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11952 SW 127TH PLACE I I I q5cp�_ Sw ! J i:\records\mierofim\tnrgets\fwildinp.doc w J CITY OF TIGARD COMMUNITY DEVELOPIW"71,'T DEPARTMENT 13126 SW Hall Blvd.Tigard,Oregon 07223.91'.: (503)639-4171 C.'EPTIFILATE 0i 00:05-4-INCY PE'RMIT #. . . . . . LIPTF- H-1,GUED.- .TTE: ADIAPE'S'S. — : 1195;2- SW J.r�'TTIA PL 1,Q 1)1 V I Ei 1019- - - - : V I L L POE 1:11 T SUPIME.R LAKE PARK A Z 0N.1 NS: Ft- 4. 5 UL;IC. . . . . . . . . . : LOT. . . . . . . . . . . . . z 1. 7' 0r WORK. NEW mt, or SF �"("UPANC-y :R3 ,("CXJf`f4N(-'-Y L.OADIZ::PIB �4 I':NANT NOME'. .Artav-�i;-: , rwrvi i DON 11110RISSIZT-TE., F.T)o n P 0: Cunt t-Ac t uv-j DON l`1L1R1S'A'-'F7F-.. BUILDER'':;, TNU. 10 B(INGY RD. tj"-10 1 L ()KF,. OSWEGO OP, "7035 Phone #: Pell it. . 1 3553"" ()crup�ow..-y ()f the afjuvc- ?-eferfnced bttildiiiq it tLjerc%by r;,ivpii, Ovid cet,tifies the with the �:Aate Of jr0goy'l !7)ppo.Aalty Cudev, fEw the usp 1.mdew- which the refer•eiic.-ad rivrmit waft irouLted. FARL T)P-14TTMENT SUILVING INSUT.F.TOR SU I L,f)I N(ji OFF I f:- T 1.41 11"cisl I 1\1 1, 114f")p 1 IOUs f,:Il- 0C,V 4 C-0 I w INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phonc ; 639-4171 Inspection• Footing Plbg. Underslab Hach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Linn FINALI-) Post/Beam Struct. San. Sewer Framiny -Bldg J Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mesh. Date Requested: --��_� �t✓� C� Time: AM _PH Address: .�[F p 1 _ Permit c 7L) THE FOLLOWING CORRECTION.' ARE/REQUIRED: C'^ / ��''��f �--„L��_A .fit•ti ./�L F-- un r f-- w Inspectors is APPROVED DISAPPROVED `' APPROVRD SUBJECT TO ABOVE Call For Reinap. I1YOF TI GA RD F-DLU111AING PERMIT CrIYOFTWARD COMMUNITY DEVELOPMENT DLL ARTMENT OREGON PLR1v11 I' #. . . . . . . : [YIS.T92-0252 25 SW HWI Blvd. P.O.Box Z3397,Tgard,OnWn 07223(503)6394175 SITE. ADDRESS. . . : 11952 SW 127TH PL PPRCEL: IS133DD-13800 SULDIVISION. . . . '. VILLAGE AT SUMMER LAK �. PARK 4 ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 175 ------------------------------------------------------------------------------ CLASS OF WORK. . :NEW GARBAGE DISPOSALS. . : 1 TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . :0 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . :0 STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH BAGJNS. . . . . . . :0 FIXTURES------------- LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : 1 S I NKS. . . o . . . . . . : 1 GREASE TRAPS. . . , . . . .'O LAVATORIES. . . . . :4 OTHER FIXTURES. . . . . :0 TUB/SHOWERS. . . . : SEWER LINE (ft) . . . 0 WATER CLOSETS. . :3 WATER LINE (ft ) . . . . : 100 DISHWASHERS. . . . : 1 FAIN DRAIN (ft) . . . . :0 Remarks : PATH I OWNER: ------------------------------- _____-._----_-_.-_-_FEES-----_----.-_ ---_ MORISSETTE TIF 1460. 00 PLL 12/21/92 BPRT $ 478. 00 PLL 12/21/92 BPLC q, 310. 70 JLH 10/23/92 233055 B5PC $ 23. 90 PLL 12/21/92 - ID110T19 4: SSDC $ 280. 00 P'.L 12/21/92 - PARK 1i 250. 00 PLL 12/21/92 - Plumbing Contractor:-- -- - ------_ --- MPRT $ 45. 00 PLL 12/21/92 - MPLC $ 11. 25 PLL 12/21/92 - ^!z h'z ,e 015PC $ 2. 25 PLL 12/x:'1/92 - Address : PPRT $ 147. 50 t;'!•L 12/21/92 - City :_ C i t y State : P5PC 7. 38 PLL 12121/92 - Z i p: Zip, Phone#: Reg #: REQUIRED INSPECTIONS This permit is issued subject to the reg .- Ulations contained in the Tigard Municipal Foot/found Insp Rain drain Insp Code, State of Ore. Specialty Codes and all Post/Beam StV-1ACt Water Line Insp other applicable laws. All work will be done Post/Seam Meehan Appr/Sdwlk Insp in accordance with approved plans. This Plm/undslab Insp Mechanical Final permit will expire if work is not started PILM/(Jnder-f I oor Plumb Final within 180 days of issuance, or, if work is Mechanical Insp Building Final CL suspended for more than 180 days. Plumb Top Out Erosion Controi Framing Insp Crawl Drain Fireplace Insp Gas Line Insp Insulation Insp X Gyp Board Insp Authorized Plumbing Contractor Signature Call for inspection 639-4175 LU Contractor Notes: I SHOEMAKER'S PliUMBING INC. 350 S.W. ZOBRIST ESTACADA, OR. 97023 (P.O. BOX 250) TO: CITY OF TIGARD 13125 S.W. BALL 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 PERM PS FOR SHOEMAKER'S PLUMBING IIJC. SINCERELY, IIAROLD B. :SHOEMAKER PRES. R F-- J t c'7 LU J �_1!M � 6.10-7728 INSPECTION NOTICE City of Tigard Building Department �- 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec o-Phone): 639-4175 Businese Phone: 639-4171 Inapection•_ Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk Pound. 1 Top Ou Gas Line FINAL: rr Post/Beim Struct. San. Sewer Framing --Bldg. Poet/Beam Mech. Rain Dain Insulation -Plumb. Plbg. Underfloor Wates. :.Lne Cyp. Bd. -Mach. max/ Date Requested: Timet AM � CPN Address: /e?�� _1 _-7 ermit #t_L_1L�3��. Builder: �-,a-- THE FOLLOWING CORRECTIONS ARE REQUIREDt 6100, d a F— T J 0 W -- --- J Inspector:_ _APPROVED DISAPPROVED APPROVED SUBJECT TO ABCME Call For Reinsp. INSPECTION NOTICE City of Tigard Building D dna tzmnt 131:15 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Tooting Plbg. Underslab Mech. Rough-in Appr/Sdwlk Pound. I'Ibg. Top Out Cas Line FINAL: Post/Beam Struct. San. Sewer _Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requestedt 5—A,2 ^_& -' �_3 Times _Q_AN PM Address: 2ql oZ _ Permit #t ` Builder: 42b/? THE FOLLOWING OORRECTIONS ARE REQUIRED: �. AA L., v- •tea- LJ VL> T J W Inspectors Z ___ _ Data: Z 73 A-00', APPROVED I-1,0�I''S�AAPPROVRD APPPOVFD St/R.MC-17 TO ASOV4: g -.a. / Call For Rainap. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inepectic;n Line (Rec-C-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Undernlab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer /--framing -Bldg. �nulatlo,Post/Beam Mach. Rain Drain --) -Plumb. Plbg. Underfloor 77 Water Line Gyp. Bd. -Mech. Date Requeeted: y - `1 _ Times AM "PM Address:_ C �-� _ / ! - Permit #: Builder- THE FOLLOWING CORRECTIONS ARE REQUIRED:QU Inspector:_ -` - ,-- - --- - -- - --- Date: APPROVED DISAPPROVED �-' APPROVED SUBJECT TO ABOVE. Call For Reinsp. INSPECTION NOTICE City of Tigard Building Departa►ent 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Buninens Phone: 639-4171 Inspection: Footing Plbg. Underslab Mech. Rough.-in Appr/Sdwlk Found. Plbg. Top Out Cas Line FINAL- Post/Beam Struct. San. Sewer Framing --Bldg. Pout/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Ed. -Hach. Date Requested:� - 7� Time, 02�___AM PM Addreee•_�� S� / ~ Permit #, ~ �� Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: CL U-1 L r' w inspectors„ Date: APPROWD DISAPPROVEDy APPROVED SUBJECT TU ADOVE Call For Reinop. INSPECTION NOTICE City of Tigard Building Departoent 13125 SW Hall Blvd. Tigard, Oregon 97223 Inepection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINS Poet/Beam Struct. San. Sewer S:aminq -Bldg. Poet/Beam Much Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: / /-Z 21Time: ✓�'��J1M PM Address:_. �l 1 � /cam` " / ,12�— __ Permit !s / �U 2-5 Builder: ,_ _ THE FOLLOWING CORRECTIONS ARE REQUIRED: I Inapector:`L� ,je'APPROV20 DISAPPROVED APPROVED SUBJECT TO ABOVF. Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SK Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspecti n: Footing Plbg. Underslab :tech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line NAL Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation lumb. Plbg. Underfloor /WaterLine Gyp. Gyp. Bd. -Meeh. Date Requeuted: ! �6 L-/ > —Times �j�AM �PN Address: J ��- 0/. Permit 1e l — (:) Builders c2L1.3- 72 d 1 ' THE FOLLOWING CORRECTIONS ARE REQUIRED: .0001 V n. T - — F- J C7 W J Inspec XAPPROV19D tor : z Date: DISAPPRCVED APPROVED SUBJECT TO ABOVE Call For Reinap. INSPECTION NOTICE City of Tigard Building Depart%ont 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec--O-Phone): 639-4175 Business Phone: 639-4171 Inspection:�i 1 Footing Plbg. Underelab Mech. Rough-in pr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drai:, Insulation -Plumb. Plbg. Underfloor Water Line (} Gyp. Bd. -Hoch. Date RoquenteL�d: -3/36 �7Z�-/� Time: AM/l PM Addreess��//y.S�- IQ � k p� Permit #:-'7�gy.12- Builder:.,_ 1 /7 ��1 a _ �^,�ly 3- THE FOLLOWING CORRECTIONS AM REQUIRED: Inspecto ` / ✓ h� Dates DISAPPROVED APPROVED 808d8CT To ADM :�ZA—vp�ww X11 For Reinep. INSPECTION NOTICE City of Tigard Building Department 13125 sK Hall. Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection• -— — — Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk oond. ) Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. Date Requested- -� �� Time: llAN ! ` Z Address:- IGtJ � Permit Builder: (P t f-7 5 1 THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector APPROVED DISAPPROVED APPROVED SUR.IRCT TO ABOVE Call Fnr Reinap. INSPECTION NOTICE City of Tigard Building Department 13125 Bit Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:__ _ ---- Footing Plbg. Underelab Mach. Rough-in Appr/Sdw1k Found. Plbg. Top Out Can Line FINAL: Poet/Beam St.ruct. jRa jr , Framing -Bldg. Post/Beam Hoch. Insulation -Plumb. Plbg. Underfloor Gyp. Bd. -Mach. DAte Requested: Z Time: /=A14 —,--PM A1C. ' t Addresn• f [� ,� "1Permi Builder: �/ / S �. THE FOLLOWING CORRECTIONS ARE REQUIRED: a-i I— J CD W J Inspector,:_ +/!�� - Date: y APPROVED DISAPPROVED APPROVED SIIRJEC'r TO ABOVE call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SN Hall Blvd. Tigard, Oregon 97223 Inspection Line (Reel`-O-Phone): 639-4175 Business Phone: 6 9-4171 Inspection:_ �L— Footing Plbg. Underelab Mech. Rough-in 7FI /Sdwlk Found. Plbg. Top Out Gas Line L:oat/Beam 8tT. San. Sewer Framing g. P t/Beam !!4ch. Rain Dr Insulation -Plumb. 1bq. njerfloor� Water Line Gyp. -Mech. q�1 Date Requested: 12 - c� `' Time: _ =1--PM 11 Addrees: I I-' � I Z1i� U , _ Permit Y: "12 ��G Z Builder._ -2 4 ; I(-i�0 --- TAE FOLLOWING CORRECTIONS ARE REQUIRED: GL to -- — - J fN IF.1 W __— J Inapnetorl s --- -- ------ _ DAto: �pwQ�►/d DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinep. CITY OF TIGA RD CITYOFTWARD MASTEk PERMIT COMMUNITY DEVELOPMENT DEPARTMENT ommom, PERMIT #. . . . . . . : OIST92-0252 13126 SNI Hall Blvd. P.O.Baa 23.597,Tigwd,Oregon 97223(603)6394176 f —DATE ISSUED: 12/21/92 SITE ADDRESS. . . : 11952 SW 1LIH i'L PARCEL: 1S133DD-13800 SUBDIVISION— . : VILLAGE AT SUMMER LAKE PARK 4 ZONING: R-4. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 175 -------------------------------- BUILDING -------------------.------------------- REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . 10 sf CLASS OF WORK. :NEW PEDRIYIS:4 BATHS:3 GARAGE. . . . . . . . . . :670 sf T'YP'E OF USE. . . :SF FLOOR AREAS----------- REQUIRED SETBACKS------------ TYPE OF' CONST. :51\1 F I RST. . . . : 1300 sf LEFT. . -5 ft R I GHT. :9 ft OCCUPANCY GRP. :R3 SECOND. . . :985 sf FRONT. :20 ft REAR. . -.50 ft STORIES. . . . . . . :2 THIRD. . . . :0 sf REQUIRED-------------------- HEIGHT. . . . . . . . :28 EQUIRED---------------------- HEIGHT. . . . . . . . :28 ft TOTAL------:2285 sf SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 p',f VALUE. . . . . $ : 117170 PARKING SPACES. . : 1 Remarks: PATH I ------------------------------------- PLUMBING ---------------------------------------- SINKS. . . . . . . . . . : 1 --------------------------------_.-....SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0 LAVATORIES. . . . . :4 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . ..0 TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . :0 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :3 SEWER LINE; (ft ) . :O GREASE TRAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . :0 GARBAGE: DI-Pl. . . - 1 RAIIV DRAIN (ft ) . :0 WASHING MACH. . . : 1 SF RAIIV DRAINS. . : 1 --------------- MECHANICAL ----------------------------------- FEES ------------.---. FUEL TYPES----------- UNIT HTRS. . :0 type amount by date r•ecpt /GAS/ / ! VENTS . . . . . .0 TIF $ 1460. 00 PLL 12/21/92 - MAX INPUT:O BT'U VENT . :4 BPRT $ 478. 00 PLL 12/21/92 - FURN ( 100K . . :0 HOODS. . . . . . el SPLC $ 310. 70 JLH 10/23/92 233055 FURN ) =100K . . : I WOODSTOVES. e 0 B5PC $ 23. 90 PLL 12/21/92 - FLOOR FURN. . . . :0 CLO DRYERS. -- 1 SSDC $ 280. 00 PLL 12/21/92 - BOIL/CMP ( 3HP:0 OTHER UNITS: 1 PARK $ 250. 00 PLL :12/21/92 - GAS CUTLETSi l MP'RT $ 45. 00 PLL 12/2.'1/92 - Ownere ---------------------------------------MPLC f 11. 25 PLL 12/21/92 - DON MORISSETTE M5PC $ 2. 25 PLL 12/21/92 - PPRT $ 147. 50 PLL 12/21/92 - P'5PC $ 7. 38 FILL 12/21/92 Phone #e Contractor-- ___------------------.----------- DON 01ORISSETTE BUILDERS, INC. 15555 SW RANGY RD. #201 LAKE OSWEGO OR 97035 Phone #: 620-7538 `n Reg #. . : 35533 >_ i 3015. 98 TOTAL J This rrrmit 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 he done in accordance with approved Post/Beam Struct Gas Line Insp LU plans. This permit will expire ' work is not started within 180 Post/Beam Mechan Insulation Insp days of issuance, or if work is uspende f9r more than 180 days. Plm/undslab Insp Gyp Board Insp PLM/Underfloor Rain drain Insp Permittee Signatur . -- 4— _ Mechanical Insp Water Line Insp Plumb Top Out Appr/Sdwlk Insp issued By : � Framing Insp Mechanical Final Gall for inspection - 639-4175 C17YOF PfARD ;cwo i moon SEWER CONNECTION TWARD PER11IT COMMUNrTY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : SWR92-0337 13125 SW Hell Blvd. P.O.Sm 23397,T4wd,Oregon 07223(603)639-4175 -41 i I -11F i":)"71OLD: SITE ADDRESS— : 11952 SW 1::7TH FIL PARCEL: IS133DD-13800 SUBDIVISION. . . . : VILLAGE AlSUMMER LAVE P'ARt/, 4 ZONING. R-4. 5 BLOCK. . . . . . . . . . . 1-01 . . . . . . . . . . . . . . 175 ------------------------------------- ENANT NAME. . . . . : USA NO. . . . . . . . . . . FIXTURE UNITS. . . CLASS OF WORK. . . :NEW DWELL I NG UN I I S- . - 1 TYPE OF USE. . . . . :SF NO. OF' BUILDINGS.- I INSTALL TYPE. . . . :BUSWR IMPERV SURFfaCE. Reroarks : PIATH I Owner: FEES DON 01ORISSETTE type amol-tnt by date t,ecpt PR11T $ 2100. 00 FILL 121/21/92 - I NSP $ 35. 00 I-'LL 12/21/92 - Pliane ("ontt-actot': ------------------------------- 1-UNTRACTOR NOT ON FILE ------------------------------ $ 2'135. 00 TOTAL k L) *k. ------- REUUIRED INSPECTIONS ------- This Applicant agrees to corply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires I0 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 .+ the measurement pAven, the installer shall prospect 3 felt in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Permit an the Age will insta.1 a lateral. 11 a t 1.kr-e I s s 11 e d B y Call for inspection 639--4175 LL C z- 2 3t/ R3-7 71 r CITY OF T I C'PARV RE=CF I r''r of V,AYMF`NT PEC"E'I PT NO. s S 2-•-F'34 8,37 CHE::C:K AIlCIUNT s 4900. 98 Ni 419V, IIOR I w SE T TCS, DON CASH AMO(JN'1- 0. 00 Al) )RFSS R 1.5555 SW LAANC-W ROAD PAYMENT DATE SUITE' 1 SURD IVI5IC7h1 L.NKF. 0C;WE:YIC), OR 97033— PURPOSE' 703 3--PURPOSE' OF f 0Yllf-NT AMOUNT PAID PURPOSF. OF PAYMENT ►.MOUNT PAID +'7►�. 00F�LI.)_.�._,__.._._-._._.,.........__�....r.____ �__ .._......._._..._. tl _..._..`_..._ MR f Nr PERM 147. 50 n 1WAMANICAL PI~ 45. ON riT. BUILD PER 3. 53 cl:Ln 1-ALAN CHECK r E 7 1. 9� SEWER USEa 5wc29 2-:33 7 2100. 00 > ;'t.61 R I NSPFGT 35. 00 RESIDENTIAL 'TRAF'F'IC FEES 1350. 00 �- i tAf3S TRANSIT TIF FEES 1 i 4i. 00 PARKS 3DCw i0. 00 -� T nRM DRM N qDC Pao. Clo 2 W 11,q52 SW to 7TIA PLACE'MLt AGE' AT SUMMERLAKE 4/1—OT # 1 75: Mc>r u•Jr_. TOTAL.. OMC'IIJNT PAID 4900. 9A • i CIT,' OF TIGARD - RECEIPT OF PAYMENT RECEIPT NO. 192-P33055 CIIECK AMOUNT : 250.00 NAME MORISSETTE, DUN CW41 AMOUNT . 0.00 ADDRESS = POYMf NT DATF : 10/23/92 SUBDIVI5ION a PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF= PAYMENT AMOUNT PAID 1 o PIAN CHECK FE� c'S0.00 �s Ln J L � I W J I OT 175 VIi_LAGE AT SIAIWRI_ARE 4 1195.=' `;W 127TH PL TOTAL AMOUNTPAID - - -> 250.00 CITY OF TI GARD 13125 sw tiau Blvd. PLNCK/RECT # l'O Box 23397 PERM 11- # /715 -2 S COMMUNITY DI VGLOI'MENI'Ul:rnurn4ENC Tprd,Oregon 97223 (503)639-4171 DATE ISSUED JOB ADDRESS: -1 P�_ TAX MAP/LOT /S/ 33 DD- 13YOO SUB: VJ cry S, rjotz LX,_Ll LOT: _j } LAND USE: VALUATION: r OWNER (� SPECIAL NOTES NAME. \ )��.> M©�(ss�rt� I��+M �S REISSUE OF: ADDRI. S: 11�!� C--IL43 2,14eq Z_- _ LAST REISSUE: I- A� t Clsw L-C'(-) `7FLOOD PLAIN/ PHONE: Wo - `T tz1�_ _ SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAMI • ►4 c PLANNING: -- ADDRESS: ENGINEERING: FIRE DEPT: PHONF- OTHER: Ir/c -.Qt- 'ONIk BOARD #: EXP DATE: L - ITEMS REQUIRED SUB(.UN I RACTORS: PLUMB: StAC L M1a X Ct(, LIST/SUBCONTRACTORS: _ MECH: Tel 000QT�j CU,-_41u( BUS TAX: ARCH/ENGINEERARCH/ENGINEER CALCULATIONS: _ NAMF• 'TEN FblLd l Z MottLS'!E�'tt"E TRUSS DETAILS: ADDRESS: _I en555 LaWA-�cr•/ 2 ih OTHER: PHONE -L PROPOSED BLDG. USE: COMNFNTS: L G7 W J APPLICANT 1GN�Il URE Received By: Date Received: PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL' DUE /k5t, 10-432 00 Building Permit Fees 41Y. --j _ 47b/-- 10-431 00 Plumbing Permit Fees ._/ IY7 �.- _� 10-431 01 Mechanical Permit Fees _ U�; �J _ 4 " 10-230 01 State Building Tax (5%) X3.5 33. s 3 Building Plumbing ' y Mechanical 7 '� 10-433 00 Plans Check Fee zr. 9�"� Building "25 Plumbing i Mechanical 10-230 06 Fire _ ,5j: i r Lutz WALTER W. MACKABEN snyq��. ,I CONTRACTOR RES, LIGHT COMM. 6 REMODELING WALT 839.2449 ADAM SARANCIK FREE ESTIMATES Sales Associate President's Club Member Million Dollar Club The Lutz Snyder Co. 19283 SW Martinazzi St. Tualatin,OR 91062 Office:(503)692-0250 F a ec 503)'430703 Wl LL Pjooti4.