Case File i
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13951 �1 AWn trit
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.417;
CERTIFICATE OF
OCCUPANCY
PERMIT 0' ' " " . . . a MS'T )u -k'30
DATE ISSUF_De 02/13/97
PARCEL: w5104DD EP002'
,il'C ADDRESS. . . s 139 r;" SW Ak.klk. F)P
1.3UBD I V 15 I ON. . . . s EAGLE POINT Z ON I NC s R-4. 3
91._OCK. . . . . . . . . . LOT. . . . . . . . . . . . . 1002
tLAf ,. OF WORK. s NEW
'TYPE OF USE. . . s SF
TYPE OF CONGTR:3N
OCCUPANCY GRP. :R3
OCCUPANCY LOAD:2
PATH I
Owner e
RENAISSANCE CUSTOM HOMES
1672' SW WILLAMETTE FALLS DR
WEST LINN OR 97069
Phone #: 557•-19000
Contractors
RENAISSANCE CUSTOM HOMES INC
1677, SW WILLAMETTE FALLS DR
WEST LINN OR 97066
Phone Ms
Reg #. . 1 97599
this Cor'; ificmte grants occupancy of the above referenced building or portion
thereof anc confirms that the building has been inspected for compliance with
the State of Oregon Specialty Codes far the
, occupancy, ano use under•
which the rwfere:rced permit was issued.
E3Uii. IMC, INS GTOR AUOFFIC AL.
POST IN CONSPICUOUS PLACE
MASTER PERMIT
CITY OF TIGARD PERMIT #. . . . . . . . MST96-0330
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/08/96
13125 SW Hall Blvd.Tigard,Oregon 97223e81199 (503)639-4171
PARCEL-: L:._!310/tDD--EP001`
ADDPIEtaS. . . .* 1,!,957 `,iW PENIE DR
3UBI)IVISION. . . . EA(3L-E POINT ZONINC;: R-4. 5
. . . . . . . . . . l_0 I.. . . . . . . . . . . . . .0111,-
Remarks: PATH I
--------------------------------------------------------------- BUILDING -----------------—--------------------------------------------
REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: I sf REQUIRED SETBACKS---- REOUIRED-----------
L-ILP65 OF WORK.:NEW HEIGHT........: 31 FIRST....: 1287 sf GARAGE.....: 884 sf LEFT..........: 7 SMOKE DLTECTRS: y
TYPE OF UA...:5F FLOOR LOAD....; 40 SECOND...: 1167 sf FRONT.........: 20 PARKING SPACES: I
TYPE OF CONST.:5N DWELLING UNITS: I FINBWNT: @ sf RIGHT.........: 7
OCCUPANCY GRP,:R3 BDRM: 4 BATH: 3 1 OTAL---.--: 2454 sf VALUE.$- 173792 REAR,.........: 41
-------------------------------------------------------------- PLUMBING ---------------------------------------------------------------
SINIKS..... ..... 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: I RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 5 D19*ASHERS...: I FLOOR DRAINS..: 0 SEWER LIN_ ft: 0 SF RAIN DRAINS: I CATCH BASINS—, 0
TUB/SHOWERt,...: 3 GARBAGE DISP..: i WATER HEATERS.: I WATER LINE ft: 100 BCKFLW PREVNTP- I GREASE TRAPS- :
OTHER FIXToRIES: 0
-----------•--------------------------------------- MECHANICAL ---------------------------------- __--__-.---_----------
FUEL
--------
FUEL TYPES----------- FURN ( 181111K 0 BOIL/CMP ( 3HPI: 0 VENT FANS..... 4 CIOTHES DRYERS- I
/GAS/ FURN )=100K I UNIT HEATERS-; 0 HOODS.........: I OTHER UNITS...: I
MAX INP.: 0 BTU FLOOR FURNACES: @ VENTS.........: 0 WOODSIOVES.... @ GAS OUTLETS...: I
----------------------•-------------------------------- ELECTRICAL -----------------------------------------------------------
--5c5IDENT1Al UNIT
--------------------------------------------------------
UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADDIL INSPECTIONS--
IM
NSPECTIONS—IM SF OR LESS: i @ - 200 amp..: 0 0 - 2200 alp": @ W/SVC OR FDR...- 0 PUMP/IRRIGATION: 0 PER INSPEIFTION: 0
EA ADD'L SNSF.: 5 201 - 400 alp..: @ 201 - 400 amp..: @ 1st W/O SVC/FDR: 0 SIGN/OUT I-IN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 amp.. : 0 401 - bOO amp.,: 0 EA ADDL BR CIR: 16 SIGNAL/PANEL...: 0 IN PLl4NT-..,. 0
MANE HM/SVC/FDR: 0 601 - loft, alp.: 0 601+amps-1000 V: 0 MIN)R LABEL -10: @
I0004 84p/VOit.: @ ------------------------------------ PLAN REVIEW 5L111iiN ----------------------------------
Reconnec! only.: 0 )=4 RES UNITS.,: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
-----------—-------------------------------------- ELECTRICAL - RESTRICTED ENERGY --------------------------------------------------
A. 9F RESIDENTIAL-------------------------- B. COMMERCIAL----------------------------------------------------------------------------
AU1,10 I STEPEO, : VACUUM SYSTEM.. AUDIO & STEREO. : FIRE ALARM..... : INTERCOM/PAGING: OUTDOUP LNDSC LT:
BURGLAR ALARM..: 0TH: X BOILER.........: HVAC...........: LANDSLAPE/IRRIG, PROTECTIVE SIGNL:
GAME OPENER..: CLOCK........... INSTRUMENTATION: MEDICAL......... O1HP:
HVAC...........: NTA/TELE COMM.: NURSE CALLS....: TOTAL # SYSTEMS: 0
(4ner: -----------------------------------Contractor. ------------------------------- TMAL rFF5:$ 4646.91
RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES INC
1672 SW WILLAMETTE FALLS DR 1672 SW WILLAMETTE FALLS DR
WEST LINN OR 97068 WEST L;NN OR 9768
Phone III: 557-8000 Phone #:
Reg #..: 97599
This permit is issued sub)pct to the regulations conta:neo in the Tigard Municipal Lzrie, State of Ore. Specialty Codes and all other
applicable laws. Oil worn will be done in accordance with approved plans. This permit will eypire if work is not started within lbY
days of issuance, or if work is suspended for sore than tB@ days.
_...-------------------------------------------------------- - REGUIRED INSPECTIONS ------------------------------------------------------
Footing Insp PLM/Underfloor Freeing Insp Gas Fireplace Water Service In Building Final
Foundation Insp Mechantcal Insp Shear Wail Insp Insulat,on Insp Appr!Sdwlk Insp Erosion Contr...
Post/Beam Struct Plumb Top Out Low Voltage Gyp Board Insp Electrical Final
r'ost/Aean Mechan Electrical S@rVi Fireplace Insp Rain drain Insp Mechanical sinal
Crawl Drain Electrical Rough Gas Line Insp Witter Line Insp Plumb Final
Pei-m i ttee S i qri at 1.11 e 4 AA
all for inspection — 639-4175
/ |
SEWER CONNECTION
PERMIT
CITY OF TIGARD PERMIT # : L71 . SWR96-03L/
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSL�;' *7;08/')E,
13125 SW Hall Blvd,Tigard,Oregon 9722341199 (503)639-4171 PARCEL: 2Sj.04DD—EP002
iJWneV,: FEES
RENAISSANCE CUSTOM HOMES type alriol-tnt by date iecpt
167E, SW WILLAMETTE FALLS DR PIRMI $ JMH 07/06/96 96-2612l"
WEST LINN OR 97068 *40
Phone #: 557-8000
�a''v-ar'ot '
CONTRACTUR NOT ON FILE
--------------------------------------
I.Dhone $#: $ 2235. 0N TOTAL
Reg #. . :
------- REQUIRED INSPECTIONS
This Applicant Applicao agrees to comply with all the rules and regulations Sewer inspection _
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
peroit expires, The Agency does not guarantee the mzm^xcy of the
side sewer laterals. If the ,ewer is not located at the womooromont
U/von, the installer shall orvoport 3 feet in all directions from
the distance given. If not m located, the installer shall purchase
o "Tap and Side Sewer" Permit and the Agency will install a lateral.
�4 -------------
permi ttee |:izgnatur
Issued By - -_' C.1�= _--'—_— '..... --------- -------'--
Call for inspection — 639-4175
(
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
Subdivision: F c.c Ic ►��• �I Lot #_ �� Office Use Onix
Valuation: f J% Z Contact Date C-7 / R/ `Initials l��
1% T— Result c, c Z i !%
New Construction Only: (Square Footage) Planck/Rec # r/ %`hk'
House: Garage: orl� Permit#.—"•i sr G
Reissue of
Map & TL # .' S,i lc409 - lo
Comer Lot? Y Flag Lot? Y i N Zone
Owner:
Plat#
I-�eE'1ctiSSavlc� CttS�c�-►� *rr�t_S
Approvals Required
Address: I lei z 5•W • VU, I IumG Falls (]r
Wes+
Planning Setbacks (-,_____ solar
C
���t� , CR . ct3C��
Engineering -
_
( a C 3 ) SS} - OOo _ Other c" 31 1(�f�-r "'P k t r ' TT1tC.
Phone. -
Items Re ug ired
Contractor. Kenc>`�SSctylCe L«sF-zm �-�,�►}1 c.S
Address: Dr• Subcontractors
Trus Details _
dP , C1Other__FLu rpE�yty"E, t_y/
Sol S - �aoo Notes r cL
Phone: L ) I'm PLAt.3 C�EfS�ft�
Sll T Ft�'ti' Ki 01(i l old (�
Contractors License # 0q 3 �y 17-tcl _ c;Fly
(attach copy of current Oregon license)
Contact Name: �'��r'n c
Contact Phone: ( t5-C,3) 5 `a 7 - SCO O
FAIk 0250- I(OW Architect./Engineer: ��ciSCc�CI Dt'5�c .) A-,scc, 1W
Subcontractors: gineer: ,
Plumbing: EaLl Ic. P[Lc•mhi? Address: I ?,C 5 Ave
Mechanical: i�_� Couii� I�vrto.C�»moo ) fcti� la�tcl , CP- �c17;-C9
{
(attach copy of current OR Contractors License)
Phone: I SC 3 ) Z Z - 9 Lr I —
JOB DESCRIPTION: ykl e F-C Re 5 ct e ,c e� rt �� �L I P�'fL�
,C,C.c"
Appticant. ,gnature Applicant Pnene number
C�4e�Received by: J� �� Date Received: (,L'^
Permit Account Descripdon Amount Amt.Pd. Bal. Du*
�ff S C' Bldg. Perms:
Plumb. Permit (PLUMB)
Mech. Permit (MEC H)
-_ t,
r,
Bldg: Jc
Plumb: ._
Mach: , 2
Plan Check S �(PLANCK) 70 5 U I T�►
Bldg:
Plumb:
M--ch:
.S"u" t u- 4111 Sewer Connection (SWUSA) � "ZZ t1
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) ��.�C► V S u
Residential TIF (TIF-R) O �
Mass Transit TIF (F1F-,Vm / Z
Cammercial T1F (7F-.:)
Industrial TIF (TIF-+)
Institutional TIF (TIF•IS) ----
Office TIF (T
Water Quality CNCUAL) 1 --
Nater ::uandty ('NCUAN7 1G_G' c1 J
Fio- Life Safety (FLS) —
=_:osion Cnt,! Pen-nit (EFUIP TT)
-csicn ?!ar,cklUSA (tR.Q1.-AN) —,2L,
—•
.csicn P!anck=7 IEP:SN)
X16 71007t-50u
TCTALS: �--
bE�s . �"
SEE 3r- Mm
ROL. L# 22
FOR
LA*RGE-
DOCUMENT
CITY OF TIGARD
PLUMBING PERMIT
DEVELOPMENT SERVICES
Ai� 6
92:21M 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : PLM97—OOIRDATE ISSUEDs 01 /27/97
PARCEL: 2S104DD—EP-'00'C-:**
'JTE ADDRESS. . . -. 13957 SW AERIE DR
kl)UBD I V I S I ON. . . . EAGLE PO I NT ZONING: R-4. 5
Ifl-OCK. . . . . . . . . . LOT. . . . . . . . . . . . . :001-.'
,I...ASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . .- I
9CCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . 0
.)TOPIES
1--' CATCH BASINS. . . . . . . 0. . . . . . . . : 0 WATER HEATERS. . . . . :: Q71
F I X TURES--- LAUNDRY TRAYS. . . . . : 12� SF PAIN DRAINS. . . . . : 0
SINKS. . . . . . . . 1 0 URINALS. 0 GREASE TRAPS. . . . . . . . 0
I-AVATORIES. . . . . : 0 OTHER 0
TUB/SHOWERS. . . . : 0 SEWER LINE (ft) . . . 1 0
WATER CLOSETS. . : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . : 0
Remarks : Installi.Tiq residential backflow prevention dVVICe
Owner: -------------------------------------------------- FEES --_____
RENAISSANCE CUSTOM HOMES type amount by date rec--pt
1672 SW WILLAMETTE FALLS DR PRMT $ 15. 00 B 01/24/97 97-289424
9PCT $ 0. 75 B 01/24/97 97-289424
WEST LINN OR 97068
Phone #: 5.97-8000
MOODY ENTERPRISE INC
rin Box 98
[:.STACADA OR 97023
1--Ifione #: 15. 75 TOTAL
Reg #. . : 5973 ------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the RP/Backflow 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 188 days of issuance, or if work is suspended for more
than 180 days.
Permittee S1 n a.t t t,e On!
it
Icisi.ted By !.
Call for inspection 639-4175
City Of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit # I
IL
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
N.m. New Single Family Residences Only
1.41 4co
1 ❑ 1 BATH HOUSE$140.00 Cl 2 BATH HOUSE $19r.u0
.lob C S e t �p7 '� ❑ 3 BATH HOUSE$225.00
. Fee includes all plumbing fixtures in the dwelling and the first 100 feet
Address c�/st.l
f! 7 2 2� of water service, sanitary sewer and storm sewer. See fees below.
N.ma(or n.m. ft
.1 Brom„.) FIXTURES CITY PRICE AMT
r1
l�. C' ! C^,✓ C V�'�d ����0 Sink 9.00
M.Bn°A°M... R10n• Lavatory 9.00
Owner 6 / W ( �1 i n , Tub or Tub/Shower Comb S.00
zip Shower Only 9.00
�/�����
70 (T Water Closet 9.00-
Na-,a n.m.o,;.,,„„„ Dishwasher 9.00
Garbage Disposal 9.00
Occupant M.Yn°Aft... �^«• Washing Machine 9.00
Floor Drain 900
C,IY,g,.1. no Water Heater 9.00
Laundry Room Tray 9.00
No- Urinal 9.00
O Q�� �, f/ -� Other Fixtures (Specify) 9.00
AM„
Contractor 7r P°On•
9.00
ctom. - z)P 9.00
rs�Q� �Q Grl2
7
rU-1-3 Sewer 15t 100' 30.00
Suit A,ai°•W„ cIr aT.,Nn Sewer-ea. Addit. 100' 25.00
,.
I l 7 r Water Service 1st 100' 30.00
1 hereby acknowledge tha I hav:s read this application, that the Warr Service ea. Addit. 200' - 25.00
information given is corre6, Gnat I am the owner or authorized agent of Storm 8 Rain Drain 1st 100' 30.00
the owner, that pians submitted are in compliance with State laws, that _ -
I am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State registration, please Mobile Home Space 25.00
give reason below.)
Back Flow Prevention
r
Device or Anti-Pollution Device 900
.1. An Trap or Waste Not
'�.Iwe i.wnx a q.nq y p
SConnected to a Fixture 9.00
Catch Basin 9.00
Describe work new Q ad tion Q alteration v repair (J - -
to be done residential non-residential 0 Insp. of Exist. Plumbing 40.00/hr
Specially Requested Inspections 40.00/hr
Existing use of Rain Drain, Single family dwelling 30.00
building or property - _--
Residential backflow prevention
devices 1500
Proposed use of _ _ -
building or property - - - -•--• *(Except residential backflow
prevention devices) -
NOTICE 'Minimum Fee $25.00 SUBTOTAL (�
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5%SURCHARGE 11�
AUTHORISED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK',S PLAN REVIEW 25%OF SUBTOTAL
COMMENCED _ --
A
TOTAL I
Special Conditions --
Date issued --- �_-- by
CITY OF TIGP-,RD
13125 S.W. HA'.L BLVD.
rIGARD, OR 9723
IMPCl41',O NT PERMIT NOTICE
GAGE ENTERPRISES INC
.PO BOX 1429
CLACKAMAS OR 97015
Electrical Signature Form
Permit # • . . . : MST96-0330
Date Issued . : 07/08/96
Parcel . . . . . . : 2S104DD-EP002
Site Address : 13957 SW AERIE DR
Subdivision . : EAGLE POINT
Block. . . . . . . : [,c_ t : 002
Zoning . . . . . . . R-4 . 5
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 Flectrica;
Signature Form prior to the start of work. No electrical inspections will be authorized uotil
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
ELECTRICAL CONTRACTOR :
RENAISSANCE CUFT'OM HOMES GAGE ENTERPRISES INC
1672 SW WILLAMETTE FALLS DR PO BOX 1429
WEST LINN OR 97068 CLACKAMAS OR 9703.5
Phone 4 : 557-8000 Phone # : FAX-
Reg # • • : 34544
1 1
Xl
Signature o�uper1vis�n ctricin
Please return this completed form to the address above.
ATTN. Building Dept.
If you have any questions, please call 639-4171 , ext. #310
CITY OF TIGARD
13125 S.W. HALL BLVO.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
EAGLE PLUMBING
13801 S. FORSYTHE RD
OREGON CITY OR 97045
Plumbing Signature Form
Permit # . . . : MST96-0330
Date Issued. : 07/08/96
Parcel . . . . . . : 2S104DD-EP002
Site Address : 13957 SW AERIE DR
Subdivision. : EAGLE POINT
Block— . . . . : L,r)t : 002
Zoning. . . . . . : R.-4 . 5
Remarks :
PATH I
Your company has been indicated as the plumbing contractor for the permit indicated above. In order
for the plumbing permit to be valid, please have the appropriate individual from your company sign
below and return this Plumbing Signature Form prior to the start: of work. No plumbing inspections
will be authorized until this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNFP : PLUMBING CONTRACTOR:
RENAISSANCE CUSTOM HOMES EAGLE PLUMBING
1672 SW WILLAMETTE FALLS DR 13801 S. FORSYTHE RD
WEST LINN OR 97068 OREGON CIT OR 97045
fi_ rF>
4 : 557-8000 Phone # : FAC./650-8720
Reg # • . : 47914
X - ---- --
Signature of Authorized Plumber
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, ,Tease call 639-417 1 , ext. #310