Permit ... •
4 CITY OF TIGARD MASTER PERMIT
PERMIT #: MST2000 -00240
_ ,.it DEVELOPMENT SERVICES DATE ISSUED: 8/1/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10654 SW LADY MARION DR PARCEL: 2S110DA -07400
SUBDIVISION: ERICKSON HEIGHTS ZONING: R -3.5
BLOCK: LOT: 035 JURISDICTION: TIG
REMARKS: S/F PATH I
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 28 FIRST: 2,064 sf BASEMENT: 740.00 sf LEFT: 4 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: sf GARAGE: 606 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 5
VALUE: $ 286,860.52 .
OCCUPANCY GRP: R3 BDRM: 3 BATH: 4 TOTAL: 2,064.00 sf REAR: 61
PLUMBING
SINKS: 1 WATER CLOSETS: 4 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 6 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: 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: 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: X VACUUM SYSTEM: 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: $ 7,157.23
RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES This permit is subject to the regulations contained in the
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 97062 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 #: 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 Slab Insp Crawl Drain /Backwater Plumb Top Out Exterior Sheathing Insr Rain drain Insp
Grading Inspection Wtr Proofing Bsm't Wa Footing /Foundation Dr: Electrical Service Low Voltage Water Line Insp
Sewer Inspection Post/Beam Structural Plm /undslab Insp Electrical Rough In Gas Line Insp Appr /Sdwlk Insp
Footing Insp Post/Beam Mechanical PLM /Underfloor Framing Insp Gas Fireplace Electrical Final
Foundation In • Underfloor insulation Mechanical Insp Shear Wall Insp Insulation Insp Plumb Final
Issue• By : ■ � ./ _ L'1 i`.4 I . 4 Permittee Signature :2 ' "- --- /�
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
CITY OF TIGARD Residential Building Permit Application Plan Check #� 5��
13125 SW HALL. BLVD. New Construction Recd By
Date Recd 2 — ja -
TIGARD, OR 97223 Single Family Detached Date to P.E. 7- 2 2-- -'
V 503 - 639 -4171 Date to DST 7 " 27 ,GO
F 503- 684 -7297 1 6-/ Permit #/151„, 0 i -OO -2 chi
Print or Type Called 7 3 / 49 ?A cwt t
Incomplete or illegible applications w' not be accepted 64;,,C,7tili i; a /87 re-.- - ''i
Name of Project Name
Job 'r ; LICS� 41e.1 /'77 -s 44 / ro I 7) ) �p s ,,,,, i �
Address Site Address A rchitect M ailing Address
/(Jb Y $I �� ��.; 4- . City /State Zip Phone
11 /c J -c,- Loop 51, ;-fie- ,2�o
Name /� � l / a
Re"a■ 5SZ'Act_ 0.370,.... 14n,�,.eS �; 2, --d g7 X7 Loa T ^ /�S'/
Nam&
Owner Mailing Address Zs-j-4
) 7 3 ) • to', )(s• -I i-ie. c23/IS E ng i neer Mailing Address
City /State Zip P hone 32/ s VA
Wes+ L , r,1 � ? O tY cs 7 -mg
General Name City /State / Zip Phone
� t/ �iof 97Z ot/ zzs - 0975
Contractor ,3452 -Z- 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.# Sq 3 ), , J /02 VALUATION $ 2 B�,� �
database / `f ii
Mechanical Name NEW CONSTRUCTIOTV ONLY: .
Sub - . �w,p, 0tA- - ) - \g,o 4; Sq. Ft. House: / Sq. Ft. Garage . /
Contractor Mailing Address
��U`it ,C -t
Prior to ermit - 142 /pop Indicate the restricted energy installation by the electrical
p � �' subcontractor in the following areas
issuance, a copy City /State Zip Phone
of all licenses jJ' p,,--n 9 7 Ja 3 Li ,P °/- Qaci.: Restricted Audio /Stereo
are required if Oregon Const. Cont. Board Exp: Date Energy I / System / Alarms
expired in COT Lic.# J Installations Vacuum Irrigation
database 0! a ao8y 0 `/( / a �0 System System
_ _ Plumbing Name (check all that Other:.
Sub- C.Y -l( ri u 6tf^-9- apply)
Contractor Mailing Address Q Number of Units in Building Unit Number Designation
7 730 S w lv /,,! c.,s Has the Subdivision Plat recorded? N/A YES, NO
Prior to permit City /State Zip Phone
issuance, a copy Be pue r40.,.. ) 7Oo LOO - $(y
of all licenses are Oregon Const. Cont. Board Exp. Date
required if Lic.#
expired in COT ` �^7
iCLPU °P // Ci
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
.20 1 B P 5 I *4274 / of the owner, and that plans submitted are in compliance with
Name Oregon State laws.
Electrical C ti-T, c_ Signat,e of Owner/ Agent - - D�� / � T
Sub- Mailing' Address r !'
Contact Person Name Phone #
Contractor 1~'v I5
City /State Zip Phone
Prior to permit ,/
issuance, a copy C12dC3 0 - N9S 970 / ,f - - O /Te
FOR OFFICE USE ONLY:
of all licenses are Oregon Const. Cont. Board Exp. Date Plat #: Map/TL #:
required if Lic.# 35-4/4 q / Sf JO #: ,� , p d
expired in COT 1 / 7
database Electrical Lic. # Exp. Date Setbacks: ltt, Zone: �
Electrical Supervisor Lic. # Exp. pale. Enginee ing Approval: Planning Approval: TIF: •
Ca 13S I Op( o ) _
•
is \dsts \forms\sfd- new.doc 11/20/98
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
RED`' ETVE 1
IMPORTANT PERMIT NOTICE AUG 0 9 2000
CRAFTWORK PLUMBING INC
7736 SW NIMBUS AVE BY.
BEAVERTON, OR 97008
Plumbing Signature Form
Permit #: MST2000 -00240
Date Issued: 8/1/00
Parcel: 2S11 0 D A -0 740 0
Site Address: 10654 SW LADY MARION DR
Subdivision: ERICKSON HEIGHTS
Block: Lot: 035
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 97062 BEAVERTON, OR 97008
Phone #: Phone #: 644 -8698
Reg #: LIC 79666
PI-M 20 -148PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X
Signature of Authorized Plumber
If have- any questions,— please -call (503) 639- 41- 7- 1 —ext. # 310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223i,pr)
IMPORTANT PERMIT NOTICE
AUG I 0 2000
BY:
GAGE ENTERPRISES INC
PO BOX 1429
CLACKAMAS, OR 97015 -1429
Electrical Signature Form
Permit #: MST2000 -00240
Date Issued: 8/1/00
Parcel: 2S110 DA -07400
Site Address: 10654 SW LADY MARION DR
Subdivision: ERICKSON HEIGHTS
Block: Lot: 035
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 97062 CLACKAMAS, OR 97015 -1429
Phone #: Phone #: 503 -657 -0142
Reg #: SUP 618s
LIC 34544
ELE 3 -128C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Supervising Electrician
If -you -h ave -a ny- questio nsplease- call - (503) - 639- 41- 7_1_, -ext._ #_31.0
EL 31r7 r „ /
` a...crek drr..a an •a",ene se 4
tow , EL 387 srw fci�l , rC 377
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DRIVE e s7 Et
387
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• 38N �L ;�3 I � a.1: 4.81 rt. 3g3 GRA EROSION PA D RIVE U P) THICK
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vi F s.s�' g
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5.0 � ° -- 4.59'
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EXTERI09
EL --- ° a ---� SUBSEQ C RNERS PI A PROVIDE
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yZ_____________ ir
0L37/ SCALE DRAWING LOT 35 ERICKSON HEIGHTS
� - ------- 7 - - -- - 777-7 - - - --- --- ---- - - fi - S.E. 1/4 SEC. 10, T.2S., RAW., W.M.
—
,L5C7 - -.__N 89_ 45'10 - - --
__ =-------- __ - - - -- CITY OF TIGARD
r ^ "' f ` Sh."" 4 "` WASHINGTON COUNTY, OREGON Itil
S' / � ' "�r,�'' +
a eaSPM....i'
JUNE -29 2000 Centerline Concepts Inc.
!ta' "
"''",� & DRAWN BY: MSG CHECKED BY: WGDIII P
44 "` r wee/ 4.. SCALE 1 " =2O' ACCOUNT # 115
EL 36 _ 640 82nd Drive Gladstone, Oregon 97027
M: \MLI \L35ERICK 503 650 -0188 fax 503 650 -0189
1
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST i- S �f U
'24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ,
BUP
Date Requested / / / AM PM BLD
Location /0 GS Gri - �,1 •46d j •1 - Suite MEC
Contact Person Ph Qk •- 36 z_/ PLM
Contractor Ph SWR
ILDJNr ? Tenant/Owner ELC
Retaining Wall ELR
Footing Access: n
Foundation V c . i U rJ F 5 1' )4-(. /L FPS
Ftg Drain-•, SGN
Crawl Drain Inspection es: •
Slab SIT
Post & Beam ` v kites,- cf it
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof •
Misc: •
r PART FAIL
BI
•. :eam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rai I rains
i
4SS • ART FAIL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Fin . •
S PART FAIL
TRICALL
ca
Rough In
UG/Slab
Low Voltage
. Fire Al -rm
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 Su_" _ I Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
pp ADA
Approach /Sidewalk �
Other
Date /Z"" / � -c Inspector ( '1 Ext
Final •
PASS PART FAIL DO NOT REMOVE this inspection record from the job site