Permit A CITY OF F T I G A R D MASTER PERMIT
PERMIT #: MST2000 -00347
At. 0 ; �I�� DEVELOPMENT SER VICES DATE ISSUED: 8/23/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15159 SW 107TH TERR MODEL HOME PARCEL: 2S110DA -08800
SUBDIVISION: ERICKSON HEIGHTS ZONING: R -3.5
BLOCK: LOT: 049 JURISDICTION: TIG
REMARKS: S/F Path I
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,467 sf BASEMENT: sf LEFT: 7 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1.507 sf GARAGE: 674 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 7
VALUE: $ 223,655.10
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,974.00 sf REAR: 54
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOILJCMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC/FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 • 200 amp: W /SVC OR FDR: 1 PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 00 SIGN /OUT LIN LT: PER HOUR:
LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAL/PANEL: IN PLANT:
MANU HM/SVC /FDR: 601 • 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt :
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO 8 STEREO: X VACUUM SYSTEM: X AUDIO 8 STEREO: FIRE ALARM: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: X OTH: BOILER: HVAC: LANDSCAPEARRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,579.23
This permit is subject to the regulations contained in the
RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES
Tigard
1672 SW WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR cable laws. All work will be Code, State y d do Specialty lt Codes and
WEST LINN, OR 97068 WEST LINN, OR 97068 all otthh er r applicable w b i
accordance with approved plans. This perm itwillexpire if
work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days. ATTENTION:
Phone: Phone: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center. Those rules are set
Reg 0: LIC 049955 forth in OAR 952 - 001 -0010 through 952 - 001 -0080. You
may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Erosion 844 -8444 Post/Beam Mechanical Mechanical Insp Framing Insp Gas Fireplace Electrical Final
Sewer Inspection Underfloor insulation Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final
Footing Insp Crawl Drain /Backwater Plumb Top Out Exterior Sheathing Insl Rain drain Insp Plumb Final
Foundation Insp Footing /Foundation Dn Electrical Service Low Voltage Water Line Insp Building Final
Post/Beam Structural PLM /Underfloor Electrical Rough In Gas Line Insp Appr /Sdwlk Insp
Issued , . Permittee Signature : 14
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day
CITY OF TIGARD Residential Building Permit Application Play, Ch - A,t , F
' Re By . We +N
• 13125 SW HALL BLVD. New Construction , _ bate Read /--110 TIGARD, OR 97223 Single Family Detached 'i' . ` i -; h Date P.E. f -/ Y_�
V 503- 639 -4171 + -:y ; u ,.� , 4 40,r Ir ,;'`.8y,. Date DST - -w
F 503 -684 -7297
+ � ^, t , � ~'' .:� �. ` ' } a : g Permit # /'YI St.P.Cv.: -G ‘1397
Print or Type '' caned
Incomplete or illegible applications will not be accepted '
Name of Project Name •
Job E.,44s,., Architect Mailing ress
Address site Address c t -. .i
lS /S 9 ,S /07 rN 77.i Ci ►/Stale . Zip Phone
Name L r,
�+
iee k ia ,J - Sartee Ci- �'T.awr A>fes i i air' 7 z 3 Z�/ - 9zs/
Owner Mailing Address Na /�fJ��- y ;•, . 1 ;;,
/;7z r - �� / /,''` e ��/ ' ' En Mailing Address /
City /State Zip Phone 3 5 -7-. r v.,7
,:. L' 4, 970aq I 55 - Stoup C' staoe
General Name , / , 97Z/9 Zip I Phone
� r_ mS-3
Contractor cr a Describe work New Addition 0 Alteration 0 Repair 0
Mailing Address to be done: -
Prior to permit Additional Description of Work -
issuance, a copy City /State Zip Phone
of all licenses .
are required if Oregon Const. Cont. Board Exp. Date PROJECT _
expired in COT tic.# // JJ VALUATION $ 2.2 3 3 -5
database 77- 3 / 2 V/ 4 Z
Mechanical Name NEW CONSTRUCTION ONLY:
�;
Sub- �/ growl" y Sq. Ft. House: � a,'`" / Sq. FL Gana .g
Contractor Mailing Addre (�
Prior to permit Z 7 3 O se 37 lee Indicate the restricted energy installation by the electrical
/° subcontractor in the following areas
issuance, a copy City/Stateg Zip Phone
of all licenses H;llrbo - 9 7/Z3 6'L9 - o29Z Restricted Audio/Stereo
are required if Oregon Const Cont. Board Exp. Dale Energy ^ Syste \ Alarms
expired in COT Lic.# /z9/ (� Z Installations Vacuum Irrigation
database CD / 2 'Z C 6 y System System
Plumbing Name (check all that Other.
Sub- g Address � //` /�/ ��y N of Units in Building Unit Number Designation
Contractor Mailing Address _
7 7 3 6 - {'l✓ / Has the Subdivision Plat recorded? l N/A l ,YES I NO
Prior to permit City/State Zip Phone I
issuance, a copy 6 e �,N 9 S 6 ' y4/ - SC Y '
of all licenses are Oregon Cons. Conn Board Exp. Date
required if Lic.#
expired in COT 7'1CC -2 -//0/0i i
database Plumbing Lic.# Exp, Date I hearby acknowledge that I have read this application, that the
information given is correct, that I am the owner or authorized agent
2 CO — j t f /0/3 2-/z 61 / of the owner, and that plans submitted are in compliance with
Name Oregon State laws.
Electrical lr t gist +ni = Signature of Owner /Agent Date
Sub- MailingAddr �" 7/2 4/00
Contact !soon Name Phone #
Contractor /°O /3 .0X ///Z / ,. /7 /3--en-4 557 -f000
City /State Zip Phone
Prior to permit
issuance, a copy C tad cMAf, 9 70.5" 657- g /yZ FOR OFFICE USE ONLY:
of all licenses are . Oregon Cons. Cont. Board Exp. Date '
required if Lic.# Plat #: Map/11#: (�
expired in COT 03 Celt/ 9/y /CcD � 5��d �� = d p
database Electrical tic. # E. Dale •- Setbacks: Zone: ) s /L..
3- /2- < iol /l t7D �C J�ff
Electrical Supervisor tic. # Exp. Date Engineering Approval: I Planning Approval: I TIF:
C /" 1 /'a /l- / ®/ { _ ,11., , .
4=
Bdstslformstsfd- new.doc 11/20/98
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
GAGE ENTERPRISES INC
PO BOX 1429
CLACKAMAS, OR 97015 -1429
Electrical Signature Form
Permit #: MST2000 -00347
Date Issued: 8/23/00
Parcel: 2S110DA -08800
Site Address: 15159 SW 107TH TERR MODEL HOME
Subdivision: ERICKSON HEIGHTS
Block: Lot: 049
Jurisdiction: TIG
Zoning: R - 3.5
Remarks: S/F Path
Your company has been indicated as the electrical contractor for the permit indicated above. In order for the
electrical permit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your company sign below and return this Electrical Signature Form prior to the
start of the work to the address above, ATTN: Building Dept.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
RENAISSANCE CUSTOM HOMES GAGE ENTERPRISES INC
1672 SW WILLAMETTE FALLS DR PO BOX 1429
WEST LiNN, OR 97068 CLACKAMAS, OR 97015-1429
Phone #: 557 -8000 Phone #: 503 - 657 -0142
Reg #: SUP 618s
LIC 34544
ELE 3 -128C
AN INK SIGNATURE IS REQUIRED ON THIS FORM
x
Signature of Supervisin lectrician
If you have any questions, please call (503) 639 -4171, ext. # 310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
CRAFTWORK PLUMBING INC
7736 SW NIMBUS AVE
BEAVERTON, OR 97008
Plumbing Signature Form
Permit #: MST2000 -00347
Date Issued: 8/23/00
Parcel: 2S110DA -08800
Site Address: 15159 SW 107TH TERR MODEL HOME
Subdivision: ERICKSON HEIGHTS
Block: Lot: 049
Jurisdiction: TIG
Zoning: R - 3.5
Remarks: S/F Path
Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the
plumbing permit to be valid, please have the appropriate individual from your company sign below and return
this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept.
No plumbing inspections will be authorized until this completed form is received
OWNER: PLUMBING CONTRACTOR:
RENAISSANCE CUSTOM HOMES CRAFTWORK PLUMBING INC
1672 SW WILLAMETTE FALLS DR 7736 SW NIMBUS AVE
WEST LINN, OR 97068 BEAVERTON, OR 97008
Phone #: 557 -8000 Phone #: 644 -8698
Reg #: LIC 79666
PI M 20 -148PB
AN INK SIGNATURE IS REQUIRED ON THIS FORM
X ',A
Signature of Aut orized Plumber
If you have any questions, please call (503) 639 -4171, ext. # 310
CITY OF TIGARD BUILDING INSPECTION DIVISION ?-�� —00 3 4 /7
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location OA' /5/ 5 56, /67 Suite MEC Pill
Contact Person Ph 7 � -- 3J Z-- PLM M�
Contractor Ph SWR
Tenant/Owner ELC
- ei ing Wall ` ELR
4 ooti i • Access:
oundation / P,�, � FPS
Ft g Drain / l/ SGN
Crawl Drain Inspection Notes:
Slab �, ,, / SIT
Post & Beam g Z `� 'I q SC /ti" t� C
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
in PART FAIL
• = ING
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
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk )I
Other Date f / Inspector c7 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST dJD AD4I7
24 =Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 2 — / AM PM BLD
Location /5751 $ w /U 2 tX 7�Y� Suite J MEC
Contact Person Ph 76,— 7G 2 / PLM
Contractor Ph SWR
BUILDIN Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: ds CSC /ry
P &Bea SIT
r /Shear
Int Sheath /Shear
Framing - \\
Insulation
Drywall Nailing
Firewall L
Fire Sprinkler �,eq
Fire Alarm
Susp'd Ceiling
Roof
O A �s c:
• • RT FAIL -
- ost : :eam
Top Out
Water Service
Sanitary Sewer
Rain Drains
i PART FAIL
ost & Bea �
-.1. n
Gas Line
Smoke Dampers
••al
�•r PART FAIL
411 �_z" T:7[ -r:�•
Service
Rough In
UG /Slab
Low Voltage
Fire A arm
a
PART FAIL
•
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Da / ) O 0 Ins ector 77c) Ext
Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
- r 1
CITY. OF TIGARD BUILDING INSPECTION DIVISION MsT (Ad -, 3
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 -
• BUP
Date Requested /1 -2S' AM PM BLD
Location 15751 SG✓ /U 7 Suite MEC
Contact Person Ph 7 o PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire wall 1 �5 ?'
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof Zr'Z ?0) )1-. n 4
Misc: 1 ""
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
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call fo reinspectio RE: [ I Unable to inspect - no access
ADA �►/� 1 I
the oach dewalk
Date I1 2 g Inspector /' t t `� 6 Ext 4 �
PASS PART FAIL DO NOT EMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MsT j
24 =Hour Inspection Line: 639 -4175 Business Line: 639 -4171
• -BUP
-Date Requested //" / ' AM PM v BL. M •
Location / l 57 5 /u /U 7 Suite MEC V� ^
Contact Person Ph 76/ 3.J L PLM
Contractor Ph SWR
Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab G� �' SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Fra
nsulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
F'
PART FAIL
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
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA 1 /�
Approach /Sidewalk Date 1 1 ( �I V O Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2a/v _ UG3y 7
24 =Hoiur Inspection Line: 639 -4175 Business Line: 639 -4171 • ,
• BUP
• • Date Requested //— (3 AM PM BLD
I S /U GT Suite MEC Mr'
Location �� /,�
Contact Person Ph ��', 3..i Z 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 Shea a'
h /Shear)
ami
u ation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
4 4 k uoir= ART FAIL
• BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
(MECHANICAL)
` Post & Beam
ough I
me
Smoke Dampers
• F.
a PART FAIL
• ICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA /`/ I�
Approach /Sidewalk D / / 1 3 — 0' Inspector f v
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY•OF TIGARD BUILDING INSPECTION DIVISION MST 2-46-, '° y 7
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
• BUP
Date Requested / l`' AM PM BLD
Location I J C /0 7 Suite MEC
Contact Person Ph ?C9' 3 ' Z PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler — -
Fire Alarm
Susp'd Ceiling
Roof
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
e_ELFSIFIICAt
UG7SIab
Low Voltage
Fire
• PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA G�
Approach /Sidewalk Date ! / / L / Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY.OF TIGARD BUILDING INSPECTION DIVISION • MST 2-( - 41 Q; 0 ° �f
24 Inspection Line: 639 -4175 Business Line: 639 -4171
• • - BUP
Date Requested /7 AM PM BLD
Location / 5 1 /(2 7 Suite MEC
Contact Person Ph �p� 3 ) G "_ PLM
Contractor Ph SWR
Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post &
xt Sheath/Shear P.,‹
In eath
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler ► _ ►, viol& it.—
Fire Alarm
Susp'd Ceiling , \ , ^�
Roof J (2 ' bL� . K o All
Misc:
F PART FAIL
P JMBING
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
ELECTRICAL •
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next insp ion. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for rei spection RE: [ ] Unable to inspect - no access
ADA ��hh
Approach/Sidewalk
Other Date ) 1 W Inspector Ext
Final
PASS PART FAIL DO 0 REMOVE this inspection record from the job site.
C l�
CITY.OF TIGARD BUILDING INSPECTION DIVISION MST 2.01/0 : ; 6 3 4 (
24 -If6u` Inspection Line: 639 -4175 Business Line: 639 -4171
BUP�
Date Requested 1/- S AM PM BLD
Location fin ( 5 5) /07 ' Suite MEC
Contact Person Ph flf✓ PLM
Contractor Ph SWR
Wil labia Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
f Sheath /Sheer
Int Sheath /Shear
Framing
Insulation ,i
Drywall Nailing 1 - 7:::,(• `-9-ArCZ. • It). ( D I, , . •411)_ "2 c .0 • a •�,it i
Firewall \j
Fire Sprinkler
Fire Alarm
Susp'd Ceiling UmSt&L.L iv wk.. - O L. •
Roof
Misc:
_ _�i \ \e9
F PASS PART A " '.
PLUMBING lip., ,
Post & Beam
Under Slab aN�.L . S A 2 A,(4, '�/)� LL CALLS X02 I�T�k L.
Top Out ,[\
Water Service // \ --j y E^(Z V■-\-ALL SCL1t-Z.. M1=SIzT
Sanitary Sewer
Rain Drains \✓ 1 �� ��
.-�.a V'E
Final
PASS PART FAIL .I, 'Sv SPA % 6]b A .
� �'�I�y: l_1jJ1K.��► ' L • s N,Sf '-c_tD -S'L'' b Tk L
Post & Beam —
Rough In 2 I ''S l ok e Dampers (c--)
PASS PART FA
E TRICAL
Service
Rough In y �
UG /Slab i ^'C
Low Voltage �r 2i O .S.2_, Fire Alarm
�
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for einspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date 11
Other Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection ecord from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION •
MST 2 40; ) r -6° 3.C/
24 -koLr Inspection Line: 639 -4175 Business Line: 639 -4171
BUP *Aria
, Date Requested //--/ AM PM L Oar
Location /51 5 SGJ /U 7' Suite MEC F I
Contact Person Ph 969- 3.) li �- PLM
Contractor Ph SWR
D Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Bea . .
(Ext - a WI.
"n ea ear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
•ART FAIL
r
Pos :eam
U lab
op Ou
a er Service
Sanitary Sewer
Rain Drains
Fi
(I) PART FAIL
NICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
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 [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk fr ""
Other Date U Inspector 7-31/v•-- Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
,;CIiTY.OF TIGARD BUILDING INSPECTION DIVISION M ST -� � u,3y
•
24-lipur Inspection Line: 639 -4175 Business Line: 639 -4171
BUP • _
Date Requested f `l AM PM BLD
Location
/57 J' "
7 Suite MEC
Contact Person Ph 76y_ 3> Z' PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
ILUNG
ost & Beam
Under Slab
Top Out
Final
BART FAIL
LAICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
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 [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA �j �
Approach /Sidewalk D — I / I —7/ Inspector
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site
r ,
• s
MST-- Master Permit -
4 Inspection Description Date Passed By Notes . ' `
Grading _
Footing /Setback ?/7/
Foundation walls q / 7 ( 0 U
Slab
Footing drain
Waterproof basement walls
Plumbing underslab
Crawl dram L / 7 fo /
0
Post/beam plumbing Z-) -7/ 0 I
Post/beam mechanical 2, / 7 /a
Underfloor insulation
Post/beam structural .2-/ 7 / !� v �
Shear walls /anchors • / ( / rf -
Exterior sheathing 0 9
Plumbing top -out // / "O C) ,
Gas line & test 7/ / � 7 5/ 2 r0 �Y
Mechanical rough -in If T-
/
Electrical rough -in (� — / rj - 0c) J2
Electrical service /(—q - 00 (! j2
Low voltage (( —C. --OC) . (?
Sprinkler rough -in `1-' / ,-b� C
Backflow preventer
Roof nailing
Firewall •
Framing ( ("r 3 -OcJ 7
MFG -Home set -up
Insulation I? — A-/- 0 t.---
Drywall nailing
Masonry/Reinforcement
Rain drain , q/6 2.10o
Sanitary sewer ` , cif/W00
Water service ' Cr // ZJO(
Pump /fill septic tank
Approach /sidewalk // ?r0
Grading final
Mechanical final Zf 7 0 / � i
PPlumbing final ZI l j /o/
Electrical final 2 DI _
Final inspection ' ■' 1-01 G
Special Reports
SWR - Sewer Permit
4 Inspection Description Date Passed By Notes
Sanitary sewer
Final inspection
INSPECTION RECORD — MST (MASTER) PERMITS
CITY O F TIGARD MASTER PERMIT
PERMIT #: M'ST2000 -00347
'1' _ DEVELOPMENT SERVICES DATE ISSUED: 08/23/20.00 -
13125SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15159 SW 107TH TERR MODEL HOME PARCEL: 2S110DA -08800
SUBDIVISION: ERICKSON HEIGHTS ONING: R -3.5
BLOCK: LOT: 049 JURISDICTION: TIG
REMARKS: S/F Path I
BUILDING
REISSUE: STORIES: 2 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NEW HEIGHT: 24 FIRST: 1,467 sf BASEMENT: sf LEFT: 7 SMOKE DETECTORS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 1,507 sf GARAGE: 674 sf FRONT: 20 PARKING SPACES : 2
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: sf RIGHT: 7
VALUE: $ 223,655.10
OCCUPANCY GRP: R3 BDRM: 3 BATH: 3 TOTAL: 2,974.00 sf REAR: 54
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS:
LAVATORIES: 5 DISHWASHERS: 1 FLOOR DRAINS: SEWER LINES: 100 SF RAIN DRAINS: 1 CATCH BASINS:
TUB /SHOWERS: 3 GARBAGE DISP: 1 WATER HEATERS: 1 WATER LINES: 100 BCKFLW PREVNTR: 1 GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN < 100K: BOIL/CMP < 3HP: VENT FANS: 5 CLOTHES DRYER: 1
GAS FURN > =100K: 1 UNIT HEATERS: HOODS: 1 OTHER UNITS: 1
MAX INP: btu FLOOR FURNANCES: VENTS: 1 WOODSTOVES: GAS OUTLETS: 1
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVC /FEEDERS BRANCH CIRCUITS MISCELLANEOUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 - 200 amp: W /SVC OR FDR: 1 PUMP /IRRIGATION: PER INSPECTION:
EA ADD'L 500SF: 6 201 - 400 amp: 201 - 400 amp: 1st W/O SVC /FDR: 00 SIGN /OUT LIN LT: PER HOUR:
'LIMITED ENERGY: 401 - 600 amp: 401 - 600 amp: EA ADDL BR CIR: SIGNAUPANEL: IN PLANT:
MANU HM /SVC /FDR: 601 - 1000 amp: 601 +amps- 1000v: MINOR LABEL:
1000+ amp /volt : z
PLAN REVIEW SECTION
Reconnect only:
>=4 RES UNITS: SVC /FDR > =225 A.: > 600 V NOMINAL: CLS AREA/SPC OCC:
ELECTRICAL - RESTRICTED ENERGY
a t
A. SF RESIDENTIAL B. COMMERCIAL —
AUDIO & STEREO: X VACUUM SYSTEM: X AUDIO & STEREO: FIRE ALARM: INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM: X OTH: BOILER: HVAC: LANDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATA/TELE COMM: NURSE CALLS: TOTAL # SYSTEMS:
Owner: Contractor: TOTAL FEES: $ 6,579.23
RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES This permit is subject to the regulations contained in the
Tigard Municipal Code, State of OR. Specialty Codes and
1672 SW WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR all other applicable laws. All work will be done in
WEST LINN, OR 97068 WEST LINN, OR 97068 accordance with approved plans. This permit will expire if
work is not started within 180 days of issuance, or if the
work is suspended for more than 180 days. ATTENTION:
Phone: Phone: Oregon law requires you to follow rules adopted by the ,
Oregon Utility Notification Center. Those rules are set
Reg #: LIC 049955 forth in OAR 952- 001 -0010 through 952 - 001 -0080. You
may obtain copies of these rules or direct questions to
OUNC by calling (503) 246 -1987.
REQUIRED INSPECTIONS
Erosion 844 -8444 Post/Beam Mechanica Mechanical Insp Framing lnsp Gas Fireplace Electrical Final 0
Sewer Inspection Underfloor insulation Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final
Footing Insp Crawl Drain /Backwate Plumb Top Out Exterior Sheathing Ins Rain drain Insp Plumb Final
Foundation lnsp Footing /Foundation Dr Electrical Service Low Voltage Water Line Insp Building Final
Post/Beam Structural PLM /Underfloor Electrical Rough In Gas Line Insp Appr /Sdwlk Insp
Issued By : Permittee Signature :
Call (503) 639 -4175 by 7:00 p.m. for an inspection needed the next business day --%4
9/12/00 Activities for Case #: MST2O00 -00347
10:08:53 AM ,
Assigned Hold Updated '
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes '
MSTA005 Application received 7/31/00 DEB DONE No Hold BT2 8/14/00
MSTA008 Permit Created 8/14/00 BT2 DONE No Hold BT2 8/14/00 '
MSTA010 Check for prcl. restrict. 8/14/00 BT2 DONE No Hold BT2 8/14/00
MSTA012 Plans routed to Plans Examiner 8/14/00 BT2 DONE No Hold BT2 8/14/00
MSTA026 Plans approved by Pln Examiner 8/14/00 BT2 DONE No Hold BT2 8/14/00
MSTA030 Reviewed plans routed to DSTS 8/14/00 BT2 DONE No Hold BT2 8/14/00
MSTA700 Erosion 844 -8444 No Hold BT2 8/14/00
MSTA704 Sewer Inspection No Hold BT2 8/14/00
MSTA705 Footing lnsp 9/7/00 TLP PASS No Hold TLP 9/7/00
MSTA706 Foundation lnsp 9/7/00 TLP PASS No Hold TLP 9/7/00
MSTA710 Post/Beam Structural No Hold BT2 8/14/00
MSTA711 Post/Beam Mechanical No Hold BT2 8/14/00
MSTA712 Underfloor insulation No Hold BT2 8/14/00
MSTA713 Crawl Drain /Backwater valve No Hold BT2 8/14/00
MSTA714 Footing /Foundation Drain No Hold BT2 8/14/00
MSTA717 PLM /Underfloor No Hold BT2 8/14/00
MSTA720
Mechanical lnsp No Hold BT2 8/14/00 "B "Vent water heater
MSTA720
Mechanical lnsp No Hold BT2 8/14/00
MSTA722 Plumb Top Out No Hold BT2 8/14/00
MSTA723 Electrical Service No Hold BT2 8/14/00
MSTA724 Electrical Rough In No Hold BT2 8/14/00
MSTA725 Framing lnsp No Hold BT2 8/14/00 .
MSTA726 Shear Wall Insp No Hold BT2 8/14/00
MSTA727 Exterior Sheathing lnsp No Hold BT2 8/14/00
•
MSTA728 Low Voltage No Hold BT2 8/14/00
MSTA735 Gas Line lnsp No Hold BT2 8/14/00
.
MSTA736 Gas Fireplace No Hold BT2 8/14/00 •
MSTA740
Insulation lnsp No Hold BT2 8/14/00 • ',
MSTA752 Rain drain lnsp No Hold BT2 8/14/00 •
MSTA760 Water Line lnsp No Hold BT2 8/14/00 I •
t
MSTA765 Appr /Sdwlk lnsp No Hold BT2 8/14/00 •
Page 1 of 2
9/12/00 Activities for Case #: MST2000 -00347
10:08:53 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes •
MSTA790 Electrical Final No Hold BT2 8/14/00
MSTA795 Mechanical Final No Hold BT2 8/14/00
MSTA797 Plumb Final No Hold BT2 8/14/00
MSTA799 Building Final No Hold BT2 8/14/00 final grading
MSTA032 DST Post - Review Completed 8/23/00 DEB DONE No Hold BLD 8/23/00
MSTA080 (F) Ready to issue 8/23/00 DEB DONE No Hold BLD 8/23/00
MSTA092 (F) Issue combination permit 8/23/00 DEB DONE No Hold BLD 8/23/00
MSTA095 Issue plumbing signature form 9/6/00 JMT RECD No Hold JMT 9/6/00
MSTA097 Issue electric signature form 9/6/00 JMT RECD No Hold JMT 9/6/00
MSTA093 (F) Reprint Permit 9/8/00 777 DONE No Hold ZZZ 9/8/00
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Page 2 of 2