12289 SW 114TH TERRACE ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION DIVISION �qST
24-Hour Inspection Line; 639-4175 Business Line: 639-4171
BUP _
_Date Requested ���� l�j AM PM BLD
c ` �"iiti2 c f I t —
Location ��'z � .( f ��- �Cd��� MEC
Contact Person L0 EhC��v ���- 'S'�Q-- Ph 5/c/9- ` S`-r'3 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Fig Drain SGN
Crawl Drain Inspection Notes: — --
Slab
— ---------- --- — SIT
Post& Beam
Ex;Sheath/Shear
Int Sheath/Shear
Framing ----
Insulation _
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
RAS PART FAIL ---------.-- __�—_
PLUMBING
Post& Beam -- `-- - -- -
Under Slab
Top Out -- --
Water Service
Sanitary Sewer —
Rain D.ains
Final -- �---' - —
PASS ART FAIL -- - -- - - —_--_._'MEGHANWAL
Pos
Rough In
Gas Line
Smoke Damj,=rs
r>al- -- ---- -- _—.- —
4—PA§2 PART FAIL
_ ELECTRICAL
Service
Rough In
N UG 31ab
�- Low Voltage
Fire Alarm
Final --- ---- -- ---------_----- ---
PASS PART FAIL -- --�-- _ — ---- -- _—_�T_ -_-
;' SITE
Backfill/Grading _--
Sanitary Sewer
Storm Drain ( i Reinspection we of$ _ _ required before next inspection. Pay at City Hail, 13125 SAN Hall Plvd
Catch Basin
Fire Supply Line I 1 Plecge call for reinspection RE: _ ( )Unable to inspect-no access
ADA
Approach/Sidewalk Date% =� Inspector
Othe► Ext
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY O F T I G A R® ' MASTER PERMIT
?ERMIT#: MST1999-00295
., DEVELOPMENT SERVICESATE ISSUED: 10/04/1999
-
13125 SW Hall Blvd., Tigard, OR 97223 (5.3) 7i '
NAL
SITE ADDRESS: 12289 SW 114TH TERR PARCEL: 2S103.,B-WG019
SUBDIVISION: WALNUT GLEN ZONING: R-4.5
BLOCK: LOT: 019 JURISDICTION: TIG
REMARKS: Construction of single family detached residence, Path 1.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS P.EQUIRED
CLASS OF WORK: NEW HEIGHT: 21 FIRST: 1.603 s1 BASEMENT: sl LEFT: 5 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 342 111 GARAGE: 810 sl FRONT: 20 PARKING SPACES
TYPE OF CUNST: 5N DWELLING UNITS: 1 FINRSMENT: sl RIGHT: 5
VALUE: S 154,846.81
OCCUPANCY GRP: H3 BDRM: 4 BATH: 3 TOTAL: sl REAR: 50
_ PLUM13ING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: RAIN DRAIN: 100 TRAPS:
LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB/SHOWERS: GARBAGE DISP. I WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR. 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<10OK: 1 BOIL/CMP<OHP: VENIFANS: 4 CLOTHES DRYER: i
S FURN>-100K: UNIT HEATERS: HOODS: I OTHFR UNITS: 1
MAX INP: bill FLOOR FURNANCES: VENTS: WOODSYOVES: GAS OUTLETS: 1
ELECTRICAL �—
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: I 0 200 amp: 0 - 200 amp: W/SVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 4 201 400 amp: 201 400 amp: 191 W/O SVC/FDR: 00 SIGN/OUT LIN LT. PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL BP.CIR: SIGNAL/PANEL: IN PLANT:
MANU HM/SVC/FDR: 601 • 1000 amp: 601-amps-1000w MINOR LABEL:
1000+amplvolt
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: S%ICIFDR>=225 A.: >600 V NOMINAL CLS AREA/SPC OCC:
EI.ECTRICAL-RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS.
Owner: Contractor: TOTAL FEES: $ 3,619.47
RIVERSIDE HOMES RIVERSIDE HOMES Tigard
permit is subject to the regulations contained in the
Tigard Municipal Code,State of OR Specialty Codes and
15455 NW GREENBRIER PKWY 1140 15455 NW GREENBRIER PKWY all other applicable laws All work will be done in
BEAVERTON,OR 97006 SUITE 140 accordance with approved plans This permit will expire if
BEAVERTON,OR 97006-2115 work is not star'ed within 180 days of issuance,or if the
ct work is suspended for more than 180 days ATTENTION
N Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center Those rules are set
1 Rep a: 111: ;(1065 forth in OAR 952-001-0010 through 952-001-0080 You
J may obtain copies of these rules or direct questions to
m OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Erosion 844-8444 Post/Beam Merhanica PLM/Underfloor Framing Insp Insulation Insp Mechanical Final
Footing Insp Underfloor insulation Mechanical Insp Shear Wall Insp Rain drain Insp Plumb Final
Foundation Insp Crawl Drain/Backwater Plumb Top Out Low Voltage Water Line Insp Final inspection
Slab Insp Fooling/Foundation Dr; Electrical Service Gas Line Insp Appr/Sdwlk Insp Building Final
Post/Beam Structural Plm/undslab Insp Electrical Rough In Gas Fireplace Electrical Final
Issued B ��-_T Permittee Signature
Call (505')'0639-4175 by 7:00 p.m. for an inspection needed the next business day
SEWER CONNECTION PERMIT
CITY OF TIG.�R®
DEVELOPMENT SERVICES PERMIT#: SWR1999-00183
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/04/1999
PARCEL: 2S 103AB-WG019
SITE ADDRESS; 12289 SW 114TH TERR
SUBDIVISION: WALNUT GLEN ZONING: R-4.5
BLOCK: LOT: 019 JURISDICTION: TIG
TENANT NAME: RIVERSIDE HOMES
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: Single family detached.
Owner: FEES
RIVERSIDE HOMES Type By Date Amount Recript
15455 NW GREENBRIER r,'VJY#140 --
BEAVERTON, OR 97006 PRMT GEO 10/04/199 $2,300.00 99-318820
INSP GEO 10/04/199£ $35.00 99-318820
Phone: 645-098b Total $2.335.00
Contractor:
Phone:
Reg #:
Required Inspections
Sewer Inspection
p�IG
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 requires you to follow rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rubs or direct questions to OUNC by calling (503) 246-1987
Issued by: f< Permittee Signature/
Call (503) 63q-4175 by 7:00 P.M. for an inspection needed the next business day
•w+.w..1111��'+�M:MM!'f�•^-1A...wFw+�rw�'�'�'�- N1
a'CY OF TIGARD Residential Building Permit Application Pla.'rj Rv # .,.
Recd By6q'9-0
3125 SW MALL BLVD. New Construction Date Recd
'IGARD, OR 97223 single Farnily Detached Date to P.E. aS�
1503-639-4171 Date to DST l
503-684-7297 Permit#H 5T/99
Print or Type Called_
Incomplete or illegible applications will mit be accepted
NameofP 9 Name
Job LI] Architect Mailing Address
Address sneb �a � iyIstale ZIP one
Na, , f - -----
( Nart�e
Owner Address �D .11\►�.
14-- '' Engineer Ma19ngAidress
City/State Zip Phone
—CIty%State Zip Phone
General "lame —
Contractor � �� Describe work New O Addition O Alteration O Repair O
Mailing Address to be done: ----
Prior to permit Additional Description of Work:
issuance,a copy City/State Zip Phone — --
of all licenses
are required N —0 vi.n Const.Cont.Boar_d Exp.Date PROJECT
expired in COT L+c.#( ¢ �/�� • VALUATION $ r) _
database QAC l� NEW CONSTRUCTION ONLY:
"'.' ��< <� vrs
Mechanical Name
S^ ct.H se: Sq. Ft t3 rage � ,�
Sub- /C /�� '� o ,
Contractor Mailing Address Indlca!e the restricted energy installation by the electrical
Prior to permit � —I sub_contrhi for in the following areas
issuance,a copy City/stat Zl� Ph lL r��"j
° e yRestricted Audio/Stereoof all licenses Energy S stem Alarms
are required If Oregon Const C nt.Board . etc
Installations Vacuum Irrigation
eApired In COT Lic.# 5� j ,e� �� _ S em Sys;am
database _
t (check all that Other:
Plumbing Name
apply)-
Sub-
IStJb- / C _���+r1 JR 1 ___ Number of Units in Bulldinp �Unlumber Designation
Contractor Mailing Address
,t -T"t t Has the Cubdivision Plat recorded N/A YES NO
Prior to permit C -+.,/tact Zip Ph°n_ri_` -
issuance,a copy -1 r 'of all all licenses are or Cons.Cont. oard Exp Date
required If Lic.#
expired in COT I hearby au-,nn-ledge that I have read this application,that the
database Plumbing Lic.# Exp.Date
information given is correct,:hal I am the owner or authorized agent
of the owner, and that plans submitted are in compliance with
►� — Na Ore on State laws. _—
N Signa of Owner/Agent
Electrical / a,� � c/a
't `I
Sub- Melling _ �� Crnrtact Paw l Name hone#
Contactor "f
CRylState Zip
Phone
w Prior to permit 7
J issuance,a copy a /6- ALL'J ^ FOR OFFICE USE ONLY:
of all licenses are Oregon Const.Cont. Board Exp.Date Ma L#: �� Q�
required if Lie.# Flat#. ;z /E 3 Q Q
expired In COTZone-
database Eletdddl L c 9 Exp.Date Setbacks: D j
Electrical Supervliigr LIc.# Exp.Date EIn Si ApprOxal: Planning Approval: TIF:
i\dsls\fonns\sfd•newdoc 11/20I9B
118.77'
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4 COMPASS CORPORATION LOT 19 1
ENGINEERING * SURVEYING * PLANNING WALNUT GLEN
9564 S.E. uucc MAocws� ess-9oa rN01K
T IGARD, OREGON
Ye.KAUKIC. 00MON 97222 (s0) e!J-t09s FAX
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CERTIFICATE OF OCCUPANCY
CITY ®F I I G A R D
PERMIT#: MST1999-00295
DEVELOPMENT SERVICES DATE ISSUED: 10/04/1999
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103AB-06100
ZONING: R-4.5
JURISDICTION: TIG
SITE ADDRESS: 122b9 SW 114TH TERR
SUBDIVISION: WALNUT GLEN FILE
BLOCK: LOT:019
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: Construction of single family detached residence, Path 1.
Fi ial Builoing Inspection and Certificate of Occupancy
At opt 12/16/99 by Ken Schriendl, Building Inspector
Owner:
RIVERSIDE HOMES
15455 NW GREENBRIER PKWY #140
BEAVERTON, OR 91006
Phone: 645-0986
Contractor:
RIVERSIDE HOMES
15455 PAW GREENBRIER PKWY
SUITE 140
BEAVERTON, OR 97006-2115
Phone: 503-645-0986
Reg #: I.IC 70065
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This Certificate grants occupancy of the above referenced building or portion thereof P 'd
confirms that the building has been inspected for compliance with the State of Oregon
Specialty Codes for the group, occupancy, and use under which the referenced permit was
issued. �-
BUILDING INSPECTOR BUILDIN FFICIAL
POST IN CONSPICUOUS PLACE