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13097 SW BOUNEFF STREET ADDRESS: 4.0 18acI AM S7� nre i\records\microflm\targets\building doc CITY OF TIGARD BUILDING INSPECTION NOTICE \V Inspection Line (Rec-O-Phone): 634-4175 Business Phone: 639-4171 �•.� Inspection '�2� Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plhg Top Out Elec. Rough-in < j Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. / Alarm W..ier Line Insulation Underflr. Insul. Shear Wall Gyp. Bd. -Elect. L - CDate Requested: Time: AM PM Address:1; �c c`no'l 13mol"r. 7c/,-) -,-30 G Permit �:l�7(��y S - G 0-3 THE FOLLOWING CORRECTIONS ARE REQUIRED: Ir ' t✓►-�,. ,�,.�_ C�C_Z..,,tea'..� rz l F s Inspector;__V�_ �" --- Date: L) C PPROVED _DISAPPROVED —APPROVED SUBJECT TO ABOVE �'� n Call For Reinsp. C11Y OF T I GARD MECHANICAL. COMMUNITY DEVELOPMENT DEPARTMENT PE RM I T 13126 SW Hall Blvd.Tigard,Oregon 9722396199 (503)639.4111 PERMIT 0. . . . . . . I MEC95-1211217 6.s'j--417, DATE ISSUED: 02/ 16/95 PARCEL: 2S104AC-08800 J'! E ADDRESS. . . : 1:x'09 7 SW BOUNEFF ST 61-ilvUIVII;ION. . . . : MORNING HILL #9 ZONING: BLOCK. . . . . . . . . . . LOT . . . . . . . . . . . .. ---------------------- CLASS OF WORK. . PkL'I' FLUOR FURN. — i EVAP COOLERS: TYPE OF USE. . . . aSF UNIT HEATERS— s VENT FANS. . . & UCCUPANCY GRP. . i R3 VENTS W/O ADPL: VEN'r SYSTEMS: SJURIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . : FUEL TYPES------- 0-'3 lip. . . . . DOMES. INCIN: x IWODI 3-15 HP. . . . : COMML. INCINi MAX INPUT: B'1-L1 15-30 HP. . . . : REPAIR !_)NITS: FIRE DAMPERS" s 30-50 HVI. . . . s WOODSTOVES. . il 13AS PRESSURE... 50+ HAY. . . . i CI-O DRYERS. . : NU. Of A I R HANDL I NG UNITS OTHER UNITS. s TURN ( JOWK BTLJ.- 0.- 1001,10 cfm : OW3 OU11-LIS. 1L)k1\1 ) =100K B-TU: > 10000 cfm- Remai-ks : Pellet stove inset-t. Owner: FEES GEORGIA RAPP type akitiourit by date t'ecpt 13097 SW BOUNEFF: PRMT $ 25. 00 BUN 02/16/95 5r,(,T $ 1. E-5 BON 02'/ 16/95 TIGARD OR 97223 Poone #s Lantractort OWNER Phatip 26. 25 FOIAL Req REQUIRED INSPECTIONS, This perlit is issued subject to the regulations contained in the WocicJstove Insp Ti;4rd Municipal Code, State of 0". Specialty Codes and all other V i n.-%I I n ci pect i on applxahl= laws. All work will be done in accordance with atoproved plans. This pproit will expire if work is not started within :84 days of issuance, or if work i5 suspended for more than 180 days. P-r-inittee Sit !"'.rrPc yq i.it I ls,it-iecl Dv : I f o t- inspection 639-41 City of Tigard MECHANICAL PERMIT Plarlck/Rec. # _ —_ 13125 SW Hall Blvd. APPLICATION Permit # Tigard, OR 97223 (503) 639-417', soap on Table 3A Mechanical Coda CITY PRICE AMT .lob 1) Permit Fee _ •0• .0. 10.00 Address .r7, 2) Supplemental Permi'i 3.00 - urnoc(.to TwQf gru 1) incl. ducts 6 vents 6.00 umic-*-= tS + Owner2) Incl.duds rF vents -- 7.60 AP-_ ournan-5 — 3) Incl. �-m 8.00 s`panded heater,w7-6iiaWr-� 4) or floor mounted heater 6.00 —pent noT inr•.7i Occupant - - Occupant 5) appliance permit 3.00 - spar oTF'h-Tr j;r-effog. — - 6) cooling,absorption unit 6.00 -- '-� - Boiler or comp—IW—al pump,sir cond. 7) to 3 HP;absorp u-A to 100K BTU 6.00 --------7ymw-"-- Boiler or comp,hent air cond. 8) 3A5 HP;absorr)L011 to 500K.BTU 11.00 Contractor - - - - -- her or comp;�t pump,air Fo . 9) 15.30 HP;absorp unit.5.1 mil RTU 15.00 Bo rw or camp, s(atmp,au coni - —- 10) 30-50 HP,absorp unit 1.1.7!3 mil BI 22.150 1' hereby ac now gea ve re giro icafion-lfinTHio er or'comp,Met pump,air ori Information given is correct,that I am thea owner or authorized agent 11) s 50 HP;absorp un!t 1.75 mil BTU 37.50 _ of the owner,that plans submitted aro in complianom with State Air hi-nWic tng unit is _ - laws,that I am rsgistered with the Construction Contrector's Board, 12) 10,000 CFM 4.50 that the number given Is correct. (If exempt from State reglatration, Air handling unit phase give reason below.) 13) 10,000 CTM+ 7.50 ---Wo—nporMli r_- 14) evaporate cooler 4.50 Vent an connec �- 15) to a single duct 3.00 '—" Ve-rihiallon sys m no u� - 16) Included In appliance permit 4.50 o aerviT6"y - r� �C 17) machanicRl exhaust 4450 -- u1sove work n a alleriii,n reper'CT Commerclar or n us r a to be done rasidentlel 0 non roaldential Q 18) type Inclh v,stor 30.00 -Exiii1ing use of -"- ar .e.,woor s ove,warn--- building or property 19) heater,solar,clothes dryors,ata 4.80 - Proposed use of 20) Gas piping one to four outlets 2.00 building or property_ _ ,_- -"`^ - LL 21) More than 4•par outlet J' Type of: a oil O natural gas 0 LPG Q electric 0 � Minimum Foo$25.00 SUBTOTAL PERMITS BECOME VC';D IF WORK OR CONSTRUt.rION AUTHORIZED IS NOT ':OMMENCED WITHIN 180 LAYS,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 Special Conditions Data Issued by ..,•ve,Yr. Permit #: I Address: Issued'b.%.*: Date: Statement: Information Notice to Property owners About Construction Responsibilities Note: Oregon Law, ORS 701.053(4), requires revidential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building perrnit can be issued. This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will befjiled with the permit. Fill in the appropriate blanks and initial boxes 1 and 2,and either box 3A or 3B: 1. I own, reside in, or will reside in the completed structure. �- 2. I understand that I must register as a construction contractor if the ;tructure is sold or offered for sale before or upon completion. F] 3A. My general contractor is (Name) Contractor regi-i. # I will instruct my general contractor that all subcontractors who work on the structure must bis registered with the Construction Contractors ijoard. OR L1 313. 1 will he my own general contractor. 11A hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a general contractor, I will' contract with a contractor who is registered with the CCA and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and dounderstand the'information Notice to Property Owners about Construction Responsibilities on the reverse side of this form,. _ c -- (Signature of permit applicant) (bate) (White copy to issuing agency permit file, pink copy to ai7plicant) information Notice to Property Owners About Construction Responsibilities Note. This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Cont,-actors Board in accordance with ORS 701.05.5(5). If you are acting as you;own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many pcoblems by being aware of the following responsibilities and areas of concern. I MPLOYER RESPONSIBILITIES: If you hire persons not registered with the Construction Contractors Board to do labor in constructing or assisting in the construction or improvement of a residential structure,you will,in most instances,be ruled'to be an employer and the people %,ou hire will be employees. As the employer,you must comply with the following: Oregon'. withholding tax law: As an employer,you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more infomiation,call the Oregon Dept.of Revenue at 945-8091. dnemployment insurance tax: As an employer,you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information,call the Oregon Employment Division at the Department of Hunan Resources at 378-3524. Workers'compensation Insurance. As an employer,you are subject to the Oregon N"►orkers'Compensation Law,and must obtain workers'compensation insurance for your employees. If you fail to obtain workers'compensation insurance,you may he subject to penalties and will be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers'Compensation Division a'.the Department of Consumer and Business Services at 945-7888. U.S.Internal Revenue Service: As an employer,you must withhold federal income tax from employees'wages. You will be liable for the tax payment eaten if you didn't actually withhold the tax. For more information, _all the Internal Revenue Service at 1-800-829-1040. OTHER RESPONSIBILITIES AND AREAS OF CONCERN: Code compliance: As the permit holder for this project,,you are responsible for resolving any failure to meet code requirement that may be brought to your attention through inspections. Liability and property damage insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools,paint overspray, water damage from pipe punctures, fire,or work that roust be w-dont Time to supervise employees: Make sure you have sufficient time to supervi,,e yo.jr employees. Expertise: Make sure you have the expertise to act as your own general c^•-itractor,to coordinate the work of .uugh-in and finish trades, and to notify building officials at the appropriate times so they can perform the required inspections. If you have additional questions,write or call the Construction Contractors Board(PO Box 14140,Salem,OR 97309-5052, 503/378-4621). The Board is located at 700 Summer St.NE Suite 300, in Salem. pro"*n.pm4 1194 r CITY CIF T I BARD RF_.CF 1 PT OF PAYMENT R(.--.C;F7 X F`f NO. CHI:C;F: AMOLIN T a 26. P?15 NAME s RAPP, BEOROI A CASH AMOUNT a (a. 00 ADDRESS t3097 SW BOUNEFF" ST. GAYMFNT OWE a 02/16/95 TIGARD, OR S,UBDIVIGION t 9'7223-- PUFdPOSE, OF PAYMENT AMOUNT PAID F"JRP08 Or PAYMFNT AMOt..)NT POT1, P5 PELLET STOVE tak:WT T 0;Al tIMCIt INT PAID - - — —> 26. 25 .CITYOF TIGARD COMMUNITY DEVELOPMENT DEPARWENT c�:�rlf IL:ATF_ OF 13123 SW Hell F vd. I iynrd,O•oogon 07223.8190 (503)030.4171 OCCUPANCY xxxx PERMIT IF. . . . . . . x 639--4171 DATE ISSUEDi O8/1O/93 PARCEL.A =S104AC-O6800 ,SITE ADDRESS. . . e 1 017 LAW POUNEFF= OT SUBDIVISION. . . . a MORNING HILI. #9 ZONINC3a BLOCK. . . . . . . . . . t LOT.. . . . . . . . . . . . . u231 CLASS OF WORK. i NEW TYPE OF USE. . . rSF OCCUPPNCY ©RP. a R3 OCCUP061CY L OAD t 222 4 TENAN'T NAME. . . t ReMarkse PATH I Owner: JAY MILLER PU BOX 232' 1 TWARD OR 97?81 Phone #t 684---7543 Contrar,torR -_...,w_._.._ JAN' MILLER PO BOX 23P91 TIGARD Oil 97261 Phono ire 684--n. 43 Reg 0. . c 30109 Occupancy of the wboyk referenced bUi ?.ding it hereby given. and csrtifios the compliance with the State Of Oregon ape►ciAlty Cadet for the group, occupancy, ^nd use under which the roferenc•:red Kermit went is4tir. d. / ... . FIRE DEPARTMENT BlJ. LU p I -PECTOR L 0- 1 POST IN CONSPICUOUS PLACE city2 or Tigard Building 13125 811 Ball. Blvd. Tigard• ths�92jy"­_ Inspoction Line (Roc-41 •Phonw)t 639-417S Business Phones 639-4171 Footing Plbg. Undw:slab Mach. Rough-in llppr/Bdwlk 1. Plbg. Top Out au Line 11K post/"mw Struct. San. Rower rrmingl--Bldg. Post/Qeam Mach. Rain Drain Insulation /�plutab Plbg. Underrloor Mater Line oyp. Rd. \(\-Naoh.J Data Requesteddt /J y�(C2 �t�3y�(► Timot PK llddrese� �T1n11��(JUY�C 1i T Permit #1(j �jd.�_SO Builders_ -y1' Q� TBE FOLIAMINO CORBSCTIONS AM PDWINNDI MC 7napecto�JAPPROVZD batet _A1"S"PROVED /APPROVED SUBJECT TO ytl _Call For Reinmp. IIlpP�Tt4�lJlQ1'ls�l4 city or Tigard Muildiep Department. 1312S ag Hall Blvd. Tigard, Oregon 97223 Inspection Line (Ren-o-Phone), 639-4175 Rusine®n Phone, 6:19-4171 Inspections_ Footing Plbg. Undorsl.ah Mach. Rough-in Il�r��Atfrrlh Pc„and. Flog. Tap out Gas Line IPMALt Post/Ream At.nact. Aon. newer Freeing -Bldg. Post/beam Mach. bin Drain Insulation -Flueb. underfloor Nater LLM Opp. Rd. IMalh� Data ►%gyee`adl- _ Tleet „ S4AddressoPermit �, - Ruildert TR�RWILI.OMIMO 00PRRCTIONr ARE RRQUTRtD, _VJ f�•.i.�I�f� /[I.A�.r�J / I/ , ---++rim or -ti • •d•dxr v a.G rev L� r 7 tnepectori Datet _.,APPRovsD nTAAPPRnNEn I� APPRmRD su&mm TO ABOVE ` w]1 Fro Reinap. INSPECTION NQYICE �,� ci�y or Tigard building Department 13125 60 hall R.Lvd. Tigard, Oregon 97223 Inspection Lino (Aso-O-Phones 619-4175 Business• Phones 639-4171 Inepoctions Itx,tInq Plbg. Underslmb Mach. h-jugh-In Appt/Sd.,lk round. Plb9. Top Out nag Lina ILMALs Post/Sean struct. San. Sewer Framing .aide, Powt/seam Mach. Rain DraLn Insulation -Iluab. Plh9. Underfloor Nater Line gyp, ltd, -Umk, Date Requesteds Tim s -71 - _��1►M// Mdreses�_�L)J� ht7it #sC Builders 211��'_ J THE rOLLONINO OORRECTIONS "a ligWIMMl / Inspectors [_,U //y�/ 1 �. Dates!_'1�y� _APPROVED _ DISAPPROVED _APPROVED SUBJECT TO ASOVE .--Call. For Reinep. Citi of Tigard Bu llding Departtmovt "'125 SW Ball Blvd. Ti krd, Oregon 97223 Inspection Arne (Roc-O-Phone)r 639-4175 Business Phones 639-4171 Inspection Footing Plbg. Underalab h. Rough-itt� Atpr/adwlk ` Found. Plbg. Top out Gas L rna-/ F1N11Lr Past/Ream Struct. San. Sewer Fraiming -Bldg. Post/Seam Mich. Ra1n Drain Insulation -pl,job. P.lbg. Underfloor N/a/meter Line Gyp. Bd. -Hoch. Date Requestedr.�__L(� ` Yiaer AH PH Addtesss — �:telPersit Is Builders THR FOLLOWING CORRRCTIONs An RNQUIRBDt — I I _ --- ---- Dater��" —71 APPROVtitQ n19RPPAOVRh - APPPAMD SUBJBCT TO ADM ___-,Call For Rainsp. t i1!>lPYS�'l.Q1LJ�1'1�E � city of Tigard building Dwpartleent �J 1312n Int pall blvd. Tigard, Oregon 97223 Inspection Ltne (Rau--O-Phone) 639-4175 Business Phonst 639-4171 ( ! e Inspect ion t_ Footing Plbg. Underalab Hach. Rough-in Appr/Bdwlk round. Plbg. Top Out One L1.ns VINRLI Punt/Ream 9truot. Ban. Bawer rraming -Bldg. Po■t/Beam Hoch. Rain Drain Insulation I -Plumb. Pllig. Underfloor Nates LLM OyP. /d. -Mach. Date Reque■tedt� �� �� ___ TLYt -SII (��Ut A.ldrenes ` �� Permit 1 t 1;l r Builders—7 I= POI.LONINO CORRECTIONS 11Rr RRQU1RRDt �" Com; 1_•.-�- 1 CL,'V'.- - -�-. Inspectors natal, 1 Z APPROVED DIRAPPROVIM V ApppovRn nUBJRcT To ABOVE Call For Reinap. INIPECTION (s,� City or riq&rd NuLlAing Daparteent 13175 Xw 3a11 ■l.d. :iq..d. Oregon 97223 Ingwceion Lino (PAC-o-phono)i 639-4175 Buminuwe Phanrr 639-*171 IneperJtlonr_._ rooting Plbg. Underslah Koch. Rough-in Appr/edwlk pound. Plhg. ?op out gas Line rINALt Poet/Brom 9trunt. sen. Newrr prying -bldg. Post/seas Noah. Rain Drain lnsulatl.on -ply. Plbg. Undern oor Nater Line Gyp. Ed. -Neuh. Date 1lequeetwdt TLnet _ �,,�,� Addresem_ � `1�r/ 1 t.{ G�IYri 1' Permit #r ; Nuilderl_ TIE WOLLOMTNG ODRUCTIONS ARE llllQUIREDt f 1 INspsctor e Dater -3 -9-3 � APPROVED 4 DIBAPPROVED APPROVED BUBJtCT TO ABOVE _Call For NoInap. jNSPE41IOdI MOTI city or Tigard Buiwag Depertwaot 13125 eD Hall fled. 7190rd, Oregon 97123 Inspection Line (Nae.-o-•Phone)s 639-4175 Business Phones 6.39-4171 InapecCLon,_..__�. Footing Vlbg. Underslab Mach. Rough-In AV,)r/Adwlk Found. A Plbg. Top Out 1 Gas Line FINALe Port/Beam Btruct. Ban. Bower framing -.Bldg. Port/Dewe Rech. Rain Drain Insulation -Plumb. I Plbg. Underfloor Mater Line Gyp. ad. -Noah. Date Requested f Tues 2S—m Address i_� ) Permit 0.13+ —.+K Builders �� THi FOLLOMING OORRIO'PIONS AM PJWIRRDs ' I InDpeotors ___�_ _ Dates ^ �� �APPPAYM DIBAPPNOV*M ---- APPROVED 20"ci' To #Nov -_call For Nelnep. j SP=CTIOM NOT, City of Tigard sulldieg O"sartmaot U12S /w sell blvd. TfL9&rd, Or"Ma 97223 Inspection Line lRec-O-Phone)i 639-4176 Business Phomas 6.19-4171 Inspections Footing Ploy. Underslab Mach. Rough-in Appr/BAvlk Found. L Plbg. Top Out Gas Line FINALS ------------hre, Post/Reas atruct. Sen. Sewer Framing -slag. Post/peas Hach. Rain Drain Insulation -Plumb. Plbg. Underfloor Mat er lLims Oyp. Rd. -�h. ` U Data ReQuesteds -f/ Z3. Timsi X-1AM PM � 7 AAdre.• /._`'U `� , J Permit o t(,- Su l lder t.. TOM FOUAMINO CORRiCTIONa MM RiQUIRSDs Ke Inspectors Data$._(._'_' �S APPRdVrD �,( nisAPppovwn APPWWRD SUS.7RCT TO AWWR �' Call For Rainap. City or Tigard Nuildiag Dapartmsnt 11125 1011 tali Blvd. Tigard, Oregon 97223 Inspection Lino (Rea-o-Phono)s 679.1176 Business Phonro 639-6171 Inspect ion i / Footing Plbg. Undarslab Koch. Rough-in Appr/Ndwlk Found. Mg. Top Out Oss Line FINALS /prt/Nat Nteuct. Nan. /ewer Fr"Lnq -Bldg. fo10t/Mr Naoh. Rein Drain Insulation -Plumb. 01derL100e Natm- Line orV• Nd, -Mach. Oahe 11aquented1 Addromes ft=Lt t1 Bullclar� � '' TNS WOLLOHINO CORRSCTIONN AkN ReguiRNni v I — Dotal APPROYIID Df/APPROVSD APPROVSD NUSJICT TO ANOVS _Call For Roinsp. lllbPlLTl4!!._bOTIGi ���1r-••••T city of Tigard Building Dmpartmovit 13178 M hall Blvd. Tigard, Oregon 97223 Inspection Lina (Rnc-O-Phone)t 679-417s Rumness Phanno 639-071 Inspectiont Footing Plbq. Undarslab Mach. Rough-In Appr/Mdwlk /ounA. Plbg. Top out Use Line FINALt Poet:/Ream Atruct. �Never Framing -Bldg. Post/Ream Hach. Rain Drain Insulation -Plumb. bq utxdar[loo r Line gyp. ad. --Koch. Data Raqueatodlf T1M1 AH , PH _ Addrwasl hrsl! It TIIR FOLLONINQ CQRREL'TIIN A ARS RSQUIRM APIROVfD _ DIRAPPROVRD APPROM /URJNCT To 142M _._ _Call For Rainsp. �MBr>li�rioN !lQic J Cltr Of Tip,'rd Building Depertawrt 1.31176 N Unit Blvd. ?L9srd, Oregon 57743 Inspection Lind (Rec-O-Phonvir 634-617".. Nualnou Phon.r 634-4171 l.:Qpsot ion r Footing Plbg. Underslab Mach. Rough-in Appr/Mdw}.k Found. Plbg. 'top Out Gam Line VINALr Post/Beam Mt,ruet. Man. sower Prasiing -Bldg. Post/noaa Mach. Rain Drain Inaulation -Plumb. Plbg. undortloor Nater LLnn Gyp. Md. -Noch, Date RsgWBIMI ,es- !'�-�'_ ' Addrsssr t/ _ Permit (Iry (��• �� Buildarr—.11 TWO POLLOIIINQ am"CTIONM ARI RBQUIRBDr Inspsotorr _ Darer 5P / APPRKMQ DiMAPPp(TIBD APPWWPfl Nr1R,124T TO AMT/! call For Ralnap. ---------- lim I ; 0i. mij I CITE( CSF TI.GARD CC.#MMUN1TY :jtVELt5PMENT DEPARTMENT DATE 16SULD1 OV-5/ 1,31"13 13125 SvV isWd.Tigard,Oregon 97221.61119 (503)639.4171 U, ; . ,10 4-Mcp. 1141) )N. Ni 141L 1. # j ZONING- WAbHINB 144LH. . . . . . . p I JUA:e.t ',.UW PW',.Vel rRF3. . u tO f Rk WAILH HL-J41,04S. . . . . . 41 (,O"lii rl BAWNz4. . . . . . . t v) LAUNDkY I RAY S. - - - - kkI1V WiP i i%,,,. . . . . c I )INKS* . . HAPL,). . . . . . . .V U'Tllll--I,l I 1ATURL!i. �O w*iSHOWERg'; bl-,.WLH LINL (ft Q) Arv!' ct-00F. 19. W14TTO LINIC t 1 1; HAIN DRAIN d Pt ) sO 44 w ', Oy 1lF' 1. 1-400, Oko J-H 0 5 OV9 O ,-4 ux Eipill $ 409.100 JH Cd I SPL.0 * 40. 01711 4i, w4)30i"�3 . '#, , JH 0!W 13/143 L004 $1? It (.1"Id SSUL, 111 00 .114 1651 PARK 500. 00 J1 1 0"1/1,A/q MPR 1 b i+;3. Jt? lZlt MPLG 10. 613 JH 03/1 .fA Meg Ljw)dy2l�- - MOW. `1i ot r'1,�& Pp k I" $ JI-i 05/13/93 L t y 1 1:3 JH 05 E., 4 RUJUIRLD INSWIXT10NR ' 1.0" )ett to the rtov)-, IaLiciw, containvil ii. the IiUmird Municipa, Foot /fouvid 111sp RAIn dcaln ji'st(, ods" ':A,ate I)i L',Vo. &VIIJ 4,11 Pi., Al-ciemm 1.itrULt WOtO) LLI'li- '11"4P thipt" Applicable iaws. Aj � work will, b& dune Post"kdoam 1410 ham (1ppriudw1k Initp .r*V^Wtt will pyr%4'v-- if-�W#00 0'!r' hx .i I Lot, (J,A Y;. () I ', �b I IA&M -, III' f WIWI( 1 .0 14P, 18"If M povidad f or inure tlImI% 1110 ddlyti. plumb lop ch.11, iostcm I.,f3iltv I V*v fAming I n s w I Viv-eptace .in"p UAn Line Ivisp (ilyp riward fnfip (:,Ali ior enspectiOn 6:39—ti 111 P40011-k fif.RM I I CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Olvd.T19wd,Drellon 97223*8109 (503)639-4171 /9"1 JJr )1V1L;1QN. . . , . MORNING HILL 09 lam.i.. . . . . . . . Lo I . . . . . . . . . . . . . HU I LD I W-i LaIJL s KS I't) 010 1 ilfr)1:L1..114b Ut4J 1'3: 1 N I 01,'16 OF' WORK. i NLW j4DRIVIS Asa W41 HS:,3 UARAUE. . I b i:t CJF' U WA:. . . t JI"' F, ;JCJI( AR[ Oli- RLUU I R1,-.0 ;.,1:: 'I BOCK.; IF UF' CUNbl*- F] RST. . . . 11)70 0 LEI-T. . :6 f t R 1(''0141 . WW L'16LIOND. . . s 1366 f I RUN I . 4 t io Ili Zj. . f NEGUI REV-- . . . . . . . . .. t I U I vik- 113:4 S if SMLJKi- JD1-Jkt;T(.,W6. 1Y 1. 1UR L OND. . . . 1441 p f' VOLUL.-o 9 1 B88 PORKINO (i,P`ACLS. t• irnr-Irlt POTH I PLUMUING . . ... . . . . . . Pit I BACKFrLUW PP E V NT NS. 0 W'P 1 OR I Eiti. ;4 W141 L R 11i 1, ry . . . . . . . . CID S: I 144YJ. . . . . . . . LR CL(3SF-1 I;LWL,ii iANL ( ft ) . tO cmLALV i-nr4pc1. it W1 11,N IXn I. I RAIN OHAiN ( Vt ) . so 4 INU 14AIA4— ml W OHWNS. . I t"W. — . -. I -­ '- . I L k. U1 J I I III Wi. . IC' by dot* VLN T'G . . . . . ..0 r i v I itL,0. 00 JH 115/ 13/93. B T'U VLN r' fL , 1,4 Opk I * Af1:%J. 00 JH 0°i " i *i'),3 1V i I 11116K . I !-luont. . . . . . I j SPLU 4 4t). 0.10 .JL,, 04 30;/19:3 93 C-I > - OWK . sP WOODSTUVIJi. %4,. 'At. 1 11 s CLO DR VEAL. . I I 0,"� �-, 9 0,,Hltft" I 1P4 T 7,;:i t I PAPK t n1b111. 00 it I w,x/ (IRS ULl t 1J. I G: A MPRT 4611. 150 JH 9115 141/'9 05 1 9"4 L. 1 13 J+4 05/ L3/')j 116 0 jH Vill.,/ 1 1)1s 7. '715 JH 0")/13 13- C-84 -7S4 3 80 Y, five -154_5 e is Afreit is 1.00N 106joet th.t (9QU,4!I0nS Lent-tined 0 the t1f G11J I W' D A NU4 Li, i I Ui%,:j 41ro Municipal Wei Stott f &tj Specialty ,"odes and oil other F 0 0 L (:Lirld Intl.) ri-oploep Iris 411f- w-it 4h work iiiiii be doAt to wearunct wiv, Appirmc- Postlf3eatm rjtrot,t G46 Line 1116P his pfrait oil) expire if wort is not start,%d within 164 PU,0 /008m mpAcim In4ki1 GAtioti lrl%p f4jill Of 11111100, U111 if txorli 1% stillpfft0d,for morp thai, Ilk days. PLO/utidslsil) Trisp (;Yp SiAkf'd 111sp PL 11/U-i(Aar,I- I vot, 'in i Ii dt Al 11 1 tinj- 0 1,Lit$IN t kA 1 v I';PC 1 1,-4,1 if a1 i , -ip 14-vitel' Lji,rs [miA, 11410b 'I UU I. (4T)tjt~113(IW 11, 111'. val 1, 11SOO(A I of, 1!,34-4t 5 CITY CSF TIGARD - .4� �.u'ti'+u_, . S �I»I., � I COMMUNITY DEVELOPMENT DEPARTMENT II 13126 SW Mall Blvd,Tigard,Oregon U223e61" (503)1 1}4171 I ;?f T AT)DR1✓'aE.i. WUNEF'F G T' 'L1HC�L a c^�3 i+li4!"iC�1t►►riC��,ry 114T1`401': . .. . . . . . . . . . L 07. . . . , . . . . . 31 L-:.N$4N I No 44L. . . . . . U A NO. . . . . . . . . . a F I X TUPE UNji, I a. . . a I I A134a �it;lfil;. . . :NIS i OWL'L LINA UN L'T! . . a i YPE UI LIVE. I1\49T'teLl.. i Yr.L . . , . :.LALJSWi( 1 tot'L V �fL R tatlk. . a Rpmc+rr's a PAIIi L 164Y M.iL_i._UR gyp i�ma'.i= t by dates r_ prt. PRM'T' i P—.100. 00 .11-1 05/13/93 i'd:.il•' $ 00 J'1•i 0!5 1..?" IIUPK1) UH 97i:"i1 �i�rar►� �: IrHA—�:54�� L,UNTHPUTUP NUT UN FILL 014 "h,is Appl►cAnt agrees to corpiy with all the rults and eigulstiane Sewer, lrespeeczt ioll of the Uni`.td Sewage Agency, Tho perrit 11'Wil•es 180 days r"M ,np data ►ssuta. The total aeount paid %ill be forfe►ton 0 the om-git eepl+•ts. {he Agency does not guaratitef the accuracy of thi to savor Laterals. if the sewer is not iscatocs at the eeasurerent pre, the lnstcl er shall prosptct 3 foot in nil direr:fons fret di;tantl' g,.en. if not sa iotated, the installer shaii purchase ap and Slid! Smer` Pori►t ane the Ngtnc� 1riiL install a Lateral. I !1 1r 1 t•t k+k' i]�.(�rt.���1�'f• .' _.__..__.�.�..... .._._. .. .�..._.._.......�__..r.�.... __.. .....».._............._.__...._. foot in%perc.t i on _.. 639'-4175 CITY OF T I GARD -- RECF I FIT OF VInYMt"NT RF CF.:I F'T Nfl. r 93--8400415 CHECK AMOUNT r 5023. 76 '7E, hlf►M . r MI1._LER, JAY CASH AMOUNT r 0. 00 c 1A)RESS r PAYMENT DATE' r 05 1,"319 SUBDIVISION r P1)UPOSE OF PAYMENT AMOUNT PA 117 PURPOSE OF' PAYMENT AMOUNT PAID 13t.lILDINq BERM 409. 00 PL.UMBING PERM 155.00 � Mi,*;CHAN I CAI. FSE' f+;3. 5lh H T. SU I L D PER 30. 38 PLAN CHriCK FE 10. 86 SEWER USA 2100. 00 GFWFR IN9PFCT35. 00 PARKS SDC 600. 00 gTORM DRAIN 13DC 280. 01A RESIDENTIAL_ TRAFFIC FEES 1350. 00 � MASS TRANSIT TIF FEF:£; 110. Q10 13,097 RW BOUNEFF ST W FAL AMOUNT PAID 5003. 76 i • ttltll i� - i 1312.1SW 1691 W. PLNCK/RLC�T #ClTYOF IIGADrDELOMENT )E ARTMENT71pnk Or.go,91W PERM I1 r (501)6191171 DAII ISSueD JOB ADDRESS: )�!L)9'7 5N 50ory--b m, TAX MAP/101 S, SUB: jjaaM t rin FaLl_L " q LOT: _ 231 _ LAND U`. I VALUATION: _.!?I l `y REV L NOTES NAME: --_-•J a .r' ADDRESS: -P. 0- I���,r LAST REISSUE: — � a Afl-001) PLAIN/ PHONE: _ _ SENSITIVE LAND: NAME: } �1.i LLoty ����! � �- -. PLANNING: 1 � 5� . ADDRESS: �5cxm ) ENGINEERING: FIRE DEPT: PHONE: _ OTHER: COW R. BOARD 0: O 10 cI EXP DATE: A Q ��f�5_Rf;QU I Ftkf� SWOIJ)R/LC0 S: PLUMB: LIST/SUBCONTRACTORS: MI.:CH: �T'C U i �r BUS IAX: ARCIVMGj9 CALCULATIONS: NAME. TRUSS DETAII.S: 11DDRESS: _ OTHER: PIlONF PROPOSED BLDG. USE: COMMENTS: Ott APF'I.IC rl SI ATUV- Received Hy: _ Date Received: r PERMIT # ACC-1 N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE t7�gt -O z�ti 10-432 00 Building Permit Fees 9 _ " Vo 10-431 00 Plumbing Permit Fees _ 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) � 30,3Y Building Zo, +l! Plumbing Mechanical 10-433 00 Pl ,•, Check Fee ' Buiiding Plumbing Mechanical 10-2.30 06 Fire 30-202 00 Sewer Connection utJ '' _ ov 30-444 00 Sewer Inspection 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 2.5-448-06 Institutional TIF Fees 25-448-03 Office TIf Kers 25-448-01 Residential Traffic Fees 1,350 25-448-05 Mass Transit TIF Fees —11d 52-449 00 Parks System Dev Charge (POC) - 31-450 00 Storm drainage Syst Dev Chrg (SSOC) 24.445-01 Water Quality (Fee in lieu of) 24-445-02 'dater Quantity (Fee in lieu of) TOTAL .SDS J, �� U 13 nm/3587P.WPF f.:I'TY OF T'IGARD -- RECEIPT OF PAYWNT RECFIP7 NO. u93—R39`"i75 CHECK AMCJIJNT v 80. 00 NAME, t MILLE"t JAY CASH AMOUNT s 0. 00 fallDFtEM PAYtf NT DATE` a 04/,30 9 3 SUBDIVISION o PURPOSE OF PAYMr NT 0101,041T PAID PIIRP08E OF PAYMENT nMrttlN T PAIL) 40. 00 PLAN GNF. C.V IT, 40. 00 10533 9W TITAN t_N :;311197 sw FiOUINFFF AMDUN-r rn I D 80. Owl i