10252 SW ELISE COURT ADDRESS :
Ish
i:\records\microflm\targets\building.dcc
arf C* TWA CERTIF�It;ATL O
COMMUNITY DEVELOPMENT V!:97AMMENT Mew OCCUPANCY
13126 SWHdBWd.P.O.8a2M7.TIMd,Omwn WMI3(fiW)*SWMb i��ERM 11' M. . . . . . . MfaT91 k�3kJts
l —
L)A'T E x ti�SULCi a �11 c�1/'a�.'S y1
SITE ADDRESS. . s 10;?52 SW C.L ISE CT PARCEL x 251 t 4BB-_1.9,'.00 �
SUBDIVISION. . . . RIVERVIEW ESTATES ZONINOr R-7 PL?
DLOCtS. . . . . . . . . . LOT. . . . . . . . . . wet38
CLASS OF WORK. s NEW
TYPE OF USE. . . s Sr"
( UCUPANCY GRP. s R:3
OCCUPANCY LOA D s 2P8 4
TENANT NAME. . . s
R*marku s
Owners
SKYLIGHT HOME BUILDERS CO
P 0 Box 2315
LAKE OSWE GO OR 97035
Phone ## 503-636--2994
Contrac t or s
SKYLIGHT HOME BUILDERS CO
P 0 BOX 2;:513
L.A10 C.1UWI C-40 OR 97035
Phone f o 503-636-4,994
Rep M. . s 34086
Urc-upmncy of the &bay@ referenced bui. :ldir.p, is he*-*by givr.n, and certifies
the compliance with the State t); Oregon 9,pec:ialty Cortes for the group,
occupancy, and use tinder which the referenced permit was issued.
VIRE Dr-PARTMEN T 8U 1 t.-DING INSPECTOR
CTOR
f
HLJIh_Ci1(Vt3 Llr`F.tt:J►�l.
POST IN CONSP 1 f.UOUS PLACE
INSPECTION NOTICE
City of Tigard Building Department
go971(24, '
�
•7125 SW Hall Blvd. Tiqard, Oren 9712 '
7nepection Line (Rec-O-Phone): 6339-4175 Suainess Phone: 639-4171
Gr-
Footing Plhq. Undorslab Mech. Rough-in Appr/Sdwlk
Found. Plhg. Top out Gas Line FINALS
Poet/Beam Struct. San. Sewer Framing �-Bldg.
PostiBeam Mach. Rain Drain Insulation _P U
Plbq. Underfloor Water Line Gyp, Bd. _Mouh.
/ �Date Requested: ..a _Titess � PH
Address: Permit 1=
Builders
THE FOLLOWIN RRECTIONS ARE REQUIRED:
s
07 �' ,A224 Y -
�UCJ '`��
-
k� - -� lip '
Inspectors Date: 2e?
__APPROVED DISAPPROVED APPROVRD SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department (4
131:25 Sp Bell B _ Tigard. Oregon 97223 _
Inspection Line (Rec-O-l'ho /r): 639-4175 Business Phone; 639-41'11
i
Inspection;
Footing Plbg/ yndernlab Mech. Rou h-in
9 �\ Appr/Sdwlk �
Found. \ -
P14. Top Out Can Line FINAL;
Poet/Beam Struct. San. Sewer
Framing -Bldg.
Post/Beam Mech. Rain Drain
Insulation _ply
Plbq. Underfloor Water Line Gyp. Bd.
_ -Mach.
Dat9 Requested: / c Ie�
__T1mer AM PM
Address: � � /
- __ Permit 1: Q�
Builder r '
THE FOLLOWING CT ONS ARE REQUIRgD:
Inspector:_ �� �(�7—
APPROVED DTSAPPROVMD APPROVED SUWRCT To .am
For Roinsp.
INSPECTION NOTICE
City of Tigard Building Department:
13125 SW Ball Blvd. Tigard, Oregon 97923
Inspection Line (Rec-o- hone): 639-4175 Buniness Phones 639-4171
Inspections_ �'�
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
r
Found. Plbg. Top Out Gaa Line FINAL: f
I
Posy. Beam struct. Ban. Sewer Framing -Bldg. !
i
Poet/Beam Mach. Rain Drain Insulation --Plumb.
Plbg. Underf oor Water Limn Grp. Bd. -Nech.
Date neclmeeteds_ I _ 12—
iTloset AN 1P1_f
Addrees: l02,S2-- 64 , Permit. #a—q(
Builders
THE FOLLOWING CORRSt TIONS ARE REQUIRED:
Inspectors
----- —,_--- Dater
APPROVED DISAPPROVED _ APPROVED 6UBJSCT TO ABOVE
--call For Reinsp.
INSPEC•1'ION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 6.39-4175 Business Phone: 639-41?1
Inspectiont
Footing Plbg. Undorelab Mech. Rough-in Q1 r Sdw
i
Found. Plbq. Top Out Gas Line FINALt ' II
Past/Beam Struct. San. Sewer Framing -Bldg. I
Poet/Beam Mech. Rain Drain Insulation -plumb,
I
Plbq. Underfloor Water Liino/ Gyp. Bd. -Mech.
Detre Requested: �� /I [ Z — _Time: V pM
Addressr Z ( _ Permit �: �� O o
:luildo- :
TFM F-LLOWING CORRECTION& ARE REQUIREDt
Of C cTt ,4 S-
_
1!5
Ot/11.�7:5
Inspector: GFrNA 7f{ 43 nate:_���—9z
-APPROVED DISAPPROVED _]Z/APPROV o SUBJECT TO ABOVE
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building DeparLsent
13125 SW Ball Bled. Tigard, Oregon 97223
[napectiern Tine (Rec-O-Phone): 639-4175 Business Phonp: 639-4171
Inspection:----- — -- --- ----_�---
Footing Plbg. Underslab loch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Oaa Lint FINAL:
Post/Beam Struct.. San. Sewer Framing -Bl:tg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor /Water tine �;yp. 9d. -Hoch.
1 2 Timet
Date Requested: —AM PM
Addrea9c O �X_!-�- �--'L Permit Rt C� 0
Builders �
i
THE FOLLOWING CO ION! ,1RE REGUIREDt
i
Inepnctor:_-_ ` Dates-
APPROVED
aterAPPROVED — DISAPPROVED APPROVED SUBJECT TO ABOVE
--call For Reinap.
INSPECTION NOTIiqg
City of Tigard Building Department
13125 SW Nall Blvd. Tigard, Oregon 9727.3
Inspection Line (Rec-o-Phone): 639-4175 Nominees one638-•417�1�"
Inspection:
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Line FINALS
POst/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
P1bg. UnderfYoor /AWaterr/Line C-0 yp8d. -Meeh,
Date Requosta'd• pi x AN —PN
Address:. Parsnit i �
Builder:
TRE FOLLOWING %==_..tCTIONS ARE REQUIRBD!
zz
Inspecto s ^
Dates
APPROVED DISAPPROVED y APPROVED SUBJECT TO ABOVE
!_Call For Reinnp.
INSPECTION NOTICE f
City of Tigard Building Department
13125 SN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-OO-�Phone): 639-4175 Busineas Phone: 639-4171
Inspection:__,____ _—_---
Footing Pl.bq. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Ream Struct. San. Sewer Framing -Bldg.
Pont./Beam Mach. Rain Drain nsulatlon -Plumb.
Plbg. Underfloor Nater LineGyp. Bd. .-no",/
Date Requested:� IkM M
Ad Tress � 4aO Permit #o 0, f
Builder:
THE POLLONIWO IONS ARE REQUIRRD:
Inapector: < 7
— i Dater
J�I�FPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
7— ___Call For Reinap.
INSPECTION OTICE
City of Tigard Building Department
13725 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone: 639-4175 Business Phone: 6 9-4171
Inspections
Footing Plbg. Underslabi�sch. Rouqh) Appr/Sdwlk
Found. Plbg. Top Out as Lin* FINAL=
s
Poet/Beam 3truct. San. :ewer '' raming' .-Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg, Underfloor (� Water Line Gyp. Rd. -Neck.
Date Requested:^— /T /_e All
Address: Permit
Builders
THE FOLLOWING cS6RRECTIONS ARE REQUIRED:
1
f�
Inspector:
--- Date:
APPROVED DISAPPROVED APPRnVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departr n':t
13125 SW Ball Blvd. Tigard, Oregon 97273 �
Inspection Line (Rec-O-Phone): 639-4175 Businees Phode: 639-4171
Inspection:
Footing Pltq__WWarylab Mech. Rough-in Appr/Sdwlk
Found. Plhg. �T _t
Gas Line FINAL:
Post/Beam Struct. Fan. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech. f
Date Reguented: --Time: AM�ei&pm
Address: _ Permit
Builder:
THE FOLLOWING CORRECTIONS ARE RB¢UIRED:
Inspector: Date-
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Reinsp.
Y
INSPECTION NOTICE n l
City of. Tigard Building DeparYAkent /I
13125 Sit Hall Blvd. Tigard, oregon 97223
Inspection Line (Rec-o-Phone)s 639-4175 Business Pnone: i
Inspection:_
Footing Plbq. Underelab !tech. Rrnlgh-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL=
Post/Beam Strucl�>) San. Sower Framing -Bldg.
`Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Undnrfla611� //Nater Line Gyp. Bd. -Mech.
Date Requested: 4Timet Am PM
Address: Permit 70
c
Builder: �G-�
THE POLLOWIMO CORIaZONS ARS REQUIRED:
i
Inspector:
_ Date:
^_APP^OVSb DrSRPPROVRb APPROVED SUBJECT To ABOVE
T Call For Rei.nsp.
I
INSPECTION NOTICE
Ciky of Tigard Building Depart:aeet_
13125 SCS Ball Blvd. Tigard, Oregon 97223 �
Innpertion Line (R,ac-o-Phone)r 639-4175 Rueinene t,hone: 639-4171
I I
Inepect.lon: _ 0v V..
Footing PM9. Underalab Hech. Rough-in
Appr/Sdwlk
Pound. Mg. Top out Cas Line
FINAL:
Post/Ifnam Struct. San. sewer
Pramin9 -Bldg.
POst./Ream Rech. in
Drain
Insulation -PlwMb.
Plbg. Underfloor Nater Line Gyp. ed.
Date Requestedt (-7 q Z-
�Timse
Address:- Lcz J�_- -f—:7 1 �jl p C4, Permit ♦t
Builder:` �5S(p7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_ j.7-qZ
/ 4
____[ APPRu;an DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
I
Y,
I
NSPECTION NGTICE
City of Tigard Building Depart,Awt
13125 = Ball Blvd. Tigard, Oregon 9722
0<--
Inspection Line (Rec-O-Phones 639-4175 Business Phones 639-4171
Inspections
ing Plbg. Underslab Nech. Rough-in Appr/Sdwlk
fl * hrsnd. Plbg. Top out Gas Line FINAL:
tic s' Post/Beam Struct. San. Sewer Framing -Bldg.
( }' Post/Beam Hach. Rain Drain Insulation -Plumb.
r: Plbg. Underfloor Nater Line Gyp. Bd. _Nech.
Date Requenteds _ Times SAM PM
4'
Address: /Vic.S� �y c.. C--r ,�,�,r permit t
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
t
�nepecto Data:
APPROVED —_ DISAPPROVED APPROVEn SUBJECT TO ABOVE
Coll Por Rvinnp.
x
'TM OF TIFARD 1;DL LIMB I NG PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT S PERMIT 1t. . . . . . . : MST91-0306
13125$W HA BW P.O.Batt I=7,T%W,Oregon OM(608)4041 75 cny4wm
SITE ALDRESS. . . a 102052 5W ELISE CT PARCEL: ?9114DO—RV36
SUBDIVIOXON., . . . a RIVERVIE.W .ESTATE$ ZONINGz R7 PD
BLOCK.,� . . . . . . . . : LOT. . . . . . . . . +. . :3B_ ---------------------
CLASS
..----__..___ _-CLASS OF WORK. . a NEW GARBAGE D I SPOSALS. . a 1
TYPE OF USE. . . . e5F WASHING MACH. . . . . . . e1 BACKFLWW PREVNTRS. . 10
OCCUPANCY GRP. R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . .,, . . . . . . . . a0
STORIES. . . . . . . . 192 WATER HEA'TERS. . . . . . 11 CATCH BASINS. . . . . . . #0
FIXTURES-----.---------- LAUNDRY TRAYS. . . . . . ..0 SH RAIN DRAINS. . . . . t 1
SINKS. . . . . . . . . . 0 GREASE TRAPS. . . . . . . e0
LnVATORIES. . . . . 1A OTHER FIXTURES. . . . . t'r
TUEVSHOWERS. . . .j SEWER LINE (ft ) . . . . s 0
WATER CLCIBETS.. . i,3 WATER LINE (ft ) . . . . : 100
DISHWASHERS. . . . ei. RAIN DRAIN (ft ) . . . . :0
f2emsrksa
OWNERe _.. .___._. ___._____—_____._____ ___...____.—______ -FEES-----_--__--
r t-4YLI0HT HOME AiLDERS CO TIF $ 1380. 00 BCR 03/22/92 --
s' 0 BOX 2315 BPRT $ 400. 00 PCR 05/22/92 -
BPLC $ 40. 00 JLH 12/31/91 .
nRE OSWEGO OR 97030 ' 85PC $ ;-'10. 00 BCR 05/22/92 -
1"one 0 503--636-2994 SSDC $ 280. 00 BCR 105/22/92
PARK $ 500. 00 BCR 05/22/92
Plumbing Contractorw4la---------------- MPRT $ 39. 00 BCR 005/22/92 —
MPLC 4 9. 75� CIt 05/22/92 —
Nrame i ; ► 4 M5PC 1. 95 BCR 03/92A2 — .i
Addresir. 1.�._. ___r.....1 __._.. PPRT 4 147. 50 BCR 05/22/92 —
C.itYa. State: )DSPC $ 7. 38 BCR 05/22/92
ZIPS _ _ PhaneN:M�-7^ 7 _
Reg
REOUIRED INt3F'ECTIONF,
-Ihlis permit is issued so#ject to the reg--
1_.lattions contained in the Tigard Municipal T Foot/found Insp Rain drain Insp
Coder State of Ore. Specialty Codes and all Post/Beam Struct Water Line Insp
" olh rw ppl'ica.tile laws. All worN will be dobe Post/Seam Meehan APer/Sdwlk Insp
in accordance with approved plans. This Plm/undslrab Insp Mechanical Final
gorAtit will expire if work is not started PLM/Underfloor Plumb Final
within 180 days of issuaMco, or^ if work is Mechanical Insp Building Final.
suspended for more than 180 days. Plumb Top Out Erosion Control
Framing Insp Crawl Drain
Fireplace inr.p
Gas 1- irie Insp
Insulation InspAUA eel_ � ^
_._.__. GYP Board Insp
��lathor" xed PI 1mb ng *ht'rActor Signature
ter, Call for inspection. - 639-4175
�;orttr^�It ibr Notesa -__
•'
CITYOFTIFARD cimly MASTER PERMIT
_RD t'��-f?M IT #k. . . . . . . MST91...0j06
COMMUNRY DEVELOPMENT DEPARTYEbrr 0010" DHTE ISSUED: 05/22/91
13125 AW wa Bwd P.O.Bac MV.npnd.O"m spa LB1AI M4176
i E ADDRESS. . . : 10252 SW E1_ISE CT —� �- PARCEL: 2S114BB-R'.)38
SUBDIVISION. . . . : RIVERVIEW ESTATES ZONINGS R-7 PD
FLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :38
BUILDING _--______________.------___
REISSUE:MST9i 0303 DWELLING UNITS: 1 BASEMENT. . . . . . . . ..0 s1'
CLASS OF WOR�C. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . c456 sf
TYPE OF USE. . ,. :SF FLOOR AREAS--._.-_------ REQUIRED SETBACKS----_--_-
TYPE OF CONST. :5N FIRST. . . ,. s884 sf LEFT. . a5 ft RIGHT. :5 ft
OCCUPANCY Cif?P. :143 SECOND. . .. :860 sf FRONT. .-20 ft REFER. . s50 ft
STORIES. . . . . . . :2 THIRD. . . . :0 Sf REQUIRED--------------------
HEIGHT. . . . . . . .
-----•-------__---__..._HEIGHT. . . . . . . . s28 ft TOTAL--------: 1744 sf SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 ps f VALUE. . . . . f: 88432 PARKING SPACES—:0
Remar,ksa
____4------------------------------- PLUMBING ..__-_-__._-_--------___.--_..__.-_-__.____- _
SSINKS. . . . . . . . . . cl FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O
LOVATORIES. . . . . s4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
TUR/SHOWERS. . . . ::$ LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . s0
WATER CLOSETS. . a3 SEWER LINE (ft ) . sO GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . : 1 WATER LINE (ft ) . c100 OTHER FIXTURES— . . :0
BARRAGE DISP. . . : 1 RAIN DRAIN (ft ) . a0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
MECHANICAL - --_--_--______ ----------------- FEES ______________
FUEL TYPES-- --------- UN1T HTR5. . :0 type amoL1nt by date recpt
/GAS/ / 1 VENTS . . . . . :0 TIFt 1380. 00 PCR 05/22/92 -
MAX INPUT:O BTU VENT FANS. . :4 BDRT 4 400. 00 BCR 05/22/9i2 - i
FURN ( 100K . . : 1 HOODS. . . . . . : 1 BPLC f 40. 00 JLH 12/31/91
FURN ) -100K . . :0 WOODGTOVEE3. s0 83PC $ I0. 00 BCR 05/P-2/92 -
FLOOR FURN. . . . a0 CLU DRYERS. : 1 SSDC 4 280. 00 ISCR 05/22/92
BOIL/'-;MP ( 31AP:O OTHER UNITSsO DARK 4 ;30111. 00 13CR 05/G2/92 -
GAS OUTLETS: 1 MPRT f 39. 00 BCR 05/22/92 -
Owner: -- - - _.___----_--.___..._.___..________._-____. MPLC 4 1]. 75 PLR 1105/22/92 -
SKYLIGHT HOME: BUILDERS CO M.C.PC f 1. 95 f►CR 05/22/92 -
P a BOX 2315 PPRP 4 147. 50 E-CR 05/22/92 -
1:15DC It -. 38 BCR 05/22/92
LAKE OSWEGO OR 970:35
Phone N: 503-636-2994
Contractor:
SKYLIGHT HOME BUILDERS CO
P 0 BOX 2_315
LAKE OSWE'GO OR 97035
Phone #k: 503--636-2994
Peq #. . : 34086 ---__..._--_____________________-..--._
f 2825. 58 TOTAL_
This pera:t is issued subject to the regulati s contained in the --- --- REQUIRED INSPECTIONS -----
Tigard Municipal Code, State of Ore. Sop ,y Codes and all other Foot/found Insp Fireplace Insp
applicable laws. All work will be done a ordance with approved Pcst /Beam Struct Gats Line Insp
plans. This persit will expire if worly s of started within 188 Post/Beam Meehan Ins1.11a►tion Insp
days of issuance, or if work is suspe ed or sore than 188 days. Plm/undslab Insp Gyp Board Insp
PLM/Underfloor Rain drain Insp
!'If-ITI tee >innatl.0res - _.__ ....-_ Mechanical Insp Water Line Insp
Pll,rmb lop tiut 14ppr/Sdw1k Insp
l. s-•'-ler: FAV : t] I ranlrrr0t 1115n Mechanical i- anal
. V _
Call for i n s pect i n17 - 62?--417".
I
—�-��f�- -- -� SEWER CONNECTION
-_----- 1='E RM I T
CITYOFTIGARD Cr M
A PERMIT #. . . . . . . : SWR92-213
cay
COMMUNITY DEVELOPMENT DrpPARTMENTcereoss �
\ DATE Ia5UED: 05/22/92
13125 aw 4 8W.P.O.ear UW,7OW,Or@W W=(SW)03"175
SITE ADDRESS. . . ; 10252 SW ELISE cT— PARCEL: ES11413S-RV3A
SUBDIVISION. . . . : RIVERVIEW ESTATES ZONING: R•-7 Pl)
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . a38
TENANT NAME. . . . . a
USAF NO. . . . . . . . . . . FIXTURE UNITS. . . :
CLASS OF WOPK. . . :NFW DWELLING UNIT5. . : I
TYRE OF USE. . . . . ..SF NO. OF BUILDINGS: i
INSTALL TYPE. . . . :DUSWR IMPERV SURFACE. . : :sf
Remar'►e s
Owner: ----------------------------------- ----------------- FEES •---------.-----
SKYLIGHT HOME BUILDERS CO type antro+ant by date recpt
P 0 BOX 2315 PRMT $ 1900. 00 BCR 05/22/92 -
INSP $ 35. 00 BCR 05/22/92 -
I-AKE OSWEGO OR 97035
Phone ##: 503-636--2994
Contractor:
CONTRACTOR NOT ON F=ILE
.....---_--_-_-_ --_-___-__.----
F-lionyye #a $ 1935. 00 TOTPL.
----- -
REQUIRED INSPECTIONS
--�---This Applicant agrees to cosply with all the rules and regulations Sewer Inspection
of the Unifted Sewage Agency. The persit expires IN days froe
the date issued. The total aaount paid will be forfeited if the
persit #xpirts. The Agency does/nc
a the accuracy of the
side sewer laterals. If the sewated at the aeasureeent
given, the installer shall prosn all directions froe
the distance given. If not so lnstaller shall purchase
a 'Tap and Side Sewer' persit awill inst a lateral.
Permittee Signatur
T ,3so.Aed By :
Call for inspection - 639--4175
I
TRAFFIC IMPACT FEE
Installment Payment Application and Disclosure Statement
In the Matter of the Traffic Impact Fee for Skylight Builders Co.
Tax Map 2S114BB Lot Number(s) 38 _ Building Permit# MST91- -0306 _
_Site Address i C�2 5=s' _> %-�-s� jL Subdivision Riverview Estates
Case File# SUB90-0014 TIF Land Use District R-7 PD _
To Be Billed To: Skylight Builders Co. ___ _
Address: PO Box 2315 Lake Oswego, OR 97035 636-299 Phren)#:
To the City of Tigard:
In a=)rdance with the provision of Oregon Revised Slatuto 223.208 and Washington County Ordinance
No.379 which relates to the imposition of a trdtfic impact fee for the financing of major collector roads acid
arterlals of Washington County, I/we HEREBY MAKE APPLICATION AND AGREE, JOINTLY AND
SEVERALLY,to pay my/our traffic impact fee, as has been determined by Washington County Ordinance
No.379 in 10 semi-annual installments of the amount financed together with one-half of one year's interest
thereon ata rate of775 annual percentage rate on the unpaid amount owed. The lien Gate is the first day
of the month following the date the application is signed. The first payment is due six months thereafter
and at six (6) rranth intervals thereafter for a period of 5, years. Each installment payment will irrctude
principal and Interest.
If llwe neglect or refuse to pay any part of the installments provided herein, including interest, within one
(1) year after the same shall have become due and payable, then the whole amount of the unpaid
assessment shall become due and payable at once and shall be collected in the manner provided by law
including foreclosure on the above-described real property.
The traffic impact fee, annual percentage rate of interest (7.5%) and finance charges which Owe agree M
pay are as follows:
HIGHWAY TRAN1:IT
1) .Amount ul, Traffic Impact Fee . . . . . . . . . . . . . . . . . $ 1280.00 100.00
2) Amount Financed . . . . . . . . . . . . . . . . . . . . . . . . . $ 1280.00 100.00
3) Equal Semi-Annual Principal Payments . . . . . . . . . $ 128.00 10.00
4) Interest on Balance at Rate of . . . . . . . . . . . . . . . . 7.5 %
We land that the amount owed, as stated above, shall be a lien on the above-described subject
pmp fly rsuant to Washington County Ordinance No. 379 Section 6 (D) and ORS 223.230.
D this 22nd u day of May , 1992
rlgn f Property Otirner(s) Signature of Property Owner(s)
STATE OF OREGON ) Name (Please Pdrd): � / Z, It<.
Address: --J�-` `--p
County of Washington )
SUBSCRIBED AND SWORN TO BEFORE me this —` day of �!
(Notar� Public for Or o
My Commission Expires:
IV
CITY OF TIGARD RECFIPT OF PAYMENT RECEIPT 140. 02-227636
CHECK AMOUNT r 4720. 57
NAME I SKYLIGHT HOMEBUILDERS CASH AMOUNT a 0. 00
ADDR590 i PCI BOX 2315 PAYMENT DATE r 05
LAKE OSWEGO, OR SUBDIVISION
97035—
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
BUII-DIN13 PERM MST 92-030 400. 00 PLUMBING PERM 147. 50
MECHANICAL PE 39. 00 ST. BUILD PER 29. 32
PLAN CHECK FE 9. 75 SEWER USA 1900. 00
SEWER INSPECT 35. 07a PARKS SOC 1500. 00
STURM DRAIN SDC 280. 00 RESIDENTIAL TRAFFIC FEES l2no. 00
MASS TRANSIT TIF FEES 100. 010
PIVERVIEW ESTATES, LOT 38
1 OTAL AMOUNT PIP 11) 47P0. 57
CITY OF TI CARD Rox 2339�, PLNCK/RECT a f -�
7 ord.Oregon 972D P E RM I T k
COMMUNITY DEVELOPMENT DEPARTMENT e
(503)639-4171DATE ISSUED
JOB ADDRESS: I() 2 5 2. Sty_ ()1 C_ C-1— TAX MAP/LOT -2,2- 1(( 913-- ('113P
SUB: 91✓c*Rview e-flales' LOT: S�� — LAND USE:
VALUATION: f 4 k,1-3Z.
OWNER SPECIAL NOTES
NAME: _ �'1 Y-LI44r 1-40»),E 9vjL,0fCS CO. REISSUE OF: h75/1/- 036-5 _
ADDRESS: F3 O /icy Z3js- LAST REISSUE:
(-AKf- os W,--60, Q Z. 9709 r— FLOOD PLAIN/
PHONE: (503) 636-Z99y SENSITIVE LAND:
CONTRACTORP� PROVALS REQUIRED
NAME: _-__- S✓.1-�i bN i 1-iom� Rv�c�aF�s CO. PLANNING: 5 fd9045 W _
ADDRESS: PO floe 23,11- ENGINEERING:
(Ale. on `)7v31--- FIRE DEPT: —
PHONE: SD 636-799Y _ OTHER: T?F
CONTR. BOARD l: -3yX86 EXP DATE: 7-1
9 Z
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LVOL0"T r pc -mgiPd LIST/SUBCONTRACTORS:
MECH: Irvr`NF- ►YP6 cnfp BUS TAX:
ARCHZENGINEER CALCULATIONS!
NAME: SK�-C►bH-r I+omE lZy)C0r-'KS TRUSS DETAILS:
ADDRESS: __ eo 9%c ?TIS- * OTHER: —
C.64KA- OJWk *:60e o.z e77113 r
PHONE: fns 6S6 Zq9`l
PROPOSED BLDG. USE: S'FIZ
COMMENTS: ss�F (oft 2- }Un (&Dc Su4 40-4001Y c'0NbSASE cA�#S&
PLI
APT NATURE
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Received By: __ ���... Date Received:
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PERMIT : ACCT # DESCRIPTION AhOUNT AMOUNI PD. BAL- DUE `
M5KV-036(, 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%) a •S Z ____
Building U
Plumbing 7, 7
Mechanical
i
10-433 00 Plans Check Fee '-7'
Building L
Plumbing
Mechanical ? >�
10-230 06 Fire
---
SW/?`IZ o�3s 30-202 00 Sewer Connection
3� s
30-444 00 Sewer Inspection 3 --
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 System Dev Charge (PDC)
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 '1(ou s7 / l L2 a.S
nm/3587P.WPf