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MOSIER ('ER1Y1IT
P,ERiyri r #. . . . . . . . NS T 9 3-0 128
CITYOF TiGrARD
, , I C RD D A
',r','OMMUNrrY DEVELOPMENT DEPARTMENT 0210"
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13125 SW Hell Blvd. P.O.Box 23397,Tkpard,Oregon 972ro(5W)639-4176 PARCEL: ' IIIAL
—1. .. i 0 "Obl., ---- -
BLOLK. . LC' C., .58
BU I I DING
REISSUE: F)W -'LLING UNITS: 1 BASENE N'T. . . . . . . . .0 S
-ASS OF WORK. .ADD DF-DR!,:; SATHS: I GARALJL-'.'. . . . . . . . . .
T'YPE DF USE. . . :SF F---L-0010 REUUI RED
TYPE Ll'f:-' CUNS'r. :'51\1 FIRS . . . . x71714 f LEF-T. . .0 f L F(I Gri 1 5 Ft
ULCUP"tqt-'Y GRI.'. : It, SECOND. . . 0 s F. FRONT. .0 ft REAR. 1z' ft
S"I"DRIEc 11-4 1 RD. -(A s fREGAJ I K::G-
Ht:-' I GH*f.. . . . . . . . .. 11-5 f t 704 S f. S11OR '. DETEC-i URS. Y
FLOOR LOAD. . . . 6 40 p!-:f VALUE. . . . . $ 32.384 PORK I NO SPIACES. Q,
Hemav-1,s : PATH I ADDITION 704 50 [ '•I
PLU11116ING -••_._---.___.-.__-_._.__._.--.
9
--------------------9 1 NKS. . . . . . . . . . .V1 FLOOR DRAiNS. . . . 90 BOL'11%1�-LOW PREVINWRS. . -0
L.i I V Al'O R I E Si. . . . . .. I Wi-ITER HLATERS. . . 0 'I"R()P E-i. . . . . . . . . . . . . . .0
I t.JP,/ql TOWERS. . . . .1 LAUNDRY TRAYS. . . 0 CATCH BOSINS. . . . . . . ..12)
WATE-R C,'LOSETS. I SEWER LINE (tt) . :0 C-iRLASE TROPS. . . . . . . .0
DIS;IWASHE RES. .0 WA-TLR LINE. ( ft ) . -0 OTHER FIXT'URE-9. . . . . .0
GARBAGE :Z RAIN DRi 11 (ft) . -.0
WASHING NAch. . . :0 53F RAIN DRAINS. 0
FUEL U1\111' 1-1 T'R:3. 0 type anicimilt Ivry (.A ate r-ec:pt
/G(IS/ T S . . . . . :4 B P RT $ 206. 50 JF-4 03/12/93 X
IVIAX INPUTOA IATU VENT FANCZ. . - 1 B P L C $ 13 u-. 2,5 11.11 163/03/913 1)3 -c:3 i
FUNI I ( J Q10K . :q, HOODS. . . . . . t 0 B5pc $ ilil. 33 J14 03/12/93 X
VURN ) =i'Zl'ZIK . . .0 W()0 D 6 T'L)V E S. 0 IvIF'-IRT 131, 1(•10 JIA 03/12/93 x
F-'*1-00f' f--'URN. . . . :0 CLU DRYERE5. Q, lylp'l-C 7. 75 JH 1113/12/9.� X
'311P.117 OFIAER U111 1ti:0 m5PC 16 L. 53 -Al 121141 LE/93 X
GAS OU"I'Ll'TS:O PPRT $ 25. 00 JH 03/1i?/93 x
e I--- ---P5PC $ 1. JH 1113/12/9.j X
NURMA14 I LAULL.'YIA
14575 SW 9aND AVE.
I JC)ORD OR
Plione #,, 6:39-41854
Lontt-ac„tuv-.-
WII-LIAII GARhIIRE
':j31 NE TIrm'RR1TC)R1(4L RD
FINS-! ('iR 1)7'it I'3
o I'lione fi - .1-266-9380
J�c3g 7 4
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4 4 17. 6 1 1 L)TOL.
This 'olrriit is weed subject to the regulations contained in the REQUIRED INLS--aLCIIONS
Tigard Municipal Cade, State of Ure. Specialty Lodes and all other Focit/fol.md lns.p Gyp bcitnt,d Intp
applir-!,h.e laws. All work will be done in accordance with approved Post/BeLAm Str,Lic-,t Rain clr,alii Insp
cc plans, This permit will expire if work is not started within 100 Putit/Beain lylechan Mer,l-ianic,al Fina.1
co days of issuance, or if work is suspended for more than 160 days. PL-14/UnLler'173 00V- PIL1111t) f- inal
me(-Hanic'--ai 1AIT-P BuiliJiny Finial
P 1.M i
Plumh l'up 01-0; Ei�os (:unt
F-t-aminq 1nap Crawl Drain
ITIS1.11At ion 111sp
(..nl I f cit- iri5pect ion 639-4175
PLNC RECT II
r OF �I���.i�1' 131?S SW Har FllMd. �CI'IPERMIT 0
COMMUNITY DEVELOPMENT DEPARTMEN'! Ti (5 orc4+7
�S°0)6"417 GATE ISSUED
JOB ADORES;: 60 9 ND — TAX IAP/LOT `S//// ° /7c' ----
SUB: �� LOT: Sfs LAND USE: —
VALUATION: —
I OWNER SPECIAL NOTES
NAME: �/'G'�/�lt F ' — REISSUE OF: _
ADDRESS: �'� 75 SIC) 9 ^�'/-�y LAST REISSUE: --
_ FL00D PLAIN/
PHONE: _ � 1_ � SENSITIVE LANG:
CONTRACTOR APPROVALS ROMEO-
NAME:
IREO
NAME: fit//LL/%i1►i7 �i�Q1Ll/� --_— PLANNING: --
ADDRESS: _ .e)721 '�E � �/� /� � - ENGINEERING: ----
C .'V81/' �/� �7-7�/3 FIRE DEPT: —
PHONE: j" Z�6 - � OTHER:
CONTR. BOARD #: EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS L Cc 4�'` --� ' LIST/SUBCONTRACTGRS:
— -
MECH: _ BUS TAX: _
ARCH ENGINEER CALCULATIONS: ---
NAME: TRUSS DETAILS: -----
ADDRESS: __ OTHER: ---
PHONE:
Cn PROPOSED BLDG. USE: 14
J
COMMENTS:
`�?��nul - �- -
APPLICANT SIGNATURE
� ` ► Date Received:
Received By: rJ
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT P0. BAL. DUE
Le)12 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees3� 7'u0
10-230 01 State Building Tax (5%)
Building
Plumbing
Mechanical
10-433 00 Plans Check Fee
Building 3 3
Plumbing
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection
30-444 00 Sewer Inspection _
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-0E Institutional TIF Fees _
25-448-03 Officc TIF Fees
25-448-01 Residential Traffic Fees
25-448-05 Mass Transit ',IF Fees
52-449 00 Parks System Dev Charge (PDC) _
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) _
F--
un
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)Cz
_
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10TA1.
nm/3587P.WPF
INSPECTION NOTICE
City of Tigard Building DeMr* -nt
13125 BW Hall Blvd. Tigard, Oregon 9722
Inapection Line (Rec-O-Phocie): 639-4175 Bueiness Phone,- 639-4171
Inspection: -
Footing plbg. Dnderalab Hoch. Rough-Jn Appr/Sdwlk
Found. Mg. Top Out Gas Line FINAL: l
Post/Beam Struct. ban. sewer Framing dg.
b.
Post/Beam Mach. Rain Drain Ineulatlon -p
Plbi. Underfloor / Water Line Gyp. Bd. -Hoch.
Date Requesteds__ _Tite=r _ PH
AddreNe: ��1 .� 7 t� 42 h� Permit is 3-O/
Buil-der:
TI7S rol."VING CORRECTIONS ARE REQUIRED:
f-"
J
V.1
Inspector' --- --
DISAPPROVED _ APPROVF" J6?RCT TO A20VB
Call For irinsp.
INSPECTION NOTICE
city of Tigard Bt lding Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lina 1IN71I.t,
Post/Beam Struct. Fan. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain insulation 6-pu,;).
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested& - —Time: AN PM
Address[ I y5 Permit to 11? 0
rlu i l der t
TRP. WILLOWING COkRR(-rTONS ARE REQUIREDt
c
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Inspectors Dates
APPROVED DISAPPROVED APPR7VED 8URJECT TO ABOVE
Call For Reinep.
INSPECTION NOTICE jV y
City of Tigard Building Depart
13125 SR Ball Bled. Tigard, Oregon 97223
Inspection Line (Rec-O-P�hone)e 639-4175 Susine®s Phone: 639-4171
Inapections__
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Fourd. Plbg. Top Out vias Line FINALz
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Ream Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor G Water Line gyp. Rd. -Mach.
Date Requesteds (y Times _ AM PM
Address s Permit #s
Builders _
THE FOLLOWING CORRECTIONS ARE RBQUIREDs
CL - - --
R
F-
ln
c
Inepactar:_�_ __ _____`-------- Datez�
APPROVED DISAPPROVED APPROVED SUBJEC— To ABOVE
—Call For. Reinep.
INSPBC,'ION NOTICE /14
City of Tigard Building Cepartment
13125 SM hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)s 639-4175 Puniness Phone: 639-4111
Insr.ect inn:
Footing Plbg. Underslab Merh. Rough-in Appc/Sdwlk
hound. Plbg. Top Out Gas Line kd"
Poet/3eam Struct. San. Sewer Framing
Post/Beam Hoch. Rain Grain Inuulation -plumb.
Plbg. Underfloor Nater. Line Gyp. Bd. -Mach.
Date Requested% _ ;L�/ Time; ,AM PM
Address s._�/ f 1 ? `� / ✓'/K'T Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
If
i
Inspectors _ Date
APPROV=D DISAPPROVED APPROVED SUD.IECT TO ABOVE
For Reinap.
�jtSPE^TION NOTICE
City of Tigard Building Department r ��..
113125 BR Hall Blvd. Tigard, Oregon 97223 `
Inspection Line (Roc-O-Phone): 639-4175 Business Phones 6?e9-4171
Inspection: ----
Footing Pl _. O_nderulab Hoch. Rough-in Appr/Sdw).x
Found. Plbq. Top Out r Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. �( Rain Drain Insulation -Plumb.
Plbg. Underfloor Na-ter Line Gyp. Bd. -Hoch.
Date Requested: ` - Time: __PM
Address: � _.
�' - G" Permit : , _t4L O
�� �
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Lr,
LL:
Inspector: Date:
APPROVED DISAPPROVED APPROVED SUBJE
Call For Rei-nrp.
IN,SPEC i N NOTICE
City of Tigard Building Department 1
13125 OR Ball Blvd. Tigard, Oregon 97223
Inspection Line (R`ac-O-Phone): 639-4175 Business Phones 639-4171
Inspection:
Footing Plbg. Underslab Hech. Rough-in Appr/Sdw14
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beano Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain nsulation -Plumb.
Plbg. Underfloor Nater Lima gyp. Bd. -Hoch.
Date Requestedt Time: AN PH
Address: / S 7S / ✓ Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
2
F-
m
w
Inspector: l � y Date:
APP*MgtD DISAPPROVED APPROVED SUBJECT To ABOV!
r7 ' Call For Rsinsp.
1` L
INSPECTION NOTICE ^ J}
City of Tigard Building DspartAaent /v
13125 SW Hall Blvd. Tigard, Orsgoa 9722
Inspection Line (Rec-o-Phone): 639-4175 Suainess Phone: 639-4171
inspection: _i_
looting Plbg. Underelab Hach. Rough-in Appr/Sdwlk
l�olind. Plbq. Top Out Gas Lire FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp Rd. -Mach.
Date Req `'uested: 7 �,-• Timer AM 1410! PM
/ --7 c /ice .,
Address: 4t!/� / ,/ Permit #:
Builder:
TNR FOLLOWING CORRECTIONS ARE REQUIRED,
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W
Inspector Date,
APPROVRD DIRAPPROVLD APPROVRD 9UBJ1KCT TO ABOVR
Call For Reinap.
INSPECTION NOTICE r
City of Tigard Building Departxe
13125 OW Hall Blvd_ Tigard, (`regon 97223
Inspection Line (RoT�7`4
Footing
hkt 6_39-4175 Business Phone: 639-4171
Inspection: Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gae Line FINAL:
t/Beam Struct. San. Sewer Framing -Bldg.
Poat/EiieZ1� Rain Drain Insulation -Plumb.
Underfloor .) water Line Gyp. Bd. -Mech.
Date Requesteds ,Time: l` AM p!(
Address: 11 151 Permit /-1
T1AL���',_OI�
Builder:_ 1,1 J—
THE FOLLOWING CORRECTIONS ARE REQUIRED:
U
J
r.
W
Inspector _� - - _ --- -- Date:
APPROVED DISAPPROVED APPR(MD SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building nepartmentl'
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 539-4175 Business Phone: 539-4171
Inspection:_ —
Footing Plbg. Underslab Mech. Rough--in Appr/Sdv'.'
Found. lbq. Top Out Cas Line FINAL:
Poet/Beam 8truot. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain insulation -Plumb.
Plbg. Underfloor Nater Line' Gyp. Bd. -Mach.
Data Requested$ '/ _Time= AM —PM
Addreas: � h - Permit i:�2-5l D/
Builder:
TNS FOLLOWING ODPJM 8 ARE REQUIRED:
a
v;
Y
f'-
J
G,
C.^
L1'
Inspect^:
—APPROVED DISAPPROVED APPROVED 8 ///SJNMDBJNM TO ADM
Call For Rainsp.
.LNS,_PECT ON NOTICE
s City of Tigard Building Department
13125 OR Hall Blvd. Tigard, Oregon 97223
Inepeation Lino (Rec-O-Phone): 639-4175 Buslaeea Phone: 639-4171
Inspections
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
:oat/Beam Struct. San. Sewer <praming -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lino
t !�/ Gyp. Bd. -Koch.
Data Requestte/dt fir„/Q q 3 TL081 (] AM PX
l
Address: .� 7,5r G ♦ 1N ! �tq3
Builder:
THS FOLLOWING CORRECTIONS ARE REQUIRED:
6 4L75
r �
t
L
/ _:1►� \•'� v c->c lam.-.�'- /
r
03
to
�-C — L) raj S, -aJ < vNA�►-Y� 2,�r�
f
Inspsators Li" -�' Datst t�
V 11tl�0V1D DISAPPROVED Y APPROVSD SUHJ9CT TO ASM
_____call For Rsinep.
INSPECTION NOTICF n\�}
a City of Tigard Building Department V
13125 Sit Ball Blvd. Tigard, Oregon 97223 v
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underslab Hoch. Rough-in .Pppr/Sdwlk
Found. Plbg. Top Out Gas
��Line
FINALS
Poet/Beam Struct. San. Sewer �ffriemingi -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Meeh.
Dat,- Requested:_ _ .� 4 i Times AM / t PM
'Z
Address:_ ` �� Permit i:_�?_ J
Builders _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
114 �a_ ��
'Y
!7
Y
J
1.1
J
Inspecto/rey C_ ' -Date: �u 1
i,/AppROIRO DISAPPROVED APPROVED SUBJECT TO ABOVF.
C�� Call For Reinsp.
C-11Y Or- I WORD - K-( LT�-I-r OF 144'YMENT REM I PIT NO. 43--,&*37753
CHECK AMUNT I d-183. 38
NAME* i BOLEYN, NORMHN CASH AMOUNT a IA. 00
0 1)1)R E LbtS I PlAYMENT DATE
14575 SW 92ND AVENM GUBDIVISIUN ti
IIHARD OR 97224-
OF' POY"ENT AMOUNT i-,A I D FlUPPIOSV. OF PlAYMENT AMOUN T' F41 I D
W11LDINU F+,RM 8-06. 50 25. 00
vi
ME.CHANICAL PIE 31. 00 ST. BUILD PER 13 1 .3
-L.AN CHECK FF: 7. 7
Lo
MTAL AMLAINT P,AIV als"S. LAS
t:ITY C)f TIC�iaRD - RRCLIPT CIE PHYMLN1 RE'Cf':IPT NO. :93-837333
CHECV AMOUNT a 134. 4::,
NAM,_ a 1301 EYN, NORMAN CASH 14MOUNT a 0. 00
It'►17RE:>;c; t 1.4;75, SW 9 -I'1) AVE PAYMENT DATE. 0;%/03/93
TIr()FID, I'm !AJGD T V I IST ON a
1 -Ll1'POSE. OF PA YME-NT PMOL1NT PAID PURPOSE CIF• PAYME.NI WOUNT PA I I)
cn *! t•1N CF4HC::F� 1:514. 4'
J
G]
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OTAL. AMOUNT POI I)
® PLAN CHECK. APPLICATION
CITYOFTIGARD �0 ARD PLAN CHECK i
COMMUNITY DEVELOPMENT DEPARTMENT OREGON PERMIT #�Sf�. -U/
1U SSW"ABLO&P.O.60c23:W-T'9@4o1 Vd� m(M)630411% DATE � 11 A
ISSUED
—
I
JOB ADnaFSS: '� ,`` SliJ �P TAX NAP/LOT.2.5 -U I JyU
LAND USE
SUB: PGrcd/( //r LOT: .S EFT: RICHT:
VALUATION: 31 SETBACKS: FRONT: REAR:__..__
Von C . d/d - HEIGHT: (�_! TOTALAL AREA
LASS:
FLOOR LOAD: �
IST:
TYPE: �� 2ND:
CONSTR TYPE: 5-� HE:+T TYPE: �n> —
�.16. -- ZWELL/UNITS: l 3RD:
pOrX1P GROG P: BASH IENT:
OCCUP LOAD: -- NO BEDROOMS:
NO BATHS: / GARAGE:
NQ STORIES: --
INP SURFACE:
APPQUVALS RE v SPECIAL NOTES ITEMS JIRED
REISSUE LIST SUBCONTRACTORS:
PIIOMING: BUS TAX:
ENC.iNSBRING: LAST�BEISSUEs
FIRS DEPT.: FLOOD PLAIN/ CALCULATIONS:
OTHER: SEN IND.: TRUSS DETAILS:
PARKING PLAN:
LANDSCAPE PLAN:
OTHFF: _
PLAN CHECK BY:
COMMENTS:
DESCRIPTION PD. BAL. DUE
PERMIT 9 ACCT N ,z I)(,.3'l �L _'�y
10-432 00 Building Permit Fees .22
10-431 00 Plumbing Permit Fees - —
10-431 01 Mechanical Permit Fees ^L�
10-230 01 State Building Tax (5X) ----
Building _1Q •3-3
Plumbingf�
Mer!i � -
10--433 00 Plans Check fee �y=�
Building
Plumbing
I Mech -----
N I _
30-207 00 Sewer Connection ---
30-444 00 Sewer Inspection
iy- 51-448 00 Street System Oeu Charge
52 449 00 Parks System Dev Charge (PDC.) ``l)C — — - -
m 31-450 OU Storm Drainage Syst Oev Chrg ("" )LD -- —
LL 10-230 09 TRFD ---- _�
10-230 06 Washington County Fire N1 (95X)
10-2.20 00 Amart/Wedgewood
10-1-Al
REC N
APPLICANT sjGNATURF
Received By: _ ---
cn/3587P/ISP
city of Tgard
P immec- #
Permit #
13125 SW Hatt Btvd-
PO t3ax 23397
Tigard.OR 97223
(5s"639-4171 --
DIIiscripuan — T i W 30.&fads rnir.aI Coda OTY PRICE AIII
ORS 814-21-610 OTY PRIG AMT
1) Permit Fee �/ -o- 10A0
FIXTURES
7.50 2) P�¢rnat 3A0
mrY L r I-V b 1
or --730- ,z 1) ind dI L nrerf 6A0
shower(k,hr -- 7.50 I00J= u.
_waw closet 7.50 v 2) ind ( i vats 750
7so Floor
awt Vwd 6AD
Washing Wd.w 7.50 601
Floor Dain 7.50 a) or sacnr wMM1oo6 t+ealar 6 A0
sten at�r- 50
1lnr.al 7.50 -i�panr 6Ao
( r) 50 6) �q4 aboorpioo tn*
so a ooI P0.er
736— >) tlIlheorp a i b LOOK BTU lv00
7.50 Bo&w or col�I Puie0.ar
!� 3-ts r1P a6oap odt b SIM am 11A0
er a ooinpI.. pawpmwcmKL
- 9) 1530 HP absap arm i1 ai SMIIC III 15100
Se1st lar 30.00
wer of
oaap; pwnq errcond
00 10) 30-501 'abs«p eft 1-135 of UM ^'�
star. 1st lar �� -"-or �x��
11) y SSD HP absorp ern k L7i d SM 31571
Wamr Servim ea_A'kfR.200' 15`00 Air h=ldlAr"nw>rt 2 -
Soxim t Ran a.ris tact tar 3M 122)--110..00w CM 450
Somm a Rain train AMC 100' ts.00 - A `� g wit
_ 131 1X000 CTU 7_%
Wrde Honw Spam 25.0o µan
Back Row crm'««1 - 1<) evapXam 000ier !SO
Device or Anti-PoCutann Devioe 750 ont o=wI-_^---- 3A0
y r,p or asw of is) bas g•e duct
Connected to a Fawm 7,50 -
ernalaaa►syswsra wot 1 4-W
--T-5-0 5O 16) incIw&d in appliance perm'[
4000 450
Insp.of E+isL Pkxnbig per Ir 17) anednanicat slams[
4000 — 1 oirrrvl,rsannl
Specially Requested hzpec6.ns per IV Its) hPe nnarnsator 30A0
� > gin brx.y ��nrnr c,e_ vrarar
R d-41I ISM
19) twa4K.9atar.diad—dryers eC 450
I" Residential backbit,pravenf—
N devices t 500 2q Gas piping em b bur waters 2A0
J _ 21) tAora thea 1 per anrct
m pm-wmdan,devicrn:) -
ILD -- l 1
LV
-a 'Minimmm Fee S25A0 SUBTOTAL binirr um Fee 52500 SUBTOTAL
5%SURCIIARGE 1 i- 51G SUtiCtUltIGF `
PLAN REVIEW 25>I:Of SUBTOTAL PLAN REWw 25XOF SUBTOTAL I
TOTAL 4' ---- — --- -TOIAI
Date isnxd b1'--- —
/ / I
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MY TWAID
C0MW*4';,J'1 I 0"EYFLOPMENT DEPARTMENT =0"Sm
13125 ENV HWI Blvd. P.0 -,w 23397,T4pW,Oregon 97223(603)6394175
PLUITILAING PIEJ0111 1,
PrEAP,117, 0. . . . . . . .
DAM- ISSUED.- 03/12/93
ITU ADDRESS— . 14575 SW 'MHO AVE PONCEL.-
'_iUUDIVISION. . - . . PTINIEBROOK TERR(4CE ZONING: R-4. 5
(:(LUCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .b8
!JAS,i OF' WORK. —VIDD GARWAA. Vj I SP(Pif-fl_G. 0
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ICCUPANCY GRP. . 3 R3 F*L(.')OR DRICIIMS. . V, F RAPS. . . . i. . . . . . . . . .V,
,-:,TOR I ES. . . . . . . . .. I WATER HEATERS. .. . . . . :0 CAMA BAS NS. . . . . . . Q,
XTURES------ LOUNDRY I RAYS. . . . . . :0 aV RA I 1\1 DRA I ING. .. . . . VI
NKS. . . . . . . . . . .0 GHIZOSE IRAPS. . . . . . . .0
. . . . . .. I OTHEA I IXTURES. . . . . .14
Ub GI IUWE.RS. . . . . SEWER LIM' (ft ) . . . . -0
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1APHY $ f-1/16. 5Q, JI-I 01,3/12/93 X
1.45'75 S W 9 E'i\1 D V LA V'L-1, $ 134. 23 JIJI 03/03/93 93–c_'373,I-.-
0 5 P C s 10. 3.3 J11 03/12/93 X
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639--0854 IIPLC $ 7. 75 JH 03/1 C'/9.3 X
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cn I) accordance with Approved plans. This PUI/Un d e r fI a a r
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