Case File ADDRESS:
1� z W , o4.6 � � _
i �records\microflrn\targets\building doc
CITY OF T I G ARD
COMMUNITY DEVELOPMENI'DEPARTMENT
-
13126 SW Hall Blvd.Tigard,01jigon 07223.3100 (503)639-4171 CE RT I r'I r-ATE"' (ff
PE-R11T.T N. . . . . . . c MST93 -0011'
r,,,39---4171
123'51 Sit ANTON UP PARCELs M134C.13
-1570i
�:,1.;F,DXVV'110W. AN's"UN 0ARK IT ZONINSt
III-OCK. . . . . . . . . . a LOT— , . . . . . . . . . 1604
CLASS ()("-' WC)"14. I Nr..,w
1"YPE ()V USE. . . 3 SF
0CLUPANCY URP. 1;R3
('.lCr,Ur'ANCY LOADs ti24 4
IIPOTH I
MELVIN WWWRIF, JR.
0 BOX ,31164
TIPARD (IR 97281
i1ELVIN WAYMIPF
; ;*44F,7 SW 130TH AVE;
M.30110 UR 97&23
Phone #v 639-6742
Pinq M. . S 3!'097�s
�.1;.-.,cupEtnr,V of the above referenced buildi -,qj is hereby given, and czet-tifies
f-hp t-rimpliancF- with the GtAti,4 Of Oregon Specialty (.;Odqm fov- the :4r-oup'
and Lme .ender- which the i-eferencwd permit Was i ?isued.
01JILPTNG INBPECTUR
.16 1 D I NO
IN (IONGMICUOUS r-11J).1"r-
INBP&M2N x-C-77151
City of Tigard Building Depactmmt
13125 SA Ball Blvd. Tigard, Oregon 97223
Inspection Line QRec-O-Phoneys 639-4175 Business Phones 639-4172
Inspections
root Ioff Plhq. Underslab Mach. Rough-in Appr/Bdwlk
Pound. Plbq. Top out Gas Line FINAL$
Post/Beam Struct. San. Sewer Framing i
Poet/Deem "*Ch. Rs�n Dra.n Insulation -Plumb. ~
Plbq. Underfloor. GG N .ter Line Gyp. Bd. _fib.
Date Reque/steds �J _ Times
Address: / '� ��� >� voo z Permit 0 t �, CJ [J
TRH TOLL MIry O'M h ONS ARE REQUIRED:
Inspector:------1' `—� —_ Dates
APPROVED `- DISAPPROVED APPPWRD SUBJECT To AAoys
__C811 For Reinap.
IdMCTI2".140'ICE �—
C1ty of Tigard Biaildimq Department
Y.3125 OR Be 8 vd. Tigard, Oregon 97223
Inspectio:, Line (Rec na)s 6339-4175 Business Phone: 639-4171
Inspections__
Footing F1t'ig. Onderslab Mach. Rough-in APpr/Sdwlk
Found. Plbq. Top c.c Can Lina FINI—
Post/Bras Struc^. San. Sewer Framing -Bldg.
Poet/Ream Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line ?? Gyp. Ed. -Mach.
Date Rrquesteds_ J Time: -- AM PM
/
tWdresM:_ Mr- �i�l ,/�!���..i Permit 1t`l -3- U 6
Bu!lders-- �:
TBE FOIXOWING COMLions ARE REQIII RED,
Inspectors`LE-7
APPiiOV�D DISA MY"D APPRrri7Rn nUBJRrT To ABOVE
Call For Reinsp.
NSPECTION NOTICE
City of Tigard Bullding Department
13125 BN Ball Blvd. Tigard, Oregon 47223
inspection Line (Rec-O-Phoneis 639-4175 Busineas Phone: 639-4171
Inspect--
Footing
nspectFooting Plbg. Underelab Hach. Rougt:. i_n Appr/Sdwlk
Pound. Plbg. Top Out Gas Lino FINALS
Post/Beans Struct. Stn. Sewer Framinq -Bldg.
Poet/Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. ech.
Date Requested: �S _ __Times ZAN PA
Address: Permit
Builders A
THE FOLLOWING CORRECTIONS ARE REQUtPEDs
Inspectors__ �}�} 3'
� Dates -�
__APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 BW hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phoue: 639-4171
Inspection:_
Footing Plbg. Underalab Mach. Rou h-in Appr/Sdwlk
Found. P1bq. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Haan Hoch. Rain Drain Insulation .-Plumb.
Plbg. Underfloor Water LineGyp. ed. Ti -Mach.
Date Requested:_ `— \�
Wme: /� AN PN
Address:_l_ �//�� S� (�-- Permit t:TT�—�
THE FOLLOWING CORRECTIONS REQUIRED:
Inspector:
_A�PROVRD DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departaent
1312 bM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inepectlonr__y
Footing P).bg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Ream Struc:t. San. Sewer Framing -Bldg.
( Post/beam Mach. Rain Drain Insulation --Plumb.
\Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: � ^�J' -�Z� Time: AM PN
Addre4a: 010�,�Z �j>7 Permit ism
Duildari t �_-
THE FOLLOWING CO IONS ARE REQUIRED:
Inspectors Date: 7
_—APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Relnsp.
INSPECTION NOTICE.
City of Tigard Building Department
13125 SN Ball Bled. Tigard, Oregon 97123
inspection Line (Rec-O-Phone): 639-4175 Bunineen Phone: 639-4171
Inspecti.ont _^_
Footing Plbg. Underelab h. Rough-i1 Rftr/ldWik
Found. Plbg. Top Out • Lines FIN 1.s
Post/Baam Struct. San. Sewer taming-- -Bldg.
Poet/Reim Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nates Line Gyp. Bd. -Mech.
Data Requested= d� 3-1-3 __Time: —AN PM
Address: �J�e I Permit #f`,3 Z
Builders_ _LOA
THE FOLLOWING OORREk`TIONS ARE REQUIREDs
6 t
Inspector: -"/p� oats:
APPROVED DISAPPROVED APPROVED SUBJECT 7O ABOVE
Call For Reinsp.
INSPECTIO14 NOTICE
City of Tigard Building t eparttttest
13125 SIP Ball Blvd. Tigard, Oregon :7223
Inspection Line (Rea-o-Phone): 639-41^5 Buoinese Phones 639-4171
Inspection:_„_
Footing Plbg. Underelab Mach. Rough-in Appr./Sdwlk
Pound. Plbg. Top OutCas ne FINAL:
Poet/Beam Struct. Fan. Sewer �Frg
ng --Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Meeh.
Data Requasted2e Tunas AM /,/, PM
Addreoa: �7 � ,(/�/ Permit #s.41,3 _eV o�--
Builders
TNS FOLLMINC CTIOBB ARS RSQUIRSD:
lo
.e...,..I' _
Inspertor:_�_ Date:
__APPROVED DISAPPROVED APPROVED SUBJECT TU ABOVP.'
__Call For Reinep.
INSPECTION NOTICE
City of Tic crd Building Departssrnt /�,7
13125 !1R Ball Blvd. Tigard. Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Businens Phone: 639-4171
I neper-•:ion:
Footing Plbg. Uaderelab Mech. Rough--in Appr/Sdwlk
Pound. Plbg Top Ou Cas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
110et/Beam Hoch. Rain Drain Insulation -Plumb,
Plbq. Underfloor. Nater Line Gyp. Bd. -Meeh.
Date Req,ieet4d: /-z
_ Time: PM
i -- /'
Address:�L Permit f:Xi'Ot/v—Z
Builder:__
TNR FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors— Dates -�
L APPROVED DISAPPRO%TY) - APPROVED SUBJECT To ABOVE
For Reinep.
I-NSPECIION NOTICE, /( r
City of Tigard Building Department
13125 BN Ball Blvd. Tigard. Oregon 97223
Inspection Line Z
/ Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing lbg. Underslab Mach. Rough-in Appr/Sdwlk T
Found, Plbg. Top Out Can Line FINAL:
Post/Beam Struct. San. Sewer Framing _Bldg.
Post/Ream Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Koch.
Date Requestedt Tims� AN _PN
Address: eop-
Builder:
THE FOLLONINO OORRECTI a ARE REQLrIRED:
Inspector a_,�
APPAOVID DIDAPPROM __ APPRom effli.711 r To Aam
Call For Reitup.
�NSPLCTION NOTICE.
City of Tigard Building Department
13125 SA Ball Bled. Tigard, Os^NI 97223
Inspection Line (Rec-O-Phone): 639-4175 BUP.inPe3 Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mach. Rough-is, \'`)►ppr/Sdwlk
Fnund.
Plbg. Top Out ras Line FINALS
POst/Beam Struct. San. Sewer Praming -Bldg.
Poet/Ream Hoch. Rain Drain Ins,latic
-Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requaii
�! 9 ✓ —
/ Times AM PM
Address:_ y_.yf f ?�
Permlr_ #:
Builder:_
TM FOLLOMI100 CORRECTIONS ARB REQUIRED:
710
�p w Cr
i
inspectors .f
Dates
APPR�D DISAPPROVED APPROVED SUBJECT To ABOVE
_Call For Reinep.
uSPT.MLON.kuTICE
t'ity of. Tigard BuilGIM Department
.3125 Sq Hall B].vfi. Tigard, Uregon 97223
napec�__. •1 Line (Pec-O-Ph�ne�: 639-4175 Busineee Phone: 639-4171
Ineie ^n:
Lit+n9 tlq. nndovwla5 Mach. Rough-in Appr/Sdwlk
Pound. Plbq. Top Out Gas Line FINAL:
PostiSesm Struct. San. Bower Framing -Bldg.
Post/Seam Mach. Rain Drain Insulation -Ply.
lbq. Underflorr� Rater Line Gyp. Bd. -Meeh.
Date Reque.:ed: Times
...:ares.: /�y'� Permit 1 _—L_e..! _AUG Z
Builder:_��
T-.i_ FOLLntiIMG ConacTIOMS ARE REQUIRED:
Com--
Inspector:�L%J��� sG Data: t���) w✓
4PPROVED DiSAPPROV6DAPPROVED SUBJECT TO ABOVE
—_Call For Reinnp.
INSPECTION NOTICE
city of Tigard Building Departa:ent
13125 SK Ball. Blvd. Tigard, Oregon 9722
Inepection Line (Rec-O-Phone): 639-4175 Bueineria Phor:e: 639•4171
Inspections
Footing Plbg. Underal.ab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINAL:
et/Beam St.ruct.i San. Sewer Framing --Bldg.
et/Beam Mech. Rain Drain Ineulation -Plumb.
Plbq. Underfloor tlater Line Gyp. ed. -Mech.
nate Requeetedt Timet Ali.. /IPM
Addrees: -f ►7L�TLIL Permit 1 s "��GJ��(JZ
Builders
THE FOLLOWING 00RRA470NS ARE REQUIREDt
InspectoAPPROVED
— Date: 0L/'
-- DISAPPROVED APPROVED SUBJECT TO ARM
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department ` (JJ
13125 NN Ball. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone: 639-4175 Uusinese Phone: 639-4171
Inspection:.- ------ -^------ ---
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San Sewers Framing -Bldg.
Post/Beam Ma_h. Rain Drain�.l Insulation -PWmb.
Plbg. Underfloorate rLln��^^ Gyp. Bd. -Mach.
Date Requested: ZSA
�'G�.�__ Time: AM PM
Address:` Permit
Builder:_` G
TNM FOLLOWING CrOCTIONS ARE 4EQUIRED:
Inspector: _ — Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call_ For Reinup.
RNSPECTION NOTICE
Clty of Tigard Building De
13125 SU Ball Blvd. Tigard, Oregon ..�..�
Inspection Line (Rec-O-Phones: 639-4175 Bueineee Ph 6319-4]71
Inspections_
Footing Plbg. Underslab Nech. Rough-in Appr/Sdwlk
�\ f
Found, 1
Plbg. Top Out Gas Line FINAL:
Post/Beard Struct. San. Sewer Framing -B1da.
Post:/Beam Mach. Rain Drain Insulati.cn -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Hoch.
Data Reyi:eeteds__ /` —_ Time- —AM�� PN
Address:— Permit #111_3
BuLlder.:
TRE FOLLOWING CORRE IONS ARE RBQUIRRD:
Inspector: --- -- — - -~'�
Date-
� T
?PROVED DISAPPROVED APPROVED SUBJECT TO AbOVR
Call For Reinop.
,OmITYOF TIGARDCnYOF PLUMBING PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT onvoaa PERMIT . . . . . . . : MST93-0�1�1
13125 SW Hdl Blvd. F.O.Bcx 23M,Tlq@d,Qvgw 07223(603630-4176 �!,7- DATE I SSUED a /
06/93
SITE ADDRESS. . . : 12351 SW ANTON DR PARCEL: 1S134CS-AP84
SUBDIVISION. . . . : ANTON PARK II ZONING:
BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . s84
--------------------------------------------------------------------------------
CL„SS OF WORK. . :NEW GARBAGE DISPOSALS. . a1
TYPE OF USE. . . . aSF WASHING MACH. . . . . . . sl BACKFLOW PREVNTRS. . aO
OCCUPANCY GRP. . sR3 FLOOR DRAINS. . . . . . . a0 TRAPS. . . . . . . . . . . . . . :0
STORIES. . . . . . . . at WA'T'ER HEATERS. . . . . . sl CATCH BASINS s 0
FIXTURES--------------- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . . sl GREASE TRAPS. . . . . . . sO
LAVATORIES. . . . . :3 OTHER FIXTURES. . . . . 10
TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . :0
WATER CLOSETS. . a2 WATER LINE (ft) . . . . s100
DISHWASHERS. . . . al RAIN DRAIN (ft) . . . . a0
Remarkso PATH I
UWNERs ------------------------------ -----------------FEES---------------
MELVIN WAYMIRE, JR. TIF t 1460. 00 JH 01/06/93 -
P 0 BOX 231164 BPRT t 358. 00 JH 01/06/93 -
BPLC t 232. 70 JLH 12/24;92 92-235011
TIGARD OR 97281 B5PC $ 17. 90 JH 01/06/93 -
Phone Ma SSDC t 280. 00 ..TI•( 01/06/93 -
PARK $ 500. 00 JH 01/06/93 -
Plumbing Contractor:----------------- MPRT $ 40. 50 JH 01/06/93 -
MPLC f 10. 13 JH 01/06/93 -
Names I M5PC $ 2. 03 JH 01/06/93 -
Address. PPRT $ 125. 00 JH 01 /06/93 -
Citys _States P5PC f 6. 25 .JH 01/06/93 -
Zips Phone#• _
Reg ala
--•--- 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 StrIACt Water Line Insp
other applicable laws. All work will be done Post/Beam Meehan 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 Mectianical Insp Building Final
suspended for more than 180 days. Plumb Top Out Erosion Lontrol
Framing Insp Crawl Drain
Fireplace Insp
Gas Line Insp
Insulation Insp
x _ Gyp Board Insp
Au orized Plumbing Contractor Signature
Call for inspection - 639-4175
Contractor Notess_
C1TY0F11GrAP&
CRYaFROND MASTER PERMIT
COMMON" DEVELOPMENT DEPARTMENT asweon
13125 SW HalgW.p.o.Borax+or,Tigwd.Oregon 97=(SM)6W4176
PERMIT #. . . . . . . s MST93-0002
2
639-4171 DATE ISSUED: 01/06/93
SIZE ADDRESS. . . 1 12351 SW ANTON DR PARCEL: 1S134CB—AP84
SUBDIVISION. . . . : ANTON PARK II ZONING:
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :84
--------------------------------- BUILDING --------------_.__--------.------__--_—._
REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :NEW BEDRMSs3 BATHSs2 GARAGE. . . . . . . . . . :400 sf
TYPE OF USE. . . :SF FLOOR AREAS---------- REQUIRED SETBACKS----------
TYPE OF' CONST. s SN FIRST. . . . : 1460 sf LETT. . s 5 ft R I GHT. :5 ft
OCCUPANCY GRP. s R3 SECOND. . . s 0 sf FRONT. s 20 ft REAR. . :30 ft
STORIES. . . . . . . : 1 'THIRD. . . . sO sf REQUIRED-------------------
HEIGHT. . . . . . . . s24 ft TOTAL------: 1460 sf SMOKE DETECTORS. iY
FLOOR LOAD. . . . :40 psf VALUE. . . . . f : '74360 PARKING SPACES. . : 1
Remarks: PATH I
-------------------•-----•---------- PLUMBING ------------------------------------
SINKS. . . . . . . . . . 11
---------------------------------_SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . :3 WATER HEATERS. . . sl TRAPS. . . . . . . . . . . . . . 90
TUB/SHOWERS. . . . 12 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . :2 SEWER LINE ( ft ) . :0 GREASE TRAPS. . . . . . . 10
DISHWASHERS. . . . 31 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . .0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . sl SF RAIN DRAINS. . : 1
--------------- MECHA141CAL --__.____.,----_____---------____-_-- FEES -------__.--__-_.
FUEL TYPES------------ UNIT HTRS. . :O type amount by date recpt
/GAS/ / / VENTS .. . . . . :0 TIF f 1460. 00 JH 01/06/93 —
MAX INPUT:O BTU VENT FANS. . :3 BPRT f 358. 00 JH 01/06/93 —
FURN ( 1O0K . . sl HOODS. . ,. . . . : 1 BPLC f 232. 70 JLH 12/24/92 92-235011
FURN ) -1O0K . . :0 WOODSTOVES. :O BSPC f 17. 90 JH 01/06/93 --
FLOOR FURN. . . . 10 CLO DRYERS. : 1 SSDC t 280. 00 JH 01/06/93 -
FOIL/CMP ( 3HP:0 OTHER UNITSsl PARK f 500. 00 JH 01/06/93 —
GAS OUTLETS: 1 MPRT $ X0. 50 JH 01/06/93 —
Owners --------------------------------------MPLC f 10. 13 JH 01/06/93 —
MELVIN WAYMIRE, JR. MSPC $ 2. 03 JH 01/06/93 —
P O BOX 231164 PPRT $ 125. 00 JH 01/06/93 —
PSPC f 6. 25 JH 01/06/93 —
TIGARD OR 97281
Phone #:
Contractor: _—_—_------------------•-------
MELVIN WAYMIRE
PO BOX 231164
TIGARD OR 97223
Phone #s 639-6742
Reg #. . : 35976 ------------------------------------------
$ 3032. 51 TOTAL
This perait is issued subject to the regulations contained in ihe --- ---- REQUIRED INSPECTIONS -------
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Ire!- Fireplace Insp
applicable laws. All Mork will be done in accordance with approved Post/Beam F Gar- Line Insp
plans. This perait will expire if w,.rk is not started within 189 Post/Beam Meehan In- .slat ion Insp
days of issuance, or if work is suspended for re han 1811 days. Plm/undslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
1 ,ermittee 5iynat�_u a Mechanical Insp+ Water Line Insp
Plumb Top Out Appr/Sdwlk Insp
l - ued by : _._._ _.� Framing Insp Mechanical Final
Cell for inspection — 639-4175
----------------------
C17YOFliFARDS►.WER CONNECTION
cmra na�ua
COMMUNIT1f DEVELOPMENT DEPARTMENT ommoow PERMIT
19126 SW HWI Blvd. P.O.Bim 2XW7,•Woad,Ormpn grM(Isar)6994175 PF RM 17 #. . . . . . . a SWR93-0001
539-•4171 DATE_ ISSUED: 01/06/93
SITE ADDRESS. . . : 123;-1 SW ANTON DR PARCEL: 1S134CB—•—AP@4
SUBDIVISION. . . . : ANTON PARK ZONING:
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . a64
TENANT NAME. . . . . :
USA NO. . . . . . . . . . a FIXTURE UNITS. . . :
CLASS OF WORK. . . tNEW DWELLING UNITS. . 11
TYPE OF USE. . . . . t SF NO. OF BU I LD I NGS: 1
INSTALL TYPE. . . . sBUSWR IMPERV SURFACE. . : : sf
Remalrks t PATH I
Owners ------------------------------------------------------- FEES -----.-------...._
MELV..N WAYMIRE, JR. type amount by date recpt
P 0 BOX 231164 PRMT f 2100. 00 JH 01/06/93 —
INSP $ 35. 00 JH 01/q,6/93 -
TIGARD OR 97261
Phone Mt
Cuntractors --------------------------•-----
CONTRACTOR NOT ON FILE
-----------------------------------------
Phone
-----.-----•------•--------------------
Phone! 0: $ 2135. 00 TOTAL
Rep #. . z
------- REQUIRED INSPECTIONS -- -----
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the lblified Sewage Agency. The permit expires 109 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 toot in all directions from �—
the distance given. If not so located, the installjr shall purchase
a 'Tap and Side Sewer" Permit and the A ency w 11 i stall a lateral.
Permittee 5ignaturea K,
,{
Issued B y a
Call for inspection — 639-4175
CITY OF T I GARD RECF I PT OF PAYMENT RECEIPT NCt. 19'
CHECK AMOONT
NAME a MEL V I N WAYM I RE CASH AMOUN T 00
ODORE96 , PO PDX 231 164 PAYMENT DATE' a 01 /06/9
TIGARD, OR SUPDT.VIFION
97c.�B I—
PURPOSE CIF' PAYMENT AMOUNT Pf)I D PURPOSE OF PAYMENT AMOUNT PAIL)
BUILDING PERM �MST9:;-02 358. 00 PLUMBING PERM ___.._. 125. 00
MF C.'HAN I CAL Pr 40. 547) ST. BUILD PEP 26. 1.8
PLAN CHECK FE —7. a.7 SEWER USA 00. 00i
SEWER INSPECT 35. X10 PARES SDC '500. 00
STORM DRAIN SDC 280. 00 RESIDENTIAL TRAFFIC: FEES 1350. 00
MASS TRANSIT TIf-FEE'S 110. 00
f
T'OTFll_- PMOUNT PAID — -> 4917. 51
I
%J*
T1
CITY OF r1- IIJL-11\lJ u[usw[i3uond PLiVCK/IZEC7I _ -----
['o[scx 13397 PERMIT # 277-- L� coo Z
COMMUNITY DEM-1 011NIEN I'DEPARTNIFNT fipud.Oregon9T123 — —
(so3)539-4T7! DATE ISSUED
JOB ADDRESS: 1235 jAn_ton Dr- , 11igard_ TAX MAP/LOT l.S ( 3q
SUB: ,jxton LOT: 484 _ LAND USE: `
VALUATION- _7 3G°
OWNER SPECIAL NOTES
NAME: _Melvin G. Waymire, Jr. . _— REISSUE OF:
ADDRESS- _ P.O. Box 231.164 _ LAST REISSUE:
281 FLOOD PLAIN/
PHONE: 639-6742 ------,- --_ SENSITIVE LAND: ---
CONTRACTOR APPROVALS REQUIRED
NAME: Melvin G. W e, Jr. _ PLANNING: �f QU SSL
ADDRESS: same ENGINELRING:
FIRE DEPT:
PHONE: y639-6742 __— OTHER: _' i r —
CONTR. BOARD : 35976 EXP DATE: X11 93 _
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: Harmon Plumbing umbing Co. LIST/SUBCONTRACT(,QS:
MECH: & fah_ BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAME: Alan Ma,cnrd, [3nGi qn�r TRUSS DETAILS:
ADDRESS: 1515 N.W. 23rd eve. _ OTHER:
Portland, OR 9]11Q__—_
PHONE: 225-9161
PROPOSED BLDG. USE: _ Single family residence
COMMENTS:
r �
IC T SIGNAT E
Received By: __ _ Date Received:_
OPPMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL.. DUE
�nTV -uubz 10-43? 00 Building Permit Fees 35 'j
10-431 00 Plumbing P,7rmit Fees
10-431 01 Mechanical Permit Fees y��15o
10-230 01 State Building Tax (5%) __-
Building
Plumbing
Mechanical 0 3
10-433 00 Plans Check Fee j� a l• �r'3.� ? .� Clot
1
Building Z• ?U --"'�
Plumbing
Mechanical
10-230 06 Fire
30-202 00 Sewer Cnnnect ion 700
0
30-444 00 Sewer Inspection 3 a _
25-448-02 Commercial TiF Fees _
2.5-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees _
25-448-01 Residential Traffic fees 13s�, 1 S U
25-448-05 Mass Transit TIF Fr,,-,
52-449 00 Parks System Dev Ih 1� (PDC) S _S u
31-450 00 Storm Drainage SvsL Dev Chrg
(SSDC)
24-445 11 Water Quality (Fee in iieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL 1 . 5
nm/3587P.WPF