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10676 SW TUALATIN DRIVE ADDRESS: , i i:\records%microtlm\targets\huilding.00c CITY OF T GA7M COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OF 13125 SW Hall Blvd.Tigard,Oregon 97223*6199 (503)639.4171 OCCUPAI x>0;X PERMIT #. . . . . . . 6.i9 nwri_7 IS-SUED: 01/k. /951 PARCEL: 2S115AD-02`00 1,TE AbORESS. . . 10L,76 SW TUALATIN 'OR DOVER LANDING ZONING:R--4. 5 I_OCh. . . . . . . . . . a LOT. . . . . . . . . . . . . : 10 cJ,.AGS OF WORK. !NEW rYPE OF" UE'7. . . :SF OCCUPANCY GRP. IP3 OCCUPANCY LOAD licP25 't TENANT NAME. . . 11 PATH I Owner-: 1(-1Y MILLER U DOX 23091 IGARD OR 97261 'hal)e #1 6134-7543 antrekctare (-)Y MILLER 'D IAOX 23291 OR 97281 Rorie 01 684--7543 30 Iccupancy of hhe above Vefe)-ellcPd bklildin(A hereby [J' en, anti cet-tifiea Codes for- the group, he r..omp) iance with the G)"."LRte (If O`r-09*11 , P - i Ity C 0 p" it wain issued. ,4,nci ui,t.e i,mdev� which the efeven'c 0 cl pe ICTAL T�Ll I LD I N 131JILDING OF PW3 T I N C ON50- I CUOUS PLACE INSPECTION NOTICE City or Tigard Building Departaent 13125 SR Ball Blvd- Tig&e, Oregon 977.23 Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 inspection: — — Footing plhg. Underalah Mech. Rough-in Appr/Sdwlk Pound. P11>g. Top Out Gas Line PAL: Poet/Beam Struct. San. Sewer Framing Poet/Beam Mach. Rain Drain Ina:ilation Nater Line Gyp. ad. �h Plbg. Underfloor t ()G _� Date AequontOdt___ _L= PM i Addroaa: I j �_ Permit Is— THE FOLIXM'.NG Mv,,RECTIONS ARE RE4UIREDs t, 1 0 Inapecl or: -- -- -- Date- _ APPROVED DISAPPROVR:) —_ APPRMED SUBJECTTo ABOVE call For Reinap. T. 01%05/95 15:23 b09( 820 12088 I 1 I I NICOLIIE�IG. (Inc. I-►-+� CITY OFI T1 BARD X007 11 I I 1 I II I II I f II II II � I I I I II I I I I II IIIIII I � SII illi I II I 1 ( II I I II I I I I 11 I I and Construction Services, Inc. 9025 Southwe�+Center Street P.O. Box 237&7.1 Igard, (:)regon 97223 (503)620-2086•FAX (503)684 3636 January 5. 1995 Mr. Tom Plescber City of Tigard 13125 S. W. Hall Blvd. Tigard, Oregon 97273 Re: 1.0676 S- W. 'Tualatin Drive Lot 10, Dover Landing Building Permit No. 940719 Dear Mr. Plescber: T have made an on site inspection of the foundation for the above project. I found all w0:k to be done in compliance with the plans. Any variations from the plttns have been reviewed and approved. Sincerely, 03 OREGON James R. Nico P.E. JRN•^'l.i E3(P!?�3;•30 Page No. 1 CASE HISTORY FOR CASE NO.: MST94•0219 JAY MILUR 10676 SW TUA..,ATIN DR 09/10/98 Action Description Rey/ Sr_hd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTA007 Application received / / / / 06/01/94 PASS SW 05/08/94 BLT MSTA010 Plan check deposit paid / / / / 06/08/94 0604 SW 06/08/94 UT MSTA020 Plan check by 06/08/94 / / 06/08/94 PASS RT 06/08/40. BLT MSTA030 Check for prcl. restrict. / / 06/08/94 06/01/94 PASS JG 06/08/94 BLT MSTA092 (F) Issue combination permit / / / / 08/03/94 PASS SKW 08/01/94 SW MSTA097 Issue plumbing signature form / / / / 08/01/94 PASS SKW 08/01/94 SW MSTA705 Foot/found Inep / / / ! 09/12/94 Provide keyway per plane. Provide FAIL WSW 09/12/94 WW engineer directions for additional bearing required at footing. MSTA705 Foot/found Insp / / / / 09/12/94 Jim Nicoll has viewed the site and found PASS WEW 09/12/94 WW It satifactory to pour. MSTA705 Foot/found Inep / / / / 09/19/94 FOUND WALL APP OS 09/19/94 GES MSTA711 Post/Beam Mechanic-1 / / / / 11/21/94 PASS TLP 01/09/95 TLP MSTA717 PLM/Underfloor / / / / 12/07/94 PAAS TLP 12/08/94 TLP MSTA720 Mechanical Insp / / / / 11/21/94 PASS TLP 11/28/94 TLP MSTA722 Plumb T)p Out / / / / 11/21/94 PA38 TLP 11/21/94 TLP MSTA725 Framing Insp / / / / 11/21/94 PASS TLP 11/21/94 TLP MSTA735 Gas Line Inep / / / / 11/23/94 PASS ME 11/28/94 MRS MSTA740 Insulation. Insp / / / / 11/28/94 PASS TLP 11/28/94 TLP MSTA745 Gyp Board Insp / / / / 12/01/94 #-1- ok to mud 6 tape interior only PART KS 12/05/94 TLP insulation at mechanical rm needs to have flame spread covering if gypsum in eliminated MSTA745 Gyp Board Insp / / / / 12/05/94 remainder complete PASS TLP 12/05/94 TLP MSTA755 Rain drain Inep / / / / 11/21/94 PASS TLP 01/09/95 TLP MSTA760 Water Line Inep / / / / 11/21/94 PASS TLP 01/09/95 TLP CASE HISTORY FOR CASE NO.; MST94-0219 Page No. 2 JAY MILLER 10676 SW TUALATIN DR 09/10/95 Diap By Update Upd Req/ 6chd/ End/ Action Notes Action Description Date By Sent Done Done _ _ -- Code MS'CA765 Appr/Sdw1.k Inep 12/19/94 1. A street opening permit is required FAIL T. 12/:!3/94 SW for tnis site, contact John Hagman at 639-4171 for permit. information. 2. Call for reinspection after getting street opening permit. 3. Remove all material from sidewalk on lot frontage prior to reinspection. MSTA765 Ap)?r/Sdwlk Inep 01/04/95 / / 12/22/94 1) INSTALL ROOT DRAIN PIPE IN EACH WINO. PEND CB 01/04/95 SW 2) BE PREPARED TO PROTECT FINISH. PASS TLP 01/09/95 TLP / / META795 Mechanical Final / / 01/06/95PASF PLP 01/09/95 TLP MSTA797 Plumb Final / / / / 01/06/95 PASS "LP 01/09/95 TLP MSTA795, Building Final / / / / 01/C6/95 JF 01/09/95 JF 01/06/95 MSTA960 (F) Issue Cert. of Occupancy / / / / 01/06/95 PASS TLP 01/09/95 TLP MSTA970 Case Fina3ed / / / / CITY OF TI GARD PERMIT 1k. .MASTER PERMIT PERMIT . . . . . : MST94-0219 COMMUNITY DEVELOPMENT DEPART � INT DATE ISSUED: 08/01/94 13125 SW Hall Blvd, Tigard,Oregon 97223.8199"(503)V 4171 PARCEL: 2S115AD-02900 10676 SW TUALAT I N D ZONING: R-4. 5 SUBDIVISION. . . . DOVER LANDING . . . w : itis ZaLOCK. . . . . . . . . . LOT. . . . . . . . , ____„_.._.__...__--_----__-----_-_______.______ BUILDING TS: 1 BASEMENT. . . . . . . . . :958 sf DWELLING UNI REISSUE: TS: GARAGE. . . . . . . . . . :519 sf 15:3 CLASS OF WORK. :NEW BEDRMS:3 kARA E. . SETBACKS-_ -- _. - 1"YPE OF USE. . . :SF FLOOR ARF AS ----`- - - " TYPE OF CONST. :5N FIRST. . . . :898 sf LEFT. . :5 ft RIGHT. :5 ft OCCUPANCY GRP. :133 SECOND. . . :612 sf FRONT. :23 ft REAR. . :O ft TH I RD. . . . :0 sf REQUIRED------------­------ STORIES. . . . . . . : : 1510 sf SMOKE DETECTORS. :Y HE-I GHT. . . . . . . . :25 rt TOTAL-- - - - - FLOCrl LOAD. . . . :40 psf VALUE. . . . . $ : 122870 PARKING SPACES. - : l Remark s : PATH I - __ FLOOR DRAINS, . . . :0 BACKFLOW PREVNTRS. . : 1 1NKS. . . . . . , • • • � 1 WATER HEATERS. . . : '_ TRAP5. . , . . . . . • • � • • . :O LAVATORIES. . . . . 93 rUB/SHOWERS. . . . LAUNDRY TRAYS. . . : 1 CATCH BAS114S. . . . . . . :0 WATER CLOSETfi. ., t3 SEWER L?NE (ft ) . :0 GREASE TRAPS. . . . . . . :0 W ATERASHERS, , , . : 1 WATER LINE (ft ) - : 100 OTHER FIXTURES. . . . . :0 J)IRAIN DRAIN (ft) - 20 GARBAGE DISP. . . : 1 CI�. . . : 1 SF RAIN DRAINS. . 11 1 WASHING MA ----------.---- FEE` MECHANICAL - --- _ -___._.___.________ date recpt TYPES------'_"-._" _.... SUNIT HTRS. , -0 type amount by FUEL TYp4 :0 TIF � 15 :0. 00 SW 08/01/94 - /GAS/ / / VENTS MAX INPU7 :O 11T1_I VENT FAN3. . :3 BPRT $ 490. 50 SW 08/01/94 - r FURN ( 1001'. . . :�'� HOOD;. . . . . . : 1 Bp LC $ 318. 83 SW 06/01/94 94---25295/ f"URhJ ) =100K . . : 1 WOODcTOVEr.-i. :0 B5PC $ c:4. 5:.?, SW 0F�/O1/94 - FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC E x_80. 00 5W 08/01/94 _ BOIL/CMP ( 3HP:0 OTHER UNITS: i PARK 4 X00. 00 SW 08/01/94 GAS 0UTLETS: 1 MPRT A 45. 00 SW 08/O1/94 - $ 11. 2"'. SW 00/01/94 - Owner: -._______..___..__________.... ..__ MSPC $ 2. 2..:i 5W 08/01/94 - JAY MILLER PPRT $ 155. 00 SW 08/01/94 - P 0 BOX 23291 P5PC $ 7. 75 SW 08/01/'j4 MISC $ 64. 00 SW 08/0./94 - TIGARD OR 97��81 MISC $ 20. 80 SW 08/01 /94 - Phone fit: 684-7543 __-_--.-_.-.-IhTSC $ cO. ao SW 08/01/9 +Contr-actor': JAY MILLER r7l('i BOX 23201 I a 6ORD OR 97281 ptjone #: 684--7543 ________________-. itp I #. . : 3O109 $ 34.60. 71 TOTAL This permit is issued subject to the regulations contained in the -------- REOU1RED INSPECTIONS ------ ecialty Codes and all other Foot/found Insp Fireplace Insp Tigard Municipal Code, State of Ore. Sp applicable laws. All work will be done in accordance with approved Post/Beam Struct Gas Line Insp pians. This permit will expire if work is not started within 198 Post/Beam Mechar Insulation F�ns�.�lBoat dnInspp Pim/undslab Insp YP -.ays of issuance, or if warp is suspenlie for more than days. FLM/Underfloor Rain drain Insp I p-m•ittee 'signature : Mechanical Insp Water-- Line Insp Insp plumb Top Out ApP Framing Insp Mechanical Fina Call f ok• iTispect inn - 639--4175 CITY OF TIGARD SEWER CONNECTION PERMIT COMMUNITY DEVELOPMENT D%IPART MENT PERMIT #. . . . . . . : SWR94-0219 13126 SW Hall Blvd.Tigard,Or%on 97223e819 15'03)hiq,4i71 DATE ISSUED: 08/01/94 PARCEL: 2S 1 l 5AD--02'900 SITE ADDRESS. . . : 10676 SW TUALATIN DR SUBDIVISION. . , . : DOVER LANDING ZONING: R---4. :5 BLOCK.. . . . . . . . . . : LOT. . . . . . . . . . . . . : 10 TENANT' N(JMJ7. . . . . USA NO. . . . . . . . , . . FIXTURE UNITS. . . : CLASS Of- WORK. . . :NLW DWELLING UNITS. . : 1 TYPE OF USE. . . . . .SF NO. OF BUILDINGS: 1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . s f i-vc?mar-ks . PATH I Owner- -. FEES ,Tf)Y MILLER type Amoilnt i:)v date r,ecpt P 0 BOX 2'3291 'RMT $ 2200. 00 SW 1218/01 /94 IN!3P $ 35. 00 1,3W 0610111)'1 TI(3ARD OR 97261 Phone #% 684-7543 CONTRAC 'UR NOT ON FILE ------------- $ 2235. 00 TO AL. R e q REQUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewev- Inspection of the Unified Sewage Agency. the permit expires 180 days from the date issued. the total amount paid will be forfeited if the permit expj,-es. 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 direction from the distance given. If not so located, the installer shali purchase a "Tap and Side Sewer* Permit and the AVqhcy will IR44,1 )a lateral. & I Per-mitttie Signati.tre: Issi.ted Py : Call for- inspection C,39--4175 1 Residential Building Permit ,application � �' r n �� '90 City of Tigard _ �� S up 13125 SW Nall Blvd. �..� Tigar(', OR 97223 (503) 6d9-4171 Jobsite Addres�s:Z O 7P nyi/L',t rJ(l��t,—/�101'�!► N- �Ofi'l�ce U:e OnY Subdivision: u1-CIA ILot #/ Valuation: 1]. U, e _ Planck/Rei, # Permit # ,S1'`i0 tl " 40 Owner. i(u r��d��_Ca —�— Reissue of _ Address: lot) i3elg 013a Map F fL Phone: — & q r 75 --" ALrqvats Required i Planning Contractor: LYS;IUr r — Engineering ' -, ,t`:r M Address. _�_---- — --- Other /-ev1,W1 Phone: Items Requlrrd Contractor's License # _ Subcontractors (Mach copy of current Oregon license) Truss Details Contact name & phone:�— _ Other Subcontractors: Plumbing: " `Y tl Vl, �tl. �f "J" v l' Mechanical: F> 1�]G / r L%�� (attach copy of current Victor's License) �<3 (� / Archltect/Engineer:`v_ Address: Phone: _— --_ /'f t' nq !'D► 'S e JOB DESCRIPTION: &I Applicant Signature & Phone number Received by: tL` Date Received: l Permit # Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) t >U• __` U• Z+ ' Plumb. Permit (PLUMB) Mech. Permit (MECH) , ..- State Tax (TAX) r S Bldg: _ Plumb: Mech: r'ian Check (PLANCK) ✓ 4. U� ST` O� Bldg: =1/J'• 5 71 Plumb: Mech: Edi J Sewer Connection (SWUSA) v t dV Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) e u s p Storm Drgir Chg (SDSDC) ���_ ,� ky Reside (TIF--R) Mass Transit TIF (Tl!:-MT) Comrnerciai TIF (TIF-C) Indus': ' TIF (TIF 1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) _ Water Quantity (VvQUANT) Fire District (FIRE) Erosion Cntrf Permit (ERPRMT) Erosion Planck/USA (ERPLAN) 0y!! -a Erosion Planck/COT (E,„jSN) J� •�"� _ TOT ALS: 1 Z_ ...,,,�...x...d.rw.... .....•..w....r,ewr..w:.r..w,.rw+wwvrrierrYeir."'+cYu:w�Yw+wru..r�.w .. w�..w..w.w.-...........ti......." PROVIDE THE FOLLOWING: 1) COMPLETE LATERAL ANATYSIS, INCLUDING PILES AND SHEAR TRANSFER/BRACING INCLUDING UBC CONNECTION 2) VERTICLE ANALYSIS FOR PILES 2910 AND FULL COMPL'IANCE WITH UBC 2908 AND 2909 (x) 3) PLANS DON' T CALL PILE EMBEDMENT METHOD OR CONSTRUCTION MUST FOLLOW SOILS REPORT RECOMMENDATIONS 4) PLANS AREN' T CLEAR AS TO EXACTLY WHERE PILE BRACING IS NEEDED6 TO $) BRACE DECK PILES