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Case File t W. i ADDRESS: �� TNPLMACfL 1 is�ecor�islrnicrofim�targelsV,uilciir�g.c:i.x Pagn 1+0. 1 CASE HISTORY FOR CASE NO.: MST97-0203 ROSE MANOR HO"QsS/GSI NW 12037 SW 96TH PL Unit: PVT 06/05/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent. Doue Done Date By MSTA092 (F) Inoue combination permit / / / / 07/08/97 PASS DRA 11/09/97 J•H MSTAo95 Inoue plumbing signature form / / / / 07/28/97 RECD SW 07/30/57 S•W MSTAG97 Inoue electric signature form / / / / 08/01/97 RECD SW 08/01/97 S•W MS':A720 Mechanical Inep / / / / 10/30/97 PASS KS 11/10/97 J•H MSTA722 Plumb Top Out / / / / 10/02/97 PASS MS 10/02/9'1 MRS MSTA730 Fireplace Inep / / / / 08/06/97 q-1.- interior side of separation wall at A/N KS 08/06/97 KBS upper level mud/ tape horizontal joint between walls connection MSTA735 Gas Line Inep / / / / 10/30/97 Gas piping = 21.5 psi PASS KS 11/10/97 J•H 10TA960 (F) Isnue Cert. of Occupancy / / / / 05/14/98 06/05/90 JT MSTB005 Application received / / / / 05/29/97 RECD JD 06/12./97 BON MSTB008 Permit created / / / / 06/12/97 PASS B 06/12/97 BON MSTBO10 Check for prel. restrict. / / / / 06/12/97 Check conditions of approval for MEMO B 06/12/97 BON StTB94-0007 before issuing MSTBUI2 Plans routed to Plans Examiner / / / / 06/11/97 PASS H 06/12/97 HON MSTBo26 Bldg/meth plans apprd by CPE / / / / 06/18/97 APPR RDP 06/19/97 RDP MSTB027 Rlectrical plana apprd by VPH / / / / / / 06/12/97 BON MSTB028 Plumbing plans apprd by PPE / / / i / / 06/12/97 HON M.9TB030 Reviewed plane routed to DSTS / / / / 06/18/97 RDP 06/18/97 RDP MSTB032 DST Plan Review completed / / / / 06/20/97 PASS 0 06/20/97 BON MSTH700 Erosion Control / / / / / / 06/12/97 BON MSTB705 Footing Inep / / / / 07/09/97 PASS TLP 07/11/97 J•H MSTB705 Footing _nap / / / / 07/11/97 PASS TLP 07/21/97 J•H MSTB706 Foundation Inap / / / / 07/18/97 Approved as noted: 1. Install anchor PASS KS 08/21/97 J•H bolts size 6 spacing as shown 2. center foundation vent at rear wall. CL PAIL KS 08/17/97 J•H MSTB710 Pont/Beam Stractural / / / / 07/25/97 t-' MST8710 Pose:/Beam .4:ructural 08/27/97 / / 07/28/97 PASS KS 08/27/97 J•H to gagB;II Font/Beam f49chanical / / / / 07/25/97 PAIL KS 08;27/97 J•H MS"3711 Poet/Beam Mechanical 09/27/97 / / 07/25/97 PASS KS 08/17/97 J•H --I MSTB712 Plm/Undc?,floor / / / / 07/25/97 PASS M9 09/27/97 J•H MSTH713 Crawl Drain / / / / 05/15/99 PASS TLP 05/18/98 J•H MST8723 ' ectrical Scrvice / / / / 05/15/98 PASS TLP 05/18/98 J•H I1.1 PASS HRP 10/29/97 J•H —j MSTB724 Electrical R,nlgh-in / / / / 10/29/97 Page No. 2 CASE H1STGRi FOR CASE NO.: MST97-0203 ROSE MANOR HOMES/GSI NW 12037 SW 96TH PL Unit: PVT 06/05/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Vpd Code Sent Done D Ale Date By --- --- -------- --- MSTB725 Mechanical Inap / / / / 10/:.4/97 1. Preecure not adequate for test (gas FAIL KS 10/15/97 J•H piping) . 2. Secure insulation at sides and rear of fireplace. 3. Secure insulation shield at b-vent (attic). 4. Connect exhaust fans. 5. Firestop mechanical chase at urger level. 6, Mechanical soffits not built in garage. MSTB725 Mechanical Innp / / / / 10/20/97 1. Adjust b-vent above furnace FAIL KS 10/21/97 J+H clearance. 2. Connect. exhaust fans and extend to roof jack. 3. Wall around duct at upper level. 4. Support gas piping. 5. Soffits not built at garage (mach). 6. Support vertical gas piping adjacent to furnace. KSTB725 Mechanical Inap / / / / 10/28/97 PASS KS 10/29/97 J•H MSTB725 Mechanical Insp / / / / 11/07/97 Approved an noted: PASS KS 1.1/09/97 J•H 1. Soffits not built at mechanical (garage) . 2. Secure fireplace. 3. Add stud at rectangular duct at upper level. 4. Gan piping 28 psi. MSTB727 Low Voltage / / / / 03/06/99 PA=iS BRP 03/09/98 J•H M.9TB729 Plumbing Top Out / / / / 10/01/97 no test on waste FAII. MS 10/01/97 MRS CIL, H In M9TB730 Framing Inap / / / / 11/12/97 Approved as noted: PASS KS 11/14/97 J•H 1. Complete collar at stick cut rafters H �- (will be rechecked at insulation). J 2. Call for reinspection - mechanical. C.7 Ill J Page No. 3 CASE HISTORY FOR CASE NO.: MST97-0203 ROSE MANOR HOMES/GSI NW 12037 SW 96TH PL Unit: PVT 06/05/98 Action Description Req/ Schd/ End/ Action Notes Diap By Update Upd Code Sent Done Done Date By METB730 Framing Inap / / / / 10/28/97 1. Provide detail f.:om TJI provider, FAIL KS 10/29/97 J+H cover angles cut above garage header. 2. Provide kin.- stud each aide of glulam al: garage and strap across platen. 3. Add stud at splice at kitchen. 4. Strap platen notched for plumbing at halfbath. 5. Strap glulam to post at kitchen. 6. Positive connection trimmern to header at garage. 7. Provide king stud at each aide of beam above stairs. 8. Provide eive ba`_flei at vaulted ceiling above atwirs. 9. Collar ties at stick cut raftere. CALL FOR REINSPECTION. MSTB730 Flaming Inep / / / / 11/07/97 Framing corrections not complete FAIL K3 11/0:./97 J-H MSTB730 Framing Inap 12/09/97 / / 12/01/97 PASS KS 12/09/97 J•H MSTB740 Can Line Inap / / / / 10/20/97 see mach snap this date FAIT, KS 10/21/97 J-H MSTB740 Can Line Inap / / / / 11/0'7/97 28 psi PASS KS 11/09/97 J•H MSTB745 Insulation Innp / / / / 07/28/97 PASS KS 08/27/97 J•H MSTB745 Insulation Inap / / / / 11/17/97 PASS KS 11/17/97 J•H MSTB745 insulation Inep 12/09/97 / / 12/01/97 PASS KS 12/09/97 J•H MSTB750 Shear Wall Inap / / / / 09/29/97 This inspection includes generic panals. PASS KS 09/29/97 J•H MSTB'155 Firewall Inap / / / / 09/04/97 Approved as noted: Interior side of PASS KS 09/08/97 J•H aeparatioi wall at upper level. C- MS7'0760 Gyp Board :..ep / 11/20/97 1. Shear walls need nailing at both FAIT. KS 11/20/97 J•H ...., / / / aides of common wall. f- 2. Nail gypsum at separation wall w/ 1 � 7/1•-inch nails ao 7-inches OC. J3. Separation walla need to extend :.o under aide of xcof sheathing. D7 4. Firetape all vertical and horizontal LLT joints And spot nail. J MST8760 Gyp Board Innp / / / / 11/21/97 PASS KS 11/23/97 J*H MSTH760 Gyp Board Inap / / / / 12/01/97 PASS KS 12/09/97 J*H MSTB775 Rain drain Inap / / / / 07/24/97 Requires clean outs for rain drains. PASS MS 08/27/97 J•H MSTB775 Rain Drain Inap / / / / 07/28/97 Needs Cole on raindrains per MS FAIL RAM 08/27/97 J*H Paa_e No. 4 CASE HISTORY FOR CASE NO.: MST97-0203 ROSE MANOR HOMES/GSI NW 12037 SW 96TH PL Unit: PVT 06/05/98 Action Lescription Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MSTH780 Water Line Insp / / / / 08/26/97 Pressure reducing valve at meter. PASS WA 08/28/97 J•H M.9TB785 Appr/Sdwlk Insp / / / / / / PVT N/A 05/14/93 JT MSTB796 Electrical Final / / / / 03/06/98 General Contractor: Gaps around outlet PASS BRP 03/09/98 J•H not to exceed 1/9-inch, NEC Art. 370-21. Gape around ruceesed fixtures. MSTB797 Plumb Final / / / / Ci/17/98 1. Provide cleanout at kitchen sink. FAIL TN ,3/29/98 J+H 2. Provide approved clean out fitticq/storm sewer with threaded plug. 3. Seal hone bibbe at aiding. 4. Secure hose bibbs at siding. 5. Sccure vertical piping/water heater safety valve drain line. 6. Seal shower valve flange at. wall. MSTB797 Plumb Final / / / / 03/24/99 Seal rear hose bibb at siding - see PASS TN 03/29/98 J•H roport 031798. MSTB798 Mechanical Final / / / / 03/24/98 Approved an noted: 1. Support gas piping PASS RS 03/26/98 J*H .tjacent to water heater at horizontal section. 2. Support b-vent at horizontal. MSTB799 Building Final / / i / 05;01./98 1. Replace window in upstairs bedroom- FAIL WDJ 05/01/98 WD-1 does not meet energy code (broken) 2. Remove debris from underfloor area. 3. Remove dirt fror underfloor vents. 4. Provide min. 1" clearance between B-vent and combustible material. S. Provide step, between houne and garage/ 6. Locate and expose crawl drain and backwater valve. / ti F MSTB799 Building Final i / / / 05/15/98 Previous corrections completed. PASS TIA ''I ,:.1� CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 CERTIFICATE OF OCCUPANCY PE:RMI T #. . . . . . . e MST97--020 a DATE ISSUED: 05/14/98 PARCEL: 151 KIBA—O.sEI00 SITE ADDRESS. . . : 12037 SW 96TH PIL #Fv'T `XIBD I v I S I tON. . . . i DUBLIN PARK ZON I MG-R--25 PD BLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . ..003 ,JURT.SDICTIUNiTIU CLASS OF WORK. c NEW TYPE. OF USE. . . n SF'A 'TYPE OF CONSTRz5N OCCUPANCY CRI'. s R3 OCCUf=,ANCY LOAD.2 Remarks . WA - Cvth 1 Ownere ROSE MANOR 1 0ME5/GSI NW CONSTRUCTION 106;:?0 SW LUCAS DR TUAL_A'T IN OR 97062 Phone #a 452-8.13.3 Gontr•actora ROSE MANOR HOMES INC JW20 SW 1_.UCAL3 DR TUALATIN OR 97062 Phone #0 452-•8133 Reg #. . r 109A613 This C;er,ttficarte yr,tnts occuF)anr_v of the abovo referenced building or portio , thereof and confirms that the buildiny has been inspected for compliance with the State of OrepQ11 Specialty Codes Far, the rgr'oUp% ocr,.upar-,Cy, and uee under wh4)ING e referenced pf+rmit was i %sued. v NUTNi-iPECTOR 1L/I41GE�TIO &(36PAIVSUii J POS1 IN CONSPICUOUS PLACE w J CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 6394171 Date Requested: J u ' eq S l � ( � —� A�J.M. P.M. MST: ' C�Z 69� Location: Z - D 3.7 BUR — Tenant: ` Suite: Bldg: MEC: Contractor: Phone: (> ��.�-" / PLM: Chimer: Phone: ELC: ELR: _ SIT: BUILDING $�/1 PLUMBING MECHANICAL ELECTRICAL SITE. Site I os icam PosUReam Post/Beam Cover/Service Sewer/Storm Footing Roof UndFUSlab Rough-In Ceiling Water Line Slab Framing 'fop Out Gas Line Rough-In 1JG Sprinkler Foundation Insulation Sewer I food/'Duct Reconnect Vault 13smt Damp I."vall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire ' r/Ahn 4/Found Dr I leat Pump Low Volt A»rove Appiov(.d Approve(: Approved Approved Appr/Sdwlk of Approvvd Not Approval Not Approved Not Approved Not Approved NAI; FINAL FINAL FINAL FINAL H� D Call for rri, c n R,ntilx clion Ice of S `rryuir v before xt inspection O Unable to inspect Inspector __ Date ( Page of e( - � — — CITY OF TIGARD MASTER PERMIT DEVELOPMEN f SERVICES PERMIT #. . . . . . . : MST97-0203 DATE ISSUED: 07/08/97 13125 SW Hall Blvd,,Tigard,OR 97223 (503)639.4171 'J T� PARCEL: 251 0c:Afl-+?t✓800 SITE ADDRESS. . . : 1 '037 SW 96TH PL. ##PVT SUBDIVISION. . . . :DUBLIN PARK, ZONING : ?-E:5 PD BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :008 JURISDI"TION: TIC) Remarks: SFR - Path 1 -------------------------------------- ------- BUILDING, REISSUE: STORIES.......: 2 FLOOR AREAS------ ---- B11SEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED------------- CLASS OF WORK.:NEW HEIGHT........: 21 FIRST....; 782 sf GARAGE.....; 464 sf LEFT....,.....: 5 SMOKE DETECTRS: Y TYPE OF USE...:SFA FLOOR LOAD....: 50 SECOND...: 704 sf FRONT.........: 20 PARKING SPACES: 2 TYPE OF CONST,:5N DWELLING UNITS: t FINBSMENT: 0 sf RIGHT.........: 0 OCCUPANCY GRP.:R3 BDRM: 3 BATH: 2 TOTAL------: 1486 sf VALUE..1: 107617 REAR..........: 20 ---------------------------------------------------------------- PLUMBING ----------------------------------- SINKS.........: 1 WATER CLOSETS.: 2 WASHING MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 100 TRAPS,........: 0 LAVATORIES....: 4 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS: 0 CATCH BASINS,.; 0 TUB/SHOWERS,..: 2 GARBAGE D1SP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 --------------------------------------- MECHANICAL ---------------------•----------------------------------------- FUEL TYPES------------ FURN ( 100K ..: 0 BO11_!CMP ( 3HP: 0 VENT FANS.....: 2 CLOTHES DRYERS: 1 GAS FURN )=tff. .,: 1 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 1 MAX INP.: 175000 BTU FLOOR FURNACES: 0 VENTS.........: I WOODSTOVES....; 0 GAS OUTLETS...: 1 --------------------------------------- -- ELECTRICAL ------------- —RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- ---ADD'L INSPECTIONS-- 1080 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.: 3 201 - 400 amp..: 0 201 - 400 amp.. : 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0 LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0 MAW HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0 1000+ amp/volt.: 0 ----------------------------------- PLAN REVIEW SECTION ------------------ Reconnect ---------------Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=2225 A,: ) 600 V NOMINAL: CLS AREA/SPC OCC: ---------------------------------------------------- ELECTRICAL .. RESTRILIED ENERGY -----------------------------------------------•------ A. SF RESIDENTIAL--------------------------- B. COMM..RCIAL-------------—------------------------------------------------------------ AUDIO d STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: OTH, :; BOILER........... HVAC,..........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARr,GE OPENEP..: X CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: HVAC......,.,.. DATA/TELE COMM. : NURSE CALLS....: TOTAL t SYSTEMS; 0 Owner ---- -- ---------------------Contractor: ------------------------------ TOTAL FEES:f 4036.06 ROSE MANOR HOMES/GSI NW ROSE MANOR HOMES INC This permit is subject to the regulations contained in the CONSTRUCTION 10620 SW LUCAS DR Tigard Municipal Code, state of Ore. Specialty Codes and all 10620 SW LUCKS DR TUALATIN OR 970& other applicable laws. All work will be done in accordance TUALATIN OF 97062 with approved plans. This permit will expire if work is On Phone t: 45?-8133 Phone 1: 452-8133 not started within 180 days of issuance, or if the work is Reg C.: 109868 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 952-1301-2010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (583)246-1987. -------------------------- REQUIRED INSPECTIONS - --------------------_--___ --------------- .. _----- Erosion Control Post/Beam Struct Plm/undslb Insp Plumbing Top Out Shear Wall Insp Appr/Sdwlk Insp Grading Inspecti Post/Beam Meehan Electrical Servi Framing Insp Firewall Insp Mechanical Final Footing Insp Plm,'Underfloor Electrical Rough Gas Line Insp Gyp Board Insp Building Final Foundation Insp Crawl Drain Mechanical Insp Gas fireplace Water Line Insp Wtr Proofing Slab Insp Low Voltage Insulation Insp Water vice In �, / f � IssUed B Permitte,- Signature: 1-+++++A-++ +++ ++++++i++++++• ++++*+++++•+++++++++++++i-44+++•++++++++++i+++++•++ F Call 639-4175 by 6:00 p. m. for, an inspection needed the next business day CITY OF TIGARD DEVELOPMENT SERVICES SEWER CONNECTION 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT PERMIT #. . . . . . . : SWR97-02,00 DATE ISSUED: 07/08/97 I':'E"-.kCEL: 2S 102 BA-038OO SITE ADDRESS. . . : 12037 SW 96TH PL #PVT SUBDIVISION. . . . :DUBLIN PARK ZONING: R-25 PID BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :OO8 JURISDICTION: 7IG TENANT NAME. . . . . :ROSE MONOR HOMES USA NO. . . . . . . . . . . FIXTURE UNITS. . . . 0 CLASS OF WORK. . . :NE, DWFLL.(NU UMTS. . : 1 TYPE: OF USE. . . . . :SF NO. OF BUILDINGS: 0 INSTALL_ TYPE. . . . :BUSWR IMPERV ':" rRFACE: 0 sf Remarks : SFA — Path I Owner: - ---___---- ------- __— --_ -- - --_— — ______------ .....- FEES ROSE MANOR HOMES/GSI NW type amoo_rnt by date recpt CONSTRUCTION PRMT R 2200. 00 DRA 07/08/97 97--::96888 10620 SW LUCAS DR INSP $ 35. 00 DRA 07/08/97 97-296898 TUALATIN OR 97062 Phone #: Cont r,ar.t or,: ------------------ _------.---- OWNER Phone #: $ 2235. 00, TOTAL Reg #. . . REDU I RED I NSPECT I ONS ---- --This Applicant agrees to comply with all the rules and regulations Sewer Inspection _ of the Unified Sewage Agency. The permit expires 188 days from the date issued. The total amount paid will be forfeited if the 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 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9510-801-0018 through OAR 952-0001-0080. You may obtain copies of these rules a questions to OUNC by calling (583)246-1987. Issl.ied _ . ..0 Farmittee Signatur-e: 4-4+++++t++++++++. .......4.....+++. 4.....++++++.... .....++++.+-F++++............4 Call 639-4175 by 3:00 p. m. for- an inspection needed the next business day ++++++++++++++++. .....+++.+++++++++++++++++++++4.+++++++++++++*+++++..... .....+++ Plan Check M "Y OF ;IOARD Residential Building Per mit Application Recd By — Z5 SW HALL-BLVD. New Construction Additions or Alterations Date Recd Osc - -;BARD, OR 97223 Single Family Detached jr Attached (Duplex) Date to P E -to-- 503-639-4171 Date ro DST 503-684-7297 Permits ^�T`t1` %0= �ca1K'-17 - Print or Type called OZaD Incomplete or illegible applications will not be accepted Name of Project Name Job ,&Cv/1,0 .�l �L/n,� funk _ Address I S%Ite Address Architect Mailing Address rIA P 4,". CitylState Zia Phone ) Hca L�1-1�D t a? .'oc, Owner M71 I ng Address coistale Zip Phone Engineer Mailing Address rb ! Cil n Of 70c''t 4 51i)—b/ 3-2 /C'J "_'-1 C t�,state Name Zia Phone General 0escnbe work New Addition O Alteration O Repair O Contractor ailing Address to be done &) "t('6t, Q.Q. Additional Descnptlon of`Nork: Citwstate Zip . Phone Oregon CyQnst Cont. Board L c s Exp Date Attach Copy of Current COT Business Tax or Metro 0 Exp. Date PROJECT t Licenses VALUATION $ �' ''" & I0-7 (0 f Name _ Mechanical 1 NEW CONSTRUCTION ONLY: �z `, �"6 S Ft. House: S Ft. Gana e SUb- Mailing Address q q. g Contractor /�5 j; ;�1,11� _ C; rState Zip Phone — Corner Lot YES NO, Flag Lot YES NO S j�� (check one) L' I (check one) regon onst. Cone Board L c s Exp.Date Restricted / I Audio/Stereo Burglar Attach Copy of ; j�.;_� I Eneray System Alarm Current l COT Business Tar or Metros Exp. Date Installation Garage Door �, HVAC Licenses �� � Opener Nam 'J (check all that fL Other. ✓ Systems Plumbing . i111�'rC�ory �c'i4ANtC-0 t:_ apply) _ I Sub- Vtawng address WiN the electrical subcontractor wire_ for all YE$ I NO :ontractor/ Q/ C Cjz i� 5 t/ d restnc'ed ?nergy mstallationsl c' C:yState Zip T ph n Has the Suoclvlson Plat r,?corded? NIA YE,S NO each cony or r-gon Cwnt. Board Lica i Exp Date Reissue of NIS74 Solar Ccmpliance Current I Plumbing L!c s i Exp. Date I (Calculation Attached) icenses J i hearoy acknowledge that I have read this application. that the --� information given is correct. that I am the owner or authorized CDT Business rax or Metro x ! Exp Date agent af'he owner, and tha ofans submitted are in compliance � I •-. Name with Gosaon Sta s Signal w r(Ac:n Date Electrical > L, -� Sub- Mjifing Address Conta P rsgn ame c� Phone x l'ontractor / /<''O `lJ ��G�.E'C /�►+ t� — �'�� � S�, ����. C.rf.S'a:e Zia Phone FOR OFFICE VJ SE ONLY: 6,t -t.-773 Pat ' via L1�: Oregon Zane Cant. Board L c s Exo Date ?.ane ,ach Copy of 00- S 0 -aI Setb s: I ( S018r, Current E'ec:ncal Lie. s Ex Date ?7- _aenses 3►{ 2,S C /b-I - 1 c"n Ineenn or val: P'anrnn A 9 g p I prova( TIF COT Business Tax or Metro a Exp Oate � I(.•/ t� f �L.�, 74 1 3/- S'� .'sf po.doc;dst) 1;97 Pe-mit Ac,- ni n s tion Amount AML .L gal. Dcl® MST. Permit (BUILD) �" 3 - Plumb. Permit (PLUMB) /��;" 1�5� �•! Mech. Permit (MEC H) yj ELC/ELR Permit (ELPRMT) %ay _ 2 "`✓ State Tax (TAX) Bldg: Plumb: _1i? Mech: _1 J ELC/F_LR: Plan Check MST: 2L-) Plumb: (PLMPLN) I Nfech: (MECPLN) CDC Review (LANDUS) l,-i� CCC'-BSD r; ✓ C Sewer Connection (SVJUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF•R) !j�v ✓ Mass Transit TIF (TIF-MT) I A U / 2w -✓ Water Quality (WQUAL) I Eo Water Quantity (WQUANT) _ f I� /(!b -�✓ Erosion Control Permit (ERPRM T) J I Erosion Planck/USA (ERPLAN) 70� Lail I Erosion Planck/COT (EROSN) Fire Life Safety (FLS) .) TOTALS' r/i.lsfacadac tdscl 1197 dK 97 Mov 28 18.10:08 R:\LT\LT7-BDP SATURN IM.R.R.) X007 ?fl�Iul. ZS BY ROSE MANOR HOMES, LTD. IPH.I 452-8133 i;, 7`r,(,t;/i)o CITY OF TIGARD C�f�vt 2 S i0Z T" - U 370 D DUBLIN PARK LOT 7 - 12059 S.W. 96TH PLACE — p3go0 LOT 6 - 12037 S.W. 96TH PLACE NOTE. ✓%- '� GRAVEL DRIVEWAY ENTRANCE 17'.6- 51' 7' PER EROSION CONTROL L N 89'57'50' E_ �6 15' PRIVATE , 69 08' _ S.D.E. _____ __ -—__-- t6, LOT 8 ; I 16- 3,J67 S0. fT.) , / / o at ,ro / bA. 166 Rb00R 2r0••IN-W 1 1 166 ,� / . / , �•� s,o c GE / / �,o °' �; EL-066. 1 �, MAN-(bQOR Ey,w .0 A• Cc-4c o / �.� MIvFwAr / LOT 7 T MOO',S I I (J,256 S0. TT,) 1 RAGE EL.F S' 7 wA 410 ►65 / '\. • l �D AL1i. 16 1 \ a'CONE. �y 01MYEWAr �r - ` ulo0 E+W 04p 6j. ej0o �Il� ° / F 3 V X 3�..0, • Q �,�j 05%28%97 MPT. C� ALAN YASCOW DE541h ASSOC'.ATES.INC \� K 1#01 L"Ll FOA 14 ACCAPPACr LX TK TOPOGRAPHY/FORMATION 11 6 THE SOLf _ l ---- PfSPONS19kitr CY 1-9 DLILDEP TO VIOW1 ALL SITE CfMdTODWS INCLUDING AN'FILL RACED ON14 Siff AND NPORM OWNFAS `\ OL AN,POTFMTM1l F4lD YppFICAt10N5 A L A n 11A1 ( 0VD Df 110n A / 10 ( 1ATE ! In ( 1305 N VV 18TH AVENUE, PORTLAND. OREGON 97209 1503) 225 9161 S C A L E t 2 0 0 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: _ �/ '_ q 7 A.M. _ P.M._ MST: Location � � s BUP: 'tenant:_ __ Suite: Bldg: MPC:— Contra .,r: Phone: PLM: (honer. Phone: ELC: ELR: SIT: BUILDING BLDG(con's) — PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam last/Beam Post/Beam Cover/Service Sewer/Stonn Footing Roof Undl'I/Slab Rough-In Ceiling Water Line Slab Framing To, t Gas Line Rough•In UG Sprinkler I oundation Insulation _r I iood/Duct Reconnect Vault Bsmt Damp Drywsll S onit furnace Temp Service MISC. Masonry Ceiling (In–ii,Drain ? A/C UG Slab Shear/Sheath Fire Spklr/Alnr .riW-1'70­un6r l leat Pump Low Volt Approved A ry Approved Approved Approved Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL. FINAL ti w Ln w Ul J O Call for reinspection C7 Reinspection fee of Srequired before next inspection O Unable to inspect Inspector,��.__�__ Date:�.�� �_ Page`,or___ _