11018 SW VERDE TERRACE ADDRESS:
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CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd. Tigard,OR 97223 (503)639.4171
CE RT T F I ATE OF
OCCU ANC:.Y
F'LUMI I #. . . . . . . s MST96-030c
DALE IStaUED: 0'7/11/97
IIAN,CEL-s 1 E',1:35CA•-CiVk1 7
;ITL ADDRiESS. . . s 11018 SW VERDE G1
,UBDI V I SIOM. . . . s DAKOTA VILLAGE #2 ZONING:
"iLOL:K. . . . . . . . . . : LUT. . . . . . . . . . . . . :27 JURISDICTION:
'LASS OV WORK. :PHEW
Ys-'�E OF USE'. . . :DUP
I Yaiw OF CONST R:LIN
,-JCcUPANCY GRP. c R3
,(-rI fP0NC'•I LOAD:2
14-marks : PATH 0 DllGLEX WITH PROPERTY LINT TWROLIPH THE MIDDLE I
i&P VIROPE=RTILS
i6395 SW BELL. RD
;44FRWOOD OR 9j'140
)hone lt: 250-21 385
:ontrmctors _....._. . ___.__.._..._..__. ._ ......_ _______ _,_. ..._....___._
i & W PROPERTIES
16395 �iW BEL-L RU
'WE RWOOD OR 9710'+
hone #s 229•-1733
,teg #. . s 000913
I'hi s Certificate grunts occ-upanc,y of the above refea-enc'ed f--_:' ldinq or port ion
thcoveof and confir-ms that the buildinq has tree inspected for compliance with
Thr.. State -f Oregon f3pec.ialty Codes for, the gr-,o tp, occupancy, Rnd Uee 1.1ndPV-
t,-ahich the i-e -renc,ed pet-Mit was issued.
HUIL.I'JINC� INSPECIOF+ BUILDING OFFICIAL -_........___.._._.._.
POST IN CONSP I CUOUEa PLACE
it
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Pone: 639-4171
Date Requ.ssted: _ •��.t 7" � '- A.M. P.M MST:
location:
Lo r.,2_ 7 BUR
Tenant: Suite: 131dg: NEC:
Contractor: _ Phone: N— PLM:
Phone: ELC:
ELR:
-- ---- SIT:
BUILDING BLDG coni) PLUMBING 11�EM5 NI— ELECTRICAL SITE
Site V)3eam PosU13cam POS91T O11—~ Cover/Service Sewer/Storm
Fnoting Roof UndFI/Slah Rough-In Ceiling Water Lute
Slat, Framing Top out Lias Line Rough-In UG Sprinkler
Foundation Insulation Sewer Ilood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service misc.
Masonry Ceiling Rain Thain A/C 130 Slab
Shear/Sheath F' Alm Crawl/Found Ih I feat 1,ow Volt
pproved Approval prov Approved Approved
Appr/Sdwlk 'ed Not/'•.pproval of Apfrow4 Not Approved Not Approved
FIN�� FINAL -FINAL' FINAL FINAL
VL C C-92
rCall reinspection Q Reinspection fee of Srequired before next inspection O Unable to inspect
Inspector: — — Date: ---,`—t Page of
S & P PROPERTIES
6743 S. W. BANCROFT WAY
PORTLAND, OREGON 97225-1 9C t
June 19. 1997
City ol'Tigard
8777 S.W. Burnham Street
Tigard.OR 97281-1999
To Whom a May Concern'
Matt Jones and S&F ''roperties hereby w:urtnt that the.~hear wails and common walls built in the
townhouw:s in the Dakota Village Subdivision arc in compliantx with all current building axles.
Mau J s
S&P Properties
Carl W. Spitrnagcl
CARL W. SPIT7NACAL AND ALFRED PENSE
d
S & P PROPERTIES
674 3 S. W. BANCROFT WAY
PORTLAND, OREGON 97225.1904
i
I
6
June 19, 1997
City of Tigard
9777 S. W, Bumham
Tigan],ChL gon 97281-19KN
RE: Dakota Village Underground Services
To Whom it .Clay Concem:
S&P Properties hereby warrtn that all underground services: waterlines.sewer lines anV s.ru .�n sewer lines
were constructed in wcordance ith all applicable huilding codes.
1 �
S&P Properties
Carl W Spitrnaeel
t
CARL W. SPITZNAGEL AND ALFRED PENSE
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171
ELECTRICAL PERMIT
RESTRICTED ENERGY
PERMIT #i ELR97-0010
DATE ISSUED: 05/08/97
PARCEL: IS135CA-DVO27
SITE ADDRESS. . . : 11018 SW VERDE ST
SUBDIVISION. . . . :DAKOTA VILL-AGE #2 ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :27 JURISDICT'114:
Project Description: Burglar alarm
__._-_--------_..-__
A. RESIDENTIAL---------- B. COMMERCIAL-.--------------___--___----_.--_____---.__
AUDIO
OMMERCIAL-------------------------------------------
AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . s
BURGLAR ALARM. . . . : X BOILER. LANDSCAPE/ IRRIGAT. . :
GARAGE OPENER. . . . . MEDICAL. . . . . . . . . . . . I
HVAC. . . DATA/ TELE COMM. - t NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . . . :" " ' " * '
FIRE ALARM. . . . . . : OUTDOOR LANDSC LITEt
OTHER: HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL— i
INSTRUMENTATION. : OTHER. . : : 3
TOTAL # OF SYSTEMS: 0
FEES
PROPERTIES type amoi.tnt by date recpt
16395 SW BELL. RD PRMT $ 40. 00 JSD 01/09/97 97-288698
SHERWOOD 04 97140 5PC T $ 2. 00 JSD 01/09/97 q7--.7,8PE,11
a
Phone #s 250-2385
Contractor: ----------------------------------------------------------------- -
TI-40MAS BURGHARDT $ 42. 00 TOTAL
85708 SW SPRUCE 5T
REUUIRED INSPECTIONS
-1 IGARD 97223 Ceiling Cover Elect' l Final
Phone #: Wall Cover
Reg #. . :
lfiis• permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other F'rrmitee Signati-tre
applicable laws. All work will be done in accordance with
approved plans. This Dersit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days. Issi-ted By
------OWNER INSTALLATION ONLY--------------------------
I he installation is being made on property I own which is not intended f oi,
sale, lease, or rent.
OWNER' S SIGNATUREs DATE:
INSTALLATION ONLY----------------------- -
.IGNATURE OF SUOR. ELECIN: DATE:
LICENSE NO:
Call for inspection - 639-4175
■
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by:
13125 SW HALL BLVD Date Rec'd: C) I
TIGARD OR 97223 PRINT OR TYPE
V-503-639-4171 X304 Permit 9'?
F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: Llji4A :J 14!
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL
I Restricted Energy Fee........ .............................. $40.00
k,(x o, ��II���� (FOR ALL SYSTEMS)
JOBI .,Stree``Add ss Ste#
ADDRE ko ' 10 h � L n.�n(.r, Check Type of Work Involved
City/State Zip Phone# ❑ Audio and Stereo Systems
Name (11W Burglar Alarm
OWNER Mailing Address
Garage Door Opener'
'1 ' C.3W ]Tito(rICI� 1�i(1`/
_ Ty/Sta a ZI Phgpe EJ Heating,Ventilation and Air Conditioning System'
oV\A rv1 iA Cly� � Z Iz �1
Name ❑ Vacuum System'
❑ Ot;ier
CONTRACTOR Mailing Address
TYPE OF WORK INVOLVED-COMMERCIAL
(Prior to issuance a City/State Zip Phone# Fee for each system.............................................. $40.00
copy of all licenses _ (SEE OAR 918-260-260)
are required if Oregon Conlr.Bird Lic+# Exp. Date
expired in C.O.T. Check Type of Work Involved
data base). Electrical Contr. Lie.# Exp Date
Audio and Stereo Systems
C.O.T.or Metro Lie.# Exp Date
❑ Boiler Controls
Owner's Narne
❑ Clock Systems
OWNER - Mailing Address
APPLICANT [] Data Telecommunication Installation
City/State Zip Phone# ❑ Fire Alarm Installation
This permit is Issued under OAE 918.320.370.This applicant agrees to
make only restricted energy Installations(100 volt amps or less)under this ❑ HVAC
permit and to do the following.
❑ Instrumentation
1. Only use electrical lic ed persons to do Installations where required.
Certain residential and other transactions are exempt from Iii ensing. ❑ I itercom and Paging Systems
These have asterisks('). All others need licensing;
2. Call for inspections when Installation under this permit are ready for EJ Landscape Irrigation Control*
inspection at 503439-4176; ❑ Medical
3. Purchase separate permits for all Installations that are not ready for an Nurse Calls
Inspection when the inspector is out to inspect under this permit; ❑
4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting'
inspector are done,and; ❑
Protective Signaling
5 Assume responsibility for calling for a final inspection when all of the
corrections are completed ❑ Other
Permits are nontransferable and nen-refundable and expire if work is not
started within 180 days.1 issuance or if work is suspended for 160 days. _ Number of Systems
The person sip in r this permit must he the applicant or a person No licenses are required Licenses are required tc all other installations
authorized to I he applicant.
FEES:
Slgnatu IE" ENTER FEES s ! I V
5%SURCHARGE(.05 X TOTAL ABOVE) :
Authority if other than Applicant TOTAL =
i',resele doc 12196 _
Page No. 1 CASE HISTORY FOR CAB.° NO.: MST96-0305
S6P PROPERTIES
11018 SW VERDE ST
12/03/97
Action Description Req/ Schd/ End/ Action Notes Diep By Update Upd
Code SentDone Done Date By
MSTA005 Applir_ation received 06/14/96 / / 03/22/96 PASS JD 06/14/96 BT2
MSTA009 PermitCreated 06/14/96 / / 06/14/96 PASS RT 06/1.4/96 BT2
MSTA010 Check for prcl. rentrict. 06/14/96 / / 03/28/96 PASS Jr) 06/14/96 BT.'
MSTA012 Plains routed to Plaula Examiner 06/14/96 / / 03/28/96 HOLD FOR ADDRESSES PASS JD 06/14/96 BT:
MSTA026 Plans approved by Plans Exir 06/14/96 / / 06/14/96 PASb :IT 06/14/96 BT2
MSTA030 Reviewed plane routed to DSTS 06/14/96 / / 06/14/96 PASS RT 06/14/96 BT2
MSTAOSO Y^ld for / / / / 07/18/97 HOLD C/O FOR INSPECTION OF ELR/ALARM HOLD JT 08/18/97 JT
'18/97 (approved 7/11)
approved bldg final
MSTA090 (F) Ready to inane
/ / / / 06/18/96 PASS CJS 06/18/96 CJS
MSTA092 (F) Isous combination permit / / / / 07/11/96 PASS JSD 07/11/96 JD
MSTA097 Issue plumbing signature form / / / / U7/11/96 PASS JSD 07/11/96 JD
MSTA098 Issue electric signature form / / / / 07/11/96 PASS JSD 07/11/96 JD
MSTA700 Erosion Canto] / / / / / / 06/14/96 BT2.
MOTA705 Footing Inep / / / / 07/17/96 #-1- figs approved by office staff, per A/N IS 07/23/96 KBS
conversation david Scott,
MSTA706 Frundation Inep / / / / 07/17/96 APP K9 07/23/96 KBS
MSTA710 Yost/Beam Structural / / / / 08/07/96 pending- splice gussets PASS RB 08/07/96 RB
MSTA711 Post/team Mechanical / / / / 08/07/96 PASS RB OB.'07j96 RB
MSTA713 Crawl Drain / / / / / / 06/14/96 BT2
MSTA717 PLM/underfloor / / / / 08/07/96 PASS MS 08/07/96 MRS
MSTA720 Mechanical Inep / / / / 71/08/96 APP KS 08/22/97 RB
MSTA722 plumb Top Out / / / / 12/11/96 .eed to teatthnl the roof: FAIL, MS 12/12/96 MRS
M.9TA722 Plumb Top Out / / / / 12/16/96 PASS MS 12.16/96 MRS
MS'fA723 Electrical Service
/ / / / 11/06/96 OK covuR AND SERVICE. PASS HW 11/08/95 RB
MSTA724 Electrical Rough In / / / / / / 06/14/96 BT2
17STA725 Framing Inep / / / / 11/12/96 k-1- see inapectiuon notes DIS IS 11/13/96 KBS
MS'IA725 Framing Inep / / / / 11/18/96 APP KS 11/23/96 KBS
MSTA726 Shear Wall Inep / / / / 11%18/96 APP IS 11/23796 KBS
MSTA727 Low Voltage / / / / 07/11/97 installation of alarm ok PASS BRP 08/02/97 J•H
MSTA"735 Gan Line Inep / / / / 01!06/97 k-1- 25 P31 for 15 min ute:n APP KS 01/06/97 MS
MSTA'740 Insulation Inep / / / / 1.2/20/96 PASS TLP 12/26/96 BT2
MSTA745 Gyp Board Inep / / / / 12/24/96 k-1- installation r-ot completed at this DIS IS 01/06/97 KBS
tams; call for separate
inspection at two hour separation wall
prior to applying
gypsum to ceiling members.
Page No. 2 CASE HISTORY FOR CASE NO.: MST96-0305
S&P PROPERTIES
11010 SW VERDE ST
12/03/97
Action Description Req' Schd/ End/ Action Notes nisp By Update Upd
code Sent Dane Done Date By
MSTA745 Gyp Board ]nap / / / j 11/19/96 11-1- FIREWALL; tape all joints and fill DIS KS 11/23/96 KBS
all voids
MSTA745 Gyp Board Inap / / / / 12/31/96 mach rough s gas lii.e- lack of FAIL RB 08/22/97 RB
inspectione; adhesive use- no greater
than 24^ ctrs for nailing; completely
wrap trusses and 4-foot inward] unknown
if firewall inspected.
MSTA755 Rain drain Inap / / / / 08/07/96 low point to be pumped PASS MA 08/07/96 MRS
MSTA760 Water Line Inep / / / / 08/23/96 N/P. GS 08/26/96 (IRS
MSTA760 Water Line Inep / / / 06/20/97 PASS MS 06/20/ 7 MRS
MSTA765 Appr/Sdwlk Inap 06/19/97 / / / / Private street. N/A PI 06/10/97 MRS
MSTA771 «RSINSPECTION— / / / / 05/16/97 failed building final $ 15 RA 07/17/97 J•H
MSTA790 Electrical Final / / / / 05/16/97 CALL FOR RRINSPBCI'ION WHEN CORRBCTM FAIL BRP 05/22/97 J►H
1. Switches and receptacles, various
location@ are loose.
2. Kitchen circuits are to 1993 NEC
code.
3. Bathroom receptacles are to 1993 NBC
code.
MSTA795 Mechanical Final / / / / 05/00/97 ese building final thin date FAIL RB 05/00/97 RB
MSTA795 Mechanical Final / / / / 05/16/97 see building final thin date FAIL RB 05/21/97 RB
MSTA795 Mechanical Final 07/17/97 / / 07/11/97 see Building final notes this date. PASS RB 07/17/9" J•H
MSTA797 Plumb Final / / / / 06/20/97 PAS£ MS 06/20/97 MRS
MSTA797 Plumb Final / / / / 07/11/97 previously approved an 062097 PASS MS 07/11'97 J•H
umm
Page No. 3 CASE HISTORY FOR CASE NO.: MST96-0305
S&P PROPERTIES
11018 SW VERDE ST
12/03/97
Action Description Req/ Schd/ Did/ Action Notes Disp By Update Upd
Code Sent Done Dome Date By
MSTA799 Building Final / / / / 05/08/97 usa erosion FAIL RB 05/V0/97 RB
electrical final
plumbing final
Failed/missed inspections
1. meth. rough- no record
2. gypsum- Failed
3. water line- no record
A/c Unit not wired
service platform does not have 30"
working area (attic)
insulate crawl hatch
smoke detectors not interconnected w/
hedrms (only floor levels)
MSTA799 Building Final / / / / 05/16/97 usa erosion FAIL RB 07/17/97 J•H
electrical final
plumbing final
no water line inspection
gypsum failed 3-times
smoke detectors still not interconnected
service platform at furnace in attic
$15 re-inspection fee charged
MSTA799 Building Final 07/17/97 / 07/11/97 1. Needs to insulate water linen under FEND RB as/18/97 JT
floor crawl acceno.
2. Insulation fallen out of floor cavity
near main entry door - fix.
8/18/97 sent rick the file. he wants to
look tbzu everything before siqning off.
MSTA960 (F) Issue Cert. of Occupancy / % / / 07/11'— mailed 12-3-97 12/03/97 S-W
MSTB791 «REINSPECTION— / / / / n6/03/97 FROM 051097 BUILDING FINAL. PAID RB 07/17/97 J•H
Paid 97-295537 Jed
MSTB795 Misc. Inspection / / / / 10/15/97 Approved firewall construction by review PASS HAP 11/17/97 J•H
with George Steele, sr. Bldg. Inep.
There appears to be no breach of two
layer gypsum as minimum protection
between units and minimal risk of fire
in a zero clearance gas burning direct
vent fireplace.
MSTD798 Mechanical Final / / / / 06/03/97 see bldg. final this date. PAIL RB 06/03/97 J*H
Page No. 4 CASE HISTORY FOR CASE NO.: MST96-0305
skP PROPERTIES
11018 SW VERDE ST
1,2/03/97
Action Description Req/ Schd/ End/
Action Notes Disp By Update Upd
Date BY
Code Sent Done Done
------- '--
MSTB799 Building Final / 06/03/97 ADDITIONAL REINSPECTION FEE CHARGED: FAIL RP 06/03/97 J•H
615.00
1. Why in there someone living at thin
address?
2. Previous violations were identified,
and need to be corrected before cert. of
Occ. can be approved.
3. Address signage incorrect. (Addressed
as 11020.)
4. Prior 615.00 fee not paid.
S. NO INSPECTION MADE. CALL FOR
REINSPECTION. COMPLETE.
MSTB7911 building Final 06/06/97 OCCIIPIED WITHOUT FINAL, NOT INSPECTED F:,IL RB o6/O9/97 J*H
CODE ENFOPCEMRNT PENDING.
�1 ■
'6
MASTEk NEkhl T
T 1 . 1/ �E ._��zCITY OF TIGARD DEiSSUED: 0,;19
(COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hell Blvd Tigard,Oregon 97223.8199 (503)839-4171 PARCEL: 151,35CA--DV027
I TL. . , . . . , ,ry ,,i,, .,
II 1BD I V I S I ON. : : : DAKOTA VILLAGE #2 ZONING:
LAIC ... . : LOT. , • Y . . .
C.
,(arks: PATH 8 DUPLEX WITH PROPERTY LINE THROUGH THE MIDDLE
:re unit of two with fire wall between units
--------------------------------------------------------------- BUILDING --------------------------------------------------------------
REISSUE:MST95-0331 STORIES.......: 2 FLOOR AREAS---------- BASEMENT...1 0 sf REDUIRED SETBACKS---- REGUIRED-------------
CLASS OF WORK.:NEW HEIGHT..,...,.: 24 FIRST....; 696 sf GARAGE.....; 228 sf LEFT,.........: 5 SMOKE DETECTRS: Y
TYPE OF USE...:DUP FLOOR LOAD..... 40 SECOND...: 760 sf FRONT.........: 2'0 PARKING SPACES:
TYPE OF CONST,:5N DWELLING UNITS: 1 FINDSMENT: @ sf RIGHT,........: 0
OCCUPANCY GRP.-R3 BDRM: 3 BATH: 3 TOTAL------: 1456 sf VALUE..1: 98044 REAR..........s 15
-----------------------•--------------------------------------- PLUMBING ----------------------------------------
SINKS.........s 1 WATER CLOSETS.: 3 WASHING MAC'H..: I LAUNDRY TRAYS.: @ RAIN DRAIN ft: 0 TRAP'S,........; @
LAVATORIES....: 3 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRA1NSs 1 CATCH BASINS..: 0
TUB/SHOWERS...: 2 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER ONE ft: 100 BCKFLW PREVNTRs 1 GREASE TRAPS..: 0
OTHER FIXTURES: @
------------------------ MECHANICAL -----------------------------------------•----------------------
FUEL TYPES----------- FURN ( INK ..: 1 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: I
/GAS/ 1 / FURN )=10@K ..: 0 UNIT HEATERS..: 0 HOODS.........: 1 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----- --ADD'L IN91ECTIUNS--
1000 SF OR LESS: 1 0 - 200 alp..: 0 0 - 200 alp..: 0 W/SVC OR FDR..: 0 PMP/IRRIGATION: 0 PER INSPECTION: @
EA ADD'L 500SF.: 2 201 - 400 amp..: 0 201 - 4@0 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR...... : @
LIMITED ENERGY.; 0 401 600 amp..: @ 40; - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL.,.: 0 IN PLANT.,....; @
MANE HM/SVC/FDR: @ 601 - 1000 amp.: @ 6@1+amps-1@00 v: 0 MINOR LABEL -1@; 0
10@0+ amp/volt.: @ ----- -------------.--------------- PLAN REVIEW SECTION ---- --... --
Reconnect only.s 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 680 V NOMINAL: CL5 AkEA/SPC UGC:
_. ---------------------------------------•------ -- ELECTRICAL - RESTRICTED ENERGY ---------------------------------------------------
A.
----------_ -- -_ _A. SF RESIDENTIAL--------------------------- 8, COMMERCIAL----------------------------------------------------------------•--------�..---
AUDIO I STEREO.: VACUUM SYSTEM..: AUDIO d STERED.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: ;: X BOILER.........: HVAC.......,...: LANDSCAPE/1RRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: ::
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL. 0 SYSTEMS: 0
Owner: ------------------------------------Cor.tracto-: ---- TOTAL FEES:1 3948.31
SIP PROPERTIES S I P PROPERTIES
16395 SW BELL RD 16395 SW BELL RD
SHERWOOD OR 97140 SHLRWOOD OR 97104
250-238;, phone N: 229-1731:
Reg M..: 91375
This permit is issued sjb,)ect to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all ot'e,
applicable laws. All work will be done in accordance with approved pians, This permit will e.ipir-e if work is not started within 180
days of isssence, or if work is suspended for more than 18@ days.
REOUIRLD IKIPECTIft ------------------------------------
------------- .___..
Erosion Contol Underfloor insul G ctriral Servs Gas Line Insp Electrical Final
Footing Insp Crawl Drain El trr,czl Rough Insulation Insp Mechanical Final
Foundation Insp PLM/Underfloor Fra ng Insp Gyp Board Insp Plumb Final
Post/Feam Struct Mechanical Insp Shea Wall Insp Rain drain lisp Building Final
post/Beam Mechan Plumb Top Out Itage Water Line Insp _
P mittee LitL1naltr.lr-e 15.;i-ied I{yr`
i n a p e c t i c,r. - 639--4175
Residential Building Permit Application
City of Tigard
13125 SW Mall Blvd.
Tigard, OR 97223
(503) 6.394171
Jobsite Address: Lo
Subdivision:
A r)7-d V LL /46CLo Office Use Only
Valuation:
- Contact Date # /UL Initials �S
-' Results 1
New Construction Only: (Square Footage) PlanckfRec #
House: L 2715-6 Garage:g e: Q Permit# 01 5 t1t6y,�_c?
_ — Reissue of ins ryG-G.,
Map & TL# /} / �? g. 4 L7 1
Corner Lot? Y N Flag Lot? Y N Zone
Owner: .,1 1 f�4 n T/L 'S Plat #_
�. R
Address: /6, 1 le�,k Approvals R_eauired
Planning Setbacks Solar
--L-� Engineering
L X03) X5,2 ~—�?� S- /t{-�,�D"L3�S Other
Phone: s-
%;ontractor: Items Reyulred
Address ��f � �} Gu' ,�—��(� Subcontractors
Truss Details
Other
Z3�S
LfL_ -ZZ z�- a( ZSa
g,,
-- Notes �, ,•r,r�,1
Phone: ---- --�------
Contractor's License #4= 0 91 — — ---- - ----- -
/ (a ach of current Oregon license)
Contact Name:
Contact Phone: I b j� ,�.ZS^ Z Z-�- 1 ' Q-o Z-39S
Subcontractors: Arch itect/Engineer:11A 9I/C--4 e U ^^ X., I tJ�S
T r �` r � c� ��-- —�O.�l✓c N o_,4_7.01-....
p
Plumbing: /� Address:l/ 3 21 ...J K,�,
Mechanical.c
(attach copy of current OR Contractors License)
Phone:
JOB DESCRIPTION: A
Applicant Signature_ Applicant Phone number
Received by _^_ __ Date Received:
Permit 4 Account D" :ripdon Amount Amt Pd. Bal. Due
t-y4-030', Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) L > _11
Mech. Permit (MECH) 3 U
Saal�x
Are
=�
Plumb: 7
Mech:
Plan Check (PLANCK) r
Bldg: S �'
Plumb-
Mech:
Sawer Connection (SWUSA) �
Sewe 'Aspection (SWINSP)
Parks Dev Charge (PKSDC) �i LI _ C,S u
Residentlai TIF (TIF-R) -� C �`'.�
Mass Transit TIF (TIF-MT) 12
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Ins ,utional TIF (TIF-IS)
Office TIF (T1F-0)
Water Quality (WQUAL)
Water Quantity (WQUAN7•) c
Fire Lite Safety (FLS)
Erosion Cntrl Permit (ERPRMT) 4/ 0
Erosion Planck/USA (ERPLAN) ( j
Erosion PlancklCOT (FROSN)
/� 633 31
TOTALS:
GiU. VERDE TERRACE
tit n _ m
r �
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PROJECT NO.: 344 - 090 --- ALPHA ENGEMEMUNG INC.
I, _ ��, ENGE
INEEPJNG. OEVELOPUFNT SERVICES s SURVYING
SCALE --—
P-F'LAN.UWCs OFFICE 503-452-9003 A FAX 603-462--9043
PLAZA AES, &9UM 230,&9600 SW OAK &PORTUNMOR 97223
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CASE HISTORY FOR CASE NO.: SWR96-0291
S&P PROP2RTIES
11018 SW VERDE ST
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
------ -------- ---•---- -•------ ----- --- ----------------------------- - -------- ---
SWRA010 Plan, check by / / / / 03/27./96 06/14/96 BT2
SWRA020 Check for prcl. restrict. 03/22/96 / / 03/28/96 PATS JD 06/14/96 BT2
SWRA070 Ready to issue / / / / 06/18/96 PASS CJS 06/18/96 CJS
SWRA080 (F) Issue permit / / / / 07/11/96 PASS JSD 07/11/96 JD
SWRA705 Sewer Inspection / / / / / / 06/14/96 BT2
SWRA720 Case Finaled / / / / 08/22/96 PASS MS 08/22/96 MRS
Sr-WrEP? UONNELTION
CITY OF TIGARD PERMIT
PERMIT ##. . . . . . . : SWR960291
COMMUNITYDEVELOPMENT DEPARTMENT DATE ISSUED: 07/11/96
13125 SW Hall Blvd,Tigard,Oregon 97223*8199 (503)839.4171 PARCEL: IS135CA-DI)027
GITL ADDRESS. . . : 11018 SW VERDE ST
SUBD I V I S 1 ON. . . . : DAKOTA VILLAGE #2 ZONING:
BLOCK. . . . . . . . . . . LOT . . . . . . . . . . . . . :27
TENAN I NAME.
USA NO. . . . . . . . . . : FIXTURE UNITS. . . 0
Ci-ASS OF WORK. . . iNEW DWELL IN(.-� UNI TS. . : I
TYPE OF USE. . . . . :SF NO. OF' BUILDINGS: I
114,13TALL TYPE. . . . tBUSWR IMPERV SURFACE: 0 5f
kemat-ks : PATH 8 DUPLEX WITH PROPERTY LINE THROUGH THE MIDDLE
�,ne ijnit of, two with fire wall between _(nits
owner: FEES
;3&P PROPERTIES type amol.(nt by date t-ecpt
16395 SW BELL. RD V,RMT $ 2200. 00 JSD 07/11/96 96-281530
INSP $ 35. 00 J9D 01/11/96 9E-2815:.30
'73HERWOOD OR 97i40
I:,hone #.- 250-2385
CONTRACTOR NOT ON FILL.
Phone #: 22.35. 00 TOTAL
Rea `. .
-------- REQUIRED INSPIECTIONS --------
!,7is Applicant agrees to comply with all the rules and regulations Sewer Inspection
if the Unified Sewage Agency, The permit expires 180 days from ..........
the date issued. The total amount paid will be fcrfeited if the
permit expires, The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located t the measurement
given, the installer shall prospect 3 feet in all erections from
the distance given. If not so located, the install r shall purchase
"Ap and Side newer" Permit and the en i tall a lateral.
. ......1 "'
"t 'n al
the install r
Ren
ei-mittee Signat ur,et
1.s!51.1ed 14 ............ .......
Call fot- inspection 6-39-4175