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Permit CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT D T PERMIT # MST94 -0042 �M DATE ISSUED: 02/22/94 13125 SW Hell Blvd. Tigard. Oregon 97223.8199 (503) 639 -4171 PARCEL: 25114BB -16000 SITE ADDRESS...: 10241 SW PICK'S CT SUBDIVISION • RIVERVIEW ESTATES ZONING: R -7 PD BLOCK • LOT -6 BUILDING REISSUE: DWELLING UNITS:1 BASEMENT •0 sf CLASS OF WORK.:NEW BEDRMS:4 BATHS:3 GARAGE •760 sf TYPE OF USE...:SF FLOOR AREAS REQUIRED SETBACKS TYPE OF CONST.:5N FIRST •1250 sf LEFT..:16 ft RIGHT.:15 ft OCCUPANCY GRP.:R3 SECOND...:1055 sf FRONT.:20 ft REAR..:25 ft STORIES •2 THIRD •0 sf REQUIRED HEIGHT •32 ft TOTAL :2305 sf SMOKE DETECTORS.:Y FLOOR LOAD •40 psf VALUE $• 119710 PARKING SPACES..:1 Remarks: PATH I PLUMBING SINKS -1 FLOOR DRAINS •0 BACKFLOW PREVNTRS..:0 LAVATORIES •4 WATER HEATERS...:1 TRAPS :0 TUB /SHOWERS •3 LAUNDRY TRAYS...:0 CATCH BASINS -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 DRAINS..:1 MECHANICAL FEES FUEL TYPES UNIT HTRS..:0 type amount by date recpt /GAS/ / / VENTS •0 BPRT $ 483.00 JH 02/22/94 — MAX INPUT:0 BTU VENT FANS..:4 BPLC $ 313.95 JLH 02/03/94 94— FURN ( 100K ..:0 HOODS •1 B5PC $ 24.15 JH 02/22/94 — FURN > =100K ..:1 WOODSTOVES.:0 SSDC $ 280.00 JH 02/22/94 — FLOOR FURN •0 CLO DRYERS.: 1 PARK $ 500.00 JH 02/22/94 — BOIL/CMP ( 3HP:0 OTHER UNITS:1 MPRT $ 45.00 JH 02/22/94 — GAS OUTLETS:1 MPLC $ 11.25 JH 02/22/94 — Owner: M5PC $ 2.25 JH 02/22/94 — SKYLIGHT HOME BUILDERS CO PPRT $ 147.50 JH 02/22/94 — P 0 BOX 2315 P5PC $ 7.38 JH 02/22/94 — TIFF $ 1520.00 JH 02/22/94 — LAKE OSWEGO OR Phone #: 636 -2994. Contractor: SKYLIGHT HOME BUILDERS CO P 0 BOX 2315 LAKE OSWEGO OR 97035 Phone #: 503 - 636 -2994 Reg #..: 34086 $ 3334.48 TOTAL This permit is issued subject to the re . a ' ons contained in the REQU I RED I NSPECT I ONS Tigard Municipal Code, State of Ore. S ecia y Codes and all other Foot /found Insp Fireplace Insp applicable laws. All work will be doh i accordance with approved Post /Beam Struct Gas Line Insp plans. This permit will expire if Oi not started within 180 Post /Beam Mechan Insulation Insp days of issuance, or if work is cusp d- for more than 1 :)! days. Plm /undslab Insp Gyp Board Insp PLM /Underfloor Rain drain Insp Permittee Signature II, Mechanical Insp Water Line Insp Plumb Top Out Appr /Sdwlk Insp Issued By: Framing Insp Mechanical Final Call for inspection — 639 -4175 Residential Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639 -4171 ,,2S/ /tag- /090 ,e_ p (pb) Jobsite Address: 7'-I S Pic Ns' co vR-T �l � ��e O Subdivision: r,ve,rr t,,p AT rf Lot # Valuation: aivat n• o 19 • 1•rpF l v a rc H � ► m � R Owner: S T � O wne . K 1� l3 Address: r e : Z t ss ,'t - L7 n c - - QI 3 V vcQ�i.�6 Phone: 63 Z <Approvals= Required; is :.:;, PlanningtG!. .�i'I= =' Contractor: tract r: I Address: dd ess: - Phone: _ # 3`)% - - Contractors Lice - - -- of current Oregon license) shoo ocuet - - - - -- (attach -- - P e9 ( copy - <�Triss.. = . = .. Subcontractors: ntracto - ................ _ PI e d 1 T Plumbing: C � umb ng : W Mechanical: in L. e lit P 69 (attach copy of current OFi Contractor's License) Architect/Engineer: Si( C' PT He h)e.1 1, 7/W o Address: 5 .4rnc_ -e Phone: 636 —2 .9 Y COMMENTS: OAR S DE /1p 1.� .25 &At," Q�i.4./` 1r �-�t�p .lr.. -� I o I fl'F °7 A 1 6 -?1'Y : ignat e & Phone nu Received by: Date Received: j " Permit # Account Description Amount Amt. Pd. Bal. Due r/ - ooIZ- Bldg. Permit (BUILD) VS - Plumb. Permit (PLUMB) / / 7, so V / / 7 , 3 -7) Mech. Permit (MECH) L7 } , 4 /5 — li d State Tax (TAX) 33. 7! 3 3.7k Bldg: // Plumb: %• 3 ? • Mech: _2 • L Plan Check (PLANCK) / 75 20 Bldg: 3(3,97C / Plumb: Mech: - //, L 5 o u S/ Sewer Connection (SWUSA) ,� " Sewer Inspection (SWINSP) 3� 3 ' J Parks Dev Charge (PKSDC) S� U / 5 &O Storm Drainage Chg (SDSDC) ,7 / Residential TIF (TIF -R) / / Mass Transit TIF (TIF -MT) / / Commercial TIF (TIF -C) • Industrial TIF (TIF -1) Institutional TIF (TIF -IS) - Office TIF (TIF -0) - Water Quality (WQUAL) --. -- . - - - . _ . _. Water Quantity .(WQUANT) • Fire District (FIRE) • ._. C \ TOTALS: 3 e/If TRAFFIC IMPACT FEE Installment Payment Application and Disclosure Statement In the Matter of the Traffic Impact Fee for Skylight Home Builders Tax Map 2S114BB Lot Number(s) 6 Building Permit # MST94 -0042 Site Address 10241 SW Pick's Ct. Subdivision Riverview Estates Case File # SUB90 -0014 TIF Land Use District R -7 PD To Be Billed To: Skylight Home Builders Co. Address: PO Box 2315, Lake Oswego, OR 97035 Phone #: 636 -2994 To the City of Tigard: In accordance with the provision of Oregon Revised Statute 223.208 and Washington County Ordinance No. 379 which relates to the imposition of a traffic impact fee for the financing of major collector roads and arterials of Washington County, I/we HEREBY MAKE APPLICATION AND AGREE, JOINTLY AND SEVERALLY, to pay my /our traffic impact fee, as has been determined by Washington County Ordinance No. 379 in 10 semi - annual installments of the amount financed together with one -half of one year's interest thereon at a rate of 7.5 annual percentage rate on the unpaid amount owed. The lien date is the first day of the month following the date the application is signed. The first payment is due six months thereafter and at six (6) month intervals thereafter for a period of 5 years. Each installment payment will include principal and interest. If I \we neglect or refuse to pay any part of the installments provided herein, including interest, within one (1) year after the same shall have become due and payable, then the whole amount of the unpaid assessment shall become due and payable at once and shall be collected in the manner provided by law including foreclosure on the above - described real property. The traffic impact fee, annual percentage rate of interest (7.5 %) and finance charges which I/we agree to pay are as follows: HIGHWAY TRANSIT 1) Amount of Traffic Impact Fee $ 1410.00 110.00 ¢ 2) Amount Financed $ 1410.00 110.00 > 3) Equal Semi - Annual Principal Payments $ 141.00 11.00 4) Interest on Balance at Rate of 7.5 % l\We understand that the amount owed, as stated above, shall be a lien on the above - described subject prope y •ursuant to Washington County Ordinance No. 379 Section 6 (D) and ORS 223.230. DATE. this 22nd day of February , 1994. r . Si', na r= of Property Owner(s) Signature of Property Owner(s) STATE OF OREGON ) Name (Please Print): � iP. arfin ) Address: .:31.25 SW g al ; vC _ avol_ 7225 County of Washington ) ' / SUBSCRIBED AND SWORN TO BEFORE me this ( ma day of ktaka , 19 ?7 . Iopin\viol OFFICIAL SEAL J Notary Public for Oregon e i NOTARY PUBLIC 0 OREGON �. / COMMISSION No. 015877 ` '/ / MY COMMISSION EXPIRES JUNE 4, 1996 My Commission Expires: l /'t 9h a n P CITY OF T I GARD LUMBING PERMIT # MST94 -0042 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 02/22/94 13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PARCEL: 2S114BB -16000 SITE ADDRESS...: 10241 SW PICK'S CT SUBDIVISION • RIVERVIEW ESTATES ZONING: R -7 PD BLOCK LOT -6 CLASS OF WORK..:NEW GARBAGE DISPOSALS..:1 TYPE OF USE •SF WASHING MACH •1 BACKFLOW PREVNTRS..:0 OCCUPANCY GRP..:R3 FLOOR DRAINS •0 TRAPS °0 STORIES °2 WATER HEATERS •1 CATCH BASINS •0 FIXTURES LAUNDRY TRAYS -0 SF RAIN DRAINS -1 SINKS •1 GREASE TRAPS •0 LAVATORIES •4 OTHER FIXTURES •0 TUB /SHOWERS SEWER LINE (ft) :0 WATER CLOSETS..:3 WATER LINE (ft) °100 DISHWASHERS °1 RAIN DRAIN (ft) •0 Remarks: PATH I OWNER: FEES SKYLIGHT HOME BUILDERS CO BPRT $ 483.00 JH 02/22/94 - P 0 BOX 2315 BPLC $ 313.95 JLH 02/03/94 94- B5PC $ 24.15 JH 02/22/94 - LAKE OSWEGO OR SSDC $ 280.00 JH 02/22/94 - Phone #: 636 -2994. PARK $ 500.00 JH 02/22/94 - MPRT $ 45.00 JH 02/22/94 - Plumbing Contractor: MPLC $ 11.25 JH 02/22/94 - �/ M5PC $ 2.25 JH 02/22/94 - Name: PPRT $ 147.50 JH 02/22/94 - Address: PSPC $ 7.38 JH 02/22/94 - City: State: TIFF $ 1520.00 JH 02/22/94 - Zip: Phone #: Reg #: REQUIRED INSPECTIONS This permit is issued subject to the reg- ulations contained in the Tigard Municipal Foot /found Insp Rain drain Insp Code, State of Ore. Specialty Codes and all Post /Beam Struct Water Line Insp other applicable laws. All work will be done Post /Beam Mechan Appr /Sdwlk Insp in accordance with approved plans. This Plm /undslab Insp Mechanical Final permit will expire if work is not started PLM /Underfloor Plumb Final within 180 days of issuance, or if work is Mechanical Insp Building Final suspended for more than 180 days. Plumb Top Out Erosion Control Framing Insp Crawl Drain Fireplace Insp Gas Line Insp Insulation Insp x .�, L �� / %., AL/ 41 Gyp Board Insp Au horized Plumbing Contractor Signature Call for inspection - 639 -4175 Contractor Notes: MT7Y -5 y z • DEPARTMENT OF LAND USE & TRANSPORTATION AIN WASHINGTON 155 NORTH FIRST, H DEVELOPMENT O OR 97124 COUNTY, INSPECTION REQUESTS: 503/840- 3561/693 -4415 OREGON xXXXXxXXx - -> 640 -3470 Page : 1 of 1 Date : 05/15/95 Time : 09:39 Permit Type : Residential Electrical Permit Permit # : 05067684 Permit Status : APPROVED - Applied : 05/12/95 Situs Address : 10241 SW PICKS CT Ti. Issued : 05/12/95 Permit Title : SFR - BURGLAR ALARM L . V . Completed : Permit Descr. : To • Expire : 11/08/95 Project Title : SFR - BURGLAR ALARM L.V. Project # : P0049955 Project Descr. : * EROSION * Parcel Number : 251'1'1 - Land Use District : Valuation 0 • Legal Descr. • Owner : INSPECTION - '1'1GARD Construction : O'TH Applicant Name : AD'1' Classification : 900 Applicant Ad. : '703 NE HANCOCK Occupancy : R3 PORTLAND, OR 97212 Validated by : LG Applicant Prone: 284 -3265 X35 Inspector Area : Fee description Units Fee /Unit Ext fee Data • Limited Energy /Alter. /Extension 1 40.00 40.00 Subtotal Electrical Fees: 40.00 State Surcharge of 5% 2.00 Total Electrical Fees: 42.00 * ** Fees Required * ** * ** Fees Collected & Credits * ** Method Check # Receipt No. Date Payment 'DEP' OS/12/95 42.00 Fees: 42.00 Adjustments: .00 Total Credits: .00 Total Fees: 42.00 Total Payments: 42.00 Balance Due: .00 NOTICE: This permit becomes null and void N the work or construction for which it Is issued is not commenced within 180 days. Once construction has started, the permit becomes null and void if construction Is interrupted for a period of 180 days. I certify that the Information presented by the applicant and his agent or agents in support of this permit Is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use of this building or structure will be compiled with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of the structure or building permitted depends upon my calling for Inspections at various times during the process of construction and the building inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the Building Department is solely at the risk of the applicant and such use or occupancy Is revocable until all inspection requirements are satisfied and approval is given by the Building Official. I further acknowledge that a lien may be placed on the title of the property upon which the permit Is issued r specifying that the use or occupancy of the building or structure is provisional and revocable until the satisfaction of all inspection requirements. APPLICANT'S SIGNATURE allk WASHINGTON COUNTY w . " RESTRICTED Department of Land Use & Transportatio iblp Electrical Inspection Section ELECTRICAL ENERGY 155 North First Avenue, #350 -12 H) 640-3470 Oregon 97124 APPLICATION Information: (503) 640 -34Or70 g Fax: (503) 6934412 PLEASE PRINT ��� Please complete all sections, 1 through 5. Permit No. / 1. Location of ins A N t Date c 1� Address c) 4 1/ LC/ l.0 j er City 0_,Loe Zip Code •,,Z.Z -y 4. Type of work: Map No. §5 `–R Tax Lot RESIDENTIAL Restricted Energy Fee $40.00 ■ Thomas Map Book: Page (o ' s Secti l� — / (for all systems) i Check type of work involved: Directions !L _ 1. ... /e -h _ , l)-71.,b) l e - ( _ Audio and Stereo Systems* Commercial ❑ Residential 2'....--. $ Burglar Alarm Telephone Systems* Tenant Name _ - Garage Door Opener* (if commercial) _Fire Alarm H eating, Ventilation and Air Conditioning Systems* 2. Contractor application: _ Vacuum Systems* _ Other Electrical Contractor .41_= Address 0 Al 9 .4 0 ,■_ COMMERCIAL Fee for each system $40.00 City is X State (l Zip 9 7,a /2- (see OAR 918 - 260-280) Date 0 - Job Number Check type of work involved: Property Owner ) 4i rx l• b . S fip a p, itt Contractor's License No. _ai .ZO 9 • Contractor's Board Reg. No. ,S q 9 Sty: _ B oiler Controls Phone No. C lock Systems Data Telecommunications Installations - Fire Alarm Installation 3. Owner application: - HVAC 6 7-0 - 66p - Instrumentation Print Owner's Name Phone No. • — Intercom and Paging System - Landscape Irrigation Control* Address — Medical ' — Nurse Calls City State Zp — Outdoor Landscape Lighting* This permit is issued under OAR 918 -320 -370. The applicant agrees - Protective Signaling to make only restricted energy installations (100 volt amps or less) Other under this permit and to do the following: -' 1. Only use electrical licensed persons to do installations where required. (Certain residential and other transactions are exempt Number of Systems from licensing. These have asterisks ("). All others need licens- 2. Call for an inspection when all the installations under this permit * No licenses are required. Licenses are required for all other installations. are ready for inspection. 3. Purchase separate permits for all installations that are not ready 5. Fees for inspection when the inspector is out to inspect under this permit. Enter fees $ Q 4. Assume responsibility for assuming that all corrections required . by the inspector are done, and 5 Surcharge (.05 X total above 5. Assume responsibility for calling for a final Inspection when all of 9 ( above) $ the corrections are completed. The person signln is permit mus a the 0-p in • • ca or a person Trust Account $ y2 -- authorized to bin /e applica - • Signature 1/ . /' �/ /� � � Total $ Authority if other than applicant This permit becomes null and void if the work authorized by the permit is not commenced within 180 days from date of issuance For inspections call of such permit or if the work authorized Is suspended or abandoned 640 -3561 or 693 -4415 at any time after work is commenced for a period of 180 days. Electrical Permits are non - refundable and non - transferable. 24-hour recorder, one working day in advance of need BL24 - 114 6/1/99 Activities for Case #: MST94 -00042 2:39:26 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA007 Application received 2/3/94 JLH PASS BLT 2/7/94 MSTA010 Plan check deposit paid 2/3/94 JLH PASS BLT 2/7/94 MSTA020 Plan check by 2/7/94 2/7/94 RT PASS BLT 2/7/94 MSTA030 Check for prd. restrict. 2/7/94 2/7/94 VG PASS BLT 2/7/94 MSTA705 Foot/found Insp 2/24/94 TLP PASS TLP 3/1/94 MSTA710 Post/Beam Structural 3/8/94 TLP PASS TLP 3/8/94 MSTA711 Post/Beam Mechanical 3/8/94 TLP PASS TLP 3/8/94 MSTA717 PLM /Underfloor 3/7/94 MS PASS MRS 3/8/94 need to insulate infront of house vents MSTA720 Mechanical Insp 4/21/94 RB FAIL RB 4/22/94 see building final MSTA722 Plumb Top Out 4/15/94 MS FAIL MRS 4/18/94 water ok need tpo re -test waste MSTA725 Framing Insp 4/21/94 • RB FAIL RB 4/22/94 ELECTRICAL COVER REQ'D; SUPPORT 4- LAMINATED FLOOR JOIST- ; FIRESPACER REQ'D TO BE PLACED AT TOP OF FIREPLACE CHASE.; CHASE DUCTWORK IN N. BEDROOM CLOSET; SINGLE PLATE SUPPORT REQ'D FOR RAFTERS BEARING ON WALL- MIDDLE BEDROOM; MASTER BEDROOM- CEILING JOIST SUPPORT; POSITIVE CONNECTIONS THROUGHOUT; NOTCHED FLOOR/CEILING JOIST IN CORNER NE; EXHAUST VENTING- SEAL FAN HOUSING TO VENT. MSTA735 Gas Line Insp 4/21/94 RB PASS RB 4/22/94 #116529 MSTA740 Insulation Insp 4/26/94 WEW PASS RB 4/26/94 PENDING FIRESTOPPING REQ'D AT PENETRATIONS TO TOP AND BOTTOM PLATES EAST WALL IN BATHROOM (EAST) MSTA745 Gyp Board Insp 5/2/94 TLP PASS TLP 5/3/94 MSTA755 Rain drain Insp 3/10/94 TLP PASS TLP 3/10/94 MSTA760 Water Line Insp 3/10/94 TLP PASS TLP 3/10/94 MSTA795 Mechanical Final 6/16/94 RB FAIL RB 6/17/94 see building final this date MSTA797 Plumb Final 6/13/94 MS PART MRS 6/14/94 sewer dean -out? dean -out ok Page 1 of 2 6/1/99 Activities for Case #: MST94 -00042 2:39:26 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA799 Building Final 6/16/94 RB FAIL • RB 6/17/94 b -vent termination; front steps; bonus room- attic door jams need to be insulated. MSTA097 Issue plumbing signature form 2/22/94 JH 2/22/94 MSTA092 (F) Issue combination permit 2/22/94 JLH PASS JH 2/22/94 MSTA705 Foot/found Insp 2/28/94 RB PASS RB 3/2/94 MAINTAIN SEISMIC RESTRAINT; STUB -OUT FOR CONTINUOUS FOOTING. MSTA095 (F) Reprint Permit 3/25/94 JG 3/25/94 • MSTA007 APPlication received 4/21/94 MRS 4/21/94 • MSTA722 Plumb Top Out 4/21/94 MS PASS MRS 4/21/94 MSTA726 Framing <REINSP> 4/22/94 WEW PASS RB 4/25/94 EXHAUST FANS TO BE CONNECTED. TWO 1/4 " X 2 1/2" LAGS AT NOTCH UNDER TUB. MSTA765 APPr /Sdwlk Insp 5/12/94 LT PEND KE 6/6/94 1) Remove drain line in sidewalk. 2) Move drain line to location marked - core sidewalk. 3) Leave panel until • new drain line is place. 4) Install drain line to existing curb weep hole to north of approach. 5) Remove driveway from right of way - either move back of approach to go all the way across and form new wing or use bender board as marked. MSTA720 Mechanical Insp 4/22/94 WEW PASS RB 6/16/94 MSTA799 Building Final 6/17/94 TLP FAIL TLP 6/17/94 HANDRAILS MISSING FRONT STEPS MSTA795 Mechanical Final 6/20/94 RB PASS RB 6/20/94 MSTA799 Building Final 6/20/94 RB PASS RB 6/20/94 pending- steps w/ handrail handrail on order - Argo Safety Railings Inc., Portland ) - to be placed as soon as possible and to be picked up this date. Temp C of 0 asked for in the . meantime. MSTA970 Case Finaled 6/20/94 RB PASS RB 6/20/94 see building final this date MSTA975 (F) Issue Temp Cert. of Occ 6/20/94 RB PASS RB 6/20/94 see building final this date. MSTA795 Mechanical Final 6/20/94 RB PASS RB 6/20/94 MSTA799 Building Final 6/20/94 RB PASS RB 10/11/94 pending installation of handrails. handrail installed- ok MSTA960 (F) Issue Cert. of Occupancy 6/20/94 SKW PASS SW 6/23/94 Page 2 of 2 INSPECTION NOTICE R.-... City of Tigard Building Department 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 /Sdwlk Found. Plbg. Top Out Gas Line FIN - Post /Beam Struct. San. Sewer Framing -Bldg. Post /Beam Mech. Rain Drain Insulation - Plumb. Plbg. Underfloor Water Line Gyp. Bd. Date Requested: !ice[ W - G — ` _ 4- Time: AM M /� > PM Address: ‘024 1 �W Q1 \( Permit #:4' 1 d - l7Q"1 L Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Q p .....e.9.....„.„..._....,, • _ - . - 6. _ 1 u� f r _ _ `•-•e l .. it , 1 t�--� 1 7 y_l�� 1. c ���1L. �� lit\(,) .....- j kvt (c p) ,-(-7/ - c}i/ Inspector: i Date: tp-'2. V - APPROVED DISAPPROVED V APPROVED SUBJECT TO ABOVE ( , /Z Call For Reinep.