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11851 SW 127TH PLACE ADDRESS: I IT51r S Y J t 1:lreoordslmicrotlm\targetslbuilding.doc w J CITY aF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvtl.Tigard,Oregon 97223*8199 (503)639-4171 P;-(.;MD I IVU PL R0 #. . . . . . . '19-.4 DATE ISESUED. 10/19/" VILLPUL AT UO'ol.Lk L01,"O. PARK 4 ZONI.J413' L;J . . .. . . . . . . . . . . 1 Ac L j(4 k b fA 6 i. '12 1- 14 i�_�3 WASHING 111ALH. . . . . . . . DACKF _0W PREVNTRS. . FLIKIF Dr%Ailq�... . . . . . . T k;'uill-1 Cf: ' . . .. . . . . . . WATLR H-PTLRS. . . . . . . SPC.;I iN . . . . . . URINPLS. . . . . . . . . . . . .. 1111 k i,I ".:), c'T 14 LI FN ! I x i Li 1%,f-"*.�� . . . _„t/.5: SLWr_(t ,ft ) . . . . . RA I N L; I N t 0/19 A ":-t Itguletions :ufttdl'tH� 1r. f*ltI u w P,r e v Ji'_' 4vclaitv �..'�Fas i3iu ill t 'E Fi1151 lrisppct lati Ante wl'�. A ac-"Or- 'tcr-.A is mt • fe, vi L0 13 r; fp c 10 75 City of Tigard PLUMBING PERMIT Planck/Rec. # -131125 sw Hall Blvd. APPLICATION Permit # PCS Box 23397 Tigard, OR 97223 (503) 639-4171 M.N wv.,«r eSCri f.'.;Uri ORS 81421-610 QTY PRICE AMT Job FIXTURES Address -�. TT- .50 I i { vatory .50 Tub or Tub/Shower Nmb. Shower Only 7.50 r.•n b*•Y 'w~ ater Closet ~ 7-5C Owner Di washer 7.50 -'- Garbage Disposal 7.50 Washing Machine 7.50 ^-• ^^«• kxx Drain '7.50 ^ Water eater -- 7,50 - •v «• - au ry oom ray Orcupf,i„ Urinal 7.50 �•• 7V Other Fixtures(Specify) 7.50 7.50 7.50 L 7.50 _ rry w f hrx -yr-1) I onrj i! 0 1 MISCELLANEOUS Contractor I ( C'k- 9 �(.'1% Sewer Ist 100' — -10.00 r. •�•+�"^• Sewer-ea.Ad t. 100' 15.00 7 f ater Service 1st 100' 20.00 hereby acknowledge at I have rea is ap +cation, thane Water Ser:;;:-3 ea.Addit.200' 15.00 information given is correct,that I am the owner or Authorized agent of f',e owner,that plans submitted are in cc::plianca with F :'o laws,that I Storm d Rain Drain 1st 100' 30.00 am registered with the C•onstnx:tion Contractors Board, .at the number Storm b Rain Drain Addit. 100' 15.001 given is correct. (If exempt from State registration,please give reason -- below.) Mobile Home Space 25.00 _ Bacw Prevention Device or Anti-Pollution Device 7.50 w�•• / rAny Itap or Waste Not Connected to a Fixture 7.5110 escnbe wcxk new adc9ticin n a teraWn repair U Catch Basin 7.50 to be done rosidential Q' non-residential Q 40.00 Insp.of Exist,Plumbing per fir 40.00 Speadly Requested Inspections per hr Existing use of Rain Main,single family - build'ing or property dwelling 15.00 Residential backflow prevention devices j 15.00 t Proposed use of 1' building or property '( xcepf residential bac t- provendon devices) NOTICE 'Minimum Fee$25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5%SURC.V RGE -i AUTHORIZED IS NOT COMMENCED WTI i1N 160 DAYS,OR IF - CONSTRUCTION OR WORT:IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TT-ME AFTER WORK IS PLAN REVIEW 2S%OF SUBTOTAL COMMENCED. TOTAL i Special Conditions Date issued by M.M lAY1AA1 �xfow M. . CITY GF TIGARD CERPAN OF' OC:(:Ur•�ANGY COMMU'dITY DEVELOPMENT DEPARTMENT PERMiT #. . . . . . . : MST93--01 1� 13125 SW Hall blvd.Tigard,Oregon 97223.8199 (503)839-4171 DATE: ISSUED: 08/10/93 PARCEL: 1 S 133DD---'14 300 "F I TC ADDRESS. . . 11 SS 1 SCJ 127TH fel r,r'UBDIVISTON. . . . : VILA AGE; AT GUMNF.R LRKE: PARK: 4 ZONINGcR-4. 5 BLOCK. . . . . . . . . . .. .. . . . . . . . . . . . . S180 ('LASS OF WORD.. :NEW TYPE OF USE. . . :SF OCCUPANCY GRP. 2P.3 OCCUPANCY LOAD:229 4 TENANT NAME. . . : Remarks: PATH I Owner. DON MUR.1 aSETTE HOMES 15555 SW RANGY FID SUITE: # 20 LAKE OSWCGI.) OR 97035 Phune #: 620- 75,38 Contractor: _.,_.__......_.._._ ____.._...--.--_._....__..__.____.___... DON MOR.ISSETTE BUIL.E)ERS, INC. 15S.55 SW BANCY RD. #201 LAKE OSWErGO OR 97035 Phone Oil 620 -7538 Req #. „ . 1,5533 Occupancy of the above referenced building is hereby Riven, :1nd c,ertifiec. the compliance with the State Of Oregon I-'-pr_.i.alt ; Cortes for the group, occupancy, and use under which the referenced permit rias issued. FIRE DEPARTMENT DI NSPECTOR ILC-h -.-- FF'ICICaI_ POST IN C ONSP I CUOUG PLNCE• F- J C7 W J JNSPECTION NOTICE City of Tigard Building Department 13125 SW :all Blvd. Tigard, Oregon 97.223 Inspection Line (Rec-o-Phone)s 639-4175 Businean Phone: 639-4171 aspectior,: Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk ;'ound. Plbg. Top Out Gas Lina 1IMALt� I Frost/Beam Struct. Stn. Dower Framing -Bldg^ Port/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Meth. A am_ Date Requested : \y ._ l Tfmat 11N L(� PM Addreaa: J� ' _ Permit #s_1(�� 1 Builder=_ 1 `1� Z-�(3� _70 THE _ THE FOLLOWING CORRECTIONS ARE RNWIRED: a. ^N 1�1 W _ J Inspectort Dates APPROM DISAPPROVED APPROVED SUBJECT To ABOVE Call For Rainsp. INSPECT ON NOTICE City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 639-4175 Busingea Phones 639-4171 Inepections— Footing OL w(,� Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Poet/Be-m Struet. San. Sewer Framing -Bldg. Port/Beam Mech. Rain Drain Ineulatior -Plumb. Pl,g. Underfloor Water) Line Gyp. Bd. -Mech. Date .tequeeteds ! �-7 Times �AM PM Addreeas U Sv L-2 / / Petm�L #t BuildersD THE FOLLOWING OORRECTIONS ARE REQUIREDs t1 F_ F_ V) 7- J L'7 W -- Inspector! Datut V 7-92 L� ___-__ APPROVED _- DISAPPROVED �— APPROVRD Stl"CT TO ABOVE Call For Reinap. INSPEC IION NOTICE City of Tigard Building Departaeat 13125 SW Sall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): .539-4175 Business Phone. 639-4171 Inspectiont�^ Pooting Plbg. Underslah Lach. Rough-in �( 11ppr/Bdwlk Pound. Plbg. Top Out Can line r1NALt Post/Beam struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. --Hoch. 1^ Date Requested:_ � �• —_Time: Amt Address: / / / '� Permit AtZ6_f�LL2!Z Builder:__ THE TOLLOWINO OORRECTIONS AkE REQUIREDt Foil f - Z 1 P- clef P 0 oP=e2:e .C_._ &XIY s H Inspectors_�� Tftc1� S / natst( - z 2 APPRhVPn DISAPPROVED �" - APPROVED SUBJECT To "ovs Call Por Reinap. ll IH6PE�'.'i'ION NOTICIG (�� City of Tigard Building Department 1.3125 RW Ball B11 rd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)s 639-4175 Business Pho:,e: 639-4171 Inspection:_ t ' Footing Plbg. Underelab Hoch. 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. Plbq. Undorrloor Water Line O:p. 84. -Neck. Date Requested: T - 'Time: / AM PN Addren //��e: __ l�_ C/J ?j —�� 7 / Permit 1: 7 �" Builds THE !OLLOWIN( C '� AAE REQUIItSDf _� erc til 4 ��ticv� Q- •a_-� SAl r a rz U7 L Inspector: � �--� 1 ate: APPl1OViD DISAPPROVED /PROVED SUBJECT TO ABOVE -^Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 1.3125 S9 Ba-11 Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone)t 639-4175 Business Phone% 639-4171 Inspection:--- —__ — Footing Ptb Undsrslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Lino FINAL: Post./Beam Struct. San. Sewer Framing -Bldg. Post/Beam Medi. Rain Drain Insulation -Plumb. Plbg. Underfloor Watur Lists Gyp. Bd. -Nech. Date Requestedt Time: AM _PM 1 Addreeal 1 l , '�� ( ' �� Permit it L Builders —MAY", 2 V "t'i-V) THE/E F OLLOWING CORRECTIONS hRZ REQUIRED: `1 1� � WC..21 ---� ,. W Inspeatort- Z1111' _ Date? �/ Alri1DV�D DISAPPROVED V/APPROVRD SUBJECT TO ARan fall For Reinsp. ML(:LN NOTICE City of Tigard Building Dapartaent 1.1:25 fw Hall Blvd. Tigard, Oregon 77223 Inspection Line (Rec-O-Phone)t 639-4175 Buni.nese Phone: 639-4171 Inspections . Footing k'lby. Underelab Mach. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Line FINAL: Post/Ream Struct. San. Sewer Framing -Bldg. Post/Beam Mern. Rain Drain Insulation -Plumb. Pibg. Underflk.ryr Mater Line Oyp. Bd. -Hoch. Date Rc�Guestees_ L.n �� T1me! AH PH Address: I -� _Q�. Permit ii Builders THE FOLLOWING tMRRECTIONS ARE REQUIREDt _ it f �/r� r // �,^ rs�•, � I'>'l�� 'T�i i *l 4 Q / 5 a r J C' W - J Inspectors -L __ APPROVED DISAPPROVR rte_ APPROVED Su"JECT TO Rlk,Vt Call For Reinep. z - INSPECTI_ON EQ110E City or Tigard Building Departnient 131-25 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Roc--O-Phone): 639-4175 Business Phone: 639-4171 Inspection:, Footing Plbg. Underelab h. Rough-JA Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: ,' / �� / !Time; _Am pN Address: /i �-� OL Permit ¢ Builder: THE FOLLOWING CORRECTIONS ARE AE REDi F- V) Y J L C7 W J Inepectort Dates' / �,ZIPPROM DISAPPROVED APPROVED SUBJECT TO ABOVE Cell For Rainsp. INSPECTION NOTICE �- City of Tigard Building Department 13125 SM Hall Blvd. Tigard, Oregon 97223 Innt,eetion Line (Rec-o-Phone): 639-4175 Buainesa Phona: 639-4171 Inspections Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk Found. 1 Plbg. Top Out Gas Line FINALS Post/Beam St_ruct. San. Sewer Framing -Bldg. Poet/Beam Mech., Rain Drain Insulation -Plumb. Plbg. bndertloor Nater Line Gyp. Bd. -►iech. Date Requested$ Clor A _-S Time: AN PM Address- ,l y�� r--� -2 �l _ Petsit #s � Builder: THE FOLLOWING CORRECTIONS ARE ASQUIRED$ Inspector$ Dates )4--APPROVtD DISAPPROVED APPROVEn SUBJECT TO ABOVE Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inepaction Line (Rae-O-Phone): 639-4175 Busineas Phone: 639-4171 Inspection: Footing flog. Oederslab Hoch. Rough-in Appr/Sdwlk Found. �4Sbg�TOP Out Gas Lina FINAL: Poet/Beam Struct. San. Sewer framing -Bldg. Post/Beam Hoch. ."fain Drain Insulation -Plumb. Plbg. Underfloor Water Lin* Gyp. 8d. -Hoch. Date Requeoteds L1' rte/ _.-' Times AM PM I Address: �,�� (.. Permit #i � � , Builders / 1 _ THE FOLLOWING CORRECTIONS ARE REQUIRED: �I 7 Inspector: _-APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. IN SEE—CTI ON NOTICE City or Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 rnepection Line (Rec-O-Phone)t 639-4175 Business Phone% 639-4171 Inspection: Rooting Plbg. Undorslab Mech. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Line FINALS Post-/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbq. Underfloor water Lina Gyp. Bd. -Meeh. Date Requestgdl 1% _ !�� Timer AM PM Addreea: ftruLt Builder: THE FOLLOWING QORREQTIONS ARE REQDIREDt U. ce F- F- J r-� C.7 W Inspectors APPAOVEb _, DISAPPROVED APPROVED SUBJECT 'jO ABOVE _Ca)1 For Re- sp. INSPECTT QN NOTICE ^ity u!. Tigard Building Department 13125 aR Ball Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171 I nal,oct ion t Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Poet/Beam Etruct. sage Framing -Bldg. Post/Deem Koch. in Drain Insulation -Plumb. Plbg. Underfloor Mater Lin Gyp. Bd. -Meeh. Date Raquest(edt `-Time: I�J z� AN AddresnsVPermit is Builders THE FCILOWING ("RRECTIONS ARE REQUIRED: F Inepsetor Dates i __APPROVED DISAEPROVED APPROVED 8UBJNCT TO ABOVE Call For Reinsp. INSPECTION N7TICR City of Tigard Buil&_ng Department 13125 BW Ball Blvd. Tigird. Oregon 97223 Inspection Line (T.ec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_M Footing Plbg. Underslab i,ech. Rough-in Appr/Sdwlk Found. Plbg. Top Out (as Line FINAL: m ost/DMW Atruct. San. Sewer framing -Bldg. �� __st A"k -Xeoh.� Rain brain Insulation -Plumb. lbq' Underfloor Nater Line Gyp. Bd. -Hoch. Date Requested: -/3^�_� Time: AM PH Address: f Z C 15 / 7 Permit Builder 7 TM FOLLOWING CORRECTIONS ARE RMUIREDs a r E- c.� U4 ---- Date: vY _APPROVED DIBAPPAOVED APPROV- ED SUBJECT TO ABOVE _^_call For Relnep. INSPECTION NOTICE City of Tigard Building Department 13125 Sw Ball Blvd. Tigard, Orogon 97223 Inspection Line (Rec-O-Phone): 649-4175 Business Phone: 639-4171 Inspection•—. �t ��^ ✓' — Footing Plbg. Underslab Mach. Rough-in Ap��pr/Sdwlk Found. Plbg. Top Out Gas Line /FINAL: Post/Beam Struct. San. Sewer Framing --Bldg. Poet/Beam Hoch. Rain Dialn Insulation 1'um�__) Plbg. Underfloor Hater Line Gyp. Rd. � rf Date Requested:��! '/ b Time+ AM Add rnss: L-j ^/ PC Permit f:AVOkA^NAI?ly Builder: v LL ] 67 oa J� THE FOLLOWING CORRECTIONS ARE RiQUIRED: y. F- J L7 J Inspector:_ - � — ---__`-- — Date: 1 —APPROVED — -- DI! PPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. INSPECTION NOTICE City of Tigard HuildLog Department 13125 SII H&11 Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)/s 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out G%e Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Koch. Rain Drain Insulation -Plumb. Plbq. Underfloor Nater Line oyp. Bd. -Koch. Oats Requested: t. (D -(�- Timet q z AM PK <: n (:rass: ( tf"Y�i Q Permit #s -370( 27 Ruildar:_ l -1 1 1 l�_��- 1 J 1 / -76 THP. FOLLOWING CORRECTIONS ARE REQUIRED: 2 D: F- J C.3 ----- - ---�� J Inepectnr: I IT��t� DatesL= _�APFROVEO DISAPPROVED APPROVED SUBJECT To ABOVR Call !or Reinep. INgm-TION NOTICE City of Tigard Building Department 13125 s0 Hall Blvd. Tigard, Oregon 97723 Inspection Line (Rec-O-Phones 639-4175 Bur!ness Phone: 639-4171 Inspections Footing Plbg. Underslab Mach. Rough-in AMC/"Wlk Found. Plbg. Top Out Gas Line 1INi1i.t Poet/Beam struct. San. Sewer Framing -81 Pont/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water r Line Gyp. ed. -Mach. Date Reque st e d: !(D C��(3 Time: Address. ( f C� I i L� `� 1- ^ Permi�tp is(�G;✓ V7� /y THE FOLLOWm OORRECTIoits ARE RswiREDt � '✓ iti Ci., 2 Q ti H �.q h.1 w -- Inspsotort __-- Date= -G - 3 APPROVED _ 018APPROVRD APPROVED SUBJECT To ABOVE _Call For Reinsp. L.ITY OF TIGARD EtECE<:IPT OF PAYMF-NT FlAA: IPT NO. :9;3_ P4 c'9.3 C:M.CK AMOUNT : 1"i. 75 NAME. MP PL..L AMB I NO C;WF3E3 AMOUN T 0. 00 Ar)r)EZF:SA e PO BOX 393, V"AYMEM DATE_ 10/19/9.3 SL HpIVISI(IN GA.ACKAMAU, OR 14—io t 5-- 11.1 HPLISF. OF PAYMENT AMf)l ll4,t PA I r1 PI. RPCISF (If' PAYMF.N 1 AMIII IN I PA 11) P1. I IMri I Nr PERM 15. ON S T. B1.111-1) pli P (A. 75 a Ct r r F- J W J '3W 1.;:'! LII f l. TU T AL.. AMC)I INT PAIL) — —) 15. "75 CITY OF T'WARD — RECEIPT (IF PAYME'NT RFCF IPT Wl. CHECK AMOUNT e 51403. 86 NAmf--., ll0RlqSF'.-FTf--, DON CASH AMOUNT t 0. 00 vAymENrr vw-F e 05/04/93 qU50 IV I E's I(IN PURPOSE OV POYMENT AMOUNT r-,AiT) PURPOSE OF PAYMENT AMOUNT PAI 0 R1111-DING PF.Rlvl 475. 50 P1.1-111BING PERM 140. 00 vlLf 140N I CAL PF 45. 00 ST. fk0'tLD PER 33. 03 ,11-"14 CHECK 1:'-'E 135. 33 SEWER USA r t00. 410 -f-WF'R fN4PFCI*T 35. ON PARKS GDC 250. LAO - ORM 15� AIN ST)C 280. 00 RESIDENTIAL IRAF FIC, FI---ES 1350. 00 - ). TRANSIT TIF FFFG I 1@. 00 PLAN CHECK FE 250. QJIA ON, 1 1 jErK (LL -AT r --RL01-IF SU1111F I 18!)1 sw 1,7:-71 H P PLANCHS TOTAL AMOUNT PAID 5403. 86 CITY OF TIGARD .-. RECEUT OF PAYMENT RECEIP*'I* P0. 193--239691 CHECK AMOUNT s 940:.3. 86 NAMI a MORISSEUM., DON DASH AMOUNT s 0. 00 ADDRESS PAYMUNT DA,rr. s 05/04/97, SUBDIVISION URPOSE OV' PAYMENT AMOUNT PAID PURPOSVI OF POYMENT AMr.lt-)N*t PAID F.1, I e+7, 5 Ql PLUMPING PERM 140. 00 iff.34ANICAl. rll.--. 45. 00 ST. BUILD VIER 313. 03 I ('11\1 CHECK FF: 85. 33 13E.WER WA 2100. 00 L"-WLR fNSf-"c--Cl' 35. 00 pARKc,.; ,-rjr 2150. 00 TORM DRAM SDC' fl—DISO. O0 RESIDE WIAL TRAFFIC FEFS 1350. 160 lAt;-:)B TRANSIT TIF FEES, 110. 00 PLAN UMCK FE 00 il.Pll CIA CK FE Olb (31 1.60 Vft-l-AGt-.-, AT SW11MC17I-AKE 11851 SW 10. TH PLANCKS, IOTAL AMOUNT PAID 5, 403. 8b V I I 1'11. TTI.:4,11PEJ RF-CF1.PT OF PIPYMENT HEIC kIGST NU. 7_-4� ci-.4Fcv. rAmilmir 0011 w-m nmout4 r silij) PfIiNGY RD r,oYt4iz-.NT D�.'M.-. Oj.*f At-, )o' I"S.I oul rE tt.t r�1. 1VPI ION 1, WIT LJ:!A4-,6b. OP 1-)7 031 5 LIF PAYMII'Yll AMOUNr PAID PuRposr i.w i-,,Aymn,4r AMOUNT POI MR 'E C11Y OF TIG�ARD p E R 01 1 1"r S.9ITR PklliT MISTI�3 i't COMMUNITY DEVELOPMENT DEPARTMENT 1-3125 SW Hall Blvd.Tigard,Oregon 9722398199 (603)639-4171 D Al L 115)1-3 L!E D p 05 1714/9 3 j-d'.J1 bw PL PARCEL: DIVISION— , : -)IL.,-CAGE AT 9UMMER F-',ARK 4 Z ON I lq(3 R--,4-. "-j JT. . . . . . . . . . . . . a 160 BUI�-DING 1.sl-UE. 1)WI'LLINU UNIrS; I L'.'-A`E ML-'Ni . . . . . . . . . ';:::;. UN E. . . . . . . . . . :430 OF WUHr'%. NEW BEORMSi4 BATHS:3 GARAGE OF' US-- :Sf' ULOOR (iREA.: - R E 0 U I FR El'D SETPI:4(]R ti V- 0 F C 0 Nb f. .5N FIRST. . . . . 13412, s f L E FT. . :5 f1; R1.GH-f. .S 'UPANCY SELOND. i&E:0 s f 1-�RUNT. :2,01 f"L N-I-iR. - ;Lk*:, f t' 4 S. i THIRD. . 14 s f REUUI -1.:-.cT0Rt— :Y f t TO Si'vIOKL DEI f:, -i LD-11). -4k psfVALUE. 116300 PARK1NU SPACLS. - : 1 : ------- PLUMBINC3 1:1-OOR 1)13(aINS. . . . -0 BACKFLOW PREYNTRS. . -.0 4A T(J R i-- S. 1:3 WATER HEATERCS. . . 1 TRAPS. . . . . . . . . . . . . . -M- 11 * LHUNDIRY TR4V'-. . . :0 Cf-Tl-LH ZR CLOSETIE.3. 3 SEWER LINE (ft ) . 0 GRLASE TRAPS. . . . . . . :0 r�W f I f-'G. I WATIER I-XNE (ft ) , 10el UT HER 1- 1 A'[URES. tbi:GE DJUP. I RAIN DRAIN ( ft) . :0 ;IAJ;14G MACH. . . . 1 SF RA I N V R A I M-3. . MELHANIGAL UNI T HTRS. Vj 4;y p e arlol..Ili' by dat v r,V.c p t VENTS . . . . :0 TIF $ 1460. 00 JH 05/04/93 LI .F:4 1NP1 tlh B'!LJ VLN 1' . .4 LAPRT $ 4 7j. 50 JH 05/041 93 6-iRN ( jOOK . . -0 HOODS. . . . . . : .i. BPLC A :51[X3. 06 JLH Oi:� 16 3 93- w U C)D 010 V L.S. BrivIc $ 78 Jri OtJ 04 Z -(1U4 F,Uklq. -(zl CL.O DRYERS'. I SSDU $ 280. 00 J11 05/104 9 3 amER UNIT ..;- I PARK $ 00 J'1; ot. /0-�' 9 „, GAS OUJ LE I SPLIE $ 15. uO J h V76/04F 93 er,9 145. 00 J1 i lzf!;”,0-4 r+ORJ' SSL'JL TE HUML6 ;yl;,LC ( 1. Lb JI-1 W 1'.1 y ki., IYISPL t, 2'.. Jh Ob/ .,4,"i # c thl PART" $ 140. 00 JH 05/04/9 W.-UO ur 7. 00 J I 05/04/9..a i;,,L U',.L r-15pc $ 7536 T �Iw Di4NGY RD. L— WrOU OR 9-10,15 d 1, :,0113. 8& '70TAL i,. ii,s ipd :-jbjtc'4 to tOF ivp'.nticn cf,,'ltzirled In the RLOU I RED i NSPEC4 1 ONE gard hunicipal ;.qui-, Stat: .,f Gra. *;Dnialty 4�10des a",d C, cthpr Fucit/fJ;.ATid Insp Fit�upl'Ac.e Irlsp pilL'aulc leoi. pi, kork mi , -"* I- 1- dMI'dalCP With &j)p'0eC Porst/Bean, St)'mct Gas Line .1:h:,hi� persit hii, , rot started wits Post/ Seam Mechan I n s;u3l LR t i tm I n s, of tj pr,1miunds .'.ab ltisp (3yp Boay,d Insp,, �J-Iellull(JF)v f 1.k.101" Ra i n d i -A in sf. -4 4-4,1 p ta -1 A%Ak M 0 h n p W a t e 11 ,p Jul App,*,/Sdw1.k Insp I furt SE.WL-R CUNNL(MUN CITY OF TIGARD . Pf."RMIT COMMUNITY DEVELOPMENT DEPARTMENT #. ' . . • . ` 13125 SW Hall Blvd.Tigard,Oregon 97223@8199 (503)639-4171 DATIE PDD RLSS. 11 "11 6W I27't H PL PARCEL: 15l33UJ)—l4,:,,eiv Ct,' LLi16E r1l SUMMEN U-1KE PHRK F -4. 5 r.. . . .`FF.vv HJT. . . . . . . . . . . . . : 1130 a(4 NU. . . . . . .. . . . I -xfUtiL —AL3103 OF WOR.i%. . . .NDWELLING UNIAIS. , ; 1 Y,DE OF USE. :SP NO. OF LAUILDINGS- .L VA L L I O-1E lMJSWR, I FERV GURFALE. . in av-k,s PATI-1 1 F.E L 6 hi: mcs type a M 0 1.01 t by -Date 1'eclj, Jt) SW LANDY RD i-*1RM'T 2100. 00 JH 05/04/92) I illisp 35. 00 JH 05/1244/1) ii-.E JSWE.60 OR 97035 31,141'-PULJ< NOI ON FILL ione 00 1 U I HCUUJULD IN"..-PECTION'S) -,it Applicant Pgreis to cjlply with all the -iles and regulations bewer, !ncqjectj.L)Yi %-Ie Umf.,td : -jajo Agency. the permit expires 134 days froo ;;Af ilibueo. he tutal ae,unt PE,1d will to forfeited if the �rslt expires. *it Agency Jup-- not gurvtek the accuracy of the it sewer laterals. F 5 t located at the measurement 111 �!-S' ,F-" tht'instaiier ect fe t in all directions fros distance giver. if not si, ocated, th installer shall purchase Wap and Sido �-vrnr" Permit ind Qtht Agp cy will stall a latera Ail U. 4. CaA 116 t'c7r i n i3ect i mi 639-4175 I OW Sw HO MA PLNCK/RECT 0 3 �6 012:ID CITY OF TIGAPO Box 23397 PERMIT 0 � � "Q / COMMUNITY DEVELOPMENT DEPARTMENT Tipnl•0mgon9T123 (503)6394171 DATE ISSUED JOB ADDRESS: i / 5 W / r _ TAX MAP/LOT _; I J » /y U SUBLOT: LAND USE: —VALUATION: /4 OWNER SPECIAL NOTES NAME: .I �DI'� �IrIS�P 11 ►'��_ REISSUE OF: ADDRESS: )25S SS --)A LAST REISSUE: FLOOD PLAIN/ PHONE: _ _ SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: PLANNING: ADDRESS: ENGINEERING: _ FIRE DEPT: PHONE: _ _ OTHER: _ CONTR. BOARD f: s EXP DATE: E4 ITEMS REQUIRED SUBCONTRACTORS: PLUMB: Lwl LIST/SUBCONTRACTORS: --- MECH: �.1 �US TAX: ARCH ENGINEER o T�f'��P' CALCULATIONS: NAF1C: �p� � TRUSS DETAILS: ADDRESS: _ I. n, F30X ___ _ OTHER: PHO14E: 0 ntZ _3(_1 - PROPOSED BLDG. USE: ((5- _ COMMENTS: O APPL��ANT �IG�IATURE Received By: ,..�� _ Date Received: `` i I PERMIT n • '`ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE . 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees /c/U,u v '0 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) 33,o-3 Building --i,3 • 7� Plumbing UU Mechanical a,Z S 10-433 00 Plans Check Fee 335,33 ZS o S,33 Building .309. u� Plumbing Mechanical /� Z 10-230 06 Fire S(A10 5630-202 00 Sewer Connection 'Aloe) -✓. ,/a0 30-444 00 Sewer Inspection 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 SU /3 S 0 25-448-05 Mass Transit TIF Fees //0 52-449 00 Parks System Dev Charge (PDC) 31-450 00 Storm Drainage Syst Dev Chrg � (SSDC) �-,� s _ a 24-445--01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) _ r TOTAL .J '4 nm/3587P.W '