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13556 SW CLEARVIEW PLACE k 1 f i r M I r I �gg k 13556 Stiv C',EARVIEtiV PLACE _ CER-IFICATE OF C11n'0F TIGARD .)CCUPnNCY CMOFTMRD FAE RMI T 0. . . . . . . i M91'9i-eicin COMMUNITY DEVELOPMENT DEPARTMENT MOM 131,*SW HWI BWd P.O.Box 23397,TIORM,Or@Fn 97W(509)09�4176 C7 Trof,616na 91'j, jjj)DHEfjf.j. . . i 1.3556 G14 CLEARVIEW PL PARCELs 2S1040CA1141 RENO HVIEW ESTATFS 70N 1 W-3i R 4. 5 OLOCK. . . . . LOT. . . . . . . . . . . . . 4 CLASS OF WJRK. tNEW TYPE OF USE. . . xSF OCCUPANCY GRP. SR3 OCCUPANCY LOAV2,P.'P5 4 TENAN r NAHE. . Remarks Owner t M. HOOGEW1---RFF C/O BAUMOORT GONSTRUCIION 24!7 BOGU13 SnSiN RD BOISE ID 8371AP.. Phone #o .208 344-3491 Lontractork BRUMBART CONSTRUCTIG, 6305 GF MONTGOMERY PORTLAND OR Phone #a Rey C . 9 65419 Occck.tpancy Of the r-130vfk ref"I"enced buj Win!] if hereby given, L.nd ctavtj i ipr t.h# compl iancp -eqon Sipecialty Codes fn t - 1q.ith the Itstp Of (,It q OCCAlpancy., end VSe tindet- whir-it the rieferenued permits waE FIR17 DMORTMEN't SUILDING 114 C I C, POST IN CONSPICUOUS PLACE Occupancy approved upon completion of the folloWiftg items by 8-27-921 Top coat of stucco Down apout,i Iftet aid4i yard grading t a �NSPF .IQN Nqr CE City I Tigard Building DcPerbra:t 13115 rW Kali. RI-rd. Ttg—d. Oregon 9/223 Inupection Line (Rac-O-Phona): 639-4175 B-1i" an Phone: 639-4171 Inspections---, --- ....-_. Foot ng Plbg. Underolab Mech. Rough-in Appr/Sdwlk Found. P1:,;. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg�1 Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Mach. Date Requttsted:Addreses �'�.� �i DD L•yam:inJ "YeZ�mlt ie i B,j'.idars ��11„ THE FOLLOWING CORRECTIONS ARE REQUIP=2 e -7 i �u r , inspector:___ �/, _ Date: /,-. APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE ___call For Reinsp. lA W R� INSPBGTIUN NOTI4E City of Tigard Building Department 1.3125 BN Bal) Blvd. Tlgnrd, Oregon 97223 Inspection Line (Rea-O-Phone): 639-4175 Business Phone: 639-417 g Inepectlon:_ y ,, r— FootingPl --i\ 7 bq./ ereleb Mech. Rough-in � Appy/edwlk J Found. P14. Top out Gas Line PINALs Poet/Beam 3truet. San. Sewer Framing -131d g. Pc,st/Beam Mech. Rain Drain Insulation -Plumb. PSM-. Unde:-f1rN±[' Water Line Gyp. Bd. -Koch. Date Requasted:_` 7 _Timet . �25_� Address:_ yyyy � /%f�/r/l-Id.1� Limit 1t1/ `U !,S" Builders, 2 THR FOLLOWING CORRECTION" ARY REMIRM InspectoBates I&PROVED DIgAP APPROVED SUBJECT TO AM)VE Cali For AL- nap. i i v Jill` 1111111111 i Fill 1 �NS•PBCs 7UN NOT:[CE Tigard Huildingi D-=Part�rt, City of Sig 13125 FM Hall Blvd. Tigard, Oregon 97223 Inspection Line ( Iter-O-Phoneys 639-4175 uuaineiv, Phone: 639-4171 Inspections. ,fid J U erPlab Mech. 01d-in Appr/Sdwlk Foo'_ing Plbq. Plbg. Top Out Gas Line FINALS Found. 1- ing 81dq• ) Pont:/Beam Struct. San. Sewer Fram � •. Poet/Beam Mech. nain Drain Ink:ulnt.ion �--.-�Pi�tteb' � Gyp. Fd. PIb9. Underfloor W�.:ar Lana D "7• C r] Tines iNt -�-� o*.te Pequestea Addceeat Builders -•�J"' /T1�1-�-�.+oc-ii' TH,r• FOI.LOWI:IG CORRgCIIONS ARP. HIQUIRED: Jill : V SLI-- A _-- Inspecto3 ,t// Datae App D v DISAPPROVED APPR04IEO 8118JUM To A80Vit �/ Call For Reinap. I I i i I_ $N pECT10A_NOTICS \/ city of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): C39-4175 Business Phone: 639-4171 Inspection:__ _ -- F-lotin9 Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out jam :.:ne FINAL: Post./Beam Strutt. San. Sewer Pruning -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. P).bq. Underfloor WaterLineJyp• Bd. -Neth. �� :t - Taos —J' — AM °q Date risquested: ' -- 3 s4 � `..' .� Permit !� Builder: THE FOLLOWING cORRECTIONS ARE REQUIRED: (, 41 (t� 1 _ — Inspector:— Date:_ —�APpMOVED DISAPPR D (;7JkPPRO1vjtD BUBJEI'T TO ABOVE call For Reinsp. IESPECTIOE E_OTl'$�$c �� City of Tigard Building Departs:snt 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (ROC-D-Phone)s 639-4175 Business Phone: 639-4171 inspections Tooting Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Tor Out Gas Liner T1RALs Post/Beam Struct. San. Ssaer Framing -B-Bldg. Post/Beam Mob. Rain Drain Insulation -Plums Plbg. Underfloor. Water Line Gy^• 'ld• Date Requested: �� Q/t Tom"= AM Addressr 3JrS6 S'c,i 1 a � Permit Mii"8 P.e THE TorlOvIMG CORRECTIONq ARE REQUaRED: Inspector: __ Dates �� APPROVED DISAPPROVED APPPM%I% SUBJECT TO ABOVE --Call For Mainap. � �s r>tr +s � � 9w► INSPEG`fIC`M NOxIC� City of Tlgard Buil.dicq Department 13125 btu! Ball Blvd. Tigvd, Cmvxlou 97223 Innpoct4on Lins (Rrc-o-phone): 639-4175 Bueinene Phone: 639-4171 Inspection: , Footing Plbg. Underslab M.ech Rough-in Appt/Sdwlk Lound. Plbg. Top out Gab Line FINAL. Poet/Beam Struct. Ran. Sewer Fuming -Bldg. Post/Beam Hoch. Ra+ : Drain Insulation _.plumb Plbg. Underfloor ..ester Line Gyp Bd _ -Rech. Date Rego.eted: 4e— Time: _AM PM Address: / 61 Permit #l-j Builder: /,�L�[/_ ( ',/!,, TBE FOLLOWING ODRRECTIONB ARE REQUIRED: 00, ---------------- Inspectc.r: -- -- _APPROVED 000, 02RA1�Mp "reovsp SMISM rD ABM -Call /br "Loop. i INSPECTION NOTICE City of Tigard Building DePartmant 17125 8W Ball Blvd. Tigard, oregon 9722.3 Inspection Line (Rao-O-Phone)t 639-4175 Business Phone: 639-41'11 Inspections _ _ - —_-- Footing Plbg. Underslab Mech. Rough-in AMr/Bdwlk Found. Plbg. Top Out Cas Line FIKALt Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Hain Drain Insulation -Flutgb P.lbg. Underfloor slater Line Gyp. Bd. -Nwh• Date Requested: / = AN Px Addreest ./�� ��r� /�` Permit 1t Builder:, THE FOLLOWING CORRECTIONS ARE RRWIRZDt Inspector' Datnt --�-- ---- --- - - ---- APPROVED DISAPPROVRD _ APPROVEr' SUBJISCT TO ASO" Cali For Reinep. INSPB(.'PIO___N I��TI� t City of Tigard Building Depart' 47223 37125 gl� Ball Blvd. Tigard, Oregon Inspection Lina (Rec-O-Phone!: 639-4175 Hueiress Phone: 639-4171 I nspotct ion s — Footing Plbg. Underelab Neth. Rough-in Aopr/Sdwlk Plbq. Top Out gas Line FINAL: Found. -81dc-. San. Sewer lremLnq Fnet/Boom Struct' Insulation ) Rain Drain -plumb. � Poet/Benin Mech. ayp� �� -Neck. plbq, Underfloor Wa:ar Line —Times Date Roqueeted: Addrees: Builder: � THE roLLOWING WRRBCTIONS AAE REQUIRED: 79 �- ,, if L.L,rt,. ✓fir L -_ Date: *nspector:_ l APED DISAPPROVED APPP:ri:RD SUAJECr TinAROVE Call For Reinsp. INSPECTION NOTI� ,.itp of Tigard Building Department 13125 SW Hall Blvd- Tigard, Oregon 97223 luspection LinE: (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections _ --- Footing Plbo. Underslab Mach. Rough-.'.n Appr/Sdwlk Found. Plbg. Top Out. /Gas Line FINAL: Post/Beam Strutt. San. Sewer C Freminq -Bld�l• ut poet/Beam Hoch. Rain Drain insulation -Plumb. Plt ,. Underfloor Water Lina Gyp. Bd. -Hoch. Dat9 Requested:_ L _rte: __AMPH _ Addreus Builders—._2f� THE FOL"LOWING CORRECTIONS ARE REF :l vj >..� a�-•,.r--/.. L� �-.-L. Lt Com/ -- w 01 44 17 Inspector:__. ____ Z' natal APPROVED DISAPPROVED APPROVED SUBJECT TO AB.1VE Call For Reinsp. M?iL r Q NOT-IC 9 City of Tigard Building Departmet 13125 SN Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec--O-Phone): 639-41.75 Business Phone: 639-4171 Inspection:_ -- -- Footing bg. Underalab Hall- Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Line FINAL: Poet/Beam Struct. San. Sewer Framinq -Sl.dg. Poet/Beam Much. Rain Dain Insulation -Plumb. Pltg. Underfloor water ins / pyp. Bd. -Hoch. Date Requesteds f'I�,. , Tuns= — AM C--'M i Z _1CLJC /V � Address: I . — 10 JL l it — Builders ­ TBE FOLLOWING 001lRE^_CIONS ARE REQUIRED: 4— 76) Gam.../T�[�i. Q_ a 1�-�-. �-.-�4�QI• / [.,'r- '-zi .- ..t.._ Y...A o-en, j��o tot : . .r� �G�� f�4�ii .GQ►• k7"�t)1L`'._:. Ljee,.�L�. L Inspectors Date: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE .'all For Rainsp. �w 71 MPE0I04 NOTICE / i Z -7 City of Tigard Building Departaseat 13125 SA Ball Blvd. Tigard, oreyoo 97223 Inspection Line (Rec-O-Phone): 639-4175 Rusineae Phone: 639-4171 Inapecti.ons__ ^_ ----- --- Footing Plbq. Underslab Asch. Rough-in Appr/Sdwlk Found. Plbg. Top out �tssi Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poe::/Beam Hoch. Rain Drain Insulation -Plumb. Plug. Underfloor water LGine Gyp. Bd. -Nech• Date Request.ed:. L� /Gf� [ ► TisNI AM PN Address Pftrm it #I i Builder THE FOLLOWING 06mmorioNs ARE REQUIRED: 42 42 ---- -- ✓— Inspec`_or: �._. Date: � APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. a\ � Ilffi� 0-11 nos'.�:j City of rige,sd suildioq Dapat s� 131Zs Bw Ball Blvd. r Inspection Lina �Rec-0.PhoM)t 6391417, Bu��T223 hones 639-41'1 Inspection: Footing — Found. -- Plbg, Underelab Mech. Rough-in Appr/Bdwlk Plbq. Top put pee Line Post/Beam Struct. FINALS San. Sewer Framing Poet/Beam Mach. -Bldg. Rain Drain Insulation -Plumb, g• Underfloor Mater Line Date �I. pyp. �• -Meeh. Raquesteds 1 — �� �{ AddressTimet s '�"—� r — PM Permit # Builders____ TRR POLLOWIW; cTIONs ARIL — REQUII t3D t _ _�_ �i InepsctortJE==.L' Dates DISAPPRpVED APPROVED SUBJECT TO ABOVE Call For Reisup, i I i INHPBCTION NOTICI City of Tigard Bsl.ldS Department 13125 OR Sall Blvd- Tigard, Oragnn 97223 Inspection Linc (Nec-O-Phones 639-4175 Business Phones 639-4171 Inspections rooting Plbg. Underslab Hach. Rough-in Appr/8dwlk round. Plbg. Top Out Gas Lina FINALS Post/Brio Btruct. Ban. Bows Framing -Bldg. Poet/Beam Nech. Rain Drain ) Insulation -Plumb. Plbg. Under floo_r Wa ter 0". Rd. -NaAhM. Data Ragsesteds Times Addresss 11_251 CIC"sAt°W Permit 1 s Builders THS FOLLOMING OORRBCTION8 AM RHQUIRSDs Inapsctoriz / Dates tp,2 f 4/'APPROVRD DIBAPPROVBD APPROVBD BUBJBCT TO AsWrM 7Call For Rsinep. INBPtClION KQTIC! City of Tigard nuildLng Dep--ta—t 13125 ON Ball Bled. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 639-4175 Business Phones 639-4171 Inspection: — lootinq ^lbg. Underelab Mech. Rough-in Appr/Sdwlk Flbg. Top Out Gas Line FINAL: Post Bean Struct. San. Sewer Framing -Bldg. Post/Beam Ner_h. Rain Drain Insulation -Plumb. Plbg. Underfloor Watery Line 1 ;Yp• Bd. - Jch. Date Requested: �� -/! -7✓ _TLmes - _---PN Address: /�-� 5 � �r .1iI�-f���l - -- Permit 1 // _z ��, Builders U 7rL) THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: �_j - Date: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE Y Z.0 /4! City of Tigard Building Department 13125 SA Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phond): 639-4175 Business Phone: 639-4171 Inspection: — Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor water Line GyF. Bd. -Mech. Date Requested: Time: __AMAX PM Address: �3 � l �l[K/Z,V {.(lam L� Permit Builder:__ TRS FOLLOWING OOAALICTIO145 ARE REQUIRED: L,9 '71e) lnepector°--- .._.1 --- -._......... - Date: / APPROVED DISAPPROVED APPROVED ''ABJECT TO ABOVE Cell For Reins,. �11YOFTIGARD MASTER PERMIT CrIYOFTMlo ­ COMMONrTY DEVELOPMENT DEPARTMEvT arms" PERMIT 1k. . . . . . . : MST910185 w 13126 SW 144I Blvd. P.O.BM 2307,TigaM,Oregon 97 (1503)63941'e5 I-L ')I /.7:'A — ___nATr TSn, IFn- L I SITE ADDRESS. . . : 13556 SW CLEARVIEW PL PARCEL: 2S104DC---04tF0V, SUBDIVISION. . . . : BENCHVIEW ESTATES ZONING: R-4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .4a ---------------------------------- BUILDING REISSUE: DWELLING (JNITS: l BASEMENT. . . . . . . . : 1 1 2 s CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :625 s TYPE OF USE. . . :SF FLOOR REQ.UIRED SETBACKS-­­­­- TYPE OF' CONST. -5N FIRST. . . . ., 1461 of LEFT. . : 18 ft RIGHT„ :8 ft OCCUPANCY GRP. :R3 SFCOND. . . : 1464 Sf FRONT. .20 ft REAR. ., .- 15 ft STORIES. . . . . . . .2 THIRD. . . . .-O S RFOUTRED--------------------- HE I GHT. . . . . . . . :25 ft TOTAL-----------29 22 Sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE:. . . . . $ : 151304 PARKING SPACES. . -0 Remarks : ---.------•---.-•-.-------------------- PLUMBING ---------------------------------------- 3INKS. . . . . . . . . . :rl_ FLOOR DRAINS. . . . : 1 BACKFLOW PREVNTRS. . -O LAVATORIES. . . . . :4 WATER hLqTERG. . . : 1 TRAPS. . . 0 TUB/SHOWERS. . . . :2" LAUNDRY TRAYS. . . : 1 CATCH BA;� 0 WATER CLOSETS. . ::3 SEWER LINE ft ) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LINE (f t ) . : 100 OTHER FIXTURE52. . . . . .0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . .O WASHING MA( A. . . : 1 SF RAIN DPAINS. . ; l MECHANICAL ------------------- FEES IZUEL I*YPES----------------- UNIT HTRS. . :0 type amount by date r-ecpt /GAS/ VENTS . . . . . :0 TIF $ 1380. 00 JLH 01/28/92 MAX INPUT :0 BTU VENT FANS. . :4 SPRT $ 563. 00 JLH 01/28/92 TURN ( 100K . . :0 HOODS. . . . . . : 1 BPLC $ 365. 95 JLH I 1 1 219933 FURN ) =100K . . : I WOODGTOVE3. :0 s5PC $ .28. 1.5 JLH 01/28/9L -- FLOOR TURN. . . . :0 CLO DRYERS. : i SSDC $ 280. 00 JLH 01/28/92 - BOIL/CMP < 3HP:0 OTHER UNITS:O PARK t 500. L710 JLH 01/28,'92 - GAS OUTLETS: 1 MPRT $ 40. 50 JLH 01/28/92 Owner- : MPLC $ 10. 13 JLH 01/28/92 M. HOOGEWERFF M5PC $ 2. 03 JLH 01/28/92 C/O BAIJMGART CONSTRUCTION PPRT $ 16L:-:,. 50 JLH 01/28/92, 2417 BOGUS BASIN RD P5PC $ 8. 13 JLH 01 /28/92 BOISE ID 83702 Phone #: 208--344-3491 Contractor,: BAUMGART CONSTRUCTION q1701,31 SE MONTGOMERY wORTLAND OR 971-=66 F-1hone, #: Re L4 65419 $ 3340. 39 TOTAL This permit is issued subject to the regulations contained it tmp REG)UIRED INSPECTIONS Tigard Municipal Code. State of Ore. Specialty Codes and al other Foot/found Insp Fireplace Insp applicable laws. All work will be dont in accordance with Approved Post /seam Stv-uct Ga.- Line Insp plans. T!iis permit will expire if work not t rt w 180 Post /Beam Meehan Insul.,'. ion Insp days of issuance. or if work is suspend ays. Plm/undslab Insp Gyp Board Insp f,LMiUndet,f I oor Rain drain Tv,%p MeCllaniCal Insp Water- Line Insp Plurb Top Out Appr/Sdwlk Insp ' s,ilipd, By ; Call for in-,nertion 639-4175 !wc . ,... _C1TY0F TIFRIRD Crc0P(.UMBI C PERMIT E RM I TCOMMUNITY DEVELOPMENT DEPARTMENT TW �FRMIT #. , . . , .10 ?68WHrBMd. P.O.Ba2Q ,Tird,O/�pon023(60)A3a176 oow MST91 -0185 s I E ADDRESS. . . c 1�;ry` 6 SW . CLEARVIEW­Pl- bCi DIVISION,0 . . s NENCHV IEW ESTATES PARCEL: 2S 104DC-04, 1110 9LCK. . . . . . . . . . a LOT. ZONING; R--4. 5 ._... _� . . . . , , . . . . c 4ti CLAS OF WORK. . rN1=W —GARBAGE`DISPOSALS. . TYP OF USE. . . . :SF WASHINl3 MACH. . . . . . . s OCCUPANCY CRP. . gR3 FLOOR DRAINS. . . . . . BACKFLc.;4 PRFVNTkS. . :rd f 9TORI'?S. WATER . . . . :r� s 1 TRAPS. . . . . . . . . . . . . . :QI IXTUR9-. . . _ R HEATERS. . . . a 1 CATCH BASINS. . . . . . , :k LAUNDRY TF2AYS. . , . , . c t. • • • • • . . . ate SF RAIN DRAINS. . . . . : 1 -AVATORIES. . . . . a4 0714ER FIXTURE;. . . . . c0 GREASE TRppS. . . . . . . s0 rUN/SHOWERS. . . . c SEWER LINE (ft ) . . . . : WATFF1 CLOSET,,. . c 3 WATER LINE (ft ) . . . . : 70QI DISHWASHERS. . . . : 1 RAIN DRATN (ft ) . . . . a0 Remarkss , OWNERS M. HOOGEWERFF - S__._._________.._._.. C/O BAUMGART rONGTRUCTION TIF i 1380. 0' JLH 01/28/92 - �?417 BC'GUS 863IN RD I;P1. 1 56,3. 00 JLH 01/26/9: F-01SE: ID 93702 Rf'LC t 365. 95 JLH 11120191 21,4933 Phtne #: 208-344--3491 B'5PC s 28. 15 JLH 01/28/98 - S59C 280- 4.'10 JLH 01/28/9? - PlUmbing Contractorsr'AITK VO- 00 JLH 01128igj.- MPRT 40. 50 JLH 01/28/92 Names MPLC t 10. .13 JLH 01128192 - Addretist MSWC t 2. 03 JLH 01./28192 C i t y a -____.____-.... PPRT ! 162- 50 JLH 0112819i? - 7. 1Pc _ Pl�onefie 8. 1.3 JLH 01/28/9: Reg T'- ' tt, per^mlt is issued Subject to the r•pq- --�� RC=(JUIkE`P INSPECTIONS, ""s contAined in the Tigard MUnicipa1 Foot/found lits (,0r`ey state of Ore. Specialty C41"s P Rain drain Insp ,cher applii: le laws. i►11 work will bdlle rao5t/Beam Strt.t.ct. .ylater Line Insp 4" t cordan a with approved Plans. This oxt/Beam Meehan Appr/Sdwlk Ina, Permit will expire if work it not started PLM/Under floor_sN Mechanical Fina; ►wtt�n i A171 ciayg of i F viance, or if work i s Mechanical Ins F-l umb Final 115pended for mare than 180 days, R Duildin �'lur�nb To , U1.it 9 Final F ErOsion Control F'ramirtq Insp Firep]ac�e Insp ` �'. � -, •� ' Ga3 Line Insp Tnsulation Insp �U hored PI Limb Contr^actor{_ Gyp Board Insp p u r e (:.antralettyr• Call for inspection - 639--41[ 75 Nates : CITY rJF TlC91p.D NAME RMFIVIT (IF PAYMENT PECir 1pl, ADDRESS CrJNSTR[jc,,I,ION CHECK AMOUNT 4995. 2;9 I40ClGr-Wt---RFF, LOUISE CASH AMOUNT 0. 00 PAYMENT DATE a 01128192 c'i(,JBJ -)TVISION P'JRf'(]SF CW PAYMENT -)MOUNT PAID J -^�--R l'URPOSE ()F7 PAYMENT AMOUNT- PAID E ii 56 3. I'tUMBING PLERM MECHANICAl.. WE i� PLAN CHECK FE 40. 50 ST. BUILD V.,F:R SEWER INSr--ECT 126. 0 rJEWFR USA 38. 31 1�)Oo. CIO PARI.."s f3l)C 35. 01A RE-91DENTTAL TRAFFIC, FLEES OUISS TR(')r'c,3.(T TIF SJOV.. ovi STORM DRAIN 00. SW rLEARvIEW omotimf 4 9 9 CITY OF TIGARD RECEIPT OF PAYMENr RECEIPT NO. :91—�19933 CHECK AMOUNT DAUMBART CONSTRUCTION CASH AMOUNT 0. 00 00DRESS a P417 BC9LIS BASIN ROAD PAYMENT DATE a ; 1/20/91 SUBDIVISION BOISE, IDAHO 93702— 13556 SW CLEARVIEW ImiRPOSE OF PAYMENT OMOLINT PAID PURPOSE OF PAYMENT nMEXJNT PAID PLA'W CHECK FF 2". . (00 lilT'Al.- AMOUNT PAID �■r i Building Permit No. COUNTYWIDE TRAFFIC IMPACT FEF Planning File No. pAyMENT OPTION FORM Tam Map&L-ot No. Date Project Name t of the Traffic impact Fee(TIF) at this time. Therefore 1 1 realize that 1 must make a-iedsan on payment request the following (Choose whichever option or options are applicable): Cash or Check: G edit Voucher Bancroft or Installment Payments and/or The Ordiriance allows for deferral of payment of the TIF until issuance of the occupancy per(nit it the TIF is greater than$5.000.00. If the TIF meets this requirement.I also request this option. (under stand the TIF must be paid prior to issuance of an occupancy permit- I also understand that the TIF wil Tin rates at time of payment. Please be advised that TIF rates �nn'll be recalculated based on the prevai g may increase up to six percent each July 1st. This rate increase is not subject to appeal- ry e-7 10 OWNER/APPLICANT ZEMLRW-AP4UCAMT (I(-. Bung Pemr ,Fde fOcmtiA2 Paymem ofxion Notebook FC� w I�III iw[ wt nr. A, r T IJ1S SW Nall Blvd. PLMCK/ REC OF r I GAR PO lkx 23397 PERMIT # 4 — CITY -- COMMUNITY DEVELOPMENT DEPARTMEN.0 Tigard,Oregon 972LI (W)6.J4-4171 DATE ISSUED -- JOB ADDRESS: 3�� .��J_�_C ''t�51� �L TAX MAP/LOT lo q D - a4J1vo SUB: LOT: y Z- _ LAND USE: VALUATION: — OWNER SPECIAL NOTES NAME: /' ,- O�»� '�Gic REISSUE OF: ADDRESS: l/�lJiGl ' - `-Z&AST REISSUE: FLOOD PLAIN/ PHONE: SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: ,'/��- '7- C..�'JVST.�'U�I%G�' �.� PLANNING: OX .ADDRESS: �i' �lf�US �'°`//✓ ,"�!-� _ ENGINEERING: FIRE DEPT: —_ PHONE: �7 � I ���y�. �� / _ OTHER: 1 _ CONTR. BOARD EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: _ LIST/SUBCONTRACTORS: MECH: BUS TAA. 11RCfJENGINEER CALCULATIONS: NAME: e '�'41 �7<'� 'T l�E�G'`�''y�70el TRUSS DETAILS: ADDRESS: OTHER: PHONE: — PROPOSED BLDG. USE: COMMENTS: AA APPLICANT SIGNATURE Received By: _ _ Date Received: PFRMIT # ACCT # DESCRIPTION AMM UNT AMOUNT PD. ^AL. DUE 13-432 00 Building Permit Fees 1.,-431 00 Plumbing Permit Fees G ,Jv _. 10-431 01 Mechanical Permit Fees du,SU —U,Lu 10-230 01 State Building Tax (5%) 3y� Buildingi5 Plumbing Mechanical _ .03 10-433 00 Plans %heck Fee ����� rD.Ov mos.' Building &�(vS.r1� Plumbing Mechanical /d•! 3 `! 10-230 06 Fire �c- l-va48" 30-202 00 Sewer Connection 30-444 00 Sewer Inspection 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic FeesO.O Qy 25-448-05 Mass Transit TIF Fees lOO.oO i�� 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) v 24-445-01 Water Quality (Fee in lieu of) 2.4-445-02. Water Qiiant.ity (Fee in lieu of) TOTAL nm/3587P.WPF