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is\records\microflm\targets\building.doc
CITY OF TIGARD
OREGON
June 1, 1995
�> 3 3
Rid:. BUILDING PERMIT # f Y) _� f l y 7
! 4f O 33-2—
Inspection(s)
JInspections) have been conducted on this project . However, we
have no record of any subsequent or final inspections within the
past 180 days .
Please note tr?.at permits nev.,:iie void if there has not been an
inspection pe,formed for over 180 days . In that case, th-2 Building
Division may require a new application and fees to con'_inue work.
A noti r"a of non-compliance against the property rr,ay also be
recorded by the City.
Please advise the Building Division, IN WRITING, within 15 days of
this letter, the status of this prc,ject . You may reques-
additional time to complete the project .
Respond IN WRITING to: Building Division, 1312.5 SW Hall Blvd. ,
Tigard OR 9722? . Be sure to include the following information :
1, uuil.ding Permit #.
2 . Address of property.
3 . Your name .
4 . Your phone number 8 : 00 a.m - 4 : 00 p.m.
If you are ready to schedule your next inspection, please call. our
24-hour Inspection Recorder at 639-4175 .
login\add_inspect ions
13125 SW Hall Blvd., Tigurd, OR 97223 (503) 639-4171 TDD (503) 684-2772 -
INSPECTION NOTICE
city of Tigard Building Deparcnent
13125 SR Ball B)d. Tigard, Oregon 97223
Inspection Line (Rec Phone;. 639-4175 Busing" Phones 639-41
a�'l
Inspection:^_,__-__ �� —'—'—"
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gna Line FINAL:
r� -Bld
poet/Beam Struct. San. Sewer lkraminq' / g•
Post/Beam M--ch. Fa1n Drain Ineulatiun -Plumb.
Plby- Underfloor. Nater Line Gyp. Bd. -Mech.
Date Requested: ` Tom= - PM
Addrusa: S-1 /`�'�/j,�� v `'v__ Permit
Builders _C?
THE FOLI,OMfNci ODRRECTIONS ARE REQUIRED:
Inspector: _�— _ -- -' Data:_ �'
APPROVirD DISAPPROVED APPROVED SUBJErT TO ABOVE
call For Reinsp.
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MASTER F'ERM1 r
13125 SW Hell Blvd.Tigard,Crogon v7223b8199 (503)639-4171 ►-1ER1y11 T #. . . . . . . : NISI`3 4-111.33-7
+; DATE ISSUED: 09/06/94
PARCEL: 21S1 14BC--02400
SITE ADDRESS. . . _ 1.Vi 1 SW R I VERWOOD LN
SUBDIVISIGN. . . . : RIVERVIEW ESTATES N0. c: ZONING— R-7 PI)
BLOCKN. . . . . . . . .. . . LOT. . . . . . . . . . . . . :061
BUILDING
REISSUE: DWI_LLING UNITS-0 BASEMENT. . . . . . . . :0 Sr
CLASS OF WORK. :ADU SEDRMS.0 RATHS:O GARAGE. . . . . . . . . . :0 sf
TYF-'E: OF USE. . . :SF FLOOR AREAS------------ REQUIRED
TYPE OF' CONST. :51\1 FIRST. . . . :300 S LEFT. . :0 ft RIGHT. :5 ft
OCCUPANCY GRP. :R3 SECOND. , . :22P1 G f i' RONT. :0 ft REAR. . :5 ft
STORTES. „ . . . . • : 1 F:INBS;MENT:O sf
HEIGHT`. . . . . . . . : 15 ft TOTAL ---•-- --- -:5`0 Sf SMOKE DETECTORS. :N
FLOOR LOAD. — :40 ps f VALUE. . . . . $ : 3900 PARKING SPAC:ESi. . :0
Remarks : ADDING A GTORAGE SHED 12 X 20
P-UMBING
SINES. . . . . . . . . . :0 FLOOR DRAINS. . . . :0 BACKFLOW L'REVNTRS. . :0
LAVATORIES. . . . . :0 WATER HEATERS. . . :0 TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :0 LAUNDRY 1RAY . . . :V CATCH BASINS. . . . . . . :0 �
WATER CLOSETS. . -0 SEWER LINE (ft ) . :r/! GREASE: TRAPS. . . . . . . :N
DISHWASHERS. . . . :0 WATEP 1_.INL. (ft ) . :0 OTHER FIXTURES. . . . . :0
GARBAGE DISi'. . . :0 PAIN DRAIN (ft ) . 0
WASHING MACH. . . :0 SF RAIN DRAINS. . :0
NECHANICAL - --_ _ _..________Y_____._.__... __._... FEES
FUEL
- - -------_._.___-
FUEL_ TYPES- ______._____ UNIT HTRS. . :0 type amoi.lnt by date recpt
VENTS . . . . . :0 BPR` $ 44. 5"71 JFT 08/24,191,
MAX INPUT.-O 3TU VF'NT FANS. . :0 BF'i_.L- $ 28. 93 :i;- T 0B/24/94
F-URN ( 100K . . :0 HOODS. . . . . . :0 B5PC $ 2, 23 JFT 08/24/94
TURN ) =100K . . :0 WOODSTOVE S. :0
FLOOR FURN. . . . :0 CLO DRYERS. : 0
BOIL/CMP ( 3HP:0 OTHER UNITS:O
GAS OLTLET'S:O
JOHN PHILLIPS
102J51 SW RIVERWOOD L.N
rIGARD OR 97244
F'hr o rr e It: 6120--x.:159
Contractor:
CONTRACTOR NOT ON FILE
k'hone #:
Reu
S 75. 66 TOTAL
This permit is issued subject to the regulations containea in the - -- REQUIRED INSPECTIONS -- -
Tigard Municipal Code, State of Ore. Specialty C des and al l other Foot/f o i_tn d 1 n s p
applicable lac,s. All work Nill to done in acc.^.-!ance with approved Fran' ng Insp
plans. This permit will expire if work is not .�arted within 180 Rain drain I n s P
days of issuance, or if work is suspended for re than 180 days. Bl.t i I d i n g F i nu 1
E.ros i on Can tr•o 1
F?e r m i.t: e e
1
SSI-led BY
�_ Ca 11 for ir)speUtion - 6;;9-4175 _
City of Tigard Residential Building Permit Application 9'(c _ 0
13125 SW Mall Blvd. s
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
Subdivision: Lai Lyr �� i'�i Lot# �^� � _ Office Use Omy
Planck/Rec # !
Valuation: �'�y'/
Corner Lot? Y kPermit # 1�1 y . _
F'ag Lot? Y N� Reissue of
Map 8 TL #
Owner: _ ah13 PN I U 161 Approvalc Reeuired
Address: ! �2T,� �)�� l LIx-iiY9 L Planning •� �i�>/
Engineering
Phone. CC rl_ _�f�) / Other
Contractor: �(' �1 r'L1��ir fes. —__ Items Rerauired
Address: _ A<, - 1-- � Vit _- Subcontractors
`' -- Truss Details
Phone: �.�.1! --- Othf�r --- —
Contractor's License # _
(attach copy of
current Oregon license) �
Contact Name & Phone:
Subcontractors: i�,�C ��' lrchitecJEnpin:nr:
Plumbing: _ Address
Mechanical
(attach copy of current OR Contractor's License)
Phone.
JOB DESCRIPTION: u ov !\ (L �Q FAY Aa)
Appli InSic;natuio a P nhld , number
Received by: 1 el < Date Recrived.
N MORMCOM U EV\RESAPP
Permit# Account Description Amount Amt. Pd. /i3al. Due
IA21�jLo33 Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. permit
State 'Fax (TAX)
Bldg: c*�•Z
Plumb:
Mech: !^�
Plan Check (PLANCK) C c��' y.3 Z C) ' v
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (P'CSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Masi Tri~sit TIF (TIF-MT)
Commercial TIF (TI F-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WQU,'\L)
Water Quantity (WQUANT)
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (ERO SN)
TOTALS: –250-0
September 2, 1994 CITY OF TIGARD
John Phillips OREGON
10251 SW Ri.verwood Lane
Tigard, OR 97224
Re : MIS 94-0020, Accessory Structure Application
I
Dear Mr. Phillips;
This letter is in response to your request to construct an
accessory structure . The Planning Division has reviewed this
request and found chat the structure complies with the height,
setbacks and square footage requirements for accessory structures .
The structure also complies with the Riverview Estates �!.C . & R' s .
Due to its design and location the accessory structure would not be
expected to encroach upon or interfere with the use of an adjoining
property or public right-of-way including streets, alleys and
public or private easements . The structure would also not be
expected to alter the rc:sidentiai character of the principal
structure.
Therefore the Director' s designee has determined that the proposed
accessory structure will not be detrimental or injurious to
surrounding properties provided that development which occurs after
this derision complies with applicable local state and federal
Laws .
This request has been approved subject to the following conditions :
A building permit shall be obtained from the Building
Department .
Please feel free to contact me concerning Ciis information.
Sincerely,
Mark Roberts
Assistant Planner
C. : Bob Thompson
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 ___
CIn" CSF TIGARD
COMMUHTY DEVELOPMENT DEPARTMENT 1�E # PERMIT
PERMIT #• • . ^ • • . IhST9 4
13125 SN Heli Blvd.T.geM,Oregon 97223.61119 60�3 639.4171 • --033. '
,�) f.1i1 DATE. ISSUED. 08/30/94
PARCEL. S 1 14BC-••02400
SITE ADDRESS. . . . 10iT:51 SW RIVERWOOD L.N
SUBDIVISION. . . . : RIVERVIETW ESTATES NO. t' ZONING: R-7 PD
BLOCK. . . . . . „ . ., . . L..0 f. . . . . . . . . . . . . :061
BUILDING REISSUE: DWGI_I.-I NG UNITS:0 BASEMENT. . . . . . . . :0 s f
CLASS OF WORK. :ADD BL DRMS:O BAT•HS:O GARAGE. . . . . . . . . . ..0 5f
TYF>E. OF LISE. . . :SF FLOOR AREAS-------------•------ REPU I READ SETBACKS------------
TYPE OF CONST. -5N FIRST. . . . :0 sf LEFT. . :5 ft RIGHT. :5 ft
OCCI..)PANCY GRP. :R3 SECOND. . . :111 s f 1-RIJNT. : 'O ft REAR. . :45 ft
STORIES. . . . . . . :0 FINBSME=NT :O S REUUIRED--HEIGHT. . . . . . . . . N ft TOTAL..- ---- :360 Sf �,MOKE DETECTORS. :Y
FLUOR L.OAD. . . . :O psf VALUE. . . . . 10x0 PARKING SPACES. . i 1
Remar"k5 : ADDING A POT COVER
PLUMBING -----------------------------------------
S I NKS. . . . . . . . . . :0
__—_—.___--__._____._--____—.___—__SINKS. . . . . . . . . . :0 FLUOR DRAINS. . . . :0 PACKFLOW PRFVNTF25. . :0
LAVATORIES. . . . . :0 WATER HI_ATER3. . . :0 TRAPS. . . . . . . . . . . . . . :0
TUB/SIAOWER:3. . . . :0 LAUNDRY TRAYU. . . :0 CATCH ESA-INS. . . . . . . r0
WATER CLOSETS. . :0 SEWER LINE (f t ) . :O GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . -.0 WATER LINE ( ft ) . :0 OTHER P I XTURES. . . . . :0
GARBAGE: DISP. . . :0 RAIN DRAIN (7t ) . -O
WASHING MACH. . . :0 SF RAIN DRAINS. . :0
MECHANICAL ---_.___......_._____._________________-- - FEES
FUFL_ TYG'f s- --- - - UNIT HTRS. . :0 type amount by date rer_pt
VENTS . . . . . :0 BPRT $ x'9. 50 KS 08/30/94 —
MAX INI='U1-:1XI BTU VENT F-ANS. . :0 BPLC $ 19. 18 JF 0E1/;.5;94 94-256032
FURN ( 100K . . :0 H(JrIDS. . . . . . :0 B5PC $ 1. 48 KS 08/30/94 --
FURhI > =100K . . :0 Wr nDSrUVEb. :0
FLOOR E=URN. . . . :0 CLO DRYERS. : 0
BOIL/CMP ( 3HP:0 OTHER UNITS:O
GAS OUTLETS:O
Own�r•: ___..._._._.__._..._____.____._...._.._.______._._.._.__ .._ __.._._..
JOHN PHILLIPS
102'5.1 SW R I VERWOOD L.N
TIGARD OR 97244
Phorlp #: 6i2'0--2159
CONTRACTOR NOT ON FILE
Phone #:
Req #. . .
1 50. 16 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 F-o at/f o und I n s p
applicable laws. All work will be done in accordance with approved Fr•Ami.ng Instp
plans. This pewit will expire if work is not started within 180 Rair1 drain Insp
days of issuance, or if work is suspended for qe than 180 days. B u i. I d i n g Final.
P e r"m i t t e L .4 g n�.t x_11-e
I, ped BYc%�
Cat 1 for" inspect ion - 639--4175
_F Permit No:
�\ Address:
h
' — Date:
� •� Issued by:__-_.. _-
FOR OFFICE USE ONLY
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4) , requires residential construction permit
applicants who are not registered with the Construction Contractors Board to
sign the following statement before the L diding permit can be Issued. This state-
merit is required for residential building, electrical, mechanical, and plumbing
permits. Licensed Architect and Engineer applicants, exempt from registration
under ORS 701.010(7), need not submit this statement. This statement will be
filed with the permit.
Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 313:
1 . 1 1 1 own, reside in, or will reside ir, the completed structure.
2. 1 #Ve 1 1 understand that I must register as a construction contractor if the structure is sold
or offered for sale before or upon completion.
3. A.I 1 My general contractor is - _ -_- -_ ---_. .-_— - - ,
Contractor registration number _-
I will instruct my general contractor that all subcontractors whr work on the struc-
ture must be registered with the Construction Contractors B
OR
3. B.I 4*e I t will be my own general contractor.
If I hire subcontractors, I vvill hire only subcontractors registered with .he Construc-
tion Contractors Board. If I change my mind and do hire a general contractor, I will
contract with a contractor who is registered with the Construction Contractors Board
and I will immediately notify the office issuing this building permit of the name of
the contractor.
I hereby certify that the above infoimation is correct and that I have read and understand
the Information N;,'ice to Property Owners about Construction Responsibilities on the
reverse side of thi- form.
Sig re o&fPe rmit pplicant at
CONSTRUCTION CONTRACTORS BOARD
0244J 8/91
WHITE COPY TO i, vCa AGENrY PERMIT FILE
PINK COPY TO APPLICANT
I
Residential Building Permit Application
City of Tigard
13125 SW Hall Blvd,
Tigard, OR 97223
(5^j! 639-4171
Jobsite Address: /o ZS/ -%P✓e000Cg 6,4-4_
Office Use Only..
Subdivision: _/ ✓a�u�esu 6m1 e;-r Lot # 61
Planck/Rec # ✓
Valuation: ��G U �
UNPermit # /7"l,S
Corner Lot? Y
Flag Lot? Y Reissue of
Map & TI_ #
Owner: �� fs ��'TJ Approvals Required
Address: _ /oz.5/ S.w ,.�✓a•'u�nr> � C.au a Planning/
--I'IA, -- 77224- Engineering
Phone: _So�62o- 7-i57 Other
Contractor: T^ ItemsRequired
Address: Subcontractors
--- Truss Details
Phone: - Other
Contractor's License #
(attach copy of current Oregon license)
Contact Name & Phone:
Subcontractors: ArchitecVEngineer:
Plumbing: _ Address:
Mechanical:
(at, :h copy of current OR Contractor's License)
Phone:
JOB DESCRIPTION: oue✓
Applic Signature & PhcTne number
Received by: Date Received:
N.\WOPOICOMMARESAPP
Permit# Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH) _
State Tax (TAX)
Bldg:
Plumb:
Mach:
Plan Check (PLANCK)
Bldg: / Y J
Plumb:
Mach:
Sewev Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) _
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire District (FIRE)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS:
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70
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A I Y CJI-- 11GARD RECEIPT OF Pf4Yr(II.:N'I W-A.1-A P I NC :9[r-•.; 5 b 1 9
f,,H1-..GK AMC)UNT c 30. 98
NAME : PHILLIPS, JOHN CASH AMOUNF % 1/1. 00
'ADDRESS : 10251 BW RIVERWOOD I..ANi-.:. PAYMUTT DA I F 06/30/94
11741-IBI)I v I`•i IC11111
TIGARD, ORVGUN 9721?4
PURPOH't- OF PAYMEN1 AMOUNT PA10 PURPLiLA, OF, I-ItOWNI PII-411)
1 , Pit I 1 1) t lh C< 1. 48
TOTAL AMOUNT V'4110 30. 19H
I- ] If tit I )til-iffl) III 11 11 11 111
I N1_1, ;'34 i'"i 0,
WIMIE PH I L I I P, J(WIN
ADDRF-S4 I I Sw R,(Vf: RWO foli PI-1011-441 DiIII
SCOW I v Ul I I it I
T Iritf1f417, r1REA401\1
PURPOSE CIF V"AYM-.1,14 AMI IIJINI PWD (11 t'(4YMF.N1 Welt It IN I PWI 1)
P[..f-)N T FW 7-r"_kFT A--4,qR
;RODF OVER DECK
MAI. omotim 11,;111) .1,14
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OF
13125 SN'Hall Blvd.Tigard,Oregon 0722398199 (503)839.4171 OLLUPANCY
x;,,<r PERM11- #. . . . . , . 1[ MGT9,t
639-4171 DATE: 15SLJE'D: 11129//9
PARt:EL: 291 14BC;--02400
1.0851 5W RIVERWOOD !_.N
RIVERVIE:W ESTATES NO. E' ZONING%R--7 PD
I LOT. . . . . . . . . . . :N6
I
it iJr lRlt. :NEW
19r-
I It ,rar r3kP. :R3
. i e f'S1fII .i
t r;►Il 1-10ME. BUILDERS
lil llr L.)t1 (lla 970:35
c_'994
r .
11 ,111 lu. 'lf. ta1.1ILDE'RS CIO �
NIX I . 1
• rr ',�'t (,.':c+ 994
t M . r41f3f
of the above referenced building is hereby given, and ;.ertifios
trrl 1 t .+r,r-p witl•i the :agate Of Or••e1 an Specialty Codes for the group,
v. -,,nr_i I.Iae unrer which the ref'erericed permit waw issued.
r I , f1f-f-ORTME=NT f7ll , INSt=' TOR
BU NO OF"F"I IAl.
POST 11\1 CONSPICUOUS PLACE
I
i
+v
1
1
I
INSPECTION N ICE
City of Tigard Building Department
13125 SW Ball Blvd.. Tigard, Oregon 972
Inspection Line (Rec-O-Phone): 639-4175 Business Phone. 639-4171
Inspection:_
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Strur_t. San. Sewer Framing
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hach.
Date Requested! �1'� `� Timet AM -YL_pM
Address$ I C
tI I`FC t? Permit #1
Builder! �(V_ O'k
S ., `. I
THE FOLLOWING CORRECTIONS ARE RE(IUIREDs
Inspectors — e Date
"PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rninap.
INSPECTION NOTICE
City of Tigard Building Department �.
1312S 611 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)I 639-4175 Business Phone: 639-4171
Tnspn�•t ion r. _ ___
Footing Plbg. Underalab Hoch. Rough-in APer/Bdwlk
Found. Plbg. Top Out Can Line 1INALt -'
Post/Beam Struct. San. Sewer Framing
—
Post/Beam Hoch. Rain Drain Insulation !-P
Plbg. Underfloor Nater Lintz Gyp. Rd. �-INo- h.
Data Requested$ !nn/ 1 1-1-3
1 Timet _ AN
Addresst 1C72-L;1 t�1VE�tlYz2r� l ��bti- Permit 1t �� z'`3b�t
Builddr$ `Tj',I iln1
THE FOLLOWING CORRECTIONS AAE REQUIREDI
- -------__ % %-
Inepectocl _- _%� Date:._
APPROVED 3APPAOVED !APPROVED SUBJECT Tri ABOVE
�CaH Pnr Roinap.
INSF�crlon NOT�c� '
City of Tigard Building Department
13125 811 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)e63 4175 Business Phone: 639-4171
Inspections4�.V ! _—.`------�-____-�
looting Plbg. Underslab Hoch. Rough-in Appr/Sdwik
round. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hach. Rain Drain Insulation --Plumb.
Plbg. Underfloor Neter Line Gyp. Bd. -Hoch.
Date Requested: U [' +� — Times AM —__ PM
Address: �lc��J t�\�t.�l1YZY _ Y ---- Permit It—
Builders )VII
THE FOLLOWINGCDRRRECTIONS ARE REQUIRED:
7-0
Inspectors Dates L / ��
of
APPROVED `_ DISAPPROVED APPROVED SUBJECT TO ABOVE
- Call
For Reinep.
INSPECTION NOTICE
City of Tigard Building Departs t 1J
13125 Bw Hall Blvd. Tigard, Oragon 97223
Inspection line (Rec--0-Phene)s 639-4175 Business Pho 9-4171
Inspectioni�— -- — — -- —� -- —
rooting Plbg. Underslab Mach. Rough-in Appr/v,4+ 1k
round. Plbq. Top Out Gas Line FINALt
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Niter LLBe Gyp. Rd. -Nech.
Date Requesteds� C� _Times AMS/ IPX
Addresst �i-� ` \tJ �w:Q� Permit fj ��1 C)�L `r7
Builder:
THE rOLLOVING OORRECTIONS ARS REQUIRED:
.a
Inspector-
DISAPPROVED APPROVED SUBTECT-TO ABdVt
Call For Reinsp.
r
INSPECTION NOTICE
City of Tigard Building Department
13125 1111 Ball Blvd. Tigard, Oregon 972
Inspection Line (Ree-O-Phone)i 639-4175 Business Phone: 634-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Bower Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requestedt "I-1 ) < (�( Time: _ a AM / VK
Addreas i R C `� (,
1 ( f i O'�WYA Permit #1
i
Builders/ � � � ��� � i o 2,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
` -- -- -- (
Irtepector, Dates � T,
APPROVED DISAPPROVED APPROVED sUBJEar To ABOVE
Call For Relnnp.
INSPECTION NOTICE
city or Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Lina (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspectioni_— --
looting Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALs
Poet./Beam Srruct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain n9uUtlOn -plumb.
Plbg. Underfloor. Nater Line Gyp. ad. -Rech.
Date Requested: ( I ' 13 �� / —Times AM PM
Address: L�'LJ Ki� u(l ,1� `AJAS_ Permit
Bu
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: —--- - --. Data: �.
APPROVED —_ DLSAPPROVED APPROVED SUBJECT TO ABOVEp
Call For Peinnp.
INSPECTION i70T}_CE .�
City of Tigard Building Departaant k4Lr .»
13125 811 Ball Bled. Tigard, Oregon 97223
Inspection Line (R.r_-O-phone)s 639-4175 Business Phone: 639-4171
1
Inspection: .I — —_
Footing Plbg. Underslab Mach. Rouqh-in AppO Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Neter Lina Gyp. Bd. -Hoch.
Date Requested: I .' Time: --Am =�PH
Address: y( � 1i �� — Permit 1:
Builders__
TBE FOLLOWING OORRECTIONS ARE REQUIRED:
Inspectors Date:
V'PROVED DISAPPROVED _ APPROI'ED SU
Call For Rainap.
INSPECTION NOTICE
City of Tigard Building Department
13125 611 Ball Blvd. Tigard, Oregon 9722
Inspection Lina (Rec-o-Phone): 639-4175 Business i o : 639-4171
Inspection:,
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Lina FINAL
Post/Beam Struct. San. Bower Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Lino Gyp. Rd. -Koch.
Date Requestedi G ✓� Timer ---AM --PH
Address S �c_W uioo L- _ . Permit Ie
Builders� l �trwte�rx,l_ j
TBE FOLLONING CORRlCTIONS ARE REQUIRF,Ds
IL 1-t Jiddill. c
3 G 77
CV-G
Inep+ectnr: /.,d _.� ---- Dates __
___APPROVED ` DISAPPROVED APPROVED SU9JECP To ABOVE
/ Call For Relnep.
I198P6CPION NOTICE �I. '
City or Tigard Building Uepartaaot
13125 SW Ball Blvd. Tigard, Oregoo 97?23
Inspection Lina (Rec-O-Phone): 639-4175 Business Phone: 634-4171
Inspection: --
rooting Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Line rINAL:
Post/Ream strict. Ban. Sewer rraming -Bldg.
Post/Ream Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Koch.
Data Aequestadf /`7 - Timms AM L PM
—
Address � .�r : +d' 4 "va0+L Permit If
Builders
THE rOLLONING OORRECTIONS ARE REQUIYAD:
Inspectors Date:_
lov
APPROVtO DISAPPROVED APPROVED SUB.IR("' TO ham
Call ror Rainap.
INSPECTION NOTICE ? �
J
City of Tigard Building Departweat
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-•Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Unders.lab Hech. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. `,Rain DraLn Insulation -Plumb.
Plbg. Underfloor 4�,Nater LIAO Gyp. Bd. -Hoch.
Date Requesteds U I / l _.—Time=
Address: � V`1 Jr u l Q Permit f s`:�1 1 I-
Buildert
THIS FOLLOWING CORRECTIONS ARE REQUIRED:
------- ---
/ -----
Inspector i _ Date:
APPROVED' �- DISAPPROVED APPROVED SU"CT TO ABOVE
_ Ca11 For Reinnp.
INSPECTIO NOTICE --
City or Tigard Building Departwm
13125 BM Ball Blvd. Tigard, Oregon 9722
inspection Line (Rec-O-Phone)f 639-4175 Business Phones�-4
Inspections_ ----
Tooting Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Round. Plbg. Top Out Gas Line FINAL&
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Orain) Insulation -Plumb.
Plbg. Onderrloor N ter/Line Gyp. Bd. -Mach.
Date Requestedf C -� Timet —_-AM //11/P`M
/ C0 3V W
Address f . _�� fi - Perpit I f _
Builders
THE FOLIA*ING OORRECTIONS ARE REQUIRED'
1 _
- 1
Inepacto �� _ Da s
4 �
s
r /
,✓ A PROVED DI APPROVED APPROVED SUBJE To ABOVE
Call For Reinsp.
1NSPF.CTION NOTICE �-
City of Tigard Building Department
13125 811 Ball Blvd. Tigard, Oregon 97123
Inspection Line (Rec-O-Phone)s 639-4115 Business Phone: o39-4171
Inspectiont__i
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out vias Line FINALt
Tat/Beam Struct, San. Rower Framing -Bldg.
out/Beam MBOh./ Rain Drain Insulation -Pluff'..
�r
Plbg. Underfloor Nater Line Gyp. Rd. -Mach.
Data Requastedl �-� ..—,t Times AN PM
Address: l_. C - 'Permit 1: C 3Lj
Builder:
THE FOLLOWING OORRECTIONS ARE REQUIRED:
Inspector: _--- Datet J r�
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Refr,np.
I(1SPECTION NOTIC2
City of Tigard Building Dapartaen
13115 811 Ball Blvd. Tigard, Oreg7
on 9 'r~
tnepection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:__
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor / Nater Line Gyp. Bd. -Hoch.
Date Requesteds s _ Time: AM „(
i ,�'
Addreae: � � t C L�"�f Permit f:
Builder:
TNR ForaIANING OORREf oms ARE REQUIRED:
Inspector:
APPROVRL DISAPPROVEO APPROVED SUBJECT TO ABOVE
_call For Reinap.
INSPECTION NOTICE
City of Tigard Building Departs t
13125 Bw W1 Blvd. Tigard, Oregon 97223
0"/
Inspection Line (Fac-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:- ---
( ting ) Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
Found. Plbq. Top Out (las Line FINAL.
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Inaulation Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requeste
d
: V / Timi�t PH
Addrerri (� Permit
Bulkier _
TRE FOWAVION �IONB ARE REQOIRM
Inspector Date:
APPROVED DISAPPROVED APPROVRD SUBJECT TO ABOVE
Call For Reinap.
CITY OF TIGARD 17
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hail Blvd.Tigard,Oregon 97223.8180 (503)830-4171
i
CITY O F T I GARD
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Oregon 9722398199 (503)539-4171
We
lit
'.en' V
distance give
"a p and Sidi- Feke
mi
0 S—
1 131issw1l,uuaa PLNCK/RLCT #
ClITY T OF IGARD PERMIT #
COMMUNITY MVELOPMENT DEPARTMENT Tigard,Oregon 9r_D
(503)639-4171 DATE ISSUED -�-
JOB ADDRESS: I0z S. ( EL,-,' TAX MAP/LOT
SUB: LNe a- L-I&IfJ' LOT: 61 LAND USE:
VALUAT I ON: �_�J�l 9 D
OWNER SPECIAL NOTES
NAME: S1-10tl1r r . c REISSUE OF: .
ADDRESS: n k�o!-, 22--s'/5" _—_ LAST REISSUE:
FLOOD PLAIN/
PHONE: _ C Z SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: 1 __ PLANNING: fYfWl 5 0/(
ADDRESS: _ — ENGINEERING: _
FIRE DEPT:
PHONE: -_ (;THER: -
CONTR. BOARD #: EXP DATE:
(TEM§ REQU I RED
SUBCONTRACTORS: PLUMB: u-o/ LIST/SUBCONTRACIORS:
MECH: rnc 1y g- H•T 4 _ BLS TAX: -`_ -
ARCH/ENGINEER CALCULATIONS:
NAME: L,L0 9 A_ _. _ TRUSS DETAILS:
ADDRESS: OTHER:
i
PHONE:
PROPOSED BLDG. USE: j2( dCQ-)111.0. 16)u `i Sa. i o-3"={ mf: - 91- a/
COMMENTS: if
Al T SIGNATURE
Received By: :22� -� Date Received: 5 /Y,- 3�
l/
PERMIT # ACCT N DESCRIPTION %60UNT AMOUNT PD. BAL. DUE ,
4 b3c'� 10-432 00 Building Permit Fees �' ��
IJ-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees �
10-2.30 Ol State Building Tax (5%) 3S�•y -3F,93-
Building L8
Plumbing _ `l 2
Mechanical
10-433 00 Plans Check Fee
Building
Plumbing
Mechanical
10-230 06 Fire
��143 oZs > 30-202 00 Sewer Connection 2 c'L)
30-444 00 Sewer Inspection 3 _
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
2.5-448-05 Mass Transit TIF Fees 11 y 111L— r
52-449 00 Parks System Dev Charge (PDC) _ Sr/U S(•u
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in Iieu of) _ —
24-445-02 Water Quantity (Fee in lieu of)
TOTAL
r _..
i
nm/3587P.WPF
31
i
TRAFFIC IMPACT FEE
Installment Payment Application and Disclosure Statement
In the Matter of the Traffic Impact Fee for Skylight Home Builders
Tax Map 2S114BB Lot Number(s) 61 Building Permit# MST93-0306
Site Address 10251 SW Riverwood Ln 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 it stallment pavment wi!!
include principal and interest.
If I\we neglect or refuse to pay any pari of the installments provided herein, including interest, within one
(1) year after the same shall Have become due and payable, then the whole amount of the unpaid
assessment shall become due and payable at once and shall be collected in the manner provided by law
Including foreclosure on the above-described real property.
The traffic impact fee, annual percentage rate of interest (7.35 %) and finance charges which I/we agree
to pay are as follows:
HIGHWAY TRANSIT
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 (if 7.35 %
I\We understand that the amount o\A.,ed, as stated above, shall be a lien on the above-described subject
property nt to Washington Coonty Ordinance No. 379 Section 6 (D) and ORS 223.230.
DAT E�t is 8th day of Juno, 1993.
Si, t re of Property Owner(s) Signature of Property Owner(s)
STATE OF ORF C-01`4 ) Name (Please Print): rD ri a. LLtn-S r7
Address: /
County of Washingtor. ) j
i
SI.;gSCRIBED AND SWORN TO BEFORE me this day of , 1
Jot Public for O –�
My Commission Expires.
Iog,n\mLnVd
i
i
CITY OF T I GARD - RF.CF'1 l`''T OF P(t!'MF'NT RFCE I PT NCI. :9 3-24 1 085
CHECK AMOUNT 3744. 43
NAME SKYLIGHT HOME_ BUILDERS CASH AMOUNT 0. 00
ADDRESS t PAYMENT DATF 06 08/93
SUBDIVISION :
'URPOSI.- OF PAYMENT AMOUNT PAID PI-IRPOSE OF PAYMENT AMOUNT Pta I D
BUILDING PERM_.._..__ 545. 50 PLUMBING PERM~ -- __..__...__1815. 00
4E::CHANICAL PE 4S. 00 ST. BUILD PER 38. 93
FLAN CHECK FE 12. k.0 2FWER USA 2100. 00
SE,WF R 1 NSVIECT 35. 00 PARKS SDC 5,00. 00
i"f oRM DRAIN SDI.: 00
-(')T 61 R I VE.RV IEW EST
3W RIVF.RWOOD L.N
AMOUNT PAID _.. _. _.> 3744. 43