14152 SW 97TH PLACE P
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J/�l` f�Ill. LOTPLAN
I-IR 131111.I )IR INO 1)(AM 1_30459 'I I(�ARD OR 97281 G1.02
1'11: OHR75 VAX: 684-0671
Lot g Subdivision Lr,, 13
Address �-... �/ �1 Tigard
Scale 1/8" = 1 ' Notes: Dowiv;pouts and crawlspacl oraln to stroot. Sidowalks and dilveway appoacla to city code.
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14152 SW 97th AVENUE
CERTIFICATE OF OCCUPANCY
CITY OF TIGARD
PERMIT#: MST1999-00230
DEVELOPMENT SERVICES DATE ISSUED: 07/16/1999
20 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111 BA-00113
ZONING: R-4.5
JURISDICTION: TIG
SITE ADDRESS: 14152 SW 97TH AVE COPY
SUBDIVISION: TIGARDVILLE HEIGHTS
BLOCK: LOT:028
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 Building Inspection and Certificate of Occupancy
Approved 11/24/99 by Torn Plescher, Building Inspector
Owner:
JAY MILLER BUILDER, INC
PO BOX 230459
TIGARD, OR 97281
Phone: 684-7543
Contractor:
JAY MILLER BUILDER INC
ru BOX 230459
TIGARD, OR 97281
Phone: 684-7543
Reg #: LIC 30109
This Certificate grants occupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the `'tate of Oregon
Specialty Codes for the group, occupancy, and use u tier which the referenced perinit was
issu I - > l �y
BUILDING INSPECTOR BUILDING OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
BUP
Date Requested (� � 4jV-1 AM PM BLD
-ocation !_ a= } � q-7+1' i1ZA+_ Suite -7
MEC _
Contact Person J , : , �'.C Ph -7S PLM _
Contractor _ Ph SWR _
SL#4DING� Tenant/Owner ELC
Retaining Wall `
Footing ELR —
Foundation Access
Ftg Drain �`•_(. ( �/ SCA FPS --- ---
Crawl Drain Inspection Notes: SGN
Slab - --- -----
Post& Beam -- �, �S _ SIT ------ ---_
Ext Sheath/Shear
Int Sheath/Shear - -- ----- -----.-
Framing
Insulation ------ - -
Drywall Nailing
Firewall
Fire Sprinkler _ G F Cj�' ,� G' ► /�,
Fire Alarm �� --
Susp'd Ceiling �
Roof --
Misc:
-PAS PART FAIL
NG
Post&Beam
Under Slab
Top Out �_..—
Water Service
Sanitary Sewer
Rain Drains
Final -- -
PASS PART FAIL OIL
MECHANICAL +-
Post& Beam --- __-__--�----
Rough In -
Gas Line ---- -
Smoke Dampers —
Final
PASS PART FAIL `
ELECTRICAL --- ------ J — --Service
Rough
Rough In -
UG/Slab _—
Low Voltage
Fire Alarm
Final - -
PASS PART FAIL _
SITE -
Backfill/Grading - ----
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ `required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin —
Fire Supply Line [ J Please call for r inspection RE. _ [ J Unable to inspect-no access
ADA
Approach/SidewalkG
Other Date 1 / G�Inspector Ext
Final
PASS PART FAIL 00 NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD MASTER PERMIT
PERMIT#: MST1999-00230
DEVELOPMENT SERVICES DATE ISSUED: 7/16/99
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 14152 SW 97TH AVE PARCEL: 2S111BA-00113
SUBDIVISION: TIGARDVILLE HEIGHTS ZONIN3: R-4.5
BLOCK: LOT: 028 JURISDICTION: TIG
REMARKS: PATH I: New single family dwelling w/attached garage.
BUILDING
REISSUE: STORIES: 1 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: FIRST: 1 171, sf BASEMENT. sf LEFT: 9 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD, an SECOND. I;;ln sf GARAGE: 594 sf FRONT: I, PARKING SPACES:
TYPE OF CONST: 514 DWELLING UNITS: FINBSMENT: sf RIGHT: 7
VALUE. 5 170.035.90
OCCUPANCY GRP: R3 BURW 4 BATH: 7 TOTAL: of REAR: 41
PLUMBING _
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS. I CATCH BASINS:
TUB/SHOWERS: l GARBAGE DISPc 1 WATER HEATERS I WATER LINES: 100 BCKFLW PREVNTR. 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K: BOIUCMP<AHP: VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN>-100K: 1 UNIT HEATERS: HOODS: OTHER UNITS 1
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER _TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANCOUS ADD'L INSPECTIONS
1000 SF OR LESS: I 0 200 amp: 0 200 amp. WISVC OR FDR: 1 PUMP/IR,tIGATION. PER INSPECTION:
EA ADD'L 500SF: 4 201 400 amp: 201 400 amp: 1st WIO SVCIFDR: 00 SIGN/O JT LIN LT: PER HOUR:
LIMITED ENERGY: 401 000 amp: 401 000 amp: EA ADDL OR CIR: SIGAALIPANEL: IN PLANT:
MANU HM/SVCIFDR: 001 • 1000 anm 001+amps-1000v: MINOR LABEL:
1000+amp/Voll
PLAN REVIEW SF CTIUN
Reconnect on1.
»4 RES UNITS: 9VCIFDR»225 A.: 600 Y NOMINAL: CLS AREAISPC OCC:
ELECTRICAL-RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM. AUDIO 6 STEREO: FIRE ALARM. INTERCOMIPAGING: OUTDOOR LNUSC LT:
BURGLAR ALARM: O"tH BOILER: HVAC LANDSCAPEARRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK. INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATAITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 5,812.54
This permit is subject to the regulations contained in the
JAY MILLER BUILDER, INC JAY MILLER BUILDER INC Tigard Municipal Code.State of OR. Specialty Codes and
PO BOX 230459 PO BOX 230459 all other applicable laws All work will be done in
TIGARD.OR 97281 TIGARD,OR 97281 ordance with approved plans This permit will expire if
work I„not started within 180 days of issuance,or If the
work is suspended for more than 180 days. ATTENTION.
Phans: ORI
I • Pbon.: Oregon law requires you to follow rules adopted by the
In\ Oregon Utility Notification Center. Those Iulos are set
Rep M: 11C 3n109 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)249;-1987
REQUIRED INSPECTIONS
Erosion 844-8444 Underfloor Insulation Plumb Top Out Low Voltage Appr/Sdwlk Insp Building Final
Footing Insp Crawl Drain/Backwater Electrical Service r n-;UnP Inar Electrical Final
Foundation Insp Footing/Foundation Drl Electrical Rough In Insulation Insp Mechanical Final
Post/Beam Structural PLM/Underfloor Framing Insp Rain drain Insp Plumb Final
Post/Beam Mechanical Mechanical Insp Shear Wall Insp Water Line Insn Final Inspection
Issued By : Air '� `— Permittee Signature : r c
Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business bad
R
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT #: SWR1999-00142
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/16/99
SITE ADDRESS; 14152 SW 97TH AVE PARCEL: 2S111BA-00113
SUBDIVISION: TIGARDVILLE HEIGHTS
Bt-OCK: LOT: 028 ZONING: R-4.5
JURISDICTION: TIG
TENANT NAME: JAY MILLER BUILDER, INC ----
USA NO:
CLASS OF WORK: NEW FIXTURE UNITS: 0
T` PE OF USE: SF DWELLING UNITS: 1
INSTALL TYPE: LTPSWR NO. OF BUILDINGS: 1
IMPERV SURFACE:
Owner: Remarks: Sewer connection for a new single family dwelling.
JAY MILLER BUILDER, INC FEES _
PO BOX 230459 Type By Date A Receipt
TIGARD, OR 97281 PRM_—T —
BON 7;16/99 $2,300.00 99-316942
INSP BON 7/1 9/99
Phone: 684-7543 $35.00 99-316942
Contractor: —'—
Total $2,335.00
KEN WA1TIJ M
CONSTRUC ON INC
PO BOX 230925
TIGARD, OR 97281
Phone: 684 4431
Reg #: LIC 100:33(,
I'lM 34131 01'
i GINn L
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" Perm(t 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 952-001-001U through OAR 952-001-0080
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued by: � �2ct.�V�Q,�'�-
Permittee Signature; -
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day , 1
.;ITY OF -rIGARD Residential Building Permit Application Plan Check#
1,1125 SW HALL BLVD. New Construction Recd By I
TIGARD', OR 97223 Single Family Detached Date Recd_
V 503-639-4171 Date to P E
F 503-684-7297 Date to DST-,/
Permit# P 736
Print or Type Called 7/y-�
Incomplete or illegible applications will not be accepted er-fr
Nome of Prn�;,j v Name
..lob 7��i�4i17✓r LLt �f�J+j
IV Name
Address Site Address �,� Architect Mailing Address
Name 1 City/State Zip Phone
Owner Mai l d e ? Na q it Tit Itvi In,I/{� �1 n
Cd t to non Engineer Marg- dres
General Naml� �� �) ��- Cityi/.SUta Zip Phone
Contrar2.,r _
a0 1-7
•, W Describe work New Additi O Alteration O Repair O
Mailing Address to be done: _
Prior to permit _ Additional Description of Work: i
issuance,a copy City/State Zip Phone �l N�� r.aMit- f/ 4c.v
of all licenses -- -'—
aie required d Oregon Const.Cont. Board Exp,Date [VALU
ROJECT
expired in COT Lic.# `
database 7 �al�$ �� ATION $__
Mechanical Name — NEW CONSTRUCTION ONLY:
Sub- ' -4 t 0 POr Sq. Ft. House: Sq. F� ge
Contractor ilin Address 09(t) ar
Prior to permit �) - M61"I Indicate the restricted energy installation by the electrical
issuance,a copy /St f Z p Phone subcontractor in the followin areas_
of all licenses ',(•'r r� t^ C ) r- .t-fjIel Restricted Audio/Stereo
are required if Oregon Const.Cont.Board Exp,Date Energy System Alarms
expired,,COT - LIC#- �S C Installations Vacuum Irrigation
database / !7a _ S stem System
Plumbing Ne�e� — A 7Y7s (check all that Other, --
sub- wI NL: apply)
Contractor Mailing Address
Number of Units in Building Unit Number Designation
/by, Has the Subdivision Plat recorded? N/A YES NO
Prior to permit /Slate Ip Phone
issuance,a copy I&, e?j$, 11-W )
of all licenses are O on Const.Cont.Board Ex Date
required if Llc.# /'�Y1l
expired in COT 'w J/�l q`1
(�9tabase Plumbing Lic.N Exp Date I nearby acknowledge that I have read this application, that the
�� �3� information given is correct, that I am the owner or authorized agent
of the owner,and that plans submitted are in compliance with
Name Oregon le laws.
Electrical T ?�c�1CI I�( � (, Sig Q e/ gent Dat��/ f
Sub- Mailing Address / ' /
Contractor 1&606, -73,14 Con t P o Name Phone#
u �7 7� 3
CRY/State Zip Phone
Prior to permit If�
issuance,a copy 3 FOR OFFICE USE ONLY:
of all licenses are Oregon Const.Cont. Board Exp.D to
required if Lic.# let# Map/TL#:
expired in COT I "I > �U 0
database Elect II Lic,# Exp. to tbecks: one:
)I �SA IC, /2-4
Electrical Supervisor Lic.# Exp. Date EnginAering A proval: Planning Approval: TIF:
— O'er Uir
I\dsts\forms\sfd-new doc 11/20/99
SEE 35MM �
ROLL # 21 �
FOR
OVERSIZED
DOCUMENT