Permit r�.
CITY OF T I G A R D MASTER PERMIT
PERMIT #: MST2000 -00170
4 �� DEVELOPMENT SERVICES DATE ISSUED: 7/10/00
`�'�" '= 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10791 SW KABLE ST PARCEL: 2S110DA -EH054
SUBDIVISION: ERICKSON HEIGHTS ZONING: R -3.5
BLOCK: LOT: 054 JURISDICTION: TIG
REMARKS: S/F PATH I
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,673 sf BASEMENT: sf LEFT: 7 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,725 sf GARAGE: 768 sf FRONT: 24 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 7
VALUE: $ 255,502.30
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3,398.00 sf REAR: 99
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: 7 201 - 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: 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: $ 6,420.92
This permit
RENAISSANCE DEVELOPMENT RENAISSANCE DEVELOPMENT Mu i subject to the re OR. Specialty in the
Tigard
y Codes and
all
1672 WILLAMETTE FALLS DR 1672 SW WILLAMETTE FALLS DR l othh er r applicable laws. , State s. All work o rk k w l be done C
WEST LINN, OR 97068 WEST LINN, OR 97068 appplic This b i
accordance with approved plans. This perm itwillexpire 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
` V Oregon Utility Notification Center. Those rules are set
b r . 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 Rain drain Insp Final inspection
Footing Insp Crawl Drain /Backwater Plumb Top Out Low Voltage Water Line Insp Building Final
Foundation lnsp Footing /Foundation Dr; Electrical Service Gas Line Insp Electrical Final
Post/Beam Structural PLM /Underfloor Electrical Rough In Gas Fireplace Mechanical Final
Po eam Mechanlical Mechanical Insp Framing Insp Insulation lnsp Plumb Final
\
Iss d By : L_
..1......• I _L1 L � _ Permittee Signature : y1 l✓ V
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
1 CriiY OF TIGARD a7'9 / • ' /— O/ it Application Plan Check # �' ?F �
13125 SW, HALL BLVD. Recd By Cif —
h _
TIGARD, OR 97223 Date Rec oZ
d - lo -
led Date to P.E. a- /Z - ,
V 503-639-4171 Date to DST 4.../4-
F 503 - 684 -7297 Permit # Na s t -tvvv- 0 0/70
• Print or Type Called 7�/5 4 .K-
Incomplete or illegible applications will not be accepted ,•wrz z....` -cie /
Name of Project ��// Nam
Job t��IC Silt i // i `s / - k ' f/o$$ �/9 7 'P y'; v
Address Sit Address Architect M ling Address
ess /o7 9/ $ 4.0 / /R) S1 } / Loop
Name 7-2 City /State Zip Phone
f � /.�97s <c/-9— -- 1/ ���-� (1/ 7/ 3 why ���i
Nam
Owner Mailing Addres
/ 72 y�Ii / A3:1� `gyp. / i /ter / �
City /State ip Enginee Mailing Address
1/1/( - lo- lo- � 1 ' ' % f7(24 5 Phone 5 7-6-‘,00 7s 7y/ T �.! /'�t,2Si Cz�'
N ame City/State, Zip Phone
General � fc /� 64 y 2_5-,3"--‘26 _3
Contractor (6 Describe work New Q� ` 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 ' ed in expdirtabase `? OT Lic.# jf�j�j��f�ji VALUATION $ S,'
fl
Mechanical Name / ! NEW CONSTRUCTION ONLY:
Sub- C//-',-5 Sq. Ft. House: Sq. Ft. Garage
Contractor Mailing Address 33 9 1 0 U 'O
Prior to permit t & - ..4; pii6!11 pr" G' ' Indicate the restricted energy installation by the electrical
issuance, a copy City/State 7,!s�i Zi Phone subcontractor in the following areas
of all licenses • , 7Z7 a/ 1p7 /mac 0 Restricted Audio /Stereo
are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms
expired in COT t_ic.# / - �, Installations Vacuum Irrigation
database _ / J 7 _ System System
Plumbing Namee ., / (check all that Other:
Sub - (1 r 7 /J l /�C, / apply)
Contractor Mailing Address Number of Units in Building Unit Number Designation
773 rp .5Gly ////:177, Has the Subdivision Plat recorded? N/A E NO
Prior - to permit Ci /State i `Phone
issuance, a copy - Vit,lPt�'7 6 r
of all licenses are Oregon Const. Cont. Board Exp. Date .
required if Lic.# / y- 6 j
expired in COT (p CO
database Plumbing Lic. # Exp. Date I hearby acknowledge that I have read this application, that the
—/ 7 ���
//, information given is correct, that I am the owner or authorized agent
of the owner, and : t plans submitted are in compliance with
Nam • Oregon Stat-
J Electrical 47 r _ -/ , Sigp..,-- of eine - nt Dat
- Sub- Mailing Address 5,C)
• Contact Person Name Phone #
Contractor pro? }(/2/29 7Y,g / j - GO, S ,SS7 -go
iaty /St t� a •Zip Phone
P permit e, a copy (i4 5' ��1�
iss uanc � / /f FOR OFFICE USE ONLY:
of all licenses are . Oregon Const. Cont. Board Exp. Date
required if Lic.# Plat # : Map/TL #:
expired in COT JL 6 g- ` ,�)' , c as / /U ` - #
database Electrical Lic. # Exp. Date Setbacks: Zone:
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
IMPORTANT PERMIT NOTICE
]
GAGE ENTERPRISES INC RECEIVED
PO BOX 1429 JUL 2 4 2000
CLACKAMAS, OR 97015 -1429 I
BY:
Electrical Signature Form
Permit #: MST2000 -00170
Date issued: 7/10/00
Parcel: 2S110DA -EH054
Site Address: .10791 SW KABLE ST
Subdivision: ERICKSON HEIGHTS
Block: Lot: 054
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 618s
LIC 34544
ELE 3 -128C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Supervising lectrician.
If you have any questions, please call (503) 639 -4171, ext. # 310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223 JUL 2 4 2000
IMPORTANT PERMIT NOTICE per
CRAFTWORK PLUMBING INC
7736 SW NIMBUS AVE
BEAVERTON, OR 97008
Plumbing Signature Form
Permit #: MST2000 -00170
Date Issued: 7/10/00
Parcel: 2S110DA -EH054
Site Address: 10791 SW KABLE ST
Subdivision: ERICKSON HEIGHTS
Block: Lot: 054
Jurisdiction: TIG
Zoning: R - 3.5
Remarks: S/F PATH
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
PI_M 20 -148PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Authorized. , umber.
If you have any questions, please call (503) 639 -4171, ext. # 310
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CITY OF TIGARD - 1.
WASHINGTON. COUNTY, OREGON III
i MAY 22, 2000 -- Centerline Concepts Inc.
DRAWN BY: MSG CHECKED BY: WGDIII
SCALE 1*=20 ACCOUNT # 115 640 82nd Drive Gladstone, Oregon 97027
M:\MU\L54ERICK 503 650-0188 fax 503 650-0189
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST -2 e ° 15 4.
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
�/ BUP
l Date Requested 2 -/ `1 AM PM BLD
/
Location /0 77 Ste- fc46l✓ Suite MEC
Contact Person. Ph p/'-.0 z( PLM
Contractor Ph SWR
BUILDIN Tenant/Owner ELC
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 7r'% 4=icrizc cut/- /. mac41 - /`7 -G/ TL��
Insulation
Drywall Nailing c. 0 c--c c".4- 4 sri /i74y/'AIzO 1 Ned
Firewall h
Fire Sprinkler 42Ce '4p/ 7 / - 1 7 — d/ - 77 P e.
Fire Alarm
. Susp'd Ceiling
Roof
- Misc: -
nal
T FAIL. -
PLUMBIN.G
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
• Post & Beam
Rough In
Gas - Line
S •.a •ers
•
- T 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 2 — / y -0/ Inspecto 4 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection. record from the job site.
,., I 1
. CITY OF TIGARD BUILDING INSPECTION DIVISION 9 s`
` MST �,fg �"` --
24 -Hour Inspection Line: 639 -4175. -, "` Business Line: 639 -4171
1-- i 7— D/
BUP
2 0 g e Date Requested AM PM BLD ,
Location / b "74 I Pef I l - Suit MEC
Contact Person ,./ G 4 y �°• - Ph PLM
Contractor Ph SWR
BUILDING „' .` -- .: * :Tenant/Owner ELC
Retaining Wall - csa ELR ' '
-'- .tiw i- ' r r: � 'r ►�• v K o .,. . -
� ..i'Y •. u .�_.., : t : - r, , ndation . _ - `� t ` � .'•`�: ; �'�+``, • � r , •,�.,,, f : !, >°'� �.W -FPS '
Fou - -
��t `` f +"� s S4 a6, , 1 1 x ac . >��? ga . 7 <� �^ s; ••' , s 4 .'�y : _ .
Ftg . • . °::N,.A it'll...F ,. '_=5•.p�,:.• ,? ^).���'�L'. .
i'; rF+.' �%: R = SGN _
Crawl Drain . Inspection Notes: _ • -
Slab; SIT • - _
Post:& Beam .
Ext Sheath /Shear '°
Int Sheath/Shear .
Framing -`
Insulation •, .x�
_ Drywall Nailing . . .
Firewall
Fire Sprinkler ._ -
Fire Alarm .
Susp'd Ceiling . .
Roof . : ', ry
;< \
Misc: • .,-
_''
Final
P .SS- ,,.PART FAIL
Post & Beam N / '
Under Slab P ,`.r 4-L-s (,�i„.-•��7-/L , _
Top Out -
Water Service �� w._.'
.�• g/� ' • 4.- ��•,, irk x-20 n 4/z-17
Sanitary Sewer
Rain Drains R '
S PART FAI f ;. l f ,
M i4NICAL `° 4r •
Post & Beam
Rough In , J. - 0 ��
�
Gas Line i .-
Smoke Dampers
Final -
PASS PART FAIL - ` I:. •
LECTRICAL
Serve` c'�"° t`—
Rough In .,
UG /Slab - -
Low Voltage .
Fire Alarm
P 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 l
Approach /Sidewalk - Date / - / /7 a Inspector - 7 7 - " a1 1 2- Ext
Other
Final
PASS . • PART'. FAIL DO NOT REMOVE this inspection r from the job site.
•
•