Case File ADDRESS:
i -ecoids\rr,icroflm\targets\building.doc
COTS' OF T I GA,RD CrERT'IFICATE OF
UCCUPANCY
COMMUNITY DEVELOPM dT D$;�!R-1�OOT PEW-$I T *. . . . . . . ;
13125 SW Hrl!Blvd.Tigard,Orogon W223981 (603)Z d-Al 71 DATE I58LIEDo 10/22/93
PARCELt 1G134(.1!;----13990
.4r4F(NTTN DR
WNINOtR-7 PD
BLOCK. . . . . . Lffr. . . . . . . . . . . . . C066
CLASS OF WURK. tNEW
TYI".,E OF USE. . . s8F
OCCUPANCY GF41. AR3
OCCUPANCY LOAD it14 4
TENANT NAME— n
Rertiakrksa - PATH I
0 F-,', ANDERSON INC
4',5/5 SW II)CKER OVE
BEAVERTON OR r,7005
Phone Ov 6P7-99919
COT)t ract ar# _w._.._._..,_.___.. -._ __ -- - --...---- --,- ---- --
0 ANIIERSON, INC
4575 4--AJ TUCKER PAVE
SEA-CRTON OP 117OO5
Phatif, ila 627-93914
Reg a. . 46344
Occktpanvy of the above referenced building is hereby given, Avid certifies
the complianci with the State Of Oregon Specialty Codes for the group,
orcuparicy, and ease i.ander which the referenced permit was issued.
FIRE DEPkRTIVIENT1AUILU G INSPECTOR
S
Ul LAD NV03FFI C IAL
POST IN CONSPICUOUS PLACE
M'6r_rC?'1_qhN2m1qK
city or Tigard Build!-ng Departsaassst
13125 811 Ball Blvd. Tigard, Oregor. 97223
B-spection Line (Res.-O-.Phone): 634-4175 Busines■ Phones 639-4111
Inapeccions____
Footing Plbg. Under.elab No-ch. Rough-in Appr/Sdwlk
F.sund. 1''ibg. Top Out Gas Line lINAL1
Part/Beam Struct. San. Sewer Framing
Post/Daam Hoch. Rain Drain Inuulation -P1a0b.
Plbg. Underfloor Nater Lige Gyp. 9d.
Data Re �(� z2 q7
queste4t,r TLms Am to
Aadr.e.r 1/�z f Z'�,' �h�L/(��r Jr Perna #1-7MS1 �=1:�(�C)
_ 1z Z
Builders i' �Q��Vw1f01U FC ��� (p2
THE FOLL MING CORRNCTIONS ARE REQUIRED:
1
Inspectors Dates \
APPROVED DIBAPPROVED -- APPROVED SUBJECT TO ABOVE
For Reinsp.
��ON MOTS'
City of. Tigard Building Dement
13125 OW Hall Blvd. Tigard, OrsVOn 97223
Inspe-,tion Line (Rae-O-Phonw)c 639-4175 Business Phonet 639-4171
Inspeotiont
Tooting Plbg. Underslab Mech. Rough-in APPC//Sftlk
Found. Plbg. Top out Gse Line Pj�jply( /
Post/ma, ' rMct. San. Sews:! Framing
Poet/Beam Mach. Rain Drain lnaulation -pluMb.
Plbg. Underfloor Nater Line Gyp. Dd. -IteOh.
Date Requested: c^- � -/ I
Addreast -Z /—` \
P.uildert _I' lJl�iLW 4- ���11h L2-, . l lj
THE FOLLONINO OO/MCTIONB ARR p1wiRRn:
i
Inepectot —_� p l 3
Date:
,�APPFOVED v DrSAPPROVRD APPROVRD SURJRCT TO ABOVE
Call For Relnap.
I118PECTI9fl NOTICE
City or Tigard Building Department
1312S 811 Ball Slid. Tigard. Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
pec J.
Ins tion�_
Pootincy Plbg. Underalab hech. Rough-in Q11ppr/Sd.1k;�
Pound.
Plbq. Top Out Gas Line lIN11L1
P09t/8e4n St:ruct. :tan. Sewer Framing _Bldg.
Port/Ream Hoch. Rain Drain Insulation _.Plump.
Plbg. Underfloor Nater Line Gyp. 2d. -Hoch.
^ `
Data Rsquestedt n ` _�J� �3 Times � �
Addraes: �� A"Y\�1t'fl^ �4 ,
Permit #:.M% 1Z
Bu+'agr1J"�QC�C�LRt�)�[a1C►dK
TNR POI.IA1TIN0 COR"MMONS ARE REQUIRED:
Inepwtor: Dare: -_1
�PwOV1RD DI&APPROVED APPRMri:r SURTE(T TO AFK3VE
__Call For Reinsp.
City of Tigar4 Building Department
13125 IM Ball Blvd. Tigard, Oregon 97223
Inspection Lina (Roc-O-Phona)s 639-4175 Business Phones 639-4171
Inspections___
Footing Plbg. Dnderylab Mach. Rough-in Aper/Sdvlk
1
Found. Plbg. Tor Out Gas Line pINALt>
Post/Smam Struct. San. Bower Framing -Bldg.
Post'9eam Mach. Rain Drain Insulation �plumbl
Plbg. Underfloor Water Line Gyp. Ed. -Mach.
Date Requested* _ 1 2-16 fl 3 Tivue AM pM
Address t � ) i 2- I/t S)� �_ Permit #I yl�,j �)Z1 oz LL
Builders tjyc f.fit ,L q fr. _ 1_
TBR FOLL0WIN(; AORRSCTIOW3 7. ,nIMBOt
In rt �
Datee
APPROVED DTSAPPROVRD APPRWND SUSJECP TO ABOVE
Call For Reinsp.
1n``17Y1
Citi of Tigsed Building Department
131,25 BA Hall Blvd. TS acd
q . Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone% 639-4171
lnspnctinn:__
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gan Line FIRM:
Post/Beam Struct. San. Sewer Framing -Bldg,
Post/seam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line oyp. b.
Date Requestedt '� --v_Timer
a�z AM PM
Address) _�! L�� V1 �`�S� ( J .z_Z-.
- -- Permit ��
C� 6c^o V
Builder_ �< Cll..11 ��v , .,C� _��lr)._-jS7C'
h
THR POLLOWiLma CARRKCTIONS "N REQUIREDI
Inspector:_1z
Dater -Z
APPROVED _ nrsAPPROVRD APPROVED SUBJECT To ABOVE
_ �Ca11 For Rel.nep.
i.11�..lCL'TION NO qq
Cit? of Tigard EMkIdlcq Department
13125 811 Ball Blvd. Tigard, Oregon 972231
Inapection Line (Ree-O-Phone)s 639-4175 Business Phonon 639-4173
Inspections
Rooting Plbg. Underelab Mach. Rough-in Appr/Adwlk
Found. Plbq. Top out Gas Lina PINALs
Post/Beam struct. San. Sewer Prasling -Bldg.
Post/R0'w Hoch. Rain Drain Insulation -Plumb,
Plbg. Underfloor Water Line Cayp•3bd
,( ',.J` -Neth.
Date Requested, _ Q,l -�t3 Timm 0
/ ��\Nm1ermit #s PN
e
Addree: Z-1 Z
Ruildex.i_�
TNR FOLLOWING CORRECTION, AM RNQVrVMj
Inspectors -
----
IAPPROVED DISAPPROVED "PROVEb SUBJECT TO `ABOVE
-__CA11 For Reinep.
ISP � oN..�ttrric�a �
City or Tigard Building Department
13125 Be Hall Blvd. Tigard, Oxegon 97223
InwPqCtLOn Line (Rec-O-phone), 639-4175 Business Phone: 639-4171
Inspection/"
Footing Plbg. Underslab Nech. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Line FINAL:
Post/Beam str.uct. San. Sewer '� -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor �J Nater Line Gyp. /d. -"ech.
Date nequesied:_ Ll - I�:13 Timet
PM
Address s OCT
, Permit #I M5T 9 3-�Z-
Builders brOCT Keck. b27 'i9�t9
TRS YOUAMINO OORRECT70NB ARE REQUIREDf
Inipiatesf / 1..� ✓� Dates=SI
d aa
DIBAPPROVED APPROVED SUB,IRCT To ABOVE
Call For Reinap.
I!1�aTiaK ��
City of Tigard 'building Department
.13125 M Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-D-Phone)t 639-4175 Business Phones 639-4171
`1
Inspections
Footing Plbg. Underslab Na.,h. Rough-in Appr/Sdwl.k
Found. Plbq. Top Out Gas Line FINALt
Post/Beam Strur.t. San. Sewer j Framing -Bldg.
Past/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Natter LineGyp. ed. -Mach.
Date Regraest-ads 3 - 1 Z - (d J �► L AM _'x_PM
Addrs*s3_` r_' �,,l A L� " _ Permit ie
IVIf�GI(J�C.I.IJT�( -V�
Buildvri COT lJ�- U ^ [�2 / '-1 ! (�
Tf? MLLOMING CORRECTIONS ARE REQUIRED2
IL
07
Inspector: Date: -
APPROVED DISAPPROVED APPROVED SU&TECP To ABOVE
1 �� Call For Relnsp,
1.1(@�C�(4N norzca �\
City of Tigard Building Department 11
13125 9111 Ball Blvd. Tigard, Oregon 97223 U
Inspection Line.I(Rec-O-ph a ): 63.9-4175 Business Phonal 639--4171
Inspec:tioni
Footing Plbq Underelab CfWh, Rough-in� Appr/sdwlk +�
sound. Plbg. Top out Gas Line FINAL:
Post/Beam Struct. San. Rawer raving -Bldg.
Post/Beam Mach. Rain Drain InsulatLon -Plumb.
Plbq. Underfloor Nater Line per, Bd. -Nech.
Data Requesteds S q'3
� / Time: � pM
Addrens: I Z( Z� A��I�/ MST 'jj' Ol Z Z.
�{ Permit r:
Builders��l
TBR FOLLOWING 0ONtecTions An Ravi..
fI
\,4_ T
�;rJ c"k V_
MCI N
+tA 01
A A
`
1
Inspector:
APPRQVSD Date:_
DIAMPRQII�D APPRMTD SUB.IBCT To ABOI
1 -k �(/ dell for Reinsp.
ITPECTION NOTICE ( m
City of Tigard Building Depar-tment
23125 SIS Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bueinese Phone: 639-4171
----
Footing Plbg. Underelab qh-in Appr/Sdwlk
Found. Plbq. Top Out Gas FINAL:
Pont/Benin Struct. San. Sewer rYle_q 111 -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Pl.bq. Underfloor Water Line Gyp, Ed. -Hoch.
` � C
Date Requoeted1: 7f J L7 �� Timet AH PH
Address: ` 2,G '`�!�>n r. Permit
Builder:
TBR FOLLOWING CORRECTIONS ARE REQUIREOt
V_211
In�oectOrt —�.�r^ Dete:
APPMw DTSAPP.ROVRD APPROVED SUBJRCT TO ABOVE
i C.� -----Call Por Reinap.
si Rim''-�oT343 1��
ait7 of Tigard Building Department 1� 1
1J125 9M hall. !Q n,. Tigard, Oregon 97223 J/
inepLct,i -Ni Line (deo-O•PAon, )r 639-4175 Business Phoney 639-4171
yZ_t�
Footing ribg. Rnaerelah �Mech. Rough-Ln Appr/Sdwlk
round. Plt t. Top Out ga■ Line 7 r1RALt
Poet/Be" Struet. San. Sewer rraming -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underflror Nater Line gyp. Bd. -Xwh.
Date Rog,* +ted t _Timer 1111 PN
Addrerar Permit f r —d 1 2z
Builder
'YF'L 7 4XOMIM6 OoRREC?IONS ARE REQUIRRDt
25 ►.,r rtes}
�
Vic :-`'1 - l
n�o0 I —
�-�r �a�:-,--� ► � �1 c, a � \►tip �w lucz���
s
otic,-r � ..��,,.. 4 z l 1 i•►�-e ---� �
r�
Inspector: U�_ -
Date-
"PROVED DIsAPPROVEO _PROVED SUBJECT TO ABOVE
Call
For Reinap.
1N8PagTjON NOTICE j
city or Tigard Building Department r
13125 SRS Ball Blvd. Tigard, Oregon 97223
Inspecti,n Linn (R*c-U-•Phone)t 639-4175 Business Phonet 639-4171,
Inspection:
Footing Plbg. Underslab Mect. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Strurt. San. Framing -8169.
Post/Deem Mach. Drai Insulation -Plumb.
Plhg. Underfloor ter Gyp. hd. _Mach.,
Date Requestedt 3 --__—Timet _—_AM PM
A Idcese tPermit #r �•'
Builderr
TNR FOLLOWING OORRECTIONS ARE IIRQUIRED:
I
I
I
Inspaators 1
11PF^.bDVEp DISAPPROVED -- APPROVED SUBJECT TO ABOVR
V ,-_Call For Reinep.
tIfinCTION NoTIgm
City of Tigard Building Department
13125 !{O Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone)r 639-4175 Business Phones 639-4171
Inopectione_
Footing Plbg. Underaalab Koch. Rough-in Appr/Sdwlk
Found. Plbq. Top Out \— Can Line FINALs
Poet/Beam Struct. San. Hewer C) Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Grp. Rd. -Koch.
Date Requestede�_�J rimes AN PK
Address: /1 7 lel JL2J Permit
Builders
THE FOUANIINO CORRECTIONS ARS REQUIREDs 1
Inspectors � —_ Dates
APPROVED _ DISAPPROVED APPROVED SU"CT To ABOVZ
___Call For Reinsp.
INBPEs�iou� NoticN G--�--�-�
City of Tigard Buildieq Department
13126 NM Rall Blvd. Tigard, Oregon 97221
Inspection Line (Rec-O-Phone)# 639-4175 Business Phone# 639-4171
Inspection#__
rooting Plbq. Underul.w Koch. Rough-in Appr/Sdwlk
round. �� Plbg. Top Out gas Line FINALS
/Beam Httwot. � San. Newer Framing -Bldg.
st/BearAee—Ti. Rain Drain Inselation -Plumb.
Plbq. Underlloo Nater Line gyp. Rd. -Meeh.
_ 1 �-�3
Date Requested# � / T Low: AN /_PN
Address# ��� //// LJ/ Permit /r� L�1 2'L
�1��d 7 /7.1Zr7 L�
Builders
TM IM I.OMING CORRtC?IONS ARE RBQUIREDs
Inspector: ]
APPROVED 0I3APPROVRD 'PROVED SUBJECT TO ABOVE
111�_ — --
-_Call For Reinsp.
INSPECTION NOTIg
City of Tigard Nuilding Departwont
13125 SB Ball Blvd. Tigard, Oceyon 97223
Inspection Line (Roc-O-Phone)i 639-4175 Bueinoss Phone: 639-4171
Inspwctiont_
eating Plbg. Underslab Mach. Rough-in Appr/8dwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Bower Framing .-Bldg.
Pout/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater li/no Gyp. Rd. -Koch.
yu
Date Reeetodt _ —TiAN PM
Addroees1 Permit #t
Builders --
THE FOLLOWING CORRECTIONS ARR REQUIRED:
!z-- ---- - _ _
7- -.
Inspectors _ ✓,�. —___� Date:—� � ..S
APPROVED -- DTSAPPROVRD APPROVED SUBJECT TO ABOVE
Call For Reinep.
II
City of Tigard Building Department
13125 Sw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phune)s 639-4175 Business Phones 639-4171
Inspections — .�
Footing Plbg. Underslab Hoch. Rough-in Appr/BdNlk
Found. Plbg. Top Out Can Line FINALS
Post/Beam Struct. n Freeing -Bldg.
�--
Post/Beane Hoch. Insulation -Plumb.
Plbg. Undortloor Gyp. Bd. -Nsch.
Date Requested& Times AN(
Address ? �]� ,i // ' Permit is �:) (12 L -
2
Builders /'
THE FOLLOWING CORRECTIONS ARE RWUIREOs
Al
Ile 44
- - I
i
Inspectors Date �--
�APPROVZD DTGAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinap.
CITY OF TIGARD
I Mq�#Ftd- �. , » x M'� -
'COMMUNITY DEVELOPMENT DEPARTMENT
13125 AW Hall Blvd.Tigard,Oregon 97223*8188 (503)639-4171 DAIL IY5UL1)% 01401/912,
"' . C
R'"f1t)DRE51j. 12,121) SW ANI ON OR 1-0 R'D.,L. z- I G1 34",V
U-i I ON. ANTUN PARK I I ZONIN6. R---*7 r''
:066
BUILDINU --
SSUL:r msr,�)S- 171014 L)WLLI-I'N(3 UN I Tc -. I BASEMEN T. . . . . . . f
1. i-ISS OF WORK. NF W SLIMMS t 3 BATHS ze GARAGE. . . . . . . . . . :4100 si 1
o4u5F. . :il FLITUR RRCA RE-LIL)INE)
E CJr- CONST. :5N I RS T, 1 St LEF'r. . :5 f t R I GHT. I ft
L R-'- tLCUNU. . :16 S1' f"HON I. . :111 ft RLN14. . :LAO f1:
(441E,6. - I '1 1-41 RD— t0 Sf RE1L!U1RE11------
. . . . . . . . . 19 f7l
%I TOTAL 5 r�
—OR LJN1). :40 psf VALUTA.. . . . . 778,56 PARKING SP(4CES,
PLUMI-AINLi --
'I WKS. . . . . . . . . . uoii DRA j-r4s. . . . it) SAC[/\V;-(JW PREVNI RS. . .0
LIAVA 11IR I EF 3 tRAV,5. . . . . . . . . . . . . . 10
B/,Z14(JWEW"'. . 2 LAUP-11)16' TRAYj. Wj ;-PFLH BAS 114(5. . .. . . . . A IZA
WATVA CLOGUFS. 2' SEWFR LINE (ft ) . :0 GREASE -rRAP'S. . . . . . . :0
i0-HERS. I A. I WATT R LINE k ! t; ) . . I lb 0 1.111417!2 F- IX"WF(Lb. . . . . .0
k-L. 31 PAIN DRAIN (ft ) . :0
ONG MICH. . . 4 SF RAIN DRAINS. . I
UNI"( HTRS. . :0 type alflbLey y (,t,
/GAS/ WINTS . . . . . .0 f:' 1460. 00 JH ((!x,/01/9.3
MP X,?11 i NPU-T 0 BTU VEN I' FANS. 3 BF1141 1, ;36'(". 00 3+4 1416/q1 i 'I'M
FURN,, t 1009 e HOURS. . . . . . el BPL(, $ 40. 00 JLH 04/14/93 ':)3
F,(.;1,N i m 1006; .4) WOOD5'I OW, S" -.Ill P.i4 I.. I 16. X1 06/0 In/93
-1-17014 F URN. 0 BPI-(.' I,, I -"
CLU DWIERS. 1 15, 00 JH 06/01/r)-
00
U111 ILR UNI Ica. I S 10 1i'L,
6AS OUTLLTStj I PARK S 600. 00 JH 06/01/9
-mf5kT 4 40. 'A) X-1 0, 01/93
4f,,!I&WJ'0N iiiL MPLC $ 10. .1,1 JH 06/01/9-7,
TWAILk t4'li- 03 JI-4 06/4'11 %9;
PPR*r s I E115. 00 JI-4 06/Q!1/93
JH 06/4.7:. /'s'''
4611)l= !NC
3'1'5D614 TUCKER AVE
I ERTLIN UIR 9I01Dd,
46;344 -------
T01 P�
us prm, is ,ss�eo tub'tct to t-)L, rogtiiations contained in the REQUIRED 1 Nbl, i: I I ONS
i;i 9 Mu-,,1 ;&1' lo5i, State of 0t. 5W Ai t V Lodes and a I I other Fo-it/flound ITisp Fir,epla
Ce 'I"Sp
agiiiaeba " . Ail nor" pill tw done it accordance mi.th approved Pc) _t/Aearn Str-uc:1 Gas Itisp
,laru rN5 persit will PxI,wi if Mor. �. tt Owo--, wi-,i, 'Ap t/beam Meehan Irisulat ).On insi
fVT or if vwk is susj� und s J,a 1h In ii F) Gyp Dnm) rl I r1sp
Ila i
PE 5 i,
PLRMIT #. . . . . . . c SWk9i.ij--011 9?
ITIS OF T IGARD
COMMUNITY DEVELOPMENI'DEPAR,rMENT
13125 SW Hall Blvd,Tigard,Oregon 97223ed199 (6031630-4171
uITE : �;W RW-['N PARLEL: 11341CB-4.3"M(?)
bUDDIVIS101N. ,. . . . lf-iHK
. . . . . . . . . . . L01 . 066
-MAN I NAME. . . . .
013A NO. . . . . . . , . . a FIXTURE UNITS— :
C--ASS LJV W-Iklii.. :NLL-,` DWL LL I NO UN I i G. .
YPE OF USL. 8V NO. OF' BUILDING,,;: i
tqPTK.L
-:t r k;; : PATH 1
uwtier : --- ---.-- __- - _. ___a_______. ...._._._.__.. FEES
1) X ANDERGON INC t ype amoutit by bate recPt
45-15 SW TUCKE13 AVE:: 21010. 00 JH 06/01/93
BIZAVERTON ON S 7 0 O'J'
P'llune
NUI ON FILL
;lclile #; 1317.
160 TUTAI
F?EUU I RF1) 1 NvF+CT I UNI,
7hi,s Applicant qtrps ti: with ali the ruler and regulations 1)t?ct i 0 ti
o` the Upilied lifoage plgercy. The persit upives IU days fro$
il,e da".. itsul'u'- lilt totai alount paid will be forfeited J the
pp;ojf expires. The P4*rcy does not guarantee the accuracy of the
i,lt sewfr )14,fralsq� If the seiner is not located at the orasuresept
,iwi, -W'instal* shal.' pr�sptct 3 feet in all d;rtctions frog
the distema jim. If not so iocated, the instailti I pu-c;)Ase
Tip and Side Serer' Persit and
''rm-i '-wE,
Call for irispeLtl-+n 639 417S
Ll
j � P✓
v �
Clrff1312S®-v �n� L,� TswEf,n[uve. PLKCK/RECT #
COMMUNITY DLVELOPME1NT DEPAR`TMMFFIIITT Tipr4Omg^97723 PERMIT
(50')6394171 DATE ISSUED
JOB 1100RESS: .�C� ��Y_�- - TAX MAP/LOT �a
Sun: LOT: _ j —� _ LAND USE:
VALUATION:
OWNER SPECIAL SPECIAL NOTES
IJAME: RE ISSUE
OF: ------ --.---
ADORES`,: —_— �� �>-�� � LAST REISSUE.-
FLOOD
EISSUE:FLOOD PLAIN/
PHONE: ���� 1� ---�-- SENSITIVE LAND: -----_^_—
CONT_RACTOR APPROVALS REQUIRED
NAME: __ . '�,z _------ -- --- PLANN I h,;: �`-
ADDRESS: —�� _ ENGINEERING: �—
FIRE DEPT: —
PHONE: ---____-- --- _ — OTHER:
CONTR. BOARD #: .— ' '� rEXP DATE:
ITEMS_RM1tIRED
SUBCONTRACTORS: PLUMB: _ L�CG'� �`i� LIST/SUBCONTRACTORS:
MECH: _ '� � Sc'� _ BUS TAX: _
ARCII/ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: _--- -- _--- OTHER:
PHONE:
PROPOSED BLDG. USE:
COMMENTS: - _ ¢— _� �, - L l?-�
APPLICANT SIGNATURE
Received By: _ _--, Date Received: � 9
I
PERMIT # ACCT DESCRIPTION AMOUNT AMOUNT PD. SAL. DUE
� � . 10-432 00 Building Permit Fees .3 e,,7.,Po a6.L, =4
10-431 00 Plumbing Permit Fees ••�u /` —LZL1 4'U
10-431 01 Mechanical Permit Fees ��� v'.�4
10-230 01 State 9,0 1ding Tax (5x)
Building
Plumbing .. ) %
Mechan i cal
10-433 00 Plans Check Fee
Building qu
Plumbing
Mechanical U l 3
10-230 06 Fire
Rjj- 11, 30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-448.02 Cow.vercial TIF Fees
25-448--04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
2.5-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (POC) U �
3 1 450 00 Storm Drainage Syst Dev Chrg
(SSDC) U.
24-445-01 Water Quality (Fee in lieu of) _
24-445-02 Water Quantity (Fee in lieu of) IJA
_
TOTAL A/fft
nm/358/P.WPi-
| '
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| CITY OF TlBAHD — RECF.;IPT OF PAYMENT RECE7PT NO. m93-241A179
CHECK AMOUNT : 160. 00
� NAME : MEADDWBMOOK DEVELOPMENT CASH AMOUNT , 0. 00
� ADDRESS : 4575 SW TUCKER AVF PAYMENl DATE o 05/18/93
S(|8D1VISlON :
REAVERTUN, OR 97005—
PURPOSE gr- PAYMEN—, AMOUNT PAID PURPU9F OF PAYMENT AMOUNT PA 11.) .
PLAm CHECK F'F LOT 111 40. 00 PLAN CHECK FE LO` 40. 00 «
'PLAN CHECK FE Ln,T 67 40. W0 PLAN CHECK FE LOl 40. 00 ^
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ANTUN PARK PI-AN CHECK FEFS |
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TOTAL AMOUNT PAID
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CITY OF "C J GARD — RECEIPT OF PAYME=NRECEIPT NO. t93-240716
CHECK AMOUNT t 4959, 26
NAME': MEADOWBROOK DEVF.I_nPMENT CASH AMOUNT s 0. 00
ADDRESS PAYMENT HATE 06/01/93
SUBDIVISION a
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PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
EIIJILDiNr F'ERM_.. 367. 0PERM��--- � 125. 00
MECHANICAL PE 40. 50 ST. BUILD PER 26. 63
h
PLAN CHECK FF 25. 13 SEWER USA 2100. 00
SEWER INSPECT 35. 00 PARKS SDC 500. 00
STORM DR iIN SDC 280. 00 RESIDENTIAL TRAFFIC FEES 135x. 00
MARES -CRANSIT TIF FEES 110. 00
LOT 66 ANTON PARK
121P9 SW ANTON DR
,TOTAL_ AMOUNT PAID - _ - -> 4q „ ,
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