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(A' CITY OF TIGARD
,:.
WASHINGTON COUNTY, OREGON n
a► JANUARY 16, 1997 Centerline Concepts Inc .
--AN EIGHT FOOT PUBLIC UTILITY EASEMENT DRAWN BY: MSG CHECKED BY: WGD111
SHALL EXIST ALONG ALL STREET FRONTAGES. SCALE 1 "=20' ACCOUNT # 115
640 82nd Drive Gladstone, Oregon 97027
M: \MLI\PLAT EA.GLEPO L59EP 503 650-0188 fax 503 650-0189
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IMAGE IS NOT AS CLEAR AS THIS NOTICE6 4 � 11,NOTICE: IF THE PRINT OR TYPE ON ANY rIrI IlI 111 1111 Jill l 77-7 T ! Li
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12636 SW GAARDE STREET
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171
CERTIFICATE OF
OCCUPANCY
PERMIT 0. . . . . . . : MST97-054
DATE ISSUED: 05/12/98
PARCEL: 2SI040D-06300
fTE ADDRESS. . . r 12636 SW GAARDE ST
IBD IVISION. . . . i EAGLE POINTE 7ONINGoR--4. 5 PD
; OCK. . . . . . . . . . I LOT. . * . . . . . a . - - . 1059 JURISDICTIONsTIG
.ASS OF WCRK. i NEW
Iv'PE OF LJSE. . . .FF
TYPE OF CONSTRv5N
OCCUPANCY GRP. i R3
OCCUPANCY LUADtE
Remarks PM It New single favily dwelling vo/atta&eO garage.
Owner
RENAISSANCE
1672 WILLAMETTE FALLS DRIVU
WEST LINN OR 97066
Phone #1 557-8000
Contractor:
RENAISSANCE DEVELOPMENT
1672 SW WILLAMETTE FALLS UP
WEST LINN OR 97068
P1.)one #1 557-8000
Reg #. . % 000499
This Certificate grants orcupency of the above referenced building or portion
thereat and confirms that the building hao been inspected for rompliance with
the State of Oregon SPecialty Code% for the grOLIP, OCCUPOrIC'y, And LrAe mrider
o-diiCh the reforelired permit was issued.
AIJ I L,a I N-U/'J.NSPFC I OR INSPE 1 N SUPERVISOP
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested: / "��` / A.M. _ P.M. MST: — tJ
Location: ( � 8�,:
Tenant: Suite: Bldg: _ MEC:
Contractor: �74 a4 Q C Phone: Jj 7 PLM:
Owner:_ — Phone: ELC:
ELR:
� SIT:
BUILDING CHAN ELECTRICAL SITE
Site Post/lleam Poi Pos eam Cove rvice Sewer/Storm
Footing Roof UndFl/Slap Rough-In Ceiling Water Line
Slab Funning Top 0111 Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Ilood/Duet Reconnect Vault
Bsmt Damp I hywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Thain A/C TIC;Slab
Shear/Sheath Fire Spklr/Alm C'rawlToand Dr I lent Pump Low Volt
ppmve pproved t pro_ proved Approved
Appr `NIST irovcd ffu uv�yJ N6T 71 ,rovctl Not Amroved Not Approved
!PT1��A > 'NA r FINAL
171 Call for reinspection ? 0 Reinspection fee of S required before next inspection CJ Unable to inspect
Inspector: , -- mte:_ Z �� Page__ of__`_
CITY OF TIGARD MASTER PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . : MST �r-� ;L✓4
13125 SW Nall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 12/11 /97
PARCEL: u'S 104DD-06300
;ITE ADDRESS. . . : 1 'f.:36 SW GAARDE ST
SUBDIVISION. . . . :EAGLE POINTE: ZONING: R-4. 5 PD
BLOCK,. . . . . . . . . . LOT. . . . . . . . . . . . . :059 .IURISE)ICTION:
Remarks: PATH 1: New single family dwelling w/attached garage. '1 Y
--------------------------------------•--------------------------- BUILDING --------------------------------------------------------------- -
REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED--------------
CLASS OF WORK.:NEW HEIGHT........: 28 FIRST....: 1298 sf GARAGE.....: 503 sf LEFT........... 10 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1553 sf FRONT.........: 20 PARKING SPACES: 2
IYTf OF CMT.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 29
OCCUPANCY GRP.:R3 BDRM: 4 BATH: 3 TOTAL------: 2851 sf VALUE..$: 199625 REAR..........: 45
---------------------------------------------------------------- PLUMBING -------------------------------------------------
SINKS.........: 1 WATER CLOSETS.: 3 WASHINU MACH..: 1 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 100 TRAPS.........: 0
LAVATORIES....: 5 DISHWASHERS...: 1 FLOOR DRAINS..: 00 SEWER LINE ft: 100 SF RAIN DRAINS: l CATCH BASINS..: i,
TUB/SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: I GREASE TRAPS..: 0
OTHER FIXTURES: 0
--------------------------------------------------------------- MECHANICAL --------------------------------------------------------------.
FUEL TYPES------------ FURN ( 100K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1
GAS FURN )=IMW, ..: 1 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVF-S....: 0 GAS OUTLETS...: 1
-------------------------------------------------------------- ELECTRICAL ------------------ -
-RESIDENTIAL U(iiT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ----BRANCH CIRCUITS--- ----MISCELLANECAIS---- --ADD'L INSPECTIONS--
;000 SF OR LESS: 1 0 - 200 amp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
FA ADD'L 5005F.: 5 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/D SVC/FDR: b SIGN/OUT LIN LT: 0 PER HOUR......: @
LIMITED ENERGY.: 0 401 - S00 amp..: 0 401 - 600 asap..: 0 EP ADDL BR CIR: 0 SIGNAL./PANEL...: 0 IN PLANT....... 0
MANF HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+81ps-i0@0 v: 0 MINOR LABEL -10: 0
1000+ amp/volt.: 0 ----------------------------------- PLAN REVIEW SECTION -- -------------------- -
Reconnect only.: 0 )=4 RES UNITS..: SVC,/FDR)-225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
------------ ELECTRICAL. - RESTRICTED ENERGY ----—---------------------------------------- ----
A. SF RESIDENTIAL---------------------------- B. COMMERCIAL-------------------------—----—---------------—-----------------------------
AUDIO
OMIERCIAL------------------------------------------------------------------------------
AUDIO I STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDfrjR LNDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC..... .....: LANDSCAPE/1RRIG: P;:JTECTIVE SIGNL:
GARAGE U)MR..: CLOCK........... INSTRUMENTATION: MEDICAL........: OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL N SYSTEMS: 0
Owner: ------------------------------------Contractor: ----------------- ------------ TOTAL FEES:! 344@.20
RFNAISSANCE RENAISSANCE DEVELOPMENT This permit is subject t,, the regulations contained in the
t67r WILLAMETTE FALLS DRIVE 1672 SW WILLAMETTE FALLIS DR Tigard Municipal Code, State of Ore. Specialty Codes and all
WEST LINN OR 97068 WEST LINN OR 97066 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone M: 557-8000 Phone t: 557-8000 not started within 180 days of issuance, or if the work is
Rey C.: 000494 suspended fcr 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 DAR 952-0014010 through OAR 952-fa01-0080. You may obtain copies of these rules or
direct questions to OX by calling (503)246-1987.
---------------------------------------------------------- REDUIRED INSPECTIONS --------------------------------------------------
Erosion Control Crawl Drain Electrical Rough Gas Line Insp Weter Line Insp Plumb Fina,
Footing Insp PLM/Underfloor Framing Insp Gay Fireplace Water Service In Building Final
Foundation Insp Mechanical Insp Shear Wall Ipso Ins6 ation Insp Appr/Sdwlk Insp
Post/Beam Struct Plumb Top Out Low Voltage G,p Board Ins' Electrical Final
Post/Beam Mechan Electrical Servi Fi1place Insp Rain drain Insp Mechanical Fi 1
1SSLsed B?: C -- tle.,mittee Signati-:re : J
+++++++++; +++++++++++ +4.4+++++++++++++++++++++++++++++++ ++++++ ++ + ++++++
Call 63'3-4175 by 7:00 . m. for ar inspec} ion needed the next bUs ' ss day
I
r�
CITY OF TIGARD �
EwER CONNECTIONDEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : SWR97 04 1.9
DATE ISSUED: 12/11 /97
PARCEL: 2 S 104DD--06300
,l l i_ ADDRESS. . . : 12636 SW GAARDE: 5`11
1_;UBD I V IS I ON. . . . :EAGLE. POINTE ZONING: R-4. 5 PD
fit._OC:K. . . . . . . . . . LOT. . . . . . . . . . . . . :059 JURISDICTION:
"TE=NANT NAME. . . . . :
USA NO. . . . . . . . . . . FIXTURE UNITS. . . . 0
CLASS OF WORK. . , :NE.W DWEL.I...I NG UNITS. . : 1
TYPE: OF USE.. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TY T'. . . . :BUSWR TMPERV SURFACE: 0 S
Remarks : PATH 1 : New sinrlley family dweIIin4 w/attached garage.
Owner: FEES
RENAISSANCE type amo"knt by date recpt
1.672 WILt_AME"TTE FALLS DRIVE' PRMT E 2200. 00 JSD 1.2/11./97 97-3016216
WEST LININ OR 97068 I NSP E ;3`,.,. 00 JSD 12/ 11/97 97--3016,26
Phone #:
(I.ontract or
OWNER
Phone #: 2235. 00 TOTAL
Req #. . .
-- - - - REQUIRED INSPECTIONS
This Applicant 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
permit expires. The Agency doei not guarantee the accuracy of the
side sewer laterals. If Vie sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance qiven. if not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
ATTENTION: Oregon law requires you to follow rules adopted by the
Oregon Utiiity Notification Center. Those rules are set forth in OAR
through OAR 952-8@81-@@8@. You may obtain copies of
these rules or direct questions to OUNC by calling (50246-1987.
I i—, ted by : Permittee �tgnatikr•e :
4 +..}+.+++++++++++++++++++++++++++++•+++ +++++++++++++++++++++t+++++++++++++++++++•t++
Call 639-4175 by 7:00 p. m. for an inspection needed the next b�isiness day
44+++.+++++++++++++++++++++++-!++++f-++f++•++++.+++++++++++++++-1-+++++.++++++•++++++++++
OF ?;GARD IT`r Plan Che s
Residential Building Permit Application Recd By
J1;S sw HALL BLVD. New Construction Additions or Alterations Date Reed_'
iGARD, OR 97223 Single Family Detached or Attached (Duplex) Dade to P I:.
503-639-4171 Date to OST
503-684-7297 Permite h»
Print or Type Called. 2
Incomplete or illegible applications will not be accepted
Name of Project Name
Job ,�c,—S ���' G2 f;,k fS 6.yf
Andress Site Address n , _� vt-? Architect Mailing Addres&
Name ,�1 Ciry/Stair
vy ZiU ) Ph
��� ��'
OwnerMmlu�g Address Name
Engineer Maili Ad ress
Ciry�Stste Zi Phons 9
Name C'yfState Zip Phone
r�1`ir'�iu C«lT�p'! -s "' 5, ("o- '( '6,
Genera!
Describe work Naw O Addition O Alteration O Repair O
Contractor Mailing Address to be done:
i/ /•.) /;? P s � Additional Description of Work:
C+tyrState Zip Phone
OEggon Const.Cont- Board Lic.N Exp.Oats.
Attach Copy of 7 c !�
Current COT Business Tax or Metro N � q to . PRO�tECT _
Licenses /:r'�'( ,Y i �y VALr,JATION $
Name
'Mechanical MEW CONSTRUCTION ONLY:
Sub- Mailing Address Sq. Ft. House: Sq. Ft. Garage
'ontractor
C'tytstate Zippho a Comer lot YES VQ Flag Lot YES NO, "
(check one) (check one) L
Oregon Const. Cont. Board Lic Nexp. o to Restricted Audio/Steven Burglar
tach Copy of S��' ,) 3 _, -„)"� Energy System Alarm
Current COT Business Tax or Metro N - WIN Installation Garage Door HVAC
Licenses ' "i S : O ener
--- Name _ P Systems
(check all that Other.
i'fumbing ��:� ,f-�,% '� i�1�J���G apply)
Sub- Mailing Address Will the electrical subcontractor wire fWa_1I _iW NO
;ontractor .11 i , restricted ener 9Y installations?
C s ,/'�n/1.,�/7 /1l�
C'7"Stato Zip Phone Has the Suedivision Plat recorded? N/A YES- NO
►egos Const.Cont. Board I Exp. Dote , Reissue of MST# Solar Compliance
nccacn cony or /�/ f
-r �% f►EM
current Plumbing Lic. C (Calculation Attached) '
Licenses ,%< <'.� r� + r,� �� �' I hearby acknowledge that I have read this application,that rhe
COT Busis Tax or Metro N E pate information given is correct, that I am the owner or authorized
usines
es agent of the owner, and that plans submitted are in compliance
Name with Oregon State laws.
Electrical ,, Signa of Ower/Agent p to
Sub- Madinq Address 77
Contact P,�rsbn Na 0_'-' Phone x y
ontractor ✓ �,f, �/t>"ir ���`� _J � �s�� — 5� �•r
Citv�ta:e Zip Phone FOR OFFICE USE ONLY:
e- ,<'Ale Plat#: -
C � . Map/T3#:
Oregon ppsL
C
-tach Copy of (t'?`?� f. .� L Board L c N Ex
Setbacks: Solat:/
Current Fectnca,L,c.N
Licenses ��7�r�• /C� tEn ring Ap royal Panning approval: TIF:
COT Business Tax or Metro r tarp:Date
- lAsfapp.doc(dst) 1/97
• 1
Pormit # AccQunt Description Amount Amt, Pd. Bal. nue
MST. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
ELC/ELR Permit (ELPRMT)
State Tax (TAX)
Bldg:
Plumb:
Mech:
ELC/ELR:
Plan Check
MST: (BUPPLN)
Plumb: (PLMPLN)
Mech: (MECPLN)
COC Review (LANDUS)
_ Sewer Connection (SWUSA)
Reimbursement District ( )
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Erosion Control Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
Fire Life Safetv (FLS)
TOTALS:
--- -- i lstapp doc (dst) 1/97
i
SEE 35MM
R- OLL# 23
:FOR
LARGE
DOCUMENT