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15522 SW 114TH COURT BLDG 8 ct o. d�yiyyQ �� t� ', ��`� ^^A-' -'-�I/• ��^_,, .'� 'IEC�I Ml�� ��y���411M''g,,�y�yI/N'��� Alll'�h�V;./,j�jjV � /MI�-�I�P �A��), S ICA'C� OF OCCIJpA�TCY I . CITY OF TIGARD �� { 1 IF OREGOI!'. a � ' Owner: Hayden Corp. _–__-_permit No. 6265 Address: 900 N. Tomahawk Island Drive, Suite 150, Portland OR 97217 Building Address: 15522 SW 114th Ct. bldg, I18 Fountains ` Occupancy: Rl Land Use 7,one:—R25PD Bldg. 'type 5N G Comments: — t Certificate is hereby given this 19th day of February___ 19 B <<' that said build+ng may be occupied and that It complies with all a requirements of the Building Code for the City of Tigard, as approved by the Tigard City Council. Fire Dept. f8ailding Inepe599--� ' a� lBuildingWficial Punt Certificate in Consplcuou%Place s: � �J. � ���� � >� '�N�.�!',�.'.�L�!�.arm!+�"'', �'• `! '� �► -' "�'�� f_ �. ♦ M , w ,,kyr � }M''+"W". if INSPECTION NOTICE �. CitY 9 of Tigard Building Department Q� P.O. Box 23397 (� Tigard, Oregon 97223 Pho )639-41, 5 Type of Inspection - -t ---- -- Date Requested_ /�—_ Time ` A.M._ P.M. C Ad•.Iress LZ / ( — - — ?erioit #__�e 2 2 -- r - Owner --__ _ �'- -----� lot Builder -f__.-- -- -- --� - rhe following Building Code deficiencies are required to be corrected: Presented to Inspector Dis:.pp►ored Date --- CALL FOR REINSPF,C710N El YES [A NO i n INSPECTION NOTICE City of liyard Building Department �i P.O. BoA 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection --i"4L_ — -------- Date Requested _+ �_—Q—�.__�_ Time_ A.M. P.M. Address 1 Z-�_► S�- — — _ ._� Permit # ---- -- —_`_ _ -- I.ot Builder The --- -- -- -- The following Building Code deficiencies are required to be corrected: Presented to _----___--. Approved Inspector _—._— Disapproved ' Date _ - CALL FOR REINSPECTION ❑ rta C] NO INSPECTION NOTICE ity of Tigard Building Department �lP.O. Box 23397 p Tigard, Oregon 97223 dPhone; 639-4175 Typ9 of pec ion - - ---- - -- - ------- Date Requested -�-�L � " Ow^` Time A.M. Address � -��_� _ Permit _— Owner L _ Lot i Builder - ------ --- ------ - — --- The following Building Code deficiencies are required to be corrected: i Ile Presenter) to _ -__ _ IVpproved Inspector __ ❑ Disapproved Date CALL FOR REINSPECTION ❑ YES ❑ NO INSPECTION NOTICE City of Tigard Building Department ;� - P.O. Box 23397 Tigard, Oregor 97223 Phone: 639-4175 Type of Inspection - Date Requested _P.M. 1 �e_= — Time JL_- A.M. _._---- Permit Address Lot #-- — Owner — Builder — ----'-- The following Building Code deficiencies are requires to be corrected: - _ _ Approved Presented to -- DisapP C. ruved..� i Insp,,ctor `" /_ D.to ;L 6P CALL FOR REINSPECTION YES 17 NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 972.23 Phone 639-4175 Type of Inspection Date Requested -/ 2--& Tir A.M. P.M. Address l 55 Z ,. I l 4 C.�_ S Permit # _72- 5 _`_ Lot # Owner_ - _ ---- --- . BuilderThe following Building Code deficiencies are required to be corrected: Presanted to _- - - F100Approved Inspector _ Disapproved Date -- - — CALL FOR REINSPECTION M YES 0 NO asst GWA—MilikMMILMWA OEM MM INSPECTION NOTICE City of Tigvrd Building D2partment P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of oispection Date Requested Time A.M. P.M. AddressPermit Lot I Owner Builder The following Building Code deficienries are required to be corrected: Presented to Approved Inspector ❑ Disapproved Date CALL FOR REINSPECTION YE8 0 NO a INSPECTION NOTICE City of 'Tigard Buildin oepartment P O. Box 23397 Tigard, O;egon 97223 C i Phorle' 639-4175 C Type of Inspection 6 • � rime A.M. Date Requested 7 Address I I --� C-17 _ Permit I-ot # Owner - - Builder The following Building Code deficiencies are required to be corrected: Presented to �I Approved _ -1}--"`-i1-�" — / I Disapproved Inspector � -- Date - --' - CAL -V6R INSPECTION El YES 0 NO e4 aw INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard Oregon 977.23 Phone: 639-4175 \ Tyre of Inspection Date Requested < < L Time __ A.M. P.M. _ Permit - Address Lot # Ovmer 1 7— �f � / _._._ — — BwlderThe following Building Code deficiencies are required to be corrected: -- --------------------- - -s- Presented to _._ Ar,Ire ed �J Disapproved Inspectnr -- t' Date --- CALL FOR R iNSPSCTION ❑ ♦'E! ❑ NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection _ --�— Date Requested_ I C)- 1 3 Time _ A.M. �P.M. Addresy L.z�2 --- — Perm;: #�— _ � ' Owner ---- Z✓�"� Lot #-- B-iilder -- -. -- - The following Building Code deficiencies are required to be corrected: Presented to _- 4;D'IssVproved wd p Inspector Date CALL FOR REINSPECTION 0 No w sir w se s. ar w w T:� INSPECTION NOTICE. City of Tigard Building Department P.O. Box 23397 Tigard. Oregon 97223 Phone: 639-4175 Type of Inspection -------- --- �_---- Date requested `� "�-3 — Time _ A.M. P.M. Address _-e __ Permit Owner - - - _<.✓ _� Lot #- - BuilderThe following Building Code deficiencies are required to be corrected: Presented to _._ _ Approved Inspector — LJ Disapproved Date CALL FOR REINSPECTION YE:, 7 NO UI- ''' 'AKI) MEI:HANLI;AL l'I;l<M11 le[N►t Y t::tj ut IJL15 SW Hell BIV(l. Deearlilloon 11.0. Box 23397 T"IIAMMeoMic$w1:0de qry /RICt AMT Tigard OR 97223 1) Permit Fee 40- 40- 10.00 639-4175 -- 2) Supplemental Permit 3.00 1) Furnace to 100,000 BTU Incl. ducts& vents 6.00--- 2) Furnace 100,000 BTU + - �" ('N er o.�.loom.nt Intl. ducts& vents 7.5 1 'u� '� b' 3) Floor Furnace A A-& Incl. vent 6.00 Job 4) Suspended hector, wall heater Address �.,�Lot "4"0 °' or floor mounted heater 6.00 Lot ©lock Subdivi*4on -- 5) Vent,not incl. in or rsrne of business) appliance permit 3.00 waiting Address PhOM 6) Repair of heating, refrig.. Owner i n _,c 11( cooling, absorption unit _ 6.00 — Y/-,- � r.-rte /" ��� I'„ Uyfn,te 7) )oiler or comp to 3HP absorp. unit to 100,000 BTU 6.OU Nome 8) )-filer or comp to 3HP-15HP _ah,orp.unit to 500,000 BTU 11.00 wino Address p+«te 9) Boller o� r camp 15-30 HP -~ ' _ i /, .- I absorp.unit W-1 million 15.00 Contractor t;N(Stat1. 10) Botley or comp 30-50 H1' 1 absor .unit 1-1.75 million 22.50 State Avolv(stlom No. City bus. Tax No. 11) Boller or comp 50 HP 3 Z 5-,r k ✓.- - -I absora. unit },750,000 BTU 31.50 I Mretry ac,k;"vAedge u.el I have fe40 the aapppplicstion that ate IntomwA04 12) Air handling unit to plvsn I. Correct, that 1 e.m ftfwww or s e-dzed agent Of the 00 W- 111141111Or06O CFM 4.50 t,tane w rnlited we In eoevusn ae with Stabs laws. that I Pm registered with --- tAe State Builders' Oozed, that the number given Is t ortect. (If enempt 13) Air handling unit from Stay (eglstrstlon Please give feew a1owl- 10,000 CFM + - - - 7.50 14) Non portable , , evaporate cooler 4,50 ( � //iii ''��� -- -- --•—"�------__.-w._� — ---- 15) Ven: fan connected to a single duct 3.00 16) Ventilation system not Signature (owner or agent) Date kKluded Ins ianc_�L rmit 4•S _ 17) Hood served by Describe work [] addition[] al(eretio no reps,Ir Q mechanical exhaust 4•SO _to be done residential Ca 1. anon-reslden(lsl D 18) D6rnestic type g Existin use of Incinerator _ 7.50 building or properly-- � f':jg - 19) Commercial or industrial Proposed use of lnclneratox 30.00 bul Iding or property �- 20) Butler Le..wood00've,water Type of fuel -- of I O natural gas W I.PGC1 ele-ArloD hn'W.solarr.dogm 21) Gas piping a+e to four outlets 2,00 'r4 NOTICE - T111S PERMIT BECOMES NULL ANQ VOID IF WORK OR 22) Mate than 4-per outlet �-V • � L OMSTRUCTION AUTHORIZED IS NOT OUMNENCED WITHIN !— `� 1110 DAYS, OR IF CONSTRUCTION OR WORK IS 6UVENDED 4%wiflowiW s OR ABANDONED FOR A PERIOD Or 100 DAYS AT ANY REYIEW ZiK op adw1dM!~ TIME AFTER WORK IS COMMENCED rOTAI Speclai Condlllons --- ('f1M i*trued _ s, by ..._._._. _ -- IIVSP TCE TCE IOI NOTICE 1` i City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 w Phone: 639-4175 n/ Type of Inspection vp Time —P.M. Date Requested A.M. - ,y/ �, Permit # Address [ ---- -� i Lot # Owner ---- i !Builder The following Building Code deficiencies are required to be corrected: ---- ---------- --------- — PProved Presented to — — roved _ ❑ Ditepp — Date ._ CALL FOR REINSPECTION [] YES U NO 4 ..o INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection _ Time A.M. s P.M. Date Requested / Permit # Address _ _ .Lot # Owner *� n Builder The following Building Code deficiencies are required to be corrected' -- -----— ------- Presented to � �- —_— Appraved _J Disapproved Inspector Date f ► - - CALL FOR REINSPECTION El ES ❑ NO ,- -- INSPECTION NOTICE City of Tigard Building Department Fl P.O. 23397 Tigard, Oregon 97223 Phone: 639-4175 (� Type of Inspection 1— \ qTime ✓A M P M Dato Requested t # -I Permi Address _� — �— t Lot #_--_---- Owner BuilderThe following Building Code deficiencies are required to be corrected:- — - — ____-'—_ '_— ---- - ------- I� Approved - ------ -_i.-�_ Ivy A Presented to - J Disapproved Inspector --- --- -- — Date — _--- CALL FOR RFINSPFCTION [] YES L7 NO INSPECTION NOTICE City of Tigard @uilding Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested �1,V -- �`� ` 25��� Time .._ A.M. P.M. '•�Pps- Address l�C�1 1 (`A �--_ Permit #__ (, 0' . Owner Lot # Builder —— —_— —_ Tha following Building Code deficiencies are required to be Corrected: Presented to __ —__ --- --• pproved----+ Inspector _ / _T,/ _ --- J_.I Disapproved f Date 'ALL FOR REINSPECTION ❑ YE! 0 NO 6267 koOnC-gine -.r�ra17 �s w �� �� 7 '' 19 l/.��. � DATE 839.4 •_.__='-•y-----'�- CITY OF TIGARD 2S1 1000t0TNO. SUBDIVISION BUILDING PERMIT 1 ox UAP - JOBADDRESS _�����' OWNEN-1-1 }:��O �LL111at111. Y" 18LDIi ESP.DATE ;LATE REG.NO. _-- BUILDER OTHER PHONE-- -- BUILDER'S PHONE PHONE _- -- R$I�.- � L] OTHER DFMO�LIT�ON ARCHITECT _. - REPAIR MOVE — REMODEL ADDITION C THER FENCE STRUCTURE NEW RELIGIOUS ACCESSORY 41 GARAGE FDUCATION IND __ — rtEnf RESIDFNr,E LJ COMM — FIRE ZONE PLAN CHECK By__------`- t LAND USE ZONG_,.a.�—BLDG, TYPE _-A--- -- OCCUPANCY X11 _ )roved plai13 nuU COCA' oIic/Lrjct two L unit ara �cs for hla 1� g uuntain5 .L_ V A`LU�_�_�_,_1_U_L,l SEWER PERMIT# eb.NO.BEDROOMS HEIGHT 12 NO STORIES ARRIGHT SIDi OCC.LOAD FLOORLUAD � REA 1 tTtK LEVE SIDE _ _BUILDING DEPARTMENT -T BACKS FRONT s�,r_— Zy'OU PUCABLE CODES AND ORDINANCES, AND IT IS ECIFICATIONS AND IN COMPLIANCE THIS PERMIT IS ISSUED SPBJEC' TO THE REGULATIONS CONTAINPED IN THE BUILDING CODE CONI Permit — REGULATIONS AND ALL A W1.5U i WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND Plan CheCk —1 CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS WITH ALL APPLICABLE CS DES AND ORDINANCES. THE ISSUANCE G AND HEATING.IF THIS T DOES NOT WAIVE RESTRICTIVE COVENANT PI Vk.Dire - 'TAX PERMITS.SEPARATE PERMITS REQUIRED FON SEWER.PLUM y It State Tax -- SDC M,•p�ICANf OR AGENT - �. / ., t -� Toter_ 386.66 _ PDC# k iE Prepd. 182.66 AooR€sa __,.. �Receipt No. Bal.Due 204.W.- d B .. Issue Y DATE I INSP. TYPE INSPECTION REMARKS PLUMBING DATE Contractor Permit No. ,l Irl Final HEArING Contractor --— ---- Permit No _- --__. --- -- -- ----------- Gas or 011 - - -- - ------_—. --.`_—.----.�_ Roughin- --___._.__— ---- —_-- --. Final -- — -- ----- — ---- --- -- -- -- I :;E4JER — Final v— __ — —.----------_.— .— DRIVEWAY — — — Final Storm Drainage (Rain Drain)Final Sidewalk Curb 8 Street Final —_ — ----- ---- Approach BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CEP rFICATE OCCUPANCY Landscaping Zoning Final '1 .�3 t +fl.t�tit �� ,ct,�.icF= �tff(k#tfii� it! ;iq:, �Et�fkf4�fff� �ftf�lE W OWN Aff 6 2 6 5 CITY OF TIGARD 639.4171 , BUDDING PERMIT DATE y__ _� Ts TAX MAP LOTNO. SUBDIVISION owNLa :'.�yaen Copp/Tualatin uev. Avition i ..'•2 114th Ct. -- ---. --- JOB ADDRESS - -- - BUILDER .8lP _ STATE REG.NO, EXP.DATE - - BUILDER'S PHONE .?t33-4111 ARCHITECT ` PHONE OTHER STRUCTURE NEW F1 REMODEL Ll ADDITION r REPAIR _ MOVE OTHER DEMOLITION RESIDENCE COMM EDUCATION 7 IND RELIGIOUS ACCESSORY GARAGE OTHER FENCE OCCUPANCY _.„�LANU USE zONE ]yam BLDG TYPE !FIRE ZONE_ PLAN CHECK HY ' HEAT „ 3 t L.wti6rrueL i XkLXX&ui'.y tjj,L. (Cunuo ai rm) Luildi iL `11 j.(-r Anwr Ov- `y 1111+a sir] .•.�cir+ r. :-.: tn. »o detaChed garage ::uiluiet ,s uy se*arete permits. SEWER PERMIT 29114(Hdu) oU tra;is 14 batii, 14 Dear t wa OCC LOAD FLOOR LOAD 40 HEIGHT `�� NO.STORIES L AREA 6446 NO BEDROOht VALUE 3USDUU`' BUILDING DEP_ARTM T SET BACKS FRONT 9eC RFAR P 1,119 l EIT 511)[ RIGH'[SIDE Permit A THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THL BUILDING CODE, ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. AND IT IS HEREBY AGREED THAT THE Plan Check 619.45 WORK WILL BE DONE IN ACCORDANCE WITH TAF PLANS AND SPECIFICATIONS AND IN COMPLIANCE jj�g WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE PI.Ck.Fire 3tiL�ZIJ _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING, State Tax Uot, __ SDC— _ Total11991 0 7 PDCN / a-2,8W.UU APPLICANT OR AGENT _ Prepd. _ l�lll3l]�ft5 _-- 1 ii-720.UU Recelpt No. r •�(, ' ADDRESS PHONE Bal.Due j�_ 991.1 2, _ . 17 Issued By__ Approved By_._ .r....e....�..•..a.4v.,.....,.:.b......_.. ---:_... .. .. .»._•.___ ...._: -a.....LW.i...,r.........na....•. ..�_.r...:..._ 0000 i9 DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE j / — — Contractor 6s*, 676, q _ Permit No -- ugh in �! 07, Fixture Final _ HEATING -- Cootraclor Permit No. y y Gas orOil Final SEWER Final DRIVEWAY 7 - Final Storm Drainage 51 (Rain Drain)Final /Z ^/2 / �~ _ i�L - walk - `� _ Curb R Street Final Approach L DEPT.FINAL CEAT F CAT OCCUPANCY CERTIFICATE OCCUPANCY Final Landscaping Zoning Final w' 'ON.P 7i`'jKtjtD 100 i; ii i 'ro, l•; ,c� r t i ,i7 � IHIIPIU HUI 1 1 P.O. 60% 117 0 TUALATIN, OREGON 97062 • PHONE 682.2601 FOU14TAINS CONDOMINIUMS BLDG. 8 August 12, 19$6 Suite 125 900 N. Tomahawk Island Dr. Portland, OR 97217 18987- 1 342D —2212--000 Insp. Type RAF Dear Hal)den Corporation, This is a Fire and Life Safety Plan Review and is based on the tcde2 editions of the State of Oregon Structural Spe— cialty Code and Fire and Life Safety Code 01GC ) , the State of Oregon Mechanical Specialty Code and Mechanical Fire and Life Safety Code (UMC ) , Uniform Fire Code (UFC ), and other local ordinances and regulations. Plans are approved as submitted. Approval of submitted pla-is is not an approval of of;issions or oversights by this office or of non—compii.ance with any applicable regulations of local government. This structure Cor tenant space ) has not received final inspection and is NOT approved for occupancy. If you de< ire a conferen�_e regarding this plan review or if 1,tou have qve,;tions, please fc.el free to contact me at (503) 682-2b01 . S erely, Bob Hu Fire Prevention Bureau MF260 OCCUPANCY FILE LIST AUG 13, 1966 9: 28: 18 TUALATIN RURAL FIRE DISiKIC. Page 1 KEY SCREPN 1. Name FOUNTAINS CONDOMINIUMS BLDG. 8 L' Zone-Occ #: 342D -222-000 5. Special Sortl: 3. Address 15522 SW 114 CT TI 6. Special Surt2: 4 Categoro 7. Special Sort3: BASIC SCRE(-N 1. Occ Phone 16, Census Tract: 308 2. Mafiag,?r 17. Code Edition: 85 3, Phone 18. Bldg Value $ 27 1, 000 4. Mail - Apt#: 19. Content Val $0 5. Address 20. Other Value $0 6. Cty, St, Zp . 21. ISO Class 3 7, Bl.dg Owner Hyden Corporation 22. UDC Occi/ft 71 R-1/ U 9 P h a n e ( 503) 283 111 23. Fire Alrm Su : 9 Suite-Apt: Suite 125 24. Alarm Syst #: 10. Address : 900 N. Tomahawk Island Dr. 25. Prop in Use N 11. Cty, St, Zp : Portland, OR 97217 26 Date Built 8 12. Emrg Contct: 27. Date Remodel : 13. Emerg Phone: 28. Ground Area 4, 07 3 14. Ins Type/Mo: INF ! 1.2 15 901 Occ Use. 911 Building under constructi FIRE PROTECTION 13CREEN 1.. Alarm Shutoff Location 2. Power F„ utoff Location : 3 Water Shutoff Location 4. Natural Gas Shutoff Location: 5. FDC Locatio•, 6. Sprinkler C )ntrol Location 7 Stand Pipe Location 8 Attic Acc•,ss Location 9 Special Hazard Type Code 10. Special '-1azard Type 11 Special Hazard Location 12 Water Source Location 13 Stairway/Vert Shaft; Prot Y/N: (;(11VSTl{UCT ION SCR[LN 1 konst Type 50 V-N 16. iV Prop Line 0 / 17. Wall. Prot : 3 t3asnt Area 0 18. S Prop Line 0 / 4 Total Area 13, 146 19. Wall Prot 5 # Stories 2 20. E Prop Line i 0 / 6 Height-ft 25 21. Wa11 Prot : 7 Inter Colmn 10 LT WD FR 22. W Prop l._ine 0 / 8 Roof Const 11 WD TRUSS 23. Wall Prot 9. Roof Cover 11 FR COMP SH 24. Area 10 Roof Area 4, 100 25. Area Wal : 11 UDC OCC2/ft: / 26. Area Wal : 12 UCC Occ3/ft: / 27. Plan Luc : 14. 1 13 UBC Occ4/ft: / 2E3 Misc 14 Auto SP Use 15 Auto FA Use A 4 IJP i[IS P#-,Ct iOus call 0 9 441 CITY OF TIGARD 639.1171 ��4c-� DATE �11 1� HMLD NG P MIT i�, �,� V� , l i�ard UK 97223 TAXMAP —.r / LOTNO. p SUBDIVISION OWNER ��1 C F> JOB ADDRESS STATE REG.NO. _ —EXP.DATE BUILDER HUIiDER'S PHONE f�✓—� /i/ �— ___r�_ PHONE -----_--.— -- -OTHER ❑ MOVE LJ OTHER ❑ DEMOLITION STIE SCJ NEW C7 REMOOEI. ❑ ADDITION_ ❑ REPAIR 6m;RINCE ❑ COMM ❑ EDUCATION ❑ INE) ❑ RELIGIOUS ❑ACCESSORY Q GARAGE ❑OTHER FENCE L cXX,UPANCY BLDG.TYPE Y�N FIRE ZONE PLAN CHECK OV �I HEAT LANE)USE ZONE _ - -- - r SEWER PERMIT 6 / OCC.LOAD FLOOR LOAD U HEIGHTi�y f•-NO.STORIES AREA I/) NO.BEDROOMS J VALUE BUILOiNO DEPARTMENT SETBACKS FRONT .�-� REE&f=M LEFT SIDE RIGHT SIDE Pwmll S 0,6-. THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE HEREBY AGREED O CODE. AT ING THE REGULATIONS ANO ALL APPLICABLE CODES ANO ORDINANCES.ANO IT f3 HERESY DINCTHAT THE Man Check WORK wit BE DONE IN ACCORDANCE WITH THE PIANS ANO:PECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMR DOES NOT WAIVE Pl.Ck Fie 3 ImmmMITS.SEPARATE PERMITS RE U RED FOR SEWER,PL MS NQ 0 HEATING. CTORS TO HAVE RRENT CITY BUSINESS Stale Tu �L y SDC- ----- Total ' q APPLICANT OR AGENT PDCI 0 40p PHONE Faoelpl No. AODRESS R.L issued sued By - �ppr°""d By soy. � S �S7J, a u 9 ocQED,CUECCJECTiON EUCR INSPE,CRTIONa�- CUER S f+Cw"GE Omf"I6nt8: � � ANUK M. ALI PERMT- # BUILDING RECEIPT NAME:l j�C'_ --�* DATE: ADDRESS & LOT. 0 & SUBDIVISION NAME: ACCT. # DESCRIPTION AMOUNT 10-432 Building Permit Fees $ 10-431-600 Plumbing Permit fees $ _ 10-431-601 Mechanical Permit Fees $ 10-433 Plans Check Fee $ 10-230-501 State Auildi,:;` Tax $ 30-443 Sewer Co,inection (20%) $ 30-202 Sewer Connection (80%) $ _ 30-444 Sewer Inspection $ 51-448 Street System Dev. Charge (SDC) $ __ 52-449-610 Parks I System Dev. Charge (PDC) $ 52-449-620 Parks II System Dev. Charge (PUC) 31-450 Storm Drainage System Dev. Chrg (SSDC) $ 10-230-505 TRFD (95X) 10-435 TRFD (5X) 10-230-506 Washington County Fire N1 (95X) IQ 'y3.5 Washington County Fire #1 (5X) $ �_ 10-220 Amart/Wedgewood $ _ TOTAL (Separate Check for Leron Heights $150.90). (br/121411) MMAALMRAUMKML-���M�Mmk I MLE Li Z ��c• T a ` CITY OF TWo,RD No. 15554 12755 S.W. ASH - -2- P.O.BOX 23397 Date TIGARD,OR 97223 Name Address Lot Block/Map Subdivision/Address Permit M's Bldg. Tumb _ Cash ChecK, Sewer th,� Other Rec. By Acct. No. Description J Amount 10.432 Building Permit Fees 10.431.600 Plumb, !S ,� rmit Fees ___ 10.431.601 Mechanical Permit Flies_ 10.230.501State Bldg. Tax 10-433 _--Plans Check Fee 30.443Sewer Connection 30-444_ Sewer Inspection_ 51-448 Street Syst. Dev. Charge _________ 52.449.610 Parks I Syst. Dev. Charge 92-449.620 Parks II Syst. Dev. Charge 31.450 Storm Drainage Syst. Dev. Charge 10-430 Business Tax _!_ 10-434 Alarm Permit 10.227 - Bail 10.455 Fines - Traffic/Misd/Parking 10.230- CPTA Traffic/Misd/Vic. Asst. -- 1 10.456 Indigent Defense - 307122.401 Sewer Service/USA 30.122.402 Sewer Service/City 30% 30.123 — Sewer Sevice/City Maint_ 30-125 Unmatched 31-124 Storm Drainage _ 4 -475 Bancroft Prin. Pymt. _ --4O 4-71 _ Bancroft Int. Pymt. i r LL L -- 1_:.__�:��_1 �— TOTAL ' t DE'T. l i INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection _� -111�� �' __ I- ) .' J 6 " — 15 Date Requested Time��.M. Vp —P.M. Address Permit L Owner Lot Builder The following Building Code deficiencies are required to be corrected: Presented to ❑ Vjd Inspector *Disapproved ro Dalp 42!±2 CALL FOR REINSPECTION Ej YES 0 NO inspect inns gal l b il CITY OF TIGARD V 639.4171 DATE - to---- HUILO�NQ P �i�AIT TAl(MAP _ —LOT N0. _ SUBDIVISION !' .� ux 2 .1. 7, Tigard OR 97223 JOB ADDRESS - — �)wNER.���� — — STATE REG.NO. EXP.DATE _ BUILDER _ OUItDER'S PHONE — PHONE _ OTHER -- LITION STRUCTURE C1 NEW ❑ REMOG-L - O ADDITION El REPAIR O MOPE ❑ OTHER DEO FENCE U RESIOENCfi 0 OOMM O EDUCATION ❑ IND C3 RELIGIOUS ❑ACCESSORY Q GARAGE ❑OTHER oa UPANCY —LANO USE ZONE BLDG TYPE _ FIRC zANr• PLAN CHECK BY HEAT SEWER PERMIT 0 — �— OCC,LOAD FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE 0, �YW-6 BUIlO DEPARTMENT SET BACKS FRONT REAR L FT SIDE RIGHT SIDE DIN pNl — Tt/1S PEkMIGT IS 1SSUfD SUeJF.CT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE.ZONING -- RF.GULA7TONS AND ALL APPLICABLE CODES AND ORDINAN=AND IT IS HERESY AORFED THAT THE F,an Chock :3 WORK WILL BE UGHE IN Ar"ROANCE WITH THE PLANS AND>ZPEgFICATIOMS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND 011DINANCFS. THE ISSUANCE OF THIS PERMR DOES NOT WAIVE P!.Ck F" RESTR1CTrif COVENANTS.CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS —_ TAX PERMS SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATINQ. S1bla Tax -- SDC— -- -- lold APPLICANT OR AGENT --- Pf)CI Pry' — IKtESS -- R W pt No. AO Sal.Due -- J►ppm"d By,----- 1�sued By SDC --- S o C C. x4c — `o c ---_---�-'--�.----- r'f _- i EIDER CONNECTTON� S EWER INSPECTION EWER SURCHARGE S c�mm�nte: �� I �. inspections call 639--41 15 CITY OF TIGARD 639.4171 DATE -- ---19-- --- HUILD4140 P1�rIT 1' .0. UX y/ i Tigard OR 97223 TAXMAP __---LOTNO. --SUBDIVISION T JOB ADDRESS -- BUILDER _^. STATE REG.NO. __-____—EXP,DATE tSUttDER'S PHONE PHONE AIZ(;HITECT-"____ _-- - -_-- __- _--- STRU/CTUAE ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE ❑ OTHER 0 DEMOLITION O RESIDENCE O COMM O EDUCATION ❑ IND ❑ RELIGIOUS ❑ACCESSORY Q GARAGE ❑OTHER Q FENCE OCCUPANCY LAND USE ZONE BLDG-TYPE FIRE 70NF PLAN CHECK BY HEAT SEWER PERMIT — OCC.LOAD - FLOOR LOAD HEIGHT NO.STORIES AREA NO.BEDROOMS VALUE o-,y o BUILDING DEPARTMENT SETBACKS FRONT REAR LEFT SeOE RIGHT SIDE THIS PERMIT IS ISSUED SUSPECT TO THE REGULATIONS CONTAINED IN THE BUILDING COOS,ZONING REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES.AND IT 13 HERESY AGREED THAT THE Plan Ufwrtk ��I 3 5 WORK WI'.i BE DONE ON ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE —" WITH ALIT.APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Pt Ck F" 11ES1AlCTtVE COVENANTS.CONTRACTOR AND SUS CONTRACTORS TO HAVE CURRENT CITY BUSINESS TAX PERMITS.SEPARATE PERMITS REQUIRED FOR SEINER,PLUMBING ANO HEATING. State Tax SOC— _ I ofal APPLICANT OR AGENT PDG Prepd. - Receipt No. ADDRESS PON Bal.Due __- Issued By --._Ap.-3wdBy--- s()c y, -S()C --- $ J C — ,CUER CONNECTION 5 ELLER INSPECTION f CUER SURCHARGE S ommente: i r a o o -- P �r✓i rv��,� 2 7 3 2 Z- ec5 I r Uo Unf&aaAn% C, e.i Jyw Q > :300 j1pX► ° nt' i l h, i"D ,� ) . qzt 1 - ,07y3y, yo -� 5-3. c, a SZG . UU . ca I ZO AA vw- G vv 009 v _ / ,S v V , u c ,� .� (Jos- Y 7 - � s