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12455 SW NORTH DAKOTA STREET 12455 SW NORTH DAKOTA ST. cn �j x� H a 9 tin In Ln d' N r-1 I �� CITY OFTIFARD CFIYOFMCERTIFICATE' OF Cf)MMUNITY DEVELOPMnNT DEPARTMENT rn i0fileTRD m OCC.UPANCY 13125 SW WWl Blvd P.O.Elm 23397.TlgW,Orew 91 (SMO01r4175 PE RM I T #. . . . . . . DAfV­ T;-)FAJEDI 06/4116/*91 SITC ADDRESS. . . t L2455 SW NORTH DR907A OT PARCEI-i IS133CB--06900 C mUDDIVISION. . . . : A14TON PARK 11141 NG j BLOCK. . . . . . . . . . i t.QT. . . . . . . . . . . . . 131 ------------- CLASS OF WORK. %NEW IYPE OF USE. . . ,SF OCCUPANCY GRP. oR3 OCCUPANCY LOAD t220 4 TENANT NAME. . . i pemarkst Uwneri ENERGY HOMES TNC ENVRGY 140MEP INC MONROE PARKWAY 120 LAKE' OSWEGO OR 9703"t-0000 Phone #: 503-244 -3523 ENERGY HOMES INC 102111 SW BARBUR PIORII-AND OR 97;319 Potme #: 244-352!i Req #. . 3 5571.7 Ocl:,upancy of the above referenced building is hereby given, and certifie- the CompliAn(:e with the State Of Oregon �3)pec,ialty Codes for tl-#* g).0tlp, oct.-uparicV, and t.tse under which the referenced permit was 1-4,qued. FIRE DEPARTMENT BW ..DING--Y1 - "'cTOR LVING FFILIAL P09T IN CONSPICUOUS PLACE7 INBPECTIO MOTICE City Of Tigard Building Department 13125 BW Ball. Blvd. Tigard, Inspection Line (Rec-O Phono) Oregon 97223 : 639-4175 Buaineas Phone: 639-4171 j. ! Inspection: Footing ribg. Underelab Mach. Rough-in APP r/Sdwlk Pound. Pl),q. Top out Das LineG FINAL: Poet/Beam Struct. San. Sewer Framing �d/. _Bldq. 1 Poet/Ream Mach. Rain Drain Insulation _ply. Plbg. Underfloor Water Line _ A _/�/s �� Gyp. Bd. Data Req-:eeted ���—�1 Time: pll Addrae.t. Z� - • Permit Builders THE POLIANTN11 CORREL`T O ARE REQUIREDs tnn�ector: 4+_14 --RPPROF.D VDTS&PPROVED - -`Tv / APPROVED SURJEf'T TO ABOVE _i Call For Relnap. INSPECTION NOTICE City of Tigard Building Department 13125 Bp Bail Blvd. Ticard, Oregon 97223 Inspection Line (Rec-O-Phone): 6 -4175 Business Phone: 639-4171 l Inspection:_„ // _- --- Footing PIN. Undgle1ah Mech. Rough-in l Appr/SaWIk Found. Plbq. Top Out Cas Line FINAL: Poet/Beam Struct. San. sewer Framing -Bldg. Post/R, Mech. Rain Drain Insulation -Plumb. Plbq. Underfloor Water Line Gyp. Bd. -Mech. Date Request,eu: (.�/ Time: AM M____PH Address:_ JL1�S� :22. - _ Permit f:7 ei-� 7,) Builders�� - THE FOLLOWING CORRECTIONS ARE REQUIRED: V Znepect t�f fA _ Dater` l' �PPROVED �— DIBAPP APPROVED SUBJECT TO ABM: _C�11 rer Minep. J!J PECPION NOTICE -,-19�217­77) City of Tigard Building Departs►snt 11125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-0--Phone): 639--4175 Busineve Phone: 639-4171 Inspection:--- -,--- Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top out Gan Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. i Plbg. Underfloor Nater. Line Gyp. Bd. -Mach. Date Requested: �� 1G' _ 1_--Times /--AM _ I PM Addressi /i� N.O�irmit (!r Builder THR FOLLOWING CORRECTIONS ARE RRQUIREDr i Inspector:_ Dnte: ,-)K—APPROVED -__ DISAPPROVED _ - ApppWRD SUBJECT To ABOVE _Gail Tor Rsiiner. i INSP�cTION NOTA-:e City of Tigard Bulldl.:g Deprrlta vt 13125 t!Nd Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone)t 639-4175 Business Phone: 639-4171 Inspectiont� �_ --- Footing Plbg. Underslab Mech. Rough-in �Appr/Bdwlk. Found. Plbg. Tor Out Gee Line FINALt Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. Date Requested: _ '7f d _TislR. �C' PM Permit 1 / Builder:__' THE FOLLOWING CORRECTIONII/Ii PAWtUDi _ ^ T 4" inspectors (1 APPRGVED DISAPPROVED �x/APPROVED SUBJECT TO AhOV9t Call For Reinap. sr► w � sn w er s� w I M?J.0JON NOTICE / City of Tigard Building Department 1� 13125 Sot pall Blvd. Tigard, Oregod 97223 k Inspection Line (Rec-O-Phonn)s 639-4175 B ■inane Phone: 630-41 1 Inspection: — Footing Plbg. 6nderelab vr1h. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Ina dation -Plumb. Plbq. Underfloor Water Line Gyp. Bd. -Mech. Date Requested:_' / f Q _—T ae: --__AM PM Addreees_ ��y_j 2. Permit 7 Builder: G THE FOLLOWING CORRECTION$ ARE REQUIRED: Inspectors_-�/� - - --— ! �� Dates__// APPROVED _� DISAPPROVED —_ APPROVED SUBJECT TO ABOVE _—Call For Reinep. sa ear �. v s .. ■ar � � TfismCNOR NOTICE City or Tigard Building Depnrtx+nt 13125 = Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Buniness Phone: 639-4171 Inspection- Footing Plbg. Underaleb Mach. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Line FINAL: Post/Beam Strutt. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. U-iderfloor Water Line (Gyp. Bd. Mach. Date Reourated: 1f - )�l� Time. .--.--AM/y t�7PM Address: � y / ���"" Permit /: G1•T 24 Builder3_zz zk.' z (f'31y mw ARR REQUIRED: _ Tl'S FOLLOWING CORRECTIO Inspector.' Date: ---�IPPROVED DIS"PROVRD APPROVRD SUBJECT TO ABOVE Call For Reinsp. aBI BIS �■ W-UUMN-JUMULMN an INgPL,C�ION_NOTIgg City of Tigard Building rM partment 13125 B11 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 539-4171 Inspection:__ Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas line FINAL: Pt,et/Ream struct. San. Sewer framin -Bldg. Poet/Beam Meeh. Rain DrainnsulatiOn -Plumb. Plbg. Ur:ierlloor water Line Gyp. Bd. -Mach. I Date Requested:—.LL_�Lrf ee �Tims _—AM SPH Address fSc� 1 --L � .'Prirm-it 7#t.—LGL--L!_C.[!1 Builder: THE FOLLOWING (`DRRRCTVARM REQUIRED: -------------...__.. l L:spectort —- ---- _-- Date: t�'C1t_L1k "PROM DISAPPROVED APPROVED SUB.IRCT TO ABCVE Call For Reinsp. INSPECTION NOTICE /1A City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone 639-4175 h Type of Inspection� �t � �L'�i�� �',�?�z� X -t ii- 0ri° �1 Date Requested_ 'LC1 v F � _ A.M._ P.M. Address X1.7�s� ��- �� ______ Va.;mit; Owner Lot #_ Builder The following Buildin Code deficiencies are required to be corrected: rT1 Presented to _ --_ Approved Inspector FJ Disapproved Date CALL FOR REINSPECTION ❑ YES 0 NO INSPECTION NOTICE Ci!y of Tigard Building Department P.O. Box 23397 Tigard. Oregon 97223 Phone 639-4175 Type of Inspection / L� -a Date Requested f — J� `�G Tfme A.M._ P.M. Address __ ���� — 22, � � Permit Owner Lot #_ Builder The following Building Code deficiencies are required to be corrected; Presented to —_ __. _ _ Approved Inspector _ Disapproved __ Date CALL FOR REINSPECTION El YES [-1 NO a:► wt• � .. ae �► '+ter .. .. INSPECTION NOTICEr� City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection .e� > 22L'C_�. Date Requested _ _ ���� iM.- P.M. T AddressrLI-�' Permit #_ Owner ___-- _ _ — --- Lot -- Builder The following Building Code deficiencies are required to be corrected: Presented to 4 "proved Inspector ____. -- _ _ Disapproved Date CALL FOR REINSPECTION ❑ YES ONO MEW w rw w w w w w w w INSPECTION NOTICE i City of Tigard Building Departrnent P.O. Box 2.3397 Tigard, Oregon 97223 Phone 639-175 Type of Inspection ___ __T ". Date Requested ,/7 Time M. P.M. _ Addre�, L .7.�S ,L Permit #_ �- o,;) �L Owner Lot # Builder r The following Building Code deficiencies are required to he corrected: Presented to _ _ _ --_ __�} Approved Inspector _ Disapproved Date CALL FOR REINSPECTION 0 YES E) No INSPECTION NOTICE � City of Tigard Building Departure nt P O. Box 23397 Tigard, Oregon 97223 1 Phone 639-4175 , Type of Inspection L c- . �, • / Date Requested v Time A,My=�G� M. 1 Address s - Permit_- - OwnerLot # Builder The following Building Code de ciencies are required to be corrected: Prssenterl to — ITAPProved Inspector y; U rise pprov.d Date - CALL FOR REINSPECTION VES 0 NO sw w ► w >w w w w � INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection �� Timm l/ A.M. P.M. Date Requested__Z� _ Address ��!_ 5 —_—,>, a'�� ��� Permit #` 2C Owner --- — Lot #—._—_---- BuilderThe following Building Code deficiencies are required to be corrected: c - i 1 Presented to ' ,-'tTApproved Inspector ` ' ❑ Disapproved Date -- CALL FOR REINSPECTION YES 1=J NO MASTER PERMIT.TCITYOFTIGARD �'ERIgI:T #. . . . . „ a. III f:iT'30---0r".•?'70 WYOF RD PRIM. PERMIT 0. ; I*IST90•-•0270 COMMUNITY DEVELOPMENT DEPARTMENT one*" DATE ISSUED; 08/21/90 13125 SW FWI Blvd. P.U.Box 23397,Tlped,Oregon 97*?i(6Q3)IIM694f75 12455 5W 14ORTH DAKOTA ST �Y^ PARCEL: 15133C:Er-Cd6'�►0T%J :i UDDIVISIUN. . . . C ANTON PIARK l.gN1NCis 01-OC:K. . . . . . . . . . . LUT„ . . . .. . . . . . . . . ;31 _.._._.._.....___..._.....__...__.__m._..___-.._....._........_.._........__ tfUIL..DING RE:ISSUE:a DWELLING U1gITSa 1 BA':iEMENT. . . . . . . . 90 sf C;L..ASS OF:' WORK. .-NEW BEDRM S1:3 BATH a:;3 GARAGE. . . . . . . . . . :418 sf TYPE UF' USE. . . e SF F:' 000 ARI::AS__...._......_...._.__ RE14UIRED SEI'BAC,Ka._w.._ _--- T YPE ..TYPE OF:' CONST. -.5N F"IRST. . . . :921 sf L1:::FT. . r,6 ft RIGHT. -.6 ft (.)CCUPANCY GRP. nR3 SE GOND. . . ;✓312 S F"HUNT. :20 ft REAR. . :44 fit '3T'ORIES. . . . . . . 42 THIRD. . . . a0 S RE0UIRE:D_.._._..__..._..._........_....._._.._..._:....... HE:3:OH'T . . . . .. . . . :20 ft TOTAL.•..---....---._.._n 1733 sf SMOKE DETE:.CTORS. ;Y F:-L_OOR LOAD., . . . r40 psf VALUE. . . . . $: 1303:1.0 PARKING SPACES. . rO F:ema•rk.sa _...._.........,. _......._. .__...._._._._.._._ ,._._...._._.... _..___ ._.._. P L U M Er I N Ci .__....._. _.. SINKS. . . .. . . . . . . .. 1. F'1...UUR DRAINS. . . . r.0 BACKFLOW PRE:VNTRS. . t:0 I...AVA T ORIE:S. . . . . ..3 WATER HEATERS. . . :1 TRAVIS. . * . . . . . . . . . . . ..0 T'UD/SHOWE:RS. . . . 92 I...AUNDRY T1--U)Y5. . . ;0 CATCH WATER CL..OSETS. . 13 SEWER LINE: (ft) . s0 GREASE TRAPS. . . . . . . ..0 01.13HWASHERS. . . . e 1 WATER LINE: (ft) . . 1.010 OTHER FIXTURES. . . . . . OARPAGE DISP. . . ; 1 RAIN DRAIN (ft) . ;0 WOSHINC.3 MACIA. . . ; I 3F' RAIN DRAINS. .. ; I ........ MECHANICAL ._._._..._.._..__..._......._._.._.._._. ....._...._..._._ __-__-___-_... FIWE:SI _..__.-....____.__._.._.._. F'1JEL 'T'YPES --- - - -- UNIT HTRS. . :O type aniot.cl•lt by date rer.•rt{. VENTS . . . . .. :0 PA1`M $ 100. 00 JLH 08/03/90 20-.s 0', 1*IAX INPUT-.0 1411) VENT F"ANS. . -.4 BPRT $ 376100 1'URN < 1.00K . ,. ; I HOODS. . . . . . ; 1. DV,L.':' $ 244. 40 !: (JRN )=1.00K . ,. ^0 kOOD5TOVES3. -,0 D5PCl 1 18.1 80 FLOOR FURN.. . . . .0 CLC) DRYERS. a 1 STDG $ 600. 00 DOIL./CMP < :3HP.0 OTHER UNIT a0 SSDf: $ 375. 00 GAS OUTI_.ET'Sa 1 FARM. $ 250. 00 Owrlera _.._........._...•-__ ..__.....................__...____....._.__....»..._._._....._.._._ 11PRT 4� 39. 00 F.NE:RGY HOMES INC HPLC $ 9. 75 F�NERGY HOME: -., INC: M15PC $ 1.. 9'115 `.) MONRUE PARKWAY 120 PPRT $ 132. 50 I...AKE O SWE::GO 01"i 970:34 0000 I"15PC 1> 6. 63 / V)horie #.- 503 244-•3525 PAYM ;341.)'.'•1'.0:3 PLL,. 08/.19/90 Carlt•ractar� ____..___..___......._....._....._._............_.__._..._.._.._......_._._... V'NE:RGY HOMES INC 1 01f'i 1. 91W BPRPUR -(:)14:1 LAND OR 9721.9 H-i onto #.-. 244-31,525 1<eq fi. . a 55717 $ 20 ;4. 03 TOTAL This permit is issued subject to the regulations contained in the - - - - RE,OUIRED INSPECTIUNS - - - - - Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/foUrtd Insp Mechanical Inksr rpplicable laws. All wort will be done in accordance with approved Wtr Proofing ]ism PlUntb Trap Out plans. This permit will expire if word is not started within 199 K'o t/Fream Stroct F'ramijig I)1t 1 a days of issuance, or if work is suspended for sore than 180(641%. Post/Deans Mer_harl Fireplace lnsp (.1 Awl. Drai.rl Gas Lirle I1•tsp c'e^mi.ttee Cii.gnatt.tre� �- �z + , " t.cndsi.ab Tns>p InscU.Iat:ian InSip 1='LM/Underfloor Gyp I3oa•rci Iii%p I:sst.ted By; -a4A _._._. F-tnq Drai.rl Psm° t Rai.1'1 drain I11sp Call for inspection - 6:39-4175 i I I = T'FA�CITYOFPMING PFRMIT RD PERMIT #. . . . . . . : MST90,---0270 COMMUAITY DEVELOPMENT DEPARTMENT 131268WHWI Stod. P.O.So 23907,TOW,Or*W 07 (603)0304/76 ,�ITE ADDRESG. . . . JW NORTH DAI-;OTA `.'l PARCEL IS133CB-06904) '-')LISD 1.V I S I ON. . . . e ANTON PORK ZONINGS BLOCK. . . . . . . . . . e LO'f•.. . . . . . . . . . . . . a3 CLASS OF WORK. . cNEW GARBAGE D1GPO 3ALS. . -. 1 TYPE OF USE. . . . :Sr-* WASHING MACH. . . . . . . c DACKFLOW PREVNTRS. . :0 OCCUPANCY GRP. . eP3 FLOOR DRAINS:;. , . . . . . :0 TRAPS. . . . . . . . . . . . . ..0 STORIES. - - . WATER HEATEPS. . . . . . : 1 rwm-i BASINS. . . . . . . .0 F f'tLOW T -,- LAUNDRY I RAYS. . . . . . ctrl! 5F RAIN ri"ING. u I Ht" V. I I 1-Iftw* SEWER L1*9 fft" , 110 WATER Ll"F (ft) . . . . a j 00 T)ISHWASHLRS. . . . : 1 RAIN.DRAIN (ft ) . :0 Remarks: OWNERI ENERGY HOMES INC PAYM $ 1910. 00 JLH 08/03/90 P03348 ENERGY HOMES INC BPRT $ 376. 00 JLH 07/P6/91 9 MONROE PARKWAY 120 BPLC $ :4 4 r-40 JLH 07,'26/91 LAKE OSWEGO OR 97034-0000 1A5PC 18.,'bl@ JLH 07/2%/91 Phone #s 503-244-3,525 93TDC f 600- 00 JLH 07/26/91 SSDC f 375. 00 JLH 07/26/91 PlUffitjing Contractor: __._----..__.__._.._._.._._.__ PARK $ 250. 00 JLH 17171 '6/9t MPRT $ 39. 00 JLH 07/26/91. Name11PL.0 $ 9. 75 JLH 07/26/91 Address : _R M5PC $ 1 . 95 JLH 07 P6 G it y --1001PPRT s 132. 50 JLH 07/26/91 6. 63 JI-H 07/26/91 Req PAYM 3489. 03 PLL 06/19/90 REQUIRED INSPECTIONS Ili' s .permit:. as issued slibject . to the olRtions contained in the Tigard Municipal Foot/found Insp Gas Line Insp '-:od.@, Statt of Ore. Specialty Codes and all Foot/found Insp Insulation Insp *)ther applirablp laws. All work will be done Post/Seam Struct Gyp Board Insp in -accordance with apt:)roved plans. This Post/Beam Struct Rain drain Insp oevmit will expire if: work is not started Post/Spam Mer.han Water Line Insp ,qithin 180 days of issuance, or if work is PLM/Underfloor Appr/Sdwlk Insp suspentled for more than 160 dayE.. Mechanical Insp Appr/Sdwlk Insp Plumb Top Clut Misc. Inspection Framing Insp Mechanical Final Framing (REINSP) Mechanical rinii f=raming (REINSP) Plumb Final Fireplace Insp Additional. . . . . . viuthori ,ee( bing Contractor 'Gianaturp C.411 for inspection , --, 6,39-4175 Contractor IVntess SEWER CONNECTION CITYOFTIFARD F'. .. I T' Ccnyj0FTMNV F'F�.RMI T #. . . . . „ . : swR'30-0;3F>c'.COMMUNITY DEVELOPMENT DEPARTMENT r)RIM. F'E::R111T• #. : 1`113'T90 0270 13126 SW Hrl Blvd. P.O.Box 23307,Tlg”,Oregon 07223( < 76 11 � ? DATE: ISSUED: 08/21/90 ':il: 1 L:. (aDDRE:SS. . . is L '4::i i !jW 1,101:01-1 1-1 DO. 11,0Tla ST' PiARCEL: :I.S133C1:1•-0Ei900 '31.11.'4DIVIf:3TON. . . . : ANT'ON F'ARK ZONING: 1:21-OCK. .. . . . . . . . . i I_(:1T. . . . . . . . . . . . . :31 rEMAN'T 14AMF. . . . . ,. 1.1SA NCI. . . . . . . . . . FIXTURE UNI.rS. . . : GLASS) OF WORK- 0111::W DWELLING UNITS. . : 1 TYPE OF' USE:. . . . . :SF NO. OF BUILDINGS.-1 INSTALL 'TYf:'E. . . . :BUSWR 1111-1ERV SURFACE. . : Re nia•rks: 1:)w I7 e!•r: __,._.._...._.._____.___....._._.....__..._..__._......._.._.__...._..__. _._._.._.._._..._...._.._.__..___.___ FEES I.NERGY HOMES INC type AnICKMt- by date rec 11 ENERGY HOMES INC: P'RMT $ :1.rb00, 00 `:l MONROE 1"1Ar2KWAY 120 INSF' $ 3;5. 00 ! i LAKE OSWEGO OR 97034--0000 P'AYM $ 15135. 00 FILL 08/19/90 F'hc:)ne il: 503••-244-:36. 2 Cor)t-ractc)-r: -_.._..____ ._.._...___. _.._.._.........._...._............_._..___...___ F--NE:R(3Y HOMES I141:; .1.0211. SW PARDUR F'CIRTLANI) OR 97219 _..._.,......__.....__...._......_..._...._._....._._..___.__.__._.._....____.__...._.._.._.... 1=1hovie t3:: 244--35P5 $ 1535. 00 TOTAL Reg N., . . 551:17 __..._ RE::GLIIRED INSF'EC:TION5 This Applicant agrees to comply with all the rules and regulations Sewer T)•)s pest i an of the Unified Sewage Agency. The permit expires 1228 days from the date issued. The total mount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurwnt given, the installer shall prospect 3 feet in all directions from the distanr.e given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit and the Agency will install eral. _..__ ._.____.__.........._........ _..__... �-- ........... __..__.._.._...._..___...._..__...._.__ _.... _......_....... ..._.._..._.._.... ...... ............ ..... ............. .' _...._.__.._.._....._._...__... _... _........_ _.._.... Cal- 1 tc)r irlvip7ec:tic:)r1 - A39-4175 -ITY OF TIGARD -- REMIFT OF PAYMENT RECETPT tAO. CHECK AMOUNT :34e9. E H I (3F-,J4ERAt- CON'T PAC TORS CASH AMOUNT (W A00PESS o 1.0- 11 SW BARNiP 901-11-EVAPr) PAYMENT DATIZ SUITE~ I()1,-A 'EUDD I V I s I CIN PORTLAND. OR 9721 (9-- 1,2455 SW NORTH f). OF, FAAyMF-.N-r AMOUNI, F-11MV Pupr,oqr-, OF PAYMENT AMOUVII r."Al[) -r: 0,270 ....... I p ME CHANT PE 79: ST. BUILD PEP rl.0tJ CHECI,-* H t Tog - 15 Sr--".WEF< USA 15()0. 00 SEWEP INSPE-1-T ::,5. STREET' '3DC 250. 00 STORM DRAIN SM. "775.00 VIITAL. PiMOUNT PAID -'489. 0*7- 16 F TIGAPD RECETF-T (It-- PAYMENT fl.FCF..IPT P-P I TY 1") CHECI, AMOUNT NAME. E V-j I GENERAL CONTPAC'Tor�s CASH A1,10UNT I I I I it-, P(3ULEVAPD PAYMFNT DATE ADDS:ESS �, I SW PARF(- SUSD 7 v I G 3 014 C.,UITE, POF.'rl-AND. OR 972 1'; F-UPPOSE OF F--AymEttT AM01,01T F-All) F E 5W CJ..,EAP',4lIFW WAN #e._.ryP $A. 1.2445 SW NORTH DAk,,OJ-A ST.