13135 SW BULL MOUNTAIN ROAD ADDRESS:
131
i\records\microflm\targets\buildirig.doc
CITY OF TIGARD CERTIFICATE OF
COMMUNITY 61VELOPMIENT DEPARTMENT ercUPANCY
W25 3W H&N Blvd.T4wd,Or"c" 97113*81" ("IM"i 71 PERMIT #. . . . . .• .. c MST92-0206
639-4171 DATE 1SSUED# 07/2.3/93
PARCELP 29109AB-05800
SIT'" ADDRESS. . . 1 13133 SW BU1.1- MOUNTAIN RD
SUBLI I�'ISI ON. . . . : ZONING:
BLOCK. . . . . . . . . . : LOT. . . . . . . . .
CLASS OF WORV- vNEW
TYPE OF UEE— :6F
OCCUPANCY GRP. :R:l
OCCUPONCY LOADi224 4
TENANT NAME. . . I
Rer.irk*s PATH I D/W MUST BE HARD SURFACED BEFORE C. O. CAN BE ISSUE. STREET
OPENING PERMIT NEEDS TO BE OBTAINED BEFORE WOR14ING IN PV(3HT,--OF'--WAY. DEN CAN NOT
BE USED AS A BEDROOM
Owner:
RENAISSANCE DEVELOPMENT
16*72 WILLAMETTE FALLS DRIVE
WEST LINN OR 97068
Phone #t 657-5739
Contractors
PENqISSAIN!CE DEVELOPMENT
1672 SW WILLAMETTE FALLS DR
WEST LINN OR 97068
Phone #% 557-8000
Reg #— v 49915
Occupancy of the above referenced building is hereby given, and certifies
the compliance with the State Of Oregon Specialty Coder, fur the group,
or-,cupancy, And ig5e under which the rp�'vreTlCgd pftt-Mit Wsks ix%Ued,
FIRE DEPARTMENT LII NO PECTOR
3
,4B I I NAG
P03T IN CONSPICUOUS PLACE
IRM—01oN NOTICE
City or Tigard Building Department
13115 OW Ball Bled. Tigard, Oregon 97213
Inz-Alction Line (Recce-Phone): 639--4175 Business Phone: 639-4171
Inspections
!noting Plbq. Underslab Hoch. Rough-in Appr/Sdwlk
Pound. Plbq. Top Out #;as Line FINALs
Post/Beam Strurt. Ban. Sewer Framing _Sietq—�`
I
i
Po_t/Beam Hach. Rain Drain Irsulation -P
Pibq. underfloor Mater Line Gyp. Bd. 49sch.,[
Data Requesteds -2 yam/ Times ✓ ��/- AN`/) PH
Address .3 Lia-
s!t 1 /2
Builders =4;2ef
THE FOLLOMIVIC CORRECTIONS ARE REQUIREI,s
177-7
I
Inspectors - —_ _ Dates 7--Z 12
vAPPROVED -— DISAPPROVED APPROVED SUBJECT To ABOwv
—Call For Reinep.
INSPECTION NOTICE
City of Tigard Aulldinq Department
13125 BW Ball Blvd. Tiqard, Oregon 9711.3
Lnapection Line (Roc-O-Phone): 539-4175 Bunineas Ph(ine- 639-4111
Inepectf.c :•
Footing Plbg. Underelab Mech. Rouqh-ln Appr/3dwlk
Pound. Plbg. Top out Gas Line *INALt
Poet/Beam Srruct. San. Sewer Framing Bldg.
Pont/Beam Meeh Rain Dcaln Insulation p �
Plbg. Under.floc)r Water Line Gyp. Bd. _Hoch,
Date Rs,gveeter: �� y i tj� 9.3 _Times O 7 Ax PN
Addr-aeas ' ` , N�� Permit ##
Builder:
THE FOLI.OwI'RG ODRRECTIONS ARE REQUIRED:
10,
I
Inspector: Date-_
_APPROVED DISAPPROVED v APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INBPEc lga NOTICE
City of Tigard Bnildioq DeparLoont
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0-Phona)i 639-4175 Rusinoss Phones 539-4171
c
Inspetions_ ;-yzz 7 2 - c'GO f
Footing Plbg. Underslab Tech. Rough-in Appr/Sdwlk
round. Plbg. Top out Gas Line 1IItALs
Post/Beam Struct. San. Sewer Framing -Bldg,
Post/Beam Much. Rain Drain Insulation
Plbg. Underfloor Nater Line Gyp. ed. Q -Ngph,
Date Ro"osteds ( D ��c-� �i-� 'rimes
Ardresssy�'� /.�J'1�,, �/ -�1��, 'pormit 11
Builders
TBT FOLLOWING CORRECTIONS ARE RNWIREDi
12
.AL_e4d1_
00,
(2)�:�-1
Inspector:_
APPROVED �DISA/PPROVRO APPROVED SUBJECT TO ABDVE
Y
Call For Reinsp.
City of Tigard Building Departiment
L1LZS BW Ball Blvd. Tigard, Or"m 97223
Inspertion Lina (m�:"-/-rhone)t 639-4175 Ausiness [phone, 619-4171
Inspwctioni_�_.a�isC!r�+moi„�-�/�/L
—”—,
Footing Mg. Cnderelab Mach. Rough-in Am r/Sdwlk
Found. Plbg. Top out Gas Line FINAL&
Post/Ream SI:ruct. $an. Sower Framing -Bldg.
Post/Beam Me^h. Rain - Insulation -Plumb.
Plb�, ondertloir .G-Water Line Gyp. Rd. _�.h,
Date Requested: '5 �' / -Ly,2 ,�. 'rise: �j AN �1 /p!l
Addrasat__-�_ -_�/'5✓w/� Permit It / L L�'� `(C
BuildersCom"
TBE FOLL(1 rra CORRlCTIONS ARE REMIREDs
c�L"!_
Inspectocs� ! /fes,
Date
APlROVED --� DI8APPRCV;M APPROVEh 8"RJECT ilk) )%ROVE
`Call For Rainsp.
INSPECTION NO'PICE /
City of Tigard Building Department ///
13125 SW Hall Blvd. Tigard, Oregon 972!!'�,//�/�,,
Inspection Line (Rec-O-Phone): 639-4175 B:;eineee Phobd:�6.f9-
4171.
Inspecti.ons._
Footing Plbg. Undersl.ab Mech. Rough-in ]s
q ppr/Sdwlk
Found. Plbg. Top Out Gan Line FINAL:
Poet/Beam Struct. San. Sewer Framin: -Bldg.
Poet/Beam Mach. Rain Drain Insul�ation -Plumb.
Pl.bg. inderfloor Water LineaaG� yp gd -Mach.
Date Requested:_ Time: AN PM
/ /wn
Address:
Builder:_
THE FOLLONING CORRECTIONS ARE REQUIRED:
I
i�
Inspector:: _ Data:
` APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Free-o-Phone): 639-4175 Business Phone: 639-4171
lnspect.ion:
Footing Plbg. Undorelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. rawer Framing -Bldg.
Poet/Beam Mach. L• Drairt Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: /L� �� --Time: AM PM
Permit
Builders
THE FOIJ"AING CORRECTIONS ARE REQUIRED:
A
Inspectors_
APPROVED DISAPPROVED APPROVRD SUBJECT To ABOVE
12-4 Call For Rainsp.
INSPECTION NOTICE
City of Tigard Building Departeent
13125 SW Hall Blri.. T+.gard, Oregon 97223
Inspection Line (Rer.-G-Phone): (,39-4175 Rusinens Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top out Gas Line FINAL:
Poet/Beam Struct. San. 8ati►e Framing -Bldg.
l
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Koch.
Date Rnquested:� Times _AM pN
Address.-
Builder:
ddraee:Builder:
THE rOLLOWING CORRECTIONS ARE REQUIRED:
•1 3�4
Inotsector:__
Datq:��L!�"��
APPROVED DISAPPROVED AFPROVED SUBJECT TO ABOVE
--Call For Reinrp.
TNSPE ON MOTIr_F.
City of Tigard Building Department
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-•Phone): 639-4175 Busineee Phone: 639-4171
Inspection:,
Footing Pl'.g. Undernlcb Lech Rough-in Appr/Sdwlk
Pound. Plbg. Top Out e9 Line FINAL:
Pont/Beam Struct, San. Sewer rwd ng -Mdg.
lat/Beam Mach. Rain Drain Insulat!.on -Plumh.
P1bq. Underfloor Hater Line Gyp. Bd. -Meeh.
Date Requested:_ J Tima= AM —n(_--PM
^ 7J�_
Address: 3�''� �' A Permit te—C
T49 FOL.L.OWING CORRECTIONS ARE REQUIRED:
o
Ae
a-A _
Inspector: llt4^--_-_-- -- ^` Dater Z-Z
__APPROVRD A' DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinap.
JNIPECTIOIt NOt CE
City of; Tigard Bui.ding Departjenut
13125 SW Ball Blvd. Tigard. Oregon 97223
Inaprcti.,n Line (Rec-o-Phone): 639-4175 2uniness Phone: 639--4171
Inaf.ectio: :_•_ _
F.,oting P1bg. Underalab Mech. Rough-.in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Poet/Beam Struct. San. Sewer. Framing -Bldg.
Post/Roam Mech. Rain Drain Insulation -Plumb,
Plbg. UnderfloorWater Lf.ne Gyp. Bd. -Mech.
Date Requeet.ed: _ -•'r����__ Ti� l1—,v
-Permit /:�
Builder-
791E FOLLOWING c-'ORRECTIONS ARE REQUIRED:
Ina
—__ Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Roinnp.
I
INSPECTION NOTIM C'�•---`"y
City of Tigard Building Departa nt
13125 SM Hall Blvd. Tigai.i, Oreton 9727.3
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbq. Y'op Out Gas Line FINAL:
Poet/Beam Struct. San. Boar FrwO ng -Bldg.
Poet/Deem Hoch. Rcin Drain InsulaL:^n -rlu-t.
Plbg. Underfloor Water Line Gyp. nd. -Hech.
Date Rekpieetedr___,=r2 Time: AM
PM
Address:�' Permit 1i G/ Z li Z U 1p
Builder:
THE FOLLOWING (_`ORRECTIONS ARE REQUIRED:
Inapekor •iC -- �_� __ Date, 2 ` � 7�
"PROVED DISAPPP.OVRD APPROVED SUBJECT TO ABOVE
--
-call For Reinsp.
I_kSPECTION NOTICE
City of Tigard Building Department
1.1125 SN Ball Bled. Tigard, Oregon 97223
Inspection Line (R'. OO-PPho�ne): 639-4175 Busi�neae Phone: 639-4171
Inspection: --
Footing Plbg. Undoralab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -olumG.
Plbg. Underfloor )Nater Line Gyp. Bd. -Nech.
Date Requeetedi Time: AN
Address• aG-!/� SL Permit
Buildert
TBE FOLLOWING CORRECTIONS ARE P.EQr1IREDt
c
Inspector: Date: t 7/
APPROVED DISA ROVED O//APPROVI!D SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone):
/6399-4175' Bus ineee Phone: 639-410
Inspection: C.`k y'��1 01
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Frnming -Bldg.
Poet/Beam Mach. Rain Drain Inaulat:ian -Plumb.
Underfl cr Nater Line / Gyp. Rd. -Meeh.
Date Requested: rLLl�1 Time: AM ___PH
Address: /��/ . ,L L"" 1 i' Permit #:
guilder:__`_
THE FOLLOWING CORRE IONR ARE REQUIRED:
Inspector: _ Date: ! _
4 �/ _APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
✓7 _ _ Call For ReinNp.
INSPECTION NOTICE v
�
city of Tigard Building Uepartaent
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phones 639-4171
Inspections
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -plumb.
Plbg. Underfloor Water Line Gyp. ad. -Mech.
Date Rnquestedt__ 116) �` 2:=L —Timet
.�AM ___/PM
Address:�! � "��J t� f"J�/�a= Permit #:_� -���•G�(p
Builders
Tax FOLLOWING CORRECTIONS ARS A6QUIR : —'
I
6
Inspector:
APPROVED _v DISAPPROVED APPROVED SUBJECT To ABOVE
Cell For Reinsp.
INSPECTION NOTICE
City of 'Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
�eund. ) _>Plbg. Top Out Gas Linn FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -lJech.
Data Requentedt
Address: Pcrmit t:
Builders z
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors_--- _�__
Detes`C_�
`APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
cell
For Rainsp.
IHSPEC;_ION NOTICE '1 /
City of Tigard Building Depaitaent
131.25 9W Hall Blvd. Tigard, Oregon 97223
Inapection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
I n epect-1.on:_—__
1 __,._.`
F ting / Plbg. Underelab Much. Rough-in Appr/6dwlk
Found. Plbg. Top Out Can Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requenteds_ / p `J
Times AM PM
Address: /� �_��� �C[ �� Permit
Builder:__,����j�� —�—
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Dater
�! APPROVED DISAPPROVED __ APPROVED SUBJkCT TO ABOVE
----,Call For Reinsp.
CITYC)FTIFARD
PLUMBING T=tFRM1T
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT* �. . . . . .,.' i A hiST 92-0206
IMPS 8WHO8MdP.O.Bw290W,T%Wd,OrmW9(BM)63wr7s DATE ISSUEDs 09/18/92
S 1 TE ADDRESS. . . c 1:3135 SW BULL MOUNTA I H k o PARCEL t 23109AB--MPI=O
SL.IEtDIV181ON. . . . a ZONING:
BL.00K. . . . . t LOT• • • • . • • . • . • . . :
CLASS OF WORK. . tNEW, GARBAGE DISPOSALS— el
TYPE OF USE.. . . . s6F WASHING MACH. . . . . . . t1 BACKFLOW PREVNIRS. . c0
OCCUPANCY GRP. . iR3 FLOOR DRAINS. . . . . . . tO TRAPS. . . . . . . . . . . . . . co
S—CORK'S. . . . . . . . be WATER HEA'TERS. . . . . . i t CATCH BASINS. . . . . . . :0
FIXTURES-----,--------- LAUNDRY TRAYS. . . . . . i 1 SF RAIN DRAINS. . . . . # I
f)I NKS. . . . . . . . . . : 1 GRE=ASE= TRAPS. . . . . s 0
TUB/SHOWER:;. . . . a SEWER. LINE (ft) . . . . t0
WATER CLUSETS. . c4 WATER LINE (ft) . . . . 1100
D1SHWA09E"14S. . ; i"1 RAIN DRAIN (ft) ...c . . t0
r
' Remarksi PATH I DRT�E_WAY MUST BE HARD SURFACED BE.-FORE C. O. CAN BE: ISSUED STHLE-1
OWNER:
RENAISSANCE DEVELOPMENT TIF $ 1380. 00 JH 09/18/92 -
1672 WILLAMETTE FALLS DRIVE. BPRT $ 62'3. 00 JH 09/18/92 --
BPLC i 404.98 JLH 06/29/92 .
WF"ST L..INN OR 97068 '"1. D!5PC .Y. . .,'31. 15 JH 09/18/92
Phone #:-, 657--5'739 SEDC it 260. 00 JH 09/18/92
PARK t 500. 00 JH 09/18/92
E'11.1m,ding ,ContractortMPRT $ 48. 00 JH 09/18/92 -
' MPLC t 12. 00 JH 09/18/92,,-
Names ' M5Pr $ 2. 40 JH 09/18/92'14,
Address 0 _ _ ( _�Ca U�7 PPR*' s 16b. ON JH 1219/ 18/92
� -
. 1: i.tyt - _. _ St b P5PC $ i. 25) JH +Z►9!lf�/9.'' -
REQUIRED INSPECTIONS - --- - -
This permit is issued iub )ect to the reg-
ulations r_nntat'ne1l in tho Ti0'mrd -Muhir.1'Pmt1 ` F'ddt/`f`,&dTd- Insp Rain drain Insp
Code, State of Ore. Sppri.alt:y lodes anti all Post/Beam Struct Water Line Insp
other applicable laws. All work will 13e done Post/Beam Mechen Appr/Sdwlk Insp
in acr-ordanc_e with approVied plans. This Pla/lindslab Insp Merhanical Final.
permit will expire if' work is not started P!.M/UnHerfIoor Plumb Final
within 180 days of issuance. or if work is Movhain.i.cal Insp, Building Final
sJ,rs►.,r.ncieci for more than 180 days. Pltmb Top Out Erosion Control
Framing Insp / rawl Drain
'-Ireplace Insp
Gas Line Insp - , ..
�{ Insulation Insp
x Gyp Board Insp
Authtdrized PlLIMbirlg Contrart►er Signature
Call for inspection. 639-4175
Lontroc:tor Notese
_._. �.. . ..w.T
n
y
At' A w:..
C 17 Y 0 F T I FA R D �Ac�w�m�
COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT
13125 8W HIN Blvd P.O.Bw 23"7,7�pd,0"w W=(603)M"I 75 7F PERMIT #. . . . . . . : MST92-02IZ16
639-4171 DATE ISSUED: 09/18/92
SITE ADDRESS— : 13135 SO BULL MOUNTAIN RD PARCEL: 26109AB-11FIVOR
SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . . LUT'. . . . . . . . . . . . . :
BUILDING
RLISSUE: DWELLING UNITS: 10 BASEMENT. . . . . . . . :902 Sf
CLASS OF WOQK. :NEW SEDRMS:5 BATHS:4 GARAGE. . . . . . . . . . :714 Sf
TYPE OF USE. . . :Sfz FLOOR REQUIRED SETBACKS-
T"Y'PE OF CONST. :5N FIRST. . . . : 1732 sf LEFT. . : 18 ft RIGHT. :7 ft
OCCUPANLY GRP. :R3 SECOND. . . : 1487 s f FRONT. -00 ft REAR. . -.99 ft
STORIES. . . . . . . .2 THIRD. . . . :0 s PEGUIRED---------------------
HLIGHI. . . . . . . . :24 ft TOTAL------:;3219 t;f SMOKE DETECTURS. .-Y
F=LOUR LOAD. . . . :40 psf VALUE. . . . . $ : 1'75178 PARKING SPACES. . : 1
Remarks: PATH I DRIVEWAY MUST BE HARD SURFACED BEFORE C.O. CAN BE ISSUED STREET
PLUMBING
SIIIKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
LOVATURIES. . . . . :6 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
I L.)B/SHUWERS. . . . -.4 LAUNDRY TRAYS. . . z I CATCH BASING. . . . . . . :0
WATER CLOSETS. . -4 SEWER LINE (ft ) . gO GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . - 100 OTHER FIXTURES. . . . . :0
GARBAGE DISP. . . - I RAIN DRAIN (ft ) . :O
WASHING M(4CH. . . : 1 SF RAIN DRAINS. . : 1
---___1----------- MECHANICAL FEES
FUEL TYPES--------- --- UNIT HTRS. . :O type amount by date recpt
/GAS/ VENTS . . . . . .0 TIF $ 1380. 00 JH 09/ 18/92
MAX INVIUT .-O BTU VENT FANS. . :5 BPRT $ 623. 00 JH 09/18/92
FLJRN ( LOOK . . .,0 HOODS. . . . . . .. I BPLC $ 404. 95 JLH 06/29/92
TURN ) =100K . . .- I WOODSTOVES. - v1 B5PC $ 31. 15 JH 09/18/92
-
F L.00R FURN. . . . .-O CLO DRYERS. : I SSDC $ ;280. 00 JH 09/18/92
BUIL/CMP ( 3HP-0 OTHER UNITS: 1 PARK $ 500. 00 JH 09/18/92
GAS OUTLETS: I MPRT $ 46. 04 J11 IA91 18/92
Owner: MPLL' * 12. 00 JH 09/18/92
RENAISSANCE DEVELOPMENT M5PC $ 2. 40 JH 09/16/92
1672 WILLAMETTE FALLS DRIVE PPRT $ 185. 00 JH 09/18/92
P9_PC $ 9. 25 JH 09/18/92
WEST LINN OR 97068
Pt;one #- 657-5739
Contractor: ---
RENAISSANCE DEVELOPMENT
1672 SO WILLAMETTE FALLS DR
WEST LINN OR 97068
Phone #.- 557-8000
Reg #. . s 49955
3475. 75 TOTAL
this pereit is issued subject to the ;,equlations contained in the REQUIRED INSPECTIONS
ligard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp
applicahle laws. All work will be done in accordance with approved Post/Beam Struct Gas Line Insp
plans. This pervit will expire if work is no tarted withJUL4N Post/Beam Meehan Insulation Insp
days of issuance, or if work is suspended 8N days, PIm/undslRb Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
11'e"Inittee !A '4ylatUree Mechanical Ingp Water Line Insp
Plumb TOP Out Appr/SdwIk Insp
Issued BY : Framing Insp Mechanical Final
t
Call for inspection 639-4175
CITYOFT167ARD SEWER CONNECTION
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT PERMIT
RM I T : awR9 -0L91.
13126 SW FWI BMd.P.Q.Bac 23377.nprd.Oregon W223(15M)630-4176RM z r .
6;s9--4171 —��-- DATE ISSUED: 09/18/9:
SITE ADDRESS. . . : 13135 SW BULL MOUNTAIN RD PARCEL : LS109AB-
SUBDIVISION. . . . : Ih L P 92-000J. ZONING:
BLOCK. . . . . . . . . . . LOT'. . . . . . . . . . . . . .
TENANF NAME. . . . . :
USA NO. . . . . . . . . . . FIXTURE UN' TS. . .
CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1
TYPE OF USE. . . . . s SF= NO. OF BU I LD I NG5: 1
INSTALL T'YPE. . . . :BUSWR IMPERV SURFACE. . : s ssf
Remarks: PATH 1
Owner: ----•--------------------•------------•--- -___ ------------ FEES
RENAISSANCE DEVELOP'MEN'T type amo(.int by date reept
1672 WILLAMETTE FALLS DRIVE PRMT f 2100. 00 JH 09/18/92 -
INSP t 35. 00 JH 09/14/92 -
WEST LINN OR 97068
Phone his 657-5739
L.ontractor: ---------------_--------.-_.--_---
L.LINTRACT'OR NOT' ON FILE
----------------------
i bone #: $ 2135. 00 TOTAL
REUU I RED INSPECTIONS
- - --This Applicant agrees to comply with ill the rules and regulations Sewer- Inspection
of the Unified Sewage Agency. The permit expires 190 days from
the date issued. the total amount paid will be forfeited if the
permit expires. The Agency does not gua,,antee the accuracy of the
side sewer laterals. If the sewer is not located the measurement
given, the installer shall prospect 3 feet in directions from
the distance given. If not so located a er shal
a "Tap and Side Sewer' Permit and t*r- tl-ins_t ' a lateral. —_
Permittee S i g n a t ia r e :
1.,s i_t e d B y :
Call for insl:rection - 639-•4175
13125 Sw Hall Blvd. PLNCK/RECT #CIIN OF T IGARD PO Box 23397 PERMIT # 17, 5T 2n GAQL—
COMMUNITY DEVELOPMENT DEPARTMENT 7igard,Oregon 97M
(503)639-4171 DATE ISSUED
JOB ADDRESS: : S~ �W �v/.�/�'Jf ,� TAX MAP/L01 WSJ 0 r
SUB: �'✓v'� LOT: LAND USE: ,—_— ---�.—
VALUATION:�1 75 •
OWNER � SPECIAL NOTES
NAME: �� G ac,' — REISSUE OF:
►ADDRESS: �(Q,�a7 ��/< �ie�/��lls ��r�as LAST REISSUE:
7U�,S` FLOOD PLAIN/
PHONE:: ��� SENSITIVE LAND:
CONjFLAC 0RAPPROVALS RE lain D
NAME /� �� G` �' y�lyi;.?rlt, PLANNING:
ADDRESS: _ ENGINEERING: _
FIRE DEPT:
PHONE: OTHER:
CONTR. BOARD #: � �� EXP DATE: _J
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: `� �/�I LIST/SUBCONTRACTORS:
MECH: _-11 o l fe!�14 _ BUS TAX:
(,RCH ENGINEER r CALCULATIONS:
NAME: �G /� U TRUSS DETAILS: --- ---
ADDRESS: �Z�'ZI Z/ _ OTHER:
PHONE:
PROPOSED BLDG. USE: _ � ���{ �� o n
COMMENTS: 4e �E
r400/ LQrVbS ,M u STa:F S%P- �l-5G/E � 'ilk' 2Q
PPLICANT IGNATURE
Receivea By: Date Received:
PERMIT k ACCT it DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit fees _S7�
__ �P U,SG
10-431 00 Plumbing Permit Fees ; �u — ow
as, —
10-431 01 Mechanical Permit Fees — ,o� _ 4/g �'-
10-23C 01 State Building Tax (5%) 7•r7
Building _3 sZ
s
Plumbing y- y
Mechanical -�,L.y0
10-433 00 Plans Check Feed„�.
Building �/u
Plumbing +_
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection u _— d 0
30-444 00 Sewer Inspection 35-
25-448-02
y-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
25-448-05 Mass Transit TIF Fees
52-449 00 Parks SysLem Dev Charge (PDC) 6 00 Sy U
31-450 00 Storm Drainage Syst Dram Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TO IAL 5 ,;g-XYy
nm/3587P.WPF
PERMIT ACCT B DESCRIPTION AMOUNT AMOUNT PD. BAL. ILJE
M3f1L02#7L0-432 00 Building Permit Fees �-3 �
10-431 00 Plumbing Permit Fees °U e
10-431 01 Mechanical Permit Fees �•c•s b' ""
10-230 01 State Building Tax (5%) VZ.d-u '
Building � )
Plumbing
Mechanical • •q o
10-433 00 Plans Check Fee 4/06. 95' '' �5?J ,5 ,•
j
Building
Plumbing
Mechanical 12-.0
o e` 10-230 06 {=ire
�a?yVOW
2- 30-202 00 Sewer Connection
30-444 00 Sewer Inspections
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 _
25-448-05 Mass Transit TIF Fees NO
52-449 00 Parks System Dev Charge (PDC) S 0oy
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Qgantity (Fee in lieu of)
TOTAL_ s x�U• 1 S d _ ,� 0
nm/3587P.WPF
Y
Y
CITY OF T I GARD - RECEIPT OF PAYMENT RECE I FST NO. s 92--231 A:.?
CHECK AMOUNT" a 53',0. ',l
NOML R RENAISSANCE DEVELOPAEMT CASH AMOUNT 0. V
Fal)r)Ra~6S :
PAYMENT DATE 9 09/14/t-
SUBD I V I g I ON s
t .
y
PURPOSE OF PAYMENT AMOUNT PAID PURPOSI= OF PAYMENT AMOUNT PAID
8011-DING ERM _._._..._.... _ _. 623. 00 PLUMBING PERM � 1.85. 010
MECHANICAL PE 48. 00 �iT. BUILD PER 42. 80
PI..AN CHECK FE 156- 15 SEWER USA
�iLWER INSPECT 35. 00 PORKS SDC 500. 00
STORM Y)RnIN SDC 280. 00 REG;IDENTIAL TRAFFIC FEFS I i2lso. 00
MASS 'TRANSIT T I f= FEES 100. 00
t".-1135 SW BULL PITN RD
I C)T AAt.. AMOUNT PAID - - - > '50. 75