The URL can be used to link to this page

10599 SW LADY MARION DRIVE • TYPICAL ff G5 . 0 PROPERTY CORNER SIDE SETBACK so N 00 '01 6 134. 52 1,gi: *�W - --- - -- ------ R_! .. ..... H, IN 15 . 0 REAR SETBACK 0 : ; 10 M. ti HH, 01 < 0 C. 01 9 vo H 5fill 7-11 .. ......... Oe- 4z 00 All 4;>. c/) 3F • 0 '0 W4 x, &00 70 00 too V/0 .. ...... ......... - ------------- 0 ole n V4 dL Ir 1k,"0 00 ---------- 0 el4e 0 ---------- __ QTc �s9�� pis I 7 ---------- 2 F N T,- 8tTB-ACK> --------- ---- -I `°`°9 - - -------- -------- -- --- - ----- ........ ............. - ------- -- ---- ........... .. ... .. ...... -- - --------- --- --- .............. ----------- .................. ................... _:* _:-:: . . .. .... - -- --- - --- ......... ..... --- ---------------- .......... ............. . .... ............... !................... ........ ... -1; .... . Oft Q,00Q1 V-0 134. 66 ' -LAI i ,� �' I W n1 'C ,� 4t A A + 0 0 SIDE SETBACK \,4 r INFORMATION AND NOTES. r ESlrN scA' nn )1a, f RENAISSANCE DEV. CO. '14 ngqrRlpnnN- IAPPSJ 6 7- MAX109-"- AONAWX ASSOCIAM. W_ LOT 38 SHM 04mom SuNvayc" mu LW. ERICKSON HEIGHTS -R TO TRACING FOR LATEST REVISION 2S - / - /o ram%% cm ;a4havW0. 244/70W MIONES (303) 34 OF .IT W.-01.1111PIR 7-7 _'4=',..'..3:..._, NOTICE: IF THE PRINT OR TYPE ON ANY Trif ] IT r 11111ij I 1,11111111 1 11 Jill Jill III-III 11pill i1 I 1 ! [ r 1 1 1 I I 1 1 1 I I I I IMAGE IS NOT AS CLEAR AS THIS NOTICE ( I IT IS DUE TO THE QUALITY OF THE 81 11 1 No.36 ORIGINAL DOCUMENT 9z 9z 6 8 1 T L 9 LQ t 9 9 111111 Jill III all, Jill 111111111 Hu Ih'I Ini-111,11 [III- [[1 11 11 W IIII Jill Jill 11,1,T111111119 , 111111 11 11111 Jill 11"11 11 llu [I -I] -I] 11LU 'BACK ..+... .,...,.. :, ., ..ro:4...r: ....,.... la ,,,.,.:>.:, rf�114d..:.,. :;..tbin.u.r., I'+.r_.':,.....:,.....:Wr.dYk..J.✓'..m;, Yi.s.,..._... ,.-m.w..:G1CtVlh��roknw ...,._.., X14 a... __...•4l. . ,.,.� _,e...,.... .i:.,.w-.:>o„r:..WK- _. VI O � rn � 3 a 0 z v i r� 10599 SW LADY MARION DR. MODEL HOME CITY OF TIGARD BUILDING INSPECTION DIVISION MST _�,: i�v -e- 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — BUP Date Requested A AM PM BLD Location�U 9A- -- Suite MEC Contact Person Ph F& y– 30 Z J PLM Contractor _ Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing 4cz:ess: Foundation FPS F tg D / Inspection Notes: SGN d F'T I'ost& Beam Fxt 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&Beam Under Slab Top Out Water Service Sanitary Sewer I _.-__-_- --.---------__-. _—_-- -- Rain Drains Final PASS PART FAIL _ MECHANICAL Post&Beam -- ---- - . - -- - - -------._...------- �_ -- ---- Rough In GasLine --- ----------- -- -- - ___.�----------- _-__--- -_._-..__.---------- Smoke Dampers Final -------_--------------------- ------.-_....-- -- — -- -- PASS PART FAIL Serve e Rough In --- ----------_...._._ - ------ UG/Slab I ----- ------.._.. --- --- _ ----- - Low Voltage Fire ---- - ---- - - -- - -- ----- ---- PASS lJPRT FAIL -- -- --- --- —-- - - -----. - ------ Backfill/Grading - - - -- Sanitary Sewer Storm Drain [ j Reinspection fee of$ required befcre next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE: _ [ j Unable to inspect-no arcess ADA ' -17 Approach/Sidewalk Date -& A -69 __.InspectorExt Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the jot) site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 61 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested AM PM BLD Location if S� L�CQ1 Suite MEC Contact Person Ph L 9 ,30 Z r PLM _ Contractor Ph SWR UILD Tenant/Owner ELC Retaining Wall ELR _ Footing Access: Foundation FPS Flg Dain 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: --- - ------. CRASW PART FAIL ----- ------------- — _ __ PLIAMBI-N-b- Pcst&Beam ---- -- --- - ----------- ----- - -----— Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL _ MECHANICAL — Post & Be 3n1 -----_--__-------_-- Rough In Gas Line ---- --- — --------_._—_.-.---- Smoke Dampers Final -- - ---- - --- -- -- PASS PART FAIL ELECTRICAL --_-----___-- Service -- -- -- _ ------------ Rough In UG/Slah Low Voltage - ------ --Fire Alarm Alarm Final PASS PART FAIL_ SITE Backfill/Grading --- -------- — -- Sanitary Sewer Storm Drain I ] Reinspection fee of$ requ red before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I ] Please call for reinspection RE: I ] Unable to inspect- no access ADA Approach/Sidewalk Date Inspector_ __ /��,�') Ext Final PASS PART FAIL id0 NOT R MOVE this inspection record from the job site, � � n O a Rs G CL n f fD TN r d o a 0 G1 V n 3 � � J CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE RECEIVED GAGE ENTERPRISES INC MAY 2 ?00r, PO BOX 1429 CLACKAMAS, OR 97015-1429 MMMI ITY OEVEIOPMENi Electrical Signature Form Permit #: MST2000-00077 Date Issued: 4/28/00 Parcel: 2S110DA-EH038 Site Address: 10599 SW LADY MARION DR MODEL HOME Subdivision: ERICKSON HEIGHTS Block: Lot: 038 Jurisdiction: TIG Zoning: R-3.5 Remarks: PATH I: New single family dwelling w/attached garage. MODEL. HOME (TUP2000-00003) Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropi iate individual from your company sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: RENAISSANCE CUSTOM HOMES GAGE ENTIERPRISES INC 1672 SW WILLAMETTE FALLS DR PO BOX 1429 WEST LINN, OR 97068 CLACKAMAS, OR 97015-1429 Phone #: 557-8000 Phone #: 503-657-0142 Req #' LIC 34544 ELE 3-1280 AN INK SIGNATURE IS REQUIRED ON HIS FORM X Signature of 'uptrvisi lectrician - If you have any questions, please call (503) 639-4171, ext. # 310 CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 T` IMPORTANT PERMIT NOTICE MAY 0 2 ?ppp CRAFTWORK PLUMPING INC 7736 SW NIMBUS AVE BEAVERTON, OR 97008 Plumbing Signature Form Permit #: MST2000-00077 Date Issued: 4/28/00 Parcel: 2S110DA-EH038 Site Address: 10599 SW LAD" MARION DR MODEL HOME Subdivision: ERICKSON HEIGHTS Block: Lot: 038 Jurisdiction: TIG Zoning: R-3.5 Remarks: PATH I: New single family dwelling w/attached garage. MODEL HOME (TUP2000-00003) Your company has been indicated as the plumbing contractor for the permit ino7 cated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Dept. No plumbing inspections will be authorized until this completed form is receivcI OWNER: PLUMBING CONTRACTOR: RENAISSANCE CUSTOM HOMES CRAFTWORK PLUMc3ING INC 1672 SW WILLAMETTE FALLS DR 7736 SW NIMBUS AVE WEST LINN, OR 97068 BEAVERTON, OR 97008 Phone #: 557-8000 Phone #: 644-8698 Reg #: 1 Ir 79666 PI M 20-148PB AN INK SIGNATURE IS REQUIRED ON THIS FORM X 1 ;�A- � - Signature of Athorized Plurnber If you have any questions, please call (503) 639-4171, ext. # 310 I CITY OF T I G A R a PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2001-00356 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 08/15/2001 SITE ADDRESS: 10599 SW LADY MARION DR MODEL HOME PARCEL: 2S110DA-07700 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 038 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Irrigation backflow prevention device. FEES Owner: Type By Date � Amount Receipt RENAISSANCE CUSTOM HOMES PRMT CTR 0815/2001 $36.25 27200100000 1672 SW WILLAMETTE FALLS DR 5PCT CTR 08/15/2001 $2.90 27200100000 WEST LINN, OR 97068 Total $39.15 Phone 1: 557-8000 Contractor: MOODY ENTERPRISES INC PO BOX 713 ESTACADA, OR 97023 REQUIRED INSPECTIONS Phone 1: 503-630-5532 Final inspection Reg#: LIC 5973 PLM 11717 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in JAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: ;fy GL,-Lt--,� r /r _t_ Permittee Signature: , ; , _ Call (503) 639-4175 by 7:00 P.M. for an Inspertion needed the next business day S7aaa -Doo 7 7 Plumbing Permit Application Datereceived: el<1411 Permitno.;P,/M^0 1-DDS$ City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Sewer permit no.: Building g permit no.: Ciry o/Tigard Phone: (503) 639-4171 Prolecbappl.no.: Expire dote. Fax: (503) 598-1950 Date issued: By:j - Receipt no Land use approval: - � Case file no.: Payment type: I 0 &2 family dwelling or accessory l7 Commercial/industrial O Multi-family 0 Tenant improvement kew construction 0 Addition/alieration/rtpla,z,nent 0 Food service >Other: �_- Job address J S'< < 5 �' _- �a.�,N Q! D scrt don . Fee ea. Total t l 1, .[4 7 Bldg. no.: _ Suite no.: ew 1-an 2-family dwelliings only: Tax map/tax lot/account no.: (includes 10011.for eachutWtyco;utecdon) SFR(1)bath - I - ----I Lot: .j Block: �Subdivision:� bath— Project ad - Project name: e, o h _ �(3)bath -_ City/county: ZIP: y 2 Each addifion bac schen Description and location of work on premises: n, Y�� shouNlltler: Catch basin/area drain -- —we ear in trent drnin� - -� Est.date of complehoNinspection: Tootingrain(no.lin. ft,) anu acre red home utilities —� !w!n,:BwnAl Manholes Address: . Ilt 7/3Rain rain connector city: ?�t4a-l� States ZIP: �i 76-z,� anis sewer(no.lin.ft.) - Phone: of '.3c:-S't Z i Fax:ry.,,c I E-mail: Storm sewer(nu.lin. t.) CCB no.: /17[1-- Plumb. bus.reg. no: 5`f"' < _ Water service(no. lin.ft.) City/metra lic.no.: — Fixture or hem: Contractor's representative signat:re i ,. '' r Ab!o tion valve - - - --- ac ow preventer Print name, /' Date: ;•i �/ k--`-` ac water valve IIIIIIIIILKININK SUN Basin aystary /� - 'othea was tomer -+ "Jame: p ,.c�C /I�pccZV Uishwaeher --- _T Address: c' �7/.7 1 —�M City. 1 StateC/' ZIP:7/ Z� — Drin in,� in(s) Y S we"c; c E'ectors/sum Phone: c�y-C.sc d'a rax: �•; ,',C E-mail: x ans on tank I--� Fixture/sewer ca Name(print): _ — Four drains/floor sink.s/hub Mailing addresa: ` - �iarbaje disposal — •- Bose bibb City: _ ` State: ?IP_ 1, maker _ Phone. Fax: E-mail: �itrrce ror%grease trap Owner installation/residential maintenance only: The actual installation Primers) will he made by me o eVwn�as"Ope"reQanR�pter d repair made by my regular Roof drain(commercial)employee on the p en. I 447. to (s), asm(s , ays!s t)wner's si nattue: Date r� I Sump Tu s ower/showeT Ean Name: Urinal Address -— Ater closet Water heater City: _ State. rr ZIP Ot --- � Phone: Fax: TE-mail: N•n ell Juritdlctiun ecceri credl!cerdrplewe cdl jurMeata fa more mfennetien Minimum fee......... .......$ —i 6 . Zj �rlv9u J MuterC'erd Notice Thapermipermt is not obtain Plan review fat ` r'6) $ _ expires if a permit is not obtained 9� Credii cud number � �_ within 180 days after it has been State surcharge(8%) ....$ r" .�re, 'TOTAL ttcd as complete acre Naar.�f eatdhulier u�own on cndn r-rrf t - _ S _ Cardholder ii T-1U —� Amoutn CITY OF T I GA R D ELECTRICAL PERMIT- RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: EL.R2001-00083 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 3/27/01 SITE ADDRESS: 10599 SW LADY MARION DR MODEL HOME PARCEL: 2S110DA-07700 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 038 JURISDICTION: TIG Proiect Description: A.RESIDENTIAL _ B.COMMERCIAL AUDIO & STEREO: AUDIO&STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: Owner: Contractor: RENAISSANCE CUSTOM HOMES GREENLINE INC 1672 SW WILLAMETTE FALLS DR PO BOX 230755 WEST LINN, OR 97068 TIGARD, OR 97223 Phone: 557-8000 Phone: 968-1978 Reg#: LiC 103033 ELE 34-397CL FEES Required Inspections _Type By Date Amount Receipt _ PRMT CTR 3/27/01 $75.00 2720010000 SPC 1 CTR 3/27/01 $6.00 2720010000 Total $81.00 �� I This Permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable laws All worn; 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 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987 Issues by k. < Permittee Signctu�c v _ OWNER INSTALLATION ONLY The installation is being m e roperty I own which is not Intended for sale. lease, or ren OWNER'S SIGNATURE: DATE: Off_ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ DATE:_ I.ICENSE NO: ------_----- ------- Call 639-4175 by 7:00 P M. for an inspection needed the next business day '(Y�. Electrical Permit Application Date received: Permit no.:`- tX ; City of Tigard Project/appl.no.: Expire date: tint,,/Tigard Address: l3125 SW Hall Blvd,'Figard,OR 97223 pate issued: By: Receiptno.: Phone: (503) 639-4171 -- Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ &2 family dwelling or accessory U Commercial/indusuull U Multi-Gamily U Tenant improvement New construction U Addition/alteration/n'hlarrnlcnl U(hher:_ lJ Partial Job address: 10 1QN Bldg.no.: �Suit,�no � ')•ax neap/tax lot/account no.: Lot: Block: Subdivision: Project name: Description and location of work on premises:--- -� Estimated date of com lclion/ins .ction: Job no: _ Fee Mal Business name: Ihscripllon Qty. (ea,) Total no.lns ---- - New residential-singk or multi-family per Address: � � _ dwelling unit.lncludesattachedgamr. C'ily date: ZIP: 5eniccincluded: Phom . Fa -mail: 1000 sq.fl.or less 4 -- Foch additional 5(X)sq.fl.or portion thereof -- CCB no.:_ 0501W Flec.bus. lic.no:1 V Limited energy,residemull _ 2 ----- _ City/ clro lie no.: Limited energy,non-residential Each manufactured home,ar nodular dwelling Signature of supervising electrician(required) f)ste Set-vice and/or feeder 2 Su .elect.name.(print IA"nor rw Services or feeders-Installation, ■11eration or relocation: 200 amps or less 2 Name(print): WAIye a . L Is 201 amps to4OOamps ---_` - — - 2 Mailing ajn_cjddre,o, �1'1 —� - ��/S 0. 401 antpsto6Wamps -- — - - 2 :A 601 amps to 100,)amps 2 Clly: -UN Stale %II': Over I(NN1 amps o,volts 2 Phone: Fax E-mail: Reconnect only — -- — iA Owner installation:The installation is being made on property I own Temporaryservicesorfeeden- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: ORS 447,455,479, 01 1. 2W maps or less _ 2 201 amps to 400 snips 2 Owner's signature Uatc: _�_ 401 to 600 ams - - - -2 Branch circuits-new,alteration, or extension per panel: Nanta: _ A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: S alc: 'Lip__ — B. Fee for branch circuits without purchase - of service or feeder fee,first branch circuit: _ 2 phone' I;lx: E-mail: of additional branch circuit: Misc.(Service or feeder not Included): U Service over 223 amps-commercial U Health-care facility Each pump or inigmion circle 2 U Service over 320 amps-rating of 1 Net U Hazardous location Each signor outline lighting 2 family dwellings U Building over 10AX)square feet four or Signal circuit(s)nr a limited energy panel, U System over 600 volts nominal more residential units in one structure alteration,or extension* 2 U Building over three stories U Feeders,400 amps or more *Description: U Occupant load over 99 persons U Manufactured structures or RV park F ich additional Inspection over the allowable In any of the above: U Egress/lightingplan U(ghee' _ -----__---- Per inspection _- --�---� Submit--_sets of plans with any of the above. Investigation fee rive above are not applicable to temporary construction service. other — _ — Permit fee.....................$ NM all)uriseactiamc arceq credit cords,pleat ca!'judulicllon for more informaliMl. Nt1lICe:This permit apphCallon -- – — U visa U MasterCard expires if a permit is not obtained plan review(at _ %) $ - r redil card number within 180 days after it has been Stale surcharge(8%) ....$ Expires accepted as complete. 'TO'TAL $ r Nano of can older u shown To credit card --- _ — Cardholder signature Amount 440 4615;6nxv('0N1I Electrical Permit Fees: Limited Energy Fees: Complete. ee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY p Restricter+Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residentlr•!-mr unit 1000 rq it.or les; $145 15 4 ❑ Audio and Stereo Systems Each additional 500 sq,ft.or portion thereof $3340 _ 1 ❑ Burglar Alarm Limited Energy $75.00 _ Each Manufd Home or Modular ❑ Garcge Door Opener* Dwelling Service or Feeder $9090 2 Services or Feeders ❑ Heating,Ventilation and Air Conditioi ling System' Installation,alteration,or relocation 200 amps or less _ $T J.30 2 201 amps to 400 amps $'0&85 2 ❑ uacuufn Systems 401 amps to 600 amps _ $160.60 2 ❑ 601 amps to 1000 amps 4240.60 -- 2 Other Over 1000 amps or volts $4b4.65 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system......................................................... $75.00 200 amps or less $6685 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps _ $133.75 _ 2 Check rype of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits ❑ New,alteration or extension per panel Boiler Controls a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuir $665 2 ❑ Data Telecommunication Installation b) rhe fee for branch circuits without purchase of service ❑ Fire Alan-Installation or feeder fee. First branch circuit _ $4685 ❑ Each additional branch circuit $6.65 HVAC Miscellaneous ❑] Instrumentation (Service or feeder not included) Each pump or irrigation circle _ $5340 _ Each sign or outline lighting _ $5340 ❑ Intercom and Paging Systems Signal circuit(s)or a limited energy panel,alteration or extension $7500 �❑ Landscape Irrigation Control' Minor Labels(10) $12500 _ _ Each additional inspection over ❑ Medical the allowable in any of the above ❑ Per inspection $6250 Nurse Calls Per hour $62.50 In Plant $73.75 _ ❑ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ 8%State Surcharge $ -------.-,Number of Systems 25%Plan Review Fee See"Plan Review"section on $ No licenses are required Licenses are required for all other installations front of application -- Fees: Total Balance Due $ ----^-- Enter total of above fees $_ _ ❑ Trust Account# 8%State Surcharge $ Total Balance Due rk{sts\forms\elc•fces doe 10/09/00 CITY OF T I G,A R DMASTER PERMIT PERMIT#: MST2000-00077 in& DEVELOPMENT SERVICES DATE ISSUED: 4/28/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 10599 SW I-ADY MARION DR MODEL HOME ('n PARCEL: 2S110DA-EH038 SUBDIVISION: ERICKSON HEIGHTS ZONING: R-3.5 BLOCK: LOT: 038 JURISDICTION: TIG REMARKS: PATH I: New single family dwelling w/attached gar�ge� AODEL HOME (TUP2000-00003) BUILDING -VJ REISSUE: srORIE. 7 rLOOR AREAS REQUIRED SETBACKS REQUIRED CLASS OF WORK: NEW HEIGHT: 26 FIRST: 1.009 of BASEMENT: 0.00 of LLFT: 5 SMOKE DETECTORS: v TYPE OF USE: SI FLOOR LOAD: 40 SECOND: 1,411 of GARhGE: 670 at FRONT: 20 PARKING SPACES: TYPE OF CONST: 5N DWELLP!G vN1TS: 1 FIN13SMENT: a of RIGHT: 5 VALUE: .226.845 00 OCCUPANCY GRP: q3 BDRM: 3 BATH: 3 TOTAL 3.02000 at REAR: 65 PLUMBING SINKS: i WATER CLOSETS* I WASHING MACH. 1 LAUNDRY TRAYS: 1 RAIN DRAIN: 100 TRAPS: LAGATORIES: 4 DISHWASHERS. I FLOOR DRAINS. SEWER LINES: 100 SF RAh I DRAINS: 1 CATCt BASINS: TUBISHOWERS: 4 GARBAGE DISP: I WATER HEATERS: 1 WATER.LINES: 100 BCKFLW PRE,NTR: I GREASE TRAPS. OTHER FIXTURE°. MECHANICAL _ FUEL TYPES FURN<10OK: BOILICMP<.3Hr: VENT FANS: 5 CLOTHES DRYER: I 6AS FURN—100K: 1 UNIT HEATERS: HOODS: I OTHER UNITS: I MAX INP: btu FLOOR FURNANCES: VENTS: WOOUSTOVES: GAS OUTLETS: I ELECTRICAL RESIDENTIAL UNIT SERVICE FEEDER TEMP SRVCIFEEDERS BRANCH CIRCUIIS MISCELLANEOUS ADD'L INSPECTIONS 1000 SF OR LESS: 1 0 200 amp: 0 - 200 amp: WISV(,'OR FUR1 PUMPIIRRIGATION. PER INSPECTION: EA ADD'L 500SF: 6 201 400 amp: 201 400 amp: 1st WIO SVCIFDR: �I) SIGNIOUT LIN LT. PER HOUR: LIMITED ENERGY: 401 600 amp: 401 600 amp. EA ADDL BR CIR. SIGNALIPANEL. IN PLANT: MANU HMISVC/FDR: 601 - 1000 amp: 601-amps-11000V MINOR LABEL: 1000.amp/Voll PLAN REVIEW SECTION _ Reconnect only: >=4 RFS UNITS: SVCJF DR>•225 A.: >600 V NOMINAL CLS AREA/SPC OCC: ELECTRICAL•RESTRICTED ENERGY A.SF RESIDENTIAL B.COMMERCIAL AUDIO 8 STEREO: VACUUM SYSTFK' AUDIO&STEREO: FIRE ALARM: INTEW:OM/PAGING OUTDOOR LNDSC LT: BURGLAR ALARM: OTH BOILER. HVAC: LANDSCAPE/IRRIG PROTECTIVE SIGNL. GARAGE OPENER CLOCK: INSTRUMENTATION: MEDICAL: OTHR HVAC: DATAfTELE COMM: NURSE CALLS: TOTAL N SYSTEMS Owner: Contractor: TOTAL FEES: $ 6,408.76 RENAISSANCE CUSTOM HOMES RENAISSANCE CUSTOM HOMES This permit is subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and 1672 SW WILLAMETTE FALLS DR 1672 WILLAMETTE FALLS DR all other applicable laws All work will he done in WEST LINN,OR 97068 WEST LINN,OR 97068 accordance with approved plans This permit will expire I work is not started within 180 days of issuance,or if the work is suspended for more than 180 days ATTENTION Phone: Phone: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set Rae N: I IC 0.1-951, forth in OAR 952-001-0010 through 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987 REQUIRED INSPECTIONS Erosion 844-8444 Underfloor Insulation Plumb Top Out Exterior Sheathing Insl Rain drain Insp P'umb Final Footing Insp Crawl Drain/Backwater Electrical Service Low Voltag i Water Line Insp Final inspection Foundation!rap Footing/Foundation Dr Electrical Rough In Gas Line Imo Appr/Sdwlk Insp Building F;nal Post/Beam Stnlctur?I PLM/Underfloor Framing Insp Gas Fireplace Electrical Final PosUBeam Mechanics Mechanical Insp Shear Wall Insp Insulation Insp Mechanical Final Issued 6y : 10 .J` Permittee Signature :X- Call X`Call (503) 639-4175 by 7:00 p.m. for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT' PERMIT#: SWR2000-00048 13125 SW Nail Blvd.,Tigard, OR 97223 (503)639-4171r,�� DATE ISSUED: 4/28/00 SITE ADDRESS; 10599 SW LADY MARION DR MODEL �� PARCEL: 2S110DA EH038 SUBDIVISION: HFMRSON HEIGHTS Qz- ZONING: R-3.5 3LOCK: LOT: 038 C:� JURISDICTION: TIG TENANT NAME: RENAISSANCE CUSTOM HOMES USA NO: FIXTURE UNITS: 1 CLASS OF WORK: NEW DWELLING UNITS: 1 TYPE OF USE: SF NO. OF BUILDINGS: 1 INSTALL TYPE: LTPSWR IMPERV SURFACE: Remarks: Sewer connection for a new single family dwelling. MODEL HOME Owner: FEES RENAISSANCE CUSTOM HOMES Type B Date Amount Receipt 1672 SW WILLAMETTE FALLS UR yp y — p WEST LINN, OR 97068 PRMT DEB 4/28/00 $2,300.00 0001773 INSP DEB 4/28/00 $35.00 0001773 Phone: 557-8000 Total $2,335.00 Contractor: Phone: Reg #: Required Inspections Sewer Inspection This Applicant ag ees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days fronn the date issued The total amount paid will be forfeited if the permit expires The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer shall prospect 3 feet in all directions from the distance given If -ot so located, the installer shall purchase a"Tap and Side Sewer' Permit and the Agency will install a lateral. ATTENTION Oregon law requires you to follow rules adopted by the Oregnfi Uti!ty Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may bbt Sin copies of these ru�s or dirprt questions to OUNC by calling (503) 2.46-1987 1Permittee Signature:� Issues by,: /�+O � Call (503) 636-4175 by 7:00 P.M. for an inspection needed the next business day OF TIGARD Residential Building Permit Application Plan Check# 3 , 13125 SW HALL BLVD. New Construction Recd By — TIGARD, OR 97223Date Recd 3 Single Family Detached Date to P.E. V 503-639-4171 ,. ; Date to DST � -..?S-<: F 503-684-7297 ; / Permit# 3y Print or Type TCalled Incomplete or illegible applications will not be accepted Name of Project Name Job '-1 / Address Site Address E •1c� Nri N Architect Mailing Address 7// s w L ,o SNS le 2/o Name City/State Zip Phone Xro At SJ/�1[� [-uJ vMt 7, " 77LZ3 LZq-`IZS/ Owner kllailing Address N me 67= j►✓ W,/a•u r �// G'-••.e Navk Co.�fia��r:tq F E r� se City/State Zip Phone Engineer Mailing Address __ L.;,., )700 1 J'(7-ffoo+, 3$_7y E. Name City/State Zip Phone General / •71� Z��-ots� \" AN Contractor S„„r Describe work New Addition 0 Alte•ation O Repair O Mailing Address - to be done Prior to permit Additional Description of Work: issuance,a copy City/State Zip Phone of all licenses are required If Oregon Const.Cont.Board Exp.Date PROJECT expired in COT Lic.# database `)7S 7y z z y/o VALUATION $ , Mechanical Name NEW CONSTRUCTION ONLY: Sub- j, (�,,,,f�To Sq. Ft. House: Sq. =t. Garage Contractor Mailing Address 3a?Zrn � 7�7 Prior to permit /-a Indicate the restricted energy insta,lation by the electrical Issuance.a copy City/State Zip Phone — subc)ntractor in the followin a;eps of all licenses CM41 �,;,.,df 7a1'r sy- S//S Restricted Energy are required if Oregon Const Cont Board Exp.Date Energy System _ Alarms expired in COT Lic* Installations Vacuum Irrigation database _ e7,7,2 E Z 3 JA6/0 System S stem Plumbinj Name (check all that Other: Sub- o>`�Z✓�r� M� • apply) — Contractor Mailing Address Number of Units in Building Unit Number Designation 77} S/.✓ —2'"/'' Has the Subdivision Plat recorded? N/A YES NO Prior to permit City/State Zip Phone issuance, a copy •.T 97117 4 S'L'/- Y1 1,71 — -- --- _ of all licenses re Oregon Const Cont Board Exp baFe--- required If Lic.# / expired in COT 7 7C�•` y/ �n/ _ __ database Plumbing Lic # Exp Date I hearby acknowledge that I have read this application,that the information given is correct,that I am t1-- owner or authorized agent _ 1 -!1/9PL3 2/LtSf / of the owner, and that plans submitted are in compliance with Name Oregon State laws. Electrical 6-a •\> FAI f` Signature of Owner/Agent Sub- Mailing Address Contact Person Name Phone# Contractor ^ L_-,K /�!2 _ _%el•,,� /> _s; sS� qpm �c City/State Zip Phone — PriJr to permit issuance,a copy ' �c•M�s j7T/S LS i- e�N/1 Y: FOR OFFICE USE ONLY: of all licenses are Oregon Const.Cont Board Exp Date tat_# L required if Lic M i Ma /T # t1 Cr expired in COT _ y �nj -Fjr U3t7 database Electrical Lic # Exp Date etbacks: Zone. Electrical Supervisor Lic #— Exp Date _ ngin r g Approval Planning Approval: TIF: t / .f �n 11 ''!--- ;.G•' L/L.___�j 1�f --- __ i\dsts\forms\sfd new.doc 11/20/98 RENAISSANCE DLVEI.OVNILNI CORPORATION ACKNOWLEDGEMENT OI' RISK & HOLD HARMLESS AGRVEMENT The purpose of this Agreement is to allow a building permit to he issued for the construction ot'a model home on Lot #38 of the "rickson Ileights subdivision prior to the recording of the plat. . The undersigned, owner of record, of said subdivision ::grecs to hold the City of Tigard harmless of any consequences that would arise by allowing Renaissance Custom Homes to move forward with the building permit and sales facility prior to recording the plat. 2. The undersigned understands and agrees riot to assert any claim(s), including litigation, against the City of Tigard, its officer's, agents and employees based on the issuance of a building permit prior to plat recording. Renaissance Custot lames t by: kandal Sebastian, President bate 1672 SVG' Wil'.uncllr I .I1IN III ivc • West I inn. Oicg in 970(8 • SO 1.55-.801)11 • Fax 503.656.1601 Mar 13 00 10:55a TVF&R SOUTH DIV. (503) 612-7003 p. l lvpt* TUALATIN VALLEY FIRE & RESCUE • SOUTH DIVISION COMMUNITY SERVICES • C PERATIONS FIRE PREVENTION March 10, 2000 Bob Poskin, Senior Plans Examiner City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 RE: Erickson Heights Dear Bob, I I have reviewed the plans for the above notedt�ect j ro p ,,evaluate fere apparatus access and water supply for the construction of the model home. Both firefig!iting water supplies and fire apparatus access are adequate ,or construction of the model home. Please call me at (503)812-7010 if you have any questions or concerns. Sincerely, Eric T. McMullen Deputy Fire Marshal 7701 SW WashGe Court •Tualatin, Oregon 97062• Phone 503-612.7000•Fax: 503-612.7003•www.tv,r.com