Case File 1
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--REVISED FOOTPRINT PER BERNICE,
5-1 -96, TGB.
1�
Acy► e r,
F__ SCALE DRAWING LOT 3 ► , EA�:LE POINTE
--AN EIGHT FOOT PUBLIC UTILITY EASEMENT
S.W. -1 /4 SEC.3,T. 2S.,R.1 W.,W.M. ._._.. ----- ---_
SHALL EXIST ALONG ALL STREET FRONTAGES.
CITY OF TIGARD
WASHIt4GTON COUNTY, OREGON �
MARCH 29, 1996 Caenterline Concepts- Inc .
DRAWN QYF ` TG8 CHEF;K_„ED BY: WGpIII 6�0 32nd Drive Gtadstor�e Or�: on 97027
SCALE 1 "=20� ACCOUNT 115 503 65C-0186 fax ::03 650—X1189
NOTICE: IF THE PRINT OR TYPE ON ANY � � $ IIli 111111 I I I 11 III Jill I � I ( I ( I �IMAGE IS NOT AS CLEAR AS THS NOTICE11
IT IS DUE TO THE QUALITY OF THENo 3�
_
ORIGINAL DOCUMENT � �•�- �� - �,
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M 1-510 SW AERIE DRIVE _
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hill Blvd., Tlgard,OR 97223 (503)6394171
CERTIFICATE. OF
OCCUPANCY
PERMIT#. . . . . . . . Mr"f9C� O�6C
DATE ISSUED: 05/05/97
PORIXL: 2.5104DD-04000
,I fE; AGDF<ESS. . . I 13()10 SW AERIE DR
1JS0IVIC;ION. . . . : EAGLE POINTE l7NING: R 4. PEI
q-OC'M. . . . . . . . . . I LOT. . . . . . . . . . . . . :03i. JURI SDICTIONrTIG
.I..ASS Of WORK. :NEW
YPE OF USE. . . :GF
i YPE OF CONSTR:5IV
1C:CUPANCY CARP. :R3
1CCUPANCY I._OAD:2
?emarks I PATH I
lwn er I
RE.NAIISSANCE CUS"COM TOMES
I.C.W. SW WILLAME'r7E FALLS DR
4F.-";T L INN OR 97068
ot,one #% AP557—( 000
RENAISSANCE CUSTOM HOMES INC
167; SW WILLAMETTE FALLS DFS
WEST L I PIN UR 9706A
Phone its
Pcari #. . : V'10097!5
ve •i C:er-tificxtP yr nt� aec,uponey of thea above referen--ed building ar portion
thereon and conf irme that the bui ldiny has been inspected fc,r c.ompl. ianc_r with
the State of Oregon 5;pecimlty Conies for the grol.1 and kiee lender
which the referenced per mit was i.saleed.
FAH _ ING INSPE:C1Of? ItffING . FFI IAL
POET 1n.' CONSPICUOUS PLACE
�p
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hoar Inspection line: 6394175 Business Phone: 6394171
Date Requested: 7 A.M. -.-- P.M. MST:
location:
BUR
I entmt: _ Suite: y Bldg:
—�� �J 7—0 t!��r� PLM: 1 LL
Contractor1�_1�d�;(�Q�1 .1�--! __Phone:
Owner
Phone: ELC:
ELR:
SIT: _
BUILDING BLDG rcon't) L MB1NG MECHANICAL ELECTRICAL SITE
Site PosURc:,m Postg3mn Post/Ileam Cover/Service Sewer/Storni
Footing Roof UndFl/Slab Rough-In Ceiling Water Linc
Slab Framing Top Out Gas Linc Rough-Ir IIG Sprinkler
Foundation Insulation Sewer HoodA)uct Reconnect Vault
13smt Dtmnp Drywall Storm Furna_% Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab ,
Shear/Sheath Fire Spkir/Alm Crawl/Found Dr heat himp I,ow Volt !'-'-
Approved Approved Approved Approved Approved
Appr/Sd%vlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL TTNAL FINAL FINAL FINAL
I
M Call for reinspection � O Reinspection fee of S required before neat inspection 0 Unable to inspect
Insp ctor:_ —<—A�---- -- Date: Page _ of
Page No. 1 CASK HISTORY FOR CASE NO.: P0497-0481
RENAISSANCE CUSTOM HOMES
13610 SW AERIE DP
03/02/96
Acticm Description Req/ Schd/ mid/ Action Notes Disp By Update Upd
rode Sent Done Done Date By
PI14A003 Application received / / / / 11/18/97 RECD JD 11/20/97 BON
P114AD05 Create Permit / i / / 11/20/97 DONE B 11/20/97 BON
PI.MA050 (F) Isrus permit / / 11/20/97 PASS B 11/20/97 BON
P1'MA750 RP/Backflow Preventer 11/20/97 / / 11/20/97 PASS GS 12/26/97 J•H
PI14A199 Final Inspection / / / / 11/20/97 PASS OS 12/26/97 J•H
PL,MC800 Case Finaled / / / / 11/20/97 PASS GS 12/26/97 J•H
A5MER #. . . . . . . : IVIS1.96 -0;F'(
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT pF4l"E ISSLFn: 07/22/96
13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (503)639-417! PIARCEL:
1 TE AI)1)PE':i'_i. . . 13610 SW A k I L DR
LIEN:i I I,l r G I ON. . . . EAGLE F,O I NTE ZONING: R-4. 5 F'L)
B1._OEP. . . . . . . . . . . 1-0 1'. 1 . . . . . . . . . . .
l
Remarks: PATH I
------------------------------------------------•._----------- BUILDING ------------------------------------------------•----------
REISSUE: STORIES......, : 2 FLOOR AREAS- BASEMENT...: 0 sf REQUIRED SETBACrS---- REQUIRED---------
..LASS OF WORK.:NEW HEIGHT........; 29 FIRST.....- 1465 sf GARAGE.....1 815 sf LEFT............ 5 SMOKE DETECTRS:
rvPE OF USE_:SF FLOOR LOAD....: 41? SECOND....- 1406 sf FRONT,.........- 20 PARKING SPACES;
YPE GF CONST..-5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 5
)CCUPANCY GRP.:R3 NDRM: s BATH: 3 TOTAL-------: ;871 sf VALUE..Ii 199576 REAR..........: 45
-------------------------- PLUMBING ------.-----------------------------------------------------
A WS.........: 1 WATER CLGEFTS.: 3 WASHING MACH..: I LAUNWY TRAYS.: 1 RAIN DRAIN ft: 0 TRAPS.........:
4AVATORIES....1 4 UISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: ! CATCH BASINS..: P
TLIB/SHOWERS....- d GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 8CKFLW PREVNTR: 1 GREASE TRAPS..:
OTHER FIXTURES:
-------------------------------------------------------•---•---- MECHANICAL -----.___-__-_
DUEL TYPES- ------ FURN ( INK ..t 0 BDIL/CMP ( 341: @ VENT FANS.....: 4 CLOTHES DRYERS: 1
/GAS/ / / FURN )=110111K ..: 1 UN11 HEATERS..: P HOODS.........: : OTHER UNITS...: 1
MAX INP.: @ BTU FLOOR FURNACES: 0 VENTS......... ; 0 WOODSTOVES....: 0 GAS OUTLETS...: 1
------------------------------------------------------------ ELEErRICAL ------------------
—RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS—- ----MISCfLLF1NEQU5---- --NDD'L INSPECTIONS--
!000 SF OR LESS: 1 e - W amp.,: 0 @ - 200 amp..; d M/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
..P RDD'L 50@DF.: 6 201 - 400 amp.. : 0 201 - 400 amp..: @ 1st W/0 SVC/FDt(i 0 SIGN/OUT LIN LT: @ PER HOUR.......- @
-IMITED ENERGY.: R 401 - 600 amp,, ; 0 401 - 40 amp..: 0 EA ADDL BR CIR, 0 SIGNALIPANEL...: 0 IN PLANT......:
�W HM/SVC/FUR: 0 601 - .:'"{t amp.: 0 61111+81ps-11X@@ V: ? MINOR LABEL -1111: 0
10@0+ aepivclt.: @ ----------------------------------- PLAN REVIEW SECTION ------------------------------.--
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 6@6 V NOMINAL.- L1S AREA/SPC OCC:
------ -------------------------------------------- ELECTRICAL - RESTRICTED ENERGY ---------------------------
�. SF RESIDENTIAL-------------------------- B. COMMERCIAL---------------------------------------------------------------------------.
AUDIO 6 5fERED.: VACUUM SYSTEM..: AUDIO t STEREO.: FIRE ALARM....... INTENCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: OTH: :1 X BOILER.........: HVA;...........: LANDSCAPE/IRAIGi PROTECTIVE SIGNL:
3ARAGE OPENER...- CLOCK........... 1NrTRUMENTATION: MEDICAL........: OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL N SYSIEMS: @
Jwrer: ----••--------------------- ---•--Contractor: ------------------------------ TOTAL FEES:$ 478@.70
14AISSANCE CUSTOM HODS RENAISSANCE CUSTOM HCOFS INC
:672 SW WILLAW71E FALLS DR 1672 SW WILLFN4£1TE FSi_LS DR
.TEST LINN OR 97068 WEST LINN OR 97@6E
7hone 4s 5'57-8@@A Phone t:
Reg t..: 97599
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all otne
applicable laws. All work will be done in accordance with approved pians. This permit viii expire if work is not started within 180
Jays of issuance, or if work is suspended for more than 18@ days.
--- REQUIRED INSPECTIONS ---------------------------------------------.----------
-ooting Insp PLM/Underfloor Shear Wall Insp insulation Insp Appr/Sdwlk Insp Erosion Control
la.indat)or Insp Mechanical Insp Low Voltage Gyp Board Insp Electrical Final
-lost/Beam Struct Plumb Tap Out Fireplace Insp Rain drain Insp Mechanical Final
: t/Eeam Machan Electrical Servs Gas Line Inso Water :.int Insp Plumb Final _
ravel Drain Framing Insp GX o a
Fireplace Water Service In E n . .• i
t s.c r. El 4 1 7
r
EiEWER CONNECI I%0N
CITY OF TIGARD Pf..RM I T
wLRMIT' #. . . . . . . : SWR96-0251
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/2�2/96
1.125 SW Hall Blvd.Tigard,Oregon 97223*8196 (503)639-4171 PARCEL: 26104l?D--EP031
`i1 TE ADDRESS. . . : 13610 SW AERIE DR
SUBDIVISION. . . . : EAGLE POINTE ZONINCit PD
i3l-.00K. . . . . . .. . . . : LOT. . . . . . . . . . . . . :31
I E�NANT NAME. . . . .
USA NO. . . . . . . . . . : FIXTURE urqlTS. . . 0
1- 1-ASS OF WORK. . . :NEW DWELL ING UN T"I'S. . I
TYPE OF USE. . . . . .SF NO. OF' BUILDINGS: I
I N'i'l OLL TYPE. . . . :SUSWR IMPERV SIJ13FACE: 0 5 f
Remarks: FATH I
FEES
RENAMBANCE CUSTOM HOMES type amol-trit by date v,ecl:)t
167CE' SW WTLLANE7'TE FALLS DR PRMT $ 2G'00. 00 B 1117/22/96 96--
INSP $ 35. 00 b 07/2c.1/96 961-
WEST LINN OR 970C,8
Phone #: 5b7-8000
Lonti-,actot—
ON-FRACTOR NOT ON FILE
-----------------------
Phone 2235. 1210 TOTAL
R
REUUIRED I NSPECT I ONS
This Applicant agrees to comply with all the rules and regulations Siewer Insppr-ticin
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amDl;nt paid will to forfeited if the
permit expires. The Agency does not guarantee toe accuracy of the
side setter laterals. If the sewer is not located at the measurement
given, tile 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 i,! i-stall a lateral.
Oev-m I t t F.e 13 1 qnrAt!-tl-P ......
L
LEO .[ for, irispec,, ion 639-4175
Residential Builfing Permit Application
City of Tigard l
13125 SW Nall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: J Co TV5 •S VJ
C«1/max
Office Use Only Berm ika d9
Subdivision: l- < < �+1__r_. � 0 i ✓1'�t-' . ^ Lot #���_ _
i+ Contact Date I ' /,, Inittals r�
Valuation: 4� , ..� �'� Result 1 � ;(j n
New Construction Only: (Square Footage) Planck/Rec
�p ` 4/.� Permit # h1 s c1 O 4 Y
House: _ ��L� _ Garage: _ �, Reissue of
,,,� Map & L# Z'�1 �-I lam- = G`�I
Corner Lot? Y Flag Lot? Y �N i Zone K i
I�Py10.135anee_ Ct�S�m�, He-'r�e� Plat#
Ir
Owner:
Address: I lr7 7. `.� W • lIC�mGt Balls Dr. Approvals Required
CR • c 001c 8 Planning Setbacks ' Solar
Engineering,-�'t RAJ.b-L PAul 1iJ
5 a 3 SS7 - Other__
Phone: L ) aObo
Contractor: Re(1&J SSr_1_nee C Lk_StzYn �tCM cS Items Required
Subcontractors
Address: Ilc �Z. *�•VJ • llQmc+t e iall� L)(- Truss Details
Other
a o O
o$ Notes iyur
'hone: I
Contractors License # �� �� �v,� t
(attach copy of current Oregon license)
Contact Name: (ern;c c Hu v1 c 4a14- __ ---- --
Contact Phone: i_ 3) 5 E� 00
Subcontractors: ` ArchitectlEngineer: Nims cyrl De5�gv)
C-C CIL
Plumbing: 40 dA-_ Address: I 'JC N E iS-L Ade • _
Mechanical _�r. C�u�i}�I It�+�•Coti�t-ro t�cYt CL,
Mechanical- L CY' ctZe�1
(attach copy of current TOR Contractor's License)
__cc Phone: ( Sc3 ) 2-Z.5 `t� - 1 � I
JCB DESCRIPTION: V ��cl 1'C I-t.
AppW6 Si ature Applicant Phone number
Received by: r,� ________ Date Received:
t
Permit Account Cescripdon Amount Amt,Pd. Bal. Ouse
rIJS (o•0,2Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
meet. Permit (MECN)
Bldg:
Plumb: z �_
mach:
Plan Check
(PLANCK)
Bldg: >>
Plumb: _-
BSc ,R u�S Sewer Conne,:-tion (SWUSAI -- c
Sewer Inspection (SWINSP) --
� c,
Parks Dev C;iarge (PKSCC) o 57) —
Residential TIF (7IF-R) _-L—L-�---
mass Transit i�F (71F-Vf7) `t�
Commercial 11F MF-C) --
Industrial TIF MF11 —"
Institutional 7F (-F-IS)
Cffica T]F (rIF-C) — --
Nater Wuality ('+vCUAL)
Water Cuandty
Fire Life Safety irLS)
Era s i e n C ntrl Permit (ER?Rv7,
Erosion ?'anc!UUSA (ERP'.11I ) , ---
�. -Z� �
_resicn ?!anck!COT (ERCSN) _- ---- i
Solar Balance Point Standard Worksheet
Address f s
Box A calculations: North-South dimension for the lot. Box A-
This dimension is determined by finding the midpoint of the North lot line and drawing
an intersecting line perpendicular to !.hat point.
First, determine which property line is the North lot line. The North lot line is the like
with the smallest angle from a line drawn east-west and intersecting the northern most
Point of the lot.
*� 450--41.
1
Izi
u t Lot USN!
North-South
Dimension for Lot:
Nteasure the distance from the midpoint e'the North lot line to the South lot line along
the described line.
feet
t
�"�7 NE;R5I.SC'V'M JIAc61CN=�—f1
Box B calculations: Shade point height for your residence.
Box 6
1. Determine whether measurements will be based on the peak or eave of your Which describes
structure. The orientation of the ridge also important. your residence?
1 a: If the roof line runs North-South, measuremc.:nts will ones
be based on the peak of the roof. ❑
v`t1M+♦ 1 i� 1 U I�.
1 b: If the roof line runs East-West and the roof pitch is
less than 5/12, measurements will be based on the
eawe.
1 c: If the roof line runs Ea-t-West and the roof pitch is
5112 or steeper, measurements will he based on the
reale.
J
Box B. continued Box B:
2. Pleasure change in elevat on from front property line to finished floor elevation. If
the lot slopes up from the front lot line to the foundation, the figure is positive. If 4, ft
the lot slopes dawn from the front lot line to the foundation, the figure is negative.
3. Measure distance from finished floor elevation to the affected peak/eave. + �� .�_ It
l
4. If the roof line runs North-South, deduct three feet. If the roof line runs East-West, ' it
deduct nothing.
5. Subtract ane foot for each foot of difference in elevation from the front property
line to the rear property line, if the lot slopes up from the front to the rear. If the
lot has no slope or slopes up from the rear to the front, deduct nothing. ft
6. Total figure for box B: L ,� ft
Box C. Distance to the shade reduction line. Box C:
I tMeasure the distance from the North property line to the foundation near the ft
affected peak/eave.
Pleasure the distance from the foundation to the affected peak or eave. ft
3. Total fi 1 .1ure for box C: L
-� ft
It's most useful to draw a vertical line to represent the appropriate figure found in box"A"and a horizontal line to represent the
appropriate figure found in box"C". The intersection of the vertical and horizontal lines determines the value found in box"D". The value
in box "D"should be compared to the value in box"B"; if the value in box "B"is less than or equal to the alue found in box "D", then
the building is in compliance with the solar balance code. If you have any questions, please contid us at 639-4171,x304 or at the
Community Development Counter.
MAXIMUM PERMITTED SHADE POINT HEIGHT (In Feet)
Distance to North south lot dimensipn fin feet)
shade 100- 93 90 8.5 80 75 TO 63 60 33 50 43 -to
reduction line i
from northern
lot line,in fe-
70 .40 40 40 41 42 43 44
65 38 38 38 39 40 .11 42 43
60 36 36 36 37 38 39 40 41 42
55 34 34 34 35 36 37 38 39 40 41
30 32 32 32 33 34 35 36 37 38 39 40
-5 30 30 30 31 32 33 314 35 36 37 38 39
40 28 23 28 29 30 31 32 33 34 35 36 37 38
33 26 26 16 27 28 19 30 31 32 33 34 35 36
30 24 24 24 25 26 27 23 29 30 31 32 33 34
1329 22 22 23 24 25 26 _'i 28 29 30 31 32
10 20 20 20 21 22 23 1�4 35 26 27 28 29 30
13 13 18 18 19 20 21 112 23 24 25 26 27 23
10 16 16 16 17 18 19 30 21 22 23 24 25 26
3 14 14 1.1 15 16 17 ll8 19 20 21 22 23 24
I
Box D. Maximum allo�ked shade point height: Z`J feet
SEE 35MM �
ROLFL# 22
FOR
LARGE
DOCUMENT
TIGa4►F��CITYOFPLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : PLM97-048 3
13125 SW Nall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 11 /20/97
PARCEL: 251.04DD-74000
SITE ADDRESS. . . : 13610 SW AERIE DR ZONING: R-4. 5 F11)SUBDIVI9ION. . . . : EAGLE POINTE JURISDICTION: TIGPL OL.;K. LO"t. . . . . . . . . . . . . :031
CLASS _.W.._OR_K_.. . _:A-_-l... GARBAGE
AR_BA_,,lDISPOSALS. -
ISPOSALS. ._..__� _- MOBILE HOME SPACES. : V
TYPE OF USE. . . . :SF WHSHING MACH. . . . . .
0BACKFLOW . : 1
i
OCCUPANCY GRP. - ;R3 Fl-OOP DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIX-TURES--_----___ _._--____- LAUNDRY TRAYS. . . . . . 0 SF RAIN DRAINS. . . . . . 171
SINKS. . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
.
I-AVATORIES. . . . OTHER FIXTURES. . . . 0
TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSE-f S. : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . : 0
Remarks : Installing residential backfi.ow prevention device
_ ___ ___ FEES
Owner: --_________________...-_____-------__._ ---- ----__
RENAISSANCE CUSTOMHOMEStype amoo.tnt by date r'e(-pt
1672 SW WILLAMETTE FALLS DR PRMT $ 15. 00 JD 11 / 18/97 97-301030
WEST L_INN OR 97068 SPCT $ 0. 75 JD 1J. /18/97 97- 301030
Phone #:
L..ant tact OT.._......____....._—__----------- --•---_.__.._—__
MOODY ENTERPRISE INC
PO BOX 98
ESTACADA OR 97023
Phone #: f 15. 75 TOTAL
Rpq #- . : 000059
---------- REG?U I RED INSPECTIONS
-
This permit is issued subject to the regulations contained in the RP/Backf l ow Prev
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection _--- .
applicable laws. All work will be done in accordance with ---
approved plans. This perrit will expire if work is not started
within la0 days of issuance, or if work is suspended for morethan 180 days. ATTENTION: Oregon law requires you to follow rules ----
adopted by the Oregon Utility Notification Center. Those rules are —
set forth in OAR 952-9991-010 through OAR 952-9981-•9089. You may --
obtain copies of these rules or direct questions to OLK by railing - -- -
(593)246-1987. —
L'J'tPermittee Si gnat 1.ireT -,died By - - --
-1..++++++++++-h++++-+-++++++++++++++++++++++++++++++.4-++++++++++++++++++++++++++ 1
Call 639-4175 by 7:00 P. M. for- an inspection needed the next t i-isiness day
►+++++++++++++++++-+-++++++++++++++;-++++++++++.+4-+++++++++++++++++++++++aF++++++.
rY OF TIGARD Plumbing Applicaticit Recd 9y'"--
0 25 SW HALL BLVD. Commercial and Reside,,'ial Date Recd 417A7 .7
:BARD, OR 97223 'J +• � Date to P E.
73) 639-4171Onto to DST
Permd s CE 77d >
Print or Type / Relced SWR til
Incomplete or illegible applications will IVot ba-accepted ailed
Name of Development/Project FUCrURES„QndlvldusQ s�.i..1� :11 P CE, 'AMT
Jot? _ �. .� �, v / J f Sink 0.00
Address Street Address suite `ava`r'ry 8.00
��CS L•' S.al.�fe ! C Tub or Tubishower Comb. 9.00
Bldgs Ci /State ZIP S'umwOnty
Water Cbs et9.00�.
Na 9.00
c 4'..c r f rr tiC (ani 00,
Dialnwaaher 9.00
Owner Mai Nnq dre�s // Surto Garbage Disposal 9.00
/ l'A Ile I, Washing Machine 9.00
(.+ty1 Stats / Zip Phone Floor Dram 2'
9.00
WesMName
l r '/{/ `1�✓ fJJr�c7 ]' 9.00
4- 9.00
Occupant Maung Addre,,e Suite Water Healar 9.00
_ Laundry Room Tray 9.00
City/Slate Zip Phone unnal 9.00
Name Other Fixtures(Specify) 9.110
9.00
ontractor M1lipn9 Addr' Suite - 9.00
6 -- 9.00 -
rkx to Lsauance /S,�to / Zip Ph" --- _A.00
applicant must /c ej r`� C/JG 1..j _ �c'��f --- --
provide all Oregon Const.Cont.Board Uc.8 Exp.Date 9.00
crantractors 5-1 -7-j, (•',;,/j-//r/r - -- 9.00
Ilccsnse Plumbing Lk t Exp.Date Serer-1st too" 30.00
informatbn Sewer-each aoddional 100' 23.00
for COT COT Business Tax or Metro a Exp.Date t>W 1�
,atabase). 30.00
_ I_Narne _ -- Water Service-each additicnal 200' 25.00
%rchitect ! Storm it Ram Drain-1st 100 3Q.00
or Masng Address - Surto Storm A Rain Drain-earn addkbrtal 100' 23.00
Moble Home Space 25.00
Engineer Gtyrglate Zip - Phone Commercial Bade Flow Prevention Oev,ce or Arhti- 5.00
Pollution Device _
%mbe work New O Alterr:iori O Repair O Residential Backilow Prevention jo-Ace' 15.00
"done: Residential Non-residential O My Trap or Waste Not Connected to a Fixture-- 9.00
:ditional desmptcon of work --- - - - _
Catch Basin 9.00
1 Insp.of Extsbng Plumbing 40.00
v
aBng use of
r I'l f%t f - Speaatly Requested Inspections 40.00
_ pedhr i
ming or property_ - Rain Drain.single family dwelling -- -- 30.00 }--
rosed use of Grease Traps 9.00
,ling or property
QUANTITY TOTAL.
you capp.ig, moving or replaang ,y fbctvres Yes❑ Nn(] Iscn*ror or nsm diagram is rewired d Ouanty Total a >9 .t m,
you
I yoo sae hack of form) _ •SUBTOTAL
ereby adcnrwledge Uhat I have read this application.that the information --
len is conec;. that I am the owner or authorized agent of the owner and 5%SURCHARGE
•at dans sutmrtted are in comoHanae with Orrgtxh State Laws. _ _
,natytrrt LwrncriAgent - - Date ` PLAN REVIEW 25% OF SUBTOTAL. _
It" � 4ewretl i:W f'Fmrs 7ty btal n�
��-�� r TOTAL
r,enon Nam►. � Phone -.--
7 'Minimum permit fs.,-t 175.5%surr".harge.c<cept Residential Backflow
`60-Z q�O Pr"noon Device.which is S15 i surcharge
1:\p1mapp.doc 11,96 (dst)
i
_!.F-A.5E-QSZMPLETE AS APPRQERIATE TO PROJECT:
Fixtures to be capped, moved or replaced Qty .
Sink
Lavatory
Tub or Tub/Shower Combination
Shower Only
Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain 2"
f 3"
4"
Water Neater
Laundry Room Tray
Urinal _
Other Fixtures (Specify)
:OMMENTS REGARDING ABOVE:
1:'p1mapp.doc 12.196 (dst)
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
EAGLE PLUMBING
13801 S . FORSYTHE RD
OREGON CITY OR 97045
Plumbing Signature Form
Permit # . . . . : MS'T96-0268
Date Issued. : 07/22/96
Parcel . . . . . . .. 2S104DD-EP031
Site Address : 13610 SW AERIE DR
Subdivision. : EAGLE POINTE
Block. . . . . . . . 1-ot- . 31
Zoning . . . . . . : R-4 . 5 PD
Remarks :
PATH I
Your company has been indicated as the plumbing contractor for the permit indicated above. In order
for the PIUMbing permit to be valid, please have the appropriate individual from your company sign
below anJ return this Plumbing Sic nature Form prior to the start of work. No plumbing inspections
will be authorized until this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
PLUMBING CONTRACTOR:
RENAISSANCE CUSTOM i:0MES EAGLE PLUMBING
1672 ^W WILLAMETTE FALLS DR 13801 7 . FORSITHE RD
WEST LINN OR 97068 OREGON CITY OR 97045
# : 557-8000 Phone # : FAX/65^-8720
Reg # . . : 47914
X -
Signature of Authorized Plumber
Please return this completed form to the address above.
ATTN: Building Dept.
I1 you have any quesrions, please call 639-4171 , ext. #310
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
GAGE ENTERPRISES INC
PO BOX 1429
CLACKAMAS OR 97015
Electrical Signature Form
Permit ## . . . . : MST96-0268
Date Issued. : 07/22/96
Parcel . . . . . . : 2S104DD-EP031.
Site Address : 13610 SW AERIE DR
Subdivision . : EAGLE POINTE
Block . . . . . . . . I, �t ; 31
Zoning. . . . . . . R-4 . 5 PD
Remarks :
PATH I
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 work. No electrical inspections will be authorized until
tris completed form is received.
AN INK SIGNA'rURE IS REQUIRED ON THIS FORM
OWNt,R: ELECTRICAL CONTRACTOR:
RZNA.ISSANCE CUSTOM HOMES GAGE ENTERPRISES INC
3672 SW WILLAMETTE FALLS DR ; O BOX 1429
WEST LINN OR 97068 CLACKAMAS OR 97015
I li-ane 4 : 557-8000 Phone # : FAX-
Reg # . . : 34544
Signature of Supervisin lectrician
I-lease return this completed form to the address above.
A-1 TN: Building Dept.
If you have any questions, please call 639-4171, ext. #310
I
i
Page No. 1 CASE HISTOkY FOR CASE NO.: MST96-0260
RENAISSANCE CUSTOM HOMES
13610 SW AERIE DR
03/02/98
Action Description Reg/ Schd/ End/ Action Noteo bisp By Update Upd
Code Sent Done Done Date By
MSTA005 Application received / / / / 05/02/96 PASS JD 05/28/96 BT2
MSTA008 Permit Created / / / / US/28/96 PASS RT 05/28/96 BT2
MSTA010 Check for prcl. restrict. / / / / 05/23/96 PASS BON 05/"!8/96 BT2
M.STA012 Plans routed to Plano Examiner / / / / 05/23/96 PASS BON 05/28/96 BT2
MSTA026 Plano approved by Plano Exmr / / / / 05/28/96 PASS RT 05/28/96 BT2.
MSTA030 Reviewed plane routed to DST^ / / / / 05/28/96 PASS RT 05/28/V6 BT2
MSTA080 (F) Ready to issue / / / / 07/11/96 PASS CJS 07/11/96 CJS
MSTA092 (F) Ioans combination permit / / / / 07/22/96 PASS B 07/22/96 BON
MSTA0n7 Issue plumbing signature form / / / / 07/22/96 PASS B 07/22/96 BON
MSTA099 Issue electric eigniture form / / / / 07/22/96 PASS B 07/22/96 BON
MSTA705 Footing Insp / / / / 07/29/9 PASS GS 07/31/96 BT2.
M13TA706 Foundation :nap / / / / 08/08/96 APP GS 00/09/96 GES
MSTA710 Poat/Beam Structura, / / / / 11/06/96 APP GS 11/06/96 GES
MSTA711 Poet/Beam Mechanical / / / / 11/06/9b APP GS 11/06/96 GES
MSTA113 Crawl Drain / / / / 08/14/96 APP GS 08/14/96 GES
MSTA717 PLM/Underfloor / % / / 11/06/96 APP GS 11/06/96 GES
MSTA720 Mechanical Insp / / / / 01/28/97 APP US 01/20/97 GES
MSTA722 Plumb Top Out / / / / 01/28/97 APP GS 01/29/97 GES
MST,%722 Plumb Top Out / / / 7 04/03/97 APPR SPAN GS 04/03/97 GFS
MSTA723 Electrical Service / / / / 01/28/97 APP GS 01/28/97 GES
M.STA724 Electrical Rough In / / / / 01/20/97 APP GS 01/28/97 GES
MSTA725 Framing Insp / / / / 01/2t '97 temp wndw over maty tub APF GS 01/20/97 GES
M.9TA726 Shear hall Insp / / / / 01/28/97 APP GS 01/28/97 GES
MSTA727 Low Voltage / / / / 01/28/97 APP GS 01/28/97 GES
MSTA735 Gas Line Inap / / / / 01/28/97 APP GS 01/28/97 GES
MSTA736 Gas Fireplace / / / / 01/28/97 APR GS 01/28/97 GFS
MSTA740 Insulaticc. Insp / / / / 01/31/97 AFP GS 01/31/97 GES
M.9TA755 vain drain Inap / / / / 08/14/96 APP GS 08/14/96 GES
MSTA765 Appr/sdwlk Inap / / / / 03/19/97 1. BE PREPARED TO PROTECT FINISH. PASS PI 03/26/97 RB
MSTA790 Electrical Final / / / / 05/05/97 PASS TI-P 05/06/97 TLP
MSTA795 Mechanical Final 05/05/97 / / 05/05/91 PASS TLP 05/06/97 TLP
MSTA797 Plumb Final / / / / 05/05/97 PASS TLP 05/06/97 TLP
MSTA799 Building Final 05/05/97 / / 05/05/97 PASS TLP 05/06/97 TLP
MSTA960 (F) Issue car'. of Occupancy / / / / 05/05/97 mailed 3-2-98 JT 03/02/98 S-W