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12058 SW 97TH PLACE i' ADDRESS: laoss sw C.t F- N F J Q] Il! i:`recordslmicrofim\largelsV)uilding.doc CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspcc,:on Linc: 6394175 Business Phone: 6:94171 Date Requested: - 3 1 - A.M. P.M MST: T Location: / l — _ BUP: Tenant: — _ ui^t�e: Bldg: MFC: Contractor:_ ` 1 1 Q hone: n . - PLM: Owner:_ - —Phone: _ ELC: ELR: SIT: BUILDING DG(c'an't) PLUMBING MECHANICAJL. ELECTRICAL SITE Site Post/Beam 'i stlff6am Cover/Service Sewer/Storni Footing Roof 1 UndFI/Slab Paugh-In Ceiling Water Line Slab Framing rl -_ 'fop Out Gras Line Rough-In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bstnt Danip Drywail Stonn Furnace Temp Service MISC Masonry Ceiling Rain Thain P/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr i lent Pump Low Volt _ A,roved Approved proved Approved Approved n ^ wlk p of ppri-wed Not Approved o al Not Approved Not Approved FINAL INAL 2,4= FINAL FINAL dz:*A-4'W, 73- K L in _ F-- CO J 0 Call for reins -tio 177 Reinspection fee of S required befor/e next insl tion C](hiable to inspe t Inspector: Date: ! PnRe„--of CERTIFICATE OFOCCUPFVCY CITY OF TIGARD PERMIT M MST97-00197 DEVELOPMENT SERVICES DATE ISSUED: 06/27/1997 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102BA-04100 ZONING: R-25 JURISDICTION: TIG SITE ADDRESS: 12058 SW 97TH PL PVT FIL E Cop SUBDIVISION: DUBLIN PARK BLOCK: LOT:011 CLASS OF WORK: NEW TYPE OF USE: SFA TYPE OF CONSTR: 5N OCCUPANCY GRP: R3 TENANT NAME: REMARKS: PATH 1 1/2 DUPLEX Final Building Inspection and Certificate of Occupancy Approved 3/31/98 by Ken Schriendl, Building Inspectoi Owner: ROSE MANOR HOMES 10620 SW LUCAS DR TUALATIN, OR 97062 Phone: 452-8133 Contractor: ROSE MANOR HOMES INC 10620 SW LUCAS DR TUALATIN, OR 97062 Phone: 452-8133 Reg #: This Certificate grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use �nder whic the referenced permit was issued. ' t) �t)� � ci,tO BUILDING INSPECTOR BUILDIN d _ FICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 659-417 I BUP _ Date Requested AM _PM _ _ BLD Location_ J ��`'� 'rt6L_ Suite _ MEC Contact Person Ph PLM Contractor Ph _ _ SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: 1 FPS Foundation �� ���`--��- _ — -- Ftg Drain C SGN Crawl Drain Inspection Notes: — -- Slab _ SIT _ Post&Beam — Ext Sheath/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 TopOut ___ ------ ------------ ------- --- -------___._ __ Water Service Sanitary Sewer Rain Drains i-inal - —— PASS PART FAIL _----- MECHANICAL Post& Beam - -- ---- - -- - - ---- -- Rough In Gas Line Smoke Dampers Final - -^- — PASS PART FAIL ELECTRICAL -------- --- ---------- -------- --- -- .� Service Rough In UG/Slab Low Voltage �- Fire Alarm _ - _- -' Final v m PASS PART FAIL - -___ --- ---— - - -- �`D SITE Backfill/Grading - - "- — — Sanitary Sewer Storm Drain I j Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( j Please call for reinspection RE: ( J Unable to inspect-no access Fire Supply Line — ADA Approach/Sidewalk Date Inspector_ Ext Other Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD MASTER PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST97--0197 13125 SW Hall Blvd., Tigard,0R 97223 (503)63.9-4171 DATE ISStIED: 06/27/97 PARCEL: 2S t O2BA--04100 SITE ADDRESS. . . : 1�'05Ei SW 97TH PL #PVT SUBDIVISION. . . . :DUBLIN PARI', ZONING: R--25 PD BLOCK.. . . . . . . . . . LOT. . . . . . . . . . . . . .011 JURISDICTION: Remarks: PATH I 1/2 I)IpLEX ------------------------------------------------------ --- BUILDING REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SFTBACKS---• REQUIRED---------- CLASS OF WORK.:NEW HEIGHT........: 23 FIRST....: 704 sf GARAGE.....: 400 sf LEFT......... .: 10 SMOKE DETECTR;3: Y TYPE OF USE...-GFA FLOOR LOAD....: 40 SECOND...: 782 sf FRONT.......... 20 PARKING SPACES: 2 TYPE OF CONST.:SN DWELLING UK-.TS: 1 FINBSHENT: 0 sf RIGHT.........: 0 OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL------: 1486 sf VALUE..S: 106485 REAR..........: 20 -------------------------------------------------------------- PLUMBING --------------------------------------------------------------- SINKS.........: 1 WATER CLOSETS.: 3 WASHINu MACH..: 1 L01DRY TRAYS.: 0 RAIN DRAIN ft: 100 TRAPS.........: 0 LAVATORIES....: 5 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LIFE ft: 100 SF RHIN DRAINS: 1 CATCH BASINS—: 0 TUB/SHOWERS...; 2 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0 OTHER FIXTURES: 0 --------------------- MECHANIC,RL. ------------------------------------------------------------- FUEL TYPES----------- FURN ( 180K ..: I BOIL/CMP ( 3HN: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1 GAS FURN )=INK ..: 0 UNIT HEATERS..: 0 HOODS.........: 1 DTHCP UNITS...: 1 MAX IW: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAC OUTLETS...: 1 -- -------------------------------------------------- ELECTRICAL -------------------------------------------------------------- --RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS-- 1000 SF ON LESS: 1 0 200 amp..: 0 0 200 asp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 500SF.: 2 201 - 400 amp..: 0 201 4N amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0 LIMITED ENERGY.: P 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.: 0 601+amp.-1000 v: 0 MINOR LABEL -10: 0 1000+ amp/volt.: 0 ------------------------------------ PLAN REVIEW SECTION ----------------- ------------- Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: ---------------------- ----------------------- - - ELECTRICAL - r5'rRICTED ENERGY ---..—-----------—-------------------------- A. SF RESIDENTIAL-------------------------- B. COMMERCIAL-------•----------------------------------------------------------------- AUDIO I STEREO.: VAI;UUM SYSTEM..: AUDIO 8 STEREO.: FIRE ALARK..... INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM.. : OTH: :: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL 4 SYSTEMS: 0 Owner: --------------------------------- -;,ontractor•: ---------------------------- TOTAL FEES:$ 4434.27 ROSE MANOR HOMES ROSE MANOR HOMES INC This permit is subject to the regulations contained in the 10620 SW LUCAS DR 10620 SW LUCAS DR Tigard Municipal Code, State of Ore. Specialty Codes and all TUALATIN OR 97062 TLIALATIN OR 9706? other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work it Phone #: 452-8133 Phone M): 452-8133 not Started within IN days of issuance, or if the work is Rey C.: 109868 suspended for sure than 18C days. ATTENTION: Oregon law —----------------------------------- requires you to follow rules adopted by tie Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0610 through OAR 952-001-0080. You may obtain copies of hNpse rules or direct questions to O(K by calling (503)246-1987. REUJIRED INSPECTIONS -------------------------------------------- LL Frosion Control Post/Beam Meehan Mechanical Insp Gas Fireplace Water Line Insp Building Final —' Grading Inspecti Ple/Underfloor Low Voltage Insulation Insp Appr/Sdwlk Insp Wonting Insp Crawl Drain Plumbing Top Out Shear Wall Insp Electrical Final Foundation Insp Electrical Servi Framing Insp Gyp Board Insp Plumb Final Post/Beam Struct Electrical Rough Gas Line Insp Rain Drain Insp Mecha c 1 Fina Mss�.red I3y : �� ]� r�'" Permittee Signati.rr^e :_ F+++++++++++++++++++++++++++4-++++++++++++++++++++++++++++4 +++++A-'++4-+-4 ++++++++ Call 639-4175 by 6100 p. m. for an inspection needed the next bi-rsiness day CITY OF TIGARD DEVELOPMENT SERVICES SEWER CONNECTION PERMIT 13115 SW Nall Blvd.,Tigard,OR 97223 (503)639.4171 ` PERMIT #. . . . . . . : SWR97-0197 DATE ISSUED: 06/27/97 PARCEL.: 2S1O2BA-04100 SITE ADDRESS. . . : 17'058 SW 97TH PL #PVT SUBDIVISION. . . . :DUBLIN PARK "ZONING: R-25 PD BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :O11 JURISDICTION: TENANT !NAME. . . . . : USA NO. . . . . . . . . . . FIXTURE UNITS. . . . 0 CLASS OF WORN.. . . :NEW DWELL I NG UPJ I TS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1. INSTALL. TYPE. . . . :BUSWR IMPERV SURFACE: 0 sf Remarks : PATH 11/2 DUPLEX Owner-: _-- ----- --________.___.__________..._.__—___--------_..__-_ FEES ROSE IhANOR/GSI NORTHWEST type amol_rnt by date recpt 1O620 SW LUCAS PRMT $ 2200. 00 DRA 06/*=6/97 97—E-96520 PORTLAND OR 97209 INSP $ 3,i. O0 DRA 06/26/97 97-2965'20 'hone #: Contractor,: OWNER I-'h o n e #: '21235. 00 TOTAL Rey it. . : -------- REQUIRED INSPECTIONS -------- This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires 180 days rrom 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 ? feet in all directions from _ the distance given. If not so located, the installer shall purchase _ a "Tap and Side Sewer" Permit 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 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)2'•6-1987. —' Iss1_ted by : Permittee Signature : LD 111 J ++++4++++44A-++++++++++++++ f+4...++++-F+++++++++++++++++++++++++++++++++++++++++'-+ Call 639-4179 by 6:OO p. m. for- an inspection needed the ne:<t bl.tsiness day ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++.++++++ P1an CheCk M S—1�o rZ F �,G>aao Residential Building Permit Application aec-ClBy SW HALL BLVD, Neva Construction Additions or Alterations Dare Rec; � 5 ]f 7 :D. OR 97223 Single Far-mly Detached or Attached (Duplex) Date to P E. 9., 7 -• 39-4171 Date to OSTM-, - //- if 684-7297 Permit s h1 7 Print or Type Called Incomplete or illegible applications will not be accepted Name�f Protect Name Job //), ltn/e 1, e Sc fIIDTa 7)"/ 1dress Site Address Architect Mailing Address l0T LJ =�.� f`: 4 t o 0 Name Clty/5tate Zip Phone l S/ e o rrm, fsr �E�sf�j.>>u�a lu c o / L t� )wner Mailing Address fs�:....1��� _fOl.• l v Sim l�ci r le nfL.X� City/State Zip Phone Engineer Mailing Address 'I ilrfrrrlT)�/ �- �>Obz ys� 8/33 < < v � N Name City/State ZiP Phone J Q��lt � ({ P2- eneral 4'.�c �`J.9yo� �>CS Describe work New Addition o Akeradon O Repair O ltractor 'Harling Address to be done: /0 6,Z o 5,C cr Lr "'t< IV. Additional Description of Work: City/State Lp Phone 714"9214 ri11, j2 970(.1 ".2- Y1,33 Oregon Const. Cont. Board Lrc.0 Exo.Date h Copy of /D'! -fF P //- 9- St urrentCOT Business Tax or Metro 4 Exp.Date PROJECT ensas VALUATION Name 'ianical 7s` NEW CONSTRUCTION ONLY: 3 u b- M il no.address - Sq. Ft. House: Sq Ft. Garage tractor7/` S t K / g f Z/a 0 '�' Comer Lot YES NO F!ag Lot YES NO C; /state Zip FF Phone (t;tteck one e llU>' v� 76-1, _ .?-Sim- ) �� (check one) �.regon Con . cont Boars U-.4 Exp.Date Restricted Audio/Stereo Burglar r h Copy of Z - -) / _ Energy System Alarm ,,r-ent CCT Eusrne."Tax or h4letro 0 Exp Date Installation Garage Door HVAC crises Vi " L— OpenerSystems (check all that Other. :;Ibing — / A} �C >A11(C(l apply) ub- •airing Address Will the electrical subcontractor wire for all YES NO tractor L -_ restricted energy installations? r� tyrS;ate Z.p P e Has the Subdivision Plat recorded? N/A YES NO gegen Const. Cont Board L c 4 Exp Date Reissue of MST#: Solar Compliance Copy of j r :went Plumeirg Lc, 4Exp.Date (Calculation Attached) ernes I I hearty acknowledge that I have read this application, that t COT Br slness Tax or Metro 4 I Exp. Date i informaticn given is correct, :hat I am the owner or authorized agent of the owner, and that plans submitted are in compliance _- Name with Oregon State laws. trical c =i9 lure of Owner/A t Dat Malin Address -Phone fit ub- 9 - Contact Person Name tractor /.l/�-C e /0pt,0,1N l�J I6,AQ 1 SNDr-z-s _�- 8/3 C rS:ate Zi Phone FOR FFICE SE ONLY,: nt: U. �. - t �, Oregon Const- Cont Board Lrc! Exo D e .;tai11 -T- L rte , o�6A _ 0tV/�r�, Copy of el 7X Q /— 4 7 M�Q/'T'Lf�:Setbacks. Zone' rrent E e c?I 4 Exp Date '1,rr /„r1. 'I� •G I q�i l `'1// Solar.C.� rises [ Oji 7 L Englneenng Approval: Planning Approval: TIF COT Bu mess Tax or Metro>r Exp. Date tr r�tiI CI i:lsfapp.dc.c(dst) 1/9 J 37 May=B 113.9:16 R:aLr LT111:0P SATURN IM.R.R.1 4007 BY ROSE MANOR HOMES, LTD /? IPH 1452 8133 CITY OF TIGAR'/[.l- +�J DUBLIN PARK 01 '0'o LOT 11 - 12018 SW 97TH PLACE 7_.'p V LOT 12 - 12076 SW 97TH PLACE NorE_ GRAVEL OPIVEW1 Y ENTRANCE ..r `. PER EROSION CON rROL 15 ATE �e00.. "'F �� $OE i LOT 11 o OT '12 MA'Y FLOOF7 / ( J,770 S0. FT) Of cb MAIN FLOOR � i s 0. / p oh mo EL :165 0' ? c ,�,► GARAGE GARAGE EL :163 5' Cij A" CONC ORIVEWAv Sr�,f S 26• / ti (1500 P S III / '�1, C) A CONIC `~ /// \ 9 w i/% DRIVEWAY / ~ All �\�fa` � a„ 11500 PSII �� `\\ .Via. r � S Iw, � � • 1 tih R 114T p� 9 X0.0. e• PU: RagoCF 05/28/97 MRR ALAN A•ASCONO DESIGN AWOCIAT[S.;NC O S 401 LIABLE=OA t4 AC URACV OF fW "P IGRAPHT AFORMAI104 iT IS 'HF SOLE / 3EST418LITT 3F Tof 9MOF11 f0 VFAIPT � ALL yfE CONphONS tVC1.UN6 ANT PILL a-ACID ON 74SttE ANt• +fOpM OM1'4pS �j\ y AN1 PO TFNTIµFfl J MOdFICATIONS aLan IAf000D DEfian A f f 0 1AiFI 17C '305 N 41 18TH AVENUE. 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