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14170 SW 116TH TERRACE 114170 '��` op `+ CL � o F ' is\recordsln,iuroflm%targetsV)uilding.doc c� LU J i W o o m c m Y � c) > O G C) L cu c O uG W O C c9 _p f �2 n. 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N O O O O O O 'O > T T T T T T 2 J O O O O O O .� z z z z z z O M CD d o w w w � a o d o 0 C! o Cn � m 0 wu cr CL (.7 Y Y v _o V1 a, o n n N N Oi O7 N N O � � [1 Of H N T F— v CW c c a o c7 g € it .a O v q 10 ;� Cl- S! y - c li ca m -aO � a U a m (� N 2 < < < < a a d m a a ] z CL \ j \ j § \ D _� § § { f of 6 & 7- _ _ = f = MS toz z z z z z I,-- Q C) p a c W m $ § } } j j \ 0) r � � 0 / § § / \ cn 2 \ m ■ n $ $$ $ I 3 ° § § p 4 0 4-- $ N v A s / e � e 2 E e § ( m E k t 7 / 7 / CL } x \ \ \ / / \ i / n 0 0 = n CITY OF TIGARD BUILDING INSPECTION DIVISION sT �� ^ ©c X43 24-Rour Inspection Line: 639-4175 Business Line: 639-4171 -- 1 ,/ BUP Date Requested 7,1_�,1DO —AM, PM BLD Location r 4 c 2D Suite _ MIX Contact - Contact Person Ph PLM -�_�� ' Contractor _ Ph SWR ' Tenant/Owner ELCJ Retaining Wall ELR _ Footing Access: Foundation FPS Ftg Drain Crawl DrainInspection Notes: h/r7-^ SGN _ Slab C SIT Post& Beam Ext Sheath/Shear l� Int Sheath/Shear Framing �_- Insulation Drywall Nailing ------_.---__-- -- ---_-____ Firewall Fire Sprinkler -- Fire Alarm usp'd Ceilicy Roof Misc: - rina SS PART FAIL -- - -------- ---_--_ ----_— -_`-IUM91NG Post&Beam Under Slab Top Out --------- Water Service Sanitary Sewer Rain Drains Final � � - PASS PART FAIL MECHANICAL .- Post& Beam _—_�- Rough In Gas Line Smoke Dampers Final - - — ----- PASS PART FAIL ELECTRICAL Service Rough In UG/Slab Low Vc 4age - n Fire Alarm - ---. ------ > Final ~ PASS PART FAIL SITE � Backfill/Grading w Sanitary Sewer w Storm Drain [ j Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ j Plesse call for reinspection RE: [ j Unable to inspect-no access ADA �r Approach/Sidewalk Date 2 Inspector Lj Other _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION -:m 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - /Oc Date F 'quested y _AM_,PM BLD Location t ��� Suite (� MEC - -�1' Contact Person �l-t,U ~� Ph Contractor Ph — _ SWR — t UI—LD ING0 Tenant/Owner ELC Retaining Wall ELR Fooiing Access: Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes: Slab �_ SIT Post& beam Ext Sheath!Shear Int Sheath/Shear Framinglinsulation Drywall Nailing -- Firewall IV Z-- l Fire Sprinkler "J ---- — — Fire Alarm Susp'd Ceiling _ ------ - -- -- Roof Misr: — -- — — ina j PASy-_PA [:AIL ---------- _._ —_ --- Pk&KUING Post 8. BeamUnderSlabSlab --_---- -_—__--- _- _-- -- To Out L W Top Sanii.ary Sewer -- Rain Drains 7�1. �_ --- -- ---- ASS PART FAIL A N I C A L r Post&Beam - --------- ---_-_.-._ Rough In Gas Line �.�� -- - -- ----- - - Smoke Dampers Final � - �- PASS PART FAIL ELECTRICAL -_----- _.__-. ---.------ 7eivice -- - -- — — Rough In UG/Slab j - -- �` Low Voltage h- Fire Alarm ___ -_-- ---_-- __- > Final ~ I PASS PART FAIL --- - SITE Backfill/Grading w Sanitary Sewer J Storm Drain I I Reinspection fee of$_ _ —_--required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( I Please call for reinspection RE. ( I Unable to inspect-no access Fire Supply Line — ADA � �q Z, f�/� Approach/Sidewalk Date v Inspector. __. Ext . � ✓ v Other -- Final PASS PART FAIL 00 NOT REMOVE this inspection record from the i-b site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST (61q'I 24-Hour Inspection Line: 639-4175 Business Line: 635-4171 euP _ Date Requested f' _AM PM _ _gip Location ��( �(�,' ���� / ��� Suite MEQ, Contact Person ���:� Ph _ S�Z L ��� PLM Contractor Ph SWR BUILDING Tenant/Owner �� \ ELC — Retaining Wall T ELR Footing Access: _ Foundation / r" FPS Ftg Drain SGN Crawl Drain Inspection �i tes: -- - Slab �—.. �� — ` ;i SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear F,aming Insulation Drywall Nailing Firewall Fire Sprinkler __—_T—.- -----_--_- --_- -- Fire Alarm Susp'd Cc;:ing - Roof Final � 4 PASS PART FAIL ----- — —_._—._ ------- W—L!M13 I NG ----L!M13ING Post&Beam Under Slab Tap Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Ream ---- — —-- - - — Rough !n Gas Line ---- -- --- -- Smoke Dampers Final PASS PART FAIL Service `' Rough !n UG/Slab __-.--- LL Low Voltage Fire Alv•m 'tO �- 9AAS PART FAIL J Backfilf/Grading - --- C-i Sanitary Sewer w -� Storm Drain ( ] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ] Please call for reinspection RF: �- _-- ( J Unable to inspect- no access ADA Approarh;Sidewalk � Other Date I ' Inspector --� Ext Final PASS PART FAIL 00 NOT REMOVE this inspection r cord from the job site. ._r C;TY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requestedsem- AM _PM BLD Lcration_ �►� I��� ,}, l� Suite _ _ MEC Contact Person �St I Ph S72 �`Z 1 i� PLM Contractor Ph SWR BUILDING Tenant/Owner i_L.0 Retaining Wall ELR Footing Access- Foundation i FPS Ftg Drain 'L2 ="L SGN drawl Drain Inspec h n otes. -------- Slab _ - SIT Post& Beam `-`- Ext Sheath/Shear _ Int Sheath/Shear - -raming Insulation Drywall Nailing _ _Firewall Fire Sprinkler Fire Alarm 'Susp'd Ceiling Roof Misc: -- -- ----, _ Fina' PASS PART FAIL -Fq,UMBING' Post& Beam -- --- -- - --- -- --- -- ------- Under Slab TopOut I - --- --- --- - - ---- -- ------------- Water Service _ -------------- Sanitary Sewer - T Rain Drains �0---PART FAIL VW,C Pest& Beam - --- - ----- -- - -- - Rough In Gas Line Smoke Dampers r• elrA SS PART FAIL CTRICAL - -- --- -- --_ --- ----- -- Service C Rough In - UG/Slab Low Voltage Fire Alarm - -- -- - - - -- —----------- r ~ PASS PART FArr_ SITE Backfill/Grading w 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: Fire Supply Line _ I ]Unable to inspect no access ADP, Approach/Sidewalk Date Inspector)TiAT66 / Other _ ------ EXt Final PASS PART FAIL DO NO REMOVE this inspection recond from the job site. CITYOF TIG ARD _CERTIFICATE OF OCCUPANCY PERMIT#: MST1999-00143 DEVELOPMENT SERVICES DATE ISSUED: 05/11/1999 13125 SW Hall Blvd., igard, OR 97223 (503) 639-4171 PARCEL: 2S110BA-08400 TONING: R-4.5 JURISDICTION: TIG SITE ADDRESS: 14170 SW 116TH TEF"R SUBDIVISION: EVERGREEN SPRINGS COPY BLOCK: LOT:009 CLASS OF Y10RK: NEW TYPE OF USE: SF TYPE OF CONSTR: 5N OCCUPANCY GRP: R3 TENANT NAME: REMARKS: New SF - Path 1 Final Building Inspection and Certificate of Occupancy Approved 2/3/00 by Rick Bolen, Building Inspector 0wr.er: EVERGREEN SPRINGS LLC 1672 SW WILLAMETTE FALLS DRIVE WEST LINN, OR 97068 Phone: Contractor: RENAISSANCE CUSTOM HOMES 1672 WILLAMETTE FALLS DR WEST LINN, OR 97068 Phone: 557-8000 Reg #: LIC 049955 n. n. 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 u ider whit;h the referenced permit was issued. ' BUILDING INSPECTOR _ BUILOI OFFICIAL POST IN CONSPICUOUS PLACE CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: P 00304 13'125 SW Hall Blvd.,Tigard, OR 97223 (503) c,39-4171 DATE ISSUED: 09//24/19 24/19 99 PARCEL: 2S110BA-08400 SITE ADDRESS: 14170 SW 116TH TORR SUBDIVISION: EVERGREEN SPRINGS ZONING: R-4.5 BLOCK: LOT: 009 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSE-S: MOBILE HOME SPACES. TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: Tl1B/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Residential backflow prevention device _ FEES _ Owner: Type By Date Amount Receipt RENAISSANCE CUSTOM HOMES PRMT KJP 09/24/199 $25.00 99-318597 1672 SW WILL/`,METTE FALLS DR WEST LINN, OR 97068 5F-CT KJP 09l24/199� $1.75 99-318597 = Total $26.75 Phone 1: 557-8000 Contractor, _ MOODY ►_NTERPRISE INC PO BOX 98 ESTACADA, OR 97023 REQUIRED INSPECTIONS RP/Backflow Prever+^.r Phone 1: 631-2918 Final Inspection Reg #: LIC 00005973 PLM 11717 ORIGINAL. CL cl� YThis permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. ~ Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. rThis permit will expire if work is not started within 180 !ays of issuance, c if work is suspended for more w than 180 days. ATTEN-111W Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 95;.-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: Psrrnittee Signature: �Dt Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day T•Y OF TIGARD Plumbing Application Recd By (1 : 125 SW !-TALL BLVD, Commercial and Residential -ALOsloRer•d GARD, OR 97223 - �` �\ Da?e to P.F. - 7-03) 639-4171 ` ) Date to OST Permit s P'/ I_l y Print or Type Related SWR s Incompleto or illegible applications will not be accepted called Name of'6;v pmenuProlec �,-Qndlyldual)n. Sir •zR�t l 'IQ �P�CE: ��1MT Job ,, S' � .�4,I1go 9.00 Address Street Add Ss Suite U`atory 9.00 JI/1-7 V 5 q-cc Tub of TuWShower Comb. 900 ld9 s Cltyrstale , Zip Shower OnN (. Y,1422 ' 9.00 N J 1l water Ctoset 9.00 f`le Neel r �G N ,c CL l 0,1111VAI tom' Dlsnwashar oAo Owner a Suite Gubaga Olspoem DAO waahing Mad** 0.00 hone-.flo t) Floor Drain r 9.00 tVarr►e 31 9.00 4' 9.00 Occ• ,ant Ma�^9 Acdnsss Suite water Heater goo _ 1. t"My Room Tray Uty/State ZIP Phone Urinal -" 9.00 _._._._ 9.00 Name - Other Fbm"s(Specify) 9.00 Al �1 ;�f _ Contractor MOWN Add asnr P su to 9.00 [7. tS 9.00 (Prior to issuance City/-,ti to �)�I phi 9.00 apD9cantmust �f�i L�I�d �/i U23 (oJ� 2r��� -r- 8.U0 provide aq OregonCyonst Cont Board Lies �xp �teC� 9.00 a.ntracors 6 a ensePhrmbirtg Lir,s Exp.0 to 9.00 information Se+rar tat 100" 30.00 for COT COT Business Tax or Metros Sewer-each addonal 100 23.00 Date database). - �� oU water service-Ist toe' . Name Water Service-each additional 200' 25.Oo ,rC11IteCt Slonn 6 Rain Drain-1st lar 30.00 or MakLig Address suite storm 3 Rain Drain-each additional 100' 25.00 Moble Horne Spam Engineer GtyuState zip-' _. Pim,,, 25.00 Commercial Bach Flow Prevention Device or Anti- 25.00 Pollution Device -escnbe wore New Add O Alteration O Repair J Residential Baddtow Prevention Device- 3 be done: Residential 4KNon-residential O 1500 dditional desrnption of worth Any - Any Trap or Waste Not Connture Connected to a Fix9.00 Catch Basin 900 let0-10 Insp.of E�cntxiq Fkunbinq 40.00 r G' wperRucL cisting use ofS'edaoy Requested Inspections •0.00 ildiN or Property perAa l-- -- n Oram.single family dwe &q 30.00 `n oosed use of ase Traps > ;ding or properly j 9.00 - - i QUANTITY TOTE.1 �• ff_k.. You capping. moving or replaang any fixtures? Yes O No i] 1-ngvt or nsw diagram Is rroured f Quarry Tod b ,9 es see back of form) 'SUBTOTAL Ireby acknowledge that I have lead the application,that the information t� •n Is correct that I am thn owner x atAhonzed agent of the owner.and 5%sURC 4-A -lana submitted are m comoliance with O on State Laws. ..at of A�ent Da PLAN REVIEW M. OF SUBI OTAL �y4Requr"o^h if fbun dry toad a,9 ,rtact Person Name - TOTAL Phone /C41f 'Minimum permit tee is S23•55%shxUurge,except Residential Backfbw N G►CR �jr 3 ::d z Prevention Device.which is S 15.5%surcharge L: plmapp.doc 12196 (dot) 1 CITY OF 1 IGARO MISTER PERMIT — PERMIT#: MST1999-00143 DEVELOPMENT SERVICES DATE ISSUED. 5/11/99 13125 SW H311 Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 14170 SW 116TH TERR PARCEL: 2S110BA-08400 SUBDIVISION: EVLRGREEN SPRINGSZONING: R-4.5 BLOCK: LOT: QRIGIN ;LJURISDICTION: TIG REMARKS: New SF - Path 1 BUILDING REISSUE: STORIES: 2 FLOOR AREAS _REQUIRED SETBACKS _ REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1.098 sf BASEMENT: of LEFT: 10 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,349 sf GARAGE: 450 sf FRONT: 20 PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 33 VALUE: S 118,886.58 OCCUPANCY GRP: 133 BERM: 3 BATH: 3 TOTAL: sf REAR: 15 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: i FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB/SHOWERS: 3 —,ARBAGE DISP: I WATER HEATEPS: 1 WATER LINES: 100 BCKFLW PREVNTR: I GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<100K: BOILICMP<3HP: VENT FANS: 4 CLOTHES DRYER. 1 GAS FURN-100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FI IRNANCE& VENTS. WOODSTOVES: GAS OUTLEI5: 1 ELECTRICAL _ RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS _ BRANCH CIRCUITS MISCELLANEOUS ADD'I.INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: U 200 amp: WISVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 4 201 400 amp: 201 400 amp: 1st WIO SVCIFDR: 00 SIGNIOUT LIN LT: PER HOER: LIMITED ENERGY: 401 - 600 amp: 401 600 amo: EA ADDL BR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDR: 001 - 1000 amo: 601•amps-1000v: MINOR LABEL: 1000♦amp/volt PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVCIFDR>=225 A.: >800 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: VACUUM SYSTEM: AUDIO 6 STEREO: FIRE ALARM: INTERCOMIPAGING: OJTUOOR LNOSC t T: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSC 4PEIIRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA(TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: Owner: Contractor: TOTAL FEES: $ 4,962.71 This permit is subject to the regulations contained in the RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES Tigard Municipal Code,State of OR Specialty Codes and 1672 SW WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR all other applicable laws. All work will be done in WEST LINN,OR 97068 WEST LINN,OR 97068 acar Jance with approved plans This permit will expire if work is not started within 180 days of issuance,or if the work is suspended for more than 180 days. ATTENTION Phone: Phone: Oregon law requires you to follow rules adopted oy the o Oregon Utility Notification Center Those rules are set Reg M: LIC 049955 forth in OAR 952-001-0010 through 952-001-0080. You may obtain copies of thfese rules or direct questions to U1 OUNC by calling(503)246-1987 I-- REQUIRED INSPECTIONS Erosion 844-8444 Crawl Drain/Backwater Electrical Rouoh In Insulation Insp Mechanical Final Footing Insp PLM/Underfloor f arcing Insp Rain drain Insp Plumb Final w Foundation Insp Mechanical Insp Shear Wall Insp Water Service Insp Find Inspection J Post/Beam Structural Plumb Top Out Low Voltage Appr/Sdwlk Insp Building Final Post/Beam Mechanica Electrical Service Gas Line Insp Electrical Final Issued ` Permittee Signature Call (.503) 639-4175 by 7:00 p.m. for an Inspection needed the next business day CITYOF TI GAR® O1?/ SEWER CONNECTION PERMIT I /'1 EPMIT#: SWR1999-00074( DEVELOPMENT SERVICES /A4v+jISSUED: 5/11/99 13125 SW Hall P.!vl., Tigard, OR 97223 (503) 639-417. PARCEL: 2S 110BA-08400 SITE ADDRESS; 14170 SV : JGTH TERR SUBDIVISION: EVERGREEN SPRINGS ZONING: R-4.5 BLOCK: LOT: 009 JURISDICTION: 1IG TENANT NAME: RENAISSANCE CUSTOM HOMES i' L'iA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 I' TYPE OF USE: SF NO, OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: New SF - Path 1 Owner: FEES _ RENAISSANCE CUSTOM HOMES Type By Data Amount Receipt 1672 SW WILLAMETTE FALLS Dk WEST LINN, OR 97068 PRMT DRA 5/11/99 $2,300.00 99-3152.66 INSP DRA 5/11/99 $35.00 99-3152.66 Phone: 557-8000 Total $2,335.00 Contractor: Phone: Reg #: Required Inspections Sewer Inspection a This Applicant agrees to Comply Nith 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 sr located, the installer shall purchase a"Tap and J Side Sewer" Permit and the Agency will install a lateral. ATTENTION Oregon law rer—ires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-0011-00 through OAR 952-001-0080. You m 'o5fairl-cppies of these rules or direct questions to OUNC by calling (503) 246-.987. Issue by: / Permittee Signature:_ / Call (503) 639-4175 by 7:00 P.M. for wi inspection needed the next business day CITY OF TIGARD Residential Building Permit Application ( Plan Che I�r" 13-125 SW HALL BLVD. Additions of Alterations Date R cid TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. V 503-639-4171 Date to DST4r F 503-684-7297 / `� Permit# �Tl�t,� 'oo�yur Print or Type ��/1 Called V-l'0 Incomplete or illegible applications will not bel accs{ted Name of Project Name r 'Job FVP PP.� S GJ Lv� �7y/Ift'I NeMP _ PJ% L1 -��' Architect Mailing Address Address Site ss ra 7/6S -f-4.4 l(//—0 SW l�6 7-cl— c P City/State Zip Phone Na:)ie J"'d 2 972 Z-7 6Z - ,P/SS._ ^�yon.es _i Name Owner Mailfig Address SAr+e /C72 S W Engmee:' Mailing Address City/State Zip Phone ___ We., C ` 7(46 �` 5 9900 City/State GZ:p Phone eneral Name Contractor J441-)a Describe work New)( Addit° 0 Alteration O Repair O Mailing Address to be done: Prior to permit Additional Descriptio, of Work: issuarce,a copy City/State Zip Phone of all licenses are required if Oregon Const.Cont. Board Exp.Date PROJECT expin d in COT Lic.# " database 7 0 L/ VALUATION Mechanical Name - NEW CONSTRUCTION ONLY: Sub- %�, ',,,11 , Sq. Ft. House: Sq. Ft. Garage Contractor Mailing Address Zyy7 J yso Prior to permit /3C S/ SF 14,41,i _ Indicate the restricted energy installation by the electrical issuance,a copy City/S�ate Zip Phone subcontractor in the followin areas or all licenses (&,/c" „,, '17915 W/- 3//S Restricted Audio/Stereo are required I Oregon Const.Cont.Board Exp. Date Energy System Alarms expired in COT Lic.# — --� Installations Vacuum Irrigation _ database 07 Z 6 Z.3 X99 System System Plumbing Name (check all that Other. Sub- C 1-4f�o'� �, apply) _ Contractor Mailing Address Corer Lot YES NO Flag Lot YES NO (ch me) 1 �! 1 (check o_ne) 7736 5V �Ny��f Has the Subdivision. Plat recorded? NiA YES NO Prior to permit City/State Zip Phone issuance,a copy r, .r lin 97P06 SZ y- of all licenses are Oregon Const.Cont. Board Exp Date required it Lic.# / expired in COT I hearby acknowledge tha'. I have read this application,that the '�oG �Z /O �/ database Plumbing Lic.# F.xp Date information given is correct,that I am the owrer o;,authorized anai-.c of the owner, and that plans submitted are in ;ompl ence with Cly _ fye F/3 2 2 //�/ Oregon State laws. Name Signature of Owner/Agent // Date Electrical e r:-11(r"s Contact Person)mP��^�^ Phone 8# cn Sub- Mailing Address __�c�•es� sloe s --- 5s7-�ma� Contractor PC /;,-,x City/State Zip Phone -� Prior to permit issuance,a copy l(O„ ,S 97Q�1S _ `r�"�lr/Z FOR OFFICE USE ONLY: of all licenses are Oregon Const Cont Board Exp DateLu I - — required if Lic# Plat#: Map/TL#: expired in COT ll'�3,y�' y �'l`J ,1 7” Vv database Electrical Lic.# Exp DateSelba•s: Zone: IC 'I / Solar. `.- :3 - /Z(s� /O� / / 9 ' C �{ � _� Electrical Supervisor Lic # Exp pate EnI eering Approval: Planning Approval: TIF: Ajkt i:\dstslformslsfaddalt.doc 11;20/98 I Date Recd: -CITY OF TIGARD Recd By: SINGLE FAMILY ATTACHED OR DETACHED (Newer.Addition Pian Check#: APPLICATION/PLANS SUBMITTAL REQUIREMENTS Applicants: Please complete 1. APPLICANT NAME: WPO A Is.;AOL e C gyp., I/,�,�s PHONE #: SSS - 9,-P-a 0 2. SITE ADDRESS: 1 q17� Si✓ I/� T� �P,-�g� e _ FAX # ,1. 5 SITE PLANS (Fully dimensional, drawn to scale) labeled with: ❑ map & tax lot #, ❑ subdivision name, ❑ subdivision lot#, ❑ site address, ❑ zoning, ❑ applicant name, ❑ phone number. Size requirement: 8-1/2" x 11" to a maximum 11" x 17" and NOT attached to building plans. R. North Arrow ,B. Scale (any standard, architec'.ural or engineering only). 0 Street Names. f?1. All building plans shall reflect actual uuilding dimensions. ,F. Finished floor elevations (all levels, actual topographical). ,F. Garage finished floor elevation (actual topographical). �3. Corner lot elevations (actual topographical). H. Driveway corner e;evations. A Zoning setbacks (front, side and rear). .J. The location of r-li public and private easements. ..K The location, termination, and all invert elevations of all drainage piping (sanitary and storm) showing all elevations necessary to show positive gravity flow to the approved drainage device (i.e.: peepholes, storm lateral, sanitary lateral). L. Residential driveways, sidewalks and wheelchair ramps will be shown on site plans and will be in accordance with the CITY OF TIGARD standards. Drive-way cuts shall not be permitted within 30 feet of intersecting right-of-way lines nor within 5 feet of property lines. Weep holes/!rain pipes will be installed 5 feet from adjoining property lines. Multiple driveways on individual panels of land must have 30' of separation; joint use driveways require a formal agreement. V1 > ,>dl. Show all erosion control devices proposed for site; refer to UNIFIED SEWERAGE AGENCY (USA) Technical Guidance Handbook (Revised 1994), cr telephone t USA at 648-8621 for assistance. N. Show location of existing facilities and new or relocated structires (mailboxes, power poles, water meter, light pole, stop sign, etc...). O. Indicate property slope directions P. Existing and finished contours when slope in any direction exceeds (ADDITIONAL REQUIREMENTS MAY APPLY, SEE GRADING POLICY) f:ldsts%forms\sfreq doc 12/10/98 2 THREE(3) FULL SETS OF BUILDING PLANS (no red line revisions or tapeons). Size requirement: up to 24" x 36" maximum, folded into eighths (9" x 12") with the plans inside. (no rolled, reversed or mirrored plans will be accepted). ALL DETAILS LISTED BELOW SHALL BE INCORPORATED INTO THE PLANS (See attached summary for regulations on slope cuts). A. IDENTIFY THE ENERGY CODE PATH on sheet#1 with specifications in cro!;s sectional details (CABO, Appendix E, Table 401.1 a) B. BUILDING PLANS SHALL REFLECT CORRECT TOPOGRAPHY OF LOT. If house is designed for a flat lot and the lot is not flat, revised drawings are required (no red lines will be accepted). C. FLOOR PLAN(S). D. FLOOR FRAMING. E. TRUSS JOISTS See section #4 below F. ROOF FRAMING PLAN (all hips and valley supports are to be indicated and detailed). G. ROOF TRUSSES See section #4 below H. CROSS SECTIONS (every set of plans shall contain a mit'.i num of two cross sections at mid-point of each direction and each cross section shall illustrate the correct elevations of a sloping lot and, the building height.). I. EXTERIOR ELEVATION all views shall show the correct height above finish grade. J. BASEMENT WALL, FOUNDATION ANL) ,DETAINING WALL SECTIONS for wall height exceeding CABO, Table 404.1.1b see Section #4 below. K. BEAM ENGINEERING CALCULATIONS for beams 1 Oft. and longer or beams supporting a point load see Section #4 below (submit one copy). L. WALL BRACING PANELS shall be identified on the foundation "oor plans All design specifications (Tables) shall be incorporated within the du ail sheet of the plans. See Section #4 below �vhen providing and alternate, engineered system. M. REVISION OF PLANS when required, revised plans shall be submitted. Red- lined plans will not be accepted. Plans shall be rev sed by the owner and re- submitted for review. r CORRECTIONS MADE IN RED INK WILL ONLY CAUSE DELAYS w J lAdsts\fonns\sfreq doc 1211 0/q8 • I 3. ALL DETAILS AND SPECIFICATION REQUIRED BY THIS SECTION SHALL BE INCORPORATED INTO THE PLANS. TWO COMPLETE SETS OF ENGII`!EERING ARE TO BE INCLUDED WITH ONE SET BEARING A FRESH, OFFICIAL STAMP AND SIGNATURE OF THE DESIGNING ENGINEER. A. WALL BRACING exceeding the design criteria of CABO, Section 602.9 or Alternate 97-1 shall be designed by a licensed engineer. B. RETAINING WALLS exceeding the design criteria of CABO, Table 404.1.1b shall be designed by a licensed engineer. C. BEAM sizes shall be determined by a licensed engineer. D. TJI layout and specifications must be included in each set of plans. E. ROOF TRJSS layout and engineering for each style of truss in the layout shall be included in each set of plans. The requirement for a fresh stamp and signature is not required for trusses. J C �7 W J i:%choVor mWf".doo 12/10/98 E L 171 1.9 RP.�u'..tsarrce �H,S'�an lyain�s I i \ \ - EL z-19.zS EL 290� 80. 1 S 9' 0'QO" W lyl7¢� sr� //(71 T��iuce v. L � — 9 • - - - — _._------Sty„,rP/./ J 2 we/ EL Z7/ S//�r�.r - E VR rn9 �. jZEL 290 Ln 200' 5.00' 16.5' L C oh A6 - co L..,eEt FFE 2:00 ` �415 - 0 1 EM` FFE o W �.�,,,:..fe t�� .•e _....I rT1 � � \ � �i' Sr�y�P fFM �v ��srdrh ��ct� I Z 2.00' \ P - 12.83' __ d — EL rt 284 /V O 7.17\ - - - - - - _-�''f - i.PRomE a MAmmm r p"TI," EL _29S - — (7 R 0";" GRAVR PAD a DAN 1�1'TA.PERMANENT m \ r4.4%A5 E L 294 CONCRETE DRIVE IS IN PLACE. I 2 PROVIDE 6 MAINTAIN SOIL SEDIMENT FENCE AS INDICATED. I NOTE: CENTERLINE C EPTS, \ y EL Z 87 SURVEYORS,WILL PIN AL.. YLTERM FOUNDATION CORNERS AND PROVIDE SUBSEQUENT MORTGAGL SURVEY. �A C '~J NOTE• Cpffrni)NEOMI H VAR Rif?`s.�j Stinvi PIN&on_ ' BY. FOU1 `104NOP` 511`' TOWSUR ---10' FROM NORTH PROP. LINE PER SAM r'9 RENAISSANCE, 3/26/99 MSG. �D 90 SCALE DRAWING • LOT 9 EVERGREEN SPRINGS X99 N.W. 1/4 SEC. 10,T.2S,R.1W, W.M. ---- CITY OF TIGARD WASHINGTON COUNTY, OREGON r --AN EIGHT FOOT PUBLIC UTILITY EASEMENT SHALL EXIST MARCH 26, 1999C:en terl in Cc)r� cep is I r1 c- ALONG ALL STREET FRONTAGE. DRAWN BY: MSG CHECKED BY: WGDIII SCALE '"--20' ACCOUNT # 115 640 82nd Drive Gladstone, Oregon 97027 M: MLI PLAT EVERGS L9EVERGS 503 650--0188 fax 503 650--0169