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11905 SW 125TH COURT ADDRESS: a r i:Vecords\microtlm\ta rgetslbuiiding.doc i I L J CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT f�ERTIF .Il.�caTE OF 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171OCCIJPANC� PE:.1"MI T ##. . . . . „ . a I10T°3�' �L►�31�+ DATE 191..,LIED: 0,1/27/93 c iTt: NUl'fdF,17.'i« . . 7 11."3r71`,i SW 125TH L T PAPUA- IS1;3DD I i;'�k'� �XIBD M S I ON. . . . : V I LLOGE AT SLIMMER LAKE F='ARK 4 ZON I NC3 r R...4. 5 BLOCK. . « . « . . . . . a LOT. „ . . . . . . . " . . . . 141.9 i:.:lJISS OF WORK,. a 14EW TYPE OF a SF CFCCUPANC% Cii l'. ,I R.3 OCCUPANCY 4 TENANT 1'10ME:. . . a E?emarks, . POTH I UTREL'.I' OPENING PI: RMIT (E' RLUUTRED 13wnerr . ..... __ ....,.... .. ..__._...__. ._ _.. ....... . ._.. MOR I f.ASI T.((.. HOMES 15555 SCJ 1:ANGY FAD LWE Da'WE:CiCI OR 970,5. Contract or: _.._....._.... .._, _.......__. .. _ __. D01'4 MORISW1'TL SUILDE P.5, INC. 155)55 V)W E►F W-W RD. #20 1 LAKE 05VIE'CAI OR 97035 Ph o n p #: 6420 715:38 Reg ##. . 5533 Oc:c:up,anc-,y uF !;hey xibuve rf fet-erced building sr: hereby givon, Aare.! cvytif'ie the c oMpl ) :Arrc.'v with the State Of Or.eq on SpecA alty Lodes f''ur the gr oup, ucc".Ip,,anc.•y.' ,alld user +Iricirr I-AlLch the rpt`aronr. ed permit was issued. i r?( I)E:aFNf?"fME:P•p p C•(.ILDIM3 INSPL I'01 IaU I LU I MC;� CJF"F" I tw I IaE_. VIOST 114 CONLLp I CUt,ll1S PILAU'.: iY H l/7 Y h J C7 iU J INSPECTION NOTICE City of Tigard Building Department 13125 Sit Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171. 'Cnspectiont__ — --— Footing Plbg. Underslab Mech. Rough-in Appt-/Sdwlk Found. Plb -Top Qut_ Gas Line FINT.L: i Poet/Beata Struct. *Rain wer_ Framing -Bldg. Poet/Beam Mech. ain Insulation -Plumb. Plbg. Underfloorine GYP. Bd. 2-�ech. Date Requested- a� J Time:��_3 AM PM Address '7J Permit i:(/� Builder: d,L , / �, , .... — THE FOLLOWING CORRECTIONS ARE REQUIRED: r _ F- i -- C.!7 w J -- Date: Tnepect�t APPROVED DISA7PROVED APPROVED SUBJECT TO ABOVE Call For Reinap. INSPECTION NOTICE 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 Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: POOL/Beam Steuct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. CPlbg. Underfloor Water Line Gyp. Bd. -Mech. /// Date ^9queatedss� 1 �T/�, / Time: _ AM --PH Address: Ruilder:�_ THE FOLLOWING CORRECTIONS ARE REQUIRED: -- -- --- '--- — CL H F- W Inspectors.//// /—/-- -�— netes�_( .____APPROVED DISAPPROVED - APPROVED SUBJECT TO ABOVE / Call For Reinap. INSPECTION NOTICE City of Tigard Building Department 13125 EM Hall Blvd. Tigar3, Oregon 97223 inapecti.on line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: _ Footing Plbg. Underslab Mech. Rough-in Apor/Sdwlk Found. Plbg. Top Out Gas Line FINAL: P. at/Beam Struot. San. Sewer Framing -Bldg. t/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor water Line z Gyp. Bd. -Mech. Date Requested:� —�J Timet AY .� P Address: 12_—_ Permit t: Guilder: THE FOLLOWING CORRECTIONS ARE REQUIREDt Ui Inspector:_ APPROVED DISAPPROVED v APPROVED SURJSCT TO AROVY Call For Reinap. INSPECTION NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Pec-O-Phone): 639-4175 Business Phone: 639-4171 { Inspection: Footing Plbq. Underslab Mech. Rough-in Appr/Sdwlk Found. P1bQ. Top Out Gas Line FINAL: Poet/Beam St-ruct. San. Sewer Framing -Bldg. Post/Beam Mech. !fain Drain -Tneulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Meeh. Date Requested: n�~! L� Time: _AM PM Address: / vl� �' Permit !:_ r Q Builder: THE FOLLOWING CORRECTIONS ARE &4QUIREDs t]. H J M 0-4 W -- Inopector:_ _ Dates 2-17 APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE /T�� call Por Reinap. 111SPEMION NOTICE City of Tigard Bu.flding Department 13125 SN Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Busineae Phone: 639-4171 Inspectiin: Footing Plbg. Underslab Mach. Rough-in) Appr/Sdwlk Found. Plbg. Tr;2 Out Gas Line FINAL: Poet/Beam Struct. San. Sewer FramLng --Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Lina Gyp. Bd. -Meeh. Date Requesteds �r� •� ^� Times AM PM Address: /' � Permit #1 _ ?� Builder:___v THE FOLLOWING COFMCTIONS ARE REQUI:RS s .-r F- tn ..1 r.w M W inepeotorl nate: Z APPRdVlD DISAPPROVED APPROVED SUBJECT TO ABOVE --Call For Reinsp. INSPECTION NOTICE city or Tigard Building Department 17125 SN Pall Bled. Tigard, Oregon 97223 Inspection Line (Roe-O-Phone): 639-4175 Business Phone: 639-4171 Inepe.:tl.on: _ Footing Plbq. Underslab Mech. Rough-in Appr/Bdwlk Found. Plhq. Top Out Gas Line FINALS �Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain insulation P ssmb. Plbq. Underfloor Ovate—r7 Ling Gyp. Bd. Date Requenteds PM ' /1( Address s�! ��'S J'. � �� Permit r Builders�� THE FOLLOWING CORRECTIONS ARE REQUIRED: Ln G a J W J Inspectors Dates APPROVED —_ DI9APPPrwsD APPROVED SUBJECT To ABOV[ Call For Reinsp. j !SPECTION NOTICE City of Tigard Building Department 13125 SR Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171 Inspection: — Tooting Plrg. Underelab Koch. Rough-in Appr/Sdwlk round. Plbg. Top Out Gas Line FINKLt Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Koch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Koch. Date Requestedt �g ~/!9 Times C Address �tT� Permit Builder: THE FOLLOWING CORRECTIONS ARE REQUIREDt IU _ Inspectort� _ Datet�y `! APpROVtD DISAPPROVED APPRAVED SURJECT TO ABOVE Call For Reinap. INSPECTION NOTICE l City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone: 639-4175 Duoiness Phone: 639-4171 Inspection:^ Footing Plbg. Underslab Mach. Rough-in Appr/Sd-! Pound. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewsr Framing -Bldg. Poet/Beam Mach. Rain Drain Insulat! m -Plumb. Plbg. Underfloor Water Line/ Gyp. Dd. `x/-Mach. Date Requested: Time: �`� _AM --PH Date / f ` Address: � U� er � � �� Permit 1: Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: L.1. V) --- L LLJ Inspectort L.rlf +'��lytfi-� Date: i RPPUMD DISAPPROVED APPROVED SUBJECT To ABOVE _Call For Relnep. INSPECT70N NOTICE 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 Plbg. Underelab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Line CMAL8 Poet/Beam Struct. San. Se•4er Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation <t�� Plbg. Underfloor Water Line Gyp. Bd. -Koch. Date Requested:_ a, C Time: AJ( PH Y-K Address: I� %UwS �c- 7 _ Permit � 1 ` `��j 0--4/Builders _ / , w �!!1 C (07 _ cX �� ' / 7 6) THE FOLLOWING CORRECTIONS ARE REQUIRED: d I— F- J rr :O C7 W J Inspectors _ L'`'" __ Dates APPROVED DTSAPPROVEDAPPROVED SUBJECT To ABOVE _ —call For R��—��—einsp. INSPECPION NOTICE l City of Tigard Building Department. 13125 SN Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Busineee Phone: 639-4171 Inspection:_ Footing Plbq. '.rslab Hoch. Rough-in Appr/Sdwlk Found. P1hq./Top Out Gas Line FINAL: Post/Beam Struct. San. Sawer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Mach. Date Requested: r //y�/ TLms AM PN Address. ZZef'1/) � 1 ` ` P..Lt ft Builders r THE FOLLOWING CORRkCTIONS ARE REQUIRED: 1-- V) F— L c.7 W J ------- ----- - Inspector: LILA 14 Al W' _ Dater ITAPPROVED DISAPPROVED _ — APPROVED SUBJECT To ABOVE Call For R+insp. INSPECTION NOTICE City of Tigard Building Departavant 13125 SR Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171 Inspection: — tooting Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer rraming -Bldg. Post/Beam Mech. Rain Drain Insula -Plumb. Plbg. Underfloor Water Line Gyp. Ed. -Me-h. Date Requested[_ - Times AM _2!�rM Addreas: ��—y Permit #_ Builder,�� THE FOLLOWING CORRECTIONS ARE REQUIRED: a F- F- J L W J Inspector: Dates APPROVEb DISAPPROVED APPROVED SUBJECT TO ADM Call ror Reinep. INSPECTION NOTICE City of Tigard Building Departsaent 13125 Sit Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 Inspection.•_ Footing Plbc. Underslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gan Line FINALS Poet/Ream Struct-. San. Sewer Framing / -Bldg. Poat/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water�Line Gyp. Rd. -Hoch. Da--e Requested, - L _ _-Times AM PH Address&►/ ! 0 X� Permit Es L— _ Bvildersill-)� THE FOLLOWING CORRECTIONS ARE REQUIREUs J U3 lL - -- J - - Inspectors_ Dates ,01�APPROVED DISRPPROVRD "PROM SUBJ=CT TO AHONK Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SN Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)e 639-4175 Business Phone: 639-4171 Inspection: -- Footing Pl.bg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: \Post Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plhg. Underfloor Water Line Gyp. Bd. -Mech. / �_ _ /l �AN PM Date Requested: / .T ��U Time: C'/+) ___PH Address:// v S XP armit Builder: THE FOLLOWING CORRECfION4 ARE REQUIRED: H V1 F- L'7 W Inepecto'rt/ v APPROVED DISAPPROVED APPROVFD SORJECT TO ABOVE Call For Reinap. ---C TY OF TINA 10 --------- ASTER PERMIT Mcn RD PERMIT #. . . . . . . : MS f92-0314 COMMUNITY DEVELOPMENT DEPARTMENT 01111160N 13125 SW Hail Blvd. P.O.BOX 23397,T1901d,Omg­97W3_46M)43"1 T5 DATE ISSUED: 12/29/92 SITE ADDRESS. . . : 11905 SW 125TH CT PARCEL: IS133])D-11200 SUBDIVISION. . . . : VILLAGE FIT' SUMMER LAKE PARK 4 ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 149 ----------- BUILDING RE I -'c3UE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 s f CLASS OF WORK. :NEW BEDRMS:4 BATHS:3 Gpr:)GE. . . . . . . . . . :488 sf TYPE OF USL. . . :SF FLOOR AREAS---------- REQUIRED SETBACKS----------- TYPE OF CONST. -5N FIRST. . . . : 1350 sf LEFT. . :6 ft RIGHT*. :6 ft OCCL;'*ANCY GRP. :R3 SECOND. . . :930 s f FRONT. :20 ft REAR. . :a3 ft STORIES. . . . . . . .2 THIRD. . . . ..0 sf REQUIRED-------------------- I HF_' IGN,T EQUIRED------------------- HEIGKT.. . . . . . . . :26 ft TOTAL-------:2280 sf SMUKE DETECTORS. :Y FLOOR LOAD. . . . 140 PSf VALUE. . . . . $ : 113664 PARKING SPACES. . : i Remarl(so PATH I STREET OPENING PERMIT IS REQUIRED PLUMBING C .;!N S. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0 LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :O TUB/SHOWERS. . . . 14 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WATER LLOGETS. . :3 SEWER LINE (ft ) . :O GREASE TRAPS. . . . . . . :0 DISIiWASHERS. . . . .- 1 WATER LINE (ft) . .- 100 OTHER FIXTURES. . . . . :0 GARBAGE DISP;. . . : l RAIN DRAIN (ft ) . :O WASHING MACH. . . -. 1 SF RAIN DRAINS. . : 1 --------------- MECHAN I CAL ----------------------------------- rLES FUEL TYPES----------- UNIT HTRS. . :O type amount by date reept /GAS/ V E 1\1 TS . . . . . :0 T I F $ 1460. 00 JH 12/29/92 - MAX INPUT*:O BTU VENT FANS. s4 BPRT $ 468. 00 JH 12/29/92 - FURN ( 100K . . .-0 FLOODS. . . . . . : 1 BPLC $ .304. P-0 JLH 12/15/92 92-234710 FLI.iN ) =100K . . : I WOODSTOVES. -.0 B5PC $ 23. 40 JH 12/29/92 - FLOOR FURN. . . . #0 CLO DRYERS. : I S S,D C $ 280. 00 JH 12/29/92 BOIL/CMP ( 3HPi0 OTHER UNITS: 1 PARK $ 250. 00 JH 12/29/92 GAS OUTLETS: 1 11PRT $ 45. 00 JH 12/29/92 Owner: ----------------------------------MPLC $ 11. 25 JH 12/29/92 MORlSSITTE HOMES 115PC h 2. 25 JH 12/29/92 15555 SW RANGY RD PPRT 155. 00 JH 12/29/92 Pbr-C $ 7. 75 JH 12/29/92 LAKE OSWEGO OR 97035 Phone #: 620-7538 Contractor: --------------------------------- DUN NORISSETIE BUILDERS, INC. 15555 SW BANDY RD. #201 LAKE OSWEGO OR 97035 Phone #j 620-7538 0- Reg #. . e 35533 ---------------------------------------- 3006. 85 TOTAL Ln this permit 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 Fireplace Insp applicable laws. All work will be done in accordance !lith approved Post/Beam Struct Gas Line Insp _J plans. This permit will expire if work is not started within 189 Post/Seam Mechan Insulation Insp 4 days of issuance, or if work is suspended fo more thanays. Plm/undslab Insp Gyp Board Insp C-3 UJ 'LM/Underfloor oat- Rair drain Insp Permittee Signature: nj4lecw PrAl e ch a n i c a 1 Insp Wat&r Line Insp Plumb Top Out Appt-/Sdwlk Insp Issued By ., f r-raming Insp Mechanical Final Call for inspection 639-4175 ----------- CITY®F I'GARD WYOFTWARD SEWER CONNECTION 'COMMUNrrY DEVELOPMENT DEPARTMENT 0*100" P,ERNIT 13126 SW HWI Blvd P.O.Box 23397,nqwd,Oregon 97223(603)6394176 V-,ERMII #. . . . . . . : SWR 92--04-95 639--4171 DATE ISSUED: 12/219/92, bITE ADDRESS. . . : 11905 SW 125TH CT PARCEL: IS133DD--11200 :)UBD I V 15 1 ON. . . . . V I LLGE AT SUMMER LAKE r-,ARK 4 ZOI\111\16: R-4. 5 LALOCK. . . . . . . . . LOT. . . . . . . . . . . . . : 149 I EI\IqNT NAME:. . . . . : LISA 1\10. . . . . . . . . . : FIXTURE UNITS. . . CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 IYV,E OF' USE=. . . . . :5F NO. OF' BUILDINGS" I INSTALL TYI-,E. . . . :BUSWR IMP,ERV SURFACE. . : kemarks : PIATH I Owner: FEES ------------- HORISSITTE HOMES type amol-tnt by date retzpt 15555 SW RANGY RD F,R MT $ 2,10 Vi. 0 0 JH I N13P $ 35. 00 JIi 12/29/92 l._.AIAE OSWEGO OR 97035 14ione #- 620-7538 Lontrac.,tor: f ONTRACTOR NOT ON FILE ------------------------------------------ 1-11-ione It: $ 2135. 00 -. .'-TAL Rey #. ------- RLUUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency, The permit expires 180 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 distance given. If not so located, the installer shall purchase ................. a "Tap and Side Sewer" Permit a� he Agency will install a late al. Permittee 5iynat 1.t i e Issi.ted By : o Call for inspection 639 -4175 ca LO CITY OF TIGORD - RECElPT OF PAYMENT REC[--*Ir-,T Nn. a 9r=' 594 CHECK AMOUNT : Fj I Ot. 8!7. NAME : MORISSETTE9 DON CASH AMOUNT a 0. 00 (iDDRESS s PAYMENT DATE a I P SUIAD I V I S I ON PUPPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID 5-ci 1"-1--.—DI 1-4(-3 ,-1,-E-f R—M 4613. 00 PLUMBING PERM 155. 00 ME LHANICAL Pt: 45. oel ST. BUILD PER 33. 40 Pl-i")N CHECK FF 275. 45 SEWER USA r i00. 00 35. 00 PARKS SDC 00 ti '-")TORM DRAIN SDC 2k30. 00 RESIDENTIAL TRAFFIC FEES 13,50. 00 rIsISG TRANSIT TIF FEES 110. 00 uj LOT 1.49 VILLnGE AT SUMMFRL.nKE 4 11405 SW Ir-'.5744 ( T TOTAL AMOUNT PAID 1 8 CITY OF TIBARD RECEIPT OF PAYMENT RECEIPT NO. s 92 -j".54710 CHECIA AMOUNT 40. 00 NAME MURISSETTE HOME99 INC CASH AMOUNT 0. 00 ADURFSE; a 15555 SW BANDY ROAD PAYMENT DATE a 12/15/92 LnVE 09WEG00 OR SUBDIVISION PURPOSE OF PAYMENT nMOLINT PAID PURPOSE OF PAYMENT AMOUNT 1'-1A I D PLAN CHECK FF 12-43R 40. 00 ui I 1,)05 SW 125TH RE. ISSUE OF 9P-0069 fOTAL AMOUNT P(II0 CYIU 13176swH,�113� PLNCK/RECT � OF TIGARD T OBox 23 7 PERMIT 0 �► �{qZ- �'3/� COMMUNITY DEVELOPMENT DEPARTMENT (503)6'"" DATE ISSUED JOU ADDRESS: i �U S L'-� X02 TAX MAP/LOT /S/ 33 0 0 -112.0 U SUB: LOT: /`'�� LAND USE: VALUATION: Il> 66Y- OWNER GY- OWNER J) � SPECIAL NOTES NAME: rlSSP [_f��t')'1� REISSUE OF: ADDRESS: 11 64#��� LAST REISSUE: C _ FLOOD PLAIN/ PHONE: � SENSITIVE LAND: _ CONTRACTOR APPROVALS REQUIRED NAME: � ��s� ` PLANNING: ADDRESS: ENGINEERING: _ FIRE DEPT: PHONE: _ OTHER: CONTR. BOARD EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: L LIST/SUBCONTRACTORS: _ MECH: 14t!4 fLj,/YUS TAX: ARC�NSINEER o Til 0. CALCULATIONS: NAME: _ � TRUSS DETAILS: ADDRESS: 602( 18 3 OTHER: _ Ind,54 _7 PHONE: _ C�. �`� (45 CL PROPOSED BLDG. USE: � 7 F COMMENTS: J L c� LLJ J 6�6 �F APfi ANT SIGNATURE V �, �t, I Received By. �� _ Date Received: ' PERMIT # ACCT # DESCRIPTION AMOUNT / AMOUNT PD. BAL. DUE r,7fy2-u3ic 10-432 00 Building Permit Fees 10-431 00 00 Plumbing Permit Fees _ 10-431 01 Mechanical Permit Fees y, y�� 10-230 01 State Building Tax (5%) 3 .yu (tu Building qo Plumbing Mechanical VAA 10-433 00 Plans Check Fee 3/S• Building sL'���. u? Plumbing _ Mechanical _ Z 10-230 06 Fire _ 30-202 00 Sewer Connection t` 30-444 00 Sewer Inspections 3 ) 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 zl S v 3-50 25-448-05 Mass Transit TIF Fees �/ ' //v 52-449 00 Parks System Dev Charge (PDC) TU 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) CL 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTAL r 10 c� W J nm/3587P.WPF r 13125CITY OF ��`-��� �2s sw HallHallnwd. PLNCK/RECT # Tigard,Oregon 97223 PERMIT # COMMUNITY DEVELOPMENT DEPARTMENT (503)639-4171PATE ISSUED — JOB ADDRESS: TAX MAP/LOT SUB: _ LOT: LAND USE: VALUATION: OWNER SPECIAL NOTES NAME: REISSUE OF: ADDRESS: LAST REISSUE: FLOOD PLAIN/ PHONE: SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: _ PLANNING: ADDRESS: _ _ ENGINEERING: _ _— FIRE DEPT: PHONE: OTHER: CONTR. BOARD #: EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: — LIST/SUBCONTRACTORS: MECH: BUS TAX: _ ARCH/ENGINEER CALCULATIONS: NAME: _. TRUSS DETAILS: ADDRESS: OTHER: PHONE: - ---- n. PROPOSED BLDG. USE: ~ COMMENTS: — J Ca W J APPLICANT SIGNATURE Received By: _ _ _ Date Received: __