Case File V,
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i:\records\mi.;rotlm\targetsVwilding.doc
September 22, 1994
Majestic Homes, Inc:.
25 82nd Dr.
Gladstone, OR 97027
16312 SW 103RD AVE., SEWER PERMIT #SWR92-0256
On 8-13-92 we issued a permit for this project, however, we have no record
of any inspection being completed.
Permits become void if there has not been an inspection performed for over
180 days. In that case, the Building Division may require a new application
and fees to commence or continue work. A notice of non-compliance against
the property may also be recorded by the City.
Please advise the BuildinL Division within 15 days from the dat,� of this letter
as to the status of this project.
CERTIFICATE OF
CITE' MJF TIG , RD PERMIT i�oC. ..... . .. . . Msr92--0159
C07MMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04/08/93
13125 SW Hall Blvd. Tigard,Oregon 97223.8199 (503)839.4171
PARCEL: 21S 1 14DP -16 700
:J I TE ADDRESS. , . 163112 SW 103RD AVE
SIJBDlVISION. . . . : RIVERVIEW F-9-1-ATES ZONINGaR -7 PD
BLOCK. . . . . . . . . . . (._HJT. . . . . . . . . . . . . 913
CLASS OF WORM. 0 NEW
TYPE: OF USE. . . %SF
OCCUPANCY OOP. r R.3
OCC(JPANr.Y LOAD 9226 4
TENANT NAME. . . ii
Remarks . PATF•I I
MAJESTIC HOMES INC
SAND DR.
-AD`:;TONL OR 97027
,one #: 655--626:3
contractor:
MAJE:ST I(-- HOMES INC
a 82ND DR SUITE 10i"
f31_ADSTONE OR
F'horte #t 503--655-6,26:3
key #. . z ':`'3286
Thi4s Cert ificat0 cert ifiea that the above rofebrenc_et•.i bLliIdiny or portion
thereof has peen insppr_ted fcr compliance with the Tigard Buildiny Coda
for the group anti division of occupancy and use. for which the Above
i e+fearenc_ed ppirmit was issued, and ocr. upancy i hereby granted.
?.e ,A.� 4r,
_Ilrii"'C=:C:TI_lf� � �.1'�'1..L1ING {•F"ICIAL
" F'OC31 IN CONlip i CUOUS F+L.►'10E
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INSPECTION NOTICE
City of Tigard Building Departskent
133.25 SW Ball Bled. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _, _ ----
Footing Plbg. Underelab Hach. Rougn-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line INAL�
Poet/namm Struct. San. Sever Framing
Poet/Beam Hach. Rain Drain Insulation `-Plumb.
Plbg. Underfloor Water Line Gyp. Bd. ech.
Date Requested: Z& 3 —__Time: —AM —`,K_PN
Address:�I, � S L✓ Z Permic1: ?- --
Builder:__ c —�
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
7)"563 -73c�S/
clLvai eY 00 2 t—ftIy
Inspectors --- Date:-_� ��_�
PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
mall For Reinsp.
INSPECTION NOTICE✓
City of Tigard Building Depa--tment
13125 SW Nall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): (39-4175 Bustness Phone: 639-4171
Inspection: --
Footing Plbg. Underelnb Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line �FYNALi
Poet/3eam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloo, Nat r L1 e Gyp. Bd.
&,qn
Date Requested:_ ----Times PM
Address:_1 Permit
Builder: —
THE FOLLOWING CO IONS ARE REQUIRED:
C
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Inspector: "r _- — - -- Datet �
-#PPROVSO n1SAPPFtOVP.D APPROVED SUBJECT TO ABOVE
// Call For Peinsp.
tea_
INSPF_MON NOTICE
City r.f Tigare Building Ge.partment
13125 SMAa11 Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4115 Business Phone: 40�'
inspection:
Footing Plbg. Unde:alab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas LineFINAL.I /�„
Il�,
Post;Beam Struct. San. Sewer Framing -Bldg
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hach.
Date Reque"ted:�f / --Timet PM
Address:_ � ��� �'/ Permit 1: q
Builder:
THE FOLLOWTUG CORR IONS ARE REQUIRED:
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Inspector.
APPROVED DISAPPROVED APP�tivFD SUBJECT TO ABOVE
Call For Reinsp.
INS�'ECTION NOTICE /
City of Tiga.-d Building Depar-tarent
1.3125 SN Ball Blvd. Tigard, ore-ton 972
Inspection Line (Rec-C-Phone): 639-4175 Bua�ness �hontl 71
_ _
Inspection• t —_,—
Footing Plbg. Undersiab Mech. Rough-J, Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain lnsulatio!: -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Me•^h.
Date Requested:_ Tire: —e,AM PM
Address: 3101a__ ��+p� 0 Permit i s/y���J
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors ��� Date: _S
�TAPPROVED D7SAPPROV __ APPROVBD SUMRCT TO ABOVE
_Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
1.3125 SA Ball vd. Tigard, Oregon 97223
Inspection Line (Rec- ): 639-4175 Business Phone: 639-4171
Inspection;
Footing P1erelab Mech. Rough-in pr/Sdwlk
Found. Plbg. Top Out Can Li;:a FINAL:
Post/Beam Struct. San. Serer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. underfloor Water Line Gyp. Bd. -Mech.
Date Requested� - --Time: AN GPM
Addrens• (/� Z< QL Permit #: I
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:/ } 7kOMl�}3 Date:
Y ATPROVRb DIS"PPJMD APPROVED SUBJECT To ABo4E
--Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
eal)ck�
Inspection Line kRoc-O-Phone):
,{639-4175 Business Phones 639-4j 71
Inspection: _ U 5161 �����-?
Footing Plbg. Underalab Mech. Rough-in Appr/8dwlk
Found. P1bg. Top Out Gas Line FINAL:
Peet/Ream Struct. San. Sewer Framing -Bldg.
Post/Beam Nech. Pain Drain Insulation -Plumb.
P.lby. Underfloor Water Line Gyp. Bd. -Mech.
Date Reguoetted: / L 2 Times PM
Address: � '61/ Permit is 9�'- � <�
Builder:"
TBE POLLOWING CORRECTIONS ARE REQUIRED:
------� CGU,p/�/ c ,'J%F'�• /` . /c-/�
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Inspector: ` 7 (.' Data:_�C r
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rainap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall BI*J. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 6354175 Business Phone: 639-4171
Inspection:� _
Footing Plbg. U:.de-slab Mach. Rough-.in AFpr/.Sdw1.k `
Found. Plbg. Top Out Gas Line FINAL:
Poot/Beam Struct. San. Sewer Framing -Bldg.
Poet/Baam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor wa/t/er Liner Gyp. Bd. '/�'/n-Mgch.
Date Requested: '/ _`, Tim."��' _PH
Address: T z Permit t:�__�_/1l
Builder:_"; :/ — --
THE FOLLOWING CORRE ONS ARE REQUIREDs
ayld f Pko i i tRO L,,l- Z17-
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1Z0VR/n/Cr POLIRIA,16- c5/c--
Inepectors_f�_ f _ _ Date: T--
_APPROVED DISAPPROVED APPROVrD SUBJECT 10 AWIJ
-Call For Reins-s.
INSPECTION NOTICE
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City of Tigard Building Department ~
13125 SW Hall Blvd. Tigard, Oreqon 97 9
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:__
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. Sar . Sewer Framing -Bldg.
Past/B am 4ech. Rain Drain Insulation -Plum..
Plbg. Underfloor. Water Line Gyp.`Bd. -Neth.
Date Roquested:_ /L/ Z Time: _AM _ PM
r_
Address: �1 � _ Permit is
Builder:
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Dater
APPROVED __- DISAPPROVED _ APPROVED SUBJECT TL ABOVE
Call For Reinsp.
INSPECTION NOTICE 1 Tl
City of Tigard Building Department
131.25 SW Hall Blvd. Tigard, Oregon 9721.3
Inspection I.:ne (Rec-O-Phhonne))s 639-4175 Bue—inese Phone: 639-4171
Inspection: --
Footing Plbg. Undersl.ab Mech. Ro:gh in ApprjSdwlk
Found. Plbg. Top Out Li FINAL:
`38t/Beam Struvt. San. Sewer lrraminq -Bldg.
Post/Beam Hech. Rain Drain Insulation -Plumb.
Plbg. Undersloor water Line gyp. Rd. -Hoch.
Date ReTiested: Z' _Times Z AM ` PH
Addreae:_� _ Z Pei mit :
Brl'..]et: Mkt LeS —lP7CD3 _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
All
4Lq Ado
..;A 4 �,� w rpt L:
Inspector:_ Dates.
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE 7
City of Tigard Building Department
12125 SW Ball Blvd. Tigard, Oregon 9722e�
Inspection Line (Rec-O-Ph e)t 639-4175 BusL.iess Phone: 639-4171
Inspection: _
Footing Plbg. [Inderalab Hach. Rough-in Appr/Sdwlk
Found. ?lbg. Top Out P9s Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Pibq. Underfloor slater LineGyp. Bd. -Mach.
?7
Date Requested.-— Timet �C AM _ PH
Address: '� L/ Permit fit "
Builder:
j' VS�tC
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector
APPROVED DISAPPROVED APPROVED 80833M TO ROM
Call For Rainap.
Ut .
INSPECTION NOTICE r,
City of Tigard Building Department
13125 Sit Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buniness Phone: 639-4171
Inspection
Footing Plbg. Underslab Mech. k.-ugh-in Appr/Sdwlk
Foand. Plbg. Top Out Gas Line FINAL:
Poet/Beam 'trust. San. Sewer ring -Bldg.
Poet/Beam Mech. Rain Drain ( Insulation --plumb.
Plbg. Undfrfloor Water oyp. ad. -Mach.
Line ^�
Date Rsqueetedt__t`�/ �'7 Li _T�JOef A!! _PH
Address,� Z&31'::")1 �/� � Permit t
Builder:
THE FOLLOtiINu CORRE ON8 ARE REQUIRBDt
Inspector �_.T Date:L .
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For P.einep.
INSPECTION NOTICE
City of Tigard Building Departieent
13125 SW Hall Blvd. Tigard. Oregon 97223 W_.tl,
Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-417
Inspections _
Footing Plbg. Underelab Rough-in Appr/Sdwlk
Found. Plbg. Top Out- Gas Line FINALS
Poet/Beam Struct. San. Sewer Framing ) -Bldg.
Poet/Beam Herb. Rain Drain Insulation -Plumb.
Plbq. Under4loor Water /Line Gyp. Bd. -Koch.
Date Requestedt_ 10 /-7/ Z Time: _ AM PM
Address: _ _— 613 . P�rAfi�isC7")- —.,
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
C 9Qit�/Cri _-1f 7
•PT-� ��� mac; // �,�-.5�c��f��� -
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Inspectors_-
APPROVED L1611SAPPROVED APPROVED SUBJECT "'O ABOVE
-Cal: For Rel.n.ip.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: -4171
Inspection: (
Footing Pl'.)g. Undersl Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line / Gyp. Rd. -Hoch.
Date Requested=` �r L (^��Z Timet /Y AM PM
Addresss� J �7 /��✓ � t�E� PAtEllt#:
Builder-
TIM FOLD DWING CORRECTION" ARE REQUIRED:
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Inspector:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Bunineae Phone: 639-4171
Inspection: _
Footing Plbg. Underalab Nech. Rough-in Appr/Sdwlk
Found. ` Plbg. Top out ) Cas Line FINAL:
Post/Boam Struct. Sen. Sower Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested:[��/ L/ //� 2 Time: _AMS) PM
Address:_ //C/:.� Permit
Builders /
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector! �- 4 Date:
APPROVED _i DISAPPROVED __ APPROVED SUBJECT TO ABOVE
,Call For Reinap,
INSPECTION NOTICE .7
City of Tigard Building Department
13125 an Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: —
Footing Plbg. Underslab Mach. Rough-in Appr/Sd:ilk
Found. Plbg. Top L t Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Port/Seas Noah. Rain Drain Insulation -Plumb.
lbg. Ondertlori Water Line Gyp. Bd. -Mach.
Data Requerteds ^� Timet
V AM PM
' U 3 Permit ar J
Addrerrt .���i i %<. �.� � _
Builder: —
TSE FOLLOWING CORRECTIONS PRE REQUIRED:
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Inspector:
APPROVED DISAPPROVED APPROVED SU8.IECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW .'call Blvd. 'Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 BusineeS Phone: 639-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdw,k
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. Ban. 8ewar Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lina Gyp. Bd. "!i44 Nech.
Date hequesteds, �S �"'� Timet AN PH
Address. zL�'� r� Permit #� �
Builders �17ua�'eL/ -
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors
'�__APPROVtD 0I8APPRDVED APPROVED SUBJECT TO ABOVE
CA11 for Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone: 639-4 75 Bueinesu Phone: 639-4171
Inepectiens_
Footing Plbg. Underslab Mech. Rough-in �J Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL%
<`Post/Beam Btru4 N San. Sewer Framing -Bldg.
('•;ost/Roam M h.' Rain Drain Insulation -Plumb.
Plbg.. Undorlloor QWater Line Gyp. Bd. -Meeh.
Date Requested: !J���f�)y Time% /ASM PM
Address: ,U��( Z �(."�`" Permit
Builders ty
,nit��FOLL4DWING CORRECTIONS ARE REQUIRED:
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Inspectors
APPROVED DISAPPROVED APPROVED FUBJKCT TO ABOVF.
_Call For Reinnp.
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INSPECTION NOTICE
City of Tigard Building Department
13125 Sit Hall Clvd_ Tigard, Oregon 97223
Inspection Line (Roc-O-Phone): 639-4175 Sueineae Phon 639-4171
Inspections - -
tin Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Mech.
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Darr Requested:_ I 7 7 L Times _ �ATf PM
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/ Permit 1'/��� C�•�
Efu{trier:
TTIF FOLLOWING CO CTIONS ARE REQUIRED:
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pector: DAt:e:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABO
Call For Reinap.
01
CITYOFTIGARD PLU"I NG PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT (7� TWID
ooPERMT T #` . . „ " ` ' a M'31"92-0159
-015y
13125 SWFWIBlvd, P.b.Box 23397,T*M,Orsom97223(5'3)M-4176 4Y)ATE ISSUED: 08/13/92
617E .ADDRESS. . . 16312 SW i�11;.:,itll AVL PARCELa 2SI14BB-RV13
SUSDIVISION. . . . a RIVE:RVIEW ESTATES ZONING: R--7 PF)
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 13
----------------------------------------------
CLASS OF WORK. . :NEW (3ARBAGE D I SPC'SALS. . a 1
TYPE OF USE. . . . :SF WASHING MACH. . . . ,. . . it BACKFLOW rREVNTRS. . :0
OCCUPANCY GRP. . A R3 FLOOR DRAINS. . . . . . . ..0 TRAPS. . . . . . . . . . . . . . ..0
STORIES. . . . .. . . .2 W01TL R HEATVR±.. . . . . . : 1 CATCH BASINS. . . . . . . :0
FIXTURES--- -_-- --- L)UNDRY TRAYS. . . . . . At GF RAIN DRAINS. . . . . : i
SINKS. . . . . . ti. . . a l - GREASfi TRAPS. . . . . . . :0
"'t VATORIES. .A. . . :5. OTHER FIXTURE'S. . . . . a0
1UB/6HOWERsS,4, . . : 'SEWER LINE (•Ft ) . . . . :O
WATFR••CL_OSETS. , s3 W@TER LINE ( ft) . . . , # 100
LrISHWASHE:RS. . . . s .l FAIN DRAIN (ft) . . . . a0
Remarks : PATH I
OWNER:
,ri'lAJ ulC Iit7MFS Ih3C - ('IF 1460. 00 JH 08/13/92 _
•"'b 821\1I) UR
,, SPR'T � 46.3. 00 71-1 08/13/92 -
• l,PLC. 300. 95 JL_F{ 07/10/92 2in�►:a'y
CSI-AD9TONE OR 9 70c:7 . B5P� t P3,"I S JH 08/13/92 •--
Phone #P 635--G.",63 00 .1H 0 8 .13/y:_, ...
r PARK $-1
500. 00 JH 08 13
Fr.lumhiny Cuntracfor,:_.. :..: . . -_..__.. __,. MPRT $ 45. 00 ll-1 08/13/92
I hlPl_C: $ 11. 25 JI•i 08/13/92
19ame4 .l--- - _. INC, M5PC t 2. 25 JH 08/13/98 _
Address : _-.... cr. - r.+�_. _ �1 PPRT r f F, '. 5Q� JN 08/13/92City: . C)Oe7L i tate ; Pyr . $ 8. 13 JFI Q18/ 13/14
- ......
Zip: J �..'�i�- - _Ph onP#:
RE"OffIRED INSPECTION; '_..._.-..-....
This permit is issued sr.rh}ect to the rey- 1,
ulations runtained in thed Municirial Foot/founrl lnsp Rain drain Ip
Code, State• of Ore. Specia odes and aI l Frost/Seam 9truct Water Line i,n :p
other 'a'pol icabl� "Iaws." 1 .1 O' W0 i ``0o done f='cj-v,^A' Mecllan ApFrr/Sdw] k Insp
in accordance with _+pprovFz,rri �nq. This Plm/undsl.ab Inip Mechanical Fino ,
p
er !pit wi l. :l exrdre if wor 1, t 9 not started PL.M/Undet,flvor Plumb Final.
within 18+7 Mays of is u.?nce, or if wor-k is frlerhantral In ;p Building Final
s�.rspended l or more than iAO days. Plumb Top nqt Erosion Control
Framing Insp Crawl Drain
F=ireplace lnsp
-' Cas Line i n g p __.._._..-._..._ .�._.._.�..
Insulartion lnsp
GYP Board 111sp
�iuor Signature
Call fol, inspection 639-4t75
Contractor
y
-------------
C1�' YOFTIGARD
crryOFWA m0l-i I F-R PE. FSM I I
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . .
13125 SW HWI Blvd P.O.Bo;-11W.T;.WW,O"Igon 97223(603)63D-4175
'�39 -41 Z DATE ISSUED� OLI/13/92
ITE ADDRESS. . . : 16312 SW 103RD AVE PARCEL: 2S114813-RV13
91-MI)11)1 S I ON. . . . RIVF--PVIF-'.W ESTATES ZONING: R--7 FI)
FLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .. 13
BUILDING
RE I SSU E DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 s
Cl...-ASS OF WORK. sNEW BEDRMS:7, BATHS:3 GA r 1114(-73 E. . . . . . . . . . ..6 6 Q1 S
TYPE OF- USE. . . .SF' FLOOR REQUIRED SETBACKS----------
TYPE OF CONST. 91\1 FI Rf3T. . . . : 1353 S F 1-1--F: 1 . . -5 ft RI(-W-41 . :5 ft
OCCUPANCY HRP. R3 SECOND. . . :843 5 f FRONT. :212# ft REAR. 29 ft
9TOR1ES. . . . . . . 27, THIRD. . - . -0 g f REDU I PIED--
HEIGHT. . . .. . . . . :28 ft TOTAL------:c 176 5f SMOKE DETECTORS. zY
r-'1- OOR 1-n(-)D. . - -, C-10 rsf VAU-)PE. . . . . 111976 PARKING SPACES. . -. 1
Remarks, : PATH I
PLUMBING
':SINKS, . . . . . . . . . .� L FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :'A
I-AV01 tHIF'. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
1011/15HOWERS. . . . : 13 I-PUNDRV I'RnYS. .. . , I CAYCH BASINS. . . . . . . .Vi
WA I'f--R CLOSUTS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1. W(4rER LINE ( ft ) . : 100 OTHER FIXTURES. . . . . :0
LiP 14LAAGE D I S'P. . . - 1 RAIN DRAIN (f't ) . :0
WASHING MACH. : 1 9F RnTN DRAINS— I
MELHANICAL -- FEES
U1 L UN I I ll I RS. . cO tvpe ia III a 1.1 ri t by (late t,(,
/UlOS/ VENTS . . . . . ..0 TIF 4; 1460. 00 JH 08/13/92
i1AX INPUT tO BTU VENT FANS— -4 PPRT $ 463. 00 jA 08/13/9?
URN ( I OOK 0. HOODS. . . . . . : 1 BPLC $ 300. 95 JLH 07/10/92 229431.,
URN > -10Q'K WOODSTOVES. :0 B 5 r.I(.".' $ ;D3. 15 .JH 08/13/9;.21 -
':.LUOR FURN. . . . tO CLO DRYERS). : 1. E%SDC $ i='80. 0111 ill 08/13/92 -
1101L/CMF' ( 31il--rO OT-HER UN I 16 t I PPRK $ 500. 00 Ji-1 LAB/13/92 -
GAS OUTLETS: 1 MVIRT $ 45. 00 JH 08/13/92
....... MILL $ 11. '2115 -ili 014/1.3/92
I(ME511L.- HOMES INC m5r-lc $ P. 25 ill 06/13/92
'ii-ND DR. P R I s 16 50 JI-1 Z)8/ 13
r-15PL $ 8. 13 JH 08/13/9F
7
1f1 lr.-STTC HnNEG INC
11,7ND DR SLJITF 100!
ul
50 -655-6263
59286
3256. 213 TOTAL
his Dersit is issued subiect to the rep);tjfins cpofait- the - ----- REQUIRED INSPECTIONS
LO
`ioard Municipal Code, State of orp slip, Cror font/fmir)d Jrisp Fir-eplac-p Tn5p
-j Iapplicable laws. P11 work mill by Post/BPim StrLict BA!A 1-inp Insp
dans. this pewit will ercire P r-'mst/Apam MechAn Trtso-OAti(in In-,t,
;sys of issuance. or if work v ' M/UnLlslab Insp GYP Board Irian
M/Un d c-v-f 1 a ti I- Rain dt-airi Inc;p
'i-I'mittee 'i 010.1top,Oat,;P wpovysutiowk Inup
A?r to
B t-r-amtrIn In';P ftl"ChAnt(--af Fl!)Pj
nspectinn 639-4175
C17YOFTIFARD (CJffl Y�0 F ra E R SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT N �'.. . . T
PERMIT #. . . . . . . : GWR9c'--02Do
13126 8W Hrl BMd. P.O.Banc 23307,Tipraud,Orepon WPM(600)6304176
4 1 e
1 TE ADDRESS. . . : 16.312 SW I L43RD AVE: PARCEL: 2..S 1 14BB—RV 1,
;URDIVi SI(7P1. , , . RIVFRVIE'W i`S'T�1TES �.OI'�iINfa' I2-7 r='D
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .. 1;3
VE NANT NAME. . .
GEl NO. . . . . . . . . . r FIXTURE UNITS. . .
::1_FTSS OF WORK. . . rNEW DWELLING UNITS. . r 1
; YE�E OF USE. . . . . ..S>" NO. OF BU I L.D I NGS: 1
'`;TAL.L. TYPE. . . . r BUS3WR I MPERV SURFACE. . : 5 f
1-<emalrks : PATH I
Owner.. ___.________ __.____._____._______ ___.__._... ___._____.______.__ FEES
MPYTE~STIC HOMES INC type amo'_rnt by date revpt
25 82ND DR. F'RMT $ 2100. 00 JH 08/13/921 —
TN F1 $ :35. 00 JH 121-9/13/92 -
GLADSTONE OR 9702.7
Pf-rone! #: 655-6263
Contractor:
L ONTRAC`fOR NOT ON FILL
erre #: 21,735. 00 TOTAL.
REQUIRED INSPECT I OIN
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the L►r.iFied Sewage C,gency, The permit expires 198 days from
the date issued. The total amount paid will be forfeited if the
pet-sit expires. The Agency doe: not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measu mr.,,
given, the installer Shall prospect 3 fee i it dire- gn
the distanre given. If not so located, 'tj i s a, h
"Tap and Side Sewer" Permit and the I n nr. w i
rtrmi tt—pe S3iunat7l"
By
Call for inspection 639-4175
J
(",ITY OF 11CARD - REACT IPT OF PAYMENT RECEIPT NO. s 9P—iR3 05 9
CHECK AMrlIJI\lT s 5141. 3
NAME— s MAJESTIC FIC)WS CASH AMOUNT s 0. f6o
PAYMFNT DATF s 08/ 13/92
SUBD I V I G I ON
I-IORPOSE OF ClAY11,1ENT f010ljNT PAID PURE"09E OF' PAYMENT AMCONT PAID
rx:
'UJLDING PERM 463. 00 PI.AMPING PEPM .1,62. 50
-10-HANTrAL PE 45. 00 E: T. BUILD PER 33. 53
I-AN CHECK Ft K2. �,L71 c;EWER USA p100. 00
LWI,-'R INSPECT 3»% 00 PARKF; GDC 1,500. 00
-TORM DRAIN SDC 280. 00 RESIDENT IAl_ TRAP FIC FEED 1350. 00
IACi'S TWINS IT TIF FEES 110. 00
LOT 13 RIVE-TVIPW ESTATES
if,3JR SW 103,RD FIVE
TUIAL AMOUNT POID 5I 141. lil 3
CITY OF TIGARD RECEu:,T OF PAYMENT PECCIPT No. i 9? 9 475 9
CHECK AMOUNT 500. 00
N A lq iF. MOJEST TC, 11011F.8 CASH AMOUNT 0. 00
A U D R E Ss S a PAYMF,-,NT DATE e 07/10/02
SUSD I V 18 1 ON
UPPOSE OF P(IYMEM AMOUNT v,A r D t--URPOS)E OF PAYMENT AMOUNT" PAID
i.AN CHECK FE 50" 0 0 PUIN CHECK FE
OT 13 RlVERVIE14 ESTATE-13, 16612 SW to3pl) AVE
Lo-r 3F,, PIVERVIEW ESTATEs 103519 SW PICK' S WAY
TOTAL AMOUNT PALO 500. 00
�- 13125 SW Ilei Blvd PLNCK/RECT # -Z Zr
CITY OF I IGARD 110Rox27397 PERMIT #
COMMUNI1YDFVELOI'Ml,"NI'I)EI'AR'rNIEN'I' Tigard,Orcgon 97M —
(503)G3"171 DATE ISSUED _
JOB ADDRESS: IL 3 1 Z 5L.,-) 1 O 3' ANk, TAX MAP/LOT / 439 ' �y 13
UB: �y, �; �-ro-n-im LOT: _,) � LAND USE: _
VALUATION:'* ?(, =�
)WNER SPECIAL NOTES
NAME: `- f-�w+��''S T^r'G REISSUE OF: —
S
ADDRESS: i� VE LAST REISSUE:
1 oFLOOD PLAIN/
PHONE: SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: S/ d _ PLANNING: Qt'--Yf -- _
ADDRESS: ENGINEERING: _—
FIRE DEPT:
PHONE: _ OTHER: --
CONTR. BOARD #: 5°tZSL — FXP DATE: o`II `� 3
ITEMS REQUIRED
SUBCONTRACTORS : PLUMB: _xVc- 2W�� PL•�l.w�l-J(_ LIST/SUBCONTRACTORS:
--- MECH: (M�o> S I(,ti '1 JJ �j BUS TAX: ----
ARCIi/ENGINEER CALCULATIONS: _._--
NAML: TRUSS DETAILS:
ADDRESS: _ I.��J_2 � �� OTHER:
PHONE: — _--- — __. ----
PROPOSED BLDG. USE:
l,
COMMENTS: — - --- -- -
[17
APPL-CANT IGNATURE
Received By: Date Received:
i
AMOUNT AMOUNT PD. BAL. DU•-
PERMIT # ACCT # DESCRIPTION -
hl" ups 10-432 00 Building Permit Fees — —
10-431 00 Plumbing Permit Fees -
10-431 01 Mechanical Permit Fees qrvw
10-230 01 State Building Tax (5%)
Building
Plumbing _ $
Mechanical e7,2
10-433 00 Plans Check Fee
Building
Plumbing
Mechanical
10-230 06 Fire ---
;jln4Y-a 30-202 00 Sewer Connection
3�
30-444 00 Sewer Inspection ---
25-448-02 Commercial TIF Fees -
25-448-04 Industrial TIF Fees - —
25-448-06 Institutiona) TIF Fees
25-448--03 Office TIF Fees
l3S0 =
25-448-01 Residential Traffic Fees 1-
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC) U -
31-450 00 Storm Drainage Syst Dev Chrg r
(SSDC)
24-445-01 Water Quality (Fee in lieu of) ---- -- --
t _ ---
24-445-02 dater Quantity in lieu of)
TOTAL
nm/3587P.WPF