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12567 SW 134TH AVENUE __. .._..__.. . w...... ...„. 1 M I 12567 SW 134TH AVENUE - CEIRTIFICAIE OF OCCUPANCY CITY OFTIGN MGT92--Q,'lZ124 RD IDERMIT #. . . . . . . . COMMI'NiTY DEVELOPMENTDE Pig�T Man 13125 SW Kal Blvd. P.O.Elm 23397,Tow,Ompgon 9=(603)630-4175 V,ATE ISSUED t SITE ADDRESS. . . : 12567 SW 1.34"ri-i AVE PARCEL: 2St04AC--MHl7') SUBDIVISION. . . . : MORNING HILL 6 ZONING: r-gi5 BLOCK. . . . . . . . . . LOT. . . . . . . » . . . . v179 CLASS OF WORK. :NEW TYPE or* USE. . . :5F OCCUPANCY GRP. 03 OCCUPANCY LOAI)s283 4 Tl---.NAN*(' NAME. . . I Remarks -, PATH I Owner: NORTHLAND HOMES 1(334 1)W 56TH POPTUIND OR 97221 Phone #1 292-3975 NORTHLAND HOMES 1834 sw 56'rH 1-,ORTLAW6 OR 97221 r,hunp #1 2`92-3975 :?rig #. . v 1.3727 I)c,cupart— of the &bvve referenced building it, hereby given, and certifies ,.Ale (:!ompjian#--: e p with the State Of Oregon Spcialty Codos for the groo-Ap, ocrupancyl and Lt�-p .mder which the referenced Permit wss: i5sklerJ- e. EIRE DEF'�ARTMEN7BLL4j-.11ll INII!7R OU I L r)I NpA)r-F- I cl r4t.. P013T IN CONSPICUOUS PLACE INSYECTIpN NPT?CF City of Tigard Builds-Ag Department 13125 SW Ball Blvd- Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Bueinessa Phone: 639-4171 inspect ion:._---- ---- Mech. Rough-in Appr/Sdwlk Footing plbq. underalab Found. Plbg. Top Out Gas Line FINAL: San. Sewer Framing -Bldg. _ Poet/BeRm Struct. /`� � Insulation Plumb. Poet/Beam Mech. Rain Drain G Bd. -Mech. ,• plbg, Underfloor water Linn yp' ?,2, Time: AM -/ PM pate Requested: --? ,/- Permit Address: 6� Builder: ---- -- THE FOLIAWING CORRECTIONS ARL REQUIRED: Date s I __!\FFROIRD _ DISAPPROVED APPROVED SUBJECT TO ABOVE \T�- Call For Reinap. INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O--Phone): 639-4175 Business Phone: 639-4171 Inspection: -- Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Post/Beam Struct. San. Sewer Framing r Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. ( _ -Hach. 1 Date Requested: _Time:\ AM �" /PH Address: Permit #0,.-.; Builder: -- THE POLLONING CORRECTIONS ARE REQUIRED: Inspector. Dates 7- ! - ,9 y APPROVED DIBAPPROVND APPROVND SUSJB r TO ANOVN Call for Roinap. INSPECTION NOTICE City of Tigard Buildi.ngr Department IJ 13125 Sit Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Pho : 639,4175 Business Phone: 639--4171 Inspection:__—. Footing Plbg. nderslab Mech. Rough-in - Appr/Sdwlk� Found. Plbg. Top Out Gas Line r"NALt Poet/Beam Struct. Sen. Sewer Framing -Bldg. Post/Beam Mech Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: —�p -7 Time: --AM PN Addreas:__- _� Al 4& L/�' Permit is Builder:___ THE FOLLOWING CORRECTIONS ARS REQUIRED: +_ . '7tI('�� � t1 T11PC l�U inspect Ac [L Date: '] ��•�' �APPROVRD DIS" D APPROVED SUBJECT TO ABOVF. Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SM Hall Blvd_ Tigard. Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 I nspect ion•______ Footing Plbg. Uaderslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. \ Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. 7 � Data Requeateds_ lTime: AM P/M Address: -7 �� /��� Permit #�� —� �/ � Builder: ;2 iea�_�THE FOI.L,OWING CORRECTIONS ARE REQUIREDs 92-4 X AZ Inspectors Date: APP110VlD v/ DISAPPROVED APPROVED SUBJECT TO ABOVE v" Call For Reinep. INSPECT I4._ _t'N`7T1G� Cite of Tigard Building ��ryyent 13125Ci ON f x11 Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 539-4171 Inspection: Footing Pibg. 7nderelab Mech. Rough-in Aper/8dalk ) P1bg. Top Out Gas Line BIMALt Found. _Bldg. San. Sewer Framing Poet/Ream Stcurt. _plumb. Rain Drain Insulation post/Be_ Meeh. Gyp. Bd. 30 pibq, Underfloor Water Lino _Mach. PM y�;-----Tune_ DAte Requeet-edc,_ L 'IZII -, L _ Permit #: i Builder: THIO Fe7l.L<7WI110 COMZCTIONS ARE RSQUIREDS -------- _ ----------- ----------- -- -------------- Inspector: 1'LL- 1 — �- APPROVRD DISAPPR U APPROVRD SUBJRCT TO ABOV2 Call For Reinap. +a a�a � •ar air � wt ++R jNSPECTION NOTICE City of Tigard Bu`.lding Departaent 13125 SW Ball Blvd. 'igar', Oregon 977.23 Inspection Line (Rec-O-Phone): .39-4:"13 Business Phone: 639-4171. Inspection:_,_.____ _— ---- --- Footing 711.bg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbq. Top Out Gas Line FINAL: Post/Beam Struct. San. Sower Framing -Bldg. root/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water DLine �Cyp8d. Mech. Date Requested: l �7 - I Z Timet ��►M PN Address: 1� Permit #t Builders THE FOLIAWING CORRECTIMS ARE RNWIMEDt --- �/I ♦ � thy✓ �� � w..r�i-y't� 11 I nspector t _ Date, APPROVED DISAPPROVED ROVED SUBJECT TO ABOVE Call ►or Roinap. INSPECTION NOTICE city of Tigard Building Depart:aent 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec--U-Phone): 639-4175 Business Phone: 539-4171 Inspection%! A_ Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALt Pout/Beam Struct. San. Sewer Framing -Bldg. Post/Ream Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Koch. Date Requeatedt__�r �` Timet � AN //pK Address:--���Z��_7f L� Permit !t'/ Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector.* � Date: y APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. ................. INSPECTION NOTICE City of Tigard Building oepartnseni 13125 SN Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4375 Business Phone: 639--4171 Inspection:_ Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Can Line FINAL- Post/Beam Sttuct. San. Sew-"r Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Pl.bg. Underfloor Water. Line Gyp. Bd. -Mach. 17 Date Requested:_ -� __,_Time: _AMPM Address: [,f _-��,Z L_. _ Permit Builder:--- THE THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspectors ✓r-� - Dates _APPROVED wsAPPRovrn APPROVED SUBJECT TO ABOVE .all For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 Sit Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 3usineea Phone: 639-4171 Inspection• -_ ----- — Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Pound. Plbs. Top Out Oqa Line FINAL: Poet/Beam St,-uct. San. Sewer � C���FFraming -Bldg. Post/Beam Mech. Rain Drain Insulation - 'lumb. Plbg. Underfloor Water Line Gyp. Bd. -Mesh. Date Requestedt L/ ~/ '� Time= A14 Address:_ f7 _ Permit 1:_� Builder: THE FOLLOWING CORRECTIONS ARE REQUIREDi natal ----APPROVED DISAPYPROVED -- - APPROVED SUBJECT TO ABOVE. Call For Reinap. • a. WW "WI'm INSPEC'iION NOTICE City of Tigard Building Department 13125 SN Hall Blvd. Tigard. Oregon 97323 Inspection Line (Rec-O-Phone): 639-4175 Buainegs Phone: 639-4171 Inspection: i Footing Plbg. Underelab Mech. Rough-in\ Appr/Sdwlk Found. Plbg. Top Out ` ane FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbq. Underfloor Nater Line Gyp. Bd. --Hech. 9 Date Requested: ��� _Time. —ASI _ PM Addreae: > > Permit Builder: THE !1`LLOWING CORRECTIONS ARE REQUIRED: .Lti.i..aL�• �._: _ ��,wt-��,/l.�/vim 2,N..( �r-o-�.,r .+.h, QAC✓ r /� *wurti..l�� Q,l�. ,,,tio�c..•�i.o.•�rL�+u�a�,wr rr,e; APPROVED D1S11P1'R0VED APPROVED AUR.JR.C'r TO ABOVE call For Reinap. 1 INSPECTION NOTICE r City of Tigard Building Dmoartmcat 13125 SW 8111 Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Bunine3a Phone: 539-4171 IrspectLon. _ _ ----- *ooting Mg. Ondocelab Mech. Rough-in Appr/Sdwlk F und. `P1bQ. 'POp Ou—t` Gas Line FINAL: Pont/Beam Struct. San. Sewer Framing --Bldg. Post/Beam .4ech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. r Date Requested: '�- 1 ' PH c Permit !: Address: Builder- THE FOLLOWING CORRECTIONS ARE REQUIRED: i inspector:_ ��_-� Dater �~ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call Por Reinnp. INS9EG'TION NOTICE City of Tigard Buildinq Departmmt 13125 Bit Ball Blvd. Tigard, 97223 Insp&ction Line (Rec-D-Phone): 639-417 e e Phone: 639-4171 Inspection: _ - Footing Plbq. Underclab Rough-in Appr./Sdwlk Found. Plbg. Top Out Gas Lina FINAL: Post/Beam Struct. San. Sewer Framing �) -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Nech. Date Req::euted: fi�_�- _T1aas _A14 PN Address: � Z._3 P.rmit ♦e Builder: �lL- P�i 1111!!�� THE FOLLOWING OORRZCTICNS ARL MQOIREDt </ � S,, ,fCL, c' TU InaEecior:_ -—— Date:-^����� Z APPROV213 v OI/"MM APPROVED SUBJNCT TO An —Call /or Rainsp. y INSPMCTIOA-ffOTICE r r^ l/ City of Tigard Building Department 13125 M Rall Blvd. Tigard, Oregon 97223 r \. Inepection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 inspection:� Footing Plug. Underslab Mer' ..ough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Fr,.aing 1 -Bldg. Post/Beam Hoch. Raln Drain Insulation -Plumb. Plug. Underfloor Water Line Gyp. Bd. -Nech. Date Requested: 6/ ,� / -_, TLme: AM ___PM Address: J !, -3 Permit Builder: �L, TNM FOLLOWING CORRECTIONS ARE REQUIM.M: 12 Inspector: Data: APPROVED DISAPP D APPROVED SUBJECT TO ABOVE all For Reinsp. "M ENCTION NOTICE City of Tigard Building Departaeat 13125 Bw EU11 Blvd. Tigard, Oregon 97223 Inspection bine (ROC-0-Phone): 639-4175 Bueine • Phones 639-4171 Irepections FooCing Plbg. Underelab Mech. Rough-in A ppr/Sdwlk Found. ��? Plbg. Top out Gas Line FINAL; /Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Hoch. Rein Drain Insulation -Plumb. Plbg. Underf)oor Water Line Gyp. Bd. -Mach. Date Requested:_ -y Z T isne: AK PN Address: Perm!t Builders— �� J THE FOLLOW.!"G CORRECTIONS AHE REQUIRED: — Inspector:__ ---- -- ------ -- Dates. ��raoveo DTSAPPROVEn APPROVED SUBJECT TO LABOVE _- Ca' 1 for Relnnp. INSPECTION NOTICE City of Tignrd SaUdiog Dtpartaent 131—IS SW Ball R;.-M. Tigard, Oregon 97223 Inspection Line (Rec r-P::one): 6j7-4175 Business Phone: 639-4171 Inspection:_ — Footing Plbg. Itnderslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: (Post/Beam Struct.\ San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Ineulatlo -Plumb. Plbg. Underfloor Water Line Gyp. Bd. }(/-Mech. Date Request ,d: �f / /?�- Time: / AM _PM Address:- Permit Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: 700L nw.4 / -- OF Inspector: � ^_ Dates APPROVED J DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. SIISPRCTIW7 NOTICE Cs a of ?'g-rd Buildioy 13125 SN Hall Blvd. �Part+eant Inspection Line (Rec Hall ne); 639-4175. O`�Dq 97223 Business Phone: 639_4171 Inspection• Footing -- P?bg. Underelab Hach. Rough-in Found. Appr/Sdwlk -_ Plbg. Top out Cas Line et/Beam St FINALS pct., San. Sewer Framing at/Beam Mech., -Bldg. y Rain Drain Insulation Plbg. Underfloor P -Plumb. Water Line gyp. 9d. '� ' Date Requested: -tf/LY ech. L � Address:_ 2- 5 --- _Time: AN Builder: Permit fi11 -- —7�, ,.L _4�, TBR FOLLOWING CORRECTIONS ARE REQUIRED: —"-,nt .�� Inspector: —.. Det.e: APPROVRD ✓ --— —���� DISAPPROVRp APPROVED SUBJECT TO ABOVR _ —.Call For Reinsp. INSPECTION NOTICE City of Tigard Muildleq department 13125 on Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Buninese Phone: 639-4171 Inspection: Footing r Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Seam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -plumb. Plbg. Underfloor tet 4, Gyp. Bd. -Koch. Date Requested:__ _42 /-7 �Z- --Time' AM PM Addrees: Z, l_�L/ Permit I: Builders THN FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: ,/ "PROVED �T DISAPPROVED APPRFD SUB.iRCT 1b ABOVE j� OVCall For Relnsp. NI SP6C�ION NOTICE l� y �'� C±ty of Tigard Building Departs:eat 13125 SM Hall Blvd, Tigard, Oregon 97223 Inspection Lina (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspectiont — Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. �' San� Framing -Bldg. Post/Beam Mach. - ain Drain ` innuiation -Plumb. Plbg. Underfloor Water. Line Gyp. Bd. -Mech. X/ el r `jL±`.y�_ —Timet AM Date Requesteds Address a ✓~7 L/ /A Permit { Builder: G /Z THIS FOLLOWING CORRECTIONS ARE REQUIRED: �— /7 a Inspector: -- Dates K -L APPROVED DISAPPROVED APPROVED SUBJECT TO AAOVF Ca11 For Reinnp. INSPECTION NOTICE City of Tigard Building Department 1.1125 SM Ball Blvd. Tigard, Oregon 97223 Inspectior Lina (Rec-O-Phone): 639-4175 Business Phone: 639-4171 inspections __. -- --- �Octin Plbg. Underslab Mech. Rough-in Appr/Sdwlk louttd.) Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Fatter Line Gyp. Bd. -Hoch. Date Requested: �( `Z" 1� Time: `�}� AM 1/ PN Address:_ Z�LL J�1� 1C ^ -- Permit is l 1 Builder: 1 _ ` `(-k- THE FOLLOWING CORRECTIONS ARE REQUIRED: t Date: APPROM DISAPPROVED APPROVED SUBJErP TO ABOVE Call For Relnsp. CITYOFTIFARD4m COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT 13125 BWFWIBlvd P.O.So23W.TOW,Orpon sr M 1503)M4176 ID PERMIT #. . . . . . . : MST9i� �h0c.ti 6,39-4171 DATE: ISSUED: 04/14/92 SITE ADDRESS. . . : 12567 SW 134TH AVE PARCEL: 2S 104AC--I'yIH 179 SUBDIVISION. . . . : MORNING HILL 8 ZONINGS: R-25 BLOCF.. . . . . . . . . . . LOT. . . . . . . . . . . . . . 179 BUILDING REISSUE:MST92-0021 DWELLING UNITS: 1 BASEMENT. . . . . . . . .0 sf CLASS OF WORK. :NEW BE.DRMS:4 BATHS:;3 GARAGE. . . . . . . . . . :38.0 s f TYPE OF USE. . . :SF FLOOR AREAS-------------.-- REQUIRED SETBACKS--__.-_-__.__ TYPE OF CONST. :5N FIRST. . . . .904 Sf LEFT. . -32 ft RIGHT, : 10 ft OCCUPANCY GRP. :R3 SECOND. . . :953 s-F FRONT. -'20 fit REAR. . :22 ft STORIES. . . . . . . :2 THIRD. . . . :0 S REQUIRED-•__.----_____---_____ HEIGHT. . . . . . . . :23 ft TOTAL------_.-: 1857 S SMOKE: DETECTORS. .- Y FLUOR LUAD. . . . :40 psf VALUE. . . . . : 92262 PARKING SPACES. . :0 Remarks : PATH I _--_-_----._-_---------------------._- PLUMBING SINKS. . . . . . . . . . . I FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0 LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :2 LAUNDRY TRAYG. . . :0 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :3 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0 1 1LSHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER Fl XTURE S. . . . . :0 Of4kLA(46L DISP. . . : 1 RAIN DRAIN (ft ) . :O WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1 ME:C:HANICAL -------------•--- -----------------._ FEES FUEL TYPES----------- UNIT HTRS. . :0 type amorant by date rept /GAS/ / 1 VENTS . . . . . :0 TIF s 1380. 00 JLH 04/15/9i` - MAX INPUT:O BTU VENT FANS. . : 4 BPFT $ 412. 00 JLH 04/ 15/92 FURN ( 100K . . : 1 HOODS. . . . . . : .1 BPLC E 40. 00 JLH 02/18/92 FURN ) =100K . . :0 WOODSTOVES. .0 nsr'z $ J.'0. 60 JLH 04/15/92 - FLUOR FURN. . . . :0 CLO DRYE:RS. : 1 SSDC E 280. 00 JLH rA4/15/92 - P11IL-/CMP ( 3HP:0 OTHER UNITS:O PARK t 1.500. 00 JLH 04/15/99 GAS OUTLETS: 1 MPRT t 39. 00 JLH 04/15/9L I�Nner•: ____. _._________._.__ _________._._-_- - MPLC; $ 9. 75 JLH 04/15/132 NORTHLAND HOMES M5PC t 1. 95 JLH 04/15/92 1134 SW 58TH PPRT t 140. 00 JLH 04/ 15/9E - PSPC $ 7. 00 JLH 04/15/92 - )RTL.AND OR 97.221 iltone #: 292-3975 Contractor. _____________________________ NORTHL..AND HOMES 1834 SW 58TH PORTLAND OR 97221 Phore #: 292-•3975 Req #. . : 13727 --------.____-_-_--.---.----.----..----___ $ J'830. 30 TOTAL This persit is issued subiect to the regulations contained in the ------- REQUIRED INSPECTIONS --- --- Tigard Kunicipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp apelicabie lairs. All work will be done in accordance with approved Post/BPam Strur-t Gas Line Insp plans. This oerut will expire if work is not started within 188 Post/Beam Meehan Insi.ilation Insp Hays of issuance, or if work is stiwondorl fnr sore than 198 days. Plm/r_rndslab Insp Gyp Boa-d Insp �I PI-M/Underfloor Rain drain Insp i ermittee 13iriviato_1r,e :���t_ C/ _._ Mechanical Insp Water line Insp K P11.Imb Top Out Appr/Sdwlk Insp �ueci N� (= , amillq Insp he(Jianical Final L.c-11 for' inspection - 639-4175 + ® SEWER CONNECTION CITYOFTIFARD PERMIT GIY0F11im'�IIwD COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : SWR92-••008E+ omeasoN 13125 8W awl 6kd. P.O.B=23M,Tlpnd,Orpon — 17g7T4 04M1741�76 6� DATE ISSIJCD: 0%/14/92 SITE ADDRESS. . . : 12567 SW 134TH AVE PARCEL: 2S104AC—MH179 SUBDIVISION. . . . : MORNING HILL 8 ZONING: R-25 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 179 TENANT NAME::. . . . . IDSA NO. . • . . . . . . . . FIXTURE UNITS. . . : CLASS O1= WORK. . . :NEW DWELLING UNITS. . : 1 IYPL OF USE. . . . . :SF NO. OF' DU1LDINGS: 1 iNsTALL •FYPE. . . . :BUSWR IMPERV SURFACE. . : : sf Remarks : PATH I Owner. —.____.____________.__._, ---___________ ----------------- FEES NORTHLAND HOMES type amoI_Ant by date recpt 11334 SW 58TH F'RMT $ 1900. 00 JLH 04/15/92 — INSP $ 35. 00 JLH 04/15/92 — PORTLAND OR 972:1 Phone #: a92-3975 contractor: ----•----------•---_—_-----.—___-- NORTHLAND [COMES 1834 SW 58TH i,URTLAND OR 97221 Phone #: 292--3975 t 1935. 00 TOTAL Reg #. . : 13727 - ----- — 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 ..sae 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 Side Sewer" permit and the Agency will install a lateral. Permittee Siranat+_ire • Issf-ied By: Ca 11 for inspection — 639-4175 - r z "��i8� uiuswH,aatia PLNCK/RECT 92 2 -45 CITY OF TIG.AoRjl PO Box 23397 PERMIT # M,5i�2-00a4 COMM[iN[WDEVELOPMENT DEPARTMENT To6s�Oregon 9TM (503)63 "t171 DATE ISSUED JOB ADDRESS: r-�- TAX MAP/LOT SUB: ���/��L�iIL Sr LOT: -7 LAND USE: VALUATION: OWNER t�.ta c�-�_- 'Irl SPECIAL NOTES NAME; d��s REISSUE OF: M/f� ADDRESS: I'A7 jk1 LAST REISSUE: 77221 FLOOD PLAIN/ PHONE: SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: �'L~'tl PLANNING: ADDRESS: _ ENGINEERING: - FIRE DEPT: PHONE: OTHER: _ CONTR. BOARD 1: J A EXP DATE: �� ITEMS REQUIRED -k.CL ,ti LIST/SUBCONTRACTORS: SUf3C�NTRACTORS: PLUMB: ()Jul — MECH: BUS TAX ARCH ENGINEER CALCULATIONS: NAME: TRUSS DETAILS: ADDRESS: OTHER: _ PHONE: -- PROPOSED BLDG. USE: L -- COMMENTS: — -- - _-- - e G7.2 - ---- - APPLICANT IGNATURE Rece i ved By: �_�!° —. Date Received: 2�� l PERMIT _ ACCT r DESCRIPTION ATIOUNT 10-432 00At-1OUNT PO. BAL. DUE Buildinq Permit Fees 10.431 00 Plumbing Permit Fees L �U 10-431 01 Mechanical Permit Fees / u 10-230 01 State Building Tax (5%) "—�-- Building Plumbing 70✓ Mechanical 10-433 00 Plans Check • Building _ Plumbing Mechanica4 10-230 06 Fire `ru - 94- 30-202 00 -----_� ----- Sewer Connection — G� 30-444 00 Sewer Inspection G�- 3i 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 Residential Traffic Fees —-�- 2�-448-05 Mass Transit TIF Fees L�l ---- /a 52-449 00 Parks System Oev Charge (POC) S&O ad 31-450 00 Storm Drainage Syst Dev Chrg vu - (SSDC) 24-445-01 Water Quality (Fee in lieu of) -- 24-445-02 Water Quantity (Fee in lieu of) — ---- TOTAL G�•3u C nm/3587P WpF