10225 SW RIVERWOOD LANE ADDRESS ,
i:\records\roicrofLn\targeis\buiAing.doc
CITY OF TIGARD Cf.`RTI F1 CATE OV
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PERM I T #. . , . . - . I iNISI 9 76----05 1
f,.3`9 -Af I J'j DOTE. I SSUED: Or/07/94
PA R(*-,E*L r 21S I 140C-02500
SITE ADDRESS. 10r'25 SW rilVERWOOD LN
SUBDIVISION. . . . : PIVLRVIF.W CSATIES NO. 2 .'ONINGIR-7 PD
BLOCK. . . . . . . . . . 3 L07.. . . . .. . . . . . . . . 1062
CLASS OF WORK. cNEW
TYPE OF USE. . . r 5
OCCUPANCY (3RP. :R3
OCCUPANCY LOAD i230 4
')CNANT NAME. . . :
Remarks: PATH J
Owner P
LfAL. CONSTRUCTION
7110 SW FIR LOOP'
SUITE 11.60�
TIGARD CIF( 97i.-:23
Phone *�' 624-7714
1,
Cniritractor:
L.1-IL CONST'RUC'T'imi iNc
7110 SW FIR LDOP
rIGARD OR
v
Reg #. . t 53769
Occupancy of the above refet-ermed building is hereby giVPTI, and c-,ertifiet.
the compliance with the State Of Oregon Sperialty Codes for the group,
oc,cupAncy, arid u-,e under whiv!w the refereticed permit was itr,!ii-qed.
F I PC' VE-PARTMi NT BU Isc JG I PC -TOR
POST IN CONGPJl't,9U5 PLACE
INSPECTION NOTICE
City of Tigard Build3na Department
13225 Sir Ball Blvd. Tiga., . Q:egon 97223
Inspection Line (Rec-O-Phone)r 639-0175 Business Pho 639- 1
Inspection:
Footing Pllg. Underalab Mach. Rough-in Appy/8dw1k
Found. Plbq. Top Out Gas Line C"NAL1
Post/Beam Strict. San. Sewer FramingQp.�'
Post/Beam Mach. Rain Drain Insulation `-Plumb,
Plbg. Underfloor Mater Line f� Gyp. Rd. EMech
Date Request.edr 1 1 Times AM PN
Address_1 CZ L 1f1�..�lt �1�1. ��1 Q ( Permit
- fcM`5It
'! �r I
Builder: � �' L IANC '� ' \�'F�.{r� (l'� '1 - / H i
CBE FOLLOWING CORRECTIONS A�� An RLVUIRRD:
J
22W-, 2 ��-j(//rC /92il ` '_L�i�� .Sly/S/7j !r
Inspectorr Dater _ 7
OVZn DItAPPROVED APPROVED SUBJECT To ABOVE
--_Call For Reinsp.
INSPECTION NOTICE
city or Tigard Bulldl.ng Department
13125 M Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 619-4175 Business Ph3ne: 639-4171
Inspection:
Footing Plbg. (Indarslab Hoch. Rough-in Appr/Sdwlk i
Found. Plbg. Top Out Can Lkne FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requestoi: f ! TisNf AM PH
Address I�.eill��� urcicr� C�?��s.'_ Permit
Builder: C f �t> 7
THE FOLLOWING cORREcTI 'NS ARS nWritEII!
no v
72b 44f,-T
Inspectors__ � �- �Date:�^ L '7��
i
APPROVED DISAPPROVED _�1PPROVRD SUBJECT To ABOVE
_Call For Relnep.
INSCTTON NOTICE
City of Tigard Building Department
13125 SM Rall. Blvd. Tig-rd, Oregrm 97223
Inape-tion Line (Rec-O-Phone)z 639-4175 BusLnva" Phone: 6 9-4171
Inspection:__ — ------._.--__ _---- -�— —
looting Plbg Unddralab Nech. Rou•_;h-in Ap• .!Sdwlk
Found. Plbq. Top Out Gam Line FINALt
Post/Beam sl_rm-t. San. Sewer Yraming -Bldg.
Post/Ream Mruah. Rain Drain InsulatLan -Plumb.
1\
Plbg. Underfloor Mater Line (Gyp. 8d.) -Xwh.
Date Rdquested:
Addrdses l� 'L 4 S •1\Ny \ (-�� LQ PeruLt ft(�`� r/{_�1_I
710 FOLLOWING OURRECTIONS ANE REQUIRED:
Pec 7 2 �' •...
Ins tors _T,� Date:Z
D DTSAPPP.OVED APPROVED SUB.TECT T'J ABOVE
Call For Reinap.
NSpEcrloN N 4ICE / ;�„
City of Tigard Buil4i t
13125 SN Ball Blvd. Tigard, OregSM,97
Inspection Line (Ree-O-Phone)s 639-4175 Business 4171
Ineper_tions__
Footing Plbg. Underelab h T YC Appr/Sdwlk -
Found. y�� Top Out 1 -Lin FINALS
Pest/beam Struct. Sn an. G•ir�amina / -Bldg.
Port/Beam Koch. Rain Drain Insulation -Plumb.
Pltq. Underflocr Nater Line Gyp. Bd. -Mach.
Date Requ`sted% (�1 Times .-Am PM
Addreess ��Z.2� I�l�����-�(Y�� �� Permit fsLL
Builders , r'/
TP9 ►OLLOWING CORRECTIONS ARE REQUIRF.Ds
Inspectors Date:/'?-__
APPROVED DISH^PROVED APPROVED SUBJECT To ABOVE
tall For Reinsp.
1
, NSPECTION NOTICE
City of Tigard Butldlnq Departnent
13125 Sit Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-o-Phone)r 639-4175 Business Pho
Inspection:
Footing Pibg. Undersl.ab Mech. Rough-in Appr./5dwlk
Pound. Plbg. Top Out Cas Line FINALS
Post/Beam Struct. San. Sewer Fr&ming -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor 11Water Line gyp. Bd. -Mech.
Date Requested:__ I ,, "_I. _(_ _—TLms hM
l ' / /
Address: (C( �`, i0d ( i?ermiL �31�1`A
Builders ( l !',y "k i 1A\ v, �!'� i� � ��Y
TILE FOLLOWING OORRBCTIOYS ARI! RNMIRSDs
Inspectors Dater/
APPROVED DISAPPROVRD APPROVSD BUBJSCT To ABOVS
Cell For Reinsp.
etr- ar
SIS ECP TION_NOTICE
Citi( of Ti,-,:rd Building Depar'tsent
133.25 SU Sal', Hlyd. Tigard, Oregon 972
Inspection Line (Roc-O-Plone)t 639-4175 Business Phct e:639-4171
Inspect:iun: _
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sower Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbp. Underfloor Nater Lins Gyp. Rd. -Hoch.
Date Requested: ' ! _Timet �AM _ PH
Addriaea: /-i \\�c �' ...... Permit h
Builder: L f 1. ( hi ----- , 61 4
THE FOLLOWING OORRECTIONE ARE REQUIRED:
T u G�.ci TCS r
1,f 2c
/ I E-,e v y'
QA
Inspector:
Dates c-•---/�/-
__-----
—4APPROVED DjtiA?FRi� APPROVED 9UBJE'7P TO ABOVE
_._LYR FkI or Reinep.
INSPECTION NOTICE / M �
City of Tigard Building Departnew*
13125 SR Ball Blvd. Yi.•ard. Oregon 97223 -
Inspection Line (Rec-a-Phone)t 639-4175 Business Phon': 639-4171
Inspectionz_�_ _.
Footing Plbg. Onderalab Msoh. Rough in Appr/Sdwlk
-
Pound. �Mg. Top—Out Gas Line FINALS
Post/Beam struct. San. Sewer _ Framing. ',
Post'Roam Hoch. Rain DraLn Insulation -Plumb.
Plbg. Underfloor Mater Line Oyp. ed. -Hoch.
Date Requested /�- _Tisrst AM PH
Address: �S /J. Pure t #8— ,
Bti l l der
L �
THE FOLLOWING w)RRRCTf0N8 ARE REQUI EIS:
-Cts rice.Ae
f Citi — cllci, C.2 y
L rf 9 n 4• o r 1/1-e T (fir.,
"4
i
Inspectors Dates_
APPRMD��� DI81QlNOtfRD "PROVED SUBJECT TO ABOVE
Call For Reinwp.
.LNSPECTION NOTICE
city or Tigard Building Deportees, ,
13125 SW Ba.11 Blvd. Tigard, Oregon 9722
Inspection Line (Rec-O-Phone)e 6:19-4175 Business Phones 639-4171
Tnepectians
Footing Plbg. Onderelab Mach. Rough-in Appr/SCwlk
Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. Ban. 8 7 Framing -Bldg.
Post/Beam Mach. in Dzain`� Insulation -Plumb.
Nater Line Gyp. Bd. -Mach.
Date Requested: �� `Time: AM PM
Address: rr�` > \� Y l.,l C r' Permit #f W- 52 C�
Builders � r f f�011 i,12 V-
TNN FOLLOWING CORRECTIC"S 1-:: REQDIREDs
I
Li. /
Inspectozf Dates �� ('
APPROVED DISAPPROVRD ` APPROVItO SUR.76CC TO ABOVE
_--call For Reinep.
I jNSFECiI0�1 NOTICE
City of Tigard Building Deparbwmt
13125 SW Ball Blvd. Tigard, Oregou 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4172
Inspection: !_ yy
Footing Plbg. Underelab Hach. Rough-in Appr/Sdwlk
Found. P p Out Gas Line FINAL:
Post/Deem Struct. ds�.�>fe er Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor --(JIStm= Lind Gyp. 8d. -Hoch.
Date Requesteds Tlme: AH P![
Asldrese: J Pe mit I=/
Builders—
THE FOLLOWING CORRECTIONS ARE REQUIREDs
V
Inspectors Date s5 f
(\,�APPROVED DISAPPROVED APPROVED SUBJECT To AHOVR
Call For Rei.nep.
-PECTION AIOT�rE /
City of Tigard Building Departa"nt
13125 8N Ball Blvd. Tigard. Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639- 71
Inspections
my Plbg. Underslab Hach. RL* , i-•in Appr/Sdwlk
Found. Plbg. Top Out (las Line FINAL:
Post/Beam .truct. San. Sourer Framing -Bldg.
Post/Beam Hoch. Rain Drain Irsulation -P,Umb.
Plbg. Underfloor Nater Lida oyp. Bd. -Hoch.
1
Date Request6.11 (n limas ,_ AN _ Pll
Addreaas_ 2Z 5 I LM' C.t�v�<' — Permit �� 3 � ► �i
Builders Z , �I ,L • 0OW',4
TBi VOU 1MIWO CORRECTIONS ARE REQUIRED:
Inspector: Dates
_J"P OWE
W DISAPPROVED APPROVED BUBIECT TO ABOVE
Call For Reinsp.
CITY OF T
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171
1
yf36c_�L G�a7—L177 3
37-1,, 100
CITY OFTIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97:.2398199 (503)639-4171
l
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 RW llall Blvd.Tigard,Oregon 07223.81 00 (503)639-4171
T XIdi UNIT:. . .
NU. OF BUILDINGS:
FEES ---
t bi J It e
T Ir .::'200. 00 10/12/9
FIL[L
J,
Kith all the rvlee a".d i',egulatiat! �.yvwer lr� p
;:c - rxy, The ,Dervit expires IN gays fres
C., aii"n't pait will be, if t"f!
c.- ces not gL.arantpl Itc ac:L.?-;:i of'the
-,E sews-, is not lu,-ated at the spaslirement
1 prcspect 3 feet in all diructiors froi
t 5�� lacated,
Pusit and t1-
I An—
City of Tigard Residential Building Permit Application
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: I �L-5 S L.,J
I Offlce Use Only _
Subdivision: K/i�tCV?VIcoV Lot #__
Jvl -� PlanWRec#
� p.
Valuation: .S 0 Z,Z, _
Permit # V -6)S17
Owner: L-N L ��ti cwt �c T l�'� - Reissue of ,/
Address: 7i rn S w t nuc L r (..1.-) `1!z�r�C� (VII1
I(. I 1 CTf'�!' ? Approvals RLu�q lred
Planning
Phone: d
Engineering_
Contractor: _ „�c c: L `�� �� z Other
Address: _
Items Required
Subcontractors
Phone: —
Truss Details_
Contractor's License
(attach copy of current Oregon license) ether
Subcontractors:
Plumbing: �J 8' r lAW Y\L
� d I
Mechanical
(attach c6py of current OR Contractor's License)
I ,
1 I.` 1_Y ,. 11
Arehlteoti Olf*er•
Address:
Phone: is
WAMENTS:
Applicant Signature & Plione number
Received by: l`' Date Received:
Permit # Account Description Amount Amt. Pd. Bal. Due
i�5 -G� Bldg. Permit (BUILD) lOr��oU �7rra•ou
Plumb. Permit (PLUMB) 1vU 45�
i
Mech. Permit (MECH) _ 1 vU __ S• ov
State Tax (TAX) 3 U 3.3. elo
Bldg: -A3. 40
Plumb: 7 7J
Mech:
Plan Check (PLANCK)
Bldg: U U
Plumb:
Mech: _ 2
SWrQ 3-U Sewer Connection (SWUSA) �� U c)_ _ 27UU
Sewer Inspection (SWINSP) _ .3.5 .35�
Parks Dev Charge (PKSDC) JU 0 _ _ Soo
Storm Drainage Chg (SDSDC) Z�0
Residential TIF (TIF-R) ell6t
Mass Transit TIF (TIF-MT) 11 6) _ �/0
Commercial TIF (TIF-C) _
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) _ `-
Office TIF (TIF-0)
Water Quality (WOUAL) —
Water Quantity (WOUANT) _
Fire District (FIRE)
i
TOTALS: S ��5 L3 �,5
CI I Y OU: I I Of 4 RD — fiF I.T.I PI CIV PA Y MVNT hI 1 I J WI NO. 2 4 5 sKi 9
0MCKIN 1 a 530 1. k4b
NAME' a LHL CONS 1141-1111T10N 1,11,44 A0111LINI' 0 0. 00
ADDRESS a P"YMF.N I DWE 1N/1r/x:1.3
BIJ S 1)1 V I St ON
PURFIOSE (IF' PAYMEN f P1.01-IN1' PAID PIJRV`0!3K OF POYMF.-.Nr AMI RM' f_-IAID
1411 II .DING PERM 468. 00 PLUMPkING PERM I'450. VIVA
I'll (.1 IAN I CAL PE. 45. 00 S11 . VAL111.11 PER 33. 4o
IJLAN CHECK FE. (.05. W5 !!EWFR USA 00
G',FWf"R INSPFC,T 35. 00 PAR11*i (-')L)(; 00
STORM DRAIN SDC C180. 014 HF:9tDF_NI1AI_ IR01" FIC V1+8 i 4 t IA. 00
MASS TRANSIT I'M FEET'- 110. 00
62 RIVERVIEW 2
lov ,;�.5 SW RIVE:RWOOD LN
IM(it. AMOUNT PAID 13b
L1 TY OF TIt!7KIRD 1`41"CEIV-11 OF PAYMVINiT Rt I V I M No . v 93—P4 4S I
C-M 1,K W(II-INt 3 300. ON
NAME x L.11L. CTIWTRIJCT ION ( (1'')11 AMI MN 1 = 0. IAO
HDT)RFSS r Pv1YMI-N1 MflF s 10 1A5/4
CIF VAYMF.N I AMOUNI {'Al I1 IJUM.'Wit-, Of. PHYMI-1141 f 41M It 11\1 I P"t 1)
r-,1.oN CHECK PF 25111. 00 1-11.014 1,I*-.1,K F t% 00
10294 SW R1Vt-_RWC1r1I) L.N
10PP5 B14 RIVPRWOOD I N
1-C)TAL AMOUNT PAID 30111. 00