10828 SW NAEVE STREET a
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10828 SW NAEVE ST
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP
Date Requested a/ �;A�'6 AM Pmt' BLD
Location 10 b'2_1� � Suite _ _ MEC --
Contact Person Ph PLM NP K
Contractor Ph SWR
BUILDING Tenant/Owner ELC —
Retaining Wall ELR
Footing FPS
Foundation NOT REQUESTED
Fig Drain FOUND DURING RESEARCH SGN
Crawl Drain - —
Slab NO INSPECTION(S) FOUND IN FILE SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof `
Misc:
Final
P ART FAILot
— --- —
LUM
Post&Beam
Under Slab
Top Out L
Water Service
Sanitary Sewer —
Rain Drains a
PTASjp PART FAIL _____
HANICAL
Post&Bearn -- — -- --
Rough In
Gas Line — — - —' --"
Smoke Dampers
Final - ---- -- ---
PASS PART FAIL
ELECTRICAL - "---- -� — -_
a. Service —-- — ------- - ---- _—
Rough In
N UG/Slab
Low Voltage
Fire Alarm
'J Final
m PASS PART FAIL — - --- -
W SITE
"t Backfill/Grading --- �— - -- --
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection RE: _ _ [ ]Unable to Inspect-no access
Fire Supply Line
ADA /�
Approach/Sid,.walk Date U Inspector Ext `
Other -
Final
PASS PART FAIL DO OT REMOVE this Inspection record from the job site.
PLUMB I NV PERMIT
•
CITY OF T DATF_11SSUEDa. 06/28/966-0182
COMMUNITY DEVELOPMENT DEPARTMENT I
13126 8W Hap Blvd.Tipad,0r9W 97223*8199 (603)939-4171 PARCEL t 2S 1 10DA-01 100
SITE ADDRESS. . . : 10828 SW NAEVE ST
SUBDIVISION. . . . s RENAISSANCE SUMMIT ZONINGS R-3. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . s002
------------------------------------------------------------------------------------
CLASS OF WORK. . :ADD GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :GF." WASHING MACH. . . . . . s 0 PPCkFLOW PREVNTRS. . s 1
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . a 0 TRAPS. . . . . . . . . . . . . . : 0
STJRIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . t 0
FIXTURES--•------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . t 0
SINKS. . . . . . . . . . t 0 URINALS. . . . . . . . . . . a 0 GREASES TRAPS. . . . . . . : 0
LAVATORIES. . . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . s 0
WATER CLOSETS. . : 0 WATER LINE (ft ) . . . t 0
DISHWASHERS. . . . 1 0 RAIN DRAIN (ft) . . . s 0
Remar[<s : Installing a residential backflow prevention device.
Owner: ---------------------------------------------------- FEES --------------
RENAISSANCE DEVELOPMENT CORP type amount by date recpt
1672 SW WILLAMETTE FALLS DRIVE PRMT f 15. 00 CJS 06/28/96 96-281104
5PCT f 0. 75 CJS 06/28/96 96-281104
WEST LINN OR 97068
Phone #t 557--8000
Contractors ----------•-------------------
MOODY ENTERPRISE INC
PO BOX 98
ESTACADA OR 97023 __--_________—____----__—_,-----_.--
Phone #: 15. 75 TOTAL
Reg #. . : 5973
------- REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the RP/Backflow Prev _
Tigard Municipal Code, State 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 work is not started
within 18A days of issuance, or if work is suspended for more
than 188 days. _
IL --
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CzIl for inspection — 639-4175
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City Of Tigard PLUMBING PERMIT AEP ICAT-19N Planck/Rec. #
13125 SW Hall Blvd. Permit #
Tigard, OR 97223
(503) 639-4171 MINIMUM $25.00 PERMIT FEE+ST. SURCHARGE
Now Sinai Family.Residences Only
l.,vn"75 uce
1 BATH HOUSE$140.00 0 2 BATH HOUSE$195.00
Job �.....log 26 Nae v e ❑ 3 BATH HOUSE$225.00
Addressar Fee includes aN plumbing fixtures in the dwelling anti the first 100 feet
0"T' i ftd O 72-z of water service, sanitary sewer and storm sewer. See fees below.
FIXTURES QTY PRICE AMT
?N rSSAN�f tDC10 T��� Sink ^_ 9.00 _
MMy ' / ► I.Avatory 9.00
Owner 611 �/i IjtA�fq 0�"�M-?O0O Tub or Tuwshower Comb. --- 9.00
tCWW,M a► Shower Only 9.00 _
kI,W� Water Closet 9.00
Nr..Iv .N MNwr) 00
Dishwasher 9.00
Garbage Disposal 9.00
Occupant Miy Ae*- ""- p- Washing Machine 9.00
Floor Drain 9.00
CWN.W ar Water Heater 9.00
La uM..y Room Tray -� 9.00
00
• Urinal 9.
_ _
Other Fixtures (Specify) 9.00
n.... 9.00
M.rr yes«. -
Contractor P , 2 O 9.00
9.00
SOS a O R `/ 0 2 Sewer 1st 30.00
am No rte,," ar�+ r..� Sewer-ea. AddR25.00
. 100' ____
rl, water Service tat 1t� 30.00
1 hereby acknowledge that I have read this application, Oat the Water Service on, AddN. 200' 25.00
information given io:orred, that I am the owner or author Ted agent of Storm&Rain Drain 1st 100 30.00
the owner, that plans submitted are in compliance with StOn laws, that 2500
I am registered with the Construction Contractor's Board, it at the Storm 6 Rain Drain Addit. 100'
number given is correct. (if exempt from State registration, please Mobilo Home Space 25.00
give reason below.)
/� Back Fkxk Prevention
1 I / �{/��`�� Devic+or Anti-Pollution Device 9.00
�� Any Trap or Waste Not +.
Connected to a Fixture 9.00 _
Catch Basin 9.00
Describe work new addition 0 aflerstion �) r.�pair Q 40.00rt r �
to be done residentialnon-residential Q Insp. of Exist. Plumbing
Specialty Requested Inspections 40.00fhr
n' Existing use of 30.00
Rein Drain, Singh fatuity dwelling 0
F building or property Residential backflow pre`-entlon
N devloes 15.00
Proposed use of
J building or property - - •{dreapt►pldentlef backflow
_m prsysntlon drvlcea)
W
-� NOTICE 'Mlnhnum Fee 525.00 SUBTOTAL �S"
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5%SURCHARGE )C�.
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 26%OF SUBTOTAL
COMMENCED.
TOTAL J ?
Special Conditions
Date issued (/j- Atf�� by
CERTIFICATE OF
CITY
OF
T OCCUPANCY
PERMIT 0. . . . . . . a MZT95--027 ,
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED a 01/18/96
13125 AW Hd Mvd.T1gWd,Oregon 07223.0100 (503)630-4171
PARCELa c'S110DA-01100
:SITE ADDRESS. . . . 10828 SW NAEVE ST
'aUBD I V I S I ON. . . . o RENAISSANCE SUMMIT 7 nN I Nr.R .s. 5
BLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . a0@2
--------------
CLASS OF WOR;. e IEW
TYPE OF USE. . . v rF'
OCCUPANCY ORP. a 5N
OCCUPANCY LOAD:
i?ema.rNe a PATH I
Owner- : —______._____________._____.______w__._
IlENAI9SANCE DEVELOPMENT CORP
1672 SW WILLAMETTE FALLS DRIVE
WEST LINN OR 97068
i'hone #r 557-8000
Contractor. _______ ____r_________._______._
TRT--COUNTY TEMP CONTROL
13651 SE AMBLER RD
CLACKAMAS OR 97015
Phone Me 777--38'74 OR
Reg #. . s 72623
This Cer-tificate grants ocC.upanCy of the mbove referenced building or portioi:
thereof and confirms that the building hAs been inspected for compliance Witt
the State of Oregon Gpec.ialty Codes fov the group, orCLIpmncy, and use under
which the referenced permit was ig i.ied.
1
BUILDING INS C T 0 BUIL ICIAL
POST IN CONSPICUOUS PLAt_F
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Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # 9_S'- a2)7o7
Permit # fje gS- oVS2
Phane (503) 639-4171 Date Issued 10- 7-9s-
i i-:AX
CITY OF TIOARD 1503) ssa 7297
��OD No. (503) 684-2772-1
Issued by cA-4--r
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Humber of Inspections per permit allowed --
Address @ AS: s w M d,-t Service included: Items Cost(ea) Sum
City/State/Zip A s mi ti � 4e. Residential per unit 4
1000 eq It or Nee �_ $11000 1� r,c'
Name (or name of business) Each additional SW aq It or '
portion thered _1 $250o Q U c7
Commercial❑ Residential Limited Energy 525 oo
Each Manurd Home or Modular 2
Dwalltng Service or Feeder See oo
2a. Contractor Installation only: 4b.Services or Feeders
Installation,alteration,or relocation 2
Electrical Contractor Li- .y. E ... _� �_ 200 amps or fees $80 00 2
Address r'•0- . t 4 a j 201 amps to 400 amps $8000 2
Cite CLL"�Ic�.,r State V Zi 47a IS 401 amps to eco amps $12°00 — 2
`7_ �__ �'L P 801 amps to 1000 amps f180OF] 2
Phone No. 4, ,.5 7 —.6 1 !:4-3- ` Over 1000 amps or volts $34000 � 2
Contractor's License No. 3- 1 .11 C. ( Reconnect only 55000 ---
Contractor's Board Reg. No. :A tis'y t-/ 4c.Temporary Services or Feeder
Inetallatim,alteratinn,or relocation 2
Signature of Supr. Elec'n zoo amps or leas "0 00 2
�- 201 amps to 400 amps 575 00 2
License No.�1g- -S Phone No.4 S _.`� � 401 amps In 800 amps Illwoo
Over 600 amps to loco Volta _�-
2b. For ownei- Installations: see W above
4d.Branch Circuits
Print Owner's Name_ Naw,alteration or"ermon per panel
Address a)The Ise for branch cirmAs wftfr
City State Zip purchase a(am s-ko or kadUr rtes. 2
Each branch circud "00
Phone NO. b)The fee for branch circuits wfthm
The installation is being made on property I own which is puaen..o,Of aervtoe or ft~be. 2
not intended for sale, lease or rent. Feat branch circ"" S'500 ---- 2
Each additional branch arcvlt $600
Owner's Signature _ 4e. Miscellaneous
(Service or feeder not incitxled) 2
3. Plan Review section (lit required): End,Pump ii,irrigation arae _ _ $4000 2
Each sign or outline lighting $4000
Signal cimuil(s)or a limited energy 2
Please check appropriate Item and enter fee In lection$8. panel,alteration or e>11ensron $4000
4 or more residential units in one structure Minor Labels(10) $10000
Service and feeder 225 amps or more
IL System over 600 volts nominal 41.Each additional inspection over
Classified area or structure amtaining special occupancy the allowable in any of the above
N Rs described in N.E.C.Chapter 5 Per inspection 53500
Per hour $6500
Submit 2 sets of plans with application where any of the above In Plant $6500
,.1 apply. Not required for temporary construction serv(ees. 5. Fees:
m NOTICESo. Enter total of above We $ .1 /0 . o J
W6%Surcharge(.05 X total lees) $ Al A - S a
--i PERMITS BECOME VOID IF WORK OR CONSTRUCTION 3ubtoral =
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF
5%,.Enter Plan Revie25%w
of lineew if required
for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR uired(Sec 3) :
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal :
COMMENCED. ❑ Trust Account N ;
BalRnce Due
: .�
ITY
OF
TIGARD
MASTER PERMIT PCRh^IT #. . . . . . . : PyST95--027�'
DATE ISSUED: 07/26/95
COMMUNITY DEVELOPMENT DEPARTMENT
13125 8W Hall Blvd,Tigard,Aragon 97223.5199 (503)039-4171 PARCEL: 2:73110D(1 -01100
SITE ADLRESS. . . : 10828 SW NAGVE ST
SUBDIVISION. . . RENAICSANCE SUMMIT ZONING: R-3. 5
BLOCI... . . . . . . . . . . LOT. . . . . . . . . . . . . s 4102
BUILDING ---- ---------------------_------_____-.
RE ISSUE:MST95-0018 DWELLING UNITS: 1 BASEMENr. . . . . . . . :o of
CLASS OF WORK. :NEW BEDRM5:4 SATHS: 3 GARAGE. . . . . . . . . . :816 sf
TYPE OF USE. . . :SF FLOOR ARF_AS -- ---- REQUIRED
TYPE OF CONST. :5N FIRST. . . . : 1175 3 f LEFT. . s5 ft RIGHT. :5 ft
OCCUPANCY GRP. :R3 SECOND. . . : 1213 sf FRONT. :20 ft REAR. . :21 ft
STORIES. . . . . . . :2 FINSSMENT:O sf
HE I G14T. . . . . . . . :27 ft TOTAL - -------:2388 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . 4 : 167684 PARKING SPACES. . : 1
Remar-ks : PATH I
------------__-____-._.-__--_-__-.------ PLUMPING - --------------------------------
SINIKS. . . . . . . . . . . I FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . : I
LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/GHOWERS. . . . :3 LAUNDPY TRAYS. . . : 1 ';ATCH BASING. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE ( ft ) . : 1.00 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft) . :0
WASHING MACH. . . : 1 Sr-' RAIN DRAINS. . : 1
MECHANICAL ----------- FEES ----------------
I-UEL TYPES-------- --- UNIT HTRS. . :0 type a1eoUmt by date recpt
/GAS/ / / VEN-rS . . . . . :0 TIF $ 1590. 00 B 07/2:./95 95-268484
MAX INPUToO BT1.1 VENT FANS. . :4 SWM $ 180. 00 B 07/26/95 95--268481
f URN < 100K . . :0 HOODS. . . . . . : 1 SWM $ 100. 00 B 07/26/9: 95-266484
FL.IRN > :=100K . : t WOODS!Ol'ES. :0 BPRT $ 603. 00 S 07/26/95 95•-26840 ;
FLOOR FURN. . . . :0 CLO DRYERS. : 1 BPLC $ 50. 00 SW 07/13/95 95-266039
BOII-/CMF' ( 12HP10 OTHER UNITS: 1 135PC, $ 30. 15 B 07/26/9:5 135- : 68484
GAS OUTLETS: 1 PARK $ 500. 02 R 07/26/95 95-268484
OWner,: --_ _..____. __._.-_--_----_______.___.__._.._...__. _ _MPRT $ 45. 00 B 07/1-:'6/95 95--268484
RENAISSANCE DEVELOPMENT CORP MPLC $ 11. c15 P 07/26/95 95--268484
1.672 SW WILLAMETTE FALLS DRIVE MSPC t 2. 25 B 07/26/95 95--2684134
3BT+J $ 225. 00 B 07/26/95 95-268484
Wr;T LINN OR 97068 P7,PC $ 11. 25 13- 07!26!95 95-2684A4
Pho71e #. 557-8000 EROS $ 64. 00 B 07/26/95 95-268484
Conti-&(.+or: $ ='0. 80 N 07/26/95 95-26848/1
TRI-COUNTY TEMP CONTROL ERPC $ 20. 80 B 07/26/95 95-268484
13651 SE AMBLER RD BPI_C % 50. 00 B 07/26/95 95--2 68484
0. CLACKAMAS OR 97015
p� Phone #: 777-3874 OR
F- Reg #. . : 72623 --------------------- ....._.
N
___L�_.s503. 50 TOTAL
Phis permit is iss,ed subject to the regulations contained in the - REQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Footing Insp Plumb Top Out
applicable laws. All work will be done in accordance with approved Foundation Insp Framing Insp
W plans. 'his permit will expire if work is not started within 198 Post/Beam Str ,.lct Fireplace Insp
-J days of issuance, o- if wort is suspended for more than 180 Post/Ream Mechan Gag I...ine Insp
• Cr•aWl Dr-a.in Ir.s1.11ation Insp
ermittee ai nOti,I1 P . _ Plm/Lind,lab Insp Gyp Puard Insp
M41PLM/Underfloor Rain drain In--,p
Issl.red Dy: _ . _ _ Mer_hanical Insp Water Line Insp
Caul for inspection - 6:x,9--417`'
C
PERMIT
CITY OF TIGARD DATE I SUED: 7 6/95 Qr �Ql
DAVE ISSUED: 0"1/ 6/95
COMMUNITY DEVELOPMENT DEPARTMENT
13126 BW Hall Blvd.Tigard,Oregon 97223.8199 (603)638.4171 PARCEL: 051 10DA-01 100
ITE ADLRL55. . . s 108`8 5W NAGVE ST
>UBDIVISION. . . . : RENAISSANCE SUMMIT ZONING: R-3. 5
?LOCI;. . . . . . . . . . . LOT. . . . . . . . . . . . . :002
TENANT NAME. . . . . :
,J3A NO. . . . . . . . . . . FIXTURE UNITS. . . s
OF WORK. . . ;NEW DWELLING UNITS. . : 1
'YPE OF USE. . . . . :SF NO. OF PUILDINGS: 1
INSTALL TYPE. . . . :BU SWR IMPERV SURFACE— :
F?emarks s PATH I
:)wner: ------ ---------- -------_-- ________ _- _----- - FEES -
I'ENAISSANCE DEVELOPMENT CORP type amoi.tnt by date rec_pt
1672 SW WILLAMETTE FALLS DRIVE PRMT $ 2200. 00 P 07/26/95 95-268484
1 NSP $ 35. 00 B 07/26/95 95_-26.8484
WEST LINN OR 97068
Phone #: 557-8000
f'ontractor. -_----- -------------•-•--_-_--"-
CONTRACTOR NOT ON FILE
-'h 0 n e #: 2233. 00 TOTAL
-- ----- REQUIRED INSPECTIONS,
- - ---
'his Applicant agrees to comply with all the rules and regulations Sewer Inspection
_
J the Unified Sewage Asency. The permit expires 188 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
,ide sewer laterals. If the sewer is not located at the measurement _
given, the installer shall prospect ? feet in all directions from
the distance given. If not se located, the irsteiler shall purchase
a "Tap and Side STwer" Permit and the Agency will install "�a lateral.
Permittee Si.gnoture )M3_ll.11
14�- -red By :�
IL Call for inspection 639-4175
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Residential Building (Permit Application
/Nty of Tigard L
1.3125 SW Hall Blvd
Tigard, OR 97223
(503) 639-4171 (�$ �
_ I
Jobsite Address: I O ,a��S.(a��x _ ` Z �f t o
Subdivision:�t r)Cl��`ar1C�.��urr�rnl Lot it
�� G Planck/Rec#
Valuation: �x�LI�ly(ISS ,l
►s�
Y � Permit# //t S Y� '0�
Corner Lot? �J
Flag Lot? Y �1 Reissue of
Map & TL „�, IU DA '0( I
Owner: _ ��Address:
Aa !ls RequirePlanning 5� -x�c�y ✓r
r�A Utin br C Engineering
Phone: Other
Contractor: lams Regulred
Address: 1f�:,1 1�I11G�Ylll FL.IJI�I`J �C. — Subcontractors
Truss Details
Phone: �� 7- �C _ Other
Contractor's License # �15��� WINE_
(attach copy of current Oregon license)
Contact Name & Phone: JULQ- O,Utul SS 7"�
a Sutcontractors: Architect/Engineer:
a I
Plumbing: ' �_ >I t)YYl Address: L ,Z � ►'Lt.��
Mechanical:
(attach copy of current Contiactor's License)
� Phone:
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JOB DESCRIPTION:
Applicant S' ature & Ph/one number
Received by: _ ,_(�� Date Received: -1 - 15- 95 _
N1WORDTOMMARESAPP
Permit 0 Account Description Amount Amt. Pd. Bal. Due `
rn 7) Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
i
Mech. Permit (MECH)
State Tax (TAX) ,L
Bldg:
Plumb: / Z>
Mech: ,2 L ►
au
Plan Check (PLANCK) t ) .�
i
Bldg: u��`( �•'� 5' ('
Plumb:
Mech: Z
Sewer Connection IT
SA) 21
Sewer inspection (SWI P) 3 )—
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) U �
Mass Transit TIF ('TIF-MT)
Commercial TIF /TIF
Industrial TIF
Institutional TIF
IL
Office TIF Water Quality
J ° J \\\
ap Water Quanti (WOUANT) �[� _ ��
L7
Lu Fire Dist (FIRE)
J
EroskSn Cntrl Permit (ERPRMT) �_. _, y
Erosion Planck/USA (ERPLAN) o2U•� �►'jd r
Erosion Planck/COT (EROSN)
TOTALS.
PLUMBING PERMIT
CITY OF TIGARD DARFI ISSUED: • 07/26/95) 027)
COMMUNITY DEVELOPMENT DEPARTMENT
1P 12i5s r•1.l,.a..0. Blvd..Tl.gwd.Of�"�on_•:Y�72.234H'NE,?y 6 "T 171 PARCEL: `S 1 10DA-01 100
UBDIVIGION. . . . : RENAISSFNCE SUMMIT ZONING: R-3. 5
5LOCl/.. . . . . . . . . . : LOT. . . . . . . . . . . . . :002
CI_RSS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . il BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . :R3 FLOOR DRAINc. . . . . . . !0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
IXTURES
- __._.__._..__.._._. _ _ LAUNDRY TRAYS. . . . . . : 1 5F RAIIV DRAIN. . . . . : 1
3INKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :5 OTHER FIXTURES. . . . . :0
7 JB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
MATER CLOSETS. . :3 WATER LINE (ft ) . . . . . 100
DI.HWASHERS. . . . : 1 RAIN DRAIN (ft) . . . . :0
t2emarks : PATH I
OWNER: --------------------------- -----------------FEES-___--__
RENT- IGGANCE Dr-VEI_OPMENT CORP TIF f 1590. 00 B 07/'226/95 95--268484
1672 SW WILLAMETTE FALLS DRIVE SWM f 180. 00 B 07/26/95 95-268484
SWM $ 100. 00 B 07/0'6/95 95-260484
WEST LINN OR 97068 BPRT $ 603. 00 B 07/26/95 95-268484
Phone #t: 5'_':7 . 8000 BPLC 4 50. 00 SW 07/13/95 95-268039
B5PC $ 30. 15 B 07/26/95 95-26848+
Plumbing Contract or^:_____.___________. - PARI: $ 500. 00 B 07/26/95 95-268484
MPRT $ 45. 00 B 07/26/95 95--268484
Name :_ MPLC, $ 11. 25 D 07/26/95 9:3-2604B4
Address : ~V�~ - —�- M5PC E 2. 25 D 07/26/95 95--26b484
State : 3BTl-I 1 025. 00 B 07/26/95 95-268484
Zip- Phone#: P5PC $ 11. 25 D 07/26/95 95-268484
Reg 1#: _ Additional fees not shown here. . . . . . . . .
------- REOU I RED INSPECTIONS
------ -
'-his permit is issued subject to the reg-
ulations contained in the Tigard Municipal Footing Insp Insulation Insp
Code, State of Ore.. Specialty Codes and all Foundation Insp Gyp Board Insp
other applicable laws. All work will be done Post /Beam Struct Rain drain Insp
in accordance with appr-oved plans. This Post/Beam Mechan Water Line Insp
permit will expire if work is not started Crawl Drain Water Set-vice Ir,
within 180 days of issuance, or if work is Plm/1_lndslab Insp Appr/;dwlk Insp
�spended for more than 180 days. PLM/Underfloor Mechanical r� ir,a1
IL Mechanical Insp Plumb '17-inal
R I Plumb Top Out Building Final
N I Framing Insp Erosion Control
Fireplace Insp
_ _ Gas Line Insp
m Authorized Fl1i.cmbing Contractor Signature
Call for inspection -- 639-4175
LU F'n n t r a c t o r Notes :
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L.45,
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� RIVATE S704M DRAINAGE EASEM T o
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S 89"5207" W 79.00'
--EIGHT FOOT PUBLIC AND PRIVATE UTILITY SCALE DRAWING LOT 2 RENAISSANCE SUMMIT
EASEMENT ALONG ALL FRONT AND REAR LOT LINFS
--SCALE DRAWING WITH HOUSE FROM LOT 3 S.E.1 4 SEC.1 q T.2.S. R.1 W. W.M.
TORLAND ESTATES, 7-12-95, BTA. CITY OF TIGARD
WASHINGTOM COUNTY OREGONI
Centerline Concepts Inc.
DRAWN BY: BTA CHECKED BY: WGDIII 640 82nd Drive Gladstone, Oregon 97027
SCALE 1 =20 ACCOUNT # 115 503 650-0188 fax 503 650-0189