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9475 SW IVANA COURT
CITY OF TIGARD CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES DArEISSUIED: 10S/9/98
00357
13125 S%&;i lall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S126DC-07400
ZONING: R-12
JURISDICTION: TIG
SITE ADLRESS: 09475 SW IVANA CT
SUBDIVISION: LEHMANN SQUARE
BLOCK: LOT:004
CLASS OF WORK: NEN!
TYPE OF USE: SFA
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: Path I - New single family attached dwelling.
Final Building Inspection and Certificate of Occupancy Approved
7/7./99 by George Steele, Building Inspector
Owner:
WINDWOOD HOMES INC
12655 SW NORTH DAKOTA
TIGARD, OR 97223
Phone: 590-4700
Contractor:
WINDWOOD HOMES
12655 SW NORTH DAKOTA
(FAX # 590-7606)
TIGARD, OR 97223
Poone: 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 Codes for the group, occupericy, and use a er-which the referenced permit was
issued.
BUILDI�CT R _ BUIilAFFIC"AJU-�
POST
IN CONSPICUOUS PLACE
9909z ?, Zg.
Wtndwood Construction, Inc.
M. Dale Richards, President S �j oC
12655 SW North Dakota
Tigard, OR 9722
To: Washington County Recorder
1 authorize Pacific; Northwest Title to buyback the Maintenance Agreement
recorded on August 4, 1999 as Fee No.
Thank you,
WINDWOOD CONSTRUCTION, INC.
M. D ale RicharJs, President
STATE OF OREGON
SS
County of Washington
I, Jerry n. Hanson, Director of Assess-
ment and Taxation and Ex-Officio County
Clerk for said county,do hereby certify that
the within instrument of writing was received
and recorded in book of records of said
comity.
,rl 3
Jerry R. Hanson Director of
Assessment and 41'axatic n,Ex-
Officlo County Clerk
Doc : 99092228. 1
Rect: 237257 16. oo
08/05/1999 02:20:07pm
AFTER RECORDING RETURN TO: Oi ql 7 a, IF/ 3,t• NO CHANGE IN TAX STATEMENTS
U 4 U
(Name)
(Address)
COVENANT AND AGREEMENT REGARDING MAINTENANCE OF BUILDING
The undersigned hereby certify that we are the owners of the hereinafter
legally described real property located in Washington County, State of Crens,l.
Irl 60
(Legal Description)
98056494
as recorded under Recorder's Fee No. , Official Recordq/ of Washington County,
which property is located and known as: 2!U7 �sC-) ;1) �� C
(street address)
And i consideration of the City of Tigard allowing.- (see attached item 1) 4A1
�Snf;
on said property, we do hereby covenant and agree to an-i with said City that:
(see attached item 2) 1,05
A o This covenant and agreement shall. run with all of the above described land and
y shall be binding upon ourselves, and future owners, encumbrancers. their
X successors, heirs or assignees and shall continue in effect until released by
the authority of the Building Official of the City of Tigard upon submittal of
2 request, applicable fees and evidence that this covenant and agreement is no
longer required by law. This covenant and agreement shall not waive, or be
t n deemed to waive, any rights, remedies o- recourseg that may otherwise be
available to the City of Tigard or to any other entity with respect to the
item(s) being ailowed by the City of Tigard ,is set forth above.
Owner's Name <-
(Please type or print)
SIGNATURES
MUST BE Signature of owner --
NOTARIZED
Name of Corporation l•'`�i "✓/�'C��✓� CC/ f�/" /yl �_—
t
Dated this 1 _ day of —^, 19
(t:')TARIZATION FOR 1^1DIVIDUAL) (NOTARIZATION FOR CORPORATION)
STATE OF OREGON ) STATE OF OREGON )
) ss. ) ss.
County of Washington 1 County of Washington )
This instrument was ackropledged This instrument was/ agkn71edged
before me on __ before Jng, on J t d% _
19 by _ _._ 19 0 _ by _
------ -- - I of
I LI L L�l�a�uG t�OYl t�
Notary Public for Oregon- J �^ t y pub ic'foc_yOregoI �t-i=`-�
My Commission Expires.__,T __ My Comma on Expires: (O�'`/
OFFICIAL SEi:L
AMY K SCHNELL
NOTARY PUBLIC-OREGON
(Legal Description)
98056494
as recorded under Recorder's Fee No. , Official Record-a, of Washington County,
which property is located and known as: _ � --SIJ
(street address)
r And in consideration of the City of Tigard allowing: (see attached item 1) at1
c�oti
s = on said property, we do hereby covenant and agree to and with said City that:
g j (see attached item 2) lb
fL N
C1n This ccwenant and agreement shall run with all of the above described land and
shall be binding upon ourselves, and future owners, encumbrancer.s, their
rsuccessors, heirs or assignees and shall continue in effect until released by
" the authority of the Building Official of the City of Tigard upon submittal of
request, applicable fees and evidence that this covenant and agreement is no
rat°'_`. longer required by law. This covenant and agreement shall not waive, or be
$ deemed to waive, any rights, remedies or recourses that may otherwise be
available to the City of Tigard or to any other entity with respect to the
S" item(s) being allowed by the City of Tigard as set forth above.
Owner's Name—(1L i-I V, �(/-'C)c_�/,) e.J,t�jn( _
(Please type or print)
s I aNATVRE s
RUST BE Signature of owner
NOTARIZED `on
Name of Corporation_
if'
Dated this ;2— day of — 19/1
(NOTARIZATION FOR INDIVIDUAL) (NOTARIZATION FOR CORPORATION)
STATE OF OREGON ) SPATE OF OREGON )
) ss. ) ss.
County of Washington 1 County of Washington )
This instrument was ac.kropledged This instrument was akncoledged
before me on _ _____ before me on !!�
by —_ -- 19 by -
1,t 4, 'T a a
of
l I 17 r1 VtA GK
Notary Public for Oregon Ot- y Fub ic 'f0 Grego����, � ���
M., Commission Expires: _„_ My Commission F.xpiress /_ F s!-_-.I}��tiG:J
OFFICIAL SEAL
f . AM1'K SCHNELL
NOTARY PUBLIC-OREGON
COMMISSION NO 322341
MY COMMISSION EXPIRES APR 7,2003
ATTACHMENTS TO MAINTENANCE OF BUILDING AGREEMENT
Legal description: Lots 1-7 Lehman Square
Property Addresses:
Lot 1: 9449 SW Ivana Crt.
Lot 2: 9453 SW Ivana Crt.
Lot 3: 9467 SW Ivana Crt.
Lot 4: 9475 SW Ivana Crt.
Lot 5: 946F SW Ivana Crt.
Lot 6: 9452 SW Ivana Crt.
Lot 7: 9446 SW Ivana Crt.
ITEM A (continued from agreement):
There is a common sprinkler system that serves Lots 1-7 on Lehman Square. The
pipes cross the respective property lines between the said dwellings in lieu of requiring
that each dwelling have a separate sprinkler system.
ITEM B (continued from agreement):
'The co nmon sprinkler meter and electric bill shall be paid by the owner of Lot 1.
Lots 1-7 wii pay annual fees of$100.00/unit payable to the owner of Lot 1 on January 10
of each year starting, January 10,2000. All repairs to the system shall be divided equally
between Lots 1-7.
V
Aft4`�,V 1--71) . titin �A7�
��i. I L 61 Iu � F F is i✓�- i 14C.t?NCS
ATTACHMENTS TO MAINTENANCE OF BUILDING AGREEMENT
Legal Description: Lot 3, Lehmann Squarc.
Property Address: 9467 SW Ivana Court
1, o f 1.( 9'/)�6w iP',',)^ C/
ITEM 1 (continued from agreement):
the lateral force resisting systems for the dwellings located on lots 3 and 4 of the Lehmann
Square subdivision, permitted under permits MST98-0356 and MST98-0357, respectively,
to share a common shear wall and accompanying drag straps between garages which
crosses the property line between the said dwellings, in lieu of requiring that the dwellings
be structurally independent, as specified by code
ITEM 2 (continued from agreement):
The common shear wall shall be jointly maintained and that in the event either dwelling is
demolished or otherwise altered such that the common shear wall is altered the dwelling(s)
shall be re-designed for lateral force resistance and any modifications necessary will be
constructed.
i
APPROVEM-4 1
/1 Date: r
liuilding Official
I t1���pUL'P; Ulm T)4 TI: /
urrrUrrll�. —F�c.�At, -1 IV
iMidg\david,lnnainall(1-
State of Oregon
County of Washington
On _( /ll�Ji/_Jl` 192Z "t"dos personally appeared before me,
who is personally known to me
whose identity I proved on the basis of
,whose identity 1 proved on the oath/affirmation of
a credible witness.
This Notary Certificate is prepared on a separate page and is attached to the document entitled
t�oU.inQ�iz� r 4g�iiru.�l �iyrC�d7i,�,
L/Oii,� ina�lPF 'ir:lay containing _:_`pages and is attached to that document
by means of 5`-qk
OFFICIAL SEAL
CATHERINE M CHURCH
NOTARY PU13LIC•OREGON /
COMMISSION NO.32M87
MY COMMISSION EMPIRES FEB,t!,2003 /
Notary Public
My commission expires
ELECTRICAL PERMIT-
CITY OF T I G A R D
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT#: EI_131999-00078
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/12/99
SITE ADDRESS: 09475 SW IVANA CT
PARCEL: 1 S126DC-LEH04
SUBDIVISION: LEHMANN SQUARE ZONING: R-12
BLOCK: LOT: 004 JURISDICTION: TIG
Proiect Description: Installation of timing device for irrigation system.
A.RESIDENTIAL ___ B.COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: IRRIGATION : X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL#Or: SYS'rEMS:
Owner: Contractor: C eD 0 2 1,q►J�J R P t` 10"
WINDWOOD HOMES
12655 SW NORT H DAKOTATirl-
TIGARD, OR 97223 �1}L�-+ 0� aQ 97tgC)
Phone:590-4700 Phone: IAPT- 3700
Reg #:
FEES Required Inspections
Type_ By Date _ Amount _ Receipt Elect'I Final
5PCT DRA 4/12/99 $200 99-314408
PRMT DF;A 4/12/99 $40.00 99-314408
Total $42.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable !aws 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 far more than 180 days. ATTENTION: Oregon law
requires you tc follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-QGI-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246{1987. 1 /
Issued by �y,��Qi1 `-�OCcl�-vvv��� Permittee Signature— ;.
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:
Call 639-4175 by 7:00 P.M. for an inspection needed the next husiniss day
VAO
CITY OF TIGARD MECFIVF" Electrical Permit Application Plan Ch
13125 SW HALL BLVD. Recd
TIGARD OR 97223 Al-'k i, {(x;19 Date Recd 4/
Date to P.E.
Phone (503)639-4171, x304 '•1!INITY r `'fir r"^ its to DSL)T� � E� L�,b999-oa?78'
Inspection (503) 639-4175 Print Or TypE Permlt#.V -�
Fax(503) 68.1-7297 Incomplete or illegible will not be accepted called
1. Job Address: // / 4. Complete Fee Schedule Below:
Name of Development f-fe,&a-zl? �9'ueci' Number of Inspections per permlt allowed
Name(or name of business)_SCi i-ys�- Service included: Items Cost Sum
AddressA7-ja,) �^ 42JA- 4a. Residential-per unit
- 1000 sq.ft.or less _ $110.00 _ _ 4
City/State/ZipEach additional 500 sq.ft.or
Commercial® Residential❑ portion thereof V $25.00 1
Limited Energy $25.00
Each Manut'd Home or Modular
Dwelling Service or Feeder $68.00 _ 2
2a. Contractor installation only:
(Attach copy of all current licenses) / 4b.Services or Feeders
EIeetOevl Contractor �ise- Installation,alteration,or relocation
200 amps or less $60.00 2
Address- =Su��y./,Gr�«i� Di _ 201 amps to 400 amps - $60.00 2
CiState !2 Zip y 7/y0 401 amps to 600 amps $120.00 _ 2
Phone No. lei X5-3 76 C,) A R, _ 601 amps to 1000 amps $160.00 2
Job No. Over 1000 amps or volts $340.00 _ 2
Elec. Cont. Lice. No._ Exp.Date Reconnect only $50.00 2
OR State CCB Reg. No. 5 8 IV/ Exp.Date /r 4c. temporary Services or Feeders
COT Business Tax or Metro No. /58/ Exp.Date%'-/- 91/ Installation,alteration,or relocation
// i'l 200 amps or less $50.00 2
Signature of � �Sx4l' (. L��CCt 201 amps to 400 amps $75.00
g 401 amps to 600 amps $100.00
Oear 600 amps to 1000 volts,
License No. Exp.Date a""b"above.
Phone No._
- ----+---� - 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of service or
Print Owner's N+me _ feeder lee.
AddressEach branch circuit $5.00 -_
- ------ - ----- b)The fee for branch circuits
City_ �A State_ Zip _- without purchase of
Phone No. _ _ _ service or feeder lee.
First branch circuit $35.00
The installation is being made on property I own which is not Each additional branch circuit $50o 2
intended for sale, lease or rent. 4e.Miscellaneous
(Service or feeder not Included) -
Owner's SignatureEach pump or Irrlgaticn circle _ $4000
Each sign or outline lighting $4000 2
3. Plan Review section (if required):* Signal circult(s)or a limited energy
panel,alteration or extension $40.00 ---
Minor Labels(10) $100,m)
Please check appropriate Item and enter fee In section 5B. --
_ 4 or more residential units In one structure 41.Each additional Inspection over
Service and feeder 225 amps or more the allowable In any of the above
System over 600 volts nominal Per Inspection _ $35.00
Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.C.Chapter 5 In Plant i+ $55.00
Submit 2 sets of plans with application where any of the above apply. 5. Fees:
Not required for temporary construction services. 5a.Enter total of above fees $ y�-_-
5%Surcharge(.05 X total fees) $
NQTp;
CITYOF T I GA R D PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM1999-00099
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/12/99
SITE ADDRESS: 094/5 SW IVANA CT
PARCEL: 1 S126DC-LEH04
SUBDIVISION: LEHMANN SQUARE ZONING: R-12
BLOCK: LOT: 004 JURISDICTION: TIG
CLASS OF WORK: OTR 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 DRAIN: ft
Remarks: Installation of residential backflow prevention device.
FEES
Owner: --
Type By (late Amount Receipt
WINDWOOD HOMES
12655 SW NORTH DAKOTA APPI._ DRA 4/12/99 $25.00 99-314407
TIGARD, OR 97223 MISC DRA 4/12/99 $1.25 99-314407
------- -- Total -_ $26.25
Phone 1:590-4700
Contractor:
Q- LAa' APE- Ike -
4l y5 yaw aRl3Qf A-TH -DQ..
�{JLL- oC t� 02 9.� REQUIRED INSPECTIONS
Phone 1: GS -37C0 RP/Backflow Preventer
Rug #: 5u4 I Final Inspectic n
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 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 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
CBy:
�Issue j — �y�L,�_ Permittee Signature: `) I %
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next b isiness day
CITY OF TIGARD Il/ Plumbing Permit Application
13125 SW HALL BLVD. �% Plan�Kea-a-,,
Commercial and Residential Reo'd,ay�
i,'GARD, OI07' WD Date
(503) 639-41 Date to N.E. - -
Print or T -
APR it ` 1999 Print Date to DST
�G/`�i`�94'OIX.J-99
Incomplete or illegible applications will not be accepted Permit
COQ NUNITY DEVELOPMENT Related SWR#
Called—
Name of Development/Project FIXTURES (individual) QTY !,PRICE' 'AMT
Job /l�yll(n .S�'uSink - 9.00
Address Street Address Iy�} Suite lavatory 9.00
_75 S iLI 7 Tub or Tub/Shower Comb. 8.00
Bldg# City/State Zip Shower Only
TC' c-i-t7�:: 4('� 9.00
Nomn Water Closet 9.00
Dishwasher 9.00
Owrer Mailing Address Suite Garbage Disposal 9.00
City/State Zip Phone Wa Ing I.lachine 9.00
Flow Drain/Floor Sink 2" 9.00
Name 3"
9.00
4' 900
Occupant Mailing Address Suite Water Heater O cnnverslon O like kind 9.00
Gas piping requires a atliarate mechanical ermit.
City/State Zip Phone Laundry Room Tray 9,00
Name
Urinal 9.00
Other Fixtures(Specify) 9.00 !-
Contractar Meiling Address
Suite -
9.00
9.00 --
Prior to permit Cit),/State Zip Phone x:)--27 Sewer-1 st 100' _
Issuance,a copy 30.00
uti ,?� Q7i , jc'C' -
of all licenses are Oregon Cons Cont.Board Lic.# Exp.Dale Sew
. er-�Ach additional 100' 25.00
required if ��, r�'q Water Service-1 sI 100' 30.00
expired in COT Plumbing IJc.# Exp Date Water Service-each additional 200' 25.00
database Storm 8 Rain Drain-1st 100' - 30.00
Name
Archf`-eCt Storm B Rain Drain-each additional 100` - 25.00
Mobile Home Space 25.00
or Mailing Address Suite Commercial Bark Flow Prevention Device or Anti- 25.00
__ Pollution Device
Engineer City/State _ Zip Phone Residential Backflow Prevention Device' 15.00
_ (Irrigation timing devices require a separate
Describe work to be done: restricted enerpy permit.) _
New R Repair O Replace with like kind Yes O No U Any Trap or Waste Not Connected to a Fixture 9.00
Residential O Commercial % Catch Basin v 9.00
Additional description of work: _ _ _ _
/
Insp.of Existing Plumbing 40.00�yl:c S�Sf`Prz- per/hr
Specially Requested Inspectlons 40.00
per/hr _
Are you capping, moving or replacing any fixtures? Rain Drain,single family dwelling 30.00
Yes O No W- Grease 1-raps 9.00
If yes,vee back of form to Indicate work performed by QUANTITY TOTAL
fixture. FAILURE TO ACCURATELY REPORT FIXTURE
Isometric or riser diagram Is required K puantlty Total Is >8 1:
WORK COULD RESULT IN INCREASED SEWER FEES._ --- *SUBTOTAL
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 6%SURCHARGE �'h:
that plans submitted are In compliance with Ore an State Laws.
lli
Signature of OwnerlAgent **PLAN REVIEW 25%OF SUBTOTAL
a Rn ulred only H fixture aty lo;ai Is>9
t V TOTAL
Contact Penson Name Phone XA,17
� // _ 'Minimum permit fee is 025+5%surcharge,except Residential Backflow
il
(l A -/ AV Prevention Device,which is$15 F 5%surcharge
..All New Commercial Buildings require plans with isometric or riser diagram
�w �� and plan review
I Witel,)lumerq,dx 712199 'D '7`F�u V `� GL{CeL%t �~-
U �
PLEASE COMPLETE:
Fixture Type Quantity by Work Performed
New Moved Replaced Removed/Capped
Sink
Lavatory
Tub or Tub/Shower Combination _
Shower Only
Water Closet
Dishwasher
Garbage Disposal _
Washing Machine
Floor Drain/Floor Sink 2"
3"
4"
Water Heater
Laun6ry Room Tray
Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
i AsiM him.pP to MMA
F TIGARD MASTER PERMIT
CITY O FERMI C #. . . _ . . . : MST98-0357
DEVELOPMENT SERVICES DATE ISSUED: 10/09/98
13125 SW Hall Blvd.,Tigard,OR 97223(503)639.4171
PARCEL.: i s i; rr,Dr -L..EI-104
.I I TE ADDRESS. . . :09475 SW I VANA CT
SIJBD M ST ON. . . . :L.EHMETNRI SQUARE ZONING: R-1 PD
RL_OCK. . . . . . . . . . LOT. . . . . . . . . . . . . :004 JURISDICTION: TITS
Remarks: Patti I - New single family attached dwelling.
------------------------------------------------------------------ BUILDING ------------------------•--------------------------------------
REISSUE: STORIES.......: 2 FLOOR AREAS--------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED-------------
CLASS OF WORK.:NEW HEIGHT.......,; 23 FIRST....: 652 sf GARAGE.....: 418 sf LEFT..........: 12 SMOKE DETECTRS: Y
TYPE OF USE...:SFA FLOOR LOAD....: 40 SECOND...: 851 sf FRONT.........: 8 PARKING SPACES: 2
TYPE OF CONST.:5N DWELLING UNITS: 1 F'NBSMF.NT: 0 sf R113314T......• .: 0
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL-------: 1503 sf VALUIE..$- 112789 REAR..........: 15
PLUMPING -----------------------------------------------------------------
'.:INKS.........: I WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDk'' TRAYS.: 0 RAIN DRAIN ft: loci TRAPS.........: 0
LAVATORIES....: 3 DISHWASHERS...: I FLOOR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS: I CATCH BASINS..: 0
TUB/SHOWERS...: 2 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCAFLW PREVNTR: I GREASE TRAPS..:
OTHER FIXTURES: 0
-------------------------- MECHANICAL --------------•------
-----------------------------
-------------
FUEL TYPES----------- FURN ( 100K ..: 1 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1
GAS FURN )=100K ,.; 0 UNIT HEAIERS..: 0 HOODS.........: 1 OTHER UNITS...: 1
MAY INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 1
---------------------------------------------
--RESIDENTIAL UNIT--- ---SERVICE/FFEDF.R- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'I_ INSPECTIONS--
1000 SF OR LESS: 1 0 200 asp..: 0 0 - 200 alp..' 0 W/SVC 9R FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 3 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 N PLANT......: 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0
MANF HM/SVC/FDR: 0 601 - 10A0 amp.: 0 601+amps-1000 V: 0 MINOR LABEL -i0: 0
1000+ amp/volt.: 0 -------- - --------- -------- - PLAN REVIEW SECTION ---------•-------------------•------
Reconnect only.: 0 )=4 RES UNITS,.: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
----------------
-- - --------•- ELECTRICAL - RESTRICTED ENERGY ----------------- ------ - -------- --------- ----
A. 5F RESIDENTIAL--------- B. COMMERCIAL-._._----------------------.----------------------------------------------------
rkMIO I STEREO.: VACUUM SYSTEM..: AUDIO 6 STEREO.: FIRE ALARM.....: INTF•RCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: DTH: BOLI-ER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: :.
HVAC...........: DATAiTELE COMM.: NURSE CALLS.. TOTAL # 5Y5TEM5: 0
Owner: ----_------ ---_
Contractor: ------------------------------ TOTAL FEESO 4294.01
WINDWOOD HOMES INC. WINDWOOD HOMES This permit is subject to the regulations contained in the
12655 SW NORTH DAKOTA 12655 SAN NORTH DAKOTA Tigard Municipal Code, Statr of Ore. Specialty Codes and a'l
TIGARD OR 97223 IFAX # 590-7606) other applicable laws. All work will be done in accordance
TIGARD OR 97223 with approved plans. This permit will eip:re if work is
Phone #: 590-4700 Phone #: 590-4700 not Carted within 180 days of issuam•e, or if the work is
Reg C.: 000501 susp'_ided for more than 180 days. ;TTFNTION: Oregon law
_ _----------------------- regei.es you to follow rules adopted by the Oregon Utility
Notificatinn Center. Those 1':IlPS are set forth in DAR 952-001-0010 through DAR 952--001-0080. You may obtain ,opies of these rules or
direct g9estions to (W by calling (503)246-1987.
------------ REQUIRED 1NSPFSTION5 ----------------_----------------------------------•------
Erosion Control Post/Beam Mechan Electrical Servi Framing Insp Shear W211 Insp Appr/Sdwlk Insp
Footing Insp Ple/Underfloor Electrical Rough Fireplace Insp Fi►ewall Insp Sprinkler Underf
Foundation Insp Crawl Drain/Back Mechanical Insp Gas Line Insp Rain Drain Insp Sprinkler Rough-
Wtr Proofing Bsm Slab Insp Low Voltage Gas Fireplace Water Line Insp Sprinkler F'.oal
Past/Beam Struct Plelundslb Insp Plumbing Top Out Insulation Insp Water Service.In=� Additi-oal......
01
F'ermi.ttee Signatli � �
+ { ++++++++++++ +da } 1 � ++ +..+44- + ++++..+.}+ +•++ + ++++++}� ► }++4I+++t+ F
I" : ur~ an in,pertion needed the next bl..►siness day
a11 639--4175 by 7:00 p. M.
UIYOFTIGAKU KesloenUal bunging Permit Application Recd By
11125 SW HALL BLVD. New Construction Additions or Alterations Date Redd r
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. 7
V 503-639-4171 Date to DST
F 503-684-7297
Permit
Print or Type Called
Incomplete or illegible applications will not be accepted
Name of Prosect i i Na�++y
Job
Address Site Address
Architect Ming Address
r1y 5r•-i ; uc
� ` 4J Ctat Zip Phone
Name
Owner Maddres�s6 u0 X711
C Stste Engineer Mailing Address
�1
City/Sta►.; Zip Phone
General Name
Contractor /r]< Describe work NeW XA Additicn 0 Alteration O Repair O
Mailing Address — to be done:
Prior to permit Additional Description of Work:
issuance,a copy City/State Zip Phone _
or all lice.tfea ,
are required d Oregon Const.Cont Board Exp Date PROJECT
expired COT Lir..M � VALUATION
database
�se _�� _
Mechanical Name / NEW CONSTRUCTION ONLY Dom;
Sub- ri,,t/ G Sq. Ft. House: j 0 ::q. Ft. Garage
Contractor Mailing Address r i 1 11 K
Prior to permit /�', ,5�= Corner Lot YES NOS, Flag Lot YES N01
ssuance,a copy Cl !Stet Zip Phone (check one) _�_ (check one) ��''�
of all licenses �� .135 Restricted Audio/Stereo Burglar
are required if regon Const.Cont. Board Exp. Date Energy System Alarm
expired in COT Lic.M —
database X73 ` �,1 A? Installation Garage Door HVAC
Plumbing Name Opener Systems
Sub- V '� S ��i4j� _ (check all that Oth@r:
Mailing apply)
Contractor g Address Will the electrical subcontractor wire for all YES -NO
Ll � _Z/6 restricted energy installations?
Prior to permit City/State zipPh ne Has the Subdivision Plat recorded? NIA YES O
issuance,a copy to ky_L
of all licenses are Oregon Const Cont Board Exp Date
required if Lica Solar Compliance
expired n COT —_ 3 (Calculation Attached)
database Plumbing Lic 0 Exp Dae I hearby acknowledge that I have read this application,that the
;4 information given is correct,that I am the owner or authorized
Name
agent of the owner, and that plans submitted are in compliance
EZ�_ � with Or on State laws.
Electrical _
' Signatu gent Date
Sub- acing Address --"`�—
Contractor GO .Sa_.7 ,C.t.� / „n o a P n Name Phone
City/State Zip Phone Z 4 t X
Prior to pennitFOR OFFICE USE ONLY:
issuance, a copy c � c,9P ro 3 Plat p' — Map1TL#-
of all licenses are Oreg Const Cont Board Exp Uste I /S/�1 l d/_y - G f:/-1n V
required if Lic a
expired in(,OT 3�/- Setbacks: Zone, Solari
database Eler_trical Lic.X �Y Exp,Dae ` /'-1.L /=_ -�
Engineering Approval: Planning Approval: TIF:
----- - - L3X/ -- _ 1 : �- -
crQ1� •dODi
/,D 296-0003 1 SFREM DOC (DST) 4197
(•_v w��- 1Z_ G_-�d,-vG TD ,' /C�,"a G_ / 2 ,9-77-
3
T3
67-
107-
R-41 7--10r
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��D
CITY O F T I G A R D SEWER CONNECTION
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd.,Tigard,OR 97223(503)639-4111 F.-EPMIT #. . . . . . . : SWR98-0195
[)ATE ISSUED: 10/09/98
r-ARCEL: IS126DC-L.EH04
!-)TTE ADDRESS. . . :0`3475 SW TVANA CT
9UBD I V I S T ON. . . . :1...EHMANN SQUAPF ZEIN ING: R-1.2 PID
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :004 jijPISDTCTION-. TIG
-------------------------
TE.NPNT NAME. . . . . :WINDWOOD HOMES INC
USA NO. . . . . . . . . . : FIXTURE UNITS. . . 0
CLASS OF WORT{. . . :NEW DWELL I NG UN I-T-S. . 1.
TYPE OF USE. . . . . :SFA No. OF BUILDINGS: I
INSTAi-L TYPE. . . . :LTPSWR IMPERV 9URFACE: 0 Sf
Remarks : Sewer connection for new single family attar-her-1 dwelling.
FEF'
WINDWOOD HOMES INC type amol-Mtby date re.c.-pt
1.2655 SW NORTH DAKOTA PRMT $ `300.00 DLH 10/09/98 98--309874
TIGARD OR 97223 1 1\1 S P $ 35.00 DLH 10/09/98 98-309874
Phorip #:
Contractor:
OWNER
Phone 2335. 00 TOTAL
REPUIRED INSPECTIONS'
This Applicant agrees to comply with all the rules and regulations Sewer Trispection
of the Unified Sewage agency. The permit expires 180 days from
the date issued. The total aioun' paid will be forfeited if the
pervit expires, The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not Incited at the measurement
giv?n, the installer shall prospect 3 feet in all directions from
the distance given. If not sp located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Auency will install a lateral.
ATTENTION: Oregon law requires you to follow riles adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through DAR 952--080I-M0. You may obtain copies of
these rules or direct questions to UK by calling (503)246-1987.
I
I ssi-ied by — Permittee Sigrati,ir.-
P-
1-4-+++++++4++-4.................4.................4-+4--++4-4......................4-++++4-+
Call 639-4175 by 7:00 p. m. for an inspection n r-eded the ncs><t bl-t s i no s S day
+++++++++++++ F++++++++++++............4,+++4-1-++4-4-++++4+++.+-++4+4.4.++++-4-4--+4-+++'t+++++4'+