10917 SW 109TH AVENUE ADDRESS:
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CITY 9F TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hail Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PLUMBING PERMIT
PERMIT 4I. . . . . . . : PLMD3121E-4t;,
DATE` ISSUED- 10/26/9.3
1-DARCEI_: 1 S 13�FraC .tai k�
i. 1 E AL
DrESS. . . : 10917 vw
_JHDTVI5I0N. . . . : FIA RT' 6 LAND kNG ZUNING:
LOCK. . . ., . . . . . . . L01.. . . . . . . . . . :
._ASS OF WO'21;. . :ADL? GARBAGE r I.C,P0 ALG. . : MOLH T L.F_ 1-40ME SPACES. :
/+'C: OF' L1SE_. . ,. . :SF' WASHING MACH. . . . . . . ; BACKFLOW PREVNTf•2S. . ; 1
, '.lJPAN(.;Y ORP. R13 FLOOR DRAINS. . . . . . . IFtf r_,S. . . . . .. . . . . . . . . .
'FORII. S. . . . . . . . ..IP WATER HEAI ERS. . . . . . CATCH BASINS. . . . . . . .
IXT1JRL�-' ---------------- -- LAUNDRY IRAYS. . . . . . .. 31= RAIN DR INS. . . . . :
INKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . UREASE: TRAPS. . . . . . . :
)Y OTUR IES. . . . . : OT•a•IER r'I x'i*uR .S.
JB/SHOWERS. . . . : SEWER LINT (ft) . . . .
1 ATE R CLCIsL••:T4, , : WATER LINE (ft ) . . . ,.
HWHSi- FRS. . F:fl i l\l DRAIN (f"t ) . . . .
nmaH-(S :
caner * FEES _..._.__._._...____......_.__
IRAN('. NAINDAR t,ipe amal.Ant by (!ate r'ecpt;
21917 SW DA97H PRMT $ 15. 00 JH 1M/C15/93 -
3PCT .1 Q1. '75 ,71...1 10/26/93
I GWRI) OR 97c-"..23
lone #C
:;:RRA i:301- l_ANDSUPV-)INET
1.685 5W I-ILDGES DR
JALA-I I N OR 9706'2 _.....____._.__ _.___.____._-___..._._._.w_-__._____
laric *: $ 1E*-",. 75 'i-OTAI_.
REUL I RLL INSPECTIONS
_._._..._._.....
,s permit is issued subject to the regulations containeo in the RP/Bar_,k f l Uw Prev
:gard Municipal Code, State of Ore, Specialty Codes and all other Final J n splect i vn
plicatlle laws. All work will be done in accordance with
;,proved plans, This pe-sit will expire if work is not started
:h,n 180 day!, of Issuance, or if worl nde r more
n an 180 days,
i ..., L t e e `S i g r1 a t+a r,e
Call f-nr, .inspection 639-4175
F.
ary OF TIGARD' CERTIFICATE: or,
COMMUNITY 011VELOPMENT 01PARTMGNT OCCUPANCY
l 13126 SW Hall OIvd,Tq.ro,Or"on 072039$100 PERMIT k. . . . . . . r MSTI3 UTC
63�O4�711
DATE ISSUEUs 07/09/9.3
P'ARCE'L r 1 S 134AC--•HL..0i?0
SITE, ADDRESS. . . s 109L7 SW 1097+4 AVE
SUBDIVISION- -- HAR'T° ;� 1_ANDING ZONING:
BLOCK,. . . . . . . . . . . LUT. . . . . . . . . . . . . s020
CLASS OF WORK. a NEW
'TYPE OF USE.. . . i SF
FICCUPANCY GRP. z N3
0 C C I J V I A N C Y L.0A10'.=?A 4
TENANT NAME. . . s
RemarksG PATH I
RENAISSANCE DF VEL_DPME:NT
r'
Phone !ts
RE:NA I SSANCE DEVELOPMENT
1672 SW WILLAMETTE: FALLS' DR
WEST LINN OR 07068
Phone #v ',557- 80001
P e q #. . s tr9915"`
Oc.c:upai,c^!,, of the above referenced building is hereby given, anti certifies
the cullipt once with the State Of Oregon Special cy Codes fav- +:he grol.ip.
occupancy, and use under which the referenced permit w;,.s isriupd.
FIRM' PE:PARTMENT HUI d I t' AN ,L=CTUFt
_w ---_--- LpING EWFACIAL
FOOT 1N CONSPICUOUS PLACE
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.oma
INSPECTION NOTICE
CT.tp of Tigar-1 Building Department
1312, SW Ball Blyd. Tigard, Oregon 97223
Inspection Line (Rec--O-Phone): 639-4175 Buelnens Phone: 639-4171
In,jpection:__
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Lina INAL:
Pont/Beam Struct. San. Sever Framing ni�y.
Post/Beam Mech. Rain main Insulation t Plumb.
Plbg. Underfloor W ter LLoe Gyp. Bd. �`-Me.n;-)
Date Requested s9 !� Times V AM ?M
M! �` Cid It7
Huilder:`
THE FOLLOWING CORRECTIONS ARE REQUTRED: t'
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TnepBctors^_ _ Date: /
APPROVED DISAPPROVRD APPROVED SUMIRCT TO ABOVE
Call For Relnnp.
PLUMBING PIERMIT
CI� 01c I��RD ji��
CIIYOFTWARD PERMIT # ftlS*f 93-0063
13125 SW
COMMUNM' DEVELOPMUIT DEPARTMENT OREOM
Hall Blvd. P-0.Box 4-M97,11gard,G-",97223(603)639-4175 7 DATP ISr3UEDt 0iP/J ':7.'/93
SITE ;)U)Rr5F3_ . 101.).[7 F2W 109". 1 LAVE; PnR(,-E.L: 1bl34PC--44Ui,
SUBDIVISION. . . . 14ANT LAI-ID.NF), t.01\11.NG
BLOCK. . . . . . . . . . . . . . . . .
GLASS OF WORK. . INEW GARBAGE DISPOSALS— . 1
.TYPE OF USE. . . . sSF WASMING 11AGH. . . . . . . .. I BACK1-'LUW PRF-.VNTR".,. 0
OCCUPANCY GRP. . cR3 FLOOR DRATNS. . . . . . . :0 TRAPS. . . . . . . . . . .. . . 1A
S T(.)Rl 1 E9. . . . . . . . s2 WATER HE(('MRS. . . . . . : 1 (nTC11 BCo.)INS. . . . . . . ..ib
LAUNT)PY T!'ATS. . . . . . ..0 5F RAIN DROINS. . . . . : )
S I NV I.. . . . . . . . . . V1 GRE 'rNAPS. . . . . . . .0
I—AVATORIES. . . , . cS OTHER FIXTURE'S..... . .
7LIS/SHOWERS. . . . - SEWER LINE (f t ) . . .
WATER CLOSETS. . 33 WfITER 1-114E (ft ) . . . . : 100
DISHWASHF.RS'.. . 1. RA 114 D RA,i N Ft ) IZI
Reirar,ki; . PATH I
OWNER:
RENAISSANCE DEVELOPMENT TIF i 1460. 00 JH 02/ 12/93
BPRT $ 445. 50 '01 02111::'193
b P L C" $ cz'69. 58 JLH LAI/28/93 09
1415pC $ PP. 28 JH 02/1.2/93
Phone #. 657-5739 ssuc $ 260- V,0 JH 02./12/93
PAR141 500. 00 JH 021 j 21/93
Plumbilily MPRT 45. 00 J11 02/1.f'/93
MP*ILL 11. �15 JH 02/1E,/93
N'A m e t 11151'-'c 29 JF-1 02/12/93
Oddie a v 10 P P R T 1,55. 00 '114 02'/1 21/9:3
L;i t y 1 7. 75 H 1 0.2/12/93
-PORTLAND- St a'e 0REGQH__ I--'`PC
zip:_
r4F.3g
14FOUIRV1.) IN8PRECTIONS
This permit i!-' issued subject to the v-eq-
u Vkt_Lv,ns contained j.- the Tiqat-d MUnjU'ipAl Foot/found Insp Rain drain Inst
Crone, State of, Or-e, '.specialty (.odesand all POSt/RegkM St-t-I.ACA Water-, Litie ln?p
other applicable laws. All work will he done Flost''Bomm Merhan Appr/Sdwlk Trisp
in accot-dpvice with appvo�)ed plans. This V.'Im/undslab Insp p jy):
per-mit will x I' work is riot sil.%vtP6 Pt,11/Un cl a v f I o c-r, r-"Iumb Final
wfthi; 180 (A,.Ay,q of issuance, or if wo,,,k is lylechaflir.'Al 1115p film i I d i n U Ficial
,7 r-uspended for' more Lhan J 8Q1 day- P) U1111b I tl1t Out Erosion tontrnl
Un Ft'alminpi ITISP Crawl Drain
Fil-pplarp lnitp
G"CLj "' Tnttp
InSUlatiOn Insp n" Gjyp Bciav-d 11inp
AUth()t-i ;-'.@d Plumbinil k ivt -actov, SignAti.ir a
CI) I far- Inspection 6339-41 75
UrintrActov- Notes
INSPECTION NOTICE
City of Tigard Building Departur*nt
13125 SR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6.33-4171
Innpectton:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwl
Fuund. Plbg. Top Out Sas Line FINAL:
Pont/Beam Struct San. Sewer Framing -Bldg.
Poet/R-am Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor. Nater Line Gyp. Bd. -Hoch.
Date Requestedt �nCc_ --_Time: _ G� AM -PM
Address:- 6tA �� /��" Permit #t / 3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
0,7
PA
Inspeci,or.__�— i _J_�11 .'�Y1 - ---- /— -- Dater �.
APPROVED DISAPPROVED G APPROVED SUBJECT TO ABOVE
Call For Reinsp.
IKUECTiON NOTICE
City of Tigard Building Depar3ment
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line//(R/ecc-O-Phone 639-4175 Buniness Phone 639-4171
Inspection:_ _
Footing Mg. Ondersl Mach. Rough-in Appy/Sdwlk
Found. t Gas Line FINAL:
Post/Seem Struct. San. Sewer Framing -Bldg.
Post/Beam Meeh. Rain Drain Insulation -F''.umr.
Plbg. Underfloor •NatfY no Gyp. Bd. -Meeh.
Date Requested: L 7-3
-Times _ AM /_ PM
Address:_ Zj/ ILL Permit #s-/)-,
Buil.deri �t��
THE FOLLOWING CMPJ<C XOKS ARi RIQOIRSDo
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2
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Inspecto :, ----.,.-- _--� Datet�
JVD D18'APPROVED APPROVED SUBJEC! TO ROVE
Call For Reinap.
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NSPE ION OTIM:
City or Tigard BUildi.ng I*vP---taent
13125 OR Ball Blvd. Tigard, Oregon 97223 (/JJ
Inspection Line (Rec-o-Phone)t 639-4175 B•neiness Phon t' X39-4171
hooting Plbg. Underelah Mach. Rnugh--in Appr;Sdwlk
1'r, u Plbg. Top Out Gas Line FINAL:
Post/Beam Strum. San. Sewer Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line `tl'/� -Ba� -Mach. ��(/
Date Requesteds 2 C Tues AM Px
Address: 09 ` ��it fir .' O `63
LrI (01��i
Builders -
THE FOLLOKC "(i CORRECTIONS ARE REQUIREDt
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Inspector Datet
APPROVRn DISAPPROVED _-� APPROVED SUBJEC".' TO ABOVE
Cali For Reinsp.
INSPErCTION. i10TICE 1
City of Tigard Budding Department
13125 SR Hall Blvd. '"igard, Oregon 97223
Inspection Line (R,,c-O-Phone): 639-4175 Pusia.�se Phone: 639- 1
Inspection:_
Footing Plbg. Under.-alab Mech.. Rough-in P.ppr/Sdwlk
Found. Plbg. Top Ott Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Ineula�tion� -Plumb.
Plbg. Underfloor Wt Line Gyp. Bd. -Mech.
Date Requested:._ < _ Timas AM �--PM
Address: � Permit Is _,l
builder:'
THE FOLLOWING CORRECTIONS ARE REQUIRED:
� / rrryyy '7
Inspector i. _ Dates f �
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
&--S Call For Reinsp.
:h,`,PECTION NOTICE
City of Tigard Building Department
1.3125 811 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec.-0-'?hone)- 639-4175 Business Phone: 639-4171
Inspection:
Footing PIN. Undnrelab C h. Rough- n Appr/Sdwl)c
Y
Found. PIN. Top Out ` ae Line FINAL:
Poet/Beam Struct. San. S,awer -Frarai� -Bldc.
Post/Beam Mech. Rain Drain Ins,ilation -Plumb.
Plbg. Underfloor Mater Line Gyp. ad. ..Mach.
Date Requested: Time: C� '�AM ?M
Address: 16" l / ! �� �" Permit f: `� 3 e�
Buildere,i ) S •S7 U j_
THE FOLLOWING CORRECTIONS wo. REQUI'REDt
o
Inspectirz. Dater_7
i
11PPROVED DISAPPROVED G� APPROVFn SUBJECT TO AROVF.
Call For Relnap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard. Oregon 97223
Inspection Line (P.ec--O-Phone): 63 4175 Business Phonet 639-4171
� C'
Inspection:__
rooting Plbg. Underslab ttech. Rough-in Appr/Sdwlk
Foun(:. Plbg. Top Oat Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Pibg. Underfloor Water L no Gyp. Bd. -Meeh.
Date Rogiested: �_ Timet AM PM
r, 7
Rddress: ,�� Permit
Buildert___
THE POL'^NING CORRECTIONS ARE REQU1REDt
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Inspector DAtn: —1 l�
APPROVRD DISAPPROVED APPROVP,D SURJRCT TO ABOVE
_Call For Reia.np.
��aaar�
INSPECTION NOTICE
City of Tigard Building Departasent
13125 SO Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections — —
Footing Plbg. Underal-ib Mech. Rough-in Appr/Sd,olk
Found. Plbg. Top Out. •as Line FINALS
P et/Beam Strutt.- San. Sewer Framing -Bldg.
P t/Beam Nech Rain Drains Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested:___-.-- Times AM PM
Addreas:_ i_2 _�C)1 Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
r/i.tiYi
7
Inspectors__- ✓ �_ Dates
G�
APPROVED DISAPPROVED APPROVED SUBJECT TO ADOVE
Call For Reinsp.
INSP1'CTION NOTICE
City of TigarI Building Department.
1.3125 SN Hall 81-d. Tigard, Oregors 97223
Inspection Line (Rec-O-Phone): 639-4175 Bue3_nene Phone: 639•-4171
Inspection:_____—
Footing Plbg. Underolab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINAL%
Poet/ eam S^;suet. San. Sewer Framing -Bldg.
Poona/Beam Mech. Rain Drain Insu,ation -1?lumb.
1k Dg. Underlloc Nater Line Gyp, Bd. .-Meeh.
�- -
Date Requeetsds_ / _. ,. Times AM --PH
Addreee: � ! Ute' __ Permit #:
Builder• L' _
THA M)LLOWING 00 CTIONS ARE REQUIRED:
�~ 7
Inupectors _ Pnte:.�-�� 1p
APPROVV DISAPPROVED APfRWP.D SUBJECT TO ABOVR
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SH Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4.175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
s•ost/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Nisch. Rain Drain ` Insulatt.on -Plumb.
Plb4,. Underfloor Water Dine Gyp. Rd. -Hech.
Date Raquemted:_ �� �L Times AM PN
Addreao:l I/ �r� �. Permit
Hui iders—
TIIE FOLLOWING CORRECTIONS ARE REQUIRED:
0
Inspector: .+� _ Dates _ _
APPROVED DISAPPROVRD APPROVED SUBJF,CT TO ABOVE
Call Poe Reinsp.
mss.
TNS?ECTION NOTICE �7 r
city of Tigard Building Department-
3.317.5 SN Ball Blvd. Tigard, Oregon 97223
Inspection Dine (Rec-O-Phone: 639-4175 Business Phone: 639-4171
Inspection:_ _— -- --
Footing Plbg. Underel.ab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struet. San. Sewer Framing -Bldg.
Poet/Ream Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. Mech.
Date Requested: �I�l/._.� --Timci.I —AM _PN
�7 /
nddreees�1CI / —�l !J�`/�`,� _ Permit oo '--
THE FOILOWING CORRECTIONS ARE REQUIRED:
Inspectors � f -- — -- Date:
�� APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
J
INSPRMQN RO CE —
City of Tigard Building Department
13125 801 Ball led. Tigard, Oregon 97223
Inspection Lin (Rec-O-P e t 639-4175 Business Phones 639-4171
inspection: �
Footing Plbg. nderslab Koch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Can Lina FINAL&
Post/Beam Stnict. San. Sewer Framing -Bldg.
wscjne.,,. :;ac;. !t_-fn Drain Insulation -Plumb.
Plbg. Underfloor Nater Lina Gyp. Bd. -Koch.
Data Requesta7sL � Dams L_AN _p11
AddrasstA/ Pereit #t 3—,4 .(�
nuildert`
THE FOLLOWING CORRECTIONS ARE REQUIREDt
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Inspectorf
11PPSIOVtD DISAPPlOVRD "PROVED SU&TRCT TO ABOVE
Call For Rainsp.
in NOTICE
City of Tigard Building Departeent
13125 S* Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc--o-Phone): 639-4175 _Euaineas-bonet 639-4171
Inspections �` � r✓ /
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk j
Round. Plbg. Top Out Gas Lino FINALE
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Rd. -Hoch.
Date Requestedf j I-G�3 Timet AM _ Plf
Address: IC"'�1 I — cN+I- Permit is
Bulldors ' -),c
THE FOLLOWING CORRECTIONS ARE REQUIRED:
R
N
J
111
Inspectort L' LCL ) _^ Datwt
_LLAPPROM _ DISAPPROVED APPROVED SUBJECT TO ABUVR
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Ttgard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phoney 639-4171
Inspection:
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line rFL_net/Beam 8truct. San. SewerFraming ]g.- /1
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. 9d. -Mach.
Date Requested:: ^� ` 1Q� Time: --AM _ PM
1
Address: 0'1 Permit f:
S S S- 606 Q
Builder: y Q
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Zee � ✓� _
c- \ a �-�•
p
`� rte.� <3 S� ✓�G, � ✓� �M.�s�-'�" �-Q_c`_ �u0w�.
L
Inspectors_ Date$ ( !�
APPROVRD __ DISAPPROVED JL APPROVED SUBJECT TO ABOVE
all For Reinsp.
CITY OF TIGA RD r-ff MASTER PERMIT
Cff TMM
COMMUNITY DEVELOPMENT DEPARTMENT oroaes PERMIT #. . . . . . . : MST93-000 ...
13126 SW HWI Blvd. P.O.Bax 23397,TjgmM,O"qDn 97223(503)634 175
9 ift;?t
SITE ADDRESS. . . : 10917 SW 109TH AVE PARCELi
SUBDIVISION. . . . : HART LANDING ZONING;
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . ..20
---------------------------------- BUILDING
REISSUEa DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf
!.'LASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . .484 sf.
T'Yt':,E OF USE. . . iSF FLOOR AREAS---------- REUUIRED SETBACKS----------
TYPC OF CONST. :5N FIRST. . . . : 1009 sf LEFT'. . :5 ft RIGHT. .5 t`t
OCCUPANCY GRP. :R3 SECOND. . . : 1082 's.F FRONT. :20 ft REAR. . :76 ft
STORIES. . . . . . . :2 THIRD. . . . :0 sf REQUIRED--
HEIGHT. . . . . . . . :26 ft TOTAL------:2091 sf SMOKE DETECiORS, :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . 4: 104898 PARKING SPACES. . : 1
Remarks: PATH I
----------------------------------- PLUMB I NO ---------------------------------------- -
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . -.IZI
LAVATORIES. . . . . :5 WATER HEATERS. . . il TRAPS. . . . " * :0
TUB/SHOWERS. . . . :3 LAUNDRY 'TRAYS. . . i(b CATCH BAS \, * * :0
WATER CLOSETS. . :3 SEWFR LINE (ft) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : IQIO OTHER FIXTURES. . . . . :0
GARBAGE D I SP. . . : I RAIN DRAIN (ft) . :0
WASHING MACH. . . : 1 SF RAIN DRAINq_. . : 1
----------------- MECHANICAL ---------------------------------- FEES
FUEL TYPES--.--.--------.-. UNIT HTRS. . -.0 type amount by date recpt
/GAS/ VENTS . . . . . :0 TIF $ 1460. 00 JH 02/12/93
MAX INPUT:O BTU VENT FANS, . 14 BPRT $ 445. 5171 JH 02/12/93
FURN ( 100K . . :0 HOODS. . . . . . a BPI-C $ 289- 58 JLH 01/28/93 93-23609...
FURN )=iOOK . . - I WOODSTOVES. :O B5PC $ 22. 28 JH 02/12/93 -
FLOOR FURN. . . . :0 CLO DRYERS. : I SSDC is 280. 00 JH 02/12/93 -
BOIL/Clv1P ( 3llP:0 OTHER UNITS: 1 PARK $ 500. 00 JH 02/12/93
GAS OUTLETS: 1 MPRT $ 45. 00 JH 02/12/93
Owner: ---------------------------------------111"11-C $ 11. 25 J11 02/12/93
RENAISEqNCE DEVELOPMENT M5PC $ 2. 25 JH 02/12/93
PPRT $ 155. 00 JH Oc2/12/93
P5PC $ 7. 75 JH 02/12/93
Flhone
Contractor: -----____-..--------._----.---__--_
RENAISSANCE DEVELOPMENT
1672 SW WILLAMETTE FALLS DR
WEST LINN OR 97068
Phone #a 557-8000
Reg it. . : 49955 -------------------------------------
$ 3218. 61 TOTAL
This permit is issued subject to the regulations contained in the REUUIRED 111SPECTIONS
7777- -
LL
Tigard Municipal Code, State of Ore. Specialty Code and all other Foot/found Insp Fireplace Insp
applicable laws. All work will be done in ac5PJ#ffce with approved Post/Beam Strutt Gas Line Insp
plans. This pervit will expire if work Is tar 18@ Post/Beam Meehan Insulation Insp
days of issuance, or if work is suspen .6re than 180 days. PIM/Undslab Insp Gyp Board Insp
PI-M./Underf I oat- Rain drain Insp
Flermittee Signator W4 Mechanical Insp Water Line Insp
Plumb Top out Apr)r/Sdwlk Insp
Issued By : 1:1 aminq Insp Mechanical Final
Call for inspection 639-4175
CITYOFTIIFARD
(
01� T 0"M ID SEWER CONNECTION
COMMUNITY DEVELOPMENr DEPAMWENT 0210P,E RIA I T
13126 M Hell Blvd. P.O.Box 23M.TIgRW,Oregon 97221(SM)0104175 P,ERIYIIT #. . . . . . . : SWR93-0058
6 .1 DATE ISSUED: 02/12/93
SITE ADDRESS. . . : 10917 SW 10TIA AVE PARCEL: 15134AC—HI-020
SUBDIVISIUN. . . . . HART LANI",ING ZONING:
BLOCK. . . . . . . . . . . LUT. . . . . . . . . . . . . :20
TENANT NAME. . . . . :
USA IVO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELL I NG Ul\l I T'S. . : I
TYF'E OF USE. . . . . :SF NO. OF BUILDINGS. 1
INSTALL TY P,E. . . :BUSWR IlviP,ERV SURFACE. . : S f
Remarks : FIATH I
Owner: FEES
RENAISSANCE DEVELOPMENT type Aniol-int tj y date t-ecp�-,
F,Rlyl)' $ 2,100. 00 JH 02-112/93 —
INSI:' $ 35. 00 JH 02/12/93 —
Phone 4.-
Contractor:
CONURACTOR NOT ON FILE
Phone ff- 2135. 00 TOTAL
Reg
REQUIRED INSPECTIONS
This Applicant agrees to comply 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 Age.-.y does not guarantee the ac "cy of the
side sewer laterals. if the sewer is not locatpd., a 1he measurement
f 0►
'rect jx"-.--
given, the installer shall prospect 3 feet�,iW. aq,
prospect
f" sIct Ion I
the distance given. If not so located er shall purchase
a "Tap and Side Sewer" Per Ayw I I install a lateral.
P v,m i t t e P I—) i u i i a v,e .
------------
ISS 1.1ed By -
Ln
Call for, inspection 639-4175
LD
LO
-2,1
CI'T'Y OF I Ml- RI) - HVCK I 1-.'[ 01 1-'(-1 YP I NI HVISAPT NO.
CI A ff-AJ', AMOUN 1 I 15. Po
TERRA-1-301- LANDSCAPINLIJ (.A}ifl i':)M(..IIJN I' U.I. 00
PHYMLNI DATE- I 10 �:6/14,1
(V I,-',ION
11HPI)SE OF t-`AYMF-.N( AM011Nr mu) PURPLAW. OF PAYMF.Nl' AMOUNT VIAID
r I I.ItIB(PJUJI PF RM I IS. 01A f.-iT. BIJILD PF.-'R 0. 75
C.D
10917 Sw 1091H
IMAL AMOUNI PAID
• ("J "n,T1' OF T T CiARD -- RECEIPT CIF PAYMLPJ T' RU-1.I V T NO. s 9 7, ::'4„'::'16
CH17C.'K AMOUNT' a 10 Liu)
hJAlhi t
RENAISSANCE DE.VC:`L.CIPMI=N I GAtiH AMOLIN T e 0. Oki
01A)RESS a 167P SW WII...L.AMF T'fE FALLS, DR PAYMEeNT DATE. s 02/►:'6 9:3
SUBDIVI.:,ION z
FI,JN, on 97066--
rtJFZFC) E CIF PAYME:N1 AMOUNT POID PURPME OF AMOUN1 "'AID
BIJIL.DINC, PERM 445. 50 PLUMBING PERM 1c5. 00
117C;HANTCA1-. PC 45. 00 ST. BUILD PER :3 c:. :::fI
I AN CHECK FF 50. 8c, 1EWF.FN LISA c'100" 00
�I:WER TNSPEC'T 35. 00 PARKS SIX 'j00. 011)
'.-JORM DRAM bDC; 1:80. 00 RESID .NTIAL.. TWWFIC: FEF-b 1350. 041
MASS TRANSIT I-IF F'I`RIG 110. 100
L.U'T ;':'0 HART' � LAND I NO
I Nn 17 �,W 1099TH
M Al_ AMOUNT PA I D > 5103. 60
CATY Ol'- 'TIUARD RECEIPT OF F44Y11F-W RECEIPT NO.
GHECk tit (JUNT 21250. Oo
NAME e I7f7NAU-.;".;ANt.J—, Dr--'Qr.LI-)PI%lF.NT CAI,'sH AMUI IN r 0. 00
ODDRESE,i PAYME-.N"1 DATL 0l 9 7,
l;AJ[A D I V I ON
PURPOSI:—, OF PAYMENT MOUNT PAID F'lJRPOk,';E OF IDAYMLAIT �41111IUNT I-DOID
HPPT* � LANDING
TOTAL MOUNT PAID 21 50. Q)0
L by
• i>>uswiieuawa. PLNCK/RECT # -`5 ,r�
CITY OF TIGAR]D PERMIT # �5 f9_s' -o��3
COMMUNITY DEVELOPMENT DEPARTMENT Tigacd Oregon 97713
(503)63"17{ DATE ISSUED
,.JOB ADDRESS: 7�/ � TAX MAP/LOT /5/ 3Y 4C— yL 02.y
SUB%� C '� (y �=� / �'< OT: LAND USE:
VALUATION: _
OWNER SPECIAL NOTES
NAME: 4nu UPut(� r C�(�. REISSUE OF: _
ADDRESS: 1&74 5,,/ Wlllli —tle Fulls 21 LAST REISSUE: _
W°s4- Ll;,r. or 97 u ( FLOOD PLAIN/
PHONE: 6'57- 3-7j9 SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
rJ �
NAME: r` '` � ?5 /1'�°/P-- /%�/ �� PLANNING: _
ADDRESS: !_ ENGINEERING:
FIRE DEPT:
PHONE: OTHER:
CONTR. BOARD #: EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS: _
- MECH: �( �'`J�L C ��BUS TAX:
ARCH ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: OTHER:
1 PHONE:
PROPOSED BLDG. USE: --.
w
COMMENTS: _ --
APPLICANT SIGNATURE
Received By: ^,� Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
/rf5fi3 044 10-432 00 Building Permit Fees f1dS,su �(5, 5�
10-431 00 Plumbing Permit Fees
10-43.1 01 Mechanicai Permit Fees
10-230 01 State Building Tax (5%) 32,7—Y _ — 32, Z�
Building
Plumbing 2
�.
Mechanical .2
10-433 00 Plans Check Fee
Building
Plumbing _
Mechanical
10-230 06 Fire
,,,P9.3 L10,55' 30-202 00 Sewer Connection o u / a uLr
30--444 00 Sewer Inspection 31— i 35_,
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees /3j 13Su
25-448-05 Mass Transit TIF Fees // 0 //0
52-449 00 Parks System Dev Charge (PDC) Su u _ J. ,0 _
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTALS 5j, l SI�3
nm/3587P.WPI