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10693 SW LADY MARION DRIVE s � / �S+89'53'03" W 60.00' E CEPMtPTS, .URVE CORS, WILL PIN ALL UM r �/ 0011X -OUN;JATKY► CORNERS AND PRG`4 _ 80V UJ64 3� 1100 SIT SURVEY. a j t. PROM i IIMAX Ir 66)THICK o I GRAVEL PAD&DRIVE UNTL PEPAJAMENT O �,ONCI�FTE DRIVE iS IN PLAM ' 2. PRWW i WMAIN SOL$0Wff RNM AS INDI(.ATIEO. J46 16.0' �'• 9.S' I I I 3 w I w -� FF 301 , q6 N r w I O + � ► O �•5 i 0 I Z o I 13.0' 20.C' cli D' 4 N) Lr n r k-- .5 V LJ LJ $^IN i,, 0 g pmr4s v� e� _ Le-ILM ' eu___ N 89'52007'" E 49.09' RZ625. 00 � • S. W. LADY DRIVE SCALE 1" = 20' S DRAWINGLOT 43 ERICKSON HEIGHTS S.E. 1 4 SEC. 10, T.2S., RAW., W.M. 104011, S\v LAPY /%Amom ©o. CITY OF TIGARD WASHINGTON COUNTY, OREGON `y - - A 2.5' LANDSCAPE EASEMENT SHALL EXIST ALONG FEBRUARY 28, 2001 Centerline C o n c Concepts Inc . -ALL �STR3£ CT FRONTAGE AND A 7.5' UTILITY EASEMENTp S SHALL EXIST BEHIND THE LANDSCAPE EASEMENT DRAWN BY: MSG GHE'XED BY: WGDIII SCALE 1 "=20' ACCOUNT # 115 6d0 82nd Drive Gladstone, Oregon 97027 ` M: \MLI\L43ERICK 503 650-0188 fax 503 650--0189 _-r... ;.. .,,.., �, d..k,�...,-+.0 ww'-Fnrni. rsi..�,�:..,�..y.,w,.e"au. v,.r ,:17,C•y�" 9.�kA.t r M1'rR; a,. - wo .. NOT ICE. IF THE PRINT OR TYPE ON ANY � I-�IIrIIIIII � III � � II IIII � I � IIII � I � itr�r iTLr�r.�1.� � r�_rr�t-� ►� riI � .1Tr � II � �Yr( � i ( � i ( i iY"rlli .r � iL� r( � �111 �� i1 � �� rllr. I � r( i 1 ( 1 i iI I � -i � � T _� r � i i � � i i i I 1 I I I i r 111 n 111 I . III , IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 2 3 II I i 4 5 6 ---- -- - -- 8 - 10 11 ITIS D 12 UE TO THE QUALITY OF THE - --- — - ORIGINAL DOCUMENT � --�— � — - , CI E 6Z s� Z LZ 8Z Z � Z E� Z IZ 6i 8I G � 9T 4i � T ET ZT II � '�6 8 L 36 8 IILI Illi IIII IIII 1111. IIII .IIII .fill Illi ILII. i�l1111111ll1 1111�11i1 111 111 IAO Il. IIII IIII IIII Illl�l'll Illi IIII IIII :1111 IIII i l l III IIII Illi II11 IIII III! Ill.►. fill l lll� llll�Lil► IILI lllll.11l Ill llli��ll .,.a.w.r..�.w..,.....�.......ww..�....�...._.�....�...�....m..,....�._.�.:.__...�....___.�_._..,_.. _._..___ .._.____._,��.w,.<y.WY=�.,:..�_..,w...,m «,M.n..�'M.s �nv.�..#w.....,vM.M�+»w,,W WWIW 0 m ca w cn r w CL 3 m o' v _9 L' 10693 SW Lady Marion Drive CITY OF T I O A R D MASTER PERMIT PERMIT#: MST2001-00114 DEVELOPMENT SERVICES DATE ISSUED: 4/13/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 10693 SW LADY MARION DR PARCEL: 2S110DA-0£3200 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 043 JURISDICTION: TIG REMARKS: Construction of new single family detached residence. Path 1 BUILDING REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NI..W HEIGHT: 25 FIRST: 1.314 of BASEMENT: of LEFT 11 SMOKE DETECTORS: 7 TYPE OF USE: SI- FLOOR LOAD: 40 SECOND: 1.545 of GARAGE: 632 of FRONT :u PARKING SPACES TYPE OF CONST: 54 DWELLING UNITS: I FINBSMENT: of RIGHT: ., OCCUPANCYGIP H7 BDRM: 4 OATH: f TOTAL: 1 95li"r, of $261,82200 sl REAR: a5 PLUMBING SINKS: 1 WATER CLOSETS: I WASHING MACH LAUNDRY TRAYS: ( RAIN DRAIN: IOU (RAPS LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS. 1 CATCH BASINS: 7UBISHOWERS: 3 GARBAGE DIS I 1 WATER HEATERS: I WATER LINES: 100 BCKFLW PREVNTR. I GREASE TRAPS. MECHANICAL OTHER FIXTURES FUEL TYPES "I RN<100K: BUIL/CMP<3HP VENT FANS. r, CLOTHES DRYER. ,. ' A'; FL RN—100K I UNIT HEATERS: HOODS: t OTHER UNITS: I MAX INP. hip FLOOR FUh LANCES: VENTS. 1 WOODSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER IEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS _ ADU'L INSPECTIONS 1000 SF ON LESS: 1 n 200 amp: 0 - 2U0 amp W/SVC OR FDR: I PUMPIIRRIGATION: PER INSPECTION. EA ADD'L 500SF: S 201 400 amp: 201 - 400 amn: 1st WIO SVC/FDR. !,'i SIGNIOUT LIN LT: PER HOUR. LIMITED ENERGY: 401 600 amp: 401 600 amp. EA ADDL BR CIR. SIGNAL/PANEL: IN PLANT, MANU HM/SVCIFDR: 601 - 1000 amp. 6014amos-1000v MINOR LABEL: 1000-amplvoll Reconnect only: PLAN REVIEV!SECTION '— - --4 RES UNITS, SVCIFDRI-225 A.: •60U V NOMINAL: CLS AREAISPC OCC. ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL. B COMMERCIAL AUDIO 8 STEREO: X VACUUM SYSTEM AUDIO&STEREO: FIRE ALARM INTERCOMIPAGING. OUTDOOR LNDSC LT, BURGLAR ALARM: x OTH: M I I NC)MI, BOILER: HVAC. LANDSCAPEIIRRIG: PROTECTIVE SIGNI- GARAGEOPENER: X CLOCK. INGTRUMENTATION MEDICAL. OTHR HVAC: X DATAJELE COMM: NURSE CALLS. TOTAL N SYSTEMS. Owner: Contractor: TOTAL FEES: $ 6,988.09 RENAISSANCE CUSTOM HOMES This permit Is subject to the regulations contained in the 1672 SW WILLAMETTE FALLS DR Tigard Municipal Code,State of OR Specialty Codes and WEST'_INN, OR 97068 all oche applicable law!, All work will be done In accordance with approv>d plans This permit will expire if work i,not stalled within ;80 days of issuance,or If the work is suspended for more than 180 days ATTENTION Phone: Phone Dragon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set Ping forth in(JAR 952-001.0010 through 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion Control Insp 8, PosbBearn Me(-.harlica Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Sewer Inspection Underfloor insulation Plumb Top Out Exterior Sheathing Ins{ Rain drain Insp Plumb Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltage Water Line Insp Final inspection Foundation Ind Footing/Foundation Dr; Electrical Rough In Gas Line Insp Appr/Sdwlk Insp —Building Final Post/ am Structuini PLM/Underfloor Framing Insp Gas Fireplace Electrical Final J .\ 11 ff Issue \ � 7� Permittee Signature Call 1503) 639-4175 by 7:00 p.m. for an inspRction needed the next business dE y SEWER CONNECTION PERMIT CITY OF TIGARD DEVELOPMENT SERVICES PERMIT#: S 13/01 00066 DATE ISSUED: 4/13/01 13125 SW hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110DA-08200 SITE ADDRESS; 10693 SW LADY MARION DR SUBDIVISION: ERICKSON HEIGHTS ZONING: IG BLOCK: LOT: 043 JURISDICTION: TIG TIG _ TENANT NAME: USA NO: FIXTURE UNITP. CLASS OF WORK: NEW DWELLING UNI" �: 1 TYPE OF USE: SF NO. OF BUII 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Construction of new single family detached residence. Owner: _ FEES _ RENAISSANCE CUSTOM HOMES Type By Date Amount Receipt 1672 SW WILLAMETTE FALLS DR — -- WEST L.INN, OR 97068 PRMT CTR 4/13/01 $2,300.00 27200100000 INSP CTR 4/13/01 $35.00 27200100000 Phone: 503-557-8000 Total $2,335.00 —� Contractor: Phone: Reg #: Required Inspections 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'otal 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 ' feel in all directions frorn the distance given. If not so located. the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION Oregon law requires you to follow rules adopted by the 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: Permittee Signature: _ - Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next uusiness day Building Permit Application Datereceived:�� I'crmttno. �l�i e><<y of Tigard Project/appl.no.: Expire date: i'ity of Tigard Address: 13125 SW Wall Blvd,Tigard,OR 97223 - - \ Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type—: �- Land use approval: 1&2 family-Simple Complex: TYPE OF PERMIT1 U 1 &2 family dwelling or ac-essory U Commercial1industrial U Multi-family U New construction U Demolition U Addition/alteration/replacement U'1'enant improvement U Dirt•sprinkler/alarm U Other: JOB SITE INFORMATION. Job address: VVV Suite no.: Lot; Block: Subdivision: IGE N Tax map/tux lot/account no.:a,51mCt9` 08,9eo Project name: - ? S�U Description and location of work on premiseslspecial conditions: S��1`1 L Ly 111]AM 91 ' 1 Name: Q. �� S Mailing address: Z low I &2 fancily dwelling: ��6 � City: W • State: 7.11'• 4(ZQ� Valuation of work........................ ................ $ `~'y__ Phone: - a I ax / F-mail: No.of bedrooms/baths................................. _�_ _3 Owner's represelikillve: -- - Total number of floors................................. 2- --- -- -- - ---- Z r� 5y Picone: rax: [ mail: New dwelling area(sq.ft.) •......................... Garage/carport area(sq.ft.)........................ Name: Covered porch area(sq.ft.) ......................... -- ------- Deck area(sq.ft.) -- L w ....... g a Mailinddress: Other structure area(s ft.)......................... City: State: 7.11': _ Phone: Fax: E-mail Commercial/industrial/nculti-family: 1 1 Valuation of work................... .................. Existing bldg.area(sq.ft.) ....... ..•..... ..... Business Warne: New bldg.area(sq.ft.) Address: Number of stories City; State: ZIP: Type of construction Phone, Fax: I E-mail: Occupancy group(s): Existing: CCC no.: _ _ _ New: City/metro lic.no Notice:All contractors and subcontractors are required to be ARCHITIECT/DESTGNER licensed with the Oregon Construction Contractors Board under _Name: Qy V�"' I�_ provisions of ORS 701 acrd may he required to be licensed in the Address: .jurisdiction where work is being performed. If the applicant is Add Add G --- exempt from licensing,the following reason applies: CitrState: I.1I':^'��`7' Contact person. W1 KE . 1'lan no.: -- ---- --- ,nor — 1y � - ENGINEE Name: (� L �W• Contac t persrcn Fees due upon application ........................... $ --- Address: L LV U.INfntiG Date received: _ City: State: 7.IP: '13!!; Amount received ........................................• $ _ Phone: '� - Fax E-mail: Please refer tc fee schedule. _ I hereby certify I have read and examined this applil•ation and the Not all jurisdictions arctpi ciedit conk,please call jurisdiction for nae information attached checklist. All provisions of laws and ordinances p.werning this U Visa U MasterCard work will he complied c,whether specified herein or nw�tr ��7y I//�I Credit card numt,er. Y I II I-.4 rtlrf5 Authorized SI�OaIurC: _ Rafe: . Name of cudholdrr u shown on credit cud_------ s Print name: — C-dholder slgnawe - — Amount — Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4"13(fv'oarcorrl Mechanical Permit Application -_-- pate rcclivcJ: (p OI Permit no.: r>f p/-001 City of T ignrd Project/appl.no.. Expiredate: Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 rt, ase file no.: payment type: Land use approval: udding permit no.: TYPE OF PERMIT )<I &2 family dwelling or accessory J( ,mitnercud/indusinal U Multi-family U Tenant improvement XNew constructhiu J 1Jdiliori/,illeratioti/replacement U Other: isINFORMATION Joh addre'., ) . Indicate equipment quantities in boxes below. Inuicale the dollar _Bldg,no.; _ Suite no.: _ value of all mechanical materials,equipment,labor,overhead Ta,.map/tax IoUnccount no.: profit. Value$ Lot: Block. Suhdivisn,r�-- -See checklist for important application information and Project name: `^ jurisdiction's fee schedule for residential permit fel. City/county: ZIP: t 1 ULE Description and location of work on premises: -- - - Iee(ta.) loud Est.date of complefion/inspection: _ _ IN-wription (py. Res.onlr Res.oills Tenant improvement or change of use: I I At Is existing space healed or conditioned?U Yes U No Air condition ung ;itir conditioning(site plan required) Is existing space insulaird?U Yes U No Alteration of existing HVAC syst io CONTRACTORMECIIANIVAL Itol er compressors _ n:uttr: eye` state boiler permit no.: Business C, I1 N1T-NA--- IIF' 'runs BTU/14 Address: 5C _� -_ A V ire smo l ampers uct smo l etectors Chhiton: - istat,: IRAW-31, - Install/replace eat pump(site plan required) jZ intilnsta rep ace unace tuner F xIncluding ductworkIvent Ill. Yes U Noa _ CCB no.: O122d nsta /rep ac relocate teeters-suspen e T City/metro lic.no.; wall,or floor mounted Naar i please print). --- - - -- Veru fora Lance-,t er than furnace 1 1 e gest on: Ahsorption units_ _ BTII/H Name: Chillers--__-__-_— III' - Adllress: Cont,ressors _ IIP m 1, nmenta ex aust an ventilation: Cii� -' � --- Stall Z1P: Appliance vent _ ^_ I'honc �—T I ,t, I in,ril )ryetex taust _ Hoods,Type res. tc en a?mat hood fire suppression system N at � � - Exhaust fan with sir gle duct(hath fans) iling address t,�) _ Ex gust systent a ,rt from healingor At- Mailing — --- 'ue p p ng an xtr ut on tup to out ets y: L. stittc ZIP: d Type. __I-M NG Oil - I:r E-mail: ,uc i inE each additional over 4 outlets rncescpiping(sc e.niticreyttil Name; _ L �I. � Contact person OtherNumber of outlets _ IF __�__--__.__ Other listed app once or e�t�{pment: Address: L.V( , A rr.�1��'_1yd� Itccorativefireplace city: �aI LV 'j `I — state DM1zlP:�1?�S) awed-type Phonr: ,7 - #4 Fax " E-mail: o stove pe letsto.c (tt ter. Applicant's signator Date:%J S Illher: Not all huisdiclion,Acrel,.,edit At. d..pl,r.,•rill p i,via-tion tot mote innxmation Permit fee ................ Notice:Phis permit application Minimum um feeee................$ U Visa U Mastercard expires if a permit is not obtained Plan review til — 'I) $ credit cant number __ i within IRO days after it has been .__. _—_W__--,_— ___ State surcharge(gam) ....$ --- - — accepted ascom complete. Nmne of cardhc ldet as nhnwn nn creta cars P TOTAL $ - Cat hnhter signature Annotto 44n4617(6MIVOAt) Electrical Permit Application Date received: 01 Permit no.: S _X �I City of Tigard Project/appl.no.• Expire date; city ojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: B Phone: (503) 639-4171 _ Y' Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: TVPE OF PERMIT I &2 family dwelling or accessory U Commercial/indus(rial U Rlulli family U Tenant improvement , Jew c m,rructi m U Addition/alteration/replacement J 1 i11r i J Partial JOB SITE INFORMATION Job address: I VA3 L4MW _ Idg. ntl.: Suite no.: I'ax map/tax IoVaccount no.: Lot: Gluck: Subdivision: ro 11 , AW)IJV�,1r,14 L5. Project name: I Description and location of work on premises: Estimated date of completion/inspection: CONTRA(TOR APPLICATION Job no: c Max Business name: G — Description Qls. (ea.) 'I oral mi.Insp Nen rrsidenlinl-single or mnhi fnmflv per Address: _ __ dose•Ilio{;untl.Inclad�snllaclw•elf�arner. illy: L 4itle: ZIP: 1t1171S Phone: . aL r;rx E-ma : 1000 sq.It.or less 4 �7S�/� �I�� E'ah additional 500 sq.ft.or portion thereof CCB no.: 7 K`7 FIec,bus.Ile.no: Limitedenergy,resldentiat 2 -Clly/melm Ile.fro.: _ 11 miter energy,m,n_-residential 2 Each manufactured nome or modular dwelling I 1,wilore of supervising electrician(requircdi Date Service and/or feeder 2 up rhvt nmilf.(primi IT, -- Serrleesorfeed-m-Installation, alteration or relocs0on: 200 amps or less 2 Nanrc 1prinO: s FI v,,,` 201 amps to amps 2 v _.1_�_'.---� 401 amps to 600 amps 2 Mailing address: L µ/ 601 amps to 11100 amps 2 (pity: � - Slaw 7.11, 'rpm Over I(NK)amps orvolt-s 2 Fri E-mail: Reconnect only I Owner installation.The installation is being made on properly I own Temporary services or feedem- which is not intended for sale,lease,rent,or exchange according lu installation,alielnuon,nrrrlorarimc ORS 447,455,479, 1)I 200 amps or less 2 ��._. 201 nmps m 400 amps 2 (hvncr's si mature: 1-' I`alc: 7 401 to6Cl)amps 2 1111UH 10 Branch circuits-new,alteration, Name. �(� N� � ( L or extension per panel: A. Fee for branch circuits w nh parchase of Address: lAL S �, "" servic.•or feeder fee,each branch circuit 2 City: State . ZIP: R. Fee for branch circuits without purchase Phone: I a s � ''/�'� I` n ut i I of service or feeder fee,first branch circuit: ; finch additional branch circuit: RI Ise.(Seri ice or feeder not Included): U Service over 225 coups-commercial U Ilealill care facility finch pump or irrigation circle 2 O Service over 320 amps-rating of 1&2 U Hunrdous location Each sign or outline lighting 2 fi milydwellings U Ruilding over 10,000squaa,feet four or Sipnal circuit(s)or it limited energy panel. O System over 6(X)volts nominal more residential units in one gimcture alteration,orextension• 2 U Building over three stories U Feeders.40(1 amps or more *Description: U occupant load over 94)persons U Manufactured structures or RV park Fwch additional Inspection neer the allowable In any of the above: U Egrass/lightingpinn U Other: Per inspection F T,--F---T— Submit—sets of plans with any of the alcove. I Invesugation fee —� The above are not applicable to temporary cowdruction service. other - - -- Not all Jurisdictions accept cmidl cards,please call Jurisdiction hx nwi_infnrmnuoa Notice:bilis permit application Permit fee..................... U Visa U MasterCard expires if a permit is not obtained Plat.review(at _ %) $ t'mdN card number ithin 180 days after it has been State surcharge(8%) ....$ :,pins accepter(as complete. TOTAL $ Nome of cardholder as shown on credit card -- _ S _ -r_.----Cardheldei ifinature----�- _ ' ---�- - Amount 440-4615(6AnrOM) I'lunrbing Permit Application _ -- Daterecervcd: Permit nn.;TTA . 1.aell City of Tigard Sewerermit no.: Building Address. 13125 SW I fall Blvd,Tigard,OR 9722+ P g Pennit no r II v of I igard Phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598.1960 Dat, ied: Fiy: keceipt no.: ,and use approv,i -__- — Payment type: —� TYPE OF PERMIT family dwc llinp t)r accessory U C,m mercial/ind ,mal J N111111-I'm i l. U Tenant improvement Nrw construction U Ad(liti+m/alteriitir)n/replacement U Food ser%i, U Other 11 SITE INFORMATION1ULE(for special Information Jab address: LPA3 DY- MAV-1VjQ Y- -- Descrilidon Sty. 1 ee(ea ) 'I null Bldg. no.: I tiuitc no.: NeN I-and 2-family dnellings oniv: Tax map/(ax l'otlaccount n o (iticludm 1011 It.for eaclrutilitrc•onnectionI SM(1)hath L.ot: Block. subdivisio't: _ SFR(2)bath ---- - -- 1 Project name: L Ufoj SFR(3)bath ---- City/county: ZII': Each additional bath/kitchcn Description and location of work ton prcmisrs: Site utilities. Catch hasin/area drain I a date .If c+,nipletirrn/insprcli.n, - Drywells/leach line/trench drain Footing drain(no.lin. ft.) ,. n:un Manufactured home utilities Ito.m G.FAFT W -__ Manholes Address: �- --- �-- 11 bj t W W� e. _ Rain drain connector _City: Starr: ZII':611JAV Sanitary sewer(no. — I'honc. F4*44 ax I:-mail- Stornt sewer(no.lin. It.) CCB neo- 14�&&to I F'lumh.hos.reg.no: LD-1 b Water service(no. lin. ft.) City/metro lig n� - Fixture or Item: - c'unttaclat':• n•hresrntative signature Ahsorption valve - - (Jack flow preventer _ Print mode, i ot CT Backwater valve PERSONCONTACT Basins/lavatory N one PES E aw Goth^s washer. - Dishwasher City: t+ : ZIP: Chinking fountain(s) - ---- Fjccturs/sump Phone V. mail: Lxpansion tank _ lzi 21 t111111111111111 ixtu�ewer cap _ Nance( r/ Floor rainshloor sinks/hub print):�`.�M� L _ a Oarbagc disposal Mailing address: EM 4{O ILj Q Ilose hibb city: NN Sta1c: ZII'. �- _ _ _—�Qm 'Ice maker phone: !I ,t f:-mail: nterceptor/grease trap fhsner inst<tllatir.,n/residcntial maint,mance only: The actual iustall.iti+m Prit»er(s) will be made by me or the mainten..nce and repair made by my recul,tt Roof drain(commercial) employee on the pro H I own ati per ORS Chapter 447. Sink(s), asin(s), ttvs(s) y tt,snct':, :,i'natuic D;uc. Su Tu s/s ower/shower pan Nana : if L V1l Curtner persart Urinal --.- — Water closet _ Address: I- '-: LV _p f 50 Nater heater _ City: State: ZIP:/�1" Other: - _- Phone: '� Fax E-mail: oral Net dl Jurisdidiom accept MAO card%,prca%e cdl Jurisdiction for more Notice:11ns permit application inimu n fee................$ U Vis" U MasterVant expires if a permit is not obtained Plan review(at _ %) $ Ordit cud number ----a__ —. _.-._-L—-_ within I RIl days after it h"s been State surcharge $ Expires acccpted as complete. TOTAL ....................... Nurse of cuciholder as shown on cre d C.•t Vardholdes signature Amount 4404r'F thrtrt/c'Uh11 SEE 35MM ROLL #20 FOR OVERSIZED DOCUMENT ♦♦♦♦AAAAAAAAAAAAA AAAAAAAAAAAAAAAAAAAAAAAI,1, 4 Ro - lip. ► ,� ► ► _ �.. r ► a ► O �-, ,; ► Z y ► lio, '� b p ► t o ° j LN 0 ► 1 I ► n v ' s f°0 H � 114 p� S � o C. - a w o Cn � h e d er 0 A v s 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 ermit #: MST2001-00114 Date 4113101 Parcel: 2S110DA-08200 Site Address: 10693 SW l ADY MARION DR Subdivision: ERICKSON 1-1EIGHTS Block: Lot: 043 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 perm�t 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 t•;e address above, ATTW Building Dept. No pl!imbing inspections will be authorized until this competed form is received OWNER: PLUMBING CONTRACTOR: RENAISSAN:.E CUSTOM HOMES CRAFTWORK PLUMBING INC 1672 SW WILLAMETTE FALLS DR 7736 SW NIMBUS AVE WEST LINN, OP. 97068 BEAVERTON, OR 97008 Phone #: 503.557-8000 Phone #: 644-8698 Reg #: I IC 79666 PI M 20-148PB AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Authorized Plumber If you have any questions, please call (503) 639-417 1, ext. # 310 CITY OF TI 33ARD 13125 S.W. HALL DLVD. TIGARD, OR 97223 REGEivs~c' IMPORTANT PERMIT NOTICE APR2� �pp GAGE ENTERPRISES INC FVEt�t,rv: , PO BOX 1429 C000"tiTI D- CLACKAMAS, OR 970-015-1429 Electrical Signature Form Permit #: MST2001-00114 Date issued: 4/13!01 Parcel: 2S110DA-08200 Site Address: 10693 SW LADY MARION DR Subdivision: ERICKSON HEIGHTS Block: Lot: 043 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 wh: 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 LINN, OR 97068 CLACKAMAS, OR 97015-1429 Phone #: 503-557-8000 Phone #: 503-657-0142 Req #: suP 616s LIC 34544 ELE 3-128C AN INK SIGNATURE IS REQUIRED ON THIS FORM Signature of Supervising E ectrician If you have P.,y questions, please call (503) 639-4171, ext. # 310 CITYOF TIGARD PLUMBING PERMIT .� DEVELOPMENT SERVICES PERMIT#: PLM2001-00361 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 08/15/2001 SITE ADDRESS: 10693 SW LADY MARION uR PARCEL: 2S110DA-08200 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 043 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: T11B/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Irrigation backflow pevention device. Owner: Type By Date FEESAmount Receipt RENAISSANCE CUSTOM HOMES PRMT CTR 08/15/2001 $36.25 27200100000 1672 LI \N, OR 9 068TTE FALLS DR 5PCT CTR 08/15/2001 $2.90 27200100000 WEST LINN, OR 97068 Total $39.15 Phone 1: 503-557-8000 Contractor: REQUIRED INSPECTIONS Phone 1: Final Inspection Reg#: 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 O-egon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies 0 these rules or direct questions to OUNC by calling (503) 246-1987 Issued By: r, A,_ w, ,_c It, L — Permittee Signature: f t Call (503) 639-4175 by 7:00 P.M. for an inspects-)n needed the next business day n Plumbing Permit Application Date received: �ZzLej Permit no.�4,yZV/303 City of Tigard � Sewer permit no.: Building permit no.: C'tfyofTr and Address: 13125 SW Hall Blvd,Tigard,OR 97223 - ----- R Phone: (503) 639-4171 ProjecUappl.no.: Expire date: Fax: (503) 598-1960 Date issued Hy:6,O Receipt no.: Land use approval: Case file no.: Payment type: MINIMUM1 Uy&2 family dwelling or accessory U Commcrcialhndutin,al U Multi-family U Tenant ifnprovement New construction U Addition/alu ruitm/rt Illacenx nt U Food service U OTher: JOB SITE INFORMATION FEE SUIEDULF(forsp Jtth address: ``' � �� t� ' Deseri tion (It`s. F-(--) 'Iofal � .��c�t1k_1�.�cG /� ri r_ Bldg. no,: Suite no.: _ New 1-and 2 family dwellings only: ——— --- - - - - (includes 100 I1.for each utilily connection) Tax map/lax lot/account no.: _ _ SFR(1)bath Lot: Block: Subdivision; — -- SFR(2j bath I Project name: SFR(3)bath City/county:Li 1 q11 ZIP: -7 7-2,7 Each additionalhath/kitchen Description and tocationof work on premises: SF Sllteutilitles: Catch basin/area drain Est.date of cotmpletiom/inspection• Drywe-Ils/leach line/trench drain 1 1 Footing drain(no.lin. ft.) Manufactured home utilities Business name:, � 1 1 , , t Manhores =--T Address:PC,f7_/ Rain rl,ain connector City:Eyhew.ki ZIP: 17!G'23 Sanitary sewer(no.lin. it. -- Phone.: "d? -30 f!-� 2Fax:s'y.+re E-mail: Storm sewer(no.lin.ft.) CCB no.://7 I _ Plumb,bus.reg.no: 5' '? Water service(no, lin. ft.) City/metro lic.no.: i1lxture or item: Contractor's represen,ative signature: r Aliso tion valve Print mu#, ,961.T, i — - - Back flow reventer -- - tiJ Datc: 7 Backwater valve Basins/lavatory Name: ;v e e c�U Clothes washer Address: c' pj 7/Y --_ Dishwasher — -— -- ---- Statet'-/' ZIP: Jc'Z J� Drinking fountain(s) City: -� �r<�tc''. Ejectors/sum Phone:f,,i C,jfi., S1 Fax: Sc; roc E-mail: Expansion tank Fixture/sewer cap Name(print): , Floor drains/floor sinks/hub Garbage dis Nsal Mailing address: _�1 -- f-lose bibb _ City: FST Ll =State: IIP: Ice maker _ Phone. • JjjVjX Fax E-mail: Intcrce tor/ rease tran Owner installation/residential maintenance only: The actual installation Primer(s) will he made by m601elintenance and repair made by my regulnr Roof rain(commercial)employec on the pas per UftS CI apter 447. 1 Sin (s), asin(s),lays(s)Owner's si nature _ [)lite: �' )ump — Tuhs/shower/shower pan Na- Urinal --- -- - ----- Water closet Address: Water heater - City: A State: 0"llcr: Phone: — --- Fax: E-mail: road Not all)utisdicilons accept credit cads,please call Jurisdiction rot more Information. Minimum fee................$ Notice:'!itis permit application , U visa U Mastercard expires if a permit is not obtained Plan review(al _ %) $ Credit card numlrr: Slate surcharge(896)....'Ji ==a -- 39 , �/_5Fsp Expires within I fro days oiler it has been Name of cardholder as shown on credit card-- aceCP!cd as cocomplete. TOTAL " "•" " ^ '• '• • •'•• ' ••• _ S Ca dhotdet signature Amount 4104616(tLllll/COM) CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST --_Date Requested – / Jj AM PM BUP Location C , — BLD Suite MEC Contact Person - - Ph �y�j 3�o .Z PLM r---- Contractor _ -- Ph SWR BUILDING �� Tenant/Owner ELC Retaining Wall _ Footinc ELR Foundation Access, ----- -_ Ftg Drain FPS _ Crawl Drain Inspection Notes, SGN Slab Post& Beam -- ---- -- SIT Ext Sh(-ath/chC--ar Int Sheath/Shear Framing /.f, --- Insulation DryHall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof ----- - - ----Mise: Final PASS PART FAIL PLUMBING 7SIab -- yewer - - -- --- ..- -- —..- Rain Drains Final ---- - PASS PART FAIL MECHANICAL _ Post& Ream Rough In -- — Gas Line -----.-- --. —--- ---- -- SSkke Dam,)ers --_ PASS! PART FAIL - - _..._ ------.- --- - ELECTRICAL Service Rough In -- - — ----"-- -- UG/,o'ab Low Voltage --._—. -- --- - -- Fire Alarm Final ---- --- - _- ------ ___ PASS PART FAIL SITE ------ ------- —_-- ---- _—_ — BackfilliGrading ------------ _ Sanitary Sewer - Storm Drain f ] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin — Fire Supply Line f ]Please call for reinspection RE ADA - f ] Unable to inspect no access Approach/Sidewalk Other Date Inspector__] _- -_ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BI III-DING INSPECTION DIVISION MST Z r✓-'/ - ~ 24-Hour Inspection Line: � ,-417C Business Line: 63S ,71 BUP — Date Requested_ — AM PM BLD Location �C�w �__�� 4 '��!�n��v� Suitel/ _ MEC Contact Person T-�m 6fPh T �/ — �U Z- PLM _— Contractor Ph SWR BUILDING Tenant/Owner ELC —_— —_ Retaining Wall ELI - Footing Access. Foundation FPS — Fig 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 Unde,Slab TopOut ---------- ---------___....--- ---- - - - Water Service Sanitary Sewer Rain Drains AS PAR i' FAIL ANICAL Post& Beam -_--.- ----- - Rough In Gas Line Smoke Da. ,,-qrs Final -- _ --.�- - _ -_------- ------------ — - -- PASS PART FAIL ELECTRICAL - _ -------------- --- ---_—._____ - ----.�_________— Service - ---- -- ------- ---- ---_ - -- Rough In UG/Slab Low Voltage ..----------------------------_- Fire Alarm ---- — ---------------— - ------ —_ ---- ---- Final PASS PART FAIL -- ------------._._____-_----------- --_--__SITE Backfill/Grading -------- ---------------�--- --- ------------ Sanitary Sewer Storm Drain [ j Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd 'Atch Basin Dire Supply line [ ]Please call for reinspection RE. ..- — ( J Unable to inspect no access ADA f _ Approach/Sidewalk Date sJ ', I V Other _� --_Inspector _� '-C, _ _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 1 c 4A r- 24-Hour Inspection Line: 6Z 175 Business Line: 639-1, 1 BLIP Date Requested ! 1 AM f,PM BLD _ Location 1 U L.�r��r, rc.l�e4 �/}�aA,(.cri/l - Suite f�(`L 'L MEC Contact Person Ph 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 t"" uT lv C,''.4 Insulation �Evt- Drywall Nailing /��50 �/i-'9uzr- --73.•- �°� �lEx:rx.4 Firewall ��--� Fire Sprinkler C"�/ /�ti5'y/icartc - rL�.v 4�iC. ir�it'L � �1r�l S' Fire Alarm Susp'd Ceiling 3� v`'�vLr- /�1�5 �/�3 l ►c a% z5-: A / Roof Misc: ar-v�� .� �v° dX!/�4ch� �1��tr-' - -re"��5 e Ln 1— �h.�,��s� SS PART FAIL � � GLEvA-rI� ?��>-- C°'_ _��E'.�iu.►S� =.a �, PLIJIMING Post&Beam _ Under Slab � - � ��L"ui?,c i/u S.i 1�:?Uiv Top Out 'l ' � Water Service %�Sd lei S„�il.`� i7Ucr5 Sanitary Sewer _ Rein Drains Fi ial _ PASS PART FAIL l tR+_�, N-/�1it-- MECHANICAL Post& Beam -----t��' rough In o Gas Line ! � ” >issr r X11�A G✓E�� -T�,a .�r, Yom%r�- G')C� Srnoke Dampers rs �`i11�1., SASS PART FAIL ELECTRICA �._---` Service Rough In UG/Slab Low Voltage Fire Alarm _ Final PASS PART FAIL --SITE Backfill/Grading ^- - -- — Sani'ary Sewer Storm Drain [ ] Reinspection fee of$_ requir.-M before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date f - c'l Inspector Ext Other — -- — -- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.