13265 SW CLEARVIEW WAY-1 V
A
w
I
13265 SW CLEARVIF74 WAY -
CITYOF
TIGARD CERTIFICATE OF
OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT PEPM I T +p. . . . . . . % MST 90-008'
131268W H0 BW P.O.Bac 23W.TOW,0-Wn nrz!P 1903)q3"l/6
`a I TE ADDRESS. . . a 13365 SW CLEARV T F_W WY PkRCt:1.i 2Sl@&,-DC--e-3000
9UBD I V I S I ON. . .. , a BENLAV I EW ESTATES ZON I NC a R-4. 5
13LOCK. . . . . . . . . . I LOT. . . . . . . , . . & . . t30
(:LASS OF WO;"K. :NEW
TYPE OF USE. . . :GF
OCCUPANCY DRP. a R:3
OCCUPANCY
i
TENANT NAME'. . . i
Remarks :
M, K VAN CLEEF
1.`5
100 SW 115TH
Tl1ALAT I N OR 97223
phon% #1
Contrac:tora
FAMILY HOMES OF AMERICA
P. U. BOX 168
AORGRA OR
1'-''hone #t 678-•1139
flea 14. . a 21960
Occupanc' of the above refer^enced building In hereby given, ;1.d ��ertiflea
the+ e:ampliaT1C.ee with the f3tai- v Of Oragon Specialty Codes for t'ie group,
oc!-upanc:•y, and .jse under which then referenced permit was i.aaupd.
F'RE AEPAR7MI`'iT oU.I1_ INCS INSPEC.T.W4
t.J I L.D T N Gv FFICIAi.
P09T IN CONSP I CUU:)r PLACE
I
[NSPRCTION NOTICZ
City of Tigard Building Department
13125 On Ball Blvd. T14ard, Oregon 97273
Inspection Line (Rec:-O-Rhone)s 635. 41 Business Phone: 639-4171
4eC
Ins tinn. .—
� y
sorting Plbg. Underelab Mech. Rough-in Appr/Sdwl.k
Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing / Hlc .
Poet/Beam Mech. Rain Drain Ineulatlon / -dumb.
Plbg. Underfloor Nater Line
�(:yp. Bd. -Koch.
Data lternseatedc _.M
1
Addreens Fermit
y
Builder:
TEM 14)LLOWING COR"CTIONS ARE REQUIRED:
r �V
OL —
U
Inspector:W_y�ii7C-= _ Dates Ti
APPROVED DISAPPROVED APPI`OV1SD SUBJECT TO ASOVF.
Call For Reinep.
t
CITY OF TIGARD
November 13, 1991. \ OREGON
Mr. VanCleei
13265 SW Clearview Way
Tigard, OR 97223
Re: Certificate of Jccupancy
Dear Mr. VanCle-f,
The builder of your home contacted of office for a copy
of the certifi::atie of occupancy for your home . Our
records indicate that the requirements necessary for
final occupancy have not ',)een inspected as yet.
Your builder stated that these items have been completed
and we would be happy to make arrangements with you for
final inspe--tions . Please contact me at 639-4171 ext.
310 to request an inspection.
Sincerely,
?-rrc,e Hrdina
Building Per,nits Clerk
13125 SW Hafi P.O.Box 23.397 Tigard,Oregon 97223 (503)639-4171 --
—
NSP CT1ION NOTICE �'�
city or Tigard Building Departssult
13125 81N Ball Blvd Tigard, Oregon 97223
Inspecticn Line (Cec Phone): b39-4175 Business Perone: 639-4171
Inslection:A
Footing 1pg. Underslvi--. Mech. Roujh-in Appr/Sdwllc
Fourd. Plbg. Top Out Gas Line FIMALs
Poet:/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
F'lbg. ttnds�rloc - Neter line Gyp. Rd. .-Mech.
Date Requested:` '151 Time: _---AM PH
Addrenn: /��� � '.I ( Permit
THE FOLLOWING CORRACTIONS AR: REQUIRED:
v ✓ i
Inspectors_ Date:
"PROVED DIt11f -- APPROVED SUBJECT TO ABOVE
Call for 1lsinsp.
INSPECTION NOTICE
Cit? of Tigard Building aspsrtment
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Lina (ROC-O-Phones 639-4175 Business Phone: 639-4171
Inspections__•
Footing Plbg. Underslab Asch. Ro,.gh-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FIRALs
Post/Beam Struct. San. Hewer Framing ( Bldg. J
Post/Seas Mach. Rain Drain Insulation Plumb.
Plby. Underfloor Nater Line Gyp. 3d. ��AN
Date Requesteds �% (/ Tines _ 44—PH
Addresse { -G.,�, ( �G�� -��tf� Permit 1s42,F 7
Builders-J'.. L.z T
THE FOLL0NING OORRECTIONS ARE RBQUIREDs
fp
A-d OL
�v 87'Rc,c-t'
Inapnotor:_ , Date /oo,
__APPROVED DISSAAPPROVED APPROVED SUBJECT TO ABOVE
-!br Reinsp.
November 14 , 1990
City of Tigard
Building Inspector
Tigard, Oregon
Re: Property at 13265 SW Clearview Way, Tigard, Oregon
Dear Sir:
with rz�.,p.-ct the .:�ov� r feranc,--d property, we ;pacifically
am �.
asked our builder Martin L. Clark of Family Homes of America
to grade t!ie yard the way it currently exists . The reason
for this is that we are planning to have the yard landscaped
and wanted to leave as much dirt as possible at this time to
give us more landscaping options .
We do plar to have retaininq walls along the buck`edge of
our prope- -y, which will adequately addr_n _.sy_
Hol,-;ever, due to the timing of the completion of our house
and the Fall and Winner weather conditions in Oregon, we h
will not be able to do this properly until Spring, g
we will try to complete it sooner if the weather permits .
We hope that this will be acceptable to you.
If you have any additional questions or concerns , please do
nut ]jesitaLe to contact us .
Sincerely,
Susan "tan Clee f
i
jNSYECTION 1�OT_TCE �/��1 ,;
City OZ Tigard BgiidLuq Dep rl,,,ot
131.9!i SN Bali BlvJ. Tigard. Oregon 97223
Inspecition Line i,Rcc-O-Phone)r 639-4:75 Business Phone: 539-4111
Inspection:
Footing Plbq. Underslab Mach. Rough-in 9 /lppr/SdMlk
Found. P1bq. Top Out Gan Line
HIIfALt
Poet/Beam Strucf . San. Sewer
Framing -Bldg.
Poet/Beam Mech. Rein Drain InaUletion
-Plumb. �
Plbq. Underfloor Watur Line Gyp, Bd.
-Meeh.
Date Rerlueetedt���3- !&
Timet ___AM pM
Permit #t
Buildert_L�i�
T' roLl"INO CORRECTIONS ARE REQUIRED:
M
Inepectort /�-Z-
Date r
APPROVED DISAPr`ROVEp APPROVED SUBJECT To ABOVE --
-Call For pe.tnsp.
INSPECTION NOTICE �
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 6394175
Type of Inspection
Date Requested �b
— Time_X
Address
B�–__ • PermitlLz--
Lot .._------
Owner
—
Builder
The following Building Code deficiencies are required to be corrected,
------------
T�t-Approved
Presented to
Disapproved
Inspector
Dari
CALL FOR REINSPECTION
❑ YES 0 NO
INSPECTION NQTICE Sy
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection �� '�J -- "
Date Requested_'7 �' - Time A.M.-.—�P.M.
Address L z��S4! -c �``� r w4 1 Permit G!�Z
Own c, — ------- --— —
Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Y
Presented to ppraved
Inspector —�J4t1J� �_� Disapproved
Date _ --
CALL FOR RENWE TION
YES 0
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175.�.. •d--
_ r
Type of Inspection
Date Requested — _ U Time A.M. P.M.
Address
13��,`j' �v� /.�r�. ., _ Permit
//
Owner
Builder
The following Building Code deficiB-Icies ar3 required to be corrected:
Presented to Approved
Inspector _ ❑ Disapproved
Date
CALL FOR REINSPECTION
YES ❑ NO
f *� �V r #Ifrw
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
1;g3rd, Oregon 97123
Phone: 639-4175)
Type of Inspection—�'K:Gig �a �_j�
Date Requested Time�— A.M.,�P.M.
Address
� Permit #Q2—�71>�
Owner._ >— r-- — --
Lot #
Builder —
The following 6uilr!;ng Code deficiencies are required to be corrected:
�iAz
rV
Ptt
i.pr.
L]Presentedo d
Disapproved
Inspector
Date
CALL FOR REINSPECTION
rl YES [_-] NO
M,. qM
-------------
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
P
hone: 639-4175
Type of Inspection -
1. Time A.M._ P.M.
Date Requested
Address �c"'� �p ---�.. f[eI-L~1 _` Permit
_ Lot # -
Owner �- --
BuilderThe following Building Code deficiencies are required to be corrected:
i
''resented to - - - -- eApp ed
Inspector _ -- - ElOlppproved
Date
CALL FOR REINSPECTION
F-, YES 111 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 22397
Tigard, Oregon 97223
Prone: 639-4175
Type of Inspection
Date Requested Time A.M.---P.M.
Address 3 o/_ s- ���� l`+-� __— Permit ?t_ Q LCA F 7
Owner _ Lot #__
Builder.- ee icn.Qc �_--
The following Building Code deficiencies are required to he corrected:
Presented to _ _ Approved
Inspector � ❑ Disapproved
Date
CALL FOR REINSPECTION
YES ❑ No
l
' INSPECTMN NOTICE
City of Tigard Building Department
P.C. Box 23391 J
Tigard, Oregon 97223
Phone. 6394175
Type of Inspection
Date Requested rL' _� 7U Time-- AM.—P.M.
Address
AV!to l Permit
Owner Lot_ —
Builder ----
i
The following Building Code deficiencies are required to
be
corrected:
w i✓L it -- Lew
1
t
Presented to Ap roved
Inspector
,/ — Disapproved
/ --
Date —
CALL FOR REINSPECTION
[:; YES 1 1 NO
ri
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
TVpe of inspection --7
/�!ST%'�-cT --7 —
Date Requested G_ 2.,2 - ri'�r _ Time A.M. P.M.
Address / G S ��t a2 YE E c✓ Permit # �Q '6--
Owner — — got # ' 6,
----�-----
Builder_ /r OZ(e
The following Building Code deficiencies are required to be corrected:
f
Presented to Aoproved ^`�y
Inspector Disapproved
Date
CALL FOR REINSPECTION
[-I YEs C] NO
INSPECTION NOTICE t
i
City of Tigard Building Department
P.O. Box 23397 �,/�
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection n --
Date Requested U/' dcp - �Q// Time_-_— A.M. P.M.
Address �__� � �� �____—L/ DG?�iy_1�7 _ Permit
Owner __J_ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
------ ---- - --- — ---------------------
i
i
Presented to ____ Approved
Inspector ___--_ Disapproved
Date
CALL FOR REINSPECTION
❑ YES ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection —
Date Requested �' > >�— me_ _A.M.e P.M.
Address _.�3 �J _ w' � —_- Permit
Owner Lot
� _—_—_— __ #—_
Builder _[-..f.:�a � -The following Building Code deficiencies are required to h, corrected:
/.✓Svc,/-1 T� �E./[s�ETEIz- Ol=" .5.�D/� e".�i �7lgT�- --
Presented to Approved
Inspector __ _ [_� Disapproved
Date
CALL, FOR REINSPECTION
❑ YES L7 NO
-- - - - a supported end
1 Od I Common) (a 10'O c
is intermediate supports
Wall - Blocked edges IOd (a 6'o c (a plywood
panel edges
tOd(a 12' oc (a
intermediate supports
hermal And Moisture Protection
Dampproofing
I Apply standard Dry Wall Products. Inc 'Thoroseal Foundation Coating' foundation waterprouting.
on all backfill laces of walls below grade where interior face of wall is toward an occupied space
Provide "Thorogiaze' dompproofing coating on all exposed surfaces of concrete walls above earth
grade and hatwork not covered by finish floor materials all in strict conformance with manufacturer s
printed wwirucfioni.
Insulation
1 Rool vaulted F4 19 with vapor barrier on warm side (winter)
flat R 30 with vapor barrier on warm Side Iwinler) STU4'�
? Wells (exl 1 R� tfI� with vapor banner on weTm side (winter)
4'or STU tis
3 Floover unheated space R-19 with vapor barrier on warm side win or)
4 Basement wall lif any) R-11 to 12' below ext grade line
5 Basement floor slab on grade R-6 il" x 24" rigid) at perimeter on grade
6 Furnace ducts in unheated space R-3 5
7 Foundation walls (a crawl space R I 1 to 1'0' min below outside finish grade
8 2 i 6 stud walls Isxt I R-19
Flashing
1 Provide 26 Ga metal at roof counter flashing penetration flashing and base flashing
2 Gutters and downspouts to be 25 Ga pre-finish metal
Caulking and Sealants
1 Caulk and or seat all exposed interior and exterior joints above and below grade and all those interior
and exterior joints and appendages concealed by other building materials. flashings. etc . with
esufk+ng a'Id of sealarii material abutting natural or painted finishes
OVIndo-r -6 sod pools
I All windows and skyrites to be insulated glass as required by local codes Provide tempered glass
at gilding glass doors and in windows less than 18" above floor
2 Ali exterior wood doors to be solid core wood as selected by Owner. or prefinished steel doors with
wood frames All interior unit doors to be hollow core wood frame^
3 Each 9ed►oom Ic hae'e at least one windovr-v, max 44' sit: height above flout
r1nishes
Gypsum Wallboard
1 Provide Gypsum wallboard of type and thickness indicated on drawings Gypsum board work and
materials shall meet all requirements on ANSI No 97 1 for the -Application and finishing of
Wallboard - Joint compound system mixed applied and finished in compliance with manufacturers
printed directions to be visible aper finished. including all metal corner beads and trim
2 Provide ' ,' thick Gypsum wallboard panels at all interior walls except (a tub and shower recess to
have ' 2" waterproof Gypsum board Walls to have hard moisture resist surface 6'0' min and CLG
between garage and residence to have ' e" type X Gypsum board
Mechanical
1 General Plumbing Per plumbing code use ABS i VC plastic waste and vent piping copper supply
piping
2 Exhaust ten range hood clothes dryer in vent outside
Electrical
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection �T/ . ,
Date Requested L/ —�� Time__�_ A.M.!�jy P.M.
Address � �-�,— , 1L-��— Perl ''
Owner Lot #—_
Builder
The following Building Code deficiencies are required to be corrected:
Al
i
-die n
04,
i
-
��
Presented to _.____ Approved
Inspector _ r1 Disapproved
Date
CALL FOR RFINSPFCT►ON
F-1 YES 11 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
T!gard, Oregon 97223
Phone: 639-4175
Type of Inspection _____.,,_
Date Requested Time A.M. / P.M.
Address Permit
Owner Lot #
v
Builder
The following Building Co deficiencies erre required to be corrected:
Presented to Approved
Inspector
/ ❑ Disapproved
Date
CALL FOR REW13TECTlON
0 YES U NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection C ----Y
Date Requested ��c=� Time_��_ A.M. P.M.
Address Perm c # j� Z
I
Okrner— ------- — ----- lot
Builder 1411
S��--
The following Building Code deficiencies are required to be corrected: I
c! A. /nIsT11ti /L ei"K5 � 6
At S i-A 1A.,
R
i
Presented to " t-"l Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
C 1 YES 01 NO
CITYOFTIFARD rMrOF1, RD I. . . . . I.
. lyl E)-T"-')0 L4 0 8'./
WMMUNFTY DEVELOPMENT DEPARTMENT 0*1604� m-*;T4)@---0087
6W)6394175
'3125 SW HWI Blvd. P.O.Bm 23397,TOlud,Or890n 97223 1",AT E. ISSUE.D- UXiL�-
633-4171. ---- �() '. -
DDRESS. - 'LEARVIEW W Y 1::-AR(.'E'L: 2S104JX- 03000
E A 13265 SW C ZONING: R--4- 5
SUBDIVISION. . . . a BENCHVIEW ESTATES
BLOCK. . . . . . . . . . a LOT. . . . . . . I. . . . . . :30
BUILDING .11.........................
RE DWELLING UNJIS- 1 BASEMENT. . . . . . . .
EMENT. . . . . . . . e1095 Sf
(:',LOSS OF WORK- cNEW BEDRMS:4 DOTHS:,3 GARAGE:.. . . . . . . . . . 9483 s
REQUIRED
TYPE OF USE. . . sSF FLOOR AREAS-------------*- -"*-"- (-,t.
TYPE OF CONST. , --N FIRST. . . . .- 1055 ,- f Ll*--F'T*. . -' 10 ft RIGH1 . 411.
OCCUPANCY GRP- :R3 SECOND. . . : 1130 Sf FRONT. 320 ft REAR- 956 -ft
t-JORIES. . . . . . . ...0 THIRD. . . - "-O 5f R E 0 U I R E D
3 TOTAL-A L 2 1 Sf SMOKE DETECTORS- :Y
HEIGHT. . . . . . . . : 0 f't PARKING SPACES. - :0
FLOOR LOAD. . . . :40 1:)�-J VALUE. . . . .
R P m ar�t s 3
--
_----•--•--•------•------• PLUMBING
:I FLOOR DRAINS. . . BACKFLOW PRE--VNTRS. -
SINKS. . . . . . . . : . TRAPS. . . . . . . . . . . . . . ...
LAVATORIES— . 15 WATER HEATERIB. . . .', 00
1'UB/SHOWERS- - - :3 LAUNDRY TRAYS. . .. !:0 CATCH
GREASE TRAPS 0 G
WATE ::R CLUSE'rS- - s3 SEWER LINE (ft) - .
DISHWASHERS. . . . : 1 WATER LINE (ft) - : 1.00 OTHER FIXTURES. .. . . .. :0
GARBAGE DISP- - - : J RAIN DRAIN (ft) - :0
WASHING MACH. . . : 1 SF RAIN DRAINS. - : 1.
MECHANICAL
UNIT HTRS- - i0 type aMOUnt 1),y date r e c p t
FUEL TYPES............. VENTS . . . . . 10 PAYM $ 100. 00 11-H 03/06/90 107608
/Gns/
MAX INPUT:O BTU VENT' FANS. . -.4f-'RMT $ 470.50
HOODS. . . . . . : 1 PLCK $ 305.83
TURN < 100K . . :0
TURN >=100K . . : I WOODSTOVES- tO 5PCT $ 23.53
CLO DRYERS. : 1 STDC $ 600.00
FLUOR FURN. . . . 10 � ,
BOIL/CMP < 3HP:O OTHER UNITS:0 SSD( 4250- 00
GAS OUTLETS: 1 PARK $ 250. 00
...... 40.50
Ownerr.*,L C K $ 10. 13
FAMILY HOMES OF AMERICAN 5PCT $ 2.03
P. U. BOX 168 PRM'T $ 155. 00
AURORA OR 5PCT $ 7. 75
Phone #n 678--1139 pAYM $ 2015. 27 JLH 03/27/90
CantraCtOr-*
FAMILY HOMES OF AMERICAN
o. 0. BOX 168
AURORA OR
Phone #-. 678-1139
Reg #. . 1 21960 $ 211.5.27 TOTAL
This permit is issued subject to the regulations contained in the REQUIRED INSPECTIONS
Tigard Municipal Code, State of Ore. SnecialtY Codes and all other Foot/found Insp Fireplace)
ireplace InSP
applicable laws. All work will be done in accordance with approved Post/Beam Insp Gas Line InsP
plans. this persit will expire if work is not Started within 180 Crawl Drain Insulation Insp
if work is suspended for 80 than 180 d �- Plm/undslab Insp Gyp Board Insp
r Rain drain Insp
days of issuance. or PLM/Underf lo,3
Permittee Signature: Mechanical. Insp Water Line Insp
Plumb 'Top Out Appr/Sdwlk. Insp
ISSUed Ely". Framing Insp Mechanical Final
inspection -- 639-4175
SEWER CONNECTION
CITY OF T IFARD PIER 11 IT
CffYOFTWRD� . . . . . . . . SWR90-0095
COMMUNITY DEVELOPMENT DEPARTMENT r--1:;,:IM. PERMIT' it. : MST90 0087
13 125 BW FWD Blvd. P.O.Boi(23397,TOW,Or"on 97223 An):,19,74175
ISSUED: 031L! .0---
CSI T'E ADDRESS. 1.3265 SW CLEARVIEW WY PIARCEL: 2Sl04I)C---03000
U B Dll V I S'l 0 N. . . . : El E'N C H V I EW Ell STOT E S ZONINUr
BLOCK. . . . . . . . . . . LOT.. . . . . . . . . . . .. . *3 Q)
TE N A 11 T N(A 11 E.
L)Sn NO. . . . . . . . . . :406,:s2 FIXTURE UNITS. . .
CLASS (IF WORK. . . :NEW DWELLING UNITS. . : 1
l'YV,L OF USE. . . . . :SF NO. OF BUILDINGSil
INSTAI L TYV-IL. . . . ..DUSWR IMPERV SURFACE. . :
R e n).%-r k s
D w ri e-r — ------------------ FEES
FAMILY HOMES OF AMERICON type a 111(1)k.k)-I t by date -r e C P t
FI. U. BOX 168 PIRMT $ 1250. 00
T.NSP $ 35.00
OURORA OR PAYM $ 1285. 00 J1.11 03/27/90
Vlhavie N: 6'78--1139
Contractorc
CONTRACTOR NOT ON FILE
Phone #i $ 1285.00 TOTAL
Reg Of. . e
......... RE[4UIRED I N S V.,E C T 10 N S
This Applicant agrees to comply with all the rules and regulations Sewer '11-ISF)eetial.) ..................
of }he Unified Sewage Agency. The permit expires 120 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 lAteTAIS. 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 rill ijptall a later fl,
.............
VIP(.111I 1, 51 1:1))o I II f to ....... .........
Ts k.k c"C I ...... ..................... ........ ....... ..........
Call, fo-r inspection 63`J-4175
CITY OF TIGARD RECEIPT OF PAYMENT REC NOt 00108064'
CHECP AMOUNT A 3Z79.47
NAMES MARTIN CLARK CONSTRUCITON CADH AMOLIN7 : .DO
ADDRESSi PAYMENT DATE : 05-27-90
AURORA. OR 971002 BLOCK NO/ADDPi
TIGARD. OR 97223 13265 SW CLEAPVIEW WAY
PURPOSE OF F4YMEN7 AMOUNT PAID URPOSE OF PAYMENT AMUU141 PAID
----------------------------- ----
PUILDING PERMIT (90-0087) 4"70.513 FILUMC+ING PERMIT 155.DO
MECHANICAL PERMIT 40.50 STATii BUILD PERMIT TAX (5%) 33.31
PLAN CHECK FEE SEWER USA (90-0095) 11250.00
SEWER INSPECION 35.00 STREET SDC 11,00.00
PARI,q- SYSTEM DEVELOPMENT CH 250.00 5TOPM DRAIN SbC 2.`,(.).0(1
TOTAL AMOUNT PAtrj 3,374.47
i
i
1
I
CITY OF TIGARD — RECEIPT OF PAYMENT RE:G N0: 001076C3G I.
CHECV' AMOUNT : 100.00 I
Nai!1ct MARTIN CLARK CON9TPUC:TION CASH AMOUNT s .00
HL.DRE'-VSs FO BOX 168 PAYMENT DATE a 03'•06-90 I,
AURORA, OP9-7002 BLOCK NO!ADDF<s
PUF?FrOSE OF PAYMENT is OUN
M TPAID PUPPOSE OF PAYMENT AMOUNT PAIL) I'
------
PI-AN CHECK FEE 100.Of)
F't.AN CHECK Yw7R �.
THANK YOU
I
I
. I
TOTAL. AMOUNT FAILS — _ 1(30.OU I,
I