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12727 SW 133RD AVENUE ow Rw qwx WAR W qr lR ---' I I 12727 SW 133RD AVENUE CITYOFTIFARD OFTWO CE RT I I Cr COMMUNITY DEVELOPMENT DEPARTMENT C :C1PANGY 19126 BW Hell Blvd P.O.Bon23W. ,TOW,OMW 04229(800).176 r'ERh1I'T' . » . . . s MS792kl0LT,3 .•5'� SITE ADDRLSS. . . r 12727 SW 133RD AVEPARCEI_& 2G 1 @4NC-,hIH 1 A Y SUBDIVIGION. . . . t MORNING I4II.I.. H R-85, . . . . . . . . . . a LOT— . . . . - - - - t87 » CLASS OF WORK. sNE;W TYPE OF USE. . . :SF OCCUPANCY GRP. s R3 OCCUPANCY LOAD s c":24 4 TENT 14 T NAME.:. . . o fi^ Warks: PATH 1 M if„HAEL.. MET'ZL F.R 7945 SW f=ANNO E'RFFK DR #1 TIGARD OR 97224 Phone #s 624--8134 r_ontractdrC JAMES THOMPSON 7082 MONUMENT DR URAN'TS PASS CR 97!3216 V,hune O s 476 -8099 R op u 0. . s 5013141 L►ce:upancy of the above referrenre d bul piing is here by r414/ern' iftrid cert i f A ek, the compliance with the '_state Of Oregon Speutalty Godes for they yromP, ncctpant-y, and use tinder which the re!forenrod peralit was i. ssetAed. HPC- DEPARTMENT /�1t....C11N6 1N'SPL OR _ Aew.. At!11_I)x N, ".T At, POST IN CONSPICUOUS PLACE AMMARKALIR INSPECTION NOTICE �~ city of Tigard Building Depart IMent 1.3125 SII Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone)s 6:9-4175 Business Phone: 639-4171 Inspection: — Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Bear Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation /14--/ -Plumb. Plby. Underfloor Water Line Gyp. Bd. -Mach. — Date Requested: L) '3" /yTimee: (,J AM _PM Address: J,,� /.-4 7 Y 3 3rd Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: _ L Data: y AFF*WRD DISAPPROVED APPROVED SUBJECT TO ABOVE ��/� Call For Rainsp. IlISpIlCTION NOTICE city of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-phone): 639-4175 Business Phone: 639-41,1 Inspection: Footing Plbg. Untlerelab Hoch. Rough-in Appy,/Sdwli Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. Sa.:. Sewer Framing Poet/Beam Hoch. Pain r,rain Insulation -Plumb.. Plbg. Underfloor Nater Line Gyp. Bd. Mach. Date Requested: G� Time: d11y PH Addresst � Permit /: _ )�y� Buildert- TNM FOLLCAIING CORRECTIONS ARE REQUIRED: r � ih8`NOtOl1�� Dater A* �) DISAPPROVED APPROVRD SUBJECT TO ABOVE Call For Rainsp. ,cy INSPECPxW kT_CE City of Tigard rruilding Department 13125 ou Nail Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: tooting Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line, FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. 1 Plbg. Underfloor Water Line Gyp. Rd. -Mech. Date Requested:.C<--�" -L _Time AM PN Address: / 2::� / -3 r a Perm:* is Builder:_ - THE FOLLOWING CORRECTIONS e.RE REQUIRED: Inspector: _-__._�� Dates _ S? k- APPROVED T)ISAPr'p,vaD APPROVED SUBJECT TO ABOVE T Call Fo Reinsp. IN$ RCTION NOTICE city of Tigard Building Depart=Mt 13125 BW Fall vd. Tigard, Oregon 97223 Inspection Line (Rec-ss-Ph. 6319 4175 Business Phones 639-4171 Inspections Footing Plbg. n � erslab Mech. Rough-in _ Appr/Sdwl Found. Plbg op Out Gas Line �••—FINAL: Post/Beam Struct. San. Sewer Framing -Bleg. Post/Beam Hoch. Ratn Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Ktivh. Date Requesteds 45712,1 Time: _AM PN Address: /2 22 7 / .3✓d Permit Builder:_ — TBE FOLLOWING CORRECTIONS ARE REQUIRED% AL 1?A�IF_nn(-_,JT--4eXii-A .r-nl� 1T a Q04J _ 2) PA-rc-,+ Ar Cy2 g AL A S�: _,1L Inspectors N Js} TNO&,^z Dates q� APPROVVD DISAPPROVtn APPROVED SUBJECT TO ABOVE Call For Rsinep. xxopwrim NOtICE City of Tigard Building Department 13125 SO Ball Blvd. Tigard, Oregon 97223 Inr- -^.tion Line (Rea-U-Phone)s 639-4175 Businc es Phonet 09-4171 Inspections Footing Plbg. Underslab Mach. Rough-in (_ Appr/Sdwlk ) Found. Plbg. Top Out Gas Line �`FINALt�r / Pont/Beam Struct. San. Sewer F•-aming -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Pl.bg. Underfloor(��/ Nater Line Gyp. Bd. -Mach. Date Requ�rtsdt f :�=2eff"I.- _ Timet _0�/__ AM PM Address: 1,:4 7,4 / _-33 r d Permit Builder•_=�E=;��' � '%)�' _,�-- _ THE FOLLOWING CORR2CaIONS ARE UQUIREDt Sion. � . � o c otiJGe�FT,E. ���✓/�� Inepectort -rNomt'ls Datet APPROVED DIBAPPROVED __V-'APPROVED SUBJECT To ABOVN Call For PALvap. IKSPZCTION NOTICE r City of Tigard Building Departeent 13125 BW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O- ?ne)s 639-4175 Business Phone: 63v-41'11 Inspections L Footing Pl��. Under s.ab Mach. Rough-in Appr/sddlk 4� Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. Sar:. Sewer Framing -Bldg. Poet/Beam Hach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Koch. Date Requested: -/ � Time: 2�i AM _PK Address; �� Permit Builder. THE FOLLOWING COMMONS ARE REQUIRED: i Inepeators Date: .2-3 APPOOVRO DISAPPROVED APPROVED SUBJECT 7.10 ABOVE ror 1­> asp. INSPECTION NOTjCE City of Tigard Building Department 13125 an Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab Hach. Rough-in Appr/Sdwlk Found. P,bq. Top out Gas Line FINAL. Post/Beam Struct. Sas. Sewer -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Lias Gyp. Bd. -Hoch. Date Requested: � --.2-7 - _Times AH —:,Z— N r d- fns Ue- Address:_� 7 _.� __ Permit is Builders TBE FOLLOWING CORRECTIONS ARE REQUIRED: Inspectors -- Dates ��APPRDVED OId1W!llOVrb APPROVED SUBJECT TO ADM Oni1 Ae Minsp. INSF=ION NOTICE City of Tigard Building Department 13125 RK Hall Bled. Tigard, Oregon 97223 Inspection Line (Rec.-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Fuotinq Plbq. Underslab Hoch. Rough-in Appr/sdwlk Found. Plhg. Tap Out Gas Line FINAL: Post/Beam Struct. San. Sewer raining -Bldg. Post/Beam Mech. Rain Draln Insulation -Plumb. Plbq. Underfloor Mater Line Gyp. Bd. -Hoch. Date Requested: a ` Timet _AH c Ph Address:: /,1 7� Permit #I Builder: / L /171f�1n'C-J THE FOLLOWING CORRECTIONS/ARE REQUIRED: e 12 ` �.Linc_. .�L�.Mn i ►-�i�'v:-- �.d��'✓t'�-Q-�'�/.�y_�.. i Inepector:__�r_ / _ Date: APPROVED DISAPPROVED �v APPROVED SUBJECT To ABOVE __Call For Reinsp. jl18pg jION 11gTLCE szity of Tigard Building DePart'sent 13125 811 Hall Blvd. Tigard. oregon 97223 Inepection Line (ROC-O-Phone): 639-4175 Business Phone: 639-4171 Inspections Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top OutOaa Line FINAL: Poet/Beam Struct. San. Sauer / Framing -Bldg. Poet/Beam Meeh. Rain Drain inaulatlon -Plumb• -Mach. plbg. Underfloor water^Line OYp• ad. a Date Rwqueateds� / �.2- Times _2`7m ►' d rrm��_�!�'��3 Address: /c7a Builders_ THE FOLLOWING CORRECTIONS ARE REQUIRED: i Inspectors Dates 6, Z? APPOO lD DI8APPROVED APPROVFD SUBJECT TO ABOVN Call For Reinsp. INS PECTI01`' City of Tigard ft'-lding Dopart3M8nt 13125 BW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)1 639-4175 Business Phone: 639-4171 Inspectiont t Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk t Found. �:b9• Top Out Gas Line FINALt Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water LiuP Gyp. Bd. Mach. Date Requested:P _ Time: AN Address: 7� /�y��d �C�i/Porm/it i:52'""Uy�P13 Builder:_ /��9 t / (q�s�7 —'es-z-3 V THE FOLLOWING CORRECTIONS ARE REQUIRED: I' r Inspectiot _ L Datet-Y r )(—APPROVED DISAPPROVED _ APPROVED SUBJUCT TO ABOVE Call For Reinap. �p3cTrat rDTlcs Z ,3� City of Tigard Building Department 13125 SN Ball Blvd. Tigard, Oregon 97223 Inbpection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab If 11;e h. Rough-in 1 Appr/Sdwlk Found. Plbg. Top Out ossa Line _./ FINAL: Post/Beam Struct. San. Sewer !taming --Bldg. Post/Beam Mech. Rain Dratn Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requested: �' Tim- _)LPM Addresser :2 Z -, 29' Per i is q," —0z) Builder: �' J v THE FOLLOWING CORRECTIONS REQUIRED: r � e H � ` Lr •,aprOlOC: Date+ _ AP} Vgb DISAPPROVED APPROVED SUBJW. TO ASM `Call For Rainap. y i INSPSgIMMOMM City of Tigard Building DeparbMnt 13125 , Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 639-4175 Business Phone, 639-4171 Inspection: Footing Plbg. Underrlab Koch. Rough-in Appr/Sdwlk Found. Plug. Mop Out ass Line FINALS Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Ne<:h. Rain Drain insulation -Plumb. Plbg. Underfloor �/✓Wa/ter Line Oyp. Bd. -Koch. Date Requested:_;_1 ✓� —Mimes M pN -7 -? en 5 T l Address: Permit is - GD IV Builder:__, THE FOLLOWINa OORRECTIONS ARE REQUIRED: 00, Insosctor: - Date:_ — APPROVED DISAPPROVED APPROVRD SULINCT TO ABOVE >4—G11 For Reinsp. City of Tigard Emildimg Department 13125 ON Ball Bled. Tigard, Oregon 9722.3 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam a San. Bower Lraming -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Plater Line Gyp. Ed. h. Date Requested:_ (!!� /O ` Timms -ZAN PH Address: ' ,/3 ~c—' Permit is - OF-3 Builders TBE FOLLOFING CORRECTIONS ARK REQUIRZD: 1 P 4� / R Inspector:_ _ Date: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE �iCall For Reinep. INBPECridf NOTT� Cit? of Tigard Building Depart ..t 13125 8R Ball Blvd. Tigard, Oregon 97223 Inspection LL n* 639-4175 Business Phones 639_4171 InaPectionr looting Plbg. Underslab Meeh. Rough-in Appr/Sdwlk Found. Plb9•. TSP Out 4as Lina FINAL: Post/beam Struct. sen. 8ewar� Framing -Bldg. osrt/Beam Mach. (A. n Drain Insulation _ply. 1 Underfloo pater Line Oyp. ed. -Neth. Date Raqu =�' I 1 ' Z._ -� TLge: � � Addresss1 L �?) _ Permit isMSi q cr$3 Builders S L �U^b<.1-11^ TBE 1OLLCMINO OORRSCTIONS ARE REQUIRSDs 1 ------------ Inspectors Dates X_APPROVZD DIBAPPROVVD kppnMSD SUBJCCT TO ABOVS __,Call Por Reinep. 1 f 1 �0 l7 1 1 . 9 2 ^, 1- 4 ?.114 11NORWES r MTG MEDFORD P0 :=3 3 _ AO 71 W-li;- 1 1 -'fit WED 7734430 P . 03 _t � 1 1 =� t-� 44AR.iNORWEST MTC, MEDFORD lo a fiT/mac T 114 V Jr— rr .I.~ O{NEe_ .I... 1734430 P . 02 see assesses MIRLMLMIJLMLM� TNBPJCT= NOTICE City of Tigesd Beildlaq Department 13125 OR Ball Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab Hach. Rough-in Appr/Sdwlk �J+ (bound) Plbg. Top Out Gas Line FIVAL: a`Post_/Beam Struct. Ban. Sewer Framing -Bldg. I Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. ad. -Heoh. I �Y9 -r `' 1 Data Requested: _C) Timo: 14 rAN f PH Address: ({Z-,7 2 r Permit t: Builder: THE FOLLOWING OORRECTIONS ARE RBQUIREDt I Inspectors` Date: AP r`:OVED DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. TI ARD40ORD CITY OF G CIT COMMUNITY DEVELOPMENT DEPARTMENT pen= MASTER PE RM I T 131268W Heil Blvd.P.O.Bac 23W,TWW.Onpon e1=(SM)63041 PERMIT #. . . . . . . . M5 T 9 L--01116 3 ;�yc _r1171 DATE ISSUED: 05/28/92 SITE ADDRESS. . . : 1r2727 SW 1.33RD AVE PARCEL: a1�d4AC.--MH1 r37 SUBDIVISION. . . . : MORNING HILL 8 ZONING: R-25 SLOCK.. . . . . . . . . . . L01.. . . . . . . . . . . . . : 1.137 ___.._.------------------------------- SUILDING RE T SSUE: DWFLL I NG UNITS: 1 BA13EMENT. . . . . . . . :0 s f CLASS OF' WORK. :NEW PEDRMS:3 BATH`r:3 GARAGE. . . . . . . . . . :480 sf TYRE. OF USE. . . :SF FLOOR REG!UI RED SETBACKS---____......__. 'T"YPE OF CONST. :5N FIRST. . . . :940 sf LEFT. . : 1` ft RIGHT. .-22 ft OCCUPANCY GRP. :R3 SECOND. . . :9iReVh/ S f FRONT. :PID -Ft REAR. . .-28 ft STORIES. . . . . . . ..2 THIRD. . . . :0 sf REQUIRED—------­ HE I GHT. . . . . . . . :24 EQUIRED—_________________,HE•IGHT. . . . . . . . :24 ft TOTAL-- 't'f,1.gr S SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 os f VALUE. . . . . 7��4200 PIA RK I NG SPACES. . :0 Remarks : PATH I PLUMPING ,;INKS. . . . . . . . . . : 1 FI_.OnR DPAINS. . . . :0 BACKFLOW PRF:VNTRS. . :0 l...AVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 1110/SHf7WFRS. . . . -2 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WATER LLOSETS. . :a SEWER LINE (ft ) . :0 GREASE: TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1. '.DATER LINE (ft ) . : 100 OTHER =I XTURES. . . . . .0 GARBAGE: D1SP. . . : 1 RAIi,' DRAIN (ft ) . :0 WASHING MACH. . . -1 SF RAIN DRAINS. . : t MECHANICAL _.-----------..__ __._______._______ FEES FUEL. UNIT HTRS. . :41 typo amount by date t-ecpt /GAS/ / / VENTS . . . . . :0 TIF $ 1:560. 00 JLH 05/28/92 - MAX INPUT:O PTU VENT FANS. . :4 13PRT $ 4.18. 00 ,l? H 05/'r_18/92 - FURN ( 1.00K . . s 1 HOODS. . . . . . : 1 SPLC $ 271. 70 JLH 05/08/92 226990 r URN ) =LOOK . . :0 WOODSTOVES. :0 S5PC $ 20. 910 TL.H 05/28/92 -- FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ ?80. 00 JLH 05/28/92 — 11nIL/CMR ( 3HP:0 OTHER UNITS:0 PARK $ ",!:0. 00 .IL.H 05/28/92 — GAS OUTLFTSe 1 MPRT $ 39. 00 JLH 05/28/92 - ;)caner: _.____________....__—_._.___.. __..._-----.__._.__— 14PI._C $ 9. 75 JLH 05/ 'A/9a.? — MICHAEL METZLER MSPC $ 1. 95 JLH 05/28/92 — 7945 GW !=ANNO CPEEK DR #1. G'G'F,T $ 1321. 190 ..11_H 05/28/92 — PSPC $ 6. 63 JLH 05/28/92 — T I GARD OR 972-24 Phone #e 624-8134 Cortr--actor-a JAi,,ES THOMPSON GRANTS PASS OR :-chane #: 476—SO99 Reg #. . : 50SPI -------------------------------------- t 3060. 43 TOTAL This permit is is!ued subject to the regulations contained in the ------- REQUIRED INSPECTIONS - ------ Tigard Municipal Code, State of Ore. Specialty Codes and all cther Foot/found Insp Fireolace Insp applicable laws. All work will be done in accordance with approved Post/Beam Struet Gas Line Insp pians. This permit will expire if work is not started within 181 Post/Seam Mechan Insulation Inst days of issuance, or if Mork is suspended for more than 180 days. Plm/undslatb Insp Gyp Boar-d Insr, F='LM/Under-flpor Rain U��aan Insp !'er'm k;tee c3ignat;�_�r_ (/�2> _ s _-.___ __ Mechanical Iiisp Water line Inso Plumb Top Out Appr/Sdwlk Insp Tgs1jed fav: __.._..._.._.....__...... __. Framing Insp Mechanical Final SEWER CONNECTIONCITMOFTIGARD PERMIT OFTMADPERMI . . . . . . . . I SWR92-0165 COMMUNITY DEVELOPMENT DEPARTMENT OU000+ 13125 8W FW I BNd.P.O.Bat 20097,T0W,Ornpan 97223_ ")6394"S mc.,iiirrim I PARCEL: 2S 104AC—MH 1 H7 + "SITE ADDRESS. . . : 12727 SW 133RD AVE 70NING: R--2w' 5UBDIVISTON. . . . : MORNING HILL 8 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 187 TENANT NAME. . . . . : : FIXTURE UNITS. . . USA NO. . . . . . . . . . : CLASS OF WORK. ., . :NEW DWFI_I...ING UNITS. . : 1 'VF�E O)" USE. . . . . :SF NO. OF Pl.�I l._D I NGS: 1 IMPERV SURFACE. . : NSTHLL TYPE. . . . :RUSWR 'r I V -remarks : PATH I j ------------------- FEES FEES )wrier: i )caner: --___._______._...____.___.._____._____ — -- type Am a+.tnt try (hate reC1-1 o' er: . 7945 SW FANNO GREEK DFS #1 PRMT $ 1900. 00 JLH 05/28/92 — INSP $ 35. 00 JL H 05/28/92 r I GAPD OR 97:'24 ;--Ih(3ne #: 62:4 -H134 :nnt r�xct ar: -_.---_--- ______________________ '.ONTRACTOR 1407 ON FILE ---------------------------------------- s 1.9:.5. 00 TOTAL Rey #. . : REQUIRED INSPECTIONS - ----- This Applicant aorees to comply with all the rules and regulations Sewer Inspection _... of the l)nified Sewage Agency. The permit expires 198 days from the date issued. The total amount paid will be forfeited if the ------— ^,droit expires. The Agency does net guarantee t. a accuracy of the -— ----------- ---- side sewer laterals. If the sewer is not located at the measure+ent Igiven, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "rap and Side Sewer" Pereit and the Agency will install a lateral. n at+area _..._..-_ .t a ci P y• �....___...- Call far in. Fpectian — 639-4175 7- Permit No: S yd Address: l,:;;' 7d . t Issued by:_ Date:, —_FOR OFFICE USE ONLY _. STATEMENT: INFORMATION+ NOTICE TO PROPERTY OWNERS ABOUT CON5fRUCTION RESPONSIBILITIES Note: Oregon Law, ORS 701.055(4) , requires residential construction permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. This state- ment is required for residential building, electrical, mechanical, and plumbing permits. Licensed Architect and Engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with th, permit. Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 313: 1 , 'fti),_'o I I own, reside in, or will reside in the completed structure. 2. L_-_ _J I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3. A.C� I My general contractor is s Contractor registration number_ I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. OR l lI 3. B.© I will be my own generaftontractor. If I hire subcontractors, I will hire only subcontractors registered with the Construc- tion onstruetion Contractors Board. If I change my mind and do hire a general contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and understand the Information Notice to Property Owners about Construction Responsibiliiles on the reverse side of this form. Signature of Perm lkAppIIcant Date CONSTRUCTION CONTRACTORS BOARD 0244J 8191 WHITE COPY TO ISSUING AGENCY PERMIT FILE PINK COPY TO APPLICANT PT OF F,AymFNT RECEIPT NO. :92-20-7619 CITY OF TIGARD RECEI CHECK AMOUNT 4745. 43 CW'iH AMOUNT 0. 00 NAME e THOMPSON, JAMES PAYMENT DATE ADDRESS a 7852 MONUMENT DRIVE Sj.jSD I V I S I ON 6RANT1-.-i PASS, OR 97526— AMOUNT PA'I D PURPOSE OF p(jYMF--N'r AMOUNT PAID PURPOSE OF PAYMENT r._..._.-...__.._. ii W6 132. 50 yUII48 39. 00 ST. BUILD PER 1900. 00 mv--Cl-�AmCAL PE 31. 45 C,3FWE,.R US)fl PLAN CHECK FE 35. 00 RESIDENTIAL TRAFFIC FEES 1280. 00 SEWER INSPECT' 500- 00 STORM DRAIN SDC 200. vio PARKS GDC 100. 00 MASS TRANSIT TIF FEEG 1 1,?'727 SW 133RD 4745. 43 AMOUNT PAID CITY OF TIGAPD - RECE.IPT OF PAYMFNT RECE—Wr NO. f,IHECK 111MOUNT C 250. 00 NAME s MET'Lt_C:R, MICHAEL CASH AMOUNT a 0. 00 tt[►I�FiEki� a79:.5 GW FANNCI CREEK DR #1 PAYMENT DATE � 05/08/plc: i I:�ARD, lift SUBDIVISION T a 97,024-- r, 1 l,'URG09l:. OF, r,t4YMI=NT AMOUNT PA I U PURPOSE: OF PAYMENT (aM PAID t �ttU C1fECl4 FE. 250. 00 t 1�iNTNG W'ILL_t LOT 187 AMOUNT PEA I l) ._. _ ... � 250. 00