14852 SW KENTON DRIVE ..,. -.- _v'uarn,,.r..wner;+vy:WirW:YapWp�/k6wurx�a/wwb+l.e0�+:.bYk✓Mm`MLMMY+WIh/^�WidM;�w.w
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141152 SW KEi ITM DRIVE;
C'TYOFTIFARD CERTIFICATE OF
CITY RD OCCUPANCY
COMMUNFTY DEVELOPMENT DEPAR 7irAg
M OERMIT #. . . . ... . 3 MST9102'50
13125 SW Hell Blvd M.O.Batt 23M.TOPid,Oregon 97!f=.11�?4
I OE ADDRESS. 14652 SW KP_'N'rON DR PARC EL 2S11PCA--AO1'*l11
SURD IV.'SION. . . . s ASHF11RD OAKS 3 ZONINGi R7
BLOCK. . . . . . . . . . r LOT. . . . . . . . . . . . . 1144
4CLASS OF WORK. xNEW
T"'"PE OF USE. . . 0F
3
OCCUPANCY GRP. : R3
OCCUPONCY LOAD 1120 4
TENANT NAMr.- .
Remarks
Owneri
MEL_VIN WAYMIRE
PO BOX 231164
TIGA.RD OR 97223
Phone O 639-.6742
Contrartors
MELVIN WAYMIRE
PO BOX 231164
Ttnr,RO OR 97223
Phone 6"x9-6742
Occupmiry of the above referenced building i % hereby given, and c-ertifies
1:h* compli&nce with the State Of 11regon Specialty Codes for the gro1-1p.?
out-upativy, and use undpr which the referenced perwit was iss"ted.
W�AWAf_
FIRF DEPARTMEN1 'A.11IN44 JNFc'rOR
;j LSr"DINO DFrACIAL
F'W4 11\1 CON, PICU011.9 PL.Ar.,F
1NS�' nui-NODI.^
City of T1gara Building Del.rtoent j
13125 RW Hall Flvd. Tigard, ore,
,on 97223
inspection Line (Rec-o-Phrne): 6.19-4175 Bus.ness Phone. K3
Inspection%_—_- — ----__ --
Foot.l.nq
plbg. underslab Hoch. P.ough-in Appr/Sdwlk
FINAL:
Found. Plbg. Top Out Gas Line
Post/Beam Strutt. San. SewerFraming
Poet/Seam Meeh. Rain Drain
Insulation -plumb ,
Plbq. Underfloor Water Lino Gyp. Bd.
-Hoch. 1
Times _ _._^!9�_ PH
Date Roque ated t
/ G Permit
Address: �(
Bu i�.dot•�____ /! /G't �' 21-�.�A� J
THE FOLLOWING WRRE ONS
____-- --•.- --
Date:
InspectorXAPPROVED -- --
DISAPPROVED APPROVED SUBJECT 'rO AF'�VE
--
Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Mall BOM. Tigard, Oregon 47223
Inspection Line (Rer••O-Pho 1: 639-4175 Businenn Phone: 639-4171
Inepect ion r`y__
Fo,tinq Plbg. /lderelAb Mech. Rough-in,._'�_Appe/Bdwlk �)
Found. P1 !/Top out Can Line dINALs
Post/Beam Struct. San. .Sewer Framing -Bldg.
Pont/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underflo-r Water Line Gyp. Bd. -Hoch.
Date Requested: __1 ___Ti., __AM
PH
INS- _ L ! Q Sd Permit lei
THR FOLLOWING COR ARE REQUIRED:
— ----- --- -- --
SS 6
d
i
P
i
i
Inspector: �,!L 1 21 ) i�Ter�i ��i--- _J_--Dat"t_
IIS''
PPROV6D DISAP C:VED APPROVED SURJFCT TO ADM
Call For Reinsp.
s
IF
�N��ECTION Ncrrzc>�
city of Ti.grrd Building Depariont
13125 SN Hall Blvd. Tigard. c-regon 97223
Inspection Line ;Ree-o-Phone): 639•-4175 Busineae Phor•,a: 639-4171
z
Inspection
p '/c &dwlk�
Footing Flbg. Underslab Mech. Rough-in Ap �+
Pound. Plbg. Top Out Gas Line FINALt
Poet/Beam Siruct. San. Sewer
Framing -Bldg.
Poet/Beam Mech.
Rain Drain Insulation -plumb.
Plbq, underfloor
Water Line Gyp. Bd. -Mach.
Date Requaeted:_�_, L~� 9 —Times
/imes AM�-
Address:_-i/ 1�,—/��' 1� = Permit
Builder:_
THE pOLLOWIN> CORREGYP10Nu AAE REQUIREDt
I IyI c E3f�CE c L�1�Li.r"i 1 LJ�JK l ti Ct i L G_
r-:►7L(J,.•'�IQ.L2.IL "1 T7 i2�s• i I�t�� ('.r�� i'Q __
-------- - _1.LL�/ RLI
Dates -7
Inspector: L!�• --
wppRpy=D D APPROVED 8UB.71CT TO A9Wti
___call For Reinsp.
IN4__�PScr,�O�NUTzce
City of Tigard Building Del.,dent
13125 SN Ball Blvd. Tigard, a egon 97223
Inspection Line (R@c o_phUne): 63c-.4175 Business Phones 639-417.1
Inspection:
Footing -— _
Plbg. Underalab Mech. Rough-tn
Found. APPr/Sdwlk %
Plbg. Top out "----
Cns Line
Post/Beam St.ructFINALI
. Ban. Sewer
Framing
Post/Beam Meeh,
R -Bldg.
Rain Drain
Insulation
Plbq• Underfloor -Plumb,
Nater Line
� � GYP. Bd. -Meeh.
Dnte Regw4Btod: /- 1Z-- �(
5 e — ilne, L AM
Addrye•t L ;E__
- _PN
Dulidert
�/ .. Permit
!2� 7n 1�j v
TM8 POLLON"qG C'ORRRCTIONS ARE REQUIREDt
Y YYl
2
i
-----------
----------
-
---------
Inspector:_�-� ? 1
Date, G;. —
_ --"P"VED DISAPPROV
APPROVgD BDBJECT TO Awn
R11 For Reinap,
SPE Tom OTIC Y
City of Tigard Building Department
1312E, SR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Ree-O-Phone): 639-4175 Business Phones 639-4171
Inspection _ ----- ����_-----
Footing Plbg. Underslab Koch. Rough-in APpr/Sdwlk
Found. Plbg. Top Out �f Oas Line l FINALS
Poet/Beam Struck. San. Sewer F++_ rrraming � -Bldg.
Post/Beam Mach. Rain Drain Insulation -plumb.
Plbg. Underfloor Water Line Gyp. Bd. 1ec.h.
Date Requesteds� __ Time: ��'` AN PH
Ad4reass� Permit fs,�
Builders_
THE FOLLOWING CORRECTIONS ARE REQUIRED%
s
Inspecto -- _��__-- -_—�� 'Dates ---
. �`-
APPROVED DISAPPROVED PPPP.OVED SUBJECT TO ABOVE
Call For ReSngp.
INSg.��ION N CE �
City of Tigard Building Dgpart,ent �'�i
13125 811 Ball
Inspection Blvd. Tigard, pr
Rer__ e9on 97223
Line � r,
( O-Qhone): 639-4175 Business Phone: 639-4171
Znepectlon:_
Feat ing
Pound. -----._.—_.—
P1b9. Underalab Mech. Rough-in
Appr/8dwlk
Plb9. Top out Cas Lino
FIMALe
Post/Beam Struct.
Ban. Sewer Framing
-Bldg.
Post/Beam Mach.
Rain Drain Insulation
-Plumb,
Plbg. Underfloor Water Line Cyp. Bd 1
Data Agquested: f/, -� � -Hach.
1
�Y�� PM
Address: ��
1 -L•�_. _ __
Permit �t
Builder:
THE FOLLOWING CO CTIOl;S ARE REQUIRED:
-----------------------
Inepectu
- - --- --- Date:
i APPROVED "-'----
DISAPPROVED
--'. _______ APPROVED 8UBJECT TO ABOVe
call For Reinap.
I
INSpFL"TION NOTICE
Clty of Tigard Building pepertar.+nt
13125 SN Bal. Blvd. Tigard, o=ggon 97223
lnspe^.tion Fine (Rec-O-Phone): 639-41.76 Business Phone: 639-4171
Inspect ion: _- -_— - -- - -__-__ — --- -- 1
Footing
plbq. Underslab Mach. Rough-in Appr/Sdwlk
Found.
Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
P.et/Beam Mach. Rain Drain
` Insulation -plumb.
Plbq. Underfloor Water Lins �^ Gyp. Bd.
-mech.
Timet AN PM
Data Aayueated:�.�
Address: ` Permit !t
Builder: ---
TBE FOLLOWING CORKS I NS ARE REQUIRED:
Date: �
Inspector: -�_ ------- -'
APPROVED DISAPPROVED APPROVED SU&7ECT TO ABOVE
call For Reinep.
INSPE��IION NOTI
City of Tigard Building sss.partssenL j
13125 SW hall Blvd. Tigard, Oregon 9722 i
Inspection Line (Rec-O-Phone)s 639-4175 Bue'ineee Phon9: 39-4I'11
i
Inspections -- —� - i
Footing Plbg. Underslab Hoch. Roulh-in Appr/Sdwlk i
i
Found. Plbg. Top Out Gas Line FINAL: d
Pont/9eam Struct. San. Sewer �l Framing -Bldg.
Post/Beam Mach. Rain Drain InsulatJon -Plumb.
Plbq. Undarfloor Water Lin Gyp. Bd. -Mech.
Dale Requested: Times AM PN
Ad ire tin:--Z�/ yfiGPermit ;:�-��,L—L�
BuLlder: n
THF FOLLOWING 00 TIONS ARE REQUIREDs
—-- — - --
v
Inspectol. _ Date:
APPROVED DISAPPROVED APPiOVED SUBJECT TO ABOVE
Call For Reinsp.
I:,SPBCTION NOTICE
city of Tigard Building Departw-nt
13125 Be Ball Blvd. Tigard, Oregon 9722
Inspection Line (Rec-O-Phone): 639-4175 Business Phooe: 639-4171
Ins-^cttons_ _ -- --
Fc.)ting P1bg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg• Top Out i Gas Line FINAL
Pont/Beam Struct. Ban. Sewer Framing -Bldg.
Poet/Ream Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requent:ed%^ ` __ I f AM PH
Addreas: Permit i
Builder%
THE FOLLOWING CORRECTIOq ARE REQUIREDi
Inspectors Dates /C
APPROVE[! DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
-NSPB.-,ON N(nl(C? /-
City o'f Tigard Building Department
13125 9W Brill Blvd. Tigard, Oregon 97223
Inepact!on Line (Aec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in APP r/ddwlk
Found. Pibg. Top out Cas Line
FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
POat/seam Hoch. Rain Drain Innulation
-Plumb,
Plbg. Underfloor Water Lino
Gyp. Bd. -Hoch. .
Date Requestodt2—
Time: AN pM
Addreent Z- _
Permit
Builder:., �-
THE FOLLOWING OO CTIONS ARE REQUIRED:
Inapecto
"'- Date:
� APPROVEDe—
M-9APPROVED APPROVED SUBJECT
—_ ---_ TO ABOVE
_ _Cell For Reinsp.
y-
City of Tigard Building Departaant
13125 SW Hall Blvd. Tigard, Oregon 97223
Inepection Line (Rec-O-phone): 639-4175 Business Phone: 639-4171
Ineper"ion:
Footing Flbg. Underslab Mech. Rough-in Appr/Sdwlk
Foun'4 Plbg. Top Out Cas Line
FINAL:
'Irct—/Bea-rs Mt—Qt San. S:rwer
Framing -Bldg.
at/Beam Nee Rain� Di-al.i Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech. /J
Date Requestedt..__yZ__ L-/ l d r
Time: _ AM �PH
Addreeei /�La
�� Permit #1_
Builders
THE FOLLOWING CORE IONS ARE REQUIRED:�i
Inspector:
- Dater
_APPROVED -_ DISAPP+'OVND APPROVED SUHJRCT TO ABOVE
__Call For Reinap.
I
IF SPI'CTION t10TI
City of T19-1 Building Department 7
13125 W hall "b d. Tigard. Oregon 97223
Idepection Line (Rec-o-phone), 639-41/5 Business phone: 639-4171
Inspection:
Pooling Plbg. Underelnb ----_ �-�-
Mach_ Rough-in Appr/edwlk
Pound. Plbg. Top Out Cas Line
PINAL:
Pout/Beam Stn:ct. 9111. Sewer
_ Framing -Bldg.
Poet/Beam Mach. Rain Drain
Ineulaticn -Plumb.
Plbg. Underfloor er Line
Gyp. Bd. -Mach.
nate Requested:
�7 TirtN�: AM PM
--- ,�._.
Permit 0:
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIR?'C!:
Inspector/_ /� .'
Date:
APPROVED DISAPPROVED —
APPROVEb SUBJECT TO AWT
�_�Lall
For Reinsp.
i
city Of TL9a-+d SIX I,w1,q oepartsumt
13145 ON Ball Blvd. rig+urd, Oregon 97223
Inspection Line (Roc-o-Phone): 639-4175 Business Phon 9-4171
inspection:_
Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
Found. �j Plbq. Top Out Can Line FINAL:
r
Post/seam Strutt. San. Sewer Framing -81dg.
Post/Beam Mech. Raln Drain Insulation -Plumb.
Plbq. Underfloor Water Line Qyp. Rd. -Mach.
Date Requested:i _ 0, _l —_ Tlmes AM PM
Address: /7r� j Permit #:�1
Builder: _—
TNS FOLLOWING 00 CTIOMS ARE REQUIREDs '
Inspector: Date:
APPROVED DISAPPFJVED APPROVED SUBJE(:T TO ABOVE
Call. For Reinap.
i
TY OF TI�a�
COMMUNITY DEVELOPMENT DEPARTMENT TIMOD
13126 SW HWI 8W. p.o.Bar 23397,TlgmM,oreW 97223(603)&,44175 MASTER PERMIT
PI'-RM #, . . . . . . : MSTO
ADDRE,F
DATE ISSUED:
.,F,
1485a SW KENTnN DR
UbD I V I S I ON. . . ASHFORD OAKS P(-)QCEl_. A014-
BLOCK. . . . . . .
IU
T
clTy 11M
F13126 '"T
rr_RM�
13-700.14,
)r
L'D I r6 ION.
V
L L
LO . . . . . . LOT'. . . . . . . . . . .. . ZONING:
R-7
t144
PE SZ
Rf�_I SSUE BUILDING
R"
. 0 DWELLING UNITS- )
('-'L LASS S OF WORK. :NEW BFDRMS:3 PASEDIFN-r. . f-
U 0 Sf
i'yPE OF USE. . . - BATHS:2 GARAGE. . . . . .
F
F 0
F rl.-OOR AREA S--_-._.___ ,440 Sf
Yr""E OF CONST. :5N PEOU I RED GE
,jc TBACKF
CUPANCY GIMP. :R. F I RG T. . . . .. 146LA S f LEF T., . :b .1---___-_.--
-.1TURIES. . . . . . . : SECOND. . . :ili f FRONT. _:',0 ft RIGHT. :5 ft
.
THIRD. . . . ,-o ft TEAR,
IE I GHT. . . . . . . . :20 f-t TOTAL.__._ 1460 S f RE
LOOP LOAD. . :40 f S f S)MOf"r: D'ETECTORS
VALUE. . . . . s. 75080 P . .Y
PARKING SPACES. . -0
SINKS;. . . . . . . . . . : 1 PLUMBING --------------------
LNVATORIES. . . . . :3 1 LCIOR DRAIN G. . . . :0
TUB/SHOWERS. . . . 12 WATEP HEATERS. . . 31 PAC"!�F:-I-OW PREVNTRS.
LAUNDRYTRAYS'. . . . TRAPS. . . . . . . . . . . . . .
WATER C L 0 SET TS. . -2 ,qj :0
SF'WPR LINE:. (ft) . .0 CATCH 13-AGINE 0
DISHWASHER(',. , . . . 1 -R L. (ft ) . . 100
GARBAGE DISp. . . W(-)TF G R E A S E T RAPS. . . . . . :0
RAIN DRAIt4 (ft ) . :0 OTHE'R FIXTURES. . .
WASHING M14CH. . . SP RATN
------------- DPA ING. .
I`UEL TYPES____.__. MECHANICAL.
(3 A S UNIT I-4TRS :0 FEES
VENTS type amount by date
1"AX TNPUT-0 TI, F $ 1380. OL7t T' t,f:�-I,I.
z'.'URN ( 100K TLl VENT FANS. • I-APR T $ "36 1, 0 L.H 05/05/92
HOODS. . . . . . .. - - 0 j1+1 0"j/0!)/9.'
`URN ) =100KAPI-C $ 234- 65 JLH lc/2 3/91
!-LOOR TURN. . . WOODS TOVE:-5. .0 L15PC * 22,1094',
ct--n DRYERS. : SSDr, -18- 05 JLH 05/05/1)e
OTHER UNITS:0 PAPI� "280- 00 JLH @51qi51qL_,
-
GAS OUTLETS: j MPRT 500. 00 JL-H osi.05/92
L V H V'IyI 1 J.,t IVIPLC 36. 00 .11...H 05/LA5/c)2
23116,4' MsPc 9. 100 JLH 05/05/9i2
1- 80 JLH 05/05/9E
PPPT 00 j1-11 15/0;;/9,.
OR 9 7�,`L,3 P5PC 6. 25 JLH 05/05/c),
UZ
#:
'I=LVIN WAYMIRE "P
�"() BOX 231164
TI(4)qj) OR 97,x`2?,
Phone #9 639-674P
Ret' #- - -" 35976
yM�r
his 0"Ilt is issued subtest to the regulations contained in the E931 . 75 TOTAL
I Tioard Municipal Code. State of Ore. Specialty REOUIRED INSPECTIONS -------
31) 1 Codes and a]! other Foot/found Insci
clans. This pervit will Mire if work is not t; Fir,eplac.,e Insp
pllcab'@ laws- All work will be done !n accordance with 80proved P05t/Beam sti,,.(et
within 18@ Gas Line insp
days Of issuance, or if work is ar
"an 180 days. Pcist/Beam Meehan Insu]Atjon
I-lei Plm/undslab Ins Gyv Board Insp
-mitte@ Signature PLM/Undev,fjooi,_
M e(::41 a ri i�,-4l i'ns a
Rain drain Inc
IWrAtet- Lire Insp
ss,
-ted By: Plumb Top out APPt'/Sdw1k Insp
"'Amlnr4 ins
CONNECTION
C'TYOFTIIFARD SEWER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENTmm �-,ERMIT #. . . . . .. .o
13126 SW Heil Slid P.O.Oca 23397,719mid,Or@W 97 (SM)0304175
SITE ADDRESS. . . : 1485,-7: SW KENTON DR PARCEL: 2S112CB--AO14i!
3UBDT.VTSION. . . . : ASHFORD OAKS 3 ZONING: R--7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 144
VENANT NAME. . . . . :
t t-,R NO. . . . . . . . . . : FIXTURE UNITS. . .
—i—ASS OF WORK. . . :114EW DWELL ING Ut iTS. . - I
TYP,E OF USE. . . . . :SF NO. OF SUILDINCS: 1
INSTALL 4'TYP-,E-/-SLF-., IMPERV SURFACE. . : S f
Remark-
Owner: FEES
v e C.-
MELVIN W(--4YNI[RF.' type Amoi-tnt b date t pt
+-10 BOX 2 31 164 FIRMT $ 1900. 00 JLH 05/05/92
INSP $ 35. 00 JLH 05/05/92
TIGARD OR
Plhone
[�01�tractor'
coi\TRACTOR N .vr n i f-
1�tin v if . 1935. 00 TOTAL
I-q e q
REQUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sewer Irispection
of the Unified Sewage Agency. The permit eNpires 180 days from
the date issaed. The total amount paid will be fvfeited if the
Dervit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. TIF the sewer is not located tit the eeisurevent
Oven, the installer shall vrosoect 3 feet in all directions from
the distance giver.. If rot so located, the inq shall purchase
"Tip and Side Stott," Per#:" ard tlp, ofic "
I , stall lateral.
Permittee Signatix
Tqsued By :
Call for inspectioii 639-4175
CITYOFTIFARDA
PLUMBING PERMIT
-. .�, CITID PERM I'' #. . . . . . . .. MST91-0250
16
Vr✓UIR"4JNITY DEVELOPMENT DEPARTMENT am n
ia�ts sw r'r ard.v.o.eon x�,Tom,o►.00„�t600)eawr�s
131 TE ADDRESS— : 14852 SW KENTON UR PARCEL:
SUBDIVISION. . . . : ASHFORD OAKS 3 ZONING: R--7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 144
CLASS OF WORK. . :NEW GARBAGE DISPO'SALS. . : 1
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :rr1
OCCUPANCY GRA'. . :R3 FLOOR DRAINS. . . . . . . .111 TRAPS. . . . . . . . . . . . . . 90
STORIES. . . . . . . . : 1 WATER HEATERS. . . . — : 1 CATCH BASINS. . . . . . . :0
FIXTURES- ----- I. AUNDRY TRAYS. . . . . . .0 SF RAIN DRAINS. . . . . : t
SINKS. . . . . . . . . . : 1 GREASE: TRAPS. . . . . . . :0
LAyATORIES. . . . . :3 OTHER FIXTURES. . ., . . :0
TUH 6H114ERS. . . . : SEWER LINE (ft ) . . . . :0
WATER C'L.OSETS•r. . :c WATER LINE (ft) . . . . : 100
W15'HWASHERS. . . . : t RAIN DRAIN (f•t ) . . , . :0
Remarks:
CIWNER:
MEL.VIN WAYMIRE TIF t J380. 00 JLH 05/05/92
F'CJ BOX 231164 BPRT 361. 00 JLH 05/05/92 -
BPLCx_.':34. 65 JL.H 12/23/91 221090
T IGARD OR ' 722 3 05PC 1. 18. 05 .JLH 05/05/92 -
Phone #: 630-6742 SEDC $ 280. 00 JLH 05/05/92 --
PARK $ • 500. 00 JLH 05/05/92 --
Plumbing Contractor:--------._____v. i--- MPRT f 36.(B0 JLH 05/05/92 -
MPLC $ 9. 00 JLH 05/0_j5/92
Name :_ MSPC 1. 60 JLH 05/05/432
Address: _ J- PPRT 1$ 125. 00 JLH 05/05/9ri -
C i t y : _.._. '3t at a : _ F-15PC $ 6. 25 JLH 05/05/92'
Z i p: ._.Y _._E'h o n
Reg
REGIAI RED I NSPE_C;T 1QNS -------
this permit is issued subject to the ray••-
hilat ions unntained in the Tigard Municipal Foot/fouAd Insp Rain drain �Insp
(.-.ode, State of Ore. Speciaity Codes and all Post/Seam Struct Water, Line Insp
c)ther^ applicable laws. All work will be done Post/Peam Machan Appr/Sdwlk Insp
in accordance with approved plans. This Plm/unds?axb Ing,- MechApica) FI-nal.
permit will expire if work is not started FILM/Underfloor Plumb-Final
within 180 days of issuance, or if work is Mechanical Inch Pu ildtng Final
suspended for more than 180 days. Plumb 'fop Out Ft-osipn Control
�,----_ Framing Insp Crawl, Drain
F i r e p l a c:a Inst
Gas L0)e Insp ._.__.._
I n s u l at ion Insp
x _ Gyp 6o&t,d Insp
`1 t or ze Plumbing e on ractor Signature
Call for inspection - 6.39-4175
L.sxnt ray:t or Nates:---_
m I
`i
b
c r'rY SF r I GARD — BREI.I P T OF PAYMF:N'f RECEIPT NO. a 9P...226814
CHECK AMOUNT 46::30. '75
NOME: r WAYM I RE$ MEL CASH AMOI,'NT 0. 00
F1T:117f2E.`:i`. a PAYMENT DATES : 0./05 '9;
i 2uBD I.V 131(IN a
r r,
PURPOSE Ear PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
36,1 _.0.0 I'l-UMH I NG PRM 125. 00
ME,UHANIC:AL PE 36. 00 � . BUILD PFR c.fa. 10
1=L,AN CHECK C K F'E •w6. 35 SEWER LISA 1900. 00
f3LWER INSPECT 35. 00 RESIUE:NTIAI... TRAFFIC FEES !c"'.80. 000
P(IRKS SD( 1501A. 00 STORM DRAIN SDC 280. 00
MASS TRANSIT TIF FTLE 100. 00
L.CIT 144 Af31^tFORD OAKS
1 41.A "FP t4W KC=NT[)N DR
f1MC.11.1h1 T" PAID _. y 46;3b 7'5
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CY ITY OF TIGARD r�)ll.,.�„.,r
COMMUNI'T'Y 1)L'VI LO1)N1E'NI'1)1-1,PARTNIE;NT Ilord,t)rcgun972D PL.I I11 I N
(503)639-4 171 DAII ISSUED
JOB ADDRESS: /tel S.W. Kenton Dr.,, Tigard OR TAX MAP/LOT , 5�1z
SUB: Ashford Oaks #3 LOT: _8 LAND USE:
VALUATION: $&&T-04W . 00
OWNER SPECIAL NOTES
NAME: Melvin G. Waymire. Jr. —�_ REISSUE OF:
ADDRESS: P.O. Box 231164 — LAST REISSUE:
Tigard, OR 97223 FLOOD PLAIN/
PHONE: 639-6742 SENSITIVE LAND:
C014TRACTOR APPROVALS RDUIRED
NAME: Melvin G. Waymire, Jr . PLANNING: DK- P�
ADDRESS: P.O. Box 231164 ENGINEERING:
_ 'Tigard, OR 97223 _^ — FIRE DEPT:
PHONE: 639-6742 --___-- OTHER. --
CONTR. BOARD #: 35976 _ EXP DATE: 3 11 I /9 2
_
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: Harmony Plumbing 641 -61_54 LIST/SUBCONTRACTORS:
MECH: Specialty Heatinq 620-5643BUS TAX:
ARCHLGINEER CALCULATIONS:
NAME: _ Piercy & Barclay TRUSS DETAILS:
ADDRESS: 7080 S.W. Pir Loop-,—auite 100 —_ OTHER:
^_
Tigard, OR 97223
_-
PHONE: 620-4551
PROPOSED BLDG. USE: Single Family Residential
COMMENTS:
fi11.11L ICANT SIG URE —
Received By: r�( Date Received:
v
i
AMUUNT PD- BAI_. DUI.
# ACCI # uL�CRIPTION ..-
� c�.uzsa 10-432 00 Building Permit Fees
� Permit Fees --
10-431 00 plumbing
_ 10-431 01 Mechanical Permit Fees _
10-230 01 State Building Tax (5%)
Building
PIunit)ing L�---
Mechanical
25-D,
10-433 00 Plans Check Fee .
Building =�
Plumbing ____----
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection _ --
30••444 00 Sewer Inspection —
25-448-02 CO-11mercial TIF F—s
2.5-448-04 Industrial TIF Tees - - --
' --- - ---
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 Chry
(SSDC)
24-445-01. Water Quality (Fee in lieu of ) - - —
24-445-02 Water Quantity (Fee in lieu of)
TOTAL `l s�-4-_-1 i 1-1 �
nm/3587P.WPF
CITY OF TIGARD - RE.CEIPT OV PAYMENT PIrCEIPT W. :91,•
CHECK AMOUNT a x'150. 00
1,41ME I WAYMI RE, MELVIN G. —JR. CASH PMnUN( 0. 00
ODDRESS I PAYMENT i)A-m u,./e3/qi
P. O. BOX 231164 SUBP I V I G(ON
TTUARD,, OR 97223-
PURPOSE OF' PAYMI-',Nl AMOUNT PAID PLIK,'POGE OF PAYMENT AMOUNT PAI 1.)
ilT.4N -C-H-E-C—K-F,-L-, 0 R 250. 00
PiSHFORD OAKS #3, LOT A (K NITON DRIVE)
TOTAL AMOUNT PPID