9540 SW RIVERWOOD LANE 9540 SW RIVERWOOD LANE
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INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
igard,Oregon 97223
/ Phone: 639-4171
Type of Inspection
Date Requested. �"' ✓ Time A.M. P.M.
Address �i U L� / -�i3t l/�LG+4, Permit #
Owner_. Lot #
Builder 4"r
The follow! Building Code �eiencies are required to be corrected:
Presented to _ Approved
Inspector '� _ nn
'� ? lJ Disapproved
Date �'
CALL FOR REINSPECTION 1
❑ yes ,tel NO
r -
f
E INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St.
'r Tigard,Oregon 97223
Phone: 639-4171
r
Type of Inspection .___ �'J •- _
Date Requested �._ _ '�- _. me X A.M. _
!j Address �-� /G� � -_'L✓P_i) �� ,� Permit #-�;; 5
Owner
� _ -._-.—. _ Lot •#_
Builder
The following Building Code deficiencies arc required to be corrected:
.I
P.esented to Approved
Inspector [_] Disapproved
Date
CALL FOR REINSPECTION
lSPECTION
❑ YES l� NO
INSPECTION NOTICE
City of Tigard Building Department
12420 S.W. Main St. i
Tigard,Oregon 97223
hone: 639-4171,
Type of Inspection ---,—r- __._
Date Requested Time A.M. P.M.
Address � �! �_(1� ( C/ Permit #�� J__ I
Lot # _ �--
Builder -- -- ---_- — ;
The fo'lowing Building Code deficiencies are required to be corrected:
_ I
Presented to — f ��-- Approved
Inspector _ .,cL — ❑ Disapproved
Date
CALL FOR REINSPECTION
YES /6 NO
,.
14 NOW' .k"'
BUILDING PERMIT APPLICATION TIGARD DATEMAY--L— 1985 5358
rHE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FUR THE WORK HEREIN INDICATED BUILDER PHONE 6,92- 1.5
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
,���'
LOT NO.
04VNER JA)L I 1 t:I _JOB ADDRESS 4 U Ski kjyyrVgW I.al __-
__—_—.—_- ..._Lttprrar Greek III
ARCHITECT
ENGINEER
BUILDER SaW ADDF'--SS V..0. Box 23291 DESIGNER
STRUCTURE _ C.XNEW - L i REMODEL ❑ ADDITION ❑ REPAIR ❑ 9ENEWAL _❑ FIRE DAMAGE ❑ DEMOLITION
13 RESIDENCE ❑ COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLABL) FENCE
OCCUPANCY ___A"•3 LANDUSEZONE '"7F' BLDG.TYPE _.5NFIRE ZONE_- PLAN CHECI:BY i�CR HEAT ad_.__.
Construct gknr,le fwafly dwell Ing w/attached gurabe.
4 Bedroom
3 BaLbroaui
SEWERPERMIT# _ 28415 Garage 431_
OCC.LOAD FLOOR LOAD 4U HEIGHT : 16 NO.STORIES 2 AREA 18.10 NO.BEDROOMS + VALUE 62,,UUU.
BUILDING DEPARTMENT SET BACKS FRONT �2p REAR )7 LEFT SIDE 9 RIGHT SIDE 5
Permit 379.00 THIS PFRMIT 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 THE
Plan Check 246..35 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICA131_F CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 625.35 __ RESTRICTIVE COVENANTS. C014TRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax 15. 16
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING-
SDC— ... %S ;i, y
Total 640.5 1
By
GL PDC#jI1SG.UU APPLICANTORAGC#IT
_
BcIt Recelpt No. r~ ! 1
Approved ,(v f aDDREBS -- - - PHONE
DATE INSP.I T PE INSPECTION REMARKS PLUMBING DATE
i /
r Z / -` _--- - - - Contractor �/� -
_ -�- --- Permit No. _ /LZ! � --
6
6^ Z- - - Rough-in
Fixture
���✓w � ` ,� � final .-.- � --
r�e HEATING
/Xy n a Cortractol e
Permit Na
A6I J(l�• /Q
Gal or oil -
Rough-in
final
SEWER
-- -- -- ------- -----.-----____--__---- Final -----.—._
-- -- - ------._._.._,----- --_ �- DRIVEWAY
-- - _�__.-� __- ------ Final '-
Storm Uralnuge ^- -�--
(tiain Drain)Final
- Sidewalk
Curh&Street Final
Approach
BLDG.DEPT.FINAL TEMPORARY i1 CERTIFICATE OCCUPANCY Final
f[17TIrICArE OCCUPANCY
Landscaping
Zoning Final
BUILDING PERMIT APPLICATION TIGARD DATF-
THE UNDERSIGNED HEREBY APPLIES FOR A pER�AIT FOR THE-WORK HEREIN INDICATED BUILDS-F'mONE (1'727-3401*
OR AS SHOWN AND APPROVED IN THE ACCOtfPANYING PLANS AND PECIFICATIONS. OWNER PHONE
Lor NO. IA2--
O JNER _ J09 ADDRESS �' D 1' u�/(�
-- -- ARCHITECT
� ENG.NEER
_BUILDER nV.` V ADDRESS C� PJk 2-?1LG3 DESIGNER _
STRUCTURE j] NEW _❑ REMOOEL ❑ ADDITION ❑ REPAIR O RENEWAL FIRE OAMAGE 0 OEfAOLIT+C
RESit]EN-C--E-❑ COMM ❑ EDUCATIONAL C1GOV'T 0 RELIGIOUS (:1PATIO C) CARPORT ❑ GARAGE CI STORAGE Q SUB❑ FEW]
0,:i--iPANCY fy LANDUSEZONE _ _. BLOG.TYPE FIRE ZONE-- CHECK BY ,�,;_}• NFJ1T -_
SEWER PERMIT If
OCC:LOAD FLOOR LOAD HEIGHTNO.ST ORIES AREA NO.BEDROOMS VALUc'-�•T.
BUILDING DEPARTMENT` SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
PQrtnit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONA.
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED TX T T 1
rLnChsck WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COIAPLIAIO(
WITH ALL APPLICABLE CODES AND ORDINANCES.. THE ISSUANCE OF THIS PERMIT DOES NOT WA(
IrSuh-lotal RESTRICTIVE COVENANTS.CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSItr'r
UCENSF-SEPARATE PERMITS REQUIRED FOR SEWER,PLUtAQING AND HEATING.
StatA Tax —
SDC—
Total APPUCANT OR AGENT
By
Approved t
�, f�eca�ipl No. AOONESS _�~ P1tONE -�._
SQC -
PDC - � —
SEWER CONNECTION S
SEWER INSPECTION $
SEWER SURCHARGE S
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Building Permit No.
Lc,.at.ion
Date
Cert i f icatjon of Registration
With the Builders Board
J LI doing business as (dba) , �
Z i /M P: - N SQL am registered under the provisions
of OR CS hapter 701 Oregon Nomebuilders Law) .
My Builders Board Registration Nuinber is 3o l�
My registration is in full force and effect and expires on7 _
i
II
i
BUILDING RECEI:P1
C' DA FE:
NAME: -----
ACCT, # DESCRIPTION AMOUNT
10•-4.32 Building Permit Fees $ �
1.0-.-431.-600 Plumbing Permit. Fees $
10-431--601 Mechanical Permit Fees $
10--230-501 State Building Tax
10-433 Plans Check Fee --
30--443 Sewer Connection (20X) $
30-2.02 Sewer Connection (80X) $
30-444 Sewer Inspection $ �" "
51-448 Street System Dev. Charge (SDC) $ C�
52-449-610 Parks I Sy-tem Dev. Charge (PDC) $ _
52-449-620 Parks II System Dev. Charge (PDC) $
31--450 Storm Drainage System Dev. Chrg (SSDC) $
10-230--505 TRFD (95X) $ ---��
10-478 TRFD (5X) $
10-270-506 Washington County Fire #1 (95X) $
10--478 Washington County Fire #1 (5X) $
10-220 Amart/Wedgewood $
TOTAL $ -- eL
I
(bs/1214P)