Case File f
DE�IONED DATE
DRAWN DATE
DATE
r �� rref REVISIONS
C,
� cc, 1500tw r,
SCALE. 1 --30,
9/ 12/93 �
� KEYST�O�NE 'TYPE WALL
ti qCE C Rpm
TOP OF WALL VARIES ( 182 188): BOTTOM OF VJALL = 182 �X l2f 31/
A
I ., Al
�-
�Q• ,
/ X92 � — — _ -- ----_ -- _ _--. .. - ---- - -- - - --- ----- --- - -- - -- - --- - - -- --- ---- __�?�- -_ _ -- ��, '• +�
/
1010 7 8 9 10A 00
EXIST. CONTOUR -- —
PROPOSED CONTOUR - - — - --- — — -- — --- - ------- ------ --- - — —
,// ! SS100, -
41
61ST. GRADE . �' �;' ;R-T*'�
.01
KE TOI`IE TYPE WALL (TYPICAL);
\ F�
ISO i
178
PROPOSED GRADE � ~
10 •
sw
SECTION A-A
C F'nflA"w1D 12
ryerb ar"� ... ....w..••.
,A00 }4q. . ....................
,r.r.I........... ..w.srrrr..
-- t[!1 ifit.��(/' ✓' r.. engineorip
Approved .........•.................... �r
PERMIT N101. - �
•� landscape •rchlacts
c � E.I
V� � r`L! N
• t1 V� •.... .,...II.Ie•ee.,n..el.. survworm
/-fc.,+, .rr.arr•fr.orss.aeae,.r..rrr..f..e.r+.rF••r...�• • / \ I n c o r p e r a t • c!
In
sm a mm rear nd,lobe OswrpO.Or1410.75.(503)05-3610
Are
n�����' e ) f /0 101 F.Nh SMNI,VM�t»�r�.NN"m(206)615 0.1Sr
job C / t5 cw*21 my m.#m Maid,vp (Mon 4414
ot*
1 OF 1
SHEET NO.
PAOJNCT NO. L3234, IOU
1
COLUMBIA il_UFPRINT & SUPPLY IT'S x tZ"
•
Raa.�tss.6�ii§iFW, 1
AIIr�-.4: •.tic A�.^+.+i4Y4"�1A1-__ - -_... . .. .
ti
NOTICE: IF THE PRINT OR TYPE ON ANY rr� ' Ii � 1 � � I � � I � � I � � I � � I � � 1 � � I � � 1 � ) I I I—IT .II1 l-T .► II -1 > i1i 111 1'11 III "111 � � I II1 I 1 ► II 111 I� I t �l 111 ili 111 I 1 111 111 1 � 1 � 1I1 111 11 ) 1111111 111 111 111111 ,.�, J��
� 1 1 1 l 1 ( I 1 1 1 1
IMAGE IS NOT AS CLEAR AS THIS NOTICE, -4 -------------- --- ---- 6 --- ------------- ----___._ � - --—_----------- --- -----_-1.0..---___ _--_Z 1 - 12
IT IS DUE TO THE QUALITY OF THE 1 1. 11 i111 ___1 III 11! I I II11111111 I IIIc lll! {11111111111 .111111111111t1Z1{li 11O11 Z111111b1111t1111{IGIl T1111119T � T 11 1 8 L� e 5 No 3I
6
ORIGINAL. DOCUMENT 1E11II6Z11 1189 EZ ZZ 1 1 1 M T
11i111111111{Il illl Hill 11111S11111Z11111111-11 1111161111ii llll111
c r.•Y T.�1,Z
T �Ilulw
� �lllll.11illf1,11i
t
,
i
LJ-214 SW 103RD AVE
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 9722308199 (503)539-4171 ryl f4 b'f k_'.R PL RM I T
PERMIT #. . . . . . . : MST95-0001
6a9-4171 DATE ISSUED: 01/12/95
1TE ADDRESS. SW 103RD AVE DARCEL: 2S1149B--l6._Q_10
b
buLADIVISION. . . . RIVERVIEW ESTATES ZONING: R7 PD
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :8
BUILDING
REIGISUE: DWELL I NG U1\1 I TS: I BASEMENT. . . . . . . . :0 s f
LLASS OF WORK. NEW BEDRMS:4 BATHS:3 GA R A G E. . . . . . . . . . :534 Sf
I'YPE OF USE. . . -SF FLOOR REQUIRED SE.TBACKS-—
TYPE Of- CONST. :5N FIRs'r. . . . : i1t,8 sf LEFT. . :82 ft RIGHT. :5 ft
OCCUPANCY GRP. :R3 SECOND. . . : 1202; s f FRONT. .:10 ft REOR. . :b2 ft
+11 ORI ES. . . . . . . :2 FINBSMENT:0 5f REG_'U1
HEIGHT. . . . . . . . :33 ft TOTAL 2363 S f SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 t-)s f VALUE:. . . . . 16148CA PARKING SPALES. . : 1
1«mar-ks - PATH I
PLUMBING
I NKS. . . . . . . . . . . 1 '77 LOOR DRAINS. . . . :0 BACKI'LOW PREVNTRS. I
LHOHTURIES. . . . . :5 WATER HEATERS. . . : I TRAPS. . . . . . . . . . . . . . :o
TUB/GHOWERy. . . . :3 LAUNDRY TRAYS. . . 10 CATCH BA"DIN.3. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft ) . -0 GREASE TRAPS. . . . . . . :0
D I SHWA5HE R3. . . . *. I WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . .0
OARBAGL DISP. . . : 1 RAIN DRAIN (ft ) . :@
WAO)HING MAC IA. . . : 1. SF RAIN DRAINS. . : 1
MECHANICAL FEES
FUEL 'T'YPES--.— ------------ UNIT i-a RS. . :0 type amaur)t by date r'eapt
/bOFS/ VENTS . . . . . :0 TIF i 1550. 00 KS 01/12/95
11AX INPUT:124 DTIJ VENT FANS. . :it SWM R 180. 00 Ks 01/ 1L/95
-
1-URN ( 100K . . :0 HOODS. . . . . . : 1 SWM 1 100. 00 KS 01/12/95
.IFN )=11210K . . cl WOODSTOVES. -.111 BpRi 588. 00 KS 01/12/95
LUOR TURN. . . . :0 CLO DRYERS. : I SPLC s 382'. 2 0 KAR li:?/15/94 9425970-`
BOIL/CMP UTHGR UNIT5: 1 B51 40 K5 01/11,'/95
CCAS OU"T'LET'S i I PARK 00 Ks 01/12/95
Own P r�i .-MP R r 1, 45. 00 KS 01/12/135
MTN SHADOW ENT INC MPLC 11. 25 KS 01/1.2/95
17245 SE HAhJNEMAN C'T M34-1c 2. E'5 KS 01/12/95
3BJ'P' $ 225100 KS 01/12/95
ul-09I)STONE Or 970217 P5PC $ 1 1 5 KS 01/ 12/95
Phone #: 6b60096 EROS $ 64. 00 11,6 01/12/95
Lontractar- : $ c"O. 60 KS 7+1/ 1 -'/95
D & B COMPANY, INC. ERPC $ a:@. 00 KS 01/12/95
20,37 SE OC11000 ST
PORTLAND OR 97222
Phone it, 19711
Reil 1.9664
3789. 95 TOTAL
This perait is issued subject to the regulations contained in the RE UUIRLD INSPECTIONS
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fit-eplc-.Aue Ins
applicable laws. All work will be done in accordance with approved POSt/SPAM Eltt'LlCt Gas Line Insp
plans, This peroit will expire if work is not it wit Post/Seam Mecl-ian Insulation Insp
days of issuance, or if work is sulperoe I 3P t IA n Plm/undslab Insp Gyp Boav,d Insp
'lip,
1:11-M/Uvidei-f I oai- Rain dt-ain I.Tisp
M0 L 1 1 ATI i CIA I Insp Watar Line Insi)
Plumb Top Out Appr�/Sdwlk Insp
Issued Ely . Framing Insp M P 0 1�A i)i c.,n I
LT11 loi- in'spet, latt 0"_%441 fn
CITY OF T I GARD SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT PE RM I I'
13125 SW Hall Blvd.Tigard,Oregon 9722398199 (603)639-4171 PERMIT #. . . . . . . : SWR95-0001
639 -4171 DATE ISSUED: 01/12/95
PARCEL: .RS 1 141313-16200
SITE ADDRESS. . . : 16 14 SW 103RD AVE
SUBDIVISION. . . . . RIVERVIEW ESTATES ZONING: R-7 1-11)
BLOCK. . . . . . . . . . . LO T. . . . . . . . . . . . . .8
TENANT NAME. . . . .
USA NO. . . . . . . . . . . FIXTURE UNITS. . . i
CLASS OF WORK. . . NEW DWELL ING UN I TS. . * I
TYPE OF USE. . . . . :aF NO. OF' BUILDINGS: 1
INSTALL TYPE. . . -.S LJ S:)W R 1MPERV SURFACE. sff
Remarks : PATH I
Uwner: --------- FEES
lyll*N SHADOW ENT INC type amol-tnt by date recpt
17245 SE HANNEMAN CT PR11'r $ 2200. 00 KS 01/12/9b
INSP $ 35. 00 KS 01/ 12/135
GLASI)STONE OR 97027
Phone #: 656-0096
Contractor:
CONTRACTOR NOT ON FII....E:
2,7:35. 00 To,rAL
Reg ft. . :
REQUIRED INSPECT10NS
This Applicant agrees to cosply with all the rules and regulations (:)t�wer Inspectiori
of the Unified Sewage Agency. The permit expires 180 days from ---------
the date issued. The total amount paid will be forfeited 1 the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall rchast
a "Tap and Side Sew" Permit and the,�Aenc!y Mw' later
*1-1 ittee1 t P A
P L 11 Si's i wil CA t
lssf.ted By :
Call for inspection 639-4175
r
Permit# Account Description Amount Amt. Pd. Bal. Due
Ifs,-aw Bldg. Permit (BUILD) Sc�'�' S Y ,
Plumb. Permit (PLUMB) �,2 S 'z Z S•`v `/
Mech. Permit (MECH) -.F-�—
State Tax (TAX) z- d u Z
Bldg:
Plumb:
Mech: '
Plan Check (PLANCK) ,3. 4� �250 �y y ' ✓
Bldg: Zv L/
Plumb: _
i
Mech: //• Z
..Scv/Zffleou _ Sewer Connection (SWUSA) 22
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) ,SOO
Residential TIF (TIF-R) q30—
Mass
30 Mass Transit TIF (TIF-MT) / 7.p _ 12v
Commercial TIF (TIF-C) _
Industrial TIF (TIF-1) --
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL) _ ! ' �jn
Water Quantity (WQUANT)
Fire Life Safety (FLS) _ --
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) Zr�•� o_Y—✓/
Erosion Planck/COT (EROSN)
TOTALS:
All
Residential Building Permit application c �
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
}
Jobsite Address:
Subdivision: I _�� Lot # Office Use Only " 1
�
Valuation: Planck/Rec # - —
�li'�� ' � uY .
Corner Lot? U N Permit # )V7 g/ yj
Flag Lot? Y /N / Reissue of
Map & TL #_- F 2l
Owner: A-)n h 2 e,L -, . r Approvals Required
Address 1`l f r'+ i; Planning
'LcJ��J� �� , ��• �r ���' Engineering
Phone: cl' J C_' C''�� Other
Contractor: �C P ' �� _ Items Required
Address _ _ _ Subcontractors
--------- —— Truss Det "
Phone:
-- -__ Oth
Contractor's License #
(attach copy of current Oregon license)
Contact Name & Phone: C
Subcontractors: Architect/Engineer:� !' c"n 1
4, Plumbing: "� � � lrL 1 ( , Address:
I
Mechanical: �, 1 . r �' c
(attach copy of current OR Contractor's Lice se)
Phone: L,�
JOB DESCRIPTIONc�I�L L.,27) �.. � C') f� L Lc_C--r, �i .>L.. ----.—
( ~ ?
�, � ,� r
App ant Signature & Ph � um.)er
- l
Received by:___—,
y:,_,.�T �� ( Date Received:
N MORMCOMOMPESAPP
,...�Y»w� IfYi�'i71Me1��ArMf44�M .ui;. r�•rt '4iaGCQ V '`4V
Wdip€�w�Pi.'Mt�Jilar(�IIiR1i��dtv�iid64�inriJGl$�ny1pV'}�;;'lilYdl��il�"iF(C,I�w��Rq�`viYYikd�'ti�'�i'�@till'a"
�
.35-0 4��J
Ij a e
4.4 $I ISrJ�V Yltw M.I
IWIq 5w /03L-'o
loll
i
'Al
J
0
� � r
o0
i
� r r• UJV�, r
� t
! i r �'I �` i;i W.,(Y@t♦.91 i� 4i�a�'�9 W;it j�11A p'�Myp,IR�tI�a INN R w,
'.i t" i�.'r r ,I� yh1 j jJ yy��!{"� iY ,.� ll�� yrai:��yny lyij ',ry+'•i�r tai (rl . (( .'• (t ir:'d 4 IIir;;, 1s+10i
:Ai
a>, a t •.I ir,4M" r,i, r '2 4P 9 f?,n yi r ;ra �l_y,tl , tiilN 5 '11 aOGr d•r,rl
d r r ! Ih,�, � 1 .�- � it ) it �� 1 i � �P�� I �,�.,t. yi�{i (�. r 61) x .f:' �1 �^n�.':..it r+�a,`i�.o��'•4ir! r1 7 Y
' � � .• ',,rY r ,,,�r k!d . 'I. r !r I�;;,i � �,.���;�� J ,:;�� � Ny;.;, 11 �p}51tr i fi��:,l? �4 d�1� ^� (kEy � {„�4 r�r�� hl�ryl >I`ln���r,...,�� d g�fr�.,, jrl{ �(ad r(,�1 ll ti r�4�'''3ktd�,,r,Y
d
i , 'fG� � �rl,�li”ill ,�—Cd yel�r' '.,(data •urr('IM �.t (` �l,rrr,dr;'�',di i ��t•;a.� r id,�q,Ir yiil ,..�� �' ��i'" ryi, a, tl tl � b ,��1�� y �dr,�a
')E(' 2Q. '94 69-'04AM FT_RST AMERICAN LT 2244 83771TY OF TICARD F "`gni ool
p
i
EXEW TION FROM MA,X WMI SHADE POINT HEIGHT STANDARD
c, the undersigned, as legal owners of record of thN property described as:
I t # 7 of i U f -e"j -i ._Subdivision , T1-SHTT R?PO_V CrL r.".{, O.RE�T.
Turd .address /D 2SL S't.c) fir f/C s (x.
T-ax Map and Lot Number J)� I L l DD
d( hereby rebase the property owners of adjacent Lot
of River-til-f:Lj). EOr44rsSubdivisiozi, a,Fa kiown as Tigard addresa AV?—ly S W to 3 1,1
F+nd w Tax Map arui.Lot Number-21S/N 80- Za o from complying with
C mmuuity Development Code Section 18.88.050.G(Maximum, Shade Point Height Standard`;
d agree that the str rture may have a shade mint height of3q feet, thereby tWowirww, shadfi
On as area otherwise proteeted by Codo Section 19.89.050-D.
T addi on. Uwe also release the City of Tigard from liability for darniges resulting fiom this
rl-
Si a ry Barbisan aka Gerald A.
Barbisan
111"il'.
Sig=tutpVictoria Barbisan
S too aresort )
S
This instrument was signed or attested to before me b;LOr-f �I�b�'_r }'� _and
t'LAft on
t^ rrFICIAI.SP,1 "Y lil
`
✓; ;.x.85 Cul r~o +1d:i34 ignature or Notarial Officer
( s.ry Seal) r err:c.r.+a�;: •r,al it��n'�:�Il.d.X900 lit y Commission Expi res: �j74;ot
9 pr.-1„c Pose-R•Fax Note 7611 Dnp Sol 9, �
c� cn.-
Ph'sr► PhoneA ('�_
_ y�.3
trey�
fist
I
onstruction Inspection &Related Tests
Carlson Testing, Inc.
P.O.Box 23814
Tigard,Oregon 97281
Phone(503)684-3460
REC'E I V b D FAX#684-0954
September 28, 1993
#CP-9114
�.,......,...•, nrurt n"UFN?
Peterson Precast Concrete
P.O. Box 159
Stevenson, WA 98648
GEOTECHNICAL RECOMMENDATIONS
PRECAST BLOCK RETAINING WALL - LOTS 8,9, AND 10 RIVERWOOD
CITY OF TIGARD, OREGON
Gentlemen:
At your request, we have visited the above lots to provide
geotechnical recommendations for construction of a 6-foot high
precast round block retaining wall. This letter formalizes our
recommendations discussed with Bob Kirkpatrick of. Design Edge
Services.
The rear yard cut slope at the lots showed predominantly native
silty fine SAND. We recommend the following soil. parameters for
wall design: ( 1) angle of internal soil friction Phi = 30°, (2)
soil unit weight = 120 INft', ( 3) smooth soil to concrete friction
coefficient = .40, (4) serrated granular backfill to wall friction
coefficient = .55, (5) allowable bearing pressure = 2,000lb/ft2.
The wall should have a minimum embedment of 18 inches for
protection against frost heave. The base of the wall should be
bedded with a minimum of 4 inches of rock (3/4"-0 crushed aggregate
base) . The wall backfill should consist of rock for a minimum of
12 inches width behind the wall. All rock bedding and native soil
backfill should be compacted to a minimum of 90 percent of the
AASHTO T-180 maximum density.
If there are any further questions regarding this matter, please do
not hesitatetca tact this office.
Respectfully submitted,
4�
4 4 v CARLSON TESTING, INC.
0REGUNJames D. Imbrie, P.E.
Geotechnical Engineer.
CC: Design T13d j -rvices
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13128 8W Hall Blvd.Tigard,Oregon 9722398190 (603)830-4171
J) i:i?.13371 1W
,
ry
u _
)INN ac; c�. r� ;r >±�:.�' 0.Ta r UFR 1, -MC,'aI iC� Rt�vAL ;�ra�tf
r. „AIT XI-4 t:2UIR�V.::J 1=(_1(7 I fWI It f_. ' L�Ife�iC: TCr.,f+, 6
w FEES
:;�` f-^tF1 V N�. � t y;:�,i� �a rt 1.,�.�r!i, 1�y, c'!a t c >~•�t� .�.1
I r~Ikl�IN C.. , �'� 1; 1.,,,,r. 00 JH 10/01/9
9
dilw. t� T"l'1!I[" CSF? 4} i't1r;:,'• .Jf: 1Je'1,�6 i'c
�'! r�r .0 �F s fat�E.�-•G'_I�''1G;� d�"f_.C:., �. yyffx �` iyry� r..
'+ �� .J��• w.v:J J r"1 i,0.'r ,f.'f 1�
» J n t,'a tt,..
t►1q'U! al'{6'sC�CiIrJ 0 14TI;fw1>r?1'4'>+;;5 INC.,
1724j SE
G{.Pl0S7`(JN(:. OR 970
Y l C1 T'1 di 4f .
4�:,4 l—`13
01 ,.
}'. pvOit 27i J';;Sueq Subject t^ "1`B t"I(gl�aCi.:+'fl LGr'tdYnell 1.. tljp {c,.r (., 1 { r� v.1} •'C, 1
"'ig' �^#1 �luScttr�rt Code, state Ire. Speciaiii� art' a:. �t�k�ti; F.x",.Ivat I !ar I _�. .._
aPP911cab4iP Iawt fi;,, SMC," wiL Cun,k iC, acct, :!a riu w.v, LSt :lS;ipi'K
, _ ....__....
�1 S1
aulirrvr a#am th7a pv-pit M1."I enptrt :` w°as i, a i r a ru t� t J r r�;l r ,Cys'c 1 a e r
wttla«fi 29, dw: of i!'SU$nC.P Gr S
v'v .ae days.
f t kir iyl%pr?c:t #cm 6349
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: C' Office Use only
Subdivision: ' —�
Rec#Planck/
valuation: _ T�r
'
Permit #
Owner: l�-��-, �`�7�Jr ' r'C-r Reissue of
(�
Address: / � i� Li 2-1
Approvals Re uq_ ired •� ,� f i T
Planning
Phone: 6r 1 cEngineering
(:rte'. rV•W�l,��
Contractor: ( t r^ 4'L' Other -. —.—
Address: _ — - -
--- ItemsRequired
Subcontractors
Phone: Truss Details __._---
Contractor's License # t 7 ( 7 —
(attarh copy of current Oregon license) Other
Subcontractors:
Plumbing: -�
r
Mechanical: _ —
(attach copy of c�Jrrent OR Contractor's License)
Architect/Engineer,. —
Address:
�--
r
Phone:
r •..� ,.r SJ- ,.,�;.�<max, \-�'0� " �
COMMENTS:
Appiiont Signature & Phone nu r
,f
Received by: Date Received: _
_�. _
Permit # Account Description Amount Amt. Pd. Bal. Due
/ ,35,35
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MEC-4)
Staie Tax (TAX)
Bldg:_ (�, ]
Plumb:
Mech-.
Plan Check (PLANCK) �
Bldg: f 3 0
Plumb:
Mech:
Sewer Connection (S!'aLJISA)
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-11)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WOUAL) _ _v
Water Quantity (WOUANT) _
Fire District (FIRE)
TOTALS:
October 7, 1993 CITY OF TIGARD
OPF-GON
Mr. Gale Makin
Mtn. Shadow Enterprises, Inc.
17245 SE' Hanneman Ct. �—
Gladstone, OR 97027
Dear Mr. Makin,
Your grading and retaining wall plans are approved subject to the
following conditions:
• The soils and civil engineers shall provide professional inspection
pursuant to Chapter 7014 of the U.B.C. Reports of such
inspection shall be provided to the Building Division. Compaction
.reports for the back-fills and footing bearing shall be Submitted
to the Building Division.
• The Building Division shall be called for the following inspections:
a) erosion control prior to starting work
b) after cut, prior to pouring footing to approve pour and
observe over-cut
c) wall inspection to observe wall prior to placement of
backfill
d) final inspection to observe backfill and permanent erosion
control
If we can be of any further assistance, please call.
Sincerely,
David Scott., P.E.
Building Official
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772
10 PAOrrx
�GiNE�'
Q 656
1 �� < �� FIN GRADE
OAE ON
4
Y10 P�Q� 18„
pe. KIR2
5 1/2" x 28 5/8" /
PRECAST 0-RINGS
I f
.3/4" (—) COMPACTED
GRAVEL FILL —�,� I f 30.+
f ,
I f
o x 4 ► f ��v
GROUT FIRST f f !I
TWO COURSES —f # 'W X -J--�
ty-
FIN GRADE - i, . ., f
r f > ` [�o ::' -7 COMPACTED BACKFILL.
SEE GENERAL NOTES &
CARLSON TESTING INC.
T SOILS REPORT.
b
.-° 3 ti c0r1T, LDr
__ # �f x z-� L 12
UNDISTURBED 12" �4 7--P A NIS' V-
At
SOIL 3
GRAVE��OMpgCTED
i t 1 /vAA?3 F,4 c N F1,4 i- c L A r i r,
Drawn SDG'
WALLDesign Edge Servlcee, Inc. Drawn
4520 BE, Belmont Susie 330 --
ieked
ELEVATION Portland, Oregon 97215 238-1112 job Ne, 28601939/29/93
860193
Gef$ 9 29 93
CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMII-
13125 SW Hall Blyd.,1798rd,OR 97223 (503)6394171 PERMIT #. . . . . . .
DATE ISSUED: 0-7/10/977Y007`
SITE ADDRf_"55. . . : 16;?.i�i SW 10,1RD AVE PgRCEL: 2 114PS-16200
SUBDIVISION. . . . : RIVE:RVIEW E`'511-ATE-S
BLJCN,. . . . . . . . . .
._[JT. . . , 1-3ZONING: f 7 1 n
~ ~ ...___-_____._.....y..._._�...�._.__... _____._______...____.__..._.__._......._._..__.__..... . ._...
rARE?AGE D T SF�05A
CLASS OFWORK. . :NEI,JL.S.
TYPE OF USE. . . . SF : 0 MOBILE HOME SPACES.
DASHI
OCCUPANCY GRP. . NG MACH. . . . . . : 0 BACKFLOW PREVNTRS. . ; 1
. . . Hr FLOOR DRAINS. . . . . .
STORIES. . . . . , • 0 WATER HEATERS. . . . . s Tftfal=�i
LAUNDRY TRAY'. „ CATCH BASINS. . . . . . , 0
SINKS. . . . . . . . . . . 0 0 SF RAT.I�l DRAINS. . . . .
L_AVATOPIES. . . . . : uRZNALS. . . . , . . . . , : 0TRAPS
: 0
0 OTHER FI XTUR{"5. . GREASE TRAF�;. . . . � . . : 0
TUB/SHI.IWERS. . . . ; 0 SEWER LINO
WATER CLOSETS. . : �^ 0
(1TER I..I KItM'
r)I",fIWASHER S, . , , ; W
�, RAIN DRAIN (ft) . , . ; 0
I�emark! : instl r•esi.denta.l tract.(flow device
HAS/ROSYN^FORt,,Y'TH_____________ `��`_ .____..____ .. FEES
16214 SW 103RD AVE typ ��m(II.rn1; by date �t"ecpt �
PRMT $ 1,5. 00 TAT 03/07/97 97-X91319
l'TOPRI) OR 972237 SPOT $ 0. 75 TAT Gtr 3/07/97 97.._291 31'?
Bone #;
Cont r•act ori:
VENNTS' 7 I)F�ES L_f'".IDSf AIoINCJ~___w..
7355 SW JOHNSON CREEK BLVD
f-IORTLAND OR 97208-9328
I'fione #: y0.:, 771._7771
""g #• . : 000050► 15. 77 T0TflI_.
This permit is issued subject to thr regulations contained jr, the REPUIRED TNSPECT'TnNS _ .__..__•_
Tigard Nunicipal Code, state of Die. Sperialty Codes and all other Water' Line Insall
applicable laws. All work Nil; be done in accordance with Water- Set-vice In
appr?ved plans. This peva will expire if work is not started Misc. Inspection
within 188 days of issuance, or if Nark is suspended far more RP/Ba�c,kflow pr,ev _� r`
that. 1� days. Final Inspection
!Stied By:
Cal for inC aer f ion [.,9 y17
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # -�/-�,-T�-
13125 SW Hall Blvd. Permit # lld47- 7•"'_
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
-
P- 0- - New Single Famlty Realdences Only
....« "� ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
Jr`b r-�, A-V ❑ 3 BATIi HOUSE$225.00
Addi egg o,,a., n Fee includes all plumbing fixtures Ir the dwelling and the first 100 feet
of water servhe, sar;rary se.:c; and storm sewer. See fees below.
FIXTURES CITY PRICE AMT
Sink 9.00
Me"Ar.,. nw Lavatory 9.00
Owner i l(i ii-I `J f f)� /\y• Tub or Tub/Shower Cornb. 9.00
CNW- a Shower Only 9.00
I ' I I I _ Water Closet _ 9.00
N-4 16"Wo of Dishwasher 9.00
Garbage Disposal 9.00 -- - -
Occupant mm"Are" oe«. Washing Machine 9.00
Floor Drain 9.00
a ft" rr Water Beater 9.00
Laundry Room Tray 9.00
----- w.. Urinal- - 9.00
Othor Fbduros (Specify) - 9.00 --
wry 9.00
.�F� J c l ---- ----- ---- 9.00
Sewer fit 100' _ -- 30.00
Server-ea. Addle. 100' 25.00
Water Service Iet 100' 30.00
I hereby acknowledge that I have road this application, that the Neter Service ea. Addle. 200' 25.00
Information given is correc3, That I In,Ihn owner or authorized agent of ----- -� ---
the owner, flint plans submitted are in compliance with State laws, flint Slone S Rain Drain 1st-100' - 30.00 -
I am registered with the Construction Conlinctot's Board, that the Sloan &Rain Drain Addit. 100' 25.00
number given Is correct. (If exempt from State ragbbation, please ----- - -
give reason below.) � T Mobile Home Space � 25.00
Back now FTeventlon
t i ( `7� i' Device or Anti-Pollution Device -- 9.00
sp. .r...««w«+r o:•- Any Tinp or Waste Not
Connected Ina rNhirA 000
Describe work new addition U alteration C: repair U Catch Basin 9.00
to be done residentlol Q non-residential O Insp. of Exist. Plumbing 40.00/hr
--
Specially Requested Inspecllons 40.00/lir
Existing use of Rain Drain, single faintly dwelling 30.00
building or property _ _-_- -- -- --
Residential backflow prevention
devices _ 15,00 _
Proposed use of
bullding or property ([xcept res/danUal backflow -
preventlon devices)
NOTICE 'minitinum Fee 529.00 SUBTOTAL
PERMITS BECOME voio IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 51,0. SURCHARGE_
CONSTRUCTION OR WORK IS 1SUSPENDED OR ABANDONED -FOR A PERIOD OF 180 DAYS AT ANY TIME ATTER WORK IS
COMMENCED. PLAN REVIEW 29',4 OF SUBTOTAL
TOTAL
Special Conditlons
,_--`_ Dale Issued by �-_
I X
r
o�
0
� M
LIJ
O w
U
toLU
Q to -i
Wm ¢ O
v� a` w
J cr
z W
z
�n
1- ,V
a z m
£ H N
ui d 0M
x ¢ > 0)
w u -ir
vl m m
a O 0
¢ O z Y CJ
O O y ¢ W N
-� W 01
�w M N U
U1 (1) W
W Z
/� z z o 0
iii
(nnzzcr
= W Z O
z a > o
,�z am w n
o V
U' J O
U[L Z UI ll W Z
wrL H N Y N V) ¢
J
U z L u) f-
w U m z `n m
O fn tl. W M O
O t` p_
WZ-7oz -1
Q w
CITY QF TIGARD CERTIFICATE OF
OCCUPANCY '
COMMUNITY DEVELOPMENT D t�NT PERMIT #. . . . . . . : MST95-0001
13125 8W Hall Blvd.TI2�rd,01000n 07223* 60 0 171 DATE ISSUED: OC,/12/95
PARCEL: �5114�1E+-- 1E�,:'00
SI1"E ADDRESS. . . : 16.:14 �;W 103RD AVE
SUBDIVISION— , i RIVERVIEW E:STA1`ES 7.ONING:P---7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :8
CLASS OF WORK. tNCW _.__.__._. ..___.__...._,___.__.___........�..._
TYPE UE USE.. . . :SF"
OCCUPANCY GRP. c R3
OLC UPANCY COAD:233 4
TENANT NAME— ;
Remar^lois PATH 1
Owner:
1+1TN SHADOW ENT INC
17E-'45 3E HANNCMAN CT
GLASDSTONE: OR 97&--"7
Phone #: 656~-0096
CIO
co IC"TOR NOT ON FILE
Phone #t
Req #. . .
Thi, Corti c•ate certifies that the above referenced br.tildiny or portion
thereof ha can insplr:ted for comm i ,anc-e with the Tlyard Building Cade,
for the grow rind division of or.�cl.tvancy and use fnr~ which the above
nfWr•crnr.ed raer it was. ikssued, and occupancy is horraby granted.
SE Cf"'r�'► 19 i`...C►INC Or F'IC'IAL
CJ I.DAae
ING
r osr iN rnra Prr1J()I.Jc, r.,l.()rr-
CITY
OF T pLUMBI NG p'ERM 1"(
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . .
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (803)830.4171 DA f E. ISSUED:
PARCEL: 251 14BB-16.:::00
SITE ADDRESS. . . : 1614 SW 103RD AVE
SUBDIVISION. . . . : RIVERVIE:W ESTATES ZONING: R--7 F'D
SLOCK. . . . . . . . . . . L01.. . . . . . . . . . . . . e 6
CLASS OF WORK. . :NEW GARBAGE D.SPOSALS. . : 1
TYPE: OF' USE. . . . tEiF' WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. , : 1
OCCUPANCY GRP. . :R:3 FLOf.7R DRP.INIG. . . . . . . .0 TRAPS. . . . . . . . . . . . . . :0
Si'UHIEa. . . . . . . . 12 WATER HEA1-RS. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIXTURES-------------------- LAUNDRY TkAYS. . . . . . :lb SF RAIN DPA I NS. . . . . : 1
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :a OTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . s SEWER LINE (ft) . . . . :0
WATER CLOSETU. . 3 WA'1'L-R LINE (ft ) . . . . : 100
UISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0
Rem arks : PATH T
UWNEHs _____.._.___.__ ..__.._._.__.___._._.__.___-._ _____.---________..-----FEES----------------
MTN 31-IADOW ENT INC T1 t .1550. 04 KS 0 1/I a/9 5 --
1 7245 SE, HANNE:MAN CT SWIM F J.80. 00 KS 01/12/95 —
SWM 1. 14'0. 00 Ka 01/1.2/95
t:jLASDST0NE OR 9702'/ Bl*-,RT I 50B. 00 Kia 01/ 9
Phone 0: 656-0096 BPIL.G S 382. 20 KAR 12/15/94 94-25x707
B5PC $ 29. 40 KS 01/12/95 -
'='l ambing Conti•actot-: -- _..._.._. _.____.._..._. PARK $ 500. 00 KS 01: 12195 -
MPR T $ 45. 00 KS 01/12/95
lame : _ �# d�--2''c__.__�___ MPLC; f 11.. 25 KS 01/.1 /`)
r
-iddess :_ ._._...._. 2. 25 KS 01/12/95
Lityc 301-11 1 225- 00 KS 01/12/95
_____t-'hone#: �'.��'-7!✓L,� F'Spu ! 11. 25 K5 01/12/95 -
rl ......._.7--lem— Additional fees not shown h e r,a. . . . . . . .
REQUIRED INSPECTIONS
[ his pei•mit is issued subject to the r-ey-
Al,ations contained in the Tigard Municipal Foot/found Insp Rain dr-air, Insp
15t,0,e of ()r-e. par_ialty Codes and all Post /Beam Gtr-uc.t Water, Line Ins1:)
,they^ applicable laws. All work will he done Post/Beam Mechan Appr/Sdwlk Insp
,.n accordance with approved Flans. This Plm/undslab Insp Merhaniral Fina ;
Permit will expire if work is *lot started F11_10iUnderfIoor- plumb Final
thin 1130 days of issuance, or, if wur•I< is Mec.:,.ana(_al Insp 1{1.tildinu Final
pendt-d fot^ mov,p than 180 da Plumb Top Out Erosion Control
Fttaming 111sp Wtr Proofing 13sm
Fir-eplace Insp Crawl Drain
Gas Line Insp Ftg ffi,ain Osm9 t
Insulation Insp
. ..._ ell,,�-__ I:i y p Board I ri s P
uthiuriled Plumbing L.ontra ter ,. igatut-e
Call tot- inspect iun - 63,9417E.
f_'ontr,ae_tut- 1Votes :
SEE 35MM
ROLL #21
FOIA
OVERSIZED
DOCUMENT