Permit CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2000 -00229
r ,. is DEVELOPMENT SERVICES DATE ISSUED: 9/12/00
'� �� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15287 SW 107TH TERR PARCEL: 2S110DA -09200
SUBDIVISION: ERICKSON HEIGHTS ZONING: R -3.5
BLOCK: LOT: 053 JURISDICTION: TIG
REMARKS: S/F PATH I
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 21 FIRST: 1,536 sf BASEMENT: sf LEFT: 15 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,378 sf GARAGE: 817 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5
VALUE: $ 222,068.14
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,914.00 sf REAR: 72
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: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 2
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: 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: X AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: 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: $ 6,355.30
RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES This permit is subject to the regulations contained in the
1672 SW WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR Tigard Municipal Code, State of OR. Specialty Codes and
WEST LINN, OR 97068 WEST LINN, OR 97068 all other applicable laws. All work will be done in
accordance 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 Control Insp & Post/Beam Structural PLM /Underfloor Electrical Rough In Gas Line Insp Appr /Sdwlk Insp
Grading Inspection Post/Beam Mechanical Mechanical Insp Framing Insp Gas Fireplace Electrical Final
Sewer Inspection Underfloor insulation Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final
Footing Insp Crawl Drain /Backwater Plumb Top Out Exterior Sheathing Insf Rain drain Insp Plumb Final
Foundation Ins Footing /Foundation Drs Electrical Service Low Voltage Water Line Insp Final inspection
Issued Permittee Signature :CAS-1.....".....\ ____....
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
Ti8,e
b.-4.
C iT`Y <OF T IGARD Residential Building Permit Application Plan Check# s= .,=.c
Recd By �_ ;;� his
13125 SW HALL BLVD. New Construction Date Rec. = _∎ 4 co
TIGARD, OR 97223 Single Family Detached Date to P.E. l�l S-75 -� tob
V 503 - 639 -4171 Date to DST gZf�i' D
F 503 -684 -7297 \ Permit #tiSiat�cO- COaa-9
Print or Type G,� Called Q f- o 6'too
Incomplete or illegible applications will not be accepted SP 44 "'1'
eo - bra
Name of Project Name // / / / —I
,c7/ ' hIo SinP✓
Job �.,L /�s.�' 11p1 _C3 Architect Mailing Address
Address Site Address 7 //0 St,/ F4, Coo _ —
f. S 2 $7 S "C / /47 *y 7-0,- City/State Zip Phone
Name 1 '/ T,: ra t/ 97zz3 6Z9- 9z1/
12rtn a 4fsa.4L 6,0 nom 1-4,,.4 es Name
Owner Mailing Address
/G 7z sw // M 7fri- 6 //f "I./ ,-e Engineer Mailing Address
City /State Zip Phone En g. L 96 s'4/ i(4,..-/..., S:f-
tVerf ti,,,, 972 6g SS 7- 8'e00 City /State Zip Phc e
General Name
773 ')7223 `2 V - 76.03
Contractor S t,,,.e Describe work New)K Addition 0 Alteration 0 Repair 0
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 PROJECT -
expired in COT Lic.# VALUATION $ 2 2 06 a
database 97571 5/ , Z
Mechanical Name NEW CONSTRUCTION ONLY:
Sub- G 4a... o,, /4,f,,,9 Sq. Ft. House: � Sq. Ft.Garage
Contractor Mailing Address 7
Prior to permit Z 7 3 U> S� 3 9 ra Z. Indicate the restricted energy installation by the electrical
subcontractor in the following areas
issuance, a copy City/State Zip Phone Restricted Audio /Stereo
of all licenses ii, dapp, - 9 7/23 6z9 (929Z Restricted x S stem Alarms
are required if Oregon Const. Cont. Board Exp. Date Energy y
expired in COT Lic.# Installations Vacuum Irrigation
database t / 2 Z 0 98 Pi�79 /0Y > System System
Plumbing Name (check all that Other:
Sub- Cra'I ,4 , /a in apply)
Contractor Mailing Address y Number of Units in Building Unit Number Designation
7 s 1 / /f/i,,, 6,, Has the Subdivision Plat recorded? N/A YES NO
Prior to permit City/State Zip Phone
issuance, a copy L3 Pk„rrp 97 Os 6'1V SL 9V
of all licenses are Oregon Const. Cont. Board Exp. Date
required if Lic.#
expired in COT 7 94-66 2. / /a / ,l
database Plumbing Lic. # Exp. Date I hearby acknowledge that I have read this application, ti:at the
information given is correct, that I am the owner or author zed agent
z m - f' r3 7_/z tf/o/ of the owner, and that plans submitted are in compliance ,with
Name Oregon State laws.
Electrical of Owner /Agent Date
(ra y e /ec �✓ /C . %. ?, �.(/L----- f' // ''!
Sub- Mailing Address
Contact Person Name Phone
Contractor po 3vx /y29 -7-
„,;- /-/ /3,.O,% 557 - "omCl
City/State Zip Phone
Prior to permit
issuance, a copy (=lack a.as . 97 CP /S C- 7 -ovrt FOR OFFICE USE ONLY:
of all licenses are Oregon Const. Cont. Board Exp. Date plat Map/TL #:
required if Lic.# 7 3g 2 -
expired in COT 03 5 W 9 /® a - Z D
database Electrical Lic. # Exp. Date Setbacks: Zone:
/mai L I /3,
Electrical Supervisor Lic. # Exp. Date Eng� ee 't• Approval: Planning Approval: TIF:
E /q S /v/ / /m/ -.-49
f' / I Q 1C )
i:\dsts \formslsfd- 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
P #• MST2000 -00229
Date Issued: 9/12/00
Parcel: 2 S 110 DA -09200
Site Address: 15287 SW 107TH TERR
Subdivision: ERICKSON HEIGHTS
Block: Lot: 053
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 97 068 BEAVERTON, OR 97008
Phone #: 557 -8000 Phone #: 644 -8698
Reg #: I IC 79666
PI M 20 -148PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X
Signature of Authorized Plumber
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 #: MST200n -00229
Date Issued: 9/12/00
Parcel: 2S110DA -09200
Site Address: 15287 SW 107TH TERR
Subdivision: ERICKSON HEIGHTS
Block: Lot: 053
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
Req #. L C P 34544
ELE 3 -128C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Supervising Electrician
If you have any questions, please call (503) 639 -4171, ext. # 310
1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST ek,v_O z
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested — ! v AM PM BLD 111Wl
Location /5" Z ¥7 f fu 7 a 7 , Suite MEC MP-
Contact Person Ph ' PLM
Contractor Ph SWR
_ Tenant/Owner ELC
11 Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: ( l .0-P
Sla SIT
ost & Beam hear e #L.0 t " ( �wt R, m e
Int Sheath /Shear
Framing
Insulation
Drywall Nailing f2 C.A-t 6.-F A T ljt/ /C/
Firewall
Fire Sprinkler Q / i�
Fire Alarm
Susp'd Ceiling
Roof
( 6- / ?_ c z i/JG, ' e c17` /e .ce T r �U
'ASS 'ART FAIL y— �-^
'RQ t & Be
�Und _er Slab
Top Out
Water Service
Sanitary Sewer
Rain ' ains
PART FAIL
Oltern
Post & Beam
Gas Line
Smoke Dampers
rte,
.- ART FAIL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
f
PASS PART
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 Z 1/ z & I
Inspector
Other � � ( 7N7 Ext
Final
PASS PART DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION ® -2i p G 2Z7
Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 2 / i 3/0 / AM PM BLD
Location / S2 8 7 5(--/ / 0 7 .7k/ 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 ' r >
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
RT FAIL
ELEFTRICAc)
Service
Rough In
UG /Slab
Low Voltage
Eke Alarm
; PART FAIL
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 2/i Z / Inspector oy� Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST ' ' f
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
` " BUP r :0 1 1„•�' "
Date Requested //– 2 U AM PM BLD 1.4/1
Location 1 Z 5 1-1 1 /p Suite ME - Ii�` -
Contact Person Ph 9l 35 7s PLM
Con tor 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
I • - h/Shear
-. 11 1S
Igi '',
/f7<,.) - o
I ryw Nailing jT �l� ��� P E 'Z-. �- c!!.�`'- /O�V`S ��s
Firewall
Fire Sprinkler f /� �•-
Fire Alarm �i �_ 7 - --To KA )vo7 66 9 Y v/ / / /
Susp'd Ceiling �j
Roof /
Misc: / •e-1 S arjOot) e ./C Zys
I.
eif PART FAIL
P • :ING --, - ;41\
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
L
- -am
Roue/
Gas Line
Smoke Dampers
PART FAIL
EL TRICAL
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: [ I Unable to inspect - no access
ADA //-- "V Z 7.(��
Approach /Sidewalk
Other Date Inspector 777 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
L_
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hoist Inspection Line: 639 -4175 Business Line: 639 -4171 MST , ,r, 44 L ��'
BUP •
Date Requested /! AM PM BLD
Location / z- / 0 %ri-■ Suite MEC
Contact Person Ph f PLM
Contractor Ph SWR
ING 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>' 4ii. 12/ S S'r,/7S ( Clef/224 i C'A,4c,=
sn ula
Drywall Nailing l _i AV"' 4 rt- , /.2 (- "427v Sa 72< c6- 7 /Iil -S
Firewall
Fire Sprinkler V27 4/4-, 42ou.6iL Joy sr ( — A a A 9
Fire Alarm c,
Susp'd Ceiling JZPfS<//,?" ., CA G 9A;i7; / 20r.1/ 574-4.7
Roof - -
Final
PASS PART AIL �- <.� /= � j r 3i � <.�i f tr' > ems' 1i7os<7-7L<z--
PLUMBING Ld - ‘,45cini" -, ( //z,, y 4_4.0 ��d / �9 �'�lil�✓� �� /lLL
Post & Beam
Under Slab h� nrti> � 6 -e Ir A-72.4 - .> r c.•"; .-'4¢c= .
Top Out
Water Service 5 7 -' - r-71.4 ( 1, e /X14-se_
Sanitary Sewer
Rain Drains ('rJ ,c1 /1/ / Jpc7 (7 � ,y / friu, dQLSo
Final
PASS PART FAIL !*r'
MECHA
i.! 2" ,- / /2 • -i c 4 1./G S
ug
G ine
Smoke Dampers
Final
PASS PART MD
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-- 2 � ' /
Other Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST ou . _�v
24- Hoifr.lnepection Line: 639 -4175 Business Line: 639 -4171
BUP
•
Date Requested / / Z f AM PM BLD
Location / el 5 let" /U 7 r- . Suite MEC "
Contact Person Ph 96.7 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
Fire wall
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
EECTRI
Service
CPfough In )
Slab
Low Voltage
Fire Alarm
PASS ART FAIL
BackfilUGrading
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 Ii Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST Zv - cZZ
24 -Hou( Impaction Line: 639 -4175 Business Line: 639 -4171
BUP o ,
ate Requested r/ / 1 AM PM BLD
Location ) .5 1...)/07 n Suite MEC
Contact Person /;c,-,2,g? Ph 9,G,- 3) Z - PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall 4OP
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing _ £ --t.-� j P �r'�'c� / �e
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm P 1 / )A ij/� O u Susp'd Ceiling l v V �V /'v( / ,, / /
Misc: l� ,4,,z_ r'C' —J /ZAJ (/ s c- e)
Final
PASS PART FAIL
PLUMBING 2 / Cd - Ve-- - K - % S f/
Post & Beam
Under Slab D 1 �S / / r
Top Out � �� � G � �� `� � 7/ X� �
Water Service C ( 77`x'/ cs /1i, 6 6--74 6-0
Sanitary Sewer
Rain Drains
Final � U
PASS PART FAIL
3) `/ 74 � re_ /4
MECHANICAL �I
Post & Beam 40 { ✓ 2 (/1 4 A..%) /7' A7
Rough In
Gas Line
Smoke Dampers S� lit � rl/ v
Final �� �'�`
PASS PART FAIL
LECTRIC
Service
qgg lip
Low Voltage
Fire Alarm
Final r--, 1
PASS P 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 // /7 /7C7 Inspector _ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
• CITY OF TIGARD BUILDING INSPECTION DIVISION
MST r, -td 2 a7
24 -HouF Inspection Line: 639 -4175 Business Line: 639 -4171 BUP ..., -
Date Requested / /4Y AM PM BLb
Location 430) 5 w /U 7 Suite MEC
Contact Person /5 Ph 9, 3 SC Z PLM
Contractor Ph SWR
BUIL t _ Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: ( --
SIT
Post & Beam 5 t-- v A- /O 7?
sL��i�I�E.72x1. c
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
kar Fig R •
PART FAIL
I BING
Post & Beam / i
11$ j h Under Slab
Top Out V ` �� ' /�,�`� , VI Water Service
Sanitary Sewer ffaii. ��11174. ,//
Rain Drains
Final !PIT
PASS PART FAIL
MECHANICAL ,'�
Post & Beam 4 ,,,, f Rough In 0
/Ot 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 ) ��/ ,/�
Other ach /Sidewalk Date / f / �I J VL� Inspector 17) 1 ` 1 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST «ivr/
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
`/ BUP
Date Requested // �1� AM v PM BLD
Location .1040001f 1 S uite MEC
Contact Pers ,K5 7 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 ��— ,7
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
P ASS PART FAIL
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 A
— Other ku � —CV Inspecto Ext
ther Date
Final
PASS PART el DO NOT REMOVE this inspection record from the job site.
CITY -OP. T.IGARD BUILDING INSPECTION DIVISION MST 20 0) 6 _ ---0 0;a?
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP AST,
Date Requested AM PM BLD SA W
Location 5 A✓ /6 7 4 Suite MEC
Contact Person S S ! 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
�'Pc I I MBIN)
Post & Beam
Under Slab
( OP QL
ater Service
Sanitary Sewer
Rain Drains
Fin
ASS ART FAIL
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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Date C1 (� (? -O C Inspector ((? Ext /
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
L
CITY,OF TIGARD BUILDING INSPECTION DIVISION 'vu 22,g
24 -Hour Inspection Line: 639 -4175 Business Line: -630 - 4171 MST r v /
• BUP
Date Requested �.. .. 1 ( AM PM BLD
Location . / 5 $ 1 S'". 411416 C 5 7 - \ Suite MEC
Contact Person Ph 9(o 9 -?-6 Z- PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
,i_ rawl Drain Inspection Notes:
a• SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing �r
Firewall _
Fire Sprinkler �� — '��� '
Fire Alarm ( �j / —
Susp'd Ceiling - /�� �� / �` `/ , _ ,- - t
Roof / _ _ �%� f�
Misc: /
Fi • -. /
PART FAIL 7
Post & Beam
Under Slab
Top Out
.- er - .' -
Final
2. PART FAIL
11119-- HANICAL
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 Date At Inspector 1 277 .7 Ext3 L -
Other r s
Final
PASS PART FAIL ' O NOT REMOVE this inspection record from the job site.
CITY'OF TIGARD BUILDING INSPECTION DIVISION - •
24 -Hour Inspection Line: 639 -4175 • Business Line: 639 -4171
MST i 'ZG 2Z
• - BUP rP
3
Date Requested 7 ` 1 A M PM BLD
Location IC "L S'' /01 Suite MEC •
Contact Person Ph PLM
Contractor Ph SWR
.43ci Tenant/Owner ELC
Retaining Wall ELR
ound Access: / FPS
•
Ftg Drain / A 6)w-- rte.-A
O
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
N V PART FAIL
PL U ' 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 /f
Approach /Sidewalk
Other � Date 5 V Inspector 7 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
' 1
MST, - Master Permit
4 Inspection Description Date Passed By Notes
Grading. _ •
}
Footing /Setback
Foundation walls
Slab
Footing drain
Waterproof basement walls
Plumbing underslab
Crawl drain '772((}6
Post/beam plumbing
Post/beam mechanical
Underfloor insulation
Post/beam structural
Shear walls /anchors l/ -/y
Exterior sheathing 7 4
Plumbing top -out ' /-- 6
Gas line & test
Mechanical rough -in // - 2 L —0ed 767
Electrical rough -in 7/ - 2-I -
Electrical service / / - t4
Low voltage
Sprinkler rough -in
Backflow preventer
Roof nailing
Firewall
Framing if 2 Z -eV/
MFG -Home set -up
Insulation
Drywall nailing
Masonry /Reinforcement
Rain drain
��''
Sanitary sewer d � �'
Water service /,filed 0,
Pump /fill septic tank
Approach /sidewalk
Grading final
Mechanical final
Plumbing final
Electrical final
Final inspection
Special Reports
SWR - Sewer Permit
Inspection Description Date Passed By Notes
Sanitary sewer
Final inspection
INSPECTION RECORD — MST (MASTER) PERMITS
1
• /� '�° � " ® MASTER PERMIT • .
• \ r ` T V /"1 R D PERMIT #: MST2000 -00229
iti DEVELOPMENT SERVICES DATE ISSUED: 9/12100
13'125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15287 SW 107TH TERR PARCEL: 2S110DA -09200
SUBDIVISION: ERICKSON HEIGHTS ZONING: R -3.5
BLOCK: LOT: 053 JURISDICTION: TIG
REMARKS: S/F PATH I
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 21 FIRST: 1,536 sf BASEMENT: sf LEFT: 15 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,378 sf GARAGE: 817 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5
VALUE: $ 222,068.14
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,914.00 sf REAR: 72
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: 3 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: 2
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: 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: SIGNAUPANEL: IN PLANT:
MANU HM/SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
{ 1000+ ampNolt : PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
a
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: X VACUUM SYSTEM: X AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: X OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION' MEDICAL: OTFIR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Contractor: TOTAL FEES: $ 6,355.30
Owner: 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 accordance with approved plans. This permit will expire if Ik
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 Control Insp 8& Post/Beam Structural PLM /Underfloor Electrical Rough In Gas Line Insp Appr /Sdwlk lnsp
Grading Inspection Post/Beam Mechanical Mechanical Insp Framing Insp Gas Fireplace Electrical Final 1
Sewer Inspection Underfloor insulation. Mechanical Insp Shear Wall lnsp Insulation Insp Mechanical Final
Footing Insp Crawl Drain /Backwater Plumb Top Out Exterior Sheathing Inst Rain drain lnsp Plumb Final
il b
Foundation Ins Footing /Foundation Dr; Electrical Service Low Voltage Water Line lnsp Final inspection
CAs--v,...„..... IN
Issued ,♦ .I� •�IlLd II .. Permittee Signature
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day