10155 SW RIVERWOOD LANE 10155 SW RIVERWOOD LANE
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INSPECTION NCTICE
City of Tigard Building 'Department
12420 S.W. Main St.
Tigard, Oregon 97223
Phone C'a9-4171
Address----
Type
ddress_—__Type of Inspection r
The following Building Code deficiencies are required to be corrected''. L
---,", --
Prasewed to__ --- -- Inspector .�--.------
Dete
CALL FOR RE:INSPE(MON
0 VES 0 NO
BUILDING DEPARTMENT, TIGARD
PLUMBING PERIPOIT N9 i
MILWAUKIE kUMUINC W.
holder of a valid piumbiny contractors license is hereby
authorized to herein noted to be installed in aycordarice with the plumbing code of
Tigard. Such installations require inspection by the City Inspector who,shall be notified not less than four
'4) hours prior to the time the installations a4r vady,fpr int" rd "'to of Tigard Business License required
for all contractors and sub-contractorsc10
v741 1i
dobe . ' I_� /vll� -- -- Date_ O �
Own er.�V��C..�:���. ..J._._.....-._ --- �1dd re.s.C.�.c._ 2._.tf _. � .�....._
NUMBen< rF _ TOTAL _
TYPE OF PERMIT ITEMS 1 FEE ON EACH I WAQUNT
Sinale Family-1 bath-each 25.00
Duplex—Each 1 bath unit _ 25.00
Additional bathrooms—each - 10.00
Mobile Home Space each � 15.00
INDIVIDUAL FIXTURES Cf 111 RCIAI
to 5^ Fix: res to s
F_51 to 170 Fixtures 'n 1 building—each — 2.50
101 to 700 Fixtures in 1 building=ach 2.00
2011 or more Fixtures In 1 buildima—each 1.50
MISCELLANEOUS _
Sewer—each additional '00 ft. 10.00 _.-_! �__•__�._.._
Water Service to building 5.00 _5 "00
i Other ISnerlf 1:
l PERMITj!�U 0 For Phlmhing Inspection Phone 639.4171 1 /
( _4%State „:21-D C7 Plumbing Contractor By , i. ✓ f
I TOTAL_ ,0 RECEIPT N0, Issued By
tt III► at ! i '� 1R �' 1R �
BUILDING PERMIT APPLICATION TIGARD DATE _ is 3130
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATEL BUILDER PHONE L--2,51--6770 _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
_
OWNER. _ 'ttts►�•rlq Const. _ JOB ADDRESS % j SW LiiVerr•xKa�l L,3ttQ LOT NO.' 1,i'W'.9 L aTjq• 1_
:�iflOkHT807
BUILDER ADDRESS 11903 RITOWlaeres ',f: flubbaMESIGNER F:nis!1+;:�S 11(.1n. Design
STRUCTURE C71 NEW ❑ REMODEL ❑ ADDITION El REPAIR O RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
M RESIDENCE '__] COMM ❑ EDUCATIONAL ❑ GrV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY 7-3 LAND USE ZONE„��) BLDG.TYPE � _ FIRE ZONE----!—PLAN CHECK BY DMI —HEAT
rontatruct sh!;le family fiwillin,, i,r/att-.nchr 1 -aar,i..^,.
me correction aline* zttsicl,ad '���irnc}�a _�---
_ 7 tt:ac1Is
SEWER PERMIT ft 21177,
OCC.LOAD FLOOR LOAD 40) HEIGHT 21 NO.STORIES AREA J.+ ? NO_.BEDROOMS VALUE SG ")rill
I _`-
BUILDING Df•PARTMENT SET BACKS FRONT 20 REAR - LEFT SIDE '04"
s4" RIGHT SIDE 5*—()"
PermiticnTHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
ltlt�i. tl 4.REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
3( X11 WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF -HIS PERMIT DOES NOT WAIVE
.ab-total — RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
:).CXR LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
Total i0 o rA
SDC —
By y,�1 PDC# TL-100* APPLICANT OR AGENT
ApprovedReceipt No.
A �..DDRESS-- _ PHONE
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DATE INSP. TYPE INNPECTION REMARKS I PLUMBING DATE
Contractor
�-' re�� Permit No. a l 14L
finugh•in
Fixture —
Final
HEATING '---- .
(,P—Srd LR Ase./w%ie•.+ S_fti� Contractor
Permit No.
fF
/s or Oilough-innal
SEWER
— Final— -
DRIVEWAY
.—_____ — -------------- �Final
—_ Seorm Drainage —
_ --- — _^ (Rain Drain)Final
��_ — --- -- Sidewalk
Curb&Street Final
-- ---__-..._�_ Approach
t3.D(;. DEPT. FINAL —TE_ _
1v:PORARY__ _ CERTIFICATE OCCUUU���AAANCY _
CERTIF':CATE OCCUPANCY �1 1 Final
Landscaping
Zoninp Final
•4
BUILDING PERMIT A!'` 1_1LATION "" TIGARD DATE_— J-2 ��_ " ' 3
THE UNPUH516W D HCPE.6Y APPL11:5 FOR APEHMIT FOR THE .ORK it[HEIN INDICA? LU EIull MIR`
OR AS SHOWN AND P'.1`1'LIOVED 1 ``11' ACCOMPANYING PLANS AN11 ` f ECIFIrj,TIUNS o�'��I I' ftp � f /] rr
LOT NO 5i! �1'11i�.T..444 ,
��R pjal.,w► Q- �19�3_�ro«dlrlo�t¢S_111E _! b0+�. "'`"". IC�1 C�`!-s til less 11
1
TURF i' Lw I t ':'t!;"' •,!C rION :.'AIR ❑RENEWAL ❑Fig
mm LJEUUCA7W'.' ;61__IV'T 1141F! 1r,11--.1' []c'ATIO L]CARPORT ❑GAPAGE ❑STORAGE05'.AH [I
R7. P.D I) FIRE IONF +' PLAN_ CHECK B�
__ _ _ _.._.__-_- 3 ►ams
E.R _PERMIT 61
LDAP - Y41,r,> IGHT 2! NO 5Fi:I
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r?.L.�► G—'O nSx
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J ._\ Fee—
New Installation Reulace 0 Relocation C7 Addition ❑ Alteration 3%State
TOTAL
COINTRACIOR -.r'-�1� e' � � - OWNER
ApnRES5�55 _ SGC �ici a ?u. /tC Ca 5 97/j�-11►ORK ADDRESS
PHONE _ S f/� G7�5~ APPLICANT
Heat Input Rating (BTU Per Hour) _ Vent Size Flue
FUEL OIL ❑ GAS ❑ ELECT OTHER W
ITEM NO. FEE ITEM NO. FEE
_ For Issuance of Permit _ _ _ �' + 3.00 — Air Condition Compressor 15 to 30 HP
-'' New- Under 100,000 BTU 4.00 Air Handling 10,00U CFM _ I 3.0(
New• 1l~0,000 BTU& over 5.00 Air Handling Over 10,000 CFM 5.0(
-:• Floor Furnace - --�_�-�- �- 4.00 __Evaporative Cooler -- - 3.00
Wall • Flnur •Sua(�entred _ — - 4.00 _Range Vent Fan -_�
_. -- _ - -- 2.0C
Install Vents Only
2._QO Vent System_ _ _ 3.0(
Repair • Heat Y&_Cooling �— 4.00 Hood Commercial 30C
Air Condition Compressor Under 3 HP 4 00- --Commercial Duc; System -- _ 10.0(
- ---.� _
.'fir Conditlon Compressor 3 to 15 HP 1 50 - -
� ---»—.r ...-�v--�_az_�:.�r-�c:.:-_..a: _..'':__. __--._::z=s:vssarr.--_.ci-r.�-r _.r.ar_._�t_•a�-�.•�C��ser`-_
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INSPECTOR'S COMMENTS
CITY BLISINf55 LICENSE REOUIRED FOR ALI CONTRACTORS OR SUBCONTRACTORS
APPROVED RY DATE ISSUED BYDATE
RF.CE!PT NO.
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