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10501 SW NAEVE STREET IS 3A3VAI MS tosot i us i H w w a Q a z N O 10501 SW NA.EVE ST s CITY O F T I G A R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2004-00159 1 DATE ISSUED: 13125 SW Lyall Blvd., Tigard, OR 97223 (503)639 4171 04 PARPARCEL: 2512S10DA-05800 SITE ADDRESS: 10501 SW NAEVE ST MODEL HOME SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT:019 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS _ HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: ELE 3 - 15 HP: COMML. INCIN: -AAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: <= 10000 cfm: OTHER UNITS: > GAS OUTLETS; 10000 cfm: Remarks: AC install. Owner: FEES ANASPASAKIS, DEMOS Description Date Amount 10501 SW NAEVE TIGARD, OR 97224 IMECH] Permit Fee 4/1/2004 $72.50 [TAX]8%State Surchart 4/1/2004 $5.80 Phone: 503-603-9961 Total $78.30 — Contractor: GAROKEN ENERGY COMPANY 3565 SW 182ND AVE BEAVERTON, OR 97006 _REQUIRED INSPECTIONS__ " Phone: 503-848-1838 Coolinq Unt Insp Final Inspection Reg#: LIC 43124 CL dt: rn a� WThis permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. 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 �.)r more than 180 day ATTENTION: Oregon law requires you to folle-H rules adopted in the Or yon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. YOU may obtain copies of these rules or direct questions to OUNC by calling (503)246-6699. 9 Issued By: Permittee Signature: Call (503)639-4175 by 7:00 P.M.for Inspections needed the next business day ' 'JO/2004 17:25 50335591302 GAROVEN PAGE 01 r !0 ;18�21T03 10:57 FAX 10359sipa0 CITY of TIGARD Zoo2 Mechanical Per, t cation J � ? Mechanical � City of Tigard ZI)01+ �u� r ' F ,�� y. 1,cyI 13125 S'V Hall Blvd. ,hb,: Tigard.Oregon 97223 A� Plan cAcwIL tMr Phone: 503-639.4171 Fax: r3�Y� .1l osis vitwi— '�ridtr N lSit lncetsrer www,ci.ti�ard,or.u� .t 111_DI ('' au o 24-hour Inspection Request. 503-639 4175ons loris•: K see 1 or NamaJMelhpe) - u htneetr tarorma fe . L,---L, b. New conetruet,an� Domal 0 7NOWOMIrOd. it fees•are trued on the Coal vafua of rhe work _ s _ ddition/tlteration/r�lacerunt Other: awthe value(rowtdrf to tha nauest dollar)of NI _— t)F , nals.a,qutpment,labor,overhead Unci rost. "iiiwG; pi & 2-Family dwelling Corwnsr�ai/�S�tr{tl Sw!►a a?for RN schedule Accessil � Multi-Famil .j-Master Builder Other, Aon 14#411113 Total BS Job Site address; 1 Lair om tho tin •• I4,00 �v� /� Q u� hest Suite M: Bld /A t* ' - Project Name• �— �'• _ — lives streetTImctions to Jo r site: catdmdal ar (r JLftl9lator or h Ic Mtem) 14.0 Unit fowlers( e,not elf c) in wall In.duit,TU 0, 14.0(, Subdivision: t lue/vent r sny o(abo�e) _X00 ---- I.ot N; Its _ 121 Ss Tax map/parcel#, Water trer ~ � :qr ,:•,. ,,?. H, 10,00 — I,o qsa ` o�alW stove 1 1wx/i Rd 19-00 Xlnnr/ ue/v t 1 _ 't' �y't aw••.�' a: I .00 Name: a f• eta Va a Address: IC15V/ / kanse 0 trkitchentgre,prt,st,t 10,00 Cit /State/4j : Clothes Oyer.xhausr10,00 Fal(: uct PhOI,C:' - J Si"Sle dexhurn - —— � N (bathrooms,toilet cowpaattmente, u ' ' rooms 6.80 Name: AftiE/ w ace aro - 10, IM. Address: other. o. City/State/Zip: �� -- •• s. tint >I aa.a. Phone: Fes; urnocka 21C. ..— E-mail: Glu he�u�m mr .�„ W�Vwe�aA4ntt+lc •• BtiSilfCs:9N81111C: r WeOso� .• J res Adds: 3 Nn --- .. city/State/zip: � -r _� •• Phone Fes: 3 S to Cloth= r CCB Lia #: 4 aTod11- 1.� •.__ i Authori Signature: _ Dater Su Y t ax 572. !view � of Pam t fei (Please print name) Staits Swellim (I%of Petrn,t es ►9 i Asan: This permit epplic ition expires if permit is net oMsired within MTolsty ret i;TRsooty • wt t• refry, p 180 drys.her It het Mew wee•pted as eumplut•. *'Site P12P remelted err ousels.A/C eak& 03/30/2004 17:25 5033569002 GARfEN PAGE 02 lC3AMaOKEN ENERGY CO. INC. � SINCC 1 979 ' 3565 SW 1 B2NO AkVr • BirAVCRTON, OR 97007 • TEL 19031 449.3939 • FAX (903) 796 vg03 • CCe7M 43124 INSTALLATION ADDS OMY rrs r� 1 f N ,�0 m 1r! uNiA eU(� 3:1RE .�...•qr �� .w.r.ewM M CITY OF TI^ARD ELECTRICAL PERMIT - s ' DEVELOPMENT SERVICES DATE ISSUIED: 4 6/04004-00 1 7 1 13125 SW Hall Blvd., Tigard. OR 97223 (503)639-4171 PARCEL: 2S110DA-05800 SITE ADDRESS: 10501 SW NAEVE ST MODEL HOME ZONING: R-3.5 SUBDIVISION: ERICKSON HEIGHTS BLOCK: LOT: 019 JURISDICTION; TIG Project Description: 2 branch circuits for a/c 8 convenience plug. RESIDENTIAL UNIT TEMP SRVQFEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/F ANEL: MANF HMI SVCi FDR: 601+amps-1000 volts: MINOR LABEL (10): SERVICEIFEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 411 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amplvolt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: _ SVC/FDR>=225 AMPS: CLASS AREA/SPEC O`CC: Owner: Contractor: ANASPASAKIS,DEMOS HEBERLE ELECTRIC 10501 SW NAEVE 7456 SW BASELINE RD#414 TIGARD,OR 9722-1 HIL.LSBORO,OR 97123 Phone: 503-603-9861 Phone: 503-628-2095 Reg#: SI lP 3053S LIC 152342 FEES ELF 34-160C Description Date Amount Required Inspections IELPRMTj ELC Permit 4/6/04 $53.50 r- [TAX)8%State Surcharge 4/6/04 84.28 Rough-In Elect'0 Final Total $57.78 This 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 Rit started w1hin 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted uy the Oregon Utility Notification Cen19r. Those rules are set forth in OAR 952- -0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to GUNC at(503)24&8699 or 1-800-332- IL Issu By: ' Permit Signat t— - __ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. m 0 OWNER'S SIGNATURE: DATE:_-.__ W a CONTRACTOR INSTALLATION ONLY L SIGNATURE OF SUPR. ELEC'N: �— ! —~�--� DATE: LICENSE .'!O: � •r3c/ Call 6394175 by 7:00pm for an Inspection the next business day 9/05/2004 19:28 5036283076 HEBERLE ELEURD: PAGE 01 Electrical Permit Application Datereceived: Pcrmltno G / City of Tigard Prole /appl.no.: B it.date: ciry of rigerd Address: 13125 SW II .,Ti*pW.M 97223 Date I•suud: 13 Receipt no.: -''11 u Phone: (503) 639 `_-F Fax: (503) 598-1960 Cane file no.: payment type: Land use approval: 1 &2 family dwelling or accessory U CommercialrndustHal Q Multifamily ❑Tenant improvement 11 New construction ❑Addition/alteration/replacement ❑Other.__ 0 Ptutial Job address: I S IQttr E V Bldg,no.: Suite no.: Tax ma tax lottaccount no.: Lot: 1t31ock _ Subdivision: —r N'1If-,L4 -_ Pro ect name: _ p S ��cription and location of wort on miles: _ Estimated date of con Ietion/ins tion: kl,.. '1<p0 Fee Jolr Do: _ tit Business name: PUB 9414 oti 2�l ee. larp 1Vaw •sta�w ti•► Addrrss_ EshmWtilp•ee City Z1P: t9lutlaYsrbMt� Phone Fax: Z9• &Mail! Itx10 .ft or len _ 4 E sch addltlonal 500 eq,rt.or portion thtsoof CCB no.: 4SZ-_ef'l;. 1 filet.bus.lic.no' L lmiredrn ,maid•A1I 2 City/ tic.n Limit^ non td� 2 �0 aehmennractat or modulard%rlllna ligietufe of su vising elcttridon rs hired) Date �•^'lOB Of(cadet 2 Sup sleet.name m L. Wcatse tlo�bS3- M e. r+=para ar ahtx ou'sertatlocalfon 2lq erica• 2 Name( nt): (s to 4W __..�—._ 2 01 em oat a ��-- Mailing addrn : 6olam as 00 am • C t . State: ZIP: ..� ver 000 orvo b 2 I'tlone; a3- Fax: E-mail Ramttta�t owner installation:The installation is being made on property I own which is not intended for sale,lease,rent,or exchange according to ~e'er 700 or law 2 CRS 447,455,474.670,701. 1 a s Owner's sl nptum: Date: 401 to 6W sum Ifk+t-r •saw.■ cation -atttdtalM per peeh Name: _ A. Fee far Nwxh circuits vdth purch1vt or Addtrss: - service or fooder fbc,erh brach circuit Stets: ZIP for Wench ahrei Cita wt�6wut�urcha�, d. y: of soviet or Nader fct. rs t: 2 t3. it Phone: Fax: &turd: F.ec tionaltrenchdoafr F- Mt.c.( a sof N4 2 ❑Service over W amps-comtnerdvl O Health-cue fedlity Rauh mp of Irrl on aireta ❑service ovef no amps-rat Ina of l A2 O HatoMows location sign or it i � family dwelling D Budding over 10,000 tlgearc ibet four at !in cltcuit(a)or a limited crafty panel, 1a t]System over 600 volts nominal more residential units in nra nrucmre aleration,or e_ntetr•lon• 2 O Building ova three fishier ❑Peodm,400 amp•or more, •VWW on: Up O Occupant load ova 99 pe*wvns ❑Mamtfectutnd strurturca a RV park olerflye one" ble la coq Oran Elsoc 0 FgressAIghtingplan p Other:. __ Prr inspection - Submit__sets of Pham with m1y of the obese. nvaatl tion fee ime above are not appllnble to teen coo ouLt tom swdm other cul Notloc:This permit application Permit fee.....................9 Not dl iuriadkNens accept read+,Please JtttirAktcon/ alae lafarn�al,n. U Visa 13 Mastcrfardexpires If a permit is not ohtainod Plan review(at within Igo day+attar k has been State surcharge(8%)....$ crcdlt¢ra mtmeer: - — TOTAL •..... ..$ -7, •!�- .e roc a�p��, apt� ............... stns ore ,heats an a --- ; �-.. 5 F Z� — tyteam T Ama•a 44DAII(tiDMiOM)i CITY OF TIGARD 74-Hour BUILDING Inspectlon Line: (503)639-4175 MST INSPECTION DIVISION / !nes 503)639-4171 Sup ReceivedDate Requ sled AM PM Sup t� Location c Suite MEC __ U (✓ Contact Person _ Ph( l - PLM _ Contractor_ Ph(_ ) - SWR BUILDING Tenant/OwnerLC Footing FLC Foundation Access' -- Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post R Beam _ Shear Anchors -- —• Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing ---- - _-__ Firewall Fire Sprinkler - ---- Fire Alarm I Susp'd Ceiling - ---- ---- -- - Roof Ocher:Final PASS PART FAIL - -- PLUMBING _ Post& Beam Under Slab Rough-In - Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain --- -- -- — Shower Pan Other. - - -- —-— ----- - Final --- ._i--- FAIL - ------ --�- -- _ Post&-Beam _ -- Rough-In 4. Gas Line -�- a Smoke Dampers - H A P RT FAIL i J Service -- m Rough-In UG/Slab _ �: -- -- Low Voltage - arm Final Reinstion fee of$ r uired hafore next ins RT FAIL [j pecV -- `� pection. Pay at City Hall, 3125 SW Hail Bivd- SITE —_ Please call for reinspection RE:- Unable to inspect-no access Fire Supply Line ADA G_ ! Approach/Sidewalk DS&O Other: _-_-- 77-- Final OO NOT REMOVE this Inspection rmw from thojobe oft. PASS PART FAIL i i •a � J � y� C N Q Do 0 L3 v o l 11.1 0 G y 3 u � IL `� Q _ c 0 y v C7 0 0 r, w z u 4, 1v o h 40A CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2001-(0343 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 08/15/2001 SITE ADDRESS: 10501 SW NAEVE ST MODEL HOME PARCEL: 2S110DA-05800 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 019 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINva: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Irrigation backflow prevention device. Owner: FEES ---� Type By Date Amount Receipt RENAISSANCE CUSTOM HOMES PRMT CTR 08/15/2001 $36.25 27200100000 1672 SW WILLAMETTE FALLS DR 5PCT CTR 08/15/2001 $2.90 27200100000 WEST LINN, OR 97062 Total X39.15 Rhona 1: Contractor: MOODY ENTERPRISES INC PO BOX 713 ESTACADA,OR 97023 REDUIREr.' INSPECTIONS Phone 1: 503-630-5532 Final Inspection Reg#: LIC 5973 PLM 11717 a i� N- Rn J m This permit is issued subject to the regulations contained in the 'rigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. LU This permit will expire if work is not started within 180 days of is, or ff work is s��spPnded for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification "enter. 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 OUNCby calling (503) 246-1987. i Issued By: -f== .1,, s! �� d �, Permittee Signature: � Q Call(503)639-4175 by 7:00 P.M.for an Inspection needed the next business day o2 0 0141 Plumbing Permit Application Datereceived: 2 p Permit no.:,P/./f240/-,JOS,� City of Tigard Sewer Permit no.: Building permit no.: Address: 13125 SW}Tall Blvd.Tigard, OR 972.'.3 -----_.. City ofTYgard phone: (503) 639-4171 Project/ampl.no.: Exptre date: Fax: (503) 598-1960 Datelesued: By /J, Receiptno.: Land use approval: _ Case file no: Payment type: O R 2 fanny dwelling or accessory O Commertial/industrial LI Multi-family O Temt improvement O New cunstruction O Addition/alteratiort/repiacement 0 Food service O Other: !ob address: 105—CII Fee(1816-11 I Total Bldg. no.: 5u:ite no.: et~I-and t- ge only: Tax map/tax lot/a^count no.: (Iocluda100ft.for e*Lk ttkyconmedoa) Lot; J 10lock: Subdivision: SFR(1)bath - SFR )bates—� Proje t name: Z 1 SO�• z�'� ( )bath City/county: JVP: '772Z.1 ac a ition at tc en i Description and location of work on premises: ,5'�r��,�¢f res` 141toLidkiast _ Catch baein/area drain Est.date of completionlinspection: w/trench dmin oottn tarn ,no.lin.ft.) Manufactured home uu tti' es Business name: c J ,-,v -4 Z L 00 _ Address: .� y ?%� n connector City: t; State:0 1 ZIP: 7G'z _ Sanitary sewer no.tin. t.) I Phone: o3' (.)-f-Ty z J Fax:ty,ie I E-mail: rIo Water service sei CCB no.:JJ'j 7 Plumb, bus.reg.no: S' '? ' no. tn. t. Cit /metro Tic.no.: AbsofFlxtwro or ftetat ve Contractor's representative signature: _ Back ow tionvaventer _ Print name: /; r /y--, Date: '/ �/ water valve /� asias/lavato Name: p , 1 e- '11,cc es washer _ - Address: ,GSy, 7 iJ rs wasTier� StataC ZIP: v Y �Jr5M o�tain(s) ecto sum Phone: r7--C '6, Sd ' Fax: rry.l�r E-mail: anston tank Fixturelsewer clip Name(print) Floor drains/floor sinWhu Mailing address: awe disposal ose bibb City: State: ZIP: ce m- cer d Phone. Fax: E mail: nterc to tease tre 0- r installation/residential maintenance only: The actual ingtalladon he made by mea a ntenance and repair . ide by my regular Roofrainy(commeHa) employee on the p e:t I as per ORS ter 447. Sink(s), ,n s ava s OHner's signature Date: �� um J "ss tower�t pan Uri il W Name: -- - -- -- — --- n Water asci J Address: ater eTi ater City: �� State: _ ZIP r Phone: Fax: Email: Total Na an ltulMledonr accept aWlt cud,pian call Ndselicdoe for more Womtatlon. Minimum fee................S G, z _ Notice:This permit app.ication !Ian review(at 96 $ 0 VisaLlMuterCard rxpires if a permit is not obtained ) 'l Cradit and number:_ State surcharge(8%)....S -�--- within 1 SO days after it hes been G Room of r n own an credit co - accepted as complete. 'TOTAL .......................$ r nptattuv Amu n 440-1616(btKVCOAf, • ELECTRICAL PERMIT- CITY OF TIGARD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT ELR2001.00082 13125 SW Hall 31vd., 1 ipard, OR 97223 (503) 6394171 DATE ISSUED: 3/27/01 SITE.ADDRESS: 10501 SW NAEVE ST MODEL NOME PARCEL: 2S110DA-05800 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 019 JURISDICTION: TIG Proiect Description: A.RESIDENTIAL B.COMMERCIAL _ AUDIO&STEREO: AUDIO&, STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _ _-- �T TAIL OF 31( LF��_. Owner: Contractor: RENAISSANCE CUSTOM HOMES GRF_ENI INE INC 1672 SW WILLAME rTF. FALLS DR PO BOX 230755 WEST LINN, OR 97062 TIGARD, Or: 97223 Phone: Phona: 968-1978 Reg#: LIC 103033 ELE 34-39;rCL FEE3 Required Inspections Type By Date Amount Receipt PRMT CTR 3/27/01 $75.00 2720010000 5PCT CTR 3/27/01 $6.00 2720010000 Total $81.00 J� I� I This 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 o;issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law a requires you to follow rules adopted by the Oregon Utility Notification Center. Those riles are set forth in OAR tX 952.001-0010 through OAR 952-001-0080. You may obtain copies of these rules o, direct questions to OUNC at (503) N 246-1987 _ Issued by _ Permittee Signature OWNER INSTALLATION ONLY WThe Installation Is being m e roperty I own which Is not Intended for sale. lease, or ren OWNER'S SIGNATURE: "" — DATE..: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 639-4175 by 7:00 P.M.for an Inspection needed the next business day Electrical Permit Application Datervicelved: /1 Q; Permit no. City Of Y igard Project/appl.no. Expire date: Ciry of Dgard Address: 13125 SW Hall Blvd,'Tigard,OR 97223 Date issued: By: Receipt Oto.: Phone: (503) 639-4171 ---- Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: — "&2 y dwelling or accessory O Commercial industrial U Multi-family U Tenant improvement uction U Add ition/altcm(ion/repl ace ment O Other: U Partial Job address: 6W—NA Bldg.no.: Suite no.: Tax maprtax lot/account no.: Lot: Block: Subdivision: Project name: Description and location of work on premises: Estimated date of com Ietion/inspection: Job no: Fee Max Business name: _L1��— _ - — — Description Qty- ea Total no. New reald"WW-shrgre or asom-ramily per Address: Z dwelling mit.Inchades olfachtd garage. City: i Stale: 'LIP: Serviceinc 'I'- Phone. Fa •-mail: IO(IO sq.ft.or lees _ 4 CCB no.: Elec.bus. tic.no: Each additional 500 sq.A.or portion Thereof Limited energy,residential _ 2 Cily/ atro lic.no.: Limited energy,non-residential 2 Each manufactured home or modular dwelling Signature of supervising electrician(required)_ Date Service and/or feeder 2_ Sup.elect.name(print): License no: Serrlces or reeden–installation, alteration or relocation: 200 amps r.r less 2 Name(print) �1�y __ � 201 empsto400amps — 2 Mallin Address: 401 amps to 600 amps 2 _ g 601 amps to I(K10 amps 2 C i1W State' ZIP: — Over 1000 amps or volts 2 I'Iwnc: Fax: E mall: Reconnect only 1 Owner installation:The installation is being made on property 1 own Teraporarytierrtcesorfeeders- which is not intended for sale,lease,rent,or exchange according to �,t.naflon,alteMMn,or►tMcatbn: ORS 447,455,479, 0 "1 amps or less 2 201 amps to 400 amps 2 Owner's si nature: Date: 3 20110 600 amps 2 MooBranch circnlh-new,alteration, or extension per pinel: Name. A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 Cily: Stale: ZIP: B. Fee for branch cimdts without purchase IL ---Phone: Fax: E-mail: of service or feeder fee,first branch circuit: 2 � -- Each additional branch circuit: NEMIN�__ Mke.(Service or feeder not Included): D Service over 223 amps commetefal O Health-care facility Pach pump or irrigation circle —_ 2 O Service ova 320 amps-rasing of 1&2 U Hazardous location Each si n or outline lighting2 family dwellings U Building over 10,000 square feet four nr Signal circuit(s)or a limited energy panel, U System over 600 volts nominal more residential units in one rtmcture alteration.orextension• _ 2 O Building over three stories U Feeders,400 amps or more "'Description: W U Occupant load over 99 persons U Manufactured structures or RV park Fich additional inspection over the allowable In any of the above: J O EgressAightingplau U Other _- Perinspection Submit sets of plans with any of the above. Investigation fes _ The above are not applicable to temporary comitnMion service. Other Not ill Jurisdictions crept credit cards,pleaw call linin iction for mm information. Notice: Iltis pennit application Permit fee.....................$ O Visa O MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit cad number: within 190 days after it has been State surcharge(8%) ....$ Expirc. accepted as complete. TOTAL. .......................$ �• Name of earl older as dKnm on c t card S C t tae Amman 4404613(60W1COM) CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2,64W -0'0 24-Flour Inspection Line: 639-4176 Business Line: 639-4171 BUP Date Requested 1� Z Z- AM PM ___- BLD Location f U 5 ( S L✓ -*a-P sy` Suite MEC _ Contact Person Ph _- 0 7- PLM ` Contractor Ph SWR AV!LDI fenanUOwner ELC Retai3 Wall ELR Footing -' Access: Foundation / FPS Fig Drain �� Crawl Drain Inspection Notes: SGN Stab SIT Post&Beam -- — Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm J" Susp'd Ceiling Roof WFi S PART FAIL - PIMBING _ Post&Beam r Under Slab Top Out — - Water Service _ S�itary Sewer - -� - RE Drains Final --- PASS PART FAIL MECHANICAL Post 6 Beam --- - - ---- Rough In Gas Line - --- --- Smoke Dampers Final ---- -- ------ --- _ PASS PART FAIL ELECTRICAL Q Service Rough In UG/Slab Low Voltage -_--� -P -- - Fire Alarm Final W PASS PART FAIL w SITE - -j Backfill/Grading - Sanitary Sewer Storm Drain ( I Reinspection fee of; - required before next inspection. Pay at City Halt, 13125 SW Ha!I Blvd Catch Basin Fire Supply Line ( 1 Please call for reinspection RE: _ ,-•__ [ ]Unable to inspect-no access ADA Approach/Sidewalk Z (J �-�'�"�,_ Other Date _�/ ��Inspector Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the jo:a site. CITY OF TIOARD BUILDING INSPECTION DIVISION MST ��,� _p 24-Hour Inspection Line: 639.4175 Business Line: 639-4171 , • BUP Date Requested —I ) — AM__PM-__ BLD Location Id SZ�r -5wAftNIK Ila love ,S/� Suite ____ MEC Contact Person Ph fig- .3- Z/ PLM _ Contractor Ph SWR BUILDING Tenant/Owner ELC _ Retaining Wall —^ ELR Footing Access: Foundation FPS Fig Drain $GN Crawl Drain Inspection Notes: Slab - 31"f, Post&Beam Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler _�C. Fire Alarm Susp'd Ceiling d , t 60 Roof Misc:_ _ — Final PASS PART FAIL PLUMBING Post R LL-am -' - Under Slau _ Top Out — Water Service Sanitary Sewer Rain Drains _ Final _. PASS PART FAIL. _ Prygt R Beam -- -- Rough In /� Gas Line f�` -- - —---- — - - Smoke Dampers — ASS P T FAIL ECEWMAL a Service Rough In F" UG/Slab U) Low Voltage Fire Alarm ..: Final f� PASS PART FAIL — W SITE J Backfill/Grading Sanitary Sewer Storm Drain [ j Reinspection fee of$_ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RF: _ _ [ j Unable to inspect-no access ADA � Approach/Sidewalk / -(4 Other Date - nspector Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY-OF TIGARD BUILDING INSPECTION DIVISION MST -*6y-00 ,G f .24-Hwur Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested 3 -AM PM BLD L ocation 7'G / - 4'e Suite MEC Contact Person Ph F6 3 L / PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR _ Footing Access: / Foundation v�� (G6 J( /� J /q FPS Ftg Drain w crawl Drain Inspection Notes: SON -- Slab SIT Bost S Beam / Ext Sheath/Shear L �7'�0C 6!"S — Ok-t--55- _ //O z _ Int Sheath/Shear gaming Insulation Drywall Nailing _ Firewall /' Fire Sprinkler __ C— Fire Alam, Susp'd Ceiling Roof Misc: 1 Fina! PASSS �!y� f" n/ 5711 PART FAIL � G � f • �� PLUMBING c ZMt Post&Beam - Under Slab Top Out Water Service _ Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Poo r3,Beam -- Rough In Gas Line - Smoke Dampers r Final — — PAS§ ART FAIL LECTRIC `-- (L se a Rough In r NUr"'ab _ Low'voltage Fire 1,la m I J _ED S PART FAIL 5 i Backfill/Grading — Sanitary Sewer Storm Drain [ ]Reinspection fee of S required before,next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE:_ ]Unable to inspect-no access ADA Approach/Sidewalk Date �l Inspector._._ EXt _ -.-- Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site, CITY OF TICARD MASTER PERMIT PERMIT;Ii: MST2000-00161 DEVELOPMENT SERVICES GATE ISSUED: 06/15/2000 13125 SW Hall Blvd.,Tigard,OR 97223 (503) 639-4171 SITE ADDRESS: 10501 SW NAEVE ST MODEL HOME �v PARCEL: 2S110DA-EHO19 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT:019 �` JURISDICTION: TICS REMARKS: SIF PATH I BUILDING REISSUE: STORIES. 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 25 FIRST: 1,439 of BASEMENT: of LEFT: 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.252 of GARAGE: 645 of FRONT: 20 PARKING SPACES: 2 TYPE OF CONST: 5N DWELLING UNITS: I FIN13SMENT: of RIGHT: 7 VALUE: $103,020 67 OCCUPANCY GRP: R3 BDRM: 4 PATH: 3 TOTAL: 2,691.00 of REAR: 22 PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 1 JO TRAPS: LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAIN$: 1 CATCH BASINS: TUBISHOWERS: 4 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 RCKFLW PREVNTR; I GREASE TRAPS: OTTIER FIXTUnE8: MECHANICAL FUEL TYPES FURN<100K: BOIUCMP<]HP: VENT FANS: 5 CLOTHES DRYER: 1 (:nS FURN>-100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS! I MAX INP: btu FLOOR FURNANCES: VENTS: W00DSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIF.EDERS BRANCH CIRCUITS MISCELLANEOI;S _ ADD IL INSPECTIONS _ 1000 SF OR LESS: 1 0 200 amp: 0 200 amp: WISVC OR FD.`: 1 PUMPIIRRIOATION: PER INSPECTION: FA ADD'L 500SF: 5 201 400 amp: 201 400 amp: lot WA3 SVCIFDR: 00 SIGN/OUT LIN LY: PER HOUR: LIMITED ENERGY, 401 -500.mp: 401 000 amp: EA ADDL.BR CIR: SIGNALIPANEL.: IN PLANT: MANU HMISVC/rOR: $01 - 1000 amp: 601+1mpo1000V: MINOR LABEL: 1000•ampfvolt: ' PLAN REVIEW SECTION Reconnect only: >-4 RES UNITS: SVCIFDR-1-225 A.: >500 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL-RESTRICTED ENERGY A.SF RESIDENTIAL S.COMMERCIAL: AUDIO L STEREO: VACUUM SYSTEM: AUDIO S STEREO: FIRE ALARM: INTERCOMMAOINO: OUTDOOR LND.9C LT: BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIO: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATAITELE COMM: NURSE CALLS: TOTAL A SYSTEMS: Owner: Contractor: TOTAL FEES: $ 6,025.79 RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES IN(This permit Is subject to the regulations contained in the 1672 SW WILLAMETTE FALLS DR 1672 SW WILLAMETTE FALLS DR Tigard Municipal Code,State Specialty Codes and all other applicable laws. All woo rkk w will be done in WEST LINN,OR 97062 WEST L.INN,OR 97068 accordance wfth approved plans. This permitwill expire if d work is not started within 180 days of issuance,or if the work is suspended for more than 180 days. ATTENTION Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set Reg 5: LIC 00097599 forth in OAR 952-001-0010 through 952-001-0080 You may obtain copies of thew rules or direct questions to OUNC by catling(503)246-1987. (� REQUIRED INSPECTIONS --J Erosion 844-8444 Underfloor Insulation Mechanical Insp Shear Wall Insp Rain drain Insp Plumb Final Footing Insp Crawl Drain,'Backwater Plumb Top Out Low Voltage Water Line Insp Final Inspection Foundation Insp Footing/Foundation Dr: Electrical Service Gas Line Insp Appr/Sdwik Insp Building Final Post/ aural PLM/Underfloor Electrical Rough In Gas Fireplace Electrical Final P st/Beam Mecha 1 Mechanical Insp Framing Insp Insulatlon Insp Mechanical Final Vsdy : Permittee Signature �'.-- Call(503)639-4175 by 7:00 p.m.for an Inspection needs:tl 1r3 nosxt business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICE: PERMIT#: SWR2000-00123 13125 SW Hall Blvd.,Tigard,OR 97223 (503; 639-4171�V PARCEL: 2S110DA-EH019 ` DATE ISSUED: 6/15/00 SITE ADDRESS; 10501 SW NAEVE ST MODEL HOME SUBDIVISION: ERICKSON HEIGHTS ' ZONING: R-3.5 BLOCK: _ LOT: 019 JURISDICTION: TIG _ TENANT NAME: USA NO: '�lXTURE UNITS: CLASS OF WORK: NEW O DWELLING UNITS: 1 TYPE OF USE: SF NO.OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: S/F PATH I Owner: FEES RENAISSANCE CUSTOM HOMES �T e B Date Amount Receipt 1672 SW WILLAMETTE FALLS DR yp y p WEST LINN, OR 97068 INSP KJP 6/15/00 $35.00 0003028 PRMT KJP 6/15/00 $2,300.00 0003028 Phone: otal $2,335.00 Contractor: Phone: Reg#: Required Inspections Sewer Inspection a a U) J m This Applicant agrees to comply with all the rules and regulatir,ns of the Unified Sewage Agency. The permit expires 180 days from the date issuers. The total amount paid will be forfeited if the permit expires. The Agency does not W-i 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. ATTENTION: Oregon law requires vni to follow rules adopted by t)itf'0regon t tiI- y Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. Y u may obtain cop' s of these rules or direct questions to OUNC b,calling(503) 246-1987. lssu"_by: -_LU/ Permittee Signature: _ --- Call (503)639-4175 by 7:00 P.M. for an Inspection needed the next business day 6TITVAOF TIGARD Residential Building Permit Appiicatlon` Pianchock $g 13125 SW HALL BLVD. New Constructions ' TIGARD, OR 97223 Single Family Detached f ': '��`b t�lie V 503-639-4171 3'?"', ?: DIU to DST' F 503-684-7297 . . : PermR ii m st?•v- oa 16/ Print or Type calla cw K-z-we -o o 1 Z3 Incomplete or illegible applications will not be accepted Name of Pfulect Name Job m r _ gx,'Aazl As..j Address SM Address Arch Melling A�rom /Oso/ f!,/ &,Os 7//0 St✓ `r Snd 2/10 Name cKyrataiia Zlb Phone Z Z3 C 7 [57 rAR/ f'ONrp n�+!'1 Owner Mailing Address L 7 Z rV 4/,/ / 0r Mailing Address cny/stata zip Phone Engineer –L/ 'I C, z ss7- mmv 163 zs sl.,i Clty/State IJP Phoma General Norm 0 70311 4W- m7gv/ Contractor Sa.�,e Desaem work Nand Addition O AReration O opsin O Mailing Address _ to be done: Prior to permd Additional Descripdorn of Work issuance,a copy City/stak Zip Phone of as licenses we required If Oregon Cornet Cont.Board Exp.Date ROJECT expired binasGeOT Ue,e `/7S 312 t/ 02 VALUATION S�'��y-t��87 ddp Mechanical Name ' NEW CONSTRUCTION ONLY: Sub- — �ou,�,/ Tp �Q Sq.Ft.House: c Sq.FL((,is Mailing Address —� 7 677— (o i s Contractor � � Inak--te the restricted energy installation by the electrical Prior to a cvpermit 136 t e/ S E .4e,6✓�-i subcontractor in the llolloMri areas Issuance,a copy City/Stab Zip Phone -- ofall Ik*nses L 70/S 1 6-5W- 3//s" Restricted Audio/Stereo are required If Oregon Cornet Cont.Board Exp.Date nervy system Alarrrs expired In COT LiceInstallations Vacuum Irrigation database C7 System Plumbing Name (check all that other. /° Sub- C «f'IL 4M G ' apply) Contractor Moiling Addn+sa Number of Units in Wading Unit Number Designation 773 6 S v`411 Has the Subdivision Plat recorded? WA YE,S NO Prior to permit Cihdsum Zip Phone X Issuance,a copy / e4 v, - 2 7,s'0 IF GVV- -- of all licenses are Oregon Const.Cont_Board Exp.Date / required if UC-s expired In COT 7`�66 b 2 /m/,D/ database Plumbing Lic.t Exp,Date I hearty acknowledge that I have road this applicadon,that the IL r Information given Is correct,that I am the owrw or authoized agent _ 2�D - ///g /S Z�Z� o of the owner,and that plans submitted are In ccaVllience with I'- Name Oregon State laws. fn Electrical 4 _ /« Signage of. ent Dat J Sub- Malting Address -- -- S 3000 Contact Person Name Phone m Contractor l�' / 2C/ gam Ctty/State Zip Phone J Rlor to permit Issuance,a copy C 10t lec/Nas 7mI G s7-m/fit FOR OFFICE USE ONLY: n f bor ' f"_ - "T of all Licenses are Oregon Const.Cork Board Exp.Date Plat$7 Ma — required it Uc-# expired In COT O-3 5 W 9/t//CP database Electrical Lic./ .13 f Setbacks: Znna: 3-iL Electrical Supervisor Lie.# Exp. Engineering Approlai: PisrNting Approval: TIF 1: IMPIWa 1114 s .doc t 1/POV'!e NM , CMEPTS. HT FOU" MA EXTERIOR HEI � S ��"OQI�,RS AND PROVIDE s,. ERICKSON CA M�pAGE SURVEY. LOT 19 BUILDING FOOTPRINT SETBACK comm: yQ�,.�VEI,PAD NtiO1�11E EL 37Y s �` llt.na7rw.+n' C.yd�.•« /+��rs CONCRETE Own a IN SS7- 1001P 4 csc-K o/ 15110,4,k PROVIDE374.75 I 2 �YNNT SOL EL L S I G.a� Y Tiw�d /s..'4r FENCE AS INDICA f l 37y.15 L.t �>r tr.sk:.r, hF�A/r /m Soi j�✓ sV�ewc St. S 89'57'05"E s311 .1 ,�---•� � 7.6' EL 3� 0 20 101 . SCALE: 1"=10' W I ' W f 31'1 O u7 �f� �r � W r W I R 7 22 Ld"/ 371IEC 30 "20 Lv 04,f .EL 371IL a N EL 37/ f- m 0 o R= 277 m EZ_ L=47.6 C7 N. 37o w I G•~r~� ,5� E ry Ec 300 r Si �_ � rrfbu� EL SGA - - N 89'57 05"W r Et 391 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 EBF.1 FIS IMPORTANT PERMIT NOTICE LY: 2 p 2000 CRAFTWORK PLUMBING INC 7736 SW NIMBUS AVE BEAVERTON, OR 97008 Plumbing Signature Form Permit M MST2000-00161 Date Issued: 06/15/2000 Parcel: 2S110DA-EHO19 Site Address: 10501 SW NAEVE ST MODEL HOME Subdivision: ERICKSON HEIGHTS Block: Lot: 019 Jurisdiction: TIG Zoning: R-3.5 Remarks: S/F 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 the work to the address above, ATTN: Building Dept, No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: RENAISSANCE CUSTOM HOMES CRAFTWORK PLUMBING INC 1672 SW WILLAMETTE FALLS DR 7736 SW NIMBUS AVE WEST LINN, OR 97062 BEAVERTON, OR 97008 Phone #: Phone #: 644-8698 Reg #: t_IC 79666 a PI M 20-148PB OC F- N AN INK SIGNATURE IS REQUIRED ON THIS FORM m X Signature of Authorized Plumber If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13126 S.W. HALL BLVD. TIGARD, OR 97223 RF�FIVF.,D IMPORTANT PERMIT NOTICE JUN 14 0 2000 GAGE ENTERPRISES INC 13Y: PO BOX 1429 CLACKAMAS, OR 97015-1429 Electrical Signature Form Permit#: MST2000-00161 Date Issued: 06/15/2000 Parcel: 2S110DA-EH019 Site Address: 10501 SW NAEVE ST MODEL HOME Subdi\ision: ERICKSON HEIGHTS Biock: Lot: 019 Jurisdiction: TIG Zoning: R-3.5 Remarks: S/F 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 Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form Is received OWNER: ELECTRICAL CONTRACTOR: RENAISSANCE CUSTOM HOMES GAG7E ENTERPRISES INC 1672 SW WILLAMETTE FALLS DR PO E OX 1429 WEST LINN, OR 97062 CLACKAMAS, OR 97015-1429 Phone #: Phone #: 503-657-0142 Req #. SUP 8189 O. LIC 34544 QC ELE 3-128C F- W AN INK SIGNATURE IS REQUIRED ON THIS FORM m W X �! Signature of Supervising Electrician If you have any questions, please call (503) F,39-4171, ext. # 310