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CITY OF TIGARD _
10522 SW Naevc Street
WASHINGTOM COUNTY, 0REGOI�J `
1 oft JUNE 121 1995 Cear } tart ire (Ip i s I n c, r1 c
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CITY OF TIGARD BUILDING INSPECTION NOTICE
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Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 4171 rx �° ' r+ .
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlkk+ ,rx�;
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg
Plbg. Underfloor Rain Drain Framing -Plumb. ''
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Request
14�, �..�j Time: AM PM
Requested: �
Address:
Builder: Permit #: /`��l'} j"i 5
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Date:
Inspector:4.
ROVED DISAPPROVED APPROVED SUBJECT TO ABOVEPIT
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t! CFRT I F I LATE OF'
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OCCUPANCY
CITY OF TIGARD PERMIT 0. . . . . . . s M:T9`.;--0274
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 12/28/95
13125 SW Hall Blvd.Tigard,Ors90n 9722390199 (S03)039-4171
pAR(.*Lj-a r'S 1 a 0DA �r_`4ftt0
' SITE HUDRESS. . . t 105r.22 :;314 NPLYE ST �
:SURD 1 Y I S I ON. . . . : RENAISSANCE SUMMIT Z ON I NC s R--3. 5
BLOCK. LOT. . . . . . . . . . . . .
2015
(.L_AS G OF WORK. s NEW
TYI"'L OF USE. • • s 3f
OCCUPANL:Y GRP.
OCCUPANCY L.OAP s 2
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Owner: . ....----
j RENAISSANCE CUSTOM HOMES INC
!I I F...72 WILLAMETTE FALLS DRI YE:
WL5T L I NN OR 9706A
F?honca #a 557--8000
Contractor%
I TRI-COUNTY TEMP C'ONTRCII_
�t t 265 i GF-1 AMBLER RD
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I L.ACKAMAU OR 9701.5
Phone #a 777-•3874 OR
1 Re g #. . a 72623
1 1`his (::er^tifirarte grants nt^r�IK?x�ncy of tt•ie 4sbove reforprived bi_tilrling or portion
tiler,eof and confirms that the bo.li1ding has been inSD ted for, c:omnlii.anr-e with
1-hle fStatto of Orerdorr Specialty Codes for the 41rof.IC�, of �_�pstnc:y .. ncF c�f.e Linder
whir_h the re1`pranced er.mit was isv",�eci. ..�
L►IJII..O;NCi IN43p'EC',I"Clf7 ........
L;UI(..1j1IgG UFF 1(]AV4L
POST IN CONE-1P I CA lOUCS PLACE
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CITY OF TIGARD BUILDING INSPECTION,NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-417
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rov;'-in FINAL:
Post/Beam Mech. San. Sewer Gas Line BIBS'
r Plbg. Underfloor Rain Drain Framing
",•
Alarm Water Line Insulation
Undertlr. Insul. Shear Wall Gyp. Bd.
Date Requested:_ Time: AM PM
Address: L` j Z Z —����� C.i-P✓ �J�
,•,, Builder:
THE FOLI_OWIIQG CORRECTIONS ARE REQUIRED:
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Inspect Date:
_ !A PROVED PPROVED —APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 i �''�� ,
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0 Inspection:_ ���►�t '"'JAI
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Footing Susp. Ceiling Spnnk. Rough-in A r/Sd " , , �"�'w ' `"�k�4';��
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr• Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: ( Time: AM PM
Address:
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date: l t- 2 a
DC APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
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_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE 71
Inspection Line (Rec-O-Phone). 639-4175 Business Phone: 6 9 1�
Inspection:
Susp. Ceiling prink. Rough-in Ap wlk f
Footing •
Foundation Plbg. Underslab Mech. Rough-in Fireplace y
Post/Beam Struct. Plbg. Top Out Elec Rough in FINAL:
-Bldg.
Post/Beam Mech. San. Sewer Gas Line
Plbg. Underfloor Rain Drain Framing
-Plumb. '
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall fYP• Bd.
-Elect.
D4ce Requested: /I TImA: AM PM
Address: �i' J
Builder: Permit#: S`THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Ins actor:
Date:�_'7 Ti
APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGAHD BUILDING INSPECTION NOTICE 4+
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k Inspection Line (Rec O Phone): 639-4175 Business Phone`•I 2PP)�)4171 " < �1 z r
;;. Inspection:
S rink. Rough-in Appr/Sdwlk
Footing Susp. Ceiling p
Foundation Plbg. Underslab Mech. Rough in Fireplace
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Post/Beam Struct. Plbg. Top Out Elec. Rough in FINAL:
a'.
Post/Beam fAech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing Plumb.
Alarm ter Line Insulation -Mech. - r
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: ld�/rf � Time: AM P��
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Address:/10
Builder: Perrnit*S/ • S'
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date: 1
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TIGAR®+C1T1( OF .
COMMUNITY DEVELOPMENT DEPARTMENT
{ 13125 SW Hall Blvd.Tigard,Oregon 07223.8199 (503)839.4171 PLUMPING PERMIT
PERMIT #. . . . . . . : PI_M95•-0105
r r,39 4171 DATE ISSUED: 10/12/95
PARCEL: cS 1. 1 ODA-0400
SITE ADC; :=SS. . . : 105 '.2 SW NAEVE: ST
SUBDIVISION. . . . : RENAISSANCE SUMMIT ZONING: R-3. 5 Io
BL.00K. . . . . . . . . . LOT. . . . . . . . . . . . . :015
------------
CLASS OF-WORK. . :NEW GARBAGE DISPOSALS. . : MOBILE HOME SPACE'S. :
TYPE OF USE. . . . :SF' WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : 1 �
OCCUPONCY GRP. . .-R3 FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . .
STORILS. . . . . . . . WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . .
FIX'TURES- -_ --- ---._.___._. LAUNDRY 'TRAYS. . . . . . . SF RAI'I DRAINS. . . . . .
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . .
LAVATORIES. . . . . : OTHER FIXTURES. . . . . :
TUN/SHOWERS. . . . : SEWER LINE ( ft ) . . . . :
WATER CLOSETS— : WATER LINE.. (ft ) . . . . ..
DISHWASHE:RS. . . . . RAIN DRAIN (ft) . . . . :
Rem,-.-Arks : Install residential backflow prevention devire
Owner: ------- ------_._..___.____.___.__._.__.._.__.._..._.__._____.__..__._-_---_____._.____. FEES
RENAISSANCE CUSTOM HOMES INC type amol_cnt lay date r•ecpt
167=' WILLAMETTE FALLS DRIVE PRMT s 15. 00 JSD 10/12/95 95•-2715")2
P(:'.T 0. 75 JSD 10/l -e/95 95- 7159:'
WEST I_INN OR 97068
Phone #: 557-8000+
Contractor:
MOODY ENTERPRISE:, INC.
P. 0. PDX 98
• ESTACADA OR 970123 -•-------_.__.__.___.___..__._---.____--•---__.____.
IF"
("'hnne #: 1,31--2918 !. 1.5. 75 TOTAL
' Req #. . : 5973
REQUIRED INSPECTIONS ------
4' This permit is issued subject to the regulations contained in the 4'/Backflow Prev „�• _ _
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspect: ion —___•.^ _�
applicable laws. All Mork will be 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 days.
Permittee Signature: _. ...
°mall for inspet~tion - 639--4175
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City Of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit
Tigard, OR 97223
j (503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
s
n.m pow«xm«n �- New Single Family Residences Only
Ad&.» 410 1 BATHHOUSE 514(',00 ❑ 2 BATHHOUSE 5195.00
Job ;�2_�/U �7 ❑ 3 BATH HOUSE$225.00 _
Address . z. Fee includes all plumbing fixtures in the dwelling and the first 100 feet
/ r of water service, sar'iry sewer and storm sewer. See fees below.
r+•T•i« N*• FIXTURES QTY PRICE AMT
..CIL' C�C✓ . Coll i Sink 9.00
Mwno Ad& ��••• Lavatory 9.00 i
Owner Tub or Tub/Shower Comb. 9.00
Gn m•"• -- za Shower Only 9.00
W
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e 5 f- r 41V _ Water Closet r 9.00
N.m• «�•m•• ••••»� Dishwasher 9.00
Garbage Disposal 9.00
Occupant hf."Ad&-. Washing Machine - 9.00
Floor Drain 9.00
cRwaN• Zti Water Heater 9.00
Laundry Room Tray 9.130
N•m• A ',�� Urinal 9.00
'4'/ G,�'/ �/lr V5- _ Other Fixtures (Specity) 9.00
M.09 Ads.» P• 9.00
Contractor t p • �x -
1 9.00
9.00
S Q V r / (,)� Sewer 1st 110' 30.00
SIM. Cd"N. t••W_I Sewer-ea Addit. 100' 25.00 -
,( (7 7` water S,.rvice 1st 103' 30.00
I hereby acknowledge that I have read this application, that theWarr Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or authonked agent of
the owner, that plans submitted are in compliance with State laws, than t Storm &Rain Drain 1st 100' 30.00
i 1 am registered with the Construction Contractor's Board, that the Stomi &Rain Drain Addit. 100'_ 25.00
number given is correct. (If exempt from State registration, please
give re on below.) Mobile Home Space 25.00
Back Flow Prevention _
4?t Device or Anti-Pollution Device 900
.». Kw.n "• Any Trap or Waste Not
Connected to a Fixture 910
Describe work new adoition Q alteration Q repair Q Catch Basin 9.00
to be none residential V non-residential Q Insp of Exist. Plumbing 40.00/hr
Specially Requested Inspections 40,001hr
Existing use of
building or property _ Rain Drain, single family dwelling 30.00
Residential backflow prevention!
devices - _ 1 15.00
Proposed use of
building or property _ _
'(except residential backflow
prevention devices)
NOTICE 'Wrilmum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED iS NOT CDMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED --- -
FOR A PERIOD OF 160 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25% OF SUBTOTAL
TOTAL
Special Conditions
Date issued f_ by
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Businnss Phone: 639-4171 sig
Inspection: —
Footing Susp, Ceiling Sprink. Rough in pr/Sdwlk
Foundetion Plbg. Underslab Mech. Rough in fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: �
Post/Beam Mech. San. Sewer Gas Line -Bldg.
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Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall yp. Bd. Elect.
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Date Requested: �� Iy t j Time: �M PM
s Address: Q SGC/ A/464Ae
Builder: Permit #:_ o5r
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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i� Inspector: Date:
P —DISAPPROVED —APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspertioi Line (Rec-O-Phone): 639-4175 BUSIness Phone: 639-4171 `
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Inspection:
Footing Susp• Ceiling Sprink. Rough-in Appr/Sdwlk a wry cN e+
Foundation Plbg. Underslab Mech. Rough-in Fireplace
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Post/P-am Struct. Plbg. Top Out Elec. Rough-in FINAL: ''
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. M11
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Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall -1 EI r
Datc- Requested: I L� l/�? I Time: A PM
Address:
Builder: _Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:
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APPROVED DISAPPROVED ROVED SUBJECT TO ABOVE
r.,d For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639A175 Business Phone: 639-4171 (�
Inspection: l� i
Footing Susp_ Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
g1b .
Struc Plbg. Top Out Elec. Rough-in FINAL:
0 San. Sewer Gas Line -Bldg.
Rain Drain Framin -Plumb.
Alarm Water Line , Insulation -Mech.
Underflr. Insul. Shear Wall
a Gyp. 8d. -Elect.
Date Requested: /6-)A/ /( _Time: AM PM
Address: /L> ~1 - Nxle 4
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Date:
YptpoRA.
__,DISAPPHOVED .— APPROVE..)SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING iNSPECTION NOTICE '-
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-� 71
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Ap.r/Sdwlk
Foundation Plbg. Underslab e u h in Fireplace
Post/Beam Struct. b . Top Out, lec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Al s Line -Bldg. a e
Plbg. Underfloor Rain Drainemir -Plumb.
Alarm Water Line Insulation -Mech
Underflr. Insul. ear Wall Gyp. Bd. -Elect. • A
Date Requested: /319e- Time: AM _&O' PM i 1
Address:
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Builder: Permit #: 9S't7Z 7%
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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In p e-0e., Date:
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—APPROVED __DISAPPROVED _APPROVED SUBJECT T ABOVE i
_Call For Reinsp.
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Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 972.23 Planck/Rec. # ?5-.2 7ok93
Permit oy10
Phone (503) 639-4171 Date Issued 9 9S
CITY OF TIGARDFAX (503) 684-7297 Issued by
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
a
Name of Development Number of Inspections per permit allowed
Address Service in,,uded: Items Cost(ea) Sum
City/State/Zi 4a. Residential•per unit 4 �.
'.� 1000 act It or teas $11010
I �
Each additional M h nal 500 or
Name (or name of business) I� �� S s' —�� portion thereof -T $2500 / +
Commercial❑ Residential lg-- Limited Energy $2500
Each Manufd Home or Modular 2
Dwelling Service or Feeder $6800
2a. Contractor Installation only:
4b.Servi;xs or Feeders
�1 , nn rr� �1 I, Installation,aherabon,or relocation 2
Electrical Contractor �I`G I I��1 (� --: KKj 200 amps or leas $6000 _ 2
Address Pt )V ( 201 amps to 400 amps $8000 2
Cil}�� `` State In ZI I C 401 amps to 800 amps $12000
•)� P 801 empa to 1000 amps $18J 00 2
Phone No. _— ` Over 1000 amps or volts $94000 2
Contractor's License No. r.� Reconnect only $5000
Contractor's Board Reg. No. 4c. Temporary Services or Feeders
r i Installation,alteration,or relocation 2
Signature of Supr. Flec'n -� - =___ r 200 amps or less $5000 _ 2
License No. '� Phone No. 201 amps to 400 amps $7500 2
401 amps to 800 amps $10000
Over 800 amps to 1000 Vohs I
2b. For owner Installations: see'b'nbm,)
'� 1, _ ����FI/JIT /✓ f�l(r 4d. Branch Circuits
� Print Owner's Name C '`�f'-> I . New,alteration o,extension per panel
I Address_ / a)The tae for branch circuits with
City .chats L_ Zip r' r �, purrhaaa of eeryke or boder be. 2
_ - Each branch circus $500
Phone 0. /� ` /�� b)The fee for branch circuits without
The installation is being made o property I own which is
purchase of servke or feeder be. 2
not intended for sale, lease or rent. First branch circuit $95 00 2
Each addmional branch circuit $500
Owner's Signature _ _ 4e. Miscellaneous
(Service or feedor not included) 2
Each pump or irrigation gide $4000 2
3. Plan Review section (if required):
Each sign or outline lighting $4000
Signal c,muil(s)or n limned energy 2
Please check appropriate item and enter fee in section 5B. panel,alteration or extension __ $40 00
_4 or more residential units in one structure Minor I etsls(to) _ $10,100 i
T _Service and feeder 225 amps or more
—__System over 600 volts nominal 4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable In any of the above
as described in N E.0 Chapter 5 Per inepscbon $9500
Ppr hour t55 00
In Plant -- $5500
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5, Fees:
NOTICE 5e. Enter total of above fees $ ,�!
— 5%Surcharge(.05 X total fees) 1i;
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
y AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for
Plan Review if required(Sec 3) $ _ r
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR btotal $
A PERIOD OF 180 DAYS AT ANY TIFAE AFTER WORK IS SuSu
COMMENCED. ❑ Trust Account N $
r —
Balance Dire $
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone) 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in AppriSdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. l T u Elec. Rough-in FINAL: -
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm a er Lined Insulation -Mech.
Underflr. lnsul. She alb Bd. -Elect.
Date Requested: - Time: AM i' _PM
Address: 5-'2 -7
Builder: Permit #: ��� _-o Z y
THE FOLLOWING CORRECTIONS ARE REQUIRED.
Inspector: i Date: / G
Cz
C.� VED DISAPPROVED APPROVED SUBJECT TO ABOVE
`Call For Reinsp.
L�
f
CITY OF TIGARD BUILDING 5S BsTONPOICE
-Phoney
67639-4171
iInspection Line (Rec-O
—
Inspection: q r/Sdwlk
Susp. Ceiling Sprink. Rough-in PP
Footing Mech. Rough-in Fireplace
� Foundation Plbg. Underslab FINAL: �
Elec. Rough-in
Post/Beam Struct. Plbg. Top Uut .Bldg.
n. 5ewer� Gas Line
post/Beam Mech. ���.i -Plumb.
r Rain Drain Framing
Plbg. Underfloor w
Insulation -Mech.
Alarm Water Lin Elect.
Shear Wall
Gyp, Bd.
/ PM
Underilr. lnsul. ( 5 AM —
Cj /I,- Time: s
Date Requested:
7)
Address: ��
Permit k:
THE FOLLOWING FOLLOWING CORRECTIONS ARE REQUIRED:
Date:
D APPROVED SUBJECT TO ABOVE
i--/APPROVED _DISAPPROVE
Call For Reinsp.
. r
CITY OF TIGARD BUILDING INSPECTION NOTICE '
Inspection Line (RPc-O-Phone): 639-4175 Business Phone: 639-4171 I
f '
Inspection.
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San.S eew 'r Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Lino Insulation -Mech, f0 1w
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. k
Date Requested:_ /� ! ref '�S Time: AM PM
a
i
Address:
Builder: _Permit ft:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
r
I
Inspector: -�� _ Date: !,��
—APPROVED DISAPPROV D _APPROVED SUBJECT TO ABOVE
--Call For Reinsp.
,k
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
.ir i III.
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloorai� Framing -Plumb.
Alarm Water Line Insulation -Mech.
Undertlr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: _Time: AM PM
Address: U 5 2- -L 7�
Builder: _Permit q:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
_ r
Inspector, Date:
LAprP OVED DISAPPROVED _APPROVED SUBJECT TOA OVE
Call For Reinsp.
r
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Lire (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
oundatior) Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
•4
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech. •
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: '� _ Time: AM PM
Address: L) 2
Builder: Permit #: _ _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_
i
Date:
4WA
ROVED _ DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
+ CITY OF TIGARD BUILDING INSPECTION NOTICE �77
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 . 0
Inspection:
Footin ' Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
M
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
c w p
Date Requested: /��Time:_ JI(AM PM
�. Address:
Permit #:
Builder: //
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_j,
P OVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
Gall For Reinsp.
r
PLUMBING F'[RM I
PERMIT . . 6/ 0274CITY OF TIGARD ATE ISSUED: 07/295
COMMUNITY DEVELOPMENT DEPARTMENT r ' e
Blvd.Tigard, !i7$2 8 { )6?Y�N71 PARCEL: 1 14)nA-024rb0 r
Q► °"� R7 18t IJ
�UBD I V I S I ON. . .. . : RENAISSANCE w=UMM I T Z C}nI I NG: R-,a. 5 �
CL.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . :015 �
LASS OF WORT/. . :NEW GARBAGE DISPOSAL. -:1
YPE: Or USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : 1
1')CC_'LIPANCY GRP. . :R3 F"LIIIOR DRAINS. . . . . . . :0 TP.APC . . . . . . . . . . . .. . . :0 m
_TORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . 10
FIXTURES-_--_- - - --- LAUNDRY TRAYS. . . . . . : 1 5F RAIN DRAINS . . . . : 1
SINKS. . . . . . . . . . s 1 GREASE TRAPS. . . . . . . zO
LAVATORIES'. . . . . :4 C THE F I X T L RES. . . . . :0 •
"I UB/rSHOWERES. . . . z SEWER LINE (ft) . . . . :0
WATER CLOSET . . :3 WI-r TCR LINE (ft ) . . . . : 100
DISHWASF-IEF?S. . . . : 1 RAIN DRAIN (ft) . . . . :0
ar
Remarks . PATH I
OWNER:
F'ENAIr:SANCE CLJi.aTOh9 140MES INC TIF` $ 1`_90. 4)Q1 LA 07/x_6/95 95-268115
1672 WILLAMETTE FALLS DRIVE aWM $ 180. 00 B 07/26/95 95•-868495-
Sbil+l i. i00. I'll 0 D 07/26/95 95 -1:68435
WEST L.INN OR 97060 RPRT $ 72t-)'. W;0 B 07/26/95 95--268455
Phone #. x.57--1300Qi Hf'LC 'b "-i�i). 0171 SW ��7/13/9a 95-26 8039
B5PC $ 36. 28 R 07/26/95 95•-268485
I>lr_rmbing Contract _._. ...._ _ . _ ..._.... PARK $ 500. IL k3 ." /--"C wE,t3405
MPRT $ 45. 00 N 07/26/95 95--268485
Name : IYIPILC $ 11. 215 B u?7;;'£,/95 9 _.2(,84(]5
Address :.._._.__ M5F'G $ 2. 25 B 187126/95 95--268485 '
City: _ ataL1y 3Brii 1; 00 D 07/2 C,/95 95-26,911135
Z:.p. � Phrone#: I-15PC $ 11. 25 f+ 07/26/95 95-•-i'E,8465
Reg iAdditional feet, not s;h u w n here. . . . . . . . .
I.;
REQUIRED INSPECTIONS -- --
1 This permit :.s issued sr.tb.ject to the reg--
dations cunt,iined in the Tigard Municipal Footing Irrsp Insulation Insp '
Code, Static of Ore. Specialty Codes and all Foundation Insp Gyp Board Insp
i other applicable laws. All work will be done most/Beam Structt Rain drain Insp
in accordance with approved plans. This Po-.t/beam Mechan Water Line Insp
permit will expire if work is not started Crawl Drain Water Service in
�-,ithin 1130 days of issi_rance, or if work is Plm/urrdsl r Insp Appr/':3dwlk Insp
'.klapended for more than 180 clays. PLM/Underfloor Me,hanical Final
Mechanic.- l Inap P1o!.mb Finial
Plumb Top Out BuiIdiny Final
Framiny Insp Erosion Control
^ Fireplace Insp
-64
C3.. +a L. Tie Insp
Authorized r'Iumbing Contractor signature
l Cial 1 for ir. spec:t i on
Cant r-•a�c i;-a r: Notes :
, i
a
a
r
tg71u�e�y. t
1
MASTER F,ERMIT
CITE( OF TIGARD DATEIISSUED: . 017/26/95) r�}:
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Orpon 97223.8199 (1303)1339.4171 F'ARCF_L: rr51 101DA QI�4U1'L
SIT : ADDRESS. . . - .I.052'E (SW NAEVC ST
SUBDIVISION. . . . : RENAISSANCE SUMMIT' ZONING: R-3. 5
EALOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :013
BUILDING
;_:I`iSUI :MST95-0016 DWEI._.L I NG UN I T3: 1 BASEMENT. . . . . . . . :0 s'f
CLASS OF WORK.. :NEW BE:DRMS:3 BATHS::.3 GARAGE:. . . . . . . . . . :759 s f �
TYPE OF USE. - . :SF FLOOR ArREA;___._—__._._.-.. REDUI RED SETBACKS--_____.__.__
TYPE: OF CONST. :5N FIRST. . . . : 1439 5 f LEFT. . : 10 ft RIGHT. : 10 ft
OCCUPANCY GRP'. :R3 SECOND. . . : 1.720 =f F PONT. :20 ft (=EAR. . :44 fft
STDRIUS. . . . . . . :2 FINDSMENT:O S RErLiTRED
HF IGI-iT. . . . . . . . : 19 'rt TOTAL-----:3150 s'F SMOKE DET ::CTORB. :Y
FLOOR LOAD. . . . .40 psf VALUE'. . . . . t : _'16610 PARKING Sr'Ac ESE. . : 1
elr xrl<s : F'ATH I
,
P LUMU I NG
INKS. . . . . . . . . . : i FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . : 1
LAVATORIES. . . . . :4 WATFR HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
FU1?I/EifIOWE:Ra. . , . .,3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . .0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GRCASE TRAPS. . . . . . . :0
DIS1AWA1HERCi. . . . : 1. WATER LINE (ft ) . : 100.1 OThiE:R FIXTURES. . . . . .0
GARBAGE. DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASH ING MACH. . . : 1 OF RAIN DRAINa. . : 1
----_—_.________— MECHANICAL. ______. ____.___ ____,_.__.._._.__.__.___._._ -__.___ FEES
F"UE:L TYPIES-•__,.-.-___.__-.-_ UNIT HTR5"). . :0 type .Aino1.rnt by (JiAtt_ r•er_-pt
;'GAS/ / ! VENTS . . . . . :0 TIF 1590. 00 B 07/26/95 95--•268485 l
MAX INPU•r:IZi BTU VENT' FANS. . :4 SWM 1 180. 00 S 07/26 /923, 95 `L+A4Q
FURN < 1001; . . :0 HOODS. . . . . . . 1 SWM $ 100. 00 B 07/26/95 95--268485'
'URN ) fw10a171{; . . - 1 WOODSTOVF_S. :1b BPRT 1 7,2 3. ";0 B 07/2,(:/93 95- ;2,G848 c;
FLOOR FURN. . . . :0 CLO DRYERS. : I SPLC 9 50. 00 E,W 07/13/95 95-268039
ROIL/CMG' ( ,:3HP':0 OTHER UNITS: 1 P,17)C 1. 36. x:f3 B 07/,"'6/135 95• w6t34•E35
GAS OUTLETS: 1 PAF V, 7 5001. 0111 B 07/26/95 95-268485
i:awner : —.___..._______._.__.__._....___...._..__...._._._._____....._...--- hIF='rrT' t 45. 00 B 07/26/95 95-268485
RENAISSANCE CUSTOM HOMES INC MF'l_C $ 11. 25 B 017/26/95 95-268435
167.:' WILLAME::TTI::: FALLS DRIVE M 5 P C 4, "' 25 B 07/x.6/95 95•-26848',.; f
3B"'H -,-.5. 00 B 07/26/95 95-268485
WL:51 LINN OR 17068 P'cPC: 11 11. �:5 i•.a 07/,2x./9 95--c:684I.15
Phone #: 557-8000 EROS 88. 00 B 07/26/95 95--268485
:ontrar.:tar,: --_._,..____._________...___._.._.._,..._..._. .....__.ERF'C b :_8. 641 I- 07/26/95 95--268485
T'RI --COUNTY TEMPI CONTROL ERFC 28. 60 B 1717/26/95 95--•268485
1.3651 SE: AMBLER RD
CLACKAMAS OR 97015
':Ihone ##1 777--::874 OR
Rey #. . : 72623
$ ::36[1. 7.?, TOTAL
This permit is issued subject to the regulations contained in the ...... REOUIRED INSPECTIONS -- -_.--
'igard Municipal Code, State of Ore, Specialty Cedes and all other Footing Insp r'l,imb Top O�st
applicable l&s. All war-k will be done in accordance with app^oved Fol.lridatiun In�.p Fr-Aniny Insp
glans. This permit will empire if work is not started within 180 Post/Bea-rm Str-,_rct Fir-tplac_•e Insp
days of issuance!, or if work is suspended for more than 180 dais. Post/Beam Merhtrn (gas Line Insp
Ci-,Rvil Di-tain InsvIation Inssp
I"'ermitt;ee 53 ' 1 'At'_l"P, � _ F'lm/l.sndslab Insp Gyp Board Insp
r'LM/Underfl¢¢ur Rain drain Inf;p
? slued By : F. __..._._ _ .. _ _.�._.. M.Ji,tni art Insp Water Lire Insp
Co-ill for-, inspec.:tieri - 639•--4175
a
.,�.„.. Nq�swor.e +M fi, .� iv7tM�, ' wap ., >Pa ' " ���� .r�Ml"'"�+ v:.•M,.m'. phr,�a k ^'"
..ar.aW:lw. -rr.r.i....v...,y. .. ........ ... . 1
targ
mi
PrC:r IT
CITY OF TIGARD DATEIISSUED: 07/26/9
COMMUNITY DEVELOPMENT DEPARTMENT
13125 8W Hall Blvd.Tigard,Oregon 07223.8109 (503)839-4171 PARCEL-:: c S 1 10DFa-0::400
I T[ AI)CR1_'.SS. . . : 14}_ ._,e `:3W r A.L.VL i
SUBDIVISION. . . . : RENAISSANCE. SUMM I't ZONING: R--a. a �
IaLUCI'.. . . . . . . . . . LOT. . . . . . . . . ., . . . :010
ENANT NAME. . . . . .
USA NG. . . . . . . . . . . FIXTURE UNITS. . . �
(:'LASS OF WORT:. . . :NEW DWCLl..!IVIG UNIT5. . : 1
TYPE: OF U5E. . . . . :SF NO. OF BU I1_D I NGS: 1
INSTALL TYPE. . . . : I.AUSWR IMp'cpv StJRf ACL. . : : sf
Remarks: PATH I
s
r RENAISOANCE CUSTOM IAOME=j INC tY4)e amrz)l.lnt by date recpt
f 1672 WILLAMETTE FALLS DRIVE PRMT $ c.:: :Z10 00 B 07/2,6/95 95-c'68�+ .i y
I1''1�3F' $ 3r. 00 8 0-7/, ::/95 `)a--21G8485
WEST LINN OR 97068
Phone #: 057-8000
J.?NTROCTOR NOT ON FILE
91 0:.,235. 00 TOTAL_
- ---- REQUIRED INSPECTIONS
.�"s Applicant agrees to comply with all the rules and regulations Sewer lrnc;E)ection _ _�_•�__,___ ._
J the Unified Sewage Agency. The permit expires 180 days from
`he date issued. The total emount paid will be forfeited if tht _,___ _,.___�____ ._______ _�. __ .-_•--..--••_---.
aermil expires, The Agency dogs not guarantee the acc,racy of the
tiide sewer laterals. If the sewer is not located at the measvement
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 lateral. __.____�____,.•_._.__._ __ ____. ____ -
1=er•mi.ttee Si n>at t
,
1.s g u e d By
Cal for ins>pectior. 639-4175
4
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 9 3- 0011
(503) 6394171
'Jobsite Address: 109
`-subdivision: �i I��`�(41'1C�,,,fit-�m� Lot# �' �
Office use Only
Valuation:
Corner Lot? Y 1� Permit# hi 3 --U Z 14/
Flag Lot? Y CN�, Reissue of bZT q 1 0(,)I t.4 i
Map & TL#
Owner: Approvals Required i
Address: `` I��I L�a a-LJ.t I�A J Or. Planning
11 V 4 h)-in , ()r.�- i' g Engineering
-7- I
Phone: Other
Contractor: Items Required
Address: [(r"1,9 (tarty I�� f n de.� k✓a . Subcontractors
W�'c'f- ren, ok, Cl-76&
Truss Details
Phone: A-Z 2-) Other �
Contractor's License # (�q �IS91)
(attach copy of current Oregon license) i
i
Contact Name & Phone:
1 r
Subcontractors: Arch itect/EngIneer:
Plumbing: FQ �LUYYI�IYI�• _ Address:
Mechanical:( (i Irl __ ,�C�r�n!.��. �'i•� �i '
(attach copy of current OR ntractor's License)
Phone:
JOB DESCRIPTION.
Applicata Signature & Phone number
Received by: _ �_,J •e� Date Received:
N MORMCOM0EVIAESAPP
T
Permit# Account Description Amount Amt. Pd. Bal. Due
s � yam, � . !� . •
MjLJf,aZ7j Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) 2S
s
Mech. Permit (MECH) 0V
State Tax (TAX) 7�-
•
Bldg:
Plumb: /1 Z�
IND
Mech: 2
Plan Check (PLANCK)
Bldg: J 0, <✓ Cie)
Plumb:
Mech: // L
C
SiuR S ySewer Connection (SWUSA) r�-
i
Sewer Inspection (SWINSP) J
f
Parks Dev Charge (PKSDC) -S °�� _ S
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) ' `J
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (Tir-IS)
Office TIF (TIF-O) _
Water Quality (WQUAL) _[ky _ �
Water Quantity (WQUANT)
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (F_RPLAN) D }� `
i
Erosion Planck/COT (EROSN)
TOTALS:
ridr i
i..
a,
111
c I'tY OF T I GARD — RECEIPT F'T OF PAYMENT RECE T PIT NO.
i
CHECK AMO' 41 5306- 73 �
NAME: a RENAISSANCE CUS'T'OM HOMES GAEiH AMOUNT 0» 00
ADDRESS t 167P SW WILLAMETTE FOLL.S 7R. {PAYMENT DATE 0 7/P6/9
WEST LINK, OR SUBDIVTSION
+
97066-
PURPOSE
7066-PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT RMOUNT PAID
..__....
BUILDING PERM 7c'''`'.,. 50 PLUMBING P ERM P i?50. 00 �IIE::C_HANICOL PE 45. 00 ST. BUILD PER 49. 78
PLAN CHECK FE t 1. i"Fj SEWER USA 2200. 00
SH:WFR INSPECT
35.01A PARKS GDC 500. 00
RE'S IDE'NTIAL_. TRAf=FII.' 14. FEES 70. 091 MA�i'�i TRANSIT TIF FEES is0P��1 �
N:37
QUALITY FACILITY FEE 180. 00 He 0 QUPNT I TY FACILITY f~h..H 267x00. (h0
1 ERUSION CONTROL PERMITFFE� Bol. 00 E~R09JON CONTROL. PLAN CK rE3a C'0 f: '
FROBIGN CONTROL. r='8. 0
t-:
10522 SW NAE`-:VL — MST 95-0274
TOTAL AMOUNT r!AIE> - _.. _. _..; .;800. 73
CITY (7F T I OARD — ErF:I".E':I PT OF PAYMENT RFCF I P'T NO. :95--2-1.680139
CHECK AMOUNT a 100. 00
NAME a RENAISSANCE CUSTOM V-1011 .9 C:.At ji.l AMOUNT a 11. 00
ODPRE:RS t 1672 EW WIL.L.AMETTE= FAL LS DR PWMEu.NT PATE : 07/13/9',
WEFT E-INN, OR SUDD I V I cl 1014
97068-..
I
I r-uRr'Clsr OF PAYMENT AMOUNT PAID PURPOSF7 OF PAYMENT G'11401-iN'T PA T D �
,i
" AN CHET* FE 7 'c 7R _.-_..._. ._ 50. 00 PUnN CHECK FF 7-- 28R 1
1
ti
t�
I
1
105PP SW NAE:VF. / 10828 SW NFaEVE-
T'OTAE_ F'1Mf:N.lhlT T''i:1I1) - - -> 100.
'a
n+.w.•^RfW'M1'p m.Mudv:=...•r�b�:+.u+m+wvwtWe.MMIMrIa+'►.n a,.. :'altn.; ;