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13040 ,'-W CREEKSHIRE DRIVE
CITYOF TIGARD CERTIFICATE OF OCCUPANCY
PERMIT#: MST98-00191
DEVELOPMENT SERVICES DATE ISSUED: 8/20/98
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S104CB•05100
ZONING: R-7
JURISDICTION: TIG
SITE ADDRESS: 13040 SW CREEKSHIRE DR
SUBDIVISION: HILLSHIRE HOLLOW
BLOCK: LOT:004
GLASS OF WORK: NEW - - --- -�� —�
TYPE OF USE: SFA
TYPE OF CONSTR: 5N
CJCCUPANGY GRP: R3
TENANT NAME:
REMARKS: Single family attached, Path 1.
Final Inspection Approved 6/10/99 by Tom Plescher, Building Inspector
Owner:
WINDWOOD HOMES
12655 SW NORTH DAKOTA
TIGARD, OR 97223
Phone: 590-4700
Contractor:
WINDWOOD HOMES
12655 SW NORTH DAKOTA
(FAX # 590-760;3)
TIGARD, OR 97223
Phone: 590-4700
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
Specialty 05des for the grow occupancy, and use under which the referenced permit was
issued. ,
BUILDING INSPECTOR BLIILDI G 1YFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hoar Inspection Line: 639-4175 Business Line: 639-4171 MST
RUP _
--.—_ Date !requested �r� (( )_(__LAM___ PM �_ BLD
Location I W)Lf 0 � �.���(—� Suite —
Contact Person � 1( ►� (,L) C� Ph -(>�J" MEC
.-S PLM — —
Contrartor — Ph SWR
C ILD - Tenant/Owner FLC -
Retaining Wail -- —
Footing _7 ELR
Foundation Access' --- --
Ftq Drain FPS
Crawl Drain Inspecti in Notes: SGN
Slab ---- — -
Post&Beam - - - --- --------- - ----- ----- SIT _
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation -� - -- -- --- ---- -- - --
Drywall Nailing
Firewall �>'`--- ------- ----- --- ------
Fire Sprinkler
Fire Alarm ------- --- -- -- - --
Susp'd Ceiling
Roof - — — ----
Misc:
S FART FAIL -
ING
Post& Beam ��-
Under Slab - -�
Top Out - -- - - -
Water Service -----
Sanitary Sewer
Rain Drains
Final I - -- --- —
PASS 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
Storm Drain [ ] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin --
Fire Supply line i J Please call for reinspection RE ( )Unable to inspect- no access
ADA
Approach/SAPwalk
Other Dat' __ U - Inspector `�"�
Final Ext _
PASS PART FAIL DO NO1' REMOVE this inspection record from the job site.
F TIGARD MraS1'ER PERMIT
CITY O
DEVELOPMENT SERVICES r'ERMI I i}. . . . . . . : MST9H--01.,;
,.�.:
13125 SW Hil'!&vd., Tigard,OR 97223(503)639-4171 LATE ISSOEI; : 08/20/98
F,nRCEL: E_'S 104CB - "')°.51.00
F)DDRF 3S. . . : 13040 SW CREEh(5HI IfL:: DP
'_Tl_1RI)IV.fSION. . . . :HTL_.L..SHIRE HOL.L..OW ZONING-
TIO
R--7 F'D
111-OCt! . I.-CST. . . . . . . . . . . . .
;r3r04
Remarks: Single family attached, Path 1.
------------------- PUI'DING -- --------------------------------------------------------..
REISSUE: STORIES.......: 2 FLOOR AREAS--------- BASEMEN! ..: 0 sf REQUIRED SETBACKS---- REQUIRED-----------
CLASS OF WOPK.sNEW rEIGHT........: 25 FIRST....: 1030 sf GARAGE.....: 572 sf LEFT..........: 0 SMOKE DETECTRS: Y
TYPE OF USF....:SFA FLOOR LOAD....: 40 SECOND... : 531 sf FRONT.........: 10 PARKING SPACEF:
TYPE OF CONST, :5N DWELLING UN!TS: 1 FINBSMENT: 0 sf RIGHT.........: 7
OCCUPANCY GP',.:R3 BDRM: 3 BATH: 2 TOTAL--- 1561 sf VALUE-$: 114544 REAR..........: 22
----------------------
SINKS.........: 1 WATER CLOSETS.: 2 WASHING MA H..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 100 TRAPS.........: 0
LAVATORIES.... . 2 D!.,.rIWASI#i{S•••: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 100 5F RAIN DRAINS: I CATCH
TUB/SHOWERS...: r GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 OTTHEEREFIXTURES: 0
-------- I;ECHANICAL ----------------------------------•-_--------•----------------------
FUEL TYPES--------- FURN ( 100K ..: 1 BOIL/CMP ( 3HP: 0 VENT FANS.....: 3 CLOTHES DRYERS: I
CaS FURN =I NK 0 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: 1
MAX INR.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...:
ELECTRICAL -------- ---- - --- -- --------- -
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCEL.LANEOUS—— --ADD'L INSPECTIONS-
1000 SF OR LESS: 1 0 - 200 amp.. : 0 0 - 200 amp..: 0 W/5UC OR FDR..: 0 PUMP!IRRIGATIDN: 0 PEP INSPECTION:
EA ADD'L 5MF.: 3 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: Q 401 - 600 amp..: 0 401 -- 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
MANF HM/SVC/FDR: 0 601 - 1000 amo.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0
1000+ amp!vrlt.: 0 ------------------------
- --- - PLAN REVIEW SECTION ----------------------'----------
Reconnect only.: 0 )=4 RES UNITS..; SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
--------------------------------------------------- ELECTRICAL OFSTRICTED ENERGY ----------------
A. 5F B. COMMERCIAL---------------- ----------------
---------------------------------------------
AUDIO I -TEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM!PAGING: OUTDOOR I_NDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC............ LANDSCAPE/IP,RIG: PROTECTIVE SIGNL:
GARAGE GF'ENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: :.
HVAC...........: DATA/TELE CDMM.: NURSE CALLS....: TOTAL I SYSTEMS: 0
--------------Contractor: ------- •------ - TOTAL FEES: 4309.11
Owner: ---------------------
41NMM HOMES INC WINDW�OD HOMES This permit is subject to the regulations contained in the
;4076 5W BENCHVIEW TERRACE 12655 SW NORTH DAKOTA Tigard Municipal Code, State of Ore. Specialty Codes and all
TIGARD OR 97224 (FAX M 590-7606) othar• applicable laws. All #ark will be done in accordance
TIGARD OR 97223 with approved plans. This permit will eNpire if wo-k is
Phone A: 590•41100 Phone A: 590-4700 not started within 180 days of issuance, or if the work is
Reg 1..; 000501 suspended for, more than 190 days. ATTENTION: Oregon law
^------...•------------._—__—--------------------------- requires you tc follow rules adopted by the Oregon Utilit",
Votification Center. Those rules are set forth in OAP 452-001-0010 through DAR 952-001-0080. You may obtain copies of these rules or
:'irect questions to OW calling (503)246-1987.
-- REQUIRED INSPECTIONS --------------------------------
- - -------------
-------
-------- - --------- ----- -------
Erosion Control Post/Beam Struct P'a/undslb Insp Plumbing Top 3ut Insulation Insp Water Service
In
Grading Inspect Post/Beam Meehan Electrical Servi Framing Insp Shear Wall Insp Apor/Sdwlk Insp
Footing Insp PL/Underfloor Electrical Rough Fireplace in�p Firewall Insp Sprinkler Underf
Sprinkler Rough-
Foundation Insp Crawl Drain/sack Mechanical Insp Gas Line Insp Rain Drain Insp
Wtr Proofing Tlab Insp Low Voltage Gas Fireplace Water L: Insp Additional......
r5!"iI.Aed ley Permittee signatI_rr,e :_
_ _ __._�
+4 - { 4-}4...{ ��i 1 + + i r r t 4 r+..+.+4-i++1 +.+ ++4+4 +4 ++ +.}..}.V 4..+. .�..r. r .{.r..+ �. {..}}...F+ F•f +.F 1. .
Cal I F.,314-4175 by 7:00 p. m. for- ar inspection needed tht- next br.rsiness clay
CITY CF TIGARD
DEVELOPMENT SERVICES SEWE=R CONNECTION
13125 SW Hali Blvd., Tigard,OR 97223(503)6394171 PE RM I T
PERMIT #. . . . . . . : SWR98-0:105
DATE i.SSUED: 08/20/98
PARCEL: 2S 10/0 CB--OC 100
SITE ADDRESS. . . : 1;_'04+2 SW CREEKSHIRE DR
SURD I V 19 I ON. . . . :H I LLSH I RE HOLLOW ZONING: R-7 PD
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . :004 JU'.iSDICTION: TIG
TENANT h1^ME_. . . . . :W I NDWOOD HOMES INC
USA NO. . . . . . . . . . : FIXTURE" Uri I TS. . . : 0
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF' USE. . . . . :SFA NO. OF BUILDINGS: 1
INSTALL_ TYPE'. . . . :BUSWR I 11PF_RV SURFACE: 0 s f
Remar,hs: Fii,tgle family attached, Path 1.
Owne i _____.____.---._._______..._.__.___..___.______________._.____--- FEES -------_-_--_-_.
WINDWOOD HOMES INC type nmol-int by date r^ecpt
14076, SW DENCHVIEW TERRACE FIRMT $ 2.:.210. 00 DER 08/2,0/99 98--30846',
T 1 GARD OR 97224 1 NSP $ 35. 00 DEB 08120/98 98--30010 r,
FT)one #:
Contractor,:
OWNER
-------------------------
F''h a n e #: E 233 a. 00 TOTAL
------ REPUIRED INSPECTIONS ------
This Applicant agr to comply with all the rules and regulations Sewer Inspection
of the Unified Se,.age Agency. The permit expires 188 days fromthe date issued. The total amount paid will be forfeited if the _ — -
permit expires. Thr 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 sn located, the installer shall porch- e
a "Tap and Side Sewer" Permit and the Agency will install a late.al.
ATTENTION: Oregan law requires you to follow rules adopted by the ^_
Oregon Utility Notitication Center. Those rules are set forth in DAR
952-001-0010 through OAR 952-0001-0080. You mar �atain copies of
these rules or -questions to OLK by calling (503)246-1987.
IaS _lEd t..y :� Permittee -3ignati-ire:
1 +-++++ ++++ +++++++-+++++++.+++++-+++++++-+++++++++-H+++++++++++++-�-+++-t+++++i.+++-4-+++
Call 639-4175 by 7:00 p. m. for an inspor_tion needed the next business day
++++4.+++++++++++++++4-++++•+++++4-++++++++++�+++++++•4+++++++i-+++++4++ �+++++-.+++++t
Plan Check it
FY OF TIGARD
Residential Building Permit Application Recd By
X125 SW HALL BLVD. New Construction Additions or Alterations Date Recd
11GARD, OR 97223 Single Family Detached or Attached (Duplex)
pato to P.E.
503-639-4171 Date to DST 7L
;03-584-7297 -� Permit 0 d1'
Print or Type Called .
Incomplete or Illegible applications will not be accepted
Name of P tett / —'-- Name
Job , c
Address Site Address Architect Marfl g Addr ss
Name City/ to Zip Phone
Owner Mailing Address Name
Ci 1State Zir Phone t:ngineer Mailing Address
Genaral Na'c City/State
.Ur,icractor JQ/n (' Destnbe worts Ne!%�ifdd fon o Alteration o Repair O
Prior to permit Mailing Address to be done:
Additional Description of Work:
issuance.a copy City/State-'_ Zfp Phare
of all licenses
aro required if Oregon Canto. Cont. Board cxp.0 'e — PROJECT
expired.n COT lic.0 / VALUATION /
_ database 2V516Mechanical ►vain, NEW CONSTRUCTION NLY:__
Sub- - -
Sq. Ft. House: Sq. !. Gardge
:.'contractor Mailing r 1dros, - v 4 r� ) �
Pnor to � YES - _
permit a S ' Comer Lot NO Flag Lot YES N0�
isuancs, a coot C. state Zip Phone (check one) (check ore)
'31'all licenses `
are required d O on Const. Cont. Board Exp Date Restricted Audio/Stereo Burglar
expired in COT Uc r Energy System _ Alarm
database �, Garage Dcor HVAC
Plumbing Name F9 '2 Installation _ Opener _ Systems '
Sub- (check al!that Other~ ��
Contractor Mailing Address aPP1 _
U J& G Will the electrical subcontractor wire for all YES NO
X '� restricted ever installations?
Pnor to permit Cl Stat Zip Phone -W- --��--issuance, a opy OrY �l— yy13, Has the Subdivision Plat recorded? N/A !S NO
of all licenses ire Oregon Const Cont Board Exp.Date
requued r tic rf Reissue of MST#: Solar Compliance
( expired in COT 3 t —
If database Plumbing ac u E (Calculation Attached)
!� I R. to I nearby acknowledge that I harp read this application,that the
informatic,i grren is oorre.Ka,that I am the owner or authorized
Name agent of the owner, and that plans submitted are in compliance
Electricai with Oregon State laws.
Sub- ailing Address -►-- Signa lir. Date
Contractor I61
--
Cb Sw .t e N e 'hone N
Cityl9tate tip Phone �_
Pnor to permit FOR OFFICE USE ONLY:
ssuance a cony Plat p:
of ail icenses are Oregon Const. Cort Boary F- MapRL1t:
equtrEif
xpDate
exn red indCOT L,c 1r f/3 �� /fG Setbacks: _ Zone: --- Solar:
database Electrical Lrc -/-
Ext.
Engin�enng Approval:- Planning Approval: TIF
I:SFREM.DOC (DST) 4197
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