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Permit CITY OF T I G A R D MASTER PERMIT PERMIT #: MST2000 -00262 �� DEVELOPMENT SERVICES DATE ISSUED: 8/23/00 ` 4-- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15125 SW 107TH TERR PARCEL: 2S110DA -08700 SUBDIVISION: ERICKSON HEIGHTS ZONING: R -3.5 BLOCK: LOT: 048 JURISDICTION: TIG REMARKS: S/F PATH I BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 1,609 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,411 sf GARAGE: 670 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5 VALUE: $ 228,421.96 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 3,020.00 sf REAR: 43 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: OTHER FIXTURES: MECHANICAL FUEL TYPES FURN < 100K: BOIUCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1 GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1 MAX INP: btu FLOOR FURNANCES: VENTS: 1 W00DSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 • 200 amp: 0 • 200 amp: W /SVC OR FDR: 1 PUMP/IRRIGATION: PER INSPECTION: EA ADD'L 500SF: 6 201 • 400 amp: 201 • 400 amp: 1st W/O SVC /FDR: 00 SIGN /OUT LIN LT: PER HOUR: LIMITED ENERGY: 401 • 600 amp: 401 • 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HM/SVC /FDR: 601 • 1000 amp: 601 +amps- 1000v: MINOR LABEL: 1000+ amp /volt : PLAN REVIEW SECTION Reconnect only: >=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC: ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: X VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOWPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: X OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,661.92 RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES This permit is subject to the regulations contained in the all other Municipal Code, State work k w l b e d Codes and 1672 SW WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR all other applicable law All work will by done i WEST LINN, OR 97068 WEST LINN, OR 97068 will 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 by the Oregon Utility Notification Center. Those rules are set Reg #: 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 calling (503) 246 -1987. REQUIRED INSPECTIONS Erosion 844 -8444 Post/Beam Mechanical Mechanical Insp Framing lnsp Gas Fireplace Electrical Final Sewer Inspection Underfloor insulation Mechanical Insp Shear Wall lnsp Insulation Insp Mechanical Final Footing Insp Crawl Drain /Backwater Plumb Top Out Exterior Sheathing Ins l Rain drain Insp Plumb Final Foundation Insp Footing /Foundation Dr< Electrical Service Low Voltage Water Line Insp Final inspection Post/Beam Structural PLM /Underfloor Electrical Rough In Gas Line Insp Appr /Sdwlk lnsp Building Final Issued B 1 _ Id i/ .:� Permittee Signature Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day 'CITY OF TIGARD Residential Bu Per A p pl ic at i o n P lan c - ` • 13125 SW HALL BLVD. New Construction Pe�•ti' '` TIGARD, OR 97223 Sin le Famil Detached , ° Recd � - ; - ao 9 Y ..'. Debit P . 7•24G 0 V 503- 639-4171 :' ) Date to DST Y -2 - G O F 503 -684 -7297 ` 1 £' = ,. Permit # (oL Print or Type .: ': caned 8 / -d O ee,,a. fie. Incomplete or illegible applications wil of be accepted 'S /t 2 ccg'"c-e"x/Y (c,) Name of Project Name // Job E, - fie, /r C if 48 / ,r , ft omma✓ Architect Mairing Address • Address 7//CV s+, ' )0:' C Site A ddress oop / m A. City/Stake , Zip Phone �� /'-) -- . Name / 7 .I 972 62y- 97S/ pe 0 1,/,,,,,,5 NanA Owner Mailing Address /612 St. 1.414,,•• P 79e 64 gr. Mailing Address Y .''J /o. City/State Zip Phone Engineer � ors/' /Jo./ 97048 1 557- a'®am City/State Zip Phone General Name Contractor Sage Describe work NewX Addition 0 Akeration 0 Repair 0 Mailing Address to be done: Prior to permit Additiorwl Description of Wort - issuance, a copy City/State Zip Phone SiAy e F- l) /eer7&4 / , of all licenses ' are required if Oregon Cont. Cont. Board Exp. Dale PROJE c,2,2 e (-I 2 7 _ expired in COT Uc.# database 975 3/11//02 VALUATION ''‘ Mechanical Name // NEW CONSTRUCTION ONLY: / 54 Dec; /C Sub- CU arA 9 c, 447 9 Sq. Ft. House: 302_ 8 Sq. Ft. Garage G 7 V Contractor Mailing Address Prior to permit 1 730 55 39 7 L o Indicate the restricted energy installation by the electrical issuance, a copy City/Slate Zip Phone subcontractor in the following areas of all licenses H //�',,- a 9 7/ 2.3 6'z9 - mz 92 Restricted Audio /Stereo �/ are required if Oregon Const Cont. Board Exp. Date Energy System /� Alarms expired in COT Lic.# Installations Vacuum Irrigation database 0 / 220 $ V / �9 /oz System System Plumbing Name / (check all that Other. Sub - Cra7L_,i, Plu...,4, art apply) Contractor Mailing Address Number of Units in Building Unit Number Designation 7 73 6 Si,, / N>tI 6u5 Has the Subdivision Plat recorded? N/A 171 NO Prior to permit City /State Zip Phone issuance, a copy 0r " 9 7009 C l ( --- gC 98 of all licenses are Oregon Const Cont. Board Exp. Dale required if Lic.# 7aa - 40/0( expired in COT 9C database Plumbing Lic. # Exp. Dale I hearby acknowledge that I have read this application, that the information given is correct, that I am the owner or authorized agent ZO - /// 1 f'L3 - /1-$/0/ of the owner, and that plans submitted are in compliance with Name Oregon State laws. Electrical gyQ °J e Oecii Z Signature of Owner /Agent Date Sub- Mailing Address �`�—' �� :e�� 7/x/00 Contact Person N me Phone # Contractor to ,,3 K /y 9 Ta s /11 /3 /f ss7 - V000 City /State Zip Phone Prior to permit issuance, a copy C l lack a,rnas. 977/5 C 57- Z /Y ` FOR OFFICE USE O NLY: - . of all licenses are . Oregon Const Cont. Board Exp. Date required if Lic.# Plat #. Map/T expired in COT 03 53/V 9 /®i , Pi /d D/9- -()9 database Electrical Lic. # Exp_i Setback ,r - - " Zone. Q , 3 pa. El Supervisor Lic. # Exp_ Date Engineering Approval: I Planning Approval: TIF: i_ldstsformslsfd- new.doc 11/20/98 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE CRAFTWORK PLUMBING INC 7736 SW NIMBUS AVE BEAVERTON, OR 97008 Plumbing Signature Form Permit #: MST2000 -00262 Date Issued: 8/23/00 Parcel: 2S1 10 DA -08700 Site Address: 15125 SW 107TH TERR Subdivision: ERICKSON HEIGHTS Block: Lot: 048 Jurisdiction: TIG Zoning: R -3.5 Remarks: S/F PATH I Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: RENAISSANCE CUSTOM HOMES CRAFTWORK PLUMBING INC 1672 SW WILLAMETTE FALLS DR 7736 SW NIMBUS AVE WEST LINN, OR 97068 BEAVERTON, OR 97008 Phone #: 557 -8000 Phone #: 644 -8698 Reg #: LIC 79666 PLM 20 -148PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X i„44 Signature of A i horized Plu b er If you have any questions, please call (503) 639 -4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE GAGE ENTERPRISES INC PO BOX 1429 CLACKAMAS, OR 97015 -1429 Electrical Signature Form Permit #: MST2000 -00262 Date Issued: 8/2310 Parcel: 2S110DA -08700 Site Address: 15125 SW 107TH TERR Subdivision: ERICKSON HEIGHTS Block: Lot: 048 Jurisdiction: TIG Zoning: R - 3.5 Remarks: S/F PATH Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: RENAISSANCE CUSTOM HOMES GAGE ENTERPRISES INC 1672 SW WILLAMETTE FALLS DR PO BOX 1429 WEST LINN, OR 97068 CLACKAMAS, OR 97015 -1429 Phone #: 557 -8000 Phone #: 503 - 657 -0142 ReCq #: SUP 618s LIC 34544 ELE 3 -128C AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Supervising Ellctrician If you have any questions, please call (503) 639 -4171, ext. # 310 CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested - 3v AM PM BLD Location /3 / Z) St) /D 7 t5l Suite / MEC Contact Person Ph PLM Contractor Ph SWR �_.. Tenant/Owner ELC Retaini 1 . all _ !�- ��„ ELR o d . Access: l FPS � . Ftg Drain SGN Crawl Drain Inspection es: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PART FAIL MBING 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 Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Dat 3 /� V (06 Ins ector u " t Ext Other p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. .CITY. OF TIGARD BUILDING INSPECTION DIVISION V4--Va MST � i G - - G v 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 13° C AM PM BLD Location / 57 2 + 5" lG Suite MEC Contact Person Ph 914 35 Z— PLM Contractor Ph SWR UILD Tenant/Owner ELC etaining 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 Fire Alarm Susp'd Ceiling Roof Misc: 'ASS »RT FAIL .� BING 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 Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer 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 RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date — 6 O/ Inspector / Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 'CITY TIGARD BUILDING INSPECTION DIVISION - .00,4 Z 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 // BUP Date - Requested P CVO / • AM PM BLD Location \ , 1 Z s 41./0 \ Oe1 , ? Suite MEC Contact Person Ph PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Ina Sheath /Shear e- ' Framing _ wl �� v ' t i � l�/l ��J�L (X Insulation Drywall Nailing Firewall Fire Sprinkler Susp Ceiling 2 — \ S Q 5 ,wN(�� (CSSS ) - Sus 'd Ceilin \ Roof Mi c: PART AIL PLUMBING Post & Beam Under Slab Tt vtA d f Q v *. ( � V' v C toy � �r 1 r e� 3(0( Top Out 1 Water Service Sanitary Sewer Rain Drains C 1. C tel. 7 (U WI C& (y� C 1/t ✓ of ©Q v Final J � - F 2 PASS PART FAIL e (C pia , c e w i -f-(4 t or (v ( J u da MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line lease call for reinspection RE: r t 0 $ 3 /8 ( O( [ ] Unable to inspect - no access ADA Approach /Sidewalk " Date C" O Inspector Ext nsp �^ � x Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • CITY -OF TIGARD BUILDING INSPECTION DIVISION MST Z c -Gv7 7Z 24 -Hour Inspeection Line: 639 -4175 Business Line: 639 -4171 2G BUP Date Requested 3/ AM PM BLD Location /) — 1 Z- /G 7 Z"( 74- t" Suite MEC Contact Person Ph 5;6 p — 3c 7 ( PLM Contractor Ph SWR UILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain I nspection Notes: Slab 2. �0 SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing & v \Rt..1') — Cb 53� Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof A `v M is . 'P-11b71 ,,2 - — ina ASS PART FAIL PLUMBING 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 Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain )C] Reinspection fee of $ ( . S'6 required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Other oach /Sidewalk Date ]J') Inspector Ext Final PASS PART FAIL DO OT REMOVE this inspectio record from the job site. , 'CITYOF.TIGARD BUILDING INSPECTION DIVISION MST .auv a 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 2 BUP Date Requested /- Z-) AM PM BLD Location /5/ Z S S /U 7 - Suite MEC Contact P- son Ph / 6P 3 0 2 ( PLM Contractor Ph SWR BUILDINGS 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 ` 1"6ST C °cam ,-C Insulation n Drywall Nailing S�.ra c . l Nro t Ate. -9z.: q y u LA --kJ , - 1 7 -- 5 Firewall Fire Sprinkler # S 1 /IL ‘ v A4/2 moo tiL ,1 Ac c.c� c�PP� �� 5? - Fire Alarm Susp'd Ceiling -' I _ r . . . t L t" Roof Misc: ( S c� � / /iv 64- /i 44:77 ' 7xd n 6' C2riw L_ - ASS PART F ' �•�oY� won 17 4 ' �7` h," , s• e pRw(__ � •���ly�.�rc. PLUMBING Post & Beam 45 �v� ° ci /p . °/7 Under Slab Top Out Water Service • 4 /6 U A 10 --- Sanitary Sewer Rain Drains ij) � �— G-�r rrt> :oa (C u �.4n s - r - t) u- cs, — Final PASS PART FAIL , 7 12,v- 144. c�S • ECHANI Post & Beam Rough In Gas Line Smoke Dampers Ina SS PART ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hail Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk I nspector Other Date / —�� — O / Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST PP G4 j •24 -lour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP 00 Zb Z • Date Requested /— Z AM PM BLD Location /)/ 2 r S G- /01 a -71.- MEC Contact Person Ph 91,9 / 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 Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL �PIUMBI Post & Beam Under Slab Top Out Water Service Sanitary Sewer Ra' I Drains e •ASS PART FAIL tISCHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer 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 RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk — `- -- / Other Date ( ( Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. OF TIGARD BUILDING INSPECTION DIVISION MST r Inspection Line: 639 -4175 Business Line: 639 -4171 - BUP Date Requested ! 2 t( AM PM BLD Location /5 2 ) 5mi 5 i 47 i4' ✓ Suite MEC Contact Person Ph 1��_ 3G Z/ PLM Contractor Ph � J5? Z-- 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 Framing Insulation Drywall Nailing Fire Sp / s Fire Sprinkler / 1g _ Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service /Ka Sanitary Sewer Rain Drains / I l Final /�� �/ S /'l ,/•=9' am. S © 4' I ! p` S PASS PART FAIL [> 'MECHANICAL /4/ I.Jg I I Post & Beam Rough In Gas Line Smoke Dampers Final ec e iaC. I L 11,0 /U m 197 PASS PART FAIL N d D r . Service Rough In UG /Slab Low Voltage F - Alarm PASS "ART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before n- ' spection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: ' [ ] Unable to inspect - no access ADA Approach /Sidewalk 0/ -1 7 4-0 \_, , �� Other Date Insp _ `�� Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION T 2v ' 24 -hour Inspection Line: 639 -4175 Business Line: 639 -4171 - BUP Date Requested 1/ `�� AM PM BLD Location I5 5 rA■ /V 1 ' Suite MEC Contact Person Ph 9' ri 9 3,T6 Z- 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 Framing Insulation l f }fLc l P, Drywall Nailing J N r Firewall Fire Sprinkler Fire Alarm //1�✓ PC) i ? CJ �/ 1 Q Susp'd Ceiling r'j �J Roof Misc: Final PASS PART FAIL PLUMBING 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 Voltage Fire Alarm Final PASS PART FAIL a ll /Grading Sanitary Sewer 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 einspectio RE: [ ] Unable to inspect - no access • AD pproach /Sidewalk Date 1( U `e g- T I Inspector r E F•, C al PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION I' MST . /y: 24110 it Iuspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested //--- 9 AM PM BLD Location /57 t- 7 3 L✓ /07 Suite MEC Contact Person Ph 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 Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL (MECHANICALj Post & Beam Rough In Gas Line Smoke Dampers PAS PART FAIL ` h/ 4' at ELECTRICAL ` Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer 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 RE: [ ] Unable to inspect - no access ADA 44 Approach /Sidewalk Other Date l t Inspector 1041 Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • CITY OF TIGARD BUILDING INSPECTION DIVISION MST. - 44U `�,G Z� 24''iourinspection Line: 639 -4175 Business Line: 639 -4171 BUP ` Date Requested / Co AM PM BLD Location /c/ 2 5 / 7 Suite MEC Contact Person Ph PLM Contractor Ph SWR JILD Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspe n Notes: Slab SIT Post & Beam Ext Sheath /Shear Int 1- - /Shear �' " �S Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling • �� �' — i ��•�� 1 Roof Misc: (32,V\ \('t AC C a1�1PL `fG� PART FAIL PLUMBING )1�� A oN �C 1 . 1N At. Post & Beam Under Slab 1 j1VSvL t} Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL `y am Post & Beam Gas Line Smoke Dampers F'.- PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer 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 RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date ] 1 Inspect° it i Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. l \ CITY OF TIGARD BUILDING INSPECTION DIVISION Mss 2€/c--4 -a �=- 24- Hourinspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested AM PM BLD Location 15/ 2) 5 /0 ? u Suite MEC Contact Person Ph 9 � ,9- PLM Contractor Ph SWR (mamba) 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 Sh -ath /Shear // 14 / nsulation Drywall Nailing 7 -rrec.' /B ,e4 rL.z, r— v treit (3 rtA /e/ G�( f Fire Sprinkler J � � QA-ofA Co kr�L lAei tC Fire S rinkler D�/r�iL 1C.tlr�c �� Fire Alarm Susp'd Ceiling rc.i. Sal S r atitos�f ' ovd.A e£=2,2■Ar S O�4,9 a (5 tgC Roof /> � /� Misc: & �9Li/i.1 / i /ter �° s%�c SY ui T`' 'LW/ rl1t�LE 25ez A / Final f �T,Y/fd 7.,27 >v ��o�L4 i �i.nbuoR� 17/fa 4 l" /ot< PASS PART FAI PLUMBING - 69 ST0/1P 41,i12.diie ,i 4,:44- ° .e.. — re Ai/Xf (j/ v /7r-d' Post & Beam / Under Slab io Prep v.D� /��.�r5 ✓z (' GXie Ta 91c. A44141 (**. fi r Top Out Water Service �. ' , c ! , �, �!- .11 . e ° � AP- Sanitary Sewer Rain Drains r, -A cS '� ► 7:02-AtJ',c, A04D ( (2,J1. ar -7U Zczw57Z Final PASS PART FAIL ,a - I/i ice.. , . - _ < r r c ,<MECHANIC7�Lj Beam r ed,t'.to.e-c_>" rn.5s 7,..-C/2 � - .ug 1 . - Line Smoke Dampers Final ;) P ASS PART (F� ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer 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 RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. - CITY OF TIGARD BUILDING INSPECTION DIVISION 4. ST 2"v 2 -Hour inspection Line: 639 -4175 Business Line: 639 -4171 • BUP • Date Requested 1/- - 3 AM PM BLD Location /57 7. 5 w l G 7' Suite MEC Contact Person Ph PLM Contractor Ph (a,S - a / Z 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 Framing Insulation Drywall Nailing Firewall AV7/ Fire Sprinkler & Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING 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 (EC 5 vice Rough In A UG /Slab Co Co v Low Voltage Fire Alarm eg a — ____54■RT FAIL SITE Backfill /Grading Sanitary Sewer 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 RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date > - 3 - C3o Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. - 4. CITY OF TIGARD BUILDING INSPECTION DIVISION f " 1C4IST Za5e 2- CV 24 -I-our Inspection Line: 639 -4175 Business Line: 639 -4171 v / BUP Date Requested //— /— 0 AM PM BLD Location /c7 / Z S S /0 7/ A Suite MEC Contact Person Ph PLM Co r Ph SWR D Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Pos I ti Jila' Fra -' i s Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: PA S PART FAIL P UMBING 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 Voltage Fire Alarm Final PASS PART FAIL SITE BackfilVGrading Sanitary Sewer 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 RE: [ ] Unable to inspect - no access ADA '/ Approach /Sidewalk Date ✓ f de) Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. L _ • CITY -OF TIGARD BUILDING INSPECTION DIVISION nST — f G L 24 -HoQr Inspection Line: 639 -4175 Business Line: 639 -4171 v • BUP Date Requested /0 AM PM BLD Location /17 Z-) S Gil /0 l e< J1(/ Suite MEC Contact Person Ph gCr 9 - 1 5-6 l 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 Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL MuMBJNG� Post & Beam Under Slab 0 ater Service Sanitary Sewer Rain Drains q„J'� PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer 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 r inspection RE: [ ] Unable to inspect - no access ADA Approach/Sidewalk Date / v Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 01 TY ?F TIGARD BUILDING INSPECTION DIVISION , MS`r y Z 24 =Hour Inspection Line: 639 -4175 Business Line: 639 -4171 � • BUP f1 Date Requested 9 / Z AM PM BLD INAV Location h / Z /o 7 Suite MEC V I Contact Person Ph 769 3J L 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 Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL P IN Po b eam Under Slab To Out Se 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 Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer 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 RE: [ ] Unable to inspect - no access ADA /� Opheoach /Sidewalk Date // Z' / /2 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • CITY OF TIGARD BUILDING INSPECTION DIVISION MST — &US G 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested q , ( AM PM BLD Location /57 2-) 54' /o7 Suite MEC Contact Person Ph f 9 q 35G Z - 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 Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final C I l l / t e9 / /L/ ✓ 6 13 6- SAS•& —R,A�T FAIL /PLUMING_) <) liYl Di ost & Beam Under Slab Top Out - ; i ary Sewer rain ,, PART FAIL • j =;''• NICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Other oach /Sidewalk Date I I , 0 0 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. MST - Master Permit Inspection Description Date Passed By Notes Grading Footing /Setback Foundation walls Slab Footing drain Waterproof basement walls Plumbing underslab Crawl drain Post/beam plumbing // / Post/beam mechanical 1/73 Underfloor insulation Post/beam structural // Shear walls /anchors // / ( Exterior sheathing (/ ^ / O L Plumbing top -out /e y 3 �� Gas line & test , 11.• / C�-r / Z / 0 sy Mechanical rough -in (/ Electrical rough -in //— 3 - a-c) /11 Electrical service / l 3 - 6 Low voltage Sprinkler rough -in Backflow preventer Roof nailing Firewall Framing MFG -Home set -up Insulation Drywall nailing Masonry/Reinforcement Rain drain Sanitary sewer Water service Pump /fill septic tank Approach /sidewalk Grading final Mechanical final 3 - Plumbing final Electrical final / _ ..$-v / Lf" Final inspection - i.._ 61 Special Reports SWR - Sewer Permit Inspection Description Date Passed By Notes Sanitary sewer Final inspection INSPECTION RECORD - MST (MASTER) PERMITS ... We , MASTER PER ?�,''rP Al ,\ ' PERMIT #: MST2G00 0 2132 s. , DEVELOPMENT SERVICES DATE ISSUED: 8/23/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15125 SW 107TH TERR PARCEL: 2S110DA -08703 SUBDIVISION: ERICKSON HEIGHTS ZONING: R -3.5 BLOCK: LOT: 048 JURISDICTION: - FIG REMARKS: S/F PATH I BUILDING REISSUE: STORIES: 2 FLOOR AREAS REOUIRED SETBACKS RECUIRED CLASS OF WORK: NEW HEIGHT: 22 FIRST: 1 609 sf BASEMENT: sf LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SEE FLOOR LOAD: 40 SECOND: 1.411 sf GARAGE: 670 sf FRONT: 20 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMEN:: sf RIGHT: 5 VALUE: S 228,421.96 OCCUPANCY GRP: R3 BORM: 3 BATH: 3 TOTAL: 3,020.00 sr REAR: 43 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 4 DISHWASHERS: I FLOCK DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BAS:NS: TUB /SHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVIITR: 1 GP.EASE TRAPS: OTHER FIXTURES: MECRAN FUEL TYPES FURN < 100K.: BOIL/CMP: 3HP: VENT FANS: 5 CLOTHI:.S DRYER: 5 GAS FURN > =100K: I U 1IT HEATERS HOODS: 1 OTHEP. UNITS: 1 MAX!NP: btu FLOOR FURNANCES: 'JEWS: 1 WOOOSTOVES: GAS OUTLETS: 1 ELEC -RICA( RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /F°_EDERS BRANCH CIRCUITS MISCELLANEOUS - ADO'L INSPECTIONS 1000 SF OR LESS: 1 0 • 200 amp: 0 • 200 amp: W/SVC OR FCR: 1 PUMP /iRRIGA T ION: PER INSPECTION: E. ADC'L 500SF: 6 201 • 400 amp: 201 • 400 amp. 1 s W/O SVC /FDR: CO SIGN'OUT LIN LT. PER HOUR: LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL'PANEL: IN PLANT: I NANJ HWSVC /FDR: 601 • 1000 amp: 6lil +amps•1000v: MINOR LABEL: 1000+ amp /volt : -__ PLAN REVIEW SECTION Reconnect only: >=4 RES Utrl r5: SVCIFQr.> =225 A. - . • 600 V NCMINAL: CLS AREA/SPC OI:C: ELECTRICAL • RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL i lli i i i AUDIO & STEREO: X VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUrDOCR LNDSC LT: BURGLAR ALARM: s OTH: EOILER. HVAC: LANDSCAPFJIRRIC: i'ROTECTIV2 SIGN( GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEM: Owner: Contractor: TOTAL FEES: $ 6,661.92 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 O WEST LINN, OR 97068 WEST LINN, OR 97068 accordance with approved plans. This permit will expire if work is not stated within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION Phone: Pho.1e: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules art; set I Reg #: LIC 049955 forth in OAR 952 -001 -0010 through 952 - 001 -00E0. You 0 may obtain copies of these rules or direct questions to • OUNC by calling (503) 246 -1987. 0 REQUIRED INSPECTIONS Erosion 844 -8444 Post/Beam Mechanical Mechanical Insp Framing lnsp Gas Fireplace Electrical Final Sewer Inspection Underfloor insulation Mechanical Insp Shear Wall Insp Insulation lnsp Mechanical Final tki Footing lnsp Crawl Drain /Backwater Plumb Top Out Exterior Sheathing Insi Rain drain Insp Plumb Final Foundation Insp Footing /Foundation Dr Electrical Service Low Voltage Water Line Insp Final inspection Post/Beam Structural PLM /Underfloor Electrical Rough In Gas Line Insp Appr /Sdwlk Insp Building Final C IIIII' Issued By : _ Permittee Signature : _ le Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day I A A