Case File t
7'5-4A2'0 760.0010 -7
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SURVEYORS, _
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16•� 12.00 .,� FOUNDATION CORNERS AND PROVIDE
SUBSEQUENT MORTGAGE SURVEY.
1S. �! 20.00' � � 4.
' Y EROSION CONTROL:
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- GRAVE. PAD & DRiVE UN i `- , i,, ANENT
t� CONCRETE DRIVE IS IN P}-ACE.
2. PROVIDE & MAINTAItd SOIL SEDIMENT
00 00 ;.00' S 14.00' FENCE AS ;NDlGATED.
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7-11-96, TGB.
S. W. AER1_E-,.,DR1VE NZ+ Y --FOOTPRINT REVISED PER BERNICE,
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6-10-96, TGB.
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SCALE DRAWING LOT 14, EAGLE POINTE
--AN EIGHT FOOT PUBLIC UTILITY EASEMENT SHALL "'--"'— ""—
EXIST ALONG ALE. LOT LINES ABUTTING PUBLIC STREETS. S.W. 1 /4 SEC.3,T.2S.,R.1W.,W.M.
CITY OF TIGARD
j WASHINGTON COUNTY, OREGON
AUGUST 20, 1996 Centerline Concepts Inc .
DRAWN BY: TG8 CHECKED BY: WGDIII 640 82nd Drive Gladstone, Oregon 97027
SCALE 1 "=20' ACCOUNT # 115 503 650--0188 fax 503 650-0189
NOTICE: IF THE PRINT OR TYPE ON ANY ► r III III I I I , III III I I III I I I�T r�r r� I I , 1 T T I I l l r .1 T f -fi `I l I I 1 f I l l o I I l f I f f I I I I I I I f -I MITI 1 1 l I I II II I I I f 111r I r I I i l l 1 1� l i I I C l C I I � il � il � f I � � ji � t � � Iii i � 1ii � i iii . ��
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IMAGE IS NOT AS CLEAR AS HIS NOTICE, •. 5 -_ - 6 7 - 1Q 1 �� ,��� lUC� l
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IT IS DUE TO THE QUALITY OF THE _ _ _ No.36
ORIGINAL DOCUMENT E 6Z ^8Z LZ 8Z � Z OZ 6T ST� LT — 9I � i fiT Epi cZT iT 0 6 8T L 8
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1.3932 SW AERIE DRIVE -"
1672 SW WILLAMU'TTE FALLS DP
�
CITY OF TIGARD BUILDING INS"'ECTION DIVISION
24-Hour Inspection Line: 639-4175 B .inc:ss Phone: 5394171
Date Requested: -- — ---7�J A M. _ P.M.X' _ MS"I': p4,e5 c f 3
Location: 129 %- L 11 BUP:
Tenant:- __ Suite: Bldg: MI:C:_-
Contractor: Phone: _y�� - _ PLM: _
Owner: Phone: ELC:
ELR:
SIT: _
BUILDING BLDG(con'() PLUMBING MECHANICAL ELECTRICAL SITE
Site PosUlieam Post/licanm Post/Beam Cover/Service Sewer/Storm
Footing Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Framing 'fop Out Gas Line Rough-In i1G Sprinkler
Foundation Insulation Sewer Ilood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace "femp Service MISC.
Masonry Ceiling Rain;rain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Ilent Pump IAM Volt
pprove Hove pprov Igrrov Approved
Appr/Sdwl o roved Not pprovcd Not Approved of A,p mroved Not Approved
F INAL N FINAL
C7 Call for reinspection 0 Reinspection fee of Srequired before next inspection 0 Unable to inspect
Date -77— Z"/ 7 ----- Page —.of�_—T
CITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : FILM970499
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 11/2.0/97
PARCEL: 2SI03CC--0,_`J900
SITE ADDRESS. . . - 1.3932 SW AERIE DR ZONING- R-4. 5 PD
SUBDIVISION. . . . : EAGLE POINTE
BLOCK. . . . . . . : LO-1 . . . . . . . . . . . . . :014 JURISDICTION: TIG
CLASS OF WORK. . -ALT GARBAGE DISDOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PIREVNTRS. . : I
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
R)TORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASING. . . . . . . : 0
FIXTIJRES---------------— LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
S')I NKS. . . . . . . . . : k, URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . : 0
1-.AVOTORIES. . . . - 0 OTHER FIXTURES. . . . : 0
TUB/SHOWFRS. . . : 0 SEWER LINE ( Ft ) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0
L)ISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Pemarks : install residential backflow prevention device
FEES
RENAISSANCE DEVELOPMENT type amomrit by date t,ecpt
1672 SW WILLAMETTE' FALLS DR PIRMT $ 15. 00 JSD 11 /18/97 97--301030
WEST L_INN OR 97068 SPOT $ 0. 75 JSD 11. 18/'97 '97-301030
Phone #:
(_0 lit r-act
MOODY ENTERPRISE INC
Flo BOX 98
FSTACADA OR
Phone #- $ 15. 75 TOTAL
pril #. . . 91000559 REDUIRED INSPECTIONS
This pera,c is issued subject to the regulations contained in the RFI/Packflow Pr-PV
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
,3pprovpd 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 through OAR 952--MI-M. You may
otitain copies of these rules or direct questions to OUK by calling
(583)246-1987.
Issi..ipd By - - P P t-m i t t e P S i g r.at li r-e
+4 ......... .......... ...............4.............................. F4......4-
Call 639-4175 by 7:00 p. m. fo-- an inspection needed the next blAsiness day
4-+4-+++4.......+4- F 4..............4..............f.................... ......+
:ITY OF TIGARD Plumbing Application .- Recd By
3125 SW WALL BLVD. Commercial and Residelttial! �� 1 r� Date Recd
IG•ARD, OR 97223 ,�,f / Date to P E.
'503) 639-4171 ( ,,� / Date to DST L C
Permit*
Print or Type / Related 6WR•
Incomplete or illegible applications will not be accepted) Called
Na of DD.evelopment/Projeui On beck Indicate Work Performed by fixture.
Job 7i' `(' a; �;f C FIXTURES (Individual) QTY PRICE AMT
Address S r et rd reqs Suite Sink Cio
-2 . �/ Lavatory 9.00
Bldg i
`tate Tub or Tub/Shower Comb. 9.00
2z
-- Shower Only
Nam 1� 9.00
('.4 /15 ;r�(�, qrU/Lt q / Water Closet 9.00
Owner Mailing Addie Suite Dishwasher 9.00
T'L le:Ur i ( Garbage Disposal 9.00
.Cit !Stat Z�I} �j P ne
t� � r ti'r� 7 7060 re7�'i" Washing Machina 9.00
Name Floor Drain 2" 9.00
3 9.00
Occupant Mailing Address Suite 4' 9 00
City/State ZIP Phone Water Heater O conversion O like kind 9.00
Laundry Room Tray 9.00
Na�7mev _ — Urinal 9. 0
� I r� �'( _/ Other Fixtures(Specify) � 9.000
Contractor Mailing A s - Suite – 900
Prior to permit wSlyle I� P�pnR -- 9.00
issuance,a copy f=S'A?'( l4r � ray/ ,[��� 9.00
of all licenses are Oregon Crnst. ont.Board Lic.# .Date 9.00
required if G "
J_r __ / Sewer-1st 100 30.00
expired in COT Plumbing Lic.* Exp Date
database Sewer-each additional 100' 25.00
Name Water Service-1 st 100' 30.00
Architect Water Service-each additional 200' 25.00
or Mailing Address Suite Storm&Rain Drain-1st 100' 30.00
_ Storm 6 Rain Drain-each additional 10025.00
Engineer City/State Zip Phone Mobile Home Space 25.00
Commercial Back Flow Prevention Device or Anti- 1425.00 --�
Describe wort. New Addiyon O Alteration O Repair O Pollution Device _
to he done: Residential(P/Non-residential o Residential Backflow Prevention Device* 15.00
Additional description of wou;: Any Trap or 1Naste Not Connected to a Fixture 9.00
5'f It 1'41 le"-,-r Catch Basin 9.00
Insp of Existing Plumbing 40.00
petRv
Existing use of Specially Requested Inspections 40,00
building ai property-__ per/hr
Rain Drain,single family dwelling 30.70
Proposed use of 9,00 Grease Traps
building or property -- -------- -s —_
QUANTITY TOTAL
I hereby acknowledge that I have read this application,that the information Isometric or neer diagram is required n Ouanity Total Is >9
Ven is correct,that i am the owner or authorized agent of the owner,and — 'SUBTOTAL.
at plans submitted are in compliance with Ore on State Laws. _
n of no geJt Date _ 5"/,SURCHARGE
PLAN REVIEW 25%OF SUBTOTAL
'.c son Name Phone Required on A fixture qt tote)ie>9
Z TOTAL
'Mlntmum permit fee is$25+ 5%surcharge,except Residential Backflow
Prevention Device,which is S15+5%sur:hprge
mo. 97
Fixture Type Quantity by Work Performed
Capped/ Removed Moved Replaced
Sink
Lavatory
Tub or Tub/Shower Combination
Shower Only
Water Closet _
Dishwasher
Garbage Disposal --
Washing Machine —
Floor Drain 2"
4"
Water Heater
Laundry Room_Tray
Urinal
Other Fixtures (Specify) _
COMMENTS REGARDING ABOVE:
I�,jswOlmspp Coe-"7
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phone: 6394171
Date Requested: �t' ` r� A M. P.M. -- MST:
Location: 1323-2- .SQL �.0 ,L t,.C „� - ----- BUP:_
Tenant: Suite: Bldg: _. MEC:
--- PLM:J` �-1 ' .,4tPhone:� S� 7.� ���.�
Contractor: ._�- t2 C ri.L�� .
t»Amer- Phone: ELC:
ELR:
SIT:
BUILDING BLDG(con't) `'PLUMBING_ MECHANICAL ELECTRICAL SITE
Site Post/Beam PagflFlci►m Post/lIcam ^over/Service Sewer/Storm
Footing Roor tlndl-USlab Rough-In Ceiling Water Une
Slab Framing Top 0.1 Lias Line Rough-In I1G Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Dram A/C 110 Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found 1>r I lent Pump Low Volt ( , L t
Approved Approved Approved Approved Approved
Appr/Sdwlk Not Approved NQtApproved Not Approved Not Approved Not Approved I
FINAL �FIFfAL�' FINAL FINAL FINAL
fl Call for reinspection 17 Reinspection fee of S required b6ow next m lxc11"1) i 1 1 In„hle to inspect
/f/
Inspector :C�� _ Date: T.� --- Page —,of—
CITY OF TIGARD ^rgciTER PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MaT9Er-0439
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISJUED: Ot/09/97
PFARCEI-: 2S 104DD--E P01/+
':.;ITE (-ADDRESS. . . : 139112 '.3W A[ PIE DR
tJBD I V I c I ON. . . . : EAGLE POINTE 7..C7N?ivG: R-4. 5 PD
E?I__OCE;. . . . . . . . . . L_0T. . .. . . . . . . . . . . x.014
Resarks: Path 1
BUILDING --------------------------------—--------------------------
r171SSUE: STORIES.......: 2 FLOOR AREAS-------- BASEMEA ...: 0 sf REQUIRED SETBACKS----
�L.ASS OF WORK,:NEW HEIGHT........: 25 FIRST..... 1477 sf GARAGE.....: 690 sf LEFT..........: B SMOKE DETECTRS: Y
!YPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1870 s` FRONT.......... 20 PARKING SPACES:
"SPE OF CONST.:5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 7
CUPANCY GRP.:R3 BDPM: 4 BATH: s TOTAL------: 334' sf VALUE.. : 235936 REAR..........: 39
PLUMBING ---------------------------------------------------------
INHS.........s 1� WATER CLOSETS.: 3 WA5HING MACH..: 1 LAUNDRY TRAYS.: RAIN DRAIN ft: 0 TRAPS.........; 0
_AVATORIES....: 5 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
'UB/SHOWERS...: 3 GARBAGE DISP,.: 1 WATER HEATERS. : 1 WATER LINE ft: 100 BCKFLW PREVNTR: 1 GREASE TRAPS..: P
OTHER FIXTUPES: 0
------------------------------------------------- _----- MECHANICX ------------------------------------------------------------
cUEL. TYPES FURN ( IMF,, ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERS: I
,GAS/ / / FURN )=100K ..: 1 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...; 1
"SAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODETOVES....: 0 GAS OUTLETS...: 1
------------------------------------------- ELECTRICAL ELECTRICAL ------------------------------------------------------------
RESIDENTIAL UNIT--- - -SERVICE/FEEDER---- --TEMP SRVC/FEF.DERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS-
:1!0P SF OR LESS: 1 0 - 200 asp.. : d 0 - 20N alp... 0 W/S'JC OR FDR..: 0 G11MF'11RRIGATION: 0 DER INSPECTION: 0
ADD'L 580SF.: 7 201 - 400 asp..: 0 201 - 400 asp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
,"TED ENERGY.: 0 40! 600 asp..: 0 401 - 680 asp..: 0 EA ADD ER CIR: 0 5IGW!PANEL....: 0 IN PLANT......: 0
.44W uM/SVC/rDR: 0 601 - 1000 amp.: 0 601+asps-IFA v: 0 MINOR LABEL -10: 0
1000+ amp/volt.; 0 -—•---..._---------_----
------------- PLAN REVIEW SECTION ---------------------------.------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)-225 A.: > 606 V NOMINALt Cls AREA/SPC OCC-.
-- ELECTRICAL - RESTRICTED ENERGY ---------------------------------------------------
Q, SF RESIDENTIAL .—_____---___-
T - B. :OMMERCIAL-- --------------------------------------------------------_---------------
�_ _ --
WDIO t STEREO. : VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: TNTERCOM!PAGTNG; OUTDOOR LNDSC I.T:
BURGLAR ALARM..: OTH: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGN'.:
,At2AGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICp'_........ : OTHR: :.
HVAC...........I DATA/TELE COMM.-. NURSE CALLS....: TOTAL A SYSTEMS: 0
,Own e--- -----------------------------------Contract or: --------------------------- TOTAL FEES:S 346`.30
RENAISSANCE DEVELOPMENT RENAISSANCE CUSTOM HMES INC
;672 SW WILLAMETTE FALLS DR 1672 5W WILLAME•TE FALLS DR
WEST LINN OR 97068 WEST LINN OR 97068
Phone N: 557-8800 Phone *.
Reg #..: 97599
This permit is issued subject to the regulations contained in the Tigard Municipal C6de, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is net started within 180
Jays of issuance, or if work is suspended for more than IN days.
REQUIRED INSPECTIONS --------------------------—----------
--_"__--- ----`
Footing Insp PLM/Underfloor Framing Insp Gas Fireplace Water Service In Building Final
Foundation Insp Mechanical Insp Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Ernsion Control
Dost/Beam Str•uct Plumb Top Ont Low Voltage Gyp Board Insp Electrical Final
Post/Beal Mechan F_lect icai Seri Fi,•cplace Insp Rain :gain Insp Mechanical Final
Crawl Drain Electrical Rough Gas Line Insp W rLine Insp Plumb Fi
Pe
erini# ea ci gnat cf
.�
e-- r . , r:... inspection 639-4175
CITY OF T `'EWER CONNECTION
PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : swR9G -04-�c_
13125 WWI Blvd., Tigard,OR 97223 (503)839.4171 DATE T 9S I J E D: 111 '09/97
PARCEI.. : 2S 104DD—EPO I A
;ITE ADDRESS. . . : 1-193r' CW AERIE DR
3UBD I V I G I ON. . . . : EAGLE POINTE 7 ON I NG: R--4. 5 FAD
P,LOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :01.4
1'ENANT NAME. . . . . :RENAIGOANCE- DEVELOPME'NT
LISA NO. . . . . . . . . . : FIXTURE. UNI'T'S. . . : �
11.AGS OF WORK.. . . :NEW I)WF[.I.,I NG I IN I.T�% . 1
TYPE OF USE. -SF NO. OF BUILDINGS: 1.
'I,JSTAI-.L TYPO. . . . :PLJ5WR 'E MPCRV SI.IRFACF: 0 s f
?rrinark5 : Fath 1
RE"NAISSANCF DEVELOPMENT type amOI.Int by date I-er.pt
1672 SW WILLAMETTE FALLS DR PRMT fi 2200- 00 JSI.) 01/09/97 97-28871.6
INSP 35. 00 JSD 01/09/97 '37--28871 1-',
14EST L T NN OP 970613
I'hone #: 557-8000
:ontr-act or- :
1:;ONTRACTOR NOT ON FILE
-----------------------------------
2235. 00 TOTAI_
REQUIRED TNSPE.CTIONS
Applicant agrees to comply with all the rules and regulations Sewer Inspection
the Unified Sewage Agency. The permit expires 19a days from _ _the date issued. The total amount paid will he forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
;ide sewer laterals. If the Sewer is not located it '-he measurement _
given, the installer shall prospect 3 feet in all directions from
+'he distance given. If not so located, the installer shall purchase
"Tap and Side Sewer" Permit and the Agency will insta ] a lateral.
F,r m i t t e e Si gnat w,
Tsslaed 8X:"
Cal for i.nspect ion G- 39-4175
Plan C.`.ecx:0�l-
:I ( GF 7iGA?D Residential Building Permit A,pplicaticn a._cI3y ` �---
25 S'1V HALL DL.VD. New CCnstructicn Add',ticns cr ARer=ticrs :ate Rec'e C ��
-IGAnD, OR 517223 Sincle Family Detacled cr.Ana&edate;oPE.-1-1-1 9b
50Z) 939-4171 Care:oCS7/L-3 -fl6
Incomplete or illegible applications '.dill not be accepted s1 �,�
— 'lac+;r SuOCols.cr La At )lart 9
Jc1b EAGLE POINTE ly SPRINGWATER DESIGNS
Adcress A.v.,,. L;: � --
�,�'' z j• AC V 1 t 1--)f . 24775 S__SPBINGWATER RD.
la i,.ry State Z:o ' =`cne
RENAISSANCE DEVELOPMENT ESTACADA, OR.97023 630-6238
�a.--
Cwner 'Aamrq Accress FULLER DESIGN & ENGINEERING
167' -,W tJTT T AM TTF VIT.r.s DR_ Engineer 1a:,, ;.cc:4s3
_ '123 SW IOWA
_ WEST LINN OR 97068J57-8000 _.ryrs;ate "a = -r
'lame
I I . PORTLAND 97221 245-5977
�
General RENAISSANCE I Cesc^ce «ort -ew acaten 0 ateratmn 0 recaa
ntraC:er ' 'Aau,rgAairess I ; ;a:edcr.e:
1672 SW WILLXIETTE FALLS DR. I
`astate i re
WEST LINN,OP 7068 r 597-8000 I SINGLE FAMILY RESIDENTIAL
Cre;cn Caret.Ccr:. _c.at5� t$70049955 a �ct Cocy :f
S
:;.went _..T=�s;r.ess'>: ., ',1e:._ = -a: 1 i3il:ai;Or' 51J 8'
:curses -1206 3x1/97 �� A1
•la-e ,NFvf C.ONS7R,UC i iGN C�JL'!:
'r1ec;lanical TRI COURiTY TE.`4P CONTROL Sc.-.. reuse: SG.=:.Garage:
Sub- '.launq.-ccress
,cntrac:cr 13651 SE A:4BLER U. ,,;r er Let Y-S Nc =iag i ct I Yes `4C
CLACKAMAS,OR 97015 654-3115 et 'C:ec -LcicrSterec ._ c.:r
�re^_^• ' r.s;. _Jn;. __ar^. _...- =- -a n =�nr.'� y5:er^, Br
01 2623 3%28 f97
_�._ _ _Brace :c�-
_ _ -.
r-srl! ?�S x!33 aX : '.:e_:= Zve -only I e•s^
LIS 1126 8/1/97 1- -- / ;,_._ s
?!u-:bing EAGLE DRAIN SERVICE -
S
�C:cr 13801 S. FORSYTHE ZD. == - - _ _ = C X`
nR�rn�r r.rT 11, R_g 0" ;_
cf _.0047°14 "- - 5/9/97 V
_. . .. _ .__ 7!'_ -'re _ arc= �-
1317 3,11/97 - =
�•
-� .,z r ::,!ss 3ERNICr HANCZA-K 557-5000
P.J. BOX 1429 - - - _Y=
97 - 65--01, �, �{� `I'1,u`d,u� ;U ZSR 14ty
919, M
PIA 4D FAAJ K3 : . -
a '
Permi = ACCourt CCs ri ticr
/�11�G�py3y_ ",1ST. Permit 3UILC� 2 ,uu ✓ 7 ,u
Plumb.
0--writ tP .22.5',$dl
Mech. Permit (tile;,.i} grc,,,
=L`/ELR Permit
State Tax 1;A%.j 6�, Y ✓ r
Bldg:
Plumb: V
Mech: . Z ✓'
ELVE1.R: / Z
Plan Check
So 4 foo V -j 57�cj�
Plumb: (PUAF`LN",
r
mile:.,`?: �'ylc^7� ��} ,L �/ Zi
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CReview
Revi
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Se;,er Inscec icr. c2
Ci\.enziai I ITM
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SEE 35MM
ROLL# 22
FOR
LARGE
DOCUMENT
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARk), OR 97223
APOR I ANT PERMIT NOTICE
EAGLE DRAIN SERVICE (PLUMBING)
13801 S . FORSYTHE RD
OREGON CITY OR )7045
Plumbing Signature nature Form
Permit # . . . • : MST96-0439
Date Issued. : 01/09/97
Parcel . . . . . . : 2S104DD-EP01.4
Site Address : 13932 SW AERIE DR
Subdivision . : EAGLE POINTE
Block . . . . . . . . Lot : 014
Zcning. . . . . . . R-4 . 5 PD
Remarks :
Path 1
Your company has heen 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 work. No plumbing inspections
will be authorized until this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
111_,UMR i NG rONTRACTOR :
RENAISSANCE DEVELOPMENT EAGLE DRAIN SERVICE (PLUMBING)
16672 SW WILLAMETTE FALLS DP. 13801 S . FORSYTHE RD
WEST LINN OR 97068 OREGON CITY OR 97045
Phone # : 557-8000 Phone # : FAX/650-8720
Reg # . . : 47934
X -
S�ynature of Authorized Plumber
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, r,,3ase call 639-4171 , ext. #310
CITY OF TIGARD
13125 S.W HALL BLVD.
TIGARL 1 1 97223
IMPORTANT PERMIT NOTICE
CAGE ENTERPRISES INC
PO BOX 1429
CLACRAMIS OR 97015
Electrical Signature Form
Perniit # . . . . : MST96-0439
Date Issued. : 01/09/97
Parcel . . . . . . : 2S104DD-EP014
Site Address : 13932 SW AERIE DR
Subdivision. : EAGLE POINTE
Block . . . . . . . . Lot; . 014
Zoning. . . . . . . R-4 . 5 PD
Remarks
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
i!: 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
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM
ELECTRICAL CONTRACTOR:
RENAISSANCE DEVELOPMENT GAGE ENTERPRISES INC
1672 SW WILLAMETTE FALLS TDR PO BC`X 1429
WEST LINN OR 97068 CLACKAMAS OR 97015
Phnne # : 557-8000 Phone # : FAX-
Reg # . • : 34544
X ..� ��� � .
Signature of Supervisifig€fectrician
Please return this completed form to the address above.
ATTN: Build ng Dept.
if you have any questions, please call 6139-4171 , ext. #310