11045 SW VERDE TERRACE I�MkA'l 11111111111,11 �Am�
ADDRESS:
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imecords\microflm\targets\building.doc
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard OR 97,223 (503)65J-4171
CERTIFICATE OF
OCCUPANCY
PERMIT #. . . . . . . s MST96_0 ;.Ml
DATE ISSUEDs 07/ 11/97
PARCEL; I S 135CA—VK023-
I TE: ADDRE:SS. . . s 11045 SW VERDE ST
JUD I V 1 u I ON. . . . : DAKOTA VILLAGE.'. NO 2 Z ON 1 NG s
f.-[ICK. . . . . . . . . . : LOT. . . . . . . . . . . . . 2Z-'3 JURISDICl IONS
CLASS OF WORK--.NEW
T Y��E= OF USE:. . . :SFA
TYPE OF CONST R:5N
OCCUPE+NCY GRP. s R3
0(". CUF-"ANCY LOAD%P-
PArH B SFA WITH PRC RTY LINE THRMW THE NII)DLE
&P PROPERTIES)
, f)335 CW SELL RU
HE RWOOD OR 97140
Phone #s
Cont ract ora
I.11111)SOR PROPE::RTIES LTD
P(''i FROX 641
1 11 L.I.-SBORO OR 91124
hr+ne #s 640- 1755 r
077105'0
177 m Cert i f ic&t a grant is occ:t.jpernc-y of the above r•�,fa,-ate. �,i building Or Pot.-tion
he+-eaf and rrarif i►-ma that the bui Idiny has been inspeectetl for r_umpl iance with
he State if �1► egt+n specialty Codes for the gr•c*04 .r, nrc.� +rcy, and �_isw �_snder
� i li the r^ f,erenc:ed permit was ireak.teri. �! .
+UILDINt� iNE3f'E-C_ TOR
POST IN CONSP I GC.I0 1
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTPICAL PERMIT -
13125SKI Hall Blvd., Tigard,OR 97223 (5x7,3)639.4171 RECTPICTED `NERDY
PERMIT #: ELR97-- 1008
DATE ISSUED: 061'2' 1197
PARCEL.: 1 S 135CA--UK023
ITF: (ADDRESS. . . : 110455 SW VERDE ST
SUBDIVISION. . . . :DAKOTA VILLAGE NO 2 ZONING:
Bf.GCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :F'3 JURIGDICTN:
Pr,o,ject Burglar alars
A. RESIDENTIAL-•--.-------- B. COMMERCIAL _______.__•--_--___. _---_-.---___________ _._
AUDIO R• STEREO. . . : AUDIO R STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . : X BOILER. . . . . . . . . . : I_..ANDSCAPE:/IRRIGAT. . :
GARAGE OPENER. . . . . CLOCK. . . . . . . , . . . . MEDICAL... . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . : DATA/TELE' COMM. - : NURSE CALLS. . . . . . . . :
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR L ANDSC LITE:
OTf-IER: : : HVAC. . . . . . . . . . .. . : PROTECTIVE SIGNAL.
.
INSTRUMENTATION. : OTHER— :
TOTAL- # OF SYSTEMS: 0
Owner': -____._____.__._______-_.._________._---- FEES -- ___.____._-___•
SUP PROPERTIES type amo+ant by date recpt
16395 SW BELI- RD PRMT $ 40. 00 JSI) 01/09/97 97-28B700
SHERWOOD OR 97140 SPOT $ 00 JSD 01/09/97 97-288700
Phone #: 250-2385
Cant Tact ar a
OWNER s 42. 00 TOTAL
REOU I RED INSPECTIONS
Ceiling Covet- Elect' 1 Final
Phone it: Wal ] Covet-
Reg
overReg #. . : 1"x0000`3
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. 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 1B0
days of issuance, or if work is suspended for morn than 180 days. ATTENTION: Oregon law requires you to follow ruts adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952-881-8010 through OAR 952-001-8080. , u iay obtain cop.ei�f
these rules or direct questions to OX-at (503)246-1987.
Tssued by. �.- ___�__. r'et-mittee Signat+.rr^e
INSTALLATION ONLY-- -_--_______-------------------_
The installation is--iei.ng made on property I owr which is not intended for
sale, lease, or- rent.
OWNER' S SIGNATURE: _ DATE:
--------CONTRACTOR INSTALLATION ONLY---- --__.______.-•-----_-•__.___._. .
SIGNATURE OF GUPR. ELEC' N: _^ DATES
L T CENSE Nn:
++++++++++++++A +++++-1.•+++++++-h+++++++++++++++++++++++4+++4+i +
Call 639-4175 by 6:00 P. M. fcr an irl,;pection needed the next b+asiness day
f ++++++++++++++-1-++++++++++.+++•+++++++++-I++++++.f-+++++++++++++++++++•1-++++++++++++ 1 +
CITY OF'TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: .;
13125 SW HALL BLVD Date Recd-r_�/�
TIGARD OR 97223 PRINT OR TYPE
Permit#: t 4?'"/7
V- 503-639-4171 X304
F - 503-634-7'197 INCOMPLETE OR ILLEGIBLE APPLIL ATIONS Cust.Call'd: of I / 0
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK :NVOLVED -RESIDENTIAL
Restricted Energy Fee........................................ $40.00
(FOR ALL SYSTEMS)
JOBAdd ss Ste# Check Type of Work Involved.
ADDRESS V7` ��L) t\�
City/StateZip Phone# Audio and Stereo Systems
_ .1,
0—PL 1
- NamnBurglar Alarm
q 1 0A es Garage Door Opener'
OWNER Mallin Address /'f
»t�� "" Heating,Venula;ion and Air Conditioning System'
CI�y/S�atoZip Ph ne#
---- -- f'U�L IiN f� G?2 2 9 �' �'
Vacuum Systems'
Name / t
el;f 114 FJ Other - -- ---------
CONTRACTOR Meiling Address TYPE OF WORK INVOLVED -COMMERCIAL
(Prior to issuance a ate Zip Phone# Fee for each system........................I........ ........... 540.00
copy of all licenses (SEE OAR 918-260-260)
are required if Oregon Contr.Bid Llc.# Exp.Data Check Type of Work Involved
expired in C.0 T,
data base j.. Electrical Contr.Llc.# Exp.Date Audio and Stereo Systems
C.O.T.or Metro Lic # Exp. Date ❑
Boiler Controls
Owner's Name ❑
Clock Systems
OWNER- Mailing Address
LJ Data Telecommunication Installation
APPLICANT
City/State Zip Phone# Q
Fire Alarm Installation
This permit is Issued under OAE 918-320-370.This applicant agrees to HVAC
make only restricted energy Installations(100 volt amps jr less)under this
permit and to do the following: Instrumentation
1. Only use electrical licensed persons to do installations where required
Certain residential and other transactions ere exempt from licensing. Intercom and Paging Systems
These have asterisks('). All others need I censing:
Landscape Irrigation Control'
2. Call for inspections when Installation under this permit are ready for
Inspection at 603-639.4175; Medicol
3. Purchase separate oe-mils ter all Installations that are not ready for an Nurse Calls
Inspection when the,Inspector If.;out to Inspect under this permit;
4 Assume r asponsibillty for assuring that all corrections required by the
Outdoor Landscape Lighting'
inspector are done,and; Protective Signaling
5 Assume responsibility for calling for a final inspection when all of the
corrections are completed Other
Permits are non-transferable and non-refundable and expire if work is not
started within 180 days of issuance or if work is suspended for 160 days Number of Systems
The person signing for�' emrrit must be;he applicant or a person No I censes are required Licenses are required for all other installation,
euthorized to binT t. ��� — /
FEES:irtlt /
- - ENTER FEES s
Signatur /
r / 5%SURCHARGE(.05 X TOTAL ABOVE) $ 1..—,�T
----�lll TOTAL
Autr,ority if other than Applicant --
\resele doc 121913
Ila-III
II
/ /0¢5 .qW VCkDE T2A?ACC"
5 & P PROPERTIES
6743 S. W. BANCROFT WAY
PORTLAND, ORFuON 97225-1904
June 19. 1997
City o Tigard
8777 " W. Burnham Street
Ti,_..j.OR 97281-19"
To Whom it May Concern:
Matt Jones and S&P Properties hereby warrant that the shear walls and common walls built in the
townhouses in the Dakota Village Subdivision are in compliance with all current building codes.
M4tt is
S&P Properties
Carl W. Spitznagcl
CARL W. SPITZNAGEL AND ALFRED PF.NSE
S & P PROPERTIES
6743 S. W. BANCROFT WAY
PORTLAND, OREGON 97225-1904
June 19, 1997
City oC Tigartl
8777 S. W. Burnham
Tigard.Omgon 97281-1999
RE: Dakota Village Underground Services
To Whom it may Comm:
S&P Properties hereby warmtn that all underground services: waterlines,sewer lines and storm sewer lines
were constructed in:u:cordance ith all applicable huilding axles.
' � 7
S&P Pmp,-rties
Cm-1 W. Spitmagel
CARL W. SPIZZNAGEL AND ALFRED PENSE
Page No. 1 CASE HISTORY FOR CASE NO.: MST96-0301
S&P PROPERTIES
11045 SW VERDE ST
12/03/97
Action Description Req/ Schd/ End/ Action Notes Diep By Update Upd
Code Sent Done Dcne Date By
------- ----- ------ ---- --------`---------- ---- --- -------... ---
MSTA005 Application received 06/14/96 / / 03/22/96 PASS JD 06/11,/96 BT2
MS'fA008 Permit Created 06/14/96 / / 06/14/96 PASS RT 06/14/96 BT2
MSTAo10 Check for prcl. restrict. 06/14/96 / / 03/28/96 PASS JD 06/14/96 BT2
MSTA012 Plans routed to Plans Examiner 06/14/96 / / 03/28/96 PASS JD 06/21/96 BT2
M9TA026 Plane approved by Plane Exmr 06/14/96 / / 06/14/96 PASS RT 06/14/96 BT2
MSTA030 Reviewed plans routed to DSTS 06/14/96 / / 06/14/96 PASS RT 06/14/96 BT2
MSTA080 (F) Ready to issue / / / / 06/19/96 PASS CJS 06/19/96 CJS
MSTA092 (F) Issue combination permit / / / / 07/26/96 PASS B 07/26/96 BON
msTA097 Inoue plumbing signature form / / / / 07/26/96 PASS B 07/26/96 BON
MSTA09R I6oue electric signature form / / / / 07/26/96 PASS B 07/7.6/96 BON
MSTA700 groeion Contol / / / / / / 06/14/96 BT2
M.STA705 Footing Inep / / / / 07/30/96 APP 99 08/07/96 ABS
MSTA706 Foundation Innp / / / / 00/02/96 APP 1CS3 08/03/96 RBS
MSTA-710 Post/Beam Structural / / / / 00/30/96 APP KS 09/03/96 KBS
MSTA711 Post/Beam Mechanical / / / / 08/70/96 APP KS 09/03/96 KBS
MSTA'712 Underfloor insulation / / / / / / 06/14/96 BT2
MSTA713 Crawl Drain / / / / / ! 06/14/96 BT2
MSTA717 PIM/Underfloor / / / / 00/26/96 AFP OS 08/26/96 OE.
MSTA720 Mechanical Inep / / / / 01/03/97 M-1- Secure fireplace and maintain DIS KS 01/06/97 KBS
clearance®
R 2- necure 1nnuJation at furnace plenum
/ducts
N-3- provide access for removal of
furnace
#-4- provide disconnect switch or lock
out at electriacl panel;
N-S- elevate plat form to allow for r-38
insulati,m under furnace
p-6- curb around furnace
MSTA-722 dumb Top Out / / / / 01/14/97 PASS MDS 01/15/97 MRS
MSTA723 electrical Se,vice / / / / 01/02/97 Sign label DIS MJR 01/06/97 MJR
clone openings
MSTA723 Electrical Service / / / / 02/21/97 PASS MJR 02/21/97 MJ^
MSTA724 Electrical Rough in / / / / 01/02/97 connect fireplace and complete wiring DIS Milt 01/06/97 MJF
?.o-volt wire not listed
MSTA724 Electrical Rough In / / / / 01/06/97 corrections not complete DIS MJR 01/06/97 MJR
reinspecticn fee $35.00
MSTA724 electrical Pough In / / / 01/20/97 after paying reinspection fee PASS MJR 01/29/97 MJR
MSTA724 Electrical Rough In / / / / 02/21/97 PASS MJR 02/21/97 MJF
paq„ CASE. HIS"JRY FOR CASE NO.: MST96-0301
S&P PROPERTIES
11045 SW VF^,DE ST
12/03/91
Action Description Req/ Schd/ End/ t.ctton Notes Dinp By Update Upd
SentDone Done Date By
MSTA725 Framing Insp / / / / 01/28/97 #-1- save baffled missed lower level DIS KS 01./29/97 KBS
#-2- positive connection post to beam
liv/mr
#-3- strap across splice top plate upper
bedroom
'1-4- nail truen clips
#-5- fireblock t.•b
#-6- extend wrap back at roof shearthing
four ft
#-7- curb around mechanical platform
attic 6 solid
walkway
#-8- provide access for removal of
furnace located
in attic
MSTA725 Framing Insp / / / / 02/10/97 #-1- provide full bearing under triple A/N KB 02/10/97 KBS
fl joist garage
#-2- add stud under splice top plate
rear bedroom
MSTA725 Framing Insp / / / / 02/16/97 #-1- firablock ext wale at tube A/N RS 02/19/9'1 KBS
#-2- extend wrap back at roof sheathing,
call fr reinspection item -#-2-.
MSTA725 Framing Insp / / / / 03/25/97 APP KS 03/31/97 KBS
MSTA726 Shear Nall Innp / / / / / / 06/14/96 BT2
MSTA735 Gas Line Insp j / / / 02/1.8/91 #-1- gas piping pt test- 25 psi for 20 APP KB n2/18/97 KBS
.jinutee
MSTA735 Gas Line Insp / / / / 02/20/97 APP KS 02/20/97 RBS
MSTA740 Insulation Insp / / / / 03/03/97 #-1- goal around water heater pipes at A/N KB 03/04/97 KBS
fl line lnrge ( voids)
#-2- call for inspection separation wall
( wrap back)
MSTA740 Insulation Insp / / / / 03/25/97 AFP KS 03/31/97 KBS
MSTA745 Gyp Board Insp / / / / 04/02/97 APP KS 04/02/97 KBS
MSTA755 Rain drain Inep / / / / 08/20/96 PASS MS 08/21/96 MRS
M9TA760 Nater Line Insp / / / / 09/05/96 PASS TLP 09/12/96 TLP
MSTA765 Appr/Sdwlk Inap 04/07/97 / / 04/07/97 PRIVATE STRRET V OK APPROACH. PASS PI 04/07/97 RB
r y • CASE HISTORY FOP CASE NO.: MST96-0301
S&P PROPERTIES
1.1045 SW VERDE ST
Action Descripticm Req/ Schd/ End/ Action Notis Disp By Update Upd
Code Sent Done Done Date Jy
------- ----- --- -------- -------- -.. .----- --------------------------------------- ---- --- -------- ---
MSTA770 Mise. Inspection / / / / 01/21/97 #-1- ext subsiding, staples ar vertical DIS KS 01/27/97 KBS
joints need
to be driven parallel with framing
members do not
bridge joint with one leg of staple
MSTA770 Misc. Inspection / / / / 01/27/97 #-1- ext subsiding staples to be driven A/N KS 01/27/97 KBS
parallel with
framing members at vertical joints
MSTA771 «REINSPECTION» / / / / 01/06/97 corrections not complete PAID MJP 06/12/97 J*1!
reinspection fee $35.00
Paid 97-2.99916 02/03/97 Jed
MSTA790 Electrical Final / / / / 06/02/97 FINAL APPROVED PASS 3RP 06/03/97 J`H
MSTA795 Mechanical Final / / / / 05/30/97 1. Previous failed inspections include FAIL RP 06/03/97 J+H
framing a mechanical.
2. Final electrical required.
3. Final plumbing required.
4 Range venting disconnect.
5. AC Unit being installed.
6. Beal around dryer vents in laundry
zoom.
7. Unable to inspect attic.
S. Underfloor not inspected this date,
LIPT ACCE;�J.
MSTA797 Plumb Final / / / / 05/30/97 PAS^ M.9 05/31/97 .J*H
MSTA799 Building Final / / / / 06/06/97 uNABL8 To INSPECT, NOT RR,ADY, OTHER FAIL RB 06/05/97 J•H
UI4ITS W/STOP WORK ORDERS
MSTA960 (F) Issue Cert. of Occupancy / / / / 07/11/97 mailed 12-3-97 JT 12/03/97 8•W
MSTB796 Mechanical Pinal 06/27/97 / / 06/28/97 sea bldq final notes this date FAIL KS 06/27/97 JD:,
MSTH798 Mechanical Final 07/02/97 / 06/30/97 1. Structure locked, couldn't inspect. FAIL KS 07/02/97 J•H
mrTP798 Mechanical Final / / / / 07/08/97 Corrections not done. FAIL KS 07j09/97 J•H
MS.TS'19e Mechanical Final 07/17/97 / / 07/11/97 PER PREVIOUSLY REPORTED INSPECTION - ALL PASS PB 07717/97 J•H
CORRECTIONS MADE,
TLP, 061197 4 KS, 062797
Page No. 4 CASE HISTORY FOR. CASE N...: MST96-0301
S&,P PROPERTIES
11045 SW VERDE ST
12/03/97
Action Description Req/ 9chd/ End/ Action Notes Diap By Update Upd
Code Sent Done Done Date By
MSTB799 Building Final / / / / 06/1.1.!97 1. Water heater relief -aloe cannot work FAIL TLP 06/12/97 J•H
because ceiling too low will not be able
to release temp-relief valve.
2. Cannot get 2nd floor bath circuits to
come 011.
MBTB799 Building Final 06/27/97 / / 05/25/97 1. Attach insulation at furnace plenum FAIL KS 06/27/97 JDA
(crawl) supply
2. support under floor insulation
3. Support heat ducts at crawl space
4. seal exhaust 4uct at kitchen range
hood
S. Complete wrap back at separation wall
at attic
6. Post insulation certificate
W,,TB799 Building Final 07/02/97 / / 06/30/97 1. structure locked, couldn't inspect. FAIL KS 07/02/97 J*H
MSTB799 Building Final / / / / 07/08/97 Corrections not dome. FAIL KS 07/09/97 J•H
MSTB799 Building Final 07/17/97 / / 07/11/97 PER PREVTOUSLY REPORTED PASS RB 07/17/97 J•H
INSPECTIONS-CORRECTIONS APPROVED
TLP, 061197, KS, 062797
MSTB?60 Case Finaled / / / / 10/09/97 Approved firewall construction by review PASS HAP 10/06/97 J+H
with. George Steele, senior Building
Inevector. There appears to be no
breach of two layer gypsum as minimum
protection between unite and minimal
risk of fire in a zero clearance gas
burning direct vent fireplace.
CITY 4F TIGARD PERMIT #'ERMIT. . MST96 317x1
COMMU14ITY DEVELOPMENT DEPARTMENT DAZE 1:3S11ED: 07/216/96
13125 SW ball Blvd.Tigard,Oregon 97223-8199 (503)939-4171
I"=ARCEL: 1S 135CA--bI'.+?I,'_'_3
CITE ADDRESS. . . : 11045 SW VERDE ST
SUBDIVISION. . . . : DAKOTA VILLAGE NO 2 ZONING:
I3L.0014. . . . . . . . . . . LOT. . . . . . . . . . . . . :23
Remarks: PATH 8 DUPLEX WITH PROPERTY LINE THROUGH THE MIDDLE
one unit of two with fire wall between units
--------------------------------------------------------------- BUILDING ------------------ -----------------------------------------
REISSLE:MST95-0331 STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBAC9S---- REQUIRED-------------
CLASS OF WORK.:NEW HEIGHT........: 24 FIRST....: 696 sf GARAGE.....: 228 sf LEFT..........: 5 SMOKE DETECTRS: Y
TYPE OF USE...:DUP FLOOR LOAD....: 40 SECOND...: 760 sf FRONT.........: 20 PARKING SPACES: 1
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 0
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL------: 1456 sf VALUE-$: 98044 REAR..........: 15
---- PLIABING -----------------------------------------------------
SINKS........... I WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........1 0
LAVATORIES....: 3 DISHWASHERS...: 1 FLOUR DRAINS..: 0 SEWER LINE. ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB/SHOWERS...: 2 GARBAGE DI5P..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER cIXTUREE: 0
-------------------------------------------------------------- MECHANICAL --------------------------------------------------------------
FUEL TYPES----------- FURN ( 100K ..: I BOIL/CMP i 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1
/GAS/ / / FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS....,.... : 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: I
- -------------------------------------------------------- ELECTRICAL ---------------------------------------------------------------
UNIT---
-------•------
UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 1 0 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR.. : 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 2 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OGT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL.TW EL...: 0 IN PL;..,.......: 0
MANF HM/SVC/FDR: 0 601 - 1000 amp.: 0 6@14-asps-1000 v: 0 MINOR LABEL -10: 0
1000+ amF'voit.: 0 ------------------------------------ PLAN REVIEW SECTION _ -----------------------------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)-225 A.: ) 600 V NOM',NAL: CLS AREA/SPC OCC:
---------- ------------------------------------------ ELECTRICAL - RESTRICTED ENERGY -----------------------------------------------------
A. 5F RESIDENTIAL--------------------------- B. COMMERCIAL--------------------------------------------------------------------------••---
AUDIO Ii STEREO.: VACUUM SYSTEM..: AUDIO 6 STEREO,: FIRE ALARM.....: INTERCOM/PA,I'r: OUTDrl:" LNDSC LT:
BURGLAR ALARM.. : OTH: :: X BO1LEh.........: HVAC........,..: LANDSCAPE/IRRIG: PRO ECTIVE SIGNI.:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTH.r:
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL I SYSTEMS: 0
Owner: -----------------------—--—-----Contractor: ----------------------------- TOTAL FEESO 3948.3:
S&P PROPERTIES WINDSOR PROPERTIES LTD
16395 SW BELL RD PO BOX 647
SHERWOOD OR 97140 HILLSBORO OR 97124
Phone 0: 250-2385 Phone M: 640-1755
Reg N..: 52014
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. SFecialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if wrrk is not started within 180
days of issuance, or if work is suspended for more than 180 days.
-------------------------------------------------------------- REQUIRED INSPECTIONS ---------------------------------------------------------
Erosion Contol Underfloor insul Electrical Servi Gas Line Insp Electrical sinal
Footing Insp Crawl Drain Electrical Rough Insulation Insp Mechanical Final
Foundation Insp PI.M/Unde, floor Framing Insp Gyp Board Insp Plumb Final
Post/Beam Struct Mecharical Insp Shear Wall Insp Rain drain Insp Building Fir.al _
Post/Beam Mechan Plumb Top Out Low Voltage Water Line Insp
i'ei-mittee ISSr_ied By :
C 11 for inspection - 639--4175
Residential Building Permit Application
City of Tigard
1.3125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
r
Jobsite Address: y
Subdivision:
,k0T _ 146�Lot Office use Only
5 — Contact Date / ` /�(.' Initials C
Valuation: 9 o �� C Result_ 1-i
New Construction Only: (Square Footage)
Planck/Rec #
L % r J
House: f �J Co Garage: �: „( G i Permit# OIReissue of .S
Map & TL # 1523 1 C 4 - T
Comer Lot? Y N Flag Lot? Y N Zone
Owner: .� �/l p L-'S {fir''Wry'-) Plat #�
Address
Approvals required
Planning Setbacks Solar_
Engineering —
Phone: �' . cOther
.2 r-
Contractor:. Items—Required
---Address -
1/L ��1�c/ _ �' _. Subcontractors _�1 : r
- Truss Details
Other --
Phone: c .`-2i-) Z.1 ZY— f SO Z3�3` Notes
Contractor's License #_ =� G '�/�(� l� ✓1
(ar�ach app of currant Oregon license)
Contact Name:
Contact Phone:
Subcontractors: L- <<`- Arch itecUEn sneer./TA 1ZvtC u 1'
Plumbing: Q -� ��✓� Ne_n.rrn-�.
1�r1 _819- Address: 3 2/
Mechanical:, �F- TtA 7.! rt (� L i1yL�� p2 1 7 �1
(attach copy of current OR Contractor's License)
:7 1ir> l�f'!'� l �<�r.- Phone: -----
JOB DESCRIPTION: /V EC LL) C;
2S1 ;z L S ��5 51 3 X-
Applicant Signatu�p- Applicant Phone number
Received by: _ Date Received:
Permit x Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) U .30
•�
Plumb. Permit (PLUMB) .7a5 — .22 3
Mac h. Permit (MECH) 11J. :--v
w 1
c)
State-T aix
Bldg:
ya.. Y2.2-
Plumb:
1 ��
Mech:
Plan Check (PLANCK) U
Bldg: ✓CJ
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspecticn (SWINSP) ✓��� ,`
Parks Dev Charge (PKSDC) U U
Residential TIF MF-R)
Mass Transit TIF (TIF-MT) / 261
? y
Commercial TIF (TIF-C)
Industrial TIF (TIF-I)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WQUAL) / _ t-
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) V �;
Erosion Planck/USA (ERPLAN) 3
Erosion Planck/COT (EROSN)
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REvIEWED DY-DJS DATE
f5RCJFCT NO.: 344 - m9m _ ALPHA ENGIN RING INC. I
V s 20 E;NGINEEWNG - DEVEWPMEN. SERVICES - SURVEYING
P-PLAN.DWG oMC'E 503--452-8003 &FA.X 503-452-8043
PI,A:A HEST 9[I?E 230 8800 Sll OAK • PORT(.AWOR 97223
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CASE HISTORY FOR CASE NO.: SWR96-0287
Iia a�' No. 1
S&P PROPERTIES
11045 SW VERDE ST
11/25/98
Req/ Schd/ E 1d/
Action Notes Disp By Update Upd
ArCiOn Description Date By
Sent. Dune Done _
rode __...- ------------------ -----------
06/14/96 BT2
SWRA010 Plan check by 03/22/9b03/28/96 PASS JD 06/19/96 BT2
SWRA020 Check for prcl. restrict. 05/22/96 / / PASS CJS 06/19/96 CJS
SWRA070 Ready to issue / / / / 06/19/96 PASS B 01/26/96 BON
/ /
SWRA080 (F) Issue permit / / 07/26/96PASS TLP 09/12/96 TLP
09/05/96
SWRA705 Sewer Inspection / / / / 06/25/97 JT
/ / / / 06/25/97
SWRA720 Case Finaled
SEWER CONNECTION
r PERMIT
CITY OF TIGARD PERMIT #. . . . . . . : SWR96--0287
DATE 1�3UI=D; 07/26/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.9199 (h03)639.4171 PARCEL: 1 B 135CA--DK02 1
SITE, ADDRESS. . . : 11.045 SW VERDE ST _
%ir�I NG
SUBDIVISION. . . . : DAKOTA VILLAGE. NO
� ;
BLOCK. . . . . . . LOT. . . . . . . . . . . . . :c"
TENANT NAME. . . . . :
UFIXTURE UNITS. . . �
SA N0. . , . . • . . . -
CLASS OF WORE'.. . . :NEW DWELLING UNTTS.Ta« . 1
:
TYPE OF USE. . . « - :SF NO. OF BUILDINGS: 1
INSTALL TYPE_'. . . . :PUSWR I M�'ERV SURFACE: 0 s f
Remarks : PATI-1 B DUPLEX WITH PROPERTY LINE: THROUGH THE MIDDLE
one i-rnit of two with fire wall between I..inits
Owner
FEE S
CRP PROPERTTES type amot.lnt by date recpt
IC,,;95 SW DELI_ RD PRMT $ 2200. 00 B 07/26/96 96--2$2160
INSP $ 33. 00 B 07/26/96 96,.-288,160
SHE RWOOD OR 97140
Phone #: 2:50-2385
Contractor :
CONTRACTOR NOT ON FILE
1:11 o n e #: $ 2235. 00 TOTAL
P e 9 #- - _.--- - - REQUIRED INSPECTIONS
- -- -
This Applicant agrees to comply with all the raes and regulations Sewer lnspect .icrn
of the Unified Sewage Agency. The permit expires 180 days fromthe date issued. The total amount paid will he forfeited if tha _- -- -
permit expires. 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 ? feet in all directions from -_� =-^--
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Age wi install a laterals -- ------— -
r'm i t t e e S i rAn a t i-1 r
Gell for inspection 639-4175