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11124 SW TORLAND STREET wgwri I ADDRESS: ko i:\records\m;c.,oi lrr,\targets'\building.doc 1 Page No. 1 CASE HISTORY FOR CAS( NO.: MEC96-0179 TGDD CUNLISK, CINDY 1112. SW TORI.AND ST 09/09/98 Action Description Req,' Schd/ End/ Action Notes Disp By Update Upd Code Sent Done. Done Date By MECA007 Application received / / / / 06/14/96 RECD CJS 06/14/96 CJS MECA060 (F) Issue permit / / / / 06/14/9( PA 6 CJS 06/14/96 CJS MECA715 Mechanical Insp v6/14/96 / / / / 06/14/96 CJS ME(-A725 Misc. Inspection 06/14/96 / / / / 06/14/96 CJS MECA799 Final Inspection / / / / 06/27/96 M-1- need electrical linaled / circuit '1/N K6 06/28/96 KBS A/C MECA800 Case Finaled / / / / 06/16/98 06/16/98 JT -- MECHANICAL TIBARD 1='ERIhI 1 �I� OF PERMIT #. . . . . . . : MEC96-0179 DATE ISSUED: 06/ 14/96 COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW Hall Blvd,Tigard,Orogon 07223.8100 (503)539.4171 PARCEL: 1 S 1,34DB-06800 S 1 TF AL)DRE; ':j. . . .. 1 1. 1.•.'4 SW TORLAND Sl' SUB;1I V I L'I UN. . . . : TORLAND ESTATES ZONING: R-4. :j BLOCK LO'I.. . . . . . . . . . . . . .. 1110b CLASS OF—WORI'.. . :ADD� FLOOR`FURN. . . . : 0 EVAP COOLERS: 0 'TYPE: OFF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :A1 VENTS W/O AI='PL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES--------------' 0--3 HF. . . . : 0 DOMES. I NC I N: 0 3-15 HP. . . . s 0 C:OMML.. I NC I N: 0 MAX INPUT- 0 P.TU 15--30 HP. . . . : 0 REPAIR UNITS: 0 I IRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSJOVES. . 0 CTAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNI 16-----_._•--- AIR HANDLING UN I T5 OTHER UNITS. 0 TURN ( 1.01*aK 13TU: 0 (- 10000 cf m : 0 GAS OUTLETS. 0 TURN ) =100K BTU: 0 > 10000 cfm : 1 Remarks: Bandl ing Unit to 10, 000 G IM + . Owner,: —________._._...__________._ FEES TODD CUNLISK, CINDY — "—_._. _-__._-...—type.__ amolrnt by date r-ecpt 11124 SW T 0RLAND PRMJ $ 25. 00 CJS 06/14/96 96--28060-i ',=PCT $ 1. 25 CJS 06/ 14/96 96-880607 IGARD OR 97223 1 'hone #: (:ont ract or: 1 R I —COUN 1 Y TEMP CONTROL 13651 SE AMBLER RD L:LFaC.:N.AMAS OR 9701 Phone #: �+ 'S 26. 25 TOTAL Rey #. . : 726x-'. RE:QUIRED INSPECTIONS —._---- This permit is issued subject to the regulations contained in the Mechanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mise. Inspection applicable laws. All work will be done Ui accordance with Final Inspection approved plans. This permit will expire if work is not started -- r+ithin 190 days of issuance, or if work is suspended for more �_ -••than 180 180 days. P e r m i t t e e S i g n a t r l r•e : I.s s r_r e d B y : ba rl.f.S _ .'.. Call for- inspection - 639—•4175 Citi of Tigard MECHANICAL PERMIT Planck/Rec. # 9� a8o60� 13125 sw Han Blvd. APPLICATION Permit # P) Frge-0174 Tigar , 3 (503) 639-4171 _ -- I � escripuon J.II Table 3A Mechanical Coda OTY PRICE I AfoT Job ' 5c' U 1) Permit Fee_ .0 A-'4 ' -0- 10.00 Address 3 00 � 1 2) Supplemental Permit all urn to 1 .000 BTU 1) incl. ducts&vents 6.00 ,•,a .,. Furnace 100,0 + I L' 2) incl. duds 6 vents 7.50 Owner t — ' 3) incl. vent 6.00 - , ,,, ., „•, uspen eater, wall heater 4) or floor mounted heater 6.00 Vent not mei.in Occupant r 5) appliance permit ,•,• r Repair of heating,re ng. 6) cooling,absorption unit 6.00 +--- -- Boiler or comp,heat pump,air cond. r� avil Cenfro 7) to 3 HP absorp unit to 100K BTU 6.00 .,, Boiler or comp, eat pump,air cond. I kt7I 4 1�YY1��Q/ k n,r� - 8) 3-15 HP absorp unit to 500K BTU 11.00 Contractor p of er or comp, eat pump,air cond. Q ) t j 9) 15-30 HP absorp unit.5.1 mil BTU 15.00 ,,•„ ,.... •r ••-o Boiler or comp, eat pump,air conU.--- -11110-3 10) 30.50 HP absorp unit 1.1.75 mil BTU 22.50 -rTWr-oUy acknowledge that I have road this app ication,that the of er or comp,heat pump,air con -. information given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50 of the owner,that plans submitted are in compliance with State it handling unit to 4.50 laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM that the number given is correct- (II exempt from State registration Air handiling unit please give reason below.) 13) 10,000 CTM+ L 7.50 Non poi table 14) evaporate dolor 4.50 _ —.- - Vent fan cor nected 15) to a single duct _ 3.00 _ --- en1U atio�n system not 16) included in appliance permit - 4.50 •� Hood served y 17) mechanical exhaust 450 Raw additi Iteration ropair-0 Commercialor industrial to be residential rani ntial p 18) type incinerator 30 00 xisang use o ter i.e.,wo stove,water 4 50 19 heater,solar,clothes dryers,etc. building or property (Z - - Proposed use of 20) Gas piping one to four outlets - 200 building or property 21) More than 4 per outlet Type of fuel oil Q natural gas Q LPG Q electric Q NOTICE Minimum Fee$25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION AU-14ORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE= IF CONSTRUCTION UR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTgTAL AFTER WORK IS COMMENCED. TOTAL Special Conditions Data i»;Cd /N- by ..�r,.�, �►p />L�n rt u<<-•W f'[ reeA-el. Paye No. 1 CASE HISTORY FOR CASE NO.: ELC96-0378 TODD LURLESK 11129 SW TORLAND ST 09/09/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Bent Done Done Date By ELCA001 Application received / / / / 06/13/96 RECD CJS 06/13/96 CJS ELCA003 Permit created / / / / 06/13/96 PEND CJS 06/13/96 CJS ELCA500 (F) Issue permit / / / / 06/13/96 PASS CJS 06/13/96 CJS ELCAS00 Case Cinaled / / / / 07/02/96 PASS MJR 07/02/96 MJR t ELECTRICNL PE:RMIT CITY OF TIGARD PERMIDATE T #: E 06 C -03786 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PARCEL: 1 S 134DB-06800 SITE tjW (URL(414L) 5-1 SUBDIVISION. . . . : TORLAND ESTATES ZONING:R-4. 5 BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . :006 Project Description: Installing one br^anch Cir---its. ------------------------------------------------------------------------------------------- -- - RESIDENTIAL UNIT---- ----TEMP' SRVC/FEEDERS---- ------MISCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 -- 400 amp. . . . . . . : 0 SIGN/OUT LINE LT'G. . a 0 LIM11E.D ENERGY. . . . . : 0 401 - 600 amp. . . . . . . a 0 SIGNAL/PANEL. . . . . . . : 0 MANE. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL !10). . . : 0 _-----SERVICE/FEEDER--­_ .-----BRANCI-4 CIRCUITS_---- ----ADD' L INSPECTIONS 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . e 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . s o 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIF'Cs 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 --------------------PLAN REVIEW SECTION------------------- 1000+ amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : ) 600 VOLT' NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) a 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: --------------------------------------------------------- FEES TODD LURI_ESK type amot.lnt by date recpt 11124 SW TORLAND PRMT $ :35. 00 CJS CL�/13/96 96-280591 5P'CT t 1. 75 CJS 06/13/96 96-280591 TIGARD OR 97223 Phone #: 13ontractora BOONES FERRY ELECTRICAL ♦ 36. 75 TOTAL FSO BOX 628 ------- - REQUIRED INSPECTIONS ------- WILSONVILI_E OR 9%070 Wall Cover Elect' l Final Phone #: 503-682-49,36 Elect' I Service Reg #. . : 88482 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Si gnat Lire applicable laws. Ill work will be done in accordance with approved plans. This permit will expire if work is not started within 190 days of issuance, or if work is suspended for morej� than 180 days. Is5i_led By - ...._.-__._____._..____._.____._.__-._-.._OWNER INSTALLATIOIV The installation is being made on property 1 own which is not intended for t gale, lease, or rent. OWNER' S SIGNATURL a � � _ .__�..._ DATE: INSTALLATION ONLY----.___.___._-___.__..-__ '316NATURE OF SUPIR. ELEC' Na Qom. ll�r. iaa� DATES LICENSE NO a Call for inspection - 639-4175 G.5 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit __---_.---- Date Issued F 13 26 __-- Phone (503) 639-4171 FAX (503) 684-7297 CITY OF TIGARD TDD No (503) 684-2772 Inspection (503) 639-4175 — ---- 9. Job Address: Re_S td`s nom: 4. Complete Fee Schedule Below: Name of DaJv�l) t �C�. ��� Number of Inspections per permit allowed Address_ I i 1 2�-� (� W To r _ Service included Items Cost(ea) um City/StatelZip_ 4a. Residential -per unit 1 100(1 sq, ft.or less s t m 00 rl Each additional 500 eq ft or Marne (or name of business) ��(? U n�� portion thereof — — $25 00 2500 Limited Energy $ (;DI1lI11efClal L 1 Residential Each Manurd Home or Modular Dwelling Service or Feeder $6800 —� 2a. Contractor installation only: 4b. Services or Feeders installetlor.,alteration,or relocation $60 00 2 Elactrical ntractor ( r\ 200 amps or lees _$8000 2 201 amps to 400 amps 2 Address 401 amps to 600 amps $120 00 2 Cit�l State _ Zip_ 601 amps to 1000 amps $16000 $34o 00 2 Phone No. over logo amps or volts $5000 2 Reconnect only .;ob NO. contractor's license NO. 4c.Temporary services or Feeders Contractor's Board Reg. _ , ' f installation,alteration,or relocation 2 200 amps or lees Signature of Supr. Ele ' 2 of amps to 400 amps $500o License No. _ Phone o. 401 amps to 600 amps $7500 over 600 amps to 1000 volts $10000 2b. For owner installations: see"b"above 4 i. Branch Circuits Print Owner's Name __ 1J.-w alteration or extensinn per pane at The fee for blanch circuits with 2 Address. purchase of service or feeder fee. State Zip Each branch circuit $5 00 City _-- ---- — Phone No. b1 The fee for branch circuns without ,0 2 purchase of terviee or feeder fee ;.� r� 2 The installation is being made on property I own which is First branch circuli $35 00 not intended for sale, lease or rent. Each addnicnal branch circuit $500 Owner's Signature f _. 4e. Mlscell^neous 2 (Service or feeder not included) 2 Review t Each pump or inigation circle $4000 3, Plan section (i required : Each sign or outline lighting $4000 _ 2 Signal circus)or a limited energy Please check appropriate Itern and enter fee In section 58. Mpanel,afteraco or extension $$40 GGo — 4 or more residential units in one structure inor I abels(10) -- Service and feeder 225 amps or more 4f Each additional inspection over System over 600 volts nominal file allowable in any of the above Classified area or structure containing special occupancy Per inpectton $35 00 as described in N E C Chapter 5 r,er hour -_-- $55.00 in Plant $6500 Submit 2 sets of plans with application where any of the above. apply. Not required for temporary construction services. 5. Fees: 5a. Enter total of above fees $ s NOTICE 50%Surcharge (05 X total fees) $ - Subtotal $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 25% of line A for AUTHORIZED IS NOT COMMENCED WITHIN 190 DAYS, OR IF Plan Review if required (Sec 3) $ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $ - A PERIOD OF 190 DAYS AT ANY TIME AFTER WORK ISecomr r- COMMENCED Account COMMENCED. # $ - `'� --- Balance Due s _ - I r, OCCUPANCY C0 F TIGARD PERMIT #. . . . . . . i MO' *f'),'j COMMUNITY DEVELOPMENT DEPAF!TMENT DATE ISSUED: 09/13/95 13126 SW'Aokll Plvd.Tigard,Oregon 97223*6199 (503)639.4171 PARCEL: 15134DB-06800 17'E ADDRESS. 11124 SW TORLAND ST t-jUBD I V I S I ON. . . . i TORLAND ESTAfUS ZONING-.R-4. 5 B L 0 G"'K. . . . . . . . . . .. LIJI.. . . . . . . . . . . . . I ID06 (-'LASS OF WORK. cNEW TYPE OF USE. . . ISF 0('-*'CUPANCY GRP. cR3 OCCUPANCY '_CLAD:227 4 TENANT NAME. . . c Remarksi PATH I Owner-- RENIAG5ANCE CUSTOM HOMES, INC. 1672 WILL.AME-.'TTE FALLS DRIVE WE5T LINN 014 970613 Phoriv #t 557-8000 RENAIGGANCE DEVELOPMENT 167x.' rwW 611ILLAMETTri F'ALLS DR WEST LINN Of? 97066 Phone #a 5157-8000 ppq M. . 1 49955 lhi �r Cet-tifiL&te Cel'tiflP% that the above e-efer-enced building or, portion thpt'quf has befall inspected for compliance with the Tigard Building Codo for th8 4T`0Up ATId diVi* iOn Of 0CCkAp)4RtiCy arid USP for which the ALuve v^efet-enued pRrmit waii ijsuod, and occi-ipancy is hereby granted. 47, F10 'U 11-VING IN CONSPICUOU13 PLPGE CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-C-Phone): 639.4175 Business Phone: 639-4171 Inspection: -- Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fi•eplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: ? Post/Beam Mech. San. Sewer Gas Line 1 -Lim Plbg. Underfloor Rain Drain Framing -Plr� Alarm Water Line Insulationec Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested:_— �/ Time: AM PM Address: Builder: Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: .—_-_.-- Inspector: pate: j� _ -- L- PPROVEU DISAPPROVED _APPROVED SUBJECT TO ABOVE Call For Reinsp. 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 �• urns? Alarm Water Li Insulation ec Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: r _ `I Time: AM PM Address: /� rem Z -4 L tri 1 LW IS1 . Builder: Permit#: �-5 THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector:_ Mate: —APPROVED 'DISAPPROVED _APPROVED SUBJECT TO ABOVE Call For Reinsp. DEPARTMENT OF LAND USE & TRANSPORTATION LAND DEVELOPMENT SERVICES DIVISION #350-12 WASHINGTON 155 NORTH FIRST, HILL.SBORO, OR 97124 COUT�ITY,� PHONE: 503/640-3470 C LINTYINSPECTION REQUESTS (24 hours): 503/640-;1561 or 693-4415 rar•r � Q AE�Pk�JVEt'. Fiarye ::i F�errnit. �! ('•SU67040 Prc,3ert 4S/24/'.1i Ur+ C)�, U4/28/gs Expiree: 1 tt it 7/.35 RESELEC` Applied 04/28/95 Irrtled Q7'H Permit. Title SF9 - NEW Bequn : U4/2ti/`"5 1iescript.i on 7 •.,b Address ! 11'14 ,W T:>ilI,AN�.f ST TI keg �+�,x, INSPLCTION - TIGARD �'wnez- Name Applicant cant. Namv GAGE ENTERPIC I SB INC l. V;�luat i U Approved_.___, .._ Phones t'turnber 6r7-U142 Inspector C:c)rrunent r .... .{ .....- -. 'T LItA(+It � nr o (::-uLv f _... SL4 JrcE AeW,6✓14 p 1 urnb i n g Y, `hanical truat.rual ._ ._._-... aereeraJ 1D .. - _ -__•_.__ ._- /III,tr�y t � __ r_.'pe . Y _ I r,.pect.1 c)n Rergi.ltZt ed 1 A p (s !t 040? E, c o v e:r & a r.�,1 e a•t i I V!t 3-1 8 G F: i o5/24/95 RI DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12 COUNTY, 155 NORTH FIRST, HILLSSORO, OR 97124 OREGON PHONE: 503/640-3470 INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 TJ et mit # . a5un7040 Pr. j�ert P0049525 St.atu-c APPROVED Page 1 c7f Applied 04/28/95 Irsued 04/28/95 Expires 10/25/95 05/2';/9 ; 05 02 ItEELfiC. Permit. Title SFI< - NEW 0TI3 I)ercription Begin . 04/28J95Jake Addrer.g 11124 SW TORLAND ST TI Owner Name WrECTION - TIGARD Region 0 Applicant, Namur GAGE ENTEItPRISfiS IN(' Phone number 6a1-0142 valuation : 0 Approved_ ✓� In.epector Coyarnentr . P. tcd. UL REQUEST ERROR } Plumbing (. P4echanical E.ler.tricai °tructruAl 3 n,�+raI _ ir,r e c t.r d by ....__,,;�..�i ._.._....__....,..__..._..._. ....._ _. ....... __...�..._..-..._._._..�....... _....._ ._�... . .Lo-. _.. Pate :. Iz'spect.iah Iteclurrted a Cover & Servi,:!E 0403 E AP ON 05/25/95 RI RIIVIt 3•-128r• �! 6 05/24/95 RI RIIV.W 3-1280 C E 05/24/95 I!N HE r)NIVN LIIT"7 DEPARTMENT OF LAND USE&TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION �y 155 NORTH FIRST,HILLSBORO,OR 97124 COUNTY, INSPECTION REQUESTS' 503/640-3561/693-4415 OREGON N01ICF This permit becomes null and vold If the work or construction for whI0 It Is Issued Is not commenced within 180 days Once construction has started, the permit becomes null and vold If construction 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 best 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 of this building or structure will be complied with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of the structure or building permitted depends upon my calling for Insoections at various times during the process of construction and the building Inspection staff verifying compliance with the various codes. Use or occupancy of the building 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 given by the Building Official. I further acknowledge that a Ilan may be placed on the title of the property upon which the permit is Issued specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of all Inspection requirements. APPLICANT'S SIGNATURE 1. to c WAShINGTON COUNTY ELECTRICAL PERMIT Department of Land Use & Transportation Electrical !;resection Section APPLICATION 155 Noah First Avenue, #350-12 Hillsboro, Oregon 97124 Information: (503) 640-3470 Fax: (503) 693-4412 Permit �'o (f() f ©ate Number - PLEASE Please complete all sections, I thrpugh 5. 4. Complete Fee Schedule below Number of Inspections per permit allowed 1. Location of installation Service included Items Cost(ea.) Sum Address T i I "i 1-� _' �_ . �s,- I u; . _ - Building A. Residential- per unit City Suite No. ° ` 4 i 1000 sq.ft.or less _1.- $110.00 -11 p-- Tenant Name Each additional 500 sq ft u c (if commercial) __ - or portion thereof $25.00 ,r I Limited Energy $25.00 1 Map No.�- Tax Lot Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 Thomas Map Book: Page:__- Section: L7irections__�-___---.. _- -- --- --____-_�-. -- B. Services or Feeders Installation,alterations or relocation - 200 amps or less $60.00 2 Commercial [ I Residential L- I 201 amps to 400 amps $80.00 2 401 amps to 600 amps $120.00 2 601 amps to 1000 amps $180.00 - _ 2 2a. Contractor installati n O /y, over 1000 amps or volts $340.00 2 Etdctrical ontfactof ' Reconnect only $50.00 2 Alidress Astate ZIP �� C. Temporary Services or Feeders C ti installation,alteration or relocation U,te Job Number 200 amps or less $50.00 2 F rop rty O ner 201 amps to 400 amps $75.00 2 Contractor's 401 amps to 600 amps $100 oo -- Contractor's Board Reg. No. Over 600 amps to l000 volts see•B•above Signature of Supr. Elec'nD. Branch Circuits License No. (t/K Phone No. fXt]i�j1 Now,alteration or extension per panel a) The fee for branch circuits with purchase of service or feeder lee. 2b. For owner installations: Each branch circuit $5.00 - 2 b) The fee for branch circuits without PrintOwner'sNameJ 't" purchase of service or feeder fee. First branch circuit $35.00 2 -- rasa Each odd'nl branch circuit $5.00 - _ E. Miscellaneous (Service or Feeder not included -�`lale �� 2 sly Each pump or irrigation circle $40.00 n or outline lighting $40.00 2 I The linstallationinstallationis being made on property 1 own Signal Each sign or a limited which IS not intended for sale, �t'aSe or rent. energy panel,alteration or extension $40 00 --- - 2 Owner's Signature F. Each additional inspection over the allowable -- In any of the above Per inspection $35.00 3. flan Review section If required) Per hour -- _ $55.00 - please check appropriate stern and enter fee In section 5131. In Plant $55.00 -- _4 or more residential units In one structure 5. Fees _Service and feeder, 800 amps or more n SA. Enter total of above fees $ -System over 600 volts nominal 5% Surcharge (.05 X total fees) $ _Classified area or structure cor,taining special Subtotal $ occupancy as described in N,E.C. Chapter 5 B. Enter 25% of line A for Plan Review if required (Section 3) $ Submit 2 sets of plans with application where any of the Subtotal above apply. Not required for temporary construction $ services. f i Trust Account Balance Due $ �'� For inspe.ctiOns call This permN becomes null and-old if the work suthodred by the perm"le nal commenced 640-3561 or G93 4415 within 11110 days from date of Issuance of ouch permit or lfthe work authorized is suspendeml or abandoned st any lima filer work le commenced Id s perlod of 1110 days. 24-hour recorder, one working day in advance of need ElecrrlulPermits are non refundable anti non-bansferable. 8 g4 Page No. 1 CASE HISTORY FOR CASE NO. : MST95-0053 PENTASSANCE CUSTOM HOMES, INC. 11124 SW TORLAND BT 06/16/98 Action Description R«I/ 9cbd/ End/ Acti-on Notes Disp By update Upd Date By Code Sent Done Done 01/19/95 PASS BOB 02/02/95 BLT MSTA007 Application received / / / / PASS RAR 02/02/95 BLT MSTA010 Plan check deposit paid / / / / 01/19/95 02/02/95 / / 02/02/95 PASS RT 02/02/95 BLT MSTA020 Plan check by PASS RT 02/02/95 ALT MST'A030 Chock for prcl. restrict. / / 02/02/95 02/02/95 02/08/95 JC MSTA080 (F) Ready to issue / 02/08/95 (.!/06/95 JF 03/06/95 JF MSTA092 (F) Ianue combination permit / / / / JF 03/06/95 JF MSTA097 Issue plumbing signature form / / / / 03/06/95 APP OS 03/22/95 GES MSTA705 Footing Inap 03/22/95 / 7!/27/95 APP GS 03/27/95 GES MSTA706 Foundation Inap APP GS 04/12/95 GES MSTA'710 P.jat/Beam Structural / / / / 04/10/95 04/10/95 APP r,3 04/12/95 GES MSTA711 Poet/Beam Mechanlcal / / / / DIS GS 01/29/95 GBS MSTA713 Crawl Drain 03/29/95 NO BW VALVE MSTA717 Crawl Drain 04/03/95 APP GB 04/03/95 GES / 04/10/95 APP GB 04/1.2/95 GES MSTA717 PIM/Underfloor APP GS 05/26/9°- Gfi9 MSTA720 Mechanical Inap / 05/26/95 MSTA"722 Plumb Top Out / / / / 05/17/95 TEST WASTE THRU ROOF DIS GB 05/15/95 GES 05/16/95 DIS GS 05/26/95 GES M^'PA722 Plumb 'Top Out / / / / App OE 05/26/95 (88 MSTA722 Plumb Top Out 05/26/95 / 05/25/00 DIB 95 06/01/95 CHs MSTA725 Framing Inap DIB GS 06/01/95 CES MSTA72.6 Framing <REINSP> 05/26/95 06/02/95 APP GS 06/05/911 GES MSTA726 Framing <RF.INSP> / / / / NIP CS 05/26/95 GES MSTP735 Gas Line Insp 05/17/95 05/26/95 APP GS 05/26/95 GFS MST. %35 Gas Line Inap App GS 06/05/95 GFS MSTA740 Insulation Inap / / 06/02/95 / 06/05/95 APP GS 06/05/95 GFS MSTA745 Gyp Board Inap APP GS 03/29/95 GF.S MSTA755 Rain drain Inep / 03/29/95 DI9 69 03/29/95 GES MSTA760 Water Line ].nap / / 03/29!95 NO TEST / APP G]; nSi 15/9', ('E('Er'E MSTA760 Water Line Insp APP GS 05/15/95 GES 14STA761 Wat^r service Innp / / 04/03/95 MSTA'/65 Lppr/Sdwlk Inep / / 08/07/95 1) Place boards or felt for wings of PEND LI' 08/09/95 NI, approach to curb. 2) Expansion joints (felt) required every 40'. 3) Place 3' wings and lip forms at approach. 4) Be prepared to protect finish. 09/08/95 EI".FD GS 09/13/95 nGs MSTA770 Misc. Inspection / / / / fiFA MJR 09/14/95 MJR hiSTA770 Misc. Inspection / / 09/14/95 09/13/95 APP GS 09/13/95 GES MSTA795 Mechanical Final / / / / DI9 G9 09/17/9`1 GHS MSTA795 Mechanical Final 09/08/95 CASE HISTORY FOR CASE NO. : MST95-0057 Page No. 2 P.F.r1T ASSANCE CUSTOM HOMES, INC. 11124 SW TORLAND ST 06/16/90 Diep By Update Vpd pey/ Schd/ End/ Action Notea Action Description Date BY Sen`. Dome Done Code -----�—. _. . --- -----------—----------------- APP 08 09/13/95 GES MSTA09/13/95197 Plumb Final DI9 G8 09/17/95 GEg MSTA797 Plumb Final 09/09/95 APP G8 09/13/95 CES MSTA799 Building Final 09/13/95 DIS GS 09/13/95 GEs 09/09/95 JF 09/21/95 JF MSTl.799 Building Final / MSTA960 (F) Issue Cert. of Occupancy 09/13/'35 PRINTED 9/21/95/ / ppp Gg 09/13/95 GBS 09/17/95 M.^.^'A 970 Caen Finaled Page No. 1 CASE HISTORY FOR CASE NO.; SWR95-0056 RENTASSANCE CUSTOM HOMES, INC. 11124 SW TOPLAND ST 06/16/99 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Bode Sent Done Done Date By SWRA007 Application received / / / / / / 02./02/95 HLT sWRA010 Plan check by / / / / 02/02/95 02/02/95 BLT SWRA020 Check for prcl. restrict. 02/02/95 / / 02/02/95 PASS PT 02/02/95 HLT SWRA070 Ready to issue / / / / 02/CV/95 02/09/95 JG SWRA090 (F) Issue pnnnit / / / / 03/06/95 JF 03/06/95 JF 9WPA705 Sewer Inspection / / / / 03/29/95 APP GS 03/29/95 GEA SWRA720 Came Finaled / / / / 03/20/95 AFP GS 03/29/95 ORS CITY OF TIGARD MAS i ER PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PL-RMI I it. . . . . . . : MST95-01105;3 13126 3W Hall Blvd.Tigard,Oregon 07223.81118 (503)810.4171 DATE. I SSUE_D: 03/06/95 PARCEL: 1 S 134DB-1668 001 S J TE A1.)DI-EiSb. . . : 1112'4 SW f ORLAND :31 SUBDIVISION. . . . : TORLAND ESTATES ZONING: R-4. 5 C{LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :006 BUILDING RF I SSUE t DWELLING UNITS: ). BASEMENT. . . . . . . . :0 s f ULHSS OF WORK. :NEW BEDRMS t 4 E;ATHS:,3 L: AkAUE. . . . . . . . . . :7L6 s f 1YPL OF USE. . . :3F FLOOR AREG=15-------- - REQUIRED S TBACKS------- -__-_..-. i yPL OF LONST. :5N FIRST. . . . : 1032 sf LEFT. . :5 ft RIGHT. :5 ft [OCCUPANCY GRP. :R3 S1:71E ]ND. . . : 1075 s f FRONT. :2,0 ft REAR. . :6111 ft STURIES. . . . . . . :2 F•INBSMENT:0 sf REUUIREU---- HEIGHT. . . . . . . . :U7 ft -TOTAL._---- - :2110 7 s f r,M()KE: DETECTORS. :Y FLUOR LOAD. . . . :40 ps•F VOLUL. . . . . $1 11►i LA51 PARKING SPACES— : 1 Remarks— PATH I PLUMBING NKS. . . . . . . . . . : 1 FLOO13 DRAINS. . . . 0 BAC:I.FLOW PF•.0:VNTRS. . t 1 VATORIES. . . . . 24 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 J13/5HOWLF.S. . . . -.3 L_OUNDRY TRAYS. . . : I CATCH BASING. . . . . . . .. 0 i 1 l✓R LLOSETS. . .3 SEWER LINE: (f't ) . :0 GREASE T RAPS. . . . . . . :0 .3HWASHERb. . . . : 1 WATER LINE (ft ) . : 100 0 F HE R FIX 1 IJRL:i. . . . . :10 rtiBAGE D15P. . . : 1 RAIN DRAIN (ft ) . :Or ;6H 1 NG MACH. . . 11, SF RAIN D HH I IVa. . : l _ .___._..-• MECHANICAL _._...___...._.....___.. ...__ _---_.__. ____-.--_----.--..._ F=EES )EL TYPES.__._._..._._.-.__...._._ UNIT HTRS. . c0 tyr)e amor..int by date 1•ecpt IAS/ / / VENTS . . . . . .0 TIF s 1550. 00 JDA 02/08/95 ,IX 1.NPUT :111 DTU VLNT F AN:3. . ; 4 `:3WM 4 180. 100 JDA 01i'11718191:5 IRN ( 100K . . :0 HOODS. . . . . . : 1 SWM $ 1001. 0110 JDA 02/08/95 - JRN ) =100F\ - - : 1 WOOD`3TOVE5. :10 BPR1 11 b `:5. 510 JDA 42/108/95 - .UUR F• URN. . . . :N GLO DRYERS. : 1 BPLC: b :361. 0B JDA 02/08/95 - !li-/CMN ( 3F1P.0 OTHER UNIT'5; 1 L3SF'C 4 /. 18 ,JDA @;--' /08/95 - GAS OUTLETSt 1 PARK .t 500. 00 JDA 02/08/95 - rrer, : --­_.._.__._.._____-.-__-....--._.-__.._._.__.....__ _ -_MPI RT $ 45. 00 -J14.) 02/0(:3/95 -- NIASSANCE: CUSTOM HOMES, IN!_. MNLC $ 11. 25 JDA 02/08/95 - 7` W1LL011I.-Al E FALLS DRIVE M PC $ 2. C`5 JDA 02108195 - 3BTH $ c:c5. 00 JDA 0c/08/9 5 - :i l LIIUN ORr 701caF3 R'`3p'C $ 1 1. 25 JDA 0►._/01F3/9 - -ione 4F: 557-•8000 ERUG $ 64. 00 JDA 02/08/95 - -ntr 801 -JUN @2/08195 - :NAISSANCE DEVELOPMENT ERPC $ 20. 80 JDA 02/08/95 - 1672 SW WILLAMETTE FALL. DR .ST LINN OR 97066 lone #: :557 -BOOO -�g #t. . 49955 _.._._._...______-----________.___ $ 36 /4. 11 TOTAL :s permit is Issued subject to the regulations ccntained in the REC?UIRED INSPECTIONS NS .pard Municipal Code, State of Ore. Specialty Cedes and all other Footing Insp Plr_1mb Top Ol.it appiicab:e laws. All work will be done in accordance with approved FoLtridart ion Insp Framing Insp plans. This permit will expire if wo"k is not started within 180 Plost!Heam Strri.ct Fir-eplace Insi. ays of issuance, or if work is suspended for more than 1&?1 days, F,ost/flees;m Mechan Gas Line Insp Crawl Dt-ain Ins;i.11ation Insp L'lm!1.lndslrb Insp Gyp Board Insp PLM/Underfloor Rain drain Insp eci L•+y : Med-laTlieal Insp Water -ine ln.;ii r T)E±c f i r GITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT SEWER CONNECTION 13125 SW Hall Blvd.Tigard.Oregon 97223*8199 (503)639-4171 PERM I T --EHryll I #. . . . . . . c SWR95-0056 6.39--4171 DATE ISSUED: 03/06/95 PARCE.L: IS134DB-06800 I I[-, ADDRESS. . . : 111k:'4 SW TORLAND ST jBD I V I S I ON. . . . : TORLAND ESTATES ZONING: R-4. 5 I-OCK. . . . . . . . . . . Lar T. . . . . . . . . . . . . :006 ENANT NAME. . . . . : '3(1 NO. . . . . . . . . . : FIXI'URE UNITS. . . - I-ASS OF' WO RK. . . :NEW DWELLING IJNI*FS. . - I YPE OF USE:,. . . . . :SF NO. OF' BUILDINGS: I NSTALL 1-YPE. . . . :BUSWR IMPERV SURFACE. . : C S f emArks : PPTH I ,%04 Ile V I --,-.--------------------------- FEES .--_----_____-_ ENIASSANCE cusroM HOMES, INC. type amount by date tlecpt is/2 WILLAMEI IE FALLS DRIVE P R MT $ 2200. 00 JDA OE/08/95 1 1\113P $ 00 JDA 02/08/9'j 1--�'ST LINN nR 97068 hone #a 557-6000 ontravtor: UNTRACTOR 1\101ON 1*- 1L1=- mone 2235. 00 TOTAL --- REQU I RED INSPECTIONS Applicant agrees to cosply with all the rules and regulations Sewer Infipec:t1on it Unified Sewage Agency. The ppreit expires 180 days from ,le date issued The total asount paid will be forfeited if the Breit expires. The Agency does not guarantee the accuracy of the ide setter laterals. if the sewer is not located at the seasvrement :,iyen, the installer shall prospect 3 feet in all airections fros �le distance given, If not so located, the installer shali purchase "Tap and Side Sewer" Pervit and the Agency will install a lateral. er-mittee SinT)At. 111-P .- s:, .t e d B Gall for insf)ection 639-4175 IN Residential Building Per A lication City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: Otifl � O 7o e Subdivision:7i� Lot `� Valuattr•�:1�,. � Permit# Owner: Renaissance Custom homes, Inc. Reissue of -- Address: 1672 Willamette Falls Drive prgvals HeCWlred West Linn, OR 97068 Planning Phone: 557-8000 i=ngineerir►g.W........... --- Contractor: Rentassance custom Ilomes, tnc. other Address: 1672 Willamette Falls Drive _ items pc*c�ulted West I.Inn, OR 91068 Subcontractors .....^_....---- Phone: 557-8000 Truss Details Contractor's License tt 91599 (attach copy of current Oregon license) Other Subcontractors: Plumbing. Eagle Plumbil _ -- Mechanical: 'I'r i-count 'hemp_ (attach copy of current OR Contractor's Ucense) ArchltectlEnglneer•_ ;2 ' L.L. Address: --- ---- — Phone: COMMENTS: A licant Signature & Phone number Received by: Date Received:— Permit # Account Description Amount Amt. Pd. Bal. Due �r S e,0j, 3 Bldg. Permit (13 JILD) ,SSS .SU S S S S Flumb. Permit (PLUMB) Mech. Permit (Mmi) State Tax (TAX) 2 Y Bldg: .,:z �. �y _ Plumb: Mech: 1 Plan Check (PLANCK) .3 7?.3 3 SZ) Bldg: .� r Plumb: Mech: ,5(0 r G Sewer Connection (SWUSA) < 6,o J-7vo Sewer Inspection (SWINSP) _- �_ 3j- Parks Dev Charge (PKSDC) SvLi _ Svy Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) 3V 30 Mese 4ams+w-- (TW-MT) --1==- 2,0 > . 06*� FF rc� JF (f4ii-C-) — Institutional TIF (TIF-IS) Ofte TIF (TIF-0) Water Quality (WQUAI_) _ all /Fy Water Quantity (WOUANT) /v2) Fire District (FIRE) TOTALS: 5 .1.�.! Sto 5 .7 ■ JAN 19'95 10.23 FR CENTERLINE CONCEPTS 503 6500189 TO RENAISSANCE P.05/10 60 S.W. TORLAND STREET N 89'56'38 72.50' \ aueuc ununr tASEYA4' , T 2Q 25 g 12.25' al V 14.00 � 1 7.00' c3 1 N .00' N T � r- n 00' 00 �I I `1 W W z R N N N p w g � z z N 89'5636 W 72.50' SCAL --FLOPPED HOUSE PER RENAISSANCE 5.E.1 L4 S 1-17•-9'S.SPF. C:' WASHING" REVISE' DRAWN BY: SCALE 1 =2c