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10573 SW NAEVE STREET 15 3A3VN MS £L_% a co oZ w F- > N w Z m u r- 10573 SW NAEVE ST CITY OF TIGARD BUILDING INSPECTION (DIVISION MST _%2_�2q-� 24-Hour Inspection Line: 638-4176 Business Line: 638-4171 SUP Date Requestedy L�—AM�klV , BLD - I_ocation 7 Suite MEC _ Cootact Persor ^ Ph PLM �'��0/� Contractor S S d'#1ce, Ph ,&_L r 1 SWR LDIN Tenant/Owner ELC _ e a ning Wall ELR _ Footing Access: _ Foundation ISI Q✓4U S FPS Ftg Drain 6 FPS SGN Crawl Drain Insper'�on Notes: 1 ---- — Slab — iT Post&Beam Ext Sheath/Shear t !` Int Sheath/Shear Framing J, !_ Insulation Drywall Nailing Firewall Fire Sprinkler z Fire Alarm Susp'd Ceiling — Roof ' hAc: _ — in AS ART FAIL LIMBI. PO—SFA-9-earn Under Slab rop out Water Service Sanitary Sewer Rain Drains AAA PART FAIL CHANICAL �� T Post&Beam - -- --- Rough In Gas Line --- Smoke Dampers Final — -" PASS PART FAIL IL ELECTRICAL — p'� Service Rough In UG/Slab Low Voltage J Fire Alarm m Final 0 PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I ]Please call for reinspection RE: [ ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk 411.Other Date Inspector _ _ Ext Final PASS PART FAIL 140 NOT REMOVE this Inspection record from the Job site. CITYITY ®F T I GA R D _ CERTIFICATE OF OCCUPANCY PERMIT#: MST96-0029, DEVELOPMENT SERVICES DATE ISSUED: 02/07/1997 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PARCEL: 2S110DA-02900 ZONING: R-3.5 JURISDICTION: TIG SITE ADDRESS: 10573 SW NAEVE ST SUBDIVISION: RENAISSANCE SUMMIT BLOCK: LOT:020 CLASS OF WORK: NEW TYPE OF USE: SF TYPE OF CONSTR: 5N OCCUPANCY GRP: R3 TENANT NAME: REMARKS: PATH I Owner: r-1„ Contractor: RENAISSANCE CUS i OM HOMES INC 1672 SW WILLAMETTE FALLS DR WEST LINN, OR 97068 Phone: Reg#: IL oc F- N m W J This Certificate Issued 02/04/1997 grants occupancy of the above referenced building or portion thereof and confirms that f6o building has been inspected for compliance with the State gon Sp Codes for the group, Occup cy, a. se under which the r$fe permi s ued. aUl INSPECT R BUILDING FFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-HOur Inspection Line: 639-4176 Business Line: 639-4171 _ BUP — Date Requested 1–Z' _AM_ Pm . BLD Location S Suite MEC G intact Person Ph . PLM Contractor _ _ ✓]� Ph S4-e- – SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation ,�n FPS — Fig Drain ICS SIGN Crawl Drain Inspection Notes: Slab _ r SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear -- Framing _. Insulation Drywall Nailing Firewall Fire Sprinkler -_-- __ —_ Fire Alarm Susp'd Ceiling --- Roof Misc ----- — -- Final PASS PART FAIL Post&Beam - -— `- Under Slab Top Out —__-.— Water Service Sanitary SewerAft, rains PART FAIL -------- - --- __._.--N%MliANICAL Post&Beam -- - ----- ----- - -- Rough In Gas Line - — - — -- Smoke Dampers Final -- - ----____ --- --- PASS PART FAIL IL_ ELECTRICAL Service NRough In -�- -- -- —_ -- -- UG/Slab - -- — --- — -- -- _-- Low Voltage J Fire Alarm - m Final 0 PASS PART FAIL W --- - -a SITE Backfill/Grading Sanitary Sewer Storm Drain I )Reinspection fee of$ __required before next inspection. Pay at City Hall, 13126 SW Hall Blvd Catch Basin I )Please call for reinspection RE' ( )Unable to inspect-no access Fire Supply Line ADA �— L/ Approach/Sidewalk date _J 2. � Inspector Ext Other Final PASS PART TAIL DO NOT REMOVE this Inspection record from the Job site. CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERM I7 13125 SIN Hall Blvd., Tigard,OR 97223 (503)6394171 PERMIT t<'. . .DATE ISSUED::. . . :01/27/97 PLM3 —00].5 PARCEL: PSIIODA-02900 SITE ADDRESS. . . : 10573 SW NAEVE ST SUBDIVISION. . . . : RENAISSANCE SUMMIT ZONING: R-3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :020 ------------------------------------------------------------------------------------- ( '....ASS OF WORiS. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . : 0 WATrI' HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES----------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 L-AVATOR I ES. . . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWF RS. . . . : 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 CUSTOM HOMES type amount by date r•ec:pt 1672 SW WILLAMETTE FALLS DR PRMT $ 15. 00 B 01/24/97 97-289424 5PCT x 0. 75 B 01/24/97 97-2894c'�i WEST I_INN OR 97066 'hone #: 557-8000 Contractor: -- _._.____.._._____–__---•---____-- MOODY ENTERPRISE INC PO BOX 98 ESTAC:ADA OR 97023 --------------------------_—____—__-- Phonp #: $ 15. 75 TOTAL Reg If. . : 597?, — ----- REQUIRED INSPECTIONS ---- --- This pereit is issued subject to the regulations contained in the RP/Backflow Prev Tigard Municipal Code, State of Clre. Specialty Codes and all other Final Inspection �— applicable laws. All work will be done in accordance with _ approved plans. This pereit will expire if work is not started within 188 days of issuance, or if work is suspended for sore CL than 188 days. co Ts9lied Dy: W –J Call For inspection – 639-4175 City of Tigard _PLUMBING PERMIT APPLICATION Planck/Rec. # 13125 6W Hall Blvd. Permit # - 061") Tigard, OR 97223 �—' (503) 6394171 MINIMUM $25.00 PERMIT FEE +ST, SURCHARGE New$irgh FamilyRealdenc Ort P iS JCC'�U Job "4* O 1 BATH HOUSE$140.00 0 2 BATH HOUSE$195.00 Address f 0 S73 s, /. Al A':zc 0 3 BATH HOUSE$225.00 m Fee ktchrdes alt plumbiny fixtures in the dwe" and the Met 100 feet of water service, sanitary sewer and $term sewer. See fees below. w.,.'.�.«s.....i FIXTURES QTY PRICE AMT 4 �t// Q Qi1C Sink 9.00 ' """' Lavatory 9.00 Owner 2 ' LA,* /' Tutt or TublShower Comb. 9.00 00170 d Shower Only q,00 / 0 6v v Water Closet 9.00 """'`•"'"'M°i"""� Dishwasher 9.00 Occupant Garbage Disposal 9.00 M'~"1d"" " " Washing Machine 9.00 Floor Drain 9.00 DO Water Heater 9.00 Laundry Room Tray 9.00 Urinal 9.00 Other Fixtures (Specify) 9.00 Contractor 0 900 D 9.00 h Sfa Ca,C/u v 2 013 Sewer tat 100' 30.00 / i" °A'rw.,r.ft Sewer-on. Addft. 100' 25.00 / / -5-q 7,1 — Water Service 1st 100' 30.00 I hereby acknowledge that Ilhave read thh application, that the Water Service ea. Addle. 200' 25.00 information given is correct, that I am the owner or authorized agent of the owner, that plans submitted are in compliance with State laws, that Storm d Rain Drain let 100' 30,00 I am registered with the Construction Contractor's Board, that the Stone 3 Rain Drain Add9, 100' 25.00 number given is correct. (If exempt from State registration, please give reason below ---elbow---) Mobile Home Space 25,00 Back Flow Prevention (( Device or Anti-Polk►tlon Device 9.00 Any Trap or Waste Not Connected to a Fixture 9,00 Describe work new ad�(tion (� alteration ( repair Q Catch Basin g_Op to be done residential non-residential 0 Insp. of Exist. Plumbing 40.001hr IL Existing use of Specially Requested Inspections 40.00/hr building or property — Rain Drain, single family dwelling 30,00 NResidential ha&flow prevention devices 15.00 r Proposed use of — J building or property '(Excspf residenf/a/back fow prevention d*vfces) C7 NOTICE 'Minimum Fee$25.00 SUBTOTAL I r� PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5%SURCHARGE CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED PLAN RE`rIEW 25% OF SUBTOTAL I rj, JS Special Conditions TOTAL - Date issued __ �� by Iair�01'25�" g z 0 Z;l+OL 0 Wax cs 00. oo, 145.4' l _ ----"---•_...-- _-_J - .. �'r � � L_..$ gip, _ - - _- _ .00. Y ot.2.3 5 S 89-52'07" W 62.56' S.W. NAEVE STREET --SETBACK LINES ADDED PER BERNICE, MAY 23, 1996, TGB. —REVISE SETBACKS PER BERNICE, MAY 23, 1996, TGB. IL N --REVISE SETBACKS PER BERNICE, JANUARY 22, 1996. TGB. --REVISE FOOTPRINT PER BERNICE, JANUARY 19, 1996, TGB go 105:75 S.va. Nave --EIGHT FOOT PUBLIC AND PRIVATE UTILITY SCALE DRAWING LOT 20, RENAISSANCE SUMMIT EASEMENT ALONG ALL FRONT AND REAR LOT LINES S.E.1,/4 SEC.10.12S.,RAW,,W.M. CITY OF TIGAW WASHINGTOM CQUWlYOREGON JANUARY 16, 1996 Center--line- Concepts Inc. DRAWN BY: TGB CHECKED BY: WGDIII SCALE ACCOUNT 15 640 82nd Drive Gladstone, Oregon 97027 503 650-0188 fox 503 650-0189 . CITY OF TIGARD MASTER PERMIT PERMIT #. . . . . . . : MST96--0297 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 0'7/11/96 13126 SW Hall Blvd.Tigard,O eW 97223.8199 (603)639-4171 PARCEL: `S 1 1DDA--02900 SITE ADDRESS. . . : 10573 SW NAEVE ST SUBDIVISION. . . . : RENAISSANCE SUMMIT ZONING: R-3. 5 BLOCK. . . . . . . . . . . LO . . . . . . . . . . . . . :0,7'0 Remarks: PATH I --------------------------------------------------------------- BUILDING -------------------------------------------------------- REISSUE: STORIES.......: 2 FLOOF ARFAS---------- BASEMENT...: P sf REQUIRED SETBACI(E---- REQUIRED------------- CLASS OF WORK.:NEW HEIGHT........: 29 FIRST....: 1488 sf GA^AGE...... 775 sf LEFT..........; 15 SMOKE DETECTRS: Y TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1288 sf FRONT.........: 29 PARKING 3WES: 1 TYPE OF CONST.:514 DWELLING UNITS: 1 FINBSKENT: 8 sf RIGHT.........: 5 OCCUPANCY GRP.:R3 BDRM: t BATH: 3 TOTAL------: 2696 sf VALLE..{s 187576 REAR........... 45 -------------------------------------------------------------- PLUMBING --------------------------------- ----------------- ---------- SINKS.........: 2 WATER CLOSETS.: 3 WASHING MACH..: I LAUNDRY TRAYS.: I RAIN DRAIN ft: 0 TRAPS.........: ,8 LAVATORIES....: 5 DISHWASHERS...: 1 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0 { TUB/SHOWEP.S...: 3 GARBAGE DISP,.: 1 WATER HEATERS.: I WATER LINE ft: 10e BCKFLW PIEVNTR: I GREASE TRAPS.,: 0 OTHER FIXTURES: 8 ----------------------------------------------- - MECHANICAL FUEL TYPES---------- FURN ( It* ..s 8 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 CLOTHES DRYERB: 1 /GAS/ / / FUPN )=100K ..: 1 UNIT HEATERS..: 8 HOODS.........: 1 OTHER UNITS...: 1 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........; 0 WOODSTOVES....: 0 GAS OUTLETS...: 1 --------------------------------------------------------------- ELECTRICAL ---- ------_------------------------ -------- - --PESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS-- 1000 SF OR LESS: 1 0 - 200 alp..: 0 0 - 280 alp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 EA ADD'L 5085F.: 5 201 - 408 amp..: @ 201 - 400 amp..: 8 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: o PER Hi)UR......: 0 LIMITED ENERGY.: 0 40: - 600 amp..: 8 401 - 600 alp..: 0 EA ADD1 BR CIRs 0 SIGNAL/PANEL...: P IN PLANT....... 0 MANF HM/SVC/FDR: @ 601 - 1@00 amp.: @ 601+amps-1000 v: 0 MINOR LABEL -18: 0 IN@+ amp/volt.: e ------------------------------------ PLAN REVIEW SECTION ----------------------------- Reconnect only.: @ )=4 RES UNITS..: SVC/FDR)=225 A.: ) 60@ V NOMINAL: CLS AREA/SPC OCC: ----------------------------------------- ---------- ELECTRICAL - RESTRICTED ENERGY ---------------------------------------------------_ A. 3F RESIDENTIAL-------------------------- B. COMMERCIAL------------------------------------------------------------------------- AUDIO i STEREO.: VACUUM SYSTEM..: AUDIO i STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM..: OTH: ;: X BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: HVAC...........: DATA/TELE CIO. NURSE CALLS....: TOTAL # SYSTEMS: 8 Owrer: -----------------------------------Contractor: ----------------------------- TOTAL FEES:/ 4783.45 RENAISWE CUSTOM HOMES RENAISSANCE CUSTOM HOMES INC 1672 SW WILLAMETTE FALLS DR 1672 SW WILLPMETTE FALLS DR WEST LINN OR 97068 WEST LINN OR 97068 Phone #: 557--800@ Phone #: Reg #..: 97599 a_ This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other U) applicable laws. All work will be done in accordance with approved plans. This permit will expire f work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ----------------------------------------------------- REQUIRED INSPECTIONS -------------_ --------------------------------- m Footing Insp PLM/Underfloor Framing Insp Bas Fireplace Nater Servicr In Building Final Foundation Insp Mechanical Insp Shear Will Insp Insulation Insp Appr/Sdwl6 Insp Erosion Control LU J Post/Beam Struct Plumb Top Out Low Voltage Gyp Board Insp Electrical Final Post/Beam Meehan Electrical SFrvi Fireplace Insp Rain drain Insp Mechanical Final Crawl Drain Electrical Rough Gas Line I sp er Line Insp Plumb Final IniLtee Sig11ati-rre : recd By = Call far inspection — 639--4175 PERMIT CIT1f O F T I CARD DATRE I ISSUED:• 07/ 11/96R96-0283 7 1 1/1965-0283 COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW NO Blvd.119",OrsW 97723•liCit (643)639-4171 PARCEL_: 2 S 1 101)r4-0�?900 SITE ADDREbb. . . : 1057 ,5 541 NAEVE ST SUBDIVISION. . . . : RENAISSANCE SUMMIT ZONING: R-3. 5 BLOC[/. . . . . . . . . . . LOI.. . . . . . . . . . . . . :020 ------------------------- ---------------------------------------------------------------- TENANT NAME. . . . . : USA NO. . . . . . . . . . : FIXTURE UNITS. . . : CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS: l INSTALL TYPE. . . . :BU SWR I MPERV SURFACE: 0 1 Remarks : PATH I Owner. ----------------------------------------------------- FEES -------------.. RENAISSANCE CUSTOM HOMES type amomnt by date r^ecpt 1672 SW WILLAMETTE FALLS DR PRMT $ 2200. 00 CJS 07/11/96 96-•281560 INSP Z :35. 00 CJS 07/11/96 96--281560 WEST 1-INN OR 97068 Phor a #: 557-8000 Contractor,: L:ONT RAC:TOR NOT ON FILE ----------------------------------------- 1-'h u n e #: E 2235. 00 TOTAL Reg #. . . -- ---- — REGU I RED INSPECTIONS This Applicant agrees to comply with all the rules and regulatirns Sewer Inspect i.on of the Unified Sewage Agency. The permit expires 180 days frog 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 frig i r the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" permit and the Agency will install a lateral. !-'el. mittee aign 7t .rr a : I S S I_t e d N y : f1 Call for- inspection — 639-4175 OC F rN J W Box B. continued Box B: 2. Measure change in elevation from fmnt property line to finished floor elevation. If the lot slopes up from the front lot line to the foundation, the figure i; positive. 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 peak/eave. + Z7ft 4. if the roof line runs North-South, deduct three feet. If the roof line runs East-West, 0 ft deduct nothing. S. Subtract orie foot for each foot of difference in elevation from the front property line to the rear property line, if the Int slopes up from the front to the rear. If the lot has no slope or slopes up from the rear to the front, deduct nothing. _ �j.�; ft 6. Total figure for box 8: 2� ft Box C. Distance to the shade reduction line. Box C: 1. Measure the distance from the North property line to the foundation near the I ft affected peak/eave. - 2. Measure the distance from the foundation to the affected peak or eave. + 1 N 5 ft 3. Total figure for box C: ��' S ft It is most useful to draw;:vertical line to represent the appropriate Figure found in box"A"and z horizontal line to represent the appropriate figure found in ut­„ "C*. The;ntersection of the vertical and horizontal lines determines the value found in box•D". The value in box "D"should be compared to the value in box"8"; if the value in box"8"is less than or equal to the value found in box'D", then the building is in compliance with th,�solar balance code. If you have any cuestions, please contact us at 639-4171,x304 or at the Community Development Counter. MAXIMUM PERMITTED SHADE POINT HEIGHT (In Peet) Distance to North-so th lot dimension(in feet) shade 100+ 95 90 851 80 75 70 65 60 55 50 45 40 reduction line from northern Int line tin feet) 70 40 40 40 41 32 43 44 65 38 38 38 39 40 41 a2 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 45 30 30 30 31 32 33 34 35 36 37 38 39 40 28 28 28 29 30 31 32 33 34 35 36 37 38 35 26 26 26 27 28 29 30 31 32 33 34 35 36 _._30 4 '425 eft_-.___2$._..12 30 31 32 33 34 25 22 22 22 23 24 25 26 27 28 29 30 31 32 20 20 20 20 21 22 23 24 25 26 27 28 29 30 W 15 18 18 18 19 20 21 22 23 24 25 26 27 28 10 16 16 16 17 18 19 20 21 22 23 2.4 25 26 5 1-1 14 14 13 16 17 18 19 20 21 22 23 24 Box D. Niaximum allowed shade point height: `i feet Solar Balance Point Standard Worksheet Address 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. First, determine which property line is the North lot line. The North lot line is the line with the smallest angle from a line drawn east-west and intersecting the northern most point of the lot. I f MOm ua I io N North-South nimension for Lot: Measure the distance from the midpoint of the North lot line to the South lot line along the described line. - feet t N �NL'RRtiSOU91 DwIFNSKiN Box B calculations: Shade point height for your residence. Bax B: 1. Determine whether measurements will be based on the peak or eave of your Which describes structure. The orientation of the ridge is also important. your residence? 1 a: If the roof line runs North-South, measurements will IMUIOM OM (circle one) be based on the peak of the roof. o 0 0 0 ' �� 1A 18 ( lc) N1 b: If the roof line runs Fast-Nest and the roof pitch is \ less than 5/12, measurements will be based on the _ eave. a J 1c: If the roof line runs East-West and the roof pitch is � 5/12 or steeper, measurements will be based on the peak. Swa.ZNS 7= ti City or Tigard Residential Buil ins Permit APRILCAlion 13125 SW Harr Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: 10 573 SV . Naeye SA, Subdivision: J]�Li1l� rL�c'e mrru Lot#- .Z O Office Use Onhr Valuation• Contact Date 6 QK196 Initials C•J ���tt.. Resu!t I/- _i 1,o c.Now Construction Only: (Square Footage) Planck/Rec# House: 2 ��� Permit# /E`1S/ l 9 �,t�/r� Garage: .— Reissue of Comer Lot? N Flag Lot? Y N Mane& n# / �' -DDA Owner. Per1CLl S Sa.hy e- CLIs�� Hcrme S Plat Address: I l.r:z S.W. VV i I Iamc*c-Ft is Dr-- Apar whRecufred 1' Planning Setbacks (�i�6N Solar Fes' Wes+- 1��� , o R . 970108 .-� Engineering Phone: ( 503 ) 5S7-B000 Other . Items Required Contractor: RenGUSSaa'1Ce Ck.t;Ftrn �'►'►cS Address: ((n 4z- I(am c+t i u l l5 Subcontractors Dr' _ Truss Details We.s� l.•►� , 02. , C17-01 Other M_ Phone: Notes _�, PU .:� u Contractors License # ©q -4 5 9 R — ---- --- (attach copy of current Oregon license) Contact Name: (-2�crrn;ce k- a rl c za k- - Contact Phone: L-'5-03) 15'!G-3 - E;000 Subcontractors: , , Architect/Engineer: N qucyrl Dn'.2�50('.,b,( F Plumbing: F-agte- PtL.Lmtii n _ Address: Q,06 N . E . lash Ave . U) Mechanics!: T-r-iCuv Ttr_,�p.Cd,,h-o I_ _ t�C-y}la,,trl , Cr • g3�0`1 J (attach copy of current OR Contractor's License) ap Phone: 5I c 3 ) ZZ-5 - 9 1 U I W JOB DESCRIPTION: V _Fc. Re s k, Ci ir 1,1c e--, 42, A icar10 Signature Applicant Phone number Received by: __ f Cate Received: r Permit S Account Descriptio„ Amount AmL pd, BaL Daae s a y7e1dg. Permit (BUMD) Plumb. Permit (PLUMB) Ment. Permit (MECti) 5�ta�i Tax to (rm BWg: o—. Plumb: Meets: i ► / 1306 Pt Check (PLANCK) c .2 , 3' sZ 5 �7 . c i Bldg: 2 Plumb: Mech:Sewer Connection $A) ad USewer Inspection '�W P) 3 3 S Parks Dev Charge (PKS� 10.50 Residential TIF F-R) 1 y u L17 0 Mass Transit TII (TIE-#AT) Z Commercial i1F (TIF-C) Indupt�ial TIF (TIF- Irteitutionai TtF (TIF-IS) IL Office TIF (TIF-0) _ OC - N `Nater Quality (WQUAL) 19d _ Water Quantity (WCUANT) Uu _ m Fire We Sa'Fety (FLS) u! E-osion Cntri Permit 1I=;-OvL4ii - = _:csion Plana (I"a:'LA��i) 1 g _ ? csicn Planck/COT (E:ROSN) 49 _ TOTALS: -