9855 SW RIVERWOOD LANE ari s a s �r r. #s ■r nr
0,855 SW F.IVERWOOD LADLE
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INSPECTION NOTICE
City of Tigard Building Department i
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639.4171
'Type of Inspection
Date Requested.__.�/�' ` J 71me /j/ A.M. P.M.
Address k- ,._S li/ /1 /��••' ,+�*+�"Permit # -5/4
Owner . —�__ e_— Lot #
Builder _�--_ - --- ---
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The following Building Code deficie.-^i.t are required to be corrected:
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Presented to _ Approved
Inspector Disapproved
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Date
,/,/-:77 -. -
CALL FOR REINSPECTION
❑ YES /NO
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PL.uM3It%G PERMIT �vv.
hoider of a valid p.umbing contractors license is hcreay
dJihGrizKd to cav-e phl.mbinc work§ herain noted to be instal.ed in accordance with the plumbins code o`
Tigard. Such i-is-m:iations require irYspcction by the City Inspector who sha;l t,: ^otified not less thrn folir
A4 hol.:7s prior to t;-.e ti Tc t-e instai:ations are raady for inspzction. C'.y of Tigard Business License re.Uirad
for ail contractors -id sub-cors' 'Ctors.
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NUaCF OF TO'AL PERMIT `.C.
T`!P' OF '. i�'.. T ITc".v .r' ON 2ACH A1:IOl:IVT (0`fice li e
-
5 ,�1a =am�h;—1 ��;h--c:ch _.______ � ^5A0• I_`�S—,1,� —___. ____
G.i'.X—each 1 bath unit _ 25.00 1 �`
Acd.':ona. bathrooms—cnch 10.00 r p
Vrbi'.3 H2n12$Dace–each _ 15.00 _ I
:VDIVICUAL FIXTURE FEES
1 to 3,1 Fix'vres it 11 buAinn-nr.h 3.00 j
, 1 to 1CO ='ixtures in 1 buildinc,-yrh7I r 2.50 I __
101 to 'CO F ixturos in 1 bui'ding-each •y I 2.CC
ZI ', or more -ixturos i.. 1 building-each
;S'ELLANE0US -------
aui;flinQ Sowcr--is' 50 ft. j 10.64 _
Sawar-cnch midi:ional 10o ft. _-� 10.00
Wate."_.sorvicr to t ui}r11nh
yr:W-0 Water Systems--u.& 100 '• 1 -"—' _� _._
10,00
P_ ' — ,.5� .� For r Plumbing Insoecrion Ahonc 639-4131
�' Plumbing Conzrcctor 8y
_.`07A, ;�,'� ei , RECEiPT NO, Issued By y
BUILDING PERMIT APPLICATION TIGARD ''. �- 3 7 73
DATE.._-_-- , 19
THE UNDERSIGNED HFREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUII DER PHONE 635-69156
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
L.OTNO. 76-PiC"6
OWNER Mtn.Vie �rQ t. JOBADDRESS 9855 SW Riuerwood Carte TF�rofF&rl=�
ARCHITECT
ENGINEER
BUILDER `f me _ __- ADDRESS 447-20 d awes ►L,O, DESIGNER
STRUCTURE I'NEW lJ REA.ODEL ❑ ADDITION_❑ REPAIR _ ❑ RENEWAL�I FIRE DAMAGE ❑ DEMOLITION
IN RESIDENCE ('OMNI CI EDUCATIONAL IJ GOVT ❑ RELIGIOUS f_1 PATIO ❑ CARPORT ❑ GARAGE C1 STORAGE ❑ 91-A80 FENCE
OCCUPANCY _:'_ LAND USE ZONE O PO BLDG.TYPE bN _.-FIRE ZONE-_-- _PLAN CHECK SY .__dwh HEAT
� — Corintruct single family dwelling wa3ttar,hed carags. Q Bad-roams 3 Usths._^
jEE CORRECTION SHEET ATTACHED.
SEW__ERPERMIT# ?1-1 > - ,.1.01) _� .eqd `b00 sq. f tl ----------
_ — 40 HEIGHT NO.STORIES AREA 2214NO.BEDROOMS 4 VALUES79,San•
OCG.LOAD FLOOR LOAD .. �.._ -.-
BUILDING DEPAI R1 MENT SETBACKS FRONT REAR d`ti LEFT SIDE RIGHT SIDE 10.2 5
Permit + •a THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING,
�._ — REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check lL3•w►� WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
7n4, WITH ALL APPLICABLE CODES AND OP.DINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
.
Sub-total RESrRiCTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State Tex !$ y 0.80
•H SDC- �r"U-UU r f
Total $360.38 " �"- -- - ---- - -----
PDCM Zi $1010-00, A LIC4NT0 ENT
Approved
dwh Receipt No. AD ESS WHO � — L—
I � / 1
DATE INSP. TYPE INSPECTION REMARKS PLU§IBING DATE
Contracto
Permit No. `fes-
�� Rough-in
�•�/ .w -1,Vb A Fixture
Final '---
_' HEATING
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Contract (�
Permit No. y40_EV �rLY
Gas or Oil _ U
Rough in
- Final ^—
—SEWER
Final s
DRIVEWAY
s Final
Storm Drainage
(Rain Drain)r incl
Sidewalk
Curb&Street Final
_ Approach
UL.DG DEPT.f INAt. TEMPORARY CERTIFICATE OCCUPAN 4
_
CERTIFICATE OCCUPANCY a y _`p 1 Final
—� Landscaping
Zoning Final
4
BUILDING PERMIT APPLICATION TIGAP..:) DATE�,"Ie_ ,tg 773
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE G 3s' ►
OR AS SHOWN AND APPROVED IN THE +CCOMPANYING PLANS AND SPECIFICATIONS. OWNER PtiONE
OVLNER/Ad4bTAlwi ll �0.� JOB ADDRESS �'��,� 7� Q`17P.1`WOO��cx"e, LOTPJO.: 4
ARCHITECT
BUILDER Aw► ADDRESS ,24- Q, ENGINEER
�. �a DESIGNER
STRUCTURE � &EW ❑ REMODEL _ rj ADDITION ❑_ REPAIR Cl RENEWAL ❑ FIREDAMAGE ❑ DEMOLITIOb
RESIDENCE r COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CAR PORT ❑ GARAGE ❑ STOF;AEC,E Cl SLAB❑ FENCF
OC,C.UPANCY �-LAND USE ZONE R�-BLDG.TYPE -Z-ti FIRE ZONE PLAN CHECK I
HEAT-4 '
AN �
e (ao-trQ, rte,. .4sw '�/ T3 ems,
SEWER PERMIT#
OCC.LOAD _ FLOOR LOAD 410 HEIGHT ,2,0 N0.STORIES AREA22I 4- NO.BEDROOMS .lyC VALUtr
BUILDING DEPARTMENT SETBACKS FRONT ,20 REAR LEFTSIDE S.,2S' RIGHT SIDE/0..2,5-
s'^rmit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CGDE,ZON:Nt
REGULATIONS AND ALL.APPLICABLE CODES AND ORDINANCES, AND IT 15 HEREBY AGREED THAT THE
Plan Check 1121- 3-0 WORK WILL BE DONE IN ACCOP.DANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANC!
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISCUANCE OF THIS PEAPAIT DOES NOT WAIVE
�
Sub-total � ��!7"yo RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE.SEPAfiATE PERMITS R=_OUIRED FOR SEWER,PLUMBING AND HEATING. t
otate Tax I p I
Total
PDC# APPLICANT OR AGENT T--By
Receipt No.
Approved ADDRESS PHONE
SDC - s 410_
SEWER CONNECTION $ —27--5-
SEWER INSPECTION S 26-
SEWER-SURCHARGE S '
(ST4 P���I�Lrl" vi^`.,(�.�►e t�jtid�
fdors A-aw .. es
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INSPECTION NOTICE
r City of Tigard Building Department
4 1242.0 S.W. Main St.
If "Tigard,Oregon 97223
t Phone: 639-4171
Type of Inspection ---
c� Time A.M. P.M.
Date Requested—.�1--'--
Address Permit
_-_ Ji
Owner . d "-.% -- Lot #
Builder -- -
The following Building Code deficiencies are required to be corrected: „
I
I –
Presented to �— —_ y Approved
Inspector !1 �_.� Disapproved
r , 1
Date —
CALL FOR REINSPECTION l
[� YES JrNO
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in_.allatiowo Replace u Relocation❑ Addition ❑ Alteration ❑ DATE: _
HEATING Imperial Mech , ^1t . Vista Properties
CONTRACTOR OWNER
110 Box 06327/972069855 SW Riverwood Ln.
ADDRESS _ JOB PDDRESS
7 77-380 1 lmperi:31 Mect" We—,
PHONE _ APPLICANT_._ �—
Heat Input Rating(BTU per Hour) _—.m Vent Size_ Flue Size
FUEL OIL❑ GAS 0y; ELECT ❑ OTHER �__ ----- -- _
ITEM NO. FEE — ' ITEM NO. FEE
For Issuance of Permit 5EE BELUIN Each Air Handling Unit or Duct System 7.50
New-u to & incl. 100,000 BTU ___ 6.00 Commercial Hood System_ 7.50
New 100,000 BUT's & over _ _ 7.50 Other Equipment Each 4.50
Woodburning Stove 4.50 1 Trip Inspection4.50
Wall-Floor. Suspended
6.00 Air Condition Compressor • up to& incl. 3 H.P. 6.00
_ _ --
Vent S s� tem w/Fart 4.50 Air Condition Compressor- 3.1 to 15. H.P. incl. 11.00
Ilia; Co^!!n �_ _ 600
CITY BUSINESS LICENSE REQUIRED BY ALL CONTRACTORS OR SUB-CONTRACTORS ! !
PERMIT ISSUANCE: 10.00 Comments. -----
FEES —
SUB-TOTAL
% STATE Issued By�.
25n,�PLAN CHECK
TOTAL
REC. # __ ---- S;�natu�. of-Avalicant