11791 SW 125TH COURT d
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11791 sw ) ,5'.rH WURT
CITYOFTIGARD crry -MTWA
COMMUNITY DEVELOPMENT DEPARTMENT ORIGOIM CERTIFICATE OFN
MIM
13126 SW IW Blvd. P.O.Box 23327,Tigard,Oregon 97223(6011)839-4176 OCCUPANCY
7I TC' ADDRESS. . . 1 11791 SW 125TH CT PARCEL.z 1,31331JID-11600
:..iUDDZVISIDN. . . . : VILLAGE AT' SUMMER LAKE PARK 4 70WINGc R- 4. 5
43LOCK. . . . . . . . . . 1 LOT. . . . . . . . . . . . : 153
"'L.ASS OF WORK. sNEW
TYPE OF USE. . . xSF
OCCUPANCY GRN. AR3
OCCUPANCY LOAD 1225 4
T114ANT NAME. . . a
RemarlIss PATH I
Owner
DON MORISSETTE BUILDERS, INC.
15535 r1w BONGY PD.
10201
LAKE OSWE."GE) OR 9,7 035
phone *x 620-- 7538
C'ontractors
DON MOR ISSETTE" ICU ILDC'RS, INC.
15555 SW BANGY 111).
Wpet I
i.AKE OSWEG0 LIP 970:5�',
Phone #e 620-7538
Reg #. . 1 35533
(Jec"partory of the ahave rofeu,enced building is hereby given, and certifies
the compliance with t11@ State Of Oveqou Specialty Coolies f0t. the group,
or,%7,upanuy, anti use o-inder which thv rpferencled permit wSPA if -41,teti.
F11qF UE PART
POST IN LONGPIC;UOUS PLACE
NSPI*C ION NOTICE
City of Tigard Building Department
13125 SR Sall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone;: 639-4175 Business Pnone: 639-4171
Inspection: _
Footing Plbg. Underslab Hach. Rough-in Appr/sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam struct. San. Sewer Framing -81dg
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Nech.
Q �
Date Requested: " _ Timet KK �) PH
Addresei L�l Q� l' Permit
Bu i lder: /
THE FOLLOWING OORRECTIONR ARE REQUIRED:
Inspector: ✓ 'J _ Dates�
APPROVtD DTSAPPROVRD APPROVED SUBJECT 7o ABOVE
Call For Reinnp.
�NSPEC_fION NOTICE
City of Tigard Building Depa•tAent. ��
13125 Sit Hali Blvd. Tigard, Oregon 97223
Inspection Line (R•,c-u-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
�- �..�'�
Post/Seam Struct. San. Sewer Framing Bldg. l
Post/Beam Koch. Rain Drain Ins tion -Plumb:`
Plbq. Underfloor Mater Line Gyp. Bd. -MeCh.
gate pequesteds
T ieoe sAN PM
Address // 9/ C Permit
BuLlders�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
L A4 Z/
'��y�./r�`- -f��r. yo,,1� :w. Sr�i✓�� aMw. �/`JI�Gs�'`yt CXaW•
r -
Inepectort
4 Z
APPAOVI01"^� DTSAPPROVE0 -PPROVED SUB.IRCT To ABOVE
rLCe11 For Rainap.
INSPl�M. pN NOUCF
City of Tigard Building Depastarent
13125 SR Hall blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phonta): 639-4175 Business Phone: 639-4171
Inspections_
Footing Plby. Underslab Mech. Rough-in Appr/Sdwlk
Found. !•lbg. Top Out: Gas Line FINAL:
Post/Beam Struct. .an. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation plush.
--
Plbg, Underfloor stater Lino Gyp. Bd. -Mech.
Date Requesteds__ -/ . Time: -AM PN
��7 - .�-
Address: _y Permit f:`
Builder
THE POIJAVINO CORRECTIONS ARE REQUIIiSDr
InspectorsDate,
APPROVED DISAPPROVED APPROVRD SUBJECT To ABOVE
Call For Reinsp.
INSP;.CTIGN NCI T('E
City of Ticjard Ruildii-Ag Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Bu-3iness Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/6dwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/&nam Struct. San. Sewer Framing -Uldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. --Mech.
Date Re ested: /
-
9u ��} 1J LLQ P�- _Tidu AM PM
Addrena: j/'/ell �_� Perwit
Builder: —
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:
— Date:
__—APPROVRn DISAPPROVED APPROVRD SUBJECT Tt' ABOVE
Call For Reinap.
INSPSCPION NOTICE 0
City of Tigard Building Departrmt (�S/,�—7-3
13125 8W Ball Blvd. Tigard, Oregon 9722
Inspection Line (Rec-O-Phone): 639-4135 Business Phone: 639-417 '
Inspection:_
hooting Plbg. Underalab Meeh. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Can Line FINAL:
I
Post/Beam Stru.:t. San. Sewer Framing -Bldg.
Poet:/Beam Meah. Rain Drain Tnnulatl.on -Plumb.
Plby. Underfloor Nat r Lin Gyp. Rd. -Hoch.
Date Requested:_. _Teri AH PM
Addreees,�I zN /� Permit — UUS )
Builder: f�,nr( 5.z�
THE FOW OWING OORRECTIONS ARE REQUIRED:
h.it VOL�' 'M ny'Orwi LAO
[[ II (
1 "� tR11Q iw tits
L'L'r
J"
s
_ r
In",-tort GL �7�. -LEt�� Datet_EN 2_S
APPIUMD DISAPPq� APPROM SUILJECP TO ABOV1
Call For Rainsp.
SPECTION NOTICE y WN ✓�_
City of Tigard Building Departaent -TOK
13126 OR Sall Blvd. Tigard. Oregon 97273Ejya`"73'�3"•
Inspection Line (Rac-O-Phon>): 639-4173 Business Phone: 639-4171
Inspection:
Footing Plbg. Underolab Mech. Rcugh-in App!/adwlk
Found, Plbg. Top OuL Gas Line lIItALI
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Meeh. Rain Drain Insulation -Plumb.
Plbg. Y.-nderfloor ter)ine Gyp. Bd. -Mach.
Date Aequested:— /�' , ^► �/ 7n� _Time: —2c—AM PM
Address-_ !1 ( {/V IC .rCr�,7A �r Permit 1 s �� U`^ •�—�' —
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
h�✓LG�i a r`O� �
Inspector:
APPROVED /:DI8APPMVW _-� APPROVED SUB.T';.f TO ABOVE
Qall POr
at - isp.
1NSPEg1"ION NOTICE
City of Tigard Building Department
13125 BN Gall Blvd. Tigard, Oregon 97223
Inspection Line (kec-O-Phone): 639--4175 Business Phonet 639-4191
Footing Plbg. Underel.ab Mech. Rough-in Appr/Sdwlk
Frund. Plbg. Top Out. Oar Line FINAL:
Poet/Beam Struct. San. Sewer 14� >Er i -Bldg.
Pont/Beam Mech. Rain Drain -Plumb.
-Plumb.
Plbg. Underfloor �j Water Line Gyp.
Gyp. 8d. -Mech.
Date Requestedt Timet 11tiCe - pG
Address:.- r Permit f t " ►
Bui.ldertd/TJ I/J �17o et,
L
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inepectors Data ��-
PROVED DISAPPROVEn APPROVED SUBJECT TO ABOVE
_Call For Reinap.
INSPECTION NOTICE
City of Tigard Rui.lding DepartmMt
13125 SK Ball Blvd. Tigard, Oregon 9722.3
Inspection Line ,Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:__,__
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Pont/Beam Struct. San. Sewer
Framing -Bldg.
Pont/Beam Mech. Rain Drain Ineylation `) -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. / -Mech.
Date Requentad: ��. _ Time: _AH PN
Addresn•^� S" �L Permit t: /
THE rol.LOWING CORREC^IONS ARE REQUIRED:
d44 /
Inapector: Date:__ 1 r11ey—
APPROVED DtSAPF00VED APPROVED SUBJECT TO ABOVE
Call For Reinap.
jNSP�L+CTION NOTICF. {y
City of Tigard Building Department
133x5 SN Ball Blvd. Tigard, Oregon 97123
Inspection Line (Rec--O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_-9 -
Footin Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbn. Top Out Gas Line FINAL:
Poet/Beam St -Bldg.San. Sewer FYaming g
Poet/Beam Mech. Rain Drain
Insulation -plumb.
Plbg. Underfloor Nater Line OYP• Ed.
-Hoch.
Pete Requested:
— Timet AM _—K.PM
` P) Z'2 Permit 1:rl'2: '005 5
Buildert_ � C
THE FOLLOWING COR/RECTIONS ARE REQUIRED:
Inspector
APPROVED ISAPPROVED APPROVED SUBJECT TO ABOVE
call For Reinsp.
INSPECTION NOTICE
City of Tigard Building DepartAkent
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rea-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbq. Underslab h. Rough-in Appr/Sdwlk
Found. Plbg. Top Out �- FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plhg. Underfloor Water Line Gyp. Bd. -Meeh.
Date RequestedtS I .)— /� Timet �LAN __PM
Address: /7 l -1 �� C_ Per/mit #t L l �US�
Bulldert C� `7
THE FOLLOWING ''ORRF.CTIONS ARE REQUiOLEDS
Inspectors Dates
APPA M DiSAPPRO%'RD APPROVED SUBJECT Tn ABOVE
-----COIL For Reinsp.
LNSPP.CTION NOTICE_ v
city sof 2'i,gard Building Departzwnt
131,25 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inapection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. e
� Gas Line PINAL:
Poet/Bean Struct. San. Sewer Framing
Framing -Bldg.
Post/Beam Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested:�� Times X AM P!1
Address..-",, Permit ♦s
Builder:
TNF. FOLLOWING (ORRELTIONS ARE REQUIRED:
-
Inspectors_
APPROVED V DISAPPROVRD _ APPROVED SUBJRCT TO ABOVE
Call For Relnop.
INSPECTION NOTICE
City of Tigard Building Departmer_t
13125 Sl Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec--O-Phone): '09-4175 Business Phone: 639-4171
Inspection:_____
Tooting Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gar T'...e FINAL:
at/Beam Strruuc-t. 1 San. Sewer Framing --Bldg.
sem Nah. , Rain Drain Insulation PIumh.
Plbg. Underfloor Water Line Gyp. tad. -Mach.
Date Requested:_ �� / T PH
OF
Address
Builders,
}
THP FOLLOWING OURRECTIONS ARE REQUIRED:
TnnpnCtorI Dates,?"
�11lTMOViD DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call /br Reinap.
INSPECTION NOTICE
City of Tigard Building Departsent
13125 SSI Hall Blvd, Tigard, Oregon 97223
Inspection Line (Rec-O-•Phone): 639-4175 Business Phone: 639-4171
Inspection:__ _.____ --
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas L,ne FINAL:
Poet/Beam Sttuct. San. Sewer Framing -Bldg.
Poet/Boam Mech. \ Rain Drain Insulation -Plumb.
-V16q. Underfloor \ Water Lino �j Gyp. ed. -Mech.
Date equ ))) - /!�- ___T1me:C�✓`_�71M 7�_PM
Address:_/I 71Z Permit #: /✓ U
B:.alder __--
THE FOLLOWING CORRECTIONS ARE REQUIRED:
04
Inspector l_���.4e� _ Date:___
/47—APPROVED DTSAPPROVED _ APPROVED SUBJECT TO ABOVE
Call For Rainsp.
CITY OF TIGARD RECEIPT OF r,r-)YM(-l\lT RECEIPT NO. ?2-22-'9010
CHECK AMOUNT 45*7 8. 12
MURIS5Ni.TTE, DON CASH AMOUNI' 0. ib@
or)DRESS t PAYMENT DATE 06/30/9C'
SUBDIVISION
1-4JRPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAI D
-u- I---D-I—N G*--P—E,-R-M, 465. ';1A PLUMBING PUM 132. 30
MECHANICAL PE 40. 50 ST, BUILD PER 3.1. 9
PLAN CHECK FE 62. '70 SEWER USA 1900. 00
SEWER INSPEC"r 35. 00 REGlDFNTlAL. I'RAFT IC FEES, I j.,80. O(A
MARKS 83D1: 00 STORM DRAIN SDC 280. 00
mfic,;6 TRONSIT TIF FE.ES 100. 00
L.OT 153 VILLAGE AT �UMMFR 1-04KE #4
11 *791 SW 125TH CT
TUTAI- AMOUNT PnID 4578. 12
IF
CITYCaF TIGA RD MASTER PERMIT
TC 7ff�Y�Ai�O'Fl 6 a D
COMMUNITY DEVELOPMENT DEPARTMENT' �7W PERMIT #. . . . . . . : MGT92-005�-
13126 SW Hod 8W. P.O.8(w 23307.TigmM,Orepi 97223(603)1 6304175 DATE ISSUED:
SITE -'L�. . . (H ii T DARCEL:
SUBDIVISION- -- VILLAGE AT SUMMER LAKE PARK 4 ZONING: R-4. 5
PLOCK. . . . . . . . . . . LO"I.. . . . . . . . . . . . . : 153
BUILDING -•--_-___-__.__
REISSUE_: DWELLING UN I T'-J : I BASEMENT. . . . . . . . :0 5f
CLASS OF WORK. zNEW BEDRMS;4 BATHS:3 GARAGE. . . . . . . . . . :420 S f
TYPE OF USE. . . :SF FLOOR r4PEAS-----,- REQUIRED
TYPE OF CONST. :SN FIRST. . . . : 1 140 s LEFT. . :6 ft RIGHT. : 15 ft
OCCUPANCY GRP. :R3 ECOND. . . : 1050 s-F FRONT. :20 ft FREAR. . .40 f-+
STORIES. . . . . . . :2 'rH I RD. . . . :0 S f REQUIRED------____.____._____.-
HEIGHT. . . . . . . . : .25 ft TOTAL -------,2290 St SMOKE DETECTORS. :Y
FLOOR LOAD. . . . :40 vu VALUE. . . . . $ : 112900 PARKING SPACES. . .-O
Remarks : PATH I
---------------------------------- PLUMBING -------------------------------- - -
SINKS. . . . . . . . . . . I FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0
LAVATORIES. . . . . .3 WATER HEATERS. . . : 1 TRAPS. . . . . 0
TUB/SHOWERG— . . -,2 LAUNDRY TRAYS. . . :0 CATCH SAST�;* * , " " : '.0
WATER CLOSETS. . .13 SEWED LINE (ft ) . :V71 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . % I WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . .0
GHRLAAGE DISP. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . -., I 5F RAIN DRAINS. . : I
--------------- MECHANICAL FEES ----__--_.--. .
FUEL TYPES-_-.__-___-- UNIT HTRS. . -.0 type amount by date 1"e r r,
/GAS/ VENTS TIF $ 1380. 00 JLH 06/29/92
MAX INPUT:0 FTU 'SENT FANS. . :4 BPRT $ 465;. 'Al 71...H 06/25, 92
FORN ( 100K . . :0 HOODS. . . . . . : 1 BPLC $ 302. 58 JLH 03/26/92 225228
FURN ) =100K . . - I WOODSTOVES. -0 B5PIC 4 3. c.'B JL.H 06/2r3/ )2 --
FLUOR FURN. . . . .-O CLO DRYERS. : I SEDC 280. 00 JLH 06/29/92 -
-'
BOIL/CMP ( 311P:0 OTHER UNITS:0 PFARE( I C"�
50. 00 JLH Ob/.' 9/9E -
GAS OUTLETS: 1 MPRT $ 40. 50 JLH 06/29/92 -
MPLC s 10. 13 JLH 06/29/92 -
DON MOR ISSETTE BUILDERS, INC. M5PC 'i 2. 03 JLH 06/29/92 -
15555 SW BnNGY RD. PPPT $ 132. 50 JLH 06/,:9/92 -#201 P5PC $ 6. 63 JLH 06/29/92 -
LAKE OSWEGO OR 97031
Phone #: 620-7538
Contractor'
DON MORISSE-rTE BUILDERS, INC.
1.5535 SW RANGY PD.
#01.'01.
LAKE OSWEGO nR 97035
Phone 620-7538
Req #. 35533
2893. 15 TOTAL
This pervit is issued subject to the regulations contained in the REQUIRED INSPECTIONS
Tigard Municipal Code. State of Ore. Specialty Codes and all other Foot/found Insp Fiv'pplaee Insp
applicable laws. All Mork will be done in accordance with approved Post/Beam Stt-uct Gat, Line Insp
clans. This ptevit will mire if work is not started within 180 Post/Beam Meehan Insulation Insp
days of isquance, or if work is SMP"*b� for norty;n 180 days. 011/UndSlab Insp Gyp Board Insp
PLM/Und er f 1 c,oy- Pain drain I Y,
P r m i t t e e i r,,y Meuhanical tnsp Watet, 1-ine ly�
PILIMb Top Out Appt-/Sdwlk Insp
Tqsued By : .timing I TI 9 rl M P h i.A n i A L V71 nA
CAll for inspection 639-4175
71
SEWER C:ONNEC'r TON
.
C'ITYOFTIFARD i� -('FERMI #.. . , . . . . : SWFt92-012,4 `
WYOFTI�rgRD
COMMUNITY DEVELOPMENT DEPARTMENT 00100H
13126 BWHWIBlvd. P.O.Bac23347,Tigard.Oregon 4MM(6W)eaa4175 DATE ISSUED: 06/29/9:'
SITE ADDRESS. . . : 12791 SW ia5rH CT PARCEL : 1S133DD- 11600
SUBDIVISION. . . . t VILLAGE AT SUMMER LAKE PARV% 4 ZONING: R--4. 5
BLOCK. . . . . . . . . . . IT. . . . . . . . . . . . . . 153
TENANT NAME. . . . , :
USA NO. . . . . . . . . , : FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWELL I NG UN I TS. . : 1.
TYPE OF USE. . . . . :SF NO. OF HUIL.DINGS: 1
INSTALL TYPE. . . . :BUSWR IMPE_RV SURFACE. . :
Remarks : PATH I
Owner• ------------------------------------ ----------------- FEES
JON MORISSE'TTE BUILDERS, INC. type amot_tnt by (late re(7pt
15555 SW RANGY RD. PRMT $ 1900. 00 JLH 06/39/92 -
#201 1 IVIS✓ $ 35. 04) _JLH 06/29/92 -
LAKE OSWE:GO OR 9703x,
Phone #: 620-7538
t-.ontracctor, __-._-___---•-------______________
CONTRACTOR NOT ON FILE
---------------------------------------
Phone #: $ 1935. 0+T TOTAL.
Req #. . .
------- REQUIRED I NSGEcT I ONS ------
This Applicant agrees to comply %4th all the rules and regulations Sewer Inspection
of the Unified Sewage Agency. The permit expires 117A days from
the date issued. The total amount paid will be forfeited if the _
permit expires. The Agency does 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 dis'ance given. If not so located. the installer shall purchase _
a "Ian and Side Sewer" Permit�he Ag cy will install a lateral.
Permittee
Call for inspection - 639-4175
IMSERCTLCM-NOTICE
city of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone►t 639-4175 Business Phone: 639-4171
Inepwtion: _
Dnq Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Mach.
Date Roquestedt_ --Times AN __PM
Address s /� / /f Permit •:
Builder.:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectolt > Date: 7 / / 2,
APPRdVlD DISAPPROVED APPROVED SU9.IECT TO ABOVE
Cell For Reiaep.
xL -�1
CITY OF TI G�,IZ.D 13I1S SW HaU Bhd. PLNCI�,/RECT # :�
PO Box 23397 PERMIT I r►1S { 9l-Gc .S��
COMMUNITY DEVELOPMENT DEPARTMENT �"� °A w
(SW)63"171 DATE ISSUED
JOB ADDRESS: �o /01f) cr-t TAX MAP/LOT / 5/ 3.3 OD- u—
SUB: (,/i�•a�= ' � ���AK,_ 'f LOT: �`� _ LAND USE:
VALUATION: �112,T you
—
OWNER // II SPECIAL NOTES
NAME: �on � �r I SSP� I'1 me, c, REISSUE OF:
ADDRESS: �ZOI LAST REISSUE: _
rr ,^, FLOOD PLAIN/
1
PHONE: 11pD- r`'� _ SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED.
NAME: PLANNING: D,( "- (-
ADDRESS: _—. ENGINEERING: _
FIRE DEPT:
PHONE: _ OTHER:
CONTR. BOARD #: — EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS:
MECH: p1 -r(4US TAX: _
ARCH ENGINEER T�Inp. CALCULATIONS:
NAME: Ch 7 _ - _ TRUSS DETAILS: _
ADDRESS: • P. IcSox I _ — OTHER: _
---�1jov0-7
PHONE:
PROPOSED BLDG. USE.
COMMENTS:
a
nPPLtCANI SIGNATURE
Received By: _____ _ Date Received:
PERMIT R ACCT N DESCRIPTION AMOUNT AMOUNT P0. UAL. DUE
5.3 10-432 00 Building Permit Fees
_ 10-431 00 Plumbing Permit Fees 3�•Sry 13 Z'
10-431 01 Mechanical Permit Fees 4U,YV
10-230 01 State Building Tax (5%) 31, �2- L
Building -247N
Plumbing �o• 6
Mechanical
10-433 00 Plans Check Fee
Building �'�'• S
Plumbing _
Mechanical /C,
10-230 06 Fire
01.v/z 130-202 00 Sewer Connection
30-444 00 Sewer Inspection 3J' �
25-448-02 Commercial TIF Fees --
25-448-04 Industrial TIF Fees _ --
25-448-06 Institutional TIF Fees _ -
2.5-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees _
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC) � ��
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee in lieu of) --
24-445-02 Water Quantity (Fee in lieu of) _
TOTAL -
41�,v6L
41-21
ii,n/35fi7P.WPI
lam-- ,
J
i
CIl'Y OF TIGAkD kE:t:f`1'PT OF PAYMENT F:E(A.. P] NO. r,9P- i•'25228
,.,
CHECK AMC)CiN'f x �:..,�0.0 U
:lMORT.;_SEi T Tk, DON CASH PMOUIJT 0. 40
10,old t;£i PAYMENT DATA: W3/vb/9(.'
!3UBDII.'ISION p
1
11M.1-10SIC:: U PAYMENT AMOUNV PAID 1,URPOGE OF 1-"AYPIENT AMOUNT 1-WTD
A CHECK FE
1�
i
LUT' In-3 VILL.AUL AI' li;UMMLPA.AKk t44
11791 Uw 10:5'Tli C:'I
1,111441.- (MOUNT 4t(.1:1:1) om
V
SHOHMAKER'S PLUMBING INC.
350 S.W. ZOBRIST
ESTACADA, OR. 97023 (P.O. BOX 250)
TO: CITY OF TIGARD
13125 S.W. HALL BLVD.
P.O. BOX 23397
TIGARD, OR. 97223
TO WHOM IT MAY CONCERN,
SHOEMAKER'S PLUMBING INC. GIVES THEIR PERMISSION TO
LET DON MORISSETTE HOMES INC. SIGN ALL PLUMBING
PERMITS FOR SHOEMAKER'S PLUMBING INC.
SINCERELY,
HAROLD
B. SHOEMAKER ` PRES.
630-7728