Case File M.
EROSION CONTROL:
1. PROVIDE & MAINTAIN 8' (min) THICK
GRAVEL PAD & DRIVE UNTIL FERMiANENT
CONCRETE DRIVE IS IN PLACE.
PROVIDE & MAINTAIN SOIL SEDIMENT
FEI4CE AS INDICATED.
CL N
7p
NOTE: CENTERLlfJE ^� _.,
ILI �� SURVEYORS WILL PlP.l t 111-7-1
FOUNDATION COROR
���=�RS PQ, F-"^VIDE
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a
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Z
/3 fig Ar elx
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Maf 62-f7`0/"
IV ASS
A� 7,3)
06
IRLSS -7 001,
,rxJt/ja
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c
141-11
0.
—FRONT GARAGE DIM. CONFIRMED PER MIKE DAILY,
-y'
s°�O• � � /�� �� 9/4/97 MSG.
e
s SCALE DRAWING LOT 51 EAGLE POINTE
S.W. 1Z4 SEC. 3,S.E. 1 /4 SEC. 4, &
�; ,• L. y N.W. 1Z4 SEC. 10,T.2S,RA W, W.M.
CITY OF TIGARD
WASHINGTON COUNTY, OREGON
o� �- SEPTEMBER 4, 1997 Centerline Cc) In cept � I r7 c .
---AN EIGHT FOOT PUBLIC UTILITY EASEhEN I \ DRAWN BY: MSG CHECKED BY: WGDiII
SHALL EXIST ALONG ALL STREET FRONTAGE, j M
SCALE 1 =20 ACCOUNT # 115 640 82nd Drive Gladstone, Oregon 97027
I M: \MLI\PLAT\EAGLEPO\L51EP 503 650-0188 fax 503 650-0189
PrApow, m"0001 111 11 oil I
>- i� I I I I I l l 1 1 M I T I I III I I l i l 1 1 1 1 1 1 ( I f l l f 1 1 1 1 I -I 1 I I I i l f f 1 1 1 ( ( ' 1111 I I I T ( I (
NOTICE: IF THE PRINT OR TYPE ON ANY - C . I ( � + { + I { ( ' { { I { I { { � { { + ( { � { C �� I � �. { .- � I I � � � � � � ( ' 1 � � � � � � 1 I I � I ! � I I ( I I � i � ! � I �,1
IMAGE IS NOT A I r I I �-- /) -'
S CLEAR AS THIS NOTICE 2 3 I r-
- -- _6 _--__----r 12 � 7, �_- a�
IT IS DUE TO THE QUALITY OF THE _ -- -- --- -- /
No.36
ORIGINAL DOCUMENT E �DIZ 8Z LZ� 9Z � Z � Z EZ Z Z T01171PI
LI9i gT fiT Ei ZT i1 T 6 8 L 8 Si � E Z T11111 11II. ILII 1111 1 {{{� IIII ILII illi {{11 IIII 1111 illi I{{► {{{� Illi ��{{ 1111 Ilii {lll,lli► fill 111111ll� .{Li_l i.11_ ilii llll 111 1111 11 1� �111r1 II l
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13919 SW AERIE DRIVE
...... ._..... ..__.._...._._.._..___......_.__.....,�..:._...:.,,�.r�rcam.-.;::.:..._.__._......_..:_w.-.,--._.,.'...,.�......_.,V...._.._..w......�«......__,...........�..._..._r._...- ._..�..,....,wA.s�»�
CIT' OF TIGARD MASTER PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST97-0377
DATE ISSUED: 01 /08/98
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171
PARCEL: -05104DD--01,000
5ITE ADDRESS. . . : 1391' SW AERIE DR
SULAD I V T S I ON. . . . :EAGLE POINTE ZONING: R-4. 5 PI)
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . .0`;1. JURISDICTION: TIG
Re•arks: SFD - Path 1
----------------------- BUILDING -----------------------------------------------------------------
REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- RE()UIRED-------------
CLASS OF WORK.:NEW HEIGHT,.......: 24 FIR;,T..... 1334 sf GARAGE.....: 640 sf LEFT.....,.,..: 5 SMOKE DETECTRS: Y
TYPE OF USE...:9F FLOOR LOAD....: 1,0 SECOND.., : 1092 sf FRONT.........: 40 PARKING SPACES: 2
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf ((IGHT.........: 7
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL------: 2426 sf VALUE-1: 173614 REAR..........: 41
--------------------------.---------------------------------------- PL'1MBINO7 --------- - ------------------------------------- -.._..----SINKS......... 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 100 TRAPS.........: 0
LAVATORIES....: 5 DISHWASHERS...: 1 FLOOR DRAINS.,: 0 SEWER LINE ft: 100 SF RAIN DRAINS: I CATCH BASINS..: 0
TUB/SHOE#RS,..: 3 GARBAGE DISP..: 1 WATER !'PTFRS. 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
-------------------------------------------------------------- MECHANICAL ----------------------------------- - --------------------------
RIEL TYPES--------- FURN l 100K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1
EA5 FURN )=100K ..: 1 UNIT HEATERS..: 0 HOODS....,..,.: 1 OTHER UNITS.-.: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSOOVES....: 0 GAS OUTLETS...: 1
---------------------- ELECTRICAL. -- ------------------------------------------------------------
RESIDENTIAL UNIT--- ---SERVICE-./FEEDER---- --TEMP SRVC/FEI.DEF+S-- ----BRANCH CIRCUITS--- ----MISCF_LLANEOUS---- --ADD'L INSPECTIONS--
I NO SF- OR LESS: 1 0 - (00 alp..: 0 0 - ?00 asp.,: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
LA 41),1 5005F, : 5 201 - 400 asp..: 0 .11 - 400 asp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT I-IN LT: 0 PER HOUR......: 0
11MITED NERGY.: 0 401 600 asp..: 0 401 - 600 alp..: 0 EA ADDL BR CIP: 0 SIGNAL/PANEL,,.: 0 IN PLANT......: 0
MIMN HM/SVC/FDR: 0 G01 1000 asp.: 0 601+asps-1000 v: 0 MINOR LABEL -10: 0
1000+ asp/volt,: 0 ---------------------------------.-- PLAN REVIEW SECTION --- -------------------------------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINOL: CLS AREA/SPC OCC:
-------- ------------------------------------- FLECTRICAL - RESTRICTED ENERGY --- - -------- -- - -----------_-----------------
�i, 5F RESIDENTIA!_-------------------------- B. COMMERCIAL--------------------------------------------------------------------------------
AUDIO t STEREO.: VACUUM SYSTEM..: A(JD10 I STEREO.: FIRE ALARM,....: INTERCOM/PAGING: OUTDOOP LNDSC LT,-
BURGLAR
T:BURGLAR ALARM..: 0TH: :: X BOILER...,...,.: HVAC,........,.: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL.....,..: OTHR: :,
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL N SYSTEMS: 0
Owner: ------------------------------------Contractor: ---------------------------- TOTAL FEES:$ ?i?g,10
RENAISSANCE CUISTCI HOMES RENAISSANCE DEVELOPMENT This permit is subject to the re ulations contained ,n the
1672 SW WILLAMETTE FALLS DR 1612 SW WILLAMETTE FALLS OR Tigard Municipal Code, State of Ore. Specialty Codes and all
TIGARD OR 97x68 WEST L1NN OR 97068 othar applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone A: 557-8000 Phone ii: 557-BOON not started within 180 days of issuance, or if the work is
Reg C.: 006499 suspended for, sere than 180 days. ATTENTION: Oregon law
---------- -----------—---------------------------------- requires you to follow rules adopted oy the Oregon Utilitl,
Notification Center, Those rules are set forth in OAR 952-001-0010 through DAR 952-001-0080. You say obtain copies of these rules or
direct questions to IVA Vf calling 15031246-1987.
------- REDUIRED INSPECTIONS ----------------------------------------------------------
Erosion Control C-awl Drain Elertrical Rough Gas Line Insp Water Line Insp Plush Final
Doting Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service In Buildino 1,nal
Ioundation Insp Mechanical Insp Shear Wall Insp )nsulation Insp Appr/Sdwlk Insp _
Post/Bias Stract Plu-b Top Out Low Voltage Gyp Brard Insn Electrical Final
post/Be as echan Elrctri^al Se>Svi Fireplace Insp Rain drain Insp Mechani�Fina _
n L.0 �" Permittee Si natUre :
Iss'..Ie 13y :� _. 9 a
+++++4-+ �'+-++-i++++++++++++++ +++++i +++++++++++++++++++++++= ++++++f✓++++++*+++-4 +
Call 639-4175 by 7:00 p. m. for an inspection needed the next bokinest dad+
CITY OF TSEWER CONNECTION
DEVELOPMENT SERVICES PERMIT
13125 SW Nall Blvd.,Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : SWR97--01--160
DATE ISSUED: 01/08/98
PARCEL : 25104DD-06000
SITE ADDRESS. . . : 13919 SW AERIE DR
SUBDIVISION. . . . -EAGLE POINTE ZONING: P-4. 5 PD
BLOCK. . . . . . . . . , LOT. . . . . . . . . . . . . :051 .JURISDICTION: TIG
------------------
IF=NANT NAME. . . . . :RENAISSANCE CUSTOM HOMES
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORK. . . :NEW DWFI I...ING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 0
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE: 0 sf
Remarks: SFD -- Path 1.
OWner: ___-----_____-----____----___-__ -._-__-________----.________. FEESRENAISSANCE CUSTOM CUSTOM HOMES type amoi_int by date recpt
1672 SW WILLAMETTE FALLS DR WOUL $ c10. 00 DRP 01/08/98 98-302347
WEST L.INN OR 97068 WQUA $ 290. 00 DRA 01 /08/98 98-:302347
PRMT $ 2200. 00 DRA 01 /08/98 98-302347
I='hone #: .1 NSP 35. 00 DRA 01./08/98 38-302347
EROS $ 64. 00 DRA 01 /08/98 98-302347
Conti-actor: _._.___.____..____________---.__..___.-----E"RPI.J $ 20. 80 DR(; g7i1 /OA/`18 98-30?347
RENAISSANCE DEVEI-OPMENT ERPC $ 20. 80 DRA 01 /08/98 38-302347
1.672 SW WII__I .nMETTE: FAL.L_S DR
WEST L.INN OR 97068
-------------------------
Phone #: 557--8000 $ 2840. 60 TOTAL
Reg #. . 000499
-------- REGUIRED 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
nermit expires. The Agency does not quarantle the accuracy of the
,ide sewer laterals. If the sewer is not locat«d at the measurement
given, the installer shall. prospect 3 feet in all directions from —_
the distance given. if not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agenry will install a lateral.
9TTENTION: Oregon law requires you to follow rules adopted by the _
Oregon Utility Notification Center. Those rules are set forth in OAR
952 881-8818 through OAR 952-8881-8888. Yoa may obtain copies of
these rules or-dirtet 4uestions to OUNC by calling 15831246-1987.
1ssi_te by : Pe-mitt Pe Signature: _
T
++++++•F++.....+++++++++++J-+++++++4•++++++A-++++++++.•+++++.f++++++++++++. ++++++++++++4
Call 639•-4'75 by 7:00 p. m. for- an inspection needed the ne,<t h1_,.siness day
.++++++4.++++++++++++++++++++++++++++++++++++++++-f l-+i-+++++i++-+++++a•+++•+++++++++++
TY OF TIGARD PIa Check r ^lel"
Residential Building Permit Application Recd Cv
1125 SW HAI,L BLVD. New Construction Additions or Alterations Date Recd !x
UARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E.
503 6394171 Data to DST
503-684-7297 Permit A �'� -��)� �q7-
Print or Type called
Incomplete or illegible applications will not be accepted v(ee-' If ✓�_/
r — Name of Project Name
Job :,Z -(':,,, ,, xi. " lc✓4� i'6�✓
Address cr y" Maden
Sale Address Architect 9 Address
Name Gtyrst4te C): Zip I Phone
Owner Mailing Address Narne / d
C+tylstate Zi Phone Engineer Marling Address
�'�xt�F> `�`� .��•I t ' ;'_.i�j1t
Name G.ylState Zip Phone
General r ir',!��'lti'}t:} «t.;,,7 i . ,',_ 0 Y1
t! _ Desurbe work New O Addition O Alteration O Repair O
Contractor Mailing Address to tv done:
Additional Description or Work:
city/state Zip Phone c-
U on Const Cont Board Lic M Exp. ate,
Attach Copy or ----
Current COT Business Tax or Metro kpate PROJECT
q
License! /:r �"/, �Y i ,`�� VALUATION
Name _
NEW CONSTRUCTION ONLY:
"Mechanical 7X/ �;�,'.��'-y' i'T/'l�'l�hht'�%c S FL House.
Sub- Mailing Address _ q. , Sq. FL Garage
� . - �, '� c
'ontractor /)E 5/ >• ,/!lv' f t Comer Lot YES f�0 ' Flag Lot YES f�0.
C.tyrSta!v Zi P1,19
(,:heck one) (check one)
Oregon Const.Cont._Boojard Lic a Exp. 0 to f Restricted Audio/Stereo Burglar
-.rah copy or �•''_ 'c, ') _� — _J�c' }':S Energy System Alarm
Current COT Business Tax n, Metro• — attl Installation Garage Door HVAC
tenses ,,) ; -1 - Opener Systems
Name (check all that -
Other-1 ,j�;r'�;/�,.> „ ,�,�c �J��'G apply) _ _
Sub- Mailing Address --` Will the electrical sub(-xntractor wire for all Y NO
:ontractor �C'S n�c;f�,��� /V1 restricted energy installations -
C,tvslate Zip PIlooe Has the Succlivision Plat recorded? NIA Y S NO
Oregon ConsL,r:Ont Board Lic s I Exp. D to ,,�, Reissue of NIST# �' I Solar Compliance T TU
ach Copy or �- C� �,c j 5' /I ! �l
_ _ / (Calculation Attached) �6
urrent Flumomg Lic.it�, a _ E 0 I hearby ackrowled a that I have read this application, that the ,
information given is correct. that I am the owner or authorized
COT Business Tax or Metro? Ex0 Oate
agent of the owner, and that plans submitted are in compliance
Name with Oregon tate I ws.
lectrical Signature _ne /Agent Date y
Sub- Madmy address Contacterson me Phone 9
-:ontractor t/; C . Jr/r i We p: -3S /
Cityl5t4'e Zip Phgne FOR OFFICE USEONLY:
_
C v*��Cfa+^9+eJ y�l �/J !/�' 1 Plat Map,'TL#: /
Cr�_�'S on�onsL Co,nL Board t c a Ex y {( Li",
"ach Copy or
cl/
_1L Y I Se)hacks: Zone: Solar.
Current E'ec~ncai L.c. a
Licenses
_J /"w' in y Engineenng Approval: F!ar�nng approval TIF:
COT Business Tax or Metro a Ex . O to
i.Wapp.doc(dst) V97
I ✓ �'1.
,
e_�tmit i� Account Descrilp ion Aoun Amt, Pd. eal, Dine
_a MST. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
ELC!ELR Permit (ELPRMT)
State Tax (TAX)
Bldg
Plumb:
Mech:
ELC/ELR:
Plan h
a Check
MST. (BUPPLN) :-�i.!
Plumb: (PLMPLN)
Mech: (MECPLN)
GDC 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 (WQUAL)
Water Quantity (WQUANT) -
Erosion Control Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion PlancklCOT (EROSN)
Fire Life Safety (FLS)
TOTALS:
---- Osfapp.doG (dst) 1197
SEE 35MM
ROLL# 22
FOR
LARGE
DOCUMENT
CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
L� PERMIT #. . . . . . . : PIL M98-0204
91-MAM 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 06/26/98
PARCEL- 2S104DD-06000
SITE ADDRESS. . . : 13919 :73W AERIE DR
SUBDIVISION. . . . : EAGLE POINTE ZJNING: R-4. 5 PID
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :O51 JURISDICTION: TIG
CLASS OF WORK. . :ALT GARBAGE DISPOPALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKF!-OW PREVNTRS. . I
OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
F I X LAUNDRY 'TRAYS. . . . . : 0 SF RAIN GRAINS. . . . . : 0
S I NKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . .. 0
1..AVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
fUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0
1)1 SHWASHERS. . . . 0 R(4IN DRA"i 'ft ) . . . : 0
(tem arks : Residential backflow preventer
Owner: FEES
RENAISSANCE CUSTOM HOMES type amotint by date re(:pt
.1672 SW WILLAMETTE FALLS DR PRMI $ 15. 00 JD 06/26/98 98-306863
WEST LINN OR 970613 5PC T $ 0. 15 JD 06/26/98 98-30C.86"";
Phone #.
MOODY ENTERPRISE INC
Po BOX 98
FSTACPDA OR 97023
Phone #: $ 15. 75 TOTAL.
Reg #. . : 000059 REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the RP/Bacl(flow Prev
ligard Municipal Code, State of Ore. Specialty Codes and all other F ina I 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 180 days. ATTENTION: Oregon law requires you to follow rules
adcpted by the Oregon Utility Notification (enter. Those rules are
set forth in OAR 952-MI-010 through OAR 552--Wi-�W. You mai
obtain copies of these rules or direct questions to OX by caping
(503)246-1987.
Issijed Permittee Signati.ire:eL-A�.t
.........4•.................... ................ ............4.4.....................
Call 639-4175 by 7:00 p. m. for an inspection needed the next bt.lsine�;s day
+-4-4-++++-+-+++++++-++++4-4++++++++4-++++++++++++++++++I...........1-+++-4 ++++-i 4--4-++++-+-+--4-4
:ITY OF TIGARD i
Plumbing Application �( Hecd By:__M _
3125 SW HALL BLVD. Commercial and Residential
FGARD, OR 97223 Date Recd
503) 639-4171 Date to P E
Date to OSi
Print or Type Pem11 sRe
—'
Incomplete or illegible arplications will not be accepted called-s%AR re__�
Name I Development Pn,,j.,i FIXTURES (Indlvldual)
Job rA le- PC, Srnk -- QTY
l�o,�T -,�ey a A PRICE AMT—'
Address Stree Address wte Lavatory s ao
8 g L_ Tub or Tub/Shower Comp• 9.00 1
C tYrState Zip Shower 5 ly 9.00
Nae T
m " UL ;2,.3 ::ntktr Closet '-- 9.00
A4 t! Dishwas ier
9.J0
CGt o.
Owner arMnq Addressss SuiteGarbage 9.00
/10M re
Dispesat
—
900
Washing Mar-ane
citY'Slate Zlp Phone Floor Dram 9 00
U C. Ss�-eco G 2" s.00
_ s.00
AGCUpint �^li ss Suite Water Heater
9.00
/39ij
9
City/Suta e .00
Laundry Room Tray
Zip Phone 9.00
Unnal
fJa T- O.her F— ixtu�' 9.00
( Ppb) 9.00
Contractor Mait4nq A dress Suite _ _ 9.00 —
Qty/state Zip Phone 9.00
cALPA ----_. 9.00
.P. >?o.i3
Oregon Const.ConExp.-Date Board Lic.s 9.00
AialatA Copy ofUate
I/ 9.00
Ct+rtwnf
G .
F'h/ndnq LrG a 900
Llcerneo D e Sewer-1st 100' 30.00
7T Business Ta,or Metros Sewer-each additional 100'
_ E<p.Date 15.00
-- ` 3 Water Service-1st 100'
—Name
Jo
� Water Service each additional 200' .00
Archh-ect -_ 25.00
Sloan d Rain Dram- 1st 100'
I or MadStorm
ing Address - 00' _ J0.00
S..;e m d Rare Drain•earh additional 1
_ 23 30
Mobile Horne Space -
25.
Engineer I C'.yrSlate — Zip I Phone 00
C:ommerdal Back Ft:aw done: Residential O vP
on--residentireventiroe on Devor Anti- I
Pollution Cevice 25.00
aMr New work Adtlih �Intial auo_
o%� n O Reoair J Residential Backflowwce
Prevention De •
C f I 15:0
A6'"Jorme description of work - ^Y Trap or Waste Not%onnected to a Fixture I 9 00
_VV"/'e* y��� Caich Barin
tnsp.of r_usurg P!umbing 9A0
_ _
4030
erpnq use of —`-- SpecialtyRequestW Inspearons T— -- penhr
+u k%N -prop" 40.00
--- --- Rain Crams. ngie family-wening i--1—Der hr
po
',osed use of
wo.ilding proPetty Grease Traps —r--9 UO
Iy
're you-PP". mo•nng or replacing any.ixtures? Yes No Isemetrx x Hier a QUANTITY TOTAL
IN yes see back of for..t► 09"^'a�+r"d Cuwity Tout is >v
I herebv icknowge;hat I ha•.e read this acPl,cahon,that the information 'SUBTOTAL
l - -
yven,s correct.that I am the owner or authorized agent of the owner and
-iat clans submMea are!n comollance with Ore 5% SURCHARGE —
Oregon State Laws, _
JrgnatLrre of/OwnenAgentr Date - - PLAN REVIEW 25'/. OF SUBTOTAL
?eaured Iry f tcttae�h ctsl a>
:o^tact Person me � P onn TOTAL Ie
(J/1� Z T� 'Minimum psrmrt fq s 525 - 5°i surchargr. ?xcept Resbenhal Bacrflow
6 P2vtntlon C^%ice•which:s 515' "U surcharge
1aststplmaop.00t.4,•98
PLEASE QQMPLETE AS APPRQPRIATE TQ PROJECT_:
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)
COMMENTS REGARDING ABOVE:
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223(503)635.4171 C•F RT I F I C ATE: Or
OCCUPANCY
F'ERM17 #. . . . . . . a MST97--037-
I.AT•E; 09/ 11/"v8
PARCEL., S10401).•06000
5 T.TE" ADDRESS. . . : 1 31 19 SW AERIE. DFt
BUBD I V I S I ON. . . . a FAnL..E POINTE
Z rN I hIl7 a R 4. �; Q,
BLOCK , . . . . . . . . a LOT. . . . . . . . . . . . . :0 1 JURI DIC T-I-ON:TIG
CLASS OF WORK. a NEW
f YPEr OF USE. . . :SF
FYPE OF C;ONST0`:,N
ICCUpANC'Y GRP. : Ft::
0C(--UF-'(4NC:'r LOnD a
iv:amarks ' 7FD - Path I
Uwner: -._.._.._..__..._._..._.._._ .......__W........__ .___..__._.._._.._.._. .,.....,.
PENA I SSANCE CUSTOM OM HOMES
1678 SW WILLAMETTE FALLS DFS
'T TC;r4RD OR 97066
G='hone 4: V'j'7-f 000
untrwtnrc _ .._. .. ._...__. _ .... __.__._,... ._
RENAISSANCE DEVELOPMENT
1672 SW WILLAMETTE LAME::TTE: FAL..LS LAR
WE 6T L._INN OR 1706 fi
Phone #: 557-8000
t r.s Certificate grants occupancy of the above referenced building or portion
ger^aof and confirms that the b�.:il!iing has been inapt:ted for c:omplianva with
ti �.i5e under
StatN of r��egon Specialty Codes for the g -oupran
,ic:h the r ett:?r-enr.:pd permit' was issued.
Y�
l,,L - /I NSPr't;' l ::ul
POST IN CONSPIC:UOLlb PLALE
1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST ` 7-
24-i lour Inspection Line: 639-4175 Business Line: 639-4171 �—
G BUP
Date Requested
_e l- 10 AMBLD
Location .�J -'CX �. Suite M MEC
Contact Person t-u Ph _ PLM /"9-C>'CU Z 0-i
Contractor _ _ Ph SWR _
BUILDING — Tenant/Owner ELC
Retaining Wall ELR
Footing ----_---
Access FPS
Foundation —^
Fig Drain SGN
Crawl Drain Inspection Notes. - --------
Slab _ —_—_ SIT
Post R Beam --
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
40rfwall Nailing
Firewall
Fier Sprinkler
Fire Alarm
5usp'd Ceiling --- ----- --- -- ---- - -- --- _ - _
Roof
fimi
nal -------------._
PART FAIL ---- ---- ------ -- __ ---Pr-tFMBING
Post.& Beam I - ----------._____ ----- -- -------_._--------__._ -..--
Under Slab 1 ;r
TopOut __.------- ---------___ . ___ ------- -- --
Water SE
'rv'c"
Sanitary Sewer
ir lr�ins
- -- --- ---- --- ---- - — - --- --
I ''`1,
ASS ;PART FAIL
M i4NICAL
Post& Bearr, ----
Rough in
GasLine - --- - ---------- --- -- -------..._-.
I<e Dampers
SS PART FAII-
ELECTRICAL
Service
Rough In ----------- -- -
UG/Slab
Low Voltage
Fire Alarmri-
mai - -- --- --- -------
PART FAIL - - - -- - ---- ----
Backfill/Grading -------_.-_-
Sanitary Sewer
Storm Drain ] ] Rein,,l�ection feP of g _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
I Catch Basin
Fire Supply Line I ] Please call for reinspection RE [ Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date 11-2 W_. Inspector_ _ _ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
Page No. 1 CASE HISTORY FOR CASE NO.: MST97 0377
RENAISSANCE CUSTOM HOMES
13919 SW AERIE DR
12/08/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
i
MSTA005 Application received / / / / 09/09/97 RECD GEO 09/11/97 BON
MSTA008 Permit Created / / / / 09/11/97 DONE B 09/11/97 BON
MSTAc10 Check for prcl. restrict. / / / / 0^/1'/97 PASS B 09/11197 BON
MSTA012 Plane routed to Plane Examiner / / / / 09/11/91 SENT B 09/11197 BON
MSTA026 Plans approved by Pln Examiner / / / / 09/16/97 PASS RT 19/16/97 B';2
MSTA030 Reviewed plane routed to DSTS / / / / 09/16/97 PASS RT 09/16/97 BT2
MSTA032 DST Post-Review Completed / / / / 09/19/97 PASS JSD 09/19/97 JD
6TA080 (F) Ready to issue / / / / 09/19/97 TIF Voucher! PASS JSD 09/19/97 JD
MSTA092 (F) Issue combination permit / / / / 01/08/98 DONE DRA 01/08/98 DST
MSTA095 Issue plumbing signature form / / / / 01/16/98 RECD SW 01/16/98 S•W
MSTA097 Iesue electric signatur: form / / / / 01/16/98 RECD SW 01/16/98 S*W
MSTA700 Erosion Control Insp 844-8444 / / / / / / 01/11197 BON
MSTA705 Footing Insp / / / / 01/23/98 PASS GS 01/23/98 J*H
MSTA706 Foundation Insp / / / / 02/10/98 PASS GS 02/11/98 J*H
MSTA710 Post/Beam Structural / / / / 05/11/98 PASS GS 05/13/98 J"H
i
MSTA712 Poet/Beam Mechanical / / / / 05/11/98 PASS GS 05/13/98 J*H
MSTA713 Crawl Drain / / / / 02/13/98 PASS GS 02/13/98 J*H
MSTA717 PLM/Underfloor / / / / 05/11/98 PASS GS 05/13/98 J*H
MSTA720 Mechanical Insp / / / / 05/1:/98 FAIL GS 05/13/98 J*H
MSTA720 Mechanical Insp / / / / 05/13/98 PASS GS 05/13/98 J•H
MSTA722 Plumb Top Out / / / / 05/11/98 PASS GS 05/13/98 J•H
MS7A723 Electrical Service / / / / 05/11/98 PASS GS 05/13/98 J+ii
.MSTA724 Electrical Rough In / / / / 05/11/98 PAS3 GS 05/13/98 J•H
MSTA725 Framing Insp / / / / 05/11/98 1. Post under doubled ,oists in garage. FAIL GP 05/13/98 J*H
2. Corner strap below 4x12 above garage
small door.
3. Fireblock chase by downstairs bath
and upstairs.
4. Redirect fan vents to roof vents.
MSTA-725 Framing Insp 05/13/98 / / 05/13/98 PASS GS 05/13/98 J•H
MSTA726 Shear Wall Insp / / / / 05/11/98 PASS GS 05/13/98 J*H
MSTA728 Low Voltage / / / / 09/11/98 PASS GS 09/15/98 J*H
MSTA735 Gas Line Insp / / / / 05/11/98 PASS GS 05/13/98 J*H
MSTA736 Gas Fireplace / / / / 05/11/98 PASS OS 05/13/98 J*H
MSTA740 Insulation Insp 05/13/98 / / 05/13/98 P'1SS GS 05/13/98 J*H
MSTA745 Gyp Board Insp / / / / / / NA 09/15/98 J•H
MSTA755 Rain drain Insp / / / / 02/13/98 PASS GS 02/13/98 J"H
MSTA761 Water Service Insp / / / / 05/11/98 PASS GS 05/1'/98 J•H
MSTA765 Appr/Sdwlk Insp / / / / 06/10/98 PASS MH 06/11/98 J•H
MSTA790 Electrical Final / / / / 09/11/98 PASS GS 09/15/98 J•H
MSTA795 Mechanical Final / / / / 09/11/98 PASS GS 09/15/98 J•H
MSTA797 Plumb Final / / / / 09/11/96 PASS GS 09/15/98 J*H
MSrA799 Building Final / / / / 09/11/98 PASS GS 09/15/90 J•H
MSTA960 (F) Issue Cert. of Occupancy / / / / 09/11/90 12/08/98 JT
j