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Case File i ADDRESS : i \records\microflm\targets\building &c _. — - -------..— CE.RT I f'I C:F+'i'!^ OFI CITY CSF TIGAOD OCCUPANCY PERMIT #. . . . . . . : MS'r94-036f. (;OMMUNITY DiEVE..OPMENT DEPARTMENT DALE ISSUED: Ire/18/95 13125 SW Hall Brvd.Tigard,Oregon 07223e8199 (50'!)839-4171 r•ARGE'L s 2S 1 10BB--QQ;94,0 ]. .1_L (->f(lDRL-5G. . . t 1 i SW (dint:;_: i_lu SUBDIVISION. . . . t ARLINGTON RIDGE. Z ON r NC t F -3. 5 QL_OCK. . . . . . . . . . t LOT. . . . . . . . j r:LAISS i3F WORK. :NEW � TYPE. (IF USE'. . . Ifi; ' OCGUF=WICY GRP. 15N .-1CCUWAI4►_w LOAD: I � Remarks i PATH 1, RONALD WARNER 500 SW 345TH HIL_LSBORO OR 97123 Phone #t 640--0615 Contractor; w..._________...__._____......_.._..__..._.._.....__... i Phonot #r i P e g #. . : 28783 [his Certificate grants occupancy of the atoye referenced build,ng at, pnrt on thereof and confirms thlatt that building hiAs been inspic:tod for c:ompliance with the Stste of Ot- egon Specialty Codes for the group, occupancy, and use cmde!r which the referenced permit waaa issued. F UII_DI yet fN FCTOR BUIL1.)1N OFFICIAL POEDT IN CONSPICUOUS PLP.CE CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-41'/5 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation PI'og. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line Plbg. Undariloor Rain Drain Framing Alarm Water Line Insulation ec Underfli. Insul. Shear Wali Gyp. Bd. -Elect. Date Requested:_ C Time: AM PM Address: —2 Builder: Permit #: L -- Ca 3 4, THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: Date APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. I Ch; • • • 5320 S.E. 26th Avenue • Portland, Oregon 97202 (503) 286-1011 800-547-5015 , Ron cU0.rnw u r►un CQns1yuc igru 5(-)o 5.W. 345th tA-o�O�Z ["1123 This certificate of compliance warrants that the safety glazing matgrial for 12 .,3. 1 5-W., Arnes L"r- , "Y'i jam- Ofd., conforms to the consumer product safety commision standard 16CFR-1201•-C11 1977. I Dana Roberts Cutone Office Manager Therma-Glass, Inc. CY- U CITY OF TIGAHD BUILDING IIdSPECTION NOTICE ��'nspectio i Line (Rec-O-Phone) 639 4175 Business Phone: 639-4171 Inspection Fooling Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Pibg. Underslab Mech. Rough-in Fireplace Post/Beam Slruct. Plbg. Top Out Elec. Rc. ah-in FINAL: POST/Beam Mech. San. Sewer Gas Linej Plbg. Underfloor Rain Drain Framing Alarm Water Line Insulation Underflr. InSUI. Shear Wall Gyp. Bd. � Elect. Date Requested:— lG S Time: Apq PM Address: Builder._t��U — O(o/ Pe4rfiiMt: 9 )D�_A_ 0 � THE FOLLOWING CORRECTIONS ARE REQUIRED: G (-7P Inspector: / Date: 7' S- / ` '_ _APPROVED —DISAPPROVAPPROVED SUBJECT TO ABOVE /_�/Call For Reinsp. CITY Or TIGARD BUILDING INSPECTION NOTICE Inspoction Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Insoecticn: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line Bldg. Z Plbg. Underfloor Rain Drain Framing Plum Alarm Water Line Insulation Mech Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: /C-> - / ty QS' Time: AM PM Address:_ Builder: _ _Permit #: 9 3 C THE FOLLOWING CORRECTIONS ARE REQUIRED:lc� I QS�- i 7 L n kal -A cz Inspector______�r� M Date: `,D -/�- �•t"" _APPROVED __DISAPPRCV�D _APPROVED SUBJECT TO ABOVE __Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. lec Dato Requester.': Time: AM PM Address: f L _Z- Z ( l O.LL-1 Builder(101 �D _Permit #j �q THE FWOV',VG CORRECTIONS ARE REQUIRED: O S 0 Cc /y' ?�I l � Inspector: Date: APPROVED —DISAPPPRROOVEED– —APPROVED SUBJECT TO ABOVE _Call For Reinsp. CITY OF TIGARU BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Undersiab hjech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech, San. Sewer Gas Line -Bldg. Plbg. Underflor- Rain Drain Framing um Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: 1 �, _Time AM PM Address: � D_ Builder:V Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: Date: —APPROVED _DISAPPROVED � PPnOVED SUSJECf TO ABCVE Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: 7 noting _ Susp. Ceiling Sprink. Rough-in Appr/Sdwll< Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: PostiDeam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drainrang�, -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: Time: AM PM Address: Builder: — _ er it THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: Date: _APPROVED _DISAPPROVFD y4PPROVED SUBJECT TO ABOVE _Call For Reinsp. SUILDING PERN,'T -L �T CITY OF TIGARD r.T--"RM1T #. . . . . . . : BUP9rzj--017-1* COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/24/95 131126 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 I'L ADURLU,'-.2- - . I. . 1 5W A-112S t-.)r 3UBD I V 16 1 ON. . . . : ARLINGTON RIDGE ZONTNG. R- OCK. . . . . . . . .. . . -OCK. . . . . . . . .. . . LOT. . . . . . . . . . . . . ..121115 rLOOn nPEn'; -- EXTr-minn WALL cnN-,-rnUCTTq111 - CLASS OF WORK. ;W<l FIRST. . . . s Ns S: E: W1 ,YPF OF USE. - - .7iF SECOND. . . S f PRCTECT "YPE OF CONST. s5PJ TH rRD. . . . .385 S f N: 5-, E W: OCCUPANCY GRP. :A-3 TOTAL 365 s POOr- CONS I't FIRE RCT?g OCCUPANCY LOAD: SAS Er"EN` . S f ARr.A SEP,. RATED, ;TOR. . t 1 :-. : ft CAnPr-.Z.. . . B OCULI RATED: 30MT? . MEZZ"'. REOD GCTSACKS- --- ---- ---- REVU1 RED - F'LOOR LOAD. . . . :60 wif L-rFTi.20 f% RGHT: 13 ft rin -jPi,,i.-. SMOK, DET. IWELLINO UNITSc FRNT; ft REAR ;0 ft F1't ALRM: HNDICP ACC: 31:Drmr..- S()T!I 1hIr ^LlRrACE: -r�q CORR: PARKING; 'ALUF. $ : 1925 qemai-AiF— PATI-, T by da t v r-C. MNALD Wr)Rl\lt—;.r% type 'A M, 0 U f",t :';00 SW 345TH PRMT $ 3L. 50 SW 05/10/15 95-21656ej PLf7l' $ L1. 13 5WT 05/19/95 #)11. 2G7" -ITLI-SBOR.0 OR 97 183 5PCT $ 1. 6-5 JD OS/C24/95 95-265� 640 -0615 tInNALD WARNER CONST 500 SW 345TIA 111-LrMORO OR 17123 1-,one it 640 0613 TOTOL tiaR 41. . . 287f33 REQUIRED INSP,CCTIONS -- 'his pewit is i§SU#d subject to the regulations contained in the Foot inq I ri s p lijard Truniripal Code, State of D-e. Specialty Codes and All other FounLIatior. Insp �pplicatle laws. All work will be 'one in accordance with Fir-aming 1-,Ifip ipprtied plans. This persit will expire if work is not started Final Inspection within IN days of Issuance, or if -4ark is suspended for sore han IN dais. --- Call fov- inspection 6 3 C) 1 CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW Hall Blvd.Tigard,Or*(Ion 97223o81196 (VII)639-4171 PLUMBING PERMIT PERMIT #. . . . .. . . i PLM95 0 10 G39-4171 DATE ISSUED: 05/24/95 -�ITE- ()VDRESS. 12:; '21 5W A1*1r3 LN PARCEL: Z.G110BB, 03r)Gf-,, '3USDIVISION. . . . ARLINGTON RIDGE ZONING: R-3. 5 L0 C K. . . . . . LOT. . . . . . . . . . . . . 01 i-LASE 01- WORK. . -ADD GARBAGE DISPOSALS. . : MOD ILE: HOME 5PnCr..5. TYPE OF USE. . . . sSF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : 1 1 r.C UP A N CY (SRP. . :R,-,, FLOOR DRAINS. . . . . . . : TRAPS. . . . . . . . . . . . . . 9TORIES. . . . . . . . : 1 WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . LA*UNDRY TRAYS. . . . . . : r-F RqIN DRAINS. . . . . SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . i GREA$4E TRAPS. . . . . . . . -AVATORIEC.. . . . . OTHER r,'XTIJRr--',,. . — . . SEWER LINE (ft ) . . . . WATE.P CLOSICTS. . WATER LINE (ft , . . . . ="3HWn91qERS. . . . ;i RAIN DRAIN (ft ) . . . . Rpma ,ks - INSTf)LL Pr-SIDENITTAL_ BALI-Ir-LOW DEVICE Owner: FEES RES3 1 r,ENT type -A(110 I.A 11 t by date t,ecpt Pi?.2.1 SW AMES LANE: PRMT $ 15. 00 SW 05/24/95 5PCT $ 0. 75 S-.W 09/24/15 71GARD OP ')7.!-`R2%-j =-Ihone TTMI ',-)* PLUM13ING -10 13OX 7160 111-014A OR 9712107 "hone # l: G4'3 4 V.3 4 1 1'x. 75 TOTAL 71660 REQUTRED INSPECTION'; This pposit is issued subjerr to the regulations contained in the RP/backflow Pi-e%l Ti;ard Runicipal Code, State of &-e. Specialty Code- and all other Final Inripectiori applicable laws. All work will be done in acm-dance with 4reif will tvpjrP if wark 0 not ftarted approved plans, This p within IN days of issuance, or if work is sTispended for tore 'hat 480 days. —7 Lit, iW'Dit tell I for iiispipction 639-4175 City or Tigard P UM61N PERMIT APPLICATION Planck/Rec. A 1312 SW Nall Blvd. Permit# PIM-95- Tigard, IIMa Tigard, OR 97223 (503) 639-�4'l71 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE �....ro...us.�.+ !Low$hula FmmihtRseldance9 Ong Job �»l a ��v�B �� C 1 BATH HOUSE$140.00 C 2 BATH HOUSE$1115.00 C 3 BATH HOUSE SZ25.00 Address a,.r a Fee includes an plarrbing fbMires; In dw dwelling and to first 100 foal of water servk^ sanitary sewer and storm sewer. Sou fees below. FIXTURES. Cfl Y PRICE AUT ISink 9.00 MM"w+w '"'+ Lavatory 9.00 Owner Tub or TublShewer�Comb. 9.00 1,,.,,.. n► Shower Only 9.00 wafer Closet 9.00 t wA.i....w•..••'� Dishwasher 9.00 Garbage Disposal 9.00 Occupant 1eiiM ►�.�. Washing Machine 9.00 Floor DrOn 9.00 armor. Water Hester 9.00 Laundry Room Tray 9.00 �» Urinal 9.00 .jc ri fS fl un'b n (,N 9-fid;� Other Fbdures (Specify) 9.00 UM"�.... ^w 9.00 Contractor � P 0. "1 (!,O `ll:G_j w_ 9.00 wrr+ _► 9.00 Sewer let 100' 30.00 ems. �►�' "� Sewer-ea. AddlL 100' 25.00 3y lQu PIS, '71 i�c a R waver Sarvk:a 1st 1W 30.00 I hereby admawledge that I have read thts application, that the Water Service on. AddlL 200' 25.00 infomtation phren Is cornea that I am the owner or authortzed agent of - -- ----7 the owner, that plans submitted are in rxmpitance with State laws, that Storm 3 Rain Drain 1st 100' 30.00 I am registered with the Construction Contractor's Board, that the Storm S Rain Drain AdJIL 100' 25.00 numtmr given is corrol (K exempt from State regisbation, please give reason below.) Mobile Horne Space 25.00 _ Bade Flow Prevention r Device or Anti-Pollution Device 9.00 J. .mew* a" Any Trap or Waste Not Connected to a Fixture 9.00 Desuibe work now R addiUon� ahwatbn repair Catch Basin 9.00 to be dorm residential () non-residential Q Insp. of Exist. Plumbing 40 001hr Spedaly Requested Inspections 40.001hr Existing use of building or property N �tR�us� +-«"� _ Rafe Drain, since family dwelling 30.00 Residential backflow prevention � devices 15.00 Proposesl use of building or property µ _ *(Except residential iyacJfiaw preventlun devices) JO110E *AMnimum Fee $25.00 SUBTOTAL PERMI i S BECOME VOID IF WORK OR CONSTRUCTION �^ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF "9 SURCHARGE CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PLAN REVIEW 28!4 OF 3UBTCTAL TOTAL Special Conrikions _ Date issued .`.j-D Ll 'moi ) by CITY OF T I OARD — RECEIPT OF PAYMFN( RECEIPT NO. a 95•—x'65822 CHECK AMOUNT a 1.5. 75 NA)'' JIM' S PLUMPING CASH AMUlJNT o 0. 00 I HDORESS i P 0 BOX 7160 PAYMENT DATE:. a V15/24/95 ALOHA, OR SURD I u 1 S I(]N 97007- PURPOSE 00 r_.PURPOSE CIF PAYMENT AMOUNT PA I f.) PURPOSE OF PAYMENT AMOUNT PAID I PLU14 I NO D!':Rk G''LM95--01 N9 — 15. 00 ST. BUILD PER — � 0. 75 12221 SW AME S LANE TOTAL AMOUNT PAID — — —> 15. 75 CITY OF TIGARD RECEIFAT OF 1,AYMENT RE,'.'Elr-,T No. 9 5--;.'6 5 8 2, CHECK AMOUNT i 21. t 3 NAME d WARNER, RONALD M CASH AMOUNT s 0. Or ADDRESS a CONSTRUCTION PAYMENT D4TE a 05/24/95 5500 SW 345TH SUBDIVISION HILLSBORO OR 97123— PURPOSE OF POYMENT AMOUNT rjA.(r) PURPOSE OF PAYMFNT A1,10UN'T PAID —1t.—D-1 —P—,—ER,M-, —B,—1 J—P 9, 5—0 17 6 19. 1500 ST. BUILD PER 1. 63 122211 Sw AmEq TOTAL. AMOUNT P011) 21. 13 Residential uilding-Permit Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 ZJ .Jobslte Andress: 12-22 1 14, �� • Use On /8ubdivislun:AZ c I N6 T U'&j l 0(L-e Lot* Vailuation J4; 2 f'Ianck/Rec Permit# (��' i / 6' Comer Lot? Y (�N ) - Flag Lot? Y rN Reissue of ,Map& TL#2S D Pi e) (-,)39 o0 Owner: �:C7 h4 �Q� P NF1Z lt�N� Approvals Required Address: /--- .. t,,c, 4 �' Planning --- L. t�R i� � �- ��"1 I L 3 Engineering Phonyi .Other Contractor: - Items Fte airs Address: _•__• Sut;contractors — - Truss Details Phone: Other _ Contractcr's License # ��3 (attach copy of current Oregon license) Contact Name & Phone: CA—C) --,C) Subcontractors: Arch ltect/Engineer. _ Plumbing: Address: Mechanical: (attach copy of current OR Gontractor's License) Phone: -- JOB-DESCRIPTION. L( Appli- nt Signa±urc- Phone number Received by cj �r.�.��-'� Datp Received: Permit# Account Description Amount Anit. Fd. Bal, Due Q4,)r (o Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) Stare Tax (TAX) Bldg: Plumb: Mech: Plan Check (PLANCK) •I _, - Bldg: Plumb: Mach: !_ Sewer Connection (SWUSA) Sewer inspection (SWINSP) Parks Dev Charge (PKSDC) i Residential TIF (TIF-R) _ Mass Transit TIF (TIF-MT) _ Commercial TIF (TIF-C) Industrial TIF (TIF-1) y_ Institutional TIF (TIF-IS) _ Office TIF (TIF-0) Water Quality (WQUAL) Water Quanxity ("/QUANT) Fre Life Safety (FLS) ---- Ernsion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSIJ) TOTALS: � . � | � CITY OF TIGARD — RECEIPT OF PA\MENT RECFJPT NO. 05-265659 CHECK AMOUNT w 34° 13 NAME : WARNER, RON4 .D M. CASH AMOUNT : 0" 00 PAYMFNT DATE x 05/ 19/95 �D�R�� x 5@� GW J437HE HlLL5OOR0, OR SU8DIV7RIOW c PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID |PLAN CHECK FF 5-79R 34. 13 2221 Sw AMES Q7AL AMOUNT PAID — — — —> 34. 13 / CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in A; r/Swlk Foundation F:bg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: f'ost/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mach. Underflr. in^ul. Shear Wall / Gyp. Bd. -Elect. Date Requested: 3 //.� ��i Time: AM PM Address: 2,e,-�2 ZY_? G, Builder: _ Permit #: / — 613 X11 THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: `—� T�'CI1iLl� Date: _APPROVED __DISAPPROVED 4APPROVED SUBJECT TO ABOVE Call For Reinsp. IPS-PECPION NgTICE City of Tigard Building Department C 13125 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-0-Phone): 639-4175 Businead Phones 639-4171 Inspections-_ Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/steam struct. San. Sewei Framing -Bldg. Post/Bean Plech. Rain Drain Innssuullattion -Plump. Plbq. Undor.floor water Line pyp. !4J -Mach. Date Requ/osteds _ �� _---� Times /AM pPH Address: ( /— A, Permit 1:_J Builders 6, ' - Id THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector:__`� v Datsss APPROVED DISAPPROVED _ APPROVRD SURJECt TO ABOVE-`—r ___Call For Reinep. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk —r Found. Plbg. Top out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Msch. Rein Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Mach. Date Requested:, Time: AM _`PM Address:_ 2- : ,— Permit Builder: THE FOLLOWING coRRECTIONS ARE RE(1CIRED: --..� -- ------ - ---_ ---- -- -- - - it Inspector: J � '�4G� -- �� --- Date: AP^ROVED _ - DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinnp. IB8P84' M—NOTICE City of Tigard Building Department 13125 SIB Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rvc-O-Phone)e 639-4175 Business Phone: 639/41 Inspection: Footirg Plbg. Underalab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet./Beam Strur-t. San. Sewer Framing -Bldg. Post/Roam Hoch. Rain Drain -neul_tLon � -Plumb. Plbq. Underfloor Nater Line -Hoch. i Date Requested: / 4t y Time: - AN PH Address: Permit I: !'7 _ Builder:, TBE FOT-LIMING COP.RECTIO/NS ARE REQUIRED: SAC Lj-Z-t _l Inepq!ctor:— / _ Date:- ° � ; _APPROVED — - DISAPPROVED LAPPIWPD SUBTitrT TO ABOVE ___Call For Reinap. NSPECT�ON OTICE City of Tigard Building De 13145 811 Hill Blued. Tigard, Oregon 9722 3 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639•4171 Inspect Ai Pooling Plbg. Under.lab � +�R�ough-in Appr./5dalk Found. Plbg. Top Out (`amp s Lined T F.NAL: Port/Beam Struct. San. sewer Framinc, 'l -Bldg. Post/Ream Mach. Rain Drain r _Plumb Plbq. Underfloor Water Line Gyp. Bd. -Mech. Data Requested: Lel Cj 7 Time: C� AM PN Address:- �� 'yY UY / Permit 1r Builder: 0_ 'D 1.0 THE FOLLOWING CORRECTIONS ARE REQUIRED: - f��ri��✓vr�S -- nate: �� APPROVFD DISAPPROVED -�-�-- APPROVED SURJECT TO ABOVE Call For Relnsp. INSPE£TION NOTICE City of Tigard Building DepRrtmeknt 13125 NM Ball Blvd. Tigard, Oregim 97223 Inspection Line (Rec-3--Phone): 639-4175 Business Phone.- 639-41 Inspection:_ l` �__, _ Tooting Plbg. Underslab ac Rough-in Nppr/Sdwlk Found. Plbg. Top Out Gas Line f .� FINALs Yost./Beam Struct. San. Sewer raining ` -Bldg. Post/Beam Hoch. Rain Drain insulation -Plumb. Plbg. Underfloor Water Lina << Gyp. Bd. /,-)- J Mach. Date Requonted: �,_ Time: _,�/AM PN Address• I --)-. 7_ ` rermit Sul lder s � �. 1. (C I_S_ TRE TOLLONING CORRECTIONS ARE REQUIREDs w_=222! Inspector: _ Date: APPROVED DISAPPROVED `-- XPPROVED SUBJECT TO ABOVE _Call For Reinap. LNSPECTIO14 NMICE City of Tigard Building Department 13125 CN Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections -- Footing Plbg. Underslab Hach. Rough-in Appr/Sdwlk Found. C-F76q`Top Out Gas Line FINAL: J' Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloar Nater Lino Gyp. Rd. -Hoch. Date Requesteds 1 Times AN PH Address: G Z //(X.; Permit is _3 ' Builder:_ _ THE FOLLOWING CORRECTIONS ARE REQUIRED: 4-- OVAPPROVED DISAPPROVRD APPROVED SURJRrTT TO ABE Call For Retnap. I _ DEPARTMENT OF LAND USE&TRANSPORTATION 1�'VASI�ING�T ON LAND 5SERVICES DIVISION 5 NORTH FIRST,DEVELOPMENT LLSBO O,OR 971224 COUNTY, INSPECTION REOUESTS: 503/840-3581,693-4415 �F:�GJ� XXXXXXxxx--> 1 Date : 12/05/94 Time : 11 : 28 Permit Type Residential Electrical Permit hermit # : U5061474 Permit Status APPROVED Applied : 12/05/94 Situs Address 122.21 SW AMES LN 'T'I Issued : 12/05/ Permit Title SFY. - NEW HUME Completed t Permit Descr . To Expire : 06/03/95 Project Title SFE - NEW HOME Project # : PU045938 Project Descr . * EROSION Parcel Number 2S1TI - Land Use District Valuation U Legal Descr . Owner INSPEC'T'ION - TIGARD Construction OTH Applicant Name NORMANDEN ELEC'T'RIC INC Classification i 9UU Applicant Addr. : 51086 NW CLAPSHAW HILL RD Occupancy R3 FOREST GROVE OR 97116 Validated by MJF Applicant Phone: 357-5380 Inspector Area : Fee description Units Fee/Unit Ext fee Data ------------------------------------------------------------------------------ Square Footage (Enter Sq. Ft . ) 3000 210. 00 Subtotal Electrical Fees : 210 . 00 State Surcharge of 5% 10. 50 Total Electrical Fees : 220 . 50 *** Fees Required *** *** Fees Collected & Credits Method Check # Receipt No, Date Payment CK 2490 12/05/94 220 , 50 TOTAL THIS DATE *>tIr>x***** 220. 50 Fees : 220 . 50 Adjustments : . 00 'T'otal Credits : . 00 Total Fees : 220 , 50 'Total Payments : 220. 50 Balance Due: . 00 NOTICE: This permit becomes null and void If the work or construction for which it Is Issued Is not commenced within 180 !eye. Once construction has started, the permit becomes null on('void If construction Is Interrupted for a period of 180 days. I certify that the Information presented by the applicant and his agent of agents in support of this permit Is true and correct to"re best of our knowledge. 1 acknowledge',hat the Building Department's rellanre upon false and misleading Information may Invalidate this permit. All provisions of applicable Iowa and ordinances governing the constructlo,and usa of this building or stnicture will be compiled with whether or not specified on the plans or noted on the plans correction shaarts I acknnwladge that the granting of a permit does not grant authority to arc-•s private property or to use easements. I further acknowledge that the we or occupancy of the structure or tullding permitted depends upan my calling for Inspections at various times during the process of construction and the building Inspection staff verifying complianrs with the various codes. Use or occupancy of the building or structure permitted prior to approval by the Building Department Is solety at the risk of tiro applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and approval Is given by the Bulldhig Official. I further arknowlsdgs that a lien may be placed on the title o property upon which the psrmlt Is Issued specifying that the use or occupancy of the building or structure is provisional and revocable until th sStlsfartian of all Ins tion requirements. �\ �1, t4��afi��Z/ PPU ANT'S SIGN TUR T\0n l0r�'"r��r' C�r•5+ 1 c T WASHINGTON COUNT1f J P" Department of Land Use & Transportatien ELECTRICAL PERMIT Electrical Inspection Section APPLICATION 155 North First Avenue, #1350-12 Hillsboro, Oregon 9 124 intbmmtion: L5031640-3470 Fax: 503 693-4412 PRINT* Project/Permit 4— /_ I Number 0— Sal 7 _ Date • • 'te. 0/1 SeNiOns, Y tljlough i. Loca TV/ s /a l0 4. Complete Fee Schedule be%uw Address +r r�- tL Number of Inspections per permit allowed BuildinggService Included: Items Cost(ea.) Sum City w �� _ Suite No. Tenant N e A. ,Residential-per unit (If commerc _ 1000 sq.ft.or less / $110.00 --1/0- 004 't y Each additional 500 sq.ft ,-/Tax Lot / Map No. — or portion thereof $25.00 �SJ� Limited Energy ---- $25.00 1 Thomas Map Book: Pa(le: Section: Each Manuf'd Home or Modular Directions Dwelling Service or Feeder ------- $68.00 ____ 2 B. Services or Feeders Commercial Residential Installation,alterations or relocation 200 amps or less ------_ $60.00 — — 2 2a. Contractor 1 allatlon nly� 201 amps to 400 amps $60.00 _ 2 401 amps to 13300 amps $120.00 2 Electrical I CJ 601 amps to 1000 amps -- $1 MOO — 2 Addres Over 1000 amps or volts _ $340 00 2 Date _ Job Number Jpconnect only $50.00 — 2 Property Owner —_ ( Contractor's License No. p C. Ternporary Services or Feeders Contractor's Boald ire O Installation,alteration or relocation Reg. 200 amps or less �— $50.00 _ 2 201 amps to 400 amps ___— $75.00 __— 2 Signature of Sud Jt m 401 aps to 600 amps $100.00 2 License No.L�J�O 5 one i lo. _ C� -7_ Over 600 amps to 1000 volts sea Wabove 2b. For owner in llat/ons: 1—� D. Branch Circuits Now,alteration or extension per panel PrintOwner's Name a) The fee for branch circuits with purchase of service or feeder fee. --- — ------- Each branch circuit — $5.00 ._- 2 b) The fee for branch circuits without purchase of service or feeder fee. First branch circuit __ $35.00 2 The installation is being made on property I own Each add'nl branch circuit $5.00 __ _ 2 which is not intended for sale, lease or rent. E. Miscellaneous (Service or Feeder not included) Each pump or irrigation circle__ $40.00 — _ 2 Owner's Signature Each sign or outline lighting ___ $40.00 2 Signal circuit(s)or a limited 3. Flan Review section (if required) energy penal,alteration Please check appropriate hem and enter fee In section 5B. or extension $40.00 2 _ 1 & 2 family dwellings over 320 amps s/c meter F. Each additional inspection over the allowable 4 or more residential units in one structure in any of the above Per inspe,;tion __ $35.00 _ Service, over 225 amps; feeder 400 amps or more Per hour $5500 — _ System over 600 volts nominal L In Plant $55.00 �— __ Building over'1 stories in height Building over 10,000 sq. ft. 5. Fees Occupant load over 99 persons A. Enter total of above fees $ �- Manufactured Structures Park or Recreational 5% Surcharge (.05 X total fees) $ — Vehicle Park; new, addition or alteration Subtotal $ Classified area or structure containing special B. Enter 25% of line A for occupancy as described in N.E.C. Chapter 5 Plan Review if required (Section 3) $ `/� Subtotal _ Submit 2 sets of plans wlttl application where any of the Less Bulk label Fee $ above apply. Not required for temporary construction services. Balance Due For Inapeetlons still r- This permN becomss null and void H the work suthoelred by the per mN b nrw commented 640-3561 or 693-4415 wNhln 1!U dayo from dote d leewna of each perm"nr N the work euthprtr.d is suspended or abandoned at any it"Mer work Is commenced fa a period d IV)days. 24-hour recorder,one working day In advance of need ---bled Permlke ere non-refundaMe and non translerebte. 5193 DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12 155 NORTH FIRST, HILLSBORO, OR 97124 COUNTY, 4 C PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 1'--rmit # : 05061474 Project V P0045938 Status APPROVED Page 1 of 1 Applied : 12/05/94 Issued 12/05/94 Expires 06/03/95 12/13/94 07 : 27 RESELEC Po-rnd t Title SFR - NEW HOME 0TH T"escription Begun : 12/05/94 I.,r Address :2221 SW AMES LN TI !wna• r Name ,ivSPECT 1 ON - T I GARD Re Applicant Name NORMANDEN ELECTRIC INC � Phone number 357-5380 Valuation : 0 Approved ('64,9& 0" Z V1 1b q 5 w !v T ;-. l—�e�-tor Camme,�ts o� G. - L vk t2��f- Rejected IVR-RESULTS ------ REQUEST ERROR! i .1 Insp*ct/d by : -. Date :va �J Inspection Requested: * Cover & Services 0403 F AP DN IVR 12/13/94 RI JF INSPECTION NOTICE City of Tigard Building Department 13125 M Ball Blvd. Tigard, Oregon 97213 Inspection L 41al 'Rjec-40-Phono)t 639-4175 Buslnasc Planrfer 639-4171 inspection: �� Footing Plbg. UnderalabHoch.—Rouugghh-in hPP r/Sdw1K Found. Plbg. Top out Gas Line ` FINAL- Post/Beam Struct. San. Sewer ? i -Bldg, Poot/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Lina r:I.p, Bd. -Nerh. Date ReQuestedr �) �/ L_-- Tlma: __AM PM Addresas_� Permit Builder: ��/ THE FOLLOWING CORRECTIONS ARE REQUIREUr — 3 Inspector: �-" li---- - 1 ��jl Date: ` "l 4 DI7.vi"For D APPROVED SUBJECT TinA&YVLP Reinsp. City of Tigard Building Depzrt�ant 1.3125 SA Hall Blvd. ViJard, Oregon 97223 Inspection Line (Ree-o-Phonsit F-39-41715 Business Phone: 639-4171 Inspections _--�F_ " V1 Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Can Line FINAL: oat/seam_ s�rurs�: SOn. Sewer Framing -Bldg. at/Beam Neth. ain rrain Insulation -plumb. Nater Llne Cyp. Rd. -Neth. Date Requested: -2-to - I Time: �1L AN dN Address:—Ul I La.W-0- Permit Auilder: (O q0 THE FOLLOWING 'MRRECTIONS ARE REQUIRED: l'iLT� � V J �"� 1f-1"��,• Y � - U...SI -,-A C2)- tnslw. - /�� Date: 11PPflOViO __ DISAPPROVED _L_,/%PPROVED SUBJECT To ABOVE Call For Rainep. IR!9J2-CC TIPM No Z LC City of Tigard Building Department IJ125 SW Bill Blvd. Tigard, Oregon 97223 Inspection Liner (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Undersl.ab Hoch. Rough-in Appr/Sdwlk Found. 04'* )w Gas Line FINAL: Poet/Beam titruct. San. Sewer Framing -Bldg. Post/Be Hoch. Rain Drain Insulation -Plumb. —\ �1 d f Nater Line / Gyp. Bd. -Hoch. Date Requested: — r _Times AM PN Address: Z 7i -1-- �-J 1�1— Permit i: '7 Y _d��p THE FOLL4-VING CORRECTIONS ARE RRQUIRED: F Inspector: �� ! Date:_� Y APPROVRD DISAP!`ROVED —_ APPROVED SUBJECT TO ABOVE Call For Reinsp. jS EG�" SON NOTICB � City Of Tigard Building Department 13125 tit Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-phone): 639-4175 Business Phone: 639-4171 Inspection:_ Footing Plbg. Underwlab Hoch. Rough-in Appr/Sdwlk Round. Plbg. Top Out Gas Fine FINAL: Post/Beam Stru-t. Sa(► Framing -Bldg. Past/Beam Hoch. n Insulation -Plumb. Plbo Underfl^ar tec� Gyp. Bd. -Hech. Date Requested:. v r� Time: AH 7tr_,PH Address: � _ Permit 1: �`� J W i Builder: THE FOLLOWING OORRBC`TIONS ARE REgUIRRD: 7 7 — Inspector: _ —_ Date: APPROVED — DI3APPROVED A1:PROVED SUBJECT TO AROW I __Cell For Reinep. i INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Pf:ona)t 639-4175 Busineas Phone: 639-417 Inapectiont Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: et/Beam Stru San. Sewer Framing -Bldg. -•T, ost/Seem M�) Rain Drain Insulation _pltyaib. Plbg. Dnder°loor Water Line Gyp. Bd. -Mach. Date Reyuestedt__ J __T Lma: AM PM Addreast- j / J I Permit - 3 Builder: Q TH39 PPTO/L140WIING CORRECTIONS ARE iRZQUIRF.Dt �_—J / /'Q414of l �C•J/ It�''!__ /v inspector• l� � -Dat*: APPROVED _�' '3ISAPPROVRD APPROVED SUBJECT To ABOVE �'-6a11 For Reinep. INSPECTION NOTICE City of Tigard Building Department 131225 sW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 639-4171 Inspect.ons_ , Tooting Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL= Post/bean struct. San. Sewer Framing -Bldg. Poet/Masi Mach. Rain Drain Insulation -Plumb. DPUMUnderfloor water Line Gyp. Bd. -Mech. -- -----`_ /oz Date Rsqueatede Y,� ! 7 / / 7 Time: (SAM PM AddressxJ�c.�.�2 �—� !— Pelmft or Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: Dates,l_rf L T i APPROVED DISAPPROVED 7 APPROVED suwitCT TO ABOVE __Call For Reinsp. INSPE,ADO11 NOTICF City of Tigard Building Departeent 13125 8W Bill Blvd. Tigard, Oregon 97223 Ineper_•tion Line (Rec-o-Phone)t 639-4175 9usiness Phone: 639-4171 inspectiont _ Doti Pibq. Underslab Hoch. Rough-in Appr/Sdwlk _?n�A- Plbg. Top Out Gav Line rTNAL: Post/Beam :truce. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbq. Underfloor Nater Line Gyp. Bd. -Hoch. Date Requested, e-, �f- LG_L_ Timet _ AK PM ltddressf /c: aLf f Permit #t Buildert THE FOLLOWING CORRECTIONS ARE REQUIRED, APPROVED DISAPPROVED -- APPROVED SUBJECT TO ABOVE Call For Rwinnp. CITY OF T COMMUNITY DEVELOPMENT DEPARTMENT MASTER F'E:RMIT 13126 SW Hall Blvd.Tigard,Oregon 07223.609 (603)630.4171 PERMIT #. . . . . . . : MST 94--036(3 C.39- /�I it DATE ISSUED: 10/07/94 PARCEL: 2S 1 10BB-AR'U 16 S T TE ADDRESS. . . : 1.2222'1 SW AMES LN SUBDIVISION. . . . : ARLINGTON RIDGE ZONING- R-3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .Ir 16 ------------------- BUILDING BUIL_DING ----------------_-__-._.___._-------------_REISSUE: DWELLING UNITS: 1 BASEMENT.. . . . . . . . :0 S CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 SARAGE. . . . . . . . . . :736 sf TYPE OF" USE. . . rSF FLOOR F?REA5--- ----- - REQUIRED SETBACKS----•--------- TYPE OF' CUNST. :5N FIRST. . . . :2'494 s f LEFT. . : 10 ft R I GHT. : 1 1 ft 01:CUPANCY GRP. :R3 SECOND. . . :0 s f FRONT. :20 ft REAR. . :36 ft S TO R I E,;:3. . . . . . . : 1 FINBSMENT:O s REU!JIRED--___. HEIGHT. . . . . . . . : 18 ft TO"T"AL --------•-:2494 s f SMOKE DETECTORS. :Y FLOOR LOAF). . . . :40 psf VALUE. . . . . $ : 173E_'37 PARKING SPACES. . : 1 Remarks : PATH I PLUMBING SINKS. . . . . . . . . . : 1. FLOOR DRAINS. . . . :0 BACKFLOW PREVNl'RS. . : 1 LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASING. . . . . . . :0 WATER CLOSETS. . :3 SEWER LINE: (ft ) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : I WATER LINE. (ft ) . : 1.00 OTHER F I X TURES. . . . . :0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0 WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1 MEC:HANICAL -_________._-____._._---._.___..___._____.___ FEES FUEL TY•PES-------------- UNIT HTRS. . :0 type amount by date recpt /GAS/ / / VENTS . . . . . :0 TIF $ 1550. 00 KS 10/07/94 - MAX INPUT:O BTU VENT FANS. . :4 BPRT $ 618. 00 KS 10/07/94 -- TURN ( 100K . . :0 HOODS. . . . . . : 1 BPLC $ 401. 70 KAR 09/22/94 94--257128 FURN ) =100K . . : 1 WOODSTOUE�i. :O B5PC $ 30. 90 1/,S 10/07/94 - FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 KS 10/07/94 - BOIL/CMP ( 3HP:0 OTHER UNITS: 1 PARK $ 500. 00 K5 10107194 - GAS OUTLETS: 1 MPRT $ 45. 00 KS 10/07/94 - Owner: __..------------._.______.__.-----.___.------__.---_ MFLC $ 11 . 25 KS 10/07/94 RONALD WARNER M5PC $ 2. 25 KS 10/07/94 - 500 SW 345TH 3ST11 $ 225. 00 KS 10/07/94 P5PC $ 11. 25 KS 10/07/94 - HILLSBORO OR 97123 EROS $ 64. 00 KS 10/07/94 - Phone #: 640-0615 ERPC $ 20. 80 KS 10/07/94 - ContrArtor.: -_____.._______________--_--__-_--_ERPC $ 20. 80 KS 10/07/94 - RONALD WARNER CONST 500 SW 34511A HIL.LSBORO OR 971:3 Phone #. 640-061:. Reg #. . : 228783 _--___- -_-------- --- -------- --- ------ $ 3780. 95 TOTAL This permit is issued subject to the regulations contained In the ------- REDUTRED INSPECTIONS --- - Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp applicable :aws. All Mork will be done in accordance with approved Post/Ream Struct Gas LJ.ne Irt,.p plans, This permit will expire if work not started wit 'n lu Post/Beam Meehan ln._-.dation Insp days of issuance, or if work is suspend for sort t art days. Plm/undslab Insp Gyp Board Insp VJL.M/Under floor Pzin drain In,,l Mechanirai Insp Water- Line lnsp Plumb Top Out Appr/'3dwlk Insp Tssued By : _ Framing Insp Merhanieal Fin'll rct-=arr- 699 4i9ls — CITY OF TIGARD SEWER CONNECTION COMMUNITY DEVELOPMENT DEPARTMENT PE RM I T 13126 8W Hall Blvd.Tigard,Oregon 97223.6199 (503)630-4171 PFRM I T #. . . . . . . : SWR94-0330 t)3() -4171 DATE ISSUED: 10/07/ 34 PARCEL: 2S110BB--AR016 SITE ADDRESS. . . : 1222: SW AMES LN SUBDIVISION. . . . : ARLINGTON RIDGE ZONING: R-3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :016 ------------------------------------------------------------------------------- TENANT NAME. . . . ,. : USA NO. . . . . . . . . . t FIXTURE UNITS. . . : CLASS OF' WOF1K. . . :NEW DWELLING UN I T5. . : 1. TYPE_ OF' USE. . . . . :SF NO. OF BUILDING,: 1 INSTALL TYPE:. . . . sBU WR IMPERV SURFACE. . : Remarks : PATH I owner,: --_---_--__--._..-------------------.---.---._------___---_. FEES RONALD WARNER type Amo'_int by (late r ecpt 500 SW 345TH PRMT $ 2200. 00 KS 10/07/94 - INSP $ 35. 00 KS 10/07/94 HILLSBORO OR 97123 Phone #: 640-0615 Contractor: --------------_---__--_-------- CONTRACTOR NOT ON FILE Phone #: 3 22 a5. 00 TOTAI_- Reg #. . : -- - -— REDU I RED I NSPECT I ONEi This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires 186 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 all directions from the distance given, If not so located, the installer shall purchase a "Tap and Side Sewir' Permit and the A Vic, wi 1 insta a lateral. Per-in i t t e e Si gnat 1.1 r eJ- T s s 1_I e d R y Call for inspection — 639-4175 y - 5 7 >�� City of TigardResidential Buildina Permit AmAcation ` 13125 SW.Hall Blvd. �Q.t�d (/�(JU C�-froe a ')", Tigard, OR 97223 (503) 639-4171 -- Jobsite Address., An,,v� �- QW-0 Uge Oniv, Subdivision, 1 �� 1�' Lot# 4 Planck/Rec # (I _201 Valuation: i Z Comer i nt? Y "' � Permit #AS 94y'_,e )36F H Reissue of Fang Lot? Y _ M Map & TL# c).S/LUQ 6 Owner: Approvals Reauirsd Address: Planning _ - --- -- Engineering Phone: Othef Contractor: �0 f�l�t() n1 + lNP�[LNL�� 5 (� ',..Items Rogedred Address: 60 f�,�a�c� • % -{S �'� _ `' Subcontractors _ ��.. +� �') Truss Details IVI Phone: � ��_ Other Contractor's License (attach copy of current Oregon license) Contact Name & Phone: IL_G" �.1 21,( "•1 rA(V_. r,40.OE,r5 Subcontractors: Architect/En jineer: (I'S!<< Aj � Plumbing: �1N I�•j�L t��11- ! N Cai Address: ��/L��G ry �. 5*199 V— S_i; Mechanical: 1-1C ►��.�2 lD _ ( - (attach copy of current O" Contractor's License) Phone: _ Z.52 — -2 32 3 JOB SCRiPTION. Applicant Signature & Phone number -� Received bY,-- / r _ Date Received: N WMAMCOMDEVWESAPP Permit# Account Description Amount Amt. Pd. Sall. Due h'►3 f( � _ Bldg. Permit (BUILD) Plumb. Permit (PLUMB) },w Menh. Permit (MECH) 11) v i State Tax (TAX) _4j r u Bldg: 211-11 U Plumb: Mech: Z� Plan Check (PLANCK) Z•`f _S20 _I K'Z1 ?� Bldg: c u 1.3O Plumb: Mech f►. Z q Sewer Connecticn (SWUSA) L200 _ .� Z co Sewer Inspection (SWINSP) 3s� 3 5' Parks Dev Charge (PKSDC) Sa Vy � Storm Drainage rhg (SDSDC) Residential TIF (TIF R) _ U Y _ N3 v Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS, Office TIF (TIF-O) Water Quality (WQUAL) Water Quantitv (WQUANT) Fire District (FIRE) Erosion Cntrl Permit (ERPRMT) �u Erosion Planck/USA (ERPLAN) ___,21_. Erosion Planck/COT (EROSN) ivy _ TOTALS: (DUI o ID : SEP 29 '94 8 :41 No .007 F .02 CHICAGO TITLE INSURE%NCE COMPANY OF OREGON 99A0 S.W,GREM-NBURG ROAD. 11ORTI.AND, OREWN '4223 (503)684.9954 Date: �e COV To: City of Tigard From: Linda VanDyke-Cnlcago Title Insurance Company Ref: Arlington Ridge Subdiv13ion- Tigard,Oregon I ( � � qI) 'I �V) ' Cost contribution for extension of S.W. G&orde Lot Number: This is to verify that for the above referenced lot, Bull Mountain Land and Development Company rtes paid the required $1.474.25 cost contribution for the extension of S.V'1. Gaarde• At the time out office closed the above referenced lot sale, $1,424,415 was withheld frown the sale proceeds and Is being held In escrow The escrow account is being maintained by First American Title Insurance, Tanaebourne offlee, 2518 N.W Town Centre Drive, Beaverton,Oregon 97006. For further Information, please domed Jody Johnson at 646.0320, Linda Van dyke Escrow Officer Chicago Title Insunoince Company 9901?S.W Greenburg Road Portland, Oregon 97223 TOTAL P.02 _R. H. Warner Construction 500 S.W. 345th Ave. • Millsboro, OR 97123 • (503) 640-0615 Z 1.46 G7:7 > fps 1� 0 0 0 oweZ 4 /3 'P .Q C�AfZ 1tiG E 1 D 193 ' 0 d 1 /1Co = A.M. Warner Construction 500 S.W. 345th Ave. • Hillsboro, OR 9712:3 • (503) 640-0615 i �I *2 1.46 _ G'3=7o �9s I�. O of 0 owe 5Sb2Y c rr 03 Or 0 jk1 �URNE X90 CI1Y CJ. T'IGARD RF.CaEIp'T OF PAYMEN1 RFC.k Il-'1 N(1. :94 �' �IhiAt1N ( Hl--CK AMC)UNT a 516b. y;.) NAME~: a RONALD WARNE:Fr C�Utlol' U)SH F VIOUN f e 0. 00 ADDRESS a 500 SW 3415TH AVL: F'NYMF•NT 1041E a 10/07/94 :iUE►p I V I!i 1 UN . H I LLSBORO, ORE GON 9 71 P3-- PUF PURE OF' PAYMENT AMOUNT PAID PURPC11 { OF PHYMF::Ni (44011Ni F'HiU (Nl_IIL.DIN1.3 PERM M8794—P:368 h1H. 00 .�� PLUMB I NO PF. RM 00 ME CiIANIC.AL PE 4';. 00 ST. 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