11121 SW VERDE TERRACE w
ADDRESS:
i:\records\microfilm\targets\building.doc
=1 MIL
S & P PROPERTIES
6743 S. W. BANC_ROFT WAY
PORTLAND, OREGON 97225-1904
June 19, 191x/
City of Tigard
8777 S.W Burnham Street
Tigard,OR 97:.81-1999
To Whom it May Concern:
,Hatt Jones and S&P Properties hereby warrant that the shear wails and common wails built in ttu
wwahot>ses in the Dakota Village Subdivision are in complianm with all c trrent building cozies.
Mau Jutj.s
-!
S&P Properties J
Cart W. Spitlnagel L
CARL W. SPITZNAUL AND ALFRED PENSE
S & P PROPERTIES
6743 S. W. BANCROF-T WAY
PORTLAND, OREGON 97225-1904 �
I
June 19, 1997
City of Tigard
8777 S. W. Burnham
'Iiganl.Oregon 97281-IW4
RE: Dakota Village Un&Tmund Services
To Whom it May Concern.
S&P Properties herchy warmn that all up.tcrground services: waterlines,sewer lines and su)rm sewer lines
were constructed in a;conlance ith all applicable building axles.
c
,&P Properties
Carl W 5pitznaccl
CARL W. SPI iZNAGEL AND ALFRED FENSE
CAT
UL i-(JPANC'Y
CITY OF T ' ARD PERMIT 0* ' " ' * ' * :
DATE ISSUED: 04/16/9(
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd,Tigwd,Oregon 97223*8199 (503)639-4171 F,ARCEL. IS135CA-052'1210
ITL I i A —i -A4 'JL kbi, I i,-' I
IJBD I V IS I ON. . . . a DAKOTA VILLAGE ZONINGtR-I,-:
• LOT. '
006
. . . . . . . . . .
I-ASS OF WORK. NEW
VPE OF' USE. . . «DUP
1CCUPANCY GRP. AMR 3
1C(.UPANCY LOAD 1emarNlss 1-2
PATH 8 DUPLEX WITH PROf71CR7Y LINE THPOUGH THE MIDDLE
,ne unit of two with fire" wall between units
jwnet,:
&P PROPERTIES
6395 SW BELL RD
iHERWC''OD OR 9*7140
& P PROPERTIES
SW FELL. fir)
3HEPWOOD OR 9714,4
�'hone #: 229- 173`
Req #. . 1 91375
['his Cer-tificate grants ucc-L'Pancy of the above v-efpj-erjred building or PDT-tiull
1,het-eof and that the t)1.1ilding -,as beer, insper- For compliance with
..ted
the State, of Ov-egOn specialty Codes for' the VV'011pl C's.ipik cy, and use 1-111der'
4hich i-,he t-efev-enced pet-wit w8%
SU I D I N(-J or�r, I c.,
r1 _41 N C TO r?
3LI I L
1t-1 CONEiPICU00S PLACE
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone. 639-4171
Footing - 'n Drain Cover/Service FINAL
Foundation Water Line Ceiling
Post/Beam Mach, Shear/Sheath Framing ec
Plbg.Und/Flr/Slab Plbg.Top Out Insulation ct. t L ✓
Post/Beam Struct, Mach. Rough-in Gyp. Bd.
San. Sewer Gas Line Appr/S:Iwlk
Other: _ —--- -
Date: ��_ A.M._P.M._\ Entry:.__ —
Address:
Tenant:
_ Ste:___ MST: _,
�___ - BLIP:
Con/Own:_ S MEC:---
PLM:
ELC: —_-.-.--
THE FOLLOWING COR ECTIONS ARE REQUIRED: �ELR:�_
Inspector: ___ __ Date: '' C:�
—APPROVED DISAPPROVED/C^.LL FOR REINSP. CF CO,
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwik
9•
Foundation
Plb Underslab Mech: AoughO Fireplace
l _ - FINAL:
Post/Beam Struct. Ou yrto a . h in
Post/Beam Mech. San. Sewer Gas Lin j -Bldg.
Plbg. Underfloor Rain Drain taming -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall / Gyp. Bd. -Elect.
Date Requested:
�J ��� I c ime: AM —4--PM
Address:_ G
Builder: Permit #: / C'2-19
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Ins Spec r
Date:
AP2toPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
miff WIWI
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out L,Elec.oug h FINAL:
Post/Beam Mech. San. Sewer was—LTrie -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: � ofd" ,1 � _Time: AM PM
Address:
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspector: i� __ Date:
_APPROVED DISAPPROVED __APPROVED SUBJECT TO ABOVE
Call For Reinsp.
t�
r
CITY OF TIGARD BUILDING INSPECTION NOTICE -�
Inspection Line Rec-O-Phon : 639-41 5 Business Phone: 639-4171
Inspection:_
Foo,ing Susp. Ceiling Sorink. Rough-in Appr/Sdwlk
Foundation Plbg, Underslab Mach. Rough-in rF�lace
Post/Beam 3truct, g. op�ut Elec. Rough in
Post/Beam Mach. San. Sewer Gas Line tl _
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line
Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address: I Z- -- "'1211 vL1
Builder: _Permit #: l
r- 0 3yk
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector, / '� Date: .'`
APPROVESAF,'ROVED _ PROVED SUBJECT TO ABOVE
V-4all For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rer-O-Phone): 639-4175 Business Fhone: 639-4171
Inspection: �12
Footing Susp. Ceiling Wink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
PosUB mea Stru Pibg. Top Outc. Rough-in FINAL.:
r
Post/ost/ e' am Meech a�wk �; G Line -Bldg.
Plbg.-UfrTfoor ain Framing -Plumb.
Alarm er Linn9 ,-Insulation -Mech,
end r���5hear W II Gyp. Bd. •Elect.
Date Requested: Ic� _1 1 Time: AM PM
r t
Address: 12_ _ �E..-
Builder: Permit#:l5 �G1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: /mo w Date:-z-z--
'PROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
undatl� Plbg. Underslab Mech. Rough-in Fireplace
ost/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: -7 1 Time: AM PM
Address:
Builder: Permit #: 3
THE FOLLOWING CORRECTIONS ARF REQUIRED:
Inspector: Date:
_APPROVED DISAPPROVED w-APFFINED PIJBJECT TC ABOVE
—Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION N01-ICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
ootin� Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
r ost/Beam Struct. Plbg, Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation �,� -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. ,:Y'"` lett.
Date Requested: (2- Z- ('-15 time: AM _ PM
Address: G
Builder: _ Permit #:
Nf= FOLLOWING CORRECTIONS ARE REQUIRED:
14
Inspector:_.,_. Date: ( 2 2
APPROVED DISAPPROVED "APPROVED SUBJECT TO ABOVE
_Cali For Reinsp.
Kl
-6%
CITY OF TIGARD BUILDING INSPECT'^N NOTICE
Inspection Line (Rec-O-Phowfl: 639-4175 Business r'hone 539-4171
Inspection:
noting I Susp, Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Undertlr Insul. Shear Wall Gyp. Bd. r �Iect.
Date Requested:__ U Time: AM PM
Address-
Builder:
ddress Builder: Permit #: �Cr/ry
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: ' Date:
APPROVED DISAPPROVED `APPROVED SUBJECT TO ABOVE
� +I For Reinsp.
Page No. 1 CASE HISTORY FOR CASE NO MST95 0396
S&P PROPERTIES
11121 SW VERDE TERR
11/25/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA005 Application received 11/02/95 / / 08/24/95 PASS JD 11/02/95 BLT
IISTA008 Permit Created 11/02/95 / / 10/30/95 PASS RT 11/02/95 BLT
MSTA010 Check for prcl. restrict. 11/02/95 / / 08/25/95 PASS JDS 11/02/95 BLT
MSTA012 Plans routed to Plans Examiner 11/02/95 / / / / PASS JD 11/02/95 BLT
MSTA026 Plane approved by Plans Exmr 11/02/95 / / 11/02/95 PASS RT 11/02/95 BLT
MSTA030 Reviewed plana routed to DSTS 11/02/95 / i 11/02/95 PASS RT 11/02/95 BLT
MSTA080 (F, Ready to issue / / / / 11/08/95 Plumber expired. PEND B 11/08/95 B
MSTA092 M Issue combination permit / / / / 11/15/95 PASS B 11/15/95 B
MSTA097 Issue plumbing signature form / / / / 11/15/95 PASS B 11/15/95 B
MSTA705 Footing Insp 11/02/95 / / 11/20/95 NIR RB 11/20/95 RB
MSTA705 Footing Insp 11/22/95 / / 11/22/95 pending- ground rod; seismic restraint; PASS RB 11/22/95 RB
continuous tooting; low point drain
MSTA706 Foundation Insp / / / / 11/27/95 # 1 install anchor bolts size / spacing AIN NS 11/28/95 KSS
as shown
MSTA710 Post/Seam Structural 12/05/95 / / 12./05/95 DIS GS 07/26/96 ST2
MSTA710 Post./Beam Structural 12/06/95 / / 12/06/95 NIR GS 07/26/96 BT2
MSTA710 Post/Seam Structural 12/07/95 / / 12/07/95 APP GS 07/26/96 BT2
MSTA711 Post/Scam Mechanical 12,05/95 / / 12/05/95 DIS GS 07/26/96 ST2
MSTA711 P�.at/Seam Meche cal 12/06/95 / / 12/06/95 N/P. GS 07/26/96 BT2
MSTA u i :^Ht/Beam Mechanical 12/07/95 / / 12/07/95 APP GS 07/26/96 BT2
MSTA712 Uncerfloor insulation 12/07/95 / / 12/07/95 APP GS 07/26/96 ST2.
MSTA713 Crawl Drain 12/05/95 / / 12/05/95 DIS GS 07/26/96 ST2
MSTA713 Crawl Drain 12/06/9 / / 12/06/95 NIR GS 07/26/96 BT2
MSTA713 Crawl Drain 12/07/95 / / 12/07/95 crawl dr cannot connect to adjacent DIS GS 07/26/96 BT2.
house
MSTA711 PI.M/Underfloor / / / / 12/04/95 PASS MS 12/05/95 MRS
MSTA7Y0 Mechanical Insp 11/02/95 / / 02/12/96 PASS MS 02/13/96 MRS
MSTA720 Mechanical Inap 02/14/96 / / 02/13/96 APP GS 02/14/96 GES
MSTA722 Plumb Top Out 11/02/95 / / 02/07%96 waste ok FAIL. MS 02/07/96 MRS
no test on water
MSTA722 Plumb Top Out 02/13/96 / / 02/12/9G PASS MS 02/13/96 MRS
MSTA722 Plumb Top Out 02/14/96 / / 02/13/96 APP GS 02/14/96 GES
MSTA723 Electrical Service 11/02/35 / / 02/14/96 APP GS 02/14/96 GES
MSTA724 Electrical Rough In 11/02/95 1 1 02/14/96 counter plug for bath closest to mstrbd APF GS 02/14/96 GES
Page No. 2 CASE HISTORY FOR CASE NO.; MST95-0396
S&P PROPERTIES
11121 SW VERDE TERR
11/25/98
Action Description Rey/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done bone Date By
MSTA726 Framing REINSP> 02/27/96 / / 02/27/96 N-1- list of framing corrections not DIS KS 07/26/95 BT2
completed at this
time
q-2- submit revised plan to bldg dept
showing relocation
of furnace attic
q-3- :reed to pressure test gas piping -
additional piping installed
MSTA726 Framing REINSPr 02/28/96 / / 02/28/96 #-1- submit revised plan to bldg dept a AIN KS 07/26/96 BT2
relocation of furnace to attic
k 7.- THIS INSPECTION DOES NOT INCLUDE
FIREWALL BETWEEN
U14 TS
MSTA727 Low Voltage 11/02/95 / / 04/16/96 LVFA GS 04/16/96 GES
MSTA727 Low Voltaqe 04/15 6 / / 04/15/96 PEND POSTING OF LABL, AND SIGNOFF CARD LVFD GS 07/26/96 an
MSTA735 Gas Line Insp 11/02/95 / / 02/12/96 PASS MS 02/14/96 GES
MSTA740 Insula'_lon Insp / J / / 03/01/96 #-1 provide FS paper behind fireplace; AIN KS 03/01/96 KBS
exposed insulation
# 2 install vapor barrier at common
walls tetween units
0 3 insulte entire rim joist joist
between unite
0 4 provide solid walking surface to
furnace located in attic
MSTA745 Gyp Board Insp / / / 03/07/96 #1-- fire tape gypsum under stairs at AIN KS 03/08!96 KSS
one hour wall prior to applying
outer layer of gypsum
MSTA745 Gyp Board Insp 03/06/96 / / 03/06/96 8-1- not ready DIS KS 07/26/96 BT2
MSTA755 Rhin drain Insp 11/02/95 / / 12/04/95 PASS MS 12/05/95 GES
MSTA755 Rain drain Insp 12/05/95 / / 12/05/95 crawl drain can't connect to adjacent DIS GS 07/26/95 BT2
house
MSTA755 Rain drain Insp 12/07/95 / / 12/07/95 rd cannot connect to adjacent lot DIS GS 07/26/96 ST2
MSTA761 Water Service Insp 11/02/95 / / 12/07/95 APP GS 12/07/95 GES
MSTA795 Mechanical Final / / / / 04/15/95 NEED ACCESS TO ATTIC FOR FURN; RESUPPORT DIS GS 04/15/96 GES
UNDERFL DUCTS AS N6'EDED;
MSTA795 Mechanical Iinal 11/02/95 / / 04/16/96 PPP GS 04/16/96 Gib
MSTA797 Plumb Final / / / / 04/15/96 LOPT DRAIN UNDRFL LEAKING r— GS 04/15/96 GES
Page No. 3 CASE HISTORY FOR CASE NO.: MST95-0396
SSP PROPERTIES
11121 SW VERDE TERR
11/25/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA797 Plumb Final 11/02/95 / / 04/16/96 APP GS 04/16/96 GIS
MSTA"99 Building Final 11/02/95 / / 04/15/96 SEE ELEC, MEC PLM FINALS DIS OS 04/15/96 GES
MSTA799 ding Final 04/16/96 / / 04/16/96 SUBMIT EROSION CONTROL APP OS 07/26/96 BT2
MSTA960 (F) Issue Cert. of Occupancy / / / / 04/16/96 JF 04/19/9, JF
MSTA970 Case Finaled / / / / 04/16/96 APP GS 04/16/96 GES
MSTB755 Firewall Insp 01/10/96 / / 01/10/96 submit revised wall details DIS GS 07/26/96 BT2
MI-1STE.F2 PERMIT
F'CRMIT #. . . . . . . : IH5T95 0396
CIN OFTIGARDDATE 1SSLJED: 11/15/95
COMMUNITY DEVELOPMENT DEPARTMENT F,APCEI_: 1 T�1.35CA—D1<VGl6
13125 SW Hall Blvd,Tigard,Oregon 87223.8190 (503)839.4171
-)ITEf�lllil<CSS. . ]. 11l:l vJ ',i1_.IiLL: ZONING: R-12
,I-JBD I V I E;I ON. . . . DAKOTA V I I_LAGE
IAL.00K. . . . . . . . . , r, L-OT. . . . . . . . . . . . . :v
Remarks: PATH 8 DUPLEX WITH PROPERTY LINE THROUGH THc MIDDLE
one unit of two with fire wall between units
BUILDING ------------------------------------------------------------ -
RE;"yl1E:MST95-0331 STORIES....... FLOOR AREAa-^----------
BASEMENT,..: 0 sf REOL'IRED SETBACKS---- REOUI -------------
: 2: 24 FIRST....: 696 sf GARAGE.....: 228 sf LEFT..........: 5 ME DETECTRS: Y
CLASS OF WORK.:NEW HEIGHT........
TYPE OF USE...:DUP FLOOR LOAD....: 40 SECOND—: 760 sf rRONT.........: 20 PARKING SPACES:
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf
RIGHT.........: 0
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL-------. 2912 sf VA1UE..I: 97855 REAR..........: 15 - ----- -
--------------------- PLUMBING -- -------------------------------------•---
SINKS,,,,,,,,,; 1 WATER CLOSETS.: `s WASHING N1�!CH..: 1 LAUNDRY TAAiC. : 0 RAIN DRAIN ft: 0 TRAPS.........:
LAVATORIES....: 33 DISHWASHERS...: i FLOOR DRAINS..: 0 SEWER LINE ft: ri SF RAIN DRAINS: 1 CATCH BASINS.. :
TUB/SHOWERS...: 2 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE
FIRAPS..OTHER : 0
----------------------------------------------------------- -
MECHANICAL ----—--------- ----•---------------------------------
FUEL TYPES----- FURN ( IM ..: 1 BUIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1
/GAS/ / / FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS--: I-------------- --_--^
EL.ECTRICAl_ ----------••-------
-
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER----- ---TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS---- ----MISCELLANEOUS---- --ADD'L INSPECTIONS—
Im SF OR LESS: 0 0 - 200 amp..: 0 0 - ;'00 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRAIGATION: 0 PEF INSPECTION: 0
EA ADD'L 500SF.: 0 201 - 400 amp..: 0 201' - 400 amp..: 0 1st W/0 SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL... : 0 IN PLANT......: 0
MANF HM/SVC/FDR: 0 601 - 1000 amp.: 0 601481ps-1000 v: 0 MINOR LABEL -10: 0
1000+ amp/volt.: 0 -------------------------------,-- PLAN REVIEW SECTION •---------------------------------
Reconnect only.: 0 )=4 RES UNI1S..: SVC/FDR) 225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
---------------------------------
ELECTRICAL - RESTRICTED ENERGY --------------------------------------------------
P. SF RESIDENTIAL--------------------------- B. COMMERCIAL------------------------------------------------—_
A,JDIU 6 STEREO.: VACUUM SYSTEM..: 411JDI0 8 STEREO.: FIRE ALAPM.....: INTLRCOMIPAGING: OUTDOOR LNDL LT:
BURGLAR ALARM..: 0TH: :: BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE S1GNl:
GARAGE OPENER—: CLOCK.......,.. : INSTRUMENTATION: MEDICAL........: OTHR: :.
HVAC...........: DATA/TE.LE COMM.: NURSE CALLS....: TOTAL N SYSTEMS:
Owner: ------__—----------------------
Contractor: --------------------------- TOTAL FEES:$ 3227.16
56P P40PERTIES S b P PROPERTIES
16 3395 SW BELL RD 16395 SW BELL RD
SHERWOOD OR '17140 SHERWOOD OR 97104
hone A: 270-2385 Phone M: 229-1732
Reg N..: 91375
Tis permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all othe
aaplicable laws. All work will be done in accordance with approved plans. This permit will expire J work is not started within 1B0
ays of issuance, or if work is suspended for more than IM days. _
--------------------------------------- --
-----9------ REOIJIRED INSPECTIONS ------_---------------------- - - ---- --
Post/Beam Mechan n Drain Bsm't Framing Insq Amin drain Insp Mechanical Fina;
Crosion Contel Mechanical Final
Doting Insp Underfloor insui Me .anical Insp Low Voltage Water Line Insp
Plumb Final
oundatio^ Insp Crawl Drain Plum+ Top Out Gas Line Insp App!/Sdwik�Inspce n Plumb Final
cst;Beam Struct FLM/Underfloor ,er c.Jl Servi I�sulatior. Insp Electrical Fi^al Additional......
:ost/Beam Meehan PLM/Underfloor PO) Rough Gyp Board InspI S s i-1 a ci P yr-mittee 9 natI.Wec Ca1pec_t i on 6 39- 417'5
Residential Buildin( Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: /// :Z � >�� (-'<'Yd� l P�✓—_
Office Use Ghl
•
G.-
Subdivision: o , L����a«- Lot # Contact Date __I_/ Initials
Valuation: — Result -----
New Construction Only: (Square Footage) Planck/Rec #
Permit # /I _, 4r 3 y�i—
s t��
Garage. __ Reissue of ht)t r i- v 3 3 I
Housa: Map & TL# 1,5 1 *3.)-c A - D K 0�'
Corner Lot? Y N Flag Lot? Y N Zone P.-� Z -
LL Plat #
Owner: j-t/'•f�l`� it
i Approvals Required
Address: /�..3�� 5�c.t .�(/ K' ` ---
Planning Setbacks molar _-
5�1 / `rl Lt Engineering
PhoneOther
: ( �� -
Items Required
Contractor: 5 syn( � - ---
Subcontractors —._—
Address _—-- Truss Details _
Other -----
Notes _ ----
Phone. 1 )
Contractor's License --
(atta�A copy of current Oregon license)
Contact Name:
Contact Phone. )
Architect/Engineer: -
Subcontractors:
Plumbing _ Address.
�_ ---
y /�
Mechanical: /- Q,• / /7 'l'l -
(attach copy of current OR Contractor's License)
Phone. I ___�`.-------
JOB DESCRIPTION -- ----
- Applicant Phone number
Applicant Signature
Date Received _._ ------ ---
Received by
Permit# Account Description Amount Amt. Pd. Bal. Due
/h5f4)^o 394, Bldg. Permit (BUILD) J c
Plumb. Permit (PLUMB) . 2
Mech. Permit (MECN) U ?' 'Z
State Tax (TAX)
Bldg:
Plumb:
Mech:
Pian Check (PLANCK)
Bldg: _
Plumb: [/
Mech:
,5u,#4;-vqqi Sewer Connection (SWUSA) �v0 �uJ
Sewer Inspection (SWINSP) i3)" _
Parks Dev Charge (PKSOC) Soo 5 o J
Residential TIF (TIF-R) 7U 7d
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) —
Office TIF (TIF-O) _
Water Quality (WQUAL) z
Water Quantity (WQUANT) lco LU
Fire Life Safety (FLS) _
Erosion Cntr! Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN) 3
TOTALS:
f"�
54.00' ,n
21.00' 2-7 0m' j
i
�.J N
A OD
5.02' 22.00' 22 mm' 5.00'
2.99' - 1L 3.00'
F� ,.mm'
mm' W
V14n� 41'fO)
amm' 12-00, ,JZ�m' enm'
m
Lam'• $ �\ w � � �m'S �l"' 1
iso 97'01
54.00'
O
0 F-
j O
D
Cly �
Q
�
D D r
Q- z
m
DRAWN B7 DRF DATE._
REVIEWED Enq DATE.: __
PROJECT NO.: 344 -_090 AIYHA ENGINEERING INC..
= 20. ENGINEERING ,& DEVELOPMENT SERVICES A SURVEYING
SCALE•
OFFICE 503-452-8003 ,&FAX 503-452-8043
PLAZA WEST A SUITE 230 A 9800 SW OAK A PORTLAND,OR 97223
Page No. 1 CASE HISTORY FOR CASE NO.: SWR95-0449
S&P PROPERTIES
11121 SW VERDE TERR
11/25/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
---------------------- ------- -----------•------ ----------
SWRA007 Application received / / / / / / 11/02/95 BLT
SWPA010 Plan check by / / / / 11/02/95 11/02/95 BLT
SWRA020 Check for prcl. restrict. ll/U2/95 / / / / PASS JD 11/02/95 BLT
SWRA080 (F) Issue permit i / / / 11/15/95 PASS B 11/15/95 B
SWRA705 Sewer Inspection / / / / 12/07/95 APP GS 12/07/95 GES
SWRA720 Case Finaled / / / / 12/07/95 APP GS 12/07/95 GES
SEWER CONNECTION
PE Plyl I T
CITY OF TIGARD PERMIT SUED . . . . S' 'R95-0449
DATE ISSUED: 11/15/0')
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: IS135CA--DKV06
13125 SW Hall Blvd.Tigard,Or@n97223@819OA50 839-4171
SITE ADDRESS. . . : 111F,:`1 SW VILRUP I-ERR
SUBDIVISION. . . . : DAKOTA VILLAGE ZONING: R---12
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .06
TENANT NAME. . . . . :
USP NO. . . . . . . . . : FIXTURE UNITS. . . 0
CLASS OF W(IRK. . . :NEW DW17."LLING) UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
I NrJALL TYPF. . . . .BUSWR IMPERV SURFACE: 0 F
Remarks : PATH 8 DUPLEX WITH PROPERTY LINE THROUGH THE MIDDLE'
one 1-,iiit of two with fire wall betwo-Pr 1.tnits
Owner: FEES
5;&P PROPERTIES type amol..tnt by date v,ecpt
1639S SW BFIJ- RD PRMT 2�7,1710- 00 B 11 /1.5/95 95--c'72882
-
I N SO P ,'15. 010 5 11/1.5/95 2 7 2'B8 2
SHERWCOD OR 97140
Phavie #: 250-2385
CONTRACTOR NOT ON FILE
.cone #-
$ 21233. 00 TOTAL.
i?eq #. ——------ REOUIRED INSPECTIONS)
This Applicant agrees to comply with all the rules and regulations Gewpr, TTispec7tion
of the Unified Sewage Agency. The permit exp'
es 180 days from ......
the late issued. The total amount paid will
be orfeited if the
permit expires. The Agency does not guarantee t accuracy of the ......
side sewer laterals. If the sewer is not located t the measurement
I given, the installer shall prospect 3 feet in all irections from
t
'p' e' "w
leb' o"fe"
, th "cc'
located
te d t U
the distance given. If not so located, the install shall purchase
_ �j I
a "Tap and Side Sewer" permit and the PQencv I i stall a lateral.
Plei,mittee
-ted By :
I for inspPetion 639--4175
5
CITY OF TIGARD ELfTC'fRIC:AL PERMIT
PERMIT #: ELCri5- 0559
DATE. ISSUED: 11/15/9r
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hili Blvd.Tigard,Oropon 07223.8109 (503)830.4171 PARCEL- 1 S 13SCA- DKV0(..,
'a1 1 C_ AE)J)RE55. . . : 11121 SW VERDE TERR
'SUBDIVISION. . . . : DAKOTA VILLAGE ZONING:R-12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :06
Proiect Description : Residential 1, 500 sq. ft.
-----RESIDENTIAL_ UNIT--.-.-..- -----TEMP' SRVC/FEEDERS----- ------MIaCELI_ANEOUS-------
1000 SF OR LESS. . . . : 1 0 -- .-:00 .amp. . . . . . . : 0 PUMP,/ TRRIGAT ION. . . . : 0
I-TACH ADD' L.. 500SF. . . : 1 x:201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 600 ramp. . . . . . . : V+ SIGNAL/PANEL. . . . . . . .. L
YIANF. HM/ SVC/FDR..: 0 6014-amps-1000 volts. : 0 MINOR LABEL ( 10) . . . 0
,-----SERV ICE/Ff EDER--------- . - _ -DRANCH CIRCUITS -- - -ADD' L TNSP,ECTIONS._•.-
i7r 1200 amp. . . . . . s Qi W/GERVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0
X01 — 400 amp. . . . . . .. 0 1st W/O SRVC OR FDR. : 0 GER HOUR. . . . . . . . . . . : 0
401 -- 600 amp. . . . . . : 0 EA ADD' L PRNCH CIRC: 0 IN P,LANT. . . . . . . . . . . .. 0
1,01 -- 1000 amp. . . . . . 0 _._.___.....__......__..-•----..-- -FLAN REVIEW SECTION- -_._.._-._.._._______._.
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMP'S. . : CLASS AREA/SPEC OCC,. :
(Jwner: ____.____.___.___.___._._____.__.__.___._._____.___---..___.__.._______.__v FEES
TIMI BEECHFR ELECTRIC type amor-tnt Icy date recpt
�T-1 PDX 2 PRMT $ 175. 00 CJS 11/15/95 95-27286,-,,
5Pr,T $ 8. 75 CJ y 11/15/95 95-?7 88r.,
FIS TON 0R 971 19
-hone #: 662-3898
_:ontractor.
;'IM BEECHF_R ELECTRIC It 183. 75 TOTAL_.
0 PDX c
_- --- - REQU I RFD I NSP'ECT I ONS -- -- - -
,jASTON OR 97119 Cei1ilg Cover Elect' 1 Service
,hone #: 662--3898 Wall Cover Elect' 1 Find
,eu #. . . 121346,
This permit is issued subject to the regulations contained in the
Tigard Municipal Code. State of Ore. Specialty Codes and all other F'erm i t t e e S i gnat t_rre --
applicable laws. 411 work will be done in accordance with
approved plans. This oer@it will PMpire if work is not started �
witr;r 190 days of issuance, or if work is suspended for @ore
than 190 days. I s s r-red By
INSTALLATION CJNLY ---------___..___________--_-•- -.
he ntLzillation is being made on property I own which is not intended for
gale. lease, or rent.
IWNE:RI S 7I GNAT URE: DATES
INSTAI_.I__ATION ONLY.___________________---__--___
1GNATURF OF SUDR. FL_EC' N: . ...._�I1__... C�p�r?. .__ _..._ DATE:
LICENSE NO:
Call for inspection 639 4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Nall Blvd.
Tigard, OR 97223 Planck/Rec. # `�� '•�•1'rg'�
Permit #
Phone (503) 639-4171 Date Issued !/ is-• v t FAX (503) 684-7297 Issued by rhp,/rs
CITY OF TIGAIRD TDD No. (503) 684-2772
Inspection (503) 639-4175 _
1. Job Address: ,1 4. Complete Fee Schedule Below:
Name of Development-. t4 ��L��-{I a G � Number of Inspections per permit allowed
Address111121 _ L= 1? I~r_ Service included Items Cost(ea) Sum
/ ��) �— 4a. Residential• per unit 4
City/State/Zip��/41'-- , 1000 sq It or lone $11000 Z/ �-
Each additional 500 aq It or
Name (or name of business) 2oP` rt portion thereof $2500 Z 5 '
Limited Energy $2500
Commercial El Residents Each Manurd Home or Mn t dm 2
Dwelling Service or I—do, $6e 00
2a. Contractor Installation only: 4b.Services or Feeder,
2
Installation,alteration,or relocation
Electrical C tractor_ ' 200 amps or lose $6000 2
2
201 amps to 400 amps $60 00
Addre �' 401 amps to 600 amps $12000 2
City - Stet Zip 7 601 amps to 1000 amps $lee 00 �_� 2
E - Over 1000 amps or volts $;f40 00 2
Phone No. 2
— Reconnect only $eo o0
Contractor's License No.
Contractor's Hoard Reg. No 4c. Temporary Services or Feeders 2
Installation,alleratu,n,or relocation
Signature of Supr. Elec'n �'w r 200 amps or less $so 00 2
201 amps to 400 amps $7500 2
License Nta. � Phone No. - 401 amps to 600 amps $10000 _
Over 600 am pa 10 1000 volts
2b. For owner Installations: n"•h•above
4d. Branch Circuits
Print Owner's Name _. New,alteration or extension per panel
Address a)The toe Inr branch circuits with
—— — purchase of savke or Nader Ne. 2
City — State ZIp_ Each branch circuit S1,00
Phone N0. h)The be for branch arcuds wlfheuf 2
The installation is being made on property I own which is Purchase of servke or Age&#Are.
First branch circuit $35 00
not intended for sale, lease or rent. Each adddtonal branch circuit $500
Owner',Signature--..-----,— __.__.__ 4e. Miscellaneous
(Service or feeder not included) 2
Each pump or inlet on circle $4000
3. Plan Review section (if required): Each sips or oWfins Ip!ringung $4n no
Signal cacurlo)or a limited enerpy 2
Please check appropriate iter and enter fee in section 58. pant alteration ore nsicr $4000
4 or more residential units in one structure Mina Labels(10) $10000
_Service and feeder 225 amps or more 4f. Each additional inspection over
System over 600 volts nominal the allowable in any of the above
Classified area or structure containing special occupancy Pe, „amt on $3500
as described in N.E C Chapter 5 Per hour $5500
In Plant $5500
Submit 2 sets of plans with application where any of the above
a r Iy. Not required for temporary construction services.
5. Fees:
5a. Enter total of above fees $
NOTICE 5%Surcharge(05 X total fees) $ P 75
Subtotal $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b.Enter 25%of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Plan Review it required(Sec 3) $
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtnlsl $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. ❑ Trust Auuunl tY $ I
Balance Due $ /A3, 75
•arMandrNMrci�m 40