9777 SW O'MARA STREET i"'T
ADDRESS: y+y
■
1
i
y.
i
i
iA!ecords\microfilm\targets\building.doc
Tw
f 1,
NSPgCr�O�NOTICE I
City of Tigard Bullding Departsrsst s
13125 So Ball Blvd. Tigard, Oregon 97drnj%_A
Inspection Line (Rec-G-phone), 639-4375 Bueinesis 9-4171
Inspectlnns •------ —�'----
Past Ing
plbg- Underalab Mech. Roogh-in Aper/sdwlk
Pound. plbg- Top Out Gas Lino lI1IALs
r
Foot/Beam SL'ruct. Ban. Sewer F'.%-,vg -Bldg.
Insulation ----PJumb
Poet/Beam Mech. Rain Drain
'
P1bg. Underfloor Nater Lina GYP• Bd.
-Meeh.
- T lase s AM
Dake Requested,
Addresst
6j-77?-7 L'IAa�L(X_ Permit t,_'i ,t `/) 01 )r]
C/
Builders _
I�
i
THE FOLLOW?NG CORE RR ,7 IONS AREQUIRED, s
'r
3
Inspe^tors - DatBt o
AppkOVEp DIBAPPROVED APPROIRD eDsiRCT TC ARM
};.
Call For Rainsp-
s.
SPECTION NGTICE
city of Tigard huil.:ing Departmwnt
13125 SA Rall Pled. Tioard, Oregon 97223 `
Inopection Line (Rec-O-Phonkit 639-4175 Busi-ove Phone: 639-4171
P
Tnapeccion:
Footing Plbg. Underslab Meeh. Rough-in Appr/Sdwlk
Found.
Plbg. Top Out is Lin* FINAL:
Post/Beam Struct. San. Sewer. Framing -Bldg.
Pont/Beat Hoch. Rain Drain Insulaticn -Ply,
P-lbg. Underfloor Nater Line Gyp. Bd. -Nech.
Date Requested: l( - (/11 -C'/j1 TL-1 AN
Addreno. 1 T/ 4,
Builder•_.
THE FOI.LOWINO CORRECTIONS AI.E REQOIRRD:
zz
T/ APPROM DISAPPROVFD APPROVED SUBJRcT TO ABOVE
Cal.l For ^einup.
'l�ll� «»,n...4wi'MIJrhM"IµPrti�:..rtr.Mq'd1+J4W�Mta'fiiiA� .. a.
INS,PECfICM NOTICE
City or Tigard Building Dapartm
13125 RW Ball Blvd. Tigard, Oregon Z7/2:2 _
Inspection Line (Rec-O-Phone): 639-4175 Business Aon., 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough--in Appr/Sdwlk
P,und. Plbg. Top out Gas Line
^iMALi
Poet/Beem Struct. San. Sewer Framing -Bldg.
Pest/Beam Mach. Rain Drain Innulation -Plumb.
Plbq. UnderfloorNater Lints .)
Gyp. Bd. -Koch. fa
Date
Roquestedi_y�� Times AN
Address: -/ L) I i _ s
ttt���eee Pern-tt f s��-L
Builder:
THE FOLLOWING CORA! ons ARE REQUIRED:
Inipectort_ �_.—..._s._._�- Data: � � ,..,
!APPROVED DISAPPROVED APPROVRD SUBJECT To ABOV(t
Call For Reinsp.
9f P�
;ti
F;, +
rr,�,�'���C '+��,i i�,��'T �.���Mwd+,r.,n�.. .+�w+nwk.+ri•KnMavwie,�kau•Jrn!q..Wu#�bMN�11tlMI�lEM11 x'. ,�t�^3
..•.nmH•crxawrr.•mrn+w+.-. o.w.r-:rn+l+.l+s.p.w++��,+ ppi.�f�' p tl
INSPECTION NOTICE �'�
a City of Tigard Building Department �� v �:
13125 SW Ball Blvd. Tigard, Oregon 97223
ti Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection2 E k�g FIs � .,fir 4 r
Footing Plbg. Underelab Koch. Rough-in Appr/Sdwlk i ,xt
Found. Plbg. Top Out Gas Line FINAL: 1 , ; ",b.•
1 Post/Beam Struct. Sart. Sewer Framing -Bldg.
g Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. underfloorWateGyp. 9d. -Koch. ,
�j
`` Date Requested: ! _3 Time: PM
AdO-Less Ycx Pecro:it 0 -7
Builders !D e 4 L l�
y
THE FOLLOWING CORRECTIONS ARE REQUIRED.
.
j
Inspectors Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
Ap—
t!w•Ik
A t W :
a,
4s
v,
� '�'r.a'.y,,�y�„"'fi;. .......r....._. .,,..r—..,...«»,Kw,..+H�,•.,,.aw:.,.w..,...sn:..^w....wwwm1+»naw,ewKnanrinn^. - -
INSPECTION NOTIrE
City of Tigard Building Departeoeni�t�l
13115 Sw Ball Blvd_ Tigard, Oregon 94171
Innpeation Line (Ree-O-Phone): 639-4175 Busines
Inspection:—
e
FootingPlbg. 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.
plbq. Underflcor Flatcar -Mech.Lina Gyh. Bd. _
PM
Date Request
Addresst 7 7 Permit
Builder:
THE FOI L(MIZNG COARE ONS ARE REQUIREDt 1pip rr �'�j
Y fit$
yr
Inape
Dates j
--------- —
APPROVED D15APPROVF.D APPROVED SUBJECT TO ABOVF
call For Reinnp.
n
t 1`n� jt
'�4 5
i.f". is i
1 M
� 'I
1
INSPECTION N(Yl1-1 F
City of Tigard Building Department
13125 SM Hall Blvd. Tigard, Oregon 972
Inspection Line (Rec-O-Phone): 639-4175 Bunineas Phone: 639-4171
e •
l
Inspection:— --.��--_..� -- ---- — --- ---
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
1
{:
Found. Plbq. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
4'
Poet/Beam Mech. Rain Drain neulation -Plumb.
M
Plbg. Underfloor Water Line P.
-Mech.
i
Date Requeste, --J� —S PM
r /
Address_ Pe[mit
Builder:----
THE FOLLOWING CORRECTILN9 JIXX REQUIRED:
it
i
t
Inspector: Dater Tc
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVEq"`
tS
Galt. For Reinsp.
t
y` c
f.
a
El
NBPECTION NOTICE
city of Tigard Building Department
13115 SW Hall Blvd. Tigard, Oregon 97223 v
Inspection Line (Roe-O-Phone)s 639-4175 Busineee Phones 639-4171 f
— i
Inspection: Ji e g
Footing Plb4,. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS I t
a .fj,� h IT'
Poet/Beam Struct. San. Sewer Fr -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb. i
R
Plbg. Underfloor Water Line Gyp. Rd. -Koch.
+-
Z
Date Requeste'd)s 12--2�7y�`C��" _Times AM
Address: ( �� Permit
�T ti1 yi ?
i fr Builders
Y
N� b1�s ,� THE FOLLOWING CORRECTIONS ARI QUIREDs
i ' l f fhl 1r'�'�ySY-
t
i'
ry6y
11II� .k M"fi• v�f f !�I 4.
S'S r r jjalti
fiL 4'+
{
e:r
� tl
J' jl IJ s_` vt
! � V
t♦I�'.. 11� j �`ipp,,,M�,
f9�1'IPI '
<'i tti —I SjFtCIa Y;
>ti
I.,
� ,I.➢- rot
�z ,fi7L yk:
Inspectors DatesI :
APPROVED DISAPPROVED APPROVISD SUBJECT TO ABOVEII`i IGI�
Call For Reinep.
r"
• a'
y t
1
jNSPECTION NOTICE
city of Tigard Building Depa_tOent
13125 fit Hall Blvd. Tigard, Oregon 97223 A"tia� 'tr' . ts'
v, t rt 'nw+,
Inspection Line (Rec--O--Phone): 639-4175 duniness Phone: 639-4171 It
Inspection:— — -----
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
fr.
Gas Line :+INALs
Found. L Plba�soa..fh+t '
Pout/Beam 3truct. San. Sewer Framing A
i
Poet/Beam Mech. Rain Drain Insulation, -Plumb.
ftt
Plbg. Underfloor Water Line Gyp. Bd. -Mech. t
Date Requested: --Time: AM PM
Address' a 7 7 7 Permit / / 7 --
I
Ills,17�7�f
Builder: —16
TNM FOLLOWING MiaCTIONS ARE REQUIRED:
i,
a
Inrpector
Dater
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
1'•'• �: yy ��wAws...+v.>•..>...>..._. .. ..... .... ......... .....,._...�.y,r;�y wrtnvnPwr.,wMl
it
S
S uy'�p a i��F•p q1M� h� �u{.
}t
i s��Yt K Haiti'
s• kt, tia �.,
q l v+�
i iA
'A'
f� �rr �7h r 1 ery11 kyy yea r
3
, 4 C. .
F7! Wili
.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 9723
Inspection Line (Rec-O-Phone): 639-4175 Business Phone* 639-4171
Inspection: — ------ f
Footing Plbg. Unde.relab Mech. Rough-in Appr/Sowlk
ud Plbg. 'r t Gas Line FINAL: _
P et/H� S�ti. at.< ��A� 7 Framing -Bldg.
st/Beam Mech. Rain Drain Insulation -Plumb.
-Underfl Water Line Gyp. bd. -MPch'
H _—Time: _AM PM
7 ) mit /?7
Address• -
IBuilders
THE FOLLOWING CORREc'TIONS ARE REQUIRED:
,T `Fwt�f AA - -
Inspect Dates
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
POWWOW
1 .
• A
q, f
g"f .6.j
I �1
rSPECTION NOTICE
City of Tigard Building Department ���L
13125 BW Ball t:ed_ Tigard, Oregon 97223
Inspe:tion Line (Rec-O-Phone): 639-4175 Bue�'ness Phone: 639-•4171
Inspectiont
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. - Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Frawing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Pibg. Underfloor Water Line GYP• -Hoch.
Bd. HochL +
Date Requestedt_ [//; �(1 _ __Time: !1N PM
Addreen•�Cl )')j CL Lae Permit 1:
B.tilder: q
THE FOLLOWING CORRECTIONS ARE REQUIRED:
� r J
Inspectors Datars
- --- _
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE �r
i Call For Reinip.
ar
r
j
WIN`
_ ,. . ,_.,,.,,.Mrs,•>. ._. ,
•
INSFECTI(rN NOTICE
City of Tl.gmrd Building Department
13125 BW Hall Blvd. Tigard, CIregon 97123
Inspection Line (Rec-O-Phone): 639-'175 Business 'hone: 639-4171
InApectio.•: — T
)loot Plbq. Underalab Mech. Rough-in Appr/Sdwlk
Foun7. Pl.bg. Top out Gas Line FINAL: -
Posy:/Beam Struct. San. Sewer Framing -Bldg.
Poat/Beam Mech. Rain Main Insulation -Plumb.
. r:
71bg. Underfloor Water Line Gyp. Bd. -Mech.
,r�a : i^ -Y�� DeLe Requested: / / Time: AM PM
Address:_ ( 7 'LA Permit /: Lf_I_1,2
Bull.der: {
n V� " '�t ,��'•
THE FOLLOWING CO CTIONS ARE REQUIRED:
f
i
i
i
Inspvoctor: py Dates__'
APPROVED` DISAPPROVED APPROVED SUBJECT TO ABOVZ
Call For Reinsp.
T01",
y
j
Ir
r
�
.
CITYOFTIGARD CITYOF116d4RD MAST E R F L`RM I T
COMMUNITY DEVELOPMENT DEPARTMENT oReoom E 0,M I T #. . . . . . . . --lb 177 f.
13126 M Hr1 Blvd. P.O.Box 23397,Tlowd,Or*90n 97723(503)639.4175 i
r
"S I TE A1)1)i,E4777 `.;W 0' MARA ST P(- RC:,E:L:
-aUBDIVISICIN. . . . : FREWINGS ORCHPRD TRACTSZONING: R-4.
i,LJCK. . . . . . . . . . . LOT. . , . . .
BUILDING
REISSUE:
DWELLING LJN I T� , 1 BASEMENT'. . . . . . . . :0 s f
:LASS OF WORK. -.NEW BE DRMS:3 BA-P-18:3 C-lc;ixi-4oE. . . . . . . . . . .*62� s f
TYPO bF USE. . . :9F FLOOR AREAS._.w._ ._._____.-- I'2EG?U I RED SETL�ArKS ___
TYPE OF C0NST. :5N FIRST. . . . : 1020 sf LEFT. . : is ft RIGHT. : 14 ft Til►
;iC(;UPANCY GRP. :R3 SECOND. . . :7'77 sf FRONT. :,L�0 ft REAR. . :25 Ft
;�TUHIE:b. . . . , `fHIRD. . . . :0 sf REQUIRED
11F_'I GHT. . . . . . . . :�-'O 'i t TOTAL. - - - -: 1 797 e 1; '. MUI:E: wi i F-C T C)R�i. : Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . 4 : 9 382 1:2' PARK ING SPACES. . :0 �
Remarks .
PLUMBING •_.__________._....___ ____.___________.____._.
S1NKS. . . . . . . . . . . I FLOOR DRAIN`. . , '0 Ell')l.aKF'L_OW PREVNT'R5. . :kl
LAVA(ORIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . ..0
TUB/SHOWERS, . . . :S LAUNDRY TRAvS. . . :0 CA T(_+1 B T11[+!S. . . . . . . :0
WATER CLOSETS. . : 3 SEWER LIN: (ft ) - :0 GREASE TKAPs. . . . . . . .N
DISHWASHERS. . . . : 1 WATER LINE ft ) - : 100 OTHER FIXTURES. . . . . :c::
GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1
MEC..HANICAL _.____.._...._._.._.__..__._ _ FEES
FUEL.'TYPES-- _____.__.__..._ UNIT HTN_i. . :0 type amo+.tr.t by date re -pt
/GAS/ / / VENTS , . . . , :� TIF t 1360, 00 JLH 05/26/9F' -
MAX INP_''JT'0 BTU VENT F=ANS. :4 BPRT F 16 i"i. W0 JLH 05/26/92 -
FURN ( 100K . . : 1 HOODS. . . . . . : 1 8 PLL $ _'�YLi. !L; JLH 1 1 i 0 91 C1 9 33t:
r.:URN ) =10171K . . :0 WOODSTOVE . :0 LAt)i-'L d. 0. /`a Jl_I.1 05i 2,6 1)r_'
FLOOR F"URN. . . . :0 CLO DRYERS. : 1 SSDC 9 x2"80. 00 JL.H 05/26/92
BOIL./CMI"=' t 3HP:Z 0-04PR UNIT;:., PP17K t 500_ 17.10 JI._H 05/26/92
.SAS OUTLETS: '1 MPRI 9; 39. 00 JLH 05/B6/9E: -
(]caner,: _..._._..__ __..._._..-_. ..... ._.__ ._ _..__..._.._.__._..___.
hIF-'l_t /5 JI_Ii
MARL-IN CLAYTON M5PC $ 1. 95 JLH 05/26/92 --
10t.J 5 SW TIGARD 51' #"111 PPRT $ 132. `.0 303 17b/�-_* )d -
p'`.,�'t i
6. 63 JLH 05/26/92 -
TICARD OR 97223
Phone #:
Contractor: _._•_........___..._... .. .._.____ _._..._
OWNER
Ol,
Phone
Hera #. . 00000
# 2055. 33 TOTAL-
This peroit is issued subject to the regulations i:ontaineo in the
_._ HE(>!U 1 RLL) 1 N.JPE L F 1 UNS
Tigard Municipal Lode. State of Ore. 'peciaity ':odes and all other Foot/f o t.trld Insp Fireplace Insp
applicable laws. All work wi.L be done in accordance with approved Post/Beam stm.ct Gas t-ine Insp
plans. This permit will expire if wort, is not started within 1[pD �'��-t/Beam Meter-=1n lne x_11 At1on Insp
more t�- F'lm/l_tndslab Insp Gyr Board Insp
days of lssuanre, or if worts is suspended for
PI.M/Underfloor Fail, +1,•,ain Insp � 1
1'xrmitt;ep ; gn,:zl re : �� Mechanical InsTa 4J,atFr^ L.ir1e 1'nsp
ir'1L1mb Top OUt Appr/5dwlk Insp
IssuuecJ t:1y _ i r ming Lnsp Merh,:lnic:-,al. 1`01-
1
ir1-1 fc?r^ inspection - 639-4175
jM1.rM.•F4�,+���7�`, p ['!5��''i*alyg }r+x;�m�Pr$�gf�1, ,j,._
pi;
i
IF
Permit No:
Address: 7 7.AL2
Issued by: A Date:
\ r
\._�''•• '' �/ _A___ FOR OFFICE USE ONLY _ — —
�� STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS ar
ABOUT CGNSTRUCTION RESPONSIBILITIES
Ii
Note: Oregon Law, ORS 701.055(4) , requires residential construction permit •+�
applicants who are not registered red with the Construction Contractors Board to
Sion !h,� ioii(lwing statement before the building permit can be issued.This state-
rm%nt is requ'red for residential building, electrical, mechanical, and plumbing
permits. Licer;sed Architect ar.d Engineer applicants, exempt from registration
under ORS 701.0 10(7), need not submit this statement. This statement will be
filed with the pen-it.
Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 38:
1 . I own, reside in, or will reside in the completed structure. 1
2, I ] 1 understand that I must register as a const•fiction contractor if the structure is sold
or offered for sale before or upon completion.
3. A.I 1 My general contractor is
Contractor registration number
I will instruct my general contractor that all subcontractors who work on the struc-
ture must be registered with the Construction C,)ntractors Board.
OR
3. B.1 i)` i I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors registered with the Construc-
tion Contractors Board. If I change my mind and do hire a general contractor, I will
contract with a contractor who is registered with the Construction Contractors Board
and I will immediately notity the office issuing thii building permit of the name of
the contractor.
I hereby rertify that the above information is correct and that I have read and understand
the Information Notice to Property Owners about Construction Responsibilities on the
reverse side of this form.
Signature of Permit A15plicant Date
CONS=TRUCTION CONTRACTORS BOARD
024.4 -11
WHITE COPY TO ISSUING AGENCY PERMIT F.LE
PINK COPY 10 APPLICANT
i
I
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
NOTE: This Information Notice to Property Owners About Construction Responsibilities
was developed by the Constructior Contractors Boa,d in accordance with ORS 701.055(5),
passed by the 1989 Oregon Legislature.
If you are acting as your own contractor to construct a new home or make a substantial improvement to an e
existing structure, you can prevent many problems by being aware of the following responsibilities and areas
of concern.
G.
EMPLOYER 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 you hire will be "employees". As the employer, you must comply with the following: i
,i
Oregon's 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 information, call the Oregon Department of Revenue at 378-3390.
Unem to ment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance i
purposes on the wages of all employees. For more information, call the Oregon Employment Division DHR
at 378-3224. a
Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation
Law, and must obtain workers' compensation insurance for your employees. if you fail to obtain workers'
compensation insurance, you may be subject to penalties and will be liable for all claim costs if one of your y
employees is injured on the job. For more information, call the Workers' Compensation Division DIF at 373-7434.
U.S. Internal Revenue Service: As an employer,you must withhold federal income tax from employees' wages.
You will be liai:le for the tax payment even if you aidn't actually withhold the tax, For more information, call
the Internal Revenue Service at 221-3960.
j OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
i
v
r
Co_d_e Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet
code requirements 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 Pune- k'
tures, fire, or work that must be re-done.
Time to Supervise Employees: Make sure you have sufficient time to supervise your employees.
Expertise: Make sure you have the expertise to act as your own gene.al contractor, to coordinate the work
of rough-in and finish trades, and to notify building officials at the appropriate times so they can perform
the required inspections.
If you have additional ques'i is, write to: Construction Contractors Board
700 Summer St. NE, Suite 300
Salem, OR 97310-0151
Phone 503-378-4621
0244J 10/24/89
' ..
wr,
I
13125 SW Hall f31vd PLNCK/RECT #
&r:2339;
CITY OF TIGARD
TiqOregon;7w
PERMIT # m 5 a
COMMUNITY DEVELOPMENT DEPARTMENT (503)63%-4171
DATE ISSUED
9
]1
1
r
JOB ADDRESS: f q � •�L)rr�;�a TilMAP/LOT
SUB: LOT: LAND USE:
VALUATION: � ,
' 2SOWNER SPECAL NOTES
NAME: /y,I^ , e,", i
��" _ REISSUE OF: i.
ADDRESS: 1 w
LAST REISSUE:
' 7 Z ;T 3 FLOOD PLAIN/
PHONE: SENSITIVE LAND:
CONTRACTOJR,,,� y APPROVALS REQUIRED �fy�° . Oo•+7
NAME: — �/! Nr `� PLANNING:
ADDRESS: 4 ENGINEERING:
_ FIRE DEPT: _—
PHONE: —_ OTHER: -TOF-
CONTR. BOARD #: _— EXP DATE:
NEMS R. EQUIRED
SUBCONTRACTORS: PLUMB:
l ` LIST/SUBCONTRACTORS:
MECH: BUS TAX:
ARCH/ENGINEER CALCULATIONS: —.
NAME: TRUSS DETAILS:
ADDRESS: OTHER: _
PHONE: --- ----- ----
PROPOSED BLDG. USE: 64
COMMENTS: L'lKStA►GP'I/-off CON 11;IL
`�P�O�
APPLICANT SIGNATURE
Received Uy: _�% Date Received:
i
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. WE
/175121-IL,71 10-432 00 building Permit Fees '� �1ii 4 •
10-431 00 Plumbing Permit Fees Z•��_ _ ��Z•S v
10-431 01 Mechanical Perm',t Fees -3
10-230 01 State Building Tax (5%) - J 1.33
Building �C• 7' "
i �
E Plumbing
Mechanical
10-433 00 Plans Check Fee a� Ao �s�_ -0
Building '7>-
Plumbing _
a
Mechanical 7�� ✓
10-230 06 Fire
30-202 00 newer 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 HF Fees
f 25-448-01 Residential Traffic Fees D•Od 12Y?_
25-448-05 Mass Transit TIF Fees /DO•pQ __ 1�u .
52-449 00 Parks System Dev Charge (PDC) S u 0
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
��-0 s-
nm/3587P.WPF
r
IF
7d
CITY CIF' T I GARD - RFCE 1'F'T OF PAYMENT RECEIPT NO. :92-E'er.:7689
CHECK AMOUNT n 880,4. 3;"; I
NAME s CLAYTON, MARL.-IN CASH AMOUNT a 0. 182+ � �
F` F)DRESS PAYMENT DATE=. n 05/26/92
SUBDIVISION e
PURPOSE OF PAYMENT (aMnUN-r PAID PURPOSE Or' PAYMENT AMOUNT PAID ;r I
F31JI1,_lI�ING 1:.M 415. 00 P.A)ML ING PERM 1W3t''. 50
ME.CHIPW I CAL. PE 39. 00 s-r.. BUILD PER 219. 33 j •
c-'LIIN CHECK FE :�. 50 RE'SIDE'NTIAL TRAFFIC FEES 1280. 00
MASS TRANSIT TIF FFES 100. Orr PARKS SDC 5910. e';)
t TORM DRAIN SDC 2130. 00
li
1-)7 7.7 SW LIMA A
j�
l F.l'1 AL. l�MCii.1N r r'f)T C) _. _-> -8071. :
Y'
GiTY OF TIGARD PVC:FIr°T nF POYMK-N•'r FiECE=Ir,-C NCI. n91 -r:1g31151 �+ n
CHECK AMOUNT 8FCA. 0171 �F..
NAME n M. L. C'LOYTON COMPANY CASH AMOUNT 0. 00
0 a e•'
�,
S
F•IUUREwfa.S a n 1��#EItA ,W i3,;..r
N1:1 F:•14EWNIJF. t~AYME.N'!` F)F'I'TE:; a l l i I
SUBD F V T 3I ON n j
•f I CARD, ORCOON 972r23— q7 7 7 SW p' MARA ST.
I
r,URPOSEr OF PAYMENT AW)UNT V,01D F'IfRPOS-3E. OF PAYMUN'r AP101jNT PAID
1'L...AN CHECK FF. 11 -75C 250. 00 I
i
i
I
r
I
I
i
-rOTAi-. AMOUNT PAID - - -> 21 50. 00
.. ,c4�!R,.t` -R4?•'F+Td'" ^'+�' --.r ........_..........--" .-•..'...:.�- _.'_ ..�,ii:*ir�.wM^.'°:nt/^"".' "-a -"'.'.«^,i,:--i-3tiiiw�'rbAll,1 � �Q
77
p I
i,
w