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--REVISED FOOTPRINT PER BERNICE,
�+ STORM 5-6-96, TGE.
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EASEMENT o --BUILDING ENVELOPE ADDED PER BERNICE-,
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--EIGHT FOOT PUBLIC AND PRIVATE UTILITY SCALE D
EASEMENT ALONG ALL FRONT AND REAR LOT LINES LOT 7 REN
AI 'S.�..IANCE SUMMIT
S.E.1 4 SEC.10, T.2S.,R.1W.,W.M.
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TY OF TIGARD :
10652 SW Naeve Street WASHINGTON COUNTY, OREGON `'
of 1
APRIL 19, 1996 Centerline Concepts Inc .
DRAWN BY. TG CHECKED BY: WGDIII
SCALE 1 "=20' ACCOUNT 115 640503n650r' 0188o{Gladstone, Oregon 97027
650-0189
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-TWO, OF TIGARD BUILDING INSPECTION NOTICE3,1
CITY
Inspection Line: 639-4175 Business Phone: 639-4171
Rain Drain Cover/Service le
Footing 4rY+ ap
Ceiling
Foundation Water Line 9 r `
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PosUBeam Mech. Shear/Sheath Framing -
Insulation
Plbg.Ut,-+/Flr/Slab Plbg.Top Out M
w ao 1Y�^
Post/Beam Struct. Mech. Rough in Gyp. Bd.
San. Sewer Gas Line
Appr/Sdwlk A
�, •
Other: n
M. Entry:. -- 9�
Date: _ - A.M. — .�
Address:
Ste:_. __ MST: rft
Tenant:__—_--- BLIP:
MEC:
T. Con/Own: --- PLM: '
THE FOLLOWING CORRECTIONS ARE Rr:QUIRED: ELR: `31 p`
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Inspector.
APPROVED/CALL FOR REIN SP.
APPROVED �DIS
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DEC- 5-96 THU 8:54 RENAISSANCE FAX N0. 5036561601 1. 02
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TO:CITY OF TIGARD w
ATTN'JEANNIE
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RE:RENAISSANCE SUMMIT SUBDIVISION
IAT*7, 10632 SW NAEVE ST.
PERNUT#: MST96-0256
TIGARD,OR.
Renaissance Development has installed the sewer system at the above residence according to
current codes and will accept frill responsibility. Should you have any questions concerning this
matter,please contact our office at the 1672 SW Willamette Falls Dr.,West Linn,OR 97068,or
call(503)557-8000.
r
Best Regards,
mice Iianczak ~�
Sales Manager
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cc:Ted Sebastian
Scott Gaunt
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w CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171u
Rain Cover/Service
Drain '� ch
Footing t J: x til ffri+� ,} 1�pN
Foundation Water Line Ceiling
Post/Beam Mech. Shear/Sheath Framing ech.
NI � �.w +�yr4j
Plbg.Und/Fir/Slab Plbg,Top Out Insulation lect.
Post/Be Struct. Mech. Rough-in Gyp. Bd. z s , Ic `fk�t>
A r/Sdwlk
San. Sewer Gas Line pp Reins.
Other:
—r= -'__�� A.M. `P.M.�— Entry:
Date:
Address: ...,
Tenant: —_-- Ste:__ .
MST:
BLIP:
Con/Own: p,�r4tQ/N l�C' -- MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Date
Inspect
_APPROVED _—DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD
DEVELOPMENT SERVICES !
Amimm 13125 SW Hall Blvd.,Tigard,OR 9722.3 (503)639-4171
CERTIFICATE OF
OCCUPANCY
PERMIT 1~l. . . . . . . s Ms`C96•-0256
DATE ISSUED: 11/14/96
PARC;E•L.s C�91 10DA-01600
MITE ADDRESS- - 106.52 5W NAE.VE ST
.3UBD M O I ON. . . . = RENAISSANCE SUMMIT Z ON 1 NG s R ?. `�
DL-OCK. . . . . . . . . . z L01 . . . . . . . . . . . . . 1007
s
CLASS OF WORE. s NEW
TYPE OF USE:. . . s SF
TYRE OF SON STP a 5N •
f..ICC:URANCY GRP. s R3
i1CCUPANCY UOAD-.
1?emarks : PATH I
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�)caner•a -. ,.-____.___.._.______...._..____._._...___.__..._.__.__
?EIJAI55ANCE CUSTOM HOMES
.1678 SW WIL.L.AMET'CE FALLS DR
WEST L.INN OR 9.7068
f'170ne M .- 557-_8000
Fontrractors _....._.._ ._._._.._....__......__ ._._..._._.__._....... .......____
PO4AIG13ANCE CUSTOM HOMES INC.
1672 SW WIL.L_AMETTF FALLS DR
WE61 L_INN OR 97M611
c1hone ws
Pep it. . : 97599
Chis Certificate grants ocr.uPmricy of the above referenced building or portion
thereof and confirms that the building has bean inspected Forcompliance with
the State of Oregon Spe_cAatlty Codev for' the gv-0Up, oc,:qupenc,y, nd use uncler•,
phi tfi1Q referee i. m, t was jrsued. /
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11U i .C1 I NI3 BUILDING OFFICIAL.
IN CONSPICUOUS PL..ACE.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Me-,h. Shear/Sheath Framing -Mach. I
Plbg.Und/Flr/Slab Pibg.Top Out Insulation -Elect.
Post/Beam StrUCt. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
C 1 .�k gox •
Other: • � n-�d�'t-��K�'' �„ "'
Date: �=��s-- A.M. /—/',,P.M.-- Entry. F&
Address: �n S�- (� L�LK� -�C --
Tenant: --_--_-- __- -_.. Ste:— MST:
Con/Own _ S S 'U�Q MEC._.._
n PLM: J —
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THE r)LLO N CORRECTIO S ARE REQUIRED: ELR:
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i Ie,'IorOVED
a ---- - ---- Date: a
DISAPPROVED/CALL FOR REINSP. CF—
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PLUMBING PERMIT
CITY OF TIGARD DATE I ISSUED: 09/1277/196 ;
COMMUNITY DEVELOPMENT DEPARTMENT PARcrL:
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171
'.-JITE
SUBDIVISION. . . . : REwNAISSANCE. SUMMIT ZONING: R--3.
1?LOL'E;. . . . . . . . . . I_(7T. . . . . . . . . . . . . :007
OF WORI•v,. . -.NEW _ GARBAGE : MnDTLr: HOME ,PACED. : 0
l..Yr='E OF USE. . . . :SF WASHING MACE;. . . . . . : 0 PALKFLOW FIRCVNTRS. . : i .
OCCUPIANCY GRP. . : R3 f 1.-OOR DRAINS. . . . . . : 0 T RAPS. . . . . . . . . . . . . . : 10
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURE; _-.__.__.____..-._. -__-.- LAUNDRY TRAYS. . . . . : ID SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS,: . . . . .. . . 0
LAVATORIrS. . . . . 0 OTHER FIXTURCO. . . . : Ii
TUD/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : rl !
WATER CLOSETS— : 0 WATER LINE (ft) . . . : +�
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : Ib
I
R�m�ti k ; t Inst al l my a i^esidcnt i<al baZcE<'Fl owPtr"r?vt?n1; i r)T-1.
OWTrel^: FEES
RENAIK-'ANCE CUSTOM�HOMES
type
nmol-rnt by date v-ecpt
1672 SW WILLAMETTE FALLS DR PRlylT 10. 00 CJS 09/27/96 96-284455,
`r,(=T t 0. 75 C,Ta 16--284','.
WEST LINN OR 0'70SS
Fah o n e #-. 557-8000
Cont«-acct or.s
MOODY r_NTrRPRI GF INC
PO FOX 98
E:'GTACADA OR 9 /1623
PI-r r.n e *1-: 15. 71'1 TOTfII_
Rey #. . : 597.:, _
--- - -- REOUI RED INSPECTIONS
This permit is issued subject to the regulations contained in th-e RP/Bar:,kfl.ow Prov
Tigard Municipal Code, State of Ore. Specialty nodes and all other Final Insptection
applicable laws, All cork will be done in acc-.•dance with
approved pians, This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 1E10 days. ------ - -- — --"
or-m i is i;e e 5 i gnat 1_t r e ;
C 1.ted lay .
Call for inspection 639 .4175
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PLUMBING PERMIT APPLICATION Planck/Rec. #�G-�Syv55`
F-'--City of Tigard PLUM N_ �
13125 SVV Hall Blvd. Permit # L�►�_ -U�B.�
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
i
N. .U. .Vm t Pew Single Family Residences Only
eNa&,q,11C C Sa 41 M,f_- -
Aeo... , ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00 I
Job f C6 SZ 5 �,✓ ,/L-j ell e S� ❑ 3 BATH HOUSE$225.00
Address cM, - ip Fee includes all plumbing fixtures in the dwelling and '.re first 100 feet I w
1t G3 of water service, sanitary sewer and storm sewer. See fees below.
N-1 FIXTURES QTY PRICE AMT
/�C�IQ ISSGr e. P1�''� v1� OSink 9.00
M•°^° ••• Ph.. Lavatory 9.00
Owner , 2 f�i / I -4e Tub or Tub/Shower Comb. 9.00
c°rrst.i. zb Shower Only 9.00
Water Closet 9.00
Dishwasher 9.00 •
Garbage Disposal 9.00
Occupant M,w,tl a,au. .a:. Washing Machine 3.00
Floor Drain 9.00
cxyis�n. zip Water Heater 9.00
Laundry Room Tray 9.00
N.... Urinal 9.00
/,p1 0 + � L/L nrs(�S�l�Cr_ Other Fixtures (Specify) 9.00 -
M.w.°Ad&... %h... --1 9.00
I Contractor
0, `�� �T/ 7 y18, 9.00
t zip 9.00
1S'� 702 J� - Sewer ist 100' 30.00
51.1.A.y.°.wro N. c°v IN.."f..N. Sevier-ea. Addit. 100' 25.00
1 /1717GJ`/ ,f�-_ Wafer Service 1st 100' 30.00
I hereby acknowledge that I ave read this application, that the Waler Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agont of
the owner, that plans submitted are in compliance with State laws, that Srom A Rain Drain 1st 100' 30.00
1 am registered with the Construction Contractor's Board, that the Storm R Rain Drain Addit. 100' 25.00
number given is correct._(If exempt from State registration, please -
give reason below.) Mobile Home Space 25.00
Back Flow Prevention
Device or Anti-Pollution Device 9.00
1 ••. ••• «•a.•n D.I. Any Trap or Waste Not
I ,f�U l � Connected to a Fixture I 9.00 -
Describe w k nf�w adbitcn �) alteration (7 repair ;� Catch Basin ` t 9.00
to be done reside tial i.on-residential Q Insp. of Exist. Plumbing _ 40.00/hr
Specially Requested Inspections 40.00/hr
Existing use of
buildin or roe Rein Drain, single family dwelling 30.00
Residential backflow prevention
devices 15.00
Propcged use of I
building or property -•- _
.(Except residential backflow
prrwentlon devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, CIR IF 5%SURCHARGE
CONSTRUCTgON OR WORK IS SUSPENDED OR ABANDONED --FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
I COMMENCED. PLAN REVIEW 25°/. OF SUBTOTAL L
I
TOTAL _
Special Conditions
i
Date issued��- �- L by �5 -
�_.....�,.�..__..._ .. ._....,..-...,..,.�.,:.........,.„w»......u..,....._,....,.,.�.,.....-.,.....�..........�...,�+..M.,...,...w.........�.-..�...._..._...-.._.........,.�._.-...___..__.,..,,ww.,,,7.,-.+we«a�F,,•FN�'auxa�,MlN''
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NWINF: n MOODY EN I'L RPR ISES3 INC c,lw-44 AMOUN r a 0. Olen
gr:3Dr2F n I•fla BCIX 8:+
Edi 1'AC-1A10A 01; wUPw I V 1#)I ON
PIJ1atm'cm c+ i•'AYMk-r•J 1 AMOUN I 1'P I 17 I i1- POYM04 1 HMULJNI 1441D
PLUMBING PERM F•LM96--fAi?85 BLI
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639 4171
Cover/Service FINAL:
Footing Rain Drain
f -Plumb.
Foundation Water Line Ceiling
Post/Beam Mech. Shear/Sheath Framing
-Mach.
PIbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
i -Bld
�
Post/BeamStruct. Mech. Rough-in Gyp. Bd. 9
San. Sewer Gas Line �P Reins.
f/Sdwlk; L
Other
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Date: A.M.____P.M. EnUy.
Address: z U(e_`� -E� . '
Teiant; Ste:_ MST:
Can/Own: ___ MEC: --
PLM:
ELC: —
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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` Date: -
IInspector: .----------- ---- — ---—_—_____—
XZPPROVED —DISAPPROVED/CALL FOR REINSP. CF CO q
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Seam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. ! ;
Post/Beam Struct. Mach. Rough-in ,�-�, -Bldg.
San. Sewer Gas LineAppr/Sdwlk Reins.
Y
Other: _
Date: Z A.M. P.M, Entry:
i Address: ��R �_— IZO D-t"-Q–
Tenant: Ste: MST:
BUP:
Con/Own: -- MEC _– --
PLM: – —
ELC -–
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspector: — _.._..... – Date:
AP ED DISAPPROVED/CALL FOR REINSP. cJ/CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 4175 Business Phone: 639 4171 `
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Rain Drain Cover/Service F AL: , a ,•
a�{t
Footing ,I �
j Water Line Calling •Plumb.
{ Foundation
Framing
-Mech. ,
Post/Beam Mach, Shear/Sheath 9
-Elect.
PIbg.Und/Flr/Slab Plbg.Top Out Insulation *`
�
Merh. Rough-in Gyp• Bd Bldg.
Post/Beam Struct.
I San. Sewer
Gas Line Appr/Sdwlk Reins.
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Other:
A.M. P.M. Entry.
Date: _ — I `
AZ
Address: -- _ .Gem_?
Ste: _ MST:
Tenant: __��_._._._�— — — — BLIP:
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MEC:�— �
Con/Own:----- —.----__ PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _----
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Date
Insp ctor.
ED —DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171 j
Footing Rain Drain 67e q � FINA
-_��-
Foundation ate Li Ceiling -Plumb.
Post/Beam Mech. r heath -Mech.
Plbg.Und/Flr/SlabeMbg. Insulation -Elect +
Post/Beam Struct. ec : Rough ' Gyp. Bd, -Bldg.
San. Sewer as ine Appr/Sdwlk Reins. i
Other: _
Date: A.M. _ PM.__ Entry:iE
i
Address: J.
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Tenant: _ Ste: MST
Con/Own: BLIP:MEC:
PLM: _
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: j
LeDate:
APPROVED DISAPPROVED/CALL FOR REINSP. CF CO `
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639.4171
Footingain Cover/Service FINAL: i
Foundation ater Ceiling -Plumb. '
st/Beai i M Shear/Sheath Framing -Mach.
Ib .Und/F Ir/ Plbg. Top Out Insulation -Elect.
e6st/Beam_MFq. Mech. Rough-in Gyp. Bd. -Bldg.
r �
San. Sewer Gas Line Appr/Sdwlk Reins.
I Other �•
Date:
• I � Z4 � A.M. �_—P.M. Entry: , f
Address: ��-2 -� a 0. k.!Q (.
Tenant: ,_. Ste:___ MST:
BLIP:
Cori/Own: _ — _— MEC:
PLM: _
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector. --------- ---- -- — - Date. _
OVED _DISAPPROVED/CALL FOR REINSP, CF CO
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Ah1Nl r X11r 4xs row p� m .�j,w $votea
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CITY OF TIGARD
13125 S.W. HALL BLVD. 0
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
GAGE ENTERPRISES INC
PO BOX 1429
CLACKAMAS OR 97015
Electrical Signature Form
Permit # . . . . : MST96•-0256
Date Issued. : 06/11/96
Parcel . . . . . . : 2S110DA-01600
i'
Site Address : 10652 SW NA.EVE ST
Subdivision. : RENAISSANCE SUMMIT
Block. . . . . . . . Lot : 007
Zoning. . . . . . . R-3 .5
Remarks :
PATH I `''"
Your company has been indicated as the electrical contractor for the permit indicated above. In '
order for the electrical pE!rmit to be valid, the signature of the supervising electrician
is required.
Please have the appropriate individual from your company sign below and return this Electricai
Signature Form prior to the start of work. No electrical inspections will be authorized until
this completed form is received.
AN INK SIGNATURE IS REQUIRED ON THIS FORM a
OWNER: ELECTRICAL CONTRACTOR:
RENAISSANCE CUSTOM I40MES GAGE EPTTERPRISES INC
1672 SW WILLAMETTE ]FALLS DR PO BOX 1429
WEST LINN OR 97068 CLACKAMAS OR 97015
Phone # : 557-8000 Phone # : FAX-
Reg # . . : 34544
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Signature of Supervising Eldblrician
Please return this cornpl ated form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171 , ext. #310
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CITY OF TIGARD
13125 S.W. HALL BLVD. y
TIGARD, OR 97223
IMPORTANT PERMITNOTICE
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EAGLE PLUMBING
13801 S. FORSYTHE RD
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OREGON CITY OR 97045
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Plumbing Signature Form I ,
Permit # . . . . : MST96-0256
Date Issued. : 06/11/96
Parcel . . . . . . : 2S110DA-01600 j
Site Address : 10652 SW NAEVE ST
Subdivision. : RENAISSANCE SUMMIT
Block. . . . . . . : Lot : 007
Zoning. . . . . . . R-3 . 5
Remarks : M
PATH I
Your company has been indicated as the plumbing contractor for the permit indicated above. In order
for the plumbing permit to be valid, please have the appropriate individual from your company sign
below and return this Plumbing Signature Form prior to the start of work. No plumbing inspections
will be authorized until this completed form is received. ;
! i
AN INK SIGNATURE IS REQUIRED ON THIS FORM
OWNER: PLUMBING CONTRACTOR:
RENAISSANCE CUSTOM HOMES EAGLE PLUMBING
1672 SW WILLAMETTE FALLS DR 13801 S. FORSYTHE RD
DRIEST LINN OR 97068 OREGON CITY OR 97045
Phone # : 557-8000 Phone # : FAX/650-19720
Reg # . . : 47914
Signature of Authorized Plumber
Please return this completed form to the address above.
ATTN: Building Dept.
If you have any questions, please call 639-4171 , ext. #310
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TIGAR® FERMI-f #. . . . . .CITY OF
DATE ISSUED: 06/11/96
e - COMMUNITY DEVELOPMENT DEPARTMENT PARCEL.: 2173110DA•-01600
t L]311 �vd.�Tlpud.A9r►t�°9 723Jylltg1�Tj"68 -
;,UNU I V I S I ON. . . . : RFNA I Sf�Fd VCE SUMM 1"l Z ON I NC3: R-3.
1,1_001. . . . . . . . * . . 11)_f. . . . . . . . . . . . .
Remarks: PATH I
------- BUILDING ---------� -��-- --- !---—-
REISSUE: STORIES.......: 2 FLOOR AREAS--------— BASEMENT...: 0 sf REQhIRED SETBACKS--.-- REQUIRED-------------
.. .
LLASS OF WORK.:NEW HEIGHT........: 29 FIRST....: 1422 sf GARAGE.....: 720 sf LEFT..........: 5 SMOKE GETECTR5: Y i
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 122 sf FRONT.........: 20 PARKING SPACES: I
TYPE OF CONST.:SN DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT...,.....: 5
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TG;AI-------: 2684 sf VALUE.. !: 185859 REAR........... 32
------------------------
---------•-------------- -- PLUMBING ------ -- ---- - -------------•-----•--------•-------------------
SINK5.........: 1 WATER CLOSET.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 4 DISHWASHERS...: 1 FLOOR DRAINS..: 0 1,00 LINE ff: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB/SHOWERS...: 3 GARBAGE DISP..: I WATER HEATERS.: I VAILR LINE ft: 100 BCKFLW PREVNTR: I GREASE TRAPS-- 0
r OTHL'R FIXTURES: 0
------------- MECHAN;CAL --------------------------------------------------------------------
FUEL TYPES-------.---- FURN l INK ..: 0 BOIL/CMG ! 3HP: 0 VENT FANS.....: 4 LLOTHES DRYERS: 1
/GAS/ / / FURN >=INK ..: 1 UNIT HEATERS..: 0 HOODS.........: I OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS......... : 0 WOODSTOVES....: 0 SAS O(JTLETS...: 1 f
--------------------------------------------------------------------- EL EL"TRIP:AI -----•--------•--------------------.._------------------__------
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRfNCH CIRCUITS--- ---415CELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 1 0 - 200 alp..: 0 0 - 200 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPEC'iION: 0
EA ADDrL 5005F.: 5 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT..,.,..: 0
MANF HM/SVC/FDR: 0 601 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0
10004 amp/volt.: 0 ----------------------------------- PLAN REVIEW SECTION ----------------------------------
Reconnect onlv. : 0 )=4 RES UNITS..: SVC/FAR)=225 A.: > 600 V NOMINAL: CLS AREA/SPC OCCi
--------------•-------------------------------- ELECTRICAL - RESTRICTED ENERGY ------------------------------------------•----------
• ;� A. SF pE5IDENTIAL--------------------------- B. COMMERCIAL-----------------------------------------------------
------ ---------•---------•-------
AUDIO 6 STEREO.- VACUUM SYSTEM..: AUDIO a STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
v BURGLAR ALARM..: 0TH: :: X BOILER.........: HVAC...........: LANDSf.APE/IRRIG: PROTECTIVE SIGNI.:
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL # SYSTEMS: 0
1 '4
Owner: --------------------------------------Contractor: ----------------------------- TOTAL FEES:$ 4710.70
RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES INC
1672 SW WILLAMETTE FALLS DR 1672 SW WILLAMETTE FALLS DR
1 WEST LINN OR 97068 WEST LINN OR 97068
?` Phone C. 557-B000 Phone #:
Reg #..: 97599
This parmit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire it work is not started within 180
days of issuance, or if work is suspended for more than 180 days.
rr. ...- ---------------------------------••------------ REQUIRED INSPECTIONS - -- --- -------------- - ---- - ---------- -
: Footing Insp PLM/Underfloor Shear Wall Insp Insulation Insp Appr/Sdwlk Insp Erosion Control
Foundation Insp Mechanical Insp Low Voltage Gyp Board Insp Electrical Final
Post/Beam Struct Plumb Top Out Fireplace Insp Rain drain Insp Mechanical Final
Post/Beam Mechan Electrical Ser•vr Gas Line Irsp Water Line Insp Plumb Final
Crawl Drain Framing Insp Gas Fireplace N? TSs .,V-er,ni.ttee
e Service In Building Final _
c ..._._, C �Sirg71at'-it . r.. _ �.
---_ `- for- ins ection 639•-4.175
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TIGARD DATEIT SUED: 0 : SWR96-0c41
CITYDATE ISSUED: 06/11/96
' COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: c.S 1 10DA•-01600 s m
S I 7�3 5 Ivd.T19rrd,j(�"gp 2?rBi?Ar(W)Aj�r4171
SUBDIVISION. . . . : RENAISSANCE: SUMMIT ZONING: R-3. 5
BLOCK. . . . . . . . „ . x I__0 T.. . . . . . . . . . . . . :OIZ17
_--__—._--------•---___._._.______.___----------_--_—_-----_____________.....__.-._---------_,------
TE:NANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORE'.. . . :NI-W DWELL.I NG UNI TS. . : 1
TYPE: OF USE. . . . . :SF
NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPFRV SURFACE: 0 sf
Remarks : PATH I
FEES ----------------
RENAISSANCE CUSTOM HOMES type amol_int by date r-ecpt
167=: SW WIL.LAMET-fE FALLS DR PRMT $ 2200. 00 JSD 06/11/96 96-280481 '
INSP S 35. 00 JSD 06/11/96 96-28048:
WEST LINN OR 97068
Dhone #: 557-8000
1 Contractor: .---_-__-._---_--,---------__----_
CONTRACTOR NO 1` ON FILE
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Phone #: $ 2235. 00 1 01-AL
Reg #. . .
---._.__.._.. REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer 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
d 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.
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Pevrmittee Signs ur-e-a—', ;., -
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Issued
Call for inspection - 64,9--41.75 w�
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Residential Building Permit Application
City of�igard
13125 SQL'Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: I C lc `� Z �L' I�:<� v t' C + .
Office Use Only •
Subdivision: h i u Lot#
Contact Date _ / f Initials
Valuation: JJ r Result
New Construction Only: (Square Footage) Planck/Rec
,>� � Garage: U Permit # S rG - e; 6
House:
Reissue of ,,, 1,4
Map & TL# jam, I1uOA_ DI(rac,
Corner Lot? Y Flag Lot? Y N j Zone
C.
Plat #
Owner: I�(►�aL -'•G�u-c�e C.0 S}-c rn { rv4e.-
� � t Approvals Required
Address: 5�.'l U 7 ..L �► I�0.-Ltit.� ('
Planning Setbacks( Solar
cv--Z �0 Engineering �uTC to rA—,
Other
Phone: C%G C-'
Contractor: I�c L.o�� �r�C���-� � ��a-c.titi.- {�,�v�..�.�
Items Required
Subcontractors
Address: ll 5 uJ l�l 1 U �►1�} -u I-lS I�Y Truss Details
'A 0 YL "►q C) G Other--
Notes
Phone: L ��C � ) S� � `�o 0 — j
Contractor's License
(attach c1opy of current Oregon license)
Contact Name: L�c V n I C L -}CL le I C 9jo-
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Contact Phre ne:
Subcontractors: Archltect/Engineer: 1.4;4 v l, l J
I ICeI'1iirtI
Plumbing: F-a41e !Pl uwto _ Fx >D _ Address: l ( C' 1-CLI Y. AIN i r
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Mechanr•.al: I v i UIJ
C, k �I_,� Vt C%�.{ rC
(attach O
copy of current R Contrac or's License) 7dl'
Phone: ( -5�3 ) L� 1 � � �'
JOB DESCRIPTION: _�� ; IC <u5l
05o 1�
Applicant'Signatu Applicant Phone number
/ /
Received ti - �~ Date Received: ✓ "l ;t `, r 1�
H uoor.,anv...nu
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Permit S Account Description Amount Amt Pd. Bal. Due
rj1>t G� �� .S� Brag. Permit (BUILD) yY _
Plumb. Permit (PLUMB) �2 �J
Meeh. Permit (MECH) C4 r V
CL T-7 Z 3 ,--
-FW ~!/—
Bldg:
Plumb:
Mech: ' Z
Plan Check (PLANCK) ` 2� (~- �71, 2,c'
Bldg: 2 Li
Plumb:
Mech: L
(t D ?�� Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) 3� j
Parks Dev Charge (PKSOC) U SZ
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
industrial TIF (TIF-I)
Institutional TIF (TIF-IS)
Office TIF (TiF-0)
Water Quality (WQUAL) �• J _._ ��
Water Quantity ('NQUANT)
Fire Life Safety (FLS)
Erosion Cntri Permit (ERPR1MT) �—
i'�.
Erosion Ptanck,'USA (ERPLAN)
Erosion PlanckJCO T (EROSN)
/-�J,/ 7 pD+�I�
TOTALS: 62 1U ". ...� 7_,7I
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PURPOSE
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line:639-4175 Business Phone: 639-4171
Footln Rain Drain Cover/Service FINAL:
J it A SI�rV i�"r.
oundation Water Line Ceiling -Plumb. �wlCi f
1 1
Post/Beam Mech. Shear/Sheath Framing -Mech,
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San, Sewer Gas Line Appr/Sdwlk Reins, .
Other:
DP' �0 �l�o _ A.M. P.M.—� Entry:
Address: �b �a az.L.=� �—� �` I
Tenant:— T I _ Ste: MST: D
BLIP: +
Con/Own: _ _! MEC: _
PLM: —
{ ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _ l
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Ins p tor: —�.._ ---- Date:
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APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
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