14055 SW 116TH TERRACE 141
EL 292. NOTE: CENTERLINE CONCEPTS,
SURVEYORS,
WILL PIN ALL EX i'EAIOR
FOUNDATION CORNERS ASVD PAOVIDE
i' E L 2 $6,S SUBSEQUENT MORTGAGE SURVEY.
c. 1e n e EROSION CONTROL:
S $910' 0" W 5 12'24; 1. PROVIDE 8 MAINTAIN 8' (min) THICK
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GRAVE. PAD 8 DRIVE UNTIL P E nWANENT
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l' CONCRETE DRIVE IS !N PLACE.
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N N _ _ \9,� �� • FENCE AS INDICATED.
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--PLAT UNRECORDED, CENTERLINE CONCEPTS Siff Femce SCALE DRAWING LOT 18, EVERGREEN SPRINGS
NOT RESPONSABLE FOR HOUSE PLACEMENT. N.W. 1 /4 SEC.10,T.2S.,R.1 W., W.M.
r„/A4ei L i w r
CITY OF TIGARD
WASHINGTON COUNTY, OREGON
OCTOBER 23, 1998 Centerline Concepts Inc .
DRAWN BY: PDS ChiECKED BY: WGDIiI
SCALE 1 "=20' 7000JNT # 115 640 82nd Drive Gladstone, Oregon 97027
M: MLI PLAT EVE',GS\L18EVEGS 503 650-0188 fax 503 650-0189
-
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NOTICE: IF THE PRINT OR TYPE ON ANY T� I�(1 ! r il ! i I ! I � I ! I I ! lllllll ! I ' I ! lilllll_(T. LfT�TII_. r1.1TT T�TIIIf � I �� a� � �.�..�.� � �.f_) -� I ! iI � I � � I �7 � 1 i ( � II r1r� 111 � I � I � I ( � �.r.lr1� )�_r _�� _l_� r1-0
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IMAGE IS NOT AS CLEAR AS THIS NOTICE II 1 2 3 I I 5 II I
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IT IS DUE TO THE QUALITY OF THE IIII �.IIIi III ZI_III IILII,ZIiIl'lli8ll ZIIII_II5II�ZLI_I.I�IIfi!��Zi1l�li ilE! ZIIIA 11Z1 Zlil�llllT�Zilll lo011 _Zli_ll II6II iIIII -11811 iIIII IILII T!III II9!I .TIIIIIII9II TIlli II�II T!III IIEII TIl'li IIZII ii ll.� l�lTl T IiI�—IIIII. lill�l���'l�llll� Yll.l.1 11 No.
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llORIGINAL DOCUMENT Fill,, �I-I�tlC-
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14055 SW 116"' TERRACE
CITY OF TIGAR� CERTIFICATE OF OCCUPANCY
PERMIT#: MST98-00502
DEVELOPMENT SERVICES DATE ISSUED: 1/4/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110BA-09300
ZONING: R-4.5
JURISDICTION: TIG
SITE ADDRESS: 14055 SW 116TH TERR 1�`1t
SUBDIV'S!ON: EVERGREEN SPRINGSF I L ,
J`P Y
BL OCK: LOT:018
CLASS OF WORK: NEW
TYPE OF USE: SF
TYP= OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: PATH I New single family dwelling w/attached garage.
Final Building Inspection and Certificate of Occupancy Approved
7/21/99 by George Steele, Building Inspector
Owner:
RENAISSANCE CUTOM HOMES INC
1672 SW WILLAMETTE FALLS DR
WEST LINN, OR 97068
Phone: 557-8000
Contractor:
RENAISSANCE CUSTOM HOMES
1672 WILIAMETTE FALLS DR
WEST LINN, OR 97068
Phone: 557-8000
Reg #:
This Certificate grants occupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the State of Oregon
Speck,lty Codes for the group, occupancy, and use under which :he referenced permit was
issued.
BUILDING INSPECTOR EUIL- blWG OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST q9-6SOZ,
24-Hour Inspection Line: 639-417.5 Business Line: 639-4171
BUP _
Date Requested -'�' - j AM PPA _ BLD
�ocation i 1 os `I' Suite MEC
Contact Person Ph PLM _
Contractor Ph SWR
UQING IL -- Tenant/Owner ELC
Retaining Wall ELR
Footing Access: FPS
Foundation
Ftg Drain SIGN
Crawl Drain Inspection Notes' - -------
Slab SIT
Post&Beam --- — Tw-
Ext Sheath/Shear
Int Sheath/Shear -� J
Framing
---- ------------------------------------------------
Insulation
Drywall Nal!iog
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof -
Misc:
I'ASS�PART FAIL --
tU NG,
F'ost& Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
A PART FAIL ---- -------__-- —
(Post& Beam
Rough In
Gas Line
Smoke Dampers
AS PART FAIL
IFILECTRTCAL
Service -_-
Rough In
UG/Slab - _ -- - - ----- ---- ---
Low Voltage
Fl,e Alarm _
S PART FAIL
SrT
Backfill/Grading —
Sanitary Sewer
Storm Drain _ ( ]Reinspection fee of$— _required before next inspection. Pay at City Hall. 13125 SW Hall 1310
Catch Basin w ( ]Please call for reinspection RF _ ( ]Unable to Inspect-no access,
Fire Supply Line
ADA
Approach/Sidewalk Date 7-- �'. �� inspector Ext
Other -- --- ----- p -
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
OF
TIGARD MAr RM��F'#RMIT. . . : MST9f3-05(� .,
C DATE ISrUrD: 01/04/99
DEVELOPMENT SERVICES
I 13125 SW Hall Blvd., Tigard.OR 97223(503)639.4171 PARrFI- : 2S)1 1 OAA-EV R 18
ZONING: R_4.• c'
SITE ADDRESS. • • :EVERGREEN`SF'RIINGSRFd Tl1RISD'1(�TION• TICS
SUBDIVISION. . • • :018
31_00;. . . . . . . . . . nT -------------------------------•---
- REQUIRED ---------
Remarks: PATH I: New single family dwelling w/attach-- garage. BUILDING ------------"-_ _
-�---��-~ - BASEMENT 0 sf REQUIRED SETBACKS----
-----------""" SMOKE DETECTRS: Y
~_- STORIES.......: 2 FLOOR AREAS------_ f GARArE... 669 sf LEFT........... t2 ,
REISSUE: FIRST....: 1321 s L0 PARKING SPACES:
CLASS OF WORK.sNEW HEIGHT........: 22 FRONT......
y� FLOOR LOAD..... 40 SECOND...: 1155 sf RIGHI......,..: 12
TYPE OF USE...: FINBSMENT: 0 sfR, ,,,,,,; 30
TYPE OF CONST-.5N DWELLING UNITS: I X476 sf VpLUE..l: 184705 -----------
TYPE
- -
TOTAL------: 2 - ___--------------------------- ------ -- --
OCCUPANCY GRP.-R3 BDRM: 4 BATH: �_ -------------�---_ PLYING ___--------- -' RAIN -- ft: 100 TRAPS.........: 0
---------------..------
- LAUNDRY TRAYS.: 1 CATCH BASINS... 0
--- -------------^--- WATER CLOSETS.: 3 WARIING MACH..: 1 SEWER LINE ft: 100 SF RAIN DRAINS: 1
SINKS.......... 1 DISHWASHERS...: 1 FLOOR DRAINS..: 9
LAVATORIES..... 5 I WATER HEATERS.: 1 WATER LIt' ft: 100 BCK.FLW FREVNTR: 1 OAR FISE %TURES. 0
TUB/SHOWERS. : 3 GARBAGE D'SP..: -
_ __ _ MECHANICAL -----------
-------------------------
____.__---------------- FURN f 100►1 „o- 0 � BOIL/CMP t 3HP: 0
VENT FANS.....: 4 CLOTHES DRYERS: 1
FUEL TYPES----- -"--- FURN )=100K .. 1 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: 1
VENTSEHEAT ...,, 0 WOObSTOVES....; 0 GAS 11'1Tl ETS...: 1 ------
MAX ______--
------M-5CEl.LANEOUS----
INP.: 0 BTU FLOOR FURNACEGASS. 0 ______--_- ELECTRICAL -------•-----_-- --ADD'L INSPECTIONS-
-------------------------
NSPECT10N5-_
------- ----
- ------------------"r-- BRANCH CInIT PER INSPECTION; 0
TEMP SRVC/FEEDERS-- -
- ------------ -- ---SERVICEIFEEDER---- -- _ � amp..: 0 W/SVC OR FDR,.: 0 PUMP/IRRIGATION; 0
--RESIDENTIAL UNIT - amp..: 0 0 PER HOUR......: 0
1000 5F OR LESSt 1 0 4 ,; 9 1st W/0 SVC/FDR: 0 SIGN/OUT LIN LT: 0
EA ADD' 500SF.; 5 201 - 400 asap.-: 0 201 - 00 amp. 0 EA ADDL BR Ci?: 0 SIGNAL/PANEL. 0 IN PLANT......:
401 - 600 amp..: 0 401 - 600 amp..: MINOR ,ABEL -10; 0
LIMITED ENERGY.: 0 _ ___------ -- ---
MINI HM/ NERFDR: 0 601 - 1000 arap.: 0 601+amps-1000 v; 0 PLAN REVIEW SECTION CLS AREA/SPC DCC:
101 - IN@ alt.: 0 -------------------- - ) 600 V NOMINAL!
RES UNITS--:
A-:
1=4
Reconnect only.: 0 _ EL ECTRICAL - RESTRICTED ENERGY •-.---------—-----------------
-------
-- ----"-`_- -_
----------------
--------------------------------___J- B. COMMERCIAL~-------------_----------- INTERCOM/PAGING: OUTDOOR LNPSC L?:
A. SF RESIDENTIAL---------- ------- AUDIO 6 STEREO.,. FIRE ALA PROTECTIVE S'.r .:
VACUUM SYSTEM..: HVAC...........: LANDSCAPE/IRRIG:
AUDIO d STEREO.. BOILED..........: MEDICAL........; OTHR: ::
BURGLAR ALARM.-t 0TH: °' INSTRUMENTATION: TOTAL. 4 SYSTEMS: 0
,.LOCK..........: NIJP3T CALLS....:
GARAGE OPENER. DATA/TELF. COMM.:
HVAC...........: 'OTA'_ FEES:! 5280.71
_____Contractor: ----------------- This permit i, subject to the regulations Contained in e
Owner: ------------------------
-------------- RENAISSANCE CUSTOM HOMES P Codes and a'
RENAISSANCE CUTOM HOMES INC w _ 1672 WILLAMETTE FALLS DA Tigard Municipal Code, State of Ore. Specialty
1672 SW WILLAMETTE FALLS DR WEST WILL OR TE FA other applicable laws- All work will be done ,n accordance
WEST LINN OR 17968 wif.h apprnved plans. This permit will expire if work is
A: not started within 180 days of issuance, o
Phone 557-8098 r if the work is
Phone A: 557'8000 Reg 0,,; 049955 suspended For pore than 180 days. ATTEN�he�OreronoUtilNty
requires you to follow alyles obtainpted by copies of these riIles or
------------.___ _ h OAA 95�-
you may
---------------------
-----------�- R 952-001-0010 throng 081-0080. V
Notification Center. Those rules are set forth in OA
-------------
--------------------------------- - --Electrical Final
direct questions to pUNC �y Calling (503)246_1987_ ----_ REQUIRED INSPECTIONS -----'--" " _,_-
Erosion 844-8444 Post/Beam Meehan Electrical Servi Gas Line Insp
g Insulation Insp Mechanical Final _,-------
Grading Inspecti Crawl Drain/Back Electrical Rough Pain drain Insp Plumb Final
PLM/Underfloor Framing Insp Building Final _-----
Footing Insp Shear Wall Insp Water Service In g '
Foundation Insp Mechanical In ApprlSdwlk Insp Plumb Top Qut Low Volt
Post/Beam 5truct lu ,
--- � � � 1?r,m i t t e e S i g n art�.1 r^e:_______�•
T a y r_r e d F Y:____-__.._ _ -- 1 1 1 , ►.+ r 1 i , 1 1 1 i i l i t
+ 44 + + 4111 + ( 4r11111 ++1 +�.q. ,
f,uS-417` ty sQr rr. m• for, iTrrtrec"{: ion needed the nr,>�t business c �Y
Plan Check#i �5-ko
CIV nF'TIGARD Reside it I 'iuil, ling Permit Application Recd By
13125 SW HALL BLVD. New ' ,:i . j� i Addition: or Alterations Date Recd i -
TIGARD, OR 97223 Single Family Detached or �+ttached (Duplex) DatetoP.E. ! -,!�-y
V 503.639-4171 Date to DST_
Permit#Called
F 503-684-7297 �I /[
Print or Type
r I�
Incomplete or illegible applications will not be accepted
.-03 5?
Name of Project - —�� - ---- Name u ti a /
J C-meC
----T— 7 IX Architect g r
Job F_„�, ieert �ar f Mailing Address
Address Site Ac dress3 IIt'
+
�'- 5 n/i�/ / � /�
_ Re,r S Sl✓ 116
City/State Zip Phone
Narne,-, 97z 17
el;41 f Nr '�"' Name—'—
Owner Mailin Address In„ 4,, eI've
� — Engineer Malli g Address
Cily/yStat �
re / 1311 sC fe ' 4,e
�5� City/Ste a Zip_ Phone
General Name _ P�-tf,^� oR 9711 S 23=-y>yy
Contractor cJi/„IL f�� l A,t� Describe work New Addition O Alteration O Repair O
`^i -- _to be done:
Prior
Address or to permit _ Additional Description of Work:
issuance, a copy City/Slate Zip Phone —
of all licenses _
are required if Oregon Const.Cont. Board Exp. to PROJECT
expired in COT Lic.# �/ / VALUATION
database
_
Mechanical Name - NEW CONSTRUCTION ONLY: _
Sub- 2�lell
0 Sq. Ft. Klause: Sq. F[ Garage
Contractor Mai6n�A�dress 24 �� �' C
Prior to permd -'U'�-lr�_ ► /fli� Corner Lot YES NO Flag Lot YES NO
issuance,a copy Clty/ tate Zip Phogr: (check one) ,k (check rine)
of all licenses ,y�yLf �:�, S Restricted Audio/Stereo Burglar
are required if Oregon Const Conl Board 4p. te Energy stem Alarm
expired in COT Lic.# �)
database Installation Garage Door HVAC
--'
Plumbing _ Name Opener _ S stems
�,�►� (check all that _Other.
Sub- I��--'? _ K -- ap l -)--
Contractor Mailing Address Will the electrical subcontractor wire for all E NO
restricted energy installations? _
Prior to permit r rState Zip "nolle Has the Subdivision Plat recorded? N/A E NO
issuance,a copy Lj-�
WD
of all lirenses are Oregon Const Cont oard Exp Date -- —----- ----
required if Lic# ,- Solar Compliance
expired rn COT f _�~_,fr (Calculation Attached)
database Plumbing Lic # Exp. D e I hearby acknowledge that I have read this application, that the—
J � information given is correct,that I am the owner or authorized
__ �'►� /' agent of the owner, and that plans submitted are in compliance
Name with Oregon Stale laws. _
Electrical f�F� iG Signet;ire of Owner/Agent Datg
Sub- MailinyAddress -- '— - ~ . r.s
Contractor _ "I A14? Contact Person Name Ph ne#
17
City/Stale Lip Phone -� _; ti � 7•� 11
Prior to perrmitFOR_ OFFICE USE ONLY:
issuance,a copy �'aIAIC�sy+/fi /� _ r Plat# 7/r `?lf•'~ 17Pl F /z
of all licenses are Oregon Const Cont. Board Exp Date / C. L
required if Lic#� ,/ -�- J�backs: Zorp�X- `I ,r - —
expired In COT '7 �' _
database ^jtrical tic.# E Dg f ngigeering Approval. Planning Approval: TIF:
I SFREM DOC (DST) x/97
SEE 35MM
ROLL #21
FOR
OVERSIZED
DOCUMENT
CITY MJF TIGARD
DEVELOPMENT SERVICES SEWER CONNECTION
C''ERMIT
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . : SWR 5 S--0 5:?
DATE ISSUED: 01/04/99
PARCEL..: 2 1 10BA--E V R I O
SITE ADDRESS. . . : 14055 SW 11GTI-I TERR
SUDDIVISTON. . . . :E_VERGI'EEhl SPRINGS ZONING: R--4. 5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . ..W_►18 JURISDICTION: TIG
TENANT NAME. , . . . : RE.NA I SSAI,CE CUSTOM HOME'S INC _
I.1SA N0. . . . . . . . . . : FIXTURE UNITia. . . : 0
CLASS OF WOR!;. . . :NEW DWELLING UNITS. . : i
TYPE OF I-ISE. . . . . .SF" NO. OF BUILDINGS: 1
TNSTAI-L TYPE. . . . :LTPSWR IMPERV SURFACE: 0 sf
Remarks : Sewer connection for a new single family dwelling.
Owner. ---__._._________._.__.._._________.________________________._._ FEES
PE"INAISSANCE' CUSTOM HOMES INC type amoiInt by date recpt
1672 SW WILA-AMETTE FAI....L.5 LIP PF<MT $ 2300. 00 JSD 01'04/99 98-311910
1Jr ,T LINN OR 97068 ThISP $ 35. 00 JSP 01/24/99 913-311911''
Phone #.-
Contractor:
:Contractors
OWNER
Phone #: -335. 00 TOTAL..
R
-------- REQUIRED INSPECTIONS
—
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewa,a 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 installer shall purchase
a "Tap and Side Sewer' Permit and the Agency will install a lateral.
ATTENTION: Oregon law reollires you to follow rules adopted by the
Oregor Utility Noti'iration Center. Those rules are set forth in OAR
?52 00'-0010 through DAP 952-000I-M. You way obtain cipies of
these rules or direA questions by calling i5 ;il2/fr;t�97, mm
4 1
T55lled by.� Permittee Signati_Ires
.._ _.L. ......_....... _ _�.___.
141 4-++-+++++4-4-+4-4 +-+++4-4-++4.+++++-4.......4...................4.++++4.++ +++.+++•h++... .
Call. 639-4175 by 7:00 p. m. for an inspection needed the next bl.rsiness dc.ly
F.+++++++++++++++++f•+++4•+-I-+++++......4..+•F++++•F+++++++-F+++++++++++++++a+++++•f•++d 4 1 f