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13997 SW CHEHALEM COURT-1 ADDRESS: i:\records\microflm\targets\building.doc ( , CITYOF TIC--:.,�ARD CC'RTIF' IC:A''[� C11`J'.:'Y 1OCCUPAI PERMIT #. . . . � . . a rvi::}T'3.�--1x091 COMMUNITYpEVE!�PMENT p BIA►Rj 6NT - DATE ISSUCDa 07/01/93 13125 SW Hell Blvd.T!psrd,Oregon 97223,4160 (503)639-41711 PARCE:'L s 2S I04BB -03100 SITE ADDRESS. . . s 13997 SW CHEFIP,_E:m CT SUBDIVISION. . . . a CASTLE HILL ZCININOe EALOCK. . . . . . . . . . c LOI.. . . . . . , . . . . . . 1316 CLASS-OF-W0-Rt-< tNEW.y___..__-_»..___.___,__.._._,__.».___.__.___.. "TYPE: Ot'" USE:. c SF" OCCUPANCY (3RP. a R3 OCCUPANCY LOAD i 2e6 4 rENPNT NAME. , . Remairka a PAI H I Owner,x MILAN SKORO 7.qFa f!C}'1 5E NWY L:l t CLACKAMAS OR 97013 Phone Or 503-658--3516 Controcrora MILAN SKIlRO 13680 BE KWY 212 CLAC'KAi+PS OR 97015 Phan* 011 658-•3516 Rr N. . e 419 5 Occupancy of th,; above Y^eferlanced huildinq is har,eby giver), and. car�tiifies the r_ompl.ia+nr_ : with the State Of Ot-pyon Specialty Codes foi- than gv-n tp, occ.upa-ancy, amd +.tse under, which ti-ie t-eferenced permit was Issued. ...___..._..__..FIRE 4DEPARTMENT __..._._.....__...... _._... ILDIN._ _NSFrE:CTCIR-...-T.�__._._. l DI t iCIAL POG l IN CONSPICUOUS PLACE IMBPacrz�r��� City of Tigard saUding Departatint 131.:= — _All Blvd. Tigard. Oregon 97223 Inspection Line (ReG-O-Phone)f 639-4175 Business Phones 639-4171 Inspections__�I '�i 11'` ' Footing Plbg. Underslab Hanks. Rough-in A"r/24M1k Found. Plbg. Top Out Can Line Poet/Beam Btruct. Ban. Sewer Ira.-I-A �—•,i40 Post/Beam Mach. Rain Drain Insulation -PIMb. Plbg. Underfloor Mater Lite Qyp. Bd. 46wh. Data Rc.tueatedt - ___Timet ]IddrNsst_��_L�� _ 71/t Permit luildert KAP r0 b<3A---3S ((J) TBE POLL0WING CORRECTIo"S ARE RKQUI6LKDt Inspectocf -- ---� __.� APPROVED DISAPPROVED APPROVED nuBJECT TO ABOVE Call For Reinsp. tri City of Tigard soilding Dwpersas"t 1,3125 s11 Lull Blued. Tigard. prwgoe 97223 Inspection Line (ROC-Q-Phons" 639-4175 Burinw.a Phone% 639-4171 It.peat ions-� ---- � �lbq, Mach. Rough-in Appr/Sdwlk Footing Undwrrlab Vlbq. Top 'fit Gas Line FIRALs found. Port/Beam Struct. San. Sewer roaming -Bldg. port/Bea+r Meth, Rain Drain Insulation -Plumb. plbg• Underfloor N&ter LLiM Gyp. Bd. -Meeh. 31 `'1 �:5 _ limas AM —PM Datu Requesteds Sr ` /y� y_ Addrerrs q ( (f_zit 1 l(J Builders Iia�t e. der (� 0 -�----- 2RE VOLLO",pa ODAhgCrIONS AAI REgUIREDl -------------- Date I Inrpectors_. �F�=�- � �JAfPRDVED -- / DISAppTA vM APPROVED SUBJECT TO AR("VE — ---- Call For Reinsp• INSPa TION NOTICZ City of Tigaad Building fepartasnt 13125 BW Ball Blvd. Tigard, )regon 97223 Inspection Line (R*c-O-Phono)t 639-4175 Business Phonot 639-4171 Inspectiont Footing P1lg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cam Line �DIN11Lt I Post/Beam Struct. San. Sower Framing Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -lMob. Date RequesteCd�t, ,�1f, Tims- PK Address:�" ' f� ` fit Permit A11 �r 13 Builders TBE FOLLOWING CORRECTIOMR ARE rcRQUIREDt CCZIAy /7/_�I•ti..��.1� .J�61 if t�•�,Lp ."�'�i tw 1�'-C/ Inspectors — Datet __APPROVED /r DISH/PPRUVED APPRMfEG RUBJECT TO ABOVE r Ca',.l For Reinsp. INBPECT,.Att wrICE ! '. City of Tigard Building L+partaant 13125 dll Hall. Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639••4171 Inspections_ prx►ting xlbg. Underalab Koch. Rough-in Appr/Bdwlk Found. Plby. Top Out Can Line FINAL: Post/Beam Struct. Ban. Bawer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation plumb,_`\) Plbg. Underfloor Water�LLM Gyp. Bd. -Meeh. Date Requested:/} LL' `1 ( Tiwr AM PH Address% Z{y� Qiry� lhsui! �o' Builder: / THE FOLLONING CORRECTIONS ARE MQUIREDs Inspectors Date:___, 7_ �APPRnVED DIBAPPROVED APPROVRD SUBJECT TO ABOVE 0511 For Reinap. ING?ZCfIQI NMI-CIE City or Tigard Building Depart-ant 1312S M Ball Blvd. Tigard, oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Businenss Phones 639-4171 Inspections Footing Plbg. Underalab Hoch. Rough-in c Appr/Sdwlk 1 sound. Plbg. Top Out One Line FINAL: Post/Seas Rtruct. Ban. Bawer Framing -Bldg. Post/Beam Mech. Rath rrain Insulatlon -(Plumb. Plbg. Dnderrloor Nater LLM� Gyp. Be.. \Meeh. Data Requested: (!//�, /� (! -_Tir-*s [\AH - Pll Address: lj �� 7 �AL��/�-', ��ftrwit 1� �7 —Dv Builder: THE FOLLOWING COMMONS ARE REQUIRED: L2u-rc,AE i Inspectors��T�1 T1�#�R �_ Dates_ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Rein.p. Cit? or Tigard b Dopartmsat 83125 M gall Blvd Oregon 97223 Inspection Line (Rec-O-Phors)f Business Phons: 639-4171 Inspoctions Footing Plbg. bnderslab Ndch. Rough-in Appr/Sdwlk round. Plbg. Top Out Gas Line rTNALs Post/Seam Struct. San. Bower rraming -Bldg. Post/Beam Moch. Rain Drain Insulation -Plumb. Plbg. Underfloor WaterLine Gyp. 1 -Nwh. Date Requestods� C/ ell ' `— - /Tin,•e / AM -PM Address: ��Y _� - — ft,:nIt is 4 Ruildsrs_� � "'2E IOLLONII G CORRECTIONS ARSE REQUIRED: Inspoctors�� � "i_ Date s_S U~!,3 _APPROVED DISAPPROMn APPROVED SUBJECT TO AX)V% Call For Reinsp. Is IK5R= QK MOTS Cxty or Tigard Bmilding Departsmn-j 13125 dO Rall Blvd. Tigard, Oregon 972::3 Inspection Line (Ree-O-Phons): 639••4175 Business Phones 639-4171 Inspection: Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk round. Plbg. Top Out Gan Line FINAL: Poet/Beam Struc-t. San. Rower rrsmlui -Bldg. Post/Beam Mach. Pain Drain Insulation -Plumb. Plhg. Underfloor Na`er Line Gyp. Bd. _Kph, Date Requested: L Z' 7, y� Timet Atl PM Address.: Builders. 4� f THE FOLLONING ODRR1--'TIONS ARE RBQUIRED: Inspector: —^ !-- nates_ ___APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinap. MuPBCTION NOTICE City of Tigard Building Department 13125 BW Hall Blvd. Tigard, Oregon 97723 Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-41'11 Inspection:________ ^` Footi:ig Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Ream Struct. San. Sewer ! Framing /l�l -Bldg. Post/Beam Mach. Rain brain Insulation -Plumb. Plbg. Under:loor Water Line Oyp. Bd. -Hoch. Date Requested: {� __ , L_'� __Timet _AM _ PM Addrese: c��J� 'Y� _ Permit f: T.7-o15 P� Builder: 'PBM FOLLOWING CORRECTIONS ARE REQUIRED: !napector:__— — Date: G APPROVED __ OTSAP:ROVED APPROVED SUBJECT To ABM Call. For Reinap. Ma C7 J('A NOTICE City of Tigard Building Depar:srnt 13125 SW Ball Blvd. Tigard, Oregon 47223 Inspection Lino (Rec-O-Phonn): 539-4175 Business Phone: 639.-qi/I Inspection: Footing "l—rte^ Plbg. Underalab gech, Rough 'n Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/neem Struct. San. Sew- : <Fremi -Bldg. Poet/Beam Medi. Rain Drain Insulatio, -plumb. Plbg. Underflocv- /Water Line Gyp. Bd. -Mach. Date Requeated: ///2! J 7j Time: AM _ ;;M Address:- � ap a " _ Permit �: '? J -- —� Builder:__ ':At FOLLOWING CORRECTIONS AR'& REQUIRED: . t _ b Inspector: Date: ___APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE -- Cell For Relnap. INSPECTION N TILE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): G39-4175 Business Phone: 639-4171 Ir^oection: Footing Plbg. Unde�rslab Mech. Rough-in Appr/Sdwlk Found. Top 0__ ')(C2 u � Oar Line FINAL- Post/Ream .struct. San. BeWer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Li79.2 Oyp. Bd. -Koch. �. Date Requested: Time: Address: Q /e L' 'Yl L7 Permit OP �fs" Builders �.yf .-J S".. /. !. THE FOLLOWINr CORRErTIOBB ARE REQUIRED! Inspect -- Dates APPROVED DISAPPROM "PROD SUBJECT TO ABOVE Call For Reinap. _NBPE:."P10N NOTICE City of Tigard Building Department 13125 SR mall Bird. Tigard, Oregon 97223 Inepectlon Line (Rec-o-Phone: 639-4175 Business Phcne: 639-4171 T.spec cion•-- Fooring Plbg. Unnd-erralrb Mach. Rough-in Aphr/Sd.,lk Found. bq. Top OaT�, Cas Llno FINALS Post/Beam Struct. San. Sewer Fram.ng -Bldg. Post/Beam M>cF. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp.. Bd. -Mech. Date Raquented- 9 3 Times -- AN —_----P11 1 Addresse:__1t���� � �ermit es._ Builder: (y`Jy (/Er THE FOLLOWING CORRECTIONS ARE REQUIRED: 7 Ole inspectors ctors Dates — � — --- APPROVED DISAAPPROVED APPROVED SUBJECT TO ABOVE yl call For Reinap. INS ECTION NOTICE City of Tigard Building Departsent 17125 8111 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O-P',oi:.n): 39-4175 Business Phone: 639-4171 Inspection: �. Footing t�nd.r��.h �M.ch.�R..qh�-i. �RpprjSd.lk Found. Plbq. Top Out Gas Line FINAL: Post/Beam Struct. (I- San. Sewor� Framing -Bldg. Post/Be%m Mech. "Rain DraZn Ineulatlon -Plumh, Plbg. Underfloor f Gyp. Bd. -M h. Date Requested:,,:55- "f -Times -- y AN PM Address: / �� • � � 244 Permit Builder: TNN FOLIAMING CORRECTIONS ARE REQUIRED: Inspectort_�1 APPROVND DISAPPROVED APPROVED SUBJECT TO 1B0VE Call For Reinsp. INBPE41I0N NOTICS City of Tigard building Department 13123 eat ball Blvd. Tigard, Oregm 97223 � Inspection Line (Aec-O-Phons)t-639-4175 Business Phones 639-4171 f Inspections_ looting Plbq. Underslab Hach. Pough-in Appr/Rdwlk Found. ?ibq, Top Out Oas Linc )'INALs Post/Seam struvt. --„eu� - Tracing ..Bldg. Post/Roam Hoch. -�_ in� Insulation -Plumb. (._. Plbq. Underfloor Nater Line Gyp. Ed. -Koch. Date Regwseteds � / Q 7 ,S ,Timor AM pll Addreo s / ` ' - ' "L1 �111 Permit 08 l� Builders THE FOLLONING CORRECTIONS ARE RNWIREDt InspectorsE-rei� _ Date/ ,T APPROVED DIBAPPROVED _�- APPROVED SuSJECT To ABOVE _--Call Por R*Innp INBPECPION NOTICE City Of Tigard Baildiaq Department 1312S W Ball Blvd. Tigard, Oregon 97223 Inspection Line (R.c-O-Phon.)c 639-4175 Business Phones 639-4171 Inspections_ Footing Plbg. Und.rslab Koch. Rough-in Appr/Sdsilk Pound. Plbg. Top out Gas Lin. PINALs _ t/Beam Btsuct. ) San. Better Framing -Bldg. at/Beam March, Rain Drain Insulation � -Plumb. Plbg. Underfloor. Nater Line Gyp. Ed. _Koch. X/ Data Requeat.ds `'' �3_ Timrs _ AM ` PM Addy...: / _/Q s 4. Permit Ae ! L Builders ) TEE FOLLOWING ODRRECTIOWS ARE REMIREDI Inspectors_ _ Dates_3-��_ 9 APPROVED DISAPPROVED —� APPROVED 8U&IRCT TO ABOVE Call For Reinap. e INSPICTIOM NOTICE 6� City of Tigard ■aLldimq Departmamt 17125 M Emll Blvd. Tigard, Oregoa 97223 Inspection Line (Rso-O-Phono)e 639-4175 Business Phones 639-4171 Inspection: Footing Plbg. Dnderalab Koch. Rough-in Appr/Bdwlk Found. Plbg. Top Out Gas Lino PINALe Post/swam struet. Ban. sewer framing -Bldg. Post/swam Mech. Rain Drain Insulation -Plumb. bq. Onderflool 2 Nater Lina Gyp. ad. -Meeh. Data Requestede--_ J ,/ J T mea �1N PM Address:_ y Peruit fc�,�� / Builder: �/7 THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspectors Dater - __,__APPROVED DISAPPROVED APPROVED sD&TfiCT TO ABOVE _Call For Reinep. CITYOFTIFARD PLUMBING FEkMIT COMMUNITY DEVELOPMENT DEPARTMENT one" IDDPERMIT #. . . . . . . a MST93-0097 10126 ow NO BW P.O.11m nw.71prd.Oipon 9i (600)6*4176 Tc:,r,111znP SITE ADDRESS. . . a 13997 SW CHE.HALEM CT PAI 10EL a cS 104BB-105100 SUBDIVISION. . . . a CASTLE HILL ZONINGa BLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . s016 ------------•------ ----___ ------------------ ----- CLASS OF WORK. . sNEW GARBAGE DISPC',S.gLS. . : 1 TYPE OF USE. . . . sSF WASHING MACH. . . . . . . a1 BACKFLOW PREVNTRS. . #0 OCCUPANCY GRP. . sR3 FLOOR DRAINS. . . . . . . sO rRAPS. . . . . . . . . . . . . . 10 STORIES. . . . . . . . :2 WATER HEATERS. . . . . . sl CATCH BASINS. . . . . . . s0 FIXTURES------------- LAUNDRY TRAYS. . . . . . sO SF RAIN DRAINS. . . . . s1 SINKS. . . . . . . . . . el GREASE TIIAPS.. . . . . . . e0 LAVATORIES. . . . . s4 OTHER FIXTURES. . . . . s0 TUB/SHOWERS. . . . a SEWER LINE (ft) . . . . sO WATER CLOSETS. . s3 WATER LINE (ft) . . . . s100 DISHWASHERS. . . . el RAIN DRAIN (ft) . . . . s0 Remarkss PATH I OWNERs ------------------------------- ------__.--__----- MILAN SKORO TIF f 1460. 00 JH 03/04/93 - 18680 SE: HWY 212 BPRT f 385. 00 JH 03/04/93 - HPLC $ 250. 25 JLH 02/16/93 93--236'713 CLACKAMAS OR 97015 B5PC f 19, 25 JH 03/04/93 - Phone #a 503.-658-3E516 SSDC t 280. 00 JH 03/04/93 - PARK $ 500. 00 JH 03/04/93 - Plumbing Contractor ---------------- MPR'T' $ 43.. 50 JH 03/04/93 - MPLC t 10. 88 JH 03/04/93 - Name a M5Pu f 2. 18 JH 03/04/93 - Addresss Q 3g'S PPRT t 140. 00 JH 03/04/93 - CitVa. C State P5PC f 7. 00 JH 03/04/93 - 2ipa _ 1U\fa Phane#s Reg #a 1BUr-L -- - ------ REQUIRED INSPECTIONS ----- -- This perm .t is issued subject to the reg- ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp Code, State of Ore. Specialty Codes and all Post/Beam Struct Water Line Insp other applicable laws. All work will be done Post/Beam Mechan Appr/Sdwlk Insp in accordance with approved plans. 'This Plm/undslab Insp Mechanic.sl Final permit will expire if work is not started PLM/Underfloor Plumb Final within 180 days of issuance, or if work is Mechanical Insp Building Final suspendeu for more than 180 days. Plumb Top Out Erosion Control Framing Insp Crawl Drain Fireplace Insp Gas Line Insp Insulation Insp Gyp board Insp -- Authorized Plumbing Contractor Signature Call for• inspection - 639-4175 Contrar_tor Notess _ _ , CITYOFTIFARD AD COMMUNnT DEVELOPMENT DEPARTMENT ooeoee MASTER PERMIT 13126BWH Blvd P.O.eanW,npied,O"m97m(50)= 175 PERMIT #. . . . . . . .. MST93-0¢97 639-4171 DATE ISSUED: 03/04/93 SITE ADDRESS. . . : 13997 SW CHEHALEM CT PARCELS 2S104BB-05100 SUBDIVISION. . . . : CASTLE HILL ZONINBc BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . :016 BUILDING -------_-_--_--_-_---------------------- REISSUE: DWELLINGt UNITSsl BASEMENT. . . . . . . . a0 sf CLASS Ur WORK. sNEW BEDRMSs3 BATH'3:3 GARAGE. . . . . . 1441 sf TYPE OF USE. . . :SF FLOOR AREAS----------- REQUIRED SETBACKS-----------.- TYPE OF CONST. :5N FIRST. . . . s909 sf LEFT. . :6 ft RIGHT. all ft OCCUPANCY GRP. sR3 SECOND. . . :727 sf FRONT. 326 ft REAR. . x54 ft STORIES. . . . . . . :2 THIRD. . . . c@ sf REQUIRED---------------------- HEIGHT. . . . . . . . :26 ft TOTAL-------: 1636 sf SMOKE DETECTORS. sY FLOOR LOAD. . . . s40 psf VALUE. . . . . te 83194 PARKING SPACES. . a1 Remarks : PATH I -.------•---•-----____._.__.____________ PLUMBING ---------------------------------------- SINKS. . . . . . . . . . .. I -----------.-----•____________________SINKS. . . . . . . . . . .. 1 FLOOR DRAINS. . . . e0 BACKFLOW PREVNTRS. . e0 LAVATORIES. . . . . s4 WATER HEATERS. . . sl TRAPS.. . . . . . . . . . . . . . ..0 TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . sO CATCH WATER CLOSETS. . s3 SEWER LINE (ft) . :O GREPSE TRAPS. . . . . . . eO DISHWASHERS. . . . : 1 WATER LINE (ft) . e100 OTHER FIXTURES. . . . . sO GARBAGE DISP. . . sl RAIN DRAIN (ft) . a0 WASHING MACH— el SF RAIN DRAINS. . el --------------- MECHANICAL ---- ------ -__._________ ________-___ FEES ----•------------ FUEL TYPES----------•--- UNIT HTRS. . s0 type amount 'jy date recpt /GAS/ / / VENTS . . . . . s0 TIF ! 1460. 0' JH 03/04/93 - MAX INPUTaO BTU VENT FANS. . e4 BPRT $ 385. 00 JH 03/04/93 - FURN ( 100K . . s1 HOODS. . . . . . .. 1 SPLC ! 250. 25 JLH 02/16/93 93-236713 FURN ) =100K . . s@ WOOI?STOVES. :O B5PC ! 19. 25 JH 03/04/93 - F'LOOR FURN. . . . :0 CLD DRYERS. s 1 SSDC ! 280. 00 .JH 0.3/04/93 - BOII_/CMP ( 3HPsO OTHER UNITS: 1 PARK ! 500. 00 JH 03/04/93 - GAS OUTLETS: 1 MPR-1 f 43. 50 JH 03/04/93 - Owner: -------- -----_._________________.____-_MF'LC ! 10. 88 JH 03/04/93 - MILAN SKORO M5PC t 2. 18 JH 03/04/93 - 18680 SE HWY 212 PPRT $ 140. 00 JH 03/04/93 P5PC $ 7. 00 JH 03/04/93 - CLACKAMAS OR 97015 Phone #s 503-658•-3516 Contractors MILAN SKORO 18680 SE KWY 212 C;LACKAMAS OR 97015 Phone #: 658-3516 Keg #. . 1 41935 ! 7098. 06 TOTIL This perait is issued subject to the regulations contained in the -------- REQUIRED INSPECTIONS -- -- -- Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp applicable laws. All work will be done in accordance with approved Post/Beam Struct Gas Line Insp places. This pereit will expire it work is not started within 180 Past/Beam Mechem Insulation Insp days of issuance, or if work is suspended for q1re than_180 deft. Plm/undslab Insp Gyp Board Insp PLM/Under 1 or a}n d ^vin Ins Permittee Signaturet.—, -� hlecf�anzcal �Tisp Water C.tne Ir►sr v'lumh Top Oolt nppr/Sdwlk Insp Issued BYs � Frami.ng Insp Hechanical Final Call for inspection - 639--•4175 CITYOFTIFARD SE=WER CONNECTION PERMIT COMMUNITY DEVELOPMENT DEPARTMENT awon PERMIT #. . . . . . . : SWR93-0088 111126 VN Hie 11W P.O.elm 23391.Tlprd.OrW 97 iSMlm'S 4175 SITE ADDRESS. . . : 13947 SW CHEHALEM CT PARCEL: 29104BB-05100 SUBDIVISION. . . . : CASTLE HILL ZONING: BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :016 'TE_NANT NAME. . . . . i USA NO. . . . . . . . . . : FIXTURE UNITS. . . : CLASS OF WORK. . . a NEW DUELLING UNITS. . : 1 TYPE OF USE. . . . . :SF NO. OF PUILDINGSai INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : sf Remarks: PATH I Owner: ------------------------------------------------- --- FEES -------------— MILAN SKORO type amount by date recpt 18680 SE HWY 212 PRMT i 2100. 00 JH 03/04:93 — INSP $ 35. 00 JH 03/04/93 — CLACKAMAS OR 1?7 +15 Phone #: 503-658-3516 Contractor: ----------------.------------.-- CONTRACTOR NOT ON FILE Phone #: 2135,01b 'TOTAL Reg #. . . ------- REUUIRED INSPECTIONS ------ This Applicant agrees to comply with all the rales and regulations Sewer Inspection _ of the llnifisd Sewage Agency. The permit expires IN 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 Sewer" Per3it and the Agency will install a lateral. Permittee Signature : "_�' I9SIAed bye Call for inspection - 639-4175 _3 C11Y OF I 16ARD RLC EIFST OF PAYMEN1 RECEIPT NU. a 93—237403 GHECK AMOUNT 4939. 49 NAME a SKURO, MILAN CASH AMOUNTo 171. 00 ESS a PAYMI-,NT DATE s 0 S/LA 4/'1,, SUEAD I V I S I ON PURPOSE OF PAYMENT AMOUNT 0 PURPOSE OF PAYMENT AMOUNT V"Allj 364. 013 Pl..-UMBING PERM 132. !Ijo MECHANICAL FIE 4'x. 50 S,T. BUILD PER ;?7. 0.1 PLAN CHECK FE —o?. 5 2 SEWER USA 21012). "cl SEWER INRPECT 35. PARKS SDC 100. m-Q, STORM DRAIN SDC 280. 00 RFS II)r'NTIAL TRAFFIC FEES 12750. 00, MASS TRANSIT TIF FEES 110. V#lb LOT it cAsrtE HILL 1409-1, SW C..,HLH(4L,EM CT TOTAL AMOUNT PAID 4931. 49 PLNCIVKCT / CITY SOF TIGARD ,�3i�1,3—D0�/� _ WMMUNP[Y DEMLOPMBNT DBPAR174 MT 71M"��+� t t,,,PERMIT lu°'**T*""'t'r"''T DATE ISSUED JOB ADDRESS: /To T3 TAX FLAP/LOT SUB: LOT: /% LAND USE: VhLUATION: 20� WER eWCIAL NOTES NAME: Z%—z A-" h?(:) REISSUE OF: ADDRESS- Jul„ ;M le LAST REISSUE.: FLOOD PLAIN/ PHONE: SENSITIVE LAND: CONTRACTQQ ✓ AfflWA!.S REQUIRED u - NAME: ^llz% 5 --� 7.7L�c� �-Ta.�i- PLANNING: ADDRESS: _1st `:a' .�� ENGINEERING: FIRE. DEPT: PHONE: A:Z 7J) OTHER: 6;if _ � �-- CONTR. BOARD 1: Yi!y-? EXP DATE: ITEMS REQUIRED SUBCONTMCTM: PLUMB: 1z�' LIST/SUBCONTRACTORS: _ MECH: vBUS TAX: ARCHIENGMEE CALCULAT IONS: NAME: -_� Q.��' ��fi r �_ D -� �s _ TRUSS DETAILS: Y. ADDRESS: ___ OTHER: PHONE: je7l 6 PROPOSED BLDG. USE: -- COMMFNTS: APPLICAM S:GNATW Received By: --- Date Received: �G lj:3 PERMIT If ACCT 0 DESCRIPTION AMOUNT AMOUNT PD. BAL. DU M3�V00 10-432 00 Building Permit Fees �..�' •d'A' ' ''� 10-431 00 Plumbing Permit Fees 10-431 01 Mechanical Pe;vit Fees 10-230 01 State Building Tax (5x) Building / Plumbing _4 --O Mechanical •f b' S 10-433 00 Plans Check Fee a / RuIIding 34• (r0 Plumbing Mechanical 10-•230 06 Fire -,16YI 30-202 00 Sewer Connection ;Z/0 IV // aloy 30-444 00 Sewer Inspection 3��/ 3)� ( 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 Fees 25-448-05 Mass Transit TIF Fees /a•� __ ��� '_ 52-449 00 Parks System Dev Charge (PDC) 500� Sou 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) � 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTAL S1 c� ( � � �r• y 9 nm/3587P.WPF cyry, m TICtiARD kE'I.";EIPT UU I:lf.)YMFt4'T kECFIPl NO. 193-236713 cHEcv, AMOUNT s 7510. 00 NAME c SKURU, MILAN CONSTRUCTION CASH AMUUNT a 0. 00 ADDRESS pAYMENT DATE s Oi'l t F, 9 3 SUBDIVISION OF PAYMENT AMOUNT PAID PUPPOSE OF PAYMEN'; AMOUNT PA T.ri 2150. 00 PLAN CHECK FE_ E 21,150. 00 i'1 i1l�t CHEC-K FE 2517t. 00 11, Ib, 17 CPc3l'L-f.--" HILL SUBDIVISION TOCOL AMOUNT PAID 750.00