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Pm §\){ [3f ƒEp 2m j§ � OLC u-Z 00§ $° \ ��{ §� (� \/LL LL 0—j § Q � c5m- emuo �u- �( 2 k (\ � &E EUa- 0ly << o = m48E �oƒ= z0 LL z wmcu 08 =<omeo-Z «o ] G G 2 2 G g q m@ a ~ ® ® f ƒ ƒ ® D $ ($ \ q § § { }£ ) \ z E co Co I ) % � ] w � � U) m u um m < } LL U- ) }} A 0 u- CL � g � r cn 3 2 § % 9 ƒ ƒ E § k 2 ~ g \0 \ § < / 0 ■ ._§ > j v 0 � m � c F-rr / -1 0 G. 7 7 ® G § { c 7 s % \ L ) L L \ � ' ) § ) E k c k c - R \ E 2 c 2 ) § m E a G ® ° $ / $ § m § \ V) en cn v) � § z � @ G 2 % k ca") % - a D a & a G S § S M 0 0 0 _ kk 00 00 CD ) _ _ % a_a ± $ \ & � o / § _j § 2 @ 2m U a cuO ■ Of > j 2 2 \ � / E � # — k - � g \ k 7 ƒ ) % LL % / 00 } ) \ c 64, * / 0 / � k §§ + IL a a k � � }k 00 m 0 C) / \ \ \ A c = m & c I = « � 0 \0 m EnP n � / L) r & 2 k k k n q 0 3 $ C14 `> k 2 Q G j \ � / � Te e § . 0 w £ \u \m LL CL ) f o R qCL a c ~ ° g G 2 8 tf') k % 7 7 7 7 CITY OF TIGARD BUILDING INSPL'CTI 3N DIVISION 24-NGur inspection Line: 6394175 Business Aone: 6394171 Date Requested 1, A.M. y P.M. MST: Location: �,3�t _ BUR _ Tenant: Suite: _Bldg: MEC: _ Contractor: e� ����_1' l/ 1 Phone: �Se -^ / LX' L J PLM: (honer. !Phone: ELC: `�7—630 GLR: _ Y SI'l,: BUILDING BLDG(con't) PLUMBING MECHANICAL — ELECTRICAL SITE Site Post/lIcarn Postilkam Postftwn Cover/Service Sewer/Storm Footing Roof UndFl/Slab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-Dn 1 IG Sprinkler Found9tion Insulation Scwcr Hood/Durt Reconnect Vault Bsmt Damp Drywall Stone cc 'DLmp Service MISC. Masonry Cciling Rain DrainA/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/l ound Dr 1__ ai Pump Low Volt r— Arproved Approved — \ h roved Approved ~ Approved npp�nSdwlk Nat Approved Not Approved .:roved Not Approved Not Approved FINAL FINAL FINAL i FINAL FINAL T J ^ S: W D Call for rein. action Cl Reinspection foe of Srequired before next inspection C3 Unable to inspect Inspector: Y� -- Date _� Page— of— — CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT FERMI"I' #: EL.C97-0305 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 t ATE ISSUED: 05/27/97 PARCEL: 2SI04CA-08800 SITE ADDRESS. . . : 1.3460 SW 136TH PL_ SUBDIVISION. . . . :HILLSHIRE ZOIVIIVG: R--7 PD BLOCK.. . . . . . . . . . LOT. . . . . . . . . . . . . :O88 JURISDICTION: TIG Pr,o.;ect I.)escr,i pt i on : Install one branch circuit 1 - -RESIDENT"IAT_. UNIT---- -- -TEMP' SRVC/FEEDERS----- --_---MISCELLANEOUS- - -- -- 1000 SF OR LESS. . . . : 0 0 - 2O0 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 FACH ADO' L 5O0SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANE. HM! SVC/FUR. . : 0 6O1-1-amps-•1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 -- . -._SERVICE/FEEDEIR---- -- --BRANCW CIRCUITS-------- ------ADD' L INSPECTIONS--- _. 200 00 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 F'ER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . . 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 I 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: CA IN PLANT. . . . . . . . . . . . 0 601 - 1000 amo. . . . . : kl ---.--_.__.________.._pl_AN REVIEW 1000+ amp/volt. . . . . : 0 > =4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner,: --- -- - __________ ._____-_.__---------___-_-.-•------___-•- FEES KATHLEEN MAYFIELD type amol-int by date recpt 13460 SW 136TH PL PRMT $ 35. 00 00 JSD 05/27/97 97--295090 TTGARD OR 37223 SPCT $ 1. 75 JSD 05/27/97 97-295090 Phone #i<: Contractor': -__._____________-_-____._____.__._______._-._____ _____________-•----- -_ ` NORTHWEST ELECTRICAL SPEC 1, 36. 75 TOTAL_ I ROYAL. EDWARD STEARNS TI 616 EZ 69TH CT ------- REOU I RED INSPECTIONS ----- HILL"3BORO OR 127123 Ceiling Cover Elect' 1 Final Phone #: 848-8678 Wall Cover- Reg #. . . 012132 This pewit is issued subjr7t to the regulations contained in the Tigard runiripal Code, State of Ore. Specialty Codes and all other (�rmitt-ee-79i gnat i.ir,e applicab,e laws. All work will be done in accordance with approved Flans. This persit will expire if work is not started within 180 days of issuance, or if work is suspended for acre than 180 days. I-9si"ted By ---•---- ------__.__-----.-.-----.-------OWIVER INSTALLATIOhI The installation is being made on property I own which is not intended for- -,a 1 e, orsale, lease, or rent. F OWNER' S SIGNATURE: DATE: L -------------------------CONTRACTOR INSTALLATIUN ONLY--------------___---. w SIGNATURE OF SUPR. ELEC' N: _ _ DATE I.-I CENSE NO: Call for^ inspection - 639--4175 I r CITY O�TIGARD Electrical Permit Application Plan Check 13125 SW HALL BLVD. Recd By TIGARD OR 97223 Date Recd.Date to P.E. Phone (503) 639-4171, x304 Date to DSY _ Print or Type Inspection (503) 639-41-75 4 Permit N LC `7 j10(S Fax (503) 684-7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development-' ( I�► v�/r �- Number of Inspections per permit allowed /, Name(or name of business)lK�-I 1�►f nl _l d Service included: Hems Cost Sum Address I��T) J C�� 4a. Residential-per unit 1000 sq.ft.or less $110.110 4 City/State/Zip ( �(T�qt _ Each additional 500 sq.ft.or Commercial ❑ Residerltia� portion thereof $25.00 1 Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2a. Contractor installation only: (Attach copy of ali current licenses) 4b.Services or Feeders Electrical Contractor ��,. ) ri t CJ �OC_CICJ�I t t°�FIC'tl Installation,alteration,or relocation i . 200 amps or loss $E0.00 Address_ ? �' _ ti 201 amps to 400 amps $80.00 City i ALL Syf-At? _State_ Zip 401 amps to 600 amps $120.00 z Phone No. Bt,T�6� _ 601 amps to 1000 amps $180.00 _ 1 Job No. Over 1000 amps or volts $340.00 2 Elec.Cont. Lice. No. 3�{-HSC��_Exp.Date Reconnect only $50.00 OR State CCB Reg. No. `L 1 Exp.Date 5 LO-11B4c.Temporary Services or Feeders COT Business Tax or Metro No. Exp.D �LZ- I _ Installation,alteration,or relocation 200 amps or less $50.00 Signature of Supr. Elec'n �� 201 amps to 400 amps $75.00 - Isk 401 amps to 600 amps $100.00 Over 600 amps to 1000 volts, License No. y�� = _Exp.Date_ /d see"b'•above. Phone No. Its ' 1`i�, 4d.Branch Circuits Now,alteration or extension per panel 2b. For owner installations: a)The lee for branch circuits with pu.-chase of service or Print Owner's Nantafeeder fee. Address - Each branch circuit $5.00 2 - - b)The fee for branch circuits City State Zip without purchase of Phone No. service or feeder fee. First branch circuit $35.00 The installation is being made on property I own which is not Each additional branch circuit $5.00 intended for sale, lease or rent. 4e.Miscellaneous (Service or feeder not included) Owner's Signature __ _ Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):' Signal circult(s)or a limited energy panel,alteration or extension $40.00 Please check appropriate Item and enter fee in section 5B. Minor Labels(10) $100.00 4 or more residential units Lt one structure 4f.Each additional Inspection over rt Service and feeder 225 amps ur more the allowable in any of the above v~i System over 600 volts nominal Per Inspection W35.00 - __Classified area or structure containing special occupancy Per hour $55.00 - ►r- as described In N.E.C.Chapter 5 In Plant $55.00 _ J 'Submit 2 sets of plans with application where any of the above apply. 5. Fees: Not required for temporary construction services. 59.Enter total of above fees $ 3500 Not w 5%Surcharge(.OP X total fees) $ -t NOTICE Subtotal $ -- 5b.Enter 254%of lime 6s for P_RMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If required(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CON°TRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY 5 1:1d TIME AFTER WORK IS COMMENCED. Tnist nrrnunt Total balance Due s - -------I --- i1nStSTtrCWAnn nw,V9H CITYOFTI�ARDu TYCFTM '-"UMBING PERMIT COMMUNITY DEVELOPMENT DEPARTMENT T #. . . . . . . : MbT'),3----0i 54 13125 SW Hyl Blvd P.O.Bac 23397,TV",Ompon 97 (603)•38.4176 PARGEI SUBDIVISION. . . . : 111LLSHIIRL ZONING: R-7 r:'[1 m-bcl". LOT. . . . . . . . . . . . . :os8 N'L7 W GARBAGil" DIC-r-'IOSAI-3. . . 1 TYPE OF USE. . . . t.SF WASHING MACH.. . . . . . : I DACKFLOW PREVNr,--1n. . ,0 OLCUPANC Y Ci'P. :f�,3 FLUOR DRAIN1111. . . . . . .. :0 TRAPS . . . . . . . . . . . . . :rzi S*FURIL's. . . . . . , :c: WATLR I-IL(ArERS. . . . . . . I CATCH BASINS. . . . . . . ..121 FIXTURES--- ------ LAUNDrRy TRAYS. . . . . . . I G(- RAIN DrAINS. . . . . .. I 3 1 NKS. . . . . . . . . . GREASE TRAPS. . . . . . . 0 LAV(�4*roRms. . . . . :4 OTHER F I XTURLIC. . . . . "o TULA/SHOWERL. . . . : SEWER LINE (ft) . . . . :Q1 WA TE,13 . ::� WA T'E.R Ls NE I f L ) . . . . -. . DI.-iHWASHEiRS. . . . gi ROIN DRAIN (-Ft ) . 0 JWNLk. R. W. 1':ULLERTQN $ I'll 60. 00 JI-4 0 31 9/`)3 -9700 SW LAPTITOL HWY BPRT $ 463. 00 JH 03129/93 - Sul i E # SPI.-A, $ 7 ZOO. 95 JLH 10/9;3 PORTLAND OR 97iv�.19 B5PC $ JH 03/29/93 Pharle 44f: S 15)D C $ 0 JH r .3/2c)/1), PARK $ 500. 00 JH 03/29/913 . OQJ jf., 0 3 Plt,ovbiny Lr;it r,-m--tnt- III P RT 4,jV.'L MPLL 11. 2'5 JH 03/29/93 m5P(: 6 cz. 25 JI-I 0 3� 1)3 Addr lb5. 00 JH 03/a9/93 7,.- J1 C,it Z p: R g This PeV-4Mit is 1!,bj.jetj 15j_jbjLj .L.,J" to t))e in the "tigtird Municipal i uuti' f ol-nd Inzp Rain Ur-,.Ain Insp C'Odej State 0-1- Ore. 3pecialty Codes And all 1:'Ost/DeaM 11truCt W at P r Line Insp other Applicable laws. All work will De done Post/Beam Mechan Appr/Sdwl k- Insp J,t) accurdtFAnce with approved plAnu. Tflis Plin/l.(ndslab Intp "echamical F j.n m. Pe'Wit. :4111 expire if' work is not Started PLM/Underf'loov, PIL(mb Final w i 'k;I-)i v-i .18Q1 oay �� oF or if wo-,-k is lvlechanicAl Insp Luilding Finai su�ipendvd foo mfre thAn 180 days, Plumb Top Out Erosion Contr(� ! Framir,g Insp Crawl Ul-ail, vi FiVePI&C@ Insp //� Gas L.j.ne Insp Insulation Insp Uyp Board Insp L o) i g n at Lt r e 1 Ca.L ! inipv,(.tiJT1 G;3') -4 1.7 C7 c) t r a i--'t u r Note% , 114SPECTION NOTICE City of Tigard Building Department 13125 SII Hall. Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 639-4175 Bunineas Phones 639_4171 Inspections Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Post/Bean Struct. San. Sewer Fr&ming -Bldg. Post./Beam Mach. Rain Drain Insulation /-Plumb Plbg. Underfloor Nater Line Gyp. Bd. -lieCh, Data Requested: �» ---Times ._,�!( /CPN Address: 1 _���ltd V � C� /... :3 ��✓/s7 Permit is Builders TBR FOLLOWING CORR$CTIONS ARR REQUIPRDs O. N 1— J C.7 W .` In.peatore 0sltes Y-..,—"PPA)VRD DIAA!lllbVlD APPROVED BUB:saC? TO ABOVt Call For Reinsp. - , CITY OFTIFARD C" , TWORD ,� COMMUNITY DEVELOPMENT DEPARTMENT ;7 01119" MASTrER PERMIT 14 13126 8W 11111 Mod P.O.6cm 29W,TOW,OmWn 97 (609)630.4176 PERMIT 01 t 639-4171 DATE ISSUED; 03/29/93 1:17'E ADDRESS'. 13460 GW 1 3 L,714 P L PARCEL: SUBDIVISION. . . . r HILLSHIRE ZONING. R---7 Pl BLOCK. . . . . . . . . . . L01.. . . . . . . . . . . . . .OG8 BUILDING REISSULi DWELLING UNITS: ! BASEMENT. « . . . . . . :.0 S f7 CLASS OF' WORK. :NEW BEDRMS:4 BATI-IS 13 GARAGE. . . . . . . . . . :440 9 f 1*yPE C'Alz USE. . . .SF' 1"LOOR AREAS REQUIRED -METLA(iCK3--------- TYPE OF CONST. j5N FIRST. . . . . I I&I s LEFT. . -. 13 ft R I GIHT. .8 ft OCCUPANCY GRP. ;R3 :SLCOND. I 08G. '.3 f FRONT. -.2`0 f t RE A R. STORIES. 'T'HIRD...,: 0 Sf REOUI RCI)----- HEIGGT.. . . . . . . . . . ft 2L47 s SMOKE DETECIORS. :Y FLOOR LOAD. . . . -40 p9 VPLUE, . . . . $: I 1 1;:182 PArR f NG i,'�PACES,- I Remat,ks ; Pi-'ITH T 0 1 NKS. . . . . . . . . . ; I FLUOR DRAINS. 0 BACKFLOW PREVNTR.13. . ilii LAVATOR I L5. . -4 WATER HEATERS. x I TRAPS. . . . . . . 0 i UD/L - -I IUWE RE. . . . :3 LAUNDRY TRAYS. . . : I crvruFj, . . . . . . . ib WATER CLOSETS. . t 3 SEWER LINE ift) . :0 GREASE TRAPS. . . . . . . ..0 D 15HWt-4.iHERG. . . . : 1 WATER LANE ., I IZ)0 074-1ER [7 1 XTURLS. . . . . .LA UARBAGE D I SP. , . : 1 RAIN DRAIN (ft) . :0 WASHING MC-4CH. . . 1 Sr, 141IN ORPINS. . ; I MLC11A)NICPL FUC-A- TYPES- UNIT I jTRIG. LA type amal-krit lo y date V,ecpt /GAS/ VENTS . . . . lb TIP $ 14&0. 00 JF1 0:5/29/93 MAX INPUTlb U TU VENT FANG. A: BPRTIt, 463. 005 J1-( 03/i2"!/9,3 1=URN 3/i2"!/1.4-- FURN ( 100K « . -0 HOODS. . . . . . 41 BRLC $ 300. 95 JLH 02/10/92 TURN > -11'4�OK . : 1 W 0 0 Ufl.'.J 0 V L!L. :0 L1!TjV,(" T. E3. 15 J1 i 03/,9/93 FLUOR FURN. . . . :0 CLU DRYERS.: 1 SSDC $ 280. 00 JH 03/29/93 POIL.,,L"Iy)I: 314P.0 0 71 IL R UNI I'S. I PP R K $ 50111. 00 J11i 03/29/93 GAS OUTLETG; 1 MPRT $ 45. 00 JH 03/29/93 --MPL.G" $. 11. L:!) JH 03/89/93 R. W. FULLERTON m5pC $ 12. 25 JH 03/29/93 9/021 !3W 1 ITUL 444 PPRT I- 1`55. Q+0 JH 03/29 R SUITE # L.7'Z.! P5PL $ 7. 75 JH 03/89/93 PQIiTLAND OR, ')'7719 P110T)e #: E4'93 .2277 Id. W. FULL.U.RmN 9100 SW CAPITOL 14WY ibi.)ITL it CL VURTLAND OR 97219 P[11)ne 0. 293 -0277 yr Reg 3E'40. 35 "TOTAL This pewit is issued svbjtct tu -,,ts contained in the REWU I RLD I NUPLU [I UN!i 'ligai-d Municipa, Lade, Stott of 0-P. �pvcwity Lodes and ali other Foot/fot.ind Insp Fireplace Insp C-D applicable Ams, Al! work W. tf 11 Acia-r,,,ct with approved Post /Beam Stv,uct Gets Line Insp W -.1 P.Ars. Tlnls pet-fit will ex0 s ,ed * hin 180 V-Iost/Qeam Mechan InsiiAlati'on Insp days of issuance, or il worh ;s iN da s. Fllm/tvidslab Insp Gyp Boar-d Insp �jLM/Umje,,-fl Ov, n f 116 P'ermittep vic-hanical, ?tlsp aLLine 11 1a Plumb Top Out Appr/Sdwlk Insp I t.A e f-1 L, V'A III 111 WT I S F� Me Ll-,4i?n i u�A I Fz i nis I .4 � 7'5 ---------- CITYOF TIFARD COMMUNITY DEVELOPMENT DEPARTMENT 01080" 13)26 BW Holl Bk,&P.O.Bcot MV.Tipm.omW 91 (SM)SX-4175 SEWER LUNNLCTION R111-1 SWR93-0138 633-41'71 OPTE ISSUEU: t3l'TE ADDRESS. . . : 13460 SW 136TIA PL PARCEL: 2S10400—HS008 3U13D I V I S I ON. . . . : H I LLSHI IRE ZONING: R-7 PD BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :088 TENANT NAME. . . . . : USR NO. . . . . . . . . . : FIXTURE UNITS. . . CLA'S'3 OF WO RK,. . . -1,&W DWELLING UN I*71S. . TYPE OF USE. . . . . tSF NO. OF BUILDINGSzl INSTALL TYPE— . . ,BI T.MP, PV Remarks : PATH I Owner.: F7E!ES R. W. FULLLIRTON typp amoti(;It by (data I,e C,[.a+� 9700 .13W CAPTITOL HWY PRMT $ `100. 00 JFj 0,3/29/93 SUITE it ;-'75 INLP $ 35. 00 JH 03/29/93 PORTLAND OR 97219 Phurie 44 : Q93-2277' RPIC'TO R NOT FV T I..r. r,rione J. 5. 1['17: T T n:- Reg HLUUIRLI) INSiPLL ( iLiNlo This Applicart, agrees to Comply with all the rules and regulations Sewer Irit3pection of tne Uni4'ied Sewage Agency. The permit expires 180 days from the nate issued. The total amount paid will, be forfeited if the pervit expires. 1-it Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospez-1.1 3 feet in al.Adir:,tions from 0e distance given. If not so IccatelL theInst , er hall purchase a "Tap &no Side Seller" Fertil, and ,e 4 nc . w 11 n Val/lateral. Issl.ied By: Ca I fr'- i-1 t) t i c,t r C-.--F) 4 1 '7'- . M � V CIT. xOF ���.��tt.i`ll� u:.s sw►�.0 u� PLNCI�/RECT CAMMUNMDL-VE l%LNTDUARTMENT T04o ,vru� PERMIT (30J639-4171 DATE ISSUED JOB ADDRESS. 13'fG0 ScJ/36u TAX MAP/LOT SUB: -- LOT: LAND USE: VALUATION; „f 1 �_ ��2 WEI SPECIAL NOTES l NAME. W REISSUE OF: AUURESS- `a�` � �� c '=`�;�,' Nw�! t�"Z�a LAST REISSUE: ,�`..,��� 0►2 � � ►9 FLOOD PLAIN,/ i PHONE: Z-`�3 - ZZ+� SENSITIVE LANG: RE U CQNTR R APPROVALS 0 j�Q NAME: PLANNING: St" S ori c �lYyl�e �1S ADDRESS: ENGINEERING: � C ��Z�� FIRE DEPT: PHONE: Z�3 -"LZ�� OTHER: CONTR. BOARD L':P DATE: ITEMS 3E�U T R Q 5UBC014TRACIORS: PLUMB: LIST/S,;BCONTRACTORS: MCCH: BUS TAX: ARCHZENGINEER CALCULATIONS: NAME: L,-A t•��,-,� -�:� �1� -.`c_ TRUSS DETAILS: — cin ' ADDRESS: 1S)k OTHER: PHONE: PR:)POSED BLDG. USE: �.1- oar.,-r `,� S.•-�� �- � CUMMENTS: /0 LA21 �'I�nrJ✓7/� . /��L!`�� c 7�St i<= IcIQ ✓ APPLICANT SIGNATURE - Received By: Date Received: N PERMIT# � ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE- ' 3 "D15q 10-432 00 Building Permit Fees G3 . � 10-431 00 Plumbing Permit Fees _ 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) Building 3•��' Plumbing 7j� Mecha.,icil Z� 10-433 00 Plans Check Fee ,3/2.,t v ,S u (© 2 •Z v . v Building 36u, y� Plumbing — Mechanical 10-2.30 06 Fire 30-202 00 Sewer Connection ov — /uu 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 TIF Fees 25-448-01 Resiar_vitial Traffic Fees 25-448-05 Mass Transit 11F Fees 52-449 00 Parks System Dev Charge (PDZ) Civ 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) J TOTAL_ `�,�� , 35 „?SV Sl3 3. S w \.J nm/3587P_WPF CITY OF TIGARD -- RECEIPT OF PAYMENT RPCEIPT NO. :93-238366 c>irCv, pmo�.jI4-r - 51,33. 35 NOME a R. W. FUI—LERTON CO CASH AMOIJNT r 0. 00 PAYMENT DATE a 03/29/93 SUBDIVISION PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT' AMOUNT PAID BUILDING PERM 463. 00 PLUMBING PERM 155. 00 CL MECHANICAL PF 405. 00 ST. BUILD PER :.3;3. 15 rof PLAN CHECK FE 6c'. iso Sr--WER USA 100. 00 SFWF:Fit INSPECT 35. 00 PARKS SDC; 500. CAO rr,RM DRAIN SDC A0. 00 RESIDENTIAL TRAFFIC FEES 13!4. 00 11 M149S TRANSIT TIP FEES 110. 00 uj --i !_OT (38 HILL GH I RL' 134b0 SW 136TH r-11 TOTAL AMOUNT PAID -- — — — 5133. 35 CITY CSF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT PLUMBING RERMIT 13125 SW Hall Blvd.Tigard,Oregon 97223@8199 (503)639-4171 F-,ElflyllT #I•. . , . . . . P,Llyl')"-0 188 6_;9--4171 DATE ISSUED: 09/14/93 r*ARCEL: SITE ADDRESS. 131460 SW 130TH P,L SUBDIVISION. . . . .. IA I LLGH I RE ZONING: R-7 PD, BLOCK. . . . . . . . . . . L OT. . . . . . . . . . . . . .088 11,L(-45S OF WORK. . :ADD Gr-,RDAGE DISPOSALS. - : MOBILC-� I.I01YIE. SrIACES. TYPIE OF USE. . . . :sr WASHING MACH. . . . . . . .. BALKFLOW PIREVNTRS. - : 1 liCCUMNCY GRP'. .; :R3 F-LOOR DRAINS. . . . . . . : Trzf4rs. . . . . . . . . . . . . . . STORIES. . . . . . . . 22 WATER HEATERS. . . . . . : CATCH BASING. . . . . . . : LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . : SINKS. . . . . . . . . . . UR I NAL-9. . . . . . . . . . . . GREASE' TRAVIS. . . . . . . . LAV(ITDRIES. . . - . O'j'j­jj:R F-IXTURES. . . . TUD/SHOWERG. , . - -- SEWER LINE (ft) . . . . : WATER CL.OSj:-'T1,.. WATER LINE (ft) . . . . : DISHWASHERS. . . . : RAIN DRMN ( ft) . . . . : 91'::IRINK1.,.ER F"E.IRMIT R. W. FULLER,rolj type amount by date I-eept 9700 SW CAPTITOL 1AWY PRMT $ .15. 00 JH 09/14/93 '31UT1"E # 275 5JPCT $ 0, 75 JH r_'ORTLAND OR 9721(,' RY(.':Ar=.N LAhJD3DCAP,INb 571&_-' SOUTHWOOD DP -AKE OUW'----00 OR 97035 Ph a,i e ff MIMI- Reg #. . : 10939 REOUIRED INSPECTIONS -- This pe-tit is issued subject tc VIt regulations contained in the RP,/Backf100 Pr-ev Tigard lsunirtpal Codi, State ol Cre. Specialty Codes and all other Final Inspectiao applicable lags, All, work will be done in accordance with approved plans. This pervit will #mpirr if work is not started within 180 days of Is.-a-cP, cr if work is suspended for 101'r t"r, 1811 days. Pol,lr- ttee Sit qr1at Lir"f? C11 Ci F Call foo, inspertllon 639-4175