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8070 SW VIOLA STREET ADDRESS: 1 i:\records\microflm\targets\building.doc INN&P LpT ON C TICS city of Tigard Building Depa:taent�rT "- y7125 SW Pwll Blvd. Tigard, Or6yin 972 KIL Inspection Line (Rec-t.-Plionelt 639-4175 Business Phonst 639-4171 I nspect ion t _ ------_- -------- Foatin9 riots. pnderslab Mach. Aouyh-in pppr/Sdwlk Found. Ylbg. Top out Gas Line IIRALt - Poet/nnam Struct. San. Sewer Framing §-aldg. Post/Roam Mech. Rain Drain lnaulatlon1uc5.Plbq. Ondarfloor ater LLMpyp. Rd. och. r Date Aegnastadt/� Nl7it ft Addrens= nuildert THE POLLOWI:10 OORRBCTIONS Am RBWOIRBDt r Inspectort� APPRUVfD DISIIPPROVlD APPR01R0 sDBJsm TO hem call Por ROLONP. y CE::R I-11� i[:..i-1 i-1:: �1 CI1Y OF T IGARD OCCUPANCY PERMT1, #. . . . . . . COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW Hall Blvd,Tigard.Oregon 9722398109 (603)839-4171 DATE IUSUED: 06/ 16/93 SITE ADDRESS. . . : 08070 SW VIOLA S7 PARCEL : '-;LJ8DIVjS1ON. . . . : RAZE MEADOWS ZONING-. P- 4. 5 LOT. . . . . . . . . . . . . :21 ''.LASS Or WORK. cNEW 1-YPE OF' USE. . . :SF 3CCUPANCY GR,',. :R3 f')CCUP,`ANCY LOPD1118 4 IENANT NAME- 11 1)emarlksu ('ATH I ).FWD CONST INC 11611111 SW PAC- HWY T'IGARD OR ',-Ihc)ne #1 1'39-6881 "onto actors [)WD CONTRAC"I"ORS, INC, r, 0 BOX P34!r)4 iWARD OR 97281 171hone #1 639-6881 !a p q #. . : 4 1 3 fic:i2s.1paticy of the Above referenced b(.0 .1ding jr, her-pby plivPlll, and certifiLeq the c-,ompiiance with the St Ate Of OV-0gon qper.,Jalty LodeA for, the grul-11P4 -h erm I It was issued. .y, and use under whic the Y'ef"'enf P DING 'j),ECTOR 195 DEPARTMENT TE ,e4. Or"FICIAL UILDIN. p()E-;T 11\1 CONSPICUOUS PLACE /�C hy DEPARTMENT OF LAND USE&TRANSPORTATION WASHINGTON ON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,HILL.SBORO,OR 97124 COUNTY, INSPECTION REQUESTS: 503/640-3561/693.4415 p PHONE: 503/648-8761 OREGON Page 1 vl 1 Date 04/2b/93 Time 14 : 25 Permit 'Type Hesidential Electrical Permit Permit # : ()5039912 Permit Status APPHL)VE:D Applied 04/213/93 Situs Addreos 80'/0 SW VI(-ji,A S'1' Ti Issued 04/28/93 Permit 'Title lbF'P - ALL LIM1.'i'E:L) ENERGY Completed Permit Descr . '1'r, Expire 10/25/93 Pioiect 'Title SE'R - NEW HOU:;E; Project # PUU30'/17 Project Descr . * EROSION Parcel Number 251'Tl Lend Use District valuation l) Lr qal Uescr . C)wrtei 1N::;1'ka."1'lUN - 'TI GARD ConstruCtion U'1'H Applicant Name MAS' i' H'i'E;C'H INC C'la sif icat iort 900 Applicant Addr . : P.U. BUX 911Uc(--:u f):ancy L'STACAUA I.)k '9'/()2;3 Validated by Ee Appiir_artt. Phone : 2.33-11613 Inspector Area CUN'1'KAC'1'UR : MAS'TE;RTE:t,H JN(-' . Lic. C :3-3,110 630-2565 t'ee description Units Iree/Unit Ext fee Data Limited Entegy/Alvei . /E:xtermion 1 40 . 00 40 . 0 Subtotal Elec:tr ical Vees : U 4U . 00 State Surclicirge of L." U 2' . Ul) Total E:lectricrti I'(--re:j : U 44 . uu *A E'ee : 14Uquited AA F'ev:a C(:)1 .1 e c-t P d br Cr 1:3 *** - Receipt No . Date Payment U4/28/93 42 , 00 TOTAL '1'H1.S DATE. kAA 42 , 010 E'ees : 4'1. . L)u Ail just:mcnts : . UU ')'utaI C.'redi` ,. . . UU '1.'otal tees : 1 'l otal Payments : 42 . 00 Halclnc_e Uue : UU NOTICE: This permit becomes null and void It the work or construction for which 11 Is Issued Is not commenc d within 190 days Once conahuruon has storied. the permit becomes null and void If construction Is Interrupted for a period of 190 days I cerilfy that the Information presented by the applicant and his agent or agents In support of this permit Is true and correct to the best of our knowledge I acknowtw.:ge that the Building Deparimenl's rellance upon false and misleading Information may Invalidate this permit All provisions of applicable laws and ordinances governing the cnnalruclion and use of this building or structure will be compiled with whether or not specified on the plans or noted on the pians correction sheet. I acknowledge that the granting of a permit does not grant sidhority to access private property or to rise easements. I further acknowledge that the use or occupancy of the structure or building permitted depends upon my calling for Inspe•I no at various limes during the process of construction and the building Inspection staff verifying compliance with the various codes. Use or occupancy of the building or slrurl re rmitfed prior to approval by the Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until el In tion requirements are satisfied and approval is given by the Building Official. I further acknowledge that a Ilan may be placed on the title ) he roperty upon which W permit is issued specifying that the use of occupancy of the building or structure Is provisional and revocable until the s tis cllon of all Inap on requirements. APPLICANT'S SIU URE ^ 77 WASHINGTON COUNTY & RESTRICTED Department of Land Use Transportation Electrical Inspection Section ELECTRICAL E N E R G Y 155 North First Avenue, #350-12 Hillsboro, Oregon 97124 APPLICATION Information: (503 6403470 Fax: (503) 693-441 PRINTPLjEASE Please complete all sections, • • Project r4o.— _- Permit No. 5 Label No._ _ Date ` 1. Location of installation Issued e �_ Office Y---- City i «- Zip Code _ 4. Type of work: Directions RESIDENTIAL Restricted Energy Fee $40.00 -------- ---- (for all systems) ------ - - Check type of work involved: Commercial Resident'al [ ] Audio and Storoo Systems" Tenant Name Burglar Alarm (it commercial) _ Garage Door Opener* This permit becomes null and void If the work authorized by the Fire Alarm permit Is not commenced within 180 days from date of Issuence Of Such permit or If the work authorized Is suspended or abandoned Vacuum Systems' end Air Conditioning lystems• at any time after work Is commenced for a period of 180 days. Vacuum System�Ja' Eiscirical Permits are non-refundable and non-transferable. Other 41 � [M��Y til/JIGS S v17 2. Contractor application: �J COMMERCIAL Fee for each system $40.00 Electrical Con ract r 1� 1 " (see OAR 918-260-260) Addres 0 I'heck type of work invulved: Date -g ' Job Nmbejj. Property Owner 0 IA 12 t9r27�t6cG�l/r/ - Contractor's License No. 7 C L Boiler Controls Contractor's Board Reg. No. O`'& clock Systema 3 _ , , /^ a Data Telecommunications Installations Phone No. , r r Y� Fire Alarm Installation 3. Owner application: IAVAC Instrumentation _� __._._— Intercom and Paging System Print lwnor's Name Phone No. Landscape Irrigation Control' ----- - Medical Address Nurse Calls --------- --- 1�T--- - - P Outdoor landscape Lighting" This permit Is Issued under OAR 918-120-370. The appliconf sti roe's Prot&:Uve Signaling to make only restricted energy Installations(100 volt amps or less) Other under this permit and to do the following: 1. Only use electrical licensed persons to do Installations where required. (Certain residential and other hansections are exempt Number of Systems from licensing. These have asterisks('). All others need►!cans- IL Ing.) 'No u+eases are inquired. Licenses are required hr all other installations. 2. Call for an Inspection when all the Installations under this permit are ready for Inspection. 3. Purchase separate permits for all Installations that are not ready S. Fees qo permit.for Inspection when the Inspector Is out to Inspect under this Enter fres $ 4. Assume responsibility for assuming that all corrections regci,ed W by the Inspector ars done,and 5% Surcharge (05 X total above) $ 5. Assume responsibility for calling fore final Inspection when all of the corrections are completed. I he person signing thle Derma must be the applicant or Person Total $ authorized to bind the applicant Signature —_--�� i" U `y�J� /'� _ Space below reserved for validation. Authority it other than applicant v �) Z_�J For inspections call 640-3551 or 693-4415 24-hour recorder, one working day In advance of need toot DEPARTMENT OF LAUD USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12 155 NORTH FIRST, HILLSBORO, OR 97124 .� COUNTY, PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hers): 503/640-3561 or 693-4415 Permit # 05039912 Project # PU03011 ; Status APPROVED rlage 1 of 1 Applied 04/28/93 Issued 04/28/93 Expires 10/25/93 04/29/93 05 ; 15 RESELEC Permit Title SFR - ALL LIMITED ENERGY OTH Description Job Address 8070 SW VIOLA ST TI Owner Name INSPECTION - TIGARD Region D Applicant Name MASTERTECH INC Phone number 233-1168 0 Approved Inspector Comments : Rejected i Inspected by ��,`,. ._�� btte � z' Inspection Requested • * Cover 04/29/93 RI EB LIMITED ENERGY DEPARTMENT OF LAND USE&TRANSPORTATION WASHINGTON 155 NORTH FIIPSTND EHILLSBORO,ORNT SERVICES V971 24 COUNTY, INSPECTION REQUESTS: 503/640-3561/693-4415 �! PHONE: 503/348-8761 OREGON Date 04/23/93 'Time 14 : 57 Permit 'Type Residential Electrical Permit Permit # 01,,039781. Permit Status APPROVED Applied 04/23/93 Situs Address t3U'/U W VIOLA 5'1' Ti Issued : 04/23/9:3 Permit '1'it.le S{'k - NEW HUIJSL Completed Permit Descr. '1.'o Expire 10/20/93 Pro-jec:t '.l'itle Lh'R NEW HOUSE Project # P0030'/1'/ Project Descr . A EROSION Parcel Number 251'2'1 - Lana Use Di;:trict Valuation U Legal Descr . Owner 1NISPE'"PION - '1'1.GARD Construction O'L'H Applicant Name SPREC'I1ER, DAVID E1,EC'1'R1C: C'lassitication 900 Applicant Addr ,, P .O. BOX 108', Occup-incy NEWBERG OR 9'/13L Validated by Ery Applicant Phone : 5:38-t8'/8 Inspector At_ea CON'1'8AC'1'OR : DAV.I.D bPRECHER ELECT . Lac . C 34- 1'1'/C b25- /511 bee description Unit, E-'ee/Uni.r Ext fee Data - -- Y-5qua,re N'ootage [ Enter Sq. Ft . ] l'.00 100 . 00 5ubtot.al Electrical t''ePs : U 1.UU . 00 5t,3te Surcharge of b% U 5 . Uu 'Potal Electrical h'ees : U 10b . UU * * E'eez; Requat ed * A A * ** Fees Callerted lr Credits Nit . '.tat:e Payment U4/23/93 1115 . 00 U'lAL '1.'H.LS DA'!'E * *** ***** lob , 00 Fees : 10 1 , UU Ad'Ju:. tmetits : . clu '1'r:t•al Credits : . 00 '1'(,)ta1 Fee! : 1041 . 00 Total Payments : 1U5 . 0ll balance Due : . 00 NOTICE: This permit becomes null and void If the work or construction for which It is Issued Is not commenced within 190 days, Once consirurtion has the permit becomes null and void If construction Is Interrupted for a period of 190 days. I certify that the htformation presented by the applicant and his agent or agents In support of this f.ermlf Is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances goveming the construction and use of this building or structure will be compiled with whether or riot specified on the pians or noted on the plans correction sheets. I acknowledge that the granting of s permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of the structure or building permitted depends upon my calling for Inspections at variout times during the process of construction and the building Inspection staff verifying compiiance with the various nodes. Use or occupancy of the building or structure permitted prior to approval by the Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and approval;s given by the Building Official. I further acknowledge that a Ilan may be placed on the title of the pmperty upon which the permit Is Issued specifying that the use or occupancy of the building Or structure Is provlslnnal and revocable until the satlstaction of all Inspection requirements A PLICANT'S SIGNATURE KIM WASH COUNTY ELECTRICAL PERMIT" Departmentant of of Land nd Use 1L Transportation Electrical Inspection Section APPLICATION 155 North First Avenue, #350-12 Hillsboro, Oregon 97124 Information: (503)6403470 Fax: (503) 693-4412 Project/Permit �l— �7 i . . � Number -----�--"-_�/ DatePLEASE Please • • : • sections, 1 througl 5. 1 4. Complete Fee Schedule below 1. Location of installation Number of Inspections per permit allowed y Address 8070 S. W. Viola Street _ Service included: Items Cost(ea.1 i Sum T i gar,JBuilding A. Residential- per unit _ ~ City _ --- Suite No. Tenant Name - ^� 1000 sq.ft.or lose _I $85.00 ___8 4 (if commercial) _ _- Each porrttiothereof $15.00 tional 5500 s%Tax n _ 15 .00 o Tax Lot, _ Map No. W Limited Energy $20.00 1 ----- Each Manufd Home or Modular Thomas Map Book: Page: Section:_ Dwelling Service or Feeder $40.00 _ 2 Directions near 81st 8 Bonita R d .%J__i g a r d B. Services or Feeders Installation,alterations or relocation 200 amps or less $50,00 2 Commercial [� Residential F 20i amps to 400 amps $60,00 2 401 amps to 600 amps $100.00 _ 2 CYA arms to 1000 amps -- $130.00 2 2a. Contractor installation only: Over 1000 amps or volts $300,00 -_ 2 Electrical Contractor Dg v i d S p reC Reccrnect only $40.00 _ 2 her Ele .tric .address P.O. 8 o x 108 5/Newberg, O r . 97132 C. Temporary Services or Feeders Date. 47221-93 _ Job Number Installation,alteration or relocation Property Owner D _ 200 amps or lose _ $40.00 Contractor's License No. 34-1 7 7 C 201 amps to 400 amps _.- $55.00 2 Contractor's Board Req. No. 45638 401 amps to 600 ampr $80.00 2_ over 600 emps to 1000 vacs see't3'above Signature of Supr. Elec'nC'-538-2878 D. Branch Circuits 2062-5 New,alteration or extension per panel l ICBIISB ��0.-.____ _ Phone NO, n) The fee for branch circuits with purchase of wv/ce or feeder foe. 2b. For owner installations: Each branch circuit $2.00 b) The fee for branch circuits without pu:chase of service or loader fee. PrintOwner's Name First branch circuit -_ $35.00 2 - Each ad(Tnl branch circuit $200 2 A°e`ss E. Miscellaneous (Service or Feeder not included) City State Zip -�__.-- — Each pump or Irrigation circle $40.00 2 Each sign or outline lighting $40,00 2 Signal circuitfs)or a limited The installation is being made on property I own energy panel,alteration which is not intended for sale, lease or rent, or extension $40.00 2 Owners Signature _ F• Each additional Inspection over the allowable in a.•ty of the above, per inspection 3. Plan Review section (if required) - $35 00 _ . J 5. Fees A. Enter total of above fees $ 100.0 0_ 5% Surcharge (.05 X total fees) $ 5 .00 Subtotal $ �� B. Enter 25% of line A for For Inspections call Plan Review if r(Nuired (Section 3) $ 640-3561 or 693-4415 Subtotal $ 24-hour recorder, Less Bulk Label Fee $ one working day in advance of need Balance Due $ 105 .00 This permit becomes null and void It Vie work authorized by the permit Is not commenced within 180 days from date of Issuance of such permit or If the work authorized la suspended or abandoned of any(line after work Is commenced for a period of 180 days, Electrical permits ars non refundable and non-transferable. 11/92 DEPAPTMENT Or LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12 155 NORTH FIRST, HILLSBORO, OR 97124 •+� COUNTY, PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 Permit # 050 : Applied 04/1. Permit Title .._ A- Descr-'ptj,on Job Address 6(),70 .3W ',11 C 1.,A t7T 'r t Owne-r Name Applicant Name Phones nuurtbrr �X _____�% !Vim•(-� �j„�,1� '� � �.. �'�� /tel.`�U„� VIIN t V` �J C C� v At� J .. )-w (!-JAW (Q" )C4 DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION X1350-12 155 NORTH FIRST, HILLSBORO, OR 97124 �•� COUNTS.', PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 Perms t 0 050.. ',4 16 ; ,.-'r 1 ,11 4 I . ..,..,at_.... . . .._ Appljed 04/231Q Ing-:Ue.i 0/20 Permit Tit.l-�- :'. is Nth; Dercr.ipt.i on 30h. Address Owner Name Applicant Namt- f'; PhcanF number k DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON 155 DEVELOPMENT SERVICES DIVISION #350-12 155 NORTH FIRST, HILLSBORO, OR 97124 +..�� COUNTY, PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640.3561 or 693-4415 Permit # 05() ;�, 'Li i X'r:}ject # . Pc?0.3U'; , 'A I-U-- APPROVEL Pay I of App.tied 04/23/93 Issued 04/23/93 Expiras 10/20/93 06/1 '7/93 07 : 31 RFSE:t,E(-' Perm.i t '1, t: i�5 t?r.R NEW HOUSE yJ� C?TH Descript.zor, Job Address 8070 SW VI0i A ST TI � Owner NamA INS : ,T I,)N - %GARD � ,G~ Re.3::on D Applicant Name 0PR� t{F:R, DAVI�i ELECTRIC Phone number r:,3 28'78 Valuation 0 App].':,ved_ T rl cP Rt Lid._ C 46-1 LxL ow -,-7u4,gin 64&...... - ////,, T1•C.�ti- t -y7 ,� ! 7 -q3 2012 CITY FTI 7ARD COMMUNrrl DEVELOPMENT DEPARTMENT oReoon MASTER PERMIT 13125 SW HW Wvd. P 0 Box 73,197.Tigard,Orwjcxi 97223 (503)BW-4175 PLRMIT #. . . . . . . : MST93--0085 DATE ISSUED- 03/04/93 SITE ADDRESS. . . : 08070 SW VIOLA ST PARCEL: 2S112BC-449600 SUBDIVISION. . . . : RAZE MEADOWS ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . s21 ----------------------------------- BUILDING REISSUES DWELLING UNITS: 1 BASEMENT. . . . . . . . 10 sf CLASS OF WORK. :NEW BEDRMSs3 BATHS:2 GARAGE. . . . . . . . . . t562 sf TYPE OF USE. . . .-5F FLOOR AREAS------------- REQUIRED SETBACKS------------ 'TYPE OF CONST. c5N FIRST. . . . :2038 a LEFT. . a5 ft RIGHT. oI2 ft OCCUPANCY GRP. tR3 SECOND. . . :0 sf FRONT. -.20 ft REAR. . s26 ft STORIES. . . . . . . il THIRD. . . . cO sf REQUIRED--------__-_--.-_____ HEIGHT LQUIRED-------------------- HEIGHT. . . . . . . . # 16 ft TOTAL-------.-2038 sf SMOKE DETECTORS. xY FLOOR LOAD. . . . s4V) psf VALUE. . . . . $ a 103664 PARKING SPACES. . rl Remarkse PATH I -------------------- -------------------- PLUMBING SINKS. . . . . . . . . . : 1 FL001 DRAINS. . . . :0 BPCKF LOW PREVNT W.). 0 LAVATORIES. . . . . 33 WATER HEATERS. . . : 1 TRAPS. . . . 1. . . . . . . . . :0 TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . el CATCH BAS NS. . . . . . . :0 WATER CLOSETS. . 12 SEWER LINE (ft) . iO GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . 11 WATER LINE (ft) . : 100 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . sl RAIN DRAIN (ft) . sO WASHING MACH— el 8F RAIN DRAINS. . .- I MECHANICAL FEES FUEL TYPES------.----.-,-- UNIT HTRS. . sO type mulint by date )-ecpt /GAS/ VENTS . . . . . :0 TIF $ 1460. 00 JH 03/04/93 MAX INPUT :0 BTU VENT FANS. . :4 SPRI $ 443. 00 JH 03/04/93 FURN ( 100[l, . . -.0 HOODS. . . . . . s BPLC $ 267. 9!` JLH 02/08/93 93-236406 TURN ) =100K . . il WOODSTOVES. tO B5PC $ 22. 15 JH 03/04193 - FLOOR FURN. . . . tO CLO DRYERS. s I SSDC $ 280. 00 JH 03/04/93 - BOIL/CIYIP ( 3HP:0 OTHER UNITSsl PARK $ 500. 00 JH 03/04/93 - GAS OUTLETStl MPRr s 45. 00 JH 03/04/93 - Owners $ 11. 25 JH 03/04/93 - DWD CONST INC M5PC $ 2. 25 JH 03/04/93 - 11.610 SW PAC. HWY PPRT $ 140. 00 JH 03/04/93 - P5PC $ 7. 00 JH 03/04/93 - TIGARD OR Phone #z E,39-6881 Contractor: DWD CONTRACTORS, 114C P 0 BOX 23454 TIGARD OR 97223 Phone #o 639-6881 Reg #. . s 41203 ------------------------------------------ $ 3198. 60 TOTAL This permit is issued subject to the regulations contained in the REUU114ED INSPECTIONS ------- Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fol.tnd Insp Fireplace Insp applicable laws. All work will be done in accordance with approved Post/Beam StrLict Gas Line Insp plant. This permit will expire if work is not started within IN Post/Beam Meehan InsLilation Insp days of issuance, or if work is suspend for more than 188 days, Plm/Ltndslab Insp Gyp Board Insp FILM/Underfloor Rain drain Insp Permittee SignatlAre6& - W L__ Mechanical Insp Water Line Insp Plumb Top Oi.tt Appr/Sdwlk Insp Isso-ted By : Praming Insp Mechanical Final Call for 1-n--spec-t-i-on - 639--4175 �_ CITY RD�� TIVA � C11?Y SEWER CONNECTION COMMUNITY 0EVELOPMENT DEPKITMENT o ao►i F='E_Rh117 13125 SWHWIBlvd. P.O.Bt.x23397,T19sid,Ckvgw97223 (503)63"175 E_'ERISIIT #. . . . . . . : SWR93-0080 -- 6.39-4171 DATE ISSUED: 03/04/9.3 SITE: ADDRESS. . . : 08070 SW VIOLA S) FARCE-L.: 251 12BC-0980'11 SUBDIVISION. . . . : RAZE: MEADOWS ZONING: R-4. 5 BLOC;K. . . . . . . . . . . LOT. . . . . . . ..21 TENANT NAME. . . . . : USA NO. . . . . . . . . . : F I x TURF: UNITS. . . : CLASS OF WORK. . . :NEW DWELLING UNIT•S. . : 1 I FYFIE OF USE.. . . . . :5F NO. Or BU I I_D I NGS: 1 INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : ssf faemarks : PATH I Ownere _._____.____.____.._....._...._._.____._.________......_.._ ____._..__._..__._____.______.__ FEES DWD CONST INC type aIn031.1T'It by date r-ecpt 11610 SW PAC. HWY PRINT $ 2100. 00 JH 03/04/9.3 — INSP $ 35. 00 JH 0,x/04/9;3 - TIGARD OR Phone #: 639-6881 Lontractor: CONTRACTOR NOT ON FILE Phone #c $ x:135. 00 TOTAL ------ REQUIRED INSPECTIONS --- -- -__ This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount 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 measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and 3:de Sewer" Permit and theAge y will install a lateral. er-nl i 1, t c3 :, i yi1a1 pit e1, [__<rV <- issued P y : ® r•aI I f or insl3ec-t ion 639-4175 Cf-3 3 7��d �-- --- OF IGAIZIJ 131as sw►tau awd., PLNCK/RECT #CITY T PERMIT # COMMUNITI'DEVELOPMENT DCPARTMF,NT Tiprd,Oregon912B (503)6394171 DATE ISSJED - TAX MAP/LOT JOB ADDRESS: — o ��J LAND USE: `-'��"' ` '-- SUB: LOT: �� r .s-- VALUATION: 1 - QWNER —SPECIAL NOTES NAME: , �C? . ' '=��,{' REISSUE OF: ADDRESS: -//h/U �W LAST REISSUE: FLOOD PLAIN/ PHONE: ��- � _ SENSITIVE LAND: --- --- CCP!i RAUOR APPROVALS REQUIRED SN i5�0-DOe b' PLANNING: NAME: _ — - — ENGINEERING: ADDRESS: FIRE DEPT: — s� OTHER: PHONE: _ --- -- — CONTR. BOARD #: EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: , "W"P �-�"'� u LIST/SUBCONTRACTORS: MECH: BUS TAX A(�CHlENGINEER CALCULATIONS: NAME: TRUSS DETAILS: — �—" ADDRESS: OTHER: — PHONE: —' PROPOSED BLDG. USE: COMMENTS: (AQ i ' —PP IL ANT SIGNATURE Received By: _ 1.—_ Date Received: PERMIT it ACC1 11 DESCRIPTION AMOUNT AMOUNT PD. BAL. DU` 5 10-432 00 Building Permit Fees ? 10-431 CO Plumbing 'ermit Fees 10-431 01 Mechanical Permit Fees 10-230 01 State Budding Tax (5,0) 3/ VU 3/,yo Building 121�� / Plumbing Mechanical 10-433 00 Plans Check Fee _j Building Plumbing i Mechanical _ I--Z5 10-230 06 Fire (,443 30-202 00 Sewer Connection aC/ c7/&0 30-444 00 Sewer Inspection 25-448-G2 Commercial TIF Fees 25-448-04 Industrial Tlr Fees 25-448-06 Institutional TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees 2.5-448-05 Mass Transit TIF Fees 52-449 00 Pdrks System Dev Charge (PUC) 31-450 00 Storm Drainage_ Syst Dev Chrg (S SDC) 2.4.44a-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of ) i TOTAI c521 .SUo i I