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E.L 29�
CITY OF TIGARD
Et i 85 WASHINGTON COUNTY, OREGON -
---A, ' EIGHT FOOT POCTOBER 21 , 1997 Centerline Concepts Inc .
l;t�!..I;; UTILITY EASEMENT DRAWN BY: MSG CHECKED 8Y; WGDIII
SHALL EXIST ALONG ALL STREET FRONTAGE. Co,ncreft �i�"� SCALE 1 "_ '
CL Z�' On Co•tip�%tt� hoc% 20 ACCOUNT 115 640 82nd Drive Gladstone, Oregon 97027
M. \MLI\L2EVERGS 503 650-0188 fax 503 650--0189
NOTICE: IF THE PRINT OR TYPE ON ANY f1.1lli 1111111 1111111 1111111 1111111 ililrlT rlT�rli � l-rlFr�� iIr � � � III i Ili III alt � lI Ili Ili til � l � lili til Il-I r� 1r �_ IIi. .T _L Iii _I � �� � �1J1 � I rCl il � ilii , I i t Iii i i
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IT IS DUE TO THE QUALITY OF THE _ _ No.ss �� ;; •�'
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11591 SW COLE LANE
PLUMBING PERMIT
CITY OF T I GA PERMIT M PLM1999-00298
DATE ISSUED: 09124/1999
DEVELOPMENT SERVICES
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110BA-07700
SITE ADDRESS: 11591 SW COLE LN ZONING: R-4.5
SUBDIVISION: EVERGREEN SPRINGS JURISDICTION: TIG
BLOCK: LOT: 002
^�— GARBAGE DISPOSALS: MOBILE HOME SPACES:
CLASS OF WORK: ALT WASHING MACH: BACKFLOW PREVNTRS: 1
TYPE OF USE: SF FLOOR DRAINS: TRAPS:
OCCUPANCY GRP. R3 WATER HEATERS: CATCH BASINS:
STORIES: SF RAIN DRAINS:
FIXTURES LAUNDRY TRAYS: GREASE TRAPS:
SINKS: URINALS:
LAVATORIES: OTHER FIXTURES:
TUBISHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Residential backflow prevention device. FEES
Owner: — Type By Date Amount Receipt
RENAISSANCE CUSTOM HOMES PRMT KJP 09/24/199 $25.00 99-318588
1672 SW WILLAMETTE FALLS DR 5PCT KJP 09/24/199 $1.75 9J-318588
WEST LINN, CR 97068 Total $?.6.75
Phone 1: 557-8000
Contractor: --
MOODY ENTERPRISE INC
PO BOX 98
ESTACADA, OR 97023 REQUIRED INSPECTIONS
RP/Backflow Preventer
Phone 1: 631-2918 Final Inspection
Reg #: LIQ: 00005973
PLM 11717
ORIGINAL
T itis permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
YOU may obtain copies of these rules or direct questions to OUNC by calving (503) 246-1987.
Issued By: j� ,yr.Q� Permittee Signatu,e:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
TY OF TIGARD Plumbing Application Rada By C-,
A25 SW HALL BLVD. Commercial and Residential
�_�ARD, UR 97223 onto Rads � L
03) 639-4171 Date to P E.
Due to OST
Print or Type Permit aA`�T ,L'eZ9g
Related
Incomplete or illegible applications will not be accepted canes svuR a
Name of DevslopmenUProFU(�URE$,nndlvidwl) S+ 1X'31'�
Job Ci.r c, l ee'f S ),.1 • Sink �lC
Address Street dre - Lavatory 0.00
/ 5- - ` ,Cc'�� �A.1 Suite Tub or TublShowar Comb. 9.00
Bldg a ry/Stale "17c'-113
ip Shower only 9.00
N IL'/` Water Closet 9.00
A a n.c1 j-� c cG YOA MdM e7' Dishwasher, 9.
Owner 6 Sus Garbap0 Dlapoul 9.00
/ e waahYq Machine 9.00
I t. q'7
v�P //i7 Phone 2.
-:�4(!V Flow Drain 900
3-
9.00
Occupant mailing Address 4- 9.00
Surto Water Healer
Law$"Room Tray 9.00
��aro �P Phone
Urinal 9.00
Ogler Fiahres(Spedfyl 9.00
C� hN/r'it �'. i 9.00
Contractor Maft suite 9.00
(Pry to luwnco �• 9.00
applicant must CLI
Phone 9.00
-SlQcLle�q O 02 6� -2 el/8
probe all Oregon Const Cont.Board Uca 9.
contradon Oats
license
Xv Op 9.00
rrtormadon ° Ur-hl Exp. ros9.00
.w.r-1st 100-
for COT COT Business Tax orMetro a Sower--each additional too' 30.00
database). Oat Water Senfce- 23.00
,�� to too•
Nairne Waror Servim-each additional 200' 30.0o
Architect
Storm e1 Ran Oran.1u 100' 25.00
or Marang Address suds Stam&Rain Oran-each addMlonal tar 30.00
23.00
Engineer CityrSate Zip Phone Mobs florrn spaex 23.00
PaQrt Bade Flow Prevention Device a Ano. 25.00
escnbe wore Naw pevNaa
O Alteration O Repair O Residential
3 be done: Re
1:111101 Non-residentlal O B&t* 11:111111
de PreventlOn
rddrbonal � •
100
scnptlon of sunk Any Trap orWute Not Connected to a F'urgre 3.5.0
Catch Basin
l Insp.of Exisbrhq Pltuntlinq 9.00
SA2f l e� c C ow 40.00
113(rng use of per/hr
,'ding oLprope"y
Specialty Requested Inspections 40.00
Rain Drain.single fan dweUYhg Perfir
Dose': 30 00
-ding aGrease Traps9.00
1.you cing a replacing any M1xturas7 Yes OUANTM TOTAL
yes sam) O No O Itwnerie a rhtar dlagrsrn r raguied f �TooU r >9 w*• + A., L• -�:.
^'by aderhowledge that I have read thio application,that the informatwn 'SUBTOTAL
'n,s coned that I am the owner or authorized - - t
_•ism submitted are m comoliance wrth O agent of the owner.and SX SURCHARGE
A of A ant mon State Laws.
9 Qat / PLAN REVIEW 2SX OF SUBTOTAL
�l ' •7�)/9� Rerx+rr.0 nisi f f!*tve fe.�l b>9
-rrfa-�HarThe --_ hone _--_
pTOTAL
r 'Minimum
permit he a s:s•sx sunharye.except Residential Backflow
Prevention Device,which is a 13-5%surcharge
L\plmapp.doc 12/96 (dst)
CERTIFICATE OF OCCUPANCY
CITY OF T I G A R D
PERMIT#: MST99-00097
DEVELOPMENT SERVICES DATE ISSUED: 04/12/1999
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110BA-07700
ZONING: R-4.5
JURISDICTION: TIG
SITE ADDRESS: 11591 SW COLE LN FILE
SUBDIVISION: EVERGREEN SPRINGS
BLOCK: LOT:002
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: New SF - Path 1
Final Building Inspection and Certificate of Occupancy Approved
10/18/99 by George Steele, Building Inspector
Owner:
RENAISSANCE CU3TOME HOMES
1672 SW WILLAMETTE FALLS Dr
WEST LINK, OR 97068
Phone: 557-8000
Contractor:
RENAISSANCE CUSTOM HOMES
1672 WILLAMETTE FALLS DR
WEST LINN, OR 97068
Phone:
Reg #:
This Certificate grants occupancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the State of Oregon
Specialty Codes for the group, occupancy, and use under which the referenced permit was
issued.
BUILDING 1 PECTOR BUl—LbAG OFFICIAL
POST IN CONSPICUOUS PLACE
1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST —,Z!?` Pc-5 ,n, 7
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested AM PM BLD _
Location , ' i e , Suite (�- MEC
Contact Person Ph _ PLM /!�}- 0-05 7-99
Contractor Ph SWR
_ Tenant/Owner _ ELC _
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain Sri:
Ciawl Drain Inspection Notes: —
Slab ___ — SIT
Post& Beam -
Ext Sneath/Shear
Int Sheath/Shear —
Framing
Insulation
Drywall Nailing ---- _
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
F i Qno 11
IP QQ PART FAIL — -- — —_--
PLUMBI
Po-sTYffeam — — — — — ---_ --
Under Slab
Top Out --.----- j — ---
Water Service
Sanitary Sewer ---�-- Z��T— `---"
Rai Drains
-12AT FAIL
9MRANISE
� —
Pos earn — --- — —
Rough In
Gas Line --- ---- --
Smo�ke Dampers
P S
PART FAIL —
Service
Rough In ____-- -----.-- __ _• _
(J(-,/Slab
Low Voltage ------ —�—�.---
Fire Alarm
�F
c ��,$S) PART FAIL ---�--- --------- ---SITE
Backfill/Grading —-- — --
Sanitary Sewer
Storm Drain [ ] Reinspection fee of$ _— —requires heforc next inspection Pay at City all, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line t ]Please call for reinspection RE' , — — — [ J Unable to inspect-no access
ADA
Approach/Sidewalk Date �a%� Ins ector Ext
Other _ __�_:.1�LP ---- -----
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD MASTER PERMIT
PERMIT M MST99-00097
DEVELOPMENT SERVICES DATE ISSUED: 4/12/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 11591 SW COLE LN PARCEL: 2S110BA-07700
SUBDIVISION: EVERGREEN SPRINGS ZONING: R-4.5
BLOCK: LOT: 002 JURISDICTION: TIG
REMARKS: New SF - Path 1
BUILDING
REISSUE. STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK. Nf W HEIGHT: 26 FIRST: 026 of BASEMENT: 0 00 of LEFT: 9 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,368 of GARAGE: 512 of FRONT: 20 PARKING SPACES 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINRSMENT: 0 of RIGHT: 1n
OCCUPANCY GRP. R7 BDRM: 3 BATH: 3 TOTAL: 2.394 00 of VALUE: $177,22300 REAR: 4S
PLUMBING
SINKS I WATER CLOSETS, 3 WASHING MACH: I LAUNDRY TRAYS: I RAIN DRAIN: 100 TRAPS:
LAVATORIES 4 DISHWASHERS: I FLOOR DRAINS: 0 SEWER LINES: 100 SF RAIN DRAINS: I CATCH BASINS 0
TUIVSHOWERS. 7 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS: 0
MECHANICAL OTHER FIXTURES: n
FUEL TYPES FURN<100K: 0 BOIL/CMP<3HP: 0 VENT FANS: 4 CLOTHES DRYER: I
FURN>000K: I UNIT HEATERS! 0 HOODS: I
OTHER UNITS: I
MAX INP: Obtu FLOUR FURNANCES 0 VENTS: 0 WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS - BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: ' n - 200 amp: 0 0 - 200 amp n WISVC OR FDR: I PUMPIIRRIGATION: 0 PER INSPECTION: n
EA ADD'L 500SF a 201 - 400 amp: 0 201 - 400 amp. n 101 W'0 SVCIFDR: 00 SIGNIOUT LIN LT: n PER HOUR: n
LIMITED ENERGY: 401 - 600 amp: 0 401 - 600 amp. 0 EA ADDL SR CIR: 0 SIGNAL/PANEL 0 IN PLANT: U
601 1000 amp: 0 601.arnpo•1000V 0 MINOR LABEL: t
1000-amp/volt: 0
Reconnect only: U PLAN REVIEW SECTION
_4 RES UNITS SVC/FDR-225 A,: +600 V NOMINAL.: CLS AREAISPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B.COMMERCIAL
AUDIO&S1 EREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOMIPAGING: OUTDOOR L..DSC LT.
BURGLAR ALARM: OTH. BOILER: HVAC: LANDSCAPE7IRRIG: PROTECTIVE SIGNL
GARAGE OPENER CLOCK. INSTRUMENTATION: MEDICAL: OTHR:
HVAC DATAlTELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS. 0
Owner: Contractor: TOTAL FEES: $ 4,984.70
RENAISSAN�,E CUSTOMS HOMES RENAISSANCE CUSTOM HOMES This dermit is subject to the regulations contained in the
1672 SW WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR Tigard Murici Lal Code. State of OR Specia,ty Codes and
WEST LINN,OR 97068 all other applicable laws All work will be done In
accordance with approved plans This permit will expire if
WEST LINN.OR 97068 work is not started within 180 days of issuance,or if the
work is suspended for more than 180 days ATTENTION
rr'��p[I Oregon law requires you to follow rules adopted by the
Phone: 5S7�Ri.nn Phone �5�7"D
Oregon Utility Notification Center Those Hiles are set
Q forth in OAR 91-2-001-0010 through 952-001-0080 You
Rog M Y I Q`� may obtain copies of these rules or direct questions to
OUNC by calling(503)246-1987
REQUIRED INSPECTIONS
Erosion 844-8444 Crawl Drain/Backv Electrical Rough Ir Insulation Insp Mechanical Final
Footing Insp PLM/Underfloor Framing Insp Rain drain Insp Plumb Final
Foundation Insp Mechanical Insp Shear Wall Insp Water Service Insi Building Final
Post/Beam StrUCtL Plumb Top Out Low Voltage Appr/Sdwlk Insp
Post/Beard ectla Electrical -'ervice Gas Line Insp Electrical Final
CRt_� 439 14175 �� 7,0o N, o �,� �1L�1 .v�,<f �x�e n�sv e .
CITY-OF TIGARD Residential Building Permit Application Plan Cn V,
13125 SW HALL BLVD. Additions or Alterations RecdrJ
B
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date Recd f /
V 503-639-4171 Date to P.E.
Date to ZT$_
!F 503-684-7297 Permit# 00TI r�uJPrint or type �� Called.t �� ,.
Incomplete or illegible applications will not b0accepted
Name of Project Name —
SWIP�e
Job I ' , ,qryj = Z Architect Mailing
Address Site A dress T� 7�
------- �� st✓ c l� LN, 7/6ss�%. Leo lam/
Name — City/State ip Phone
Xe.a�'lluvr�F C�.sfarr / "�P -- T e O g7zz3 �Z'/— HISS
Owner Mailing Address N me
1677 it./ F./j
City/State Zip Phone �
---�—� d' Engineer Mailing Address
—
6" A 970ifJ Sf7-esoe+
General Name City/State Zip Phone
Contractor -� Describe work New Addition O Alteration O Repair O
Mailing Address -- to be done
Prior to permit Additional Description of 1_'Vork: ;- —
issuance,a copy City/State Zip Phone F r ,r
of all licenses
are required if Oregon Const. Cent. Board Exp Date PROJECT
expired in COT Lic# VALUATION
___database �(�y9�S V 16 9 _
Mechanical Name -- NEW
_ CONSTRUCTION ONLY. :
Sq Ft. House SqFtara eSUb �
.
Contractor Mailing Address __
Prior to permit /3G S_/ -$e Indicate the restricted energy installation by the electrical
issuance,a copy City/Sta"e Zip Phone subcontractor in the following areas
of all licenses C1K.k Al t7� 970/5- t fV- Yll Restricted Audio/Stereo
are required if Oregon Const. Cont. Board Exp Date Energy System Alarms
expired in COT Lic# Installations Vacuum Irrigatinn
database (V 7 Z L 73 3�tq l 99
- System _ S stem
Plumbing Name (check all that Other.
SUb- rT4v9' f f IJAM4i4 apply)
Contractor Mailing Address I Corner Lot YES �10� Flag Lot_ YES NO
773E f6✓ /1/,," kis (check one) _ (check one)
Prior to permit Phone
Has the Subdivision Plat recorded? N/A yE$, NO
CitylState Zip
issuance,a copy ,,, ni r 770,09 S7 y- S1/2 ---
of all licenses are Oregon Const Cont Board Exp Date
required if Lic# _
expired in COT 79W- 7I lo/ '79 I hearby acknowledge that I have read this application,that the
database Plumbing Lic # Exp Date information given is Correc!,that I am the owner or authorized agent
of the owner, and that plans submitted are in compliance with
—
Oregon State laws.
Name SZnature of Owner! nt Date
Electrical — a ,� ,< « _21/_ /9
Sub- Mailing ddress Ci �Person N�a Phone#
Contractor I;,, /y7� _— -� ��s f / -� �i�s _ SS 7- SDJ
CitylState Zip Phone
Prior to permit
issuance,a copy /p�gpraS, O►Q �70/S- 657-O/47 FOR OFFICE USE ONLY:
of all licenses are Oregon Const Cont Board Exp Date
required if Lic# Plat# Map/TL#:
expired in COT 013 5- 9 y/� 1 I 1'`t+�fU � E f' .
database Electrical Lic # Exp Pate Setbac F Zone: rr Solar:,
Electrical Supervisor Lic # Exp Date Engl err Apr I' P( lning Approval TIF:
1_�� 1 \A
i\dsts\forms\sfaddalt doc 11/20198
SEE 3 .- MM
ROLL# 22
FOR
LARGE
DOCUMENT
CITYOF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR99-00052
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/12/99
SITE ADDRESS; 11591 SW COLE LN
PARCEL: 2S11013A-07700
SUBDIVISION: EVERGREEN SPRINGS ZONING: R-4.5
BLOCK: LOT: 002 JURISDICTION: TIG
TENANT NAME: RENAISSANCE CUSTOM HOMES
USA NO: FIXTURE UNITS: 0
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE: 0
Remarks: New SF - Path 1
Owner: FEES
kjJPrl SS,� NC C�a�rro M I�C 1�rt `� Type By Date Amount Receipt
(C'f'a-`a u: •� L-L�►I4 r F, F4!.1.b PRMT DRA 4/12/99 $2,300.00 99-314410
b2 t7o(�g INSP DRA 4/12/99 $35.00 99-314410 -
Phone: Total $2,335.00
r8cCxS
Contractor:
Phone:
Reg #:
Required Inspections
Sewer Inspection
—J
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires
180 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 given If not so located, the installer shall purchase a"Tap and
Side Sewer" Permit and the Agency will install a lateral ATT ENTION Oregon law requires you to follow rules adopted
by thejdregun Utuity Notification Center Those rules are set forth in OAR 952-001 0010 through OAR 952-001-0080
You ay obtain copies of these rulesordirect questions to OUNC by calling (503) 246-1987.
Iss ed by:
Ck�1M- 1� Permittee Signature: ✓ <---
-- Call (503) 634-4175 by 7:06 PAI. for arr, inspection needed the next bUT;ness day