10267 SW ELISE COURT ADDRESS :
14 7 aw. 157110 C� r
is\records\microflm\targets\building.doc
' CIS'` OF TIGARD
GE F2 7'T FI C;AT E OF
-
C..'DMMUNITY DEVELOPMENT'DERARTY-ENT OCCUPANCY
13125 SW Nall eWi.Tigard,CHagon 07223e8100 (503)6304179
:4 PERMIT M. . . . . . . a 013YIr4--' 0.31
6:.39-4171. DATE IBF,a:_IEIDs 10/04/34
4
PAPCELi ZS1140B--19600
f:;I"rTE: ADDRESS. .. . r 10.-'67 314 ELISE CT
rU1)I:eIV13InN. . . , x PIVERVIE:
•�l /
- �NSPB('PIOti_H�_CB
Citi of Tigard Buf191nq Qepartaent A
13125 SW x11 Blvd. Tigard, Oregon 4722.3 /�-
Inspection Line (Rec-O-phone): 639-4175 Buoiness Phone: 639-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Pound. P1bg. Top Out Gas Line 1rN
Post/Beam Struct. Sa::. Sewer Framiny
Post/Beam Hoch. Rain Drain Insulationu:gi .
I
Plbg. Underfloor Nater Line Gyp, Bd.
Date Requested: O Time: �AM PSI
Addresss.�' 7 / a Permit
Builder:_ i� �� - 1p d- t4--7
THE f'OI.i.OWING CORRECTIONS AFP. REQUIRED:
Inspector: _ +`�l + �
— Date; 1/r
- APPROVED DISAPPROVED APPROVED SUBJECT To 7ABOVE
Call--- For Relnsp.
I
ISPECTION NOTI E /
Citp of Tigard Building Departewlnt ��--
1312S 8N H&11. Blvd. Tigard, Ore<lon 97223
Inspection Llne (Rec-0-Phone): 639-4175 Puniness Phone: 639-4171
Inspection:
Footing Plbg. Undernlab Mach. Rough- :n
r/Sdwlk'
Found. —�
Plbg. Tog Our Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Pont/Beam Mech. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Nater Line
Gyp. Bd. n -Neth.
Date Requonted: �(�� / �-_—`TLmej
Addrees: / / Yi✓l d Permit1t :1 1 �0 3'
Bull.dertr� f!
THE FOLLOWING 0ORRRCTION8 Aka REQUIRED:
12-P
3 --
Inspector:
Data:
V 11PPROVED —_.-- DrS"PROVED ArpROVRD BDBJECT TO ABOVE
—Call For Reinsp.
LNSPEC T,)N NOTICE /
City of Tigard Building Depacttaent
13125 RM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phony-): 639-4175 Bisinesd Phone: 639-4171
Inspection:—,_—_ -- ---- -- �_`—�_–_—
footing Plbg. r:ndernlab Mech. Rough-in kppr/Sdwlk
i
Found. Plbf,. Top Out Gas Line FINAL:
Post/Ream 9truct. San. Sewer Framing -Bldg.
Post/Ream Mech. Rain Drain Insulation , -Plumb.
Plbg. Underfloor Mater Line ( p ` r J
Q \'Gyp. Bd. 1 1 F•lI C -M��
Date Requesteit_— / / Time: —PH
Addrese:__���4 Petmit f t (J �_
Builder:
THE�FOL.LOWING ^OMZCTIOIIS ARE REQUIRED:
----i' L— -- -
Inepecto.•
Datwe
APPROVED DISAPPROVED APPROVED SVWgCT To ADM
T Cell Por Relnep.
INS 9 1 ON NOTICE w��P-)LY
CAty of Tigard Building Departisent
1312.5 SII Hall Blvd. Tigard, Oregon 9722-1
Inspection Lina (Rec-o-Phone): 639-4175 Dusinens Phone: 639-4171
Inepe^_tion:
Tooting Plbg. Dnderalab Mech. Rough-in Appr/Sdwl.k
Pound. Plbg. Top Out Gas Line FINALt
Post/Beam struct. San. $ewer Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor. Nater Una G=Sd -Mach.
Date Requestedt n - 7 99
Timet
Addre�se /U 0 7 �_//SCdA pesisit`V qy-�
Builder:_ _
TRE FOLLOOW'ING CORRECTIONS ARE REQUIRED:
tit
Inspector• --_-- Date:
--APPROVED DISAPPROVED ---- APPROVED SDB.TECT ; ABOVE
Call For Reinap.
■
?NSLSCT�ON N(Yf10
£ City of Tigard Build1nq Department
13123 4M Hall Blvd. Tigard„ Oregon 97223
Inspection Lina (Rea•ta-Phone): 639-4175 Business Phone: 639-4171
Inspection:
footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
t
Poet/Beam Hoch. Rain Drain I.ssulation 1 -Plumb.
Plbg. Underfloor Matter Line Gyp. Bd. -Hoch.
Date Re7uested:l _/ Tiasf AMSt-
FN
Address: 1 C.�d G� /� `C /t_.TPesMit�f9e-
Bulldr r:
THE FOLLOMING OORRECTIONS ARE REQUIREDs
Inspectors Data'
_APPROVED __ DISAPPROVED APPROVED SUBJECT TO ABOVR
_—CalFor Re'.nap.
C �
INS F-EM N NOTICE
City of Tigard Building D�npartment
13125 BM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec:-a-Phonal= 639-4175 Business Phone= 639-4171
Inspection:
Footing Plbg. Underelab Hoch. Rough-in Appr;Zdwlt
bound. ilbg. Top Out Ga Line O� PINAL=
Poet/Beam 9truct. San. sewer
Poet/beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requested= 1. �/ ,— ?Lm•t ,`AM PN
Adflreee:, C f Armmitl�t_L0,31
Builder=_.._ 1Cs._L,C. j7a.c�ce�z 7 �`/=� Cl), 2 7
T1DL FOLLOWINGCORRECTIONSARE REQUIRED=
i
Ins pectorsl�' Date:�J
—APPROVED DISAPPROVED APPROVED SUBJECT TO AROVE
Call For Reinsp.
INSPECTION NOTICEE } v�
City of Tigard Building Department
13125 BW Ball Blvd. Tigard. Oregon 97223
Inspection Line (nec-O-Phone): 639-4175 Business ^hone: 639-4171
Inspect lon:__,
Footing Plbg_Underslab / Mach Rough-in 1 A r/Sdwlk
Found. �l as LLM FINAL.:
Poet/Boom Struct. San. Sewer (`-Framing -Bldg.
Post/Ream Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. ad. -Mach.
Date Requestodt_ Lr,^ - �y I Timet AM PM
Addresss_/.Vl/ft� / j� _ Peet 1: . -qt/
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED: �-
- � -G4 vis
�d )AA.L1� �x 1.P
A 6111—
�?IL
��zt�--w� •r
Inspector: Datet_�_ -
APPROVED _ /DISAPPROVED APPROVED SUBJECT To APOVt
10'Call For Rsinap.
jN�PECfION NOTICE
City of Tigard Building Depart-Mont
13125 SW Ball Blvd. Tigard, Oregon 97223
Inrpe:lcion L}.ne (Rec-o-Phonal: 639-4175 Business Phone: 639-4171
Inapection:
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out G:s Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line Gyp. Bd. -Hoch.
Data Requested: _ Time: _ AM PM
Addrenn: �— —a Permit i:4i�l/` ` �✓___�_
Builder:_____
THE FOLLMING cDRRHCT1oNS ARE REQUIRED:
1A rS
_�
el-
Inspoictori
Date:
APPROVED __! &1SAPPROVEn APPROVED SUBJECT TO ABOVE
;� Call For Reinsp.
INSPECTION NOTICE j
City of Tigard Build.ing Departaant
13125 BA Ball Blvd. Tigard, Oregon 97223
Inspection Lane (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection:
Rooting ��Pllbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. ( Plbg. Top Out Can Line FINAL:
Post/Beam Strurt, San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Pl.bg. Underfloor Nat}r Line Gyp. Rd. -Mach.
Date Requested: /� Time: "/AM
Address:_/ C? <'._ L Permit #:
Builder:
TBE FOLLOIIING CORRECTIONS ARE RBQrIRED:
t
Inspector
APPROVED DISAPPROVED `- APPPOVED SUBJECT To ABOVE
--Call For Reinsp.
M.CTIOM NQ ICE
City of Tigard Building Department
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections__
Footing Plbg. Underslab Meeh. Rough-in Appr/Sdwlk
Fouad. Plbg. Top Out Gas Line FINAL:
Poor/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
rPibg. Underlloo Water Lienee / Gyp. Rd. -Hoch.
Date Requested: _�/ C/ / —Time: _ AN
Address:—I�� 1_4 - 1, Permit is—��
Builder:
THE FOLLOWING CORRECTIONS ARE RBQUIRF,D.
Inepec or i� —� Datet
DISAPPROV'ED�APPROVED 9UBJE'TC! TO ABOVE
)�PROVRD
_ _Call For Reinnp.
.LNSPECTION NOTI-:6
City of Tigard Building Derpartisent
13125 SII Ball Blad. Tigard. Orxx7on 97223 •��
Inspoctiu-i Lime (Rec O-Phone): 639•4175 Buoiness Phone: .,39-4171
Inspect:ion:
Footing Plbg. Underelah Mach. Rough-in Appr/Sdwlk
Pound._ P1bq Tog Out Gas Linc FINAL:
Post/Lap Strutt i' lean. Sewer Framing -Bldg.
S _ - g•
Post/Beam Mach. Rain Drain Insulation -plumy.
d rw- Nater Lino Gyp. Od. -Meth.
Date Requesteff//dt - J-
Time: AM PM
d Address: 7
Permit `I 031
Builder:— _1�^ �G[-l�L�cJ 7�1 �_
THE FOLLOWING 00RFECTIONS ARM REQUIRED:
Inspector
_.APPROVED DISAPPROVRD APPROVED SURJRCT TD ABOVE
\/L� Call Per neinap.
—'7
;"SSECTION NOTICE
City of Tigard Building DepLrtawat:
13125 811 IL-11 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phons)s 639-4175 Buainess Phones 639-4171
Inspectiont
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Can Line FINALS
Post/Beam etruct. San. •altar Framing -Bldg.
Post/Beam Mach. Raln Drain I�suto`__ _Ply.
Plbg. Underfloor Nater L Gyp. Bd. _Mach.
Date Requestedt I .� Timet A AM PN
Addross. ( )(� C\!71 1. Permit 1 d A'_)
K
! Builders r
{ THE FOLLOWNG CORRECTIONS ARE RRQDIRED:
1
{
1 J4 0
---�-
Inspector.—
--- Date t
PROVED DISAPPROVED -- APPROVED SUBJECT TO ABOVR
Call For Reinsp,
'ioK IQ
alt? of Tigard Huilding Dapartmant
13125 M Hall. Blvd. Tiq.rd, Oregon 97223
Inapection Lina (Rwc-O-Phona)r 639-4175 Business Phones 639-41.71
Inspection:
Footing Plbg. Underel.ab Mach. Rough-in Appr/edwlk
Found. Plbg. Top Out Gas Line FINAL: J
Post/Beam Bt:ruct. Oan. ewe Framina -Bldg.
Poet/Beam Hoch. Aetf(-israin - � Insulation -Plumb.
Plbg. Underfloor "star Line -Hoc
Gyp. Bd. - .
Data Reque ted Y T i
Times AN pM
Address: C ) / t O _ Permit 9 t `
Builders_�
TIE FOLLOWING CORRECTIONS ARE REQUIRED:
I
Date
Inspector! s��-__-
— _
V_K APPROVRD DIBAPPROVED ^_ APPROVRL SUBJECT TC ABOVE
Call For Reinsp.
INSPECTION NONCE
City or Tigard Building Department v
13195 OR Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phoney: 639-4175 Business Phones 639-4171
Inspections
Footing Plby. Onderslab Mech. Rough-in Appr/Sdwlk
�• �r Plbg. Top Out Gas Line FINAL:
Post/Beam Strvct. San. Bever Framing -Bldg.
Poet/Beam Meeh. Rain Drain Insulation
-Plumb.
Plbg. Dndetfloor Water
. Line
} Gyp. Bd. -�b.
7
Data Requesteds Z /- / /�/ _ Tines
Addreas s (n"zlo-? E��� Permit #&A%
Builders
TNR FOLLOWING cDRRECPIONB ARE RzQurREDs
f A l ,
inspectors
Dates
----APPROVED __ DISAPPROVED /APPROVED SVB.IECf TO AROVX _
J�\ Call For Reinsp.
INSPYCTIOl1 NOTICi /,�
City of Tigard muildinq Dep,,,,,=,t
13125 M mall Blvd. Tigard, Oregon 97223
IOmpeOtLm Line gpec-O-Phones 639-4175 Ousinesm Phones 639-4171
IwpeotLms
rOotie� / Plbg. Underslab Much. Rough-in Appr/Sdwlk.
found. Plbg. Top out Gas Line FINALS
Past/Beast Btruct. Ban. Sewer Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation -Plumb.
i
Plbg. Underfloor Nater Line Gyp. Bd. -11sch.
Data Requested, 2-
�51,00
p .� l/ Tt,eas �► ��"i AM �
Address, 101 Lc-/7 �{�l Cor POMLt
Builders
i
TNN FOLLOWING MPHR TIONS ARN RNQUIRNDs
V
_ I
Inspectors 1 ti/ A/1
APPROVRD __ DI9APPROVRD APPROyRD 80"CT To ABOVU
> __ �a1 I For Reinap.
PLUM
PERMT
CITY OF TIGARD PERMI;T'J#. . . . . . T- MST94--9031
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 02/0 :/94
13125 8W Hall Blvd.Tigard,Orpon 97223.6199 (.503)0139-4171
F iIRCEL: r_'S 1 1 4BB-19600
SITE ADDRESS. ., . : 102:67 SW ELI j'E CT
SUBDIVISIUN. . . . . RIVERVIEW ESTATES ZONING: R-'7 PD
BL.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . .42
-------------
CLASS OF WORK. . sNEW GARBAGE DISPOSALS. . : 1
TYPE_ OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :O
OCCUPANCV GRP. . :R3 FLOOR URPINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. ., . . . . . sO
FIXTURE13 _____._..___.___..____._ LAUNDRY TRAYS. . . . . . . 1 SF RAIN DRAINS. . . . . i 1
SINKS. . . . . . . . . . : 1 GREASE TRAVIS. . . . . . . :0
LAVATORIES. . . . . :5 O AER FIXTURES. . . . . :0
TL1B/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSETS. . :3 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
Remarks : PATH I
OWNER- ---- ----------- ------------- __- -- _ ___--- -- FEES-----------------
MIN SHADOW ENTERPPISE INC TIF f 1520. 00 JH 02/02/94 -
1 / 45 SE HANNEMAN CT BPRI f 443. 00 JH 02/02/94 -
BPI_C $ 287. 95 JLH 01/24/94 94-248003
GLADSTONE OR 9702:7 BSPC 'l, 22. 15 JH =/0E:/94 --
Phone #: 656-0096 SSDC $ 280. 00 JH 02/02/94
PARK $ 500. 00 JH 02/02/94 -
Plumbing Cantrac_tor.a- ___-_______._.___ MPRT 6 45. 00 JH 02/02/94 -
`� Mt-'►_ f; 4 11. 25 JH 02/022/94 -
Name:_ _ -f L_� '//(� _ W M5PC $ 2. 25 JH 02/02/94
Address PPRT t 162. 50 JH 02/02/94 -
I_:ity : �� _ �¢ - state: P5PC; $ 8. 13 JH 02/02/94
Zip: �-----F'Fi o n e#:
- ---- REDUIRED 1ASPEC;TIONS -------
This permit is issued subject to the reg-
ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
(.lode, State of Ore. Specialty Codes and all Post/Beam '3truct Water Line Insp
other, applicable laws. All work will be done Post./Bear. Mecham Appr/Sdwlk Insp
in accordance with approved plans. This Plm/,.and-.lab Insp Mechanical Final
permit will expire if work is not starter) PL.M/Underfloar Pli..tmb Final
:,ithin 180 days of issuance, or, if work is Mechanical Insp Puilding Final
suspended for more than 180 days. Plumb Top Out Erosion Control
Framing Insp Brawl Drain
Fireplace In p
Gas Line Insp
- � Insulatior, Insp
/
x Gyp Board Tnsp
or
ized Plumbing Cor ra for Signature
Call for inspection - 6:39-4175
Contractor Notess __
CITY OF TIGARD MASTER PERMIT
PERMIT #. . . . . . . : hfST94 9Q�31
C40MMUNITY DEVELOPMENT DgW'F,II( YT DATE ISSUED: 02/02/94
13125 SW Hall Blvd.Tigard,Orpon 07223.0199 (503)030-4171
PARCEL: 2S114RB-19610
SITE ADDRES" . . . : 10267 5W ELISE CT
SUBDIVISION. . . : RIVERVIEW ESTA'T'ES ZONING: R—'7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :4c'
_._.__.----------_._.__.__.---.-----•-•___-- BUILDING
REISSUE: DWELLING UNITS: 1 BASEMENT' .0 sf
CLASS OF WORK. :NEW BEDRMS:4 SATHS:3 GARAGE. . . . . . . . . . :494 sf
TYPE OF USE. . . :SF FLOOR AREAS---------- - REQUIRED SE-r BACKS------—
TYPE OF CONST. :5N FIRST. . . . .- 1006 sf LEFT. . .-5 ft RICHT. :5 ft
OCCUPANCY GRP. :R3 SECOND. . . :948 sf FROI\IT. :c0 ft REAR. . :60 ft
STORIES. . . . . . . :2 THIRD. . . . :0 S f REQU I RED-•--------------------
HE I G14T. . . . . . . . ..28 ft TOTAL--------:2054 s f SMOKE DETEC TORS. :Y
FLOOR LOAD. . . . s40 psf VALUE. . . . . $s 103376 PARKING SPACES. . : !
Remarks : PATH I
PLUMBING -------_.______ ._____...__.----•- ---____.__.
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :3 LAUNDRY T-RAYS. . . : 1 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE ( ft ) . :O GREASE TRAPS. . . . . . . :T
DISHWASHERS. . . . : 1 WATER LINE (f t ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : !
MECHANI CA'_ - .__.._._____..___.______.___.._.__________...__. FEES
FUEL TAPES------ - ---- UNIT HTRS. . :O type amount by date recpt
/GAS/ / / VENTS . . . . . :0 TIF t 1520. 00 JH 02/02/94 —
MAX INPUT:O BTU VENT FANS. . :4 BPRT f 443. 00 JH 02/02/94 ---
FURN ( LOOK . . :0 HOODS. . . . . . : 1. BPLC f 287. 95 JL..H 01/24/94 94-2:48003
FURN ) =10OK . . : L WOODSTTIVE.S. :0 B5PC $ 22. 15 JH 02/02/94 —
FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC t 280. 00 JF-1 02/02/94 —
SOIL/CIhP ( .3HP:0 OTHER UNITS- 1 PARK 4 500. 00 JH 02/02/94 —
GAS OUTLETS: 1 MPRT $ 45. 00 JH 02/02/94 -
Owner: --- - -_._._.._..-.._.______—__--__.______.____MPEG $ 11. ;'_5 JH 02/02/94 —
MTN SHADOW ENTERPRISE TNT; M51:1C t 2'. 25 JH 02/022/94 -
17245 SE HANNF_MAN CT PPRT $ 162. 30 JH 02/02/94 -
P5PG $ 3. 13 JH 02/02'/94 -
GLADSTONE OR 97027
Phone #: 656--0096
r_:ontractor:
CONTRACTOR NOT 014 FILE
Rhone ps
Reg C.. :
$ 3282. 23 TOTAL
This permit to issued subj@vt to the regulations contained in the -- -- -- REQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other root/found Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Struct Gas Line Insp
plans. This pereit will @spire if work is not started within 180 Post/Beam Mecham Insulation Insp
days of issuance, or if work is suspended for more than 180 days. Plm/undslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
F�ermittee Signature: Mechanical Insp Water Line Insp
Plumb Top Out Appr/Sdwlk Insp
Issued By: ' Framing Insp Mechanical Final.
Call for inspection — 639-4175
SEWER CONNECTION
CI1Y OF TIGARD PERMIT
COMMUNITY DEVELOPMENT DT3 TTs�'M1' {1�T PERMIT #. . . . . . . : SWR94—•0033
13126 3W Nall Blvd.Tigard,Qregor 07223eal ` )B39� 71 DATE ISSUED: 02/02/94
PARCEL: 2S114BB-19600
SITE ADDRESS. . . : 10267 SW ELISE CT
SUBDIVISION. . . . : RIVERVIEW ESTATES 70NING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :42
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELLING UNITS. . : I
TYPE OF USE. . . . . :SF NO. OF BU I l_D I NOS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : " sf
Remarks : PATH 1
Owner: —______________.--•---.----•-_____________ FEES
MTN SHADOW ENTERPRISE INC type amount by date recpt
17245 SE HANNEMAN CT PRMT $ 2200. 00 JH 02/02.194 —
INSP $ 35. 00 JH —
GLADSTONE OR 97027
Phone #: 656-0096
Contractor:
r�ONTRACTOR NOT ON FI1_E
Phone #: f 2235. 00 TOTOL
Reg #. . .
-•------- REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 188 days from
the date issued. The total amoupt 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 not so located, the �nstaller shall purchase
a "Tap and Side Sewer" permit and the Agency will install a lateral.
PPP-mittee SignAttrre:
Issued BY _. _ _ _�__�
Call for inspection 639--4175
CIT'Y (-')F TIGARD -- RFCFIPT OF PAYMENT RF-CFIPT NO. 94-248p-91
CHE('.,K AMOUNT 5267. 23
AME a M'TN SHADOW ENTERPRUSES CASH AMOUNT a A. ow
DDRESS a PAYMENT DATE a 02/01 /94
SUBDIVISION
,I JRP09E OF PAYMC-'*NT AMOUNT PAID PUHPOSLI: OF PAYMENT AM(IIINT' PAM
UILDINO PERM 443- 01A PLAIMBINO PERM 16P. b0
f--CHAN I CAI PF--': 45. 00 ST. BUILD PF Fl
NI� `
.AN CHECK Ft: 41). 2LA SEWER ILISA
PF,-WFR IN'S5PLUT 35. 00 PARKS SOL; tjOO. (AO
'11CIRM DRAIN SIX i?80. 00 RESIDENTIAL IPHFFIC,' FLES L 4 1 Vi. IAO
�1498 'TRANSIT 'TIF FEES I 10. lAo
OT 42 RIVERVIEW EST
0267 83W t-*L.ISF CT
OTAL AMOUNT PAID 5267. 23
Residential BuildinPermit Application �'� /►�
City of Tigard
13125 SW Hall blvd.
Tigard, OR 97223
(503) 6394171
/L' R6 "r" S�ti ,45l 1,1603 lq&00 �-°7
,iobsite Address: l
Subdivision: ( +'v u;P ) Lot#
7Office Uso Only
gra Fli�ck11 ieG#
Valuation: -• �, y, ,�„ f
l S Y
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Phone: Approvals Required
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Contractor's License #
tattach copy of current Oregon license) ?�•� Denis
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Phone: (o 1�2
COMMENTS:
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Received by: v- Date Received:
Permit Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) / Cf! .`v
Plumb. Permit (PLUMB) Z J-V
Mech. Permit (MECH) v _
State Tax (TAXA) ?153 3Z.S3
Bldg: ./
Plumb: S •/ �'
Mech: .2.1..i
Plan Check (PLANCK) A 0 2-V_
Bldg: . I
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t00�•G Sewer Connection (SWUSA) -v U u 0
Sewer Inspection (SWINSP) .3J
Parks Oev Charge (PKSOC) J (ti
Storm Drainage Chg (SDSDC) ..�rrv____
Residential TIF (TIF-R) vt U 1410
Mass Transit TIF (TIF-MT) //0 U
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Ottice TIF (TIF-0)
Water Oualty (WOUAL)
Water Ouantity (WOUANT)
Fire District (FIRE)
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CITY OF TIBARD RECEIPT OF PAYME=NT' REL'U.Jr-IT No.
CHECK AMOUNT
MTN SHADOW CONST CASH AMOUN'r 0. olb
DDRESS 1/ 17245 SE HANNh-MAN CT PAYMENT DAT F 01/P4/'94
/ SUBUIVISION
GLADSTONE, OR 97027-
-1,114-10SE C* PAYMENT AMOUNT PAID PURVIOSE. OF PlYME.NT AMOUNT PAID
'I i iN CHECK HE 2.50. 01A
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(1101 0MO(INI PAID ;-;-00. 00
Construction Inspection& Related Testi
Carlson Testing, Inc.
P.O.Box 23814
Tigard,Oregon 97281
Phone(503)684-3460
FAX#684-0954
November 8, 1993
#CP-7636
FIELD INSPECTION REPORT
DATES COVERED: November 4th and 5th, 1993
PROJECT: Riverview Estates - Lot 87 1L,,;) (a ! E1►S�.rP�
ADDRESS: Off Durham Road near 103rd
INSPECTOR: James D. Imbrie, P.E.
11-04 & 05-93: CTI engineer, Jim Imbrie, visited the site at 11:00
a.m. and 4:00 p.m. to observe overexcavation of organic
unengineered fill and test granular structural fill replacment.
The total depth of the excavation was approximately 10 to 11 feet.
The replacement fill consisted of reject rock from Tigard Sand and
Gravel. No modified Proctors were readily available for comparison
of test results. Based on the standard Proctor, the replacement
fill was in excess of 95 percent of the laboratory maximum density.
It is our opinion that this is an acceptable level of compaction
for support of spread footings.
Our reports pertain to the material tested/inspected only.
Information contained herein is not to be reproduced, except in
full, without prior authorization from this office.
If there are any further questions regarding this matter, please coo
not hesitate to contact this office.
Respectfully submitted,
CARLSON TESTING, INC.
/?/ice
James D. Imbrie, P.E.
i Geotechnical Engineer
JDI
cc: Seirra Pacific Development
Brian Clopton Excavating
City of Tigard