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13140 SW CREEKSH!RF PRIVE
CITYOF TiGARD _ CERTIFICATE OF OCCUPANCY
/ \ PERMIT#: MST98-00153
a DEVELOPMENT SERVICES DATE ISSUED: 11x2/98
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S104CB-05600
ZONING: R-7
JURISDICTION: TIG
SITE ADDRESS: 13140 SW CREEKSHIRE DR
SUB()IVISION: HILLSHIRE HOLLOW
BLOCK: LOT:009
CLASS OF WORK: NEW
TYPE OF USE: SFA
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME
REMARKS: PATH I: New attached single family dwelling w/attached one car garage
Final Budding Inspection and Certificate of Occupancy Approved
7/30/99 by George Steele, Building Inspector
Owner:
SIERRA PACIFIC DEVELOPMENT INC
PO BOX 1754
LAKE OSWEG(-1, OR 97035
Phone: 684-3175
Contractor:
SIERRA. PACIFIC DEVELOPMENT
P O BOX 1754
LAKE OSWEGO, OR 97036-0579
Phone: 684-3175
Reg#:
This Cerificate grants occupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the Siate of Oregon
Specialty Codes for the group, occupancy, and use under which the referenced permit was
issued.
1
BUILDING INSPE ,.TOR BUILDING OF CIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGA,RD BUILUNV INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — —
SUP
Date Requested 7- .0l 7 -AM— PM k BLD —
Location ��� �L � _ � �19 Suite
� MEC _---_---_.�-_-----
Contact Person _ �i Ph ?,I'q- PLM
Contr,.ciur Ph SWR
Tenant/Owner _ ELC
Retaining Wall r ELR
Footing Access:
Foundation ~, ��� FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: ---- --------
Slab
Post& Beam - ----- --- --_---- -- -- SIT ,.__-------_...----
Ext Sheath/Sh aar
Int Sheath!Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling ----- --.. --- - — --
Roof ---- - -
M ---____--
AR,j FAIL_
db I
Unde lab
Top(?u - -- -- ---_—_--------
Water Se ce
Sanita Se r -- - --------- ----- ---
r?ain rains
-- ---- -
PART F L
Post& Beam —
Rough In
Ga: L ine - --- -
Smoke Dampers
nam - -------- -- -- ------------ —__ -
f ASM PART FAIL
EL RICAt. - -------- —
Service
Rough In ------
UG/Slab
Low Voltage ---- -- ---- ' ------ - ---_- --
Fire Alarm __---
Final
PASS PART FAIL.
SITE
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 [ J Please call for reinspection RE --— ( ] Unable to inspect-no access
ADA
Approach/Sidewalk c,7-- —
Other Date �- C'� � Inspector. Ext
Final
PASS PART FAIL_ DO NOT REMOVE this inspection record from the job site.
,CITY OF TIGARD MASTER F,ERMTT
DEVELOPMENT SERVICES PERMIT ~r. . . . . .. . : MST9(3 01 mi
a 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171
F,ARCEI._: 2-',S1O4Cn. -05600
SITE FIDDRF_.SS. . „ : 131.40 SW CRf_E1!SIIIRE DI?
SLJSD I V I S I O1\1. . . . :H I L-I_SH I RE HO1-LOW ZONING: R-7 PD
131-OCK. . . . . . . . . . L.-0T. . . . .. . . . , . . . . :00"? J(JRISDICTTI)N: TIG
Remarks: SFA - Path 1
------------------------------------------—--------------------- BUILDING -------------------------------------------------------------
RFTSSIIf: STORIES.......: 2 FLOOR AREAS--------- BASEMENT...: 0 sf REQUIRED SETBACKS----- REQUIRED------------
CLASS GF WORK. HEIGHT........: 32 FIRST....: 1030 sf GARAGE.....: 572 sf LEFT..........: 10 SMOKE DETECTFS: Y
TYPE OF !1Sk...:SFA FLOOR LOAD....: 40 SECOND... : 531 sf FRONT.......... 8 PARKING SPACES: 1
TYPE OF CONST,:SN DWELLING UNITS: i FINBSMENT: 0 sf RIGHT.........: 0
OCCUPANCY GRP.:R3 BDRM: 3 BATH: c^ TOTAL------: 1561 sf VAI-OF..S: 114544 REAR..........: 34
------------•-----------------------------------------•--------- PLUMBING --------------------------------------
SINKS.........: 1 WATER CLOSETS.: 2 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 100 TRAPS.........: 0
LAVATORIES....: 2 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS: 1 CATCH BASINS..: 0
Tl@/SHOWERS...: 2 VIBAGE DISP..: 1 WATER HEATERS.: 1 WATER I-INE ft: 100 BCKFLW PREVNTR: I ORFf!SF TR1APS..: 0
OT 0 FIXTURES: 0
---- -------------------------•-------------------------- --- MECHANICAL ------------------------------------•----------------------------
FUEL TYPES----------- FUP.N ( 100,, ..: 1 BOIL/CMP ( 3HP: 0 ')ENT FANS.....: 3 CLDTIK:S DRYERS: 1
GAS FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS.........: 1 OTHER INITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........; 0 WOODSTOVES....: 0 GAS O)TLETS...: 1
------------------ ELECTRICAL ------- ------------------------------------------------
--RESIDENTIAL UNIT--- ---SERVICE/FEF-DER---- --TEMP SRVC/FEEDERS-- —BRANCH CIRCUITS--- ----MISCi•U ANEOUS---- --ADD'L INSPECTIONS---
1000 SF OR LESS: 1 0 - 2W alp..: 0 0 - 200 alp..: 0 W/SVC OR FDR..: 0 PUMP/IRFIGATIGN; 0 PER INSPECTION: P
EA ADD'L 5005-.: 3 201 - 400 amp..: 0 201 - 40?i amp..: 0 1st W/O SVC/FPk: 0 SIGN/OU1 LIN L1: 0 PER HOUR......:
LIMITED FNF.RGY.: 0 401 - (.00 amp..: 0 401 - 600 alp..: 0 EA ADDL RR CIR: 0 SIGNAL-'PAI!EL...: 0 IN PLANT......: 0
"ANF HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+a1ps-1000 v: 9 41NOR LABEL -10: 0
1000+ amp/volt.: 0 ----•--------_- PLAN REVIE6 SECTION ------- -- - - -------
_
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) A V NOMINAL: CLS AREA/SPC OCC:
------------------- - ----------- ELECTRICAL RESTRICTED ENERGY ---------------------------------------------------
A. SF RESIDENTIAL------------------------------ B. COMMERCIAL------ ----------------------------------------_.._-------------------------
AUD;O 6 STEREO. : AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: (YJTDC9R LNDSC LT:
BURGLAR ALARM..: 0TH: :; X BOILER.......... HVAC,......... .: LANDSCAPE/IRRIG: PROTECTIVE SIX:
GARAGE OPENEP.. : CLACK..........: INSTRUMEN ATIIIN: MEDICAL........: OTHR:
HVAC............ DATA/TELE COMM.: NURSE CALLS....: TOTAL A SYSTEMS: 0
Owner: ---- --------------------------------Contractor: ---------------- ---- ---- TOTAL FEES-.1 4404.11
SIERRP PACIFIC DEVELOPMENT INC SIERRA PACIFIC DEVELOPW.W. This permit is subject to the regulations contained in the
PO BOX 1-1154 P.O. BOX 1754 Tigard Municipal Cude, State of Ore. Specialty Codes and all
LAKE OSWEGO OR 97035 LAKE OSWEGO OR 97036-0579 oth?r applicable laws. All work will be d9ne in accordance
with approved plans. This permit will expire if work is
Phone 0: 684.317` Phone N: 604-3175 not started within 180 days of issuance, nr :f the work is
Reg t..: 004022 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 "`_Z 801-0010 thro�igh OAR 952-001-0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246-1987,
---—----------------------------------------------------- REQUIRED INSPECTIONS ---••--------------- -----------------------------------
Erosion Control Post/Beam Mecnan Electrical Servi Framing Insp Gyp Board Insp Smoke Detector
Grading In,,pecti Ple/Underfloor Electrical Rough Gas Line Insp Rain Drain Insp Electrical Final
Footing Insp Crawl Drain/Back Mechanical Insp Insulation Insp Water Line Irn�-p Plumb Final
Foundation Insp Slab Insp Low Voltage Shear Wall Insp Urban S et Tre Mechanical Final
Post/Beam Struct Underfloor irul� Pluebing,Top t Firewall Insp Appr?3 wl Insp /nBuilding Final
Is5i..ted Sy :_���"" — c �y rmittee Si gnatr.tr-e : --
1 ++ 4-+ ++++•++••++++++ 4'+ +-+-11-+4444-.I.++.+-1-+ +-+4 4-+ +4-.+A..-1 +-4-+.+i++-4-+++4•+-+++++++++-1-44.4•+++4..
Call 639-4175 by- 7:00 p. m. for an insper_tion needed the nex+ bttslnl'ss day
CITY Q TIGARD SEWER CONNECTION
/Wv,,,. DEVELOPMENT SERVICES PERMIT
13125 3N'Hall Blvd., Tigard,OR 9722;1(503)639.4171 r'c RM I T #. . . . . . . : SWR98-Oma,,
I
Df1TE ISSUED: 11/12/98
PARCEL: E'S 1040 P -05600
SITE ADDRESS. . . : 1.3140 SW CREEKSH I RF_ D.t
SUBDIVISION. . . . :HILL.SHIRE HOLLOW ZONING: R-7 r--,D
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :009 JUR'.SDICTTON: TTG
TENANT NAME. . . . . :SIERRA PACIr'TC DEVELOPMENT INC
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORK. . . :NEW DWELL I NO IJN I TS. . : 1
TYPE OF USE. . . . . :SFA NO. OF BUILDINGS: t
INSTALL TYPE. . . . :LTPSWR IMPERV SURFACE: 0 of
Remarks : SFA - Path i
Owner,: __._.___.___._.__-----__.___.__.____._._._._______..__.___.__-----.--.______ FEES
SIERRA PACIFIC DEVELOPMENT TNC type 'Amo.-'rlt by date recpt
r'0 PDX 1754 PRMT $ '_,300. 00 JSD 11/12/98 98--31 O764
LAKE OSWEGO OR 97035 T NSP 't 35. 00 JSD 11/12/98 98-310 764
Phone #:
Contractor-:
OWNUR
Rhone #: 2335. 00 TOTAL.
Reg
--- --- - RFOU I RED I NSPECT I Oh'^ --- -
This Applicant agrees to comply with all tha rules and regulations Sewer Inspection
of the Unified Sewage Agency. Tne permit expi,•es 188 days from
the date issued. The total amount paid will be forfeited if the __ M
permit expires. The Agency does no' n1tarantee the accurary of the
side sewer laterals, if the sewer ih not located at the measureme^t
given, the installer shall prospect 3 feet in all directions fromthe 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 _ ___—_
952-001-0019 through OAR 952-0001-0080. You may obtain copies of
these rules or direct questions to Off by calling f503!?46-1987.
Tssl.led by�r - � ' � Permittee Signature :
L
+++•t+++++++++++++++++++++++.++++++++++++.++++f++++•+++++++++•++++++++++++++++++++++1
Call 639--4175 by 7:0Q , rr. for- an inspection needed the next br_Isinoss day
+•4-++4-+•+-++++++++++-+--1-++++-1 .-4.++++++++++++++++++++++++++•++++++++++++++++-.+++++++ i f 0
(�r I '� �•�L-�� ec #
1
CITY OF TIGARU Residential Building Permit Application l�� Recd Plan Chh
13121) SW FALL BLVD. New Construction Additions or Alterations Date Rec'd_A1_2,
TIGARD, OR 97223 Single Family Detached or Attached (DL'plex) Date to P E. ' -�'Z !�
V 503-639-4171 Date to USrT /z s-/o `�H►'
F 503.684-7297 Permit#Mi, -01
Print or Type Calle zs 66z
Incomplete f;r illegible applications will riot be accepted
Name of Project Nwne
Job ��.���f I (' Hili ) �p - icK lx���, }P_
Architect Marling Address
Address Site Address lC 1145q
City/State Zip Phone
Naine
Name
Owner Mailing Address
_LL MailingEngineer
Mailing Address
City/Stela Zlp fan,, Phone g
( 0 +/ 5 City/State�– Zip Phone
General Name
l.UntfaCtOf Describe work New X Addition Or Alteration O Repair O
MailingAddress to be done: L,
�yt� �C.i tt?E11iTIAL
Prior to permit Additional Description of Work:
issuance,a copy City/State Zip Phr•,ie
of all licenses
are required if Oregon Gon9t.Cont. Board Exp. LUate PROJECT
exnrred in COT Lic# VALUATION $ z� 'I LJ
_ _natabase
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- Sq. Ft. House: Sq. Ft. G.. age
Contractor Mailin4Aess
Prior to permit .0• Rh,x1 qp _ Corner Lot YES NO Flag Lot YES NO
issuance, a copy Cityistat I Zip Phone (check One) (check one)
of all licenses ';r _ ---
Restricted Audio/Stereo Burglar
are required if O on Const.C nt. Board Exp Date r
_:xpired in COT Lac#/I ry c-' �'�� Energy system � Alarm__
_database '7 L.J fl 2 Zy Installation Garage Door HVAC
r Plumbing Name Opener k Systems
Sub r wb (check all that Other
a,in Address { apply)
Contractor _ �° I Will the electrical subcontractor wire for all YES NO
restricted energy installations?
Prior to permii City/st to Zip Phone
issuance, a copy l l_ ? ?2i 1 _ Has the Subdivision Plat recorded? ,
N/A Y S NO
of all licenses are O gon+.onst.Cont Board cxp.Date _
regnued if Uc.# + 7� Solar Compliarce
expired.n COT _ �" (Calculation Attached) �,✓� �j
Jatabnse Plumbing Lic.# ��.5�":7Pf E rp.[JOAO I hearby acknowledge that I have read this application,that the
information given is torr pct, that I am the owner or authorized
F — , agent of the owner, and that plans submitted are in compliance
with Oregon State laws. _
Electrical Ik Sign ire yrner"nt _ Date
Sub- FF Mrdlinp Address -
r
� C ac` rson N
ame Phone#Contractus C ty/State Zip Phone A 1-710-I
7 Pr
Prior to permit 9�1�-r �� _FOR OFFICE USE ONLY: _
issuance,a copy .� _ ,.� / = rPlat# Map/TL#'
of all licenses are O gon:'o st Cont. Board Exp.Date + (� 7, 1
required if Lic#
expired in COT S �c �G`7 Setbacks. �,tl Zone. - Solar
database h-
Electrical Lic.t, Up. a!a Ertgineering Appr
,7a Planning Approve►: TIF
'1 r I� '
I SFREM DOC (DST) 4197
`- -- � ierra I dCI �IC IJ uC IC-) ME�•II� e
I �(IiRC �Io��ouJ PO gox 17 1 LhKE"QsWe b ()r 970 eX()579
Pke,ne : i,8y-3►75
5 , 3�
FAX :68q-31 76
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Loi 9 13W0 SO CREEKSHIKE DRI,�E — MAP TAX t,.j: 2S1-y--C6 /TAX Lot 'r
Lo+ 10- 13160 Sl/J CREEKSNIRE DRIVE - MV TAX No'.231-y-C_/TAx t-bf157co
Lot 9 - Sami f ary Sr-weR, -la lateral- -- ie— ebP v
Lo+ 9 RA,-mdya;() �o Corth = ie. eLev -3q,,,i
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