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CITY OF TIGARD BUILDING INSPECTION DIVISION Ms1 C'47--�x
24-Hour Inspection Line: 639-4175 Stisiness Line: 639-4171
BUP
C1 Date Requested –AM PM BLU
Location / 62 n Suite MEC
Contact Person Ph _ PLM
-on or — Pei SWR --
aLULDING Tenant/Owner ELC _
Retaining Wall ELR —
Footing Access:
Foundation L `� FPS _
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post& Beam
Ext Sheath/Shear -
Int Sheath/Shear
Framing _ --- --
Insulation C z" ✓(.�' '�'t' /�� .e
Drywall Nailing — — - ---------
Firewall
Fire Sprinkler — --- -
Fire Alarm
Susp'd Ceiling -
Roof
misc. -- -- -- -- — -- -------
rn
S PART FAIL ----- — -
PL MBING
Post 8 Beam ---- -- -
Under Slab _
Top Out -------- -- --------
Water Service -
Sanitary Sewer
Rain Drains --
Final
PASS PART FAIL _
MECiiANICAL
Post& Beane
Rough In
Gas Line -----_._.-__---_._-----.-____--- _ - - ---
Smoke Dampers
Final ----
PASS PART FAIL
C� ELECTRICAL -- ----` -_- ---- ----v
n Service.
Rough In
N UG/Slab - - --------- - --
H
Low Voltage
J Fire Alarm -
cn Final
PASS PART FAILCD
----- —
`�' SITE
J
Backfill/Grading —
Sanitary Sewer
Storm Drain [ ] Reinspection foe of$ �required before next inspection. Pay at City I fall, 13125 SW Hall Blvd
Catch Basin Unable to
Fire Supply Line ( ]Please call for reinspection RE' inspect-no access
-_ __ ( 1
ADA
Approach/Sidewalk Date - Inspector Ext
Other - �
Final
PASS PART FAIL DO NOT REMOVE this inspection recoi rA from the job site.
CERTIFICATE OF OCCUPANCY
CITY O F T I GA R D
PERMIT#: MST9 -00196
DEVELOPMENT S97RVIDES DATE ISSUED: 06/27/1997
13125 SW Hall Blvd., Tigard, (jR 97223 (503) 639-4171 PARCEL: 2S102BA-04200
ZONING: Q-25
JURISDICTION:
SITE ADDRESS: 12076 SW 97TH PL PV
SUBDIVISION: DUBLIN PARK
BLOCK: LOT:012
CLASS OF WORK: NEW
TYKE 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
3/13/98 By The City Of Tigard, Building Division
Owner:
Phone:
Contractor:
ROSE MANOR HOMES '4C
10520 SW LUCAS DR
TUALATIN, OR 97062
Phone: 452-8133
Reg #:
This Certificate grants --cupancy of the above reterenced building or portion thereof and
confirms that t building has been inspected for compliance with the State of Oregon
Specialty the group, occupancy, and use under whi h the referenced permit was
issued.
BUILDING INSPECTOR BUILDI_ OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD MASTE,� PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST•97-0196
13125 S W Hall Blvd.,Tigard, 0R 97223 (500639.4171 DATE ISSUED: 06/27/97
PARCEL: 25102BA-042::00
SITE ADDRESS. . . : 120'7E, SW 97TH PI_ flF,V1-
SiJND I V I S I ON. . . . :DIJBi-I N PARI,, ZONING: R-25 PD
BLOCV. . . . . . . . . . LOT. . . . . . . . . . . . . :t-.1 JURISD ICTIrii:
Remarks: PATH 1 1/2 DUPLEX
-------------------------------------------------------------- BUILDING
REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...; 0 sf REQUIRED SETBACKS---- REQUIREU------------
CLASS OF WORK.-NEW HEIGHT,,.....,; 23 FIRS1. ...: k704 sf GARAGE.....: 400 sf LEFT..........: 0 SMOKE DETECTRS: Y
TYPE OF USE...-SFA FLOOR LOAD....: 40 SECOND...: 782 sf FRONT.......... 20 PARKING SPACES: 2
TYPE OF CONST.:SN DWELLING UNITS: 1 FINPSMENT; 0 sf RIGHT.. ......: 15
OCCUPANCY GRP.:R3 BDRM: BATH: 3 TO- --- -: 1486 sf VALUE_$: 106485 REAR..........; ?0
------------------------------------------------- ------------ PLUMBING --------------------—---------------—------------------------
SINKS... .....: i WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 100 TRAPS.........: 0
LAVATORIES....: 5 D15HWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB/SHOWERS...: 2 GARBAGE DISP..: 1 WATER HEATERS.: I WA'ER LINE Ft: 100 BCY,FLW PREVNTR: I GREASE TRAPS..: 0
OTIfR FIXTURES: 0
--------------------------------------------------------------- MECHANICAI. ---- --_-_---.------------------------------------------------
FUEL TYPES----------- FURN ( 100K ..: 1 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES D14YERS: I
GN',i FURN )=100K ..: 0 UNIT HCATERS..: 0 HOODS.........: 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....; 0 GPS OUTLETS...: 1
------------------------------------------------------------ ELECTRICAL ----------------- -----------------------------------------------
—RESIDENTIAL
------------------------------------------.----RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- ---TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L iNSPECTTONS--
1000 SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR,.: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF,: 2 201 - 4kg amp..: 0 281 - 400 amp..: 0 1st W/O SVC/FDA: 0 SIGN/OUT LIN LT: 0 PER HOAR.,.,..: 0
LIMITED ENFRGY.: 0 401 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...; 0 IN PLAN ......: 0
MANE HM/SVC/FDR: 0 601 - 100e amp.: 0 601+amps-1800 v: 0 MINOR LABEL -10: 0
1000+ amp/volt.: 0 ----------------------------------- PLAN 2EVIEW SECTION ----------------------------------
Reconnect or,y.: 0 )=4 RES UNITS..: SVC/FDR)=2225 A.: ) 600 V NOMINAL: CLS AREA/SR'_' OCC':
------------------------------------ -------------- ELECTRICAL - RESTRICTED ENERGY -----------------------------------------------------
P. SF RESIDENTIAL-------------------------— B. COMMERCIAL--------------------------------------------------------------------------- --
AUDIO I STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAP ALARM..: OTH: :: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNLr
GARAGE OPENER,,: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR;
HVAC...........: DATAJELE COMM.: NURSE CALLS....: TOTAL 0 SYSTEMS: 0
Owner: ------------------------------------Contractor: ----------------------------- TOTAL FEES:$ 4434.27
ROSE MANOR/GSI NORTHWEST ROSE MANOR HOMES INC This permit :s subject to the regulations contained in the
10620 SW LUCAS 106LO SW LUCAS DR Tigard Municipal Code, State of Ore. Specialty Codes and all
PORTLAND OR 9722" TUALA'IN OR 97062 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone 1: 452-8133 Phone A: 452-8133 not started within 180 days of issuance, or if the work is
Reg 1..: 189868 suspended for more than 180 days. ATTENTION: Oregon law
---------------- —---_.-----------_------------- requires you to fsllow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-061-0016 through OAR 952-001-0080. You may obtain copies of these rules or
direct questions to OUNC by calling (°03)246-1981,
--------- ------ ----------------------------------- REQUIRED INSPECTIONS -----------------------------------------------
Erosion
------------------------------------------Erosion Control Post/Beam Struct Electrical Rough Gas Linc Insp Rain Drain Insp Mechanical F;.nal
-' Grading Inspecti Post/Beam Meehan Mechanical Insp Gas Fireplace Water Line Insp Buildinj Final
Sewpr Inspection Plo/Underfloor Low Voltage Insulatiun Insp Appr;'Sdwl'x Insp _
Footing Insp Crawl Drain Plumbing Top Out Shear Wall Insp Electrical Final _
Foundation Insp .� Electricall Ser'vi Framing Insp Gyp Board Insp Pluw 1
Issued E.y : ^ Permittee Sigriatut-e :
++++•+++++++++3,++++i++++++++•1-++++++++++++++++++++++1+++ F ++ ++i +i+ 1 ++++++++++
Call 639-4175 by 6:00 p. m. for an inspection needed the next business day
CITY OF TIGARD
DEVELOPMENT SERVICES SEWER CONNECTION
13125 SW Hall Blvd., Tigard,OR 97223 (5O3)639.4171 PE RM I T
PERMIT #. . . . . . . . SWR97-0196
DATE ISSUED: 06/127/97
PARCEL: 2S 102BA-042:00
SITE ADDRESS— : 12076 SW 97TH PL #PVT
SUBDIVISION. . . . :DUBLIN PARI: ZONING: R 25 CSD
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :012 JURISDICTION:
----------.---_-_----------------__-_-------
TENANT NOME. . . . . :
USA NO. . . . . . . . . . : FIXTUPE UNITS. . . : 0
CLASS OF' WORK. . . :NEW DWELL_I NG UNITS. . : 1
TYPE OF USE. . . . . .SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE: 0 sf
Remarks : PATH 11/2 DUPLEX
Owner,: -- _.__________.___._. ___.___.__.___________
----------------- FEES __--------____._.
ROSE MANOR/GSI NORTHWEST type amol_rnt by date recpt
106:,20 SW LUCAS PRMT $ 2200. 0e. DRA 06/26/97 97--2S6521
PORTLAND OR 97209 INSP s 35. 00 DRA 06/26/97 97-296521
Phone t#:
Cont r^act ar: -------------- ---- ---- ---- __...
OWNER
Phone #: $ 2 235. 00 TOTAL
Reg #. . :
------- REDUIRED INSPECTIONS ------
This Applicant agrees to comply with all the rules and regulations fSewer, Inspection
of the Unified Sewage Agzncy. The permit expires 18O days from _ _the date issued. The total amount paid will be furfeited 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" 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
R these rules or direct gnestions to OUNC by calling (5O3)24F-1987.
Ln
J T =,s�_red hY : _?._ e `� Permittee Signator-e:� 1
'�`'"
ca
J +++++++++++++++4+++i•+++++++++++++++++++++4'+++++++++++'F+++++++++++++++++•h i'++++++i
Call 639-4175 by 6:00 p. m. for, an inspection needed the ne><t business day
►+++++++.++++++...++++++++++++++.f-+++++++++++++++++++++++++++++++++++i-+++++. +++++++
Plan Check o O - 171!L
"Y OF TIGARD Residentiao' Building Permit Application Recd By
X25 SUV HAIFi.,r3LVD. New r,;nstruction Additions rr Alterations Date Recd
'ARD.10R 974',23 Single Family Detached or Attached (Duplex) oats to P E 6-�1
)3 r39-4171 Date to DST 6`11 r
:03-634-7297 Peri,;a_,�7 5
Print or Type Callers
Incomplete or illegible applications will not be accepted
Name of Project + Name
Job ��� ' S t.a ' , / S1 �)
t.
Address Site ddress Architect Marling Address 1
Cit tate Zip Phone
Owner Mailing Address / N
' rSlate Zip Phune Engineer Marling Address
c
r,t,U�r .�-
iy/s ate Bio Phone
Ndrk�-7 c A i 1
General �� a Describe work ew Addr on 7 Alterat:,n O Repair O
Contractor Marling Addressvv to be done
.�_r4 .2ei -j`) Additional Descnptlon of Work: -
-9.I!YrState Zi Phone
Oregon Co 3t. ont. Board L c a Exo Date _
.Mach Copy of /01_1" "/- 5 I '
Current I COT Business Tax or Metro a I Exp Date PROJECT
Licenses VALUATION $
I Name _
dlechanical I ( -7� /c-� .� ��� Nrw CONSTRUCTIO ONLY: —
Sub- I Mailing ACdreS3 Sq. Ft. House: J i Sq. Ft. Garage
Contractor -j /4� " a; , o.,Ld ( / / D
Corner Lot YES NO Flag Lot YES NO
CGtyrStat ; I Zip 4' Ph ne
.� ��c ✓, o3 j�•1 (check one) (check one)
Cregon '004t,Cont. Board L c.a Exp tate Restricted C/ Audio/Stereo Burglar
.%tttich Copy of , / Energy vstem I Alarm _
Cunent COT Business Ta: or Metro a I Exp. nate Inst illation ! Garage Door HVAC
Licenses Name �' Opener `� Systems
(check all that Other:
Plumbing '1 Vis• /At-VA-r �c p L apply)
Sub- I-Mm
ang Address Will the electrical subcontractor wire for all YES NO 1
;ontractor I ) Agc1 roe C restricted energy installations? 1 ✓ I _J
C;r,State do f Phone Has the Suodivlsion Plat recorded? N/A YES NO j
I 54-fi/h, 4,01l 4,4, 4 J/-z 1 _ I 1,� _ I
I Oregon Cons C� .,nt. Board Lica I Exo Date Reissue of MS7# Solar cmpliance
kttach cosy of _� I (Calculation Attached)
Licenses rrcerases Current I Plumbing L,c. a Exp. Oats I hearby acknowledge that I have read this application, that th
~
N information given is correct. 'hat I am the owner or authonzed
COT 9usiness Tax or Metro a I Exo Date I agent of the owner, and that plans submitted are in compliance
Name -- with Cregon State I ws
Signature of _ p
t
0c Mailing Address Con,act n Na- , -- �-
Phone#
Ar r ._;, -Va
C.;.S ; . 7i i Phone FOR OFFIC US ON 'Y:
-----
��; —�G 1 Plata f ) v Ma /(
Cr on Ccnst C.-)n, card L c a E o Date f G �' U Cf3A_ 6q(7t 6
�J
y 7 Setback71 I I Zone:, - Solar.C
in �'f�I Lic.N Exo Date
` gl,TC I Aj ; Engineering App va Planning Approval, TIF
C Business Tax or Metro a xp Oate _ L � , r )
G `�- �� / pp.doc tdst) 1/9-
P�rrr,it # Account DeGcn hon Amount Ami. Pd. gel (Zc�
iY47N1ST. F' �rmt (BUILD)
Plumb. Permit (PLUMB) ,
Mech. Permit (MECH) 43, V�
ELC/ELR Permit (ELPRMT; U 0. I,� o2Gy,
State Tax (TAX) y
Bldg: ,
Plumb:
Mech:
ELC/ELR: /V,
Plan Check /
M OT-
� (BUPPLN)
Plumb: (PLMPLN) _
Mech: ,r(ME yPLN) /a V/ U
CDC Review CCt--')Ct3�(� atJS) � �rJ�— .��..�•�' �d
?,( Sewer Connection (SWUSA) u• � V
Sewer Inspection (SWINSP) 3
,)
Parks Dev Charge (PK--,DC)
Residential TIF (Tlr--R)
Mass Transit TIF (TIF-MT) /?-tr, ✓
Water Quality (VVQUAL) / l/• /
Water Ouantity (WQUAN UUP
��,`
/ _L
Erosion Control Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) U
CM
Erosion Planck/COT : 2k
ROSN) �`
Fire Life Safety ,FLS) –�
TOTALS: C!'G T• FV.
�fa r,10C (asc) ti97
ALAN MASCORD DESIGN ASSOC. , INC.
1305 N.W. 18TH AVENU-
PORTLAND: OREGON 97209 (503) 225-9161
................................................................................
SOLAR CALCULATIONS FOR:
::ROSE MANOR HOMES LTD.
::LOTS 11 & 12
:;DUBLIN PARK
::CITY OF TIGARD
................................................................................
::GIVEN DESIGN VALUES :
................................................................................
:N/S LOT DIMENSION. . . . . . . . . . . . . . . . . . 38
::AVERAGE FRONT P.L. GRADE ELEV. . . . . . 98 5
::AVERAGE REAR P.L. GRADE ELEV. . . . . . . 9P . 5
::FINISH FLOOR ELEVATION. . . . . . . . . . . . . lU0
::HEIGHT OF RIDGE ABOVE ,FF. . . . . . . . . . . 25 . 5
::HEIGHT OF SAVE ABOVE FF. . . . . . . . . . . . 0
::ROOF RISE PER 12 RUN. . . . . . . . . . . . . . . 8
:DOES RIDGE RUN NIS. . . . . . . . . . . . . . . . . Y
::SETBACK DISTANCE FOR SHADE POINT. . . 9 . 5
................................................................................
.................................................................... ...........
^CALCULATED VALUES :
.......................... ......................... ............,.............
ADJUSTED NIS LOT DIMENS7ON . 38
RIDGE ELEVATION. . . . . . . . . . . . . . . . . . . . 125 . 5
EAVE ELEVATION . . . . . . . . . . . . . . . . . . . . 100
ADDITION TO S. P .H. FOR NIS RIDGE. . . 3
ADDITION TO S. P.H. FOR LOT SLOPE. . . 0
ALLOWED SHADE POINT ELEVATION. . . . . . 129 . 2
``'. ACTUAL SHADE POINT ELEVATION. . . . . . . 125 . 5
............................................................................. ORICINAL
................................................................................J
BUILDING COMPLIES WITH SOLAR CODE. . .
* BASED ON FORMULA: H = ( ( (2 * D) - N + 150) / 5) + ADJUSTMENTS
WHERE H = M.,;' . ALLOWED HGT. OF SHADE POINT
D = DISTANCE BETWEEN SHADE POINT & NORTH LOT LINE
N = NORTH SOUTH LOT DIMENSION (90 ' MAX. )
ADJUSTMENTS = FOR RIDGE DIRECTION NIS AND SLOPE OF LOT
91 May:9 111 29;16 RALnLTl l 1.0P SATURN W.R.R.1
4007
�M BY
ROSE MANOR HOMES. LTD
2)
(PH I 452-8133
CITY of TIGARD
�•�/ ��'ti 'r (,� DUBLIN PARK
},o). 13)4, 04!ou LOT 11 - 12058 S.W 97TH PLACE
09 Lao LOT 12 - 12076 S W. 97TH PLACE
�r 1 ti NO rE
GRAVEL OR,'VcWAY ENTRANCE
PER EROSION CON rROL
`?6.
06'e2, 15' PRIVATE
R00. `F �\ / S.DE
10LOT 11 �� 43
to./
( J,J06 SO f rJds'0
kiP
1
0
' LOT 12 A,
MAIN FLOOR / ( J,770 SO.
EL :165
MAI OORm�
r OI EL:160 0'
GARAGE
to EL :164 5'
•0. i 4/
GARAGE A,
/ EL :164 5' / / Cl
\6� •40 a %0 A' CONC
O DRIVEWAY // Q
t S/ ^� 13500 P S i I V
J.% 4.7 �y A' CoNC �\ / As hry/ Q'
\\ 0 , lk
PIVE
0
13500 P$I) /h ,/
0
�Aq p
R�� ry p8' PUE
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_-I
I^
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05/28/97 MRR
ALAN MASCOt10 DESIGN ASSWATES. NC O
S NO JASLE LOA '10 ACC'iOACI OF
•DeOGAAPwr WOAMAtION t 'S --4 SCIS /� L _ /�/•�\-
aESPCNSIBIitr OF 'IE 9UA DEN '0 vEptl
All SItE CDNd nONS WAUDNG ANI ctrl
RACED ON 14 SM AND WOPM OINWAl
Dt ANr PDtEmmt ruo MOOWCA?XM
ALAn 11AICO2D DCfIb1 AIIOCIATE ! 11C \
1305 N W 18TH AVENUE. PORTLAND, OREGON 97209 ;5031 225-9161 S C A L E t ' 2 00 "