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L o� 0 r c w a,F N _O m d O pl a O Z S pw to �n tri c � a a a o T m tm Y 0 0 0 0 X CL O a wU CWJ (D L^ Q v y o 0 0 0 0 0 0 0 z z z °zz° z° z° ° z 00 T- CD CL Z Q N V � � L Z Z Z O m p (1 o2 O 00 0 10 mw loxO � m U) y w Ltx O U) CL m w Q c 0 = d o cr > ii rn n d a l m _ C) v $ a i x° � LL 0 CITY OF TIGARD BUILDING INSPECTION DIVISION MST9�'-a�, q , 24-Hour Inspection Line: 639-4175 Business line: 639-4171 -3/ BUP _Date Requested — 3& _AM_ PM = BLD _ Location 12_ 333 / 4/ Z2� Suite MEG Contact Person Ph CVW'g00()---C6V 978 Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR _ Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: �' '/� SGN '7 Slab __�. C / 0__4d �'� -�� SIT Post Beam C n � C 1 ems' (� Ext Sheath/Shear eath/Shear �L:=,lif f7 Int Sheath/Shear Framing Insulation -� Dr' .-all Nailing /CC Cid ^ �' _ �L�C� • _JSP �i Firewall ,�— A Fire Sprinkler Fire Alarm VT— Susp'd Ceiling Roof Misc: _ ART rr+':. -- — Under Slab L.) -ter Top Out Water Service Sanirary Sewer Rain Drains i 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 PASS PART FAIL _ SITE Backfill/Grading Sanitary Sewer torm Drain [ Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd etch Basin Please call for reinspection RE: Fire Supply Line [ p _..__.______ _ ]Unable to inspect-no access ADA Approach/Sidewalk Date _�T Other J U 'A Inspector _ Ext Final PASS PART FAIL 00 NOT REMOVE this Inspection record from the job site. CITOF TIG A RD _PLUMBING PERh1!T CITY DEVELOPMENT SERVICES PERMIT#: P DATE ISSUED: 03/27/20/27/20 -00097 00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103AB-06200 SITE ADDRESS: 12333 SW 114TH TERR SUBDIVISION: WALNUT G' EN ZONING: R 4.5 BLOCK: LOT: 020 _ JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: Ft DISHWASHERS: RAIN GRAIN: ft Remarks: Install a residential backflow prevention device. _ FEES Owner: Type By Date Amount Receipt RIVERSIDE HOMES PRMT GEO 03/27/200C $25.00 0000964 15455 NW GREENBRIER PKWY#140 5PCT GEO 03/27/200C $2.00 0000964 BEAVERTON, OR 97006 Total $27.00 Phone 1: 645-0986 Contractor: ACI MECHANICAL USA INC 12300 SW 69TH AVE TIGARD, OR 97223 REQUIRED INSPECTIONS RP/Backflow Preventer Phone 1: 598-4798 Final Inspection Reg#: LIC 137663 PLM 3-243PB R F-- H J This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for mote than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may zcall s o these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: ' Permittee Signature: 2 03) 9-4175 by7:00 P.M. for an inspection needed the ext busln ss day CITY OF TIGARD Plumbing Permit Application Plan Check# 13125 SW HALL BLVD. Commercial and Residential Recd By TIGARD, OR 97223 Date Recd (503) 639-4171 Date to P.E. Print or Type -,V-/ �-- Date to DST Incomplete o. illegible applications will not be accepted Permit#_'-01R0to-eZ12j_-; Related SWR# Called Name o1/Development/Project FIXTURES (Individual) QTY PRICE AMT Job I fJ F'w l l e i l Sink 11.50 Address Street Address Suite Lavatory 11.50 I� 1 5'-')J l l I//,/N) j.f 1. I Tub or Tub/Shower Comb. 11.50 Bldg# City/State Zip Shower Only 11.50 me Water Closet 11.50 Np 'f'-'i�/(�( J-w 17! Urinal 11.50 Owner MailiAddress Suile Dishwasher 11.50 0`�� Ir'1 1 I .41��f I j�/Z ZI-', tUGarbage Disposal 11.50 t /Stale Zip Pho e Laundry Tray 11.50 Name Washing Machine/Laundry #.,ay 11.50 t, tt 1c i LC, Floor Drain/Floor Sink 2" 11.50 _ Occupant Mailing Address r _ Suite 3" 11.50 4" 11.50 amity/State Zip Fho e t Water Heater O conversion O like kind 11.50 c J J J- Gas piping requires a separate mechanical permit. mj,• - I� o )I - MFG Home New Water Service 32.00 Co,-:,'ractor ailing Address Suite MFG Home New San/Storm Sewer 3200 (0 I-Ith rza Hose Bibs 11.50 Prior to permit CltyrStale Zip Phone Roof Drains 11.50 Issuance,a copy L( ( i,j "(J )i.' J?u i%J Drinking Fountain 11.50 of all licenses are Ore do Const.Coat.Board Lic.# Exp.Date required If j C _ Other Fixtures(Specify) 15.00 expired in COTIum2ing Lic.# Exp.Date database - t Name Architect Sewer-1st 100' 38.00 or Mailing Address Suite Sewer-each additional 100' 32.00 Engineer City/State Zip Phone Water Service-1st 100' 38.00 Water Service-each additional 200' 32.00 Describe work to be done: Storm&Rain Drain-1st 100' 38.00 New O Repair O Replace with like kind: Yes O No O Storm&Rain Drain-each additional 100' 32.00 Residential O Commercial O Additional description of work: Commercial Beck Flow Prevention Device 32.00 Residential Backflow Prevention Device- 19.00 Catch Basin 11 50 Are you capping,moving or replacing any fixtures? Insp.of Existing Plumbing or Specially Requested 50.00 Yes O No g Inspectionsper/hr If yes,see back of form to indicate work performed by Rain Drain,single family dwelling 45.00 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50 WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL I hereby acknowledge that I have read this application,that the information given is correct,that I am the owner or authorized agent of the owner,and Isometric or ricer diagram Is required M Quantity Tcrt81 Is >9 that plans submitted are in compliance with Oregon Slate Laws. 'SUBTOTAL 8(g n"Agent Dale - 7 �/� 8%SURCHARGE ntact Penson Nnme !1 .Phone � (� "PLAN REVIEW 26%OF SUBTOTAL 1 ATH HOUSE 5178.00 n }' +' i Required only N fixture qty.total Is>9 _ 2 BATH HOUSE$250.00 TOTAL 3 BATH HOUSE$285.00 __ _. _ - �7_Z (This No Includes all plumbing fixtures In the dwelling and the first •Mlnlmum permit les Is$50+9%surcharge,except Residential Backflow Prevention 10o feet of sanitary sewer storm sewer and watet service) Device,which Is$25+e%surcharge -All Nov Commercial Buildings require plans wrh Isometric or riser diagram and plan review. PLEASE COMPLETE: Fixture Type Quantity by Work Performed `--� New Moved Replaced Removed/Capped Sink Lavatory Tub or Tub/Shower Combination Shower Only J Water Closet Urinal Dishwasher Garbage Disposal _ Laundry Room Tray Washing Machine Floor Drain/Floor Sink 2" _ _ 3" 4" Water Heater Other Fixtures (Specify) COMMENTS REGARDING ABOVE: Ik1H11rn ms\Idem Rf`f„1,., 1nlR' u CITY OF TIGARD BUILDING INSPECTION DIVISION MSTq 607_�(v 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested 112,© AM_ PM — _ BLD Location Suite / MEC Contact Person f-�t,1/t 52�. Ph M �� LI 247 PLM _ Contractor_ Ph SWR BUILDING — Tenant/Owner _ ELC -- Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: — Slab — SIT Post& Beam Ext Sheath/Shear I A ----- — Int Sheath/Shear Framing — --- -_ ---- _._^ Insulation Drywall Nailing -- Firewall Fire Sprinkler __-- ------ — —-- --- Fire Alarm Susp'd Ceiling - ---- - — — — —--- Roof Misc: ---- Final PASS PART FAIL ---^---- - -- PLUMBING Post& Beam Under Slab __— Top Out Water Service ---- -- Sanitary Sewer Rain Drains --- — Final PASS PART FAIL -- MECHANICAL Post& Beam - Rough In Gas Line — Smoke Dampers Final PASS PART FAIL _ E _ Service Rough In UG/Slab - Low Voltage FirgjSlarm J vs" ART FAIL i 1 Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Fire Supply Line Please call for reinspection RE: [ J Unable to inspect-no access ADA Approach/Sidewalk Date Inspector_ •�-� Ext Other — Final O PAPART FAIL NOT REMOVE this insRPction record from the job site, CITY OF TIGARD BUILDING iNSPECTION DIVISION MST PN 'ODZ 24-1-1cur Inspection Line: 639-4175 Business Line: 639-4171 BUR _ Date Requested— 3 AM_ PM BLD Location Suite MEC Contact Person �j Ph 3 393 9 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC _ Retaining Wall ELR _ Footing Access: FPS Foundation Ftg Drain SGN — Crawl Drain Inspection Notes: Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall flailing Firewall Fire Sprinkler — — Fire Alarm Susp'd Ceiling Roof Misc: -- Final PASS PART FAIL — — BI G � Post eam — Under Slab _ Top Out Water Service _ Sanitary Sewer Rain Drnins -- i PART FAIL — � IGAt Post eam — — Rough In _ Gas Line Smoke Dampers 1pnS PART FAIL NT-CTRICAL �. Service Rough In UG/Slab — Low Voltage J Fire Alarm — — Final PASS PAh r FAIL LJ SITE Backfill/Grading Sanitary Sewer Storm Drain [ J Reinspection fee of$ req Ired before next inspection. Pay At City Hall, 13125 SW Hall Blvd Catch Basin ( ]Please call for reinspection RE: ( ]Unable to Inspect-nc access Fire Supply Line ADA /�� Approach/Sidewalk Date 3jj Inspector / // Ext Other _ Final PASS PART FAlL N D OT REMOVE this Inspection recorst from the job *Its. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 539-4171 I . BUP 1q?q-0051q CtLIYIU Date Requested AM PM BLD Location__ 2 `-� 3 J 1 �� ' -1-- r Suite MEC Contact Person �Z bbQ�$- Ph � ( � ' �.S PLM _ Contractor Ph SWR tq> Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS _ Fig Drain — SGN Crawl Drain Inspection Notes: Slab -___ SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing _ C�Gl� --- Insulation Drywall Nailing -- Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling --- - -- Roof Mis - --- ---- - �in PASS PART FAIL — PLUMBING Post& Beam -----._.. ------------- ------- — Under Slab Top Out Water Service Sanitary Sewer - --- - --- _-__-__- -_ Rain Drains Final V PASS PART F IL Post& m - - - - - Rough In Gas Lin - -- -- - - Smok ampers - - SS PART FAIL ELECTRICAL - R Service - Ln Rough In > UG/Slab - - - -- - -- �- Low Voltage Fire Alarm m Final / -- - -- - LD PASS PART FAIL SITE _ Backfill/Grading Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ J Please call for reinspection RE: [ ]Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk) Date Inspector E�tt Other -- Fir.^; PASS PART FAIL DO NOl REMOVE this inspection record from the job site. Jeanne Temple- 12333 114th reinspection fee Page 1 From: Hap Watkins To: Je,,ine Temple Date: 3 24/00 4:57PM Subject: 1,2333 114th reinspection fee It stands. I couldn't get hold of Robert by phone (out of service), but the permit �s on hold.......no activity ;until paid. The fee is for THIRD visit failure and specifically for second correction of no USA final for the lot. Just in case he calls.....thx.....hap hap@ci.tigard.or.us a 2 N J G] C7 W J CITY OF TIGAR® CERTIFICATE OF GCCUPANCY PERMIT#: MST1999-00296 DEVELOPMENT SERVICES DATE ISSUED: 10/04/1999 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103AB-06200 ZONIN : R-4.5 JURISDICTION: TIG SITE ADDRESS: 12333 SW 114TH TERR SUBDIVISION: WALNUT GLEN BLOCK: LOT:020 CLASS OF WORK: NEW TYPE OF USE: SF "TYPE OF CONSTR: 5N OCCUPANCY GRP: R3 TENANT NAME: REMARKS: Construction of single family detached residence, Path 1. Final Building Inspection and Certificate of Occupancy Approved 3/30/00 by Tom Plescher, Building Inspector Owner: RIVERSIDE HOMES 15455 NVV GREENBRIER PKWY #140 BEAVERTON, OR 97006 Phone: 645-0986 Contractor: RIVERSIDE HOMES 15455 NW GREENBRIER PKWY SUITE 140 BEAVERTON, OR 97006-2115 Phone: 503-645-0986 Reg #: LIC 70065 �L r J Cil C.7 W J This Certificate grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for coi1,+)liarce with the State of Oregon Sp - �ecialty,godes for the group, and use under which the referenced permit was iss A A /yi BUILDING INSPECTOR BUILDWG OFFICIAL POST IN CONSPICUOUS PLACE FtMFORM 6ll16 carbon/irsw �� Z7 z r O (D o y U O_ n N m - c J (D < n to (D -n - O 3 .z n ou cl \nv V- O z p � O (Jl N � 1I J 7 LJ J Main Office Branch Office P.O. Box 23814 4060 Hudson Ave., NE 1 Tigard, Oregon 97281 Salem, OR 973!}! C- arlson Testlngy, Inc. Phone FAX (50.03) 684954 FAX(5 3)Phone )589913092 December- 28, 1999 CTI #99-G1052D Mr. Robert Harp Riverside Homes 15455 NW Greenbrier, Suite #140 Beaverton, Oregon 97006 r 14 FOUNDATION ASSESSMENT LOT #20 WALNUT GLEN SW 114TH TERRACE & WALNUT STREET,,, TIGARD, OREGON Dear Mr. Harp: In response to your request, a geotechnical engineer from Carlson Testing, Inc. visited the above project site on December 23, 1999 to assess condition of the existing foundation after recent fire damage to the existing sgle story residence. We understand that the residence12331SW 1 4''' errace in Tigard, Oregon has recently been damage by fire. Theile, appeared to start at the northwest corner of the house (chimney) and then spread to the other areas. Major damage was primarily occurred to the northwest correr. The burnt house structure has since been demolished and the existing foundations have been kept for support of the new house. Observations and testing of the existing foundations were made. No cracking or obvious disturbance of the foundation were observed. Two minor surface damages (indentation) were noted on the foundation walls, one near the southwest corner and the o!oer on the middle of the north foundation wall. Anchor bolts were all appeared intact h except the one near the indentation at the southwest corner, which had been damaged. LA Schmidt Hammer was used to confirm that the compressive strength of the existing concrete wall and footings has not been affected by the fire and demolition, particularly °' at the northwest cornu of the house. An average compressive strength of 2500 to 3500 psi were obtained on the concrete foundations and average of 2.000 to 2.500 psi were obtained on the concrete walls. In light of the above observations and testing, it appears that the exit_ ing foundation systern at 11333 SW 144`" Terrace has not been disturbed or damaged by the recent fire and demolition operat;ons. Please feel free to call this office if you require further information or have any questions. Sincerely, CALRLS ESTING, INC. 'Mike mou e� Alan P. Bean, P.E. Senior Geotechnical Engineer Principal Geotechnical Engineer cc: City of Tigard Building Department Emrons General Contracting Compass Engineering & Sirveying Ct N I- J Cil C.7 W J BUILDING PERMIT CITY OF TIGARD F'ERMI'T#: BUP1999-00519 DEVELOPMENT SERVICES DATE ISSUED: 12/16/1999 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103AB-06200 SITE ADDRESS: 12333 SW 114TH TERR SUBDIVISION: WALNUT GLEN ZONING: R-4.5 BLOCK: LOT. 029 JURISDICTION: TIG REISSUE: FLOO'2 AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: DEM FIRST: sf N: S: F: W: TYPE OF USE: SF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPAKC;Y GRP: R3 TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ.?: __ REQD SETBACKS _ _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: Demo existing dwelling di.w to fire. Owner: Contractor: RIVERSIDE HOMES RIVERSIDE HOMES 15455 NW GRE_ENBRIER PKWY#140 15455 NW GREENBRIER PKWY BEAVERTON, OR 97006 SUITE 140 Phone: 645-0986 BVon� TP ,�J4F �06-?_1 15 Reg #: sic 70065 FEES _ REQUIRED INSPECTIONS Type By Date Amount Receipt Misc. Inspection PRMT GEO 12/16/199 $50.00 99-320471 Final Inspection 5PCT GEO 12/16/199 $4.00 99-320471 EROS GEO 112/116/199 $26.00 99-320471 ERPC GEO 12/16/199 $8.45 99-320471 (additional fees not listed here) ORIGINAL Totai $96.90 T his permit is issued subject to the regulations contained in the -rgard Municipal Code, State of OR. Ln Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon Utility °' Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You LD may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe rm itee Signature: �� O?.r — 'T&-DZ, F-'-4qr-eAe-F- 10 Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day CITY OF TIGARD Commercial Building Permit Application Plan Check# _ 1:3125 6W HALL BLVD. New Construction and Additions Recd By D;to Recd TIGARD, OR 97223 Date to P.E._ (503) 635-4171 Date to DST r Print or Type Permit#641���1r Incomplete or illegible applications will not be accepted Related SWR# —_ Called (� Name of Development/Project f Job In �- (`Y-N Existing Building ❑ New Building Address Street Ad Gess Suite 3� 5,,)11q4A L Building Bldg# City/State t Zip Data _ -JA CA e'l 'A Existing Use of Building or Property: Name Property P 1, ,e,r ` E _ Owner Mailing Address Suite — Proposed Use of Building or Property: Phi y City/State Zip Phone 9 !� �S 0 No. Of Stories: ', r Occupant Name Sq. Ft. Of Project Name - / Occupancy Class(es) Contractor i Prior to permit Mailing Address Suite Type(s)of Construction issuance,a copyf fahtt�' /1 of all licenses �: O are required if City state Zip Phone Will this project have a Fire Suppression System? expired in C.O.T. Yes ❑ No database & Vic Americans with Disabilities Act(ADA) Oregon Const.Crifirit.Board Lic.# Exp.Dale Valuation X 25% = $ _Participation 0 //kin Complete_Accessi bility Form Name Project $ Architect Valuation Mailing Address Suite 7�' G Plans Required: See Matrix for number of sets to submit City/State Zip Phone on back Engineer Nan e I hereby acknowledge that I have read this application,that the information given is correct,that I am the owner or authorized agent of the owner,and Mailing Address Suite that plans submitted are in compliance with Oregon State Laws. Signa e�jof�Own IAg t Date y CitylSlate zip Phone Contact Perso ame Phone Indicate type of w,)►k: New O Addition O Demolition f _ Y,( ✓ Sl_/�r!_ Accessory Structure O Foundation Only O Alteration O _ _ Repair O Other O__ _i FOR OFFICE USE ONLY Description of work: Map/TI.# _ Land Use. ptr10 f'� iVh _O t1 C .knit, Notes Parks: Estimated v of Employees TIF if the above figure Is not supplied at the time of application,the city will calculate the fee basad upon the number p1 Parking --- Note: site Work Permit Application must precede or accompany Building Permit Application 1 ldstslforms\comnew doc 5/10/99 COMMERCIAL PLAN 0"UBMITTAL REQUIREMENT MATRIX :Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED a00lication. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washingt,,n County, Tualatin Valley Fire & Rescue) Total # of TYPE OF SUBMITTAL_ Plans KEY: Submitted S (Private) 1 S = Site Work B (New or)kddl 1 B = Building F (New or Add or Alt)�v 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New. Add, or Alt) 2 E = Electrical B & M —& 0 (New or Add) 2� New = New Building E (New, Add, or Alt) _ 2 Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) Building *B or B & M (Alt) 1 *B & M & P (Alt) 3 *B & M & P & E(Alt) 3 *B & M & P & E & F(Alt) 3 NOTES: *Shaded areas designate ALT submittals only. I W9t9%formaunatrxcom.doc 10/30/98 r .. • � r- / (� i(� ��(�` 7C �{��'S lel.G 11�0/�11�5 P 5 lea G//.9t�v�,Zv 1 r r 107.12' c„ IN20'- r I- . ��Rsf�uErlt ► r LOT 20 1tk ry, 7,507 S.F. t� h br t r a ' r r ' I r r ' 3 it r k - - - ---- -- ---- -------1c-- -I �i 94.12' u, F, 11107, r N I B S SCALE: 1' : 20' N COMPASS CORPORATION LOT 20 1 ENGINEERING + SURVEYING • PLANNING WALNUT GLEN .70. $4. LNC *"a �SM "JAM r� TIGARD OREGON 1 YO,WMUNI[. DOCCON 0111! 1903 $93 u7-"I!VAX S 4012pk;wAp, 11/33/08 At 11.03 CITY OF TI OARD MASTER PERMIT PERMIT#: MST1999-00296 DEVELOPMENT SERVICESI G I f PATE ISSUED: 10/04/1999 9 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6 1 I V L. SITE ADDRESS: 12333 SW 114TH TERR PARCEL: 2S103AB-WG020 SUBDIVISION: WALNUT GLEN ZONING: R-4.5 BLOCK: LOT:020 JURISDICTION: TIG REMARKS: Construction of single family detached residence, Path 1. BUILDING REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 6 FIRST: 1,557 sf BASEMENT: of LEFT: 20 SMOKE DETECTORS: V TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sl GARAGE: 423 sf FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5 VALUE: $118,401,93 OCCUPANCY GRI: R3 BDRM: 3 BATH: 2 TOTAL: sf REAR: 27 _ PLUMBING SINKS: 1 WATER CLOSETS: 2 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS: LAVATORIES: 3 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: t UB/SHOWERS: GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: 1 BOIL/CMP<3HP: VENT FANS: 3 CLOTHES DRYER: 1 GAS FURN 1=100K: UNIT HEATERS: HOODS: I OTHER UNITS: 1 MAX INP: hip FL901 FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER_ TEMP SRVCIFEEDERS BRANCH CIRCUITS _ MISCELLANEOUS ADU'L INSPECTIONS 1000 SF OR LESS: 1 0 - 200 amp: 0 200 amp: WISVC OR FOR: I PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 2 201 400 amp: 201 - 400 amp: 1st W/O SVCIFDR: 00 SIGN/OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC/FDR. 601 • 1000 amp: 601+amps•1000v: MINOR LABEL: 1000+amp/volt: PLAN REVIEW SECTION Reconnect only: >e4 RES UNITS. SVCIFDR>=225 A.: >800 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICT20 ENERGY A.SF RESIDENTIAL B.COMMEkCIAL AUDIO B STEREO: VACUUM SYSTEMS AUDIO R STEREU: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNUS'LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIO: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAfTELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor. TOTAL FEES: $ 3,286.31 This permit is subject to the regulations contained in the RIVERSIDE HOMES RIVERSIDE HOMES Tigard Municipal Code. State of OR. Specialty Codes and 15455 NW GREENBRIER PKWY#140 1545514W GREENBRIER PKWY all other applicable laws. All work will be done in BEAVERTCN,OR 97006 SUITE 140 accordance with approved plans. This permit will expire tf BEAVERTON,OR 97006-2115 work is not started within 180 days of issuance,or if the work is suspended for more than 180 days. ATTENTION. Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Rea M: IIC 70065 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 844-8444 Underfloor insulation Plumb Top Out Gas Line Insp Electrical Final Footing Insp Crawl Drain/Backwater Electrical Service Gas Fireplace Mechanical Final Foundation Insp Footing/Foundation Dr; Electrical Rough In Insulation Insp Plumb Final Post/Beam Structural PLM/Underfloor Framing Insp Water Line Insp Final Inspection Post/Beam Mechanical Mechanical sp Shear Wall Insp Appr/Sdwlk Insp Building Final Issued By : ` _. Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICESPERMIT#: SWR1999-00184 DATE ISSUED: 10/04/1999 13125 SW Hall Blvd., Tigard, OR 9`223 (503) 639-4171 SITE ADDRESS; 12333 SW 114TH TERR PARCEL: 2S103A13-WG020 SUBDIVISION: WALNUT GLEN ZONING: R-4.5 BLOCK: LOT: 020 JURISDICTION: TIG TENANT NAME: RIVERSIDE HOMES 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: Single family detached. Owner: FEES _ RIVERSIDE HOMES Type By Date Amount Receipt 15455 NW GREENBRIER PKWY #140 _ BEAVERTON, OR 97006 PRMT GEO 10/04/199 $2,300.00 99-318819 INSP GF_O 10/0411990 $35.00 99-318819 Phone: 645-0986 Tntal $2,335.00 Contractor: Phone. Reg #: ORIVI -At Required Inspections Sewer Inspection `L N J w C7 Ii1 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 instalier shall purchase "Tap and Side Sewer' Permit and the Agency will install a lateral. ATTENTION: Oregon la%v 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 d4ect questions to OUNC by calling (503) 246-1987 �7 Issued by: �+'�� �� a _ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day �... ..._ ...........,,�>....� . ..�.- hePlan Che ,ITY OF TIGARD Residential Building Permit Application Recd he 3125 SW HALL BLVD. New Construction Date Recd_ TI IGARD, OR 97223 Single Family Detached Date to P.E. F 503-639-4171 Date to DST - CC' 503-684-7297Permit-* MSTfi99-C��( Print or Type a& �� callod Incomplete or illegible applications will not be c ed Name of Project Name Job i + Architect Mailing Address Address Site Add .j- i Zip Phone Name �1 ✓C�j J 1 Cr J �. Nam�- N Owner Mailing Address J o ll o w• A�K =< < )l� Engineer Mailing Address Zip Pone t.igrlState Zir, City/State Zip Phone General ame 1— n P Describe work h ^"yrs+Inn O Repair O Contractor �tJ�'7 � t — to be done: Mailing Address Prior to permit I _ Add'tional Descn issuance,a copy City/State Zip Phone of all licenses are inquired If Oregon Const.Cont.Board Exp.D7-7 to PROJECT expired in COT Lic.# , ; - (i VALUATIOt database / NEW COI Mechanical 11':i�( � t� Sq. Ft.House: Sub- j Contractor G�51f Indicate the ret Prior to permit .- - subcontractor_I Issuance,a copy 0 r , Restricted of all licenses r` �""� - Energy are required ate K Installations expired In COT _ database irtlfne 1 (check all than Plumbingff-E Sub- /A(-:7—' X'Prc f 1011 tc,( 11 Numbed r of ul Contractor Mailing Address Has the Subdivision Plat recorded? N/H i Prior to permit clty/ ate Zip Phone - -1--- r" „C issuance,a copy `t72Z�3 of all licenses are Oreo Const.Cont Board Exp ate required if Lic 0 expired in COT - I hearty acknowledge that I have read this application,that the database Plumbing Lic.0 Exp.Date information given is correct,that I am the owner or authorized agent of the owner,and that plans submittjd are in compliance with a Name Oregon State Iaws. —_ �- ri— gnature of Owner/Agent �� ;/ N I 1 Electrical Sub Mailing Address ont °n Name Phone Contractor _ C'iy/Slate Zip Prior to permit issuance,a copy �"� ` FOR OFFICE USE O Y: of all licenses are Oregon Const.Cont. Board xp.Date Plat#: — Map/TL#: required it Lic.# , v�5 e 3/7l3_ C"O;c expired In GOT �'- , 'r `� Setbacks— Zo e:�� database Eledrkall LIO.N Exp.Date , TIF Electrical Supervisor LIC.* Exp. Date Engineering Approval Planning Approval: I.tdstslforrns\sfd-new.doc 11120/98 ,ITY OF TIGARD Residential Building Permit Application Plan check# 3125 SW HALL BLVD. New Construction Recd ,-� Date Rea cd S t D 'IGARD, OR 97223 Single Family Detached Date to P.E.- -aS- 9 503-639-4171 Date to DST `>' 1_- 503-684-7297 I Permit# H57 -(" 9G Print or Type / Cnllad Incomplete or illegible applications will not be tpt'ed Name of Project �p f 6(7 Name Job "" - Mailing Address Site Add Architect g Address l �a3 � ����!- � , ^y City/State zip Phone No II Owner Mailing Address ,� LA'). F A 2 v, Mailing Address City/State Zlp. P1cne Engineer q City/State Zip I Phone l General Name Contractor_ )ck ? ( L t c: Describe work New 0 Addition O Alteration O Repair O Mailing Address to be done: Prior to permit Additional Description of Work: issuance,a copy City/State Zip Phone — -- of all licenses are required If Oregon Const.Cont.Board Exp.D to PROJECT " expired in COT Lir,.# VALUATION database // - Mechanical Name NEW CONSTRUCTION ONLY: Sub- ( Sq.Ft.House: Sq. Ft. a t_ -- Mailing Address -- Prior to pemrit C - Indicate the res riled energy installation by the ele trical iesuance,a copy C /Sta a ZIP Phone subcontractor in the followin areas of all licenses '�n Restricted Audio/Stereo are required if Oregon Const Cont.Board Exp. ate anergy System Alarms expired in COT Lic.# 1 Installations Vacuum Irrigation database _ 61 /0 n System _.System___ Plumbing Name (check all that Other: Sub- nW__L �c'�j ���� Contractor Mailing Address Number of Units in Building Unit Number Designation 123,,"() j v _V� ? Has the Subdivision Plat recorded? --�NlA YcS NO Prior to permit city/ ate Zip Phone _ issuance,a copy of oil licenses are Oreg Const Cont.Board Exp bate required If Lic.# expired In COT I hearby acknowledge 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 ~ Name Oregon State laws. i l Signature of Owner/Agent Dg1ld y Electrical I � �,�_. 't'C I I l� Sub- Mailing Address Cont on Norm Phone* Contractor �y" -� ' citylstate ^71p Phone c) Prior to permit issuance,a copy !" C'� �--' 7�\�"' FOR OFFICE USE O y: of all licenses are Oregon Const.Cont Board Exp.Date Plat#: Map/TLO: required H Lic.# 0Q5 C M13 1,v 6 C O expired In COT � I --- -- database ElsCM01 LIC �i AExp.Date Setbacks: — ZO Electrk p� Suervlsor Lic.# Exy.Date - Engineering Approval Planning Approval: TIF: I\dsts\forns\sfd-new doc 11120198 i C�.V�Zc�.��Co�=��5/Q3CL� wC, �� ��✓ersi� I�rn��S -X333 a.v 11VCoLl5 - CAPS 1 r r \ '< 107.12' cn I - I I k k 1� � ?0 ASEMENT ; 1 LOT 20 r ; _... 7,507 S.F. r ' h U, 3 l , r vi N< r 1 r � ----------------•-------fir-- 94.12' u; 0.3 d N in s F— .-, II 6 J .-w N S (.7 111 J SCALE: 1' 20' N COMPASS CORPORATION_ LOT 20 1 w ENGINEERING * SURVEYING * PLANNING WALNUT GLEN — E. s 0[ N9 ; 9 �wT.1twAuKir. 100O7222 I0) 53- ! o TIGARD, OREGON 1 4072plpn.A�p, 11/23/98 AT 17-03