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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
BUP
Date Reeq'uested � AM_ PM BLD
LI-til Location ,� �lG� 1 "/ Suite MEC
Contact Person rL-C,� Ph y U 3"3`� ? �, PLM
Contractor Ph SWR _
IBU DING _ Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS _
Ftg Drain SGN —
Crawl Drain Inspection Notes: -- --
Slab ----------- - --� - — SIT
Post& Beam -- -
Ext Sheath/Shear
Int Sheath/Shear
Framing _
Insulation
Drywall Nailing --- --- -- - - - --- --- ---
Firewall
Fire Sprinkler _ _-__.---___._M__.__.__-.--- --------_-- -- --- -------_-__-- - --
Fire Alarm
Susp'd Ceiling ----------- ---.____..----_._-_._ _-----.-------_ _.--_--
------- _._ _.._.-------------
Roof
Misc -- - -----
Fi ---
ART FAIL
PLUMBING
Post& Beam
Under Slab
Top Out
Water Service
Sanitary Sewer -
Rain Drains
Final -,' --- - -------_----- -
PASS PART FAIL
ANI
Posm - - ------ ---- --- ------ —-
Rough
Lias ' re
Sm e Dam
i .a --------
S PART �, FAIL ---- ----------- - ------
ELECTRICAL -.-
;, Service_
v Rough In - -
y UG/Slab _—..� --- -- — ---
�- Low Voltage
Fire Alarm
c� Final
PASS PART FAIL
J
SITE
Backfill/Grading -- -- - -----
Sanitary Sewer
Storm Drain ( ] Reinspection fee of$ —_required before next inspecfon. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin I ] Please call for reinsperlion RE' _—_�— _ ( ] Unable to inspect-no access
Fire Supply Line -
ADA
Approach/Sidewalk--/ Date
Other _L7__ —_ Inspector _ Ext
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MS
24-Hour Inspection Line: 639-4475 Business Line: 639-4171
B'1�
Date Requested ZZ"" UU f M PM BLD
Location ' L���Y� Suite q MEC
V%,r4
Contact Person C22 - Ph_ Ph G/y '_3q �/ _ PLM —
Contractor Ph SWR
BUILDING Tenant/Owner ELC.
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain �--- SGN
Crawl Drain Inspection Notes:
Slab - — -- ----- SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
F raming
Insu!at;on
Drywsill Nailirg
Firev,all
Fire Sprinkler
Fire Alarm
Susp'd Ceiling --- - ---- -
Roof
Misc: ----- - ---- - -- - ---- — -
Final
PASS PART FAIL -- - -- - -MILUMBIRW
Post&ream
Under Slab
Top Out - - __ - --- -- --- ------- -
Water Service
Sanitary Sewer
Rain Drains
PART FAIL
<MMANICID
Post&Beam - -
Rough In
Gas Line - - - -
Smo Dampers
ASS PART FAIL
RIG -
Service
Rough In
UGiSlab -
Low Voltage
Fire Alarm —
vngl.�
PART FAIL —
i
Backfill/Grading
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ J Please call for reinspection RE: ( J Unable to inspect-no ac.ess
Fire Supply Line
ADA
Approach/Sidewalk Date 7 Z' Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this Inspection record froth the job site.
CERTIFICATE OF OCCUPANCY
CITY OF T I G A R D
PERMIT#: MST1999-00386
DEVELOPMENT SERVICES DATE ISSUED: 12/13/1999
13125 SW Hall Blvd.,Tigard, OR 97:23 (503) 639-4171 PARCEL: 2S103AB-04400
ZONING: R-4.5
JURISDICTION: TIG
SI"i E ADDRESS: 12356 SW 114TH 'TERR FILE
SUBDIVISION: WALNUT GLEN COPY
BLOCK: LOT:002
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: PATH r New single family dwelling w/attached garage.
Final Building Inspection and C,:rtificate of Occupancy
Approved 2/25/00 by Ken Schriendl, Buiiding Inspector
Owner:
RIVERSIDE HOMES
1545 : AW GREENBRIER Pit`NY #140
BEAVLRTON, OR 57006
Phone: 645-0986
Contractor-
RIVERSIDE HOMES
15455 NW GREENBRIER PKWY
SUITE 140
BEAVERTON, OR 97006-2115
Phone: 503-645-0986
Reg #: LIC 70065
J
i7
_7
J
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
Specialty Codes for the group, occupancy, and use kinder which the referenced permit was
issued.
BUILDING INSPECTOR BUILDIN FFICIAL
POST IN CONSPICUOUS PLACE
. CITY OF TiCARD MASTER PERMIT
ORIGINALE PERMIT#: MST1999-00386
DEVELOPMENT SERVICES ISSUED: 12/1311999
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 12356 SW 114TH TERR PARCEL: 2S103AB-04400
SUBDIVISION: WALNUT GLE=N ZONING: R-4.5
BLOCK: LOT: 002 JURISDICTION: TIG
REMARKS: PATH I: New single family ewellina wiattached garage.
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 21 FIRST: 1.603 at BASEMENT: 3,1200 at LEFT: 40 SMOKE DETECTORS: v
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: at GARAGE: 545 at FRONT: 20 PARKING SPACES: .
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sl RIGHT: 5
VALUE: $149,178 01
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: at REAR: 22
PLUMBING
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:
TUBISHOWERS: 3 GARBAGE DISP: I WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K: BOILICMP<3HP: VENT FANS. 4 CLOTHES DRYER: 1
GAS FURN>=100K: I UNIT HEATERS: HOODS: 1 OTHER UNITS: I
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT _ SERVICE FEEDER TEMP SRVCIFEEDERS 6RANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
V1000 SF OR LESS: 1 0 200 a•,np: 0 200 amp: WISVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION:
EA ADO'L 500SF: 3 201 400 amp: 201 400 amp: tet WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 600 amp: 401 600 amp: EA ADDL BR CIR: SI,NAL/PANEL: IN PLANT:
MANU HMISVCIFDR: 601 • 1000 amp: 6014ampe-1000v: MINOR LABEL:
1000.amplvoll
PLAN REVIEW SECTION
Reconnect only:
>•4 RES UNITS SVCIFDR>=225 A.: >600 V NOMINAL: CL3 AREAISPC OCC:
ELECTRICAL_•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO&STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPFARRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL N SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 3,575.77
This permit is subject to the regulations contained in the
RIVERSIDE HOMES RIVERSIDE HOMES Tigard Municipal Code,State of OR Specialty Codes and
15455 NW GREFNBRIER PKWY#140 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 started within 180 days of issuance,or if the
w, is suspended for more than 180 days ATTENTION.
Phone: Ptnme. Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center Those rules are set
Reg a: 1 I 7006', 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 Slab Insp Footing/Foundation Dr Electrical Rough In Insulation Insp Mechanical Fina
Grading Inspection POst/Be3m Structural PLM/lJnderflool Framing Insp Rain drain Insp Plumb Final
Grading Inspection Post/Beam Mechanica Mechanical Insp Shear Wall Insp Water Line Insp Final inspection
Fr Ming Insp Underfloor insulation Plumb Top Out Gas Line Insp ApprlSdwlk Insp Building Final
Foundation Insp Crawl Drain/Backwater Electrical Service Gas Fireplace Electrical Fln31
Permittee Signature
Issued By � �� .--
Call (501-) 639-4175 by 7:00 p.m.for an Inspection needed the next business day
CITE' OF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR1999-00244
13125 SW Hall Blvd.,Tigard, OR 97223 (502' ,39-4171 DATE ISSUED: 12/13/1999
PARCEL: 2S103AB-04400
SITE ADDRESS; 12356 SW 114TH TERI,
SUBDIVISION: WALNUT GLEN ZONING: R-4.5
BLOCK: LOT: 002 JURISDICTION: TIG
TENANT NAME: RIVERSIDE HOMES
UST. NO: FIXTURE UNITS: 0
CLASS OF WORK: VIEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: L.TPSWR IMPERV SURFACE:
Remarks: Sewer connection fo: a new single family dwelling.
Owner: FEE _
RIVERSIDE HOMES Type By Date Amount Receipt
15455 NW GREENBRIER PKWY#140 -
BEAVERTON, OR 97006 PRMT GEO 12/13/1995 $2,300.00 99-320380
INSP GEO 12/13/1995 $35.00 99-320380
Phone: 645-0986 Total $2,335.00
Contractor:
Phone:
Reg #:
Required Inspections
Sewer Inspection
ORIGINAL
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 expir i. The Agency does not
guarante a the accuracy of the side sewer laterals. If the sewer is not located at the mea, urement given, the installer
shall prof pect 3 feet in all direcbor,s 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 � -u to follow rules adopted
by the O,egon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these roes or direct questions to OUNC by calling (503) 246-1987
i
Issued by: / --- Permittee Signature:
Call ( 03) 839-4175 by 7:00 P.M. for an inspection needed the next business day
CI`1"—Y OF TIGARD Residential Building Permit Application Plan Check# // 33
Recd By
13126 S1V !-TALL BLVD. Additions or Alterations Date Recd_
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E.
V 503-639-4171 Date to DST
F 503-684-7291 /� LN Permit
Print Or Type Called
A Incomplete or illegible applications will not be accepted
Name
,,ofProject Name
Job V'Y l H. C-t &—I
--L_c4
Address Site Address Architect Mailing Address
City/State Zip Phone
Name k(V VC IV
Owner Mailing Address po Name
15q5 IN ►-eevlbrier � .---
city/Stat zi Pno Engineer Mailing Address
_ Dpi
-- C �'" City/State Zip Phone
General Name
Contractor SCLYY)(� (:1 S C)LA.) he-r Describe work New)K Addition O Alteration O Repair O
Mailing Address to be done
Prior to permit Additionpi Description of Work:
issuance,a copy City/State Zip Phone
of all licenses _
are required if Oregon Const. Cont. Board Exp.Date PROJECT / {/
expired in COT Lic.#�7U0(�S i I7 G/� VALUATION $
database / / /Cl '
NEW CONSTRUCTION ONLY: 92 , /-�-. =•z ,
Sq. Ft, House: C, � Sq. Ft. Gara e
Indicate the restricted energy ins•allation by the electrical
io P nnn subcontractor in the followin areas —_
C Restricted Audio/Stereo
ont. nerd /Exp.Date
Energy System Alarms
..l Installations Vacuum Irrigation
System System
(check all that Other:
Sub- _ I l�i" ►i,�c "t"�'�!► `� ff. '1� apply)
Contractor Maliinn AAA--- til Corner Lot YES NO Flag Lot YES NO
(check one (check one
1 Has the Subdivision Plat recorded? NIA YES NO
Prior to permit %jrtyrotete Zip Phone
issuance,a copy f - --
of all licenses are Oregbn Const.Cont.Board Exp.Date
required if LicA (-., I a I hearby acknowledge that I have read this application,that the
expired in COT /3�5 Ur
database Plumbing LIC,# Exp ate information given is correct, that I am the owner or authorized agent
Q ,/ of the owner, and that plans submitted are in compliance with
_ 3 q-3 q u f v Ore on State laws. _
d Name Signature of Ow er/Agent Dat
` Electrical u)Ser eLt?�+ +r�
r- i( � Cont Person PN me Phone#
n Sub- Mailing Address
Contractor ;)2>75 5C 1 7yt'�
city/State Zip Phone
Prior to permit
D issuance,a copy ' Q- FOR_ OFFICE USE ONLY: _
of all licenses are Oregon Const.Cont.Board Exp Date — --
required H Lic.# Plat#: (f ap/TL#"
expired in COT 1 1 o k � r 4 516 3
database Electrical Lic.fE\� Exp. a1 0 �. Setbacks Zo : Solar:
Elect cat visor Ll # x ate �Engii eerringrAp81: Planning Approval: TIF:
�,'7 !//f/&-T/`r� i:\dsts\forms\.sfaddalt.doc 11120/98
CITY OF TIGARD Residential Building Permit Application Plan Check# //.
13125 SW HALL BLVD. Additions or Alterations Recd By _
Date Recd__1L t _
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E.11-/
V 503-639-4171 / Date to DST 22 _
F 503-684-7297 _<C Permit#1"'>r1t"124-5%
Print or Type I called. _
n In,�ornplete or illegible applications will not be accepted
Name of Project — ^ T Name -
Job j Lt1 mc t GH E'er Architect Mailing Address ---
Address Site Address
U I�,U) I IL4t)l -tf.L MU C:ity!State Zip Phone
Name Ri V — -
Owner Mailing Address Name
5 W rl°evlbrf�er � 0 _ ---
City/State Z12 _ Ph � U Engineer Mailing Address
U ve (n ` City/State Zip Phone
General Name
Contractor `>CI,rYI('_ Cl S C�LA-) h b Describe work New)< 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 if Oregon Const.Cont.Board Exp Date J PROJECT
expired in COT Lic.# VALUATION
database 700(aS 1 I�]ICO
Mechanical Name -�- NEW CONSTRUCTION ONLY: �2
Sub- ) �' . Sq. Ft. House �_; Sq. i-t. Dara
Contractor Mang Address Q y`-:>
Prior to permit Indicate the restricted energy installation by the electrical
issuance,a copy ,C1Lv/. tafe Zto P nA subcontractor in the followin areas
of all licenses . C Restricted Audio/Stereo
are required if Oregon Const.Cont. oard txp.Date Energy System _ Alarms
expired in COT Lie r .,i Installations Vacuum Irrigation
_ database '7 5 System System
Plumbingfla^)'^ (check all that Other:
fl
Sub- l lor' h f`emix* f'Pld/tbt apply) _
Contractor Mallin^AAA— Corner Lot YES NO Flag Lot YES NO
�� (,�"`�" (check one _ _ (check one'
Has the Subdivision Plat recorded? N/A YES NO
Prior to permit truy,atate Zip Phone
issuance,a copy r - —of all licenses are Ore n Const.Cont.Board Exp.Date
required if Llc.#
expired in COT / 0r;c:- y 'a I hearby acknowledge that I have read this application, that the
�:J
database Plumbing Lie.# Exp. ate information given is correct, trial I am the owner or authorized agent
p q of the owner, and that plans submitted are in compliance with
p Oregon State laws.
Name "b;ajure of Ow er/Agent Da
Electrical �' - l - '� H N
Contac Person N me Phone#
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Contractor �-]� —,_)C L 7yt"
City/State Zip Phone
Prior to permit
issuance,a copy a. c- �_6� Q FOR CFrICE USE ONLY:
of all licenses are Oregon Const.Cont.Board Exp. Date --
required if Lic.# ` Plat#: ap/TL#.
expired in COT r� 1 G I, S x , ��3 60�
database Electrical Lie ` xp. ete Setbacks Zo Solar:
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Elect cal Sup#rvviisor Liq.# Exp. at/ �gi ee�ng� rov I: Planning Approval: TIF:
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WAOI ifl "GLEN
4564 S.L. uucr ROAD [507) 65.1 6563 P14ONr -- TIGA�itJ �r1EGON 1
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