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Case Filei I ADDRESS: J2112 7511 ) i.\records\microflm\targets\builc'ng.doc NFPECTION NOTICE City of Tigard Building Department 13125 M Ball Blvd. Tigard, Oregon 97223 Instection Line (Rec-O-phone): 639-4175 Business Phone: 639-4171 Inspection:`_ —� Footil:g Plbq. Underslab Hoch. Rough-In Appr/Sdwlk Found. Plbg. Top out Gas Line FINAL: Post,'eeam Struct. San. Sewer Framing .Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbq. Underfloor CWater Line Gyp. Bd. --Hoch. Date Requested: l) �7 1(— Time= AM _ / PN Andreas: 1 _ t/.� l�fPermit Buil,dert THE FOL.LOWING CORRECTIONS ARE REQUIRED: 5 Inspector: / -- Date: �' 3 / - 3 APPROVEL DISAPPROVED APPROVED SUBJECT TO AWV2 Call For Retnap. NI SPECTION NOTICE City of t.tgard Mmilding Department 13125 SO Hall Blvd. Tigard, Oregon 97'..3 Inspet.tion Line (Rec-O-Phons): 6.19-4175 Businei.L Phone: 6.i9-4171 Inspection:,----- ----_—_--_-- ---_.^—�— — Footing Plbg. Undersle'• Hoch. Rough--in Appr/Sdwlk Found. Plbg. Top O: c Gas Line Post/seem St-ruct. San. Sower Framing -Bld . i Poet%Boon Hoch. Rain Drain Insulation -Plumb. Plbg. U,:Aerfloor Wattr Line Gyp. Bd. -Hoch. Elate Rec��ss]te5:------- � Time! -_ AN __—PM t-L,, Permit e.� -r' 0314 Ru i 1 der: -W1k\.3 -- THE FOLLOWING CORRECTIONS ARE REQUIRED: CASE F ! �ja\Q_ A Inspector.:— I — nate: -__ APPROVED DISAPPROVBVJ APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Pki:tlding Department 1\ 13325 BD Hall Blvd. Tigard, Orogon 9722.3 Inspection Line (Rec-O-Phona<)s 639-4175 Business Phone: 639--4171 Inapections _r�s Foo.ing Plbg. Underelrb Mach. Rough-in Appr/Sdwlk Pound. P13g. Top Out Can Line FINAL: Post/ream Stn:ct, San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumh. Plbg. Underfloor. Nater Line Gyp. Bd. -Hoch. Date Requested: _ 'Sime: AM PH Addreen: ` v Z / ` ,r tom^ `�J Permit #s builder: TH1 FOLLOWING CORRECTIONS ARE REQUIRED: ` LC.wt -w-E ��1^/l .D X � �T�.-✓`�- Inspector:_ Date: APPROVED nISAPPROVED APPF'OVED SUBJECT To ABOVE Call For Reinep. I lY OF T I GAR D CERTIFICATE LSF' COMMUNITY CjIVELOPMENT DEPAiRTMEU'T 0 '(,UPANC\' t 7?a6*W Noll Blvd.TIB#lC QrWA 979290$100 (Goa)►9Q9 1TS PE:RM I T 0. . . . . . . R ►hrT9P.--•031.(:. DPTE I6SSUE D s 07/14/93 PARCEL,s 1 r 1;34Cts -18600 CITE ADDRFOG. . . s 1213c SW ANTON DF? LIDDIV1910N. . . . r ANTON PAPA', 0 c ZONINGc BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . e 1 1 CLASS OF WORK. ,NE14 TYPE OF USE. . . a SF" OCCUPANCY GRP. o R3 OCCUPANCY LOAD s 221 4 TENANT NAME. . . m Remarks; PATH I Owners r•OUR D CONSTRUCTION P () Box 1577 BEAVERTON OR 97075 Phone #s 641--09:35 Contractors I FOUR D CONSTRUCTION PO flex 1577 BEAVERTON OR 97075 Ph011e it; 641"-093ry Reg #. . a 71037 Oc-Lipanzy of the ata+.eve refererced building is, hereby given, and refrtifier i the r.omplianct with the Stmte Of Oregon Specialt,, ':odes► for the _group, (Wc.,upancy, and use tinder which the referenced permit w is uRd. FIRE: DEPARTMFNTANG-zOlr , CTOR IICIAL POST IN CONSPICUOUS PL fiCV. City or Tigard Buildix g Drp..Legant 3.3125 Of Ball Blvd. Tigard, Oregon 47123 Inspection Line (Roc-O-Pho 4)t 639-4175 Busirass Phone: 639-417.1 Inspection:__ r Footing P1 `....-------- 1 bq. Apearslab Koch. Rough-in Bppr/edalk Found. 711bg. Top Out Cam Line FINALI Poet/Ream Strutt. Ban. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -plumb. Plbg. Underfloor Nater Line gyp. Rd. -Koch. Dar• Requested: ±� l Tiaat AN PN Address:,/a - '� BaLlders_ THE 7'OILONINg CORRECTIONS ARM REQUIRED: A 12A I Inspector: L ` T j —7 —/ g ----APPROVED DISAPPROVED V ApppbVED SUBJECT To ABOVE Call For Rsinsp. INSPE('PIQN NOTxCE Citi of Tigard Building Depirtaeat 13125 Ew Ball. Blvd. Tigard, Oregon 97223 Tnepection line (Rec-O-Phcne)t 639-4175 Business Phone: 639-0171 Rooting P1bg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALt Post/Beam Struct. San. Sewer Framing Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor 7 Water Line Gyp. Bd. _K*L h.� Dal,* Reguestedts Ti -9res AM PM Address: � fi/i7JN.r Permit It Builder: —-- -- --- -- TBR FOLLOtiINO CORREC"IONS ARE RKQt11R+E,j/a L Inspector:__— _ Dat:et — APPRDVED DISAPPRC'M (/APPROVED SURJECT To Ago" _Call For Rainsp. INSPRCTIOl1 NOTA City of Tigard Building Department 13125 M Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-p-Phone)t 639-4175 Business Phonaz 639-4171 Inspections___ Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Found. Flbg. Top (jut can Line FINALe Post/9esim St_ruct. San. Hower Framing -Bldg. poet/Bean Hoch. Rain Drain Insulation /lJ" -plumb. Plbq. Underfloor Nater Line 0". ad. _Hoch, Date Rewontedt 11,57 Times _ PN Addresses _ permit -- THE FOLLOWING CORRECTIONS ARE REQUIRF.P: Inspector: f � Date1 11PPA0Vlfi DIB"rROVRD _i APPOOM BUAJWr 10 AMM Call For Reiner. 1NUMMLON r!aL99 �)v City of Tigard Builditg Depaz#atont 131.25 BN Ball Blvd. Tigard, Oregon 97223 Inspection Line (Roe,-O-Phone)t 639-4175 Business Phones 639-4171 InapectLon: _ - Footing Pl.bg. Dnderalab Mach. Rough-in �Appr/Sdwlk Found. Plbg. Top Uut (Sas Line FINAL: P•art:/Beam Struct. San. Sower Framing -Bldg. Port/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Linee Gyp. Rd. _Mach. Dr'-e "c.juested: tlae% AM _Fx Address% c� / Pewit #1 Ruilders_ THE FOLLOWING CORRECTIONS ARE REQCIRED: Inspw-tort_L �- 4r�/nk,% Date$ 3 _ APPROVED DISAPPRM ED APPWWRD RDBJECT To AROVE Call For Relnsp. INSPE�"TION NOTICE city of Tigard Building Depaztasunt 13125 an Hall pled. Tigerd, Oregon 97223 Inspection Lie (R� one)a 639•-417/5 Nosiness Phone: 635-417:1 Inspections --------- -- - Footing Plbg. Undera.lab Mach. Rough-in Appr/Sewlk Found. Plbg. Top Out Cas Line FINAL: Post/Beam Btruct. San. Sower Framing -Bldg. Poet/Bream Mech. Ral.n Drain Insulation -.Plumb. Plbq. Underfloor Nater Line (. P. -Mach. Date Requeeteds Timer PM Add rams: 2 _�_2 Permit nuiSder:_ THE FOLLOMM (1ORRECTIONS ARZ RWUIREDs Inspector: — Dater - J/ APPROVED DISAPPROVED —„ APPROVED SUBJECT TO ABOVE Call For Reinn,... �N�R�TIOM NOT��,YB City or Tt#;ard Building Department 13135 SW Hall 91Td. Tigard, Oregon 9727.3 Inspection Line (Rbc-O-Phone): 639-4175 Business Phone: 639-4173 Inspection: Touting Plbg. Underslab Mach. Rough-in Appr/Sda:k Found. Plbg. Top Out Can Line FINALS Post/Roam Struct. San. lower Framing -B1Ca. Poet/Beam Meeh. Rain Drain Insulatior.; -Plumb. Plbg. Underfloor Mater Line Gyp. 5d. -Mach. Date Requestedt — 7 Times �lAM PM �.� ./ tom - ( Permit f:l�c' -L Cv Address - — Builders— /_L/ THE FOLLOWING CORRECTIONS ARE REQUIRED: AA Inspectors_--7� ------- --• Dates APPROVED DISAPPROVED APPROVED SUBJECT To AEON= Cell For Reinsp. IMMO? o Ind City of Tigard Building Department 1312S SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Ree-O-Phone): 639-4175 Business Phone: 639-4171 Inspuctlon:_ _ Rooting Plbq. tlnderslab -in ppr/Sdwlk ►ovnd. Plbg. Top Out PIKA.G: Poet/Beam Struct. San. Bawer i� -Bldg. Pont/Beam Much. Rain Drain C 211fUI=Cibn -Plumb. Plbq. Underfloor Nater Line Gyp. Bd. -Mecf . Q^ \ Date Requested: —Z u -� Time: AN � PN Address: - ) Azaa -4- 01 Permit Builders TME POLLOWI140 CORRECTIONS AAR RLQOIRED: S nnf.ncYrr� / Date! -�:• nrra ver DISAPPRGNHD APPROVED SUBJECT To AWWF Call For Rnlnep. City or Tigard Building Departnm mt 13126 sw Hall Blvd. Tigard, Oregoo 97223 pertior. I!.ne (Fate-- Phone)z 639-4175 Business Phones 6-')-41-11 action: P -t.-Ig P1 . U iderslsb " h � IMoh. ough-in Appr/Sdwlk F Plbq. Top out OaB L1M 1 FINAL: Post/Beam St.ruc-t. Ban. Sewer Framing -Bld 9- Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. prderfloor Watcw Line Oyp. Bd. _Hoch. D'�Le R queatedt-7�� �� T1BMt AM pN 1c�Addreast - LL71 All 1ys7tit �t c/�` 031,6 rite >hor uNzno COtAR MIOWN Alt! RlQ ZUD t _.1 Inspectort_ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE ----Call For Reinap. INSPECTION NOTICE City of Tigard nuilding Depart-tKmt G �' 13125 SW Nall. Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phones 639-4175 Buninena Phoney 639-4171 Inspect ion:_+�`--- - --_— Footing Plbq. Underelab/ Mech. Rough-in Apps/Sdwlk f�/n Found. lbq. Top Ou Gas Line >IINALs Post/Beam Struut. San. Sewer �--'C� Framing -Bldg. Post/Beam Hoch. Rain Drain insulntion -Ply, I Plbg. Underfloor Nater Line Gyp. Bd. -Hoch, 3 Date Requesteds AN / PN Addreeat Peneit #, q2 "493/.o Builderr_ �( - (ia S" ,7 26 TRE FOLLOWIK_, CORRECTIONS ARE REQUIRED: / Inspector: natal APPROVED -- DISAPPROVED —_ APPROVED SUBJECT TO AROVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Depairment 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Ph ne)i 639-41.75 Businese Phonal $39-4171 Inepect-ion:___ Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gan Line FINAL: et/Beam Struct. San. Sewer Framing -Bldg. ns:/Beam Mac Rain Drain Insulation -Plumb. Plbg. 9nderfloor Water Line Gyp. Bd. -Koch. Date Requested:` aTimi,: A14 _ PK Address: 7"L permit 0, •� l�_--� THE FOLLOWING CORRECTIONS ARE REQUIRED: Inepectorl ✓ Date:��� Gr APPROVED DISAI-rROVED APPROVED SUBJECT TO ABOVE Call For Rsinnp. l_NSPECTION NOTICE City of Tigard Rni.ldi-ig Departmont 13125 SN Mill Blvd. Tigard, Oregon 9722.3 Inc.pectior Line (Rec-O-!Ihone): 639-4175 Business Phone: 639-4171 Inspection:------- --- ----_..— -- ----- Footing Plbg. 'Inditralab Mach. Rough-in Appr/Sdwl.k Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing .-Bldg. Post/Beam Mech. Fein Drain Insulation -Plumb. 01bg. Underfloor Nater Line Gyp. Bd. -Nech. Date Requeoted:_ U _ Time: AM Address: c� t om_ Permit 1:l�_,__,�/�, Builder: —_—_—_ TNR FOLLOWING CORRECTIONS ARE REQ[IIRED: I ZZI/ Inspector: Dare: / a �AFPROVED DISAPPROVEn APPR:7VF.D G[1BJRCT Tn ABOVE_Call For Rel.nap. �NSPECTIUN NOT:CE `y�'�r' City of Tigard Building Department 13125 SN Ball Blvd_ Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 1+I Inspection: — l— - ---- -------V� Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Line FINAL: Poet/Beam Struct. CJ�Sari. Sewer Framiny -Bldg. Post/Beam Mech. in Drain Insulation -Plumb. Plbg. Underfloor ater Line Gyp. Bd. mech. Date Requested: //1 AM PM 2"Address: SG S ( -n [[� �,_ �l„f Z. Permit 1= G-.2 ,7 Builder: TNR FO CORRECTIONS ARE REQUIRED: Inepactor:� Dater 4--APPROVRO -` DISAPPROVED - APPROVED SUBJECT TO ABOVE ---Call For Reinap. TNSPECT:ON POTICCEE City of Tigard Building Departonant 13125 RM Hall Blvd. Tigard, Oregon 97223 Inspection I.1.ne (Roc-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:__— Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk Found.,' Plbg. Top Out Gas Line FINAL: Poet/Beaus Struct. San. Bower Framing -Bld7. Poet/Bea:o Mach. Ra-n Drain Insulation -Plumb. Pllsg. Underfloor Water Line Gyp. Bd. -Hoch. Date Requavatod: I=P:�,,2`-5^ _L�� _—Times AM PH AdOrees:�� � � y�v-�— .Permit y=lam Builder:____ _ — _-- -- — — THE FOLLOWIVG CORRECTIONS ARE REQUIRED: Inspector:_ Date: Z L-_APPROCED _ DISAPPROVED - _ APPROVFD STTBJRCT TO ABOVE __Call For Reinsp. CITYOFTIFARD My - RD PLUMBING PERMIT 4 COMMUNITY DE"vELOPMENT DEPARTMENT 009001 PERMIT #. . . . . . . : IYIST92-0316 13126 SW 1W 11W.P.O.Sm 23W,T4wd,Oregon Or (bW)63W417G DATE ISSUED: 02/23/93 SITE ADDRESS. . . & 12132 SW ANTON DR PARCEL: 1S134CB—A1--'1J.,-;, SUBDIVISION. . . . s ANTON PARK # 2 ZONINGS BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 113 -.—----------------------------------------- -------------------------------------- - -- CLASS OF WORK. . tNEW GARBAGE DI5P0SALS. . : 1 TYPE OF USE. . . . :SF WASHING PiACH. . . . . . . .. I BACKF'LUW PRET NTRS. . s@ OCCUPANCY GRP. . iR3 FLOOR DRAINS. . . . . . . cO TRAPS. . . . . . . . . . . . . . :0 STORIES. . . . . . . . :2 WATER HEATERS. . . . . . al CATCH BASI,4S. . . . . . . :0 FixrURES-------------- LAUNDRY TRAYS. . . . . . s SF* RAIN DRAINS. . . . . : 1 EINKS. . . . . . . . . . . I GREASE TRAPS. . . . . . . sO LAVATORIES. . . . . :3 OTHER FIXTURES. . . . . :0 IUB/SHOWERS. . . . i SEWER LINE (ft) . . . . :0 WATER CLOSETS. . s3 WPTER LINE (ft) . . . . siOO DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . . a0 Remarkst PATH I UWNERi ------------------------------- -------------------FEES----------------- FOUR D CONSTRUCTION JIF $ 1460. 00 JH 02/23/93 — P 0 BOX 1577 SPHT 1- 376. 00 JH 02/23/93 — BPLC t 244. 40 JLH 12/16/92 92-234723 BEAVERTON OR 97075 B5PC $ 18. 80 JH 02/23/93 — Phone #a 641-0935 SSDC $ 280. 00 JH 02/23/93 -- PARK PARK $ 500. 00 .;H 0R/23/93 Plumbing Contract ore MPRT $ 43. 50 JH 02/2,3/ )3 JH$ 10. 88 J02/23/93 Names M5F-,C $ 2. 18 JH 02/23/9,3 Addreass PPRT $ 132. 50 JH 02/23/93 C i t y e States v P5PC $ 6. 63 JH 02/23/93 Zips Phoneii—i Reg #1 REQUIRED INSPELTIONS "rhis permit is issued subject to the reg— ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp Coda, State of Ore. Specialty Codes and all Post/Beam Struct Water Line Insp other apr' icablo laws. All work will be done Post/Beam Mochan Avpr/Sdwlk lnsp In accordance with approved plans. This PlM/Undslab Insp Mechanical Final permit will expire if work is not started PL.M/Under-floor Plumb Final within 180 days of issuance, or iF work is Mechanical Insp Building Final suspended for more than 180 days. Plumb Top Out Erosion Control Framing Insp Crawl Drain Fireplace Insp Gas Line Insp Insulation Iiisp 6) Gyp Board Insp Autliorizod Plumbing Contractor S gnat:u-r—e Call for inspection 639-4175 Lontractor Notese ----------- ti CITY OF TIFA MASTER PERIrII T crry PERMIT #. . . .. . . . : 0151,92-0:316 COMMUNITY DEVELOPMENT DEPARTMENT ecreo�� 13123 SWHO8W. P.O.84m2xw7.T19.d.a.q.+oT:�;IP3) ►t��6 DATE ISSUED: 02/23/93 SITE ADDRESS. . . : 12132 SW ANTON DR PARCEL: 1S134CB—AP11.:1 SUBDIVISION. . . . : ANTON PARES # 2 ZONING: BLOCK. . . . . . . . . . : LLIT. . . . . . . . . . . . . 9113 ---------------------- BUILDING -----__ __—____._____.___--•---_—.___..._____...._ REISSUG.: DWELLING LINITS: 1 BASEMENT. . . . . . . . :0 sf LLASE OF WORK. :NEW BEDRMB:4 BA FHS:3 GARAGE. . . . . . . . . . :400 s f TYPE OF USE:. . . .SF FLOOR AREAS--_----.---- REQUIRED SETBACKS---------- TYPE OF CONS T. :5IV FIRST. . . . :809 s LFFT. . -5 ft RIGHT. :5 ft OCCUPANCY GRP. :R3 SECOND. . . :787 s f FRCINT. a 20 ft REAR. . :23 f L STORIES. . . . . . . .2 THIRD. . . . :0 s f ------------- 14E I GHT. . . . . . . . :21 ft "TOTAL------•--: .1596 s f SMOKE DETECTORS. a Y I-LOOR LOAD. . . . :40 psf VOLUF_. . . . . f: 80616 PARKING SPACES. . : 1 Remarks : PATH I _----.----------- —__---•--_.____._______ PLUMBING `-'INKS. . . . . . . . . . : 1 F! )OR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0 LAVATORIES. . . . . :;3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . 90 TUB/,HOWERS. . . . :c LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . ..k WATER CLOSE7S. . :3 SEWER LINE (ft ) . a0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WAFER LINE (ft) . : 100 OTHER FIXTURES. . . . . :0 GARBAGE: DISP. . . : 1 RAIN DRAIN (ft ) . sO WASHING MHCH. . . : 1 SF RAIN DRAINS— al _ -------------- MECHANICAL —---__----__—-------- --_ ----— --- FEES ------------. I- UEL 'TYPES---------- UNIT HTRG. . :0 type amount by date recpt //GAS/ / ! VENTS . . . . . ..0 TIF $ 1460. 00 JH 02/23/9.3 — MAX INPUT:O BI(_1 VENT FANS. . :4 BPRT $ 376. 00 JH 02/23/93 — 1 URN ( 1001; . . : l. HOODS. . . . . . .. 1 FPLC $ 244. 40 JLH 12/16/96: 92-234:23 1 URN ) =-100K . - .0 WOODSTOVES. s O B5PC $ 18. 80 JH 02/23/93 -- FLOOR FURN. . . . .0 CLO DRYERS. : i SSDC t 280. 00 JH 02/23/93 — BOIL/CIhT=' ( :3110:0 OTHER UNITS: 1 PARK f 500. 00 JH 02/23!93 — GAS OUTLETS: 1 MPRT f 43. 50 JH N2/x':3/93 — (.)wner,: ----------------------------------------MPLC $ 10. 86 .IH 02/23/93 — F-OUR D CONST RUCI I ON M5PC t 2. 18 JH 02/23/93 -• 1, 0 BOX 1577 PPRT t 132. 50 JH 02/23/93 — P5PC $ 6. 6:3 JH 02/23/93 — BE=AVERTOhI OR 97075 Phone #: 641-0935 .--ontractor: ------____------_—_----------_-- FOUR D CONSTRUCTION PO PDX 1577 BEAVERTON OR 97075 Phone fl: 641-0935 Reg #. . s Y1037 $ 3074. 69 TOTAL This permit is issued subject to the regulations contained in the ------- REOUIRED INSPECTIONS -------- Tigard Municipal Codi. State of Ore. Specialty Codes and all other Foot/found Insp FireTilace Insp i applicable laws. All work will be done in accordance with approved Post/Beam Struct Gas Line Insp plans. This permit will expire if work is not started within 190 PLst/Beam Nechan IrnsuIatinn Insp days of i!suance, or ;f work is suspende fir acre than 190 days. Pl m:/ands lab Insp Glrp Board Insp PL_M;UnderfIoor Rain drai,i Insp 1,er mittee Signatio i - Mechanical Insp Water LJ.ne Insp //" --- Plumb Top Out Appr/S(lwll< Insp Issued Bv : Framing Insp Mechanical Final 74.- Call for inspection — 639-4175 C17YOFT11FARD SEWER CONNECTION C04MUNITY DEVELOPMENT DEPAFRTMENT oma►eoee PERMIT 13125 GWHWISMd.P.O.Sm 23"7,TOW,ONWn 97223(503)639-4175 PERMIT #. . . . . . . : SWR92—CO397 639-4171 DATE ISSUED: 02/223/93 SITE ADDRESS. . . : 12132 SW Q^1 ON DR PARCELS 15134CB—AP113 SUBDIVISION. . . . s ANTON BARN. #f 2 ZONING: BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . 1113 !'ENANT NAME. . . . . s USA NO. . . . . . . . . . I FIXTURE UNITS. . . : CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 INSTALL TYFE. . . . :BUSWR IMPE.RV SURFACE. . : i Remarks PATH I Uwnere -------- --------------------------------------------- FEES --------- F06R D CONSTRUCTION type amol.int by date reg i.i. P O BOX 1577 PRMT $ 2100. 00 I-ILL 02/23/93 — INSP $ 35. 00 VIL.L 02/23/93 — BE.AVERTON OR 97075 Phone tts 641-0935 C.ontratct or s -------------------------------- CONTRACTOR -----_—_---.--.________________CONTRACTOR NOT' ON FILE -------------------------------------- Pt,nne its $ 2135. 00 TOTAL )leg #. . I —_-----— REQUIRED INSPECTIONS ---This Applicant agrees to comply with all the rules and regulations Sewer Inspect ioii of the Unified Sewage Agency. The permit expires 180 hays from ._ the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side seller laterals. If the sewer is not located at the measurement _ given, the installer shall prospect 3 feet in all directions from the distance given. if not so located, the installer shall purchase a "Tap and Side Sewer` permit and the Agency will install a lateral. _ i,er-mittee Signature:� _ I;sued B y: Call for ilispecti.on — 639-4175 I y3r40;) 3 -7y 6 r`� r 11125 SW Hall[M. PLNCK/RECT # - `1 g 7!x-(-7 CITYOF I`IGARD , PERMIT # rI'Js��31 C COMMUNITY DEVELOPMENT MENT DEPARTMENT Tigan,Orc ci97??3 (503)631-1i71 DATE ISSUED JOB ADDRESS: �:. a �J /7��_ Jo- DN TAX MAP/LOT . 1 -3 cj r 6--R P/13 SUB: P r, 2 LOT: /�,� _ LAND USE: VALUATION: OWNER SPECIAL NOTES NAME: CaN-yT/"(iC 1- And REISSUE OF: ADDRESS. C�__. g k` 7 J LAST REISSUE: _ -10 '2 S _ FLOOD PI-ATN/ PHONE: —_—�y� -G' %' -5� �^ SENSITIVE LAND: CCS IAC OR APPROVALS RE, U� I RED S 8 q r DDO� NAME: .5,9IWME Q PLANNING: -- ADDRESS: _ _ _ ENGINEERING: — FIRE DEPT: PHONE: _— OTHER: -7 -- ---__ CONTR. BOARD #: EXP DATE: ? J ITEMS_ REQUIRED SUBCONTRACTORS: PLUMB: Ca � � u chi N LIST/SORCONTR!CTORS: MECH: "&c)w c.. t V Imo( rAT 10 BUS TAX: ARCH FNGIN�EH CALCULATIONS: NAME: __ LAPVy_ 7T=�F"T� _ TRUSS DETAILS: ADDRESS: L 7©�? ,�, -,%._ / fir+ " n 7 y OTHER: t P 'T LAND oK- t 7 Z:?- PHONE: 2PHONE: Y,,, - .� 7— PROPOSED PROPOSED BLDG. USE: ..�iAj G^G.E COMMENTS: APPLICANT ,NATURE i --F— Received By: --� _� _ Date Received: ( �' �.— P{RMIT N ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE r�-v h; 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees �.�'� �� t _ /32 ' '- 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5q) Building 4 Plumbing Mechanical ePL-I 10-433 00 Plans Check Fee S 5. z ' `'•L� - Building P Plumbing Mechanical 10-230 06 Fire G e(e 0,1 30-202 00 Sewer Connection 30-444 00 Sewer Inspection 3 -) ---. 3�-- 25-448-02 Commercial TIF Fees _ — 25-46A-.04 Industrial TIF Fens _ 25-448-06 !Institutional TI{ Fees — — 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees l,3 S7� SJ 25-448-05 Mass Transit TIF Fees1�- 52-449 00 Parks System Dev Charge (PDC) 31--450 00 SLvirm Drainage Syst Dev Chrg (SSDC) 24-4(5-01 Water Quality (Fee in l7eu of') _- 24-445-02 ►later Quantity (Fee in lieu of) TOTAL -S;2 0 ? nm/3587P.WPF C I Th OF T I CARD - PE,C.E.0 F,T" OF PAYME:NI RECEIPT NO. :92---P347;"'3 CHUCK AMOUNT I Ql 17.10. 0 0 NAME s FOUR D CONSTRUCT I ON C7 CASH AMOUNT 0. 00 ADDRE'88 t PO BOX 1577 PAYMENT DnTF a 12/16/9F BEAVE:RTON, OR SUBDIVI CION 97075-. PURPOSE OF' PAYMENT AMOUNT PP J C PURPOSE OF PAYMENT AMOUNT PAID ` PLAN CHECKFF'_., .1:=-46R _._..._.__ 250. 00 PLAN CHECK FE__ 1,i'--47R -_ 250. OW.+ C'11._AN CHi~CK FE 1c-•49R 2'30. 110 PLAN CHECK FF 12-49R 250. 00 ANTON PARK M2, LOTS 113, 109, 6.:3, 112 I OTAL. AMOUNT PA T D — — - --> 1000. 00 I I CITY OF T I BARD — FiELI'F I FI T OF F,A'YML N'T RE 1:;F ;PT NO. .9 3- 7006 CHECK AMUUN( s 4g59. 69 I li=1MF. FOUR D Cl:MSTRUCT I ON CASH NMOUN i c 0. 00 ��)yDFdE ;Gi a P. O. BUX 1577 PAYMENT DATE. 02/23/9s ` aaa OU BD I V I S I ON : iI BEAVERTON , OR 9-7075— PURPOSE' OF PAYMENT AMOUNT PAID PlJRPnSE OF PAYMENT NMOUN T PA I D !�I. 1LD;NG PERM 376. 00 PLLlME�INC, F�ERM 1•%2, `Q Ml;CHANICAL. PE 43. 50 ST. BUILD PE' 7 6 t F I AFJ CHLUK FE 5. 2s SEWER INSPECT 35. 041 0C.S I DENT I AL. TRAFFIC FEES 1350. oet MASS TRANSIT TIF FEES 110. TG's j f POPAVS GDC- a00� Ql0 ;iTJRM DRAIN SDC 260. 00 Iit"WF R USA ?100. 0 i MST 92•-•0316 FUR 121.32 SW faNTON DRIVE "114TON PARK #2, l OT #113 TOTNL AM13UNT PAID •- — -- 4959 1x9