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10666 SW LADY MARION DRIVE slope ---------------- I:L 1 S7 ERICKSON N LOT 34 BUILDING FOOTPRINT_ SETBACKS a 3 S6 V) EL 38S. X O �► N Dy E 3 87 M 1 ON . .: . eloo, 6L 38.5- 30 ' `• -Z. 46 /A'R/ Aq� � L� �0 ,irWe/ ewe . s /tit EL 387 ., . • C 20 40 • �,"' Et. 3 $3.Sm SCALE: 1 "=20' 00 �.1 �3 � �$� 4 o� 3V F.,e_/sot• we. !� 3 5 y s 3, i I ,/ CL 35 379 06 8, 957 S. F. 6S�- is-01 N CY)w , � ej pl 1�7`- L ro w • w �L 377 w EROSION CONTROL: oLnw I. PROVIDE &MAINTAIN 8' (min) THICK d" GRAVEL PAD& DRIVE UNTIL PER14MENT CONCRETE DRIVE IS IN PLACE. E� 3 7S o d 2. PROVIDE& MAINTAIN SOIL SEDIMENT V FENCE AS INDICATED. Cq Ln 3 7L3� o NOTE Ca 3 : CENTERUNE CONCEPT EC 37Z s«.�.�t S, SURVEYORS, WILL PIN ALL EXTERIOR EL 3 72. S0 ___l FOUNDATION CORNERS AND PROVIDE 6 SUBSEQUENT 6 Q ENT MORTGAGE SIIA,1. c�_v EL 3C 7, 33 6 .__- -- NOTICE: IF THE PRINT OR TYPE ON ANY Tri 11 [ 1111111 1111111 111I1 � � � � � ii � i r� rli �r�� i ��r �r� i i � il1 �_�_1.�.T�.r, � � � . _�_�.i r� i iii iii i �r �i � � � i � � i � � � r� r �� r� 1 T-Cr I11- r i ill its IIIIIC � Int IITJili ISIISI 1111111f I I I I f IIMAGEIS NOT AS CLF;AR AS THIS NOTI 1 2 I 11-ri I .� NOTICE 3 4 5 6 8 - C' 10 _ 11 12 IT IS DUE TO THE QUALITY OF THE No.36 � «.w.��..... ORIGINAL DOCUMENT E 6Z gZ LZ 8Z 5Z � Z EZ Z TZ OZ 6 : 8i LT 111911 4I � T ET ZT Ii 1 r 6 8 L 9 yyl. r c. ,5 I i�A � ��. per...•„".,rr.+� lto 0 � > ' ;�;»... .. OJ ss�ppV z;Qf SPECIFICATIONS r � g0e4v ..... ....... I10A :arl )e1W160S i + CSN linti3d EXCAVATION - Pool Contractor shall excavate to a suitable footrny ieptr• and backfill with sand or gruel t(-, �x� C� - 9 q sub rode as required :u! Pagljow se wJOM attl Alto J03a+n,•,�k..►Rslw:, ,, .......................... .�OXj ,( IeuO i!PuoO t7S s ww 5 moi/ � � tNF��R(;EG STEEL - Standard deformed bons, m ................................ termed+ate grade, free of rust and dirt, to be properlypiw,0-41V aO �..IIa ,I positioned and tied in place with staggered splices Lap 40 Car dion eters. Reinforcing per schedule. Uj GUNITE -- Minimum wall thickness 5": through coves - 6 1:4 mix, 7 sack, ultimate 3,000 PSI strength 28 days g —' BONDING - Poo; fixtures, piping systems, reinforcing steel, conduit, and other appurtenances to the pool shall be bonded and conform to al: provisions as set forth in the Nahonol Electric Code ART 680 MASTIC DONT " �' V*TER LINE S F.P. CERAMIC TILE MASTIC JOINT 5wimrn+ng Pools for 1987 N.B.F.0 Nc �0 6y Owner f 4" SEWER STAN r`WE GROUND FAULT INTERRUPTER - A ground-fault interrupter shall be provided on all branch circuits involved in lighting or recptacle outlets in accordance with the National Electric Code By Owner �. FILTER-30" SAN FRESH WATER NEW RESIDENCE M M All electrical work is to be performed by a licensed electrical contractor and is not the responsloility cr ENTS TNVC) 12" X 24" I ►� �. 1 . 1 d M o '- Pool Contractor All electrical work is to be installed as per state and local codes. By Owner. 12" FROM FLOOR 81 --�-~'``- ,�Fp� ` SEWER rI,�CT10N P�.�IIP -- NTERM FN�SH WHITE PLASTER =� I 1 hp FILTER PUMP _ , I _ 12" FROM CEILING DRAIN �9• Q PIPING - All piping shall he PVC schedule 40 and is to be NFS approved - - z HEATING S'fSTEM Heatingsystems to be equipped SWEEP Ply Ys q Aped with t8" CPVP on beth sides of heater, plus two nigh femperatu a A'---,ME relief valves at 50 psi plumbed to within 6" of the floor 350,000 BTU NATURAL GAS HEATER G OTHER WORK 8, `OYER - Fresh water supply to equipment room 1 r -f o r WITH ELECTRONIC IGNITION & POWER t ELECTRICAL PANELS pp y equ p e oo with grope bock I�w prevention device in place. ground - fault interrupters, venting for boilers, and sewer line for oackwosh, fencing, FOR POOL EOUI P. s s� decking. _- r HYDRO-STATIC �x r g31 0 VALVE '► DECKING - To be concrete with trowel and light broom finish, sloping minus 2% from cot,'ng to drains By Owner. WATER REMOVAL - The pool is designed to have water in it at all times Removal of water for pool _ ' repair or cleaning shall occur when the qround water table Is below the bottom of the pool. SIGHS - State health signs are to be posted at the entrance of the pool QEGULATIONS - Operating instructions are to be furnished to the Owner by the Pool -- Contractor, and the Owner must follow all City, County, and State codes and taws _ governing the _+se and operation of the pool POOL LONUTUMAL SE "TilOV i SCALE 1/4 - 1' - 0" ASTM A +015 GRL,G`E 4 4.ST%O A +vt5 GRADE rvw Nw:w►dM�,�4,a � I I A' BARS e' BARE T' W A, BARS- '13 BAR F, '*' MIN AUTOMATIC SAFETY COVER w b„ TC Z-2" 03 AT I -?�" _ 6' x,� AT ASTM APPROVED d 1Z 2'-C' TC 3'-0" 03 AT I'-& - 0 e3 At -,Z+" - n 16 X 34' SWW#AING POOL (Ga 06 3'-0" TO 4'-.0" e3 AT 11-0' R3 AT t'-C,' l' e3 AT I -?' - , z 4'-0" TO 5-0" 03 AT 1'-0" 03 AT t'-Q+" 1 1/2" w3 AT 5-0" TO e3 AT I'-& R4 AT I'-0"; !?" tt3 A1 , -0„ e, AT -�' 8- U _ c L �5 O 1. 0 t {(•11 ''�j_�'(- _ W � �, F. 0 - MINIMUM �c?'vCRETE STRt:tviTH3000 P.S.Z. AT 213 DAY 5 2- RE:NFOQCINaA- S rM A-615 GRADE 4Q Ci 3- A,-- POURED CONCRETE TO HAIE A MAYIMUM SLJMP:� :)F EQUIPMENT ROOM LAYOUT PLAN � � t 4- ALS. GuNIT! TO «+A✓E ¢+' TO ," sLJMt'' SCALE 1/8' - 1' - 0" 4 I _r y • • 5 THIS DESIvN ZS PQO V:DEU c T6+E "NAMED PROJECT" ONLY. DESI iN N I IS NOT Af'F'LIGABiE TC OTHER &-xATIONS OR CONDITIONS. CONCRETE DECK r 3 a W Df OTHEP-S C) E --40 Soap— r P I A MARS r I 9 NOTE: kOl-C At.A. REIN>FORGING 2'CL.F R O Q FACE OF GONCREtE 'rPIGAL (V /—MAIN DRAIN CUTLET 2' CLEAR TYPICA4 FOOL FLOOR - - _ • , i r--SUCTION LINE I I I r SEF ;c.FIF;�uLE RELIEF VAL w`'A ' -- 24 r 24 GRAVEL SUMP. SWIMpUIF OR E 8tl� RUN 8" x 0" DRAINS TC _ _ _- _ .,�` l7 ALL 4.IET SPOTS. FILL I \ c„_h• W/ 3/4" GRA VEL Wf2APPF...0 \ IN FILTER FABRIC �.- �� AT ti _ l A E 7 - +�� -'Z Cwt✓�.w HYDROSTATIC RELIEF VALVE ASF_ .__ .__� P,R,J-_V,_.. NOT TO SCALE - i-AP '" ,IIItEZIV"CINGSITE PLAN ! AS sWxw,,ll 1 - I BRAWN f Hf.C!�EC SCALE V 50' 0" TYPICAL WALL SECTION TOP OF FOOL AT GRADE , ;NEE• Nt' t -- PTl IM SWANG FOOL W. { 13185 S.E. A43LER ROAD u CUCKAMAS, OREQON 97015 NOTICE: IF THE PRINT OR TYPE ON ANY I I I III III III III I I III III III I I III III III I I!IIII III III I I III III III III III III III I I III III III III III III III I I III III I j l III III III I I I I I I I III III VIII I I IMAGE IS NOT AS CLEAR AS THIS NOTICE, l -1 - I _ 1 I - -- 1 41- --- -I �1 - - I -�1_ --�1- _gl - I01 _- ITIS DUE TO THE QUALITY OF THE "°3° ORIGINAL DOCUMENT I�II � I � z ►Il � 131 t 1 Tt IIIII 1111 111 IlIlIIIIIIllzlI . � II llll ll�l�llll�ll-re i � 18> a --I -u�s-u-II�lz�IIIII8II1II8IIlzIIIIIIIILIIzIz1I � ll IIIIzIIIII� I�III<Il � ITI ► TII�II� � ; � � lolul�uur��l+lYl1�1Ni l III I i t + _ 1 �i�.t1.♦�c��l'r'' h+I,.r 1 t��8 ' 2= t , I 1 1p ` _ - --1�-- _!-(* __ �=. o ,Z 1,5 x. '7,ob x 1. 07 A+ 3 f $ I 1 I k Pt r e , ;a ,� �� - , 12�� , r, ■`\ PtiZ j • - _ --__-•____---- - _.__-__-________- PZ '/�Ic 1 s� �c., t� � , 01�7�a 1 ---+-•- ---._- --___ pa. . �81 � r ;,! pg: Z14� x , 071 - IN Is 41? x ,079 I to z&► A - 07 5 1 1 Step p ��fZ 1.�7 ri ,0 7'7 .. , I c l�� E I I 1 � a s,?s )c Y�/�'-A .15 . 18?.as { t 14c 7 x .0160 I v 1 12 5 x 2-04117 ` � 256- r -, . 1 ( I MRA, :. • Its 7. ; ..,.-, , '°� , I . , . . E o1,�2� x I► 'lob m ,� �. �2 , , ,. I � I I ► --�'"�./ I . . '18129► 'K }2. 0-54 '� .4G► 1' I - , W, '�. ,Zai +_ _. _ _.� / 1 !o� ISO X �G �r '� i X 1'7 ;!t 1� 7 . _,_... _437 ..._ i. _. I F ! ' i ? �'. : . I t :. . _ a 2 Go • �` I 1 1 4 f �, ►• ,. ? 15 , ' ' ; : t. , i I 01 I � �� { `�� .,._.__ -•'� - _......... ftp• I t 1 t. ; 1- I F•._-'-.--._._ -.,..f.-.,,...�. ». _. _._.�_ ,_ ... ....._.._...,,_'".f _• .�, -*._. ..: '. / - >f ' \ , ',' = t ; �• !f (p/Z 2�� ! �. I .� 1 ► �' ` 1 `,Ji I 11 I I �" 1 �I I , V - r I � � 1 4i" 1.' y 1�rt'•'� `./ C 1 _ � �,/�rr • ,tYYr � �� w 1 ^� 1 . a , t �-. - ` I ! � + f4I�• t�V' �, 1�r I I �_ _. ...,,_..._. _ ,.-.... _. _ -. »........ . 1 f - - - . .. � .\r+�/ I i11 t �,• 1A'�flr!N1r. � ° 1 r ' ' K _ n !A1 4o m Wow ArAk- lea k.41'•17 I A , a I 1-bnv- fb9 �A L K ,2Mi K ,875=,;. 1, L 4- ,151k r''. .,. i o1 1`- `,,� �, . ! ` C4- 1 x II s tk - I f oa 7 7 4` ,. .- 3 boa : x , 1�5 x ? 7 E, q _ �A .07s r . 13 ; O O O I O r cn my 3 a 0 z v 10666 SW LADY MARION DR. MOTEL HOME CITY OF TIGARD MASTER PERMIT PERMIT#: MST2000-00117 DEVELOPMENT SERVICES DATE ISSUED: 05/03/2000 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 :SITE ADDRESS: 10666 SW LADY MARION DR MODEL HOME PARCEL: 2S110DA-EH034 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 034 JURISDICTION- TIG REMARKS: PATH I: New single family dwelling w/attached garage. Model Home BUILDING REISSUE: STORIES: _- FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: FIRST: 1.467 of BASEMENT: 0 00 of LEFT: SMOKE DETECTORS. TYPE OF USE: SI- FLOOR LOAD: 41, SECOND: 1,756 of GARAGE: 674 or FRONT PARKING SPACES . TYPE OF CONST SN DWELLp' UNITS. I FINBSMENT: 0 of RIGHT. 5 VALUE: $242,.'46.29 OCCUPANCY GRP R7 BDRM: 3 HATH: 3 TOTAL: 3,22300 of REAR: 60 PLUMBING SINK I WATER CLOSETS: I WASHp",MACH. I LAUNDRY TRAYS. I RAIN DRAIN: IGC, TRAPS. LAVATORIES'. 5 DISHWASHERSI F LC IR DRAINS: SEWER LINES: 1Oo SF RAIN DRAINS. I CATCH BASINS. TUBISHOWERS: 3 GARBAGE GISP'. I WATER HEATERS: I WATER LINES: Lon BCKFLW PRFVNTR. I GREASE TRAPS. OTHER FIXTURES. MECHANICAL FUEL TYPES FURN<1001. BOIL/CMP<3HP VENT FANS: 11 CLOTHES DRYER: 2 GAS FURN10(K. I UNIT HEATERS HOODS: I OTHER UNITS: MAX INP: blu FLOOR FURNANC:S. VENTS. WOODSTOVES: GAS OUTLETS. I ELECTRICAL. _ RESIDENTIAL UNIT _ SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 i00 amp: 0 - 200 amp WISVC OR FOR, I PUMPIIRRIGATION. PER INSPECTION EA ADD'L 500SF. c, 201 - 400 amp: 201 400 amp: lal WIO SVCIFDR. O(I SIGN/OUT LIN LT-. PER HOUR. LIMI ED ENERGY: 401 - 600 amp 401 600 amp: EA ADDL BR CIR: SIGNAI.IPANEL'. IN PLANT MANU HMISVCIFDR: 601 - 1000 amp. 601-amps-1000v: MINOR LABEL. 1000.amplvolt PLAN REVIEW SECTION Reconnect only: >600 V NOMINAL-. CLS AREAISPC OCC,. >=4 RES UNITS: SVCIFOR>=225 A.. ELECTRICAL•RESTRICTED ENERGY _ A.SF RESIDENTIAL B.COMMERCIAL - AUDIO 8 STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM INTFRCOMIPAGING. OUTDOOR LNDSC LT BURGLAR ALARM+ OTH BOILER. HVAC. I.ANDSCAPEIIRRIG- PROTECTIVE SIGNL. GARAGE OPENER' CLOCK: INSTRUMENTATION. MEDICAL OTHR- FIVAC DATA/TELF.COMM NURSE CALLS- TOTAL 0 SYSTEMS. TOTAL FEES: $ 6,520.12 Owner: Contractor: This permit Is subject to the regulations contained in the RENAISSANCE CUSTOM HOMES INC RENAISSANCE CUSTOM HOMES Tigard Municipal Code. State of OR Specialty Codes and 1672 SW WILLAMETTE DR 1672 WILLAMETTE FALLS DR all other applicaole laws All work will be done in WEST LINN,OR 97068 WEST LINN OR 57068 accordance w,lh approved plans This permit will expire 4 work is riot started within IFF)days of Issuance,or If the work IS SL3pended for more than 180 days ATTENTION Pbnne. Phone Oregon laN requires you to`ollow rules adopted by the Oregon Utility Notification Center Those rules are set GINAL Rna r I ave' forth it OAR 952-001-0010 through 952-001-0080 You Kma; obtain copies of these rules of direct questions to CLJNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion 844-8444 Post/Beam Mechanical Mechanical Insp Shear Wall Ingo Rain drain Insp Plumb Final Grading)Inspection Ur lerfloor Insulation Plumb Top Out Low Voltage Water Line Insp Final inspection Footint'Insp Crawl Drain/Backwater Electrical Service Gas Line Insp Appr/Sdwlk Insp Building Final Foundation Insp Footing/Foundatior.Dr; Electrical Rough In Ga3 Fireplace Electrical Final Post/Beam Structural PLM/Underfloor Framing Insp Insulation Insp Mechanical Final Issued By : Permittee Signature Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day �t T CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2000 00081 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 05103/2000 PARCEL: 2S110DA-Li 1034 SITE ADDRESS; 10666 SW LADY MARION DR MODEL SUBDIVISION: FJFMRSON HEIGHTS ZONING: R-3 5 BLOCK: LOT: 034 _ JURISDICT'JN: TIG TENANT NAME: RENAISSANCE CUSTOM HOMES INC USA NO: FIXTURE UNITS: 1 CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO, OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for a new single family dwelling. Owner:_ -- _ FEES RENAISSANCE CUSTOM HOMES INC Type By Date Amount Receipt 1672 SW WILLAMETTE DR -- --- WEST LINN, OR 97068 PRMT GEO 05/03/200C $2,300.00 0001874 INSP GEO 05/03/200( $35 00 0001874 Phone: _ Total $2,335.00 Contractor: Phone: Reg #: Required Inspections _ Sewer 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 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 regi ,es 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) 246-1987 Issued by;: j C, ��" _� Permittee Signature: —Call (503) 6344175 by 7:00 P.M. for an Inspection needed the next business day OF TIGARD Residential Building Permit Application Plan cn�# LI 125 SW HALL BLVD. New Construction Recd Smy k Date t�eCd -~ '!%` AGARQ, OR 97223 Single Family Detached Date to P.E.4 0 CO -, %1503-639-4171 Date toDST 4 7 U C F 503-684-7297 Permit Print or Type Caned ` 1. 2(Y?U _ Incomplete or illegible applications will not be accepted 5 W a000 -oaog/ Name of Prosed Name Job Fr, /-�•,1 0 1111 L.r" 311 Architect Mailing Address Address Site Address 7i/7 C(,( City/State Zip Phone Name / _ re,lal Name Owner Mailing Address q /C r $.� 1✓, 'J,� rN �� City/State Zip Phone Engineer Mailing Address City/State Zip Phone General Name ,, , • 23R- �'3;z Contractor i Describe work New JY Add ion O Alteration O Repair O Mailing Address to be done: _ Prior to penrwt Additional Description of Work: Issuance,a copy City/State Zip Phone _ of an licenses are required if Oregon Const.Cort. Board Exp. Date PROJECT expired In COT Lie.# �1 1 VALUATION database .44-:- � /,,, o Mechanical Name 7 s• — NEW CONSTRUCTION ONLY: i Sub- i �,; �,� Ts �� / Sq. Ft. House: Sq. Ft. Gana e Contractor Mailing Address ti _ Prior to permit /3( s% S ,.,�,�r Indicate the restricted energy installation by the electrical Issuance,a copy City/State ZIP P subcontractor in the following areas _ of all licenses L i. ,, - 17 /f G s-y- ; Restricted Audio/Stereo _ are required if Oregon Const Cont.Board Exp Date Energy _ System _— Alarms_ expired in COT Lic.# Installations Vacxtum Irrigation database 0 7 2;•2 j 3/Z r/oz S stem S ster e Plumbing No,-" (check all that Other: a COntrCtOr Mailing Address Sub- � .� ess �?/u,+ki;rn. Number of Units in Building Unit Number Designation 7 36 ✓_�'N �" _ Har'he Subdivision Plat recorded? WA i YES NO Prior to permit City/State Zip Phone _�^- -��. issuance,a copy 7.,• �,,, )7-*),W EW - 7'fof all licenses are Oregon Const.Cont.Board Exp.Date required if Lir,.# expired in COT 79664- '-7/ - database Plumbing!.ic.# Exp.Date I hearby acknowledge that I have read ftr-application,Shat the information given is correct,that 1 am the owner or authorized agent /(/9'OL; of the owner,and that plans submitted are in compliance with Name Oregon State laws. Signature of Owner A ent Date Electrical ,1� FSM."�,is �_ �� % Sub- Mailing Addrees -'- Contact Person Name Phone# Contractor 00 3c City/State ZIP Phone Prior to permit //� issuance,a copy �r..cr. `/71� �S ` ,7. _ FOR OFFICE USE ONLY: of all licenses are Oregon Const.Cant,Board Exp.Date - -- required if Lic# Plat#: MaplTLilt: /�// -- ----- /<l 7-)p - i expired in COT database Electrical Lic # Exp Date et''acks: Zone: Eledncal Superv,sor Lic./r Exp.Dote Enqm ring AppryYaL^ I Pk,mrn Approval: IF i:ldstsVom•rslsfd-new.doc r 1!20/98 i� Mer 13 00 10: 55a TVF&R SOUTH DIV. 15031612-7003 P. 1 WFOR TUALATIN VALLEY FIRE & RESCUE a SOUTH DIVISION COMMUNITY SERVICES • OPERATIONS • FIRE PREVENTION March 10, 2000 Bob Poskin, Senior Plans Examiner City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 RE: Erickson Heights DF;ar Bob, I have reviewed ane plans for the above noted project to evaluate fire apparatus access and water supply for the construction of the model 'home. Doth firefighting water supplies and fire apparatus access are adequate for construction of the model home r lease call me at (503)612-7010 If you have any questions or concerns. Sincerely, 'T 1"), 7vj kU Eric T. McMullen Deputy Fire Marshal 7401 SW Washoo Court •Tualatin,Oregon 97062• Phone. 503-612-7000•Fax: 503-0 2-7003•www.tvfr.com ACKNOWLEIDGEMEN'F OF RISK & HOLD HARMLESS AGREEMENT The purpose ofthis Agreement is M tr!low a building permit to be issued tiir the construction ofa model home on Lot ,'ty_ ol'the Erickson Heights subdivision prior to the recording ofthe plat. 1. The undersigned, owner of record, of said subdivision agrees to hold the City of 'Figard harmless ofany consequences that would arise by allowing Renaissance Custom I lomes to move forward with the building permit and sales facility prior to recording the plat. 2. The undersigned understands and agrees not to assert any claim(s). including litigation, against the City of Tigard, it- otlicer's, a encs and e;;iployees based on the issuance of building permit prior to plat r rding. Renaissan to m Homes B 1kandal Sebastian, President Dat d STATE OF OREGON COUNTY OF CLACKAMAS Be it remembered. on this V day of March, 2000,hefirre me,the undersign,-d,a Notary Public in and Im the State of Oregon,personally appeared the within named Randal S. Sebastian known to me to be the identical individual described in and who executed the within instrument and acknowledged to me that he executed the same freely and voluntarily. IN T'EST'IMONY WHEREOF, I have hereunto set my hand and affixed my official seal the day and year last above written. OffICIALSEAt TERM rouNG J)nxt G'J 1-_u_. NOTARY PUBLIC•ORFGON NOTARY PUBLIC FMR ORMON COMMISSION NO.317753 My commission expires October 22, 2002 MY COMMISSION EXPIRES OCTOBER 77,7007 2 n ° r ff C I a 1 � R T � a o � o o fit N ry A� � O � � n ti a 0 A C - MECHANICAL PERMIT CITY O� �I��RD DEVELOPMENT SERVICES PERMIT#: MEC2000 00339 DATE ISSUED: 8121/00 13125 3W Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S 11 ODA-07300 SITE ADDRESS: 10666 SW LADY MARION DR MODFL HOME SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 034 JURISDICTION: TIG CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS. VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: 1 STORIES: BOILERS/COMPRESSORS HOODS: _ FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES. GAS PRESSURE: 50+ HP: CLO DRYERS: FURN < 100K BTU: _ AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: 1 <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Mechanical work associated with installation of swimming pool. Owner: FEES RENAISSANCE CUSTOM HOMES INC Type By Date Amount Receipt 1672 SW WILLAMETTE DR PRMT CTR 8/2"00 $50 00 272000000C WEST LINN, OR 97068 5PCT CTR 8/21/00 $4.00 272000000C Total $54.00 Phone:503-557-8000 - - Contractor: CHAMPION HEATING 2646 SE WILLOW DR HILLSBORO. OR 97123 REQUIRED INSPECTIONS Gas Line Insp Phone:629-0292 Mechanical Insp Reg #:LIC 122088 Heating Unt Insp Final Inspection This permit is issued subject ;u the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other �ipplicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within, i 00 days of issuance, or if work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted in 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)246-91$9. Issub By: % t I L f Permittee Signature: ' && /-" c f` Call(503)639-4175 by 7:00 P.M. for inspections needed the next business day Plan heck tl CITY OF TIGARD Mechanical Permit Application Recd Fly 13125 SW HALL BLVD. Commercial and Residential Date Recd - TIGARD, OR 97223 / k2�°04�`� Date to P.E. "---- (503) 639-4171, x304aU „/� Date to DST Print or Type V" Permit# _ Incomplete or illegible a plications will not be accepted called Name of Development/Project Description Table 1A Mechanical Code Oty Price Amt Job Street Address Suiu;a A) Permit Fee _ 16.00 Address ,^ 1) Furnace to 100,000 BTU Bldg# CilylSlale Z p including ducts 8 vents 9.65 _ 2) Furnace 100,000 BTU+ including ducts 8 vents _ 12.00 VP Name(or name of business) 3) Floor Furnace Owner including vent 9.65 Mailing Address 4) Suspended heater,wall heater or floor mounted heater 9.65 -- 5) Vent not included in a fiance erntit 4.75 _ City/State ZIP Phone— Check all that apply: 'Boiler Heat Air For items 6-10,see or Pump Cond Oly Price Antt Name(or name of business) footnotes 1,2 Conill Occupant Mailing Address 6)Repair units 8.40 7)� P, bsorb un 3Hit to 1o0KBTU _ _ 965 _ City/State ZipPhone 8)3 15 HP;absorb unit look to 500k BTU 17.65 Contractor Name unit 15-30 HP;absorb unit.5-1 mil BTU 24.15 1-'^l.l'�� f''��r' 10)3050 HP;absorb Prior to permit Mailing Address ��t unit 1.1.75 mil BTU 36.00 am/ issuance,a copy . , 0 v- cP 11)>50HP;absorb unit>1.75 mil BTU of all licenses ��uyrslate Zrp Phone' 60.15 � are required If F1, 11!Ira (did LL 12)Air handling unit to 10,000 CFM expired In COT omyon Const Con, Board Llc N Er Dat 7.00 database _ 13)Air handling unit 10,000 CFM+ Architect Name 11.8:1 14)Nm-portable evaporate cooler or Mailing Address ---� 1.00 _ 5)Vent fan connected to a single duct CIIylStale Zip Phone 4.75 Engineer 16)Ventilation system not included in applianpe2errhlt 7.00 _ li.,scdbe work to be done: 17)Hood served by mechanicel exhaust 7.00 New O Repair O Replace with like kind: Yes 0 No O 18)Domestic incinerators Residential 0 Commercial 0 Modification O 12.00 _ 19)Commercial or Industrial type Incinerator Additional information or description of work: 48.25 20) Other units,including wood stoves 7.00 NOTE: For Commercial projects only;urr:'s over 400 lbs.,located on the 21)Gas piping one to four outlets roof,require structural cabs.prepared by licensed engineer. 3.75_ _. Type of fuel: oil 0 natural gas O LPG O electric O 22)More than 4-tier outlet(each) .75 I hereby acknowledge that I have reaT this appQG,tJon,that the information Mlnlmum_Permlt Fee$50.00 SUBTOTAL given Is correct,that I am the owner or authorized agent of '+ 8%SURCHARGE the owner,that plans submitted are in compliance with Oregon State laws. PLAN REVIEW 25%OF SUBTOTAL tequired for ALL commercial permits only Signature of Owner/Agent Date TOTAL Contact PO�Name phone Othe Inspections end Fees ,� �� 1 Inspections outside of normal business hours(minimum charge-two hours) $50 00 per hour T f _ 1 Inspections for which no fee is specifically indicated (minimum charge-half hour) Foonoh!? for com rcial orojects only: $50 OOperrwur 1. Provide full sche7liallic of existing and proposed gas lime and pressure. 3 Additional plan review required by changes,additions or revisions to plans(minimum 2. Provide drawings to scale showing existing and proposed mechanical charge-one-halt hour)$50 00 per hour 'State Contractor Boiler Certification required units. "Residential A/C requires site plan showing placement of unit 1:\mechperrn.doc rev 11!1199 CITY OF TIGARD BUILDING PERMIT _ PERMIT#: BUP2000-00305 DEVELOPMENT SERVICES DATE ISSUED: 8/14/00 13125 SW Hall Blvd.,Tigard. OR 97223 (5031639-4171 PARCEL: 2S110DA-07300 SITE ADDRESS: 10666 SW LADY MARION DR MODEL SUBDIVISION: 4MRSON HEIGHTS ZONING: R 3.5 BLOCK: LOT: 034 JURISDICTION: TIG REISSUE: Y FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: NEW FIRST: 544 sf N: S: E: W: TYPE Or USE: SF SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 3N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 544.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 6 BASEMENT: sf AREA SEP, RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RAVED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED — FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 30,000.00 Remarks: Swimming Pool 16' X 34' Owner: Contractor: RENAISSANCE CUSTOM HOMES INC NEPTUNE SWIMMING POOL CO 1672 SW WILLAMETTE DR 13785 SE AMBLER RD WEST LINN, OR 97068 CLACKAMAS, OR 97015-0000 Phone: Phone: 503-659-1335 Reg#: i_iC 00101810 FEES _ REQUIRED INSPECTIONS Type By Date Amount Receipt Misc. Inspection _ Misc. Inspection PLCK GWL 7120100 $192.73 0003841 Misc. Inspection PRMT RCP 8/14/00 $296.50 0004461 Final Inspection 5PCT RCP 8/14/00 $23.77. 0004461 Total $512.95 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe rm itee l�/ Signature: Issued By: — Call 639-4175 by 7 p.m. for an inspection the next business day CITY OF TIGARD Commerd l Building Permit Application Plan Chec*A 7- 13125 13125 SW HALL BLVD. New Construction and Additions Recd B� TIGARD,.OR 97223 � I , Date Recd (503) 639-4171 Date to P.E. Dale to DST _ 11 Print or Type �4 r / Permit#�1u 1'%V Incomplete or illegible applications will not be accepted Related SWR# 1 b Called —el Ira lep Name of Development/Project Ji-Q l Job Existing Building ❑ New Building p Address Street Address Sulle /O /= ,lil�r Building Bldg# City/ fate Zip Data Existing Use of Building or Property Name Property fiF,ol t v;AAl(7F- Owner Mailing Address Suite Proposed Use of Building or Prooerty: 74/ice city/State Zip Phone (c 'r No. Of Stories: 4 1 Occupant Name Sq. Ft. Of project: /f Name Occupancy Class(es) Contractor Prior to permit Mallin Address ��[ �1 Suite -�_--� Type(s) of Construction issuance,a copy �j /�/l�11+ of all licenses are required if City/state zipph4 v I Will this prciect have a Fire Suppression System? expired In C O.T. }`' datahase ,�.'r�,4 ,��/�r %//n�� G,5� ;; _ S�-- ND�------ hr gon Const.Cont.Board Llc.# Ex,1 Date Americans with Disabilities Act(ADA) Valuation X 25% _ $_ Y Participation --- _ Complete Accessib'Itty corm Name -------- -- Project Architect f'�'�tC,f" M r` f�� Valuation $ Mailing Address ____ Plans Required See Matrix for number of Fsetsto submit city/State ZIP Phone on back rfN'roe"ai or�,1 s�i -6'066 - - --- -- - - Engineer Name I hereby acknowledge that I have read this app/ -ation,that the information f� lt• •1 ��r^ f� given is correct,that I am the owner or authorized agent of the owner,and Mailing Address Suite _ tt:at plans submitted are in compliance with Oregon State Laws Signature of OwAer/Agent Date C:itylSlate ZIp— Ph°ne ---- , �"7 R' Contact Peison�Name Phone Indicate type of work: New 6' Addition O Demolition n — X� __ y• / >~ Arressory Structure O Foundation Only O Alteration O Repair o other o _—_ FOR OFFICE USE ONLY Dc scrlptlon of work: Map/TL# Land Use; — [—Notes: Parks: Estlmatod—#of Employees T'F -- — —�— If the above figure Is not supplied at the time of application,the city will calculate the fee based upon the number of parkin s aces. ----- --------- ---�-a----- Note: Site Work Permit Application must precede or accompany Building / �i7 �j /•'V PIP' Permit Application J i\dsts\forms\comnew doc 5/10/99 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 RE�E�VED IMPORTANT PERMIT NOTICE MAY �, ?oE1r� COMMUNITY pEVF.IOPMEN► GAGE ENTERPRISES INC PO BOX 1429 CLACKAMAS, OR 97015-1429 Electrical Signature Form Permit #: MST2000-0011 i Date Issued: 0510312000 Parcel: 2S110DA-EHO34 Site Address: 10666 SW LADY MARION DR MODEL HOME Subdivision: ERICKSON HEIGHTS Block: Lot: 034 Jurisdiction: TIG Zoning: R-3.5 Remarks: PATH I: New single family dwelling w/attached garage. Model Home 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 i�i required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior t') 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 INC GAGE ENTERPRISES INC 1672 SW WILLAMETTE DR PO BOX 1429 WEST LINN, OR 970603 CLACKAMAS, OR 97015-1429 Phone #: 503-557-8000 Phone #: 503-657-0142 Req #: SUP 8185 LIC 34544 ELE 3-128C AN INK SIGNATURE IS REQUIRED ON THIS FORM �G� -- Signature of Supervising E ct ician If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. RFS TIGARD, OR 97223 i MAY 0 5 ?000 IMPORTANT PERMIT NOTICE � CRAFTY ORK PLUMBING INC 7736 SW NIMBUS AVE BEAVERTON, OR 97008 Plumbing Signature Form Permit #: MST2000-00117 Date issued: 0510312000 Parcel: 2S110DA-EH034 Site Address: 10666 SW LADY MARION DR MODEL HOME Subdivision: ERICKSON HEIGHTS Block: Lot: 034 Jurisdiction: TIG Zoning: R-3.5 Remarks: PATH I: New single family dwelling wlattached garage. Model Home Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, pleas,: 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 CONI-RACTOR: RENAISSANCE CUSTOM HOMES INC CRAFTWORK PLUMBING INC 1672 SW WILLAMETTE DR 7736 SW NIMBUS AVE WFcT LINN, OR 97068 BEAVERTON. OR 97008 Phone #- 503-55740,11" Phone #: 644-8698 Reg #: I it 79666 PI M 20-148PB AN INK SIGNATURE IS REQUIRED ON THIS FORM _X -- Signature of Au orized Plumber If you have any questions, please call (503) 639-4171, ext. # 310 CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2001-00352 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 0811512061 PARCEL: 2S110DA-07300 SITE ADDRESS: 10666 SW LADY MARION DR MODEL HOME SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 034 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE Or 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 DRAIN: ft Remarks: Irrigation backflow prevention device. FEES Owner: — Type By Date Amount Receipt RENAISSANCE CUSTOM HOMES INC PRMT CTR $36.75 27200100000 1672 SW WILLAMETTE DR 5PCT CTR 08/15/2001 $2.,0 ?7200100000 WEST LINN. OR 9'068 — — Total $39.15 Phone 1: 503-557-8000 Contractor: MOODY ENTERPRISES INC 1'0 BOX 713 L=STACADA,OR 97023 :cw','IRED INSPECTIONS Final Inspection Phone 1: 503-630-5532 Reg #: LIC 5973 PLM 11717 This permit is issued subject to the regulations contained in th,2 Tigard Municipal Code State of OR. Specialty Codes and all other applicable laws. All wore, will be done in accordance with approved plans. This permit will expire if work is not starl,ed within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law regUires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001 -0080 You r,,iay obtain copies of these rules or direct questio•Is to OUNC by calling (503) 246-198-7 r'. Issued By: Permittee Signature: i �t Call (503) 6394175 by 7:00 P.M. for an Inspection needed the next business day Plumoing Permit Application MM "atecrlved: j /_ pPermit no. a - Sa Clt!r' of Tigard Sewer pear t no . Building permit no., Address: 13125 SW Hall Blvd,J;gar.l. Olt 97223 CkyoJ71`ard phone: (503) 639-4171 PI rojacUappl.no.: Gxprredate, Fax: (503) 399.1960 Jate issued I By Receipt no Land use approval: — Case nleno — payment type 11111 Ld Z11 III U j tit Z family dwelling or accessory J Cuntnl r i dlindustnal O Multi-family J Tempt impruvemsni New construction O Add iouivaltcrmion/rdnlacxmelit J F c o<1 1en;Lc J Other 1=11111[11 all rnumrl im )ob ttddrees: (,t f , if ,y Leu Uor. TF ee ea.) "I vial �. _ � —�_ —1.a Z-f y dwe it only; I Bldg. no: ' lite no.: (Includes l00ft,roreach utilltycoruKction) Tax snap/tax lot/account no.- _.. SFI• (1)bath l Lot. y Block: Subdivision: (2)b� Project name: e_r (3)�i City/vounty; �;�r y ! IP: Z Z Each a diuon a schen Descripdon and Ir c,ation of work on premises: `r_ uji e/t E' Sitenttiitiesst Catch basin/area drain list.date of completiun/inspecuon Root wel each lin trench drainin� rain(no. lin. It.) anufoctured home t tltes Business namr Address: .c',TV Rain drain connector State:i, i ZIP. 7G'Z an►tary sewer(no.lin.ft.) City:F � ��. C ... Phone: o3'- j,'-rf2 2 Fax: lie E-mail torn,sewer(no.Iin.ft) Water service lnolin.ft. _CFno.: 11717 Plumb. bus.reg.noFixture or item: City/rnetto lie.no.: _ / Absorption valve Contractor's representative signature / back flow preventer _ Print name: /)'J• . Date: 'i o Backwater valve /� 6asthes vtshe - - �--� — O ,f des wa �- Name: Dishwasher — --� --- Addmss: ` Yk, 7/J T— - — [)rinking fouutain(s) City: -f 1Cc �tateC /Z ZIP r �'Z� Ejectors/sump ---}- 1L _T____ i ar%< E-mail•. •xpanston;ank Fixtur►_sewer c _-- �,MF-'h_auilnitnt.g addr�ss�"'M * — Fl_oo:r—dr sr siicy_h—ub Name(primpartage disposal ►bb ----- Iluse b state: _ ee m cr _ — _ • lFsxE-mail: Interce for/lirraic trap,-- _.._ Owner instullatior►'residen'sal maintenance only- The actual installation will he made by me o e intenance and repair made by my regular -foo drain(commercial l employee on the pr en I w as per ORS C pter 447 S to k(s),b as i n-77 ays;s)_ Owner's si nature: Date: _ SUM Tu s/s iower(shower Uripal Name: - ---- _ --- .--- Vt'atet closet Address: _ _ ter ei hcat City: - State Z.[P: Ot ter. — Phone: -- Tax: ?E-mail: Tot�- _ . S - 6 NA A juedwicaont a:cept credit cud&plew call junuLctioo fcr mots Mom muton. Notice' Ibis permit arrkcanorr Minimum fee .. .... ......i o visa a Mru ercard expires if a permit is not ottalne,i plan review(at —_ %) $ q , C,t•d r card numtxr _ - / / within 18U days aftt•r it has heen State surcharge(8*) . .S 1.) F�prea TOTAL ...... .... .. .... _.. Name of ciao, i shown on ciwl t raid I accepted as complete _ _ S _ o derir iture — mourn 44}4616(61MICOM CITYOF i IGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00338 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/1102PARCEL: 2S11ODA-07300 SITE ADDRESS: 10666 SW LADY MARION DR MODEL HOME SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 03,1 JURISDICTION: TIG CLASS OF WOP.K: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: 1 STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES _ 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 1° - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50+ HP: CLO DRYERS: FURN < 100K BTU: _ AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: 1 <= 1000C cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Mechanical work associated with installation of swimming pool. Owner: _ _ _ FEES _ RENAISSANCE CUSTOM HOMES INC Type By Date Amount Receipt 16,72 SN WILLAMETTE DR PRMT CTR 811/02 $72.50 2720020000 WEST LINN, OR 97068 5PCT CTR 8/1/02 $5.80 272002000C Total $7830 Phanc:503-557-8000 -- Contractor: -- CHAMPION HEATING 2730 SE 39TH LOOP HILLSBORO, OR 97123 REQUIRED INSPECTIONS Gas Line Insp Phone:629-0292 Mechanical Insp Reg#:LIC 122088 i seating Unt Insp Finb! Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicabie laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance. or if work is suspended for more than 180 days. ATTENTION: Oregcn law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAF. 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions t OUNG by calx 9 ,n i2 ?Ar,-Q1 RQ,,o Issue By: Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business d ; Mechanical Permit Application Date received:D r y Permit City Of 'Tigard Project/appl.no.: Expire date: Cit t ofTir;nrd Address: 13125 SIN Hall Blvd,Tigard,Uk 97223 Date issued: B Phone: (503) 639-4171 Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use apploval: _ _ Buildingpermitno.: U I &2 family dwelling or accessory U Commercial/industrial U Multi-fanLI Tenant imprttventcnt U New consinictitnt U Addition/alteration/replacement �ther:_70-c L--_- - Job address: 4r Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: .Suite no.: value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ Lot: Block: Subdivision: "See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: 'ZIP: & 2 FAM1LV DWI LIJNG PERMIT FEE SCHEDULE Description and location of work on premises: _ Frr(rt.) Tnlal rsl.date of completion/inspection: _ff VA Ihari ion Qty Res.onl Res.onl. Tenant improvement or change of use: Air handling Is existing space heated or conditioned?U Yes U No dling unit CFM--- _ Air conditioning(site plan require ) Is existing space insulated'?U Yes U No Alteration of cxis5_ng_T1VACsystern Boiler/compressors State boiler permit no.: Business name_ (' i i'�;t� f of _ HP Tons BTU/11 _ Address: &7 WI LLCe✓ - it smo c dampers/duct smoke detectors City: L/,' •,?��.z a State:l+C(� 'ZIP: 71-2 Ileat pump(site p an rcqui` ) c Phone: g of '2 Fax: F-mail: nsta rep acefurnac urner - / 11 Including ductwork/vent liner U Yes U No CCB no.: install/replareir locate heaters-suspene , City/metro lic.sur.; wall,or floor mounted Name(please tint): G rl- cot for n ppl iance other-' an furnace Refrigeration: Absorption units _ BTU/11 Name: Chillers _ fill Compressors _ —__ III' ^ Address: nv -onmental ex gust and rentflut on: City; State: ZIP: Appliance vent Phone: I . E-mail: )rycrcxi,aust i loods,Type I/res.kilc ten/tazntat hood fire suppression system Nartte: Gxhaust fan with single duct(hath fans) Mailing atldress: 8x ausl s}stem a rart from hrttinti ser Ac' City: -----_ State: ZIP: Tyre: piping andistribution(Lip to 4 outlets) Tyre: LI'(' --- NG t hl Phone: -- I as: G-mail: Fuel piping cac t addilion:r'over outlets 'rocesspiping(schematicrequired) Nunther of outlets Name: Other Ilqted appliance or equipment: Address Decorative fireplace City: — ------ -- - stale: Insert-type_ - -- I'hunt: h x - mail: oo stov pellet stove Ot er. Applicant's signature;.,- Date: e z ter: Name (print): Nat all judsdictions accept credit cards,please call iurisdi:non for more Information. Perm`.t fee.....................$ ')dZ Notice:This permit appfcation Minimum fee................$ U visa U MasterCard expires if a permit is not obtained Cmdit card number: . ___ _---� Plan reVICN.�(at _ Tip) $ Frpltes within 180 days after it has been State surcharge(8%) ....$ -- — accepted as complete. Name of cattlholrler as shown nn credit card $ p p TOTAL .......................$ l C holder�:;nattue Atttoum 4104617(fipaR-'OM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDU'L TOTAL VALUATION: PEPM#T FEE: Description: - PriTota. $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code _ Qty (Eaa)) Amt BTU $5,0(1.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 0 including ductscts&vents ts 14.00 $1.52 for each additional$100.00 or 2) Furnace 100,000 BTII+ fraction thereof,to and including Includin ducts&vents 17 40 ) $10 000.00. -. $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace Includin vent 1400 $1.54 for each additional$100 00 or 4 Susper led heater,wall heater fraction thereof,to and including ) 14.00 $25,000-00, or floor mounted heater - _ $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included in appliance permit 680 $1.45 for each additional$100.00 or _ fraction thereof,to and including 6) Repair units 12 15 $50000.00 __ $50,001.00 and up $•142.00 for the first$50,000.00 and Check all that apply: Boder Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond _fraction thereof. _ footnotes below. Comp T 7)<314I1;absorb-unit $Minimum Permit Fee$72.50 SUBTOTAL: to 100K BTU 14.00 -- - 8%State Surcharge a - 8)3-15 HP;absorb unit 100k to 500k BTU 25.60 25%Plan Review Fee(of subtotal) $ - 9)15-30 HP;absorb unit.5-1 mil BTU 35.00 Required for ALL commercial permits q!�y ---- 10)30-50 HP;absorb -- TOTAL COMMERCIAL PERMIT FEE: $ unit 1-1.75 mil BTU 52.20 11)>50HP;absorb -. ._._ unit>1.75 mil BTU 87.20 12)Air handling unit to 10,000 CFM ASSUMED VALUATIONS PER APPLIANCE: 10.00 Value Total 13)Air handling unit 10,000 CFM+ Description: a Ea Amount _ 17.27 Furnace to 100,000 BTU,Including 955 -1-4)-Non-portable evaporate cooler ducts&vents - 10.Oc Furnace>100,000 BTU Inrluding 1,170 15)Vent fan connected to a single duct C 0 ducts&vents - 6.80 6 Floor furnace including vent 95F t. - 16)Ventilation system not Included In Suspended heater,wall heater or 955 a liance ermit 10.00 floor mounted heater 17)Hood served by mechanical exhaust Vent not Included in appliance 445 10.00 ermit 805 18)Domestic incinerators 17.40 Repair units <3 hp;absorb.unit, 955 19)Commercial or Industrial type Incinerator to 100k BTU 69.95 3.15 hp;absorb.unit, 1,700 20)Other units,Including wood stoves 101k to 500k BTU _ 10.00 15-30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets Iql/ mil,BTU 5.40 30-50 hp;absorb.unit, 3,400 22)More than 4-per outlot(each) 1.1.75 mil.BTU 1.00 >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: >1.75 mil.BTU Air handling unit to 10,000 cfm 656 - _- 8%State Surcharge $ Air handling unit>10,000 cfm 1,170 Non- ortable eva orate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a single duct 446 Vent system not Included In 656 -.appliance ermit _P�_ Other Insoectlonn end Fees: Hood served by mechanical exhaust 656 1 Inspections outside of normal business hours(minimum charge-two hours) Domestic incinerator 1,170 $6250 r hour C rmmercial or industrial incinerator 4 590 2 Inspectiuns for which no fee is specifically indicated (minimum charge-hall hour) Other unit,including wood stoves, 656 $62 50 per hour Inserts,etc. 3 Additional plan review required by changes,additions or revisions to plans(minimurr charge-one-half hour)$62 50 per hour Gas Piping 1-4 outlets 360 Each additional outlet 83 'State Contractor Boller unification required for units>200k BTU. _ 'Residential A1C requires site plan showing placement of unit. TOTAL COMMERCIAL S VALUATION: _ All New Commercial Buildings require 2 sets of plans. 1:\dsts\forrns\mech-fees doc 02/11/02 CITY OF T I GA R D ELECTRICAL PERMIT PERMIT#: ELC2002-00362 DEVELOPMENT SERVICES DATE ISSUED: 8/1/02 13125 SW Hall Blvd., Tiqard, OR 97221 (503) 639-4171 PARCEL: 2S110DA-07300 SITE ADDRESS: 10666 SW LADY MARION DR MODEL SUBDIVISION: HWOBSON HEIGHTS ZONING: R-3.5 BLOCK: LOT : 034 JURISDICTION: TIG Proiect Description: Electrical work associaated with installation of swimming pool. Install 1 200amp serice and 3 branch circuits. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: 1 W/SERVICE OR FEEDER: 3 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: _ SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: _ Owner: Contractor: RENAISSANr;c CUSTOM HOMES lNC GAGE ENTERPRISES INC 1672 SW WILLAMETTE DR PO BOX 1429 WEST HNN, OR 97068 CLACKAMAS, OR 97015-1429 Phone: 503-557-8000 Phone: 503-657-0142 Reg #: SUP 618s LIC 34544 EL.E 3-128C _ FEES Required Insr Ions Type By Date Amount Receipt Elect'I Service PRMT CTR 8/1102 $100.25 2720020000( Elect'I Final 5PCT CTR 8/1/02 $8.02 2720020000( Total $115$.27 I This Permit is is,.ued subject to the regulations contained in the Tigard Munidpal Code,State of OR. Specialty Codes and all other applicable laws. All work%dill be done in acoordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work:,suSP-Cli ted for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those runs are set forth in OAR 952-001 001P through OAR 952-001-0080. You may obtain copies of these rules or direct questions to ppr:-oit Signature: v Issued By:K - WNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE:— CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ _._ _ DATE:_ LICENSE NO: Call 639-4175 by 7:00pm for an inspe-".an the next business day Electrical Permit Application --' — Date received: -- PcrTrtit no. , City of f Ngard Project/appl,no.: Expire date: t ri l/n;nrd 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: C` , Land use approval: () '( _ �,--_U U. TYPE OF 1 &2 family dwelling or accessory U Commercial/industrial LJLJ Multi-famil,y U Tenant improvement New construction U Addition/alteration/replacement O(her: IV-- U Partial JOB SITE'INFORMATION Joh address: 6 6 a\ lild�. no.: 7=77, .: Tax map/tax lot/account no: —�— Lot: I� Block: Subdivision. �,,�;/c s,,., //I'/'Y 1 De9cri tion and location of work on remises: _ Project name: 0,,c/�s an /t•� P P Estimated date of connpletiotdjnspectiofi CONTRU'll'OR APPLICATION FEE I Job no: Business name: .r� 67 )►i, - — — UesCri tlon (hv. Ica.) total no.ince ve Ne"residential-single or multi-family per Address: A(? I LIZ 9dsvellingunit.Includes attached garage. city: 4'/ ,.'1State: ri< I ZIP: j 7 0 J S Service Included: Phone:y r,� S'y rr;y2 Fax: E-mail: lo)sq.rt.or less Each additional 500 s .ft.or portion thereof _ CCB no.: Syy L'lec.bus. lie.no: •- /2 g Limited energy.residential City/metro tic.no.: /ZVI Limited energy,non-residential 6 21y _ T Each manufactured home or modular dwelling Signature of Supervising elects cion(requited) Uate Service end/or feeder 2 Sup elect nnniclprint) C�;/c G a r License no: r:j 8 j Services or feeders—installation, alteration or relocation: OWNER 200 amps or less 2 Name( not): /7/ 201 amps to 400 amps 2 P ~•�cs' `� �`� 401 amps to 600 amps Mailing address: 1 Z 5111 W//ai,•�ffe `u ✓ 601 amps to IODUamps 2 City: 6s4- 6,1,1 State:Dj2 ZIP_ 9CY Over 1000 amps or volts 2 Phone: S.f ,9 5"r7TaeNp I Fax: s^165 /40E-mail: Reconnectunly I Usher installation:The installation i,being made on property I own Temporary services orfeeders- whi,:h is not intended for sale, lease,rent,or exchange according to Installation,alteration,or relocation: 2amps less ORS 447,455,479,6'70,701. 2U01 I amps ttoo 4)snips 2 Owner's si nature: D arc: __ _ 401 to f,00 ams 2 Branch circuits-new,alteration, or extension per panel: Name: _- _ _ A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit _ 2 Slate: Iii' _ B. Fee for branch circuits without purchase ------- -- — of service or feeder fee,first branch circuit 2 I'hone F,nt E-Mail: Each additional branch circuit M Ise.(Service or feeder not Included): J Service over 225 angrs commercial J Health-carefacthiv Each pump or irrigation circle 2 ❑Service over 320 amps-rating of 1&2 C'Hazardous location Each sign or outline lighting 2 familydwellings U Building over 10,)0 square lee(tour or Signal circuits)or a limited energy panel, ❑System overbo n volts nominal more residential units in one structure alteration,or extension* ❑Building overthrn•stories ❑Feeders,400 amps or more 'Description. ❑Occupant load over 99 persons ❑Manufactured structures or RV park Each additional Inspection over the allowable in anv of the above: ❑Egress/lightingplan ❑Other Per inspection Submit--_sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all jurisdictions accept credit cards.p'easr call ji„isdiciion for more udonnusuon Notice:This permit application Permit fee.....................$ ❑Visa ❑MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit card number _— __1 / within 180 days after it has been Slate surcharge(8%) ....$ p1fs accepted as complete. !O '� TOTAL .......................$ Name of csrdhalder as shown an credit cud r` _ S Cardholder signature Amount 440.4613 MWCOM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PE=RMIT FEES: ----- —_~—""�-- TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schodule Below: I Restricted Energy Fee.............................. ....................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved. Residential-per unit ;000 sq it or less �— $145 '5 4 Audio and Stereo Systems' Each additional 500 sq fl or portion thereof �`_ $33,41 Burglar Alarm Limited Energy _ _ $7500 Each Manufd Home or Modular Garage Door Opener' Dwelling Service or Feeder $9090 _ Services or Feeders El eating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _I $80 30 2 Vacuum Systems 201 amps to 400 amps $10685 _ _ 2 401 amps to 600 amps $160.60 — ` Other 601 amps to 1000 amps _ $24060 2 -- Over 1000 amps gar volts $454 65 2 Reconnect only $6685 Temporary Services or Feeder!,, Fee OF WORK INVOLVED -COMMERCIAL ONLY Fee for each system............................................. . ......... $75.00 Installation,alteration,er relocatio i 2 (SEF OAR 91&260-260) 200 amps or less __._ $6685 201 amps to 400 amps $100.30 2 Check Type of Work Involved: 401 amps to 600 amps $133 75 2 yp Over 600 amps to 1000 volts, Audio and Stereo Syslen see"b"above. Branch Circuits Boiler Controls New,alteration or extension per panel a)1 he fee for branch circuits Clock Systems wlth purchase of service or feeder fee. -- �� Each branch circuit $6 65 / I 2 Data Telecommunication mctallation b)Tho fee for branch circuits without prirchase of service ] Fire Alarm Installation or feeder fee. First branch circuit $46 85 — HVAC Each additional branch circuit J $6 65 Miscellaneous -- Instrumentation (Service or feeder not included) Each pump or irrigation circle $5340 Intercom and Paging Systems Each sign or outline lighting — $5340 — Signal circuit(s)or a limited energy Landscape Irrigation Control' panel,alteration or extension $75.00 Minor Labels(10) $125.00 ❑ Medical Each additional inspection over the alluwable In any of the above Nurse Calls Per inspection ^ $62.50 Per hour $62 50 In Plant $73 75 Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ Other 8%State Surcharge $ —y __ .—Number of Systems 25%Plan Review Fee No licenses are required Licenses are required for all other installations See"Plan Review"section on $ front of application -- Fees: Total Balance Due $ �Ur.- `'1 Enter total of above fees $ ❑ Trust Account p _ _ —� 8%State Surcharge $ -- - Total Balance Due $ -- r\dsts\I'orms\etc-fees doc 061117.111 CITY OF TIGiARD 24-Hour BUIL DING Inspection Line: (503)639-4175 MST INSPFI:TIUN DIVISION Business Line: (503)639-4171 BLIP aU36Y' Receivea Date Requesred 1 AM PM BUP Location _ U �° �' Z , o r� '�'Uy`– Suite_//// MEC � J� Contact Person ._, Ph(—) _ 7 7 J PLM ContraCW_r._—. __ _ _ __-- Ph( _–) — SWR C6,-2 '" UILDING Tenant/Owner - _t _ ELC � Foundation ---- �.. ELC _- ACC3SS: Ftg Drain ELR Crawl Drain - Slab Inspection Notes: / SIT Post& Beam Shear Anchors - - — Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing -- Firewall Fire Sprinkler --- -- ---- - --- Fire Alarm Susp'd Ceiling - - Roof Other: S PART FAIL _____..------------ Past& Beam Under Slab _ = - Rough-In Water Service -_--- -_- Sanitary Sewer Rain Drains Catch Basin/Manhole Stone Drain __--- Shower Pan Other. Final - PASS PART FAIL _ MECHANICAL Post&Beam SWokeDampers n Q kR PART'-'w- __ FAIL ICAL ice,.: ---. --- UG/Slab Low Voltage - Fire Alarm &AS Rains oction fee of$ required before next inspection. Pa al Ci Hall, 13125 SW Hall Blvd. PART FAIL- Please _� P - _- q P Y lY 1 Please call for reinspection RE.__ __,^ __ Unable to inspect--no access r re Supply Line ADA ( � U Approach/Sidewalk Date �/J. Inspector' _ Ext Other: Final DO NOT REMOVE this Inspection record from the job a?:e. `` PASS PART FAIL CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Insp,•-tion Line: 639-4175 Business Line: 639.4171 MST �- BLIP Date Requested-j-/--'i AMPM BLD Location 0 (164 j w Suite - - MEC Contact Person �w?�G`� - PhT�� Z PLM _ --------- Contractor Ph SWR 61JILDING — Tenant/Owner _ ELC - Futaining Wall ELR Footing -----__- - _ Foundation Access: --- FPS Ftg Drain ------ -- Gawl Drain I Inspection Notes: SGN Slab ——__--__-._- Post& Beam - —__---------- - ------- SIT Ext Sheath/Shear A-- Int Sheath/Shear Framing Insulation - -------__- Drywall Nailing Firewall ------ Fire Shnnklcr Fire Alarm - -- - -- Susp'd Ceiling Roof Misc: _—------- Final --------- ---- - - - ART FAIL ---_— _.--.--------..--- MB _ost&Beam ----- --- -- -- --- - _ Under Slab TopOut -- ------ ---- __ — ------ --- .._— ------- -- Water Service - ,',tndary Sewer - ---- - - - - - SRT FAIL eBeAr-n AI. - -- - - Post& - --- -...--- --- ----- Rough In Gas Line -------- -- -------_--_.-_- — Sj&e Dampers ASS PART FAIL --_-- -_----- - -- ELECTRICAL -- ----- ------ ----- - - ----- - -- Sprvice Rough In ------ ----- ----- ----- - L)G/Slab Low Voltage ------ ---- _ --- --- -- v,ra Alarm Fincl ------------- —__ ---- _.------ ----- ... PASS PART FAIL SITE --- Bacl,fill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ - required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basir, Fire Supply Line [ )Please call for reinspection RE._ ---_�_ _-- [ ]Unable to inspect-no access ADA Approach/Sidewalk Other _- Date _ —,�� '`� � �/C'_Inspector7Ext Final --- -- PASS PART FAIL DO 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 E3UP Date Requested--Zj—/--/Jf---_ AM PM —_ BLD Location Lti c1,1 /h_V _ Suite _ MEC —_— Contact Person Ph PLM --_--- Contrartor Ph SWR BUILDING Tenant/Owner _—_ Y — ELC Retaining Wall �r p __—__--- Footing Access FPS Foundation -- - - Fig Drain SIGN Crawl Drain Inspection Notes -"" Slab -- - -— --- Post& Beam --------_._-._� Ext Sheath,Shear ------ -- ---- Int Sheath/Shear Framing Insulation I!rywall Nailing - Firewall Fire Sprinkler - --- F're Alarm Susp'd Ceiling Roof Misc: 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 - ------- ------- -- - - Smoke Dampers Final ---- _ ...-- -- - --- - PASS PART FAIL ELECT �. Service ----. . ---- _... - ------- ----- Rough In UG/Slab --------—-- ---_- - ----------- Low Voltage Fire Alarm, -_— ------- ---- ----- - - in - AS PART FAIL --- _--- - -- ------ - - E - Backfill/Grading — Sanitary Sewer Storm Drain [ )Reinspection fee of$ —required before next inspection Pay at City hell, 13125 SW Hall Blvd Catch Basin Unable to inspect-no access Fire Supply Line ( ) Please call for reinspection RE _--___..- — ( 1 P ADA / ell Approach/sidewalkDate / Inspector _ �� — —Ext Other _ _— - Final PASS PART FAIL L%O NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24 Hour Inspection Line: 639-4175 Business Line: 639-4171 MST ;2e,4-4-6611 BUP _Date Requested- -1tV --- AM -PM -_ BLD Location &6VI llv L.-, d!, / tri:,- 19'�- Suite _ NIEC — ontact Person _ Ph PLM (:ontractor Ph —_ SWR - BUILDI Tenant/Owner ELC _ n wining Wall ----- --� ELR Footing Access Foundation c (� FPS Ftg Drain Crawl Dram Inspection Notes: , �i SGNSlab - Post& Beam _- -- SI i --- Ext Sheath/Shear Int Sheath/Shear -----— ---- -- Framing Insulation Drywall Nailing Firewall _..----- --- --._.---- - Fire Sprinkler Fire Alarm Susp'd Ceiling --------_---.______-- . Roof ^.- -- q Fi ��i� ART FAIL -- BIND --- Post eam Under Slab Top Out - - ---- --- Water Service Sanitary Sewer -------------_-.----- ------_,___.._-- _-_-.- Rain Drains -------------------------- Final T -- P RT FAIL FAECHANIW � — Post & Beam _. - ------- -- Rough In Gas Line -------._. .. .__ — - --- ---- --_— -- Smoke Dampers Fin ----- 33 PART FAIL VffCTRIC AL - - ----- - ------- -_ Service _ Rough In -- UG/Slab ----- — -- _ — _—_ -- --- ---- — -- I_ow Voltage Fire Alarm Final PASS PART FAIL —_-- _—____- ------_—-_-- _ -- __-- ---.__-- SITE Backfill/Grading --- -- ---- - --- --- --- Sanit-j Sewer Storm Drai.. ( j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire supply Line I [ j Please call for reinspection RF' �— — [ J Unable to inspect-no access ADA Approach/Sidewalk Ext Other _ Data �_.� �{ _ Inspector_— — Final f PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. Clair fOF YiG�ARD ELECTRICAL PERMIT PERMIT#: ELC2000-00496 DEVELOPMENT SERVICES DATE ISSUED: 8/21/00 13125 SW Hall Blvd..Tigard. OR 97223 (503) 639-4171 PARCEL: 2S110DA-073CO SITE ADDRESS: 10666 SW LADY MARION DR MODEL. SUBDIVISION: H=RSON HEIGHTS ZONING: R-3.5 BLOCK: LOT : 034 JURISDICTION: TIG Prosect Description: Electrical work asst,::iated with installation of swimming pool. Installation of one 200 amp service and three branch circuits. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANE01IS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: £0 i+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _ _ADD'L INSPECT IONS_ 0 - 200 amp: 1 W/SERVICE OR FEEDER: 3 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: __ PLAN REVIEW SECTION _ 1000+ amp/volt: -4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS:_ CLASS AREA/SPEC OCC: _ Owner: Contractor: RENAISSANCE CUSTOM HOMES INC GAGE ENTERPRISES INC 1672 SW WILLAMETTE DR PO BOX 1429 WEST LINN, OR 97068 CLACKAMAS, OR 97015-1429 Phone: 503-557-8000 Phone: 503-657-0142 Reg#: SUP 618s LIC 34544 El_E 3-1280 FEES _ - Required Inspections Type By Date Amount Receipt Elect'I Service PRMT CTR 8/21/00 $80.30 2720000000( Elecl'I Final 5PCT GTR 8/21/00 $6.42 2720000000( Total $86.72 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 ordirect questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE �1n ( l�ZO �{�, '1 ISSUEb BY: i �( OWNER INSTALLATION ONLY _ The Installation is being made on property I own which is not intended for sale, lease, or rent. 01 VNER'S SIGNATURE: DATE:_ CONTRACTOR INSIALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE:_____- I LICENCE NO: (4-4 � - Call 639-4175 by 7:00pm for an Inspection the next business day CITY OF TIGARD Electrical Permit Application Planfheck#13125 SW HALL BLVD. Recy_ - SIGARD OR 97 223 i Date Recd Oil Date to P E Phone(503)639-4171, x304 '�`� �� Date to DST — ——"— Inspection (503)639 4175 Print of Type 0 Permit#lie,gav O� f=ax (503) 598-1960 Inconlpl,Ae or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name rr nevelopment � s Number of Inspe;;tions per permit allowed Name r me of business) _ -_ Service included. Items Cost Sum .'address 1 0yo OWN 4a. Residential-per unit 1000 sq ft or less $ 117.75 4 City/Matt?/Zip —._— Each additional 500 sq ft or portion thereof $ 26.75 1 CommercialResidential Limited Energy $ 6000 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service cr Feeder S 72.75 2 (Prior to permit issuance,applicants must provide contactor license 4b.Services or Feeders infunnation for COT data ba$e). Installation,alteration,or relocation /� 1 Electric U tractor ,� �^ -00 amps or less $ 6425 ( � Addres r 201 amps to 400 amps _ S 85.50 _ 2 401 amps to 600 amps $ 128 50 2 City('� /:6,,,� State _Zip �]7L�1 601 amps to 1000 amps $ 192 50 2 Phone Nui/;y) 01C-5-1 l __ Over 1000 amps or volts S 363.75 2 ,lob No, _ Reconnect only $ 53.50 2 Elec Cont Lice No.3 - 1.2 fj�-C __Exp Date 4c.Temporary Services or Feeders OR State CCB Reg, No 1:,;1Y 4-1 Exp.Date — Installation.alteration,or relocation COT Business Tax or Metro No. Exp.Date i! 200 amps or less $ 5350 2 // 201 amps to 400 amps $ 60.25 2 Signature of Sup+ Elec'n aV-j L- n� _ 401 amps to 600 amps _ — $ 100.00 2 � f Over 600 amps to 1000 volts, L•cense No �y -5 Exp.Date see"b"above. — -__fes._ 4d.Branch Circuits Phone, NO. w New,alteration of extension per panel a)The fee for branch circuits 2h For owner installations: with purchase of service c- feeder fee. 2 i Print Owner's Nance Each branch circult i7 S 535 Address The fee to;branch circuits — —— -- - — withor:f purchase of service City _ S tate _Zip or'eeder fee. First branch circuit $ 37.50 v y L-ach additional branch circuit S 5.35 _ The installation is being made on property I own which is not 4e.Miscellaneous intended for sale,lease or rent (Servlw or feeder nut Included) Each pump or Irrigation circle $ 42 7.i Owner's Signature Each sign or outline lighting $ 42.75 _ - Signal circult(s)or a limited energy 3 Plan Review section if required):* panel,alteration or extension $ 60.00 Miner Latels(10) $ 100.00 Please check appropriate item and enter fee in section 5F3. f 4f.Each additional inspection over __4 or more residential units in one structure t1w allowable in any of the above Service and feeder 225 amps or more Per inspection $ 5000 Per hour $ 5000 ---- System over 600 volts nominal In Plant $ 5900 Classified area or structure contain ng special occupancy as described in N E C Chapter 5 5. Fees: 5a.Enter total of above fees $ bU ` * Submit 2:ets of plans with application where any of the above appry. 8%Surcharge(08 X total fees) $ . a Not re, uh 2d for temporary construction services. Subtotal $ 5b.Enter 25%of line Sa for NOTICE Plan Review if required(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ _v IS NOT COMMENCED WIT HIN 1 AO DAYS,OR IF CONSTRUCTION OR WORK IS SUSIPENDED OR ABANDONED FOR A PERIOD OF 180 DA'r S t_1 Trust Account# _ AT ANY i IME AFTER WORK IS COMMENCED. V I Totaf batance Cue $ T(C 7;:� I ldstslformslclectric,doc l C;T'Y OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — BUP Requested__ - AM _.PM _ BLD — Location J U b Gi .5 4,, Suite MEC Contact Person Ph �(i�' 6 PLM -- Contractor �' — Ph _ SWR BUILnING Tenant/Owner _J ELC Retainir q Wall ELR Footing Ar;cess: Foundation FPS - Ftg Drain SGN Crawl Drain Inspection Notes -- -- Slab `- - ------------------- SIT - --- Post& Beam Ext Sheath/Shear I ----- ----- - - -- -- Int Sheath/Shear Framing _------------------------ ---- -------------- -------- Insulation Drywall Nailing -- - -- - - - -- Firewall Fire Sprinkler -- -- -J-IL 0 _C1- -- ---- -- - - Fire Alarm Susp'd Ceiling - - -_ --- - — - — -- --.-- ------- - Roof Miss: ----- _- - --- _ --- -- - --- . .------ ._. Final - PASS PAR FAIL - --- - -- - - PLUMBING Post& Beam Under Slab Top Out Water service Sanitary Sewer - Rain Drains -- Final PASS PART FAIL -- - -- - MECHANICAL Post&Pearn --- -- ------ Rough In Gas Line Smoke Dampers Final - --- __------_-- - _— -- -- -- _.e— - - _- PASS PART FAIL `LECTRIC�-At Serwc — - -_.—_ -- — - - ------- —_ Rough In UG/Slab — - --- --- -- --- --- Low Voltage fire Alarm Final PASS PART AI _ ------------------SITE Backfill/Grading - - --- ---- --- .-- - _ Sanitary Sewer Storm Drain I 1 Reinspection fee of$ required before next inspection. Pay at City Hell, 13125 SW Hall Blvd Cstch Basin I Please call for reinspection R(_: __ ( J Unable to inspect-no access Fire Supply Line ADA f Approach/Sidewalk DateInspector ___y,�j Ext Other - -- Final PASS PART FAIL DO NOT REMO..E this inspection record from the job site. CITY OF TIGARD ELECT - RESTRICTECTED EENERNERGY DEVELOPMENT SERVICES PERMIT M ELR2001-00079 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/27/01 SITE ADDRESS: 10666 SW I_AD`( MARION DR MODEL HOME PARCEL: 2S110DA-07300 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 034 JURISDICTION: TIG Proiect Description: A.RESIDENTIAL _ B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR 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: PROTE"TIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: Owner: Contractor: RENAISSANCE CUSTOM HOMES INC GREENLINE INC 1672 SW WILLAMETTE DR PO BOX 230755 WFST LINN, OR 97068 TIGARD, OR 97223 Phone: 503-557-8000 Phone: 968-1978 Reg #: LIC 103033 FILE 34-397CL _ FEES — Required Inspections Type By Date Amount Receipt — Low Voltage Inspection PRMT CTR 3/27/01 $7500 2720010000 Elect'I Final SPCT CTR 3/2.7/01 79.00 2720010000 y-- Total -- $81.00 This Pennit 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 ,ans This permit will expire if work is riot 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 Cente� Those rules are set forth in OAR 952-001-0010 ihrough 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 ma or operty I own whir .ppt intended for s3le. lease, or rent. OWNER'S SIGNATURE: - - DATE:- 05 CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N �— DATE:------_— L I C E N S E N O: — ---------- -- ----------- — -��__ -- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Pcrm- t Application — IDateevlroc : � Permitno. p0I-OC City of Tigard Projecl/appl.no.: Expire date: CirvofTigarrl Address: 13125 SW Hall Blvd.Tigard,OR 97223 Date issued: By: Receiptno.:_ Phone: (51"131 639-4171 Fax: (51iz) 5119-1960 Case file na.: Payment type: Land use approval: TYPE OF PERNUT I & 2 family dwelling or accessory U Commercial/industrial J Multi-family J I'enant improvement New ronsirettion U Addttiinlallrralnm/n plarrnu nl J 011ier: _-�-_ U Partial 1 ' .IOL)address: ' ' 1 Il�ii� Stlifv no.: 'rax map/lax hit/ml—mint no.: Lot: Block: Project name: I!t, u:ription and location of work on premises: 1?slinuncll date��I ��mthll•liinhn.l, iin� — 1 1 Job no: Ire Max — --- - llescripllon Vly. (ea) lbtal no.lnvp gllSlnesS namC: L _ h,r rYddential single or multi famih per Address: ti. 1 _ d»ailing emit.Incholm anached garage. City: — `talc: 711'; - Senicrhrrlurkd: Phone. MTV - : mail: l��n y n less 4 Fach odditionul SOQ aq. A.or union thereof CCB no,: _ Rlcc:hos. lir. no: tt+ Ltntncdenergy,residential 2 MEAL City/ etre lic.no.: _ I.intitcdenergy,non-residential 2 Tach manufactured home or mod,-!dr u.:etling —yj Service and/or feeder _ 2 Sign, �suLicrviselectrician(re uired) _ bole -- Sup.elect.name(pant t I.icense no Services or feeders-Instaliati m, alteration or relocation: 1 204)amps or Ic%% — 2 Name(print): GVES 201 snips to 4(X1 am2 crops _ 401 amps to 6(x1 amps _ __ 2 Mailing at tvss_l�'L! � S 601 snips to IWOsnips City: L�N Still PTA, 'Lit': over IOW amp%orvolts 2 Phone: T Fa X. E-mail: Reconnect only Owner installation:The installation is being madc on property I own temporary services or feedersInslallallon.alleralion,orrelocalion: which isnot intended for sale,lease.rent,or exchange according to 00 amps or less _ 2 _ ORS 447,455,479, 0 n amps to 40()amps h600 — - Owner's sit nal �_�- IDate: 3 4011 6oaams -- - 2 Branch circuit%-new,alteration, or extension per nanel: Namc: _. A I'rc for branch circuits with purchase of Address: service or feeder fee•each branch circuit 2 City: SIIIIC: LiP: _ B Fee for branch circuits without purchase --_ - _ of service e-feeder fee,first branch circuit: 2 i Bono Fit F.-rnail: tach additional brm,ch circuit r Misc.(Service or feeder not Inc luded): J Sets'ta'ovci 2.?ampscomrocrcoll U licalth-carefaciliiv Each pump or 2 _ U Service over 20 amps-rating(if 1&2 U liazardouslocntinn Each sign orau1111", fighting 2 familydwellings U Building over 10A X)square feet fnur(it Signal circuil(s)oralimitedcnergypnnel. U System over 60r)volts nominal more residential units in one structure alteration,or extension* 2 U Building m er three stories U Feeders.40l amps or more •11escrr tion - U ckcupam load over 99 petsnn% U ManufocHred sinictures or RV park Fach additional Inspection over the allowable in any of the shove: (]Egress/lightingplan U ilther: Perinsp'!ction —_ - 77 Submit sets of plans with■ny of the shove. Investigation fee The above are not applicable to temporary construction%ervitC. Other _ NM all juriedlctlnns arcept credit cards.piece c.II iuriadicttr,n Rx more inrarma -n Notice:This permit application Permit fee.....................$ ,- U visa U MasterCard expires if n permit is not obtained Plan review(at 9f) $ Credit cava number _ _ L within 180 days ager it has been State surcharge(8%)....$ �.- - - -- 'fin` acrcpted as complete. TOTAL .. ....................$ mo '_ Name ar cnrAn�si;wn on c ire —� C'ardholdei signature — Anitaillill— 4404615(61.000M1 SEE 35MM ROLL # 20 FOR OVERSIZED DOCUMENT