Case File A^DRFS S:
i:Vecords\microflm\targets\huildinc 0)c
CITY OF TIGARD
CERTIFICATE OFCOMMUNITY DEVELOPMENT D[:i-1ARTMENT
OCCUPFINCY
13125 SW Hall Blvd.Tigard,Orogon 97223*8192 (603)839-4171
TSF►iMI?' t!. . . . . . . a MST93-0355
639•-4171 DATE ISSUE;De 1'13/81/9;3
E=,ARCE:L e 1 S 134AC- 4500
sim ADDRESS. . . s 10964 SW BLACK DIAMOND WY
SUHDLVISION. . . . a HART' S LANDING ZONINGi R--4. b PD
SL.00K. . . . . . . . . . d LOT. . . . . . . . . . . . . 1016
CLASS OF WORK. a Nh W
TYPE: OF USE. . . a SV
OCCUPANCY GRA'. a R3
OCCUPANCY LOADa226 4
VENAN'T 1\31ME'. . . i
Relaarks a PATH I
Owner t
RS.NAIS8ANCE DEVELOPMEN)' CORP.
16'72 SW WILLAMETTE FALLS DR
WEST LINN OR 97068
ptione #t 557--8000
til NAISSANCE OEVE:LOPMEN'T
1672 SW WILLAMETTE FALi_f; OR
WEST LINN OR 97068
Phon* Or !3".5'7 11000
9eli #. . o 4'je:)55
Occupancy of the Above referenced bui ld?ng is hereby given, and r_,er•t i f les
the compliance with the State Of Oregon !apocialty Cod*% far the group,
occupancy, Arid use under which the referenced permit was issued.
JllAIN
FIRE DEPARTMENT , U. L.DIt�- INSPECTOR
8 ILCIIN uFFAL
PTIST IN CONSPICUOUS PLACE
IN6P6l^_ON NOTICE
ci.:y of Tigard Building D**%rtaant / �
12125 611 Ball Blvd. Tigard, Oregon 9722Y
Inspection Line (Rec-O-Phons)t 639-4175 Business Phon6t639-4171
Inspec`1ont-___—___— _ _---_.-----
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL
Post/Beam Struct. Sen. Sewer Framing
Poet/Beam Mach. Rain Drain Insulation �C Plwotsf—
Plbg. Underfloor Water Line Gyp. Bd.
Date Requestedt_ I4�z/I -- -Timet __,J� AM __- - _PM
Address: LL
/ -r-
Builder.—ZC- e� ,5q//i/���
"RE FOLLOWING 00"ABCION". ARE REQUIRZDt
�r
Inspecctnrt 41
-...._ PRbVEO — DIBAPPROVRD _._ APPROVED SUBJRCf TO ABOVE
_Cell °or ]leinnp.
IN8P8CTIOr NOTSCB
City of Tigard Building Departmnat
13125 871 (tall Blvd. Tigewd, Oregon 97223
Inapec-tion Line (Roc-f?-Phone): 639-4175 Rusineas Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mach. Rough-in Appy/adwl
Pound. Plbg. Top Out Cas Line FINAL$
Post/Beam Strutt. San. Sewer Framing -5149.
Post/Beam !tech Rain Drain Insulation -Plumb,
Plbg. Underfloor Nater Lite Gyp. Rd. Misch, 11 A�y
Date Rs�lruestfsal r -� ___---Timet
Permit #13 G✓JSS
guilders� •1'JL-�. •ti` IV - --
THE FOL"MING 00RRECTION8 A:tt REQUIRED:
N �C�, TO
APnrLoAc.+t
)PrM o✓� sur,AA WA 7-
f)P111?()AC4q a E J B ti�G
Inspectors Dates
Datet_���
APPROVED - r1f;APPROVED j PPROVRD SUBJEC7 E
P TABOVE—Call
_Call For RRein�`ap.
�tli3F��lolY_.ii_e �✓
City or Tigard Building Departionnt
13125 ON Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rea-O-Phona)t 639-4175 Buninenn Phones 9-4171
Inspections_____________________ —
Footing Plbg. Undersla5 Mech. Rough-in Appr/Sdwik
Focnd. Plbq. Top Chit One Line FT?TM.I
Post/Beam struct. Ban. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insu n -Plumb.
Plbg. Underfloor Nater LineOyp. Bd. -Hoch.
Date Requestted(t. C� Timet A34 _pM
Addrosst1`� �
Builders—QAZQ-S Q
TME FOLLOWING CORREcTIONs ARE nQUIREDt
insper_1 ort -- --- _ Dates_JAPPROVSC DISAPPROVED APPROVED SUBJECT r
----- To A
-__ call For Relnnp.
III PECTION "TICK
City of Tigard Building Departwmt V"
LllZS Ow Gall Blvd. Tigard, Oregon 317423
Inspection Line( (Asc?-O-Phone)t 639-4175 Businenn Phones 639-4171
Inspections.
Footin7 Plbg. Undersl.ab Koch. Rough-in App!-/Sdwlk
Found. Plbg. Top out Gas Line IINALt
Post/Bears Struct. San. Sewer Erasing -Bldg.
Post/Bees Koch. Rain Drain Insulation \I -Plumb.
Plbg. Underfloor Mater Line LL Gyp. ed. -Koch.
Date nequsatedt '2� . 2 S J _ Timet AM pM
Addreaet 10ILPY -'ld—}�(5Yk' ( t Permit to M:7T
Builders _ri��i�rc�f/_� , ` U U -6to
THE MLUMING CORRECTIONS AR1C RRQMIREDt
Z YL
- 30
►v� _
tom, L)F V S-A
T --
Inspectort_ v _ A-,-- — - D—at atV110
APPROVID DISAPPRO'V'ED V' APPROVED SUBJECT To ABOVE
__Cail For Reinap.
1\♦
L�_
City of sigma Building Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Fhgfiet 63 71
Inspections (( '
y
Footing Plbg. Undevelab CHech. Rou91i_Ln Appr/Sdwlk
Found. tlbq. Top Out Gan Line
Post/Beam Struot. sa� Pr -Bldg.
Post/Beam Hoch. Rnln Drain Insulation -Plum.
Plbg. Underil / (Water Line Gyp. ed. -
Date Ree�leet / f' _Times AM PH
c s
Address t
Ruildert
THE FOLLOWING CORRECTIONS ARE REQUIREDs
Inspectors _ Date
_ r -
APPROVED DISAPPWWWD APPROVED SUBJECT To ABOVE
Call For Reinsp.
jNSYMION NOTICE C�
City of Tigard Building Depsrtsart /
1312S SW Ball Blvd. Tigard, Oregon 97223
Insprection Line (Ree--O-fihone)) 63399-4175 Business Phones 639-4171
Inspection l_ b 1 l Lr`I1 /
Footing Vlbg. Underslrb .RlagO n Appriadwlk
round. Plbg. Trip Out- Ota L FIRALs
Post/Beam Struct. San. Sewer �raainq -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
P1bg. ander[loor Water Linn orp. Bd. -Meeh.
Date Requested t (]� l� T IMP i Am PH
Address (J 1�tnD 'u l/� Permit #1'/
Buildort �.V�iS�a ��-Q_ ?"6-73
17
THE FOLLOWING OORRSCTIORS ARR RiQUIRRDt I C .j
CO-
�o v 3,
k C L L 1 ! J C I l.) - r1SC�(�co(�.
InSp•Otor1 ���"_ .%�`"� Dates L (' T
I J
k�9)0l7D DTBAPPROVSD APPROVSD SUr.11C! To ASOVN
_�'Call For Reinsp.
.��t$PEGTION NOTICB (r1
City of Tigard Building Department
13125 a" Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Rac-o-Phones 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab C� ph, Rough-in Appr/9dwlk
Foand. Plbg. Top Out Gae LineFINALt
r-.
Poet/Beam 9truct. S.nn. Sewer Framin# -Bldg.
Post/Rjnm Hoch. Rain Drain InsulatLon -Plumh.
Plbg. Underfloor Water Line Gyp. ad. -,Ne,
Date Regnestedt TIMs Ah PN
Address: ( �.``1 �"l ��1 �i Z �7\��v�ey�c+ Pes711t 1t�� ���< \�
Builders-_
THZ FOLLOWING OORRRCTIONS ARi rUjRZDj j
C
1
r S
MFRGV�b btr1AFFIMDv�b ►� AFF110V�0 sUMM TO AMM
Call For Reinep.
INSP$CTION NOTICE
Cit_ or Tigard Building Dopartment
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rer.-O-P;.one): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Undorelab /�JNech. Rough-in Appr/Sdwlk
Found. P)bg. Top out Can Line
FINAL:
Paat/Beam Struct. Sen Sewer Framing --Bldg.
Pont/Beam Mach. Rain Drain inaulation -Plumb.
Plbg. Underrloor Nater Line Gyp. Rd. -Hoch. ?
Date R � �' -`
equeetedt�� (( 1 -1 1'img: AY PN
Address:
Permit Is
I
Builder:
THE FOLDING OORR$CfION3 ARE Rl; UIRED:
i
Inspect � Date:_
DIB.AP �'/PROVRD APPROVFD RURam"r TO ABOVE
\ a' y Call For Roinsp.
Itt6.Pl.4TI4El1lQ�i.S�
city of Tigard Butlding Departmrani.
13125 RN Rall aitd. Tigard, Oregon 9722
Inapection Line (Rec-o-Phcna)c 619-417h Busineu Phones 639-4171
Inapec.tic,nr_ --- ------ ---- - --
Footing Plbg. Underslab Mach. Rough-In Appr/Hdwlk
Pound. Plbg. Top Out (las Line PIRALs
Post./nanm Htruct.(:j 6awa_r _.� Framing -Bldg.
Post/Ream Mach. Rain Drain Insulation -Plussb.
Plbg. Underfloor Mat r Lin Gyp. Bd. -Naoh.
(23
Date Roquaateds 'rl That r AM PH
Address
Builders
TH'1 VOLI.ONIRO OGRUCTIONrt ARB R1QDIPJDs
Inerwict or, natal
APrnnvRn DInAPPROVRU APPRMED RUB.IRGT TO ABOVR
cnrl Por Hainep.
NEPECTION NOTICE
City of Ti.nard Building D"rtsrnt
13:7 SN Hall Blvd. Tigard, Oregon 97223
nspection Line (Rec-O-Phon"): 639-4175 Busines Phon -4171
'spections ----- - -----
Voting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Bund. Plbg. Ton Out Can Line FINAL:
Po4t/Beam S'.ruct. / San. Sews: Fr-ming -Bldg.
Poet/ eum Mech. nnrain Insulation -Plumb.
Plbg. Undo-flnor Water Line Gyp. Bd. -Much.
Date Requeuted: Z_ C� J Time: AM PM
Addreas: e✓ t4j rmit #:
Builder:�Q/:e11eef S /SCP' _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors- _ Date:
APPROVED DISAPPROVED rjPPROvKD SUBJECT TO ABOVE
-Call For Reinsp.
PLUMB
ERMI
`CITY OF TIGARD PERMIT 4*. .... . .C: MS'r')_°,--0:355
COMMUNITY DEVELOPMENT DEPARTMENT DATE. I SSUE n: 07/0c"/93
13126 SW Nall Blvd.Tigard,Gr"on 97223.8199 (303)639.4171
SI'1 E (4DD E'3S,• < . - 109li4 aW 11,_11 1, 1,111)MOND WY PARCEL, 13i 34AC-HL016
SUBDIVISION. . . . : HART' S LANDING %CININGs R--4. 5 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :X111 6
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1
TYPE: OF' USE. . . . s5F WASHING MACH. . . . . . , : I BACKF"X_gW PPEVNTRS s0 '
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 7RAPS. . . . . . . . . . . . . . .0 '
l=TORIES. . . . . . . . :2 WATER HEATERS. . . . . . s1 CATCH BASINS. . . . . . . 10
FIX1"USES"_._..___...._.....__.........__ LAUNDRY TRAYS. . . . . . :0 'aF RAIN DRAINE. . . . . : 1.
SINKS. . . . . . . 11 s C4PF'ASF I'PAPS. .. . . . . . .n
LFIVATORr!!Ga. . . . . .4. OTHCR FIXTURES. . . , . 10
SEWER LINE ( Ft ) . . . . .0
WATLR !"1_"C1SE:T5. . s;a WATrR LINE (ft ) . _ s 10 c a
I,ISIiWA:3Fi r�S. . . . : 1 FAIN DRAIN (ft ) . . . . :0
UWNf=Rs �'" _....___.__._... _-._._____. _...__. _.__...__.. _ .____--FErE�I_...._....._._.___.._ ._..._._.__
RENbISEAI4CF DE.VELCIPMENT`, CORP. TIr"' 9 ISE0. 00 111-1 07/02/93
167c �aW �ILLAMLVV I_' FALL T1R BF'R"r t 424. 00 JH 07/02../93
SPLC $ „3. E,0 JLI-a 06/18/93 13 :'41 4
WEur LI+ OR 17069L B5PC $ 4.1. 2171 ,JH 07/02'/93
Phone ##: 557.. 8000 a SSDC $ ":130. 0171 JH 07/02/03
PARK $ 500. 00 ,31; 07/02..193
PIumh ng Cuntrar_i;cars �' - .._._..� MPRT $ 43. 50 J11 07/02/93
),� MPLC` $ 10. r`3H .1!1 07/02/93
Name I ��e t._ .G/v' __ __ MSPC 2. lE3 JH y►710c/9.:3
_ .__ _..___......_,__._r_..__._..
elddrreslsl �p� . - Q. +C. _ PP'RT $ X7. 50 JH 0`T/0 93 .
Y .
C 1 t s ,�,.��'�.'�..��p..r.._.___..�-._.!3 t.ate :._. .�.{�._..._._ (=� �'C' q "r �7 r I.`
T i p I.—��-.� _ Ph o n e#r:
R e g
----- RF-01,11RED INSPECTIONS
w._.... ._.
This permit is is%ued subject to the reg
ulations r.ontainpd in the Tigard Mur icipal Foot/found Insp Rain drain Insp
Code, �3tate of Ore. Sppc.alty Codes i,.nd all Post/Seam Strc.cct Water Line Insp
other, applicable law,. All wnr•F: will be done Post /Ream Meehan (1ppr/ScIw.Lk Ir)tip
in ac^c:ordancte with Approved 171ans. This; elm/uneslab In6p Irlpchanrcoil F'inia1
permit 14111 pKpirp if c,fro-k 0r not at'st•tnd PSI IYI/!lvirls,i_fInor t'lc-Xmb F' I.nAI
within 1130 days of issuance, or- if work is Mechanical. Insp BuiIding F incl
su-spended for more than 1130 days. Plumb Top Out Erosion Control E
..� Fr�mi.ng Insp Crawl Drain
Fireplace Iicsp
[has Line 1nap
I n s c_c a t i u n Insp
_. _ _ _____ _. `��-!�►-_M�. . _ Gyp C.wi r d Insp
f4uthar, ized�Plumbing Contractor Signature
Call for- inspection 639-41765
Carl'tractor Notes
r s �
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hell Blvd.Tigard,Oregon 97223.8109 (503)436-4171
�.., 1 ai.)JWt�i. ., L 4'i at)�F Nati L.i.. f S. .i•i '._I. 7�.' ,u! i�,t�1f�L.;+.,...: .�.�-i j_s31MA'l:"I'4�.Nti 1
tl); 1rI.UN . .. . . , !j i.AN1) i 16 ZUN iN191 R. �Lj
l L.L I Ntl JN 1 i`.i: �. E S t��i..iU . . .. •K'
,a L1F mss 3 BATHS a ,:, GANAGL.
r7C:QUI RCU ..,__ Jj-i(..CS:, • _..
F- I'As", a1V',68 5f LEFT`. . : a.,O f•t RLUHt .::i
:i.0 >F7i`r::'. <, t3C.L;hND, • . c Gai:: s;` C- t?lJW. 0 ft, rri FiIi. . i r"
lv'?ILb. . . • :c: ii'iiF2i.'. . . . :kr �;+'. i�i� >•UirilE�.U-._._._,_.. ._._.,........... _.. .. , ...
ry r�1 AL ).C.)Oft f _ i: 1i
LOW). . :w0 (rs f VPLL1E';, . . . . 981 13 F t,;ri NO, SPAr;C_ _
PPTTH I
L.l1MS I NO
W.S. , , i F'1_GJCi l)1i1-)] i,lb. . . . 10
10 P 1 6. :4 WA liR HEMEERS. . . s l 'i ROPS. . ■ . . . , . . , . . . . :int
i.,F-uNI)F?Y I-r;i;YS. . . aid LC4 t<.t, B48INS.
rt CL 06L: 1 S. . :,, SiEWE R L•.INE' (ft) . s W UNEASE: TRAPS.
I WATER 1.iO4L ( i t ) . : ;V"t 0 OTHER i IX1'(. Rr-11. .
!iT4u L)141). . • : i RAIN DRAIN (ft ) . :ih
it .1 r'JL'; SF Rw iI
ML.CHAl\)ICFIL
UP!1'i 4'C f%i. o t ,p d is t
VENTS . . . . . :QI
0 1 r !r c !1. Itt .)r+ 0/
{HULlti1:j. , . . . . . 1 1�dyPGu�C J, J .rla�kF" ''1t:�✓I77�i. 133 '
�`��} ,7 �, VTt . • w�{� ^�+I(,,iJJ 1 l•}�;1:�i... s�L� Mi•� 1, ��.. J.• d1b .,i i 4'/ t 1L�C:. .� i •.
AUR r'UFkN. . . . to CLC D'' YERS. a sabC 9 L11-10. 04e] J11•11 0 ,/oL
:10:1(JLM;)' 4 .3HF'sin (.mMtiF UNI'TSa 1 I-IONK >l 5006,00 Ili V.I//QA;'/L ,
Ll m_E3'rSj 1 III-RT /43. : �1 Jt;I y-7 t)_
�4ASE]ANL& ] -,0-0IL'MLIY'1 GQAP. M5 PL, $ c, I JH 0//08, '
:'iW W'i i-i; :.'i t E I..(1LLS DO C'E-IRT 14•', 'w rL" •JW itj 1 Joi�✓ .:.
t_-A"I. N u , : i#1166
#: 30*7 60410
_!moi WILA.AM&TTE FALL.;'3 DR
OR 970GS
557--8000
'eat if :sReed buoject to the r•;vlatlers contaJhed in Ve - _ REQUIRED IN'OPECTXON "
s �r;'.;cipal ;.odet State a. Ore. 5peciait+ Wet and ail other ) nut/found I11sp V'ir'eplakue I11sp
:caale ;aNi7. All Nark tit 11 be"dant in acrard4xt rein; opined Pci s t/.i_te rani 61.t-,Act G*'% r_x rr I rF s p
r ?his pvnit will @spire V wont is root sta,teci within 180 most/pe"Am I!`Merrran Insu ,t ion IrrsP
-Its of :'r if so" as srspooded f0Y We than 188 deVs. P1mi,Jnds1.ab ir►sp Gyp Sumt,r_l lil6(�
i ,� A Q �l lr�iLDncaBr i lrarxr >;ain tl. :, r.r� 1+:•�{
r -e i'6r B v' i Ile .. ..'ly.•...__.�? r,`,�r,.ba tl.l': � 1 111 s ! .. . `r 4• 1.l
___.._ _._. r J'dw.l -, I
1stjuviL b, firer iy ill r3fJ r. biliic 1 J....
CITY GF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT ' ` `" " ' ' . . ' ` . . . ` 'twlq`jz Oji`
13126 SW Hall Blvd.Tlpud,Oregon 97223.8199 (603)839-4171
id;-; 10964 WW 3L PCK UJAMU+Jtr WY PARt'i_'L.
11Ak21 " Gm. l.,kl4l'd i NG 10,1V 1 to41a i
r
";tJ. . . . . . . . . . r P I XiURE UNIT6. . .
'Lf % ' I «.. . . :,NEW I31fIL.%'-1.1NG 'UN I 1 �. .
y1:111 UF lr,"l.. . . , < sSf IVU. Of F{1»1.1L.UI{618: I
:.tJk!-Pct
r'^k15: GaW*H
....:3tJ��,•f,».i. 0EVL..l_0P;%1LI.{1 Wk.' �
'bW W1j_L;4ML;'tE UR PRMT t ,i::c:'00. 012 .7►: fj► r171c i y.3
r k.a rOpl 014
i E-1`G 0 H N01 UN f" it.i-
#. .
,s IPWkant agrr.es to co:ply with all the rNles arld.r"mlatiaos Sewer-, 3.n ~lretr:;. ion
IN anifie: Se.nage Agency. the pewit expires IN J416 iron
afte ,4,.ed. ''he fatal aeo-int pair} w-,il ae forfeited it the
s-. erpir.e%. The Agency dem riot guarantee the accuracy of the �
r;e aeifer laterals. 11 the Mer is not located at the veasureaent
the installer" shail prospect ;s feet in all dirOttiars fro$
-x1ihr�+ given, xf neat so .lutatew', the instal;er shah pur•c�Asr
AP and Side Sewer" Permit acro thF Agency rail install a lateral.
t e 19 C., k. UAL
LAIL f'or' irrsfl eft i urs - 639--41 7'.:;
ra
it
CN,
CITY OF TIGARD — RECEIPT OF PAYMENT RECEIPT NO. e93-241930.
CHECK AMOUNT % 52 17. 24
AME o RENAISSANCE DEVELOPMENT CAWi AMOUNT t 0. 00
IDDRESS i 1672 SW WILLAMETTE FALLS DR PAYMENT DATE a 07/02/9,"�
WEST LINt'. OR SLJBDTVISION
97068—
URPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
UILDING PEhw 424. 00 PLUMBINS PERM MST93-0355 147. 50
ECHANICAL PE 43. 50 9-r. BUILD PER 30. 76
LAN CHECK FE 36. 48 SEWER USA 2200. 00
EWER INSPECT 35. 00 PARKS SDC, 1300. 00
TORM DRAIN SDC 280. 00 RESIDENTIAL TRAFFIC FEES 14 10. CI0
ASS TRANSIT TIF FEES 110. 00
10964 SW BALCK DIAMOND
HARTS LANDING, LOT 16
TOTAI... AMOUNT PAID 52:1 24
INEPYCTION NOTICE C
Cit! of Tigard Building Dopartaont
13125 ill Ball Bltd. Tigard, orrgon !7223 ✓
In■Winn Lina (Nae-O-Phona�c 639-1175 8uainau■ Phones 63 -4171
- �y --
Footing Plbg. Undaralab Koch. Rough-in Appr/Ddwlk
round. Plbg. Top out One Lina rINALs
Root/Beam struot.) $an. Bower Wraming -814g.
M _VN MOON Rain Drain Insulation -Plumb.
Vlbg. Underfloor Mater Line Oyp. Bd. -Noah.
Date Requwateds ) Tis Am .. rm
Addrea•c IG :1�l1ryJ�A C. d _W��,_� ;1 Pwceit ts �JJ�J
VOLLO11 M ODNNECTIONB ARE REQUIREDs V
_-yID
� v_ Q
. 1
Inapeetore _ \
Dates
^ V RPPROVED DIB1VfROVED V APPROVED EaBJRcr To ABOVE
Call For Relnap.
INSPECTION NOTICE
C1.ty of Tigard Building Department Ilr
1312% SW Nall Bled. Tigard, Oregon 972:3
Inspection Line ( -O-Rhone)s 639-1175 Business Phones 639-4171
Inspections
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Oat Ota Line FINALS
toot/Bess 9truot. San. Bower Framinq -Bldg.
Post/dean Mach.` Rain Drain Insulation -Ply.
Flbg. Underfloor Nater Line Gyp. Ed. -Meeh.
Date Requesteds ( Times _iAN PM
Address._ 0 C1 1 C.\[' �\ -vim d� �—
`Ternit
Builders
TBE FOLLOWING OORRECTIOME ARE REQUIRED. al
CNR
Inspectors_ 1•C� �- / Dateg �
—
IK"APPROVED DISLAPPROV1tD APPROVED SUBJECT To ABOVE
Call For Reinsp.
iNara�rloN IfOTICi
city or Tigard Building Dumont
Lrus BW Bali Blvd. Tigard, orwgom 97223
Inwpaction Line (Rwo-O-Phonw)e 639-4175 Bumineum Phone, 639-4171
Inspect ion,_
Footing Plbg. Undwrmisb Mach. Rough-in g Appy/edwlk
Found. Plbg. Top Out
gas Line rINALs
Post/spam etruct. Ban. fl~er Framing -Bldg.
ESt7-
Bwam Meoh-, Rain DrainInsulation
_ -Plumb.
it . Underfloo Mater Line
gyp. ad. -Mach.
Date Roquwatwdx � Times !M
�il •—_
nddreaasILI(D 1{ UA 4C p�Ctii [ (,( Pelt
Builders '(6)e O f)7 - Y11-lnn ---__
T"' InLLONIpG CORRNCTIONN ARE RNQUIRNDs _
i;
AV 7 11
( _
Impactors
Dates i
_ 11PPRt)VRD -- DIBAPPR(7V7D APPROVED SURJRCT TO APOVN
Call For Rwlnap.
OF
13125 Sw Hall TTlvd. PLNCK/RECT # �� _ t-CITY 1 11Jt-] RD PERMIT # f 3 55
COMMUNI'T'Y DEVELOPMENT UEPARTMFNT Toptd.Oregon 97223
(503)639A171 DATE ISSUED
JOB ADDRESS: 10964 SW Black Diamond TAX MAP/LOT /`f
SUB: Harts Landing L.OT: 16 LAND USE:
VALUATION: —
q�;;; SPECIAL .MOTES
NAME: Renaissance Development Corp. REISSUE OF:
ADDRESS: lL12_.Sw LTillamarta Fal o Ariva LAST REISSUE:
__ West. Linn. Oregon 97068 FLOOD PLAIN/ _
PHONE: (503) 557-8000 SENSITIVE LAND:
CONI RAUORAPL EROVALS REQUIRED 5t(gq2--c00_3
NAME. Renaissance Development Corp. PLANNING:
ADDRESS:1672 SW Willamette Falls Drive ENGINEERING: _
West Linn, Oregon 97068 FIRE DEPT: �.
PHONE: (503) 557-8000 OTHER: _L/ _
CONTR. BOARD #: 49955 _ EXP DATE: _5ilfi-94
TEMSRE% RED
S 0 TMCTORj: PLUMB: — Eagle Plumbing LIST/SUBCONTRACTORS:
MECH: Tri-County Temp Control BUS TAX: _
Ci NGINEE CALCULATIONS:
NAMF: Alan Ma9cord TRUSS DETAILS:
ADDRESS: 1515 NW 23rd OTHER:
Portland, OR 97210
PHONE: . 295-91O 1 -_
PROPOSED BLDG. USE: SFR
COMMENTS: pota Ply /�CPNA5 SJ& +��A�C_._�'2oOl�Nt ._�' OuE a.&:*
11 r
A PL ANT SIGNATURE /
Ct tr Date Received:
Received By: __ _ — _ --
w
PERMIT M ACCT N - UFSCR1111ION AMOUNT AMOUNT P0. BAL. DUE
lI,'y 03,, 5 10-432 00 Building Permit fees - �2 -
10-431 00 Plumbing Permit Fees /L1.: ,.. �9�7ti,ro
10-431 01 Mechanical Permit Fees ,; Sv �U, -y
10-230 01 State Building Tax (5%) � 3a
Building
Plumbing ^7 3
Mechanical _,,
iO-433 00 Plans Check Fee
J
Building a 71,Go
Plumbinq -
Mechanical
10-230 06 Fire 1 (f
5A66I ,-,#-I0 30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-02 Comrdercial TIF Fees �. .
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office* TIF Fees
25-448-01 Residential Traffic Fees ,_
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Bev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) J ._._..._.. .....
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL
nm/3587P.W111'
CITY OF TIGARD REC;EIGT OF � MLS � t N�. r9�-• 41~x`;
CHECK AMOUNT QI. 00
AME ' RENAIS2ANCE CUSTOM HOOFS CASH AMOUNT 0. 00
DDRESSi 1672- OW WILLAMETTE FALL"3 DR rgYMENT DATE a 06/IA/93
WEST I_INN, OR -iUBDIVISION r
97068—
-1_IRPOSE OF PAYMENT AMOUNT PAID PURPOSE OF C,C)YMFNT AMOUNT PAID
I.AN CHECK FEfy-47R
10964 SW BLACK DIAMOND
ARTS LANDING, LOT 16
'()TAI... AMOUNT PAID — — — -)
Cit+ of Tigard Building Department
L
T1125 SW Hall Blvd. T las • Oregon 9722
Inspection Liixe (Ree-4-Phone)x 639-6175 Business Phones 639-1171
�400_"na Plbg. Onderslab Hoch. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Line FINALS
Post/Bean Struot. Han. Sewer Framing -Bldg.
Post/Beam Nech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Maters Line Gyp. Rd. -Koch
Data Requesteds� ^/ -/ �� ,l,Lmes AM
Address$,/ it #I / 0
Builders
TRB FOLLOWING CORRNCkIONA ARR RNWIRKDs
a i
A •pectora Daus
_. APPBOYBD DIS PROVBD APPROVBO SUB.JNCf TO ABOVB
Call For Reinsp.