13843 SW 124TH AVENUE ��• e � ♦ , tit. -. �. r„• '�-Y �
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Linc: 6394175 Business Phone: 6394171
17
Date Requestedl: L-/ - 4 -J,yM A.M. P.M.� MST:
t/ — BUP:
Tenant: Suite: Bldg: MEC: _
�n 7, c.
Contractor: !�_'-��,t.Q.�Lc.-yc�(L' _Phone: 557_ �C✓ PLM: —U T
then=r;_ _ Phone: ELC:
ELR: �to//
UILDING BLU coni) 81N ECHANICAL > ELE7TRICA ST�. SITE �!
Si' . Post/13eam Post/13R a� Post/Beam _ C-ovcice Sewer/Storm
Footing Roof UndFl/Slab Rough-In Ceiling Water Line
Slab Frw lint, Top Out Gas Line Rough-hr UG Sprinkler
FouncG►tion Insulation Sewer Ilood/Duct Reconnect Vault
Bsmt Damp llmVJl Slonn Furnace Ternp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sbenth Fire Spklr/Alm Crawl/Found Ih Ileat hemp Low Volt
�pprov 1 �0cj
Prov _h —
Appr/Sdwlk oved oved of >proved tTof7�r [trued
AL INAi,.' FINA . FINA '
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0 Call for reinspection CI_
Reinspection feeof S• required before next inspection D Unable to inspect
Inspector:_ ✓/�_ Date: *,'�- Page of
Page No. 1 CASE HISTORY FOR CASE NO.: MST97-0317
RENAISSANCE CUSTOM HOMES
13843 SW 124TH AVE
05/1.7./98
Action Description Req/ S,hd, Eno/ Acti. Notes Disp By Update 'Jpd
Code Sent Gone Done Date Ey
MSTA005 Application received / / / / 07/30/97 RECD DRA 08/04/97 BON
MSTA008 Permit Created / / / / 08/04/97 PASS B 08/04/97 BON
MSTA010 Check for prcl restrict. / / / / 08/04/97 PASS B 08/04/97 BON
MSTA012 Plans routed to Plans Examiner / / / / 08/04/97 PASS B 08/04/97 BON
MPTA02b Plans approved by Pin Examiner / / / / 08/28/91 PASS RT 08/28/97 HT2
MSTA030 Reviewad plans routed to DSTS / / / / 08/28/97 PASS PT 08/28/97 BT2
MSTA092 IF1 Inoue combination permit / / / / 09/04/97 PASS B 09/04/97 BON
MST.095 Inoue plumbing signature form / / / / 09/19/97 RECD SW 09/24/97 S+W
MSTA097 Inoue electric signature for / / / / 09/19/97 RECD SW 09/24/97 S+W
MSTA700 Erosion Contol / / / / / / 08/04/97 BON
MSTA705 Footing Insp / / / / 09/0+/97 PAPS GS 12/05/97 GES
MSTA706 Foundation Inap / / / / 09/05/97 PASS GS 09/14/97 J•H
MSTA710 Pott/Beam Structural / / / / 12/04/97 PASS GS 12/04/97 J•H
M.g'rA711 Poet/Beam Mechanical / / f / 12/04/97 PASS GS 12/04/97 J•H
MSTA713 Crawl ')ta.n / / / / 09/15/97 PASS TLP 09/17/97 J-H
MSTA717 PLM/Underfloor / / / / 12/04/97 PASS 03 12/04/97 J•H
.'gTA720 Mechanical Insp / / / / 12/04/97 See notes on framing for corrections. FAIL 0S 12/04/91 J•H
MSTA710 Mechanical Insp 12/10/97 / / 12/09/97 PASS G9 12/10/97 J+H
MSTA72. Plumb Top Out / / / / 12/04/97 No test on wants on fixtures or water. FAIL G9 12/04/97 .1•H
Tighten jet tub ground clamp.
MSTA722 Plumb Top Out 12/10/97 / / 12/09/97 PASS G9 12/10/97 J•H
MSTA723 Electrical Service / / / / 12/04/97 PASS G9 12/04/97 J•H
MSTA724 F.lecttical Rough In / / / 12/04/97 Spa framing n�teo. FAIL GS 12/04/97 J•H
MSTA725 Framing Insp / / / / 12/04/97 Framing a Mechanical Rough Notes: FAIL 09 12/04/97 JIH
1. Connect bath fan vents.
2. Tighten jet tub ground clamp.
3. Fireblock dining roan ceiling line.
4. Strap plates to glulam above living
room roiling.
5. No tent on waste on fixture or water.
S. Complet firaetop of mechanical chase
Ce upstairs.
7. Attic light over master bedroom.
> 8. Strap plate to beam by rear door.
I—
J
MSTA725 Framing Insp 12/10/97 / / 12/09/97 PASS GS 12/10/97 J•H
MSTA726 Shear Wall Insp / / / / 12/04/9' PASS 0S 12/04/3' J•H
J MSTA735 Gan Lite Insp / / / / 12/04/97 PASS G4 12/04/97 J•H
MSTA736 Gas Fireplace / / / / 12/04/97 PASS G9 12/05/97 GES
M9TA740 Insulation Insp / / / / 12/15/97 PASS GS 1 15/97 J•H
MSTA745 Gyp Board Inap / / / / 0)/05/98 PASS GS 01/05/98 GES
MSTA755 Rain drain Insp / ! / / 69/;,/97 PASS T1.P 09/17/97 J•H
MSTA760 Water Line Inep / / / / 09/15/97 PASS TLV 09/17/97 J•H
MSTA765 Appr/Sdwl.k Inep / / / / ^.2/25/99 PASS MH C2/25/98 J•H
Page No. 2 CARS HISTORY FOR M99 NO.: MST97-0317
RENAISSANCE CUSTOM HOMES
1.3843 SW 124TH AVE
05/12/98
Action Description Req/ Schd/ End/ Action Notes Diap By Update Upd
Code Sent Done Dons,. Date By
------- -------------------------------- -------- -------- -------- --------------------------------------- ---- --- -------- ---
MSTA790 Electrical Final / / / / 04/17/98 Label bottom breakor in panel. PASS GS 04/19/98 J-H
MS."A795 Mechanical Final / / / / 04/17/98 PASS GS 0/19/98 J*H
MSTA-97 Plumb Final / / / / 04/17/98 PASS GS O./19/98 J•H
MSTA799 Building Final / / / / 04/17/98 PASS GS 04/19/98 J*H
MSTA96C (F) Issue Cert. of Occupancy / / / / 04/17/99 mailed 5/12/98 MAIL JT 05/12/98 JT
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Page No. 1 CASE HISTORY FOR CASE NO.: SWR97-0304
PENAISLANCE CUSTOM HOMES
13843 SW 124TH AVE
05/12/98
Action Description Req/ Schd/ End/ Action Notea Disp By Update Upd
Code Sent Dote Done Date By
------- ----------- ------------------ -------- -------- -------- ------------ ----—--------—-----—-- ---- --- -'
SWRA003 Application received / / / / 07/30/97 RECD DRA 08/04/97 BON
SWRA008 Permit Created / / / / 08/04/97 PASS B 08/04/97 BON
SWPA032 DST volt-Review completed / / / / 09/02/97 PASS B 09/02/97 BON
SWRA070 Reauy to issue / / / / 09/02/97 PASS B 09/02/97 BON
SWRA080 (F) Issue permit / / / / 09/04/97 FASS B 09/04/97 BON
SWRA705 Sewer lnb,)ecticn 09/04/97 / / 09,'15/97 PASS TLP 09/17/97 J•H
SWRA720 Case Finaled / / / / 09/15/97 PASS TLP 09/17/97 J"H
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CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171
CERTIFICATE OF
OCCUPPNCY
V,ERMIT # . . . . . MST c)7 0317
DATE ISSbH: 04/17/98
PARCF.L: 2SJ03CC---1Z'4500
ITE ADDRESS. . . e 13843 SW 124TH AVE
USDIVISION. EAGLE POI1-.-rE ZOtiINOPP-4. 5 VII
i-,LOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . t020 JURTSDICTIONiTJC3
CLAS'S OF WORK. nNEW
TYPE* OF USE. . . -.SF
TYPE OF CONGIR-.bN
OCCUPANCY GRP. CR3
OCrUPANCNI LOAD:L
Remarks 9F - Path I
HENC41SSANCE CUSTOM 1-TOMES
1672 SW WILLAMETTE FA!-I.S DR
WES"r LININ OR 97063
Phone *,- 5ti-1-8000
Contractor:
RENAISSANCE DEVELOPMENT
1672 SW WILLAMETTE CALL!;; DR
WEST LINN Or. ')70(..,8
000499
I'Vils Certificate pt-arlt4 OCCUpAncy of the abo,.,ia t-efe-enced building ar pot-tion
tli�-rtpof and ---,onfirms that the building ho4i been invipected for- c,)mpliance wit`,
, he State of 01-�erjoy7 Specialty CO(JPS f0t- the qt'C-U;1, acctipancy, and use smdr,
,00,Lh the referenced permit was issued.
rr-Lz--D1-A1N['s 15pE(.'1'0R —m+"n1-.-/�1 QW17PECT I SUP;=RVIG0Vj
P4If.1' IN CONSPICUOUS PLACE
CITY 017 T'IGARD PLUMBING PERMIT
DEVELOPM ENT SERVICES PERMIT #. . ..
. . . . . . . : PILM97-04913
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 11/20/97
r'ARCEL: 2S103CC-04500
SITE ADDRESS. . . : i3843 SW 1.24TH AVE
SURD TVISION. . . . . EAGl_E POINTE ZONING: R-4. 5 PD
BLOCK.. . . . . . . . . . . LO'l . . . . . . . . . . . . . :0E,0 JURISDICTION: TIG
----------- ------------------------------------------------------------
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :EF WASHING MACH. . . . . . : 0 BACKFLOW P,REVNTRS. . : I
OCCUPANCY GRP. . :R-3) F1.._OOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . 0
STORIES. . . . . . . . : o WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURES------------- L.IUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUS/SHOWERS. . . : 0 SEWER LINE (ft) . . . 0
WAI-ER CLOSETS. : 0 WATER LINE (ft ) . . . 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Femar-ks : Install residential bar-1-:flow pr,eventi.on device
Owner-: FEES
RENAISSANCE CUSTOM HOMES type amount by date re(--,pt
1672 SW WILLAMETTE FALLS DR FIRMT $ 15. 00 JSD 11/18/97 97-301030
WEST LINN OR 97068 5PCT $ 0. 75 .TSD 11/1.8/97 97-301030
Phone # :
MOODY ENTERPRISE INC
1DO BOX 98
ESTACADA OR 97021"31 -------------------------------------
Phone #: $ 15. 75 TOTAL
Reg #. . : 000059
REQUIRED INSPECTIONS ---------
This permit is issued subject to the regulations contained in the RF'/Backflow Pr,ev
Tigard Municipal Code, State of fire. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
apprnyed plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for tore
than 180 days. ATTENTION: Oregon law requires you to follow rules
01 adopted by the Oregon Utility Notification Center. Those ruies are
— set forth in DAR 952-080I-0010 through OAR 992-809I-088e. You may
obtain copies of these rules c direct questions to OM by calling
1583)246-1987.
UJ
T s s i.i e d B y Permittee Signati.tt-e :
+4......f.......1.+++++++�....... ..........4...................4 4.++++..........4 4
Call 639-4175 by 7:00 p. m. for- an inspection needed the next tai-tsiness day
+-++4......4............1--F...................................4 ..................
;ITY OF TIGARD Plumbing Application Recd By—
'3125 SVV HALL BLVD. Commercial and Residential �jte Pec'd
IGARD, OR 97223 Date P.E._
(503) 639-4171 L� ��1 / Date to DST._____
Permit#
Print or Type �� Related SWP#
incomplete or illegible applications will not be accepted Called
Name of Deve'OPTIC,
p ent/Prolect On back indicate Work Performed by fixture.
Job q 4"Ir IC 1'4't '-X2 6, FIXTURES (IndlvldUL) QTY PRICE AMT
I Address Street A dd7ress Suite Sink 9.00
J S, 1- 12 Y14 Lavatory 9.00
I( Bldg# City/Slate Zip I Tub or Tub/Shower Comb. 9.00
`7722
�Naf Shower Only 9.00
/Lc1_6.'E' C't'C� A4t✓��'2 'i water Closet 9.00
Owner Meiling Address Suite Dishwasher g,00
/ 11C//e / ( Garbage Disposal 9.00
K/ty/" stat Zlp Phot e
("S-/ / N.v J`j�� "" Washing Machine 9.00
Name L ,' Floor Drain 2" 8.00
3" 9.00
Occupant M;fling Address Suite 4" 9.00
City/State Zip Phone Water Heati C conversion O like kind 9.00
Laundry Room Tray 9,00
41
Nan ,/9 /{ Unnal 9.00
(y (/1 -i"/� /Z.S f1 - i4�� r Other Fixtures(Specify) 9.00
Contractor MiI�g�A�ddre�a Suite 9.00
i J —
Prior to permit City/Satate l' Zi Phone —� 9.00
issuance,a copy '/f C rl c v 2 by l.-2 c�� 9.00
of all licenses are Ore g n Const.Cont Board Lic.# Exp gat / 9.00
req,ored if Sewer- 1st 100" 30.00
expired in COT Plumbing Lic # Ex .Date
database Sewer each additional 100' 25.00
Name -� Water Service-1st 10030.00
Arr-nitect Water Service-each additional 200' 2500
OI Mailing Addresa Suite Storm&Rain Drain-1st 100' 30.00
Storm&Rain Drain-each additional 100' 25.00
Engineer City/State Zip Phone Mobile Home Space 25.00
Commercial Back Flow Prevention Device or Anti- 25.00
Describe work New O Addition O Alteration O Repair O Pollution Device _
I to be done: Residential O Non-residential O Residential Backflow Prevention Device' 15.00
Additional descnphon of wo k: Any Trap or Waste Not Connected to _ xture 9.00
Catch Basin 9.00
Insp of Existing Plumbing 40.00-
- per/hr
Existing use of Specially Requested Inspections 40.00
building or property— per/hr
Rain Drain,single family dwelling 30 01
Proposed use of Grease Traps g p0
_ I hudding or property-� _
it —
1- -- QUANTITY TOTAL
I hereby acknowledge that I have read this application,that the information Isometric or nee diagram is required if Ouanity Total is >9
T given is correct,that I am the owner or authorized agent of the owner,and "SU6 TOTAL
I- that plans submitted i,n in compliance with Oregon State Laws. IC
Signature of gwner/Agent Date f3 5% SURCHARGE /-
t tL L_1 XUf 7 J -
:j PLAN REVIEW 25%OF SUBTOTAL
Contact Person Name Phone
W 9equued only I fi;dure qty.10131 Is 9
yf(• TOTAL �
'Minimum permit fee is S25 •5%surcharge,except Residential Backflow
Prevention Device,which is S15+5%surcharge
I idsts`pimor.W doc 5/97
R LE AS E Q0 M PETE.,.
—! Fixture Type Quantity by Work Performed
Capped ! Removed Moved Replaced
Sink _
Lavatory
Tub or Tub/Shower Combination _
Sholver Only
Water Closet - —
Dishwasher -----
Garbage Disposal _
Washing Machine
Floor Drain 2"
Water HeaterLaundry Room Room Tray —
Urinal
Other f=ixtures (Specify)
COMMENTS REGARDING ABOVE:
I ldfl-Vlmapp doc 5197
CIT OF TIGARD 11ASTE1 PF_RMIT
DEVELOPMENT SERVICES F,ERMIT #. . . . . . . : 4ST97-0317
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: Q9/04/97
PARCEL_.: `S 103CC-04500
SITE ADDRESS. . . : 13843 Std 124TH AVE
SUBDIVISION. . . . :EAGLE PO I NTL7 ZONING: R-4. 5 F•'D
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :00 JURISDICTION: TIG
Remarks: SF - Path 1
------_ -_------- - ------------------------------- BUILDINU', —_—_-------__---- _------ ------------------�—
REISSUE: STORIES.......: 2 FLOOR AREFS------------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED---- ---
CLASS OF WORK.:NEW HEIGHT........: 24 FIRST....: 1811 sf GARAGE.....: 640 sf LEFT..........: 9 SMOKE DETECTRS: Y
TYPE OF USE...:9F FLOOR LOAD....: 40 SECOND...: 975 sf FRONT.........: 20 PARKING SPACES: 2
TYPE OF CONST.:5N DWELLING UNI1S: i FINBSMENT: 0 sf RIGHT.........: 5
OCCUPANCY GRP.;n3 BDRM: 3 BATH: 3 TOTAL------: 2786 sf VALUE..$: 197698 REAR-........: 15
- - --------------------------------------- PLUMBiN6 ------------------------------------------------------
SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 100 TRAPS.......... 0
LAVATORIES....: 5 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB/SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: 0
OTHER FIXTURES: 0
------------------------------------------------------------ MEr gHICPL ------------------- ---- --------------------------
FUEL TYPES---------- FURN ( 100K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 C'_OTHES DRYERS: 1
GAS FURN )=100K ..: 1 UNIT HEAIERS..: 0 HOODS.........: 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WUODSTOVES....: 0 GAS OUTLETS...: 1
- - ------------------------------------------------------------ ELECTRICAL ------------------------------
—RESIDENTIAL
---------------------------—RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEM' SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 1 0 - 200 asp..: 0 6 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA APD"L 508SF.: 5 2PI - 400 asp..: 0 201 - 400 asp..: 0 lst W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIAITED ENERGY.: 0 401 - 600 asp..: 0 401 - 600 asp..: 0 EA ADDL BR RIR: 0 SIGNAL/PANEL....: 0 IN PLANT......: 0
MANE HM/SVC/FDA: 0 601 - 1000 asp.: 0 5014-amps-ION v: 0 MINOR LABEL -i0: 6
1000+ asp/volt.: 0 -------------------------------- PLAN REVIEW SECTION ----------------------------------
Reconnpct only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: 1 600 V NOMINAL: CLS AREA/SPC OCC:
-----------------------—---------------------------- ELECTRICAL - RESTRICTED ENERGY --- ------------ -------- -------------------------
A. SF RESIDENTIAL--------------------------- B. COMMERCIAL---------- - ------------------------------------------------------
AUiDIO 6 STEREO.: VACUUM SYSTEM..: AUDIO L STERFO.: FIRE ALARM.....: iNTERCC;M/PAGIN5: OUTDOOR LNDSC LT:
BURGLAR ALARM..: STH: :: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK..... ....: INSTRUMENTATION: MEDICAL........: OTHR:
HVAC...........: D4,TA/TELE COMM.: NURSE CALLS....: TOTAL A SYSTEMS: P
Ownir: ------------------------------------Contractor: ------------------- - ------ TOTAL FEES:$ 2826.10
RENAISSANCE CUSTOM HOMES RENAISSANCE DEVELOPMENT This permit is subject to the regulations contained in the
1672 SW WILLAMETTE FALLS DR 1672 SW WILLAMETTE FALLS DR Tigard Municipal Code, State of Ore. Specialty Codes and all
WEST LINN OR 97068 WEST LINN OR 97068 other applicable laws. All work will be done in accordance
with apl.. •ved plans. This permit will ex,p re if work is
Phone w: 557-8000 P one N: 557-8000 not started within 180 days of issuance, or if the work is
Reg C.: 00043 suspended for more than 130 days. ATTENTION: Oregon law
--------------------------------------------------------------------- requires you to follow rules adopted by the Oregon Utility
►�- Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-01-0080. You may obtain Copies of these rules or
n
direct questions to ODIC by calling (YJ)246-1987.
' --- --------- ----------------- ----------------------- REQUIRED TN!SPECTIONSi ---------------—------—---------------------------------
�• -
Erosion Contol Crar,l Drain Electrical Rough Gas Line Insp Water, Line Insp Plumb Final
Footing Insp PLM/Underfloor Framing Insp Lias Fireplace Water Servirp In Building Fir,al
Fnunddtion Insp Mechanical Insp Shear Wall Insp Insi-lation Insp Appr/fdwlk Insp
Pos`/Beam Struct Plumb Top Out Low Vo Rage Gyp Board Insp Electrical Final _
Post/Beam Meehan ElectrServi Fireplace Insp Rain drain Insp Mechanic nal
Iss'_ied By : ' -4�1 Pet-in ittee Signat t.we:
+++i-•Ft+-h-1-.....4....+f-tt. ....... ..- r....F•f....4-+tti-i'-t.f... t.....+. 4•t�4-.. -*+++
Call 639-4175 by 6:00 p. m. for an inspection needed the neat bms`i`M.es5 day
CIT°Y OF TIGARD
DEVELOPMENT SERVICES SEWER CONNECTION
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT
PERMIT #. . . . . . . : SWR97-0304
DATE ISSUED: 09/04/97
PARCEL: 2S1O3CC-04500
.SITE ADDRESS. . . : 11843 SW 14TH AVE
SUBDIVISION. . . . :EAGLE POINTE ZONING: R-4. 5 PD
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :O2O JURISDICTION: TIG
TENANT NAME. . . . . : RENAISSANCF DEVELOP'MEN'T
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUS14R IMPERV SURFACE: 0 sf
Remar-ks: SF — Path 1
Owner-: --------------------------------- --- FEES
kENAISSANCE CUSTOM HOMES type amo,.tnt by date r•ecpt
1 1672 SW WILLAMETTE FALLS DR GUN $ 290. 00 B 09/04/97 97-98926
WFST LIN14 OR 97068 PRMT $ 12,200. 00 B 09/04/97 97--298926
INSF' $ ,:,5. 1210 B 09/04/97 97-298926
Phone #: EROS $ 64. 00 B 09/04/97 97-298926
E:RPU $ X0. 80 B 09/04/97 97-298926
Contractor,. —_—____--._----___._----_—_-----__ERP'C $ 20. 80 B 09/04/97 97--298926
OWNER
Phone #: $ 263060 TOTAL
------- REQUIRED INSPECTIONS -------
This Applicant agrees to comply with al: the rules and regulations Sewer- Inspection _
of the Unifies' Sewage Agency. The permit expires 180 days froa _
the date i3sued. The total amount paid will be forfeited if the _
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral. _ —
ATTENTION: Oregon law rtquires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAA _
952-001-0010 through OAR 952-0001-0080. You may obtain copies of
these rules or direct questions to OX by calling (503)246-1987.
ISS
i_red b . '
y �W_jvo _ _u Permittee Signati.are :
I-
_J
f'++r+++++++.I--4-++++++++++++.+++++++++++++++++++++++++++'4'++++++++++++.+++++++++++++
Call 639--4175 by 6:00 p. in. for an inspection needed the next bi-tSiness day
.+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++*,-+++-F
IGARD Residential Building Permit Application R'ecdByck /0 /2
.♦1,N MALL BLVD. New Construction Additions or Alterations Date Recd 7 '7
IGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E. -
SC13-639-4171 date to DST . '-�
503-681-7297 Permit s 177 (��i1
Print or Type called Z- l' r,JM-
Incomplete or illegible applications will not be accepted
Name of Protect Name
Job
Address S+te Add, s Architect Mailing Address
Name s, / C+ty,StalgU�✓�y' Zio Phone
Owner Mailing Address Name f�
lritylstate Zi Phone Engineer Ma+IrngAddrejs
sT .0'ell ;;bcF /l//S ..5E
Name C+ Stale Zip P ons
General Describe wcrk Ne,N m /Addition O Alteration O Repair O
Contraztor Mailing Address to be done: j/
1 :%�/ i r f /2/_F . Additional Description of Work:
City,State Zip Pthane
%;�j' L,u:✓ r ',lr - ,(�� (if/�/Yl
Oregon Const.Cont. Board Lie N Exp.Cate,
Attach Copy of C.L����7 /I I /I /
Current COT Business Tax or Metro N gate , PROJECT
Licenses _Z:i( `� `/� VALUATION
Name
Mechanical 7X/ ��,, ,1l- � ;r�����,�, � NEW CONSTRUCTION ONLY:
Sub- Mailing Address Sq. Ft.H use: Sq. Ft. Garag
'ontractor /1'�5/ _S ,A9K ' _ rti
cityistate Zip Phq a Corner Lot YES N Flag Lot YES NO
�.r�✓k'.ri 114r c , ?� �'.'. .s/� (check rine) (che-k one)
Oregon Cont Cont- Board Lic,N Exp date Restricted Audio/Stereo y Burglar
rich copy or , 7 nto Energy System Alarm
Current COT Business Tax or Metro N . a Installation Garage Door HVAC
Licenses �� � S �*
Na
Opener y
'lurnbin „ (check all that Other
� 5 stem,
9 r_��%rii/,t"i✓ ,I�,(' r�6 apply)
Sub- Mailing Address Will the electncaI subcontractor wire for all ON01
.ontractor OS /'►rL��'L�l� !� restricted energy installations?
C,.X,State Zip Pgone Has the SuCdivislon PIP' recorded? N/A
�Cyt, _ •�;�'y��>
Oregon Const.Cont.Board Lie.N I Exp. Dpte Reissue of MST* Solar Compliance
Tach Copy of [':DC7 Cid -)3 _ I 0o y'
Current Plumbing L+c. I v I E D• _(Calculation Attached)
0- Licenses f' /< t hearbv acknowledge that I have read this application,that the
infer
COT Business Tax or Metra N E Oate given is Correct, that I am the owner or authorized
'
16— (,I , �Td: '.a owner, and that plans submitted are in compliance
Name +.I :.)(eyon State laws.
,,, SignaWP"
ner/A` Date
Electrical r%�'rl->` � .�f;'7r��'r�'ifX.l� 3c� 1'
J Sub- Mailing Address
� Contact Person e _, r hone#
4 'ontractor r� rJ>!ik" •aC �'r i% l•-�9•�•+ �.
J c+ j!jtd:e Zip Phone FOR OFFICE USE ONLY:
; CiC;r�v�, yi't y*; ! �,t Plat 0-. Map/TL*
CreLon CopsL Cant. Board Lie F: . 7 Q'} ;l ; _ Sm
tach Copy ,f L.,�S c !� Se<t)acks: Zone: solar..
Current E,ectncal Lie.N p_ D#%
�(�
Licenses Engineering Appr al: (� P! to 4 ,-oval:
tu T
COT Sus+neTax or Metro N Exp;0 N g PP
y i:ls pp.doc(dst) 1/97
Permit # Account Description Amoun 6MLEd, Bal. Due
` MST. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
ELC/ELR Permit (ELPRMT) a -7 )--
State
)--State Tax (TA() /,. --
Bldg: 3-3 �t u
Plumb:
Mech: .2, 2-
ELC/ELR:
Plan Check
MST: (BUPPLN) t/
PI,jmb: (PLMPLN)
Mech: (MECPLN) // z, t
_ Z0
CDC Review (LANDUS) •'J�'� .� r Zp
Sewer Connection (SWUSA) -10
Reimbursement District ( )
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) /,o 5-,71 /p sv, ✓
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Water Quality (WQUAL)
Water Quantity (1NQUANT) yU
F" Erosion Control Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Lil
Erosion Planck/COT (EROSN) V
Fire Life Safety (FL.S)
TOTALS: ��, .7:ZU(�,�7 V
i:%mpp.doc (dot 1l9T
r
Solar Balance Point Standard Worksheet
Address _
Sot A c:iiculstions: North-South dimension for the lot. Box A.
his dimension is determined by Finding the midpoint of the North lot line and drawing
an intersecsing line perpendicular to that point.
riM determine which property line is the North lot line. The North lot line is the line
•vrth the smailest angie prom a line drawn east-west and intersecting the northern most
point of the lot.
1
MW 1 "IAX WO'
N North-South
Dimension for lot:
,Measure the distance from the midpoint of the North lot line to the South lot line alon
the descibed line. - /
tfeet
N
<r�r.c+n�aou«aro
Boot P, calculations: Shade point height for Your residen-r- Qox 6:
1. Determine whedier measurements will be teased on the peak or eave of your Which describes
strucz,r+- Ilse orientadan of the ridge is also important your residency?
1a: If the roof line runs North-Scuth, measurements will �~ (drde osre)
be baste on the peak of the root, Id a 6-OT
1A :%1B 1C
1 b: if 7-.e roof line rums cast-West and the roar pitch is
i less ;.pan 5i 1?, me zuremencs will a '--ase---4 cn :.fie
ear A.
,..o,.o..U-4
1 If J-.e roof lire runs East-.Vest and the roof pitch is
Si 1? cr sie-per, measurements wiil be based on Gie
peak.
r
FBox S. continued Box 9:
,Measure change ;n elevation irom front property line to finished floor elevation. If
the lot slopes uo from the front !ot line to the foundation, the rigure is positive. If
the lot slopes down from the front lot line to the foundation, the figure is ne�g7tive. ---�—Q'—_ ft
3. Measure distance from finished floor elevation to the affected peakleave. + -� ft
4. if the roof line runs North-South, deduct three feet If the roof line runs East-West, 3 h
deduct nothing,
3. Subtract one foot for each foot or difference in elevation from the front property
line to the rea, .1-operty line, if the lot slopes up from the front to the rear. If the ,r f
[cc has no sic, -,or slopes up from the rear rr; the front, deduct nothing. '7
6. Total ngure for box f3:
h
B,uc G Distance to the shade reduction line. Box C. "a1
1. measure the distance from the North property line co the foundation near the ft 5
affected peak/eave-
2. measure the distance from the foundation to the affe o!d peak or eave. + ft f'
3. Total figure for box C_• ~% o ft Z I
a
A is most useful to draw a veracW rine to represent the mmxopriatst Spre b rrd in box wand a horizontal 6ne to repo eoent the
appropriate inlsre found in twx ti'. The inoese on of the vertioJ and horixorwW tares deo m roes the value found in box'iY.The value
;n bat 'O'shouid be compared to the value in box'S";if the value in box'9'is les d}tan or equal to the value found in best'O'.thyro
:he buikGnj is as comaGance with the solar balance axle. if you have any queoicres.please anraa us at 639-4171,x304 or at the
Community Oeveknxrwnt Comeer.
_ MAMMUM PF.i OTTED SHADE ROAR HUGHT(la Feet)
eisarrc•to Nord"OL dt IatARwAs n an feed
made 100+ 95 90 as so Pri 70 63 60 33 30 4S 40
reduction Gne i
from ncVn!:.-m
for One rfn fe-_n
TO '40 +0 40 It 12 A 44
6� :38 38 38 39 a0 4 42 43
50 .16 36 36 37 38 3 40 Al 12
>; :N 34 3-- 35 36 3. 38 39 10 41
:12 32 32 33 34 3 26 37 23 39 40
=3 30 30 30 31 32 3 34 35 36 37 38 39
=0 :3 :3 23 :9 30 32 33 34 35 36 37 33
a :'S 25 '-5 27 2 - 30 31 32 33 3.4 35 36
:0 24 24 24 :5 2f 27 25 :9 30 31 32 33 34
v, :3 22 1-1 22 :3 24 :5 :7 :5 :9 30 31 32
-7 M :0 :0 21 Z? 24 Z5 26 2: 28 29 30
.3 19 18 18 19 _0 21 2-1 23 24 25 26 27 :5
:c
'0 16 16 16 17 13 19 1-0 21 '-2 23 24 '_5 25
LU 3 14 14 14 15 16 17 18 19 :0 21 L 2.3 24
J
Box D. ,Maximum ailowed shade ;joint height: � +fes feet
'� `d[XSNrKi'a!�^'M7tl�til L'ft1
K�
05 7, a
w ' I SU-5VEYORS,WILL Pi;I
150 V/ W J FOUNDATION CORNERS AVD PROTIDE
ul
V SUBSEQUENT MORTGAGE SURVEY.
.rs.0a
1 0 key
CRC°i'0i I r!CNT;-.CL!
,==,OViDE a MAINTAIN 6"(min)THICK
CnAVEL PAD 8 DRIVE UNTIL PE;;,',ANENT
CONC TETE DRIVE iF;I °LACE.
n 1 zp y�~ J 2.PROVIDE a MAINTAIN SOIL SEDIMENT
/ g FENCE AS INDICATED.
15 5 o i 8 4N
20tj
? � N
F
VSscr_
CL
J )�� SCALE DRAWING LOT 20 EAGLE POINTE
7�•R S.w. 1 4 SEC. 3, S.E. 1 4 SEC. 4, &
N.W. 1/4 SEC. 10,T.2S,R.1W, W.M•
CITY OF TIGARD II
LU
COUNTY, OREGON Q
�� JULY 1, 1997 Centerline Cot icep tS roc•
G CHECKED BY: WGD111
DRAWN BY: MS
SCALE 1"=20' ACCOUNT 115 640 82nd Drive Gladstone, ')regofr 9702'
--AN EIGHT FOOT PUBLIC UT1U1Y EASEMENT 503 650-0188 fax 503 650-0189
SHALL EXIST ALONG ALL STREET FRONTAGE. M: MU PLAT EAGLEPO L20EP _