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15368 SW MAZAMA PLACE
aovid VWVZVW ME 99£ST i w U a n, ti a � � N co 3 m co U W tn I 15368 3W MAZAMA PL CITY OF TIGARD F, T 17 'Rllr�N . Prpml A� DEVELOPMENT SERVICES InrFM 13125 SW Hell Blvd., l7gord,OR 97223 (503)6394171 T1 JP f 51)T 11)f7I` .—lli and or add'I cirrnii� Ir 1'r !r, r--v'l,/rr-rr.)rpv....... T F". 7 01! 17, IiI 'lit0 o r-',!T Q P f rl P 111 . . 17"'1" 0 5MISIMUT 1,TW- I 'T'S, TIT GNP. ). 114F-I, - ;lf- r 1'.rL r-*,.71 i -I. rA 1711?, „!,1 +•c' MTNCiR I PliFl- ( 10) , r-T) pnril,irli rTt?17) lTTc, . . —IlDT)" TNc.;PFf,TT0N- 171 ]J F"P V T 7 t:7- (I r Ff-F-T)F-P Pf-R TPI SPErTTON. . mill' cwlrf- r,p r-rr .1 !7.1-P 1.117P M I rl 1', i j:k r*nk; 1-1 r T Pr. i 7 NN ANT, I1- .n, , ()NJ pl-,I'l T MJ nT'(7TTrlN--- r,00 V'll T NnWAWli . . - AFlFo /rrT--*f-, n(7(7, - 00 1 M4/I,717;!'17 rT 04 /07/"a7 ta 'rnrlll r 4,1 qf,ry i r F-.j scr-i 31 17I it c 00 ?11 pl�,pr � :F y��u rr L«pr'n�i T'}r' MC"h . G,��, L,_. pi v Y n o') lfl(.l 41-1!, T)A7 r7 U.1 DW Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # ELL g7-07.02Z. Date Issued Phone (503) 639-4171 CITY OF TIOARD FAX (503) 684-7297 TDD No. (503) 684-2772 Inspection (:503) 639-4175 1. Job .Address: 4. Complete Fee Schedule Below: Name of Development Numbor of Inspections per permit allowed Address 15 3 D S t-:� t Service included Items Cost(ea) SUM, City/State/Zip. 4a. Residential -per unit 1000 sq ft or les, $11000 _ 4 Name (or name of business) Lau.rr�, Ctiotmok i=achadditional 500sq or � portion thereof _ $2500 _ Commercial ❑ Residential EJ--- Limited Energy $2500 1 Each Manurd Horne or Modular Dwelling Service or Feeder $99 00 2 2a. Contractor installation onl _ 4b. Services or Feeders yl/I� I/, 1. - Installation, or lose or relocation — Electrical Contractor ,_ 1 /T_0� G t s- 200 amps or bsa !90.00 2 Address l mO S C-D_- 4ri2 201 amps to 400 amps $90.00 2 401 amps to 900 erns $120 00 2 City. _ State 0_-e— Zip--r/ZZ2 3 not amps to 1000 amps $190.00 2 Phone No. f7l rru— Over 1r100 amps or volts — — $34000 _ 2 Job NO. S 12 y Reconnect only $5000 2 contracts license NO. 319- YGS 4c, Temporary Services or Feeders Contractor's Board Reg. NO._ I L/ — Installation,alteration,or relocation Signature of SUDr. Elec'n_ _ 200 amps or leas __ z License No. 3 O one No. 201 201 amps to 400 amps s50.00 2 401 amps to 900 amps $75.00 Over 600 amps to 1000 volts $10000 — 2b. For owner installations: see"b"above 4d. Branch Circuits Print Owner's Name New,alteration or extension per pane Address a)The fee for branch circuits with City_ State Zip purchase of service or feeder foe. $5.00140",/ 2 Each branch circuit Phone No. b)The fee for branch circuits without The installation is being made on property I own which is purchase of service or feeder ire. 00 2 First additional nalcfrbranch __� $Woo 2 not intended for sale, lease Or rent. Each addltlonel branch circuli $s.00 Owner's Signature _ _ 4e. Miscel'sneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or Irrigation circle $40.00 _ 2 Each sign or outline fighting S4000 Signal circuffs)or it limited energy 2 Please check appropriate Item and enter fee in section 5B. panel,alteration or extension $4000 4. 4 or more residential units in one structure Mlnnr Labels(10) _— $100.00 Senfire and feeder 225 amps or more System over 600 volts nominal 4f. Each additional Inspection over N Classified area or structure containing special occupancy the allowable In any of the above as described in NEC Chapter 5 Per Inspection $35.00 Per hour $5500 J In Plant $5500 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. Jr, Fees: ap W 5a. Fnter total of above fees $ 41) NOTICE 5%Surcharge (05 X total fees) $ j�- PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal S AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF 5b. Enter 25%of line A fur CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED A «s< ❑ Trust Account# E Balance Due $ are L� CITY OF TIGARD 11 0,4A T Nr; PrRM T'r DEVELOPMENT SERVICES rl*,-'L')h'T r t. . . . rit iylri,7 13125 SW Hall Blvd.,Tigard,OR 97223 1,503)639-4171 I. (11'.1 T 1,in p 11 Pilr KF-InW PRF�P-ITW� Q. P A 7�T Nic' ::ITY OF TIGARD Plumbing Application Recd Bit �— '312S SW HALL BLVD. Commercial and Residential Di1s Recd '1GARD, OR 97223 Date to P E _ 503) 639-t171 Date to DST Pwlmrt t �M�G. Print or Type Related SWR a Incomplete or illegible applications will not be accepted Called Name 3t CeveioomenuProlect FIXTURES �Indlvidual) QTY PRICE AMT Job r 6 L cam: , sink goo Address :eel Address S11i1Q'— Lavatory goo i ruo or rubr5hawer Cam---------- 900 �Ltq s �,tyrSlate Zip 'Shower tiny � 9 00 vvater Cloiet Name 9.00 I (A - Dishwasher —T-35 Owner hfailing Address Suite Garoage Disposal goo r c I Washing Machine 900 C,tyrState �;o Pho,a Floor Crain 2- 1(:/tt2 900 Name 3 900 i KAIRT-Al _ 900 V Occupant %fading Address Suite Water Heater 9 00 � ")6'. ` Laundry Room Tray C. istate 9.00 _fy Zip Phone Urinal ---- -- C ' L t 9.00 Name Cther Fixtures(Soeufy) 9.00 / 9.00 Contractor Mai Or�t�' Suite g 00 Pnor to issuance C. IS to Phone — 9 00 applic-int must 9.00 Drovitia all Orego Cam.Boars Lic s Exp Date 9.00 I cponsantrarors license Plumbing Lc.09.00 nformation p Date Sewer•Ist 100' 30.00 ,or COT COT 9usiness Tax or Metros Exp Date Sewer•e"ch ad di8onal too' 25.00 database) Water Service.1st 100' 30.00 i Name 'rater Service•aacn additional.00' .30 Architect Stone A Ram Drain-1st t00' 252500 of Marling Address Suite Storm 6 Rain Oram-each additional 100• 25.00 _ MoWle Home Space 25 00 Engineer tYBtate Phone Zio I Commercial Bout Flow Prevention rA.00 orAnb• zs.oa Pollution Device 7escrbe.vorx New _' Acadian C Alteration• Re;au aesidenhai Back.lcw a everruon:!eviCe' 75 00 o ce !one Residential 0 Nan-residential J any trap ar was;!Nct Conneeed to a Fixture -catronal cesrnonon of wcrfl '--"~ I 1 9 00 Iu tt1L WEfz FRC,Y: AGI"l�,E To READ Catch 3asin — I 9(,0 a_ rasp,or Existing r umding 40.00 a perrhr F" 'ris::rq use it Sbecwty Requested Inspections j 40.00 udC:r.g or oruoerty ` oer.'hr H — Rain Crain. srngie family dwelling ( X35 ''-osed use of J LGresse Traps "`�9 00 --- m S or praoerty _ ( If (� QUANTITY TOTAL j W Are .ou caaoing moving or reolacmg any fixtures �!s Nof� r x�fer 1, ram s eeuard t :uanrty Teats >9 _j .If yes see back of form) 'SUBTOTAL '!reov acknow edge that 'cave read:his application,that the infochation s correct ;hat I am•t•e owner or autronzed agent of'ne owner and 5:1.SURCHARGE I /i 'at dans submitted are - :;,moll nce with Ore n Slate Laws. 1 �,gnature of Owns, Age ` to PLAN REVIEW 25!16 OF SUBTOTAL t- _ s TOTAL ! ) '�ct Prson ir P one ` Minimum permit fee is 325 55'.b surcharge.except Residential 8acetlow Prevention Device.wnlcn is SIS-5%surcharge :'Csq'.almapo doc 3/0.8 CEASE COMPLETE AS APPROPRIATE TO PROJECT: Fixtures to be capped, moved or replac ;d , '"lw Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher — Garbage Disposal Washing Machine _ � Floor Drain 2" - --- 3„ -- Water Heater Laundry Room Tray Urinal — _ Other Fixtures (Specify) I I I :OMMENTS REGARDING ABOVE: CL — a m w J -- CITY OF TIGARD BUILDING INJECTION NOTICE Inspection Line: 6394175 Business Phone: 639-4171 Footing Rain Drain Cover/Service INAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mech. Shear/Sheath Framing �5-Elec PIbg.Und/Flr/Slab Plbg. Top Out Insulation Post/Beam Struct. Mech. Rough-in Gyp, Bd. -Bldg. San. newer Gas Line Appr/Sdwik Reins. Other i Date: A M. )'k—P.M. Entry: Address: Tenant: St : MST: Con/Own BLIP. MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: --- Inspec _ Dater I%.. P ED DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FI Foundation Watcr Line Ceiling . I Post/Beam Mech. Shear/Sheath Framing -Me Plbg.Und/Flr/Slab Plbg.Top Out Insulation elect. Post/Beam Struct. Mech. Rough-in Gyp, Bd. San. Sewer Gas Line Appr/Sdwlk Reins. Other: ------ _- �- - Date: A.M. —P.M. Entry: Address: � _�_ ._..� Tenant --- _-- __ -- _--__- e:__- MST: ��0 33_ BUP: Con/Own: MEC: ---- ------ PLM: _ ELC: _ THE FOLLOWING CORRECTIO S A REQUIRED R: In4slspect Da� PROVED -`DISAPPROVED/CALL FOR REINSP. CF CO PLUMBING CITY' OF TIGARD DATEI'ISSUED: 066/28I/966-0185 COMMUNITY DEVE.LOPMENT DEPARTMENT 13126 SW Hall Blvd.Tigard,Orogon 97223.8199 (603)639-4171 PARCEL: 2S 1 10DP V-,3200 511 E ADDRESS. . . : 15368 SW MAZAMA PL SUBDIVISION. . . . : RENAISSANCE SUMMIT ZONING: R-3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :023 - CLASS OF WORK. . :ADD GAROAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : I OCCUPANCY CRP. . :R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES------------ - LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . . : 0 OTHER FIX-CURES. . . . 0 TUB/SHOWERS. . . . : 0 SEWER LINE (ft) . . . : 0 WATER CLOSETS. . : 0 WATER LINE (ft ) . . . .- 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarl-(o : Installing a residetial backflow prevention device. Owner: ---------------------------------------------------------- FEES RENAISSANCE CUSTOM HOMES type amount by date recpt 1672 WILLAME:TT FALLS DR PRMT $ 15. 00 CJS 06/28/96 96-281104 5PCT $ 0. 75 CJS 06/28/96 96-281104 WEST LINN OR 97068 Phone #: Contractor: MOODY ENTERPRISE INC: F'O BOX 98 ESTACADA OR 97023 ------------------------------------.-.__ Phone #: $ 15. 75 TOTAL Reg #. . . 5973 ------- REUUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained in the RP/Backflow Prev Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection ^�! applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days, Permittee Signature: Call for inspection - 639---4175 CITY OF TCERTIFICATE OF OCCUPANCY PERMIT #. . . . . . . s MST95--033e► COMMU14ITY DEVELOPMENT DEPARTMENT DATE I GSUED s 04/08/96 13126 8W Hall Blvd,Tlpard,Oregon 97223.8199 (603)630-4171 PARCEL: eSl1ODA-03200 15,364-3 --W MAZraMA PL SUM VI ION`. . a' RENAISSANCE SUMMIT ZONINGsR.-3. 3 BLOCK. . . , � . . . .,. t LOT. . . . . . . . . . . . . 1023 — _______________________._-------------------------- (.-.LASS O WORK. sN-W TYPE, OF USE. . . s SF 22 OPPUPANCY DR', Nlo OCCUF,'AN,CY, LnAV,�A, i , . , , , It Romarkst PATH .I 0"lilFrs ----------------------------------- RENAISSANCE CUSTOM HOMES 1672 WILLAMETT FALLS DR WEST LINN Phone #s C:ontrarctort --•--_-_____-_.---_-.------_--_-.. 'ZENA I SANCE CUSTOM HOMES INC 1672 SW WILLAMETTE: FALLS DR WEST LINN OR 97066 1"Ihone #: P e g #. . : 97599 [hips Certificate grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codel-k for the group, occupancy, and se under !,)hich e referenced it was 1a40 U DING INSPnEC OR BUILDING OFFICIAL POST IN CONSPICUOUS PLACE a. a rn w J C17YT MASTER PERMIT OF IGARD r,!r.PMTT 11;. . . . . .. . : MST15-03317 COMMUNITY DEVELOPMENT DEPARTMENT L)VTE ISSWEI)i 09/12/9*5 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)K,94171 PARCEL: 125110D0 -03P@Q`1 J V,V T V 7 T MI. Rt:NAI^MANCr SUMMIT ZONING: R-3. 5 LOT. . . . . . . . . . . . . 0,-:'3 SUILDING bra SA!7CMCNT. . . . . . . . tO CWIT.I.-ING UNTTS- 1 %f 7'Q Or- W(1R1l-". :NEW S1:DRMS:3 BOTHS:3 GARAGE.. . . . . . . . . . $736 S f rr* JSc. :13F r1_0011 QCnLJTRED Yr-,E C!F.* CONST. •2"N r-IRST. . : 1713 sf L.ErT. . :5 ft RIGH , . :5 ft ,c1jr1nNIcy E-,Pr,, - R27 SEr.OND. . . :9013. f rPONT. :30 ft REAR. 'J') ft 'Or,T ES. . . . . . . :2 FINBSMENT:O s REOLII RED----- =11 : 30 ft TOTAL ----- -,;x'71 1 S f SMOKE' DETECTORG. cY " .00^ LOAD. . . . .40 p-,f VALUE. . . . . $s 187_68 PARKING SPACES. . - .1 kt, , PATI I I PLUM BT(NO W.r. . . . . . .. . . I FLOOR DRAINS. . . . :0 DACI'rLOW PPEVNTAn. . 14 1VOTORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . 6 . . . . . . . . . . .0 lr'11t1>10WCRG. . I . . 3 LAUNDRY TRAY0. . . : 1 CnTr_14 SnSTNS. . . . . . . :0 CLOSETS. . -.3 SEWCR LINE (ft) . :O GREASE TRAPS. . . . . . :0 I VnT17P LINE (ft ) . : 100 OTHER rIXTURCS. . . . . :0 IPSOGI.- DTSP. - 1 RAIN DRAIN Ift ) . :0 I S1- RAIN DPPINr,. tl M70 :111NICAL rEES, '171_ 'r),or 53 UNIT IITW . Qh type amount by date rec-pt VrNT',' lb TIF 1 1590. 00 JSD 0Q/lc"'/95 95--2704c" "Y TIJ17UTtO V.T(,! VI. NIT AN7. . :4 !.'.43wM $ 150. 00 JSD 09/12/15 95 -270-6 'RN! C 100 ( . . :0 HOODS. . . . , . . I OWM t 100- 00 JSD 09/12'/95 95-2704,1_ ).vl,7K PT It 65 3. 00 J n- 1) 01 1`/ )5 97(4001)�)TOVr-.` 0 TAP -1 9rn r-Upt-1. CLO nRyEnr - I PrLC 4c4. 45 JOD 09/12/95 95- 2''754P o OTIU-; 11 U1`417- , I B!)Irr_ `°2. 6'17 j JT:-!) W) 1L/')'j ')~ 1^701, GAS OUTLETS: 1 PARK 51210. 00 JSn 09/12/95 93-271214, 4-5- 00 .ISD 01)/I2_/915 95-2_1 7 CI,i, I"SPNCE C t-IOME.'s MPLC 11. eFy JSiD 219112105 95-i'7 ql 4 2:- I1_nfj� 1� rr, MFPC f, 1Z Jrr09/I 2/95 t15 -2704 nDTVI $ 00 J S D 09/14_/9a 1)5-270A, T."N r!3r,c t. I I. *( `i Jril) OW 12/15 '?'5--27 411, F.RD S3 It 64. 00 JSD 09/12/95 95-2704 ERPC $ 2-0. 80 J S.)D 09/12/15 95--i7.7 0 `vi Fa CUrTC'(ll i-jC.Mr_"`- INC r-,' C RDC aq'. 130 JSD 09/12/95 Ibi--c71?14L,_ 7,7 !4 WTLLAM77T-,_. 71 111 IL Cr. 97061 rn WMO.. 41,--j TOTAL contained in the REWIRED INSPECTIONS Co Ades ud ail other Footing Insp Mechanical Insp rt ir, azcvdance with approved Foundation Insp Plumb Top Out -ri, Pi': rw;Oi e iF w:-4, s -ct 01.Jed within 180Wti Pro- ofing Dsm Framing Insp "a-) IN days, Post/Beam Struct Fireplace Insp rost/SI;eiim MechatGas Lainte xTnsp rAwAaiMechan 4plioar ),nn p5p +027- PLM/Und erfl cot- Rain drn Ji n I n s p C',--%I I for InspPctior 630 4t7c, CITY OF T SEWER CONNECTION PERMIT COMMUNITY DEVELOPMENT DEPARTMENT DATE 7 SUCD: 09/12/95" 9 SWR45-037E� 13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (603)6394171 DATE I y�U)`D: 09/12/95 PARCEL : 2S.i 10DA--03200 PID IVISION; . . . RrE Nf12r)ONCC S )MMJT 1/ ZONING: R--3. 5 •��V�. s + • • Y . • 1_01 . . • . . . • . . • • . . •�c..W "ENAN r Nr_)ME+ • » . . . (Jon NO. . . . . . . . . . s FIXTURE UNITS. . . : 01" WORK. " . :PdCW DWELLING LJN I T73. . : 1 ,'CE' or usr. . . . . :rf'NO. OF BUILDINGS: l ''17Tr!._L. TYPE. , . . : StY-3 A1C? J MPERV SURF'AC'E. . : ; !a f m,v-k! c PATHS I nee. —_.. _ __. _._ .-__._..._.__.._____..__-_..__.._._.____ »._ 4 ____.__._ _..._._ ._.._ ...., .,_...__......._ ... . • -G S _Nt')T.''A1- N%C CUSTul�" HOMCS type amount by (date i,ee�pt: 7�7'L7* WILLAMETT FALLS DR PRMT t 2200. 00 JSD 09/18/95 95-270422 INSF $ 35. 00 JSD 09/12/15 95•-8704:E T L T.NN cr n e tt: -,(vrRArTOR NnT ON FILE-" 2235. 00 TOTAL REr'` I I RED INSPECT I ONS App.icant aW-ees tc cosply Kith all the rules and regulations Sewer Inspect ion __ ____� �_•_. t4 Unified Sewage Agency, The permit expires 181 days free date issied. The total asoint paid Kill be forfeited if the nit expi -is, The Agency does not guarantee the iccurar.y of the 'e sewer laterals. If the setw is net located at the wteasurevent )aqv, the installer %hall prospects feet in all directions from �__�• ______ _._ __ ,___. ".s'ance given, If no! s. ;orated, t4 installer shall purchase a^� Side Sews 'i•.+i4 ^(' th Acency hill :-sIall a lm±e Call f(ar, inspection 639-4175 I �j 5 - P-16Lf7,v . n �4 Residential Building Permit ApRilcation City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: 15- 14 L-Lli) Y7"lll�,d,rr]� Subdivision Jr�a4a)aPCi, 6(jM li r Lot# _ �t� c 41/�I Pianck/Rec � Valuation: Z low Corner Lot? 7_Y -�" Permit# fy d 33 Cj © Flag Lot? Y lJ Reissue of Map &1'L vkla Z c,i Owner: t f)w�JwnCL L _-f';'1 rr kAnorova!�88�' Address: �(c�,`� � �I�Inrr Q_� �7 U • Planning `- . CeC � -4 Engineering _ Phone: Other Contractor: 1 Items Required Address: FbAe. Q(, Subcontractors LYl _ C1tL I��U)$ Truss Details Phone: LsC�.l SS�1-gOOn _ Other ' Contractor's License # Og7 s9 kv j s (attach copy of current Oregon license) Contact Name & Phone: d6i- arn SJ i ' IL Subcontractors: Archltect/Engineer:1!li s1Sd11 -- Plumbing: rdL(Xlpj _ Address: 1305 MU o i 6VL aJ—p Mechanical: T _ fQr}IQj'�d ��, !7a�9 (attach copy of current OP Contractor's License-i W Phpne: JOB DESCRIPTION: 6i Applic nt Signature & Phone number c� Received by: �`-1�/`- Date Received: N 1WORDICOMOMRF.SAPP vv Solar Balance Worksheet Address Box A calculations: North-South dimension for the lot. Box A: This dimension is d9tei rnined by finding the midpoint of the North lot line and drawing an intersecting line perpendicular to that ooint. Measure the distance from the midpoint of the North lot line to the South lot line along the described line. 19) + ft Box B calculations: Shads point neight from your structure. Box B: Determine whether measurements will be based on the peak or eave -3f your structure. The orientation of the ridge is also important. Which describes your lot? 1 a: If the roof line runs North-South, measurements will be based on the peak of the iCirele one) roof. (a)1b 1c 1b: If the roof line runs East-West and the roof pitch is less than 5/12, measurements will be based on the save. 1 c: If the roof line runs East-West and the roof pitch is 5'12 or steeper, measurements will be based on the peak. �II ft 2. Measure change in elevation from front property line to finished floor elevation. + G ft 3. Measure distance from finished floor elevation to the affected peak/eave. 4. If the roof lice runs North-South, deduct three feet. If the roof line runs East-West, deduct nothing. 5. Subtract one foot for each foot of difference in elevation from the front property �- Z- ft line to the rear property line, if the lot slopes up from the front to the rear. If the lot has no slope or slopes up from the rear to the front, deduct nothing. 6. Total figure for box B: I ft I i Box C. Distance to the shade reduction line. Box C: 1. Measure the distance from the North property line to the foundation. �� > _ ft 2. Measure the distance from the foundation to the affected peak or save. + LZ -> ft 3. Total figure for box C: _�� � � ft I JUL 9 3r o. yS�L o� �D• rF� c< . �i so. z , r Ir5- N O IZP OD s --EIGHT FOOT PUBLIC AND PRIVATE UTILITY EASEMENT ALONG ALL FRONT AND REAR LOT LINES SCALE DRAWING LOT 23 RENAISSANCE SUMMIT S.E.1 4 SEC.10 T.2S. R.1W.,W.M. CIN OF 11GARD WASHINGT4M COUNTY, OREGON l JULY 16 1995 Centerline Concepts Iric. DRAWN BY. TJP CHECKED BY: WGDIII 640 82nd Drive Gladstone, Oregon 97027 SCALE t !20 ACCOUNT 115 503 650-0188 rax 503 650-0189 nMN# .CITY OF TIGARD PEIT . . . . . . COMMUNITY DEVELOPMENT DEPARTMENT DATA' I55UED: 09/18/9n 13125 BW HaN Blvd.Tgnd,OreWm 072230199 (503)We-4171 PARCEL.- 2S i 10DA-03200 C (r�'()R� 'J i. . . i ,.it^F `'W h1ALf1MA f'(_ t,11::5nIV1a1ON. . . . : R("NO ISSANCF SUMMIT ZONINGS R--3. 5 LOT. . . . . . . . . . . . . 0023 ..._.. ... ...... ....__�.....�r.w_._r......,.r_.... .__.. .._.......... ....-... _._..._...__. ..._.rr._ _+....._.r._.r.�.w._.....W Vw�+�.r_ r__rrrrr.�.w..__. ..._. f".r:.. 01` 14'717"_ ,Nr-.t4 nRLtACC DISPOSALS— 1 TYr'r: or USIA. . . . i r, WA.z;,HTNG MvIC14. . . . . . . .. 1 SACKrLOW PRCVNTRS. . :4 OCf UrA!,V:I/ [Cr(`'. ., :R. r(_OOrt DRAINS. . . . . . . :0 TrAp+a. . . . . . . . . . . . . . :Qt GY(�RIES. . . . . . . . .2 WATER HCATERS. . . . . . ; I CATCH RA5INS. . . . . . . :0 rrx1•,,R'-'.:, e_ l..pl_NDRY TRAYS. . . . . . . . i r.�rRAIN DRAINS. t [;IN1'IS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :P L ,')VO T Cl r2I1_7�. . . . . : 4 0T11r,1 rIXTLJ'RCS. . . . . :0 TUB/S140WEPS. . . . - SEWER LINE (ft) . . . . tO WnTCR CLQ^CTr. . :7, WATrR 1.-INE (ft ) . . . . .. 100 GISh1WA$Hrr s. . . . . 1 RAIN DRAIN (ft). . . . &0 rl?mart,<. : PATH I OWN!-R: Rr-.NOI S`=,ANCE C1!STr3M H'1MES' TIF $ 1590. 00 JSD 09/1 iZV905 95--27041:�,.. 1672 WILL_AMCTT FF1LJ_r DR SWM t 180. 00 JSD 09/1c''/95 95-2704 C"," SWM t 100. 001 JSD 09/12/'35 9r-2704, WCCT L_INN rIPPT $ 653. 00 JSD 09/12/95 95---27047 PPLC 1 4,''4. 45 J^D V+'3/12/95 15 2'704,-, B5PC t 32. 65 JSD 09/12/95 95-2704r r'l�.s Ihi� r t'nrp,.n, +.r r, IiMe PARK 4 -1J00- 00 J3D 09/12/95 95•-2704," MDPT 1 45. 00 JOD 09/1Sl95 95--s?7042Z hJamh &43%*V1.�ff 1Pww•I&0LqP MPLC t 11. 25 JSD 09/12/95 95--270+42L2, Addre' (6S7_4_, b 54r tLA•rlri"r_ _ _ M5PC t V. C.5 Jill 09/12/95 95-270422 C i is y :.. ov" CXf_ _�.. ?nTH 22K, O'A J50 0)/12/95 95. ;-''7042 2 'in"__ 9.72_6(m_.._...... *Z Lao jaww! ` P5PC" t II. 25 ...,, 09/I /95 95--27041-r'2 '1791.4-_. 3-1.:F4 rb ._. 131' -_ Ariclitional fees not shown hare. . . . . . . . . _........---- PCOUiRED INSPECTIONS _______ t i .- iF 1,ae;. ti,..iLjt .A t „ the i-og .1144 - ianr c or,tair,nd in the Tigard Municipal Footing Insp Gas Line Insp - � y 7t;,.l:e , f (Ire. 5perialt y Codes and all r-oundation Insp Insul,�t, ion Tnsr 7thr±- 'App i ; .t' ' e la�tr . All wort: will be done Wtr Proofing flim Gyp Board Insp in 07Cr-.1 RPIDr-O" ,d plans. This Post/Vey m Str•uct Rain drain I' N)ermit r; : l ' expire if work is not started Frost/Peam Mechan Wetter Line In=_p 4:'-,ir 1.P' 1} 1� of ieC1tanr_er or• if work ie r'ost/ileam Mechan Water Line Insl:� 4. :pEIrided for mare thy, , i ,10 day%. Crawl Drain Water Service In PLM/Under floor Wate:. Service In N Mechanical Insp Appr/rdwlk Insp Pll.imb Tap Out Mechanical r- T' �1 Framing Insp Plumb Final I•ir�Pplace Insp (1rJdit i.onal. . (� g Crntra�:trr aiynature J Call for inspection - 639--4175 ow ELECTRICAL PERMIT CITY OF TIGARD DATE l ISSUED: 11/27/95 COMMUINHTX DEVELOPMENT DEPARTMENT 13126 SW Hap Blvd.T19ard.0m9on 9722308199 (603)690-4171 PARCEL: 2S 1 10DA-03200 :SITE ADDRE5S. . . : 15368 SW MA'1_AMA 17,1- SUBDIVISION. . . . : 1_SUBDIVISION. . . . : RENAISSANCE SUMMIT ZONING.-R-3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :023 Project Description: Residential 3, 500 sq. ft. -------------- -- RESIDENTIAL UNIT---- SRVC/FEEDERS---- -----MISCELLANEOUS----- 1000 SF OR LESS. . . . : 1 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 5 201 - 400 amp. . . . . . . a 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . 3 0 ----SF_.RVICE/FEEDER-- - -- -----BRANCH CIRCUITS------ ---ADD' L INSPECTIONS--- 0 - 200 a+mp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 2101 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 C01 1000 amp. . . . . : 0 -__.._.__.__._____-_.._.__-F'L_AN REVIEW SECTION--__._-____-----__--_ 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC;/FDR > = ccs AMPS. . CLASS AREA/SPEC OCC. : Owner: ___.___._________._----.._-- ----___.__.-------._--------------- FEES GAGE ELECTRIC INC type amount by date recpt PO BOX 1429 PRMT $ 235. 00 TMP 11/='7/95 95-2731993 SPCT $ 11. 75 TMP 11/27/95 95-2731993 CLACKAMAS OR 97015 Phone #: 657- 0142 Contractor: --------.--------------------------.------ ----------.------------------ GAGE ELECTRIC INC $ 246. 1"') TOTAL PO BOX 14129 ------ REQUIRED INSPECTIONS ------ CLACKAMAS OR 9701.5 Ciiling Cover Elect' l Service Phone #; Wall Cover Elect' l Final This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of fh•e. Specialty Codes and all other Permittee Signature applicable laws. All work wi be done in accordance with approved plans. This permit will expire if work is not started /r, within 180 days of issuance. or if work is suspended for more CA1« than 180 days. Issued By __-.._OWNER INSTALLATION ONLY----------------------__--__.--_. the installation is being made on property I own which is not intended for d sale. lease. or rent. (')WNER' _ SIGNATURE_: ... _ __.. -- ._. DATE: N INSTALLATION ONLY------------------------------- SIGNATURE ---------------------__-.-----5IGNATURE OF SUP'R. ELEC' N: 77 DATE: //-_2 9- " c9 _7� W 1-.I CENSE NO: J -- __----__ _. __.....__._._ __._.___-___------ Call for inspecrtion - 639-4175 r Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # 9S'-,273191 Permit # Phone (503) 639-4171 Date Issued //- ,2,7-9! CITY OF TIOARD FAX (503) 684-7297 Issued by TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Address [$ 3 L It S w M♦mg,LA.A Service included: Items Cost(se) Sum City/State/Zip `4 ..w 4a• Residential-per unit •a 4 n 1000 sq N or less �_ $11000 111,Q i �] _ Name (or name of business) l'��A Each additional 5W portion thereof p n or o J 1 $2500 l 7►�S', Commercial❑ Residential[�]� EachLimitEns`°► 12500 Each Manul'd Home or Modular 2 Dwelling Service or Feeder SON 00 2a. Contrector Installation only: 4b.Services or Feeders Installation,alteration,or relocation 2 Electrical Contractor G.- --� � L �� Z►�, e, 200 amps or leas Seo no 2 Address h © :_ I Lk'1_ 201 amps to 400 amps "000 2 401 amps to 000 amps $12000 City( a_ u r. y State r9V -e Zip C�01„� 901 amps M 1000 amps i1e000 2 Phone No. G•.5'"2 —Q LI -7 Over 1000 amps or vclls $34000 2 Contractor's License No. 3 _ t-a-:g — c._ Reconnect only "000 Contractor's Board Reg. No. --A L j 4c.Temporary Services or Feeder �--� Installation,sheralmn,or relocation 2 Signature of Supr. Elec'n �l_l.�J�! 200 amps or lies 15000 2 201 amps to 400 amps $7500 2 License No.— G /Q— _� Phone No.-,(,-,5- > _to 1 L1 401 amps to 900 amps $too 00 Over am amps to 1000 Vohs 2b. For owner Installations: sse W above 4d.Branch Circuits Print Owner's Name New,alteration or extension per panty Address a)The fee for Manch arcude 11th purchase of ewyke or beater Asa. 2 City State ZIP _ Each Manch circuit $600 Phone No. b)The lee for Manch arcude without The installation is being made on property I own which is purchase orgy`s or 1iiidir Am. 2 First Manch arwd $3600 not intended 'or sale, lease or rent. Each additional Manch arwif 1600 Owner's Signature 4a.Mlscallaneous (Service or feeder not included) 2 3. Plan Review section (If required): Each pump or imine lig ting 140 00 2 Each spa or outline lighting $4000 Signal circud(s)or a limited energy 2 Please check appropriate Item and enter fes in section 5B. panel sheralion or extension 14000 4 or more residential units in one structure Minor Labels(10) 110000 Service a,d feeder 225 amps or more Q.Each additional inspection over, System over 600 molts nominal Classified area or structure containing special occupancy the allowable In any of the above as described in N E.C. Chapter 5 Per inspection 13500 Per hour 15500 In Plant $5500 Submit 2 sets of plans with application where any of the above apply. Not required for campo►ary construction services. 5. Fees: Sa. Enter total of above fees $ ^3�• V NOTICE 5%Surcharge(.05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b.Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ARANDONFD FOR Plan Review if required(Sec 3) $ _ A PERIOD OF 180 DAYS A r ANY TIME AFTER WORK IS Subtotal $ COMMENCED. ❑ Trust Account M $ Balance Due $ L NMdbdlld�NMM:'OT e�