Case File ADDRESS:
Cl
i:lrecordslmicroWtargetstuilding.doc
CITY OF TIGARD
COMPUNITY DEVELOPMENT DEPARTMENT GEF I it ILA IE OF
1312b SW Hall Blvd.Tigard,Oregon 97223.8199 (50;)639.4171 OCCUPANCY
xuxx PERMIT *. . . . . . . a MST9.3--0357
639-4171 DATE ISSLIEc:Ds 12/08,1936
PARCEL.a i S 134AC-031 eZ
SITE ADDRE SS. . . e 10977 SW BLACK D I AMUND WY
SUSDIVISION. . . . E HARTI S LANDING ZONINOa
------------
CLASS OF WORK. a NEW
TYPE OF USE, . . a ETF
uCCUPANCY ORP» %R3
i OCCUP14NCY LOAD 12r F3 4
TENANT NG,ME. . . R
Rawarrko t PATH i
Owners
RENAISSANCE DEVELOPMENT CORP
16 7iP SW WILLAMEwTTE= FALLS OR
WEST 1-0*4 OR 97068
Ph a F1 e #1 '503 5137-..80010
Contractorstiw•_..--_.___.__...-_,_.. .,____.._... .W .-_
RE X11`r 9PNCC DEVELOPME=NT
1672 SW WILLAMETTE FAI.A-6 Ok
WEST LINN OR 97068
Phony+ Mt 557-43000
Rep #. . .- 499505
Occupancy of the AbOve referenced building is hereby givers, and certifies
the compliance with the Gtartte Of Oregon SFiarc:ialty Gorses for the* group,
ncri-ipaancy, and i.Ise under which the refertnced permit- was issued.
FIREDEPARTMENT IN IN T
POST IN CONSP I C4.IOUS PLACE_
I
�NsescTioN NOTI�i
City or Tigard Building Department Q
131.25 ON Ball Blvd. Tigard„ Oregon 97:123
Inspection Line (Rsc-u-Phone)t 639-4175 Business Phonal 639-4171
Inspecti.ons___
Footing Plbg. Underslab Mach. Rough--in Appr/Sdwlk
Found. Flbq. Top Out Gas line =IrINALe
Post/seem Shutt. Son. Smmr Framing - ldg.
Post/Beam Mach. Rain Drain Insulation -Plumb\'
Plhg. Underrloor Nater Line Gyp. sd. Mrch.
Cats Roes/ted t / - `J _ //,• �^ Timet AM! PM
Addreass
--
ouileare ` �/L► �� 5 C:/AI` �
TM FOLLOWING CORRECTIoms ARE REQUIREDc
-� Azp
Inspectors ----�- -- Da•ecL _
i��1@PROVED __ D18kPPRO'VED -_ APPMNRD SUs.IE T TO ABOVE
__Call For ReLnsp.
INSPtCTION_ pTlg$
City of Tigard Building Department
13125 OR Ball Blvd. Tigard, Oregon 97223
Inspection Line !Roc-o-Phoneys 639-4175 Businens Phones 639-4171
Inspect ions___
Footing Plbg. Undernlab Mach. Rough-in ( Appr/8dw1k i
Found. PIbq. Top Out gas Line II;BALs
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Bean Mach. Rain Drain Insulation -1,1umb.
PIbg. Underfloor Water
Line Gyp. ad. -Noah.
Date Rssg64H9tBd1 I I - 1 --Tim- P� PK
Addreass 1:q � 1� `D1a 1� PerBie t�� 5t I D�S'
Builders
TNa FOLLON7AG ODRRECTIONS ARE REQUIREDs
013 0 -----
Inspectors L i�t�tt u.S --` ^- —_ Dates-L t�
APPROVED _T DISAPPROVED _ APPROVED SUBJECT T3 ANNE
_ca!I For Reinsp.
I�.P$c'1'IPl1 IIOTICR
raty of Tigard Building Departaeat C
3335 8W Hall Blvd. Tigard, Oregon 97AI ,'(/�`/>
Inspection Lina (Roc-o-Phones 639-4175 Business PhorliE
Insper_tionr
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk ._
Found. Plbg. Top out Gas Line FINALS
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lina per, b, -Hoch.
Date Requested, _ / 7 `1 �� �(
_ Time: AM
AddresssIk, j Permit #1 _
Pl
17 13'
Builders
TH! FOLLOWING CURREG"rIONS ARE RWUIRRDs
InspectorsZ_ V
v�
APFROIIlD _ DISAPPROVED APPRO"D EUBJR(`1' TO Anova
____Call For Rainsp.
�ffG 5 INS3_ECT�O1 NOTICE
el Ly of Tigard Building Departssent �E _
13125 hW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phonw)s 639-4175 Sveineus Phone: 639-4171
Inspections - --- - ----- -----
Footing Plbg. Underslab Hoch. Rough-in Appr/Sowlk
Found. Plbg. Top Out /qas � FINAL
Post/Beam Struct. San. Sewer \ Framing -Bldg.
Post/Beam Hach. Rain Drain ('�Insulation -Plumb.
Plbg. Underfloor Nattar Line gyp. Bd. -149eh.
Oats Requested: /&1-7 Times AN _- PH
A,fdreasi � S c� zyoc�C �/4A+YJ 1�1 t��'0
Builders e 0- C AIC
THE FOLLONING CORRECTIONS ARE REQUIREDs
Inspectors ——_ Dates 4 L
APPROVED _ DISAPPROVED APPROVED SUBJECT To ABOVE/E
_`Call Fo• Rel.nep.
DISPRCTION NOTICE
City of Tigard Building Departront (/
13125 RM Ball Blvd. Tigard, Oregon 97223 � f
Inspection Line (Rec-O--Phono)s 639-4175 Rurineas PhoAbs 679-4171
Inspections_,
Fo3tiny Plbg. Undeirrlab y ADuQlx Appr/Sdwlk
Found. -` Top (h:t�-) Lbas ne FINAL:
Post/Banns Struct. San. Sewer aurin -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Mach..
Late Requested: �U/ _Timet _1� _PH
Addreses `-' c�SL� it It 3'
Buildeet �1�.[&zm0 +- --- -`
TR= FOLLOWING CORRIKCTIO148 ARR RSQUIRRD:
f
inrpectot:
APP'K)VRD DIPAPPROVRD APPROVRD SURJRCT TO AROVE
Call For Polnep.
Litz or Tigard Building DnpacI t
13125 M Ball Blvd. Tigard, Oregon 97223
Inspection Lina (Rae-O-Phona)s 639-4175 Business Phone 639-417.1
Inspections f�'�`/l�'?(A'. 7L.171
1!y—
Footing Plbg. Underalab Koch. Rough-in Appr/Sdwlk
round. Pl - Top ou t Gas Line FINALS
Post/seam Strout. San. Bawer Framing -Bldg.
Post/Seam Nenh. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Sd. -Neoh.
Date Reyuested�1 "I IID 11 Tuns AM !ll
Addrems �� 1 ` ��'�a \114Ll l
(>,, r.n�1u to. '13 b65 1
Builders ��r,auSxc Kt� �oS1-S 1�j-I
TR= rOLL MING CORUCTIONS "a RRQUIRRDs
1
00
Inspector— Date �
APFRWBD `_ D'.BAPPRoVBD `'1 APPRDVBD suww_*r To ABO'Va
i
—__Call FOIL Neinsp.
i
INSPECTION NOTICE /
City of Tigard Building Departaent
13125 BW Rall Blvd. Tigard, Orogon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bueinees Phone: 639-4171
Footing Plbg. UnderBlab Mach. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. gar•4+s-Rf}{�" Insulation _ply.
Plbg. Underfloor Nater Line Gyp. Bd. _Hpb.
Date Requested: ?/7191 _ ---_—-Tl-mcg: AN PK
Address: Q�( C��/fJ�J�{� � Permit /:�7-0 3-S-7Builder: � —`---
TRE FOLLOWIN3 CORRECTIONS ARE REQUIREDz
Inspector-_
__,APPROVF.I) _ DISAPPROVED APPROVED SUBJECT To ABOVE
----Call For Reinsp.
INSPECTION NOTICE
City or Tigard Building Department
13124 aw Hall blvd. Tigard, Oregon 97223 r
Inspection Line (Roc-O-Phone>> 639-4175 Business Phone, 639-4171
Inspections_
Footing Plbg. Underslab Noah. Rough-in Appr/Sdwlk
Found. rlbq. Top Out Gas Line FINALr
( s2/Ee Ea. t Man. Sower Framinq -Bldg.
Bea (lain Drain Insulation -Plumb.
C(lsg. Underl�, Nater Line 01p. 56. -Hoch.
Date Requestodt � _ __Times tJ. PM
Addreeat_ /� 4,�-, -03s7
Builders
THZ FOLLOMINO CORRECTIONB An Mwt'IREDs
Inspectors Dates L
APPwOVID DISAPPROVED APPROVED BUbJECT To
Call For Relnsp.
SNS'�_r�7Nyi(YI'ICS
city or Tigard Building Department �'
13125 SW Ball Blvd. Tigard, Orogon 9722
Inspection Line (Rec-O-Phone): 639-4.175 Business Phone: 639-4171
Inspection: -
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwik
Found. Plbq. Top Out Gas Line FINAL:
Poet/9eam Strutt. San. Bawer Framing -Bldg.
Post/Beam Mach, aln Drain ) Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Koch.
Date Roquested: Timet --9_AM
Addreast
TMl! FOLLOWING CnRRRCTIONS ARE RXQfJTREDr
inepectV;A,
Date: '
PPROVED DISAPPROVED APPROVED Silwaof TO AEOVE
_call For Rein4p.
j_FSPECTiON NCT CE .
City •f Tigard Itui ldinq Departmonl:
13125 Big Ball Blvd_ Tigard, Oregon 9722
Ine)ection Line (Rec-G-Phc•)e)s 639-4175 Business Phone: 639-4171.
L ,,•„coons -- -___-_.._.. ---- --
F,,• t i 19 Plb.j. Underalab Hoch. Rough--in Appr!Sdwlk
Poun, ritig.ToTop
�Out Cas Line FINAL:
Pont/ ;true.... San. Se"r`s Pramin,l -Bldg.
-antjnenm Mach. Rain Drain Insulation -Plumb.
Plbg. Underflr .r Water Line Gyp. Bd. -Mach.
Data Requested: ! Time: _ AN _PN
Addresst �d i 72 / e
Builders
THE POLLONING MRRECTIONS AAE REQUIRED:
Inspector __ bates
�J APPROVED DISAPPROVED APPROVPD 89&=CT TO ABM
Call For Rainsp.
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 8W Had;Blvd.Tigard,Oregon 07223.8100 (503)839.4171
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT r�
4126 SW Hall 9Md:Tigard,Oregon 97223.1199 (603)039.4171
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CITY ®F TIGARD �Ll i, I
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Nall Blvd.Tlpnd,Oregon 9722398199 (603)639-41717 r
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NEGU1REU IN';PEC 71:0044
4PP;icint 41 t pe t!) '.arply *W a;a the rules an-41 rngu;atiens Sew.—
P10 Unifies Swif AgVcy. (he N reit rypwre '184 days fret
•.e ►3Au:d, t'he tete: Swint paid ti111i of forfeited if the
expires, 'F•e Aqrnci does hot gea +Er the ect:urecy of ti)4
1ewer laterai'. .r the ft.-+rf oCaUd a' II oe. Irtpo".1
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CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. s93-242066
CHECK AMOUNT x 5304. 99
AME i E CUSTOM HOMES CASH AMOUNT : 0. 00
DDRESS 1 1672 SW WILLAMETTE FALLS DRIVE PwYMENT 7ATE : 07/07/93
SUBDIVISION :
WEST NN, OR 9-7068--
URPOSE OF PAYMENT PAID PURPOSE OF PAYMENT AMOUNT PA1D
UILD%NG PERM M9T93-0357 500. 50 PLUMBING PERM 162. 50
ECHANICAL PE 45. 00 GT. BUILT) PER 35. 41 '
LAN CHECK PE 86. 58 SEWER USA 8WM93-303 2200. 00
EWER INSPECT' 35. 00 PARKS SDC 500. N0
TORM DRAIN SDC 00 REGIDENT%AL TRAFFIC FEEg 1350. 00
MASS TRANSIT TIF FEES 110. 00
10977 SW 81—ACw DIAMOND WAY
4i/RT9 LANDING , LOT #2
lUTAL' AMOUNT PAID — — — —) 5304. 99
INSPR(mom NOTICI
City or Tigard Building Department
13125 M a.11 Blvd. Tigard, Oreyon 97223
tmpeotlon Lina (Rec-O-Phones 639-4175 BBusinaee Phones 639-4171
InSpeatlons �' t
Plbg. Underelab !loch. Rough-in Appr/adwlk
end. Plbg. Top out Gas Line FINAL#
Foot/seas Strvct. San. sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation _Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -�h.
Data Reclueated# +2-O -9 5 11Me P� I,y_AN Pp
Address s I L -7-7 U /A r�� #��9T3-a 3 s 7
BuildertJo,eLiz4 _ - S
T15s FOLLOWING CMUCTION8 ARE RRMIRED#
Inspectors— Dates
L-,*' APPROVED -- DISAPPROM APPROVRD R"&TNCf TO ABOVE
_Call For Reinap.
L.
C
TY
13W SW F4,u BW. PLNCK/RECT N OFT.IGARD PCRMIT k ��y�-U 3✓` r
COMMUNITY DEVELOPMENT DEPARTMENT TigantOreton 97M --
(501)639-4171 DATE: ISSUED
JOB ADDRESS: 10977 SW Black Diamond Way TAX MAP/LOT _1 � � 14 L UD?----_
SUB: ___j]ARTC 1 ANDjNG LOT: _ LAND USE:
VALUATION: 1?,�..
OWNER SPECIAL NOTES
NAME: __. R .N TtiRANCE pF.VF1,QpMF.NT rnRPnRAT7nN REISSUE OF:
ADDRESS: 1672 SW WILLAMETTE LLS DRIVE _ LAST REISSUE:
WEST LINN, OREGON 97068 FLOOD PLAIN/
PHONE: 503-557-8000 SENSIIIVE LAND:
CONTRACLOR gPHOVALS RE UI D SN 13 R7,-0oa3
NAME: RENAIssAKU,D .V n.OPmNT GORYORATTfIA PLANNING: ,�1.SOG+4,'c' Ute_
ADDRESS: 1672 SQA WILLAMETTE FALLS DRIVE ENGINEERING: _
WEST LINN, OREGON 97068 FIRE DEPT:
PHONE: 503-557-8000_ _ OTHER: 7�F
CONTR. BOARD #: 49955 EXP DATE: 5/16/94
JTEMS REOU I RED
SUBCONTRACTORS: PLUMB: EAGLE PLUMBING LIST/SUBCONTRACTORS:
MECH: TRI-COUNTY TEMP CONTROL _ BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: ALAN MASCORD _ TRUSS DETAILS: _
ADW--SS: 1515 NW 23RD OTHER:
PORTLAND, OR 97210
PHONE; 225-9161
PROPOSED BLDG. USE: SFR
COMMENTS: —"
G APPI T.ANL (IG"E
Received By: ��- 0?'.e Received:
PERMIT N AfC1 N DESCRIPTION AMOUNT AMOUNT rJ. RAI., r''"
�_O tLQ3L7 10-432. 00 Rodding Permit Fees
10.431 00 Plumbing Permit Fees &Z50 AZ,3-
10-431 01 Mechanical Permit Feesys-
10-230 01 State Building Tax (5%)
Building 2.5,u3 ✓�
Plumbing 911
Mechanical •L)
10-433 00 Plans Check Fee 'r
Building
i
Plumbing -
Mechanical -
10-230 06 Fire Cil.)
703' 30-202 00 Sewer Connection
30-444 00 Sower Inspection
25-448-02 Commercial TIF Fees ,
25-448-04 Industrial TIF Fnes
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448.01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees �/� ' _�/a
52-449 00 Parks System Dev Charge (PDC) ' 54
31-460 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL
fop
nm/3581P,WPF
«�
CITY OF TJGAAD — RECFIPT OF PAYMENT RECEIPT M0. 03-241552
CHECK AMOUNT v 2.150. N0
NAME o RENAISSANCE DEVELOPMENT CASH AMOUNT 0. 00
ADDRESS m PAYMENT DATE ^ 062c?l93
SUBDIVISION :
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAiu
�__—___ -___-____'
PLAN CHECM FE
_x
�
OT 2 HART' G LANDING '
�J0977 8W ALACK DIAMOND WAY
AMOUNT PAIDtwo-