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13728 SW TAMAWAY LANE t: vim, ADDRESS: i:\records\microfim\targets\bui!ding.doc I 1 CIT OF TIGARD (DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)539-4171 I CERTIFICATE OF-' OCCUPANCY PERMIT M. . . . . . . : MST94-0451 DATE ISSUED: 10/25/96 PARCEL: 2S J 04 CA-09 700 I SdTE ADDRESS. . . : 13728 SW 1 AMAWAY l_IV ',UBD I V 161 ON. - . . : H I L.LSH I RE 7.OhJ T NCS: f2�7 GU BL1.,::K. . . . . . . . . . : LOT. . . . . . . . . . . . . r.097 Ci..ASS OF WORK. :NEW TYPt- USE. . . :SF TYPE OF CONSTR:514 OCCi)PONCY SKI. :R3 OC';LIPANC;Y LOAD:2 PATH I i C;HAEL HUMPHREY ,,385 SW 121 ST AVE r AC-IRD OR 97223 *s !1)90-.9'737 HUMPHREY ROSE WOCID DE'.VELI)PMENT CO '1385 Sod 121ST AVIS mARD OR 147223 � hune M: 6134-9737 .46568 r�1s (:ertifi�ate yr ants eccupaiicy of the above t efey•onrev bui iding or pol t: iar; I�preof and ronfiv-ms that the building has been trispected for r_c:npli,anca with ha L^taste of Oregon Spocimkity Codes for the wl'Oup, Occ'L y, nd use under ,h i c:h t>je rgforenced pet^mit was a s si..ied. �\ �UILDTNG INSPECTOR SUILDINCi OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION NOTICE lospection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service Foundation Water Line Calling -Plumb. Post/Bearn Mach. Shear/Sheath Framing --j=' Plbg.Und/Fir/Slai, Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mech. ROUgh-in Gyp. Bd. (f San. Sewer Gas I ine Appr/Sdwik Other: Date: A.M. _---: P.M. Entry:_ (V J_� Address: --- / 372- Tenant: .---,---.____ Ste:,,__ MST C` I Con/Own:_ BLIP: _ MEC:_ PLM: ELC THE FOLLOWING CORRECTIONS APE REQUIRED: ELR: Inspector: Date ���,AFMi5VED DISAPPROVED/CALL FOR REINSP CF CO N�� REARS let,C le W/ (,;,/ 4 U �( rL.. P. 02 f WESTERN FIBERS9 INCN P.O. Sec 745 - Hollis, Oklahoma 73550 - Mone 405-688.9223 Manufactures of Therm-A-fact Cellulose Spray-on Insulation for Thermal and Acoustical Applications WALLKOTE T" MIX J1 q. i Before -- - After - �r.rnr�.v+-.�u•.. �r �w�wo _ -% DEPARTMENT OF LAND USE&TRANSPORTATION WASHINGTON LAND DEVELOPMENT SE�VICES 5ION 5 NORTH F RST,HILL60R©OR £DIVI51024 2 COUNTY, INSPECTION REOUESTS: 503/640-3561/693-4415 I I OREGON XXXXXXXXX--> 640-3470 Page : 1 c-f 1 Date UVU7/9b Time 1�. : 48 Permit 1'ype ktesidential Electrical Permit Permit # UbO66U92 Permit Status APPROVED Applied s U4/06/9b Situs Address 13'/28 SW 'PAMAWAY LN '1'1. issued 04/U6/9b Permit 'Title b:'R - NEW Completed Permit Descr , To Expire 10/U3/y'a Project 'Title SVR - ALL ENCOMPASSING LV Project N POU48bb3 Project Descr,. * EROSION Pai.cel Number 261'1'1 - Land Use District Valuation 0 Legal Uescr .. owner 1N:aPE(d"l.'lUN - '1'1GAHL) Construction OOH Al.-)pilcant Name WILLAME'1" E ELECTIRJ.C. INC: , classification 90U ICK pi lc;arit AdOr .. : PU 800 23U!)4 / Uccupancy TiGARU, UH 91281 Validated by LG Appi i ca.ht Phone : 6 L4-; 6 31 Inspector Area e'ee ddsci.lptlon Units Fee/Unit Ext fee Data ----------------- Square Footage [ Enter S(a. Ft . ] 2b0U 185 . 00 Subtotal Electrical Fees : 185 . 00 State Sur,--harge of `,'4, 9 . 2b Total Elects .1c&J Nees * 194 . 2b *A * t'ees Required *** *** k'ees Collected & Credits ------------------------------------------------ Met-.hod check # Heceipt No. Date Payment CK 6249 04/06/95 194 . 2b Fees : 194 . 2b Adjustments : . 0() Total I.'reditc : . 00 'Total Totai Payments : 194 . 2:� Falange Due : , UO NOTICE: This permit becomes null and void If the work or construction for which It Is Issued Is not commenced within 180 days. Once construction has started, the permit becomes null and void If construction Is Interrupted for a period of 18^days. I certify that the Information presented by the applicant and his agent or agents In support of this permit is true and correct to the best of oui knowisdge. I acknowledge that the Building Department's reliance upon false and misleading information may Invalidate this permit. All provision[of applicable laws and ordinances governing the construction and use of this building or structure will be compiled with whelhee or not specified on the plane or noted on the plans correction sheets. I acknowledge that the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of the structure or building permitted depends upon my calling for Inspectlonr at various times during the process of construction and the building Inspectlon staff verifying compliance with the various codas. Use or occupancy of the building or structure permitted prior—approval by the Building Department is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and approval Is given by the Building Official. i further acki iov!edge that a lien m, be placed on the title of the property upon which the permit Is Issued specifying that the use or occupancy of the building or structure Is provislonel ind revocable until the satisfaction of all!..spection requirements. APPUCANT'S SIGNATURE e Department of COUNTY (ELECTRICAL PERMIT Department of Land Use & Transportatiryn rt Inspection Section 155 N APPLICATION 155 North First Avenue, x350-1:. Hillsboro, Oregon 97124 Information: (503) 640-3470 Fax: (503) 693-4412 permitDate l Number . `e" 1i�----- NT • 4. Complete Fee Schedule below 1 'umber of Inspet-tlons pe permlt allowed t. Location of installation ---- -- AddressJ_2aa..w-L&_ _� 'L Service included: Items Co_tt(ea.) Sum Buildin A. Residential-per unit City , Suite No. LLLID_�. 10130 sq.n.or leas _� $110.00 //O 4 Tenant Name Each additional 500 sq.n7 ) (if commercial) _ —____ or portion thereof --L $25.00 — Limited Enerny $25.00 Map No. Tax Lot -- Each Manuf'd Home or Modular Dwelling Service or Feeder __. $69.00 2 Thomas Map Bool.: Page: Section: -_- Directions____ _— ------ -- -— B. Services or Feeders Installation,alterations or relocation 200 amps or lase $60.00 2 Commercial ❑ Residential 201 amps to 400 amps $9o.00 _ 2 401 amps to 600 amps 3120.00 Conti-actor Installation only: 601 amps to 1000 amps $190.00 2 2a, Cont y� Over 1000 amps or voila $340.00 2 Electrical Contractor i,J Ijjj o,,e `1Pt.FA#k c= t� Reconnect only -- $5000 — – — 2 Address _Z0 11c. �Z City -I` � _ State ZIP q�7 / C, Temp Irary Services or Feeders Date V7_ C Job Number 2 !' Installation,alteration or relocation T_ 200 amps or less $50.00 — 7 Props y Owner �sPss��a�--�� ��-, 'tet^' r 201 amps to 4130 amps $75.00 2 Contractor's License No. ��'� ---- 401 amps to 600 amps $100.00 2 Contractor's Board Reg. No. '7 5 ST - over 600 a.-ips to 1000 volts see'B'above Signature of Supr. Elec'n ._ 1[KA D. Branch Circuits License No,j9c.5'- ' Phone No. 6 2 Y ' �L� New,alteration or extension per panel 9) The fee for branch circuits with 2b. For owner installations: Each b se h circuservit or feeder lee. Each branch clrcuft $5.00 2 'fv,,--�- b) The fee for branch circuits without rent veneer sNyme purchase of service or feeder lee. First branch circuit $35.00 — 2 less Each add'nl branch circuit $5,00 _ 2 1 �-- staff. --;,,I, E. Miscellaneous (Service or Feeder not included) Each pump or irrigation circle $40.00 2 The installation is being made on property I own Each. 'an or outline lighting $40.00 2 which is not intended for sale, lease or rent. signal circuit(s)or a limited energy panel,alteration Owner's Signature _—__ or extension $40 OU -- 2 F. Each additional inspection over the allowable in any of the above Per Inspection $35.00 3. Plan Review sec+ion If required) Per hour _-- $55.00 Please check appropriate hem ind enter fee In section 5B. 11 In Plant $55.00 �— - __._4 or more residential units ill one structure 5. Fees Service and feeder, 800 amps or more _System over 600 volts nominal A. Enter total of above fees $ -- T Classified area or structure containing special 5% Surcharge (.05 X total fees) $ Subtotal $ occupancy as described in N.E.C. Chapter 5 - 0. Enter 259'° of line A for Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $ --- above apply. Not required for temporary constructlon Subtotal $ ---�--- services. f_l Trust Account $ -- Balance Due $ ? For Inspections Call This pe'mlt beer mea null and void if it,*work authorized by the permit Is not commenced 640-3561 or 693-4415 within l6k day,from dote of issuance or such permit or If the work euthoAxsd Is suspended or abandoned at anytime after work is commenced for pnicd of 1 W days. 24-hour recorder, one working day in advance of need Electrical Permits are non-refundr'::and nondransfefeble. 8/94 DEPARTMENT OF LAND USE&TRANSPORTATION WASHINGTON LAND I)r-.VLI.OPMENT SERVICES 15DIVISION 5 NORTH FIRST,HILLSBO O OR97124 C 0 U p�W, INSPECTION REQUESTS: 503/640-3561/693-4415 MINIM ORE EGVV ON Permit. 05066091 Project # : P0048S53 Status APPROVED Page 1 at 1 Applied 04/06/9`. lssu.ad 04/06/95 Expires 10/03/95 04/12/9`i OF-01 RE.:,ELEC Perrfiit Title :Flt - NEW OT 14 I)escriptiun Begun : 03/23/y5 Jot) Address 13728 SW TAMAWAY LN TI _ JV L��. Owner Name INSPECTION - TIGARD H _ Region I.> Applicant Name WILLAMETTE ELECTRIC INC . (r_.j N-.� Phone number 624-3631 Vr.luat.ion : 0 ApproVc:d �. Inspector C.ormer,t.E : Rejrrct<:d v IVR-RESUL .� REO VEST ERROR ! L9 C Plumbing Mechanical Electrical Struct.rua 1 Gener.a1 n3t_e 1 aspected by _ _ _� ----___ .-, . NOTICE: This permit becomes null and void if a work or construction for which It Is Issued Is not commenced within 180 days, Onceco tructlon hes started, 1113p P_c' Il+hgt►m1R Mlks&,void If construction Is Interrupted for a period of 180 days. I certify that the Information presented by the appllcnnt and his agent or agents In support of this permit Is true and correct to the best of our knowledge. I acknowledge that the Building Department's rellence upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use Cc-)V e r ofShisliutt 9 ng a r 81�R�ItluDowlll b�aq compiled 't aulthority to aith ccess prither or vate property oorrtto use easements. . urtherhe plans or noted n the ans ack acknowledge tection hat t e use ork�occeupa occupancy P 0 4/ btruc[iira ur tJ1T1og p.rYj X depends upon my calling for Inspections at various times during the prccess of construction and the building r occupancy of the building or structure permitted prior to approval by the Inspection staff verifying compliance with the various codes. Use o Building al Is given hnttls solely he Building the Offlcialuf the I further acknowledge that a t and such use or may beoccupancy placedrevocable tltleuntil of the pinspection rty uponrequirements thearo permit satisfied -rad spe 9 Y 9 specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of all Inpuectlon requlremetda. APPLICA TT7S 1QNATURE 1 DEPARTMENT OF LAND USE&TRANSPORTATION WASHINGTON LANC DEVELOPMENT SERVICES DIVISION 155 NORTH FIRS:,HILLSBORO,OR 97124 IVCOUNTY, INSPECTION REQUESTS: 503/640-3561/693-4415 OREGON AA,-,AAAAX,. - � 640-- J11 Page : of 1 llate 0J/2V/y'', Time 16 : 15 Permit 'Type Residential electrical hermit Permit # : UbUbb47 : Permit Statin, APPROVED Applied 03/23/95 Situs Address IJ128 SW TAMAWAY LN 'T1 Issued 03/23/9b Permit 'Title SFR - ALL ENCUMPAaS1NU LV Co.npleted Permit Descr. To Expire 09/19/95 Project Title SFR - ALL ENWMPASS1Nta LV Project. # P0t'48bb3 Project Uescr . * EROSiU0 varcel Number 2bITI - Land Use District Via.Luat ion U Legal Uescr ., t Uwner : INSPECTION -- 'TIGARIJ c onsttuction t U'TH Applicant Name : GARY ' S VACUFLU Classitication 9UO Appli.cart Ad,jr , I 901b SE FLAVEL Occupancy PUR'TLAND, CSR 97266 Val4 dated by PH Applicant Phurie: '115-2041. inspector Area t'ee description Uttits h'ee/Unit Ext fee Uata ---------------------------------------------------------- Limited Energy/Alter , /Lxtension 1 40 . 00 4U . UU subtotal Llectrical Veins : 40 . JU State Surc:►arge of b% 2 . 00 Total Eiec;ti ical Feet : 42 . 00 A ** Fees 1.equired * *** r'ees Collected Credits * 0 ------------------------ Method Check N Receipt No . Date Payment 'DEP ' 03/23/9b 42 . 00 N'ee : 42- 00 Adjustments : . Uta 'Total Credits : 00 Total Fees . 4l— Uf, 'Total Payments : 42, 00 Balance :due : (JU NOTICE: 1 his pen,ft becomes null and void If the work or construction for which It Is Issued Is not commenced with In 180 days. Once-onstructlon has started, the permit becomes null and void If cons•ructlon Is Interrupted for a period of 180 days. I certify that the Information presented by the applicant and his agent or agents In suppo t of this porn It Is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance upon false and misleading Information may Invalidate this penult. All provisions of appil.able laws and ordinances governing tho construction and use of this building or strueture will be compiled with whether or not specified on the plans or noted on the pions correction sheets. I acknowledge that the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of the structure or building perml«ed depends upon my calling for Inspections at various times during the process of construction and the building Inspectlon staff verifying compliance with the various codes Use or occupancy of the building or structure permitted prior to approval by the Building Department Is solely at the risk of the applicant e.id such use or occupancy Is revocable until all Inspection requirements are eatlsfiPd and approval Is given by the Building Official. I further aclonc wledge that a Ilen may be placed o:)the title 0 the property upon which the permit Is Issued specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of at:Inspection requirements. APPUCAIIT'S SIGNATURE WASHINGTON COUNTY RESTRICTED 1^�� Department of!_anJ '.lse & Trlir,,portation `-S ee 1 C 15:5NE!ectrirt FrstrcvenSection 350 ELECTRICAS. ENERGY 155 North First Avenue, k350-12 Hillsboro, Oregon 97124 Information: (503)640-3470 Fax: (503) 693-4412 APPLICATION PRINTPLEASE / Please completesections, • . Permit No. 1. Location of Dare installation ,�- _ Addws!; City._ Zip Code _d'V 4. Type of work: Map No. Tax Lot RESIDENTIAL Restricted Energy Fae 540.00 Thomas Map Book: Page Section (tor all systems) Directions 14� Check type of work involved uc'.io and Stereo y_errrs� � Commercial ❑ Residential � -irglar Alarm elephcne Systems' Tenant Name nrage Door Opener* (if commercial) AKtr Alarm e ting.Ventilation and Air Conditioning Systems" 2. Contractor application: a um systems' to ther��� �L�L Electrical Contractor GAI11 ' S VACILIFLO, INC . 775-20,12 -- COMMERCIAL Fee for each system 540.00 9015 SI 111`. I l . I' L'L.D, Off 97266 - (see OAR918-20M260) DATE: �_ '`�Ao >�5 .1nTtr. Check type of work Involved: OWNER: _ /Q�c1L� ('I,E 26726 . ILL ('(.'Ii: wt(1.17 _ Boilet Controls _ L.ack Systems Phone NO. ___ _- Data Teleeommunicatiom installations Fire Alarm Installation 3. Owner application: - HVAC instrumentation f __..___. .____—___ No. Intercom and Paging System Pant Owner's Name Phone No. gin S stern Landscape Irrigation Control' Address - Medical Nurse Calls City State Zip Outdoor Landscape Llyhting• This permif,s Issued under OAR 918-320-370. The applicant agrees Protective.Signaling to make only resfrlcted energy Installations(100 volt amps or less) Other under this pbrmlt and to do the following: 1. rnly use e.ectucal licensed persons to do Installations where required. (Certain residential and other transactions are exempt Number of Systems from licensing. These have asterisi ('). Art others need livens- Ing.) 7.. Call for on:nspection when all the installations under this permit "No licenses are required Licenses are required for ail other installations. are ready for Inspection. 3. Purchase separate permits for all Installations that aro not ready 5, Fees for Inspection when the Inspector is out to Inspect under this �.- perm,t. Elliot hoes $ 4. Assume responsibility for assuming that.-,d corrections required by the Inspector are done,and 5. Assume responsibility for calling for a final inspection when all of 5010 Surcharge (.05 X total above) $ the corrections are completed. � G'�� f The person signing this permit must be the applicant nr a arson Trust Account $ autho,;,ted to bind the applicant. !43 Signature Total $ , ,- Authority if other than applicant ___..__ This permit becomes null and void If the work authorized by the p„rmit Is not commenced within 180 days t►nm date of Issuance For inspections call of ouch permit or It the wo-k authorized I.suspended or abandoned n q at any time after work Is c hmmenced for a period of ISO days. 640-3561 or 693-44 1 5 Electrical Permits are non-refundable and non-transferable. 24-hour recorder, one working day In advance of need BL24-114 Page No. 1 CASE HISTORY FOR CASE NO.: MST94-0451 MIC14AEL HUMPHRFI 13728 SW TAMAWAY IN 08/25/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA007 Application received / / / / 11/16/94 PASS KAR 12/17./94 BLT MSTA007 Application received / / / / 05/25/95 05/25/95 RB MSTAOlO Plan check deposit paid / / / / 11/16/94 PASS KAR 12/12/94 BLT MSTA020 Plan check by 12/12/94 / / 12/1.2/94 PASS RT 12/12/94 BLT MSTA030 Check for prcl. restrict. / / 12/12/94 12/12/94 PASS JLG 12/12/94 BLT MSTA092 (F) Issue combination permit / / / / 01/12/95 01/12/95 KS MSTA097 Issue plumbing signature form / / / / 01/12/95 PASS KAS 01/12/95 KS MSTA097 Issue plumbing signature form / / / / 11/15/96 11/15/96 JT MSTA706 Foundation Inap / / / / 01/13/95 APP GF 01/13/95 GES MSTA706 Foundation Insp / / / / 02/01/95 GARAGE PERIMETER PASS RB 02/01/95 RB MSTA710 Post/Beam Structural / / / / 05/24/95 VENTILATION REQ'MTS; VPPOP BARRIER. PEND RB 05/25/95 RB MSTA711 Post/Beam Mechanical / / / / 05/24/95 PENDINQ- INSULATION OF HORIZONTAL. HEAT PASS RB 05/25/95 RB DUCT MAIN- CIIACK AT FINAL. MSTA717 PLM/Underfloor / / / / 04/18/95 PASS MS 04/18/95 MRS NSTA720 Mechanical Insp / / / / 05/09/95 APP GS 05/04/95 GES MSTA725 Framing Insp / / / / 05/15/95 APP GS 05/15/95 GES MSTA71, Framing Insp / / / / 05/04/95 RE1NF BOTTOM OF UPPER STAIR JACKS DIS GS 05/05/95 GES FIRESTOP TOP OF MECH CHASE (TOP OF STAIRS NAILPLATE SOLE PLATE. (SAME CIIACiI VENT BAFFLE ENTERMEILT RM JOIST HANGERS FOR PROPPED CELL IN KIT POST UNDER DOUBLED 2X8 OVER ENTRY STAIRS CELL JOISTS iN MASTER AND DED 2 OVER SPAN RAT RUN AT JOIST SPLICE, UPSTAIRb HALL CK TO INSUI, MSTA735 Gas Line Insp / / / / 04/14/95 SEEMS TO BE LEAKING DIS GS 04/14/95 GES MSTA735 Ilan Line Insp / / / / 05/04/95 DIS GS 05/15/95 ICS MSTA735 Gas Line Inap / / / / 05/15/^s APP CIS 05/15/95 GES MSTA`140 Insulation Insp / / / / 05/15/95 No VAPOR BARRIER DIS 06 05/15/95 GES MSTA740 Insulation lnep / / / / 05/15/95 SUBMIT MFO INFO RE; NO VAPOR BARRIER PEND GS 05/23/95 GES REQUIRED VAPOR BARRIER IS REQ, AS THE H'IUSE IS ALREADY COVERED, A VAPOR BARRIER PAINT IR RF.Q MSTA745 Gyp Board Innp / / / / 05/23/95 SER REPORT FAIL, RB 05/24/95 RB Page No. 2 CASE HISTORY FOR CASE NO.: MST94-0451 MICHAEL HUMPHREY 13728 SW TAMAWAY LN O8/25/9B Action Description Rey/ Schd/ End/ Action Votes Disp By Update Upd Code Sent Done Done Date By MSTA74S Gyp Board Insp / / / / 05/24/95 PENDING GARAGE ATTACHMENT; SOME MISSED PASS RB 05/25/95 RB AREAS MAIN/UPSTAIR LOCATIONS. MSTA755 Rain drain Insp / / / / 02/28/95 APP GS 02/28/95 GES MSIA760 Water Line Insp / / / / 02/29/95 NO TEST DIS GS 02/28/95 GES MSTA765 Appr/Sdwlk Insp / / / / 08/09/95 1) Extend boards for wings to curb line. PEND LT 08/24/95 C•il 2) Extend drain pipe tv curb weep holes 6 move drain line at uphill side to top of wing. 3) Place felt at each end of cold joint. 4) Be prepaynd to protect finish. 14STA770 Misc. Inspection / / / / 02/08/95 REBAR FOR EXT WALLS MAIN FL TO ROOF APP GS 02/08/95 GES MSTA770 Misc, Inspection / / / / 03/06/95 FtfiAL GROUTING OF FOAM BLOCK APF GS 03/06/95 GES MSTA770 Misc. Inspection O7./96/96 / / 02/23/96 Electrical final approved ELC MJR 02/26/96 MJR Lo-voltage final approved MSTA795 Mechanical l'inal / / / / 01/07/96 # l- gas meter not set at. this time gas DIS KS 10/14/96 KBS piping inspected and app by RB,5/15/96. gas fireplace not functional MSTA795 Mechanical Final / / / / 10/25/96 APP KS 10/2.5/96 KBS MSTA797 Plumb Final / / / / 10/07/96 tub valve crossed PASS MS 10/07/96 MRS MSTA799 Building Final / / / / 01/07/96 N-1- post insulation cert DIS KS 10/14/96 KBS M-2- extend guardrail at upper landing sparing exceeds allowable limits. MSTA799 Suildino Final / / / / 10/25/96 APP KS 10/25/96 KBS ISTA960 (F) Iaque Cert. of Occupancy / / / / 10/25/96 11/08/96 JT MSTA970 Case Finaled / / / / 10/25/96 APP KS 10/25/96 KBS CITY OF T COMMUNITY DEVELOPMENT DEPARTMENT MASTER V,ERMIT 13125 SW Hall Blvd,Tigard,Oregon 97223*8199 (503)639-4171 PERMIT #. . . . . . . : MST94-04' . ! 639-4171 DATE ISSUED: 01/12/95 PIPRU'EL: k`_'5104CA--0c,, 7@0 TE A D U R E S5. . . : 13­728 SW TAMAWAY LN --ABU I V I S I ON. . . . : HILLSHIRE ZONING: F<--? PI) ..00K. . . . . . . . . . : LOT . . . . . . . . . . . . . :091 BUILDING ISSUE: DWELLIN6 UNIT13: 1 BAGEMENT. . . . . -0 s LASS OF WORK. :NEW 8EDRMS04 BATHS:3 GARAGE. . . . . . . . . . :704 sf -,,'PIE OF USE. . . :SF FLOOR PLEAS­------­----- REQUIRED OETBACKS- --------- ✓Plk 01- CONST. :5N F I RST. . . . 011'72 sf LEFT. . : 10 ft RIGHT. : 10 ft .'CUPANCY GRP. ,143 SECOND. . . : 1:_14 s f F,RONT. .20 f t REAR. . -30 ft L)RlLS. . . . . . . Iii, FINBSMENTtO Sf REUUI I GHT. . . . . . . . t28 -ft 1'O*TAL-­----­­--:238& qf SMOKE DETECTOTIS. IY ODR LOAD. . . . -.40 psf VALUE.. . . . . It : 165733 PARKING SPACES. . i I -marks : PATH I �'-'LuFIBING ! NKS. . . . . . . . . . .. I FLOOR DRAINS. . . . .10 BACI.I.FLOW PRFVNTRS. . : I I VATOR 1 ES. . . . . ab WATER HECITERS. . . : 1 TRAPS. . . . . # . . . . . . . . :0 IJB/SHOWERS. . . . :3; L.AUNDRY , iPiYS. . . : 1 (.'ATCH BkSIN;-i. . . . . . . :0 I I ER LLOSLTS. . :3 SEWER LINE (ft ) . :0 GRLASE ThAPS. . . . . . . :0 fSHWASHERS. . . . : 1 WATER LINE (ft ) . - 100 OTHER FIXTURLS. . . . . :0 ,,r-if?BAGE DISC. . . a RAIN DRAIN (ft ) . :O 111SH I NG MACH. . . - 1 51-" RAIN DRAINS— : 1 -...... MPCHANI(:AL F-EES .IEL UNIT HTRS. . :0 type a M 0(.(Tl t by date r-ecpt )AS/ VENTS . . . . . .0 TIF 4, 1550. 0141 KS +41112/95 — ;X INPUT .-0 LATU VENT FANS. . : 4 SwM 1 160. 00 KS 01J12/95 — IRN ( 100K :0 HOODS. . . . . . .. I SwM $ 100. 00 KS 01/12/95 — IRN ) =100K : 1 W0(-_,DSTOVE5. :0 SPRT $ 598. 00 Ks 0I/12/95 — .00R TURN. . . . :0 (".0 DRYERS. *. I BPLC $ 388. 701 KS 12111/12/95 "). ')0 KS @I./ I i;�/9 5 iIL/CMP 3F4 :0 j 3 ul FAZ.H UNITS: 1. $ - GAS OUTLETS: 1 PARK s 500. 00 KS 01/12/95 u w n e t, M P J_'.-1 $ 45. u10 KS 01 /12/95 01ILHOL.L. HUMPHREY MPi.-L $ 11. L5 KS 01/12/95 sw i,z­:.,i ST Ayi.,-. 1115PIE $ ,2- .::5 KS Ill/ 1L'/'?5i 3B7+1 $ 225. 00 KS 01/12/95 7' I IUARD OR 97i*:.,,R3 P91PC $ 11. 1-3 KS 01/12/95 Phone #.- 590 ­97.'".;;7 E ROS $ 64. 00 KS 01/12/95 L, n t i,ar:t a r": -E RPIL $ 20. 80 KS 01/12/95 in HUMPHREY ROSEWOOD DEVELOPMENT [,(J E RPC $ 20. 80 KS 01/12/95 1 365 S W 1,21.G T H V L I i(_,HRD OR 972;R3 1-,I: )oe #: 61-34 -9737 4656b --- 95 TOTAt_ This permit is issued iub)Pct to the regulations contained in the REOUIRED INSPECTION�i Tigard Mviz-ioal Code, State of Ore. Specialty Lodes and all other Post/Beam 5,ttl�ict Gas Lj.l)e Insp applicable laws. All work will be done in accordance with approved Post/Peam Mechan Insulation Int- pians. tit- plans, This permit will expire if work is not started withir, 199 Pllni/,.oidIlab Insp Gyp Board Insp �z.s of issuance, or if Park is r ,rlIndel for aoretW 1)qaays. FILM/Underfloor Rairi drain ITIS} Mer_hatiic-al insp Water, Lino Insp :111.imt.l fIj:.) 'JI-It r#pp) IH 171SP Framing Insp Mechanical FiripT Pv ! F i r,P p I Ac:i? T vi s r., P11imb [:it)Al ­Ii Tor Ms'peccloll 777 IT I JL. I CITY OF TIGA RDSEWEk CONNE IC7N PERMIT COMMUNITY DEVELOPMENT DEPARTMENT BERM L I #. . . . . . . : SWR94 , 13125 SW Hall Blvd.Tigard,Urogon 97223.8199 (503)83'14171 DATE ISSUED: 01/ 122/95 PARCEL: 2S104CA--09700 !AL AVr)RE5S. . . : 13728 SW TAMAWAY LN ZONIN6: R-"r PD ,bDIVISION. . . . o HILLSHIRE LOT. . . . . . . . . . . . . .097 OCK. ,_NANT NAME. . . . . : FIXTURE UNITS. . . USIA NO. . . . . . . . . . : DWELL I NG UNI TS. . : 1 -ASS OF WORK. . . :NEW NO. OF BU I LD I NGS: 1 YPP OF USE. . . . . :SF I11PERV SURFACE— : : INSTALL TYPE. . . . :BUSWR .4emarF(s: PATH I FEES `owner: ------_.__.___.____.. _ . tYppamo .antby cf.ate r•ecpt ICHAEI_ HUMPHREY PRMT 01/12/95 - ,2,3f35 SW 1i-,1 5T AVL I NSF' 35. 00 VS rLl i/12/'35 I VAPD OR 97223 one #: 590-9737 ontractor; --_---._._.__...-._.._._._- ___--• ONTRACTOR NOT ON FILE 2235. 00 TOTAL.. 'hone .. ,pq , ___..___..__-..._ REQUIRED INSPECTIONS MIS Applicant agrees to comply with all the ruies and reg,lations toewer Inspection J the Unified Sewage Agency. The permit expires l86 days from __ ____.._.___.__•_ _ _. — _�____--the date issued. The total amount paid will be forfeited if the ;,erm>t expires. The Agenct, not guarantee the accuracy of the _ ------ -ide sewer laterals. If the er is not located at the measurement given, the installer shall prospect 3 feet in all directions from ____._..._._.__.--.-----•-•-- - ��� ,,he distance glven. If not so located, the installer shall purchase 'Tap and Side Sewer" Permit and the Agency w11i instala later�L i (,y-mrttee 1.1r1ritur"P : tsm s5l(ed By LoII for- inspet-L Ion - 639.--4115 ResidentialBuilding Permit Application �5 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: --�•�--• Office Use Only Subdivision: Lot# -- Planck/Rec Valuation: 5- 7 3 Permit# )A..> Corner Lot? Y Reissue of Flag Lot? Y cJ Map & TL#_ Owner: ��0.e u til r c Approvals Required. Address: ,�,�' �� s �✓ r � Planning L a r.1 r Fngineering Phone: °'' - 97 3 7 - Other Contractor: osc�✓o �' 1��c1, C — Items Ro uQ_ired Address: Gf Subco:itractars __ -- Truss (1rtallS Phone: 1 66 617� — Other _ —--- Contractor's License # ---/'� 5-6 (attach copy of current C egon license) Contact iJame & Phone' r 4 Arch ltect/Fngineer: L-2 H j Subcontractors: Plumbing: - �� �` Address l Mechanical: 4- -- �_ ! t k — (attach cop of current R Contractorslicense) Phone: ------- JOB DESCRIPTIONi `-- (��► 0 7(� Applicant Signature & Phone number Received by: — Date Received. v v v0RMCOMOEV\FESAPP — 38.26' — S 78°54'56" E 90.45' ,250 w V i rTl t:l S) C)o _ _ - `�° SD ELEV, SD ELEV, t� 245'7 247' 47' MAIN FLOOR Z ELEV. 249' ry le- I 32' o -y 1/2" o w 32' I GARAGE_ Fl_ODR 22 ELEV. 243' - _ 2427 w 42'-4" 240, 2 - 8 10' 77.90' 4" CONC. /i S.W. TAMAWAY LANE SD ELEV. DRIVEWAY 233' (3500 PSI) ;D F_LEV, 23 SDE=STORM DRAINAGE EASEMENT SSE=SANITARY SEWER EASEMENT ADVgqAN AGG SCALE: 1"=15' ROSEWOOD DEVELOPMENT f,,� DSERUICE DR, BY HILLSHIRE LOT 97 CITY 4F TIGm ARD COMMUNITY DEVELOPMENT DEPARTMENT MASTER FSE RM T 1 13126 SW Hall Blvd.Tigard,Oregon 97223.6100 (503)639.4171 PERM IT #. '. . . . . . : MST94-046`_- 639-4171 DATE ISSUED: 01/05/9) PARCEL.: 2S I04CA-09 7011E I TE ADDRESS. . . : 13728 SW TAIYIAWAY LN .PUBDIVISION. . . . : 11ILL.GHIRE ZONING: f2- 7 F'U ;3LOC:K. . . . . . . . . . : L_01.. . . . . . . . . . . . . :097 --------------- BUILDING _--________.---------------•---___..__.___._ itL I SSUE.: �/ S DWELL I NG LNII I T : 1 BA5EMENI'. . . . . . . . :0 S f I.LNiSS OF WORK :NLW �L BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :71 4 s f 1-YPE. O USI::. . .. :GF FLOOR ARNA'3--- --- -- -- REQUIRED SETBACKS-._.__.____.___ I'YPIL OF CONST. :5N FIRST. . . . : 1172' 5f LEFT. . : ICA ft RIGHT. : 10 ft )CCU[-'ANCY GRP. : R3 SECOND. . . : 1.2"14 S f F-RONT. :L 0 f t RF AR. . :30 f t ,3TOR 1 Er . . . . . . :2 F I NBSMENT y 0 5 f REQUIRED----------------------- riF I GHT. . . . . . . . :213 f t TOTAL-- ___ _. ._. BG 5MOl E- DETECTORS. :Y "L_OOR LOAD. . . . :40 ps f VALUE. . . . . $: 2000 PARK I NG SPACES. . : 1 Remav-14s : PATH I FOOTING/S'TEM WALL LJNLY " �1NKS. . . . . . . . . . :17, FLOOR DR(AIN5. . . . :0 BACKFLOW PREVNTRS. . :171 ...HVH(URIE:J. . . . . :0 WATER HEATERS. . . :0 TRAP'S. . . . . . . . . . . . . . .0 TUB/SHOWERS. . . . :0 I.ALJNDR'.' TRA'YS. . . :0 CAI'CH BASINS. . . . . . . :111 WATER CLOSETS. . :QI 13E:WER LINE (ft ) . :0 GREASE TRAP'S. . . . . . . :0 L)ISHWASHERb. . . . ;0 Wf1TER LINE (ft ) . -0 OTHER FIXTURES. . . . . :0 I.aARbf4GE_ DISP. . . :0 RAIN DRAIN (ft ) . :0 WASHING MACH. . . :0 SF RAIN DRAINS. . :O MEC:HANILAL --_____.___-__._._.___-_...---- ._._.•.____..__.-_-__ FEES FULL lYPES-. -- - --- ___._..._.-. UNIT HTR3. . :0 type amount by date r,ecpt VENTS' . . . . . :0 BPRT $ :36.:. 50 JG 12/27/94 - MAX INPUT-0 13TLJ VENT FONS. . :0 BPLC t 2 1. 1 .3 JG 12/27/94 - [-URN ( 100K . . :0 HOODS. . . . . . .0 B5PC, f 1. 63 JG 12/6.:7/94 - 1-URN > =100K . . :0 WOODSTOVES. :0 i-L.UI.JR I` URN. . . . :0 LLD DRYERS. : 0 111IL/CMP ( 3HP:0 OTHER UNITS:0 GA5 OUTLETS-i:0 11 1 LHALL HUMPHREY ! :385 SW 121 34 AVE I iGARD OR 972i-3 590--`.'7.37 ),,1 HUMPHREY ROSCWOOD DEVELOPMENT CO 1 j: s3ab SW 121ST AVE T IGARD OR 972 3 Pflone #: 684-9737 t 55. 26 1UIHL his permt is issued subject to the regulations contained in the ---•---- REUUIRILD INf3P'ECT IONS ----- Tig•srd Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp applic rle laws. All work will be done in accordance with approved pian. This permt will expire 1f work is not started within 180 days of issuance, or if work. a suspended f r sore than days. — r, mil:tee is �.�� 1 S s ued By : i PUBLIC EASEMENT SDE & SSE S 78.54'56" E 90.45' :38,2 6' c0 \` �_ 250 — W \ CD .J fTl \ - \ SD ELEV, �\ SD ELEV. t� 245' - .\4 7' 47, MAIN FLOOR ELEV. 249' n� 32' I CZ) 7' - 91 1 /2 w P 32' f_ r*� GARAGE FLOOR 22 ELEV, 243' _ J 242 w ,r 4 2'-4 --_. -2,36 _ I 8 10' 3 77.9 0' _-- -- -- - S,W, TAMAWAY LANE 4" CONC, 233ELEV. DRIVEWAY SD ELEV. (3500 PSI) 235' SDE=STORM DRAINAGE EASEMENT SSE=SANITARY SEWER EASEMENT ADR NTAG SCALE: 1"=15' ROSEWOOD DEVELOPMENT _ , DSERVICE DR, BY HILLSHIRE L7