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13683 SW TAMAWAY LANE R w� L e lI 1� e' mm���MAMIP am ADDRESS: T � r i:\records\microflm\targets\building.doc -- s CERT IF"ICATE CITY GF TIGARD �r`;. . . . l=�E RIq I T M. . . . . . . Mra1"9;s IZ►g 1 1 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06,10 ,/94 13125 SW Hell Blvd.Tlgard,Oregon 9722398199 (503)839-4171 C~fARCG:I .: c?,'3104C'A..11300 S I l C AI)GKLwi . . . : 1.;C,i33 `.:iW 1 w+MWWH'r 1 LIM SUBDIVISION. . . . a HILLS14JRE ZONING R-•7 PD BL.00K. . . . . . . . . . o LOT. . . . . . . . . . . . . : ? I. , C;l_f-7SS O1= WORK. -NEW TYPE OF USE. . . r SF OCCUPANCY UMP. -R3 .r . 3-CURANCY L OAD i '30 4 TENANT NAME. . . Rpmarkst PATH I Owlier._ _._.. .. . . ...__..__.._.,. ... ..._.._ ___. ...... _.... . _ 3HF'1_BURN(: DE=VELOPMENT 7008 SW NYBERG RD TUAL-AT I N OR 97,062 fill-np #. 392-6383 Contractort .- -.-._......_..._._. ___..._............. . ..__.._._.__...._. SHELBURNE DEVELOPMENT 7008 Sbl NYBERG RD TUALAT IN OR 97062 Ph :►ne ii, 692-6363 Reg #. . 1 42388 Occupancy raf the above referenced building i4 hereby given, and certif'iew, the coMpl. ia_►nce with the State Of Oregon SpecAalty Cosies for the group, occ+. pency, and VIAE' under which the rrferenr_e.-1 permit w ss ISSkAed. FIRE DEPARTMENT q I Nil S PE(JOR 1 ..__.......,.._.— BU I D .NGS Cl - -1 C;I AL...__..___.... rlo!3; f IN CONSPICUOUS PLACE i �NSPECTIUN NOTi City of Tigard Building •partmesnt 13125 BN Rall Blvd. Tigard,. rh-egon 97223 Inspection Line (Ree-J-Phona)c 639-41Y5 [luminous Phone: 639-4171 Footing Plbg. U:derelab Mach. Rough-in A r c pp /.,dwlk Found. Plbg. Top Out Gas Line �rsul►L:_--�) [--- Cost/Ream .Ktrur_t. San. Sewer Framinq tield� ) Post/Beam Mach. Rain Drain Innulation -Plumb. Plbg. Underfloor Mater Lina a YP• Bd. � -Meeh. Date Re que:tad: Time t hM PM Addreas: Buildoor THE FOLLOWING coRRECTIOII£ ARE REQUIRED: Inspact :or �+ V APPROI�D DISAPPROVED APPROVED SIIR.IFv.T 70 1►BOyE Call For Reinsp. Page No. 1 CASE HISTORY FOR CASE NO.: MST93-0511 SHELBURNE DEVELOPMENT 13,383 SW TAMAWAY LN 08/25/98 Action Description Req/ Schd/ End/ Action Nates Disp By Update Upd Code Sent Done Done Date By MSTA0n7 Application received / / / / 09/29/93 PASS JLH 10/01/93 BLT MSTA010 Plan check deposit paid / / / / 09/29/93 PASS JLH 10/07/93 BLT MST'A020 Plan check by 10/07/93 / / 09/07/93 PASS RT 10/07/93 BLT MSTA030 Check for prcl. restrict. / / 10/07/93 09/07/93 PASS VG 10/07/93 BLT MSTA092 (F) Issue combination permit / / / / 01/11/94 JF 01/11/94 JF MSTA097 Issue plumbirg signature form / / / / 01/11/94 JG 01/11/94 JF MSTA705 Foot/found Insp / / / / 01/12/94 PENDING MASONRY FIREPLACE REBAR. PASS RB 01/12/94 RS MSTA7U5 Foot/found Insp / / / / 07/18/94 NO REBAR IN FOOTLNG FOR FIREPLACE PASS RB 01/19/94 RS MSTA710 Post/Beam Structural / / / / 01./27/94 RIM JOIST/GIRDER CONNECTION- POSITIVRi FAIL RB 01/27/94 RS STRAPPII G REQ'D; MUD SILL ATTACHME'!T 0 GA^AGE; GIRDER BEARING OF 3" REQ'"; ADDITIONAL SUPPORT FOr. BORED GIRDER IN MIDDLE THIRD SPAN; 4/5 OF FLEX DUCT RAN AND 2/5 NEEDS SUF RTED. MSTA710 Poet/Beam Structural / / / / 01/20/94 PASS RB 02/02/94 RS MSTA711 Post/Beam Mechanical / / / / 01/27/94 SEE STRUCTURAL P/B. FAIL RS 01/27/94 RB MSTA711 Post/Be.m Mechanical / / / 01/2.8/94 PASS RB 02/02/94 RP MSTA717 FLM/Under°loos / / / / 01/27/94 PASS MS 01/31/94 MRS MSTA720 Mechanical InsP / / / / 03/08/94 SEE FR7•MING THIS DATE. FAIL RB 03/79/94 RS MSTA720 Mechanical Insp / / / / 03/:0/94 APP 08 03/23/94 RS MSTA722 Plumb Top Out / / / / 03/0-/94 NAIL. TOP hDGE OF FAMILY TUB B".._ APV GS 03/04/94 GES MSTA725 Framing Insp / / / / 03/011/94 MECHANICAL SOFFIT 3ARAGE DUCTWORK; FAII. RB 03/09/94 RB FLAME SPREAD FIREPLACE CHASE; ENCLOSE LID OF CHASE MASTER CLOSET; METAL PLATE PROTECTION FOR WALL DUCT; I.ATERAL IRACE GARAGE HEADER; FIREPLACE CONSTRUCTION; GARAGE ACCESS REQ'D; POSITICE CONNECT CUT PLATES; SUPPORT NOTCHED RAFTEFS; ENCLOSE FIREP'.ACE CHASE :N ATTIC; ELECTRICAL COVER; PLUMBING TOP OUT. •'STA725 Framing Insp / / / / 03/10/94 FRAMING CORRECTIONS COMPLETE APP GS 03/11/94 GES MSTA735 Gas Line Insp / / / / 03/08/94 #126489 PASS RR 03/09/94 RB MSTA740 Insulation Insp / / / / 03/10/44 APP GS 03/11/94 GES MSTA745 Gyp Board Insp / / / / 03/23/94 PENDING MISSED NAILING PASS RB 03/23/94 RB MSTA755 Rain drain Insp / / / / nl/25/94 PASS MS 01/26/94 MRS MSTA760 Wo^.Ger Line Insp / / / / 01/2 /94 PASS MS 01/26;94 MRS Page No. 2 CASE HIS'rORY FOR CASE NO.: MST93-0511 SHELBURNE DEVELOPMENT 13683 SW TAMAWAY LN 08/25/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Hone Date By MSTA765 Appr/Sdwlk Insp / / / / 04/08/94 1, Raise drain line in wing to 1" from PEND LT 04/21/94 NL top of curb. 2. Be prepared to protect finish. 3. Change bubble at mailbox as marked 1n.. MSTA.65 Appr/Sdwlk Insp / / / / 04/08/94 1) Raise drain line in wing to 1" from PEND LT 08/12/94 KE Lop of. curb. 2) Be prepared to protect finish. 3) Change bubble at mailbox as marked out MSTA770 Misc. Inspection / / / / 02/18/Q4 SHEAR PANELS- PISS RB 02/22/94 RB MSTA795 Mechanical Final / / / / 05/31/94 see building final this date FD,I'. RB 05/31/94 RB MSTA795 Mechanical Final / / / / 06/03/94 J,%dS RB 06/03/94 RB MSTA797 Plumb Final / / / / 05/31/94 GAS TO WATER HEATER PEND US 05/31/94 GES WATER HEATER VENTING CAULK TUB AND SHOWER ENCLOSURES MSTA797 Plumb Final / / / / 06/06/94 PASS MS 06/06/94 MRS MSTA799 Building Final / / / / 05/31/94 ELECTRICAL FINAL; PLUMBING FINAL REQ'D; FAIL RB 05/31/94 RB 3 VEI4T COLLAR REQ'D; B VENT SUPPORT AT HORIZONTAL; FIRESTOP THRU PENETRATIONS AT FURNACE; HANDRAIL FOR STEPS IN GARAGE; RANIF. VENTING INCOMP..ETE; GAS LINE NOT INSTALLED FOR RANGE; FWD FIREPLACE INOPERATIVE; NO INSULATION P" FWD ATTIC OVER LIVING ROOM; INSULATC ATTIC DOOR 7AM FaD BEDROOM; FLEX DUI"I SUPPOFT AT 4' INTERVALS AND 4" FROM EARTH, MSTA799 Building Final / / / / 06/03/94 ELECTRICAL 0602 94 KP PASF RH 06/03/94 RB MSTA960 (F) Issue Cert. cf Occupancy / / / / 06/03/94 PASE R8 06/03/94 RR MSTA970 Case Finaled / / / / 06/03/94 PAS! RB 06/03/94 RB MASTER PERMIT CITY OF TIGARD PERMIT .4. . . . . . . : MST93-0511 COMMUNITY DEVELOPMENT D I EPARA415-'NT DATE ISSUED: 01/11/94 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639,4171 PARCEL: 2S 1 04CA--1 1300 ,:'ITE ADDRU.G5. . . : 13683 SW TAMAWAY TERR PD ,3UBDIVISION. . . . : HILLSHIRE ZONING: R OLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 113 BUILDING [REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf t_'LASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :715 5f IYPE OF USE. . . :SF FLOOR REQUIRED SETBACKS- __ TYPE OF CONST. :5N FIRST. . . . : l506 s LEFT. . :8 ft RIGHT. :8 ft (.)CCU;'ANCY GRP. :R3 SECOND. . . . 1166 Sf FRONT. :20 ft REAR. . :40 f I, 'iTORIES. . . . . . . :2 TNIRn. . . -0 !3 f REQL'I HEIGHT. . . . . . . . :30 ft TOTAL—— :2574 9f SMOKE DETECTORS. -.Y 1:LOOR LOAD. . . . :40 psf VALUE. . . . . $ . 1.35874 PARKING SPACES. . : I liem.irks : PATH I PLUMBING 5)1 NKS. . . . . . . . . . FLOOR DROINS. . . . :0 B0CK%FL 'W i qEVNT'RS. . :0 LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :3 LAUNDRY TRFiYS. . . :0 CATCH BASINS. . . . . . . :lb WATER CLOSETS. . :3 SEWER LINF (ft ) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LIN, ft ) . : 100 OTHER FIXTURES. . . . . :0 UARBAGE DISP. . . : 1 RAIN DRAII` tl . :O WASHING MACH. - - - 1 SF RAIN DPHINS. . : l --------------- MECHANICAL FEES FUEL TYPES----- UNIT HTRS. . -0 type amount by date recpA. /GAS/ VENTS . . . . . :0 TIF $ 1520. 0''.1 JF 01/11/94 MAX Il\IPUT :0 BTU VENT FANS. . :4 BPRT* $ 523. 00 IF 01/11/94 FURN ( 100K . . -.0 HOODS. . . . . . : 1 BPLC $ 339. 95 JLH 09/29/93 93--244050 1--*URI\l ) =100K . . : I WOODSTOYES. :Q) R5r_1C $ 26. 15 JF 01/11,/94 '-:'LOUR F URN. . . . -0 CLO DRYERS. : i SGDC $ 280. 00 JF 01/1 t/94 IAOIL/CMF' ( 3HP:0 0 THL.R LIN ITS: I PARK $ 500. 00 JF 01/11/94 GAS 0U7LETS: 1 MIJRT $ 4Z;. 00 JF 01/11/94 $ 11. 25 JF 01/11 /94 SHELBURNE DEVELOPMENT M5PC $ 2. 25 JF 01/11/94 *7008 SW NYBL.RG RD PPRT $ 147. 50 JF 01/11/94 P5PC $ 7. 38 JF 01 /11/94 TUALATIN OR 1)7062 Phone #: 392-6383 i._'ont ract or: ——-------————————---—————————-- -- - '*.)'HELBURNE DEVELOPMENT 7008 SW NYBERG RD TUALATIN OR 97062 Phone #' 692-6363 Reg 4238.3 ------------------------------ $ 3402. 48 TOTAL This permit is issued subject to t�e regulations contained in the REUUIRED INSPECTIONS Tigard Municipal Code, State of Ire. Specialty Codes and all other Foot/found Insp Fireplace Insp applicable laws. All work will be d i with approved Post/Beam 5truct Gas Line Insp ,:r: in )Wqrl t,ce wi plans. This pewit will expil : if I no rted within 180 Post/Beam Mechan Insulation Insp rt'd I, at, no days of issuance, or if omrl Is suspvrle�(f v e than IN days. Plm/undslab Insp Gyp Board Insp FILM/Underf"1 clor Rain drain Insp t-lermittee Siqnature : Mectlanical Insp Water Linp Insp Plumb Top Out Appt-/Sdwlk Insp [sited By-, et Framing Insp Mechanical Final. Call for inspection 639--4175 SEWER CONNECTION CITY OF TIGARD . .. .PER . PERMIT' �',# . . . : SWR93-0442 COMMUNITY DEVELOPMENT D&XRtMI`NT DATE ISSUED: 01/11 /94 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)830-4171 PARCEL: 2S 10401=a-1 1300 SITE ADDRESS. . . : 13683 SW TAMAWAY TERR SUBDIVISION. . . . : H1I_LSHIRE ZONING: • -7 PD BLOCK. . . . . . . . . . . L,3 T. . . . . . . . . . . . . : 113 TENANT NAME. . . . . : USA NO. . . . . . . . . . . FIXTURE UNITS. . . . CLASS OF WORK. . . :NEW DWELLING UN1TS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINCS: 1 INSTALL TYPE. . . . :BUSWR IMPLRV SURFACE. . : : Sf Remarks : PATH Owner: _..__._.._. . kl, ___- __.._.._..___.___-_.-------•-•----_..._.___._.__.. FEES SHEL9URNE DE_l'Ibt� type amol.int by date recpt 7008 614 NYPERG (f� PRMT $ 2200. 00 JF 01/11/94 - D $ 35. 00 JF- 01/11/94 - TUAL.A IN OR 97016 —' Phone #: .392--63111 Contractor: - -----_-.____.__.__._.__ CONTRACTOR NOT ON LE Phone #: t 22:35. 00 TOTAL Reg #. . . REOU I RE D I NSPE".CT T ONS -----This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency, The permit expires 180 day; from �___._•� _ �_ ���. the date issued. The total amount paid will be forfeited if the permit expi-es. The Agercy do!s not guarantee the accuracy of the side sewer laterals. If the .ewer is not located at the measurement given, the installer shall prospel.t 3 feet in all directions from _ �. -_ _._•___.�W�____ the distance given. If not ro located. the installer shall purchase —i_- �_• __.____ ___ a "Tap and Side Sewer" permit and the Agency will install a lateral. Permittee Signati_1re: l s s t_r e d B y : 17 �C-- - v Cal for inspection _ 639-x•175 I �`�7;, CIIN13,25 SW"allDlv& PLNCK/RECT OF TIGARD r �.��9� NERMITS>{1�3 COMMUNITY DEVELOPMENT DEPARTMENT � (503)63s-+1» DATE ISSUED _ JOB ADDRESS: I J�g """ +'�A4 C—w� 1,006—"W MAP/LOT Z ` / qCA It 3CO SUB: I I J SIM /LOT: H3 _ LAND USE: PS) VALUATION: — O, WNERSPECIAL NOTES NAME: Ske4 b'kme-- Tx �e PAekf, — REISSUE OF: ADDRESS: V/1 �Q � /P - LAST REISSUE: Jn 04-; - FLOOD PLAIN/ PHONE: � � — SENSITIVE LAND: _ CONTRACTORAPPROVALS REQUIRED � `' NAME: --��.V�C � '�%uvne_ V��(� VI�Q{'�' PLANNING: ADDRESS: DO ENGINEERING: __'f YL '706 FIRE DEPT: PHONE: _ OX 3 OTHER: CONTR. BOARD #: 3g,& — EXP DATE: (�,� J ITF.MS 10—MIR-E-0 SUBCONTRACTORS: PLUMB: Wfyu cf pc) 8" ) � LIST/SUBCONTRACTORS: _ MECH: 5-e� BUS TAX: — ARCH ENGINEF se r u ����� ��~ � � CALCULATIONS: NAME: � ( - TRUSS DETAILS: ADDRESS: �JU� yLi OTHER: PHONE: .��9I PROPOSED BLDG. USE: J�`� -- COMMENTS: �!l- j�/i(t, SA-' QL APPI_ CANT S N TURE Rea i ved By: ___�l __ Date Received: __ PERM11 b' ACCT N 01-SCRIPTION AMOUNT AMOUNT PD. BAL. DUE Sl( 10--432 00 Building Permit Fees _ 10-431 00 Plumbing Permit Fees7•,'y __ / 12- .0-431 01 Mechanical Permit Fee:-. �L•� _ _� > ---- - - 10-230 01 State Building Tax (5%) f1Ui;1linki './ P 1 umb i ng J__ Mechanical 10-433 00 Plans Check Fee i Building Plumbing ^_ Mechanical 2 � 10-230 OG Fire - ---- 5 30--202- 0J Sewer Connection ccl - 30-444 00 Sewer Inspection 25-448•-02 Conanercial TIF Fees -- 25-448-04 Industrial TIF Fees 25-448-06 Institutional HF Fees _- 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees 25-448-05 Mass Transit lIF Fees 52-449 00 Parks System Dev Charge (FDC) ✓wu __ o5u�� _ 31 -450 00 Storm Drainage Syst Dev Chrq (SSDC) 2.4-445-01 Water Qualify (Fee in lieu of) 24-4,15-02 Water Quanr.ity (Fee in lieu of) _ 101 AL ^ U nm/3587P.WPF