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Permit • CITY OF T I G A R D MASTER PERMIT PERMIT #: MST2000 -00169 MAO DEVELOPMENT SERVICES DATE ISSUED: 7/6/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15210 SW 107TH TERR PARCEL: 2S110DA -EH028 SUBDIVISION: ERICKSON HEIGHTS ZONING: R -3.5 BLOCK: LOT: 028 JURISDICTION: TIG REMARKS: S/F PATH I BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1,447 sf BASEMENT: sf LEFT: 7 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,832 sf GARAGE: 678 sf FRONT: 22 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 7 VALUE: $ 245,375.67 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 3,279.00 sf REAR: 81 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 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: 1 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/0 SVCIFDR: 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 0CC: ELECTRICAL - RESTRICTED ENERGY A. SF RESIDENTIAL B. COMMERCIAL __ AIjpIO & STEREO: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: 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: $ 6,327.16 This permit is subject to the regulations contained in the RENAISSANCE DEVELOPMENT RENAISSANCE DEVELOPMENT Tigard Municipal Code, State of OR. Specialty Codes and 1672 WILLAMETTE FALLS DR 1672 SW 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 work is not started within 180 days of issuance, or if the work is suspended for more than 180 days. ATTENTION: Phone: V41 Phone: Oregon law requires you to follow rules adopted by the C Oregon Utility Notification Center. Those rules are set C Reg #: LIC 49955 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 Underfloor insulation Mechanical Insp Shear Wall lnsp Insulation Insp Mechanical Final - Footing Insp Crawl Drain /Backwater Plumb Top Out Exterior Sheathing Inst Rain drain Insp Plumb Final Foundation lnsp Footing /Foundation Dr: Electrical Service Low Voltage Water Line Insp Final inspection Post/Beam tural PLM /Underfloor Electrical Rough In Gas Line Insp Appr /Sdwlk lnsp Building Final Post/' -am Mechanica Mechanical Insp Framing Insp Gas Fireplace Electrical Final Iss d By : ' %.i.ilm A!,L.dliZ Permittee Signature :JC--4 \----------- - Call (50 ) 63' 175 by 7:00 p.m. for an inspection needed the next business day C!IY OF TIGARD Residen / °I C 1 :ion Plan Check # 6 13125 SW HALL BLVD. Z Rec'd By Date Recd 5 6 ` TIGARD, OR 97223 Date to R.E. 6 - /Z -oU V 503 - 639 -4171 Date to DST !o - F 503 - 684 -7297 - 'i Permit #/7134 &i, -oo /&/ Print or Type Called T/2.19 G/26,0-C.) g Incomplete or illegible applications will not a accepted 5IVRc207.1a — 00 /c ? Name of Project Nam Job -site CkSai., ? Site Address -t V( it, � r� _ ��i, - t� - flbS��� - 0 i y,v Address Architect M ling Address ddress _ /59,/67 �L-- (07 //v 511. /`l l/ /6 Name - City /State Zip Phone 6,-vsy rim-yo a 5w23 Owner Mailing Address, Nam /672 /V -- i //s' AV / � i 9 t�� ii i r� City /State ip Phone Engineer Mailip Address % tips * - / w.\,. ZI 9 ' 7 l / i,S' SS 7- 5nt'c, 3 S j e T >r�'sibC' N ame City /St t Zip Phone General � _ �r // x� aP7�/ 2 p) s' Contractor New",:_' Describe work New 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.# �j�j/ / 5 , database / S s VALUATION Mechanical Name / � NEW CONSTRUCTION ONLY: Sub- I!�1r9��it.i,/ / , c /5: Sq. Ft. House: Sq. Ft. Garage ' Contractor Mailing Address 7 6 7, Prior to permit ( 2644 kt/ / / /L' /ti /971 U� Indicate the restricted energy installation by the electrical issuance, a copy City /State � Zi Phone subcontractor in the following areas of all licenses // /�f gt tr �C 7/,,Z3 Restricted Audio /Stereo are required if Oregon Const. Cont. Board Exp. Date Energy System _ Alarms expired in COT Lic.#/ O v V Installations Vacuum Irrigation - database OO 7 System System Plumbing Name,, � /�� (check all that Other: Sub- Cmf% /,e f/%W//7 apply) Contractor Mailing a7 Address n / Number of Units in Building Unit Number Designation / f 6 / r` / 4 / ' 5 Has the Subdivision Plat recorded? N/A E NO - Priorto permit Ci / State i '`Phone issuance, a copy rated -s4/ OA. of all licenses are Oregon Const. Cont. Board Exp. Date required if Lic.# 776- (p -66 expired in COT C� database Plumbing Lic. # Exp. Date I hearby acknowledge that I have read this application, that the (D �/ Z/ �j5 information given is correct, that I am the owner or authorized agent 7 1 � of the owner, an• , t plans submitted are in compliance with Nam Oregon Stag Electrical / �.E C7A71- • Sign. .1 of p *ne -nt Dat I Sub- Mailing Address /OW r 5�,,�d0 Contact Person Name Phone # Contractor `) X 9 r/ s' ' I6ot 5 5 - 5'7 -504t) it /St to / Zip Phone Prior to permit issuance, a copy ( �i�' j FOR OFFICE USE ONLY: of all licenses are Oregon Const. Cont. Board Exp. Date required if Lic.# j Plat #: (/ Map/TL #: expired in COT /‹ p iz ,9. NQ database ElectricalLic. # Exp. Date Setbacks: Zone: z 3 ,_ Q� s -1,9 G ` p 1 k/ Electrical Supervisor Lic. # Exp. Date Engineering Approval: Planning Approval: TIF: i:\dsts \forms\sfd - new.doc 11/20/98 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 RE CEIVED IMPORTANT PERMIT NOTICE J 2 2000 CRAFTWORK PLUMBING INC $y 7736 SW NIMBUS AVE BEAVERTON, OR 97008 Plumbing Signature Form Permit #: MST2000 -00169 Date Issued: 7/6/00 Parcel: 2S110DA -EH028 Site Address: 15210 SW 107TH TERR Subdivision: ERICKSON HEIGHTS Block: Lot: 028 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 DEVELOPMENT CRAFTWORK PLUMBING INC 1672 WILLAMETTE FALLS DR 7736 SW NIMBUS AVE WEST LINN, OR 97068 BEAVERTON, OR 97008 Phone #: 557 -8000 Phone #: 644 -8698 Reg #: LAC 79666 Pl_M 20 -148PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X ai 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 d J•�F.� IMPORTANT PERMIT NOTICE JUL 1 2 2000 GAGE ENTERPRISES INC PO BOX 1429 CLACKAMAS, OR 97015 -1429 Electrical Signature Form Permit #: MST2000 -00169 Date Issued: 7/6/00 Parcel: 2S110DA -EH028 Site Address: 15210 SW 107TH TERR Subdivision: ERICKSON HEIGHTS Block: Lot: 028 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 DEVELOPMENT GAGE ENTERPRISES INC 1672 WILLAMETTE FALLS DR PO BOX 1429 WEST LINN, OR 97068 CLACKAMAS, OR 97015 -1429 Phone #: 557 -8000 Phone #: 503 - 657 -0142 Reg #: SUP seas LIC 34544 ELE 3 -128C AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of Supervising Electrician If you have any questions, please call (503) 639 -4171, ext. # 310 ' 36' i N 89'47'54" E 147.36' teY N O / - _ A O 1 N O O a �� c l I == L_ V cn tea„ *' m r 3.00' 3.50' ? 5 t rn d rat N ..p. f �'"`.�„ 9. 81.4' 0 o a.so'G o > -� too. --� n co' --- ca " - SS G 8. 1 S . N 5.33' 4.67' + + 5.00' 0 N iv 20.50' .� s '4-, ° o ° 8 1 St 89'47'54" W 147.41' - < N > e's-/v4-iks.s-4-11/4-- 4.9,/ Sr7-ir000 /5 s's,1,, /07n - -MOVED HOUSE 20' FRONT SETBACK, j 0 7i PER CLIENT, MPW 5/24/00 ;E 3 " . 5 f',P 1 SCALE DRAWING LOT 28 ERICKSON HEIGHTS S.E. 1/4 SEC. 10, T.2S., R.1W., W.M. CITY OF TIGARD WASHINGTON COUNTY, OREGON i. I _- MAY 22, 2000 Centerline Concepts Inc. DRAWN BY: MSG CHECKED BY: WGDIUI SCALE 1"= 20' ACCOUNT # 115 640 82nd Drive Gladstone, Oregon 97027 M: \MLI \L28ERICK 503 650 -0188 fax 503 650 -0189 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2w .00/4p • 24 =Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP / Date. Requested / Z / AM PM BLD / Location C/ ° / � Sw 7 G7 zPt �-!✓ Suite MEC Contact Person Ph 9 34' Z / PLM Contractor Ph SWR ILDI 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: F 'ART FAIL = ING 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 /� Inspector Date /2 //�`" Ito Other E X t Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST, _20w _00/ 24 -Hour inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested lam- 6 AM PM BLD Location />/p/ S w / 6 7 - 7 v Suite MEC Contact Person Ph 9& r— 3' Z/ PLM Contractor Ph SWR cUILDIN Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation �gyl ,,i, / C 11 FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Sew ,t,/2/ Drywall on 1 , n n/ Dal Nailing ( glee, Firewall Fire Sprinkler fit , ;;,,„ I ? J - P Fire Alarm Susp'd Ceiling Roof r SS PART 1 , 0(5' ( L pt,ole4 PLUMBING 2 5 4t G &/5 t0'7 ` e I111 Post & Beam 'n Under Slab i�j/1e1 G-G -3 Loa-4 Z—z Top Out Water Service ,/— L. ? —47 (`j lg. �x2 �C1.•� Sanitary Sewer Rain � - ,+� 7 J- s 9 �� �e 67Lp i Rain Drains � r4. `g 4 ff Final PART FAIL � ? ./' £ j /� i `v(/y 2041' & %1l�lGl `7� 441z. Post & Beam G _ " ` ° ` Q Zia yip l -/ Rough In 5 huvi dot!7i��L..44 - O � Gtr r'v of ff "j Gas Line / ��� • -Dampers ./ 1■► PART FAIL 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: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date f 1 Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 21 &0/6.7 ' 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested / / Z Z AM PM BLD 4 Locatio w / P/ re/Pt Suite MEC Contact Person /57 Of Ph r 30 2 ( PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Foundation Access: L) / LG ., 6o A FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing .ri' Firewall /WO ,ILP' �;��� Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL (P LUMBIN G ost & Beam Under Slab Top Out Water Service Sanitary Sewer R - in Drains PART 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 —f Approach /Sidewalk Other D ate 47 , 7i 7` — ( Igspector Ext Final CJ PASS PART FAIL GG DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST '700 y GG/ 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 / BUP Date Requested 1/ — $ AM [�PM BLD Location l.- t/' 5w /07 Z -, 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 C� 1 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 C.Kgr 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 I roach /Sidewa Date `� / — ' 01.7 Inspector Ext Other Fi AS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST Z•YG' •e6, /,6 c� ' 24LHopr Inspection Line: 639 -4175 Business Line: 639 -4171 / 1 Date Requested /0 ' AM PM BLD Location /5Z /U 5 (✓ / 01 Suite MEC Contact Person Ph 9 '7 i > li Z PLM Contractor Ph SWR UILDWN5s7 Tenant/Owner ELC e ai ing Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing n rywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: ASS ART FAIL P G 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 Date /6 /'t7/ O Inspector , ' &1 . 7 Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • • CITY OF TIGARD BUILDING INSPECTION DIVISION MST `eA -rx/ -- C / • 24- I -I Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested l C y AM PM BLD Location /5 5 " /o7 u Suit MEC Contact Person Ph y � 1 G Z PLM Contractor Ph SWR ''•'��` ) Tenant/Owner ELC ping Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Be -m eath /She- • Insulation Drywall Nailing c I ire Alarm r C ee0 S Pd 5 Susp'd Ceiling 4ecv Roof Misc: Fi C , . • : T FAIL C tic /� rr (� :11"r & Beam Under Under Sllab 1 p O Service 0"-e- r c Sanitary Sewer Rain Drains Final ■ PART FAIL ANTCAt1 Post & Beam Smoke Dampers Fin S PART FAIL CTRICAL 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 / C3 / ) Other Date /0 ) ( Ext Final III PASS PART FAIL DO NOT REMOVE this inspection record from the job site. , CITY OF TIGARD BUILDING INSPECTION DIVISION 0 46,7 . • 2441-Iour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested / V AM PM i 'J ?BLD ' Location /5 Jet /G 7 6/t Suite MEC Contact Person Ph - 0,' PLM Contractor Ph SWR _ I ■ Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam 7 4 xt Sheath/She-415 / ,r' n/ 1 n _ i ath /S ak, ›f( I LA.v. ; l9 4 -) `-i \5 k 2 2v�[ Drywall 17sk I3d - ) .- ?S Drywall Nailing 1 �, � -�^ Fire Sprinkler © CKN a U 1 0 c (--e l� `�`�'�` Fire Alarm n/ Susp'd Ceiling _7 /V �- Misc: 7 C' i zrNe -C' 6. 4 3 Js Final a J�� ;. r� f1' , (�_ . — tC �� °�- SS PART �� /' * post & Beam w `� 6) Wa� P Lc. ve v 9-.r w`,-ps Water Service �� Sanitary Sewer cw.xl - • , 5 Rain Drains ��1♦ ��� 1 .....g. A L Final PASS PART CO L _ ai � . ._ i1i A Beam N IC e- C�4,.vt i L'-c c ' ou • h In �✓� 1 w k _`l s � - (c �s �.� QLb„k Smoke Dam , 1 (A ,�,� V (11.4\* ' 7 ,-.. Final `- ' "`� ' PASS PART ;AD - AA dA� r • di ELECTRICAL 0 Service 1 6 . 19_ S5 O4- ��L (. r c .iM (.3 Rough b U \9„ ` CO W 1.e-;A � ike° i 4 1/VA k i../ 6 r UG /Slab N ,` Low Voltage a C ©K Fire Alarm lk ft W _• N -Gv t .0 Final PASS PART FAIL k lf'A) e ` b - 7 a �'J SITE 1 NI b CA.lv .,` G-A- S Backfill /Grading 4.a, ' 1 Sanitary Sewer t �/ G/, 1W — N O y Storm Drain ] Reinspection fee o required before next inspection. y at Ci y Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA 'n „,,,_____ Approach /Sidewalk Date l � ' '(� Inspector U ( Ext� j 1, Other Final k PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2 -(. 1 /1.6G/A7 244-lourdnspection Line: 639 -4175 Business Line: 639 -4171 BUP _ Date Requested /G /‘ AM PM BLD .4 4 Location t L /h 5 w / (»7 Suite MEC Contact Person Ph 5f-3) giff-3.5 PLM Contractor Ph SWR 4 - UILD ► Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation A t SG�M e C°-• FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT iirg#0 ,X6 ‘ P lnsu ation Drywall Nailing _ I L • Firewall Fire Sprinkler Fire Alarm ��-- -- Susp'd Ceiling Cif i� ��✓ Roof Misc: Final PASS PART PLUMBING NW' �/ �C /z / /(//€ /t/Z./e- -es :eam U • - Slab `% ! . o• O Water Service Sanitary Sewer Rain Drains Final •ASS PART AIL IC : :eam •i ine Smoke Dampers Final PASS PART 1010 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 , CJ D l / j /�.U+�spector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST , k1 G/ •24 Flour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP • Date Requested /U /h AM PM BLD Location /5 SA' / 7 Suite MEC Contact Person Ph 9f — 3.51 PLM Contractor . f -e c�`�17^� c _ 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 OZ." 7 N c- - 4 1 " 1 - F- C■e:C.____,/ 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 MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final (E eas PART FAIL LECTRICAL gouh U Slab Low Voltage Fire Alarm Fin ASS ART 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 � Inspector i! Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST (1 / 24 -Hofir Inspection Line: 639 -4175 Business Line: 639 -4171 ' BUP Date Requested 7i AM PM BLD 0 Location "w /0 1 ., Suite MEC Contact Person l Z/ Ph 97 � Z PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab 2 SIT Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: ri PART 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 D 9;11,)00 Inspector ---- Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION ST ,tee01 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 G� BUP Date Requested / i ( AM PM BLD Location /j z / 0 5 'Li /6 7 Suite MEC Contact Person Ph 9, f 15-4 Z PLM Contractor Ph SWR Tenant/Owner ELC taining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheat Int Sheath /Shear Framing ® L'.gii [.L� ✓.� i y - '� L ST 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 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 Other Date F Inspector - Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST tw -o‘,/ 9 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested �D AM PM BLD Location /5 2-/C 5 ' /01 Suite � MEC Contact Person Ph 96 7-316 7 PLM Contractor Ph SWR BUILD Tenant/Owner ELC Wall ELR ootin • Access: Ftg D rain PO / `n FPS Ftg rain l '' \ SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing iv N G= o t= - Art a -4 P Insulation Drywall Nailing C Firewall ,�---� Fire Sprinkler ,( J — ��;e c$ Y z a Fire Alarm Susp'd Ceiling Roof Misc: Fi C PAS PART FAIL PLUMBfNG 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 �1_ , Other Date [[JJ Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 411,,Q4,„,,,_ci, i� f 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested ?— / T AM PM BLD Location / c-2- / 54/ /0 Suite q6 y- 3� �i Z - MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall / ELR Footing Access: tg no FPS Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear � °°e. // // Framing �'1`,l 4 doc /��SALL 4 ik moo- 75 5;45 S�/-�c g N� 4 Ss wti Insulation <( Drywall Nailing AoC09 C Firewall Fire Sprinkler GOSH v t /.r ov2 TV 1,W4SL Fire Alarm Susp'd Ceiling . Roof Misc: Final 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 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.. CITY OF TIGARD BUILDING INSPECTION DIVISION Msr 0 - "Pd /6 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP //374 LD Da te Requested 0 � �'o AM PM BLD Location / S c - / D ) L) / 07 // Suit e MEC Contact Person '/,"_ Zgir3h '1 Ph 9b'9 356 2 - PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN awt'Drai Inspection otes: S a SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear+ Z Framing �/. J ) Insulation Drywall Nailing / Firewall Fire Sprinkler Ale 1 _� /�� // i to _ Fire Alarm BUMF Susp'd Ceiling Roof Misc: ` /� Fi *OS PART FAIL i MBING r/ Post & Beam Under Slab Top Out V e44eaCi ritamS ` am rains Final glA PART FAIL ANICAL 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 Dat Inspector Ex t /2i Final PASS PART FAIL DO NO REMOVE this inspection record from the job site. 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 Post/beam plumbing Post/beam mechanical Underfloor insulation Post/beam structural Shear walls /anchors / 0 (1 gloc ` l Exterior sheathing q -f z -OO / Plumbing top -out /O /%7/00 r Gas line & test 10 de. ' - - -' Air � Mechanical rou l h -in ` > y`cyt Electrical rough -in / p — / ( Electrical service /0 .- -0-.2 az Low voltage Sprinkler rough -in Backflow preventer Roof nailing Firewall Framing _ 4 b Lt a,w.. - 5-iJ 11 441.4-nmM b P I? 3 MFG -Home set -up Insulation /o // of G o 7ff Drywall nailing Masonry/Reinforcement Rain drain Sanitary sewer Water service Pump /fill septic tank Approach /sidewalk Grading final Mechanical final Plumbing final //— 2 2 -0O Electrical final Final inspection Special Reports SWR - Sewer Permit Inspection Description Date Passed By Notes Sanitary sewer Final inspection INSPECTION RECORD — MST (MASTER) PERMITS MASTER PERMIT - A _ CITYOFTIGARD PERMIT #: MST 200(1 -00169 I� ` DEVELOPMENT SERVICES DATE ISSUED: 7/6/00 4�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 15210 SW 107TH TERR PARCEL: 2S110DA -06700 SUBDIVISION: ERICKSON HEIGHTS ONING: R -3.5 BLOCK: LOT: 028 JURISDICTION: TIG REMARKS: S/F PATH I BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1,447 sf BASEMENT: sf LEFT: 7 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,832 sf GARAGE: 678 sf FRONT: 22 PARKING SPACES : 2 TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 7 VALUE: $ 245,375.67 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 3,279.00 sf REAR: 81 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES: 5 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: 1 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/0 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: VACUUM SYSTEM: AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: CiltAl GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS: TOTAL FEES: $ 6,327.16 Owner: Contractor: This permit is subject to the regulations contained in the RENAISSANCE DEVELOPMENT RENAISSANCE DEVELOPMENT Tigard Municipal Code, State of OR. Specialty Codes and 1672 WILLAMETTE FALLS DR 1672 SW 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 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 e: LIC 49955 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. f REQUIRED INSPECTIONS Erosion 844 -8444 Underfloor insulation Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final CS Footing Insp Crawl Drain /Backwate Plumb Top Out Exterior Sheathing Ins Rain drain Insp Plumb Final Foundation Insp Footing /Foundation Dr Electrical Service Low Voltage Water Line Insp Final inspection O Post/Beam Structural PLM /Underfloor Electrical Rough In Gas Line Insp Appr /Sdwlk Insp Building Final Post/Beam Mechanica Mechanical Insp Framing Insp Gas Fireplace Electrical Final V 11 Issued By : Permittee Signature : Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day 8/16/00 Activities for Case #: MST2000 -00169 2:54:35 PM • ., i Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes • MSTA007 Application received 5/26/00 GEO No Hold BT2 6/12/00 . MSTA008 Permit Created 6/12/00 BT2 DONE No Hold BT2 6/22/00 , ` • MSTA010 Check for prcl. restrict. 6/12/00 BT2 DONE No Hold BT2 6/22/00 MSTA026 Plans approved by Pln Examiner 6/19/00 BT2 DONE No Hold BT2 6/22/00 MSTA030 Reviewed plans routed to DSTS 6/19/00 BT2 DONE No Hold BT2 6/22/00 MSTA700 Erosion 844 -8444 No Hold BT2 6/12/00 MSTA705 Footing Insp 8/8/00 KBS PASS No Hold KBS 8/8/00 #-1- see inspection notes MSTA706 Foundation Insp 8/14/00 KBS PASS No Hold KBS 8/14/00 #-1- see insperction notes MSTA710 Post/Beam Structural No Hold BT2 6/12/00 MSTA711 Post/Beam Mechanical No Hold BT2 6/12/00 MSTA712 Underfloor insulation No Hold BT2 6/12/00 MSTA713 Crawl Drain /Backwater valve No Hold BT2 6/12/00 MSTA714 Footing /Foundation Drain No Hold BT2 6/12/00 MSTA717 PLM /Underfloor No Hold BT2 6/12/00 MSTA720 Mechanical Insp No Hold BT2 6/12/00 "B "VENT FOR WATER HEATER MSTA720 Mechanical Insp No Hold BT2 6/12/00 MSTA722 Plumb Top Out No Hold BT2 6/12/00 MSTA723 Electrical Service No Hold BT2 6/12/00 MSTA724 Electrical Rough In No Hold BT2 6/12/00 MSTA725 Framing Insp No Hold BT2 6/12/00 MSTA726 Shear Wall Insp No Hold BT2 6/12/00 MSTA727 Exterior Sheathing Insp No Hold BT2 6/12/00 MSTA728 Low Voltage No Hold BT2 6/12/00 MSTA735 Gas Line Insp No Hold BT2 6/12/00 MSTA736 Gas Fireplace No Hold BT2 6/12/00 ' MSTA740 Insulation Insp No Hold BT2 6/12/00 MSTA752 Rain drain Insp No Hold BT2 6/12/00 .% MSTA760 Water Line Insp No Hold BT2 6/12/00 i MSTA765 Appr /Sdwlk Insp No Hold BT2 6/12/00 MSTA790 Electrical Final No Hold BT2 6/12/00 x Page 1 of 2 1 8/16/00 Activities for Case #: MST2000-001 69 2:54:35 PM • Assigned Hold Updated • A Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA795 Mechanical Final No Hold BT2 6/12/00 '• MSTA797 Plumb Final No Hold BT2 6/12/00 MSTA798 Final inspection No Hold BT2 6/12/00 MSTA799 Building Final No Hold BT2 6/12/00 MSTA032 DST Post - Review Completed 6/26/00 DLH DONE No Hold DLH 6/26/00 MSTA080 (F) Ready to issue 6/26/00 DLH DONE No Hold DLH 6/26/00 MSTA092 (F) Issue combination permit 7/6/00 DEB DONE No Hold DEB 7/6/00 MSTA095 Issue plumbing signature form 7/24/00 JMT RECD No Hold JMT 7/24/00 MSTA097 Issue electric signature form 7/12/00 JMT RECD No Hold JMT 7/12/00 MSTA093 (F) Reprint Permit 8/9/00 ZZZ DONE No Hold ZZZ 8/9/00 Page 2 of 2 1