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DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION
155 NORTH FIRST,HILLSBORO,OR 97124
COUNTY, INSPECTION REQUESTS: 503/640.3561/693-4415
OREGON ... i,""'XXXXX--> 64�)-3470
Page 1 of 1
•
Date : 06/01/9:3
r `C i.m o 12 : 31
Permit '1'ype Residential Electrical Permit Permit # ; u5Ut38369
III.21mit Statu:.; APPROVED ( Applied 06/0.1/95
.dt.us Addie:ss j ZTw 1S ,t1ed 06/01/9`r
I'e s.mit. Title Sr'R - NEW � �a- � Complete_::
Permit Descr . 11.1;!87 SW 1 :-2'','H AV '1'o Expire 1.1/28/95
Project '1'.itle= S 'R -- NEW Project. # P00'50457
Project. Descr . 111-287 ,,W 112111 AV * EROSION
Parcel Number 't—ISI I - Larid Use District
Valuation 0
Legal De:scr.
Owner INSPECTION '1'1.(aARL) Ct3rt:.-.trttctiori OTH
Applicant Name GAGE t✓N'1'gk:1'1il;..k:::, ClAo ;ificat:ion 900
Alaplicant Addr 1429 Occuparnc-y 113
CLA(.:KAMAS Ok 9701.5 Validated by lit'
lq.ipli.cant Phone : 50:3-C1.0- 0412 Inspector Area
Etta descript 1,,.)n Unit) Fee/Unit Ext 1-e-e Date
Square h'oot age LEnter Sq . Ft , ] 2500 185 . 00
:DLI b t 0 t i.1l Elcy(7,t_.t. :. :,t.l S : 18!) 00
;;;tate Surchartje eef: 5't. 9 . z:)
Total E.ler. tri.c•_tl h'er_,:; : 194 . 25
Fees Collected h Creditr, A**
mf.,thod C,;heck # 1 c..fceipt. No , Date Paymertt-
"r: 1703 0t3/Cil/e35 194 . 21)
'I'e_i'; � ;. '.I'FlIS DATE A*A*+, r +tOr* 194 . 25
Pe e t:l : 194 . 25
Ac jl.t:.tmen t 00 00
'.Total h'r?e':; : 194 . 2!i 'Total Paymonts : 1'44 . 25
balance Cate : tl(r
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NOTICE: This permit becomes null and void If the work or construction for which It Is Issued Is not commenced wltluin 180 days. Once construction has started,
J the permit becomes null and void 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 raise and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinanceft governing the construction and use
of this building or stnicture will be complied with whether or not specified on the plans or noted on the plane correction sheets. 1 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 huildln9 permitted depends upon my calllnq for Inspections of:various times during the prcer: if ur,)atrmction and the building
Inspection stiff verifying compliance with the varlou.s codes. Use or occupancy of the building or structure pa mltted prior to approval by the
Building Department is solely at the risk of the applicant and such use or occuuponcy Is revocable until all inspection requirements are setlefie<m and
approval Is given by the Building Official. I further acknowledge that a lien miry be placed on the title of the property mrpr.n which the permit Is Issued
specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of elm laspectloo requirements.
APPLICANT'S SIQNATURE
WASHINGTON COUNTY a
Department of Land Use &Transpor;ition ELECTRICAL P ERMIT
Electrical Inspection Section AP P LI CA �,�o N
15� North f=irst Avenue,#350-12
Hillsboro,Oregon 97124
Information: (503)640-3470 Fax: (503) 693-4412
P1,EASE PRINT Hermit _
Number
Please • • • through `-Jj � �_ Date
1. Location of installation! 4. Complete Fee Schedule below
Address / I I j y 1 i _� _l- Number of Inspections per permit allowed
Building
Ciiy Suite No. ea.Service included: Items Cost(ea.) Sum
_ •� ,:� ,�.. � _ _ _
Tenant Name A. Residential-per unit
(if commercial)
`- —— 1000 sq.ft.or les - _-_ $110.00 _1 I d ClC7 4
Map No. `YS T aX Lot Each additional 500 sq.ft
_ or portion thereof — $25.00
_
Thomas Map Book: Porde,: _. Section: Limited Energy $25,00 Each Manufd Homo or Modular
Dlrectlorl3_ Dwelling Service or Feeder __ $68.00 __ 2
Commercial Residential B. Services or Feeders
Installation,alterations or relocation
200 amps or less $60.00 -_ 2
2a. Contractor i sta lation only: 201 amps to 400 amps $80.00 2
Electrical Contractor ` 1 ��/'"/�e s 401 amps to 600 amps $120.00 _ . 2
T 601 amps to 1000 amps $180.00 2
Address . Over 1000 amps or volts $34000 _ 2
City State-- ZIP Reconnect only —_ $50.00 _____ 2
Date _ Jo:; Number _
Property Owner C. Temporary Services or Feeders
Contractor's License No Installation,alteration or relocation
Contractor's Board Reg. No. a 200 amps or less $50.00 2
201 amps to 400 amps $75.00
f 401 amps to 600 amps $100.00
Signatur=- of Supr. Eiec'n Over 600 amps to 1000 volts see T"above
License No, &1S' Phone No.
.0. Branch Circuits
2b. For owner installations: New,alteration or extension per panel
a) The fee for branch circuits with
13r1-nf Owner's a-N me — Phone No. purchase of service or feeder Tee.
Each branch circuit $5.00
Address — b) The fee for branch circuits without
purchase of service or feeder fee.
Zip First branch circuit $35.00 __
Each add nil branch circuit _ $5.00 2
The installation is being made on property 1 own E. Miscellaneous (Service or Feeder not included)
which is not intended for sale, lease or rent. Each pump or irrigation circle $40.00 ____— 2
Owner's Signntiire Each sign or outline lighting $40.00 _
Signal circuit(s)or a limited
energy panel,alteration
or extension $ao.o0 z
3. Plan Review section (if required)
n Please check appropriate Item and enter fee In section 5B. F. Each additional inspection over the allowable
_ 4 or more residential units in one structure
In any of the above
_Service and feeder, 800 amps or more Per Inspection $35.00
.�" p Per hour _- $55.00 —_
—System over 600 volts nominal In Plant $55.00
__Classified area or structure containing special
occupancy as described in N.E.C. Chapter 5 5, Fees
J
Submit 2 sets of plans with application wherq any if the A. Enter total of above fees $ �$
above apply. Not required for temporary conatructla-1 5% Surcharge (.05 X total fees) $
services. Subtotal $
This permit becomes null and void If the work authorized by the permit is B. Enter 25% of line A for
not commenced within 19O days from date of issuance of such permit or Plan Review if required (Section 3) $ --_
if the work authorized Is suspended or abandoned at any time after work Subtotal $
Is commenced for a period of 190 days. Electrical Permits are non. $
refundable and non-transferable. LJ Trust Account
For inspections call Balance Due
681-3699 or 681-3698
24-hour recorder, one working day In advance of need
BL28 3/95
� r
DEPARTMENT OF LAND USE & TRANSPORTA-�ION
WASHINGTON 155
DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUEST S (24 hours): 503/640-3561 or 693-4415
g;..., -A,-t # 11 10[."-,0 4 15AP F+4,;,'v'['. R a t
A}?rl.ied Uta/0i/9 1Sc.11a3 U6/i:'119 Expirtlo 11/28/9 06/12/9!> U2
RESELEC
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I:��.Mr.ripT ion t 12127 ;;W 1 I.2-TH AV
.t•:'r: Aadress
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='pplic.ant Name 1:N """ F2
Phone number I Valu.;a.t. 0 APpr �_..
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CITY OF TIGARD V,
COMMUNITY DEVELOPMENT DEPARTMENT _ MASTER PERMIT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639.4171 1-'l. RM I T #. . . . . . . : MS f 95--0046
DA f Er ISSUED: 0,.x/01/95
PARCEL: 1 S 134DB--06 i►0Q1
iTF ouDRLsb. . . : 11287 SW 112TH AVL
aUBV1V1SIGN. . . . : IORLAND ESTATE=S ZONING: R-•4. 5
BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . .NV.i�'
------------------------------------ BUILDING
IRE I SSUE:: DWELT_I NG UN I TS: i BASEMENT 0 s f
CLASS OF WORK. :NE.W BEDRMS:4 BATHS:3 GARAGE. . . . . . . . .. . :770 sf
TYPE OF- USE. . . :FiF f'-[_00[? ArlE'f�::i ___._.._______ F<I UUI RED SETBACKS-.___.____.._-..
I YPE OF CONST. :5N F'I RST. . . . : 1009 s f LEFT. . : 10 ft R I GHT. :25 f't
OCCUPANCY GRP. .R3 SECOND. . . . 1049 s f` FRONT. :20 ft RLNR. . :26 f=t
!:) 1UHILb. . . . . . . 12 FINBSMENT:O sf
HE:I GH L11
. . . . . . . . :28 1A TOTAL-- ---- :a058 5 1` SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 ps f VALUE. . . . . $: 145598 PARKING SPACES. . : 1
Remarks. IDATH 1.
PLUMBING ----------------------------------------- --
SINKS. . . . . . . . . . : 1
-_.-_--------_____.-.-_-_-...__---.-..---__. _SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . 10 BACKFLOW 1DREVNTRS. . : 1
LAVA F UR iLS. . . . . :5 WATER HErA1 E:RS. . . 1 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . 13 LAUNDRY TRAYS. . . :0 CATCH BAS11''S. . . . . . . :0
WATER CLOSETS— :3 SEWER LINE (tt ) . :0 UREASE TRAPS. . . . . . . :0
D I SHWASH(ERS. . . . : 1 WATER LINE (ft ) . : 1.00 OTHER FIXTURES. . . . . .0
GARBAUE RAIN DRAIN (ft ) . :0
WASHING MACH. . . 41 Sl- RA 1 N DRAINS. . : 1
MLCHANICAL .-.__.____.______._____,._.__..__-..__-__.-._____ PEES
FUEL TYPES TYPE'S--•--------- UNIT HTR5. . :0 type amount by date rer-pt
/Uil4b/ 1 / VENTS . . . . . .0 'TIF $ 1550. 0+4 JF 02/28/95 -
MAX INPUT:0 b-IIJ VENT FANS. . .4 GWM $ 11,30. 00 JF 02/28/9 15 -
1-UHN ( 100K . . :0 HOODS. . . . . . : 1 SWM $ 100. 00 .JF 02/28/95 -
1:7URN ) -100K . . : 1 WOODSTOVES. :0 LAPRT 4- 54-8. 00 JF 02/213/95 •-
F=LOUR TURN. . . . :0 LLU DRYLRS. : 1 BPLC 1i 356. 20 KAR 01/26/95 95-2610 :7
BOIL/CMF' ( :.3HPiO OTHER UNITS: 1 B5PC $ ;17. 40 JF 02/28/95 --
GAS OUTLErTS: 1 PARK $ 500. 00 JF 02/28/95 -
'Jwner-: -- -.___.__ ..__.. ._.---_.____._.____.-._.__.._.__._MFakT 1, 45. 00 JF 02/26/95
RENAISUANCE CUSTOM HOMESs INC MPLC $ 11. 25 JF 02/28/95 -
t6 /i? WILLAMETTE F=iaLLS D141VF-. 115PC $ 2. 25 JF 174-:128/95 -
:3BTH $ 0*25. 00 ,JF 02/28/95 -
WE-S'T I_INN OR 97066 P5PL $ 11. c5 .JF 02/28/95 _
Phone #: 557-8000_-_._____.._____._._-____ EROS; $ 64. 00 JF 02/2'8/95 -
L.:ontractor: ----FRi"�C $ 20. 60 .JF- 02/28/95
a ILNP415SANCE DEVELOPMENT ERPC f 20. 80 JF 02/28/95 -
rti ; 672 SW WILLAMETTE FALLS DR
WEST LINN OR 97068
-� 'hone #: 'J`.i7- F300�,n
Reg #. . : 49955 ___._--_--_--_.-_--___--.--___--_-_-___--_---.
cD $ 3661. 95 1 U TAL
Ld his perait is issued subject to the regulations contained in the ---- --- REQUIRED INSPECTIONS -
ilard Municipal Code, State cf Ore. Specialty Codes and all other Footing Insp Pll.imb Top Out
pplieable laws. All work will be done in accordance with approved F.oi.mdat ion Insp Framing Insp
:iar.s. This pervit will expire if Mork is not started within let post/beam 5tr^l-ict F=ireplace Insp
ays of issuance, or if work is suspended for sore than IN days. Post/beam Mec_han Gas Line Insp
Lrawi Lp+ Air1 lns'.ki at ion ilisp
'n ttee ri.rinatt.ir e! : __ __ Plol'UT111131ab Insp (;yp Bo,_.. ,i Ir1gp
PLM/Underfloor Rain dt-Ain InsF,
Merfiaiiiral Insp Water Line Inst,
(..;all fc— inspection - 639-4175
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT SEWER CONNECTION
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639.4171 PE P11 1-1
PERMIT #. . . . . . . : SWR95-0049
63'3-41 /1 DATE ISSUED: 03/01/95
PARCEL: 1SI34DB-06400
I TE ADDRESS. 11 2'8i S14 1 A.ETH AVE
'SUBDIVISION. . . . : TORLAND ESTA"rES ZONING: R-4. 5
I
J-ILOCK. . . . . . . . . . : L.01.. . . . . . . . . . . . . 00E
USA IVO. . . . . . . . . : FIXTURE UNITS. . .
-;LA5b OF WORK. . . :Ni-.-W DWELLING UNITS— : 1
TYPE OF USE. . . . . .5 NO. OF ESU 1LDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . ,. - Sf
Remarks: PATH I
Owner : FEES
RENPISSANCE CUSTOM HOMES, ING type am- nt by date recpt
lb /i=' WILLAMETTE FALLS DRIVE VIRM,r s EeI110. 00 JF 03/01/95 -
INSP $ "J. 011) Jl- 03/01/95 -
WFST LINN OR 97068
Phone #. 557 -8000
Contractor:
CONTRACTOR NOT ON FILE
#-.- $ 2235. 00 TOTAL.
Heg
REUUIRED INSPECTIONS
This Applicant agrees to coeply with all the rules and regulations Sc?wer Inspection
of the Unified Sewage Agency, The persit expires 150 davi frot
the date issued. The total asount paid will be forfeited if the
persit expires, The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewel' is not located at the epasuresent
given, the installer shall prospect 3 feet in all directions frot
the distance given. If not st located, the installer shall purchase
a 'Tap and Side Sewer' Persit and the Agency will install a lateral.
wermittee SignatlAlr-e .
I ss,-ied by ,
L-all for- inspection 639-41 /5
-2-c4 0
CITY OF TIGARD 9UILDING 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 gyp. Bd -Elect.
Date Requested: (IP / Z /_Time: AM PM
Addrow �l � —L �r1
Builder;_ _ Permit #:
THE FOLLOWING CORRECTIONS ARE. RE=QUIRED:
�— /Z-0 is,.-1 ,•L. ve.�•
Inspector:`_ Dater--
APPROVED DISAPPROVEDAPS PROVED 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. CrOing Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam •Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beare Mech. San. Sewer Gas Line Ic1g.
Plbg. Underfloor Rain Drain Framingnxbl
Alarm Water tine Insulation -Mec '
Underfir. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: ._ 16 125— 2 Time- �AM PM
Address:__ r LI -V-7 / /14- (V-,&
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-� zic �.
Inspector:-- Date: Ac" S— G.2
,APPROVED �SAPPRQV�D TAPPROVED SUBJECT TO ABOVE
ball 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 !fain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. •Ele
Date Requested: �C' 1.3 CS Time: AM PM
Address:` 1 2 F7 j 1�. _ _
Builder: (r - 7 c4'//� —Permit #:/P 57 %5
THE FO_LOWING CORRECTIONS ARE REQUIRED:
1+ c,3 rci- j
Inspector: i' � _ G' �� ate:
APPROVED DISAPPROVED APPROVED SUBJECT TO N8OVE
_Call For Reinsp. -1
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. Underilab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top G it Elec. Rough-in FINAL:
Post/Beam Mech, San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Meeh.
Jnderflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address:
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQ""RED:
Inspector:_ :�� Date:
_APPROVED `DISAPPROVED "� APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
INSPECTION NOTICR
City of T194rd Building Depertsaent
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rer_-o-Phone)s 639-4.175 Business Phone: 639-4171
Inspections — --
Doting Plbg. Underslab Mech. Rough--in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
P1hg. Underfloor Water Line Gyp. ad. -Mach.
Dnte Requested: —._ Time: AM PM
Addrons:__. L f. I - Permit f s
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Dat. i
i
APPROVED DISAPPROVED L APPROVED SURJECT TO AROVF.
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTI:i_
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 P. Bd..- �Z _� -Elect.
Date Requested: 7) Time: AM PM
Address: F 7
Builder:_ Permit 11:
THE FOL,.OWING CORRECTIONS ARE REQUIRED:
Inspector:�l Date:
APPROVED DISAPPROVED `APPROVED SUBJECT TO ABOVE
_Call For Roinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Busine,.s Phone: 639.4171 _
Inspection:
Footing Susp. Ceiling Sprink. Rough-inAppr/Sdw
Foundaticn Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-iii FINAL:
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. El
ec "
Date Requested: f 1 r � Time. AM
Address: .� ..1 ! -j �+1-k —e-'� ----✓
Builder: _Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
� cz- boab''�'(S 0)— -�Y 1'/7
. ,
-
Le I/
Inspector Q 5 Date:
_APPROVED _DISAPPROVED <Rein
VED SUBJECT ABOVE
Call F
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 Id
Plbg. Underfloor Rain Drain Framing �P( ?
Alarm Water Line Insulation Me
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: //)//, D25 Time: AM PM
Address: IL Z- E7 V-/ ,_
Builder:^^ Permit #: / U
THE FOLLOWING
,CORRECTIONS ARE REQUIRED: ._
Inspector �,� -- _ Date:--/y— ' �S
APPROVED 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: Y / Gl
Footing Susp. Ceiling Sprink Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Bearn Struct. r- lbg. Top Ou Elec. Rough in FINAL:
Post/Beam Mech. San. Sower Gas Line -Bldg.
Plbg. Underfloor Ran Drain Framing
Alarm Water Line Insulation ec .
Underflr. Insui. Shear Wall Gyp. Bd. -Elect.
Date Requested.-- Time: AM PM
Address: // ;2- //__)_ qv
.e- //--
Builder: ,,� 4J. Permit #:
'THE 'OLLOWING CORRECTIONS ARE REQUIRED:
t�
.Ld le 94
a - -
2
N
ti 0/
C7
W
J
Inspector:_
_APPROVED _DISAPPROVE APPROVED SUBJECT TO ABOVE
l-!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 Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top_Out Elec. Rough-in FINAL:
Post/Beam Mech.('rS�an. Se-w-er Gas Line -Bldg.
_
Plbg. Underfloor `Rain Drain Framing -Plumb.
Alarmafar Line Insulation -Mach.
Underilr. Insul, Shear all Gyp. Bd. -Elect.
Date Requested —
: r' Time: AM PM
Address: / �'� R i
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
CL -
R
r
v7
m
c�
LL1
Inspector:----�i� Date.
4�PPHOVED `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
�ost/Bea=nTlQre
' Plbg. Top Out Elec. Rough-in FINAL:
San. Sewer Gas Line -Bldg.
(iib . Un Rain Drain Framing -Plumb.
/Harm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address: //,Z,F %/�� / :--
Ruilder: _Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
,eQ..z�
Y
J
CJ
C-7
J --
Inspector: Date: r�
—APPROVED 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 Plb . Underslab Mech. Rough-in Fireplace
Post/Beam Sir uc. 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 Gyp. Bd. -Elect.
Date Requested:^� 2 Time: AM PM
Address: Z ] z e—
Builder: Permit a: 5-0()q(,,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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LL1
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7 /
inspector��/�
`APPROVED``_QiSAPPROVED ___-APPROVED SURJF T TO Ar OVE
TTTTTT������ „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-ir. 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 Lina -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line nsulatioD -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: r _Time: AM PM
Address: � �
C
Builder: Permit t1:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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ri ---
N
v
J
�-r
03
11!
J -
Inspee tor: ,.� Date:
::APPROVED —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 P(bg. Und6rsiab RUGWOm-�. Fireplace
PosVBeam Struct. P(bg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. SewerG.was I_in -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line `�sulation Mech.
Undertlr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: _Time: AM PM
Address:
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
� \
44
I11
J
Inspector:' 7Date:
APPROVED `DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGA3D 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 �Rough-in Fireplaco
Post/Beam Struct. (_, Top Elec. ough-in FINAL:
Post/Beam Mech, San. SewerGas Lin -Bldg.
Plbg. Underfloor Rain Drain Fram -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested. Time: AM PM
Address:
Builder:, _ Permit #:1S"- a0
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date: r5—1
APPROVED A DISAPPROVED _APPROVED SUBJECT TO ABOVE
l all For Reinsp.
CITY OF T
IGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone).p.639'x175 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 -Brdg- _
Plbg. Underfloor Rain Drain Framing lum6.)
Tum Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:--j—'L _ Time: AM PM
Address: Z W -7
Builder: Permit #: `�� L)u
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector Date:
� APPROVED —DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
*+ r
C 1 T Y OF T I OARD - RECEIPT OF PAYMENT RF'CE*.I PT N(.i. t 95---P61 V,P7
CHECK AMOUNT a AVILA. 00
NAME s RF:NA:lE3SANCE= E EW7I—OPMENT CAC-.AA AMCIUNT N. 00
Al')IiRE ! rr t 167:: SW WIL.L.WMETT'F` F"AL�.S DRIVE_' PAYMENTllA'TF._ s V�ilc:f,i'G`
WE ST L..INN, OR SUBI)IVISION �
FuRVIC)SE. OF F'GIYME"NT 14MOHN T PAIL) PLIM Fit OF POYMF NT AMOUNT PA I L►
Pt.{aN CHECK FE c`x'10. 00 PL-AN CHFO'N FF 250. 00
PLAN CHECK F- 2 0. 00 [ALAN CHECK FE =�0• ��
Tn TAL AMOUIV T PAID
CITY (IF TIGORD RErEIPT OF PAYMENT RFC',F.-:IPT NO.
CHECK AMOUNT
NAME RENAISSANCE I)EVFI.(:)PMF.NT CASH AMOUNT
ADDRESS q PAYMENT DATE e 0310PI91,l
SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT rlMOtJNT PAID
BUILDING PERM !-546, 00 VILUMBING PERM 20-13. 00
ME-CHANICAL PC 4`i. 00 E-',T. BUILD PER 40. 90
PLAN CHECK FE 117. 455 SEWER USA 2;,200. 410
�-;EWER INSPECT 33. 00 PARKS SDC
RESWENTIAL TRAFFIC FFES 1430. 00 MASS TRANSIT T I F-- F F F-G) 0. 00
HPO OUALITY FACILITY FEC .180. 00 H2O PLIANT I Ty FACILITY FEr 100. 00
EROSION CONTROL. PERM ITFEE 64. 00 ERnSION cnNTROL PLAN CK 710. F.
EROSION CONTROL. 4 0. so
I t287 1 WTH L.0T
MST95-0046
1,01W. AWILINT PAID 5646. 95
Al
• Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobslte Address:_
` :taiflCg Use Only
Subdivision: ® Lot #
PlanciclRec#- :
valuation: R5,
Permit
Owner: Renaissance Custom domes, Inc.
Reissue of ' kk
_M^
�?q
Address: 1672 Willamette Falls Drive ' u
West Linn, UK 968
IN" i• :
Phone: 557-8000
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Contractor: Reniassance Custom homes, Inc. '
Address: 1672 Willamette Falls Drive
Mt@ttls RMUIred
West Linn, OR 97068
Phone: 557-8000 ;
License # :><,>:> } ::r<•. as< ; <.x: >,.:<r ;,. . .. x:#
c:nntractor s _97599 3
(attach copy of current Oregon license) .>
Subcontractors:
Plumbing: Eagle Plumbing
Mechanical: Tri-County Temp
(attach copy of current ON Contractor's Lkense)
ArchltPct/Englneer:
Address:
J
j
Phone:
J
COMMENTS: -
Applicant Signature & Phone number
i
11�Received by: Date Received:
a
•
Permit # Account Description Amount Amt. Pd. Bal. Due
hJ s-06, Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH) 5-
SIM Tax (TAX) q
Bldg:
Plumb: /; Z ?�
i
Mech: :2 L
Plan Check (PLANCK) 50
Bldg: 35
Plumb:
Mech:
c�' Sewer Connection (SWUSA) Jti
-v
Sewer Inspection (SWINSP) ' ?
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)Gamme.6et! TV
�.Yt�Sv- �ivirl
tfitF7e) _ �(
MdastriaF-�tF//-----fTtFi) �'v v�a
rrG S It /[� -- (. i' t
htstitntiamaI-TW-----ff4F4W y,� b c' d-v ,S-i,
Office TIF (TIF-O)
Water Quality (WQUAL) /f-y
Water Quantity (WQIIANT)
Fire District (FIRE)
TOTALS: ,Sy1�G . I _iZ - `S(,o-X15
JAM 19'95 10:22 FR CENTERLINE CONCEPTS 503 65001M TO RENAISSANCE P.03i10
�a r larl
S 89'37'37" W 86.84'
b c"'
8
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S 89#3737* W 86.88
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CERTIFICATE OF
CITY OF T idARD OCCUPANCY
LRI11T #. . . . . . . MST95-0
. 04 f•
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 10/09/95
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PARCr-. L' 15134DB-06400
'ITE ADDREa;:J'. . - : !. 1 t r : W 11.2TH AVE
LIDDI VISION. . . - TORLAND ESTATES Z ONJ NG:R---4. 5
11-OCK. . . . . . . . . . _____.__._LOT_.______.__.__. . 1110102
J-.ASS OF WORK. -N['W
YPE OF USE. - - 'OF-
OCCUPANCY GRP. AR3
OCCUPANCY I-OAD:226 4.
TENANT NAME. . . :
Remarks : FIATI I I
--
;+ENAISEANCE CIJ13TUIA HO 1E5, INC
1672 WILLAMFTTF FnLLS DRIVE
14EST I.-INN OR 970613
j-1holle #: 537-8000
Contractov
RENAISSANCE DEVELOPMENT
1672, SW WILLAMETTE FALLS DR
WEST LINN OR 97068
Phone #: 557-8000
Reg #.6 v 491)55
ThisC v-tificat.e c.,ert .ifies that tvie above referenced building or Portion
Pi e
ther*" has inispected fol- compliance with the Tigard ilding Cod
j
fur the group and division of occupancy and use fow, which the above
,(?ferenced pet-mit was issued, and occupancy is hereby granted.
G INS.3PECTOR SUILDI ICIAL
POST IN CONSPICUOUS r."LACE
-CITY OF T I GARD PLUMBING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : 1YIST9517104C.
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639.4171 DATE ISSUED: 03/01/95
PARCEL: IS134r)B-06400
9 1 TL ADDFtESS. . . e 11287 SW 112TH AVE
SUBDIVISION. . . . .1 TORJiND ESTATES ZONTNG.
BLOCK. . . . . . . . . . LOT. . . . . . . . . . .
CLASS OF WORk. . :NEW GARBAGE DISPOSALS. .
TYPE OF USE. . . . -SF= WASHING MACH. . . . . . . s I BACKFLOW PREVNTRS. . . 1
OCCUPANCY GFRP. . :R3 FLOOR DRAINS. . . . . . . :0 *TPAPS. . . . . . . . . . . . . .0
WATER HEATERS. . . . . . : 1 CATCH BA'-
FT LAUNDRY TRAYS. . . . . . iO SF RAIN DRAINS. . . . . .. 1
Sl NKS. . . . . . . . . C1 GREASE TRAPS. . . . . . . .0
LAVATORIEB. 95 OTHER FIXTURES. . . . . :@
T U B/SHOWL-=,;. st SEWER LINE (ft ) . . . . :0
WATER CLOSETS. z,3 WATER LINE (ft) _ . . : 100
DI SHWASHE R=;. APIN. DR4IN ;' (ft ) . . . . rO
R-?Marks : POTH I
OWNERs,
RENAISSANCE' CUSTOM HOMES, INC TIF $ 1550. 00 JF 02/28/95 --
1f,72
1f,72 WILLAMET"rE FALLS DRIVE SWM $ 180. 00 JF 02/,E!8/95 --
SWM
SWM $ 100- 0121 JF 02/2'8/95 -
WEST LINN DR 97068 BPRT $ 548. 00 JF 02/ / 35 -
Phone it: 557--8000 SPI-C." $ 356. 20 KAR 01/26/951 95-261027
i 3 - 135PC $ 27. 40 JF 0 '/2x/95 -
Alhing PARK $ 500. Ola JF 02/28/95
MPRT $ 4E. 00 JF 02/28/95
MPLC $ 11. 215 JF 02/28/195
1 . 2z jF QL/28/9!��.
P d d r 9 M5r,r s -
y I_1 -H $ 22!5. 00 JF 02/28/9b
State . 3p]
C. P5PG $ 11. 25 JF 02/28/95
Rep 0: Add J.t i un a I frau not
here,* . . . . . . . .
------ REOL) RED IN""?--'CCT IONS
Fh i s per is issued subject to the rey-
:,flAtiorl� contained in the Tigard Municipal Footing Insp InSUIAt�on Insp
'.10(rip, ritaL-e of Or,(-,. Opecall
ialty Lodes and all Found . ion .Insp Gyp Boalrid Ins-p....
other-40pplicable laws. All work will be donp, Plost/Beam Struct Pain drain Insp
in accu'rdarcp with approved plant. , This , Post /[beam 114�uh.in Water, Line Insp
Pgr'mit will expire if work is not skarted Crawl Drain' Water- Sertvic'e In
R .+ thin thin 180 days of issuance, or if work is Plm/undslah Insp Appy-/Sdwlk Insp
vil=enderl far- more than ISO clays. r,LM/Underf loor Mechanical Final
Mechanical Insp Plumb Final
Plumb Top Out Building Final
Framing Insp Er-osion Control
Firvpl,-A(:v Insp
Gas Lin(? Insp
uthorized Plumbing Contractor- rignStUre
Call for inspection 6,19-4175
ontractor