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Case File i (A) L, 0 cil M I IOU m r- m n 13950 SW AERIE DRIVE -- . . . MSTI�ib---0241) CITY OF TIGARD MARI IT #... . r DA-fE ISSUED: 06/05/96 COMMUNITY DEVELOPMENT DEI-ARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)830.4171 F'ARCF_L.: 2S 104 DD—EP01 i::_ '31TE ADDRE 5.i. . . : 13950 SSW AE12IE DR JUDD 1 V I S I ON. . . . : (_AGLE F-'O I N TE 1 UN I NG: R-4. 5 F'D i+l_UC I;. . . . . . . . . . L.OT„ . . . . . . . . . . . . : Remarks: PATH I --..-..--------------------------•---------------------------------- BUILDING --•------------------------------------------------------------ REISU.: STORIES.,.....: 2 FLOOR AREAS----------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED------------ CLASS OF WORK.-NEW HEIGHT........: 32 FIRST....: 1465 sf GARAGE.....: 819 sf LEFT..........: 5 SMOKE DETECTRS: Y TYPE OF USE...:SF FLOOR LOAD....: 40 SEC.ONE'...; 1406 sf FRONT.........: 20 PARKING SPACES: 1 TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 5 OCCUPANLY GRP.:R3 BDRM: 3 BATH: 3 TOTAL------: 2671 sf VALUE..{: 199644 REAR..........: 40 ---------------- -------------------------------------------------- PLUMBING --------------------------------------------------------------- SINKS.........: I WATER CLOSETS.: 3 WASHING MACH,.: 1 LAUNDRY TRAYS.: l RAIN DRAIN ft: 0 TRAPS,........: 0 LAVATORIES....: 4 DISHWASHERS...: 1 FLOUR DRAINS..: 0 S'WER LINE ft; 0 SF RAIN DRAINS: I CATCH BASINS..: TUb/SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0 OTHER FIXIURE5: 0 -------------------------------------------•--------------------- MECH9NICAL -------------------------•----------------- ...----- - - ----- FUEL TYPES---- ------ FURN 1 100K .. ; 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRIERS: 1 /GAS/ / / FURN =100K ..: 1 UNIT HEATERS.,: 0 HOODS.........: 1 OTHER UNITS...: 1 MAX INR.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 1 --------------------------------------------------------------- ELECTRICAL ----------------------------------------------------- UNIT--- ---------------------------------------•-----------UNIT--- ---SERVICE/FEEDER---- ---TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS-- 1000 SF OR LESS: 1 0 - 200 alp..: 0 0 - 200 amp..; 0 W/SVC OR FDR,.: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 506F. : 6 201 - 400 amp_: 0 281 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: N LIM,TED ENERGY.; 0 401 - 600 amp..: 0 401 - 600 amp.. : 0 EA ADDL BR C1R: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0 MANF HM/SVC/FDA: 0 601 - 1000 amp. : 0 601+amps-1080 v: 0 MINOR LABEL -18: 0 1000+ amp/volt.: 0 ----------------------------------- PLAN REVIEW SECTION ----------------------------- Reconnect ---------------------..Reconnect only.: 0 )=q RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA SPC OCC: -------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ---------------------•-------------------- •------ A. SF RESIDENTIAL--------------- ---------- B. COMMERCIAL--------------------------------- ---------------------------------••--------- AUDIO 6 STEREO. ; VACUUM SYSTEM..: AUD10 6 STEREO.: FIRE ALARM.....: INTERCOM,'PAGING: OUTDOOR LNDSC LT: BURGLAR (LARM.,: 0TH: :: X BOILER......... : 31VAC...........: LANDSCAPE/IRRIG: PROTECTIVE S1GNL: GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: :. HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL 11 SYSTEMS: 0 Owner: ---------------------------------Contractor: ----------------------------- TOTAL FEES:t 4796.45 RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES INC 1672 SW Wl_t.AMETTE FALLS DR 1672 SW WILLAMETTE FALLS DR WEST LIkN OR 67068 WEST LINK OR 97068 Phone t: 557-0040 Phone N: Reg I1..: 91599 This perm:' is Issued subject to the regulations contained in the Tigard Municipal Lode, State of Ore. Specialty lades and all other applicable laws. All - .rk wiii be done in accordance with approved plans. This permit will Fxp)re if wnrk is nrt started within 180 days of issuance, or i work is suspended for more than 180 days. -------------------------------------------------------.--- REQUIRED INSPECTIONS ----------------------------------------------------- Footinq Insp PLM/Underfloor Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Erosion Control Foundation Insp Mechanical Insp Low Voltage Gyp Board Insp Electrical Final Post/Beam Struct Plumb Top Out Fireplace Insp Rain drain Insp Mechanical Final Post/Beam Mechan Electrical Servi Gas Line Insp Water Line Insp Plumb Final Crawl Drain Framing Insp Gas Firepl ceer Service In Builoing Final .� _ d Dy L�!'G� o 1I fOr' 1nSp __ 6 39 -41 7 5 SEWER CONNECTION CITY MJF TIGARD r'E:RMIT FERMI T #. . . . . . . : SWFt96--�'r, �) COMMUNITY [DEVELOPMENT DEPARTMENT DATE IL,SUED: 06/05/96 13125 SW Half Blvd.Tigard,Oregon 97223.8199 (503)839-4171 9 P'ARC.F::L: 281 @4DD—EF'01` i Sllr:. H1)l)kLSS. . . 3W (il:l 1L ljlt SULAD I V I S1 ON. . . . : EAGLE F='O I NTE ZONING: R-4. 5 F'D BLOLK. . . . . . . . . . : L01.. . . . . . . . :012 ----------------------------------------------------- . TENANT AML. . . . USA NO. . . . . . , , . . : FIXTURE UNITS. . . : 0 � (:LASS OF WORK. . . -NEW DWELLING UNITS. . ! 1 T YF'E OF USE. . . . . :SF NO. OF NU I LD 1 NGS t 1 INSTALL TYPE. . . . :BUSWR IMF'ERt) SURF(ZiCE:: 0 S 1lemarks : o'ATH I L)wner: _.__________._______________________.._____.________._._._.____ FEES RENAISSANCE: CUSTOM HOMES type alnor.rnt by date r^ecpt 1 (, 7'- SW WILLAMETTE FALLS DR F'RMT 1> 200. �0 CJS 06/k.,5/96 96-280264 INSC= 1. 35. 00 CJS 06/05/96 91 --280264 Wl.:'s I L._INN OR 6706B 1-11-ione #: 557-8001 Cont Tact or-: _-_-- CONTRAC'COR NOT ON FILE k1hone #: ::2:35. 00 TOTAL Reg #. . . __.____.-•-.-• REQUIRED I:NSF'ECTIONS This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit Pxr.res 180 days from the date Issued. The total amount Paid will be forfeited if the permit expires. The Agency does not guar;krrtee 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 given, If not so located, the installer shall purchase 3 "Tap and Side Sewer" Perot and the Agency will instal a lateral. L-ei-mittee Siynati.tre : Call for inspection _ 639--4175 Residential Building Permit Application City of Tigard 60 jird 13125 SIN Hall Blvd. Tigard, OR 97223 (503) 6139-4171 Jobsite Address: 1j `Ahs aCruc �. Offlce Use Only �' '� _.• Subdivision: ��c,L _ I ��1 �-� Lot#- -T! Valuation: � / G �� Contact Date / ! Initials " Result — New Construction Only: (Square Footage) Planck/Rec Permit* &I � — House: Garage: Reissue of � Map & TL # Z�_,,1,� Cerner Lot? Y CN ~ Flag Lot? Y l" Zone I„5 f Plat# Vii[ T` Ff Owner* PeooiSSCe. CLLS�C--, -) 40Yr,e,S Approvals Required Ad(jress: I Ld Z S.W . Wi l I i mr_f4r-El is Dr- Planning Setbacks ' Solar�---y vyes+' �-'Kv► , O R . `i 3�t�8 Engineering t iL Phone: j .503 ) 557 B000 Other___ `,tf�, Zj,Tt -TC PAUlL- Items Required Contractor. ken&;SSan''e Cu-Si-Z-m I nyl r-S Subcontractors Address: I ICS s.vj . W, l►Qmc++e TallS Ur ._ Truss Details Vie C,1 Uv"k , d2 , CI*Otcs, Other__ `—.-- Phone: ( 503 ) 5 S-7-$000 Notes Contractor's License # Qq -4 9�q (attach copy copy of current Oregon license) Contact Name: (fern.CP 4(L01Ct6LlC-- Contact Phone: ( t5'03) SiZ 3 - S000 Subcontractors: Arch itect)Engineer: Nlcu5l LmI De51(V)�5�•,b'1( Plumbing: ate Pt�mhi,1 rt �. Address: 13C5 N C • IS-Lh Ave - Mechanical: ►r,� CuuV1+-•1 Tern� 2'ti,t-ro I FCY i l a�t c1 G r r ►ze`1 (attach copy of current OR Contractor's License) 5C 3 ) Z Z 5 - 9 Phone. { �— JOB DESCRIPTION Apr,.iLrant i azure -� Applicant Phone number L Received by: l- ,t Date Received: M1b+n.bv�i0 ` • t I 1 Permit Account ❑escription Amount AmL pd Bal.Due Bldg. Permit (BURR) plumb. Permit (PLUMB) �:�5. '` ? Z S .,V Mech. Permit (NECK) Plumb: / L Mech: .Z -L Plan Check (PLANCK) — ^.-- Bldg: 3, �i 3, 9 Sy Plumb: Mech: Sewer Connection (S'NUSA) — Sewer Inspection (SWINSP) Park, Dev Charge (E'�`SQC) Residendal TIF (TIF-R) -- v— Mass Transit i,F (TIF-,N CJrrinlercia) TIF f7F'C) — -- Industrial TIF (T 4) — -- —' Institutional 7F (—, ,F-IS) C ff c e TIF (i I F-0) �, - -- -------- Water Cualir/ ('NCUAL) 'Nater Guantiry �1CUaNT r; U Fire Life Safer/ (r,-S) c:osion Cntz1 Permit (ER.°gM-1) -esion Planck/USA MRPLAN) ' -sicn ?lallcklCOT (E-CSN) 20,kv T C:TALs. 0 .,..r...�• Solar Balance Point Standard Worksheet Address Box A calculations: North-South dimension for the lot. Box A: This dimension is determined by finding the midpoint of the North lot line and drawing an intersecting line perpendicular to that point. First, determine which property line is the North lot line. rhe North lot line is the line with the smallest angle from a line drawn east-west and intersecting the northern most point of the lot. 450--o- j7 5°—• 4 N j pN t NINEAN LC,,. Lt,I UNE n North-South Dimension for Lot: \Icasure the distance from the midpoint of the North lot line to the South lot line along Q ire described line. IDO feet 1 N ��NMMCUTH CMENUCN V Box B calculations: Shade point height for your residence. Box B: Determine whether measurements will be based on the peak or ease of your Which describes structure. The orientation of the ridge is also important. vour residence? 1a: If the roof line runs North-South, measurements will (circle one) be based on the peak of the roof. c c c 113 ric�) 1 b: If the roof line runs EastAl.est and the roof pitch is less than 5/12. measurements will be based on the ease. SHAN nINT E.a%E 1 c: If the roof line runs East-West and the roof pitch is 3*12 or steeper, measurements voll be based on the peak. 15 F J Box B. continued Brix B 2. (Measure change in elevation from front property line to finished floor elevation. If the lot slopes up from the front lot line to the foundation, the figure is positive. If the lot slopes down from the front lot line to the foundation, the figure is negative. �. Measure distance from finished floor elevation to the affected peak/eave. 4. If the roof line runs North-South, deduct three feet. If the roof line runs East-Nest, deduct nothing. 5. Subtract one foot for each foot 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 from the rear to the front, deduct nothing. "" C) ft Total figure for box B: ft Eaux C. Distance to the shade reduction line. Box C: 1 Measure the distance from the North property line to the foundation near the 40.5 ft affected peak/eave. &ieasure the distance frim the foundation to the affected peak or eave. _ ft 1 otal figure for box C: It t It is must useful to draw a eertical line to represent the appropriate figure found in box"A"and a horizontal line to represent the appropriate figure found in box "C".The intersection of the vertical and horizontal lines determines the value found in box "D" The value in box "D"should be compared to the value in box"3"; if the value in box "B"is less than or equal to the value found in box "D", then the building is in compliance with the solar balance code. If you have any questions, please contact us at 639-4171.x304 or at the Community Development Counter. MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet) Distance to North-south lot dimension tin feet) shade 100- 95 90 85 80 75 70 65 60 55 50 1 40 reduction line from northern lot line fin feed 70 0 40 40 41 42 43 44 u5 3 38 38 39 40 41 42 13 60 6 36 36 37 38 39 40 41 42 55 1 34 34 35 36 37 38 39 40 41 ;0 2 32 32 33 34 35 36 3- 38 39 40 15 0 30 30 31 32 33 34 33 36 37 38 39 10 8 28 28 29 30 31 32 33 34 35 36 37 38 35 26 24 26 27- 28 2� 30 31 32 33 34 35 36 r. '30 ��I �2.1 21 21 2 J. 25 27 28 29 30 31 32 33 3.3 25 , „ „ , , ,- , ,- , , _� __ __ _3 _4 _� _6 _ .8 .9 30 31 32 :0 0 20 20 21 22 23 24 25 26 27 28 29 30 15 3 18 18 19 20 21 12 23 24 25 26 27 28 10 6 16 16 17 18 19 20 21 22 23 24 25 26 5 1 1-t 1-1 15 16 17 18 19 20 21 22 23 24 Box D. Maxirnum allo�%ed shade point height: _ feet Solar Balance Point Standard Worksheet Address I r Box A calculations: North-South dimension for the lot. Box A: This dimension is determined by finding the midpoint of the North lot line and drawing an intersecting line perpendicular to that point. First, determine which property line is the North lot line. The North lot line is the line with the smallest angle from a line drawn east-west and intersecting the northern most point of the lot. s� 45°—► lOt UNEi LCT nUNI N j `,'orth-South [dimension for Lot: 'leasure the distance from the midpoint of the North lot line to the South lot line along the described line. feet t NORMC M CMENSICN I Box B calculations: Shade poitit height for your residence. Box B: 1. Determine whether measurements will be based on the peak or eave of your Which describes structure. The orientation of the ridge is also important. your residence? ,a: If the roof line runs North-South, measurements wi;l W`� (circle one) be based on the peak of the roof. c 1 b: If the roof line runs East-V,est and the roof pitch is less than 5/12, measurements will be based on the ease. f - .�„.t, 1 !MACE PCINT EA%@ I c: If the roof line runs East-West and the roof pitch is 3;"12 or steeper, measurements .,,ill be based on rhe peak. , � Box B. continued Box B: 2. Measure change in elevation from front property line to finished floor elevation. If the lot slopes up from the front lot line to the foundation, the figure is positive. If 0 the lot slopes down from the front lot line to the foundation, the figure is negative. _ ft 3. Measure distance from finished floor elevation to the affected peak/eave. + `>! ft 4. If the roof line runs North-South, deduct three feet. If the roof line runs East-West, It deduct nothing. 5. Subtract one foot for each foot 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 from the rear to the front, deduct nothing. _ ft 6. Total figure for box B: ft Box C. Distance to the shade reduction line. Box C: 1. Measure the distance from the North properly line to the foundation near the ft affected peak/eave. 2. i'vleasure the distance from the foundation to the affected peak or eave. /��--� ft 3. Total figure for box C: ` ft It is most useful to draw,,vertical line to represent the appropriate figure found in box"A"and a horizontal line to represent the appropriate figure found in box "C". The;ntersection of the vertical and horizontal lines determines the value found in box "D".The value in box "D'should be compared to the value in box"B'; if the value in bcx"B" is less than or equal to the value found in box"D", then the building is in compliance with the solar balance code. If you have any +uesdons, please contact us at 639-4171, x304 or at the Community De�elonment Counter. MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet) Distance to North-south lot dimension(in feet) shade 1)0- 95 90 85 80 75 70 65 60 55 50 45 40 reduction line from northern to lin fee-LI 70 43 40 40 41 42 43 44 65 3 3 38 38 39 40 41 42 43 —G0 36 36 37 38 39 40 31 42 55 31 31 34 35 36 37 38 39 40 41 ;0 ;2 32 32 33 34 35 26 37 38 39 40 45 30 30 31 32 33 34 33 36 37 33 39 40 2 3 23 28 29 30 31 32 33 34 35 36 37 38 35 25 26 2G 27 28 29 30 31 32 33 34 35 36 30 24 24 24 25 26 27 23 29 30 31 32 33 34 25 21 22 22 23 24 25 26 27 28 29 30 31 32 ,0 20 20 21 22 23 14 25 26 27 28 29 30 15 13 18 18 19 20 21 22 23 :4 25 26 27 28 10 1 16 16 17 13 19 20 21 22 23 24 23 26 5 1 1 14 14 15 16 17 18 19 20 21 22 23 24 Box D. Maximum allowed shade point height: _259 — sect �L v N 88.42'56" W 0.03' J p g i o.00 8 1 .00 C4 4 2. 12.00 8 vi g 13.00 2.00 T I ° 2 00 8 0 8 2.00 r- 0 0 375E� 20.00' vi ,F 1.6 g -J d V) 4.00' - - 29.00' ^ -�5.0' ,y ,•J o o ` tV i N 88'41"56" W 70, 0' S• W. AERIE DRIVE --AN EIGHT FOOT PUBLIC UTILITY EASEMENT SHALL EXIST "!ONG AL.I. LOT LINES ABUTTING PUBLIC STREETS. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL Foundation Water Line Ceiling lunib Post/Beam Mech. Shear/Sheath Framing -Meth. Plbg.Und/Flr/Slab Plbg. Top Out Insulation Post/Beam Struct, Mech. Rough-in Gyp. Bd. I �> San. Sewer Gas Line Appr/Sdwlk Reins. Other. Date: _- A.M. P.M. Entry: Address: fy�9'-� ��t.c�. L / 1✓ _ — Tenant: — — ._�`--- -- --- Ste:---- MST: BLIP: Con/Own: _ MEC: PLM: ELu: ----- THE FOLLOWINr,CORRECTIONS ARE REQUIRED: ELR: i Inspector: —��— -- _ Date:/ e" / APPROVED __DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 639-4171 rwe Requested: n MST: W Location: _ r� c c 1 -- i C t ,�1—�- .1 ' —L-��—• __ I3UP: Tenant. _ Suite: Bldg: MEC: -- Cutdra:tor: �ty'q Phone: _ SJ ,j' ,S 1 PLM: ` - Owner:_.. f'. ry:�/.lS c 1 Phoue: — ELC: — ELR: BU1LD'.t'-' B'i�"rG(con'ty_ r'r,"S�LUMB lY— MECHANICAL ELECTRICAL S� SITE '•'te Post/Beam Post/Bwm Post/Beam Cover/Service Sewer/Storm .0ting Roof UndFI/Slab Rough-In Ceiling Water Line Slab Framing Top Gut Gas Line Rough-In UG Sprinkler Fotmdt„ion Insulation Sewer Flood/Duct Reconnect Vault 13sm1 Damp Drywall Storni Furnace Temp Service MISC. Masonry Ceiling Rain Thain A/C UG Slab Shear/Sh,mth Fire Spklr/Alm Crawl/Found IhFieat Pump Low Volt Ll Approved Approved Approved Approved Approved Appr/S,:wlk Not Approved Not,Approved Not Approved Not Approved Not Approved 1 11 FINAL. ?Ii[NAI, FINAL, FINAL FINAL 0 Call for reinspection O Reinspection fee of S_ required before next inspection 0 Unable to inspect Inspector:T �,.� J __ Date _ ��' 7jO - 9 _ Page of CITY dF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES F-'E R M I T #. . . . . . . . r-ILM97-0467 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DA-FE ISSUED: 11./EO/97 PARCEL: dSI03CC-03700 ;SITE ADDRESS. . . : 13950 SW AERIE DR SUBDIVISION. . . . : EAGLE PIOINTE ZONING: R-4. 5 P,D BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :O1.2 JURISDICTION: TIG CLASS OF WORK. . :AL.T GARBAGE DISPOSALS. 0 MOBILE HOME SPACES. : 0 OF' USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW VIREVNTRS. . : I OCCUPANCY GRP'. . : R3 FL.00R DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . . 0 WfITER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . : 0 URINALS. . 0 GREASE TRAP'S. . . . . . . : 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . :* ' ' " — ' 0 TUFA/SHOWERS. . . : 0 SEWER LAVE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : V1 RVMAV-1-(5 : ITISballlng residential backflow pre-)ention device Owner-. FEES RENAISSANCE CUSTOM HOMES type amol.int by date reept 1672 SW WILLAMETTE FALLS DR P,RM,r $ 15. 00 JD 11/18/97 97-301030 WEST LINN PR 67068 F)F,C,r $ 0. 75 JD 11/ 18/97 97-3010,30 Phone #: (-.Ont t-act MOODY ENTERPRISE INC P0 PDX 98 r1TA('ADA OR 97023 r1tionp #- $ 15. 75 TOTAL Reg #. . : 000059 REQUIRED INSPIEC-1IONS This permit is issued subject to the regulations contained in the RFI/Backflow Plv,ev —-------------- Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection ......... applicable laws. All work will be dyne in arcordance with approved plans, This -ormit wi!! expire if work is not started .......... within 180 days of issuance, or if work is suspended for more than iA@ days. ATTENTION% Oregon law requires you to follow rules adopted ny the Oregon Utility Notificatinn Center Thosr rules are set forth in OAR 952-MI-Mi@ through OAR 992-M1-@080. You viiy obtain copies of these rules or direrk questions to OUNC by calling W- 3)246-1987. i is i-ted By Permittee Signati-tre : f A 1Wv/,C,(A ................A.................I................... ............ Call 639-4175 by 7:00 p. m. for, an inspection needed the next business day +++++•+++++++++++++++f-+4++++-I...........................4-+4.4........4++++++++.++++ 1 Recd B ter` CITY OF TIGARD Plumbing Application i y-- - 13125 SW HALL BLVD. Commercial and Residential Date Recd �� I Gate to P E. TIGARD, OR 97223 ` �� J nate to DST_ (503) 6:39-4171 � /� Permit# L Pr;nt or Type Retitled SWR# Incomplete or illegible applications will not be accepted called Name of Develo mert/Proj l Dn back Indlcab Work Performed by fixture. Job ��! �_ I FIXTURES (Individual) QTY PRICE AMT Address Street Address Suite Sink 9.00 S rQ Sir��/G C Lavatory 9.00 Bldg# Cit tate Zip Tub or 1 ub/Shower Comb. 9.00 f 7It z Na Shower Only 900 C r Nlater-loset 9.00 Owner Meal�-� iin�g A�d�dress Suite Dishwasher 9.00. s�,/lrT Garbage Disposal 9.00 ity Slate Z p Phone Washing Machine 900 I've `17G6,Y Name — Floor Drair; 7." 9.00 3" 9.00 Occupant Mailing Address Suite 4" 9 00 Gity/StateZip Phone Water Heater O conversion O like kind 4 00 Laundry Room Tray 9.00 Na a Llriral 9.00 1�c rG` _44ex (5 t'1. Svc r Other Fixtures(Specify) 9.00 Contractor �MaiIInAcIldress Suite —" 9.00 Pries to permit City/ ate , Zip Phone ssuance,a copy —f r ' 70 2) b)f 2Y/fir 9.00 J of all licenses are Oregon Const.Cont.Board Lic.# Exp.Dale _ 9.00 required if l 1 .? Sewer-1 st 100" 30.00 expired in COT Plumbing Lic.# EJtp.Date database Server-each additional 100' — 23,00 Name --- — Water Se,vice-1st 100' 30.D0 Architect Wafer Service-each additional 200' 2500 or Mailing Address SUde Storm&Rain Drain 1st 100' 3000 Storm&Rain Drain-eac,.additional 100' 25.00 Engineer CityyrSlate Zip Phone y Mobile Home Space i� — 25.00 Commercial Back Flow Prevent 1n Devrw ar Anti- 25.00 Describe work New (Y A� d/tion O Alteration O Repair O Pollution Device to be done P-midenlial gV Non-residential O Residential Backflow Prevention Device' 1500 Additional description of work: Any T"ap or Waste Not Connected to a F;%!,,e 9.00 Catch Basin 9.00 3/'/Jn, Insp.of Existing Plwrbrng 4000 _ _ penhr Existing use ro Specially Requested Inspections X0.00 budding or property _ e0r Rain Drain,single family dwelling 30.00 Proposed use of V . building or prororty Grease Traps 900 QUANTITY TOTAL I hereby acknowledge that 1 have read this applicallon,that the information Isometric or riser diagrams required if Ouanty Totals >9 given is correct,that I am the owner or authorized agent of the owner,and �Lthat plans submitter: *SUBTOTAL are in compliance with Oregon State Laws. _ �i Signature of Ow r1Agent Date - I `) "7/ 01 Con + /v/ 5%SURCHARGE Contact Person Name PLAN REVIEW 25%OF SUBTOTAL -- Phone /� Required only if fixture qly total s>9 _ f✓ lq/.��i ------t _�utT..`�r�1C� TOTAL C "Minimum permit fee is$25+5%surcharge,except Resraential Backflow Prevention Device.which Is S15* 5%surcharge :vvt napp doc 5617 RLASE COMPILET ^� Fixture Type Quantity by Work Performed New Moved Replaced Removed/Capped Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher _ Garbage Disposal Washing Machine _ Floor Drain 2" 3" 411 Water Heater Laundry Roorn_Tray Urinal _ Other Fixtures \"..,jecify) i COMMENTS REGARDING ABOVE: i asnomanc aa:5.9" CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE lU C/r 10 RENAISSANCE CUSTOM HOMES INC V� 1672 SW WILLAMETTE FALLS DR WEST LINN OR 9706,] Electrical Signature Form Permit. # . . . . : MST96-0249 Date Issued. : 06/05/96 Parcel . . . . . . : 2SJ.04DD-EP012 Site Address : 13950 SW AERIE DR Subdiiision. : EAGLE POINTE Block. . . . . . . : Lot : 012 coning. . . . . . . R-4 . 5 PD Remarks : PATH I 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 work. No electrical inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM �1r�Ek ELECTRICAL CONTRACTOR: RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES INC. 1.672 SW OILLAMETTE FALLS DR 1672 SW WILLAMETTE FALLS DF WEST LINN OR 67068 WEST LINN OR 97068 ilh ,ne # : 557-8000 Phcne # : Reg # . . : 97599 Signature of Supervising lectrician Piease return '.his completed form to the address above. ATTN: Building Dept. If you have any questions, please call 639-4171 , ext. X1310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 9723 IMPORTANT PERMIT NOTICE EAGLE PLUMBING 13801 S. FORSYTHE RD OREGON CITY OR 97045 Plumbing Signature Form Permit # . • . : MST96 -0249 Date Issued. : 06/05/96 Parcel . . . . . . : 2S104DD-EP012 Site Address : 13950 SW AERIE DR Subdivision. : EAGLE POINTE Block . . . . . . . : Lot : 012 Zoning. . . . . . : R-4 . 5 PD Remarks : PATH I Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to oe valid, please have the appropriate individual from your company sign below and return this Plumbinq Signature Fc .r prior to the start of work. No plumbing inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM )WNER_: PLUMBING CONTRACTOR : RENAISSANCE CUSTOM HOMES EAGLE PLUMBING 1672 SW WILLAMETTE FALLS DR 13801 S . FORSYTHE RD WEST LINN OR 67058 OREGON CITY OR 97045 r)hone # : 557-8000 Phone ft : FP_X/650-8720 Reg # . . : 47914 Signature of ALithorized Plumber Please return this ccmpleted forr to the address above. ATTN: Buildiny Dept. If you have any questions, please call 639 4171 , ext. #310