10177 SW 87TH AVENUE 40 0 20 40
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NOTE:
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NOTICE: IF THE PRINT OR TYPE ON ANY Jill
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IMAGE IS NOT AS CLEAR AS THIS NOTICE, 121 1"� I I I I I I I 1 10
IT IS DUE To THE QUALITY OF THE
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10177 SW 87"' Avenue
CITY OF TIGARD MASTER PERMIT
PERMIT#: MST2000-00219
DEVELOPMENT SERVICES DATE ISSUED: 12/1!00
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639 4171
SITE ADDRESS: 10177 SW 87TH AVE PARCEL: 1S135AA-MRE02
SUBDIVISION: MAPLE RIDGE ESTATES ZONING: R-12
BLOCK: LOT: 002 JURISDICTION: TIG
REMARKS: S/F A PATH I
BUILDING
REISSUE: S'DRIES: FLOOR AREAS _REQUIRED SETBACKS REQUIRED
CLASS OF WORK. NEW HEIGHT. :"+ FIRST. Sae sf BASEMENT: LEFT: SMOKE DETECTORS:
TYPE OF USE: SFA FLOOR LOAD. a, SECOND. cee st GARAGE. 260 sl FRONT PARKING SPACES
TYPE OF CONST: 5N DWELLING UNITS: FINBSMENT: sl RIGHT. 0
VALUE. S 99.672]?.
OCCUPANCY GRP: R3 BDRM: 2 BATH: l TOTAL. 1 st REAR 20
ILUMBING --
SINKS: 1 WATER CLOSETS: 3 WASHING MACH LAUNDRY TRAYS. 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES. 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: IOU SF RAIN DPAINS: 1 CATCH BASINS:
TUB'SHOWFRS: GARBAGE DISP. I WATER HEATERS: WATER LINES: 100 BCKFLW PREVN TR: 1 GREASE TRAPS.
OTHER FIXTURES
MECHANICAL �.�
FUEL TYPES F'JRN<100K I DOII_/CMP r 3HP VENT FANS: 4 CLOTHES DRYER:
(;AS FURN—100',. UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP, Mu FLOOR FURNANCE. VENTSI WOODSTOVES: GAS OUTLETS
ELECTRICAL
RESIDENTIAL UNIT SERVICE FELDER TEMP SRVCIFEEDERS BRANCH C'RCUITS – MISCELLANEOUS AOD'L INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: W/SVC.OR WR: + PUMPIIRRIGATION PER INSPECTION,
EA ADD'L 500SF: 1 201 - 400 amp: 201 400 amp: 1st WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR.
LIMITED ENERGY: 401 - 600 amp: 401 Boo amp: EA ADDI_OR CTR: SIGNAL/PANEL
IN PLANT:
MANU HMISVCIFDR: 601 • 1000 amp: 501-ampe•1000v: MINOR LABEL:
10004 amplvoll-. PLAN REVIEW SECTION
Reconnect only: >•4 RES UNITS: SVCIFUR-726 A 600'!NOMINAL: CLS AREAJSPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO- VACUUM SYSTEM. AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM, 01'H. BOILER: HVAC LANDSCAPEIIRRIG: PROTECTIVE SIONL:
GARAGE OPENER CLOCK: INSTRUMENTATION MEDICAL: OTHR:
HVAC: DATARELE COMM: NURSE CALLS: TOTAL N SYSTEMS:
TOTAL FEES: $ 5,253.66
Owner: Contractor: This permit is suhiect to the regulations contained in the
WINDWOOD HOMES WINDWOOD CONSTRUCTION INC Tigard Municipal Code,State of OR Specialty Codes and
12655 SW NORTH DAKOTA 121555 SW NORTH DAKOTA all other applicable laws. All work will be done in
TIGARD,OR 97223 TIGARD,OR 97223 accordance with approved plans This permit will expire if
work is not started within 180 days of issuance,or if the
work is suspended for more then 180 days ATTENTION
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center Those rules are set
Rep 0: 1 I 000501 forth in OAR 952-001-0010 through 952.001-0080 You
may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion 94#-04W Post/Beam Mechanica Mechanical Insp Framing Insp Gas Fireplace Electrical Final
Sewer Inspection Underfloor InuJlatlon Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final
Footing Insp Crawl Drain/Backyv3ter plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final
Foundation Insp Footing/Foundation Dr1 Electrical Service Low Voltage Water Line Insp Final Inspection
Post/Beam Structural PLM/Underfloor Electrical Rough In Gas Line Insp Appr/Sdwik Insp Building Final
Issued 4: lL - Permittee Si natur
g '- -
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day
CITYOF TIGARD _ SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2000-00176
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/1100
SITE ADDRESS; 10177 SW 871-H AVE PARCEL: 1S135AA-MRE02
SUBDIVISION: MAPLE RIDGE ESTATES ZONING: R-12
_ BLOCK: LOT: 002 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new single family.
Owner:
WINDWFEES
12655
HOMES — — —_- —
12655 SW NORTH DAKOTA Type By Date Arnount Receipt
TIGARD, OR 97223 PRMT CTR 12/1/00 32,300.00 272.00000000
INSP CTR 12/1/00 $35 00 27200000000
Phone: 590-4700 Total $2,335.00
Contractor:
Phone:
Reg#:
Required Inspections
Sewer Inspection
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires
180 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" Pennit and the Agency will install a lateral. ATTENTION Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued �y: r` k�_t , ; �,�_ Permittee Signature:,
Call (503) 639-4175 by 7:00 P.M. for an inspection neede& a next business day
11130.00 THU 11:31 FAN So3 67u 9147 CARLSUN TESTING f�?nul
Carlson GeOLeChniCal Main Office Salem Olfice Bend Office
li Box 23614 4060 Hudson Ave,NE P.O Box 7918
A Division of Carlson resting,Inc. Tigard,Oregon 97281 Salem,OR 97301 Bend,OR 97708
Geutochnlcal Consulting Phone(503)664-3460 Phone(503)589 1252 Phone(541)330-9155
Construction Inspection and R9I61ed Tests FAX(503)670-9147 FAX(503)569.1309 FAX(541)330 8163
CGT No. G0001565,A
Permit No.
FICLD OBSERVATION REPORT
DATES COVERED November 29,2000
PROJECT, Maple Ridge Subdivision
ADDRESS: SW Locust Street 8 87`r'Avenue-Tigard, OR
BY: W. Sandino
WEATHER Warm and cloudy
PURPOSE OF VISIT- Construction Observation
I arrived on site at 0830 on November 29, 2000 at the request of Dale Richards of Wlndwood Homes. At
the time of my arrival, the contractor had excavated lots 1 to 6 to subgrade elevation. The subgrade of
lots 1 to 6 to consist of native silty and silty gravelly soils The contractor showed me where the footings
where going to be located and I observed the subgrade conditions in these areas I probed the footing
subgrade of lots 1 to 6 with a Yr" steel probe rod at intervals, and was unahte to penetrate more than
about 4 inches in any location. According to a conversation with Date, 1 understand that he intends to
form the footings directly on top of the existing subgrade, and backfill a minimum of 18 inches on the
exterior footing wall tie will provide insulation on the inside of the footings In addition, while the
perimeter footings will be less than the 18 inches that we recommended in our report of July 14, 2000, we
understand that the design bearing pressures do riot exceed those given in that same report Based on
our understanding of the planned building loads and intended construction, we conclude that the above
changes are in accordance with the intent of our recommendations, and therefore, based on my
observations and probing the subgrades observed today have been prepared in general accordance with
our recommendations.
Lett the site at 0930
r ror?�c
W ston Sandino ke lewed by. JMN�~
Geotechnical Staff
Note. Our reports pertain to the locations observed at the time of our visit only Information contained
herein rR not to be reproduced, except in full,without prior authorization from this office
Attachment Site plan
Distribution Wrndwood Homes-Dale Richards -Fax 625-1756
Kurahashi a Associates-Greg Kurahashr- Fax:644 9731
City of Tigard Budduig Dept, Brian Regure- Fax 664-7297
Cir;' e:- TIGARD Residential Building Permit Application Plan Che
1:5125 SW HALL BLVD. New Construction Additions or Alterations Recd By
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E
Date to P.E. _ i_C�.503-639-4171 �&" Date to DSTF 503-684-7297 1 � Permit# - 7 d Z/
Print or Type Called G� t
Incomplete or illegible applications will not be accepted 6: VM
`1 W jZ Zcp00
Name of Project Name
/
Job i � �+�
Address s to Addr s Architect Mailing Address
fl
ame City/St to Zip Phone
��icl
Owner Mailing Address Name
zl 6 S S 10 lu'l"-f si�?-4/c Engineer Mailing Ad ess
G n c
Cit State Zip Phone
< z " —.16//
Nam Cit / t t
General �6C Zip Pho 7.2/rr ,9S y-�1
Contractor G(/y lvQ(,r,6yol �-Owgy /rr_ Describe work New Addition O Alteration O Repair O
Mailing Address to be done:
Pnur to permit SA—) &✓/>G� ,(,�.,,!�G Additional Description of Work: �j Q
issuance,a:opy Ci /State Zip Prone
of all licenses
are required if Orego Const.Cont.Board Exp. Date PROJECT
expired in COT Lic.# �•
database S'604 ,31j�Dl VALUATIONT$ _
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- Pe,,I Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address _ 3-2>d I :1
Prior to I.ermit )G Indicate the restricted energy Installation by the electrical
issuance,s copy Cit /State Zip Phone subcontractor in the following areas
of all Iicen;,es /tQ,^ U?V30 6P5:1.413 Restricted Audio/Stereo
are required if Oregon Const.Cont.Board Exp.Date Energy System Alarms
expired in CDT Lic.# Installations Vacuum Irrigation
database 1/d ya Y ///�/A/ S stem S stem
Plumbing Name (check all that Other:
Sub- Owl /0/6_' .-apply)
Contractur Mailing Address Corner Lot YES NO Flag Lot YES NO
(check one)— (check one
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/S ale Zip Phone
Issuance,a copy GUC �y �l Sy Solar Compliance
of all licenses are regon Const.Cont Board Exp, Date (Calculation Attac
required if Lic.# (Calculahed_ _
expired in COT -7/ b, o '3 ?//C4/ I hea. ybacknowledge that I have read this application,that the
database Plumbing Lic.# Exp. Date information given is correct,that I am the owner or authorized agent
of the owner,and that plans submitted are in compliance with
_ Oregon State laws. _
Name Signatt}re 1z r/Agent D
Electrical _ Q�vt-N/s (�-r5 f 4 :22 46
Sub- Mailing Address n act P rson,Nameh/� _ /� Phone#
Contractor (g 3(V /V�cJ /1 rC� -- �� /1�c��'v'_ _ ,S-�^S
FOR OFFICE USE ONLY:
PYCl/
tate Zip Phone �-•
Prior to permit FOR
#: MapTTL#, d
issuance,a copy 72.E C � -1 V P ( �- Or 01Z
of all licenses are Oregon Const Cont.Board Exp. Dat Setbacks: Zane/�- ETW.
required if Lic#
expired In COT ��//�� /o Engin6ering Approval: Planning Approval
databr.ie Electrical Lic.# Exp ate
I SFREM2DOC(DST)8/11198
SEE 35MM
ROLL. # 21
FOR
OVERSIZED
DOCUMENT
__..----•�. .. ._... ,fin„�nrJ Aa /:�_ `'� f
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FROM : OWPIWEST ELECTRIC FAX NO. : 5032976375 Dec. 05 2000 09:09AM P2
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE:
OWEN WEST ELECTRIC
8310 NW REED DR
PORTLAND, OR 97.229
Electrical Signature Form
Permit #: MST20DO-00219
Date Issued: 12/1100
Parcel: 1 S135AA-MRE02
Site Address: 10177 SW 87TH AVE
Subdivision: MAPLE RIDGE ESTATES
Block: Lot: 002
Jurisdiction: TIG
Zoning: R-12
Remarks: S/F A PATH I
Your company 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 horn your company sign below and return this Electrical Signature Form prior to the
start of the work to the address above, ATTN: Building Dept.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTCZ:
WINDWOOD HOMES OWEN WEST ELECTRIC
12655 SW NORTH DAKOTA 8310 NW RCED DR
TIGARD, OR 97223 PORTLAND. OR 97223
Phone #t: 590-4700 Phone #: 297-6375
Reg #: lIC 00029492
SUP 28856
LLE 26.3980
AN INK SIGNATURE IS REQUIRED ON THIS FORM
x
Signature of Supervising Electrician
It you have any ques,ions, please call (503) 639-4171, ext. # 310
1
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
JIM SISK ENTERPRISES INC
P O BOX 7160
ALOHA, OR 97007
Plumbing Signature Form
Permit #: MST2000-00219
Date Issued: 12/1/00
Parcel: S135AA-MRE02
Site Address: 10177 SW 87TH AVE
Subdivision: MAPLE RIDGE ESTATES
Block: l.ot: 002
Jurisdiction: TIG
Zoning: R-12
Remarks. S/F A PATH
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 frorn your company sign below and return
this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR.
WINDWOOD HOMES JIM SISK ENTERPRISES INC
12655 SW NORTH DAKOTA P O BOX 7160
TIGARD, OR 87223 ALOHA, OR 97007
Phone M 590-4700 Phone #: 503-649-4034
Reg #: I Ir. 71860
PI M 34-186PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Aut rized jXumber
If you have any questions, please call (503) 639-4171, ext. # 310
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CITY OF TIGARD 24-liour c�
BUILDING Inspection Line: (503) 639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST
BUP
Received /� f Date Requested_ -_ AM -- PM BUP
Location _Suite MEC
Contact Person L41)r — Ph( ) � d(a �� PLM
Contractor _ - Ph( ) SWR
BUILDING _ Tenant/Owner _ _ El r
Footing
Fuurlation Access: ELC -_ -
Ftg Drain
Crawl Drain ' ELR
Slab Inspection Notes: SIT
Post&Beam -_-
Shear Anchors
- - -
Ext Sheath/Shear
Int Sheath/Shear --- - --
Framing
Insulation -
Drywall Nailing
Firewall
-
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
ISAUS PART FAIL
BINGE
Post& Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole -
Storm Drain
ShowerPan
Other;
F• - -
L-qASS ART_ FAIL
M NICAL
Post&Beam — -�
Rough-In ------ — —
Gas Line
Smoke Dampers
SS PART FAIL
_ TRIC_AL
Service~
Rough-In
UG/Slab - --- -— ----- �__ - —
Low Voltage
Fire Alarm ------ _--.--___-- — —�
Final ff�� Reinspection PASS PART FAIL u fee of$_____ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE [] Please all for reinspection RE:_ F] Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector
Other:
Final DO NOT REMOVE this Inslaoction record from the Job site.
PASS PART FAIL
CITY OF TIGARD RIJILDING INSPECTION DIVISIrNN MST ;;57�V-UU L� `
24-Hour InspeLtiC , Line: 9-4175 Business Line: 63. '71 --
�/ BUP _
-- --- Bate Requested 3--.2-(, AM v PM __ BLD --� - --
I-ocation�/7_ -S 1 ,- _ Suite MEC
Contact Person _ Ph PLM
Ph SWR
BUILDING Tenant/Owner — __ �_�----- ELC
Retaining Wall =•.�_ ELR
Footiog Access: FPS
Foundation L a�i�r (7 0 �� 1 -
Ftg Drain -- SIGN
Crawl Drain Inspection Notes --� —
Siab ---- - - _. - - - _ -- SIT
Post&Beam -
Ext heath/Shear --------- --- --
Int Sheath/Shear
Framing ---- -- -- -- --- --- -----
Insulation
Drywall Nailing -
Firewall
Fire Sprinkler - -- -
Fire Alarm
Susp'd Ceiling --- -- -
Roof
Misc: -
Final
PASS PART FAIL - -- - -
PLUMBING _
Post& Beam
Under Slab
Top Out - - -
Water Service
Sanitary Sewer
Rain Drains - - -
Final
PASS PART FAIL -
MECHANICAL
Post& Beam -- --_ -
Rough In
Gas Line - - -
Smoke Dampers
Final -
PASS PART FAIL
Service - -
_- .—
Rough In
UG/Slab -
Low Voltage
F SAI
F incl
S PART FAIL ----._..--SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ]Reln3pection fee of$ —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection RE I Unable to Inspect-no access
Fire Supply Line
ADA -7
Approach/Sidewalk Date J ,� hispector � ��_�Ext
Other -
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.