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11083 SW 6f ACK DIAMOND WY
CITY OF TIGARD ELECTRICAL_ PERMIT -
COMMUNITY DEVELOPMENT DEPARTMENT RESTRICT
PERMIT
TF P ENERGY
ti: cLR96-•0063
13125 SW Hall Blvd.Tlgasd,Oregon 97223.8199 (503)839-4171 DATE ISSUED: 0;7_/20/96
PARLEL: 18134AC--0340,',
S117L : 11083 SW BLAC-1.1 DlAhIOND WAY
SUBDIVISION. . . , HART S LANDING ZONTr1:,,:R-4. G FAD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .00`,
Project Description: Install burglar, alarm.
,;. RE=�jIDENT IAL_-- _____ 5. COMMERCIAL-________._.__
AUli10 R 5TERE0. . . : AUDIO & STEREO. . : 11AIVERCOM & PAGING. . :
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. .
GOQAGC OPENER. . . , , X CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . .
►?VAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . . . . . .
VAC.Ul1M SY'.J TCM,. . , , ; FIRE AL.ARM. . . . . . : OUTDOOR LANDSC L I TES
OTHER. c : HYAC. . . . . . . . . . .. . .I I P'ROT'ECTIVE. SIGNAL. . :
I NS TRUME:NTAT 1 ON. : OTIiER. . c
TOTAL # OF SYSTEMS: 0
ROBERTSFFEES
OFELIA type ,mount by date r^Pcpt
11083 Sw B1 ACK DIAMOND WAY PRMT $ 40- 00 CJS 02/-_-'0/96 96-27605L
FJPCT t 2. 00 CJS 0r/20/96 96--x76052
TIGARD
""hone
..,.ntrar-tor _____..__________.__._....._.._..._ _.._.._..__--•--__._._.____._.___.___._.__...___._____._.,.._..._,__...__._.__.
BR I NI;S HOME c"EC UR I TY 42. 00 TOTAL
105q SW CIRRUS DRIVE
- --_ - REQUIRED INSPECTIONS -----•-_--__
_.t�YLF1T01� OR 97008 L* lect' 1 ISer,vice
"'hone 41: b03--641 -0574 U.leeu:t' 1 Finan
1�eg sir. . : 444.:'1 ____....
chis permit is issued iubject to the regulations contarnao ,n the
Tigard Municipal Code, State of Dre, Specialty Codes and all other Perm i t ee Signature
applicable lawn. All work Mill be done in accordance with
appr:ved plans. This permit will expire if work is ;lot started
witlur 18P dans cf is�wance, er :f wcrk i!. suspender) for more
:nan is r.rs. Issued By
_...___ _.____..._..__.___•--._._.___._-____OWIVE R INSTALLATi DR ONI.Y_._.._..._..._._...._..._____. ...._._.___..._..____...
rhe installatior, i.s beincy made on property I own which is not intended for-
,.ale, lease, or rent .
_}WNER- 5 SIGNAIURE: DATE-.:
__......__..._.___.__..._.._.____..._..._.__CUNT RAI:TOR INST ALI_A"CION ONLY- _.._ ._._ _.._._ __._.. .._..._._.__ _._....
"t-IT•HUR I Z LD 11 GNAT URE:: _ tri_ .il>PCSa_._.__ DATE:c _ a- a O 96
i LENSE NO:
Call fur in Tori - 6:.9--4175
�i
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard,OR 97223 PERMIT# 96 -0093
Phone (503)639-4171
FAX(503) 684-7297 DATE ISSUED a- a.0 Y6
TDD No. (503)084-2772
CITY OF TI®ARD Inspection (503) 639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
// 8 X6,Y, --I�,
qd RESIDENTIAL—Restricted Energy Fee. 140.00
/(�„�, 2 • (FOR ALL SYSTEMS)
City State V Zip Check Tyne of Work Involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems"
is NUT!TARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK 15 SUSPENDED FOR
180 DAYS. •42f.BUrglar Alarm
2. CONTRACTOR APPLI ❑ Garage Door Opener'
CA ION
❑ Heating,Ventilation and Air Conditioning Sv,1am•
Contrac _e Type_ y 4�4�. a ❑ Vacuum Systems'
,,amu
13 Other _
Addres �� � / —JAI `�- --
Dat COMMERCIAL –Fee for each system . . . . . . . . . 140.00
(SEE OAR 918-260-260)
Property Owner -Vy,it k Check Type of Work Involved:
Contractor's Board Reg. No._ ���. ❑ Audio and Stereo Systems'
`� ❑ Boiler Controls
Phone# _1 -- ❑ Clock Systems
❑ Data Telecommunication Installations
3. OWNER APPLICATION
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No ❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Zip ❑ Medical
I his permit is issued under OAR 918.320.370.This applicam agrees to make only ❑ Nurse Calls
restricted energy installations(100 volt amps or less)under thi.permit and to do the ❑ Outdoor Landscape Lighting"
following: n
1. Only use electrical licensed persons to do installations where required.(Certain L, Protective Signaling
residential and other transactions are exempt from licensing.These have [j Other
asterisks(•).All others need licensing).
2. Call for an inspection when all of the installations under this permit are ready
for inspection at 503.639.4175.
❑ ___ v Number of Systems
3. Purcha.wseparate permits for all installations that are not ready for inspection
when the inspector Is out to inspect under this permit. •No licenses are required. licenses are required for all other installations.
4. Assume msponsibility,for assuring that all corrections require,I by the inspector
are done,and
5. Assume responsibility for calling for a Mal Inspection when alt 0 the currections 5. FEES
am cornple`ed.
The person signing for this permit must he the applicant or a person a. Enter Fees $ V
authorized to bind the applicant.
h. 5% Surcharge (.OS x total above) $
Signature TOTAL $��
Authority if other than oplicant
ENERGAP.CHP
CITY OF T I GARD C F:RT I1= 1(11 AT E (JF
,
OCCUPANCY
PERMIT N. . . . . . . A MST93-9557
COMMUNITY F)EVELOPMEN'r DEPARTMENT DATE ISSUEDi 04/06/93
13125 S':/Hall Blv,,.Tigard,Cregon 9722398199 (503)639-4171
PARCELv 18134AC-03400
5ITL ADDRESS. ,. . g 1108i UW WK& 01"HUND WY
SUBDIVISION. . . . .. HART"S LANDIN(: ZONTH9vR-4. 5 PI)
. * a . P LUT„ . . . . . . . . . . . . v 005
------------------ ----------------------------
CLAG'..� OF WORKm ANEW
TYPE: CIV USE. . . ISF
OCCUPANCY ORP. NR3
OCCUPANCY LOAD 8227 4
TEKHANT NAME. . .
R c..?m,k-r k.z a PATH I
Owner„
RENAISSANCE DEVELOPMENT CORr-*'
IG72 SW WILLAMETTE FALLS DRIVE
WEST LINN OR
Phone No
Contractor A
PENAISSnNCt: DEVELOPMENT
167P !.3W WILLAMETTE F`ALLS DR
611:*:Twl' LINN OR 91068
Phone "A 557-80436
Rom It. . is 41-4955
Ocrupanc./ of tht... above referenced building is hereby yine", and certifies
the compliance with the State Of bregon Specialty codes to- the group,
o(:-cupioncy,, and Use Under whirt) the referenced perm'J.t w:aSl,n tt i
FIRE DEPARTMENT T
,C ! NSPELTOR
!, 1 111 1
U
........... ............
BUILDINO F F'I C IAL.
P01'. I IN CONSPICUOUS PLACE
, . ._
CITY OF TIGARD PERMIT #. . . . . . . .• VIST93
DATE ISSUED: 11/19/93
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Oregon 972239029 (503)639-4171 PAi ::El_: 1.5 1 34A'.7.----0340tZ1
SITi Dl),- 083 t" I DIAMOND WY
SUBDi UYSIONA . . . i AMARTI 6 L.WND ING ZONING: R-14. 5 FID
BLOCK. . . . . . . . I LOT... . . . . . . . . . . . .
CLASS OF'' WORK. . :NEW GARBAGE DISPOSALS. I
"I YPE OF U(S-F. . . .5F WALSHING MACH. . . . . . „ : I BACKFLOW PREVN MG. 0
OCCUPANCY (3RP. :R3 Fl-OOR DRAINS. . . . . . . .0 TRAPS. . . . . . . . . . . . . .L71
!-�T 0 P I E.".1_3. . . . . . . . :2 WATER HEAIERS. . . . . . : 1 CATCH' BAS NS. . . . . . . ..1211
F7XTURE S--- LAUNDRY TRAYS. . . . . „ :0 SF RAIN DRAINS. . . . . . 1
S 11'Nl','-i. "" I GREASE TRAPS. . . . . . . ..0
L n V A V 0 , 4 OTHER FIXTURES. -0
TUU/SHOWER'S. . . . : i SEWER LINE (ft ) . . . . :0
WPTLR 0-OGETS. 13 WATF--:R LINE ( ft ) . . . . : 11710
D1 EA-1WA844.1UPS, ; I RAIN DRAIN (ft ) . . . . .0
Rumarks : PATH I
OWNER:
Rr7.NA1SSANCr,. DE..Vt.-.!.TF MEN'T CORP TI1 1520. 00 JH 11/19/9a
1672 SW WILLAMF:*iTE� FALLS DRIVE BPRT $ 448. lao JH i. 1/1')/`::,r`
BPLC $ 291. 20 JLH 10/28/93 93-245KA ''.
WEA7 LINN 013 B510C $ 22. 40 J14 11119/93
Phone 02 S8DC $ 200. 00 JH 11/19/93
FARE: 4 500. 00 JH 11/ 19/93
PI "mKina Contractor : MPRI $ 45. 00 J14 11/19/93
MPLIE $ 1 I. .T-15 ,JI-1 I 1 /19/93
M5PC I i�. i`-�!5 JH 11/19/133
-1. 50 JH 11/19/-93
Pddresl�! PPR7 $
C i t y f,-, 14
tate: PC S 7. 38 J11 11/ 19/93
_ — P5
z Phane#:
R H -7
------- REQUIRED IWISPECT IONS
This permit is issued subject to the reg -
ullitiuns contained in the Tigard Municipal Foot/found Into Pain drain Insp
Code, State rr Ore. Specialty Codes and all Post/Beam '-'�truct Water Line Insr
other apaticable laws. All work will be done Post/Beam Meehan Appr/Sdw3k Ins,
in acuarUmnce with approved plans. This Plm/undslab InSp NpinhanlcaL Finan
permit hill expire Q work 15 hot started PLA/U"d er f I a or PILlmb Final
within 101 days of issuance, or if work is Mechanical Insp Building Final
s"spended 'or moire than 11410 days. Plumb Top Out Erosion Co"tro
Framing Insp Crawl Drain
Fireplace Insp
Gas Line Insp
Ots ITIM(AlatiOn InSp
Gyp Board Lnsp
nufhorized PI"mWou "utitloo "; Slynatuve
-a"5mctor Notes : Call for inspection 639-4103
.........................
ER
CITY OF TIGARD PERMITS#. . . . . . . . MST93-"9557
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 11/19/93
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171
PARCEL: 1.S134AC.-03400
SITE ADDR=SS. . . : 11083 SW BLACK DIAMOND WY
SUBDIVISION. . . . : HART' S LANDING ZONING: P-4. 5 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . :005
----------------------------------- BUILDING ------------------------------------ -
REISSUE:
-------------•--------------------- -REISSUE: DWELLING LINITS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WO RK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :432 sf
TYPE_ OF USE. . . :S17 FLOOR AREAS-._-_-_--_-_- REQUIRED SETBACKS------------
TYPE OF CONST. :SN FIRST. . . . .. 1121 sf LEFT. . : 10 ft RIGHT. :5 ft
OCCUPF.NCY GRP. :R3 SECOND. . . : 1001 sf FRONT. :20 ft REAR. . .- 16 ft
STORIES. . . . . . . :2 THIRD. . . . :0 sf REQUIRED--------------------
hE I GHT. . . . . . . . :27 ft TOTAL--------- -:2122 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 105388 PARKING SPACES. . : 1
Remarks : PATH I
----------------------------------- PLUMBING ------------------------------------ -
SINKS. . . . . .. . . . . : i
_----------___--_-----_____-------. .SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . s4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . :0 CATCH dAGINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINL_ (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
---------------- MECHANICAL ------------------------------------- FEES _.._.--_-____-_---
FUEL TYRES- ------ ---- UNIT HTRS. . :0 type &mount by date recpt
/GAS/ / / VENTS . . . :0 TIF f 1520. 00 JH 11/19/93 -
MAX INPUT:O BTU VENT FANS. . :4 BPRT $ 448. 00 .JH 11/19/93 -
FURN ( 100K . . :0 HOODS. . . . . . : 1 BPLC $ 291. 20 JLH 10/28/93 93--245563
FURN ) = 100K . . : 1 WOODSTOVES. :0 R5PC $ 22. 40 JH 11/19/93 -
FLOOR FURN. . . . :0 CLQ DRYERS. : 1 S59C $ 280. 00 JH 11/19/93 -
BOIL/CMR ( 3HP:0 OTHER UNITS: 1 PARK f 500. 00 JH 11/19/93 -
GAS OUTLETS: 1 MPRT $ 45. 00 JH 11/19/93 -
Owner: - _.__._.__ __._..__._._.______._..-..._._____.___.__ __MF'LC $ 11. 25 JH 11/19/93 --
RENAISSANCE DEVELOPMENT CORP ).,,PC $ 2. 25 JH 11/19/93 -
1672 SW WILLAMETTE FALLS DRIVE PPRT f 147. 50 JH 11/19/93 -
P5RC $ 7. 38 JH 11/1.9/93 --
WEST LINN OR
Phone #:
Contractor^r
RENAISSANCE DEVELOPMENT
167 ' SW WILLAMETTE FALLS DR
WEST LINN OR 97068
Phnrie #: 557-8000
Reg #. . : 49955 ------------------------------------ --
$
---------.----------------------._ .f 3274. 913 TOTAL
This perait is issued subject to the regulations contained in the ------- RE.QUIRED INSPECTIONS ----
Tigard Municipal Code, State of Ore. 3pecialt) ;odes and al' other Foot/found Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Strutt Gas Line Insp
plans. This pernit will expire if wall, is not started within 181 Post/Beam Mechan Insulation Insp
days of issuance, or if work is s1.s�.ivided for sore than 181 days. Plm/undslab Insp Gyp Board Insp
PLM/Underfloor- Rain drain Insp
Permittee Signatur^e: .!;2Z �/ Mechanical Insp Water Line Insp
Plumb Top Out Appr/Sdwlk Insp
Iss'Aed Ay : Framing Ir,.p Mechanical Final
Call for inspection - 639-4175
SEWER CONNECTION
CITY GF TIGARD PERMIT #PERMIT
. . SWR93-0482
COMMUNITY DEVELOPMENT L*WAWMEWT DATE ISSUED: 11/19/93
13125 SW Hall Blvd.Tigard,Oregon 97223"8199 (F03)639.4171
PARCEL: 1S134AC-03400
SITE ADDRESS. . . : 11083 SW BLACK DIAMOND WY
SUBDIVISION. . . . : HART' S LANDING ZONING: R-4. 5 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .005
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF WORK. . :NEW DWELLING UNITS. . : 1
TYPE OFF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . :
Remarks:
Owner: -----------------------------------------------
------ FEES
RENAISSANCE DEVELOPMENT CORP type amount by date rccf)f
1672 SW WILLAMETTE FALLS DRIVE PRMT f 2200. 00 JH 11/19/93 -
INSP $ 35. 00 JH 11/19/93 —
WEST LINN OR
Phone #:
Contractor: -----------------___—_____._--._
CONTRACTOR NOT ON FILE i
Phone #: $ 2235. 00 TOTAL
Reg #. . :
-- ------ REQUIRED INSPECTIONS
This Applicant agrees to comply with all the -ules and rigulat.ons Sewer Inspection
of the Unified Sewage Agency. The permit expires 189 drys from
thF 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 measureaant
given, the installer shall prospect 3 fe;t 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.
r
Permittee Gigna .axe:
I s _Ied By : -
Call for inspection 175
CITY
r13125 Sw Flau Blvd. PLNCK/RECT OF TIGARD Tigard.Oregon 9722.1 PERMIT # '031934_551
C0M14;:UN1'1Y DEVELOPMENT DEPARTMENT
(SOJ)``3¢"71 OATS ISSUED
//o1?3
TAX MAP/LOT /5/
JOB ADDRESS: SW Black Diamond Way �� /�C -f)��Uy
SUB: HARTS LANDING LOT: 5 LAND USE:
VALUATION: f 0-5.-3W' _ _-
OWNER SPECIAL NOTES
NAME: RENAISSANCE DEVELOPME!,T CORP REISSUE OF: —
ADDRESS: 1672 SW WILLAMETTE FALLS DRIVE LAST REISSUE: —_
_ WERT 1, NN, ORFGON 97068 FLOOD PLAIN/
PHONE: (503) 557-8000 _ SENSITIVE LAND: _
CONTRACTOR APPRQVALS REQUIRED
NAME: _ RENAISSANCE DEVELOPMENT CORP. PLANNING:
ADDRESS: 1672 SW WILLAMETTE FALLS DRIVE ENGINEERING:
WEST LINN, OREGON 97068 FIRE DEPT:
PHONE: (503) 55'-8000 OTHER:
CONTR. BOARD #: ,_AEUS EXP DATE: Cil IAi94
ITEMS REQUIRED
SUBCQN RAT CTORS: PLUMB: EAGLE PLUMBING LIST/SUBCONTRACTORS:
MECH: ._TRI-COUNTY TF.ME_rnNTBfiI._r. BUS TAX:
ARCHZENGINEER CALCULATIONS:
NAME: ALAN MASCORD TRUSS DETAILS: _
ADDRESS: 151.5 NW 23FLD OTHER:
PORTLAND, OREGON 97210
PHONE: —Z2,5 --9161 --
PROPOSED BLDG. USE: RFa _ —
COMMENTS:
Z�
Af-PLWAT VGNATURE
Received By: �('Y��. _ Date Received: