Case File 13441 SW 75TH PLACE
TER
IT
CITY O F T IA R D I G I N — PERS IT#: MST1999-00153
DEVELOPMENT SERVICES DATE ISSUED: 4/28/99
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 13441 SW 75 T H PL PARCEL: 2S•101 DC-05100
SUBDIVISION: PACIFIC PIDGE ZONING: R-3.5
BLOCK: LOT: 003 JURISDICTION: TIG
REMARKS: PATH is New single family dwelling w/attached garage.
BUILDING
REISSUE STORIES: I FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 17 FIRST: 2,046 at BASEMENT: el LEFT: 32 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: st GARAGE: 603 at FRONT: 33 PARKING SPACES:
TYPE OF CONST: SN DWELLING UNITS: 1 FINBSMENT: st RIGHT: 12
J AL U E: 3 153,687.7
OCCUPANCY GRP' R3 BDHM: 1, BATH: TOTAL: at REAR: 20
PLUMBING
SINKS: 1 WATER CLOSETS: 2 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS'
LAVATORIES: J DISHWASHERS: t FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUBISHOWERS: 2 GARBAGE DISP: 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K: BOILICMP�3rIP: VENT FANS: 3 CLOTHES DRYER: 1
(;AS FURN>•100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX 1NP htu FLOOR FURNANCES: VENTS. WOODSTOVES: GAS OUTLETS: I
ELECTRICAL _
--.RESIDENTIAL UNIT SERVICE FEEDER TcMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS AOD'L INSPECTIONS
1000 SF OR LESS: I 0 200 amp: 0 200 emu: WISVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION:
EA ADD'L 600SF: 4 201 400 amp: 201 400 amp: tat W/O SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR:
LIMIrEO ENERGY: 401 600 amp: 401 600 amp: EA ADDL OR CIR: SIGNAUPANEL: IN PLANT:
MANU HMISVC.TOW 601 • 1000 amp: 601.amps•1000v: MINOR LABEL:
1000.amp/volt
ALAN REVIEW SECTION
Reconnect only: >600 V NOMINAL CLS AREA/SPC OCC:
>.4 RES UNITS: SVCIFDR>e226 A.:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDkNT1AL B.COMMERCIAL _
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNOSC LT:
BURGLAR ALARM: 0TH: SOILEW HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIONL•
GARAGE OPENER CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC OAT%BELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Contractor: TOTAL FEES: $ 5,031.05
Owner: This permit is subject to the regulations contained in the
PARK WEST PROPERTIES INC PARK WEST PROPERTIES Tigard Municipal Code,Stale of OR Specialty Codes and
12670 SW 68TH AVE 7340 SW HUN7_IKER all other applicable laws. All work will be done In
SUITE 300 #205 accordance with approved plans. This permit will expire If
TIGARD,OR 97223 TIGARD.OR 97223 work is not started within 180 days of issuance,or if the
work is suspended for more than 180 days. ATTENTION
Phone: 620-8860 Phone Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Rag 0. LIC 000299 forth in OAR 952.001-0010 through 952.001-0080 You
may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion 844-8444 Post/Beam Mechanica Plumb Top Out Gas Line Insp Mechanical Final
Grading Inspection Underfloor Insulation Electrical Service Insulation Insp Plumb Final
Footing Insp Footing/Foundation Drl Electrical Rough In Water Lire Insp Final coon
Foundation Insp PLMiUnderfloor Framing Insp Appr/Sdwlk Insp Bui Ing F al
Post/Beam Structural Mechanical Insp Shear Wall Insp Electrical Final
Issued By _it IZZ ___ Permittee Signature
r Call (503) 6394175 by 7:00 p.m. for an Inspection deeded the next business day
CITY OF TIGARD ORIGI "VR�m—RlcT#:N
SWR1999 0 081T
DEVELOPMENT SERVICES DATE ISSUED: 4/28/99
13125 SW Hall Blvd., Tigard, OR 97223 (5031639-4171
SITE ADDRESS; 13441 SW 75TH PL
PARCEL: 2S101 DC-05100
SUBDIVISION: PACIFIC RIDGE ZONING: R-3.5
BLOCK: LOT: 003 JURISDICTION: TIG
TENANT NAME: PARK WEST PROPERTIES INC
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for a new SFD.
Owner: _ v i FEES
PARK WEST PROPERTIES INC Type By Date Amount Receipt
12670 SW 68TH AVE
SUITE 300 PRM1 DST 4/28!99 $2,300.00 99-314896
TIGARD, OR 97223 INSP DST 4/28/99 $35.00 99-314896
Phone: Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
Sewer Inspection
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires
180 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 r res you to follow rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00 Z(001P through OAR 952-001-0080
You may obtain copies of"se Jules or di}W questions to OUNC by calling (503) 246,x1987.
Issued by: !� Permit►Pc- Signature:
Call (503) 639-4y#-Cy 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD Residential Building Permit Application Plan Check# y -y
13125 S.V HALL BLVD. New Construction Rec'dtBy �,-
TIGARD, OR 97223 Single Family Detached DateDate to P E
V 503-639-4171 , Date to DST! •_�2 G
F 503-684-7297 Permit#M3 x/999-06/53
Print or Type Called(.,/
Incomplete or illegible applications will not be accepted
Name of Project Name
Job �ar t ��C Q�d e /vy �� M y- e ►'�c<<1 5_
Address Site Address Architect Mailing Address
----- l ;
A'il S W IST" '�Ve'' City/State Zip Phone
Part: West Properties, Inc. ___ _ 14y WS
Name
S 6
Owner 12670 SW 68th Avenue, STE 300
Tigard, Oil 972.23 Engineer Mailing Address
� Phone
General __ Part: West Properties, Inc. City/S+ate Zip_ _
Contractor 12670 SW 68th Avenue, STS?:3011 Describe work New,K Addition O Alteration O Repair O
to be done.
Prior to permit I iga it-d. Oil 97223 Additional Description of Work:
_ ti1
issuance,a copy c)_,. _
of all licenses
are required if Oregon Const.Cont.board Exp.Date PROJECT
expired in COT Lic.#
_ CCii VALUATION � f5
database29949 _ "'
Mechanical
--_ _
Name ��11 --- NE_W CONSTRUCTION ONLY:
Sub- 13 C( I I Ira {1 K Sq. Ft. House {rye �Sq. Ft,. Garagg
Contractor Mailing Address - •---._z�
Prior to permit SC ?iA2214 < (1k0CQvhQ S Indicate the restricted energy installation by the electrical
issuance,a copy City/State Zip Phone subcontractor in the foliowiareas
of alllicnnses CS6 Restricted Audio/Stereo
are required If Oregon Const.Cont. Board Exp.Date EnergySystem _— _Alarms
expired in COT Uc.# .2 2 J Installations Vacuum Irrigation
database 7 31H 9( S stem_ 9(
Plumbing Name (check all that Other: —�
Sub- (� c 13 P'uM61k5 ±ER!y)__—_I X I ---
Contractor Mailing Address Number If Units in Building Unit Number Designation
i)_e. 13 ox t 2 6Ci _ Has the Subdivision Plat recorded? NIA YES ' NO
Prior to permitC}I y/St to Zip Phone
Issuance,a copy 1 S of all licenses are Oregon Const.Cont Board Exp Date
required if Lic.# I Q 0 ^� C
expired In COT — —
database Plumbing Lic.# Exp Date I hearby acknowledge that I have read this application,that the
,�y - y4{ P� infoafli given Is correct,that I am the owner or authorized agent
1° ( Cof thr, and th plans itted are in compliance with
Name Orete law . _
Electrical WE, L Sign f Own r/ tt, n V Dat q9
Stib•• Mailing Address -
Conta PersonName hone
Contractor P.c. 130)KJS( FlrliSl��,� I A. (Q zr �SBbc�
city/state ZIP Phone
Prior to permit
issuance,a copyry FOR OFFICE USE ONLY:
of all licenses are Oregon Const.Cont.Board Exp.Date Plat#: Map L#-
expired
in if Lic.# ? 1L G� I ��_ �� 5/ 6�� ,
expired in COT J t _ _ �,�. _
database Electrical Lic #34 r l 4 C Exp Date S flacks Zur
_ _ .
Electrical Supervisor LSC # Exp.Dete gin nng Approval. Planning Approval. TIF:
--- — Ar yC .E¢,j ----
I\dsts\forms\sfd-new doc 11/20/98
Q ""��
-.Mo�ParkWest
PROMPERTI ES,, INC .
Builder • Developer
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12670 SW 68th Avenue. Suite 300 • rioard. OR 4;22's • mam rign_RRRn FAX (�;mi 9;gR.4nR1
CERTIFICATE OF OCCUPANCY
CITY
OF
TIGARD
IGARD
` PERMIT#: MST1999-00153
DEVELOPMENT SERVICES DATE ISSUED: 4128/99
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S101DC-05100
ZONING: R-3.5
JURISDICTION: TIG
SITE ADDRESS: 13441 SW 75TH PL
SUBDIVISION: PACIFIC RIDGE
BLOCK: LOT:003
CLASS OF WORK: NEW
TYPE OF USE: SF
'TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: PATH I: New single family dwelling w/attached garage.
Final Inspection Approved 7/27/99 by Tom Plescher, Building Inspector
Owner:
RAYMOND EMS
13400 SW 76TH
TIGARD, OR 97223
Phone:
Contractor:
PARK WEST PROPERTIES
7340 SW HUNLIKER
#205
TIGARD, OR 97223
Phone: 620-8860
Reg#: LIC 000299
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
Speci4 tyiCodes for the r u , occupancy, and used hi the referenced permit was
iss d.
ij;
Ott
Btll ING INSPECTOR BUILDIN OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-:lour Inspection Line: 639-4175 Business Line: 639-4171 MET
BUP
Date Requested_____ _ AM PM ��,'
--- � �`�`�1 �� - BLD
Location - --
Contact Person :� J:�� Suits MEC
Ptj (`pZf7� (� PL IA
Contractor — ph SWR --
BUILDIN - Tenant/owner ELC
Retaining Wall - - ----
Footing - ELR
Foundation Access: - -- -___
Ftg Drain FPS
Crawl Drain Inspection Notes: �} SGN
Slab
l M ' 1_L r L f/ C
Post 8 Beam - �--�.�_____ SIT
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation "--— -- --- ---- -_
Drywall Nailing - - - - - --
Firewall ---_ -- - ---- -- ---- -- - - --
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof - - ---.�� --- - --____- - -
PART FAILVMM -
E31NG ---------- _ _--- _ -
Post&Beam - - ___--
Under SlabTop Out -- ---- -.__, - - -- ---- -
Water Service --
Sanitary Sewer __----
Rain Drains ----- _ _-�_-
Final --_-_ - ---
PASS PART FAIL - -- --- ---
Post B Beam
Rough In
Gas Line
Smoke Dampers --
PART FAIL - ----- _`
ELECTRICAL -- ----__-- -RoughInService
In -- -- - --- - - -_---_
UG/Slab
I_ow Voltage -
Fire Alarm
Final _---
PASS PART FAIL _
SITE ----------- - _ — —A_
Backfill/Grading -- _ - -
Sanitary Sewer - - - --' -
Storm Drain ( ] Reinspection fee of$ _requlre6 before next inspection. Pay at Clty Hall, 13125 SW Hall Blvd
Catch Basin "
Fire Supply Une ( ]Please call for reinspection RE
ADA ------ -- ( ]Unable to inspect no access
Approach/Sidewalk
other _ Date �_ Inspector
____ Ext
Final --
PASS -PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST ��c;�
2.4-Hour Inspection Line: 639-4175 Business Line: 639-4171 --L'
c.
BLIPDate Requested_ L - �� M PM BLD _
Location �;`n n ��� Suite MEC _
Contact Person �t Y��i� Ph PLM --
Contractor --_ Ph SWR
BUILDING — Tenant/Cwner ELC
Retaining Wall r--- ELR - -
Footing Access:
Foundation FPS
Ftg Drain ---
Crawl Drain Inspection Notes: SGN
Slab _- _ _----- _-- SII"
Post R Beam -------
Ext Sheath/Shear
Int Sheath/Shear -- --_--- �--- --
Frarning
Insulation - --- _._..---- --- - --..--
Drywall Nailing -
Firewall ---�---
Fire Sprinkler
Fire Alarm -� -
Susp'd Ceiling F7
Roof ---
Mise: -----
Final -_--_--
PASS PART FAIL
PLUMBING
Post& Beam�� _...-- ----- - -.- -- _—---- - -
Under Slab
Top Out -_--- - ----
Water Service
Sanitary Sewer -- - - --
Rain Drains
Final ----- --- ---- - - ------
PASS PART FAIL
MECHANICAL
Post& Beam ----
Rough In
Gas Lir•.. ----- -- ----- - -
Smoke Dampers
Final ---- -- - -_- — ___
PASS PART FAIL
IX CTRI E- - --- - - —___ -
Service
-----------.._.----
Rough In —.—.-.- --- - ------ --
UG/Slab
Low Voltage;WAlarrn
PASS P RT FAIL
Backfill/Grading - --- - -- _
Sanitary Sewer
Storm Drain [ )Reinspection fee of$v required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ J Please call for reinspection RE: - I ;Unable to inspect-no access
ADA
Approach/Sidewalk
Other — Date f�✓ - Inspector _-- Ext --_
Final
PASS PART--FAIL DO NOT REMOVE this hispection record from the job site.
CITY OF TIGARD
13125 S.W. HALL B!-VD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
G + B PLUMBING
PO BOX 1269
HILLSBORO, OR 97123-1269
Plumbing Signature Form
Permit #: MST1999-00153
Date Issued: 4128/99
Parcel. 25101 DC-05100
Site Address: 13441 SW 75TH PL
Subdivision: PACIFIC RIDGE
Block: Lot: 003
Jurisdiction: TIG
Zoning: R-3.5
Remarks: PATH I: Now single family dwelling w/attached garage.
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return
this Plumbing Signature Form prior to the start of the work .
No plumbing inspections will be authorized until this completed form is received
AN INK SIGNATURE IS REQUIRED ON THIS FORM
(--)WNLR: PLUMBING CONTRACTOR:
PARI( WEST PROPERTIES INC G + B PLUMBING
12670 SW 68TH AVE PO BOX 1269
SUITE 300 HILLSBORO, OR 97123-1269
TIGARD, OR 97223
Phone tl Phone #: 640-5710
Reg #: I Ir 00000199
PI M 34-44PB
X �
Signature of Authorized Plumber
Please return this completed form to the address above.
ATTN: Building Dept.
If you have anv questions, please call (503) 639-4171, ext. # 310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
DAVID JEROME ELECTRIC
PO BOX 751
HILLSBORO, OR 97123
Electrical Signature Farm
Permit #: MST1999-00153
Date Issued 4/28/69
I"arcel: 2S101 DC-05100
Site Address: 13441 SW 75TH PL
Subdivision: PACIFIC RIDGE
Block: Lot: nn3
Jurisdiction: TIG
Zoninu: R-3.5
Remarks: PATH I: New single family dwelling w/attached garage.
Your company has been indicated as the electrical contractor fog the permit indicated above. In order for the
electrical permit to be valid, the signature of the supervising electrician is required.
Please have the appropriate individual from your company sign below and retu:n this Electrical Signature
Form prior to the start of the work to the address above, ATTN. Building Dept.
No electrical inspections will be authorized until this completed form is received
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: ELECTRICiA- CONTRACTOR:
PARK WEST PROPERTIES INC DAVID JEROME ELECTRIC
12670 3W 68TH AVE PO BOX 751
SUITE 300 HILLSBORO, OR 97123
TIGAF<u, OR 972'3
Phone #: Phone #: 503-648-5144
Req #: LIC 36051
SUP 2877s
EI.E 34-1190
.!
Siranature of SupervrsrnU _IF ectrician
If you have anv questions, please call (503) 639-4171, ext. # 310