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11849 SW 126TH PLACE �r 11849 Ski 126th Enlace — I i� N C!1 .-1 � - w CITYOFTIFARD CE'RrIFICATF OF W OCC'Jr-,ANI*.Y CITY TWARD f---ERMTT 1#. . . . . . . ; 11ST9 1 -0031 COMMUNITY DEVELOPMENT DEPA", 0$1T OREGON 13126 SW Hell Blvd, P.O.Box 23397,Tigaml,Oregon 97223(50 6304175 DATE V;SUED: 05/ 17/91 ;ITE ADDRESS. 1184-9 SW 146TH F-11- PARCEL, 191331)D-12901-,' ,-)UP,D I V I Swo I ON. . . . VILLAGE AT SUMMER LAKE f71ARK 4 ZONINGr R- 4. 5 I.NLUCK. . . . . . . . . . ff LOT. . . . . . . . . . . . . : 166 .::LASS OF WORK. cNEW f'YPL' OF' USE. . . :9F OLCUPANCY ORP. aR3 OCCUV'ANCY LOAD:225 4 I'ENA11T NAME. . . - Remarks: show of homes Owner-s DUN MORISSETTE BLDERS., INC. 15555SW SANGY PD Opl 0 1 LAKE OSWEGO OR 97035 Phorie #1 503-620-7538 G'untrectov-1 DON MORIS'33ETTE SUILDERS, INC. 15555 SW BANDY PD. #i'01 !AKP OE361EGO OR 97035 Phone #: 6,20- 7530 Reg #. . I 355,:i3 Occupancy of the ebove reforencPcI butilding As hereby given, and certifies thR compliance with the State Of nt-eyon Specialty Cades for the uroup, occupancy, incl .tee under whii.rh the referenced permit was issued. F I RC Df F A RT MEN T -D I NG I NSEL-f ['OR L B1.1 —PING OFFICIAL POST IN CONSP ICUOU111.3 PLACE -DIN �N NCS OFrIr-! INSPECTION NOTICC Iia City of Tigard Building Dcpartl"t tr 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspectlun Line (Rec-o-Phone): 539-4175 Bug ineas Phone: 539-4171 Inspection%__ Fc•-ting Plbg. Underslab Mech. Rough-in Appr/SdWlk Found. Plbg. Top Out Gas Line FINALt Poet/Beam Struck. San. Sewer Framing -Hld 'oit./Ream Mech. Rain Drain Insulation -plumb. Irlbg. Underfloor Water Line GYP. Bd. -Nash. Date Requested: �L 114—PH/ � — Aaareee Permit #:� - Builder:- THE FOLLOWING CORRECTIONS ARE REQUIRED: 7t 7 J - Inspector: --- _-_- Date: _�- APPROVED _ DISAPPROVED _ APPROVED SUBJECT TO ABOVE Call For Reinep. w s w e INSPECTION NOTICE City of Tigard Building DepactA'ent 13125 Sit Hall Blvd. Tigard, Oregon 97223 Inspection Lind (Rec-o-Phone): 639-4175 Business Phone: 639-4171 Inspection:_, - Footing Plbg. Under• b Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Poet/Beam Struct. San. Sewer - aming -Bldg. Poet/Beam Mech. Rain Drain Insulaticn s-�luAlb. Plbg. Underfloor Water Line / Gyp. Bd. h. Date Date Requested/:_ %� Time: Address: q >`�' /.�J�-� Permit Builder: THE FOLLOWING CORhECTIONS ARF REQUITED: i Inspectors - - Date: ��] APPROVED DISAPPROVIM _ APPROVED SUBJUCT TO ABM Call For ReInsp. Ii I INSPECTION NOTICF City of Tigard Building Departaent 13125 SSI Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-07Phone): 639-4175 Business Phone: 639-4171 ,1— lnepection:___ _ ---- Footing Plbg. Underslab Hoch. Rough-in ppr/Sdwl—k Found. Plbg. Top Out Gas Line FINIAL: Post;Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line I Gyp. Bd. -Hech. Date Reyuented: (� S 14 J ___Ti.. AH PH Addreses__ I t-- [ � S', ���T� r \"` Permit 1: Builder: D.,kA � THE FOLLOWING CORRECTIONS ARE REQUIREDs AV inspector- . APPROVED ns r1or: APPROVED DISAPPROVE l i[ APPROVED SUBJNr.n To ABOVE Call For Rsinsp. r ®r CITY®F TIFARD PLUMBING PERMIT ERMIT 17,LM91-00CFTYOFIWARD 1 6 c�MUNrrY DEVELOPMENT DEPARTMENT MOO" 13125 SW HWI Blvd, P.O.Box 23397,TigW,Oregn 97M(S03)OW4175 ;wm ISSUED: 05/14/91 1164': SW 11�LIIH Pi— PARCEL; 1S137DD ­ 1 ,!'­,;7i!' SUBDIVISION. . . . t VILLAUE AT FUMMEP L.j..j r'!::- Wa I f', 4 ZONING: R-4. 5 BLOCK. . . . . . . . . . : LOT- 166 CLASS OF WORK_ -NEW GARBAGE DISPOSALS_ : MOSILE HOME SPACES. TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : l OCCUPANCY GRP. . :R3 FLOOR I-IRPINS. . . . . . . : TRAPS. . ' STORIES. . . . . . . :jR WATER HEP"ERS. . . . . . : CATCH FIX"T*URES------------.--.------ LAUNDRY Ti1AYS. . . . . . : SF RAIN DRAINS. . . . . SINKS. . . . . . . . . . .. URINALS. . . . . . . . . . . . : GREASE TRAPS. . . . . . . : LAVATORIES. . . . . : 01'HER F=IXTURES. . . . . : 'TUB/SHOWERS. . . . ., SEWER LINE (ft ) . . . . : WATER CLOSETS_- WATER LINE (f t) . . . . DISHWASHERS. . . . .- RAIN DRAIN (ft) . . . . : SPRINKLER SYSTEM Owner-: ----------------------------- — ­ -------- ------------- --- FEES ------ DUN MORISSE11E BLDERS, INC. type amottint by date recint lb5'Jb SW BANGY RD PRMT $ 15. 00 JLH 05/14/91 #210 5P,rT $ 0. 75 JLH 05/14/91 LAKE OSWEGO OR 97035 P1`10TIP #: S03-620--7538 Cont t-aCtOr3 DIVERSIFIED LANDSCAPE CONTR. J8805 CAMELOT LANE HILLSBORO OR 97183 t-:'hone 626--815& 15. 75 TOTAL Reg 581 This pergit is issued subject to the regulations contained in theREUUIRED INSPECI IONS 'igard Municipal Code, State of Eyre. Specialty Codes and all other Final Itlspec:tion applicable laws. All work will be done in accordance with approved glans. chit permit will expire if work is not started ---- within 180 deys of ij,.!,ujnCj, or if work is suspended for sore than 189 days. et-mittee Sirinatur-e - .-- _ _.4�� -".. _.�_ _._.__..R. ___ _._.�. �` _.,.. issued By : fOv- ir'sPection 639--4175 l+ i INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Ph ne): 639-4175 Business Phone: 639-4171 Inspection:__ ----- Footing P //Dnderslab Mech. Rough-in Appr/Sdwlk `t Found. Plbg. Top Out Gas Line F1NALs Post/Beam Struct. San. Sewer Framing -Bldg. t Post/Beam Mech. Rain Drain Insulation -Plumb. 1 r I Plbg. Underfloor Water Line Gyp. Bd. -Hoch. t Date Requesteds � - �1 _- -Times /-AM —PM Pddreee: PellMit #f Builder•_ �2 :HE POLLOWING CORRECTIONS ARE REQUIEM Q1 'Ilk �.0 let C L­ffelv �y. cow,. tnaper_t.or: I Fl- _ Dates_ -' APPROVEDDISAPPROVED APPROVED SUBJECT TO ABOVE (Z�111 For Reinsp. INSPECTION NOTICE �� City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 972.23 Inspection Line (Rec-O-Phone): 639-417'i Business Phone: 639-4171 Inspection:.-- -- ----.,—,-- --_—�.. _--� Footing Plbg. Underslab Mech. Rough-in Appr/8dw1k Found. Plbg. Top Chit. Gas Line FIMALr Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain D-aln Insulation p1� Plbg. Underfloor Water Linet Gyp. Bd. -Koch. Date Requestedf T1MiAM PM Address. p.ral! ,*, Builder THE FOU2WING CORRECTIONS ARE REQUIRED: Inapectori__ Datez _-APPROVED _— DISAPPWMD �?l APPROVED SUDJECf TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: _ _ Footing Plbg. Undersiab Nech. Rough-in Appr/Sdwlk Found. Plbg. Top OutA Gan Line FINALi :: Poet/Beam StrCt. Sd::. Sewer -► Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. 3d• -Noah. Lj ,�� �_ Time: AN PN Data Requested: 01 Address: Builder. — ---- TH.LFOLLOWING CORRECTIONS ARE RE((UIRED: Inspector: Date Z-3 C__MNOVED DISAPPROVED APPROVI'D SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 Sw Bail Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Bualnesa Phone: 639-4171 Inspection: Footing Plbo. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Pont/Ream Mech. Rain Drain inaulation -Plumb. Plbq. underfloor Water Line -Gyp• Bd . -Mech. Date Requested: l/ _ __Times _PH Address:_� Permit f: Builder: f THE PoLL40NING CORRECTIONS ARE REQUIRED: 441 Inspector: APPROVED DISAPPROVED APPROVAD SUBJECT TO ABOVE Call For Reinap. INSPECTION NOTICE City of Tigard Building Department 13125 aw Ball Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Un:'.erslab Mach. Rough-in l`Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Post/Beam Struct. San. Better Framing -Bldg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Mater Line Gyp. Bd. -Hoch. n Date Requested:/ `/ Tisa' Address:_f�(��fl �= G Permit 1 Z22-21 Builders ���'� TBE FOLLOWING OORRECTIONS ARE REQUIRED: 14J , Inspectori_� Date: APPROVED DI PSA PROVED PPROVED SUBJECT TO ABOVE -- Call Por Reinsp. W W W W VF INSPECTION NOTICE r1 City of Tigard Building Department= 13125 SN Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Buaineas Phone: 639-4171 Inspection- Footing Plbg. Undermlab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Cam Line FINALS Poet/Beam Struct. San. Sewer Frani -Bldg. Poet/Beam Mech. Rain Drain Insulation / -Plumb. Plbg. Underfloor Water Line Gyp. Rd. / -Mach. Date Requested: `/ �� l .__Time: __—_AN PH Address:- Permit Builder• ��_. _ THE FOLLOWING CORRECTIONS ARE REQUIRED: i ilr.�A��t �/larN7���JLT.l�I.lt�in/P1 � �-c�K-/Ovl" �-'G.� ��rr9°a.�lY.tCt— w«-t1 ►lc=.�T"'" A41 Cq) o,.�- r Inspectors �' --------------.__-___ Dates APPROWD _ DISAPPROVEDAPPROOWD SUBJECT TO ABOVJ _Call For Reinsp. INSPECTION NOTICE City of Tigard Building Departaent 13125 Sit Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Undermlab Moch. Rough-in Appr/Sdwlk Found. plbg. Top Out Gas Line FINAL: /et/Beam 8t1cuC C�CSan. Sewer Framing -Bldg. C Post/Bea�� Rain Drain Insulation -Plumb. je�7� Water I.i.ne / Gyp. Bd. -Mach. Date Requestedtt 02= ',7 -95r Time: Addrsen: �/ LZa //?� Permit #t Builder: 4 2m THE FOLLOWING CORRECTIONS ARE RSQDIRED1 Inspectors '! _ Date: z _I�_9�_� All APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. MR INSPECTION NOTICE City of Tigard Building Departasnt 13125 811 Ball Blvd. Tigard, Oregon 97223 Inspect,on Line (Rec-0-Phone): 639-4175 Business Phone: 639-4171 Inspection:. Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALe Post/r.eam struct. Ban. Bever Framing -Bldg. Post./Beam Hoch. Raint,9 Insulation -Plumb. Plbg. Underfloor Watee Gyp. Bd. -Nech. /� L) S1�7 AN PN Data RequostadeT , —� Address: Permit I:� Builder: TBS FOLLONIIfG OORRECTIONS ARE REQUIRED: Inspector: / Date:_ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE __Call For Reinap. I r i W W M t MFXM INSPECTION NOTICE City of Tigard Building Denar st 1.3125 Sit Ball Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: ----- looting Plbg. Underslab Mech. Rough-in Appr/Sdwlk ound. Plbg. Top Out Gas Line FINAL: Post/Ream Struct. San. Sewer Framing .-Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line / Gyp. ed. .-Hoch. Datp Requestedd. -�� �! _— TiimeGs �,�_AM PN Address: 1j �/ rermi f t� erZ l Builder: iD- LAA 0MLSS�rl'L T14EE FFOLLOWING CORRECTIONS ARE REQUIRED: c JOE � �r✓c✓ �i,��r— 7�R.�.-r.� Inspectors Date:_ G" Z APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call F,.c Reinsp. OF aa� as aen alp W ■e PLUMBING PERMIT CITYOFTIGARDPERMIT 0. . . . . . . s MS f'91-0@31 *CdiiARD COMMUNITY DEVELOPMENT DEPARTMENT p((•��T�R � U-D: 02/19/91 13126 SW Hall Blvd. P.O.Box 23397,Tigard,Oregon 97223 (503)839-4175 L'1:•y a '_ SITE ADDRESS. . . : .11849 SW 1267 ! PL MAR 1 • PARCEL.; 151:33DD- 1.i""?00 SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 4 ZONING: R-4. 5 F-AL_OCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . : 166 CITY OF TIGARD CLASS OF WORN.. . :NEW GARBAGE DISPOSALS. . : 1 TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :O OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 'TRAPS. . . . . . . . . . . . . . :0 STORIES. . . . . . . . 92 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0 FIXTURES---- - ~- - - LAUNDRY TRAYS. . . . . . 10 SF" RAIN DRAINS. . . . . : 1 SINKS. . . . . . . . . . .. 1 GREASE 'TRAPS. . . . . . . .0 LAVATORIES. . . . . :3 OTHER r I XTURES. . . . . :0 TUB/SHOWERS. . . . I SEWER LINE (ft ) . . . . :Vi WATER CLOSETS. . :3 WATER LINE_ (ft) . . . . : 100 DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . . :0 Remarks : show of homes OWNER: -----.___--_--_._____-_-----__--. ___._______.._ _.___._._FEES-______•___._______ .. DON MORISSETTE BLDEF6, INC. PAYM f 100. 00 JLH 02/15/91 0 15555 SW BANGY RD BPRT t 470. 50 ' #c 10 BPLC f 305- 83 LAKE OSWEGO OR 97035 b5pC f e3. 53 / Phone #: 503--620-7538 SSDC f 375. 00 1 / PARK t :150. 00 PlrAmbing Contractor :---_____.__-_._.___- MPRT $ 31 . 50 MPLC: $ 7. 88 Name : MSFIC; f 1. 58 AddrP s s a - ____ _.__ _____.__ _ PPRT $ 140. 00 C i t y : _. State : _ NSPC f 7. 00 Zip:, ._.Phone#:—_ I IF 1350. 00 Roq #a� �._____.._ P'AYM f 2862. 82 JLH 02/19/91 - - - - REQUIRED INSPECTIONS ---- - ibis permit is issuod srabjec.t to the reg - ulations uontainpd in the "tipard Municipal Fort /found Insp Rain drain Insp Lode, State of Or-@. Specialty Codes and all Post/Beam Struct Water Line Insp other Applicable laws. All work will be done Post/Beam Mechan Appr/Sdwlk Insp in accordance with approved plans. This Plm/undslab Insp Mechanical Final permit will empire if work is not started Pl_M/UndprfIoor Plumb Final within 180 days of issuance, or if work is Mechanir_al. Insp Building Final suspended for more than 180 day Plumb Top Out Erosion Control Framinq Insp C Jf Fireplace Insp Gas Line Insp �•� Insulation Insp ---� zt.�. - ---W y p Board Insp it o_torAuthorized Plumbinq Coir _ Signaatix e Call for inspection •- 639-4175 Contractor Notes : CONNECTION CITYOFTIGARD SEWER I-ERMIT CITYOFTIMRD COMMUNrTY DEVELOPMENT DEPARTMENT MOM 17-E-R1Y1J-r' *� . . . . . . : SWR91--Q-3034 13125 SW HWI Blvd P.O.Box 23397,TOW.Oregon 97223(503)W041:15 nnT-r-- .'ITE ADDRESS. . . .* 11849 SW 126TH PL PARCEL: IS133DD-12900 3ULADIVISION. . . . VILLAGE AT SUMMER LAKE PARK 4 ZONING: R-4. 5 .-ALOCl/. . . . . . . . . . d LOT. . . . . . . . . . . . . : 166 TENANT NAME. . . . . : USA NO. . . . . . . . . . :43178 FIXTURE UNITS. . . CLASS OF WORK. . . :NEW DWELLING UNITS. . : j I*YP,*,E OF USE. . . . . :SF NO. OF BUILDINGS: 1 INSTALL TYPE. . ,. . :BUSWR IMPERV SURFACE. . : : -,f Rrmar-ks: show of homes I v;n e Y.: -------------------------------------- FEES ----_—_.—_—_--.. DON MORISSETTE ALDERS. INC. type amc)'..,nt by date I,ecpt 15555 SW BANGY RD PRMT $ 1500. 00 it 12,10 I NSP 35. 00 LAKE OSWEGO OR 97035 PAYM $ 1535. 00 JLH 02/19/91 Phone #: 503-620-7538 Contv,actor: --------------------------------- CONTRACTOR NOT ON FILE Phone #: $ 15,35. 00 TOTAL Rpg REQUIRED INSPECTIONS This Applicant agrees to colply with all the rules an(I regulations Sewet, Inspeetion of the Unified Sewage Agency. The ve"it expires 121 days from the date issued. The total aicunt paid will he forfeited if the permit expires. The Agency does not guarantee the accuracy of the ,ide sewer laterals. If the sewer is not located at the seasurelent civen, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase "Tap and Side Sewer" Pereit and the Agency wili insta , ral. a r,mj.ttee Giqntt.i�,e - ss,.Aed By : Call for inspection 639-4175 CITYOFTIFARD 7L,7 MASTER PERMIT �'_ WYOFTWIV PF #RMIT . . . . . . . .. MST91­0031 COMMUNITY DEVELOPMENT DEPARTMENT 13126 BIN HWI Blvd. P.O.Box 23397,119sM.Or"m 97223(5m)634.4176 11649 SW 1261-H PL PARCEL: 1Sl33DD-jj.-t3I(� VILLAGE AT SUMMER LAKE PARK 4 ZONING: R--4. 5 ul_OCK. . . . .. . . . LOT. . . . . . . . . . . . . . 16E', BUILDING RE I SSU.7 DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 CLASS 0,' WORK. :NEW SEDRMS:3 BATHS: -' GARAGE. . . . . . . . . . :640 1"YPE OF USE. . . SF FLOOR AREAG­-­--­--­ REOUIRED SETBACKS---.___._._._._._. : VPE OF CONST. :5N FIRST. . . . .. 1241 sf LEFT. . :5 ft RIGHT. :5 ft 1!­.CUPANCY GRP. 'R3 SECOND. . . .-996 sf FRONT. -20 ft REAR. 39 ft ..;TORIES. . . . — :2 THIRD. . . . :0 sf REDUIRED------------------- HEIGHT. . . . . . . . ..25 ft 2237 sf SMOKE DETECTORS. :Y cLOOR LOAD. . . . :40 0S f' VALUE, . . . . $ i 114422 PARKING SPACES. . :@ Remarks : show of homes PLUMBING SINKS. . . . . . . . . . . I FLOOR DRAINS. . . . :0 BACKFLOW PREVNTPS. . :O LAVATORIES. . . . . :3 WATER HE'ATERS. . . * I TRAPS. . . . . . . . . . . . . . .0 TUB/SIAOWERS. . . . :3 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WATER CLUSETS. . :3 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . 90 DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0 5ARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . -O WASH ING MACH. . . : I SP RAIN DRAINS. . MECHANICAL rEES UEL TYPES­ UNIT HTRS. . :0 type amoon, t by date r VENTS _ — .0 PAYM $ 100- 00 JLH 02/15/91 CA ,W.X 1114PUl BTU VENT PPNS. . : 1 PPRT t 470. 50 URN ( 100K . . 10 HOODS. . . . . . : 1 ar -c s 305. 83 1URN ) =100K . . - I WOODSTOVES. :O 85PC -t E3. 53 �'LOOK FURN. . . . :0 CLO DRYERS. : I SSDC t 375. 0e, 1101L-/CMP ( 3HP:0 OTHER UNITS:O PARK ti 250. 00 GAS OUTLETS: 1 MPRT 31. 50 )wnert 111:1L ' t 1. 88 [SON MOR ISSETTE BLDE RS. INC. MSPC t 1 . 58 15555 SW BANDY RD PPP 1 140. 00 4c.110 ,r_- P-ric 7. 00 ..AKF OSWEISO OR 97035 TTF 1350. 00 'hone #: 503--620­7538 PAYM $ 2862. 82 JLH 02/19/91 ')ON MORISSETTE ELDERS, INC. ! j553 SW SANDY RD .AKE OSWLGO OR 97035 'hone 503,--Ci?0--79_ 38 35533 17062. 82. TOTAL This pirsit is issued subject to the regulations contained in the REOUIRED INSPEC71ON5 Tigard Municipal Code, State of Ore. Svecialtv Codes and all other, Foot/ fol.trid Insp Fireplace Triso avolicable laws. P11 wor4 will be dope in accordance with approved ritt"Act Gas Line Insp plans. This vervit will expire if work is not started within 189, Post/Beam Meehan Ins0ation Insp Jays of issuance, or if work is suspend 0r Plm/itndslah Insp Gyp Board Insp r.-IL M/Un d e v,f I o a r Rain drain Insp Mel::hanic-al Insn Water Line Trisr 1 ,�,si.iod By : VIkimh Top Oi.it Appr/Sdw1k Insp Framinq Insp Mechanical Fina , Lei 11 for irisrivotiren 629­4177 CITY OF RECEIPT OF PAYMENT RECEIPT NO. :91-20984i? CHECK AMOUNT 439 7. 8,R NAME MOR ISSETTE, DON CAF3H All(N-INT 0. 12%) ADDRESS PAYMENT DATE V12/19/91 SURD I V I S I ON 11849 GW 126TH PL r:,LJf?PM3E OF PAYMENT AMOUNT PAID PURPOSE. OF' PAYMENT AMOUN r PA I D 470. 50 PLUMBING PERM 140. 00 MECHANICAL PE 31. 50 ST. BUILD PER 3r,. 11 PLAN CHUCK FE P-13. 71 SEWER USO 1500. 00 SEWER INSPL.CT 35. 00 RE.SIDENTIAL TRAFFIC FEES I li,0150. 00 PARKS SDC 250. 00 STORM DRAIN SDC 375. 00 MASS TRANSIT TIF FEES 100. 00 '10TAL AM0UN,r, PAID 4397. 82 e 13125 SW HaoBMd. PLNCK/RECT aY r-2 CITY OF TIGARD PO Box U397 PERMIT M h) - COMMUNM DEVELOPMENT DEPARTMENT Tlp d.0-son V= ( 3)639417 DATE ISSUED JOB ADDRESS: 5 ILI ' TAX MAP/LOT SIIB: \� 1���a ',C1 � -- LAND USE: _ VALUATION: OWNER SPECIAL NOTES NAME: Cif IS�P1'�'1�� REISSUE OF: ADDRESS: �� LAST REISSUE: FLOOD PLAIN/ PHONE: _ SENSITIVE LAND: CONTRACTOR APPROVALS RE UO IRED NAME: _ PLANNING: ADDRESS: _ ENGINEERING: FIRE DEPT: PHONE: __ OTHER: CONTR. BOARD EXP DATE: _ ITEMS R QUIRED SUBCONTRACTORS: PLUMB: P _ LIST/SUBCONTRACTORS: _ MECH: Tf US TAX: ARCH/ENGINEERf��, CALCULATIONS: NAME: �_1�� ' ��=��---- -- TRUSS DETAILS: ADDRESS: — CJ _ OTHER. _ _- PHONE: PROPOSED BLDG. USE: COMMENTS: _ -- - ADPL AN] SIG ATURE Received By: ___—_ _ Date Received: r ' PERMIT M ACCT DESCRIPTION AMOUNT AMOUNT PD. B,A/L�., 'DUCE 10-432 00 Building Permit Fees o _ 10-431 00 Plumbing Permit Fees 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) 3.1 f Building 3 Plumbing Mechanical 10-433 00 Plans Check Fee . _ Building Plumbing Mechanical 'bb 10-230 06 Fire ;w "I 30-202 00 Sewer Connection 30-444 00 Sewer Inspection 3;, 75-448-02 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 25-448-05 Mass Transit TIF Fees A fly _ 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 yf- ZYL vv z`� nm/3581P.W11