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InitiallyGood t� ADDRESS: (ti H N .J GJ C' LL1 J I: records\microtlm\targels\building.doc. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: A.M. ``� P.M.!_, MST: Location: h� _UJ 03A0(- BLIP: Tenant:- _v Suite: _131dg: _ _ MEC: Contractor: _ Phone: PLM: L7— o) (homer: [/? L– Phone: `6 _ 2z?�"1_ ELC: - - ''-� QCh ELR: _ - _ STI': BUILDING BLDG(con'() ��LUM MECHANICAL ELECTRICAL SITE Site Post/l3cam Post/13cam Post/l3eam Cover/Service Sc%%,!r/Storm Footing Roof 1lndF1/Slab Rough-In Ceiling Water Line Slab Framing Top out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Ilood/t)uct Reconnect Vault 13smt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Thain A/C UG Slab Shear/Shcath Fire Spklr/Alm Crawl/Pound Ih Ifeat Pmnp Low Voll _ Approved rove Approved Approved =Approved I Appr/Sdwlk Not Approved vcd Not Approved Not Approved FINAL C�A� FINAL FINAL yr �L) -J C1 Call for rein ti 13 Reinspection f-ec of S rcuumcd bef re next inspection n Unable to inspect Page Inspector. Dale:— — _ --of— RD Atz") PLUMPING PERMIT PERMIT #. . . . . ��.77��. : PLM97-0157 DATE ISSUED: 5/05/97 PARCEL: 2911 4BB--20400 SITE ADDRESS— : 16463 SW 103RD AVE SUBDIVIS70N. . . . RIVERVIEW FSTATES NO. 2 ZONING: R-7 PD BLOCK. . . . LOT. . . . . . . . . . . . . :048 JURISDICTION: TTG CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES, : 0 TYPE OF USF. . . . :SF WASHING MACH. . . . . . : L71 BACKFLOW PREVNTRS. . : I OCCUPANCY GRP. . : R3 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . , . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES------------- LAUNDRY TPAYS. . . . . : 0 SF RAIN DRAIN'S. . . . . : 171 SINKS. . . . . . . . . : 0 URI"AL5. . . . . . . . . . . : 0 GREASE TRAPS. . — . : NO LAVATORIES. . . . : 0 OTHER FIXTURES. . . . - 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHFRS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Install residential backflDw prevention device Owner: FEES --------.---__—_ SUZAN BROWN type amount by date recpt 16463 SW 103RD PRMT $ 15. 00 TSD 0-5/05/97 97-294105 TIGARD OR 97223 5PCT $ 0. 79 JSD 05/03/97 97—i:-,.94105 Phone #: 684-2821 Contract OWNER Phone Q 19. 75 TOTAL Req #. . : 139999 REDUIRED INSPECTIONS This permit is issued subject to the regulations contained in the RP/Backflow Prev Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable lasts. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ---------- 1 ,r�rmittee Signa Call for inspection 639-4175 ,TY OF TIGARf3 Plumbing Application Recd By 3175 SW HALL BLVD. rc•-,mercial and Residential OateRec'd 0S2S S 'GARD, OR 97223 Date to P E. 503) 639-4171 Date to DST�_ Permits L.sef' 97-OI s7 Print or Type Related SWR s Incomplete or illegible applications will not be acceptad Called OTC Name of Developmenuproteci Icy4�Tl FIX,URE3;(lndlvidwl) h sink rl1�+t 1,'sa T t 6l..�r _ill Job ry ✓p-C e, i 5 "c r— 9.00 Address Street Address Stute Lavatory 9.00 Tub of Tub/Shower ComU. 9.00 Bldg 0 /State ZIp Shower Only 9 ,00 Water Closet A.00 Name _ _ Si.ti 2 Cit^ 1,�j('"U L✓u D+shwaaher 9.00 Owner Marling Address1 � Suite Garbage Disposal -- 9.00 , i (- L t--) I (22 F Waarwrg Marfilne9.00 i Coy/Slate zip Phone Floor Drain _ 1 �C r,/LC ct7jN �•c � i z� _ �_ 9.00 Nafrts i 3- 9.0i S cl rr.jL, 4' 9.00 Occupant Ma"Address Suite )Nater Heater --- 900 Laundry Room Tray ---- 9.00 I qty/stare Zlp Phone Unna) —� —_"i — 9,00 Name Other Fixti"s(Sp) 9.00 9.00 Contractor Mailing Address Suite ,-- 9.00 (Prior to issuarr)o City/state zip one 4.00 applicant rtnnt -- g 00 provide all Oregon Const. Cont.Board Luc.! Exp.Date 9.00 contractors 9.00 Ivirls r ortmatkn ptumbinp t.lc.! Exp,Date Sewer-tst 1 00 -- Sower-each additional 10(y 25.00 for COT COT Business Tax or'hetro I Exp.Date database). Waw Service-1st 100' 30.00 Name Water Service-each additional 200' 25.00 Architect 'ylf Stone 6 Rin Drain-1st 100- --� 30.00 or ►NAng Address Suite Stam&Ran Drain-each additional 100* 25.00 Mobde Home Space 25.00 Engineer GtyrState Zip Phone Conrnernal Back Flow Prevention Device or—Anti- 25.00 Pollution Device Casrnbe work New Addition O Alteration O Repair O Residential Badtftow Prevention Device. -- 15.00 •o be done: Residential O Non resdentla! O Aadrtronal desanptkxt of work — Any, Trap or Waste Not Corrected to a Fixture g 00 — Catch Basin 9.00 Insp.of Existing Plumbing 740 00 "xisting use of / f Specially Requested Inspections 40.00 -wilding or property--LrS I �01. T1 rt- i. _ per/hr Rain Dram,single family dwelling 30.00 proposed use of Grease Traps 9 L0 urlding or properly_ QUANTITY TOTAL w =ve you capping, moving or replacing any fixtures? Yes❑ NOS 130 On or riser dograrr,is maimed(f Ouandy Twat is >9 J 'If yes see back of form) `SUBTOTAL 'hereby acknowledge that I have read this application,that the information 7rven is cores.that I am the owner or authorized agent of the owner.and 5%S JRCHARGE ,.tat clans submdted are in compliance with Oregon State Lios. 7 Signa of Owner/Ag"t Dow PLAN REVIEW 25%OF SUBTOTAL QeCureA mh r'brttis !ut1�l ro>'9 r / cry t .'� r �.k��y S1 S f.9 7 TOTAL .onaci pemoh Nanw Photw Cr 'Minimum permit fie is S25-5%surcharge.except Residential Backflow Prevention Device.wt idn is 415*5%surcharge Pphnapp.doc 11,96 (dst) SE COMPLETE AS APPROPRIATE TO PROJECT: Fixtures to be capped, moved or replaced Sink Lavatory 'Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain 2" 4r$ Water Heater Laundry (Room Tray Urinal Other Fixtures (Spec&,!) 'OMMENTS REGARDING ABOVE: L\plmapp.doc 12/96 (dst) PEMT CITY OF TIGARD PERMITI##. ELC?G10Ql78 Ct,,MMUNITY DEVELOPMENT DEPARTMENT TATE ISSUED: 02/06/96 13125 SW Hall Blvd.TigLrd,Oregon 97223.8199 (503)839.4171 1='AR1:EL.: c:S! 14DE-2040r11 TE (aIiDRESS. . . : 19463 SW 1.0- AVF 3UBUIVISION. . . . : RIVERVIEW ESTATES NO. ZONING: R--7 PD 3L.0CK. . . . . . . . . . . LOT. . . . . . . . . . . . . :04B �`'ro.ject I>escription: Installing first branch circuit ---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS-___ --_.---MISCELLANEOUS- iOOO SF CSR LESS. . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/lRF.lGfaTION. . . . : EACH ADD' L 500SF. . . : 10 201 - 400 aimp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 900 amp. . . . . . . : 0 :GNAL/PANEL.. . . . . . . : ii�, "11ANF. HM/ SVC/FDR. . : 0 601•+amps-11 00 volas,. : 0 MINOR LABEL ( 10) . . . : 0 HRANC;I C I f2Cl l'I TS- - - -- ADD' I_ i NSIDECT I ONS - i� - 200 amp. . . . . . : 0 W/SERVICE Ofc FEEDER: 0 PER INSPECTION. . . . . : C x:01 - 4010 amp. . . . . . : 0 1 st W/O SRVC OR FDP. : 1 PER HOUR. . . . . . . . . . . : u 01 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 :N PLAN-f. . . . . . . . . . . .. o 01 -- 100@ amp. . . . . : 0 _______..__. _.__._._.._._._F'LAiJ REV IrW SECT ICIN ------ 1000+ - -.1000+ amp/volt. . . . . .. 0 > -4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . : Reconnect nnly. . . . . : 0 SVC/FDR > = 025 AMP'S. . : CLASS AREA/SPEC OCC. : Jwner: _____________.___._._ ..__....__________ F r:ES rLFF BROWN type amount by date rec--pt 16463 SW 103RD f."RMT $ 35. 00 B 02/06/96 96-1::7567: 5PCT $ 1. 75 l? OL/06/`36 96-27567L TIGARD OR 97223 -'hone #: _'ontrac:tor. )ANDER STOOP ELECTRIC; $ 39. 75 TOTAL 23765 THIRD .iT WJE - _---- REQU I f;E F) INSPECTIONS - IAURORA OR 97002 Ceiling Cover Elect' l Service 'hone #: Wall Cover E1ect' I Final 'ley #. This perait is issued subject to the regulation- contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Per'Mlt.tee SfynatUre 3ppiicable laws. All work will be done in accordance with approved plans. This perait will expire if work is not started oitnin 180 says of issuance, or if work is suspended for sore _, ti� _ V� �L- than i80 days. I s sed Py ._....-... ..........____. _. _.__._.__._._.._.______.... ..DWNE R INSTALLATION "he installation is toeing made on property I own which is not intended for .,ale, lease, or- 'sent. N JWNER' G 5IGNAIUR : DATE=: INSTNA_ATION ,.L,.,idiATLJRE OF SUPR. ELCC:' N: ov_ ( Q�./ ad _ DATE: f `. .ICENSE: NO: Call for inspection 639--4175 I11 11t Iki I;1 11. 111 it lyll HI Ifl I .I. I P I rilt 1, Hmoljoll 1-114(1Ul"ll 1. 11. III Wit, 4 y INO m I Yht IF r 11"I It 1.,11 111 1 1Wv 141 IAI IIA I I I III I I t 1,11 111 11111 1 I'll I I I lit CkII 'III III PH 1 110 I . 1 1 111 o 11 Ii 1 96 -0078 - Uofo'i !.iw IO-i) (-Ivf-- it (-0111IN1 PA 11) Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hai. ivd. , Tigard, OR 97223 Permit # 1%%tz Date Issued (4? Phone (503) 639-4171 CITY OF TIGAaD FAX (503) 684-7297 TDD No. (503) 684-2772 Inspection (503) 639-4175 _ 1. Jcb Address: ". Complete Fee Scheduie Below: Name of Development U�c✓L'�t/ _ Number of Inspections per permit allowed AddresS_L� �/ ��f_} r� __ Service included Items Cost(ea) Sum City/State/Zip / f1r�t !- <f 4a. Residential -per unit 1000 sq. ft. or less $1 In oc ^ Name (or name of business) _ Each additional 500 sq ft or $25.00 _ portion thereof --- Commercial U Residential Limited Energy $25.00 -- Each ManurHome or Modular Dwelling Service or Feeder $68.00 7 2a. Contractor installation only: 4b. Services or Feeders Installation,alteration,or relocation Electrical Contractor t/�yd r'./ fn en [� 200 amps or less $60.00 z Address Z 3 ) ; f4 f i 57- N 201 amps to 400 amps $8000 /► ��)r Q State �`I / 401 amps to 600 amps $120.00 city A_ a pq� - 601 amps to 1000 amps $180.00 L Phone No, "Z,3 N-OSDI7 - --_ over 1000 amps or volts $340.00 2 Job NO. Reconnect only $50.00 _ 2 _ --� contractor's license NO. Z 3 4c. Temporary Services or Feeders Contractor's Board Reg. No.t39 1417 Installation,alteration,or relocation Signature of Supr. Elec'n 2.00 amps or less , License No.-2 7 2—S one PhNo-72,0 -741`75- 201 amps to 40r)amps $50.00 �( 401 amps to 600 amps $75.00 z Over 600 amps to 1000 volts $100.00 2b. For owner installations: see„b„above. 4d. Branch Circuits Print Owner's Name New,alteration or extension per pane Address a)The fee for branch circuits with -- purchase or service or feeder leo. 2 City State_ Zip Each branch circuit $500 Phone No. _ b)rhe fee for branch circuits witnouf The installation is being made un property I own which is purchase of service or feeder feeFirs . not intended for sale, lease or rent. Each branchh addadditionalonal �. $3500$ S,c C acal branch circuli r $ 500 Owner's Signature 4e. Miscellaneous (Service or feeder not included) ' 3. Flan Review section (if required): Each pump or Irrigation circle $4000 --- Each sign or outline lighting $4000 Signal clrcud(s)or a limited energy Please check appropriate item and anter fee in section 5B. panel,alteration or extension $4000 4 or more residential units in one structure Minor Labels(10) S10000 _ Sr,,v ce and feeder 225 amps or more 4f. Each additional Inspection over Sys',em over 60U volts nominal _Classified area or structure containing special occupancy the allowable In any of the above as described in N.E C Chapter 5 Per Inspection $5500 Per hour $55 00 In Plant $5500 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: 5a. Enter total of above fees $ 3 .r,Y' NOTICE 5% Surcharge (.05 X total fees) PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 160 DAYS, OR IF 5b. Enter 25% of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review If required (Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ _ COMMENCED. =omaw+= Trust Account N M m Nx+ Balance Due $ BUILDING PERMIT �I1Y OF TIGARD DATEIIT)SUED: • 02/02/960 4�,:,..,.. COMMUNITY DEVELOPMENT DEPARTMENT PARCEL : 2S 1 1.4BB--; 0<+00 :3125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 VIS ..3UBDIION. . . . . RIVERVIEW ,' �^ (' ESTATES N0, c: ZOIti I NG t R-7 PD ;LOCI.. . . . . . . . . . . LOT. . . . . . . . . . . . . :040 !RCISSUE: FLGOR EXTERIOR WALL CONSTRUCTION I .ASS OF WORTS. :RE<P FIRST. . . . : 0 sf N: S: E: W: 1'FE OF USC. . . :WF Sf COPED. . . : 12) sf PP'OTEC1' TYPE OF CONST. :SN 0 sf N: S: E: W: =URANCY GRF,. ;R3' 0 s f ROOT' CONST: FIRE RET": UC~UPANCY LOAD: 0 BASEMENT. : L71 sf AREA SEF'. RATED. _;TOR. : HT: 0 ft GARAGE. . . : 0 s f OCCU SEE='. RATED". :IGMT": ME"ZZ?: REDD REQUIRED- FLOOR, LOAD. . . . : 0 p s f LEFT: 0 ft RGHT: 0 Ft F'I R SPK!_: 50101 DET. DWELLING UNITS: 0 FRNT: 0 ft REAR: lel ft FIR ALRM: HNDICP ACC: i1EURih1— 0 laATbiS: 0 IMP SURFACE: �T PIRO CORR: PnRK:ZNG: 0 )ALOE. $ : 4500 Remarks . fire damage repair, reb.(ild file place chase, interior, inst.rlation etc Uwrrer. : _,._.._. ._.__.... ...___..__._._..._..._._._.._._ . .._....__._... .__.__._.._._____..___ _._____.__._._._.__.. FEES __...___._..---...___.... ._ .. JEFF BROWN type amount by date r^ecpt ' r,463 SW 103RD PRMT $ 50. 5k) J130 0 :/02/56 PLCK $ 32. 83 DON 01/31/96 I CARD OR 97223 5F'CT It 2. 52 JCP 02/0Z/96 96-2756 J— l''hone #: Contractor ;ENNEDY CONSTRUCTION 315 BE 7TH AVE 'ORTLAND OR 97214 hone #t Z:34 -0501 85. 8G TOTAL Reg #. . 003402 REQUIRED I NSFIECT I ONS __...--- ...... This permit is issued subject to the regulations contained in the Footing Insp ?igard Mur+..;al Code, Wte of Ore. Specialty Codes and all other 1-o.(ridat i un I r,s p applicable Taos. All work will be done in accordance with Me0hanic_at1 Insp approved plans. This permit will expire if work is not startod F t-am i n g Insp within 180 days of issuance, or if work is suspended for more Gas Line Insp hon 180 days. Insulation Insp Gyp 0(Ja1-(J InypFinal Inspection i1 :,er-mittee Sigf� 4- 35—.`.._....._.. Gull for- inspection - 6:39--417:r J CITY OF TIGAIND BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone). 639-4175 Business Phone: 639-4171 Inspection: Fooling 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 Dra':i Framing -Plumb. Alarm Water L roc Insulation -Mech. Underflr. Insul, Shear Wall GyP_ -Elect. Dale Requested: v? - 3 J S� _ Time M PM� Address: y j ` � hBuilder: i13te 9,6 -c c) THE FOLL WING C,ORFl CTIONS ARE REC�JIRED: /-�•� — n_ F-- tn ---- Qn t J Inspector: Qate;�!/=�� ,, - P mUVT7b DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE / Inspection Line (Nec-O-Phone): 639-4175 Business Phone:639-4171 Inspection: ( L- 0r-1 Footing Susc Ceiling Sprin . Rough•in App c�'v�lk Founc ition Plby. Underslab �ech--------------ough-in Fireplace Post/Beam Struct. Plbg, Top Out E1—ec. ougn-in FINAL: Post!Beam Mech. San, Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain flanni Plumb. Alarm Water Line Insulation �/24 -Mech. Undertlr. Insul. Shear Wall / Gyp. Bd. /•Elect. Date Requested: /��" r Time. AM PM Address: Builder:_ Permit #: �—OC) 3 THE FOLLOWING CORRECTIONS ARE. REQUIRED: Inspector:__ _ _ _ _ Date: Z L kfK,P'P'ROVED -,DISAPPROVED ,APPROVED SUBJECT TO ABOV `Call For Reinsp. CITY OF TIGARD BUILDING IN4ECTIOM NOTICE Inspection'Lin e (Rec-O-Phone: 639-4175 Busiw, Phone: 639-4171 ' Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Founda ion Plba. Underslab Mech. Ro_ighhin Fireplace Post/BeLm Struct. Plbg. Top Out 'Aough in FINAL: Post/Bear i Mech. San. Sewer Gas Line �n -Bldg. Plbg. Undarfloor Rain Drain Framing (OZ { -Plumb. Alarm Water Line Insulation e,4ti_�-Mecn. 'nderflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested/: _ Time: AM _ PM Address'. ! !� (E' 3 T 1/ ,dey� Permit #: U THE FOLLOWING CORRECTIONS ARE REQUIRED: &-zr`l oc)`.53 IYLA- Iris actor:.! �j— PPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE Call For Reinsp. /� Y (J It, t.J" l,it'll P 04 1 II o,:1 I.."I oy I..1 0*1 1 to it 1.11' , I t-W-11 ll JI'l 1 4 j I 41 `,F• ( I I I W)i., I If i f I'll 1.1 1 t)f I I F 4 1.,1. 1 i, HINII) (11t !-it Mt I Q 1 3 14 1 1 1; 1 1 1'1 11 I1 un __j cn 0 tjJ __j I it It Illllit 1 11 It it 114 1 1 City of Tigard Residential Building Permit Application i 13125 SW Hall Blvd. Tigard, OR 9722.3 (503) 639-4171 Jobsito Address: /1 Ll_ 3 Subdivision: f Lot# ��r Office Use ok.iy �i c'e� �Nwi res f<< 's � Contact Date / Z /t'!(- _Initials Valuation: `� �� Result New Construction Only: (Square Footage) Planck/Rec it_ 1) Permit #-2h r ELI House: garage: Reissue of Corner Lot? N Flag Lot? { N Zo P& TL# " f f J 5— A Owner. <_ TA 0 i cl i-t IV Plat # ,_r( Approvals Required Address: / L-�/6 3 S�t— /� 3 _ Planning Setbacks -- Solar Engineering _ PhoneOther : ( ) — —�-- -- Contractor: _L r. Vgzg41,1 CoVf-tr rItems Required♦ Subcontractors Address: _3/_ S 7-'' 7Jve — Truss [retails _ cl .� Other_ Notes Contractor's License # '— (attach copy of current Oregon license) Contact Name: Contact Phone: Lau 3 ) "_3 Subcontractors: Architect/Engineer: Plumbing: Address: Mechanical: &,:t)A.- Pe&t. ,=r (attach copy of current OR Con rentor s License) Phone: ( ) N JOB DESCRIPTION: Elrs 4',fc03/n, ' l AAfcQ - 1 Applicant Sip ature Applicant Phone numter Date Received: Received by: L Permit x Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) Ste„ -Sa ,)-z" Plumb. Permit (PLUMB) Meeh. Permit (MECH) State Tax Bldg: --sem-._ � � 12d j_- Plumb: Mech. Plan Check (PLANCK) Bldg: 324 3 Plumb: Mach: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charges (PKSOC) Residential TIF MF-R) Mass Transit TIF MIF-MT) Commercial TIF MF-C) Industrial TiF (TIF Institutional -11F (TIF-IS) Office TIF (TIF-0; _ Water Quality (WQUAL) Ln Water Quantity (WQUANT) -+ Fire Life Safety (FLS) r� Erosion Cntrl Permit (ERPRMT) rasion Planck!USA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: i ' Go.v-t�Q�tor �'c,,,.►.e�fy Co�s��v�'�►o,✓ Sob- Se-�'f (�roit��v 3IsS,5 7t- AVe &,V63 SW /o3ra- • O/'E 772?N T�arA OtcJoA, 97ZL4 flepoit div Ar-ra /ore cc,A-,sC, Re- vest L�xist�� t{rko- Gas Farr p/nG� CL rx of tl,��c�c��rtic�c•, '� FOR pi�.. i (\(oo K -7x ►DX9 j � v / Z I�"ir•►INc; ROOM 1� i-TCHE rJ FA\M s' 14 x 10 x I Svc, I x13 x � ( IS�x ►o� x � HAL►- 3` x 2lxq f3AT ►+ LI�J iTJC-� ROOM 3TAi2g LAuNoray � x5�x9 3(0,r ►?x ►q AVC) x !o K 13 x 12 x I C) A V -4 �c 5 �� ENTRY o��'set IlxloAM G ARMC-IE Z7-3 x Z 1 x ICS tA J rr G] t7 ti. f wall,fl4sh►'�S + - 3-r�;6 Ga..►� �. 'lzff GU1( ply W404 !" f • "1�� ;�x/z, Rf/If, Twist ` Gellr,vd J�c1S"r Zx/2 R#ml7s1 2x� TSP f'Mtc� 2Xrt 726i"PArres N �oNa ci _ 7/v W.1-rer Ifyi.0 Cafkt" 's ZX6 .S-rA" s r Z&f I l tell _�in?la�rk owt ZK6 �'innnw� I "r0l' 7rr�p►A c< t/w'tfNQ l.xs rec -FIrC plgcc sirs o•v It Gurb _ — _ I4-�r��p/��c Plw-l{�r�►t ..--- GX/.S"t/.v� fi Yw�jC�lyN ''2ll •rOyvP 1l'!/P N_.�.J Slee Uic w • rrt pin�c G�i�lxc f.1/dl Comi ple-fele l?e 6v,%t w• th ZxG TI'AY►ll�vg Ci had Clr✓Arn ,.Gil' TG �»t eco' -F/r�p/�c� ,�yS'f� l/af��v COr�CS Paksc fr omilv'I will de rooloce. cis /VecCj nrcl T`o �IQ�meLo'Cr>� CL Ckeir-recC rn.n� ��,�� Thil Tc Itis/r.C/e Z X v S+`�o(S rx Ln `lX /d Aeorfer• - 7- 7000 fol.Ycs J f] Chase w;/l 40.10 /V-' 111 ZAP 13-ot New S fd r.v6 w111 4?e 4 C-1) 4 ex .T L t,� h e is e S l A/' ��.a /l xYSa/.cf/e ,• will u3e ReulAf:c p.v �xfer►or Wal( o�v • s r ti� -Pper 0. 41 v4lue \ (r ol 11 \PJ wJ � \ CO t `\ r` , \ Af .n J G] t v `4.Al 1 R;atvJ�tto iG y&-3 S w io -° CITY CSF TUGARD COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE c,cC u�ANor lv�Y 13125 SW Hall Blvd.Tlaard,Oropon 07223.8189 (503)839,4171 PEFiM I hF. . . . . . . . M5T94 639-•4171 DATE_ ISSUED: 04/27/95 PARCEL : 2S 11400 -c.040ITl 31TE ADDRESS. . . : 1646.3 5W 103RD AVE 3U1_SDIVISION. . . . : RIVERVIEW ESTATES NO. ZONTNGtR-7 PD 3LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :048 C"-ASS OF WORK. :NEW fYG'E OF USE. . . :Sr." OCCUPANCY GRP. :R3 C1GLUPANCY t_.UAIi:230 4 I'ENANT NAME. . . Remarkao Owners MTN SHADOW ENT6'RPR I SE INC 7C*5 SE HANNEMAN CT 13LADSTONE OR 970c"_'7 Phone #: 656-0096 Contractor: _.______.._....._._ .___._.....___.._,_._.._.._..._.___._..._ 14TN. SHADOW ENITEPPRI,r- S, INC 17245 SE HANNEMAN CT. I LADSTONE OR 9701:27 phone #: 656-0096 Rey ,#. . : 45428 'kc,upranuy of the above referenced GI_lildiny- is hereby given, atnd ,tifies the compliance with the State Of Oregon Specialty Codes far- �e1 Ir,oUPI occupancy, and use Under which the referenc_eci permi� was i �5l_ d. 1 TLDIN6� 5 ,ECTOR BUI 6 MJF F IC IAL i P-01T , IN CON'3RIf.;► OUG pl-ofF L ' CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-417 inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/S k Foundation Pibg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line Plbg. Underfloor Rain Drain Framing - Iumb. Alarm Water Line Insulation "lVech Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: 31, J (l�� l ime: AM PM Address: / q6, 3 kl�-. Builder: Permit #: %y - �� 75— THE ]-THE FOLLOWING CORRECTIONS ARE REOIJIRED: 00,� In M- 1kor, Date: PPROVE D ISAPPROVED PROVED SUBJECT TO ABOVE or Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-41 Inspection,: _ Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-inA :��_� Post/Beam Mach. San. Sewer Gas Line - Id Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr, Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: �' Time: AM �PM Address: �� Builder: Pe mit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: V) --.- - - LLl J Inspector: Date:If L—Af15_ROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. CITY OF TIGARD PLUMBING PERMIT. . . . . PERMIT #. , MSI-94--0`%'�; DATE ISSUED: 07/21/94 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 07223.6199 (503)639-4171 PARCEL: 251 1 4bL!--i 'lZ;)400- SITE ADDRESS. . . : 16463 SW 103RD AVE_ SUBDIVISION. . . . : RIVERVIEW ESTATES NO. 2 ZONING: R-•7 PD BLOCK. . . . . . . . . . , LOT. . . . . . . . . . . . . :048 CLASS OF WO RE/.. . :NEW GARBAGE DISPOSALS. . : 1 TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : 1 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0 S'TG(tIES. . . . . . . . : WATER HEATERS. . . . , . : 1 CATCH BASINS. . . . . . . :0 F.IX'TURES----___._._._....__._......_ LAUNDRY TRAYS, . . . . . :0 SF RAIN DRAINS. . . . . : 1 SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0 LAVATORIES. . . . . :4 OTHER FIXTURES. . . . . :0 TUB/SHOWERS. . . . : SEWER LINA: (ft ) . . . . :0 WATER CLOSE TS. . :3 WATER L'.NE ( ft ) . . . . : 10111 DISHWASHE:RS. . . . : 1 RAIN DRAIN (ft ) . . . . :0 Remark-, : PATH I IYITIV SHADOW ENTERPRISE INC TI.F $ 1520. 00 JG 07/2) /94 - 17245 SE HANNEMAN CT BPRT $ 458. 00 JG 07/21/94 BPLC $ 50. 00 JF 06/20/94 94 t:;l_ADSTONE OR 97027 B5PC $ 22. 90 JG 07/21/94 - I-hone #: 656-0096 SSDC $ 280. 00 JG 07/21/94 - PARK $ 500. 00 JG 07/21/94 Plumbing Contractor•:___-_._...__._...._......_..__..-.-•- MPR'T $ 45. 00 JG 07/:=1/94 MPLC 11. 25 JG 07/21/94 _ Name: Y2_-_ .1 y.__��, __ m5pC $ 2. 25 JG 07/21/94 Address : d0 r _ PPR7 $ 155. 00 JG 07/21J94 - City: C(44'0A - 1 _ 5tate :_C1 v P5F'C $ 7. 75 JG 07/21/94 Zip: ' T Phone#: 7- 7y EROS $ 64. 00 JG 07/21/94 - Reg #:��.. _.._ .. Additional fees, not shown herr. . . . . . . . . ------- REQUIRED I NSPECT I ONS This permit is is,.iued subject to the reg uiations contained in the Tigard Municipal Foot/found Insp Rain drain Insp Code, State of Or-e. Specialty Codes and all, Post/Beam Struct Water Line Insp other applicable laws. All work will be done Post/Beam Mechan Appr/Sdwlk Insp in accordance with approved plans. Chis Plmiunds ) ab Insp Mechanical Final permit will expire if work is not started FILM/Underfloor Plumb Final within 180 days of issuance, or if work is Mechanical Insp Building Final su!!pended for more than 180 days. Plumb Top 0,_1t Erosion Control Framing Insp Crawl Drain Fireplace Insp Gas Line Insp 1, Insulation Insp x %� _ 1_� � Gyp Board Insp Authorized Plumbing Contr rtor Signature 10 Call for- inspection - 639-4175 Contractor Notes : CITY OF T I GARD CERTTL OCCUPIFICAUV ANCY COMMUNITY DEVELOPMENT DEPARTMtNT PERMIT #. . . . . . . : MST94--0i27!- 13125 SW H,%ll Blvd.Tlgmrd,Oregon 97223*8,109 (501)639-4171 DATE ISSUED: 04/27/95 PARCEL: `--S1141BB-20400 ITE ADDRESS. . . : 16463 SW 103RD AVE 'JUDIVISION. . . . ; RIVERVIEW ESTATES NO. 2 ZONINGsR-7 Pri OCK. . . . . . . . . . : LOT. . . . . . . . . . . . . s048 CLASS OF WORE;. :NEW 'TYPE OF USE. . . :SF OCCUPANCY GRP. :R3 OCCUPANCY L.C)AD:230 4 TENANT NAME. . . : Ppmarks : PATH I Owners MTN 51-IADOW ENTERPRISE INC 17245 GE HANNEMAN CT OLADL33TONE OR 9701.1-:,7 Phonp #: 656-0096 Contracturc MTN. SHADOW UNTERPRISES, INC 17e45 SE HANNEMAN CT. CILADSTONE OR 970,'.,7 Phone *- 656-0096 Rey #. . .- 45428 This Certificate certifies that the above referenced building of- pa-tiun hereof has bean inspected for compliance with 1%he Tigard Building Code w the group and division of occ-l..tpancy And use for which the above t-ferenced permit wAs issued, avid OCCIApancy is hot-eby gran,t ed. SUILE)llqt' IN5,PF-CTOR L D ING 1OFF C I At.. POST IN CONSPICUOUS PL.ACE —_ fINSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: — Footing Plbg. Underslab Hach. Rough-ink' w Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam !loch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line // f Gyp. Bd. -Mech. Date Requested: 0 3 U 1 / Time: ___AN PH Address: C� Per-:it #: Builder: ,1 — Z 2---:7 THE FOLLOWING CORRECTIONS ARE REQUIRED: DZA 7-6 sr Ar _ �-l. M�4S7r oR- -- I ALL �4�D_Fate L/P OX- --- . Inspector:_ L - ----------_---_Data: --- -- "PROVED nTSAPPROVED r— APPROVED SUBJECT TO ABOVE Call For Reinsp. NS ECPION NOTICE City of Tigard Bulld.iag DePartment 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 63 71 Inspection: _ -- Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. P1b9. Underfloor Water Line 0ayp. Bd.) -Hoch. hnto Requested:._ Z -"-I Time: � AH 7PH n7 trees: �0L1�a 5 I OBJ Permit h nui.Ider: TPM FOLL(KIINO CORRECTIONS ARE REQUIRED: L/ F- J ra — C7 J Inspector: _ _____ Date:_ APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE Call For Reinap. INSPECT ON NOTICE City al Tigard Building Department 13125 Sw Ball Blvd,. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-41' Inspection- Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbq. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Hoch. Rain Drain l Insulation' -Plumb. Pl.hq. Underfloor Water Line Gyp. Rd. -Hoch. ti Date Requested: L Time: AM PM Address:_ /(�' � Ze) 3 .41C Permit Builder: �V 2 -7— —--- —-- THE FOLLOWING OORRACTIONS ARE REQUIRED: e. Owl- IeZ Inspectors Dat �s DISAPPROVED APPROVED SUBJECT TO __ —Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 9W Hall Blvd. Tigard, Orogon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection• Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: `oat/Beam Str.0 San. Sewer Framing --Bldg. oat Beam Mach.-� /Rain Drain Insulation -Plumb. -Wrderflr ( Waterer Lina Gyp. Bd. -Mach. v �v <z Date Raquentedt �f2/ 1 Time: AM PM Addrnss:1L, --=� / � �� Permit #12(_ Rulldwr: TIM FOLLOWING CORRECTIONS ARE REQUIRED: Itin V�.-t -rr: Uate: VbD DISAPPROVED _, APPROVED SUBJECT 7'0 ABO For Reinap. INSPECTION NOTICE `I City of Tigard &A .ldioq Department 13125 BW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-0-Phone): 639-4175 Business Phone: A44171 Inspections__ _ Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk 1 Found. P Top Out Gas Line FINAL: Post/Ream Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Koch. Date Requested: _T[mes AM PM Addresas & J G Permit fs Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: lq f1 r-. n: - rn YL- 03 r• W .J Inspectors --- - - --� Date:_ ROVED DISAPPROVED APPROVED SUR.M7T TO ABO ,Call For Reinsp. 1 •- INSPECTION N(r_: 223 City of Tiga.'a Building 7X 1312S SM Ball Blvd. Tigard, n 97 Inspection Line (Rec-o-Phone)t 639-4175 sinees Phone: - Inspection: C!/�/, - C � ( Gc� Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. ( an. Sewer Framing -Bldg. Poet/Beam Mach. ain Drain Insulation -Plumb. 1� Plbg. Underfloor Water Linel Gyp. Bd. -Mesh. Date Requestedt (�I L T AM PM Addreass ) PelN= `} - ��,� �k Builders THE FO.LOWING CORRECTIONS ARE REQUIRED: d O.: H H J U' �l) J Inspector Dater PROVED DTSAPPROVED __ APPROVED SUBJECT TO ABOVR ___Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 Sw Ball Blvd. Tigard, Oregon 97223 Insper+ ion Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections Footing Plbg. Undersl.ab Hech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hech. / C Date Requested:-`-`� I Time: AN PN Addrees:�z�--4- Gc/ 3 Permit Builder: J THE FOLLOWING CORREEAL0*ff-A E REQUIRED: ti N F- J r-w C9 111 J Inspector: Date- PROVED DISAPPROVED APPROVRD SURJXrT TO ABOVE Call For Reinep. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tiga.-d, Oregon 97223 Inspection Line (Reec-O-(Phone)s 639-41;'5 Business Phone 639-4171 Inspections -A`A lei A Q— � ---.--- Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line G� Gyp. Bd. Mach. — r Date Requested: I / `�I,/ _Tie a: AM PM Address: 1 LO L1 3 V31 ~ P`nnitis lluiIdor: ",\ (Aa�,? ("tI `1 - I ) � --2� THE FOLLOWING CORRECTIONS ARE REQUIRED, i Inspector: Date:_ 7 APPROVED DISAPPROVRD APPROVED SUBJECT TO ABOY6 ---Call For Reinep. CITY OF TIGARDASTER PERMIT PERMIT #. . . . . . . : MST94-0275 COMMUNITY DEVELOPMENT DWARTNU xkJT DATE ISSUED: 07/21/94 13125 SW Hall Blvd.Tigard,Oregon 97223*81199 (503)639-4171 PARCEL: 2S114BLA-20400 5 ITE ADDRESS. . . : 16463 SW 103RD AVE SUBDIVISION. . . . : RIVERVIEW ESTATES NO. 2 ZONING: R-7 PD BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :048 BUILDING REISSUE:MST04-0266 DWELLING UNITS: l BASEMENT. . . . . . . . :0 sf CLASS OF WORK. .NEW BEDRMS:4 BATHS.-3 GARAG... . . . . . . . . . :500 Sf TYPE OF USP. . . :SF FLOOR REQUIRED SETBACKS---------------- TYPE OF CONST. :5N FIRST. . . . .- 1110 s LEFT. . . 19 ft RIGHT. :5 ft OCCUPANCY GRP'. : R,3 13ECOND. . . : 1080 of FRONT. :2:'0 ft REAR. . :25 ft STORIES. . . . . . . ..2 THIRD. . . . -0 Sf REOU I RED------------ HEIGHT. . . . . . . . :3121 ft TOTAI------ -:2190 s SMOKE DETECT ORS. :Y FLOOR LOAD. . . . :40 psf VAL UE. . . . . $ 109741ZI PARK ING SPACES. . : i Remarks : PATH I PLUMBING S 1.NKS. . . . . . . . . . : 1 FLOOR DRAINS. . . , :0 BACKFLOW r-REVN TRS. . - I LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . .. . :0 WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPIS. . . . . . . .0 DTSHWASHERS. . . . ; 1. WA,rc..R LINE (ft ) . : 100 OTHER FIXTURES. . . . . GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O W0!3HI1\1G MACH. . . : 1 SF RAIN DRAINS. . : 1 MECHANICAL FEES FUEL UNIT HTRS. . :0 type amount by date r,e(::pt /GAS/ VENTS . . . . . ..0 TIF $ 1520. 00 JG 07/21/94 MAX INPUT :O BTU VENT FANS. . :4 BPRT $ 1158. 00 JG 07/21/94 FURN ( 100K . . :0 HOODS. . . . . . : 1 BPLC $ 50. 00 JF 06/20/94 94 FURN ) =100K . . : 1 WOODSTOVES. :0 B5PC $ 22. 90 JG 07/21./()4 — FLOOR TURN. . . . :0 CLO DRYERS. : 1 SSDC $ L'.'80. 00 JG !hl/21/94 — BO L/CMP B0'.11L/CMP ( 3HP:0 OTHUR UNITS: 1 P fi R K $ 500. 00 JG 07/21/94 — GAS OUTLETS: 1 MPRT $ 45. 00 JG 07/21/94 r1,nV,-: ------------------------------------MPLC $ 11. 25 JG 07/21/94 MTN SHADOW ENrERP,RisE INC M5PC $ 2. 25 JG 07/21/94 17245 SE HANNEMAN CT PPRT $ 155� 0121 JG 07/21/94 F15PC $ 7. 75 JG 07/21/94 GLADSTONE OR 970,17 EROS $ 64. 00 JG 07/21/94 Phone #: 656-0096 ERPC $ 20. 80 JG 07/21/94 Contv-Actor- : $ 2171. 00 JG 07/21/94 MTN. SHADOW ENTERPRISES, INC BPLC $ 50. 00 JG 07/21/94 17245 SE HONNEMAN CT. GLADSTONE OR 97027 Vlhune #: 656-0096 Peg #. . : 45428 $ 3207. 75 TOTAL This persit is issued subject to the regulations contained in the REQUIRED INSPECTIONS Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fOlAnd Insp Fit-eplace Insp applicable laws. All work will tr done in accordance with approved Post/Beam Stt,uct Gas Line Intip plans, This persit will expire if work is no ' n 180 Post/Beam Meehan Insulation Insp days of issuance, or if work is suspe d * 1=4 11Hit iPost/Beamda Plm/undslab Insp Gyp Board Insp PLM/Umler•fl out- Rain drain Insp `)ei,mittee Siqriatur-eii- chanical Insp Water- Line Insp Plumb Top Out Appt-/Sdwlk Insp lssi..ted By : Ft-timing Insp Mechanical Final Call for inspection 639-41'7!5 CITY O F T !GARD FEWER CONNECTION PERMIT PERMIT #. . . . . . . : SWR94-02`59 COMMUNITY DEVELOPMENT DWW, T . Ar;NT DATE ISSUED: 07/21/94 13125 SW Hall Blvd.Tigard,Oregon 97223s8199 (503)639-4171 PARCEL: 2S114BB-10400 :,ITE ADDRLS5. . . . 1.6463 SW 103RD AVE SUBDIVISION. . . . : RIVERVIEW ESTATES NO. L ZONING: R-7 PD BLOCH.. . . . . . . . . . .. LO-f.. . . . . . . . . . . . . :1214;3 *TENANT NAME. . . . . : USA NO. . . . . . . . . . : FIXTURE UNITS. . . Cl-ASS OF WORE;. . . :NEW DWELLING UNITS— : 1 IYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 'I INSTALL *TYPE. . . . :BUSWFR IMPERV SURFACE. . : Remarks: PATH I Cjwnet-: FEES MTN SHADOW ENTERPRISE INC type amol-Int by date t-erpt 17245 SE HANNEMAN CT PRMT $ 2200. 00 JG 07/21/94 - INSP $ 33. 00 JG 07/21/94 - GLADSTONE OR 970-2-7 Whone #: 656-0096 Contv-actot-. CONTRACTOR NOT ON FILE ------------------------------------------ I 'lionp It: $ 2235. 00 TOTAL REQUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewev, Inspection of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shail prospect 3 feet in all directinns from- the distance given. If not so located, the installer s 11 pu �,e the , 11 pur ase I y w, located, a "Tap and Side Sewer" Permit and th�w ncy wi er 1. Pet,mi. LLee .1 sst-ted By ("'a I I f c)t- in�nppct ion 639-4175 J I ------------ INSPECTION NOTICE City of Tigard Building Departaent 13125 SII Ball Blvd. Tigard, Oregon 97223 Inspection Line )Rec-O-Phone): 637-4175 Business Phone: 7 inspection Footing Plbg. Underelab I1h Appr/Sdwlk Found. Plbg. Top OutC� as"Line 1� FINAL- Post/Ream Struct. San. Sewer �1 p, ' -Bldg. Poet/affam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Linen Gyp. Rd. -Meeh. Data Requesteds, CJ .�G�� Tiases AM � PM Address: �j /C/ Permit �: 6 ,2L guilders /�,tC/ �1 ^�F'Z 2 THE FOLLOWING =CORRECTIONS ARE REQUIREDs ZZ coo V) G] 11; Inapector: I Dates 0 APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call for Reinsp. INSPECTION NOTICE City of Tigard Building Dsspartmen4t223 / 13125 ON Ball Blvd. Tigard, Oregon 9Inspection Line (Rec-O-Phone): 639-4175 Busineee -41 11 Inspection: ��------- -- Footing Plbq. Underslab � oc Rough-in Appr/sdwlk Found. Plbg. Top Out GasLineFINAL: Pner/Steam Struct. San. Sewer filSminq� -Bldg. Pnst-/neam Mech. Rain Drain Insulation -Plumb. P1txl. Underfloor Nater I.i.ne/ t Gyp. Bd. --Mech. ante. Requested: ! � 71/ e1 ( Times AN —y PH �cldrf3as:-1 VJ Permit f: 2Y`V Builders_ �'.��—�' Z' J � < THE FOLLOWING CORRECTIONS ARE PEQUIRED: i Inspector r = _. _ Dates APPROVED UiSAPPRovED APPROVED SD&ECT TO ABOVE --Call For Reinep. C:) I Y OV 'I'I WARD - RF(::L I PT OF PAYME:NT Rk: In I P'l NO. i 94•-RS4 795 CHECK AMUI,IN C s 5392. 75 NAME, n MOUNTAIN s7-IADOW E N'T k=.W 1.:A13H AMOUNT' s 49. 1110 ADDRESS s 17245 BE HONNF:-MAN Gl PAYM1-.N I Df-I I i:-.'l/ 4 (:iL.ADS T CINE:, OHI-.0014 1.30A 1 I V I S I ON e PURPOSE OF PAYME:N I' flMOUN I I-IfI 1 1) PC.IIZF LOLL• CIV PAY111-_N I AMOON T PAID NCJII._IJINI 1'E.RM ME31'y4-0r:"7�,T +SN. VSA PLUMBINU PFRM MECHANICAL Ph 45. 010 Vii% BUILD PER PLAN CHE'C,K Fl`' 61. c15 fikWFR USA F,WR94--IllrbL) P2.1110. LAOGEWI✓R t NSPECT 35. 00 PARKS SAC 54'10. LAW STORM DRAIN SDC 11180. 00 RF_SlDFNTIAI_ T'RAFf IC FFFS 14141. +1141 MASS TRANSIT 'TIF FEES 114'1. 00 F-ROSICIN CONTROL PERM ITFEE: 64. 1710 EROSION CONT ROI.. PI-AN CK P0. A41 FROS I ON CONT,401- 20. 84'1 t6463 13W 103RT) H I VF RV IFW E=ST'A'T'E'S TWO/1_0T 48 TU f t-W AMOUNT' PAW — -- — —1 5:39c:. 75 Residential Building Permit Application City of Tigard L 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 F) D Jobsite Address: /�`I�.3 -5 Subdivision: Subdivision: Office Use Only Valuation: Planck/Rec # (D J Permit # � 5 �V G p Owner: � � � - i, i �,_,��, ,�Z--- 1 Reissue of Ms 0 7.41 Address:—L7,2 (_I `� ` 7 r�`� l� 1 E'[rl r'r�� /� Map& TL lt� Phone: --- -� �; -{ ,��'. Approvals P.equired Planning _ Contractor: _� `t.1Q Engineering Address: Other Phone: Items Required Contractor's License # L ( � C ' Subcontractors (alta copy of current Oregon license) Truss Detai:s Contact name 8. phone. c;,`/,� l -(,,�� / � Other Supcontractors: :> :..:. .. :: i Plumbing: �/r� fir- r: ,Mechanical:_'''1 (. I r'- 1 I _ o. (attach copy o/current OA Contractor's License) N / Jr L� . ✓�J� Archltect/En9 sneer: Address. 7 � ` lel CC, 3 /� ' � /Phone O� l JOB DESCRIPTION: .) �r) /` Appi' rK Signature Phone nu r Received by: Date Received: Permit # Account Description Amount Amt. Pd. Bal. Due / 58 Bldg. Permit (BUILD) Plumb. Permit (PLUMB) 55 Mech. Permit (MECH) 3 State Tax (TAX) .3Z.f u v Bldg: oR1.go I/ Plumb: -7.7 5' J Mech: Plan Check (PLANCK) , Bldg: S U ( S U Plumb: Mech: Sewer Connection (SWUSA) ? / �, U Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) S�� ✓/ _ �— Storm Drainage Chg (SDSDC) / Residential TIF (TIF-R) Zq/ U /q 1 0 Mass Transit TIF (TIF-MT) /I u Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) _ Office TIF (TIF-0) _ Water Our' .y (WOUAL) _ Water Ouanthy (WOUANT) — Fire District (FIRE) Erosion Cntr1 Permit (ERPRMT) 6 Erosion Planck/USA (ERPLAN) ��J� -a0'y Erosion Planck/COT (EROSN) %fl TV TOTALS: 4F �� i CITY OF TIGARD BUILDING DIVISION RESIDENTIf., PLANS SUBMITTAL. 1 � APPLICANT NAME:� � ` � 1 P L1 N CHECK # _ ADDRESS: I�L� ,'/� ("Y- PHONE # ` C`,� >`% , DATE RECEIVED: T RECEIVED BY: CHECKLIST (ATI items must be in packet before plan ,gill be reviewed) YES NO N/A 1 . [ 9- [ ] [ ] 3 FULL SETS OF BUILDING PLANS (No red line revisions or tape-ons). 2. 5 SITE PLANS (includingtax lot and tax map number,easements, erosion control provisions, floor elevation of garage and mairl floor, set backs, drive-way location, north arrow, scale, location and termination of rain drains, corner elevations, and contours if over 15% grade). 3. [ l [ J [ J BUILDING PLANS SHALL REFLECT TOPOGRAPHY OF LOT (if house is designed for a flat lot and the lot is not flat, revised drawings are required. No red lines accepted). 4. REVISION TO PLANS MUST BE FOLLOWED THROUGH FROM ROOF TO FOUNDATION (detailed sections may be different from the originals as a result of your changes. These portions of the structure that are affected by the change need to be reflected on the plans. No red lines will be accepted). 5. [/� [ J [ J FLOOR PLAN(S) 6. [1 -]' ( ] [ ] FLOOR FRAMING 7. [ ] [ ] [ ] TRUSS JOISTS (engineering, details and layouts) 8. ROOF FRAMING PLAN (all hips and valley supports indicated and detailed). IV 9• l 1 l j [ j ROOF TRUSSES (engineering, details and layouts) r 10. [ ] ( ] [ j COMPLETE CROSS SECTION(S) 11 . [ ] [ ] [ ] ALL 4 ELEVATIONS ARE SHOWN - 3 ELEVATIONS FOR ADDITIONS AND REMODELS 12. [ ] [ ] ( ] BASEMENT WALL, FOUNDATION AND RETAINING WALL SECTIONS (will need engineering if walls are 8 ft. high or higher) 13. [ ] [ ] [ j WALL BRACING (structure must meet table R-402.10, revised J� alternate method 93-7, or a lateral design shall be provided) ry!� 14. [ ] [ ] [ j ALL DETAILS REQUIRED BY NO. 13 ABOVE SHALL BE INCORPORATED INTO THE PLANS. (Attachments must be clearly legible and fully referenced in the plans). Led 15. [ 1 [ 1 [ ) BEAM CALCULATIONS (all beams over 10 ft. in length or any beam that supports a point load). 16. [ ] [ ] [ ] ENERGY CODE PATH IDENTIFIED DO NOT MAKE CORRECTION IN REED RED WILL ONLY CAUSE DELAYS bk.suew