12945 SW 116TH PLACE ---- — — — — — ----- — j ( C . P . 4 9 5 )
CURVE TABLE N89'57'46"E
CURVE RADIUS DELTA LENGTH CHORD CHORD 1 55.00 STREET
T
BRG. LENGTI TRACT '8' I PLA T S. W. FON N ER S
cn I LOT LINE cn
C1 50.00' 68'02'14" 59.37' N56'19'0?_"W 55.95' 3,671 S. p'`� o I 0o - ---- ---- ------ --- —J
_ �rL o 1 PROPOSED o
C2 37.00' 90'47'17" 58.63' N85'06'24"W 52.68' N 1 LOT LINE 20 00' �--
- _— 0�,5? rn
`�' I LEGEND
LD1 A I zo L2 0. 0 0L__
() f 13
,A'p�QOL) �c 'Tj l�tJ��rL �`l. I o EXISTINC 6, 0 W FOUND 5/8" X 30" IRON ROD WITH
P.A.E., S.S.E., 0 273 S.F. YELLOW PLASTIC CAP MARKED
AND S.D.E. - I Iv PROPOSED 5,623 S.F. LiJ "WESTLAKE CONSULTANTS".
p Q�G1c7 I�
�J LOT 12
I z T.L. 10100 l() Q SET 5/8., X .30 , IRON ROD WITH
EXISTING 4,870 S.F. I I YELLOW PLASTIC CAP MARKED
% i �p`L ✓ PROPOSED 5520 S.F. I I� "WESTLAKE CONSULTANTS'.
W C1 SEE CURVE DATA TABLE
<5L L= 3 9sz T.L. 10000
58.6 I - Z
"p r I S21 '50'1 9"E �- U IR IRON ROD.
C2 `� .5�. F \ I 21 .54' � �
TRACT 'A' LOT 11 I Y.P.C. DENOTES YELLOW PLASTIC CAP
EXIS1-ING CURB
13.00' I
SCALE 1 __ 30 36,526 S.F. .A� ` EXISTING 5,555 S.r. O �� � I S P.A.E. PUBLIC ACCESS EASEMENT
0'
�� PROPOSED 5,336 S.F. (77 S.D.E. STORM DRAIN EASEMENT
��`vo` 27.35' I � 2.0 G' I
N00'02'14"W "� PROPOSED /
i
24.03' LOT LINE N89'57'46"E 107.35' S.S.E. SANITARY SEWER EASEMENT
PLAT Sy /
LOT LINE T.L. 9900 S.F. DENOTES LOT AREA IN SQUARE FEET.
AND S.D.E.
,18..E S37'13'07"E \ -- --- SANITARY LATERAL
N3B'02 f___ 30.16 17.33' STO?M LATERAL T.L. TAXLOT
O I I \ soo3,00' E ELTON COURT
73.47 -� -- — — - - -- - S. W.— — -- — -- — `�''T- 4a
R�CE�
1tvK Vie' Noo'�854 "W S89 57 46 W 2 75. 00 1�1t; C'c�'
-- N89'57'46"E LINE PARALLEL TO THE -- TEMPORARY CURB I `'
SOUTH LINE OF THE
N14'S7'18"E
18.23' N.W. 1 /4 OF SEC. 3, COMti�L'�!T'� �F�'► `' ` ''
8'71 ' T.2s., R.1W.,W.M. LOT 10, 2S19313D T. L. 9800
LOT 10 1 LOT 1 1 , 2S10313D T. L. 9900_ ----- LINE PARALLEL TO THE
EXISTING 6,347 S.F. EAST LINE OF- THE LOT 12 , 2S10313D T. L. 10000 REGISTERED
PROPOSED 6,566 S.F. N.W. 1 /4 OF SEC. 3, ` OT 13 2S103f3D T. L. 10100PROFESSIONAL
� —
N o 0 2s., R.1w.,w.M. AND RVEYOR
T.L. 9800
CO
N OWNER
HUNTERS WOODLAND LI—C.
OREGON
JULY 25, 1990
� GARY R. ANDERSON
0 N
A PROPERTY LINE ,ADJUSTMENT 2434
FOR LOTS 10 & 11 AND 12 & 13 __ 2-- 31 -01 _
`S s RENEWAL DATE
9`�j 0
0 c/1)
1HUNTER1SWOODLAND
SITUATE IN THE S. E. 1 /4 OF THE N. W. 1 /4 SECTION 3, DATE of /1 i /01 T -- —��--
T. 2 S. , R. 1 W. , W.M. DRAWN Br GCF WESTLAKE
CITY OF TIGARD, WASHINGTON COUNTY, OREGON _ CONS LTANI'S INC
JANUARY 11 , 2001 CHECKED BY CRA
—
REvISIONS ENGINEERING SURVEYING '% PLANNING
S. W. 116TH PLACE _ _ I PACIFIC CORPORATE CENTER
JOB NO 619— 1 1 /R\ 15115 S.W. SEQUOIA PARKWAY SUITI, 1 ,7o), 503 684-0652
ll / TIGARD, OREGON 97224 FAX 503) 624-0157
spy y
MAR
NOTICE: ii THE PRINT ORTYPE ONANY rTI—�I � r r � Illi { I � III � � I � il � � r � i � I � il I � III T�r��.� � � i � � i it ► iii r� i { � ! � � � �.j,�.. � Ji iii I � I IJ { ►-J_�. �.. .r � � —�.r. I � i I � � ISI � J ! �..rITTf rr p- I]TIT1 11I i1I 11111
7
IMAGE IS NOT AS CLEAR A 1 2 {
S THIS NOTICE, ------ -- -- 3 4 -- 5 -- 6 ?' -_ $ _-- q - 10 1 1
IT IS DUE TO THE QUALITY OF THE _ — _ - — -- - — — No.3e
Ll1 . -- --
8
l �LI IIIJ 11
Jill 1111[ ilORIGINAL DOCUMENT
I
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12945 SW 116th Place
CITY OF TIGARD MASTER PERMIT��
PERMIT M MST2001-00461
DEVELOPMENT SERVICES DATE ISSUED: 10/1/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 12945 .)W 116TH PL PARCEL: 2S10313D-09800
SUBDIVISION: HUNTER'S WOODLAND ZONING: R-4.5
BLOCK: LOT: 010 JURISDICTION: -CIG
REMARKS: Construction of new single family detached residence. Path 1
BUILDING _
REISSUE: STORIES: _ FLOOR AREAS - REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: I.,!I sf BASEMENT: of LEFT: 10 SMOKE DETECTORS: Y
TYPE OF USF: SF FLOOR LOAD: 40 SECOND: I 'A' sf GARAGE: 460 of FRONT: 30 PARKING SPACES: 2
TYPE OF CONST: 5N DWELLING UNITS: I FINBSMENT. sf RIGHT: 11
VALUE: $204.722.00
OCCUPANCY GRP: R7 BDRM: 4 BATH: 3 T)TAL: 2.1J77 00 sf REAR. ',I
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 DRAINS: 1 CATCH BASINS:
TUB/SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS
OTHER FIXTURES:
MECHANICAL _
FUEL TYPES FURN c 100K: SOIL/CMP<OHP: VLNT FANS: 5 CLOTHES DRYER: 1
GAS FURN>•100K: I UNIT HEATERS: HOODS: 1 01 HER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS I
ELECTRICAL _
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADDT INSPECTIONS
1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 5005F: 4 201 400 amp: 201 400 amp. tot W/O SVC/FDR: 00 SIGN/OUT LIN.T: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT
MANU HM/SVC/FDR: 101 1000 amp: 601+6mos-1000V: MINOR LABEL:
MOO+amolvolt: PLAN REVIEW SECTION ,•
Reconnect only:
>•4 RES UNITS: SVCIFDR>•226 A.t >600 V NOMINAL: CLS AREA/SPC OCC.
ELECTRICAL•RESTRICTED ENERGY _
A.SF RESIDENTIAL B.COMMERCIAL _
AUDIO&STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMJPAGING: OUTDOOR LNDSC LT
BURGLAR ALARM: 0TH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHW
HVAC DATAITtLE COMM: NURSE CALLS: TOTAL a SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,914.33
This permit is subject to the regulations contained in the
RIVERSIDE HOMES RIVERSIDE HOMES
15455 NW GREENBRIER PKWY#140 15455 NW GRE.ENBRIER PKWY Tigard Municipal State OR. Sped Codes and
all other applicabllee laws. All work will be done
in
BEAVERTON,OR 97006 SUITE 140 accordance with approved plans. This pennit will expire If
BEAVE RTON,OR 47006-2115 work is not started within 180 days of Issuance,or If the
work Is suspended for ITtore than 180 days. ATTENTION:
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg N: EIC 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 INSPEC TIONS
Erosion Control Insp 8' Post/Beam Mechanica Plumb Top Out Low Voltage Appr/Sdwlk Insp
Sewer Inspection Underfloor Insulation Electrical Service Gas Fireplace Electrical Final
Footing Insp Crawl Drain/Backwater Electrical Rough In Insulation Insp Mechanical Final
Foundation Insp Footing/Foundation Dr, Framing Insp Rain drain Insp Plumb Final
Post/Beam Structural PLM/Underfloor Exterior Sheathing Insl Water Line Inst, Final inspection
AAV Issued By Permittee Si nature
--
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#: SWR2001-00233
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/1/01
SITE ADDRESS; 12945 SW 116TH PL PARCEL: 2S10313D-09800
SUBDIVISION: HUNTER'S WOODLAND ZONING: R-4.5
BLOCK: _ LOT: 010 __ 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 residence.
Owner:
RIVERSIDE HOMES FEES
15455 NW GREENBRIER PKWY #140 Type By Date Amount Receipt
BEA'VERTON, OR 97006 PRMT CTR 10/1/01 $2,300.00 27200100000
INSP CTR 10/1/01 $35.00 27200100900
Phone: 503-645-0986 - —
_ Total $2,335.00
Contractor:
Phone:
Reg#:
Required Inspections_
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180
days from the date issued. The total amount paid will be forfeited if t� 3 permit expires. The Agency does rot guarantee
the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect
3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer' Perm
Issued by,
Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
i )5t - 6 -6 /
Building Permit Application ' -ma 3
City of Tigard )-'lie received: of _ Permit no.: T
Address: 13125 SW FlaII Blvd,Tigard.OI2 97 Preject/appl no,; O°`1�P1_
Phone: (503) 639-4171 Expire date:
Fax: (503) 59$-1960 � bale issued:
`Y 13Y: kcccipt no.:
1 l f/ Case file no.: Payment type:
Land use approval: _ n
1&2 family:Simple Complex:
U I &2 family dwelling or accessory U Cornmercial/industrial
U Addition/alteration/replacemU Multi-family U'Tenant improvementU Firr sprinkly/aI;Ir �lU New construction U Demolition
rin
11I lot. 1 . t —
lob address: �1 S- � b
Lot: 131cxk: Subdivision: , _ 131dg. no.: Suite no.;
Project flame: t-- / Tax map/tax lot/account no
-------------------
Description and location of work on premises/special-conditionsc --
Name:
Mailin address: At
I & 2 family drrrllinK:
City: SI"le. ZIP: r
Phone: �, Fax: Valuation of work.........................
- E-mail• _.............
Owners representative:' No.of bedroorns/baths................................. e.J
-1L{ 'l- J t t 1 ? -_L__ Z .�
;) `Total number of floors
Phone: F;►x: L:-mail:
APPLICANTNew dwelling area(sq. fl.) ........ ...10..I..' "
Clarage/carport area(sq. ft.)..........1}L. ..... trr��d
�--c � ��L»L(_. Covered porch area(sy. ft.) ......,��.,' ......
mailing address:
City: Deck area(sq. fl.) ......... _
State: ZIP: Other s,nicture arca(sc. ft.).......................... y
hone: Fax: F-,11;1,1. —``-- Commercial/Industrial/ntulll-family;
Valuationg of work.............. ......................... $
noisiness name: rtill_ , Fxistin bld
b arca(sq. h.) ..........................
Address: ---— New bldg.arca(sq. 1'l.)................................ - -
-- _.____
city: ..r.._._
State: Zlp` Number of stories -- -
Fax: I'ype of construction
Phone: F --- —
_ --�...-
I; mail:
CCB no.: �„ Occupancy group(s):
City/nrc•tr„lit rill.: - Existing:
New:
r r
Notice:All contractors and subcontractors are required to be
Name: licensed with the Oregon Construction Contractors Board under
Address: provisions of ORS 701 and may he required to he licensed in lhu
Cit
-- jurisdiction where work is being performed. If the applicant is
State: 71P: exempt front licensing,the following reason applies:
Contact person: Plan no.:
I L-mail: ----
Nance: Contact person:
Address: fees clue upon application .........
City: -- Dale received: -
Statcc ZIP: Amount received ................
Phone: x: $
E-mail:
I hereby certify I have read and examined this application find lhe� Please rcicr to lee schedule.
Not all iudwlldtunq serer,�nvlit ends,plrm:e call 3uriullcNrt�,,,�Information
work will
checklist. All provisions of laws and ordinfinces governing this U Vkn U Mnolert'nn1
work will be complied wills.whetlu•r spccilied here'l of it(*. o vi turd mU Ma
Authorized s�Uaturu
Nn,ne fit c'aslhnlr r��shown nn trrdli cud r'"niers
Printnaunc:�1 -�31Xz' �_--_ -_ --
Notice:This prnnit application expires if a permit is not obtained within 180 days after 11 has been accepted as complete. -- _ -S
�An,ntmt'- f
;y
440 4e 11 r~Y)MI
Mechanical Permit Application
Uatereceived: 801 e( Per nit no.: G
('ify of Tigard
City uJ7igar�d
Address: 13125 SW I fall Blvd,'Tigard,OR 97223 project/appl.no.: Expire date:
Phone: (503) 639-4171 Date issued: ky: Receipt no.:
Fnx; (503) 598-1960 ( :I\c file no.:
I ryment type:
Land use approval: I;Ilildirlp perntil no
1 '
U I &2 family dwelling or accessory U Commercial/industrial
1 OMulti-family
U New conslnlctitln J U T'enanl improvement '
Addition/allcrution/rcplarcnlrnl .J!)iln•r
1 1 1 1
Job address: / 51
�__ Indi1 111 rqulltnlcnt quantities in hoxcs below. Indicate the dollar
Bldg.no.: Suite n. value III all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.:
_ - profit. Value$
I ot: Block: Subdivision: - - — *-gee checklist fm* important application inl'orniation and,I
Project name: ---------
_ h'c hodule for lesidential permit fee.
City/county: ZIP: _ of WIN I 10 11
Description and location of work on premises: - r
1
iaEst.date of completion/Inspection; I rr(lti.
) Total
Desai fon "Y. R ,only Rcx.only
Tenant improvement or change of use
Is exislting space he;iled or ctm�Irlitnte(17 U Yes U No Air handling unit _ CrM
Is existilit,,space insulated' 'J l I JN,- Air con iuol>�ling(sTrp 711T-r-t,uire ) —terra ou oo eilsting TT�C ysicln -
1 1 Boiler/compressors
liu\inc.\s nano': 3 odyas Ile_ 1- LAv�( /rte. Stale holler permit no.:
Address: 8 Alf a�4/t tf�. -_7.1-
-- Ili' ___Tons11'1'11/II
�— ire smoke ampers act soul c eteclors
City: e r �&n4do Slate, 7.11': ,2�Z, enl pwnp(s to p nn require ) ! -
flwnc; 503- dlG Iax: y�3-43 li-titail; nstn hep acefurnncc/nrener— /I -
C'CB no,: y(P (p 4— --- Including ductwork/vent liner U Yes U No
City/metro Ile.no.: —� -- nsta rep oce/re ocalc icn►ers-suspenc e(,
wnll,or floor mounted
Name(please print): 1'1 �U l-( Y'(a C� clit ora lance of ler t inn urnace -—
e r govt on:
Name:
Ahsurptinnunits _— F311u11
_ `--- --�--
A(Idress_ — Coni tressois
City: _ StnII ZIP: t-HvIrOu"'PIT191 cx ieuxt 9nd rent flat on:
Phone; Appliance vent
Cax' I Mail: hycrex nusl
_Tr1Dol s% 'ype / res. it ten iazrrint
Name: hood lire suppression system
rxhnusl Gln with single duct(hails fans)
oiling address: T•i lauslT--s sjem n arl`irm Tcat-Tri orW` --
('fly: - State: ZIP: Fuel p n ng An-daltitriliui on(up to out cts)
Phone: I I\ -- - --- 'rype: _ _I.I'c; — W, ail
f: 111;111 uc ti til.,enc 1n Tonal aver out cIs --
rocesxp p ng(sc mninticrequirrd)
Name: Nunif ler of outlets
(Fiber sle s n anr or a lTAddress: p
ent.
_ llccur:uivcfircpincc
City: --_ Stole: 7_IP: — insert -type
PhUlle; 1 tlx: Ii-mail: oo!slov pe elstove
Applicant's signitlurtOtT1er:
_- I talc: ter:
Name (print): — - -
_ —
Nm All Iuri+dlclhrll+vi n UMnslrKetc clrtlll come.plvow roll 1111 lit non tut 111011•IAII'll11ntttm Pel'lnit fel`............. ..
N�,II„• Ihispennilnppllcau�al ......'olrl Alnlimum fee................$
!'rrinl r'.nflt ni11I11M1' a\),Ilt'•.II:1 permit is not r1111aine1l , '-----
11811 reVlCw(al _— %) $ —
• rlrre wilhia 11{11 days after it has been —
nine of ran ha�Trl nr tiwn nn rte 1 cm, Itilalc surcharge(8711)....$ _
�---- _J nct•eplyd its ronlplctc. g _
— ----_ s- nront •1T)'1•A1. .......................$
Crur halt r dRnallrre Alr -
"14617 f(MICOM)
yn
t
1)4izu, t)( 12:51) FAA 1 360 254 710t3
rAnvrr;s•►' rr.rr,Txlc. rive,.
(col
Electrical PermitApplicatiurl
pity of 11gard Darereeeivpl f 7 Permit no.:Ksr
ergo/7rgnrd
Address: }3125 SW 11811 I11vd,TigaM,OR 97223 Proj"llappl.no.:
- Ctxpire dale:
Phonc; (503) 639.4171 Datcisluad:
r'ax: (503)598-1960 By: Ret;;tpino_
Land use appmvul: Case fits no.: Poyrnenl type:
U I &2 rarnlly dwelling or acrcaxrry U Cuuulxrc
Neial/indu5ttial
U i+ con.vfn,ctinn 11 hluiti•fnmil
U Adrluion/O1trinhtrrl/rr rl6cemenf y tJ Tenant inrpttrvcment
► J Ufllrr' r
U 1 arlial
lob Oddrew p2
Block: -~- Bldg. Suite uo. Tax rnep/tnx for/account no.
- _ Subdivision: _ " ----
Eslimaled,{d a ofcom kUoNins cyton: fkscnption- a_ ltd loc;i11YU orwork"'Lnmiscs:�—
Job loot _
-Husincssnamc: Ferwpst
rti s
Address: 4 2 N t irkniyt= r (�) 76121 no.Inr
IVs»nr unalo or rnW1 fenrRy per
Ctty' ancouver-'�""" """' d rllir Im _
State. zjP.. g� hr N.Incrnda.rt irwrirepr.
r'hu�nc: J �jZ}�j Fax: .) I- -_M. �. SMVk.ir,rlerw�A:
CCU noXt 2 3'i U �•Inail I(xx,sW rt or less
City/ flee,bus.tic.n-gyp TTZ27 7 C tech addition jam;jl:orjw`nfon ihereo --4
Wo _ - t.lutred mn
Cy,rerlrlentirl -
s [-Ind eAenergy,non- itlrnUal 2
nalpte of m -- '' / Is mmnrfaetnred Mrne or mnAuln dwelllna
----- .r_rwy-_ doclnciuu(rc ulrrxl) -W f>nte _
Sup.ekn.runne(frrinl) +1�~ N A t _ �trviee AnWOf feeder
Ucense 2�.1� err tier,-Int, ln'1���- •-- 2
ellentbe or rrlocarinm
L447,
Rrlf)` 2tx,amps or leas
address: "� ___ _ . __. X01 r Or i?t►.n ;r 4
rity:
`-` � ani
Stare 2:1P . -Tes to�po`or.._ _Fax. "�--___� Over IOOO am or rolls-- ZIteoennerinnly CWllallnn:'hIlr:Inslallnllotl be UIl ptopwy I owll�Illrl Intended for sale , nl•or exchange nccoMing to,455,479,670 701. blalenetloelleretiest,or200 ampl nr le41;t nature: 101 anq„to goomt„ -
Date:
4011 Iu Gose'" - 2
_Nstne brsnch.IrcaHs nrrr,anenlfbO, 1�
- ar ealominn per pmt:
/'.ddr.95 + ---.-�- ._ A. err far tn.nch ehellltA with
C itV: service ur fveAer ter,each Mlrehase of
- frtuil
ar
el a+rniiri vvlthueat put trhavt Z
!`mail; _of Tk or IcgQer fee llnl beseech eitail:
F ech Wlriornl Manch circuit: 2
UServlrnnver7"llanpa-Mtrrrrrryrial Ulfadrh- Mirr.(Serrlcnnrferdernwb►elrntr�);
(J Setvla��rt itf,and I trionl of IA 2 as hwotlrry tiarh ru or int Ion circle
famNydwrlhngF Cl H - -- 1
foeandwr hrrarxn' Iaeh elfin of outline i
[[J]nSyuuIINrLn,Foor•rrrt*('ItlhUirvrd.nnn�r. �tlhbuiMhpoverlgxNOurfurrrnv,
arrel. ynrrnnnal SljndreitrusjndleriniaY1,"a"rpsidenfill weirs lnrnntnury„re
t)Feedr•n•4nq any r m nun, .IINrr1O11,p ealt1111Or1•
U(krupam load over 09 prrv1°' C7 UpppMfr 'Dercn doer
Olhw; mew eddnbOal :r
Butrorrll - --.-- ----- _ tnaKa'fwn ere,tae etleaelle Yr qy d lbe tshevr.
_ erl.or 'lows perin5patlon
M wkh airy of Ike rrtre.e. -r---
711e above ere Hol gl/t1e+Ne
M1O►ar"y t'onsts'rcrfon eerHee. -udxi -`.---
Na
prem ta111awrcYon fn eters Mrcarnatlw
UNs4 UMuterCud N"tier 7hrlPprnitaMrlication rrennllfee.............. s
Unwin cord numb&: -_ r rldrrt If a permit is not ohtainer► 1401'review(at
4____p__ ---� 'Aith!n ill)day,finer it hats been Starr xurt hrvar(A9F)�),
w a en nt ret>teA er cmnrlete TUTA 1, -
440 4615 IGMIW""
i
i
Plumbing Permit Application
1)ate received: 7 0 Permit no.:N5j 4
City of Tigard sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd,Tigard,OR 97223
City of Tigard Phone: (503) 639-4171 Project/appl.no,: Expiredate:
Fax: (503) 598-1960 Date issued: By: Receipt no.:
Land uqe approval: Case file no.: Payment type:
TVPF 01: PERM 11'
U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family ❑Tenant improvement
U New constniction LI Addilinn/alleratinn/reldacenu nt U Food service U 011ier: -
JOBSITE INFORMATION
Joh address: 5 661j /16 _ Description Qll . Fee(ea.) Total
Bldg.no.: I Suite no.:
New 1-and 2-family dwellings only:
Tax map/tax lot/account no.: (includes 100 ft.for each utility connection)
SFR(1)h:uh
IAA I Block: Subdivision: - - - �_
SIR(2)hath _
Project name: SFR(3)hath
City/county: 711': Each additional balit/kitch4n
Description and location of work tin premises: _ Sileutilities:
Catch basin/area drain _
Est.date of completion/inspet time - - Drywells/leach line/trench drain
11 LUNI It I NG- 1 ACTOR
Footing drain(no.lin.ft.) _
Manufactured home utilities
Business name: 1d1 �L,IS L ,fS I 1 C, Ma'tholes
Address: v /ell Rain drain connector
Cily:d/+t�n.'► Ci State: Q_Z ZIP:4 70 iV3 Sa•aitary sewer(no,lin. It.) - -- --
Phone: -d'3Z Fax: (031- G mailrrA G 1,01. Sturm sewer(no.lin.ft.)
CCB no.: Plurnh.bus.reg.no: (p ' W titer service(no, lin. ft.) y
City/metro tic.no.: 40 2,.- Fixture or item:
Contractor's representative signature: Also tion valve
rint nantc: Back now reventer
P
r� Nl I C-e1 Date: Backwater valve
1 Ba.,ins/lavalory
Name: Clothes washer �-
---
Address: _ ishwas er City: State: Drinking fountain(s)
'LII': _^ [ijcc,ors/sump _
Phone: Fax: F?-mail: I Expansion tank
1 Fixturc/sewer cap
Name.(print) Floor cirains/Iloot „i4t/hub
- -_-
Garbage dispose
Mailing address: _ F --
-• lose bi h
City: T Stale: _ LIP: ce _ ti-cr ---�- _
Phone: Tax: rluuail: Interceptor/grease trap
Owner installation/residential maintenance only: The a tual installation Primer(s)
will he made by me or the maintenance and repair made by my regular Roof drain(commercial)
employee cin die property I c vn as per ORS Chapter 447. Sink(s),basin(s), ays(s) _
Owner's si nature: Date: Sump
Tubs/shower/shower pan -_
Name: Urinal _
-- --- Water closet _
Address: Water tater
city:_ State: I,IP: Uther:
Phone: Fax: E-mail: otal
Not nil Iutisdictiomt accept credit caide,plenee cnll lurivaeflov rot nuue inrorinnnnnNottcc: I his permit application Minimum fee................Lua $ _v
. -
U visa U MaslcK'aid expires if a perrnit is not obtained I, review(id r ) $ _
credo eNd nuattter____ _ - within IRO days eller it has been State surcharge(9%)....
ixplre>
— ted complete.
1'(1'1 AI, .......................$
None of car alder a shown on credit cert accepted as r
s v'
t'nrdholrkt+lRnntwr Atnuunt
410t,trvtlnlr'ftMl
i;i
SEE 35MM.
ROLL X21
FOR
OVERSIZED
DOCUMENT-
10 0 20 40 RIVE DE ---- ----
-15455 N.W. GREENBRIER PARKWAY
_ :QUITE #140
->o s RFAVERTON,OREGON 97006
SCALE: 645.098Q
Cl
I (`,f Cl 11.lYl ��. I•-7 I O
4� f°z
d 8 0 51 "o
<- /1 \
�• `�/ 1290
( y, i I
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00,
wl
1 _ ;
Ile
1
5.0'
h 1 _
ZING
i-
HUNTER'S WOODLAND DAIt8L� ICS7'L�1K�e 01
RIVERSIDE HOMES DRAWWJMJ I�I CONSULTANTS mc.
LOT "10" — 116TH PLACE CiIEr,KEU 11r
REVISIONS FNCINEEH►NC ♦ SURVEYING ♦ 1'LANNINC
1 01 AREA = 6,347 S.F. VACIE•IC COnPUqRAIr. CFNTCR
SETBACK AREA = 2,900 S-J- J00 NO � c TICAIUI OPFCON1111722�A1tKRA1, SHITE 19D FAX �5U1� III-g0•i2
1,JOG-Oa
ELECTRICAL PERMIT-
CITYOF TIGARDRESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR2001-00285
13125 SW Hall Blvd., Tiaard, OR 97223 (503) 639-4171 DATEPD /101
ARCEL: 2S1 09800
SITE ADDRESS: 12945 SW 116TH PL ZONING: R-4.5
SUBDIVISION: HUNTER'S WOODLAND JURISDICTION: TIG
BLOCK: LOT: 010
Project Description: All encomp.
A. RESIDENTIAL__--- _._ B.COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAr:
GARAGE OPENER: CLOCK MEDICAL:
HVAC: DATAITELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: ALL ENCOMP X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL# OF SYSI EMS: _1 _—
Owner:— Contractor:
RIVERSIDE HOMES GREENLINE INC
15455 NW GREENBRIER PKWY W40 PO BOX CARD, 30755
OR 97223
BEAVERTON, OR 97006
Phone: 503-645.0986 Phone: 968-1978
Reg #: LIC 103033
ELE 34-397CL
SUP 3345JLE
FEES Required Inspections _
Type By Date Amount Receipt — Low Voltage Inspection
PRMT CTR 11/9/01 $75.00 2720010000
Elect'I Final
5PCT CTR 11/9/01 $6.00 2720010000
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Cade, State of OR. Specialty Codes
and all other applicable laws. All work will be done in v,cordance with approved plans. This permit w"I expire if work is
not started within 180 days of issuance, or It work is suspended for more 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
952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at 503)
246-1987.
Issued by
Permittee Signature
;� r:-�-'__--- ------
OWNER
INSTALLATION ONLY
The Installation is being made on property I own which is not intended for sale. lease, or rent.
OWNER'S SIGNATURE: — ^__ ______�__ DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N _ DATE:_
LICENSE NO: e 3 3 'C5 J —
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
Electrical Permit Application
- �--— -- — - Dale received: ' y , Permit no.: � 5
City of Tigard Project/appl.no.: ERpire date:
Cii'YgTignrd Address: 13125 SW IlalI Blvd,Tigard;OR-97221 Date issued: B Receiptno.:
Phone: (503) 639-4171 Y'�'
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval:
OF PrRMIT
t &2 family dwelling or accessory U Commercial/induslnal U Multi-family U Tenant improvement
U New construction U Addition/alteration/replacement U Other: U Partial
INFORMATION.1011 SITE
Job address: I Z°t y 5 5 w ) t Bldg,no.: I Suite no.: 1'ax map/tax lot/account no.:
Lot: 10 Block: Subdivision: 0 u N-, > `
r_ (t S �� t)1A N7> ---- -
Prnicct name: I Description and location of work on premises:
Es.unated date of completion/inspection: ----
CONTRACTORA1111LICATION FEE SCHEDULE
Job no: Fee Ma.
Uncripli,m_ Irp. (ca.) Total no.lncp
Business name: ru I:rJ L I ` N Nen re%irkvdial %kiplew muNi family pet
> Z 5 I1 dnellingunit.locbuh,%artachedgamye.
City: 7 t n r✓D Slate: Oh ZIP: cl 7 2 V ( S11lic•ehtclu"
Phone: y 0 9 le Fax: ELL &vy E-mail: —� 1000 sqft.or less_ 4
Each additional 500 sq.H.or portion thereof
CCB no.: o ' �; �,'3 Elec.bus.lic.no: 31 - 7 t L(, Limited energy,residential 2
City/metro tic.no.: Limired energy,oon-residential ' 2
b /, J p / Each rnanufactwedhomeormodulardwelling
Signatu�ising electrician(required)
Uate y Service and/or feeder 2
Sul).elect.natne(print) Servf"et orkeders-Installation,
1 P t G O (LE/ License no: 3;�5 2�l_. alteration or relocation:
200 amps or less 2
Name(print): 201 amps to 400 amps 2
Mailing address: 401 amps to 600 amps _ 2
601 snips to I()0)tulips 2
:
Cit Slate: ZIP: -v— -
Y _ over I WO amps or volts 2
Phone: fax: E-mail: Reconnect only - - --- l
Owner installation:The installation is lxing made on property I own Temporary service%orferden -
which is not intended for sale,lease,rent,or exchange according to Installation.alteration,orrelocation:
ORS 447,455,479,670,701. 200 amps or less_T 2
201 amps to 40n amps 2 --
owner's si mature: Date: _ 401141 6W stns 2
drench circuits-new,alteration,
or extension per panel:
Name: — A Fee,for branch circuits with purchase of
Address: service or feeder fee,each branch circuit 2
City: Slate: ZIP: B Fee for branch circuits without purchase
of service or feeder fee,first branch circuit. 2
Phone: E-mail: ..--
Each additional hranc'h circuit
Mise.$Service or feedernot included):
U Service over 225 arnps-commercial U Health care facility Each pump or irrigation circle -- 2
U Service over 320 amps-rating of 1 A:2 U Ilazudou%location Each sign or outline lighting 2
family dwellings U Building over 10,000 sprue feet four or Signal circuit(s)or a limited energy panel.
LI Sy%Iem river 60n volts nominal nK9e residential units in one structure nitetation,or extension* _ 2
U Building over three scones U Feeders,4W strips of itK)re •lkscri tion,
U llccupent load over 99 persons U Manufactured structures or RV park Each additional Inspection over lite allowable In any of the above:
U EgresAighlingplut U oilvor .,___ -- Pet uupection —
Submil sets of plans with,wy of the above. Inves,.,stion fee _
The above are not applicable to lemporacv construction service. other - -- - - -
-------- $
Norall jurisdictions accept credit cants,please call jmiutirrirat fa nave Inrr•ttutlrMt Notice:This perm,,c rpPermit fee......""""""...
(iCatlUn --
U Visa U Mastercard expires ifi,permit is twt obtained I'lan review(al -__ 9f► $ _
c•ndit card number:__ — _— -- -L _ within 180 days after i!has been State surcharge(8%)....S
F:pircs
Nome ofc r u shown on c t car accepted ns coinplete 'i�OTAI. .......................$
.- '
S
Annum 440 4613 1 hKIWOM)
Jan,30, 2002 1 :51P69 Stifle Eie,.tric No-0342 P. 7
CITY OF TIGARD v
13125 S.W.HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
RAINIER PACIFIC ELECTRIC INC
8916 NE 90TH AVE
po BOX 873070
VkNCOUVEK SNA 99682
Electrical Signature Form
Permit#- MST2001-00467
Date Issued: 1011!2001
Parcel: 2910300-00800
Site Address: 17845 SW 116TH PL
Subdivision: HUNTER'S WOODLAND
Biork'
Jurisdiction TIG
Zoning:
Remarks- ConsVuctlon of new single family dotached residence. Path
bove
oi
Your compar7y has beer► indicated as the elec,•trica� Cervi H electrriciar, is roqui ed-Please'lave tFfe
the electrical permit to be valid, the signatures btelory and return this Electncal Sigr►akure Form prior to the
appropriate individual from your company sr,1
start of"%vork to the addross above, ATTN PAjildirig Dept.
No olsctrical inspections will be authorized until 'this complete form is received
Fi FCTRIGAI ( rOWFRACT()R
OWNER: RAINIER PACIFIC r-LECTRtC INC
RIVERSIDE HOMES 8916 NF 90TH AVE
15465 Nw GREENBRIER PKYV�'#140 pp BOX 823070
BEAVERTON, OR 97006 VANCOUVER, WA 08682
t gone#. 360.096-2451
Phone#. 503-645-0936 Rep A.
U '1484M
31 QW. -
SUP iCZ%$
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X "w6km4v
�Tgnature o upesrin3in�clan
If you have any questions, please call (503)838 4171 ext. # :310
N1:)dSN 1 - 40 A"'j WUIL-J Wed:68 �Q10Z-8c-t0
CITY OF TIGARD BUII DING INSPECTION DIVISION MST 00
24-.your Inspection Line: 63�o 175 Business Line: esy-4'. BUP
Date Requested_-_____f--::::�>—C) AM PM BLU
Location
- ��� ���? Suite MEC
�.. • _��., 'Q.oc�lf D!u Ph PLM _ -- —
Contact Person
SWR.--
ELC
Contractor � C��J �� -- Ph
BUILDING _ Tenant/Owner -
ELR
Retaining Wall
Footing Access. FPS
Foundation
Ftg Drain - SGN - -- -- -
Crawl Drain Inspection Notes. SIT
Slab - -
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing -- -
Insulation
Drywall Nailing
Firewall -
Fire Sprinkler
FireAlarm _
Susp'd Ceiling -------
Roof — -
Misc: -- - - -- _
Final
PASS PART FAIL ---- ����
PLUMBING r"
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
rRh
TRICAL
e --
In
abLowVoltage
Fire Alarm
ZASJPARTFAIL
Backfill/Grading
Sanitary Sewerrequired before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Storm Drain [ J Reinspection fee of$
Catch Basin ___ [ J Unable to inspect-no access
Fire Supply Line ( )Please call for reinspec;i;orr RE: J..__
ADA
Approach/Sidewalk ...
qpp I
_ nspector Ext
Other _ Date
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the joh site.
CITY OF TIGARD BUILDING INSPECTION DWISIOtJ MST
24-Hour Inspection Lme: 639-4175 Business Lire: 639-4171
BLIP _
Date Requested 1'2- ANI PM BLD _
Location!��ni45 t ] 6 ► acs Suite _ MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retainigg Wall ELR
Footing Access: -
Foundation FPS
Fig 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:
k, `PART FAIL - ---- ----- - --- —..—----- -- - --._. - --- ---PIXIMBING
Post&Beam ----._....-_.-- _-- __ _--� ---------------____- --_____.__.-_--- ---_- .__
Under Slab
TopOut __------__._ .-----___- _—_------------------------___ ___ _—___ --_----
Water Service
Sanitary SewerIlLwsq -------__.-___----_—_�---- ---_—__
rains
m
Fa
PAS PART FAIL _
MECHANICAL -
Post& Beam - - -- — - - --- -
Rough In
Gas Lir --
Smoke Dampers
ART FAIL
AL - ------ -- -
Se ce
Rough In —
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
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: . - _ �_ -- [ ] Unable to inspect-no eccess
ADA II
Approach/Sidewalk Date L-� 2 J Inspe�tor '�'� Ext
Other _ --- _
Final
PASS PART FAIL DO NOT REMOVE this inspection recordfrorn the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
7 Ho,,r Inspection Line: 639-4175 Business Line: 639-4171 MST
_ BUP
_—
_
Date Requested ���/ � AM PM BUP
Location _-
9 4 5 // - L Suite MEC
Contact Person Ph PLM
Contractor Ph _,( f z, Z SWR
BUILDING Tenant/Owner ELC
Retainigrip WallFooAccess: ELR
Foundation FPS J
Ftg Drain
Crawl Drain Inspection Notes SGN
Slab _
Post&Beam — T- SIT —_
Ext Sheaih/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm __-
Susp'd Ceiling may.
Roof _
Misc ---- --
Final
PASS PART FAIL --------- —
PLUMBING �' ----~---
Post& Beam --
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Fina' - - -
PASS PART FAIL
--- --------
MECHA�ICAL r---- — —
Post&Beam ---- ------ -----_- _- _
Rough In
Gas Line ---- --- -- --- ----
Smoke Dampers
Final __..-...__....___
PASS PART FAIL
ELECTRICAL_ - — ----- ----- -----
Service
"Admit
UG/Slab
to
Fire A arm J
.PX PART FAIL _--
SITE -~ `—
Backfill/Grading - -- -
Sanitary Sewer
Storm Drain [ J Rr.rinspeclior fee of _required betire next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
[ [Please call for reinspc;ction RE
Fire Supply Line ( ]Unable to inspect-no access
ADA
Approach/Sidewalk Date V_,,. ,� inspector Q
Other ��_f.J_�ii/—Q� p •�.-• �,»Ext
[ PASS -PART FAIL 00 NOT REMOVE this inspection record from the job site.
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