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Permit -__ -__ „: / - CIJYOFTIGJARD . COMMUNITY DEVELOPMENT DEPARTMENT \ OREGON) M(STER PERMIT :_ m1nuSwm�gw�pom�u3�rT��.om�mena�V��m��1/a � \\737„�/ PERMIT # ^ MST91-0296 / 639-4171 DATE ISSUED: 09/22/92 , SITE ADDRESS...: 16030 SW 103RD AVE PARCEL: 2S114BB-RV1 I SUBDIVISION ^ RIVERVIEW ESTATES ZONING: R-7 PD BLOCK.. . . . . . . . . : LOT. . . . . . . . . . . .. :1 ------ - BUILDING - - - REISSUE: DWELLING UNITS:1 BASEMENT ^0 sf CLASS OF WORK.:NEW BEDRMS:4 BATHS:3 GARAGE ^480 sf TYPE OF USE...:SF FLOOR AREAS REQUIRED SETBACKS TYPE OF CONST.:5N FIRST....:1089 sf LEFT..:6 ft RIGHT.:5 ft OCCUPANCY GRP.:R3 SECOND...:1190 sf FRONT.:20. ft REAR..:42 ft STORIES ^2 THIRD....:0 sf REQUIRED - HEIGHT ...... ..:25 ft TOTAL :2279 sf SMOKE DETECTORS.:Y FLOOR LOAD....:40 psf VALUE $^ 113474 PARKING SPACES..:0 Remarks: | PLUMBING SINKS ^1 FLOOR DRAINS ^0 BACKFLOW PREVNTRS..:0 LAVATORIES ~4 WATER HEATERS :1 TRAPS ^0 TUB/SHOWERS ^3 LAUNDRY TRAYS :0 CATCH BASINS ^0 WATER CLO8ETS..:3 SEWER LINE (ft).:0 GREASE TRAPS ^0 DISHWASHERS....:1 WATER LINE (ft).:100 OTHER FIXTURES :0 GARBAGE DISP...:1 RAIN DRAIN (ft).:0 WASHING MACH...:1 SF RAIN DRAINS..:1 . MECHANICAL - FEES FUEL TYPES----------- UNIT HTRS..:0 type amount by date recpt /GAS/ / / VENTS ^0 TIF $ 1380.00 JH 09/18/92 - MAX INPUT VENT FANS..:4 SSDC $ 280.00 JH 09/18/92 - FURN < 10 HOODS ^1 BPRT $ 468.00 JH 09/22/92 - FURN >=10 :1 WOODSTOVES.:0 B5PC $ 23.40 JH 09/22/92 I FLOOR FUR :0 CLO DRYERS.: 1 SSDC $ 280.0� JH �9/22/92 BOIL/CMP P: OTHER UNITS:0 PARK $ 500.00 JH 09/22/92 �� ��~ GAS OUTLETG:1 BPLC $ 40.00 JH 09/22/92 Owner: --��- ' / ------ MPRT $ 40.50 JH 09/22/92 - SKYLIGHT 'OME BUI ^ER8 CO MPLC $ 10.13 JH 09/22/92 - P 0 BOX 2315 M5PC $ 2.03 JH 09/22/92 - PPRT $ 147.50 JH 09/22/92 - LAKE OSWEGO O~ 035 P5PC $ 7..38 JH 09/22/92 - Phone #: 503-6 '~799 � '~ Contract or: ^ r�- '�' - y� SKYLIGHT HON/ BUILDERS CO • P 0 BOX 2313 LAKE OSWEGO OR 97035 Phone #: 503-636-2994 Reg #..: 34086 -- $ 3178.94 TOTAL This permit is issued subject to the re'olations contained in the REQUIRED INSPECTIONS Tigard Municipal Code, State of Ore. :p•cialty Codes and all other • Foot/found Insp Fireplace Insp applicable laws. All work will be 'on in accordance with approved Post/Beam Struct Gas Line Insp plans. This permit will expire i' wck is not started within 180 Post/Beam Meehan Insulation Insp • days of issuance, or if work is - for mor an 180 days. Plm/undslab Insp Gyp Board Insp PLM/Underfloor Rain drain Insp ^���~ Permittee Signatur- . ���' Mechanical Insp Water Line Insp Plumb Top Out Appr/Sdwlk Insp Issued By: Framing Insp Mechanical Final � y / • Call for inspection - 639-4175 - voirbk; �3�u sw Hau IIwa. PLNCK /RECT # CITY ®F TIGARD ['O So 73397 �f COMMUNITY DEVELOPMENT DEPARTMENT TBacd °mum - 97223 PERMIT # /7954f- 04 6 (503)639 -ant DATE ISSUED # JOB ADDRESS: /0030 S w 109 14u--- TAX MAP /LOT Z3/ ( -( 13 Sul SUB: ]Qs 'vie er -7 01.E5' LOT: I LAND USE: VALUATION: j r/b1/ �l y OWNER SPECIAL NOTES NAME: S),K C. /6 I +'r H YnE in_i)c,oEZS CO REISSUE OF: ADDRESS: ) 0 /sox Z3i3' LAST REISSUE: LAKE Cs. ( - v O Z 970.3 FLOOD PLAIN/ PHONE: (So?) 636 -Z99y SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED w3g0 -00Itk NAME: Home 13i )c 7EJzs' CO. PLANNING: Sirrii3ineS G ✓- \, C ADDRESS: Po iios Z3ir ENGINEERING: C AKe as'w,E6c " 0g. 0 )7173x - FIRE DEPT: PHONE: (STS) ,'3G -7999 OTHER: riF CONTR. BOARD #: a86 EXP DATE: I I/1 9 Z ITEMS REQUIRED SUBCONTRACTORS: PLUMB: WOL071 p<(-- 010 /d LIST /SUBCONTRACTORS: ��fe-x' MECH: 1'hvE N )41 co z . BUS TAX: ARCH /ENGINEER CALCULATIONS: NAME: SK \-C►bHT {ao (..)Cd9 TRUSS DETAILS: ADDRESS: Fo gox 73is OTHER: C6K-o ostA- b v, o,z e?713 PHONE: _ . 3 X36 7'9`1 PROPOSED BLDG. USE: s'F2 COMMENTS: 940 qo '0014 r , air e,t a f k 6. 11. 7 ,RP APPLI ANT SIGNATURE Received By: Date Received: /) -. :/- 9', PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. h1sf7j4 10 -432 00 Building Permit Fees .azi5 _"ls' 10 -431 00 Plumbing Permit Fees /yO. / 0, S- 10 -431 01 Mechanical Permit Fees ) /O., -7) 4oi" 10 -230 01 State. Building Tax (5 %) 3 /0 3/.47 Building .2.2 Plumbing 7,3Y / Mechanical -03 ✓ 10 -433 00 Plans Check Fee i.-?9. .- s 4 /9,7/ Building 4.6.5s/ Plumbing - Mechanical /0 -:3 10 -230 06 Fire 5 9 .2-0111 30 -202 00 Sewer Connection /e° L ) e- Z 30 -444 00 Sewer Inspection 3y 3f 25- 448 -02 Commercial TIF Fees 25- 448 -04 Industrial TIF Fees 25- 448 -06 Institutional TIF Fees 25- 448 -03 Office TIF Fees 25- 448 -01 Residential Traffic Fees /26 /2A-0/ 25- 448 -05 Mass Transit TIF Fees., i /U d 52 -449 00 Parks System Dev Charge (PDC) d Suc� 31 -450 00 Storm Drainage Syst Dev Chrg (SSDC) 24- 445 -01 Water Quality (Fee in lieu of) 24- 445 -02 Water Quantity (Fee in lieu of) TOTAL nm /3587P.WPF „ .. . „, . • • , , , , _-.- , . , . , . .- ;;' • '” i ' . \ ,,, ,_,,,..- ----"'' y .,-, ''''' • 't." -- 14 7 . _ .;. :-.. ITy0 TIFA ....,,JA/ , , RD .., ,.„. CriYOF WARD PLUMBING PERMIT COMMUNITY DEVELOPMENT' DEPARTMENT OREGON I PERMIT #.......: MST91-0296 ,,.., 13125 SW Hall Blvd. P.O. Bcoc 23397, Tigard, Oregon 97223 Al) 639-4175 , -:/ _ .. :I . - 7 - tATE ISSUEDg tiv i e ' ,, ■ % ;.• i . . • : lli .., SITE ADDRESS...: 18030 SM%103RIX*E- --PARCEL: 2S114BB-15500 fe r• . . '' -. ., . . SUBDIVISION...; .is . RI vEkt4i7:14 pSTATtS - - .;', ' . - • . ''v , _ . aim NG ; F3 • . PD . • - "'' .,,.. . 0 .,, )3 c•,.: • • ., (P•! LVT-,,', , , .. . . ....• . n 1 •'.;•.•.:. • ..- , - " 4 - , •'" -a• -. . , a ., . . . . ' - . a' •. • --, ''''' - • . . CLASS OF WORK.-;;NEW .". GARBAGE DISPOSALS„'il . : -• . ,... . . -‘' • ' TYPE OF USE...'.'sSF ' ASHINS MI4CH.......:4 BACKFLOW PREVNTRS..:0 c ;i ,/ • . : OCCUPANCY GRP.. : :: DRAINS.......:0 TRAPS..............:0 • : STORIES......":2 ; : WATER MEATERS......:1 CATCH BASINS.......:0 FIXTURES----:-----j--÷- .' LAUND4Y TRAYS. .....:0 SF RAIN DRAINS. ....:1 SINKS .........:.:1 GREASE TRAPS......6:0 ' LAVATORIES....j.n4 T OTHER FIXTURES TUB/SHOWERS.. - : - . ,,,...4* LINE (ft)'„— :0 • ANIATER ..C v. 3 5:', , , ._, ...WATER LINE, t-Ft ),. 2,j, op , , ,,, _,_ . _ _,_ • ': b I S •FaiffSHE'R'S' ';',';' D Rrii N kfi l'al . '3 0':''' ''' Y:'" ' -'•-- ..: - ' ' - ' • - . ' -4- rY . ". ' ' 4 • f . . ' . • Remarks , / •, . a .: OWNER -- - 4 .4 . .- . FEES SKYLIGHT HOME ,sqDRsfca TIF $ 1380.00 JH 09/18/92 - P 0 BOX 2315 l,t ' . SSDC $ 280.00 JH '09/18/92 - • l . . - BPRT.$ 468.00 JH 09/22/92 -' LAKE OSWEGOOR.9705 • • • : B5PC $ . 23 JH' 09/22/92 - • - , 4 Phdne #.4 5",-636;-299 • . ' d . SSDC $'-,280.00•JH 09/ -.•:. a • , PARK $ • 500', 00 J1-1* L.`09/22/92 - • , ,, •;''' 'PlUm bind: 9 4)ntrao w17---r--.--:---;7-----:-7- '.- .:. • 13P(Z $ :. :40. J1-.C.. 7.- . . . " ' • . . ,i _ ,-:, MP_R T 1 .4(1.1.50 JH . 09/22/92. - ' , - .44.4A. ■ ?-MPLC $ 10 Name . • Lec..,. 4A,.., 4( • I . ' ' ' • .13 JH 09/22/92 - , , . ,. • - Address - • ' C-- Ar ' M5PC. $ , 2.03 JH 09/22/92 - • - , ...._t____,....„:_____ ..,. City: 1 -A A_ State:. PPRT $ 147.50 JH . 09/22/92 . 7- Zip :\ ' • -7— la . F . . 4' Phone#: . P5PC $ 7.38 JH 09/22/92 - a ---:' - Reg #ii-..: — - \ .. .: • • . V \- ''''` . , ------- REQUIRED INSPECTIONS ------- .,,.,,,,,,, , . - ,.a.,, Thls,pr'mit is'issUed subject to the reg- - T F0 Dt .._ci-r--.7-,----,[3-1,17, : .,dr,a,i_ kasp__ .• -- '0, Co el d all Po st /Weil m St ruct Water Line I n s p ,c2Vaer,applicabla laws,' All Work will be done Post/Beam Mechan Appr/Sdwlk Insp ,, 'In accordance-waith appv&oved plans. This Plm/undslab Insp Mechanical Final . permit will exp`dre if work As Toot started. PLM/Underfloor Plumb Final ' within 180 days ,.of isuailce; 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 ___ ' • ' • . a. • • Gas Line In _ sp ..,' _, •• .. . . . . . . ..., • • ' ' ' .••• - --- .'a. InsUlation InsP. - ... • . • - x -' : ;it . • . ,, . ... ' .-';••• Gyp B'oard . Insp ,, • • ' • . Plumbing • Contractor Signature: -' ' .. . - • .. • , . : - • , -- ...• :.,, . , • . Call for inspec."tion 7.634 --2t . 1. 75 , • ' - ,. - , . Contractor Notes: • " . . —...... ____ . . . . . i . . ._ - . INSPECTION NOTICE City of Tigard Building e\ 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: ( & rn5( Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post /Beam Struct. San. Sewer Framing Bldg. Post /Beam Mech. Rain Drain Insulation - Plumb. Plbg. Underfloor Water Linn Gyp. Bd. -Mech. Date Requested: I + c 2 7 l J Time: AM � PM Address: I D � " Permit # : NAT ( / 6 Z I Cp Builder: "A- M THE FOLLOWING CORRECTIONS ARE REQUIRED: ,nyq Inspector: Date: A 4W I APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinap. ' INSPECTION NOTICE City of Tigard Building Deparbnent ; '2 13125 SW Hall Blvd. Tigard, Oregon 97 3 -, ,._ Inspection Line (Rec- O- Phone): 639 -4175 Business P 4- e: 639 -4171 Inspection: _ Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk Found. Plbg. Top Out FINAL: Post /Beam Struct. San. Sewer // Framing -Bldg. \\ Post /Beam Mech. Rain Drain (�Insulatio - Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: / l,> . Time: AM PM Address: • /4 0 //4 . yd Permit #:q/ L :7 4 / _� /,_.., _ / Builder: ' A �-4 ' THE FOLLOWIN -•RRE Or ARE REQUIRED: Cj 7 5 / 4 / j / o e/ .. ,4;',Z I- Ye- d s . /2�6 -cL' Ta �-T�i / . Al r 7// , G .A ceej /--- eri c/G� 1ivSc/ /GT /6 /i '6 /_ 4 / / /ye old_. / Inspector: 7 , "6 4 6 U Date: / Z .� � 1� APPROVED DIS•'PROVED APPROVED SUBJECT TO ABOVE t 'all For Reinsp. 6/6/00 Activities • for Case #: MST91 -00296 2:10:10 PM Assigned Hold Updated • Activity Description Date 1 • Date 2 Date 3 To Done By Disp. Level By Updated Notes MSTA007 Application received 12/31/91 RT PASS TLP 1/20/93 MSTA010 Plan check deposit paid 12/31/91 RT PASS BLT 3/23/92 MSTA020 Plan check by 3/23/92 RT PASS BLT 3/23/92 MSTA030 Check for prcl. restrict. 3/23/92 3/23/92 RT PASS BLT 3/23/92 MSTA705 Foot/found Insp 9/25/92 RT PASS BLT 9/25/92 MSTA710 Post/Beam Structural • 10/21/92 TLP PASS TLP 10/26/92 MSTA711 Post/Beam Mechanical 10/21/92 TLP PASS TLP 1/7/93 MSTA717 PLM /Underfloor 10/13/92 MS PASS MRS 10/14/92 MSTA720 Mechanical Insp • 1/5/92 TLP PASS TLP 1/19/93 MSTA722 Plumb Top Out 12/11/92 MS PASS MRS 12/11/92 MSTA725 Framing lnsp 1/5/92 TLP PASS TLP 1/7/93 MSTA735 Gas Line Insp 1/12/92 TLP PASS TLP 1/19/93 MSTA740 Insulation Insp 11/29/02 TLP PASS TLP 1/19/93 MSTA745 Gyp Board Insp 1/15/93 TLP PASS TLP 1/20/93 MSTA755 Rain drain Insp 10/1/92 MS PASS MRS 10/2/92 . MSTA760 Water Line lnsp 10/1/92 MS PSAS MRS 10/2/92 MSTA795 Mechanical Final 10/26/93 TTP PASS TLP 10/28/93 MSTA797 Plumb Final 10/26/93 TLP PASS TLP 10/28/93 MSTA799 Building Final 10/26/93 TLP FAIL TLP 10/28/93 MSTA092 (F) Issue combination permit 9/21/92 JLH PASS JH 9/18/92 MSTA092 (F) Issue combination permit 9/22/92 JLH PASS JH 9/22/92 MSTA092 (F) Issue combination permit 9/22/92 JH 9/22/92 MSTA097 Issue plumbing signature form 9/22/92 JH 9/28/92 MSTA765 Appr /Sdwlk lnsp 2/12/93 LT PASS KE 2/23/93 MSTA970 Case Firialed 10/27/93 TLP PASS TLP 1/24/94 previous corrections complete MSTA765 Appr /Sdwlk lnsp 10/26/93 LT PASS KE 11/9/93 MSTA960 (F) Issue Cert. of Occupancy 10/27/93 - JF JF 12/8/93 Page 1 of 1 .