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InitiallyGood ..�,..�,.ww�rtiyrlrrYs' .. ... �_ .., a1:Y4rYiwwSv. \�� ..,MIoYYNgi�w�tl�emWrco4 I l c E }JnOD MOIASQINe M5 669ZT i INSPECTION NOTICE City of Tigard Building Departseent 13125 SW Ball Blvd. Tigard, Oregon 9%223 Inspecticn Line (Reece-O-Phone))ss�639-44175 Businee• Phone: 639-4171 Inspections__ L/(/�� co t: Footing Plbg. Underalab Mech. Ro:sgh-in Appr/Sdwlk Found. Plbq, Top Out Ga Line FINALS Poet/Beam SLruct. San. Sewer Framing -Bldg. I Post/Beam Mech. Rain Drain Insulation --Plumb. Plbq. Underfloor Nater Line Gyp. Bd. i_ -Mech. / �U Date Requesteds /! - 2 -,Z- Times AMI PM Address:_ PittlhIt t: 2- "UQL f1 ..^alder: 01 :RE FOLLOWING CORRECTIONS ARE REQUIRED: Inspectors Dates�� � -)CLAPPROVIM _-_ DISAPPROVRD �^ APPROVED SUBJECT To ABOVE __Call For Rainsp. m" CiD'OF 71FA RD / MECHANICAL �Ccny(4 10 PERMIT COMMUNrrf DEVELOPMENT DEPARTMENT o N PERMIT #. . . . . . . : MEC92-0029 13126 SW Hdl Bad. P.O.Bas 23307,np M,O►npcn 97223(603)830-4176 773 - IS-50EM G ,G SITE: ADDRESS. . . : 12599 SW BRIDGEVIEW CT PARCEL% IS133DD-03100 SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 3 ZONING: R-4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . c70 L:LAE;S OF WOR!- . . :ALT FLOOR FURN. . . . a EVAP COOLERS: TYPE OF USI"_. . . . :SF UNIT HEATERS. . : VENT FANS. . . : OCCUPANCY GRP. . c R:3 VENTS W/O APDL c VENT SYSTEMS: i STORIES. . . . . . . . 02 BOILERS/COMPRESSORS HOODS. . . . . . . : FUEL TYPES------------ 0-3 HP. . . . : 1 DOMES. INCIN: ?5•-15 HP. . . . . COMML. INCIN: MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS: FIRE DAMPERS?. . c 30-50 HP. . . . : WOODSTOVF_S. . : GAS V'RESS!IRE. . . : 50.0- HP. . . . : CLO DRYERS. . - NO. RYERS. . :NL. OF AIR HANDLING UNITS OTHER UNITS. . FURN ( 100K BTU: <= 10000 cfm: GAS OUTLETS. : FURN ) =1.00K BTU: i 10000 cfm: remarks : Owner. --------- -------------------------- __-.--••----- --_____ FEES CAROL SLF_TTA type amount by date V.,ecpt 1251:9 SW BRIDGEVIEW CT PRMT $ 25. 00 JLH 0C/24/92 - SPCT $ 1. 25 JL.H 02/24/9: - TIGARD OR 97223 Flhone #: Contractor: TRI -COUNTY TEMP CONTROL 13651 SE AMBLER RD CLACKAMAS OR 97015 -----------------.-------------------- Fhone #: 77.7•-3874 OR $ 26. 25 TOTAL. Rey #. . : 72623 -_-- .-- REUUI RED INSPEC i IONS -------- This •-___- -This pewit is issued subject to thv regulations contained in the Final Inspection Tigard Municipal Code, State of Dre. Specialty Codes and all other __ applicable laws. All wore, will be done in accordance with approved plans. This perait will expire if work is not started �� within 188 days of ;;nuance. or if work is sespended for sure than 180 days. Fler•mittee Signature : _- TsSI_ied By : fall for 4.nspection - 639-4175 df M CITY TI CARL`S REC:E I P"r OF PA1'MFNT REC:E I r'T NO. 992-223624 NAME x TRI I,CIUN'1"Y TIPIP CONTROLCHk"C:K AMOUNT . �,E,. 05j ADDRIF530- r 1,34,°"',1 SE AMPL_1 R Rte CASIA AMOUNT x 0. 00 PAYMENT DATE s 02/24/9E CLACKAMAS, ov '3701.5— :3USDI V I4 ION c PURP013E OF PAYMENT AMOUNT PAID PURPt'jE,E OF FSA YMENT PMOUNT PAID ._._..w.�..`.,.P—;5. 00 GT- BLULD�..._...� __._.._._._...�._ .... C . "PFR 1. 25 CAROL. SL.ETTA ,W BP I DGE V I RW CT TOTAL_ AMOLnVT FAAII, i P City of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 sw Hail Blvd. APPLICATION Permit # PO Box 23397 Tigard, OR 972.23 (503) 639-417' `"• •• « escripUon _ ,/ Table 3A Mechanical Code OTY PRICE AMT JobS In ����r' 1/1 i ) 1) Permit Fee -0- -0- 10.00 Address f C),(x 1 17 pPQ�j 2) Supplemental Permit 3.00 •" «4&.1 L"h••j Furnace to 100 Mac 3u,1 -,OVA 1) incl. ducts& v mts 6.00 %v AWM ((�� ,((� �1 �� Furnace 100,000 + Owner t a Ci 5.Lz. 6(lP Q. 04Dj Ct` 2) incl.duds&vents 7.50 I� Floor umance O'�& e 7o1e1 3) incl. vent 6.00 —(.waft*'ftft&*m) Suspen .treater,w /T�ter r, 4) or Poor mounted heater 6.00 Vent not me. in Occupant -C 5) appliance permit 300 twRepair of heating,re ng. 6) cooling,absorption unit 6.00 ""t Boiler or comp, eat pump,air cond. O ( 7) to 3 HP absorp unit to 100K 131 U 6.00 PhWW _ Boiler or comp,heat pump,air cond. o 1 (O y t- 8) 3.15 HP absorp unit to 500K BTU 11.00 Contractor r. LF Boiler or comp,heat pump,air co 3. 1 ra. C)rT 15 9) 15 30 HP absorp unit.5.1 mil BTU 15.00 •" ' • r err oror romp, reams t pump,air co (,-S2 10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50 hereby acknowledge that I have read is application,TaFt © Boiler or comp,heat pump,air cvn:,. information given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50 of the owner, ;,qt;,cans submitted are in compliance with State Air handling unit to laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50 that the number given Is correct. (I1 exempt from State registration, ,ru 77an rig unrt� please give reason below) 13) 10,000 CTM+ 7.50 Non portable 14) evaporate cooler 4.50 ent an nected 15) to a single duct ;1.00 Ventilation system not 16) included in appliance permit 4,50 Hood s Try- 17) mechanical exhaust 4.50 Describe work new 0 addition Q alteration AN repair0- ornmercial or ind stria to be done residential 1.4 non-residential Q 18) type incinerator 30.00 Existing use o \ ter i.e-wo5astove.water building or property C �j�(1 �, *) heater,solar,clothes dryer;,etc. 4.50 Proposed use of 20) Gas pipir.g one to four outlets 2.00 building or property 21) More than 4-per outlet Type Afuo1 -oil Q natural gas 0LPG Q electric 0 --- NOTICE Minimum Fee$25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL AFTER WORK IS COMMENCED TOTAL "75 Special Conditions Date issued_ Z9(:;Z _by l iQ C1'A " M'A1F.GIMT vao•cmWv INSFICrION Micz �. City of Tigard Building Department 13125 BW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 9-4175 Business Phone: 639-4171 I nspect l.on: —� Footing Plbg. Un r lab Mech. Rough-in Appr/Sdwlk i Found. Plbg. T p Out sae Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Pltg. Underfloor Water Lino Gyp. Rd. -Neth. Date Requested: �"d �Cf _ Times AN PH Address: S�� , Permit #:91 Builders THE FOLLOWING CORRECTIONS ARE REQUIRED: ca 1r1 Inspectors Date: (PROVED APPROVED OISI1PPRi EO _^ APPROVED 6URJECT To ABOVE Call For Reinep. - --�-- CERT'I F I CIaTE OF OCCUPANCY ri � PERMIT #. . . . . . . a MST90--0235 CI11f OF'11GJIRD COMMUNITY DEVELOPMENT DEPARTMENT oRn4" 13125 SW HWI Blvd.P.O.Baer 23397,Tied,Onion 97M(6W)639.4175 Ura TE' I SSUE D s 01/30/91 `i I TE ADDRESS. . . : 12'599 SW LAR I DGEV I F W C.:T PARC EL c 151 33DD -0340vf SUBDIVISION. . . . s VILLAGE AT SUMMER LAKE PARK 3 Z ON I NG s R-4. 5 ()LOCK. . . . . . . . . . >< LOT. . . . . . . . . . . . . s73 CLASS OF WORK. sNEW tYPE OF USE. . . :SF OCCUPANCY GRP. s R3 OCCUPANCY LOAD s i:_0 4 TENANT NAME. . . s Remarks s Ownera _._.___..._._....__._____....._.__....... _..__..____._....__.,_... DON MOR I SE'.'I'TF_ BUILDERS INC P 0 BOX 19524 PORTLAND OR 9'7219 0hune #z (,ontracturs DON MOR*SSETTE OLDERS, INC. 15555 SW BANGY RD *201 I..AKI CISWFGO OR 97035 Ghon* #s 503-620- 7538 )tag V. . s 30533 I)c:cup,j,r1cy of the above referenced ht.tilding is hereby given, and certifier the compliance with the state Of f`^egon Specialty Codes for the group, 9CA- .ipancy, xna use under which tr►e referenced permit was issued. FIRE DEFARTME'NT L.DING INSPECTOR 8U I NG OFF AIT POST IN COhISI.)I CLIOUS PLACE INSPECTION NOTICE City of Tigard Building Depastaent 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Lina (Rec-O-Phone): 639-4175 Busineea Phone. 639-4171 Inspections Footing Flbq. Underalab Hoch. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Cas Line FINRLs Poet/Beam struct. Son. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation - umg.— Plbg. Underfloor Water Line Gyp. ad. C-MD—h. Date Requested-- — Timer AN _�PH Address:— i ]� �gr Permit Builder:_ i ^.BE FOLLOWING CORRECTIONS ARE REQUIRED: I {IIs f A* -- Z --- i Inspeater/s /� y APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INIP2erl+0H NOT=GI City of Tigard BuildiM "W:"pert0snt 13125 811 Ball Blvd. Tigard, orogou 97223 Inspection Line (Rec-O-Phone)c 639-4175 Business Phones 639-4171 Inspections __ Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Iine FINALS Post/Beam 4truct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation �pl-,b_ Plbq. Underfloor Water i.ine/ nyp• ad. -Misch. Date Requestede �- zLf I Times PM (Z Addregss Permit ; -f`r .�Gti Z J BuIlder2THE FOLLOWING CORRECTIONS ARE REQUIRED: -7 L� I Inspes:toe/: Dates— �( APPROVED DISAPPROVED __ APPROV..D SUBJECT TO ABOV1 +++ccc G11 For Reinap. INUECT10N NOT10 Citp of Tigard Building Departeent I 13125 Sp Ball Blvd. Tigard. Oregon 97223 Inspection Line (Rec-O-phone): 639-4175 Busineeo Phone: 639-4171 Inspection: Footing Plbg. Undarelab -- Nech. Rough-Ln `�lpr�9dw1k Pound. c Plbg. Top Out Gen Line FINALt Pout/Ream struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation _ply Plbg. Underfloor Water Lina Gyp. Bd. -Meeh. Dath Requested,_ Time: _Ax Addreeat Buildors TBE FOLLOP'NG ODRRECTIG93 ARE REQUIRED: 1 --------------- i InspectorsCR) L -- Datei APPROVED DIBJ►? f PROM 0% APPROVED SUBJECT TO ABOVE Call For Reinsp. cit]• Of Z4 —_Y 13125 Bp 9ard m+ildlvg InsPection Line (Rec-O�pyo e)z6 91 I'd went r1 Dr'e9oo 97223 Inspection: Business Phone: 639_4,, 1 Footing Plbg. Underelab Neth. �— FOIynd. Rough-in Plbq, Top Out APpr/Sdwlk � Post/Beery Struct. San. Sarver Gas Line FINAL= Post/Rea, Koch. Framing Rain Drain -Bldg, PlkV Underfloor Ina�lati.on Nater Line -P1uaR;, Data Raguestedt 2 ( ° . _ -Hoch. Aad,asst ti 1ime: PM Builderta� 5e — Permit Z BSFOLLO"'NG — ✓�� CORRSC'�IONS ARS RRQUIP.SD: i r j Inspectore��� _..�_APP"L ..�_ DISAPPROVgp C -._,_�`71ft1lpyaD BUBJgCT TOABOyE _Call For Reinsp, !u I MEN MENMENNEN S�LIY.GLCN NOTICE City of Tigard Bui)ding Department 13125 ON Ball Blvd. Tigard, Oregon 97223 Inspect4.on Line (Roc-O-Phones 639-4175 Business Phones 639-41 Insp,tctione Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. Sass. Sewer Framing ) -Bldg. Post/Beam Rech. Rain Drain Insulation ) -Plumb. Plbg. Underfloor Nater tine Gyp. Bd. -Hoch. Date Roquesteds 1,2 `AipTime= —AM PM Address:-- `/ a rmit 1: _4�, Builders TBE FOLLONING CORRECTIONS ARE REQUIRED: reR XI A.1 C Inspectors - -� Date: �1 Y APPROVED _ "�1SAppROVED ]APPROVED SUBJECT TO ABOVE Call For Reinsp. 1' jpSPRSTT.�N4'PICR city of Tigard Bui14'.lnq D.fiar"r.'41tt 13125 SII Hall Blt;. TiWrd, Vret%un 7.'�223 t inspection Line (Rec-O-Phone: , 3S-4,X �A� tea• Pht,aat 639-41 l Inspection: Footing Plbg. Underelab Mach. :cag.. it 'Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet./Beam Struc:t. San. Sewer Framing -Bldg. goat/Beam Mech. Rain Drain Insulation -plumb. plbq. Underfloor Nater Lina Gyp. Bd. -Meeh• Date Requested: � ,to Tuna: AM i� PM 1 as 4 o c�a Permit Y t!7,;;P Address:�<�s / � � �✓ Builder.• _ THE FOLLONING OOPRECTIONB ARE REQUIRED: i Inspectorf` ___ Data:/ �/ ppppysp DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. City of Tigard Building DepertaMsnt 13125 IM Hall Blvd. Tigard, orwyon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab h. Rough-in Appr/81wlk Found. Plbg. Top Out Gaa Lith FINAL: Post/Beam Struct. San. Sewer !rasing -Bldg. Poet/Beam Koch. Rain Drain Insulation -plumb. Plbg. Underfloor Water Line Gyp. Bd. -Koch. Data Requested: �eTime: AM PM Address: Permit Builders THE pOLL3VfNG CORRECTIONS ARE REQUIRED' I Date: Inspectors_ i i i /"' DISAPPROVED APPROVED SUBJECT TO ABOVE PRMO D�/ Call For Asinsp. INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 972.23 Phone: 639-4175 Type of Inspection � ✓i ./I�+ �;1 .1�_—. Date Requested – ��_`�0 Time A.M.. �_P.M. Address ,/�� a te'//-t ewl j Permit 4(& -L�3 Owner _ Lot # Builder The following Building Code deficiencies are required to be corrected: P67&rr Log—-Big X a Presented to --- Approved Inspector _ J Disapproved Date CALL FOR REINSPECTION ❑ YES ❑ NO �� Project No WASHINGTON COUNTY SPE )N CARD ' 1 0 DEPARTMENT OF LAND USE AND TRANSPORTATION PERMIT NO, / FOR INSPECTIONS CALL: 640-3561 , 24 HOURS FOR INFORMATION C L: 640-3470 7 DATE C� �- `/ �� o ADDRESS . ) {1C 7 Ix PEF+MI TEE 173 D►RECTIONS�.,t,a.�._ �,..�. � PHONE NOc , / _ '.W[CT IONS: IISTRUCT QPCUMB MECH []ELECT _- 1s — T04._ A LED IN BY— F1A OVED. REQUESTED INSPECTION APPROVED L; HOWEVER NOTE: ` y J NOT APPROVED. REPAIR OR REPLACE AND RE-INSPECT: STO17. P WORK WORK UNTIL• INSPECTOR . � � � � �� 7 WASHINGTON COUNTY INSPECTION CARD Project No DEPARTMENT OF LAND USE AND TRANSPORTATION PERMIT NO. ��— I FOR INSPFCTIONS CALL: 640-3561, 24 HOURS FOR INFORMATION CALL: 640-3470 PATE - ��� 1 ( / ' ADDRESS PERMIIEE DIRECTIONS PHONE NO. ,,"'FLT IONS: LJ STRUCI .UMB [_]MECH []ELECT - - CALLED 1N BY FI'APPROVED. — OREOUESTED INSPECTION APPROVED HOWEVER NOTE: —NOT APPROVED: REPAIR OR REPLACE AND RE-INSPECT: -- _ STOP WORK UNTIL• - - DA rE INSPECTOR- '/� INSPECTION NOTICE City of Tigard Building Department �71 P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date RequestedTime A.M. P.M. Address e4,e Permit Owner Lot Builder The following Building Code deficiencies are required to be corrected: Presented toW-+-Approved Inspector Disapproved Date CALL FOR REINSPECTION E YES 0 No INSPECTION NOTICE _.._...,.,. ..��, City of Tigard Building Departme P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 "1 Type of Inspection Date Requested Address TiG me�_ A.M. P.M. Owner _ Permit — Builder _ ��� Lot # The following Building Code deficiencies are required to be corrected: ------------ Presented to r Inspector � ✓�`---------- --'r-"'"proved i Date I_I Disapproved CALL FOR REINSPECTION ❑ rlca ❑ NO MIKA CITYOFTI�� MASTE-RRD PE R 111-T NRD R 111 T fit,. . . . . . . .,. NST90-0235 COMMUNITY DEVELOPMENT DEPARTMENT oRmoou PRIM. PERMIT H. n MST90-0235 9 56 VN"M 6W. P.O.Box 23397,TOMM,OMW 97?9175 DATE 8 ISSUED: 0 /17/9H ' SITE ADDRESS. . . : 12599 SW BRIDGEVIEW CT PARCEL_: 1S133DD--W34W0 SUBD I V 15 1 ON., . . . -., V I I..I.-AGI*%: 0 T SUMMPLAKI.`.: ZONING: !-."4 L r.C I 4. . . . . . . . . . A LOT.. . . . . . . . . . . . . .../3 -------------------------------- BUILDING RE I SSUE:ME)T90-OP35 DWELLING UNITS: J. BASEMENT. .. . . . . . . :0 Sf CLASS OF WORK„ :NEW BEDRMS:3 BATHS:3 C.-)AROGE. »410 Sf TYPE OF USE. . . ;SF FLOOR AREAS--'_...._._._._.--- REQUIRED SETBACKS----------- TYPE OF GOI-Ibl . :5N F I RST. . . . 21150 s f, L E FT. . -7 ft, R 1:G H T 6 ft OCCUPANCY GRP. R3 SECOND. . .. :787 s f FRONT . :20 -f-(-, REAR. 29 ft STORIES. . ., -, . .. . P THIRD. . . . n@ >f REQUIRED----- HEIGHT. . . . . . . . :20 ft TOTAL----- -: 1939 sf SMOKE DETECTORS. PY FLOOR LOAD. . .. . 24M psf VALUE. . . . . $: 6':)616 PARKI NG S(D A C,E:S. 0 Remarks --------------------------------- PLUMBING SINKS. . . . . . . . . . n FLOOR DRAIN& . . . :0 B A C K I:--L 0 W 1::,R F k)N T R S. . n0 LAVATORIES. . . . . :3 WATER HEATERS. . . il TRAPS. . . . . . . . . . . . . . :l8 TUB/SHOWERS. . . :c LAUNDRY TRAYS. . . :0 C',0 T CIA B A G 1:N S.. - .. , .. . .. 9 Id i wom CLOSE' ... . :3 SEWER LINE (ft) . n0 GREASE TRAPS. . . . . . . 30 DISHWASHERS. . . . : 1 WATER LINE (ft) . . 100 0 T 1-4 E R F I XJ LJ R[::S r GARBAGE DISP. . . il RAIN DRAIN (ft) . & WASHING MACH. . . g 1. SI" RAIN DRAINS. . a 1 --------------- MECHANICAL -------------- ------------I.........- FEES FUEL TYPES----------- UNIT HTRS. . :@ type alROW-It by date recpt /GAS// // / VENTS . . . . . :0 I'-',AYM $ 40. 00 JLH MAX TNPUT:0 BTU VENT F:AN(3. . . 4 B P R T 1; 400. 00 FURN ( 1010K . . : I HOODS. . . ,. . . : 1 D P L C $ 40. 00 FURN )=1@@K . . :@ WOODSTOUES. :0 E45[_.,C $ 20. 00 FLOOR FURN. . . . :0 CLU DRYERS. : I BPRI $ 30. 00 BOIL/CMP ( 3HPn0 OTHER UNIT S:0 STDC $ 600.00 GAS OUTLETS: l S9DC $ 250. 0111 Owner: ---------------------------------- PARK $ 25W. 00 DON MORISSETTE BUILDERS INC MPRT $ 39. 00 P 0 BOX 19524 111FILCI, $ 9. 75 M5PC $ 1. 95 PORILHND OR 19*721.9 P P R*1 $ 1.32. 50 Phone 0: P5PC $ 6. 63 Contractors ----------------------------- PAYM $ 1.739. 83 PLL (88/1.7/90 OWNER/CONTRACTOR Phone N: Reg N. - I 6 1779. 83 TOTAL This permit Is issued subject to the regulations contained in the ------- REPUIRED INSPECTION5 ------ Tigard Municipal Code. State of Ore. Specialty Codes and all other F00t/fOUnd Insp Mechanical Insp app'Acable laws. All work will be done in accordance with approved Wtr Proofing T'sm Plumb TOT) Out plans. This permit wilt expire if work is not started within 189 Post/Beam StrUCt Framing Insp days of issuance, or it work is suspended for more than 186 don Post/Beam Meehan Fireplace Insp Crawl Draivi Gas Line Insp pprmittee Signature' Plm/undslab Insp Insulation Insp PLM/Underfloor Gyp Board Inap d By: ...... --------- Ftnq Drain Bsmt Rain drain Insp Call for inspection -- 639-4175 "171,11�ltl TTY OF T T QAPD - RE:CE"l:PT OF PAYMENT PECE T PT NO. i 9C.1 -20 F360 ! CHECK AMOUNT r 1489.8':'� NAME e DON MOF;I a5ETTE CASH AMOUNT c Q.00 ` ADDRESS a F'!'.} BOX 15"`-,'4 PAYMENT DATE' t 08/17/9(1 I SURD IL'ISION F` a OPTLoNC1, OR 9721",w, v wr S-UMMERLAf,:E F-A.)PPOSE OF PAv MEr,T AMOUNT PAID t-UPPOSE OF PAYMENT AMOUNT PAID PU I l...DING PERM M400, "'n't PLUME'I NG PEPM _. __. .. . . ..__1Q2,. 5! MECHANICAL F'E S -Al'i CHEM—. FE ":9.7t, SIRE:ET SDC 600.00 Gric 0 Tit 1 a1 .;?'np•-!j. 4t►!:i I TOTAL AMOUNT PAID ... :_ .... 1489.07, U ® pLm CHECK 1ON APPLIC9 �TYOF T1 6rA } crrror ..s PLAN CHECK Nr Li'.3 t 0- 6 .2 3 2 OEPARTMERD t'IT �� PERnIT 1Y •r_f COMMUNITY DEVELOPMENT DATE ISSUED Ax t1AP/Lor / / 3 3P _V-573 EVIJoe ADDRESS- 175 �1 D -jv G7 �.- LAND USE- SUB: VAIDATION: SPECIaL�S , OWhi[R r-�TtS •n i nB f A/C REISSUE OF: NAME mQ LAST REISSUE: 5 FLODO PLAIN/ ADDRESS: _ t SENSITjVE LAND: pWWE: APPROVALS REQUIRED PL (ING: OWM_ACTOR _ ENGINEERING: NAME: FIRE DEPT ADDRESS: OTHER: �7FriS REOUIRF� PHONE: LM/SUBOON TRACTORS: ' Bus TAX: .ARCH/ENGINEER CALCULATIONS: NAME: TRUSS DETAILS: ADDRESS: PARKING PLAN: LANDSCAPE PLAN: • PHONE: rq" OTHER: ( oortt�NTs: . �' DESCRIPTION AMOUNT AMOUNT PD. GAL. DUE PERMIT N Ap 10-432 O0 Building permit Fees - 1,0-431 00 Plumbing Permit Fees 10-431 01 nechanical Permit fees 1"30 01 State Building Tax (5%1 Building .L�L Plumbing _ riech / q 10-433 00 Plans Check Feel," ✓ 21, 7J- Building 'Building Plumbing riech J�� /� (1•Q `� 30-202 00 Sewer Connection _ r 30-444 00 Sewer Inspection ----- C7 51-449 00 Street System Oev Charge (,OC) --�-�- 5 stem Dev Charge (POC) 52-449 00 Paries Y + 1 31--450 00 Storm Drainage Syst Ocv Cllrg (S-"OC) 10-230 09 TRFO 10-230 06 Washing Con County Firc 91 (` 1-) \ 10-220 00 AmartlW�9e'''� aftw- IUTr1t --�H--- - QC1 _ -A t•L , SEWER CONNLGTION --- CITYOFTI(FARD V,E R III IT (Cnff YA'i F�Tl 6A RD 1'-*,V.-_R VITT 0. . . . . . . : 1-3 W R 9 0 0249 COMMUNITY DEVELOPMENT' DEPARTMENT 1,R 1111. F,E R 111 T III!.-)T 9 0—0 2:35 13125 SIN Hoil Blvd.P.O.Box 23397,n9vd,Omigon 97?,= ,"0 4 r��5 ��77 D(-ffE ISSUED: 06/29/90 ()DDRr.-*.:`:,)�:,)— . :: 1.2,599 SW DRT.DGI::*V1I,:,.W (','I Vl(ARCk-'L: 113133DD VS 13 ':')(.)rAD1V1S1ON. . — :: VILLAGE AT SUMMER Lr-)KE 0,3 ZONTNG-. BI-OCK. . . . . . . . . . I OT. . . . . . . . . . . . . ...73 TI:-:AA0NT NAMk` (J'.-')A NO. .. . . . . . . . . :416b? F'IX'TURE UNITS. . . CI ASS OF* WORK. . . :NEW DWEA-LING TYPIE OF USE.. . . . . :SF* NO. OF* BUILDINGS-. 1 1,NS7 A L L T y P.F.:. . . . ..BUSWR GURF-FiCF... F'EF-S DON MORISSETTE BUILD[KRS ]:NC tyre ;.A A)0 k.1 1-1 t by data recj)-t V, 0 BOX 19524 VIRVIT $ .1.2 5 0. C-)0 1.11 S r-, Ii :35. 00 V'ORTLAND OR r.,A y 111 11; J.28";. 00 .)L.H 0 6 29 9 0 C.'ONTROCTOR NOT ON FJ*.LF ........... ID I-)c))-I e 2 Ki.,0 0 TOTAL_ Reg 0. . -. RE OUIRED INSPECTIONS This Applicant Agrees to comply with all the rules and regulatiors hewer 1i-lsf)evti(-)n ................... of the Unified Sewage ADency. The permit expires 120 days from ..........--............ ............. the date issued. The total amoorit 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 su located, the installer shall purchase ........ a "Tap and Side Sever" Permit and the Agency will install a lateral. ...... Pernij.tt.ee ........... ........................ 1 15 Si L(e(I E4 y ................ ............. CAI J. ft-)-r inspec-Aiari 639-4175