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12705 SW 133RD AVENUE Y t rill I r Ir i ki 12705 SW 133RD AVENUE CERTIFICATE OF CfT►OFTIFAM mAOCCUPANCY OF40 1 . . . . . . . : MST92-0023 COMMUNITY DEVELOPMENT DEPARTMENT 0114m 13125 SW HWI Bk-d P.O.Sm 23397,TlgW,O"m UrM(503)M4175 DATE 1.3SUED r 07/09/92 SITE ADDRESS. . . : 1i?705 SW 133RD AVE PARCEL: 257104AC-M11186 SUBDIVISION. . . . s MORNING HILL 6 ZONINGs R-25 BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . s166 CLASS OF WORK. :NEW TYPL. jF USE. . . i-E-)F OCCUPANCY GRP. :R3 OCCUPANCY LOAD iP23 4 TENANT NAME. . . r Remmt,kss PATH I NORTH!.AND HOMES 1834 SO 58TH P-113PTLAND OR 97P2t Phone Ot 292-3975 Contractors NORTHLAND HOMES I I;-34.WGW 58TH P,uwrl.-AND OR 972c:'l Phone. #t 292-3975 Occupancy of the above referenced bl.ii1dir)U is hereby given, And C:ertifieS the comuliance with the State Of Oregon S,!pecialty Colles for the grOUP9 teesr-upmnf%y, And ure under which the t,ofri-pnr_p(i pprmit wes last"pd. FIRE DEPARTMENT u ft 7--)1 N T13 1 TOP SU I L D C3 OF, PO 51 IN CONSPICUOUS PLACE IN6plCTI91 NOTICE city of Tigaed Building Departoent 13,125 an Bell Blvd. Tigard, Oregon 97223 Inspection Line iRec-O-Phoneys 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underelab Aech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Post/Beam Struct. San. Sewer Framing -Bld� Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requested? y��t _?-< ' Times AN ZL PH Address: -� /[/T �� r� Permit i4&, r _ Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: L' Inspectors Date: 4/ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE call For Reirsp. mSn+g ION NOT_10•E City of Tigard Building Deft 13125 gm Bell Blvd. Tigard. Oregoa 97223 ?napection Line (Ree-O-Phone): 639-4175 Bueinese Phone: 539-41%1 -- Inapection:____----- Rough-in Appr/Sdwlk Rou Plbg• Underelab Mach. 9 Footing FINALS Plbg. "'"'P Out Gas Line Found. -Bldg. San. Sewa< Framing ^� post/Beam Struct. _Plumb; Insulation Post/BeaRain Drain Post/Beam Mech. _Meeh. Plbg. Underfloor pater Line Gyp. Bd. /) / AM Time: — PM Data Requested: �� 77�� •--- , ��c� Permit Address+_Iza ` -- Builders THZ FOLLOWING CORRECTIONS ARE RSQUIRRD�-- ----------- -- - ----------- ------- _----- -__ -- s i Inspector+ �� I DISAPPROVED APPROVED SUBJECT TO ABOVE �APPRO/RD ____--- Call For Rainep. 71 INSPECTION NOTICE City of Tigard Building Depertakent 13125 BN Ball Blvd. Tigard, Oregon 97223 inspection Line (Rec-O-Pho )s 639-4175 Business Phone: 639-4171 Inspection:_ 1ri _ Footing Plbg-/'d-ralab Mech. Rough-in Appr/Bdwlk Found. Plbg. Top Out Can *.ine FINALS Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. i Plbg. Underfloor water/Lime Gyp. Bd. -Koch. Date Reyuesteds / �`7�- __Times AM PM Address1 7-0�� 3 y Permit #:4, l- Builder:_ G r�C.f4 TBS FOLLOWING CORRECTIONS ARE REQUIRED: ( 4- nc,kl Inspector: l/ 1JL✓/�� / .�� Dates_ -10"rtc7._ �-_�'APPROVED DIQAPi APPROVED SUBJECT To ABOVE _Call For Reinsp. P i INSPECTION NOTICE City of Tigard Building DE"`ertaent 13125 SN Hall Blvd. Tigard, OL•egon 97223 Inspection Line (Rec-O-Phone): 623-::75 Business Phone2 639-4171 Inspection: Tooting Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Framing i Bldg. Past/Beam Struct. San. Sewer g lam•- Poet/Beam Mach. Rain Drain Insulation ayp. Bd. Mach Plbg. Underfloor Water Lino � '� j/-� L� i AM PM Date Requerted:_____�--LlG - Timet Address:�:�� Permit 1 - Builder: Z:rte THE FOLLOWING CORRECTIONS ARE REQUIRED: .01 �a-I go A LA k- .,,Cei•Z, ..a.., � ,l,,�a.".:. � �.—•�L�'�_ c� .1�-V..y �J�,'ua dt ' Inspector: ,_ _ Date: �! APPROVED DISAPPROI .D APPROVED SUBJECT TO ABOVE _--- �call For neinsp. INSPW=ION NOTICE City or Tigard Building Department 13125 Sit Ball Blvd. Tigard, Oregon 97223 spect! Line (Rec-O-Phone): 639-4175 Business Phone: 639-4;71 Inspection: /�-- Footing Plbg. Underelab Mach. Rough-in C Appy/S Found. ibq. Top Out Gas Line FINAL: i Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation --Plumb., Plbg. Underfloor Water Line Gyp. Bd. -Mech. `x/ Date Requested: 5 Z �1 Time: AM / \ PM Address:�� 7by� Permit is ��TTT�� Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: C 1 tL.S V Ct (! � A I 1_ en L iC �- ny leu v=b— i In• tccs Date: j n MPPROVED DISAPP APPROVED SUBJECT TO ABOVE Call For Rainsp. IM§PSCTION NOTICE City of Tigard Building Department 13125 BW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec--o-Phone)r 639-4175 Businens Phone: 639-ill Inspections Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line .INAL: Post/Beam Struct. San. Sewer Framing -Bldg. III Post/Beam Koch. Rain Drain Insulation -Plumb. Plbg. Underfloor W ter Line Gyp. Bd.� -Koch. Date Requested:. -=-�- Timet AM x_PM Addvt se: , z; 7Z ,6— Permit # n � Builder: 3 THS FOL-OWING CORP.ECTIONS ARtt RSQUIREDt y �� .✓tom i _� � /�( `� r � 1 h Inspector:__ 'd/ Dater 6 i ,_APPROVED DIShPPROVRD _ ` APPROVRD SUBJECT TO ABOVE __Call °or Reinsp. INSPECTION NOTICE city or Tigard Building Department 1312S 811 Ball Blvd. Tigard, Oregon 97223 Inspect'.on Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab !tech. Rough-in Appr/Sdwlk Found. Fibq. Top out Can Line FINAL: Post/Beam Struct. ,an. sewer Framing 1 -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. X_/Mach. Date Requested: - - �- Time: ✓ AM PM Address:_ Permit Builders TER FOLLOWING CORRECTIONS ARE REQUIRED: Inspector. _ y Date APPROVED DISAPPROVED APPROVID SUBJLRCT TD ABOVR Call For Nainsp. jNjr-tION NOTICE City of Tigs.d Nulldfny Department 13125 SN Hall 51-12. Tigard, Oicolon 97223 Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 Inspections _ Footing Plbg. Underslab Koch. Rough-in Appr/sedlk Pound. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewerraming -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbq. Underfloor Water Line Gyp. Bd. -Meeh. Date Requesteds t 0 2-1Tues /� AM PH Address e Z rJ 3 3� Permit #s -(2-'y013 Builders nM FOLLOWING CORRECTIONS ARE REQUIRED: L Inspectors_ ==/! _ Dates + (/ f APPROVEQ DI D APPROVED SUBJECT To MNM 7/'/Call Por Reinsp. (" a; INSPECTION NOTICE City of Tigard Building Department 13125 M Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O•-Phone): 639-4175 Business Phone: 6313-4171 Inspection: --. Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam struck. San. SewerFraming -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. Date Requested: Time: t-LI—AN —--Ply Address:.� 7 � r Permit #s C� -'6 Builder: -_ THE FOLLOWING cORRECTIONS ARE REQUIRED: 1/1 Blot L' 00, 4 Inspector:_ z�l __ Date: (S APPROVED DISAPPROVED APPROVED SUBJECT To ABOVE ✓Gll For Rainsp. INSPECTION—MICE City or Tigard Building Department L7125 SR Ball Blvd. Tigard, Oregon 97223 Inspection Line (Ram-O- ne): 639-•4175 Busins Phone: 639-4171 Inspection: Footing P1 Underslab �h. §�ugh-in Appr/Sdwlk Found. Plbg. Top Out ( Gas Line FINAL: Post/Beam Struct. San. Bower -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Mater Line Gyp. Bd. -Necl:,. Data Requested: 7s Time: �AM PN � / Address:/ z) �Pe r-- Z3-3y � srafit 1. 2— yV.'Z Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: r r Inspector: Date: c. Z- APPROVED Ot APPROVED SUBJECT TO ABOVE —Call For Reinsp. sraprCTIOM NOTICR / /'►�^� City of Tigard Ewildiag Depart (/ 13125 gw gall 5I_rd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone)s 639-4175 Business Phones 639-4171 Inspections Footing Plbq llab Koch. Rough-in Appr/sdwlk SLodacl,� Found. Plbq. Sop out \ Gas Line FINLLs �- Post/Beam Struct. Ban. ser Framing -Bldg. we Pout/Beam Kects• Rain Drain Insulation -Plumb. Plbg. Underfloor water Line GYP• Bd. -Koch. -7"e:;' 2- Time: AN PN Date Requesteds_�_ Addreses / Permit Builders / THE rOLLA N4 RRECTI MR REQUI Ds -- Inspectors C .tes_ L y( APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE / r Call For Reinep. i Y INSPECTION NOTICE city of Tigard Building Dd4-rt-",M t 13125 SM Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-43.75 Business Phone: F39-4171 Inspection: 004 Footing Plbq. Underel Meech. Rough-_n Appr/sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam struct.. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -plumb. Plbg. Underfloor Water Line / Gyp. ad -Mach. ^ 7 Time Cf4? PM Dato Requested: — — r 2 7 (}j Yom" Permit 4: v� Builder: TBE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: -r Date L/ APPROVED DISAPPROVED APPROVBD SUBJUM TO ROM Call Por Reinep. a; INSP CTION NOTICE City of Tigard Building Department 13,25 SO Ball Blvd. Tigard. or-jun 97223 Inspection Line (Rec-o-Phone)s 639-4175 Business Phone: 639-4171 i inspection: j Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk round. Plbq. Top Out Gas Line FINAL: Post��Kec San. Sewer Framing -Bldg. atRain Drain Insulation -plumb. Plbg. Underfloor Nater/Linel QYP• ad. - h' Date Requested: �1 _l Timet �/� PN ¢ Address: Permit 1:� �C/v Builder TRE FOtJAYAINO OORRER;TiONS ARE RSQUIREDs R Inspector: Dater APPROVND DISAPPROVED APPROVED SUBJBCT TO ADM Call For Reinsp. INSPECTION NOTICE City of Tigard Neildieg Department 13125 = Nall Blvd. Tigard, Greg= 97223 Inspection Line !Rec-O-Fhone)s 639-4175 Business Phone: 639-4171 Inspections �— Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Post/Beam Struct. San. Bawer Framing -Bldg. Post/Beam Mach. Rain Drain inrslation -Plumb. Plbg. Underfloor s/� a". Bd. -Meeh. Date Requesteds 7 /�.Z--� Times __X AM PM Address s- -=" Permit E sY 2- Builders -Builders TBR FOLLOWING OORRECTIONB ARE REQUIRED: i Inspectors Dates APPROVED DIBAPPROVRD APPROVED SUBJECT TO ABOVE Call For Reinsp. Asa city of °-p 97ss3 13225 ss 11011 Bl.a. rigasd, Oris Inspection Line (Aec-a-Phone)s 639-1175 Business Phones 639-4171 Inspections Footing Plbg. Underelab Hoch. Roigh-in Appr/Sdwlk found. Plbq. Top Out Cas Line FINALS -an. Bawer framing -Bldg. Post/seas $trust. Rain Drain insulation 'Plumb' post/Baas Mach. Nater Line Gyp. Bd. -Mech. /—�Under _ PM �yTime: —AN Date Requesteds/ � d. Permit Address:, Builders TRZ FOI.LONIMG OORRECPIONB ARE PJW'REDs .----- --�' Detes�—� Inspectors ApPROYED DIBAPPROVSD APPROVED IUWRC! TO ABOVE Call For Refnep- i i I 1 City of Tigard and.1ding Depart—nt 13125 811 Ball Blvd. Tigard, Oregon 97223 inspection Line (Rec-O-Phon.)s 639-4175 Business Phones 639-4171 Inspections Footing Plbg. Dnderslab Mach. Rough-in Aper/Sdwlk Found. Plbq. out Can Line FINALS Post/Beam Struct. �fRa an. 8 Framing -Bldg. i Post/Beam Misch. nDr Insulation -Plumb. Plbg. anderlloor .r Line Gyp. 8d. -Mach. Date Requested: Times _ Address s er- ; � ! .- Permit 9= C)r2 -V d Builders TBI FOLLOWING CORRECTION8 ARI REQDIRM �1 Inspectors /� - Dat.s_Li it-� `� 'APPROVED DISAPPROVED APPROVEU SUBJECT TO ASOVI Call For Rninnp. INBPWTION NOTICE Citi of Ti90sd M-LUUm9 Dfrt.. t 13123 BE Hall Blvd. Tigard, Oregon 97223 Inspection Lina (Rea-p-Phon*)t 639-4175 Business Phonal 639-4171 Inspection# Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk Found Plbg. Top Out Gas Lina FIR ALt Post/Beam struct. Ban. Bewrr Framing -Bldg. Post/Beam Meeh. Rain Drain Insulation -Plump. Plbg. Underfloor Nater Line Gyp. 9d. -Koch. Date Requested# � Time# _A _PM Address# l Zu7(.� ��J Permit t 2-eYJ2•3 Builder#_ �j TRZ FOLLOWING CORRECTIONS ARE mWIRED# i Inepector/t mil/ J _ pate: ` APPRO11tD DISAPPROVED APPROVED SUBJECT TO ARIM Call For Reinap. CITYOFTIFARD COMMUNITY DEVELOPMENT DEPARTMENT MASTER F'E RM I T r-ERMI T #. . . . . . . : MST9� -�w�, 13126 BW1WIBMa d P.O.B233117,TiPM,O�sr M(603)M4176 639-4171 DATE ISSUED: 04/14/9c-' SITE ADDRESS. . . : 12705 SW 133RD AVE. PARCEL : J'S104AC--MH186 SUBDIVISION. . . . : MORNING HILL 8 ZONING: R-25 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 186 _._______________________________ BUILDING __.._._____._________---_______________.__.• NE ISSUE:MST92-0021 DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 s f CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . ..380 sf TYPE OF USE. . . :SF FLOOR AREA;- ___r_.__.___ RE(;UIRED SETBACKS------._._-_ TYPE OF CONST. :51q FIRST. . . . :904 s f LEFT. . :31 ft RIGHT. .- I@ ft OCCUPANCY GRP. :R3 SECOND. . . :9531 sf FRONT. :2? ft REAR. . :?0 f't S4 JR 1 E:S. . . . . . . :2 TH I RD. . . . :0 s f REQUIRED------------------- HEIGHT. . . . . . . . :23 ft 1-O TAL-.-.-°----: 1857 s f SMOKE DE:TECTORS. :Y FLOOR LOAD. . . . :40 ps f VALUE. . . . . 4: 92262 PARKING SPACES. . :0 Remarks : PATH I ----------------------------------- PLUMBING ---_______-._____-__----__--_..______.. �)INKS. . . . . . . . . . : 1 FL_.OnR DRAINS. . . . -'0 BACKFLOW P,REVNTRS. . :0 I-WVATORIE:S. . . . . -4 WATER HEATERS. . . . 1 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . %2 LAUNDRY TRAYS. . . :N CA I CH BASINS. . . . . . . :0 WATER CLOSETS. . -3 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHER S. . . . : 1 WATER LINE (f t ) . : 100 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0 WASHING MACH. . . .- 1 5F RAIN DRAINS. . : 1 ________________ MECHANICAL ,----------------- __.---________.__._-. FEES -FUEL TYPES TYPES---------•-•- UNIT HTRS. . .0 type amount by date rer_lat /GAS/ / / VENTS . . . . . :0 TIF $ 1380. 00 JLH 04/ t5/92 - MAX INP01":0 BTU VENT FANS. . :4 BA'R'T $ 412:. 00 JLH 04/15/92 - FURN ( 100K . . : 1 HOODS. . . . . . : i SPLC E 40. 00 JLH 02/18/92 FURN > =100K . . :0 WOODSTOVES. -0 85F='C t 2:'0. C0 JLH 04/ 15/9r - FI_.CIOR FURN. . . . :0 CLO DRYERS. : 1 SEDC $ 280. 00 JLH 04/15/92 - BOIL/CMF ( 31]P:O OTHER UNITS:O PARK i- X00. 00 JLH 04/15/92 - GAS OUTLETS: 1 MPRT t 39. 00 JLH 04/15/92' - IJwner. -------------------------- MPLC $ `). 75 JLH 04/15/92 - NORTHLAND HOMES M5PC $ 1. 95 JLH 04/15/92 - 1 e'14 SW 58TH PPRT t J40. 00 .TL 04/15/92 -- P5PC $ 7. 00 Jl_H 04/15/92 - F'ORTL14NU UR c�77C:.C1 ►lh on a al: 292-3975 Con t va(--'tor' . -- -------------------------- NORTHLAND .-.-- ____...-------_----..._NORTHLAND HOMES 1834 SW 158TH PURTLANL) OR 97221 Phone M: 292-3975 Reg #. . . 13727 _________________..___-_-__.___ . f 2830. .30 TOTAL This ptrtit is issued subject to the reguiations contained 1n the -------- REQUIRED INSPECTIONS --- - - - Tioard Municipal Code, State of Dre. Specialty Lodes and all other Foot/folAnd Insp Fireplace Insp Applicable laws. All Mork will be done in &-ardance with approve Post/Ream Str-uct Gas Line Insp Flans. This perut will expire if work is mit started within IN Post /Beam Mechan InSUlat ion Insp Jays of issuance, or if work is suspended for sort than IFA days. Plm/undslab Insp Gyp BoarA Insp DD ,, PI_M/Under,floov- Rain dt-ain Insp r,ermittee SignaturE �'j?', 4 !! __._. Mechanical Insp Water, Line lnsp Plumb Top Out Appr/Sdwlk Insp is 3ueaH Bv : Fr,aminq Insp Mechatlical Final 11 f nr in 513or-* i nn F,AQ-A171w CITY OF T I GA RD SEWER CONNECTION CITYCFTMO COMMUNITY DEVELOPMENT DEPARTMENT on" PERMIT 13125 SW Hall BW P.O.60 23W,T190d.Or"On Of (503)630.4172 T-77 PERMIT #. . . . . . . : SWR92-0085 619-4171 DATE ISSUED: 04/14/92 SITE ADDRESS. . . : 12705 SW 133RD AVE PARCEL: 2SI04AC-MH166 SUBDIVISION. . . . : MORNING HILI__ 8 ZONING: R-25 BLUCK. . . . . . . . . . .. L.OT. . . . . . . . . . . . . : 186 TENANT NAME USA NO. . . . . . . . . . s FIXTURE: UNITS. . . : CLASS, OF WORK. . . :IJEW DWELL ING UNITS. . : I IYPE OF USE. . . . . :SF NO. OP BUILDINGS: 1 INSTALL. TYPE. . . . :BUSWR IMPERV SURFACE— : Remarks: PATH I Owner-: ------------------------------------- ------------------ FEES NORTHLAND HOMES type ipe amount by date r,ecot 1834 SW 58TH PRMT $ 1900. 00 JLH 04/15/92 - IN SP INSP $ JI-H 04/ 15/9- - PORTI-AND OR 97221 Phone #. 292-3975 Contractor: -------------------------------- NORTHLAND HOMES 1,834 SW 58TH PORTLAND OR 97221 ----------------------------------------- Phone #: 292-3975 t 1935. 00 TOTAL. Req #. . : 13727 ------- REUUIRED INSPECTIONS -------- This Applicant agrees to cciply with all the rules and regulations Sewer- Inspection of the Unified Sewage Agency. The permit expires 160 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not iijarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall orostiect 3 feet in all directions from the distance given, If not so located, the i-astaller shall purchase a "Tap and Side Sewer' Permit and the Agency will install a lateral. G:Iet-mittee Signati-kt-e r T5!m,,iPd By Call for inspection 639-4175 i CITY {;If•T I GARD - RSC E I PT OF PAYMENT RE'C iF I PT NO. iVAMFZCHE=CK OMOUN'r 4725. 30 s Nl�R'1'WL..ANQ HflMt�.F; INC N�T){1F2FS�a' s 1834 7W 581'W l6piTt? CASH AM{1UNT s 17►, Q+0 PORTLAND, (1R PAYMENT DATE a 04/14/92 97��,I_. SUBDIVISION : I P(JRI'-,USE. OF PAYMENT AMOUNT PAID PURPOSE OF PAYME=NT AMOUNT PAID #1 . 00 tL UMB I NC3 �E,f�tM. ME CHAN I f..AL Q f�LAN E' 1+i 4t. 00 39. 07! 9-7- BUI1_ ) PER �9. 5L-5CHECKFE 9« 7a SEWER USA � SEWER INSPECT 35. 00 PAPKF SDC 1. 3410. 00 STORM DRAIN 9DC 280. 00 RFSIIDE:NTIAL. TRAFFIC FEES 500. 00 i MASS TRANSIT TIF F=E^E1 V141. 1�0 1 c•:A171. 00 1 i t:t.ANC>{ M �w2AR 1't:1TAl_ AMOUNT PAID 47c'3« :30 PLNCK RECT � r 113125 SW Hall lllyd. /CIT Y OF 1 IGARD PO[lox 23397 PERMIT : ��Z-au1� C01NI`IUNI"IY DE;NE..I,OE'MENT DEPARTMENT Tiigard,Oregon 97�?i (503)639-4171 DATE ISSUED JOB ADDRESS: f.2 70 S /�3 �� TAX MAP/LOT s2,5/ 0 SUB: Alra -;!vQ' LOT: LAND USE: VALUATION: _ OWNER �-�R �j �- SPECIAL NOTES NAME: 0', t/, L/1Ae- REISSUE OF: »1SfS1-00-zL -_ ADDRESS: /-r s`q S'�✓ S 1 O 2._ LAST REISSUE: - c%�_Q�� FLOOD PLAIN/ PHONE: 2,7z `7 5-- SENSITIVE LAND: _ CONTRACTOR APPROVALS REQUIRED NAME: ,S - _ PLANNING: _ ADDRESS: ENGINEERING: FIRE DEPT: PHONE: OTHER: CONTR. BOARD #: J 3 y Z 11 EXP DATE: ( _. ITEMS .REQUIRED SUBCONTRACTORS: PLUMB: � �.1�-C.� Yjil.�-v> LIST/SUBCONTRACTORS: MECH: BUS TAX: ARCH/ENGINEER CALCULATIONS: NAME: TRUSS DETAILS: ADDRESS: OTHER: PHONE: PROPOSED BLDG. USE: - COMMENTS: Z 7 APP ICANT IGNATURE Received By: (: -_�_� Date Received: A PERMIT n ACCT 1l DESCRIPTION AMOUNT AMOUNT PD. BAL: DUE M_.yt'17.uuV 10-432 00 Building Permit Fees ►Z,`� 10-431 00 Plumbing Permit Fees ! u, / 0- 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) 7 .5}`_ Building _-jY,_(o Plumbing Mechanical 1.9 10-433 00 Plans Check Fee Building __ u Plumbing _ Mechanical .-7i 10-230 06 Fire 544?q z oof) 30-202 00 Sewer Connection u u _ Civ 30-444 00 Sewer Inspection 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 2.5-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees /zdy /Zira' 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PUC) 3 '' _ 5,:-V- 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) flJ 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTAL nm/?5f�]P.4JP( ff W1 owl W ZMANINKM CC 1 � 0 m to 4 �+ to t••) Z > b ail Qvy,nlag oZ� id Iy "J Ih 1-m•- W 91J�J z� = 4 Jtg�' a<FJ 9a to �'y'-1► p n �� - M II4'y�Vy u ag8'�1�u�� u NJ —} aSaO auN V ---'L1-20 T o� vIM W z U�e\• 0 7I iTig:wJt�,Q�¢yI WY%a-ato {k[L WCC1, p � ¢ I w N9�R�iW M m �`�-__� �yy� � W{m��p�z~� [ .- I � �J3� O•�1gO�1��}�I000�NfJY1 C{ O C�dW uo ¢ JYt:r ov7 - \O�� ,/•`�� O l y�aaVW III m 1��.1�11>w( [ •� I DIN T U 1"NN SI�h x �~U iiplop. dW V uI%Tab � apo V) (/') 0 2 rn} 11 w m-- m ¢� o J J bb Q > LLJ z _z to n _,w mu�Fg � (1 NZ U �t�m -M to o c1 N¢.h' O 25 v d XO _ — [� y� N - C,to �, LL ¢o o W t-t oLn f n m N o O m mr'F �C n W a fn rn 7 = M m p /�nyQ- �yy] Q n� L ¢¢ N ^ N III Ua Egg 9g; F (1 _ L0.2 ¢SWOO� Q N-- w� I� w rn[n ¢n n m 3 � 4 m Q —4 4 — w J N f7 F'Jv B P ¢ U >-_ x a�vb� bv ° o w`.o 6° } V) to d .' 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