10514 SW NAEVE STREET-1 t
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SCALE DRAWING LOT 16 RENAISSANCE SUMMIT
--EIGHT FOOT PUBLIC AND PRIVATE UTILITY
EASEMENT ALONG ALL FRONT AND REAR LOT LINES
S.E.1 i4 SEC.10,T.2S.,R.1W.XM.
CITY OF TIGARD
WASHINGTOM COUNTY, OREGON =-
10514 SW Naeve Street
Centerline-=, Concepts Inc .
1 of t DRAWN BY: SPF CHECKED BY: WGDIII
640 82nd Drive Gladstone, Oregon 97027
SCALE 1 "=20' ACCOUNT 115 503 650-0188 fox 503 650-0185
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If this notice appears cle<<rer the
document, the document is of marginal qua!:ty. .
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'. CITY '►F TIGARD BUILDING INSPECTION NOTICE fi
Inspection Line (Rec-O-Phooe): 639-4175 Business Phone: 639 4171 v
Inspection:
Susp.
Ceiling SP rink. Rough-in
Footing
tPlh Underslab Mech. Rough-in Fireplace
Foundatiun 9 ,1 u
Post/Beam Struct. Plbg. Top Out Elec, Rough-in FINAL:'
• n r,y7 4r,.AY ,y y
PostlBeam Mech. San. SewerGas Line -Bldg.
vYS,t �trp � �
-Plumb.
Plbg. Underfloor Rain Drain 9 "'R,,
� �
i -Mach.
Alarm Water Line Insulation (t;r'I "t s) t�l 1+ ,,
Underflr. Insul. Shear Wall GYP. Bd. -Elect. ', �` � rt' �f;
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Time: AM _ PM
Date Requested:
Address:
Permit#:
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Date: 12
Inspector:
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIOARD ILDING.-W§PECTION NOTICE
' Inspection Line (Rec-O one);.639-4175 Business Phone: 639-4171Iti
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Inspection: � s����',k�. 77 '�
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FootingSus C��ilin S rink. Rough-in d=w_1
P� 9 PPPr/Sdw� f 4
Foundatiun Plbg. Underslah Mech. Rough in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Iti
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drnin Framing -Plumb.
Alarm Water Line Insulation Mach.
Underflr. Insul. Shear/Wall 7 Gyp. Bd. -Elect.
Date Requested: f I ' / Time: AM PM
Address: �� –
Builder: Permit p:
THE FOLLOWING CORRECTIONS ANE REQUIRED:
Inspector: GVf�'L�aCS _ Date:
OAPPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Relnsp,
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COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 11/ 14/95
I 13126 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171
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SITE 1.0"'J14 SW NNf_`Ji ST z011,11,N6cR 3. `.5
I SURD 1 V 143I pP1, .. . . :
RENAISSANCE ciLJMM I T'
SLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . __ _..._.....__.... ....__...__.�..._._ _ _...._..._._..__.._.__. _
._.. .._..... ..... .
CL-I,`-)S OF WORK. :NEW
TYPE OF UI�F:. . . -,SF
QCCUF'ANCY GRP. 9"31* R 3
OCCUPANCY LOAD:t ,�
ReA1ar~ka : POTH I w
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Owner: _ ._.• �.__..__._.._.__.._..... _..._.__.__. .._.
IREN()I5 IANC E CUSTOM MIMES
j 167,, SW WILLAMETTE= FALLS D14
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WEST LINN OR 97008
phone 0% 557-8000
C.'ontractor : -.._.___._.._...................__._...___.____..__..._
nENA I SANCE CU 7TOM HOMES INC
JI 1672 SW WILLAMETTE_ FALLS OR
tl Wk ST i_.INN OR 97068
Phone #
This C.'er{; ificate yr~anti ,.:c:r.rrF7,nc:y of the ailn,te refEYr+snceci building nr^ portion
h
1 t.hureof anci c-onfi,,^ms thAt the builrii.ny hain kitten inspected for compliance with
tho c5tat;e of Ore!jcrn Specialty Code,; fol' •tt,e Ql ' oup, �ote �.tptan , and �.tse under
which the referfinc.ed permit issi-ted.
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POST IN CONSPICUOUS PL.ACE
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CITY OF TiGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
R Inspection:
Footing Susp. Ceilirg Sprink, Rough-in Appr/Sdwlk
Foundaticr Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINAL: ,,
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Post/Beam Mech. San. Sewer Gas Line Id
Plbg. Underfloor Rain Drain Framing
Alarm
Water Line Insulation ecn !
Underflr. Insul. Shear Wall Gyp. Bd. ect,
Date Requested:_ ( 15 Time: Afv1 PM
Address:
Builder:__ --
Permit #42_�� 2r,�
THE FOLLOWING CORRECTIONS ARE REQUIRED! M
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Ins .ctor. Date: �y�pr
` APPROVED DISAPPRGVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE:
k ` Inspection Line (Rec-U-Phone): 639-4175 Business Phone: 639 171
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Inspection: ' ' '`„° ar,` •
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plb3. Underslab Mach. Rough-in Fireplace {
Pc Beam Struct. Plbg, Top Out Elec. Rough-in FINAL: ,k. •
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor �� Framing -Plumb.
Alarm -Water Line Insulation -Mach. •
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: 161 9f5�Se_— Time: AM —KPM
Address: /O
Builder: Permit Sr VS-”U 4/ Z'
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:_L1
1,01KROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY EDF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT �
PLUMP J NG PERMIT a;
13`126 SW Hail Blvd.Tigard,Oregon 97223.8199 (503)639-4171 PERMIT #. . . . . . . : �'I_M95-0 y06
639-4171 DATE ISSUED: 10/12/95
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PARCEL.: .?S 1 10DA-0...'500
SITE ADDRCS;.. . . : 10514 SW NALVE ST
SUBDIVISION. . . . : RENAISSANCE SUMMIT ZONING: R—.s. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :016
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : MOBILE HOME SPACES.
TYPE OF USE. . . . .SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : 1
OCCUr-'ANCY GRP. . :R3 FLOOR DRAINS. . . . . . . . TRAP'S. . . . . . . . . . . . . . . '�►
STORIES. . . . . . . . :: WATER HEATERS. . . . . . . CATCH BASINS. . . . . . . .
LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . :
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . GREASE TRAP'S. . . . . . . .
LAVATORI!=S. . . . . : OTHER FIXTURES. . . . . : �
TUB/SHOWERS. . . . : SEWER LINE ( Ft ) . . . . -
WATER
Ft ) . . . . :WATER CLOSETS. . : WATER LINE_ (ft ) . . . . :
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . : & .
Remarks : Install residential backflow prevention device
Owner. --- ---__..___._._____________.___________.____..__._._____._-__.. FEES
RENAISSANCE CUSTOM HOIIE type amount by date recpt
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1672 SW WILLAMETTE FALLS OR PRM'f $ 15. 00 JSD 10/12/95 95--271592
` SPOT $ 0. 75 ,ISD 10/1.2/95 95-271592
i Wk_.riT J._INN OR 97068
1 Phone #: 557—SIZIOILLI
Contractor:
k MOODY ENTF_RP'RISE, INC.
P. O. BOX 98
P
ESTAC.ADA OR 970`3
Phone #: 631-291.13 $ 15. 75 TOTAL
y Reg #. . : 5973
_.._...-.—•-. RFOUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the RP/Backflow' Prev
Tigard Municipal Code, Stete of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if woo is not ctar•tpd
wit'nin IN days of issuance, or if work is suspendeJ for more
then IN days.
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Permittee Signature : _r V61"
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Issued By :
Call for inspection — 639-4175
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City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 S11u Hall Blvd. Permit #�
Tigard, OR 97223 w
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(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
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--�T N.m D.,.OP-t r New Single Family Residences Only
Ad&- ` J ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
Jab `U'S_`4-f yca ('V�' f ❑ 3 BATH HOUSE$225.00
Address _. z. Fee includes all plumbing fixtures in the dwelling and the first 100 feet
f nG. of water service, sanitary sewer and storm sewer. See fees below.
FIXTURES QTY PRICE AMS
( Q SinK
9.00
M."AR`- vn.A. Lavatory 9.00
Owner Tub or Tub/Shove, Comb. 9.00
cwpan. :b Shower Only 9.00
C �� �,�, Water Closet _ 9.00
�.m..1 b Dishwasher 9.00
Garbage Disposal 9.00
Occupant MMnpA»„, M^ Washing Machine 9.00
Floor Drain 900
o4ViS161. zip Water Heater 9.00
Laundry Room Tray 9.00
wm. Urinal 9.00
Other Fixtures (Specify) 9.00
M."A.- aua�. 9 00
Contractor y7 _2 - -'
� ��' 9.00
rfiyy,.,. an 9.00
(71/? yT r Sewer 1st 100' 30.00
ens R"W.W N. Ur e...T.N. Sewer-ea. Addit. 100' 25.00
.57`7 J_ 111711 Water Service 1st 100'� 30.00
I hereby acknowledge that I h ve read this application, that the Water Service ea. Addit. 200' 1'00
information given is correct, that I am the owner or authorized agert of
the owner, that plans submitted are in comiliance with State laws, that Storm 8 Rain Drain 1st 100' 30.00 `
I an,registered with the Consbuction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00
number given is correct. (If exempt from State registration, please
give reason below.) Mobile Home Space _ 25.00
Back Flow Preve^tion
Device or Anti-Polluti.-)n Device 9.00
Any Trap or Waste Nct
Connected to a Fixture 9.00
Describe work new C ad5ition Q alteration Q repair atch Basir r 9.01)
to be done residential (V non-residential Insp of Exist. Plumbing M 40001h
Specially Requested Inspections 40.00/hr
Existing use of Rain Drain, single family dwelling 30.00
building or property _ _ ---
Residential backflow pre+:en!ion
devices 15.00
Proposed use of
building or property
'(Except residential backflow
prevention devices)
NOTICE 'Mlnimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK )P CONSTRUCTION
AUTHORIZED IS NOT COMMENCES WITHIN 180 DAYS, OR IF 5%SURCHARGE !/>
CONSTRUCTION OR WORK IS SUSt ENDED OR ABANDONED -FOR A PERIOD OF 180 DAYS AT ANY'IME AFTER WORK IS
j COMMENCED. PLAN REVIEW 25". OF SUBTOTAL -
TOTAL
Special Conditions
sate issued by
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Lina (Rec-O-Phone): 639-4175 siness Phone: 63 -4114
Inspection:
Footing Susp. Ceiling Sprink. Rough-in pr/Sdwlk
r Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct Plbg. Top Out Elec. Rougn-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
10 Plbg. Underfloor Rain Drain Framing -Plumb. an
Alarm Water Line Insulation -Mach.
Undorflr, Insul. Shear Wall Gyp. Bd. -Elect.
Datq Requested: �D�G ��� Time: AM PM
Address,/0 5�/y /�/��41de
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date;
_LA<PROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
L Call For Relnsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
P •
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach, Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mach. Eln. Uwar Gas Line Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line '�/' Insulation -Mach.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect. w
Date Requested: /� /��� Time: AM PM
Address: c— /�� �7iQ ( /p _ � � r
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date:
,_APPROVED —DISAPPROVED __APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
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CITY OF T'GARD BUILDING INSPECTION NOTICE
Inspection :.int. (Rec-O-Phone): 639-4175 Business Phone: 639-4171
' d I Inspection:
Footing Susp. Cei;ing Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. U+,derslab Mech. Rough-in Fireplace
i,i �` �y 1�i3i4v�;•' 1
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. an.`Sewer,. Gas Line Bldg. °
Plby. Underfloor Rain Drain Framing -Plumb. ,
Alarm �_ stet Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. °
Time; AM PM
Date Requested:
Address: �� /'-C = r
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Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector. Dat-.
_APPROVED _DISAPPROVE _APPROVED SUBJECT TO ABOVE
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Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
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Inspection: �1.�
•
Footing S p. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-i,i Fin glace
Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech. •
Underflr, Insul. Shear Wall rGyp. Bd. -Elect.
Date Requested: �//t' 1_'f Time: AM PM
Address: G�•� �/ w`�'�i'`�_ � y y.-
Builder: (D j 7 - G' ��,� _,—Permit #: L r 3
THE O I G CCrECTARE REOUIRED: j
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In�s(pector: Da+e: !.
�CQPPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp. ~
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6:39-4 1
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Inspection:
Footing Susp. Ceiling Sprink. Rough-in AppriSdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace I
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Hain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
•
Underflr. Insul. Shear Wall / .GG–B–d-b -Elect.
Date Requested: O //8 '/ Time: AM PM
Address:— L4
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Builder: Permit �---
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: �.
� � Date:
�hf'f'FiOVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.4171
Inspection: ,p
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk it
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. P bg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer -Bldg.
Plbg. Underfloor Rain Drain -Plumb.
Alarm Water Linens1jIatioJ? -Mech.
f �
Underflr. Insul. Shear
Wall / Gyp. Bd. -Elect.
Date Requested: Time:--AM __PM
Address: C.' S
Budder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED: 'r;iN .
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Inspector: Date
L%Z PROVED ___-DISAPPROVED APPROVED SUBJECT TU ABOVE
—Call For Reinsp.
CITY OF I y r r _-
T.GAR
D BUILDING I'NSPE'CTION [`
N NOl ICE �
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-417
. Inspection: _C; _ -
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdw k
Foundation Plbg. UnderslabSi —Roug^ him Fireplace
i
r!bt/Beam
) Ibg. Top Out Elec. Rough in FINAL:
San. ewer Bldg.
Rain Drain ramm -Plumb.
s Alarm ater Lire Insulation -Meth. w
•
Jnderflr. Insul. h eja r Wall Gyp. Bd. -Elect.
Date Requested: �� Time: AM ___QPM
Address-1o��__ �/
Builder: Permit q: Ay ST 9S c) ?I Z
THE FOLLOWING CORRECTIONS ARE REQUIRED:
ZPROVED
Dale:
__DISAPPROVED _APPROVED SUBJE,T TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Undedlr. Insul. Shear Wal Gyp. Bd. -Elect.
Date Requested:_ �L', `i S Time: AM PM r.
Address:
Buildei:to Permit #:L�ZC�I 5 " C311
THF FOLLOWING CORRECTIONS ARE REOi PgED:
/ I
--T i
c cy
b.
':.
Inspector: 1.1; c .►�_ _ Date: i
XAPPROVE:[ _DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
A,�.! -,. ,.... a.,„•,... .. ....,.yuw.wu•y.tiv N'i..!.'I...vrv•MMwWma W...•a.v. ..� ,YArY1.M 4,1 rli;rMf`l#F'RYlY.1�•»!4�Vi. `
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Community Dovelopment ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # _ —
Permit # c -C'31
Phone (503) 639-4171 Date Issu9d
FAX (503) 684-7297 Issued by 4D
CITY OF TIOARD TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development__ Numberof Inspections per permit allowed
Address_L!n.5 1 L1 Service included. Items Cost(ea) Sum
City/State/Zip _
4s. Residential-per unit oA 4
Sol a
l000 aor leas �_ $1>00o i r D , _
_ �� Each addt orwl 500 eq If or
Name (or Warne of business portion N N C'" gentian tha.eol __�___ f25� /-5 ti
Limited Energy $2500
Commercial❑ Residential�'�— Each Manul'd Home or Modular 2
Dweling Service or Feeder $68 Oo
2a. Contractor installation only: 4b.Services or Feeders
/' �
Installation,alteration,on,or relocation 6
Electrical Contractor lr_'�a C w X4 C. 200 amps or less $8000 2
201 amps,to 400 amps $80 00 2 }
Address (� d• L u11.9 401 amps to 800 amps -- $120 00 — 2
City ( aL c �( 4 M-,� 5 St,�te ChM ZiP_�cf ` 801 ern,r•l0 1000 amps �_ $18000 _ 2
Phone N0. fa�? Q IL Over 1000 amps or volts $34000 2
Reconnect only $5000
Contractor's License No. 3 — I7.)C
Contractor's Board Reg. No.—3 If s.14 Al 4c.Temporary Services or feeders z
Itclallation,alteration,or relocation `
Signature of Supr. Elec,'n (y t� �o–s-� 200 amps or lase $75 00 2
License No. l 1 g — Phone No.G �� ►r f 201 amps to 400 amps oo 00 2
� 401 amps to 800 amps E
O,ar 800 amps to 1000 volts
2b. For owner Installations: sae•ba above
4d. Branch Circuits
Print Owners NameNaw,alteration or"onsion per panel
Address _— �� a)rhe lea for branch cuowls with
-- purchase of servks or Nader be. 2
City_ State ZIP_ Each brarrh circuit $500
Phone No. b)'rho lap lot branch circuits wlfhouf
The installation is being made on property I own which is purchase of service or realer tie. 2
First branch circuit $3500 2
not intended for sale, lease or rent. Each additional branch circuit $.5 00
Owner's Signature _ 4e• Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump etionaide :4000 2
Tach sign orr ouutllt ine fighting f4000
Signal cimuo(s)or a limited energy 2
Please check appropriate Item and enter foo In section SB. panel alteration or extension $4000
4 or more residential units in one structure Minor Labels(10) $10000
_Servwe and leader 225 amps or more 41. Each se-litional inspection over
System over 600 volts nominal
Classified area nr structure containing special occupancy the allowable in any of the above
as described in N E C. Ghapter 5 Per inspection $3500 _
Per hour $5500
In Plant $5500
Submit 2 sets of plans with oppiication where any of the above
apply. Not required for temporary construction servi..es. 5. Fees:
=1
50. Enter total of above fear $
NOTICE I 5%Surcharge(05 X total foes) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF i Sb.EPIPn nter Reevivieww if required(Sec.B) $
of
line A for –
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR ub
S
A PERIOD OF 180 DAYS AT ANY TIME. AFTER WORK IS Subtotal $
COMMENCED n Trust Accounts $
c�
Balance Due — $ �7 3 �()
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CITY OF T I GARD RE C:E 1 PT OF PAYMENT RECEIPT NO. v95—P68 7'�1
I s EC, INC. PAST 1 AT DAT s ��'
NAME GAGE ENTE RP R I S
r
PAYMENT DATE o 0^!►71 n131ti',`i
I ADDRF SS s PO BOX 14P9 SLJ AD I V I S I ON e
CLAM i•(AM()r ON
.. 1 �37N14i-• `
PURPOSE OF PAYMI N'T AMOU1,41 PA 11) PURPOSE.. OF PPYMfw NT AMOUNT PAID
E
ELECTRICAL RE:RMIT: E60. 00 5't. AUIL.P PFR
13. 00I
ti I
r
I
in FI._.G95—031 1
I 10514 S-W N�1E:'Jf.:
TOTAL_ AMOUNT C"AICt --
4
1
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AQ
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CITY OF TIGAFD BUILDING INSPECTION NOTICE ;t
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 1
kspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: ra '
post Seam Mech. San. Sewer Gas Line -Bidg.
Plbg. Underfloor ain D graining -Plumb. i
Alarm ater Line Insulation -Mech.
Underllr. Insul. /Shear Wall ayp. Bd. -Elect.
Date Requested:_ `, `�Time: 'AM PM
Address:
Builder: Permit #:Nr 5
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-- -- — (le
Insector. _ Date:
L;t�H
APPROVED __DISAPPROVED __AF PROVED SUBJECT TO ABOVE
�
Call For Reins,.
y � .
CITY OFTIGARD BUILDING INSPECTION NOTICE?
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639- 71
Inspection:_
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
FLoun i Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
40 Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. InsuL Shear Wall Gyp. Bd. -Elect.
Date Requested: 4J / Time:- AM PM
"' Address: �����y /���Ct✓ —._—
Builder: _
Permit #:
- THE FOLLOWING CORREC,I IONS ARE REQUIRED: l
— T
Insp tor: Date _
APPROVED DISAPPROVED APPROVED SUB, =CT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD PLUMBING F'.. . .
r'cRl+?zT #. . MST():7•^•17121C
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUER: 05/23/95
13126 SW Hall Blvd.Tigard,Oregon 97223.61A (503)530-4171
IT (-DDREC,1:- . . : 10'_114 SW NAEV ST
4
!.JBD I V I SI ON. . . . : RENAISSANCE SUMMIT ZONING: R-..3. 5
LOT . . . . . ..
a
LASS OF WOr2K. . :NEW GARBAGE PI SIPOSAL_J. . : 1 �
YPE OF USE. . . . .S WASHINGf�MACH. . . . . . . : 1 DACKFL.OW PREVNI"RS. .
CC!JpANCY IiRF'. . :R;, r1-CJOR DPA N1 ;. • . . . . . %0 TRAPS. . . . , ,. . . . . . . . .
TORIES. . . . . . . . .C" WATER HEATERS. . . . . . : 1 CA7f:ri BASINS. , . . . . . :tl+
:'XTURES---_......._. . _._.. LAUNDRY TRAY','. , „ . . : ]. 'ar" RAII'd
r
INkB. . . . . . . . . . 11 GREASE 7 RAPS. . . . . . . 3 0
IOTI ICR F IXT'JrtC . . . , . :0 '
7ul-3/SHOWER'S. . . . : SEWER L t NE (ft) ,
' WRTER C L05ET S. . : WATER I_INC (ft ) . . . . :Ql
' r
DISHWASH(RG. . . , : 1 RAIN DRAIN (ft) . . . . :0
Remarks : PATH I
OWNER: __._...._.___.._,..__._ ___...._-__., . .. ._.. __. _ ___..__._,__. ......_...^_.-FEE?-._,-.....,._....__._ ._._._......_
^C_*N,AI0 ANCr_ CUTnM I IC)MFS TIr" $ 1550. 00 "Tri 05/1;_'1_/n7
S72 SW WILL.AMEITC FALLS; DR SWM $ 1Bel. 00 CTR 05/23/95
SWM 1� ].c,o. 00 Girt @C/'I'-c,;i, s
I_INN 013 '37t'i ,!', SPnT ', 73A. x,111 CTR
�one> 0: 557-800,'' FPLC $ 479. 70 SW 05/16/95 95 s
e5F1C' $ 36. 10 CTR
l _.InL�inl� Conte r. "j/83/r)S ...
f�'ARF'� 4, .��4.1. 4'i0 ("TR 0.1, �:,.
MPRT a 48. 00 CTR 0F) ...._
C7'R 0 Z,';' .
d d
- F`�C � ,�. �r0 CTR 05/x:'
.._ ;:.
I"e��: I O�Z.�,. .�rr` t^8C r,:4r r'ti'd� M P:�
._ ._... STH t 'L-. OLS CTR 0 /P, . .
i p' 9 7u.rr It o�'�.� :', r r Ru,a/ �3 9 5 f
ildciitioTkal rep,; ;lot shown hfekK e.� . . . . . . . .
` '?q 14 k3# 7 jKamo
_...._......._._., rti^'QU I RF.i) INSPECTIONS
{lt,s p e v mi t- i i, issued SlRL7,' chc!t to the
lations contained in the Ti, a c1 MLin ic:ipal Foot inq Insp Insk.+lation 17,!
Odes, State of Ore. specialty Cade! ,�snd a4 r ol..l.ndat ion Insp Ciyp r�a�-rT d to
trier, applicable laws. All work will be done Past/Seam rtruc:t Rain drain 1 ,
i.n Me.-!'),- la%: t LAa' I..is�s I11 >IJ
ermit will expire if work is not Started Crawl Drain WzrtLer Service Ir
1 , _ lrah Insp r 'p •/ri d�lt, In :
f ,
stAspended foo mor^e than 100 dAys• 'LM/Underflool- Merr,h,R�anicEl r`ir,..
Mfl{.,hanjcal 3111,ip P11.iill h Fi ,, l
Pl,_imb Top Out D>..lilciinq Final
Fr.aminq Insp Err^osic s C:_r,ti r:
Tireplac e Insp
L. n a T n s p
1 critr'erctur- r;iynat;�r .:
`rI
Cont r-actor Notes :.
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�tr�y+ Me'� •'-�N 'CID t i.;.i7 �' �If i 64y �. 'd.
°s. x ',. •,� i' '�, U
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MAaT�R FECITY OF TIGARD PERMIT #. . . . .. .
r,;� , ',;• � :.; . •� .,�';
COMMUNITY DEVELOPMENT DEPARTMENT DA'rE lsc;uED: 05/23/95
13125 SW Hall Blvd.Tigard,O►apon 07223.6199 (603)639-4171 i, l
r"'P+RCE.L
R" . r �` X111'.VL:
W�Ir►:. arsnfzC.�'�. . i0314 -)W
F,UBDIVISION. . . . : RENAISSA14LL. SUMMIT ZONING: R-3. `"
11'3LOCK. LOT. . . . . . . . . . . . . :
E I SSiUE; DWELLING UiV I TS: 1 s f
1,ASS OF WORK. ::NEW BEDRMS 13 BATHS:3 GARAG'�.. . . . . . . . . . ..7.,:5 s f
OF U'5E. . . ` i � • r^ IJ. c - c l Ef; �titer' :f+ .T S ....Y.:..._.» _..-_.
,�- I'LpCiR l'lC:��A.,... -- . tair'E. vf'7T�AFK•.. ;
"YPE OF CONST. -.!SN RST. . . . 1405 S L_EFT. . 1� R. GHT. t]. ft'
ZC:I_PP)NrY GRP. : R SEMCOND. . . s 1 u�:]. �f FRONT-20 ft RUPP. -.50
i!t
TpRIES. . . . . . , ;c. FINBaMEPJT:O sf
IE I C71•!T. . . . . . . . ;,:aC: f't TCiTAL..- . __
: :.;;'_,?r, ; r OMCJIiE DCTECTOR".i, -Y
L.00R LOAD. . . . : 40 nsf VALUE. . . . . S : ;_:21056 PARKING SPACES. . : 1 rt
g e m t^I•c s.: P fi m I i
___ ._.. ..._._.._...... PLUMBING -..........»._.,__.... �_...... _,.__ _ --......._._.__ ..........._..
. . . » : 1 F OOf' PRE`+'NTR'S. . : 1 )
AVATORIES. . . . . ..4 WATER HEATERS. . - 1 TRAPS. . . . . . . . . . . . . . 30
'US/£3HOWEPS. . . . :;:, LAUN,,)RY TRnYS. . . a 1 CATC1.1 SASING. . . . . . . ; 0
'JATE 7 CLOSETS. . :3 SEWCR LINE (ft) . .0 CREASE. TRAPS. . . . . . . :0
)I91IWAS:HCRS. . . . : 1. 14AT1-R I..I'dE (ft ) . :0 nTI11-R I-I XTUREC. . . . . r7
3ARBAGE: DISP, . . : .t RAIN DRAIN (ft) . :0
Jil',7H I NG MACH. . t .t Sr RA I IN DRA"N G. . : 1
Jr.-.L TYPES—– ONIT IiTRS. . :0 : y P o t.' i C1at0 eV:
VENTS . . . . . 10 TIF 1550. 00 CTR 215/171,3/9 ... !. '
MAX INPUT-03 STU VENT I'ANS. . :J GWile; 180. 00 CTR
;"URN ( 1001( . . .0 HnpD a. , . . . . al SWM 100. 00 CTP 05/C::.: 9wS
-URN ) -100K . . ' I WOC'DSTOV17-d. :e DP P%T 1 7.70. 00 CTR 4""I/,`' ,")C
.-L'DOR FURN. . . . 10 CLO LRYERS. - 1 OPLC f, 479. 70i SW 05/10:'95 9!'j
30 L.iCM} ( ;}11=':'+7; OTHER UNITS'. 1 Dt-)PC 0 CTR Or-,l ."/"3C .
i Cw,; OUTL ETSr 1 PARK $ 500- 00 CTR 05/Z x/95 ,
r48 012" f TIS 4"•"i/i•' 0"/115 j
(„ RENAISSnNC E CUSTOM OM HOME±C MPLC: 1, ic':. 00 CTR 05/e3/95
I -, SW
ti P151'C: 40 ITP 0`3/':3/95 "t
tt_--7c. t
3DT11 PI 1:125. 00 CT 05✓c!3/95
lkf T 1-INN OR 9711if.8
r,IS PC 9, 1 i. 5 CTn 0!) F.,,'
,•� F Ii a n e lit s 5�7...SA0O
RENf1?:;laf'aNC_r,. CUCTC)M HOMES INC ERPC s �F.�. G171 CTR 05/�:'si9�
IG*172 SW WTLLnMETTE FnL,LS 9`?
WEST LINN 00 97068
1"Q" fel.
This Per-lit is issied s-.hjact to the regula:io-l!, contained in the - -- REGiLIRE"D INSr.,E'CTIGNa –_.._.. .._
';ga,. Municipal Cade, ilatA of O e. Sp�.:,;.r Codes and al; other f ont i'"+q Insp F='1+_imt) Top hilt
opolicable lays. M! work will be dors in accordance with approved I-"otinr]ation Inst Fr•'aminq Insp
�. r. t /Se.sm Str^ur.t Fi -pW1.Y�a Irt1;i,
plans. This persit will expire if worn k no, s:., n iFiQ
° r• :^n'!+P• • ;:' I+'[)St/I�@aGi Mechem Gas 1 1rIC'
qs of issua,ce, 1V if w
Cr•.?wl E7r'ai r► (Ir�u1 1�: ir; •i Ir. ::,
P'lm/unc],,siab Iiisp 1:.,yp TVr5E:t 41
PLM/Under'fIDor Eakin r1r,a+irl IT15p
Ca.l 1 For- iri F pec•t i.o*r ' f,s9 4175
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s'-WER CQNNECTTON l
ar( OF TIGARD r
rnMIT
'ERM I' . , . . . « SW,�.:j .. ..4;
COMMiiN1TY DEVELOPMENT DEPARTMENT D A T c 1 act;e Y) 05/2 3,t ;
13125 SW Hall Blvd.Tigard,Orogon 97223.8109 (503)839-4171 i1
PnRCEL:
r C, . . i X71 814 W NAS.V �,.1. t' •
.�ITi;^ AUl3{�E.")
51.11aUIVISION. . . . s R.E.NAISSANCE= SUMMIT 70NING: R- .?,. 5
BLOCK L "1T . . . . . . . .
TE W.,NT NF1•^1:. . . . . .
L2SA NO. . . . . . . . . . : FIXTURE UNITS. . . :
^, . IS S or WORK. . . :14FW WELL ING UNITS. . : I a
YPr OF USC. . . . . :r- NO. OF BUILDINtiS 1
T N+c1TAL.i_ TYPE. . . . :BUSWR 111F ERV SURFAI:Ew. . i= •
nate s c PATH I
FEES _._._....._. ___.._..__.
RENAISSANCE CUSTOM HOMCM type i-,mo nt by date tc-r. `
1672 SW WILLAMETTE FALLS DR PRMT f 2200. 70 CTR W .`?19a
'W3P $ 00 CTR 05/2 31^f<
WrII7,T LINN OR 17060
phone #: 557--0010
Cori trartor 4
CONTRACTOR NOT ON rYLone 4f., ".
t 4- ?,5. 00 TOTAL.
_...._._.. -- REOU I RE'D T NCPCCT I ON^} _
-,s Applicant agrees to us;:y with all the rules and regulations Sewer I n>� -ec_t i or►
Sewer
,he th}:fied Sewage Agercy. The pereit expires 190 days froe ..-
date issued, The total aeount paid will be forfeitet if ;he
sit expires. The pgencv does nrt guarantee the accuracy of the _....__---.._..__._._ _.____ ._ _._._.�_._ ........__.__....._ .. .. .
e sewer laterals, if the sewer is not located at the eeasureaeat
Jen, the installer shall p,ospect 3 feet in all directions frog
!t�e distance given. 1f not so located, the installer shall purchase
a "Tap and Side Stwe-" Gereit and the
Ajt."o eL
t Fay i nspec:t ion — 639-417'
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.• N�I�M,Ya..r..x.w,n..w. ,.,....nr...ww.w.a,M1VMl'AMWIIF4., .. .. .,. - ..
Residential Building Pero'i alication ,�
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jrjbsity Address: _ 1usa���C r—� ,
�
r ✓ Oflflce Usa Only
`/Subdivision:�11L1_6c U_ J21M1± Lot# I�C
Plaricki Rec #
Valuation: -�� -- - Permit #AZ-
Corner Lot? Y
� Reissue of
O � —
Flag Lot? Y
Map & TL#__'_'�iIpU�1
Owner: i ]�QUS I► i Approvals Reug ired
Address: _ I lob a LJI ? - Planning
Enginerring
Phone: r`J�-1' a�iU—_—_ Other _
Contractor: ��Yln t ,1?n �, Items Reguired
Address: �(Q��lllULILL— ate,,, �-.— Subcontractors
Truss Details
Phone: ��� OG_ — - Other — _
i Contractor's License # —
(attach copy of current Oregon license)
i
i
Contact Name & Phone: -5 =-$ ��
Subcontractors: II^^ Architect/Engineer:Plumbing: _
LQc �E- �IU rJIY 4��11�\�� Addres.3:
�—�� - --- --- —
Mechanical 1 Aer,
rt(atrr3ch copy of cR Co ractor's Lrcense)
Phone: _
JOB DESCRIPTION: _ S51YlCE�
Applicant Signature & Phone mr-iber'
I
Received by: Date Received: 1 I Q
, � .,i...�..m,,...,.mw.m.... .............__..,,.,,.........,..,.. ,... ..,..�...,...,._ _....._..,.:.,we„Rq,R,6.wAP.,11.,4w..de+.:N. .•�..N.MMw�w+wu-w.,n....w.,.........._..,.._.....,U„�i
Permit# Account Description Amount Amt. Pd. Bal. Due
I
ii(Sfl (Z Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
i► Mech. Permit (MECH)
State Tax (TAX)
% Su . s�'s
l
• Bldg-
Plumb: I/, L i
I �
Mech:
70
Plan Check (PLANCK) a5J
1 Bldg:
Plumb:
J /t
Mech: 2 '�
� ZvJ /
_SG•� d L Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
__Soy
Residential TIF (TIF-R) .�
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) _ —
i
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
i
Office TIF (TIF-0)
i
Water Quality (WOUAI.)
Water Quantity (W(IUANT) /G d
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion PIr nck1COT (EROSN)
LTOTALS:
.,11w,7v1p'C�47`4.4 ,,�.�pyplsa Ai
N }
+! .J ;
r •' �,,�� Ni S'
S Y
,,rr,, t�t y+yrrj.y, qtr
.. ^ .._. ..� .tiYW�,,,.......a.._.,4.t�))�.`J 1CZlu Dd1Cl�C.f-' YY r� .. ....y�f ! � •
Address �� � � ��� '�ye
Box A calculations : North-South dimension for the lot . Box A: �
This dimension is determined by finding the midpoint of the9:4+.?f
North lot line and drawing an intersecting line perpendicular
*o that point. Measure the distance from the midpoint of -he
Xorth lot line to the South lot line along c.he described line . (j �'
�M ft
f
13 7x 7calculations : Shade point height from your structure . Box B :
1 . Determine whether measurements will be based on the peak i .
nr eave of your structure:. j'he orientation of the ridge
is also important . Which
la: If the roof line ruris North-South, measurements will. be describes
based on the peak of the roof . your lot? E :
lb: if the roof line runs East-West and the roof pitch is less (Circle one)
than 5/12, measurements will be based on the eave .
lc: If the roof li,ie runs East-West and the roof pitch is 5/12 la lb lc
or steeper, measurements will be based on the peak.
2. . Measure change in elevation from front property line to �
finished floor elevation. ft
3 . Measure distance from finished floor elevation to the
affected peak/eave . ,
-1- ft
4 . If the roof line runs North-South, deduct three feet . j
If the roof line runs East-West , deduct nothing . 7
f t I
5 . Subtract one foot for each foot of difference .n elevation
from the front property line to the rear property line, if
the lot slopes up from the front to the rear. If the lot _ � 7
has no slope or slopes up -rom the rear to the front , —__ ft
deduct nothing.
6 . Total figure for box B : {
Box C. Distance to the shade reduction line . Box C:
1 . Measure the distance from the North property line to the
foundation. ft
2. . Measure the distance from the foundation to the affected + � ft
peak or eave .
3 . Total figure for sox C: -''- ---`-�
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Box A. North-South dumensioe for your lot
Box B. shade point h'aight from your structure
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+_ feet feet
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Box C. Distance to the shade reduc:ion line
!_�V Feet
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Distance to
' shade 100+ 95 90 85 80 75 70 65 60 55 50 45 40
reduction line
from northern i
lot line in feet
70 40 40 40 41 42 43 44
65 38 38 38 39 40 41 42 43
60 36 36 36 37 R 39 40 41 42
55 34 34 34 35 36 37 38 39 40 41 I
50 32 32 i32 33 34 35 36 37 38 39 40 41 42 i
45 30 30 30 31 32 33 34 35 36 37 38 39 40
40 28 28 ! 28 29 30 31 32 33 34 35 36 37 38
35 26 26 26 2.7 28 29 30 31 32 33 34 35 36
30 24 24 24 25 26 27 28 29 30 31 32 33 34
25 22 22 ; 22 23 24 25 26 27 28 29 30 31 32
20 �_2R____.2� '_20 21 22 23 24 25 26 27 28 29 30
15 18 18 _ 18 19 20 21 22 23 24 25 26 27 28
' 10 16 16 16 17 18 19 20 21 22 23 24 25 26
5 14 14 14 15 16 17 18 19 30 21 22 23 24
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Box "D" Maximum allowed shade point height 1 1 feet
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CITY OF T I GARD - RrC..;E I r-r OF PAYME.NT RECEIPT NO.
! NAME a RENAISSANCE CUSTOMS HOMES CHECK AMOUNT a 62)3. 45 I
ADDRESia 1 t•7E SW bJ I L L AMr T TE FALLS DR. CASH AMOUNT a 0. 00 �
WEST LINN, OR
PAYMENT I?A'CE
97068-
SUBDIVISION
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I PURPOSE. OF PAYMENT AMOLI'4T PAID PURPOSr OF PAY;LENT AMOUNT PAT 1 i
3"1-J"I l D I—NG- PERNI ME1T95-Q1=12- 73f3.700 PLUMS I NCS PERM'
1CCHANICAL_ PE 48. 00 S1'. 81111_D FUER 50. iii I
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PLAN CHECK F E 441. 70 SEWER USA
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I"12'O OUAI_.ITY FACILITY FEF: 1spi. 00 RFE)lr)F'NT.TAL TRAFFIC FEE; 1430. 00
MASS TRANSIT TIF FFE:S 120. 00 HL-'O QUANTITY FACILITY FVT 100. N0
EROSION CONTROL.. GE:RMI'TF- E: 88..1. 00 EROSION CC1N'f'ROL PLAN CK .;E3. 60
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