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13211 SW BROADMOOR PLACE ,i I''.'•A, Y 'Y r '.i' J' 13211 SW t. i. t. L,1 �j Y •Ar • - PLACE CITY O F T I G A R D MA13TER PER111'r DEVELOPMENT SERVICES rlr.-PMTT #. . . . . . r,rl, 1 .1 13125 SW Hall Blvd., Tigard,OR 97223(503)61109-4171 T)r',TE 4 11 r,ARCEI-: E., T1- n!)DPr-Sr,'. . . : 1321J. SkI -nMESS!JRY Z03 1 I NO: R 4. 5 L_n_T,, . JI.JR19DICTION: 7107 r0s: Sr - Path I ----------------------------------------------------------- BUILDING ---------------------------------—--------------------------------- T ....... FLOO-P PqFAS---------- BASEMENT..,; 0 sf REQUIRVa SETBACKS---- REDUIRE:-------- 11LS OF WOW..-NEW HEIGHT........: 24 FIRST.... 1338 sf GARAGE.....: 856 sf LEFT.,...,....: 5 SMOKE DE7ECTRS: V '1E OF USE...iSF FLOOR LOAD....: 40 SECOND... 1575 sf FRONT.........; 20 PARKING SPACES: E rf OF CONST.:94 DWELLING UNITS, I FINBSNENT- a sf RIGHT.........; 5 OAKry GRP.:R2 BDRM: 4 BATH: 3 TOTAL-------: 2913 sf VALLIE..1: 249848 REAR.,........; 40 -------------------------------------------------------____ PLUMBING ------------ "KS.........: ----------"KS...I...I.: I WATER CLOSCS,: " WASHI-46 MACH.,: I LAUNDRY TRPYS.: I RAIN DRAIN ft: 100 (RAPS.......... 2 -YATORIES....: 5 D154WASHERS..., I FLOOR DRAINS.,, 0 SEWER LINE ft: IN SF RAIN DRA111: I CATCH BASINS.., 0 4 GARBAGE DISP.,: KrEP HEATERS.: I WATER LINE ft: 100 DCKFLW PREVNTR., I GREASE TRAPS..: 2 OTHER FIXTURES: 2 ----------------------------------------—-------------------- MECHANICAL ---------------------•--------------------------------____- --- "L TYPES----_------ FURN ----------------------------------------------------- FURN ! 1110K 0 BOIL/CMP ( 3HP: 0 VENT FANS...,.: 4 CLOTHES DRYERS: I FURN )=IW ', UNI' PFATERS- 0 HOODS.....,...: I OTHER UNITS... I I INP.: I BTU FLOOR FURNACES: e VENTS.........: I WOODSTOVES....1 0 GAS OUTLETS- --------- rLECTPAirk IESII)ENTIAL UNIT--- ---SERVICE1FEEDEP---- --TEMP SRYC/FEEDERS-- ---BRANCH CIRCUITS-- ---- --ADD'L I NSPEC'! `0 SF OR LESS: 1 0 -- 20 alp..: 0 0 - 28e alp,.-. e W/SVC OR, FDR..: 0 PUMP/IRRIGATION: I PER INSPECT:,? PDDIL, SMF,: 6 201 - 400 alp..: 0 201 - 400 alp..; 0 1st WiO SVC/FDR: 0 SIGN/OUT LIN LTi 0 PER HOUR......: "ITED ENERGY.: 0 401 600 alp..: 0 401 - Fn amp..: 0 EA PPDL BP CIR: 0 SIGNAL!PANEL... : 0 IN PLANT...... !mISV,,,pop, 0 L 601 IM amp.: ? 6011+84ps-I M Y. 0 MINOR LABEL -10: 0 IW* amp/volt.t 0 PLAN REVIEW SECTION ------------------------------- --- Reconnect only.: f =4 RES UNITS., SVC/FDR)e225 P. 600 V NOMINAL: CLS AREA/SPC ELECTRICAJ. - RE97FICTET, ENERGY ------------------ SFRESIDENTIAL-----------------"'-`------- B. COMMERCIAL-------------------—-—---------------------------—---------------------- 7 10 1 STERE01. YACIJ.IM SYSTEM..; AUDIO I STEREO.: FIRE ALARM.....: !4TEPCOMiDAGING: OUTDOOR LNDSC IGLAR ALARM.. OTHt I y BOILER.....,..,: HVAC......A-46'. LANDSCAPE!IRR16; PROTECTIVE SIGNL: IAGE OPENER..: CLOCK.......,..: INSTRUM01TATION: MEDICAL........: OT41; .......... DATA/TELE 7OMM.: NURSE CALLS....: TOTAL 0 SYSTEMS: 0 ------------------- TOTAL FEES:$ 5534.88 "ICE L TILLEY TILLEY HOMES INC This permit is iubj.,ct to the regulations contairs-d 11 SW 121ST AVE 14210 S4 121ST AVE Tigard Municipal Code, State of Ore. Specialty CodF ,,Apr OR 91224 TIGARD OR 97224-2819 other applicable laws. All work will be dare in ai ,iith approved plans, This permit will expire if war Me #: 620-0% rl!,on@ 0: 62t-4196 not started within 180 days if issuance, or if f the 1.-+ is Reg #.,: M819 suspended `or more than 18e days, ATTENTION: Oregon requires you to fnl low rules adopted t;y the Deegan !fi-atiar, Center. Those rules are set forth in OAR 952-00I-010 0-ough 9AR 952-00I-081. You tay obtain copies of these r. -fit qjestions to OX by calling (503)2461987. --- ----- ---------—------------------------------------- REDUIRED INSPECTIONS --------------------_--__--_-----_-_-__—___-_.__..___- s, 84f-8444 -------------------------- 841-8441 rGundation Insp Crawl Drain/P0- Electrical Rough Gas Line Insp Water Serv---E J--; lnsavcti Poit/Beav Struct PLM/Underfloor Framing Insp Insulation Insp Pppr/Sdw5 Ir- 7 F� rspectior Post/Deal Stri-, Mechanical InsF Shear Wall Insp Rain drain Insp Elertrical r: � 4i-� lrtp N!,11pal M11- Shear Wall Insp Rain drp;i Mn;41cet ,' r Low Voltage Pain i t t P e 8 1 i gnat r.t, I I 1 4 + 4 i + 4 4 t Tj r, (111 11 e eripci �tiw itext bt.ts i r CITY GF TIGARD Mp -rF- R PERMIT DEVELOPMENT SERVICES PFRMIT #. . . . . . . : MST98—OPE"r 13125 SW Hall Blvd., Tlgerr+.OR 97223 (503)639.4171 DATE ISSUED: 06/1.6/98 PARCEL.— 1='S104DP-00100 t TE ADDRE! '; : 1::T, 1 'I rW PROADMOOR Pl- aPI)I V I ri ICON. , . . :AME:SBURY I IF"I GHTS 70N I NG: R--4. '::5 !...(]C;K. . . . . . . . . . LOT. . . . . . . . . . . . . ..LAOI JURISDICTION: TIG =narks: SF - Path 1 --------------------------------------- BUILDIWj ---- -------------------------------------------------- ------ 1SSUE: STORIES.......: 2 FLOOR AREAS---------- Bt3EMENT...; 0 sf REQUIRED SETRADS---- REQUIRED----- -------- ''LASS OF WORN.:NEW HEIGHT........: 24 FIRST..... 1338 if GAi'AGE.....: 656 sf LEFT..........: 5 ME DETECTRS: Y TvP, OF USE...:SF FLOOR LOAD....; 4 SECOND...: 1575 sf FRONT.........: 20 DARNING 54CES: 2 TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT; 0 sf RIGHT........... 5 OCCUPANCY GRP.:R3 BDRM: 4 BATH: 3 TOTAL------: 2913 sf 4ALUF..t: 210014 REAR..........: 40 --- --------------------------—.-------------- •.----------- PLUMBING ----- --------__-------_ _--- ------------------•------- SINNS.........; 1 WATER CLOSETS.: 3 WASH INO MACH..: I LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 100 TRAPS.........: F LAVATORIES—. 5 GISHWASHERS...; 1 FLOOR DRAINS..: P, SEWER LINE rt: 100 SF RAIN DRAINS: 1 CATCH BASINS..: 0 TUB/Sl4VRS...: 4 GARBAGE DISP..: 1 �.10TER HEATERS.: i WATER '.INE ft: 100 BCKFLW PREVNTR: i GREASE TRADS..: C OTHER FIXTURES: 0 -------- -------------------------------------------------- MECHANICAL Fi71- :TYPES•----------- FURN t 100N ..s 0 BOIIJCMP ( 311P: d VENT FANS.....; 4 CLOTHES DRYERS: 1 GA, FURN )=1009 ..: I UNIT HEATERS..: 0 14OODS.........: 1 OTHER UNITS...; I "'"x INP.: 0 BTU FLOOR FURNACES: P VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: I __.._______-------.------_.-.__._______._- ----------------- ELECTRICAL ---------------------------------------------- RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TFMP SRVC/FE'EDERS-- ---BRANCH CIRCUITS--- ----^TSCELLANEOUS----- --ADD'L INSPECTIONS- ,@ 5F OR LESS: 1 H 200 amp..: 0 0 - 200 alp..: 0 W/SVC OR FOR—,. 0 PLW/IRRIGATION: 0 PER INSPECTION: 0 AC` `W.: 6 201 - 400 asp..: 0 201 - 400 alp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER ilOUR......: 0 'MITI.: ENERGY.: 0 401 - 600 asp. i 0 401 - 600 alp..: 0 EA ADD'. AR C1R: 0 SIGNAL/PANEL...: 0 IN PLANT.,,,,,: 0 .'Ir �'s"SVC/rn°. 3 601 - 1000 aso.: 0 601+61ps-1800 v: 0 MINOR LABEL -10: 0 1009+ amp/volt 0 ------------------------------------ PLAN REVIEW SECTION --- - ____.______.----------------. Reconnect only.: 0 =4 RES UNITS..: SVC/FDR)-225 A.: ) 600 V NOMINAL; CLS AREA/SPL OCC: ------------------------------------ - ------ ELECTRICAL. - RESTRICTED ENERGY SFRESIDENTIAL--------------------------- B. COMMERCIAL---------------------------------------------—_-------------------•--------- 'D10 I STEREO.; VACUUM SYSTEM..: AL'DID I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: IRGLAR ALARM..: OTH: ;; k BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE 51GNL: :RAGE' OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: :: DATAITELE COMM.; NURSE CALLS....: TOTAL N SYSTFM'- Owner; -------------------------------------Contractor: --------------------- .. _.._-- TOTAL rq- 5:1 5342.81 BRUCE L TILLEY TILLEY HOMES INC This permit is subject to the regulations contained in the 1421P SW 121ST AVE 14210 SW 121ST AVE Tigard Mueicipal Code, State of Ore. Specialty Codes and a -3ARD OR 9722224 TIGARD OR 97E24-2819 other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is Ott P 620-4146 Phone M: 620-4196 not started within 160 days of issuance, or if the work it Aeg 1..: 800819 suspended for more than 180 days. ATTENTION: Oregon law ------------ ----------------------------•- requires you to follow rules adopted by the Dregon Utilit; ,tification Center. Those rules are set forth in OAR 952-901-0010 through OAR 952-001-0090. You may obtain copies of these rules cr -•ect questions to OUNC by calling (503)246-1987. --------------------------------------------------------- REQUIRED INSPECTIONS =ior 844-6444 Post/Beat Mechan Electrical Sp;-vi Gas Line Insp Mechanical Final ading Inspecti Crawl Drain/Back Electrical Rough Insulation Inso DIJob Final sting Insp P' "Inderf1aoI- Fr•asing Insp Water Service In Building Finil undation Insp "e --iral Insp Shear Wall Insp Appr/Sdwlk Insp _ it/Beam Struct "' Low Voltage Electrical Final 1,0 PC N �' `, PF r-m tt r r 1 ++++...+++ +--+-1-+.+..4i. l 4 1 .} . +r..+ .4.4.+ 4.4 4. f..+. 4...4 ..+. {,.}..}.,.4.+.{. I +4-++ i .+.{ .t+ f-+++-4•+,1. 1- ' { .x..4..}.4...+ , f' i. 1 6.s9 ..q 1 icy 6y 7:00 p. m. for '.are i rrspert i un fieecieci the tlext hx.rs i ner.s rimy CITY OF TIGARD DEVELOPMENT SERVICES SEWER CONNEC'TTON PERMT-1 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . , SWR138 -01;x`'; Df- I'E I SSLIED: 06 r l f"./98 PARCEL. 2S1041)14-00100 i I T1= ADDRESS. . . : i..::;.-'1 1 SW SRC)ADMC np F,I_ `='JRDIVISION. . . . :AMEWSPLIRY HETGHTS 70NING: R-4. 5 i1I-OrV,,. . . . . . . . . . LOT. . . . . . . . . . . . . 1001 JUJRTSDICTICIN: T:, u" -ENANT NAME. . . . . ..T'CLI_FY HOMES TI , ISA NO . . . . . . . . . . FI XTI IRF LJNITG. . . 0 '[..ASS OF WORK. . . :NEW ,DWEL I.. I NG LIN ITS. . : 1 YPE OF USE. . . . . :SF NO. OF BI.l I L D I NGS: I rNSTALA- TYPE'. . . . -PtJSWR IMPERt.1 0 5I' ^inarks; : SF -- Fath I .__._.---__._____._..___ I•II_I..EwY HOMES TNC type atmci.irrt by date ►-et:pt 1 4r?1O SW 121137 AVF f''R1+17' $ 2POO. 00 R 06/16/98 98-30(.t5C' ' IGARD OR 97224 1NISP, 1; :3`. O0 S 0E./ 16/1.18 98-306554 1hone ##a f 1WNER -'hone #: 8 2235. 0O TOI'A! Bey W- ------- RFDU I RFI) T NSPFCT T ONS ?his Applicant agrees to comply with all the rules and regulations Sewer T fispert i on _ -f the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the -Ireit expire.,. The Agency dnes not guarantee the accuracy of the =tde sewer laterals. If the sewer is not located at the seasuresent ive7, the installer shall prospect 3 feet in all directions from "re distance given, If not so located, the installer shall purchase "Tap and Side Sewer" Permit and the Agency will install a lateral. NTIINI: Oregon law requires you to follow rules adopted by the '),-egon Utility Notification Center. Those rules are set fo `.h in DAR `52-001-8010 V -ough OAR 95<?-W-0090. You say obtain copies of < 0 I-ules or direct questions to DUNG by calling (503)216-1987, eti by : 6WL _ Permittee Si9riatr.n i 1 .f+++4++i-+-f+4.4-4.4+44++4 A-++4 4 4.+++.f+4,++++4 ---1- +++i++-++4+++++tf++i•1 l-+i +..l--f++4- t 1 4 I f 4- r—:4 1 .1 C.a1 .1 (;39 4175 bye 7:xQA p. in. for an ins per-tiat) rreedrd thfi next httSirress d,ay, ++++-++i ++•++++•++t+++4+4-++4++-h+•+4++++++t+•F+++++-1-++++•++..i-4.•+++4.+++++++4-•++++i-+-+-ti-+.+.+-F + t Plan Check# _ CITY OF TIGARD Residential Building Permit Application Recd By =-�- 13125 SW,HALL BLVD. New Construction Additions or Alterations Date Recd f TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E. ix � V 503-639-4171 Date to DST F 503-684-7297 Permit# r `rl r Print or Type CalledANAwes-P rrr HAS Incomplete or illeg+ble applications will not be accepted Name of Project N me Job Architect Mailing Address Address Site AddressL /30Q� 11.1i7-11J�Lk) � )i i -' tyr 4 -- --- ne Name �0"f" _ 4 eT1c_ (� 77Zl�/ Name Owner Mailing Address }. �T�I z o �4_) le-1 �- Avg" =TO_, QWct.C_ ci /Stat Zip Phone Engineer Mailing Address � General Cit /,tac� (Z�"7i'p) Phone Name '7�Gfllc� '7/�l`l Z 3Z ? , Contractor T LL F kk-&1Cs :rK)C - Describe work New(&-' Addition O Alteration O Repair O Mailing Address 2' to be done c . Prior to permit Z/c, 5/_J /Z — a{1� — Adgi nal 4esr iption of Vt/ork: issuance, a copy City/State Zip Phone 't/ k` '�" �T!( of all licenses 1�'I �R 72 t Gln aye required if Oregon Const Cont. Board Exp Date PROJECT Hxp red m COT Lic.# �� /� ck VALUATIONS 0 _ database 9 Mechanical Name NEW CONSTRUCTION ONLY: _ Sub- 1 .�i� Sq. Ft. House. Sq. F Garage Contractor Mailing Address I -"�r Prior to permit P', Lk,X Z.33 110 I+pze L)' Corner Lot YES fy0� Flag Lot YES N ssuan,;e, a ropy City/State� Zip Phone (check one) (/ (Check one) of all licenses axi'rt Bunn Of 8707 f Restricted Audio/Stereo Burglar ere required if Oregon Const.Cont. Board Fxp Date Energy `'ystem Aiarrn expo in COT LIc.# database 6367-� 7 ��'�� Installation Garage Door HVAC _ Plumbing I Name Opener Systems Sub- (check all that Other. Contractor Mailing Address app Y)-- - Wil the electrical subcontractor wire for all YE O Orestrit ted energy installations Prior to permit Cit /State zip Phone Has the Subdivision Plat recorded? Y NO issuance,a copy ;/ , O 171Z� 4h-`J 770 � of all licenses are Oregon Const.Cont Board Exp.Date — N/A required if Lic.# Reissue of MST#: Solar Compliance expired In COT /17 7.1f) 7 8 `� _ (Calculation Attached) databa.3e Plumbing Lic.# Exp. Date I Nearby acknowledge that I have read this application, that the 3�� information given is correct, that I am the owner or authorized ----- -- agent of the owner, and that plans submitted are in compliance Name with Oregon State laws. _ Electrical (,)L'L3,ff , e1E _ / Signat b0`-OwnwAnooll, nat Sub- Mailing Address Contractor `i rC tart Perso-nn Name ho e# City/State Zip Pone 4I 12 `/ Prior to permit / FOR OFFIf:E USE �NLY: issuance• a copy (./ o Z Z `S/ Plat# Map/TL#: of all licen`es are CYegon Const.Cont.Board Exp. Date 10., expired if Lic# expired in COT ©9 /� Z � Setbac� Zone Solar database Electrical Lic.k Exp Date — '`hr — Engineering Approval:,. Planning Approval: TIF. 7 7 i '•r LSFREM DOC (DSL) 4/97 �I Y OF TIGARD OREGON INTENT TO HAUL EXCAVATION (print name), hereby certify that ali excavation material on the Subject property will be removed from the site incl not be placed as fill, except for that amount necessary to back-fill the foundation ONLY. I understand that failure to remove the excavation material will result in the requirement to remove the material or ortain a grading permit by submitting grading plans prepared by a licensed engineer accompanied by a geo-technical report regarding the placement of the excavation material as fill. Signature I Dat Job Address: G,ubdivision: f� r _� Lot: 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 - I haul doc(DST)M Solar Balance Pont Standard Worksheet Address Box A calculations: North-South dimension for the lot. Box A: Phis dimension is determined by finding the midpoint of the North lot line and drawing .in intersecting line perpendicular to that point. I irst, determine which property line is the North lot line. The North lot line is the line with the smallest angle from a line drawn east-west and intersecting the northern most point of the lot. 45°—► 71 WT l�k SOT SNE N North-South Dimension for Lot: Measure the distance from the midpoint of the North lot line to the South lot line along i lie described line. feet LjN NORIKSOUM OOMNSION� Box B calculations: Shade point height for your residence. Box B: 1. Determine whether measurements will be based on the peak or eave of your structure. The orientation of the ridge is also important. Which describes your residence? 1 a: If the roof line runs North-South, measurements will � (circle one) be based on the peak of the roof. work 1A IR 1(. 1 b: If the roof line runs East-West and the roof pitch is less than 5/12, measurements will be based cn the eave. SWM FONT IATA 1c: If the roof line runs East-West and the roof pitch is 5/12 or steeper, measure nents will be based on the �a, ,� peak. SIMOF fONI 0[1:F Box B. continued Box B: 2. Measure change in e!evation from front property line to finished floor elevation. If the lot slopes up from the front lot line to the foundation, the figure is positive. If ft the lot slopes down from the front lot line to the foundation, the figure is negative. — - 3. Measure distance from finisher' floor elevation to the affected peak/eave. 4- ft 4. If the roof line runs North-South, deduct three feet. If the roof line runs East-West, ' ft deduct nothing. 5. Subtract one foot for each foot of difference in elevation from the front property !ine to the rear property line, if the lot slopes up from the front to the rear. If the lot has no slope or slopes up from the rear to the front, deduct nothing, _ _ _ ft 6. Total figure for box B: IZi ft Box C. Distance to the shade reduction line. Box C: 1 Measure the distance from the North property line to the foundation near the 7 r ft affected peak/eave. —� 2. Measure the distance from the foundation to the affected peak or eave. + 3 y. D ft 3. Total figure for box C: ft It is most useful to draw a vertical line to represent the appropriate figure found in bttx "A"and a horzontal line to represent the appropriate figure found in box "C". The intersection of the vertical and horizontal lines determines the value found in box"Q". The value in box "D"should be compared to the value in box"B"; if the value in box "B" is less than or equal io the value found in box"D",then the building is in compliance with the solar balance rode. If you have any questions, please contact us at 639-4171, x304 or at the Community Development C,>unter. MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feat) Distance to North-south lot dimension lin feet) shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40 nm line frbfIq 4U cfS (, 41 lir frNrthern q14IQt He!in feet) ,42 4't !!Z 41 015' 41, 41 70 40 40 40 41 41 43 44 4`� c16 65 38 38 38 39 40 41 42 43 q4 y; 60 36 36 36 37 8 39 40 41 42 95 44 :5 34 34 34 35 36 37 38 .39 40 41 41- 43 50 32 32 32 33 34 35 36 37 38 39 40 41 L11 45 30 30 30 31 32 33 34 35 36 37 38 39 415 40 28 2b 28 29 30 31 32 33 34 35 36 37 38 35 26 26 26 27 28 29 30 31 32 33 34 35 36 30 24 24 24 25 26 27 28 29 30 31 32 33 34 25 22 22 22 23 24 25 26 27 28 29 30 31 32 20 20 20 20 21 22 23 24 25 26 27 28 29 30 15 18 18 18 19 20 21 22 23 24 25 26 27 28 10 16 16 16 17 18 19 20 21 22 23 24 25 26 5 14 14 14 15 16 17 18 19 20 21 22 23 24 Box D. Maximum allowed shade point height: _ �; feet h docs\nan v\venturawlar chp Revised 2,'26/96 �y I 1 I \ I L . I I ser ( o Once ELEv, y3� I H -- =t I J:IEV. 428 3 � I I qr Dt1v6w4r I I � I Q It FENaE Elli v. 40 \ Z3 -- ---- -- �1 i" – I` 4PB EIE✓ -------�—j--II GIMvE� Er►t�jl -_ - � j �---- 13211 5. W r-RoADMoa R PL,4e-F_ ��,n,Es BvRY Y E/I WES Tia Q, 13tl1 3 w n�opa^+oo� ��i4CfE, TILLEY HOMBSo INC. 4AF,a ��4� I�It,r 1 F-oor 14210 SW 121ST AVE. sc* 3WCt5 TIGARD, OREGON 97224 Mo✓S iE S • Q. = '&,113 -419f.Faoh't- Zo' tl'E�c L o X503) 6tc� X07' S, q � g6ss SiptS S' CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 CERTIFICATE OF OCCUPANCY P"ERMT.T #. . MSI'96 DATE. ISSUED: 01/20/94) I TE ADDRE!.). . . : 13211 SW kir+Or' DMOOR F I_ PARCEL : LL-�104DB-003,00 111-101 V T 51 ON. , . . e AMESBURY HE=IGHTS 7 O I NG:R-.4. .=., HLOC:I.. . . . . . . . .. . L01.. . . . . . . . . . . . . ..001 .IURISDIr_TION: i'TO r.,l_AGS Or= WORT;. :NEW TYPE: OF USE. . . i SF TYPE. OF CONSTR n a!V OCCUPANCY ORP. : R3 0(-CUPANCY L.OAD:2 Retwar^14tH n Owners BRUCE t_ T I LIJI Y t4 '10 SW i2is'r Avp T IGA1.1D 0R 9 7, .,w4 ("hone #: 620--096 Contrar_tori __...__._�__ ._w_.w�....._ ..._.w�_.. _....._...._ I`ll_.LE:Y HOMES INC 14210 SW 121ST AVE TIGARD OR Phone #: 620 411)6 Reg 11. . : 1 00811) This Cert i f ic:atra grar7t s c,c'c:,.cPancy of the ,Above refer•errc-rd building or portion ther oof and confirms that the building has been inspected for compliance with thw 6tatte of Orng„n Specialty COdea fur- the group, orc uparicv, and tiee under, which the refor•eni_ed permit—waw issued. AU1LD1103 INSPECTOR Al. 1 INSPEC I' l 11 POST IN C'ONSP I CUC1Ur3 PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION -7 7 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 4iP Date Requested— Ja-& `i` AM U PM BLD Location > 11 L(1A 4J&A& _ J/ Suite MEC Contact Person 1.e,�-fA� � Ph PLM Contractor Ph SWR BUILDING TenanUOwner ELC Retaining Wal ELR Footing ACCs Foundation me / FPS Fig Drain •�C� ` /� � SGN Crawl Drain Inspection Notes: Slab SIT Post&Beam c Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler �/L.Q��I re Fire Alarm Susp'd Ceiling l ` Roof r i Mi _ n SS ART FAIL 7 — PLUMBIN Post&Beam ` Under Slabi_��vL�`jt/�C. �i.�r'r��c,-c�iG - f2v e� i LL •� . ! S Top Out Water Service �'v.Z,ff4-�rzSrlc'vcr2. .rl Vii, �io�rv.e�s Sanitary Sewer Rain Drains t� E4 77 o bort — Final FAIL i4M�'r�/1�•_r -'s'��<� Ei�T1ZA�C's �iZ�� MECHANIC Post& Beam ----- Rough In Gas Line ` Smoke Dampers tPAS" S PART FAIL TRICAL Service - -- znor - 5�G i✓e��JS 7TJ S� Rough In UG/Slab 1i✓Si�i� � �x- 5. � C_, Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading '"-.''• .a�ras�E ri.�.i�.�//�1'i'.'4��.= amu'AY �u1S:'Tl�G'+'>r-✓r." //S Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW'-tall Blvd Catch Basin [ )Please call for reinspection RE: [ J Unable to inspect-no access Fire Supply Line AGA Approach/Sidewalk Other Date _ Inspector — Ext _ Final PASS PART FAIL DO NOT REMOVE this Inspection record from the Job site.