10327 SW PICK'S WAY ADDRESS:
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i:\records\microflrn\targets\building.doc
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT Gf.RT IFICATS OF"
13125 SW Hn11 Blvd.Tigard,Oregon 97223*8199 (5O3)639-4171 OCCUPANCY
PERMIT #. . . . . . . I MST93 024'
39-4171 DATE ISSUED:
1=2
PARC.EL: 213114PI3 18riM
f3l TE ADDRESS. 1173r 7 SW P1 GKI S WY
3UDDIVISION. . RIVERVIEW ESTATES ZONINGcR--'7 1"'0
81-OCK. . . . . . . . . .. a LOT. . . . . . . . . . . . . 1,31
CL,ASS OF' WORK. :NEW
TYPE OF USE.. . . :SF
OCCUPANCY 6RV,. eR3
OCCUPANCY I OAD:223 4
TENANT NAImr-'. . . :
Remarks . PATH I
Owner:
1<E(-LE'Y SPEER HOMES INC
540 SE 119TH
PORTLAND OR 97216
Phone ## 252-,3966
Cont rac,tov :
KEI-LEY SPEEJHOMES, INC
540 SE 119T;l
PORTA-AND OR 97216
Phone #1 252-3966
Reg #. . 1 58112
Occup4mcy of the above ref,erionced buildi.rL
.1 is hereby given, and certifies
the rompliance with the State Of' r0lreqon f1pecialty Codus for the grokip,
occupancy, aAnd use under which t-hp ref rverlcrd permit. vias issmed.
.4�F<�
PfRE DF1-.'ARTMFNT 11 It4 IN, (A
NG (IF C IAL.
FOOT IN CONSPICUOUS PI-ACE
UNSPECTIO NOTICE ,
City of Tigard Building Department
13125 a'A Hall Blvd. Tigard, Oregon 97223
Inspection Lina (Rec-O-PhOna)s 639/-4175 Business Phones 639-41.71
Inspection: 1 /A _ -,
F—Ling Plbg. Undecalab Mach. Hough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lina FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Ream Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested: l I/ Time: Ik AMPM
Addrese: h�jl —_ - �� (_�( Permit t(( '3 62- ((/Z_
Ruilder:
TM FOLLOWING CORRECTIONS ARE RFQUIRF,Ds
Inspector: Dates C�
APPROVED �^ DiSAPPPOVRD APPROVED BUWRCT TO ARM
-^Call For Rainsp.
NOW
INSPECTION NOTICE
City of Tigard Building Deparlta®at
13125 811 Ball Blvd. Tjaard;Ohba 97223-- -
Inspection Line (Rec-O-Phone)r=69-4175 Business Pho t 41-
�F
Inspections
Wq
Footing Plbg. Undere'-ab Mig�h. Rough-LB� wlk
Found. Plbg. Top Out Cas Line FINALjj
Post/Beam 8truct. San. Sewer Framing -Bldg.)
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Date Requested: I ---Times
Address:_ 1� ( � Permit #t l ,
Buil(Jor. 11
THE FOLLOWING CORRSCTIO11E ARE REQUIRED: �a
Inspec - - Datet
tors
APPROVED DISAPPROVED APPROVED t1UBJECT To ABOVE
Call For Reinsp.
Ns ECTOx N NOTICE
City of Tigard Bullding Department
131.25 SW Ball Blvd. Tigard, dragon 97213
Inspection Line (Rec-G-Phone): 639-4.175 9uainess Fhone: 639-4171
Inspectiont
Footing Plbg. Underelab Hach. Rough-it, Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam Str.uct. San.. Sewer Framing -Bldg.
Post/Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor )Nater Line
Gyp. Bd. -Mech.
Date Reguastedt ! :30-115 __,Timet AM rxY"P!I
Add:ass: t 2-- 'T �� � / Permit 4• `
Builder: l?
THE FOLLOWING OORRZC"',ON8 ARE REQUIRED:
-- �� AA IA.) LI JE 5 /Z
TO
Inspector: __1'
AfPkOVED DISAPPAOWD ✓ APCROVED SUBJECT To ABOVE
gall For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW 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:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Neeh. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bi. -Meeh.
Date Requested: 1L , /_ Time: __AM _PM
V
Address: '7� I 1 � � � Permit
Builder:
THE FOLLOWING OORRECTIONS ARE REQUIRED:
Inspector Date
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVR
_Call For Reinep.
INS PaMORN A-01ZICE
city of Tigard Building Department
im1 ,S SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)t 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underslab M"h. Rough-Lg. Appr/Sdwlk
Pound. Plbg. Top out Gas Lina FINALt
Post/Beam Struct. San. Sewer. )rami _ -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. ad. -Mach.
Date Requestedt LL _� Timet AM PM
// /) ` ` 2 U
Addreae: G; Permit �t
`73--r242
nuilder: �. J l '" - p Q�
THE FOLLOWING COP"" s ARa IRED2 • l O' Z-
op
•,r e nP @
�--... 1z N ( I-(:A
f oryx t
C"O Wti
• (�rz,., . , .,,� re, 0.r A-& 4;:�
Inepactors_ Dates
__APPROVED DI3"PROM _Le�/APPROVED SU13J CT TO ABOVE
Call For. Reinap.
LH S PEqT IC1N N(YfIC2
City of T19ard Eh:1lding rrrpartment
1.312S SA Ball Blvd. ;;.rJr Oregon 97223
Inspection Line (Rec--o-Phono)L 639-4175 Slain�Q)ena phone: 639-4171
Inspection:F
Pouting Plbg. Underalab M. ROugh-in Appr/Sdwlk
Found. Plbg. Tnp Out Gas 1.r�~~ FINAL:
Poet/Beam Struct. San. Sewer
Framing�� -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plby. Underfloor. Nater. Line Gyp. Bd. -Mech.
Date RequestPd:____—_ Time: AM PM
Addreee:` __ Permit #t93 r 10 2-4
Builder: _
c� 3 c -L 4 Z
TBR FOLLOWING CORRECTIONS Ang RRQDIRRDa � Z 4 Z
7-
N
' Qom✓ � :s
�-�- t .✓A,-
A= v
L''V �► u`E-A,-ter- 1_
InspPotore
Date:
APPROVED DISAPPROVED L APPROVED SUB.IECT 1O AB01E
__Call For Rwi::ep.
INSPEcrION NmI—C!
City of Tigard nuilding Departmo
13125 nM Hall Blvd. Tigard, Oregon 977(!35
Inepectior Line (Ree_-O-Phone)z 639-4175 BusIneae Phones 639-4171
Inspection:
rooting Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. �Plbg. 'Pop Out Gan Line FINALS
Poet/Beam Struct. Sa: . tawar Framing -Bldg.
Pout/Beam Hoch. Main Drain Insulation -Plufab.
Plbg. Underfloor - NatBr Lif1a Gyp. Bd._ �h,
Date Requeatedz Time:^c> -:� �__.- AN pN
Addreaez Permit if ^-1 _ h. Z
i
euildor:_
THE FOLLOWING CORRECTIONS ARE REQUIRED:
r
�
Inspectors � i, Dat.ee 61,;. /Yr_f
"PROVED DISAPPRdVED APPROVED '--JHJRCT TO AHOVS
Call For Reinap.
INSPECTION NOTICE
City or Tigard Building DePsrtmsnt /
1al 3125 SHall Blvd. Tigard, Oregon 972
Inspection Line (Rec-O-Phone)s 639-4175 Business P t 639-4171
Inspeckloc:_ � _�
Footing Plbg. Underslab 4h-in Appr/Sdwlk
Pound- Plbg. Top Out erQt% Lino FINAL:
Pont/Beam struck. San. Sewer Psrasing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
P.I�g. underfloor Water Line gyp. ad. -Hoch.
Date Requesteds /1 `,�_ Tuna: AN _ PM
/ 7 s
Address, ,` L.. , C7 (1/ Permit f s '� d
Buildersi
Z�{2
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector- ---- Dates
��
APPROVED DISAPPROVED A:PROVED SUBJECT To ABOVE
Call For Reinap.
INSPECTION NOTSCE
City of Tigard Building Dapartmmm ^ /
13125 RW Ball Blvd. Tigard, Oregou 972 t
Inspection Line (Roc-O-Phone): 639-4175 Business F s 639-4371
Inspections
Footing Plbq. Underalab Mach. Rough-in Appr/Sdwlk
Foundd.� . Plbg. Top Out Gan Line FINALc
T"vm•y /tlttOt) San. Sewer Praming -Bldg.
<l
t/Beam gech. Rain Drain Insulation _Pluinb-
Ondertloor� Nater Line Gyp. Bd. -Meeh.
Date Reyuestod:
Addrssa: Permit f:
Builder:
THE EOLLONINO mm CTIONS 11RE REQUIRED:
Inspectors Dsitee
APPRMD DISAPPROVED APPROVED SUBJECT TO ABOVE,
--Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Departamt
13125 BR Hall Bled. Tigard, Oregon 9722
Inspection Line (Rec-O-Phone): 639-4175 Business Pho ei 639-4171
Inspections
Footing Plbg. Underslab Rech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Port/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Asln Drat-rl Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Mach.
Data RaQ+ .etedt � '- �'�� --
Timrrr AM pN
Address s /��...?�J L [..l Permit #t �
Builders f l_L�T--»1� orf t Z,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inrpectort Dates
PROVED DISAPPROVED T_ APPRIWRD SUBJRCT TO ABOVE
_Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departvw3nt
13125 SR Doll blvd. Tigard, Ocax]ot, 9722
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line F1NAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. '1d, l� /1, -Nech.
Date Requestedt �� /J �"� TJfiilL tC.. AH PX
Addreas t -a ' Permit 0
Builders_' l� r'� _
THE FOLLOWING CORRECTIONS ARE REQUIREDt
inupectOr Dates
APPROVED DISAPPROVED _ APPROVED SUBJECT To ABOVE
_.—Call For Reinap.
CITY CSF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hell C vd.Tigard,Oregon 97223.8199 (503)839.4171
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CITY OF TIGARD "
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 87223.8199 (503)839.4171
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall 31vd.'rigard,Oregon 97223.8199 (503)839.41/1
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131uswtis11M- . PLNCK/RECT #
CITY or TIGA,RD --
COMMUNITY DEVELOPMENT DEPARTMENT Thud�bc^97121 PERMIT #(503)639-4171 DATE ISSUED
JOB ADDRESS: /CJ J Sl: ?1,,e5 A/,4 TAX MAP/LOT _ZS 1 i N 51S (�5-U0
SUB: lfil�Vi6_W _&-Sr LOT: 3/ LAND USE: Q '1 (PD)
VALUATION:
OWNER SPECIAL NOTES
NAME: .c_�S f-'�iZ NFS 2N<- REISSUE OF:
ADDRESS: S1/D. S,6 wre LAST REISSUE:
Fel/2 zE�ND, Civ 97FLOOD PLAIN/
PHONE: ;5:5 4, SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED 51413 90_oOl Y
NAME: -3 PLANNING: 5&_3�21/ate_19e
ADDRESS: '` ENGINEERING:
FIRE DEPT:
PHONE: Y _ OTHER: -1_1k-
CONTR.
7%LCONTR. BOARD #: EXP DATE: 1As
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS:
MECH: C.'L.�ss XQ zLe,4ri . BUS TAX: _
ARCH/ENGINEER CALCULATIONS:
NAME: (`?i4l�w4lZIC-S 'Er s' l TRUSS DETAILS:
ADDRESS: 4-,14' OTHER:
PHONE: (v 4s- (��S
PROPOSED BLDG. USE: SFS hi Sf yZ - 0�oy
COMMENTS:z2ZZ4��44
c lri) z10 L,�
�k IC T SIGNATURE
Received By: _„ 1t.. Date Received:
PERMIT # ACCT N DLSCRIPTION AMOUNT AMOUNT PD. BAL. DUE
msf' ; 02 Z 10-432 00 Building Permit Fees 117S.so ',-.y .-.)
_ 10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees ,�.
10-230 01 State Pl,ilding Tax (5%) � lr 3.'V—
Building o�3 •7�
Plumbing •7> "
Mechanical .2.40
v
I0-433 00 Plans Check Fee
Building c o
PI umbing
Mechanical 10 S '1
10-230 06 Fire
PI Aoff' 30-202 00 Sewer Connection o7/00 2/DU
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448--03 OFfice TIF Fees
25-448-01 Residential Traffic Fees 3 S o
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC) .,- Soo J66
31-450 00 Storm Orainagc Syst Dev Chrg
(SSDC) o2frd J ��d
24-445-01 Water Quality (Fee in lieu of) _
:4-445--02 Water Quantity (Fee in lieu of)
TOTAL .5 .2.51)
yl� q N3
nm/3587P.WP1
w - � PI.AD Cwt &PELICArION
CITY
716A <*
DeispPMRII� DEPAAns�zcar.�t�oaz��O�T� �._ -•------ 9AI8ISSBBn _ --
SriZMT POMIr
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JOS AD�'4LSS: /,'� 31'7 : gICBt:
41 w [�S: FB1DNr �
S� �eareL &M:aucm M:
z
±1 UR 1! aAABO S 'TS _,.--�.--- 3RD:
CTIM Owmimars- CIBAGlEgN:� CLOM z
—P
-.
D
O CM Tom' 00 DM= --
:, Dw SW — TTFM 8 TESD
ePplp�ALS EBQ•D S g HOUS
/OV LL'S; SO
PZd�= gEISSUB: BUS ua
lcust-
DCUMULUC: --- FLOW WAMI ir"M SBB ZND!:D18lY.: -- >®3155 DRtAI!-S.
---- Pl►g�IP1: PLAN:
PIAN:
L�
O'IIIRP: .
PIM CHBCC ET:
-- - f M;`T ^ "+Gr PO. B,AL DUE
OFSUIPTION
PEMT JF 8uildi�g Permit Fees
Ih Z 10_432 Oc? A
-- �-
10-431 00 Plumbing Pers�it Fees Mechar"iel Permit Fees10-43t O1 Tax (Sx) �- _._.------ "31
10-230 01 State Building Z
Building 33•
plumbing �_- - �i ♦ v stl-s
Mech
10-433 00 Plans Check ree
eu i td ing _•��1)._--plumbing
u U
Piech __ - --�6f 30-70 Sewer Connec.t i on
0.Z d 0 30-202 00 ��-��-0- /
SSG✓ Sew er Inspection (SOC)
30-444 00 00 -
51-448 00 St-"et System Oev Charge (O
Paries System pev Charge (POt-) �---
52-449 00 _�- �--
31--450 00 Storm Orainage Syst Oev (3�r9 (SSS:) -- -
10-230 09 TRSt�*n ,nty Fire M1 (9551-)
. 10--230 06 Washing - -------- Sew
-
10-27-0 00 Amart/Wcd9 TOTAL 5,IM43
REC 8 5++ SU U
APPIICAMT SIGNATURE __-
t)atc --
Received By- --
cn/3587P/1.8P
CITY (W T10pnRD RECEIPT OF PAYMENT RECEIV"T NO. s93--Z"39956
Cl--it-'.Cl-/, AMOUNT -4754. 43
NAME s KU.-LEY 5PLFJ? 110ME"F, CAC'3H OMOUNT 0. 00
ADDRFS6 a PAYMf7NT r4)f E 05) 1 1, 9?,
Soso 1 V I si 11N
PURP1113E OF PAYMENT AMOUNT PURPOSE OF PAYMENT AMOUNT VIA 1()
I —D i N(3— 865. 50 f-"ILUMBING PERM 1.!;3. 00
11FUIANICAL PIE 48. 00 sa. BUILD PER 33. 9;•x,
PI-ON CHECK FE 18,35. 0 V) Sli-WF-R UGA ;-_,I 00. 00
3('--WErq INSPECT 00 PARKS 9DC 500. 00
STORM DRAIN GDC 00 RESIDENTIAL- TfRnFFIG FEES 1330. 00
t,lAss -rRANGJT TIF FEES I 10. oil SIJ;!NESSi TAX 60. 00
W327 L3W P'U"KNI 6 WAY
I-Or 31 RIVr-RVIr-.W E5TATEE)
I'f.)T'(.)I- AMOUNT PAID 47`54. 4',
Fir i*innp.r) f4u,:rivr oi-` v,0- ymt:.rl,i RF('F'lr.-IT NO. 2,9 4.3 E,
CHr-.*.('3V\ (1110UNT IA. 0 0
I' 4W.L H0PlF-"G Cnf-')1-4 01101 INT s b. 00
P0YMC-'.'NT DA f L a 04,1,7"fir 93
''i U S D I V I S 1.0 N
(71LIPPOSE. OF PnYMf.:'N-1- AMi-;' lN-l' PAID PURPOSE nF PAYMf---N'l- 0MOUNT PAID
1.1 IN 4 Ql 0 RIJIL.DtNG PERM E I(A. 0
QF113SUE LOT .31 RfVF-RV"1f-"W EST
TOTAL, OMOUNT PnTD 17,VI