16875 SW RIVIERA LANE-1 i
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16875 SW RIVIERA DRIVE _
KING CITY
MECHANICAL
CITY -OFTIFARD C111fOF TW F,E R M I T H. ME 0 0 94
COMMUNITY DEVELOPMENT DEPARTMENT
175
3125 SW HWI Blvd. P.O.Box 23397,'nqatt,Oregon 97223 F'RIM. PERMI 0.
6 3 11F!(��171. 120*1'E I2C,UEDw W109ZAa
16875 SW RIVIF-.-(,A 1)1-,, PA R C',1-`L PGI I I C,A C, 1.8'?0 C-)
U P D I V1 S I(:)N. . . . AAJ h
ZONINGs
(A.-ASS OF WOl-A'%. . :ADD Fl OOR FURN. . . . .. EVAI-` (,OOLLRS:
T 1'f-''C OF USE. . . . :S:F UNIT' HEA*TERS. . -, VENT FANS. . . i
C)C C U PA 14 L,Y GRP. . »k3 VENTS wo VENT SYSI*E'MSo
SI'O R I L*:*S. . . . . .. . . 1,401 LERS/COMPRES,OOPS HOODS. . . . . .
F Ll E.L .T Y 1::'F-"S 0-3 141".. . — -
DOMES. IN(*.'INc
./WOD/ 3-15 HP—. . . : COMML. INCINv
M A X INPUT: D I'U :l5----,30 REPAIR UNII'Sa
FIRE, DAMPER57. . 30-50 HP., WOODSTOVES— al
GAS I-"RESSURE. j(14. CLO DRYEr -3. . -
NO. OF A (R HANDI I NU UNIT'S O'T'HER UNII'S. s
I:-URN < .1.001: 1:4 J`U 0 10000 c.,fm: GAS OUTLETS. c
1-:'(.JRN ):=100K WEU: > 1.0000 r-,fn1V*N
e nia-r l-, :i
Owrie-r: .......— iFEES
a a
CiRACE HANSOM type )4 i.t ii t by date I-eept
16875 SW RIVIERA r"-% i AYM $ I.:;« '73 JLH 05/09/90
ORM T 14. 50
,IN(3 CITY OR 7224 5P(,T 0. 73
-,20-6.
Phaiie #. f-,20-.6.
Uavit-rac: i c)r,.-
RICK' S W...'MODLLIIVIG
64P.--ol".3ti 15.23 TOTAL
ReLl 0. . .- 51068
Rt:'.UUIRED INSPECTIONS
This permit is issued sub.)ect to the requiations contained in the Firial frispectioil
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. Al' work will be done in accordAnre with
approved plans. This permit will expire if worl, is not started
within 180 days of issuance, or if work is suspended for sore
than 188 days.
...........
Pey,nii.ttee Siqi-iati.Are-
ISSLIed Byz
__.__..__._._.....................M..._.............._. ....................... ............ ..............................................
Lail fc)T, iiispec.,ticiii 639-4175
CITY OF TIGARD PE-CLAPT OF FAYMEt-l-l' RECEIPT NO. a 90—
CHECf,:' AW)UNT c 01. 00
I
NAME RANSOM, GRAC E, CASH ��Piotjwr
A F.if.)P E ry S a 16075 SW Fill. J,'E*PA Df� PAYMNT DATE (Y5 C)9 i
'31 U41)I V 15 1 01\1
KING CITY. OR 1�1 7 2-.4
i 'PF,0SF OF F'AYME(`dT AMOL)VT PAIT) PUP17,01"DE ofi FAYMEW AMOUNT FIATI],
It, CHANTCAL PE MP 00 4 14. '50 ST. SUILD PKP
I'CITAL (AMCII.INT PAID p-,.
DING CITY
pw1wlw� 153DO SW.Ilflh Avenue,King City,Oregon(1i22d Phone:P3n.4082
COMMUVITY DEVELOPMENT
APPLICATION FOR BUILDING PERU IT
(Instructions on reverse)
DA'L'E
i
I. NAME G!- APPLICANT: t!,onE No.
G i 7 li, _
ADDRESS OF PROPOSED IMPROVEMENT
2. TYPE OF CHANGE, IMPROVEMENT' OR CONSTRUCTION FOR WH I c,11 PERMIT' is REQUE_.STE:J.
DESCRIBE BRIEFLY AT'T'ACH TWO COPIES OF PLJ S OR DRAWINGS OF
PROPOSED PROJECT: -1 �))S, !a �,( u �1 f1 L' C."4.. 1"-2�7
3. NAME AND ADDRESS OF CCtN RACPOR
_— PHONE NO.r_�!7! - I(TVSE NO. �-
4. NEIGHBORS WHO MAY BE A17FEC= BY TH.13 PROJECT oil L BE NOTIFIED BY ._IE CITY.
5, APPLICANT OR HER/HIS REPRESENTATIVE 11VIT BE PRESENT AT THE PIAN14ING 00WISSION
MEETING NEXT HELD Oii
REPRESENTATIVES NAME i PHONE NO.
(The Ring City Planning Commission will consider only those applications received at least five tars
prior to a meetigg.) s� ,
SIGNATURE _ �% La'-4L
AP?LIGATION RECEIVED $Y_Lia"
_ DATE `i� _
APPLICABLE FEE RECEIVED $ /C) p_. TOTAL P L t
PLAN?IiNO OU44ISSION DECISION: Approved __� _ Denied
t xA4DITIONS
Approved applications are valid for sift months only -
Signattlrf r'�'C._ Date ___
M01'B:
OteiT Bomebuilders Law requires that. all persons who contract for work on their residence be
' registered with the Builders Board which means the contractcr is bonded and insured on the job site
P(;r your protection, be certain your contractor )s registered by calling City Rall Ph: 63q-4092,
NO'T'E: A pr!rmit must al-go be obtainedAfrom the City of Tigs,: impartment of
cr
Cminity b,-veloFrw
xnt Yes �C No---
CITY OF„TIGARD INSPE;."'r!a; REPORT
The ab0Ve 1 isteci project has been inspected and Approved .....penied
Date Coments_ _ __
m
Signature _
(liu i�ding ImPox to t rtenAv- 4 uAn one, (1) copy to kJnq Ct tyr
CD 2 81
W'
CITY OF TIFA RD
OREGON
.7anuary 3, 1990
lo
T�.. rz C .0 N Jr, r K r',2 n L�4�__•`..4
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Grace Ranson
16875 SW Riviera Dr.
Ring Cit;, OR. 97224
RE: 16875 SW Riviera Dr. Permit # MEC 90-0094
Dear Grace,
on May 9, 1990 a permit was Issued for tle above project. As of this date, there
ir, no record of any inspection having been recorded.
Please advise the Building Division of the status of this project_ as soon as
possible so that the file may be kept current.
Please note that any permit without activity for over 180 days becomes void. if
you need additional time to complete the project, pledee contact this department
so an extension can be discussed.
Sincerely,
�?c
Brad Roast
Building Official
Notice.2
13125 SAN Hall Blvd.,RO,Box 23347,Tigard,Oregon 91223 (503)639-4171