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10390 SW BONANZA WAY
Nom -...,======--, ...____
CITY OF TIGARD
DEVELOPMENT �������U�����
���� ~ ��~���. .".~�.� . ~���" " � .����.�
13:25 SWHall 8lvd. Tigard,OR97223(503)6394/7/
CERTIFICATE OF
OCCUPANCY
PERMIT # • MST9+ ywo�
DATE ISSUED: 10/ 18/94
PARCEL: 2S1148C-03900
SlTE ADDRESS. . . : 10390 SW BONANZA WY
SUBDIVISION ~ RIVERVlEW ESTATES NO. 2 ZONING:R-7 PD
BLOCK ~ LOT :076 JURlSDICTION:TlG
CLASS OF #ORK. :NEW
TYPE OF USE. . . :SF
TYPE OF CONSTR:5N
OCCUPANCY GRP. : R3
OCCUPANCY LUAD:2
Remarks : MINI
`
Owner: — — — ------- -
RENAISSANCE DEVELOPMENT
1672 SW WILLAMETTE FALLS DR
WEST LINN OR 97068
Phone #: 557-8000
| |
Contractor:
RENAISSANCE DEVELOPMENT
1672 SW WILLAMETTE FALLS DR
WEST LINN OR 97068
Phone #o 557-8000
Reg #. . : 000499
|his Certificate grants occupancy of the above referenced building or portion
thereof and confirms that the building has been inspected for compliance with
the State of Oregon for the group, occupancy, and use under
wnrefere c )ermit was issued.
',C / "n AL/ IN5PEL44w,fjOrk:
v . ,1 ' ;(1P
uOS | IN CONSPICUOUS PLACE
_ 1
CITY OF TI GARD PERMIua#F_R PERMIT
MaT94 -9O95
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04/13/94
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)638-4171
PARCEL: 2S 1 1.4BC---O39OO
SITE ADDRESS. . . : 1 u:i.s•ikp iW BONANZA WA'(
SUBDIVISION • RIVERVIEW ESTATES NO. 2 ZONING: R-7 PD
BLOCK LOT •076
BUILDING _ -___-•- - ______. .
REISSUE: DWELLING UNITS: 1 BASEMENT -0 sf
CLASS OF WORK. :NEW BEDRMS:4 BATHS: GARAGE • 759 sf
TYPE OF USE. . . :SF FLOOR AREAS------------- REQUIRED SETBACKS----------
TYPE
ETBACKS-•------_-----_.-.TYPE OF CONST. :5N FIRST - 1405 sf LEFT. . :5 ft RIGHT. :5 ft
OCCUPANCY GRP. :R3 SECOND : 1630 sf FRONT. :20 ft REAR. . :40 ft
STORIES •2 THIRD :0 sf
HEIGHT .30 ft TOTAL- --- - - :3085 sf SMOKE DETECTORS. :Y
FLOUR LOAD •40 psf VALUE $ • 155572 PARKING SPACES. . : 1
Remarks : PATH I
PLUMBING -..__..__.__...._._
SINKS • 1 FLOOR DRAINS '0 BACKrLOW PREVNTRS. . :O
LAVATORIES •4 WATER HEATERS. . . : 1 TRAPS •0
TUB/UHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASINS •0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS •0
DISHWASHERS • i WATSR R L. INE (ft ) . : 100 OTHER FIXTURES •0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . : 1 SF RAIN DRA 1 NS. . : 1
_ --- - -- MECHANICAL _.._ _._.---.--_.._..__._.._.____._.__...__.__._._-__-.-- FEES .__. _..
FUEL TYPES----------- UNIT HTRS. . :0 type amount by date recpt
/GAS/ / / VENTS •0 TIF $ 'L520. 00 SW 04/13/c4 -
MAX INPUT:O BTIJ VENT FANS. . :5 BPRT $ 573. 00 SW 04/ 13/94 -
FURN ( 1OOK . . :0 HOODS : 1 BPLC $ 372. 45 JLH 02/15/94 94--E4W)4l
F-URN ) =100K . . : 1 WOODSTOVES :0 BSPC $ 28. 65 SW 04/13/94 -
FLOOR F URN •0 CLO DRYERS. : 1 SSDC $ 280. 00 SW 04/13/94 -
fMJIL_/CMP ( 3HP:0 OTHER UNITS: 1 PARK $ 500. 00 SW 04/ 13/94 -
GAS OUTLETS: 1 MPRT $ 48. 00 SW 04/13/94 -
Owner: ----.__._____._.._._..____-_.___.._,_..._._..___._..-----.__MPL_C $ 12. 00 SW 04/13/94 -
RENAISSANCE DEVELOPMENT MSPC $ 2. 40 SW 04/13/94 -
1 672 SW WILLAMETTE FALLS DR PPRT $ 155. 00 SW 04/13/04 -
P5PC $ 7. 75 SW 04/13/94 —
l9l..(3T LINN OR 9706(.{
I'hur a #: 557--8000
Luntrartor:
REINA I SSANLE DEVELOPMENT
1672 SW WILLAMETTE FALLS DR
WEST LINN OR 97068
Phone #: 557-8000
Reg #. . : 49955 _.----..____.- -•----__ ___---_ ___.__
$ 3499. 25 TOTAL
This pereit is issued subject to the regulations contained in the ---- REQUIRED INSPECTIONS -----
Tigard Municipal Code, State of Ore. Specialty Codes an, :ll other Foot/found Insp Fireplace Insp
applicable laws. All work will be done in accordan ith approved Post/Beam Struct Gas Line Insp
plans. This pereit will expire if work is not within 180 -'ost/Beam Meehan Insulation Insp
days of issuance, or if work is suspendedif-, than s. Plm/undslab Insp Gyp Board Insp
A. PLM/Underfloor Rain drain Insp
Permittee Signature : Mechanical Insp Water Line Insp
e . l Plumb Top Out Appr/Sdwlk Insp
Issued By : (�/ f i•aming Insp Mechanical Final
Call p"o,- inspection - 639-4175
SEWER CONNECTION
�1YOF T I GARD R PERMIT
PERMIT # • SWR94-009
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04/13/94
13125 SW Hall Blvd Tigard Oregon 97223.8199 (503)639-4171
PARCEL: 29114BC-039@0
SITE ADDRESS. . . : 10390 SW BONANZA WAY
SUBDIVISION • RIVERVIEW ESTATES NO. 2 ZONING: R-7 PD
BLOCK • LOT •076
TENANT NAME •
USA NO • FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE •SF ,JO. OF BUILDINGS: 1
INSTALL TYPE •IUSWR IMPERV SURFACE. . . : sf
Remarks : PATH I
Owner: FEES
RENAISSANCE DEVELOPMENT type amount by date recpt
1672 SW WILLAMETTE FALLS DR PRMT $ 2200. 00 SW 04/13/94
INSP $ 35. 00 SW 04/13/94 —
WEST LINN OR 97068
Phone #: 557-8000
L.ontractor:
CONTRACTOR NOT ON FILE
Phone 4t: $ 22 35. 00 TOTAL
Reg L . :
REQUIRED INSPECTIONS ------
This Applicant agrees to comply with all the rules and regulations Sewer Inspect ion
of the Unified Sewage Agency. The permit expires 180 days from --
the date issued. The total amount paid will be forfeited if the 4
permit expires. The Agency does not guarantee the accura y of the _
side sewer laterals. If the sewer is not located at r.'measurement
given, the installer shall prospect 3 feet in al 'erections from_-'
the distance given. If not so located, the in ,a et s • sirchase
a "Tap and Side Sewer' Permit and the Age . f nstall a lateral. _
1- r-m i t t e e Signature :
/
ignature :/ _
issued By : q .�__-.-_
Call for inspection -- 639-4175
c,'q eClit
02/24/04 00:18 V50C3 884 7207 CITY OF TIGARD Z001/001
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171 I() =,civ /co U
I
Jobsfte AddreS ,/IV(211 Lt.) tali ".',.: . t�q .,;„,,,,.,1,,,:;
A..v.. y,•,...
ii
subdivision, / ,Lei ,.0.,' F sf ua# L 17/J2 •
.,: . .�,.: :; �w : ;
I,' <�.:: °;4.4:".:!:!6::47(:',,,;„1',h1"1.;•Q Y•+` +=i" �.".,
,
i
.
Owner: •
y // W itf„ hY {£2f,; bYYAT•ti1�Py � ` :. k a
t(fz r + Sv'14..ti /
.: t ~� . ,
Address:1(/7, WI1C a,114-k t( li 51:4 � r. . Y
f.
^// CC //, /�f��� 1-76617 !�3�p{ 'v�AW:.,1��yF�:L�':�i�A`Qi�;.wJ�-�y.M�R".�,:' �r. -....11.:-E,
SLC
/,( 1' '^�' l !1/V.> 'a nwµ. -.7':,,;7�':•�,:e7i •T d IN '. `�� i.
•
, �. ' .V f?TIR •L(i�•': .,. .ti
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Phone: ��.) ;�;a ���,yyr�.K:� 7F 1••..»',�.ar�^�t .,.�;.:c�•�:
Contractor: LEL) .gt. .w r :. :w•, :
1.:m. dna } `ti..,,.6.'...•. z.
Address: (t�'1 (� / <<.��y l�fc ft,..)-1,g, , Si:.4." F ,.w ': ;.' ?49 t:.,. A -1.1:„
k,U.,1 L,-, fr, Lib C( A_c r '. ,0iii,==131i 4 ..f .,4'i i,3,. ;M -,ra
Phone: > , / c'�CX-)CJ K » , . C• , a
contra tor's Ltoense 0 I) /v'cc (.} 1 /' (4f,e.. f '�/ 1 (4 'y�`-�y{i .,t 4 ' F1 i'
(Al�f1 COPS of outwit i •'•. Naomi(.( Y ) Ili •VIS ? . � YA y
Subcontractors: V'":17÷'"""...„,....:4T7.'";
11 W r..: .xc: ti ., K.a
'...__4,______ '
Plumbing: /_�_c 5-Ef /- ;+1 ) .. -- - .. 11:� ..-V. ri .
J
Mechank:ai: tif
A rl,
(attach copy of current OR Contractors License)
n tteotitnaa,..n : )Y1 C' AL) . /- , IC�<I/c.;,...,
Address: --)17`� _r .... / 1/r'C,i,C)c• . ' 4''
; 1�.'r r< <i, , ✓C
'e-' i��
r... Ir
C" 3(-
Phone: 35' _.— . .
COMMENTS: 1L L4)( COw i _ -
/
'«:nt Signature 8 Phone minter
Rdcelv.d py:_ Date Received: —— - --
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Page No. 1 CASE HISTORY FOR CASE NO.: MST94-9095
RENAISSANCE DEVELOPMENT
10390 SW BONANZA WY
01/28/99
Action Dec"riution Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MSTA007 Application received / / / / 02/15/94 PASS JLH 03/03/94 BLT
MSTA010 Plan check deposit paid / / / / 02/15/94 PASS JLH 03/03/94 BLT
MSTA020 Plan check by 03/03/94 / / 03/03/94 PASS RT 03/03/94 BLT
MSTA030 Check for prcl. restrict. / / 03/03/94 03/03/94 PASS VG 03/03/94 BLT
MSTA092 (F) Issue combination permit / / / / 04/13/94 PASS SKW 04/13/94 SW
MSTA097 Issue plumbing signature form / / / / 04/13/94 PASS SKW 04/13/94 SW
MSTA710 Post/Beam Structural / / / / 05/31/94 PASS TLP 06/01/94 TLP
MSTA711 Post/Beam Mechanical / / / / 05/31/94 PASS TLP 06/01/94 TLP
MSTA717 PLM/Underfloor / / / / 05/31/94 PASS TLP 06/01/94 TLP
MSTA720 Mechanical Inep / / / / 07/29/94 PASS TLP 10/20/94 TLP
MSTA722 Plumb Top Out / / / / 08/01/94 sewer ditch needs tom mbe cleaned out FAIL MS 08/01/94 MRS
no test on waste
water ok
MSTA722 Plumb Top Out / / / / 07/29/94 PASS TLP 08/23/94 TLP
MSTA725 Framing Insp / / / / 07/29/94 POST MISSING UNDER GLULAM PASS TLP 07/29/94 TLP
DOUBLE ALL SUPPRT POSTS FOR ROOF FRAMING
ADD SUPPRT TO OVER SPANNED RAFTER
MSTA73U Fireplace Inep / / / / 07/29/94 PASS TLP 07/29/94 TLP
MSTA735 Gas Line Inep / / / / 07/29/94 PASS TLP 07/29/94 TLP
MSTA740 Insulation Inep / / / / 08/04/94 PASS TLP 08/04/94 TLP
MSTA745 Gyp Board Inep / / / / 06/08/94 PASS TLP 08/09/94 TLP
MSTA755 Rain drain Inep / / / / 06/03/94 PASS TLP 10/20/94 TLP
MSTA760 Water Line Inep / / / / 06/03/94 PASS TLP 10/20/94 TLP
MOTA765 Appr/Sdwlk Insp / / / / 08/23/94 1) Remove drwinline inwest wing of PEND LT 09/14/94 AA
approach
2) Be prepared to protect finish
MSTA770 Misc. Inspection / / / / 09/26/94 shower pan PASS MSW 09/26/94 MRS
MSTA795 Mechanical Final / / / / 10/18/94 PASS TLP 10/20/94 TLP
MSTA797 Plumb Final / / / / 10/18/94 POAS TLP 10/20/94 TLP
MSTA799 Building Final / / / / 10/18/94 PASS TLP 10/20/94 TLP
MSTA960 (F) Issue Cert. of Occupancy / / / / 10/18/94 01/28/99 JT
MSTA970 Case Finaled / / / / 10/18/94 PASS TLP 10/20/94 TLP
INSPECTION NOTICa
City of Tigard Building Drpartment
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone: 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdw1k
Found. Plbg. Top Out Gas Line IN
Post/Beam Struct. San. Sewer Framing [Blda--)
Post/Beam Mech. Rain Drain Insulation lu
Plbg. Underfloor Water Line Gyp. Bd. €-M 'h._
e/
�o (/
Date Requested: / _Time:_ AM PM
Address: /6..7 7O 5-1k' iA/ 1./Z r! Permit I:l y fa i c---
Builder: 'em a SO iiwo cr
THE FOLLOWING CORRECTIONS ARE REWIRED:
(.......'' "'S....N... ......._.......
\N'''''''',..... ir , //Y q ke/2
1
oczzio
Inspectors Datee
/W/f/5f
-APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.