16633 SW RIVERWOOD PLACE ADDRESS.
i:\records\microflm\targets\building.doc
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested: / � i, b '- ��'�✓ - -7 A.M. I'M. MST:
Location:
ff_A-_�_L, BUR
Tenant: Suite: Bldg: NEC:
Contractor:-Pao(r /�'l _._._ Phone: � {3 '-8 1 '1 PLM: /p�
_+– 0,2Z�
Owner: — Phone: ELC:
'1 ELR:
- (AA Q _ Ili -'�4 d -t(-) SIT:
BUILDING BLDG(con's) PLUMBING MECHANICAL ELECTRICAL SITE
Site PosYBcmn Post/13earn Post/Beatn Cover/Service Sewer/Storm
Footing Roof UndFUSlab hough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In UO Sprinkler
Foundation Insulation Sewer Ilood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spkir/Alm Crawl/Found Dr Ileat Nunp Low Volt �( J
Approved prov I Approved Approved Appro .d
Appr/Sdwll, Not Approved pprovecl Not Approved Not Approved Not Approved
fAN ki FINAL FINAL FINAL
/ T
C]Cdll for reinsirctim 114 O Reinspection fee of S_ _require before next inspection C1 Unable to inspect
Inspector: ��//ii_�11 _ Date: ,/
CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT i7i
PERMIT #. . . . . . . : P'Lh197-02:.6
A0 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: OF,/13/97
PARCEL: 251 14BC-03100
13 I C C i=aUUPL-�4J:S. . . 1(-,bSW R I VERWOOD PI_
SUBDIVISION. . . . : RIVERVIEW ESTATES NO. 2 ZONING: R-. 7 PID
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :O68 JURISDICTION: TIG
CLASS OF WOR►'.. . -ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE_ OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : I
OCCUPANCY GRP'. . :RG FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURES--.._------------ LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAP'S. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUN/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CL.OSF_TS. : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Installation of residential backflot4 prevention devi.c-e.
--- --- -- FEES --------------
BOB ,JOHANSEN type amolint by date recpt
16633 SW RIVF_.RWOOD P'L PRMT $ 1.5. 00 DRA 06/13/97 97--295927
TIGARD OR 97f.24 5P'C,T $ 0. 75 DRA 06/13/97 97•-2959=7
Phone #
Contract or---___._.___.__._____._•------____.-.-_-------___-.
OWNER
Phone #: $ 15. 75 TOTAL_
Reg #. . : 999999
-------- REQUIRED INSPECTIONS
---- -
(his permit is issued subject to the regulations contained in the RP'/Backflow P'r,ev
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection _
applicable laws. All work will be done in accordance with
approved plans. ",is permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more _ .
than 180 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may
obtain copies of these rules or direct questions to OUNC by calling ��•—�_ _ ___- __
(503)245-1987.
I s s u ed By . Pe r m i t t e e S i cl n o t u ,-,-/—d
Fi 1+-►.+++t+4-++++++++.++.+i++-F+++-1-++4++++•I-+++-1-++4+4 i++++.+++++++++++-1- 1--4++f•++++-I- 1
Call 639•-4175 by 6:00 p. m. for• an inspection needed the next business day
i•+++++4•++++..-F++++4-+4-++4+++++++++++++-h++++++++++++++++•+++++++4•++++++++++++++++
CITY OF TIGARD Plumbing Application Recd Bb_
131:5 SW HALL. BLVD. Commercial and Residential Cate Recdi.—
TIGhRD, OR 97223 Cale to P E.
(543) 639--1171 Date;o CST
Permit a l�,N
Print or Type Related SWR s
Incomplete or illegible applications will not be accepted called`
Name of CeveiopmenuProlect FIXTURES (Individu„i)~ QTY PRICE AMT
Sink l JO
Job Jc>0/1CAKse.-� _�_
Street Address Suite Lavatory 00
Address �y� -
/GG33 L5C<J iC ✓�W/�i OJ� Tub or TubiShower Comb ,J0
Bldg s Ci tState Zip Shower Only -0
Water Goset 9 00
Na
d �d�et,t6-e#1 Dishwasher 900
1 Owner Marling Address Suite Garbage Disposal 9 CO
/bG.P7�ai IE��nv -••sQ. /�I Nashmg Machine 9c
C1 rStat� Zip Phone Floor Cram
��s—+.C. 9 9.00
�' �
l Nbrrt� 3' --_ 9 00
Occupant "a”Address Suite` Water Heater _ �` y 00
Ro
--_ Laundry am"rav 730--00 —�
GGtyfslate Zip Phone Unna! _ 900
-- ---
NerM Other Fixtures;Specify) 900
Contraictor Mading Address Suite 9 00
_
900 '
C.tyrState Zip Phone JO
Oregon Const.Cont. Board Lic 2 Earp.Date _ 9 10
AtAsi:ts Coq of
_ 9 00
Cst�ent Phartbirlg Uc.s Exp.Date Sewer-1st 100' 00 00
Llc�nw Sewer-each addthonal 100' 25 00
t COT Business Tax or Metro s Exp.Cate
Water Service- t st 100' ' 3000
Name Water Service-each additional 200' 25.00
Storm S Rain Crain- 1 st 100'
Architect � �u�a ��a-�,s .. — 3006—
o r
0oa Or Mailing address S, a Stam+S Rain Crain-each additicnal 100' I 25 00 1 �
Mobile Home Space - 2500 l
Engineer Zip Zip Phone Commercial Bach Flow Prevention Cevlce or Ants-
_ I Pollution Cevice
01"crtm work New 0 Addition O Alteration 0 Reoair O Residential Backftow Prevention Device' 15 00
to t»done: Residentiao*; Nan-residential 0
Any'rap or Waste Not Connected to a Fixture 900
AddOonal descnpnon of worts I Catch gas n I 9.00
f Insp.of Existing Plumbing 4000
perihr
--
=.pstx�g use of Scegally Requested(nspectlons v •40 00
_ oenhr
x+ tg a property --- --- — Rain ;rain.single fa nby dwelling 30.p0
Proposed use of Grease Traps 9.00
budding or prop"—_ _
QUANTITY TOTAL_
iAre yoc apping. moving or replacing any fixtures? Yes❑ No Is_omemc)r riser 7 agram a reawreo A Cuanity Total.s >9
(If yds see back of form) _ _ 'SUBTOTAL
I hereby acknowledge that I ha,.e read th s aephcation,that the information _
given,s correct.;nat l am the:wner or authorized agent of the owner and 5%SURCHARGE
rat pians submitted are in cembliance with Oregon State Laws.
L?enured Only,i Rxt4re trv,
Signatu OwnsrlAgent Date PLAN REVIEW 25%OF SUBTOTAL
� .total�s�3
951 I TOTAL
Ltandet Person a Phone
.�
'Minimum permit teas S25 - 5%surrnarge.sxcept Residential Bacxflcw
f
Preventicn CevicF,which is S15• 5%surcharge
-- i'dstmimapp doc 9!915
CITY OF TIGARD CERTIFICATE OF
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171 PERMIT #. . . . . . . i M5T94-01i
639 4171 DATE ISSUFD: 12/14/94
PARCEL: —3'114BC-031011
ADDRr-rs. . . : 16633 SW RIVEPWOOD PL
SUBDIVISION. . . . t RIVERVIEW ESTAlt'S NO. j: ZON ING v R-7 PI)
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . !t1168
CLA5,13 OF WORK. vNE-0
TYV,F� OF• LJ,,"E. . . ;SF
OCCUPANCY GPP. iR3
OCCUPANCY LOAF,tZ',7-"),f0
TENANT NAME. . . -
Pemarks3 PATH I
LHL. CONSTRUCTION
711.0 OW FIR, LOOP
I
Phono'. #: 624-7714
LHL CONSTRUCTION Tf-411
7110 SW FIR LOOP
TIGARL OP 972,23
Phone #1 624--7714
Reg #. . . 53769
UCCUPanCY Of the aLOVe V-Pf0t-el1C-'Pd hkkildillQ is J'Jej-ehy given, and certifies
the comr-illance with the '--.,tate Of Go-eqon 15pecialty Codes for the group,
OccUPAVICY1 and u?e under, which tl— ,r-fpivn(-. ed Ppmmit was is!!1.1c.d.
-
NO 4 A(3 (\) r
BUILDING INr::;F,E(.'rc)P BUILD NO O- F
POST IN CONSPIC.00US PLACE
'X
INSPECTION NOTICF.
City of Tigard Building Department
13125 RW Hall Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ -- ---
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line PIN : /
Poet./Beam Struct. San. Sewer Framing <Bld /
Post./Ream Mech. Rain Drain Insulation -Plumb. /
Plbg. Underfloor P!atar Line (�Gyp. ad.
Date Requosteds Z / Time: �A PM
Address: t(�.�! aPorpit f a
Builder: 4A � ���� ( ' �7/L{ -
THE FO G CORRECTIONS ARE REQUIRED:
Jj
Inspector:J`
L% -- Data: L. t
/ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
�, �/1 Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Departaent
13125 SN Ball Blml. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 539-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-]n Appr/Sdwlk
Found. Plbg. Top Out Cas Line '2 PINALs
�1
Poet/Ream Struct. San. Sewer Framing
Poet/Beam Mech. Rain Drain Insulation
Plbg. Underfloor Water Line Gyp. Bd.
Date Requested: l)` � Times AM PM
Address: :
1�L�1J3 �l� Permit tt
Builder: L_HL C `-4 AD b L
THE FOLLOWING CORRECTIONS ARE REQUIREDt
1p -u g vin S
�' 1�►-����d.�- 1-i 7C Imo.•
JC 1( cYc,�
A,^I
— fs_LA,ILIA-1 CJI
Inspector: 1r' �►.� Dater='���""+
—_APPROVED —_,---[ffSAPPROVED APPROVED SUBJEr.T To ABOVE
4r _Call For Reinep.
INSPECTION NOTICE J
City of Tigard Building Department
1' 15 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171
InspacO ion:
rooting Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requested: Time: _F.M PM
Address: Permit i:!4 O 1
Builder:_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
vv-
Inspector:_ U V( __ Date: ( 1
__,AAPPPROVED __.e�DISAPPRR0VED APPROVRD SUBJECT TO ABOVE
�\�� �ICall For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Buoiness Phone: 639-4171
Inopection:_T_.-_- - ---- -- ---.__._ —_--
Footing Plbg. U derslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line PINAL
Poet/Beam Struct. Sen. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation
Plbg. Underfloor Water(L,inis d� Gyp. Bd. `-Hoch.
Date Reque
ste
d:, ` `r Time: AN PH
Address.--\1_�il�`L � �C7 x)_9.1 w Qy Mit f: O 1 .j
Builder
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inepectori _ Data:,
_ _APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
- call For Reinep.
INSPECTION_NOTICE
City of Tigard Building Department
13125 ON Hall Blvd. Tigard, Oregon 97223
Inspes:tion Line (Rec-O-Pttone): 639-4175 Business Phones 639-4171
Inspections
Footing Pltxi. Underalab Hoch. Rough-in (SPP_r/8dwlk
Found. Plbq. Top Out Gas Lino FINALt
Poet/Beam .Strutt. San. Sower Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nates- Line Gyp. Bd. -Hoch.
Date Requestfed: L
/ 1 . . TimiAM .
PH
Addrenn: 6, ePeryCJt -3-
Builder:
Builder: ff/ /141
THE FOLLOWING CORRECTIONS ARE REQUIREDt
ZW
Inspector: Date:yA
_-APPROVED APPROVED _` DISAPPROVED ROV11D SUBJECT TO ABOVF
4 J_Call
For Reinap.
INSPECTION NOTICE
City of Tigard Building Departor-nt
13125 Sw Ball Blvd. Tigard, Oregon 97223
inepection Line (Rec-O-•Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbq. Underslab Mach. Rough-in Appr/Sdwlk
Pound. Plbq. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hach. Rain Drain Insulation
�\F' -Plumb.
Plbq. Underfloor Water Line gyp. Bd. //7s\ -Mach.
Date Requesteedt �� / - /���) Timce:r-AM
�)____PM
Address: / 47 t� //t t ✓erG4�C�CJ� P i _ 2t/
�
Buildert, � / 6 . Cly�0 7Ud(L,
THE FOLLOWING OORRECTIONS ARE REQUIREDt
Inepecto Date,l 7' 1'1(- _
__APPROVED _T DISAPPROVED _ APPROVED SURJEr.r TO ABOVE
_Cal) For Reinep.
j�l$PBCTION NOTICE
City of Tigard Building Department
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (ROC-O-Phone)e 639-4175 Business Phone: 634-4111
Inspection: _
Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line PINAL:
Poet/Beam Struct. San. Sewer framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line (, Gyp�Sd. -Hoch.
Date Requested: / )tltl- - 7 4 Times AN l_ __PM
Address: LD G�3 �` 1L/ !iC'/ Lt��d Gly Permit f:9�l
Builder: Me—
THE
e—THE FOLLOWING CORRECTIONS AREn REQUIRED:
,cu-7�rcdo�
ata. Q
InspectorDate: ._ d —
APPROVED ✓ DISAPPROVED APPROVED SUBJECT TO A90VE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building DePartment.
13 ZS SN Ball Blvd. Tigard, Oregon 97723
Inspection Line (Rec-o-Phone)t 639-4175 Bueinese Phone: 639-4171
Inspect ion• —. _�— -------------
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwl.k
Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. S�wer Framing -Bldg.
Post/Beam Hoch. Rain Drain `Insulation -Plumb.
Plbg. Underfloor Wat/err Line `, Gyp. Bd. -Hech.
Date Req:estedt J— 9 7 /- TLmm!et't 11M PH
Addrena: l°„�. 4. Pe>'mitJ O
Builder: I� / ���'� 51" 72/Z
_.
THE FO ING CORRECTIONS ARE REQUIREDt
Inspector: Datn:
APPROVED nISAPPROVED 1EPPROV7P SUBJECT TO ABOVE
Call For Reinap.
I �
.jNSPECTION NOTICE
City of Tigard Building Departaent
13125 9W Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection:-
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Stcuct. San. Cower Framing��/7s -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb. \Q�f
Plbg. Underfloor Water Line Gyp. Bd. -Hech. [ `
Date Requested: /I?-- - )Time:
AM ` PN
�U PemI_
Q1 :gAddress: / �
Builder: 7 /'7 L /�/ ( ��.5 LDd C/ 71Ze-Z
THE FOLLOWING CORRECTIONS ARB REQUIRED:
f ,(
Inspectors_ _ Date:
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Departwont
1312S SM Ball Blvd. Tigard, Ormlon 97223
Inspection Gine (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspections _,_ -------
Footing Plbg. Underslab Meth. Rough-in Appr/Sdwlk
Found. �l�bg. Top Out Gas Line FINAL-
Poet/Beam Struct. San. Sewer �rraming -Bldg.
Poet/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line
J� Gyp. Rd. -Koch.
Dote Requested: ��_LL" r> —Ties 7---Am _ PH
- 7k
03
Addrevn: / 11 �
Builder-_1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
A
12.1
Inspector: _— Date: 7y-
_ APPROVED _ DISAPPROVED _ APPROVED SUBJECT TO ABOVE
Call For Rei.nep.
INSPECTION NOTICE I
City of Tigard Building Department
13125 BW Hell Blvd. Tigard, Oregon 9724: /639-4171 v
Inspection Line (Rec-O-Phone): 639-4175 Business Ph n
Inspection: V0-a-k—4-
Foot ing
-Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. - Plbg. Top Out Gas tine FINAL:
( Post/seam atru� San. Sewer Framing -Bldg.
st/C.-m Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Watar Line Q Gyp. Bd. -Meeh.
Date Requested: I 1 t I _
Time: AM PM
Address: l� ,C _33 ,%�`/ `�f �[JU�O _a-permit 1- -
:�'� ILl-
-
Builder: � I- ` / 1 y
THE FOLLOWING CORRECTIONS ARE REQUIRED:
_--
Inspector:_ Date: Y
-�APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
-Call For Reinsp.
INSPECTION NOTICE
Cit,y of Tigard Building Department
13125 am Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone 639-4171
Inspection: _
/opting Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
__ Plbg. Top Out Gas Line FINAL:
Post/Beam Bt"'Ot -� San. Sewer Framing -Bldg.
ost/Beam Mach. Rain Drain InauIatLon -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Meeh.
Date Reesteds � Q � Time: _AM _�
quPN
Address: ` ,Q `�J ' Permit #I
THE FOLLOWING CORRECTIONS ARE REQUIREDI
D vE t__ e'2.c
-aalca Zfoi /ei J'Oe /s F /V
Inspector:_ �! Date I._ / //y/ /C)(�
APPROVED DISAPPROVRD APPROVED SURJFCT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Rusiness Phone: 639-4171
Inspect lon: —._-.----
Footing Plbg. Under.elab Meeh. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Poet/Ream Struct. Ban. 8 r Framing -Bldg.
Poet/Beam Hach. inn Crain Insulation -Plumb.
Plbg. Underfloor NiC tlr un*. Gyp. Rd. -Hoch.
-J lam_ G' (/ f1
Date Requested:___ 1 ' I �l1 ATime: KA AM
Address: C�)T� ,\� � u�t1Yr� Permit f:"-I ��-
Builder:
THE POLL WING CORRECTIONS ARE REQUIRED:
F1
Inspecto -- ----�-- Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
-Call For Reinap.
INSPECTION NOTICR
City or Tigard Building Department
13125 BO Ball Blvd. Tigard, Oregon 97223
Inepection Line (Rec-o-Phone): 634-4175 Business Phone: 639- 71
Inspections__
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
/!ound. , Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framina -Bldg.
Post/Beam Mach. Rain Drain Insulation -plumb.
Plbg. Underfloor Mater Line Gyp. Rd. -Koch.
Zj
Date Requestede �` Time: AM PM
(7
Address:) l�1?�77 1 1Uf Y (��� Permit /sLl
Builders [
TRE FOLLUNING CORRECTIONS ARE REQUIRED:
Inspector: _ natal
APPROVED DISAPPROVED APPROVRD SURJRCT To AROVE
_Call For Reinap.
IM" CPION NOTICE
City of Tigard Building Department
1312S RW Ball Bled. Tigard, Oregon 9722
Inspection Line (Rec-O-Phone): 639-4175 Business P 9-4171
Inspection: �( :` Et• y
�_n '
! Plbq. Underalab Mech. Rough-in Appr/Sdwlk
Round. Plbq. Top Out Gas Line FIt1AL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mw..h. Rain Drain Insulacion -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requested: Time: AM PH
Address: ' 4' �C ���.t[�71_Z)c= l�atrdlir/:�
Builder:— /-/ L
THE FOLLOWMG CORRECTIONS ARE REQUIRED:
i
�A �7
Inspector: ------- —� Date:J.
PROVED DISAPPROVED APPROVED SUBJECT To ABAVF.
----Call For Reinep.
PLUMP
CITY OF TIGARD PERMITN#. FERMI. . MST94-011 .,
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 03/28/94
13;25 SW Hell Blvd.Tigard,Oregon 97223.8199 (503)839-4171
PARCEL: 2S114BC-03100
SITE ADDRESS. - . : 1b63.s :aW RIVERWOOD PL
SUBDIVISION. . . . : RIVERVIEW ESTATES NO. 2 ZONING: R-7 PI)
BLOCK. . . . . . . . . . : LO7. . . . . . . . . . . . . :068
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :0
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIXTURES-------------- LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : l
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
LAVATOi IES. . . . . :4 OTHER FIXTURES. . . . . ;0
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSETS. . :3 WATER LINE (ft) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . . :0
Remarks: PATH I
OWNER: -_._________.--.-_--------------_
LHL CONSTRUCTION TIF $ 1520. 00 PLL 03/28/94 -
7110 SW FIR LOOP BPRT $ 485. 50 PLL 03/28/94 -
BPLC $ 315. 58 JLH 03/14/94 94-250040
TIGARD OR 97 :23 NSPC $ 24. 28 PLL 03/28/94 --
Phone #: 624-7714 SSDC $ 280. 00 PLL 03/28/94 -
PARK f 500. 00 PLL 03/28/94 -
Plumbing Cant ractor:-- -----_.___.__..__.._...... MPRT $ 45. 00 PLL 03/28/94 -
MPLC $ 11. 25 PLL 03/28/94 -
Name: l,u rn Imo) MSPC $ 2. 25 PLL 03/28/94 -
Address : _ PPRT f 162. 50 PLL 03/28/94 -
Cityt��S ✓ti.1�IC State ; _�t?'�� PSPC f B. 13 PLL 03/28/94 -
Zip: OL Phone#; -q773 _
Reg #: 3":q� 3-7--go( P-13
- - ------ REQUIRED INSPECT 1 ONS -•___.___..._
This permit is issued subject to the reg-
ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
Code, State of Ore. Specialty Codes and all Post/Beam Struct Water Line Insp
other applicable laws. All work will be done Post/Beam Mechan Appr/Sdwlk Insp
in accordance with approved plans. This Plm/undslab Insp Mechanical Final
permit will expire if work is not started PLM/Underfloor Plumt, Final
within 180 days of issuance, at- if work is Mechanical Insp Building Final
suspended for more than 180 days. Plumb Top Out Erosion Control
Framing Insp Crawl Drain
Fireplace Insp _
Gas Line Insp
Insulation Insp
X _--- Gyp Board Insp
Authorized Plumbing Contractor Signature
Call for ilispection - 639-4175
Contractor Notes :_ -__
CITY OF TIGARD
MATER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MS'T94—011.
13125 SW Hell Blvd,Tigard,Oregon 97223.81QQ (403)16PQ-J171 DATE ISSUED: 03/28/94
PARCEL: 2S114BC-03101/
SITE ADDRESS. . . : 16633 SW RIVERWOOD PL
SUBDIVISION. . . . : RIVERVIEW ESTATES NO. �2 ZONING: R-7 PD
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :1066
._-------•------------------------ BUILDING -.___.___-_------_-------------.--___..-- ...
REISSUE a DWELLING UN 1 1'Ss: 1 BASEMENT. . . . . . . . :0 5.1'
CLASS OF WORK. aNEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :572 sf
TYPE OF USE. . . aSF FLOOR AREAS-----------_.. REQUIRED SETBACKS-----------
TYPE OF CONST. :5N FIRST. . . . .- 1342 s f LEFT. . :5 ft RIGHT. :5 ft
OCCUPANCY ORP. aR3 SECOND. . . .- 1052 sf FRONT. :28 ft REAR. . :50 ft
STORIES. . . . . . . a 2 THIRD. . . . :0 s f REQUIRED-------------.--------
HEIGHT. . . . . . . . :29 ft T0TAL------•-:2394 sf SMOKE DETF_CTORS. :Y
FLOOR LOAD. . . . :400psf VALUE. . . . . 4: 120420 PARKING SPACES. . : i
Remarks : PATH I
---------------------------------- PLUMBING -----------.--------------------
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . .. 0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . 14 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . ..0
TUB/SHOWERS. . . . :4 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft) . :O GREASE TRAPS. . . . . . . :0
D I SHWASHERS. . . . : 1 WATER LINE (f t ) . : 1.100 OTHER F I X TUP.ES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . -0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
---------------- MECHANICAL ------------------------------------- FEES
F=UEL TYPES------------ UNIT HTRS. . :O type amount by date recpt
/GAS/ / / VENTS . . . . . :0 TIF f 1520. 00 PLL 03/28/94 -
MAX INPUT:O BTU VENT FANS. . :4 BPRT t 485. 50 PLL 03/28/94 -
FURN ( 100K . . a0 HOODS. . . . . . : 1 BPLC f 315. 58 JLH 03/14/94 94-250040
FURN )=100K . ri1 WOODSTOVES. :O B5PC $ 24. 28 PLL 03/28/94 -
FLOOR FURN. . . . t0 CI_0 DRYERS. - 1 SSDC $ 280. 00 PLL 03/28/94 -
BOIL/CMP ( 3HPs0 OTHER UNITS: i PARK $ 500. 00 PLL 03/28/94 -
GAS OUTLETSal MPRT t 45. 00 PLL 03/28/94 -
Owner: -------------------------------------MPLC $ 11. 25 PLL 03/28/94
LHL CONSTRUCTION M5PC $ 2. 25 PLL 03/28/94 -
'7110 SW FIR LOOP PPRT $ 162. 50 PLL 03/28/94 ...
P5PC f 8. 13 F=ALL 03/28/94 -
T I GARD OR 97223
Phone #: 624-7714
Cont rar_tor: ---_-----._-----.---_--_.-_-__-_.._
LHL CONSTRUCTION INC
7110 SW FIR LOOP
TIGARD OR 97223
Phone #: 6d4-7714
Reg #. . : 53"769
3354. 49 TOTAL.
This persit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS - - --
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Post/Beam Strllct Gas Line Insp
plans. This pewit will expire if work is not star d within 180 Post/Beam Meehan Insulation Insp
days of issuance, or if work is suspenor re h n 180 ys. Plm/�tndslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
Permittee Signati-tre: A 1� �1 _ Mechanical Insp Water Line Insp
Pli-imb Top Ol-1t Appr/Sdwik I11sp
lr<''_ked By : __ F-'rami.ng Insp Mechanical Final
Call for- inspection 6.39--4175
CITY OF TICARD bf-WER LONNRM11ECTlUN
PE
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : SWR94-0119
13125 SW Hall Blvd.Tlgard,Oregon 9722398110_.00340PI�1171 DATE ISSUED: 03/28/94
PARCEL: Rc3114BC--03100
9I TE r)DDRESS. . . - 166,3,3 SW PIVERWOOD PL
SUBDIVISION. . . . : RIVERVIEW ESTATES NO. 2' ZONING: R--7 PD
BLOCK. . . . . . . . . . . LOI . . . . . . . . . . . . . 06 13
TENANT NAME. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . . .
(-1-nSS OF WORK. . . -NEW DWELL.I NG UN I I'S. . : I
TYPE OF USE. . . . . :SF NO. OF BUILDINGS: [
INSTALL TYPE. . . . :SUSWR 111PERV SURFACE. . S f
Reinal,-ks : PATH I
Uwyler,: FEES
I.JAL CONSTRUCTION type amol-tnt by date r~ecpt
1110 SW FIR LOOP, PRMT $ 2E00. 00 JG 03/28/94 —
I NSP $ 35. 00 JG 03/2`8/94 —
riGnRD OR 137223
Phone #- 624-7714
Coritr-artor: -------------------------------
FONTRACTOR NOT ON FILE
-------------------------------------
2235. 00 TOTAL
1�eq
REQUIRED INSPECTIONtD
This Applicant agrees to comply with all the rules and regulations Sewer- Itispection
^f the Unified Sewage Agency. The permit expires 180 days free
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
�ide 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 installer shall purchase
,3 "Tap and Side Sewer" permit and the Agenc ill s alatera}
11pt-mittee Signati-a-e :
t-,si-ted By :
Call for, inspection 639-4175
Residential Buildinq_Permit Application
City of Tigard
13125 SW Hail Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: �" 1' A /
Office Use Only
Subdivision: �J Q I+LO Lot #
Valuation: Permit # —
Owner: L- J t_ <(ny rnuc n Lt� — Reissue of
Address: -;A 4 o 0.--5.W---(4f*trr" Map & TI. --
-7/ 1 c, 5 w l_so Lnp T U 9 D Z_1.3
Approvals Required
Phone: `I I ILI_�
Planning
Contractor: r4 Vtic- Engineering
Address: Other
—� Items Required
Phone:
_ Subcontractors
Contractor's License # 5 3 /6
(attach copy of current Oregon license) Truss Details
Subcontractors: Other
Plumbing:
Mechanical:
(attach copy of current OR ContractorLicense)
Architect/Engineer:
Address:
Phone:
COMMENTS: — ---
Applicant Signature & Phone number
Received by: L,tg-.��
`' " Date Received:
Permit # Account Description Amount Amt. Pd. Bal. Due
fjJ S c/1.3 Bldg Permit (BUILD)
Plumb. Permit (PLUMB) ✓ l<v , )I)-
Mech.
v Mech. Permit (MECH) ✓ ��� 6 v�
State Tax (TAX) 3 '
Bldg: '
Plumb:
M("c!I:
Plan Check (PLANCK) 342 d 3 2ST)
'n
Bldg: 3
Plumb.
Mech: /� 1
Sewer Connection (SWUSA) e,
Sewer Inspection (SWINSP) 3)r 3)
Partes Dev Charge (PKSDC) /.� 00 ��S c U
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-13) �' U
Mass Transit TIF (TIF-MT)
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'
TOTALS: S �< / Jr J 1
CITY OF* 00101 jej 1 ,F Ph)INII:N I I.-I I F IPI NO., 94--41506106
b .1A9. 49
+ 0110111,11 W 11 0 W
1.1 Ik
ON
I1)1.,11014. fit PAY11P1.IF (.11101 IN I ('III fil,1111411, 1411b
MJILPINO P1-1011 M(i 1 ')4
-11 (IN GI*..GK I I r, 0 vi 0 LA
_'iF1*+' IN1411 P)H
I fill 11,1 H I let it I
16(j33 RIVERWAID PI W I
(I 1 (11 11MOHN I Pf'I'l 11
CITY OF TIGARD RECEIPT OF' PAYMENT RECEIPT NO. :94-250040
CHECK AMOUNT 250. 00
AME' LHL CONSTRUCTION CASH AMOUNT s 0. 00
DDRESS s PAYMENT DATE 03/14/94
SUBDIVISION
URPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
LAN CHECK FE 3-34R 250. 00
6633 SW RIVERWOOD PLACE, LOT 68
OTAL AMOUNT PAID - - - -> i0. 00