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Permit • I TY O . � T I G ARD . : _ :CIF -l. t - „ . �'� .. 1 • - • - DA T= t S'. 1 lea /23 /y w. COMMUNITY DEVELOPMENT DEPARTMENT '' - • - , 13125 SW Hall !mil Tigard, Oregon 97223.8199' - (503) 639 -4171 , • t ' ' • - I:' :lkE,_EL° 1a135Db -041e* • 81 c• ODf .SS....1 -1 t3.3rt 1361. 9::111 AVE , , t . SUBD4V.J. ON; .... DOGWOOD RIDGE . • 'ION 1NCe R -4. J '• ..._.•_.�, --,, BUILDING ' -._, _• - -_• -- -• - -, PE I SSUE:. • ' i)'.•�ELi_'� 3 C LJN I i S s � la - •SA;s£1 . ..... s ' ' , 1 3 ' L :SS OF . WORK. '.'NEW , "BEDRMS : BATHS s 0 E GARAG .... z a'.: 0 : , '. s f, , ` ' ' , - 'i YPE J!- uSE... : U i R .= C_OLJR t-a tEAS--_.___...___ r ? RE'!'J I RED. vL7l3Ar_:t•:S - . V y '_ • s 1'RE -OF CONST. 5N '' i F ; . ' '° t sf LEF �2� :. ft ttI H w milt ft ' . ,, i -.a- 'i•0;:f.: fit. f URI- -,, r i L = 'i:�J��U. '.. s s i�U k�l . • f �. 1 ... - 4 . g.:4 R. :.31 ' •,7' 4 J t 1 '� y'ES. . .0 , . s 0 f H 1 . . . 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'6Z - 41 "73, • 11 • CITY OF TIGARD 13125 SW HaH Blvd. PLNCK/RECT # T 97223 PERMIT # ii?5f -v�3 COMMUNITY DEVELOPMENT DEPARTMENT 0 (S03) 63¢41" DATE ISSUED • JOB ADDRESS: /43.50 S7.(i %T o 6 TAX MAP /LOT /- 3) P9 - D y /ou SUB: Dn wu� ei 45_ LOT: , LAND USE: VALUATION: 7 S /07) OWNER SPECIAL NOTES NAME: 4QSE / 156r e` REISSUE OF: ADDRESS: //3.3(J S-r't-/ 9� r5( LAST REISSUE: o. e X1'72 2 FLOOD PLAIN/ PHONE: G PC/-- SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: (9W /me i- PLANNING: ADDRESS: ENGINEERING: FIRE DEPT: PHONE: OTHER: • CONTR. BOARD #: EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: LIST /SUBCONTRACTORS: MECH: • BUS TAX: ARCH /ENGINEER CALCULATIONS: NAME: TRUSS DETAILS: ADDRESS: OTHER: PHONE: PROPOSED BLDG. USE: � X f= i / ` _( Pn7U /� 2 7 ` y. / C/ / Y } ox f) 71 )/1- APPL "ANT .I ATURE Receives By: Date Received: 7 — -g , • PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL.: DUE R3i1.3 -011.30 10 -432 00 Building Permit Fees 10 -431 00 Plumbing Permit Fees 10 -431 01 Mechanical Permit Fees 10 -230 01 State Building Tax (5 %) % 2 - 1 Zfr- ` Building /. • Plumbing Mechanical ZS/ 10 -433 00 Plans Check Fee /br 2 ) /& • Building / • 1- Plumbing Mechanical 10 -230 06 Fire 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 -05 Mass Transit TIF Fees 52 -449 00 Parks System 0ev Charge (PDC) 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 c/Z ' ) 1 nm /3587P.WPF INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec- O- Phone): 639- 75 Business Phone: 639-4171 Inspection: V(.,4 / (J ' J7 L i _ . Footing Plbg. Underelab / Mech. Roug in Appr /Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post /Beam Struct. San. Sewer Framing OIM Post /Beam Mech. Rain Drain Insulation - Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. �,9 z Date Requested: - 2-5- _� Time: AM / PM Address : 1 1 3 3 D CL hC Permit #: 3- 6 `7 3 0 Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: 4 .Ar_K, , 2 Inspector: \,/ Aii. AL Date: 11S s3 /� APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE )` Call For Reinep.