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PRIVATE STORM DRAINAGE EASEMENT p
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--EIGHT FOOT PUBLIC AND PRIVATE UTILITY SCALE DRAWING LOT 6 RENAISSANCE
EASEMENT ALONG ALL FRONT AND REAR LOT LINES SUMMIT
S.E.1 4 SEC.10,T.2S.,R.1 W.,W.M.
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CITY OF TIGARD �<
WASHINGTOM COUNTY, OREGON
Centerline Con cep is Inc .
. DRAWN BY: SPF CHECKED BY: WGDIII
" 640 82nd Drive Gladstone, Oregon 97027
10684 SW Naeve Street
SCALE 1 =20' ACCOUNT 115 50.3 650-0188 fax 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 -Plumb.
Post/Beam Mech. Shear/Sheath Framing Meeh. v •
Plbg.Und/Flr/Slab Plbg,Top Out Insulation
lect. �
Post/Beam Struct, Mech. Rough-in Gyp. Bd. Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins. •
Other Sc�C ,Q/T t' Sy5rFti7� --
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Date, LIT A.M. _—P.M. Entry: `
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I Address:
Tenant: — Ste: MST:
BLIP: _.------
Con w 5 �� -�-.-- IrIEC:
PLM:_ _.-.__
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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1APPROVED
actor: CO
Date:—DISAPPROVED/CALL FOR REINSP CF_
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CIERL4,.5,1 RTCICTA(�LD. ENERGY
-
COMMUNITY DEVE`:F)AENTDEPARTMENT PERMIT #: D: 0 /01/9
13125 SW Hall Blvd.Tigard,oragon V'223WW (503)530-4171 DATE' I�`i(1wD: iI-. /� /96 p,r
PARCEL: ;RS 1lODA -01500 `
.SITE. ADDRESS. . . : 10684 710 NAEVG ST
SUBDIVISION. . . . . RENAISSANCE SUMIYI I T Z ON I NC:R--3. 5
I-LIT. . . . :OOG `
^gjer_t Description: Install burglar alarm to a residential home.
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,�IDCtJTIAL_...___.___._ OMMF:RCIAI_-_.____-__..__.._____._-_______---_.__._.----__._-._w.
nuDIO R STEREO. . . : AUDI0 & STEREO. . INTERCOM R PACING. .
BURGLAR ALARM. . . . :X BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . . . . CLOCI... . . . . . . . . . . . MEIDICAL.. . . . . . . . . . . . :
I-IVAC. . . . . . . . . . . . . : DA"fA/TELE" COMM. . : NURSE CALLS. . . . . . . . :
VACUUM SYSTEM. . . . : FIRE_ AL...ARM. . . . . . a OUTDOOR L.ANDSC LITE:
CTI•-IER: : : HVAC. . . . . . . . . . . . : PROTE=CTIVE SIGNAL. . :
I NSTPUMCENTnT T.Ohl. OTHC'R. . :
TOTAL_ # OF SYSTEMS: 0
(ipN1 iCan t :
KEN F'ATTI PRICE= type amount by elate recpt
'4'�&Cl4 CW t,•IACVC �T r PPMT $ 40. 00 C..T:31./ 96 96 -C7C.5"'1
SPCT A 2. 00 CJS 03/01/96 96--x7652:
TIGARD OR 97ti::3
'hone #:
1D" SECURITY-AI._ARM --,..-- -__. q 421. 00 TOTAL_
703 ;V. E. HANCOCI;
REQUIRED INSrCCTIOtJS
(]r27I_.AND 011 97��'li Well Cover r_'.ect' 1 Final
have #: 503 -�:8L-' 154'3 Elect' 1. aer vic_�+
Reg #. . : 59944
This permit is issued subject tc the regulations contained in. the
Tigan' Muricipal Cade, State of Ore. Specialty Codes and all ether f''er-mi.tel� SignartI_Irp
Applicable laws. AV wa-': will be done in accordance Frith
approved plans. Thi� permit will expire if work is not started
within 182 days of issuance, or if work is suspended for more �?C_C�l.,.C_-:a� _.._.._
than 180 days. Issi.k,ed By
OWNER IN^TALLnTION (]NL_Y
The installation is be; rnri'If on p� operty I own which is not intended for
4" sale, leazse, or r-ent. +
OWNE=R' S SIGNATURE: I)ATC'
___.._._ ...._._ ...__...CCi!VTRACTOR IN^TAI_LnTION ONLY-
AUTHORIZED
NLY-AUTHORIZED S I GNF)TURL=. P. ' �[�`Y. _ DATE7. 3_- J ' q6
L I C C N t:,U iii O:
Call for ins;pertion E39- 417`S
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Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. —
Tigard,OR 97223 PERMIT#a Q&LVQ 7'�
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED 3- / - 96
TDD No. (503)684-2772 /
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY
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PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF)NST' ALLA ION 4. TYPE OF WORK
Addre RESIDENTIAL—Restricted Energy fee. . . . . . . . .
�MSAW�/ —� (FO-. ALL (,YSTE 1S)
City State /' Zip Check Tyne of Work invob4jd:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Atl Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK 15 SUSPENDED FOR
180 DAYS. Burglar Alarm
' ❑ Garage Door Opener*
2. CONTRACTOR APPLICATION
�/J� � ❑ Heating,Ventilation and Air Conditioning System*
Contractor ADT SECURITY SYS?£MS type L(,Y�i' r��� �� Vacuum Systems*
III:twitAND,OR 91212 ❑ Other
Address CW 284.3265
Date ! COMMERCIAL —Fee for each system . . . . . . . . .
--�- — (SEE OAR 918-260-260)
Property Owner *_���iG— ,/ Check Type of Work Involved:
/ I
Contractor's Board Reg, No. ❑ Audio and Stnreo Systems
tJ Boiler Controls
Phnnr # ❑ Clock Systems
❑ Data Telecommunication installations
3. OWNER APPLICATION
9 ❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone Ko / ❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
' — ❑ Medical
City State Zip �
This Permit Is Issued under OAR 918.3Y0.370.This applicant agrees to make only
❑ Nurse Calls
restricted energy Installations 1100 volt amps or less)under this Permit and to do the ❑ Outdoor Landscape I_ighling•
following:
1. Only use electrical fcensed Persons to do installations where required.(Certain ❑ Protective Signaling
t, residential and other transactions are exempt from licensing.These have El other
asterisksM.All others need licensing).
A 2. Call for an inspection vhen all of the installations under this permit are ready
i' for Inspection at 503+139.4175. ❑ Number of Systems
t,.. 3. Purchase separate permits for all Installations that are not ready for Inspection
when the Inspector i,out to inspect under this permit. . y
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Pe f�' Ire No licenses are required. Licenses are required for all other installations.
4. Assume responsiblllt)for assuring that all corrections required by the Inspector - ----- --- — --- --- --are done,and
5. Assume responsibilln for Galli g fo• nal pection when all of the S. FEES
corrections are completed
The person si ng f is p must he the applicant or a person a. Enter Fees $ �' U
' authnrizr o nd a appl nt.
b. 5%Surcharge(.05 x total above) $__fid l� t
Sign ire ZZ/1
TOTAL
Authority if other than applicant
ENERGAP.CHP
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CITY OF TIGARD BUILDING INSPECTION NOTICE ,�+'�
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-inppr/Sdwlk
Foundation Plbg, Underslab Mech. Rough-in Fireplace <<
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL.: C „,' •
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: Time: AM PM
Address:
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
1
Inspector: Date:
y APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line ec O Phone}:639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwik
Foundation Plbg. Undo.slab Mech. Rough-in Fir9place
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: 0
Post/Beam Mech. San, Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Fiumb.
Alarm Water Line Insulation -Mech. •
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: /���y/ 9s— Time:_AM PM
Andress: /4 fJ y T�NA/=y<�
Builder: _Permit #:
THE FOLLOWING CORRECTIONS ARE R'_QUIRED: ,
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ctor: Date:
PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF: TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT PLUMBING PERMIT
13125 SW Hall Blvd.Tigard,Oregon 97223.9199 (503)839-4171
PERMIT #. , . . . . . : (='LM95•-0301
639-4.171 DATE ISSUED: 10/12!95
PARCEL: -:�SIIODA"-01500
SITE-' ADDRESS. . . : 10684 SW NAEVE ST
SUBDIVISION. . . . : RENAISSANCE SUMMIT ZONING: R-3. 5
BLOCK. . . . . , . . . . . LOT. . . . . . . . . . . . . :006 �
CLASS OF' WORK. . :NEW GARBAGE DISPOSALS. .. : MOBILf HOME SPACES. :
TYPE OF USE. . . . .SF WASHING MACH. . . . . . . : BACKFLOW PREVNTR % . : 1
OCCUPANCY GRP'. . :R3 FLOOR DRAINS. . , . . . . : TRAPS. . . . . . . . . . . . . . :
S"TORIES3. . . . . . . . :2 WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . :
LAUNDRY TRAYS. . . . . . : SF" RAIN DRAINS. . . . . :
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . CREASE TRAP'S. . . . . . . . �
LAVATORIES. . . . . : OTHER FIXTURES. . . . . :
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :
WATER CLOSETS— : WATER LINE (ft ) . . . . :
DISHWASHERS. . . . RAIN DRAIN (ft ) . . . . ,
Remarks : Install residential bark-Flow pr-eventi.on device
Owner,: ___..______.__.__.._______._._--.-- ---_.___.__.._---_.----.----._.._____-- FEES
RENAISSANCE CUSTOM HOMES type amol.lnt by date rec_pt
167L WILLAMETTE FALLS DR. PRM r' 1 15. 00 JSD 10/12:'/95 95--,271592
15P'C,T' 1, 0. 75 JSD 10/1,2/95 95-271592
W1=S';T LINN OR 97066
Phone #: 557-8000
Contrract c)r:
MOODY ENT1 ''RPR.T"9E, I11C.
F'. O. BOX 9F1
ESTAC.:ADA O!-1 97023 --_.__.__.____.__._____.__--__---._ ..____.._.__..
Phone #: 631•-291.8 $ 15. 75 TOTAL
1 , Rey #, , : 5973
--------- RED[.IIRED INSP'ECTICTNS
This permit is issued subject to the regulations contained in the RP'/Bac:kfl r,v 'rev
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Insrser_-.. ion �_______•_ __� __
applicable laws. All work will be done in accordance with
f' approved plays. This permit will expire if work is not started
f" within 190 days of issuance.. or if work is suspended for more ___.___-__
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than 190 days.
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Pei mittee 'qi r.�CF�i�:
15 5 1_l e d B y •�
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Call for inspection - 639-4175
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City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
11,111 SW Hall Blvd. Permit # 9S-031'
Tigard, OR 97223
(503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
P".; Now Single Family Residences Orly
A ,(,Ife,L f.4AIe%e
ft 74 C1 1 BATH HOUSE$140.00 0 2 BATH HOUSE$195.00
Job e V 0-
[1 3 BATH HOUSE$225.00
C'-'y A,1,4
Address WIN— zr Fee includes all plumbing fixtures in the dwelling and the first 100 feet
T& "'bOle of water service, sanitary sewer and storm 'ewer. See fees below.I
N.—(.4—f R--) FIXTURES CITY PRICE ANT
L,411 f a k .eSink 9.00
.46,4 A"— Lavatory 9.00
Ovner Tub or Tub/Shower Comb. 9.00
Shower Only 9.00
Water Closet 900
Dishwasher 9.00
Garbage Disposal 9.00
Occupant
Ph— Washing Machine 9 ob
Floor Drain 9.00
Water Heater 900
Laundry Room Tray 9.00
Urinal 9.00
1*0C111 t�17�11'171-e_�±'L_ Other -ixtures (Specify) 9.00
M."Add... Ph- 9.00
Contractor DA 9.00
r V —
hp 9.00
0,L_ '7162z '� Sewer 'ist 100' 30.00
Si.,.H.g,,W—N. T.,NO Sewer -ea. Addit. 100' 25.00
S-Y 73 1171 Z Water Service 1st 100 30.00
I hereby acknowledge that I h e read this application, that the Water Service ea. Addit. 200' 45.00
information given is correct, that I am the owner or authorized agent of Storm &Rain Drain 1st 100' 30.00
the owner, that plans submitted are in compliance with State laws, that
I am registered with the Construction Contractors 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 Prevention
Device or Anti-Pollution Device 9.00
Any Trap or Waste Not
Connected to a Fixture 900
Describe work new 0 addition alteration Q repair Catch Basin 9.00
to be done residential)9 non-residential 0 Insp. of Exist. Plumbing 40,00/hr
Specially Requested Inspections 40,00/hr
Existing use of Rain Drain, single family dwelling 30.00
building or property Residential backiflow, prevention
devices 15.00
Proposed use of
building or property *(Except residential backflow
prevention devices)
NOTICE *Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5%SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT'ANY TIME AFTER WORK IS PI-AN REVIEW 25% OF SUBTOTAL
COMMENCED
TOTAL
Special Conditions
Date issued by
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1 CITY OF TIGARD CERTIFICATE OF'
OCCUPANCY �
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT ##. . . . . ; MST'95_ 01114
13125 8W Hall Blvd.Tigard,Cregon 97223.8199 (5.03)839-4171
c•�,+ ., ; DATE_ ISSUER: 09/07,195
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PARCEL-: 2S110Dt?--01500 '
131TE ADDRESS— : 10684 SW NAEVE ST
SURD I V 16 I ON. . . . 1 RENA I SSANCE SUMM IT Z 01\1 I NG s R-3. 5
jBLOCI... . . . . . . . . . : L.OT. . . . . . . . . . . . . akptZlF,
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CI-ASS OF WORK. :NEW
TYPE OF USCF. . . :SF
1 OCCUPANCY (3RP. :R3 �s
OCCUPANCY L.OAL)t:194 1
1 TENANT NAME':. . . :
1
Remarks : PATH 1
Owner
i RI ,NAI 3'aANCE, CUSTOM NUMk r
` 1672' WILLAMETTE: FALLS DR.
WEST IL.INN OR 97068
Phone ##a 557 80Q;0
RENAISSANCE DEVELOP14 NT
167E' ;W WIL.LAMET'T[. FAL—Lc,; DR
WE!aT L1NN OR 97 a
Prionµ #a 557__80
Reg #. . : 49955
This Certificate certifies that the above r•efpr^encecl bl-ki ,lcl.il'19 or- portion
thev,eof has been inspected for compliance with the 'Tigard Building Coc1N
f'or thegro�sp tikncl division of oc.r_•opanc.�y and use for whichthe above
1 vef erenc ed per-mit was i skAed, and orc:tip,n y i s herek4 rIr anl.erg.
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J POST IN CONSPICUOUS PI—ACE
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CITY OF TIGAFTD 13WL10iNG1NSPECTION NOTICE
Inspection line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
i
Inspection:
Footing Susp. Ceiling Sprink. Roilgh-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in
Post/Beam Mech. San. Sewer Gas Line
Plbg. Underfloor Rain Drain Framing
Alarm Water Line Insulation
Undedlr. Insul. She r Wall Gyp. Bd. -Elect.
Date Requested: L Time: AM PM
Address: 2a_.4��_RK[ll(-e
,ifS }
Builder:_ Permit N: 1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date:—
PROVED 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: _�T ►1�`" _
Footing Susp, Ceiling Sprink. Rough-inpr/Sdwl
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line Bldg,
Plbg, Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall / Gyp. Bd. -Elect.
• Date Requested: Time: AM PM
Address:
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Y
Inspector: � � Date
APPROVED O DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
1
J
I
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 4171
t
Inspection: j
Footing Susp. Ceiling
Sprink. Rough-in Appr/Sdwlk
Plb Underslab Mech, Rough-in Fireplace
Foundation 9•
Post/Beam Struct. Plbg. Top Out Elect. Rough-in FINAL:
Post/Beam Mech. San. Sewer
Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing
-Plumb.
Alarm
Water Line Insulation -Mech.
UndertGYP. Bd. ect,lr. Insul. Shear Wall
Time: AM PM
Date Requested:
p � �
Address: i U �' o
(43
Permit #:
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
r
y
ft
SRF' ' MICtll
If Uate: � �i „y :i1p
Inspector:
,JAPPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp. 2E/I
, M ,
I
M„
4'1W sn
• I.
l
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 630-4175 Business Phone: 639-4171
i
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fir ce I
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 afar L-in - Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. •
Date Requested:_ / /z l �� l�! Time: AM 4PM
Address:��
4
I
Builder: Permit #:
i
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date. j
i
PROVED DISAPPROVED APPROVED SUBJE T TO ABOVE
_Call Foi Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6 9-417
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Siruct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San.. S^a Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. Elect.
Date Requested: �// J Time_)•AM PM j
Builder: Perni-It
s
THE FOLLOWING CORRECTIONS ARE REQUIRED:
4 1
Insp tor
JDate:��� ��
APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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4
i 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.
•
Underflr. Insul. Shear Wall ayyp_Bd- -Elect. .
Date Requested: L �y S Time: AM PM
Address: L tO "(
C�
Builder: Permit #: r S Oy
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date:
PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
l�
•
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec O Phone): 639-4175 Business Phone: 639-417
' Inspection:
Footing Susp. Ceiling Sprink. Rough-in App� Iwlk
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 Fr�cnuu}� -Plumb.
Alarm Water Line C�asulation -Meeh.
a a
Underflr. Insul, Shear Wall Gyp. Bd. -Elect. •
Date Requested:_)//Z %n Time: AM PM
low Address: Jy G 9Y S'�✓ /�,�j9��/�
Builder: Permit ri t 5111 5—--(J()
THE FOLLOWING CORRECTIONS ARE REQUIRED:
IV
: Date:
OVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
}
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I
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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 Mach. 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 9 Plumb.
Alarm Water Line Insulation -Mech.
•
Underflr. Insul, Shea Gyp, Bd. Elect.
Date Requested:_ .� 2 �/ 5 Time- AM PM
Address:–,//) 6(gv SGv �L�
Bui!,ier. Perrnit #:11145 �( 3
TSE FOLLOWING CORRECTIONS ARE REQUIRED:
f X I
JP
torDate:PROVED —DISAPPROVED _APPROVED SUBJECT TO ABOVE
-_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION N ICE
Inspection Line (Rec-O-Phone): 639-4175 Business on 639- 71
Inspection:
Footing Susp, Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab SNF i. Rough-t Fireplace
Post/Beam Struct. Ibg. Top Ouy Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer 0s ine -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm a er DMD Insulation -Mech.
Underflr Insul. Shear Wall --- Gyp. Bd. -Elect. ' •
Date Requested: .S//��r Time:-AM PM
Address:�11Z�
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I A�lC
Inspector: Date:
C#'PROVED DISAPPROVED APPROVED SUBJECT 10 ABOVE
_Call For Reinsp.
i.
s/
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1f
' CITY OF TIGARD BUILDING INSPECTION NOT •
Inspection Line (Rec-O-Phone): 639-4175 Business Phoa-41
Inspection:_
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. �IbQ Top Ou Elec. Rough-in FINAL: -
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm –r Lin Insulation -Mech.
•
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: _ ime: AM V PM
Address:
Builder: SC/fite(,°fes Permit ' ..
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector Date:_-gL/' �Y�
PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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DEPARTMENT OF` LAND USE & TRANSPORTATION
LAND DEVELOPMENT SERVICES DIVISION #350-12 �
WASHINGTON 155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE: 503/640-3470
k. OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Permit 05gGti��,t F�r.'jr-t 11 : P0048952 StAtue APPROVED Page 1 of 1 `� •
ti Applied. : 04/06/97) 1Ermed 04/06/977 Expirem 10/03/95 05/19/95 05 : 01c
'a kh ELEC t
` P$rrni t Tit.) a &FR -- NEW � UTH
r , aegun : 04l06/95
Deacriltiun
Jab AddresF 10664 SW NAEVE PIT TI � U
Owner Name INSPECTION - T I GF.kD ( y,� �' kin i''n
,Applicant. Name GAGE ENTERFRISES INC . -
j Phc,ne number 657-0142 Valuat..i lar, 0 r.::,vrd
ted
Inspecor
7 Gurr►rnentF . ;ac
tF
4 , IVR-&EGtlLTa '...._
Yt
Plumbing
e
Electrical
truc:t.rual. :
Insphc:t.ion ke:;ia<_st.Fd
Cover & Seri:, -^e 0403 E 1 ' N
05/19/95 PI RIIVR 3-1280 V" E
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y DEPARTMENT OF LAND USE 6 TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY,
INSPECTION REQUESTS: 503/840-3581/893-4415
OREGON XXXXXXXXX--> 640-34'
Page 1 o t 1
Date 04/06/91.)
Time 12 : 40
rmit 'Type : Residential Electrical Permit Permit # 0506bO68
rmit Status APPROVED Applied 04/06/95
tus Address 10684 SW NAEVE ST 'T1 Issued 04/06/9b �
rmit Title Sh'R - NEW Completed
rmit Uescr . To Expire 10/03/95
ojec:t 'Title �l'1t - NEW Project. # P0048952
oject Uescr. * tRU:iIUN
reel Number L51'C.L - Land Use District
luation 0 j
,Ial Uescr.. •
ntr INaPEC'TION - TIGARD Construction OTH
plicaeit Name GAVE ENTERPRISES INC. Classification 900
plicant Addr . : PU 8UX 1429 Occupancy : R3
CLACKAMAS, OR 97015 Validated by LG
plicarit Phone: b5'/-U14'L Inspector Area
t'ee description
Units Fee/Unit Ext fee Data
.-._---_--------------------------------- ------
_______________________.
v
.)(quare Footage LEnter Sq. 1't . ) 3500 235 . 00
�
-�
uUtotal Electrical Fees : 235 . 0u w M
"$ State Surcharge at b't 11 . '15
'Total. Electrical Fees : 246 . 75
A * * Fees Required *** *** Fees Collected & Credits ***
' -------------.--__---_--._--___
Method Check # Receipt No . Date Payment
CK 1b'l6 04/06/95 ?.46 . '/5
:j
TOTAL THIS DA'Z'E ********* 246 . '/5
i Fees : 246 . 7b
Adjustments, , 0 'Total Credits : . 00
v Total FelZ46 , '/b 'Total Payments :
balance Due: . 00
NOTICE: This permit becomes null and void If the work or construction for which It Is Issued Is not commenced within 180 days Once construction has started, Er•a
the permit becomes null and void If cunetructlon Is Interrupted for a period of 180 days. I certify that the Information presented by the applicant and
his agent or agents In support of this permit Is true and correct to the bast of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use
S of this building or structure will be compiled with whether or not speckled on the plans or noted on the plans correction sheets. I acknowledge that
the granting of a permit dues not grant authority to access private property or to use easements. I hurther acknowledge that the use or ocrupancy of
the structure or buildh:g permltted depends upon my calling for Inspections at various times during the process of construction and the building
Inspection staff verifying compliance with the varlous codes. Use or occupancy of the bullding or structure permitted prior to approval by the
Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and
approval Is giver by the Building Offlclsl. I further acknowledge that a Ilen may be placed on the title of the property upon which the permit Is Issued
specifying that the ties or occupancy of the building or structure Is prcvlsional and revocable until the satisfaction of all Inspection requirements.
APPIJCANT'S SIGNATURE
W.Jy
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WASHINGTON Department
of COUNTY -ELECTRICAL PERMIT
Department of Land Use & Transportation •
Electrical Inspection Section APPLICATION
155 North f=irst Avenue, 11350-1?.
Hillsboro, Oregon 97124 J
Information: (503)640.3470 Fax: (503) 6934412 Proiect/Permit � c)(a 62
PRINT Number __.- VPLEASE _ Date l _
Please complete all sections, 1 through 5. in 4. Complete Fee Schedule below
� s
i
1. Location of installation Number of Inspections per permlt allowed
t
' Address /�t S '1 5 w rl rk. , t-, r 1 Service included Items Cost(ea.) Sum
Building A. Residential- per unit
'
City Suite o.
i --�---`" =� 1000 sq.It,or less _L. $110.00 I l Ul U 0 4
Tenant Name Each additional 500 sq.It � - `
(if commercial) _ of portion thereof _ $25.00 l a '
Llm,ted Energy $25.00 1
Tax Lot Map No. Each Manuf'd HorTle or Modular
Dwelling Service or Feeder -_ $68.00 2
Thomas Map Book: Page: __ Section: _
Directions-_-------- -- B. Services or Feeders
Installation,alterations or relocation
pE
200 amps or less $60.00 2
Commercial r Residential�'' 201 amps to 400 amps $80.00 2
j 401 amps to 600 amps $120.00 2
1 2a. Contractor inst llation only: sol amps to 10so amps $180.00 - 2
1 Y•� �- j/ Over 1000 amps or volts $340.00 2 �
Electrical Con tor / a" `�L Reconnect only ___ $50.00 2
Address / I c5 c' . I ? C� j
Date- L, Job Nu neer C. Temporary Services or Feeders A
Property Own f _-_^ /` ' ' ' Installation,alteration or relocation
? % 200 amps or less $50.00 _ 2
Contractor's License No. ; 1 M1 ` 201 amps to 400 amps $75.00 _ 2
Contractor's Board Reg. No, c� 2
g 401 amps to 600 amps $100.00 _
r` Over 600 amps to 1000 volts see W above
Signature of Supr. Elec'n
I License No. Phone No. ; >'7 '/ D. Branch Circuits
New,alteration or extension per panel
a) The fee for branch circuits with
2b. For owner installations:
purchase of service or feeder lee.
tint net's Name Phone No. Each branch circuit -_- $5.00 _ 2
b) The fee for branch circuits without
Address purchase of service or feeder fee.
First branch circuit $35.00 2
City Stale Zip Fach add til branch circuit_. $5.00 _ 2
E. Miscellaneous (Service or Feeder not included)
The installation is being made on property, 1 own Each pump or irrigation circle-_ $40.00 - 2
which is not intended for sale, lease or rent. Each sign or outline lighting $40.00 2
Signal circuit(s)or a limited
Owner's Signature __ _--_ energy panel,alteration
or extension $40.00 2
.,I F. Each additional inspection over the allowable
in any of the above
3. Plan Review section (if required) Per inspection _ $35.00
Please check appropriate Item and enterfee In section 5B. Per hour __ $55.00 -
In Plant -_ $55.00
__4 or more residential units in one structure
_Service over 800 ams; feeder 800 amps or more 5. Fees is
S stern over 600 volts nominal °
A. Enter total of above fees $ � ,
Classified area or structure containing special 5% Surcharge (.05 X total fees) $
occupancy as described in N.E.C. Chapter 5 Subtotal $
B. Enter 25% of line A for
Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $ -
above apply. Not required for temporary construction Subtotal $ -_
services. $
Less Bulk Label Fee
Balance Due $ IA 'l c - r
For Inspections call This permit becomes null and void M the work sulhorlte by the permit In not commence
640-3561 or 693-4415 within 180 days from date of taeumce of ouch permit or it the work wAhorlted Is
suspended or ebandone at spy time after work le commenced for a period of Ilio days
24-hour recorder, one working day In advance of t feed F.Iectilcal Permits era non refundable and non transferable.
1194
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CITY OF TIGARD BUILDING INSPECTION' NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-41 1
Inspection: _
Footing Susp. Ceiling Sprink. Routh-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 ain D arD i� Framing -Plumb. �w
Alarm Water Line Insulation -Mech.
Underfir. Insul. Shear Wall Gyp. Bd. -Eiect.
�/�%�
Date Requested: 3 Time: AM PM
Address:120`1
Builder:� �i�n sy i,., N[� Perm;t �j-"o C/
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
I
Inspec?o Date: zg�
VED —_DISAPPROVED —APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Depart oent
13125 811 Hall Blvd. Tigard, Oregon 972
Inspection Line (Rec-O-Phone): 634-4175 Business ne: 639-4171 f
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Toot/Beam 8truct San. Sewer Framing -Bldg. `
Cost/Beam Mecham Rain Drain Insulation -Plumb.
bq. Underfl� Nater Line Gyp. -Mech.
e
Date Requested: 2 �/ _ Time: AM _ PM
Address:_ /Y�JC v/ TPermit
Builder: 4�Al _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Data: `
APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
--Call For Reinep.
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INSPECTION NOTICE ► t
City of T4.9ard Building Department
13125 SR !tall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6.79-417.1
Inspection: --- —_ --�__.—
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. <::!!EnD�raii. Insulation -Plumb.
Plbg. Underfloor /W ter LL Gyp. Bd. -Mech, p�/ •
Date Requested: �/ Z / Time: AM \ PM
Address:_ za J� Permit lt-1_�Cr�GUY.�j
guilder: Slit. 'k
--- - f�
THE FOLLOWING CORRECTIONS ARE REQUIRRDs I
- 14 Inspector: Date: G
_- ROVED _ DISAPPROVED --- APPROVED SUBJECT To ABOVE
_--_Call For Reinnp.
L
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Business Phoner• t-9)4 i.
Inspection:_i----- -- v —
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
nd. Plbg. Top Ou'. Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb. i
t
Plbg. Underfloor Water Line Gyp. Bd. --Mech. � I
�- •
�J� � —.
Date Requested: Time: — AM -YM i
Addraset —fG? y �U -- Permit
�� T
Builder: ze;k'ey SfJ/%✓ �_
r
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inapector•,� -- - -- ---- — - 1_YL_
DISAPPROVED APPROVED SUBJErT TO ABOVE
----Call For Reinsp.
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r��yT.11;ry ' ate 4ey,P., w 1W.'w
INSPECTION NOTICE
City of Tigard Building Department
13125 S11 Ball Blvd. Tigard, Oregon 97223 [
Inspection Line (Ree-o-Phone): 639-4175 Buoineea Phone: 639-4171
i
Inspection: _
Pouting Plbg. Undorslab Nech. Rough-in Appr/Sdwlk
I
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Strur_t. San. Sewer Framing -Bldg. f
I
Post/Beam Mech. Rain Drain Insulation -Plumb.
1
Plbg. Underfloor Nater Line Gyp. Bd. -Hach.
Data Requested: Times AN _PH
Address:-1- Permit #s,
Builders—
THE FOLLOWING. CORRECTIONS ARE REQUIRED: `I
I
Inspector:_� Date: 3_ 3
/APPROVED
_ DJSIIPIPROVED -� SUB.TECT TO ABOVE
Call For Relnep.
1
II
PLUMBING PERMIT
IS09ti 43CM- OF TIGARD DATE ISSUED: 03/1 / .5
COMMUNITY DEVELOPMENT DEPARTMENT
131 gyv y � Ivd.Tigard,Oregon 07 3.8 pq� d 4171 PARCEL : ?S 1 1 NL�(� -�1�IZ�tr
{
SITL`- �I:!RE' 3. . .9: I4,p,� I zU Mr, - S"I
SUBDIVISION. . . . s RENA 186ANCEa SUMMIT ZONING: R-3. 5
BLOCK. . . . . . , . . . : LOT. . . . . . . . . . . . . r0O6
1
CLASS OF W017F<« , :NEW OARBAGr DI!3PO9AL3. . : 1 ' {
TYPE LIF U6C. . . . sSF WASHING MACH. . . . . . . 31 BACKFLOW PREVNTRS. . r 1
OCCUPANCY GRP. . :P7 FLOOR DRA114S. . . . . . . s0 'TRAPS. o . . . . . . . . . . . . 10 i •
ST'Ok I E5. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASING. . . . . . . s 0
FXTURCS- -_- -- -- - LAUNDRY TRAYS. . . . . . : 1 GF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . s 1 GREASE TRAPS. . . . . . . :0 �
LAVATORIE s. . . . . .4 OTHER FIXTURES. . . . . :0
I 'f U8/SHOWE:R5. . . . : SEWER LINE (ft ) . . . . :0
14ATE_R CLOSETS. . :3 WATER LINE ( ft ' . . . . : 100
t?laHWnSHERS. . . . : 1 RAIN DRAIN (ft ) . . . . s0
I �
PENA 1913ANCE CUGTOM HOME'S TIF f t550. 00 JD 02/06/9' ---_ I
IC-72 WILLAMETTE FALLS DR. SWM $ 180. 00 JD 02/08/95 ----
SWM $ 110121. 00 JD 02/00/95 - - -
1 WE=ST LINN OR 97068 spRT s 638. 00 JD 02/08/95 --_ -
Flh,on: #r 557-8000 SPILC $ 414. 70 JD 02/08/95 __...._
3 r
{ h�lJddr`e_s•.. _ ..___ I f 1 � ._...._. B:T58P1'Ci-I $
s 3231.. 90 JD 02/08/95
1,1umbing Contractor PARK $ 300. 10 JD 02/08/9S
---
7 MPRT s 48. 00 JD 02/08/95
ame: MPLC $ 1 ' 00 JD 02/08/95
I� T M5-PC, 40 JD 02/O6/95
00 ,lU(:ity: . i5l� _-
_.
i 0?/p1n/9' _--__
i p v_ Ph na#r+ �6 ZStoJ ---• f~5pr..: s 11. 25 5 JD OP/OB/95 ...
Additional Peas not shown here. . . . . . .
REPU I RED INSPECTIONS
Tbi ; permit is issued subject to the rey-"
Ilpt: ions"'contained in the Tigard Municipal Footing Insp Insulation Insp
-nde, State of Ore. s_3pecialty Cortes and all Foundation Insp Gi p Board Insp
othfur applicable laws. All work will be clone post/Ream c;truct Rain drain Insp
jin accrordainc:P with appro'Ped plans. This post/Beam Mechan Water Line Insp
i.rer,mit will expire if work is not started Crawl Drain Water- Service In
within 180 clays of issuance, or, if work is Plm/Undslab ingp Appr/Sdwlk Insp
9,Uspeonded for mare than 180 days. P1_M/UnderfIcor- Mechanical Final
Mechanical. Insp Plumb Final
Plumb Top Out Building Final
Framing Insp E ,osion Control
(�
Fireplaire Irsp(0 --_._.._.__.._..._.__._ _._.
{ !< __ _ _ �+°•..� `����_ q
Gas Line Insp
1luthorxaad Plumbing Contractor Signature
Call ' far inspection - 6,"39-'41 75 ,
C::ontra+c:tor Noteai
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.i�,�;iN J' ,% l•' i a !� in . ! ,k, I) .l!I, f F�1L a 4..., 1 t!! =} ��;.' a 1 v.il � `.)�
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CITY OF TIGARDMASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT
f='E RM1 1 #. . . . . . . : MSS Gini-VrV..r + n
�
13126 BW lull Blvd.Tigard,Oregon 07223.8109 (603)SWAT 71 DATE. ISSUED: 03/10/95
PARCEL: ,"GI 10DA-•01";o'/_'
1'TE ADDRES:,. . . : 1.0684 GW NAEVE 8T
ubU i V I S I ON. . . . : RENAISSANCE SUMMIT ZONING: R-3. 5
I�LOC•(. . . . . . . . . . .. L..O1 . . . . . . . . . . . . . :006 ;
BUILDING •-.___.__.___._._________________.___
.E=I.SSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 s•1= �
LASS OF" WORK- :NEW BE:DRMb:3 BATHS::3 GARAGE:. . . . . . . . . . x757 S
YPE OF USE=. . . :SF' FLOOR ARE:AS--_ - - -- REQUIRED SETBACKS
, Yp&- EJF CUNS•T. : ;N FIRST. . . . : 1389 S LEFT. . :b ft RIGHT. :5 ft
OCCUPANCY GRP. R3 :.iELON.U. . . : 12130 6 11 F RUN 1'. :c0 fit RE HR. . 132 fit �
STUR I k:3. . . . . . . :c F•I NL.ASME:NT':0 5 f REUIU I RED---
i iE
ED--iiI IGHT. . . . . . . . : 30 ft TOT"AL__- - --:2019 s f SMOKE DETECTORS. :Y
! LUOR LOAD. . . . :40 psf VALUE. . . . . >«: 181661 PARKING SPACES-:1
� I�emarl<s : F�'ATI•I 1 �
PLUMBING -______.__._.______.-__•_____ ________._...__
INKS. . . . . . . . . . : 1 r:LOLPR DRAINS. . . . :0 BAC KsVLOW GRF_'VNI Ri3. . ; 1
L_"N)HIURILS. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
,ULA/siiuwf_i:?,`a. . . . : J LAUNDRY VRAYS. . . : 1 CATCH BASING. . . . . . . .16
WATER CLOSETS. . :3 SEWER LINE (ft) . :0 GREASE: TRAPS. . . . . ., . :0
1.)ISHWOSHI_R:S. . . . : 1. WATER LINE (ft ) . 1. 100 OTHER FIXTURES. . . . . :0
LJAf 8"bE I)Ibp'. . . : 1 RAIN DRAIN (ft) . .0
WASHING MAOI••(. . . : 1. 5F" RAIN DRA I NG. . : 1 _
MECHANICAL ____.._.._ _______--•--__.____.-•- FE=ES
I UEL TY'1'f 5- - __.______ UN 11 HTRb- . !V.4 tyt)e atmol.rnt by date recpt
6Hb/ ! / VEN'FS . . . . . :0 T I F' $ 1550. 00 JD 02:/08/95 - --- 9
MAX INPUT:O FATU VENT FANS. . :5 GWM $ 1BO. 11.10 JD 0c:/08/95 - -_-
FURN ( 100K . . :0 HOODS. . . . . . s 1 SWM $ 100. 00 JD 02/08/95 -----
I-U1?N ) -100K . . : L WUUUS i OVES. :0 BF-',PT t 638. 00 JD Oc.'/08/95 - - -- �
I- LOUR FURN. . . . :0 CLC) DRYERS, : 1 BPLC $ 414. 70 JD 02/08/95 ----
BUIL�CIhF' < 311F':kf OTHER UNITt : l La ,f-'1.; 1 J1. '30 ,7D 0""/08/95
[SAS UUTLETS: 1 PARK $ 500. 00 JI) Od/06/9S ----
Owner : _...._.._.__-MF='f?T $ 48. 01'1_+ JD 0.-/08/55
PENAISSPNEE CUSTOM HOMES MPLC $ 11'. 00 JD 0(':/08/95
1672 WILLAMETTE FALLS DR. M5PC $ `. 40 JI) 1&?/17.I8 95 - -
38TH $ ; ' ;. 00 JI) 02/08/95
r;< wE51- L INN OR 9 /06d I-15pC $ 11. .-`15 J D
Phone fit: bbl-13V100 EROS $ e,4. LAO JD 02/08/95 --- -
Contractor: .._._._________.__.__.____..._ . .._...._.__._._-I=RFC: t LO. 00 J1.) 02/06/9b
i RE=NAISSANCE DEVELOPMENT ERPC $ 2,0. 80 JI) 02/06/95 - --
E 1(:,72 SW WIL.L.(Mr'TT1- FALL..`.-.:, DR
WEST LINN OR 9"1Ob8
I 'hone+ #1 557-6000
Re 49955
0 3618. 65 T01"AL
This permit is issued subject to the regilations contained in the -- ----- RE UUIRF:D IN15PE:CTIONa ------
Tigard Mmicipai Cede, Etate of Ore. Specialty Lodes and al; other Footing Insp Plumb 70F Out
applicable laws. All work will be doge in accordance with gpror'ed FoundAt .ion Insp Framing Insp
plans. Thas permit will expire if work is nct started within 1110 Post/beam btruct Fireplace Insp
days of isivance, or if work is suspen ed for more than 180 days. Posit/Bet-am Me•chan Gas Line Insp
,t
._..__. iawlDy '.ition Ins
p
PermitLee 31gnati,rr : FMnlab Insp OyBoard Insp
r,L /Undefloor Rain chain Insp
s,.4ed Sy
mec.11alliu al 111sp Water Laine Insp s
Lai .i for ,ins,pection - 639-4175
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.jLWLR LUNNLLliUN
VIE RM 1 I
CITY OF TIG ,RD (J(TEIISSUEDs• 0;ti/1iDJJ5�00%+5
COMMUNITY DEVELOPMENT DEPARTMENT
131263W Hail Blvd.Tigard,Oregon 97223.6199 (603)030.4171 PARCEL: 2S 1 10DA--N 1501.
_;ITL_ iil)01- iL
e 5AJPD I V I61(IN. . . . .. RENA 1 SSANCE SUMM I'T 7 O 1 NC
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :14
i L-Ni-INT NAME. . . . . :
ASH IVU. . . . . . . . . . . F1 XTURE UN ITS. . .
-LASS OF WICIRK. . . :
NEW DWEL.L..ING UNI T''S , : 1
.I YP,E OF UBE. . . . . ..SF NO. OF DU I L.D I NGSi s 1
INS-MLL T'YPIE. . . . IBUGWrR Ilhr'LRV SURFACE. . : 5f
riem rks; r'ATH I
Jwrrr,r,. _.___.._,_._._.�__ _.._.____,.___.__.___._._.________._._._______._._�_____ FEES
RLNPISSANCE:. CUSTOM HUMES type 'amol_int by date r-ecpt; �
1672 WILLAMETTE: FALLS DR. PRMT 2200. 00 0 JD 02/06/95 -
-
INwiP :x`5. 00 JI) 02/08/95 _
WES1 LINN OR 070C.8
.b
+hotip ti's 557-3000
,..;antraftor:
ra,
COINITROCTOR NOT ON f ILC
Reg
REUU 1 RED I NSF-1E:C:T 10NS
This Applicant agrees to comply with all the rules and regulations Sewer ln�,pec,tion
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will he forfeited of the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not locates at the measurement
given, tfe installer shall prospect 3 feet in all directions from
the distance gi,en. If not so located, the installer shall purchase
a 'Tap and Side Sewer" Permit and the Agency will instal a iaterai,
I. e r m Y t t e e!
Gall far inspection — 6.L9--4175
I
.... ..,�.......�..,....... _... ._. _ -- rte- .....,._..
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Residential Building Permit Application \�� •
City of Tigard
13125 SW Hall Blvd. `1
Tigard, OR 97223
(503) 639-4171 ;1
i
Jobslte Address:
J
S�'•�h. Fr btflC� Use only
Subdivision: Lot # _
c Plancklnec# d _
Valuation:�L� J .y
Permit #� � ��S'ta a
Owner: Rena lssance Custom Homes, Inc. reissue of
— •
Address: 1672 Willamette Falls Drive
West_ Linn, OR 97068 ApprUyal$ f'ttUtred
Planning
Phone: 557-8000
Contractor: Reniassance Custom Homes, Inc. C}titerY �
Address: 1672 Willamette Falls Drive F
West Linn, OR 97068 items �iet�ulreki
t
Subcontractors'
Phone: 557-8000 -
s Truss Details
Contractor's License # 97599
(attach copy of current Oregon license) Met-
Subcontractors:
Plumbing:__ Eagle Plumbi.n,,
Mechanical: Tri-County Tc:ap
(attach copy of airrent OR Contractor's License)
i
Architect/Engineer:
Address:
Phone:
COMMENTS:
Applicant Signature & Phone number
Received by: Date Received: p
_ t
O
Permit # Account Description Amount Amt. Pd. Bal. Due
63
rns -o q3 Bldg. Permit (BUILD) ,L_-_
Plumb. Permit (PLUMB) 2 zS.
Mech. Permit (MECH)
State Tax (TAX)
rr
Bldg: / U
Plumb: 0
zz—11?
Mech: D
Plan Check (PLANCK) �- Zp � � y � �� U
Bldg: f U
Plumb:
Mech: �Z
Sewer Connection (SWUSA) _ _—
Sewer Inspection (SWINSP) -55
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC) — -----
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
C I.G>f r" �al
coo
I el
.12V-IeL
Office TIF (TIF-0)
Water(duality (WOUAL) � �
Water Quantity (WQUANT)
Fire District (FIRE) _ iII
TOTALS: 1..._..
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CITY OF T I C3f)RD - R CE'IPP OF P'AYME'NT RECEIPT NO. :95--i!62776
y CHECK AMOUNT 603, t35
4
rASH AMOUNT a 0. 00 u
NraME s RENAISSANCE: CUSTOM HDML"• ' PAYMENT DATE s 03/13/95
faT�1fWF:.:,f3 s Sl1AI)I V I S I ON
I
L) PLIPP(X')E Cll-' PAYMEN-f AMIXINT PAID `
K'+Jtdl"'C)f3F (:If-- E+AYMI'=N'T AMCTIJNI PAIL)I I
C�UIL_DINf3 PF_FtM 638. th0 AL.UMnING PERM 225. OO
45p. 55,
I......,_..._....__..___._.__..._--- 46- OCA
�T. F11_IIL.ti F'ER C
IME.CHAN T CAL_ PE `''x'00. 00
fl.-AN CHECK EE 17(-,. 70 9E�WFR U91A "5O1.
�. PARKS SDC �iO. fA
1 Q�
1
-;L.WE R INSPECT 00 120. 00
fiEi!3I DENT I AL. 'TRAFFIC Ft EF.i 1 t}3� - 00 MAss 'T't2AN5I T T T F' F=w E,5 t
k IEFC5TCN CONTROL. FlihCK 210.
TROL_ C"O. ski 1 � . 0tEROSIDN CCNE� . '0 `fY 1"EF
tROSION CONTROLPFRMITFEE 0. i1
tl1 C1 PUANTITY FACILITY FEE 1O0+. V+q+
J i
I i+Ai~t3�i SW NAF.VF- 'ITRC-FT
AMOU14 T V'fl I(l _ _i 5803. 69,
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