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10580 SW NAEVE STREET zt01- 01 •t {+AI,Vw:,Y/Rw..r,r q+^...,,e:..•+Nai.` ,+w;�.«p is q }tai qn.. i •" Mw ;+4+ ;. y *. +I �.0 ADDRESS: I's --z7ae- ve. r, i, I a; r,. Brecurds\microflm\targets\building.doc I ti � { , I ' �Jwa�v/aidaMaAtliilM�N4W+rv«n.wW.�nwwh..�vu +• ..w.rtw,..narw- •«� uwwwAN1K�u," :ws„, w..✓•'.>?,,! ...,.>:;.-,.,;;... TIGARD r' C.F F2T I F 1 G`• NC OF CITY OF . . . . FvAnir.Y k.RMI'r 4E M5T95•--0017 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 01/ 18/96 I 13125 SW Hail Blvd.Tigard,Onpon 97223+B199 (503)639-4171 PHRC.E'Lt 2S110DA--01900 sa 1 T anvr{ r.� . . . t 1 05ij0 I,w 1414CA11L l 3UBD I•V I S I ON. . . . t RENAISSANCE SUMM I C r'.(7N 1 NLa t R-1. r ( CLASS OF Y WORK, a NIS W l w TYNE OF USE. . . t Sr OCC.UIDANCY GRP. :5N j OCCUPANCY LOAD: 9 � Remark s t PATH I d RENAISSANCE DEV 1672 SW WIL..L.AME_TTE. FALLS LAR WEST I...INN OR 97068 j Ph o n r #4 t 557-8000 1 Cant r^�rct ar•t ..--_._..._ _....__ . __.___._.. __._..,... _.__.__ RE=NAi 3SANCF*, D"VEI_OPMENT 167 '. SW WILLRMETTE FALL.; DR WEST I_,I NN nR 9-706121 Phone tl t 5157•--8000 Reg #. . a 499755 This Certificate grants occ�. piney of the lb-)ve referenced building ov portion thereof and confirms that the building h*Ls been inspected for Comf1liaance+ With " the State of Oregon �wac:i�lty Cosies for the yr oup oct�Upitnc.. , arnd use under r,alricli tt)e reference ^mi.t was issued. I / flUILDING INSPECTOR BUILDING OFF IC IF+I PCJGo-C IN CONSF'IL:UCJUS r't_FlC'E::' , 1 C i I t `t I t CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 1 Inspection: 1! Footing Susp. Ceiling Sprink. Rouc n-in AppNS it."/ Foundation Plbg. Underslab Mech. Rough-in Fireplace - Post/Beam Struct Plbg. Top Out Elec. Rough-ir FINAL: Post/Beam Mech. San. Sewer Gas Line Plbg. Underfloor Rain Drain F-aming1 m Alarm Water Line Insulation -Me Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: LC Time: AM PM Address: Builder: Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: in ector: Date: PPROVED _DISAPPROVED _—APPROVED SUBJECT TO ABOVE _Call For Reinsp. l � CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phono): 639-4175 Business Phone: 639-41 Inspection:_ Footing Susp. Ceiling Sprink. Rough-in Appr/Sd Foundation 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 Insulation -Mech. • Undedlr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: / �i,- - �� Time: AM PM Address: Builder:___„_ Permit #: ! S Q ? C THE FOLLOWING CORRECTIONS ARE REQUIRED: ,it 4.;rJkr4 r Y N T fir. V ti t } , •.l 4 {ti r. 1 o h Inspector: Date _ PPROVED _DISADPROVED APPROVED SUBJECT TO ABOVE f Call For Reinsp. Y CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT PLUMBING PERMIT 1 13125 SW Hall Blvd.Tigard,Oregon 97223.6109 (503)630-4171 PERMIT #. . . . . . . : PI-M')'-:- -0304 639 -417.1 DATE ISSUED' 1QI/1 :/95 PARCEL-: i='S 1 10DA-01900 ADDRESS. . . : 10580 SW NAEVE 5•T SUB')I V I S I ON. . . . : RENA t SSANL[:: SUMMIT ZONING: R- . . . . . . . I-OT. . . . . . . . . . . . . :010 CLASS OF WORT{. . :NI=W GARBAGE DISPOSALS. . : MOBILE HOME SPACES. : TYPE OF USE. . . :SF WASHING MACH. . . . . . . : BACKFI-OW PREVNTRS. . : 1 d OCCUPANCY GRP. . :R3 FL-OOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . . STORIES. . . . . . . . :2 WATER HEATERS. . . . . . . CATCH BASINS. . . . . . . . t• =-IXTURES- --- ______.-- I_..AUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . �;INKs. . URINALS. . . . . . . GREASE. TRADE. . . . . . . . l_AVATO"I E S. . OTHER FIXTURES. . . . . . • TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . • WATER CI_.OSF_.TS. . : WATER 1_1NE ( Ft ) . . . . : t DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . : Remarks: Install residential bacl<flow prevention device. Owner: --- -- __________.________._.____..._._._______.______...._____ _.... FEES RENPISSANCE DEV type amoi_rnt by date recpt 1672 SW WILLAMETTE FAL.[-S DR F'RMT $ 15. 00 JSD 10/12/95 95--�27t59c PCT $ 0. 75 JS3D 10/1.21/135 95-271-i9c_' WEST LINN OR 13706.8 Phone #: 557-8000 Contractor: -..__.-._.-.__._..__.__.___._..__._.__---.__.._.._... MOODY ENTERPRISE, INC. P. O. BOX 98 ESTACADA OR 970C::',:s Phone #: 631 x.'31.B $ 151. 75 TOTAL. Reg #. . : 597:3 REQUIRED INSPECTIONS This permit i5 issued subject to the regulations contained in the RF'/BacF4flow Prev Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection __.�•,..__�_� __.-_. applicable laws. All work will be done in accordance with approved plans. This permit wiil expire if work is not started within 180 days of issuance, or if work is suspended for sure than 180 days,. __ --- --- ----- Wpm Permittee Signature . _Q_ .J M_11 � , ISS1.1e;� By: _ y Call for in=_.p ction - 639-4175 . .. - AAI.CI^IM:UM!✓.14w,.,..._,. ,,, ........r....:..-..,r,:M,M.tlR.MMLM1IN....w'wvu,w.a nom........�,_.........,... City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 13.125 SW Hall Blvd. Permit # Tigard, OR 97223 ' (503) 639-4171 MINIMUL. $25.00 PERMIT FEE + ST. SURCHARGE I w a•.wm.p� _ New Single Family Residences Only .de./.. O 1 BATH HOUSE$140.00 O 2 BATHHOUSE $195.00 Job G �/! (� if V e_ 1v 0 3 BATH HOUSE$225.00 A('dress C"No w Fee includes all plumbing fixtures in the dwelling and the first 100 feet T' of water service, sanitary sewer and storm sewer. See fees below. FIXTURES (%TY PRICE AMT � v, is� Sink 9.00 x1 �. i._ M.iw,vb... pl,.^• Lavatory 9.00 � Owner i Tub or Tub/Shower Comb. 9.00 C,n131.1. rip Shower Only 9.00 lA/L' / ,, ,,, Water Closet 9.00 N.-I. Dishwasher 9,C0 I Garbage Disposal 9.00 Z Occupant ,•."„d*- �• Washing Machine 900 _ Floor Drain 9.00 r�ws,n• zb Water Heater 9.0111 Laundry Room Tray Y 9.00 w.. Urinal 900 V C Other Fixtures (Specify) 9.00 Me" fr..n. 9.00 Contractor 1 CSI jj phi i `��C)�!1 _ -- !J ( < G 9.00 r-"Im,. an 9.00 pl,C 702 Sewer 1st 100' _ 30.00 i �•,•�q,,,,,, ,. rA,a,. T..fx Sewer-ea. Addlt. 100' 25.00 I �y 73 1717 Water Service 13t 100' 30.00 i i I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 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 &Rain Drain 1st 100' 30.00 ^ I I am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addil. 100' 25.00 number given ;s correct. (If exempt from State registration, please - give reason below.) Mobile Home Space 25.00 Back Flow Prevention Device or Anti-Pollution Device 900 s,,,.n,r.io,,.,,.�,.,.,di I p•�• Any Trap or Waste Not Connected to a Fixture 900 Describe work new ( addition 1lteration (j repair Q Catch Basin 9.00 to be done residential `r{n�/ non-residentlal Q - Insp of Exist. Plumbing 40.00/hr i Specially Requested Inspections 40.001hr Existing use of Rain Drain, single family dwelling 30.00 building or property _ _ Residential backflow prevention devices 15.00 i Proposed use of building or properly ------- (Except residential backflow prevention devices) NOTICE 'Minimum Fee $25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5°o SURCHARGE AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 17 CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONr-D -FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK.IS PLAN REVIEW 25% OF SUBTOTAL COMMENCED. TOTAL Special Conditions Date issued i fi -.- .....,....., . ....... NowAON1ee �+Wn4eU. • M , y r Ir 1 • L:1 I `i t fP 1 I l.aldltU It! { 'I E t I UI F'e•iYPIF f,!I Ki t I I I 14t :y`5- cr'! 1`3`dc? 111�l4it1l'I 'ALI r jrJiaMl 1•i+ . E v 1 N1 sdl)lah{ t;t i t., , I 1;4'' 4; 1 ►1hJ1) (,a 1{-'1 N1; I'f-1 i Pit I'll 1 14-1(h Jo1 r.' 95 I '' I ISI L,: '!t+ '••E11;+1) I 'it';I�It�I a �' I E111 IEIr E I,IIr c� /k'h ' '� ,� 1'l.lt {-'La£y4' OF l•'NYhll N) NMl.11.lN C �i_UMP1NCr K'I=Rpl I'1 M11 ' 0301 t I . 4'41 i I l I '1 ti +�• r'ti 1. E;l...(1P143:CN13 PF{.HM I-'i of 171.3171;:' ;� �► » I),I , I 1 E I ;,r Vi. !� PLUMB 11,41.1 t'1 Pok, PI !',I '' 0.30.3 t lll� I•+L_LIM1 t 1v11 I I'4-:.1+M III I 1, 304 E i 4;l. HLI C i..+t { '1 f? 0. 75 PIA IMBINl.; I IF Rol 111 111,11. k13kti15 ' 1110111,10 Pf..I4I11 III I'E 0:106 1!4j IAV} Ii I:11)tl.1.) 1 ,, 0. 7b V1(A I•FI..I.1Mf;41hd4.1 I>F.IEM I''1 14 b—(6,3Ytif'1 1",. EZItIt ,I , Will 1) 9 J til_f- t 111A17E:�i!31s:>3 � i l f-Il.. f dMt,11 1N 1 { f 11 It t E:•. k10 ac: A "ill lo Willi11! 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 Port/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: r 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 C., Time: AM PM Address: U S_ F& Builder: Permit f1(r1 c,T THE FOLLOWING CORRECTIONS ARE REQUIRED: v � f Inspeclor:�vC,• �- Date: APPROVED —DISAPPROVE D _APPROVED SUBJECT TO ABOVE _Call Relnsp. ceo C �-� i � n 1Y nr i CITY OF TIGARD BUILDING INSPECTION NOTICE r� Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 V" Inspection: Footing Susp. Ceiling Sprink. Rough-in ppr/Sdwlk Foundation 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 Insulation -Mach. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: (�o I Time: AM PM Address: Builder: Permit p: THE FOLLOWING CORRECTIONS ARE REQUIRED: Al-, Allul 2Z 1!49AIXlel�Z_ /10 [poiy75 Date4 Inspector: : w'�o` _APPROVED _DISAPPROVEDAPPROVED SUBJECT TO ABOVE ,Call i or Reinsp. CITY OF TRD BUD NG I�CTION NOTICE ! Inspection Lineec-O-Phone): 639-4175 ,iness Phone: 639-4171 L -k Inspection: 4, 4P6st gSusp. Ceiling 5, �. Rough-in Appr/Sdwlk i}r( Plbg. Underslab Mech. Rough in Fireplace eamt—Sttrru`c-t. Plbg. To Out Elec. Rough-in FINAL: 9 P 9 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: — ��n—� Time: V AM PM Address:1 OS F-0 c > k Builder:44n.�C5' �_a_v c C__ Permit 11: �•rM 5T 9_5-091 THE FOLLOWING CORRECTIONS ARE REQUIRED: t ; ez ea ,/V a// At- llzu',te Ole- tr Inspector:_ I Date:_ L-./ _APPROVED _✓DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. QEPARTMENT OF LAND USE & TRANSPORTATION • WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12 155 NORTH FIRST, HILI-SBORO, OR 97124 *t '11111 COUNTY, PHONE: 503/640-3470 OR GO INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 eu `�Of,5953 Pro jet:t_ # P00411874 Statin AF.PROVET, Pagt' I of Appl iod : 04/04/95 I.^ued 1)4/C 4/95 Expires X0/0:1/95 0r;!0t�/9!" 0 � RESELEC r Permit Title SF1, - NEW HoTH Dozeription Begun 04/04/95 Job Address105A0 SW NAEVE ST TI t t:wner Name fNSPECTIt)N - Ti(,17kRD RiegJon 1) Applicant Name GAGE ENTEPPRISE0 INt' � Phone number 6 7-0142 3—latit:n 0 Appr<7vtx3._..___ -_._ r � Inr2p�nctor Camtn�ntti . Re,ya:t �.l�.,�,.__.._. • I V14 T6 ; t . Rt:.1,?f.lEST rRRrAt t ,r t pct S ', ._._..__._...._.... -...._._._._....... ..__.___.._.__._...._.._. .. _. i..•� tet,--Q- � .. .. 7,� , N Plumbing t. ' _. _... Me�_heriY cal ` Strur.trua►1 .. _ 6 general Inspert.ed k.y I>atit d. �. 1�i�}�Mrti�r► Itegu -rt.ed Final Electrical 0490 $ tlb/06/95 FtI ki IVlt n ,Ogg - b DEPARTMENT OF LAND USE & TRANSPORTATION V6/ASHING'I'ON LAND DEVELOPMENT SERVICES DIVISION #350-12 155 NORTH FIRST, HILLSBORO, OR 97124 COUNTY, PHONE: 503/640-3470 t OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 S Permit # . 05065953 Project. # : P0048874 Status APPROVED Page 1 of 1 Applied : 04/04/95 Issued 04/04/95 Expires 10/01/95 04/17/95 05 : 01 , r RESELEC Permit Title SFR - NEW HOUSE OTH 1, Description Begun : 04/04/95 Job Address 10580 SW NAEE ST TI `7 Owner Name INSPECTION - TIGARD Regi,�n D V Applicant Namo GAGE ENTERPRISES INC. Phone number 657-0141 Valuation: 0 Approved—JV-- Inspector Comm(--.?nts Rejected —__ "" VR-RfiSULT ;) !' REQUEST ERROR� ce cx � J u i , Plumbing Mechanical : Electrical _ ____ -- ----- Structrual : . _ General Inspected by: _ — Dste :�_/ / - 9,;"J j Inspecti m Requested : y' �► Cover & Service 0403 E AP DN IVR 04/17/95 RI BW DEPARTMENT OF LAND USE&TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,H1LSBORO,OR 97124 '1 COUNT/: INSPECTION REQUESTS: 503/640-3561/693-4415 � COUNTY, XXXXXXXXA-.-> 640-34'/U OREGONPage 1 of 1 Date 04/04/9b Time 14 : 04 Permit 'Type Residential Electrical Permit Permit # 05065953 Permit Status AT'PROVED Applied 04/04/95 t. Situs Address 1Ub8U SW NAEVE S'T' '1'1 Issued 04/04/95 Permit '1'it,.e SER - NEW HOUSE: Completed � ,, Permit Descr. To Expire 10/01/9b Project Title SE'R - NEW HUU6E Project # P00488'/4 Project Descr . * EROSION * o Parcel Number 2S1'T'I - Land Use District Valuation 0 Legal Descr. Owner 1NSPEC'T1UN - `T'1CiAilll Construction : O'TH Applicant Name LAVE ENTERPRISES INC Classification 900 Apl,)licant Addr. : PU 13cJX 1429 Occupancy " C:LAC:KAMAS OR 97015 Validated by Applicant Phone: bb'/-0142 Inspector Area Fee description Units E'ee/Unit Ext fee Data _ __ __ ----------------------------•----------- Square E'ootage-_^--- [Enter-Sq.-t*t ) 3bUU 235 . UU Subtotal Electrical E'ees : 235 . 00 State Surcharge of b' 11 .'75 246 . '!5 Total Electrical E'ees : *** E'ees Requ3,red *** *** E'ees Collected & Credits *�* ----_-_-.-------------------------------------- t Method Check # Receipt No. Date Payment CK 162b 04/04/95 246 .75 TOTAL 'THIS DA'T'E ********* 146 . 7b E'ee:, : Z46 .75 A�..1�uments : , UU 'T'otal Credits : . 00 st Total Yee3 : L46 .00 'Total Payments : 246 . '75 Balance Due : . 00 }lh' t: NOTICE: This permit becomes null and void if the work or construction for which It Is Issued is not commenced within 180 days. Once construction has started, the permit becomes null and void It construction Is Int( rupted for a period of 180 days. I certify that the Information presented by the applicant and his agent or agents in support of this permit Is true ant correct to the best of our knowleele. I acknowledge that the Building Department's reliance upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use of this building or structure will be compiled with whether or not specified on the piansor noted on the piens corroctlon sheets. I acknowledge that the granting of a permit does not grant authority to access private property or to use aitsoments, I further acknowledge that the use or occupancy of the structure or building permitted depends upon my calling for Inspections at various times during the process of construction end:he building Inspection staff vat Ifying compliance with the various codes. (ise or occupancy of the bullding or structure permitted prior to approval by the Building Department Is solely oil the risk of the applicant and such use or occupancy Is revocable until all Inspectlon requirements are satisfied and approval Is given by the Building Official. I further acknowledge that a lion may be placed on the title of the property upon which the permit's Issued apeelfying that the use or occupancy of the building or structure Is provisional and revocable until the Rallsfaction of all inspection requirements. APPLICANT'S SIONA PUREoil ^� i "" -.. 1 I I WASHINGTONCOUNTY ELECTRICAL PERMIT Departmentmentofof Land Use & Transportation ,! orInspection Section *155 Na X55 North First Avenue, #350-12 APPLICATION Hillsboro, Oregon 97124 Information: (503)6403470 Fax: (503) 693-4412 PermitPLEASE PRINT l i Number _ :50 �� ` DatePlease complete all sections, 1 through I 4. Complete Fee Schedule below Number of Inspections per permit allowed + p 1. Location of installatio — Address r E ___�__ Service included: Items Cotlt(ea.) _Sum Buildingg A. Residential-per unit City �I r i� ����� Suite No. _- - 1000 sq.1t.or loss $110.00 _� 1� �._ 4 � rr Tenant Name Each additional 500 sq.tt (if commercial) ____ or portion thereof `, $25.00 Limited Energy $25.00 1 t Map No. Tax Lot Each Manuf'd Home or Modular Dwelling Service or Feeder —_ $68.00 2 Thomas Map Book: Page:_ Section: _. Directions _ - B. Services or Feeders _ --- Installation,alterations er relocation 200 amps or less $6000 -- 2 Commercial ❑ Residential 201 amps to 400 amps $80.00 2 401 amps to 600 amps —_ _ $120.00 mps 2a. Contractor installation nl Ov i,r 100 to 1000 amps $140.00 •— 2 '{ 1000 amps or volts $340.00 _ 2 Electric al ! Reconnect only $50.00 2 o Address LJ C. Temporary Services or Feeders Date Job Number p Y Property Owner '-f Installation,alteration or relocation Contractor's License No, 200 amps or less $50.00 2 — �?;^µ �l L.�_• 201 amps to 400 amps -- $75.00 2 Contractor's Board Reg. No. I 401 amps to 600 amps $100.00 — 2 Over 600 amps to 1000 volts see'B'above Signature of Supr. Elec'n � p License No.��, Phone No. --hµ-��- D. Branch Circuits New,alteration or extension per panel a) The tee for branch circuits with 2b. For owner installations: I purchase of service or lender fee. rint Owner's Name F'hono No. Each branch circuit $5.00 2 — b) The fee for branch circuits without AUdrasa—_---_. ... `-- purchase or service or feeder lee. First branch circuit -- $35.00 2 City -_-St nto Zip Each add'nl branch circuit-- $5.00 —_ 2 E. Miscellaneous (Service or Feeder not included The installation is being made on property, 1 own Each pump or Irrigation circle $40.00 --__ 2 which is not in,ended for sale, lease or rent. Each sign or outline lighting _._. $40.00 __ 2 Signal circuitw or a limited Owner's Signature enorgy panel,alteration or extension $40.(.x) _ 2 F, Each additional inspection over the allowable in any of the above 3, Plan Review section (if required) Por inspection $35.00 Please check appropricte hem and enter fee In section 5B. Per hour $55.00 In I-lanl $55.00 _ 4 or more residential units in one structure t ----- _Service and feeder, 800 amps or more 5. Fees ,System over 600 volts nominal A. Enter total of above fees $ __.__,Classified area or structure containing special 5% Surcharge (05 X total fees) $ occupancy as described in N.E.C. Chapter 5 Subtotal $ --- B. Enter 25% of line A for Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $ — above apply. Not requlred fnr temporary construction Subtotal $ services. Less L.ulk Label Fee $ Balance Due $ !�A 6 � For inspections call This permit becomes null and vold if the work out"rlrad by the permit Is not commenced 640'3661 or 693-4415 within too days from date rd Issuance of such permit or it the work suthorlred Is suspended or ebanda,sd at any llme after work Is commenced Inn a Aeric-14 t&1 days. 24-hour recorder, one working day in advanc=e of need Elecvicsl permits are nonrefundable and non transferable 4194 ire 6 1 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone 4171 • t 3 Inspection: Footing Susp. Ceiling Sprink. RougF in App Sdwlk +t Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: - Post/Bean Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Pall GyI- kf� -Elect. `r Date Requested:_/G� /��fr Time: AM I'_PM Address: i Builder: Permit #: /NST Qy-Gu/7 • THE FOLLOWING CORRECTIONS ARE REQUIRED: Ins\pee or: _ Date: z < 'ROVED DISAPPROVED APP _ — —APPROVED SUBJECT TO ABOVE _Call For Reinsp. ,r .a CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phoiie): 639-4175 Business Phone: 4 Inspectiun:___ Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwik Foundation Plbg, Underslab Mech. Rough-in Fireplace Post/Beaiii Struct. Plbg. Top Out Elec. ,dough-in FINAL: / Post/Beam Mech. San. Sewer s Linyg_) -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Lin© nsu .;? -Mech. i I Underfir. Insul. Shear Wall Gyp. Bd -Elect. Date Requested: Z �S– Tir-e:.__AM PM Q SL`s,ivr � • Address: Builder:— ',v sI i/n/C�[� Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: Date: APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTIf'E Inspection Line (Rec-O-Phone): 639-4175 Business ne: 639-417 i�O Inspection: 4 — Footing Susp ("eilins Sprink. Rou h-in Appr/Sdwlk Foundation Plbg. tJnderslab pecgh in__ h RouFireplace Post/Beam Struct. _I„_ b�.ToEOuj_) Elec. Hough in FINAL: No Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain �r -Plumb. Alarm .> Insulation -Mech. Underflr. Insul. Shear W �^ Gyp. Bd. -Elect. Date Requested: / �7 `�A/ Time: ,yAM PM Address: Builder: to4 /�J� Permit 'THE FOLLOWING CORRECTIONS ARE REQUIRED: /'ccs77 Insp ctor: Date: APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. CITY OF TIGARD BUILDING INSPECTIONNOTI E Inspection Line (Rec-O-Phone): 639-4175 Business Phon 9-4171 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. Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation Mech. • e Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: G�Lz ' _T�i/me: AM PM Address' Builder:�,���SO/��C�C� _ Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: Date: I/po OVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE L Cl T• city of Tigard Building Department / 1 ' 13125 SR Hail Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: i Inspection: ------ ----- rooting Plbg. Underslab Hoch. Rough-in Appc/Sdwlk Found. Plbq. Top Out Gas Line FINAL: oat/Beam Struct. San. Sewer Framing -•B1d9• �, net/Beam Mea . Rain Drain Tneulation -Plumb• Plbg. Underfloor Water Line Gyp. Bd. -Mech. w � Date Requested: C� A/ Timet AM .��PH Address: O SO L� J`/PL`G/� Permit`f:r���- Builder: dr1V e Sl/,�/i- __ _ THE FOLLOWING CORRECTIONS ARE REQUIREr: y Inspector: _ ___-.. Dr"e:_ ��� - APPROVED DISAPPROVRD APPROVED SXIBJE�T TO ABOVE Call For R^Inap. i CITY OF TIGARD BUILDING INSPECTION NOTIC Inspection Line (Rec-O-Phone): 639-4175 Business Pho 63 -4171 Inspection:! A ;r 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. Sewer Gas Line R'dg. • bg. Underfloor Rain Drain Frami g -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. • Date Requested:_ / c�5 /1s Time: AM _aPM Address: Builder: _ Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: i I I Inspec r / Date:��G��f"� PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. CITY OF TIGAPD BUILDING INSPECTION NOTICE s , Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 9 . Inspection: /_1,y11e 1-14110(2.Z r%� ��-� / '���16Z Footing Susp. Ceding 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. Sewer Gas Line -Bldg. Plbg. Underfloor (Ira—in Drai > Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. • Date Requested: 7 �/ _ Time: AM PM Builder: S</1A,/C CC— Permit #:MST f 5--C*2/ THE FOLLOWING CORRECTIONS ARE REQUIRED: i Inspector: Dater/5 OVER _DISAPPROVED _APPROVED SUBJECT O ABOVE Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE: Inspection Line (Rec-O Phone): 639.4175 Business Phone. 639-417 1 Inspection: F Susp. Ceiling Sprink. Rough-in - Aw k / Foundation Plbg. Underslab Mech. Rough-in Fir e�,�/ Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plhg. Underfloor Rain Drain Framing -Plumb. Alarm Watar Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. 1 _ • Date Requested: Z��j -.� Time: 4CAM PM Addiess: �- 4+5� Builder: Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector. __ Date. ,--APisROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE Call For Reinsp. i l P: } CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: ootin 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. Sewer Gas Line -Blriq. Plbg. Underflocr Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. • Underflr. Insul. Shear'Nall Gyp. Bd. -Elect. w Date Req, ested:_ 2 – 2– Time: AM _�(_Plv1 Address:�� S Cl Builder: S — Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: ..11^ _ J ' Insp tor: 2r ___ Date- Z –2 APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. • a A 4 , . -q CITY OF TIGARD PLUMBING PERMIT PERMIT 0. . . . . . . : MST9 --001 i° i COMMUNITY DEVELOPMEVIT DEPARTMENT DATE: ISSUED: 02/02/95 13125 SW Hall Blvd.Tigard,Or•gon 9722b96199 (503)530.4171 PARCEL: 2SI10DA-RSOLO SITE ADDRESS. . . t 10580 SW IJAEVf ST SUBDIVISION. . . . : RENAISSANCE SUMMIT ZONING: R-'3. '*, BLOCK. . . . . . . . . . . LnT. . . . . . . . . . . . . :010 CLASS OP WORK. . :NEW GAR DE DISPOSALS. . : 1 • J TYPE OF USE. . . . :SF WASRING MACH. . . . . . . : 1 BACKFLOW PREVNT'RS. . „ I i OCCUPANCY GRP. . aR3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :a STORIES. . . . . . . . 12 WATER HEATERS. . . . . . ... 1 CATCH BASING. . . . . . . 10 f'IXTURES---- --- -_- ---rte LAUNDRY TRAYG. . . . . . : 1 SC WAIN DRAINS. . . . . : 1 • SINKS. . . . . . . . . . . 1' GREASE TRAPS. . . . . . . 10 LAVATORIES- . . 15 THER 1= A CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT 13125 SW Hall Blvd.Tigard,Oregon 87223.8180 (503)830.4171 PERMIT #. . . . . . . : MST95--001 r DATE ISSUED: 02/02/95 i PARCEL: 2S110DA-RS010 SITE ADDRF-L_:1'5. . . : 10-';60 ;aW NAEVE ST SUBDIVISION. . . . : RENAISSANCE SUMMIT' ZONINGS R-3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :010 • ------------------------------------ BUILDING --------__________._-_-_-______--_-.,_-_ REISSUE:MST94-9079 DWELLING UNIT5: 1 BASEMENI.. . . . . . . . 10 sf CLASS OF WORK. sNEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . 3726 sf { TYPE OF USL. . . s SF FLOOR AREAS---------- REQUIRED SETBACKS------------ � I Y4�'E OF CONST. :5N F IRST. . . . : 1308 s LEFT. . :5 ft RIGHT. :5 ft OCCUPANCY GRP. -.R3 SECOND. . . : 1613 s f FRONT. :20 ft REAR. . :;3a ft STORIES. . . . . . . 12 F I NBSMENT:0 5f REQUIRED----------- ---------_HEIGHT. . . . . . . . t30 ft TOTAL------:2921 , V SMOKE DETECTORS. sY � FLOUR LOAD. . . . :40 psf VALUE. . . . . $ : 200684 PARKING SPACES. . : 1 Remarks: PATH I ----------------------------------- PLUMBING _______________________.--.__-_---_-.-_..-. SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . : 1 LAVATORIES. . . . - :5 WATER HEATERS— : 1 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . : 3 LAUNDRY TRAYS. . . : 1 CA•rCH BASINS. . . . . . . :0 WATER CLOSETS. . :3 SEWER LINE (ft) . s 0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : I WATER LINE (ft) - : 1r?i0 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft) . s0 WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1 ---------------- MECHANICAL ___.__._____._.___..__._.__,_. ___.___._..__,_ FEES y" FUEL `TYPES._.___,________ UNIT' HTRS. . :0 type amount lay date recpf. /GAS/ / / VENTS . . . . . :0 TIF 1550. 00 JF 02/02/95 - MAX INPUT :0 BTU VENT FANS. . :4 SWM 11 100. 00 JF 02/1212/95 - FURN ( 100K . . a@ HOODS. . . . . . : 1 SWM $ 100. 00 JF 02/02/95 - FURN ) =100K . . : 1 WOODSTOVE.S. :0 BPRT 2 685. 50 JF 02/02/95 - FLOOR FURN. . . . 10 CLO DRYERS. : 1 HPLC $ 50. 00 JF 02/02/95 - BO1L/CMP ( :3HP:0 OTHER UNITS s 1 851=1G: $ 34. �8 JF 02/02/91b -•• GETS OUTLETS: 1 PARK $ 500. 00 JF 02/02/95 - Owners - -_____.____._.____.______.___-___. __--_MF'RT $ 45. 00 .JF 02:,/02/95 -- RENAISSANCE DEV MPLC $ 11. 25 JF 02/02/95 1672 SW WILLAMETTE. FALLS DR M5PC $ 2. 25 JF 0.2/02/95 - 3STH $ 225. 00 JF 02/02/95 - WLST L.INN OR 971068 P5PC $ 11. 25 JF 02/02/95 -- Phone #: 557--8000 EROS $ 88. 00 JF 02/02/95 - 1 Cori trac:tor: ___..___._._.....___.._._.._.._.__. -_..._.___._.____.__ERPC $ 28. 60 JF 02/02/95 - RENAISSANCE DEVELOPMENT ERPC $ 28. 60 JF" 02/02/95 - 16'72 SW WILLAMETTE FALLS DR WEST L_I NN OR 9 7068 V 11 o n e #e 557-8000 Reg #. . : 49955 $ 3539. 13 TOTAL This persit is issued subject to the regulations contained in the -- -- --- REQUIRED INSPECTIONS ---- Tigard Municipal Code, State of Coe. Specialty Lodes and all other Footing Insp Plumb Top Out applicable laws. All work +:11 lie duce in. accordance with approved Foundation Insp Framing Insp plans. This per•F1t will exarre if work is not started within 180 Post/Beam Struct Fireplace Insp days if issuance, or if work is suspended for eort,,than 180 days. Post/Beam Meehan Gas Lin, Insp Crawl Drain Insr.,lation Insp ,ermxttlee Signature : _ r_.. .G. _.W Plm/1..mcJs1aL1 Insp Gyp Poard Insp t PLM/Underfloor Rain drain Insp iab'_.atr 2Y: Mechanical Insp Water- Line Insp GL.rcIr v Yt - AL I} 7 ;:i it P CITY OF TIGARD SEWE=R CONNECTION COMMUNITY DEVELOPMENT DEPARTMENT PERMIT PE RMI7 #. . . . . . . : WR9 5-001$ 13125 SW Hall Blvd. rltiard,Oregon 07223.81.04{ 60 ) -4171 �. DATE- ISSUED: C SUED: 02/OL/95 PARCEL: 261 10DA--RSO 1 O SITE ADURESL;. . . : le580 SW NAEVE Z T r.. UBDIVISlON. . . . . RENAISSANCE: SUMMIT ZONING: R-3. 5 BLOCK. . . . . . . . . . ,. LOT. . . . . . . . . . . . . :010 TENANT NAME. . . . . : USA NO. . . . . . . . . . : FIXTURE: UNITS. . . c LLAS3 OF WORK. . . :NEW DWELLING UNITS. . : 7 1 YPE. OF USE. . . . . :FaF NO. OF RU I LD 1 NGS: 1 INS1 ALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : sf I Remarks : PATH I w Owner,: -______._______ ________..__..__._._._._. _...____..__..__________.____._._.... . FEES RENAISSANCE DEV type amolant by date r^ecpt l b 7c: 5W W I1._LPME.T IL FALLS DR PRMT $ 2200. 00 JF 02/02/95 _ INSP $ :35. 00 JF 02/02/95 - WEST LINN OR 97068 Phone #: 557-8000 a 4 Contractor: t-ONT RAC:'TUR NOT ON FILE I II (ll� 1--1-II)1If-' #: $ L'C'2 5. 00 TOTAL. r - -- _- REUU I RE:D INSPECTIONS This Ape!icart agrees to comply with all the rules and regulations Sewev, Inspection of the Unified Sewage Agency. The permit expires 180 days from 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 _ _�.�•,_ __�_____ 1 given, the installer shall orespect feet in all directions from the distance given. If not :c located, the installer shall purchase a "Tap and S.de Sewer" Permit and the Agency will ' all a lateral, 1-ermittee Cligntl..trw : ssl.ted By : _ 02 i' Call for- inspection - 62,9--•4175 r� j LL i L h, Residential Building Permit Application • City of Tigard 13125 BW Hall Blvd. Tigard, OR 97223 (503) 639-4171 0 Jobsite Address: d 572 rJ • �r ; r Office Use only Subdivision:1'r,rr ���� sf ' Lot# /Z:� rr Planck/Rec# Valuation: Permit# ,.�r Owner: Renaissance Custom Homes, Inc. �0 ._ Reissue oi.f9� Address: 1672 Willamette Falls Drive i..40 vals Required West Linn, OR 97068 -- nning 557-8000 _ F. Ptr�ne: _..r. hgIneering Contractor: Reniassr:nce Custom Homes, Inc. — Other Address: 1.672 Willamette Falls Drive ItemsRequired West Linn, OR 9706$ Subcontractors Phone: 557-8000 Contractor's License # 97599 (attach copy of current Oregon license) hSubcontractors: 1 Plumbing: Lag.le Plumbing w �— Mechanical: Tri-County Tem V� (attach copy of current OR Cowractorrs Lkense) Architect/Engineer: Address: 1 -- Phone: — I • C'._'.iN ENTS: I 9 I Applicant Signature-& Phone rvo t*r Received by: i ' date Received: _ y W If t I ' 1 Permit # Account Description Amount Amt. Pd. Bal. Due - -- /jJyt S-Uv/7 Bldg. Permit (BUILD) S��� 6e jvS, 57) Plumb. Permit (PLUMB) Z Mech. Permit (MECN) State Tax (TAX) �LL rr Bldg: 3q. Z3� Plumb: Mech: Plan Check (PLANCK) Bldg: 5- Plumb. I Mech: / L �ScuR�jS oy/S� i Sewer Connection (SWUSA) � 7- �' 2-v � Sewer Inspection (SWINSP) _3 �! 3 Parks Dev Charge (PKSDC) I Storm Drainage Chg (SDSDC) J Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Oeatfitf (TIF-C) 7 lJ E ,,> __ 12 u, .�4 kwos"l!MY (TIF-1) 2{�.�i _2y�• IMMW;W"—"4W (TIF-IS) .;Y Uv Office TIF (TIF-O) Water Quality (WOUAL) Water Quantity (wauAN'T) Fire District '"IRE) _ TOTALS: / S 3 r LJ S� ladL S.W• /�NA x,.56�° C� � N 89'52'07" E R ^ � J 8.52' n N � , 5.0' tU0 N Orl 23-3S $ 21.00 � ,A.ODy $.1 p 2.00' ', W O Ni 2 li $ W 1 1 TTl 1 1 L.1 1 1 r co I,.00' N moo cD f O I � Q PRIVATE STORM DRAT AGE EASEMENT 0 N 89'52'07" E 81.60' EIG�IT FOOT UTILITY EASEMENT ALONG ' FRONT AND REAR LOT LINES. ' --CHANGES ON FOOTPRINT 5!-IE PLAN 12-22'-94,SPF. , V I I V 1 CITY OF T I GARD PF-C E I PT OF PAYMENT RECEIPT PT NCE. t G15-26 1335 CHECK AMOUNT t 5774. 73 I NAME: s RENA I SSAN1^E DF—"VFl..C3PME'IVT CASH AMOUNT 0. 00 1 ADDRESS t PAYMENT DATE.- SUBDIVISION PURPOSE OF POYME'NT AMOUNT PAID pUTZPOC;E 0,' PAYMENT AMOUNT PAID AE.IILDINE3 Pk'RM 685. 50 PL.UMBINO PERM 225. 00 KICHANICAL PE 45. 00 ST. BUILD PER 47. 78 PLAN C HE--rK FE 61. 25 fiFWE R LISA 2800. 00 SEWER INSPE(.,-r 35. 910 PAR,;:,' 9500. OL71 RESIDENTIAL. TRAFFIC FEF::9 1430- 00 MASR43 TRANSIT TIF= FETES 1210. 00 Hi--'O C1UAL.I TY FACILITY FEE 180. 00 HPO QUANTITY FACILITY F1'F. 100. 00 EROSION GON'rpoi_ PERMITFEE. 88. 0121 EROSION CONTROL PLAN CK 28. 60 EROSION CONT RUL 28. 60 M�17'95--0017 i0580 80 SW NAEVE ST, LOT 10 TOTAL AMOUNT MAID - - r> ` 774. 73 �U i R E r