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10874 SW NAEVE ST
CITY QF TIGARD
DEVELOPMENT SERVICES
13 125 SW Hall Blvd.;Tigard,OR 97223 (303)639.1171 rE RT I F I CATE OF
OCCUPANCY
PARCELa 2611QDA 0100�r
SITE ADDRESS. . . e 10874 GW NACVE ST
SUED1VIf' ION. . . . : RENAISSANCE SUMMIT ZONINGPP
BLOCI�. . . . . . . . . . 1 LOT. . . . . . . . . . . . . 1001 .IURISDICTiON: 116
CLASS OF WORK. :NEW
TYPE OF USE. . . aSF
TYPE OF CONSTR:5N
OCC UF1ANC Y GRP. #R3
OCCUPANCY LOAD:2
Remarks 1 PATH I
Owners ------------- --------------------
RENAISSANCE SUMMIT
1672 SW WILLAMETTE FALLS UR
WEST LIONN OR 97068
Phone Ma 557-8000
Contractor-
RENAISSANCE CUSTOM HOMES INC
1672 SW WILLAMETTE FALLS DR
WEST LINN OR 97068
Phone 0:
(?A y #. , - 000975
'This Certificate grants occupancy of the above referenced building or portion
thereof ,and confirms that the building has bee+i inspected for compliance with
the State of Oregon Specialty Cocw. % for the group, occupant r and use under,
whir_h _.,T efprenr . pe ,nit was ibgt.sed. j /
IL
H
BIJILDIN INSPECTOR 8l1 INQ UFFIC _.
N
POST IN CONSPICUOUS PLACE
W
MASTER PERMIT
* CITY OF TIGARD PERMI1SSUED: • . . i 1115966-0.`AA1Z1
DATCOMMUNITY DEVELOPMENT DEPARTMENT
13125 8W HM®Yvd.Tlgud,Oregon 97223.5199 (503)639-1171 PARCEL: 2S 1 10DA-01 @00
SITE:. ADDRESS. . . : 10874 SW NAEVE ST
SUBDIVISION. . . . : RENAISSANCE_ SUMMIT ZON i NG: R 3. 5
BLOC1%. . . . . . . . . . . LOT. . . . . . . . . . . . . :001
Remarks: PATH I
--------------------—-----—----_._._.—_------------- ----- BUILDING ---------------------------------------------------
REISSUE: STORIES.......: 2 FLOOR AREAS--- ------ BASEaENT...: 0 if REQUIRED SETBANS---- REQUIRED------------ -
LLASS OF WURK.:NEW HEIGHT........: 30 FIRST....: 12222 sf GARAGE.....: 756 sf LEFT..........1 5 SMOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 41 SECOND...: 1341 sf FRONT.........: 20 PARKING SPACES: 1
TYPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 if R16HT.........1 12
OCCUPANCY GRP.:R3 BDRM: 4 BATH: 3 TOTAL------: 2563 if VALUE—$: 178652 REAR..........: 15
-------------------------------------------------------------- PLUMBING ------------------------------------ ------
SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH..: I LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: @
LAVATORIES....: 5 DISHWASHERS...: 1 FLOOR DRAINS..: " SEWER LINE ft: @ SF RAIN DRAINS: 1 CATCH BASINS..: @
TUB/SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 102 BCHFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
_—_—__------_----- ------- ____------------------------ MECHANICAL --- -------------------—------------ --------------
FUEL TYPES--- FURN ( I W ..: 0 BLIL/CMP ( 3HP: @ VENT FANS.....: 4 CLOTHES DRYERS: 1
/GAS/ / / FURN )=160K ..: ! LIN.) HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: i
MAX INP.: 0 BTU FLOOR FURNACES: ! W"13.........I 0 WOODSTOVES....: 0 GAS OUTLETS...: 1
---------------------- ------------------- --- --------- ELECTPICAL --------------- — ---------------- ---
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TFW SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ---MISCELLANEOUS---- --ADD'L INSPECTIONS--
IM SF OR LESS: 1 @ - 00 amp..: 0 @ - 280 amp,.: 0 W/SVC OR FDR..: 0 PtW/IRRIGATION: 0 PER INSPECTION: @
EA ADD'L 500SF.: 5 2@1 - 4@0 amp..: @ 201 - 4@@ amp..: @ Ist W/J SVC/FDR: @ SIGN/OUT LIN LT: 0 PER HOUR......: @
LIMITED ENERGY.: 0 401 - 60@ alp..: 0 401 - 60@ amp..: 0 EA ADDL BP CIA: 0 SIW/PANEL...: 0 IN PLANT......: @
MANF HM/SVC/FD?- @ 601 1000 amp.: 0 6@ ramps-1@@@ v: 0 MINOR LABEL -10: 0
1@00+ amp/volt.: 0 ------------------•-------------- PLAN REVIEW SECTION -------—-------------------------
Reronnect only.: A )=4 RES UNITS..: SVC/FDR)z225 4.: 1 600 V NOMINAL: CLS AREA/SPC OCC:
-------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ------------ -------------•----------------------
A. SG RESIDENTIAL——----------------------- B. COMMERCIAL-------------------- _---------— .___---. ----------------------
AUDIO L STEREO.: VACUUM SYSTEM..: AUDIO 3 STEREO.: FIRE ALARM...... INiERCOM!PAGING. OUTDOOR LNDSC. LT:
BURGLAR ALAkMI..: OTH: :: X BOILER.........: HVAC...........: LANDSCAPE/1RRI6: PROTECTIVE SIGNL:
E1RAF-E OPENER..: CLOCK........... INSTRUMENTATION: MEDICAL........: OTHN ::
HVAC............ DATA/TELE COMM.: NURSE CALLS....: TOTAL R SYSTEMS: @
Owner: -----------------------------------Contractor: ----------------------------- TOTAL FEES:f 4665.21
RENAISSANCE SUMMIT RENAISSANCE CUSTOM HOMES INC
1672 SW WILLAMETTE FALLS DR 1672 SW WILLAMETTE FALLS DR
WEST LIONN OR 97068 WEST LAN OR 97068
Phone N: 557-UN Phone /:
CL Reg C.- 91599
N This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 18@
days of issuance, or if work is suspended for more than 18@ days.
-------------------------------------------------------- REQUIRED INSPECTIONS -----------------------------------------------------------
Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service In Building Final
W Foundation Insc Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Erosion Control
—N Post/Beam Struct Plumb Top Out Low Voitage Gyp Board Insp Electrical Final
P:st/Beam Mechar Electrical Serv: Fireplace Insp Rain drain Insp Mechanical Final
Crawl Drain Electrical Rough Gas Line Insp ter Line Insp Plumb Final
l,er,mitfee SignAturp : _ Issued By : '
L
C:a11 for in_.Per_ n — 639-4175
PERMIT
CITY OF TIGARD DATEIISSUED:. 07/ 11/1966-7Zi2b6
COMMUNITY DEVELOPMENT DEPARTMENT
13125 6W Ham Blvd.Tigard,awon 97223.6199 15031639-4171 PARCEL: 2S 1 10DA--01000
)11L (ADDRE55. . . : 11'68/y SW NAEVE ST
SUBDIVISION. . . . : RENAISSANCE SUMMIT ZONING: R-3. 5
OLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :001
---------------------------------------------------------------------------------------
1"ENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . a 0
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
1YPE OF USE. . . . . sSF NO, OF BUILDINGS: 1
1NS,rALL TYPE. . . . :RUSWR IMPERV SURFACE: ln , f
Pemarks : PATH I
'awner: ------------------------------------------------------- FEES ---------------
RENAIGGANCF ;;-.;'IMIT type amol.,nt by date recpt
1672 SW Wi LLAMETTE FALLS DR PRMT $ 6'200. 00 CJS 07/11/96 96--281562
INSP t 35. 00 CJS 07/11 /96 96-28156P
WEST LIONN OR 97068
Phone #: 957-80100
i::untractor: •-------------•-------•----------
C:ONTRACTOR NOT ON FILE
-------------------------------------
I'li o n e #: $ 2235. 00 TOTAL
(leg #. . .
------- REQU I RED INSPECTIONS -------
This Applicant ar,ees to -omply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires, The Agency does rot guarantee the accuracy of the
side sewer laterals. If the Sewer is not located at the measurement _
given, the installer shall pr,ospett 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "lap and Side Sewer" Permit and the Agency will install a lateral. ____�
,ermittee Signati.rr,e , �.
Call for inspection 639--4175
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City Rasi a ti �MPerr>r>lit Aoo►Iic:lUW
ty of Tigard J y d a
13125 SW Hall Blvd
Tigard, OR 9722;' 1
(503) 639-4171
Jobsite Address:
Subdivision: I;llnwssamc f SLLMa } Lot# Off lk°-Use P-W w
Valuation: _ /7�f�;�� Contact Date G IIU W-,IInitlals
Result
c. k
New Construction Only: (Square Footage) , "
Planck/Rec#
House: � Garage: _ 7S(0Permit# O
Reissue of Ar7Aj
Corner Lot? YFlag Lot? Y Map & TL* 10
Zone --X.
Plat#- �. . t-4,;...
Owner. I�t'_Y1Q.i S Sa.vte� �l�3�o'w� (-}p»�e S _ .
» jJ
Address: I Le 7 z S.W. W l IC�mc�Fall's�r _ Aourov ►H�aurl Y '+�
Wes,+- �-i VIP) , 0 r< . 9 7010 8 Planning Setb ` Solar
Engineering
Phone: ( 503 ) 55�-Bopp Other
Con:-actor. kcri&i Safi Cc Ck6F-m 46M�S Itoma Reguirod
Address: I U IL csy . W- flame-4+e- F(lS Dr_ Subcontractors _—
Truss Details
We C, I.i►�r• , 0Q , gTO(0 a Other
— r
Phone: ( So 3 ) 5 5,7.-g'000
Contractor's License # �q `J (�c( -- 0�'� r��
(attach copy of current Oregon license)
Contact Name: f3ey-n;Ce. I4nV1(ZCLIL
Contact Phone: ( 50 3) S5 7 - X000
Subcontractors: Arch itect/Engineer: N� ca ecy-d Deili n_ A5Soc.)w
a Elr-tti��..A/ecei-r+c��I Tech-i�al . °�t.
Plumbing: _ c�l�Pt 1,Lm bi rin Address: I )0 5 N . E . IQ4� Ave .
U) Mechanical: T.-: Cau�i�i Ttm C�tro 1
n• _ �ytla� d9
� � cr . 4zCl
o
L (attach copy of current OR Contractors License)
ED Phone: j SCS 3 2 Z 5 - 9 u I
W JOB DESCRIPTION: V I S clI C F;5� Pie d r c e_,
(
5C-S 557 -Born
Applica �ignure JJ Applicant Phone number
Received by: Date Received: �.JO�`In
Pennit Account Description Amount Am L Pd. Sal.Due •
4
7,f,� Bidq. Permit (BUILD)
Plumb. (PLUMB)
Meta. Permit (MEG}:, , � .=..--
°�
SRa (TAX) o0
' b Tax
Bldg. 31,s3 S�•
Plumb: L '
Mach: 'L /
f-( c 13,on
Plan Chock (PLANCK) 4/413 .2 S�
B :
Plumb,.
Mech:
�,,,X L 0.20 Sewer Connection ( $A)
Sewer Inspection (SWIN
Parks Dev Charge (PKSOC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-WT) l -
commercial TIF (TIF-C
Industrial TIF 4) ----
Institutional TIF (TIF4S) .�►��..
m.
Office TIF (TIF-O) �---
cnl8L
Water Cu ity ('+YCUAL) 0 -- �
J Wat Quantity (WCUANT) TUU /0 0
m
WFire Life Safety (FLS)
c:osion Cntti Permit (F-RPRl1A T 1
_-osion PlancklUSA (ERPLAN) ;�O• V
Erasien Planck/COT (SROSN) �'�
OK
TOTALS: �� ��
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
GAGE ENTERPRISES INC
PO BOX 1429
CLACKAMAS OR 97015
Electrical Signature Form
Permit # . . . . : MST96-0300
Date Issued. : 07/11/96
Parcel . . . . . . : 2S110DA-01000
Site Address : 10874 SW NAEVE ST
Subdivision. : RENAISSANCE SUMMIT
Block. . . . . . . . Lot : 001
Zoning R-3 .5
Remarks :
PhrH I
Your company has been indicated as the electrical contractor for the permit indicated above. In
order for the electrical perm,c to be valid, the signature of the supervising electrician
is required.
Please have the appropriate individual from your company sign below and return this Electrical
Signature Form prior to the start of work. No electrical inspections will be authorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: ELECTRICAL CONTRACTOR:
RENAISSANCE SUMMIT GAGE ENTERPRISES INC
1672 SW WILLAMETTE FALLS DR PO BOX 1429
a_
WEST LIONN OR 97068 CLACKAMAS OR 97015
Phone # : 557-8000 Phone # : FAX-
Reg # . . : 34544
t7 X
Signature a upervising ctr cii an
Please return this completed n to the address above.
ATTN• Building Dept.
f you have any questions, please call 639-4171, ext. #314
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
ENGLE PLUMBING
13801 S. FORSYTHE RD
OREGON CITY OR 97045
Plumbing Signature Form
Permit # . . . . : MST96-0300
Date Issued. : 07,/11/96
Parcel . . . . . . : 2S110DA-01000
Site Address : 10874 SW NAEVE ST
Subdivision. : RENAISSANCE SUMMIT
Block. . . . . . . . Lot : 001
Zoning. . . . . . . R-3 .5
Remarks :
PATH I
Your company has been indicated as the plumbing contractor for the permit indicated above. In order
for the plumbing permit to be valid, please have the appropriate individual from your company sign
below and return this Plumbing Signature Form prior to the start of work. No plumbing inspections
will be authorized until this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: PLUMBING CONTRACTOR:
RENAISSANCE SUMMIT EAGLE PLUMBING
1672 SW WILLAMETTE FALLS DR 13801 S. FORSYTHE RD
WEST LIONN OR 97068 OREGON CITY OR 97045
Phone # : 557-8000 Phone # : FAX/650-8720
H Reg # . . : 47914
U)
X -r
m -�
uu0Signature of Authorized Plumber
a
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171, ext. #310