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12594 SW 131ST AVENUE ADDRESS: 1:\rcamdsVnicroflm\targclslbuilding.doc CERTIFIC:ATur OF CITY OF TIGARD PERMIT #4. . . .00CUPANCY . . . n M5T93--9564 COMMUNITY VEVELOPMENT DEPARTMENT DATE ISSUED: 02/17/94 13125 SW Nall Blvd.Tigard,Oregon 97223.8199 (503)83C-4171 PARCEL a 2C;104AC'.-0830rL SITE ADDRESS. . . 12594 SW 131ST AVE SUBDIVISION. . . . n HORNING WILL .NIS 9 ZONIN8j R-2'_5 BLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . 1226 CLASS OF WGRK. :NEyW TYPE OF USE::. . . t SF OCCUPANCY GRP. 03 3 UCCUPANCY LOAD:c.2 3 4 'TENANT NAW. . . a Remarks e PATH .1 Owner: ,JAY PIILLER P 0 BOX 23291 )"I E3NRD OR 97281 Phone #te 684-7543 JAY MH LER E-'O BCIX 23271 T I GORD OR 97281 Phone ##: 684--7543 Reg 1#. . r• 30109 Occupancy of Lhe above refleretrced building is hereby yi-ien' and certifies t��p ::omF.:li&ncp with the State Of Oregon Specialty Codes fuer the grouF_11 occupancy, and Lyse under which the referenced permit was issued. BUI_._ _.' NSP GIR_..._.,___._....__ J I L b I 0 O F l _...._..__. POST IN CONSPICUOUS PLACE a r F— J C7 W J PLUMBING PERMIT CITY OF TIGARD PERMIT #. . . . . . . : M31-93-9564 COMMUNITY DEVELOPMENT DEPARTMENT DATE SSUED: 11/08/93 13125 SW Hall Blvd.Tigard,Oregon 0722368100 (503)630-4171 PARCEL: 2S104AC-08300 SITE ADDRESS. . . : 12-594 ' I-J l 3 i S1 AVE SUBDIVISION. . . . . MORNING HILL NO 9 ZONING: R-25 BLOCK. . . . . . . . . . . L01•. . . . . . . . . . . . . :226 --------------------------------------------------------------------------------------------- CLASS OF WORK. . :NEW GNRBAGE DISPOSAL5. . : 1 TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :0 OCCUPF„ICY GRP. . : R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0 STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH B^,a1NS. . . . . . . :0 FIXTURES-------------•--- LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1 SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0 LAVATORIES— . . . :4 OTHER FIlXTURE9. . . . . :0 TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0 WATER CLOSETS. . :3 WATER LINE ('Ft ) . . . . : 100 ' DISHWASHERS. . . . : 1 RAIN DRFIIN (ft ) . ., . . :0 Remarks : PATH I OWNER: -----_ ----______ _----------- -----------------FEES--------------- JAY MILLER TIF $ 15PO. 00 PLL 11/Q•8/93 - P 0 BOX 23291 BFRT $ 440. 50 FILL IJ /08/0>3 - BPLC $ 286. 33 JLH 11/02/93 93-245660 TIGARD OR 9.7281 B5PC $ 22. 03 PLL 11/08/93 Phone #: 684-7543 SSDC $ 280. 00 PILL 11/08/93 - PARI'. $ 500. 00 PILL 11/08/9,31 - Plumbing Contractor:-••----•------------- MPRT $ 45. 0” PLL 11/08/93 - _ MPLC $ 11. 25 PLL 11/08/93 - Name : _ (�/ - M5PC $ 2. 25 PLL 11/08/93 Address •_ _- _ PF'RT $ 155. 00 PLL 1 ',/08/93 - City:_. -V_State :_ _ 115PC $ 7. 75 PLL '. 1/08/93 - Zip: Phone#: Reg #:_ ------- REQ1_;I RED INSPECTIONS --------- This permit is Issued subject to the reg- ulations contained in the Tigard Mi..tnicipal Foot/fou-�d Insp Rain drain Insp Code, c3tate of Ore. Specialty Codes and all Post/B,,am Struct Water Line Insp other applicable laws. All work will be dorte Post/Beam Meehan Appr/Sdwlk Insp in acco�•dance with approved plans. This Plm/undslab Insp Mechanical Final permit will expire if work is not started FILM/Underfloor Plumb Final within 180 days of isso-tanLe, or' if work is Mechanical Insp Bui lding Final suspended for more than 180 days. Plumb Top Out Erosion Control Framing Insp Crawl Drain Fireplace Insp J r / Gas Line Insp Insulation Insp x - _ , i _ GYP Board Insp F Authorized PIu # ' Cont-actor Signature -' Call for, inspection - 639•-4175 Contractor Notes : -. LLJ _J i 7�. ,INSPECTION NOTICE City of 'Tigard Building Department 13115 SU Ball :!I -._ Tly--d, Oregon 97223 inspectio:, Line (Rec-O-Phone)s 639-41',5 Business Phone- 639-4171 Inspection:__ (Vf --- Footing -Footing :lbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line -JrIN�AL: Post/Beam Struct. San. Sewer Framing Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbq. Underfloor Water Line q Gyp. Bd. Date Regnented: 1 -7 `/� Timet AM Address, �Z 7`�^^1,,�,, Ih ^�(n Permit ,J5 I/._e_ Builder:, V THE FOLLOWING CORRECTIONS ARE REQULRED: 4 Ll J U' a! ----- J Inspector:_ ✓' Dater PROVED —__ DISAPPROV3D APPROVED SUBJECT TO ABOVE Call For Reinap. INSPECTION NOTICE City of Tigard Building Departaent 13125 Be Ball Blvd_ Tigard, Oregon 97223 Inspec.-tion Line (Rec-O-Phone): 639-4175 Buniness Phone: 639-4171 Inspection:__ Foottnq Plbg. Underelab Mech. Rough-in Appr/8dolk Pound. Plbg. Top Out Gas Line: CFINAL: Poet/Beam Struct. San. Sewer Framing -Bldq. Poet/Beam Mech. Rain Drain Insulation Plbg. Underfloor Water Line Gyp. Bd. -Hoch..' � Date Requested: J I �11M PM 1 `f Address: �2S t �7l(�t � � Permit 1 Builders` _&L- THE MLLE-WINO CORRECTION8 ARE REQUIRED: 0 7- E: Ln &T, cz r H a � !�w�2,...� x%'1.`1 _ �z�2. �"vti�.•-�- ,bl-��c_ InspectorsDate: Z` AlPIIDV/D I'--DISAPPROVED APPROVED BUBJECf TO An MX ,` _ C 11 For Reinsp. JNSPECTION NOTICE City or Tigard Building Department 13125 BW Hall Blvd. Tigard, Oregon 97223 Inspection Lina (Roc-0-Phone): 639-4175 Business Phone: 639-4171 Inspections:-_ — —,— Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation ; -Plumb. Plbg. Underrloor Water Line Gyp. Bd. -Meet. Date Requested: � Time AM / (l PM Address / Z-S 9-// 131 _ Permit Builder: ,99 FOLLOWING CORRECTIONS ARE REQUIRED: AIL a CLf ~J :D W - - ——. J Inspector,_�f�- ---_ _ Dates_ y APPROVED DISAPPROVED Li APPROVED BURJECT To ABOVE - Call For Reinsp. INSPECTION NOTIcd City of Tigard Building Department 'A, 13125 nW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171 Inspection:,_ _y — Footing Plbq. Underslab Much. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Lina vINALs Post/Beam Struct. San. Sewer. Framing -Bldg. Yost/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line gyp. Rd. -Mach. Date Raqunsteds )j. L� / SiMt AM / PK 45t 1 12 Address s 1\2 �'( IL 7-l�7� Permit i s V� Buildart�! ( _ is j Zd THE FOLLIDWINO CORUCTION9 AAE REQUIRED: /Z iQ^e� -- 7 s 1 E f 1 -� PI Uj APPROIRD DIBAPPROVED '_t4_PPROVED SUBJECT 'ro ABOVE Call For Reinsp. NSPBCT�ON NOTICE �� City of Tigard Building Department 13125 SO Hall Blvd. ^.igard, Oregon 97223 Inspection Line (Rec-O-Phone)s 639-4175 Business Phone; 639-4171 ) I i Inspections !rooting Plby. Unde_elab Mach. Rough- in J►ppr/Sdwlk Found. Plbg. Top nut. Sae Line ;FINAL: Post/Ream .,eruct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Inaul.ation -Plumb. Plbg. Underfloor hater Line Gyp. ed. /0' leech. Date Roquesteds_ ___Times Address: I •i f �«�f _ Permit 1s_�/ '" Builders.. TAE FOLs..OWING CORRECTIONS ARE RSWIRED# 7 C1��2 a� �N W 41 Inspectors �" Date! RPPRO{ISD Di3APPROV6D "APPROVED SUB.IRCT TO AM" %� Call For Reinsp. INSPECTION NOTICE City of Tigard Building Departaent 13125 Sq Hall Blvd. Tigard, Oregon 97223 InepeCtion Lina (Rec-O-Phcna)s 639•-4175 Business Phones 639-4171 Inspections Footing Plug. Underslab Is. Rough-in Appr/Sdwlk Found. Plbq. Top Out Ls Line FINALS Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mecte. Rain Drain InsulatJ ori -Plumb. Plbg. Underfloor Nater Line Gyp. Rd. -Koch. Date Requested: / I� 1�� Time: AM _PM Address: l L� � � � Permit is r Builder: TRF FOIXOWIN, CORRSCTIONS ARE REQUIRED: iY F-- V7 J L LO -- LLJ J d" Inspectors � Dato I —%1 APPROVED DIaIlPPROVFD `- APPROVED SUPJECf TO ABOVt ---call For Retnep. INSPECTION NOTICE City of 'Tigard Buildil 1 Depart:ant 13125 SR Hall Bled. Tigard. Oregon 97223 Inspection Line (Rec-O-Fhone): 639-4175 Business Phone: 639-4171 Inspection:____ looting Plbg. Underslab ech. Rough- Appr/Sdwlk Fond. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer ` Framing' -Bldg. Post/Beam Hoch. Rein Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Hoch. Date Requesteds /a.� y�� 1^Tuns: AN PH Address:--- J r /�/C Permit #si3 -91-6 Y Builder: r 17M FOLLOWING CORRECTIONS ARE REQCIREDs T LL Ln --- J rr W J Inepsctors APPROVED DISAPPROVED ACPROVED BUBJRCT TO ABOVE Call For Peinsp. INSPECT_'ON.NOTICE City of Tigard Bsilding Departarmt 13125 Sw Rall Blvd, Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspecti.on:_ Footing Mg. Underel.ab Mach. Rough-in Appr/Sdwlk Found. �ibq. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbn. Underfloor / Nater Lin/e/ Gyp. Bd. -Koch. Data Requested: l -��f Times AM px Address: `permit 1= 11173 _` Builder: THE FOLLOWING CORRECTIONS MM MQUIP"s ZZ/ r1 L_ L CL — --- D: H N F-- J CD W J Inspectors _APPROVED DISAPPROVED APPRO"D SDR..RC" TO A40"E Call For Reinsp. INSPECTION NOTICE City of Tigard building Depar-taer, 13125 80' Hall 91vd. Tigard, Oregon 9,-23 Inspection Line (Rec-O-Phona)t 639-4175 Business Phone: 619-4171 Inspection: rooting Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALt Post/Ream Struct.')/Ban. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Na'f.er Line Gyp. Rd. -Mach. Date Requestodt i j 1 .) Times AM pN Address:_1 L� I Permit Et %j Builder: THE FOLLOWING CORRECTIONS ARE REQUZRSD: —"ter-''r � ti`G�,J..� �Q_ ,,.�• , ��-✓1 u~-vii -- ` X11 a J CD W _. Inspectors� (�/ / 1 , Date:_[ �= c;_3 APPf.OVED DI8APPROVRD �. PROVED SUBJECT TO ABOVR \klk.ck Call For Reinep. 1NSPEr-" ION NOTICF. �\ City of Tigard Building Depactsacnt 13125 SM Hall Blvd. Tigard, Oregon 97223 I.sspection Line (Rec-O-Phone): 639-4175 Business Phcne: 639-4171 Inspections I 1 footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk `foutld. Plbq. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing --Bldg. Pos../Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Une Gyp. Bd. -Mech. Date Requestte✓di ��(D- ( � Tfine: AM ton M Address I2.��(� I '� I3n1 —jPefyrmit #t:3 Builder; lV�✓IMKJ1 �. �("Y 1 (al I Z THE FOa.LOWING CORRECTIONS ARE REQUIRED: LL Inspectors Datss_ -APPfA'OVID CIs11PPROVED APPROVED SUBJECT To ABOVE Call for Reinsp. LNSPECTION NOTICE City of Tigard Building Department 13125 RU Hall Blvd_ Tigard, Oregon 97223 Inspection L'_ne (Rec--O-Phone)t 639-417 Buoineon Phone: 639-4171 Inspection: r ll,i ra`7� lot-ti_ Footing Plbg. Underslab dmh. Rough-in Appr/Sdwlk Found. Plbq. Top Out Gas Line FINAL: Post/Beam Struct. San. Sorer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underiloor I Water Line�j Gyp. pd. -Koch. Date Requested s tt II)2I! Z 2 - �/ �igNt u{ pM Address: Z ' p1 1✓15� -- — Permit -ie Builders THE FOLLMIMO (MRRECTIONS ARE REQUIRED: O. F- V) I-- fN J L r-� LO W -- J 42 Tcsps7_AIIP::�D � Date:_ '� DISAPPROVED APPROVRD SU&T—T TO ABOVE Call For Reinap. INSPECTION NOTICE city or Tigard Building Department V" L9125 S# Ball Blvd. Tigard, Oregon 97223 Inspection Lina (Rec-o-Phone)r 639-4175 Business Phone: 639-4171 Inspections_ Footing !. Plbg. Underelab Mach. Rcugh-in Appr/Sdwl.c Plbg. Top Out Cas Line FINALi Post//Mam $tract. San. Sewer Framing -Bldg. Post/Beam Koch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line oyp. Rd. -Koch. r ,I Date Requestedi_ I 17 .j —Timer PN Addreso: I� I Permitil#e J ' euf Ider i._]A n� THE FOLLONr NO OORRErTIONS ARF O[RM LL w Inr Datec_� -,APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE Call For Reinsp. INPPECTION NOT.LCE City vt Tigard Building Department 13125 8W Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 63S-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Lin FINAL: Post/Beam Struct. San. Sewer: Framing -Bldg. Post/Beam Mach. Rain nraiAti Insulation -Plumb. Plbg. Underfloor �Water LaBI� Gyp. Bd. -Much. Data Requ'e'steds - 0 w _Time: -AM (d" Q �yA / (d" PH Adirees: �ct1 7 ✓n1 Permit #t-1�/--Ill Builder.:' )1A 11 ���Y�-{ 761 1-()- THE FOLLOWING CORRECTIONS PAR REQUIRED: _ 7 -- --� —� — V1 F-- oe W J - _ Inrpectort AFPROVED DISAPPROVED APPROVED SUBJE(.'T To ABOVE Call For Reinsp. IN CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . . M S'T93-9564 ;3125 SW Hail Blvd.Tigard,Oregon 97223%81?�t4p2�139-fl71 DATE ISSUED: 11/08/93 PARCEL: 2SI04AC--08300 S:.TE ADDRESS. . . . 1:594 SW 131ST AVE SUBDIVISION. . . . : MORNING HILL NO 5 ZONING: R-25 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :226 BUILDING ---------------------------------------- REISSUE: ---------------------•---------------- RE:ISSUE: DWELLING UNITS: 1 BAGEMENT. . . . . . . . :0 sf CLASS OF WORK, :NEW BEDR11S:3 BATHS:3 GARAGE. . . . . . . . . . :453 sf TYPE OF USE. . . :SF FLOOR :4REAS---------- REQUIRED SETBACAS-----•------ TYPE OF CONST. .-5N FIRST. . . . : 12:4 sf LEFT. . : 17 ft RIGNT. : 18 ft OCCUPANCY GRP. :R3 SECOND. . . :810 sf FRONT. :20 ft REAR. . :36 ft STORIES. . . . . . . :2 THIRD. . . . :0 sf REQUIRED------- HE I QHT. . . . . . . . :23 ft TDTAL-----•-:2'D-,4 sf SMOKE DETECTORS. :Y FLOOR LOAL. . . . :40 psf VALUI. . . . . 8 : 102178 PARKING SPACES. . : 1 Remarks: PATH I _.. ---------------•------------•--- PLUMBING --------- ------------------------------ SINKS. . . . . . . . . . : 1 -------- ----------•------------------- SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0 LAVATORIES. . . . . .4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . .0 TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :O WATER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 1010 OTHER FIXTURES. . . . . :0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O WASHING MACH. . . .- 1 SF RAIN DRAIN3. . : 1 --------- MECHANICAL ------- - -------- --- ------------ FEES ------ --_---- __ FUEL TYPES----------- UNIT HTRS. . :0 type amount by date recpt /GAS/ / / VENTS . . . . . :0 TIF i 1521. 00 PLL 11/08/93 - MAX INPUT:O BTL; VLNT FANS. . :4 BPRT f 440. 50 PLL 11/08/93 FURN ( 1O0K . . :0 HOODS. . . . . : 1 BPLC $ 286. 33 JLH 11/02/93 93-24566O FURN ) =100K . . : 1 WOODSTO.'FS. :0 E45PC f 22. 0:3 PLL. 11/08/93 -- FLOOR FURN. . . . :0 CLO DRYEREi. : 1 SS-C 4 280. 00 PLL 11/03/93 - B(:)lL/CMP < 3HP:0 OTHER UNITS: 1 PARK 500. 00 PLL 111081'i4 GAS OUTLETS: 1 MPRT f 45. 00 PLL 11!08/93 Owner-: -------- ----_____________.---__..-_MF'LC t 11. 25 PLL 11/08/97 JAY MILLER MSPC $ 2. 25 PLL 11/08/93 - P O BOX 23291 PPRT 8 155. 00 PLL 11/09/93 - PSPC $ 7. 75 PLL 11 /08/93 - TIGARD OR 97281 Phone #: 684-7543 Cant ractor: _______________----------_--.-- JAY MILLER PO BOX 23291 TIGARD OP 97281 Phone #: 684-7543 Req #. . : 30109 f 32F70. 11 TOTAL This permit is issued subject to the regulations contained in the --- REQUIRED INSPEC'TION'S ---- - Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp applicable laws. All work will be done in accordance with approved Post/Beam Strutt Gas Line Insp niani. This permit will expire if work is not si.arted within 188 Post/Ream Meehan Insulation Insp days of issuance, or if work is suspended for morn than 188 days. Plm/undslab Insp Gyp Board In p �( PLM/UnderfA.00r Rain drain Insp 1 -,,t,mittee Signature% f� _�; L /.Z;;! .�� Mechanical Insp Water Line Insp `, Plumb Top Out Appr,/Sdwlk Insp i ,,sued By :� _ Framing Insp Mechanical Final Call for iI,spection - 639-4175 CITY CSF TIGARD SEWER CONNECTION PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : SWR93-0489 13125 SW Hell Blvd.Tigard,Oregon 97223•81g%41.234j j-1171 DATE ISSUED: 11/08/93 PARCEL: 26104AC-08300 SITE ADDRESS. . . : 12594 SW 131ST AVE SUBDIVISION. . . . : MORNING HILL. NO 9 ZONING: R-25 BLOCK. . . . . . . . . . . L01. . . . . . . . . . . . . :226 TENANT NAME. . . . . : USA NO. . . . . . . . . . : FIXTURE UNITS. . . : CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDJNGS: 1 JNSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : : sf Remarks : PATH I Owner: --------•--------------------•- ------------------------ FEES ------------ -- JAY MILLER type amount by date recpt II P 0 BOX 23291 PRMT $ 2200. 00 PL.L 11/08/93 - INSP $ 35. 00 PLL 11/08/93 - "fIGARD OR 9728) Phone #: 684-7543 Contractor: ------------------------------ CONTRACTOR NOT ON FJLE PI-i o n e #: 2235. 00 TOTAL Reg #. . ------ REQUIRED INSPECTIONS - ------ This Applicant agrees to comply with all the rules and regulations Sewpr Inspection of the Unified Sewage Agency. The permit expires IN days free the date issued. The total amount paid will be forfeited if the permit expires, The Agency does not guarantee the accuracy of the — — ;ide sewer laterals, if the sewer is not located at the measvement given, the installer shall prospe:t 3 feet in Al directions from the distance given. if not so located, the installer shall purchase a 'lap and Side Sewer' Permit and the Agency will install a lateral. 1,er-mittee Signatures`:- 15,sued Bye` — -- ti Call for inspection - 639-4175 cc h ti J C C'J W J LI I Y (IF -f IHPIRD RL-CE Ifs'I I.II PAM: N I W I I 1 P I W.I. a'+;; r 4`,1►W% 1.;1}kr.1,K 1•Ih11_ILIN I a `'i.-",h. 1. i Nrll+tk: a .1HY 011,111M IALDR. , INS::. 1. Will FIMI_IUN f ADDRESS t I L)w I'M 1."►-I'(14LN 1 W4 1 f r ] i !A-M11IVISIUN 1I,44RD, OR )/2P.3••- PURPOsr-, OF RA Y MF-N i NMI WN 1 FSA 11.) I-II 11641 F:. 0F PAYMF N i RMt.ItJN f Pi 4,1 1.1 lZJJF..D NG PE:RM 440. 50 PlAIMBINI:i F'F"RM _...__ r1115. 00 Ih1F"CFIANICAL. PE=' 45. AA S'I. BUILD PFR 0,3 i-l. 1 11 (IN CHECK F'FF: 47. '56 SF:.WF R USH f WR9 3•-•11489Pi—loV1. 00 .,I.WF.R I Nc4PFGT• .:35. A0 PARKS 91A, ,'°,v w. AA ti STORM DRAIN F3i1E:; 2010. 00 1 SIDE.NIIAI.. 1RFIFF- IC: FEES 14tI/I. 00 MASS TRANSIT TIF FF F-,F13 I to. 01A w J 1 �`::i94 4;I� 131ST' AV[�NI11 MORNINH H111- 09 /1..111 #i.PE, f O f 4iF_ $40111111\11 P l 11) - - ) 5^. 5. 1 1 LITY OF TIGARD -- RE-C.'LIPT OF PAYMEN1 J PT NO. 9 3,--.P.4 lif,6 0 l;HV.A;K HMOUN'r v 2.50. 00 NAME MIL.I-.F-Rl JAY 1,A13H AMCK)NI v IA. 1AL4 Pf4YMI--,NI DI-41f I I I VIH/9,� 50til)I v I ILI)10114 PI -)HP(*R+' -' UF PAYMEN f AMI KIN I" PA11) PUK"Wit.'. (IF' PAYMI7%Nl f-11)UN I PAI 1) CL 0.. cl: V) CD W P 594 4 SW 131ST TOTAL AMOUNI PAID P-50. 00 vJ CAO CAIJ i�'w Residential Building Permit_Applieation City of Yigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 C� �5 I i Jobstte Address: ,Office Use only Subdivision: ot # 1 l-(' Plan&JRec# Valuation: Pen,iit# Owner: C. Reissue of Address: Approvals R-egulred VIdT �.� p[, r1 �'�k�,1 ' ,�. Planning Phone: 1 _ Engineering Contractor: / L ' Other_ _. Address: ! Items Required Subcontractors Phone: Truss Details Contractor's License # (attach dopy of current Oregon license) Other Subcontractors: Plumbing: 1-)f- I'1 I,l_^G'_ �"_f` (° �; V 1 ` ;�;. _ —� C/ _ `'r-m0vAt- 7 Mechanical:_ !r9 ;! r i� N I/�G--� ✓Z 7��.ES (attach copy of current OR G6hiractc s TIcense) � -biAr, A7 y ' />t�iG/�/7' ArchitecVEr,glneer. CL Address: �- Phone: J L W COMMENTS: J 17 q C Applicant Signature & Phone number Received by: i �J Date Received: ,// > > j Permit # Account Description Amount Amt. Pd. Bal. Due f�fyf y3-_ySG Bldg. Permit (BUILD) •� O.J� 41 /0• )--p Plumb. Permit (PLUMB) 655, ,' SS. t Mech. Permit (MECH) 4.5. o� � _ �S• � Stage Tax (TAX) _.32 .Uj 32-03 Bldg: Ou -U Plumb: _ ?•7 ? Mech: .2 Plan Check (PLANCK) Bldg: Plumb: Mech: �- Z ,5(.,g f U Sewer Connection (SWUSA) .22 vU Sewer Inspection (SWINSP) Parks Dev Charge (PKSOC) Sd0 / SUo Storm Drainage Chg (SDSLC) d / •2�U Residential TIF (TIF-R) v 0 Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) _ Institutional TIF (TIF-IS) Office TIF (TIF-0) LO Water Quality (WQUAL) _� y Water Quantity (WOUANT) Fire District (FIRE) TOTALS: S O S. C `�� 1z SS di�