15579 SW 76TH AVENUE i
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CITY' OF T I GARS ME�;����(�AL
COMMUNITY DEVELOPMENT DEPAFRTMENT PERMIT #. . . . . . . : MEC96-011--.'
13125 SW Hall Blvd.Tigard,OrbZon 97223*8199 (503)639-4171 DATE ISSUED: 04/29/1). 6
PARCEL: 251 :12C-A-12300
SITE ADDRESS. . . 15579 SW 76TH AVE.
ZONING: R-4. 5
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . .
--------------------- -----------------------------------------
CLASS OF WORK. . :AT-.T FLOOR TURN. . . . : 12) EVAF, COOLERS: 0
TYPE OF USE. . . . :5F UNIT HEPTERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :(.!),I VENTS W/O APDL: III VENT SYSTEMS: VI
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES-------------- 0-3 HP. . . . : Cl DOMES. INCIN: 0
3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-•-: 0 1.111". . . . . 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
(3AS PRESSURE. . . : 50+ HID. . . . . 0 CLO DRYERS. . : IZI
1\10. OF UNITS-------- AIR HANDLING UNIiS OTHER UNITS. : 0
F-URN ( 1.00K DTU' k4) <=- 10000 C_'fm : I GAS OUILEI'f:"). . 0
l-'URN ) =100K BTU: 0 ) 10000 cfm : 0
1lejnar,ks : iNSTPLLING ONE AIR HANLING UNIT TO 10, 000 CFtyl.
Uwnev,: FEES -----------
KEVIN STANTON type amol-tnt by dat e v-ecpt
15579 SW '76TH AVE PRMT $ 25. 00 CJS 04/29/96 96--iF-'78698
5PCT $ 1. 25 CJS 04/29/96 96-278698
TTGARD OR 97223
Phone #:
Contractor-:
B & 'T GAG SERVICE INC
TEASDALE, KE 17+1
8528 SW 190TH AVE
BEAVERTON UR 97007
Phone 44 : 6427243 25 TOTAL
[«�y #. . -. 091104 REQUIRED INSPECTIONS
Thi, ppreit is issued dbject to the regulations contained in the MeChaniCal Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other tvt i s u. Inspection
applicable laws. All work will be done in accordance with V inal inspection
approved plans. This permit will expire if work is not started
wits. in 180 days of issuance, or if work is suspended for more
than 180 days.
1=Ier-mittee Signati-tr-e :
isso.ted By : . 1c
W
Call for, inspertion 639-4175
City of Tigard MECHANICAL PERMIT Planck/Rec. # 96 -178698
'13125 SW Hall Blvd. APPLICATION Permit # 17)6-196 -0113
Tigard, OR 97223
(503) 639-4171
Table 3A Mocl anical Code QTY PRICE AMT
Job _ +t f�,�z 1) Permit Fee -0- -0- 10.00 i
Address cftoftw MPI
2) Supoemartal Pomut 3.00
L umace to 100.000 BTU
i_ 1�c.)l�` ' �►� ACL. 1) ind.di,as 8 vents 6.00
w «» Furnace 100,000 BTU
Owner 2) ind.duds s vents 7.50
wFloor Furnance
3) incl-vent 6.00
spo ate(,wall Rower
4) or floor morrntod heater 6.00
•« Vent not kid in
Occupant 6) appkanoa permit 3.00
••• par ol1"►oating rufog.--
6) cooling,absorption unit 6.00
Boder or carp.heat pump,au co
�4 7) to 3 HP absap unit to IOOK BTU 6.00
boiler or comp,heat pump,air coed
� - 8) 3-15 HP absorp unit to 500K BTU 11.00
Contractor -mer or ccxnp, at pump,au cond.
4 l]C;V 9) 15-30 HP absorp unit 5-1 mil BTU 15.00
wEaw a oomp. at pump,Zr iTxO.
10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50
rr y acknowledge at I have reiki this application,that the MNr or camp, pump.air oond.
Information given is coned,that 1 am Me owner or aitfarized agent 11) 50 HP absorp unit 1.75 mil BTU - 31.50
of the owner,that plans subrnitted aro In compliance with State J4ud►w- ing unt b
laws,that I am registered with the Construction ConuacWs Board. 12) 1O.ODO CF M 4.50
that the number given is corroct. (II exempt hem State registration, r rig uR
please give reason below.) 13) 10,000 CTM 4 7.50
Non
14) evaporate cooler 4.50
- Vent oonmWGa
15) to a single dud 3.00
Ventiation systom not
1G) included in appianat pennit 4.50
Hood
17) mechanical exhaust st 4.50
Describework nowo additan0 a iP`+►an Continecial or iidustn�l
to be done residential® non-residential() 18) type Incirwrab( 30.00
:rusting use of Othe(Le,.woods1mv,water
building or propu,-,_ 19) heaver,solar,dodws dry%,rs,etc. 4.50
a Proposed use of 20) Gas piping one to kmo outlets 2.00
R building or pmperty
Ln 211 More than 4-per outlet
y Type of!uel •oil Q ru turnl gas O LPG O electric O
-J — O C
a, Minim LiW X25.00 -dU8TOTAL 1S-
`LD PERMITS BECOME VOID IF WORK OR CONSTRUCTION
w AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN IIEVILW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL --__-1
Special Conditions 1
Date issued 96 by
WACOMY r
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639.4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FIN L
Foundation Water Line Ceiling -Plum .
Post/Beam Mech. Shear/Sheath Framingec .
Plbg.Und/Fir/Slab Plbg.Top Out Insulation ec.
Post/Beam Struct. Mech, Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: A.M. _P.M. Entry: _
Address: 73 !3 -'0—
Tenant:
pTenant: Ste:__ MST:
BUP:
Con/Own: MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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fit
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actor: Date:PPROVED _ DISAPPROVED/CALL FOR REINSP. CF CO
fill 1\1 I I A I t
fAM pfj' i; bW 1''r 0 1 f I 11V1
fAl f4vi-.H I I"I I lit
OlA�"-
I 11 1 I I. 1 1 11 1 1 loft 111 111411f Jt 1 1 1.11.4 1 to 110 '1 't' f-It'll It IN I 144.1 1
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B &T GAS SERVICE
4*•
5885 SW 177th
(503) 642-7243 Aloha, OR 97007 (503) 244-9779
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223+8199 (503)839-4171
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INSPECTION NOTICE
City of Tigard Buiwlding Department
13125 SW Hall Blvd. 'rigard, Oregon 97223
Inspection Line (Rec-O-Pho ): q39-4175 Busineas Phone: 639-4171
Inspection:_ � -
Footing Plbg. rherelab Mach. Rough-in CAp
, pr/Sdwlk
�
Found. Plbg. ..op out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Dido.
Post/Ream Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line�e Gyp. Bd. -Hech.
Date Requested• / Time- �lAM --PH
Address:_ � Permit
Builder: QZLl.t�2f z'� f
THE FOLLOWING CORRECTICNS ARE REQUIRED:
I A ISA i F►v1►nF�.lnT �E.j'LGZ l L'/L^��1<�n 7-C,,= , ' 'L112E D -
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Inspector:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
city of Tigard Building Department:
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4115 Business Phone: 639-4171
/1
Inspectiont
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Pound. n bg. Top Cut Gas Line FINAL%
Pont/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Gyp. Bd. -Mach.
Date Requestedf 7 Time: AM
� r�M
Addret f / 2 2� Permit /t99-?-3-C)/?-'
Builder s
THE POLL WINC, OORREC`TIONS ARE REQUIRED:
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Inspector natal ?
APPROVED DISAPPROVED APPROVED SUWRCT TO ABOVE
____-`Call Po:. Rsinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: (39-4171
Inspection:
Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Seam Struct. San. Sewer Framing L*-Bldg.Poet/Beam Hoch. Rain Drain Insulation Plbg. Underfloor WateryLinee Gyp. Bd.
Da4.e Requested.-_ [!J�/ _ Timet AH,( PH
Address:._ , �`2 "� Permit #:�l (J� 3�
Builder:— .(_,.t7L�1 `.0
TuE FOLLOWING CORRECTIONS ARE Rl"Q:IIRED:
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Inspector: _ Deter
PROVED DISAPPROVED APPROVED SUBJECT TD A80V6
Call !or Reiner.
INSPECTION NOTICE
City of Tigard Building Department
13125 SK Ball Blvd. Tigard, Oregon 97223
Inspection Linc (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inepection•_ _
Footing Plbg. Underslab Mech. Rough-in CA r/Sdwlk �
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water
Line Gyp. Bd. -Mech.
Date Ronuested:_ / /"� �� ___Time�AM PM
Address. Permit ,:
Ruiider• G.Y�Z�� �CG��f�
THE FOLLCMING CORRECTIONS ARE REQUIRED:
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Inspector: / 1_ Date: Z12
APPRdV30 VISAPPROVSD APPROVED SUBJECT TO ABOVE
Call For Reinip.
———--———-----———--——--—————--————————————————————
CA TY OF" TICARD -- RECEIPT OF PAYMENT RECEIPT NO. %93--243624
CHECK AMOUNT I5. 75
NAME MOODY ENTERPRISES CASIA AMOUNT 0. qfo
ADDRESS PAYMENT DATE 08/26/93
SUBDIVISION
-URPOSE OP PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
Lljl4BING PERM 15. 00 ST. BUILD PER 0. 75
BACKFLOW DEVICE
15579 SW 767H AVE
TOTAL AMOUNT PAID 15. 75
t1TY0FT1GrARD PLUMLA11,11-1, PERMIT
CffVOFTMAND PERMI'r #. . . . . . . : M S T 9 1'L-Q.53
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COMMUNITY DEVELOPMENT DEPARTMENT oRwon
13125 SW HvJl Stvd. P.O.Box 23397,TOW.Or"pn 97223 (503)6394175 i,-PTE
SITE ADDRUS'S. . . : 1.5579 SW *76TH PVE PARCEL: 2S112CA-RW47
SUBDIVISION. . . . : RENAISSANCE 11 ZONING:
BLOCK. . . . . . . . . . : L-01.. . . . . . . . . . . . . :4-'"
CLADS OF WORK. . :NEW GARBAGE DISPOSALS— ' I
TYPE OF USE. . . . :Si WASf'-IING MACH. . . . . . . : 1 1AACKFLOW P'REVN,rRs, . . o
OCCUPANCY GRP. . :R3 FLOOR DRAING-). . . . . . . .0 TRAPS. . . . . . . . . . . . . . :171
GTDRIUS. . . . . . . . t2 WATER HEOTERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
F I X TURES-------,-------- LAUHDR'y TRAYS. . . . . . : 1 GF RA I14 DRAINS. . . . . : 1
SINKS. . . . . . . . . . : I GMEASE rpAr-,s. . . . . . . e o
LAVATORIES. . . . . :4 OTHEk FIXTURES. . . . . :0
TUB/SHOWERS. . . . : SEWER LINE � ft) . . . . :0
WATER CLOGE-rs. . .3 WATER LINE (' ft ) . . . . . 100
D I SHWAEME RG. . . . : 1 RAIN DRAIN (ft ) . . . . -o
RemAy*S:
OWNFR:
RENAISSANCE' DEVELOPMENT TIF $ 13P0. 00 JH 07/16/92
'167E! SW WILLAMFTTF: FALLS nR BPRT $ 5IS. 00 JH 07/.16/92
BPLC $ :536. 70 JL H 1.2/31 /91 22
WEST LINN OR 97068 05PC $ 25. 90 JH 07/16/92 -
Phone #.- 657-57Z79 5SDC $ ,.',80. 00 JH 07/if-/92 -
3 - PAPK $ 500- 00 JH 07/16/98
Plumbing MPRT 1 4-0, 50 JK VI-I/I G/12
10. 13 JH 07/16/92
I\LA m fe 1 1,17jpc * 2. 03 JH 07/1.6/92
-e,, ��4p� -Tc- -. 00 JH 07/16/92
Addi U'PUT * -1.55
City P5pc t 7. 75 J1 I V.,7/I Ej/9;::-'
Reg
RE(?UI'Rr--D INSPECTIONS
This permit is issued subject to the -,-eg--
ulations contained in the Tigard Municipal Foot./found Insp Rain drain Ing
Code, State of Ore. Specialty Codes and all Bost/Beam Struct Water 1. ine ITI�
other applivabie lawt:. $411 work will be done Post/Seam Mechan Appr/5dwl k Insp
in aQrordance with al--)proved plans. This Plm/undslab Insp Merhanical Fitial
r)91- 1nit will expire if work iT. not started PLM/Un d e r f.Ivor Plumb Final
within 180 days of issuance, at, if work is Mechanical Insp Building Final
sus penned for more than 180 clays. I" Iumb Top Out Erosion CnnJw-ol
Framing Insp Crawl Drain
Fireplace Tnsp
3A% Line Tnsp
I n S U I At i On T n w
Gyp Board Insp
irized Plumbing C,otitrac-tor Signati.ti e 111%
Call for inspection 639--4175
L ontroctor Notet, s_
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)r 6,9-4175 Busineis Phone: -4171
Inspection•
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Ream Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line �yp. Bd.� -Mech.
//._/ /� e/ —�
Date Requested: (� / Time: — AM PN
Address: /���� ? f / Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inapector:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
ZNSPEC.PION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 9
Inspection Line (Rec-O-PPnnon�ell�: 639-4175 Business, ne:Y/639-4171
Inspection: � ---
Footing Plbg. Underelab Mech. Rovgh-in Appr/Sdwlk
Found. Plbg. Top Out Q Gas Line 1 FINAL:
Post/Beam Struct. San. Sewer Framing\i -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Laine Gyp. Bd. -Mech.
Date Requested: II (1 Time: AM PM
Addreee:_l. Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
------------
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Inak.ecto[:_ ___ _ __ _! Date
APPROVED DISAPPROVED APPROVED SUBJEL'T TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Departmen
13125 SM Ball Blvd. Tigard, Oregon 972
Inspection Line (Rer.-O-Phone): 639-4175 Business Phone: 639--4171
Inspection:— _
Footing Plbg. Underelab Koch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing-' -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Nech.
Date Requested: G� Time: /—AM PH
Addreee: �Jeell
C� � Permit
Builder:
THF. FOLLOWING CORRECTIONS ARE REQUIRE[-
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Inspector vats
AppROVSD oISAFPROV5D APPROVED SUBJE_T TO ABOVE
Call For Reinap.
INSPECTION NOTICE ,
City of Tigard Building Department
13125 Sit Ball Blvd. Tigard, Oregon 97223 C�
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: — —--
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out ,c Cas Lina ) FINAL:
�.�
o Be St ct San. Sewer Framing -Bldg.
jr6it/Boa- Mme ) Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Ed. -Mech.
Date Requested: /��,�p Time: /A _AM/y PM
Address:�.J S/ .S 2/ r= Permit 1:^/ y�1
Bu 11 der:
THE FOLLOWING CORRECTIONS ARE REQUIREDt
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Inspecto : Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ASM
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SN Hall Blvd. Tigard, Oregon 97223
Inspection Lire (Rec-O--Phone): 639-4175 Business Phone: 639-4171
Inspection:____ --
Footing Pl,bg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Pibg. Top Out Gns Line FINAL-
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Hater Line Gyp. rd. -Mach.
Date Requested:
��— �T,��_ _Times AM PM
Address: � ''_� _Z� O -- Permit Sal'
guilder:
THE FOLLOWING CORRECTIONS ARN REQUIRED:
J —
Inapector•
APPROVED DISAPPh7VED APPItOVR^ SUBJECT TO ABOVE
I _ Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departaent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O•-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing� Plbg. Underalab Mech. Rough-in Appr/Sdw1k
Found. Plbg. Top Out Gas Line FINAL:
Pent/Beam Struct. San. Sewer Frami3 -Bldg.
Pont/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: 2 Time: /�G�tI, PM
Address: S �lp Permit f:;•/ lr �-3 .
Builder: /t !2z�Jl:�/JlG;jt�C1
THE FOLLOWINNG CORRECTIONS ARE REQUIRED:
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Inspecto
r! __ Date: �
—_ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGA RD MAbTER PERMiT 611,
COMMUNITY DEVELOPMENT DEPARTMENT ME mm PIERMIT #. . . . . . . . MST9 1 -0322
13126 SW 1101 81vd* P.O.Box 23397,TiqW,Oregon 97223(603)639-4176
639-4171 DATE ISSUED: 07/16/92
SITE ADDRESS. . . : 15579 SW 76TI-A AVE PARCEL: 2SI 1,`.'CA---RW47
SUBDIVISION. . . . : RENAISSANCE WOODS II ZONING:
BL-OCK. . . . . . . . . . LOT— . . . . . . . . AIP 7
BUILDING -- --------------- ----
REISISUE: DWELLING UNITS-. 1 BASEMEN I . . . . . . . . : Z1
CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . .464 sf
TYPIE OF USE. . . -SF FLOOR PE0,UIRED SETEAACKS-------------
TYPE OF CONST. :5N FI RST. . . . : 1453 S f L EF T. . .5 ft RIGHT. -6 ft
OCCUPANCY URB. :R SECOND. . . : I"":'6 6 7 s-F FRONT. :20 ft REAR. . -2`8 ft
STORIES. . . . . . . :2 THIRD. . . . .O S REQUIRED--------------------
HEIGHT. . . . . . . . -Ft TO I'A!--- '7 r. I
SMOKE' DETECTORS. :Y
"-'LOC)R LOAD. . . . :40 psf VALUE'. . . . . $ : 1338;3•: PARKING SPACES. . :0
PLUMBING ------
9 1 N!!S. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O
L AVATORIES. . . . . :4 WATER HEATERS. . . . 1 TRAPS. . . . . . . . . . . . . . :0
1-UB/SHOWERS. . . . :;.•'s LAUNDRY TRAYS. . . : 1. CAT':H BA511qS. . . . . . . ..0
WATER CLOSETS. . r3 SEWER LINE (ft ) . :0 GREASE "mAvs. . . . . . . :0
b I GHWA91 IE RS. . . . : 1 WAT17:.P LINE. (ft ) . : 1.00 OTHER F I XTURES. :17,
LiHRBAGE D I SP. : 1 RAIN DRAIN (ft) . :0
WASH I NO KICH. I SV-� RAIN DRAINS. . : 1
---------------- MECHANICAL FEES ---------------
FUEL UNIT IATRS. . .0 type A-mount lo v date . rPept-
/GAS/ VENTS . . . . . :0 TIF $ 1380. 00 JH 07/16/92
MAX INPLJT:0 81-(J VENT FANS. . -4 BPR,r s 016. 00 JH 07/16/92
FURN ( 100K . . .-0 HOODS. . . . . . : 1 BPL-C $ 336. 70 JLH 12/31/91 22
f-'UPN ) =100K . . : I WOODSTOVES. 0 B5FC $ 215. 90 JI-4 01/ 16/ —
FLOOR FURN. . . . :13 CLO DRYERS. .- I SSDC f. 260. 00 JH 07/16/92 —
DOIL/CMP ( 31.1 ?:0 OTHER UNITS:0 PARK $ '500, 00 JH 0.7/16/9.1' —
GAS OUTLETS: 1 MPRT $ 40. 50 JH 07/16/92 --
Own e;-s
Owne;-2 mr-q--c s 10. 13 JH 0 7/ 16/ --
RENAISSANCE
RENPISSANCE DEVELOPMENT MEIPC $ 2. 03 JH 07/16/9E
1.67J, SW WIL-LAMETTE FA-LJ DR. P P I?T $ 155. 00 JI-4 01/1.6/DO
P5PC $ 7. 75 JH 07/16/92
WE., T L jjL".'.; L.R )'70C
Pl-ianP #*. H57-5739
PENAIG5ANCE DEVELOPMENT
167L SW WILLAMETTE FALLS DR
WFC")T 1...TNN OP 970(iB
Phone 0, 657-5739
Peg #. . : 49955 _______________.__--__--_____.—_—
$ TOTAL
This roveit is issued sub'iect to the reolitiors contained in the RLUUIRED INSPLLT IONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/foLtnd Insp Fireplace Insa
avalicible laws. All work will be done in ac(:' e with approved POSt/SPEAM Stt'Urt Gas Line Inst
olars. Tnis Dervit will expire if wor4 '-tPd hin 180 Post /Beam Meehan Ins�tlat 1C)n I n
e4y; iC5k';"cP' or if work is ar 180 days. Plm/l.indslab Insp Gyp Board Insp
PLM/Und et-f 10 or Rain dt-ain I n 5:
T) ,!fi.,11 ti Mec-hanic,,01 Insp Water- Line Insr
Pli,imb Top OLit Pppt,/Sdwlk Insr,
Fi-aminrl Insp i a n i c,--t I F inr ,
CITYOFTIGARD SEWER CONNECTION
WYOFTIMIND PE RMI
COMMUNITY DEVELOPMENT DEPARTMENT mom PLRMIT -#. . . . . . . : SWR9iil-0201
13126 SW Hull Blvd. P.O.Box 23397,TigaW,Or@qon 91 (SM)6344175
SITE ADDRESS. . . : 15579 SW 76TH AVE PARCEL- 2SI12CA--.RW47
aUIADIVISION. . . . : RENAISSANCE WOODS 11 ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
TENANT NAME. . . . .
USA NO. . . . . . . . . . FIXTURE UNITS. . .
CLASS OF WORK. . . :NEW DWELLING UNI T".i. . .-t
IYPE OF USE:. . . . . :Sf NO. OF BUILDINGS: 1
INSTALL TYPE. . — :BUSWR IMPERV SURF=ACE. . : S f
�)wner: -------------------------------------- ------------------ FEES
RENAISSANCE DEVELOPMENT type a m o�_i rrt. lav dAte r-ecr)t
1672 SW WILLAMETTE FALLS DR VIRMT $ 2100. 00 j1'-1 07/16/92
T NSP 3'5,. i 7j 0 JH 07/16/92
WE�".,T LINN OR 97068
Phone #: 657-5739
Contr-eictor-- ---------------------------------
CONT 13ACTOR NOT ON FILE
Ptionp it- 21".,3. 00 TOTAL
R- i-q
------- REOUIRED INSPELTIONS ------
This ADDlizant agrees to comply with all the t-Aps and regulations Sewer Inspvrtion
if the Viified Sewage Agency. The permit expires 160 days from
.he date issued. The '.otal amount paid will be forfeited if the
oe,-fit expires. The Agency does not guarantee
uat racy of the
'he sewer is not tKarcthu
side sewer laterals. If t e measurement
given, the installer shall prospect 3 foe*
t'T distance given. If not so le
C&t@
4 "Tau and Side Sewer" Permit andteral.
.i e d B .... ...
r'aII fot, inspection 639-4175
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CITY OF rIGARY Pr.CF117"T OF PAYMENT RFCJ--IPT NO. :921-229630
CHECK AMOUNT G 5139. 01
NAME, RENAISSANI.X CUS)TOM HOPIEr, CASH AMOUNT Qj. 00
AL)DRFc5V-., PAYMENT DATL a 07/16/92
SUBDIVIS'ON
PURPOSE OF PAYMENT AMOUNT CSN ID PURPOSE OF PAYMENT PKOUNT PPTD
1 sijyi-r)ING PERM 511;. 00 PLUMBING P,ERM 153. 00
MECHANICAL PE 38. 50 ST. WILD PER 35. ba
PLAN CHECK FE 96. H;3 SEWER USA 2 112410. ON
(SF-.WER INSPECT 11105. 00 RESIDENT IAL. TRAFFIC FELE S' 1280. 00
PoRKS qDC 500. 00 STORM DRAIN 1300 0-180. 00
Mnc,�i TRANSIT 'TIP FFEc, 100. 1710
LOT 47 RriNAISSANCE WOODS
15579 rV 76TH AVE.
TOTAL. AMOUNT PAID 5139. 01
CITY
, 13125 SW Ilan Dh,d. PLNCK/RECT #OI Z IGARD POVkm23397 PERMIT #
coINIMUNITY DI�VE:LOP\IE.NT DEPARTMENT' TIgard,Oregon97223
(503)639A171 DATE ISSUED
JOB ADDRESS: /5174 S.W. 76TH AVENUE, TIGARD, OREGON TAX MAP/LOT
SUB: REN WOODS PHASE II LOT: LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: RENAISSANCE DEVELOPMENT CORP. REISSUE OF:
ADDRESS: 2098 S.W. 8TH AVLgItJ . LAST REISSUE:
WEST LINN, OREGON 97068 _ FLOOD PLAIN/
PHONE: _ 57-5739 SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: SAME AS A13OVE _ PLANNING: O/l—
ADDRESS: _ ENGINEERING:
_ FIRE DEPT:
PHONE: _ OTHERS T(,c -- �
CONTR. BOARD #: 49955 EXP DATE: 5/92
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: EAGLE PLUMBING CO. LIST/SUBCON-WACTORS:
MECH: TRi couNTY TEMP CONTROL BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: ALAN MASCORD DESIGN fRUSS DETAILS:
ADDRESS: 1515 N.W. 23RD AVENUE SUITE 1.00 OTHER:
PORTLAND, OREGON 97216
n- PHONE: 225-9161
N
H
PROPOSED BLDG. USE: RESIDENTIAL NEW HOME CONSTRUCTION.
COMMENTS:
PP ICANT SIGNITIJRE
Received By: Date Received:
c
PERMIT ACCT r DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
1"�,11[Lu3�.Z 10-432 00 Building Permit Fees /_-
10-431 00 Plumbing Permit Fees
_ 10-431 01 Mechanical Permit Fees
10-2.30 01 State Building Tax (5%)
Building
Plumbing �' "'•
Mechanical ` ,0 3
10-433 00 Plans Check Fee
Building
Plumbing
Mechanical 10- 13
10-230 06 Fire
30-202 00 Sewer Connection
30-444 00 Sewer Inspection 3 5 J 3 5"
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees811 0.00
25-448-05 Mass Transit TIF Fees 1Qa _ 1wu -
52-449 00 Parks System Dev Charge (PDC) !' Sa, 0
31-450 00 Storm Drainage Syst Oev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lied of)
24-445-02 Water Quantity (Fee in lieu of)
J
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w•
J TOTAL
11m;15811'.WI11