Case File ADDRESS:
Wdi:\records\microflm\targets\buildirig dcc
CI-Ty OF TIGARD
"COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OF
13125 SW Hall Blvd.llgatrd,Oregon 97223W99 (503)639-4171 OCCUPANCY
PERMIT #. . . . . . . I mjT93 V516!
6.39- 417 1 j)A,rE jscjuc-p; ol /og/95
PARCE-Le 2SI14BC-0430171
SITE ADDRESS. . . : 10463 OW BONANZA WY
SUBD IV 19 1 ON. . . . a RIVF.*'RVIE-.W ESTATES NO. ZONINGiR-7 PI)
BLOCK. . . . . . . . . . e LOT. . . . . . . . 1080
CLASS OF WORK. :NE61
TYVIF OF USE:. . . :SF
OCCUPANCY GRP. sR3
OCCUPANCY LOAD#227 4
,TENANT NAME. . . e
Remarkso PATH I
MAJESTIC HOMES INC
05 82'ND DR
SUITE # 102
GLADSTONE OR
Phone Oo 655-6263,
C I ontracters -- --
MAJESTIC HOMEG INC
DR SUI-CE,
IILADSTONE:. OR
Phone 503-6556263
Peg #- 59aA6
OCCUpAncy of the above referenceci b�iilciing is hereby given, and cart ifies
the compliance with the State (If Oregon Specialty Codes far the gral-lpsle
occupancy, and use under which thot referenced per it wAs issupci.
BUILDING INcSPFc,rOR U .L I N[ 0 AF F. CI A I
POST IN CONSPICUOUS PLPCE
C I /� w2i s.ylis T B-vra!
I ( w T weG L' ,f>14r.0-
0.0 �
r7a#r#.4th►...
City of Tigard Building Departawnt•'.1 w S.sw
13125 RW Hall. Blvd. Tigard, Oregou 97221 w--h ""s ,
Inspection Line (Rec-n-Phonalt 639-4175 Business Phone: 619- 1
Inspectionx,T�
booting Plbq. Underalab !loch. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Lino PINAL
Post/Beam struct. San. Sewer Framing �Bld
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. underfloor Nater Line Gyp. ad.
Date Requeatsdl--- ` ( Time __)LAM PN
Addresst
Builders ( ';
THE FOLLOWING OOR11ECflOft kRR i J� , s�✓<)403
Inspector: Date,
- APs�ROVRD OIRAPPRN7V�D i- APPROVtb A TQ ASOV2
Call For Rainsp.
LNSPE.gfION NOTICE
City or Tigard Bluildina Department
13125 60 Ball 81-►d. Tigard, Oregon 97223
Inspection Line (pec--o-Phone): 639-4175 Business Phone: 639-4171
Inspection: --- ---
FoutInq Plbg. Underslab Mech. Rough-in hppr/Sdwlk
found. Plbg. Top Out C.]e Line ANAL;+,
��—
Post/Roam etruct. San. Sewer Framing
Post/Beam Mach. Rain Drain Insulation
Plbq. Underfloor Mater Lina Gyp. Bd.
Date Requestedi_ Time: 1111 PN
Addressi
IDYL �' \,86r r) c !01rmit It -G25�o
Builder LC' A f�
TRE FOLLONINO ODRRECTIONS ARE REQUIRED:
s..e A_�, -Q�--m � --ms=s- 9 t j —
VIA
-�--��
i► C14.
� _�►Z.��-� ��` �/' tie. /' �._r,,��-+/��
Inspector:—
APPROVED I DISAPPROVED APPROVED SUBJECT TO ABOVE
��� �Ca11 For Aeinep.
INUEcTlon NOTICE
City of Tigard Ik- 41.07 Department
13325 Sof Ball Blvd. - .lard, Oregon 97223
Inspection Line (Roc-O-Phone): 639-4175 Business Phone+ 639-4171
Inspection:_
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. Sen. R-wer Framing -Bldg.
Port/Ream Koch. Rain Drain Insulation -Plumb.
Plbg. Undorfloor Nater Line Gyp. Bd. -Neth.
Date Requested - 6— 9 4 Time: AN ____PN
Addroos: 51=3 k 2�_ CJS^ 2.'M Permit 1: 6S-6--t-
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRRD: � � ?� 2-
v- nf CE
C7,
tnepector L,�V'� Data:
11PPROVED DISAPPAOVED APPROVED SUBJECT TO ABOVE
vi_
�� —
/"Call For Reinep.
6PECI'ION NOTICE
City at Tigard Building Departaent
13125 811 Full 9111d. Tigard, Oregon 9722]
Inspection Line (Roc-O-Phono): 62I9--4175 Busineee Phone: -4171
inspection:
Porting Plbg. Underslab Mech. Rough-in A
ppr/8dwlk
^ound. Plbg. Top Out Can Line
C lINALt
Port/Beam Struct. San. Sewer
Framing -Bldg.
Post/Beam Mach. Rein Drain
Insulatio Plumb.
Plbg. Underfloor Nater Line Gyp. Bd
Date Requestedt
Timet AM PM
]lddrenee��7 _Q
Permit t !
Builders-M.L-kc
THE POI"OMINc OORRECIIONS REQUI
-- RED_ yam- nt5
I nspet-tort
----APPROVED `- DISAPPROVED
APPROVED SUBJECT TO ABOVE `
---Call Por Reinap.
INSPECTION NOTICE
City or Tigard Building Department
13129 611 Ball Blvd. Tigard, Oregon 9722
Inapeetinn Line (Roc--O-Phones 639-417S susi.ness Ph,4 4171
Inspect ions_ ---
i
Footing Plbc;. Underelab Msoh. Rough-in Appr/Sdwlk
Y'ound. Plbg. Top Out Clam i.ine /INALs
Poet/Beal Struct. San. Sewer lratiing -,Bldg.
Poet/Beam Meeh. Rain Drain Insulatien -Plumb.
Plbg. Underfloor Nater Line �elV• Pe -Mach.
Date Rsquesred/st�
_ �pJ,^ -qq Tlast QUI PM
Address l 1 Qy[e �.i7►� ,ZL� / Permit I t
Builders `� i — �II b n%�
,MR MAIMING MRANCTIONS ARB PJWTItRDs
Inspectors _ _ Dates[ 71
---_APPROVRD --- DISAPPROVED APPROVRD SUBJBCT TO ABOVE
Call
For Relnsp.
INSPtCT,,�OI1 NV��
City of Tigard Building Depe•"tasnt
1.3125 sA Ball Blvd. Tigard, Dr-.qo-t 1% 3
Inspection Line (Rec-o-Phone►r 639-1175 Businessl:t, Z1
Inspections___ �- —
Tooting Plbg. Underelab Koch. Rough--in Appr/Sdwlk
round. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer rraming -Bldg.
post/dean Hoch. Rain Draln Insulation -Plumb.
Plbg. Underfloor _.Maker-- L1M Gyp. Rd. -mech.
rate r quested AM ([ *M 1
Addreasf v POVOLt 01 I >. L l�!
Bcllder: D �--- �Ll-M
TRS FOLLOOiIN(i CORRECTIONS ARE REQUIRED:
Inspectors / Date Y `
�)P�lOVED DISAPPROVED APPROVED SUBJECT To KOM
Call For Reinep.
INSPECTION AQTICE
Litt of Tigard Building Doparlasnt
13125 ON Ball Blvd. Tigard, Oregon 972
Inspection Line (Rec-4-Phone)r 639-4175 Business P 71
Inspections_ -
Footing Plbg. UnderslabMeoh. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Sas Line FINALS
Post/Bemn Strut. Ban. Sewer Framing -Bldg.
Post/Beane Meeh. Rain Drain Insulation -Plumb.
Plbg. Underfloor Mater Line Gyp. Rd. -Noah.
Date Requestedc_ Z 1 Timet AN pN
Address:
Permit Is
e
Builders Af,
THE FOLLDWINO IONS ARB RBQOIREDs
Inspectors !_ � Datsr��-_,�
_APPROVED DISAPPROVED APPROVED SUBJECT TO AROVB
Call For Reinsp.
3d!@YEg�TION NOTICE
City of Tigard Building Dopartsrnt
13125 M Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Rusirians Phone 9 171
Inspecti-
footing Plbg. Underelab Mach. !tough-in Appr/Sdwlk
Found. Plbg. Top Wt Gas 'mains FINALc
Post/'Roam Struct. Ban. Sewer Framing -Bldg.
Post/Roam Mach. \Rain Drain ) Insulation -plumb.
Plbq. Underfloor Kater Line / Gyp. Rd. -Koch.
Date Requestods �� TLA�i�� AN PN
AdcLeess
THE POLLONING :RUCTIONS ARE RXQUIREDt
InspectorrDateei_751 /
L/
API1ROVED DISAPPROVED Appw)vRt) SUBJECT TO "ME
�_C411 For Reinsp.
INSP CTtON NOTICB
Ci!-P of TIV&rd Buildioq D•partnent
13125 80 Ball Blvd. Tigard, Oregon 97273
Inspection Line (Rea-O-pbont, 639-4175 Business Pha 6 -4171
Inspect ions__.
Footing Plbq. Und•rslab �1MOb. 11oYQb-iA Appr/Sdwlk
Pound. Pl.bq. Top out Gas LLle FINALS
Post/Beam Struct. Ban. Bower Sruinq -Bldg.
`�-- - -
�� I
Post/Dgam Mach. Rain Drain Insulation i -Plsukib,
Plbq. Underfloor Nater Line Gyp. Bd. ._Koch.
Date Requested, f ^ACV IL Time-
Address �C�l(og a ci�« 45 -oY�
Permit �t
Builder: Qj i `'.VQ -bZ V-3
�J
TRE FOLLOWING OOPMCT-CONS ARE REQUIREDs
Inspectors /
nates./ _ -
PROIRD _ DISAPPROVED APPROVED SUBJECT To ANOVV
Call For Reinsp.
INSPRCTIOM "TIC6,
City of Tigard Building Departe.et
13125 SIX Hall Blvd. Tigard, Oregon 9 ..�!
In.pertion Lin. (R.c-O-Phono)e 639-4175 Bu.in..• )639-4171
In.p.ctione__ If
Footing Plbg. Ond.r.lah Iteob. Rough-in`
Found. Plbg. Top out Oa. LinsO _. IIN11Lt
Post/Beam Struct. San. Sewer /r -Bldg.
Post/Beam Hoch. Rain Drain Inwlatlon _Iplumb.
Plb9. Underfloor Nater Line Oyp. 9d. -Nwb.
Date R.que.ted$ suet PN
Addree•s _ TT7Yy�' 1.k N=it fs
Builder,PAft( +low
5
Tsi VOLLOMINO OORABCTIONS AR$ RBQUSREpt
e
In.p.ctors _� pata���";���
ApramD ----. [!ISAPPRcJV=t' PpRms., StlB.1BCT TO ABOVt
_—Call For Rainsp.
INSPlCTION�jC�a �%
City of 119ard Buildioq Departrmt '
13125 SW Ball Blvd. Tigard, Orogon 97223
Inspection Lina ;-Phana)s f But?iness Phones 09
Ynapections_--_-- - ---------
Footing Plbg. Qnderslab Mech. Rough-in Appr/Bdwlk
you". _ Plbg. Top out Gas Line FINALt
IASM •troat. Ban. !ewer Framing -Bldg.
(Yost/BeY Mao Rain Drain Insulation -Plumb.
( Plbg. bnderlloor Nater Lime -ayp. Bd. -Nwah.
Date Reallefsttetd/t__G - / TZ? _�Tlaet AM --PM
Address s_l✓TtOl� !yy 7L1 Permit
/►
Builders VIAf4�
L
THk FOLLOMING CORROCTIONE AM R1Q9IREDs
deX
I
00,
C/ 160,07
r
sInspeoto t - bates
APPROVED DiBAPPPOVED APPROVED BDBJIL•1• TO ABOVE
Ca11 For Rainsp.
�@p]�cTtop norlcE
City of Tigard Duildlnq Departeent
12123 BE Ball Blvd. Tigard, Oregon 9722
IQepectfun Line (Roc-O-Phona)f 639-4175 Business Phones 639-4171
IaeoeotLeae _ _
Pooling Plbg. Underalab Mwrh. Rough-in Appr/Bdwlk 1
Plbg. Top out Can Line PIBAL#
Poet/Nam Struct. San. Bower Prising -Bldg.
Post/Seam Hoch. Rain Drain Insulation -plumb.
Plbg. Underfloor Water Line Gyp. Ed. -Mach.
Date Requesteds ''f - U �3 Tfaes In 11N QPM
Addresef I U�{(O U l�CJV�f 1��i 11 Permit #sly� )t
Builders �'.rV ISI --H 5 Z
TRS POI.I.OMIMG OORRSCTIONS ARS RSQUIRSD3
Inapeotorf_ _-- Date
APPROVSO DISAPPROVED APPROVED SUBJSC? TO ABOVE
Call For Rainap.
m"Oj211 MOTIC!
Citi of Tigard BULIAUng Departnsnt O%s--
13125 M Hall Blvd. Tigard, Oregon 97223
Inspection Lina (Rae-O-Phone)t 639-4175 Busineen Phonal 639-4;71
Inspections
Footing g1b9, 11BdWelab Mach. Rough-in Aper/Sdwlk
Found.
Plbg. Top Out -j Qu Line lIKALt
Post/Beam Struck. Ban. Sewer !ruing -Bldg.
Post/Bean Hoch. Rain Drain Insulation
-Plumb.
Plbg. "nderfloor Water
� Liijw Oyp. Rd. -Koch.
Date RequostWt_ /' `1`lI`�}' li�Mt _��RM gy
Address s -2.4- 1 ftroLt ?
Builds, � I � -/�
THE FOI.LOKIKO OORRBCTIOMS ARB RBQOIRBDt
c
Ir
s
Inspector`� Dates_ —
——APPROVRD DIBAPPROVBD --�
/ APPROVRD QUB,IBCT TO AHOVR
J Call For Roinap.
PLUMBING PERMIT
CITY OF T DATE I SSUED e . 1 1/04/933-0561
COMMUNITY DEVELOPMENT'DEPARTMENT
13125 SW Hell Blvd.Tigard,Oregon 9722^3.8199 (505)839-4171 PARCEL s 251 14BC-04300
SITE ADDRESS. . . s 10468 SW BONANZA WY
SUBDIVISION. . . . : RIVERVIEW ESTATES NO. 2 ZONINGS R-7 PD
BLOCK. . . . . . . . . . I LOT. . . . . . . . . . . . . :080
---------------------------------------------------------------------------------------
CLASS OF WORK. . sNEW GARBAGE DISPOSALS. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . 11 BACKFLOW PREVNTRS. . 10
OCCUPANCY GRP. . sR3 FLOOR DRAINS. . . . . . . 80 TRAPS. . . . . . . . . . . . . . 10
STORIES. . . . . . . . s2 WATER HEATERS. . . . . . sl CATCH BASINS. . . . . . . e0
FIXTURES------------------ LAUNDRY TRAYS. . . . . . 10 SF RAIN DRAINS. . . . . 11
SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . 30
LAVATORIES. . . . . s5 OTHER FIXTURES. . . . . 10
TUB/SHOWERS. . . . s SEWER LINE (ft) . . . . 10
WATER CL0SETS. . s3 WATER LINE (ft) . . . . 2100
DISHWASHERS. . . . it RAIN DRAIN (ft) . . . . 20
Remarks PATH I
OWP,ER s ----------------------------- ------..... _ __-----FEES----••--•---------
MAJESTIC HOMES INC TIF t 1.460. 00 JH 11/04/93 -
25 82ND DR BPRT $ 475. 50 JM 11/04/93 -
SUITE N 102 BPLC t 309. 08 JLH 05/07/93 93-
GLADSTONE OR 97027 B5PC $ 23. 78 JH 11/04/93 -
Phone *e 655--6263 SSDC f 280. 00 JH 11/04/93 -
PARK $ 500. 00 JH 11/04/93 -
Plumbing Contractors----------------- , MPRT f 45. 00 JH 11/04/93 -
/� MPLC t 11. 25 JH 11/04/93
Nam e:_r -
�`) � ' � C[ � lL M5PC • 2. 25 JH 11/04/93 -
[�.,.,��
Address �
? PPRT 4 155. 00 JH 11/04/93 -
Cityl_ nJeeyP'2 States O _ P5PC t 7. 75 JH 11/04/93 -
Zips honv*o ZZL- 1 V 7'O
Reg Ms ,Z eyX-'
------- REQUIRED INSPECI'ION8 -------
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 $trust Water Line Insp
other applicable laws. All work will be done Post/Bear Meehan Appr/Sdwlk Insp
in accordance with approved plans. This Plm/undalab Insp Mechanical 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
suspended for more than 1810 days. Plumb Top Out Erosion Control
Framing Insp Crawl Drain
Fireplace Insp
Gas Line Insp
Insulation Insp
xn. Gyp Board Insp
Authorized Plumbing Contract r Signature
Call for inspection - 639-4175
Contractor Notess ___
C11Y OF
T1� MASTER PERMIT
PERMIT M. . . . . . . : M5T93-0561
COM MUNITY nEVELOPA`IENT or 1 _ T DATE I SSUED s 11/04/93
1312E SYN H*II Blvd.Tigard,Orepor 97223.6.99 (503)630.4171
PARCEL: 2Si14BC-04300
SITE ADDRESS. . - e 10469 SW BONANZA WY
SUBDIVISION. . . . o RIJERVIEW ESTATES NO. 2 ZONINGS R-7 PD
BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . e080
--------------------------------- BUILDING ----------------------------------------
REISSL)Ei DWELLING UNIISsl BASEMENT. . . . . . . . e0 sf
CLASS OF WORK. sNEW REDRMS14 BATHSi3 GARAGE. . . . . . . . . . s684 sf
TYPE OF USE. . . :SF-' FLOOR AREA8------ ...___ REQUIRED SETBACKS----------
TYPE OF CONST. :4N FIRST. . . . ell?_wj s f LEFT. . t 5 ft R I GHT. s 5 ft
OCCUPANCY ORP. a'13 SECOND. . . e 1 15L sf FRONT. s 20 ft REAR. . s 32 ft
STORIES. . . . . . . 12 THIRD. . . . tO sf REQUIRED___________________
HEIGH•r. . . . . . . . a27 ft TOTAL-------e2272 sf SMOKE DETECTORS. eY
FLOOR LOAD. — i46 pelf VALUE. . . . . fie 116824 PARKING SPACES. . el
Remarkse PATH I
_ _-___ - PLUMBING --•_____________________.-___._-_______
SINKS. . . . . . . 11FLOORDRAINS. . . . e0 BACKFLOW PCEVNTRS. . e0
L.AVATORIES. . . . . s5 WATER HEATERS. . . it TRAPS. . . . . . . . . . . . . . 10
TUB/SHOWERG. . . . e3 LAUNDRY TRAYS. . . eO CATCH BASINS. . . . . . . s0
WATER CLOSETS. . t3 SEWER LINE (ft• ) . s0 GREASE TRAPS. . . . . . . e0
DISHWASHERS. . . . it WATER LINE (ft ) . e100 OTHER FIXTURES. . . . . ►0
GPRBAOE DISP. . . e1 RAIN DRAIN (ft) . 0
WASHING MACH. . . it SF RAIN DRAINS. . el
_______________ MECHAWICAL -------------------- -_._._-___-•__-_ FEES -----__.__-__--_
FUEL TYPES----------- UNIT HTRS. . sO type amount by date recpt
/GAS/ / / VENTS . . . . . e0 TIF $ 1460. 00 JH 11/04/93 •-
MAX INPUTeO BTU VENT FANS. . s4 BPRT 1 475.50 JH 11/04/93 -
FURN ( 100K . . t0 HOODS. . . — el BPLC $ 309.06 JLH 05/07/93 93-
FURN ) -100K . . a1 WOODSTOVES. eO BSPC $ 23. 78 JH 11/04/43 -
FLOOR FURN. . . . e0 CLO DRYERS. e 1 SSDC f 280. 00 JH 11/04/93 -
BOIL/CMP ( 3HPe0 OTHER UNITSsl PARK S 500.00 JH 11/04/93 -
GAS OUTLETSsl MPRT S 45.00 JH 11/04/93 -
Owners ------------------------------------MPLC f 11. 25 JH 11/04/93 -
MAJESTIC HOMES INC M"PC t 2. 25 JH 11/04/93 -
25 82ND DR PPRT • 155.00 JH 11/04/93 -
SUITE N 102 P5PC $ 7. 78 JH 11/04/93 -
GLADSTONE OR 97027
Phone Ms 655-6263
Contractors -------------------------.-___
MAJESTIC HOMES INC:
25 82ND DR SUITE 102
GL.ADSTONE OR
Phone Nt 503•-•655--6263
Rep #. . i 592N6
$ 3269. 61 TOTAL
This permit is issued snb jest to the rpalat as contain ie the ------- REQUIRED INSPECTIONS -------
Tigard Municipal Code, State of Drs. Spec t e a Foot/found Insp Fireplace Insp
applicable law. All Meru bill los done i Post/Beane Struct teas Line Insp
pians. This persit Mill expire if uerk a s Post/Beam Machan Insulation Insp
dart of isssmaco, er if rerk is suspend a as da ls+/undslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
Permittee Signatures Mechanical Insp Water Line Insp
Plumb Top Out Appr/Sdwlk Insp
Issued By: _.-4L� _ ,�• Framing Insp Mechanical Final
1/ Call for inspect on - 639-4173
SEWER CONNECTION
CITY OF TIGARD PERMIT #. . .1 . . a SWR93-0486
COMMUNITY DEVELOPMENT[*131A&�III�tNT GATE I SSUED a 11/04/93
13125 SW Hall Blvd.Tigard,Oregon 97223•mlge (503)639-1171
PARCEL: 2S11413C-414300
SI1F ADDRESS. . . : 10468 SW BONANZA WY
SUBDIVISION. . . . : RIVERVIEW ESTATES NO. 2 ZONINOe R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . 1080
TENANT NAME. . . . . :
USA NO. . . . . . . . . . a FIXTURE UNITS. . . s
CLASS OF WORK. „ . eNEW DWELLING; UNITS. . e1
TYPE OF USE. . . . . eSF NO. OF BUILDINOSs1
INSTALL TYPE. . . . sBUSWR IMPERV SURFACE. . : agf
Remarksa PATH I
Owner: ----------------------------------------------------- FEES --------------
MAJES"SIC HOMES INC type amount by date recpt
25 82Nn DR PRMT i 2200. 00 JH 11/04/93 —
SUITE # 102 INSP • 35. 00 JH 11/04/93 —
GLADSTONE OR 97027
Phony Ne 655-6263
Contractor e ----------------____—____------
CONTRACTOR NOT ON FILE
------------------------------------
Phone
------------------------------------
Phone #: 11 2233. 00 TOTAL
Reg *. . a
------- REQUIRED INSPECTIONS -------
This Applicant agrees to voiply with all the rules and rogulatis»s Sewer Inspection
of the Unified Sewage Ageney. The permit expires 191 days free
the date issued, the total amount paid will be forfeited if the
permit expires. The Agency does net guarantee t accuracy of the
side sewer laterals. If the sewer isof 1 a t the a t
given, the installer shall praspect 3 fee i aI _
the distance given. If net it located t o st or
a 'Tap and Gide Sower" permit and the wi i al _
Permittee Signatures .,*
Issued Bye
Call for inspection — 639-4175
I
a? y5 `7 8
CITY OF TISARU Rk.CEIPT OF PAYMENT RErCE=IPT NO. s93-245739
CHECK AMOUN Ia 5254. 61
NAME a MAJESTIC, HOMES GASH AMIIUN I a 0. 00
ADDRESS a PHYME:NI Df4l K a 11/164/93
SU8E1 t V 1 qi I ON a
IF LI RPOSE OF PAYMENT AMOUNT PA I D PURPOSE OF PAYMENT WMUUN T PAID
BU-11—DING PE=RM 475. gib PLUMB INQ PERM _. _.._155. Oka
MECHANICAL PF' 45. 00 ST. BUILD PER 33. 76
PI_ AN CHECK FE 70. 33 SEWER USA 2p.00. 00
SF:WF R INSPECT 365. 00 PARKS SDC; 1.1501A. 00
STORM DRAIN 8DC 280. 00 RE=SIDENTIAL TRAF F=IC Ff-A- i 1:351A. (be
MOSS TRANSIT TIF FEES 110. 00
1.()T 130 RIVE=RWOOD ESTATES 2
10468 AW BONANZA WY
11)1'141.. AMOUNT PAID _ _ —) 5254. t~I
EXEMPTION FROM WsXIMUM SHADE POINT HEIGHT STANDARD
I/we, the undersigned, as legal owners of record of the property
described as:
Lot # '?/ _ of 10Ufalt:W FS-mLe - so. ?- Subdivision
Tigard Address _/Q�P� sw 8",+v?A zyk/ --
Tax Map and Lot Number 2.91 leIVO0
do hereby release the property owners of adjacent Lot #
of ESTA7FS /y0• Z Subdivision, also known as Tigard
address /0Y6B - !A) A,144)z?�4 GtJ
and as Tax Map and Lot Number A5/ /064:! y300 _
from complying with Community Development. Code Section 18.88.050.13
(Maximum Shade Point Height Standard) ; and agree that the structure
may have a shade point height ofQ, 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 adj m
gnature
Signature
State if Oregon )
) s s.
County of
This instrument was signed or attested tb before me by
l� iohn &rrW and
on _—�1 3-9 1993.
OFFICIAL SEAL
ILAINK A.U11YI1RE
.NN07AilYl�UBI.IC-OREQON Signature of , to al Officer
(Not 1 ppMMI11�lONN0.076 My Commission Expires:
COO 188ION EKPIAQB JUNG a3,1891 I
br/rlt/Exempt.Mst
bUS
t�
C� .
es,
P-�
CITY »>uysw ,uoNa PLNCK/RECT q S �LOF ��I�.C�1\I] ��S f�3 -- S�t/
COMMUNITY DEVELOPMENT DEPARTMENT TVaA Omgon 972D PERMIT q D
(M)6'¢ 171 DATE ISSUED
JOB ADDRESS: �Q G�' SGS ,l'0,7li n�� u7,". _ TAX i4AP/L0T ZS
SUB: _ 7_ 133_L`LOT: _ LANG USE: _Q'-
VALUATION:
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SPECIAL NOTES
NAME: �!�-rt72�'zG - � REISSUE OF:
ADDRESS: 7 i3L A� Jk-C%1' �L'Z LAST REISSUE:
—G"f-o ezan4- _ l� _ Z FLOOD PLAIN;
PHONE: _ "G�7�-3 SENSITIVE LAND:
CONTRACTOR // APPROVALS REQUIRED SNb fo -ooly
NAME: 7�Y1� _ PLANNING:
ADDRESS: _— ENGINEERING: _.
FIRE DEPT: —
PHONI_ �- —� OTHER: _
CONT R. BOARD #: EXP DATE:
ITEMS__REQUIRED
SUBCONTRACTORS: PLUMB: 444&L tuh -4,,J(- LIST/SU3CONTRACTORS:
MECH: 4610 BUS TAX:
ARCIVENGINEER q, CALCULATIONS: _
NAME: _ ;� TRUSS DETAILS: _
ADDRESS: ZJj OTHER:
PHONE: -2�
PROPOSED BLDG. USE: t ALL r -F�,.�e-
COMMENTS: C9� PN(, ,gl .Lr 1PL
PP =SIGNATIME —
Received By: _ Date Received: 2
I
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
F •OS I 10-432 00 Building Permit Fees 0
10-431 00 Plumbing Permit Fees ✓
10-431 01 Mechanical Permit Fees / J
10-230 01 State Building Tai: (5x1 33. 73
Building ' ' ✓
Plumbing
Mechanical -;7•
10-433 00 Plans Check Fee Vol
Building 2 0 Y, 0
Plumbing
Mechanical
10-230 06 Fire
S 30-202 00 Sewer Connection v w
30-4,. 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 Fees �ZS
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC) J S VU
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
5 2,5*"•
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