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Use Ave TEMPLATF 5366Tm 1-800-G0-AVERY
CITY OF T I G A R D MASTER PERMIT
DEVELOPMENT SERVICES DATE IS UIED: 9/E 19930458
13125 SW Hall Blvd.,Tigard, OR 97223 503-639-4171 PARCEL: 1S134A0-03900
SITE ADDRESS- 10795 SW MARY PL ZONING: R-4.5
SUBDIVISION: HART'S LANDING LOT: 010 JURISDICTION: TIG
Project Description: PATH I
BUILDING
REISSUE: v STORIES: 2 FLOOR AREAS REOUIRED SETBACKS REQUIRED
CLASS OF V4 1RK- NFW HEIGHT: 28 FIRST: 1.244 of BASEMENT: 0 of LEFT: 5 SMOKE DETECTons: Y
TYPE OF USE: sr FLOOR LOAD: 40 SECOND: 1.301 al GARAGE: 528 of FRONT: 20 PARKING SPACES: 1
TYPE OF CONST' 5N DWELLING UNITS: 1 THRp: 0 of RIGHT: 5
,
OCCUPANCY GRP: H? BDRM; 3 BATH: 3 TOTAL: 2,925 VALUE: 130254 00 a1 REAR: 40
-_ PLUMBING Y�
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TnAYS: 1 RAIN DRAIN: 0 TRAPS: 0
LAVATORIES: 5 DISHWASHERS: i FLOOR DRAINS: 0 SEWER LINES: 0 SF RAIN DRAINS: 1 CATCH BASINS: 0
TUSISHOWEns: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 0 GREASE TRAPS: 0
OTHER FIXTURES: 0
MECHANICAL
FUEL TYPES FURN<t00K: n BOIL/CMP<3HP: 0 VENT FANS: 4 CLOTHES DRYER: 1
LGA FURN>-100K: 1 UNIT HEATERS: 0 HOODS: 1 OTHER UNITS: 1
MAX INP: 0 ht" FLOOR FURNANCES: 0 VENTS: 0 WOODSTnvEs: 0 GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICe.-Ecnrp TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 0 0 - 200 amp: 0 0 200 amp: 0 WA1VC OR FDR: a PIIMPARRIGATION: 0 PER INSPECTION: 0
FA ADD'L A00SF: n 201 400 amp: 0 201 -400 amp: 0 tat Wo SVOropt: a SIGNIOUT LIN LT: 0 PER HOUR: 0
LIMITED ENERGY: 0 401 - 000 amp: 0 401 -000 amp: 0 EA ADDL BR CIR: a SIGNALIPANEL' 0 IN PLANT: 0
MANU HMISCCIFDR: 0 001 - 1000 amp: 0 0014ampn1000w 0 MINOR LABEL: 0
1000--amplvolt: 0
PLAN Rk`VIEW SECTION
P.econnacl only: 0 ---
»4 RES UNITS: SVC/FDR-225 A.! >000 V NOMINAL.: CLS AREAISPC OCC:
ELECTRICAL-RESTRICTED ENERGY
A.SF RESIDENTIAL S.COMMERCIAL
AUDIO 6 STEREO: VACUUM SYSTEM: AUDIO IL STEREO: FIRE ALARM: INTE^COMIPAGING- OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL•
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS: 0
This permit Is subject to the regulations contained in the
Owner: Contractor: Tigard Municipal Code,State of OR.Specialty Codes
RENAISSANCE DEVELOPMENT and all other applicable laws. All work will be done In
1672 SW WILLAMETTE FAILS DR accordance with approved plans. This permit will expire
WEST LINN,OR 97068 if work is not started within 180 days of Issuance,or if the
work is suspended for more than 180 days.
ATPFNTION. Oregon law requires you to follow rules
4. Phone: FRAW&PLUMBING adopted by the Oregon Utditv Notification Center. Those
12 10326 SE HOLGATE BLVD rules are set forth in OAR 952-001-0010 through
I-AND, OR 97266-0000 952-001-0080. You may obtain copies of these rules or
H
94V direct questions to OUNC by calling 503-246-6699 or
TOTAL FEES: E 3,396.99 1-BOG-332-2344
_ E��Q-_JRI_r rlI11JR�V Y[WJT MD REPORTS
13651 SE AMBLER RD
CLACKAMAS,OR 97015
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Issued By : Permittee Signature
Call 503-639-4175 by 7:00 a.m.for an Inspection that business day.
This permit card shall be kept In a conspicuous placs on the job site until completion of the project.
Approved plans are required on the job site at the time of each Inspection.
AVMV-09-009-9 3raM~sl SPD
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CITYOF TIOARD SEWER CONNECTION PcRMIT
DEVELOPMENT SERVICES PERMIT#: SWR93-00392
13128 SW Hall Blvd.,Tigard, OR 97223 503-6394171 DATE ISSUED: 9/6/1993
PARCEL: 1 S 134AC-03900
SITE ADDRESS: 10795 SW MARY PL ZONING: R-4.5
SUBDIVISION: IIART'S L,ANUIM; LOT: 010 JURISDICTION: TIG
Project Description: PATH I
TENANT NAME:
CWS NO: FIXTURE UNITS: 0
CLASS OF WORK: NEW DWELLING UNITS: 1.0
TYPE OF USE: SF NO. OF BUILDINGS: 1
INSTALL TYPE: BUSWR INiPERV SURFACE: 0
Owner: FEES
Description Date Amount
(C)SEWER CONNECT 9/6/1993 $2,200.00
(C)INSPECTION FEE 9/6/1993 $35.00
Phone: Total $2,235.00
Contractor:
REQUIRED ITEMS AND REPORTS
Phone:
Reg#:
This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180
days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee
2 the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3
0 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 requires you to follow rules adopted by the Oreton Utility
3 Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies
0 of these rules or direct questions to OUNC by calling 503-246-6699 or 1-800-332-2344.
U
Issued by: Permittee Signature:
Call 503-639-4175 by 7:00 a.m.for an Inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plass are required on the job site at the time of each Inspection.
CITY OF TIGARD
BUILDING DIVISION • � PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Plone: (503) 639-4171
Inspection Requests (2.4 Hrs.): (503) 639-4175 M) Q
INSPECTION WORKSHEET FOR DATE:'5-- -3'v 5 TIME. r . tJ�/)4 PAGE:
SITE ADDRESS: / I`�r% J �A r� PL' CLASS OF WORK:
SUBDIVISION: LOT R: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: SV GLI1►1re IC2 PHONE #: j03 lG - 9V33
CONTRACTOR: r� water
PHONE #:
Inspection Request Scheduled For: Date: 5-?j -�js Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections/Comments/Instructions:
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ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1 �
Inspector: __-_ _._,_y Date: V7/—d Phone * (503) 718- _