Case File 1
ADDRESS:
SSW
i:Vecords\microflmltargets\building.doc
��CirfnrI HFICATE OF OF T10CLUPANCY
Dg PERM11 0. . . . . . . a MST949010
COMMUNITY DEVELOPMENT
T DATE fSGUEDs 07/07/9A
13125 SW Hall Blvd Tigard,(.)r*n(,n fo7223.6199 j503)630-4171
PAR(XLx 1 S134AC032.00
I TE ADD�ESU. . . I t11#01 SW BLAC14 DIAMOND WY
SUDDIVIGION. . . . s HPRTIS LANDING ZONINGiR-4. 1.5- Pr)
SLOCK. . . . . . . . . . a 1-07.. . . . . . . . . . . . . :003
CLAS9 OF WORX. jNEW
TYPE Or' USE. . . s GF
OCCI.JPA,NCv GRP. s R3
OCCUPANCY LO:!Ds228 4
TENW14"r NAME. . .
Nowarksis PATH I
Owners
RENAISSANCE DEVELOPMENT COP
1672 SW WILLAMFTTE rFALLG F)R
WEST LINN OR 9706P
Phone #s 557-800et
Contvicturl;
REN(41'-.0SA?4CE, DEVELOPMENT
167F SW WILLAME*TTE FALLS UP
WEST LINN OR 97068
Phone 01 5578000
Reg 0. . 1 49955
Occup:inc,y of the above refurvneed butic-litig in hereby given., and cortifiost
the uomplianre with the Statio Of Urv4an Sperialty Codws for thp gra..ip,,
occupancy, and use under which the referenced permit �cszjssuvd.
eI I NS NSPECTOR
TLL'D I_46 C I A L.
P09 IN CONSPICUOUS PLACE
INQP=CfIONNQTICI /
City of Tigard Building Department
11133 Bw Ball Blvd. Tigard. Oregon 97223s�_/
Inspection Line (R2c•-4)-•Phone)c 639-4175 Business Phonal 639-4.177
Inspect ion i
Footing Plhg. Underalab Ilwch. Rough-in C_Ir_
Appr
Found. Plhg. Top Out Gas Line INALs
Poet/Beam Btruct. San. Sewer. F-arcing •Ddq.
Post/Beam Hoch. Rain Drain Insulation -'Plutr).i.
P_.bg. Underfloor Nater Line Gyp. Rd. Hech.
Date Apueatodi Timet __AM _(_PM
Addreeai SC.,/ � i�Pwrwit f,�y ��
Duildare�
TB7< IOLI.ONIMC WRAECTIONS ARM REQt1I1lBDt -- `---� -
---/—rte/
Al
I
InapwotoL>PROVRD
_ _ DatBt�l
DISAPPROVIM SDSJRM I Af±
Call For riinsp.
City of Tigan. Building De-kiarts•wt
131.25 RM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4275 Business Phones 639-4171
Inspection:_
Footing Plbg. Underslab Hoch. Rough-in (Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINALS
Poet/Ream struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain train Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -!tech.
Data Requesteds (
� - �/4/ _Timet AN P14
Aidrenes l 7`� �a ac � s�T YlI)II _ Permit OS.-�
riu l le ars Li l.dL-C S S a ri C-Q..,
1s0 FOLLOWING CORRECTIONS ARE REQUIRED:
PAC-N Gtill PI-YID CU9,13 ?o f4 s-
Inspectors
APPROVED DISAPPROVED / APPROVEo SUBJECT Ti) know
_—gall For Reinsp.
INSPECTION NOlIgA -
City of Tigard Building Departnert
13125 Bw Ball Blwd. Tigard, Orugon 97223
Inspection Line (Rec-O-Phone)f 639-4175 Business Phones S39-4171
Inspections
Rooting Plbg. Underslab Koch. Rough-in Appr/Sdwlk
Round. Plbg. Top Out Gas Lino FINALS
Poet/Beam Struct. Can. Sewer Framing -Bldg.
Post/Beam Koch. naln Drain Insulation -Plumb.
Plbg. Underfloor Nater Line
q -Koch.
Date Requested. !!J /`' / q _Timet __—Am ,. lPH
Addresse J QC
Builders �
71M FOLLOWING C'MRS IOKS ARC RISQU1REDf
Inspectors ----.�.--- -- Dates--1 _
•PPROVED ^- D19APPRnVEn __✓ IiPPROYEn SUBJECT TO ABOVE
Call For Relnsp.
INSPECT ON NOTICE
city or Tigard Bulldinq Departaan
13125 SW Ball Blvd. Tigard, or"gon 732
Inspection Lina (Roc-6-Phone): 639-4175 Bum in : 039-•417
I aspect ion s_._____— ---_---------------------
rooting Plbg. Underalab Mech. Rough-Jaip) Aprr/Sdwlk
round. tZlbq. ToP._� Oae Llns_ rINALt
P09.:/9aAm Struct. San. Bower raminq� �" -Bldg.
Post/RwAm Mach. Rain Drain Insulation / -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. --Mach.
DAte Requestedt 3 c;2f �_��/,",�/
Addresss_ //ff)jO/ 54!�✓
._7��
Buildert_
TNR rOLLOWIHG CORRRCTIONS ARE REQUIREDt
46
000-1 __ /may / h•S .-A..e __
Inspectors DAtes S
PROVRD DIrAPP vim APPROVltb suniltrwr TO ASOV1!
_dA31 Por Rwinnp.
�cTICI:� noT
City of Tigard Buildlag Departswlt.
L1125 BW Hall Blvd. Tigard, Or0900 97123
Inspection Line (Rwc-O-Phonw)e 639-1175 luelnwe■ phony _4
InspactLane
Footing Plbg. Underelab Mach. Rough-in
Appc/Bdwlk
Found.
Plbg. Top Out Gas Llue FINAZs
POe2:/Beam Struct. Ban. Bower Framing -Old
g.
Post/Beam Mer_h. �Dr.lin
J Insulation -Plumb.
Plbg. rinderfl.00r Nater Line
Gyp. Bd. -Meeh.
Date Requested, C� TLme�
/ / c AM pN
Address:.1
Builders
TBS .1+ONINO CORRECTIONS ARS RSpUIRSOt
tnspectrrDates
l
A "A PROVED DIBAPPFOV2P APP;,mrsD aUBJNCT TO Ass
`_Call For Rwlnap.
�S�.4S�4SLfi�IS�
city Of 719ord Building Departatant
13124 M Bal! Blvd. Tigard, Oregon 97223
Inspection Line )Rec-o-Phone)e 639-4175 Business Phomos 4-4171
Inspection
Footing Plhg. Underalab Nosh. Rough-in Appr/Bdwlk
Found. Plbg. Top out Gas Line FINALi
•t/eeae� gt�ruvtBan. Hewer Framing -Bldg.
Rain Drain insulation _plumb.
'am Mod
lbg. Underfloor star Line !, Gyp. ad.
-Hoch.
Data RaquesteAe/--::1;? �7 Time
Addrasso_���` it toot-(-
Builderi
THE FOLLMING CORRECTION/ ARB RRWIRZD,
inspector: Datot—& -Y
_---
APPROVED DIshPP%oVED APPROVED BUBJECT To ABOVE
Call For Rainap.
INSPSCPION NOTI�
City of Tigard Building Dopa ,/�
15125 SW Ball Blvd. ri9ard, Oregon 9727
Inspection Lina (Rac:-O-Phone)r 639-4175 Bueinece Ph or 639- 71
Inspection:
rooting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
nd. Plbg. Top out Can Line FINALt
"oat/Beam Struct. San. Bower Iraming -Bldg.
Mach. Rain Drain Insulation -"ply.
Plbg. Underfloor Nater Lina Gyp. Bd. -Mech.
Date Requestedt, 2 — L
—Timet //tt le�Am PM
Addresst—�
Builders_`
TNM FOLLOWING COM MCPIONS ARE RMQUIREDt
In,Rpsctor t Date t 1 t
APPROVMD DIRAPPROVRn APPROVMD SUBJECT To ABDVM—f--fes
_____Call For Reinsp.
-CIN OF TIGARD PLUMBING PE,(40111
COMMUNITY DEVILOPMENT DEPARTMENT PERM I
MIS SW Hall Blvd.T;fwd,OMW 97W6111149 (60)004171 DATE ISSUED- 01 /07/C)4
IL. wLpURLf:6. . . ; 11001 SW BLACK 011AMOND WY
SUDD JV I S I ON. . . . : HAR'T' S LANDIN6 ZONING: P-4. 15 P1,
ALOCA.. . . . . . . . . . . . . . . . . . . . . . . ..003
C
-LAV., OF WORK. . tNEW GARBAGE DI1ZPQ0ALG. . : 1
T'YPL:' Or' L1SE. . . , 1cj'F WASHING MACH. . . . . . . . I UACRFLOW 171Pr-VNTW.,. . :0
OCCUPANCY GRP- 1".3 FLOOR DRAINS. . . . . . . ;111 TRAPS. . . . . . . . . . . . . 10
STORIES. . . . . . . . v2 WW'ER HUATERS. . . . . . . I CAMA 14AS I N'7i. . . , . , . :0
F* i)("rUREti--, -----.----------..,- .-. LOUNDRY TRAYS. - . . . :0 9F RA 114 DRAINS. . . . . : 1
I NKS. . . . . . . . . . . 1 GREAUK I ROP'S.
I-OVATORICS. � . . . ;5 o'rHER [7 1)(TURES. . . . . .�0
VLJS/SHOWLIRS . . . t SEWER LINC (ft gO
WITCR CL.'LJSETr,. , 1+[a wo,r�.,v 1- 3 Nr:. t i,t . i o,,
1)1 GHWASHERS. . . . 11 RAIN DRAIN (ft ) . . . . :0
Rpmarka- P(4TV4 I
OWNERP
R17.N.qI30(4NCF I)EVELOPMENT COR TIF $ 150121. 01A JF 01.'07;9 4
167c: SW WILLAMETIC. FALLS DR EFFORT f 470. 50 JF-- 011 /07/94
EIPLc $ 305. 8.3 J1._1 4 It 1 /04/94
ws'r I-INN OR 97068 8119pc $ 23. '5:3 JF 01/07/94
Phon't, 01 !7557. C-1000 CIE30C $ 280, 00 JF 01 /07/94
PARK $ 500. 0171 JF M1 / .)/ '44
I lumbing Contractor: MPRI $ 45. 00 JP 01/07/94
MPLC $ 11. 25 JF 01/07/94
NampM5pC $ 2. 2 5 JF 1111 /07/94
P d d r is cii-z,,_• C) PVIF T* $ 155. 00 JV 01 /07/444
cityc'.J— a e -15 PC $ '7., '7s JF 01 %0'7/1)4
hone#
Reg
NSPECT I M-1'
lhit permit i -6 iusuo(I subject to than reg-
olatiunri contained in the tiqard ML(micipal f rjclt 'fal.tnd 1174E Vriin !Ar lin Insp
f 'i ;, 1 '1
H -1-'M
oi-hpr Applicablo W1 work 414il .1 tit (101)P rust IAPkk fll 11113 h 3 T) Appr/�;Hwtk Insp
) r, r"Ic--Cm-darlc-" with appvol".(j pIA11%. This Insp llech,-,ntcAl FirlAl
pet mit: will expire if wcwk iR not sta-ted PLV 'Undprf!aor PILIMb I"InA1
k%-3—hi 1, 180 dAy% of issuAnc:ej nr if viork is Mechanical Ines F, Building F- inal
for, more than tao days. Plumb Top clut Crusicrn Control
r--raminp Inip Grawl Drain
F.Arprilimu'p jrl%p
a&a !. I n! 1 Y-f S p ,.I-..--..--4.--.--' I--.--.
lnsu) gAtton Insp
C
Gvp Ho*rd Insp
r-,jumtiny �.,,ontrautor
Cal I for insr)ept.' Lln 639 44175
Cortractot, Notes .
CITY OF TIGARD �,-
COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT
19126 SW Hall Blvd.Tigard,Or*pon 97223.8199 (603)639-4171 PERMIT M. . . . . . . t MST94-9010
L-39 -4 i /I DATE ISSUED s 01/07/94
PARCELt 1S134AC-•03200
SITE ADDRESS. . . : 11001 SW BLACK DIAMOND WY
SUBDIVISION. . . . : HART' S LANDING ZONINGS R-4. 5 PD
SLOC4. . . . . . . . . . s LOT. . . . . . . . . . . . . :003
-------------------------------- BUILDING ---------------------_-__-___..__-_._._._-_--
REISSUEt DWELLING UNJTSsl BASEMENT. . . . . . . . so sf
CLASS OF WURK. tNEW BEDRM5e4 BATHSs3 GARAGE. . . . . . . . . . t484 sf
TYPE OF USE. . . sSF FLOOR AREAS---------- REoUIRED SETBACKS----------
TYPE OF CONST. t 5N FIRST. . . . t1150 s f LEFT. . s 5 ft RIGHT. e 5 ft
OCCUPANCY GRP. tR3 SECOND. . . P1150 sf FRONT. s20 ft REAR. . t50 ft
STORIES. . . . . . . s2 THIRD. . . . 10 sf REQUIRED------•-------------
HEIGHT. . . . . . . . t28 ft TOTAL------sc'30 sf SMOKE DETECTORS. tY
FLOOR LOAD. . . . s40 psf VALUE. . . . . ft 114512 PARKING SPACES. . il
Remarks : PATH I
---------- ------------------------- PLUMBING _______________-___,_.-______--_--__-_-_
SINKS. . , . . . . . . . tl FLOOR DRAINS. . . . to BACKFLOW PREVNTRS. . 10
LAVATONIES. . . . . e5 WATER HEATERS. . . t1 TRAPS— se . . . . . . . . . . so
TU,B/SHOWERS. . . . t3 LAUNDRY T:`AYS. . . 10 CATCH BASINS. . . . . . . t0
WAI R CLOSETS. . i3 SEWER LINE (ft) . t0 GREASE TRAPS. . . . . . . t0
DISHWASHERS. . . . sl WATER LINE (ft ) . 2100 OTHER FIXTURES. . . . . 10
GARBAGE DISP. . . si RAIN DRAIN (ft ) . :0
WASHIND MACH. . . 11 SF RAIN DRAINS. . tl
..-_.-------------- MECHANICAL ---------------------------------- FEES ----_----_-_ .-_-_
FUEL TYPES----------- UNIT HTRS. . t0 type amount by drto recpt
/GAS/ / / VENTS . . . . . 10 TIF f 15120. 00 JF 121; /1217/94 -
MAX INPUTi@ BTU VENT FANS. . t4 BPRT t 470. 50 JF 01/07/94 -
FURN ( 100K . . to HOODS. . . . . . t1 BPLC 11 305.83 JLH 01/04/94 94-247259
TURN ) -166K . . s 1 WOCDSTOVES. s 0 B5PC t 23. 53 JF 01/07/94 —
F'LOOR FURN. . . . t 0 CLO DRYERS. t 1 SSDC >f 280. 00 JF 01/07/94 -
I BOIL/CMS ( 3HPt0 OTHER UNITSt1 PARK $ 500. 00 JF 01/07/94 -
GAS OUTLETS t 1 MPRT $ 45. 00 JF 01/07/94 -
Owners -- -- ---- _______.____________..._____ -MPI_C $ 11. 25 JF 01/07/94
RENAISSANCE DEVELOPMENT COR M5PC $ 2-. 25 JF 01/07/94 -
1672 SW WILLAMETTE FALLS DR PPRT 1 155. 00 JF 01/07/94 -
P5PC $ 7. 7:S JF 101/07/94 -
WEST LINN OR 97068
Phone #s 557-8000
Contractors -------.-_-___-__---._.__.________
RENAISSANCE DEVELOPMENT
1672 SW WILLAMETTE FALLS OR
WEST LINN OR 97068
Phone Mt 557-am
Reg #. . s 49955 -----------------------------------------
$
__._---------------,___- .._______$ 3321. 11 TOTAL
This poreit is issued subjmct to the regulations contained in the ------- REQUIRED INSPECTIONS --------
Tlyard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Inst
applicable lets. All worF will be done in ,%"rdanee with approved Post/Beam Struct Gas Line Insp
fans, This Mrait will tMpire if work is no, started within 111 Post/Beam Mochan Insulation Insp
days of Issuance, or if wmrk is suspendM f more thanIM- ys. Plm/undslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
t:�lmittee t�igna�tures &,Mecha!nical Insp Water Line Insp
L �luml� Top Out F)ppr /Sdwlk Insp
Issued Bys g„��� - - - ram ng Insp Mechanical. Final
CIT Y OF T S CARD SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT PERM T T
19125 SW Hall Blvd Tigard,Ora, .1 97223"6199 (503)630.4171 FERMI"f #. . . . . . . : SWR94-0008
DATE ISSUED: 01/07/94
PARCELS 1S134AC-03200
01 Y E ADC r?E SS 11001 SW BLACK DIAMOND WY
'.:' ' ID:VISION. . . : HART'S LANDING ZONINGS R-4. 5 PD
14I_f CK. . , . . . . . . . e LOT. . . . . . . . . . . . . :003
},ANT N�;ME. . . . . a _---
1 NG. . . . . . . MIXTURE UNITS. . . .
N ZS OF WORK. . . :ALW DWELLING UNITS. . : 1
OF it ',: . . . . 19F NO. OF BU I LD I NGS s 1
I i V ' ')L L TYP'.. . , . s BUSWR I MPEERV SURFACE. . S s s f
Rem..rks s PATH ?
Owners ----------------------------------------------------- FEES
RENAISSANCE DEVELOPMENT COR type amount by date— --recpt
1672 SW WILLAMETTE FALLS DR PRMT $ 2200. 00 JF 01/07/94 —
WEST LINN OR 97068 INSP $ 35. 00 JF 01/07/94 —
Phone #e 557-8000
Contractors -------------------------------
CONTRACTOR
--------•---------_---___-------
CONTRACTOR NOT ON FILE
--------------------------------------
Phone
---.--------------
Phone #: t 2235. 00 TOTAL
------- REQUIRED INSPECTIONS -------
This Applicant agrees to comply with all the rules and regulations Sewer Inspie,;^tion
of the Unified Sewage Ayency. The permit expires Al days fro* _
the date issued. The total amount paid will be forf,sited if the
permit expires. The Agency does not guarantee the accur,;y of the _ r
side sewer laterals. If the stwr is not located at the measurement --`
given, the installer shall prospect 3 feet in all directions fros
the distance given. If not so located, the Installer shall purchase
a "Tap and Side Sewer" Permit and the,Agering Nil1 int;tsrli a literal.
Permittee Signatures
Issued Bye
Call for inspection — 639-4175
f
1
G1T'Y OF TlwARD kE.C;EIPi' OF NNYMHNT RFCEIPT NO s91E
CHECK AMOUNT
+TAME t RENAISSANCE: DEKLOPMEN'T CASH AMOUNT s 1
ADDRESS t PAYMENT DATES o 01/0'. +�
SUBDIVISION s
I.JRPOS (IFF PAYMENT AMOUNT PAID i�1.)RPOSF ClrF PAYMENT ►1M1'JI.1N'f
I '
UILDINCT ;;ERI MST94-9010 470. 50 PLUMBING PE=RN 155. 0�
trCHANICAL. PF, 45. Obi f;T. BUILD rt:R
a1-.AN CHECK FE 61. 08 SEWER USA 't'NV1. Ola
EWER INBP (:T 3:5. ON PARKS qDC;' (bO
TORM DRAIN 13DU _8ili. 00 RESIDw;NT'IHL TRAFF isG FF:Eti 7 ��1ut, t1�rA
ASS TRANSIT TIF FE:F.S 1 10. ON
i o0 T BLACK DIAMOND, 1...0)1' :3
mol , AMOUNT PAID
Residential Building Permit ApWication
City of Tigard
3125 SW Nall Blvd.
Tigard, OR 97223
(503) 639-4l71
Jobelte Address: l/CJ
H
use Univ
Subdivision: Lot#
_ PtarldsfRec#
Valuation:
Owner: Ir,i t S SA A" / � G' e ot _
Address:
vats pN—U111
Phone:
Contractor: r
Address:
ternsF�er}uireci
Phone: --- - — - -- "
r y
Contractor's License #
^(aftac:h ropy of current Oregon license)
5uticontractors:
Plumbing:
Mechanical: rep
(Attac copy of cumerd OR Corkractor's Lkense)
AmfiltwAfEnginew: _
Address:
Phone:
COMMENTS:
App'K;wd Signature t Phone number
" f ( 1
Received by: Date Received:
Permit # Account Description Amount Amt. Pd. Bal. Due
p�l� Bldg. Permit (BUILD) ,4110,,,1b "' G- >Z
Plumb. Permit (PLUMB) 1,55.
Mech. Permit (MECH)
State Tax (TAX) .�3 ✓�� 5
Bldg: �3•J .1 j
Plumb:
Mech: Z�
Plan Check (PLANCK) 3�i70 , `i /7,O�
BkJg: U �
Plumb:
Mech: _f i
�/1 •000 Sewer Connection SWUSA v i U
Sewer Inspection (SWINSP)
Parka Dev Charge (PKSDC) YO0 lGe
Storm Drainage Chq (SDSDC) -21-1ky / _
RaJdential TIF (TIF-R) /Oy _ /Vio
Mass Transit TIS' (TIF-MT")
Commercial TIF (TIF-C)
Industrial TIF rrlF.I)
Instilutionai TIF (TIF-IS) _
Office TIF (TIF-0) _
Water Quality (WOUAL)
Water Quantity (WQUANT)
Fire District (FIRE) _
TOTALS: 7-j
.•a..,•.i., ,} ,:gj�;� .:...stir« .,....., .._...... .�,
CITY OF 1 I CARD - AECH T VT OF PAYMFNT RECEIPT NO. s94-247p-,.$9
r,14 CK HMI.II.INT a 21,10. VJW
VAME a W.ENAISSANLE CUSTOM HOME! CA131.1 AMUUNI o d. ow
�111)R1:5S 167c'' SW WILI_AMk"1 TV1='A1..L S DR PAYMENT' 1.)( 1 F a 01/04/94
WEST LINN, OR SUH0IVISION
97068—
-ILIRP:]SF: OF PAYMENT AMOUNT PAID PIJRPC)HF OF PAYMF'NT AMOUNT PAID
ON CHECK 1=F � 1�--4R _...__'�.��M' q�p► --_._..,......____...___._.__�...._..w_ ___._..._...._._.........,,.._
11001 SW BLACK DIAMOND WY, L01 .3
I i t AI_. AWOUN T PA ICJ _. _ _ _..) ;r��,�, NN