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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Bu ness Phone:639-4171
Footing Ju Main Drain�v �Cove$e via FII�A
Foundation Water Line Ceiling -Plumb.
Post/Beare Mech. Shear/Sheath Framing Mesh.
Plbg.Und/Flr/Slab Pltg. Top Out Insulation -Elect.
Post/Beam Strutt. Mech. Rough-in Gyp. Bd. -Bldg.
San. S wer Gas Line Appr/Sdwlk Reins.
i -��--- A M.
ntry,-- - --
Tenant: Ste:__- MST
_
Con/Own:L` {`�1L1-1 �L 41<_
THE FOLLOWING CORRECTIONS ARE REQUIRED ELI"
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Insp tor: T Date:
_._ APPROVED _ __DISAPPROVED/CALL FOR REINSP CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: �-1 /^ji v, - v/5
Footing Susp. Ceding 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. Seweras Li-n Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: (l I C Time: AM PM
Address:
Builder: Permit W)''LZ ei' L`/_07
THE FOLLOWING CnRRECTIONS ARE REQUIRED:
c'T-yL4 T"-C S tii1 RC1 4��7 x Wi r'!<
•� � t-`czar-c.�.� �S Lc� csu-r 1>,._:--�t<
»A 1 C 41/L-10A,c,=' -T'z7 C� Y�5�1 A
,4g.a,,isr Tj.i33
Inspector: Date:
APPROVED DISAPPROVED � SUBJECT TO ABOVE
_Call For Reinsp.
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C11Y� OF T I GARD
MECHANICAL
PERM I T
COMMUNITY DEVELOPMENT DEPARTMENT PE-Phl F #. . . . . . . .. MECry9--0409
13125 SW Hell Glvd.Tigard,Oregon 97223.8199 (503)839-4171 DnT'E I S—bUl-D: 1 1 /30/9 a
PARCEL: .:'S 1 14BB—:=1500
SITE ADDRE S. . . : 16''iy b ;°iW i I�7::1�la AVE
SUBDIVISION. . . . : RIVERVIEW ESTATES N0. 2 ZONING: R--7 FID
BLOCK. . . . . . . . . . . LnT. . . . . . . . . . . . . :059
CLASS OF WORK. . :ALT FLOOR 1=7URN. . . . : 0 EVAP, COOLERS: 0
TYp'E OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP'. . : R3 VENTS W/0 ARF'L: 0 VERT SYSTEMS: 0
STORKS. . . . . . . . : 0 }OILERS/COMF'RE5SGR5 HOODS. . . . . . . : 0
FUEL TYPES--- -- -----.___- 0..-3 1iF,, , , , 0 DOMES. I NC I N: 0
: /BAS/ / / .3-15 HR. , . . : 0 COM11L. I NC I N: 0
MAX INPUT-: 0 BTU 15--3111 HP,. . , . : 0 REPAIR UNITS: 0
FIRE DAMPERS,. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS P,RESGURE. . . : 50+ 1-ip'. . . . : k"1 CLO DRYERS. . : 0
NO. OF UNITS------ - AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 1001: BTU: 0 i= 10000 c(=m : GAS OUTLETS. : 1
FURN ) =100K BTU: 0 > 10000 cfm : 0
Remarks : Inst.-k11 ge�si pi.I.-)J n
Jwner: --- ___._.__._.____._._.____.______._._._._________..__..__________-.__ FEES ---_--_--__--_.
DEBLANC MR & MRS type `•moi.tnt by (late r•ecpt
1654G SW 103RD RRMT $ 25. 00 00 JSD 11/30/95 95•--27337P
5F'CT $ 1. x'5 JSD 11/30/95 95--27337';
i"IGARD O!'.
Phone #:
Contractor: _._._.______.__..---.—•---___._..._______
FIRESIDE CONTRACTORS
1838C) SW BOONFS FERRY RD
F'ORTLAI\ID OR 97224 __.---_____.—.._.__--_-----------_-----•- _—_—
Ph o n e 4: 6114—B535 t ;26. :'S TOTAL_
Req #. . : 40979
_..._—_—_— REQUIRED INSPECTIONS —___----
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code. State of Ore. Specialty Codes and all other Mer_han i ca 1 I n s p __•___ _.._._____,
apollcable laws. All woo4 will bF done in accordance with Final Ins;pection _•.____,—__ �.__,____._
approved plans. This p?rmit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
-z
than 180 days. ��
e r-m i t t e e S i e n t 1-i r,e
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CA11 for inspection — 6
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C11 1 1014 P1.) - 111•(.'I '1 f I I11 F'11'll�l I'J I I'I i I 11'I IVI.I, a`I`, l:;.'•;'li
�.I 11 1'F! ti11�I1 IUIV I s �•a,•. ; "•;
i it ll tl . I 1 1.I+I I I l !� i.'. 1 1�1.11LJ I OR'zi (.)F �I 1 I)MOON I 4). 6111
ORE OLIN 11'•li t'l l I.11 I I I I)N 1 t•• R j I i .;'Al, a ,
4iDd ('I lI 11.11 ', V NY RO 1111) I V 1.'11 ON A
I'1il� Il V11�li� I11'� '� i,'r':r
i 'I ��il '� �'—) Il E!I.1'Vh1) i•I) 111'11.0IN1 1 $-I,l.1) I 'l11.1'1OA IIF I'Iiri'trl'lI ithlU(11'{I I!(I.f[)
t•Il I I It H 1 I t i ,t t 'I till t � 4'�'i�.' + r•,,.:. 474) -� I . .fill l I I� I'I t' 1 �•
t71 ail uMl ll_IN 1 I'll I I ) r'k•. '`
Citv cf Tigard MECHANICAL PERMIT Planck/Rec. #
131^5 sw ball Blvd. APPLICATION "ermit # �r`C
Tigard, OR 97223
(503) 639-4171
.^.�t .�— escnpton --�
Table?A Mechanical Coda OTY PRICE AMT
JJu PermitFve -- l000
A,ariress -P—
t 2) Surplemental Permit 3.00
.r. — Furna-c-e—E-TiSu,000 Bl7
—
nc 4-Me ec L j�N� 1) incl. ducts&vents 6.00
W v5�« Furnace +-
Owner - (U���) �) /� 2) incl. ducts&vents 7.50
—� — oor urnance
3) incl. vent 6.00
—J.— « - --TuTp—e-n-d6d heater,wall heater
L -42i _ 4) or floor mounted heater 6.00
Vent no irx. i-T`Tin--
Occupant 5) applia,c.permit 3.00
Repair of heating,re ng.
6) cccling,absorption unit 6,00
-- n —maker or comp,heat pump,air condi
) ( �TK(E�IJI S 7) to 3 HP absorp unit to 100K BTU 6.00
.•v ••• Boiler or comp,heat pump,air cond.
3 1 �Q/� 8) 3-15 HP absorp unit to 500K BrU 00
Contractor -- ter or comp, ea FumL,air conT--
L- L���(� =zz 4 9) 15-30 HP absorp unit.5-1 mil BTLI 15.00 —
saw •.••r+M. Boiler or^omp,heat pump,—air:on .
4�Zj 10) 3050 HP absorp unit 1-1.75 mi BTU 22.50
I hereby acknowledge that I have reaa us apphoauc n, a iU e- —BcTer or—comr,,Teat pimp, air con
information,given is correct, that I am the owner or authorized agent 11) >50 HP abso,p unit 1.75 mil BTU 37.50
of the owner, that plans submitted are In compliance with State —A r lian�fmg unit to
lLw.;, !hat I am registered with the Construction Contractor's Board, 12) 10,000 CF,d 4.50
that the number given is coirect. (If exempt from State registration, it handling unit
please give reason below.) 13) 10,000 CTM r 7.50
— on portabla
14) evaporate cooler 4.50
-- — eV�t Ian`connec eie —
15) to a single duct 3.00
—— -Z
-ventilation system mt
I - _ 16) included in appliance permit 4.50
q• •p1-165U seN y
17) mo ianieal exhaust 4.50
—D—escribo work new U a——it—ion :TF alteration 7& repair-II- -Commercia or inausinal----
to be done residential( non residential O 18) type incinerator 30.00
xisung use of e- ` l eT i.e.,wo s ove,wa er
building or property C, �J 19) heater, solar, clothes dryers,etc. 4.50
Proposed use of c, 20) Gas piping one to four outlets / 2.00
building or prot,eity— �`�` — ��•
21) More than 4-par outlet
Type of fuel - oil O natural gas kc LPG O electric O
JNOTICE
If
Minimum Fee$25.00 SUBTOTAL
PERMITS 6ECOME VOIL IF WORK OR CONSTRUCTION �
AUTHORIZED IS NO CCtMMENCED WITH /
IN 180 DAYS,OR 5%SURCHARGE , Z
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL ,,
Special Conditions_
Date issued by
1rMECHPMT
rpdtomE.v
INSPECTION NOTICE
Cltl of Tigard Building Depart
13125 SN Ball Blvd_ Tigard, Oregon 72
Inspection Line (Rec-O-Phone): 639-4175 Busine hone: 639-4171
Inspecti.on: —
Footing Plbq. Grderslab Mech. Rougn-in App[/Sdwlk
Found. PIN... ' op Out Gas Line PINALt
Poet/Beam Strutt. San. Sewir Framing -Bldg. J
Poet/Beam Mech. Rain Drain Insulation -Pltsmb�
Plbg. Underfloor Water Line Gyp. Bd.
Date Requeoteds_ Time: PM
Addresas 1 l!5 I L Permit f s
i
Ruildert�_
TME FOLI.OWINO))) RRECTIONS ARE REQUI!=t
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Inspectors � _ Date:
3-- ( S-
APPROVED 9I8APPROVED APPROVED SUBJECT TO AKM,
i—Call For Reinap.
("ERTIFICATE X31:'
CITY OF TIGARD OCCUPANCY
PER01TA #. . . . . . . . MS3T93- 0308
COMMUNITY DF"ELOPMENT DEP,t FiTI�hE�JT DATE I SS
121.3/14/94
13125 SW Hell Blvd.Tigard,Oregon 97;'23.8199 ,(503) ONI 7t
PARCEL.: 2S 114BB.. 21500
SITE:. (4DDRLb5. . . 16546 ::W 103RD AVC:
SUSDiVISION. . . . RIVERVIEW ESTATES; NO. c IONING:R-I PD
HLOC'K. . . . . . . . . . . LUT. . . . . . . . . . . . :059
CLASS Of' WORK. :NEW
TYPE OF USE. . . :SF7
OCCUPANCY CARP. :R3
OCCUPANCY LOAD:;`"1 4
TENANT NAME. . . .
Remarks : PATH I
Owner;
51�YLIGHT HOME BUILDERS CO
p 0 BOX 2315
LAKE OSWE GO OR 97035
I
Lontractor: ___..._.... _._._.___._._.-._....---..__...... _____
SKYLIGHT HOME BUILDERS CO
r, (", BOX 2315
LkfJ C7SWLGO OR 47035
V"hutie #: 503 -636---a-994
Rog . fit. . : 34086
Occupaocy of the above referenced building is hereby given, and certifies
the compliance with the State Of' Orsgon Gppcialty Co- - s for the grolap,
{,r cupatn- y, and us p under which the r•efer!rnced permit was+ i ts1..ted.
J
FIRE DEPARTIrICNT_�___ .___. U( DING �jPEC1OR
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U I E_D I N "F'1C I Ai_
�- POST 14 CON;::P I CUOU:3 PLACE~
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INSPECTION NOTICE
City of Tigard Building Department ----
13125 SM Ball Blvd. Tigx d, Oregon 9722
Inspection Line (Rer_-O-Phone): 639-4175 0usi.nees Phones 639-4171
Inspection:_ _`
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found._ Plbg. Top Out Cas Line FINAL:
Ems=/8*Y At ) San. Seaver Framing -Bldg.
�#oBt/134W ftch: Rain Drain Insulation -Plumb.
Plbg. Dnderflc+er Water Line Gyp. Bd. -Koch.
Date RequosteLd�s((_/_ Times ] AM/ PM
Address:_j lF' 1 I(�' Permit f s
Builder:
TBE FOLLOWING CORRM- IONS ARE LEQUIRED: S
lnspectore�. _ Date:
ROVED �DISAPPROVXD
APFAPPROVED SUBJECT TO ABOVE
Por Relnsp.
.INSPF.GTION NOTICE
city of Tigard Building Departaent
13125 SW Hall Blvd. Tigard, Oregur 97
Inspection Line (Ree-O-Phone): 639-4175 Busine � Phone: 639-4171
Inspection:
YoOtL'w Plbg. Underelah Mech. Rough-in Appr./Sdwlk
found. Plbg. Top Ouc Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Dratn Insulation -Plumb.
Plbg. Underfloor Hater Line Gyp. !d. -Hoch.
C i
Date Requested: // Cls
Address: 7 L �✓ r
/C..'� r _v Pemit #: y r
_
Bul lder� 'f-/-1le
THE FOLLOWING QORRSCTJOMS ARE REQUIRED:
Inapoctor: / Date:
APPROVEo _ DISAPPROVan APPROVED SUBJECT TO ABOVE
Call For Roinsp.
INSPECTION N(YIICE '
city (F Tigard Buildi.nq Department
13125 XW Nall Bled. Tigard, ora,-on 97223
Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171
Inspectian:_
Tooting Plbg. Underslab Hoch. Rough-in Appr/Saw),;:
Found. P.rq Top Out Gas Line FINAL:
Post/Beam Struct. Bae. Beater Framing -Bldg.
Post/B am Hoch �Lnin J Insulation -Plumb.
Plbg. Underfloor Natr Linn�j Gyp. Bd. -Hoch.
Date Requented:� e
^4 -/_ � T1.Mt —AM __PM
Address: !CG'��7 (,7 /U�r Pa17iC to 3
Builder: _
TBE FOLLOWING CORRECTIONS AM PJWIREDs
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Inspector: r Data$----
11PPROVED ;ZIROVND APPRC;VRt) sUR.Te('T To AAf)V1!
call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Linc: (Rec-O-Phone)s 639-4175 Bus�neee Phone: 639-4'171
Inspection•_ �• � ____
Pcating Plbg. Urderslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insuldtlon -Plumb.
Plbg. Underfloor Nater Line Gyp. Ed. -Mach.
L 4.�
Date Requested: // ��' Tineasf�2 AM i_PH
Address. C� f lG d � Permit 1t V�
Builders I �n1� l /`17 nt(
THE FOLLOWING CORRECTIONS ARE RSQUIREDs
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Inspectors Dater�4- � G-
1PPROVED DlBAPPROVED APPROVED SOBJECT TO ABOVE
Call For Reinep.
INSPECTION NOTICE
city or Tigard Building M"?art'mnt
13125 SW Ball Blvd. Tigard, Oregon 972
Inepection Ltne (Rec-O-Phone): 639-4175 Business r 639-4'.71
Inspection:
Footing Plbg. Underelab Mach. Rough-in /.pr Isewlk
Faun— Plbg. Top Ou`. Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor. Mater Line Gyp. Bd. -Mach.
r � /
Data Rsquesteds —� T� PM
1lddresa:�,►'—�(�""� Permit t_- —
Builder:
THE FOLLOWING CORRECTIONS ARE REe]UIREDx
owl
/ S457107
ry (ell
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Inspecto :
APPRd1RD 0I8 PROVz" Af'PRovitn SUB.iRCT To Anovr
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Departaent
13125 SW Ball Blvd. Tigard, Oregon 972
Innpectior Line (Rec-O-Phune)r 639-4175 Bueineoe Phone: 639-4171
Inspection:
Footing Plbg. Underalab Hach. Rocgh-in Apyr/Sdwlk
Found. Plbg. Top Out Gas Lino FIrALt
Post/Beam Struct. San. Sewer Frlming -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Rater Line Gyp. Bd. -Mach.
Date Requ ■ted: I Timet _(�__w, �_PM
Addreset_ 5 11C ��� permit fs / J
Builders. '
wC�`�EJ1� `r l4l�lM4�lLnq �pco'�
THE FOLLOWING MRRRC:TIONS ARE REQUIRED:
Lispeeto Dat
� ��
APPROVED T� DTBAPPRO APPROVED SUBJECT TO AWyE
/ li For Rainep.
INSPECXION NOTICE
City of Tigard Building Department 1
ec13125 Sw Hall. Blvd, Tiga_d, Oregon 4 2 1
inspection Line (Roo-O-Phons)c 639-4175 eusinea -4171
Inspect ion%
Footing Plbg. Ondarslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top out Cam Lino FINALS
Post./Beam Struct. San. Sewer Framing -Bldg.
Poe+./Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line
p. Bd. -Mach.
Date Requostede_ ( �� 1 Time: _..L_AX _PM
Address! � 2
_�Sy l✓-' Permit Et
Buildert �l
TAE FoLrxwrxQ CORRECTIoNs ARE REQQIRRDt
N
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W
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Inepactort
JAPPROVIED
—� Data:1
^_ DISAPPROVED "PRO%-- SUBJECT TO ABOVE
Call For Reinsp.
7NSPECPION NOTICE -�
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregou 97223
Inspection Line (Rec-o-Phone)t 639-4175 Business Phone, 639-4171
Inspectiont_
Footing Plbg. Undersiab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL,
Post/Beam Struct. Ban. Sewar> Framing -Bldg.
Post/Beam Mech. -�Ain Drain Insulation -Plumb.
Plbg. Underfloor- `,— Nater Ling ) Gyp. Rd. -Hoch.
�7 Ll,
Date Requested, � / ( � Time, _—Am LU
Rcifteae t_ I los yid �n?��C$ _ Permit f s -[ '✓d�D
Builders 7 pM
THE FOLLOWING CORRECTIONS ARE REQUIREDt
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Inspectort Dat6X= er
-
APPROVED DISAPPROVED APPROIRD SUBJECT TO ABOVE
Call For Rainsp.
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INSPECTION NOTICE
City of Tigard Buildiaq Dapartment
13125 6w Hall Bled. Tigard, Oregon 97223
Inspection Line (Roc-O--Phones 639-4175 Business Phones 639-4171
Inspection:
Footing Plbg. Underslab Koch. Rough-in hppr/Sdwlk
Found. lbg. Top Out pas Line FINAL:
Post/Beam Struct. San. Sewer 4! ing -Bldg.
Post/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Koch.
Date Requested/:/ Z d Time: AK PM
Address: � T I D` Permit
Buildertl�'-lllG
TNR FOLLOWING CORRECTIONS ARE RzwIv v1
Inspector: Date:
PROVED DISAPPROVED APPROVED SUBJECT TO AR01►E
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department ; /
�1
13135 811 Ball Blvd. Tigard, Oregon 9'72234 } /j
inspection Line (Rec-O-Phone): 639-4175 Business Ph p : 9-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Seas Koch. Rain Drain Insulation ) -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Koch.
Date Requested: / Z. l Time: !� AK PK
Address: r S�I(c Uk-' Permit 1s
Buildet!`_2^L�
THF FOUAMING COMMONS ARE REQUIRED:
r
Inapactorr� _ Dates_ ��..
ROVED _— DISAPPROVED `APPRWRD SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 Sw Ball Blvd. Tigard„ Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Pho 3
Inspectior:
Footing Plbg. Underslab Mach. 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.
Plbg. Underfloor Nater Lina �Oyp. Rd. -Mach.
Date Requosteds 1- 2 ; !C�3 Tit AM PM
Addreass �J..^--', Permit
Builder: /. 7 I_ C. � U V0(t L
THE FOLLOWING CORRECTIONS ARE REprIRLD:
Inspector Data. _
_APPROVED DISAPPROVRD APPROVRD SUBJRCT SO ABOVE
call For Reinsp.
INSPECTION NOTICE.
city of Tigard Building Department f'
23125 Slit Ball. Blvd. Tigard, Oregon 972
InspectionLine (Rec-0-Phone): 639-4175 Business P ' 639-4171
Inspections
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Fcnind• Plbg. Top Out Oa/ Lina ) FINAL%
Post/seam Struct. San. Sew*- Framing -Bldg.
Post/P.eam Mach. Rain Dra.n Insulation -Plumb.
Plbg. Underfloor Nater Line oyp. ad. -Mach.
5-13
Dote Requested e 1 f�7�� _,Times ?AM rte' PM
Address: I l! JLIll7 L�)7 1- Permit #i
BuildoreC u- okk � NLQ,1(J)�l 43
THE FOLI.ONING CORRECTIONS ARE RsQUIREDI
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Inspector! Date?
b4APPROVED ,^ DTSAPPPOVRD _ APPROVED SUBJECT TO ABOVR
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
131-25 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
inspection:
Footing Plbg. Underslab Kech. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Yost/Beam !loch. Rain Drain Insulation -Plumb.
Plbg. U:.derfloor Nater Line Gyp. Bd. -Koch.
D%te Requostod: ( 1 Time: .._AK PK
Addrossl 7`I�P�, I l� - (` / Permit 0�lt,`/��
Buildert r�1T�'' \ Q� (�J � - ( / C/
THE FOLLOIIING CORRECTIONS ARE REQUIRED:
1 f�lSn1ppf12 t CZI _ 41 n CIL 1 14.+A) L,,�AJ77-2 —
Cc
Inspectors t � � Cf c) Dater
APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
__Call For Reinsp.
CITY O F T I GARD 1MF1L1ii__.i? PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigarcl,Oregon 97223*8199 (503)8394171
DATE 11Lk;u1,1L):
0 31 R b k V i, PkficEL I .40L RVO::J°j
RIVLRVILW O. 2 ZONING: N-7 V,D
BUILDING
DWE.LL1146 UNITS-.1 LikSEMEN"I . . . . . . . . ..0
IJI:: WURK. NEW 13L V RM,b-4 DPIT16.3 GAOAGE. . . . . . . . . . 1480 S-f
ARL- kr-QUIREL, SETBACKO-
E U,. U.:AS SN FIRST. 1089 f LEFT. . -6 R I 6HT. .5 f7,L
4 1
Sf` GUINI". 1190 e r-'RON-1 .
THIRD. . .0 6f
.. . . . . . . . Sf SMOKIL, 1.)E-TEE',' Y
0,-JR LLJPb. . . . 4,0 f
VALUE. . . . . 113474 PARR 1146 SPACEtj'. I
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CITY OF T I GARD � ` ` 7 �ir4
COMMUNITY DEVELOPMENT DEPARTMENT
1025 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171
16b4b SW AVL
RI Vi.:P".1 1.W L-'-'S'4�'i ES N,'-- E
NAN'r Nilmr:.
XTr
F A UL UNI S.
NO. . . . . . . . . . .
JS S LIF W 0 P f NEW
'--'E OF USE., &BF NO. OF' BUILDINCZ:
iYALL. I'YPL.. BUS r,' 11iii-IF-RY :5(..iI I L— .
L 1 1 THDYIF-; 1 L Lr'`j 0 Ll A In 0 i..i 11 t L,), d eL:pL,
rJ 13 0 X '8Z,',15 P R ill I' $ 2100, 00 ifil 06/063/93
111 00 ill QJbI001921
AKL USWLULJ OR
31�1T'l�F%C.fi 3F2 NOT 0,N] F'I L L
np
REQU I RP.1/% IN 11 1 ON
41sPiIC64t dji'fei t1i iMj,iy filth All the Nies and r#jk1l&t.C1'0 Sewev. InspecLiorl
tpe Lu'lito 5toage Agency, The pvl�t fKpirts W4 daY5 from
aatf The total avo'wit paid i- forfeited i I the
iit Expires. The AQ1nL-y dors not 9- 4 the accv-au of thp
,(l sewer late"4111. V the sewer
. s 11 '�Attd at tt#t leawtoler'!
.L,eri, tht Installer 0,vi: prosper.`
ail directions tiros
Al iO it nst�ller shall purchase
F De.
Call fog, insOPCtiot) 6 3 r3_.41-01b
0
CITY OF' TICARD — RECEIPT OF PAYMENT RECEIPT NO. :93-241062
CHECK AMOUNT z 3613. 94
AME s SKYLIGH1 HOMEBUILDERS CASH AMOUNT 0. 00
ADDRESS a PAYMENT DATE z 06/08/93
SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
6U—ILDli�iPERM 468. 00 PLUMBING PERM 147. 50
MECHANICAL VIE 40. FPO ST. BUILD PER 32'. SI
PLAN CHECK FE 10. 13 SEWER USA 2100. 00
SEWER INSPECT 35. 00 PARKS SDC 500. 00
STORM DRAIN SDC 90. 00
OT 59 RIVERVIEW EST
116546 SW 1.03RD
OJAL AMOUNT PAID — — — — --;613. 94
. y
l
PLNCK RECT #
CITY
131?S SW Hall blvd. �
TI G-.A�RD rb.�a orc�«,97MPERM PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT
(W)63"171 DATE ISSUED
JOB ADDRESS: l L I(„ /C) �� �Il TAX MAP/LOT Zs( lg6C KVOS-
SUB: NwCi2`'1eLOT: LAND USE: �' P� -- -
VALUATION:
OWNER SPECIAL NOTES
NAME: SYS por»i- 6U)l��f;c7J c o _ REISSUE OF: ` :1 2Le&
ADDRESS: ro 9Qf 5, LAST REISSUE:
vjv-ri ). amt FLOOD PLAIN/
PlIONE: ^6 C 7`) _ _ SENSITIVE LAND:
CONTRACTOR_ APPROVALS REQUIRED
NAME: � � _ PLANNING: �1Uk�
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: OTHER:
CONTR. BOARD #: EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: lv�l( a�? - _ LIST,,/SUBCONTRACTORS:
MECH: A)uc 1ac NAL --- BUS TAX: _
ARCH ENGINEER CALCULATIONS:
NAME: -�� klZ — TRUSS DETAILS:
ADDRESS: OTHER:
(L'
PHONE.
�-
J
-r
w PROPOSED BLDG. USE:
w COMMENT$: nLnI/ T-
��'� � � --
f4, T SIGNATURE
Received By: ` �'� gate Received:
f '
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
M5 --03ok 10-432 00 Building Permit Fees
10-43I 00 Plumbing Permit Fees v ,v .7, 5-V
10-431 01 Mechanical Permit Fees :v
10-230 01 State Building Tax (5%) 3 L
Building 0
Plumbing 7
Mechanical 2, 03
10-433 00 Plans Check Fee
Building
Plumbing
Mechanical /0
10-230 06 Fire
5,u2�3 -u' S5 30-202. 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-G5 Mass Transit TIF Fees
52-449 00 Parks System Oev Charge (PDC) S�7 S�V
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of) _
TOTAL.
6-7
nm/358711.Will
TRAFFIC IMPACT FEE
Installment Payment Application and Disc°osure Statement
In the Matter of the Traffic Impact Fee for Skylight Home Builders
Tax Map 2S114BB _ Lot Number(s) 59 Building Permit# MST93-0308
Site Address 16546 SW 103rd Subdivision Riverview Estates _
Case File # SUB90-0014 TIF Land Use District_R-7 PD
To Be Billed To: Skylight Home Builders Co. _
Address: PO Box 2315, Lake Oswego, OR 97035 Phone #: 636-2994
To the City of Tigard:
In accordance with the provision of Oregon Revised Statute 223.208 and Washington County Ordinance
No 379 which relates to the imposition of a traffic impact fee for the financing of major collector roads and
arterials of Washington County, I/we HEREBY MAKE APPLICATION AND AGREE, JOINTLY AND
SEVERALLY, to pay my/our traffic impact fee, as has been determined by Washington County Ordinance
No. 379 in 10 semi-annual installments of the amount financed together with one-half of one year's
interest thereon at a rate of 7.35 annual percentage rate on the unpaid amount owed. The lien date is
the first day of the month following the date the application is signed. The first payment is due six months
thereafter and at six (6) month intervals thereafter for a period of 5 years. Each installment payment will
include principal and interest.
If hwe neglect or refuse to pay any part of the installments provided herein, including interest, within one
(1) year after the same shall have become d,je and payable, then the whole amount of the unpaid
assessment shall become due and payable at once and shall be collected in the manner providrj by law
including foreclosure on the above-described real property.
The traffic impact fee, annual percentage rate of interest (%.35%) and finance: chargds which I/we agree
to pay are as follows:
HIGHWAY T RANSI
1) Amount of Traffic Impact Fee . . . . . . . . . . . . . . . . . $ 1350.00 _ 110.00
2) Amount Financed . . . . . . . . . . . . . . . . . . . . . . . . . $ 1350.00 110.00
3) Equal Semi-Annual Principal Payments . . . . . . . . . $ 135.00 11.00
4) Interest on Balance at Rate of . . . . . . . . . . . . . . . . 7.35 %
I\We underst hat the amount owed, as stated above, shall be a lien on the above-described subject
property ua to Washington County Ordinance No. 379 Section 6 (D) and ORS 223.230.
DATED s 8th day of June. 1993.
.t
Sign re of Property Owner(s) Signature of Property Owner(s)
i
sidWE'OF 606(A ) Name (Please Print):«
co -.5.r,, ( I' I-�'� .1 ) Address:
Cbpnty of Washingt&r )
8608dRIBEC AND SWORN TO BEFORE m 'this day of , 19
e
Public for Ore
My Commission Expires:
bgn�Norua