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12834 SW RIDGEFIELD LANE ADDRESS: Lbo? i:\records\microfIm\targets\buiIdirig.doc CITY OF TIGARD DEVELOPMENT SERVICES 10 ik 13125 SW Hall Blvd., Tigard,OR,97223 (503)639-4171 CERTIFICATE OF OCCUPANCY c=smiT #. . . . . . . : MST96--046c DATE ISSUED: 06/ 10/97 i-"RCGL a ;?S 1041)D-00.300 S I TE. ADDREaS. . . : 12834 1;W R I DGFF I f-:*[.D LN SUBDIVISION. . . . : MOUNTAIN HIGH 4LANDS #; ZONINC,:R-•4. 5 P[# HLOCI;. . . . . . . . . . a LO'T. . . . . . . . . . . . . 30"'0 JI._RISDICTION: C:I.OSS OF WCIRK. :NFW TYPE OF USE. . . :SF TYPE OF CONSTRt5N OCCUPANCY GRA. :R3 OCCUPANCY Remarks : PATH I Owner: _..,-.__._.._.......__.___._.._..__.....__._... MEL_VIN WAYMIRE JN PO BOX 231164 T IGARD OR 972kc3 Rhode #1 639--6742 Contractor: MEL_.V I N WAYM I RE: 00 AUX 231164 T r r;rlRli OR 97261 P:10i)v #: 639-6 /42 Rett #. - 1 000359 This C:ertificatp grunts c ckipanc-y of the ahovr referenced building or put-tion thereof ani confirms that the blAildJ119 h,as been ins�lected for compliance wits the State of Oregon Specialty L" ocies for the yrol.lp; ocr. �.11y�nry, and use tinder whir..h the referenred per -mit was issl_red. s BUIl.D1Nt3 INSf✓E.C:Tr.1R BIJII,_DING hFI'ICIAL FSO a7' IN CON£:P I C UCJUS PL-OCE E K CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Linc: 6394175 Business Phone: 6394171 Date Requested: Iq _ A.M. P.M.—- MST: -� �7 Location: �� _ BUP: —_- Tenant: ,.eSuite: Bldg: F��--- MEC: Contractor honer i�-�-- PLM: (homer:_ _ ----Phone: ELR: SIT: BUILDING BLDG(con't) PLUMBINGMECHANICAL_.. ELECTRICAL SITE Site Post/Bemn os _ Cover/Service Sewer/Storm Footing Roof UndH/Slab Rough-In Ceiling Water Line. Slab Framing Top Out Oas Line Rough-In UG Sprinkler Foundation Insulation Sewer I{rxxUlhtct Reconnect Vault Bsmt Damp Drywall Storm Furnace Tmnp Service MISC. Masonry Ceiling Rain Detain AIC IR Sian Shear/Sheath I iEe-4ipkl/Alm Craw l :994!)r I lcal 1'tunp LOW Voll Approved Aprrov�i A{,{,raved Approved Approved Appr/Sdwlk ved �,l xPp oved ed Not Approved Not Approved FINNAL FINAL INAI,- FINAL FINAL O Call for r ' spection C1 Reinspection fee of S ^_required before next inspection C1 Unable to inspect Inspector: C-`_ ►byte. - _I 0 — Page_----of_ Page No. 1 CASE HISTORY FOR CASE NO.: MST96-0486 MELVIN WAYMIRE JR 12834 SW FIDGBFIRLD IN 09/21/97 Action Descriptior Req/ Schd/ End/ Action Noteo Diep By Update Upd Code Sent Done Dane Date By MSTA005 Application received / / / / 10/09/96 RECD B 10/15/96 NON MSTA008 Permit Created / / / / 10/15/96 PEND B 10/15/96 BON MSTA012 Plans routed to Plana Examiner / / / / 10/15/96 PEND B 10/15/96 BON MSTA026 Plans approved by Plans Rxmr / / / / 10/16/96 PASS RT 10/16/96 BT2 MSTA030 Reviewed plans routed to DSTS / / / / 10/16/96 PASS RT 10/16/96 BT2 MSTA080 (F) Ready to ieaut / / / / 10/17/96 PASS DRA 10/21/96 DU MSTA092 (F) ionue ,ombirAtion permit / / / / 10/18/96 PASS DRA 10/29/96 JD MSTA097 Jesus pluAbing sx�naturs form / / / / 10/28/96 RBCD JT 06/17/97 JT M3TA096 Issue electric signature form / / / / 02/06/97 R4CD JT 06/17/97 JT MSTA705 Footing Insp / / / / 11/13/96 APP KS 11/15/96 KBS MSTA706 Foundation InsP / / / / 11/13/96 APV KS 11/15/96 RBS MSTA710 Post/Beam Structural / / / / / / 10/15/96 30M MSTA713 Crawl Drain / / / / / / 10/15/96 BCM MSTA717 PIM/Underfloor / / / / 01/24/97 PASS M.R 01/27/97 MRS KL9TA72o Mechanical Insp / / / / 02/07/97 #-1- provide protective barrier at B DIS KS 02/07/97 RBS vent attic and secure #-2- B vent touching insulation adjacent to furnace #-3- insulate furnace plenum #-4-secure fireplace MSTA720 Mechtnical Insp / / / / 02/11/97 APP KS 02/11/97 RBS MSTA722 Plumb Top Out / / / / 01/24/97 PASA MS 01/27/97 MRS MSTA723 Electrical Service / / / / 02/05/97 PASS KIR 02/06/97 MJR MS':A724 Electrical Rough In / / / / 02/05/97 PASS MJR 01/06/97 MJR MSTA725 Framing Insp / / / / 02/06/97 #-I-provide king etude at qlu/lam Jarage DIS KS 02/07/97 KBS strap plates #-2-provide full bearing under glu/-am at nook also qlu/lam supportine upper roof load #-3- king etude glu/lam lower level and strap to plates #-4- firestop furred wall* lower level #-5- gussets post to beam connection suspended garage fl #-6- bolt ledger suporting garage fl #-7- nail double micro lam hips valleys, #-8- support rafters at mid point MSTA725 Framing Insp / / / / 02/07/97 AP" Ka 02/07/97 RBB MSTA726 SLoar Wall Inep / / / / 01/03/97 APP KS 01/03/g7 RBS MSTA735 One Line Insp / / / / 01/31/97 #1-1- 29 poi for Siminutes APP KS 01/30/97 KBS MSTA740 Insulation Inep / / / / 02/11/97 APP KS 02/11/97 RBS MSTA745 Gyp Board Inop / / / / 02/18/97 #-1- shear nailing not completed DIS KS 02/19/97 KHS MSTA745 Gyp Beard Insp / / / / 02/19/97 APP KS n2/19/97 KBS Page No. 2 CASE HISTORY FOR CASE NO.: MST96-0486 MALVITWAYMIRE JR 12834 SW RIDGEFIELD 00/21/97 Action Description Req/ Schd/ Rnd/ Action Notes Disp by Update Upd Code Seat Done Dane Date BY ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- MBTA755 Rain dra.'n Insp / / / / 11/19/96 PASS MS 11/20/96 MRS MBTA750 Mater Line Insp / / / / 11/19/96 PASS M8 11/20/96 MRS MBTA765 Appr/sdalk Insp / / / / 04/25/97 1. APPROACH AND DRIVEWAY ....OK. PASS PI 04/28/97 RB SIDEWALK OK. 2. FINAL SIDE AND APPROACH MBTA770 Mise. Inspection / / / / 01/10/97 #-1- slab an grade basment fl APP KS 01/10/97 KMS MSTA790 Electrical Final / / / / 04/28/97 Complete panel legend PASS MR 04/25/97 WR MBTA795 Mechanical Final / / / / 06/10/97 PASB RC 06/15/97 J•H MOTA797 Plumb Final / / / / 04/18/97 NR MS 04/21/97 MRS MOTA798 Final inspection / / / / 04/22/97 PASS MS 04/22/97 MRS MSTA799 building Final / / / / 06/10/97 PASS RC 06/15/97 J*H MSTA960 (F) Issue Cert. of Occupancy / / / / 06/10/97 mailed 8/21/97 JT 00/21/97 S*W MSTD700 Erosion Control / / / / / / 10/15/96 MON CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE LADD HILL CONST. ELECTRIC PO BOX 0356 FOREST GROVE OR 97116 Electrical Signature Form Permit # • • . . : MST96-0486 Date Issued. : 10/28/96 Parcel . . . . . . : 2Sa.04DD-02300 Site Address : 12834 SW RIDGEFIELD LN Subdivision. : MOUNTAIN HIGHLANDS 42 Block. . . . . . . . Lot- : 020 Zoning. . . . . . . R-4 . 5 PD Remarks : PATH I Your cornpany has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of work. No electrical inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNER: ELECTRICAL CONTRACTOR : MELVIN WAYMIRE JR LADD HILL CONST. ELECTRIC PO BOX 231164 PO BOX 0356 TIGARD OR 977.23 FOREST GROVE OR 97116 Phone # : 639-6742 Phone # : Reg # • . : 60153 X Sign reOf u rvising cel cel trician Please return this completed form to thc; address above. ATTN: Building Dept. RECEIVED If you have any questions, please call 639 4171 , ext. ;x310 FEB 0 3 199* COMMUNIN tlEVElUt'MNv, CITY OF •TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 972.23 IMPORTANT PERMIT NOTICE HARMONY PLUMBING PO BOX 1007 TUALATIN OR 97062 Plumbing Signature Form Permit #• MST96-0486 Date Issued. : 10/29/96 Parcel . . . . . . : 2510,=-02300 Site Address : 12834 SW RIDGEFIELD LN Subdivision. : MOUNTAIN HIGHLANDS #2 Block. . . . . . . . Lot . 020 Zoning. . . . . . : R-4 . 5 PD Remarks : PATH I Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of work. No plumbing inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM OWNEP : PLUMBING CONTRACTOR: MELVIN WAYMIRE JR HARMONY PLUMBING PO BOX 231164 PO BOX 1007 TIGARD OR 97223 TUALATIN OR. 97062 Phone # : 639-6742 Phone # : Reg # . . : 85021 X SignatL of Authorized Plumber Please return this completed form to the address above. ATTN: Building Dept. If you have any questions, please call 639-4171, ext. #310 CITY OF TIGARD DEVELOPMENT SERVICES tf1Ac5'rE:'.R PERM11 13125 SN Hall Blvd., Tigard,OR 97223 (503)6394171 PERh11'f #. .. . . . . . - 1*)A'f'F 1E)SLJED- 10/28/*96 PARCEL..: RG1041)E)--0i-E'_3,00 .51 1 E ADI)H.I-SS. 12'8-34 a14 F)IJBI)I V I S I(JN. . . . :� 110UN'TAIN HIGHL.ANIDS #2 ZONINIG. R- 4. 5 1-1) . . . . . . . .. . . .. . . . Remarks:'P�TH" I . . . . . ---------------------—----------—------------------------------ BUILDING ---------------------------------------------------------------- REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 871 sf REQUIRED SETBACKS---- REQUIRED-------------- CLASS OF WORR. :NEW HEIGHT........; 25 FIRST....; 1283 sf GARAGE.....: 462 sf LEFT..........: 16 SMOKE DETECTRS: Y TYPE OF USE,,..SF FLOOR LOAD....: 40 SECOND...: 9931 sf FRONT.........; 20 PARKING SPACES: I TYPE OF CONST.:5N DWELLING UNITS: I FlNBSMENT: 0 sf RIGHT.........; 5 OCCUPANCY GRP.:R3 DORM: --I BATH: 11 TOTAL------: 2276 sf VALUE.$: 175039 REAR..........: 53 --------------—-----—-----------------------------—-------- PLUMBING -------—-------—---I-----—SINKS.........: I WATER CLOSETS.: " WASHING MACH..: I LAUNDRY TRAYS.: I RAIN DRAIN ft: 0 TRAPS.........; 0 LAVATORIES....: 5 DISHWASHERS...: I FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: I CATCH BASINS—: 0 TUB/SHOWERS...: 3 GARBAGE DISP... I WATER HEATERS.: I WATER LANE ft: 100 BCKFLW PREVNTR: I GREASE TRAPS..- 0 OTHER FIXTURES: 0 ----------------------------------------------------------------- MECHANICAL -------------------------------------------------------—--------- UL TYPES------------ FURN ( LOOK 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1 /GAS/ I I FURN )=LOOK I UNIT HEATERS... 0 HOODS.........: I OTHER UNITS...: I MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........; 0 WOODSTOVES.... 0 GAS OUTLETS...: I --------------------------------------------------------------- ELECTRICAL --------------------------------------- --------------- —RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADDIL INSPECTIONS-- 1000 NSPECTIONS—1000 SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FOR_ 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 EA. AODIL 500SF.: 6 201 - 400 amp..: 0 201 - 400 amp..: 0 Ist WIG SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0 LIMITED ENERGY.: 0 401 - 600 asp..: 0 401 - SOO app.,: 0 EA ADDL DR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0 MANF HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amps-1080 v: 0 MINOR LABEL. -10: 0 1000+ amp/volt.: 0 ---------------------------------- PLAN REVIEW SECTION ---------------------------------- Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: ------------------------------------------------------ ELECTRICAL - RESTRICTED ENERGY ------------- A. SF RESIDENTIAL--------------------------- B. COMMERCIAL------------------------------------------------------------------------------- AUDIO I STEREO.: VACUUM SYSTEM—: AUDIO 8 STEREO.- FIRE ALARM.....; INTERCOM/PAGING: OUTDOOR LNDSC LT; BURGLAR ALARM-- OTH: X BOILER.........; HVAC...........: LANDSCPPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: HYAC...........: DArP/TEt.E COMM.: NURSE CALLS—.- TOTAL # SYSTEMS: 0 Owner: ------------------------ ------------------------------ TOTAL FEES:$ 4834.45 MELVIN WAYMIRE JR MELVIN WAYMIRE PO BOX 231164 PO BOX 231164 TIGARD OR 97223 TIGARD OR 97281 Phone #: 639-6742 Phone #: 639-6742 Reg #..- 35976 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 0 days. -------------------------------------------------------- REQUIRED INSPECTIONS ----------------------------------------- Footing Insp PLM/Underfloot, Framing Insp Gas Fireplace Water Service In Building Final Foundation Insp mechanical Insp Shear Wall Insp Insulation Insp Apvr/SdwIk Insp Erosion Control Post/Beat Struct Plumb Top Out Low Voltage Gyp Board Insp Electrical Final Post/Beat Meehan Electrical Servi Fireplace Insp Pain drain Insp Mechanical Final Crawl Drain Electrical R Li e Insp Water Lire Insp P140'Final Per,mittee 9i gnat i.,n-e I s si,ied •By -• A L. A-.L 639--14 175 L al ]. fov inspection CITY OF T 5EW1 R CONNECTION DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT ##„ . . . . . . : tSWR9F�-047 -17 DATE.. ISSUED: 10/28/96 PARCEL: 2G 104DD—r7r2,300 SITE ADDRESS. . . : 1 x='(-1.34 5W LN SUBD I V I S I ON. . . . c MOUNTA I IV 1-1 I Gl iL.ANDS #2 ZONING: R-4. 5 PD BLOCK. .. . . . . . . . . LOT.. . . . . . . . . . . . . :020 TENANT NAME. . . . . :MOUNTAIN H I GHI_.ANDS 1#2 USA NO. . . . . . . . . . : FIXTURE LIN ITS. . . : 0 CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 TYPE OF' USE. . . . . :SF NO. OF BUILDINGS: i INSTALL 'TYPE. . . . :BUSWR 111PERV SURFACE: 0 sf Remarks : PATH I Owner,: -_____.._.._._..____.___.____...___.__.._.____...__.__._..___.._—___._.._._____._-__._.._..._...__ .__ FEF:Fi - _...____..._....----._.........._... MEL_VIN WAYMIRE .7R type amnr.int by date Y-ecpt PO BOX 2,31. 164• PRM.T $ x='200. 00 DRA 1.0/28/96 96-2857E,:�� I k1SP $ .:9. 00 DRA 10128196 9 6 _857E,,:; TIGARD OR 972181 Phnne #: 639-674 .: Cnr7trar_tnr.: CONTRACTOR NOT ON FILE Phnne #: $ 223' . 00 TOTAL Reg #. . . —_—_--— REQUIRED INSPECTIONS - —This Applicant agrees to comply with all the rales and regulations Sewer• Inspection _ of the Unified Sewage Agency. The permit expires 188 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 andthF ency will install a lateral. Permittee !ii gnatur-e: i Cal I frit- inspect ion — 639-41.7 ; Plan Check 'ITY OF TIGARD Residential Building Permit Applic-ition Recd By F' .F u_kl :3125 SW HALL BLVD. New Construction Additions or Alterations Date Recd III l `11, -1GARD, OR 97223 Single Family Detached or Attached Date to P.E. IV 503) 639-4171 Date to DST " L Permit Print or Type Called le.17.9,6 Incomplete or illegit,le applications will riot be accepted Name of Subdivision Lot# Name .lob Mountain Highlands #2 Alan Mascord Design Assoc. Inc. Address Ste Address Architect Mailing Address 1305 NW 18th Ave. Lane City/State Zip Phone Name Portland, OR 97209 225-9161 Melvin L Wa mire. Jr. Name Owner Mailing Address tori Rowell P.O. Box 231164 City/State Zip Phone Engineer Mailing Address _ Tigard, OR 97281 639-6742 1311 S.F. 98 City/StateZip Phone Name -Pnrf.land, OR 97215 -4349 General Melvin G. Waymire, Jr. Describe work new N addition O alteration O repair O Contractor Mailing Address to be done: P.n. Box 211 164 Additional Description of Work: City/State Zip Phone Tigard, OR 97281 639-6742 Oregon Const.Cont.Board Lic# Exp. Date ,attach Copy of J 035976 3/11/97 I� Project Current COT Business Tax or Metro# Exp. Date _ValuationAL168,8 . _ Licenses 96-2626 Name NEW CONSTRUCTION ONLY: Mechanical General Furnagg Inc, Sq.Ft. House: Sq.Ft.Garage. Sub- Mailing Address 2276 462 _ Contractor P.O. Box 35 Corner Lot Yes No Flag Lot Yes No City/State Zip Phone (check one) X (check one) X Clackamag, OR 97015 _65fa_-M2& Restricted Audio/Stereo Burglar Oregon Const.Cont.Board Lic.# Exp.Date Energy System Alarm Attach Copy of - 9816 (fl Current COT Business Taxor Metro# Exp. Date Installation Garage Door HVAC Licenses t:)OOb J6,2-5" / / 9 7 X Opener Systems Name (check all that Other: Plumbing HarmonyTnc apply) Sub- Mailing Address Will the electrical subcontractor wire for all Yes No ;ontractor P.O. Box 1007 restricted energy installations? X City/State Zip Phone " Has the Subdivision Plat recorded? NIA Yes No Tualatin, OR 97062X Solar C Oregon Const. Cont. Board Lic# Exp. Date-5te Reissue of MST# ompliance Attach Copy of 085021 _ _ 7/97 (Calculation Attached) Current Plumbing Lic.# Exp. Date I herehy acknowledge that I have read this application,that the Licenses 34-266 P.B. 3),19;7 information given is correct,that I am the owner or authorized agent of COT Business Tax or Metro# Exp.D e the owner, and that plans submitted are in compliance with Oregon 2 7'/7 (o / 4 J State laws. Name Sign t 0 I,yerl gent Date Electrical i-I _ 10/21/96 Electric Contact P rson Name Phone Sub- Marling Address JOTa 6742 Contractor P.O. Box 0356 FOR FFI CE jrUSE ONLY: city/state Zip Phone Plat# Map/TL#: Forest Grove OR97116 359-7893 t� ++ 7 t� Oregon Const.Cont.Board Lic# Exp. Date I I I 1 r `., ` ,I f(DD - L"JOc7 Attach Copy ofl 060153 6/97 t Setbacks Zone: Solar: Current El e cal Lic.# Exp. ate / , 1 Licenses —� L J (l t j' , , �1. LI,', COT Business Tax or Metro# Exp. Date Engineerinq Arirrnvnl: Planning Approval: TtF: asVnstapp.doc Permit # Account Descrip m Amami Amt. Pd, Ba1Due s16-a tfto MST. Permit (BUILD) 6, 23 Plumb. Permit (PLUMB) Mech. Permit (MECH) U ELC/ELR Permit (ELPRMT) U State Tax (TAX) �S Bldg: 3 . ' Plumb: Y Mech: . •2 / ELC/ELR: Plan Check MST: (BUPPLN) � .I 2 So S '. Plumb: (PLMPLN) Mech: (MECPLN) CDC Review (LANDUS) Sewer Connection (SWUSA) vv u J Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) �S _�/ �U J—V Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Water Quality (WQUAL) � 2�✓ _ / �f-r� Water Quantity (WQUANT) / c,y ✓ _ l u d Erosion Control Permit (ERPRMT) �� Y Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) Fire Life Safety (FLS) TOTALS: t 7196 pp doc 7196