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SCALE DRAWING LOT 49 EAGLE POINTE - B
S.W. 1 /4 ,SEC. 3,T.2S,R 1 W, W.M.
CITY OF TIGARD
.n
�i rt
WASHINGTON COUNTY, OREGON
FEBRUARY 26, 1997 t Cen terl in e Con cepis i n c .
_ —AN EIGHT FOOT PUBLIC UTILITY EASEMENT
DRAWN BY: MSG CHECKED BY: WGDIII
SHALL EXIST ALONG ALL STREET FRcJNTACrS. SCALE 1 "=2Q' ACCOUNT # 115
640 82nd Drive Gladstone, Oregon 97'12-
M:
;O2-M: \MLI\PLAT\EAGLEPO\L49EP 503 650-0188 fax 503 650-0189
NOTICE: IF THE PRINT OR TYPE ON ANY 1.1. 1IIIIII 111 ! 111 1111111 11 � ` rIi III ljT 1-1fr�.r _r�.r-I_r.�_T� iI111Lr ..�.� � �.r. . 1 1111111111 ! i iii -111 111 111 1 � 1 111 ' 111 1 ! i 1 � 1 tIr► r1r -11I� I I I � � Jill
I I
IMAGE IS NOT AS CLEAR AS THIS NOTICE, �. 2 3 �� 6 7 $ � ZD 11 12
IT IS DUE TO THE QUALITY OF THE _ -_-- -. -_-- _-- ___-- _- __-- - _-_ -.___� _
— ----
Il Illi llil !I Il �! IIIIII�II�II !! IIli 1111T iII I -gIIII IIII Illi IIII IlEi- I
No.36
ORIGINAL DOCUMENT 8 �crw/.•.w,aw.rcawaru-
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13901 SW AERIE DRIVE
CITY CSF TIGARD MASTER F'E-RMIl-
DEVELOPMENT SERVICES PERMIT #. . . . . . •
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 03/18/913
SITE ADDRESS. . . : 13901 SW AERIE DR FIARCE:L : 2S104DD-05800
SLJBDIVISION. . . . :EAGLE 1-101NTC ZONING: R.-4. ':- F,D
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :049 JURISDICTION: TIG
Remarks: Single family detached, Path 1.
------------------------------------------------------------ BUILDING -----------_��--------------------- _
--•------------
REISSUE: STORIES.......: P FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS- REQUIRED-------------
CLASS OF WORK.:NEW HEIGHT........: 24 FIRST....; 1427 sf GARAGE.....: 817 sf LEFT..........: 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1347 sf FRONT.........: 40 PARK INE SPACES: 2
TYPE OF C106T.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........;
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL_------: 2774 sf VALLIE..$: 200026 REAR..........: 43
-------•-------------- ------ ---------------------------— PLUMBING
SINKS.........
----------------- --
SINKS.........: 1 WATER CLUSETS.: 3 WASHING MACH,.: 1 LAUNDRY TRAYS,: RAIN DRAIN ft: 100 TRAPS.........: 0
LAVATORIES....: 5 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: IPA SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB/SHOWERS...; 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: I GREASE TRAPS.,; 0
OTHER FIXTURES: 9
-------------------------------------------------------------- MECHANICAL -----------•------ --
FUFL TYPES----------- FURN f 188K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1
GAS FURN )=188K ..: 1 UNIT HEATERS..: 0 HOODS.........: I OTHER UNITS...: 1
MAX INP.: 0 BTU FLIJOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....; 0 GAS OUTLETS...: l
--
—--------------------------------------------------------- -- ELECTRICAL -----------------------------------------------------------
--RESIDENTIAL UNIT---- ---SERVICE/FEEDFR---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- -----MISCELLANEOUS---- ----ADD'l. INSPECTIONS--
1000 SF OR LESS: I d - 200 amo..: 0 0 - 208 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EH ADD'L 500SF.: 6 201 - 400 asp..: 0 201 - 40Q amp..: A 1st W/0 SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIP: 0 SIGNPL/PANEL...: 0 IN PLANT......: 0
MANE HM/SVC/FDR: 0 b81 1000 amp.: 0 601+amps-1000 v: P MINOR LABEL -10: 0
1000+ amp/vtjlt.: 0 ---- --- ------------------ PLAN REVIEW SECTION -----------------------------------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL_: CLS AREA/SPC OCC.-
------------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY --------—-------•--------------------------------
A. SF RESIDENTIAL.------------------------- B. COMMERCIAL------- ---- ---------------------------------•----------------------
AUDIO d STEREO.: VACUUM SYSTEM..: AUDIO d STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTH: :: X BOILER.......... HVAC...........: LPMDSWc./1RRIG: PROTECTIuE 51GNL:
(*IRAGF OPENER..: CLOCK..........: INSTRUMENTATION: MED IC.:t........: OTHR:
HVAC............ DATA/TELE COMM.: NURSE CALLS..... TOTAL # SYSTEMS: 0
Owner: -----------------------------------Contractor: ------------------------------- TOTAL FEES:$ .:470.71
RENAISSANCE RENAISSANCE DEVELOPMENT This permit is subject to the regulations contained in the
1672 SW WILLAMETTE FALLS DR 1672 SW WILLAMETTE FALLS DR Tigard nlinicipal Code, State of Ore. Specialty Codes and all
WEST LINN OR 97068 WEST LINN 6R 97068 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone #: 557-8900 Phone #: 557-8000 not stArted within 180 days of issuance, or if the work is
Reg #...: 008499 su,,pe,,ded for more than 180 days. ATTENTION: Orpgon law
--------------------------------------------------------------------- requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules are set foi;n i* COR 7552-801-8818 thrnugh OAP 952-01-8888. You may obtain copies of these rules or
direct questions to DUNG by calling (503)246-198-.
------------------------------------------------•--------- REQUIRED INSPECEONS -- - ---�--_-------- -- ------------------ -
Erosion 944 3444 Underfloor insul Plumb Top Out Low Volta,e Water Service In Plumb Final
Footing In p t:rasil Drain/Bark Electrical Servi Gas Line Insp Appi Sdwlk Insp Final inspection
Faundatior. Insp Footing/Foundati Electrical Rough Insulation In,., Urban Street Trp Building Final
Pnst/Beam !truct PLM/Underfloor Framing Insp Gyp boani In•.p Electrical Final _
Post/Beam Mect.en Mechanical Insp Shear Wall Insp Rain drain Irsp Mechanical Final
Isst_ted B( : ��' ![�' IG61 FlermitteP Si nature:
++ F++++4-4-4 ++++++++++++++•+++++++++++++++++t i•,-+++++.++++++++++.++++R+++++4,*"4++
call F,,:,9--4175 by 7:00 p. m. for an inspection needed the next bJ_isiness day
Y
CITY CSF TIGARD
DEVELOPMENT SERVICES SEWER CONNECTION
4W F`ERMIT
13125 SW Mall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . ; SWR98-0043
DATE ISSUED: 03/18/98
PARCEL.: ;:.5104DD—.05800
SITE ADDRESc;. . . : 13901 SW AERIE DR
SUBD I V I S I ON. . . . :EAGLE' POINTE ZONING: R--4. 5 PD
DL_OCK. . . . . . . . . . LOT. . . . . . . . . . . . . :049 JURISDICTION: TIG
TENANT NAME. . . . . :
L15A NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
T YF'E OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE: 0 sf
Remarks : Single family detached, Path 1.
Owner,a ----- __.____..__._..____...__.._ ___._------------------------------ FEES
RENAISSANCE type amoi_rnt by date recpt
1612 SW WILLAMETTE FALLS DR PRMT f 2200. 00 DEB 1713/18/98 HAND REC
WEST LINN OR 97068 *NSP f 5. 00 DES 03/18/98 HAND REC.
Phone #:
Contractor; ---___._.__----.--------------._...__.__ _--
OWNER
1 ,11 >>r e #: f 2.235. 00 TOTAL.
------- REOUI RED INSPECTIONS
-- ---
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 188 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 locat!d at the measurement
given, she installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase —
a "Tap anu Side Sewer" permit and the Agency will install a lateral.
ATTENTION: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in DAR
952-M1-Mll through DAR 952-MI-W. You may obtain copies of ——
these rules or dir questions to DUMC by calling 15831246-1987.
T s s tr e d b �� v Permittee S i g n a t l_r r e : _,�
+++++++++++++i++++++++++++++++++++++++++++++++++++++++++++•r•+++++++++++++++++++
Call 639--4175 by 7:00 p. m. for an inspection needed the next bi_rsiness day
+ ♦ +++++++i•++++++++++++++++++++++++++..++++++++++i+++++++++++++++i++++++++++++++++
Z/
Plan Check it 3 3
TIGAtiD Residential Building Permit Application Recd By
HALL BLVD. New Construction Additions or Alterations Date Recd
GARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E 3-r/
503-639-4171 Oat@ to DST
503-684-7297 /1 Permit r NJ/ 1�.A
Print or Type %' Called
Incomplete or illegible applications will not accepted j
Name of Prolect Name
Job �C-,( i y�� ,/ j41,4Xe9 A
Address Site Ad u Architect Mailing Address le, /e fid.,
Name S4/, Cityistate. r. Zip Ph ne
Name,,,r
Owner Mailing Address '
City/Slats zi Phone Engineer Mailing
----- Cdylstate Phone
General ,'11.f'y%1j�yrt� f�� 7 i'✓F+' "-f Describe work New p Addition O Alteration O Repair O
Contractor Mailing Address to be done —____
?",1 / " OaT. Additional Cescnotion of Work:
Clt�istaM ZIP Phgre S ,
Orman Const.Cont. Board Lic x Up.Date.
Attach Copy (' ''
Current COT Business Tax or Metro• .x9.Pate PROJECT
"00
,Licenses /�t' �5 y VALUATIONC� c3Z-
Name NEW CONSTRUCTION ONLY:
"�echanical -7'% ,� �! /'9.-'l�t��f %�
Sq. Ft House: Sq. Ft. Garage
Sub- Mailing Address 1 . , -
ontractorc ',/ Si /�7 '[ Comer Lot YES N Flag Lot YES N
Cityrstate Zip Phone check one) (check one) l
Oregon Const.cont. Board Lic.M Exp. D to Restncted Aud o/Stereo Burglar
ach Copy of c .�� �.� t' y'<< Energy System Alarm _
Current COT Business Tax or Metro s a Installation GaragE Door HVAC
Licenses ' . .' OpenerSystems
Name (check all that
Other
i'lumbing ,%� .C'.<<. Wdl-i4'c apply)
Sub- Making Address Will the electncal subcontractor wire for all T Y NO
,ontractor _ (7� ,/�c„sJ���? Aon restncted_energy installations^ I 1.
C,tylstate
Zip Prtgoe Has the SuCdivisicn Plat recorded? N/A y NO
/ �-
Grp" l"�
Oregon Compt.Cont Board uc tr U Exp. to
Reissue of MAST* ,' Solar Compliance
%,.ach Copy of L^r ' << ( � 1 f ' -(Calculation Attached)
Current Plumcing Ue optw I hearby acknowledge that 1 have read this application, that the
Licenses -�% ` ' -'i �� information given is correct, that I am the owner or authonzed
COT Business Tax or!Metro Eid ate
agent of the owner, and that plans submitted are in compliance
— -- Y•� with Orege-%State laws. --
Name
Signature ! ent 'j D
_lectrfcal _T
Sub- Mailing Address Contact erson_.9m p o e 4_
;ontrartor
Ci LSta:e Z:p Phone FOR OFFICE USE ONLY:
,.<il�/,�,,7.•�i ;•'�i?e 'l j� O/� Plat$7 May/TUX:
Oregon Const.Cont. Board L:c.A
.tach Copy of S y i1 Setbacks: Zo e: Solar
Current Eeotncai VG ar p.0 I�,- 1 I. /
Licenses /"a ff C /G .> Engineering Approval P!ennmg approval: TIF.
COT 9uaineas tax or Metro r Ex . 0 �
`,_ % -I " •' i Wapp.doc(dst) 1/97
c
;'ermit # 6Qunt Descri tion Amount Amt, Pd. Bal. Due ,
MST. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
ELC/ELR Permit (ELPRMT)
State Tax (TAX)
Bldg:
Plumb:
Mech:
ELC/ELR:
Plan Check
MST: (BUPPLN)
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 (TIF-MT)
Water Quality (WO UI\L)
Water Quantity (WQUANT) _
Erosion Control Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
Fire Life Safety (FLS)
TOTALS:
Stapp dot (dst) 1197
Solar Balance Point Standard Worksheet
.address LX
Sox A o,lculations: North-South dimension for the lot. Box A.
his dimension is determined by finding the midpoinr,of the North lot line and drawing
in intersecnng line perpendicular to that poiru.
r-im. determine which property line is the North lot line. The North lot line is the line
•,ith the smailest angie rrum a line drawn east-west and intersecting the northern most
�xirnt of the lot-
I
I I �
t
No w
N North-South
I"
Dimension for LOL
measure the distance from the midpoint of the North lot line to the South lot line along
Lhe descibed line. feet
1
E17H
11ox B calculations: Shade point height for your residence-
1.
esidence.t. Determine whether measurements will be based on the peak or eave of your Which describes
st7uCtrrc.. The orientation of the ridge is also important. your residence?
1 a: If zhe roof line runs North-South, meas.,rements will ` Wrde one)
be based on the peak of the mof. I_C0 o a
1'A 18 1 C
1 b: If the roof line run% cast-West and the roof pitta is
less than 5/12, measurements will cn :.fie
I
ea%e.
was o*.w
i c- If tf-e roof lire runs East-.vest ar.d tf a roof pitch is
5/12 cr steeper, measuremenrs wiil be based nn die
Hox S. continued Box 8:
Measure cringe ;n e-evarion from front praperre line to finished floor elevation. If
the 'or slopes uo from the front !tit line to the uundation, the figure is positive. If �� ft
the lot slopes down from the front lot gine to the foundation, the figure is negative. — - ,--
3. Measure distance from Finished doer elevation to the affsaed peak/eave. + +' `�' It
.t. If the root line runs North-South, deduC three feet. If tii,: mof line runs East-West,
deduct nothing, j
;. Subtr3a one foot for eacti dost of difference in elevation from the Front property
line to the rear property line, if the lot slopes up from the front to the rear. If the
lot has no slope or slopes up frorr, the rear to the (rant, dedua nothing. ,
y. Total Figure for box 8:
Box G Distance to the shade reduction line- Box C.
I. Measure the distance from die North property line to the foundation near the `j ft
aifeard peaWeave.
?. Measure the distance from the foundation to the affected peak or eave. + _ ft
.3. Tonal figure for box C. ft
;t is most userul ata draw a verod Pine to repnerrnt the apVmpriaw"found is bw'A'and a horizontal tine to represent dee
appropriate more found in bort'C'. The inonsemon of due vertical and horizontal Lim deoem"a the value found in box'lY.The value
;n box U'should be compared oo the vaiue in box'8'; it the vak-e in boot'S'is ten than or equal to the value found in box'O', then
he tx,itdinS is Ln compliance with the solar balance code. U you have any quesions. please aontaa us at 639-4171,x304 or at the
Commurrry 0eKbpmeru Counter.
MA701MUM PE1tM f'- .SHAD[POINT HEIGHT (to Fees)
cisavrce Ota mord►-south lot dirnersion an feed
u%ade 100+ 95 90 85 80 75 70 63 60 55 SO 45 40
rodumon ane r
tram norther I
kd.5attttt.l�t _-;
TO 40 an 40 41 42 4; 44
38 38 39 40 Al 42 43
6 ]6 36 37 38 ]9 40 Al a'
S; 34 3.4 35 "1 37 38 39 10 41
J 2 32 32 33 34 35 16 37 33 39 40
-� 0 io 30 31 32 33 34 35 36 3: 38 39
S :9 10 31 32 33 34 35 36 37 33
i25 26 ZS 29 r 21 JI 33 34 ]S 36
24 Z4 24 :5 :5 27 2S :9 :0 31 32 33 34
., 31 32
2, „ � 24 :5 :5 :7 :S :9 30
A :0 :0 :0 21 ? 23 :4 2S :6 27 :8 29 30
1.8 18 18 19 :0 21 " :3 24 :5 25 27 23
7
16 16 16 17 13 19 :'1 21 :' 23 24 :5 26
14 14 14 15 16 i8 19 :0 21 2_' 23 24
Fwx D. `Aaximum ailowed shady Point height_ feet
1
ti .�olar.cho -.e•
1
i
SEF, 35MM
ROLL# 22
FOR
LARGE
DOCUMENT
CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : PLA198-020E".1
DATE ISSUED: 06/26/98
PARCEL: 2SI04DD-05600
-'ITE ADDRESS. . . : 13901 SW AERIE DR
SUBDIVISION. . . . : EAGLE POINT;—:7 ZONING: R-4. 5 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :049 JURISDICTION: 'FIG
----------------------------------------------------------------------------------------
CLASS OF WORK. . .-ALT GARBAGE DISPOSALS. : 0 MCIBILE HOME SPACES. : 0
IYPE OF USE. . . . :SF WAF33HING MACH. . . . . . : 0 BACKFLOW V'REVNTRS. . : I
OCCUPANCY GRP. . :F\3 FLOOR DRAINS. . . . . . . 0 'TRAPS. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . .. . : 0
FI X TURES--_—._ - LAUNDRY TRAYS. . . . . : 0 SF RAIN DRFiINS. . . . . : 0
c.'-i I NKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . : 0 GREASE 'iRAPS. . . . . . . . 0
LAVATOR I ES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. : III WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Residential ba(7kflow pr-evPntPr-.
(Jwner-: FEES --------------—
RENAISSANCE type amoi-tnt by date revpt
1672 SW WILLAIvETTE FALLS DR PRMT $ 15. 00 JD 06/26/3P 98-206863
WEST LINN OR 97068 5P[,-F $ 0. 75 JD 06/26., 91-4 98-206863
Phone
MOODY ENTERPRISE INC
P0 BOX 98
L!3TACADA OR 97023
Phone #: $ 15. 7;5 TOTAL
Reg #. . .- 000059
REDUI RED INSPECTIONS
This permit is issued subject to the regulations contained in the RP/R-ackflow Prev
Tigard Municipal Code, State of Ore, Specialty Codes and all other Final Inspection
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 work is suspended for more
than 184 days. ATTENTION: Oregon law requires you to follow rules
adapted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-001-010 through OAR 95?-000I-W. You may
obtain copies of these rules or direct questions to OLOC by calling
(503)246-1987.
I -ssi-ted Byin&401-- Plermittee Si gnat ov-P :CIA t —_e�Akhk
++++++++•++++++++++t++++++++++++++++++++++•++++++I.......i-++++++++-+-+++ r........4-+
Call 639-4175 by 7:00 p. m. for, an inspection needed tiF- next bi.isiness day
++ ++++++++++++++++++++4-+++++++++++++,.++++++++++++++++++++-r++++++++ -.....4+++++
L
:ITY OF TIGARD Plumbing Application V �Z Recd By_
25 SW HALL BLVD. Commercial and Residential Di1e Recd �.
-lGARD, OR 97223 Dale to P
iO3) 63°-�i171 Date to O&T
Permit a
Print or Type Related SWR a
Incomplete or illegible applications will not be accepted Called _
Name of Development/Project T FIXTURES (individual) CITY PRICE AMT' J
r T ./ Sink
Job G le- ?Dinh- e- Y �7- Lavatory 9 J0
Address Stree ass / Sure ry 9.00
Tub or Tubr5hower Comb, 9 00
Bldg a C,tyiState Zi Shower Only - 9.00
Water Closet 900
Na
Dishwasher I 9,00
pI-
Cwn*r Markng Adhress Suite Garbage Disposal 9 00
16��_�i/� c 1r4JS Washing Machine 9.00
CJfymate Zip Phone Floor Drain 2' 9.00
est,<47 ^ 7U� �- 8e,e -- —
Nlame �' 9.ao
/A 4' 9.00
Occupant Moo Ad mss Suite Water Heater 900
j :;4v. A61C oto. Laundry Room Tray 9
.00
City/State Zip Phone Unnal 9.00
'- Na'' ill Other Fixtures(Spsary)
9.00
Opel" AF41- o E!SG3 G , 9.00
Contmctor Marling Ad ss Surto 9.00
(StaPte Zip Phone 9.00
T c o A O f 9AZ3 63/- —11 hip _ 9.00
{ Oregon Cors' Cdnt. Board Lie.! Exp.D _ _ 9.00
Ait�aid�Copy of //>A/ !Z 6 Dat -.fr 9.00
G+rtset Pturriprng Lic.i i6p. ate Sewer-1st 100' 30.00
i_keneea
Sewer-each additional 100' 25 00
CO'Business Tax 0r Metro a Exp.Date Water Servi:,e-1st 100'
3g(GOE
Name - Water Service•each adaltional 200' 2
Architect Storm 6 Rain Drain- 1st 100' -- 3
or I 'Nailing Address s,,1e Storm 3 Rain Drain-ea ri additional 100' 2
_ Mobile Home Space 2500
i Engineer C-tyJStaie Z.p I Phone Commeroal Back Flow Prevention Device or Anti- 25 00
'�-- Pollt,tion Cevtce
i>rsaiDe
;;rte `law IV P ddrtion O alteration J Reoair O Residential Backflow Prevenflon Device' 15 00
ro be done: Residential J Von-restoential O Any Trap or Waste Nr, -onnected to a xture 9 00 I
AWKional desmpuon of work
Catch Bann 1 C _- --1
4' oh 9 00
!nsp.of Exisurg P!umbing 4000
_ _ I Denhr
xriLnq use of
Specialty Requested Inspections 40 00
uskfrq or property________ - oenhr
- Rain Crain s ngie family dweiling I 30 J0
'r000sed use of — Grease TrapsI 9 00
wilding f�
g or property___ __
QUANTIT-i TOTAL
AM YeL cappsng, moving or replacing any fixtures? Yes CC No O I,onletrx x ver,Lsgram is reaum A Cusnity Tout is >9
(H Yes see back of forth) 'SUBTOTAL
I herety acxnow!edge that I ha,.e read this aeplicar-n.that the information
�rven.s sorrel.cna' I am'Pie towner or authorized agent of the owner.and 5% SURCHARGE i
rut clans subm t:ed are-n:omoliance with Oregon State Laws.
nor/Agent
PLAN REVIEW 25 :OF SUBTOTAL.tign �eaureonly Amu!7tr 'xal.srle
� Data �� I i
TOTAL
ntact arson Nam one L _
� �_
/) Minimum permit fee is 52E—S".surcnarge except Residential Bacxffow
071'-2 q�� Prevention C?vtce.wh ch;s S15-5.5 surcharge
-'�-If--
0'astskpImapp,00c 5/98
?-)LEAa.: C-QMPLETE AS APPROPRIATE TO PROJECT:
r
,Fixtures to be capped, moved or replaced Qty
Sink
Lavatory
Tub or Tub/Shower Combination
Shower Only
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain 2"
4"
Water Heater _
Laundry Room Tray
Urinal
Other Fixtures (Specify)
'OMMENTS REGARDING ABOVE:
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Businwiz Line: 639-4171 ^— -
BUP
—Date Requested _—AM PM --- BLD --
Location.— /30' c�5 Z Suite __---_ MEC
Contact Person _ Ph PL%1 _�
Contractor_ _-___— _�,__ Ph SVIR _
13UILDI — Tenant/Owner ELL
Retaining Wall ELR
Footing Access'
Foundation FPS
Fig Drain SGN
Crawl Drain Inspection Notes:
Slab _—_—_ ___ J-_—_ - SIT
Post& Beam
Ext Sheath/Shear _ --
Int Sheath/Shear - D
Framing
InsulationU
Dcyvuall Nailing
Firewall
Fire',sprinkler ,—_� -_ - --.---- -
Fire 41arm
Susp'd Ceiling —
Roof
Misc: -- - -- --- -- -- —
F
<FASS ,PART FAIL -- -- --- ---- --- -- -- --
PLUMB
Post 8 Beam _-- -----.__._.._--------___�_.- -- -- --
Under Slab -. _ ---- ------- _-—_-- -- - .
Top Out
Water Service
Sanitary Sewer
Rain Drains
PART FAIL
Post& Beam - - - ----- -------------- __- - --- ---- --
Rough In
Gas Line _ .., - _- - _--------- -------- ----- -
Smoke Damp( s
S PART FAIL
S7177—
Rough In
UG/Slab --
Low Voltage
Fire Alarrn --
�n I
q S PART FAIL __. ------- - -.�—_...- -- ---- ------
SITE _
Backfill/Grading -- ------- - — -
Sanitary Sewer
Storm Drain [ ]Ruinspection fee of$ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ! J please call for reinspection RE — __- -_ [ J Unable to inspect no access
ADA
Approach/Sidewalk
Date ��- �''- ? T Inspector_
Ext
Other -- ---- -
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY AF TIGARD
• =;WELOPMENT SERVICES
S;; Nall Blvd„Tigard,OR 97223(503)639 4171
CE RTIFiCAIE CSF'
OCCUPANCY
PEiRMIT #. . . . . s MSTg8-0w
DA'TE If=GUE:D: 10/20/98
PARCEL: � !,104DU rE�5E3Q�Q�
T.TE_ ADDRL=SS. . . : 1:3901 SW AERIE E7f7
'3UB )I V I S I ON. . . , EAGLE: POINTE 7.ON I NG:R--4. 5 GC)
(.1LOCK. . . . . . . . . . n LOT. . . . . . . . . . . .. . 1049 JUR1::C)1CTION:TIC.
LASS OF WORK. :NEW
FYPE OF USE. . . 7 S
1-YPE OF C'f)NS3T EZ:5N
OU(:UE',ANC:Y GRP. : R;s
OCCUPANCY LOAD a E
Remark% : Single favily detached, Path 1.
Owners _._ ...__
RENAISSANCE DEVELOPMENT
1672 WIL.1_AME-TTF FALLS DRIVL
WEST' L I NN OR
Phane 0:
Gontrmctor : _...._._._ _. ..._._... .._.. .. _..
RENAISSANCC VEVt_LOPMENT
1672 SW WILLAMETTE FALLS S DR
WEIrLT L I NN OR 970,6
r:,honb .#: 557-6000
Rey #. . : 000,499
This Ce: tificmte grants ocrypanc_:y of the above referenced building or portiorl
thereof and confirms that the building has been inspected for compl ian^a with
the ' tate of Oregon Specialty Codes f0t the group, occupanc..,y, unci use tn,cle,.
which the referenced permit was i.sso-ted.
£11.J I I..,.I7 tNCi ^at-'FC C"T ](� E31Lll 1 hl Sl'ECT! a 13lJfaE-Ft�J T 3��'
F"O ST IN (XNzli1='I COOL!" Pt-ACE