10276 SW PICK'S WAY ADDIRESS:
Wag
i:\records\microfilm\targets\bui Id i.ig.doc
CITY OF TIGARD BUILDING INSPECTION NOTICE �J%�
Inspection Line (Rec-C-Phone : 639- 175 Business Phone: 639-4171 '
r �
Inspection: ZLr C�
Footing Susp. Ceiling Sprink. Rough-in Appr/ Ik
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Eloct.
Date Requested: cr - �j ���Time:_ AM PM
,dress: C� c� % 2 / C '
Builder: Permit#:a
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date: zz_
LVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
lt,.XY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT PLUMBING PERvi;T
13125 SW Hall Blvd.Tigard,Oregon 97223-8199 (503)639-4171 PERM IT *1.. . . . . . . : PLMI)S--'1I14'1
DATE ISSUED. 06/20/95
PARCEL.
SITE ADDRESS. . . : 10276 GW WAY
SUBDIVISION. . . . : RIVERVIEW ESTATES ZONING: R-7 PD
BLOCI'- . . . . . . . . . .. LOT. . . . . . . . . . . . . 7
CLASS OF WORK. ADE, GARDAGE Dl-,",OSALG. MOBIL[- 1-4011E SPACES. -
TYPE OF USE. . . . cSF WASHING MACH. . . . . . . . BACKFLOW PREVINITRS. . : 1
OCCUr-",PiNCY GRP. . : R2 n-ooR DRAINS. . . . . . . . T R A P--'S. . . . . . . . . . . . . . :
STORIES. . . . . . . . : WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . :
FIXTURES LAUNDRY TRAY,.-:. . . . . . : 517 RAIN DRAINS. . . . .,
9 1 NKS. . . . . . . . . . URINALS. . . . . . . . . . . . . GRt-:'ASE TRAPS. . . . . . . „.
LAVATORIES. . . . . : 0 THE P FI X T U 1-1 E S. . . . . '.
TUB/SH7WER9. . . . SEWER LINE (ft ) . . . . :
WATER CLOSETS— : WATER LINE ( Ft ) . . . . :
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
Remarks : INGrAl-L RES31DENTIA1._ uicvri-ow Di--vicE.
uwner: - -- -- FEES
BOB MILLION tyle amol-tnt by date V-e(2pt
102'76 SW PICK' S WAY PRMT 15. 00 SW 06/,2121/95
5 PC T 1 0. 75 SW 0(1/21-0/03
TIGAR.) OR 97223
Phone #-zT'51213-639-5949
Conti-ac:tur-r.
TERRA SOL LONDS)CArlING
I ,85 HEDGES DR
TUALwrlN OR 97062
1."'hoTie #.: q• 17% 77) TOTAL
Reg 521] 9
REQUIRED INSPECTIONS
This permit is issued su'uject to the regulations contained in tti RP/Backflow I-"i-,Pv
Tigard Municipal Code, State of Ore. Specialty Codes and ali ether Finial Inspection
applicable laws. All work will he done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for v-e
thar 160 days.
Pet-inittee SignAtl.�ir-f-
Issl.ted By :, -------
Call for, inspection 639--4175
M
City of Tig 3rd PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit # PIz-
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
N+ W o+rMw-1 N9w Sinjc le Family Residences On,,
... � y 01 BATH HOUSE$140.00 0 2 BATH HOUSE$195.00
Job ox? S`0 Y ILk-'i �L bd� ❑ 3 BATH HOUSE$225.00
Address su.v.i. Fee includes all plumbing fixtures in the dwelling and the first 100 feet
�1kk.n-•� � � of water FIXTURES CITY
sanitary sewer and storm � PRICE sewer s be
N AMT
+� ` 1 Lj,,,,,yy`, Sink 9.00
M+Yna A" //__ zZ �... Lavatory 9.00
Owner �� (1� ✓� r Tub or Tub/Shower Comb. - 9.00
cnns�.0 uu Shower Only 9.00
Water Closet 9.00
Dishwasher 4.00
Garbage Disposal 9.00
Occupant Mo,o ; gym• Washing Machine 9.00
Floor Drain 9.00
Water Heater 9.00
Laundry Room Tray 9.00
Urinal 9.00
Other Fixtures (Specify) -- 9.00
Mefny Feu.•. Ph«+• 1 � 9.00
Contrartor 7 I �J � 1 6, i 9.00
crvs�a. L. 9.00
Sewer 1st 100' 30.00
St.,.n.a..nro.N. / un nu. r..N. Sewer-ea. Addit. 100' 25,00
�n� G�IZIaO ��?jYj Water Service 1st 100' 30.00
I hereby acknowledge that I have read this application that the Water Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws. that Storm &Rain Drain 1st 100' _ 30.00
1 am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00
num en is c ct. (if exempt from State registration, please - - -
g reason ) Mobile Home Space ' 25.00
Back Flow Pipvantion_-
Pule*-erRrnf-Fr6lution Device 9.00
Any Trap or Waste Not
I Connected to a Fixture 9.00
Describe work addition Q alteration 0 repair Q Catch Basin 9.00 _
to be done residential &
non-residential O Insp. of Exist. Plumbing 40.00/hr
Specially Requested Inspections 40 001hr
Existing use of Rain Drain, single family dwelling 30.00
building or property --
Residen;ial backflow prevention
devices 15.00
Proposed use of
building or property - - _
. '(Except residential backflow c7.
prevention deilcesJ `j-
NOTICE 'Minimum Foe $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 1�j
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED ----
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25% OF SUBTOTAL
TOTAL
Special Conditions
�- Date issued Z 0 C� -by �^ ��
C 17Y OF M3ARD -- RFr.F'1 F?T QS` N IO. 1 )!P—i'66999
CHECKS AMOUNT s 15. 75
NAME- s TFRR--16701... 1_A114lrf"AC'I.'`6, I..TO CASH AMOUNT LA. LA6'+
AT)C'1RE',!ir 4 EM(.SSf l;W HF_I)AF'S DR I,A'Y'ME NT DOT F7
0f7/c"'0lri`i
TUALA'T I N, OR '311J5T)I V T s f ON
I F''i..1RPOSE or' PAYMENT AMOUNT PA 1A) Pl1E?POSE: ng- PIM MEQ N T AM171.1N'F PA I t)
F'1..UMf INf E--R-1 4F, 15. 00 ST. 0. 75
1
M276 +M P 1:CK 9 5 WAY
I C)'TAI... AW)UNT PA I I) 15). 7 5
I
i
CITY OF T I GARD C'E'RTIVICATE OF
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)639-4171 #
(,,39-4171 DO'm issuEDt
lk-
L77 17,
PAKLL: 24_,114BB-1611110
51TE ADDRESS—. ' 10l`.'76 G)W F*-1ICK5 WY
SUBDIVISION. . . . : RIVERVIEW ESTATLS Z0NING:R-- 7 PI)
BLOCK. . . . . . . . . . : L.01 . . . . . . . . . . . . . c L-7
CLASS OF WORK. :NEW
f*YPE OF: USE. . . -SF
OCCUPANCY GRP. iR3
OCCUPANCY LOAD,9225 4
TENANT NAME,
kemav,+,t; -
Owner:
I
SKVLIGHT HUML BUI(_L)EPS CO
P 0 Box 2315
O5WE(3(7 OR 47035
Flh,)ne #- 503-636-12914
Contractor:
SKYLIUHr HOME BUILDERS CC)
P D BOX 2315
LAKE C1'-7oWEGO OR 97035
Phone ff- 503 -636-2994
Rer,j #. . i 34C 86
Occupsr,ry of the Above referenced building is hei-ebY given, ATIC] LVlr-t ( f1E1S-
the (�amdj. i once with the State Of Oregon GpPc.i altY Codes for- the 91,011P,
o c c:u p a y i c y vt n cl t(F p u n d F%r which t h e r P f c-i p i i c.,e d (.permit w A 5 1 U e d
FIRE' DF1--10R*1'MF-.11T LDING Sl-,F(-TOR
BUTL.DIND LFFICIAL.
POST' IN CONSPICUOUS PLOCE".
�NSPECrON NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 57223
Inspection Line (Aec-n,-Phone): 639--4175 Business Phone: 639-4171
Inspertions ( '��1
Footing Plbg. Underslab Mach. Rough-in Appr/Sde.Lk
Found. Plbg. Top Out Gas Line FINAL: '
Post/Beam Struct. San. Bower Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Rd. C -NmOb�
Date Requested: Times AN j}_7 _PM
Address:_ ��+' I(__K � fLYJ-L _ Permit
Builder s'-4t&��
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inmpsotor: L _� Date:
^J APPROVED DISAPPPOVED APPROVED SUBJRCT TO ABOVE
—Call For Reinsp.
INSPECTION NOT gE �
City of Tigard Buildiogi DeparLwent
13125 OW Ball Blwd. Tigard, Oregon 97223
spection Line (Rec-O-Phone: 639-4175 Business Phcne: 639-47.71
Inspection:______—i —_-
Footing Plbg. Underelab Mec:,. Rough--in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Poet/Baam Struct. San. Sewer Framing -slay.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mesh.
c �
Data Raquesteds �/ = Time: _AN PH
Addceee: ormit tt
Builder: �1 --
TBE FOLLOWING COMECTIONS ARE REQUIRED:
'JA 7r
w 1 U lcr�-s� O `J �• , --
Inspectors
APPROVED DIBAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SA 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. Tap Out Gas Line FINAL-
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lino Gyp. Bd. -Mech.
Date Requested:____—__ Time: - AM _ PM
Address: 1 Permit
Builder:_ ---
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspeatoet1
11PIPMIVED DISAPPROVEC APPROVED SUBJECT TO ABOVE
Call For Reinep.
INSPECTION NOTICE
City o[ Tigard Building De-partswent
13125 811 Ball Olyd. Tigard, Oregon 97223
Inspection Lina (Rec-O-Phone)s 639-417' Bustneas Phone; 639-4171
Inspeoctions
Foc .ing Plbg. Underelab Mach. Rough-in Appr/8dwlk J
Pound. Plbg. Top Out Gas Line PINALs
Post/Beam struct. Sart. sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insul.atlon -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Nech.
i
Date Requesteds ��� _ Times AN PM
Address e i O �//�A�� � �I //�Tertoit 1 s
Builders
THE MJAKING CORRAMILONS RBQOIRBDs
1 I,JS> L �1 I� (1 I AJ C til F S It)
ys SIJ<� 6y_15ri )&- tit-IZ , —
GoaPCtrE 5i DEW/LL. r u/ESY �v0
Inspector: �V �! / �f � D,%Ljs
APPROVED DISAPPROVED 1 �APPROWD SUBJECT TO ABDNB
__L call Fo: Reinep.
7
INSPECTION NOTICE
City of Tigard Building Deparbt 'tt
13125 an Ball Blvd. Tigard. Oregon(9ZZXV2
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Undersiab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lina FINAL:
Past/Beam ntruct. San. Sewer Fraying -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line `Oyp. ad. r M�ech.
Date Requesteds TLmes __I__,LAM P!I
- v Address: 7,4
J
Builder
Tn FOLLOWING 64RNC .0198 ARE REQUIRED:
Inspectors Date:
i
APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE
__Call For Reinsp.
;NGPBC'CION NOTICP, I -
City of Tigard Building Departmen , i
13125 871 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec•-O-Phoneys 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Swaer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underflcx,r Mater Line Gyp. Bd. -Mer_h.
Date Requestedt_7�(�(:_ '//� Tisses AM PN
Address: / ;� J 4 Permit
Builder: _/Z
THE FOLLOWING CORRECTIONS ARE RRQUIREDs
Inspectors Dates
�.
_APPROuED DISAPPROVED APPROVED SUB.?ECT To ABOVE
-- Call For Reinsp.
JNSPBCTIONNOTICE
City of Tigard Baiilding Departoent
13125 SII HA11 Blvd_ Tigard, Orogon 97223
�a��
Inspection Line (Rec-O-Phone): 634-4175 Business Phones 639-4171
Inspection: __ _
Footing Plbg. Underelab Hoch. Pough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL:
Post/Be,tm Struct. Orn. Sewer Framing -nldg.
Post/Ream Hach. Rain Drain Insulation -Plumb..
Pli-1g. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: j d� _� _—_ _Time: AH PM
Address: c7 i ( 4' Permit #I �/ 1
.r'
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: --- ------.----_—� Dater—,+P--
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
9
INSPECTION NOTICE
City of Tigard Building Depaztment
3.3125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4.175 Busineas Phone: 639-4171
Inspections
Footing Plbg. Unders Mach. Rough-in App-/Sdwlk
Found. Plbg. Top Out Gad Line FINALa
Poet/Beam struct. San. Sower Framing -Bldg.
Poot/Roam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. ed. -Noah.
Date Regvesteds
Add "t
Builders1.
THE FOLUMIEO� IONS ARE REQUIRED+
Inspector+.61V �.`� y,C` _ - Datee
APPROVED - DISAPPROOVI�D __ APPRO''RD SUBJECT To AROVR
—Call For Reinap.
1
INSPLCTYON NOTICE
City of Tigard Building Departas:et
13125 SW Hall Blvd. TigarO, :regon 17223
Inspection Line (Rec-O-Phone)s C39-4175 Business Phone: 639-4171
Inspections - --
Footing Plbg. Underelab Mach. Rough-in Appr/Bdwlk
Found. Plbg. Top Out Gas Line FINALS
at/Beam Struct. San. Sewer Framing -Bldg.
.p®t/� Beam H ' Rain Drain Irgulation -Plumb.
P bg Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: 2 —Times AM P14
Addresss 47= Lj Permit 1:
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinnp.
INSPECT ON NOTICE
City of Tigard Build!ng Department r
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)s 639-4175 Business Phone: 1.71
Inspection: —
/ Plbg. Undorslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Btruct. San. Sewer Framing -Bldg.
Past/Beam Hoch. Rain Drain Insulation -plumb.
Plbg. Undorfloor water Line CI) Gyp. Bd. -Meeh. D
Date Requestedi (��2 >> Time: AM /_44_
Addreas: 0 -2 -fy Permit it
Builder:__( ` �, L/
THF FOLLOWING CORRECTIONS ARE REQUIRED.
----- ��`
Inspector: Date: "7
_Q' APPROVED V, DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building D,:partment 1
13125 8U Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone: 639-4175 Business Phone: C39-4171
,. Inspection:_--.____ —
V'
Plbg. Underslab Mach. Rough-in Appr/Sdwlk
.� Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Pout,'deam I" :h. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach
Date Requested:_ // _Times AM PM
,f 1
Address: �' !/i�� -J. Permit 1:z/ — r"I / 7
Builder:__=Ss� G
1 THE FOLLONING Oo*kicTIONS ARE REQUIRED:
42i
L
inepector: I Dates y_
APPROVED U1DT1APR0VxD APPROVED SUP-TECT TO ABOVE
—Call For Reinsp.
INSPECTION NOTICE. /
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 91223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171.
Inspection:___
Footing Flbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. ao- Sewed Framing -Bldg.
Poet/Beam Mech. R Llp -in Insulation -Plumb.
Plbg. Underfloor �// at] I / Gyp. Bd. -Mech.
Date Requested:._ L/ / ( e 3 _Time: AM PM
i ,
Address /& Permit 1:
Builder:__
THE FOLLOWING CORRECTIONS ARE REQUIRED: f/
Inspector: __ Date: _
_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinnp.
ITY®FTI A RD Tcm;�� 'LL1111b b I T
TWARD
COMMUNITY DEVELOPMENT DEPARTMENT 00160H . . . . . . . MST9 1-021.'�
13126 SW HWI Blvd. P.O.Box 23397,Tip",O"Mon 07223(603)6394175
" 11, tIRCEL: 251140B-1810T
3UBDIVISION. . . . RIVERVILW ESTATLS ZONING: R-7 P,D
L01'.
..)-ASS OF WORK. 9INIEW GORE PGE
'ryvs GF" USE. . . . SF WASHING MACH. . . . . . . . I
SACKFLOW PREVNTRS. . :0
OCCUPANCY GRP,. . . R,3 FLOOR DRAING. . . . . . . .0 T 14 P P 5. . . . . . . . . . . . . . :0
STORIES. . . . . . . . ..2 WATER HEATERS. . . . . . : 1 CATCH BPSJ:NS. . . . . . . :0
FIXTURES----- LAUNDRY TRI-)Y::i. . . . . . ..0 SF. R(-;IN DRAINS. . . x . : 1
GINKS. . . . . . . . . . .. I GREAsf.L TRAPS. . . . . . . :0
;-AVATURIES. . . . . :4 O1-H1%J4 FIXTURL'S. . . . . :Q,
lUb/SHOWERS. . . . : '.--.)'EWER LINE (ft) . . . . :0
WATER CLOSE T*S. . :-3 WATER LINI.-:. ( Ft ) . . . , . 1 0Q1
DISHWASHERS. . . . . 1RAIN DRAIN (ft) . . . . :0
Remat-ks:
OWNER:
SKYLIGHT HOME BUILDEPL.11 1I I. j 00 JH 03/19/9'3
U TAOX 2315 BPRT $ 445. 50 JH 03/19/93
LAPI-J." $ 40. 00 JL 1-4 12 31/91
LAKE OSWEGO UR 97033 B13P.1c 41 ''ti JH 03/11) 91"
Phone -A: 503-636-2994 SSDG $ 2f30. 00 JH 03/19/93
A R I., $ 300. 00 JH 03/19/9.3
Plumbing MPR V $ 40. 50 JH 03/19/93
t j MPL-C $ 10. 13 JH 03/113/93
Nalme. MbPC $ Lw« 03 J4 1 013 19/9
Odd r,e E s i P R-1 $ 147. 50 JH 0:3/19/9;:;
C i t Y . t ate :...- __ _ p15F-'c; 7. 38 JH 0.3 19/9
Z L P --J-1hone#.
Req
REQU I RED INSPECTIONS
This 9 Per^jnit is iSSUP(J Subject to the i-ey
1-ilations contained in the Tj !gav,d Mi.knicipal Foot/found Insp Rain dt'ain lwsf
Code, State of 0-v. Spec:ialt,,, Codes and all ;Dust/bcam r3tv'uct Watev Line Int
Other' apPlICRble ISWS. All, work wiii be done Post/Beam ilechan Appr-/Sdwlk In!;.
in ac.,(-,ot,dan.ce with app-ovec,' plzkns. 1Fis 1:1,m/o.wdslAb Insp Mechanical 1--irtAi
pe)--mit will expire if wat-k is not stat-ted PILM/Un d e r-f I o o r- Plumb Final
within 160 days of issl,.tanre, or' if woi,k is Mechanical Insp Building rinai
suspended for, more than180 days. P,i u m b 'I op Out Erosion Control
F'v'aminq Insp (.'Xavil Di-Ain
Fit-eplAce lnsp
ha's Insp
Insulat.ion Insp
Gyp Boav,d Insp
j Contr- tur-, Signat ur-e
Call. for inspection -- 639-4175
..........
- -------------
CIT1CCSFTIFARD A
MYOFTIMW)
COMMUNITY DEVELOPMENT DEPARTMENT MOM mAs-rcp PERMIT
13126SWHW181vd. P.O.BrA23397,Tigmd,Ovegon 97223(603)830-1176 CITY TWW) rri3mlT #6. . . . . . . i MST91--0297
639-41 /'1 —1)i-JE ISSUEDi 03/19/93
SITE ADDRESS. . . = 10276 SW PICKS WY PARCEL: 253114BB--18100
SUBDIVISION. . . . e RIVERVIEW ESTATES ZONING: R-7 PD
BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . .. :27
------- BUILDING
REISSUE:MST91.-@.---'96 DWELLING UNITS: l BASEMENT. . . . . . . . 30 S f,
CLASS OF WORK. iNEW BFDRMSs4 BATHS:3 GARAGE. . . . . . . . . . :/4A0 s;f
TYPE OF USE. . . :SF FLOOR AREAG- REUU I RED SETBACKS--
TYPE OF CONS T. o5N FIRST. . . . iI136 S f LEFT. . 125 ft RIGHT. s 15 ft
OCCUPANCY GRP. :R3 SECOND. . . :958 s f FRONT. s 20 f t REAR. . 125 ft
9YO R I E S. . . . . . . v2 THIRD. . . . v0 S f REOUI
14EIGHT. . . . . . . . :25 ft SF SMOKE DETECTORS. 2Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . $1 104244 PARl-'%ING SPACES. . 10
Remarks:
PLUMBING
SINKS. . . . . . . . . . s FLOOR DRAINS. . . . :0 BACI-',FLOW PREVNTRS. . 10
LAVATORIES. . . . . 14 WATER 14EATERS. . . : 1 TRAPS. . . . . . . . . . . . . . 10
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS- 20 CATCH BASINS. . . . . . . 90
WATER CLOSETS. . v :; SEWER LINE (ft ) . :0 GREASE,.: TRAPS. . . . . . . I@
DISHWASHERS. . .. . al WATER LINE (ft ) . 0100 OTHER FIXTURES. . . . . 10
GARBAGE DTqr'. . . : 1 RAIN DRAIN (ft) . i L71
WASHING MACH. i I SF RAIN DRAINS. . 91
MECHANICAL FEES
FUEL UNIT 14TRG. . u0 type amount by date recpt
/GAS/ VENTS TIF 1380. 00 JH 03/19/93
MAX INPUT:O BTU VENT FANS. . s4 BPRT E /4-45. 50 J1-4 03/19/9:3
FURN ( 100K . . -0 HOODS. . . . . . : I BPLC A-0. 00 JL+l 12/31/91
TURN ) =100K . . : I WOOD[3TOVES. :0 BSPC $ a-2. 28 .114 03/19/93
FLOOR FURN. . . . cO CLO DRYERS. : I SSDC $ 280. 00 JH 03/19/93
BOIL/CMP ( 3HP:@ OTHER UNITSs@ PARK $ 500. 00 JH 03/19/93
GAS OUTLETSil M P,R T $ 40. 5,0 JH 03/19/93
Owner: ....... --.--MPLC $ 10. 13 JH 03/19/93
SKYLIGHT HOME BUILDERS CO M5PC $ 2. 03 JH 03/19/93
1:1 0 BOX 2315 PPRT $ 147. 50 JH 03/19/93
P5PC 11 7. 38 JH 03/19/93
L.AKE OSWEGO OR 97035
Phone #t 503-636-2994
Contractor: ........
SKYLIGHT HOME BUILDERS CO
P 0 BOX 2315
LAKE OSWEGO OR 97035
Phone #s 59.13-636-2994
Reg 34086
$ 2875. 32 TOTAL
This permit is issued subject to the regulations contained in the REQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Spet),ity Codes and all other Foot/found Insp F irepleee Insp
applicable laws. All work will be donefin accordance with approved Post/Beam Struct Gas Line Insp
plans. This permit will expire
Z
is started within 180 Post/Beam Meehan Insulation Insp
days of issuance, or if work Ped for more than 180 days. Plm/undslab Insp Gyp Board Insp
PLM/Underfloor Pain drain Insp
t,ermittee Signatur A/ Mechanical Insp Water Line Insp
Plumb Top Out Appr/Sdwl,k Insp
Issued By I- Framintl Insp Mechanical Final
CITYOFTIGrARD cnYOFTWARD ✓
COMMUNITY DEVELOPMENT DEPARTMENT ORmoou
71h1f'1:_;l'Gf•: FERIrIIT
19126 SW FW!Blvd. P.O.Bac 23347,Tlpaid,orpon 97223(603)639-4175 �. „.•,, y.
10276 SW w'I CK 3 t•Jv V41RCI::L: is G 11 11-BB--18 100
.Ibt) i- JL5iON. . . . .. RIVERVIEW ESTOTLS ZONING: R•--7 PD
P. .iU... . . . . . . . . . LOO.. . . . . . . . . . . . . :
BUILDING __.....___._._.._.__......_ ..._...._..._..._._.. ...___ _._.__.___ _
DWELLING UNIT': : 1 . . . . . . . . :171 :;f
A Of- WORK. -NEW BEDRMS:4 BA T-HG:3 GARAGE. . . . . . . . . . :440 s f
ri l r- USE-1. c F FLOOR ARLPA. La
_.._. ..,..._.._.__...._. RLIJUIRED U[ 1 ACK;:i......__._..-..
.__...
U1 L ONST. -5N F"I RST. , . . : 1 .1 6 s F LEFT. . :a5 Y fi RIGHT. : 15 f t
14NC:If' GRr-'. : R-1 SECOND. . . -' T'__11_1 51 FRONT . .20 ft REAI'i. . :E5 ft.
�r1 1 LS. . . . . . . . . THI RD. . . . -0 s f REQU I RED_.__.._ _.._._.._..._...._._..._..-
i. t 10144L..- 'l1'i•4 s f G1yJ )1,',E DLTEC TORS. :Y
Li F 1_DAD. . . . :41A p y f VALUE. . . . . 104244 PARKING SPACE,,3. . :0
1TI Wk<S :
_.._...._._.__..........___.._._._.... _._.._.._. ._._..._ ....- PLUMl_111g6 _._ ._ ._.__.. _.__.___..._._..__.__.._._.___.... .__.._.._.._...___...
. . . . . . . . : 1 FUJOR :0 8AC.:1,,F 1_0W PRLVNTR5. . -0
uRILS. . . . . :4 WATER HEA`fErRS. . „ ' I TRAPS. . . . . . . . . . . . . . .0
!UWE.RS. . . . .3 LAUNDRY 1 FRAY".5. „ . :0 CPJ(J1 BASINS. . . . . . . :0
ELOSETS. . :.3 GEWE:R L.lNf._ (ft ) . :0 GREASE TRAP'S. . . . . . . :0
L.;Il�ni-l::.ilif:Ra. . . . . I Wf-ITER LINE (ft ) . 11110 01J.1ER P•IXTURES, . ,. . . :111
4-1i6-IgUE_ UISF'. . . : I RAIN DRAIN (•Ft ) . :0
1!1r4i h1ACli. . . : 1 5F RAIN' DRA1N'.i�. . : 1
--- MECHANICAL ..___.-_ _ . _ --- _ ---.__.._. ...__..___.._.......__....._,._.__ ... 1 FES
UNIT 1_4141J. , :0 type -im(.)i.tn•t by date
VENTS . . . . . :0 TIF $ 13580. 00 JH 0:3/19/93 -
'41x 1N111JT :0 BTU VENT 1=Whla. . :4 BF'RT 4'5. ',5IZ JH 0_3/1()/93 -
1 ;i,N ( IV,0K . . :0 HOODS. . . . . . : 1 BF'LC 40. 111171 JLH 12/31/91
!I?+•I 11Z11ZU: . : 1 WOODSTOVES. -0 E;;:PG $ ciiW. i 8 J11 1113/19!93 -
t_1_;LIR FURN. . . . :1l► CLC) DRYERS. : 1 SSDC: $ 280. 00 JH 0:3/19/9.3
OTHER U •!11 ;-0 PkR11% $ `:,00. 1110 JI1 03/11)/6!3 -
GAS OU1LL`l S. I MF'RT $ 40. 50 JH 03/19/93 -
n r c1 _._._,._..._..._•-..-. ...._._.__._._..... ._... _...- ..11 'L_C $ 1.0. 1;:, JH 1213/1.9/1)3
O'YLIGHT HOME_ BUILDLRS GO MSPC $ 2. 03 JH 03/19/93
1.1 BOX C'13`15 PPRT $ 1.47. 50 JII 03/19/93
r-:,5w'C: $ 7. 38 JH 03/19/93 -
Ei
03W[A3U UR 9703"1
nne 1#: 503- 636-...,_c)at1
_.-_. .... ... _ .. _ .......
.I, (LIGHT HOME BUILDERS CO
is,L OSWEGO OR 97035
1 ITor7e #: .a0;3•••b;.;C:,--; ''a94
34086
9. 1175. ;32 TOTAL_
s permit is issued subject to the regulations contained in the - REOUIRE:D INSPECTIONS - - -
lgard Municipal Code, State 1b,
alty Codes and all other F`Uot/f'uund Insp Fireplace Insti
applicable laws. All work wiaccordance with approved r'o': t/seam fStr-c;ct Gas Line Insp
clan=, This permit will expinot started within 19N !'oast/Beam Mechan lns,_tlatian Inb,rdays of issuance, er if work for mart than 1bO days. 1,lm/,.tndslab Insap Gyp Etoard .Lnsp
trl%tj11d r f 1,0U1 Rain dl,-ain Insp[incl+ l.l __._ .._........__-• .._.._._._ t!l?CI'ic�rl'Ll"r.1.1 111sp watet, Line Insp
_ F'1'kmb Top U1..tt Appl.,/5dwIE( Insp
r Y+Ivr^ i"1n•i,r. :., ! r' inI I
I,CWCR CONNLCT I ON
CITY OF TIGA RD TW,7401 P'LiRlyl I T
COMMUNrTY DEVELOPMENT DEPARTMENT ancon PERMIT #. . . . . . . : SWR92-0174
13125 SW HWI Blvd. P.O.Box 23397,TigaM,cirogion 97223(53)639-4175
; [TE ADDRESS_ ; 16214 SW 103RD c PIARCEL. 2S114-BB---16i?00
,3 ULAD IV IS ION. . - . -. RIVERVIEW EST07 ZONING. R-7 P,L)
I.ALDCK. . . . . . . . . . e LUT„ . . . . . . . . . . .
ENANT NAME. . — :
,'34 NO. . . . . . . . .. FIXTURE UNITS. .
i_t_ 55 o r" WORK. . . -NEW DWELL I NG UN I TU. 1.
YP'E Or, USE. . . . . ..5F NO. OF' BUILDINGS, I
TYP'E. , . . :BUSWrl I11k'ERV SURFACE.. .. S f
ca in ark s
vorier: FE:'ES
HOME BUILDERC,:-) CO type ainoi-trit by date re(_'Pt
0 BOX 2315 P'RMT $ 2100. 00 JF1 03/19/93
INSP $ .15. LAO JH
:-PKE OSWEGU OR 97035
1"Tiorie #: 503"636-2994
.ontractor:
CIONTRPICTOR NOT ON F ILF.
F.Tione IOTAL.
REUUI R E'D INSPIECTIONS
This Applicant agrees to comply with all the rules and regulations F3 e w P Y- I ii s p e c t i a ti
of the Unified Sewage Agency. The pet-sit expires 180 days from
the date issued, The total amount paid will be forfeited if the
permit expires, The Agency noes not guarantee th' yracy of the
' ai
side sewer laterals. If the sewer is not located �t fie measurement
.,iven, the installer small prospect 3 Leet in 'al directions from
K
the distance given, If not so located.. ��,I!r shall purchase
a 'Tap and Side Sewer" Permit and the n;tall a lateral.
ev M it t ee bi gylat-"'k-e/
I d LA ---- Call - for j.n s pert j.a n 639- 4175
au awa_ PLNCK/RECT #
CIT OF ,rIGARD 10 Box 23397PERMIT # l- C�,,��1
COMMUN1W DEVELOPMENT DEPARTMENT TiprQOregon 97221
(50!)679-4171 DATE ISSUED
JOB ADDRESS: /o Z2 4. P/C-Ae f w'nr- TAX MAP/LOT —5
SUB: 91,1eltvilIV LOT: --2j LAND USE: ._
VALUATION: /c40 2 y
OWNER SPECIAL NOTES
NAME: HOME up(-,OFK-s CO. REISSUE OF: i ri'l
ADDRESS: R 0 !3u Z3/S _. LAST kLLSSUE:
LgKf 04w,--60, OrZ. `)703s- FLOOD PLAIN/
PHONE: 503 636--Z99y SENSITIVE LAND: _
CONTRACTOR APPROVALS REQUIRED
NAME: S✓.!—��bH� �iomsf 13��c�,oF�rs CO. _ PLANNING: q�
ADDRESS: PO 13ENGINEERING:
ia),(e mr1,c-6c'_ e) 1)7V3s-- FIRE DEPT:
PHONE: 15�-0� —Z 9`� _ OTHER:
CONTR. BOARD S: 3y6 FXP DATE: Z—
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: t/IOLOI r PC�fln9 14 LIST/SUBCONTRACTORS:
MECH: thVCI-1F- ► -rb coxa. BUS TAX:
AR IVENGINEER CALCULATIONS:
NAF+►-: SK, y H-r Nome TRUSS DETAILS:
ADDRESS: _ eo B ?YJ s ' _ OTHER:
(-0 -Q- v.rU-jF6y, v.z. e77t3 �r-
PHONE: Cj r`I
PROPOSED BLDG. USE.
COMMENT C'—lfl� L d7- 2t �ocv auric s�e9n ay�� CONOS. A0,f W/5690
PI_ICANF SIGNATURE
1
Received By: T 1_ _ _ __ Date Received: _ / 1/
PIPIMIT n ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees
' 10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees ` 0''y `�� 5v
10-230 01 State Building Tax (5%) 3i G / G�
Building 22 2 �
Plumbing 2.�Y
Mechanical °3 v
10-433 00 Plans Check Fee So.� 3 yu 0_
Building
Plumbing
Mechanical
10-230 06 Fire --
zlr��,
30--202 00 Sewer Connection -
30-444 00 Sewer Inspection 3) 3 5:
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees i
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees --
52-449 00 Parks System Dev Charge (PUC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) S Z Yy —
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL J, 3 L ci
nm/3587P.WPF
rily 01:7 'rlC.',APL) RECEIPT OF PAYMENT RECEIPT NCI. »93-4`38153
(.:I-iEf:K AMOUNT a 3596.1. 32
bVYLA(.-,tA'r Hol,,Tlii CAOIA AMOUNT (A. 00
-1 -r DATF 03,/*-:,Z,./93
ADDRESS t"AYMEN
531jilD I V 191 ON
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE:' OF' P0N"M(--NT (.00UNT PAID
IAIJII-r)T.N(j: PERM 445. 50 C-11AMSTNG PERM 147. 50
MECHANICAL PE 40. b0 ST. BUILD PFP 31. 69
pll-AN CHECK FF.". 10. 13 SEWER USA 1.00. LAO
SEWER JNSPECT 35. 00 PORKS SDC' 500. vivi
':Jnq� M DRAIN f..DC ;2.60. 00
IDT 27 RIVF-RV'lr-.W ESTAI'Ct�'
JO-C"76 SW WAY
roTAL 0MOLINT P(IIF) 3590. 3i?