Case File ADDRESS:
i:\records\microFlm\targets\building.doc
C I T Y 0 F T' A RD 006�ANCY
%--7F% PERMIT #. . .. . . . :. MST93-12146�,
COMMUNITY DEVELOrMEI`,JDEPARTA0r-NT DATE ISSUED: 06/01/94
13125 SW Hall Blvd.Tigard,0 egon 97,M98199 (603)tW-411711
PARCEL: V31 34AC-1016200
61 TE ADDRESS. . . : 10852 SW BLACK DiAMOND WY
S1,38f)I V I S I ON. HARTS LANDING ZONINGtR-4. 5 PD
BLOCK. . . LOT. . . . ._..,._._.o._.•__.3034
CA,ASS OF WORK. aNEW
1 ,ePE 6F UUE. . . ISF
UG'CUPANCY URP. :R3
OCCUPANCY LOADt228 4
TENANT NAME:. . . A
Remarks : Ps),rH I
Owners
RENAISSANCE DEVELOPME141 CDR
1672 SW WILL FALLS DP
WEST LINN OR 97068
Phan* *v 6n7-.1739
HENAT39ANCE DEVELOPMENT
16721 SW WILLAMF71'TE FALLS DR
WEST LfNN OR 97068
Phone * z 557-8000
Reg #. . 1 499513
Occupancy of the above referenced building to hereby given, and certifies
the compliance with the State Of Oregon Specialty Codes for the group,
occupency, and use under which thf.- refe-enced permit wos
FIRE nE
�PARTMLENT D NU
BUIL
POST 114 CONSPICUOUS PLACE.
IHBPRCTIWI 11971195 f
City of Tigard Building Department ` t
23125 Bti Rall Blvd. Tigard, Oregon 97223 6
Inspection Line (Roc-O-Phone)i 639-4175 Business Phone: 639-4171
Inspections_.
Footing Plbg. Underalab Rech. Rough-in Appr/Sdwlk
mound. Plbg. Tog Out Oaa Line
Poet/Ream Strurt. San. Bower arming
Post/Roam me h. Rain Drain Insulation P1
Pl.bg. Underfloor Nater Line Qyp. ad. -Mich.
Date Raqueati.di_ ZZ!?- ____Timet _AH P PN
Address.!- V.`-�- s c n
/� 7 J« .E' G7i Permit T ir9..t' ylpJ'
TRR FOLLOWING OORRBCTIUN9 AAE RRQUtRED,
-- -
i
I
Inapectors
APFROM) DIBAPPACVRD APPROVRD 'UBJRCT TO ABOVE
Ca:.l For. Reinep.
INSPECTION rMicB
City of Tigard Building Department
131.35 ON Hall Blvd. Tigard. Oregon 97223
Inspection Lino (Roc-O-Phones 639-4174 Business Phones 639-4171
Inspections
footing Plbg. Underslab Hoch. Rough-in `Appr/ldsrlk
found. Plbg. Top Out Gas Line IIMI1i.s
Post/Beam Struct. San. Sewer framing -bldg.
Post/Beam Hoch.. Rain Drain insulation _Plumb.
Plbq. Undortloor Mater Line Gyp. Rd. -Neesb.
Date Requesteds �7 -1-2
..GZ - IL� 1(� _Times
Addreses VA52- Nx V Permit #sWr`J3—MP3
Bu i lder sQ
TRS FM s. 4IKQ COWURCPIOII/ 11M Y4WXJ=s
_ i (�✓E_ ���/N/ /n/�. /!�/ w�A/6-
4-- TQC
TO of sT rte- �J PP,CcJAG;`� j
5
_.—. C-c„Jn Z- err 0 I;4 r/EM
Is.spectors /��G/Ylli _ bates
_�11PPk011E11 DIS1I.'PPJD RD BU'&INCT TO AROVN
Call for'Reinsp.
iN693MON PQTICE
City of Tigard Building Depactownt
13125 M B&1.1 Blvd. Tigard, Oregon 97223
Inspection Line (Roc:-0-2hone)c 639-4171) Business Phon39-:171
Inspections ---
tooting Plbg. Underslab H&A. Rough-in Appr/Sdtlk
Found. Plbg. Top Out Can Line FINALS
Post/eoam Strict. San. Sewer Framing -Bldg.
Post/Beam Nosh. Rain Drain C::�_hnsula"j=n -Plumb.
Plbq. Underfloor Nater Line -7yp. Bd. -Mach.
Dato Requestedt_(� _'- Times AM 14 PN
Addrees: �w�Q / It
TBR FOLLOWING CORRECTIONS ARE MUM,-)t
Inspectors_
_._►PPROV3D DISAPPROVRD APPROVRD SUBJECT To ABM!
`_Call For Reinap.
FEB - 21 - 94 MON 15 : 02 P 01
13651 SE Ambler Rd, r� (503 654.3115
Clackamas, OA 97015 ''.� ,v1. T' FAX: ( 503)654-3475
�- aNC�L. .;T�
Hoetlnq,Alr-Condiuonlnp and Plumbing Fxpert::
•• Comm.rolN.ndfleeldonllral
F-U
r,.�'1� f, A• 11 . '�!��°(�
-COVER EUEET
DATE:-
TO: -
ATTN:- v .. 4'.I� L.4r_ 5 d-�0,S >ti
FROM:-
OF PAGES: -
COMMENTS i-_ P Q�G.a
yam,
�.v� AtA,! 6 8-e 46 A0,2.ecl
INSPECTION NOTICE
city of Tigard Building Departsmon
13126 BW Ball Blvd. Tigard, Oregon 1M23
Inapection Line (Roc-O-Phone)r 639-4175 Business Phor CAI I
Inspections
Pootir..g Plbg. Und.ralab Is. Rough-in ) Appr/Sdwlk
Pound. Plbq. Top Out as Line �` —/ IINALs
Poet/Beam Struc-t. San. Sewer raining -Bldg.
Pont/Bean Mach. Raln Drain Innulatior -Plumb.
Plbq. Underfloor Mater Line Gyp. Bd. -Koch.
Date Roqu.ateds�__[�__ ` Timer AK PK
Adrones
Builders— 'f�l/� //�[(�� --
TRE POLLONING CORRECTIONS ARE REQUIREDs
ell
Inspectors _ _ Dates .2
_APPROVED _� DISAPP D __ APPRVVED SUB.IECT TO ABOVE
-jr 1 Call For R.inap.
tNBracTzg:i nvr�c,�
City of Tigard Building Department
1312S AR VAII Blvd. Tigard, Oregon 972x' -_
Inspection Line (Rec-O-Phone)r 639-4175 Business xs��s'6]9-4171
Innpectionr
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Can Line FINALr
st/ea San. Bower Framing -Bldg.
h. Pain Drain Insulation -Plumb.
IV. Underfl r Nater Lino Gyp. ad. -Koch.
Date Rogues mdr X— - e Tla►sr AM PN
Address
BuIIderl
TRT FOLLOWING CORREt:TIONS AAE REQUIRR.Dr
Inepectorrj _ Dater
APPROVED DT8'.PPROVED APPROVED RUBJtCT To lIB(IVE
--� Cal] Por Rsiusp.
zr�r�isa! K7TICi
City of Tigard Duildloq Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Lina (Roc--C-Phone)s 639-4175 Business Phone$ 639-4171
Inspections
Footing Plbg. Undsrslab Noah. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Lina FINALS
Post/Deem Struct. San. Bower Framing -Bldg.
Post/Roam Noah. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. ad. -Noah.
Data Requosteds_ Timet _ AN _ PM
r7
Address ck), 1 Ni7i!
Builders
".'NIL FOLLOWING ODRRKLMONS ARE REQUIRRDs I)
Inspectors Dates-// l Q
/"PROM DIBAPPWWlkn APPRMND AtIBJRCf To ABOVR
Call Por Reinap.
UITY OF TIUARD RECklIP1 OF PAYMILENT RU;E'I1-'1 NO.,
CVII-'.CK 14MOUN r a -'523b. 4W
NAME RENAISSANCE HOMES (.141,344 AMOUN T a 0. 1160
�ADDRESS a PAVMENT VATk t JJ /30/1)'
SUBDIVISION &
VILIRPOSE OF FlAYMENT AMOUNT PA I D PURPOSE OF PAYMENT AMUONT PA i L)
T;L—1,*c.iiING PERM 443. 00 PLAIMBING PERM MFjT93--I?,463 155. 00
MECHANICAL PF 45. 00 ST. BUILD PER 3p-. 145
"-I .AN CHECK FE- ?6. 25 Sf--*WER USA Oka
jLWER INSPECT' 395. 06 PARKS 8DC 00
qTORM DRAIN SDC 280. 00 RESIDENTIAL TFAFFtC F-F.F.93 1410. 00
MASS TRANSIT TIF FEES I 10. 00
TOTAL AMOl..JNr PAIJ) `W.iCs. 446
MASTER PERMIT
C11Y
OF Tl '� PERMIT #. . . . . . . s MST93--0463
COMMUNITY DEVELOPMENT D - T DATE ISSUED: i i/29/93
13125 SW Hall Blvd.Tiord,Oregon 97223.8199 (503)639-4171 PARCEL: 1 S 134AC--062010
SITE ADDRESS. . . : 10852 SW BLACK DIAMOND WY
SUBDIVISION. . . . : HART' S LANDING ZONINGS R-4. 5 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :034
BUILDING --------------__.________-_.______------
REISSUE:MST93-01066 DWELLING UNITSsl BASEMENT. . . . . . . . 10 of
CLASS OF WORK. sNEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . s484 sf
TYPE OF USE. . . :SF F=LOOR AREAS---------- REQUIRED SETBACKS-----
TYPE OF CONST. :5N FIRST. . . . s 1009 s f LEFT. . : 10 ft R 1 GHT. : 1 1 ft
OCCUPANCY GRP. :R 3 SECOND. . . : 1049 5f F=RONT. :20 ft REAR. . :42 ft
STORIES. . . . . . . :2 THIRD. . . . s0 Sf REQUIRED-•-------_-- -___-.--_..
HE I GH'T. . . . . . . . ..28 ft TOTAL--------s 2058 s fSMOKE DETECTORS. i Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . f : 103380 PARKING SPACES. . si
Remar-ks : PATH I
----------- PLUMBING
PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O
LAVATORIES. . . . . :5 WATER HEATERS. . . : ) TRAPS. . . . . . . . . . . . . . ..0
TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . :0 CATCH t_'IASINS. . . . . . . :0
WATER CLOSETS. . :3 SEWER LINE (ft) . 0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . : 1 RAIN DRAIN (ft) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . sl
MECF+ANICAL --- ----_-.__.______._____________. FEES _______________
FUEL TYPES---------- - UNIT HTRS. . :O type amount: by date reept
/GAS/ / / VENTS . . . . . :0 TIF t 1520. 00 .JH 09/06/93 -
MAX INPU'1 :0 BTU VENT FANS. . 14 BPRT $ 443. 00 JH 09/06/93 -
FURN ( 100K . . :0 HOODS. . . . . . t1 BPLC f 40. 00 JLH 08/20/93 93-243466
FURN ) =100K . . : I WOODSTCVES. tO BSPC $ P2. 15 JI-1 05+/06/93 -
FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 JH 09/016/93 -
POIL/CMP ( 3HP:O OTHER UNITS: 1 PARK f 500. 00 JH 09/06/93 -
GAS OUTLETSst MPRT $ 45. 00 JH 09/06/9;
Owner,: --_____._.._._.._..._________________.---•-•---HPLC f 11. 23 JIA 09/06/9:3 -
RENAISSANCE DEVELOPMENT COR MEPC f 2. 25 JH 09/06/93 -
1672 SW WILLAMETTE F'Al_LS DR PPRT f 155. 00 JH 09/06/93 -
P5PC f 7. 75 JH 09/06/93 -
WEST LINN OR 97068 BPLC $ 15 00 JH 09/06/93 -
Phone #: 657-5739
Cont a-act or,s
RENAISSANCE DEVELOPMENT
1672 SW WILLAMETTE FALLS DR
WEST LINN OR 97068
Phone #: 557- 13000
Reg #. . t 414955 -------------------
t 3041. 40 TOTAL
This permit is issued subject to the regulations contained in the ----_-- PEUUIRED 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
plans. This permit will ellpiry if work is not started within too Post/Beam Meehan Insulation Insp
days of isRuance, or if work is suspended for more t n 199 days. Plm/undslab Insp Gyp Board Insp
PLM/Underfloor^ Rain drain Insp
F"'w, mittee Signature : ^+s� Mechanicals Insp Water Line Insp
Plumb Top Out Appr/Sdwlk Insp
I -,Suei Ry: _. Fttaming Insp Mechanical Final.
Call for inspection - eZ39-4175
♦ SEWER CONNECTION
IV T�f I�ARD PERMIT #PERMIT. : SWR93-0397
COMMUNfn DEVELGPMENT DrIAR3•btIENT DATE ISSUEDs 11/29/93
13125 8W Hall 81a j.Tigard,Oregon 97223*81taY (503)039.4171
PARCEL: 1S134AC--06200
SITE ADDREES. . . : 10P,52 SW BLACK L 7 AMOND WY
SUBDIVISION- - HART' S LANDING ZONING: R-4. 5 PD
BLOCK. . . . . . . . . : LOT. . . . . . . . . . . . :0:34
---------- ---------------------
TENANT NAME . . . . :
USA NO. . . . . . . . FT.XTURE UNITS. . . ii
CLFlaB OF V 1f? . . .NEW DWELLING UN I TS. . s 1
TYI' n; . . . a sr, NO. OF BU I L D I NOS s 1
I Nl r i 1'' . . . . s f'JSWR I MPERV SURFACE. . : s S f
Remal,i
Owners ____ ____..------------------__--___----------.__.-----I-- FEES
RENAISSANCE L"VELOPIAENT rOR type amount by date ret.-pt
1672 SW WILLAMETTE FALLS DR PRMT t 2200. 00 JH 09/06/93 —
INSP $ 35. 00 JH 09/06/93 --
WEST I.-INN OR 97068
Phone #: 657-5739
Contractor: ------•-----------_____________
C:ONTRACTOR NOT' ON FILE
1-1h cine #: $ 2235. 00 TOTAL
� Reg #. . s
_ — ------ REQUIRED INSPECTIONS —_--
This Applicant agrees to comply with all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 188 days fro#
the date issued. The total amount paid will be fnrfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not iocated at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not in located, the installer shall purchase __..._.._._
a "Tap and Bide Sewer" Prreit and the Agency will i tall a lateral.
��Perm{tt4e! aiynat,�.lre« "�
J Sslaed Bye
Call for inspection — 639-4175
Pr7mr,CITY OF TIGARD T
PERM I T' #. . . . . . . ME''11)3 -Vi ti,
DATE 'ISSLJEDt I I /ii*9/93
COMMUNITY DEVELOPMENT DEPARTMENT
V1125 SIN WWI Blvd:Tigerd,Oregon 9722�*111119A,..% PARCEL: ISI.34AC-06200
W 71
S11TE ADD r- 101 J.]j tollol,11) WY
LANDING ZONTN(-,',- R-4. 5 PD
SUBl)1Y.;SI0N. . . . i HART' S
BLOCIA. . . ... . . . . . e L2bT. . . . . . . . . . . . . :034
CLASS OF WORK. . :NEW GARBAGE DISPOSALS— : 1
TYPE OF' USE. . . . ..6F WASHING MACH. . . . . . . ii BACI%FLOW PREYNTR5. . :0
OCCUPANCY QRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . ; . . . . . . . . . . . g o
STORIES. . . . . . . . 12 WATER HEATEus. . . . . . ii G -r
ACH BASINS. . . . . . . :0
F I XTURES) LAUNDRY TRAYS. . . . . . s@ SF* RAIN DRAINS. . . . . P1
SINKS. . . . . . . . . . il GREASE TRAPS. . . . . . . io
LAVATORIES. . . . . v5 UTHER FIXTURES. . . . . :0
TUB/SHOWERS. . . . a SEWER LiNL' (ft ) . . . . -0
WATER CLOSETS. . c3 WATER L1114E ( ft ) . . . . - 100
D I SHWASHE RS. . . . : RAIN DROINI (ft ) . . :0
Remarkst PATH I
OWNER-
(IE'ghT-99n't� E"'DEYEI-OPMENT Gbit TIF 15'-iO 00. JH 09/06/93
167,? SW WILLAMETTEFALL f3 t)R% BPRT 4 If 13- 00 jf-4 09/06/93
9PLC f 4111. 00 JLH 013/20/93 93 -1:1415466
wuor L.JNN OR 97e6l B5PC $ 15 JH 0r)/06/93 --
Phone #: 657-5739 SSPDC $ 280. 00 it: 09/06/93
PARK $ 1500. 00 JH M19/06/93
r-111,imbing Cant v-act or c MPRT $ 45. 0@ JH 09/06/93
(� /0
MPLC $ 11. c5 JH 09/06/93
Nome , M5PC t 2. 5 JH 09/06/93
Flciclregsrr 0'1
PPRT $ 11,55. 00 J4 09/06/93
9 LWD- t a t e P!5pc t 7. 75 JH 09/06/1)3
Z i p- _ Phne# Ell.�ILL $ 175. IZAGA JH 09/06/1
fie 9 pqri
3
RE.DU I RE:D V INSPECTIONE
This permit is issued sk.ibjert to the 1'eu-
ulations contained in the TiWAV'd MLITliCipill root/found Insp Rain dr-ell" III,. !
Code, State of Ore. (,,odem and P11 PO:3t/n@Am Strwt Water Line Ins!
'n't,�var applicable laws. All work will be acille f--loqt/seam Mochi'k-h Appr/Sdwlk Inst
I
in itt_cor-darlce with approved pli,�ns. This Vllm/undslab Insp MechAllical Fin.,
permit will expire if Work is not started PLM/Underflocir Plumb Final
I t3o, d A Y (if i q,a;j At) uv if h . t< i5 Mfat.'.11Mriic::tel. insi, Lauil. tiny f` irtdil
st-,pended for more than 160 drityEi. f-,iumb 'rup out Et-osxon Control
F*raminq Insp Crawl Drain
F"ireplare Insp
r1ar, Line Insp
Instilation Insp
------ Gyp boar-d Insp
Potthorized PIL(mbing Gontractc, Sijjnatury
Call for inspection 639-4175
dITY OF TIGARD PE'RMBITN#. . .
PERMIT. 11ST93-046 3
COMMUNITY DEVELOPMENT DEPARTMENT Dern ISSUED; 09/06/93
13126 SW11a11 Blvd.Tigard,tarpon 97223.81119 (503)630-4171
Pf114CE:L: 1 S 134AG 06200
S T ! !. NDDRE:SS. . . : 10852 SW LAI_.ALIG I?J AMOND WY
SUBDIVISION— . . : HART' S LANDING ZONINOa R•--4. 5 PID
8L1:iGY,. . . . . . . . . . : LOT. . . . . . . . . . . . . sO34
i
C;LCISt- OF WORK. . :NE�W GARbADE' D I SPOSAL.S. . : 1
'CYt'E:. OF * USE. . . . :SF WC1,61 LING MACH. . . . . . . it HALKFLOW PRLVN`rns. . :N
OC(,UPANCY ORP. . e R3 FLOOR DRAINS. . . . . :0 TRAPS. . . . . . . . . . . . . . :0
STOPIE S. . . . . . . . Ii? WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . 10
ITFk:TUIrES._._ ...M.w..._...____.w ..__. LAUNDRY TRAYS. . . . . . aO GF RAIN DRAINS. . . . . el
SINKS. . . . . . . . : 1 GREASC TRAPS. . . . . . . :O
LAI,,"ATORIEEL . . . ..e r OTHER FI.XTUALS. . . . . :0
TU1'/`)HOWE"RS. . . . : SEWER LINE (ft ) . - :0
WA rl,.R c:LoGE Tf3. . e 3 WATER LINE (ft) . . . . r1@0
L)T�A-(WASHC R'S. . . . * 1 RAIN DRAIN (ft ) . . . . s 01
R +,i<a.r•ks a PATH I
LLS-. _,._ _. _ ._._ ......._..,.._.,.
..1-
lel. ; 1AISSANC'E DEVELOPMENT COIR TIF $ 15%:0. 0 01 JH O9/06/1:r3
I.0 72 SW WIL.LAME:TTE. FALLS DR BPRT $ 443. 00 JH O9/06/9.3
BPLC' $ 40. 012) JI-14. 08/2O/93 '3;3-c'4 34C,6
WE:.i:3T (_.INN OR 9*7068 85r'C $ ,L2. 1:°i JH 09/06/9 -
Ethane l): 657- 57;3r, , SSDC $ t'.'80. 00 JH 019/O6/9:s
3_ � �) 4 PARK $ 500. 00 ill O9/06/93
1-ilumbing Contrartory MDPT t 45.00 JH O9/06/`33
r I+IF'L C 6 11. 25 JH 09/06/93
Name : _ `�-�G _ �_ _._ M5PC t c'. 2 JH O9/Or�/9 ;
fldd -es _ ' ��g__1 _._ PPRT $ 155. 00 JH 09/06/43
!' Ly : ��� .... State: Fr)PC' 1• 7. 75 JH 09/06/93
I i P: "1 ' �� _... ��-',�p
-7 Lo _... BF'l_C -h 15. OO .JH 09/06/93
Reg
_...__ RE013 114SPECTI(:11\111
This pdrm t is is;-.tcud suh.jer_t to the r,eq .
"tlations '6vonta�ined in the Tigaard .,,*tnic:ipal ('oot /found Insp Rain drain Insp
Cut:ity, 7t ate of 01-e. Specialty Codes; anti all Punt/APam 5tr�I..tct Water LiliP 11i%p
other applicable laws. $411 work will be done Post/Ileam Mechati Appr•/4d1141k Insp
in at-cordance with 1Ppvov4d, PZ,ans..' This f Pim/undjImb Insp Mechanical Fined
t Permit �4i11 axpire if 1:ctr,l•; ' L t4nt, ( af�t �c.l 1'1._14/LIn(Jt,r flq'nr" pllimh r-[mal
A within 1801 days of i ssuaencyee or i F work is MPChanic:.'ael In-,p Building I incl.
651_1_:pendrd for moire than 1F0 days. Plumb Top Out Lrosion Control
Framing Insp Crawl Drain
Fireplace Insp
(Tans Line l rr S p
a Insu.lAtion Insp
•-- _ _._�
-k -0,
O y p Board I n s F7 _.... .
Aut:hor•izod Plumbing Cantrautr�r Signature
CAII for insp.actirn 639--4175
ra n t r a r t o r Notes :__
CITY
r13125sw1s,uawa. PLNCK/RLCT N
OF .�IGARD ���.�
PERMIT N 5 0 �o
(-Y)MMUNl-T-y' t)(:VIsi,01'MIi.N'f DEPARTMENT 7�g�rJ UnRon97J]> --
(W))619 4; DATE ISSUED
106 ADDRESS: C (A ' h jTAX MAP/LOT I s!
SUB: v11AR'TS�T. 1NG LOT: LAND USE: ic— 'S C PDQ
_ VALUAT ION: .LD �0
NAME: RENAISSANCE DEVELOPMENT CORP REISSUE OF: ---
ADDRESS: 1672 SW WILLAMETTE FALLS DRIVE LAST REISSUE:
___ WEST I.Zi-N, Qggaou 970fi❑ _ _ FLOOD PLAIN/
PHONE: 503) 557-8000 SENSITIVE LAND:
ca�TRACTOR APPROVAU IE-0IM
`i
NAME: , RENAISSANCE DEVELOPMENT CORP. Y PLANNING: _v�.ZZ�fJCr``��'►
ADDRESS: 1672 SW WILLAMETTE FALLS DRIVE ENGINEERING:
_ wEsx 4jM, QU&0 97068 _ ____ FIRE DEPT:
PHONE: (503) 557-8000 OTHER:
CONTR. BOARD N: 4995s _ EXP DATE:
I TEMS�tE.g�.LRE!'
SU CTORS: PLUMB: FAGI:E PLUMBTTNNG _ _ LIST/SUBCONTRACTORS:
MECH: TRI COUNIa TEMP (ONTR I. BUS TAX:
AMan Iffm CALCULATIONS:
NAME: _ ALAN MASCORD ^� TRUSS DETAILS:
ADDRESS: , 1515 NW 2jRD _ OTHER: -
PORTLAND, OREGON 97210
PHONE:
PRO?OSED BLDG. USE: SWR —
r
COMMENTS:
API���/TGWURE
Received By: Date Received:
n
wdftL
/ / i
�J D
L,
..
e-«-tet'.
n, ,,;
PERMIT I ACCT I DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-2330 01 State Building Tax (5X)
Building ^/
f
Plumbing
Mechanical ,1•Z�_�
10-433 On Plans Check Fee/
Building
Plumbing
Mechanical —Z—( 1L1
10-230 06 Fire
-03? 30-202 00 Sewer Connection " 2 vu- CDU
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Fees
25-448-6' 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 '."ransit TIF Fees
52-449 00 Parks System Dev Charge (POC) 5 _ •;c u
31-450 00 Storm Drainage Syst Dev Chrg /
(SSDC) _� l' / S-2�
24-445-01 Nater Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of) _
TOTAL.
no/3587P.WPF
�
| .
� ~ ` CITY OF TIBARD — RECEIPT OF PAYMENT RECEIPT NO. "93-243468
CHECK AMOUNT : 740. 00
AME n RENAISSANCE HOMES CASH AMOUNT 0. 00 �
�DDHESS o PAYMENT DATE 08/20/93 �
/
� SUBDIVISION :
�
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
| |
F1-AN CHECK FE 740. 00 �
PiANCHECmS -- HART' S LANDING
TUToL
AMOUNT PAID — — — —> 740. 00