exp.Date Energy System _ Alarm
expired n COT Lic 0_ database _ d 7�rV Installation Garage Door HVAC
Plumbing Name ---� Opener _ _ S sterns
Sorb- k- � - % (check.all that Other-
Contractor r!ading Address apply)
Will the electiicai subcontractor wore for all YES NO
restricted enerG,,, installations?
Par to permit Clty atp� �kr_-- 1 Pi+one 3 Has the Subdivision Plat recorded? N/A YfES NO
issuance, a copy A/ - (JiY i
01 211 licensee are Oregon Consi. Cant Board Exp.Date
required I lic M � U 'V
� Rets sue of MST#: Solar Compliance
m
expired COT _ (Calculation Attached) _
j database I Plumbing ic.0 E p. to i he rby acknowledge that I have rear+ Iris application,tha;the
1y -/gF(- P,6 L5 G' infor notion given is correct,that I am the owner or authonzed
IT -Name — -- / aget of the owner, and that plans submitted are in compliance
Electrical /1 / with )regon State laws.
Sic ,eiur Ff gea . Date
Sub_ darling Address /'
Contractor 6,9Ct5,L) er%, N�rne j Phone 0
Gity/Stsie _ Zip Phones' ['
j Pnor to permit FOR OFFICE USE ONLY:
ssuance, a c:ooy ✓ ! fi, �!�J� �c '_ Plat
of au rcenses are Oregon const.Cont Beard Exp Date
requ-red rf L,c p -
exc red nr COT /13 L V g��fy Setbacks, Zofl�: Solar
database Electrical Lrc 0 Exp Date � 7
Enginoorr,q Approval: Planninp,Approval: TIF
I SFREh:DOC IDsn 4'