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OCCUPANCY
CITY OF TIGARD APERMIT #. . . . . r MST95 0:;0:;
DATE ISSUEDa 01/25/96 i
COMMUNITY DEVELOPMENT DEPARTMENT
13125 8W[jail Blvd.Tigard,Oregon 97223+8199 (503)539.4171 PARCEL I tis 104HA--04500 �
SITE ADDRESS. . . a 13900 `:sW NOR'TIaV iEW DR
�IJBD I V I S I ON. . . . a C:F`-GTLE HILL #2
ZONING:R--i2 PO
BLOCK . . . . I LOI.. . . . . . . . . . . . .
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C1 ASS OF WORK. I NEW
j TYRE OF USE. . . a 5F
1 OCCUPANCY GRP. :5N
OCCUPANCY LOAD 12 r
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Remarkst PATH I •
ton IhORIS5f TTE _ _...____..... ._._,
5000 SW MEADOWS RD
LAKC OSWEGO OR 97035
1 phone #a 620-'7538
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Contractor[
DON MORI5SETTE HOMES
5000 '',W MEADOWS RD
SUITE 151
LAKE OSWEGO OR 9703'5
r fione #P 620-7538
a5°533
this Certificate grants occoipancy of the abovN refert+-rced bui Idiny or portion
+ hereof nand confirms that the building has been inspect d for compliance with
the Stotts of Or'090n 6peciaalty Codes
far the group occU nc,y, and use under 1
-rhich the referenced permit was issugd.
__ _. _....___.-_..._....
still d OFFICIAL
{IJILI?INr I �,pECT .R
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POST IN CONSPICUOUS PLAw-,E
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CRY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line :Bldg.
r'Ibg. Underfloor Rain Drain Framing Plumb.
Alarm Water Line Insulation ec 3?
Underflr. Insul. Shear Wa I Gyp. Bd. Elpc
Date Requested: I< I` 1 _Time: AM / PM
k1dress: ��l Cr �= I V' �' It
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Permit #: 5 y 3 CA
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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14PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
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Inspection Line Rec-O-Phone 639-4175 Business Phone: 639-4171 a ,
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Inspection:
j Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
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Foundation Plbg. Underslab Mech. Rough-in Fireplace
4 Post/Beam r Plbg. Top Out Elec. Rough-in FINAL:
ost/Beam Mec San. Sewer Gas Line '' I
Plbg. Underfloor Rain Drain Framing �lumb J i '
Alarm Water Line Insulation et°111 w ''
Underfir. Insul. Shear Wall Gyp. Bd. -Elegt.
Date Requested: Time: AM
Address:
Builder: Permit #:�%:.,_ ' ' ? c '
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: _ Date:
_APPROVED — DISAPPROVE _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec O Phone): 639-4175 Business Phone: 639-4171
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Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbq. Iloderslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. Sari. Sewer Gas Lhe -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
•
Alarm Water Line Insulation -Mech.
Underflr. Insul Shear W II Gyp. Bd. Fh+%;.
Date Requested: l �l ' Time: AM PM
I
Address: / -3
Buildet2,t_� _ 4 q�-"2G Q— Permit #: G( CEJ C�4 75
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: w "� Late: ;7
APPROVED _DISAP DROVED APPROVED SUBJECT TO ABOVE
•_-Call For Reinsp.
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CITY OFTIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in pNSdw
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: i
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framin.t -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. 0 E
Date Requested:_ � �j Timet" AW PM
Address:
Builder: Permit #: �; — viz
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector•_ �� �� Date: 17-- 7-1— ) 'f
_APPROVED __DISAPPROVED XAPPROVED SUBJECT 1 V ABOVE
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_Call For Relnsp.
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CITY OF TiGARD BUILDING INSPECTION NOTICE cl'
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171
Inspection:_
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
PosVBeam Struct. Plbg. Top Out Elec. Rough in FINAL:
Post/Beam Mech. San. Sower Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
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Alarm Water Line Insulation -Mech.
Underflr. Insul. ShearWall �,. yp.� Elect.
Date Requested: Time: AM PM
Address: LSU
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Builder:_ Permit #: / 5 C•I ��U 3 _.
THE FOLLOWING CORRECTIONS ARE REQUIRED:
' (�"�?,� � C,G�o..�-ems ��d S 'a.:�✓S '
11A 4V,t
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Inspecto; Date: =Z1VI
_APPROVED DISAPPR04I:'D _�LAPPROVED SUBJECT TO/ 3OVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
' Inst:•action Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
S�
Footing Susp. Ceiling Sprink. Rough-in Aepr/Sdwlk
Foundation Plbg. Underslab tlVlech. Rough in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain ramin -Plumb.
Alarm Water Line -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. Elect,
Date Requested: ' Glp'
c:;_ Time: AM PM
Address: C/ 1 y C' _-%L,) y
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Builder: _ Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED: 4
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PROVED ,DISAPPROVED _APPROVED SUBJECT T ABOVE
r1 Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-0-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Susp. Ceiling Sprink. Rough-in ppr/Sdwll.
Foundation Plbg. Underslab <6 ch. Fireplace
Post/Beam Struct. Plbg. Top Out IDI 0 Elec. Rough-in it Iz 1 -INAL: +,
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Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain ig) Plumb.
Alarm Water Line Insulation -Mech. •
Underflr losul. Shear Wall Gyp. Bd. Elect.
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Date Requested: �- Time: AM PM
Address: / '7ic, C -' `h (,'"C C
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ti Builder: Permit #: 2.5L.-3C)_2
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date: (-
_APPPR^OVVELD PPROVED &APPROVED SUBJECT TO ABOVE
r ball For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
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Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. SewerIZZ as Line:,, /
�1 C_4—t' -Bldg.
Plbg. Underfloor Rain Drain Framing ,
-Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd.
-Elect.
Date Roque;ted:__�' ? z ��%S~ Tima __AM
PM
Address:_ 50LL
Builder: et
Permit#: �
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector sr pector
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Date
,APPROVED DISAPPROVED _ VED SUBJECT
TO
2 AZBOVE
_Call FoReinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Insr ect!on:
Forting Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbcn. Underslab Mach. Rough-in Fireplace
Post/Beam atruct. Plby Top Out Eloc. Rough i FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alirm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: ;yTime: AM PM
Address: �) % 00 SG✓ �(J/�/Hf//E� e
Builder: (p C� (�/ L Permit
THE FOLLOWING: COPAECTIONS ARE REQUIRED:
p C Date:�_ ��
PFROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp,
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CITY OF TIGARD BUILDING INSPECTION NOTICE til°'t� `
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
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Inspection: , y1.
j Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
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Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear / Gyp. Bd. -Elect.
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Date Requested: �U! Z(o > -_Time: AM 4PM
Addrep
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Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:__
_APPROVED _DISAPPROVED APPRC`VED SUBJECT TO ABOVE
_Call For ReinFp. `
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community Development ELECTRICAL PERMIT APPLICATION
1312E, SW Hall Blvd. "
Tigard, OR 97223 PlanckfRec. # �s-•���ti' —
Permit # 6-1-C�t-- oy 7E
a Phone (503) 639-4171 Date Iss� 3d _&2
FAX (503) 684-7297 Issued by ll-a-des SL Z—all --
CiTY OF TIGARD TDD No. (503) 684-2772
Inspection (503) 639-4175 _ -
�. Job Address: I 4. Complete Fee Schedule Below:
Name of Development / Number of Inspections per permit allowxf
Address I 90aSCy ��r Service included: Items Cost(ea) Sum �
cl- da. Residential•par unit ,
City/State/Zip a rOL �jjt;;l��'�-- — 1000 aq It or lee" $110 on
Eedr additional 500 art it or /w 1
Name (ser name of business) m H.H. portion thereof r� $2500
Limited Energy $2500
Commerciai❑ Residential 2
Each Menul'd Home or Moauler
Dwelling Service or Feeder "If 00 _
2a. Contractor Installation )nly: 4b.services or Feeders
jr 2
Installation,alteration,or relocation
(!�� �// l 200 snipe or less 2
Electrical Contractor 560 00"o 00 _ 2
201 amps to 400 amps 2
;i Address al �' alb ' 401 amps 10 600 AMPS $120.00 2
riry_ rn]]��_ State Gr2 Zip 9 7� 601 amps 10 1000 amps $160 ou 2
Phone 0. b�f I�[1�
Over 1000 amps or voile 5$5000
Reconnect only 550.00
Contractor's License No.-- S2&- akm
Contractor's Board Reg. No. 4c. Temporary Services or Feeders 2
Installation,alteration,or relocation 2
_� 200 amps or lane $50 00
nature of Supr. Elec'n 201 amps to 400 amps _r $7500 _ 2
tic, nse No. Zi,a?��_ P one No. ��� 401 amps to Boo amps __ $10000
Over 600 amps Io 1000 volts
20. For owner installations: ""°.b.above
4d. Branch Circuits 1
Print Owners Name _ New,alteration or extension per penal f
Address n)The tee for branch circuits with 2
purchase or servke or NaN
der e.
(illy _ State. ZipEach branch circuit $5 00
�. Phone No. h)The fee for branch circuits without 2
)
The installation is being made on property I own which is purchase of swvlce or Nedar Ne. 2Fact brarrh ctra,il $3500
not intended for sale, lease or rent. Each addltlonal branch cucint $500 f
Owner's Signature 4e. Miscellaneous `I
(Service or feeder not included) 2
Each pump or irrigation aide S4000 _ _ 2
3. Plan Review section (if required): Each sign or oulline lighting S4000 _ `
Signet clrcuil(s)or a limited energy 2 `
Please check appropriate Nem and enter fee In section 58. panel,alteration of •transion $10000
_ 4 or more residential units in one structure Minor L"hels(10)
a Service and feeder 225 amps or more 41. Each additional inspection over
System over 600 volts nominal the allowable In any of the above
_Classifier area or structure containing special occupancy Par (np—1 or, _ S3600
as described in N.E C. Chapter 5 par how __ $5600
In t Inns $55 00
St:bmil 2 sets of plans with application where any of the above
r apply. Not required for temporary construction services. 5. Fees:
5a. Enter total of above fees $ 10,
NOTICE 5%Surcharge(05 X total fees) $
Subtotal
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 25%of line A for
�.' AUTHORIZED IS NOI COMMENCED WITHIN 190 DAYS,OR IF Plan Review if required(Sec 3) $
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOn Subtotal $ —
A PERIOD OF 190 DAYS AT ANY TIME AFTER WORK IS ^
COMMENCED `J Trust Account tM $
Balance Due $ >�
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f CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
` Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. g. T p Ouf� Elec. Rough-in FINAL:
l Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underilr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: / Time: AM PM •
Address:
Builder: ( 5 1/ (a/ Permit #: I X303
THE FOLLOWING CORRECTIONS ARE REGUIRED:
In pector:� Date:
ROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL.:
Post/Beam Mech. San. Sewer -,as Line -Bldg.
bg. Underfloor Rain Drain F•aming -Plumb.
Alarm Water Line Insulation -Mech.
j Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
lDate Requested:_ C' z Time: AM PM
Address:
Builder: Permit #: �f S 36 3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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^ tcr Date: / G
_DISAPPROVES APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 r
Inspection:_ _ `��11,W
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. an. SeW�r Gas Line -Bldg.
Plbg. Underfloor pain Dr Framing -Plumb.
Alarmate_r Lim Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
10:36
Date Requested: / �/� -2 (� c, Tiime: AM ___PM
Address:_ ! �� �'C�C) �1�-�J�-1� LA_ _ kQ
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date:
Z"PPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
' CITY OF TIGAFiD BUILDING INSPECTION NOTICE
nspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:!,
Footin Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
oundatio / Plbg. Undersl3b Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. 'fop Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
•
Alarm Water Line Insulation -Mech.
Underfir. Insul. Shear Wall, Gyp. Bd. ` Elect.
i
Date Requested: Time / SAM PM
Address: 2)-2-L
k3uilder. Permit #: `tel 5 C�3
T�H-E-FOLLOWING CORRECTIONS ARE REQUIRED:
4jOw---'
_1 nate:�) L
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Inspector: —.
APPROVED _DISAPPROVED ROVED SUBJECT TO ABOVE
�–� _Call For Reinsp.
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CITY OF TIGARDMASTER
1=EPMIT #o
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 09/19/9`.; �
13126 SW Mall Blvd.Tigard,Oregon 07223.6190 (603)630-4171
PPRr.EL_a .S 1 fl_4ri;) 17.,V500
fSr
r ' Tr" PDORCt'.'% : 1311710 7,W NnrTI-]V IEW DR
sUSDTVISION. . . ,. : wASTLE HILL #r' ZnNING: R12 PEI
. . .. . . . . LOT. . . . .. . . . . . . . . :07S
DUILDING _..__._.__.___..W_»_._.___.�_...___..._....._._. ......_�._. _ ..
-!7:^::AL1)-:MwTn',-0,'4 3 Q6SE1_i_I Nl l.Jhd:T^ . 1 SASEMENT. . . . . . . . 10
Or WORK. :NEW DEDRMS;4 FIA7i•1S:3 GnRAGE. . . . . . . . . . : f
Rr"OU I RFP ^J'TDeaCK^.. .. _ _ .._.._........ ,
;C'DI^3T. :SN F I RST. . . . . 1"2'5 0 r,f L-E5T. . % 10 ft R T GGT. s W ft
.pct -1'1)NGY C3PP. :113 SE'C'OND. . . : 17017) of F"F?ONT. :;717i ft Pr:PR. . .':4 ft �
JORIFS. . . , . . . s2 FINDSMF"NT:O f RCG1L1?RED-
!7 T,
EJ)-'rT OI-. T. » ., . . . - , :;,1 ft TOTAL - .. . _4''2350 S fIMOKE 17Q'TECT0RS. :Y
-LOCIR LOAD. . . . :4Q-1 Fosf VALUE. . . . . '$: 166''."-, 17 F''nRKTNG SPAC:E73. . t 1
_..... ...._...,_..._ ..._.._. .. .._. _........_-._._....___._..._...._ RL_UthB!NG
I 1'--L..00R DRAIN(:;. . , . :0 I:%AC'I!i'I_0W r -,;,"'t",.. . ry 1 y �
.AVATORTlE9. . . . . c 3 WATER HEATeRS. . , x 1 TRAPS. — . . . . _ . , . . . . .0
"U13/'IHOWER5. . , •. , ,., I._AUNI,RY TRAY',3. . . :0 C'ATCI-1 SAS IN- » . . . . :0
.JATt R CLC)Si"TS., . : - SEWER LINE ( ft ) . :0 G F"Aa tF;Ftf= ;. . . . . . :0
I!"I4111,n,Fir-RS, . „ 1 WATT-P L.INr (ft ) . : 10171 OTHC-r, F1RE's. . . . . ;0
'PRAAGU DISP. . . z l RAIN DRAIN (ft ) . :0
111V 14INO MACIA., . , ; 1 17r pj*kTN nRAlN . . : 1
.._..__,.....,�_M._.. _...... MErI•i1NT CG'll.. _...__._.u_._.._.___.__._._.... .. ._. . _.... .._. . . .._ _.___ F-EEr, ....___.. -. _.. ...._... .
a
_1.)EL.. 1'Y>'�F .. .,....,.._......_ ._ ..
URI HTRS. . :0 t;.rf�e mount: k_y cIr-Ate rr' la
'G'PS/ ✓ / VrNTS . . . . . .0 SWM 180. 00 .TT,1) 09/19 '�)5 9'5-- '707t 1 ,
.AX TNPLJT:O TnTIJ 'v;`NT• FANS. . -. 4 SWhi F 100. 00 JSl') 17.19/11✓ryrr r'S....�'717171 1 n�
I.J.,iv ( 1711X11( 0 HOODS5rT
. .. . . . . : 1 PPRT x . 50 JSQ 09/19/959F, :--'x+711
,rg•,, :,,1►7101'1 . : 1 Wl.)CJ1�("T C]!lC':;,. ;'' F3r'L.,C 1 50. 1210 :11IN x113/177.r) )3 7
1 Orlcr F-URN. . . , x0 t
CLO n:1710 ".") 7-311D C. 'tlh✓�?
OTL/�11r OTHCP PnP1( 3710. 00 J :n Of).1r,
-
GAS OUTLET!?. ' hir'RT t 415'. 00 JS1) 09/19 `, 7k7 j
�!•a►i +�"« .. _. ._.. h1r; i; 11. .-5 "n ti`9/1 /9", `)5 � d
•74 '7 t1
-,ON MnRT5S,:_TTr mliP ; i ~. 85 .TSD 09, 19/95 95Is.,1:71, '
111710 1114, M('A•. ;,;1" n� '1?T)I 1, hfh ,?^Q ,71!19,%95 e)�y_..-
[ "-,WC
i`�SMep•c 1 11. 25 JT 1;1)) 0q 19✓�+�
.,Al\r "^WC:.r:ii rm '��'1.',- -� �'.rl')`," '� C+/1.. 110 T���A_i 'C,":7/1 l�tJ r;' C='� -.�,.'.• .1.
r'han0 #: C,• '1'1 '�",^F� Cf?F?^ 7 c"'Q!. E34�i!1� J:D 09/19/9!' q!i i_ . ' ! 1
i
",�ntr, ttrel, : FPPr 90" .':17+, , .T'`r 1717✓1'3/')� qY, . f 1
'',Ohl MCIRIGSETTC HOM("^ 13C'l..0 It X111„ 00 '.:,1) 17►9/19/1.35 97 271`
01,A0 rW MEAD0140 F;' '
�UITF 1!�1
OGWrGO r.R r.)70'"7
i
'hone #: 620-"7536
t i 7511 . "P, TOT01..
L permit. ;s issued s,bJect !o the rqul:k- PrOUIRET) INS3PE`CTTONc; ._....__....
-bard Municipal Code, State of tlwe. F'ciot.ino Inq-p PlLlmb Top O11t
=pp)icable laws. All work will 1,11der.p i� �qae��" ro�.InH��tiar Inap Frptminy Incl
lana. THs per .` ,; / o`. F''ast/I►a am r'tr `.1r t F vr opl.y.+~'ee I,
.,ays of issuance, Post/room ilvc:hAn Gas Line In,;,
Dt'.101 Int3,_;latton 111"IP
''urmifte �,� -- FF'� 1nnI�✓). rlc'a1r I Inmp r, 1 13,.a'ard .IT qp..
VL.�1✓Lnr.�atf• oojt 0avn drain
T
�� = In~S1. :.J•:Ai;+ei- R..ano
.. E., . C,7.9 -417'5 1
I
J•
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i c'
io
'-,EWER CONINECT:[ON
CITY OF TIGARD . ..', . .
COMMUNITY DEVELOPMENT DEPARTMENT onTr V/1107
13125 SW d.Tigard,Oregon 97223.3199 (503)030.4171
PPR(::171__-. 2S'104BA--0451210
rI,)D :3. . . a 13900 GW NORTHV I EW C.R
D'IVI:"TON. . . . s M)STI_E HTLL #,'-_' ZONING: R-11: PD
'l'^t(. . , . . . . . , .
NT NAME. . . . . .
NCI. . . . . . . . . . . rTXT'LJRE IJNITr. . . .
_r4r3Sx Or WCIRI!. . . :NrW DWE.LLIh1r i.JNIT5. . 1
or USF. . . . . w r C
NO. Or .1IL)I LI)T NCS: 1
("1 L._ 1'YF``C. PUGWR TMr"EPV '73URf AC'E. . : f
T Fkr,k n z PATH I
")N M117,'1' 7FTTC t: 'Pp amnl_mt Fy cJ'at r
2*00 ?aW t'E�IDOWr RT? PRMT $ eeOO. 00 JSD 09/19/95 1- 5--;:'7071 1
IHF7�P s "S". 0e. JfiD 0'x/1.9/93, '?5-X70711
II�;E (2SWE00 C,f?
ritw'a'iO::+C1 Y"
INTRACTOR'NOT ON r1a_..0
-5. 00 VITAL
TNSrCC_rl�� r __
rr':rant. agrees to copply with all the riles and rtgulatianf Sower I ri Rer:t i an
the Unified Seriage Agency. The peroit expi-eef 180 days fooe
P date issued. The total accent paid will be fm4cited if the
-tit eypirm Tho Agency does tot i arantee the arcvracy of the
;e %eller lateral%. if the sewer is not located at the eeelt
,01 the installer shall prospect 3 fep' :ons fi,
distance given. if not so lc±'ated, " l chase __._..._-
'Tap and Side Sewer" Persil ateral. .._-._...__....._._.__-_._..__.__.___._. �_ ...______.__......___.._..__.._.__....
G•59 417
C?�� y
rt=7 .� w • r
F `f
v. n a -.iri. + � !+ ,fir,: +, � q+i�. �.� •
v:
.it —IlDrs•,•�+. T4tfIT' 17CPNR.t'aanf;vursrit+t.•.*wv,. ..x.cu.urY+•.r.otr.,.,e;+rwewwMwrlrtimirnr,w.c.mime.imrrKwrrel+I�Wa'+M#�t.�.14N14�1 .� •l� 4•
Residential Building Permit Application `
' "City.of Tigard g.
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: ��-A,V'17"�V
�? Office Use Only
Subdivision: i`( � Lot#
-5�
Valuation:
Permit#
Corner Lot? Y N
Flag Lot? Y N
Reissue of—mc '�
Map & TL# C75/0
Owner: 0121 el- $9 1� h'«, I Lj l Approvals Required
Address: IoW HE6DO M5 `� rJ( Planning
Engineering
Phone: v - r'J�J� � y �71 l t
��— Other� �'� � _�
Contractor: ��`�� �' ' CN'E - Items Required
Address: Subcontractors
_ -- Truss Details
Phone: Other
4
Contractor's License # 555-3-:5 e—Y 2• r/.f
(attach copy of current Oregon license)
Contact Name & Phone:
i
Subcontractors: Architect/Engineer:—neo—1 CSE _
Plumbing:JkkUEF'1 P-KEZb ?\_UHB I t J U Address:6CM !IN SIS• I S f
Mechanicallx,t COUNPTI -re.'L 1p_ L04,,E: Q5AS I T.2L—
(attach copy of current OR Contractor's License)
Phone: L000 —15 3
JOB DESCRIPTION:
Applicant Signa re & Phonenumber
Received by: , ' L 'V`* "r Date Received:
NAWORO\COMUFARESAPP
V •
•tNi '....yen F'/iYYrtgM+TIM.IFW. Few" ... ... rw.•... .r w...
•d'
k
T Y
wt��w
JUA
Permit# Account Description Amount Amt. Pd. Bal. Due
/115f - j Bldg. Permit (BUILD) �' Z' `S `1_v• SZ�
Plumb. Permit (PLUMB)
i
Mech. Permit �MECH)
State Tax (TAX)
Bldg.-
Plumb:
Mech:
Plan Check (PLANCK)
Bldg: 5u /- 52) )P d C 4-
Plumb:
Mech: // Z
Sewer Connection (SWUSA)
Sewer InspEction (SWINSP) 3 ) 3 •r
Parks Dev Charge (PKSDC) 5 c-c� 5 c• y
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL}
Water Quantity (WQLIANT)
All Fire District (FIRE)
,4 Erosion Cntrl Permit (ERPRMT) Y�
a
Erosion Planck/USA (E. :1 AN)
Erosion Planck/COT (EROSN)
„� 'S• �Z / �1 cY 7
YOTALS:
6,
FROM -FIRST �R 1 CAN Tit RSBRN TO % 6R1362s'l�if35 19 .0 7-25 07-61 pE36 F.03 0
Y • Iii ,} +. j1 , j \ a�`` 5!• 17� ' \���\i 'M. �
,�G::'rE cif �;�d t•.;. •,+,��. .���}i't��'a��d ` � '` �iE �;�1�• ..
f � Credit No: :
GE12 Issued:
�• a TRAFFIC,IMPACT FE
CREDIT VOUCHER �'•'x
r` In accordsnce With the Treffic Impac.,Fee Ordinancs, Matrix Devolo Pent Corporation
is entitled t01� 550 in Traffic Impact Fee Credil-:!;at can be applied to 71F charges
on lat(s)68-131 of the Castle r,'!h No. 2 DBvelopnent. The t.,se of i it credits
era subject to the rules and limitations of the TIF Ordinance. �YAnNINCs'.'
r—* This voucher must be presented at the tin„e of issuance of the Buildlnr Permit, orif dalarral '
was granted Issuance of an Occuiczmy Farmlt.
MATRIX L;EV LOFMENT COM?ORA T iON hereby assigns all its right,
title and Interest in Ind to that celain 7rah7c Impact Fee Cradlt to be granted
upon the Issuance of a buildh7;permit for Lot 78 "0'
• CAS 7L E YXL NC. Z Subdivision, Washington County, Oregar, to the order of ;
' DON MORISSETTE HOMES, INC.
Y ,f, 5000 S.W. MEADOWS ROAD, II151 ••,.+.�1•
LAKE OSWEGO. OR
This as era cf Traffic impact Fee Credit is ;rade and given this�5— f sf'•;
.
day
MA TR IX 0E✓ELCPA,/ENT CORPORATION,
if en Ore,;cr. Corporation
Ey: -1C�tti.u1� /ti.u $ r(•1f•fL?,
Title or Pcsition
Lit``;, ti''.tij :2 + :f' ,,•;r \ ti,.,. t ;li�St t. ?it=��;t '' 'uss'y
A':�'k,,,11P''• ' '` �f,S 1`'•iP_=.�1• '` �t 'i . ff
+NjCi �• y py ,\;F,d�! �,'��S/�►,�i:',;'i;;tri11?: =��jI,,,I , .r,;� '.
�fjC� a ;
tA„��'•�'�';,,a►.,1.o,�a,f.rt„!r►+�°'...,� w�a»J.-'+'+,Ki�'tf<'.T°^'�,,ggy�q'""'>hJl �' '',�. !t`aA�"'��°'�'wg�lM�+f"��dbfll�", Nr'`�1 � NA
1 z�
5 i a
I
6000&W.Meadows Rd,Sts.151
Lake Osw ft%OR 87086
Phm c(608)620-7588 j
FAX-(60d)620-7486
' Gr�-s IMer�►. P�ac GP u►tb
oOaL V.4 rs rwatT+.
Lor 4v: 7v .
Cott WILL,
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f„ITY OV T'IUARD _ PF-cF)P LIFT VI$4YMI-Nf HCU;k.Ipf NO. P70711
GHE.0 K AMOUN i' s 40W;— 38
NPIMlw. DON MnR 12%1 f E HOMES I NC: GASH r IML)IJN i s 0. 00
H1)nRE:F1Ey :5t7rVIVI ;3W MC-.A OWS RD E+TF 1'5 I. F'NYMLNI 1)Fif! c 171913tti/9ti
LAKE OSWE GO OR ri3Ulfl.)I V I f. I UN C
9703 --
F-'L.IRVIOkiE (JV PAYMEN1 AMOUNT 1441,L) PLJRPt..W)'V OF F'HYMf N I Ht"ltWIN 1 1.001 1)
F
I1I.1:I1,_fIINI.1 VIF'.RM MI-O'95- 30,ti..,._.._-t"19 1. `AA r..f...(lMH:r Nt, PF RM _.._..._.._ _ ept). Oki �
ME.CHAN I GAL F'E. 45. 00 ;41 . 1111 1 1.11 F-'I:t t A►..,. �I;s
F'L:raN t"HEUK 114 ( ] . t.,l t•lr l: U��t1 tiW'd`:} r-U't.i`!�i i [:.'k?� k7tl
c:IEE.WE:H 'INCi6'FL:I' :J. 6)bt 1'tal?I','.3 ;31)+: :'olb. Oki
(OLIAI.ITY FAl,j1..•:1CY FFA: tl:uit. 00 F'i 'tI t!trrina11IY ! r:IC'IL-I "I4' I1:.). rrltL boar
fEJZr36I0N cow CHl64- 00 I kw, tr,rt P1.341A CA(
1.RCiFtIf11V C;L11yf 1ttt1 Po. 130 '
k;
1. 3400 SW NLJR l'HV I EDW � 6
11 �
101 Hi.. AMOUN I P011) – -- – –3 4NK:''• 38
Il '
,I
it r
I
CITY OF' TIGARO REC'E IT'T LSE' PAYMENT RF.:'C:E:IP'T No. 095-2693,/v
1
CIA C:K AMOUNT .350. 00
NAME t DON MnRlS8E..'TTE HOMES, INC. CA',.'�H AMOUNT a 0. 01.1
r=DDRESS 1 5000 SW MEADOWS RD. S,01TE 1!`i1 F'AYME'N-r DPTF' a 06/ 1 '
LAKE nSWEGO, OR SUBDIVISION p
97035--
OF
7035-
OF r,#IYMF.N,r AMCILINT i=AID F'UF1F't)l"•,I:: OF PAYMENT AMC)'.114T r:A 11)
1 OL_AN CHECK FE LAO PLAN CHECK f-f" `'i4q. Ai71
O1._AN CHECK FE 50. 001 f
13935 9W LIDEN 851R, 137r:!0 SW L.I fW-r4 f•1-.;i;,,,
1
SW L.I DI`N 843R
-0TAI_ AMOUNT VInIll
I
*WOWI or,�t
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