Loading...
10252 SW PICK'S COURT ADDRESS; Lurt is\records\microtlm\targets\building.doc CITY OF TIGARD C0E4MUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd,Tigard,Oregon 97723.8199 (50)659-4171 CERTIFICATE OF OCCUPANCY x x x x PERM I T *. . . . . . . : M'3T31•--031 639-417) f)'PTU ISSUEDC SITE ADDRE•:SS. . . C 10252'252' SW P I C10 9 CT PARCEL C ���i 1 14•F{1:1 1 Er 1 fG'. SUBDJUSION. . . . : RIVEs"RVIE.W ESTATE'G 70NING: P-7 FST) BLOCK. . . . . . . . . . a LOT. . . . . . . . . . . . . a7 CLASS OF WOR;',. :NEW TVPE OF USE. . . : F OCCUPANCY GRP. :R3 QCCUF'ANC Y LOAD:c G'.1 4 TENANT NAME.. . . Rema.,ks c 1\10 TIF, PARKS OR STORM DRAINAGE; 'SL)Ls _. FEES TRFIN9FE BRED FROM DEMOLITION PE 1I T #BUG9r:••' 0-@3 ( 1 ft14` 0 ciW R 1 1iERWO01)) NEED COMPIPAC r I ON TEr'3T F'OFa FILE_ 5KYL.IOHT HOME BUILDERS CO P O PDX 231.5 LAKE= OSWr13I:' OR 9703:3 Phone #i 51,13-636--P994 Gont rest or: _ .._ . _. ... ... .... .. .. . aKYL I C HT HUME~ BUILDERS CO cl Pox a31' L AKL OSW =(3C:i 1.1R 97035 Phone 411: 303-6,36--,2994 Re g #1. . a .340BE, Oc-cupancy of the above referenced bUildintj is hf�r^eby lived, and certifies thn complianc_•e with the State (.'If- f.Jr"+yon Cpecir,ity Godes for the group, occupancy, and u%e cender which the re-ferenc-ec.i permit was issued. Barad • ,c� s�-. F"I RE: DEPARTMENT I. ..U..._..,. ;r.E TUR % Nhh _.... -._. ..._ ._._. �• UILDING OF-F". CIAL PU:s I IN (.AJN'.ar'1(*;1.1(:111`.; m..FlcF_ I ( I � L1Lf';fCC,ON NOTICE city of Tigard Bu.tlding De:partmmt 13125 SW Ba.l B1v:1. Tigard, Oregon 97223 Inspection Line (Rec•-O-' ono)! 639-4175 Business Phone: 619-4171 Inspection:_.__ Fow `.ing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Tori fh%t Gan Line FINAL: Post/Beam Struct. Ilan. SenaNr Framing -Bldg. /l Post/Beam Mech. Rein Drain Insulation 4mb. Plbg. Underfloor Nater Lino Gyp. Bd. -Noeh. Date Requestedt —Ti;.tet AN -PM Addrossf � � C ` Permit f t_��/ Bull TAE FOLLOWING QORPECTIOti9 ARE REQUIRED: / _ .._ Inspectors / / —- Date:--'f- APPROVED DISAPPROVSD APPROVMD SUBJECT TO ABOVE Gill Fnr Relnsp. JUNSPEC ION—NOT IC-9 City of Tigard Building Department 13125 BW Ball Blvd. Tigard, Oreton 97223 Inspection Line (Rec-40-Phone)s 639-4175 Business Pho 3 639- Inspections Footing Plbg. Underslab Mech. Rough-in APPr/24W1k hound. Plbg. Top Out Gas Line FINAL) Post/Beam Struct. San. Sewer Framing 1-4ldg4 Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. underfloor Nater Line Gyp. Rd. -Mech. Date R©questadt - __—Timet AM PH PerAlt Builder: `,-7I•�t�►G��� I L'WYJc�I�IL^l=r THE FOLLOWING CORRECTIONS ARE REQUIRED: /4iU /�'c�C rr ori. 21i .e- %C) Inspector* Date: _ APPRDVSD DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinep. INSPEC�ON NOi,ICE City of Tigard Building Departbent L9125 SN Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phoge): 639-4175 Businenn rhone: 639-4171 i Inspections Footing Plbg. detalab Mach. Rough-In ( Appr/Sdwlk) Pound. Plbg. Top 01st Cas Line FINAL- Post/Beam St-ruct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulaticn -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requested: T l� Times AM PM ' Address: 0i� -/3/L � Permit �1 - Builders THE IOLI.OWINO CTIONS ARE REQUIRED: Inspe-tor: �_ F } ^� h h�� _ `-- Date: APPROVED L:aAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinap. LNSPECTION NOTICE City of. Tigard Building DOPart-ant 13125 SW hall Bled. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Business Phon ': 639-4171 Inspection: _ tooting Plbg. Underslab Mech. 'tough-in Appr/Bdwlk Found. rlhg. Top Out Gas Li,�a FIx Wt- post/Beam Struct. San. Sewar Framing C -Bldg. Poet/Beam Mech. Rain Drain ?nsulation -plumb. Plb7. Underfloor Water Line Gyp. Bd. -Koch. AM Data Requested: J � _. Timet PK %> / �j Mdress: �l � C �__ Permit �s r /-1 r �/ ��� Builders i THE tOLI.MN0 CTIONS ARE REQUIRED: I IA-1 SC//ce ; c,e- 4 5-iadz,2 cz 'Z:b�2 i Inspectors --— Dates APPROVED _Z10"APPR APPROVED SUBJECT TO ABOVE r Call For Reinsp. rs� INSPECTION NOTICE City of Tigard Building Departaent 13125 BW Ball Bled. Tigard, Oregon 97223 �~ Inspection Lire !aec-O-Phone): 639-4175 Bueinoss Phone: 6394171 Inspectlonc Footing Plbg. Underslab Mach. Hough-in Al -/Sdwlk Found. Plbg. Top Out Gas Tine fINALs Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain D-min Insulation -Plumb. Plbg. Underfloor Nator Linn Gyp. Rd. -Mgch. Date Requested �l /(�^C' _T � A _ PH Address �U�'J /// � Permit ts� Builders « �_ TRY FOLLOWING CORRs OMA RLQOIRROt S -PC_� I- >y C>1 >� c� L'< fycc._ G, Ile r Inspecto-:s_ / l Dates ,> APPROVED DIS&PPROVED ✓ APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard Oregon 972 45 Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171 Ins ections _— Footing t1bg. Underelab Vech. Rough--in P.ppr/Sdwlk Found. ielbq. Top Out Gas Line FINAL: Poet/Ream Struct. San. Sewer Framing -Bldg. Poet/Beam Hoch. Rain Drain '� Insulation -plumb. Plbg. Underfloor Water Line •L Gyp. Rd. -Rech. Date Requeeted s c�'f ly 3 Times _�/'AM PM Addreee:� S� i Permit isoe -Cf--�2�F-- Builder: TBE FOLLOWING CT N8 ARE REQUIRED: Inspectors _ Date: l _��� e%_ 1 APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Calt For Rei-nap. INSPECTION NOTICE 1 City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab Mech. Rough-in Appr/sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. Sa. . Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd.\ -Mech. Date Requested: 2" /Time: d AM PM Address: I i/ZS �,,�� PPsmit #: Builder:-, &I THE FOLLONING CORRECTIONS ARE REQUIRED: v .1 ca. ,,_ a'- _ Inspector•_ _, / 9ate: APPROVED nISAPPROVED Y APPRO'1ED SUBJECT TO ABOVE Call For Reinap. INSPECTION NOTICE [/( City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone: 639-4175 Business Phones 639-4171 Inspections Footing Plbg. Underslab Nech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gae— FINALS Post/[seam Struct. Ban. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor 11Water Line r Gyp. Bd. -Mech. Date Requesteds /�,L / —`� Time: _ AM PN Address: ) Permit Builders , THE FOLLOWING OR64CTIOARE REQUIRE[): Inspectrr:_ `- _ —_ _ Dates APPROVED _-_ DI:3APPROVF.[) _ APPROVED SUBJECT TO ABOVE —call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 M Ball Blvd. Tigard, Oregon 972234 4�1 Inspection Lire (Rec-O-Ph+one): 639-4175 Business Ph ne 1 Inspection: ____ Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Bean struct. San. Sewer Framing -Bldg. Poet/Rears Mech. Rain Drain Insulation) -Plumb. Plbg. Unierfloor Water Line Gyp. ed. -Mech. Date Regvesteds I (ti 1 (/� Time: AM PM Addreses `��Z� Z I�IC�-� ! INSPECTION NOTICE City of Tigard Building Department 13125 BW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 6 4175 Business Phone: 6 Inspection:, _— Footing Plbg. Underalab Much. Rough- Appr/Sdwlk Found. Plbg. Top Out Gas Lina FINAL- Post/Beam Struct. San. Sewer Framing -bldg. Poet/Beam Mech. Rain Drain —I-nssuulat�ion --Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: Z/ !1� Times �AM PM Address: Lof�cp _ �� Permit Builders !. TNR FOLLOWING CO CTIONS ARE REQUIREDt C/I N C -'e u i 1 A4!i v IC 7-,A l-J Inspector _ _ Dates APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE. City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rer_-o-Phone): 634-4175 Business Phone: 63 . 7 Inspection: Footing Plbg. Underslab `ch. Rough-in Appr./Sdwlk Found. Plbg. Top Out Gas Line , FINALt Poet/Beam struct. San. Sewer aming ~ -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Reyuestedt ! Times _AM PM /.^) P � Addreee: //G' S � � Permit fs, / r Builder: THE FOLLOWING CTIONS ARE REQUIRED: ZI (77 G � Inspector:__ T� Date-. APPROVED DISAPPROVED __ APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 1.3125 SW Ball Blvd. Tigard, Oregon 972 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections -- Footing P.lbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Q Plbq. Tnp Out ) Gas Line FINALS Post/Beam Struct. San. Sewer Ftaming -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor. WaterLineGyp. Bd. Mach. Date Requested: ��/ Times —AM �PM Address: _ I —� Permit is /���� Builder: TBE FOLLOWING COi:RECTIONB ARE REQUIRED: Inspector Dates ev APPROVED DISAPPROVED kPPROVED SUBJECT TO ABOVE Call For Rainsp. INSPECTION NOTICE City of Tigard Building Department 13125 SSI Ball Blvd. Tigard, Oregon 97223 Ineoection Line (Rec-O-Phone): 639-4175 Buainene Phone: 639-4171 Inepection:__� Foot.inq Plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gan Line FINAL: Pont/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. plbq Underfloor Water Line Gyp. Dd. -Mech. / � � Time: AMPM Date Requests-, Addrene: / ��/- - �/�✓GZ�C�'7 ` �+" Permit i s Builder:` TIIE FOLLOWING CORRECTIONS ARE REQUIRED: i � Inspector: / _ Dat.e:�__�` 1 'PPAPPROVED DISAPPROVED APPROVED SUBIRCT To ABOVE 777 Call For Relnsp. INSPECTION NOTICE City of Tigard Building Department x' 13125 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:__... __ �ooting) Plbg. Underslab Much. Rough-in Appr/Sdwlk Found. / Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Meeh. Date Recr:ested:_ q ` _ _Tim —PM Address: Permit Builder: THE FOLLOWING C4 CTIONS AAE REQUIRED: inspector t_ i 1=���- Date:., ` APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinnp. ITyOF TIFARD CnYOFTWA,'9 PILUMS II lu V.-trm I-I COMMUNITY DEVELOPMENT DEPARTMENT moo. PF RMi t it. 1 ..-,0 j I 13 126 SW Hall 6�,d. P.O.Box 23397,TOW,Oregon 97223 (603)639-4176 cc �i,(TE ADDRESS. . . 1 10252 SW PICK' y. C1 PARCEL j ;RS114BB-16100 !iUBDIVIGIUN. . . . s RIVERVIEW ESTATES 7 ON I NG i R---/ PI) BLOCK. . . . . . . . . . .17 CLASS OF WORK. . s1'-1EW GARDAGr- D I SP."Y3ALS. . a I I YPL OF.- LISL. . . . iSF WAS1111\16, . . . . . . . : 1 BACKFLOW PREVNTRS. z0 OCCUPANCY GRP— eR3 FLOOR DRRINS. , . . . . . ..0 TRAPS. . . . . . . . . . . . . . :0 '.a I L)141 EE;. . . . . . . . 12 WATUR HL-.ATFRb. . . . . . . I CATCH BASINS. . . . . . . :0 F I X LAUNDRY . . . . . . ..0 bF RAIN DRAINS, . . . . : 1 S I NKS. . . . . . . — . 11 PREAS6 TRAPS. . . . . . . :0 IwArORIES. . . . . 14 OTHER F- IXrUPL5. . . . . .0 i 0B/6HL-1WVRS. . . . i, 53E WFU L I ME ( ft ). . . , a0 WArER CLOSETS— 13 WATER LINE (f t ) . . . . . 1 V1 0 1 SHWaSHL'A 6. RAIN DRAIN (i1-. :0 i<erumrksj NO Ilf', PARKS OR �)'7(jrfll DRAJJ'A)11.PE- Sbcs FA'LS rRANSFERRED DUVIOL I T I U IWNEF49 �JKYLIGHT HOME' BUILDERS CO BPRT 1, 4.:53. 00 J1.1 08/215/92 P 0 BOX 2315 rAPI-J-1 40. 00 .ILII I i;'.l 31/91 2j21:'jtq� F3 5 P C., 1. 65 111 08/p6/92 LAKE UGWCBO OR 97035 NPR r (jlqj j I.j on . . /a 6,/ Phone #r 2503-636-2994 WILT $ 9. 75 JH 013/iw6/92 M5PL $ 1. 95 1H 08/'k2.6/9 a,, 1-jIUmbing PP,RT $ 147. 5 01 JH 0 8 6,19,al Name : i am; k-T I I A Reg ...... U&WUJb) INS:E(IT101111 Fhis permit is issuod subject to the i-eq- ulations containe4l in the Tigard Muni(--tpal Insp Rain drain Insp f,od�,' til;ate of Ore. Sirecialty Codes and all Post/0eam Stri.ict Water Lille Insp other applicable Imw5. fill work will he done Post]Remm 'Mec:)An I r"r in -cordanre with approved plans. This Pllm/unzi%lab Insp ;oJech an i'da I Finarl. emit will expire if wark it; not started PLM�Und erf I o or Plumb Final within 180 (JMY3 Of J.SSLlance, or jF worl< is Mischallical, tn,.;p luildinrl Final sttspended for more than 180 dekys. Plumh -rop Out firosion Control Framing Insp 11*'rawl Drain Fireplace Insp Gas I- me Insp Ins olatinti Insp --1yP tloavld llis� Authorized Plt_tmhlng C'unfractor Signature Gall For lm.ipertirm 6.39-4175 G a n t r A c t a r N o t P --—-------CITY OF TINAi�� OFTWARD COMMUNrrY DEVELOPMENT DEPARTMENT one*" ' 7 PERMIT . . . 13125 SW 14WI Blvd. P.O.Box 23397,Tkpiud,OnVon 97223(503)630-4175 PE-RMI'T #. . . . DATE ISSUED: 09/18/92 SITE ADDRESS. . . : 10252 SW F'ICK9R CT PARCEL: 2SI14BB..-RV SUBDIVISION. . . . : RIVERVIEW ESTATES ZONING: R-7 PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :7 BUILDING REISSUEtMST91-0310 DWELLING UNITS: 1 BASEMENT.. . . . . . . . :0 90 sf CLASS OF WORK. :NEW BEDRIYIS.,4 BATHS:3 GARAGE. . . . . . . . . . 9456 sf TYPE OF USE. . . :SF FLOOR AREAS----------- REQUIRED SETBACKS---------- -rvPE OF CONST. :SN FIRST. . . . c914 sf LEFT. . : 15 ft RIGHT. :30 ft OCCUPANCY GRP- :R3 SECOND. . . : 1068 s FRONT. :20 ft REAR. . i38 f STORIES. . . . . . . :2 THIRD. . . . .0 r, f REQUIRED-- HEIGHT. . . . . . . . :21 ft TOTAL--------: 196 sf SMOKE DETECTORS. 1Y FLOOR LOAD. . . . :*40 psf VPLUE. . . . . $ : 99380 PARKING GPACES. . .-O Remarks: NO TIF, PARKS OR STORM DRAINAGE SDLr. -- FEES TRANSFERRED FROM DEMOLITI PLUMBING SINKS. . . . . . . . . . 11 FLOOR DRAINS. . . . 10 BACKFLOW F'REVNTRS. . :O LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 IUD/SHOWERS. . . . -3 LAUNDRY TRAYS. . . 30 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . cl WATER LINE (ft ) . : 100 OTHER v-'ixTuREs. . . . . :iz, GARBAGE DISP. . . : 1 RAIN DRAIN (ft) . 10 WASH I NG MACH. . . : I SF RA I 1\1 D RA INS. . : I ----------------- MECHANICAL FEES FULL TYPES------- UNIT HTRS. . :0 type amount by date recpt /GAS/ VENTS . ..0 BPRT 4 433. 00 JH 08/26/92 — MAX INPUT:O BTU VENT FANS. . :4 BPLC 4, 40. 00 JLH 12/31/91 221388 FURN ( 100K . . . I HOODS. . . . . . .. I B5PC $ 21. 65 JH 08/26/92 — FURN )=100K . . :0 WOUDSTOVLS. z 0 111-:1 R T $ 39. 00 JH 08/26/92 FLOOR FURN. . . . :0 CLO DRYERS. : I IVIPLC $ 9. 75 JH 08/26/92 BOIL/CMP ( 3HP:0 OTHER UNITS:O M5PL $ 1. 95 JH 08/26/92 GAS OUTLETS: 1 PPIRT $ 147. 50 JH 08/26/92 Owner: P5PC $ 7. 38 JH 06/26/92 SKYLIGHT HOME BUILDERS CO, P 0 BOX 2315 LHKE OSWEGO OR 9710315 Phone #: 503-636-29 Contractor: SKYLIGHT HOME BUI RS CO P 0 BOX 2,315 LAKE OSWEGO OR 97035 Phone #v 503-636--2994 Reg #. . o 34086 _—_________------,---------------.___— $ 700. 23 TOTAL This permit is issued subject to the rejul s contained in the ------- REQUIRED INSPECTIONS Tigard Municipal Code, State of Ore. Special Codes and all other Foot/found Insp Fireplace Insp applicable laws. All work will be dont in ccordance with approved Post/Beam Struct bas Line Insp plane. This permit will expiroif w � i not started within 188 Plost/Beam Meehan Insulation Insp days of issuance, or if work Is sus nd for more than 181 days. Plm/undslab Insp Gyp Board Insp PLM/Underf 1 oor Rain drain Insp Permittee Signat'.,Lt P : Mechanical Insp Water Line Insp Plumb Top Out Appv-/Sdwlk Insp Issued By: 0z Framing Insp Mechanical Final Call for inspection — 639--4175 C'TY oF T'GA RD SEWER CONNECTION COMMUNITY DEVELOPMENT DEPARTMENT 0"0001 tD PERMIT 13-126 SW Hell Elvd. P.O.Box 23397.T%pW,Oregon 972M(5W)6394175 PERMIT #. . . . . . . .. SWR92-015-i 639-4171 DATE ISSUED: 09/18/92 SITE TL AL)L)RF-Sb. 1121252 SW PICK' 5 CT i-JARCEL: 25114BB—RV7 SUBDIVISION. . . . : RIVERVIEW ESTATES ZONING: H-7 PID BLOCK. . . . . . . . . . : LOT'. . . . . . . . . . . . . 97 I LNANT NAME. USA NU. . . . . . . . . FIXTURE UNITS. . . - LLASS OF WORK NEW DWELLING UNITS. - : I W TYPE OF USE. . . . :SF NO. OF BUILDINGS.- 1 INSTALL TYP . . . . :BUEWR IMPERV SURFACE. . -. - sf Remarks: -------- --------- FEES Owner : --------- ��KYLIGH/HOME BUI E S type amoi.tnt by date reept P Li BOX 2315 PRINT $ 2100. 00 JH 08/26/92 — IE JB S CO:C E INSP $ 35. 00 JH 08/26/92 — LAKE OSWEGO OR 35 Phone #: 503— —2�994 Contract or: LUNTRACTOR \10T ON FILL ................................ $ 2135. 00 TOTAL ---- REQUIRED INSPECTIONS itiii Opplirant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Hgency. The permit expires 16@ days froR e 11 1 In, date issued. The total amount ,ail will I f 1, t,d 1 the pewit expires. The Hgency does not guarantee th accuracy of the side sewer laterals. if the sewer is not lgcat at the memi�empnt ....... given, the instal!er shall prospect 3 f0t i all directions from n' " w guarantee not D a't" I "'Eat t i a I I list it Sewer 1 prospect the distance given. If tint so located, he nstaller shall purchase I Ag c a "Tap and Side Sewer" Permit and the A y will install a lateral. i ,r,rmittee I -si-ted LAY : —Call for inspection 639-4175 q,j CITY r13123 SWIiallBlvd. PLNCK/RECT # /;� �- /_� ' YOF T1lJARD "sox"" PERMIT # M,� COMAIU,`JITYDEVELOPMENTDEPARTNIF"N•C Tigard,Oregon972D (503)6)9-4171 DATE ISSUED JOB ADDRESS: I C) 2 S L SLA,' "F�CX-s C��+Z-� _ TAX MAP/1-0T 2.5 q 1_'3-17 y SUB: givernviel-I LOT: 7 LAND USE: _ VALUATION: OWNER SPECIAL. NOTES NAME:: 1CYc!6;+T I-lOnit I,'v)L,OtK-S Cd. _ REISSUE OF: ADDRESS: _ D /3uix Z3is" LAST REISSUE: C.f4Kf- cos'LvEGn, QZ 9 70S FLOOD PLAIN/ PHONE: (503) 65b-7-99Y SENSITIVE LAND: _ CONTRACTOR APPROVALS REQUIRED NAME: S✓.�--c 16Hr" 1�om> l3��c�F�s CO. PLANNING: ADDRESS: POi ENGINEERING: !.�r� Z3 r (RKe , st-ray'_ v2 r)793s– FIRE DEPT: PHONE: _ �ls0�)A3-Z`>9Y OTHER: TfF- `Vl� _ CONTR. BOARD #: EXP DATE: Z– ITEMS REQUIRED SUBCONTRACTORS: PLUMB: Lti e c v T r PC-61T> •i` LIST/SUBCONTRACTORS: MECH: I'hvE!aF- W-ib C!-� _ BUS TAX: ARCH/ENGINEER CALCULATIONS: NAME: SK CZbH'r 0-OWTRUSS DETAILS: ADDRESS: eo 13yx?3is - _ _ OTHER: bAK-ci 01(A-*7 0, 0iZ_ 9713 J- PHONE: .5-103 t 6 Zai 9`I PROPOSED BLDG. USE: <F-ZZ COMMENTS: /J-3 Lf Gc TAXb WrI4 SL/Q -W/ ' ANDS AaCt S4,05ht,) APF—LI—CANTflIGNATURE Date Received: Received By: �_- �' 1s 1�— PERMIT ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees 10-431 01 Mechanical Permit Fees 3 `J 3oy 10-230 01 State Building Tax (5%) �Z11r11Z Building Plumbing Mechanical > > 10-433 00 Plans Check Feed9' Building Plumbing _ Mechanical 10-230 06 Fire j Yl �S7 30-202 00 Sewer Connection / vv �/UV 30-444 00 Sewer Inspection 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-C1 Residential Traffic Fees -- 25-448-05 Mass Transit TIF Fees �-- 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) a'U -*"V- 24-445-01 Water Quality (fee in lieu of) 24-445-02 Water Quantity (fee in lieu of) TOTAL St -7 2 3 nm/3917i'_W111 CITY Cif F I C;A RD RECEIPT OF PAYMENT RE:C'r=:I P i NO. ;9i2,•-2.3 1833 CHECK AMOUNT 2 795. 2 3 NAME SIERRA PAC;IF=IC CASH AMOUNT a 0. 00 PAYMENT DATE: 419/111 92 '3LISDIVISI(IN r'(JRE=(NES OF' AMOUTAT PAM C) f•'I IRPW.& OF PAM-AT AMOUNT ISA I D RUII..,-D NC, F SRM._....._.__.. __.__.... 4:.33. 00 FLUMBINC3_._._____.._._,__.�..__ PERM 147. 50 MECHANICAL PE. 39. 00 G)T. BUILD PER 1-110. 98 PLAN CHECK FE '). 7 5 fICWCR USA P 1011. 00 SEWER IN PEr"r 31,,-;. 171 V. I—OT 7 PiVFRVJl-W ESTATES 1.0252 5W F='ICK15 CT TOTAL AMOUNT PAID ... i ::'..yt),... 23