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11894 SW 125TH PLACE iris :�, LIU i � , er il?394 SW 125th Place n '1 r yv i 1t I , a a r , • I CE_RI IF lCATE= OF CITY OF TWA RD � G OF Tf16ARD (?C(:UNAf•aCY COMMUNRY DEQ:ELOPMEW DEPARTM" ./,JT oareocm PE.:RMI T 4. . , , . . . : MST91 -O0,_6 '3125 SW 14WI Blvd. W.J.E+rc 23397,T pM,Oregon 97223(EW (X&4!75 SITE PI)DRESS. . . : 11094 SW 125Ti-1 rjL PAPCEL.- i G 1;33PD7 10'j04T- SUBD I V I S I ON. . . . : V I I.LAGE. AT SUMMER LAKE:: PARI% 4 ZCN I Nf3 a R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1421 CLASS O1= WORK. :NEW 'T'YU,F OF US[. . . :SF t t)CCUPANCY GRP. :R3 (AXI)FANCY LOAD:225 4 CENANI NAME. . : treme.rks: Jwne:'ra -•-1___ 1 _1_____1______..__.___...___....__.__,.___ OON MORISSE'TTE OLDERS, INC. 1,5555 SW RANGY RD �t%10 (44KE OSWEGO OR 970351 +>hone M: 301-620-753.3 �:�tntr^�,ctc►ra - ..__ _.._ _ 111.1._..__-__._..._.._......._. ...._.,..... _11_11_. OOf l MOR.IGGETTE BUILDERS, INC. I Ts!i55 SW EIANGY FAD. IAIK,"- 0614EGO OR 970351 1-'hons Oc 620-75:36 lter.f #. . . 35533 I)cc~upainctr of the above referenced building i5 hereby given, and certifies � the compAiance Witt) this �';tatO Of 01-OgOn ':3p4ar--i.\lty Cndeg f0tr tt-# grokIP, � ,ic^cupancy, and usp under which the refearenr_fd permit wat. issmed. FIDE DEPARTMENT ;;IPUIL.DING -"�fi3 ECTOR POST IN CONSPt:1.101Y3 PI-ACE I INSPECTION NOTICE City of Tigard Building Department 13125 SM Bel.i Blvd. Tigard, Aresgon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspect-ion:__ __ ---- -- Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Ott Gas Line FIMS Post/Seam Struct. San. Sewer Framing Bldg. Poet/Beam Mech. Rain Drain Insulation -P1 Plbg. Underfloor Nater Line Gyp. Bd. -Nech. Date Requested: �_�/ Timet AM �`/PM .-- Addreas:_-,lZ /--f X,� Permit 1: Builder: 1 N^ THE FOLLCAIitG MpMCTIONB ARE REQUIRED: /•✓_.Wil' '�cV'.'�- �j/�� h ia. G �d C/nIlJ.;t� �i/1l 2 �st�[r,4 s•c Q/Zti/�. � � �^.�F.=- /nl s'r.!,A�!,,.✓ /•✓r�i'�L�✓moi .�J�)��✓G... Inspectors Date APPROVED DISAPPROVED - AP RCT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department f 13125 SW Hall Blvd. Tigard, Oregon 97223 Taspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ _� A Footina Plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gan Line FINALt Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested:_ 7 Time: __AM PM Address: Permit #i Builder: THE FOLLOWING MRRECTIONS ARF REQUIRED: h . Inapectnr. � ------ —-- - —Date: ' / APPROM DISAPPROM APPROVtD SUWVCT TO ABOVE Call ►or Reinep. INuPLt'CTION NOTICE, �� City of Tigard Bulldinq DeFart+aent 13125 Sit Ball B1R}. Tigard, Oregon 9'7223 Inspection Line (Rec-O-Phoneys 639-4175 Buuiness Phone: 639-4171 Inspections �= Plbg. U doral b Mach. Rough-in Appr/Sdwlk Footing �--=`' Found. plbq. Top Out Gas Line FINAL- Framing -Bldg. B posc/ eam Struct. San. sewer g P: 't/Seam Mech. Rain Drain Insulation -P�"mb' Plbg. Lnderfloor Water Line Gyp. Rd. -Koch. '� Time: NM ._PM Date Requested:_ �� _ Permit Address:. Builder: _ THE FOLLOWING CORRECTIONS ARE REQUIRED: — Datat 7-16� — Inspecto e APPROVED DISAPPpD _ APPROVED SUBJECT TO ABOVE Call for Reinep. INSPEC ION NOTICE City of Tigard Building Department. (K 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec•-O-Phone): 639-4175 Business Phone: 639-4171 Inspectin.i•_ rooting Plbg. Underslab Mech. Rough-in ��Apr`/S_dwllk \' _.i Found. Plbg. Top (>it Cas Line FINAL: Post/Beam StruOt. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbq. Underfloor Nater Line Gyp, Bd. -Mech. Date Requestedt Timet Addresa: /� y—_ ,�y`— ��Pecmit 1t Builder: d+�r-) THE FOLLOWING CORRECTIONS ARE REQUIRED: 1 LA� — Inapectort _ - Datet `r i-- APPROVED ISAPPROVEO APPROVED SUBJlCT To AOOVE Q)all For Rainap. INSPECTION NOTICE City of Tigard Buildl.n,�, Departs -Int 13125 Str Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone- 039-4171 Inspection• T_ —---- Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk f Found. Plbg. Top Out Gas Line FINAL: ¢ Post/Heem Struct.. San. Sewer. Framing -Bial 9• Post/Beam Koch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line =yp. 13d.") -Mech. Date Requested:{ (�le 0" Y/ --TLMi �Al�l —'_"_PM AdUreee• d S L/ /�" _ Permit #t4 �l�V�_ Ruildar:�� TIM FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: Date: G�� IAPPROVFu DISAPPROVED I/ /APPROVED SUBJRCf TO APOVE Call For Rel-sp. i INSPECTION NOTICE City of Tigard Building Department 13125 SN hall Blvd. Tigard. Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspectiont� t't Footing Plbg. Underslab Mech. Rough-in Appr/Sdw Found. Plbg. Top Out Gan Line FINAL* Poet/Beam Struct. San. Sower /L raining- -Bldg. Pont/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Noah. Date Requested: !Lr ! T1mo4 Address: Bui.l.dert THE FOLLOWING CORRECTIIjON//S ARE REQUIRBDt C Inapactort - Data*___^ G APPROVED DISAPPROVED APPRnftr, SURJR[.'r TO ABOVE __Call For Refinsip. I , n� INSPECTION NOTICE • City of Tigard Building Department 13:.25 Sw Ball Blvd. Tigard, Oregon 97223 ! Inspection Line (Rec-O-Phone): 639-4175 Buninesn Phone: 639-4171 Inspection. /1/I 9S",Llflx — Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL.- post/Beam INAL:Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -plumb. Plbg. Underfloor Water Line Gyp. Bd. -Nech. Date Requested: 5 ' Z 5" el( __Time- Addre3er 1,2g- ' ®'f _. -____-- Permit Builder: �— THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector:__ Dater l c CP,.- DISAPPROVED DISAPPROVED L--APPROVED SUBJECT TO ABOVE Call For Reinep. INSPECTION NOTICE City of Tigard Building Depaztsent 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-0hone): 639-4175 Husiness Phone: 639-4171 r Inspection: Footing Plbg. Underalab Rough-id Appr/Sdwlk Found. Plbg. Top Out ( Gas Lines FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Raip Drain Insulation -P1'.imb. Plbq. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: �� Times AM _PM Addrens:_j j � '� r` Permit : Iluilcieri I/M l ,7�.HyEE P'o1j"IBG CORRECTIONS ARE REQUIRED: Inmpaotorri / Date:__.• APPROM 028APPROVBD APPROVED SUBJECT TO ABOVE Call For Reinap. r INSPECTION NOTICE City of Tigard Bonding Depart&00nt 131.25 SW Bell Blvd, Tigard, orec.,on 97223 Lnepection Line (Rec-o-Phone): 639-4375 Busine s Phone: 639-4171 i Inspection- Footing Mg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top OVti l Gas Line FINAL: Poet/Beam Struct. Ban. Sewer Framing -Bldg. Poet/Beam Meeh. Rein Drain lnnulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requenteds G C Address: :� Permit_ ►�6 1 I, _ Builder: ✓_� �1C�•�1V-K.4 THE FOLLOWING CORRECTIONS ARE REQUIREDs /7 Dates Inapeators APPROVED _— DISAPPPOVED APPROVED SUR-IEC TO ADM Fa11 For Rainsp. 1NMCTION NOTICE City of Tigard Building DepartmL*Rt- 13125 SN Ball Blvd. Tigard, oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Busineas Phone: 639-4 Inspection:__----" Footi'19 Plbg. Underslab Me(-I%. Rough-in Appr/Sdwlk Found. Flbq. Top Out Cas Line FINAL: -Bldg. Poet/Beam Struct. San. Sewer Framing J Insulation -Plumb. Post/Beam Mach. Rain Drain -Mech. Flbg. Underfloor Water Line Gyp. Bd. ./ _LL. r. L, .. Date Regunated: 4___i,L��-- �li;:ri 30✓ �a� u Permit t:t?1�t•�'_ Gc)3 Addreae:� l Builder:1441ja'W f r r - TB,B FOLLOVIN: CORRECTIONS ARE REQUIRED: + Ovr Dc, h/,TIXC7Z tiJ r"�A�r2T� •+ =G ' � -' — `� ' 7 .✓'�►2 c?�S I t7L ti v i 1)q(�.lam_--rte�,i�A l�, �-,- - T �_ � 1✓lai�, %�in r)U t ST �"� ��.?.�n S.L L �_�tST� Inspector: �__ _ Date:_ APPROVED DISAPPROVEp _ _ APPROVED SUBJECT TO ABOVE Call For Relnap. s INSPECTION NOTICE City of Tigard nuil.lirg L.-sari wni- 13125 sw Hall Blvd. Tigard, Oregon 97223 Inspection L1.ne (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: --- Footing Plbg. Underslab Mech. Rough-in Appr/sdwlk Found. Plbg. Top Out Gas Line FINAL= Post./Beam Struct.. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Dnderfloo Water Line Gyp. Bd. -Mech. Date Requested: 4-12 ! Timet �,�';(A,/!1 PH Address:_110`/ �/ %5"" /2 S u C/' Permit f:�'UU 3 6, Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: i Inspector: 'l / '� —- Date: / APPROVED — DISAPPROVED APPROVRD SURJECP TO ADM �' Call Fo: Roinap. I INSPEOT:ON NMIC£ city of Tigard nuildiig Department 13125 SN Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Bus;nese Phone: b"•9-4171 'Inspection:_____ ---- -- - Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbq. Top Out Gas Line FINALt A Poet/Ream Struct. *an. SSewe er Framing -Bldg. Poet/Ream Mach. Rain Drain Insolation -Plumb. Plbg. Underfloor Nater'Lina ) Gyp. Bd. -Mech. Date Aequaettdt '7 _Timet Address: Permit t i>/—�✓y �, / � . v Bullder: THE FOLLOWING CORK MONS 11RE REQtlIREOt -- / -----� —Date: Inspectors ------------ �PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE city of Tigard Building Depart--n`. 13125 SW Ball Blvd- Tigard, Owego►: '•1223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 i Inspeotiea+ —__—__ -- --'— POOtitlq plbg. Underelab Mech. l,)ugh-in Appr/Sdwlk end, \ Plbg. Top Out Gas Line FINAL: � Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -P1umh. Plbg. Underfloor Waiter Line Gyp. Bd. -Mech. Date Requosteds_ -/ -�/ -�� —Tildes AM ._.____.PM Address:�� c+� �� ... Porait Builder: _ ti TBZ lttt.LOWING OOn.RECTIONS ARE REQUIRED: -- �' eV4 _ ------D-ate s. APPROVED 018APPROVRD �-NPPP0Y SUSJZCT TO ABOVE call For Rainep. SEWER CONNECTION r�MIT CITYOFTIVARD �PERMIT #. . . . . . . : SWR91-0039 �WYOFTWARD COMMUNITY DEVELOPMENT DEPARTMENT ORICION z) 13126 SW HWI BN J. 1.0.Box 23397,Tiprd,Orqgon 97223(SM)6394175 7, DAIL 11.�SUED: 02/28/-91 L H-I&j h�-,j b'd 1 -)v4 V1 . ::EL- IS133DD-10500 SUBDIVISION. . VILI-AGE AT SUMMER 'LAKE PARK 4 ZONING: R—f„ b BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . 9 142 TENANT NAME- - : USA NO. . . . . . . . . . :43188 FIXTURE UNITS. . . : CI-ASS DF WORK. . . :NEW DWFI..L TNG UNITS. . - I TYPE OF USE. . . . . :SF NO. OF BUILDINGS: 1 INSTALL I YPE. . . . :BUSWR IMPERV SURF(ACE. f Remarks: Owner. FEES DON MORISSETTE BLDERG, INC. type amotint by date r e C.-r 15555 SW BANDY RD PIRMT $ J500. 00 #210 1 NSP $ x;tj. L40 LAKE OSWEGCJ CIR 97035 PpyM $ 1535. 00 JLH 0.2/28/91 Phane #- 503--620--75--8 C(intractor: CONTROCTOP NOT (IN FILE Phor,.? 1535. 00 TOTAL Reg #. . 2 RWUIREI) INSPECTIONS This Aoolicant aurpes to comply with all the rules and regulations Sewer Inspect ion of the Unified Sewage Agency. The permit expires 120 days from the date issued. The total Amount Paid will be forfeited if the permit voires. The agency does not guarantee the accuracy of the side sewp, '-:orals. If the sewer :s not located at the stasureve-t given, the installer hall prospect J feet in all directions from the distance given, If not so located. the installer shall nurr4,a--,f a 'Tac and Side Sewer" Permit and in, ............... rDermittee c-it3iiat,.ire lqsi-ied Py : Call For intr3ertion 639---4175 CITYOF TIGARD CMOFT*AMASTER PERMIT COMMUNITY DEVELOPMENT DEPARTMENT RD PERMIT #. . . . . . . .. M5T91-0036 13126 SW Hall 8W. P.O.Box 23397,Tigard,Oregon 97223(503)639-4176 7 DATE issur-ni J, L., f-`(APCEL: IS133DD.-D., ..;UBDIVISION. . . . . VILLAGE AT SUIhMER LAKE PARK 4 ZONING: R-4. 5 SLOLK. . . . . . . . . . I LOT. . . . . . . . . . . . . : 14c' ------ BUILDING RE I SLUE t DWELL I NQ UN I TS- I BASEMET4T. . . . . . . . :10 f CLASS OF' WORK. -NEW BEDRMS:4 BATHSv3 GARAGE. . . . . . . . . . .5512.1 S f TYPIE OF USE. . . -SF FLOOR REQUIRED '3F 'l t1f4(jKcj-- _._•_....__.__..-.... VYPE OF CONST. :5N F I RsT. . . . : 1261 Sf LE FT. . -5 ft RIGHT. :5 ft OCCUPANCY GRVI. '-R3 SECONP. . . - 159'4 5f FRONI . :i-10 ft REAI-'�. . -44 "TORIES. . . . . . . :2 i THIRD. . . . ..0 sf REQUIRED------------------- HE I GH I.. . . . . . . . :25 f t ro,rAL-- :2855 S f G110KE DETECT 01-V3. -Y 1"LOOR LOAD. . . . :40 plf VALUE- - $ : 141230 PARKING SPACES— :0 PLUMBING 3 1 NK S. . . . . . . . . . : I FL(A)F4 V1 13ACKFI.OW PREVNI-14S, . -0 I.-AVOTURIES. . . . . :3 WATER HEATERS. . . zi TRAPS. . . . . . . .. . . . . . . :0 TUB/SHOWERS. . . . :3 LAUNDR'y TRAYS. . . :0 CATCH BPSINS. . . . . . . :0 WATER CLOSETS. . :3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . ..0 DISHWASHERS. . . . : 1 WATER LINE 'ft ) . : 100 nl'HFR FIXTURES. . . GARBAGE DISP. . . : 1 RHIN DRAIN (ft ) . :0 MP.(. H. : 1 SF RAIN DRAINS, . 1, MECHANICAL. FEES UNIT 11TRIS. . -0 a in r 1-t n t 1)v cyte r ro t /GAS/ VF-'.NTS . . . . . .0 PAYM 130. 00 JLH 02/a6/91 210053 MAX INPUT :0 BTU VENT FANS. . -4 BPRI 5'.38. 00 F"URN ( 100K . . :0 HOODS. . . . . . 21 BPLC $ 3^t- 70 1=URN ) =100K . . .- I WOODSIOVES. tO B5PC $ 26. 90 FLOOR FURN. . . :0 L'IL.0 DRYERS. : I SSDC $ 375. 002 4 3W-,-0 OTHER UNITS-.0 PAR;-,, $ 25,13. 00 GAS OUTLETS- I MP R T $ 40. 50 Owlev-,- $ 10. 13, 001\1 MORI SSF-,%T'r E BLDERS, INC. M5PC $ 2. 1555!7j SW BANGY RDPI.R T $ 140. 1,60 #210 P51-1c 7. 091 !..AKE DR 9 10.35 TIF 13-90. 00 i"flone #,. 503-620-7538 PAYM 2989. 2(-.1 JLH ;*,)ON MORISSETTE BLDERS, INC. 15555 9W SANDY RD #201 LAKE OSWEGU UR 97035 Phone fft 503-620-7536 Rea, 35533 -------------------------------------- $ 3089- --,b TOTAL This permit is issued Subject to the regulations contained in the REQUIRED INSPECTIONS --- Tigard Municipal Lode.. State of 0". Specialty Lodes and all othel- F'00t/famnd snap Fit-erviaco Irisp applicable laws. All work will be done in ACCordonce with approved Pnrst/Beam Stet-tr-t Gas Line Insp olans. this permit will expire if work is no, lai-ted wit'—, 180 P"C)St/Beafll Meehan Insi.11ation Insp i-- of issuance. or if work isJ1"1,M/1Anc1,,1&b Iyisp Gvp Baai-d lrlr,- M/Undev-f I a(ii- Rain (11'air'1 11 e C:-Mi.ttp13ignatq.k iyiF-r !7 l-ianjc�al lvp WAtet Line It 4 Pll.imb Top OLit Popv-/Sdwl.k Iyi�j) [ssi.ted Sy .- F -aminical V' inal 'r iir q Irsp MP(71i, CITY OF l'IG(-.lRD RECEIPT OF PAYMFN,r RECEIPT NO. zcjl -,:-,Aolt' CHECK AMOUNT 45x'4. 26 CA SIA AMOUNT 0. 00 NAML MORIGGE"rTE, DON VIAYMENI DATE 0 2/ 9 1 ADDPI-""SS SUBDIVISION i1894 SW 125TH CT PURPOSE Or PAYMENT AMOUNT PW D PURPOSE OF PAYMENT AMOUNT PAID -DING PF. MST91-0036 538. 00 PLUMBING PERM 140. 00 BUII MECHANICAL Pl. 40. 50 ST. BUILD PEP 31ro. 93 1:.,L,Ari CHECK FE 259. 83 SEWER USA 1500. 00 GLWL-R INRPECT 35. 00 WGIDENTIAL "rPAFFIC' FEES 1250. 00 PARKS SDC pffoo. 00 STORM DRAIN GDC 375. 00 mwsc, TRAW1,1'r TlF FEES 100. 00 rOTPL AMOUNT PAID CT7Y OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. »41-Z'1001-53 CHECK AMOUNT 100. 00 DON MOR TSSITTE HOME'S, INC. CASH AMOUNT 0. Oki ADDRESS 15555 SW RANGY ROAD PAYMFN'r DATE 'Au'l F*(-./I)J GUTTE #20' SUBDIVISION L.AvF nSF.WE"c.io, OR q-f,03!!j-- 11894 SW 1:P51-H CT. PURPOSE OF PAYMENT AMOUNT PAI 0 PURPOSE OF F-,AYMI.':.'NT AMOUNT PAID F-�LWN EHECV, FE 100. 00 rOTAL AMOUNT PAID 00 SHOEMAKER'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, H. -OLD B. SHOEMAKER PRES. 630-7728 ■ r A j�� HPLNCK/RECT #CITY OF TIGA i�.1ll, 7 PERMIT # S'!`1 COMMUNITY DEVELOPMENT DEPARTMENT 97223 (503)634-1171 DATE ISSUED JOB ADDRESS: I �r1 —� 1��YL � �� 4 C T— TAX MAP/LOT / SUB: LOT: I� LAND USE:VALUATION: Rd, .7' 0 — OWNER SPECIAL NOTES NAME: I )�1'1 �)rl _ ' ^i')')� REISSUE OF: ADDRESS: LAST REISSUE: FLOOD PLAIN/ PHONE: �� J — _ SENSITIVE LAND: CONTRACTOR APPROVALS RE UIRED NAME: _ _ _—, PLANNING: — ADDRESS: — ENGINEERING: FIRE. DEPT: _ PHONE: — _ — _ OTHER: _ — CONTR. BOARD N: EXP DATE: L&tjM REQUIRED -UBCONTRACTORS: PLUMB: /Il�i�� _ LIST/SUBCONTRACTORS: --- MECH: �a� it T IL!2l -71#S TAX: ,RCH1ENGINEER l� CALCULATIONS: ? NAME: TRUSS DETAILS: -- _.��. � ,/�7�/ �- .'(d --- ---- ADDRESS: OTHER: PHONE: -9 PROPOSED BLDG. USE: __ -------- -COMMENTS: APPI_ ANT SIG ATURE _ Received By: _ ___ Date Received: t r 1}125 SW Hall Blvd PLNCK/RECT # CIr1WO. , rIGARRD Z3397 PERMIT '# h'�.' �Yl- 00.3 COMMUNITY DENEILOPMENT DEPARTMENT g°f (503)639-4171 DATE ISSUED JOB ADDRESS: I �1 �� _ TAX MAP/LOT SUB: LOT: y LAND USE: — „y VALUATION: ---- OWNER OWNER SPECIAL NOTES NAME: REISSUE OF: ADDRESS: f -._L _ LAST REISSUE: --- j ;I I /,/), t,I r <f FLOOD PLAIN/ PHONE: — �_ SENSITIVE LAND: -- _ CONTRACTOR APPROVALS REQUIRED NAME: _ PLANNING: _ ---...- ADDRESS: _ _ ENGINEERING: ---- FIRE DEPT: ----- PHONE: --- -- — -- ___— OTHER: CONTR. BOARD #: _ _ EXP DATE: ITEMS RE UIRED SUBCONTRACTORS: PLUMB: __ _ LIST/SUBCONTRACTORS: MECH: -- --- BUS TAX: --- -- ARCH ENGINEER CALCULATIONS: NAME: — TRUSS DETAILS: _—_- ADDRESS: OTHER: �_—.---- —._��--- PHONE: — ---- PROPOSED BLDG. USE: -----_ - a—._ -- - -- ---- COMMENTS: ------- — ---------- --_— APPI I(:AN i S I GNATURF Received By: Date Received: _— li ■ ! I/ � � I• � � 11! IR RMIT # ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE ` eU' (� 10-432 00 Building Permit Fees Gu � amu+ :0-431 00 Plumbing Permit Fees 16-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) Building 7 Plumbing Mechanical 10-433 00 Plans Check Fee 1610 3 Building PI .mbing Mechanical = '� 10-2.30 06 Fire 3q30-202 00 Sewer Connection 0 D 3 30-444 00 Sewer Inspection 25-448-02 Commercial TIF Fees — —' 25-448-04 Industrial TIF Fees -- ---"`- 25-448-06 Institutional 11F Fees ---- 25-448-03 Office TIF Fees -- —' 25-448-01 Residential Traffic Fees 15-448-05 Mass Transit TIF Fees %a a cJ 5',-449 00 Parks System Dev Charge (PDC) -- -- — 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) ✓ 75� ' 7z 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) ---- TOTAL nm/3587P.WPf 1 1 15556 S.W. Rangy Road, Suite 201 Lake Oswego, Oregon 97035 Phone-(508) 620-7638 FAR:(603)620-7485 SCWLAJ MK�se►a� IZ3 t,�xaoO 2aor 1:tUR3L0 QC*K- 821c.K- Fi RE PL'Accs F/2 VI LA ATSvm41u2114Lt. 9 G17-, n jlG► ✓� CT. J �NCR011IT i z 1 IC � ;.e CaC I FFd N 7 S z� Z85o-0, �J I �Qr_�10Roo�. ��• icy �c' zeo ....ate �14j7J 6� I Pi ttT- N �,