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10318 SW RIVERWOOD LANE-1 ADDRESS: I i:\records\microflm\tart fit3tailding.doc -w CL W1 I F I CW CITY OF TIGA PERMIT #OCCUPANCY . . . . . . . : MIST94­0104 COMMUNITY DEVELOPMENT DEPARTMENT DAM ISSUED: 08/22/94 13125 SW Hall Blvd.Tigard,Oration 9722341199 (503)639.4171 PARCEL: 2S 114 BC -03500 i VC A D E)11 L.S G. . . 10310 SW RIVERWOOD LN ,USD'1'I VISI ON, . . . Wr VE RV T EW ESTATE!::, NO. '7- ZONING.-R-7 FID FkLOCK. . . . . . . . . LOI.. . . . . . . . . . . . . :07�21 OF WORK.. :WW I YPE" OF USE. . . ;9F OCCUPANCY GRP. :R3 ':)CCUPANCY LLAD:230 4 FENONT NAME. . . i H'emarks. POTIA I ("wrier: 1-14L CONSTRUCTION 110 SW FIR LP U 17' 1&0 I GARD OR 972 ..3 ' 'hune 4. !:Ontractor: ­­­.- - - -- ­­­-­------­--- ­­ - - ­ li(.- CMISTRuCTION 11,40 110 SW FIR LOOP 1101ART) OR 97223 f1hc,ne #t 624- 7714 #. . 1 53769 lcc.upancy of: the above -aferenced bi.i.ifiling is hereby given, And certifies he compliance with the State Of Oreunn Gpell.:ialty Codes for the group, i�r.,i.ipancy, aind use undev- which the rel'erptic,prJ permit was issupd. BUILDINC-3, INSPECICIP BUILVING OFF I L I AL POST* krNI (_C)N 0'F -110JOUS PLACE INSPECTION NOTICE City of TigaM Builds:-! Jepartsentq���. 13125 811 Ball Blvd_ Tigard, Oregon 97223 Inspection Lino (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspectionr__ CA�.__. _.:.��1__'..��____- Footing Plbg. Underalab Me^h. Rough-in Appr/Sdwlk Found. PI g. Top Out Cas Line "DAL Poet/Beam Struct. San. Sewer Framing -B 1:1 Poet/Beam Meeh. Rain Drain Insulation uab Plbg. Underfloor Water Line Gyp. Rd. -Mach. DAte Requested /J l z Z—' _Timet AN PM Address:,,1U .✓�� /Q ��y- � t� r�rslit �t ��Q Builder: & 02 TBE FOLLOWING CORRECTIONS AI" REQUIRED: Inspector: Y _ Dater � l-""PROVED DISAPPROVED APPROVEb SUBJECT TO ABOVE ��Call For Reinsp. �NSPE -ON NOTICE city of Tigard BulldLng Department 13125 SW Hail Blvd. Tigard, Oregon 97223 Inspeccion Line (Rec-G-Phone): 639-4175 BusineRs Phona: 639-4171 Inspectiont Footing Plbg. Underelab Mech. Rough-in cppr./5dwlk Found. Plbg. Top out Gas Tine FINALz Poet/Ream Struct. San. Sewer Framing -Bldg. Poet/Ream Mech. Rain Drain Insulation _Plumb. Plbq. Underfloor Nater Line Gyp. Bd. -Mach. �r> �' Date RequealedtI-, / 1f� Tit /) _Am ___PH Addrens: 16)—) �� J✓f'✓Cc�C�(l�•K J�! 1 Pernsit�t �/ Cl l L� y eulldert -.J ISI ) L. � (`G� ) `�/r THE FOLLOWING CORRECTIONS ARE REQUIREOt lcf,Zf=A'E � —oma— 7"44,667" f)T:�o �M�E Ina pe c t o r 1:T,r/7 ` ,� Datet 'y � APPROVED DISAPPROVEb - j-�APPROVED SUBJECT TO ABOVE Call For Relnsp. INSPECTION NOTICE City of Tigard Builaiog Depart:aaot 13125 Re Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Buninans Phone: 639--4171 Inspection: -- --- ---— ----- -- -- Footing Plbg. Underslab Mech. Rough-in Appr/adwlk P'nund. Plbg. Top Out Gas Line PINALt Post/Ream struct. San. Sewer Praming -Bldg. Foot/Beam Mech. Rain Drain r Insulation -Plumb. Plbg. Underfloor Water Line t�0y�pr Bd. -N�Oh. Date Requentec3:._ (4,' }G cTintet --X.—A14 PM Addroses U��O �i 1 ✓t i",U) C) f( ' Pefrsllt t < < t THE FOLLOWING CORRECTIONS ARS REQUIRED: Inspector ---- �. - - - '-- Date: -,/—I,PPRCMD i--- DISAPPROVRD - APPROVED SURJSCT TO AROVE _Call For Reinap. iNSPE(`TIO?% NOTICE s city of Tigard Building Department 13125 SN Ball Blvd. Tigard, Orcgon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_.. _ _._-- --- ---- Footing Plbg. Underslab Mech. Rough-in Appr/adwlk Found. Plbg. Top Out Gas Line FINALS Poet/Beam Struct. San. Sewer Framing -Bldg. 209L/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Mater Line/ /<Gyp. Bd. -pooh. f Date Requested: " l `/- �/ Times�jT AN pM Address: � 1 V Lf�C�yclps. it rf Q1 oy Builders. L j L �tT't S =SSC)D 1)f-!:4 ��_10cL THE FJLLONINO CORRECTIONS ARE REQUIRED: 'Do- -703 44 Inspectors Date- _APPROVED DISPROVED T APPROVED SUBJECT To ABOVE For Reinsp. e City of Tigard Building Departar±nt 13125 SIt1 Hall Blvd. Tigard, Oregon 97223 -inspection Line (Ree-O-Phone: 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underalab Mech. Rough—In Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL- Pont/Ream Struct. San. Sewer lreminq -Bldg. Post/Beam Mech. Rain Drain neulstion -Plumb. Plbg. Undert'l.x�r Nater Line Gyp. Bd. -Mer..h. Date /N aagve/etedt._- / _ / Tirm7ent T, AM --211 T^ Addresct / 0 _,31 R;(��t!`./ �,,�J�� C({ /^ Per�taL i-7J-1-1- O-1 o rl Builder: h. V� L /7L C'(/f�s T1111 FaLf NO CORRECTIONS ARE REQUIRSDt Inspector !APPROVED _4 0ISPPPROVRD APPROVED SUBJECT TO AB(MM —call For Reinsp. INSPECTION NOTICE - City of Tigard Building Departowit 13125 BA [tall Blvd. Tigard, Oregon 97213 Inspection Line (Pec-O-Phone)s 639-4175 Business Phone: 639-4171 Inspection Footing Plbg. Underslsb Mach. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Lina FINAL: Post/Ream Struct. San. Sewer Framing '_t4 -Bldg. Poet/Roam Meth. Rain Drain In�Wlatian -Plumb. Plbg. Underfloor Water Line 4yp. 8d. -Meeh. C Date Royuoeked: Timet AM PM Addrsaa: !I i5r __ ,✓C',"Lt.I�X-( LlL Permit tt �1 Rulldert�L)h n L �/�_ ����sh��� �� -2 2 Z THE POLI.ONINO CORRECTIONS ARE REQt1IRED: Inspector Data: ___APPROVED OtBAPPROVRD APPROVED gllsx:CT TO ABOVE _Call For Reinap. INSPECTION NOTICE �f"VV City of 'T Igard Buda:nq Department 13125 Sit Ball Blvd. Ti.g:.rd, Oregon 97223 Inspection Line (Rc,c-O-Phone)s 639-4175 Business Phone: 639-4171 Inspectlon:,__.____ -�- Footing Pibg. Underslab Neth. Rough-in, Appr/Sdwlk Found. Plbg. Top Out Oae Line FINAL: Poet/Beam struct. Sen. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain IneYlltiOn� -Plumb. Plbg. Underfloor Water Line Oyp. Bd. -Mech. Cil, \vQ}� o' Date Requested:- /Y '•e Tiimet5 '/AM _ AN Addresv: /o'�I / i V ✓ L�C.t Permit ft 97 D/o Builder:�7dl o [. // C C rn X15 �' tc�r� 7 7/ y THE FOLLOWINNG CORRECTIONS ARE REQUIRED. G!c-mac 2/'� �3 ►� acc� � �x 3ZZ _ G Of Inspector:_r Dates_ 3 -� Yv_APPROVED ✓ DISAPPROVED AP;IROVED BUBJECT TO ABOVE -Call For Reinsp. INSPECTION NOTICE P city of Tigard Building Department 13125 BW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: �-i -- -...-- Footing Plbg. Underslab �('�_,Mech. Appr/Sdwlk Found. Plbg. Top apt Gas Line qS��. FINAL: Poet/Beam struct. San. Sewar Framing --Bldg. Pont/Ream Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water LineOyp. Bd. -Mech. //// Date Requested: O - /- _q 7 n e-1 PM Address: 9! Vi°re Jo0 ^ v/" Pefmit f: C/ � 0 Builder:4i� I� L 1 J/L. ezo_% k 6 a Li` 2 7y THE FOLLOWING CORRECTIONS ARE REQDIREDI OVV-%A kLA6CA I ,r09 ZL Ic_ 2 a Inepector:�.__ /iii "7 Date- APPROVED V DISA�P/PRROVED _ APPROVED SUBJECT TO ABOVE Call For Reinep. INSPTCTION�iCi'i'ICL `+' 1 � 1 City of Tigard Building Depar joetst 13125 SW Ball Blvd. Tigard, Oregon 9722- Inspection Lina (Rec-O-Phone)t 639-4175 Business Ph no: 171 Inspections__ I P_ -J7�cc/cc Footing Plbg. Undorelab ( Mech. Rough-in ? Appr/Sdwlk Found. rg�___� a Line FINALs Post/Beam Struct. San. Sewer t�Pramin --Bldg. Poet/Baum Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line q / gyp. ad. -Mech. Date Requoutted:: J�-' - / L, TL=ot AM _PH Address: /W O �1 ✓�rC��.�C�� +'t'� Permit#1 9 el- Builder t /-Builders f, [ N L Co-nszrl- y THE FOLLOWING CORRECTIONS ARE REQUIREDs 41 r� Inspector _ Dat.,T APPROVED DiSAPP/RO APPROVED SUBJECT TO ABOVE /Call For Reinap. INSPECTION NOTICE / City of Tigard Building Departaw.nt,'/f` 13125 Sw Hall Blvd. Tiqard, Oregon 9'bz Inspection Line (Rec-O-Phone): 639-4175 Business Phdnqfs 639-4171 Inspection: r ,^ � •� - lll( s.•w �_r Footing Plbg. Undernlab Mech. Ro: ah-in Appr/Sdwlk Pound. Plbg. Top Out Gas Line PINAL: 86et/Beam f.:ru: San. Sewer ?raring -Bldg. Post/Beam-icOw Rein Drain 'nsulation -Plumb. lbg. Underfloor ) Water Line Gyp. Bd. -Hoch. Date__ - f 1 `C1 Ll _ Date Raquoated2s Q \ TimAewse—.-AM 1_AM PM Address: 3 v \�`V` f `h Permit #:C t1-1l'�' 1 0 Builder: ,n -/ L C7 1- BY Ay- • L�'d Lj- / `Z'LLA_ FOLLOWING CORRECTIMIS ARE REQUIRED: Zr� NEC Inopec Z/. Pe Data: '—.-- APPROVED DTSAPPROVED APPROVED SUR,TF.4"I M ABOVE -- Call Po,: Reinnp. - j INSPECTION NOTICE City of Tigan] Building Department 13.125 SW Ball Blvd.. Tigard. Oregon 97223 Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171 inspections — `T,Y All- --^— Footing Plbq. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL- Post/Beam Struct. Say. Sewer Framing -Bldg. Post/Ream Mech. (Raln Drain Insulation -Plumb. Plbg. Underfloor Wgter Lina Gyp. Bd. -Mach. Date Requested: (_f ' Y _Times t —( A,4 ` J Addreses LSP C���l� YlL l�`. \Q- Permit 1: VIA `111'c� Builder- THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector:_ _ �—, — Dates YAPPROVED DISAPPROVED APPk:,rED SU6.7FCf TO ABOVE J/� -----Call For Refnsp. FNSPfi�'TIO NOTZCP: city or Tiga,Lr- Building Department 13125 SM Ball SIVd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 9 71 1 Inspection: - Footing Plbg. Underslab Koch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam struct_ San. sewer Framing -Bldg. Post/Beare Mech. Rain Drain Insulation --Plumb. Plbg. Underfloor Nater Line Gyp. ed. -Meeh. Data Requestedr ) ?( —`Timer AM rK Address: < < �� \�V� Yu �l I Permit ftr�l Builderr TVZ FOLLOWING CORPECTIONS ARS REQUIRED: Inspectort w __ Dare: toyno _- DISAPPROVED APPROVED SUBJECT TO ABOVE ---Call For Reinsp. I 'I MPEQTI�ON NOTICE \ city of Tigard Building Department l! 13125 SW Hall. Blvd. Tigard, Oregon 97223 Inspection Line (Aec--O--P((hons): 639--44175 Business Phone: 639-4171 rnnpectioc:_ Doting Plbq. Onderelab Koch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gan Line FINAL: Post/Beam Struct. San. Bower Framing -Bldg. Post/Beam N^rh Rain Drain Insulation -Plumb. Plbg. Underfloor Mater/Line/ Gyp. ed. -Koch. G �G L r'ti.C" AK PM Date Requested:_ Address:1 LJ Builder: L f L- C.''(/3Z�2� TBR 1'OLLONIN3 OORRRCTIONS ARE RRQUIRSDr Inspectors _ Dater., _ -f1PPROVRD _ DIBAPPROVRD - — APPROVED SU"CT TO AROVE Cell For Relnep. CITY O F T I CARD PLUMBING PERMIT PERMIT #. . . . . . . . MSTIY!:--0104 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 03/28/94 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)839 4171 PARCEL: 2S114BC-03500 IL ADDRESS. 10318 SW H'I VLRWOOD LN SUBDIVISION. . . . : RIVERVIEW ESTATES NO. 2 ZONING: R-7 F-1) BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . :072 ------------------------------------------------------------------ CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1 TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :O OCCUPANCY GRP. . tR3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0 STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0 FIXTURES--------------- LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . 41 SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0 LAVATORIES. . . . . :5 OTHER FIXTURES. . . . . :0 TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0 WATER CLOSETS. . :3 WATER LINE (ft ) . . . . : 100 DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :1211 Remarks : PATH I OWNER: ----.---------------FEES-----__-_--_--. LHL ------------------FELS--------------- LHL CONSTRUCTION TIF $ 1520. 00 PLL 03/213/94 7110 SW FIR LP APRT $ 473. 00 PLL 03/28/94 SUITE 160 BPLC $ 307. 45 JLH 03/07/94 94-,--'4Q76--' TIGARD OR 97223 B5PC $ 23. 63 PLL 1213/28/94 [)hone SSDC $ 280. 00 PLL 03/28/94 PARK $ 500. 00 PLL 03/28/94 ractot lumbing MPRT $ 45. 00 PLL. 1013/28/94 MPLC $ 11. 25 PLL 03/28/94 Name : M5PC $ 2. 25 PLL 0.3/28/94 A d d r e s s AJ, F-, PPRT $ 162. 50 PLL 03/28/94 c i t _Stater PSJPC f 8. 13 PLL 1213/, 8/94 Z i P:. 98604a _Phone#- '204 -110 -q?73 REQUIRED INSPECTIONS This permit is iiisued subject to the reg- ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp Code, State of 0i-e. Specialty Codes and all Post/Beare Struct Water Line Ins[, other applicable laws. All work will be done Post/Seam Mechan Appr/Sdwlk Insp in accordance with Approved plans. This rilm/undslab Insp Mechanical Final permit will expire if work is not started PLM/Underfloor Plumb Final within 180 days of issuance, or if work is Mechanical Insp Building Final r,lt=,pended for more than 180 days. Plumb Top Out Erosion Control Framing Insp Crawl Drain Fireplace Insp Gas Line Insp Insulation Insp Gyp Board Insp Iluthorized 17-iumbinq Contractor Signature Call for inspection - 639 -4175 :.;ontractor Notes : CITY OFTIGARD MASTER PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . . MST94-0104 13125 SW Hall Blvd.Tigard,Oregon 97223*81 rAq?46?'1V" DATE ISSUED: 03/28/94 PARCEL: 2SI14BC-03500 SITE ADDRESS. . . : 10318 SW RIVERWOOD LN SUBDIVISION. . . . : RIVERVIEW ESTATES NO. 2 ZONING: R-7 PD BLOCK. . . . ,, . . . . . . LOT. . . . . . . . . . . . . :0 7 -1------------------------------------ BUILDING REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . CO st CLASS OF WORK. :NEW BEDRMSt4 BATHS:3 GARAGE. . . . . . . . . . :568 sf TYPE OF USE. . . :Sr FLOOR AREAS---------- REQUIRED SETBACKS- --------- TYPE OF CONST. :5N FIRST. . . . . 1074 sf LEFT. . .- 18 ft RIGHT. :6 ft OCCUPANCY GPP. :R3 SECONL). . . : 1211 sf FRONT :20 ft REAR. . :46 ft STORIES. . . . . . . :2 THIRD. . . . :0 sf REQUIRED------------------- HEIGHT. . . . . . . . :30 ft TOTAL- sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE:. . . . . $ : 115334 PARKING SPACES— ill Remarks: PATH I ----------------------------------- PLUMBING ----------------------------------- SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNT'RS. . -O LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :1211 TLIB/SHOWERS. . . . .3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . ol RAIN DRAIN (ft) . :O WASHING MACH. . . : l SF RAIN DRAINS. . : l --------- MECHANICAL --------------------------------- FEES FUEL TYPES------------- UNIT HTRS. . :@ type amount by date recpt /GAS/ VENTS . . . . . :0 TIF $ 1520. 00 PLL 03/28/94 MAX INPUT:O BTU VENT FANS. . :4 BPRT $ 473. 00 PLL 03/28/94 FURN ( 100K . . :@ HOODS. . . . . . . I BPLC $ 307. 45 jLH 03/07/94 94-24976.-1 TURN ) =100K . . sl WUODSTOVES. %O BSPC $ 23. 65 PLL 03/28/94 - FLOOR FURN. . . . :0 CLU DRYERS. : I SSDC $ 280. 00 PLL 03/28/94 - BOIL/CMP ( 3HP:O OTHER UNITS: 1 PARK $ 500. 00 PLL 03/28/94 GAS OUTLETS: l MPRT $ 45. 00 rLL 03/28/94 Owner-: t 11. 25 PLL 03/28/94 LHL CONSTRUCTION MEPC $ 2. 25 PLL @3/J!8/94 '7110 SW FIR LPI PPRT s 162. 50 P'LL 03/28/94 SUITE 160 P5PC $ 8. 13 PLL 03/28/94 TIGARD OR 97223 Phone #: Contractor,: LHL CONSTRUCTION INC 7110 SW FIR LOOP' TIGARD OR 97223 Phone #: 624-7714 Reg #. . : 53769 -------------- $ 3333. 23 TOTAL This permit is issued subject to the regulations contained in the -------- REQUIRED INSPECTIONS Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fit-eplace Insp applicable laws. All work will be done in accordance with approved Post/Beam Stir-Lict Gas Line Insp plans. This permit will expire if work is not started within 180 Post/Beam Meehan Insulation Insp days of issuance, or if work is rl su s' e for mo�e t an 188 ays. P'lin/iindslab Insp Gyp Board Insp PLM/Underfloor- FR.--Ain drain Insp Per-mittee Signati-tt-e Mechanical Insp Water- Line Insp Pll.imb Top Oi-tt Oppr/Sdwlk Insp T-,-o_tPd Sy : Framing Insp Mechanical Final Call for inspection - 639-4175 CITY OF T SEWER CONNECTION r->ERIhrT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . . SWR94-0101) 13125 SW Hall Blvd.Tigard,Oregon 97223.81"3( 03�16?M171 DATE T 5r_�UED: 03/28/9,4 PARCEL . 2S 1 14EIC--03500 SITE ADDRESS. . . : 1031B SW RIVE RWOOD LN SUBDIVISIUN. . . . : RIVERVIE"W ESTATE NO. 2 ZONING: R---I PID BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . :072. TENANT NAME. . . . . : USA NO. . . . . . . . . . : FIXTURE UNITS. . . : CLASS OF* WORK. . . -.NEW DWELL_1 NG UN 1 TS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 1 !'ViTALL TYPE. . . . :L;USWR I MPERV SURFACE. . : : S f !,Pmair,ks; : PATH I Owner,: ------------------_----.._----------------------------.---- FEES L._HL_. CONSTRUCTION type amor-rnt by date r-ecpt 7110 SW FIR LP PRMT $ 2200. 00 PLL 03/28/94 - SUITE 160 1N '>F' $ 3 ;. 00 F'i_L 03/28/94 - TiGARD OR 97223 E'ttone #: Cont r,act or: .___..__---__.__.____.___-----••-..___..____. CONTRACTOR NOT ON F-ILE Pl-ianP #: $ 2235. 00 TOTAL - - REOU I REI) INSPECTIONS -------- This Applicant agrees to comply with all the rules and regulations Inspection of the 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 t,ot 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 Sewe.•" permit and ta f eral. I lei,rnitLee Signr-atr_tt-e : ---- _---- — - - s d E3 Call for- inspection - 639-4175 Residential Building Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: C ,�.�1 L� c'Y u���r /1 Office Use Only Subdivision: Yojt0JtraC Lot # 7 J_ U 4 - PianckiRec# Valuation: - Permit# Owner: L F} L, ,-,,i,2l-kC i>L'►'-% __ Reissue of Address: 1 MO V.: i h LC�c `f` Map & TL# , r< Approvals Required Phone: Planning Contractor: C,r-►bti Engineering Address: _ Other Item_s Required Phone: Subcontractors Contractor's License # (attach copy of current Oregon license) Truss Details Subcontractors: Other Plumbing: W\,y��i jp �q 1 u\x Mechanical: C139 4 CI (attach dopy of current OR Contractor's Lice e) Architect/Engineer: / c I Address: Phone: COMMENTS: Appli ant Signature & Pho a number Received by: 42` Date Received. ?�� 7 Permit # Account Description Amount Amt. Pd. Bal. Due /rjsf o Bldg. Permit (BUILD) 3, 3 Plumb. Permit (PLUMB) �U _ 6 Z �,Z Mech. Permit (MECH) State Tax (TAX) 3 .O} 3 •U 3 Bldg: 2 3 - Plumb: Mech: Plan Cheri: (PLANCK) '/ Bldg: u 4 � Plumb: Mech: // 'Z S r 0/02 Sewer Connection (SWUSA) �c�U_ vz�ev Sewer Inspection (SWINSP) 3 s� _ Parks Dev Charge (PKSDC) Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Ouatity (WOUAL) Water Ckjantity (WOUANT) Fire District (FIRE) T c.TALS: NO. :94- 05060)5 CI I y OF, Tl OAF% I P I Pol I'll'Al 1 r4"F,I':f. j('.,1 (111011141 r 'J31.61 a 3 40111 fi: 1:011 011011M 1 0.00 IDDRESSI)PIV, n 03/ii?8/94 T.Q I TI.0 14 ..'um.,ow oi, c.,Aymm r AMOUNT PAID PURPONE OF I::'AYI'IFbIl (lillIUM PATI) ............ il-".",:i,ii�i.',"i.,"*iil; ",i�' �..-.*i�' � 16R.511a 9.4 0 1. LCHOWYCAL PF 45. WO PF:P, 34.03 ",LFIN CHECK FT: 'III S-4:'WF-M W-44 5:iWIS14—MM ROWWWO 3LWFF; THSH111, 0 Cil?I. 500. 00 SIORM DRAIN SDC' I . Hp) I{f,.";l 1,1 FN I I )i I., 'I I<0 F f- I.I:, I--1 1: S t 4 1.ta. 60 UVM MANSIT TIF VHS 00 lil-Mi w i'! VYF.RWOIJI) I.ONk 4v I j GARD NO. o94 -249 AMOUN'l 2.5111. OIZA CWHIH AMOUNT 0. 00 AM F.()NSTRI,JG'T .(171u PAYMPN'T DATE T, 13 FsOlif)I v Is T nN HVI(.lLIN r PP E 0 11AR1•"Wil-, III I-III),011-S41 (WIl JHN T 1,44 (1) . . ....... .01 12 HTVV-..RVlF.W 2 V. RW RIVFRWOCID IN 'OTAL AMOUNT PAID j 250. 014)