10570 SW RIVER DRIVE 10570 SW RIVER DRIVE
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397 "
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection - W 00c - 10- " - --- - ----
Date Requested �L�~3 _ Time A.M._ P.M.
Address r Permit
Owner _ e Lot
Builder 1-12:r—�- —`"y/
The following Building Code deficiencies are required to be corrwited:
Presented to _. Approved
Inspector / El (Disapproved
Date _/ i— 162.—
CALL FOR REINSPECTION
YES 0 NO
%ol IT Vt I IWA KV
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COMMUNITY DEVELOPMENT DEPARTMENT MECHANICAL PERMIT
13125 S.W.MMI Blvd,.P.O..Box 23397,Tigard,Oregon 91123.(b113)639.4175`----'—�— PERMIT NO. ; TJ78700-5
DHTE ISSUE': 11/ 2/87
PR I M.P11T.NLI. 87()0-,3
JOB ADDRESS: 1057()SW RIVER DRIVE
TAX MAP/LOT SUP: dover landing LTi 413 BK:
LAND USE:
LOT SIZE:
ITEM: NO: NO:
WORK CLASS: ALTERATION FURNACE <I0(w AIR HANDLR -::10
USE TYPE; S I NGL E r-AM T L._Y FURNACE 10C4:.+ AIF HANDLR lot:-
CONST, TYPE: VN FLOOR FURNACE EVAF. COOLER
OCCUP. GRE'. : R3 HEATER VENT FAN
VENT VENT'. SYSTEM
BLE;/COMF' 3HP HOOD
NO. STORIES. DLR/COMP 3-15HP INCINERATOR (DOM
DWELL. UNITS, PLR/COME' 15-30HP INCINER.ATOR(COM
FUEL TYPE BLR/COMP 3()-5()HF- REPAIR UNITS
MAX. INPUT BI-R/COMP 50+HP OTHER 1
HIGH PRESS? .
LOW PRESS"?
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Don wri5ve -7ff&T5 `y' C n I n`may
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fI FEES:
;olotoff terry PERMIT f14. 5C1
10570 sw rivet-, drive PLAN REVIEW
G tgard or 97224 — FIXTURES
0 PHONE (503) 684•-5420 STA1E TAX
N OTHER
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I his per m,t is issued subject to the requlations contained in Title 14
of the TMC. State of Oregon Specialty Codes. zoning regulations TOTAL:
and all other atrphcable codes and ordinances, and It Is hereby .i
agreed that the work will be done in accordance with the plans and RECEIPT NO, 2681 1
specifi..ationa and in compliance with ail applicable codes and --------------_ ~--
___
ordinances. The issuance of this permit does not waive restrictive
covenants Contractor ar.,+ subcontractors shall have current city
business tax permits. This permit will expire and become null and
void It work is not started within I80 days,or if work is suspended of
abandoned for a period of 180 days any time after work fins
commenced 11 shall be the responsibility of the permittee to assure i
all required inspections are requested and i1j2 roved
I mitt"Signature
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
1
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, O,egon 97223
Phor;:. 639-4175
Type of Inspection _ f! vJ r-
Date Requested L_��� ane A.M. P.M. ---
Address 1 =� `-� �' S�_• u�L�— Permit #
Owner Lot # _
BuilderThe following Building Code deficiencies are required to be corrected:
Presented to _ _ A ed
Inspector _ r— _-_ - ___-- U Disapproved
Date /
CALL FOR R INSPECTION
❑ YES ❑ NO
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CITY OF TIGARD PLUMBING � Blvd.
,,ppikm*n%m hold Oregon Registration lo con6ud a plan` PERMIT 5.39-�75
business or mwt be property ownerloperator not hiring outside WP.
NarntO ck"Viopmo wumb4ng Permit Nn. �v /
Address Deea"on
} S�•�J 1�"y P2 J)_ OR.a 614-21-010 oww. PRICE AMY
Job Tex Lot MalL No.
Address FIXTURES _
Lot Bock SubdNsbn Si — 1.50 -
or Warta xI sa --._.. - -- -- _ 7.50 - --- -
1Lf L I Tub or Tub/Shower Comb _
Address S Y1W 0rfy 1 50
-e, r;0 2 3 Z - - W w►r closer 50Owner CRY/State Zip -
��% /4 RZ A 977-0-z? _ asnwastw l 'bo
phone Garbage Dispo sal 7.50
NaV*V Machine
ricor Drain 1 so
F'hono WalerHesler L 50
Laundry(loom Tray __ 1,50
Occupant City/Slue - Lp 150
Urinal _
--- -- Attar Fixtuv"(Specmty) 1 so _
_
KEN WA44r'*Yf750
C41mtreem /moo
_
8900 BU
S.W. AN!� _ --___._ 7??
I so
MISCEU ANEOUS i s r �S Z s
No 3~lot 100' S0 QO
Sewer-ea.Addll.100 - —_ --- 1500 y00 _ -
stalle ---- ,-�
WaMr service 1st too —f_ _ 20 00.
I thereby admooledps Mint 1 tow reed 0119 appMonttal.W the ird0l'"aft wow tierce vice sa-AddNAlOD' `� 1500
given 19 coins et #W 1 sn►re-imi red with to State gutdW'e 90111nt and 41190 e",. en a Rerh DreM 1 at 100- 3000
have a Slade P%x,t*p 6oenes that to members QWW Ire 00reQ 9001 Sk m&PNn DryAn Addt 100' 1500
pknnbing work will be darn in accordance with.pPtohM prOWWAM d Ore-
gon -
he p will be emFA*ployed k Ctwom 447
«.d under (�e>o�1 m h+obt.Ha+he SPno. is_ 00
no Swtr regivaNkm «tome rrMmon beilo„. Back Flow Preventon
HOMEOWNERS-1 he"Gerwy em 1 am ea owner of the pmplrtp do- Devive or�UeMcr
0mtwJ*bm,ga.MhrI0W bolMon1psopm -bm40041Plm*ftYnmillor 19141 AnyToporWevilsNlat
my oom ule&W oft prapelgr b not b sbV oomArucled ter MN.IMM 0r rent rAWC alai b•Pb*" 1.40
came"" r8a
_ 410.00 rsr H*
441.00 Per 1M
AW of Pkmfttp wMhb
18.00 min
___---- Dmfs N" or am.Adtwtrah M 001Mn _
�IOtN
buy
Lmmft wart/ Mw o lttwlon❑ WOO d U
t1>Idtdrtp t+es a
«Mr Yw. «ir+t1A'te IN Malls
PRO k"mil
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INSPECTION NOTICE
3 City of Tigard Building Department �i3-y....eh.J
P.O. Box 23397
Tigard, Oregon 97223
mione: 639-4175
Type of Inspection _ --
Date Requested/,_ Time ___.. A.M. —'' P.M.
Address / UWT 7 "1. 1 Permit #__
Owner Lot # —
Builder—_-- -- --
Ti a following Building Code deficiencies are required to be corrected:
Presented to --- — _ ._ Approved
Inspector _ Disapproved
Date
GALL FOR R INSPECTION
❑ YES ❑ NO
6612CITY OF TIGARD 639.4171 DATE , _�( 19.�.�
BUILDING PERMIT
TAX MAP�S "15i'w__LOT NO. +l 4a SUBDIVISle'l '.lover anoi
i6wo 5W River-llrTve
OWNER .�1�t apY- -- JOBADDRESS ----
N i;+�k' .3010'0 2-1G-�;Si
BUILDER —__—_—_. ._ STATE REG.NO. _.r.__ ---EXP.DAT _ .�___•- —
ii+i4-l 54 3
BUILDER'S PHONE
ARCHITECT --____ PHONE OTHER
STRUCTURE '�1 NEW Cl REMODEL ADDITION CI REPAIR C' MOVE ! OTHER I'; DEMOLITION °
KI RESIDENCE i COMM ❑ EDUCATION IND [-I RELIGIOUS 1 1 ACCESSORY L_I GARAGE OTHER FENCE
OCCUPANCY ``J LAND USE ZONE R_- BLDG.TYPE ' FIRE ZONE PLAN CHECK BY HEAT '
s.;unstruet sinnle ,t- all per eapptuve
SEWER PERMIT M 43U42 (ldu) 3 bath, 1 3 traits 6araLe area 415
OCC.LOAD FLOOR LOAD 4U HEIGHT IU NO.STORIES 2 AREA 21_t7.NO.BEDROOMS VALUE ,
BUILDING DEPARTMENT T SFT BACKS FRONT 20 REAR ' LEFT SIDE RIGHT SIDE
Permit r r 1.OJ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
-- LJ4.1S 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
— WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE 0� THIS PERMII DOES NOT WAIVE
PI,Ck.Fire _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
15! — TAX PERMITS,SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tax S";0(_
SDC— 600..
Total bbu iso A0Lf ANt0RW3EN'T
lUQ�1i0 PDCMLI 150.00
p �y
Pre d. _
i� ADDRES - PH)NE
Bal.Due
56u,!9 Receipt No,�Jrj�� i �1'6J
Issued By _ Approved By �-
..;.u,tew'ri��:x. W•, -&iliMYwu�ctiYWpanrW�ra.r...�rrr..m"�� •"`"YYer-YS.GYb4AL�urIY�.w,.v.,.. _..W.n�;..':....-.Y.wr.s...�ti,.,rra:
DATE INSP. TYPE INSPECTION t REMARKS PLUMBING DATE
.�,vg� ____ Contractor (,�Jx '�jJ 4� y•�� '�
el-Z�'ol� _ Permit No
F7
5217
�/— o Rough-in
Fixture
Final
HEATING Y�
_ Contractoi aleD G7 VINIJ-7
Permit No. 8 --
/��� O � Gas or OIl
Rough In —— -- --
!!— _[ Final
SEWER
�— Final
DRIVEWAY
Final
Storm Drainage
11(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG.DEPT.FINAL CERTFICATE OCCUPANCY CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
CITY OF TICARD MECHANICAL. PERMIT Permit iM ��---
niowiptlon pTY PRICK AMT
Table 3A Meeh,&nlc&l Code --- --
0 -0- 10.00
City of Tigard 1) Permit Fee _
13125 S.W. Hall Blvd. ( 3,00
P.O. Box 23397 2) Supplemental Permit _
Tigard, OR 97223 Furnace to 1 oo,000 BTU 6.00 .
639-4175 1) incl.ducts&vents
Furnace 1 00,000 BTU + 7.50
incl,ducts_&vents _
3) Floor Furnace 6.00 I
Nome of Develop 1 incl.vent_i
_._____-___ �-�;_
Suspended heater,wall heater 8.00
Job Address � ` 4) or floor mounted heater _ -
Address --�- t �e,I / Vent not incl.in 3.00
Tax lot Map No u nc/r nc 5) appliance permit __ _ -
Lot Block a�bdivlslon _ 6.00
6) Repair of heating,refrig., -
a (or name of siness) Cooling,absorption unit -- —
t Boiler or cornp to 3 HP 6.00 '
fling AM ss 7) absorp.unit to 100,000 BTU -
Owner ✓✓ _ Boiler or comp to 3 HP-15 HP 11.00
Gry/State v Zip 9) absorp.unit to 500A00 BTU -
Boiler or comp 15-30 HP 15.00
Name ' 9) absorp-unit 1/2-1 million
71 10) Boiler or comp to 30-50 HP 2250 -
Mailing Address absorp.unit 1-1.75 million --
�Boller or comp to 50 HP 31.50
Contractor rAAyrstete �— Zip 11) absorp.unit 1,750,000 BTU --
_ Air handling unit to 4.50
State Registration
N. City Bus.Tax No. 12) l o r,-3 CFM _ ---
Air handling unit 7.50
13) 10,000 CFM +
I frerreby edcrxnvtedc}e that I have road this application that the informationyti given is �—
axrex t,that I am Bre owner or authodted agent nl the owner.that plans aul>tnBte>d are in Non portable 4.50
oompliance with State laws,that I am registered with the Slate Builders'Board,that it'" 14) ale cooler _
number given Is urrocI (If exempt from Stale registration please give reason below) evaporate f _
15) Vent fan connected 3 3.00 C71
to a single duct — —
Ventilation system not 4.50
16)
included in appliance -
-- Hood served by I 4.50
f� 17) mechanical exhaust -
r__ -
-- - -Date 18) Domestic type 7.50
nature(w�ner-�s�sd -- incinerator
--- -
Describe work residential
addition O alteration ❑ repair C1 Commercial or Industrial 30.00
to be done residential 8 non-residential O 19) tYPe incinerator
Existing use of Other i.e woodstove,water 4,50
build ng or properly --� 20) heater,solar,cicas dryers,etc. -
;s of _- 21) Gas piping one to tour outlets
2,00
building or
Type of fuel- oil ❑ natun+l gas Yl LPG C 1 electric El 22) More than 4-per outlet
- NQJ&E BUD-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON -- 4%SURCHAROR
STRUCTION AUTHORIZED IS NO'T COMMENCED WITHIN 180
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 D,4YS AT ANY TIME AFTER _ TOTAL �l�1''
WORK IS COMMENCED.
Special Conditions
Date Issued._._ y
for inspections call 639-417`.
DATE
CITY OF TIGARD d3�1171 LOT NO. y_„_ --sueaV1
?UIUILDINO P ppMIT TAX MAP �.-
Ifo: 25397. Tigard OR 97223 JOSADORESS 1 o5,7a 5 bt ��
OWN I`'1 j ��� STATE REG.NO.
3c(O q EXT'.DATE . ��" )�' � 7
WILDER A
BUILDES PHONE OTHEA
R
PHONE __
IITRUCTVRE _ p�Eyy QAREL O C7 pEMp`IT
ARCIITEC! RPOOO OTHER
TOQADDI
r (] GARAGE O OTHER O FENT
RESIDENCE O COMM O E�TCN O IND O RELIGIOUS O AOSSOE+PLAN CHECK BY H T_
^ sLDG.TYPE ��—FIRE LONA
OCCUPANCY LAND USE ZONES_-1--
Y
SEWER PERMIT 17r �' .� MV.JEDRUOM5
VALU �
HEIG Z��7,. Nd.STORIES �' AEA RIGHT SIDE
OCC.LOAD FLOOR LOAD -�- '� a REAR LEFT SIDE
BUIL.DING DEPARTMENT SET BACKS FRONT
Ih
THIS PERMR AMD All SUBJECT
APPLC TO THE REGUL0 CODES AHD p p'INANCNE&AND IT IS HERESY AGREED THATT1,
REGUIJ:SONSNCE DOES NOT WAIV
�� / y" WORK Mftl.t BE pOmEIN E COD�AND DROND IN COMPLIANC
RDAIIM NCES THE ISSUATMSPE T%1981EPERII
0�NS ENT sUSINES
Plan CheckWITH ALL APIUCI►
REST�ICTfVE(?OVEPIANIx.WNTRACTOR AND Sup DONT
PI.(�or" II I%pCT vl SEPARATE PERMITS REOVIAED F7A;SEWED LUM INGANDHEATIN0. -
SiDu TuSDC / a
ApE"NTORAGEN U¢
Toll Pr,p f.)
PTepd. / u Rc^apt No. ADDRESS
Bat Due--- �4 V ? Issued B pprowd
SSDC ---
Soc
PDC
SEWER CONNECTION f �� ;l Y/ �
SEWER INSPECTION 31
SEWER SURCHARGE
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