16640 SW RIVERWOOD PLACE ADDRESS:
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is\records\microflm\targets\building.doc
INSPcr�oN NOTIce
City of Tigard Building Department.
13125 SW Bell Blvd_ Tigard, Oregon 97273
Inspection Line (Rec:-O-Phonels 639-4175 Business Phones: 639-4171
Inspection:, --__"—
Footing Plbq. Understab Hoch. Rough-in Appr/Sdwlk
Found. PPlb�g. Top Out Gas Line FINAL:
Poet/Beam Struct. er+ir Framing -Bldg.
Post/Beam Hoch. in Drain Insulation -Plumb.
Pibg. underfloor Nater Line Gyp. Rd. -Meeh.
Date Requested: /z � 5 Timet AM PN
Address:_' ! l6 � 4t Permit #: �Y-
THE FOLIFrilNG t`41RRF.C'TIUNS ARE REQUTPRD:
Inspectort� Dates_ �_
- APPROVED DISAPPROVED APPROVED SUWR(,T To \ROVE.
TTCaIl For Reinsp.
f, f�r 1.f, I
CITY OF TIGARD I I U*R m I 1 44
COMMUNITY DEVELOPMENT DEPARTMENT DWI-
13125 SW Hall Blvd,I igard,Oregon 9722398199 (503)639-4171
L J. "'r3 1 .1 0 0 W
SITE 16640 i;W RIVERWOOL) I 'l
.WB0 I V I S I(JI 4. . . . .. I'IVFRVIEW USTATFS) NO. e* 20N I Nfi: ,
BLOCK. . . . . . . . . 1-0 T. . . . . . . . . . . .. . .
CLASS OF WOW. :NFW
1,YPE or m,r.-_ . . s sr
1lccuF"*pN!7y GRP.
OCCUP"INCY
7 F-14AN I NAME:. . .
Rema r,ksc PATH I
Wrier": -... - . . 1.11__..•_.. -
LHL CONSTRULTION
711.0 SW RIP LOOP
100RD OR, "17223
hone #- 6, 4-771,4
(:nntv aul tit
t_HL CONS700rTION INC
tio sw rfR LOOP
TI(W)PI) Of? 97era3
Phone Na 6f`4-7714
pog %. . : !J-* i69
Occupancy of the above r ef erenced hui ]ding j. pi hereby given, and cr k i f i
e (-.,o m p I i nc e wits f,h P 5 t m t,p Of Or,e U o i i S p ec-j a I t y (,,u L;e tg f c)r t h tu q o-o,
occupancy, ,..md ove mider wh.,(.,h the roferpnced perfillit WeAlk i S--ItAP(J.
hi�j p E t., i o r:
4
I I*tT NE 0 r-
r1.C;
ICJrill IN CONGPIG(JOUS PLOCE
INSPECTION NOTICE
City of Tigard Building Depa::ttasnst.
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 634-4171
f J
I nspect ion:
Footing Plbq. Underslab Mech. Rough-in Appr/Sd�wlk_
Pound. Plbq. Top Out GAn Line (' FINALI
Post/Beam Struct. San. Sewer Framl.nq Bldg.
Post/Beam Mech. Rain Drain Insulation �� umb, 7
Plbg. Underfloor Water Line Gyp. hd. -Hoch. A.,\
Date Requesteds L J� Times AN ��PH
Address JQ IF' e/(_' /f r ✓ (t�✓csC� / �. Permit
✓� / 1
Builder: � i r L JJ./ � �(�.�) ��`'� .`._
TMP, FOLLOWING CORRECTIONS ARE REQUIRED:
Date..
APPROVED rTSAPPROVED _ APPROVED SUBJECT TO ABOVE
_Call For Reinnp.
INSPECTION NOTICE
City of Tigard B.ullAing Department vv
13125 aw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Busirean Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough LnAppr/adwlk
Pound. Plbg. Top Out Gas Line lINALt
r
Poet/Beam Struct. San. Sewer Framing ��Bidq.
Post/Beam Mech. Rain Drain Insulation -Plumb.
r
Plbg. Underfloor water Line Gyp. Bd.
/
Date Requented: - CSJ �tl Timet _ _A_AM _PM
Address: �' �� 1J� ✓1.000�CA / C Parmlit1ft
Builder:_ _�-
TBE FOLLOW% G CORRECTIONS ARE REQUIRED:
CA
-��
Inspector: "V ��.' _ -' Date:
APPROVED DISA'I"OVED _ APPROVED dSUBJECT TO ABOVE �
• `� Ca. 1 For Reinsp.
K\ 4P�4 C
INSPECT-ION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard. Oregon 97223
Inspection Line (Rec-O--Phone): 639-4175 Business Phone: ..9-41711
Inspection'------_--.._..- -- ---
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Pibg. Top Out Gas Tine � PINALs
�-__-
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation �ump. J
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
( ��Date Requested: J- 5 �� Tl�i AH _PH
Address:, & G !Z()— s V f' b-)OoG` /` Pot7i't 1- C ) 5
Bu i Ids r: N l 1�7/�5 Y• t!/ " / w 7
THE FOLLcAdMG CORRECTIONS ARE REQUIRE
`F
_ �2
/—Oxy ks'eir
•/'�/jf ,�57 -
Inspector: Date:_7
/
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
11 For Reinep.
INSPECTIONijOT1CF 1
city of Tigard Building Departmr-nt
IJ125 SW Hall Blvd. Tigard, Oregon 9722:1
Inspection Line (Rec-O-Phone): 639-4175 Dueinenn Phone: 63" -4171
Inspection:-- ----- -- - _.___��- -- --
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line `rINAL:
Poet/Beam Struct. San. Sewer Frnmi.nq -Bldg.
Poet/Beam Mech. Rain Drain Innulatinn �-Mh
Plbg. Underfloor Water Line Gyp. Bd.
Date Requested: 4G C/ ------�T t PH
liddrees• �< < � �, ✓c'rl,�.�c.kJ - l��f
Buiiders
THE roLL.OWINO CORRECTIONS ARE REQUIRED1
47
Inspector: Dater
ry
APPROVED VPR
D
APPROVED a.BJECI TO ABOVE
For Reinsp.
INSE.4( TON NOTICE
city of Tigard Building Depa**m^t
13125 811 Bail Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections.
looting Plbg. Underalab Hoch. Rough.-in ( Appr/sdwlk ./
Pound. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. ad. -Meeh.
Date Requesteds —.Timet AM PN
AddreserZ�'le �J�� YC/ ✓C"✓[C1�i�JU �C,Poc'mit ���Z
Builders LNC !
TBE FOLLOWING coARECTIONS ARE REQUIRED:
uAJ� C�L �
Inspectors -14
APPROVED DISAPPROVED \` ` APPROVEb SUBJECT TO A�
Call For Rainsp.
INSPECTION N:YTICE
city or Tigard Building Department
13125 SO Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:,
Footing Plbg. Dnderelab Hoch. Rough-inAppr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Onderrloor Water Line
//�� Gyp. Rd. -Hoch.
J
Date Requestods `-)0- 9!Z Time: AH PH
Address s J 6 6Z() X l'✓PP)l.
Builder: L L �N�S ���` y- 77/Y
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
ee
"
Al
✓✓d`
Inspectors--,�—�-- bate:
_APPROVED DI
SAPPR '7APPROVED SUBJECT TO ABOVE
Ca11 For Rainap.
INSPECTION NOTICF_
City of Tigard Building Department
13125 Sit Ball Blvd. Tigard. Oregon 97223
Inspection Line (Rec-O-Phone)r 639-4175 Business Phone: 639-4171
Inapectl.onr_—�----
Footing Plbg. Underslab Hach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line PINALa
Poet/Beam Strurc. San. Sewer Framing -Bldg.
Post/Bean. meoh. Rain Drain Insulation -Plumb.
Plhg. Underfloor Water Line Gyp. Bd. � -Rech.
Date Requested: / Timer __1=kH�)�j'�J PH
e
Address: Z lC `) _Zale/_Zoocej
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIR?D:
Inspector: --- Dates--1
ROVEn DISAPPROVED - APPROVED SURJ1Sf`T To ABOVE
_Call For Rel-nap.
INSPECTION NOTICE
City of Tigard Building Depexter_nt
13125 BN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phones - 171
Inspection:_^_
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALE
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mec .�
Date Request/ed: / �p L n/�/ Time: AM --PH 7 PM
Address: G V O /��/Zu4JL P& //Pbrmit 1 9y-y60%5 /
Builder: I C�-)7- 2
rm FO Na CORRECTIONS ARE REQUIRED:
Inspector: __ Date•
LIP,
17__�A PROVED DISAPPROVED APPROVED BUilOABOVE
_Call For Reinsp.
,p!SPECTJON NOTICE �
citT or Tigard Building Dapartwent
13125 811 Hall Blvd. Tigard, Oregon 9722.3
inspection Line (Roc-O-Phons): 639-4175 Rue.ineas Phol 639-4171
Inspections
Footing Plbg. Underalab Mach. Rough- Appr/Sdwlk
Found. Plbg. Top Out can Line ) FINAL:
Post/Beam Struct. San. SewerFr�cL/ -Bldg.
Poat/Deam Mech. Rain Drain Tnsulation -Plumb.
Plbg. Underfloor. water Line / Gyp. Bd.
Date Requested: J/17 L/ _ Time: 1 1W �^ PM
AAdrees: —1ST i� u�d U e, Permit t s.
Builder:--—Z_ ---
TNM FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector __._.��..._.._._, Data:. �7
APPROVED DISAPPROVRD APPROVED SUBJECT TO AROVE
Call for Reinap.
INSPg.CfION NOTICE
City of Tigard Building Department t
13125 SA Ball Blvd. Tigard, Oregon 972
Inspection - Lne (Rec-O-Phone): 639-4175 Businene Ph ne: 639-4171
Inspection:_, --
Footing Plbg. Underslab M . Rough-in Appr/Sdwlk
nd•_ P T • FINAL!
tPo
/seem Btruct. San. sewer F amKnq -Bldg.
Heoh. Rain Drain Insulation -Plumb.
erfloor Water Line Gyp. Bd. -Hoch.
Date Requested:_ Times
(, AH _J-4—J > PH
Address: LD 7L, /fit/ Kt4AA)d Permit 1s
Builders -Lb"/7 / _fir !7 ( (1 Y7SJ�• 7 7�
l r
THE FOLLOWING CORRECTION!! ARE REQUIRED:
Inspector:` _ bate: f
APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
--Call For Rein•p.
INSFE?- oN NOTICE
City of Tigard Building DeparUwant
13125 SN hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
i aspect ior.:_
Foo:inqrelab Hoch. Rough-in Appr/Sdwlk
s
Pound. 49,1 Gas Line FINAL:
La-tt
an etruct. ' Ban. Bower Framing -Bldg.
au Hoch. Rain Drain insulation -Plumb.
,gbq. Underfloor ' Water Line Gyp. Rd. -Hoch.
Date Requentedt �'1 1 �{ Timer _j( AN PH
`1(,f G�05
Address: ►YGf�d ��Permit is --
Builder:�V'N i. CSS (0 -.1 I
THE FOLLOWING CORRECTIONS ARE REQUIRED:
A / A/ Dom-/
4 iol -
GC
c14e c
i2q r1-7 i ,(. Ti
Inspector: Date:
APPROVED DISAPPROVED APPROVED SUBJECT 1O ABOVE
`Call, Por Reinap.
INSUCTION NOTICE
City of Tigard Building Department
13125 811 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171
Inspections--- — — _
Footing Pibg. Underelab Mach. Rough-in Appr/Sdwlk
Pound. Pl�bg. Top
�Out acs Line FINALS
Post/Beam Struc^:. an. .ewer` Framing --Bldg.
Post/Beam Mach. ('-Pain Drain,-) Insulation -Plumb.
Plbg. Underfloor _Nates •r Line 1 Gyp. Rd. -Mach.
n
Date Requeatods" s AM PN
ol
Address (� �Y. �L `' 7 ��'��4�t ermit is —
Builders
THE FOIJ,ONING CORRT-CTIONS ARE REQUIRED:
Inspectors —__ Dates=
"APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Departskent
13125 SM Ball Blvd. Tigard, Oregon 9723
Inspection Line (Rec-0-Phone): 639-4175 nuainess oOV-4171
Inspections
Footing Plbg. Underslab Mach. Rough--in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Poet/Baan Struct. Sari. Sewer Framing -Bldg.
Po..' /Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor WaterLineGyp. Rd. -Meeh.
Date Requested: 1 C 7 Tom• A
Address: � rXX'lVeya -Permit IsM ��i�'M �
Builder: _ __ ------_--_-- _----
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: _ _�_- _ _ _T Date:G� ��
APPROVEDDISAPPROVED APPROVED SUBJXrT TO ABOVE
Call For Roinsp.
IN6PECPION W91C
City or Tigard Building Dapartment
13M ew Ball Blvd. Tigard, Oregon 97227
Inspection Line (Rec-A-Phonelt 639-1175 Business Phone: 639-4171
Inspsctytpp+��- —
footing x Plbg. Underelab Kech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam 8truct. Sen. Sewer Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underrloor Water Line Gyp. Bd. -Koch.
Date Requestedt -^-� -�4 Tib�-&,AM PM
. r "r ,
Addreast (/� it
_ ✓/! , ' L
Builder:, / /�L.-
702 FOLLOWING CORRECTIONS ARE REQUIREDt
/
7_ 0_
Alt-
Inspectors._ I f�✓�'�-- Dates__,l0 `t
APPROVED DISAPPROVED APPROVED OVED SUBJECT TO ABOVE
�� V2 Call For Reinep.
ING
CITY QF TIGARD PERMBI F #. PERMIT. . . . . . :
ER. . . : MST94--009-
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 02/16/94
13125 SW Hall Blvd.Tigard,Oregon 07223.8199 (503)839.4171
PARCEL: 25114BC-02800
SITE ADDRESS. . . : 16640 SW RIVERWOOD PSL
SUBDIVISION. . . . : RIVERVIEW ESTATES NO. 2 ZONING: R--7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :065
--------------------------------------------
CLASS OF WORK. . :NEW GARBAGE DISPOSALS. - : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BAL:KF LOW P'REVNTRS. . a 0
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . 10
STORIES. . . . . . . . .2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIXTURES------------- LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . : 1 GREASE TRAP'S. . . . . . . :0
LAVATORIES. . . . . :4 OTHER FIXTURES. . . . . :¢I
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
WATER CLOSETS. . :3 WATER LINE (ft) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . . :0
Remarks : PATH I
OWNER: ----- -------- --- -_-- ----- ------------------FEES-----------•-----
LHL CONSTRUCTION TIF $ 1520. 00 JH 02/16/94 -
7110 SW FIR LOOP BPRT $ 475. 50 JH 02/16/94 -
BPLC $ 309. 08 JLH 02/01/94 94-248277
1 I GAKD OR 97223 B5PC $ 23. 78 JH 02/16/94 --
Phone #- 624-7'714 SSDC $ 280. 00 JH 02/l b,'94 -
PARK $ 500. 00 JH 02/16/94 -
P1umbing Cr^tr^actors- ------ -------- MPRT $ 45. 00 JH 02/16/94 -
MPLC $ 11. 25 JH 02/16/94 -
Name: M5PC ! 2. 25 JH 02/16/94 -
Addre s a 1 L_. _ PPRT ! 155. 00 JH 02/16/94 -
LIty : 1AState : . P5PC $ 7. 75 JH 02/16/94 -
Zip:� U-1 Phone#: ICYZ ' 11 -2
Req
------- REQUIRED INSPECTIONS --_._...._.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 Meehan Aopr^/Sdwlk Insp
in accordance with approved plans. This Plm/undslab Insp Mechanical Final
permit will expire if work is not started PLM/Underfloor Plumb Final
within 180 days of issuance, or if wor4 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
G y P Board Insp ---__-_-----__--
Authorized Plumbing Contractor Signature
Call For inspection - 639--4175
Contractor Notes .-____----
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT DEP,A,RTMENT PERMIT #. . . . . . . : MST94•-0057
r
13125 SW Hall Blvd.Tigard,Or+pon 97223•8149 (503)614-4171 DATE ISSUED: 02/16/94
PARCEL: 25114SC-02801
SITE ADDRESS. . . : 16640 SW RIVERWOOD F'L
SUBDIVISION. . . . : RIVERVIEW ESTATES NO. a ZONING: R-7 PD
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :065
--------------------------------- BUILDING ---------------------------------------- -
REISSUE:
---_-_-_---_-_.-___---__-----_.------_-_ .REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :463 sf
TYPE OF USE. . . :SF FLOOR AREAS----------- REQUIRED SETPACKS-----------
TYPE OF CONST. :5N FIRST. . . . : 1075 sf LEFT. . : 14 ft R I GHT. :7 ft
OCCUPANCY GRP. : R3 SECOND. . . .- 1287 sf FRONT'. :20 ft REAR. . :39 ft
STORIES. . . . . . . ::_' THIRD. . . . e0 sf REQUIRED--------------------
HEIGHT. . . . . . . . :
-----___.----------
HEIGHT. . . . . . . . :31 ft TOTAL-------:2360 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . f: 116894 PARKING SPACES. . : 1
Remarks: PATH I
---------------------------------- PLUMBING --__--_•-------------------•-•-•-------
SINKS. . . . . . . . . . . I FLOOR DRA1NS. . . . :0 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . 30
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
--------------- MECHANICAL -__________.__ ..____ .___-----.___._._____.__ FEES
FUEL TYPES------------ UNIT HTRS. . :0 type amol-int by date recpt.
/GAS/ / / VENTS . . . . . :0 TIF f 1520. 00 JH 02/16/94 -
MAX INPUT:O BTU VENT FANS. . .-4 BPRT $ 4.75. 50 JH 02/16/94 -
FURN ( 100K . . :0 HOODS. . . . . . : 1 BPLC f 309. 08 JLH 02/01/'34 94-24822277
FURN ) -100K . . : 1 WOODSTOVES. :O B5PC f L3. 78 JH 02/16/94 -
FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC f 280. 00 JH 02/16/94 -
BOIL/CMP < 3HP:0 OTHER UNITS: 1 PARK. t 500. 00 JH 02/16/94 -
GAS OUTLETS: 1 MPRT t 45. 00 .JH 02/16/94 -
Owner: _____________.__----_---____._.___.._____-HPLC $ 11. 25 JH 02/16/94 -
LHL CONSTRUCTION M5PC f e. .25 JH 02/16/94 -
7110 SW FIR LOOP PPRT f 155. 00 JH 02/16/94 -
P5PC $ 7. 75 JH 02/16/94 -
TIGARD OR 97223
Phone #: 624-7714
Contractor: ---•-•-------------------------
LHL CONSTRUCTION INC
1116 SW FIR LOOP
T I GARD OR 972:23
Phone #: 624-7714
Reg #. . : 53769 ------------------------------------------ ---
$ 3329. 61 TOTAL
This permit is issued subject to the regulations contained ,n the ---- --- REQUIRED INSPECTIONS - -----
Tigard Municipal Code, State of Ore. Specialt. Codes and all other Foot/fot_tnd Insp Fireplace Insp
applicable laws. All work will be done in accordance with approved Fast/Beam Struct Gas Line Insp
plans. This permit will expire if worts is not started w thin 180 Post/Beam Mechan Insulation Insp
days of issuance, or it works
suspe did for;mpfe tha 180 days. Plm/undslab Insp Gyp Board Insp
i
PLM/Unoerf1oor Rain drain InsE
1 ,ermittee Signat�_Ires ,••_ Mc,-nanical insp Water Line Insp
Plr.Imb Top Out Appr-•/Sdwlk Insp
Issued By : --_- __. Framing Insp M e c h a n i r_a 1. F i n a l
Call for inspection - 639-4175
SER CON
ON
CITY OF TIGARD F'ERMIWE#PERM IT ISWR94- 100ot,
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED• 02/16/94
13125 SW Hall Blvd Tlgtard,Oregon 97223•819b (503) 119-4171 .
PARCEL: 251 14BC--02800
SITE ADDRESS. . . 16640 iW RI VERWOOD F'L
SUBDIVISION. . . . : RIVERVIEW ESTATES NO. ` ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :065
TENANT NAME. . . . . :
USA NO. . . . . . . . . . . FIXTURE UNITS. . . .
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE= OF: USF_. . . . . :ra-F NO. OF BU I LD I NGS: 1
I NS T AI__L TYPE. . . . :EAUSWR I MPERV SURFACE. . : : s f
remarks : PO'fH i
Owner-: ___-•----_____.__ ._._____..__._._.______----•-----________.-•-- FEES .-._---------__...
LI-il_.. CONSTRUCTION type amol.rnt by date r^ecpt
1: 10 SW FIR LOOP PRMT $ 2200. 00 JH 02/16/94 —
INSP $ 3.15. 00 JH 02/16/94 —
T IGARD OR 9722:3
Phone #: 624-7714
C:ontr-act c,-:
CONTRACTOR NOT ON FILE.
Phone #: $ 2235. 00 TOTAL
Reg #. . -
- ------ REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage F,gency. The permit empires 190 days from
the date issued, The total amount 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 stall prospect 3 flet in all directions from
the distance given, If not so located, the installer shall purchase
a "Tap and Side Sewer" permit and the Ageral.
Ir m i t t e e S i g n��t i>~a
d By
i
Call for inspection - 639--4175
r x
Residential Building Permit An the
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
JobslteAddress:_�/�6`�U
Office use Only
Subdivision: !) U-eyzCIteuJ 1=5r- ll Lot# PlanWRec
Valuation: ZI 11CII V.
Perrpit #
Owner. L44 t
����� ►r i t��.1 Reissue of
Address' C,, t7-1 C Map & TL # o2Sl 1"Ide- ZYOO
Approvals Re uq_ired
Phone: �.�`I- 7-7/ ;rl� Sart N
Planning
Contractor: co C- y Engineering
Address: Other
Items R4�qulred
Phone: —
r Subcontractors
Contractor's License # �
(attach ropy of current Oregon license) Truss Details
Subcontractors: Other
r1 �
Plumbing: D l! 14
Mechanical: L I Y�A r I r /�i►1l Yl' / �C''� /
(attach copy of current OR Contractor's License)
Architect/Engineer: /��� T1s,
Address:
Phone: 2 `-( - -2 y C�
COMMENTS: -D' .j n J—UA
Applicant Signature & Phone number
Received by: Date Received: `� ��
Permit # Account Description Amount Amt. Pd. Bal. Due
70 O u:} 7 Bldg. Permit (BUILD)
Plumb. Permit (PLUMB) _
Mech. Permit (MECH)
State Tax (TAX) �
Bldg: C� .i • L�._
Plumb:
Mech: >
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA) a 0 UG U
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) G 0 Sa lJ
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R) / / U
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) —
Industrial TIF (TIF-I)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water(duality (WOUAL)
Water Quantity (WOUANT)
Fire District (FIRE) _
TOTALS:
EXEMPTION FROM MAXIMUM SHADE POINT HEIGIiT STANDARD
1/we, the undersigned, as legal owners of record of the property
described as : n
Lot ffL of _ Subdivision
NpT .4vHIL vo r__. c'/TNE/C
Tigard Address 1070 st4) jCly9;ekL)W1A) OK X414, lrl Wb PL
Tax Map and Lot Number -A./ /�1,c��', o'7- 6___
do hereby release the property owners of adjacent Lot It lD`7J
of A/y Subdivision, also known as Tigard
address 14(elli�� J�1gh` &A PL
and as Tax Map and Lot Number _ Cgs/ /1'6v Zd�d
from complying with Cornnunity Development Code Section 18 .88 . 050 .G
(Maximum Shade Point Height Standard) ; and agree that the structure
may have a shade point height of feet, thereby allowing shade
on an aria otherwise protected by Code Section 18 . 88 . 050 .D.
In addition, I/we also release the City of Tigard from liability
for damages resulting from this adjustment .
Signature
Signature 4
State of Oregon )
) ss .
County of _0")00.4 )
This inst -urnen was signed or attested to b fore me by
on 19 9.�.
Ll
Vir.l;it" .ti?tr�{� Signature of Notarial officer
My Commission Expires : )a
v� S1S37
br/rlt/Exempt .Mst
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(:(If-..(".K AMOLIN f 5314, 61
AMP: IML. C ONSTf RVA TON ['W-M AMOUNT 0. 00
DDRESS F'AVM.-N I I''jA I(:: OP/16 94
I kitJFA1)I V I 1A ON n
URPOSEi OF PwmFNT AMOUNT PHt1) PI.IRPOSF: OF PAYMENT AMI INT• PAID
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WC,HAN I ICAL_ VE- 'I ,'' vio S1 , BUILT) f.'f-I? 33. 78
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