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10873 SW 109TH AVENUE s � >a ADDRESS: ID'87 �H 2' F- N F- r-. J G] C� 111 J i:\reoords\microhm\targets\buiiding.doc 7-11p Building Division, City of Tigard 13125 SW Hall Blvd Tigard Or. 97223 Dear Building Division Folks, I recieved your letter for permit#PLM94-0141 regarding an inspection and would like to request we schedule one whenever your people are available. I was t►naware of the need for an inspWtion as my wife had filed the original application; I did'nt read the informatiion adequately. Let me know what I need to do for the inspection. Pennit#PLM94-0141 10873 SW 109th Ave 'rigard Or 97223 Tim Estes<Zx 626-4538 fl' h N F^- J G] 111 J CITY OF TIGARD BUILDING INSPECTION: NOTICE Inspection Line (Rec-O-Phone):639-4175 Business Phone: 639-4171 Inspection: Footing cusp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mach. Sough-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. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: -91/camI-" 'A Time: AM PM Address: 1 L I Builder: Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: tOF J 7 0 J Inspector: Date: _APPROVED _DISAPPROVED _APPROVED SUBJECT TOA OVE ell For Reinsp. CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Orawon 97223.8199 (503)839-4171 PLUMBING PERMIT PERMIT #. . . . . . . : PLM94--0141 b05 410 DATE I JUF_D: 07/18/94 PARCEL: 1S134AC-04800 SITE ADDRESS. . . : 10873 GW 103TH AVE SUBDIVISION. . . . : HART' S LANDING ZONING: R-4. 5 Pl) BLOCK. . . . . . . . . . . 1-01.. . . . . . . . . . . . . :019 --------------------- -------------- C:,'LASS OF WORK. . :ADD GARBAGE DISPOSALS. . : MOBILE HOME SPACES. : TYPE OF USE. . . . :SF" WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : 1 OCCUPONCY GPP. . ; RSI FLOOR DRAINS. . . „ . . . . TRAPS. . . . . . . . . . . . . . . STOr 7 ES. . . . . . . . ; WATER HEATERS. . . . . . : CATCH BASING. . . . . . . : FIX :ORES------------- LAUNDRY TRAYS. . . . . . ; SF RAIN DRAINS. . . . . : 31NK ). . . . . . . . . . . URINALS:. . . . . . . . . . . . . GREASE TRAPS. . . . . . . . LAVATORIES. . . . . : OTHER FIXTURES. . . . . . IUB/SHOWERS, » . . SEWER LIIVE (ft ) . . . . WATER CLOSETS. . : WATER LINE (ft ) . . . . : DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . : Remarl(s : BACK FLOW DEVICE Owner; ------------------------------------------------- FEES ------- TIM ESTES type ammrnt by date r mcpt 10873 SW 109TH PRMT $ 15. 00 SW 07/18/94 5PCT $ 0. 7`) SW 07/18/94 TIGARD OR 07::23 Phone 0: Contractor: _._.._.-_.-•----_------------.__._______ OWNER -------------------------------------- Phone #: $ 15. 75 TOTAL Req it. . . 00000 REQUIRED INSPECTIONS -- This permit is issued subject to the regulations contained to the RP/Bar-kflow Prev 'igard Municipal Code, Ste.e of Ore. Specialty Codes and all other F=inal Inspection applicable laws. All work will be done in accordance with approved plans. This persit will expire if work is not started within IBB days of issuance, or if work is suspended for sore than 19P days.71 _-.- _ =, e r m i t t e e signature : Issued By : L J Call for inspection - 639-4175 RL t I (P T CIV. PAYW 1,1T NFATAI-Ii W. a9 4 f 1.11E.CK PICA R41 I.-J i*LJ [;Al E% I PI 1 o9H AMC)UNT W. 00 D I I R F'193 IS' c4W .l 09TH PiIYMt`NT' DOIT v O I fk 4)4 I L CiA R 1), 1)14 tiIJBI.)I V I f3 11 JN a w1oliNi PAID V-11 i tillI 1`+ UF' tlfwvlvhlf (IM111-INI IM)A I r-11.1 (,I km PI.m9;I -OJ41 Pf P 0. e!' vis OX I. 1 .1 JW 101,01- City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 13125 SW Hall Blvd. Permit # Tigard, OR 97223 (503) 639-4171 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE N>-..r o.wbwaeM New Single Family Residences Only «• ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00 Job �(? _' 5 (� w�J�� ❑ 3 BATH HOUSE $225.00 Address cnr:sle. aP Fee includes all plumbing fixtures in the dwelling and the first 100 feet of water service, sanitary sewer and storm sewer. See fees below Nen.(e aen.br au.rl...) FIXTURES QTY PRICE AMT C��� Sink 9.00 Maeo A" N Phe Lavatory 9.00 Owner %%��s"% 3 5 �� /' c,y`1 Tut: or Tub/Shower Comb. 9.00 CWaft / z► Shower Only 9.00 7 l Z Water Closet 9.00 Dishwasher 9.00 Garbage Disposal 9.00 Occupant M..W.0 A&.- - ve.n. Washing Machine 9.00 Floor Drain 9.00 Gnlf•l• Zb Water Heater 9.00 Laundry Room Tray 9.00 N.- Urinal 9.00 r Other Fixtures (Specify) 9.00 vhm 9.00 Contractor 9.00 CAYIM.l. Zip 9.00 Sewer 1st 100' 30.00 ala.PI yV.U~N. cnr aur T..N. SnWel' ea. Addit. 100' 25.00 Water Service 1st 00' 30.00 I hereby acknowledge that I have read this application, that tha Water Service ea. AL lit. 200' 2L).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 am registered with the Construe ion Contractor's Board, the; the Storm &Rain Drain Addit. 100' 25.00 number given is correct. (If ex ipt from State registration, please - - give reason below) Mobile Home Space 25.00 Back Flow Prevention Device or Anti-Pollutlnn Device 9.00 .n.. --w«.oae) p•• Any Trap or Waste Not Connected to a Fixture 9.00 Describe work new ® addition O alteration Q repair Q Catch Basin 9.00 to be done residential O non-residential Q insp. of F-,.ist. Plumbing 40.00/hr Specially Requested Inspections 40.00/hr a Existing use of � � Rain Drain, single family dwelling 30.00 building or property _ Residential backflow prevention to devices / 15.00 i Proposed use of r .. building or property - r' J --� '(Except re Idenflal bac►rf►ow prevention devices) c� NOTICE 'Minimum Fee $25.00 SUBTOTAL J PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PLAN REVIEW 25"i. OF SUBTOTAL TOTAL Special Conditions Date Issuer by ]` - q 1�_ CITY OF TIGARD CERTIFICATE C)F` COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY 13125 SW Nell Blvd.Tigard,Orason 97223.8199 (503)839-4171 1-' LRM I T #. . . . . . . ; MST9 3 04(:• +=,y1.1 .a1I1 DATE' ISSUEDt 02/02/94 PARCEL: 1 S 134AC--041300 SITE ADDRESS. . . t 1171137 SW 14?'9TH AVE 'IUBD I V I S I ON. . . , : HART 1 9 LAND I NG Z ON 1 NG t R--4. 5 PD BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . t019 CLASS OF WORK. :NEW rYP17 OF USE. . . :GF OCCUPANCY GP%P. .k3 O C.;UPONCY LOAD t 226 4 1 U*01 L NAME=.. . . t Remarks .' PA STN I Owner: RE1,1AISSANC:E DEVFL_L:IF'MENT CVORP P17 ii'In ca #t Contrac:tors _.._....__. ._...._...._._._.._ .._.__w_._._._.__.._.._.___... RENAISSANCE DEVELOPMENT 1672 SW WILLAMETTE" FALLS OP Wt.31 LINN OR 97068 Phanp #t 57-•8000 ti e.g #. . t 419'.55 OCCU{.lanCy of the ;above referenced bt.ti )ding is Hereby given, aT�Ci Certxfie!. the Complianre with the State Of: Orego•1 Sper:ialty Cade% for the group, occupancy, and Lisp under which the referenced permit was xF sued. FIRE DEPARTMENT IN 1 nISPIEc,TOR y'- POST IN CONSPICUOUS PLACE r INSPECTION NOTICE City of Tlgard Building Departswant Ad 13125 BN Hall Blvd_ Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Busineas Phon4 2 -4171 Inspection: Footing Plbg. Undaxelab Koch. Rough-i.n Appr/Sdwlk Found. Plbg. Top Out Cao Line /"F�INA�L: Poet/Beam Struct. San. Sewer Framing it ll / Poet/Beam Mach. Rain Drain Insulation �— umber/ Plbg. Underfloor Nater Line Gyp. Bd. ach. n, Date Requested: 2 — .2Times / AM PN .rL h , Address:-1Q y �a i Permit'l. Buildor: THE FOLLOWING OnRRECTIONS ARE REQUIRED: Inep#±(,t_or:� - - -----., Dates � - —�aFIR�VED i_ DISAPIROVED APPROVED SUBJECT TO ABOVE Call For Rsinep. INSPECTION NOTICE City of Tigard BuildiAg Department 13123 SW Ball Blvd. Tigard, Oregon 972231 Inspection Lina (Roc-O-Phone)s 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab Koch. Rough-in p r/Sdwlk Found. Plbg. Top Out GaF. Lins rINAL: Poqt/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Lino Gyp. Bd. -Koch. Date Requeeted: �L -� �Time: _PN r�Permmitt 08!2.3 Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Al or 7'11 of Ad PECLA U L Inspector: APPROVED DISAPPROVED ROWD SUBJECT TO ABOVE Call For einsp. INSPECTION NOTICE Cit? of Tig&Lrd Building Department 13125 BW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab Hoch. Rough-+_n Appr/Sdwl.k Found. Plbg. Top Out G&s Line FINAL- Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Y w h. Rain Drain InsulPlumb. Plbq. Underfloor Water Line Gyp. tid. -Hoch. Data Requested:_ 121 ,31C (� ^_TLam s _ AN PM Address,_ L�S/✓ 0'/ 7 Permit f:----,-- Builder ��— THE FOLLOWIh. CORRECTIONS ARE REQUIRED: Inspectors_ i atel _v/APPROVED DISAPPnOVED APPROVED SUBJECT TO ABOVR Call For Reinsp. it INSPECTION NOTICE �4 city o4 Tigard Building Depart--t i 13125 OW Sall Blvd. Tigard. Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171 Inspection:_— Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Tot) Out Gas Line FINAL: Poet/Beam Strutt. San. Sewer Framing -Bldg. Post/Beam Koch. Rain Drain insulation -plumb. Plbg. Underfloor Nater Line GYP• �' / -Koch. Date Requestedt it Address: is �3 Builder:_ THE FOIA-k TING CORRECTIONS ARE REQUIRED: J W r 0 W J Dade! / r Inap*otor: ROVED 11PPROVEU eUBJECT 7O AON BE APPROVED DISAPP � —_Call For Rainsp. INSPECTION NOTICE City of Tigard Building Departannt 13125 811 Ball Blvd. Tigard, Oregon 97223 1 Inspection Line (Roc-O-Phone): 639-4175 Business Phone: -4171 Inspection: Footing Plbg. UnderslabMeeh. Rough-ln Appr/Sdwlk Found. �n_ . Top Out as Li FINALS Post/Beam Struct. San. .'ewer `fam�-> -Bldg. c Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Undorlloor stater Line Gyp. Bd. -Koch. Data Requestods L,� Z Time: _ �\�AK `---PK Address: IL) S,7 Cl) ! P h Permit Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: J m Lig �J Inspectors APPRC`11RD DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Relnep. INSPECTION NOTICE City of Tigard Building Department 0125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Llne (Rec-O--Phone)s 639-4175 Business Phone: 639-4171 Inspections__ Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/seam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -'lumb. Plbg. Underfloor Nater Line Oyp. sd. -Mech. Date Requesteds_ r Times AM PM J10 Builder: T/r/�/)1l�_i "'j T THE FOLLOWING CORRECTIONS ARE REQUIRRUt FNI Y1 kk-r -f 5.,- rvk v o Inspectors ' A-�— Data. ( !(q_3 - ApPROVtf. DISAPPROVED " 11PPROVED SUMMT TO ABOVR Call For Aelnep. f INSPECTION NOTICE GAG 6. City of Tigard Building Department C� 13125 SW Ball Blvd. Tigard, Oregon 977.23 Inspection Line (Rec-O-Phone): 639-4175 Business Pho 171// Inspections Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post" am Struct. San. Sewer Framing -Bldg. /Beam Flech } Rain Drain Insulation -Plumb. Q_ derII water Line Gyp. Bd. -Mech. Date Requested: 1015_1/213 Tlmes AM _PM Address:_ �y+4 ( `� / Permit P: •l b C Builder: THE FOLLOWING CORRECTIONS ARE REQUIREDs Inspector: _ Dates_, ROVED DISAPPROVED APPROVED SUBJECT TO ABOVE call Por Reinep. INSPECTION NOTICE City of Tigard Buildisig Department ���� �/� 13125 SM Bail Blvd. Tigard, Oregon 972(1) Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 inspection: �— Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poat/Beam Hoch. Rain Drain. -� Insulation -Plumb. 111hy- Underfloor Water Line Gyp. Bd. -Mach. ante Requested:_ .2 L —Times _AM PM ! y I' Permit 1i/� -LrV Z Fl::ilder: 1 P✓ �f i ei���' — THF. FOLLOWING CORRECTIONS ARE REQUIRED: inspectors Datat�_(�7� _ROVED DI8APPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. PLUMBING PERMIT R 111 T #. . . . . . . - MS 3 04 T 9 , -CI1Y OF TIGARD P F DATE ISSUED: 09/02/93 COMMUNITY DEVELOPMENTOEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 F-10PIEFL.- IS134fil'-1114811111- I !-. aw 0,11') 1 ('1 )BD YVISION. . . . : Hl'iRTIS LANDING ZONING: R- 4. 5 PI) 0(-';);. . . . . . . . . . . LOT.. . . . . . . . . . . . . .019 OF WORK. . :NEW GARBAGE DTSPOSPLS. . : 1 "PE: OF USE. SF WASHING MACH. . . . : 1 BACKFLOW PREVNTRS. . :0 ,CUP.ANCY GRP. . R3 PLOOR DRAINS. . . . . . . :0 T13APS. . . . . . . . . . . . . . I'ORIES. . . . . . . . WATER HEATERS. . . . . . I CATCH BASING. . . . . . . ..0 LAUNDRY TRAYS. . . . . . : 1 SF* RAIN DRAINS. . . . . : 1. INKS. . . . . . . . . . GREASE 'rRAPS. . . . . . . :0 i'-1 V A TO R I E S. . . . . .4 OTHER FIXTURES. . . . . .171 .JB/SHOWERS. . . . - SEWER L_INE. (ft) . . . . :171 ,ATER CLOSETS. . .,3 WATER LINE ISHWASHERS. . . . e RAIN DRAIN (ft) . . . . z0 P"As'TH I OWNER: DEVE'LOPMENi" CVORP TIF= t 1520. 00 JF` 4'1`:)/0,2 9:3 DFIRT 466. 0111 JF 09/02/93 BPL(, $ 40. 0'a JLI 1 08/20/93 93-24,2 B5Pc $ 23. 110 JV7 09/02/93 - Phone (,,5? SSDC 1 280. 00 J17 09/02/93 - Plumbing PARK f, 50121. 00 JF* V19/02/93 MPRT $ 45. 00 JF 09/111i.2/93 MPL C $ 11. 25 JV 09/02/93 J\Iame : C. 2 Y M5PC ii . C`5 JF 09/171=/9:3 Address ; 4PPRT $ 1`x5. 00 JF' 09/0E/9.3 city: Pic �T S 7. 75 iJF09/0 2/93 Z i p Ph a n e#- Bp!--'L; 41 15. of"I JF' Q'i 1.)/IVA 2/9 3 Ft r REOUIRED IM'PECTIONS . ......- rtiit permit j. issi-ted !iubject to the reg- lilations dbntained in the Tigat--cj MUnicipal Foot/found Insp Pain drain Insip Code, State (if Ore. Specialty Codes ancl All Post/Beam Struct Water Line Insp other applicable laws. All work will be clone Post/Beam Meehan Pppr/11-;dwlk Insp 'Li-1 etkc.,curdance with approved pians. This PIm/und%lab Insp Mechanical Fi.nA) Permit will 1,xpire if work is not -tArted V-1 L M/!j A cl er f 1 a o r Plumb Final within 160 dAys of issulanC:0, ' or, if wrl4k 'is llecli.Anit-al Insp Buildinly Final r.,.tspended ('or- more than I80 days. Plkrr!b Top Out Erosion Control rami n q Insp Crawl Drain FJ �-eplace Insp Gins Line Insp It Sulatiall Insp CIO (3vo Board Insp Al-ithurized Plimh � n SiUnatUre LL" C:a]. J for inspection Contractor Nut ea— MASTER PERMIT CITY GF TIGARD PERMIT #. . . . . . . . M-T93 46 ' CdMMUNITY DEVELOPMENT DOPARYMENT DATE I SSUCD: 09/03/93 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PARCEL: 1 S 1:_4AC--04800 :)ITE ADDRESS. . ,, : IOB7C SW 10()T11 AVE `,3UBDIVI SION. . . . : HART' S LANDING ZONING: R-4. 5 PID BL.00k.. . . . . . . . . . . LOT. . . . . . . . . . . . . :019 __.._________.__.___._______._.._._--•_---______ BUILDING ^E I GSUE:MST9:3--02213 DWELLING UN 1 TS: 1 BASEMENT. . . . . . . . :0 s f [:LASS OF WORK. -NEW BEDRIrIS:3 BATHS:3 GARAGE. . . . . . . . . . .492 cf 1 Yt"',= OF USF . . . :SF FLOOR AREAS ---__.__.__._..- REC?U I RED 1-YPE OF CONST. :5N FIRST. . . . .- 1095 s f LEFT. . :5 ft R I GHT. :5 ft .)CCUI`'ANC:Y (SRF'. :R3 SECOND. . . : 1 1(34 s f FRONT. :20 ft REAR. . :35 ft ;TORIES. . . . . . . :` TH I RD. . . . :0 s f REQUIRED I IE I GI iT•. . . . . . . . : 6 ft T UTAL -------:2279 s f SMOKE DETECTORS. :Y FLOOR LOAD. . . . .40 ps f VALUE. . . . . $ : 11:111690 PARKING SPACES—:1 Remar-ks ,., PASTH I PLUMBING GI.NKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O LAVATORIES. . . . . :4 WATER HEATERS. . . : I TRAPS. . . . . . . . T'UB/5.40WERC. . . . ..3 LAUNDRY TRAYS. . . : 1 f,A'TC,fi BASINS. . . . WATER CLOSETS. . :3 SEWER LINE ( f•t ) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . . 1 WATER LINE (ft ) . : 100 OTHER F"I XT(JRE S. . . . . :IZi GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O WASHING MACH. 1 SF" RAIN DRAINS. . : 1 MECHIPINICAL _.._.___...____.._._______._.._____._..._.__..________ FEES FUEL TYRES--•---- _____._.._ UNIT HTRS. . :0 type amo1-int by date r•ecpt /GAS/ / / VENTS . . . . . :0 TIF- $ 15;"0. 00 JF 09/02/93 Mr1X II\rUT :0 PTU VENT FANS). . :4 BF='R1- 4, 468. 00 JF 09/02/93 !"-URN ( 1.00K . . :0 HOODS. . . . . . : 1 BPLC $ 40. 00 JLH 08/2:0/9.3 93- '43- f•URN ) =10071 . . : I WOODSTOVE1_i. :0 B PC $ 231. 40 JF 09/02/9:3 r=LOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ :_80. 00 JF 09/02/93 314P:0 OTHER UNI T';_i: 1 PARK b 500. 00 JF 09/02/93 GAS OUTLETS: 1 MPRT $ 45. 00 IF 09/02/93 - Clwner•: --- -- - _...___.___.__-•__-__________....___MF'l_C $ 11. 2:5 JF 09/02:/93 - FRENAIS(SANC[= DEVELOPMENT CVORP M5PC $ 2. 2'5 JF 09/0,-1/93 - 1=''PRT $ 15", 0r� JF 09/02/93 - P5PC $ 7. 7'-; JF 09/02/93 - Bf''LC $ 15. 00 JF 09/02/93 - I1hone #: RENAISSANCE DEVC_LOPMENT .1672' SW WILLAMETTE FALLS DR 41:97' LINN OR 970E8 Phone #: 557-•8000 Reg #. . : 49955 ___...__---•----•-----___________.__-.---__.- _-- - $ 3067. 65 TOTAL This permit is issued subject to the regulations contained in the -- -- -- REQUIRED INSPECTIONS -- 'igard Municipal Code, State of Ore. Specialty Cedes and all other Foot/fol_tnd Insp Fireplace Insp applicable laws. All work will be done in accordance with approved Post/Beam Stri_Ict Gas Line Insp -tans. This permit will expire if work is not started within 180 Post/Beam Mechan Inst-rlat ion In-,p .'ay_ ^' issuance, or if work is suspended for sore t n IE0 days. f='Im/1-incislab Insp Gyp Board Insp / PLM/Underfloor Rain drain Insp `'er,mittee Signati_rre . Mechanical Insp Water Line Insp Pli.tmb Top Oi.tt Apprr% SdwI)( Insp Issued By: _ — F"r•aming Insp Mechanical Final Call for inspection - 639-4175 SEWER CONNECTION CITY OF TIGARD PERMIT #.ERMIT . . . . . . : SWR93-0396 CO;JIMIJNITYDEVELOPMENT DMiARIU NT DATE 15'3)(JED: 09/03/93 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 F"IPPCEL: 1 S 134AC..-04800 SITE ADDRE"SS. . . . 1.017;3 SW I'L RVG SUBDIVISION. . . . : HART' S LANDING ZONING: R-4. 5 PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :019 TENANT NAMr. . . . . USA NO. . . . I . . . . . : FIXTURE UIQ!T TS. . . : CLASS ;.1F WORK. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :GF NO. OF BUILDINGS: 1 INSTALL. TYPE. . . . :BUSWR IMPERV SURFACE. . : : sf Rom,arks : Fo"m I lTwner: ____.____..__..._.___._____..._.__.__......___.__.__..__.________._.__.__.._---_._ __...__. FEES m!*NAISSANCE' —EVEL_OPMENT CVORP type -amol_rnt toy date r^ecpt PRMT $ ::20121. 00 JF 09/02/9,.3 INSP $ 3`.5. 00 JF 09/02/9..:, — i"'l-lone #: LONTRnCTOR NOT ON FILE: 171 1-1(1 n e #: ? 2235. 00 TOTAL e J#. . . -- — REOU I REsD INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer Inspection _ of Vtp Unifies+ Sewage Agency. The pereit expires 180 days from he date issupo, The total mount paid will he forfeited if the ermit expires, The Agency does not guarantee the accuracy of the gide sewer laterals. If the sewer is ant located at the measurement _ iven, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase — a "Tap ano Side Sewer" permit and the A,envy will insta 1'a lateral. er m1fitce ign��t�.1v e : Call for- inspection CITY OF TIGARD — RECEIPT OF r-lf)lv*11FNT RFCEIPT NO. :93-243867 CHECK AMOUNT 5262. 65 NAME s RENAISSANCE CUSTOM HOMES CASH AMOUNT s 0. 00 ADDRESS : 1672 SW WILLAMETTE FALLS DR PAYMENT DATE 09/03/93 WEST I_-INN, OR SUBDIVISION 97066— PURPOSE OF PAYME-NT' AM(AINT PAID PURPOSE OF' PAYMM') AMOUNT PAID BUILDING PERM 465. 00 PLUMBING PERM 155. 00 INIF-CHANICAL PE 45. 00 ST. BI-111—D PER 33. 40 FLAN CHECK FE 26. 25 SEWER USA 8200. 00 RF WEE? INSPECT 35. 00 PARKS SDC 500. 00 STORM DRAIN SDC- C-1.80. L710 RESIDFNTIAL TRAFFIC FEES 1410. 00 MASS TRANSIT TIF FEES 110. 00 110873 SW 1091H AVE HART' S LANDING, LOT 19 TOTAL AMOUNT PAID — — — — 5262'. 65 1 -- --- -- r• uiuswiiaunwd. PLNCK/RECT #CITY OF TIGARD PERMIT N Ms c - U ��y COMMUNITY DEVELOPMENT DEPARTMENT Tiprd,Oregon97M (503)63"171 DATE ISSUED JOB ADDRESS: ��_ �(,� I U��`�'1 t TAX MAP/LUT ;5/ 3i' 9 -SI�pD SUB: HARTS LANDING LOT: LAND USE: VALUATION: OWNER SPACIAL NOTES NAME: RENAISSANCE DEVELOPMENT CORP REISSUE OF: ADDRESS: 1672 SW WILLAMETTE FALLS DRIVE LAST REISSUE: _— WEST LINN,OREGON 97068 FLOOD PLAIN/ 111IONE: (503) 557-8000 SENSITIVE LAND: CONTRACTOR APPROVALS REWIRED IRED s06gZ---6VL 3 NAME: RENAISSANCE DEVELOPMENT CORP. PLANNING: ADDRESS: 1672 SW WILLAMETTE FALLS DRIVE ENGINEERING: WEST LINN, OREGON 91068 FIRE DEPT: _ PHONE: (503) 557-8000 OTHER: -fir CONTR. BOARD #: 49955 EXP DATE: Si16.1?!, ITEMS REQUIRED SUBCONTRACTORS: PLUMB: EAGLE PLUMBING _ LIST/SUBCONTRACTORS: _ MECH: � TRI-COUNTY TEMP CONTROT. BUS TAX: _ P.�CI ENGINEER CALCULATIOtIS: NAME: ALAN MASCORD TRUSS DETAILS: ADDRESS: 1515 NW 23RD OTHER: PORTLAND, OREGON 972i0 PHONE: -9161 PROPOSED BLDG. USE: SFR C° OMMENTS: _ Si Fif"r s T 4�A"A, L1 r J � IAC IJ rAt�,tIC. 7.�rv�,� sofA�'r3 �►.�E Fatil Rr.ZAA-)5 L41 7' LoT in -*91F r^�'l+P/fes f�Y ANOu'SE. W17-140,14T ;aLA+C- F�ATi��t�`i C'ti ,> Stui7�f sic n PL T GNATURE — Received By: 1. ' Jate Received: . . , �, n r�t�' /'�'�q ����; n: J U' 11; J � �. PERMIT I ACCT I DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE ogle 10-432 00 Building Permit Fee; 10-431 00 Plumbing Permit Fees I 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5x) / 3J q� / 3.2=-LU Building Z3. Plumbing 1. 1 j Mechanical �- Zj, 10-433 00 Plans (.neck fee/ � °2 r� Z Building Plumbing / Mechanical _ �l- Z, 1 10-230 06 Fire j 0j 30-202 00 Sewer Connection u 0 J / 30-444 00 Sewer Inspection 3}� ✓ -�' — 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 Fees / -�-- 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PG;,) 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) ? / Lv— 24-445-01 Water Quality (Fee in lieu of) T 24-445-02 Water Quantity (Fee in lieu of) J i7 ~-1 TOTAL l� l G7 nm/3587P_WP1