14818 SW KENTON DRIVE �TM(`a:.lI1M0W IINy6�iAlIN ywwt,++o}XFtii.24HMM`YOapF�1.3V1WNY1MIwtiW.• �WRdkAfANi�IWoM W�AULi�N^"tix�K•.i;�i. .;.w rtW*.,r,.�A'uM.ivV�,mN�:;Y�i1+sw
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14818 SW KENrON DRIVE:
INSPECTION NOTICE
city of Tigard &eliding Department
13125 SM Hall H1vv'i. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone!: 639 175 Businens Phone: 639-4171
Inspections_
Footing Pl.,q. Underal Hoch. Rough-in � )'.Ppr/Sdwlk
Fru-1. Plbg. Top Out Can Line FINAL:
Poet/9eam Struct. San. Sewer Framing -Bldg. ff
Post/Beam Hoch. R•.Lc Drain Insulation -Plumb.
P:.bg. Underfloor Wltor Line Gyp. Bd. -.Hoch.
Date Requestteedd:r—_ Time: AM PM
kd1reee: f-! v���' i�Z= 1_ Permit #sl/—
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: / "Ll 7L,
RAPPROVED -- DISAPPRO APPROVED SUBJECT 710 .ABOVE
Call For Reinsp.
1
��SpSCT GSI �.�rrlcE
City of Tigard Building Departleent.
1317.5 SN Hall Blvd. Tigard, Orogon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 61'�-4171
Inspection
Foot inq Plbg.
Underelab Mach. Rough-in Appr/sdwlk
Found. Plbg. ?OP Out
Gas Line FINAL:
Framing %J -Bldg
Post/Beam Struct. San. Sewer
Poet/Ream Mach. Rain Drain
Insulation �u
Plbg. Underfloor Nates Lige/ Cyp. Bd.
-NaohAN.
—Times / _—PM
AN
Date h�queeted:
_ Permit
Address:
Builder: ` r-
THR FOLLOWING CORKS IONS An RSQUIRSD8
APPROVED DISAPPROVED APPROVED SUB.IECT TO ABOVE
Call For Reinep.
�'�OF71FARD UCCUPANCY
CTO--FTWIM
COMMUNfl Y DEVELOPMENT DEPARTMENT r,-,Pv1TT 0. . . . . . . :
13125 SW Holl BIlrd P.O.BOK 23397,TWwd,0r090n Of 23,.56031dpt,4!76
SW KV,,:-NT0N DR PARCE1,1
SUDD),v 15 1 o1q. AH.It Out; CAMS .3
FALOCK. . . . . . . . . . a L_o I . . . . . . . . . . . . . a 14(-
CLASS 017 W(JPR, ANEW
TYPF, OF' USF. . . 3L,)I"*
OCCjjpA,NCY GRP. AR3
OCCUPANUY I 044D a e25 4
TENANT NAME.
RomArkits
MELVTN WAYMIRE
PC) BOX �,`31 A64
11GART) OR 97223
pt-lonc, #.- 639-.6742
IvIF.-J..V114 WAYMIRE
pr) SOX P31164
11GORD OR 97R23
Fohonp #p 639-6742
Rep #F. . o 35976
Occupancy of the al-love referenc.ptj tol.jil(jintj is
.oy !jivvn, anti cpvtifles,
with -the `:,-,)tatp of Clreuon Specialty 1: 011PF, f4W the 4"'01.1pi
use under .
K1-, Vt,j V,Vfer•@rjr
, f
4 Z,
F1 Rr- DF14IRTMENT
Xf--x
POUT IN
INSPigrzON_No7.Lcs
City of Tigard Building DepartwAnL
13125 871 Hall Blvd. Tigard, Oregon 972 3
Inspection Line (Rec-O-Phone): 639•-4175 Business Phone: 639-4171
i
Inspect.ion:___ ,__--_ I
F, tinq Plbg. Underelab Mech. Rough-in Appr/adwlk
Plbg. Top Out Cas Line FINAL
Post/Beam St.ruct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation Plumb.
Pl.bg. Underfloor. Water Line Gyp. Bd. -Neah.
Date Request�ed:� / 2- 2- Z-_—__--Times AM / PM
/AddreeL.+o++�e _ p /� -- Permit is
Builder: 1•YJ� LtV�I.�� C �D�_LZ�__ —_—.
THE FOLLOWING CORRECTIONS ARE REQUIRED:
r
' It
Inspector: -- Date:
_APPROVED — i DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
INSPF,Cf10M NOTICE
City of Tigard Bs,ildinq Departwsent -
13125 SW Ball. Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
Inspect '`�
Ftxsting Plbq. Underslab Mech. Rough-in r Appr/Sdwlk
Found. Plbg. Top Out Cas Line FIM s JJ
Post/Beam St-ruct. San. Sewer Framing -Bldg.
Post/Bean Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Hater. Line Gyp. Bd. -Mech.
Date Requestedt_� — f Time: AM _ pM
Address: Parmit #:
Builder: t-�'�•% _
THE FOLLOWING CORILTIONS ARE REQUIRED:
c
10,
kit I
Inapoctori�d.�'� !�t �';'�k�'- __--,-- Date r_`+' --
APPROVEDbTSATPROVRD APPROVED SUBJECT TO ABOVE
Call For Rainsp.
IF
INSF,EcTION NO ICH
City of Tigard Building D0P*rts`e°t (��
131'5 aw Ball Blvd. Tigard, Oregon 97223
Inspection Lir- (Rec-O-Phone): 639-4175 Business Phone: 639-4171
I
Inspections _—__------ --�' --
Underelab Kech. Rou h-in Appr/Sdwlk
Footing
Plbg. g
Plbg. Top Out
Gas Line FINALS
Found.
Poet/Beam Struct. San. Sewer
Framing -Bldg.
insulation -Plumb'
Post/Ream Mach, Rain Drain —
Plbq. Underfloor Fater Lina -Hoch.
3yp. Bd. I
_Times _.1-s—AM -----4K
Date Requeeteds______— I
Permit 1�
--
euiIdo c:_�' �
THE FOLLOWING CORRECTIONS ARE REQUIRED:
�--.sem-- --_
Dates
Inspector — - -
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPT ION NOTICY I
City of Tig.,,rc Building IM3parteent Alt,
13125 911 Ball Hl- Tigard, Oregon 97221`1 1,
Inspection Line (Rec-O-Phone 39-4175 Business Phone: 639-4171
I nr,pect ion:,—_____.___
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Pont/Beam st.ruct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lin s Gyp. Bd. -Mech.
��— �r� vim•s T'—: � AM
Date RequNtedt PM-
Address% / _� [.G'/_L..�' Permit
Builder.: 1 4
THE FOLLOWING COA IONS ARE REQUIRED:
Inspector _ Date: / T+
APPROVED �i DISAPPROVED -� APPROVED JUBJECT TO ABOVE
Cell For Relnep.
IF
CR �'
�NSPBG'PI�ON NOT rgaent 1
City of T19arA Building Depa nt
13125 SIN Ball Blvd. Tigard, Oregon 6.9_4171
Inspection Line (Rec-O-Phone): 639-4175 Buelneee Phone: -`
Inspect ion z—--------- pppr/Sdwlk
plbq. Underslab Mech. Rough-in
Footing FINAL,
Ylbg. Top Chit
Gas Line
Fou rzd. -Bldg.
Framing
San. sewer
Poet/Beam f;truct. _plumb.
Mech Rain Drain
Insulation )
Poet/Beam -Koch.
plbgNater Line /
Gyp. Bd.
Underfloor
Ti.m.t —AM
Date Reyueatedt -D
Permit tt
Address:�T
Builder:
IONS ARE REQUIRED:
T(iP. F(1I.I.Ow I NG oDRREC�
-------_ter- -
Inspector
_ APPROVED J-_..
DISRPPROVID AppaMID SDBJSL"r TO ASOVR
3
Call For paiaap•
li¢PECTION NOTICE
City of Tigard Building Department
13125 M Ball Ulvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing P/bg. Underalab - Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL:
Poet/Beam Struct. flan. Fewer Framing .-Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
Date Requested:_ 51 f q2 _-✓-Timet AM PN
Address:--- IO 1..� Permit
Builder:__
THE FOLLOWING CORRE ON8 ARE AEQUIRBDt
/�'��_/GC/x /SC''/..J uL'G firs-, !�u/�7` /•cam 5 'G/1 dti C�4'�'- -
Inspector: _ Date. a— ✓� l Vl.�"
APPAOVBD DIHAPPROVED APPROVED SUBJECT TO ABOVE
Call. For Reinep.
City of Tigard Building Department
13125 SIS Rall Blvd. Tigard, Oregon 97223
Inspection Line (Roc.-0-Phone): 639-4175 BuBineee Phone: 639-4171
inspection:_—,
Footing
Plbg. Undetelab Mech. Rough-in Appr/Sdwlk
lbg. Top Out \) Gas Line FINAL:
pound. J
poet/Ream Struct. San. sewer
Framing -Bldg.
Post/Beam Mech. Rain Drain
Insulation -plumb.
plbg. Underfloor Water Line Gyp. ad.
-Hoch.
-fJ Z. Time. AM _ PM
Date Requested:_-- / --- _
Ly�p
�4/ r _LJ Pormit
Address:
Builder:
TRS FOLLOWING CORR IONS ARE REQUIRRD:
j/ nater.
—APPROVED DISAPPROVRD _ APPROVED SUBJECT TO ABOVE
call For Reinep.
1NSP? + .urlcE
CltY of Tlga:.d building D"rteent
13125 811 Ball Blvd. Tigard, Oregon 47223
Inspection Lin3K---
e (Ree-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbq. Underalab Mach. Rough-.in Appr/Sdwlk
(S `eo Plbg. Top Out Can Line PINALt
i
'f6st/Beam St-ruct.--- San. Sewer Framing -Bldg.
eam RECts Rain Drain
Insulation -Plumb,.
Underfloor Water. Line GYP. Rd. -Mach.
Date Requested:
_AM _ PM
Address:�L�u
_ Permit
Builder:
THE FOLLOWING COCTIONS ARE REQUIRED:
Innpector: '�`---__
--------�--- — .-- ----.—....—_ Date s
__-__.APPR0V'F1) — DISAPPROVED ---._— APPROM) SUR.JECT TO ABOVE
--.---Call For Rainap.
�NSPBCTION Nl7TICB
City of 'Tigard Building Department
13125 811 Bell Blvd. Tigard, Oregon 97223
Inspection Line (Ren-0-Phone): 639-4175 Business Phone: 6311-4171
Inspection: --
i
Footing Plbgr Underslab Koch. Rough-in Appr/Sdwlk
Found. PPl-b�g. Top out
Gas Line IINALt
Poet/Beam Struct. 8an.`8a1N! Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor later Line Gyp. Bd. -Hoch.
Date Requested: L ! Time: _ AN `PN
Address: / /� 7L Permit 1t - L
Bu 11 der:
TNM FOLLOWING coOAECTIONS ARE REQUIREDt
a
ge f
I nspect.or t -- Dat . Y_r�v_, •-v
APPROVED DISAPPROVED APPROVED SUBJMCT To ABOVE
V—Call For Rsinsp.
i
INSFgCTION NOTICE 1
City of Tigan ing �rtaeat
13125 SM Ball Byrd- Tiger• OreSpa 97223
Inspection Line (Roc'-O-Phone; 639-4175 Business Phone: 639-4171 -_—
Inspect ions —._.— - Rough-411 Appr/Sdwlk l
plbg•
Underslab Nech. Roug 11
looting
Cas Line FINAL=
po---� P11ra. Top Outpois.G -Bldg.
y Framing
-' sen. Sewer
Pont/Beam Struct. -plumb.
Insulation G
Rain Drain ✓
Poet/loam liech. _!tech.
✓✓✓
Water Linegyp, Bd. pN
Plbq. Underfloor _
----T Lme s --------AM
Date Requeeteds
01
Permit
Address; G� -
Builders
TFIF. FOLLOWING OD
IONS ARE REQUIRED:
— _ L
-
7/1
— — / - -- Date: -�---
Inspector:' To ABOVE
DISAPPROVED APpRGVED SUBJECT
APPROVED —_�— '
Call ?or Reinap•
CITYOFTIFARD RD
COMMUNITY DEVELOPMENT DEPARTMENT +.Je3 MASTER PERMIT
19126 BW HWI Blvd. P.O.Ba 23397.Tipvd,O►epon 97223(609)699-4176 _,E R M I T #. . . . . . . .. MST 91-0246
DATE• 15SUED: 04/07/92
ITS. ADDRESS. . . : 14816 -7W KI NTON DR PARCEL. ,�51 �;�-B--A014E6
SUBDIVISION. . . . : ASHFORD OAKS 3 ZONING:
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . : 146
__w_.______.__________. ______.___-_--•
BUILDING, ----_-___-__--.--__--------------------_.
RE I SGUE: DWELLING UNITS- I BASEMENT 0 5 f
(..;LASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . 1416 sf
TYPE OF USE. . . :SF FLOOR AREAS'---.- REOUIREt)
TYPE OF- CONST. -SN FIRST. . . . :840 sf LE'F7. . :5 ft RIGHT. .8 ft
OCCUPANCY GRP,. : 3 :'SE=COND. . . :701 s F FRONT. :J`'0 ft REAR. . :4 1 f t
STORIES. . . . . . . s2 THIRD. . . . :0 S REQUIRED---
HEIGHT. . . . . . .
ED---HE"IGHt-. . . . . . . . :c'C rt TOTAL-----,-: 1541 s f SMOKE- DETECTOR;. :Y
FLUOR LOAD. . . . .40 as f VALUE. . . . . : 78410 PARKING SGAC'ES. . :0
Remar-I(s -
___._ ------------------------------ PLUMBING
IIVI55
. .. . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . 14 WATER HE:ATE:RS. . . : 1 1RAPS. . . . . . . . . . . . . . .0
1-IJB/SHOWERS. . . . :2 LAUNDPY TRAYS. . . :0 CATCH BASING. . . . . . . :Q,
WA 1 F k CLOSETS. 3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
D I SHWOSHERS. . . . : 1 WWTER LIVE' (ft ) , : 100 OTHER FIXTURES. . . . . .0
CQRBAGE DISP» . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1. 5F RAIN bRA I NS. . : I.
MECHANICAL. _____. _____._-.-•-- -_-__.____.__...___ ___. FEES ____..._.. . .- _ ..
FUEL TYP'ES- ---_ ----___. UNIT HTRS. . :0 type amot.tnt by date ve(70
/GAS/ ! i VENTS . . . . . :0 TIF b 1380. 00 JLH 04/06/92 -
MAX TNPHI :0 BTU VFNT F'ANS. . :4 DPRT 4 '370. 00 TI H 04/06/%-.'
FURN ( 100K . . : 1 HOODS. . . . . . . .I APLC >l 240. 50 JLH 12/23/91 2^:_'1013 ,
FURN ) t:--100K . . :0 WOODS i OVEG. :0 S5P C A 11.3. CIS ,JLH 04/06/92 -
FLOOR FURN. . . . .-O CLO DRYERS. : 1 SSDC; s C,80. 00 JLH 04/06/92: -
13OIL/CMP ( 3HP:0 OTHER UNITr:O PARK $ '500. 00 .JI._H 04/06/92 -
GAS OUTLETS: l MPRT $ 39. 00 JLH 04/06/92 owner-: _______._____._.___._____._._-_____.___.___ 11PLC $ 9. 75 JLH 04/06/9" -
MELVIN WAYMIRE M5PC fi 1. 95 JLH 04/06/92 -
PO BOX 2`31164 Pp,(d r 4. 140. 00 .JI. H 04/06/9k: -
P'SK='C 7. 00 JLH 04/06/92 -
1'IC3ARl) OR 97223
Phone #: 6:39-674
MELVIN WAYMIRE:
00 BOX 2:31164
1 IGPRD OR 97�23
Phone #: 639--6742
Neq #. . . :35976 ------.--.-__-__._.----_-.----___-__----____.
$ 19A6. 70 TnTAL
This pewit is issued subject to the regulations contained in the ------- RFCxUIRED INSP'E:CTIONS -------
Tigard Municipal Code. State of Ove. Specialty Codes and all other Foot/fal.tnd Insp Fireplace Insp
applicable laws. All Mork will pe done :n accordance with approved Past!Beam 5t rurt Gas Line Ins p
clans. This perait will expire if ,}nt st rted within 16N Post/Steam Meehan Ins+.tlation Insp
days of issuance, or if work is = y •o a than days. Plm/uncislab Insp Gyp Boar-ci Insp
F'LM/UncfPrfloor Fain drain Insp
f='ermittea .3i +Ir1-�t Mer-hanical IriWater- Line lnsp
i` Plt.tmb Top Out Appt,/Sdw1P Insp
Tsst.ted Byt Fr-Amin[l Insp Mec:hanic_al F-ina)
far inctoati�ri - 63911% , _
..... C11YOFT11FARD PLUMBING PERMIT
TCff Y�OF AD
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . I MST91-024E,
one"
131268W HO MA P.O.Bm 23307,T4W,OrWn 97 (603)!139.4176
DATE IE'SUEDS 04/07/92
SITE ADDRESS. . . 1 14818 SW KENTON DR PARCEL: 2S118'CB-A0i46
SUBDIVISION. . . . 1 ASHFORD OAKS 3 ZONING:
BLOCK. . . . . . . . I LOT. ... . . . . . . . .,. . 9146,
CLASS OF WORK. W GARBAGID,.0 1 SPOSALSW-k I I... ........ .. . ......
TYPE OF USE. . . . I `/ %r
-,WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . !O
OCCUPANCY GRP— :F(3 -FLOOR DRAINS. . . . . . . 10 TRAPS. . . . . . . . . . . . . . 10
STORIES. . . . . . . . .2 WATER HEATER� . . . . . . .. I CATCH BASINS. ... . .,. . a0
F I X TURES- LAUNDRY TRAYS. . . . . . 10 SF RA-IN DRAINS. . . . . It
RINKS. . . . . . . . . . a GREASE TRAPS. . . . . . . 10
LAVATORIE S. . . . . :4 OTHER FIXTURES. . . . . 10 k
IUB/SHOWERS. . . . , SEWER LINE (ft) . . . . 40
WATER CLOSETS,_3 WATER LINE (ft ) . . . . : 100
DISHWASHERS, ril RAIN DRAIN (ft ) . .,J . 10
Remarks :
OWNERi
MEJ_.VIN WAYMIRE TIF $ 1380. 00 ILIA 04/06/92
On MIX 231164 BPRT $ 370. 00 JL.H 04/06/92
SPI-C $ i:24 0. 50 JLH 12/23/91 221087
'I P:,04HD OR 97223 B5PC $ 113. 50 ILIA 04/06/92 -
Phone #1 639-6741-. SSL)c $ E10. 00 JLH 04/06/92 -
PARK $ *SOO. 00 31"JA 04/06/92 -
c: 1 .fmbinq
f:` 1 ,.frnbinq Go tit ract orl IYIPRI, $ 39. 00 JLH 04/06/92 -
• MPLC $ 9. 75 JLH 04/06/92
e g 1 $
vi z, MW5P(_ 1. 95 JLH 04,106/92
(-')d d 0 S S PPNT $ 1.40. 00 JL...H 04/06/9i�!
-q�S.S_JU,
C,i t I +J"ri,
at e i P5PC $ 7. 011 11-14 04/0 6
P I —V,hone#
Peg
REQUIRED INSPECTIONS
This pfarmit is issued subject to the reg-
ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp
Code, State of Ore. qpecialty Codes and all Pont/Beam StrUCt Water Line Insp
other applicable laws. (411 work will be done Post/Dfam Mechan Appr/Sdw11i Insp
in accordance with approved rllants, This Plm/undslab Inqp Mt.-m-.Antanical F iii;ql
permit will expire if' work is not started PLM/Undev-,fI oor Plumb Final
with't'n 180 days of issuance, or if work is Mechanical Inip Building Final
4;spended for more than 180 days. Plumb Top Out Erosion Contrc
Framing Insp Crawl Drain
Fireplace Insp
Gas Line Insp
Insulation Insp
Gyp Boai-d Insp
Outh-0�14--r�rlumbing Ton -vtw�'t�-or lignat,*L_1;�_,
Call for inspection 639-4175
----------
SEWER CONNECTION
CITY OFTIFARD CnYOFTMI PERM I'T
COMMUNITY DEVELOPMENT DEPARTMENT «nooN PERMIT #. . . . . . . .. S W R 9 2—0 0 c--'0
13125 SW Hell BW P.O.Sm 23397,Tfpmll,Orspn 97 (5W)6304175
HATE fs
iL OUL)RESS. . . : 14818 SW KENTON DR PARCEL : 25112CF3--,A0l4(,
,J11DIVI3ION. . . . : ASHFORD OAK ZONING.
BLOCK. . . . . : LOT. . . . . . . . . . . . . : 146
TENANT NAME.:. . . . . :
USA NO. . . . . . . . . . : FIXTURE UNITS. . .
CLASS OF WORK. . . .-NEW DWELLING UNITS— : 1
IYPE. OF USE_. . . . . iSF NO. OF' BUILDINGS: 1
INSTALL TYPE— . iBUSWR IM[JEPV SURF'(,CE. f
Remarks :
Owner,. ------------------------------- FEES —-----
MELVIN WAYMIRE type by dare nc,ui.
PO BOX 231164 PRMT $ 1900. 09, JLH 04/06/92
I NSP $ gin. 00 Jl--H 04/06/9 2'
TIGARD OR
Phone #: 639--
;1C
Contractor,.
v, FILE:
CONTRACTOR U L14 F I
!-11-lone 1935. 00 TOTAI.-
Q
REOUIREG INSPECTIONS
[his Applicant agrees to comply with ali the rules and reguiations Sewer Inspect i on
if the Unified Stwage Agency. The permit expires 180 days from
the date issued, The total amount paid will be forfeited if the
oermit 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 al, directions from
the distance given. If not so located, the t 11r shall purchase
a "Tap and Side Sewc," Permit and th ency 11 �nstali a lateral,
:Dset-inittf-e Siqnato.At-f
Tssl.ted By ,
(-,z.tl 1 for insper,t i on t,39-4175
77,
77
, 1
CITY OF T I GARD REMWT OF P'AYMEN'T RE
CHECK AMOUNT NO. n y�467 1. to
N(IME MEI VIN (3. WAYM I EBF. CAL7H AMOUNT 0. 00
i
PAYMENT DATL 04/071"92
I filil.)F?F 'i a 8UBDIVI9ION s
po BOX 231. 164
T I GARD. OR 17w 23--
PL)P O BF OF PAYMENT AMOUNT PAID pkjppo$E OF i RYME..NT AMf.IINT PA..._ _I D
` GLI I L D I NO FBF RM 370- 00 V-L»UMB I NG PERM 140. 00
0
y /er
I!
MECHANICAL, NE? 39. ASI• GT. BUILD PFR �.7'. 5
F�ECHLAN C:ICAL, FE 0. 25 SEWEiR LISA 1900. 00
�47WER INSPECT 35. 00 PARKS Gnt"' :��0. 00
{ Io4M DRAIN SDC F801. 00 RESIDENTIAL CRA FIC FFF5 12.E�pl. k�4�
im�4 c3 'T'RANSIT TIF F"L'FS 100. Oki i
I
I
,
(4GPiFORU L pgS 111, I_OT 146
1 U f FIL. oMC)UN T PAIL)
467:1. 70
I
13115 SW Hall anva PLNCK/RECT #
TT1��A ��` Po Bo x397
CITY OF Tigard.Oregon 97211 PERMIT #
COMMUNITY DEVELOPMENT DEPARTMENT (503)639- 171 DATE ISSUED
1 mi Hard �R TAX MAP/LOT .
242 L14
JOB ADDRESS: nton Dr
10 LAND USE:
i SUB: Ashford Oaks �k3 _ LOT: _ _ --
! VALUATION: $SU 000.00
SPECIAL HM
OWNER
REISSUE. OF:
NAME: Meli
vn G Wav=«
,ADDRESS: LAST REISSUE:
P.O. Box 231164
Tigard, OR 97223 FLOOD PLAIN/
PHONE: 6 3 9-6742
SENSITIVE LAND:
CONT A TO g-P_P_ROVALS REQUIREO
NAME: .- Melvin_a. Waymire. Jr.
PLANNING:
ADDRESS: P..O• Box 231164 ENGINEERING: - r
., �
Ti and OR 97223 FIRE DEPT:
PHONE: 639-6742 —
OTHER'
CONTR. BOARD #: 35976 — EXP DATE: 3/11 92_—
ITEMS REQUIRED
5,05coNTRACTORS: PLUMB: Harmony Plumbing 641-6154 LIST/SUBCONTRACTORS:
MECH: Specialty Heating 620-56.43 BUS TAX:
CALCULATIONS: —
RCH GINEER
TRUSS DETAILS:
NAME: Al Ln Ma
ADDRESS:
1.515 N.W. 23rd Ave. OTHER: —
_ Portland. OR 97210
PHONE: 225-9161 -
PROPOSED BLDG. USE: Single_Family Resid�nt3.s�l� _r
COMMENTS:
APPLICANT 1z.GNATURE
Received ;y: --
Date Received:
PERMIT # ACCT # DESCRIPTION
AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees 9
10-431 01 Mechanical Permit Fees 1--
X j
10-230 01 State Building Tax (5%) --
Building �✓
Plumbing 7 `�
Mechanical
10.433 00 Plans Check Fee
Building I-V y'' r
Plumbing
Mechanical ,�, %� ✓
10-230 06 Fire —
30•-202 00 Sewer Connection
30-444 00 Sewer Inspection '
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees —
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
•' �?.5-448-01 Residential Traffic Fees a� ��o 00 12aU
25-448-05 Mass Transit TIF Fees --QQ
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL
nm/3587P.WPF
RE:CF:I� OF P(WME f JT RE~CX'I E'i NQ. r 91— 1 7 �I:
CI'T`Y Cit✓ T;tGARD CW.ECAet (AMOUNT � �0 1� �1
CgSt4 Alwl(7UNe o Ic;/r3i�l
ti WAYMIRE. h1 L..VJ.N G. J'4. PAYMEtJT DAIU i
hlA++1t_. Y•f E�t.JC3()I V I G i ON
I3UX. i....1 164
T JOARD, pR 437223--
1' PAID
PUE3I"[lF�E:. f►�. �AYME NT
CIMOUNT PA 111
OSE OF PA'?ME:N'F FIMUUN �. _. ...._.. _ ..
PURP
PLAN CHE•CK FF. � I
I
I
1I
Ary..((:URE) OAK #39 I.UT 10 (KE~N'Y`ON DR I VF)
i
AMOUNT pA:(E} ...
Cy4
447
Fd;
k
4
d
9
1
3
S
i
4