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Case File 26 S UV« A RIE DRIVE or 88 42 6 E / ....� ... 01 C•«c ._._... so4 r � I 6.6 I I 20.00' , EROSION CONTROL A o F G 3 g 5. I. PROVIDE d MAINTAIN I'(min) THICK s r. 7.00 'f GRAVEL PAD$ DRIVE UNTIL PtfitrIANEINT I CONCRETE DRIVE IS IN PLACE. °d 7.00 �'2___.________J g 2. PROVIDE& MAINTAIN SOIL SEDIMENT QO FENCE AS INDICATED. w) G 3 1 t 3.00' 3 o' NOTE: CEN'fEAI,tNE CONCEPTS, �n . w SUwVEEmi�WLL MAIL EXTERIOR 2 `N �0.3 ' � �� AND PROVIDE DE wi 1200' '� MORTGAGE SURVEY.o N N 1 0.7 33' `V - O r 0 5TR �1. • , , z til�, `.:�t'�.•. ��JSToM 5 86` 6 00 yy 66.58 ` , %�x �✓�"' cc Et- to 6' SCALET 56 E Lo , EAGLE POINT S. W, NAARDEM_....��....� TR "� SAL-1 /4 SE0.3,1.2S.,R.1 W.,W.M. CITY OF *17fGARD WASHINGTON COUNTY, OREGON --AN EIGHT FOOT PUBLIC UTILITY EASEMENT -�___ � SHALL EXIST ALONG ALL STREET FRONTAGES. ..s APRIL 14, 1997 Centerline Concepts Inc . DRAWN B'r`: TGB CHECKED BY: WGDIII SCALE 1"=20' ACCOUNT # 115 640 82nd Drive Gladstone, Oregon 97027 M: MLI PLA EAGLEPO L56EP—A 503 650-0188 fax 503 650-0189 . NOTICE: IF THE PRINT ORTYPEMONANY rl-rTilr 1111 Ali � l � Ali � l � Ali Ili Ili iii i � I III iii IIS III T.�n 1_I � -`T� .� �� -r11- _�-� r�•� �n .rri_ i:��l:i �.r .� l � I � �.I � ilk _�..�_I ilk 111 _� li I � I1 ► II I ( II111 � 111- fit_ -C� I llII � II ilt 111 � 1111 � 1 � 1 I I I I I '� 1 � l I ( I I 1 C I Y 1 2 .3 4 0 10 11. 12 l IMAGE IS NOT AS CLEAR AS THIS NOTICE, � �____ IT IS DUE TO THE QUALITY OF THE �___ __�__- -- _-- __-. — -- -; - -----__-__- ------ No.36 � ��. ��.��. ' ORIGINAL DOCUMENT ou` Ilii 111111111111111111111111 illi 1111 Illlllill 11111111111 LFII lll� IIII 1111. Illi. (Ill l,,l Illi Ilii IIIc 1111 IIII illi 1111 Illi .1111 Iiil�llil 1111 illi Illllllli IIII IILI LLII ll.11�ll�l 1111 Ill. Lill illi 1111. l.l.il l.L' lllif1�k11 ,...-_... .... ..:.. ._., ..;.,.. ..._. ...�.. ...........-...,.,..,....,«. ...«... ... ..._:« ..._.. �...... .......�.:,.. .y...�L.....r,., e,r..w.,..,.. ..,. .n.� .,,a ...::rv.'1.�...r.i.W1:,.r..,.4 f.«�L�i.i.r .......»b, I W .A Ln H C1] C7 H LT7 r . I I it I f i 13945 SW AERIE DRIVE AM. C ITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 CERTIFICATE OF OCCUPANCY PERMIT 1/. . . . . . . : M5T97-0180 DATE IS9UEDc 12/17/97 PARCEt. ;1 TV- ADDRESS, 139455 SW AERIE DR '.'PUBD I V I G I ON. . . . EAGLE PO I N117 ZONINr: R-4. 5 PD '�kLOCK. . . . . . . . . . c LOT. . . . . . . . . . . . . r05% JURISDICTIONsTIG ,"LASS OF WORK. :NEW TYPE OF I JGE. SF TYPE OF CONSTR:5N (.ILC',*UV'PNC*Y GRP. :R3 OCCUPANCY LOAD 92 !temarkz : Path I RENAISSANCE DEVELOPMENT 1672 SW WILLAMETTF FALLS DR WEST LJNN OR r37068 VWmne #t 557-8000 Lantra-tori RENAISSANCE DEVELOPME.NT CORP 1672 SW WILLAME.TIE r-(4L W4 WL-,,,q'r LINN OR 9706e, Phone #1 557 -8000 Reg #, . 1 000049 This Certificate tit-ants occupanvy of the above referenced building ov- pit-ti0t, t h @t,e a f and con f i rm c, that t h e building fias been inspected f ot' C 0111f)11 AT'_O "4 i the State of Or-egun fjpecjajty Codes for the group, VULI.panc,,y, and ti.e under wtlict, thp referenced permit was isst.ted. BUILDI G OFFICIAL POST IN CONS P I C.000S, P1 CITY OF TIGARD Rl11LDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Phone: 6394171 Date Requested: _ -7 ` l _ A.M T P.M._ MST: Location: BUR Tenant: n_ Suite: 13ldg. _ _— MEC: Contractor: 1� Ct.t .1.1 (t-r_ c L._i Phone: �r5 7- L (.�' <_ PLM: j_[ - (, L/ (homer_ Phone: _ _ ELC: w ELR: srr: BUILDING on't) - T WC IANI ELECTRICAL SITE Site ost 3eiun 1'o'9i71Team Post/13eam Cover/Service Sewer/Stone Footing Roof UndFUSlab Rough-in Ceiling water kine Slab Framing Top Out (Yas bine Rough-In I JG SprinklLv Foundation Insulation Sewer Ilood/Duct Reconnect Vault lismt Damp Drywall Storm Furnace 'Temp Service MISC. Masonry Ceiling Rain Drain A/C IIG Slab Shear/Sheath Fire Spklr/Alyn Crawl/Found I)r I[eat Pump Low Volt r_1Aro3 '1 L' � Approved Approved Appr/Sdwlk Not Approved Not A pnrvcd Not A i xuval Not Approved Not At;moved INA ' I FINA1, FINAL O Call for reinspection 0 Reinspection fee of$ required before next inspection O I Inable to inspect Inspector:_ _��— --�- Date: 12-" 7 7 Page__.—_._. of CITY OF TIGARD DEVELOPMENT SERVICES MASTER PERMIT - F,ERMIT #. . . . . . . !IST97-0180 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 05/29/97 PARCEL..: JRS103CC-05000 TE ADDRESS. . . : 1394'' 5W AERIE- DR ;�;IJUDIVISJON. . . . :EAGLE POINTE ZOP41NG: R 4. 5 FID 131 FICK. . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: Remarks: Path I - ----------------------------------------------------------------- BUILDING ----------------------------------—---------------------------- RE I SSIJE: STORIES.......: 2 FLOOR BASEMENT...: 0 sf REQUIRED SETBACKS---- RU�JIRED-------------- CLASS OF WORK.:NEW HEIGHT........: 23 FIRST....: 1321 sf GARPGF..... 440 sf LEFT..........: 6 ME DETECTRS: Y TYPE OF USE...:SF FLOOR LOAD....: 50 SECOND...: 1155 sf FRONT.........: 20 PARKING SPACES: 2 TYPE OF CONST. :5N DWELLING UNITS: I FINDSMENT: 0 sf RIGHT.........: 6 OCCUPANCY GRIP.:R3 BDRM: 4 BATH: 3 TOTAL------: 2476 sf VALUE..$: 173423 REAR..........: 32 ----------------------------------------------------- PLUMBING ----------------------------------------------------------------- SINKS......... I WATER CLOSETS.: 3 WASHING MPCH..: I LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 100 TRAPS.........: 0 LAVATORIES....: 5 DISHWASHERS... I FLOOR DRAINS..: 0 SEWER LINE ft: 100 SF RAIN DRAINS: 0 CATCH BASINS..: 0 TUB/SHOWERS...: 3 GARBAGE DISP.. I WATER HEATERS.: I WATER LINE ft: 100 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0 OTHER FIXTURES: 0 ------------------------------------------------------------ MECHANICAL ----------------------------------------------------------------- FIJIF1 TYPF,9------- FURN ( 100K I BOIL/CMP ( 3HP: 0 VENT FANS.....: 3 CLOTHES DRYERS: I 5A('--, FURN )=100K 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: I MAX INP.: 175000 BTIJ FLOOR FURNACES: 0 VENTS.........: I kDOUSTOVES.... 0 GAS OUTLETS...: I ----------------------------- --------------------- ELECTRICAL ------------------------------------------------------------------- *SIDENTIAL UNIT---- ----SERVICE/FEEDER----- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS—— --ADD'[- INSPECTIONS-- ION NSPECTIONS—ION SF OR LESS: I @ - C'm amp..! 0 0 - ?00 alp..: 0 W/SVC OR FDR_: 0 PUMP/IRRIGATION: 0 PER INSPECTION- 0 EN PDDI L 500SF.: 4 201 - 400 amp..: @ 201 - 400 asp..: 0 Ist W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0 I.IMIrED ENERGY.: 0 401 - FN amp..: 0 401 - GN amp..: 0 EA ADDL OR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0 MOM HM/SVC/FDR: 0 fiel - JON amp.: 0 6014ampS-I000 v: 0 MINOR LABEL -10: 0 ION+ awp/volt.- 0 _---------------------------------- PLAN REVIEW SECTION ---------------------------------- Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: ----------------------------------------------- ELECTRICAL -- RESTRICTED ENERGY ------------.----------------------------------------- A. --------------------------------------------------- A. SF RESIDENTIAL-------------------------- B. COMMERCIAL------------------------ ----------------------------------- - ___ __ Nl!DIO OMMERCIAL------ OjIll I STEREO.: VACUUM SYSTEM..: AUDIO I IT1111, F I RE ALARM.....: INTERCOM/PAGING: OUTDOOR LIIDSC LT: BURGLAR ALARM..: 0TH: BOILER.........: HVA(:...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL GARAGE OPENER... X CLOCK........... INSTRUMENTATION: MEDICAL........ . OTHR: HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL 0 SYSTEMS: 0 Owner: ------------------------------------Contractor: ---------------- -------------- TOTAL FEES:$ 4766.10 RENAISSANCE DEVELOPMENT RENAISSAN(T DEVELOPMENT CORP 1672 SW WILLAMETTE FALLS DR 1672 SW WILLAMETTE FALLS DR WEST LINN OR 97068 WEST LINN OR 97068 [hone #: 557-8000 Phone #: 557-8000 Reg #..: 000049 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. all work will he 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 day.. --------I---------------------------------------------------- REQUIRED INSPIECTIONS --------------------------------------------------------- Erosion Contol Crawl Drain Electrical Rough Gas Fireplace Water Service 1, Building Final rooting Insp PLM/Underfloor Framing Insp Insulation Insp Appr/Sdwlk Insr, Foundation Insp Mechanical Insp Shear Wall Insp Gyp Board Insp Electrical Fiyal Post/Beam Struct Plumb Top Out Low Voltage Rain drain Insp Mechanical Final Post/Beam Mechan Electrical Servi basLine Insp Water Line Insp Piwib Final Pet,m i t t e Si gna' re: I s si.ted By( Call for inspection 639-4175 CITY OF TIGARD DEVELOPMENT SERVICES SEWER CONNECTION 13125 SW Hall Blvd., Tigard,OR 517223 (503)639-4171 PE RM I T PERMIT #. . . . . . . : SWR97-0180 DATE ISSUED: 05/29/97 PARCEL: E'SI03CC--05000 SITE ADDRESS. . . : t3945 SW AERIE DR SUBDIVISION. . . . :EAGLE POINTE ZONING: R-4. 5 PD BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :05E JURISDICTION: TE14ANT NAME. . . . . :RENAISSANCE DEVELOPMENT USA NO. . . . . . . . . . : FIXTURE UNITS. . . 0 CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 0 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE: 0 sf Remarks : Path I nwnev-: FEES RENAISSANCE DEVELOPMENT type amol.tnt by date r-ecpt 1672 SW WILLIAMETTE FALLS DR PRMT $ C-:-'Z.:00. 00 DRA 05/29/97 97-295223 WEST LINN OR 97068 INSP $ 35. 00 DRA 05/29/97 97-295223 Phone #: Contt-actov-: OWNER Phone #: :'2;35. 00 TOTAL Reg REQUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer- Inspection of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a later r P e V-M i t t e e �fgnatj.Av,e I s s 1.ied Call foi, inspection 1,39-4175 Plan Checker -1 'EY OF TIGARD Residential Building Permit Application Recd By .1125 SW HALL BLVD. New Construction Additions or Alterations Date Recd "dAkl[J. OR 97223 Single Family Detached or Attached (Duplex) Date to P E. 10 ` 7-7 iO3-639-4171 Dateto OST .)03-684-7297 Permit Print or Type Incomplete or illegible applications will not be accepted Name of Prolect Name ,1 Job E Ie I"bt-n-�c L,oT Ste / /i, .i erc� alj4 'k Address Site Address Architect Mailing 0 rose C 9 y� I-7�`tyS 5� Ae+^1c %3y- Name . C. i�State I Phone Ji) �` Owner Mailing Address Name Dp` f rli -)( vje tV7z �t�> 0-A IIat A•4r Fc.tis Dr t� � Engineer Manny cess . City/State Tip Phone I S oft" y c s E L.!h w 9'4 oto r6 '1-5 - r m ate ( zip Phone Name 1 v UCl-7 :1 �3`4 ,eneral ��Q k }�� ¢ Describe work New Addition O Alteration O Repair O ontractor Mailing Address at to be dors. I (, a Lk_l t+)t (�A ex�f <<S Additional Descrip}ttion of Werk: qt-_ r itrfSta � zipG� Phone 3 8600 '�JeIZ91t �C�'�u 141 it'Y -/ h�cZ1�` Oregon Const.Cont. Board Lir~M Exp Date + rch Copy of it t S ri Current SOT Business Tax or Metro N Ex .9ate PROJECT Licenses 12-0 cc ` /127'1-f- VALUATION i f, 'C� l .'1�'`; Name - echanical I✓� CdU �4 T•t (' Fy r NEW CONSTRUCTION-ONLY: Sq Ft. House: Sq. Ft Garage Sub- Mailing Address ;ontractor MJOLt41 Comer Lot YES NO Flag Lot YES I10 Citytstate Zip Phone (check one) k• (check one) Ole,fka*4uv .70/s Oregon Const Cont.hoard Lac M S Energy System Exp.Date Restricted ystem Alafm Audio/Stereo Burglar arch copy of �, ?[, 7 3 -4 12 Sr Current COT Business Tax of Metro ep Date Installation arage Door HVAC Licenses A' 2 4 h / G`/ - _ Ccener Systems Name ') (check all that Other. Plumbing � Lt �Lj Iit4N�Jtrt C apply) Sub- Mauirg Address - Will the electrical subcontractor wire for all YES, NO restncted energyinstallations?Has C«ntractor ��g °1 «'� t Has the Subdivision Plat recorded? N/A YE$ NU C. C to zips Phone .3_!0 3 Orego onst Cant Board Lic.0 Exp Date Reissue of MSS'#- � Solaf Comp ionce 1"ach Copy of b6 /2 � (Calculation ACached)i�' (;urrent Plumt,+ng Lrc.t+ Exp Date 1 hearby acknowledge that I have read this application• that the L tenses - if 0 p /D/ s information given is correct. that I am the owner or authorized COT Business Tax or Metro a Exp gate agent of the owner• and that plans suomitted are in compliance Name with Oregon State laws. S nature of Owners g nl e- Cq;,t1 Gate lectrical Fk� -t�SCS _ ,L" - __ lei 7 Sub- Mamng Addlidu Contac)Person Name Phone# .:ontractor C ,State Zip Phone FOR OFFICE USE ONLY: t1ac/tarna,..) 910/ S -6! 2 plat# 1 klaplrLx: rip rt Ore,on Cast.Cant 3oaro L c a Ejq ate ' �l / _ artach Copy of ``11 Setback Z _ , , F Solar Current Eiec:ncai Le re Exp D to l y J Licenses -C /O EngmeenngMprov : I Planning Approval: TIF COT 9uss Tax GO/ZMtr >r E// i\sf iop.doc 4d t) 1197 1 perms Account Dg5criglion Amount Amt. Pd. Bal- Dire , MST. Permit (BUILD) Plumb. Permit (PLUMB) < ��S ✓ = Mech. Permit (MECN) ELC/ELR Permit (ELPRMT''-(TAX) af_ _✓ _ ) ✓ --- f State Tax '- Bldg: Plumb: f L. Mech: (� ✓ ELC/ELR: Plan Check f MST' (BUPPLN) Plumb: (PLMPLN) Mech: (MECPLN) 1A CDC Review 6hSewer Connection (SWUSA) z to o Reimbursement District ( ) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) low Residential TIF (TIF-R) / 5 7v ✓ /�''�✓ Mass Transit TIF (TIF-SMT) - / �� ✓ X02 U Water Quality (WQUAL) V 89 Water Quantity (WQUANT) _ I f�71 v l(U Erosion Control Permit (ERPRMT) V 4 Erosion Planck/USA (ERPLAN) r�d �o Erosion Planck/COT (EROSN) Ingo `' Fire Life Safety (FLS) TOTALS: 4 `lo %> -- I sfapo doc (dst) 1,97 �. 4 Solar Balance Point Standard Worksheet \ddress S�(_) 4-e2r e ,2i -. /oT � .;ox A calculations: North-South dimension for the Int. Sox A. his dimension is determined by finding the midpoint of the North lot line and drawing w Intemecong line perpendicular to that point, r,z. determine which rroporty line is the North lot line. The North !ct line is the line �,ch the smallest an,ie from a line drawn ems:-west and intersecting the northern most ,x;int of the IOL �.....� 450 t t North-South N Dimension for Logi ensure the distance from the midpoint of the North Int line to the South lot line along e Described 5ne. fees 1 N 61019fid w"El U-e-- 17 'iox B cakuhxtions: Shade point height for your residences Box B, L-te^ninee whe!`-.er measurements wiil be based on the peak or eave of your Whi6 describes struaum 'The orientation of the ridge is also important. your residence? 1a: If the mcf'ine tins North-Scuth, measurements wifl (drde one) be based on the peak of the roof. as o c 1 A 18 1 b: If tie roei line -tins cast-west and the root`pit& is less :..an 51"1_, measurerners %vill cn .7-e L� ea,.e. s..a.�..w 1(7. If",-.e -cci lire runs :ar-.vest and the foci pitc^, is i� Sil Z cr szetl^er, measurements wiil be based on the -,e3' . t r— !3ox B. continued Box 8: j ,-teasure change n eievatton from front property line to finished floor elevation. If dhe 'ot slopes uo from she frant 'ct !ine to the foundation, the rigure s poia ve. If the lot slopes down from the front lot line to the foundation, the figure is negative. ft 3. Measure distance from finished floor elevation to the affected peakleave. + ft 4. If the mai line runs North-South, deduct three feet If the roof line runs fast-west� ft deduct nothing. i Subtract one foot for ea6 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 ,cc has no slope or slopes up frrm the rear to the front, deduct nothing, ft 16. Tad figure for box B: ft r Box C Distance to the shade reduction rine- Box G 1. Measure the distance from the North property fine to the foundation near the ft atTeced peaWeave- 2. Measure the cristance from the foundation to the affected peak or eave. + ft 3. Total figure for box C � ft ,t is mat unfal to draw a vutrtiGl Gne to mpnesent duct appropeiaoe"bund in bear'A'and a hataonOl Gne to represent duct :,opropim ropm found in ban'C'.The wuenec um of duct ventiid and I , i i rand lbhes dewmina the value farad in boat'L".The value in box 'O'should be a"pared to du value in box't!':it dee value in boss'3'is tm than or equal to du value(bund in boat'O'.dun ne buaiding is in compliance with the soar balance rade. if yuns have anp quesnorv.please gonad us at 63"171,x304 or at the L,.xnmurrty OevekVment Counter. MAAMUM PERJNMED SHADE POIRT HEIGHT (In fest) Lansnce to North•�lot dhmwaim an feed shade 1130+ 95 90 3S 30 7S 70 6S 60 53 50 4S 40 redumon Rne fm m northern Im Ing rim rr•+1 70 40 40 40 Al 42 43 44 65 38 78 38 39 40 41 42 43 60 36 36 36 37 33 ]9 40 41 a2 33 34 34 34 35 36 37 33 39 +0 41 �J 32 31 32 3] 34 35 26 37 _'S 39 40 -, JO :0 30 31 32 33 34 35 36 37 38 39 :S :9 30 31 32 33 34 35 36 37 33 35 :5 26 2S 27 23 29 30 31 32 33 34 35 36 24 :4 24 :3 '-S 27 _S :9 10 31 32 33 34 _5 �1 " 2_' � :4 25 :S :7 2R :9 30 31 32 :3 :0 :0 :0 21 z-1 23 '-4 :5 '_5 27 23 29 30 13 t3 13 18 19 :0 21 2-1 23 24 :5 26 27 23 0 16 16 16 17 13 19 _0 21 22 23 2� 25 25 14 14 14 15 16 11 13 19 :0 21 j? :3 24 34ix 0. �Wximum ailow.--d shade Point he*C LW- fee`- _ e ; lrowd=S,'36 1 SEE 35MM[ ROLL# 22 FOR LARGI-Ir-;-. DOCUMENT J CITY OF TIGARD DEVELOPMENT SERVICESPLUMBING PERMIT PIERMlT #. . . . . . . : P'LM97-0469 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.1171 DATE ISSUED: 11/20/97 PARCEL.: 2SI03CC-05000 SITE ADDRESS. . . : 13945 SW AERIE DR SUBDIVISION. . . . : EAGLE POINTE ZONING: R-4. 5 PD BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :056 JURISDICTION: TIG CLASS OF WORK. . AL-T GARBAGE DISPOSALS. 0 MOP IL.E HOME SPACES. 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW P,REVNTRS. . : 1 OCCUPANCY GRP'. . : R3 Ft.-OOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES--_--_.___----- LAUNDRY 'TRAYS. . . . . : 0 SF MAIN DRAINS. . . . . 0 SINKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . . 0 GREASE TRAP'S. . . . . . . . 0 1 AVATORIES. . . . . 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Installing residential backflow prevention device Owner: FEES RENAISSANCE REVEL-OPIMENT type amotint by date rec-pt 1672 SW WILLJAMETTE FALLS DR PIRMI' $ 15. 00 JD 11/18/97 97--301030 WEST LI NN OR 97068 5PCT $ 0. 75 JD 11/18/97 97-30103QI Phone #: Cant ract at---- MOODY ENTERPRIbL 'INC [='O'�'O BOX 98 FSTACADA OR 970.*213 Phone #: $ 15. 75 TOTAL Reg #. . : 000059 --------- REQUIRED INSPECTIONS This permit is issued qubject to the rejulations contained in the RP/Backflow Prey Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance wiih approved plans. This permit will expire if worts is not started within IN days of issuance, or if work is suspended for tore than 180 days, ATTFNIION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR O52-MI-010 through OAR 992-588I-0088. You may obtain copies of these rules or direct questions to OIPC by calling (503)246-1987. r ,;-, jed By : Af Permittee SiqnAtI.Ire :Alt a f f++4+4.....................+++f+++++++-I..........+................+++++4........ Call 639-4175 by 7:00 p. m. for an inspection needed the next bl.tsines's day F 4-4-++++4.........V.......4.........4.++++--++4•..............-4................4++++++-+-+ CITY OF TIGARD Plumbing application � J � �� Recd By 13125 SW HALL BLVD. Commercial and Residential /�/�? Date Recd rlGARD OR 97223 Date to P.E. (503) 639-4171 Date to Osz Permit* CZ7, 7- 1 !; Prin't or Type / Related SWR Incomplete or illegible applications will not be accepted Called Name of Development/Project on bac4 Indicate work Performed by fixture. .lob FIXTURE4 (Individual) QTY :ICE AMT Address S; t/sess ysuite Slnk Pj — 9.00 •� v R� Lavatory 9.00 Bldg* CitylState Zip { OK y 7d-d-3 Tub or TublS .h hower Con . 9,00 VapmE Shower Only 9,00 /L[f'1n WJ44441 a Water Closu'. 9.00 Owner Mailing Address Sud Dishwasher -- 16 � ` 9.00 City/Slat Zip P Garbage Dispcaal 9 OG 7 ole 9-z one� �c�GtG� Washing Machine _9.OU Name F!nor Drain 2" 900 3" _ 9.00 Occupant Mailing Address Suite 4" 9.00 City/Stats ZIP Phone Water Heater O conversion O like kind 9.00 V Laundry Room Tray 9.00 Name Urinal ?00 Fixtures(Specify) 9.06E I Contractor Ma `Addr y�, Suite — —� _+ — 9.00 Prior to permit city/at ZIP Phone 900 issuanr.e,a copy _ Jct S 900 of all licenses are Oregon Const.Cont Board Lic.* Exp. Date 9.00 —� required if ,; f 3 7 Sewer-lst�1000"" 30.00 expired in COT Plumbing Lic.* Exp,Date Sewer-each additions 100' —� database 25.00 Name Water Service-1 st 107 30.00 Architect Water Service-each addition,)200' - 25.00 or Mailing Address Suite Storm&Rain Drain-1st 100' 30.00 Storm&Rain Drain-each additional 100' 2500 J Engineer City/State Zip Phone Mobile Home Spece 25.00 Commercial Back Flow Prevention Device or Anti- 415 00 Describe work New Add' on O Alteration O Rep:.ir O Pollution Device _ to be doneResidential Non-residential O Residential Backflow Prevention Device' 15.00 Additional description of work. Any Trap or Waste Not Connected to a Fixture 9.00 / Catch Bashi goo Insp-of Existing Plumbing 40.00 per/hr Existing use of Specially Requested Inspections 40.00 building or pool ertyper/hr Rain Drain single family dwelling 30.00 Proposed use of Grease Traps 9.00 bu ldirr,or property QUANTITY TOTAL v acknowledge that I hsve read this application,that the informatrt,a Isometnc or riser diagram is required d Quanrty Total is >9 :.Orrect,that I am the owner or authorized agent of the owner,and — 'SUBTOTAL 1 18 submitted are in compliance with Oregon State Laws. - -- / 1 of nor/Agent/I Date 6% SURCHARGE )' 1 -- '/ a /Y PLAN REVIEW 25%,OF SUBTOTAL arson Name Phone Required only d flxlure qty total,s>9 ,j�Qu -------- �r.�� _,eIJo -- —`TOTAL / 'Mlmlmum permit fees S25-5%surcharge.except Residential Backflow Prevention Device,which is$15 •5%surcharge nP_ ? L PLEASE COMPLETE: F_ Fixture Type Quantity by Work Performed _ Capped/ Removed Moved Replaced ,ink _ Lavatory_ Tub or Tub/Shower Combination Shower Only _ Water Closet Dishwasher — Garbage Disposal Washing Machine_ Floor Drain 2" 3" Water Heater 419 Laundry Room Tray Urinal Other Fixtures (Specify)— COMMENTS REGARDING ABOVE: I •.'\'CI, lop 0c,Gid' CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE BRIDGEVIEW PLUMBING INC 808 MOLLALA AVE OREGON CITY OR 97045 Plumbing Signature Form Permit -# . . . . . MST97-0180 Date Issued. : 05/29/97 Parcel . . . . . . : 2S103CC-05000 Site Address : 13945 SW AERIE DR Subdivision. : EAGLE POINTE Plock. . . . . . . : Lots : 056 Zoning. . . . . . : R-4 . 5 PD Remarks : Path 1 Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit :o 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 OWNER : PLUMBING CONTRACTOR: RENAISSANCE DEVELOPMENT BRIDGEVIEW PLUMBING INC 1672 SW WILLAMETTE FALLS DR 808 MOLLALA AVE WEST LINN OR 97068 OREGON CITY OR 97045 Phone # : 557-8000 Phone #: Reg # . . : 000459 Signature of Authorized Plumber Please return this completed form to the address above. ATTN: Building Dept. If you have any questions, 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 atL. e • Permit # • • • • : MST97-0180 Date Issued. : 05/29/97 Parcel . . . . . . : 2S103CC-05000 Site Address : 1.3945 SW AERIE DR Subdivision. : EAGLE POINTE Block . . . . . . . . Lvt- : 056 Jurisdiction : Zoning. . . . . . . R-4 . 5 PD Remark.3 : 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 stat 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 DR PO BOX 1429 WEST LINN Ui: 97068 CLACKAMAS OR 97015 Phone # : Reg # . . : 000345 Signature of Supervisin E ectrician 'lease return this completed form to the address above. ATTN: Buildinc. Dept. If you have any questions, please call 639-4171 , ext. #310