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10467 SW PARK STREET ADDRESS: I oq I,Q] ryK LKuf i:\records\microflm\targets\buildirig.doc CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 67�1/ Inspection-.. A .. Footing Susp. Ceiling Sprink., Rough-in Appr/Sdwlk Foundation Plbg. Uncaerslab Mach. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out I c. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation ech > Underfir. Insul. Slear'Wall Gyp. Bd. -Elect. / Date Requested: 2 3 f ?� _Time: AM PM Address: Z d !S�(v -7 J� Builder: O�I� _Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: ti Inspector- _ Date:. PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE (/_7• _Call For Reinsp. l CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk. Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech, Underflr. Insul. Shear Wall Gyp. Bd. Date Requested: jej Time:_AM PM Address: Z -7 8uilder_�f i;11r, t�e c1 �("�'� Permit #: THE FG`LLOWIN;0.�LO_F��iECTIONS AREREQUI/R�D: �L"� ��5 �, Inspector:_,//�l Date: APPROVED ,DISAPPROVED APPROVED SUBJECT 1'0 ABOVE _Call For Rainsp, FA CITY OF TIGARD BUILDING INSPECTION NOTICE O Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6?9-4171 Inspection: J Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace f,st/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor I•lain Drain Framing -Plumb. prit/ t/ Alarm Water Line Insulation _ e Und©rflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: 312S Time:_)�',AM PM Address: 16l 1( I 1 1—/° Builder: C'� u/ ^7 Permit #ME- l-� �-7 THE FOLLOWING CORRECTIONS AR- REQUIRED: 62 i J i v- v�- ' � s_�,�5�{ ,moi•-r,� t✓.+.�,.Q �y�. inspector: `'��� '1— Date: _APPPOVED APPROVED _APPROVED SUBJECT TO ABOVE fAall For Reinep. ��\L Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # Phone (503) 639-4171 Date Issued FAX (503) 684-7297 Issued by L - 1 ( c CITY OF TIGARD TDD No. (503) 684-2772 -' Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Number of Inspections per permit allowed — Name of Development i f Address I l(1 Jj' B SiA k 2- r I Service included. Items Cost(ea) Sum City/State/Zip 1 A h'fk -! -7 Z Z 4a. Residential-p'r unit 4 1000 sq II or lose $1+0 00 Nameor narne of business �l°fe r �i 1-1'7 Each additional 500 sq It or ( — portion thereof $25 00 Commercial❑ Residential Limsed Energy $2500 Each Manul'd Home or Modular Dwelling Service or Feeder 8"00 2a. Contractor installation only: 4b.Services or Feeders Installation,alleralmn,or relocation ? Electrical Contractor GP-I � �C�l L1' —_ 200 amps or lees 58000 � Address_5`T(L,Q 5, PtA►-(.11 .i S e 201 amps to 400 amps $8000 M 401 amps to 800 amps $12000 __ Clty_.m 1 l;-,a State_ c PI Zip C17a j Z t»1 amps to 1010 amps $18000 2 river 1000 amps or volts $340.00 Phone No._�L� ��-�(��n ---- Reconnect only $5000 Contractor's License No. „1(��7 _ — Contractor's Board Reg. No. 6 1 _ '7 4c. Temporary Services or Feeders I Installation,alteration,or relocation ? Signature of Supr. Elec'n 200 amps or lees $5000 — 7 License No. Phone 0. 201 amps to 400 amps $7500 401 amps to 800 amps $10000 Over 800 amps to 1000 volts 2b. For owner Installations: soo'b'above 4d.Branch Circuits Print Owners Name New alte.stion or extension per panel Address a)The lee for branch circuits with Cit State Zip Purchase of service or Nader Are. a Y - Each branch circuit $500 Phone No. b)The lee for branch circuits wffhouf The installation is being made on property I own which is purchase of service or sewer An. First branch circuit $35 00 not intended for sale lease or rent. 4 J i Each addAional branch dreult &5 UO Owner's Signature is. Miscellaneous (Service or feeder not included) 3. Plan Review section (if required): Each pump or irrigation circle $4000 Each sign or outline lighting $4000 — Signal circuit(s)or a limited energy Please check appropriate item and enter fee In section 5@. panel.alteration or extension $4000 4 or more residential units it-no structure Minor Labels(10) JL $too 00 Service and feeder 225 amp-or more System over 600 volts nominal 41. Each additional inspection over Clses;fieo area or structure containing special occupancy t11e allowable in any of the above -- - as described in N.E.C.Chapter 5 `enoection T�htlUl $.SCi n0$pc,n0 Per ------ In Plant ___� $4b unci _-_—_--_ Submit 2 rets of plans with application where any of the above — apply. N n recruited for temporary construction services. 5. Fees: NOTICE So. Enter total of above fees $ 5%Surcharge(.05 X total fees) $ _�7 PERMITS BECOME VOID IF WORK.OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Ser..3) $ A PERICD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. ❑ Trust Account 8 $ Balance Due s J41 , 3 waemedw..bc.pie op C I'TY or- .r I(JHRD - Rr'GE:I PT OF, PAYME`NI r?F[',E I W'r No. CHECK 11MOUNT t 41. 75 NAM= GORDON FERRIS ELECTRICr ASH AMOUNT 0. 0-if ADDRESS 1.54tiQS PARADISE ANE rTE071 t I U t SI(IN I NO, OR 9704F-- PURPOSE 744:-.PURPOSE of PAYMENT AMOUNT PAID PURI OGF (IF F'()1'MF NT AMOUNT PAID FL„E.[ .r.R i G:At_�PERMIT t y�. PO ��T. BUILD PER 6. 75 aW � I w.. 1 1 10467 HW FARE; hl' i TOTAL AMOUNT PAI I) _ t A4.1 . 75 I I - I W W MECHANICAL F rT PERM 1 T CITY F IGARD PIERMI"r # . . . . . . . MEC95--OEIE COMMUNITY DEVELOPMENT DEPARTMENT DATE 1�3-ZJLIED; 07/07/95 13125 SW Hall Blvd.Tigard,Oregon 97223e8199 (503)639-4171 SITE ADDRESS. . . SW PARK -:i;F1' SUBDIVISION. . . . : ZONING: R-4. 5 BLOCK. . . . . . . . . . .I I LOT. . „ . . . . . . . . . . CLAI-S OF WORK. . -ADD FLOOR rupic . — c EVAP t--OOLERS: 1*'YF-,E OF USE. . . . -Gr UNIT F--IEAT.ERS. . : 'DENT FANS. . . . OCCUPANCY GRP. . :R3 VENTS W/O APP'L: VENT SYSTEMS: STURIE'S. . . . . . . . :2 BOILERS/COMP,RESSORS 1-IOODSJ. . . . . . . FUEL TYr,F_S-- 0­3 IIP. DOMES. Itdf IPI: :/ELE/ 3-15 HP. COMML. INCIN: MAX 11,4F-'UT. 14TU 15- '121 HF,. REPAIR UNIT,".. FIRE DAMPERS?. 30-50 HP. WOOD;STOVE�:)'. . I GAS PRESSURE. . . 50 HP. . . . . CLO DRYERS— : NO. OF UNITS—-- AIR HiNINDLING UN I T FOTHER UNITS. : F'URN ( 100K STU: 10000 cfln : GAS OUTLE-IS. FLIRN ) =100K BTU. > 10000 c:fm - Reniaii-ks : INSTALL CARRIER AIR--CONDITIONING UNIT OWTJeV_..' FEES PETER LIM 'type M 0--tTl t L,y diat e V-ecpt 10467 SW P.,ARK STREE'r PRIVIT t 25. 00 5W 07107/95 SPICT t 1. 11,�-J 53W 07/07193 TIGARD OR Phone #: Contrautat-: GUNSET 177UEL CO PIO BOX 420:87 PORTLAND OR 97242 r-'h,)rie 4t. L34- 0611 -.6. 25 TOTAL Rey 00a"374 REQUIR'L.J IN r-)P1 E C T 10 N This permit is issued subject to the regulations contained in the Mechanic-al Iritsp Tigard Municipal Code, State of Ore. Specialty Codes and all other F7irsal IT-ispection applicable laws. A'! work will be dine i-, accordance with approved plans. This not is permit will expire if work is ........ - within 180 days of issuance, or if work is suspended for more then 190 days. r-Mittee Siyylabl­t :.k Qt.I U ZD Call for- insplectiori 639 17,71 City of Tigard MECHANICAL. PEPMIT Planck/Rec. # - 13125 sw Hall Blvd. APPLICATION Permit # I;,,1-C cl�rC)LI`� Tigard, OR 97223 1503) 639-4171 Tabls 3A Mechanical Cod? UTY PRICE AMT Job alp l �(�C �'' 1) PermFee ee 0• o- 10.00 Address 2) Supplemental Permit 3.00 umace to Iuo,t W dib t) incl.ducts 8 vents 6.00 ,..,.ynae... urn loo-,-333 BTU + (Dwner lV CTI ( 2) incl.ducts& vents 7.50 — o„ � _ r!ucr Furnance ^_ 3) incl. vent 0.00 _ heater,wall heater 4) or Joor mounted heater 6.00 JI .. �� Vent -tot incl.in Occupant 5) appliance permit 300 +f�epa11 of neating, retng. 6) cooling,absorption unit 6.00 er or cBTU pump, cond. 7) to 3 HF absorp unit to 100K BTU 6.00 Boder or comp, heat pump, air cond. 9) 3.15 HP absorp unit to 500K BTU 11.00 COntrdctor a tfoder or comp, eat pump, air oond. 9) 15-30 HP absorp unit.5.1 mil BTU _1500 Y,. ..., ay "N.. Seder or comp,heat pump, air Gond. 10) 30.50 HP absorp unit 1.1.75 mil BTU 22.50 hereby ac ow edge that ave readthis application,that the oder or comp, eat Hump,ar cond. information given is cored, that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50 of the owner,that plans submit*.ed are in compliance with State Air handling unit to laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50 that the number given is correct. (If exempt from State rr,;Ic7ation, Air handing urnt please give reason below.) 13) 10,000 CTM + 7.50 Non portable 14) evaporate cooler 4.50 -- meant ran connected 15) to a single dud _ — 3.00 Ventilation system not Y Y1 p-�1t r j if5j' 16) included in appliance permit 4.50 Noo serve Y 17) mechanical exhaust —_ 4.50 escn work new additton�-alteration repair Commercial or industrial to be doneresidential non-residential 0 18) type incinerator 30.00 :sang use oU— - —other i.e.,w66dstove,water building or properly —_ — 19) heater,solar,clothes dryers,(itc. 4.50 Proposed use of 20) Gas pirnig one to four outlets 2.00 building or property 21) h1cm than 4-pvr outlet Type of fuel -of Q natural gas 0 LPG O electric Minimum g=ee$25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION _ AUTHORIZED IS NOT COMMENCED WITFIIN 180 DAYS,OR 5%SURCHARGE IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL _ AFTER WORK IS COMMENCED. (� (� TOTAL Specht Condrtionr�—C ��"�'v_s G ✓ — — �� Daty hued I �] by X5.1.—1 •u i . _._ ►.v6oa+rr t ` 97zzs CITY OF TIGARD - RFGF1PT (jF" F'AYlvlFNT RE'C',F:IPT NO. :95--267771 CHECK AMOUNT P-6. 25, NAME: a GUNGET FUEL_ C OMPONY CASH AMOI_!NI 0. 00 ADDRESS o P 0 BOX 4i?2S7 PAYMFNT VOTF 07 07/95 PORTI...AND, OR G11F{1)1 V 19 1 ON S PURFOSL C.1F r'OYMFNT AMOUNT PAID PURPMA OF PPYMF'NT AMOUNT PAID ..._P._._. . _ _.w _..._._.._........_..._.,....__ _.. . _..__....... ._...._.... ._.__._.. _F .....__.._ _25 II I 10467 SW PARK STREI T T01 H1. j7q!lni.INI PAID � � 4,� . f Ii i MR CITY OF TIG- ARD COMMUNITY DEVELOPMENT DEPARTMEN'T 13126 SW Hall Blvd.Tigard,Ortgon 9722398199 (503)639.411 i OCCUPANCY PERM 17, #. . . _ ;,-,GT94 4)k,, DATE ISSUED: 10/26/L4 PARCIzL: 121S10-2lZB-l?161)!?I0 511C ADDRES. . . : IV1467 SW PARK ST SUBDIVISION. . . . : Z ON T.NO: R 4. 5 BLOCK. . . . . . . . . . : . . . . . . . . . . CUASS OF' WORK. .114EW TYPE OF USE. . . :GF orCUPANCY GPP. :R3 OCLUPANCY LOADz223 4 TENANT" NAME. . . . Remarkst PATH I Owner KEN RANDALL. 9500 SW BARBUP BLVD SUITE 1300 PORTLAND OR Tt219 Phone #: ;.?45-1131 K P 14EST CO INC.' 9500 i.iW SARSUR BLVD WITE 31010 PORILAND OR 97i:.'19 PhnnN #- 245-11,31, Req 4t . s 57630 Ct7AAf)rAT1Ly of the above refereticc,.J bki.t i ,lintl is hereby Fjx%,&n, i-.kt%d certifies the compliance with the E3tatp OF Orrsuoyl C3fjP0-:,iAIty (-odes for- the group, 0 Cc-u p a 1-1 C Y, j.,ri Lj u%e u n 0 e i- which i I i f- r-v-Fi.-!v P i i C.e d p e v,m i i4 i: -A PEI. t�:,1 ING 0 s: V,0511' IN [A.11,4,PI01.11:IJ5 N11 INSPECTION NOTICE \� City of Tigard Building Departalant 13115 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (ROC-0-Phone): 619-4175 Business Pl,one: 639-4171 Inspection:_ _ VA� �— Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top out Cas LineFINAL Poet/Beam Struct. San. Bower Framing V Bldg./ Poet/Beam Mach. Rain Drain Innulation -Plumb. ✓. Plbg. Underfloor Wstei Line Gyp. Gyp. Bd. -MOeh. r /I Date equested: (U Time: Am PM �AYi Y /, Address: �P/Ot�mit �:��� �U Bullder-: 0-7 `763,6 TRE FOLLOWING CORRECTIONS ARE REQUIRED: 02 ,r I Innpector: RPPROVED DISAPPROVED APPROVED SURJEC" TO ABOVE ,;?\ �. Call For Reinsp. INSUCTION NOTICE City of Tiyard Building Departsent 13125 BW Ball Bled. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Businens Phone: 639-4171 Inspection: _--- Footing Plbg. Underslab Hach. Rough-in A pr/Sdwlk_, Found. Plbg. Top Out Gas Line FINAL: Post/Beam "_.:t. San. Sewer Framino -Bldg. Vast/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Plater Line / gyp. Bd. -Hoch. Date Requested: U Z I _ Times AM PH Ch I Addrens: /y Permit fs �) Builder: THE FOLLOWING CORRECTIONS ARE RF.QU:RED: Inspector:` P _ Dates -q4 APPROVED DISAPPROVRD APPROVED SUBJECT To ABOVE Call For Relnap. INSPECTION NOTICE City of Tigard Building Depart>vent 13125 SW Bwll Blvd. Tigard, Oregon 97223 Inspection Line tRec-O-Phone): 639-4175 H,:einAss Phone: 639-4171 Inspection: v Footing Plbg. Undorslab Mech. Rough-in Appr/SJwlk Found. Plbg. Top Out Gas Line INALf Post/Beam struct. San. Sewer Framing Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line �i (� Gyp. Bd. --ech. Date Requested:[[// Ie ZD `! / __Tune: q AM 7&PN Address: /0 "r(p rL;��. J� : Permit f: / Y-U p /U Buildert aiz2- THE FOLLOWING CORRECTIONS ARE REQUIRED: CA �."t,.`� 2x.,'` i�.�-��"✓1'?. cam. Y�J�✓� w- AM Inspectort �� Dace: APPROVED �DISA/PPPRR9VRD APPROVED SUBJECT TO ABOVE For Reinsp. jYS CTION NOTICE City o. T!-ard Building Departaent / 19125 _SN '1211 11vd. Tigard, Orogon 97223 Inapection Line (pec-. �)= 639-4175 Business Phone: 639-4171 Inspection: Pouting Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINi.Lt Post/Beam Struct. San. Sewer Framing -Bldg. PosL/Ream Mech. Rain Drain I:=sulation -Plumb. P11,g. Underfloor Water Line Gyp. Dd. -Meeh. Date Roque ated:_ - ------Time° ____PM Address:_ Permit "ly�� Ll Builder:THEa-c FOLLOWING CORRECTIONS ARE 'REQUIRED=,_ 0 �-F- � nom.-._,-L. -4-�____ �- � u�--✓-___�-�`�`' `nepector•— ` `_�% — -- _— Date:, _ APPROVED DISAPPROVED --- APPROVED SUBJECT TO ABOVE For Reinsp. INSPECTION NOTICE city or Tigard Building Depa.-tatent 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Bus ineas Phone: 639-4171 Inspection: Footing Plbg. Underelab Mecti. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Line FtNNA Poet/Beam Struct. San. Sf,wer Framing -Bldg. Poet/Beam Hoch. Rain Drain Insulation Plbg. Underfloor Water Line Gyp. Bd. -Mach. t Date Roquested:_ ( Time: _�AM PH Address: tPermit it / Buildert c_2 L 5 . V THE FOLLOWING CORRECTIONS ARE REQUIP.ED: / --- --- , Inspectl/o/r/: �f y Date: 7� APPROVED _ DISAPPROVED _ APPROVED SUBJECT TO ABOVE ____ _Call For Reinsp. NI SPECfION NOTICE City of Tigard Building Department 13125 SW Ball Blvd_ Tigard, Oregon 97223 Inspection Line (Roo-O-Phone): 639-4175 Business Phone: 639-4171 Inspection-_ ------ Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk F-)und. Plbg. Tap Out Gas Line FINX t Pott/Beam Strurt. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation Olumk!�� Plbq. Underfloor Water Lina Gyp. Bd. -Mach. Date Requaetedt 1—.L1_1.L—Timet AM PM Address: //ate L Permit #f, Builder:_ THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector:___— -- ------ Dat-e•,_---��-` APPROVED DISAPPRc:vEU _ APPROVED SUBJECT TO ABOVE -� Call For Reinsp. INSPECTION NOTICE �� I city of Tigard Building Department 13125 SW Rall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection•_ Footing Plbg. Underel,ab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulatio//n -Plumb. Plbg. Underfloor Water Lino �flyp.Bd.'p'�p -(Mech. Date Requested: r Z Time: \ _AM kM Address:_ / [-e7 � �CJ�--L., t permit Builder: �� / :2 C) __� THE FOLLOWING CORRECTIONS ARE 'IEQ�TRED: /uco/ Mai�.c, t 1au.d., Inspector•f ` Y_ Date: < _�APPROVED DISAP�� APPROVED SUBJECT To ABOVE _ _Call ^or Reinsp. - ---- -- -- - INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blvd_ Tigard, Oregon 97223 Inspection Line (Rer O-Phone): 639-4175 Business Phone: 639-4171 Inapection:_TT��____�_-- -- — ------- -- Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct, San. Sewer Framing --Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfluor Water Line /vyp.-,ad) -M,ch. Date RequentedsTime: --AM PM Address:1l Permit # 5r -od U Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: v Inspector:_ Date: _ ' APPROVED I DISAPPROVED APPROVED SumEcT -ro ABOVE _1L—Call For Reinnp. INSPECTION NOTICE , City of Tigard BtisildLog Depart-Mbent 1312S SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rer_--O-Phone): 66339-4175 Business Phone: 639-4171 Footing Plbg. Underalab Mach. Roug -in Appr/Sdwlk Pound. Plbg. Top Out Can Line FINAL: Poat/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain --insulatlon� �- -Plumb. Plbg. Underfloor Water L e Gyp. Bd. -Mach. Date Requested: Z Times "X _AM PM Addresses1 ,U/ �) a�s-�f�- �,�� permit Builders q s i ~/ r- 6 THE FOLLOWING CORRECTION3 ARE REQUIRED: Inepecto `_____ Date: _-APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinap. INSPECTION NOTICE City of Tigard Building Department 13125 SN Bell Blvd. Tigard, Oregon 97223 Inspection Line (Vec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:___________ Footing PIw. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line PINALs Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain C—As lat O -Plumb. Plbg. Underfloor Nater DineQ Oyp. 8d. -Nech. nate Requested: U1,9 Time: X_AN __PM Addreee:��_//C1 - .�. Permit #!!1J( �� 0070 Builder: '1'% 7 / 6)3e) 2 THE FOLLOWII,.. tMRRECTIONS ARE REQUIRED: Inspector: Dat-v:_46'/- `APPROVED DISAPPROVED APPROVED SUB.IECT TO ABOVE -ICall For Reinsp. �yINSPECTION NOTLCE City of Tigard Building Department: 13125 SN Ball El.rd. Tigard, Oregon 9'1223 Inspection Line (Roc-O-Phonu): 639-4175 Buainese Phone: 639-4171 Inspection:__ Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk ?ound. Plbg. Top Out - FINAL: Poet/Beam Struct. San. .Sewer taming -Bldg. Post/Beam Mech. Rain Drain -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Meth. Date Requested:_ r_ � TL.: AM PN Address:—/ 7�� �GL Petro IV-,, 70 Builder:_ _J THE FOLLOWING CORRECTIONS ARE REQUIRED: --- - Inspecto{� -- — Date- APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinnp. r IFaco�TON NOTICE / City of Tigard Building Department 13125 SM Ball Blvd- Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4173 Inspection:___ — Footing Plbg. Underel �h. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Ream Struct. San. Sower Framing Poet/Beam Mech. stain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Rd. -Hoch. � l Date Requested: l Tice: ` AM 7 PN Address: _ Ir i In"1 Par `!7� Permit I: ,�^v`J1 `,LN-m'l0 Builder: Q THE FOLLOWING CORRECTIONS ARE REQUIRED: _ r� a.Y� 23Z c 01 inspector- Date:_ —.AP'ROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE Call For Reinsp. ,1('E City of Tiyeru Building Department 13125 Sit Bell Blvd_ Tigard, Oregon 97123 Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 Inspections __ — --.--- Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk I Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. ?ort/Beam Mach. Rain Drain Insulation -Plumb. Plbq. Uns'.erfloor Water Line Gyp. Bd. -Mach. r — - Date Requested: C�r Times AM PN i Address-/ Y7(6/ � /s�` '. __ Permit I:� ls�) • � r Builder: THE FOLLOWING CORRECTIONS Ar.E REQUIRED% a &h_ I� f I I APPROVED DISAPPROVRD _ lPPROVlb QCT to AM011! ^Call Por Reinsp. jSPECTION NOT?CE - City of Tigard Building Department 13125 sw Hall Blvd. Tigard, Dragon 97213 Inspectioi: Line (Rec•-O-Phone): 639-4175 Bueinene Phone: 039-4171 Inspection:_- Footing [ . Plhq_-Onderslah Mach. Rough-in Appr/V alk Pound. Top Out Gas Line FINAL: Poet/Beam Strur_t. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Inaulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requested:., �p P T��Lwet T q,_J AM PM Addreaa:_10/—11 1 C1!/� "� \ / Pekr%it f t I-'17` 00,7c) Bu llder:__1_11 1 \ �.YJ l[l� 1 - 5 / — THE FOLIAMIING CORRECTIONS ARE REQUIRED: Inspe tor: / Date. 74Z7 APPROVED DISAPPROVED APPROVED SUBJErT TO AnoVE Call For Relnap. 1 INSPECTION NOTICE City of Tigard Building Department 13125 SN Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Ehone): 639-4175 Business Phone: 639-4171 Inspections ---- Footing F. . Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. ( san. hewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line ' I Gyp. Bd. -Mach. Date Requested s_ _fes—(L�----Time'_ -- AM ^V ( Address: �/ C i VZ_ _ Pernl>' f:. � ��o nuilder:_THE r 7WING s'<7RRECTIONS ARE REQUIRED: Inspector_ --_.....___.----_ Datos APPROVED nISAPPROVED APPROVED SUBJECT 40 Cal] For Reinnp. INSPECTION NOTICE City of Tigard Building Department 13125 SM Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone)-, 639-4175 Buoiness Phone: 639-4171 Inspection: -- Footing Plbg. bnderelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL-, Post/Beam Struct Framing -Bldg. Post/Beam Mach. 1�iiin DrainInsulation -P�••�:.. Plbg. Underfloor Water Line Gyp. Rd. -Meeh. / Date Request: / ' 1 "_Time; AM PM Address: / u� �/' — Permit Buildor: THE FOLLOWING CORRECTIONS F." REQUIRED' Inspector: Date' _—APPROVED DIS PROVED APPROVED SUBJECT TO ABOVE a Call For Reinap. INSPECTION NOTICE 1t' City of Tigard Building Department / 13125 SR Bail Blvd. Tigard Oregon 97223 Inspection Linn (Roc-o-Phone): 639-4170 Business Phone: 639-4171 Inspection: _ Footing Plbg. Underslab Mech. Rourh-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor -JliFters.in� Gyp. ed. -Mach. Date Requested:{ 1 Times __—AM PM >• Aressa ` (--��'1 �n 1. J �'= Permit /: r-1 - OU U Bu i ide.: TBE FOLLOWING CORRECTIONS ARE REQUIRED: Lk Inspector:° Dates � - APPROVED DISAPPROVED l --j1PPROVED Si:BJ^CT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 511 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O-Phone):/639-4175 Business Phone: 639-/4171 Inspection: P� t >��z�. - },/�CI)77 �4 Footing P!bg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Roam Hech. Rain brain Insulation -Plumb. Plbg. •Indertloor Alter Line Gyp. Rd. -Mach. Date Requestedt Timet AM PN C�y Address: (ocL 2. �c� r. it i t ��/- CSU 7 U // _/ 7 Builder: y /[) Y/►'1 tz vJ �( ( /�� G� C4 J / 5 2 THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspectors_% APPROVED _! DISAPPROVED _ APPROVED SUBJECT TO A9M Call. For Relnsp. jNSPECTIpm NOTICE City of Tigard Building Department 13125 Be Ball Blvd. Tigard, Oregon 1,7223 Inspection Line (Rec-O-Phone): 6:19-4175 Business Phone: 639-4171 Inspection:_ _ rooting Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. Ban. Sewer Framing -Bldg. Post/Beam Hoch. is Drai Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. ad. -Rech. i Date Requested: Time: �_AM PN Address: / �I, Y Permit f:___ Buildor: L,2 / i����l — THE FOLLOWING CORRECTIONS ARE REQUIRED: I\J 1 �n 7 Inspectorr�. ___._.._._. Dates _ _APPROVED _ DISAPPROVED APPROVED SUBJECT TO ABOVE —Cal l ForAReinsp. h - ENSPECTION NOTICE City of Tigard Building Department 13125 SN Ball Blvd. Tigard. Oregon 97223 Inspection Lire (Rec-O-Phone): 639-4175 Bu:i.ness Phone: 639-4171 Inspection:__— ---- — ---------------------- rooting Pllbg. Underslab Mech. Rough-in Appr/Sdwlk Pound. .Plbg. Top Oat Gas Line FINAL: Post/Beam Struct. $an. Sewer Framing -.Bldg. Post/Beam Hech. Rain Drain Insulation -Plumb. d r Water Line Gyp. Bd. -Mech. Date Requested: [ J CeJ /✓ �L-s�(/ Timet -AH -j�PH Addrees:- / C� 7 / / Q 2 Lc S V/ r. Permit 4: ' �O [ V / Builder:_ � r'7 /C Cl ncza 1a�- K THE FOLLOWING CORRECTIONS ARE REQUIRED: C7 7- 7 0,3(v _sem 47 Inspector:_ `' '- Date. -_APPROVED —_ DISAPPROVED APPROVED SUB.IECT TO ABOVE Call For Reinnp. 1 vl INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inepection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab Mech. Rouyh-in Appr/Sdwlk Found. Plbq. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Ra Ln Drain Insulation -Plumb. Plbg. Underfloor.,) W r Line Gyp. Bd. -Mech. Date Requested: Time: ?"r AM PM Addrase: %V%� y �� c- Permit fs � %6 Builder:_ T119 FOLLOWING CORRECTIONS ARE REQUIRED: C Inspector: ?2 1Z ._------- Date. i.PPROVED DISAPPROVEC APPROVED SUBJECT TO ABOVE Call For Reinsp. NI SPECON NOTICF City o£ Tiqard Building Department 13125 SN Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec--O-Phone): 639-4175 Business Phone: 639-4171 Inspection: t n00 q l Plbg. Underelab Mech. Rough-in Appr/Sdwl.k FFu� Plbg. Top Out Cas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. .-Mach. (, (e 11 Date Requested: -Z[1 / / Time: . AN PM 7 1"SJ V D Address: �• P rmit f):_____J�C�l_ BuiLder: (�17 11G��2 !� � r�� 1 ' ke TRE FOLLOWING CURRECTI NS ARE REQUIRED: Inspectors— _ —------------- nate:_sl�—��_L __APPROVED _ - DISAPPROVED _� APFROVED SURJECT TO ABOVE Call For Reinep. C"'ITY OF TIGARD PERMITN#. PERMIT : MST94-007 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 02/22/94 13125 SW Hell Blvd.Tigard,Oregon 97223.6199 (503)639.4171 9 PARCEL: 2S102CB--P5002 SITE ADDRESS. . . : 10467 SW PARK ST SUBDIVISION. . . ,. : ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1 TYPE OF USE. . . . ..C,r WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :0 OCCUPANCY GRF'. . :R3 f`LOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . .0 STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CFITCH BASINS. . . . . . . :0 F=IXTURES-------------- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1 SINKS. . . . . . . . . . : I GFE•ASE TRAPS. . . . . . . :0 I_AVATnRIES. . . . . :3 OTHER FIXTURES. . . . . :0 IUB/SHOWERS. , . . : SEWER LINE (ft) . . . . :0 MATER CF_OSETS. . :3 WATER LINE (ft ) . . . . : 100 DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . . 10 Remarks: PATH I OWNER: -------------------------------- ________.._._________--FEES--------.-----_._. KEN RANDALL TIF $ 1520. 00 JH 02/22/94 - 9500 SW BARBUR BLVD BPRT $ 415. 00 JH 02/22/94 - SUITE 300 ,/ BPLC $ 269. 75 JL_H 01/18/94 94-247752 PORTLAND OR 97219 ;11 BSPC f 20. 75 JH 02/22/94 - Phone #: 245-1131 . SSDC $ 280. 00 JH 02/22/94 - L _ PARK f 500. 00 JH 02/22/94 - 1- lumbing Contractor» MPRT E 43. 50 JH 02/22/941 ' MPLC $ 10. 88 JH 02/22/94 - Name: ' C2. � "LL/7a, MSP`' $ 2. 18 JH 02/22/94 - Addres�s�. Z� 'S�2gVUl� PPR"f i 1. 2. 50 JH 0c/c"�c/94 City _ State: _4��,�s O _ PSPC $ 6. 63 JH 02/22/94 - zip: `7 G Phone#1 (oS9�7���_ Reg ----- - REQUIRED INSPECTIONS ------ 1-his permit is issued subject to the req.-- ulations contained in the Tigard Municipal Foot.'found Insp Rain drain Ins[.., Code, State of Ore. Specialty Codes and all Post/9eam Struct Water Line Insp other applicable laws. All work will be done Post/Team Mechan Appr/Sdwlk Insp in accordance with approved plans. This Plm/undslab Insp Mechanical Final permit will expire if work is not started PLM/Underfloor Plumb Final within 180 days of issuance, or if work is Mechenical Insp Building Final SIASpende_d_= -or mere than 180 days. Plum) Top Out Erosion Contrc 1 Framing Insp Crawl Drain Firr,place Insp Gas Line Insp Insulation Insp x _ G Y F Board InsP Autho zed Plumbing Contractor Signature f: all for- i.nspectiort - 639-4175 a r r 7 r. e N o t e s^^: �..� ______.._,���S.�i 1(► (lf 0/I� �.JLJ..�L1 __._���.�_� _.__._ _ --. CITY OF TIGARD PERMITS#ER. . . . . :PERMIT MST94-OO70 COMMUNITY DEVELOPMENT DIRMARTNVOT DATE ISSUED: 02/22/94 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PARCEL: 2S1O2CB--PS002 I TL ( 1.)DRE SS. . . . 1 0146 7 :iW PARK ST SUBDIVISION. . . . : ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . BUILDING REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :O sf CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . ..433 sf TYPE OF USE. . . :SF FLOOR AREAS---------- REQUIRED SETBACKS------ TYPE OF CONST. .-5N FIRST. . . . :945 sf LEF i. . : 15 ft R I GHT. : 12 ft OCCUPANCY GRP. :;R3 SECOND. . . :929 sf FRONT. :27 ft REAR. . :43 ft STORIES. . . . . . . :2 THIRD. . . . ..O sf REQUIRED--•-_______________-_ HEIGHT. . . . . . . . .23 ft TOTAL-------: 1874 sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . :4O psf VALUE. . . . . f: 93998 PARKING SPACES. . : ; Remarks: PATH I ----------------- ----------------- PLUMBING ------___---------•-------------•-------- SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O LAVATORIES. . . . . :3 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :O TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :O WATER CLOSETS. . :3 SEWER LINE (ft) . :0 GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 1O0 OTHER FIXTURE:S. . . . . :0 GARBAGE DISP. . . : 1 RUIN DRAIN (ft ) . -0 WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1 -------•-------- MECHANICAL ----------------------------------- FESS -_ --- - ----- FUEL TYPES- ------------ UNIT HTR--, . CO type amount by date r•ecpt /GAS/ / / VENTS . . . . :0 TIF $ 1520. 00 JH 02/.22/94 MAX INPUT:O BTU VENT FANS. . :4 BPRT $ 415. 00 JH 02/2E,194 - FURN ( 1O0K . . : I HOODS. . . . . . : 1 BPLC $ 269. 75 JIJi 01 /18/94 94-247752 FURN ) =10@K . . :0 WOODSTOVES. :0 BSPC $ 20. 75 JH 02,122/94 - FLOOR FURN. . . . :0 CLO DRYERS. : i SSDC 't 280. 00 JH 02/22/94 - BOIL/CMP ( 31IP:0 OTHER LINITS: 1 PARK $ 500. 00 JH 02/22/94 - GA5 UUTLETScl MPRI $ 43. 50 JH 02/22/94 - Owner: ----- --.__._._______.__ .._. ...._.-..____._____._..--MF'LC $ 10. 88 JH 02/22/94 - KEN RANDALL MSPC $ 2. 18 JH 02/22/94 - 9500 SW BARBUR BLVD PFR'T $ 132. 50 JH 02/22/94 - SUITE 300 05PC $ 6. 63 JH 02/22/94 - PORTi.AND OR 97219 Phone #: 245-1131 Contractor-: ----------____..__________.____.__ K R WEST CO INC 9500 SW BARBUR BLVD SUITE 300 PORTLAND OR 97219 Phone #: 245-1131 Reg #. . : 57630 -•-.------_._--_---_______._____.__________........ 3201. 19 TOTAL This pereit is issued suhiect to the regulations contained :n the ------- REQUIRED INSPECTIONS --- -- Tigard Municipal Code, State of Ore. Specialty Codes and all othor Foot/found Insp Fir-eplace Insp applicable laws. All work will be done in accorriance with approved Post/Beam St►-uct Gas Line Insp plans. This pereit will expire if work is not started within 180 Past/Beam Mechan Insr_ilation Insp days of issuance, or if work is suspended for aor-p than 180 days. Plm/undslab Insp Gyp Board Insp PLM/Underfloor Rain d, ain Insp fler•mitteP Rignat'..rr•e : Mechanical Insp Water Line Insp Plr,mb Top Or_:t App,,/Sdwlk Insp I s s i-red By : _.W _— ..._..._..-__�.._._..._.—_.... Framing Insp Mechanical Fina l Call for inspection – 639-4175 SEWER CONNECTION CITY OF TIGARD PERMIT F'F_RM I T ##. . . . . . . : SWR94-0071 l COMMUNITY DEVELOPMENT Dk ARTM+VT DATE ISSUED: 02/22/94 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171 PARCEL: 2S102CB-•-PS00E SITE ADDRESS. . . : 1L1467 SW f wn-,, ST SUBDIVISION. . . . : ZONING: R--4. 5 1'_,L O["K. . . . . . . . . . . LOT. . . . . . . . . . . . . . TENANT NAME. . . . . LISA NO. . . . . . . . . . : FIXTURE UNITS. . . CLASS OF WORK. . . :NEW DWE=LLING UNITS— : 1 TYPE OF USE. . . . . :SF NO. OF BUILDING5: 1 INSTALL. TYPE. . . . :I3U6WR IMF'ERV SURFACE. . : s f` Remarks: PATH I Uwner: -- _....___...____--___..._______---------- ---_._._..____-.____._-.-------_-__-. FEES KEN RANDALL type amount by date I-erpt 9500 SW BARSUR BLVD PRMT $ 2200. 00 JH 02/21./94 - SUITE 300 INSP $ 35. 00 JH 0212 193 PORTLAND OR 97219 Phone #: 245-1131 (_;ontractor: -------------------------------- CONTRACTOR ---------------------------._CONTRACTOR NOT ON FILE Phone #: $ 2235. 00 TOTAL REQUIRED INSPECTIONS Thit Applicant agrees to comply with all the rules and regulations Sewer I n s p e c t i a n of the Unified Sewage Agem y. The permit expires 18P days fromthe date issued. The total amount pain s:ll be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewn, laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located; the installer shall purchase a "Tap and Side Sewer" Permit and the Agency :ill install a lateral. permittee Signature: ..__.___.__�__._�_ Issued B y ____—_._ - -.___� .__.._............. / Call far inspection - 639-4175 Residential Building Permit Application ICS-I City of Tigard 13125 ,9W Hall Blvd. Tigard, OR 97223 (503) 6394171 Jobslte Address: a) 14(� � S� ✓'Gr�� �� "�s l J � ��OU Subdivision: ' ��(`1?'I�r�Z _ Lot# 2— OMCs Use Onty � ��` ►t i��+ Valuation: Permit # s y o U - Owner: J�ey\ Ray)M I 1}C vYi rs �.��;, Reissue of Address: Gtoo SU) Gav"oLq- BIJ., Sai k 3k7(31 PR "1.7 2.1 'T__ Approvals Required Phone: �5�s) L'-('� - I I.S I Planning_ Engineering Contractor: 162 Wes Other Address: �Sc.vv�e a5 a.xye) Items Required Subcontractors Phone: .S LArne ) �-- Contractor's License # J Truss Details 3�� (attach copy of current Oregon license) Other Subcontractors: Plumbing: �uCI< C Cy YY1QV� PYLA WOD'%"C� Mechanical: Tri COLAmt(-) ( mI -) coy)}vt _ (attach copy of current OR Contractor's License) Archltect/Englneer: «Ilfc _tolls : &6 ILS Address: �'� 1 U NE 1 l i c k i fmt f7v, 11u���Q. D12 Phone: (0 COMMENTS: I�ey) +Qt�v,c4ct11 I�arntS L.L.C. V3� :�L,� �°�Q. (r'tu�neQcel�k' Applicant S;gnature & Phone number —� Jd,e Received: Received by: - ��" �� + Permit # Account Description Amount Amt. Pd. Bal. Due /)1 ;k -00 ,70 Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) --�= State Tax (TAX) Bldg: ACU. ;7-5- Plumb: 5Plumb: Mech: . /) / Plan Check (PLANCK) N Bldg: 4 , Plumb: Mech: C 9Lq u Sewer Connection (SWUSA) Sewer Inspection (SWINSP) ��� 3-)— Parks Dev Charge (PKSDC) U L) Storm Drainage Chg (SDSDC) -Z �y L 6"0 Residential TIF (TIF-R) /V/ (" Mass Transit TIF (TIF-MT) H Commercial TIF (TIF-C) _ Industrial TIF (TIF-1) _ Institutional TIF (TIF-IS) Office TIF (TIF-O) _ Water(duality (WOUAL) Water Quantity (WQUANT , Fire District (FIRE) S/ SIC- TOTALS: f ul I y 01- 1 IGH40 - 10-( 1 M1. a94 (,HF.L,K "MLA-1141 - 16. 1 (;Ail 4 OMOUN'T t W., 00 PHYlvlLNl DAIL : AlylUlINI 1,4410 PORVICISE U .1)1 NR PERM 415. 1210 PIA-)MOING PERM 13f2. 50 mN 1 CAi- VE 43. 50 1 . bil I I D P F,-!.H P9. Fit, Fk- :i0. 63 Sir,.WER USA .-�PAI. OV. P I NSPFCT 35. 00 PfIRKS RDC' ".*.P 0 CA 1 170 t!v4M I)WUN SUIC IALA RUnS I 10-.N f"T f 0 f H f4F.f, If; 14 10. IAVI I RAW-3I I' T IF FEEE I I 000 I I FION 19%' ---O%? f*J*1% ST !00h. 1,74 i y 01 1 l.,,f i r u., i III- l,t, HI HI WAI-APT ra). 5P (IMOUNf !"51A. V10 HOMES iflylilONr 11). OfA I PAY1,11 W1 01 1B."94 JIAO 1 '/ 1 ,) I 1 IN or-* PAYMENT 011OUNt f-1AJJ) l-1l.JRP(.*jF LIl- 1114Y1,11-1\11 UHUAI, F.C.- 1-.,l tiN k;Hf.GK r-k-.. IN ("HE CIK F-L. ".0. MGI tib LA 00