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CITY C F TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT iIASTER PERMIT
3125 SW Hall Blvd. ,lgard,0,egon 07223*8199 (503)639-4171 PER[111T #. . . . . . . : MST94-0341,
639-4171 DATE ISSUED. 09/08/914.
PARCEL - 'S1. 14SB—I.B700
SITE ADDRESS. . ,. : 16 2,01 SW .103RD AVL
SUBDIVISION. . . . . RIVERVIEW LSTA—ES ZONING: R-7 PD
BLOCIR,. . . . . . . . . . . LOT. . . . . . . . . . . . . :33
BUILDING
REISSUE: DWELLING UNITS:O BASEMENT. . . . . . . . :0 Sf
CLASS OF WORK. :ADD BEDRMS:O BATHS:0 GARAGE. . . . . . . . . . :0 Sf
TYPE OF USE. — :SF FLOOR AREAS---- REOUIRED SETBACKS
TYPE OF CONST. :5N FIRST. . . . :0 Sf LEFT. . :O ft RIGHI . .�: ft
OCCUPANCY GRP. -R3 SECOND. . . :L7.1 5f FRONT. :111 ft REAR. . .0 f i;
STnRIES. . . . . . . .0 F1 NBS-MEN'r :0 5f REQUIRED---------------------
HEIGHT. . . . . . . .. : 8 ft TOTAL--------:0 S f SMOKE DETECTORS. 'Y
FLOOR LOAD. . . . :0 p s f VALUE. . . . . $ : 1601 PARKING SPACES. . ;0
Remarks : ADDING PATIO ROOF
PLUMBING
SiNKS. . . . . . . . . . .0 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
'-AVATORIES. .. . . . :0 WATER HEATERS. . . :171 TRAP 1. . . . . . . . . . . . . . :0
TUD/SHOWERS. . . . :0 LAUNDRY TRAYS. . . .0 CATCH BASINS. . . . . . „ :0
WATER CLOSETS. . :Q1 SEWER L.INE (ft ) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . :0 WATER LINE ( ft) . :0 OTHER FIxTURE5. -0
GARBAGE DISP. . . :O RAIN DRAIN (ft ) . :O
WASHING MACH. . . :0 SF--- RAIN DRAINS. . :O
MECHANICAL. FEES
FUEL UNIT HTRS. . :0 type amol-tnt 13y date V-eCpt
VENTS . . . . . :0 BPRT $ 28. 00 KS 09/08/94
MAX INPUT-0 13 T U VENT' FANS. . :0 HPLC $ 113. 20 JF 09/02/94 94-23637:
FURN ( 1001( . . :0 HOODS. . . . . . :0 B5PC $ 1. 40 KS 09/08/94
FURL' i =100K — :0 WOODSTCVES. *0
FLOUR FURN. . . . ..�O CLO DR) ERS. : 0
BOIL/CMP < 3HP:0 OTHER LNITS:0
GAS OUTLETS:O
Owner--
KIRK PETERSON
1.&iR0i SW 103RD AVE.
TiGARi) OR 97224
Ph(3ne 0: 68-+-6657
MPF7K THOMPUON
8730 SW PINEBROOK
TIGARD OR 97224
Dholle 639-9279
Reg #. 96435 ------------------------------------------
$ 47. 60 TOTAL
This permit is issued subject to the regulations contained in the REUUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Fram ing Ins
applicable laws. All work will be done in accordance with approved Rain drain Ins
plans, This permit will expire if work is not started oithin 180 Bitilding Final
days of issuance, or if work is suspended for more than 180 days. Er-osion Control
qVnat 1.tr�e -
L 6IRi -I *:94- tf;lqrj@&bi6qq 6 139 4 1;115
Residential Building Permit Application
City of T►gard
93925 S W Hall Blvd.
Tigard, OR 97223
(503) 6;19-4979
Jobsite Address:
�/ 7 Office Use Only
Su)division: '✓eq LA Lot 0
Valuation:
!r� _ Planck/R,ac #
l��U\
i —
Corner Lot? / Y N Permit# /7)
Flag Lot? Y N Reissue of
Map &TL#� _ 'f ..' <.
Owner: Ci�l_��_ ��"1�'61��.-�
Approvals Required
Address:
_ 1 Planning
Engineering
Phone: Vi0-i l( ( Other
Contractor:
1 Items Required
Ad4r?ss: 1� S��*' otL— subcontractors
Truss Details
r
Phone'. 1UZ � 1 Other
Contractor's License #
(attach c y,,of current Q Von license)
Contact Name & Phone: xt
i
Subcontractors: Architect/Engineer:
H
"' Plumbing: Address-
Mechanical
(attach copy of current OR Contractor's License)
Phone: —_
JCB DESCRIPTION: F
Applicant Signature & Ph6ne number
Received by: _ Date Received: _—
N 1WORUTOMOEV'RESAPP
Permit# Accour,t Description Amount Amt. Pd. Bal. Due
y
y3 y( Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) — �
Bldg: / f
Plumb:
Mech:
Plan Check (PLANCK) QL7-y
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
n Office TIF (TIF-0)
,i
'r Water Quality (WOUAL)
J Water Quant'v (WQUANT)
m
L Fire District (FIRE)
.J
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS:
CITY OF TIGARD
BUILDING DIVISION
RESIDENTIAL. PLANS SUBMITTAL
APPLICANT NAME: I� l f�f�)ti %� PLAN CHECK, #
ADDRESS: CD7- �_� `'. t _ PHONE # 6 yj 7 '�9 _
DATE RECEIVED: RECEIVED BY:
CHECKLIST (AIL items roust be in packet before plan will be reviewed)
YES NO N/A
1 . [ ] [ ] [ ] 3 FULL SETS OF BUILDING PLANS (No red line revisions
or tape-ons).
2. [ j [ ] [ ] 5 SITE PLANS (including tax lot and tax map number, easements,
erosion control provisions, floor elevation ,)f garage and main
floor, set backs, drive-way location, north arrow, scale, location
and termination of rain drains, corner elevations, and contours
if over 15% grade).
3. [ ] [ ] [ ] BUILDING PLANS SHALL REFLECT TOPOGRAPHY OF LOT
(if house is designed for a flat lot and the lot is not flat, revised
drawings are required. No red lines accepted).
4. [ ] [ ] [ ] REVISION TO PLANS MUST BE FOLLOWED THROUGH
FROM ROOF TO FOUNDATION (detailed sections may be
different from the originals as a result of your changes. These
portions of the structure that are affected by the change need to
be reflected on the plans. No red lines will be accepted).
5. [ ] [ j [ FLOOR PLAN(S)
6. [ ) [ ] ( ) FLOOR FRAMING
7• L l [ ) [ ] TRUSS JOISTS (engineering, details and layouts)
8. [ 1 [ ] [ ] ROOF FRAMING PLAN (all hips and valley supports indicated
and detailed).
9. [ ] [ ] [ ] ROOF TRUSSES (engineering, details and layouts)
10. ( J [ J [ J COMPLETE CROSS SECTION(S)
11. ( [ ] [ J ALL 4 ELEVATIONS ARE SHOWN - 3 ELEVATIONS FOR
ADDITIONS AND REMODELS
12. I ) [ ] [ ] BASEMENT WALL, FOUNDATION AND RETAINING 'WALL
SECTIONS (will need engineering if walls are 8 ft. high or
higher)
13. [ ] [ ] ( j WALL BRACING (structure must meet table R-402.10, revised
alternate method 93-7, or a lateral design sha!I be provided)
14. [ ] [ ] [ ] ALL DETAILS REQUIRED BY NO. 13 ABOVE SHALL BE
INCORPORATED INTO THE PL.,NS. (Attachments must be
clearly legible and fully references in the plans).
15. ( ; [ ] ( ] BEAM CALCULATIONS (all beams over 10 h. in length or any
bean that supports a point load).
16. [ ] [ ] [ ] ENERGY CODE PAI H IDEN1-iFIED
DO NOT MAKE CORRECTION IN RED
RED WILL. ONLY CAUSE DELAYS
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L;1 TY CIF T'IGARD ETE.C.:F. 1.P1 I.* PAYMI-NI RI:.GF.1P1 NO. a144-.c'565
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!iU BDIV J.taION
T.11aAND, I.IRF.'GOINi 9 / ..ct,
LIRPOIA OF I-'AYMI_ I (- MOL,,11 PAID PI IIW J�11 OF NMIIIIN I PIA.1 1_)
N IJ.11..1)JNC:I I'FF�M MFO44 10,41 �'CA. OM :•+1 . 3011 ,1) F'E Ft I . 4V1
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117 I 1�1 AMOUN I PAID - — -) P4• 40
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G',IARILITY; The GRY of Tigard, Oregan, or it's
Pmpin;lre5 shall tlof he res onsible for
a
APPROVED FOR COALS'l � __..�. 4 o
CITY OF NLsiT -PLP")
PFMIITAI, h15ftq.u3yl _ '�1 �k /G�v1 .3w/
MARK THOMPSON
Wood Fence and E -ck
Installation, Repair, m—noval
CCB# 96435
(503)639-9279
Cost Estimate
Peterson Residence
July 27, 1994
Patio Roof:
Shake roof with two 21x4l skylights to cover existing
141x16l concrete patio. Materials will include preSSUr#-- treated
fir posts, pressure treated fir beam, fir 2"x9" rafters, CDX
plywooO sheating, 304 felt, and medium shak- roofing. Price
includc railing and lattice work between pr.,sts.
Materials: $ 900. 00
Labor: 700. 00
------------
t a 1 Costa $ 1, 600. 00
Prices are good for 30 days.
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INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-417755 Business Phon0 9-4 I
Inspection:—
Footing Plbg. Under.slab Mech. ugh-in Appr/Sdwlk
Found. Plb9. Top Out Can Line �,FIWAL
Post/Beam Struct. San. Sewer
Post/Beam Meeh. Rain Drain IniClattOh -Plumb.
Pltn7. Underfloor Water LineGyp.
(� /G;yp. Bd. -Hoch.
Date Roquested: tl�f"` 7/7 Timet /!1M ___PM
Address:_ & z-o s/ le) 3
Builder: 60-12— 921-7 / Q 2
THE FOLLOWING OORRECTIONS ARE REQUIRED:
to
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Inspector --�1 -- --— Dater
PROVED DISAPPROVED APPROVED SUBJECT TD ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department +M1,Ji^•�
13125 SW gall Blvd. Tigard, Oregon 97223
Inspection L ^e (Rea--G-Phone): 639-4175 Business Phone: 639-4171
inspections__ /
Positing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line F'1AL:
Poet/Beam Strvct. San. Sewer raining l -Bldg.
Poet/Beam Hech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Hech.
Date Requested: { ' ! i/_ `Time: AH _PH
Addrens: C ! ) - _ 9 Permit 1:.— -!'
Builder:
THE FOLLOWING CORRECTIONS ARE REQUrRED:
Inspe,tor:_T� ------ -- -- ----- Date:�y�hC��
J_AffROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_-`Call For P.sinsp.
� t
INSPECTION NOTICE
flit] of Tigard Building Depart—t
13125 811 Ball Blvd. Tig—'d, oregoa 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171
Inspections___
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out oae Line FINALS
Post/Beam Struct.. San. Sewer Framing -Bldg.
Poet/Doam Mach. Rain Drain Insulation -Pls:mb.
Plbg. Underfloor Fater Line Gyp. Rd. -Mach.
Date Requested:_ L, �� _Times AN PM
Addreass ,�� -20k 1���n J Permit is 0:55-7
Builders_ yIti \kf��'�`
TM FOLLOWING OORRECTIONS ARE REQUIREDf
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Inspectors Dates
APt11MM DISAPPROVED APPR("D SUBJECT TO ABOVE
call For Reinsp.
NSPECT_ION NOTICE ("j,
"
f Cit? of Tigard Building Department �jJ^,
J
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O[-phone)t 639-4175 Business Phone: 639-411771
Inspection:
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found, Plbg. Top Out Gas LineZL�
Post/Ream 3truct. San. sewer Framing
Post/Beam Mach. Rain Drain Insulation ply�j
Plbg. Underfloor Nater Line Gyp. Bd. �Jh.
it r
Date Requesteds me:
_ AN
Addrasst AEV" Z
Permit
Builders
THE FOLLOWING LOMS A REQ [o:D:
Inspect rt 1�J4 'LC_� -- -- _ nates. ) — r
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rsinap.
INSPECTION NOTIO
City of Tigard Building Department -
13125 S11 Ball Blvd. Tigard, oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections _
Footing Plbg. Underslab Mach. Rough-in CAppr/'Sd-l�
round. Plbg. Top Out Gas 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: �v /� /7 __Time: 1____,AMPM
Address: 1 �� (�Q ��� v ��� Permit 1
Bulkier: �'v�
THE FOLLOWING ODRRECTIOt:S ARE RRUUIRED:
J
Inspectors�� - -�__-- Dates
T_
APPROVED DISAPPROVED "PROVED/APPROVED SUBJECT TO ABOVR
_-CG-11 For Reinsp.
INSPEMON NOTICE
City of Tigard Building Department
13125 Bw Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-U-Phone)e 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underslab Mach. Rough-in (. pip /r Sdwlk
Found. Plbg. Top Out Can Line FINALS
Poet/Ream etruct. Ban. Bower Framing _Bldg.
Past/Ream Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Niter Lino Gyp. Bd. _Koch.
Date Requesteds Times Y-1 AK PH
Address T— Permit
: 1 Z
��-�-/ _Z3
Builders
THE FOLLOWING CO CTIONB ARE REQUIRED•
ACKovED &C
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natal
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APPROVlD DISAPPROVED APPROVED SUBJECT To ABOVE
_Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 9722 l
Inspection Line (Roc-O-Phone)s 639-4175 Business Ph 639-4171
Inspections
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwl,k
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. Han. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor _ Water Line Gyp. Rd. % -Hoch.
/,
Date Requested: �/ r�—� `7 /Tims M ___Ph
Address: Z� r Permit #t,�/-� J j
Builders
THE 1OLI.OItINO IONS ARE REQUIRED:
Inspector: _ _ Dates
APPROVED DISAPPROVED APPROVED SIM CT To ABOVE
l Call For ReLnnp.
INSPECTION NOTICE
City of Tigard Building
13125 SR Ball Blvd. Tigard, Oregon 972
Inspection Line (Rec-O-Phone)s 639-4175 Business P no: 639-4171
Inspection:,_ --
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out One Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Bears Mech. Rain Drain Insulation l -Plumb.
Plbg. Underfloor Nater Line Gyp. ad. --Mech.
Date Raquestedt :2 [_ 2, Times AM/' PM
+lddrosss r� Permit It� 3 Z
Builders z
THE FOLLOWING/ RRECTIONS ARE REQUIRED-.
�i�� 6 CaGt�c�-
Inef+ector� _ Datst
APPROVED DISAPPROVED APPROVED SUBJE TO ABOVE
__Call ryor Rvinep.
INSPECTION MyrICE
City of Tigard Building Department
13125 Sal Ball Blvd. Tigard, Oregon 9722
Inspection Line (Rec-o-Phone)s 639-4175 Business Ph4AIM
Inspection:
Footing Plbq. Underelab Mach. Rough inn Appr/Sdwlk
Found. Plbq. Top Out a■ Line / lINAL:
Poet/Steam Struct. Ban. Sewer lraminq� -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line gyp. Rd. -Meeh.
Dates Reque
sted: �� i Time: AM PM
Aridrees: 1 _ C I n -(
l� Permit
Nul.lders
TtTR FOLLOWING 00RRECTIONB ARIR REQUI D: -
66
CD v
i
Inspector: Dat-1:
APPPJMlD 0I8APPROVBD APPROVED SUBJECT 710 ABOVE
Call For Rainap.
INSPECTION NOTICE
City of Tigard Building Departinant•
13125 ON Ball Blvd. Tigard, Oregon 97223
Innpeection Line (Roc-O-Phorie)t 639-4175 Business Phonez 639-4171
Inspection: _
Tooting Plbg. Underslab Meeh. Rough-in Appr/Sdwlk
round. lbgbg. Top Out/ Gas Line FINALt
Post/Beam Struct. San. Sewer Framing -Bldg.
Past/Beam Meeh. Rain Drain Insulation -Plumb.
Plhg. Underfloor Water Line Gyp. Rd. -Mach.
Date Request.eds ALO r� Time3 AM PM
Address:-) �L ~ _ Permit #
Builderr
THE FOLLOWING CORRECTIONS ARE REQUIREDr
Inspector: _ Date( G '
APPROVRD _i DISAPPROVED APPROVED SUBJECT TD ABOVE
Call For Reinsp.
PECTION NOTICE
City of Tigard Building Department
13125 011 Ball Blvd. Tigard, Oregon 972 1,
Inspection Line (Rec-O-Phons): 639-4175 Business Phones 639-4171
Inspectiont
Footing Mg. Underalab Hoch. Rough-in Appr/Sdwlk
Pound. s Top Out) GAs Line FINALt
Poet/Beam Struct. Ban. Bower Framing -Bldg.
Post/Beam Mach. Rain Drain insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Rd. -Meth.
) c")
Ate Requeatedt_ ___TLme: y_—AM PM
Address: �_c / �� Permit #
Builder: 1 1 1,(r-7 J G'
THE FOLLOWING CORRECTIONS ARE PJWZUDt _ O
�r
ZX
L.
Inspectors �.```�. --- — Dates
APP110VE0 _j_wrS PPROVED APPROVED SUBJECT TO ABOYR
Call For Reinsp.
NI SPECTION NOTICE
City of Tigard Buildiag Department-'
v" r_��
13125 SW Hall Blvd. Tigard, Oregon 9722
Inspection Line (Roc-O-Phone): 639-4175 Business no: 639-4171
Inspections
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Pibg. Top Out Gas Line FINAL:
flPp /BNS /lstlat. Ban. Sewor Framing -Bldg.
...fit
tpt/Beam Hach. Rain Drain Insulation -Plumb.
\\ 9 Underlloor� Nater Line Gyp. Bd. -Hoch.
Onto Re.Tuesttods - _Tlmes AN .CPN
Nddreses / 163 ,1-d Permit j1�3'_TJ�
Builders
THF F")LIAMIM UCTIONS ARE REQUIREDt
Inspector: l% Date:
"PRJVED bIs"PROVRD "PROVED SUBJECT To ABOVE
Call For Reinsp.
SN PECTION NOTICE
City of Tigard Building Department
13125 SR (Ball Blvd. Tioncd, Oregon 97223
inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
Inepect.lon:
Footing Plbg. Underslab Mach. Rough-i:i Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -B].dg.
Post/Beam Mach. Rain Drain insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. /--Neoh,
Date Requested: `7 i !J _-� _Time�a u`�-11N pN
tsddress:_/Ci7f'U/ /(�'� Permit
Builders
,7
THE "OLMNING CORRSCTIONS FIRE REQOINEDS
- -
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(.7
111
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InMpwtor t _ _ Dater
APp110VlO Dr9APPROVED !/� APPROVED VUBJRCT TO ABOVE
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Departaent
13125 811 Ball Blvd. Tigard, Oregon 9722
Inspection Line (Rec-O-Phono)s 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top
'��Out Gas Line FIMALs
P •a11.ost/Beam Struct. 8w Framing -Bldg.
Poet/Beam Mach. Rain Drainer Insulation -P).umb.
Plba. Underfloor Mater Line Gyp. Bd. -Mech.
Date Requested: U5 IL/2l 3 Time: AM _PM
Addreses
/ �' P- CL
_ Permit 1:
nuilders 4
THC FOLL061INO C I CTIONS AAE AEQ4IREDs
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Issepectort DatesZ�CZ
APPRO"D 8"PROVRD APPROVRD SUBJNCT TO A'
_,Call For Re).nsp•
INSPECTION NOTICE
City of Tigard Building Department
13125 Sp Ball Blvd. Tigard, Oregon '9722
Ins, tion Line (Rec-O-Phone): 639-4175 Business P 639-4171
Inspection: __
Footing Plbg. Underslab Koch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Post/Hisao struot. fan. Sewer Framing -Bldg.
Post/Rom Neth. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line gyp. Bd. -Koch.
Date Requestedt Timet --AM _/_PM
Address: j L D/ l z3 r Permit #t L _
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors —_ — Dans{: - ��L' z_
PROVED DISAPPROVED _! APPROVED SUBJECT TO A90V2
Call For Reinep.
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT OF
13125 SW Hall Blvd.'Tigard,Oregon 97223.8199 (503)839-4171 CERTIFICATE ANCY
XXXX PERMIT #. . . . . . , : MS7'91 -1:37
63941.71 DATE:' ISSUED: 10/01/93
PARCEL: 2311413818700
,i l rE ADDRESS. . . : 16201 SW 103RD AVE:.
`.3UBDIVISION. . . . : RIVE RVIEW CSTATE5 7.ONING:P,--7 PD
i-ALOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :3 i
['LOSS OF WORK. :NEW
TYPE: OF USES. . . :SF
OCCUPANCY GRIP. :R3
OCCUPANCY LOAD:2'31 4
TFNANT NAME. . . :
Ilpmarkmi PATH I
Owners
SITYLIGHT HOME BUILDERS
P. O. PDX 2315
LnFF OSWE GO OR 93703'3
Phone #: 62-6--L994
Contractor: -
SKYLIOHT HOME BUTI...DER3 CO
P fl 1313X 2315
LAKE USWL•:GU OR 97035
Phone #e 5@3636---.'R994
Reg #. . : 34086
Occupancy of the above referenced building i , hereby given, and certifies
the complianr..p wj.th the State Of Oregon 'L;pec:ialty Codes for- the grOLIP,
OCCUParrry, and use ktoder, �,)hir,h the referenced permit was issued.
DEPARTMENT � D I G CTOR
UIIDING U FICIAL
�-- POS'T IN CONSPICUOUS PLACE:
.J
n]
fJf
J
CIlY OF TTCARD RECEIPT OF PAYMENT RECEIPT NO. 03-240063
CHECK AMOUNT 361'1. 78
r'll 4ME SKYLT01-4T IAOMF'7j' CASH AMOUNT 0 ki. 00
PAYMENT DATE 05/13/93
SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
�UILDING PERM 468. 00 PLUMBING PERM 147. 50
in CHAN I CAL. PE: 45. 00 ST. BUILD PER 33. 03
I-.AN CHECK F'E: il. 25 SEWER USA P 100. 00
(AJER INSPECT 35. 00 PARKS SVC 500. 00
rl,)Ppl DRAIN 60C, 280. 00
L.OT 33 RIVERVIFW EST
16 01 SW 103RD AVE
TOTAL AMOUNT PAID 3619. 78
Uirkb I Nb PE RMs i I
CITY OF T IGARD
PEV'!M! 1, #. . . . . . . .,
COMMUNITY DEVELOPMENT DEPARTMENT DATA- LSSUED:
13126 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)839-4171
i.j
R--.*l PUI
AIT,
5
WAL)HING MACH. . . . . . . . I blG;Crklt- LOW PREVNTR.:). 0
FLULR T 4 1-_i. . . . . . . . . .
ki E6. . . . . . . . . k-,4NTER HEATERS. ,. . . . . .� i CA TL H bH b I N'b. . . . . . . ..V,
jJ I_%E"ia LAUNDRY JAPYS. . . . . . .0 OF kkIN DRAING. I
,K!j. . . . . . . . . .
J(.;,i owi OTHILk FIXTURE:�. . . .
SEWLf; LINE (fl; ) . . .
Wi 17 L k L i NL :1 t ) . . . . .
FO? N DRAIN (ft) . . . . -0
t Ir
HOK_ SUILDE.Wi LIPP T 'i- 460. V,' J 1 011,5
U. 6 U A 15 bPLC $ 40.1. 00 J i.-H .IE 3 1i J.2 9%;l
0S)WEL'd 05,. :'0 EISL)CI $ 04) 14 1 ; 0t) 13,.''
sanw 4: 636,-,,9rf4 PARK $ 500. 00 JH 165/ 1.3/
45. 00
iy1i::,LC. ;- I x. L"i JH 0'-,,
115PL s a. ea jh 0"J/ 131
6—tt ;>o ri r 4, 47. . ,'i .Iii 4)b
!j t,e 1,1, j P5PG 7. 3,3 j H 0:�5 r.
1-460, 04' J1{
10 n
RFw. dUIRED INSPECiIONS
icisi-liku 51.ibject to tl,e vey
lotions corvtAiiied in the rigArd Mu,iicipaol (s:Cjot/ Fol.lno J!jSp Rain drai,)
of Ore. �)pec ' alt�y Uodes and EiLl Pc),it /boant 6i-v 0.10, waver
u L ne Post/Deam Mechan A p p r ow
b 1-w laws. �4 L I work will Pip do
I I a p fl) o V�a d k I I 4�. Ihia Plm/ undslatj li-�9sp Ole c h;:c)I
t wYI i J'A work. is not stai-teJ PLN/Underf I out, Plumb F
f
-1jec1 f-JI Ulan 160 clays. Plumb 'top Out- LroFi (,ij L wiiLv
raming
Fireplace 1v1,4p
Gas Line ln�ip
Insulatien Insp
i Or *gnat LWe
LLJ
TRAFFIC IMPACT FEE
Installment Payment Application and Disclosure Statement
In the Matter of the Traffic Impact Fee for Skylight Home Builders
Tax Map 2S114BB Lot Number(s) 33 Building Permit# MST91-0337
Site Address 16201 SW 103rd Ave. Subdivision Riverview Estates _
Case File # SUB90-0014 TIF Land Use District R-7 PD
To Be Billed To: Skylight Home Builders Co.
Address: PO Box 2315 Lake Oswego OR 97035 Phone #: 636-2994
To the City of Tigard:
In accordance with the provision of Oregon Revised Statute 223.208 and Washington County Ordinance
No. 379 which relates to the imposition of a traffic impact fee for the financing of major collector roads and
arterials of Washington County, I/we HEREBY MAKE APPLICATION AND AGREE, JOINTLY AN0
SEVERALLY, to pay my/our traffic impact fee, as has been determined by Washington County Ordinance
No. 379 in 10 semi-annual installments of the amount financed together with one-half of one year's
interest thereon at a rate of 7.35 annual percentage rate on the unpaid amount owed. The lien date is
the first day of the month following the date the application is signed. The first payment is due six months
thereafter and at six (6) month intervals thereafter for a period of 5 years. Each installment payment will
include principal and interest.
If I\we neglect or refuse to pay any part of the installments provided herein, including interest, within one
(1) year after the same shall have become due and payable, then the whole amount of the unpaid
assessment shall become due and payable at once and shall be collected in the manner provided by law
including foreclosure on the above-described real property.
The traffic impact fee, annual percentage rate of interest (7.35 %) and finance charges which Vwe agree
to pay are as follows:
HIGHWAY TRANSIT
1) Amount of Traffic Impact Fee . . . . . . . . . . . . . . . . . $. 1280.00 _ 100.00
2) Amount Financed . . . . . . . . . . . . . . . . . . . . . . . . . $ 1280.00 100.00
3) Equal Semi-Annual Principal Payments . . . . . . . . . $ 128.00 10.00
4) Interest on Balance at Rate of . . . . . . . . . . . . . . . . 7.35 %
I\We understand that the amount owed, as stated above, shall be a lien on the above-described subject
property 1) su nt to Washington County Ordinance No. 379 Section 6 (D) and ORS 223.230.
DATE is 8th day of June, 1993.
a
rz Si attire of Property Owner(s) Signature of Property Owner(s)
r—
STATE OF OREGON ) Name (Please Print) il'iu
Address: / st � �liG''�
C,,iunty of Washington )
i
1.0 n
SUE-SCRIBED AND SWORN TO BEFORE me this day o LAZI
t Public for Or n
My Commission Expires:
bginlriol�aN
MASTER PERMI ;
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tlqwd.Oregon 9722398199 (503)639-4171 DATtE' ISSUELY.-
SW 10.,RD A V L .-I'J 1140,13
.$ION.,. RIVE R'V I E W ES AT F_5 ZONING: Fi 7 P'1)
LU
'7 ';T
is *';-;'T 9 Ir-0317 DWELL IING UN I T0,,. I
NEW 1)R M 8-4 f3A His. GARAGE"'. . . . . . . . . . 480,
W'N.,T. :..JN F"L WST. 10&.) i (...f«-1" T. i .'Lb f t R1;L4o',r'.
Aif 'Ncle �jr'r%
F
1_4
Di.:. L
"-OUR L G -W, 0 1441 L, » < S I d !;474
garlk Pf I i Ii
V-,L U M 1.3 1
I., DNI, 0. AP) R A 3 . . . . . . . . . . . . . .0
P T F" 1 16 1"\13. . . . . . . .
`A. MIPS. . . . . .
u-R"ASL
iii-I L'ii L j 1,1.. ( f,t ) . Ij H;, R 1' .XTU RUIZ. . . . . ..11!
(f0 . :It
WPS14ING LT NOIN
(li 1. 1 YPCS ON I t yf:w ',1p(3Ur1't b dict ii -A c
VENTb . . . . . ..0 D"R1 S 468. 00 JH 435/t
"W VENT �4 40, 1017-1 ,71_1 t 10/_'A.
0 Hom)s. . . . . . t I F:1""PIC 23. 4(A J1 1 05/ i 3/
L 3 0, 1,41 fit J1q 05/ 13/9.3
0RYIEW-). J e-'W�K
CLU D �Ao. 00 111.4 05,11-1-1/93
il I I 4'J. 00h .!1 i 111...1/
UAI; CJUI*LL I S. i Pf"PL C' 1r 11. 2 i JH 05/ 13/D,
.111 4'17-1' 1-3
4,YL UH'r 10111L LAU i L J 147. 50 J11 05/13/9'
Tl 1:380. 0 0 JH 0S/ 13 9 3
1 C-:.904. 76 TOTfIL.
,or taipeC iri the
t 1:,(! 1 0 tr'i'- FL-Ot/f*uund Insd Fireplace
anct W1 I U) ApF OE . Post/beam =Itv-.(ct Gets Livoe
PostiBeam mechall 1"C's.11ation 16%,
P1it. /k.ridslab Byp Board Insl
o I u llai-'l In:.,
urs Apps
. {��
CITY OF TIGARD ~I1-R M 1 T #'-*..
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 D t4 i L J,'--5,,U CD; 0"1/1,3/ 9,--,
ib,201 SW 103RD AVE PARI--EL: ES11406-187'
R`) i L.'o- ', ;�TLS ZONING. R--i
. . . . . . . . . . . . . .� 33
FIXTURE UNITS.
DWELL.;NG UN I TS.
w"'l, JIJC. . . . . . iI NC�- UPOUILDINGS: 1
IMPERV OCE. .
Petri . i"ATH I
0J;1L BUILDERS t ype a0101-01t by dAte r^ec r,
J. BOX ",315 PRMT $ 2100. 021 JH 05/13/93
13111-0. vie JH 0 13 1)
,.:E (T,�(4 C 0 fJR J703
b36- E 9 9 4
W00 ON
35. (60 F0
REQUIkLJ) INISPIECTIONS
Ppplicr,t agrees to imply iov.h al; the rules anc regulations Sewer Inspect i,aii
i
Unified Se%tagk Agency. The perpit I"1 days from
I dila? 15suet. The total Asount Paid will ae forfeited if the
peruit ehpires. The Ageric), does no, gu:tan�C tt�e accuracy of the
n _n
tl # spoer laterals. If the sewer is ed
at th, oeawwent
pwil the instillier Sfcli prospectail directions fros
ttit distance given. '.f r;-, so ita)llu shall pt:rc,hase
aid Side Stw` Nait '4111 install a ateral.
L
or i T1 Sliet.'t i Orl 639--4175
Ln
LD
IJyY t
CITY OF TI GARID�� { 397
1 PLNCK./RECT # 2 '���•
ro ao:1J
COMMUNITY DENELOPMENT DEPARTMENT Tiigard,Oregon 977L PERMIT # —
(593)63"171 DATE ISSUED
JOB ADDRESS: 4,2 Ste' – C� TAX MAP/LOT
SUB: FZi✓ertv,ew LOT: LAND USE: _
VALUATION: /!�
OWNER SPECIAL NOTES
NAME: 140mF_ eu),c rKs Cd. REISSUE OF:
ADDRESS: RQ 13u�( Z3/s' _ LAST REISSUE:
LIIKf- 0sLv,E60, QZ `�7CS-5– FLOOD PLAIN/
PHONE: (503) 636-Z99y SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: S;K --cibN► I-Iom� 13��CvoE�s c0. PLANNING:
Sip,%hi.�"' � G'�<_
ADDRESS: PO /3o?( ZSir ENGINEERING:
i av(e cis t�r6 c,), on 9'7V 3s- FIRE DEPT: —
PHONE: soOTHER: "i�' ' ✓,G
CONIR. BOARD #: 3V086 EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: W a L o 1 r pC mT/rid LIST/SUBCONTRACTORS: _
MECH: IrvE1aF_ N+'6 Co stp ' BUS TAX:
ARCH ENGINEER CALCULATIONS:
NAME: SI: t O6H-f laomc. KLiCj-j1 xs TRUSS DETAILS: _
ADDRESS: Po 13 qe ?: s _ OTHER:
(_G,►tu 0JLA- 0, aoz X171; r
PHONE: �n3' 636 Zg9`I
PROPOSED BLDG. USE: SF-IZ
COMMENTS: -lSfve LaT- = S
1
Z&
AP _ CANT SIGNATURE
Received By: 7�� _ Date Received:
PERMIT n -ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
1r1. IJ of js 10-432 00 Building Permit Fees 4/1-p,
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) ,3 021
Building
Plumbing
Mechanical
10-433 00 Plans Check Fee S 1• z ��U /lZ
Building
Plumbing
Mechanical
10-230 06 Fire
"'i! 30-202 00 Sewer Connection U 0 l u
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 50 _ f
25-448--05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC) -7i w
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) / yJ_
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL `f I I /� U -XF
J�
nm/3587P.W11F
EXEMPTION FROM MAXIMUM SHADE POINT HEIGHT STANDARD
I/w-a, the undersigned, as legal c 4aers of record of the property
described as:
Lot # 3 y of _�+��tz�i�w �S-r'AIJIs Subdivision
Tigard Address _ ! 183 Sw 10 3 n`l
Tax Map and Lot Number _ S-/-/
do hereby release the property owners of adjacent Lot
of Subdivision, also known as Tigard
address 16"za 1w, I 3 10.4
and as Tax Map and Lot Number
r
from complying with Community Development Code Section 18.88.050.G
(Maximum Shade Point Height StandaRr,d, l ; and agree that the stricture
may have a shade point height of � feet, thereby allowing shade
on an area otherwise protected by Code Section 18.88.050.1).
In addition, I/we also release the City of Tigard from liability
for damages resulting from this adjustment.
c.-
r , Signature
Signature
State of Oregon
)
County of as.
)
This instrument was signed or attested to before me by
and
on 1993.
Signature of Notarial Officer
(Notary Seal) My Commission Expires:
br/rlt/Exempt.Mst
i
' � I
ST[VEN•.N[S•LAW►VN.CO.,POATLANO.ONE.
FORM No, 74—ACKNOWLEDGMENT—CORPORATION.
STATE OF OREGON,
ss. 26th Apri 1 .. ... ...... . 10
93
County of C1 ac.kamas on this _.. .day of.
EDWARD_FREEMAN _ . ..
before me appeared............ ......
........... .
................ ... .....
X�YX to me personally known, who being
..PRESIDENT` _ -EDWARD...FREEMAN. _ _.. ..... ........ .... ... .
duly sworn, did say that he, the said...... .... ...... .. . ..
is the . President, and he, the said... ... .. ...... SI.ERRA PACIFIC DEVELOPMENT
Is the Secretary .of............. ......... ..... _ -.. ........ .......
........ .
the within named Corporation, and that the seal affixed to said instrument is the corporate seal , 1 said Corpora-
tion, and that the ��S Cu ��MA signed and sealed in behalf of said Corporation by authority of its Board
of Directors, and
C.Unr. . . .and_. .-_ _-..-.. ..
acknowledge said instrument ;o be the free act and deed of saroration.
IN TESTIMONY WHI have hereunto set my hand and affixed
my ol the day and year last above ritten.
Notary P lid egon.
My Commission expires
i
i
I