10572 SW NAEVE STREET IS 3A3VN MS U90
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10572 SW NAEVE ST
ITY ®F TIGARD MASTER . . . .PERMIT
PERMIT ##. . . . . . . : MST96-01,-'
DATE' ISSUED: 03/26/96
COMMUNI,Y DEVELOPMENT DEPARTMENT
13125 8W H&H Blvd.Tipnd,Arses 97223N/99 15031639-4171 PARCEL. S I !ODA -02000
I rC ADDRCS5. . . : 1037: OW NOEVE: ST
:]LJPDIVISION. . . . : RENAISSANCE SUMMIT ZONING: R--3. 5
`.3LC)71/. . . . . . . . . . . LOT. . . . . . . . . . . . . :211
Remarks: PATH I
-------------------------------—-----------------------_------- BUILDING --------------- ---------------------------------------
REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 if REQUIRED SETBACKS---- REQUIRED------------
'LA3S OF WCRK.:NEW HEIGHT........; 32 FIRST....: 1364 if GARAGE.....: 645 if LEFT..........: 9 SMOKE DETECTRS: Y
_ 7 U7E...:SF FLOOR LOAD....: 40 SECONI .: 1165 sf FRONT.........: 25 PARKING SPACES: 1
iYrE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 if RIGHT.........: 9
"SCUPANCY GRP.:R3 BDRM: 3 BATIi: 3 TOTAL------: 2530 sf VALUE../: 174620 REAR..........s 36
------------------------------------- - ---------- PLUMBING --------------------------------------------------------------- -
�IM!5.........: 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: I RAIN DRAIN ft: 0 TRAPS.........: 0
LAVA70RIES....: 5 DISHWASHERS...: I FLOOR DRAINS..: ! SEWER LINE ft: f SF PAIN DRAINS: 1 CATCH BASINS..: 0
'UB/3HOWERE...: 3 GARBAGE DISP..: 1 WATER ITERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: I GREASE TRAPS..: 0
OTHER FIXTURES: 0
—-------------- -- ----------- MECHANICAL -------------------------------------------.-_ -
`iJEL TYPES----------- FURN i ION ..: 0 BOIL/CPP ( 3HP: 9 VENT FANG.....: 4 CLOTHES DRYERS: 1
,'GAS/ / / FURN )tl@M ..: 1 UNIT HEATERS..; 0 HOODS.........: 1 OTHER UNITS...: I
"AX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....: 0 GAS OUTLETS...: 1
----------------------------------- ----------------------- ELECTRICAL -------------—---------------------------------------_
RESIDENTIAL UNIT--- --SERVICE/FEEDER---- --TEMP SRVC/FE_DERS--- ---BRANCH CIRCUITS--- ----MISCELLANEOUS— --ADD'L INSPECTIONS
3000 SF OR LESS: 1 0 - 200 amp..: 0 0 200 alp..: 0 W/SVC OR FDR,.: 0 PUP/IRRIGATIDN: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 5 201 480 asp..: 0 201 400 alp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 asp,,: 0 401 - 600 asp..: a EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
MANF HM/SVC/FDR: 0 601 - 1000 asp.: 0 601+asps-1000 v: 0 MINOR LABEL -10: 0 I
ION+ asp/volt.: 0 ------------------------------- PUN REVIEW SECTION --------------____--_________--_.--
Reconnect only.: 0 )=4 AES UNITS..: SVC/FDR)-M5 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
- - --------------------------------- ELECTRICAL - RESTRICTED ENERGY
--------------------------
A.
-- - --------------
A. SF RE51DE1TIAL---- --------- - - ---- B. COMIERCIFL------------------------------. --------- --------------------------------
AUDIO I STEREO.: VACUUM SYS-7M..: AUDIO I STEREO.: FIRE ALARM...,.: INTERCOM/PAGING: OUTDOOR LNDSE LT:
BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC...........: LANDSCAPE/I1MI"t PROTECTIVE SIGNL:
GARAGE OPENER.,: CLOCK..........: INSTRUMENTATION: MEDICAL........; OTHR: :
HUAL...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL. I SYSTEMS: 0
Dwrer: -- ------------------------------Contractor: ------------------------------- TOTAL FEES:1 4113.96
RENAISSPIT,E CUS10N HOMES RENAISSANCE CUSTOM HOMES INC
1612 SW WILLAMETTE FALLS DR 1672 SW WIL.LAMETTE FALLS DR
JJ_ST L:.% OR ?7068 WEST LINN OR 97068
e: 557 8000 Phone A:
CL
Reg Jt..: 97599
N "`.:a pe-mit is issued subject to the regulations contained in the Tigard N,micipal Code, State of Ore. Specialty Codes and all other
U) applicable laws. All work will be done in accordance with approved plans. This peroit will expire if work is not started within 180
days of issuance, or if work is suspended f:r sore than 180 days.
-� -_ _----------------------------------------------------- REQUIRED INSPECTIONS --------------------------------------------.
m Footing Insp PLM/Underfloor Low Voltage Gyp Board Insp Electrical Final
W Foundation Insp Mechanical Insp Fireplace Insp Rain drain Insp Mechanical Final
—s Post/Bean Str-uct Plumb Top Out Gas Line Insp Water Line Insp Plumb Final _,!
Post/spas Mechan Electrical Se-vi Gas Fireplace Water Serviec In Building Final
CraN1 Drain Fras;ng Inbp Insulation Insp Appr/Sdwlk Insp Erosion Control
der ,mi.tter: £- -� ( ,l �
L:,: 1 for i on - 639-4175: U
PERMIT
CITY OF TIGARD
PERMIT . . s 5/996 011,?
DATE ISSUED: 03/26/96
r
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Han Blvd Tlpard.argon 97223.8199 (603)639 071 PARCEL: 2S 1 1 ODA---02!100
1057: UW NAL`VC S7
;UBD I V I S I ON. . . . : RENAISSANCE SUMM I ZON I NG i R--3. 5
'ILOCR. . . . . . . . . . s LOT. . . . . . . . . . . . . :011
TENANT NAMr. . . . .
t
JSA NO. . . . . . . . . . t FIXTURE UNITS. . . 1 0
i:LASS OF V ":. . . s NEW DWELL.I NG UNITS. . : I
."YPE OF USE:. . . . . :SF NO. OF BUILDINGS s i
INSTALL TYPr, . . . :BUSWR IMPERV SURFACE: 0 f
'?emarks : -,ATH I
�?wner: ---- _.__________.._____. ___._..._._..__. ____. ._._a_.-----.-.------.-----....___ FEES -----__._—._----_
?ENAISSANCE CUSTOM HOMES type amount by date recpt
i6721 SW WILLAMETTE FALLS DR PRMT $ 2200- 00 .TMH 03/26/96 96-277453
INSP t 35. 00 JM11 03/26/96 96-277453
(JEST LINN OR 970613
"'hone #: 557-8000
:ont-actot-: _.-_._-...._,.._-_----__-.-_---____..---
ONTPACTOR NOT ON FILE
''hone
----------------------------------------
#: f 2235. 00TOTAL
?eg #. . .
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewpr Inspection
bf the Unified Sewage Agency. The permit expires 18N, days from —
`ne date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee; the accuracy of the
side sewer laterals. If the sewer is riot located at the measurement
given, the irstaller shall prospect 3 feet in all directions from
'!le distance given, If not so located, the installer shall purchase
E "Tap and Side Sewer" Permit and the Agency will Inst 11 a laterel.
ermittpe rign4At1.11^e
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IL Call far inspection 639-4175
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• Resi ential Building Permit .A�lication
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: No-eve, (
Subdivlslon:kl(t'IQlISy ec =Sui,nrr '4 . Lot# it office Use Only
�� �/ 7 / Contact Date 1 1 Initials
Valuation: -
Result
New Construction Only: (Square Footage) Planck/Rec
® ty � Permit AYI S t 9G-O 3r:
House: Garage: Reissue of
Map& TL L
Comer Lot? Y �1V Flag Lot? Y L/) Zone
Owner. kricussahCC Platy
Address: I(Q�` SvJ 1�� �lcivnr_ tFal�s Dr. Aa>arovalsR�ulred
{
VJCs L. ►� 0 2 • 9 0 U$ Planning Setbacks O K Solar.0 ;4vre.1
Engineering •1 6111 FLAN to P�Ll1.-
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Phone: (SC's 1 S -�oSS C Other._
Contractor. Revuu's s avu a Ccs l r m ffrv"e S Ko��.eaulmd.
Address: l III-4 Z 3•VJ lamef,c Falls bi-. Trusts ntr a srs— ---`-
�.
Other
W eA6 It 11
Phone: ( 503 ) SS -moa
Not! �r�! OL,l.gy� ',�
Contractors License # C94 S C�9
(attach copy of current Oregon license)
Contact Name: (3e rrn i c e. "—
Contact Phone: �50 3 1 SS -7 - a 000
D. Subcontractors: �� ^ � aF � Architect/Eriginser: Ra(a,I ('0Smay" N5igKe,
d-AG
ham, Plumbing: ra!�lr- PluV-+ to i ��— Address: (�3ZSSuJ. gopres �evr �Suit� loZ,
rn
Mechanical: T-r-) Con 0,%4-, T<t,'1 p G-n v-01 l.a<<e Oso . 6Q_ . ct 4C s
ro (attach copy of current R Contractor's license)
Qo Phone: f 5'03 16 3
0 ,
uu JOB DESCRIPTION: i vic I c Favi -. ( y �Stcl�vnCe_
LSo 3 ) S'S 7? - V-V00
'
I!panignature Applicant Phone number
Received by: Date Received:
Permit Account DescApdon Amunt Alp.b„ BaL Due
f?I �/ 7_�_ Bldg. Pwndt (Su1LD)
Plumb. Permit (PLUMB) sn L j r :2 Z
Mach. Ferm t (NMCN) �-
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Bldg: .31 u 3 "- "'r-J 51
Plumb: Z
ft
Plan CA \ (PLANCK)
Bldg:
Plumb: _ _
Z -Zz-c-
Mach:
$,ower Connection (SWU3A '�
Sower Inspection (SWINSP) 3'
Paries Dev Charge (PKSDC) Gy 5 r
Residential TIF MF-R)
i
Mass Transit TIF MF4M 21 2v `f
Commercial 11F ("i"IF
Industrial TIF F-) --------
Institutional 11F MF-IS) �----
a Office TIF (TIF-0) --
N Wa Quality (WCUAL)
� Water Quantity ('IYCUA;(T) d �---�?
m
a Ufo Safety (FLS)
Erosion Cntri Permit (ERPFt.9AT) �� c`'
-asicn PlancklUSA (ER.°LAN)
?--lien Planck/CO T (EROSN) Lim
TOTALS, l010 O 9�
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fn f60RM DRAINAGE EASEMFNI
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238 E1. S 89'52`02 w 62.00' ?-30 E`
W _. 1052 ;W N� � S1
J --EIGHT FOOT PUBLIC AND PRIVATE UTILITY SCALE DRAWING LOT 11 RENAISSANCE SUMMIT
EASEMENT ALONG ALL FRONT AND REAR LOT LINES S,E.1 4 $EC.1� T.2$. R.1 W. W.M.
--NEW HOUSE FROM LOT 40 RENAISSANCE WOODS
PER RANDY, 4-07-95, BTA, CITY OF TIGARD III
--CUT FIVE FEET OFF GARAGE do MOVED HOUSE WA$H!NGTOM COUNTY, OREGON
FORWARD PER JULIE,4-11-95, SPF.
--NEW HOUSE PLAN PER BERNICE, REVISED APRIL 11, 1995 Center-line Concept.s Inc.
3-6-9fi, TGe. DRAWN BY: SPF CHECKED BY: WGDIII 640 82nd Drive Gladstone, Oregon 97027
SCALE 7=20 ACCOUNT # 115 503 650-0188 fax 503 650-0189
CITE' OF TIGARD
DEVELOPME14T SERVICES
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639. 171 PLUMBING PERMIT
PERMIT #. . . . . . . a PLM96-0305
DATE ISSUED: 10/16/96
PARCEL: 2S1tODA-02000
SITE ADDRESS. . . : 10572 SW NAEVE ST
UBDIVISION. . . . : RENAISSANCE SUMMIT ZONING: R-3. 5
LOC!'. . . . . . . . . . . LOT. . . . . . . . . . . . . :011
CI-nSS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYF nr USE. . . . :SF WASHING MAC!!. . . . . . : 0 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . :R3 Fl-OOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURES----------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . » 0
SINKS. . . . . . . . . . . 0 JRINALS. . . . . . . . . . . 1 0 GREASE TRAPS. . . . . . . : 0
LAVATORIES. . . . . . 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . . : 0 SEWER LINE (ft) . . . e 0
WATER CLOSETS. . : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . » 0 RAIN DRAIN (ft) . . . : 0
Remarks : BACKFLOW DEVICE FOR IRRIGATION SYSTEM, DC AT METER
----------------- ---- FEES --------------
Owner: -- -------------- ________-_ type Y
RUSS IAMI .amount b date rec2pt
85217
10572 SW NAEVE PRMT $ 15. 04 JMH 10/t6/96 96-2
5PCT $ 0. 75 JMH 10/16/96 96-285217
TIGARD OR 97068
Phone #e 557-8000
Contractor. -____..-------------------------
NORTH' S PLUMBING
17120 SW SHAW
BEAVF_RTON OR 97007 -�-
Phone #: 649-5544 $ 15. 75 TOTAL
Rog #. . : 000340
------- REQUIRED INSPECTIONS -------
This permit is isrued subject to the regulations contained in the Rough-in Insp _
Tigard Municipal Code, State of (Ire. Specialty Codes and all other R,P/Packflow Prev
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started --
IL within 188 days of 4ssu4nce, or if work is suspended for more � -
p� than 188 days. -
nerimittee Signatures - --
ED —
ui issued B y:
Call for inspection - 639-4175
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639,171 —�---
SUP
Date Requested e�) AM� PM;,4-- BLD
Location C) C Suite MEC
Contact Person Ph PLM -
Contractor Ph SWR —
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Ac FPS
—'—�—'
Foundation NOT REQUESTED -- ---
Fog Drain FOUND DURING RESEARCH SIGN
SlaCrawl Drain In NO INSPECTION(S) FOUND IN FILE
SIT
Post&Beam -'
Ext Sheath/Shear
Int Sheath/Shear
Frarring —�
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling 6�y
Roof
Misc.
Final
PASS PART FAIL ---
UMB
Pos eam
Under Slab
Top Out ov
Water Service
Sanitary Sewer ` -- ---_�----
R�n Drains
PART FAIL
MECHANICAL
Post& Beam — --
Rough In
Gas Line --- -- - -- -
Smoke Dampers
Final __,-- —.-- — -- -
PASS PART FAIL
ELECTRICAL
IL Service
pz Rough In
N UG/Slab
Low Voltage --
Fire Alarm
J Final
ca PASS PART FAIL
co SITE
JBackfill/Grading -�— —`-- — - -�
Sanitary Sewer
Storm Drain ( ]Reinspection fee of _ _required before next inspection. Pay at City Hall, 13125 SW Hell Blvd
Ca"ch Basin ( I Please call for reinspection RE: [ j Unable to inspect-no access
Fire Supply LineADA
Approach/Sidewalk pate q� 66 Inspector " 6' / _ _ Ext
Other --
Final
PASS PART FAII. DO NOT REMOVE this inspection record from the fob site.
CITY OF T I GA R D CERTIFICATE OF OCCUPANCY
PERMIT#: MST96-00125
DEVELOPMENT SERVICES DATE ISSUED: 03/26/1996
13125 SW Hall Blvd., Tigard, OR 97223 (503)6394171 PARCEL: 2S110DA-02000
ZONING: R-3.5
JURISDICTION: TIG
SITE ADDRESS: 10572 SW NAEVE ST FILE �
SUBDIVISION: RENAISSANCE SUMMIT
BLOCK: LOT:011
CLASS OF WORK: NEW
TYPE OF USE: SF
TYPE OF CONSTR: 5N
OCCUPANCY GRP: R3
TENANT NAME:
REMARKS: PATH I
Owner:
RENAISSANCE CUSTOM HOMES
Phone:
Contractor:
RENAISSANCE CUSTOM HOMES INC
1672 SW WILLAMETTE FALLS DR
WEST L.INN, OR 97068
Phone:
Reg#:
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This Certificate Issued 08/16;1996 grants occupancy of the above rofer+enced building or
portion thereof and confirms that the building has been Inspected for compliance with the
State gon c lty Codes for the group, occu ncy, and use under which the
re nced pe w Issued.
i
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B DING INS CTOR _ B1IL610 OFFICIAL
POST IN CONvPICUOUS PLACE
OREGON TITLE 503 244 1833; OA/02/00 1 :38PM;)#ffa&_N851 ;Page 2/2
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amr OF MAW suUM WIPOCTM!r0 fiC!
li P PiNe11 Ufw.$31.4175 8wini Phone:$004171
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