Case File ADDRESS:
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8311 -S A_Ar *fha r
i lrecordslmicrofmltargctslbuilding doc
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line Rec-O-Phone): 639-4175 BL' iness Phone: 9-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in / Ik
Foundation Pibg. Undemlab Mech. Rough-in fireplace
Po.-,t/Beam Struct. Plbg. Top Out Elec, Rough-in FINAL:
Post/Beam Mech. San. Sewsr Gas Line d
Plbq. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation C c
Underflr. Insul. Shear VI'al Gyp. Bd. -Elect.
Date Requested:__ 7s� _ Time: AM PM
Builder: _Permit #: ] - UCS _V
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector Dale: -91_.
PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-U "hone): 639-4175 Business Phone: 639-41
Inspection:
Footing Susp. Ceiling Sprink. Rough-inqPP r/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out E'ec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line
-Bldg,
Plbg. Underfloor Rain Drain Funminglumb.
Alarm Water Line Insulation �
- aC .I
Underflr. Insul• Shear Wall
Gyp. Bd. -Elect.
DAe Requested: (�,
_ / � Time:_ AM PM
/address: cf~� ���
Builder:__ Permit #/J.�`� K -oo-1
THE FOLLOWING CORRECTIONS ARE REQUIRED: ' r jT f 777
lQe c, r
�s n;
4y
Inspector:
Date:_
_APPROVED _DISAPPROVED —APPROVED SUBJECT TO A30VE
—Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O Phone): 639-4175 Business Phone: 639-417
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Pfbg. Underfloor Rain Drain Framing Plumb.
Alarm Water Line Insulation Mech.
Underflr. Insul. Shear Wall Gyp. Bd. � � -Elect.
Date Requested:_ ;:P Z `l j _Time: l AM PM
Address:_
Builder:_ Permit
THE FOL LC,WING CORRECTIONS ARE REQUIRED: --//
-------------
Date:
PPROVED `DISAPPROVED ,APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in �Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post;Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul, Shear Wall Q Gyp. Bd. / -Elect
Date Requested:— _ �s– /�/S Time: V AM PM
Address: n .� t
/
Builder. Z�r �vt / /�✓ tS�c. ermit #:
THE FOLLOWING CORRECTIONS AWE REQUIRED: ef p
MAL ho mes f
S
dy
Inspectcr:
Date: (O
_APPROVED ,DISAPPROVED _APPROVED S
Call For Reinsp.
tri va'� l�v�-vL
CITY CF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Hec-O Phone): 639-0175 Business Phone: 639'
Inspection: r/ ,
Footing Susp, Ceiling Sprink. i sough-in A 73dwlk
Foundation Plbg. Underslab Mech. Rough-ir Fireplace
Post/Beam Struct. Plb^ Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Meeh.
Undertlr. Insul. Shear Wall -C _B -Elect.
Date Requested: , j Time: AM PM
__
Adcirass:_ n 13 1 rQ 1 /-- I �-
Puilder: Permit q:_ —
THE FOLLOWING CORRECTIONS ARE REQUIRED: Q
-� �
tAPPROVED
tor: Date:
_DISAPPROVED _APPROVED SUBJf-CT TO ABOVE
`Ca!I For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 63 /1
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer G4-; Line -Bldg.
Plbg. Underflrrjr Rain Drain Framing -Plumb.
Alarm Water Line Inul� -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. Elect.
Date Flequested: `� ( ?�/ /5 --Time: PM
Address: � 2, (z__ LL'
r' 8
Builder: Permit #: _ a
THE FOLLOWING CORRECTIONS ARE REQUIH,.D: r ys O079
- j
Insp r: Date:
_APPROVED _ _DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone)- 639-4175 Business Phone: 639 1
Inspection:_ _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Undersl Mech, Rough-in Fireplace
Post/Beam Struct. f�g. Top O '�� Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. :nsul. Shear Wail Gyp. Bd. -Elect.
Date Requested: /Z •�/�� Time: AM PM
Address: S.3)
Builder: �� , p Z ``f _Permit #:-5�
THE FOLLOWING CORRECTIONS ARE REOUIRED: t*n SI'�+S C��Cf
_ I
Instor- Date:_
rPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
CITY OF I IGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-417
J
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Ap!x/Sdwlk
Foundation Plbg. Underslab ech. Rouges Firepla�,.
Post/Beam Struct. Plbg. Top Out Elec, Rough-in FINAL:
Post/Beam Mech. San. Sewer -Gas Line -Bldg,
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insu ation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. .Elect.
Date Requested: 5 ( Time: AM PM
Address: u�c/� /�. rY-
Builder: hermit #:_ i .�" Od 7�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
_ a
7,0
__;�ZLC liMO
In, actor:_ nate:
or z -
APPROVED __DISAPPROVED `APPROVE0E-D SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in 4r/Sdwj
Foundat'on Plbg Underslab Mech. Rough-in ,e
Post/Beam Struct. Ibg. Tor O 1 /Z� 1 Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer \ / Gas Line -Bldg.
Plbg. Underflocr Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: S Z i� __ Time: AM PM
Address: T'A a t
e
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED: 5 �'
Inspector-.:: — Date:
APPROVED ROVED APPROVED SUBJECT O ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639- 7
i
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/ wlk
Foundation Plbg. Underslab Mech. Rough-in F=ireplace
Post/Beam Struct. CP1bg. Top ' Elec. Rough-in FINAL:
Post/Beam Mech. Sar, Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm,i
ji113.-._� Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: f!(> ,�y s Time:--AM PM
Address:
r
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date:__� ���
!APPROVED OVFD APPROVED SUBJECT TO ABOVE
i
or Reinsp.
r!TY OF 'Ir:"'0 13UILDING INSPECTION NOTICE
�..s� ?CLP, Lina tRc 639-11-,5 Business Phone: t—
ooting
I,,spe0on: _ _
Susp. Ceiling Sprink. Rough-in^ Appr/Sdwlk
Founm.;ion P1bg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. "ewer Gas Line -Bldg.
Plbg. Underfloor Rain Dram Framingp -Plumb.
Alarm Water Line L�t
tiN Insulation -Mech.
Underflr. Insul. ar a �,�^ Gyp. Bd. -EIec
Date Requested: Time: _AM
Address:_—a--3fC7j/ /; o —r,—1
Builder:_--__Permit 1t: f;��47 T 5-- d O
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: _ _ Date: C,. // —
OVED —DISAPPROVED ,APPROVED SUBJE�, .ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rac-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. n. a Gas Line -Bldg.
F'Ibg Underfloor C afn Dra- Framing -Plumb.
Alarm �W�Lj
Insulation -Mech.
Underflr. Insul Shear Wall Gyp. Bd. -Elect.
Date Requested: 5 /0 A - _Time: A
/ _PM
Address:_
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Ins tor: Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 3 71
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech, Rough-in Fireplace
seam Plbg. Top Out Elec. Rough-in FINAL:
��/Beam
c� San. Sewer Gas Line -Bldg.
derfloor Rain Drain Framing Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wal Gyp. Bd. Qect,
Cx,
Date Requested: /lam Time:--AM 6 �tPM
Address: �)
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED: Si 7�"- O u7,9
Ins ctor: Date:
APPROVED DISAPPROVED APPROVED SUBJ_CT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone- 171
Inspection: / ilL C_ .- _t
�Tn_o Susp. Ceiling Sprink. Ro h-in Appr/Sdwlk
(`Poundal*' Plbg. Underslab Mach, Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: PM
Address:
Builder: Perrr„I #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Ins tor: Date:
APPROVED __DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
ING
CITY- OF TIGARD DA I�IEB ISSUED: 03/10/9!5
COMMUNITY DEVELOPMENT DEPARTMENT
13126 BW Hall Blvd.Tigard,Oregon 97223*6199 (603)630-4171 PARC;f_L: 251020D- " P009
S IT I-- AD DRESS. . . . Mics_,., L .,iv AR I ;-iUR CT
SUBDIVISION. . . . : BRIDGEPARK ZONING: R--7
BLOL11.. . . . . . . . . . . LOT. . . . . . . . . . . . . :0 19
CLASS OF WORK. . :NEW GARBAGE:: DISPOSALS-:1 ---------------------
1 YPE OF USE. . . . :SF WASHING MACH. . . . . . . 11 BACKFLOW PREVN•FRS. . : 1
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . SO 7 RAPS. . . . . . . . . . . . . . :Q1
S I URIES. . . , . . . . .2 WA-IER HEATERS. . . . . . : 1 CATCH
FIXlURE5- _._________.__._ LAUNDRY 'TRAYS. . . . . . :► SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . : 1 GRFASF TRAP'S. . . . . . . :0
LAVATORIES. . . . . :4 OTHER FIXTURES. . . . . :0
i UB/SHUWLPS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSETS. :3 WATER LINE (ft ) . . . . : 100
DI6HWASHERS. . . . : I RAIN DRAIN (ft ) ,
Remarks : PATH 1
UW14LH: -----------_--------__---------- _____.______________FC~E5--------.-_------
RIVERSIDE F40MES TIF $ 1550. 00 JD 03/10/95 95-262'75 '
15455 NW GREENBRIEER PKWY SWM $ 180. 00 JD 03/10/9 95-262751
:QUITE #140 swill $ 100. 0 ► JD 03/10/95 95-26751.
1 k:.AVE:R'TON OR 970006 E1PRT $ 533. 00 JD 03/10/95 95-262751
whone #: 645-0986 BPLC $ 346. 45 KAR 11/08/94 94-258524
B5PC $ 26. 65 JD 03/10/95 95-06"4..'75.1
Plumbing Contr actor•--.._.__.__._._,._ PARK $ 500. 00 JD X13/10/95 95-262751.
A C .rA'l"A"1 c.�- __ MPRT $ 45. 00 JD 03/10/95 95-26x'_751
Name • , „/";' I 'S MPLC $ 11. 25 JD 03/10/95 95--26 751
address :_ 2. 25 JD 03/10/95 95-262751
L:1 t y : �' aZ, _ _St at e : Q 3BTH $ L�25. 00 JO 03/ 10/95 95--262175.
Lip: 917-.1.23 Vlhon a#:__.,M- V-) V15PC $ 11. 25 JD 03/10/95 95-262751
F'e9 #. (� .•3�7_![ Additional. Pees not shoM.n here. . . . . . .
-------- REQUIRED INSPECTIONS ------
This permit is issued sub.iect to the reg-
,•llations contained in the Tigard Municipal Footing Insp InsUlation Insp
;ode, State of Ore. specialty Codes and all Foundation Insp Gyp Board Insp
other applicable laws. All work will be done Post/Beam Struct Rain drain Insp
in accordance with approved plans. This Post/Beam Mechan Water Line Insp
uermit will expire if work is not started Crawl Drain Water Ser-vice Ir
within 180 days of issuance, or if work is Plm/Undslab Insp (-Ippr/Sdwlk Insp
suspended for mare than 180 days. PLM/Underfloor Mechanical Fina '
Mechanical Insp Plumb Final
Plumb Fop ULtt BUilding Final
Framing Insp Erosion Control
Fireplace Insp
w
Gss Line Insp�-Wth r ized F�lUmbContractor Signature
Call for inspection - 539-4175
1�ontraotor Notes :
MASTER PERMIT
CITY OF TIGARD FERMI f #. . . . . . . : MST95--00P7
COMMUNITY DEVELOPMENT DEPARTMCNT DATE ISSUED: 03/10/95
13125 SW Hall Blvd.Tigard,Oregon 07223.6190 (503)639.4171
PARCEL: 25102OD•-Eft='009
': ITN ADDRESS. . . : 08391 SW ARTHUR CT
SUBDIVISION. . . . : BRIDGEPARK ZONING; R--7
BLOC:K. . . . . . . . . . . LOT. . . . . . . . . . . . . :009
-----------------__-----__-____._._-- BUILDING
I E 13SUE.t DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 s f
GLOSS OF WORK. .NEW BEDRMS t 4 BATHS s 3 GARAGE. . . . . . a . . . S465 s f
TYPE OF USE. . . :GF FLOUR AREAS--_.-•_-_.-_._.__._ REOU I RED SETBACKS----------•
F YPE OF CONST. :5N FIRST. . . . : 1049 s f LEF T. . : 10 ft R I GHT. :5 f t
OCCUPANCY GRP. :R3 SECOND. . . :993 sf FRONT. :00 ft REAR. . : 1 i ft
STORIES. . . . . . . :2 FINBSMENT:O sf REQUIRED---------_-___---_.-..
HEIBHT. . . . . . . . :21 ft T0TAL•.__--------:2042 s SMOKE DE:T'E.CTORS. :Y
LU1 JR LOAD. . . . :40 ps f VALUE. . . . . # : 13960x_' PARKING SPACES. . : 1
!emarks : PATH 1
F'LUMBINI -__.___._._________._._--_______._---.•-.--•__--
S1NKS. . . . . . . . . . . 1 FLOUR DRAINS. . . . :0 BACKFLOW I' REVNTRS. . : 1
LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
1 UB/SHOWERS. . . . ..3 LPUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WAI LR CLOSETS. . :S SEWER LINE= (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1. WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
tjAHBAGE= DISH. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
MLLHANICAL - --_.___.___._____-•-_______________-•- FEES
1=UE.L TYPES-----•-----•---- UNIT HTRS. . t0 type amount by date recpt
/GAS/ / / VENTS . . . . . .0 TIF $ 1550, 00 JD 03/10/95 95-262751
MAX INPUT :O BTU VENT' FANS. . :4 SWM $ 180. 00 JD 03/10/95 95•-262751
I URN ( 100K . . :0 HOODS. . . . . . : l SWM t 1016. 00 JD 03/10/95 95--262751
i CJRN ) =100K . . : l WOUD I OVEE.S. :0 BPR T $ 54.i. 00 J1I 0.3/ 10/95 95•-262 151
I LUUR FURN. . . . t0 CLO DRYERS. : 1 BF'LC $ 346. 45 KAR 11/08/94 94-25850.4
�O1LJCthP < 3HP.O OTHER UNITS: 1 D5PC $ 26. 65 JD 03/10/95 95--2627bl
____.___GASH OUTLETS t 1-__^PARK $ 500. 00 JD 03/10/95 95-262751
Jwnert __--- -___ MF R7 $ 45. 00 JD 03/110/95 95--262'751
raiVLRSIDL HUM'..S MPLU t 11. 25 JI) 03/10/95 95-262751
ib455 NW GREENBRIER PKWY M5PC_ $ 2. 25 JD 03/10/95 95-262:751
SUITE #140 3BTH t .1,2:5. 00 JD 03/10/95 95--262751
QLAVER ON6OP5P1 t 11. 2; JD 03/ 10/95 135-c-'6r/:i1
J -hone 4
986 EROS $ 64. 00 JD 03/10/95 95-262751
Contractor: ___ ._________._.____.______-_____ERF'C $ 20. 80 JD 03/10/95 95-262751
RIVERSIDE HOMES INC ERPU '# 20. 80 JD 03/10/95 95-26;2751
15455 NW 1 REENk.;R1ER F-,Ky
.3U1TL 0140
BEAVERTON OR 97006-5700
Phone #t
Reg #. . . 70065
$ 3636. 45 TOTAL
This permit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS -------
Tigard Municipal Code, State of Ore. Specialty Codes and all othe, Footing Insp P1t_Imb Top Out
applicable laws. Nll work wili of*worrkis
ccordance w n approved Foundatior. Insp Framing Insp
pla^s, This permit will expire ifot starte within 188 Post/Beam Strtict Firpplac�e Insp
days of issuance, or if work is sur or t n ltle days. F'ostlBeam McGhan Gas Line Insp
Crawl Drain Insi_rlation Insp
permittee 5i TI tune ; _ _ Plmi�indslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
ls3ued By . Mer_lianic.al Insp Water Line Insp
Call for inspection - 639--4175
.CITY OF TIGARD SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
13126 SW 11mll Blvd.Tigard,Oregon 97223.9109 (603)63P-4171 PERMIT #. . . . . . . : SWR95-0076
6,a9--4+1 / i DATE ISSUED: 03/10/95
PARCEL: 2Sl02DD—BF'009
.)ITE ADDRESS. . . : 08-91 SW ARTHUR CT
SUBDIVISION. . . . : BRID13EPARK ZONING: R-7
BLOCK. . . . . . . . . . . LOI.. . . . . . . . . . . . . s009
----------- --------------------------------
iENANT NAME. . . . . :
JS" NO. . . . . . . . . . : FIXTURE UNITS. . . s
LOSS OF WORK. . . :NEW DWELLING UNITS. . : 1
i YPE OF USF'. . . . . :SF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWfR I MPERV SURFACE. . : : s f
Remarks: PATH I
Clwners ___._.__.____________._______.____-----__.______ _______--- FF_E5 _____________
RIVERSIDE HOMES type amo+.int by date recpt
i5450 NW GRE:ENBRIE:R PKWY PRMT $ 2200. 00 JD 03/10/95 95-262Ytjj
3U I TE #140 1 NSP $ 31j. 00 JI) 03/10/95 95-262 1;31
3LgVER'fON Ofd 970006
,hone #: 645--09136
,ontract or s --___—_._________--_____________
'ONTRACTOR NOT ON FILE
------------------------------- --------
-,hone #: t 2235. 00 TOTAL
REQUIRED INSPECTIONS
—
hIs Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 180 days from
the date Issued. The total amount paid will be forfeited if the
aermut expires, The Agency does not guarantee the accuracy of the
side sewer latera'.i. if the sewer is not located at the measurement
given, the inatbiler shall prospect s feetin all sections from
the distance given. If not so located, the install' shall purchase _
a "Tap and Side newer" permit and cy ill I stall a lateral.
<<'a r•m i t t e e S i g r1 a t+•1 r e a
i. �;ra+.red )' • _.- _ _ __ _ _�� .'��--_ _.-- _._._._ _
Call for inspection - 639-4175
e "b-1 ko"— A)
Residential Building Permit Application cq5
Citi of Tigard 3,
13125 SW lull Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: I-W-5 5 c�� %r l^Tse uy c�F�
Subdivision: F�*U fah-fes..__-i Lot*0 Office Use Oniv ,Q
Planck/Rec # t
Valuation: �,�y/i
Permit
Corner Lot? Y
Flag Lot?
Reissue of
Y � �
Map & TL# s J/Uz DO
,,Owner: T GU�'r O�Q� � rt�d.� �X.-!C�. Aoaroyals_Re__ wired
—r q_�
AddrFss: 4WJE"il/W Planning
Engineering _
Phone:
Contractor:
Items Required
Address:
- Subcontractors_.A0.004.,
— — — — Truss Details
Phone: Other
Contractor's License #
(attach copy of current Oregon license)
Contact Name & Phone:
Subcontractors: ArchitectlEn sneer:
/Plumbing: _1 — _ Address:
Mechanical:
(attach copy of c4mnt OR Contractor's License)
Phone:
JOB DESCRIPTION:
64�� �� y1p
Applicant SIgnatu4,A Phone number
Received bv: Date Received:
P,WMR.CW0MMVVtE$APP
Permit 0 Accour)t Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) 33
Plumb. Permit (PLUMB) -22
Mech. Permit (MECI-I) �f �_ 1 _✓
State Tax (TAX)
Bldg: ✓
Plumb:
Mach: .2. Z �f �✓
Plan Check (PLANCK) . 7U 7U
Bldg:
Plumb:
Mech: /�/, L_y� ✓
5w�q/1�a0 1 Sewer Connection (SWUSA) 2&d _✓
Sewer Inspectior. (SWINSP) � 3 -
Parks
-Parks Dev Charge (PK,SDC) S(lv � _✓
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TII"-MT)
Commercial TIF (TIF-C)
Industrial TIF (TI=-I)
Institutional 'rIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (V/QUAL) J i � 50
Water Quantity (WOUANT) b) i'Cr,
Fire District (FIRE) _
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) �t�•b"y s 1� _„',
Erosion Planck/COT (EROSN)
TOTALS:
S-IIA.a 17--4 1 v•.Ya
CONSXMG ENCINIM MiG WMCE MIC.'
14790 IM 05PWy 01MVE. ukra 3Y5 1
WAWWTON. at 91007 (5th 0441-0
S" SANITARY SEWER EASEMENT
_., 2.64••
4 20" J, 1
Z3019 ,
1 44
r. r-
STORM.
22 w. SANITARY. AND
PEDESTRIAN
EASEMENT
1"-20'
F1K7NT TBACK�2V
sm - 5"
STWT SW _ 15 BRIDGEPORT LOT 4
6.658 S F.
AUG-22-1994 14=35 CES P.02
l
CITY OF T I GARD - RE:CE I P-C OF PAYMENT RFC:E I PT NO. 05-262751
CHECK AMOUNT 56PI. 4`
NAME w RIVERSIDE HOMES INC: CASH AMOUNT a 0. 00
ADDRESS 1 154515 NW GRE:E:NRRIER PKWY PAYMENT DATE.. a 03/10/95
SUITE 141 fiUBDIVISION a �
BE'AVF RTON OR 97 006--•
C>IiRPOSE OF PAY14E^NI AMOUNT PAID PURPOSE. or. PAYMENT AMOUNT PAID
E�i1ILE7ING PERM MST95-0Q�'79 533. 00 PLUMPING PERM 00
MECHANICAL_ PLr- 43. 00 ST. BUILD PFR 40. t9
PI AN rHFCK FE 1 07. 70 SEWER USA SWR95 -OSA. 76 P200. 01A `
SE"WE"R INSPECT 33. 00 PARKS SIX 500. 00
RESIDENTIAL TRAFFIC: FE'E'S 1.4391. 00 MASS "TRANSIT T I r FEES 120. 00
Q j
H' 'O QUALITY FACILITY FEE 180. 00 H20 QUANTITY FACILITY r'F F 100. 0O
EROSION I;ONTROL. PFRMITFEF 64. 00 EROSION CONTROL. PLAN CK 2*0. AP
P POS I ON CONTROL 20. 6fa
BRIDGEPARK. LOT 9
8391 SW ARTHUR CT �
VOTAE_ AMOUNT PAID - - > 5621 • 45 �
,A
i
1