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10511 SW NAEVE STREET w LOT 23 sN 89'45'1 O" E 80.00' S --�� EL 3 4 —+ `.' ► 'r. e �� �,p.•G�^c /�ii'v! ��� ��� /i'74 U e14 ei ACCESS EASEMENT ori Lor+P�'�t•�/ ' J0- n ,7 1/ l/ • 1 � r �� � f` X1( ` , • Y .. J � �— 32.00' w '� , 2.5G w �� ��r�I ac� ��/a.."A ��t,�✓�rf ' q (Ci 200 P �._— �. V) ®.3 ' �9 - z S9, UL 31r, FFF i i4�u�� 2-00 W I -- N L LLJ ui � I V 0 I 0 �Y el- ���© 0 s' ,--- t 3 /'0 O Fence Z................... r 00, to. (Y ,� EL W-5 EROSION CONTROL- • SO S 76.2 rod` E I 3g 0 � I PROVIDE 8 MAINTAIN 8" (min) THICK � L GRAVEL PAD & DRIVE UNTIL.PERMANENT CONCRETE DRIVE IS IN PIA11E. " 2. PROVIDE & MAINTAIN SAIL SEDIMENT S T FENCE ASINUICaTED. RE* � SCALE DRAWING LOT 24 ERICKSON HEIGHTS S.E. 1 4 SEC. 10, T.2S., RAW., W.M. N" CENTERLINE 4 Cr NTERLIN CONCEPTS, CITY OF TIGARD --A 2.5 FOOT PUBLIC LANDSCAPE EASEMENT SUHVEYORS, WILL PIN ALL EXTERIOR WASHINGTON COUNTY, OREGON SHALL EXIST ALONG ALL STREET FRONTAGE. FOUNDATION CORNERS AND PROVIDE AUGUST 17 2001 --A 7.5 FOOT PUBLIC UTILITY EASEMENT SUBSEQUENT NIORTGAGE SURVEY DRAWN BY: MSG CHECKED BY: WGDIII Centerline �.. o n c e p t s Inc. SHALL EXIST ALONG THE LANDSCAPE EASEMENT SCALE 1~=20' ACCOUNT 115 640 82nd Drive G'adstone, Oregon 97027 M: \MLI\L24ERICK 503 650-0188 'ox 503 650--0189 1..T_I_T I iITI f I I I- I ► 11 11 I II I INOTICE: IF THE PRINT OR TYPE ON ANY 3IMAGE IS NOT AS CLEAR AS THIS NOTICE, 4 - 5 6 7 9 11 ! IIII II� I I III Ili 11 11 II� I I I I 12 IT IS DUE TO THE QUALITY OF THE No.38 ORIGINAL DOCUMENT F 16Z I �3Z LZ 8Z � Z � Z EZ ZZ IZ OZ 6i 8I LT 8T 5T 6I EI ZT tI OZ 6 8 L 9 - S E Z IN11 IIIiI ��������� III IIIiI IIII IIII ►��� IIII IIII IIII 111J IIII IL.. IIII Illi IIII IIIL IIII�Ii�I IIII IIII IIII Illl�ilil IIII IIII IIII IIII IIII ill IIII II I ILII IIII IIII lilt llll Illi ll 1 IIIA III Illi I(II IIII t-Ill ll� 1 1u v cn 2 D) CD m cn cD �D I� i 1 ,I t 10511 S%V Naeve Street CITY 4F TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 �✓C / _� �, INSPECTION DIVISION Business Line: (503)639-4171 MST =' BUP Received __._ _ Date Requested ---"2 AM_. PM BUP Location _ 0 :226ZA .1l'�-el _104.�' ___Suite MEC - Contact Person Ph $ � �--�'���— PLM Contractor _ Ph( ) _ - SWR - rBUILDING Tenant/Owner ELC -_-__- Footing --�_-- ELG Foundation Accq;lss: - Fig Drain C(' ELN Crawl Drain _v 't Fac•:. �1 �� Slab Inspection Notes: SIT -__--_ Post&Beam - — St.oar Anchors _- Ext Sheath Shear Int Sheath/Shear Framing ---_ _ Insulation Drywall Nc.iling --- Firewall Fire Sprinkler -- — - -- ---- --....- -- - Fire Alarm Susp'd Ceiling -- Roof , n' ��-+ „fJ&V - Other: �-�=-- - Final PASS PART FAIL — — ---- -- Post&Beam Under Slab Rough-In - Water Service ---- - -- _ Sanitary Sewer Ruin Drains - Catch Basin/Manhole Storm Drain - ---- -- — -- Shower Pan Other: ---------- - S 'PART FAIL '-MECRANICAL _ Post& Beam Rough-In _- Gas Line Smoke Dampers — ---- -- - -- ---- Final PASS PART FAIL - ELECTRICAL Service --�-- Rough-In UG/Stab - -- - - - Low Voltage Fire Alarm ---------_ --- Final Reinspection fee of$ - ____-__—required before next inspection. Pay at City Hall, 13125 SW Hall Blvd, PASS PART FAIL SITE _ Ll Please call for reinspection RE - Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dstef/ _ _ Inspector -_ Other: Final DO NOT REMOVE this Inspectlen record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST ='L �-`00`�� INSPECTION DIVISION Business Line: (503) 639-4171 BUP _ Received _____.__ —Date Requested— _ �` AM -- PM _ BUP Location __- - 1� --�'--((--- =-L�.L� — --Suite; C, MEC Contact Person Ph 0 Z" PLM -- — - Contractor _ _. Ph( ) SWR —_ BUILDING _ Tenant/Owner _ _ EL(.; Footing ELC Foundation Access: Fig Drain ELR _ Crawl Drein SIT Slab Inspection Notes: - - Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - - - -- -- -- Insulation Drywall Nailing -- -- - - -- --- - - -- - -Firewall Fire Sprinkler - - -- ---- - - - - -- --- Fire Alarm Susp'd Ceiling ---_ __-------- _-- - ---------- ------ -- - - Roof ---------- - — Other: - Final PASS PART FAIL PLUMB.NG Post& Beam Under Slab - - -- --- — Rough-In Water Service Sanitary Sewer Rain Drains - - - - --- Catch Basin/Manhole Storm Drain ..---------- Shower Pan Other: Final PASS PART FAIL MECHANICAL __ - Post& Beam — Rough-In Gas Line Smoke Dampers Final PASS PART _FAIL ELECTRICAL Service Rough-In UG/Slab Low Voltage - --- - Fire Alarm PART FAIL x L__1 Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd �-� :KJ - n Please call for reinspection RE:_ _. __-�. l�l Unable to inspect-no access Fire Supply Line ADA Approach!Sidewalk o 2—� -- Inupect©r Ext � '-- Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL �kh'AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA®AAAiAAAA,Ar � r ► J ► u v � o ooil ' U v ► ► 0 gel � � ° � � � �; -r; ► o -riLn Lon q q -J J Ca l 7-1 G d ► v lu 7:j IN con �rvvvvviNvvvvvvv�vvvvvi�vvvvv��vvvvvsvvvvvvvvvo s s 0 L 7 � a w 8 Cot fD '� P-+. Y fly ~ D 71 n S V � O A r .T A 7 r ci"r f OF T'IGiA(RD 24-Hour BUILDING Inspection Line: (503)639-4175 MST Z-00 ! INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received - Date Requested --._ — AM —_ . PM __._ ___ BUP Location Suite__-_._ MEC Contact Person 1. Ph(------) - --`1 _ >i c ? PLM ---- - -- Contractor Ph(—) —, SWR .. ..-- -----..-- BUILDING Tenantlowner — __-_ ELC -_-- _ Footing --T_- ELC _-_-- Foundation Access: Ftg Drain ELF! Crawl Drain --- Slab Inspection Nates: SIT Post& Beam _ — Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing --- Insulation Drywall Nailing - Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling Rooi Other: _- -- ASt PART FAIL MBING Post&Beam Under Slab - -- - - Rough-In Water Service -- - - - - --- -— Sanitary Sewer Rain Drains --- - - Catch Basin/Manhole c,torm Drain -- Shower Pan Other: - - - Final PASS PART FAIL MECHANICAL - --- ----- - --- - -- - -- -- Post& Beam Rough-In - - -- Gas Line Smoke Dampers -- --- -. .------__ ----- - rEMTRICAL S ART FAIL _ _ Service Rough-In UG/Slab Low Voltage - - Fire Alarm Final Reinspection fee of$_._ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: _ _v Unable to Inspect-no access Fire Supply Uns ADA Irate `>- - Inspector y �= Iector Approach/Sidewalk Other:_ Final @O NOT REMOV11" this Inspection record f;-.Pm the job site. PASS PART FAIL IsA/ CITY #TIGARD MASIERPERMIT PERMIT#: MST2001-00463 DEVELOPMENT SERVICES DATE ISSUED: 9/18/01 --- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 10511 SW NAEVE ST PARCEL: 2S110DA-06300 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 024 JURISDICTION: TIG REMARKS: Neti% SF residence.Path 1 BUR DING, REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NLW HEIGHT: 24 FIRST, 1.447 at BASEMENT: of LEFT: 15 SMOKE DETECTORS. Y TYPE OF USE: SI- FLOOR LOAD: 40 SECOND. 1.032 at GARAGE: 578 of FRONT: 3' PARKING SPACES TYPE OF CONST: 5N DWELLING UNITS: ' FINBSMENT: of RICHT: 10 VALUE: S 170,711 80 OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 3?1900 of REAR: 43 PLUMBING SINKS: ' WATER CLOSETS 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES. 5 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS, 1 CATCH BASINS: TUBISHOWERS 3 GARBAGE DISP: I WATER HEATERS: I WATER LINES: 100 BCKFLW PHEVNTR: 1 GREASE TRAPS: MECHANICAL OTHER FIXTURES FUEL TYPES F'IRN r IDOW BOIL/CMP<3HP: VENT FANS. 5 CLOTHES DRYER: 1 (;AS FURN-100K: 1 UNIT HEATERS: HOODS: I OTHER UNITS: 1 VAX INP: blu FLOOR FIIRNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: 1 ELECTRICAL RESIDENTIAL UNIT_ SERVICE FEEDER TEMP SRVC/FEFDERS BRANCH CIRCUITS MISCELLANEOUS ADD' INSPECTIONS 000 SF OR LESS: 1 0 200 amp: 0 200 am): WISVC OR FDR 1 PUMPIIRRIGATION. PE INSPEC TION: EA ADD'L 500SF: 5 201 - 400 amp: 201 400 amu: tat W10 SVCIFDR: o SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY: 401 - 000 amp: 401 800 amp. EA ADDL BR CIR: SIGNALIPANEL: IN PLANT: MANU HMISVCIFDit 801 1000 amp: 604+ampa•1000v MINOR LABEL: 1G00♦emplvalt PLAN REVIEW SECTION Reconnect only: >•4 RES UNITS: SVCIFDR»225 A.: >800 V NOMINAL: CLS AREAISPC OCC: ELECTRICAL•RESTRICTED ENERGY _ A.SF RESIDENTIAL B.COMMERCIAL AUDIO&STEREO VACUUM SYSTEM: AUDIO d STEREO: FIRE ALARM INTERCOMIPAGING: OUTDOOR LNDSC LT: BURGLAR ALARM: OTH: BOILER: HVAC LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL a SYSTEMS: Ownar: Contractor: TOTAL. FEES: $ 8,140.06 RENAISSANCE HOMES RENAISSANCE CUSTOM HOMES This permit is subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Ccidfr a and 1672 SW WILLAMETTE FALLS DR. 1672 WILLAMETTE FALLS DR all other applicable laws. All work will be done In WEST LINN,OR 97068 WEST LINN,OR 97068 accordance with approved plans. This permit will expire If 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 p: "' "';'` forth In OAR 952-001-0010 through 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. REQUIRED INSPECTIONS Erosion Control Insp 8, WIT Proofing Bsm't Wa Crawl Drain/Backwater Electrical Rough In Gas Line Insp Appr/Sdwl:<Insp Grading Inspection Post/Beam Structural Footing/Foundation Dr; Framing Insp Gas Fireplace Electrical Final Sewer Inspection Post/Beam Structural PLM/Underfloor Shear Wall Insp Insulation Insp Mechanical Final Footing Insp POsUBeam Mechanica Mechanical Insp Exterior Sheathing Insf Rain drain Insp Plumb Final Foun Inap Underfloor insulation f lumb Top Out Low Voltage Water Line'.1.p Final Inspection Iss d By Permittee Signature : — — rall (5013) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGAR.D SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00239 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/18/01 PARCEL: 2S110DA-06300 SITE ADDRESS; 10511 SW NAEVE ST SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 024 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTr'SWR IMPERV SURFACE: Remarks: Sewer connection for new SF detached dwelling. Owner: FEES A__ RENF ISSANCE HOMES Type By Date Amount Receipt 1672 SW WILLAMETTE FALLS DR. - — — WEST LINN, OR 97068 PRMT CTR 9/18/01 $2,300.00 27200100000 INSP CTR 9/18/01 $35.00 27200100000 Phone: 503-551-8000 Total $2,335.00 Contractor: Phone: Reg#: —^ Required Inspections 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 nf 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" Perm Issued b _ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day -Bo61ding Permit Application (city of Tigard Datereccivcd:Y j Pcrntit no�V15T�),,� N�, City UJ frgur.l Address: 13125 SW Hall Hivd,Tigard,Oil 97223 ProjceUuppl.no.: Expiredate: Phone: (503) 639-4171 Dute issued: By Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Lund use approval: _- I R 2 1'nmily:Simple Complex: i TYPE OF J 1 &2 family dwelling or accessory ❑Conuuercial/industrial U Multi-tamily Jew construction O Demolition U Add itionlal teration/replacement U Tenant ir,,i,nivrillrnt U Fire sprinkler/alarm U Other: SITF INFORMATION Job address: )DVIII Suite no.: Lot: —+�Bltxk: Subdivision: (,�L � W4 HTS I Tax map/tax lot/account no.: Pruject name: 12 Description and location of work on prernises/speci:al conditions: _- 1�&V. A)AJ�T 6111 ,,''// r 1 ' 1 ' 1 M `*Aft Nunn: ����5 � � � � n septic capacity,solar, Mailingaddress_��'�– �i/ � � ] &2 lutully dweHill City: LINN Stale: IP: Valuation of work... . �,��....�......... $_� Phone: Fax: G mail: No.of bedrut rns/baths..... r Owner's representative: Total number of floors..................?�'' Phouc:��( _ I a E-mail New dwelling area(sq. ft.) .....x .7...1........ Garage/carport area(sq. ft.)......1/..7 ........ _-1fi —. Name: Covered porch area(sq,ft.) ...................... Mailing address: Deck area(sq.ft.) ........................................ City: State: 71P: Other structure area(sq. ft.) ........................ Pham I a� T1� :ail -- Cuaunerclal/indusirlal/tuulti-f:ru,ity: Valuation of work......... $-- _— Business name: Existing bldg.area(sq I i.).............. ........... -- - New bldg.area(sq. R.) ................ . Address: ............ . �— - - - ---- Number of stories —.---- --- City: --- - -- St.ate:� il': Phone: — Fax: E••mail: Type.of construction............. ......\Ne �- --- -_ _ Occupancy group(s):CCB no.:City/tri lic n,1 _ _ !�;� NaNce:All contractor and subcontractors are required to he Icen^ed with the Oregon Construction Contractors Board under Nunle: PIPLL40 !} ML, provisions of ORS 701 and may be required to be licensed in the Address: - jurisdiction where work is being performed. if the applicant is Cit _ 5rute: L11,: exempt from licensing,the following reason applies: Contact person: Plan no.: ----— --- _ __ Phone: .It� faux: n:,iI.NIM/1y Pp-110 -- r Nance: CM. Contac•.person: GkkF yes due upon application ...........................$ Address: 7jJ, _ Date received: --- -- City: f7 F, QZV'y41 1e mailLlP. al'120 F mount received _ Phone: F 1 lease refer to fee schedule. �~ — hereby cenify l have read and examined 16i i application and the ,Ja all JudWictiemt apepr credit cartai,pleat call jurixlic,iun for mat imi>rnutiw+`J attached checklist. All provisions of laws anti ordinances governing this U visa C,M.,K'ard work will be complied a i whether specili.d herein or no.L Crede:crud number: --- -- i -_ �,Pl,rs Authorized st't1111111 e Date: 7' PUrne of c udhuldrt u thnwu nn ciedfr card Print name:- -- $ Cutlrwlder Agnatwe Amount Notice:This permit application expires ifs penait is not obtained within 180 days after it has been accepted as complete. 4404613 to"CoM) t Mechanical Permit Application Permit no.:!1,�. ' Datereceivcd: Q / —�JJ rb City of Tigard Project/appl.no.: Expire date City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 9722.3 Date issued: By eiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit nu.: __. -- t '41 &2 family dwelling or accessory O Commercial/indusucal U Multi-finlily 0 Tenant impinvemelit XNew construction U Add ition/alterationlreplacement U Other t t ' t t t �1 Job address: L �tcvG 5J- Indicate eyuiptneut yuwtLues in boxes brluw.. 110I�;rtc d1c,dulhtr Bld , no.: Sttite nu.: value of all mechanical materials,equipment,lahor,overhead, Tax map/tax lot/account no.' ptotic.Value$ Lol: Block: Subdivision: (N _�}'�. *See checklist fur important upplicutiun information and Project nano: _ jurisdiction's fee schedule for residential permit fee. City/county: ZIP: ZIl t t Description and location of work on premises:_- l t ) t in I Gtr(cr.) ful:il Est.date of completion/inspection: _ — I► plicat l)'t . Itrs.utily Rrs.otily HVA Tenant improvement or change of use: Airhandlingunil _—_—CFM_— Is existing space heated or conditioned?U Yes U No Air con iliomng(site plan required) Is existing space insulatrd?U U N, Alteration of existingA(_systel etn MECHANItAL CONTRAcrowof er compressors _�` — State boiler permit no.: Business Hume: �1►'1 j?�jN(4_ _ _ Hp Tuns Address: 'L �) ? �� _ ire/sin _ cam er ucl smu a etectors City: _ State: ZIP: Z cat pump site plan required) ,� �� �� Fax: E rttail: risiall/rctilace lurnacurner____ /11 Pho°' it:�� �'• --- Including ductwortJvent liner U Yes U No CCB no.: (� _ nstall/rep a,'e/ieTocateheaters-cusp— end, City/metro lic.n. wall,or floor mounted Name(pleuse print): Vent for u liance other than furnace _ Refrigeration: Absorption units ___.__ BTU/11 _ Ntmte: Chillers, tip _ Compressors HP Address: Environmental ex taunt an vent ton: Clly: ---�CSlate: ZIP: j Appliance vent _ Phone r Fax: Email: )ryerexhuustof WWI oo s,Type II/res. itchen/hazm,.t hood fire suppression system Name: E �!✓� Exhaust fan with single duct(b.d7 fans) Mailing address: _ ?xhaust system a gar— t fromTating or AC �/ (, Slate 1.1 P: d ue p p ng and stribu0ron(up to 4 outlets) City. Type: _LPG _ NG - Oil _ _— !'hunr l• Fa. • I trail �ucl i ingt",i a '.aonal over 4 out!rIs lk 21 rocess p p ng(schornatic required) Numbe of outlets Nance: C_C" t lervt-c-Tr appliimceoreq pment: Addres, Decorative fireplace City: Q�. ZL%a- pho State: 'LIF'�I Inset(-type nca G-mail: oo stove/pe et stove Ocher: Applicant's sienalure: Gale: Other: _ — — Name Not all judsdictiucu accept credit cords,please call juisdtcnon for mere inrertnation. rmit fee ................$ _ Notice:This permit application Minimum feeee................$ U Visa U MasterCard _ expires if a permit is not obtained plan review(al __ %) $ Credit curd number.__ �._- Expires within INO days after it has been State surcharge(8%) ....$ Nnrne or cardholder as shown on credit card $ accepted as complete. Cardholdu signature Amount 440-4617(riWCOM) Yl«ntbiiih Perinit Application -- -- 7--- tecelved:`1� /� Peruutno.: Kjr l City U)1 r�ilguCtl� erpennitno.: Buildingpenuitna.:Address: 13125 SW Hall Blvd,Tigard,OR 9722a -Phone. (503) 639-4171 ect/appl.no.: Lux.piredate: Fax: (503) 598-1960 Date issued:- Bv: Receiptno.: Land use approval: Case rile no.. Payment type: TYPE OF PERMIT &2 fan»ly dwelling or accessory a Cominercitd/industriul U Multi-family ❑Tenant improvement ew construction 1-1 AdditiotValteration/replaccntenl U Food servic, U Usher: r ORMATION Job address: 5 - Description llt hcr(ca.) 'lural lildg. no.:_ _ —--I Suite no.: .! - New 1-and 2-fandly dwellings only: T_a_xmap'taxlot/account no.: - "--- (inciudes100It.for each utilitycotweetion) Lor - _ Brock; Subdivision: -- SER(I)bath --- -- --- --- _ SFR(2)hath `-- - Project name: a6NLU} JAHTS_ SFR(3)bath City/county:- ZIP: Offtj, Each add itionalbatlt/kitchen Description and location of work on premises: SiteuWitles: S �'�elx•T 1 .4_, W11W _HOME Catch basin/area drain Est.date of completiolr/inspection: D wells/leach line/trench drain PLUMBING CONTR,4CTORFooting drain(no.lin, ft.) tt'. w Manufactured home utilities Business name: _ Manholes Address_ 11??(0' _� a [Iain drain connector - City: v Statc: ZIP: i1't , w Sanitary sewer(no.lin.ft.) Fhuu,:.:10 Stonn sewer(n(,.lin.ft`) CCB no.: tel(,�(�(j Plumb.bus.reg.no:LO-14 Pb Water service(r,u.lilit).ft.) ---- City/metro lie.no.: _ fixture or item: Contractor's representative :gnature: _-_ Absorption valve Print narnr: p - -- Dnte: Back flow reventer Backwater valve CONTACY PERSON Basins/lavatory _ -- Name: Clothes washer Address: Dishwasher City: State: ZIP: Drinking fountaln(s) - -� Ejectors/sump Phone: I E-mail: Expansion tank t Fixture/sewer cap Name(print): 12 .' Floor drains/iloor sinks/hub _ g � �t �w 1 Oarba a dis - Mailing address:- �� g Fos—al Huse Bibb _ City: - NN State: LIF: 1 lee maker Phone:�j Fa E-mail: �. Interceptor/grease trap Owner irrstallatiunhesidential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the proy I own as per URS Chapter 447. Sink(s),basin(s),lays(s) Owner's si nuturr �--�+ 1);,i,• } b Sump Tubs/shower/shower an Name: G Urinal - - -�- - - -- - -- -- Water closet Address: 7�� _ _ Water heater C'tty: - _ State: :L11'�/"�024P Other: -- -- P#ton Fa '� E-mail: I'ulal Not all jurisdacuums uccepa credit curds,please call jun-Action(or mote inrontuulmn. Notice:TMinimum fee................$ This pennir �I�cation -- U visa U MasterCard expires if•a permit is lot obtained Plan review(at _ 9f,) $ - Cralit cud number. Expire _ TOTAL within 180 days aver i1 has been Slate surcharge(8%) ....$ Nuneofcerdbolderau:hmrnoncrcdircud accepted as complete. ............... ......$ —._- CudhulJn�iguaiure Amount 440 4616(brx)/r Y)M) Electrical Permit Application Duiereceived: / Pet'Init IIC.: City of Tigard Project/appl.no.: Expired Ate: Address; 13125 SW Hall Blvd,Tigard,UR 97223 Phone: (503) 639-4171 Dute issued: Ny: LReceipt no.: Fox: (503) 598.1960 Cuse file no: paymeal type: Land use approval: I Ac 1 gamily dwelling or accessory U Commercialhudustriul UMulti-family U`Conant improvement XVew construction U Add ition/aIIeration/repl;urment U Otter: — U f'a.ual JOINISITIEINFORMATIONi Job address: U. no.: Suite no.: Tax neap/tax lot/account no.: j Lut�a� _ Block: Subdivision: E Lk' 1�f — - —_ Prujcct nurue: JDescription and location of work Liu prenises: t Estimated date•rlf,•ttmltl�•tiivl/inspe°rtinn CONTRACTOR 1 Job no: &tax * Q��y � F��• ^Business 2wrle: ('Ad4 L'�L.f/l/�G lyrscrlptiun t)ty. (ea) i gal nu.iris Address: Y Nrw trairieutud-sinl lc Lir umlti-tautly Iwr L 14M dwelling unit.Includes anuchett gaMe. City: C. 0e Vvn State:ft I ZIP:11197IS Serviceurcludrd QL •SQ E-mall: 1000 sq.ti or less q CCB Ito.. _ k ,(� �'`� Loch adAitiunel SUU s .ft.or purtian hereof _ Q Elrc.bus,tic.no: i� Limited energy,residential I City/nlCtio tic. au.: UndtedWer y.non-te%idemaul 2 Each rnanufactured halite or modular dwelling gnature 1 f supervising electrician(required) Date Service and/or feeder 2 Sup elect nanw(prntti Li.rn:rnu `+erYlcesurfeedels-installnhun, 1 1 AIICr.lot Lir relucatiou: 2U11 amps or less 2 NttmC(print); � GVL ��e S f401 nips to 400 amps - _ 2 Mailing address L m mps to 60U amps 2 rnps to IUUU unips city: W I _ StIIC:m ZIP' ?� Over IUUU mnps or volts 2 1'Itun i Fu G-snail: Reconnrctonly - t Owner installation:The installation is being made on property I own Trugwrary services or teeters- which is not intended 6fosale,lease,rent,or exchange according toORS 447,455,479,6 . 2UU amps or less 2 1 L I 01 201 unips to 400 amps 2 ()wnel's aienalult� \""'� D:ii. 1,5 401 to60Uampsto["W DIN 2 Vr aitch circuits-new,alteruliun, Name: C'A or exteuslou per panel: 'Ll ---- A. Fee for hranch circuits with purchase til' Address: 3�a'N•,W 411 _ service ur fix' fee,cacti branch circuit y City: State LLT'. 1`j, B. Fee ror branch circuits without purchase 1111unr ha y O ", of service Lir feeder fee,ntst brunch circuit. 2 "- E-mail: _ _ ; Each additional blanch citcuit: UZI Misc.(Service or reeder not Included): U Service over 215 a1ups-Cu1tunercial U Health-care facility Each pump or irrigation circle 2 U Service over 320 Limps-rutag of 1&2 U Hazardous location Each sign or outline lighting 2 family dwellings U Building over 10,000 square-feet four or Signal circuit(s)or a limited energy panel, U System over 600 volts nominal marc residential units in one structure alteration,or extension* 2 U Building over three stories U Feeders,400 amps or more ' - U O.cu tau loud Durr 99 persons Desai dun: P p U Manufactured souctures or RV park Fisch additional inspection over the altawable in any of itlq alrave U 1'greys/lightingplan U Other: P -- Prrinspectiun Submit_sets of plans with Any of the above. Investigation fee The above Are not Applicable to temporary construction service. Otter --- rlur alt juns h�u; i accept credit cards,please call jurisdiction for mwr inl'onruulon Notice:This pennit application Permit fee................... $ O Visa U MustrrCard expires it'a permit is not ubiained Plan review(at ^ %) $ Ctrdu card nunttw: "�___ within 180 days alter it has been State surcharge(8%) ....$ _- — spires �Natue of cardhoWer as shown on credit card accepted as complete. 'TOTAL .......................$ -- --Cardhutder signature fi Amount --` — 14t14615(W WCOM) My OF l(;ARD� OREGON INTENT TO HAUL EXCAVATION ( _OTS STEEPER THAN 20%) (print name), hereby certify that ALL excavation material on the subject property will be removed from the site and riot :)e placed as fill, except for that amount necessary to back-fill the foundation ONLY. I understand that failure to remove the excavation material will result in the requirement to remove the material or obtain a grading permit by submitting grading plans prepared by a licensed engineer accompanied by a geo-technical report regarding the placement of the excavation material as fill. I further understand that my footing inspection will be denied if that inspection reveals that excavated material has not been hauled, and that work will be stopped and no further inspections conducted until the City has received and approved a plan and report from a geo technical engineer regarding placement of the fill material. Signature Date - f Permit #: �`aT goo.0o r - Oce(i(0 3 Job Address: /o5/f dW '_0 eL.2c-t-t df - Subdivision: Lot: I haul doc(DST)7198 13125 SW Hah Blvd,, Tigard OR 97223(5013)639-4171 TDD(533)684-2772 - -- I STATE OF OREGON County of Washington I' Jerry P Hanson,lt4rector of A-Ssess- ment and Taxation acd Fx-C'fflr.lu County After Recording Return To: Cierk for Inid oolx,ty.,do herntrf certify that (y Erickson Heights LLt, the wlthm a„tr�t�nt+d:w t^was cecorved 9 and rocord«x' In bock of r” of said '1672 Willamette Falls Dr county West Linn, OR 97068 j�rry lq Hanlsw, Dir for of �ASSe]efib' and Taxation,Ex- Iofr4o C,%auy Clerk DECLARATION OF tier : 27219. 1 Rcpt: 2820066411087219. 1 47.00 RECIPROCAL ACCESS 08/28/2001 02: 30:51PM AND rLIAINTENANCE WASHINGTON COUNTY 2001-087212 AGREEMENT IIIIIiIIIIi IIIIIIIIIIIIIIIIIII IiI(IIIIIIIIIIIIIII�III A. DECLARANT The party (referred to as the "Declarant") to this t Declaration is U Erckson Heights, LLC, an Oregon limited liability company. B PROPERTIES: The properties (collectively referred to as the "Properties) affected by this declaration are. Lots 21 and 25. ERICKSON HEIGHTS, in the City of Tigard, Washington County, Oregon. C. "EASEMENT"' means. A perpetual reciprocal access easement over and across that portion of Lot 24, ERICKSON HEIGHTS, described on Exhibit "A" attached for the benefit of Lots 24 and 25, ERICKSON HEIGHTS. D. "PURPOSE OF EASEMENT": To create a perpetual reciprocal access easement over and across that portion of Lot 24, ERICKS,,) V HEIGHTS, described on Exhibit `A" attached for the benefit of Lots 24 and 25, ERICKSON HEIGHTS C Nq CJ:1 Err L _ DECLARATION 1 Declaration of Easemert. Declarant, as owner of the Properties, declares that the Properties are held, and shall be held and conveyed, subject to and together with the Easement, in accordance with all the terms and provisions of this Declaration, and Declarant grants and conveys the Easement as an appurtenance to and encumbrance on the Properties, the benefits and burdens of which Easement, as set out in this Declaration, shall run with the Properties. 2 "Maintenance Obligations and Arbitration. The owners of the properties shall confer from time-to-time regarding performance of required maintenance under this agreement. The owner of Lot 24 and the owner of Lot 25 shall each be responsible for 50% of the cost of maintenance and repairs. In the event of a disagreement concerning maintenance obligations and payment, the owners of the properties shall agree upon an arbitrator who shall resolve such disagreement. If the owners of the F,ropertie3 cannot agree on an arbitrator, the presiding judge of the Circuit Court of the State of Oregon for the County of Washington shall by binding on the owners of the properties and the ree of the arbitrator small be borne equally by the owners of the properties The owners of the properties sh, rpquire all workers and contractors undertaking maintenance work hereunder to maintain standard liability insurance in a reasonable amount from a reputable insurance company protecting each owner. Each of the owners of the properties, agrees to release, and indemnify the others against all liability for inj,jry to himself or damage to his property when such injury or damage shall result from maintenance unde►taken pursuant to this agreement. 3. Additional Provisions. Any person who enjoy.: the benefits of the Easement shall hold and save the owner or owners of the servient parcel or parcels burdened by this Declaration harmless from any and all claims of third parties arising from said benefited person's use of the rights created by this Declaration Any person who enjoys the benefit of the Easement and who is responsible for darn-;.ge to a servient parcel arising from negligence or abnormal use of the Easement shall repair such damage and restore the affected property at the responsible person's solr;• expense. 4. Future Owners. The Declaration shall run with, benefit and burden the Properties and shall benefit and bind the owners of the Properties and their respective successors in interest. c� i 5. Attorney Fees. In the event of action, arbitration, litigation or appeal to enforce any Provision of this Agreement, the prevailing party shall be entitled to reasonable attorney fees and court costs. Dated this +(0_day of . 2001. i Erickson Heights, , an Oregon corporation By:._ 'Randy Sebastian, Member STATE OF OR .GON )ss. County of ) The fore oing instrument was acknowledged before me on this 12—day of 2001, by Randy Sebastian, Member, Erickson Heights, LLC, an Oreg n limited liability company, on behalf of the company. Notary for Or on U OFFlcaL GEAL My commission expires: Saar r0UN0 NOTARY PUBLIC OREGON COMPAISSION NO 317253 ISS ION EXPIRES OCTOBER 22,2WI Centerline Concepts,, Inc. August 6,2001 EXHIBIT "A" Renaissance PRIVATE ACCESS EASEMENT BEGINNING at a point on the east line of Lot 24,Erickson Heights,also the west night of way rine of S.. Naeve Street(21.00 feet west of centerline),said point being S00"l4'50"E 5.00 feet from the N.E.comer of said Lot 24,and when measured at right angles is 5.00 feet from the north lie of said Lot 24, Ionated in the S.E. 14 of Section 10, T.2S., R.I W., W.M., City of"Tigard, Washin&1on Ccunty,Oregon;thence,5.00 feet south of and parallel with said north line,S89°45'10"W 80.00 feet to we west line of said Lot 24; thence, on said west line, S00"'X1'50"E 10.00 feet to a point when measured at right angles is 15.00 feet south of the north line of said Lot 24;thence, 15.00 feet south of and parallel with said north line, N89°45'I WE 80.00 feet to the east line of said Lot 24; thence, on said east line,NOW14'50"W 10.00 feet to the POINT OF BEGINNING. The tract contains 800 seuare feet,more or less. Subi,ct to easements of record. Precise Boundary Surveys 640 82nd Drive Gladstone,Oregon 97017 503 6500188 fax 503 650-0189 SEE 351VI1liI ROLL # 20 FSR OVERSIZED DOCUME NT CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE GAGE ENTERPRISES INC PO BOX 1429 CLACKAMAS, OR 97015-1424 Electrical Signature Form Permit #: MST2001-00463 Date Issued: 9118101 Parcel: 2S110DA-06300 Site Address: 10511 SW NAEVE ST Subdivision: ERICKSON HEIGHTS Block: Lot: 024 Jurisdiction: TIG Zoning: R-3.5 Remarks: New SF residence.Path 1 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 HOMES GAGE ENTERPRISES INC 1672 SW WILLAMETTE FALLS DR. PO BOX 1429 111VE3T LIMN, OR 97000 C!ACKAMAS OR 97015-1429 Phone #: 503-551-8000 Phone #: 503-657-0142 Req #: SUP 6185 LIC 34544 ELE 3-1280 AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Superiising Electrician If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE CRAFTWORK PLUMBING INC 7736 SW NIMBUS AVE BEAVERTON, OR 97008 Plumbing Signature Form Permit #: MST2001-00463 Date Issued: 9118/01 Parcel: 2S110DA-06300 Site Address: 10511 SW NAEVE ST Subdivision: ERICKSON HEIGHTS Block: Lot: 024 Jurisdiction: TIG Zoning: R-3.5 Remarks: New SF residence.Path 1 Your company has been indicated as the plumbing contractor for the permit indicated abode. 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 its received OWNER: PLUMBING CONTRACTOR: RENAISSANCE HOMES CRAFTWORK PLUMBING INC 1672 SW WILLAMETTE FALLS DR. 7736 SW NIMBUS AVE WEST LINN, OR 97068 REAVERi"nN, OR 97u0£s Phone #: 503-551-8000 Phone #: 644-8698 Reg #: I Ic 79666 PI M 20-1-48Pf-i AN INK SIGNATURE IS REQUIRED ON THIS FORM X Signature of Authorized Plumber A� If you have any questiors, please call (503) 639-4171, ext. # 310