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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6394171
In.3peciion: _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Bean Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg. ■
Plbq. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wal! / /G Gyp. Bd. ec .
Date Requested:_ ! �( I ( S� Time: AM PM
Address: ����G' ( l 1 _ ■
Builder: -Z Z Permit #: C_
THE FOLLOWING CORRECTIONS ARE REQUIRED.
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Inspector: 42 L — Date:��� _
/APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
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CITY OF TIGARD 1301LDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6 9-
Inspection:.
Footing
-Inspection:-
Footing Susp. Ceiling Spnnk. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech, Hough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Sough-in FINAL: f �'
Post/Beam Mech. San. Sewer Gas Line Bldg.''
Plbg. Underfloor Rain Drain Framing Plum
Alarm Water Line Insulation ech
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U iderflr. Insul. Shear W�II Gy p. Bd.
Date Requested: 3116, - Time. AM PM
Address:
Builder: t _ Permit #: /-6' J�
THE FOLLOWING CO!'tRECTIONS ARE REQUIRED:
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Ins ector: Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-41,75 Business Phone: 639-4111
Inspection:—
i=ooting Susp. Ceilin j Sprink. rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough in Fireplace
Post/Beam Stiuct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation
Underil,. Insul, Shear Wall / Gyp. Bd. e
Date Requested: U �` l�l=`_ Time: AM PM
Address: �61 (�
2 Lq_Permit s —oma i
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector r1 i �Gl c7' i /—(Cf'� Date:y
—APPROVED —DISAPPROVED _NAPPROVED SUBJECT TO ABOVE
—Call For Reinsp.ift
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nary i SuEnc 08/10/95
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT `
13125 8W Hall Blvd.Tlgard,Orpon Y7223.8104 (503)830 4171 F'r-IRCL U4 o "a 1 C DU -Lar'�7 VL:y
S1TF_ 1,)1)Dk :`, ;,. . . . 0i3`:)0 L '-;W .101011 C1
SUBDIVISION. . . . a BRInUEPARK ZCININGiR--7
BLOCK. . . . . . . . . . e LUT. . . . . . . . . . . .
CLASS OF WORK. s NE W
TYPE OF USE. . . t SF
OCCUPANCY GRP. s R3
l OCCUPANCY LCIAD s 224 4
1 TENANT NAML. . . s E
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Rrn,mark% : r'r-I1I1 I �
Ownera
R I VEER I nE HOMES, INC
15455 NW GREENBRIER PKWY
! # 140
J{ SEAVE:WTON OR 97006
1 Phone #1 645 -0981,
CorltraCtore
R I VERG I DE: HOMES INC.
15455 NW GREENBRIER PKY
Sl_I I'-F_ #140
B AVE RT*UN OR 97006-5-700
Phone #i
Rea #. . 1 70065
Thi r+ Certificate c_cr••ti.fiF,, that the above r•efere•►recl '–uildi.ng ar, portion
thereof has been irspecti.fd for compl. iaHncm with the Tigard Building l,,ocie
for the group and Jivision of occupancy and use for which the above
refe-i^Ancef permit was ig „aed; and oc:'c.,upanr_y is hereby granted.
! hLJILAINV-1 NSOE.. UK ��- SLJIL#JINCi OFFICIAL
POS''T IN CONSP I CUIDUS PLACE
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4 '9
Inspection: NIL, / i
Footing Susp. Ceiling Sprink. Rough-in Aopr/S
dWfk
Foundation Plbg. Underslab ,ech. Rough-in Fireplace
Post/Beam S`ruct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Me7h. San. Sewer Sas Line -Bldg. 0
Plbg. Underiloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall . Bd -Elect. ■
Date Requested: - 1319-s'
Time: AM PM
Address: ,4
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Builder:_ (-. ) V `-16; _Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:
-'M-ROVED _DISAPPROVED _APPROVED SUBJECT TO ADOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6371
3 171
��n,�Tfy aqr Inspection:
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Footing
'roSusp Ceiling S rink. Rough-in APPr/Sdwlk
Foundation Plbg. Underslab Mech. Rough in Fireplace
Post/Beam Struct. Plb . Top Out Elec. Rough-in FINAL:
( I Post/Beam Mech. San. Sewer Gas Line -Bldg. j'�,����'';�� ■
Plbg. Underfloor Rain Drain Framing -Plumb.
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Alarm Water Line Insulatio -Mech.
prf"f`' •
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: 11G l a c
eq � J`_ Time: AM PM
Address:
Builder: w
Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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CITY OF TIGARD BUILDING INSPECTION NOTICE P
Insper,,;on Lira (Rec-O-Ph(.ne). 639-4175 Business Phone: 6 71 /
Inspecton:
Footing Susp. Ceiling Sprink. Rough-in App4dwlk
Foundation Plbg. Underslab ec . Rough-in ��;
--P SVFJ.�am—St r"u t. Plbg. Tcp Out Elec. Rough in FINAL. a
�- ost/ eam Mec San. Sewer Gas I ine Bldg.
t er Rain Drain C.- n ) -Plumb.
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Alarm Water Line Insulation -Meeh.
Underilr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested: ( : /?� l5 —Time:__AM PM
Address:__. )
Builder: Permit #: c' `7 - ����5/
THE FOLLOWING CORRErTIONS ARE REQUIRED:
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Inspector: Date:��'2
L&RP56-VED DISAPPROVED —APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspe76onnLine (Rec()-Phone): 639-4175 Business Phone. 639-4171
Inspection
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. ;nn Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Unde floor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech. M
Undertlr. Insu:. Shear Wall Gyp. Bd. -Elect.
Date Requested: (� �� Time: AM PM
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Address:
Builder: _— �' Pc'mit #:
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date.
_APPROVED —DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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i WASHINGTO14COUNTY
Department of Land Use&Transportation tLECTRICAL PERMIT
Electrical Inspection Section APPLICATION
155 North First Avenue,#350-12
Hillsboro,Oregon 97124 '
Information: (503)640-3470 Fax: 503 693.4412
PRINT
Permit
PLEASE 3
Please completesect.--, 1 throughNumber�_-LCAS-.,��&)U- Date
4. Complete Fee Schedule below
1. Loc o of Insfallciti1on T
Address =�.r_-�,I In /"l Number o'Inspections per permit allowed 0
Su.Jing Service included: Items Cost(ea.) Sum
city_ _j ( ""' �- _-_ Suite No.
Tenant Nate
A. Residential-per unV
(if commercial) _ -- -- 1000 sq.ft,or less -___- $110.00 4
Mai No. - .1t_`:-L11�.___ T F)CtY5 -
Each additional 500 sq.ft
F aX Lot or portion thereof --- $25.00 - --- -
Map g ----
Limited Energy --- $25.00
Thomas Ma Book: Page: Section:. Er ch Manuf'd Home or Modular
Directions------- _._._ _____-____._____ _._-_ Dwelling Service or Feeder __ -_ - $68.00 --- 2
B. Services or Feeders
Commercial❑ Residential®t Installation,alterations or relocation
200 amps or less $60.00 _--_ - - 2 E
2a. Contractor installation only: 201 amps to 400 amps _- $80.00 _____ . 2
401 amps to 600 amps $120.00 __ 2
Electrical Contractor _-__..___-____ - 601 amps to 1000 amps _---__ $180.00 '
Address Over 1000 amps or volts $340.00 ___ 2
City ______- State _ . ZIP. ,.__ Reconnect only $50.00 -_ __ 2
Job Number4.0
Property Owner _ - _ C. Temporary Services or Feeders
Contractor's License No. Installation,alteration or relocation
Contractor's Board Reg. No. zoo amps or less -- $50.00 ._.._ __ _ z
201 amps to 400 amps $75.00 2
Signature of Su r. Elec n r: �x �e_
401 amps to 600 amnc, __- - $100.00 __ 2
9 Supr. � - Over 600 amps to 1000 volts see"B"above
License No.[ Cu;3 Phone 1�1o.
D. Branch Circuits
2b. For owner installations: New,alteration or extension par panel
a) The fee for branch circuits with
int Owner's Hanle Phone Nob-- P
--purchase of service or feeder lee.
Each branch circuit ___. $5.00 2
-- - --
I Address b) The fee for branch circuits without
purchase of service or feeder fee.
uty
Mate Zip First branch circuit $35.00 2
Each add'nl branch circuit_-_- $5.00 2
The installation is being made on property 1 own E. Miscellaneous (Service or Feeder not included)
which is not intended for sale, lease or rent. Each pump or irrigation circle _.._.._._ $40.00 _______ 2
Each sign or outline lighting __. $40.00 2
Owner's Signature Signal circuit(s)or a limited
energy panel,alteration
3. Plan F,'ewow section (if required) or extension _- $4000 2
Please check appropriate Item and enter fee in section 58. F. Each additional Inspection over the allowable i
4 or more residential units in one structure:
In any of the above
-- Per inspection $35.00
-Service and feeder, 800 amps or more Per hour $55.00
over 600 volts nominal It I Plant _ $55.00
__Classified area or structure containing special
occupancy as described in IJ.E.C. Chapter 5 5. Fees
Submit 2 sets of plans with application where any of the A. Enter total of above fees $
above apply. Not requ;red for temporary construction 5% Surcharge (.05 X total fees) $
services. Subtotal $
This permit becomes mill and void if the work authorized by the permit Is B. Enter 25% of line A for
not commenced within 180 days from date of Issuance of such permit or Plan Review if required (Section 3) $ --- --..
If the work authorized Is suspended or abandoned at any time after work Subtotal $
Is commenced for a period of 180 days. Electrical Permits are non- __ $
refundable and non-transferable. i dist ACCOUnt
For inspections call Balance Due $
681-3699 or 681-3698
24-hour recorder, one working day In advance of need
BL28 3:95
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i CITY OF T I GARD RECEIPT OV PAYMENT RE=.CF I C,T NO. a 95-P67164
cHCX.K AMOUNT a 166. 00
NAME_ E~VANS F.L C:THTCa INC;. CACI-E AMOUNT 0. 00
ADDRESS 11867 13W WILTON OVC. PAYMENT DATE: a 06/23/95
TIGARD, OR llUBDIVISION t
PIJHFr—SE~ OF PAYMENT AMOUNT PAII,i V"URPOSF UF' IPAYM1-:N'T AMOUNT PC)ID
ELECTRICAL PERMIT 1f:,0. MCS aT. AI.IILI1 FFR 11. W
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8501 5W JnHN CT.
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TC►I Al.. 11MCRINT PAID ; 168. LA0
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Fou_pdabaa_ Plbg.—Underslab Mech. Roigh in Fireplace
Post/Beam Struct. Plbg. Too OuL5, Elec. Rough-in FINAL:
ost/Beam PAech. San. Sewer as Lined 5?,,
■
elb
g. Underfloor) Rain Drain Framing umb
Alarmater Line Insulation -Mech.
Undsr`,Ir. Insul. Shear Wall Gyp. Bd. -Elec
Date Requested: Time: AM _ Plv1r
Address:
Builder. — c `-' %. LLc ,` Permit #:_ S —��L �l
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date:
_ P' FrD _DISAPPROVED _APPROVED SUBuECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPEi,'TION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone:
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Inspection: e _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg, Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg. °
Plbg. Underfloor Rain Drain -Plumb
rami`1~ 7 '
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Alarm Water Lb", -Mech.
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Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: rn - lh –//Ufs Time: AM Pt\4 f'
Address: 0_D(✓' �/C� h ►�? Ly C..'—/L
Builder: ]V-C 1-,5 Permit #: T
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Insp ctor: )L�L _ Dat1�A
_APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
rs,
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
ar
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plhg. Top Out Elec. Hough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul, hear Wall ,� Gyp. Bd. -Elect.
Date Requested:_ —��—�f s Time: L AM PM
Address: K50/ \ FC)h✓1 Cj&Z'1L. T q
J1'vLEc:)
THE FOLLOWING CORRECTIO ARE RF_QUIREC
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Inspector. _ Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO A90VE
F�Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 63 1 1
t �
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg.jW OA t Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
1
Date Requested:_ f9s Time: AM PM
Address: l- � q
Builder�„�,X�L/L ✓l - K�`vC rt3l ' ermit #: "7
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THE FOLLOWING CORRECTIONS ME REOUIRED�
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Inspector. Datez.ZZ C
PPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
' __Call For Reinsp. uX ,
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' CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6 4T71
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post:Beam &ruct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Boam Mech. San. Sewei Gas Line -Bldg.
Plbg. Undelloorarn_�I A�� �- Framing -Plumb.
Alarm Water Line Insulation -Mech.
Under;.-. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
L
Address.
Builder:
Penrit i1:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Ins ector: Date:
APPROVED _DISAPPROVED `APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGAPD BUILDING INSPECTION NOTICE
Inspection Line (Rec-C,-Phone): 639-4175 Business Phone:,P39-P'&__
'
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Inspection:
Footing Susp. CeilingSprink. Rough-in Appr/ Ik
Foundation Plbg. Underslab I`llech. Rough-in Fireplace
'ost/Beam Struct. Plbg. Top Ou Elec. Rough-in FINAL: '
Post/Beam Mech. San. Sew Gas Line -Bldg. .
Plbg. Underfloorin Dra Framing -Plumb.
Alarm Wa er line Insulation -Mech.
Underflr. Insul, Shear Wall
/Gyp. Bd. -Elect.
Date Requested: l I �1 > Time: AM PM
Addiess:
Builder:
Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
InSYector: G�
�� Date��-�
L4( PROVED _DISAPPROVED —APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 .
Inspection; , A`--- 1p L-
D
F=ooting Susp. Ceiling Sprink. Rough-inSdwlk
Foundation Plbg. Underslab Mech. Rougn-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. Elect .
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Date Requested: �% Tima: AM PM
Address: ` r 0
Builder: Permit #:`-73Ct-4 e,C,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inapector. / — Date. w 2 U
PROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Pho 639-4171
Inspection:
/ Susp. Ceiling Sprink, Rough-in Appr/Sdwlk
and n Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg. M
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
■
U iderflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time:XAM PM
Address: 95-C) ( 'I AkLC �, ■
Builder: 2 S 7 Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Ins ector: _ Date:
iAPPROVED _DISAPPROVED _APP-IOVED SUBJECT TO ABOVE 1
_Call For Rein,,,.
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RD PLUMBING PERMIT
PERMIT #. . . . . . .
CITY OF TIGA : MaT`i`� iZn7�4)1
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 03/10/95 a
13125 8W Hall Blvd,Tigard,Oregon 97223*8199 (603)630-4171 P')RCEL: 2S 1021)D•• B1'0I/1a
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SITE ADDRE_SS. . . : 1211:bo 1 GW JOHN C•i
SUBDIVISION. . . . : BRIDGEPARK ZONING: R- 7
LOT. . . . . . . . :03
"l --------------------------------------------
CLASS OF WORK. . :NEW GARBAGE DI5P05ALS. . : 1
TYPE OF USE. . . . s3F WASHING MACH. . . . . . . 111 BACKFLOW PREVNTRS. . s1 ■
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STClRIES. . . . . . . . 14 WATER HE=ATERS. . . . . . 31 CATCH BASINS. . . . . . . s0
FIXTURES-------------- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . : 1 GRL:ASE TRAPS. . . . . . . :0
LAVATORTFS. . . . . :4 OTHER FIXTURES. . . . . :0
TUB/SHGWE:RS. . . . ; SEWER LINE (ft) . . . . s0
WAl Lk CLOSET S. . :3 WATER L..INE (ft> . . . . : 1.00
■
DISHWASHERS. . . . 91 RAIN DRAIN (ft ) . . . . :0
Remarkss PATH I
�..)WNLF2: -------------------.--------.__._.
RIVERSIDE HtJMI;i INC TIF= $ 1:�a121. 00 JD 03/10,'959S-�:E+r,'74t� ,
1545` NW GREENBRIER PKWY SWM $ 180. 00 JD 03/10/9595- 64:746
#t 140 SWM $ 100. 0121 JD 03/10/95 95-262746
EWVERTON OR 97006 BPRT $ 463. 00 JD 02/10/95 95-E6�746
B
6-EAVEhrne 1#: 645-0986 BPLC $ 50. 00 1-4-)[R1:
F2 11/08/94 94-- 58524
85PC 4 23. 15 JD 03/11[1/95 95--262746
:;00. 00 JD 03/10/95 9i--26w74E,
Plumbing Contractor : _..---- ._._.+... f�'AI�K -
d C T Ke h i C o.g MPRT 40. 50 JD 03/10/95 95-2262746
j lama • �., j MPLC 1, 10. 1". J[) o3/10/95 95--.26,-2746
_
laddre s s: Oct _,f C�_ _.... .._! _ 6��ctf__.._ . M5PC $ 2. 03 JD 03/10/9 95-cba 746
7yj=_7 `jtatP Q 31.TH s aab. 00 JD 1213/1121/95 95 4..6274E
yip: 9�a ._ �!hane#t: '�-�( 1"PC: `$ 11 . c:� JD 03/10/95 9�i-262746
iteg #k:__.Y _ __ . Fid�liti �ynal Fees not shown t7ere. . . . . . . . .
----- REQUIRED INSPECTIONS
Thii- permit is issued subject to the reg
dations contained in the Tigard Municipal Footing Insp Insulation Insp
C_.ode, estate of Ore. Specialty Codes and all F=oundation Insp Gyp F)card Insp
rather applicable laws. Al ! work will be done post/Beam Struct Rain drain Insp
in accordance with approved plans. This Post/Beam Mechan Water Line Insp
permit will expire if work is not started Crawl Drain Water Service In
within 190 days of issuance, or if work is Plm/undslab Insp Appr/Sdwlk ltisp
suspended for more than 180 days. PLM/Underfloor Mechanical final
Mechanical Insp Plumb Final
Plumb lop Out Building Finai
Framing Insp Erosion Control
Fireplace Insp
1L�Q Gas Line Insp
rautho ed P.A, rfg Contractor Signature
Cali for inspection 6:39-4175
l_:ontrar_tor Notes :
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MASTER PERMIT
CIIYOF TIGARD PERMIT SUED: 3 0/95 ►IrrD�31
DATE ISSUED: 0�:i/10/yS
COMMUNITY DEVELOPMENT DEPARTMENT
131268W Hall Blvd.Tigard,Oregon 9722306199 (603)630.4171 ''ARCEL: 2S 102DD--BP00w
1,1T1- RDURF 13. . . �I1l3 V�1 �W JUi11•, t
SUBDIVISION. . . , : BRIDGEPARK ZONING: R-7
FLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..03
--rM - BUILDING r_ _-Y _ _____ _ .
REISSUE:MST95-0067DWELLINGUNITS: 1 BASEMENT. . . . . . . , :0 _r..'__.-_. i
LLASS OF' WORK. :NEW BEDRMS s 3 BATHS:3 GARAGE.::. . . . . . . . . . ;461 s f
TYPE OF USE. . . :SF FLOOR PREPS----------- REQUIRED SE TBACKS-•--
TYPE OF CONST. :5N FIRST. . . . : l283 sc f LEFT. . :5 ft RIGHT. : 10 ft
OCCUPANCY GRP. :R3 SECOND. . . :3c ' sf FRONT. -.20 ft REAR. . : 15 ft
i
STORIES. . . . . . . :2 FINBSMENT:O %f REQUIRED__
HEIGHT. . . . . . . . ..24 ft TOTAL-_--•-•-: 161 sf SMOKE DETECTORS. :Y
FLUOR LOAD. . . . :40 psf VALUE:. . . . . f: 111732: PARKING SPACES. . : 1
Remarlis : PATH I
PLUMBING
a 91 NKfS. . . . . . . . . . . I FLOOR DRAINS. . . . : ,• ._ �- r
0 1:ACI,r-LOW 1='I.L.UN1"Ra. . : 1 �
LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 �
TULA/SHOWER a. . . . :E LAUNDRY TRAYS. . . :0 CATCH BASTNS. . . . . . . :
WHIER CLOSETS. . :3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :O
4 DISHWASHERS. . . . : 1 WATER LINE* (ft) . : 100 OTHER FI XTURES. . . . . :lo
UARBAGE DISP. . . : I RAIN DRAIN (ft) . :0
WASH.tNG MACH. . . : 1 SF' RAIN DRAINS. . : 1
MECHANICAL ____________._._._.__. .__. _____._.__.___ FEES
?I F=UEL 1'YPE;.S----- ••-•----- UNIT HTRS. . :O type amount by date recpt
/GAS/ 1 / VENTS . . . . :0 TIF f 1550, 00, JD 03/10/95 95-262746
MAX INPUT:O BTLJ VEN1 FANG. . :3 SWM # 180. 00 JD 03/10/95 95-262746
FURN ( 100K . . : I HOODS. . . . . . : 1 SWM f 100. 00 JD 03/10/95 95-•262746 `r
FUR14 > =1001', . . :0 WOODSTOVE:S. -0 lah'R1" f 463. 00 JD 03/10/95 95-262746
FLUOR FURN. . . . :ick CLO DRYERS. : 1 BPLU $ 50. 00 KAR 11/08/94 94--258524
BOIL/CMP ( 3HP:0 OTHER UNITS: 1 B51. f ,. 15 JD 03/10/9 9S -; 62746
GAS OUTLETS: 1 PARK f 500. 00 JD 03/10/95 95-262746 '
Owner,: -MF'RT $ 40. 50 JD 03/10/95 95-E6,2•746
RIVERSIDE HOMErS$ INC MPLC f 10. 13 JD 03/10/95 95-26E746
15455 NW GREE::NBRIER PKWY I15pc f 2. 03 JD 03/10/95 95•-262746 �t
# 140 3BTH t 225. 00 JD 03/10/95 95-•262746
BEAVERTON OR 9 7006 P5PC f 11- 25 .JD 03/10/95 95-26.:746
Phone #: 645-0986 EROS f 64. 00 JD 03/10/95 95--262746
Gontr•actora f 20. 80 JD 03/10/95 q5-262'746
` HIVERSIDE HOMES INC E:RPC f 20. 80 JD 03/10/95 95-262746
154155 NW GRL--ENBRIER PKY HPLC f 50. JD 03/10/95 95--262,7if6 !
SUITE:. #140
t BEAVERTON OR 97006-5700 r "
'hone #:
Reg #I. . 7000,5
f 3310. 66 TOTAL
This permit is issued subject to the regulations contained in the --- --- REQUIRED INSPECTIONS -- -- - �
Tigard Municipal Code, State of Ore. Specialty Codes nd all. other I o o t i n g Insp Plumb Top Out
applicable Aaws. All York will be done in accordance ith approved Fo�tndation Insp Ft-amirg Insp
plans. This permit will expire if work is not siarte mithin 180 Post/Beam Str-uct Fireplace Insp
days of issuance, or if work is suspe, f m t n 180 days. . ./Beam Mechan Gats Linc Insp
Gr••awl Drain Insulation Insp
`'; F'e!r^mittee iigT� .itr_re . _ _ 1.11m/undsI�;b Insp Uyp Boav,d Insp
' {Y. PLM/Underfloor- Rain drain Insp
In� .ir_cl 5 : "__...._._ < `� IHec-,hanic.al Insp Water- Line Insp
Call for inFpection - 639--4175
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SEWER
ON
f PFR 1.
CITY' OF TIGARD PE.RMI T #. . . . . . . : SWR9L--0091
COMMUNITY DEVELOPMENT DEPARTMENT D(4'1'E ISSUED; 0-3/ 10/95
I 13125 BW Hall Blvd.Tigard,Oregon 97223.6190 (503)030.4171
x FlARCE:L: S102DD—BP00:3 ,
11V C TS1TE ADDREG
SUBDIVISION. . . . : BRIUGEPARK ZONING: R-7 I
IZLOCK. . . . . . . . . . . l_C)1.. . . . . . . . . . . . . :03
_._._.._.___..._.._._..__-_•--____.___..___._._._._.__._._____---_._.—__._______—_._._.._. _.-_.__.__.
TLNANT NAME. . . . . :
USA NO. . . . . . . . . . s FIXTURE UNI"f5. . . :
�• C;LASS (IF WUfiK. . . :NEW DWELL_I NG UN I T•S. . : 1 i
I YPE: OF USE.. . . . . :SF NO. OF BU I LD I NGS: 1
} INSTALL TYPE. . . . :BUSWR IMIaERV SURFACE. . : : ssf �
Remarks: P(41H I
suwner: ------------ LEES __......_......_._._____.... .. 4
RIVERE31DL-• HOMES, INC tyle am0unt by date recpt
;t 15455 NW GREENBRIER PKWY F+RMT $ ;.:200. 00 JE) 03/10/95 95-262746
it 140 INSli 4 35. 00 JD 03/10/95 95-262740.,
} BEAVE.RTON OR 97006
Phone #: 645--09BG
LUNI'KiCTOR NOT ON FILE Y'
F2235. 00 -1-01-AL_._....__...._..._------.__
( Reg #. .
,, _.._--.----_-- REOl_IIRE'U IN4F'E.CTI ON ---------
[his
. --ihis Applicant agrees to comply with all the rules and r•egulati3ns �ipvje •• I ri sper_t i on ____.....
-..-.,•.•
of the Unified Sewage Agency. The permit expires 180 days from __.______�_._,_•_ ____._....__
the datF issued. The total amount paid will he forfeited if the
1 permit expires. The Agency does not guar.,ntee the accuracy of the
side sewer laterals. If the sewer is not located the measurement
given, the installer shall prospect : feet in all d rections from
the distance given. If not so located, the installs shall purchase
I a 'Tap and Side Sewer" Permit and nc :'I nstall a lateral.
1 I'f_, mit; Lee ;::iiyn�_tt+.rr^e : I
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— _
Call for inspection — 639-4175
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{
t Residential Building Permit Application
City of Tigard M�
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
/Jobsite Address: / C' c` l l!r c'.�'.
- i
Office t!se Onl ■
Subdivision: �'��� G!h'k—�" Lot# (��� /
� Planck/Rec# �/ ' ����✓
Valuatlon. _ l 7 j L
_ Permit# /115 / `/i= L!�� r�� ■
Corner Lot? Y �fV Z,f a y _
Reissue of /r]
Flag Lot? Y .�
Map & TL#
Owner: � Approvals Required
Address: ll�d /VI�C?JZQLft.`1JrGfh� � Planning _
Engineering
Phone: Other
/ContractorItems Required
Address: Subcontractors
Truss Details
Phone: Other
Contractor's License # w UV
(attach copy of current Oregon license)
Contact Name & Phone: �J 6A, , o,76 )
L
Subcontractors: Architect/Engineer: _
v:
Plumbing: _ Address:
/ Mechanical: T
V (attach copy of cur nt OR Contractor's License)
Phone:
JOB DESCRIPTION:
Applicant Signature & Phone number
Received by: Date Received: —
N 1WORMCOMOWRESAPP
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.� �eo�w,.w,,�.-•t.,,�.�.,�„�r.s�rriM ,... .:_. ... . ... _...•w ._.�......_ .»._. .::it ..a.��c�iiry::,.... _.
Permit# Account Description Amount
Amt. Pd. Bal. Due
�{g,f-f Bldg. Permit (BUILD) 4 &3 t
Plumb. Permit (PLUMB)
Mech. Permit (MECH) o'w y b - J-v Z
State Tax (TAX) 36,c/3 _ 3(� y 3
Bldg:
Plumb: V. L '
Mech:
Plan Check LANCK /0 13 / ��� (+13q,-k7
Bldg: SO 5 off.
Plumb:
Mech:
o0 cl Sewer Connection (SWUSA) ���''� _ _ v� uo
Sewer Inspection (SWINSP) 3,)-
Parks
)Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC) _ L b-V
Residential TIF (TIF-R) 0 / V3 0
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS) _
Office TIF (TIF-0) _
Water Quality (WQUAL) _
Water Quantity (WQUANT) _
Fire District (FIRE) _
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) _ ��►, o� c
Erosion Planck/COT (EROSN) U�,S'U
TOTALS:
J
1
q' • /
PLAN CHECK FEES LIST
PLAN CHECK # f '/J PERMIT # t� S616!� � DATE �(/ /
aTOBADDRESS TAX/MAP/LOT /O,:? n n
SUBDIVISION Q,-,d.yf �,��(. LOT #__�_LAND USE
VALUAL&TION Il! '7>"1_ SETBACKFRONTa&_RBAR1S_LEFT/O RIGHT Ste•
'WORK CLASS_AL!:t HF;IGHT 1 TOTAL AREA /�p LL.L
II38 TYPE _S f FL(,f)R LOAD __ 1ST /
CK*= TYPE_ HEAT TYPE GGS 2ND
OCCUP' GROUP _ DWELL/UNITS_ -m9 3z Y
OCCUP/LOAD # BED ROOMS 3 BASE248M_
# STORIES_ # BATHS_2 GAI2AIGE
PERMIT # DESCRIPTION AMOUNT AMOUNT PD BAL DOB
BUILD PERMIT FEES 4&3
3 y�3 G0
PIA14B PERMIT FEES 2z _ z ;
NECK PERMIT FEES q
STATE BUILD_ TAX(St) (,1
BUILDING_ v? 3 l
PI,LM ING
MECKIANICAL
PLAN CHECK
BUILDING
PLUMBING
MECHINICAL ff� ,3
SEWER CONNECTION
SEWER INSPECTION
STREW SYSTEM DEV ssV 1S30
• STORM DRAINAGE SYS J-
PARRS SYSTEM DEV �v`'
EROSION PERMIT 6-
EROSION
-EROSION PLAN USA
? ERSOION PLAN COTo
TOTAL S. z 3"U _.Sy
PlanddRec. _
City of Tigard _
13125 SW Hall Blvd.
Tioard. OR 97223 PLUMBING PERMIT APPLICATION
MECHANICAL PERMIT
APPLICATION MINIMUM$25.00 PERMIT FEE+ST. SURCHARGE
Ok- Fwnft ResidMoes Q!t
I Tanta 3A Mechanical Cuda QTY PRICE AMT
0 1 BATH HOUSE=140Ao 0 2 BATH HOUSE$195.00
1) Pemit Fee .p. .0- 10.00 0 3 BATH HOUSE$225.00
Fee N cksdcs all on big Iio*gu In ft dwe" and dw first 100 Leet
=1 3loPp ^d Perrrdt 3.00 of water servkxk su*my sower and storm sewer. Sea foes below.
CITY PRICE Alii f
11 boL dot's i vorrts 600 ��1' Sink 9 00
Lavatory
21 LUL doses it verras 7.50 Tub or Tubf9 ower Cart. .2 9.00 j/
Hour tvnvKm Shower Or* - 9.00 �
70 inaL wit 600 Wali Closet 3 9.00 Z'
JuMer.wall eeaw
4) or doer ororaetsdIesaw 6.00 DishwasNr / aw
an Gwbope Disposal 9110
51 aF+P`w parroit 3.00 Waelrig Maddm / 9.00
Floor Drab 9.00 6
4 oaeairq.ob"°141 nit 6.00 Waw Hasler. 9.00
or 61096 ar
Ia 3 IP rbeerp ureic b t00K BTU 6110 Laundry Roes Tay 9110
9.00
maw or ooulp.Immot pump.or tMktal r
: aA it!<fP abeap urrit b 6iD01C BTU 11.00Oliver Hisses(S 900
11104dr Or 40106"M PUMqk WCOn& 9m
w am w abaap ai 3.1 mi BTU 15.00 9.00
now or ooap6 pxrgk ar _ 900
110 Sim wdmmp unit 1-1.75 mi BTU 22-50
Waller r=ap. pAuNk or CMA Sewer 1st 1w mm
t n a►=W abaerrp snit 1.75 nrl BTU 3730 $err_em Adel. 1W 25.00
moanmqto ��CFM db 4M Wider Scrubs 1st 1wv
Water Servba wa.Add. 200r 25.00
In ICA=Gil/• 7'M Sbmr i Rain Drain lot 1w 30.00
64 wwpoaft 000lor 4 Slwrn i Rafe Drab AddL 1W 25110
Vbm an 300 � IAobls Hanra Spoon 25.00
1!1 b to 0101110 dust 5
li Be*Flow Proverdbn �
1q be:Mdd in I"""permit 4,50 Devioa or/H#T'bilion Dwioe 9.00
holod sw Any Trap or Wada Not 9.00
1n .,eviw„a 430 y,J U Cor+,ecled b a darrlrrre
ummumcial or Cabo Hods 1 9.00
9"Irecieata- 3&00 Insp. d Est Pkemhirg 40.wft
Inspections 40.Wft
1f) mossm now.&*m dryers,etc, off' 430 - -
Rain OrarL �tsrrriy dweli+p 30.00
34 am pk*v one b(our'Ad is 2110 Residential backlow preverdon
devices 15(00
21) Mena Own 41w oudet _
*tEXCeptrNiftaM bookfibw
prwentloe davicaq
1166stow Fee$25110 SUBTOTAL J
JJ *&S* um Fee S2S-60 SUBTOTAL
S%SURCHARGE �� J
PLAN REYIEV 25%OF SUBTOTAL (/ 3 5%> ARGUE Z
TOTAL PLAX REVIEW 25%OF SUBTOTAL
TOTAL
Special CanMo s
1
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7-1
. QONSI>LiMIC 0 'Is ���� MIC.
tamY7�o0 � W176 3�
KA%W"M OR 646-4M
i
I
*r 15.00'
4
1000
/l6b°�
a 100, — �,
s.00'
67.08'
a
20.00 &W. iom CT.
MONT — 20!
sm — 51
�
;s BRIDGEPORT LOT 3
6.137 S.F_
f1 A A
R TOT 04
9TT1_•7 4 f www •^1.71 r�-r
r _
C,I
T'Y OF T I CARD - RECE I P7 OF pAYME:NT RECEIPT NO. 195-262.746
CHECK AMOUNT s529:5. Ef:+
LAME s RIVERSIDE HOMES INC
CA51'i AMOUNT 0. 00
1(41)DRESS s 13455 NW GRErENBR I E"R PKWY PAYMENT BATE: s 03/10/95R
1.:�/1 0/`�s I
SUBDIVISION
SUITE 140 s f
BErAVERTON OR 47006-- �
r�
,IPURPOSE OF PAYMENT A140L.I1\11 PAID PURPOSE OF PAYMENTAMOUNT PF+it,
rt►r7�91 ��- 463- 00 Pt-UMB I NG PERM 225. 00
iI
MECHANICAL- PE 40. ;50 ST. E3U r L.fa PER �+. 4.3
111-100. 00 �I
F1LAN CHECK FIE --1:?,9. r"I'7 ��f:WF~R USA SWR4a5__'V1g1�31- �.`
ISE WER INSPECT -33. 01 !�ARKS SDC 5011. 0�i1
SEWER DRAIN 1~PC c�80. 00 RE S I DENT I AL. TRAFFIC F"ErG 1430. 00 �
°
11C
MASS TRANSIT TIF FEES 120. 1110 E`RO a I ON CONI OL PF=F1M l'TFE F �~(P. 80
IIE::Rn XON CONTRCIL- Pt-AN CV 20. so EROSION CON
RCit..
If
I SR I DGEPARK L.01 .?
I8g01 SW JOHN CT
ITI)TAL AMOUNT PAID - - -> C;li:95. 66
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I- 1 l Y Ilk ( 1 1 1 1 i l'I IJU,
L:1 It 1 I•. ►1011.If 1111
II`tFllYu�- I i �,�-I��, II)1 Inn'nf-, � tt'at,. Iia +II IltYtltt{r)I �
I 1-I!.,t1)1t'`r' I '. , .',, rJt.! + �I�I I rIl•t1;11 1'. f+t,t-I 4' I 't I,r-f1 ra l 111-I t l >: i ) ;r,1„ .,
III I s- 1.'1GI I!f31, I +1 f :i.11JfJ
I I If 1. rill I 111,1 4 , 1,w11.
{ I I'I.IIlI'r!'�i I!{ k'ii'rh11 iit {Ihll!II;�f( t'i•rI ); I,'I!F'I `I!';1 ftl I�11rI�U rII 1H`'1111111I 1�!{�11.I
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11 f I 1(11 . I-11'11 Il IrJ 1 F'11.t 1, > 1`'rk'I+i'I. 4141
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