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11450 SW JACKIE COURT
CERTIFICATE OF OCCUPANCY
CITY OF TI OARS
PERMIT#: MST98-00424
DEVELOPMENT SERVICES DATE ISSUED: 11/4/98
13125 SW Halt Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110AB-05600
ZONING: R-4.5
.JURISDICTION: 1IG
SITE ADDRESS: 11450 SW JACKIE CT
SUBDIVISION: HAWK MEADOWS
BLOCK: LOT:009
CLASS OF WORK: NEW
TYKE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: PATH I: New single family dwelliiig w/attached garage.
Final Inspection Approved 7/9/99 by Ken Schriendl, Building Inspector
Owner:
ALAN R. WILLIANSON
10895 SW AVOCET COURT
BEAVERTON, OR 97007
Phone:
Contractor:
A WILLIAMSON CONSTRUCTION
10895 SW AVOCET CT
BEAVERTON, OR 97007-8391
Phone:
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 roup. occupancy, and use under which the referenced permit was
issued.
�
BUILDING INSPECTOR BUILDI(4d OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-1-Iour Inspection Line: 539.4175 Business Line: 639-4171
�, E3UP
D3,e Requested _ AM__ PM _ BLD
LocationI I ( �GtSuite MEC
Contact Person SOIL Ph 1L) ����� PLM _
Contractor _ Ph SWR
BUIL[3t Tenant/Owner ELC ---_
Retaining b lall ELR --
Footing Access:
Foundation FPS --_ _—
Ftg Drain �l'J SGN
Crawl Drain Inspection Notr- -- —
Slab _ — - -- ---- SIT
Post&Beam
Ext Sheath/Shear - -- -
Int Shealh/Shear
Framing —LG�N_91�___F.a�Sr.�aL__CS•••nr'�QS- C J�t�� --- --- ----------
Insulation
Drywall Nailing ---- --- - -- - -- ----— ---- --
Firewall
Fire Sprinkler - -- ---- - -- -- -------- - - ---
Fire Alarm
Susp'd Ceiling ------ -------- ------- — -------- -- -----
Roof
Misc: ----- — - ---- ---
P&ING—
PART FAIL _.._. — ------- -------- -- _ ---------- -
I
Post& Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
-PA"-.PA FAIL -- - --- _- ------ --- ------
MECHANICA
Post& Beam - - ------- --- ----- -- ----
Rough In
GasLinz -- - --- -- -- ----__-- ---------_. - - ---._--_--------------- -------
Smoke Dampers
Fi -- ------_ ------------- ----.-__.__ ---- ---------------------
ASS PART FAIL
ELECTRICAL
Service �. - ---- -------- ---------------- -
Rough In
UG/Slab _.. - ------------- ------ ----- -- — -
Low Voltage
Fire Alarm ------ - -- --- — --- - ---- ------ -
Final
PASS PART FAIL
- - --------
SITE �>-V -
Backfill/Grading --------- - --------_------ ------ -- --- ---
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$—.__-_--_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Cater, Basin inspect-no access
Unable to ins
Fire Supply Line [ ]Please call for reinspection RE: _- � -_ [ ) P
ADA '
Approach/Si+Awalk Date zi�-- -7 Inspector _ Ext _
Other -z--Y--------- - ---
Final
PASS PART FAIL Lao NOT REMOVE this inspection record from We job site.
CITY O '71GARD MASTER FIERM I T
DEVELOPMENT SERVICES PERMIT #. . . . . . : MST98--04c:'4
13125 SW Half Blvd., Tigard,OR 97.223(503)639-4171 DATE ISSUED: 11/04/98
F,ARi_'E1.: 2S 1. i 0AP--05F_)00
SITE ADDRESS. . : 11450 SW JACKIE CT
SURD I V I S I ON. . . . :HAWK MEADOWS 7.0N I NI : R.-4. 5
SL.00K. . . . . . . . . . t_0T. . . . . . . .. . . . . . :009 JURI5DTCTI0l\1: -Fir
Remarks: PATH I: New single .asily dwelling 4/attached garage.
-------------------------------------------------------------- BIIILDI% --•------------------------ -------
REISSUE: STORKS.......: 2 FLOOR AREAS--------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIREC-------------
CLASS OF WORK.:NEW HEIGHT........: 24 FIRST. ..: 1288 sf GARAGE.....: 768 sf LEFT..........: 7 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SC..COND.,.: 1225 sf FRONT.........: 21 PARKING SPACES: 2
TYPE OF LONST.:5N DWELLING UNITS: 1 FINBSMEI1: 0 sf RIGHT.........: 7
OCCUPANCY GRP.:R3 BDRM: 4 PATH: 3 TOTAL-----•-: 2513 gf VALUE..f: 1P9098 REAR..........: 40
------------------------------------------ --- -•----------------- PLUMBING ----------------------------------------------------------------
SINKS.........: 1 WATER, CLOSETS.: 3 WASHIN(' MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 100 TRAPS.........: a
LAVATORIES....: 5 DISHWASHERS...: I FLUOR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB!SHf41E,Q<,...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 ACKFI_W PREVNTR: 1 GRE, E TRAPS..: 0
OTHER FIXTURES: P
--•--------------- -- ---- --- - --------- -- MECHANICAL ------------------------------------------------------ --- --
FUEL TYPES------------- FURN f 100K ..: r BOIL!CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS! 1
GAS FURN 1'=INK ..: 1 UNIT HEATERS..: P HOUDS.........: 1 OTIC, UNITS...: 1
MAX INP.: 0 BTU FLUOR FURNACES: 0 VENTS.........: 0 WOODSTUVES....: 0 GAS OLTLETS...: 1
------------------------------------------------------------- ELECTRIC,.L -----------I--------—-
--RESIDENTIRI- UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC!FEEDERS-- ---BRANCH CIRCUITS- - M15CELLANEOl1S---- --ADD'L INSPECTIONS--
1000 9F OR LESS: 1 0 200 amp..: 0 0 - 200 asp..: 0 W/SVC OR FDR..: 0 FUMP/IRRIUATION: 0 PER INSPECTION: 0
EA ADD': 500Sf.: 5 201 - 400 asp..: 0 201 400 amp. : 0 1st WID SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER 110UR......: 0
LIMITED ENERGY.: 0 4pr 600 amp..: 0 401 - 600 amp..: 0 EA ADDI_ BR CIR: 0 SIGNAL!P;WEL...: 0 IN PLANT......: 0
MANI HM/SVC/FDR: 0 1 1000 asp.: 0 601fasps-1000 v: 0 MINOR LABEL -10; 0
I1'v* amp/volt.: 0 --------------------------- ------ PLAN REVIEW SECTION ----------------•-------------------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 64 V NOMINAL: CLS AREA/SPC OCC:
--------------------------------------- ---- --- -- ELECTRICAL - RESTRICTED ENERGY ---------
A. SF RESIDENTIAL--------------------------- P. COMMERCIAL--------------------------------.-----•---------------------------------------
AUDIO I STEREO.; VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERrOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC...........: I-ANDSM/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..; CLOCK..........: INSTRUMENTATION: MEDICPI-........: OTHR:
HVAC...........: DATA/TELE COMM.: M1RSE CP41.5....: TOTAL A SYSTEM5: 0
(lwner: TOTAL FEE5:1 5328.20
!ALAN R WILLIAN90N A WILLIPPOSON CONSTRUCTION This permit is subje^t to the regulations rontaired io the
10691 SW AVOCET COI.IRT ?089` 41 A60CtT CT Tigard Municipal Code, State of Ore. Specialty Codes and all
BEAVERTON OR 97PP7 BEAVERTON OR 97007-8391 other applicable laws. All work will be dune in accordance
with approved plan. TFis permit will expire if work is
Phone M: Phone A: not started ")L; in IN nays of issuance, or if the work is
Reg Ii..: 000337 suspended for sore than 180 days. ATTENTION: Oregon law
----------------------------------------------—__.---.____-_-_.-_ requiros you to fcllnw rules adopted by the Oregon Otility
Notification Center. Those rules are set forth in OAR 952-901 -001@ through OAR 952-001-0080. You may rhtain copies of these rules or
direct questions to DUNG by calling (593)246-1987.
---------- ------- ------ - - -- -- ---- ---------...-- REQUIRED INSPECTIONS ------------------------------------------_-------------
Erosion 844-8444 Crawl Drain/Back Electrical Rough Insulation Insp Mechanical Final
Footing Insp PLM/Underfloor Framing Insp Rain dr:in Insp Plumb Final
Foundation In Mechanical ;nsp St;ear Wall Insp Water Service In Building Final
Post/Beam S uct��lumb Top Out Low Voltage Appr/Sdwlk Insp _
Post/Beal M chan 4ectr:yrj 5 . r Sas Line Insp Electrical Final _
Issr.red I _ F'ermi.ttee Signa+trare:
+++++.4...+++++++++•+++•s•+++++++•f1-+i•++++++••+-++•w+++++•+++•++++++++++a + f +i-+++•+•+++++++
Call 639-4175 by 7:00 p:. m. for an inspection needed the next bt:siness ray
CITY CSF TIGARD
DEVELOPMENT SERVICES SEWER CONNECTION
F�E.RMIT
13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 PERMIT #.. RMI T : SWR98-027
DATE ISSUED: 11/04/98
PARCEL: 2S110AA—O5600
SITE= ADDRESS. . . : 114'0 SW JACKTE CT
SBD T V I S I ON. . . . :HA;4K MEADOWS ZONING: R-4. 5
BLOCK,. . . . . . . . . . LOT. . . . . . . . . . . . . :009 JURISDICTION: T I G
TENANT NAME. . . . . :WILLIAMS, ALAI d
USA NO. . . . . . . . . . . FIXTURE UNITS. . . . 0
CLASS OF WORK. . . :NEW DWE:I_I_.I NG UN T TS. .
1
I YPE ;?r� i!aE=. . . . . :SF NO. OF BUILDINGS: 1
INSTALL IYPE. . . . :I....TPSWR TMPERV SURFACE: 0 sf
Remarks : Sewer- ronnection for a new single family dwelling.
Owner: _._..._.___._.._.__.___._...___.____.._._____—_____ ._._. ._._...._._.._..._. ...._._._...._.__.._ _.._.__.... FEES _.....__.._..___
OLAN R WILLIAMSON type amol.rnt br date recpt
10895 SW AVOCET COURT PRMT $ 2300. 00 DF8 11 /04!98 98-310561.
PE_"AVERTO' f::R 97007 INSI' $ 35. 00 DF--'B 11/0 +/98 98-31O581
Phone. '+: 351--7491
Contractor: -----•---------•------------•----..
OWNER
Phone #: E 2335. 00 TOTPi._
Reg #. . :
-- ----- RFPUI RED I!gSPECT7 t-)NE' ------
lyis Applicant agrees to comply with all the rults and regulations Sewer Inspection _
of the Unified Sewage Pgency. The permit expires 160 days from
the date issued. The total amount paid will be for+aited if the
permit Pxpiras. The Agency dues 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 ail directions fromthe distance distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install i lateral.
ATTENTION: Oregon law requires you to follow rulPs adopted by the —
Oregon Utility Notification CP;rtpr. Those rules are set forth in OAA
W-001-0010 through DAA 0001 0PElP. you may obtain copies of
these rules r—d-ihwt questions to OIX by calling (503)346-1987.
441144
Iss1_redt:ry Permittee Si nat1_rree
+++++++++++.4.....++++++++++++++++4++++++++++++++•+++++++++++++++++a-+•+•++++++.+++++4.+4.+
Call 639--4175 ty 7:00 p. m. for- An insper_tion needed the next hr_rsiness day
+++++++++++++++++•+++++++++ + +-1-++++++-+++++-1-+++++++++++++++++++++•-F•N+++++++•++•-1-++++4.+
fY OF TIGARD Residential Building Permit Application Flan Che
3125 SW HALL BLVD. New Construction Additions or Alterations Rec'd B
TIGARQ, OR 97223 Single Family Detached or Attached (Duplex) Dae Rec'd_If it
V 503-639-4171 Datc to P.E,/-/ ---?----Q it �
F 503-684-7297
Date'o DST
Permk AnP-y$-oN,z 5/
Print or Type Called4-
,i Incomplete or illegible applications will not be accepted ��'� v',w,�",•y�9S _
�Name of Project -
I Name
Job Architect Mailing Address
Address Site Addres Z
Name
City/ tate- Zip Phone
Mallin Address Name
Owner � �
Cityfstatc tl Phone Engineer Mailing Addr s
General Name City/SC,te Zip Phone
Contractor r: Describe work New Addition O Alteration O Repair O
Mailing Address to be done: _
Prior to permit �% c G" Additional Description of Work: ,fl
issuance,a copy ty/Sate Phone /L
of all licenses 4 CZi , W
are required if Oregon Const.Cont.Board Exp.Date PROJECT -
expired In COT l.ic.# +^
database ;'S' j 7 VALUATION •�
I lechanicaI Name �— NEW CONSTRUCTION ONLY:
Sub- 1.i /1.► Sq FL House: Sq. FGara e
Contractor Mailin
Pricr to permit X ` Indicate the restricted energy installation by the electrical
issuance,a copy City/ to ZI Phone subcontractor in the follow' areas __
of all licenses Restricted ✓ f\udio/Stereo
are�equirEd if Oregon Const.Cont. Board Exp.Date Energy S stemAlarms
expired in COT Lic.# Installations Vacuum Irrigation
- database
Plumbing Nam (check aS-ystem � System
all that Other:
Sub- _ � ,fir �1' TP-1)I _ -`
Contractor Mallin Address — Corner LotYES I NO Flag I of YES NO
_ (check one) check one)
Has the Subdivision Plat rer_orded? — N/A YES NO
Prior to permit City! tate Phone ��..-
Issuance,a copy . (/.t G - i / �
g P '1 Solar Compliance
of all licenses are Ore Const. Conf.Board Ex ate Calculation Attached)
required it Llc.#� 5 r I hearb acknowledge that I have read this application,that the
expired in COT ,-> , J 7 l ! Y 9 PP
database Plumbing Lic.# Exp.Date information given is correct,that I am the owner or authorized agent
of the owner,and that plans submitted are in compliance with
e �_ Oreo tate laws.
Name Sign of Ov)rrtot/f' -� Date
Electrical
Sub- Mailing d J —"---- on ct P raon/ PMP Phone#
a � 3S 1 '7 /
Contractor ' SGv i �ty1� FOR OFFICE USE ONLY: _
City/S to" /_ip Phone plat#------` Ma /TL#:
Prior to permit
gsuance,a copy � ' � / z
f all licenses are Ore-g fh Con t.Co t. oard Ex,).Date Setbacks: Zone: Solar:10 _
required If Lic.# C-
expired In COT Eng' eerin Approval: Planning Approval: TIF:
database Electrical Lic.#
I SFREM2.DOC(DST)8111/98
98 Oa 01 18:2514 R vt 119hm.dwg MRR aatum
��-
2220DB
---- - (MIRRORED)
BY
AL WILLIAMrON
'S/-7yi�
CITY OF TIGARD
HAWK MEADOWS
LOT 9
A
a ( 7,7.50 S0. FT.)
1. N 89'30'30" E 'l�
— _ — 75 p0' NOTE
LOT EXEMPT FROM SOLAR
CODE DUE TO THE STREET
I
1 —————— ———— ————————
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o N I MAIN FLOOR 1 �'e.. o
in m EL.=277.0' I "'
0 o I I
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1 I I 1.•
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I GARAGE I En o
EL -275 0' I I N
1 i
I
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0 7 6-
cPjV u� DRIVCWAY
1500 P.SI)
Mena [5 ' S 89'50'00' _ _ / 950 0.
10 I I ?7065 79' / 15'n1'S
I I
1Nvept I I
!E�:ee•I
11Nvenr
I n.aea
S W. JACKIE COURT 10/01/,98 MRa
SI(7 FFNCF
ALAN MASCORO DESIGN ASSOCIATES.INC O
IS N01 LIABLE FOR THE ACCURACY Or THE
TOPOGRAPHY OR TION IT IS ORE SOLE
RESPONSIBILITY
TH OF THE BUILDER TO VERIFY '1V1
ALL SITE CONDITIONS.INCLUDING ANY HIL
PLACED ON THE SITE AND INFORM OWNERS
OF ANY POTENTIAL FIELD MODIFICATIONS
A L A n flAJ ( ORD DE110n AIt0C1ATFI IIl
1305 NW 18TH AVENUE, PORIL,4ND, ORFUON 97:109 150'3) ?25 9161 SCALE
2 0 0 "