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12390 SW 114TH TERRACE
ADDRESS: l.;L390 -SO/ 17i'op-AAeAu a J c� i:lrecordslmlcroflmlt a rge(sV)ullding.doc w J ro LD Z Oy al cEl 12 X49 m m uin 'eq W � 'y E 8 oC d o y ao g' O c c c pa c�`� ci o ° r EH. 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Slab _-_ -� _. _ SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing ------ --- v Insulation Drywall Nailing Firewall Fire Sprinkler FireAlarm - -- - --- -- W � —� ISusp'dCeilin9 - ---- - -- --- -- Roof Misc: --- _.��----- -- -- -- - --- PART FAIL --- - ------- - MBING Post& BeamUnder Slab Slab Tap Out - ------------ .__ �— Water Service _ Sanitary Sewer Ra;n Drains Final -- - --------_._---- -- -- PASS PAP1 FAIL HANK- � Post 8 Beam - --- -- ----. - -- ---- ---- -------- Rough In Gas Line - ---- ------ — ------- S e Dampera AS PART FAIT_ EL CTR11GAL ------- -__. _ — Service Rough In z UGISIab Low Voltage — f, Fire Alarm - Final r PASS PART FAIL - - - - _ SITE Backfill/Grading - `- -�— - -T A---- -- Sanitary Sewer Storm Drain [ ] Reinspection fee of$ _required before next inspecti Pay at City Hall, 13125 SW Hall Blvd Catch Basin I J Please call for reinspection RF - [ ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date �_ Inspector �- Other _ � � _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Dour Inspection Line: 639-41?5 Business Line: 639-4171 }�,( BUP _ Date Requested_ �1� AM_ �' PM BLD Locations Z Suite MEC Contact Person VLA Ph _ PLM _ Contractor Ph BUILDING Tenant/Owner ELC Retaining Wall ELIR Footing Access: Foundation FPS - Ftg Drain 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__PZRT FAIL - 91N _ Post Beam -----__ - Under Slab s I-op Out Wa ice ita Sew -� Rain Drains PART -� - ---- ---------- - ANICAL Post& Beam - - --- --- _ - - -- ------ __ _ Rough In ' Gas Line ---- - _-— -. - - - Smoke Dampers Final - PASS PART FAIL -_-- ELECTRICAL_ Service --_-_ --.�-_ - Rough In ,°, UG/Slab _ _ - F- Low Voltage N Fire Alarm -- > Final h- PASS PART FAIL ry SITE Backfill/Grading T--- w Sanitary Sewer -J Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( j Please call for reinspection RE _ ( ]Unable to inspect •no access ADA /Approach/Sidewalk r Ocher Late Inspector �� _ Ext Final PASS PART FAIL O NO REMOVE this inspection recori-I from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION (:MST 24-Hour Inspection Line: 639-4175 Business Line: 639-41171 1BUP Date Requested —� �V AM PM BLp Location f 2- 3 <-/(_/`' ` Suite MEC Contact Person _ Ph � 3 PLM Contractor Ph SWR FEBUILDING� Tenant/Owner ELC Retaining Wall ELR _ Footing Access: Foundation FPS _ Ftg Drain _ — SGN Crawl Drain Inspection Notes:lam, n --s Slab r!X �N� SIT Post&Beam LX-1-\C,A'-2 L,G ;J -* -- Ext Sheath/Shear 1 / \ S C..2. -yi Cg' (Int Sheath/Shear Framing sulation �� ✓� 1 D r�rywall Nailing _ _-- Firewall Fiie Sprinkler Fire Alarm — Susp'd Ceiling -- - - --- --- - -- - - Roof Misc: --- Final PASS PART FAIL ----.-.---___—_._-------------___. r �— `— —_- UMBIN•G" Post 6eem - - -- -- Under Slab Top Out Water Service Sanitary Sewer Ra'n Drains ina SS ART _FAIL HA NIML Post& Beam Rough In Gas Line Smoke Dampers - PA�S AR FAIL RW&CTRFdAt-, Se Rough a UG/Slab Low Volt �- Fire V) ____ SS PART FA -� SITE Backfill/Grading — -- - --- — '— -- — — cn Sanitary Sewer Storm Drain [ J Reinspection fee of$ _ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ) Please call for reinspection RE: ___ . [ ]Unable to inspect-no access Fire Supply Line - -- - ADA Approach/Sidewalk Date _��� (�_ ______ Inspector�/ _ _- _ ExtS 1 Other - l Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 SUP Date Requested AM PM BLD Location- 2 3 CIO, II 1 Suite MEC Contact Person Ph PLM Contractor Ph SWR BUIL ID NG Terant/Owner ELC Retaining Wall ELR Footing Access: — Foundation FPS Ftg Drain SGN _ Crawl Drain Inspection Votes: — Slab _ —�� -- -- SIT Post&B,-am — Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: ---- ----— - ---------- --- P;.SS PART FAIL PLUMBING Post&Beam - ----------_— -- — —� Under Slau Top Out ------_ ----- ----------- Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL --------- —V t'ost& Beam -- - -- -- -- - - ---- -- - - ----- --- — _ - Rough. In Gar 'ine - - --- �'noke Dampers Final ----- ------_-_-_ -._ - -----.._--.--_ �_-----.. ___.__ -___-__-------__ __--_—� PASS PART FAIL -- Service Rough In -- ----------^_-.__ __ — UG/Slab _--___— v� Low Voltage Fire Alarm -� S PART FAIL T w Backfill/Grading - -' Sanitary Sewer Storm Drain ( J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( f Please call for reinspection RE:_ _ [ J Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Other _-� Inspectors` Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CERTIFICATE OF OCCUPANCY CITYOF T I G A k D PERMIT#: MST1999-00385 DEVELOPMENT SERVICES DATE ISSUED: 12/13/1999 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103AB-04300 ZONING: R-4.5 JURISDICTION: TIG SITE ADDRESS: 12390 SW 114TH TERR FILE � � SUBDIVISION: WALNUT GLEN2 y BLOCK: LOT:001 CLASS OF WORK: NEW TYPE �:)F USE: SF TYPE OF CONSTR: 5N OCCUPANCY GRP: iR3 TENANT NAME: REMARKS: PATH I: New single family dwelling w/attached garage - Final Building Inspection and Certificate of Occupancy Approved 3/8/00 by Ken Schriendl, Building Inspector Owner. RIVERSIDE HOMES 15455 NW 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 M LIC 70065 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 Code for he group, occ-iparncy, and use Anr which 1h ,,referenced permit was issued. � �' / BUILDING INSPECTOR BUILDING�b FICIAL POST IN CONSPICUOUS PLACE CITY O� ������ MASTER PERMIT PERMIT#: MST1999-00385 ^' DEVELOPMENT SERVICES DATE ISSUED: 12/13/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) SITE ADDRESS: 12390 SW 114TH TERR O-R7GINAL PARCEL: 2S103AB-04300 SUBDIVISION: WALNUT GLL_N ZONING. R-4.5 BLOCK: LOT: 001 JURISDICTION: TIG REMARKS: PF,i H I: New single family dwelling w/attached garage BUILDING REIS?UE: STORIES: 2 - FLOOR AREAS RECUIP.ED SETBACKS _ REQUIRED C_ASS OF WORK: NEW HEIGHT: 24 FIRST: 1,048 sf BASEMENT: sf LEFT: 7 SMOKE DETECTORS: Y TYPE OF USE: Sr FLOOR LOAD: 40 SECOND: 1,076 sl GARAGE: 460 sf FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: fill DWELLING UNITS: 1 FINBSMENT: a/ RIGHT: 19 VALUE: E 155,333.06 OCCUPANCY GRP- R3 BDRM: 4 BATH: 3 TOTAL: sl REAR: 35 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS. RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAIP d: 1 CATCH BASINS: TUBISHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS. OTHER FIXTURES: MECHANICAL _ FUEL TYPES FURN,10OK: 901L/CMP c 3r IP: VENT FANS: 4 CLOTHES DRYER: I GAS FURN—1001k: 1 UNIT HEATE, t• HOODS: I OTHER UNITS: I MAX INP: btu FLOOR FURNANCES: VENT v WOODSTOVES: GAS OUTLETS: 1 ELS_ CAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS_ BRANCH CIRCUITS_ MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR L`l'S: 1 0 - 200 amp: 0 200 amp: WISVC OR FOR: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD"--500SF. 4 201 400 amp: 201 - 400 amp: let W/O SVC/FDR: 00 SIGN/OUT I.IN LT: PER HOUR: LIMITE J ENERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU'iMISVCIFDR: 601 1000 amp: 6011-amps-1000v: MINOR LABEL: 1000♦amp/volt PLAN REVIEW SEC PION Reconnect only: -- >=4 RES UNITS: SVCIFDR>=225 A.: >600 V NOMINAL: CLS AREA/SPC OCC: _ ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENT41 B.COMMERCIAL - AUDIO&STEREO: VACUUM SYSTEM: AUDIO B STEREO: FIRE ALARM: INTERCOMIPAUING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEIIRRIG: PROTECTIVE SIG,111 GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 3,669.53 This permit is subject to the regulations contained in the RIVERSIDE HOMES RIVE 2SIDE HOMES 15455 NW GREENBRIER PKWY#140 1545D NW GREENBRIER PKWY Tigard Municipal Code,State of OR Specialty Codes and BEAVERTUN,OR 97006 SUITE 140 all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if 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 followrules adopted by the Oregon Utility Notification Center Those rules are set Reg 0: I C 711006 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 Appr/Sdwlk Insp Building Final Footing Insp Crawl Drain/Backwater Electrical Service Gas Fireplace Electrical Final o Foundation Insp Fnoting/Found3tion Dr; Electrical Rough In Insulation Insp Mechanical Final J Post/Beam Structural PLM/Underfloor Framing Insp Rain drain Insp Plumb Final J Post/BCa' Mechanical Insp Shear Wall Insp Water Line Insp F al Inspection �/-0,/X Issued y : Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day • ^ CITY OF TIGARD SEWER CONNECTION PERMIT ^\ DEVELOPMENT SERVICES PERMIT#: SWR1999-00243 13125 SW Hall Blvd., Tigard, O 97223 (50GR46 I Nt-A ISSUED: 12/13/99 PARCEL: 2S 103AB-04300 SITE ADDRESS; 12391) SW 114TH TERR SUBDIVISION: WALNUT GLEN ZONING: R-4.5 BLOCK: LOT: 001 JURISDICTION: TIG TENANT NAME: RIVERS-"' IOMES USA NO: FIXTURE UNITS: 0 CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for a new single family dwelling. Owner: FEES RIVERSIDE HOMES Type By Date Amount Receipt 15455 NW GREENBRIER PKWY #140 -- - BEAVERTON, OR 97006 PRMT DEB 12/13/99 $2,300.00 99-320381 INSP DEB 12/13/99 $35.00 99--320381 Phone: 645-0986 Total $2,335.00 Contractor: Phone: Reg #: Required Inspections Sewer Inspection This Applicant agrees to comply with all liar onJ 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 directionr, 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 952-001-0080 You ma 'obtain copies of these rules or direct questions to OUNC by cal ing (503) 2.46-1987. Issued y: i Permittee Signature: 4Caall (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day t.'TY Olt TiGARO Residential Buiiding Permit Application Plan Check 13425 Splli HALL BLVD. New Construction // iRecd By_4�—_A%o TIGARD, OR 972.,:,, Single Family Detached Date Recd y' Date to P.E. 11 ,14 V 503-i 3'3-4171 Date to DST//-_/2_ F 503-684-7297 - Permit#IJI .ot3 $3'– Print or Type r Called Incomplete or illegible applications will not be accepted Name of Project Name Job — Address Site Address Architect Mailing Address Name , City/State Zip phone Owner Mailing Address Name g En ineer Mailing Address itylSta a Zi Phone General Name City/State Zlp Phone Contractor Describe work Crew)q Addition O Alteration O Repair U 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.Date PROJECT expired In COT Lic.# r database ( 1l�' (r'' I ( ��' I �'' VALUATION $ Mechanical N'"'" f NEW CONSTRUCTION ONLY: Sub- FQ�l/' C' tS Nt�'. La Sq. Ft. Hou 1 1 Sq. Ft. Garage Contractor 117 ��yo9 energy y Prior to permit r Indicate the rest ed ever installation b the electrical issuance,a copyn /3 y� subcontractor in the followin areas of all licenses r ©I� '7,7�Iv 77J c�/g Restricted Audio/Stereo are required if Energy System Lstern- Plumbing expired In COT 4g5 -� /jy� Installati��s Vacuum Idatabase , r . �VS stem S Name (check all that Other: Sub- Or, ;'c": 'L ^ 0 apply) ----- Contractor Mailing Address Number of Units in Building Unit Number Designation Has the Subdivision Plat recorded? NIA YES NO Prior to permit ClI/State Zlp Phone Issuance,a copy ''f (1 7 W LL-3L 11of all licenses are Orel Const.Cont.Board Exp.Date required If Lic.# /� expired In COT 315c)C9 qG database Plumbing Lic.# Exp.Date I hearby 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 that plans submitted are In compliance with Name Oregon State laws. L Electrical 'k'[ ^lSigna urepof Owner/Agent Lt A Dat Sub- Mailing Address Conte erson Nape Phone Contractor )3'7 SE 1 •79 r . rM,,State Zip Phone Prior to permit -) r �y,t issuance,a copy FOR OFFICE USE ONLY: J'w -'d � of all licenses are Oregon Const.Cont.Board Exp.Date required if Lic.# Piet# MaprTL# expired In COT '/` /� �o �� /�� �( database Electrical Lic.# Epp, to O Setbacks: Zo I, �U I u [ � Electrical Supervisor Lic # Erp. ate Engin ring Approval. Planning Approval: TIF: l � c M� I:\dsts\forms\sfd-new.doc 11/20/98 Z"5 163 A B—9 'i izt rs 0 a e #a.r/e 3cl(D (MS-0570,& Uj WALNUT GLEN cc SCALE: 1' 20' N A COMPASS COPNIQRATIC" Lo'r 1 10 r E4GRICTMING * SU"VEYING , rLANNIrIf 14VURIT GLEN oil.-kt- 564 31. UKE POAD 13 9093 IA .ILVVAU-tlr.. tlnr,0#4 97211 1153.-.teos LAX TIGARD, njt[-Gotj 4072plom.ti". It/23/915 A? 17-ni