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Permit
CITY OF TI G A R D MASTER PERMIT �� PERMIT #: MST2000 -00077 �11 DEVELOPMENT SERVICES Z DATE ISSUED: 4/28/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 SITE ADDRESS: 10599 SW LADY MARION DR MODEL HOME /y` PARCEL: 2S110DA EH038 SUBDIVISION: ERICKSON HEIGHTS ZONING: R -3.5 BLOCK: LOT: 038 JURISDICTION: TIG REMARKS: PATH I: New single family dwelling w /attached gar ODEL HOME (TUP2000- 00003) BUILDING VV REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1,609 sf BASEMENT: 0.00 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: 0 sf RIGHT: 5 VALUE: $ 226,845.00 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 3,020.00 sf REAR: 65 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: 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: 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: 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: $ 6,408.76 This CUSTOM HOMES RENAISSANCE CUSTOM HOMES g ard d Municipal is subject to the regulations contained C o i the Tigard SW WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR pal Code, State of f O OR. R. Specialty Codes s 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 844 -8444 Underfloor insulation Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final Footing Insp Crawl Drain /Backwater Electrical Service Low Voltage Water Line Insp Final inspection Foundation Insp Footing /Foundation Dn Electrical Rough In Gas Line Insp Appr /Sdwlk Insp Building Final Post/Beam Structural PLM /Underfloor Framing Insp Gas Fireplace Electrical Final Post/Beam M-claantical Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final -' Issued L : ,r' _n .:4 ! , „ % / . � 4 ' Permittee Signature :tr r _ - Call (503) 639-.175 by 7:00 p.m. for an inspection needed the next business day 11111rOF TIGARD Residential Building Permit Application Plan Check# 3 - 2 9'i. Recd By ! SP 3SW HALL BLVD. New Construction Date Recd 37Y • TIGARD, OR 97223 Single Family Detached Date to P.E. 3 - Re - c u V 503 - 639 -4171 / l l 1� 5Y Date to DST ; —�• C F 503 - 684 -7297 Permit # ' - 1 ' Print or Type 1 l Called Incomplete or illegible applications will not be accepted SW(Roco - 000 Name of Project /� Name / /7 Job Erill t7�t' ttfs t 3 e I P o f/ar / r , a/ y Architect Mailing Address Address Site Address 7//0 s'1,,,, Fri `, f, Sa,/e Zt / 0.599 S'I''i L 4 14ar,`90 ,0,--;re City /State Zip Phone Name y y / e� p j' p livatef T fyd 172 �i��' /ZS/ Reaa %SI4 ace Lta Name Owner Mailing Address /L72 iW !✓ f /ane t i5//:c 11,-,,e /I/avu CA:47ia.. ot Ec eeri/14 City /State Zip Phone Engineer Mailing Address / ✓ 1✓vf Li. 9701 L 817 - tr80t� 3S7y E. /SwNrit� 3:7'7,74- City /State Zip Phone General Name /0 77z/ z/ 23$' -0 L33 Contractor f,¢,., e 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.# VALUATION $ 2-2,,C gas database 9 75 97 s/z y /oa Mechanical Name NEW CONSTRUCTION ONLY: Sub- "Fr; t✓o;I4 T 63Nfo/ Sq. Ft. House: ©Z � Sq. Ft. Garage 3 Contractor Mailing Address 70 Prior to permit /1 6 S/ SE X.,.,64, Indicate the restricted energy installation by the electrical issuance, a copy City /State Zip Phone subcontractor in the following areas of all licenses Gf / «.+as 970/5 C5' "C.' Restricted Audio /Stereo are required if Oregon Const. Cont. Board Exp. Date Energy System Alarms expired in COT Lic. # / J Installations Vacuum Irrigation database f07Z C13 3/�e /00 System System Plumbing Name / (check all that Other: Sub- � /aT / � TI✓� ✓4 /�/irnb�;, apply) Contractor Mailing Address Number of Units in Building Unit Number Designation 7710 s L✓ /14:H43 Has the Subdivision Plat recorded? N/A YES NO Prior to permit City /State Zip Phone issuance, a copy /3 ro,„vt -1 97075 cz.v- S y t m of all licenses are Oregon Const. Cont. Board Exp. Date required if Lic.# ` -V/9/0. ., / —/ expired in COT 7 96 �/'c ®/ database Plumbing Lic. # Exp. Date I hearby acknowledge that I have read this application, that the information given is correct, that I am the owner or authorized agent "Z m - /VRP13 ZhBy of the owner, and that plans submitted are in compliance with Name Oregon State laws. Electrical ( -"a /c•c fc, Si of Owner/Agent Date / Sub- Mailing Address l - 7 , • 4- 74. Z7�9! PO . Contact Person Name Phone # Contractor PO i 3 / 7 / 3 afv 557 gimp City /State Zip Phone Prior to permit issuance, a copy dad -Ants 974/ - 657- ®lyZ FOR OFFICE USE ONLY: of all licenses are Oregon Const. Cont. Board Exp. Date • lat #: !T #: required if Lic.# A Ma p il l #: F�1 expired in COT 3 st/// 9/41/4 i� /_- L� 4 ' •tom • o / —_/ r database Electrical Lic. # Exp. Date � t, etbacks: I, Zone: 3 j Ill Vi, J Electrical Supervisor Lic. # Exp. Date ngin- - g Ap•roval: Planning Approval: TIF: C/ S'S / o / 1 / 0 / $f1 / %i► - is \dsts \forms\sfd - new.doc 11/20/98 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE RECEIVED GAGE ENTERPRISES INC MAY 2 2000 PO BOX 1429 CLACKAMAS, OR 97015 -1429 COMM4IFY DEVELOPMENT Electrical Signature Form Permit #: MST2000 -00077 Date Issued: 4/28/00 Parcel: 2S110DA -EH038 Site Address: 10599 SW LADY MARION DR MODEL HOME Subdivision: ERICKSON HEIGHTS Block: Lot: 038 Jurisdiction: TIG Zoning: R -3.5 Remarks: PATH I: New single family dwelling w /attached garage. MODEL HOME (TUP2000- 00003) 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 Reg #: SUP 618s LIC 34544 ELE 3 -128C AN INK SIGNATURE IS REQUIRED ON HIS FORM S'onature of •-rvisi ►• /' lectrician 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 MAY 0 2 2000 CRAFTWORK PLUMBING INC `'' 7736 SW NIMBUS AVE BEAVERTON, OR 97008 Plumbing Signature Form Permit #: MST2000 -00077 Date Issued: 4/28/00 Parcel: 2S110DA -EH038 Site Address: 10599 SW LADY MARION DR MODEL HOME Subdivision: ERICKSON HEIGHTS Block: Lot: 038 Jurisdiction: TIG Zoning: R - 3.5 Remarks: PATH I: New single family dwelling w /attached garage. MODEL HOME (TUP2000- 00003) 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 #: uc 79666 PLM 20 -148PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X 4„4 Signature of thorized Plumber If you have any questions, please call (503) 639 -4171, ext. # 310 RENAISSANCE DEVELOPDfEN1 CORPORATION ACKNOWLEDGEMENT OF RISK & HOLD HARMLESS AGREEMENT The purpose of this Agreement is to allow a building permit to be issued for the construction of a model home on Lot #38 of the Erickson Heights subdivision prior to the recording of the plat. 1. The undersigned, owner of record, of said subdivision agrees to hold the City of Tigard harmless of any consequences that would arise by allowing Renaissance Custom Homes to move forward with the building permit and sales facility prior to recording the plat. 2. The undersigned understands and agrees not to assert any claim(s), including litigation, against the City of Tigard, its officer's, agents and employees based on the issuance of a building permit prior to plat recording. Renaissance Custo • omes By: ' andal Sebastian, President Date 1672 SW Willamette Falls Drive • West Linn, Oregon 97068 • 503.557.8000 • Fax 503.656.1601 - CITY OF TIGARD BUILDING INSPECTION DIVISION M ST 2eli 24 - Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested /6 AM PM BLD Location /615-9? sw Z- b r, - d v Suite MEC — • Contact Person Ph F y— 301/ PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Dom' SGN ;f! 10 Inspection Notes: SIT Post • Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling 1 Roof /17•=r, / Q �S 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 , V { Smoke Dampers Final PASS PART FAIL ( ELECTRICAL" — , Service Rough In UG /Slab Low Voltage Fire - • RT 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 y� �- �� Approach /Sidewalk Date 76 (N � I Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST v _ea X 77 24 -HQur Inspection Line: 639 -4175 Business Line: 639 -4171 i BUP Date Requested l 0 ` AM PM BLD 11 Location /0' S It f 541, L4 g7 /9W/ -- 0/ Suite MEC V ¶ Contact Person / Ph 9 7 - )o z r PLM Contractor Ph SWR UILf)1 Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain 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: ��1 PART FAIL - I 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 Other Date Inspector Ext Final PASS PART FAIL DO NOT R MOVE this inspection record from the job site.