10529 SW NAEVE STREET I
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639
Inspection: J
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Fo ging Susp, Ceiling V� Sprink. Rough-in Appr/Sdwik t; 4 °f.
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. • ro
Date Requested: // 1 (I tv Time:-.—AM PM
Address: �-
Builder: Permit
T"E FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Dato:
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"PPRKED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CER'rIFICATE OF
TIGARD
ClC_I✓UE='AIVCY
CITY OF F�ERMI'r #. . . . . . . • h15T9�. Qt.:'1f � ,
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DATE ISal.J1�'D:
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Ha+t®Nd.Tigard,o�apnn 97223.6199 (503)639-4171 rjpFJ!XL C �,'�1 1 ODA-0`?7¢1G1
1+�5L SW NAr.VE ST
`iIl'E ADURi_:'"s'.,. , . : ZONINC IP 5
93UBD I V 15 1 ON. . . . : T'NA I SSANC:Ew SUMM 11
(_(I1 . . . . . . . . . . . . . :411 _.._.__..
d►_C?(.K. . . . . . . . . ... _.._.__-__.._....__.
>_I-ASS (1F WORK. c NL.Id
TYPE OF LJSC. . . •�;F"
OCCUPANCY GRP. nl�f.3
oCCUPANCY LOAD:C y�
Rwmarkga 'ATH I
RENA I S SANCF CUSTOM HOMES
1672 W I L_L.AMFTT FALLS DR
jWF'L,1" I_INN OR 97001
I G hnrre
#1 557-6000
Lontractc,r'r __._.._._........._._.__..........._ ...._.__._._.
RENA I 9ANCE t.,USTOM HOMES INC
1672 SW WIL.LAME:Tn E'WL.LS F)R
I WEST LINN OR 97068
01-
This C:�,er'tificate yr giants ur..r_atFyerncy of ttre��ht�r3Pr�ove r inoperted for- compliancewith
1
t)�1or�eof ;unci confirms that the building
I the Stat
of CJregrrn C;E�e±c'i8lty Car1�+s for the cIr'•e••_trr, ;�r,'�sE>An �v, �nrJ �_ts� uti er�
Iic.h _A-t p, roferrenr_od f Was a.s+s'.ted.
1 � BUILDING
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Fiione: 639-41
Inspection: - •
Footing Susp. Ceiling Sprink. Rough-in Appr!Sdwlk
Foundation Plbg, Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Fibg. Tip O,, Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line
Plbg. Underfloor Rain Drain Framing Plumb.'
Alarm Water Line Insulation
UndedIr. Insul. Shear W II Gyp. Bd. '
r Time:
Date Requested:__ Y AM PM— •
Address: /-
Builder: Permit #:_ •.�� �.
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:: -- _ -- Date:_
Z—O'PROVED DISAPPROVED _APPROVED SUF3J(.CT TO ABOVE
Call For Reinsp.
I
CITY OF TIGARD BUILDING INSPECTION NOTICE •
Inspection Line (P,ec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Susp. Ceiling Sprink. Rough-in r/Sdwlry�
Foundation Pbg• Underslab Mech. Rough-in Fireplace
Post/Beam Struct, Plbg, Top Out Elec. Rough-in FINAL: t
Post/Beam Mech, San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
i
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall
Gyp. Bd.
Date Requested: Lt 9s— Time / `AA PM
Address:_ Ly
Builder:��, `�, Permit a:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
� C x•11''( 1/�-k GSiIGZ_L/�- ),�"fgn � / �-1
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Inspector: Date:
_ APPROVED DISAPPROVED APPROVED SUBJECT TO Af30V
Call For Reinsp.
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CITY OF TIGARD PLUMBING P,`RMIT •
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COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . • : F'LM95 �-'S'D
13125 SW Hall Blvd.1lperd,Oregon 9722398199 (503)430-4171 DATE 1 c;gUED: 10/1.-1 95
17 J.
PARCEL: =S 1 10' A-. 0;-700
SITE ADDR175`.:3. . . : 10529 SW NAEVE 5T ZONING: R-3. 5
SUBDIVISION. . . . : RENAISSANCE SUMMIT
BLOCK. ,. . . . . . . . . . LOT. . . . . . . . . . . . .
.--_01 E3__._...___.__.________
GARBAGElDISPOSALS. . : MOBILE HOME SPACES.
)° CLASS OF WORK. . :NEW WASHING MACH. . . . . . . : BACKFLOW PREEVNTRS. . : 1
_ d TYPE OF USE. . . . :` F 'TRAPS. . . . . . . . . . . . . . . o
OCCUPANCY R , FLOOR DRAINS. . . . . . . .
WATER HEATERS. . • • • • • CATCH BASINS. .
LAUNDRY •T�?f�+`r'S. . . . . :
STORIES. . . . . . . . :: c SF RAIN DRAINS. . . . . :
FIXTURES-- ------ . . . : GREASE. TRAPS. . . . . . . :
SINKS. . . . . . . . . . IJRINAL.S. . . . . . . . . _
OTHER FIXTURES. . . . . •
r LAVATORIES. . . . .
: SEWER LINE (ft ) . . . .
TUB/SHOWERS. . . .
WATER LINE. ('Ft ) . . . . :
WATER CLOSETS— :
DISHWASHE:RS. . . . : RAIN DRAIN (ft ) . . . .
Remarks : Install r :sidential backflow prevention device
FEES
Owner: ---_.___--.-----____...__._
type amoi.rnt by date r^ecpt
RENA I SEANCE" CUSTOM HOMES.�
F'RMT � 15. 00 ,TSD 1(A/1::'/95 995-271592159c
167.'-_' WILLAMETT FALLS DR
�F'(,T 0. 75 JSD 1.0/1;='/9c
ct; WEST L_INN OR 970613
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Phone #: 557" [71�IIZ1Q1
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Cant Tact or^
ISE, INC.
MOODY ENTERPR
P. O. BOX 913
ESIAC:ADA OR 97023 15. 75 TOTAL I
V,hone #: 631 ;1_'3113
. e q #. . : 5973• REQUIRED INSPECTIONS -------
This permit s issued subject to the regulations contained in the
iRE'/Bacl<f 1 aw F'rev
Tigard rmitMunipal lode, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work 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 fcr sore -
than 180 days. _ ------.. .
1 s s�_:e d Bye � �•�•._..._.�._._!�•=___�.. .._.. _ .__.r.._.-__..__._.
Call for- inspection — 639-4175
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City cf Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SIN Hall Blvd. Permit # !..►j^ 6-3
Tigard, OR 97223
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(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
Ipm.a •m New Single Family Residences Only ---� -
�
w�s.r ❑ 1 BATH HOUSE$140.00 C 2 BATH HOUSE$195.00
Job l 'S ? V tJ ❑ 3 BATH HOUSE$22.;.00
Address u Fee includes all plumbing fixtures in the dwelling and the first 100 feet
rLC� �j of water service, sanitary sewer and storm sewer. See fees below.
FIXTURES QTY PRICE AMT
Pcl P y r r/'���� Sink 9.00 >r
M."wklw. °App Lavatory 9.00
Owner Tub or Tub/Shower Comb. 9.00
currm«•
ZIP Shower Only 9.00
Water Closet 9.00
«bm l
Dishwasher 9.00
Garbage Disposal 9.00
Occupant M."Feu..• Washing Machine 9.00
Floor Drain 9.00
c+wda• m Water Heater 9.00
Laundry Room Tray 9.00
N«n. Urinal 9.00
Other Fixtures (Sprrufy) 9.00
Mom www gyp • 9.00
Contractor 1 0, p' Q / S � (��
'.NC �(c7 9.00
-
urrw«. nn 9.00
5
Sewer 1st 100' 30.00
slat.R.".•tl•n Na. CMI U...T..No Sewer -ea. Addit. 100' 25.00
t -7 `/ � �_ Water Service ist 100' 30.00
I hereby acknowleagg that I have read this application, that the Water Service ea. Addit 200' 25.00
information giver is correct, that I am the owner or authorized agent of - -the owner, 1r,zt ;dans submitte.l are in compliance with State laws, that Storm d Rain Drain tat 100' 30.00
1 am reg!stered wPh the Constmrtlon Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00
number given is ,orrect (If exempt from State registration, please -
give reason below.) - Mobile Home Space 25.00
17 Back Flow Prevention
1�) I/9���r' �0 Device or Anti-Pollution Device 9.00
Do. Any Trap or Waste Not
J Connected to a Fixture 9.00
( Describe work new 0 ad tion Q alteration (D repair Q Catch Basin 9.00
to be done residential V non-residential Q Insp. of Exist. Plumbing 40.00Rrr
Specialty Requested Inspections 40 00/hr
Existing use of -
building or property Rain Drain, single family dwelling -� 30.(10
Residential backflow prevention
devices 15.00
Proposed use of
building or property - "-
'(Except resident/al backflow
prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 100 DAYS, OR IF 5% SURCHARGE r
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PIAN REVIEW 25% OF SUBTOTAL
i TOTAL
Special Conditions
_� -- Date issued _ by_
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C' I W C)t' 1 I OiWO - lit (a I I.,! Cw P1 IYMt-N 1 I-;I 1. ! I{•'I NII. f 7"•,~ iw'I I b4in
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IL1J1)ftfrl-i.; JJ1){'� J'OWEi l..{1lV.t),:;1;t11')iJ(1 IlivrI'll N1 01-41L t :1.f11� a�.'��i`y
PC) fiUX 913
ES](4GIADA COR 9
r!l1HWl)!at I F40MVINI1' 61fYILIIJhJ t c'aI.L a !'t Ittl'I I;,1 Ltl t ,1;tit M'1 I Ihr1 it'll I I
I-•'1_I.IMSI1\11; 1'I ItM f•1.M95--Vl.••VNJ 1",. 00 444 1.11111 11 1'1. 1;
PLUMB I P11 I'I HM f=L_M95 -030i4 : 15. IN) f.i 1'. 1.111 11 .1) L'F.lq 0. i b �.
PLA-11414)M1 I'I IN PI..Mt 15-03,(A i 1 IS. 410 Ci 1. JAI I t 1..1) Pir p 0. r 5
PL.•UMPI N1 1 4h 4 RM Pt.M9!�i."B 304 Vi. 00 +f. Al L 1....1) I't p1D. 15
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PLUMJRINI,i I-1 RM t''I. 114`.`i°-031116 1 00 !i1 . 111.)11-.L) 1•-'I:.R 01 ti
i:'t...UMP I NI I r ItM f 15. OIA !:i 1 Ht I11. D 1-'I- R 0 5
1�,L.I.aMC)I Ni I ,1 I4M t'L.M'4 I�I:?0i 3 1",. vIV1 '-�I . BI 11.L 1) ff-..P IA. 15 � R
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-41
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Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Hough-in Fireplace
Post/Beam Slruct, Plbg. Top Out Elec. Rough-in FINAL:
G •
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. {
z ' Alarm Water Line Insulation -Mech.
Underflr• Insul. Shear Wall yp. Bd, -Elect.
I Date Requested: /„ ��f�jJ Time: AM PM
Address:
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Builder: _ Permit # 5r '-d�,/6
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date; Z I �
PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
I Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Aec-O-Phone:639-4175 Business Phone: 639-4171
yxn�y �fa�r IAC ra.
Inspection:
Footing p.SUS Ceiling �' � } rtTl fi ��
Sprink. Rough-in Appr/Sdwlk
Foundation 7-
Plbg. Underslab Mech. 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
nsulation -Mech. 10
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. i jf
Date Requested:_ % /y /
t Time: AM PM
Address:_
Builder: Permit #: � U
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:
Date:
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4� A ROVED DISAPPROVED ,APPROVED SUBJECT TO ABOVE
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iCall For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec O Phone): 639 4175 Business Phone: 639 41-
Inspection: --- "'
Footing Susp. Ceiling Sprink. Rough-in AppNSdwlk
Foundation Plbg. Underslab Mech. Rough in Fireplace 4
•
�'ost
--- /Beam_St�ct. g. op Elec. Rough-in FINAL:
__ _.._
@osUBBeam Mech? San. Sewer as Line Bldg.
r F*g-. Underflci r Rain Drain rraming -Plumb. ' e
arm ater Line Insulation Mech.
Underflr. Insul. fall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address: +J J`—� j SCA. 'e.� �.P
—, CA
Builder: Permit#: � _
THE FOLLOWING CORRECTIONS ARE REDUIRED: i
00
13.�C c To Cosi Aga / LAI w,e
+ �/� TSI'l C E TG Z�rJU✓f 3 CI QC %5
I Z OAA-7ry l /fix' c�/ &4C
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Inspector:. _ Dater 75
DROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Feinsp.
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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 Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam StrL.t. 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:/ fT��_ Time: AM PM
Addr.,ss:
Builder:_ L� (J/ — Permit #:EZLI_7.S 0,.;I. s—
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THE FOWING CORREQTTONSr REQUIRED:
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Inspector. ./ / c' �� Lr e� / I rs,�•li Date:
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PPROVED `DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp. �
Community Development ELECTRICAL PERMIT APPLICATION �
13125 SW Hall Blvd. 7cv�t
Tigard, OR 97223 Planck/Rec. #
Permit # Vii'9,r-- G d SK
Phone (503) 639-4171 Date Issued 3) ---
FAX (503) 684-7297 Issued by
CITY OF TIGARD TDD No. (503) 684-2772
Inspet.;tion (503) 639-4175
1. Job Address: t - A vi 4. Complete Fee Schedule Below: pis
Name of Development S r� Number of Inspections per permit allowed
Address 1 0 _ ►u S Service included: items Cost(ea) Sum
�. 4a. Residential- per unit 4
City/State2ip
�--j-�-------- loos sq n or less $l+000 � t Q •
Each addilione1 500 sq It or G 1
Nan c ;or name of business)_[?- i S S a w c s podion thereol �� $2500
rte_
-- Limited Energy _ $2'_00 _ 2
Commercial 0 Residential Q— Each Manut'd Nome or Modular
Dwelling Satvix or Feedur $6800
2a. Contractcr Installation only: 4b.Services or Feeders
Installation,aaeratron,or relocation 2
Electrical Contractor (r- _ re 20o amps or leas $8000 2
201 amps to 400 amps $80 00 2
Address P_0 . Y`� —• 401 amps to 600 amps $12000 2
City s• 1 ��� 4-.. State-VL--, Zio qn D 1 601 amps to 1000 amps $180.00 2
Phone No. L .S '2 Cher 1000 amps or volts $34000 2
Contractor's License No. t—L- Reconnect only $5000 R -- � _
Contractor's Board Reg. N0. -.S -,t' L4--q--- 4c.Temporary Services or Feeders
Installation,alteralion,or relocation 2
v �� $50 00 `
Signature of Supr. EIeC'n C i e ._ �. 200 amps al,less 201 strips to 400 amp@ $7500
2
License Phone No. Ll`1. 401 amps to 600 amps $100 00
Over 800 nmp@ to 1000 volts
2b. For owner Installations: see'b "'"""
4d. Branch Circuits
Print Owner's Name Now,alteration or extension per panel
Address �_ n)The fee for branch circuits with
purche"of ser,ice or feeder Ase. 2
City State Zlp-- Each branch cucurt $500
Phone No. b)The foe for branch circuits Without
purchese of servks or Moder Ass. 2
The installation is being made on property I own which is First branch circuit $3500 2
not intended for sale, leash or rent. Each additional branch circuit $500
Owner's Signature 4e. Miscellaneous
(Service or leader not included) 2
Each pump or irrigel on cede s40 n0 2
3. Plan Review section (if required): Each sign or oullito lighting $4000
Cignal cimurt(e)or a lunrted energy
2
Please check appropriate item and enter fee in section 5B. panel,a8aralion or extension $4000 4_
4 or more residential units in one structure Minor t.abals(10) $10000
Service and feeder 225 amps or mora 4f.Each additional inspection over j
System over 600 volts nominal the allowable in any of the above
Classified area or structure containing special occupancy par inspection S3500
as described in N.E C Chapter 5 Pet hour $5500
'n Pln•,' $55 n0
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 17, P,
'n. Enter ,otAl of nbovo foes $ -
NOTICE 5'/zw,char7e(.05 X total tees) $ .__/ L_�') �>
Subtotal $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b.Enter 25%of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Plan Review if required(Sec 3) $
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS _
COMMENCED. 04rust Account tl
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Balance Due $ ,x'-1
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line Rec-O-Phone 639-4175 Business Phone: 639- ,
Inspection:
Fuoting Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
40
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. (San. Gas Line -Bldg.
Plbct. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Meth.
•
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
- 7 G Time: AM PM
Date Requested:_ / — s
Address:
Builder: _ __Permit #: v4-CT
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Date:
Inspector:
ROV D DISAPPROVED _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-z�
0
Inspection:
Footing Susp. Ceiling Sprink. Rough-in dwlk
Foundation I'Ibg. Underslab Mech. Rough-in
r I
Post/Bearn Struct. Pibg. Top Out Elec. Rough-in
FINAL:
Post/Beam Mech. Sari. Sewer Gas Line -Bldg.
-Plumb.
Plbg. Underfloo Rain Drai Framing
Alarm Water Line Insulation -Mech.
Undedir. Insul. Shear Wall Gyp. Bd.
-Elect. '
/Z G / •5�-- PM
Date Requested:__ ( o / Time: pN1
Address:
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED-
914
Date:
Inspector:
ROVED DISAPPROVED _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
Inspection:
Footing Susp. Ceiling Sprink Rough-in r/Sd
oundationj Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: �r
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing Plumb,
Alarm Water Line Insulation -Mach.
M
•
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Raquested:_ Time: AM Z.—f"-
n �
Address:��_' 2 _/
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Date:
pe tor:
Ins �i
PPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE:
i
_Call For Reinsp.
r
r
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639- 71
Inspection: ---
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
(:F:ound� Plbg. Underslab Mach. Rough-in Fireplace
r Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: 41
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:_ J ' S_ Time: PM i
Address:
Builder: <'cr�"� 'tai%i/C°c� Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
S .
1 '
1
P '
Inspector: — Date: �'S~
PROVED _DISAPPROVED _APPROVED SUBJEC' TO ABOVE
—Call For nemsp. I
i
i
Willi k*
(, i'LJlMBIr, PERMIT
CITY OF TIGARD ATESUED: 0 ;2"
COMMUNITY DEVELOPMENT DEPARTMENT
13126 8W Hall Blvd.Tigard,Oregon 97223.8199 (603)039.1171 GARCiwJ...: 351
!_)BD I V I S I[_1N. . . . : PENA I^SANCE SUMMIT ZONING' R -3.
J.._[)CJ(. . . . . . .
LOT. . . . . . . . . . . . . .OIL
::L.f1,.,'3 Or WOPI
�'YF'E OF USE. . . . !Sr Wi1':,FiIJJG MACJi. . . . . . « : l )V1f�C';1=L.OW PRCt�'N'fRB. . : 1 .
n^GIJt Gll`1C;'r' Orr'. . :R3 FLOOR DRAINS. . . . . . . :� TF1+aF='C. ., . . . . . . . . . . . . :�!
S �-• WATER HEATERS i CATCH TIAE;TNS. , . . . . . :C<,
...TORIC,:,. . . . . , . . :� RS �;!' "7f11!V L?S�S�.,I�.,« . . . . : 1
IXT'URf•.r...._._.... ._._-. ... . .,.. L.AIJNDP)' TS;A'''r. . . . . . ; I ns^
aF;^. . . « . . . . . .
i GREASE TRAPS. . . . . . . :0
IN �
W'JATORIES. . . . . :4 OTHER f IXTURCG. . . . . :+�
UB/SHOWERS. - - - - SEWER LINE (ft) . . . . :0
'ATER CLOS)ETS. . : _ LJt�T'r.'F2 1-.TJJ1� (ft)
DISHWASHERS''. . . . a 1 RAIN DRAIN (ft) . . . . 40 e
I4,mavks : PATI-1 I
r",L,tn'i - !'i.: TIt-
1.672
t-1.E+7,:_ WIL.L.AP1E T C i'AL-J_;i DR OMM $ SCi0. 00 B 0'!/25/95
GiiM !, 1 00. 00 D 05/12.15/11)5 -
-JEST LIIVN OR 170G,3
IIPRT i• ',35. 50 13 05/"25,`)5
t7orr!I? gyp: 557..,13000 BPLC $ 50. 00 SW 05/16/95 95....
B5PC: 1 34. 218 B l 5; :`3/95 o
r'AP11. F 00. 00 S 05l
MPRT t 40. 00 B 05/25/95
r1PL.0 1 1 .1. .:.:. D 40`1;:1 ,/`:7`,
Name .- 44%l �L-t�a 11
Zit. f�' hb�.4 MFJVIC $ 2. 25 B V15/25/95
A d t;yr e 5+
' ltd'
' ;-C',•,fTIr.� : i:i u1.. tlZ�lCJ Il V` /C
y J '
City ' TLaB ar5JTf/95
Z P. g72-x. 7(. (, :ir 1i, .1T181 fEH `i l7i'l Jr : i34c 1f
T... y. . . . . . . .
79I6?F ),V10Ar
REQUIRED INSPECTIONS
is is�� .iad �.,i�.)ent to the y,eg.. T.ns , ITISIAlatiOn InSP
Ilatiun c-ontained in the Tigar^d Mut)icip�al F"c�r;tiny � „t
Code, State of flr^z. ,per_S.al *}+ Codc�5 .and ,:all. F-a�.+, dation Irrhla tayp Board itl l
other ayppli�:a; .ile la,wsI. All work will be done Posti'LIeam Strutt Rain drain In;s,p
i1y ar.:r..o;-danca with ;Ipproved plAnl- Thi � ).,I3am !�!,� -1-,.-+n w1,-Jnr .._ine Tor
pe''I will exiri-,t if wor14 is not started C: cy:,I Dr-ain Watto- Ser,vice TY,
uultJ�ir, iB4j r!ay ,�f i .�al� r , or• i .r ,,Ir;,^k , m/undslal; Ir,yp Aijpy•/ dwlk Irl
nded for^ more than ir30 d::tys, i 't,inderfleor- mect"av,ical F1 , _.
Tod, O:It buildiTlci
f",-taming ?.;- - I, C-•:'r'O+ fon Lontr•r.,.i ,i s
e
ry 1 fl `
I
1.77
' _ I
,ntractor
i
1
ERMIT
.
CITY OF TIGARD p'EwRMI #. .MT#_ . „Fr . . :
: M�•�T19G_C�;: ',.�
COMMUNITY DEVELOPMENT DEPARTMENT
DAT;' 05/25/95IGSUE05/25/95 �
• 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171
rARrr-_.L.. ^G1 zQ1Dt�••0�'����
1052:() SW NAEVE 3T
UHDIVTGION. . , . : RENAISSANCE SUMMIT ZONING: n . 5
. LOT
SUILDINr, -.-. ..___.__..__..._.._......___._. . .__.
is
ISSUE:M ST9 5-_021 jDWELLING UNITS: I RA5EMENT. . . . . . . . :0 "f �
::,LASS OF WORK. -.NEW SEDRMS s 3
BATHS..?, GARAGE. . . . . . . . . . :E3r39 s f
"YPE Or UriE". . . :rr rL OOR AREA", _. . ._ .._._.._ iil_`QUIRFD
Yf'E OF CONST. ;5N i IRSi'. . . . s 14b� .if LEFT. . :O Ft RIGHT. :5 ft:
^wC�JG'Ar1C Y G;�t i2,:, GECOND. . . . 1400 -f PRONT. :40 ft REAR. . .70
:tTQRIF..S. . . . . , . : FINSSMENT:O sf REOUTRED--- -._._ ....__._.__._._____..
-Ft 1*0TAL- fi
FL.Ot7R LOAD. . . . :40 �,sf VALUE. . . , . c 000-266 PAW'%ING SPACES. . e .l
'2emarks -: PATH I .._.____.__.._...__.
PLUMBING
INKS. . , . . . . . . . = i F1..�0i2 011PIN"- . . . :171 LZAci,f L>�w t``rEviVTR�',. . : z
-AVATGRIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . .
i"UL'/7,1-10WERcLnUINARY TRAY0. . . : CATCH BASINS. . . . . . . :1l
MATER CLOSETS. . :3 SEWER LINE (ft ) :0 GRrAST TRAPS. . . . . . . .0
ISIiWASHF!2S. . , . : 1 WATC"R LINE. (ft ) . 3100 OTHER FIXTURES. . .
'
GARBAGE_' D T SP. . . : 1 RAIN DRAIN !ft) . e 0
WASHING MACH. . . 11 tar PAIN DRAINS. . : i.
F
MECHANICAL EES -
r"UCL._..TYPES , y...�w _._..._ .. UNI l 14TPO. . .0 tyP�z acmuimt by ciat,n
'GAE/ J / VENTS . . . - . 40 TIF" 1 50. 00 B 05/P5/95
-1AY. INIPUT:0 T Tin VENT r'ANC,. . :4 SWilt 7 IS0. 00 V 05/;':5/9
BURN ( 10121K . . :0 HOOD1 . . . . . . . I SWr1 f• 100.1. 00 B 05/2:5/95 �
lJRh4
)-1091K ; 1 WOOD S1'0J-0). -.0 I?PRT 1, r•135. 50 0 051215/05
FLOOR FURN. . . . e0 CLO DRYERS. : I RPLC' t 50. 00 SW 05/t6 /95 95-:26i='D
"tt11LICMi ( :>I IF :4"4 OTHER UNIT'--; I L1!"Pr.; 1. 34. !1A r. 71`'l/?v/05
GAS OUTL5Ts 1 PARI; t ;.;OO. 710 P 05/25/95
MPRT $ 45. 00 1:1 o1;/ 5/15
RENA I GLANCE CUSTOM HOME) MPLC 11. 25 D 05/2'5/9`
1�,7. WIl_l_Ah1CTT F t'r:..i..:� DIS 313TH
7 . "" n 11 e.,r;' )Jn`� _
313TH 4 ^c5. 00 R 05/E5/95) tj
wILC31' I-INN OR �17r71 ,i3 $ t 1. 2::r S 0"/2,5/95
Phone #R 5`57 -0000 CitO ffi 38. 00 It 05/ /h5 t
1:.c1nA-raac-tor•. __.. - . _. ERPC 1 !�'. Gnu r, 7l";/�'"
RE:NAIS»)ANCE CLISTOM IIUMES INC ERPC f+ 28. 60 D 05/c5/':'
W T L.I_.AMC:TTC F()I_L S Dr
WC:rT L TNN (M 97063
R e3 R #_ t.
s pereit is issued subject ►0 the regulations contained in the ~ - REOUIRED INSPCCTIONG
,pard Municipal Code, State n� Ore. Specialty nodes and all other Footing Insp Plumb Top Out
appiicabie laws. All work will ba lane in :.,:cordan.e with approved F o F-cl,dat i an Insp
F"rMminy Insp
Hans. This pereit will erplre if work is not ,aa°ted within 180 Post/tNeam Strj,.ct F'i+ a"pl�� ue± ITISP
:•16 of itsuance, or if work is suspended fr, ,10 days. r,:esTnsut/tteam Mec:har, Gar, Lire n
_ 1 ':r•�:+w1 Int-.�i�� D. ;.;ti�:1n TiI
F'1m/urt;i, latb Inst;, l:,yp Duiti^r T n s p
r - PLM/UnderfIorrt, Rain drain Insp
n v��V i1&,:trclrt'i :ti I{t:;1r Wate-, 1_.i.i1�a Tnr
�--
Call for, i nspec_t i cin — 639--4175
l
d' I il�u .
:,s + 0,, Ri
.._.. ......o,.,.....i,-.ter !'.
iLwE~Ft CONNECTION
' TIGARD F'>;xMITCITE( O� PERMIT #. . . . . . �WR�:, wt�;�
COMMUNITY DEVELOPMENT DEPARTMENT
13125 BW Hall Blvd.Tigard,Oregon 07223.8199 (503)638-1171 PARCEL. ;p:,1
105�,e1 5W NAEVE CT
SITE 4aI11?i E�::3. „ . : -LpNINC+; I~•'�. 5
SUBDIVISION. . . . » RENAISSANCE CUMMIT
r1•`'��+
TENANT NAME. . . . . ; FIXTURE= UNITS. . .
USA NO. . . . . . . . . . : DWELL T 1,117, UNI T"
C1_ASS OF W11PV. . :tlrW
TYPEw OF USE• • • • • :OF N0. OF 13U I LiJ 1 NG�a: 1
TMPERV ;U'R1'ACE. .
N STALL TYC't:. . . .
;13t.Jbin p
PATH I
FEE3 ...._._...._ __....._._._.,
Owner-.,
NC F CUSTOM 1IOt+11�C typ �amo11 nt t;v lriint Fe4Pt'
1672 WILLAME'TT FALL; DR F'FZMT 6 '�:OQt, fc�Q1 � 05/251/95
Ilt`�r K 35. Oki r, 0 /G_5/?C
_.INN OR 1717163
Y
.,ritractor.
1NTMAC:TOR NOT ON rI1_C
2235. 00 TOTAL.
+?i:J #. . : RCG1UIRf I) IiJa Ef'T.I0N0 ........_.
`nil Applicant agrees to conply with all the rules and reyalations ewer- Inype(--tiun
f the Unified .swage Agency, The per'eit expires 1A0 days frax __..... _..._.__ ____ _._ _ _r_. ---. �•._..__.__ ._.
he lake issued. The total anct.nt paid will to forfeited if the __._..____- -• .--
.erni( expires. The Agency does lot g;,arantee the accuraVy of the
ids sewer laterals. if the sewer is nut located at the eeasurenent ___.__._._..._.__...____._�-. ----»--•---- —~— - -
�iven, the installer shall prospect 3 feet in all directians fl•oa
the distance yilen. if rot so located, t1le instalier shall purchase _-_._--... .._._,._..._ "_.""'_...'... .._.N........._ t
a Tao and Side Sewer
oernit and tt � ency mil' .'l a lateral, _...._.._.._
.
............. _
C �r11 for ir.speCti:lrl E,3') lf1.75
C
5
Residential Building Permit Application
.City of Tigard
13125 SW Mall Blvd. I
Tigard, OR 97223 i
(503) 539.4171 Jobsite Address: ! (� ���} r��(�f 1(�,�-- •
// ,��JJ'' Office Use Onl
ltubdivision:RYHOO e � )
�r Planck/Rec# n -51
Valuation: •�� �
Permit # MSN-5
Corner Lot? Y � ��
Reissue of .Lv�,Flag Lot?Lot? Y G)
Map & TL#)`J,
100 E. C-3.5
Owner: �fr1C iS5UY1CfmYYly,�_ Approvals Required
Address: �� �� � WIIILZIYI �I Planning L4 YY.r.tl ,/o rif- �u�a t✓
LAY w 4 o ����� Engineering _
Phone: ��1' - Other
J
Contractor: sn«l �1�� 1 11�t1r? 1 L � Items Re-uc�fired
Address: i 1 6k- ) (r y 1((►mss' f Al k Subcontractors
_766 Truss Details
Phone: ��7' Other —.
Contractor's License #
f (attach copy of current Oregon license)
Contact Namo; & Phone: i l� I��tli1i� 700C
Subcontractors: Architect/Engineer: II l [y l
r,lumbin9 .Address: � j� raw 17,
I
Mechanical:
(attach copy of current Contractor's License) Phone: (P
JOB DESCRIPTION: GA I�• L �` 1i
Applicant Signature & Phone number
Received by: ,_,� • �_! h� � Date Received:
NiWORMCOMMARESAPP I
Permit# Account Description Amount Amt. Pd. Bal. Due
0,;f6 Bldg. Permit (BUILD) �- ��)Z �og`� 50 V
r
Plumb. Permit (PLUMS)
Mech. Permit (MECH)
l
State Tax (TAX) /
ar
Bldg: .3 •2�
Plumb:
els
Mech: Z -
Plan Check (PLANCK) ��L Imo_ f • 2
Bldg: y
Plumb:
Mech: //, Z• �_ {
CL i o" Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) -S(i� _ 3 w ✓
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) �� / 3�
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL) L
Water Quantity (WQUANT) _ ) L
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT) __
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
r sit•
TOTALS:
1
r Aa �
•�� ...rw,A.cj.. +m.Mnr.., pe.M„r.+YLn1W(n.kMISeJ'.RAAMARrtlYIMh..n
';
H
Solar Balance Worksheet
Address. I05 Z r lLv ►la_ n -��_�-c.-
Box A calculations : North-South dimension for the lot. Box A:
This dimension is determined by finding the midpoint of the
North lot line and drawing an intersecting line perpendicular
to that point . Measure the distance from the midpoint of the
North lot line to the South lot line along the described line.
ft "+ •
Box B calculations : Shade point height from your structure . Box B : •
1. Determine whether measurements will be based on the peak
or eave of your structure. The orientation of the ridge
is also important . Which
la : If the roof line runs North-South, measurements will be describes
h. based on the peak of the roof . your lot?
a lb: If the roof line runs East-West and the roof pitch is less (Circle one)
than 5/12, measurements will be based on the eave .
41,
1c: IZ the roof line runs East-West and the roof pitch is 5/12 la lb is
or steeper, measurements will be based on. the peak.
2 . Measure change in elevation from front property line co
finished floor elevation. ft
3 . Measure distance from finished floor elevation to the
affected peak/eave . -}- ft
4 . If the roof line runs North-South, deduct three feet .
If the roof line runs East-West, deduct nothing. '
— ft
5. Subtract one foot for each foot of difference in elevation ,
from the front property line to the rear property line, if
the lot ^lopes up from the front to the rear. If the lot
has no slope or slopes up from the rear to the front, -er* ft
deduct nothing.
6 . ToLal figure for box B :
ft
Box C. Distance to the shade reduction line . Box C:
1 . Measure the distance from the North property line to the
foundation. - � ft
R
2 . Measure the distance from the foundation to the affected � ft A
peak or eave .
3 . 'Total figure for box C:
a . ti
3�c ft
a
a -
i
r'
Solar Balance Point Standard r
Box A. North-South dimension for your lot Box B. Shade point- height from your structure �
feet J) feet
Box C. Distance to the shade reduction line
_ n Feet
1 Y
T.
Distance to
shade 100+ 95 90 85 80 75 70 65 60 SS 50 45 40
reduction line
from northern
lot line in feet
70 40 40 40 41 42 43 44
65 38 38 38 39 40 41 42 43
60 36 36 36 37 38 39 40 41 42
55 34 34 34 35 36 37 + 38 39 40 41
50 32 32 32 33 34 35 36 37 38 39 40 41 42
45 30 30 30 31 32 33 34 35 36 37 38 39 40
4028 28 28 29 .30� 31 32 33 34 35 36 37 38
_ 25 - 26 -26 _ �2.$. 9 �6 ... �I..-_`12 33 14 _. ...__._._
is
30 24 24 24 25 26 27` 28 29 30 31 32 33 34
25 22 22 22 23 24 25 26 27 28 29 30 31 32
j 20 20 20 20 21 22 23 24 25 26 27 28 29 30
15 18 18 18 19 20 21 22 23 24 25 26 2'7 28
!
1-0 16 16 16 17 18 19 20 21 22 23 24 25 26
5 14 14 14 15 16 17 18 19 20 21 22 23 24
�s
` Box "D" Maximum allowed shade paint height �j feet
p i
t
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931 N
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Owl 11441 &VAR
Wks Ll Im Is a 1115
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4Y.'.�'rJA4cH"vt.nlY✓an. w.+N * !�1°"' ••:w
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CITY OF 7 GARD – RECEIPT OF PPYMF NT RECEIPT NO. :95–.265869
I
f.CHECKAMOUNT ►,n7
r34. "73
NAME a RENAISSANCE CUSTOM HOMES CRSS AMOUNT a 0. 00
1 ADDRESS a 167c SW WIL.L►ZMETTE FALLS DR. PAYMENT DATE t 05/25/95
WEST LINN, OR SUBDIVISION i
97068 p
PURpCFSF OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
L�LIIL.DINd
PERM�MST' 5 -0E'1E+ –_ 685. 540 PLUMBING PERM^ 225. 09.1 ( ,�
45. 00' ST. BUILD PER 47. 78
-,
I MECHANICAL E
2200.00
I . 2200.00
1. 1. r:5 SEWER USA
PLAN CHECK FE 3a. 00 MARKS SDC 500. 00
I ,:WFR INSPECT TRAFFIC "EES 1430. Or
HIR0 QUALITY FACILITY FEE 180. 00 RESIDENTIAL
,
.�I
t
MASS TRANSIT TIF FEES 120. 00 F-20 QUANTITY FACILITY FEE 1: . 00 I
�EROSION CONTROL EaERMITFf✓F as. Q10 EROSION CONTROL. FLAN CK
I
EROS ILIN CONTROL ��. E'0
I
I
I t:D 5P9 SW NAEVE
+ ,r
f I1 l()l. PMOUN"f 57c'4. 73 i
1
I �r,
I
: - itf.(:F:1�'T OF 4 nymE:'N'I RFCE I PT NO.
CITY QE E I CARD
CHFCV, :350. 00
i
("ASH 1 `IUNT 0.. 00
JpIWME: RENAISSANCE CUSTOM HOMES PFIYME::NT 1 krl—: a 05/1&/95
5
1r�DDRE88 x 1672 EDW WILL.AM4'TTE FAILS UR 5UBDIVI�-'iION
WEST LINN, OR
970R8_,
I t1MOUNT PO I D
l l 'URI"`OSE OF PAYMENT AMOUNT PAID F:I IF2K C'iraC:, off' t''F1'r M['hIT
I ._.w__ ...._....... . .. . ._..._..... �.._.......... .c F'I E-1N 1",HE':CF( Ff�: ... :�-•`''r�hR e:50. 00 I
,JPLAN rJ-4F.CK FE 7;
PLAN CHECK FE' _.5�1 R 50. 00
NAEVF I(
I
I f1T�al. s•IMl-)L1N'F F rF1I D _ ._ __.� 350. 00
Y
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