9860 SW RIVERWOOD LANE 9860 SW RIVERWOOD LAN]:',
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BUILDING DEPARTMENT, TIGARD N9
�1> FLLIN18ING PERMIT •
'Z• holder of a valid plumbing contractors license is hereby
authorized to cause plumbing w as herein non-d to be installed in accordance with the plumbing code of
Tigard. Such installations requit' inspection by the City Inspector who shall be notified not less than four
(4) hours prior to the time the installations are ready for inspection. City of Tigard Business License required
for all cont ac.11ors and subcontractors.
Owner._ K`7ZrC'1' �Add res
s_.r�� '_ iY, JL/_2, ?'4't r ` ' e �y c+
NUMBER OF TOTAL. PF.RiMt,r NO.'S
TYPE OF PERMIT ITEMS FEE ON EACH AMOUNT (Office Use Only)
Singly Family-1 bath-each _ 2500
Duplex-Each 1 bath unit 25.00. _.
Additional bathrooms-each — _1000
Mobile Home Space-ee--h - 16 0C
INOIVIOUAL FIX_TURE_PEFS
1 to 50 Fixtures in 1 building, each 9.00
51 to 100 Fixtures in ' building-each _2.50
101 to 200 Fixtures iin_I ht Iding-each _ 2.00_��_ —
201 or more Fixtures in 1 building-each 1.50
MISCELLANEOUS
Building Sewer-1st 50 ft. 10.00
Sewer-each additional 100 ft. 10.00_
Water Service to building _ 5.00 1
Private Water Systems-each 100 It. 10.00
Other ISo_ ecify):
PERMIT For Plumbing Inspection Phone 639.4171
_3%State Plumbing Contractnr By
TOTAL RECEIPT NO. Issued By
:r
BUILDING PERMIT APPLICATION TIGARD DATE 4/311/ ,ts_- 37? C
THE UNDERSiGNED HFREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE
LOT N0.1 u L_t:
OWNER Stan Torrence JOBADDRESS 96bt3 SU Rivorwoud !_ane
ARCHITECT
ENGINEER
BUILDER -�.rner ADDRESS 4320 541541 Garden Hume E DESIGNER Owner
STRUCTURE f-1 NEW ❑ REMODEL 0 ADDITION C] REPAIR 0 RENEWAL U FIRE DAMAGE 0 DEMOLITION
5C HKSIDENCE 0 COMM CJ EDUCATIONAL C.; GOVT r`l RELIGIOUS Cl PATIO 0 CARPORT ` GARAGE 0 STORAGE 0 SLAs0 FENCE
OCCUPANCY 27-3— LAND USE ZONE —f—M) BLDG.TYPE 5-N _ FIRE ZONE `"'_PLAN CHECK BY du h_HEAT
Conz:strurt single family dwollin w attached ( ai_ra"e. 2 86droome 2 bathes
hif,LC7ION SH El- ATTA�Kj. ,
SEWERPERMITN
OCC.LOAD FLOOR LOAD 40 HEIGHT NO.STORIES AREA )223 NO.BEDROUMS VALUE677a::l'"''l,
BUILDING DEPARTMENT —l-
-__—_ SETBACKS FRONT "i REAR �? LEFT SIDE RIGHT SIDE
Permit _ Si43,UC! -__ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IV THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check ).2l•`�i WOP:, WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Sub-total 364*5U _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURNENT CITY BUSINESS
R LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
State tax i ' r 7 2
_ SDC— ;64C1!?.CIU __...�._ .r.._...,�_. .. __��.. _.4•
Total ,cr.��� f ..i.,•- : j c ..
__ PDC# T. I �.r� .D� AP-Au ANT GR A ENT
By Pi — ReceiptNo i' �.M1y61,�'C�f�V '�['/�i �1�• _"� � �, .. .»�7�
Approved dtih ADDRESS — PHONE
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DATE INSP. TYPE INSPECTION REMARKS PLU ING DATE
�� /t COntroct� G_
1:,rmitNo. ,_2 6 9 , —
Rough-in
-- Fixture q(
t HEATING
—— r-- - Contractor & Q6-11"
— ----- Permit No. ,Z d �, ( 'r S 44/ Jf��
Gas or Oil TTT
Rough-in
Final
-- ---- SEWER
Final s'-a 9
— DRIVEWAY
—_----- Final
_ Storm Drainage
-- _- (Rain Drain)Final
_ Sidnweik
— `— Curb&Street Final
Approach
'—BLDG. DEPT.FIIIAL TEMPORARY CERTIFICATE OCCINCY Final
CERTIFICATEOCCUPANCY 1p. 7-9-1 (U�\'CJ
I / Landscaping
Zoning Final
1
BUILDING PERMIT APPLICATION TIG>^,RD DATE�IA__��el 3V
THE UNDERSIGNED HERED'(APPLIES FOP A PERMIT FOR TFIE WORK HEREIN INDICATED BUILDER PHONEZ"YL4:CW0
OR AS SHOWN AND APPROVED IN THF ACCOMPA^IYING PLANS AND SPECIFICATIONS, OwN,_-.1-;PHONE, � _
T � � _ A
LOT`4C3. - 1' *�L-
O.-4NER O�VI 10 J�RADDRESS Q R�ua�-k,�OrLG� Me___
__ __ -_ z
//�� ,�,-- ��--__`` ARCHITECT
BUILDER ViyV,ar _ ACIDRESS'#;.�� s� ����f/�+�c K^.DESIGNER -Q�y�a!`
STRUCTURE _ NEW--_❑ REMODEL �. ❑ ADDITION ❑ REPAIR ❑ RENEWAL _❑ FIRE UAMAGE ❑ DEMOLiT10N
It RESIDENCr U COMM 0 EDUCATIONAL ❑ GOWT ❑ RELIGIOUS G PATIO ❑ CAR PORT ❑ GARAGE ❑ S•r0 E ❑ SLAB❑ FENCE
OCCUPANCY�`J.LAND USE ZONE LDG.TYPE ��FIRE ZONE-=PLAN CHECK 8Y HEAT
; � — i F,%,-s I V -rte
J Sem��IL�� ��__.�� !!�• ____.___._ - x
SEWER PERMIT N
OCC.LOAD FLOOR LOAD Iy HEIGHT _ N0.STORIES A AREA 2ZR 3 NO.BM-iOOMS VALUE77.jf"
_ BUILDING DEPARTMENT SETBACKS FRONT 2C► REAR f2 LEFT SIDE RIGHTSIDE
1 nrmit THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,Z0tl:N3
REGULATIONS AND ALL APPLICABLE CODES At'D ORDINANCES, AND IT IS HERESY AGREED THAT THE
ianChaCk ���� WORK WILL BE DONE. I!! ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPUANCF
�• WITH ALL APPUCALILE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVe
�trta,ai RESTRICTIVE C .)VENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE SEPARATE PERMITS AEOUIRED FOR SEWER,PLUMBING ANC HEATING.
i State T ax 72
-f�—-
SDC—
Total
DC—Total
PDC)) APPLICANT OR AGENT
try _
!� Receipt No.
Approved T ADDRESS PHONE
POC �- a .1 — # ooh
1 EWER CONNECTION
SEWER INSPECTION _
SEWER SURCHARCE s ��,,_ ,,,�✓_
02-1-1�-NLV OL ft LL--
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94 7
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