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SCIALE DRA WING LOT 25 ERICKSON R'EIGHTS
S.E. 1 /4 SEC. 10, T.2S., RAW., W.M.
CITY OF 11GARD
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WASHINGTON COUNTY, OREGON
--A 2.5 FOOT LANDSCAPE EASEMENT SHALL MAY 30, 2001 Centerline Concepts^ I n c
EXIST ALONG ALL STRET FRONTAGE.
DRAWN BY:
-A 7.5 FOOT PUBUC U T IU TY EASEMENT MSG CHECKED BY.- WGDI II
SCALE 1 "= �24 ACCOUNT 115 EMAIL WWW. CCIEMAIL4&AOL.COM
SHALL EXIST ALONG LANDSCAPE EASEMENT ,MH� us£HoL�� PM FAX, e/3/ot w 640 82nd Drive Gladstone, Oregon 97027
NEW HOUSE. 9/2/rl MSQ M: \MLI\L25ERICK 503 650--0188 fax 503 650-0189
OTICE: IFTHEPRINTORTYPEONANY
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10513 SW Naeve Street
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST —
INSPECTION DIVISION Business Line: (503)639-4171 BLIP
Received Date Requested_ �'
AM PM- __ _ BUP
-Suite MEC
Location
,� � _� r3�y�� PLM
Contact Person ____-_ __ __ ---.�� _� Ph )
Contractor __..�__.— �_—. - —
r
Tenan/ wner ___--
ELCILDING -- -- ELCundation Access: ELRIR
Drain
awl Drain �- SIT - ---- -
Slab Inspection Notes:
Post&Beam -- --- - -- - - ----
Shear Anchors 1
Ext Sheath/Shear
Int Sheath/Shear - -
Framing - —-----
Insulation --
Drywall Nailing --
Firewall - --
Fire Sprinkler -- - -
Fire Alarm - -___- ---- ------
Susp'd Ceiling
Roof ---
Other:_
Final - -- - --
PASS PART FAIL
PLUMBINGI - - --
Post&Beam _ --
Under Slab
Rough-In - -
Water Service -
Sanitary Sewer - - - - --
Rain Drains -
Catch Basin I Manhole ----- --
Storm Drain
Shower Pan - - — --
Other:
a -
SS PART FAIL
--- ANICAL - -
Post&Beam - --- —
Rough-In - -
Gas Line --
Smoke Dampers - -
Final
PASS PART FAIL -
ELECTRICAL -
Service -�
Rough-In -_... - --------- _
Slab
Low
- - --
Low Voltage -
Fire Alarm
Final �� Reinspection fee of$-_._- required before next inspection. Pay at City Hell, 13125 SW Hall Blvd.
PASS PART FAIL Unable to inspect-no access
SITE Please call for reinspection RE:_ _ -- -- --- I-1
Fire Supply Line
ADA Inspecto C ritlt° Ext
Approach/Sidewalk Comte: -
Other:_
Find DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
MST _
INSPECTION DIVISION Business Line: (F03)639-4171
BUP _._--
Received _ Date Requested. �r`1 AM ____ PM BUP ----- _- ----.-.-.-----.----
Location --Suite- MEC
Contact Person -'--- Ph(— ) 3(0.2— PLM - ---
Contractor ____ Ph SWR --- --
BUILDING Tenant/Owner -__ ._�— _ _ __ ELC -_ -- --
Footing ELC _ -
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspectio: Notes: SIT ----
Post&beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing - -- ---- - - - -
Insulation
Drywall Nailing -- — - _- - ------ .-_ _ -- --- - ---- -_
Firewall
Fire Sprinkler - - - - --
Fire Alarm
Susp'd Ceiling
Roof --
Other: - - ----
Final _
_PASS_INPART FAIL
LU --- i
PMBG
Post& Beam
Under Slab ----- -
Rough-In
Water Service - ---- - --
Sanitary Sewer
Fain Drains - --
Catch Basin/Manhole
Storm Drain
Shower Pan
Other. _-.------
Final
PASS PART FAIL- 1
MECHANICAL - - -
Post&Beam
Rough-In - - - - -
Gas Line
Smoke Dampers
Final
PASS Pffrr- IL
IE -
CTRIC
R
e
ough In
UG/Slab
Low Voltage --
Fire Alarm
S PART TAIL ❑ Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
S [� Please call for re- spection RE. Unable to inspect- no access
Fire Supply Line
ADA Date- I "'� inspector Ext
Approach/Sidewalk -
Other:_
Final DO NOT REMOVE this Inspection record from the Job site,
PASS PART FAIL
ITY 4F TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPEG PION DIVISION Business ne: (503)639-4171
BUP
Reserved Date Reque�d_ S �� AM__ PM -_ _ BUP
Location c� - Suiteel/ MEC
Contact Person --E- — Ph(—) (J T q_ 3l G Z-- PLM -- - - - --
Contractor _.._. -------- _.-- --.-.-----___ Ph(_._ ) SWR
BUILDING TenanVnwner _ ELC --
Footing ---
Foundation Access: ELC
Ftg Drain
Crawl Drain ELR
Slab Inspection Notes: SIT
Post& Beam �flJf►"�►� 6x,r-'t - -
Shear Anchors —
Ext Sheath/Shear 0 K f -�j /�t✓U Q 'I� S'-��,
Int Sheath/Shear —_--
Framing -- _ ------- .. -----
Insulation ' 10 0 CIA1t t ��«s
Drywall Nailing _
Firewall
Fire Sprinkler
Fire Alarm IVr
Susp'd Ceiling —
Root
P�:
--PASS PAF
, -- -.—> T1 lit I wak.4
- , ,r � o s I, .
PLUMBING FAI -- — 5'F'• IUC> �tt� �� P_ f-tiW_� � '7 L�to�
Post& Beam
Under Slab
Rough-In
WaterS
Water Service _
Sanitary Sewer
Rain Drains _
Catch Basin/Manhole
Storm Drain --------
Shower Pan
Other:
Final '
PASS _PART FAIL_ --
MECHANICAL__ _ _ .t,,tir
Post&Beam
Rough-In
Gas Line
Smoke Damper;
rn
PART FAIL_ - — —
E dTRICAL -
Service -� - -- -- --
Rough-In
UG/Slab --
Low Voltage
Fire Alarm _
Final Reins
PASS PART FAIL pection fee of$____. _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE Please call for reinspectirn RE. Unable to inspect-no access
Fire Supply Line
pprAoach/Sidewalk Date— �" _ Inspector Ext
Other:_
Final DO NOT REMOVE this Insperrtion record from the job site,
PASS PART FAIL
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CITY OF TIGARD 24-Hour
WILDING Inspection Line: (503) 639-4175 MST
INSPECTION DIVISION Business Line: (503) 639-4171
SUP
Received -._�__--__ Date Reque ted_--_ AM PM_ _ BLIP
Location _ Suite __ MEC --_
Contact Person _ _ -__ -- Ph (__ (-f.) --1�-�-'q — G PLM
Contractor_ Ph( ) SWR -_
BUILDING Tenant/Owner _.. _ ELC
Footing
Foundation -- ELC
Access: --
Ftg Drain ELR
Crawl Drain —
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors --- --
Ext Sheath/Shear
Int Sheath/Shear
Frnming
Insulation
Drywall Nailing ��T---?��►'E L'.s'ti' C�v:.'v "r"r� � i� - -
Firewall
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling - -____--
Roof
Other: - -— —
ins
A PART FAIL
LUM8ING
Post&Beam
Under Slab _
Rough-In _
Water Service
Sanitary Sewer
Rain Drains ...--
Catch Basin/Manhole
Storm Drain - -- - - --
Shower Pan
Other: _ — ---- -
Finai
SS_ 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 -
Final Reinspection,qe of s required before next inspection. Pay at City Hall, 13125 SW Hail Blvd.
PASS PART FAIL
SITE [7 Please call for reinspection RE: _ _ E] Unable to Inspect-no access
Fire Supply Line
ADA �7�a
Approach/Sidewalk Daae Inspector _ Ext-__—
Other:
Final IDD NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITYOF TIGARD MASTER PERMIT
PERMIT#: MST2001-00468
DEVELOPMENT SERVICES DATE ISSUED: 9/28/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
SITE ADDRESS: 106-33 SW KAHLE-5T /�%S /j ��e Cti� PARCEL: 2S110DA-06400
SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5
BLOCK: LOT: 025 JURISDICTION: TIG
REMARKS: New SF detached dwelling. Path 1
BUILDING
REISSUE: STORIES. FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: .., FIRST: 1,752 at BASEMENT: of LEFT: 10 SMOKE DETECTORS: r
TYPE OF USE: SF FLOOR LOAD: 40 SECOND. 1,492 of GARAGE: 519 a1 FRONT: 20 PARKING SPACES 1
TYPE OF CONST: 5N DWELLING UNITS: I rINeSMENT: at RIGHT: 19
VALUE: $311.800 60
OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3.244,00 at REAR: 36
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 5 DISHWASHERS. I FLOOR DRAINS: ell LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB/SHOWERS: 3 GARBAGE DISP: I WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR. 1 GREASE TRAPS:
MECHANICAL OTHER FIXTURES:
_
FUEL TYPES FURN<100K: BOIL/CMP<3HP: VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN100K I UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT _ SERVICF FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1^OC Sr OR LESS: 1 0 200 amp. 0 200 amp: WISVC OR FDR: 1 PUMPARRIGATION: PER INSPECTION:
EA ADD'L 500SF: F, 201 - 400 amp201 -400 amp: let Wlo SVCIFDR: 00 SIGNIOUT LIN LT: PER HOUR:
LIMITED ENERGY. 401 600 amp 401 •600 amp: FA ADDL SR CIW SIGNALIPANEL: IN PLANT:
MANU HM/SVC/FDR. 601 • 1000 amp 001+ampe•1000V: MINOR LABEL:
1000-ampNolt
PLAN REVIEW SECTION
Reconnect only:
4 RES UNITS: SVCIFDR>-225 A.: a 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL•RESTRICTED ENERGY
A.SF RESIDENTIAL B COMMERCIAL
AUDIO&'TEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTERCOWPAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM- OTH: BOILER: HVAC: LANDSCAPE/1RRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA7TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL_ FEES: $ 8,017.64
RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES This permit is subject to the regulations contained in the
1672 SW WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR Tigard Municipal Code,State OR. Specialty Codes and
WEST LINN,OR 97068 WEST LINK,OR 97068 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 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
Rep 0: LIC 0494" 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& Wtr Proofing Bsm't We Footing/Foundation Dr: Electrlcal Rough In Gas Fireplace Electrical Final
Grading Inspection Post/Beam Structural PLM/Underfloor Framing Insp Insulation Insp Plumb Final
Sewer Inspection Post/Beam Mechanical Mechanical Insp Shear Wall Insp Rain drain Insp Final Inspection
Footing Ins Underfloor insulation Plumb Top Out Exterior S',ealhing Inst Water Line Insp
Fo ation Insp Crawl Draln/Backwater Elect ical Service Low Voltage Appr/Sdwlk Ins
r�
Is ued By : lLit' IA Permittee Signature
Call (503) 639-4175 by 7.00 p.rn. for an inspection needed the next business day
OAtj
CITY OF TI GARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2001-00242
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
DATE ISSUED: 9/28/01
SITE ADDRESS; 10633 SW KABLE$rt-~ ���/�j 5kj /)� � PARCEL: 2S110DA-06400
SUBDIVISION: ERICKSON HEIGHTS ( a ZONING: R-3.5
BLOCK•. LOT: 025 _ 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: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection for new SF detached.
Owner: � _ FEES------
RENAISSANCE
EES__ _RENAISSANCE CUSTOM HOMES Type By Date Amount Receipt
1672 SW WILLAMETTE FALLS DR — –
WEST LINN, OR 97068 PRMT CTR 9/28/01 $2,300.00 27200100000
INSP CTR 9/28/01 $35.00 27200100000
Phone: 503-557-8000 Total $2,335.00
Contractor:
Phone:
Reg#:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180
days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does riot guarantee
the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, tt-,e installer shall prospect
3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Perm
Iss ed bC1 � v�' Permittee Signature: ------
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
' �SWRd oo/--pp a2�leZ,
Building Permit Application
City of Tigard ���
rDaterec!eived: Q Permitno.: 2 W/_M y�FAddress: 13125 SW Hall Blvd,Ti ard,OR 97 3 appl.no.: Expiredate:
City of Tigard g
Phone: (503) 639-4171 Date issued: 94eReceipt no.:
Fax: (503)598-1960 Case file no.: Payment type:
Land use approval: _ 1&2 family:Simple Complex:
�I &2 family dwelling or accessory O Commercial/industrial U Multi-family WNcw construction U Demolition
U Addition/atteration/replacement U"Tenant improvement J Fire Nprinl,lvr/alarm U Other: ._
JOB SITE INFORMAIJON
Job address: )V 3 K--161e- L;4- _-� _ Bldg.no.: Suite no.:
I'rt• Iock: Subdivision: �'c.k5o� t�1 ,.1 s _ Tax map/tax lot/account no.: vZ$/1D44 S
Project name:
Description and location of•work or premises/special conditions:
Name:
Mailing address: Lp .? ails J� 1 &2 family dwelling:
City: State: ZIP: QqQq
bbd Valuation of work..............x..fj.................. $� �
Phone: e" ppV Fax: E-mail: No.of bedrooms/baths.............................
Q'
Owner's representati ; Total number of(lours.................................
Phone:q(y9- Fax: E-mail: New dwelling area(sq,ft.) ......
Garage/carprnt area(sq. ft.)..... ........ _
Nance: Covered porch area(sq.ft.) ................... .....
Mailing address: Deck area(sq.ft.)................................. ...... -
City: State: ZIP: Other structure area(sq It.)......................... -
Phtmc� Fax: E-mail: ('ommercial/indavtrial/multi-family:
Valuation of work.............................•..•.....•. $
Business name:
Existing bldg.area(sq. ft.) ................... .....
New bldg.area(sq. ft.) ........... ....... -
City: tate:
-TZ—,p -: Number of stories...................... .........•..
---- Type of construction.............•...
Phone: a E-mail: .... ...........
'— Occupancy group(s): Ex ting:
CCB no.: -- -
- - - - - New:
City/metro lie.no. Notice:All contractors and subcontractors a:e required to be�
licensed with the Oregon Construction Contractors Board under
Name:�C,�a;Saa�lc c _u , � ,.._� provisions of URS 701 an i may be required to he licensed in the
Address: , e- V t� jurisdiction where work is tieing performed.If the applicant is
Cit ) .� State ZIP: exempt from licensing,the following reason applies:
�(,e Z
Contact person: wry Plan no.: X84 ext --
Phone. yCt� Fax:(K-,7_'-ILa')1 E-mail - --
t4 Fees due upon application $ SO
Name: ,�� �, ,��, Contact person: ...........................
Address:�iaJ k;�, sii Date received:
City: � la-8 State: Z[P�' ��_ Amount received .................................•....... $
Phone: . qq JFax:55-i) / E-mail: Phrase refer to fee schedule.
herelty certify I have read and examined this applicatiOL and the Not all jurisdictions accept credit cards,plerse call jurisdiction f(vt more information.
attached checklist.All provisions of laws and ordinances governing this U visa U MasterCard
work will he complied wi ,w t'ttt6 +a•itit:d Dein or not. Credit cad numhet: 1_L_
Expires
Authorl7ed signat — Date: �>r/sle Name of cardhnider as shown on credit cad
Print namc`S! S Cwatoltler dpwttre — S Amount
Notice:Ibis permit application expires if a pertrit is not obtained within 180 days after It has been accepted as complete. 49)•413(sroott•oM)
One-and Two-Family Dwelling
Building Permit Application Checklist Reference no.:
�— Assoriatcd permits
City ofTigar,I City of Tigard U Electrical U I lumhin; J Mechanical
Address. 13125 SW Hall Blvd.Tigard,OR 97223 UOther:
Phone: (503) 639-4171
Fax: (501) 509-1960
t FOR PLAN REVIEW Yes No NIA
1 band use actions completed.,tics jurisdiction criteria for concurrent revWW".
2 Zoning.Flood plain.�i dar balance points,seismic soils designation,historic district,ct,
3 Verification of approved plotllot. _^
4 Fire district __approval required.
5 Septic system permit or authorization for remodel.Existing system capacity _
6 Sewer permit._
7 Water district approval. _
8 Soils report. Must carry original applicable stamp and signature on file or with application. _
9 Erosion control U plan U permit required.Include drainage-way protection,silt fence design and location of
catch-basin protection,etc. _
c t a Complete sets of legible plans.Must he drawn to scale,showing conformance to applicable local and state
building codes.Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details.flan review cannot he completed
if copyright violations exist.
I I Site/plot plan drawn to scale.The plan must show lot and building setback dimensions;property comer elevations(if'
there is more than a 4-ft.elevation differential,plan must show contour lines at 24 intervals);location of easements and
driveway;footprint of structure(including decks);location of wells/septic systems,:utility locations;direction indicator,lot
arca;building coverage alta;percentage of coverage:impervious area;existing structums on site;and surface drainage.
12 Foundation plan.Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent
sirs and location.
I Floor plans.Show all dimensions,room identification,window size,location of smoke detectors,water heater,
furnace, ventilation fans,plumbing fixtures,balconic-;and decks 30 inches above grade,etc. _
14 Cross section(s)and details.Show all framing-member sizes and spacing such as floor heams.headers,joists.sub-floor,
wall construction,roof construction. More than one cross section may he required to clearly portray construction.Show
details of all wall and roof sheathing,roofing,roof slope,ceiling,height,siding material,footings and foundation,stairs,
_ fireplace construction. th rmal insulation,etc.
15 Elevation views. Provide elevations for new construction:minimum o. two elevations for additions and remodels.
Exterior elevations must reflect the actual grade if the change in grade ir,greater than four foot at building envelope.
Full-size sheet addendums showing*foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans.Mur.t indicate details and locations;for
non-prescriptive path analysis provide:specifications and calculations to engineering standards.
17 Floor/roof framing.Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and hearing
locations.Show attic ventilation.
18 Basement and retaining walls.Provide cross sections and details showing placement of rebar.For engineered
systems,sec item 22,"Engineer's calculations."
19 Beam calculations.Provide two sets of calculations using current code design values for all beams and multiple joists
over 10 feel lung and/or any beamljoist carrying a non-uniform ' •ad.
20 Manufactured floor/roof truss design details.
21 Energy Code compliance.Identify the prescriptive path or provide calculations. A gas-piping schematic is required
for four or more appliances.
" Engineer's calculations.When required or provided,(i (-.,shear wall,roof truss)shall he stamped by an engineer or
architect licensed in Oregon and shall he shown to be;ippi ..^.ble to the project under review.
23 Five(5)site plans are required for Item I I above. Site pl.rns must be.8-111_ I i ..r I I" x 17".
24 Two(2)sets each arc required for Items 16. 19,20&22 shove.
25 Building plans shall not contain red lines or tape-ons.
26 No rolled,reversed or mirrored building plans will he a:ccpted. _
27
28
Checklist must be completed before plan review start date. Minor changes or notes on submitted plans may be in blue or black ink.
Red ink is reserved for department rise on). 440-4614(WIWOM)
Plumbing Permit Application
Datereceived: Permit no.• 57, p - 6�
Cita' Of Tigard Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd,Tigard,OR 97223
City nlTigard Phone: (503) 639-4171 Project/appl.no.: Expire date:
Fax: (503)598-1960 Date issued: By: keceipt no.:
Land use approve: — Case file no,: Payment type:
)801 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
VNew construction U Addition/alteration/replacement U Food service U Other:
i INFORMATION
Joh address: ��(p33 '�l� Description Qty. Fee(ea.) 'Total
Bldg-no.: Suite no.: New I- and 2-family dwellings only:
Tax map/lax lot/account no.: _ (includes 10011.for each utility connection)
SFR(1)bath
Lot: I Block: Subdivision: r' SFR(2)bath - --- --
Project name: _ SFR 13)bath
City/county: ZIP: _ Each additional hath/kitchen
Description and location of work on premises: _ Site utilities:
Catch basin/area drain
Est.date of completion/inspection: - - Drywells/leach line/trench drain111-1113 1 ll =Elf _ --
Footing drain(no. lin.ft.) _
NINON Manufactured home utilities
Business name: �4 v-� pl,,,, tt� __ Manholes
Address: S Rain drain connector
City: State:QL ZIP: oog Sanitary sewer(no.lin.ft.) u
Phone: dFax: I E-mail: Storni sewer(no.lin.ft.)
CCB no.:'} — Plumb.bus.reg.no:ap- 14I pg Water service(no. lin.ft.)
City/metro lic.no.: - Fixture or item:
-- Absorption valve
Contractor's representative signature: Back flow preventer
Print name: Date: Backwater valve
KIX-4 MINE MR tf.141im Basins/lavatory -
Name: -7 Clothes washer
Address: Dishwasher
Drinking fountain(s) _
City: �- / ' State: ZIP: Ejectors/sump _
Phone: Fax: E-mail: Expansion tank —
Fixture/sewer cap
Name(print): ^2;SS a?,,c_a 44-,%4_C. Floor drains/floor sinks/hub
- _
Mailing address: Garbage dissal�Z / a , Hose bibb
City: __ State ZFP: Ice maker
Phone: Fax: Email Interceptor/grease trap
Owner installation/residential 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 pn)p y I wr -tU44 Chapler 447. Sink(s),basin(s),lays(s)
Owner's si natur Date: Sump
Tubs/shower/shower pan _
Name: ni n ',herr Urinal
---� -- - Water closet
Address: V
Water heater
City: 1RK4 Statepv_ I ZIP: -7-217 Other: --�—
Phone: Fax:55 .pF'Co E-mail: Total
Not all Jurisdictions accept credit cants,please call jurisdiction for more information, Minimum fee................ --Notice: —
"Ibis permit application ,
❑Visa U MasterCard expires if a permit is not obtained I an review(al — rh) $
Credit card number: -- i / tt ithin 180 days after it has been State surcharge(8%) ....n
-- -- p accepted as complete, TOTAL .......................$
Name of cardholder as shown on credit crud P -----
Cardholder�ilnaturc -— --- _ Amount 440-4616(bDn/COM)
PLUMBING PERMIT FEES:
PRICE TOTAL N few and 2-family dwellings only: -�
FIXTURES (individual) QTY (eat AMOUNT (includes all plumbing flklures in PRICE TOTAL
Sink i%.60 the dwelling and the first100 ft. QTY (ea) AMOUNT
Lavatory - 16.60 [for each utility connection _
One 1)bath _- $249.20 _
Tub or Tub/Shower Comb 16.60 Two 2 bath $350.00
_ _ L Z_,---- - -
ShowerOnly 16.60 I hree(3)bath $399.00 -
Water Closet 16.60 T -- - _ SUBTOTAL _
Urinal 1660 8°/.STATE SURCHARGE _
Dishwasher 16.60 PLAN REVIEW 2_5%OF SUBTOTAL _
Garbage Disposal 16.60 __ - TOTAL
Laundry Tray 16.60
Washing Machine 16.60
Floor Drain/Floor Sink 2" 16.60
3" 16.60 PLEASE COMPLETE:
4" 16.60
Water Healer O cotiversion O like kind 16.60 uantfty by Work Performed
Gas piping requires a separate mechanical Fixture Type: Now Moved Replaced Removed/
permit. Capped
MFG Home New Water Service - 46.40 Sink _
MFG Home Now San/Storm Sewer 4640 - Lavatory
- ---- Tub or Tub/Shower
Hose Bibs 16.60 Combination _
Roof Drains 16.60 Shower Only
Drinking Fountain -� 16.60 _Water Closet
Other Fixtures(Specify) 16.60 Urinal -
_ Dishwasher _
_
Garbage Disposal
Laundry Room Tray _-_
-- -- - - Washing Machine -
--.- door Drain/Sink: 2"
Sewer-1st 100' 55.00 -3" -` --�
Sewer-each additional 100' 46.40 _ 4"
Water Service-191 100' 55.00 Water Heater
Water S3rvice-each additional 200' 46.40 -� Other Fixtures
S3ecify)
Storm R Rain Drain-1st 100' 55.00
Storm 8 Rain Drain-each additional 100' 49.40
Commercial Back Flow Prevention Device 46.40 - ----- -
Residential Backflow Prevention Device' - 27.55 ---- - -
Catch Basin 16.60 Y ----
Inn pection of Existing Plumbing os Specially 72.50 -
R!jquested Infections perthr COMMFNTS REGARDING ABOVE:
Rain Drain,single family dwelling 6525 ---- -^ --_
Grease Traps 16.60
QUANTITY TOTAL - -� --- - ---
Isonretrlc or r ser diagram Is required if --�-
CuantNy Total Is >a -
*SUBTOTAL ---- - -- ---- ------
ti%
"PLAN REVIEW t*/°Ur'SUBTOTAL
Re my rrtd only if fiat.,e qty Iota!is>
TOTAL a
"Minimum permit fee is$72 50+8%state surcharge,except Residentlal Backflow
Pmvenlion Device,which Is$36 25-8%state surcharge.
"All New Commercial Buildings require plans with isometdc or riser diagram and
plan review
is\dsLn\forms\plrn-fees.doc 10/10/00
Electrical Permit Application
Date received: Permit no.: t.
tw
City of TigardProjccdappl,no.: Expiredate:
Cil(( "figard Address: 13125 SW Hall Blvd,Tigard,OR 97123 fruit.issued: By: Receipt no,:
Phone: (503) 639.4171 _
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval:
,71 1 &2 family dwelling or accessory U Commercial/industrial U Multi-famil, LJ l rnant imltrtrvrrrtrnt
New construction U Addi(ion/alteration/rrplacrtnenl _)01her. _ U Partial
Job address: 1(j � lildg. nu.: NIIIIr no.: Tax map/tax lot/account no.:
Lnt:�` BIock Subdivisio ; �_��
n: �— -
Project name: Description and locaticn of work on premises:
Estimated date of cont letion/ins ction: -
Job no: Fee Max
Business name:67Ckaln, _ Dmcnpt.on —j qty. (ea.' 7b(al no.incl)
New nwidenlial-single nr muhi-famih'per _-
Address_��� 14x9 dwelling unit.Includes ntlachedgru age.
Cil
Y: StateZ ZIP: -4D/,`- - - Servs«inchnktl:
phone:[O?. -0 Fax: E-mail: 1000sq fr ,t_v s r
CCB no.: p EICc.bus, 11C.no: 1 Each additional 9(x)sq,ft.or portion thereof
Limited energy,residential 2
Clly/metro I1C,no.: Limited energy,non-residential 2
_ finch manufactured home or modular dwelling
Signature of supervising electrician(required) Date Service and/or feeder
Sup elect namegrnnt). License no: Setvlcesorfeeden-Installallon,
alteration or relocation:
200 amps or less 2
Name(print):�j�,•t�; ,�� } s�y 201 amps to 4(x)amps — 2
Mailing address:l10- ,, 401 amps to 6(10 amps - z
-� 7 �— ' -Is 601 amps to I(NN)amps 2
City: 1' Stale:C ZIP:q-f6 Over lO(10amps orvolts —
Phone:Sr 7 1 Fax: E-mail: Reconnect only1
Owner installation:The installation is being made on property I own Temporary services or feeders- _
which isnot intended for sale,le rent,or exchange according to Installation,dleratloa,orrelocation:
ORS 447,455,479,6 ),7 > 2(N)amps or less 2
--� 201 umps to 400 amps 2
Owner's si natu — Date: .tel 401 to 6(x1 aIrps 2
Branch circuits-nen,alteration,
Name: or exlemlon per panel:
A. Fee for branch circuits with purchase of
Address: G' service or feeder fee,each branch circuit 2
City: .} J State_ ZIP: B. Fee for branch circuits without purchase
of service or feeder fee,Hirst branch circui•• 2
Phone: _ Fax: -5 E-nail: _ --
Each additional branch circuit:
M kc.(Servle-!or feeder not Included l:
UService over 225amps-commercial UHealth-care facility Each pump or irtiflationcircle 2
U Service over 320 amps-rating of I&2 U Hazardous local ion Each signor outline lighting 2
fond lydwell ings U Building over 1(1,1100 square feet four or Signal circuit(s)or a limited energy panel.
U System over6U(I volts nominal more residential units in one structure alteration,orextension•
U Building over three stories U Feeders,400 amps or more *Descrition-
U Occupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable in any of the above:
U Egress/Ilghtlngplan U Other. -i Perins ection —
Submit_.sets of plant"th llfly of the above. Investigation fee
The above are not applicable to tetaporaty construction service. Other — —
Not all iuriurictions accept credit cards,please call jurisdiction for more information. Notice:This permit application Permit fee.....................$
U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $
Crcdii card number, ._ within 180 days after it has been Stale surcharge(8%)....$
Name of cardholder as s own nn credit cud _
ex �s accepted as complete. TOTAL, $
.oat
- - — Cardholder d&nature --' S Amount
440-4615(fMACOM)
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES:
TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
Complete Fee Schedule Below: Restricted P estricted EnereY Fee...................................................... $75.00
_ Number cf Inspections per permit allowed) (FOR ALL SYSTEMS)
Service included: Items Cost Total Check Type of Work Involved:
Residential-per unit
1000 sq ft.or less $145.15 4 ❑ Audio and Stereo Systems'
F ach additional 500 sq ft or
,,ortion there-f _ $33.40 1 ❑ Burglar Alarm
Limit d Energy T_ $75.00
Each Nanufd Home or Modular
U Belling Service or Feeder $9090 2 ❑ Garage Door Opener'
Services or Feeders ❑ Heating,Ventilation and Air Conditioning System'
Installation,alteration,or relocaliori
200 amps or less _ $80,30 _ 2 El201 amps to 400 amps J $106.85 2 Vacuum Systems
401 amps to 600 amps _ $160.60
6n1 amps to 1000 amps $240.60 _ _^ 2 Other_
Over 1000 amps or volts $454.65 2
Reconnect only _ $6685 _ _ 2
Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Installation,alteration,or relocation Fee for each system.......................................................... $75.00
200 amps or less _ _ $66.85 _ 2 (SEE OAR 918-260-260)
201 amps to 400 amps $10030 2
401 amps to 600 amps $133 75 2 Check Type of Work Involved:
Over 600 amps to 1000 volts,
see"b"above. ❑ Audio and Stereo Systems
Branch Circuits ❑
New,alteration or extension per panel Boiler Controls
a)1 ne fee for branch circuits
with purchase of sery/co or ❑ Clock Systems
feeder fee.
Each branch circuit _ T $6 65 _ 2 ❑ Data Telecommunication Installation
b)The fee for branch circuits
without purchase of service ❑
Fire Alarm Installation
or feeder fee.
First branch circuit _ $4685
Each additional branch circuit $665 ❑ HVAC
Miscellaneous ❑� Instrumentation
(Ser%ce.r feeder not in Juded)
Each pwnp or irrigation circle $53.40 _
Each-gn or outline lighting $53 40 ❑ Intercom and Paging Systems
Signal circuil(s)or a limited energy
panel,alteration or extension $7500 _ ❑ Landscape Irrigation Control'
Minor Labels(10) _ $125.00
Each additional Inspe,!lon over ❑ Medical
the allowable in any of the above ❑
Per inspection _ $6250 Nurse Calls
Per hour $62.50
In Plant _ _ $73 75_ _ �� Outdoor Landscape Lighting'
Fees: ❑ Protective Signaling
Enter total of above fees $ T ❑ Other
8%State Surcharge $
_.____.Number of Systems
25%Plan Review Fee
See"Plan Review"section on $ No licenses are required Licenses are required for all other Inalallalinns
front of application --- --
___.___e Fees:
Total Balance Due $
Enter rota)of above fees
❑ Trust Account#
8%State Surcharge
Total Balance Due =_— --
i\dsLcUorms\cic-fces.doc 06/07/01
Mechanical Permit Application
Datereceived: Permit no.:nsl001
City of Tigard Project/appl.no.: Expire date.:
Cityaf'/'igard Address: 13125 SWHall lflvd,'I'igard,OR97223
Phone: (503) 639-417 I Date issued: by: Receipt no.:
Fax: (503)598-1960 Case file no.: Payment type: `
Land use approval: _ _ building permit no.:
=ONew
ily dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvenwill
truction U Addition/alteration/replacement U(Wit I —
t
Job address: )d b►L Indicate equipment quantities in boxes below.Indicate the dollar
Bldg.no.: T Suite no.: value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit.Value$
Lot: ;?I — Block: Subdivision: „ *See checklist for important app:ication information and
Project name: jurisdiction's f"T schcdulc for residential permit fee.
City/county: LIP: -- ——
Description and location of work on premises: t
Fee(ea.) Total
1, RIBMEst.bate of completion/inspection: 0
D wcription cry. Rcc.only Res.only
Tenant improvement or change of use: FA
'Is existin s ace heated or conditioned?U Yes U No ndling unit __ CFM
g space Air con itioning(site plan required)
Is existing space insulated?U Yes U No Alteration of existing HVAC syster. ____ __
—
oi er compressors
Business name: State boiler permit no.:
?wt t0� .� HP __Tons__._—13TU/H
Address:g:)'?, AD 07 ire smo a camper. sect smo a etectors
City: _ State:DIL IZIP: __ITeat pump(site plan reyuirccT
PhoTFax: I F,-mall: insta replacefurnac urner
Including ductwork/vent liner U Yes U No
CCB no.: x017 1 itsta I I/replace/re locateheaters-suspended,
City/metro lic.no.: _ will,or floor mounted
Name(please print): Vent for a iance other than furnace
Elio Ke gest on:
Absorption units
Name: (�j, /Yr„ , ChiIIcrs ---- J----- fill - —
Address: - Com ressors— III'
nv ronmenta AL ust anavent latT o—f n—
City: i State: ZIP__ Appliancevent
Phone: �- — Fax: E-mail: Dryerex aunt - -- ---_
Hoods,Type / res. itc en/ azniat
hood fire suppression system —
Name: ✓t2 Ss � �> ,,,•� �a^ -�-5 Exhaust fan with single duct(bath fans)
Mailing address:)L62 G7 �— _ t/s �_ -_x aunt systema art from heatingor AC
�uc piping andistribution(up to outlets)
City:IA-kSl L,1., State: ° j� 7IP:Cf }pL_ r _LIK; _ N(; (til
Type. - —
Phonc. p Tax: E-mail: Fuel piping eachadditional over 4 outlets
rocesq piping(schematic required)
Number of outlets
Name: ,'i ,nli r; ter WIR appliance or equipment:
ent:
Address: �, t,1p Decorative fireplace
City: I � State:012 7.1P: q }tel nsert-type _—
Phone: E-mail oo stov pe et stove
Other:
Applicant's signature: Date: ter:
Name(print):
Nr+all jurisdictions accept credit raid.+,please call juripdicaon rrx more Infammustion Permit fee.....................$
U Visa l]MasterCard Notice:This permit application Minimum fee................$
expires if a permit is not obtained Plan review(at _ %) $
Credit card number
-- Expire, _ within 180 days after it hits been
State surcharge(896)....$ -
--- — ted as complete.Nemo of cerdhohkr as shover,on credit card accepted$ P P
TOTAL .......................$ _
Cardholder sisitature Amount 440-4617 r&MCOMI
a
MECHANICAL. PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
r-- Description: Price Total
I TOTAL VALUATION: FEE_ Table 1A Mechanical Code ___ Qty ,Ea) Amt
l_$_1.00 to$5,000.00 Minimum fee$72.50- 1) Furnace to 100,000 BTU -
I $5,001.00 to$10,000.00 - $72.50 for the first$5,000.00 and including ducts&vents_ 14.00
$1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+
fraction thereof,to and including
_ $10,000.00. including ducts&vents 17.40
$10,001.00 to$_25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace -
$1.54 for each additional$100.00 or including vent -- 1400 -_
frartion thereof,to and including 4) Suspended heater,wall heater
_ $25,000.00. or floor mounted heater - 14.00
$25,001.00 to$50.000.00 $379.50 for tho first$25,000.00 and 5) Vent not included in appliance permit
$1.45 for each additional$100.00 or _ b.80
fraction thereof,to and Including 6) Repair units
$50,000.00. 12.15 --
$50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: :B.olflorHeat Air
$1.20 for each additional$100 00 or For items 7-11,see Punp Cond
fraction lhereot. footnotes below.
-- - _ ---- -- --- --- - - 7)<3HP;absorb unit
----- to 100K BTU 1400 _
ASSUMED VALUAhONS PER APPLIANCE: 8)3-15 HP;absorb
Value Total- unit 100k to 500k BTU 2560
Description: Q Ea Amount 9)15-30 HP;absorb
Furnace to 100,000 BTU.including 955 i unit.5.1 mil BTU _ _ 3500
duras&venin _ 10)30-50 HP;absorb
Furnace>100,000 BTU including 1.170 unit 1-1.75 mil BTU 52.20
_ducts&vents r_-__ 111>50HP:absorb
Floor furnace including vent _ 955 _ unit>1.75 mil BTU 87.20
Suspended heater,wall heater or 955 12)Air handling unit to 10,000(;FM
floor mounted heater _ 10.00 _
Vent not included 1n applicance 445 13)Air I,andling unit 10,000 CFM+
1720 --
Repair units W. 805 _--__ 14)Non-portable evaporate cooler
<3 hp;absorb.unit, 955 - 1000 _
to 100k BTU_ _ ---- 15)Vent fan connected to a single duct
3-15 hp;absorb.unit, 1,700 6.80
101k to 500k BTU -- - 16)Verdilahon system not included in
15-30 hp;absorb.unit,501k to 1 2,310 applianceermil - 10.00 --
mil.BTU - - - 17)Hood served by mechanical exhaust
30-50 hp;absorb.unit, 3,400 10.00
1=1.75 mil.BTU 18)Domestic Incinerators
>50 hp;absorb.unit, 5,725 -- 17.40 _
>1.75 mil.BTU ------ 19)Commercial or indushial type incinerator
Air handlingunit to 10,000 cfm 6_56 _- 69.95
Air handling unit>10,000 cfm 1,170 _- - 20)Other units,including wood stoves
Non-portable evaporate cooler__- 656 - _ _ ___100U
Vent fan connected to a single duct _ 446 21)Gas piping one to four outlets
Vent system not included in 656 5.40 -_
appliance permit -_ 22)More than 4-per outlet(each) -�
Hood served by mechanical exhaust 656_ --_ 1.00
Domestic Incinerator 1,170 Minimum Permit Fee$72.50 - SUBTOTAL: $
Commercial or industrial incinjator _4,590
Other unit,including wood stoves, 656 - 8%.State Surcharge $
inserts,etc. _
Gas piping_.-i outlets _360 --- 25°/.plan Review Fee(of subtotal) $
Each additional outlet _ 63 - Required for ALL commercial permits only
TOTAL COMMERCIAL T-� $ TOTAL RESIDENTIAL PERMIT FEE: $
VALUATION: -
O.t_her Inspections and Fees:
1 Inspections outside of normal business hours(minimum ct 3rge-Iwo hour,)
$72 50 per hour
Inspections for which no foe is specifically indicated (minimum charge-hr'f hour)
$72 50 per hour
3 Additional plan review required by changes,additions or revisions to plans(minimum
charge-one-half hour)$72 50 per hour
"State Contractor Boller Certification required for units>200k BTU
"Residential A/C requires site plan showing placement of unit.
1:\dsts\forms\mech-fees.doe 10/11/00
STATE OF ORI:UON c
County of`oaohlnpton J `'S
\\ I, Jerry R, Nar n,lDOwtor o1 Assess-
After Recording Return To: ment and Taxation and EX-Officio County
g Clerk for Wid o"ty.,tlo hereby certify that
Ericksc.i Heights LLC the 1„'Ithln Ir>Qtnitajrd G*r,i✓by wits received
and roCorded In b9ok o1 rW�Yrls cf said
1672 Willamette Falls Dr county
West Linn, OR 97068 or
J�rty,l .1,*1wn, Director of
�A95�d►t)bflt and%xatlon,Ex-
Officjp Coyruy Clerk
DECLARATION OF Dor•, 2001097219. 1
RECIPROCAL ACCESS Rect: 296641 47,00
AND 09/29/2001 02: 30:51pm
r MAINTENANCE WASHINGTON COUNTY 2001-087219
� AGREEMENT IunIIVIIIDiIIILIIVIIIIIIIIl6�lVIIlilllllllDII�IIIII
A DECLARANT The party (referred to as the "Declarant") to this
Declaration is:
Erickson Heights, LLC, an Oregon limited liability company.
B PROPERTIES: The properties (collectively referred to as the "Properties)
affected by this declaration are.
Lots 24 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, ERICKSON HEIGHTS,
described on Exhibit "A" attached for the benefit of Lots 24 and 25,
h ERICKSON HEIGHTS.
1 _
~� I
C)
rl 7
1.
I
DECLARATION
t Declaration of Easement. Declarant, as owner of the Properties, declares
that the Properties are }geld, and shall be held and conveyed, subject to
and together with the Easement, in accordance with all the terns and
provisions of this Declaration, and Declarant grants and conveys the I
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 froin 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
properties cannot agree on an arbitrator, the presiding judge of the Circuit
Court of the State of Oregon for the County of Washington shall be
binding on the owners of the properties and the fee of the arbitrator shall
be borne equally by the owners of the properties The owners of the
properties shall require 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 ttie others against all liability for injury to himself or damage to
his property when such injury or damage shale result from maintenance
undertaken pursuant to this agreement.
3. Additional Provisions. Any person who enjoys 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 damage tc 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 sole
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.
r
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 wind court costs.
Dated this t�7_day of '�� L001
i
Erickson Heights an Oregon corporation
-Randy Sebastl;3n, Member
STATE OF OREGON )ss.
County of _ ) �
The fore oing instrument was acknowledged before me on this 1t2day of
2001, by Randy Sebastian, Member, Erickson Heights, LI-C, an
Oreg n limited liability company, on behalf of the company.
Notary for Or on OFFICIAL SEAL
My commission expires- TERRIYOUN°
NOTARY PUBLIC-OREGON
COMMISSION NO 317253
iSS10N EXPIgF,S()CT09ER 22.2002
Centerline Concepts, Inc.
August 0, 2001
EXHIBIT "A"
Renaissance
PRIVATE ACCESS EASEMENT
BEGINNING at a point on the east line of Lot 24,Erickson Height:,also the west right of way line
of S.. Naeve Street (21.00 feet west of centerline),said point being S00°14'50"E 5.W feet from the
N.E.corner of said Lot 24,and when measured at right angles is 5.00 feet front the north lie of said
Lot 24, located in the S.E. li4 of Section 10, T.2S., R.1 W., W.M., City of Tigard. Washington
County,Oregon;thence,5.00 feet south of and parallel with said north line,S89"45'10"W 80.00 feet
to the west line of said Lot 24; thence, on said west line, SW14'50"E 10.00 feet to a point when
measured at right angles is 15.00 feet south of th-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 lite of said Lot 24; thence,
on said east line,N00°l4'50"W 10.00 feet to the POINT OF BEGINNING.
The tract contains 800 square feet,more or less.
Subject to easements of record.
Precise Boundary Surveys
640 82nd Drive Gladstone,Oregon 97027
503 650-0188 fax 503 650.0189 I
� I
cri �� I
r Ns F 1
I
P7 I
r
C
t N 0014'500 W 116.91'
NC-
5
5 00'14'50E V
O 10 OG' ` Lr
v
c
z �I Z
Cb
� m �
V (�1 a a
V N Ui
At O O O
• r- rnnncb
�� D rm
p o UZNo
CA Cc
a N� o
o OO
o
r
`�✓ ..__ 10.00' ---- I`
--------------------------
S 00"14'50` E 113.53'
S. W. N A E VE STREET POI% Or
OFGNNING
EASEMENT —2 ERKKSON T1s
SL 1 4 S, IOyT P-11_i1Y -----
r� "A cry IT IN
C:enterllre concepts Inc.
1 11s
"°oob4.W.- ;c,e°o0'o--mi��
SEE 35MM
ROLL # 20
FOR
OVERSIZED
DOCUMENT
After Recording Return To:
Erickson Heights LLC
1672 Willamette Falls Dr 6
West Linn, OR 97068
DECLARATION OF
RECIPROCAL ACCESS
AND
MAINTENANCE
AGREEMENT
A. DECLARANT: The party (referred to as the "Declarant") to this
Declaration is-
Erickson Heights, LLQ;, an Oregon limited G,tbility company.
B. PROPERTIES: The properties (collectively referred to as the "Properties)
affected by this declaration are
Lots 2.4 and 25, ERICKSON HEIGHTS, in the City of Tigard, Washinaton
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, ERICKSON HEIGHTS,
described on Exhibit "A" attached for the benefit of Lots 2.4 and 25,
ERICKSON HEIGHTS.
DECLARATION
1. Declaration of Easement. 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, iii 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
benefit: 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
rnaintenance 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 c,f the properties shall agree upon an
arbitrator who shall resolve such disagreement. If the owners of the
properties cannot agree on an arbitrator, the presiding judge of the Circuit
Court of the State of Oregon for the County of Washington shall be
binding on the owners of the properties and the fee of the arbitrator shall
be borne equally by the owners of the properties. The owners of the
properties sf,all require all workers and contractors undertaking
maintenance work hereunder to maintain standard liability insurance in a
reasonable amount frorn 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 injury to himself or damage to
his property when such injury or damage shall result from maintenance
undertaken pursuant to this agreement.
3 Additional Provisi,)ns. Any person who enjoys 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 al! 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 damage 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 sole
expense.
4. Future Owners The Declaration shall rur with, benefit and burden the
Properties and shall benefit and bind the owners of the Properties and
their respective successors in interest.
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 11�0_day - 2001.
Erickson Heights, C, an Oregon corporation
By: �.---
Randy Seb iias ant , Member
STATE OF OR -GON )ss.
County of
�Theefooregoing instrument was acknowledged before me on this ��� day of
_, 2001, by Randy Sebastian, Member. Erickson Heights, LLC, an
liability company, on behalf of the company.
Notary for Ore,--on—` OFFICIAL SEAL
My commission expires: TERRI YOUNG
NOTARY PUBLIC-OREGON
COMMISSION NO 317253
*M' MMISSION EXPIRES OCTOBER 22.2002
Centerlinr Concepts, Inc_
EXHIBIT "A" August 6, 2001
Renaissance
PRIVATE ACCESS EASEMENT
BEGINNING at a point on the east'lne of Lot 24, Erickson Heights,also the west right of way line
of S.. Naeve Street (21.00 feet west of centerline), said point being S00°14'50"E 5.00 feet iron fix
N.E. corner of said Lot 24, and when measured at right angles is 5.00 feet from the north lie of said
Lot 24, located in the S.E. 1/4 of Section 10, T.2S., R.I NV., W.M., City of Tigard, Washington
County,Oregon; thence,5.00 feet south of and parallel with said north line,S89'45'1 0"W 80.00 feet
to the west line o;said Lot 24; thence, on said vest line, S00"14'50"E 10.00 feet to a point when
„teasured at rigH angles is 15.00 feet south of the north line of said Lot 24; thence, 15.00 feet south
of anal parallel with said north line, N89°45'10"E 80.00 feet to the east line of said Lot 24; thence,
oil s,"id east lilt,-. 11400"14'50"W 10.00 feet to the POINT Ol BEGINNING.
The tract conta�rlc 800 square feet, more or less.
Subject to casements „f record
Precise Boundary surveys
640 82nd Drive Gladstone,Oreqon 97027
503 650.0188 fax 503 650.0189
CITY OF TIGARD
13-125 S.W. HALL BLVD.
TIGARD, OR 97223
iMPORTANT PERMIT NOTICE
CRAF TWORK PLUMBING INC
7736 SW NIMBUS AVE
BEAVERTON, OR 97008
Plumbing Signature Form �'''N
40
Permit #: MST2001 •00468
Date Issued: 9/28/01
Parcel. 23110DA-06400 <20
Site Address: 146a3--SW KAB-LE ST yJ
7�c;2 Q-fiL
Subdivision: ERICKSON HEIGHTS d
Block: Lot: 025
Jurisdiction: TIG
Zoning: R-3.5
Remarks: New SF detached dwelling. Path 1
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: Bu;lding Dept.
No plumbing inspections will be authorized unt,,i this completed form is received
OWNER. PLUMBING CONTRACTOR:
RENAISSANCE CUSTOM HOMES CRAFTWORK PLUMBING INC
1672 SW WILLAMETTE FALLS DR 7736 SW NIMBUS A'!E
WEST LINN, Oft 97068 BE AVERT'ON, OR 9700P
Phone #: 503 .557-8000 Phone #: 644-3698
Reg #: I Ir. 79666
PI M 20-148PB
AN INK SIGNATURE IS REQUIRED 014 THIS FORM
X
SigAture Authorized Plumber
If you have any questicns, please call (503) 639-4171, ext. # 310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
GAGE EN'. ERPRISES INC
PO BOX .429
CLACKAMAS, OR 97015-1429
Electrical Signature Form
Permit #: MST2001-00468
Date Issued: 9/28/01
Parcei: 2S VI ODA-06400
Site Address: 1-0633 SW KABLE ST ,
Subdivision: ERICKSON HEIGHTS
BI.)uK- Lot: 025
.Jurisdiction: IG
Zoning: R-3.5
Remarks: New SF detached dwelling. 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 CONTRAC-fOR:
RENAISSANCE CUSTOM HOMES GAGE ENTERPRISES INC
1672 SW WILLAMETTE FALLS DR PO BOX 1429
WEST LINN, OR 97068 CLACKAMAS. OR 97015-1429
Phone #: 503-557-8000 Phone #: 503-657-0142
Req #: suP 6185
LIC 34544
ELE 3-128C
AN INF( SIGNATURE IS REQUIRED ON THIS FORM
Signature of Supervising Electrician
If you have any questions, please call (503) 639-4171. ext. # 310