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C-*WlTY OF T I GA R D MECHANICAL
P1=RM 11`
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MEC95--0405
13125 SW "Blvd.Tigard,Orr�nn 97223.8199 (503)839-4171 DATE I SS UE•D: 11/28/95
PARCEL: 2S1i4BB--E070Qe
:3 (TE ADDRESS. . . : 16422 SW 103RD AVE
SUBDIVISION. . . . . RIVERVIEW ESTATES NO. ` ZONING: R-7 PD
BLOCK. . . . . . . . . . 1-01% . . . . . . . . . . . . :0,31
CLASS OF WORK. . -,NEW FLOOR 1=URN. . . . : V_e EVAP COOT-ER"S: iT
TYPE OF' USE. . . . :SF UNIT HEATERS. . : 0 VENT T=ANS. . . : e
OCCUPANCY GRP. . :R3 VENTS W/0 APDL: 'A VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL 0-1-11 HP. . . . : 0 DOMES. I NU I N: 0
: /GAS/ / / 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 10--30 I-1P. . . . : 0 REf--•'AIR UNITS: 0
FI RE DkMPERS?. . : 30-50 HP. . . . : 0 WOODSTCiVES. . : 0
GAS F'RESSURE.. . . : 50•+ HP. . . . : 0 CI_0 "DRYERS. . : ire
NO. OF UNITS-- - ------ AIR HANDLING UNITS OTHEVI UNITS. : 0
TURN < 1001-1, BTIJ: 0 (- 10000 cfm : 0 GAS OUTLETS. : 1
FURN ) =100K BTU: N > 10000 rfm : 0
Remarks : Install eg<:s5 piping
Owner; _.___-_-____.___.___.__-_----- ---__.____._____-__________ FEES
BRENNANS type amoe.ent by -date rer_yt
16422 SW 103RD AVE PRMT $ 25. 00+ JSD 11/28/95 95--273268
5PCT $ 1. 25 JSD 1. 1/28/95 95--273 8B
TIGARD OR
Phone #f:
LontraC.tor: ------- .-__------•_--
1=IRESIDE CONTRACTORS
18.389 SW BOONES FERRY RD
l,01?TLAND OR 97224
F11-i o n e #.- 684-8335 $ ".6. 25 TOTAL
Rey #. . : 40979
-- ---- REQUIRED INSPECTIONS ------
This permit is issued subiect to the regulations contained in the Final Inspection
Tigard Municipal Code, State of 0,-e. Specialty Codes and all other �_•_ _—_. —_ _ _ _ _—
applicable laws, All work will be done in accordance with
approved plans. This permit wili expire if work is not started
c. within 180 days of issuance, or if work is suspended for more __ -____.µ_� •—__ _ _�_
than 180 days.
r-
�,ermittee Siynte.ire:
m -
IstlAed DV :
C nI. 1 for inspection - 639-4175
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City of Tigard MECHANICAL PERMIT PlancwRec. #_
13125 sw Hall Blvd. APPLICATION Permit # 41c e
Tigard, OR 97223
(503) 639-4171
escnpuon - -
Table 3A Mechanical Code OTY PRICE AMT
���
Job I (. Z Z 1) Permit Fee _�_ -0- 10.00
Address
f �� Zr� 2) Supplemental Permit 3.00
17 1) incl. ducts b vents 6.00
«. umace 160,000 8 TCT+
�� '�J _ 2) incl. ducts&vents 7.50
Owner x_(.��tt�.- �l'�--
Fioor urnance
3) incl. vent 6.^0
--- —(W(7 44 fttmouSuspended ater,we eater
4) or floor mounted heater 6.00
mir,j Awe" _
» - Vent not inct. in
Occupant 5) appliance permit 3.00
Zip Repair o eating, r-erg.
6) cooling, absorption unit 6.00
---- - NaM r� Boiler or comp, ea pump,air cond.fi
T �X 7) to 3 HP absorp unit to t00K BTU 6.00
... Ti er or comp, eat pump,air con .
f - 8) 3-15 HP absorp unit to 500K BTU 11.00
contractor -- t eror comp, thea pump,a i con .
ri ` 9) 15-30 HP absorp unit.5.1 rnil BTU 15.00
i er or comp,fieat pump,air con .
,1( f� 10) 30-50 HP absorp unit 1.1.75 mil BTI, _ 22.Fi0-
ere y�ow ge ave rea is application, is e i er or camp,heat pump,air con .
information given is correct, Itiat I am the owner or authorized agent 1.) > 50 HP absorp u-iit 1.75 mil BTU - -37.50 —
of the owner, that plans suomitted are In compliance with Stater�han ng unit to
laws, that I am registered with the Construction Contractor's Board, 12) 10,000 r:FM 4.50
that the number given is correct. (If exempt from State registration, Air hanaing un
please give reason below.) 13) 10,000 CTM+ 7.50
-- --- on portable
14) evaporate cooler 4.50
Vent Ian connected - - ---
15) to a single dud 3.00
- emu anon system not
16) included in appliance perrnit 4.50
q« "�
Hood served by
17) mechanical exhaust 4.50
--ge-scribe work new addition-CY addition— a teranon repa r U Commercialor industrial
to be done residential non-reside -tial 0 18) type incinerator 30.00
xi
,.g- --a ol- her i.e.,woo sieve,water
r- building or property _ 19) heater, solar, clothes dryers,etc. 450
fti
Proposed use of 20) Gas piping one to four outlets 2.00
LA
building or property
j_ 21) More than 4-per outlet
Typo of Mel - oil Q natural gas j$ LPG 0 electric C)
U) Minimum Foe$25.00 SUBTOTAL
J PERMIT:,BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SUFCHARGE r Z_
IF CONSTRUCTION OR WORK IS SUSPENDED OR -
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL az
Special Conditions _
Dale issued _by _.
.rMECHPMr
raJ'm.nM+
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phona): 639-4175 Business Phone: 639-4171
Inspection: —
Footing Su-sp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Meeh, San. Sewer QH Line Bldg.
Plbg. Underfloor Rain Drain Framing Plumb.
Alarm Water Line Insulation
Underfir. Insul. Shear /Wall, / Gyp. Bd. -Elect.
/
Date Requested: 1 [ [ 0 ( �S Time: AM PM
Address:. I L Z-Z .1 U —3 ty4
Builder. L{ 7 Permit #: US
T FOLLOWING CORRECTIOIYS ARE REQUIRED-
717
V)
Inspector:----r — Date:
.—APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
' Call For Reinsp.
9jPECMN NOTICE
City of Tigard Building Departaect f
13125 9M Ball Blvd. Tigard, Oregon 972 T
inspection Line (Rec-O-Phone)t 639-4175 8usineas Ph'_%neI' 639-4171
7 I
Znepactiont�� � �I/ vv�
rooting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line PINALt
Post/Ou,-.:, Struct. San. Sewer lRWi -Bldg.
Poet/Beata Hach. Rain Drain �inrttlatiun -Plumb.
Plbg. Underfloor Mater Lima i 0". Bd. -Hoch.
Data Requr \ 7-ertedt` /�., p7 �1 �1 _ Timet ---AM _PH
1
Address: U ` (t�u 7� Prrmit
Bulidort' &.k)( �A \'p
THE FOLLOWTV0 CORRECTIONS ARE REQUIREDt
Zee- - <
Zi 'Y'A4% ,�'/,,'�"'. 5 t a%,y 5 TO A'
At
Inspectors
APPROVED V DISAPPROwn JPPROVED SUBJECT TO ABOVE
a11 For Relnsp.
INSPECTION NOTICE
City of Tigard Building Delasrtwant r
13123 sw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Busiaeas Phone 9-4171
Inepem :ion:______._______ _--_--
Footing Plbg. Undetalab Nern. Rough-in Apps%8dw?'
Found. Plbg. Top Out Gtu Line lINALi
Poet/Beam Struct. San. Sewer Framing - B1dq.
Poet/Beam Mech. Rain Drain Ineuiation -Pluaib.j
Plbg. Underfloor Water Line / Gyp. bil.
Date Aequestedt (� 4)� `Timet _XIjAM PILI
Address: Z" lV r _�- Petmit /(yL �
Buildar: �1 r1 _ -7 lJ�- ( J-7y
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:611�- Date:
APPROVED DtSAPPROVEb i APPROVED SUBJECT TO ABOVE
,Call For Refnsp.
INSPECTION NOT:CE 11
City of Tigard Building Department 1���
13125 sw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Businoss Phone: 639-4171
Inspection-
Footing Plbg. Underslab Mech. Rough.--nAppr/Sdwlk
Found. Plbg. Top Out Gas Line FINa
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Ream Mech. lain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: T�� AM
/- - vM
Address: / Z/Z Permit
Builder: °✓ ��� �/'_THE FOLLOWING CORRECTIONS ARE REQUIREDS
-- T
�r
.0
- - - -
LIE
Inspector:
i
APPROVED DISAPPROVED APPROVF.I) SUR.JFCT TO AROVF
Call Ior Reinnp.
• INSPECTION ('MICE ,k-
city of Tigard Kul, 'ing Jepartssent
13125 6W Nall Blvd. Tigard, Aragon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underslab Mech. Rough-in Appr/81a1-
Pound. Plbg. Top Out Gas Line VINALs
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Dn4erfloor Water Line 'y/ Gyp. Bd. -Mech.
Date Requeste//d: 2 7 Z -4I / Times _An __ PN
Address L('1 ?.Z �t--�30 permit #t
Builder[ T' L
THE FOLLOWING CORRECTIONS ARE RP.QUiRED:
&
42
AJ
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Ln
J
CC '
w.
C.7
U.1
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Inspectors / 71f, Date: 2
_APPROVED DISAPPROVED APPROVED 8VW3cT To ABOVE
VCa11 For Reinsp.
NS'ECT�02i NOTICE
City of Tigar Building oepertaeat
13125 SA Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Bunineee Ph ne -4171
Inspections _
Footing Plbq. Underslab FAch. Rough-Ln Appr/Sdwlk
Found. Plbg. Top out Gas Line FINAL:
Post/Beam Struct. San. Bawer Priming -Bldg.
Post/Ream Mach. Rain Drain insulation -Plumb.
Plbg. Underfloor Nntar(Line/ W. -!leah.
Date Requestedt - I 1lI Times *N PM
AddreestI lO (� I V 71 Perini! #t T��
Buildert LLi k',A 1f
THE FOLLOWING ODRRECTIONS ARE REQUIRED:
Inspectors_ `- Dates �v
C
APPROVED DISAPPR(MRD APPROVED SUBJECT To ABOVE
Call For Reinsp.
INSPECTI(V NOTICE.
City of Tigard Building Depertaeat
13125 ON Ball Blvd. Tigard, Oregua 97223
Inspection Line (Roc-o-Phone)c 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Undermlab (�h_Aaggh-iD �'"Xjpk/8dwlk
Found. Plbq. Pop out Gas Line FINALi
Post/Beam Struct San. Sewer �-ly✓� -Bldg.
F >et/beam Mech. Rain Drain Insula -Plumb.
Plbg. Underfloor Nate: Line 4". IN. -Mach.
t'
Date Roquesteds Times _Z—_AM PM
Address: U r.Tz z- I J� Per-nit
Builder: Lk-W CAI t 10-
-
TBR FOLLOWING CORRECTIONS ARE K;)UIRED:
f3:
M
H
r�
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07
U'
W
J
Inapewtorf
DISAPPROVED APPROWD SUBJECT Tn ABOVR
Call For Reinsp.
Tigard
loN None
c
Cit? of Tigacd Bui1dinq Department
1.3125 ON Hall 'Alvd. Tigard, Oregon 97223
lnerbction Line (Rec-O-Phone)s 639-4175 Buainess Phon 171
Inspe:-tions
Footing Plbg. UnAerslab Ne:;: . Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Pont/Ream Struct. San. Sewer Framing -Bldg.
Poet/leaso Mech. Rain Drain Insulation -Plumb.
Olbq. Onderfloor Mater Line/ Gyp. Bd. -Koch.
#'/
Date Re;uesteds 1(n.' GI �7 Tines !�_AMPII
Address i� z z v / Permit #s M$T
Builders 1��1.
` ) C'< A i£ a 7
THE FOLLOWING OORRSOTIONS ARS RSQIIRSDs
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J
CA
f.7
lil
Inspectors Dates
PPROVEn DISAPPROVED APPROVED SUBJECT TO ABO It
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departmont
13125 BA Ball Blvd_ T! -ard, Orogon 97223
Inspection Line (Roc.-O-Phone): 639--4175 Business Phon s 39-4171
�i
Inspections ��I11� V� `"'
y�
looting Plbg. Underslab " I M , . Appr/Sdwlk
Found. Plbg. Top Cst Gas LineFINAL:
Post/Beam Struct. San. Sewer 1Yyitlq -Bldg.
Port/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lino On. Bd. -Moch.
Date Requested-.— - Times AM Pq
Address: 22- V'� Permit #e
Builders ocASl `
THE FOLLOWING CORRECTIONS AR! RIQUIRBDs
117
Iw
�U 0 h 52X
Inspectors Dates _ /LJ
--APPROVED i/ DISAPPROVED 11PPF1O RD SUS.IECT TO ANDVE,/T
IZ6411 For Relnsp.
INSPECTION NOTICE r !r
City of Tigard Building Department
13125 BA Ball Blvd. Tigard, Oregon 97223{ "
Inspection Line (Rec--o--Phone)s 639-4175 Business PV,-)n4, 639-4171
Inspections
Footing Plbg. Underelab Mech. Rough-in j Appr/Sdwlk
Found. Plbg. Top Out as Line FINAL:
"1'38t/Beam Struct. San. Sewar framing -Bldg.
Post/Boom Mech. Rain Drain Insulation -Plumb.
^lbg. Underfloor Yater Line Gyp. Bd. -Mach.
Date RequNtedt_ lam' !!:2tl Tim s AN _ PN
Address: 6-)_3)/c4- In PPerSmit # j 1�5
Builders ^71r-f J1 _ 1":2
7-.9 FOIJI.OWING CORRECTIONS ARE REQUIRLDs
Inspect3,rs f Date?
- _APPROVED _ ISAPPROVED� APPROVRD SUBJECT To ABOVE
Call For Reinsp.
CERTIFICATE OF
CITY OF TIGARD OCCUPANCY
PERMIT #. . . . . . . i MST93-9558
COMMUNITY DEVELOPMENT DFPjR T DATE ISSUEDi 03/15/94
�6-t
13125 SW H fll Blvd.Tigard,Oragon 97223e8109 3)Ott I
PARCE-L: 2S1 14BB-20700
qI1E AL)DR'---SS. . . s 16itiE2 SW 103RD AVE
SUBDIVISION. . . . s RIVERVIEW ESTATES NO. 2 7 ON I R--? PD
BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . :051
CLASS OF WORK. sNEW
rYPE or UGE— eSF
OCCUPANCY GRP. aR3
117CUPANCY LOAD s227 4
.i ,.'.NANT NAME. . . i
Remarks PATH I
Owners
NEWCASTLE HOMES
P 0 Box 23291
i rijARD OR 97281
Phone #: 629-3606
Contractor:
N1--:.WCASTLE 140MES INC
P. O. Box 23291
TIGAPT) OR 337281
Phone ## 639-3608
Reg 59667
1]C,041pancy of thm above referenced building is hereby given, and certifies
the complian-e with the State Of Oregovi Specialty Codes fore the groupi
occupancy, and use under which the refevenced permit was is%kied.
FIRE DEPARTMENT -iAI Nth SPECT OR
UI!DIN OF - CIAL
POSTIN CONSPICUOUS PLACE
LD
CITY
PLUMBING PERMIT
OF
PERMIT �. . . . . . . : MS`T93-9558
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 11/09/93
13125 SW Hall Blvd.Tigard,Oregon 97223.8190 (503)839.4171 PARCEL: 2S 1 14BB-20'700
SITE ADDRESS. . . : 16422 SW 103RD AVE
SUBDIVISION. . . . : RIVERVIEW ESTATES NO. 2 ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :051
-------------------------------------------------------------------------------------
CLASS OF WORE(. . :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. . . . . . : 1 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . . I GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . :4 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----------------
NEWCASTLE HOMES TIF f 1520. 00 JH 11/09/93 -
P 0 BOX 23291 BPRT 438. 00 JH 11/09/93 -
BPLC t 284. 70 JLH 10/27/93 93-245566
TIGARD OR 97281 B5PC f 21. 90 JH 11/09/93 -
Phone #: 639-3608 SSDC $ 280. 00 JH 11;09/93 -
PARK $ 51210. 00 JH 11/09/93 -
F=lumbi ng Cont ractor•:----------------- MPRT $ 4:3. 50 JH 11/09/93 -
1 MPLC f 10. 89 JH 11/09/93
-
Name : �7�,y_� (�L c� -- "� M5PC $ 2. 18 JH 11/09/93 -
Address: _ _ PPRT $ 155. 00 JH 11/09/93 -
City : State :_ P5PC $ 7. 75 JH 11/09/93 -
Zip: _Phone#:
Reg #• _
------- REQUIRED INSPECTIONS --------
This permit is issued subject to the reg--
U18tions contained in the Tigard Municipal Fool:/found Insp Rain drain Insp
Code, State of Ore. Specialty Codes and all Post/Beam Struct Water Line Insp
other applicable laws. All work will be done Port/Beam Mer_han Appr/Sdwlk Insp
in accordance with approved plans. This Plm/undslab Insp Mechanical Final
permit will expire if work is not started PL.M/Underfloor Plumb Final
within 180 days of issuance, or if work is Mechanical. Insp Building Final
ci suspended for more than 180 days. Plumb Top Out Erosion Control
F=raming Insp Crawl Drain
cn Fireplace Insp _
Gas Line Insp
Insulation Insp
GYP Board Insp
Authorized Plumbing Contract c— Signature
�L�' Call for inspection - 639•-4175
J
Contractor Notes :
INSPECTION NOTICE
City of Tigard Building Department
13125 SR Ball Blvd. Tigard. Oregon 97223
Inspection Line (Roc-O-Phone): 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Stru1ct Framing -Bldg.
Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor &ter Line Gyp. Rd. -Nech.
-Fat's Requested:, l Times p qAN �[ PH
Address:� C I( Permit
nuilders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_ C�tet 7
PROVED DISAPPROVED -�_ APPROVED SUFUnCT TO ABCVE
Call For Reinsp.
INSPEC710K NOTICR
City of Tigard Building Depar9mont
13126 Sp Ball Blvd. Tigard, Oregon 97223
Inspection Line (R (_-O-Pholne)z 639-4175 Business Phone: 639-4171
inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sew-ar Framing -Bldg.
Post/Beam Nech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line Gyp. Ed. -Mach.
Date Requesteds -� Times AN Y_
Address 1(P411 (`�7� n Permit fs f��'l
Builders DISI 1 P �Y`L'�at
THE FOLLOWING CORRECTI'JNS ARE REQUIRED:
F
r
Inspectors / nate:_L�
V PROVED DISAPPROVED APPROVItD SUIIJECT To ABOVE /
Call For Rainep.
INSPECTION NOTICE
City of Tigard Building Departaent
I312S OW Hall Bled. Tigard, Oregon 97
Inspection Lino (Rec-4)lPhone13 639-4175 Busissess Ph s 639-4171
Inepections
Tooting Plbg. Underelab Mach. Rough-in Appr./Sdwlk
i
Found. Plbg. Tog Out Gas Line FINAL:
Post/Ream 8truct. San. Sewer Framing -Bldg.
Post:/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line gyp. Bd. -Mach.
Date Requested: � Tia�t AM ✓ PM
Addreant 2, Permit
Auil.der:Y Ijf -'et,r1i A -7 /2
THE POLLOWING CORRECTIONS ARE RIWIREDs
J
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Inspector:
"PROVED DrSAPPRONEO _y APPROVED SUBJECT TO ABOVE
For Reinsp.
IpSPECTION.NfsCE
City of Tigard Building Department
131.25 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phona): 639-4175 Business Phone: 639--4171
Inspections - --
x�_
foot Pl.bq. Underelab Meth. Rough-in Appr/Sdwlk
found. Pltq. Top Out Can Line FINALS
Post/Beam Struct. San. Sewer framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plhg. Underfloor Nater Line Gyp. Bd. -Mach.
Date Rnqueatedds '9 -7E3 TJ%et AM - PM
Address:14' 7 -� 3 Permit
Builders ZL"lL���+ 2� 4 a�—� I —
THE FOLLOWING CORRECTIONS ARE REQUIRED:
1'
W
J
Al 12
Inspectors ✓ ---- _ Data!
/� AppMpysp CIRAPPROVRD APPROVED RUBJECT TO ABOVE
/ call for Reinep.
ER
CITY OF 1`1GARD PERMIT #. . . .. . . : MST93-93 58
COMMUNITY DEVELOPMENT DEROA7NIENT DATE ISSUED: 11/09/93
13125 SW Hall Blvd.Tigard,Oroaon 97223.8199 (503)839.4171
PARCEL: 2SI14BB-20700
SITE ADDRESS. . . : 16422 SW 103RD AVE
SUBDIVISION. . . . : RIVERVIEW ESTATES NO. 2 ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :O51
----------•--.--------------•-------- BUILDING
REISSUE: DWELLING UNITS: 1 BASEMENT. .. . . . . . . :O sf
CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :44O sf
TYPE OF USE. . . :SF FLOOR AREAS------ ---- REQUIRED SETBACKS----------
TYPE OF CONST. :SN FIRST. . . . .. 1O56 sf LEFT. . .-6 ft RIGHT. : 12 ft
OCCUPANCY GRP. :R3 SECOND. . . :98O sf FRONT. -20 ft REAR. . :38 ft
STORIES. . . . . . . :2 THIRD— . :0 sf REQUIRED--------------------
HEIGHT. . . . . . . . ..27 ft TOTAL------:2036 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :4O psf VALUE. . . . . $ : 101576 PARKING SPACES. . : 1
Remarks : PATH I
------------------------------------ PLUMBING --------------------------------------
SINKS. . . . . . . . . . : 1
---------------_--------
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :O
TUB/SHOWERS. . . . :_ LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . ..O
WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :O
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :O
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :@
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
------------------ MECHANICAL -------------------------•-------- FEES ----------------
FUEL TYPES------------ UNIT HTRS. . :O type amount by date recpt
/GAS/ / / VENTS . . . . . :0 TTF t 150. 00 JVI 11/09/93
MAX INPUT:O BTU VENT FANS. . :4 BPRT $ 438. 00 JH 11/09/93
FURN ( 1O0K . . : 1 HOODS. . . . . . .. 1 BPLC $ 284. 70 JLH 10/27/93 93-245566
FURN ) =1O0K . . :0 WOODSTOVES. :0 BSPC $ 21. 90 JH 11/09/93 •-
FI CCF1 FURN. . . . :0 CLO DRYERS. : 1 SSDC t 2801. 00 JH 11/09/93 -
BOIL/CMP ( 3HP:0 OTHER UNITS: 1 PARK $ 5O0. O0 JH 11/09/93 -
GAS OUTLETS: 1 MPRT $ 43. 50 JH 11/09/93
Owner: ------------------------------------MPLC $ 10. 88 JH 11/09/93 -
NEWCASTLE HOMES MSPC $ 2. 18 JH 11/09/93 -
P 0 BOX 23291 PPRT $ 155. 00 JH 11/09/93
PSPC $ 7. 75 JH 11/09/93
-
TIGARD OR 97281
Phone #: 639-3608
Contractor: -----------------•-------------.
NEWCASTLE HOMES INC
P. 0. BOX 23291
'TIGARD OR 97:81
(:L
iV) Phone #: 639-3608
Reg #. . - 59667 --------------._.__-__--------- ------ -- . --
�- = 326:1. 91 TOTAL
This pormit is issued subject to the regulations contained in the ----- -- RE70UIRED INSPECTIONS -------
Tigard Municipal Cnde, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
LL applicable laws. All work will be done in accordance with approved Pust/Beam Struct Gas Line Insp
plans. This permit will expire if work is not started within 180 Post /Beam Mechan Insulation Insp
days of issuance, or if work is suspended for more than 188 days. Plm/undslab Insp Gyp Board Insp
PLM/Under-Floor Rain drain Insp
Permittee Signature : `� ` _��� Mechanical Insp Water Line Insp
Plumb Top Out Appr/Sdwlk Insp
r ,;�,,eCi Framing Insp Mechanical Final
Call for inspection - 639-4175
SEWER CONNECTION
PERMIT
CITY GF TIGARD PERMIT #. . . . . . . : SWR93-0483
COMMUNITY DEVELOPMENT DUCWWjNT DATE ISSUED: 11/09/93
13125 SW Hall Blvd.Tigard,Or9gon 97223.6199 (503)939-4171
PARCEL: 2S114BB-20700
SITE ADDRESS. . . : 16422 SW 103RD AVE
SUBDIVISION. . . . : RII:ERVIEW ESTATES NO. 2 ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..051
---------------------------------------------------------------------------------
TENANT NAME. . . . . :
USA NO. . . . . . . . FIXTURE UNITS. . . .
('LASS OF WORK. . . :NEW DWELLING UN1TS. . : 1
TYPE OF USE. . . . . :CF NO. OF BUILDINGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : :sf
Remarks : PATH I
Owner: -------.-------------------------------------------------- FEES ------------•---
NEWCASTLE HOMES type amount by date rer_pt
P 0 BOX 223291 PRMT f 2200. 00 JH 11/09/93 -
INSP f 35. 00 JH 11/09/93 —
TIGARD OR 97281
Phone f1: 639-3608
Contractor: ---------•---------------------
CONTRACTOR NOT ON FILE
----------------------------------------
Phone #: f 2235. 00 TOTAL
Reg #. . :
-- ----- REQUIRED INSPECTIONS ------ -
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of thr Unified Sewage Agency. The permit expires 188 days from
the date issued. The 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 from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
Permittee Signature: •
Jssued By:
Call for inspectiun — 639-4175
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Residential Building Permit Application �4�1 _%✓
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 6394171
Jobstte Address: Ave,
17 1 11&6 Use Only
Subdivision: 'r�\V��(V IQL�) 's�C��t� Lot # `
� � dol -r7G Pianccr�ec# d �
Valuation: -
Permit #
Owner: _� " �f ` � am(t.5 Reissue of
Address: LA I _
I�(WC�� Ll I? �) ���, � Approvals Required
Planning .
Phone: ` _ _3(cUv
EMInnering
Contractor:
Address:
Items Requlred I
Subcontractors
Phone:
Truss Details
Contractors license # �. .:
(attach copy of current Oregon license) ler
Subcontractors: I 1
Plumbing:
Mechanical:
(attach copyof�7 OR Contractor's License)
Architect/Engineer:
,Address:
Phone:
COMMENTS: _
Applicant Signature R Phone number
Received by: Date Received: ./ ,2 7 �3�
Permit # Account Description Amount Amt. Pd. Bal. Due
I
Bldg. Permit (BUILD) M .64
Plumb. Permit (PLUMB) /-��~-•- _15T, -"
I
Mech. Permit (MECH) 3•S /� S L'
State Tax (TAX) 31-83 .3,1•83
Bldg: W
Plumb: 7)~
Mech:
Plan Check (PLANCK)
Bldg: 44 70
Plumb:
Mech: x
.,wRV3•LEI Sewer Connection (SWUSA) v U
Sewer Inspection (SWINSP) 3�� / _ 3�,'
Parks Dev Charge (PKSDC) S S�
Storm Drainage Chg (SDSDC) �\ -�"ti
Residential TIF (TIF-R) c' /�/( 0_
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF.IS)
Office TIF (TIF.O)
Water Quality (WOUAL)
Water Quantity (WOUANT)
Fire District (FIRE)
TOTALS: S q �-