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t x ! ADMIESS: �®vV9)Av,, 6jtjL= M 1 Z A :31 �a J - i:\records\microtirn\targets\bui!ding.dou CITY' OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.81199 (503)639-4171 Alt, Ubt.)I V 191 ON. I.-ASS Or WORV. NEW PE- SF" Cr UPAHC'y R'n i.,CUPONCY LXIAT)92�'& J+ 1'7"NANT NAME'.. . ., - AW.I NS 75000 113W illrAT'0114 10PI) OR -f-CIFIC rIW 11001SING r4r." 1. 1-11rH ANCI)VE71'i 11,40 1)(3. 684 q #. 7 W2 I L, of the r,.%bnve v-ererenv,ed bl.tt toling is heveby q-iven, and a t?r t i 1-ir rnmpli •m-Ae ivith --? State Jf Oregon Specialty Codes for the tp—ln -and ust., �.m %, which Chf: t,efev �.iv!ed ppr,mit wAs isqued, rwi- or.J.,l'iurmt.J\ft ' I G .1 N 5 1 C",Trim Ot' P( !"i't 114 CONSPICUOUS PLAU". INSPECTION NOTIC2 City of Tigard Building Det 13125 SW Ball Bled. Tigard, Oregon 97223V Inspection Line (Rec-O-•Phone): 639-4175 d neee Phone: 639- Inspection: Footing Pkbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out 3i■ Line FINAL% Poet/Beam Struct. San. Sewer Framing eldq.� _..- Post/Ream Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Hater Line Gyp. Bd. � Hoch. Date Requested: _ L_ � T imef t AN PN Address:_ 'A Qt Permit Builder.: TAE FOLLOWING CORRECTIONS ARE REQUIRED: Q/f V) J on r. C7 —_ LL! J Inepectorr natal 1( 3 t110M __ DISAPPROVBD APS:u.'ED SUBJECT TO ABOVE Call For Reinsp. i ,INSPECTION NOTICE City of Tigard Building Department 13125 411 Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phofie): 639-4175 Business Phone: 639-4111 1 aspect ion s -- Footing Plbqderalab Mech. Rough-in ( Appr/Sdwlk Found. Plbq. Top Out Gas Line FINAL: Post/Beam Stn:ct. San. Sewer. Framing -51dg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. Plbq. Underfloor ///Waster Line Gyp. Bd. -Hoch. Date Requested:, `- Time: _AM _--- PM Address: t < L-3 —v Permit 0s._.i_��..�" Buildor:_ — TIM FOLLOWING CORRRCTIONS ARE REQUIRED: H Ln H- J QD W Inspector: Dats: _ P/PIIOViD V�SAPPROVED __ APPROVED SUBJECT TO ABDVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building DeparC-vsnt 13125 SW Hall Blvd. Tigard, Ore7on 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 (1 Inspection:__ Footing Pl Underelab Mach. Rouqh-in ' Appr/Sdwlk J Found. Plbg. Top Out can Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Inpulation -Plumb. Plbg. Dnderfl.00r Nater Line Gyp. Bd. M�ch./�9�� /� Dat:. Requested: 1, _Times l� i PN Address: -�' Permit #: d Z Builder: 72 L THE FOLLOWING CORRECTIONS ARE RBQUZRBD: 'c `.5 r4> P C0 yr o F. >0100CF4 cul-Il ,e' o?�IL a) i - --- TO 0 J-7 Cf 71S L) Inspector: i i r!� / �C�/l 1/rl.:r Date: AppAOVDISAPPROVED APPROVED SUBJECT To ABOVE � Call. For Peinsp. XNS'-RCTION NOTICE Citi. of Tigard e+iilding Department 1.3125 Sp Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 639-4171 Inspection:____ ✓lam �_` _ Footing Plbg. Underalab Mech. Rough-in appr/adwlk Round. Plbg. Top Out Oar Line •INAL: Post/Baam 't_vct. Ban. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulatlon -Plumb. Plbg. Underfloor Water Line Gyp. Bd. _NeCh. Date Requestedtt!_ � Timet AM / PM Andress: (LA�CZ I Q;�) I1 _ — Permit Bul.:�erfU( THE IDM OWING CORRECTIONS ARR REQUIRED: Ait rem W 6-1 1, IDff2ri-I W�ti/GS ©�l r��N S/.Df . LLi Inppector: `"_ WIJ T�In,l�7 —_ Datet-5 �f -'i_3 APPROVED DIBAPPROVEU 4-L APPROVRU St1B.TECT TO ABOVE _Call For Reeinsp. A INSPECTION NOfIOG City of Tigard Building D ,wrtjw__ 13125 Pill Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-G-Phone): 639-1175 Business Phone: 639-4171 Inspection, Footing Plbg. Undsrelab Mech. Psjugh-ia Appr/Sdwlk ` Found. Plbq. Top Out Cas ',ins PZKALt Post;'Beam Struct. Sas. Sewer Priming -Bldg. Post/Beam M.►ch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. td. -!tech. Date Request,ids S J -6� _ __^Timet Addreea: C "`� //2_3 Permit {t Builder: THE FOLLOWING OORRECT70NS ARE REQUIRED: Inspector: uac•t '�— _�APPltovaD DISAPPROVED APPROVED SUBJEC.'r TO AgmW Call For R•inap. INSPECTION NOTICE City of Tigard Building DepartMnt �- 131.25 SW Hall Blvd. Tigard, Oregon 9722 Inspection Line (Ree-O-Phone;: 639-4175 Business Phone: 639-4171 Inepectlon:, Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gr.e Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. poet/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Undarfloor Water Line Gyp. Bd. -Mach. Date Roquested: /_ Time: AM PM Builder:. _ THE FOLLOWING CORRFCT ONS ARE REQUIRED: F-- N -- --��——. — C) Ul J Inspector:_ Date: APPROVED _ DISAPPROVED APPROVED SUBJTO ABOVE call For Reinsp. m PkCTION HOT�CE ct v City of Tigard Buildir.3 Departmer 13125 BW Hall, Blvd. Tigard, Gregon 97223 -/ Inspection Line (Rec-O-Phone: 639-4175 Businesce Phone: 619:4171 lnepection:_ Footing Plbg. Underslab Hech. Rough-in Appr/Sdwlk Found. Plby. Top out Gas Line FINAL= Post/Beam Struct. San. Sewer Framing -61dq. ) Post/Beam Hech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Pd. l -Koch. Date Requested=_ �� _ Time: '�''''�AN pH Addres2• T�1--� 1D Permit Builders - -Z2-1i ) THE FOLLOWING CORRECTIONS ARE LU n Inspectors P4Dete: APPROVED APF OM _ AFPROVED SUBJECT To AROVE , Y] For Reinsp. 7 INSPECTION NOTICE City of .19ard Bu!ldioq Department 13125 SW Hall Bl d. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 539-4175 Business Phones 639-4171 Inspection: Footing Plbg. Underslpc Mech. Rough-in Appr/Sdwlk Found. Plbg To;, Out Gas Line FINAL: Post/Bead Struct, San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb, C P7:,g. Underfloor Nater Line Gyp. Bd. ` -Mee Date Requested: imes AM PM Address L'67c Permit fell ?HOZ Builders, z2!�u? , THE FOLLOWING CORRECTIONS ARE R&QUIRED: s + Ieeypeota1�1 / ` % Datw: 1 XAPPROV21) DISAPPROVED APPROVED SUBJECT}�TOAABBOVR Call For Reinsp. INSPECTION NOTICE Al City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-•4175 Business Phone: 639-4.171 Inspection: Footing Plbg. Underelab Heck. Rough-in Aprr/Sdwlk Found. Plbg. Top Out Cas Line FINAL: Poet/Beam Struct. San, Sewer Framing .-Bldg. Poe :/Beim Mech. Rain Drain Insulation -plumb. Plbg. Underfloor Water W neayp. Bd. -Mech. Date Requested: �] / TLs�F Address: Permit Builder: TfiR FOLLOWING CORRECOIONS ARE REQUIRED: l_.= Inspector: _ Dater APPROVED DISAPPROVED APPROVED SUB.nm TO ABOVE _`Call For Reinsp. INSPECTION NOTICE. ' V �� City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Ph ne: 639-4171 2o ? P/iii �ljrK.G✓4'J /- P• �09 � Inspection• Footing Plbg. Undersl.ab Mech. Rou(,h-i yya� round. Plbg. Top Out Gas Line FINAL: Poet/Beam Stcuct. San. Sever framing -Bldg. Post/Beam Mock . Rain Drain `'Insulation l -Plumb. Plbg. Underfloar Water Line Gyp. Bd. ech. Date Requested: � ,� � '7 Time: AH PH Addrraa:� � -� rd� { _ Permit 1: � Builder: / ( L�•� THE FOLLOWING COR IONS ARE REQUIRED: r-r C.) _j —+ Inepector.t ��`^ Dates,1 i ' APPROVED DISAPPR APPROVED SUBJECT TO ABOVE Call For Rainep. INSP3CTION NOTICE City of Tigard euildirq Depai-tment 13125 SW Ball Blvd_ Tigard, Oregon 97223 '�" Inspection Line (Rec-O-Phone): 639-41.75 Business Phone: 639-4171 Inapection• — — Footing Plbg. Underslab Mach. Rouge.-in Appr/Sdwl.k Found. Plbg. Top Out Gas Line FINAL: Poet/Boam Struct. San. Sewer Framing -Bldg. Poot/Beam Mech. Rain Drain nsulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. C---��-?e. Date Requegtod: c _ Time: AM J Address:_`-/ L L/ Permit : -2 U 2`Zo( Builder: THF. FOLLOWING CORRECTIONS ARE REQUIRED: ------------- APPROVED DIS PROVED APPROVED SUBJECT TO ABOVE Call For Rei.nsp. INSPECTION NOTICE City of Tiq rd Building Department 13125 SUI Ball Bled. Tigard, Oregon 9722 inspection Line (Rec-O-Phcne): 639-4175 Business Pone: 639-4171 Inspection• _. Footing Plbg. Underslab Rn? Appr/Sdwlk Found. Plbg. Top Out Gan .,ine FINAL: Pont/Beam Struct. San. Sewer FYaIDing -Bldg. Pont/team Koch. Rain Drain Insulation -plumb. Plbg. UnderfloorWater Line Gyp. Bd. -Neth. Date Requested: `1+/-�� Times AN PN Address: / Z !� y� Permit Pu i lder: THE FOLLOWING CORRB IONS ARE REQUIRED: —� v J jY^--K Inspector`: Dates 41 �c - T APPROVED DIa11PPAOV>tD MPRDVfD ef!!!.T>•@T 1+0 1l/O'Vf _ call For Reinmp. INSPECTION N' 'ICE / 1 City of Tigard Bailding Departasent 13125 SW Ball Blvd. Tigard, Oregon 97223 Inapecti.3n Line (Rec-O-Phones 639-4175 Busineus Phone: 639-4171 Inapect:ion•_ ---- Footing Plbg. Unlaralabech. Rough-in Appr/Sdwlk Found_ Plbg. Top Out Gas Line FINAL: Poet/seam Struct. Ban. Sewer Framing -Bldg. Poet/nbam Rech Rain Drain Insulation -Plumb. Plby. Undertiloor Water Line Gyp. Bd. -Hach. Date Requested: l Time: AM PH Addreses� :—,/D✓ ` Permit Builders �� _ ����� — THE FOLLOWING CDRRSCTIONS ARE REQUIREDs J _J topn — 10,x, ..� Inspectors . Date APPROVRD 01SAPPR0VRD APPKrMD BVWNCT TO ABOV! call For Reinsp. INSPECTION NOTICE City of Tigard Building Deltart mnt s !/ 13125 Sp Ball Blvd. Tigard, Oregon 97223 1,ir-pection Line (Rec-O-Phone): 639-4175 Bunineas Phone: 639-4171 Inspection: I Footing PYbg. Un slab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drair. Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. - A � Date R&quested: / �7� _Time: AH __PM Addreas:� /D Permit Builder: 2 LC _L r THE PILIOWING CORRECTIONS ARE REQUIRED: Ln LLIJ L7 J Inepector= —__�__- '— Dater-- _APPROVED DISAPPROVED APPROVED SUBJECT TOO ABOVE ' �/C� Call For Rein4p. INSPECTION NOTICE City of Tigard Building Department 13125 SN Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection• Footing Plbg. Underslab Hech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Poet/Beam Struct. San. Sewers Framing -Bldg. Post/Beam Hoch. Rain Drain ) Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. --Hech. Date Requested: — _Times AM PM Address: Z,�2 � 11�. t't Permit Builders THE FOLLOWING CORRECTIONS ARE REQUIRED: i IC f _ r� Inspector: / -- Dates��2 Z APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE __Call For Reinsp. INSPECTION NOTICE City of Tigard Building Departsaent 13125 SA Ball Bled. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. T, Out Gas Line FINAL: Pget/Beam Stru�L.! San. Sewer Framing -Bldg. oet/Beam R1ech.� Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: _`Times AM PM —T T Address: rC c� Permit 1:�� �J Builders THE FOLLOWING CORRECTIONS ARE REQUIRED: N J C..7 !11 J Inspector: Dates APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE ____Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 133.25 SW Ball. Blvd. Tigard, Oregon 97223 Inspection Lire (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection- Footing Plbg. Underelab Mech. Rough-in Appr/S.-41k Found. Plbg. Top Out Cas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. lbg. UnderflGo ( Water j Line Gyp. Bd. -Mech. DAte Requested: / I rf-� �� Times _AM PM Address: 1�f' y Permit #: � Builder: THF FOLLOWING CORRECTIONS ARE REQUIRED: CL rct- N s F- 4, C.7 w Inspectors— Data: APPROVED DISAPPROVED APPROVED SUBJECT TO A9M Cali For Reinnp. I.NSPECT:ON NOTICE City of Tigardgn 97Building Department. 13125 Sid Hall Blvd. Tigard, oroo22 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspect ions Footing Plbg. Underslab Mech. Rough-.in Appr/Sdwlk Pound. Plbg. Top Out Gas Line FINAL: P aE7p Bears Stivct\ Sart. Sewer Framing -Bldg. P,6 -Nech.j Rain Drain Insulation -Plumb. Plbg.. UnderfloorWater Line Gyp. Bd. -Mach. Data Requested:_ j T L1 Z --Time: AN _ PM Address:. '2 !2 � Permit f: 1—6 zq7 Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inapectort _ _ pate: APPROVED - DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinap. PLUMBING PERMIT PERMIT #. . . . . . . : MST92-0247 DATE ISSUED: 11/04/92 SITE ADDRESS. . . : 16292 SW 103RD AVE PARCEL: 2S114BB-16600 SUBDIVISION. . . . : RIVERVIEW ESTATES ZONING: R-7 PD BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :12 ------------------------------------------------------------------------------- CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . :1 TYPE OF USE. . . . :SF WASHING MACH. . . . . . . :1 BACKFLOW PREVNTRS. . :O OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0 STORIES. . . . . . . . :2 WATER HEATERS. . . . . . :1 CATCH BASINS. . . . . . . :0 FIXTURES-------------- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . :1 SINKS. . . . . . . . . . :1 GREASE TRAPS. . . . . . . :0 LAVATORIES. . . . . :5 OTHER FIXTURES. . . . . :0 TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . :0 WATER CLOSETS. . :3 WATER LINE (ft) . . . . :100 DISHWASHERS. . . . :1 RAIN DRAIN (ft) . . . . :0 Remarks: PATH I OWNER: --------------•--------------- -----------------FEES--------------- HAWKINS TIF $ 1460.00 JH 11/04/92 - 15000 SW KENTON BPRT $ 443.00 JH 11/04/92 - BPLC $ 287.95 JLH 10/22/92 232901 TIGARD OR 97224 BSPC $ 22.15 JH 11/04/92 - Phone #: 639-7532 SSDC $ 280.00 JH 11/04/92 PARK $ 500.00 JH 11/04/92 - Plumbing Contractor:---------------- MPRT $ 45.00 JH 11/04/92 - nn MPLC $ 11.25 JH 11/04/92 - Name: F �G�ZQ , (1i�,Q.L� MSPC $ 2.25 JH 11/04/92 - Address: PPRT $ 155.00 JH 11/04/92 - city: State: PSPC $ 7. 75 JH 11/04/92 Zip: Phone#: Reg #- ------- REQUIRED INSPECTIONS ------- This permit is issued subject to the reg- ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp Code, State of Ore. Specialty Codes and all Post/Beam Struct Water Li.:e Insp other applicable laws. All work will be done Post/Beam Mechan Appr/Sdwlk Insp in accordance with approved plans. This Plm/undslab Insp Mechanical Final permit will expire if work is not started PLM/Underfloor Plumb Final within 180 days of issuance, or if work is Mechanical Insp Building Final suspended for more than 180 days. Plumb Top Out Erosion Control Framing Insp Crawl Drain Fireplace Insp Gas Line Insp _ Insulation Insp x '.'�' �� Z— Gyp Board Insp — Authorized Plumbing Contractor Signature Call for inspection - 639-4175 Contractor Notes: CITY F TrOPARD MYOFTWARD COMMUNITY DEVELOPMENT DEPARTMENT MOON 13125 SW Hall Blvd. P.0,Box 23397,r9wd,Omgon 27223(603)6394176 MASTER PERMIT PE RM f F #. . . . . . . 639-4171 DATE ISSUED: 11/04/9 . SITE ADDRESS. . . : 16292 SW 103RD AVE PARCEL: 25114BB-16600 SUBDIVISION. . . . : RIVERVIEW ESTATES ZONING: R-7 PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 12 BU*ILDING REISSUE: DWELLING UNIIS: 1 BASEMENT. . . . . . . . :0 s CLASS OF' WORK. :NEW BEDRIYIS:4 BATHS:3 GARAGE. . . . . . . . . . :484 s TYPE OF USE. . . :SF FLOOR REQUIRED SETBACKS------.--.—.— TYPE OF CONST. :51\1 F I R-31'. 1009 s LEFT. . :25 ft RIGHT. : 10 ft OCCUPANLY GkF-,. : R3 SECOND. I 049 s F RUN 1 . :.20 f t RLAI�. . -L I f t STORIES. . . . . . . :2 THI RD. . . . .0 s f REQUIRED--------------------- HE I GHT. . . . . . . . .28 ft TOTAL_--------:2058 s f SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 103:;80 PARK ING SPACES. . : I Remari<s : PATH I PLUMBING SINKS. . . . . . . . . . : 1 F-LOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . .0 LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :O TUB/SHOWERS. . . . :3 LAUNDRY 'FRAYS. . . :0 CATCH BASINS. . . . . . . .0 WATER CLOSETS. . :3 SEWER LINT (ft ) . :V, GREASE TRAPS. . . . . . . :0 D I SHWPSHERS. . . . : 1 WATER LINE ( ft ) . : 100 OTHER F'IXTURES. . . . . ..0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . -0 WASHING MACH. . . : I SF RAIN DRAINS. . : 1 MECHANICAL --------------- -------------.._—._ FEES TYPES--.-----.---- UNIT HTRS. . :0 type amol-trit by date recpt /OAS/ VENTS . . . . . :11, T I F' 1, 1460. 00 JH 11/04/92 — MAX INPUT:0 BTU YENT' FANS. . .4 BPRT $ 443. 00 JH 11/04/92 — F URN ( 100K . . :0 HOODS. . . . . . : 1 BV,L-C, 1, 287. 95 JLH 10/L'2/92 232901 TURN ) =100K . . : I WOODSTOVES. :0 B 51 P C $ 22. 15 Jl-1 11/04/92 -- FLOOR F*URN. . . . CLO DRYERS. : I SSDC $ 280- 00 JH 11/04/92 — BOIL/Cly1P OTHER UNITS: 1 PARI $ 500. 00 JH 11/04/9-' — GAS OUTLETS: I MPRT $ 45. 00 JH 11/04/92 — Owner: MPLC $ 11. 25 JH 11/04/92 — HAWKINS M5PC $ 2. 25 JH 11/04/92 15000 SW KENTON PPRT $ 155. 00 JH 11/04/92 7. 75 JH 11/04/92 OR 97224 Phone #- 639-7532 Contractor: P'ACIF'IC NW HOUSING 121ST NE 117TH VANCOVER WA 98684 Phone #: 206---944--1092 Berl 70212 $ 3214. 35 TOTAL This permit is issued subject to the regulations contained in the -------- REQUIRED INSPECT IONS Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fOUnd Insp Fireplace Insp applicable laws. All work will be done in accordance with approved Post/Beam Str�_tct Gas Line Insp plans. This permit will expire if work is not started within 188 Post/Beam Mf-rhan Ins,-tlation Insp days of issuance, or if work is suspen�dfor noryet VanI.0 days. Plm/Lindslab Insp Gyp Board Insp PLM/Underfloor Ra* jn drain Insp Permittee Signat-tir -hanical Insp Water Line Insp e N e PlLtmb lop Out Appr/Sdwll( Insp ISSLIed By : Framiny Insp Mechanical Finat Call for inspection 639--4175 CITYOF TIFARD Tj '0 COMMUNfTY DEVELOPMENT DEPARTMENT omlmoon SEWER CONNECTION 13125 SW Hall Blvd. P.O.Boot 23347,TigsM,Oregon 47223(603)836"4175 �'E R M I T 659-4171 DAIE ISSUED: 11/04/92 5I1E ADDKEI�S. . . : 1629.? SW 103RD AVE FJAHLLL: 2S114BB-•'16600 SUBDIVISION. . . . : RIVERVIEW ESTATES ZONING: R-7 RD BLOCK. . . . . . . . . . : LUT. . . . . . . . . . . . . : 1 TENANT NAME. . . . . : USA NO. . . . . . . . . . : F IXTUKE UMTS. . . CLASS OF WORE',. . . :NEW DWELL I Nei UN ITS. . : 1 TYI='E: OF USE. . . . . :SF NO. OF BU I LD I NITS: 1 INSTALL TYF'E. . . . :BUSWR IMP'ERV SURFALE. . : : sf Remarks : f='AI1A I Owner: — — — ---------•---------------- ------------------- FEES --------------- IIAWFINS type amoltnt by (late reept 150,oO S' ' KENT'OI\I PIRMT $ 2100. 00 JH 11/04/92 — INSH' � 3U. 00 j 11/04/92 TIGARD OR 97224 Phone #: 639-75.,2 Contractor: ---------------------•--------- CONTRAC'TOR NOT ON FILE: Phone #: $ 2135. 00 TOTAL Reg #. . : ------- RE:GrU I RED I NSF'E:CT I ONS This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires 180 days from the date issued. fhe total amount paid will be forfeited if 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 fromthe distance given. If not so located, the installer shad purchase a "Tap and Side Sewer" Permit and the Age y will-k V, insta 1 a latr,ral. _ Inittee �1C�naT, !' : - -_- -- ----- - -- 1. s s I_r e d 13 y : F' Call for, inspection - 6:.39-4175 ' J J' G CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. :92-233420 CHECK AMOUNT : 501)9.35 NAME : HAWKINS, SONIA CASH AMOUNT 0.00 ADDRESS : 15000 SW KENTON DR PAYMENT DATE a 11/04/9; SUBDIVISION TIGARD, OR 97224- PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PA 11) BUILDING PERM 443.00 PLUMBING PERM 155.00 MECHANICAL FIE 45.00 ST. BUILD PER 32. 15 PLAN CHECK FE 49. ::'0 Sr.WFR USA 2100.00 SFWF R INSPECT 35.00 PARKS SD(.' 500.00 STORM DRAIN SDC 280. 00 RESIDFNTIAL. TRAFFIC Fi:ES 135i(b.00 MASS TRONSIT TIF FEES 110.00 LOT 12 RIVERVIEW ESTATES 16 292 SW 10:3R1) AVE. TOTAL hMOUNT RAIU - - - -> 5099.35 CITY OF TIGARD - RECEIPT OF PAYMENT RECEIPT NO. 392-:32901 CHECK AMOUNT : 250.00 NAME HAWKINS, SONIA L. CASH AMOUNT 0, 00 ADDRESS s 15000 SW KENTON DR PAYMENT DATE 10/21/92 T I GPRD, OR SUBDIVISION 971_'-91-- PUPPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMUNi AMOUNT PAID in 1',I.AN CHE("K FC 10-45R F'g0.00 J .-y G] CJ W J 166..92 SW 103RD AVENUE 1UTAL AMOUNT FIA IP - - - ? 2,50.00 CITY OF TIGARD »,assn;-H&uDIA PLNCI(/RECT # 41,5R L 3z�'o� romcwPERMIT N M5f-9z —D� � 7 CQMMUNITt'D$�W�'!VI(IN'�'DC�['AR'[MEMY' r��no7221 �saat DATE ISSUED JOB ADDRESS: ,�o,.�� � ! ) 62U/tet .TAX MAP/LOT 2_S/ /4R13 - /�Grru SUB: �•�' ,I«-4-1i ,'.) Ls ,rarS LOT: �"z--- LAND USE- VALUATION: VALUATION: J6.3 S 0' Cll�/ g SPECIAL NOTES NAME: REISSUE OF: ADDRESS: �' �� �' �' x•;ly; ,2 �� LAST REISSUE: X42 FLOOD PLAIN/ PHONE: -7 4-S �-r _ SENSITIVE LAND: \J J / ATO APPROVALS REQUIRED NAME: ����. nJ, PLANNING: Oe �W ADDRESS: 'Z-1 +N E ------ ENGINEERING: FIRE DEPT: , PHONE.- t4 OTHER: -w CONTR. BOARD t: _ Z�t�..• EXP DATE: 1 ITENS REQUIRED p TORS: `4LUNB: —Z)(( «(�/I .,p. LIST/SUBCONTRACTORS: !-/ , a '1. +mECH: �,[ -Y o�� � :BUS TAX: ARCH/ENGINEER CALCULATIONS: NAME: �� o TRUSS DETAILS: ADDRESS: OTHER: Y PHONE: Lt PROPOSED BLDG. USE: # COMMENTS: �. "� 2tl Received By: Date Received: t0 - 0 ON I IIMNd b01. T I NOW Zs - IST - -Loo I �3AL. QUF. PERMIT i ACCT 4 DESCRIPTIONAMOUNT - AMOUNT PD. 10.432 00 Building Permit Fees is 10-431 00 Plumbiog Permit Fees •—T- �� 10-431 OI Mechanical Permit Fees —�—�- �-•-- 3 � ! 10.230 01. Stat9 Building Tax (5x) --t•-�• / r Building 2 �> Plumbing Mechanical 1s 10-433 00 Plans Check Fee .z y y. _ZAL Building Plumbing Mechanical -ILL z , 10-230 06 Fire 3 S 0 30-202 00 Sewer Connection �--T- 30-444 00 Sewer Inspection — 25-•448-02 Coaunercial TIF Fees 25-444-04 Industrial TIF Foes — —' 25-448-06 Institutional TIF Fees -•---- 26-44803 Office TIF fees 25-448-01 Residential Traffic fees - 1 �-- 25-448-05 Nass Transit TIF Fees O° 52-449 00 -Parks System Dev Charge (PDC) -- 91-450 CD Stora Drainage Syst'Oev.Chrg' Z4-44S-01;; 'I,(aer.�Qualitl (fee in „,� t, .,;' �---' 24••445-02 Nater�Quritity (Fee in 11eu of� _:.' ';' - •"; -"-'`' tun/3587P•MPF •,w•. x- . n � _ ON Y FIMNd ba '- T T NOW Z6 - 6 t _ .L- 0 £