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Case File 1 ADDRESS: i 1rr;cordslmicroflmltargets\building.dor: i OF CIT'S OF TIGARD PE:F%MITE#. . . .00CUPANCY. . . MST93-.001 ., COMMUNITY DEVELOPME Y D9PXntM0-:MT 11195 6W M.e Blvd,T' -A.Or0W ffW*64N (M)OU-61711 DATE: I SSUED s OCA:0i' ,ega t i I T F pLiVROC` . • e 12`202 SW f4NTON DR FARC:E:L e 1 S 134CB. 1610(71 SUBDIVISION. . . . s ANTON PARK: X12 ZONING s BLOCK.K. . . . . . . . . . a LOT.. . . . . ____-___._,..__._w___-__-__-____..,._____ CLASS OF WC)RK. aNE,W ..___..___,._-__. ._.___ OF USE. . t SF OCLOPANCY GRC-'. s R3 OM IV-FANCY f. OAI)s 1 19 4 T'IENWNI NAM,-, . . Rema►•kto s PATH I Owners D F ANDERSON INC 4575 SW TUCKER AVE: BEAVERTON OR 97Q)Qj V,Ihowr Oa 627-•99599 D ANDERSON, INN 4375 S() TUCKEF AVE'. BEPVFPT(jA OR 97005 Phonw *% 6i�.7•-14949 Reg #. . s 4634.4 Occupancy ,cf the above r,►ferenced building is hereby given, and curtifie s the.► compliance with the State Of Oregon Specialty Lodes for the group, necupanry, and use under which the referenced permit was isao.red. FIRE DEPARTMENT �. ►I D I hl�'\ SPLLTLIR IL IN(I OFF 1 A(..____.—�_ POGT IN CONSPICUOUS PLAC'F r INSPELTION NOTICE City of Tigard Building Department 1312S ON Aa11 Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Buainess Phone: 639-4171 Inapectlon: Footing Plhg. Underslar Mech. Rough-in Appr/Sdw11 Found. Plbq. Top Out Cne Line FINALS Poet/Beam struct. San. sewer Framing -Bldg. Post/Beam Mech. Rain Drain IneuIation -Plcmb. Plbg. Underfloor Water Line Gyp. BO. -Hoch. Date Requested: --PH PH Addre®e: /1-Z 2--_��-�tr.-� Permit Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: — Date:- L APPROVED DISAPPROVED -_ APPP.OVED SUBJECT TO ABOVE Call For Rel-nap. INNSPECTION NOTi�E Cit? of Tigard Building D 0partawut 13125 90 Hall Blvd_ Tigard, Oregon 97223 Inspection Line ir)w., -n--Phone)s 639-4175 Business Phones 639--4171 Inspections__________., looting Plbq. Ondaralab !loch. Rough-in Appy/Adwlk Found. Plbq. Top Out Oar Line PIJq►LI Post/Beam 9truct. San. Anwar Framing Post/Beam Hoch. Rain Drain insulation -Plumb. Plbq. Underfloor Nater Lina oyp. Rd. 46wh. Date R.equestedi S ` ~` -Time: All _ =PM Address: /4/'DZ /L�7LGf!`y / _ Permit T Builder: THE POLL0WING CORRZCTIOWS AAE REQUIRED: dd �_ Inspector: --- _ - ------- Miter APPROVED DISAPPROVED APPPOVRD AI1A.fFi1T Ttt) AR!)VE __ Galt For Reinsp. 1MSP39TIOj1iO��CE City or Tigard Building Department 1312S BR Ball Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O-Phone)s 631, 1175 Business Phone: 639-4171 Inspections rooting Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out G-a Line FINu,s Post/Bear Struct. San. Sewer :raring -Bldg. Post/Beam Moch. Rain Drain Insulation _Ply, Plbg. Underfloor Mater Lim gyp. Bd. Date Requested, ✓ /l �, ! Addroses ftrwLt #04, Builders i/ U l y TM FOLLOWING CORRECTIONS ARE "QUIRBD, T r Inspectori _—APPROVED / I}pPROVED AP"WWRD SU&M--T TO ABOVE �,Call For Reinsp. INNUCTION NO'T'ICE City of Tigard Building Department 13I25 S* Mall Std. Tigard, Oxegon 97223 Inspection Line (Roc-O-Pho )1 "639/-4175 Business Phones 639-4171 Inspection: Tooting Plbg. bnA*rslab Mach. Rough-in 2 ppr/_ S k Found. Plbg. Ton Out Gas Lina FIRALi Poat/Ream Struct, San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain insulation -Plumb. Plbg. Underfloor Water Line Gyp. fid. -Mach. j�Date Aequostod:_ � Tfak+: AN PM Address: Penult is�� Ruilder: THE FOLLOWIRG CORRECTIONS ARE REQUIRED% (77 Inspsctori !�-! ,L _ Dates PROVED DISAPPROVED _ _ APPROVED SUBJECT TO ABOVR --Call For Reingp. wrrr4.srlu'YY�.Y.�.1V.�r+.r•.r..rr.r.a. r ii 1b.i Ww.M.r.rr.. .yY l / Ns Fcxi�t�xoT�cis City of Tigard Building Department 13125 til/ Hall Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O-Phone)e 639-4175 Business Phone: 6A-417l Inspections Footing Plbg. Jnderslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas U ne FINALS Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Meds Rain Drain I) sulation plyep,1 Plbg. Underfloor Nater Line Gyp. Bd. -Meoh. Daus Requestedt_ n� Times AM pX Addrnu: �.yUy�� 11 /JU peyait 1t Bu l ld,ar c THE FOLLOMTNG COMUCTIONS ARE REQ"IREDs I Inspector / v �--_---- Dater _ APPROVED DIISSAPPROVED __ APPROVED SD&TECT TO ABOVE Z-- Call For Reinsp. INSPECTION NOTICE . City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Per-O-Phone); 639-4175 Business Phone: 639-4171 Inepectiont Footing Plbg. Underalab Mech. Rough-in ppr/Bdw k Found. Plbg. 'fop Out Can Line FINALt Poet/13eam Struct. San. Sewer Framing -Bldg. P09t/11eam Mech. Rain Drain Ineulati.on -Plumb. Plbg. Underfloor Nate Line Gyp. Bd. -Koch. 71-3 Date Requested:_ Times AK PK Addrera: ZQ (yYldN Yermit #t Q Builder: )� �_� •) //r' '�� 7 C J� THF. FOLLOWING CORRECTIONS ARS REQUIREDt k"DV ESI 26, _ <,�,�d �Ur�- ,f Gt/i Tf!/i,/ �,Qo1'E.�moi/ �✓vJ SOL— i Inspectorstf 711 THS MSS nate: h G APPROVED DISAPPROVED _ APPROVED SUBJECT Tn ABOVE Call For P.einep. IyNSPECTION NOTICE: /`/J% ✓ City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-417E Business Phone: 639-4171 Inspections____ Footing Pl.bp. Underslab Mech. Rough-in Appr/Sdwlk Found. P1bg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. I Post/Roam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Regneatedt4�� Timet _AM PM Permit 1 nuildPr• THE FOLLOWING CORRECTIONS ARE REQUIRED: s Inspector: Date: Z _APPROVED —_ DISAPPROVED -_ APPPMM 8UBJECT TO ABOVE `call For Reinsp. INSPECTION NOTICE. 'i_ty of Tigard Building Department 13115 nW Ball Blvd, Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Buaf.neua Phone: 639-4171 Inspection: Footing Plby. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Lina gyp. -Mech. ! Gate Requeetec'. AM PM Addreset DC-;k. Permit /:_ 1�—L /t Builders �' u`-- THE FOLLOWING OORRECTION:f ARE REQUIR9D1: .r 7�V� Inspector:__ rc- r Dates-- --APPROVED ate:_—_APPROVED DIBAPPROVED APPROVED SUBJECT To ABOVE Call For Peinep. I(tGPECTIGN NOTICE City of Tigard Buildinq Depvrtment 13125 BN Ball Blvd. Tigard, Oregon 97223 Innpecticn Line (Rec-O-Phone`e 639-4175 Businees Phone: 639-4171 Inspections__ Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gan Line FINAL* Poet/Beam Struct.. San. Sewer Framing -Bldg. Pout/Ream Mech. Rain DrainIneulat on\ -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Hoch. Date Regieotedt -{3� � Timet AM PM Addroae: [/� ,�/1, //yL/ Permit it THE FOLLOWI NC CORRECTIONS ARE REQUIRED: 4 Inspectors _ Dater APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE __Call For Reinsp. INSPXF TION NOTICE City of Tigard Building Departtseut. 13125 SW Ball Blvd. Tigard, Oregon 97213 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections tooting Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out GGaasLine FINAL: Pout./Beam Strurt. San. Sewer -Bldg. Post/Hearn Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Nech. Date Requested-___ _LS �= Time: AN _ `R PM Address: Permit f x� ez)141 Builders --- THE FOLLOWING CORMCTCTTIOO`ms ARF, REQUIREDt Inspector:_----rrl Daiet �S _ APPROVED DISlIP1+RC`1/Rp !/ APPROVED SUBJECT TO ABOVE Call For Reinsp. I 11?',2XCTION NOTICE City of T';ard Building Department '3175 BW 801 Blvd. Tigard. Oregon 97223 I-epection Line (Ree-O-Phone): 639-4175 Busineas Phon-: 639-4171 Footing P10-g. Vpiers.'ra Mech. Rough-in Appr/Sdwlk Pound. ?llbg. "Cop Out /Gas Line FINAL: Yost'Ream Stn• t. San. Sewer1 Pra_ m g -Bldg. Post!Beam Mach. Rain Drair Insulation -Plumb. Plbg. Underfloor dater Lines Cyp. Bd. -Mech. Date Requested:— -�13 Time: AM �)_PM Address: fnriL1h'� _ Permit f: Builder: TME k-OUA WINO CORRECTIONS ARE REQUIREDS i Inspector.--� ._.�_ 7-1 APPROVED DISAPPROVED APPROVED SUPIRCT To ABOVE Call For Reinep. INPB SCTION NOTICE City of Tigard Building Department 13125 80 Hall Blvd. Tigard, orarjou 97223 Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underelab Hech. Rough-in Appr/Sdwlk round. Plbg. Top Out Gas Line FINALS Poet/Beam Struct San. Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Natur Line Gyp. Bd. -Hoch. Date Requesteds, - Times -AH PH Addreses � Permit Builder: THE FOLLOWING CORRECTIONS ARS REQUIRED: � 7 Inspectors -/ Date ` Z- APPROVED DISAPPROVEC APPROVED SUBJECT To ABOVE �X— Call For Rainmp. INSPECilUN NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-phone): 639-4175 Business Ph : 639-4171 Inspection: Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. P1F Top Out Gas Line FINAL: Po Beam Struct. aan. Sewsr Framing -Bldg. P st/Beam Hech.� Rain Drain Insulation -Plumb. Plbg. Underfloor slater Lina Gyp. Bd. N ch. Date Requested: Addreee•_ � � ,/ �,��^y�L_� ///I Permit Builder•—_�(fJes� sr—C/"[:7/ THE FOLLOWING CORRECTIONS ARE REQUIRED: i Inspector Date: Z' , eT _APPROVED DISAPPROVED __ APPROVED SUBJECT TO ABOVM !_Call For Reinap. INSPECTION NOTICE _77 City City of Tigard Building Department 13125 611 gall Blvd. Tigard, Oregon 977.10 Inspection Line (Rec-O-Phone): 639-4175 Busineas Phone: 639-1171 Inspection: Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk ?ound. Plbg, Top Out Gas Line FINAL: Post./Beam Struct. San. Seder Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. lbg. Underfloor > Water Line Gyp. Bd. -Nech. Date Requested:_ -Timet AN PM Address:J�—Ll_Q.� � / /mss Permit #i /�7__> Builder: THE FOLLOWING LORRECTIONS ARE R39UIRED: w Inepec-tc•,-s� APPROVED DJSAPPROVED APPROVED SUBJECTATO ROVE /J�` _ ___Call For Reinap. INSPECTION NOTICE City of Tigard Building Departsaent 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639--4171 Inspection:_�— -- Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Pl�bg. Tap Out ,as Line FINAL: Post/Beam Struct. -San. Sewer Framing -Bldg. Post/Beam Mech. lain Drain Insulation --Plumb. Plbg. Underfloorer Line Gyp. Bd. -Hoch. Date Requee�teddt�,-(y(/�� , / py� Time= Addreea:-��- —� �2 _ Permit is _-LF— Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: I,aepectors IL__- -- -- Date:2 APPROVED _— DISAPPROVED APPROVED SUBJECT TO ABOVE -- _ __Call For Reinap. iNSPEC_TION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 972 Inspection Line (Rec-O-Phone): 639-4175 Buoineea P ne: 639-4171 Inepe_ct_ion: __ �Poatinq Plbg. Underalab Hoch. Rough-in Appr/Sdwlk — ti Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Dtruct. San. Sewer Framing -Bldg. Poet/Beam Hoch. Rain Drain Inoulatioa -Plumb. Plbg. Underfloor Water Line Line Gyp. Bd. v-/Hoch. Dake Roque/at�sdsl._/)/ - k� Time: ^ AN PH Addreaa: ��,T�)-_�.G'T �� Permit Builder:��(j THE FOLLOWING CORRECTIONS ARF REQUIRED: 1 Inspector Date: / APPRO DISAPPROVED APPROVED SUB.iECT TO ABOVE ____Call For Relnap. INSPECTION NOTICE City of - -rd Building Departreeet 13125 DR Ball, Blvd. Tigard. Oregon 97223 Insnection Line (Rec-0-Phone): 639-4175 Bueineso Phone: 639-•4171 Inspection: _ tin Plbg. Underslab Koch. Rough-in Appr/Sdwlk ^ round. Plbg. Top Out Gas Lina FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nates. Line GYP• Bd. -Mach. Date Requested: / _ _Times AM PN �Z Addresasz Li L W 1j-t,% /e- — 0�' Permit f:/YID f�j-C'O Builders THE FOLLOWING cDRRXCTIONS ARE REQUIRED: -----v_—�__ Date:1 APPROVED DISAPPROVED APPROVED SUMMCT TO ABOVE Call For Reinep. �1TY OF TIFA RD TWORD PLUMBING PERMIT COMMUNITY DEVELOPMENT' DEPARTMENTPER141 T #. . . . . . . .. MST9.�-001,+ 13126 BW buil BW. F.O.Mix 23M,TVW,OnOon 07223(6W)M4176 qN 7 DATE ISSUED: 01/25/93 SITE ADDRESS. . . : 12202 SW ANTON DR PARCELS 1SI34CB-AP108 SUBDIVISION. . . . : ANTON PARK 02 ZONINGS BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . $ 106 CLASS OF WORK. . sNEW GARBAGE DISPOSALS. . sl TYPE OF USE. . . . eSF WASHING MACH. . . . . . . ol BACKFLOW PREVNTRS. . sO OCCUPANCY GRP. . sR3 FLOOR DRAINS. . . . . . . s0 TRAPS. . . . . . . . . . . . . . :0 STORIES. . . . . . . . sl WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . s0 FIXTURES-------------- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . il SINKS. . . . . . . . . . s1 GREASE TRAPS. . . . . . . 10 LAVATORIES. . . . . s3 OTHER FIXTURES. . . . . s 0 TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . :0 WATER CLOSETS. . s2 WATER LINE (ft ) . . . . : 100 DISHWASHERS. . . . il RAIN DRAIN (ft ) . . . . :0 Remarks : PATH I OWNERs ----------------------------- -------------------FEES----•------------ D E ANDERSON INC TIF f 1460. 00 JH 01/25/93 - 4575 SW TUCKER AVE BPRT t 367. 00 JH 01/25/93 - BPLC $ 238. 55 JLH 12/28/92 92-235030 BEAVERTON OR 97005 B5PC; f 18. 35 JH 01/25/93 - Phone Ms 627-9999 55DC $ 280. 00 JH 01/25/93 - PARA $ 500. 00 JH 01/25/93 - Plumbing Contractors----------------r- NPR' $ 40. 50 JH 01/25/93 - MPLC $ 10. 13 JH 01/25/93 - Name s 12kt�A_�4V- M5PC s 2. 03 JH 01/25/93 -- AddresRs PPRT $ 125. 00 JH 01/25/93 - Citys Statesy P5PC $ 6. 25 JH 01/25/93 - Zips Phoned: Re§ Ms ------- REQUIRED INSPECTIONS ------- This permit is issued subject to the reg- ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp Code, State of Ore. Specialty Codes and all Post/Beam Struct Water Line Insp other applicable laws. All work will be done Post/Beam Mechan Appr/Sdwlk Insp in accordance with approved plans. This Plm/undslab Insp Mechanical Final permit will expire if work is not started PLM/Underfloor 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 Firepl.Ace Insp Vas Line Insp Insulation Insp X Gyp Board Insp Authorized Plumbing Contractor Signature Call for inspection - 639-•4175 Contractor Notes: CITYOFTIFARDSEWER CONNECTION C.fiY � COMMUNITY DEVELOPMENT DEPARTMENT ona► � PERMIT V1126SIN WWIBlvd.P.O.Ban 2=7,TkuM,Orapon 97221(W)6W4176 PERMIT #. . . . . . . : SWR93--0013 DATE ISSUED: 01/25/93 SITE ADDRESS. . . : 12202 SW ANTON DR PARCEL: 1S134CB—AF'109 SUED I V IS 1014. a . . : ANT Oil PARK #2 ZONING: BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . s 108 -------------- ------------------------------------------------ - TENANT 14AME. . . . . : USA NO. . . . . . . . . . : FIXTURE UNITS. . . . CLASS OF WORK. . . :NEW DWELL I NG UN I 7S. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 INSTALL TYPE. . . . ..PUSWR IMPERV SURFACE. . : : sF Remarks : PATH 1 Owner: -------------------------------------------------------- FEES —...--------•---- D E ANDERSON !NC type .smoo-tit by date recpt 4575 SW TUCKER AVE PRMT $ 2100. 00 JIA 01/25/93 — INSP $ 35. 00 JH 01/25/93 — BEAVERTON OR 97005 Phone 41: C�27--9999 Contractor. —------------------------------- CONTRACTOR NOT ON FILE ------------------------------------- f'I on #a t 2135. 00 TOTAL Reg #1. . ------- REQUIRED INSPECTIONS This Applicant agrees to cosuly with all the rules and requlations Sewer Inspection — of the Unified Sewage Agency. The permit expires 1110 days 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 sewer laterals. If the sewer is not located at the measurement .......... given, the installer shall prospect 3 Feet in ections fro the distance given. If not so loc t istaI sl ase W a "Tap and Side Sewer" Perm; lid ncy 1-'e r m i t t e e Sign- 1-(re TSsueri BY : d Call fol- inspect ion 6:39-4175 ---------- CITYOFTIFARD MASTER PERMIT COMMUNRY DEVELOrMENT DEPAWMENTPERMIT #. . . . . . . : MST93-0014 rCn Y4Ti 6 R D 17 13126 SW Hol;Blvd. P.O.Boer 23307,Tipnd,Orpon 07223(601)63D4176 T� 6:s9-4171 DATE ISSUED: 01/25/93 BITE ADDRESS. . . a 12202 SW ANTON DR PARCEL: 1S134CB–APIOB SUBDIVISI'ON. . . . s ANTON PARK #M2 ZONINGs BLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . : 108 ----------------------------------- BUILDING REISSUES DWELLING UNI'TSs1 BASEMENT. . . . . . . . s0 sf CLASS OF WORK. sNEW BED-MS13 BATHSs2 GARAGE. . . . . . . . . . 8400 sf TYPE OF USE. . . sSF FLOOR AREAS----------- REQUIRED SETBACKS---------- TYPE OF CONST. -.5N FIRST. . . . : 1536 o f LEF T. . s 5 ft RIGHT. s 5 ft OCCUPANCY GRP. s R3 SECOND. . . o0 s f FRONT. :20 ft REAR. . :20 ft STORIES. . . . . . . s 1 THIRD. . . . s@ S f REQUIRED---------------------- HEIGHT. . . . . . . . 119 EQUIRED-----.---------------- HEIGHT. . . . . . . . 119 ft TOTAL------: 1536 sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . 140 psf VALUE. . . . . $s 77856 PARKING SPACES. . : 1 Remarks) PATH I ---------------------------------- PLUMBING ---------------------------_-_----.----- SINKS. . . . . . . . . . sl FLOOR DRAINS. . . . s0 BACKFLOW PREVNTRS. . :O LAVATORIES. . . . . s3 WATER HEATERS— al TRAPS. . . . . . . . . . . . . . :0 T'UH/SHOWERS. . . . :? LAUNDRY TRAYS- . , :0 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . s2 SEWER LIME ( Ft) . sO GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0 GARBAGE D I SP. . . sl RAIN DRAIN (ft ) . s 0 WASHING MACH. . . : l SF RAIN DRAINS. . : 1 ---------------- MECHANICAL -----------•-------- -----------_-- FEES FUEL TYPE=S------------ UNIT HTRS. . 90 type amount by date recpt /GAS/ / / VENTS . . . . . s 0 T I f= f 1460. 00 JH 01/25/93 – MAX INPU'T:@ BTU VENT FANS. . :3 BPRT $ 367. 00 JH 01/25/93 – FURN ( 100K . . s 1 HOODS. . . . . . : 1 BPL.0 t 238. 55 JLH 12/28/92 92-2350.30 FURN )-100K . . s0 WOODSTOVES. :O B5PC $ 18. 35 JH 01/25/93 – FLOOR FURN. . . . sO CLO DRYERS. s 1 SSDC • 280. 00 JH 01/25/93 – BOIL/CMP ( 3HPs0 OTHER UNITssi PARK f 500. 00 JH 01/25/93 – GAS OUTLE'TSsi MPRT f 40. 50 JH 01/25/93 – Owner s --------------------------------------MPLC $ 10. 13 JH 01/25/93 – D E ANDERSON INC M5PC t 2. 03 JH 01/25/93 – 4575 SW TUCKER AVE PPRT $ 125. 00 JH 01/25/93 – ''-)5PC f 6. 25 JH 01/25/93 -- BEAVERTON OR 9'7005 Phone #s 627-9999 Contractors ------------------------------ D ANDERSON, INC 4575 SW TUCKER AVE BEAVERT'ON OR 97005 Phone #s Reg #. . : 46344 ------------•---------------------------- f 3047. 81 TOTAL Tbie perait is issued subject to the regulations contained in the -------- REQUIRED INSPECTIONS --- - Tigard Municipal Code, State of Ore. Specialty Cides and all other Foot/found Insp F i r e p l a c 4 Insp applicable laws. All work will be done in accordance with approved Post/Beam Struct Caps Line Insp plans. This pereit will expire if work is , thin 188 cost/Beam Meehan Insulation Insp days of issuance, or if work is suspende e P1lab Insp Gyp Board Insp Underfloor Rain drain Insp Permitter- Sionatut e : _� Mechanical Insp Water Line Insp Plumb Top Out Appr/Sdwlk Insp Issued 1?'/ : Framing Insp Mechanical Final Call for inspection – 639-4175 �_� r �� 13115 SW I411[Wd. PLNCK/RECT # CITY OF I'IGA� PERMIT # fI — COMt9[JR'!1V D(?VIs1APMf N'�. DI;I'A�2TMEN7' G'egon97M (503)639-4171 DATE 1'--SUED __-- JOB AD,,D2RLSS: �"' �`�� t�� /��----- TAX MAP/LO1 �_��_� SUB: f --''�"P>N�iZ- LOT: LAND USE: ---- _ T VALUATION: OWNER SPECIAL NOTES NAME: �,, � �,�'o.� � �G —_ REISSUE OF: _ ADDRESS: 'r :> 7Jr T�' ''� __ LAST REISSUE: FLOOD PLAIN/ PHONE: 6,-79-! _ SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED SctiorZ-oav� NAME: ----__—_-- ��s'�i — — PLANNING: e7lz _—_ ADDRESS: _--_—_-- -- --_-- _ ENGINEERING: —_-- FIRE DEPT: —.----- PHONE: -- ---- -- --- — -- OTHER: =� CONTR. BOARD #: - `� ._— EXP PATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: w��p T� LIST/SUBCONTRACTORS: MECH: dN BUS TAX: ARC11_ENGINEER CALCULATIONS: NAME: _ _R_�__ TRUSS DETAILS: ADDRESS: _-_ _ — OTHER: —_ -^--- PHONE: - - --- -- --- PROPOSED BE-JG. USE: COMMENTS: APKf-,ANT S[GNAT RE Received BY: _ �� _ Date Received: - Wiz__ v PiPMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. SAL. DUE 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%) Building Plumbing _ �o•LS Mechanical l,d_3_ 10-433 00 Plans %.heck Fee � Z Buildings PIumbing _ Mechanical 10-230 06 Fire -c�dl3 30-202 00 Sewer Connection 30-444 00 Sewer Inspection 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-05 Institutional TIF Fees _ 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees /�� / 1356 25-448-05 Mass Transit TIF Fees fid r. 1/0 52-449 00 Parks System Dev Charge (PDC) 00 _ S 7 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 1-57Jg2 • tL 2 1 nm/3587P.WPF 4 CITY OF TIBARD RECLIPT OF PAYMENT RECEIPT NU. 03-.E'3!-1964 CHECK AMOUN r t 497-2. 1.36 If I JAME a MEADOWBROOK DEVELOPMENT CASH AMOUNT t 0. 00 f 1'.1 r)OL s's t PAYMENT D(4TP- t 01 &5 9'. SUBDIVISION PURPOSE OF l-"AYllLlqT AMOUNT PAID PURPOSE OF P 'MENT AMOUNT PO 11) BUILDING PERM 37c).00 PLUMBING PERM 140. 00 MECHANICAL PE 43. 50 ST. BUILD PLR 28. 13 PLAN CHECK FF-' 7. 23 SEWER USA X100. 00 S&WER INSPECT :'55. 00 PARKS SDU 5100. 00 snii-im rji?wN SDG 280. 00 RESIDENTIAL TRAFFIC FE t:*.S 1350. IAO MASS IRAN':iTT TIF rFE.F, ito. 00 II LOT 107 ANTON PARK 12RIS FW ANTUN DR TOTAL AMOUNT PAID 497.=:. 86