10985 SW 109TH AVENUE a..
ADDRESS:
I
sw 107 N,11�lmk
C1
F—
vl
J
I a.l
J
IN OlcO rdsVinicrof InAtargetsOuilding.doc
CIT` OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT TCre OF
SW Hall Blvd.Tigard,Oregon 97223.8199 (50.3)839.4171 UCC CERTIFICAA rE
XX XX PERMIT #. . . . . . . .. MGT93---0261-•
F34 17 1 DATE ISSUED: 1 .1/09/93
PARCEL: 1 J134AC--0b 500
SITE ADDRESS. . . : 10985 SW 109TH AVF7'
SUBDIVISION. . . . : 11ARTIS LAND.:NG ;/_ONING:Rt--4. 5 PD
I_OT. . . . . . . . . . . . . .026
CLASS OF WORK. :NEW
6 T'Yf'E OF USE. . . :SF-
OCCUPANCY OPP. .R3
OCCUPANCY LOAD a 2.30 4
TENANT NAME;. . . s
PemArks:
Owners
RENAISSANCE DEVELOPMENT CVORP
Phone 4Fs
Contrac.tora
RENA I S SAN.'EE DEVELOPME W
1670 SW W':L_L AMETTE FALLS UR
WEST LINN OR 97060
Phone #1 557-8000
Way #. . . 49955
Uo:empanry of the above referenced building is hers�hy given, and Vert ifips
the cowpliaanc:e with the State Of Oregon iper. iatty Code�, or the g,,aup,
occupancy, and lis �.�ncier which the referF�nc�+d permit was tis�.iecl.
FIRt DEPARTMENT NU N . INS - "TSR
s= '
-- HuILDIIVC aF CrAL
POST IN L ONSPIC:UOUS GLACE
+11�. tl�RM I
CITY OF T IGARD IVIS
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)839-4171 DnTE ISSUED: Q15/26/93
SITE ADDRES',33. . . : 10985 SW 1.09TI-1 AVI" PARCEL :
SURD I V 19 1 ON. . . . : HART' S LAND ING ZONING: R---4. Fj PD
bk_Ocl�. . . . . . . . . . .. I (TT.. . . . . .. . . . . . . . ...026
CL.ASS OF WORK. . :NL'".W GARBAGr:,' DISPOSALS. . 41
TYPE" OF USE. . . . :SF WASHING ,MACH. „ . . . . . : I BACKFLOW PREVNTRS. . -.-1Zl
OCCUPANCY GRP. . -R3 FI...00R DRAINS. . . . . . . ..0 TRAPS. . . . . . . . . . . . . . :0
:;TORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1. CATCH BASINS. . . . . . . :0
f:-I X TU 13E G-___LL...... L.AIJNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1
S14N K S. . . . . . . . . . . I GREASE" TRAPS. . . . . . . :0
LAVn T OR I EF. . . . . : OTHER FIXTURES. . . . . ..Vi
I UB/SHOWERS. . . . : 'WER LINE (ft ) . . . . .0
WATER C'LOSETS. ., : WATER L.INE ( ft ) . . . ., : 100
1)1SW`IWA5HERS. . . . . 1. RAIN DRAIN (ft ) . . . . .171
jja r.ns,T,I-I I
UWNERx ___._.._._.._......__. ...._..____.-.-._FEES-__.---.. ._._._..
RE-NAISSANCE DEVEL-OPMENT cl)ORP TIF $ 1.4&0. 00 JH 05/26/93
rTAP R T $ 468. 00 JIA 05/26/93
I I__)I_C $ 40. 00 JI_.H 05/11/93 9,7,
s .57 3 S,5 PC $ 22. 40 J H 05/26/93
Phone #. BPI.-C $ 1.5. 00 JH 05/x:6/93
SSDC $ 1-280. 101111 JH 05/26/93
PI limbi T Cont race a, - PARI! 500. 00 -JI-I05/26/')3
MPRT $ 45. 00 JH 05/26/93
jbq. MPLC 11. 25 JH 05/26/93
Addres M5Pr_ $ 2-'. c5 JH 0`i/:'6/9,:,
17 it y - PPRT s 155. 00 JH 05/26/93
17 1 P. G-, P5PC $ 7. 75 JH 05/26/93
Rey
........... RCUL)IRPI) INSPET".T IONS
Thiv permit is issued sl_tbject to the reg..
1,11 at i^s..iiont a i tied in the Tigard Muniripal F'00t'/f0UT1d Insp Pain drain Insp
Code, `.:;tate of Orr. Spec=ialty Cudes and All I"Dost/Beam 8trurt Water Line Insp
other Applicable laws. Al work will be clone Post /Beam Merhan Appr''ScIwik Insp
in ar.:,rordanae with approved plans. This 17'IM/1-Andslab Insp Mec-hanical Fina '
permit will expirp if work is riot starttd 17ILM/Und erf lour P I t..t m In Final
within 160 days of issuAnce, at, if work i- Mor+ianital Insp Building Fii,,,j
rided for mvvp than 180 clays. Plumb Top Out Eros iori Control
n. . 1 Framing Insp Crawl Drain
Fireplace Insp
Gas Line Insp
insulation Int..n
C13 Gyp Board Insp
'hAt h 0 V'i Z.eG i U111 U i I I L u i ti c,_t u i i Wn-At tit-e
Q)
1.0
Call fat- inspertion - 63)-4175
CoriJ, ,-actor Notes .
CITY OF TIGARD i,iASTER PEF
.COMMUNITY DEVELOP!,-ilENT DEPARTMENT .. . . . . .
13126 SW Hall Slitcl.Tigard,0:*gon 97223*8199 (503)639-4171
1 j I .. DATL iSSUGD.
10465 13W J.0" FH
ji,
HP R 1 5 L PiN 1)1 N6 ZONING. R--4. 5 PD
LIU�'LDING
REISSUE
'f-ASS UF WORk., -NEW 6LURMS:3 13A 3 GARAGE. . . . . :492 4 f
'PE 01!
PREH ' -- RLUU I RED SE.1
i '-j'PjF C)' f7i R31 . 109,5 s fi LEFT. - -.25 t t RIGHT. 0
�3E-GOND. 11-84 5 f* F(2ONT. 4 f t REP)R.'. EO
LIN IES. T HI RU , . . c0 6t REOUI RED-
-LL ; ORS.
17
iL 1(ji-ii _J0 ft U I 1-1L - SM(.jf",L D(' I
T- LOUR LUAD. 40 pst VALUE;. . . . . I i'3690 PARKING SPACES. . : j
PLUMBING
4a BA(:14FLOW PIEVITR,�,
Li4VA iUR I L;--i,� I ER H LP . 1 . . . . . . . . . . . . . . .0
I N IS. vi
'1'U0/6HUWLJ'L,. DA".)
WA tLzA LLUSI'-. b. . 31--�Wf--'R I..I NL. t f-t -.--0 GR[--:w;L 1"fqAv,E;. . . . . . . 10
WACCR 1-11,4u. k , L ) . : 100 OTHER 'i: I,TURES. Q1
"jC-1 RLAAGE D 1 IS : 1 RAIN L'R(4!N ( ft , . LA
: i )F. i"C
"
- 11 4 IN U k b J.
F-CIES
ii,rw-3. kb lype A 1.1,0'.A I 11; 1)y date 1`@'
VL-.NTS 10 1IF t 14-60. 00 JH 05/a6/93
1: VLJ L'.17\1 I' F124 NS 4
1sPR i 46t_+. 00 .Ti-; 05/26/9,`.,
HOODS. . . . . . . .i 40. 1210 J LJ i OS/11/9j
F U H vi iki 03/ab/`,
FLUUP FURN. 0 L U D R y E Hz4. I DPILU &4 JFJ 05/;26/�
HL R 'I',J I _;.SDC: C-60. 0�o JH 05/L6/('
OU Ts., 1 F•14Rk 500, 00 JH 0 5 L,.C,
00 J H L715 2 C-)/9
MPLC ti 11. iz!tj JH it.,;:)t 6 9,--
.L:. C-:"p Jh rij'j, ..�6/'�
'-'PFS 155, 00 J{q Z Z,/2 6 9
I L Q1 0 -j'Lj f AI..
in
REUUIREE} INSPEUIONS
ather Fout/found Ifisp Firepla--`e lr�sp
--j "Iprovpa Post/bee", btruct Chis Line Insp
� I,FA Post/BeEtni Mechati insk.tliatifin ln= ;
(�Ayi, Plm/r,.indsliib Insp Gyp Board lnsi,-
if Sip Watr-i- L ) ne In pi
Plumb Tup kiLit i1ppr/5dw1k
i pt m rt g YT1 Mw rh A rt I t m )
INSPECTION NOTICE
City of Tigard Buildlm Doparteent
13125 SR Hall Bled. Tigard, Oregon 97223
Inspection Line (Rec-O-Phona)s 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL
Pont/Beam Struct. San. Sewer Frami:.9
Post/Beam Mech. Raln Drain Insulation
Plbg. Underfloor Water Linc Gyp. Bd. (�-M-ech
Date Reque^ted: !/' —_Time: PM
Address: �'��--"TTT ) 17 .7
m— Pecit e ( S+ 2(a
Builder: �[�/�/� S�///✓�QU
THE FOLLOWING OORRECTIONS ARE REWIRED:
Inspectors Date a&-/7��/ y----
APPROVED DiSAPPROVRD APPROVE' 8UBJECT TO ABOVR
-Call For Reinsn.
INSPECTION NOT:CE
Cita of Tigard Vullding Departaeot
13125 SW Hall Blvd. Tigard, Oregta 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4111
Inspoction: --
Footing Pl.bg. Underslab Nech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out (las Lina FINALc
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater V ne oyp. Bd. -Koch.
Date Requestele Tkmes AM PH
r
Addrese: Permit
Builder: 71 `T 11
THE FOLLOWING ODRRECTIONS ARE REQUIREDS
t
n
a
u
J
inspectors
APPR(rilltD -i- DIRAPPROVED AV" =WSW TO MM
Call For Reinsp.
����� INSPECTION NOT£(.'_ %r
City of Tigard Building nepartooat y��
&a 13125 tilt Hall Blvd. Tigard, Oregon 972231, " "-�_,
Inepeetirnl Line (Rec-O-Phone)t 639-4176 Busineos Phone: 639-4171
Inspections_
Footing Plbg. Underslab Much. Rough-in Appr/Sdwl.k
Found. Plbg. Top Out. Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
Date Requeetedt 1 �-7 Timet .�A-.N PM
Addreset 4 Permit ►s_
Bu alder t
THE *OI.LOWfM-- CTIO S ARE REQUIREDt -
f t.
--
W
Inspecrors -- Datet
APPROVED DISAPPROVED APPROVED SrWE TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Dopartaent
13125 SM Hall Blvd. Tigard, Oregon 972 �—_
Inspection Line (Rec-o-Phone): 63S •4175 Business Phone: 639-4171
Inspection:
400ting Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Lina FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain InaYlatiO -Plumb.
Plbg. UnderfYoor Nater Lina ppp. Dd. -Koch.
Date Requested: .� Time: AM PH
a�d� � �' �l�l l7►�T { Q �- — —
mit !t�¢�
Builders
THE POLLONINO C.7RRECTIONS MAR REQUIRED:
d _
H
R"
H
N
H
J
C9
W
J
IntpwotOrt
11PlwDVlb �` DISAPPROVED -� APPROVED 9UB.'ECT To ABOVE
_Call For Rainap.
INSPECTION NOTICE
City of Tigard Building Dcpart�ent �
13125 SII Hall Blvd. Tigard, Oregon 97223
Inepection Line (Rec-D-Phone): 635-4175 Businese Phone: X639-441p7�1�
Inspection:_
hooting Plbq. UnderslabMach. R .— Appr/Sdwlk
Found. Plbg. Top Out an Line FINAL-
Pont/Beam Struct. : in. Sewer Framing -Bldg.
Pont/Beam hech. Rain Drain Innulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: R161 Time: —_AM PH
Addrenn:_ C? � Permit #:._ O�
I'IIE FOLLOWING CORRECTIONS ARE REQUIRED:
}
T ^--'—T
� � J
CL'
H
t!1 —
Y
J
G�
L:1
J
7 ,
Inspector: _ Date:
PPR(MD DISAPPROVED APPROVED 8UBJBfj' TO ABOVE 7 Jf
Call For Reinsp.
Ink.
INSPECTION NOTICE
City of 'Tigard Building Departne_it /
13125 SW Hall Blvd. Tigard, Oregon 972
Inspection Line (Ree:-O-Phone): 634••4175 Business39-4171
Inspection• _._,__—__
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out GPn Line FINAL:
Post/Beam Struct. Sen. SewHr Framing -Bldg.
Pont/Beam Hoch. Rain Drain Insulation -Plu:,b.
Plbg. Underfloor Water Line Gyp. Bd. -Meet .
Date Requa sted:_7/z Y!? Time: P4 _ 11� PH
Adarens:(4/ (795— 5c'! ell Permit f: __�=y;
Builder:_ /V(f
THE FOLLOWING CORM-IONS ARE REQUIRED:
Inspectors _ _. DatA: 93Z
APPROVRD DISAPPROVED APPROVED SUBJECT TO Abr'"E
Cell For Ral.p.
INSPECTION NOTICE 1
City of Tigard Building Department 1
13125 811 Hall Blvd. Tigard, Oregon 97223
teepecti.:n Line (Rec-O-Phona)s 639-4175 eusinene Phon s -4171
wepeetielu: __ __
ftotLnq 1 Plbg. Underslab Mech. Rough-in Appr/Sdwlk
lo11s1d. Plbg. Top Out Gas Line FINAL-
Post/Beam Stnsct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater LLin*G Gyp. Bd. -Hoch.
Date Requesteds S /% - / �S Times AM PH
Addrnaes Permit +s �
Builders = lCc�G G /jTy
TeM rOLLOWING CWJUMTIONB ARE PJWXPXD:
T
-----------
r
r
Inspectors ` �_ Dates
APPROVED DIBAPPRarED APPROVED SUB.7ECT To ABOVE
_—_Cal: For Reinap.
741 INSPECT;ON NOTICE
City of Tigard Building Department
13125 SSI Ball Blvd. Tigard. Oregon 97223
Inspection Line (Rec-O-Phoneys 639-4175 Duaf.nesn Phone: 639-4171
Inapection:_
Footing P7.bg. Underalab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/se" Struct. San. Sewer Framing -Bldg.
Post/Beaty Rain Drain Insulation -Plumb.
P1bq.F Onderiloor Nator Line Gyp. Bd. -Hoch.
_ � - 3
Date Requeatedt =/� 7 l/ Time: AM PH
Address: /�������✓_ - Permit '
Builder: TT
THE FOLLOWING CORRECTIONS ARE RRQUIRED:
Inspector: r bateeJ� -CL
APPROVED DISAPPROVRO APPROVED SUB.IRCT TO ABOVE
Call For Reinep.
CITY Cir TIGARD RECEIPT OF F'(IYMf=NT RME=.XF'T NO. 03--• .:"39947
CWF=.0:K AMOUNT 290. 00
flp►hr RE:NA I SSANCh F)1=VC. I_0PMFNT CAGB AMOUNT
ADDRESS c 1672 WILLAMETTE F OL.L.I.,' DRIVE PAYME=NT DATE
WEST I_INN, 13R gLJSDIVisim x
9 711 F,F�•-
IPPOSE OF VlOYME=:NT AMOUNT PAID CIURPUSE OF PAYhlriJT AMCl1..1NT PAID
v~i l_E11'•I (.HECK FE. "o. 00 PLAN CI-IVUVI FE 5---30R -rQr. 00
J
cm
C.7
111
J
TI I I f41_ Ah IM11 PA 1 U _ ._ / E,911. 00
CITY OF' TICARD RECEIPT OF PAYMENT RECEIPT NO. 393-0.40696
Cl-iEC;, AMOUNT `,510a. 65
NAME RENAISSPNCE DFVF--"LOI:'MENT CASH AMOUNT t 0. 00
ADDRESS a PAYMENT DATE a On/26/93
SUBDIVISION
oURPOSF OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENI AMOUNT PAID
!lUff-DINU PFRM 468.00 PLUMBING PELRN
1--CHANIGAL PE 45. 00 ST. 13UILD PER 33. 40
,LAN CIAECK rE ;?6. P5 qF:Wr-R USA 2 100. 00
.;FWFR 1NSPE-CT S!r,. oel PARKS SDC' 1500. 00
,TORM DRAIN SDC 00 REST DENT fAt_ TRAFFIC FEES 13500. 00
,T�G IRANSIT TTF* F-FES 110 00
LOT 2.6 HART' Li LANDING
109AS SW 109TH
TOTAL AMOUNT PAID 5102. 65
—monam-
oi_vvL_v� LuN!"I'L 4,0 i,
CITY Cts F T IGARD
COMMUNITY DEVELOPMENT DEPARTMENT . . . . . . . .. SWR93
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171
Dill'E iSSUED: 015/26/913
HUDRE6S. . . f98'1j S-04 109 rH AVE , PARCEL:
VISION.
3 LANMING ZONING: Q -4. 5
. . . . . . . . . . LOT.. . . I. . . . . . . . . . iz&c6
6401-F NAME. . . .
�)Pi NO. . . . . . . . . . F I X11,UkL. ui%ii kz.
Utz WoRl'. . , '.NL W DWELLING UNITS. . : I
'Y PIL OF USE. . . . . :SP-' NO. Of' BU1Ll)1NGb: 1
ALGI'A-L.L. TYI--L:. . . . IPIPERV SURFACC. .
FEES
t Y P LA C-1110,A[It L)y daLL,
PRMT $ 2!00. 00 JH
INSP Ji 35. 0.0 JH
REOUIPLA) INSI-*LLITIUNS
i is App]it,-.nt agree, t6 L jlpiy with all the rules and regulations Sower i.r),;r)ert1o1I
ahe Unified 51"Wall AlFnLf. The pereit expires i88 days fit%
date iss-,Iqd. The toia! abount paid will be for'eited if the
.4it expires, 1me Agency LOeS t0t guarantee the KCjr;,_: ,r t P
„de seller laterals. If the sewer is not iocatp,4 -ii, ,, . PeiSit eni
gOrt, the VISt011Pr 0411 pl-011PICt 3 feet in A Mt i "or
t i
i distarcii given. If rot io located, thb
Pe�mlt and the j4f�yr
�'l .-FOR �J.Tol.
I/.U11
c;mart i.o 639—.41-/5
C,
(f
CITY OF ��lJ 1.��� 131 sw Ftau nwe. PLNCIC/REC i g
COMMUNITY JEYELOPMENT DEPARTMVNT Tigard.Oregon 97223 PERMIT #
(503)6394171 DATE ISSUED
JOB ADDRESS: _ TAX MAP/LOT /5/3
SUB: ;Ii LOT: `�' LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: /Z�/9lSSffl�lf_= �L� REISSUE OF:
ADDRESS: �'/� �tii"�l/¢1���,�/,�� ��� ,�/= LAST REISSUE:
FLOOD PLAIN/
PHONE: �S�—S/7 SENSITIVE LAND:
I
CONTRACTOR APPROVALS REQUIRED
NAME: PLANNING:
ADDRESS: i ENGINEERING:
FIRE DEPT:
PHONE: _ _ OTHER:
CONTR. BOARD #: SS EXP DATE:
I ITEMS REQUIRED
SUBCONTRACTORS: P,LOB: �/ LIST/SUBCONTRACTORS:
MECH: _�1�i l� �� 7`�� BUS TAX:
ARCH/ENGINEER CALCULATIONS: _
NAME: _ � ��-/� _ TRUSS DETAILS:
—
ADDRESS: / SIS �i�ti� � OTHER: _
PHONE:
PROPOSED BIOG. USE:
COMMENTS: �; 1 444��,(��'`
f T
ly l+r A.c.w.. PL _
AP [CAN S GNATURE
Received By: _ Date Received: �� _`� LI�/ Z�
PERMIT # ACCT # DESCRIPTION AMOUNT / AMOUNT PD. BAL. DUE
i
10-432 00 Building Permit Fees �a _
!0-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees x, 00
10-230 01 State Building Tax (5%) 3.3 • y-o
Building
Plumbing 7, 7:) /
Mechanical
10-433 00 Plans Check Fee f L /
Building
Plumbing
Mechanical
10-230 06 Fire
Z 30-202 00 Sewer Connection iry
30-444 JO Sewer Inspection 3J
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 O
25-448-05 Mass Transit Tff Fpes
52-449 00 Parks Systen Dev Charge (POC) 5u&
?' 450 00 Storm Drainage Syst Dev Chrg
L
�U_
24-445-01 Water Quality (Fee in iieu of)
24-445-02 Water Quantity (Fee in lieu of)
C9
1.0
TOTAL 5�2,(�?
nm/3587P.WPF