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15360 SW MAZAMA PLACE ZOV7d VWVZVW MS 09£ST D3 V a a a; N 3 0 1p c�2 Ln -4 I 15360 SW MAZAMA PL CITY OF TIGARDELECTRICAL PERMIT PERMIT M ELC1999-00659 DEVELOPMENT SERVICESODATE ISSUED: 11/3/99 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 6�2-4 / PARCEL: 2S110DA-03300 SITE ADDRESS: 15360 SW MAZAMA PL SUBDIVISION: RENAISSANCE SUMMIT �` ZONING: R-3.5 BLOCK: LOT : 024 JURISDICTION: TIG Proiect Description: Installation of 2 branch circuits for hot tub. Job No. 5941 RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADrV-_ 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENEF GY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/.':DR: 601+amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVCIFUR>=225 AMPS: CLASS AREA/SPEC OCG: Owner: Contractor: CONNOLLY, JON S + MT HOOD ELECTRIC INC CONNOLLY, KAREN K 8900 SW BURNHAM RD 15360 SW MAZAMA PL UNIT F-27 TIGARD, OR 97224 TIGARD, OR 97223 Phone: Phone: 639-5833 Reg#: LIC 000011 SUP 3801S ELE 34-425C FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT DEB i 1/3/9P $42.85 99-319511 Elect's Final 5PCT DEB 11/3/99 $3.43 99-319511 Total $46.28 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. Q. All work will be done in accordance with approved plans. This permit will expire if work is not slartadAoin 180 days of issuance,or H work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rule doptPd t/the—Omgon Utility Notification Center. Those rules are set forth in OAR 952--001-0010 through OAR 952-001-0080. You may obtain 06 pies of thes a rules or direct questions t UNC at(503) 246-1987. r PERMITTEE'S SIGNATURE IS ED BY: m — -- .,� L , I a OWNER INSTALLATION LU --i The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: — _ DATE: CONTRACTO INSTAL ATION ONLY SIGNATURE OF SUP EC'N: DATE: LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day ,CITY VF TIGARD Electrical Permit Application Planchi c 0 13125 SW HALL BLVD. Rec d By( Date Recd & - TIGARD OR 97223 Date to P.E. -- Phone(503)639-4171, x304 Date to DST Inspection (503)639-4175 Print or Type Permit M��5 / Fax (503)684-7297 Incomplete or illegible will not be accepted called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development _ Number of Inspections per permR allowed Name(or name of busi�ness)_ lD� L7OAL/�/jyp� Service Included: Items Cost Sum Address ✓ G0 A//// ` r'r�/ 4a. Residential-per unit 1000 sq.It.or less $110.00 4 City/State/Zip 0'- Each additional 500 sq.It.or portion thereof 25.00 1 Li Commercial Residential $ - - CLimited Energy 525.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installa�F�e? (Attach copy of al r anIns Services or Feeders Electrical Contractor r c .1 r Installation,alteration,or relocation r. , 200 amps or less 560.00 2 Addnp l L'P LJ a lr�� G 7 201 amps to 400 amps $80.00 __ 2 City_f i State Zip 4 i 22. 3 401 amps to 600 amps $120.00 2 Phone 3 - _ �_ _ 601 amps to 1000 amps $180.00 2 Over 1000 amps or volts5340.00 2 Job No. 9 - - Reconnect only $50-0 2 Elec.Cont. Lire. No. Exp.Date OR State CCB Reg. No. _ Exp.Date 4c.Temporary Services or Feeders GOT Business Tax,-!Metro No. Exp.Date__`____ installation,alteration,or relocation s 200 amps or less $50.00 2 Signature of SU r. El::c'n _ - 201 amps to 400 amps 575M 2 9 P 401 amps to 600 amps $IM(m 2 Over 600 amps to 1000 volts, License Nrz�r�I _Exp.Date see"b"above. Phone N, 4d.Branch Circuits Now,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name feeder lee. Address Each branch circuit T $5.00 2 h)The fee for branch circuits City _ State Zip - without purchase of Phone N0. _! service or feeder fes. 1� First branch circuit 58T t6 2 The installation is being made on property I own which is not Each additional branch circuit $SAW 2 intended for sale,lease or rent. 4e.Miscellaneous 1513 (Service or feeder not included) Owner's Signature _ _ Each pump or irrigation circle $40.00 2 Each sign or outfine lighting $40.00 2 3. Plan Review sectionif required):* Signal circult(s)or a limited energy - section ( panel,alteration or extension $40.00 2 IL Minor Labels(10) 5100.00 Please check appropriate item and enter fee In section 5B. t- N 4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection $35.00 Classified area or structure conte ig special occupancy Per hour $55.00 m as descrihod In N.E.C.Chapter 5 In Plant J_ $55.00 W *Submit 2 set- ,f plans with application where any of the above apply. 5. Fees: J Not required for temporary construction services. 5a.Enter total of above fees � $ 77--,, 7�*� ,5'1-1furcharge(.05 X tote)fees) �/D $ - �✓ N_Q ICE Subtotal $ 5b.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if reculrgd(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TYust Account M TIME AFTER WORK IS COMMENCED. - $ Total balance Due I OSTSFI COG IVP Revq/96 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Rumness Line: 639-4171 / Buh _ Date Requested 1 a- `j AM f PM BI_D _ Location a 0 aA) Na za ma to( Suite _ MEC Contact Person Ka " �-0ria ',�.� Ph �3`�'Q97 emkPLM Contractor Ph -��7`f d4a- SWR BUILDING TenanUOwnei ELC QR Q 00&57 Retaining Wall ELR _ Footing Access: L Foundation /'� ,( , Q FPS _ P,Drain SGN Crawl Drain Inspection Notes: Slab — SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation Drywall Nailing — Firewall Fire Sprinkler _— Fire Alarm Susp'd Ceiling -- - Roof Misc ---- Final PASS PART FAIL ------- ---- ---- ----- --- PLUMBING Post 6 Beam _—.— Linder Slab Top Out ----—-- — -.— __-�— -- _ Water Service Sanitary Sewer _—_--- Rain Drains Final ----- ,_—...-- - -- — PASS PART FAIL MECHANICAL — Post& Beam ---- ---- — --._—�_ —_— Rough In Gas Line ---- __ --_ -- — -----— Smoke Dampers Final — ----- --- _—__ PA RT FAIL ECT – -- -�—.- – ------_`_�—�--- ------- L Voltage arm _�� — -------- — — J 0 PART FAIL U Backfill/Grading -- -- -- �— Sanitary Sewer Storm Drain [ )Reinspection fee of$ —required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: [ ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date z / �\ Inspector Ext Other - Final PASS PART FAIL O NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested Ah1 PM BLD _ Location_rSuite MEC _ Coni=t ^erson Ph PLM – Cor.xa(,ior Ph SWR — BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: FPS Foundation Ftg Drain SGN Crawl Drdin Inspection Notes: Slab _�- SIT Post&Beam Ext Sheath/Shear — Int Sheath/Shear Framing _- Insulation Drywall Nailing - -- - Firewall Fire Sprinkler --- Fire Alarm Susp'd Ceiling --- - Roof Misc:__ --- - Final PASS PART FAIL ----- �•�— 1-671 Beam Under Slab Top Out — - Water Service Sanitary Sewer Rain Drains -- f SS PART FAIL HANICAL Post& Beam "--------- — -- '--- -----._ Rough In Gas Line -------- - - -- - Smoke Dampers Final - PASS PART FAIL ELECTRICAL — L Service _— C Rough In UG/Slab Low Voltage Fire Alarm -- J Final PASS PART FAIL SITE U _ a Backfill/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire^upply Li. ( ]Please call for reinspection RE: __- [ j Unable to inspect no access ADP, - Approach/Sidewalk Date Inspector -Yr/ Ext Other Final PASS PART FAIL D NOT EMOVE this inspection record from the job site. (.'.I-RTIFICATE OF CITY OF TIGARD OCCUPANCY c PERMIT' #. . . . . . . i MtiT95 0308 COMMUNITY DEVELOPMENT DEPARTMENT DATE I OSUED a 04/05/96 '3126 SW Hall Blvd.Tigard.Oregon 07223.0100 (603)630-1171 PARCEL a ES 1 10DA 0X300 ITE ADDRES173. . . a 15360 SW MAZAMA PL. WBD I V I S I ON. . . . a RENAISSANCE SUMV I T Z ON I NG a R-3. :3 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . 11024 f 1 H 1 It 11 11 l l is) - rr..-__-_- --��f11�� '��+MM-►�►+r CLASS W' WOKK. , lW TYPE OF'sUSE.,.'. i' F OCCUPANCY GRP. r5k R 3 OtCUPANCYLOAD 12 Remai-I-e : PATH I Owtliir R NA:GSANCE CUSTOM HOMES 1 72 W1LLA0*tTTt' FALL'3i iR 1. 1f 1, , , , ,,. . .t 1... 1 ! lfffli lit J-4 r 1 +fff f ...1 111# 1. I.r .•If { sr e 1 .1 f .r. ..fMl}1 ) +ilr 1 Ill 1.11 WEST LiN� OR` Y0 a . l., , , , 1 i ,•. , + 1, 11. 1 Phone #e '15y_ 000` Contractors ----------------------------- R -----.____________ _______--R NA I S8fjNCF� C�J TI�M� HOMES INC 16`72 �W WILLrAM �TE1 FAL.I_S DR - III I lilt , 1n , 11 Irrl• WEST LINN OR 97066 Phone #r 1 '" I slf Irl! .Irl! lu,lr i s Reg #. . : 97599 This Certificate grants oCcupency of the above referenced building or portion thereof and confirms that the building has Mean inspected for compliance with the State of Oregon Specialty Codes for the groflp, occupancar, and use 1_Indev which e referencedrmit was iAssf1pd. i ) BU -DING !NpP TOR BUILDING OFFICIPL POST IN CONSPICUOUS PLACE L C J 0 a U J i 1 r 111 1 1 1 1 11_ so: I i1 1 i If Is It lr , CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT PLUMBING PERMIT 13125 SW Hall Blvd. Tigard.Oregon 97223.8199 (503)639-4171 PERMIT #. . . . . . . : PLM96-0188 DATE ISSUED: 06/28/96 PARCEL: 2S 1 10DA-03x300 SITE: ADDRESt3. . . : 15360 SW MAZAMA PL SUBDIVISION. . . . : RENAISSANCE SUMMIT ZONING: R--3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :024 CLASS OF-WORK. . :ADD GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 1 OCCUPANCY URF'. . :R3 FLOOR DRAINS. . . . . . 1 0 TRAPS. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . . 0 WA1E:R 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 TlIB/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. . : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Installing a residential backflow prevention device. owner: --------------------------------- --_-_--------_----- -- FEES -----------.---- RENAISSANCE CUSTOM HOMES type amount by date recpt 1672 WILLA SMETTE FALLS DR PRMT t 15. 00 CJS 06/28/96 96-281104 5PCT- $ 0. 75 CJS 06/28/96 96-281104 WEST LINN OR 970678 Vhone #: 557-8000 Contractor: MOODY ENTERPRISE INC F'O BOX 98 ESTACADA OR 97023 -------------------------__--_----______._. Phone #: $ 15. 75 TOTAL Req #. . 5973 ------- RE0111RED INSPECTIONS ------- This permit is issued subject to the regulations contained in the RP/Backflow Pr cv Tiqard Municipal Code, State of (Ire. Specialty Codes and all other Final Inspection _ ._... applicable laws. All Mork will be done in accordance with approved plans. This permit Mill expire if work is not started _ within 180 days of issuance, or if work is suspended for more _ IL than 180 days. p e r m i t t e e 4.i i g n a t 1-1r.e : ..""�� / � • �� ._— _ __.____ CO I s s 1_i e d B y . -_ ^w._ 0 CSLCI J Ca nor- inspection - 639--4175 City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # 9G- a 81loLf 13.?25 SW Hall Blvd. Permit # P/01 io Tigard, OR 97223 503 539-4171 C. MINIMUM $25.00 PERMIT FEE ¢ ST. SURCHARGE ,�o•wMnuni '7 New Sinale Family Residences Ong �.�•!�ev isa�,�c c �vtil�� - ». ❑ 1 BATH HOUSE$140.00 ❑2 BATH HOUSE$195.00 .lob S"��;0 SG/,��gL O 3 BATif HOUSE$225.00 Addressto Fee includEs all plumbing fixtures in the dwelling and the first 100 feet 777,71,- 6)W T7 2 3 of water service, sanitary sewer and storm sewer. See fees below. w..J. ..as.ti.�.r / FIXTURES QTY PRICE AMT fle,41,l C.N /( _s i C.- -k,,1 yU,4eS Sink M 9.00 ra.rw oderm Ph•°• Lavatory 9.00 F/- 5-5.7 Owner 1� 7� Ii/ aAle' U /1. Lew Tub or Tub/Shower Comb. 9.00 cniaM• m Shower Only 9.00 97OL4' Water Cvoset 9.00 Fj N... f Dishwashor 900 Garbage Disposal 9.00 Occupant M,.o,,,•„ Ph" Washing Machine 9.00 Floor Drain 900 ar+ww Zip Water Heater 9.oO Laundry Room Tray 9.00 NNW / Urinal 9.0G Other Fixtures (Specify) ;UO 9.00 Contractor /J Y 9.00 U 7 9.1x1 Fs caL�a O (I 702- Sewer 1st 100 30.00 sur.ra•ore~NO CIN FM. n.N° Sewer-ea. Addit. 100' 25.00 / /7 / -/ �- 5'973 Water Servkx 1st 100' 30.00 1 hereby acknowledge in3t I have read this application, that the Water Service ea. Addit. 200' 25.00 information given correct, that I am the owner or authorized agent of the owner, that plans submitted are in compliance with State laws, that Storm 8 Rain Drain 1st 100' 30.00 I am registered with the Construction Contractor's Board, that the Storm 8 Rain Drain Addlt. 100' 25.00 number given is correct. (If exempt from State registration, please give reason below.) Mobile Home Space 25.00 '�JBack Flow Prevention V Device or Anti-Pollution Device 9.00 sw•«•r%•°• a•aMr ""° Any Trap or Waste Not Connected to a Fixture 9.00 Describe work new M a ition Q alteration 0 repair O Catch Basin 9.00 to be done residential non-residential Q Insp, of Exist. Plumbing 40.00/hr Specially Requested Inspections 40.00thr Existing use of Rain Drain, single family dwelling 30.00 !1 building or property - a Residential backflow prevention devices C15.00 Proposed use of rtl- building or pro,)erfy J *(E)rcept res/denNal b60flow, , prevention devices) _ W W NOTICE "Minimum Kea $26.00 SUBTOTAL J PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5%SURCHARGE °j> AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF . CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS 75 COMMENCED. PLAN REVIEW 25%OF SUBTOTAL TOTAL t S.A, Special Conditions Date issued by �� MriSTER PEPMiT CITY OF T I GARD PERMIT #. . . . . . . : MST95-0328 DATE ISSUED: 09/26/95 'COMMUNITY UEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 07223.8190 (503)839-4171 PARCEL: 2S 1 10DA-0330( SITE ADDRESS. . . : 15360 SW MAZAMA PL SUBDIVISION. . . . : RENAISSANCE SUMMIT ZONINS: R-3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :024 ----------------- BUILDING ------------------------------------------ REISSUE: ------------------------------.__._------ REISSUE: DWELLING UN I'f 5: 1 BASEMENT. . . . . . . . :0 sf CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :800 sf TYPE OF USE. . . :Sr FLOOR AREAS----------- REQU I RED SETBACKS-- TYPE ----- TYPE OF CONST. :5N FIRST. . . . : 1848 sf LEFT. . - 10 ft RIGHT. : 10 ft OCCUPANCY GRP. :R3 SECOND. . . : 1.: 69 sf FRONT. -20 ft REAR. . :33 ft STORIES. . . . . . . :2 F I NBSMENT i 0 sf RECdU 1 RED---------- ------- -- HEIGHT. . . . . . . . :2`7 ft TOTAL-------:3117 sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 ps f VALUE. . . . . $ : 263961 PARKING SPACES- 11 Remarks : PATH I ------------------------------------ PLUMBING ----------__ __----------- ----- _--_ SINKS. . . . . . . . . . :2 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . : 1 LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . 10 TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASTNS. . . . . . . :0 WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1. WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0 WASHING MACH. . . : 1 SF RAIN DRAIN S. . : 1 ----------------- MECHANICAL ------------------------------------ FEES FUEL TYPES------------- UNIT HTRS. . :0 type amount by date recpt /GAS/ / / VENTS, . . . . . :0 TIF L 1590. 00 JDA 09/26/95 95-2:7099 MAX INPUT:O BTU VENT FANS. . :4 SWM $ 180. 00 JDA 09/26/95 95-27099 FURN ( 100K . . :0 HOODS. . . . . . : .1 SWM $ 100. 00 JDA 09/26/95 95-27099 TURN ) =100K . . : 1 WOODSTOVES. :O BPPT $ 720. 50 JDA 09/26/95 95-27099 FLOOR FURN. . . . :0 CLO DRYERS. : 1 BPLC t 480. 33 BON 08/30/95 95-269943 BOIL/CMP ( 3HP:0 OTHER UNITS: 1 BSPC t 36. 25 JDA 09/26/95 95-27099 GAS OUTLETS: 1 PARK $ 500. 00 JDA 09/26/95 95-27099 Owner: --__.___----.__._.--------------.___--_-MF'RT $ 46. 00 JDA 09/26/95 95-27099 RENAISSANCE CUSTOM HOMES MPLC $ 12. 00 JDA 09/26/95 95-27099 1672 WILLAGMETTE FALLS DR M5PC $ 2. 40 JDA 09/26/95 95-27099 PPRT $ 225. 00 JDA 09/26/95 95-27099 WEST LINN OR 970678 P5PC f 11. 25 JDA 09/26/95 95-27099 Phone #: 557-8000 EROS $ 88. 00 JDA 09/26/95 95-27099 Contractor: -_--- -- --_._____._.__.._____.________F_RPC $ 28. 60 JDA 09/26/95 95--27099 RENAISSANCE CUSTOM HOMES INC ERPC f 28. 60 JDA 09/26/9'x; 95-27099 1672 SW WILLAMETTE FALLS DR d WEST LINN OR 97068 Phone #: r� Reg #. . : 97599 ------------------------------------- ! 4050. 93 TOTAL This permit is issued subject to the regulations cortained in the ------- REQUIRED INSPECTIONS ----- - m Tigard Municipal Code, State of Dre. Specialty Codes and all other Footing Insp Ftng Drain Bsm' t Ij applicable laws. All Mork will be done in accordance with approved Foundation Insp Mechanical Insp W plans. This permit will expire if work is not started within 188 Wtr Proofing Ssm P1tlmb Top Out J days of issuance, or if work is suspended for more than 188 days. Post/Beam Strur_t Framing Insp Post/Beam Meehan Fireplar_ e Insp F'er^mittee Si tyre • _ Crawl Drain Gas Line Insp - '11 / n�slf� Insp �nsu�ation Insp Isssi-ted By : _- �_ 'L�/dn er oor yp oard Insp Call for inspection - 639-4175 SEWEW—CUMECT I ON C17Y OF T � PERMIT PERMIT 'A. . . . . . . : SWR95--0376 PNT ' COMMUNITY DEVELOPMENT 49iR DATE ISSUED: 09/26/9S 13115 SW Hall Blvd.Tigard,Oregon 97223.0199 (503)039.4171 PARCEL a 2S 1 10DA-03300 SITE ADDRESS. . . : 15360 SW MAZAMA PL SUBDIVISION. . . . : RENAISSANCE SUMMIT ZONING: R-3. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . ..024 ---------------------------------------------------------------------------- TENANT NAME. . . . . a USA NO. . . . . . . . . . a FIXTURE UNITS. . . a CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : sf Remarks : PATH I Owner: ------------_-------------------------------_------------ FEES --------------- RENAISSANCE CUSTOM HOMES type amoi-int by date recpt 1672 WILLASMETTE FALLS DR PRMT $ 2200. 00 JDA 09/26/95 95-270999 INSP $ 35. 00 JDA 09/26/95 95-270999 WEST LINN OR 970678 Phone. #: 557-8000 Contractor: ------------------------------- CONTRACTOR NOT ON FILE --------------------------------------- Phone #: $ 2235. 00 TOTAL . Reg #. . . - ------ REQUIRED INSPECTIONS ----- — This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires 189 days from _ the date issued. The total amount paid will be forfeited if the _ permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurfinent given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install a lateral. Permittee Siynat'-Ire : Call for inspection — 639-4175 1 ' Residential.0-uildl%_Nqrmit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsfts Address: 153(co Subdivision:RfYaoucj--,0Y)CL �t jfnad Lot# 7 Valuation: � v �1 Permit Comer Lot! Y ) Flag Lot? Y V Reissue of Map_&TL It IODA 3-W �'j.14 � c�7,�►�uz Owner: J'1LaL�f�1!'1 '�. r1J�SYY1 �� Approvals R�.ulnd Address: �� l l��1Q�1�[6� F 1��lJl• Planning 606 I —0011 9 h(vz Engineering Phone: Other ! ALV -t OK. Contractor: 9�riat S n LKitp1m t nrr e, Items Regulmd Address: 661 of (A, i R CYIET>l✓ F ke-, C f. Subcontractors A4 Li Lk, 14 -- Truss Details Phone: _ j� �`o - Other Is Irrrkwltj 'AH 1reAr 18'x" Contractor'o License 599 _ of" A 4VA 11v4 d.- Pyf- � �dttach copy of current Oregon license) �a,� � ex,f, Contact Name & Phone: �uG �Llli U L Subcontractors: Arch itect/Engineer: __ a.J (ll, _ Plumbing: Address: 1305 NUJ Igo' Ig VE, Mechanical: dfldo (attach copy of current &P Contractor's License) Q Phone: o�a�J - I 1(D� JOB DESCRIPTION: � ��, ��►ti 55�-goon _ Applicant SOnature & Phone number Received by: I Date Received: N i WOR DSC OM DENAP E SAP P Solar Balance Worksheet Address 153110 '5LAJ Mk7 OLejL Box A calculations: North-South dimension for the lot. Box A: This dimension is determined by finding the midpoint of the North lot line and drawing an intersecting line perpendicular to that point. Measure the distance from the midpoint of the North lot line to the South lot line along the described line. _ ft Box B calculations: Shade point height from your structure. Box B: 1. Determine whether measurements will be based on the peak or eave of your structure. The orientation of the ridge is also important. Which describes your lot? 1 a: If the roof line runs North-South, measurements will be based on the peak of the (Circle one) roof. _ 1a 1b (I c ' 1 b: If the roof line runs East-West and the root pitch is less than 5/12, measurements will be based on the eave. 1c: If the roof line runs East-West and the roof pitch is 5/12 or steeper, measurements will be based on the peak. ft 2. Measure change in elevation from front property line to finished floor elevatio- + 2,T ft 3. Meesure distance from finished floor elevation to the affected peak/eave. - 0 ft 4. If the roof line runs Ncrth-South, deduct three 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 Z Z. ft line to the rear property 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 nothing. 6. Total figure for box B: _ 7 ft Box C. Distance to the shade reduction line. Box C: 1. Measure the distance from the North property line to the foundation. _ ft 2. Measure the distance from the foundation to the affected peak or eave. c' ft 3. Total figure for box C: ?ft ft 1^QIn\j 1M. ,3C ar,:K ��LA � � ELECTRICAL PERMIT CITY OF TIGARD PERMIT ISSUED:E C95- 062D COMMUNITY DEVELOPMENT DEPARTMENT DATE95 13125 SW Hall Blvd.Tigard,Oregon 07223+0199 (503)639-4171 PARCEL-: 261 10DA-03.300 SITZ-- ADDRESS. . . . 1.'5360 SW IhAZAMA F'1_ SUBDIVISION. . . . : RENAISSANCE SUMMIT ZONING: R-3. 5 BLOCK. . . . . . . . . . . i._OT. . . . . . . . . . . . . :0.'4 Pr•o-7ect Description: new residential 3, 917 so ft. total with Unknown ELR pending ---------------------------- - - -kESIDENTIAL UNI1'-•--- ----TEMP SRVC/FEEDERS---- -----MISCELLANEOUS—— 1000 SF OR LESS. . . . : 1 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 5006F. . . : 6 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 60VI amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANE. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR L-ABEL ( 10) . . . : 0 -.___.-SERVICE./FEEDER--- - --- E3RANCH CIRCIJITS------- ---ADD' L INSPECTION9---- 21 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amts. . . . . . : 0 1st W/O ERVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . (101. - 1000 amp. . . . . : vi -------------------PLAN REVIEW SECTION— --- --- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VLA' NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS ARL.'/SPCC OCC. : Owner-: --------------------------- FEES ----------- ----- CURTIS GAGE. type amol.tnt by date r-ecpt P. O. BUX 1429 PRMT $ 260. 00 JMH 12/14/95 95-•273916 5PCT f 13. 00 JMH lr/14/95 95-273916 CL.ACROMAS OR 97015 Phone #: r03-657-0142 Contractor: -•------•-----------•-•---•-------------------------------------------•--- GAGE. ELECTRIC INC $ 273. 00 TOTAL PU BOX 1429 - - ---- REOU I RED INSPECTIONS --- - CLACKAMAS OR 97015 Ceilinq Cover- Elect' l Service Phone #: Wall Cover, Elect91 Final Req #. . : This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Signatt-tre aoolicable laws. All work will be done in accordance with approved plans. This permit will empire if work is not started within 180 days of issuance. or if work is suspended for more than 180 days. I sl.ted Ry INSTALLATION The installation is beinq made on property I own which is not intended for, sale, lease, or rent. OWNER' S SIGNATURE: DATE: _...._ -..-....-.___.------------CONTRACTOR INSTALLATION ONLY-------------------------------- Li:IGIJATLJRE OF SUPR. ELEC' N: DATE: LICENSE NO: Call for inspection - 639-4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # EI - Phone (503) 639-4171 Date Issued FAX (503) 684-7297 CIT (SSU@d by CL Y OF TIGARD TDD No. (503) 684-2772 Inspection (503) 639-4175 611 1. Job Address: 4. Complete Fee Schedule Below: I Name of Development Number of Inspections per permit Mlotttn►d —� Address 15 3 C,0 ervice included: Items Cost(ee) Sum City/State/Zip -- ` �_ _ 4e. ReeMentlet-per unit se 4 1000 sq fl or less _� 6110no �Q Name (or name of buslness)g- Eachaddiiureel5ooeq ft or portion thereof �_ $250o S1 0 o d 1 Comme ial❑ Residentialm— Lmmtled Energy $2500 Each Manul'd Home or Modular 2 ["welling Servios or Feeder $06 00 _ 2a. Contractor Installation only: Ib.Services or Feeders Installation afteratron,or relocation 2 Electrical Contractor, E200 amps or Was 111M00 2 Address,o I`'k-1--`i 201 amps to 400 amps :00 00 2 City '�_(rp—c.K.x-r-... State�1 7_I 401 amps to 600 amps $12000 2 _ p-3_a,-LL lag_ 601 amps 10 1000 amps $10000 2 Phone No.— (.-S-2 dl `1-1-. Over 1000 amps or volts $34000 2 Contractor's License No. 3 - 1 Reconnect only $5000 Contractor's Board Reg. No. :21 1A.5 114-} 4c. Temporary Services or Feeders Installation,alteration,or relocation 2 Signature of Supr. Flec'n200 am,.it less $5000 _ _ 2 License No. — . � Phone No. 20'"mpe'°"°e n^pe $ 500 _ 2 401 amps to 600 amps $100 00 Over 000 amps to 1000 volts 2b. For owner Installations: sea•b•above P4d. Branch Cirrults Print Owner's Name New,aheratton or extension per panel Address a)The tee for branch circuBe with City State Zip pmhom of ewrvko or Asede►IYe. 2 Phone NO. Each branch arLud $5 no b)The tee for branch circuits wffhouf The installation is being made on property I own which is purchosp of swvke or bad"Me. 2 not intended for sale, lease or rent. Fimt"ranch circuit —� $3500 2 Each additional branch arcus $500 Owner's Signature 4e.Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or irrigation aide $4000 2 Each sign or nullin a lighting $4000 t Signal cimut(s)or a l meed energy 2 Please check appropriate Item and enter fee In section 58. panel,alteration or extension $4000 _4 or more residential units in one structure Minor Labels(10) $10000 Service and feeder 225 amps or more d. System over 600 volts nominal If.Each additional Inspection over _ Classified area or structure containing special occupancy the allowable in any of the above as described in N E C Chapter 5 Per rIspection $ 0 $3500Pay 0 In Plant $6500 Submit 2 sets of plans with application where any of the above _ apply. Not required for temporary construction services. 5. Fees: NOTICE 5s. Enter total of above fees $ - 5%8,ircharge(.' total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal E AUTHORIZED IS NOT CGMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 250 of line h nor CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. 0 1ru,;t Accountlit $ Balance Due �► ��0 a .�rrnce,r.r.W«.c-vm ar 89-52'07" E 156.60' T 0 W IJ .................................................................................... 9 4.00 o • 7-355- voo, �llv --------------------- 2.00 T3 A� 2 1.00' /lZ 13.00, 9 L--a 21.00' rrf — 2 0 10/ C)o 0.00 L:=4 C,*. MAZAMA Ca w _j EASE--EIGHTMENT FOALONG ALL FRONTPAND RIAND REARVATE UTILITYLOT LINES SCALE DRAWING LOT 24 RENINISSANCE SUMMIT -S.E.1/4 SEC.10,T.2S.,R.1W.,W.M. CITY OF TIGARD WASH NGTOM COUNTY, OREGON I Irl JULY 14, 1995 Centerline Concepts Inc:. DRAWN BY: TJP CHECKED BY. WGD111 ' 640 82nd Drive Glodstane, Oregon 97027 -SCALE 1"=27-ACCOUNT 115 503 650-0188 fax 503 650-0189