14237 SW 116TH TERRACE ADDRESS:
I!L;a"-r S :aggCA
r
J
iareoordsVnicrolim\tar e(sV)ui(d ing.doc
LU
J
Y S � •� m
Ov a is
rn N
c
Q) Q) ;n E
y cry T o tia
a
a m N c . y io a
W
c O N
a) at a, O o O a1 O T o a? O of W a1 a1 O a1
a0i rn rn �i a0i s gn' _ � rn rn �i a0i rn rn a) rn 0) m _ rn �i rn
r r r .- r r
a m rn ai rn o 0 o v r� 3 o 0 0 4 o o 4 a rn rn et o d 4
N N N �-
d r r N N N r O N O N N r r O O - N
ui a �n r� rn rn rn rn rn � � 'oS
0 0 0 o a O o 0 0 0 o O o 0 0 0 0 0 0 0 0 0 o a o 0 0 r
m Z Z Z Z N N N -� O -� -� N N -� -"i -� ) -7 N > U)
Q
fS M m m m
m m C7
�_y O O O O O J O O O O U O O O O O O O O O O O O O O O O O O
O > 1 I I I I I I I I I I I I I I I I I I I I 7 I I I I I I I
J Z z z Z z z z z z Z z Z Z z z Z z z z z z z Z z Z z z z z
C) W W W W W W :n U) J (0 U) UJ rn U) U) (n U) U) (n UJ U) (1) V) (1)
O d z z z z z z (n W 0 0 0 UJ V) U) U) 0 (n W ^ 0 0 14
Q� 0
pOpo0o sa a aaaaaaaO p m m m a
a LL
cr) a
m
cin
z z Z N N
a m m m n� m m U J 0 C7 0 O U c7 C7 C7 C7 U c7 c7 c7 U z U
v N
C O O
N 0) m rn rn rn rn rn 0 0, rn p� rn rn rn (o
rn rn a) S) o0i �i aai I ud' obi m m a
d am a s o� 0 0 a� (a ao a m rn s rn a 6-5 o1) a am v a a a rn
r r N N O oO r r O ZOOOQQ O r O O N o
Q u7 v3 u.) U-5 1 a � � ri ;—Z a21 ti `m, a a m 0 ao` r` n r iJ
4, O O O O O O O 0 o a O 0 O o O O O O O O O O O
O O O C• O O O O O O O O O O O O O p O O O
N N N CJ N
•' NO N N N N N N N N N N N N
O OOOO O O OOOO O
O O 0O O O O
v - as) m
O O O O O O O O O O O O O O O O O O O d O
� N N N N N (V N N N N (14 N N N N N LJ N N N N
O OO 0 OO O O O O O O O O O O O O O O 0
d
~ 47 U)
N c !-
!- S E u) m
N E m p >
x W 3 > c
W 8 p o
J b (ca d p c a C c
U O c 'A N 7 m 'a Cl- CLN O a, Q a N N
C.0 c m u> (� y Q v5 c m c g O y o N y va c
W e c y a ° a a N c E E c o d o V) c a c c
o a a N c o m g LL o rp ra �° c c (1tlry
J C a '`) O c rT cn (gyp 0) d p c c C) U �' o c a U
CY) d v N N d Fn IVc a m 3 p c E E > 7 v c
rn �' o Q) m o L° g 'o a o c '� $ a v L° '� n of (� n a,
d U Cl. (1 x W C7 N LL LL LL d D U LL m 2 d W
N co N a0 O N 0 O O M v r co O r N 0 vo 11, 10 N N N N (`� 1N 04 (O (u0 $
N O o r NM O O O O O (`J
r• �-- O O O G O O f` ti r� N ry h h 1` f` ti f` P N
Q a a Q Q Q Q a a a a Q a Q a a Q a a a a a a a a a a Q Q
F- F F- F- F- h F F- F- F- F- F- hF-
Q cn (n cn N U) (n (n (n U) (n N U) 0 0 U) (n cn (n (n (n U) N u> (n N 0 (n cn
ao L ti
o a m ui
1 :3 = c
�) C N O c
U Q1 pp
cu 'ro 'W"
` �Non-c�
Ta o o.0 m
c ro cNm c. N c 3 >.
= Nq)o °) 3Tsc orna
N N n0'O
o a -S am) OarnSd� aro.n o
N O .0 cu C
N rn Q) Q) O) rn rn _) rn O) rn rn Q) O)
q 61, a5 rn O 4 O Q) K V a O O O O iz
O. O O ON N 1- N N r r
a a a 0 0 (D � (o ; m a a a a
'" •- r O O O O O O O O O r r r r
9
(n W (n N O (bF-
m W W lu 1- W W Y Y Y Y W W W
CL
T 12 2) 2 'U � 2 :2 v 'D 10
vTu `o :> 0 0 0 o o o o o o o o
'O > x z z T T T Z m 2 T T T z T _
S"� a Z z z Z Z Z Z z Z Z z Z z Z z
a)
f
CD
(/) W W O (n (7 to (n w N (n 'n W
Q N f/') z Z U (n U (n (n V7 (!J (n (n Z
LL 0. u 0 0 cr a( WY a s d d d R p
r
co
,... N
W m U) to 0 N (P (n 0 0
C U U C7 0 O (3 ) 0 U' U' J U' 0 U'
iC � cry
Q)o
N .4
N �
a
)
U rn rn rn rn rn rn rn rn rn rn
L ro O O O
O O O O O
y r
ro N N N N CN
•�_ O O O O O O p a a a
(3) O) rn rn Q) O) U)
V r QO) Q) QO) rn O Q) rn
Q y r r r
r0 O O p 0 Q) if O O O
" 0 Qa a a
O o 0 o O O r -
a
cl
> a rL
N
E' CO ro C
N C
c O
J 47 � L
N c p) N O C
p C N A N O N O
O LL N O E n .n = N C l(Lp ro y
L.J a C CL T CL) V C E N ( R LL�pp U llE LL v) U
C (0 7 p) O) Q U 7
J Q> Q- YU)Ln 4) ro D N y C y (0 O C C L N
o c o
N ap a iL m ('- LL. u_ ti V) ul (n w�j m
(� r Qui m OOi Qrni
co 0)) rn U cn N N O O) rn o)
1,- O
ti O O O F- O F, h r ti F. (�
Q Q Q Q Q Q Q Q Q 4 Q Q Q Q Q Q
cn V) to U) (n V) N fn U) V) V) (n to !n V) W(I? !n
Q 2 ;;-: �,; S mi i 2 2 zi 2 "F 2 :i M
CITYOF T I GA R Q _ CERTIFICATE Oc OCCUPANCY
PE?MIT M MST1999-00199
DEVELOPMENT SERVICES DATE ISSUED: 06/10/1999
13*125 S'N Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110BA-08700
ZONING: R-4.5
JURISDICTION: TIG
SITE
RESS: 142 37 SW 11 GT H TERR
SUBDIVISION: EVERGREtZN SPRINGS FILL C
BLOCK: LOT:012
CLASS OF WORK: 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 Occupanci
Approved 12/10/99 by George Steele, Building Inspector
Owner:
RENAISSANCE CUSTOM HOMES
1672 SW WILLAMEITE FALLS DR
WEST LINN, OR 97068
Phone: 557-8000
Contractor:
RENAISSANCE CUSTOM HOMES
1672 WILLAMETTE FALLS DR
WEST LINN, OR 97068
Phone: 557-3000
Reg#: LIC 049955
cc
Y
This Ceriifica+.e grants occupancy of the abo, a referenced building or portion thereof and
Jconfirms that the building has been inspectt:cr for compliance with the State of Oregon
Specialty Codes or the group, occupancy, and use under which the referenceu permit was
issued.
BUILDING INSPECTOR BUILD OFFICIAL
je_,pS!I-e -- 4/?k, 2
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST q17_0_61q1?
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 J
BUP
—_ Date Requested Q AM PM BLD
Location_1�a��� �� �' �t'1�1�GtC� Suite _ _ MEC _
Contact Person r�'C!J J � a�S _ Ph PLM
Contractor Psi SW!_ — —
L UILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS _—
Ftg Drain
Crawl Drain Inspection N( tes: / ! SGN
Slab _ �C �1 (�l jL. .�'tr2 SIT - — —
Post& Ream
Ext Sheath/Shear —
Int Sheath/Shear
Framing
Insulation
Drywall Nailing ----
Firewall
Fire Sprinkler —_--
Fire Alarm
Susp'd Ceiling
Roof
MSG; _ --------- - —
Final
ASS PART FAIL --- — -- - -
_PJM BING
Post& Beam
Under Slab _
Top Out
Water Service
Sanitary Serer —
Rain Drains
Final
PASS PAI?,T.. FAIL
MECHANICAL '
Post&Beam --- --- ----._._ —
Rough In
Gas Line -— --- _ ... —-- -- ------- --- ---— — —
Smoke Dampers
fill
AS ) PART FAIL
Service r
Rough In
a UG/Slab _.�--- ------ -- — -- --
cc Low Voltage
Fire Alarm - ---- --- - -- — — -------- -----
Final
�— PASS PART FAIT. _-- --------___-- ---- --__` _—�—
`' SITE
Backfill/Grading — _— ---�^
y Sanitary Sewer
r Storm Drain ( ] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvo
Catch Basin
Fire Supply Line [ J Please call for reinspection RE:_ — —_ — [ ]Unable to inspect- no access
ADA
Approach/Sidewalk Date Z' U` '
Other Inspactor Ext _
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
Y
CITYOF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVII;ES PERMIT#: P /24/19 -00307
13125 SW Hall Blvd., Tigard, OR 9722:3 (503) 639-417 i DATE ISSUED: 09/l.4/1999
PARCEL: 2S110BA-08700
SITE ADDRESS: 14237 SW 1 16TH TERR
SUBDIVISION: EVERGREEN SPRINGS ZONING: R-4.5
BLOCK: LOT: 012 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREV14TRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HFATERS: CATCH BASINS:
FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: G7<FASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Residential backflow prevention davice
FEES _
Owner:
-- Type By Date Amount Receipt
RENAISSANCE CUSTOM HOMES PRMT KJP 09/24/1995 $25.00 99-318600
1672 SW WILLAMETTE FALLS DR 5PCT KJP 09/24/199£ $1.75 99-318600
WEST LINN, OR 97068 — —
Total $26.75
Phone 1: 557-8000
Contractor:
MOODY ENTERPRISE INC
PO BOX 98
ESTACADA, OR 97023 REQUIRED INSPECTIONS
KP/Backflow Preventer
Phone 1: 631-2918 Final Inspection
Reg #: LIC 00005973
PLM 11717
ORIGINAL
This 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.
L This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: 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 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued By: -� '�+�- ,�, Permittee Signature: I c t_ ,) - beak -t k
Call (503) 639-4175 by 7:00 P M. for an inspection needed the next business day
TY OF TIGARDPlumbing Application Recd �d By c..(,I
125 SW HALL BLVD, Commercial and Residential Qat•Recd L "'
GARI), OR 97223 Qate to P E.
:03) '39-4171 Qata to DST
Print or Type Permit 0-P3k 1
Incomplete or illegible applications will not be accepted Called__
Name
Name of Dayslopment/Propct FIXTURES; ndlvldual •� �►+s
Job �P,c Sink p ) •, .1QTU ;Ipk%
'' t' S /Z
Address Street Ad rasa Suits Lavatory 9.00
Q •'���.� C C - Tub or Tub/Shower Comb. 9.00
9.00
�Gtyi;tale ZIP Shower Only
/ i L�1` (�� y L L Water Closet 9.00
N 9.00
e Aeol r J rV ,c Cl, Ya"I /Xym cr- ottuhw"her 9.00
Owner A01h Suite Garbage Ofapoa^al 9�
e ( WaahMhg McUkhs
15tate r ZIP Phone Floor Dr ein _ 9.00
{ •✓i✓C� 9706 3' . -QUOo z 9.00
Name 3' 9.00
._..
Occupant Me"Address Suds Water Heater V9.00
Laundry y
Room Troy --_ 9.00
CltylState Z%P Phone Uflnal 9.00
Ni,7ha � e't - Other Fudwas
C ,-� 9.00
P 9.00
r Contractor Marahg Ad as rte sude-
V• � 9.00
(Prlar to Issuance Gt_1,,.ttats // /��j r 9.00
applicant must S T 4(:,Ia/r 0)'C 11023 bJ -2 q l 9.0cprovide al Oregon Const.Cont Board Lice Ex Dats
contractor U OU -- 9.10
� cense Plumbing Lir-s �P.D to See -
9.00
formation w
30.00
for COT COT Busir,ess Tax or Metro aSaver-each adddkw of 1`-"00 `--
database). Dat 25.00
_ J)U �U, Watet ServiOa.1st 100'
Name 30.00
- Wester Services•each additknal 200'
Arrhiter t 25'00
Storm 6 Rash Don.1st 100
-7-36-0-
Or Manna Address Suite - Storm 6 Ram Aram-each.rfdlBonal 100
25.00
Mobaa �
Engineer uryrstate Zip Phone 23.00
Cormhermal Back Flow Prevertbxh Oevhce or Antl
New
_ PoN,rNon Device 25.00
escnbe worn Add' O Alterabur,O Repair C Reside uw Backflow pre
be done: Residential M' Non-residential O h Qeve• 15.00
ddtbordescnpt on of wtxk Any Trap or Waste Not Connected to a Fixture 9.00
Catch Basin
9.00
r Insp.of Extstmg Plumbing
.00
x0
k,atinq kue of � w
per/hr
Ad or Speaalty Requested inspections 40.00
tn9 property
Rain Dram,singla faPerth►
V1 Dosed use of Tn 30.00
iding or property Grease Raps 9.00
J you capping, mov,ng or replacing any fbrnires7 Yes 0 No 0 b«+xtrte or reser di"a, h rwWJfsd if Ou" Y TOTAL
'yes see back of form) auer,rfy?atal b >9 t .,�•;
s 'SUBTOTAL
+n!by acknowledge that I tierce read this application,that the information
t f:Y
W !n is confect.that I am the owner or authorized agent of the owner,and 5%SURCHARGE
clans submitted are in compliance with Onion State Laws.
.a of Apent Da PLAN REVIEW 25% OF SUBTOTAL -.
i �� •7i)/Q� geoured anti/� MW b>9 �
ntact Person Name Gr/( ` TOTAL
/ Phone
r� e /J / /' �/ *Minimum p•rmtt tae ks S -5%skxd,afge,except Resident,.,Badtflow
(((��� V 3 1910 Prevention Device.which is S 15•5%surcharge
✓--- r^-��� I:lpirnapp.aoc 17/96 (dst)
CITY OF TIGARD BUILDING INSPECTION DIVISION / �
MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 �
BUP —
Date Requested l�` _AM PRA BLD
Location / `",� ~
�"- Suite MEC
Contact Person Ph _ PLM 0 c-3 7
Contractor Ph SWR
BUILDING Tenant/Owner ELC
iRetaining Wall ELR
Footing Access:
Foundation FPS
Fig Drain SGN
Crawl Drain Inspection Notes: — —
Slab ^�_-- — SIT
Post&Beam
Ext Sheath/Shear
!nt Sheath/Shear
Framing _
Insulation
Drywall Nailing
Firewall
Fire Sprinkier
Fire Alarm
Susp'd Ceiling
Roof
Misc: ----
Final
PASS PART FAIL
PLUMBING /
Post& Beam / -
Under Slab
Top Out — -
Water Service
sanitary Sewe
e
Rain Drains
.J
PASS PART FAIL _
MECHANICAL
Post& Beam —
Rough In
Gas Line --- --
Smoke Dampers
Final -- — -- --- — ___-_ _
PASS PART FAIL
ELECTRICAL
Service
Cl- Rough In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PAR-; FAIL.
SITE
Backfill/Grading -
Sanitary Sewer
Storm Drain ( )Reinsp^ction fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ( )Pieasa call for reinspection RE: _ ) ]Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date ` J'" ii.�' Inspector��:/�^ � I� Ext
Other
Final
PASS PART FAIT- DO NOT REMOVE this inspection record from the job site.
I�� �� ������ - MASTER PERMIT
PERMIT#: MST1999-00199
DEVELOPMENT SERVICES DATE ISSUED: 6/10/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 14237 SW 1.16TI1 TERR PARCEL: 2S110BA-08700
SUBDIVISION:
EVERGREEN SPRINGS LOT: 012 OR .IGINAI S ZONING:
TIG
REMARKS:
5
BLOCK:
REMARKS: New SF - Path 1
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS Or WORK: NEW HEIGHT: 25 FIRST: 1,217 sl BASEMENT: sf LEFT: 12 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,127 sf GARAGE: 714 sf FRONT: 20 PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5
VALUE: 5 177,499.50
OCCUPANCY GRP: R3 BDRM. 4 BATH: 3 TOTAL: sf REAR. 28
PLUMBING
SINKS: I WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 5 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: i ,ATCH BASINS:
TUB/SHOWERS: 3 GARBAGE DISP: 1 WATER HEA rERS: 1 WATER LINES: 100 BCKFLW PREVNTP: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K: BOIL/CMP<3HP: VENT FANS: 4 CLOTHES DRYER: 1
GAS FURN—100K1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAN INP: blu FLOOR FURNANCES: VENTS: WOODSTOVE.S: GAS OUTLETS: I
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEED.RS BRANCH CIRCUITS MISCELLANEOUS ADD'L.INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 200 amp: W/SVC OR I'DR: 1 PUMP/IRRIGATION: PER INSPEc nON:
EA ADD'L 500SF: 4 201 - 400 amp: 201 400 amp: 1sl W/O SVC/FDR: 00 SIGNIOU'F LIN LT: PER Hot 11
LIMITED ENERGY: 401 - Fn0 amp: 401 900 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM/SVC/FDR: 601 - 1000 am: 601-amps-1000v: MINOR LABEL:
loon.amplvoll:
PLAN REVIEW SECTION
Recannect oily:
>=4 RES UNITS: SVC/FOR>=225 A.: >600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL-RESTRICTED ENERGY
F SF RESIDENTIAL B.COMMERCIAL
AUDIO d STEREO: VACUUM SYSTEM: AUDIO&STEREO. FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSr�LT:
BUPGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRP•IG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: 01HP:
HVAC: DATA/TELE COMM: NURSE CALLS, TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: W 4,958.45
This permit is subject to the regulations contained in the
RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES Tigard Municipal Code,State of OR Specialty Cases and
1672 SW WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR all other apDI;Cahle laws All work will be done in
WEST LINN,OR 97068 WEST LINN,OR 97068 accordance with approved plans. This permit will expire 9
work is no!started within 180 days of iSSUanl•e,or if the
work is suspended for more than 180 days. A,rTr_NTION
Phone: Phone: Oregor,law reauires you to follow rules adopted by the
C- Oregon Utility Notification Center Those rules are set
(L Rap 0: LIC 049955 forth in OAR 952-001-0010 through 952-001-0080. You
may obtain copies of these rules or direct questions to
OUNC by telling(503)246-1987
} REQUIRED INSPECT!ONS
I—
J Emsion 844-8444 Post/Beam Structural PLM/Underfloor Framing Insp Water Line Insp Final inspection
Grading Inspection Post/Beam Mechanlca Mechanical Insp Low Voltage App,-/Sdwlk Insp Building Final
w Sewer Inspection Underfloor insulation Plumb Top Out Gas Line Insp Elvchical Final
—J Footing Insp Crawl Drain/Backwater Electrical Service Insulation Insp Mechanical Final
Fou Ion Insp Footing/Foundation Dr; Electrical Rough In RaiLI drain Insp Plumb F!nal
Issu �y :
Permittee Signature
- - - -
Call (503) 639-4175 by 7:00 p.nt. for an inspection needed the next business day
CITYOF TIGAR®RIGIN° ` SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR1999-00118
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/10/99
SITE ADDRESS; 14237 SW 116TH TERR PARCEL: 2S,110BA-08700
SUBDIVISION: EVERGREEN SPRINGS ZONING: R-4.5
BLOCK: LOT: 012 JURISDICTION: TIG
TENANT NAME: RENAISSANCE CUSTOM 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: New SF - Path 1
Owner:
FOES
RENAISSANCE CUSTOM HOMES Type By Date Amount Receipt
1672 SW WILLAMETTE FALLS DR
WEST LINN, OR 97068 PRMT DEB 6/10/99 $2,300.00 99-316044
INSP DEB 6/10/99 $35.00 99-316044
Phone: 557-8000 — Total $2,335.00
Contractor:
CRAFTWORK PLUMBING INC
7736 SW NIMBUS AVE
BEAVERTON, OR 97008
Phone: 644-8698
Reg #: LIC 79666
PLM 20-148PB
_Required Inspections
Sewer !nspection
L— —
d
a-
cn
This Appli^ant 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
,CO 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 1TTENTION: 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 rules or direct questions to OUNC by calling (503) 246-1987.
Iss ed by: Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
L1
CIM,
�J
C,.• � OF TIGARD Residential Building Permit Application Plan Check
13125 SW HALL BLVD. Additions or Alterations Rec'd By
Date Recd -
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E. S
V 503-639-4171 Date to DST ^S' 9—
F 503-684-7297 Permit#/}157 '
Print or Type Called 6.1
Incomplete or illegible applications will not be accepted
Name of Project _ Name
Job _ w teN lu s wi
Mail
Address Site Ad ess Architect Mailing Address T�
_ILI�3 7 $';✓ 11�. � T ia�c 13 u'I S 6./ f3" vc'
Name City/State Zip Phone
`'ywo'c� `)72/
Name
Owner Mailing Address F^1
G 7 -Sill/ aM. F-11x Ertg(neer Mailing Address
City/State Zip Phone /3// .Se S�
vej-1- L 001 -07�- 9VOO "p
Cit /State Zip Phone
Name
General ,,,.t/GI/ 972/S Z32- y3 y`7
Contractor sq , Describe work New,*K Addition O Alteration O Repair O
Mailing Address v to be done.
Prior to permit Additional Description of Work:
iss-ante,a copy City/State Zip Phone
of all licenses
are required if Oregon Const.Cont.Board Exp.Date PROJECT
expired in COT Lic.#database _-!06 VALUATION _
5- boa
Mechanical Name NEW CONSTRUCTION ONLY: (dot/( V
Sub- -7"� zou'-�v Sq. Ft. House Sq. Ft. Garage
Contractor Mailing Addre s -Z 3 1/1� --
Frio,to permit 11651 S'E 6/p/ Indicate the restricted energy installation by the electrics
issuance a copy City/State Zip Phone
subcontractor in the following areas
Restricted Audio/Stereo �
of all license, c1a,k. ,v 970/5 rosy-US-
are required if OregL n Const.Cont.Board Exp.Date Energy System Alarms
expired in COT Lic.# Installations Vacuum Irrigation
_database 07ZG.2
3 3 zg XP System System
Plumbing Name (check all that Other
Sub- a,4 �iH a I
Contractor Mailing Address - Corner Lot YES NO. Flag Lot YES
(check e (check one)
7.3E Sl✓ Al, Gw _ Has the Subdivision Plat recorded" N/A YES NO
Prior to permit City/State Zip Phone
issuance,a copy I-A 9 7aP5 5'ZY- Sy2tD
of all licenses are Oregon Const.Cont.Board Exp.Date
required if Lic.#
expired in COT 766 -2-110 /,P/ y g pp I hearb acknowledge that I have read this application, that the
database Plumbing Lic.# Exp.Date information given is correct,that I am the owner or authorized agent
of the owner, and that plans submitted are in compliarce with
70- /yff 106 1 ? Z t3 :' Oregon State laws.
0- Name Signature of Oer/Age t Date
Electrical Ga I�f, r—�' 1,--, _ 5 �y/19
Contact Person Name Phone#
> Sub- Mailln ddress _!�_t /. �.n0,6 5-5 7-60)047
Contractor y29
City/State Zip Phone
Prior to permit �7�/S
c issuance,n copy C .c%n�,,s C57-0 yz FOR OFFICE USE ONLY:
of all licenses are Oregon Const.Cont.Board Exp.Date -
n
required if Lic.# Plat#: - Map/TL#:
_
expired in COT �3y Y
database Electrical Lic.0 Exp.DateSetbacks: Zone: So an
3.- /Z�c Im I �/
Electrical Supervisor Lic.# Exp.Date �ngi eerinq App v Plannin roval: TIF
l c/8 , �1� 1� '
+) OdststformsWaldd t oc /20198
Iy�✓+' R.. PW Mc.►K
• EL 293 Co„Gr��� Orr¢ �n C°,•,��cf2c( IQ°c.
--AN 8 FOOT WDE PUBLIC UTILITY EASEMENT EL I01
SHALL EXIST ALQAG ALL STREET FRONTAGE. FL Sri ---
V'
--BAY ON REAR OF HOUSE SQUARED 1 /or LiyklP,(e
OFF PER TRAVIS, 3/25/99, PDS.
--STAKEOUT MADE NO CHANGES, �6 N TER�P
3/26/99, PDS.
--PROPERTY LINE ADJUSTMENT IS NOT RECORDED
CENTERLINE CONCEPTS IS NOT RESPONSABLE FOR42 Melo IR 1111 SS 3 m5
HOUSE PLACEMENT. 3/26/99, PDS. =38.
Pf.E U�Icr9ra..� 1 �� 0�
--NEW HOUSE, FINAL VERSION OF LOT 33 RIDGE VIEW ESTATES, P°`""� ren�f^"1 ` Q , �ti — Sr I+ FPKK'
HOUSE FLOPPED, 5/11/99, BTA. I _ No ''!p -61wa+re Limeer
p
IC Oun OrayjS
FL 4 57' gyp• T�1f,
EROSION CONTROL: 3D
---
�` �} .- iEL 305
1 PROVIDE A MAINTAIN r(min)TH;CK p
GRAVEL PAD d DRIVE UNTIL PERMANENT
CONCRETE DRIVE IS IN PUKE, o z r
PROVIDE A MAINTAIN SOIL SEDIMENT 4 11,
FENCE AS INDICATED. rrl
11.E _ P r $ N
FFr N �
NOTE: CENTERLINE CONCEPTS, u
9 --
SURVEYORS,WILL PIN ALJ EXTERIOR FL 3aS. 7S �.,N�� ;
FOUNDATION CORNERS AND PRO%IDE 15 �`o m
SUBSEQUENT MORTGAGE SURVEY. F -PT - rn
— _ (A T
ba
y' na,ldr. —
�ep
EL 31(f
£L 31c-
FL
16FL 318 N 89'10'00" E 93.00' MAY 11 1999
EL _� QY._
•
�?
T RPrIA�If"vtCp CNSrD.q N�N'P3
'•tr��n S�er•w1S [.t /Z
/N237 557 _gaam ,TAKEOUT DoT 12., EVERGREEN SPRINGS
656 - i6�� (�•YJ N.W. 1/4 SEC.10,T.2S.,R. W., W.M.
CITY OF TIGARD
25"II 0 aA _c� WASHINGTON COUNTY, OREGON I I
R12
MARCH 23, 1999 Centerline Concepts Inc.
DRAWN BY: PDS CHECKED BY: WGDIII
SCALE 1"=20' ACCOUNT # 115 640 E12nd Drlve Gladstone, Oregon 97027
M: MLI PL.AT\EVERGS\L12EVEGS 503 850-0188 fox 503 850-0189