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Case File EROSION CONTROL.: NOTE: CENTERLINE CONCEPTS, 1. PROVIDE &MAINTAIN B' (min)THICK SURVEYORS, WILL PIN ALL EXTERICR GRAVEL PAD& DRIVE UNTIL PEPMANENT FOUNDATION CORNERS AND PROVIDE CONCRETE DRIVE IS IN PLACE. SUBSEQUENT MORTGAGE SURVEY. 2. PROVIDE & MAINTAIN SOIL SEDIMENT FENCE AS INDICATED. • 138 M 47 W , '3 �•a� ~y 112.93 01� /69 0 20.0' 38.CC' 3 �00 ' h S �. 15.0 4.00 1 • � N p � r w / �fi s.oc I o Q w m 37.9' N °° � 3 01 LD S �1 � 0� 1 MAR - 6 1998 � N 6714738" W 95.93' � S. W. SALONLANE7\ T --NEW FOOTPRINT PER RENA;C.33SANCE, 3-6-98, TGB. 3 6 O I 3 � SCALE DRAWING LOT EAGLE 30 A POINTE E i /�� SEC. 3,S.E. 1 /4 SEC. 4. 8: N.W. 11,/4 5E'C. 10, T.2S,R.l W, W.M. ' OF TIGARD� WASHINGTON COUNTY, OREGON --AN EIGHT FOOT PUBLIC UTILITY EASEMENT FEBRUARY 26, 1998 SHALL EXIST ALONG ALL STREET FRONTAGE. Centerline C o nc s Inc . DRAWN BY: MSG CHECKED BY: V1►GDIiI SCALE 1 "=20' ACCOUNT # 115 640 82nd Drive G;adstone, Oregon 97027 M: \MLI\PL:",T\EAGLEPO L:30EP 503 650--0188 fox 503 650-0189 *d•,.. .., � .,.d,Y9YRSF ..�, .. �':/:6.� NOTICE: IF THE PRINT OR TYPE ON ANY �� I � . IiiIIIi III ! � I III I �1 111 111 111 Il I-I'Tf I_ _r'jT �I^ 1r1 T�T 'T�T i , 111.11 III III � IlI i � I II1 III I ! I I ! I r1� � ._rI rj 1-Ir I � r �1r { ! I I � IlIIi 111 III I � IlI ! { III III 1 ! 11111 I I l I l T17,, �f 1 I { I I I (IMAGE I ( ? I I E S N JT AS CLEAR AS THIS NOTICE. -----__ 1 -- "1 --- - � ------- � 6�_ PI S '� - lO IT IS DUE TO THE QUALITY OF THE _ _ No.38 ORIGINAL DOCUMENT E 6t R [ L T� 9rT-T911111 fi T I ' I I I �� IIII IIII IIII .IIII �llI .IIIL IIII Ill! IIII l« ! (lll 111.1 111 IIII IIII. !!11 IIII IIII 111 IIII IIII illi IIII IIII Till Ilil�lll► I Ilii IIII 1111 11 IIII .11�1LIILiIIIIIIIII.II .1.1.11.11 1.1 �11IIP�II w W H C19 a A H CU 1 I I f i i E ••.. 13634 SW AERIE DRIVE OF TIGA,RD CITY .._f DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard.OR 97223(503)639.4171 (:ERTIFIC:ATE OF OCCUPANCY PERMIT 0. . . . . . . : M'CT98 00'43 CRATE ISSUED: 0�4/30/9 8 f-'ARC:F'L.: 25104DD-0r,?,900 i. TC. NDDRf.:(oS. . . : 13634 SW AERIE CSR I.II�I�IVISION. . . . a EAGLE. POINTE 7.ONING: R k. �; PI) 1_f.)C'.t<. . . . . . . . . . : I-01.. . . . . . . . . . . . . '034"1 JUF7I•L�T.f.:TION:TIra :LASS OF WORK—NEW f YPEc Or USE-1. . . :::+F YIDS OF C ONSTR a 5N ICC,UPANCY OOP. :R3 .IC,C'.UI•''ANCY 1_f.IAL)::' mark : PATH 1: New singie faeily dwelling N' attached garage A covered ,;at 10. III __.__.......__.._. . .... _ ..._... ._._ ._.._ . loaner: rtENAIS!-ANCE DEVELOPMENT CORP 1.67a SW WILLAME_1 TE FALLS DR L. 11\I14 OR 97008 i ra n e 557-6000 Cont r-actor : - .__,.... __... . _.. RENAISSANCE CUSTOM HOMES 1672 WILLAMETTE PALUS DR WE=ST L I NN OP 1 068 Phone #t: 557-"-8000 17s.q #. . : 0+49957) This Cer t i f ic4RAe grants orcupar:r_•y of the Abov referenced b�.:i .Ldiny os portion ther•r3uf and confirms that the btAi i(Jinq has been i .-isper.tpci fo)" compliance wi l ' the Starto of Ovegon SpeviakltY COEJP% for the qv-our ), o^r.upAnc-Y, a+nci 1.:ae ftn(Jar which J:hp r•efearenc-ecl p±?r-mit wa- issued. ��n 1 AM ,fir }�I111..I.iINi? Ill.�f-F_f"Yl7R 1�,JI _ L/ NSFI"CTIC SUPERV1917R p(7y';T IN i;ONE3P I C U01.JS PLACE_ --j Page No. 2 CASE HISTORY FOR CANE NO.: MST98-0093 RENAISSANCE DEVELOPMENT CORP 13634 SW AERIE DR 02/19/99 Action Description Req/ Schd/ End/ Action Notes Disp By update Upd Code Sent Done Done Date R% MSTA728 Low Voltage / / / / / / 03/37./98 DLH MSTA730 Fireplace Inep / / / ! / / 03/31/98 DLH MS'IA735 Gas Line Insp / / / / 07/23/98 PASS GS 07/27/98 GES MSTA736 Gas Fireplace / / % / 07/23/98 PASS GS 07/27/98 GES MSTA740 Insulatior Inep / / / / 07/27/98 chink round I/2 dome wndw in den PASS GS 07/27/98 GES MSTA745 Gyp Board Inep / / / / 07/3C/98 PASS GS 10/21/98 GES MSTA755 Rain drain Insp / / ! / 05/05/98 PASS GS 05/05/98 GES MSTA760 Water Line Inap / / / / 05/05/98 PASS GS 07/23/98 GES MSTA765 Appr/Sdwlk Insp / / / / 09/10/98 PASS MH 09/13/98 J•H MSTA790 Electrical Final / / / / 09/30/98 according to GS e-mail dated 2/2/99 PASS GS 02/19/99 JT MSTA795 Mechanical Final i / / / 09/30/98 PASS GS 02/19/99 .JT MSTA797 Plumb Final / / / / 09/30/98 PASS GS 02/19/99 JT MSTA799 Building Final / / / / 09/30/98 PASS GS 02/19/99 JT MSTA960 (F) Issue Cert. of Occupancy / / / / 09/30/98 02/19/99 JT CITY OF TIGARD ' PLUMBING' PERMIT DEVELOPMENT SERVICES PERMIT' #. . . . . . . : P LM98-0 19. 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 06/26/98 PARCEL: 25104DD-03900 ITE ADDRESS. . . : 136,34 SW AERIE DR SUED I V I S I ON. . . . : E AGI_E:: E10I NTE ZONING: R-4. 5 PD BLOCK. . . . . . . LOT. . . . . . . . . . . . . :030 JURISDICTION: TIG CLASS OF WORK. . :AL.T GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 rYPE OF USE. . . . :SF- WASHING MACH. . . . . . : 0 BACKFLOW E'REVIVrRS. . : 1 OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0 ";TORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . 0 : FIXTURES---------------- LAUNDRY TRAYS. . . . . : 16 SF RAIN DRAINS. . . . . : 0 !=i I NKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . 0 GREASE T RAE'S. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 rUB/SHOWE:RS. . . : 0 SEWER LINE (ft ) . . . : 0 WATEP CLOSE'TS. : 0 WA rER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN ( ft ) . . . : 0 Remarks : Residential backflow preventer Owner: _________—.----_-- __ ______...__.-----------•------- FEES --------------- RENAISSANCE DEVELOPMENT CORP type amoi.int by date recpt 1672 SW WILLAMETTE FALLS DR PRMT L 15. 00 JD 06/26/98 98-30686-- WEST 8-306863WEST E_.INN OR 97068 5PC" E 0. 75 JD 06/26/98 98-30686:3 Phone #: MOODY ENTERPRISE INC PO BOX 98 ESTACADA OR ---------_____-----------•--------- Phone #: L 1.`i. 75 TOTAL Reg #. . : 000059 ----------- REG?U I RED I N5E'EC T IONS -- This persit is issued subject to the regulations contained in the RF-'/Backflow Prev Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable law.. All work will be done in accordance with _ -- — approved plans. This permit will expire if work is not started ------------------ within 188 days of issuance, or if work is suspended for more _•_.__ than 188 days. ATTENT10n. Or+gon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-8881 A818 through OAR 952-8881-8888. You may -- obtain copies of these rules or direct questions to OX by calling — ------ (583)246-1987, --- I s s i_i e d By Permittee S i g n a t'are :0yX _-- 4++++++++++++++•}+++++++-F+++++++++++++++++-++++++++++i-++++ Call 639-4175 by 7:00 P. M. for an inspection needed the next bi_isiness day 4+ 1+f ++++++++++++++++++++++++++++++ CITY OF TIGARD Plumbing Application s Recd By 13125 SW HALL BLVD. Commercial and Residential 4�� Date Rdc'd -=-K Date to P E. TIGARD, OR 97223 Date to DS (�03) 639-4171 Permit r � -Q G) Print or Type Related SWR r Incomplete or illegible applications will not be accepted Called -Name of(Jeveiopment/Prulect FIXTURES (individual) QTY f'R10E ,NMT i �^ Sink 9.00 Job L�i4 /y,T lPef,�/DD/,�C/rT Lavatory Address sir ' us--te r` Tub of Tub/Shower Comb. 9.00 Bldg r tyiSlate Zip Shower Cnly 9.00 4fD 6,< /` �'L� 3 Water Closet -�- 9.00 Narp� Dishwasher - 9.00 Owner Mailing Address Suite Garbage Disposal 3.Op 14?-Z 4v,'//t^eff - F//S ,(. I Washing Machine 9.00 CftIMAIs ZI Phone Floor Drain 2' 9.00 I' 15 (ii+ 0 Sr-1 -�'DOO 3• 9.09 i N 4- 9.00 1 Occupant Miss"Address Suite Water Hester 9.00 3 6 3 Sw.Arne Laundry Room Tray 9.00 C. !Stats Zip Phone Unnal 9.00 - 02 � Other Fixtures(Specify) 9.00 N 9.00 Contnctor MafMtg ddress Suite 9.00 "Pd. &Y 4�' 9.00 Gtytstate Zip Phone 9.00 0sTAerv,e�➢�.i3 �i- �� Oregon Const.C t.Board Lits Exp. ate _ 9.00 AdkKM ropy of i/�/;& L "G 9.00 Cereptt Pturnbirg Lfc.r I'rXP.9153le Sewer-1 st 100' _ 30.00 Licenesa Sewer-each additional 100' 2 5.00 COT Business Tax or Metro r Exp.Date Water service-1st iuo' 30.00 Water Sennca-earn additional 200' � 25.00 Architect Storm A Rain Dram- 1st 100' 30.00 Or Mailirg Address- Si_.te - Storm&Rain Drain-each additional 100' 25 00 Mobile Home Space 25.00 EngineerC.tvistate Zip Phone Commercial Back Flow Prevention Cyte or Anti- 25 00 Pollution Cevhce _ iuChM WMIt New V 4drttion O Alteration 0 Reoair :3 Resxlentfal Bar-k low Prevention Device' 15.00 b be done: Iesidentiat O von-residential C Any Trap nr Waste Not Connected to s Fixture 900 Add0.iaM descr.pnon or wont r Catch Basin 9.00 1�s/e^ !nsp of existing Plumbing - I 40 00 Denhr =.rm"use of Spec:aay Requested Inspections 40 CO .aidY,q ar property - p ------ - Rain gain,suyie(amitydwelling 30.0c0.00 -1 �'•otx)sed use of Grease Traps 9.00 7udding Of POOP -a_-- _ QUANTITY TOTAL -� Are yap appwg, moving or replacing any fixtures] Yes p No ] Isometric w riser jaKrwn u reourad it Cuanity Total is >9 (H yes see back of form) _ 'SUBTOTAL I here[v acknowlo^.ge that I ha-e read this appltution.thL,the informs on givens orrect.!na!t am the c.+ner or authorized agent of the owner.a-4 5%. SURCHARGE that pians submir.ec are n comodance with Cregan State Laws. Signs of nerrAgent :)at* PLAN REVIEW 25% OF SUBTOTAL 4ecured_onh f trture:M raaf S>) _ TOTAL Conte Person Name P one _ L / 4 Mlnlmum permit fee is S25• 5%surcharge,except Residential Bat.:-.;'.ow (p3�i- Z I kY Prevention Cevice.whi;h is S 15+5%surcharge i:tdstslpimappAoC 8M PLEASE COMPLETE AS APp�FS1ATE TQ PROJECT: Fixtures to be capped, moved or replaced Qty Sink Lavatory _ Tub or Tub/Shower Combination S_hcwer Only _ Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain 2" 3" 4" Water Heater _ Laundry Room Tray Urinal _ Other Fixtures !Specify) OMMENTS REGARDING ABOVE: CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigerd,CIR 97223 (503)639-4171 PERM I T DATE JSSUFD: V14/ 14, '-)Q PPRCELs 2810AIDD-039voo 31 rE7 ADDRESS. 1 13634 GW AER (E DR !31.1121DIVISJON. . IiEflIBLE POINTE. ZONINGi R-4. 5 PI) BLOCK. . . . . . LOT.. . . . . . .. . . . . . . 1030 .JURISDICTION: TILT rEI*)N,r NAME. . it RENAL SGANCEE DFVt-'L_0PN)ENT cn,4P. uSA NO. . . . . . . . . . It F,I x,r u HF. HN I T13. 1:LASS OF' WORK. . . it NEW DWELLIN0, UNITS. . - rx,,PF- OF LISF. . . . . -SF NO. OF IAt-1lt. D1Nt*i: I iris*rAl-1- rypE. . . . :1.11.1t3WR IMPERV SOW-OLEt 0 sf: ,4om.irksis Sewer c-orinectiori for a riew siritile family dwPiltrig. ljwyipr,: ..__.._..__ FEES RFNPJSSPNr,F CAJ970M HCIMI---'S t ypr, :4 In 0 101t by tint e rec.,pt 161.2 WILLOMF-TTF FALLS DRIVE PRMT $ 2200. 00 R 04/ 14/98 98--304910 W-11-.j1 LINN CIR 970613 1 IQSFI S 35. (11111 El 04/14/96 .304J I Vi '-Ihfine #t f 2a'-.15. 00 TOTAL :1100000 REOL)IRI 1.) INSPELTIONS 1-his Ppplicaiit agrees to comply with All the riles and regulations Sewer Inspect ion ....... -if the Unified Sewage Agency. the permit expires 180 dap from the date issued. The total amount paid will be foif,itpd if ths? "rsi; expires. The Agency noes not guarantee the accurory of the ,ode sewer lateral%. If the :ewer is not located at the measurement given, the installer shay prespict 3 feet n all direct jons from the distance given. If not to located, the installer shall Purchase i "Tip and Side hewer" Permit and the Agency oill instal, a lateral. ATTENTIONt Oregon low requires you to folirm rulea adopted by the Oregon Utility Notification Center. those rules are Apt forth 111 0.40 W 4;--Olt through OAP 9Y-WI-*W You may obtain copies if these rules or direct questions tp RW by calling 15830.6-1961. ....... f tiauacl by =...._ pformittee sigilature..'e, +-++++4-+4 0, +++++++4......4-+-+4,+4 4 +4+4.......4....4-+4 4+++4++4-+4-4- +.-t 4.+--4 4--+++4 +4 1. R39-4175 by 7 s 00 p. %. f o r ,,n i n-;.po,-:t J aii tie ed Pill t1-,e iv,Y.1. bus i tie%% day t-+++++++++4-4++++1 4 f-#-++++4 +4 + 1--V++-++++4--+++-++++4 + 4-+-.4-4+++++-, 4 +J ++4.4 SEE 35MM RL.O # 22 FOR LARGE DOCUMENT CITY OF TMASTER FERMI T P,E:RMI T #. . . . . . . : MST98-009::' DEVELOPMENT SERVICES DATE ISSUED: 04/14/98 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 l IARCEL- : 2Sl04-DD--03r300 SITE ADDRESS. . . : 1.3634 SW AERIE DR SUBDIVISTON. . . . :EAGLE POINTE ZONING: R-4. 5 F,L BLOCV. . . . . . . . . . i_OT. . . . . . . . . . . . . ,JURISDICTION: TIG Remarks: PATH I: New single family dwelling w/ attached garage I covered patio. ----------------------------- BUILDING -------- --------------------------------------------.---------- REISSUE: STORIES.......: 2 FLOOR AREAS-----•----- BASEMENT.... 0 sf REQUIRED SETBACKS---- REQUIRED-•------------ CLASS OF WORK.:NEW HEIGHT........: 25 FIRST....: 1308 sf GARAGE.....: 667 sf LEFT..........: 5 SMOKE DETECTRS: Y TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 130.5 s FRONT.........: 28 PARKING SPACES: 2 TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 16 OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL------: 2613 sf VALUE..$: 186603 REAR..........: 37 ------------- PLUMBING -------------------------------------------------•-------------- SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: I RAIN DRAIN ft: 100 TRAPS.........: 0 LAVATORIES....: 4 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS: 1 CAMH BASINS..: 0 TUB/SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERF.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0 OTHER FIXTURES: 0 ------------------- -- - --------- MECHANICAL ------------------------------------------------------------------- FUEL TYPES----------- FURN ( 100K ..: 0 BOIL/CMP ( :QIP: 0 VENT FANS.....: 4 CLOTHES DRYERS: I C'15 FURN )=100N. ..: 1 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: 1 MAX INP.: 0 BTU FLOOR FIIRN4CES: 0 VENTS.........: 0 WOODSIOVES....: 0 GAS OUTLETS...: 1 ----------------- ELECTRICAL --------- -------------------------------------------------------- -----------_ --------- -------------------- --RESIDENTIAL UNIT--- ---EERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS— 1000 SF OR LESS: I 0 c00 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 5005F.: 5 201 - 400 amp..: 0 201 - 100 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OU1 LIN LT: 0 PER HOUR......: 0 IIMiTED ENERGY.: 0 401 600 anp..: 0 401 - 600 amp..: 0 EA ADDL BR C1R: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0 MANE HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+asps-1000 v: 0 MINOR I-ABEL -10: 0 1000+ amp/volt.: 0 --------------------------------- PLAN REVIEW SECTION -_-__---------------------------- Reconnect on)y.: 0 >=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: -------------------------------------------- — ELECTRICAL RESTRICTED ENERGY ----------------------------------------------------- A. SF RESIDENTIAL-- ------- B. COMIiERC1AL------------------------- ----------------—--------------------- AlID10 I STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: 0TH: :: X BOILER.........: Pun( _.. ......: LANDSCAPE/IRRIG: PROTECTIVE S1GNL: GARAGE JPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL......... OTHR: HVAC...........: DATA/TELE: COIN.: NURSE CALLS....: TOTAL lI SYSTEMS: 0 Owner: ------------ -----------------------Cont'ractor: --------------------------- TOTAL FEES:$ 3174.% RENAISSANCE DEVELOPMENT CORP RENAISSANCE CUSTOM HOMES This permit is subject to the regulations contained in the 1672 SW WILLAMEITE FALLS DR 167? WILLAMETTE FALLS DR Tigard Municipal Code, State of Ore. Specialty Codes and all WEST LINN OR 97068 WEST LINN OR 97%6 other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is Vfronp N: 557 8000 Phone #: 557-9000 rot started within 180 days of issuance, or if the work is Reg C.: 004995 suspended for more than 180 days. ATTENTION: Oregon law _ --------------------------------------------- requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 P01-0010 through OAR 952401-0080. You may obtain copies of these rules or direct questions to OUIIC by calling (503)246-1987. --- --- -- ------- - - ------------------------------------------------------------- REQUIRED INSPECT .. --------------------------------- Erosicn 844-8444 Crawl Drain/Back Electrics%l Rough Gas Line Insp Water Line Insp Plumb Fi A Footing Insp R.M/Underfloor Framing Trip Gas Fireplace Water Service In Euilding Final Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Post!Beam Struct Plumb Top Out Low Volbagp Gyp Board Insp Electrica al Dost/Beam Mechan Electrical a vi Fireplace Insp Rain drain Insp Mechanic in - Issi.ied By :� L— Permittee Signat -ire : _ +++++++++++++++-++-++*+++++++++++-*+++�++++++++++ +++++f+f++ + + +++ ++ ++ ++++++I�+ Call 639--4175 by 7:00 p. m. for an ins;pect :son needed the next Us ' ess day CITY OF TIGARD DEVELOPMENT SERVICES SEWER CONNECTION PERMIT 131?.5 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 ZAP-. PERMIT #. . . . . . . : SWR98-005:?, DATE ISSUED: 04/14/98 PARCEL- 231O4DD-03900 i TF_ (ADDRESS. . . : 13634 SW AERIE: DR ,iUBDIVISION. . . . :EAGLE POINTE_. ZONING: R--4. 5 PD , BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :O3O JL)RISDICTION: TIG ------------------------------------------------------------------------------------------ TENANT NAME. . . . . :RENAISSANCE DEVELOPMENT CORP. USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0 CLASS OF WORT;. . . :NEW DWELLING UNITS. . : 1 T YPI:- OF USE. . . . . :SF= NO. OF BUILDINGS: 1 1 hiC,rALI_ TYPE. . . . :BUSWR I MPERV SURFACE: 0 s f Remarks : Sewer connection for a new single family dwelling. Owner: FEES RENAISSANCE CUSTOM HOMES type amount by date recpt , 672 WILLAMETTE FALLS DRIVE F'RMT L 2200. 00 B 04/14/98 98-3O4910 WEST L I NN OR 97068 1 NSF' $ 5. 00 B 04/14/98 98-304910 1--'hone #: Contractor: --___---_.---._--__—_---.----__—_ OWNER f r_:r' 35. 00 'TOTAL Req #. . 000000 —_— ---- REQUIRED INSPECTIONSThis Applicant agrees to comply with all the ru1Fs and regulations ;ewer Inspection of the Unified Sewage Agency. The permit expires IBB days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance oiven. If not so located, the installer shay. purd,,ase a "Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow -ules adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR T`.>2-001-010 through DAR W2-8@91 t�BO. You may obtain copies of these rules or direct questions to DMC by calling 15931246-1967. I i,ied by: � % ------ 4- k "1POA %--,__ _ Permittee Signati_ire : —�- +++++++++.++++++4+++++++4•++++++++++++++++++++-?+++++++++++++++.4-+++.4-f•++r++++++.4-++-4 Call 639-4175 by 7:00 p. m. for an inspection needed the ne><t bi_isiness day ++++++.+++++++++++++++++++++++++++++++++4-+++++++++++4.++++++++++++++++++++++#-++++ Plan Check e ITY OF TIGARD Residential Building Permit Application Recd By -� 3125 SW r1ALL BLVD. New GG'IStruction Additions or Alterations Date Recd - 3 g IGARC, OR 97223 Single Family Detached or Attached (Duplex) Date to P E. 7 a 503-6Z9-4171 ._, ,� /-/ 503-503-484-72q7287 Tv _; Date to Termit M/DST-4/ T9e� Print or Type called Incomplete or illegible applications will not be accepted A+ Ny•ne of Project Name - Job AI'4%/ Architect Mailing Address Address Site Address y h City 'p P ons Name I/10 9 jb 9�6i Name Mm6n Adyress _ Q� Owner /-� ✓ t. � � Engineer Mailing A dr ss CITY/State 7i Phone v,. ; - C ry� ate f� Zip/�aPhnonce Nem _ :%� 9�''A/6 6'c9 General ;'(jril !'i v.114 J`' t 1ATch7 Desc4ibe work New Q✓ Addition 0 Alteration 0 Repair 0 Contractor Mailing Address to bo done: ;I,� -Y//- Addihonal Description of Work: citylstate Zipp Phone Organ ConsL Cont. Board Lic R Exp..0ate. Attach Copy of C, '„ i6 �~ Current COT Business Tax or Maim Ex pate . PROJECT Llcenses /.t'C'(; I ♦ C VALUATION $ IZO Name — — - Mechanical NEW CONSTRUCTION ONLY: Sub- Mailing Address Sq. Ft House: . , Sq. FIL Garage ontractor /,'1T""$/ ,V` ,/rJY (WComer Lot YES NO Flag Lot YES NO CdYiSlate Zip Phy ie check one) L I� .J� ( 1 (check one) — Oregon Const.Cont. Board Lic a Exp. D 1 1 Restrcted Audio/Stereo 81.rglar tach Copy of -'' C .� >�S' �� Energy System Alarm Current COT Business Tax or Metro apatil Installation Garage Door HVAC Licenses '/�, �;C _ •' Opener Systems Name (check all that Other. -- i'lumbin9 .f�%�' /i/,� /✓ .�.'� ;'�Q,�'� app�i) Sub- Mailing Address Will the electrical subcontractor wire for all YE,$ NO ;ontractor R) ►c �t restrcted energy installations^ j/ ��L��y _ /' .rel ' "•'I f'11d� C,txiState Zip Phone - I Has the Sucdivlslon plat recorded.. NIA Y NO Oregon CansL Cont, Board Lic N Exp. Date Reissue of MST#' Solar Compliance r at-.ach Copy of C"'�' r cJ S I 'y� - (Calculation Attached) �l- Current PlumCin Lic. D W -ar — . i ,, g '��• �- I rd�r- I i� ,�. S/ I hearby acknowledge that I have read Leis app.i,atirn, that the t.icenses �. information given is correct. !hat I am the owner or authorized COT Business Tax or Metro 0 Oate agent of the cwner, and that plans sub.-nitted are in compliance Name with Oregon State laws. Signature of r/ int D41le Sub- Mailing address Contact Perso r;Mme / Phone # :ontractor r%�C' . � ��Y1`T "�7I �i9c%�'/r - rcY - Ci /$taj:e Zip Phgne FOR OFFICE USE ONLY: _ � _'�/'�.nf y i i;' Plat MaprrL#: Cr on CansL C nt Board Lica Exg. to ach Copy of �'- � ` ' _ W �—i� Setbacks —T� Zor1e: _ `��1 Solar ;:urrent E'ecincai Lc. s D. 0 ��/ '_ Licenses n br'c /G� ��- Engineenng Approvac P!anning -approval: T1iT COT Business Tax or Metro a Exp Date ,J J _ __�_� 1:lsfapp.doc(dol) 1/97 f'Pimit /# 8C Quat. Descri t� ion psi Arnt- Pd. ' MST. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) ELC/ELR Permit (ELPRMT) State Tax (TAX) Bldg.- Plumb: ldg:Plumb: Mech: ELC/ELR: Plan Check MST: (SUPPLN) Plumb: (PLMPLN) Mech: (MECPLN) CDC Review (LANDUS) Sewer Connection (SWUSA) Reimbursement District ( ) Sewer Inspection (SWINSP)- Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (T IF-MT) Water Quality (WQUAL) Water Quantity (WQUANT) Erosion Cont-ol Perr-;it (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) Fire Life Safety (FLS) TOTALS: _ _ _ Etsrapp.doc (dst) 1/97