15603 SW 76TH AVENUE i.,
0
c
f
I
1 '),,-)03 SW 76th AVENU[;
CITYOFTiGrARD MASTER FERMI-1
MYOFTWARD PERMTT 107M7)I
COMMUNRY DEVELOPMENT DEPARTMENT 011160"
13125 SW Hall Blvd. P.O.Bcx 23397,TkpLrd,Oregon 97Z23(503)639-4175 71 OATF ISSUED: 0'7
SITE, ADDRE:.SC . . . ' 1-60- SW 76TH AVE PARCEL: 22112'CA
�'LILAD"*QISION. . . . .- RENA I SSANIC'E WOODS I ZONING:
BLOCK. . . . . . . . . . . . . . . .
RUILDING
DWEL.L..11',113 i.jmjj"r,�
.;: I P,,�4 FA I E N T. . . . . . . . V1
LL0,135 OF WUR)-,. :NEW SEDRMS-3 PATHS GARAGE. . . . . . . . . . .484 S-F
TYPE OF USE. . . :SF FLOOR REQUIRED SETBACK .3- ---
TYPE OF CONST. -5N F I RST. . . . : 1453 S f LEFT. .. : 7 ft RIGHI . -. 7 ft
OCCUPJAN"—Y GRP'. :R3 S E C 01\1[). . . - 1667 S f F R 0 NT. :'221 -Ft REAR. -48 1:t
S T Q R I E S. . . . . . . :2 THIRD. . . . :0 5 f REGIIJ I RED—
H 1--':1 G 1-iT. . . . . . . . .c:7 f t TOTAI- - -- .- ..-2�'*/'-.'V1 Si I- b 111.)K L 1)F-.f E.C, (L)H 5. Y
F;LUUq LOAD. . . . :40 psf VALLJE. . . 3 3 a 3 21 PA RV,INC SPACES. . :0
Rema�lvs ;
_...._._..-..__.---_. .—_...___----_—._.r....___..._-.._. PLUMBING
S I INI K E3 : 1 F'LOUR DF�AING. . . , :0 BA(',KV-'L.(JW PRL VNT RS. 0
LAVA"fORIES. . . . . :4 WATER HEATERS. . . : i TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS, . . - -3 L.AUNURY TP14Y'S. . . '.' 1 (PT(',H BASINS. . . . . . . .("
WA[ER CL.USETS. . :3 SEWER LINE (ft ) . -0 (;RF-ASE. TRAPS. . . . . . . :0
D I'5HwH61-4LRS. . . . . 1 14lrfll LINE tfti - : 1001 0-1,i IER F I XYURE-1.5. . 0
GARBAC-1L lj1.,)P. - - : 1 RAIN DRAIN (ft ) . :0
WAbHiP47 M01-11-i. . . : 1 SF PAIN DPA I NLII. I
MELHANICAL FEE'S
FI U'L UN 11 H VRS. . .0, t v r,o 4mount L-.)v mate
/GA'_.$/ VENTE. . . . . . .0 71F 1380. 0121 JH 07/14/92
MA Z I NP'U1 :1Z+ LA T U VENT FANG. . :4 14-114 16. 00 Ji-1 0I/ 14/9,71.
FURN ( 100K . . -0 HOODS. . . . . . : A E%H LA: 4 40. 00 JLH I c_'/3 I/91
FUkN ) :=100K WOCJI)ci :0 0'. 140 '111 0 '/14/
i'-'L.uufq TURN. . . . 0 CLO DRYERS� : 1 280. 00 JH 07 14/9;:-
0T1*,H WHRK $ 00 Ji 1 14 l r ! 4/
GAS OUTLETS: .1 m r,wr $ 40. 50 JH IZA 7/14/
$ 10. J 11 0// 14/'>,
RENPI 3SANCE DEVELOPME'NT m5pc F 03 JH 07/14/9c
1)11.A_AME7TF_ FALLS Ok f•'W Ill I' 6 1 0 0 JH 07/ 14/1"7'
PbPL C 75 JH 07/14/%i'
/06h tq 1 00 JH 0// 14P),
Ptiwie Gb/-5734
(,,.)nt vor:11 (.1 v-,. - - -- --. - - — ,-. — -.- -
Hh.N(4-1bSW,4LL uF-VELOPMEN'r
,'72 '5W WTL1..s:ME1TE' FALL (3 1'."'1?
LINN DR 97068
Rep 0. 49955
4'l) 14. 31. T 231 At_
This pervit is issued subject to the tiqulations contained in the ki-GlUi RLD I NbPL(: I I L)Nb
Tigird Muricipal Coda, State of Or,!. Scocialty 'Lodes and all other F-uot / found Iiisp Insp
applicable laws. All work will he done in ar 'Oofe ritt. appr.-Id V.,ost/Heam St uct Gas L..iiie Insp
alans. This urvit, will expire if work it Post/Deam Me_hwi Itisulcktior Insp
lays of issuance, or if soark is suspends IN days. Pjm/i,.!.ncisiab lr,sv Gyp Soall1d Insp
1114,J) W,�A 1;F,t- L i r e liv
Plumb Tor) Okut Appy-/Sclwl k Inst)
Dy ., FI-Amint, ) lisp
Coil for in- pv-tion — 639-4175
ijEWER CONNECTION
C'�OFTIOVARD PERMIT,
CrrYOFTWARD PERM I f #. . . . . . 2 SWR92-0202-
COMMUNITY DEVELOPMENT DEPARTMENT MGM
13126 SW IWI Blvd, P.O.Box 23397,TlgaM,Oregon 07W(SM)M4i 76 7 DATE 1SGUED; 07/14/92
siTE ADDRESS. . . : 15603 SW 76TH AVE PARCEL: 2SJ, I2CA—RW4"
SUBDIVISION. . . . : RENAISIGANCE 140ODS Ii ZONING,
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :49
TENANT NAME, , , , , -
USA NO. . . . . . . . . . S FI X TU RE UNI TS.
CLASS OF WORE(. . . :NEW DWELL 1616 UNIT5 ., : I
-1 YPE OF USE_. . . . . :5F NO. OF BUILDINGG: I
INSTALL (YPE :BUSWR TK-1E;- <V G)IJRFAC"r
.'. : I.f
riemarks :
Owner. ----------------- FELS
RENA I SSANCE. DEVELOPMENT type 'a M a I.(n t 1.)V (J'R t e
16i2l SW WILLAMETTE FALLS DR PRMT $ 2100. 00 JH 07/14/9:'
INSP $ :30, 0 0 JH 0'7/14/91:.'
WEST LINN OR 97068
Phone #j 657-5739
CONTRACTOR NOT ON FILE
Phone 0: '::13j. 00 101AL.
Retj
------- REQUIRED INSPECT IONS
This Applicant agrees to comply with all the rules and regulations Sower" Inspection
of the Unified Sewage Agency. The permit expires IN days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the a�-curacy of the
side sewer late?-al,,. If the sewer is not located
,&*As measurement
q:v#n' the installer shall prospect 3 feet in,*Vdirectio"s from
the distance given. If not so located.
he ffleller shall poir-chalt
a "Tap and Side Sewer" Permit and the
C;
s;k'l.(9 ij 1)V
CA 11 for i n nec ion 639-4.t75
CITY OF TWA RD PLUMBING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT �CrIYOFTWAIW I'DERMIT #. . . . . . . : MST91--03,24
13125 SW HWI Btvd. P.O.Sm 2M97.Tk4wd,Orepn 97223(M)63"176 \=7 bim)TE ISSUED: 07/14/9j.,
13ITE ADDRESS. . . : 1rj&03 SW 76TH AVE PARCEL: 2S1. 18CARW4
SUBDIVISION. . . . : RENAISSANCE WOODS II 70NING:
13LOCK. . . . . . . . . . e LOT. . . . . . . . . . . . . :49
CLASS OF WORK. . :NEW GARBAGE DISPO GALFi. . : l
TYPE OF USE. . . . ;SF WASHING MACH. . . . . . . s BACKFLOW PREVNTRG. . :0
OCC(JPf4NCY GRP. . t R3 FL..00R DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
co,T 0 R I V.,5. . . . . . . . :2 WATER HEATERS. . . . . . .. I CATCH BASINS. . . . . . . sO
FIXTURES—----- LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . ..0
LAVATORIES. . . . . :4 OTHER Flx,ruRES. . . . . :0
TUB/SHOWERS. . . . : E-:1EWER LINE ( ft ) . . . . :O
WATER CL05ET5. . z3 WATER LINE Ift ) . . . . : 100
DIfe41WASHERS4 . . . : 1 RAIN DRAIN (ft) . . . . 10
Remarks.
OWNER:
RFNAISSANCC DEVELOPMENT TIF i 1380. 00 JH 07/14/92
1672 SW WILLAMETTE FALLS DR SP R 1 b 518. 00 JH 07/14/9P
SPLC t 40. 00 JLH 12/31/91 21E,
WEST LINN OR '47066 DSPC $ 25. 90 JH iii/14/9 2
Phone #1 657-5739 C)SDC 4 280. 00 JH 07/14/92
Plumbing ContrActor-3--.15 -L-4-P -b PAI'4: $ 501A. 00 J1 1 0'7/14/92
MPRT $ 40. 50 JH 07/14/92
MPLC 4 t0, 13 JH 07/14/92
Namec "_ -1C )2
M5F $
P. 03 JH 07/14/c
Address .-_-_ 4 J14 0 7/14 /9 2
VIPRT $ 155. OL
A4.0
_rzt At e s P!3PC $ 7. 7 53 JH 07,44/92
Zips.. o I I e# M I sc 1. 15. 00 JH 07/14/9&.,
REQUiRED INSPECTION!..
This permit :is issued subject to the reg-
ulations contained in the Tigard Mlinicipal Foot/fount! Inqp Gyp Board Insp
Code, State of Ore. Gpecialty Codes and all Fnot/folind ltisv) Pain drain Insp
Other aPP1i(:eblv laws. All work will be done Post/bean Eitruct Water Line Insp
,?.?I aCCordance with approved plans. This Post/BPAPI Ilec-han A'p (fi
pr/S -ilk Insp
Permit will expire if work is not star-ted Plm/unds ) Ab Insp tylechAnical Firval
."wil,hir 180 days of isc.;vront-P, or if woil( is PLM/Underfloor Plumb Find
so ;pended for moee than 180 days. MechanicAl Insp Buildint
p Final
Plumb Top Oi.it Erosion Control
Framing Insp Cv-awl D-Ain
Fireplace Itisp
Das Line Insp
fn%tilation Tnqp
Limb i ng Contvactor SJgnature
Call foo- i ?'u-nection 639-4t75
Contractor Nots-st__
-----------
17YOFT167ARD
aWOFTWAND
COMMUNrTY DEVELOPMENT DEPARTMENT ONG* iq:,p
11126SWHell W*,d P.O.Box M97,ngwd.Oogon 97M(6W)&jb4- 176
T'E ADDRE13b. 1560 'A) 76TH AVE
'Albl)I V f S I C)N. . . . a RFIACUSSANCk,. WOODS J1 7 ON 11-40
L11 "ICK. . . . . . . . . . .. Lo T.. . . . . . . . . . . . .
i-,-ASS OF WORK. jr\IEW
TYPE OF LIGE. . . sSl'
OCCUPONCY GRP. -.113
0L(X1PMC'Y LOAD%r`.iDl 4
rf* hir'IN'T NAMC-.-.
kowarkvtt
Ownert
RENAISSANCE Ifin-M-1-OPMENT
sw WILIJAIlu" FlU i,1711A.b DR
WEST LINN OR 97068
Phone #4 . 65-1-5-139
Contraorl
RENAISSANrE DEVUE'LOPMENT
1.672 5W WILLAMETTE 1-4-41-LS DR
wEs'r i. ii%ji,4 oR )zqlc,,o
Phone 411 7-57 -6000
Reg #. . 1 49915,55
Urrupiaticy of the Wkbovre referem-.00 bmildiI14 ig hereby 1.43yon, and cortifif,
the comptionce with the State (If Oreyon Sporialty Codes for, tiie qr,ciolp,
occ upancy, end use uncier wflft-h the
011.11 I' ll " , 1.) ,
POS)T IN 11t)I*-)PH.l)oiII!-3
IDiSPB('TIOM.NOTICE
city of T19arc1 Building D,Mrt�t
13125 SIS Hall Blvd- Tigard, 'Oregon 97223
Inspection Line (Rec•-o-Phone): 639-4175 Busineas Phone: 639-4171
Inspection:—
Footing
nspection:_,__.__Footing
Plbq. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out
Gas Line NALs
Pont/Beam Struct.
San. Se .r Fr4ming `-61d .
Insulation plumb•
Pont/Beam Meeh. Rain Drain _
Plbg. Underfloor Water Lisle
Gyp. Bd. -Mach.
Z_ - Z Times AM _PM
Date Requeuted: permit #a
Address:
Bull.der:
THE FOLLOWING CORRECTIONS ARE REQUIRZDs
Cf
---------------
Date: /�
Inspecto 1—
APPROVED --
DISAPPROVSD APPROVED SUBJRCT TO ABOVE
--� ---
Call For Rainsp.
ELECTRICAL PERMIT
CITY OF T I GAR® DATE PERMIT ISS#: ELC96-0242
UED: 04/16/9C?
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)039.4171 PARCEL: cS112CA-- 12500
;ITE ADDRLc _ .. . -, 15603 SW 76TH AVE
:.)LJBDIVISION. . . . : RENAISSANCE WOODS ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOI.. . . . . . . . . . . . . :41)
Project Description: Install two branch circLtits to 200 amps.
- -RESIDENTIAL UNIT------- SRVC/FEEDERS---- ------MISCELLANEOUS------
1.000 GF OR LESS. . . . il 0 0 C:-,00 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 500SF. . . 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
L1.11,11TED ENERGY.....: 0 401 600 amp. . . . . . . : 0 SIGNAL/PlANEL. . . . . . . : 111
MANF. HM/ SVC/FDR. . : 0 601-Famps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
._-.•--SERVICE./FEEDER CIRCUITS_____ INSPECTIONS—-
0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSi--,ECTION. . . . . . 0
201 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I Po_"R HOUR. . . . . . . . . . . : 0
401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 1 IN PLANT. . . . . . . . . . . : 0
601 1001b amp. . . . . : 0 REVIEW SECT ION---------------
10004 amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) bOO VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR 225 AMPS— CLASS AREA/SPIEC OCC.
Owner: FEES
KEVIN STANTON type amoi.tnt by date V-C?Cpt
15579 SW 76TH AVE PIRMT $ 40. 00 CJS 04/16/96 96-278360
5PCT $ 2. 00 CJS 04/18/96 96-278360
TIGARD OR 97223
Phone #-
('rintractor:
JAi'�MER ELECTRIC INC # 42. 00 TOTAL
5105 SW 45TH
REQUIRED INSPECTIONS
PORTLAND OR 97221 Wall cover Elect' l Final
Phone #: b03-246-5381 Elert' l Service
Reg *IT. . : 6924
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. bpeci.Alty "odes and all other Perm i t t e bj.gnat�.ire
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days. I s S 1.t ed B
INSTALLATION ONLY—.-.---
Fhe installation is being made on property I own whicti is not intended for
sale, lease, or rent.
OWNER' S !:)IBNATUREc
INSTALLATION ONLY----
SIGNATURE OF SUPR. ELLCI N: DATE li
LICE-NSE N0
Call for inspection 639- 4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # 6a'96 -01y z
Phone (503) 639-4171 Date Issued Z/- 1=Y- Q6
FAX (503) 684-7297 Issued b
CITY OF TIGARD TDD No. (503) 684-2772 Yr'fig .. l�,
Inspection (503) 639-4175 _
1. Job Address: 4. Complete Fee Schedule Below:
Name of DevelopmentNumLer of Inspections per permit allowed
Address� �2. `\( � ` �k�� .ervice included Items Cost(ea) Sum
CitylState/Zip_ [�K _ (1 r2 _ 4a. Residential-per unit 4
T� 1000 sq II or loco $11000
.!' - Vach additional Son d't It or
Name (or name of b siness)_J!L" gonion thereof $2500 I
Commerc 1171 '-iesidential ❑ broded Energy $2500 _ J
Fach Manuld Home or Modular
Dwelling Service or Feeder $6800
2a. Contractor, installation only: 4b.Services or Feeders
_ Inclallationx
,alleralron,or te� allon
Electrical Contractor"J�� * 200 amps or less $6000
Address ' C. 201 amps to 400 amps $8000
!v _
---- 401 amps to 600 amps $17000 '
City_? /1 State 0 Zip�lllai 801 amps to 1000 amps $160 n0
Phone Nc,._cD 4 L --F)3`r� Over 1000
ampsonly or volts $$50 00
4000
Contractor's I icense No. / _-_
Contractor's Board Reg. No. 4c. Temporary Services or Feeders
i - beaallahon,alteration or relocation
Signature of Supr. Elec'rl � 200 amps or less $5000
License No. t� Ph e No. 0 ?01 amps to 400 am FIG $7500
_JcL5 LL� �� J�— 401 amps to 600 nips $10000
Ova,600 amps to 1000 v IIs
2b. For owner installat' ns. sfe•b'above
4d. @ranch Circuits
Print Owner's Name_ tie,° Pderanoo or e>rlansion per panel
Addressni The las lot hrarrh ctrr:uds with
City State_ Zip— purchom o/servlas or beater W.
Each March circuit no
Phone No. __ _ _ b)The lee for branch arcuds without
The installation is being made on property I own which is purchase or eervks or bade'b..
not intended for sale, lease or rent. Eric branch nal br $35 00
Each additional britllCh GfGll) � $500 2'
Owner's Signature _ 4e. Miscellaneous
(Service or feeder not included)
3. Plan Review section (if required): Each pump or Irrigation GrrJo $4000
Fitch sign or outline lighting $4000
Signal cncud(s)or a limited energy
Please check appropriate item and enter fee in section 5B. panel.ane .tion or extension $4000
4 or more residential units in one structure Minor Lobalr (10) Sion 00
Service and feeder 225 amp$or more
System over 600 volts nominal 4}. Each additional Inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as descri'mirl in N E C Chapter 5 Per inspection $3500
Per hour $5500
In plant $5500
Submit 2 sets of dans with application where any of the above _—
rpply. Not required for temporary construction services. 5. Fees: 46Sa. Enter total of above fees $
NOTICE 5%Surcharge(05X total fees) $ cx
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtots' $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORD IS SUaPENDED OR ABANDONED FOH Plan Review it required(Sec 3) $ _
A PERIOD OF 180 DAYS Al ANY i IME AFTER WORK IS El
$ _
COMMENCED EJ Trust Account 0 $ i
Balance Due 4� )
ead�+wed�NWcp^r cos 1111