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CITY"OFT11FARD ^ SITE 51PERMIT
cmTi6at�E 'MIT NJ. : SIb9i?678
COMMUNITY DEVELOPMENT DEPARTMENT On N
13125 S.W-loll Blv;-P.O.Box 23247,Tigard.Oregon 97223,(50 )639 1175 ATE ISSUED: 12/20/89
JOB ADDRESS: 12392 SW 131ST AVE
TAX MAF'/LOT 2614AB9100 SUP: MORNING HILI.. 6 F(K:
LAND USE: R4.5PD
LCT SIZE:
WORK CLASS: NEW
USE TYPE: SINGLE FAMILY
CUBIC YARDS: 100 VALUE:
IMPERV. AREA:
FILL?: YES
Ei4GINEERED FILL?: NO
L-__ _
0
_JI FEES: — ---
W JIM HART F)ERMIT ����.°•[l
E 12228 SW 13151' AVE PLAN REVIEW
H tigard or
SPATE TAX 51. 13
C DEVELOPMENI CHARGE'S:
N JIM HART
N
T HART' CONST
A 12228SW 131ST AVE.
C tigard or 972F3
0 PHONE: (503) 245-2525
R REGISTRATION NO. 1379 _J TOTAL.: l23.63,�J
This permit r;issued subject to the regulations conteir ed in Title 14 RECE I P1 N0.
of the TMC, State of Oregon Specialty Codes. tonin] regulations
and all other applicable codes and ordinances ant: it is hereby
agreed that the work will be done in accordance with the plans end
specifications and in rompliance with all applicable codes and
ordinances. The Issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void it work Is not started Nlthin 180 days or if work Is suspended or
ahandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the peri,1ttea to assure
all required Inspections are requested and approved
Permit g sture
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
slr � w s
CITY
OF T167AR®
CI%CLT6AARD PLAN CHECK APPL_ICAIION
COMMUNITY DEVELOPMENT DEPARTMENT "'°°"
PLAN CHECK #
13125 S.W.Moll Blvd..P.O.Box 23397,Tigard,Oregon 97223,(503)639-4175 \ PERMIT il/ -
D,Al-t ISSUED-- -- __-
JOB ADDRESS: � _ " i.ci J �, ' Tom_- TAX MAP/LOT ,j/-y/�
SUB: - LOT: LAND USL: _
VALUATION: - -
OWNER - SPECIAL NOTES
NAME: J i . -r _ _ - REISSUE OF: _
ADDRESS: LAS I REISSUE` _ -
-_ -
F1-000 PLAIN/ --�
SENSIIIVL LAND:
PI'JNE:
APPROVALS RE UQ IRED
CONTRACTOR PLANNING: _
NAME: ENGINEERING: -
ADDRESS: _ 1 IRE DEPT - W
OTHER:
PHONE.: _ - ITEMS REQUIRED
BUILDERS BOARD 1M; EXP DATE: _ --_ _ LIST/SUBCONTRACTORS:
BUS TAX: _ -
ARCH/ENGINEER CALCULATIONS_:__ _
NAME:: _ TRUSS DETAILS:
ADDRESS. -_ OTHER: -
PHONE:: �—
COMMENTS: �crr s ti ..i ..r r) :An /s
SUBCONTRACTORS: PLUMB: MECH:
r1'RMIT # ACCT 4 DESCRIPTION 6MOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees _
10--431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5X)
Building _ — —
Plumbing
Mech
10-433 00 Plans Check Fee
Building --- -- - -�- --- - "—
Plumbing _
Mech _
30-202 00 Sewer Connection _
30-444 00 Sewer Inspection �-
51-448 00 Street System Dev Charge (SDC)
52-449 00 Parks System Dev Charge (PUC)
31-450 00 Storm Drainage Syst Dev Chrg (SSDC)
10-230 06 Fire -- '-
TOTAL
-- �- RIC b
APPLICAN SIGNA URE
Received By: _ �� Date Received: r
cn/3587P/18P