10135 SW RIVERWOOD LANE 10135 SW RIVERWOOD LANE
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CITY OF T167A RDCITY*0-�FT#16, BL)3:1 DlNG' PERMI'T
1�-OMMUNITY DEVELOPMENT rJEPARTMFNTORFO,004 PO4IM11' NO. B1.1980460
13125 S.W.Hall Blvd,.P.O.Box 23397,Tigard,Oirgon 97223.(503)639-4175
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jD8 AI)DpESS : 1OI.S.5 SW ATVr-.:RWOOD LN
TAX
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X MAP/1-113T F-2G1.1-AF-40 500 SUP : PICDY
KS I-ANNG Pl--I:I. 60 BK
A N 0 L 19 E R-41 . 5
1-OT SIZE.;' : VAI.J.JA'1J(.)N: s f.,? ,-,i SF-I'HACKS
FRON'T : 14V:A V-4
WORK CLASS : AL.Al'PA 11 J:ON DWEL.L . UNrr s
TYPE : SINGI-L V'AM1[..Y NO . 1311:;:DAOOMS : 1:;.X 1' .WAI I.- CONGI
CONST . TYPE : VN NO. PA T+IS : N . S : I�-, : W .
0 C C I.JIP r.."A P Pr.4(.)'Y* .OPENING'S :
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2ND: APF.:A SEPAP7 RATF113 :
BAe5EMIZ:NT'? SRD: OCCUP . SEPAR- 7
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1:1-0011 LXMD: AO G APAGE: Fi IRF i5PPIO-1:11? Al-A 1:11M
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0 (-.-A.ty 1:11- 970A,5 PRIEPA10 $64 . 03>
R PHONE. (503) 656-7232
NO . 51.31-4 (11,AL: 111111103.A"A
This permit is issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations
P"E "Y. N
and all other applicable codes and ordinances, and It is hereby .... 3
agreed that the work will be done in accordance with the plans and I:1E-:QUTI.-4r%D T.NSPEX-T T DNS
specifications and In compliance with all applicabic codes and 1`:'O0T1 NG
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city IS L A B
business tax permits This permit will expire and become MLIII and 1:44AM I NG
void it wxl,�s not started within 180 days,or if work 19 suspender'or T NSI JI-A'T 1.ON
abandoned for a period of 180 days any time after work has ClYP - BOARD
commenced. It shall be the responsibility of the permittee to assure F'INAL.
all required inspec s are requested q a proved
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requested
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Permitlee Signal e
Issued By.
S rE PARATE PERMITS REQUIRED FOW WORK OTHERITHAN DeSCRIM ABOVE
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CITYOF TIGAIM PLAN CHECK APPLICATION
r_ CnYOFi1G'gRD�( PLAN CHECK # 2 -a':%i /L
COMMUNrrY DEV ELOPMEI r DEPARTMENT oQEooe
'a125SWNWBlvd P.O.Bw—M97,TIp.W.0.ivm97M;uoo)03"176 � PERMIT # g; o
DATE ISSUED
.JCR ADDRESS: ��/ j� /�(V } TAX NAP/LOT
SUB: �',crr'S LAti��..� � T` LOT: _ LAND USE: _
VALUATION; %�, p p SETBACKS; 7RONT; _ REAR: LEFT: RIGHT:
WORK CLASS: HEIGHT: _ TOTAL AREA:
USE TYPE: FLOOR LOAD: 1ST:
CONSTR TYPE: HEAT TYPE: _ 2ND:
OCCU? GROUP: DWELL/UNITE.: _ 3RD: _
OCCUP LOAD: NO BEDROOMS:. BASEMENT:
NO STORIES: NO BATHS: GARAGE:
IMP SURFACE: -' -
APPROVALS RFQ'D SPECT!L NOTES ITEMS kggUTF;.ED
PLANNING*, REISSUE OF LIST SUBC00MACTORS:
ENGINEERING: - LAST REISSUE: � BUS TAX:
FIRE DEPT.: _ FLOOD P.L%IN/ CALCULATIONS:
OTHER: _ SEN LND.: TRUSS DETAILS:
PARKINC, FLAN:
LANDSCAIE PIAN:
PLAN CHECK BY: OTHIP
COMMENTS L
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ACCT DESCRIPTION y[+,MOCNT
OWNER 1.0-432 00 Building Permit Fees 3
1IAME w 'Vir, ` IJ9447 10--431 00 Plumbing Permit Fees _
ADDRESS: l s�._, 10-•431 01 Mechanical Petmit Fees �� r
10-230 01 State Building Tax (5x)
,-7/C,. l,e' 10-433 00 Plans Check Fee
PIRONE; , j�S" 30-443 00 Sewer Connection (20%) $
30--202 00 Sewer Connection (80x)
CONTRACTOR 30-444 00 Sewer Inspection $
Ni ME: ,_S j_a- .51.--448 00 Street System Dev. Charge (SDC) _
AI)DRESS: 1 31 )ci 5 =�uz ti ru Pn '-52-449 01 Parks I System Dev. Charge (PDC)
L/7--1 ; L -;,k.4s 52-449 02 Parke II System Dev. Charge (PDC)
31••450 0 0 Storm Drainage Syst Dev Chrg(SSDC)
HONE: 10-270 09 TRFD (95X)
10--435 00 TRFD (5X)
ARCH/ENGINEER 10-230 06 Washington County Fire 11 (95X)
TAME' , ,, 10--435 00 Washington County Fire #1 (5%)
AlaDRESS:— 10-220 00 Amart/Wedgewood
TOTAL /
PitCNE: _ �
PREPAID
-'7 REC 1O_ 217 g 1 t
RAI.,ANCE DUE �_� _ r
ADPL CA S CNA RE
Received By:� L-GL.Z. Date FccM,ved: e.�
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BUILDING PERMIT APPLICATION TIGARD DATE A054
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FORTH E WORK I-IERE!N INDICATED BUILDER PHONT;
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT --
OWNER Jky M'illc't', JOBADDRESS iD1.35 SVI P.iyPrwoo(' XVNnL<. Lart in ( f
ARCHITECT
NGINEER
BUILDER °irlTRr ADDRESS P.O. S3QX 23791 `rive t'' ESIGNER 11I','V 'j —r.AP('I,AY
SATRUCTURE EYNEW _Ll REMODEL 11 ADDITION ❑ REPAIR ❑ RENEWAL [I FIRE DAMAGE 11 DEMOLITION
'iIESim-NCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY 2-3 -LAND USE".ONE —fl—TL' BLDG. TYPE 5L _FIRE ZONE------PLAN CHECK BY _ ' �� HEAT+ 11141
--Con tmot citrcrle far: ily r3wPilinn w/F.Ittarhed c3rRm7e, 3 1'odroor s 3
_..��-- --- c•r.r:, T«fir,, .0.). IW'! c t'rrrf' ?\e'TArf1 D,
SEWERPERMITIY aftr —
OCC.LOAD _FLOOR LOAD _a f' HEIGHT "1 N0.STORIES � ? AREA 19 21 NO.BEDROOMS 3 VALUE$6 4,7 0 0,
BUILDINGDEPARTMENt A SETBACKS FRONT REAR r+F LEFT SIDE RIGHT SIDE
Permit d�32THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT 'HE
Plan Check 21.3 !WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND -JRD!NANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub total 54 1• RESTRICTIVE COVENAN�S. CONTRACTOR AND SUB CONTRACTCAS TO HAVE CURRENT CITY BUSINESS
: LICENSE.SEPARATE PERMITS REQUIPLO FOR SEWER,PLUMBING AND HEATING.
State Tax `' .� • x.
Total �, 4 .`' SDC— g 4 0 0
�.
PDCM Ll $100.i APPLIQA OR A6tiNt
By
Approved c3>w}, Receipt No. '%'.'i ADDRESS _ - - PHONE
a,
DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE
� - -- _---- __-- Contractor - -- —
` Permit No. 3b yb',6D y/Z-SZ
Rough-in �_•c__
Fixture _ - '-
/ _ Final
HEATING
Permit No.
Gee or Oil
Rough-in
-� - Final
—^_ SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
BLDG. DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY —
CERTIFICATE OCCUPNNCY Final
Landwaping
Zoning Final
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BUILDING PERMIT APPLICATION coy T {�ARD OATE.��.G •�.� 19�.� `-'#03
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED EfUILDERPHON 6� 6 OS"
liR S SHOWN AND APPFO ED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OVINEF'PI,'ort." _
r' LOT NO.
iIIP„�-•�4i O3 ADORF55�1 3
ARCHITECT
AODRE-f, RQk Q 714
4 ENGINEER {/�/0
STRLICTLIRF_ f�1 V Q:1F".I0DEL ❑ADDITION c,• c GE
1_.E-. —_ --_ —._----- - ❑-IREP.�II1�M1 RE^, I--AttL ❑FIFI_ oA'nA_,;rr ❑(-)_%10LIT1.
RESIDE"IC.F_ ❑COrr,r.1 ❑EDUCATIONAL nGOV'T []RELIGIQV5 C7PATIO LU LAR PORT L_1GARAGE ❑STORAGE EISLAB `]FEN
�CLC L'Par.::r-R:-3-__-!.AND USE ZONEIRIMOLOG, TYPE-3-10—FIRE ZONE PLAN CHECK BY HEA i��,�
-T�---
5e P
SEWER PERMTT
9 � F�Q9a 1.SI4�.-:.L� I iCLHT__. __ NO.SLQR.!ES z__-nRNA���J NQ_BEDF+OOAIS Vt LQ& /'vV
5DEPARi,tiIENT SETBACKS FRONT REAR $ LEFT SIDE �— R!GHTSIDE
THIS PERMIT IS ISSUED SU6.IFCT TOTHF REGULATIONS CONTAINED IN THE BUILDING CODE, ZON,
I 'r:a_ ^P�iC I „20 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBr AGREED THAT T
60AK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIAACr Y:;
5.a fo[dl 1i ✓ 120 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE. OF THIS PERMIT DOES NOTA
- (- RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINF.
IC'
dl2 Tax LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
PQ IC
'APPLICANT OR AGENT
Apprii.pli Receipt No
nnnRFSS, "---------
s0c - fou
Poc -
SEUER CONNECTION $ 77j
5EWER INSPECTION
SEWER SURCHARGE:
CorTimprits
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044
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10 La
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/l�amko�v- . .2/ 7/4
x 4 x s`'# 14
.20 ac 7
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30
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90 ? -2q,�/o 3 00°9
55; i#µ
C� :civ )c oho
& 41 /u4
6i3t
C�-, of Tui) a v,d NO.
Nmv Installation Hr-place Pelockitiull Addition DATE
HEATING /4&_ -
CON MAG U 70 OWNEH
nLL) ;11111 ADDIII e�c
ADDRESS r
PI C)Ni' 4,va
Heat input Hating(UW per Hour)
FUEL OIL Ll GAS &;A'1LLL(;'- LJ MOE"
N ITU: ITEM NO. FEE
tar tssiaanre of Perinit 'E BELOW L-uch
-Air Hoodlim Unit or Duct Svst 7.S0
C"oln1wittial Hood '*Vstern
7.50
Nov -t o to incl. 100.000 BTU
1()0,000 R UT's A q,Ecuipment - Eich 4.50
over . -0—-1---.---..--.-.---1---.--.---.-______
011y
11 Stove
(if) w ;c,)n(ji tion (..ompvr.,�sor ur)to P, Ind.3 I-I.P. 6.00
1(yor-
)I ("millm,5"or 11.00
4,50 to 15.II.P.ind.
Moil L 6 00
-21
Cl'rYBUSINE'.')SLIC EN-_,' tlE0.UM[_t) tyy m..i_ ccarHACTORS OR Sk)B-CONTHACTORS
__ _ _ f,
_,
"TME
Issued BY_,