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CITY OF T I GARD
COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OF'
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)632-4171 OCCUPANCY
xxx)( PERMIT #. . . . . . . , MGT9
639--417! DATE ISSUED: 04/06/94
PARCEL., 2S114BD---18900
)ITE ADDRESS. . . : 16145 SW 103RD AVE
"USDIVISION. — I RIVFRVIEW E-STATES ZONT NG:R-7 FID
. . . . . . . . . . . LOT. . . . . . . . . . . . . :35
OF WORK. :NEW
TYPE OF USE. . . ;GF
JCCUPANCY ORP. 4R3
irmr,ANC,Y LOAD222M 4
LNi iNT NPME'. . . .
'?em-'. rks : PATH I
1wner:
MYLIGHY HOME BUILDERS CO
U BQX 2311".5
AKE OSWEGO OR 97035
' 'hone #: 503-636-2994
�orltraft:orl
`�KYLILGHT HOME BUILDERS C-0
0 BOX 23J5
AVE OSWEGO OR 970:5
,hori*,., 50:s -636-295-r
:'e q 34066
!ccupanry of the above referenced bo.ii1ding is hereby givers, and certifies
hL- compliance with the State Qf Oregon Specialty Codes for the groUp,
Ccll�'Anc.-Y, and use under which the referenced permit was :issued.
BUILN G
1, DIIhi S P E c 0 R
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POST IN CONSPICUOUS PLACE
co
OaFrom FINANCE/LETHA, 24 May 94 7:50aaaaaaaaa aaaaaaaaaaaa a aaaaa 1 of 6 aG
°From: FINANCE/LETHA 0
°Subject : Re: X371 WOULD THE HOUSE AT 16145 SW 103RD BE READY FOR 0
°To: SUEW 0
°X-To: FINANCE/SUEW 0
°Cc• JOHN H 0
°Date: 24 May 94 07:50 : 10 0
0 0
0:- From: FINANCE/SUEW 0
0 > Subject: X371 WOULD THE HOUSE AT 16145 SW 103RD BE READY FOR 0
0> To: LETHA 0
1> X-To: LETHA 0
0> Date: 23 May 94 17 :22 :48 0
0 0
0> A C OF 0 YET. YOU HAVE A HOLD ON IT FOR SIDEWALK/APPR PROBLEMS.
0> THANKS, SUE o
0> 0
°>SUE, THE BUILDER HAS NOT YET CONTACTED JOHN HAGMAN TO BOND FOR THE SIDEWALK
°WHICH WAS POURED WITHOUT INSPECTION. HE WAS NOTIFIED IN FEBRUARY AND AGAIN
°IN MARCH THAT THIS WAS REQUIRED. PLEASE CONTINUE TO HOLD THE C.OF O. AS THIS 0
°IS THE ONLY HAMMER WE HAVE IN ASSURING THE WORK PT THIS TIME. 0
0 0
°THANKS! , LETHA 0
0 0
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INSPECTION NOTICE
City of Tigard Building Department --
13125 SW Hall Blvd. Tigard, Oregor: 97223
Inspec-kion Line (Rec-O-Phone): 639-4175 Buni.nese Phonet 39-4171
Inspection: _
Footing Plbg. Underelab Mach. Rough-in Appr/Sulk
Found. Plbg. Top Out Gas Line FINALt_-�I
Post/Beam Struct. San. Sewer Framing -Bld
Poet/Ream Mech. Rain Drain Insulation
Plbg. Underfloor Water Line Gyp. Bd. -Kech.
Dote Regunsted t �\` 14 c 1 �, Tim�ne:n t C� AM 1 PK
Address,�� , �� 1 V J L3 1 Permit>1i L�- 011
Builder: A'1l ..Fly`tC".Y� 0 /l
1 trS1/V�
THE FOLLOWING CORRECTIONS ARE RS UIREDt
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Inspectors Datet��
PROVED DISAVE
DISAPPROVED APPROVED SUBJE'CTT TO ABOVE
-_Call Por Rainmp.
,�I:SPEC'fION NOTICIi_
City of T39ard Building Deivrtisetnt
13125 Be Hall Blvd. 'rigacd, orw�on 97213
Inspection Line (Hoc-O-Phone): 639-4175 Rusineps Phone: 639-4171
Inspection:
Footing Plbg. Undersl.ab Hoch. Rouqh-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. Ban. Beater Framing .-Bldg.
Post/Beam Gtech, Pain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line ciyp. Bd.,� -Hoch.
®..�_.
Date Roquested: J/ �U/��7�� �TLY1mat J / AH /' PM
Address: lLS �L� �-' Parlor /�s LC�� --[9327
Builder:
TBE FOLLOWING OORRECTION3 A" RMUIRED:
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Inepector:i �""� Dates ` 0 — 1
APPROVlb DISAPPROVED APPRO"n BUBJ m To A90VR
call For Reinsp.
INSPE^.TION NOTICE.
City of Tigard Building nepact„ent �ni639-4171 131.25 SW Ball Blvd_ Tigard, Oregon 9722Inspection Line (Rec-O-Phone)r 639-41,5 Business eh
Inspections_— ^
Footing Plbg. Underslab Hech. Rough-in ApprjSdwtk
Found. Plbg. Top Out Gas Line FINALt
N stjBeam Struct. San. Bower Framing -Bldg.
Post/Beam Hoch. Rain Drain InsulatLon -Plumb.
Plbg. Undorfloor Water Line g Od.. -Hoch.
Date Requesteds_ I� � _Time: _ AH --PH
Address: ' L ,} Y( y
I S IyJ- Permit �i 1 ✓-�
4
Buildors w,
THE FOLLOVING CORRECTIONS ARZ PJWZI s
Inspector: _ Dat ai� _'E
�Alr ROVED DISAPPRO'JtD APPROVED 81)s;.FRCT TO ARMS
Call Po- Reinip.
1NS,PSCTION hx,g7.
City of Tigard Building Department
13125 Sw Hall Blvd. '!I.gard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Businean Phone: 639-4171
InsF ctiona
Footing Plbg. Underslab Koch. Rough-in (,,r/Sdwlk
Found. Plbg. Tap Out uej Line 1wALt
Pont/deem struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Inoulation -plumb.
Plbg. Underfloor Water Line GT Bd. -Koch.
Datu Requested: l G 6� _qt// Times
Addre sa s (IJ C _ d'- _ Permit
G
Builders "IkLA
CI � ) O_LCf I If
TBD. FOLLOWING CORRECTIONS ARE REQUIRED:
4.0 b(/17F AL1 T
Inspectors (i .7imiob i — Dater -4-(-If
`-APPROVED ,(,DISAPPROVED APPROVED SUBJECT TO ABOVE
�7� Call For Reins-.
INSPECTION NOTICE
City of Tigard Building Department
13125 ON pall (Blvd. Tigard, Orogon 97223
Inspection Line (Rec--O-Phone): 639-4175 Business Phone: 6,l9-4.171
Inspections
Footing Plbg. Dnderslab Mech. Rough-in �tltppr/Jsdwlk�
Found. Plbg. Top Out Gas Line 1IKALs
Post/Beam $tract. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Inaulatlon -Plumb.
Plbg. Underfloor water Lir: Gyp. Bd. -Kwh.
Date Regvesteds �� ��� T1Mt ri1M "PM
Addrsss dkl 1 (U 3 P.reit 01 M 5-T 3
Builder:
THE FOLLOWING CORRECTIONS 11RL REQDIRF.Ds
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Inspectors Vin?46 Dates
APPROVED �IsApppiw= APPROVED BtlRjgrT To Ago"
__Call Cor Re!.nsp.
INSPi3=4 N NOTICE
City or Tigard Du4Iding Departwmmt
13125 90 hall Blvd. Tigard, Oregon 47223
Inspection Lino (Rec-o-Phone)r 639--4175 Business Phonex 639-4171
Inspection:_
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Struct. San. Sewer Framing L-Bldg.
Post/Beam Hoch. Ral.n Drain Insulation -Pluwb.
Plbq. Underfloor Nater Line Gyp. Ed. -Hoch.
Oats Requested: ( `lC _Time: AM PK
Addressr `1 �� ✓r 1, Permit #tM51'
L5 3 0301
Buildor:
THE FQLLOMINO 4/ORRfCTIONs 7lRE 1tIWZPJ D:
/Pa re ' / U"Y
Inspectors. Data
APPROVlD DISAPPROVED j APPROVRD SUB.TRCP TO ADO"
T�11 FoorrRReinsp.
INSPECTION NOTICE
city or T! ard Building Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O--Phone): 639•4175 Business Pho 639-4171
Inspect ion: -_ /1 e"(/'e-tJ It—
looting Plbg. Underelab Mach. Lough-in Appr/Sdwlk
Pound. Plbg. Top Our. pas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drainnsu Illtion -Plumb.
Plbq. Underfloor Nater Line1 Gyp. Rd. -M♦pb,
Date keyveeted / -[� C, r/ �T1lml:T�f♦![ PM
Address: L— 3 IV df
hi1rmit rt�� —y't
Builder
THE FOLL01"No 0 CYTONS ARE REQUIRED:
I
Inspectors Dates
�AIPfFOVED _ DISAPPROVED APPROVED SUBJECT- ABOVI!
_-,Call For Reinsp.
i J_g§ZECTION NOTICE
City of Tigard Building Departsent
13125 B11 Ball Blvd. Tigard, Oregon 9722
Inspection Line (Rec-O-Phone)T 639-4175 Business Pho - 171
Inspection:
Footing Plhg. Under ab Kwh. Rough-JA Appr/Sdwlk
Pound. Plbq. Top Out COaa Line FINAL:
Post/Beam Dtruct. Ban. Sewer �ra�Jng� -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor 1 Nater Line Gyp. Bd. -Mach.
Date Requestedt ,—Timet AM PN
Address:_� ('�14 S (n Permit to '
Builder: 7�ilt awl (I
TEE FOLLOWING CORRECTIONS ARE REQUIRED:
7- yc��y r� No 7— CIUy,,yrc
r✓,,c"�y�C"�'' !/C�'y�' jCi✓<'/f� � GAJ of s�� r r
,�.
Inspector: L�etet / '67 -
APPROWV .19APPROVED APPROVED BUBJ?CT To ABOVE
Call For Rsinep.
INSPF,CTION_NOTICE s'
City of Tigard Building DwpartsOnt 4._e''e
13125 SW Ball Blvd. Tigard, Oregon 97223 ✓"
Inspection Line (Rec-o-Phone)= 639-4175 Busineee phone: 639-4171
Inspection:__ —
Footing Plbg. Underslab �xsop. RM9h-Ln ` Appr/Sdwlk
plbg. Top Out �ta Line ` FINALs
Found. -'
Poet/Baum struct. San. Sewer `g -Bldg.
.osk/Beam H,,cn. Rain Drain Insulakion
-Plumb.
Plbg. Uraerfloor Water Line Gyp. ed.
-Hach.
rete Requestedt�.?I �� J Time: AM _ PH
Addreeet 1 l� 2--)ta Permit s,
Builders
TBE FOLLOWING CORRICTIONS ARI REQUIPMe
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Inspector. --—
APPROVED 4C____ DISAPPROVID APPROVED SUBJECT To ABO'VI
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Buf 1dLaq Departs:aut
13125 Bw Ball Blvd. Tigard, Oregon 9729
Inspection Line ( Phone): 639-4175 Ruein an Phone: 639-'171
Inepectian:
Footing PlN. Underslab Mach. Rough-in Appr/Sdwlk
FiAnd. cplb�. Top t Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Bd. -Mach.
Date Requested: /Lr I Time: AM ^,:M
1t
Permit #:
Builder:_f-
THE FOLLOWING CORRZCTIORQ AAR RLQUIREDi
Inspector:
V/—APPkDVRD APPROVED SUBJECT TO ABOVE
Call For Reinsp.
NSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 636-4175 Business Phone 639-4171
Inspections
Tooting Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALe
�oat/Boar /tftlt San. Saws: Framing -Bldg.
(Peat/Bq Mach. Rain Drain Insulation -Plumb.
Mg. Vndartloar Nater Lina Gyp. ad. -Nech.I
Date Requestedt o. II' Time: AM PM
Address: t C� Permit #s'11 3-0�,
Builder:
THE FOLLOWING WRRECTIONS ARE REQUIRED:
Inspectors ---^^----^�i�� Date:_
_APPROVED DISAPPROVED ^_ APPROVRD St7B.7ECT TO ABOVE
,-__Call For Retnap.
INSP=ION NOTjgq
City of Tigard Buil ting Departeent
13125 BW Ball Blvd. Tigard, Oregon 972
CO,
Inep•ration Line (Rec-O-Phone): 639-4175 Budineso Phone: 639-4171
Inspections
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. PPl/lbg. Top Out Gas Line FINAL:
Post/Beam Struct. `�siB, saws ) Framing -bldg.
Fust/Beam Mech. �Ra 1n Drs Insulation -Plumb.
Plbq. Underfloor 4fator gyp, Bd,
Date Requesteds ( 1 ?� Time. pN
iter..
Permit 1:
Builder: ~)( ��lM 1L ��iA 1�J. , _ - 1Q
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THE FOLLOWING ODRRRCT?ONS ARE REQUIRED:
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Inapaotort
APPROVED DISAPPROVRD APPROVED SUBJECT TO hw-wr
Call For Rainap.
}
INSPECTION NOTICE /
Cit? OfTigard Building Department
13115 BN Hall Bltd. Tigard, Oregon 97223
InePection Lina (Rec-O-Phones 639-4175 Business Phone: 63 -4171
Ion:_`
�1'ootLny Plbg. Undoralab Mach. Rough-in Appr/Sdwlk
Wound. Plbg. Top Out Can Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post./Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. Mach.
Date Requested: ( l 4'� TimesAM
PK
Address: ll 5 ��` Permit
Builders '
THE FOLIAMINO 0011 MIONB ARE REQUIREbs
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Inspector! Date: t. C
APPROVED bIBAPPROVSD APPROVED 9UBJRCT 13 ABOVE
Call For Rainep.
PILUMBING PERMI'll-
F` TY OF TIGARD PIERMIT M 3 T 1)3 '04
COMMUNITY DEVELOPMENT DEPARTMENY DATE ISGUED., 09/08/93
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 PfIRCII:'L.' 2'G11AfDB--.1LY)00
1 YE f 4 D D R ES S. . . : 1614 5 GW 10 17D A V E
SUBDIVISION. . . . : RIVERVIEW ESTATES ZONING: R7 PD
BLOCK,. .. . . . . . . . . .. LOI.. . . . . . . . . . . . . :35
CLPSS OF WUPK. ..NEW GORBACK U1,GPOSALS. I
,..`'PE OF USE. . . . ;SF' WASHING MACH. . . . . . . . 1 BACKIFLOW PREVNTRIS. . :0
OLCUPANCY GRP. . R3 rLODIR DRAINS. . . . . . . .0 TROPS. . . . . . . . . . . . . .
WADER HATERS. . . . . . : I CATCH BASINS. . . . . . . :0
FIXTURES— LAUNDRY TRnys. . . . . . :o SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . .. I GREASE TRAPS. . . . . . . tO
LOVATORIL'S. . . . . :4 OTHER F I XTURES. :17.1
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0
.t'\T.)_1'ER CLOSET13J. . :3 WATER LINE (ft) . . . . : ;.0V1
DISHWA5FIERS. . . . : 1 RAIN DRAIN (ft) . . . . :0
Remarks : PATH I
S1<YLTGHT HOME BUILDERS CO TIF $ 00 JH 09/08/93
P 0 BOX 2315 BFIRT $ 433. 00 JH 09/08/93 -
BPLC $ 40. 00 JI-11 07/21/93 934.24
!. PA E OSWEGO OR 97035 B5P'C * 21 1. 6 131 JH 09/03/93
-
r-'hone it. 5036362994 GSDC $ a80. 00 JH 09/OB/93
PARR $ 500. 00 JH 01)/0a/93
u m b i TI W Contract or"------- 1"V:'10- 1, 31). 1110 JH 4'.,91013/9;3
i--A- IvIPILC $ 9. 75 JH 09/08/93
Name, M":*-,P"_' $ 1. 95) JH 04/08/93
FId(Iress : PPRT $ 147. 50 JH 09/08/93
-
City " _ .____.._ ______. - St at e ..' P'-*J-*'c $ 7. 138 JH 09/08/93
Z I p P7110 ne#
REOUIRED INSPECTIONS
Thj.s pvi-mit is issued subject to the rvg
ulations conta3.ned in the Tigard Municipal Foot /found Insp Rain dra3.n I n-
Code, State of nre. Specialty Codes And All Post /Deam Gtruct Water Line Insp
other- applicable laws. All work will be done Plost,'Beain Plechan Appr/Sdwll< Insp
ar-acn-dance with approved plans. This Plm/undslab Insp Mechanical 17 i n al
permit will expire if work it, not started F'LM/Un d e r f I u o r Plumb Final
within t80 dAyv, of iss,uanue, or-, if work is I'lechpnical Insp Building I= incl
suspencled for mot-e than 180 days. Plumb Top Out Erosion Control
1:'raming Insp Crawl Drain
(Fireplace Insp
Gas Line Insp
Insulation Insp
------ Gyp Board Insp
P3.1.mbing Contractor Signat!,.tre
C-D
Cal ) for inspection -- 6394175'
Euntractor Mites :
ER
CITY O F T I GARD PERMITMAST�. . . .P. . . .ERMITMST93 1Z14_-".-)
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 09/08/93
13125 SW Hall Blvd.Tigard,Oregon 97223.8109 (503)639-4171
PARCEL- 25114BB-18900
3
�'E ADDRESS. 16145 514 103RL
SUBDIVISION, . . . .- RIVERVIEW ESTATES ZONING: R-7 PID
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :35
BUILDING
RE'ISSUE-.,MST'91--031Ql DWELLING UNITS. 1 BASEMENT. . .. . . . . . :0 s
CLASS OF WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . :456 sf
TYPE OIT' USE.. . . .SF FLOOR REQUIRED SETBACKS---–
'TYPE OF CONST. :5N FIRST. . . . -914 s LEFT-5 ft R I GI-IT. -. 10 F,�
OCCUPANCY 0R.P. :R.-1, SEf'_'OND. . . . 1068 S FRONT. :20 ft REAR. . .45 ft
51 T 0 R I E S. . . . . . . :2 THIRD. . . . :0 S f REGIU I
HEIGHT. . . . . . . . 1 21 ft TOTAI_---------c 198j' of SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 99380 PARKING SPOCES. . : l
Remarks: PATH I
PLUMBING
!3INKS. . . . . . . . . . : 1 F-L.00R DI"kAING. . . . :Vl BACKFLOW PREVNTRS. . :0
LAVA"ORIES. .. . . . :4 WATER HEATERS. . . '. I TRAPS. . . . . . . . . . . . . . ..0
7UB/SHOWLRS. . . . .3 LAUNDRY TRAYS. . . :0 CA TG1 i BASINS. . . . . .. . , V1
WATER CLOSETS. . :Z SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . - 1 W()TER LINE (ft ) . ; 100 OTHER FIXTURES. . . . . ..0
G(IRSAGE DISP. : 1 RAIN DRAIN (ft ) . :0
WnSHINC; MACH. . . : 1 Gr' RAIN DRAINS. . : 1
MECHANICAL FEES
FUEL *TYPES------ UN IT H713S. . :0 type AmaunL by dot P v,ecpt
/Gf!!!-'/ VENTS . . . .0 TIF- $ 1520. ijO JH 09/08/93 -
MAX INPUT:0 FTU VF N1" FANS. . . 14 BVIR], 1� 433. 00 JI-I 09foB/93 -
FURN ! 100K . . il 140ODS. . . . . . . 1 SPLC $ 40. 00 JLH 07/21/93 93-4&'/r
FURN ) trl.0121K . . ,0 W 0 0 1)ST 0 V F_13). -0 V1.'J:1C $ :1. 65 Jt] 0 1/08/r)3 -
FLOOR FURN. . . . :0 CLO DRYERS. : I SSDC $ 280. 00 JH 09/08/93 -
I3OII_1CMP 3HP-.0 OTHER UNITS: 1 PARK $ 500. 00 JIA 0911716193 -
GAS OUTLETS: 1 MPRT $ 39. 00 JH 09/08/93
Owner: - --------- - - - --- ------MPLC 1, 9. 75 JH 09/08/93
SKYLIGHT HOME BUILDERS CO MSPC $ 1. 95 Jai 09/08/93
P 0 P(JX 2311.-d J."PIRT $ 147. 50 JI-1 09/00/93
PSPC $ 7. :38 JI--I 09/0F1i93 -
I AKE 0SWUL30 OR 97035
F-.!hone ft- 503-636-2994
Cantrinrtot,,-
SRYI-IGHT HOME BUILDERS CO
C) BOX 231.5
GO OR 97LA35
)RE FloWEG
Phone if: 903--(-,36-2,1;1xD4
BAR 0— 34086
311!00. ::';3 TOTAL
ermit is issued subject to tjk re lotions contaired in the REQUIRED INSPECTIONS
LD , d Mvicipal Code. State of Oft. S cialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. p11 work will ki d e in accordance with approved Post/Beam Struct Gas Line Insp
plant. This permit will exair ^W is not started within 180 Post/Beam Meehan Insulation Insp
suarre, ar if iq-
days of 4s ded fc• thaDjee days. Plm/undslab Insp Gyp Boar-d Insp
F-`LM/Und et-fI ooi° Rain dt-air,
Mechanical Insp Water- Line Insp
Plumb Top O'At Appv,/9dw1Ii Insp
�1 .ted 1, Fr-gaming Insp Mechanical Final
I I- for insinec-tion 639-4175
SEWER CONNECTTON
CITY OF TIGARD P E R lyl I T
PERMIT #. . . . : b W FRI.) 0 3 i
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 09/1,'4B/93
13125 SW Hall Stvd.Tigard,Orogon 9722341199 (503)839-4171
PPRCEL: 25114BB-18900
3W 10_3R D A V E
DIVISION. . . . s RIVERVIEW ESTATES ZONING: R-7 PD
K. . .. . . . . .. . . L07 — _ . . . . . . . . ..35
LINANT NOME=. . . . . :
'50 NO. . . . . . . . . . : FIXTURE UNIT5,
,Lf-)SS OF WORK. -NEW DWELL I NO UN I TS. I
N'Pr OF USE. . . . . s SF NO. OF BUILDINGS: 1
NSTALL TY PE. . . • :BUSWR 111PEIRV SURFACE.
'emar,ks: r"PTH I
Owner: I'ELLi
5KYLIGHT HOME BUILDERS CO type AMo(_tnt by date r-ecpt
I BOX 2315 PRMT $ E-200. 0Q1 JH 09/08/93
1,NSPI $ :. 5. 00 JH 09/013/9-;
i-ij-1,E OSWEGO OP 970315
hone
ONTRACTOR NOT ON FILE:-
' :hone # $ 2235. 00 TOTAL
.e
REOUIRED INSPECTIONS
"ir, Applicant agrees to comply with all the rules and regulatiors Sewer Inspection
f the Unified Sewage Agency. The permit expires 180 days from
--)e date issued. The total amount paid will be forfeited if the
..ermit expires. The Agency does not tee the accuracy of the
idf sewer laterals. P the sewer-'s not located at the measurement
.,Yen, the installer shall prospect 3 et in all directions frum
distance given. If I t a I t the installer shall purchase
2:, znd Side Sewer" G:rlte` ra+'e O.QFTICV :ret lateral.
L 1 i1i 1.t t C'e Cj 1
,-tecj By
Cell foy- inspection 639-4175
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13125 SW hall Bfvd PLNCK/RECT #
CITY OF TIG.ARD
PERMIT N
COMMUNITY DI-VELOPMENTDI:PARTM ENT Tgrci,Oregon 97113
(503)639-41" DATE ISSUED
JOB ADDRESS: y 5� S (A-1 J=-. ' TAX MAP/LOT Z S 1_I 60- 1 926
SUB: �� Rv►�W E,tCLOT: -SS! LAND USE: V,�- '7 (PO
VAI UAT I ON: aL30Bd
OWNER SPEC IAI. NOTES
NAME: _ K�'(-Ib .N4►'116'V�CO:Ei21' C�, REISSUE OF:
ADDRESS: Plo Ax LAST REISSUE;
L )KC. dSWLI 6VFLOOD PLAIN/
PHONE: 631 - Z99Y _ SENSITIVE LAND:
CONTRACTOR_ APPROVALS REQUIRED 50(�qP --UU 1
NAME: J Solli;- _ �_� PLANNING: E�� ��� �-
ADDRESS: ENGINEERING: >EF rel*P, lr&I'S
_ FIRE DEPT:
PHONE: -- OTHER:
CONTR. BOARD #: �b � _ EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: WQfc-4-1,f LIST/SUBCONTRACTORS:
MECH: Pnv c-" m6 _. BUS TAX:
ARCH ENGINEER CALCULATIONS:
NAME: C d P,14 W Pe-1iT/L _ TRUSS DET",ILS:
ADDRESS: OTHER: _
PHONE:
PROPOSED BLDG. USE: S'r=rL
- COMMENTS: u0 rt.
A 7 A'16W 72 Pl i�7 0 5 7__ a g 4'7 in)7A1AA- ZZ �A7�S<Y Se 4-Ale- Ar-C,?'SS
i
APP CANT tIGNAfURE
Received tly:_ L Date Received: _ Z -
PERMIT 9 ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
//i>l?ju j 10-432 00 Building Permit Fees
_ 10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building 2
Plumbing 3
Mechanical / y�
10-433 00 Plans Check Fee
Building
Plumbing
.jMechanical
10-230 06 Fire
s 30-202 00 Sewer Connection
30-444 00 Sewer Inspection 3 3
25-448-02 Commercial TIF Fees
25-448-04 IndusLrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees /V( C
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of) -
24-445-02 Water Quantity (Fee in lieu of) _
TOTAL .52.35,2.3
l
7 �,
CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. o93-243985
CHECK AMOUNT a 3675. 23
NAME SKYLIGHT HOMES CASH AMOUNT a 0. 00
ADDRESS r PAYMENT DATE a 09/08/93
SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
Ln
Bli'll—DING PERM 433. 00 PLUMBING PERM 147. 50
MECHANICAL PE 39. 00 ST. BUILD PER 30. 98
PLAN CHECK FE 9. 75 SEWER USA 2200. 01")
co
SEWER INSPECT 35. 00 PARKS SDC 5100. 00
cm
STORM DRAIN SDC 280. 00
LOT 35 RIVERVIEW ESTATE
16145 SW 103RD
TOTAL AMOUNT PAID — — — — 3675. 23
7ZIv�tGc�lEw frs7�+��1 --� N
7010
0
N
a
I
� o
. � - -
-
�Z. � S7•n 3 �I `'0s
EXEMPTION FROM MAXIMUM SHADE POINT HEIGHT STANDARD
I/we, the undersigned, as legal owners of record of the property
described as:
Lot # 36 of �i��Rv�£w �'�T�,s�s Subdivision
Tigard Address _ 100? S�,.
Tax Map and Lot Number
do hereby release the property owners of adjacent Lot #
of FJ s P-rCs Subdivision, also known as Tigard
address �l S� 103 ^,4
and as Tax Map and Lot Number
from complying with Community 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 area 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 djustment.
S gnature _
Signature
State of Oregon )
as.
County of _ )
This instrument was signed or attested to before me by
and
F-
on 1993.
J
L11 OFFICIAL�$$EA
llNOA C. 3T. J�HN �, . iA
J NOTARY PUBLIC-OREGON � '�—
S ION IG-ORE ON Si ature of Notaria Of f i er
My GO ZISSION LXPIRES JUNE 17, 1995 My Comissi.on Expires: )1r
br/rlt/Exempt.Mst