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Case File i ADDRESS: siraf 103 O& 1i r-. r �n y r J �b cD _ w 1:%r.:Donislmlcroflm%targeta%ullding.doc w CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 8722398199 (503)639-4171 Gf..RTT.f`- T.(.AT`7. PERM11 (y�';UED: 04/06/9ZF 4-)11-F 1 1,3i.*5 ;-'M 103RD AVE PARLEL, c t-:'Scl J.48b 1 , 5'UFA1)1 V ISIOW R) ULMIJEW LST(4*rf':'S Z ON IN,-,t V 7 PD W, OCK. . . . . . . . . .. L01... . . . . . . . . . . . . ..&'-1,4 Ur WORP". 011-W TY1:-`E OF U!..,E:.. SF Occup(AINCY GRF-1. R3 OCCUPANCY LOAD C223 4 VLNi41*1T NOW— . . -, Rpmarks: POTH I Owner: KELLEY SPEUR 1K)IIES lr\K:. 540 SE 119TH PONII.S.)ND OR 9721.6 Phone #: c":!W-3966 KELLEY sm:vp vioms, mc 540 SE' 119TH VICIF(7LAND C)R 97216 Phone #1 252--.3966 Peg 0. . 1 7-8192 Uc-r,upancy of the above referenced btAlding Is hereby pivori, arld c.�erttfi - the compliance with thv Gf-Ati, of Oocsljoll 1:311prialfv Codes ful- the arnup, and use under-- ohi.rh lhe rcfpt-enc-ec' permit was -t !-:%upd. r-1 F17 DE 140; r Mr.NT 9U:1.D1N(-'p fNSt-0r.-.C.T0R Bull-DINH OFF WIM PIY-31 11\1 CONSPICUOUS PLACE INSPECTION t\➢DICE City of Tigard Building DpparYzoent 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Business Phones 639-4171 Inspection:_ — Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gan Line FINALS Post/Bearn Struct. San. Sewer Framing -Bldg. l Poet/Ream Mech. Rain Drain Innulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Koch. Date Requested:_ - C, -- ---T --PLM PM Addresd: i rCY Permit n � Builder: —.THE "OLLOWING CORR IONS ARE REQUIRED: r cr Un 1— LL: 71 Inspector: ----__---- Date:_3-/j_ _ APPROVED DIRAPPRO'!ED APPROVFD SUBJECT TO AROVF Call For Reinap. INSPECTION NOTICE City of Tigard Building Depart-cent 13125 SW Ball lad. Tigard, Oregon 97223 Inspection Line (Rec-O-P 6�e): 639-4175 Business Phone: 639-4171 Inspections C J __— Footing Pl.bq nderslab Mech. Rough-in Appr/S wd lk Found. P1 Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain ;nsulatlon -Plumb. Plby. Underfloor Water Line ayp. Bd. -Mach. Date Requesteds /,2 _ _ Time: AM PH /0 Builder:Address: Permit t: —v/)/`� Builder: THR POLIADWING CO IONS ARE REQUIRED: r �. r : ✓��• S�i7�' L11 t-,�- ANS �� ---kms � c.�� ,�l�El���- �,}-6�-'�_'t-►�. �..�-� _ j'- Inspectors L� 4 tT n1c)m A; Date s �) �! APPROVED DISAPPROVED (�- APPROVED SUBJECT T:1 ABOVE Call For Reinsp. INSPECTION NOTICE `Yy� City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection•._ Footing P1b9. Underslab Mech. Rough-in Appr/sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. Sun. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain insulation -Plumlr. �Lbq. Underfloor Water Lina Gyp. Bd. -Mach. Date Requested: - / �.-�— ----Time- Address: —Time:Address: /� �J d Permit to Builder: _-- THE FOLLOWING CORRECTIONS ARE REQUIP.ED: d a F-- F- J r-� C] C9 LTJ ----- J Inspector: ___._. Date• }.. _ '... APPROVED DISAPPROt►RD APPROVE] SITRJRC7• TO ABOVE Call For Reinop. INSPECTION NOTICE Cii-y of Tigard Building Department 13125 DW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Buninenu Phone: 639-4171 Inspection: looting Plbg. Underslab 1lech. Rough-in Appr/Sdr?lk Found. Plbg. Top Out Cas Line FINAL: Pont./Beam Struct. San. sewer Frawirg -Bldg. Post/Beam Meeh. Rain Drain Innulation -Plumb. Plbg. Unlerfloor Water Line Gyp. Rd. -Hoch. 77 Oeste Requested: :ime��� � —_---� PH Addresn: �� `L _ Permit 1 s e5 c'; Bui`der: THE FOLL(iWINR OORRE ONS ARE REQUIRED: d M N F- G] cD Innpectort Oat©: _ APPROVED DISAPPROVED 4PPROVED SUBJECT TO ABOVE Call For Reinap. INSPECTION NOTICE T City of Tigard Brsil.ding Department v 3.3125 SK Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rao-O-Phone): 639-4175 ,usiness Phone: 639-4171 Ir :Vection: Footing Plbg. Underelab hech. Rough-in *ppr/ -wlk Forsnd. Plbg. Top Out Cas Line FINAL: i Poet/Beam Struct. San. Sewer / Framing / -Bldg. Poet/Beam Hoch. Rain Drain I.ieulation -Plumb. Plbq. Underfloor Water Line Gyp. Bd. -Hoch. � r Date Requestedt zee _ �- _,Times ,AM PH Address: . 'J /C-'y, ` Permit f i Builders- THE FOLLOWING, CORRECTIONS' 11RE REQUIRED: i' Inspector Q-- Date:- APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE -Call For Reinap. INSPECTION NOTICE City of Tigard Building Department 13125 SN Ball Blvd. Tigard, Oregon 972 Inspection Line (Rec-O-Phone): 639-41'/5 Business Phone: 4 '11 Inspection: Footing Plbg. Underslab k Mech. Rough-in, Appr/Sdwlk Found. Plbq. Top Out (� Cas Line FINAL: Poet/Beam struct. San. Sewer Framing -Bldg. Pont/Beam Mech. Rain Drain Insulation -Plumb. Plbq. Underfloor Wate, Line / (.Vp. Bd. -Mech. Date Requesteds / /y C,Z _Time: AM --- -_PM Address: /Z' e)-�C/O Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: 1 — Ln Cc CO LL1 InspecJAPPROMIRD Dater/ 0DISAPPROVED APPROVED 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 Buniness Phone: 639-4171 Inspection: —-- Pouting p:yy. Underslab Mach. Rough-in Appr/Sdwlk 8- Pound. Plb Top Out Gas Line FINAL: Poet/Beam Strucf.. Sart. Sewer Framing -Bldg' 9' Poet/Scam Hoch. Rain Drain c � Insulation -Plumb. Plbg. Underfloor Water Line Gyp. ed. -Mach. Date Requested: Time: AM ---PM cL _ Permit Address: --�- By i.lder s THE FOLLOWING 00046TIONS ARF, REQUIRED: rt — V) an LD -- LL' — Detes�� Inspector: — ------- — T� APPROVED DISAPPROVRD APPROVED SUBJECT TO ABOVE call For Reinsp. INSPECTION NOTICF. City of Tigard Ruild.inq Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Dusi.nesa Phone: 639-417.1 Inspection:____ Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Pound. `� Plbq. TopOut Gas Line FINALS l� Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requected: -,-2 / —Timet AM —2<-PM AddreeN. ��+1 /j �y --� -- Permit #: Builder: THE FOLLOWING WRPECTIONS ARE RSQUIRSDt rt r-- i �— .J —_ U) — 117 Inspector _ Date: APPROV20 DISAPPROVED �� APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE /� City of Department Building Deparient X 13125 SW Ball Blvd. Tigard, Oregon 97223 1 Inspection Line (Rec-O•-Phone): 639-41;5 Business Phone 639-4171 Inspectiou: Footing Plbg. Unde�alab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL- Post/Seam StL—C. San. Sewer Framing -Bl.do. Post/Beam Mech. Ra Ln Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Aech. Date Requested: Times AM 4PM Address:����o� / ( '� Permit fs�-����Q Bu11der: Ie-Z '� �`��� THE FOTJ,OWING CORRECTIONS ARF RPQ(12REi): - ---- ` /� Inspectors Lates�' AFPAOVEO DISAPPROVED APPROVED STISJEJT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171 Inmpections _ Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Found. Plbq TOP Out Can Line FINALS Poet/!ease Strutt. San. Sewer Framing -Bldg. Poet/9eim Mach. Rain Drain Insulation -Plumb. Plbg. U.iderfloor Nater Line Gyp. Rd. -Meth. Date Requested: Tines IUi (/PM Address �(�� ~� Permit 4:`%rte Builder: THE FO'.LOWING CORRECTIONS ARE REQUIREDs Al Lr' - ti. r-. J CO LL) - r J inOectors y Dates' APPPOVlD 1S.L DISAPPROVED APPROVED SUBJECT TO ABGVE -_Call Fcr Reinsp. INSP?CTION NOTICE City of Tigard Builrt.ng Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inepection Line (Rec-O-Phone 639-4175 Business Phone: 6 9-41,1 Inspection:__ _ �` %L Footing P1bq.7,oisralab Mech. Rough-in Appr/Sdwlk Fouad. Plbg. Top Wt Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. 8d. -Hoch. Date Requested: -y — Time: AM _X PM Address:_ Permit 1: Builder: � —� � 35�/c C' THE FOLLOWING CORRECT1668 ARE REQUIREDI i Inspector _`_ Date:_ APPROM DISAPPROVRD APPP0VFD SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOT7CF City of Tigard Building Department 13125 Sit Ball Blvd. Tigard, Oregon 97223 Inepection Line (Rec-O.•Phone): 639-41'15 Business Phone: 639-4171 Inspection: _ _ _-— —_ Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Can Line FINAL Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Nech_ Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Aequesteds /y l L Times A!i PN Address: lJ Permit Builders THE FOLLOWING CORRltCfIONS ARE REQUIREDs vrr/- Inspect 7AP Daus — —APPROVED DI8PROVED APPROV3D BUBJBM TO ABOVE `` Call For Rainnp. INSPECTION NOTICE City of Tigard Building Departaent 13125 Sit Ball Blvd. Tigard, oregon 97227 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Undorslab He::h. Rough-in Appr/Sd-lk Found. Plbg. Top Out Gas Line FINAL: Post/Beam struct. San. Surer Framing -Bldg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line / Gyp. Bd. -Hoch. Date Requested:_/J — 1 Z `T� _Time: _�AH /J� �PH A ���tddreses_ _��`.�~ _ Permit ;s_QZ Builder: _ TI{E FOLLOWING CORRECTIO144RE REQUIRED: clr- -- - O] Inspectori_ I { /N / S Date: APPROVED DISAPPROVEDy APPROVED SUBJECT TO ABOVE Call For Relasp. a CITYOFTIGARD PLUMBING PERMIT COMMUNITY DEVELOPMENT DEPARTMENT � ooOF TM� PERMIT #. . . . . . . : MST9~- 1 a�F3 13125 SWFWIDid P.O.Sm 23397,Tfp id,Orgpn 27M(SM)&M-4176 DATE ISSUED i 07/27/92 aITF_: ADDItf-=S5. . . : 163 '5 SW 1&5RD PV.E PARCEL : 29114BB-RV24 RIVERV'I!E~W ESTATES ZONING: R-7 PD BL..00K . . . : . . . . . . . . . : LOT. . . . . . . . . :24 LASS OF WORK. . :NEW GARBAGE DISPOSALS— : 1 TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 PACKFL.OW PREVNTRS. . :O OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0 STORIES. . . . . . ./. %2 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0 FIXTURES—-- --=--- -- - LAUNDRY TRAYS. . . . . . : 1 SF RAIN DRAINS. . . . . : 1 INKS. . . . . . . . . . : 1 GRE=ASE TRAPS. . . . . . . :0 LAVATORIES. . . . . :4 OTHER FIXTURES. . . . . ..0 - rUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :V, MATER CLOSE TS. . :3 WATER LINE (ft ) . . . . : 100 U I iiHWASHE,Ra.,. . . 11 N DFtA I N (#t) . . . . :0 - _. Remarks : PATH I 010 OWNER: ___.-___-___-_ ,(C'LLEY SPEER 1-40MES INC TIF $ 1380. 00 PL.L 07/27/9 - 540 SE 119TH BPRT ! 475. 50 PL.L 07/27/92 - WLC $ 309.08 JL.H 06/03/92 227974 PORTLAND OR 97216 B5PC $ 23. 78 VILL. 07/27/9c - .-?hnne #: 252-3966 ^SDC $ 280. 00 1-"LL 07/27/92 -- PARK t 500. 00 I='LL 07/27/93 - 1= 1uinbing Can isms(-tor•:-.---•-__---�__.___�_ MPRT $ 43. 50 PL.L 07/27/9c' - ' ...._._._ �-y�y-r•-... `. ...C'�1�.�' M aPC y F'LL. 07/27/92' _ yd:me : . ✓.. _� 1 Gl�l%Lt ll MPLt ! 10. 68:. 1 h] PLL. �h7!.'7192 - Paddress : PPRT $ 1`.6. 010 FALL_ 917/27/92 i.t y: � _ __.____�___..__ . State :__ __. . P5S'C $ 7-t'75 PLT_ 07/27/92 Zip: F-'bane#a___ —_ R e ig #1__ ' --- --- - REQU I.RF'b i NSPECT I ONI3 14i'i permit i5 issued subject to the reg- 1.11.1ti0nsr; c:orrt.�liF'r1E°N , r� the TitC'4^d MuniCi FL iot+�youT�,d� . Ilts�r Fs irn�eci, F Cede, State of Ore. S'peci4lty Codes 'end l f�'o`st'/B0�snl' *tr r_ci Water Line Iirr �1 other appl. i.cabl a .laws. Af 1': irirork will be tibne! Post/Beam Mot-hoon Appy,/Sdwl k In#p i.p� av oft�Oanre.,with approved n.,hans. This 1P-lm/4t�p'►ds�ak:•. InsE.a• Meehag1 CA1 r'inal t's�,i i MTi I 1 Pk�vft. +f', wor,� I 9 loot ttar•t� KM/LAdp fl onr I_ .0 in IL-10 (lays of issuance, or if work is Mechanical Insp BuildinU F=ii,a1 N ;�.r�;pended for more than 1F30 days. Plumb Top Outs Erosion Control Framing Insp Crawl Drain Fireplace Inrp Gas Line Insp Insulation Insp Gyp Snarl Ins �aLrtho 4erl t(mn. , Cont rector Signature Call for inspection _ 639-4175 Contr#vtr.r Nrtet; .: MASTER PERMIT GI�OFTIGARD PERMIT #. . . . . . . : I- 110108-10108 COMMUNITY DEVELOPMENT DEPARTMENT CrFYOFTWAID D-)TE ISSUED: 07/27/92 13125 SW Half Blvd P.O.Box 23397,Tigard,OrogDn 97 (603)63Q4176 OON - ' AVE PARC1:L- 2!�',114BB-RQ. .3111-- ADDRESS. 16,225 SW 103- RD ,iUBI)lVISION. . . . RIVERVIEW ESTATES ZONING: R-7 PD _?LOCK. . . . . . . . . . . LOT BUILDING -------------------------------------------- �EISGIJE- T`WELLJNG U1,41TS: I PASFMENT. . . . . . . . :0 s LASS OF' WORK. :NEW BEDRMS:4 BATHS:3 GARAGE. . . . . . . . . . : 792 s f YPL OF USE. . . :SF FLOOR RI=DUIRFD SETBACKS-­­­­­- ( YPL OF CONST. -.5N FIRST. . . . .- 1093 s LEFT. . :5 Ft RIGHT. :5 ft ,DCCUPANCY GRP. :R3 SECOND. . . - 1133 e FROINIT, :2111 ft REAR. . -25 ft :JORIES. . . . . . . :C' THIRD. . . . :@ S f, REPUIRED-------------------- �iEIGHT. . . . . . . . ....23 ft TOT('-4L-•---.---:.2-1226 S f SMOKE DETEC TORS. - Y LOOK LOAD. . . . :40 psf VALUE. . . . . $ : 116652 PARKING SPACES.. . :0 !tPmarks : PATH I -------- PLUMBING I NKS. . . . . . . . ­ - 1 FLOOR DRAINS. . . . :0 BACKFLOW PRFVNTR5. . :0 �-AVATORIES. . . . . :4 WATER HEHTERS— : 1 TRAPS. . . . . . . . . . . . . . ..0 1 UB/SHOWER 5. . . . -3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . !0 WA-I ER CLOSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0 WATER j-j�jr- (ft) . . I izio ,ISHW(ISHERS. . . . : 1 OTHER FIxTURES. . . . . :0 IliARBAGE. DISP. . . : I RAIN DRAIN (ft ) . ,0 14ASHING MACH. : 1 5r, RAIN DRAINS. . : 1 MECHANICAL ------------------ FEES !:LJF,.L UNIT HTRS. 0 t , to amoi..tnt by dal:e r,ecpt /GAS/ VENTS . . . . . :0 TIF f 1380. 00 FILL 07/27/92 AAX INPUT:@ BTU VFNT FANS. . :5 BPFRT $ 47"j. �:jill PILL 07/27/95' :..'URN < 100K :0 HOODS. . . . . . . I BPLC $ 309. 08 JLH 06/03/92 227974 ;-*URN ) =100K - I WOODSTOVES3. -0 115PC $ P3. '78 F-ILL 0?/27/95' _:I-('.')OR FURN. :0 C'LO DRYERS. : I SSDC 11; 280. 00 PLL. 07/27/92 OTI4F-.R UNITS:0 rlppl'. $ 500. (110 PLL 07/"'7/'3,=' GAS OUTLETS: 1 MPRT $ 43. 50 PLIL 07/E!7/92 MPI­.0 E 10. 813 1-1-1- ,:ELLE'Y SPEF-R HOMES INC M5PC $ 2. 18 PILL 07/27/92 Se 119TH PPRT $ 155. 00 PI­L CZ 7/27/95 P5PC $ 7. 75 PILL 07/27/92 LJRTLAND OR '4717-:'If, ,:)hone #! 252-3966 :.ontv,actor- ,,'FILL.FY cir-,R-F.R HOIYIFG INC i40 SE 119TH JORTLAND OR 97216 -,hone ebi�­3966 $ 3187. 67 TOTAI This Deegit is issued subject to the regulations contained in the REDUIRFD INSPECTIONc; ------- Agard Punicipal lode, State of Drt. Specialty Codes and all other Foot/found Insp Fit,pplacp Insp -.oplicable laws. All work will be d3nt in aMrdanct with approypd Post/Beam Stv-LtQt Gas Line Insp plans. This varvit will expire if started within 00 Post/Beam Meehan Insk.0ation Insp days of itsua,ce, or if work i Part t1,;- 140 !Pvs. Plm/undslab Insp Gyp Board Insp FLM/Undev,f I not, Rain drain Insp oe1-mittee Si(InA; Mprhwinir-al. Tnsp Water, Line Tn%r Plumb Top OLtt Appt,/Sdwlk Insp I'i 1C 1.1, F naming Insp jyj e(-YJA tj T �j /v Call for inspFcti:jn 639-4175 /1 SLWE R CONNECT I0N ,( ,,,�, PERM 1 T CITY OF I'GA� �1�1�ii PIERM I fit. . . . . . . . 5WR92--0213 COMMUNITY DEVELOPMENT DEPARTMENT 001100" � 13126 SW HOBlvd. P.O.Bm23397,TigaM,OreWn97223(603)&1W176 DATE ISSUED: 07/27/92 SITE ADDRESS— :: 16325 SW 103RD AVE: PARCEL: 2S114l3B--•RV24 SUBDIVISION. . . . : RIVERVIEW ESTATES ZONING: R-7 PD FLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . 24 1ENANT NAME. . . . . : USA NCI. . . . . . . . . . : FIXTURE UNITS. . . : CLASS OF WORK. . . :NI1W DWELLING UNITS. . - I TYPE OF USE.. . . . . :SF NO. OF BU I LD I NGS: i. INSTALL TYPE'. . . , :i;USWR IMPERV SURFACE. . : : -,f Remarks : FIATH I Owner: ___._..._----.______._-----_._______.______ -_-•_-_.___. ._____-- FEES KELLEY _SPEER HOMES INL: type 8 n;o'AT)t by dater ecpt 540 SE 119TH FIRMT• $ 2100. 02 FILL 07/27/9 - INSP $ ,5. 00 F'I_.I_ 07/27/92 - PORTLAND OR 97216 Phone #: c5c'-3966 r r-INTRACTOR NOT ON FILE Phone 21.x5. r%;0 TOTAL Reg #. . : ------- REQUIRED INSPECTIONS - --_- This Applicant agrees to comply with ad the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires 180 days from t-e date issued. The total amount paid will he forfeited if the permit expires, The Agency dces not guarantee the accuracy of the side sewer 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 cy will install a lateral. Per^mittpe ,. Tiat:l. 'p : I�s�..leci Py : Call for inspection - 639_4175 n' t- J LJ U' r� I';I'T Y 13F `I"A GARD - RECEIPT OF POYMFNT' RECEIPT NO. :92 01 CHEM AMOUNT : :307:'. 66 VAMC- e KEI._I_.EY-SRE.ER HOMES, INC. f:ASH AMOUNT 41. 00 MORESS : 540 S. E. 1 19 rH PAYMF'NT UA'rF_ SURD I V I:��1 ON POPTLAND, OFA 'PURPOSE OF PAYMENT AMO(IN T PA I D F?URPOSE OF PAYMENT AMOUNT Pn I I) ilU I LII I NG PERM M519:' 0108 475. 50 PLUMBING F'E RM 155. 00 _ EC:HANICAL. VIE 4:3. 90 ST. BUILD PER 33. 71 !;LAN CHECK C-E C-•9. 9 i SEWER USA SWR92--0213 2100. 00 - MWER 11,49PECT .:5. 00 PF IDE=NTIAL TRAF'F'IC FEE'S 1 0 1ASS TRANSIT TIF FErS 100. 00 PARKS SDC 500. 00 ITORM DRAIN SDC t 818. 00 16 325 SW 103RD AVE'NUE•--RIVFRW00D EXT. /I_.OT #24 1 UTAL AMOUNT PAID - - -- -) 5072. 66 CI'T'Y OF TIC•;r7RD —• RECEIPT OF PAYMENT REU IPT NO. .92. 7''974 CHECK AMOUNT 00 NAME I�,E.E.L.Y--�1='r:I E2 HC:IMES, INt. CASH AMOUNT' t 0. 00 HDURESS t 540 SE 1 1 9TH PAYMENT DATE 06/072,/q2 PE"JRTL.AND, OR SUSDIVISION 9"?P16_. PURPOSE: OF PAYMENT AMOUNT POID PURPOSE" OF PAYMENT AMOUNT PAID 1N C:WE 6C , FE C�'* '�P�. O� J G] ' LL1 J RIVE--RVIr.7W I c, 1I9i :_c,, 1.r.)T ,77'4 T UT AL OMOLINI' PAID — — — —> `."00, 00 J 13M SW Ilan[W& PLNCK/RECT # CIT`Y OF TIOARD POna"73307 PERMIT # Ay'-'5/ ;;Z —/Z4 CONINIUNITI' DEVELOPMENT DEPARTMENT Tiprd.Oregon 9TW (503)63"171 DATE ISSUED J013 ADDRESS: 3 TAX MAP/LOT -8!? ` (F y SUB: LOT: Ct?7 .2 LAND USE: VALUATION: &,5<. OWNER SPECIAL NOTES NAME: 1464/ES --ZA-p REISSUE OF: ADDRESS: � d �E- &I LAST LAST REISSUE: , o�z i�c= tin )< FLOOD PLAIN/ PHONE: o`IS�? 3Gi'( � _ _ SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED 554 6 qD-GU r NAME: S �a�E _ _ PLANNING: ADDRESS: ENGINEERING: FIRE DEPT: PHONE: _ _ OTHER: 01- t:uN 1 k. BOARD #: EXP DATE: ITF 5 REQUIRED SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS: MECH: BUS TAX: ARCH ENGINEER CALCULATIONS: NAME: TRUSS DETAILS: _ ADDRESS: //vJJ .S OTHER: � N PHONE: �-5- ,Hk.5S1 J y PROPOSED BLDG. USE: COMMENTS: _ J C� A PLIC; N1 SIGNATURE Received By: _ Date Received: 40_1_3 PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL.-DUE M4LJLO10Y 10-432 00 Building Permit Fees15•s� ?,S ' .SU 10-431 00 Plumbing Permit Fees /mss -j- 10-431 01 Mechanical Permit Fees ��• >� / _ _ 3 .0 10-230 01 State Building Tax (5%) .x.7/ 3, ,' Building3 ;' l Plumbing i ?� Mechanical 2/ 10-433 00 Plans Check Fee Building �30 •� Plumbing Mechanical /a / 10-230 06 Fire ,5wn 2•D I j 30-202 00 Sewer Connection L) 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 25-448-01 Residential Traffic Fees zao 0 L5-448-05 Mass Transit TIF Fees 00 od d 52-449 00 Parks System Dev Charge (PDC) ,��'✓y i _ S %d 31-450 00 Storm Drainage Syst Dev Chrg / (SSDC) �" Ln 24-445-01 Water Quality (Fee in lieu of) Y 24-445-02 Water Quantity (Fee in lieu of) c.: LO TOTAL 3')H,IP.W111