Case File ADDRESS:
__Jaw %Y)A 4 2 Ct IA2414 -
Of
i:Vecords\microflm\targets\buiIding.doc
CITY OF TIGARD
t f:ROCCUPATE OF
flC'CUpANC Y
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT M. . . . . . ,. 1 MSI"9/4 . 9. 06.3
13126 SW Hall Blvd.Tigard,Oregan 07223.91 `( off►li3a-4171 DATE I SSU ::I?a 07/e9/94
PARCEL: ?91 14SC;-•04200
SITE ADDRC39. . . a 1045a SW BONANZA WY
SURnIVISION. . . . a RIVERVIfrW CSTATLS NO. 2 7.ONINGtR--7 PD
BI-OCK. . . . . . . . . . COT. . . . . . . . . . . . . s079
CLASS OF WORK. tNr--W
TYPE SIF USE:. . . s Sr
OCCUPC'NGY CARP. i R3
OCCUPANCY LOAD a 229 4
TENANT NAME., . .
fiemarks s PATH I
Owners _ ._.....__._...�...»...� _._.....�...._ ._�__,_»_._,.�._._.
RUNAISSANCE: DCVELLIPME'NT
1672 FW WILLAMETTE FALLS UR
e
Wt:.t;I'! L I NN OR' 9 7068
Phone #c 557--8000
000 r
Contractor:
RENA ISSANf.F. DEVF:I..OPMEN r
1672 SW W'LLAMETTE: FALLS r?R
WEST L.INN ON 917068
Phono ala 5157-0000
Herj IN. . a 4')955
Uccupsncy of the above refvrenc&d bui .ldir,g is hereby given, and r artif'ies
the compliance v#ith the StAite Of Ot-agnn Specialty Codes for- this group,
occupancy, and use under wthich the ref--run - ermi.t was Itied.
F. t_t) a\ INSPECTOR
Ia1JnIN 17NFICIAL
PEIST 1N CONSP1CAIDUS PLACE
I
M
/ I
IN&PECTION_IOTICE
G'ty of Tigard Building Department
13121, BW Ball Blvd. Tigard, dragon 97223
Inspection Ltne (.tec-O-Phone)e 639-4175 Business Phone: 639-4171
Inspentioni _ --
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Tcp Chit Gas Line 4(�(-IH40.ch.
Post/Beam Struct. San. .ewer Framing
Post/Beam Mach. Rain Drain Insulation
PlkV. Underfloor ;tate Line Gyp. Rd.
Date Regvesteds i_ 7 �� —Timet AM _PM
Address:_ J v L✓ _��.�.R _ Permit 1.6^9 � p 63
Builders }
THE FOLLOWING CORRISCTIONS ARE RECUiRED:
i
I
i
i
InepectnVAPPROVED
_ Dat.es_7
DISAPPROVED APPROVED SUBJECT TO ABOVE
--Call For Reinsp.
ile
I,M,SPECTION NOTICE
City of Tigard Building Department
13125 8O Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-4-Phone)e 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Line FIRAL:
Post/Beam Struct. San. Sewer Framing Bld' g,
Post/Ream Mach. Rain Drain Insulation -Plua1+
Plbg. Underfloor Nator Line C� Gyp. Ltd.
Date Requestedt�Kj ``�• -��r' a 1 C� — Tia:'e►�sV•�� AM PM
Address:�Q�y� oyNcx_ l�z� rmlV �c-,Iet 'ir _ �Q
Builder: — / R e q
THE FOLLOWING CORRECTIONS ARE REQUIRED: — 31-1 & ( r
017oN�f�tc !- t1Jcf nF2 14c'q t �
Inspector:___ _— _ Date:_ d
APPROVED _ T DISAPPROVED - _- APPROVED SURJECT TO ABOVE
Call For Reinsp_
I
1 SPECTION NOTICE
City or Tigard Building Departaeut
13125 SW Ball Blvd. Tigard, Oregon 97123
Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 679-4171
Inspection:-
tooting Plbg Underslah Mech. Rough-in CApLpr/Sd-Dlk
Found. Plbg. Top Out Cas Line FINALE
Post/seam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
Date Requestedf � � Tim�ef:,�C Jt pHL�- V,_PH
Aadresx: _1 Q ys� �yh�/7Zcz !�(/�IARe�i' f���"rrTT_'- GG3
Builders �,f'�rl cc Scu t7
TM FOLLOWING CORRECTIONS ARE REQUIREDs 7'
I
i
J
Inspectors v1J Dates_��O '[7
APPROVED DISAPPROVRD APPROVED SU&MCf To ABOVE
_Call, For Reinep.
INSPRCPION NOTICR
Citi of ^Lgard Aulld1mg Det
13115 891 Ball Blvd. Tigard, Oregon 97 `✓
Inspection Line (Rev-O-Phone)r 639-4175 Business Ph e: 639-4171
Inspection:______________
Footing
nspwetlonr __—
Fuoting Plbg. Underslab Mach. Rough-in A
ppr/eAwlk
Found. Plbg. Top out Gas Line
FINAL•
POs;.;90am 8truat. eewy'/` Framing -Bldg.
Post/Ream Mach. ihdYi-IIriin Insulation
-Plumb.
Plbg. Underfloor Nater Line Gyp. Ed. -noeh.
Date Requested,_? /
�/'ji�
Address r /3-+ � SL✓ '�fA✓! C"3 Permit 1
Builderr
"R FOLLOWING CORRECTIONS ARR RRQUIRRDr
Inspec�ors_
Dutef
_V"PROW[) DI8APPROVEO �
---- 11PPROVRD 9UR"CT .
___^Call For Relnsp.
i
INNSPECTION NOTICE
City of Tigard Building Deapart-Aent
13125 BA Ball Blvd. Tigard, Oregon 97221
Inspection Line !Rec-O-Phone): 639-4175 Business Pho 539-4171
Inspection:
rooting Plbg. Underrlab Meth. Rouqh-io Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mer_h. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line G--. -Bd. -Mach.
L,
Date Mequeat ad: ?2� - 7 Timle::w r (�AM PM
Address: l D y,5� �(J(�f JQ 1 fix- Permits#t 9Y- 906-3
Builder:
c LL
THE FOLLOWING 'MRRECTIONS ARE REQUIRED:
i
Inspector:
PPRnVED DISAPPROVED APPPOVED BURJECl�7bT^�T
`_`Call For Relnsp.
i
INE ROZON Na m ��
city of Tigard Building Degartaant
12125 ell Ball Sled. Tigard, Oregon 97222
Inspection Line (Roc-O-Phona)s 639--`175 Business Phones 839 71
Insipections
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Fruing -Bldg.
Post/Beam Mech. Rain Drain Ina. atios�_- -Plumb.
PI-bg. Underfloor '`y/Na oir Line C� p. Rd. -Mach.
Date Requesteds ! .� / Times
Addresa s Z S�,✓ di�s/q/y' �J Permit ! _
n.i ldor i ------
TBS FOLLgMINa CORRECTIONS ARK REQUIRSDs
Inspectors _— Dates Ape.
APPROVED —--- DISAPPROVED —, APPROVED SOSJSCT TO ASOFS
Call For Ralnsp.
INSYscrrsoN BQT� �
city of Tigard Building Departmsat
13129 a1/ Rall Blvd. Tigard. Oregua 97223
Inspection Line (Roc-o-Phons)t 439-4175 Business Phone 639-4171
Inspections
Footing Plbq. Undors.abC Xhyyoug�n Appr/Bdwlk
Found. Plbq. Top out Gas Line FINALt
Post/Ream Btruct. Aon. Bower < Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
PlN. UnderfloorNa er Line oyp. Bd. 7
Date Requesteds zZZ 9 TLmeiAN PM
Address���O7 [1AH L�3 �YMritt fi
0,2,
Builders
TBB YOUMINa ComtcTIONB ARE REQUIRED
Inspeator �_. Date$ yz? TLS/Y
r/T
A!*mom DIRAPPROVBL APPROVED BU&MCf 'fo ABOVE
Call For Rel.nap.
INSPZCTION NOTICE
City or Tigard 9sllding Department (/
13125 Mw Hall Bltd. Tigard, Oregon 97223
Ins /Lplf/� s (Roo-O-Phone)e 6339-4175 Business Phon -4171
Footing Plbg. Undeesl Hoch. Rough-in Appr/Mdwlk
Found. Plbg, t Gas Line FINALc
Poor./Beam Struot. Man. hewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Irsulstion -Plu mL.
Plbq. Underfloor Nater Line Cy-p. Rd. -Noah.
r)
Date Requestedt I oCTLose I --AM PN
/
Address L �� _ Permit 1 �i n L 1
THE FOLLOWING OORRECTIONS ARE REQUIRECt
61
- "1,.eon,A
Inspectors _ _—i Dater .
ROVED DISAPPROVED APPROVED MU CT TO ABOVE
—_Call For Asinsp.
IMPPECT 2R-1211-SU
City or Tigard Building DepahAlMot
13123 SW Ball. Blvd. Tigard. Ovo9on 9722
Inspection Line tRec-O-Phone►s 639-4175 Sunineso P9-4171
Inop+w-tions --_
4
Footl:M9 PlNj. Underslab Hoch. Rough--in Appr/Sdwlk
Pound. Plbg. Top Out tial Line FINALS
t/Beam San. sewer Framing --Bldg.
•t!Bn!m MecX. Rain Dry Insulatio.i -Plumb.
bg.. Underrloor,;� Nater Line gyp. ed. -Hoch.
Dato ReQuestedt Times _ AM PH
Addr000s- C 7 _i C✓(! C r. 06,E
F '�iY� �—_ Permit re L?r -
.7
TLii FOLLOWING CURRNCTIONs ARE RNQUIRND3
Inspectort�— -- Datef ~�
PR(wRn DISAPPROVED - APPRoVND SUBJECT To ABDVIL
Call Por Roinsp.
INSPECTION NOTICE
City of 719ard Bstilding Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phcne): 639-4175 Business Phon
Inspection:_
Footing j Plbq. Underslab Mach. Rough-in Mppr/Sdwlk
ound Plbq. Top Out Gas Line FINAL$
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp.
J Gyp. Bd. -Mach. i4
Date Requentede_-�—�� 7 Times AM PM ■
Address:is yy� �L i /�4/z/�S _ Permit i:_ r/(G
Builder: �/QSQ/�cI doe
THE FOLLOWING CORRVCTIOMS ARS REQUIREDt
Inspectors Date:
L• APPROVRD DISAPPROVED APPROVED BUDJ6cT TO ABOVE
call For Reinap.
PLUMBING PERMIT
CITY OF TIGARD PERMIT #. . .. . . .
. . . . . . . .1 1YIST94
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: OP/1 /9'+
13125 SW Hall Blvd.Tigard,Orsigon 97223*8199 (503)639-4171 IDARCEL: 2S 11 4SC-0 4 C"00
93.1"E ADDRESS. . . a J04;5.2 SW BON14NZA WY.
SUBDIVISION. . . . a RIVERVIEW LSTATES NO. 2 ZGNING3 R-7
BLOCK. . . . . . . . . . c LOT. . . . . . . s079,
CLAGS or WORK. . -.NEW GARBAGE DISPOSALS. . 21
TYPE OF USE. . . . i9F WASHING MACH. . . . . . . at BACKFLOW PREVNTRS- 30
OCCUPANCY GRP. . cR3 FLOOR DRAINS. . . . . . . 20 TRAPS,,. . . . . . . . . . . :0
F;TaRIES. . . . . . . . e2 WATER HEATERS. . . . . . 11 CATCH BASINS. . . . . . . :III
LAUNDRY TRAYS. . . . . . ill SF RAIN DRAINS. . . . . 11
GREASE TRAPS— . . . . :0
LAVA)Ott IES, - - 14 OTHER FIXTURES. . . . . :0
TIJB/SHOWERS. . . . I SEWER LINE (ft) . . . . :121
WATER CLOSETS. . 13 WATER 1...114E (ft) . . . . : 100
D I SHINIAC)HE RS I RAIN DRAIN ( ft ) . . . .
Rpmar•ksx PATIi I
OWNERI
PENAISSANCE DEVELOPMENT TIF $ 152'0. 00 JH 02/18/94
1672 SW WILLAMETTE FALLS DR or-,R,r s 5,35. 50 JH 02/18/94 —
DPLC 111 340- 08 31—H 02/ti/94 9/1 -2488(,
WEST LINN OR 97068 B5PC $ c26. 78 J;{ 02/10/94
Phono ## 557 9000 SEDC; $ 280, :0 J k t 08/18/94
— 15 q 1. )B PARK $ 501b. 0 JH 02/18/94
�,Iumbinp Contractors-11-31.1-1-- MPR'T- * 4`x. 00 J1-4 0.21"18/94
) I MPLC S 11 . 25 JH 02/18/94
r iLe-
m5pC $ 2. JH 02/18/94
Address t--JW
PPRT $ 155. 00 JH 02/18/1114
�A7-8 --:
Cit! -S t at e P5PC % 7. 73 JH 132/113/94
-7
Zipt_ 6 Phone#i
Rrg #a
I.-9-0-H-
RVUL)IRE.1) INSPECT ION9
This permit: 19 iSSIAod subject to the reg--
ulations Contained in the Tigard Municipal Foot/found ITITAP Rain dra n Ing(
Code, State of Ore. Specialty Codes and all Potit/Boam Strimt Water Liia Irinrl
other applicable laws. All work will be done
� - " - post/Boam M001 '. +'Rp
rS&-r k I-
l'
1' ) ai:cotdaT 'V ar;�i0 9M' prami. T * ln) iiMun�slab Insp eC"t
pejjoit will expire if work is not started PLM/Underfloor r- I umb r- ii FA I
within 180 days (if issuance, or if work is MechanicAl Insp Building .71 via I
su%pendbd for mote than 180 days. PlUMb Top nUt Erosion Contral
Framinq Insp Crawl Dram
Fireplace Insp
Gas Line Insp
1111SLIlatiOn Insp
—AL Gyp Board ln%p
Authow-ized Plumbing C—untl�actor Ilignature
Call for inspection 639-4175
Jiltraator Notes :
...........
A
CITY CSF TIGARDMASTER F�ERM + PERMITMST94--9063
COMMUNITY DEVELOPMENT DWARTIf INT DATE ISSUED: 02/18/94
13125 8W Hill Blvd.Tigard,Oregon 07223.0190 (503)630-4171
PARCEL- 2S 1 14BC--04200
SITE ADDRESS. . 10452 SW BONANZA WY
SUBDIVISION. . . . : RIVERVIEW ESTATES NO. 2 ZONING: R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :079
---• BUILDING -------------------.-_--__—___----_.__--
REIRSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf
CLASS OF WORK. :NEW BEDRMS:3 BATHG:3 GARAGE. . . . . . . . . . :717 sf
TYPE OF USE. . . :SF FLOOR AREAS----------- REQUIRED SETBACKS-----------
TYPE OF CONST. :5N FIRST. . . . : 1525 S LEFT. . :55 ft RIGHT. s5 ft i
OCCUPANCY GRP. :R3 SECOND. . . .- I.253 sf F'RONT. :20 ft REAR. . :31 ft
STORIES. . . . . . . :2 THIRD. . . . :0 sf REUU I RED—_------------ -----—
HE I GH T.. . . . . . . . :29 ft TOTAL--------:2778 s f SMOKE DETECTORS. :Y
FLOOR LOAD. . . . s40 psf VAL Ur . . . . . E : 140694 PARKING SPACES. . : 1
Remar!(s: PATH I
_.._.--------------------------------- PL.UMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . 0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . 10
IU19/SNOWERJ. . . . 13 L14UNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0
WATER CLOSETS. . 93 SEWER LINE (ft ) . s 0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER F1XTURES, . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . e0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
MECHANICAL -.__..-----.----__._._.__ _ __ _ FEES
FUEL_ TYPES•-------------- UNIT HTRS. . :O type-- amol.Ant tjy date-----recot�— —
/GAS/ / ! VENTS . . . . . .0 TIF S 1520. 00 JH 02/18/94 -
MAX INPUT:O BTU VENT FANS. . :4 BPRT $ 535. 50 JH 02/18/94 —
! URN ( 100K . . :0 HOODS. . . . . . .. 1 BPLC $ 340. 08 JLH 02/11/94 94-248865
TURN ) =100K . . : 1 WOODSTOVES. :O B5PC f 26. 78 JH 02/18/94 _.
FLUOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 JH 02:/18/94 —
ROIL./cIMP ( 3HP:0 OTHER UNITS: 1 PARK $ 500. 00 JH 02/18/94 —
GAS OUTLETS: 1 MPRT $ 45. 00 JH 02/18/94 —
(_lwner: _______.__--___-.-.__.._._____._.______.___HPLC $ 11. 25 JH 02/18/94 —
RENAISSANCE DEVELOPMENT M5PC t 2. 25 JH 02/18/94 —
1 E,'72 SW UILI-AMETTE FALLS DR PPRT $ 155. 00 .JH 02/18/94 -
P5PC $ 7. 75 JH 02/16/94 -
WE;!31' L.1NN OR 97068
Phone #: 557-8000
Contractors ----------_____--_._—_____---_—._.—
RENAISSANCE DEVELOPMENT
1672 SW WILLAMETTE FALLS DR
WEST LINN OR 97058
Phone #t: 557-8000
Reg #. . : 49955
t 34:31. 61 TOTAL
this persit is issued subject to the regulations contained in the ------- REPUIRED INSPECTIONS — -- -
Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicable laws. All Mork will be done in accordance with approved Post/Beam Struct Gas Line IT-, 3p
plans. this permit will empire if work is not started within 184 Post/Beam Meacham Insula►ticn Insp
days of issuance, or if work is sus; Jed for sore t an 189 days. PIM/undslab Insp Gyp Board Insp
� )1��
PLM/1lnderfIoor Rain drain Insp
1'er•mittee Si gnatur'e's1Mechanical Inep Water Line Insp
P111mh lop 01-It Appr/Sdwll( Insp
C � _ied Bye -_ Framing Insp M01,1nical F- inatl
Call for inspection 639 4175
CITY OF TIGARD SEWER CONNECTION
PERMIT
COMMUNITY DEVELOPMENT D"T T PERMIT M. . . . . 2 SWR94-011171
13125 SW MAN tgvd.Vgard,Or*W 072231 ( 3) C 71 DATE I SSUED s 02/18194
•!
PARCELs 2S114BC-04200
SITE ADDRESS. . . : 10452 SW BONANZA WY
SUBDIVISION. . . . : RIVERVIEW ESTATES NO. 2 ZONING# R-7 PD
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . ..079
TENANT NAME. . . . . :
USA NO. . . . . . . . . . a FIXTURE UNITS. . . :
CLASS OF WORK. . . sNEW DWELLING UNITS. . si
TYPE OF USE. . . , . aSF NO. OF BUILDINOSal
INSTALL TYPE. . . . aBUSWR IMPERV SURFACE. . s asf
Remarks: PATH I
Owners ----------------------------------------------------- FEES ---------------
RENAISSANCE DEVELOPMENT type amount by date recpt
1672 SW WILLAMETTE FALIf, DR PRMT $ 2200. 00 JH 02/18/94 —
INSP $ 35. 00 JH 02/18/94 --
WEST LINN OR 97068
Phone #s 557-8000
Contractors ------- _--.------------------
CONTRACTOR NOT ON FILE
------------------_----.-------------
Phone
----__----_—
Phona #i $ 2235. 00 TOTAL
Reg
------ REQUIRED INSPECTIONS --------
This Applicant agrees to ceeply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires IN days froe
the date issued. The total asount paid will be forfeited if the
posit expires. The Agency dtiis not guarantee the accuracy of the
side sewer laterals. If the stwer is not located at the stasurtsent
given, the installer shall prospect 3 feet in all directions froe _
the distance given. If not so located, the installer shall purdiaso
a "Tap and Side Sewer" Pereit and the Ageocy will inst 1 a lateral.
Permittee Signature
Issued Bys
Call for inspection — 639-4175
EXEMPTION FROM MAXIMUM SHADE POINT HEIGHT STANDARD
I/we, the undersigned, as legal owners of record of the property
described as: pp
Lot # ,&— of ICitleryirk) �SS /gyp. �- Subdivision
Tigard Address .fo4re[ SW 30nV-Z-R l�Lq
Tax Map and Lot Number :PS/ /ygC y300 U
do hereby release the property owners of adjacent Lot #
of �'y�rU�P�JGs1i� Z Subdivision, also known as Tigard
address 101/SA SJJ 15d/lliNz'A W _
and as Tax Map and Lot. Number o2S/ 1W-'e -22,00 ,
from complying with Community Development Code Section 18 . 88 . 050 .G
(Maximum Shade Point Height Standard)] and agree that the structure
may have a shade point height of eta feet, thereby allowing shade
on an area otherwise protected by Code Section 18 .88 . 050 .D.
In addition, I/we also release the City of Tigard from liability
for damages resulting from this adjustment .
1
g a i
Signature
State of Oregon / - }
County of ��/ �.sr� -Mz s s .
'I'll' s ins umens a wasigned or attested to before me by _
�-� and
on �,,1�. 1991.
OFFICIAL SEAL
MTqq•HEILANOLEN Signature of Notarial O icer
`LORPA 3MONN00e1MN My Commission Expires : 9�
MV COMMISSION EXPIRES SEPT.22,1997
r�:c�-�c.•i�c••�•S`S�cc`=mac,.c,,;�
br/rlt/Exempt .M.,t
�
Y UF T%BARD — RECEIPT OF PAYMENT RECEIPT' NO. o94—��49138
CHECK AMOUNT m 5416. 60
,ME RENAISSANG'E HOMES CASH AMOUNT' : 0. 00 ~�
PAYMENT DATE v 02/18/94 .
BUBD IVI8I0N :
URPOSE OF PAYMENT
AMOUNT PAID PURPOSE OF PAYMFNT AMOUNT PA%D
jurLDING PERM 535. 51A PLUMPING PERM 155. 00
nFCHAN.1 CAL PF 45. INA ST. BUILD PER 36. 77
Pk-AN CHECK FF t 09. 33 SEWER USA 22h0m. 00
'FWER INSPECT 35. 00 PARKS SDC 500. 00
:,-! ORM DRAIN SDC 80. 0m Pt7SlDENTIAL TRAFFIC FEES 141@. *.10
�iv*is TRANSIT '11F F"FES ] 10. 00
()1' 79 RIVERVIEW EST R
0452 SW BONANZA WAY
[K*|. AMOUNr PAID — — — —} �.*/ /`' /^m
Residential Building (Permit Application
City of Tigard
13 125 SW/Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobslte Address:
SubdIVIslon:kjr4-1 h l�.u�_J G�a�A4 Lot �nGe Usk U
Valuation,
0",����''"� ec#__.4'. � ---
A -
Owner: •Q Reissue of
Address:�a'7 �� L�)� %Lc�,�+ e'L (�- Map& Tar #
Ap aravals Requ[r_ed
Phone:
Planning._.___ _._
Contractor: ct�,V4-ke- w
Engineering
Address: Other
Phone: ltd.^*-Regulred ,{,�Py
Contractor's LIcense# SntfdClUfS%3_
(attach copy of current Oregon license) ; 7 Details
Subcontractors:
Plumbing: t CLU L �117 G rFq
Mechanical:. t-/�: �.(� E/P C m [ _ �-�� ✓__•�,
(attach cqoy of c:wrw#OR Contractor's Ucense)
ArchheoVEnginoer:
Address:
Phone:
COMMENTS:
ApplicarW Signature & Phone number
Received by: � Da!e Received:
Permit # Account Description Amount Amt. Pd. Bal. Due
MAW goG3 Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH) ."i
State Tax (TAX)
Bldg: . 71
Plumb: 7 7)
Mech: L 1
Plan Check (PLANCK) �3 S 3 j 09 j
Bldg: _
Plumb:
Mech:
p Sewer Connection SWUSA _
Sewer Inspectiot. (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chrg (SDSDC) a ev
Residential TIF (TIF-R) _1- � ._
Mass Transit TIF (TIF-MT) �.
Cor—nercial TIF (TIF-C)
Indusi4al TIF (TIF-1)
Institutional TIF (TIF-IS)
(Mir,, TIF (TIF-O)
Water Quardy (WOUAt.)
Water Quantity (WOUANT)
Fire District (FIRE)
TOTALS: v
at
S 89'16'10" W 98.78'
oo. ms
-6� d� pyo- •:?
p
Z oti
0
0
N
N
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10452 SW Bonanza Way , w JANUARY 26 1994 Centerline C e->n c e p t s Inc.
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