13881 SW FANNO CREEK DRIVE ADDRESS:
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i.\records'�micrctlm\targetslbuildirig.doc
WASHINGTON COUNTY
Departm ,lt ofLand &Tran atlonELECTRICAL PERMIT
%i Electricr,l Ins n Sect'o APPLICATION
155 fJorth t Aven 50-I2
Hills r ,Oreg�ol' 1'_3
Information: ( ills ,
FAX: (503) 693-4412
, Permit - - Q
. . QQQe#NRI , . . Number _ _ 1_ Date
1. L0Cal"Itallatio 4. Complete Fee Schedule below
Address es _l ms . _rU I_I L 0--Cm �. ? . Number or Inspections per permit Allowed
r.._ Building Service Included: Items Cost(ea.)i Sum
yA
Cit � 3 Suite No._— ___--
Tenant Name A. Residential-per unit
(if commercial) -_�.._. - _L $110.00 �DU_____. 4
1000 sq.h.or less 1l,,
Ma No._--------Tax Lot _ —_____ Each additional thereof
sq.ft o d
Map ------- or portion thereof $25.00
Limit-:]Energy ___..._ $25,00
Thomas Map Book; Page:__ _ ..-_._v-__ Section:_________ Each Manufd Homs,or Modular
___
Directions454t --- ___ - Dwelling Serv.:e or Feeder __— $68.00 2
' B. Services or Feeders
Commerciar -,1
Commercial!L_ Residential❑ Installation,alterations or relocation
200 amps or less - $60.00 ---- _- 2
2a. Contractor installation only: 201 amps to 400 amps $80.00 _ 2
401 amps to 600 Pmps $120.00 __ 2 •
Electrical Contractor. J�'tri_ �r_�52�_. Rot amps to 1oo0 amps $18000 �.. w_ 2
Address �1r— .�.-- Over 1000 amps or volts $340.00 _.__ - 2
City _fir_ State .L2 ZIP_ 1 Reconnect only -____ $5000 __— _—_ 2
Date_Se __ Job Number — __.__
Property r _� ___ _ C. Temporary Servicrs or Feeders
Contractor's LIC6nse No. __. C.__ Installation,alteration or reln,ation
200 amps or less -__ 950 00 _ _ 2
Contractors Board Reg. No. --
201 amps to 400 amps _ $75 uu -_ ?_
Jot ernes to 600 amps ____-_ $10000 --_-. 2
Signatur@ of Su f. .1 Over 600 amps to 1000 voh ee"U'above
License No._1 Phone . °5 7 g- Al �t�e*
G'. Branch Clrcl.lts
2b. For owner installations: Nev alteration or extension per panel
n) i ce iee for branch circuits with
Writ oar's ame �- Phon-e No J� pi rchase of service rn feeder lee.
each brnr!_6 circuit __- - $5.00 2
A3c�ess o) The fee for brr..}cfi circuits without
purchase of service or feeder fee.
.t-ate p First branch ci+cuit _-_ $35.00 __ 2
Each add'nl branch circuit^_ $5.00 _ ?_
The installation is being made on property! own E. Miscellaneous (Service or Feeder not included)
which is not intended for sale, lease or rent. Each pump or irrigation circle _ -_ $40.00 2
Each sign or outline lighting $nO.00 -__ 2
Owner's Signat ire _-- -__ - _ �._. Signal circuits)or a limited
energy panel,alteration
3. Plan Review section (if required) or extension _--- $40.00 ___—_� 2
Please check appropriate Item and enter fee In section 5B. F. Each additional Inspection over the allowable
�.4 or more residential units in one structure in any of the above
per inspection $35.10
Service
arid seeder, 800 amps or more Per hour - $d5.01
_System over 600 volts nominal In Plant —
Classified area or structure containing :special
occupancy as described in N E.C. Chapter 5 d. Fees
a'd
Submit 2 sets of plans with applicedon where any of the A. Enter total of above fees $ z�-
above apply. Not required for tem;»rary construction 5% Surc`targe (.05 X total fees) $
services. Subtotal $
r
This peg Arlt becomes null and void If the work authorized by the permit Is B. Enter 25% of line A for
not comr,enced within 180 days t.:)m date of Issuance o1 such permit or Plan Review it required (Section 3) $
If the work authorized Is suspended or abandoned at any time after work Subtotal $ _
Is commenced for a F Nod of 1 a0 days. Electrical Pen,ilts are non- $
refundable and nontransferable. 1 Trust Account
_- J t Balance Due $ �_,
�-u�s►pe�t►n,�sre,ll.. �
24-hour recorder, one working day In advance of need
BL28 3(95
I!
CITY OF T I GAPi7 - RECE=IPT Ur-' PAYMEN'r RE'CE 14^T NO. 0 95--P66558
CHgi-,K AMOUNT a 1.68. 00
NHvsE F.-VANS; Erl_.C:.CTRIC, l'NC. CASH AMOUNT s 0. Oki
ArIDP SS , 11867 SW WILTON AVE'NI..IE, PAYMENT DATE 0h/0+9,
17283—
PURPOSE OF PAYMEP AMOUNT PA I[; PURPOSE nf7 PAYMENT AMOUNT V,A f C4
V.LF-.Ul OICAI.- PFRMIT 160. 00 ST. BUILD PER fa_00
I TE t 1:2,88 1 SW FANNQ CREEK
TOTAL AMOUNT PAID 168. 00
CERTIFICATE OF
CITY OF TUVARDOrkD PEPM1,T 0. . .OCC "'. . : MST93 00-1.7
COMMUNITY DEVELOPMENT 0EPARTMENT DAtE ISSLIEDz 06/03t�rrj
13126 SW Nd!Blvd.Tigard,Oregnro 87223M810 (603,830-4171 _
I T'E ADDRESS a 13881 SW FANNO LREEK DR
SUBDIVISION. . . . s PR DGLPARK ZONINGiR-;>
BLOCK. . . . . .. . . . . LOT. . . . t��
C:i_F1SE, OF WORK. aNE:b: .•_�...___._.�.__.____�__.......Y._.._......._....__ .. ...__...,.
TYPE OF (I03E. . . iS;-
OCCUPANCY ORP. 3 R 3
DCI.I.iPANICY DIAD s 224 4
1-4-INT NAME. . . 3
Hemaarl,s3 PATH I
RIVERSIDE HOMES. I Nr-
15455
C154655 NW GREE NBR I E R PKWY
it 140
BE.AVERTON UR 9700n
Phone *e 6461--0986
RIVERSIDE HOMES INC:
15455 NW GREE.NBRIFR PKY
SUITE #141
BEAU�P'FCIN OR c 406-57Qfl
1''hone #2
Rey M. . s 7006 ;
This Certificate cartAfiea that thw above referenced building or portion
thermof has been inspected for compliance with the Tigard Br_li ldi.ng rode
fur• *he_ group and division of nccUpancy ,and use for which the
efTrenced Permit was is sr.led, and orcupanr_y is hereby yr ante,i.
BUILDING INaPEC;TOR � BUTLC► NG OFF'' IAL.
POST IN CONSP I CUUUS PLACE I
CITY OF-TIGARD BLGLDING INSPECrrON NOTICE
Inspection 1.04 t9ec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in A*acc
Foundation Plbg. Underslab Mech. Rough in F
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line
Plbg. Underfloor Rain Drain Framing Plumb.
Aiarrn Water Line Insulation
Underflr. Insul. Shear Wall Gyp. Bd. Elect. /
Date Requested:_ Tims: AM PM
Address: � �'',lop
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector,."
nsp�ector: Date:
J_, CK PROVED ._DISAPPROVED —APPROVED SUBJECT TO ABOVE
`Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Bu<Jness Phone: 639
Inspection:
Footing Susp. Gering Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elect. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Lineg
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Datu Requested:_�lTime: AM PM
O r
Address:_1 � c� ED
,.—_
Builder: Permit �: J 1 �--'C�'
THE FOLLOWING CORRECTIONS ARE REQUIRED:
//YS
G�DE'/�
Inspect r -- Date_ Z�—�—�
Aflf'R( VFD —r)ISAPP OVED APPROVED SUBJECT TO ABOVE
al' For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 52x4171
Inspection:_
Footing Susp. Ceiling Sprink Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg
Plbg. Underfloor Rain Drain Framing Plumb
A!arm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. E!oc��
Date Requested: 7 1 Z 1 4.5 Time: AM PM
r �Address- 3
Builder: cj Permit #: ,�.0 �jS-Od�y
THE FOLLOWING CORRECTIONS A E REQUIRED:
—
Inspector: r S� a ��Il Date:7-1
Z
—APPROVED _—DISAPPROVED 4 PPROVED r,03JECT 10 ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171
Inspection.-
Footing
nspection:Footing Susp. Ceiling Sprink. Rough-in /Sdwl !
Foundation Plbg. Underslab Mech. Rough-in e
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Suver Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - lump
Alarm Water Line Insulation -Mech.
Underilr. Insul. Shear JWall ( Gyp. Bd. -Elect.
Date Requested:_ / -�( t �j_S Time: AM _PM
kidress:� �Q�--
Buiider. Permit t1:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: _ Date: L��1�
PRJVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone). 639-4175 Business Phone: 639 4171
Inspection:_
'Footing ' S,isp. Ceiling Sprink. Hough-in"* J /a�_ a
Foundation Plbg. Underslab J Mech. Rough-in Fireplace#�
'Post/Beam Struct. J Plbg. Top Out Elec. Rough-ini�. FINAL:
'Post/Beam Mech. San. Sewer a Gas line sBldg.
Plbg. Underfloor ' Rain Drain , Framing J Plumb.
Alarm-* Water Line Insulation -J-Mech.
Underflr. Insul.-k iShear Wall Gyp. Bd J-Elect.
Date t1equested: v �a(1 S Tirne: AMI PM
Address:__L_-; yYl� KLe —
L
Builder: Permit #: S —Uv 7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-
cf,lvb
_ Al
,) erb
Inspector._—_� Date: r
_APPROVED _DISAPPROVED C- APPROVED SUBJECT 1�
—Cali For Re;nsp.
CITY Or TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 9.4171
Inspection: '1
Footing Susp. Ceiling Sprink. Rough-in ppr/Sdwlk
Foundation Plbg. Uncle,slab Mech. Rough-in Fireplace
PosvBeam Strict, Plbg, Top Out G ic. Rough-in FINAL:
Post/Beam Mech. San. Seger Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall yp. B -Elect.
Date Requested: 12 c�) "� Time: AM _ PM
l
Builder:, ze .-� —7 y�LL!Permit #: -5-00
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors Date:
LAPF'ROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639- 75 Business Phone: 639-4rl
Inspcct;-,n•_
Footing 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. Underfloo. Rain Drain Framing -Plumb.
Alarm Water Line .Insulations -Mech.
Undurflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: �p�y- Time:I�/"M PM
Address:—/
KV
�.3 fa-k-L �_P f_ 0,-•
BuiIdei 1 r Y! /)/Y-✓sl O'k Permit
THE FOLLOWING CORRECTIONS ARE ED:
Inspector: Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639
i
Inspection:_��/�
Footing Su:3p. Ceiling Sprirk._Rougb_jn Appr/Sdwlk
Foundation Plbg_ Underslab Crch. Rough-in`\) Fireplace
Post/Beam StrucPlbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. TRairn":�Yr`aF:�
Gas Line '31dg.
Plbg. Underfloor Framing �� -Plumb.
Alarm Lid_ Insulation ?*C -Mech.
Underflr. Insul. Shear Wall Gyp. Bd, y „� Elect.
1 h'
/
Da+.e Requested: Time: AM _PM
Address: /3 FF 7' �f.2_*t_-n_t7 C/u E O/,.
Builder:� _115.�_ /� � LPermit #: f�t�7T95- 007 J
THE FOLLOWING CORRECTIONS A REQUIRED:
Inspector: Date:
PROVED —DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
I
t
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec O-Phone): 639-4175 Business Phone, , 39- 171
I
Inspection:
Footing Susp. Ceiling Sprink. Rough-in A /Sdwlk
Foundation plb bMech. Rough-in * Fireplace
0IiBpam —i�cam, �Plbg. p Out > Elec. Rough-in FINAL:
each. San. Sewer Gas Line -Bldg.
bbq. Underfloor Rain Drain (—_Framing� Plumb.
Aiarm Water Line Insulation -Meeh.
Undertl,•. Insul. Shear Wall Gyp. Bd. -Eleq(*(i(�
Date Requested. /_ll Time::�K _AM -?' M77`"'
Address:t"F/ /"_vt L1 CA-Xx— _ O•-- --
Builder:/(?- �u� �"'t-G� _Permit #: Yn-55-00-17?
THE FOLLOWING CORRECTIONS ARE REQUIRED:p. 2
/S/Ci/
t
r i p yti
Inspector: Date:_
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call Fo, Reinsp. �i�t
CITY OF TlnARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Seam Struct. Plbg. Top Out �Ele�ine
h FINAL:
Post/Beam Mech. San. Sewer \ aBldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Dto Requested. fimeAM PM
,
Builder:_�/-.0 y -; jV e F d� Permit #:,5_4c
THE FOLLOWING CORRECTIONS ARE REOLORED:
,i-
--------------
r
Inspector. ` -t Gj
. 'late:
APPROVED `DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp. _ -�
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab ec . Rou Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rou h-in FINAL:
Post/Beam Mech. San. Sewer ?Frami
Line -Bldg.
Plbg. Underiluor Rain Drain g -P7ti mb.
Alarm Water Line Insulation
Undertlr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: _TimerAM PM
Address: 1 ( cei
'7^ Ck Dr
Builder: , V C Is, er etl:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_ ,[/� Date: _ Sr
--v
_APPROVED <-DISAPPROVED —APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 63 HT1
Inspection:
Footing 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 Drain Framing -Plum' .
Alarm Water Line Insulation -Mach.
Undertlr. Insul. ear ' Gyp. Bd. -Elect.
Date Requested: / ��— �l Time:4AM PM
Address:_-/y l _ '" l ' yl Ci lTi1/ &-L,
Builder PemtR li:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date: L`
OVED —DISAPPROVED APPROVED SUBJECT TG ABOVE
lCnII For Reinsp.
CITY OF TIGARD BOLDING INSPECTION NOTICE
Insoection Line (Rec-O-Ph : 639-417E . Business Phone: 1
(R
e
Inspection:_�-.- le�4'4_,1111
Footing Susp. Ceiling p ink. 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 main Drain' Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested: r /� Time: AM PM
Address: z ��
Builder: Permit #: LlJ�� `J S-�O 7(P
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_ _�� Dater- G
VED `DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Flec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: 'Ll ':x.. �-
Footing Susp. Ceiling Sprink. Rou -in Appr/Sdwlk
Foundation Plbg. Underslab Mech, Rough-in Fireplace
Post/Boam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. Elect. _
Date Requested: Time: AM ��PM
Address:
Builder: -?•� c� Permit
THE FOLLOWING CORRECTIONS ARE REOUIREL.
In ector: _ Date: �Z
APPROVED DISAPPROVED APPROVED SUE 'r TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 9 171
Inspection: &-)-2y'J'�t usp. Ceiling Sprink. Rough-in APP r/Sdwlk
Vo ndatipil Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gae Line -Bldg.
Plbc 'nderfloor Rain Drain Frariing -Plumb.
Alarm Water Line Insulation -Mech.
Undertlr. Insul. Shear Wail Gyri. Bd. Elect.
Date R uested.
/i y Time:--AM PM
Address: / _3c, Sl i12 C� C.�' —.
Builder. _ Permit #: 17
THE FOLLOWING CORRECTIONS ARE REQUIRED-
Inspector: Date:
—APPROVED _DISAPPROVED __APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
C 1 M R T Kff; T
PERMIT . . . . . . . . MST95-00 7
CITY OF TIGARD DATE ISSUED: 03/10/95
-1 CTPORLEL.
41NITY DEVE�Op,.MER P5P
%'tTkW�AK DR
W 0j 61",
ZONING: R-7
DLOCK. . . . . . . . . .
LOT. , . . . . . . . . . . .
CLASS OF WORK. . :NLW GARLAkGE DISPOSALS. . I
TYPE OF U3E. . . . :SF WASHING MACH. . . . . . . : 1 BOLKF.LOW F-'RLVN f NS.
OCCUPANCY (IRP. . :R;3 f LOOR DRAINS. . . . . . . to )- RAGS. . . . . .
6'1 U R I ES. . . . . . . . :2 'DATER HEPTERS, . . — . : 1 CATCH bA.;lN'.'-: :0
FIXTURES--------------- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1
SI NKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
LAVATORIES. . . . . ..4 OTHER FIXTURES. . . . . ..0
TUB/SHOW-R3. . . . SEWER LINE (ft) . . . . :0
WATER ci-osurs. . VOTER LINE (ft ) . .. . . : 100
1)1 SHWPTHE RS. . . . it ROIN DRAIN (ft) . . . . .0
kemarks : PHIH i
OWN12 -- ---------------------------
0. --
RIVERSIDE HOME,-,, INC I-If > 1550. 00 JD 03/10/95 5--2&2 7 5
15455 NW GREENBRIER PKWY SWM $ 180. 00 JD 03/110/95 95--262745
# 1r+0 Swil 100. 00 JP 03/10/95 93-262745
'j
BLHVERTON OR 91006 BPRT 5 463. 00 JD 03/10/95 95-262745
Phone #; 645--v-1 66 BP'LG 1 50. 00 KAR 11/06/94 94--i2585i2'4
85PC 4 23. 15 JD 03/10/95 95 .26E745
Plumbing Contracto� PARK '100. 00 JD 03/ 10/95 95-262745
c-:r7 W1 MPRT t 40. 50 JD 03/10/95 95-262745
Name: 110. 13, J D -`6'745
-E-U 03/10/95 95C� r.
Address -_L4ao 03/1 QT/95 95-262745
M5PC 2. 03 J D
City- Is I-A I-H $ 0 0 J1) 0. /l0/95 9".j-262745
L 1 p: 9 I-br-L 11- d5 J L) O;6/10/95 96-26L/4b
—
Req Additional fees not shown here. . . . . . . . .
REQUIRED INSPECTIONS
11-13.� permit is issued sl.(bject to the reg.-
ulations contained in the Tigard Municipal Fonting Insp Insulation Insp
Lode, (:)-tate of Ure. t3pecialty Codec and ;.i.11 F- OIATICIItlon lnsp Gyp Board Insp
other applicable laws. All work will be done Host/beam :,truct Rain chain Ins(.:
in accordance with approved plans. Tris most/beam Nechan Water Line Insp
permit will expire if work i-, not started Crawl Drain Water Service In
within 180 days of 1,- suance, or if wol,k is F I m /i..tnd s i rd) Insp Appv/Gdwlk In
suspended for more than 180 days. ':LM/Underfloor Mechanical Final
Mechanical Insp Plumb Final
Plumb 'fop Out building Final
Freming Insp Erosion Contv-ol
Fireplace Insp
Gas Line Insp
bii--g Contractor Signat.i-ere
Call for inspection 639-4175
LontrAc-,tor Plates :
OF TIGARD PERMIT'S##. . . . . . . :
TER PERMIT
(ow'W"ITY MST95-viQi7�'
COMMUNITY DEVELOPMENT DEPA10"MENT DATE ISSUED: 03/10/95
13125 BW HaN Blvd.Tigard,O►pon 07223.81 D (503)630.4171
PARCEL: 2S102Db•-BP00
":ITE ADDRES'w. . . 13881 SW 1 i4NN() CREEK DR
'iUSDIVISION. . . . : BRIDGEPARK ZONING: R-7
;.1LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .002
------------------------------------- BUIL.
DING
-cE I SSUL:MST•95--006 7 DWELLING UN I TS s 1 BASEMEN l.. . . . . . . . :0 s f
_.LHSS OF WORK. :NEW BEDRMS:3 BATHSe3 GARAGE. . . . . . . . . . a461 sf
-YPE OF USE. . . :3F FLOOR AREAS----------- REDUIRED SETBACKS--- -___.___-_
TYPE OF CONST. e5N FIRST. . . . .- 1283 sf L EFT. . a 10 ft RIGHT. :5 ft
OCCUPANCY GRP. :R3 SELOND. . . :3d9i sf 1=h1)NT. s20 ft REAR. . : 15 ft
STORIES. . . . . . . :2 FINBSMENT:O sf REQUIRED-------_____________
HE IGHT. . . . . . . . :24 ft TOTAL-------: 1612 sf SMOKE. DE'TECTORS. :Y
FLOUR LOAD. . . . 140 ps f VALUE. . . . . t, : 111732 PARKING SPACES. . : 1
Remarkst PATH I
PLUMBING
SINKS. . . . . . . . . . el FLOOR DkAING. . . . :0 BACKFLOW PREVNTRS. . : l
LAVH I URI E.S- . . . . s4 WATER HEATERS. . . e 1 PAPS. . . . . . . . . . . . . . :0
TUB/SHOWf-ps. . . . :2 LAUNDRY TRAYS. . . :0 CA1 f-,H BASINS. . . . . . . :0
WA f k_hi L,L,)PL'T S. . ::3 SEWER LINE (ft) . 10 GREASE TRAPS. . . . . . . t O
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISF, , , : 1 RAIN DRAIN (ft) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
---- _ _-_- - - MECHANICAL __._.---- --_____.._.._- - - - _ ___ ___. F- ES - - -_ - ---- -_
FUEL. 1"Yf-'C:S- --------- ',NIT HTRS. . :O type amol.mt by date r^ecpt
/GASI/ / / VE14TS . . . . . :0 TIF $ 1550- 00 JD 0311V1/95 95-262745
MAX INPUT:0 BTU VENT FANS. . :3 SWlrl b 180- 00 JD 03/10/95 95--262745
FUHN < 100F . , : 1 HOODS. . . . . . t 1 SWM $ 100. 00 JD 03/10/95 95--262745
TURN ) -10Pt; . . :0 WOODSTOVES. :O BPRT $ 46 3. 00 JD 03/10/95 95--262745
FLOOR FURN. . . . i@ CLO DRYERS. : 1 BPLC $ 50. 00 KAR 11/08/94 134-258524
BUIL/CMF < 3HP:O OTHER UNITS: 1 B5PC $ 23. 15 JD 03/ 10/15 95•-262745
GAS OUTLETS: 1 PARK f 500- 00 JD 0.3/10/95 95-262745
Owner: f 40. 50 JD 0:3/10/95 95-•262745
iiIVERSIDE HOMES, INC HPLC $ 10. 1:3 JD 03/10/95 95-262745
15455 i%!W GiREENBRIER PI{WY M5PC $ 2. 03 JD 03/10/95 95--x:62745
# 140 3BTH t 225. 00 JD 03/10/95 95•-c'62745
F,1'7.f.VERTON OR 97006 P51=C 'k 11. 25 JD 03/10/95 95--26L745
Phone 0: 645-0986 EROS S 64. 00 JD 03/10/95 95-262745
L o n t ract or: - -----•------------------.------ERPC f 0--0. 80 JD 03/10/95 95--262745
RIVERSIDE HOMES INC ERPC $ 20. 80 JD 03/10/95 45-262745
154`55 NW GRE'LENBRIER PKY BPL_C f 50. 00 .JD 03/10/95 95--262 '4`5
SL11IL #140
BEAVERTON OR 97006--5700
Phone #:
Mpg #. , 70065
3310. 66 TOTAL
lis perrit is issued subject to the regulations contained in the ------ - REQUIRED INSPECTIONS -__..._._.. .
llgard Municipal monde, State of Dre. Specialty Codes and all other Footing Insp Plumb Top put
applicable laws. Pii Mork will be done in accor < ce with approved Goundation Insp Framing Insp
plans. This peroit will expire if work is not shed within 180 Post/Beam Strict Fireplace Insp
days of issuance, or if Mork is s.ap d d 4oren 180 days, Frost/Beam Nect an Gas Line Insp
Dr,.ain Insi.ilation Insp
Per•mitt:ee ai n tI-sre : /� I•Ilm/l.u1dslab Insp Oyp Boal-d Insp
PLM/Underfloor- Rain drain Insp
sI-ted N ' l - �- ih ec h a n i u a i L�p Water^ I_ I n e (n s I
Call for inspection - 639-4175
SEWER CONNECTION
CI1vh OF TIGARD PERMIT #PERMIT. r SWR95-00 76
COMMUNITY DEVELOPMENT DEP INT DATE:: ISSUED: 03/10/95
13126 SW H&H MO.Tlgwd,Orpon 97223.8100 (603)039.4171
PARCEL.: 2S 102DD-••BP00C-:
SITE PDDRF .�5. . . C 13881 SW F=ANNO CREEK UR
SUBDIVISION. . . . t NRIDGE:PARK ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :001-f
----------------------
TENANT NAME. . . . . .
USA NO. . . . . . . . . . . F• I X TURE: UNI I S. . . .
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
'f ypE OF USE. . . . . :SF NO, OF BU I LD I NGS: 1
LNST'ALL TYPE. . . . :BUSWR IMPERV SURFACE. . :
Remark, : PATH 1
RIVERSIDE HOMES, INC type amount by date recpt
15455 NW GREENBRIER PKWY PRMT $ x'=00. 00 JD 03/10/95 95-262745
# 140 INSt x Oar JI) 01:3/10/95 95--262745
BEHVERIUN OR 97006
PFrone #: G45-0966
CONTRACTOR NOT ON FILE
Phone #: $ 22-75, 00 TOTAL
Reg #. .
REULI I RED INSPECTIONS
--- --This Applicant agrees to coeply with all the rules and regulations Sewer I n,peat x on
of the Unified Sewage Agency. The hereit expires 180 days from _ �_—
the date Issued. The total amount paid will be forfeited if the _ _ -
perait expires. The Ngency dues not guarantee the accuracy of the
side sewer iaterale. If the sewer is not located at the stas,ireeent
given, the installer shali prospect 3 feet in all dir•ectirns fro
the distance given. If got .o i)cated, the installer shail purchas
a "Tap and Side Sewer" Pewit i:nd t iii iflTnali a a er 1.
rmittee jj_g nat1_u^e :
Call for inspection - 639--411b
A City of Tigard Residential Building PerAp IR icaltion
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
XJobsite Address: t�4,0,e
`.3J��� <<� rry•,a F�
-/' Subdivision: -! v [, Lot# d�" Abe Use Only
'Vz -- PlancklRec#
Valuation: L'
Permit
Comer Lot? Y �
l Rem a of
Flog Lot? Y �)
Map & TI, #, 51 C� g43 P
tJCi`G
/owner: �� -Gl Ute, ����_-C.Q�2� . Approvals ReoulMd
Address: Planning
Engineering _
Phone: Other
,-//Contractor: Itbms Required
Address: 90bwntractors
Truss Details :
Phone: Other
Contractors License #
(attach/copy of current Oregon license)
Contact Name Phone:� �XJU ( {CHC
6�T'09,%,
Subcontractors: ArchitectlEnginser:
L/iPlumbing: _ Address:
V Mechanical:
(attach copy ofurreeT nt OR Contractor's License)
Phone:
JOB DESCRIPTION: _
---- 7
Applicant Signature & ne number
Received by: \ Date Recelved:
N:IW R=0MOEVdREUPP
Permit d Account Description Amount Amt Pd. Bal. Due
4i S-,007.1 Bldg. Permit (BUILD) �fro3 4
Plumb. Pormit (PLUMB)
Mach. Permit (MECH) "/d, U Su
State Tax (TAX) X36,y3 / 3 6 Y
Bldg: o�
Plumb: L i
Mach:
Plan Check j (PLANCK) /�V`/� -2 JZ �3 9.br7
Bldg: JU 1L S�GSC.l i"t
Plumb:
Mach: /U
Sewer Connection (S'NUSA) v v Z
Sewer Inspection (S"INSP) L. 3
Parks Dev Charge (PKSUC)
Storm Drainage Chg (SDSrJC) d J
Residential TIF (TIF-R) v_l
Mass Transit TIF (TIF-MT) 2-V_
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Instititional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT) _
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN) _ .d71 ,
Erosion Planck/COT (EROSN) I?/
TOTALS:
CONS TNG ENGINEERING SERVICES NQ
14780 S.W. OSPREY ORNE. SUITE Sas
BEAVMTOK 0R 97007 (503) e46-4509
s,yy FAAO
20' .
5'
p
O `1
�7-,A
a+
15 \
DIMENSION DOES NOT
AGREE WITH PLAT
DATED MAY 15, 1994
FRONT - 20'
SLOE — 5
STREET *
— 10 BRIDGEPORT LOT
�� — 15'
5.871 S.F.
CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. s 95-26r 7 45
CHECK AMOUNT 5295. 66
NAME RIVERSIDE HOMES INC CASH AMOUNT 0. 00
ADDRESS s 15453 NW GREENBRIER PKWY PAYMENT DATE s 03/10/qS
SUITE 140 SUBD I V T S I ON
BEAVERTON ON 97006--
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
IBUIL.DING PERM MST95-0077 463. 00 PLUMBING PERM P-25. 00
MECHANICAL PE 40. 50 ST. BUILD PER 36. 43
PLAN CHECK FE ---139. 87 SEWER UeA SWR95-0076 E200. 00
SEWER INSPECT 35, 00 PARKS SDC 500. 00
C,Tl-.)F?M DRAIN SDC 280. 00 RESIDENTIAL. TRAFFIC FEES 1430. 00
MASS TRANSIT TIF FEES 120. 00 EROSION CONTROL PERMITFEE 64. 00
F--ROSION CONTROL. PLAN CK 2-0. a o EROSION CONTROL 20. 80
OPIDGEPARK LOTS 2, 3, 4, 5-, 8, 9
TOTAL. AMOUNT VIA I D C--'9 rp 6F-