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PRIVATE STORM �UGE EASEMENT
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:1�41 --EIGHT FOOT PUBLIC AND PRIVATE UTILITY SCALE DRAWING LOT 9 RENAISSANCE SUMMIT
EASEMENT ALONG ALL FRONT A
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S. L4 SEC.10,T.2S.,R.1 W.,W.M.
CITY OF TiGARD
WASHINGTOM COUNTY, OREGON
i;;;.• 10598 SW Naeve Street OCTOBER 26 19
; 1of1 . 95 Centerline Concepts" Inc.
R' DRAWN BY: BTA • CHECKED BY: WGDIII
• ° •;• , � •t �" - � - 640 82nd Drive Godstone. Oregon 9702•7
_ SCALE 1"-20' ACCOUNT 115 9
• 503 650-0188 fox 503 650-0189
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone:639.4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling lumb
Post/Beam Mech. Shear/Sheath Framivg -Meeh, •
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect,
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Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg,
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San. Sewer Gas Line Apr/Sdwlk Reins. N►
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Other:
Date: x�� -�E� A.M. —P.M. Er,ry:
- _ _ ..
Ii Address: —
I Tenant:-------------_— - Ste: MST:
I BUP: _
Con/Own: _.� _ MEC:
PLM:
ELC: -- ---
THE FOLLOWING CORRECTIONS ARE REOUIFlED: ELR:
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Inspector: --- Dain/-
AP D DISAPPROVED/CALL FOR REINSP. CF CO 1�� N'�
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PLUMBING PERMIT
PERMISU .. . . . . : PLM96--0183
CITY" OF TICARD DATE ED: 06/28/96
. 2
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: .='Sl10DP---01800
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171
SITE ADDREt`L3- - - : 105"J8 SW NAE VL S I
SUBDIVISION. . . . : RENAISSANCE SUMMIT ZONING: R-3. 5
BLOCK. . . . . . . . . . . LOI . . . . . . . . . . . . . :009
-------- -------------------- ---------- -------------------------------------
CLASS OF—WORN.. . :ADD GARBAGE DISPOSALS. : 0 MOBILE HOME. SPACES. : 0
i YPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : I
OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 'Zl
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : lzi CATCH BASING. . . . . . . : 0
F I X TURES-- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
BINK a. . . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
I-AVATORIES. . . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . . : 0 SEWER LINE (ft) . . . : 0
WATER CLOSETS. . : 0 WATER LINIE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Installing a residential. backflow prevention device.
Ownrt-: FEES
RENAISSANCE CUSTOM HOMES type aftlo'.11-It by date t,ecpt
1672 WILLAMETT FALLS DR PRMT $ 15. 00 CJS 06/28/96 96-281104
0. 75 CJS 06/28/96 96-281104
WEST LINN OR 97068
Phone #: 557-8000
Contractor-:
MOODY ENTERPRISE INC
PO BOX 98
ESI'ACADA OR 97023
Phone #: $ 15. 75 TOTAL
Req #. 5973
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Rp',/Bac-kflc)w Pv-ev
Tigard Municipal Code, State of Ore. Specialty Codes and all other linal Inspection
applicable laws. All work will be done in accordance with
�,pproved plans, This permit will expire if wo-4 is not started
within 180 days of issuance, or if work is slisp,ided for sore
than IN days.
Per,m].ttee SiqT1atUV-P '
..............
issiI By :
Call for inspection 639--4175
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f CITY OF TIGARD BUILDING INSPECTION NOTICE " "r ' 'z`I 71-✓ Yt.
' Inspection Line: 639-4175 Business Phone: 639 4171 t,
Rain Drain Cover/Service FINAL:
Footing
l Foundation Water Line
9 IE I•�'
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Post/Beam Mach. Shear/Shsaath Framing
t Plbg.Und/Flr/Slab Plbg.Top Out Insulation lect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd.
San. Sewer Gas Line App
r/Sdwlk Reins.
Other:
5 A. P.M. Entry:
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Address: _� 13
MST
Tenant:— — Ste: BUP: o�Cl
Con/Own:
MEC:
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THE FOLLOWING CORRECTIONS AR REQUIRED: ELR
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Inspector: _ _ _ Date:
PPROVED DISAPPROVED/CALL FOR HEINSP. CF CO v
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CITY OF TIGARD K
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DEVELOPMENT SERVICES I
13125 SW Haii Blvd.,Tigard,OR 97223 (503)6394171
CERTIFIcArE OF'
0c(._. UPANCY
F�l.Rhil'r 1F. . . . . . . a M;T950407
DATE;. ' 9SUEDt 05/06%96
PARCEL- Z'S 1 10DA--01800 r
s-3 I'M ADIMESS. . . t 10598 SW NAEVE ST
UL DIV101ON. . . . t PFNAISSANCE: SUMMIT zf�NlRll+aFP- 4 5
N-OCK. . . . . . . . . . a LOT. . . . . . . . . . . . . 1009
CLASS OF WOM. :NEW
)*YP:' OF USE'. . . 3 SF✓
TYPE OF CONSTR%xN
OCCUPANCY GRP. s R
I7CCAJPANCY LOAF L i._
PommArkst PATH I
%ENAI'SSANCE CUSTOM HOME')
1672 WILLAME.T'T FAL.L.6 DR
WEST LININ OR 97060
F>h o n e *t 5578000
Contractors —_.._--
RENAISSANCE
_REN+AISSANCE CUSTOM HOME'S I NIC'
1672 SW WIE_L.4METTE FALLS OR
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Wk.E T LININ OR 9.7066
Phonc Ma
Reg h. . : Q'7599
This Certificate grants oc.r. i.rp-ainc.y of t' rrt+ above refeerencerl bmildinp or portion
thereof ar+ci confirms t11a+t the bijilding 1 mi , been inspocto(I for crimptianc:rt with
the StiAta of lregon spec.ia.lty C'.oder, fv + he gr01Ap, gr_C'U rrcy, arrkl uce under`
wh ic_h the rFafev ern ed permit was i s rs�_red. d
U1L ING INfiF TC1R SUIL.DING OFFICIAL
POST IN C ONF--P I CUOLIS PLACE
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171 Y4M z,+ }
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
x i ri iw""X1.4 �n tf
Post/Beam Mech. Shear/Sheath Framing -Mach. j ;
Plbg.Und/Flr/Slab Plby.Top Out Insulation -Elect. r , y �� #., "1
Y r,aU'i J'
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sd Reins. i,�`� t�'��,r y�rFk •"'t�'
� Other:
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Date: _ A.M. — P.M. Entry:
iAddress:
Tenant: Ste:_--- MSTq S C7 4-
BUP: _
Con/Own:_—_ �__ MEG:
PLM:
ELC:
THE FOLLOWING rORRECTIONS ARE REQUIRED: ELR:
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Inspector - ` — —----- -- Date:
)UpPROVED —DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
4
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.
Underflr. Insul. Shear Wall C-avp -Elect.
Date Requested: `' Time: AM PM y
Address: �D I k� - a-ev
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I PQ 5;4541C .c1,4il AJ S A.,16.--
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b AOYY,ysu �1vrr Jo i A..r.r__- r�
—{�1SL� 4=7-
T"77-7-Z)
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Inspector:_ Date: Z�
APPROVED DISAPPROVEDROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639.4171
I
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam, Mach. Shear/Sheath Fra i Mech. •
Plbg.Und/Fir/Slab Plbg.Top Outnsul to ion Elect,
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins. o
Other:
Date: ( A.M. _P.M. Entry: A .�.
Address:
Tenant: — -- Ste:--- MST:
BUP:
Con/Own: _ _— __ —_- PLM:
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ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspectr _..4-71, -- _ —--—-- -----— -- Date:
1_4 PPHOVED _DISAPPROVED/CALL FDR REINSF. CF CO j �� , '*,a`4 ��� h�
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171 s
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Footing Rain Drain Cover/Service FINAL: '
i
Foundation Cater Ceiling -Plumb.
4 POSUBE:am Mach. Shear/Sheath Framing -Mech. ����/ r irk • r Ni,�
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Eiect.
Post/Beam 5truct. Mech. Rough-in Gyp. Bd. -Bldg. '
a . Sewer Gas Line Appr/Sdwlk Reins. :'
Other:
Date: (ems_ A.M._P.M._ Entry: �� , , '°r��4•
jAddress:
Tenant. -- ------ Ste:_— MST:I:ys_
Con/Own: MEC: 4�I r pry
PLM:
ELC:
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: .` `=— Date:
_✓APOROVED —DISAPPROVED/CALL FOR REINSP, CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec
-0-Phone): 639-4175 Business Phone: 639-4171
I
Inspection:
jFooting Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mcg h, Rou9.h-in' Fireplace
Post/Beam Struct. PIbg. Top Out loc. Rough iri FINAL:
Post/Beam Mech. San. Sewer ('6es Line -Bldg. 1..
Plbg. Underfloor Rain Drain Framing, -Plumb.
Alarm at Lina, Insulation -Mech.
_i #
Underflr. Insul. dear Wall Gyp. Bd. -Elect.
Date Requested:_ Time: AM PM
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: �/ Date:
_LOPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
,
,
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rac-O-Phone): 639-4175 Business Phone: 63-%4171
�' �/
�� Inspection: �
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
PVVram uot. Plbg. Top Out Elec. Rough-in FINAL:
ost/Beam �. San. Sewer Gas Line -Bldg.
Ibg. Und y (ITain Dr-a-F-73 Framing -Plumb.
Alarm Wates Line Insulation -Mech.
1 Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
j Date Requested: /c9-?l r �5Time: AM PM
• Address.
Build9r: Permit #: 5--o -1 U7
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I THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspl�ctor: / Dater
1 APPROVED — —
DISAPPROVED APPROVED SUBJECT TO ABOVE
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—Call For Reinsp.
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j CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-417
Inspection: i°i� fre t! 1N,
ooti Susp. Ceiling Sprink, Rough-in Appr/Sdwlk `+
oundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: a
Post/Beam Mech. San. Sewer Gas Line -Bldg. �f n
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Z9� Z.me: AM PM
Address: 5 �
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
E'
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Inspe or. Dater
7PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
GAGE ELECTRIC INC
PO BOX 1429
CLACKAMAS OR 97015
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Electrical Signature Form
Permit # . . . . : MST95-0407 '
Date Issued . : 11/21/95 {
Parcel . . . . . . : 2S110DA-01800
Site Address : 10598 SW NAEVE ST
Subdivision. : RENAISSANCE SITWIIT
Block. . . . . . . . LOL : 009
Zoning. . . . . . . R-3 .5
Remarks :
PATH I
Your company has been indicated as the electrical contractor for the permit indicated above. In
order for the electrical permit to be valid, the signature of the supervising electrician
is required.
Please have the appropriate individual from your company sign below and return this Elect:cal
Signature Farm prior to the start of work. No electrical inspections will be authorized until
Lhis completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: ELECTRICAL CONTRACTOR :
RENAISSANCE. CUSTOM HOMES GAGE ELECTRIC INC
1672 WILLAMETT FALLS DR PO BOX 1429
WEST LINN OR 9' 068 CLACKAMAS OR 97015
Phone # : 557-30u0 Phone # :
Reg # • . : 34544 f
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Signature o Suupervisin CleEtfncian g- S
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171 , ext. #310
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MASTER PERMIT
CITY OF TIGARD TEI SUED . 11/21/95 MST95 .0407
DATES ISSUED:: 1 1/2 Z/Eat;
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,nnpon 97223*6199 (503)839-4171 1'AFiCEa_: 1 10Df-a -0162r0
i l'T E ADDRESS— ,-, 10598 SW NAE-YE ST
SUBDIVISION. . . . : FZENA I SSANC E SUMMIT ZONING- R -�. 5
BLOC!<. . . . . . . . . . : I_OT. . . . . . . . . . . . . :009
Remarks: PATH I
------ BUILDING -----------------------------------------------------------------
REISSUE:MST95-0215 STORIES.......: 2 FLOOR AREAS---------- BASEMENT.., q sf REQUIRED SETBACKS—— REQUIREL'-----------•--
CLASS OF WORK.:NEW HEIGHT........: :2 FIRST....: 1465 sf GARAGE.....: 899 sf LEFT..........: 5 SMOKE DETECTIS: Y v
TYPE OF USE...-SF FLOOR LOAD....: 40 SECOND...: 1406 st FPONT.........: 20 PARKING SPACES; 1
TYPE OF CONST. :514 DWELL•NG UNITS: 1 FIKBSMENT: 0 sf RIGHT.........: 5
OCCUPANCY GRP.:R3 BDRM 3 BATH: 3 TOTAL------: 2871 sf VALUE—$: 200266 REAR..........: 70
-------------------
-------------------------------------------- PLUMBING --------------------------------------------------------------- �
SINKS......... : 1 WATER CLOSETS.: 3 WASHP4G MACH.. : 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATGRIES....: 4 DISHWASHERS...: I FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUR/SHOWERS...: 3 GARBAGE DISP..: 1 WPTER HFATEFS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GhEASE TRAPS..: 0
OTHER FIXTL'RcS: 0 K
MECHANICAL_ ------- ----------------------------------------
FUEL
--------------------------FUEL TYPES----------- FURN ( 100K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: 1 �.
/GAS/ / / FURN )=100Y, ..: 1 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: 1
MAK INP.: 0 BTU FLOOR. FURNACES: 0 VENTS.........= 0 WOODSTOVE5....: N GAS OUTLETS...: 1
------------------------------------------------ --------------- ELECTRICAL ---- ----------------•--------------------- ----- -----------
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADDIL INSPECTIONS-- 4
1000 SF OR LESS: 1 0 - 200 amp. • 0 0 - 200 alp..- 0 WiSVC OR FDR,.: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 5009F.: 4 201 400 asp..: 0 201 400 amp..: 0 1st W!O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 600 arae..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
MANF HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+a2ps-100 v: 0 MINOR LABEL -1.0: 0
1000+ amp/volt.: 0 ----------•------------------------- PLAN REVIEW SECTION -•-------------------------------•--
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCI_ _-
:
--- ELECTRICAL - RESTRICTED ENERGY -------------_- ------
A. ..F RESIDENTIAL------------------------
--- B. COMMERCIAL-----------------------------------------------------------•--------------------
ItuiiG I STEREO.: VACUUM SYSTEM..: AUDIO 6 STEREO.: FIRE ALARM.....: INTERCOM/GAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC...........; LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION; MEDICAL........: OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL N SYSTEMS: 0
owner: --------------Cantractor: -- --- -' ----- -- TOTAL FEES:$ 3842.23
RENAISSANCE ClSTOM HOMES RENAISSANCE CUSTOM HOMES INC
14.7' WILLAMF-iT FALLS DR 1672 SW WILLAMETTE FALLS DR
1
WEST LINE OR ')7068 WEST LINN OR 97066
Phone 4: 557 8000 Phone N:
Reg N..: 97599
This permit is issued subiect to the regulations contained in the Tigord Municipal Code, State of Ore. Eoecaalty Codes and all other
applicable laws. All work will be done in acccr•dance with approved plans. This permit will e«pire if work is not started within 100
y k is suspended fthan 180 days.
days of-----------------------------------------------------issuane,issuance, or if work or more r REQUIRED
QUIRED INSPECTIONS
---------------------------- -----------------•--------
Footing Insp Ple/undsl2b Insp Electrical Rough Insulation Insp Appr/Sdwlk Insp Eroiion Control
Foundation Insp PLM/Underfloor Framing Insp Gyp Board Insp Electrical Final
Post/Beam Struct Mechanical Insp Low Voltage Rain drain Insp Mechanical Final _
t I;
Post/Beam Mechan Plumb Top Out Fireplace Insp Water Line Insp Plumb Final
i' Crawl Drain Electrical Ser Gas line Insp Water Service is Buil d;n Fina _ �-
I s s t_t a(J fly• + f�� • C t i/ t
p r mit is e e E i fl n r�t t_t r 4? :
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C 11 for ins G)ecti0r4 639- 4175
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PLJMB I NCPERMIT
RMIT A . . . . .
: MCT95-h407CITY of TIGARD DATE I5S1UE1J:
111c:1/9
COMMUNITY DEVELOPMENT DEPARTMENT I
13126 S./Hall Blvd,Tigard,Oregon 97223•x199 (503)639-4171 PARCEL: 2S 1 10DA--01600
SITE ADDRES- -.- - - - 10598 SW NAF_VE ST ZONING: R-3. 5
SUBDIVISION. . . . : RE:':NAISSANCE SUMMIT
LOT. •009
)LOCK. . . . . . . . . . . • • • • . • • . • • -------------.______.______.__.
CLASS OF GARBAGE`DISPIOSALS. . : 1 +
1"YP'E: OF USE. . . . -NEW WASHING MACH. . . . . . . : 1 BACKFLOW P'REVNTRS. . , 11+1
OCCUPANCY GRP,. . :SF FLOOR DRAINS. . . . . . . : 0 TRAPS. . . . . . . . . . . . . . ..
STORIES. . . . . . . . :c WATER HE'ATErRS. . . . . . : 1 CATCH BASINS. . . . . . . . 0
FIXTURES-._.__..____.____._..._._ E_.AUNr'PY TRAYS. . . . . . : 1 SF F?AIN DRAINS. . . . : 1
SINKS. . . . . . . . . . : 1
GREASE TRAP'S. . . . . . . :0
LAVATORIES. . . . . : 4 OTFIf R FIXTURES. . . . . c 0
TUB/SHOWERS. . . . : 3 SEWER LINE (ft ) . - : 0
WATER CLOSETS. . : 3 WATER LINE (ft) . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . : 0
Remarks - P'ATH I
OWIUE.R: -------•-------------------,___....--._- -
RE.NA I SANC^E CUc3T0M HOMES T I1-7 $ 159j,h. 00 JSD 11/20/95 COMP- DOWN
167ti:' WILL.AMETT FALLS DR SWM $ 180. 00 JSD 11/x'0/95 COMP' DOWN w�
,WM Z 100. 00 JSD 11/20/95 COMP' DOWN
WEST LINN OR 97068 BPRT $ 685. 50 JSD 11/20/95 COME' DOWN
Phone #: ,57-(��1106'� BPILC: $ 50. 00 BON 1. 1/06/95 `-35--2725c.4C�
B5PC $ 3k. 28 JSD 11/20/95 COMP, DOWN
P'l�_cmbinil Contract or- __._.______._..- _-- 1='ARI: 1; 5061. 00 JSD 11/x:0/95 COMP DOWN
MP1R'f s 45. 00 JSD 11/20/95 COMP' DOWN
MPLC $ 11.. 2 JSD II./�:0 .11V� )
Ot
Nam
M5PC E 2,. 25 JSD 11/20/95 COMP' DOWN
Address:_ __
C i t Y :,..___._... .__..__.._� _.__ St at e : 3DTH 1 x.'113. 00 JSD 1 1/c:�7J/95 COMP, DOWN
Zip: �_Plhane#: F'5v'C $ 1J . 25 JSD 11/20/95 COMP DOWN
Additional i"-ees not shown here. . . . . . . . .
REQUIRED IN!_,PECT IONS
This peg-mit i.s issued si..tbject tcj the reg_
ulat:ioris contained in the Tigard M1-cnicipal Footing Insp Low
Code, State of Ore. Sp«�cialty Codes and Lail Foundation Insp firepplacelace Insp
other applicable laws„ All work will. be done Post/SeRm Strkict Gas Line Insp
in ac-cordance with approved plans. Thi!; Prost /npam Me(-,han Irlsul,ation Tnc,;,
permit will expire if work is not =;farted Crawl Drain Gyp Board Insp
within 180 days (if i.s!y'_cance, or if war"( is Pl.ml .irlds.laF� Insp Rain drain Insp
susoerrded for more than 180 days. PLM/Underfloor^ Water Linc} In_o
Ihechanic:gal. Inde Water Service I.1
Pl�Imb Top Out Appr-/Sdwlk
Electrical Ser-vi Electrical. Final
Electrical Rol_10"1 Mechanical Final
17'r,a m i n g t n s p P'1 u m b Final
Authorized Pltilmbiny Contractor Signature
i Call for- inspection - E �9-4135
Contractor
I
,.....,.:•.
PERMIT
CITY OF TIGARD DATEI ISSUED:• 11/,-�1/95 0462
COMMUNITY DEVELOPMENT DEPARTMENT
13126 BW Hall Blvd.Tigard,Oregon 97223.6199 (603)639-4171 PARCEL: S 1 1 IrDA—�1���
y
SITE ADDRESS. . . : lv)39t? -W HALVE ST
SUBDIVISION. . . . : RENAISSANCE SUMMIT ZONING: R_-3. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :009
'TENANTNAME. . . . . ;
410 USA NO. . . . . . . . . . : FIXTURE UNITS. . . '
CLASS Of. W!7RIi. . . :IVEW DWELLING UNITS. . : 1
f" NO. Dl BUILDINGS:
TYPE OF USE. . . . . :S 1
INSTALL TYPIC. . . . :BUSWR IMPE_RV SURFACE: lb Sf
qW
Remarks : PATH I
Owner•: __.__.______.___.__.____•---._.__._._......____-.___--
FEES
lo` type -� mo _nt by d.:te r,ecot
17ENAIviANCL CUSTOM ilU
1672 WILLAMETT FALLS DR PRMT $ 2:'00 00 JD 11 /20/95 Co. "' DOWN
IWISP f' 3,—. 00 .TD 11/20/95 COMP DOWN
WrfiT LINN OR 97060 c.
pflone #- 557-6000
Contractor:
CONTRACTOR NOT�ON�FILE
E r .
Perone #: TOTAL
1'i ell #. . : _ -
-- ----- REPO I RL-U I NEGr'ECT I ONS
This Applicant agrees to comply with all the rules and regulations
of the tlr,ified Sewage Agency. The permit expires 180 days fromIF -- ----the date issued. The total amount pard will he forfeited if the ---------
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the serer is not located at the measurement -
civen, the installer shall prospect 3 feet in all directions fromthe distance given. if not so located, th; installer shall purchase -.- --
1 a "Tap and Side Sewer" Permit and the Aaenw will install a lateral. _ ._ _ _ — _ _._ _ ___�._-----•__ ..___.
.__-_.__-__._.__..._
F`�r m itteP Siyllature: --
1
I'i 5 I..12d Ery`+ ,-
Ca11 for inspection 639-4175
OT 5- 130&6
t1
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Residental Building Permit Application
City of Tigard
10 3125 SW Hall Blvd.
r Tigard, OR 97223
(503) 639-417114
g
Jobsite Address: I >��cj :1(,l) Aja.Ey- --- I •
« c I c Office Use Only
� Subdivision:��1�1�1,.�_�I�f�t_;tJ V711 1 Lot#
Planck/Rec#
Valuation: ' O
� Permit # P75/q5
Corner Lot? Y (N
/ Reissue of �1
Flag Lot? Y lN-
Map & TL# 2-510 0, D/?C'C) I
Owner: 1C�1��`���I �C'i_ �ff�hI �I�f.lfJ lr)7 Ate,provals Required
Address: (r �, ��I l lQ.r1'if lt� (� �� r. Planning
1n�rz
Engineering
Phone: )�i w]'YCYX� Other
Contractor: ���.� 1(21�a��11��, C �. 1 _
r l Items Required 1
Address: I(� ����l?��z- X11 Subcontractors
�d_.L(1f-1��1 (i i 1 w)(A — Truss Details _
Phone: r�`_� 1 ' .�(.)�X�) Other
Contractor's License #_(()I
(attach copy of current Oregon license)
Contact Name & Phone: 1)6
Subcontractors: Architect/Engineer:
� i ,
Plumbing: 1- 0(14/1 , I !1)1I'1J1� � Address: lti( ", NU)
Mechanical: I��r�l? 1�t U �C>I
- (attach cagy of current Contractor's License) ,
Phone:
JOB DESCRIPTION: lrl, i. �1i111 ��-. K`_`-1 M
Applicant ognatu.P�,&pPhone/number
rll1
Received by: .. I�' t�/ Date Received. _1 �?
N MORDTOMDEMESAPP
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r'
Permit# Account Description Amount Amt. Pd. Bal. Due
�yt�t r/')-0 C% Bldg. Permit (BUILD) �ea'S-s a '�� j� '
Plumb. Permit (PLUMB) Z 2 _ 2z.>-,c v
Mech. Permit (MECH) '�� �/y,, v
State Tax (TAX)
dg: j LXX r/A�dZY 60' 2 •
Plumb:
Mach:
e4 c /u ,-v .
EG & a
Plan Check (PLANCK)
` Bldg: S U
I
Plumb:
1 %
Mach: �1/, 'Z_i //, 7
fry 0 Sewer Connect on (SWUSA) �
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC) _
&7
Residential TIF (TIF-R) 4
Mass Transit TIF (TIF-MT) �_ _ 1�1y '
Commercial TIF (TIF-C) _
Industrial TIF (TIF-1)
I
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL) A-y
Water Quantity (WQUANT)
Fire District (FIRE)
1
Erosion Cntrl Permit (ERPRMT)
i Erosion Planck/USA (ERPLAN) v
Erosion Planct/COT (EROSN)
TOTALS:
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CITY OF T I CARD -- Rlr.(J I FST OF F�i-1YMt:N t Frt 1 1 11•�I I�It�. «Q•`, i , .?tt�?i ite+
NPMK a RE.NA I SSANCIIE CUSTOM HOPIF-A-a 1.:W!aM Wtgl.tlllV►" Ity, MSI 1
a 167P SW WI►..I..NMr:I TI: F"I.1_F-3 T_)R 1="Nymi-N) D$41+ m 11 y", I "
WEST L INN 0112 ;it lk.11)I V1;?;1 fJl�i
r I 97066—
1 �
PURPOSE OF VIAYMF:N C (AMULIN'T t WI 11 PkJRI'()6C= OV Pt lYh'IkAl W"ll 11.JN T Pf•l a J)
f1►J:CL iIINC1 �Ta'FtM MS*1 14!'- 0 11 r r•ti'+. ;:,4'1 f'I I IMHJ iVl� N�k kIM 4
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