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10537 SW LADY MARION DRIVE 1 I N 89'53'03' E 65.06' -�- �°! v a? 3 ,W W w N � O 0 O I) &LEI bt�ff co 15.50' b 0 0 5.0t r-- ,o ,o 200' 10.50' W i 7.00' _ V7 r � g z 22.00' o , bin 'on n 7.s7 50 .31' !Y4a ILE LIE- �. � SCALE 1" = 20' bw 65.00' N 89'58'34" W S. W. LADY MARION DRIVE . SCALE DRAWING LOT 36 ERICKSON HEIGHTS S.E. 1 /4 SEC. T.2S., R.1 W., W.M. �,5 ) 5vJ L� AAR>�pr,1 CITY OF TIGARD T• WASHINGTON COUNTY, OREGON -- A 2.5' LANDSCAPE EASEMENT SHALL EXIST ALONG NOVEMBER 9, 2.000 s. ALL STREET FRONTAGE AND A 7.5 FOOT PUBLIC UTILITY C m n ter! i n e Concepts Inc . EASEMENT SHALL EXIST BEHIND THE LANDSCAPE EASEMENT DRAWN BY: MSG CHECKED BY: WGDIII SCALE 1 "=20' ACCOUNT�� 115 640 82nd Drive Gladstone, Oregon 9704 7 --�-�-- ------ 503 650-0188 fax 503 650-0185 M: \MI_ILL36ERICK EMAIL WWW.CCIEMAILCHENIANEI'.COM NOTICE: IF THE PRINT OR TYPE ON ANY I � Ir � IIIL.II ili � ili , Ilrltl� iI ' ` ( � I III ( I �T fjT1 ( Il ( 1T1�fTT 11.� ` l � t 1-111111111111 Jill 1 � 11t1 ( `-1111111 ( ( tIIfII1 III � ( II 11 ( 1111 lI ( � f I I � I11J1 I � fII � I IIIlI-� I i � f-IIII IIIIiII 1111111 I I II I I I I I I I i IMAGE IS NOT AS CLEAR AS THIS NOTICE �. I 2 3 4 5 � 8 - 1U 11 1211 No.36 IT IS DUE TO THE QUALITY OF THE _ _ _ _ _ _ _ _ ORIGINAL DOCUMENT E 6 Z S Z L Z A Z Z t Z C Z Z T Z 09 6 T S T I L T 9 T 9 T P T E T -�T T T T 6 �? ^ L Liam ,' 1 I I it III Ill I II IIII II I II iII! IILI Illi Illi Ll. 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'.w�:. 0 W V cn C i r d t CL 3 v �I 10537 SW Lady Marion Drive CITY OF TIGARD BUILDING INSPECTION DIVISION MST7G I �IDCJI�Co 24-Hotrr Inspection Line: 639-4175 Business Line: 639-4171 r BUP _ _— Date Requested IL0 4 U AM _PM BLD Location lCY\f-✓ Suite MEC Contact Person - Ph PLM Contractor Ph SWR BUILDING Tenant/Owner _ _ ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN S13b Post& Beam - SIT Ext Sheath/Shear Int Sheath/Shear - Framing Insulation --� Drywall Nailing _G�cr Firewall `, / r — Fire Sprinkler 'G r ��_(�; �Cj , SPC<.� 4 /l -'e S <.. Fire Alarm Susp'd Ceiling Roof -- - L n Mise _ ,' ,� v > / lif'u Final — PASS. RT FAIL PLUMBING)— — Pnst&Beam — — "nder Slab Top Out / -- Water Service Sanitary Sewer -- — -- Rain Drains -It/ — P.S9 PART A NICAL _ — -- — —_ Post& Beam Rough In — Gas Line Smoke Dampers — — Final --------------- — -- - -- --------- PASS PART FAIL ELECTRICAL ------- -- -- ---- --- _-- Service Rough InIJ('/Slab I.ow Voltage — �— - Fire Alarm Final - — — PASS PART FAIL --- SITE Packfill/Grading -- --- -- - --_ -_ Sanitary Sewer Storm Drain ( ] Reinspection fee of$ —__required before next inspec.ion. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line f ]Please call for reinspection RE:_— —_—— ( ] Unable to inspect- no access ADA / Approach/Sidewalk ( �, 1 __- �/ V — - Other Date _ / Inspector_ .1 r L- �1r ✓�c Ext Final PASS FART _ FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 `— _ _ Date Requested �' AM _PM BUP BLD _ Location (v ) 3 ? :5 el', fi9er ham--= Suite MEC _ Contcct Person Ph f f— 5 1 Z PLM _ Contractor — Ph SWR — Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS _— Ftg Drain SGN Crawl Drain Inspection Notes: — Slab _ -- SIT _ Post&Beam Ext Sheath/Shear Int Sheath/Shear / Framing u-rr _�s i; lJ_tLt7'� Insulation Drywall Nailing ---_ Firewall Fire Sprinkler — Fire Alarm Susp'd Ceiling -- -- Roof Final PART FAIL — - -- PLUMBING _ Post& Beam — Under Slab Top Out Water Service Sanitary Sewer Rain Drains —_— Final PASS PART FAIL — Pos, & Beam ---- ----- --- `— — Rouch In Cas L;ne — — — — ---�— — Smc�e Dampers 15 ASS dR FAIL ELECTRI --�— — — — Service --- Rough In UG/Slab — Low Voltage Fire Alarm Final _- --- -- — — — — Final PASS PART FAIL -- — --SITE Backfill/Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of$—_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RE --._. [ ]Unable to inspect -no access ADA Approach/Sidewalk Date '51 fl Inspector Ext Other — — W -- Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job Ite. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST / BUP Date Requested_ `�" 2,, AM __PM BLD Location Z O ,5`-3 •, Sw �t��w Suite _ MEC — Contact Person Ph Z--- PLM Contractor Ph ovr'R _ _UILDING — Tenant/Owner _ ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slah _ Post& Beam ----- -- SIT Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation - - - - - ----- Drywall Nailing --- _ Firewall -- Fire Sprinkler -- Fire Alarm -- -- Susp'd Ceiling _— Roof -- ---- ----- ASSw PART FAIL PLUMBING Post& Beam -- -- —-- —�--_— _ Under Slab Top Out ---- ---- —- Water Service Sanitary Sewer ---- --- -----.— _ — —_ __.. ---- _. Rain Drains Final ----- - -- ------- -PASS PART PART FAIL Post& Beam ---- -------_._—_� —_---------__--- _______ Rough In Gas Line Smoke Dampers Fin — ------ — — -------- :SS PART FAIL ELECTRICAL --- :---� — - - --- --- _____ �'ervice Rough In --- --- -- ---- - - --- - -------- UG/Slab Low Voltage — -- ---Fire Alarm Final -- ---- --- ----- --- ----- __—_ PASS PART FAIL SITE - Backfill/Grading - -- — — San'tary Sewer Storm Drain [ ] Reinspection fee of$ _-_ required before next inspocticn. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( )Please call for reinspection RE:_ — _ — [ ]Unable to inspect-no access ADA Approach/Sidewalk l� Other late _ �`� �- �� Inspector- _ Ext Final — - PASS- PART FAIL 00 NOT REMOVE this inspection record fr.►m the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date ReglIueste 6 -./ � - (�J / AM PM BLD _ Location l__-��- `�.r t r _ Suite MEC Contact Person Ph 'r/- _ PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access-. Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes: — Slab -- _ —_ SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear -- Framing ---- Insulation Drywall Nailing Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling Roof �- Final PASS PART FAIL. —_---- PLUMBING Post& Beam -- — -- Under Slab Top Out -------- --------- -- - Water Service Sanitary Sewer -- — -------- -- — Rain Drains Final ------------- ------- -- -- ---- PASS PART FAIL MECHANICAL - — ---- -- Post& Beam - --- - ------ ---- Rough In Gas Line --- — ---- - -- -- Smok-:Dampers Final --- —_ — _------ _--- --- — — PASS____I3ART FAIL -ECT ------- --------- -- -- ---. -- Service Rough In __--- - -- — — - ------ - -------- UG/Slab I_ow Voltage -- ---- - -- -------- --— Fire rn PASS ART FAIL -_ — ----- —_-- _ -- T Backfill/Grading -----._--- - —----_--- -�� — Sanitary Sewer Storm Drain ( J Reinspection fee of$ — _ required before next i ection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line J Please call for reinspection RE: -- —_—__ -- Unable to inspect-no access ADA Approach/Sidewalk Date InspectorOther — Ext —_ Final PASS PART FAIL, DO NOT REMOVE this inspection record from the job site. CITY O F T I G A R D _ MASTER PERMIT PERMIT M MST2001-00006 DEVELOPMENT SERVICES DATE ISSUED: 02/01/2001 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 1339-4111 SITE ADDRESS: 10537 SW LADY MARION DR PARCEL: 2S110DA-07506 SUBDIVISION: ERICKSON HEIGHTS ZONING: R.3.5 BLO^.K: LOT: 036 JURISDICTION: TIG REMARKS: Construction of new single family detached residence, Path 1. BUILDING REISSU° STORIES: 2 FLOOR AREAS REQUIRED SETBACKS__ REQUIRED CLASS OF VQRK '+EW HEIGHT: 21 FIRST: 1 646 at BASEMENT: of LEFT* 5 SMOKE DETECTORS: Y TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1 907 of GARAGE: 711 of FRONT: �0 PARKING SPACES: TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: of RIGHT: 5 VALUE: 5349a++40 OCCUPANCY GRP: R3 BDRM: 4 BATH: 3 TOTAL: 3 453 00 of 3�3� 3C�3 r, 0- REAR: 57 _ PLUMBING SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAVATORIES 4 DISHWASHERS. 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS: TUBISHOWERS: 4 GARBAGE DISP: I WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTW i GREASE TRAPS. OTHER FIXTURES: MECHANICAL FUEL TYPES FURN<10OK: BOIL/CMP<OHP: VENT FANS: 5 CLOTHES DRYER: 1 ,;AS FURN>=100K: 1 UNIT HEATERS HOODS: 1 OTHER UNITS: 1 MAX INP blu FLOOR FURNANCES: VENTS: I WOODSTOVES: GAS OUTLETS: 1 ELEC-RICAL _RESIDENTIAL UNIT _ SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 200 amp. WISVC OR FDR: 1 PUMPIIRRIGATION: PER INSPECTION: EA ADD'L 5005F. 7 201 400 amp: 201 400 amp: 1st WIO SVC/FDR: nn SIGNIOUT LIN LT: PER HOUR: LIMITED ENERGY. 401 600 amp: 401 - 600 amo: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT: MANU HMISVC/FDR: 601 1000 amp: 601-amp4.1000v: MINOR LABEL.: 1000+amolvoll. PLAN REVIEW SECTION Reconnect only: >=4 RFS UNITS: SVCIFDR>=225 A.: +600 V NOMINAL CLS AREA/SPC OCC'. ELECTRICPL•RESTRICTED ENERGY _- A.SF RESIDENTIAL _ B.COMMERCIAL !AUDIO 8 STEREO. VACUUM SYSTEM: AUDIO&STEREO: FIRE At.ARM. INTERCOM/PAGING: OUTDOOR LNDSC LT, BURGLAR At-ARM: OTW BOILER: HVAC LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER CLOCK: INSTRUMENTATION: MEDICAL: OTHR: HVAC DATA/TELE COMM NURSE CALLS: TOTAL 0 SYSTEMS+ TOTAL FEES: $ 7,387.00 Owner Contractor: This permit Is subject to the regulations contained In the RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES Tigard Municipal Code, State of OR Specialty Codes and 1672 SW WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR all other applicable laws All work will be done in WEST LINN.OR 97068 WEST LINN,OR 97068 accordance with approved plans This permit will expire If work is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION Phone. Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those ules are set Rep N. i noaV44`s forth in OAR 952-001-0010 through 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 REQUIRF" :,gSPECTION Erosion Control Insp 8, Post/Beam Structural PLM/Underfloor Electrical Rough In Gas Line Insp Appr/Sdwlk Insp Grading Inspection Post/Beim Mechanica Mechanical Insp Framing Insp Gas Fireplace Electrical Final SeW01Inspection Underfloor insulation Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Footing Insp Crawl Drain/Backwater Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final Foundation Insp Footing/Foundation Dn Electrical Service Low Voltage Water Line Insp Final Inspection Issued By : _� �. _ —.— _ Permittee Signature 39-4175 b 7:00 .m. for an inspection needed the next business day Call (503) y p p CITYOF TIGARD _ SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00005 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 02/01/2001 SITE ADDRESS; 10537 SW LADY MARION DR PARCEL: 2S110DA-07500 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 036 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: I-TPSWR IMPERV SURFACE: Remarks: Sewer connection permit for new single family residence. Owner: — RENAISSANCE CUSTOM HOMES FEES 1672 SW WILLAMETTE FALLS DR Type By Date Amount Receipt WEST LINN, OR 97068 PRb1T CTR 02/01!2001 $2,300.00 27200100000 INSP CTR 02/01/2001 $35.00 27200100000 Phone: 503-557-8000 Total $2,335.00 Contractor: Phone: Reg # Required Inspections :fewer Inspection This Applicant agrees to comply with all the rules and regulations 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 Agency does not guarantee the accuracy of the side sewer lateral;. !r 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 wi!I install a lateral. 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 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 11,117 Issued Issued by: ) Permittee Signature: Call (50 6 t9 4175 by 7:00 P.M. for an inspection n,,ded the next business day Swt.�'o/•eo�o�' Building Permit Application << Date received: j Permit no.: City of 'Tigard Address: 1:1125 SW hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: City of Tigard Phone: (503) 639-4171 Date issued: B [Zecci t no.: Y� p � Fax: (503) 598-1960 Case file no.: Payment type: 1 Land use approval: 1&2 family:Simple Complex: K &2 family dwelling or accessory O Commercial/industtial U Multi-family )<New construction O Demolition U Add ition/alterafion/rcplaccment ❑Tenant improvement U Fire sprinkler/alarm U Other. 1 ' SITKINFORMATION Job address: Q WH Q*- I Bldg.no.: Suite no.: Lot: UP Blcx k: Subdivision: 'Gk1_WlJ HSV414TS ITax map/tax lot/account no.: Project name: Description and location of work on premises/special conditions: OWN11t FORINFORMATION, 16!5 (Floodplain, solar, Mailing address: 1 &2 family dwelling: City: e �Statc:m "n': �Q� $ Valuation of work........................................ Phone: I:ax: E-mail:-- No.of bedrooms/baths................................. Owner's represenu:rtivc: UWW-Y law 'Total number of floors.................. Phrmre: I .; F.-mail: New dwelling a. a(sq.ft.) ................ PPLICANT Garage/carport a ea(sq.ft.)......................... Name: Covered porch area(sq.ft.) ......................... - — Deck area(sq,ft.) Mailing address: _ '3 .... _ _.._.___ Other structure area(sq. ft.)...................... City: State: ZIP: •-� �+ -- --- . - ('ornmercial/industrial/orulli-family: Phone: f.;5 I n1ail OR Valuation of work........................................ $ CONTRACIr Business name: A A Existing bldg.arca(sy. Address: - New bldg.area(sq.1't.)...... ...................... ty: State: Z(P: Number of stories.......... ......... ................ Ci --J Type of construction ........................ ........ Phone: Fax: I trail: CCB no.: - Occupancy group(s): Existing: New: City/metra lie.no.: Notice:All contractors and subcontractors are required to be ARCIliTEcTmEsiGNER Licensed with die Oregon Construction Contractors Board under Na:nc: _-I ► 1L,I o ,�t� J _ provisions of ORS 701 and may be required to be licensed in the Address: 0 45W F I Itt jurisdiction where work;s being performed. If the applicant is Cit State: 'LIP: exempt from licensing,the following reason applies: Contact person: 11:111 no.: - -�— - - Phone:&ZA 012MI'ax: -1 mail:N► ►.r .INA - — --- Name: lContact person: eAkILI Fees due upon application ........................... $ _ Address: It� �-� Date received: City: N state:_ _1 :; Amount received ......................................... $ Phone: FarCi1 Q '� 1?-mail: Please refer to fee schedule. hereby certify I have read and examined this application and the NM all Jurisdictions accept credit cant,please call Jurisdiction for tore infon ation. attached checklist.All isions of laws and ordinances governing this visa ❑Mastercard work wi'I be complie i ethers ted herein or not Credit card numher: - ' Expires Authorized SI mature: Date: .__ --- NerrK of cardholder icihowo on credit cera Print name:_ Cardholder signature — �T Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 4013(NOWCOM) Mechanical Permit Application , Date received: 1'�"Cv Permit no.:/r'�T'jq!1!-d/X.YJ City of Tigard Project/appl.no.: Expire date: City(jj%'igard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: I Receipt no.: Phone: 003) 639-4171 Fax: (503) 598-1960 Case file no,; Payment type: _ Land use approval: Building permit no.:OF PERM I I 41 &2 family dwelling or acces.sury U Commercial/industrial U Multi-family U Tenant improvement 1KNew construction U Addition/alteration/replacentent U Other: - 1 1 lob address: 0631 SKILift - � - Indicate equipment quantities in boxes below. Indicate the dollar jN-Bvalue of all mechanical materials,equipment,labor,overhead, ldg no.: Suite no.; profit.Value$ Tux map/tax lot/account no.- *See checklist for important application information and jurisdiction's fee schedule for residential peror it Project Warne: f c. ZIP: I City/county: lAkLD1 —_ -- -- KAI Description and location of work on premises: Ftx(ca.) 'Total - lkscripfion tpy. Res.uuly Res.uuly Est.date of completion/inspection: _ Tenant improvement or change of use: Air handling unit ____. CIM._Is existing space heated or conditioned?U Yes U No Air conditioning(site plan require )Is existing space insulated'!U Yes U No Alteration o existing A_systemMECHANICAL CONTRACTOR _- - or cr compressors e�, State boiler permit no.: Business nantc: �i _�1YL� � _a,�. III? --Tons B'TU/H Address: -�Q ire smo e•amper. dI'lluct sato a detectors 1titair ZIP: Z eatpump(sitepanrequtre ) — City: �j ._- _ _ _L- -= nstall/rep ace furnace/burner.— Phon E-mail: Including ductwork/vent liner U Yes CI No _ CU! no.: A �__—._- ns(a l/replac reocateheaters-suspended, City/me'ro lic.no.: wall,or floor mounted _. -_ "—- ---- -Vent for appliance of verthan furnace Name(please print): a ger-t on: 1PERSON Absoryni,n units .IL Chillers !!f' Name: It — _�L --- - Com ressors�--- Address: -- ;nv ronmenta ex must an Ventilation: City:__ - - Stale: ZIP: Appliance vent -- Phone: OZZ7Fux: E-mail: ryerex aust _ Hoods,Type res. itcTten tazntat hood fire suppression system - Name: _ Ai - — _ Exhaust fan with single duct(bath fans) Mania address: 1 :x tatist s stern apart from teatin g or AC & l �lr ^'•""'„`" �ue piping and stir but ij m(up to out ens) -- State ZIP: b any: yv t. M Tye �I'c __._ NG �_ oil I'hon '- m,ril: uelpipingeach a diiiunal over 4 outlets -----...ping(schematic required) Number of outictc _ Name: eq�pmcnt. Address: Decorativefiieplace City: p Y;,tr• 0,V 7II'. Insert-type -- - — I: mail t,o su,v pe letstov2 t'Itunc Othee. Applicant's si-rimullC — Name (print): Permit fee.....................$ Na all jurisdictions accent credit cards,please call jurisdiuion for more Informatloo. Nonce:Thls �ttnit application P' Minimum fee................$ U Visa U MasterCard expires if a permit is not obtained Plan review(at — %,) $ _.-- Crrdit card number: ___ ---- Expires within Igo days alter it hes been �^ State surcharge(8%) ....$ ._. Name of catdholder as shown on credit card accepted as complete. $ TOTAL .......................$ CudQdrr,ergnaturc __ Amount 4404617(MIa/COM) Plumbing Permit Application Datereceived: /-S"D/ Permit no.: ,-*c/-aeG City of Tigard Sewer permit no.: Ruildingpermitno.: Address: 13125 SW Ball Blvd,Tigard,OR 97221 Ciq,ofTigard Phone: (503) 639-4171 Project/appl.no.: Fxpiredate: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: _ Case file no.: Payment type: TYPE 1 Xe 2 family dwelling or accessury U Cummercial/industrial U Multi-family U Tenant improvement - - ew construction U Addition/alteration/replacement U Food servic, U Other: JOB SITE INFORMATION1ULE(for special Informal Ion -_��3'I K_-,)IA► (,Vf~N YI`� Description Qt hcc cu. Total Job address: L ( ) Bldg. no.: Suite na' _ New 1-and Z-fancily dwellings only: Tax map/tax lot/account n - (includes 100 ft.for each utility connection) SFR(1)bath Lot: Block Subdivision: -�- - -- ---.5-&—tBlock.. _� SFR(2)bath Project name: 14 SIA ASFR,(3)bath - City/county: �_ 7..11' � - _ Fach additional balh/kitchea Descrihlion Intl ItKation of work on premises . Siteutilities: SQH$jALX�__51141ALL 5ft1W HOMO, Catch basin/area drain Est.date of rt 1ttiplction/inspertiun Drywells/leach line/trench drain PLUMBING Footing drain(no.lin.ft.) CONTRACTOR Manufactured home utilities Business name: C.WT WORK _ Manholes Address: 1 L .5W; tk Rain drain connector City: JL1h4 State: 711 -11 APOSanitary sewer(no.lin.ft.) - -- --- Phone:t.A" •IM1617axfeoE-mail: Storm sewer(no.lin.ft.) - CCB no.: 701&&(0 Plumb.bus.reg.no:LV fb Water service(no.lin.ft.) City/metro lie.no.: - Fixture or Item: Contractor's representative signature: Absorption valve Back flow preventer Backwater valve CONTACTPERSON BasinsAavatory Name: �E E R.It✓ Clothes washer - - Dishwasher Addretiti: -- --_-.-- -_� Drinking fountain(s) City ---- State: - lIP_ Ejectors/sumpPhone: feat li mail: Expansion tank 1 Fixture/sewer cap Name(print): ' (,, Floor drains/floor sinks/Irub� Garbage disposal Mailing address: �LAL 01w W14 Hose bibb City: _ N tate:S - - I: _ ZIP; Ice maker Phone: _I Fa E-mail: Interceptor/grease trap Owner installatiuri/residcntial maintenwice only: The actual installation Primer(s) will he made by me the maintenance and repair made by my regular Roof drain(commercial) _ employee on the p ,p own as per ORS Chapter 147. Sink(s),basin(s), lays(s) Omier's signature. _ _ Date: Sump — Tubs/shower/shower pan Name: Urinal -- -- -- Water closet Address: Water heater C!:y �ZjjOther:State: Phon Fa Email: Total 71 lrol all 1 vidictions accept credit cods,ptesse call jurisdiction for trtore inronnation. Minimum fee................$ Notice:This permit application Minimum U Visa U MasicrCard expires if a permit is not obtained Plan review(at _ %) $ Credit card number. --ill within 180 days after it has been State.surcharge(8%) ....$ Expires-- accepted as complete. TOTAL .......................$ Name of cardholder n shown on credit card p p S Cardholder signature Amount 491 4616(ISMCOM) Electrical Permit Application Datereceived: Permit no.: City Of Tigard Project/appl.no.: Fxpiredate: f'rn r/7ig,,rd Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: Py. Rece -- Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment Iypc Land we approval: &2 family dwelling or accessory U Commercial/industrial U Motu I,unily U'I'enant improvement LJKNew construction U AJtliti,mrttleration/replacement J t 411 l U Partial JOB SITE NFORMATKIN Job address: �-- -- -N mr Suilr no .: Tax map/tax lot/account no.: -- - —_. — Lot: Block: 5ubdi%,sion: F 0.1Gks.71MJ _SL4 i4 � ---_— Project name-. —I Description and location of work )it pie inises: dll I timated date of completion/inspection: ...... Job no: _ Fee Max Business name: 'G -�-- Descri lion Qtv. (ca.) Total no.Ins t New trsiderdial-single or multi-fandly per Address: dwelling tmft.Includes al•.ached garage. City: r1i�_�. State:Qr LIP:�I'1nlS Serviceincludel: Phone:W. e0147 1l ax(�r 5V3 E-mail 1000sy,It,oriess 4 CCB no.; +�'� pi a 44 1Glee.Iius, lie.no: G1�� — Each additional 500 sq.ft.or portion thereof - Limned energy,residential 2 City/metro Ile.no: Limited energy,non-residential 2 _ Each manufactured home or modular dwelling Signature of oweivisin electrician(required) Date Service and/or feeder 2 Sup.elect.name(print) I,i,.L11ti,.rr,, Services orfeeders-Installation, - alteration or relocation: 200 amps or less 2 Name(print): (� ens 201 amps to 40(1 amps 2 Mailing address: 1, 401 amps;t Loi!-amps -- — — — 2 • 601 arnp,to 1060 amps 2 Cady: WN Staler, '7_IP: '��------- Over 1000trnpsorvolts 2 Phon 11 0 I a 1: nmol: Reconnecront -- — Owner instrdlation.The installation is being made on property I own Temporar)servicesorfeeder- _ which is pot intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: ORS d-i1,455,479, O (1I. _20)amps orless 2 L 201 amps to 400 amps - -- 2 U'.vn"si' tlre: --- ---- - date: 7 401rot,lNlamps -- - - 2 Branch circuits-new,elieratlon, or exlensfon per panel: Name: A. Fee for branch t,rrrrits with pur6ase of Address: rL1- - service or feeder fee,each branch circuit 2 city: As sin AN.aft Slade /11' Phon SOL -- B. Fee for branch circuits without purchase -�-- - -- of servicefeeder fee,First branch circuit ran2 I'ax: I.-reit: or _ - _ Each additional branch circuit: Misc.(Service or feeder not Included): L' e rvice over 22S:cops-commercial U Health care facility Each punip or irrigation_cuclr 2 U aervice over 120 ataus-rating of U-2 U Hazardous location Each sign or outline lighting 2 fan:llydwellings U Building over 10,000 square feet tinrrot Signal ci,cuit(s)or a limited energy panel. _ U System over 600 volts nor final more residential units in one structure alteration,orextension+ 1 _2 U Building•wer threr••rn,jes U Feeders,400 amps or more •tkscri lion: U(hcupam load ova 99 persons U Manufactured structures or RV park Fisch additional Inspection over the allowable In ar y of file above:--- U Fgress/lightingplari U Other _ Per inspection �- Submit . sets of plans with any of the alcove. r Investigation fee The above are not applicable to temporary construction service. Other Not all jurisdictions accept credit cards,ple,w call jurisdiction for more information Notice:This permit application Permit fee.....................$ U Visa U MasterCard expires it a permit is not obtained Plan review(at _ %) $ (ree:ir card number: -_ -_L-_.L_ within 180 days after it has been Stair.surcharge(896)....$ ---—------ _ Expires accepted as complete. TOTAL, . $ Nance of catArilder as shown on credit cud Cardholder signature Amount 440 4615 160)ICOM) CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE GAGE ENTERPRISES INC PO BOX 1429 CLACKAMAS, OR 97015-1429 Electrical Signature Form Permit #. MST2001-00006 Date Issued: 02/01/2001 Parcel: 2S110DA-07500 Site Address: 10537 SW LADY MARION DR Subdivision: ERICKSON HEIGHTS Block: Lot: 036 Jurisdiction: TIG Zoning: R-3.5 Remarks: Construction of new single family detached residence, Path 1. Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: RENAISSANCE CUSTOM HOMES GAGE ENTERPRISES INC 1672 SW WILLAMETTE FALLS DR PO BOX 1429 WEST L.INN, OR 97068 CLACKAMAS, OR 97015-1429 Phone #: 503-557-8000 Phone #: 503-657-0142 Req #: suP 618s LIC 34544 ELE 3-128C AN INK SIGNATURE IS REQUIRED ON THIS FORM X � - v- Signature of SupervisinglecE trician If you have any questions, please call (503) 639-1171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE CRAFTWORK PLUMBING INC 7736 SW NIMBUS AVE BEAVERTON, OR 97008 Plumbing Signature Form Permit #: MST2001-00006 Date (slued: 02/012001 Parcel: 2 S 110 DA-07 50 0 Site Address: 10537 SW LADY MARION DR Subdivision: ERICKSON HEIGHTS Block: Lot: 036 Jurisdiction: TIG Zoning: R-3.5 Remarks: Construction of new single family detached residence, Path 1. Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed form is received OWNER: PLUMBING CONTRACTOR: RENAISSANCE CUSTOM HOMES CRAFTWORK PLUMBING INC 1672 SW WILLAMETTE FALLS DR 7736 SW NIMBUS AVE WEST L INN. OR 97063 REAVERTON, OR 97nnu Phone #: 503-557-8000 Phone #: 644-8698 Reg #: 1 Ir 79666 PI M 20-148PB AN INK SIGNATURE IS REQUIRED ON THIS FORM l y Signature of Authorized Plumber If you have any questions, please gall (503) 639-4171, ext. # 310 ELECTRICAL - CITY OF TIGARD RESTRICTED ENRIGY DEVELOPMENT SERVICES PERMIT#: ELR2001-00071 13125 SW gall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/27/01 SITE ADDRESS: 10537 SW LADY MARION DR PARCEL: 2S110DA-07500 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 036 JURISDICTION: TIG Proiect Description: A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO&STEREO: INYERCOM & PAGING: BURGLAP,ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP � X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: L TOTAL#OF SYSTEMS: Owner: Contractor: RENAISSANCE CUSTOM HOMES GREENLINE INC 1672 SW WILLAMETTE FALLS DR PO BOX 230755 WEST LINN, OR 97068 TIGARD, OR 97223 Phone: 503-557-8000 Phone: 968-1978 Reg#: LIC 103033 ELh 34-397CL FEES Required Inspections--- Type nspections ___Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 3/2,,01 $75.00 ;720010000 Elect'I Final 5PCT CTR 3/27/01 $6.00 :72.0010000 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other 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. 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 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987 Issued by _ Permittee Signature OWNER INSTALLATION ONLY 'The installation is being made r party I own which Is not intended for sale. lease, or rent. �1 OWNER'S SIGNATURE: _ DATE- '311 Z'1 D CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ _ DATE: LICENSE NO, -- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application Date received: �� D l Permit no.: �m/ •004 7 City Of Tabard Project/appl.no..fes` Expiredale: CityujTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.: Phone. (503) 639-4171 - Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: XVIPE OF "&2cfamiry dwelling or accesson U Commercial/industrial 0 Multi-family Q Tenant improvement uction U Addilion/allerrltiorn/ro•Placo�incnl _i Other: U Partial JOB SITE NY611tMATION Joh address: W I � Rldg. no.: I Suite no.: ITix map/tax lot/account no.: Lot: Block: Suhclivisiom: J_ H'�"S Project name: _ T6eccription and location of work on premises: Estimated date of completion/inspvch,nt: Job no: I ee Mas ,_,�c - - - — ---- --- - Description Qtv. (ea.) Total no.insp Business name: - Nerrmshlential-single ormulli-famlIvtier Address: ole '7. 1 y _ dwelling unit.Includes attached Farage. City: Slate: 7.IP: j Sc•nicrincluded: Phone.— I I_a _.-[flail: 1000,y ft.or less — 4 CCB nor_�Q � P.Icc.pus. tic no+:_�t —(r Each additional S(xl sqft.or portion thereof -- ----- Limited energy,residential _ 2__ City/metro lic.no.: L.imitedenergy,noo-residentini 2 Each manufactured home or modular dwelling Signature of supervising electrician(require( Ume Service and/or feeder - 2 Services or feeders-Installation, Sop elect narnr(print( I iccnse mr kOPFR*OWNER dlenllon or relocation: NN)amps or less 2 Narne(print): PlN19;rk" V_ --_ ES 201 dmpsto400amps _ 2 _Mailing address: 1, y S 401 amps to 600 amps _ 2 (xl 601 amps to Inamps 2 City: _L State' ZIP: �� Over 1000 amps or volts 2 Phone: '�� Fax: E-mail: __- Reconnect only 1 (honer installation,The ristallation i:, being made on propeily I own Temporary write"or feeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: ORS 447,455,479, 0 200 amps or less 2 201 amps to 400 amps 2 Owner's si nature: Date: -3 .fol w Eno ams --- — _ " `1-- Branch circuits-new,alteration, or e%tension per panel: Name: _- -w_ n Fee fur branch circuits with purchase of Address: _ service or feeder fee,each branch circuit 2 City: - State: 7.IP: H. Fee for branch circuits without purchase - of service or feeder fee.first branch circuit: 2 Phnnc: -- �ax: E-mail: Each additional branch cir-nil: Mise.(.Service or feeder no.Included): J tirrvrce n•ci 225 amps urrunu•rdal i_I I lvalih+aur lanhl} finch pump or itrig0on circle 2 U Service over 120 amps-raring of 1&2 U Hazardous In action Each signor outline Lighting _ _ 2 fsmilydwellings U Huilding over 10,000 square feel four ur Signnl circuit(s)or d limited energy panel. U System over 600 volts nominnl more residential units in nne structure alterara++,or extension* U Buildingnverthreeslories U Feeders.400 amps or more 'Uescn (inn U Occupant Iona over 99 persons U Manufactured structure%or RV park Each additional Inspection over the allowable In any of the above: U Egress/lightingplan U Other: -- Per inspection —C Submit__sets of plans with any of the above. Investigation fee _ The above are not applicable to temporary construction service. Other --- v 'r Na all prrisdhticros xcept credit clods,please cull luri.i.tktlrm fm marc Infrmnnthm. Notice:This permit application PC-mil fee......... ...........$ U Visa U MasterCard expires if a permit is not obtained Plc,o review(at _ %) $ Credli card number __ _ _�[__ within 190 days after it has been Sta a surcharge(8%)....$ _ - - Expires accepted as complete. TO rAL .......................$ Nome of can�tTer es s ww'n on cmdlt card S Cardholder sllinature Amount 44n 4615(crtxlK'oM) CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM20C1-00354 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 08/15/2001 SITE ADDRESS: 10537 °'.V LADY MARION DR PARCEL: 2S110DA-07500 SUBDIVISION: ERICKSOI HEIGHTS ZONING: R-3.5 BLOCK: LOT: 036 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN Dr^.AIN: ft Remarks: Irrigation backflow prevention device. Owner: _ FEES RENAISSANCE CUSTOM HOMES Type By Date Amount Receipt 1672 SW WILLAMETTE FALLS DR PRMT CTR 08/15/2001 $36.25 27200100000 b1/EST LINN, OR 97068 5PCT CTR 08/15/2001 $2.90 27200100000 Total $39.15 Phone 1: 503-557-8000 Contractor: MOODY ENTERPRISES INC PC BOX 713 ESTACADA, OR 97023 REQUIRED INEE;PECTIONS Inspection Phone 1: 503-630-5532 Final Ins p Reg #: LIC 5973 PLM 11717 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plan::,. This permit will expire if work is not started within 180 days of is^::ance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted ty the Oregon Utility Notification Center. These rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued B c f Permittee Si nature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day e ' -DGop Plumbing Permit Application -' IDateieceived: ,G p;� Permitno.:/'c H^6t)i ) < City of Tigard �=-_1 Address: 13125 SW Hall Blvd,Tigard,OR 97223 Sewer permit no.: Building permit no.: Cirvof77gard phone: (503) 639-41'1 Proiect/app! no,: Expire date. Fax: (503) 598-1960 Date issued bReceipt ro:�V_ Land use approval: case ele no Payment type: l7�,&2 family dwelling or accessory O CommerciaVindustrial O MAti-family O Tenant improvement New construcunn O Addiuon/alteation/replacement O Food service >Other: _ Job address: lo 5 J s! '-� %�! i° r, _, Dncri tlon Footer. T0ta1 Bldg. no.: __ Site no.: New I.and 2• y we es only; (includes 100 ft.for each utility connection) -Tax rnapliax lot/account no. SFR(1)bath Lot: ; 81ock: Subdivision: _ O bath Prosect name: ~r/ s-64, He,-,lily FR(-)bath —�---� Cit /count)': � i e-t22 1 ZIP: 2 ac addition s utc en Description and location of work on premises:� c7_,_1/f Ll�F &Iteutilatlaa: Catch basiniarea drain Est.date of completion/inspection: ' well each to trenc�i drntn ootm drain(no.lin.It.) INNER Manufactured home utilities Business name- ldt. Vf- i1;� #v�, tat�i ul=s Address: 7/ _ — Rain3-rain connector I State- ZIP: 7C.'z antlary sewer(ne.lin. ftJ ��_� Phone aT '?r Sf Fax:r".,,c_ Email Corm sewer(nolin. t.) C7CB no.: 117[/ �I'lumb.bus.reg. no: j� Water service(no, City/metro lic.no. Fixture or item: Contractor's ren-,sen(ative signature: Abso on valve - -Tack flow reverter Print name: ). /, a �e M Darr,; '•i cl Backwater valve gasins/lavato - ZDoirosinhtwen�a sw�heaorwasherName: , C City: LrS CZIP:c , 4L-j E'ector spm}_ Phone:fr s-(fc- Fax. Jet E-mail: ExoinsJon tank ix'.,rdsewer cap _ Floor rains/floor siWfhub Meiling addrrss Oarba c disposal _ —•-_ -.____� Bose bibb City: -� _ State: ZIP: ice maker _ Phone. ;eve:-Y� E-mail: nterce tor/ rea.+e ira Owner installation/residential ma%ntenance only: The actual installation mer(s) will be made by nu o ie ntenanc^and repair made by my regular Roof drain(commercial) employee on the p ri I w as per ORS pier 447. ink-),basin(s). ays(s) *Own,erl's si nature: Date: T'ubs/shower/shower —L_-.--- Nance: Urinal stet closet Address: Water heater v City. State., Phone: ax - I Email: __--- Total NrA all J,uisdlcaonm accept t-tedli curls pie can jurisdiction rn mo "MuttonNotice:This permit application Minimum fee................S Plan review(at _ �) $ ❑visa ❑MuterCard expires if a pertnit is not obtained ort rwme«: �._.� � l__ State surcharge(84b c,e;�t Fa�.re within 180 days after it has been _— - accepted as complete TOTAL .... .............. ..$ _. Rune cad Cudholder ri`nstuta - -- Amount uao-4616(6wlcoAn n G �F�J O O r- f = $ 71 f ro o ? � a o. ! (o } I 06. o' h VI r 7 ro r\ O v O � � a r, P ZZ Y