13810 SW 124TH AVENUE ADDRESS:
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Page No. 1 CASE HISTORY FOR CASE NO.: MST98-023')
RENAISSANCE DEVELOPMENT
13810 SW 124TH AVE
02/10/99
Action De: rription Req/ Schd/ End/ Action Notes
Disp By Update Upd
Date By
Code Sent Done Done
RECD DDA 06/16/98 GEO
MSTA005 App'iciAtion received / / / / 0(,/15/98 DONE DDAGt�O 06/16/9B GEO
MSTA008 Permit Created / / / / 06/16/98
06/16/98 DONE GEO 06/16/98 GEO
MSTA010 Check for prcl. restrict. / / / / PASS GEO 06/16/98 GEO
MSTA011 Plano rcuted to Plans Examiner / / / / 06/16/98
06/22/98 PASS RT 06/22/98 BT2
MSTA026 Plans approved by Pin Examiner / / / / PASS RT 06/22/98 BT2
MSTA0i0 Reviewed plans routed to DSTS / / / / 06/22/98
06/23/98 DONE GEO 06/23/98 GEO
MSTA032 DST Post Review Completed / / / / PASS GEO 06/30/98 DST
MSTA080 (F) Ready to issue / 06/23/96 Need TIF letter. `
PASS GEO 06/30/98 DST
MSTA092 (F) 13sue combination permit / / / / 06/30/98 RECD VN 07/06/98 DST
MSTA095 Issue plumbing signdcure form / / / / 07/06/98
VLN
t`7/07/.B P.F,CD 1r,4 07/07/9H VLN
MSTA097 Issue electric signature form / / / / 06/16/98 GEO
MSrA700 Erosion 844 8444 / / / / / / prdS GS 06'05/98 J•H
MSTA705 Footing Insp / i / / 08/05/98 Ufer tag�jed.
OB/19/99 PASS CS 08/30/97 O•d
MSTA706 Foundation Insp PASS GS 11/05/98 k-''S
MSTA710 Post/Beam Structural r3126/9F
06/26/96 PASS GS 11/05/98 GES
MSTA'lll Poet/Beam Mechanir.�l / / / �
PASS OS 08/30/58 J•H
MSTA713 Crawl Draiu/gackwE,ter valve / / / 08/19/ 0 PASS OS 11/05/98 GES
MSTA717 PLM/Undt_flour / / 08/26 98
11/06/98 PASS OS 11/06/98 J•H
MSTA720 Mechanical Insp / / / / PASS 06 11/06/98 J•H
t1STA722 Plumb Top Out / / / ! 11/06/98
11/06/98 PASS GS 11/06/98 J•H
MS'CA723 Electrical Service / / / / PASS GS 11/06/98 J•H
MST'A724 Electrical Rough In / / / / 11/06/98
13;4725 Framing Insp
/ / / / 11/06/98 PASS G3 11/06/98 J•H
/ / / / 11/06/98 PASS OS 11/06/9b J•H
MS'CA726 Shear Wall Insp 06/16/98 GEO
MSTA728 Low Voltage / / / / / /
MSTA735 Cis Line Insp / / / / 11/06/98 NEEDS TO TEST AT 10 LHS, MIN. FAIL US 11/06/98 J•H
'.1/10/98 to 0344090 PASS OS 11/10/9B GED
ME':A'35 ,as Lino Insp / / / / g
PASS US 1:/10/98 GES
NSTA736 Gas Fireplace / / / / 11/10/98 PASS GS 11/10/98 GES
MSTA740 inEulation Insp / / / / 11/10/00
/ / / / 08/19/98 PASS GS 08/30/98 J•H
CL MSTA752 Rain drain Insp PASS GS 02/02/99 GES
Of MSTA761 water Service Insp / / / / 11/06/98 PASS MH 12/18/98 .i•H
N MSTA765 Appr/Sdwlk Insp / / 12/16/98 okay to pour
MSTA790 Electrical Final / / 02/02/99
PASS OS 02/02/79 GES
�--� M / / / 02/02/99 PASS OS 02/02/99 GES
STA795 Mechanical Final
MS'CA797 Plumb Final
/ O7/J2/99 Don't forget backfloo device PLM98-0207. PASS GS 02/0</99 GES
CD
W
--1 02/02/99 PASS GS 02/02/99 GES
MSTA799 Building Final / / / / 02/10/99 JT
MSTA960 (F) Issue Cert. of Occupancy / / / 02/02/99
CITY OF TIGARD BUILDING INSPECTION DIVISION /1MST ,
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 --'�f —"=�—
BLIP _
IT64 e4 Date Requested, �- �_ AM PM gLp
Location /V -1' % r r Suite MEC
Contact Person_ Ph Q—�Si gf6CC PLM ILO 1-07
Contractor Ph SWR _
BIJIt.DIN Tenant/Owner ! ?5( / J 1. � �,.�" ELC
Retaining g wail EI_R
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspec+ion Notes:
Slab ' DC./ SIT
Post&Beam
Ext Sheath/Shear _
Int Sheath/Shear
Framing
Insulation ��aa "
Drywall Nailing �.p d�� c' �it�t ��.f�l,.-� G�—rtL,
Firewall
Fire Sprinkler
Fire Alarm —�
Susp'd Ceiling
Root
�1iPA-SItIPART
FAIL
'PLUMBIND,
Post&Beam
I Inder Slab
Top Out --- - `
Water Service
Sanitary Sewer ---_-- - --
Rain Drains
S PART FAIL
WCHANIC
Post& Bearn --------- -- ------- __-_--
Rough In
Gas Line -- -- ------
Sm a Dampers
r,MY - ---- - —
RT FAIL
42C TR 151
Rough In
CL; UG/Slab
Low Voltage
*FireAlarm PART FAIL
Backfill/Grading
w Sanitary Sewer
-' Storm Drain [ I Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall BivJ
Catch Basin Please call for reinspection RF:
Fire Supply Line [ p - [ J Unable to inspect no access
ADA
Approach/Sidewalk Date ? - 7 - inspector. Ext
Other ----- _.__�._ —_
Final
PASS PART I AIL I DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Yigard,OR 97223(503)639-4171
1
LE:RT I F I CATS. OF
OCCL.11=,ANCY
PERMIT #. . . . . . . . NST'418..01:e39
DATE ISGUE:D: 02/02/`)9
FARC-EL. 'S:t03CC-04300
.SITE ADDRESS. 1331.0 OW 1,24T1•A AVC
SUBD I V I G I ON. . . . : EAGLE PIC)I NTE ZON I NG: R--4. C PD
BLOC:K. . . . . . . . . . . 1_01.. . . . . . . . . . . . . JURIGDICTION:TIG
(;LPSS OF WORK. :NEW
.f Yf-"E OF USE. . . :SF
TYPE 01= C;ONF3TR c`:,N
r)C:C.UGANC:Y GRP. :F'3
ol,[,'I PANG'Y LOAD:2,
—mark s : FIAT14 1: New single fasily dwelling w'attached prage.
f�E NA I GSANCE DEVELOPMENT CORP
1.67,2 WILLAMETTE FALLS DRIVE
r4F5T L..INN OR 97060
mine #-.
RENAISSANCE CUSTOM HOMES
1672 WILLAMETTE F14L.t_5 OR
WEST L..I.NN OR 97068
tIhone #: 557-8000
I�e g #. , : 04'195`i
1-his Certificate grants ocr.:mpancy of the above referenced building or port: io(l
Lhereof and confirms that the Fal_tiIding has been inspect,ed for c7mpliance aikl,
the State of Orepon Specialty Codes for•• the groi.1p, occmpranc:y, and l Ye mnder
.,1- irate the referenced permit wag iss3raed.
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rai)I DING I pFC CiF;, F _� I.hlra"�CC1 I I '�Upf RVII: I�R
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�- POST IN CONSPICUOUS PI..ACfv
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CITY OF TIGARD MASTER PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MST98-01239
13125 SW Hall Blvd., Tigard,OR.97223 (503)639-4171 DATE ISSUED: 06/30/98
PARCEL: 2SIO3CC-04300
SITE ADDRESS. . . : 1381O SW 14TH AVE
SUBDIVISION. . . . -EAGLE POINTE ZONING: R -4. 5 PD
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :O18 JURISDICTION: TIG
Remarks: PATH 1: New single family dwellin, w/attached garage.
------•--------•------------------------------------------- BUILDING ----------'----- ---------------------------------------
, , REISSUE: STORIES.......: 2 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED----•---------
CLASS Gf WORN.:NEN HEIGHT........ 25 FIRST....: 1412 sf GARAGE.....: 770 sf LEFT..........: 8 DIOKE DETECTRS: Y
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 1372 sf FRONT.........: 25 PARKING SPACES: 2
TYPE OF CONST. :SN DWELLING UNITS: I FINB34ENT: 0 sf RIGHT.......... 8
OCCUPANCY GRP.:R3 BDRM: 3 BATH: 3 TOTAL------: 2784 sf VALUE..$: 199864 REAR..........: 59
------------------------------------------------------------------- OIUMBING ---------------------------------------------------------------
SINKS.........: 1 WATER CLOSETS.: 3 WASHING MACH..: 1 LAUNDRY TRAYS.: 1 RAIN DRAIN ft: 100 TRAPS.........: 0
LAVATORIES....: 5 DISHWASHERS...: 1 FLOOR DRAINS.,: 0 SEWER LINE ft: 100 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB/SHOWERS...: 3 GARBAGE DISP..: 1 WATER HEATERS.: 1 WATER LINE ft: 100 BCKFLW PRFVNTR: 1 GREASE TRAPS..: 0
CTHER FIXTURES: 0
------------------------------------------------------------- MECHANICAL --- --------------------------------------------------------
FUEL TYPES----------- FORN ( I00K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 4 C'.GTHES DRYERS: I
GAS FURN )=INK ..: 1 UNIT HEATERS..: 0 HOODS.........: 1 OTHER UNITS...: 1
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODS10YES....: 0 GAS OUTLETS. 1
-------------------------------------------------------------- ELECT!'.ICAL ------------------------------- ------------------------------
--RESIDENTIAL_ UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 1 0 - 200 amp..: 0 0 ?00 amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 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 - 60A amp..: d 401 - 600 amp..: 0 EA ADDL BR CIA: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0
MANE HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0
1000+ ampivolt.: 0 ------- ---- ---------------------- PLAN REVIEW SECTION -------------------------------•---
Reconnect only.: 0 )=4 RES UNITS..: SVC!FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
---------------------------------------------------- ELECTRICAL - RESTRICTED ENERGY -------------------------- ------------------
A. SF RESIDENTIAL------- —----------------- B. COMMERCIAL--------------------------------------------------------------—--------------
AlIDIO A STEREO.: VACUUM SYSTEM..; AUDIO I STEREO.: FIRE ALARM.....: INTERCOMIPAGING: eUTDOOR LNDSC LT:
BURGLAR ALARM.. : 0TH: :: X BOILER.........: HVAC...........: LANDSCAPE!IRRIG: PROTECTIVE SIGNL:
r
GARAGE OPENER .: CLOCK..........: INSTRUMENTATION: MEDICAL...,....: OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS, ..: TOTAL I SYSTEMS: 0
Owner: ----------------'------------------Contractor: ---------------- ---------- TOTAL FEES:$ 3440.20
RENAISSANCE DEVELOPMENT RENAISSANCE CUSTOM HOMES This permit is subject to the ro u)aiiuns contained in the
1672 WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR Tigard Municipal Code, State of Ore. Specialty Codes and all
WEST LINN OR 97068 WEST LINN OR 97068 other applicable laws. All work will h, done in accordance
with approved plans. This prr•mit Aill expire if work is
Phone I. 557-8000 Phone #: 557-6000 not started within 180 days o,' Issuance, or if the work is
Reg C.: 049955 suspended for more than 180 day,, ATTENTION: Oregon law
_ ______________________________---_--_-_____-_____..___ requires you to follow rules adrpted by the Oregon Utility
ce
Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0N80. You may obtain copies of these rules or
direct questions to ODIC by calling (503)246-1987.
r ---------_------------- --------------------- REQUIRED INSPECTIONS -••------------------------------_---------------
- Erosion 844-8444 Crawl Drain/Back Flo-crical Rough insuiation Insp Mechanical Final _
C I Footing Insp PLM/Underfloor Framing Insp Rain drain Insp Plumb Final
(� Foundation Insp Mechanical Insp Shear Wall Insp Water Service In Building Final
` Post/Beam Struct Plumb Top Out Low Voltage Appr/Sdwlk Insp —
Post/Beam Meehan Electr' 1 S rvi Gas Line Insp Electrical Final
I SsIIPd By : �� - Permittee Signati-rre : _
+++++++++ +++++++ ++ F++f++++++++++++++++++++++++++++ ++++ ++ ++++f++++ ►++f
Call 639-4175 7r@@ p. m. for an inspection needed the next bi-isiness day
r j
CITY OF TIS ARD Residential Building Permit Application Plan Ch
e r J 1
Y
13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd b-/5
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P E.
V 503-639-4171 Date to DST(c Z 2 -
F 503-684-7297 � � permit# ;%9
Print or Type l� Called (,• 3 g3 �—
Incomplete or illegible applications will not be accepted C)
Name of Project Name 47
/�
.JOA lE i� -
Address
Architect Mailing Addr
Address Site Address �
Name (� City/State ZipPh9n3e/ ,y
/f✓ _.� _ ;6/,402 ir,- 7 1 J
Name
Owner Mailing Address .7%/►7 rv*Z• 111_ )`7''
En ineer Mailingg Address �,_ A
Ci tate Zip Phone 9 I 'o7g �u ��/ %CM//sl
�� A� a' � ��r Cityy�/ tate Phone
General Na rl `y '3
Contractor y� �1g S Describe work Newi Addition O Alteration O Repair O
Mailing Addtessto,ie done
Prior to permit S_L �" "._�'l' a, Additional Description of Work: f,
issuance, a copy City/State Zip Phon-s �__ ✓/ i� % '�� (/T�
of all licenses
are required if Oregon Const.Cont.Board Exp.Date PRO.JEr:T
expired in COT Li�, /J-� �. /� VALUATICF
database /J _
Mechanical Name _ NEW CONSTRUCTION ONLY: _
Sub-
/ Sq. Ft, House / Sq. Ft. Garage
Contractor Mailing Address 7 (J
Prior to permit ' �. � .�.�'i� Corner I of YES N Flag L.ot YES �O
issuance,a copy City/State ZI Phone t:heck one) (check one)
of all licensesC n f , / Restricted Audio/Stereo Burglar
are required if Oregon Const.Cont.Board Exp.Jate Energy System Alarm
expired in COT Lic.# _ _
database C - .� 312,619Y Installation Garage Coor HVAC
Plumbing Name IOpener Systems
Sub- I / "��/�/ � �/( (check all that Other:
Address
ailln apply)
Contractor Will the electrical sl!bcontractor wire for all YES h0
restricted energy installations?
Prior to permit Ci i tete Zip Pho I-as the Suhdivision Plat recorded. N.
-C
issuance, a copy r� • � C
of all licenses are Oregon Const.Cont.Board E /.47;/w
required if Lica Solar Compliance
expired In COT ti's 5'� 'A� (Calculation Attached)
database Plumbing Lie.a EAP.0 e I hearby acknowledge that I have read this application, that the
information given is correct, that I am the owner or authorized
Name / / agent of the owner, and that plans submitted are in compliance
7 with Oren State laws.
Electrical f- Signature of� iDate
> Sub- Mailing Address - lit �i-
�- Contractor �X / �f Contact Pe Phpge#
-u City/State Zip Phone
L Prior to permit ? FOR OFFICE USE ONLY:
issuance,a copy ,�{� L L'�j 1�' %� Pla'#: MaplrL#: i
w of all licenses are Oregon Const.Cont.Board Exp.Gate - �� �e
required if Lica / p
�� r e ! Seloacks Zone: i Solar:
expired in COT L ,S7 �;, e��J 'p� v�
database Electrical Lie.a x�.Dat Engl eerin Approval: Planning Approval:r TIF:
�C) � c
GIG-f
I:SFREM.DOG (DST) 4/97
Solar Balance Pent Standard Worksheet
Address
ranintersecting
calculations: North-South dimension for the lot. Box A:
mension is determined b;� finding the midpoint of the North lot fine and drawing
line perpendicular to that point.
First, determine which property line is the North lot line. The North lot line is the line
with the smallest angle from a line drawn east-west and intersecting the northern most
p7int of the lot.
45°—�
n.7nn�FRr+ I
tOT\ UNE i North-
South
N
Dimension for Lot:
Measure the distance from the midpoint of the North lot line to the South lot line along
the described line. fC/ feet
1 \
N \
NORM44UIN DWEKV'�(.�'—vy
Box B calculations: Shade point height f)r your residence. Box B:
1 . Determine whether measuiemcn,is will be based on the peak or eave -)f your. Which describes
structure. The orientation of the ridge is also important. your residence?
K,...,a,.. (circle one)
1 a: If the roof!ine runs North-South, measurements will
be based on the peak of the roof.
1A 16 1C
1 b: If the roof linc runs East-West and the roof pitch is \
less than 5/12, measurements will be based on the
LL eave.
91AOE PONT EASE
Un
}
w1 c: If the roof line runs East-West and the roof pitch is
—� 5/12 or steeper, measurements will be based on the
peak. W"oCCA
Box B. continued Box B:
2. Measure change in elevation fro i front property line to finished floor elevation. If
the lot slopes up from the front lot line to the foundation, the figure is positive. If ,� ft
the lot slopes down from the front IOL line to the foundation, the figure is negative.
3. Measure distance from finished floor elevation to the affected peak/eave. + "�' ft
4. If the roof line runs North-South, deduct .hree feet. If the roof line runs East-West, ---
deduct nothing.
5. Subtract one foot for each foot of difference in elevation from the front property
line to the rear F,operty line, if the lot slopes up from the front to the rear. If the
lot has no slope or slopes up from the rear to the front, deduct nothi;,- — ft.
6. Total figure for bix 8:
Box C. Distance to Nie shade reduction line. Box C:
1. Measure the distance from the North property line to the foundation near the ft
affected peak/eave.
2. Measure the distan,.e from the foundation to the affected peak or eave. + _ ft
3. Total figure for box C: ,—_
It is most useful to draw a vertical line to represent the appropriate figure found in box"A"and a horizontal line to represent the
appropriate figure found in box "C". The intersection of the vertical and horizontal lines determines the value found in box "D". The value
in box "D"shuuld be compared to the value in box"8"; if the value in box"B"is less than or equal to the value found in box"D",then
the building is in compliance with the solar balance code. If you have any questions, please contact us at 6394171,x304 or at the
Community De�nlopmentCounter.
MAXIMUM PERMITTED SHADE POINT HEIGHT (In feat)
Distance to North-south lot ditnension(in feet)
shade 100+ 95 90 85 80 C ?0 65 60 55 50 45 40
reduction line
fr)m northern
'0 40 40 40 41 42 dt3 44
65 38 33 38 39 40 42 43
60 36 36 36 37 38 40 41 42
55 34 34 34 35 36 38 39 40 41
i
50 32 32 32 33 34 36 37 38 39 40
45 30 30 30 31 32 34 35 36 37 38 39
40 28 28 28 29 30 32 3" 34 35 36 37 38
35 2b 26 26 27 28 219 30 31 31 33 34 35 36
30 24 24 24 25 26 2'7 28 29 30 31 32 33 34
ti
�— 25 22 22 22 23 24 2�5 26 27 28 29 30 31 32
20 20 20 20 21 22 24 25 26 27 28----N--3U-
15 18 18 18 19 20 2h 22 23 24 "_5 26 27 28
10 16 16 16 17 18 1 20 21 22 23 24 25 26
5 14 14 14 15 16 1 18 19 20 21 22 23 24 I
Box D. Maximum allowed shade point height: J feet
h 1,dn_rs�nancOventuratsoIar.chp \ i
Rovised 2'26!96
�l
NOTE., CENTERLINE CONCEPTS,
'h SURVEYORS,WILL PIN A.LL EXTERIOR
11 FOUNDATION CORNERS iND PROVIDE
J l o SUBSEQUENT MORTGAGE SURVEY.
ERASION CONTRO .
1.
o PROVE&11AMTAN r(mint THC1(
^ C� GRAVEL PAD&DRIVE UNTIL PtRMANENT
N 83'43'02" W CONCRETE'DRIVE N N PLACE.
1,15.17' 2 PR &MANTAN SOIL SEDIMENT
wLjj
> 20.0 ry a s—�� OVIDE FENCE AS WDIC�ATM
_
0 5.00•
17.50
N 10.E 3�% '��`''¢� ` � .,� -►ter
se.e
25.0' te.00 � 8 1 -----11 ��` to
.RN1 I(
aS' 3
0 2.00• ;
Z 17.08
N N �i✓1?�,G7' .Sip /.,
V►`�
LAJ 15.0,
L4 AJ1 4 y
1 �
SCALE DRAWING LOT 18 EAGLE POINTE
a N.W. 7/T SEG. 10,T.2S,R 1 W, W.
i
CITY OF TIGARD
/ WASHIIJGI"ON COUNTY OREGON
--AN EIGHT FOOT PUBLIC UTILITY EASEMENT
SHALL EXIST ALONGALL STREET FRONTAGE. JULY 9, X997 _
DRAWN BY: MSG CHECKED BY: WGDIII �,Er� terl ?i; Co� 1c ep{s jr , ( - _
LL• I SCALE 1"=20' ACCOUNT 115
M: MLI PLAT EAGLEPO L18EP 640 P2nd Drive Gladstone, Oregon 9707'
50. 650-0188 fox 503 650-0189
•k.
A CITY OF TIGARD
I g DEVELOPMENT SERVICES SEWER CONNECTION
13125 SIN Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #PERMIT
. . . . : SW R98 O 14Q1
DATE ISSUED: 06/3:,0/98
PAPCEL.: 2S 1 O3CC--04300
SITE ADDRESS. . . : 13,?10 SW 1 4TH AVE
SUBDIVISION. . . . :EAGLE POINTE ZONING: R-4. 5 PI)
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :018 .JURISDICTION: TIG
TENANT HAME. . . . . :RENAISSANCE DEVEL.OPEMNT
USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 0
CLASS OF WORE!.. . . :NEW DWELLING UNITS. . : i
TYPE OF USE. . . . . :3F NO. OF BUILDINGS: 1
INSTALL_ TYPE. . . . :BUSWR IMPERV SURFACE: 0 sf
Remarks : Sewer-, connection for a new singlz family Jwelling.
Owner-. ------------_.______ ____.____._.______.______....._______...__._.___. FEES
RENAISSANCE DEVELOPMENT type amoi_int by date r-'ecpt
167 : WILLAMETTE FALLS DR PRMT $ 2300. 00 GEO 06/30/98 98-306955
WEST L.INN OR 97O68 JNSP $ 35. 00 GE:O 06/30/98 98-306955
Phone #:
Contr-actor•:
RENAISSANCE CUSTOM HOMES
1672 WILLAMETTE FALLS DR
WEST LINN OR 97168
Phone #: 557--8000 $ 2335. 00 TOTAL
Req #. . : 049955
------- REPUIRED INSPECTTONS - -----
This Applicant agrees to comply with all the rules and regulations Sewer, Inspection _
of :he Unified Sewage Agency. Thr permit expires 180 days frDs
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of fhe
side sewer laterals. If the sewer is not located at the %jasurement
given, the installer shall prospect 3 feet in all dir?ctions frog
the distanct given, If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral. _
ATTENTID4: Oregon law requires you to follow rules adopted by the
Oregon Utility Notification Center, Those rules are set forth in OAR
952-001-010 through OAR 952-0001-008A. You msy obtain copies of
these rules or direct questions to OUNC by calling 15031246-1987.
T rF d b Permittee Signatl_ire l
Lj ++++++++++-f+++++++++++++++++•f+f+++++-+++++++++++++++++++++++-4+++++++•++•F++++++t+++
Call 639-4175 by 7:00 p. m. for- an inspection needed the next business day '
++++ ++++++++++++++++++++-f+++++++++++•t+++++++++++++.f•+++++++++++++++AF+++++++•+-.a.f : i + I
CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
PERMIT #. . . . . . . .. PLM98-0;207
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 06/26/98
PARCEL: i7eS103CC-04300
SITE ADDRESS. . . : 13810 SW 124TH AVE
SUBDIVISION. . . . : EAGLE POINTE ZONING: R-4. 5 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :018 JURISDICTION: TIG
------------------------------------------------------------- ----------------------------
CLASS OP WORK. . :ALT GARBAGE DISPOSALS. 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : I
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . 0 TRAVIS. . . . . . . . . . . . . . . 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURES---------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Residc ,)ti,,, t backflow prevpnter,
Owl'er-: FEES —————————--————
RENAISSANCE DEVELOPMENT type amol-tnt by date T-ecpt
1672 WILLAMETTE FALLS DR PRMT $ 15. 00 JD 06/26/98 98-306863
WEST LINN OR 97068 5PCT $ 0. 7*3 JD 06/26/98 98-306863
Phone #:
Cont Tact or-----------------------------------
MOODY ENTERPRISE INC
PO BOX 98
ESTACADA OR 97023
Phone #: ~< 15. 75 TOTAL
Reg #. . : 000059
REQUIRED INSPECTIONS -------
This permit is issu-d subject to the regulations contained in the RP/Backflow Pre
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final inspection
applicable laws. All work still be done in accordance with
approved plans. This permit will expire if work is not started
witoin 180 days of issuance, or if work is suspended for spre
than 188 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Thoss, 0ts are
set forth in DAR 952-8881-88!8 through OAR 1 may
obtain copies of these rules or direct questions ti, �;14 ov calling
(503)246-1987.
_C
4
Issi-ted By :.6_�" Permittee Si gnat i-ir-: `l I,(
+++A.......................4+...... .................... . .... .........4.+
Ca 11 639-4175 by 7:00 p. m. for An inspection needed tfie next blAs i ne c;s day
...........................4...............4.........4.....:.....................4
L_ A
L � ")
1TY OF TEGARD
Plumbing Application �' Recd Ely -r"
125 SW HALL BLVD. Commercial and Residential Date Recd 7 �_
i IGARD, OR 97223 Date to P e.
(503) 639-1171 Dare to 0
Penna a R=.,
Print or T ` 2
Ype Related SWR:
Incomplete or illegible applications will not be accepted Called
Name of OevelopmenuProject FIXTURES (Individual) QTY PRICE AMT
Job �' Sink ---
/G oihT P.rie,� h.e+zT 9.00
Address Sir"• t Address _ Suite Lavatory I 9.00 J
or rub/Shower Comb. -!
81dg s GtyrState Zip Shower Only9.00
T TDA 4
;x.1_1 Water Gosel
3 _ 9.oo
W
Na
9.00
Dishwasher 9.00
Own9r Mailing Address Suite Garbage O sposal 9.Ou
1"'a ?C Washiny Machine 9.00
+ /G't/y/Slate Zip p Phone Floor Dram 2•
11(11r .S7;W-�O--0 9.00
Name �� 9.00
4 9.00
Occupant Nia�+q Addle�4— Swte Water Heater
_ _ 9.00
/� W%l$/ -S r Laundry Room Tray 9.00
City/State Zip Phone Unnal
izAa 5 9.00
Narfie Other Fixtures(Specify) — 900
—//00 y 'p T�-,o ty fS t'�S — 9.00
Contract Ji, ti til Add Ss Suite
P�•G�oX�
9.00
I C,ty/State Zip Phone 9.00
EfT A a'C 41-31 9.00
Oregon Const.Cont. BOarO Lic.s Exp,pate _ 9.00
A4.e11 COPY of i ,.— � 9.00 7
1 --
curr"d E;4"--ng Lic.• E:xp.Date Sewer-1st 100' a —
1-kone a J0.00
Sewer-each additional 10(V I 25.00
Business Tax or Metros Eap.Oa.e
--� _4 Water Service--st 100' i 10.00
j r.ame Water Sewtce-each additional 2200' 25.00
Architect Slorrn S Rauf Dram- 1st tool J(.uu
or Vining Address g, ;e Storm&Rain Drain-caul additional 100' � 25 00
Ir �-ty Slate Mobile Honre Space — 25 00 i
EnyiEngineer ^ryrPhone~ Commercial Ba x Flow Prevention Cev,ce it Anti 25.00
i Pollution Cer,b
Describe wont 4" Addition O Xteration O Reuair O Residential Backflow PrPvenuon Cevrce' 15 00
I t»done. Resdenhal O Von-residential O Any Trap or Waste Not Cannecled to a Fixture
AddttlorW desrnpt.an of wont _ i I 900
S 71-;"w Catch Basin ! 900
Insp of Existing Plumbing i 4000
Spec al R _ oenhr
h Requested-� �ntortq use of Inspecnons
~ xalillillinq a 11mPettY oenhr
`n -- Rain grain single family dwelling 3000
F ^bposed use cf Grease Traps —j—' Ll
00
wilding ti property +
J T-
QUANTITY TOTAL
L ?ro got:k:aPpmg, moving or replacing any fixtures? Yes C? No❑ Isomea+c or rater augram u recuirsd If C:»v+ar 7otN is >9
(11 yes sM back of forint 'SUBTOTAL
1 lereby acknowledge that I ha.e read this application,that the informahnr _
;-,.,en.s.arrect. :hat I am the cwner or authorized agent of the owner and 5%SURCHARGE
rat clans submitted are in comollance with Cr_ on Stale Laws. _
7F,7,r,
Agent / Date PLAN REVIEW 25•: OF SUBTOTAL
// ...�, , .• / ,� secured Inir♦'♦afore m.rota♦ s>1 I _
ll `'� 1 TOTAL
:antact Person Na e Phone _
6' 6i 7 Q 'Minimum per n rwe is 525 • 5%surrharge.except Residential Bacxflnw
)/` 2 ��!l P evenbon L twit . .1 S15• 5`L surcharge
i:,.dstsylmapp.doc mm
PLEASE COMPLETE AS APPROPRIATE TO PR 4E—CI:
Fi).tures to be capped, moved or replaced Qty
Sink
Lavatory
Tub or T ub/Showe; Combinatiol"I
Shower Only
Water Closet
Dishwasher
Garbage Dispos-11 _
Washing Machine_ Y
Floor Crain — 2"
3"3
J
4 rr
Water Heater
Laundry Room Tray _
Urinal _
Other Fixtures (Specify)
i
�UMMENTS REGARDING ABOVE:
i
ll
V
L
W