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11725 SW 129TH PLACE ^. i l� r =t .M K, �µ i r CERTIFICATL OF CIIYOFTIFARD OCCUPANCY GIgY 0i<T16.4 RD COMMUNITY DEVELOPMEW PERMIT #. . . .. — BUP�1142(122 �OELA, R PRIM. PFFZMIT #. s 89262P 03aq 4� 11125SWHall8-W, P 0.Rox 23397,Tigani,Or, DATE 25541IFT)m AA/]A/yip I1 E. ADDRESS. . . a 117e5 SW 12.oTH AVE PARCEL.i IS133W-81200 SUBDIVISION. . . . I ZONINGS BLOCK. . . . . . . . . . a LOTva . . e . . . . . . . . t5l CLASS OF WORK. sNEW TYPE OF USE. . . P SF' UCCUPANCY ORP. sR3 OCCUPANCY k,.(IADs T'E'NANT NAME. . . : Remark%I reissue of 89P2,35 $ 40 for tw,, red line c(.-)F)ios DON MURISSETTE PO BOX 19524 PORYLAND OR 00H00 -0000 Phone l4s 000-000 -0000 Contractors DON MORIOSETT� ELDERS, INC. 1:1 0 Box ),95el# PORTLAND OR 97219 Phone #o 5FLi--620-7538 Rog *. . 1 35533 Occupancy of the above referenced building -is hereby given, and vertifieV4 the compliance with the State Of Oregon Specialty Codev for the group, nccupancy, and use under which the referenced ,ormit wat, ISOLled. FIRE DEPARTMENT BUILDING7PECTOR El U IeDING w'�`C I A L POST IN CONSPICUOUS PLACE INSPECTION NOTICE City of Tigard Buil:ing Department P.O. Box 23397 Tigard, Oiegci 9722e 14 Phone- 639-4175 / Type Of lnspecJn '.,quested P.M. Datr 17.iquest Time A.M. Address Permit *6E D-- Owner, Lot Builder The following Building Code deficiencies are required to be corrected: LV ,4 Presented to I Approved Inspector Disapproved Date CALL FOR REINSPECTION FJ- YES 0 NO i INSPECTION NOTICE j ��•'� City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection ` A.M.__—P.M. j � L T me_— Date Requested-- � � � _f t permit # Address _-- Lot # Owner ------ Builder The following Building Code deficiencies are required to be corrected ------- — - Approved Presented to � Disapproved Inspector Date _ `- CALL FOR REINSPECTION YES 0 NO INSPECTION NOTICE ` �J City of TigardBuilding Department P.O. Box 23397 T,gard, Oregon 97223 Phone: 639-4175 Type of Inspection �S Date Requested,�—/7' Tirae —_A.NLe��M. Address _ 1 ��,.5 � Permit Owner_ . _ Lot # Builder The following Building Code deficiencies are required to be corrected: a i Presented to � proved Inspector . Disapproved Date _-_ 7 CALL, FOR REFECTION U YF.S3 O INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Orogon 97223 I Phone: 6639-4175, Type of Inspection Date Requested Time A.M. P.M. Address �.� 7�� r� 7 — Permit Owner Lot Builder '424r/ _ The following Building Code deficiencies are required to be corrected: AJ /9S h /9 S 42-- � Presented to ......... \� Approved Inspector [_� Disapproved Date ZZ,�/Iy CALL FOR REINSPECTION ❑ YES Cl NO INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection 'j'`_ zzye' Date Requested �. U Time A.M. P.M. Address Z/ 7a _ .� ' ` Permit # �� Owner _ Lot # — Builder The following Building Code 69ficiencies are required to be corrected: Presented to — ;" "pproved Inspector / ❑ Disapproved Date CALL FOR REINSPECTION D YE6 EJ- NO i i INSPECTION NOTICE City of Tigard Building Departmen P.O. Box 23397 Tigard, Oregon 97223 / Phone: 639-4175 Type of Inspection —t I?A Ll— L KL — Date Requested -2 7 –Qd rime—A.M.—P.-A. Address 7 l Permit # �' Owner Lot # p Builder /AA U IZ T"T The following Buildi^,l Code deficiencies are required to be corrected: Presented to y�� ,r""� M proved Inspector ____=J "t _I Disapproved Date _sem_. __ty CALL FOR REINSPECTION ❑ YES U NO f INSPECTION NOTICE City of Tigard Building Department P.O. Box ?3397 Tigard, Oregoo 97223 Phone: 639-4175 Type of Inspection Date Requested__—'� �� Time A.M. P.M. Address __—a(�7e:: -S /c} ` Permit # Owner Lot #— Builder ( !- l J-U'o S%arre 1 The following Building Code deficiencies are required to be corrected: r Presented toApproved Inspector [ � Disapproved Date '5-- 2 CALL FOR REINSPECTION G Y E 8 ❑ NO INSPECTIOA NOTICE City of Tigard Building Department I P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 I Type of Inspection Date Requester! ,�s _cam/ Tin�� P.M. I Address Z/ -� ,��— 4---,) P'1A Permit Owner —_ Lot # Builder The following Building Code deficiencies are required to be corrected: i i Presented to P�Approved Inspector Disapproved Date cJ!l.S— CALL FOR REINSPECTION ❑ YES U NO i� INSPECTION NOTICE City of Tigard Building Depaitment P.O. Box 23397 Tigard, Oregon 97223 �- Phone: 6JJ39-4175 Type of InspecCon /, Lz Date Requested `7 —�J� Ti — P.M. Address — �a Permit �t2 Owner L o #__ Builder The following Building Code deficiencies are required to be corrected: Presented to _ Approved Inspector ij Disapproved Date CALL FOR REINSPEC77ON D YES L7 NO MOM INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 63P•417 5 Type of In%smction -2660z'u.� aTiai. Dats Requested =1 r- �� Time A.M. P.M. '. Address __.._�� `� Permit Owner Lot The following Building Code deficiencies are required to be corrected: ' �i9 vlaTbE i�''s3 N7Ju`;,� moo:�.v ego Elfe' Presented to _. ... Approved Inspector _ /'f -_ / ❑ Disapproved Date CALL. FOR REINSPECTION ❑ YES ❑ NO g DATE* ISSUED: 04/16/90 C' �TY TIFARD BUILDING PERM11 PERMIT #. . . . . . . .. BUP892622 COMMUNITY DEVELOPMENT DEPARTMENT Mon PRIM. PERMT1 892622 13125 SW Hill Blvd P.O.Sam 23397,TW&d,Orepn 97W SITE ADDRESS. . . : 11725) SW 129TH PL PARCEL.: ISI 33D--D SUBDIVISION. VIL-1-AUEAT SUMME"RI-AKE 2 ZONING: R-4. 5 PD BLOCK. . . . . . . . . . .I LOT. . . . . . . . . . . . . :51 REISSUEsiRUP870330 FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF* WORK. :NEW FIRST. . . . : 1.050 sf N: S: E: W: TYPE: OF' USE. . . -SF' SECOND. . . 1120 sf PROTECT TYPE OF CONST. :5N THIRD. sf N: S: E: W OCCUPANCY GRP. :R3 I*OTAL---------------: sf ROOF* CONST:C F I R E RET'.? OCCUPANCY L-OAD. BASEMENT. sf AREA SEP. RATED: GTOR. : 2 HT. : 20 ft GARAGE. — : 441 sf OCCU SEP. FATED: DSMT?: M El".Z Z 1?. REUD REOUIRED-------- F]...00R LOAD. . . . : 40 pr LEFJ: 7 ft RGHT: 9 ft F'I R C P K L SMC!1K DET. . oY DWEL-LING UNITS: 1. F7RNT:20 ft REAI"-k-.45 ft F'I R A I-R 11 HNDICP ACC-. BEDRMS: 4 BATHS: 3 IMP SURVACEI. PRO CORR: PARKING: VAL..UE. $c 99078 ReniarF!.s: reissue of 892235 $30 two red livie copies (: wrier: F'EES DON MORISSE*TTE -type amoLclt by date reept V,O BOX 19524 P F<M 1 433. 00 'ION PLC K 4, 40. 00 MON 1::,ORTI-ANI) OR 00OL40 00100 5PCT $ 21. 65 MAN Phone #c 000-000-0000 PAYM $ 40. 00 MAN S(3DC 11, 250. 0P PIAN Covitractor: STDG $ 600. 0,1 MON DON MORISSL*T'T[:- BL-DERS, INC. PDGF:' $ 250. 00 MAN 1, 0 BOX 19524 MISC, $ 30. 00 MON PAYM $ 1584.65 JLH 04/16/90 PORTI. AND OR 9721'.3 Phovie 503-P44--9314 1624. 65 TOTAL Reg 35533 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Tigard Municipal rAe, State of Ore. Specialty Codes and all other ............. ... applicable laws. All work will be done in ACCOTdance with approved plans. This permit will expire if work is not started ------......... ........I........... within 180 days of issuai,,.*, or if work is suspended for sore than 180 days. Pf-I'Mittee SiqT1&tU-1'e1 .......... —------ Issued Byl .............. Call for inepettion -39-4175 SEWER CONNECTIUN CITYQFTIFARD PERMIT ;S"Ai0'FTWNRD COMMUNITY DEVELOPMENT DEPARTMENT 0-01.0—ft PIE, MIT #. . . . . . . .. SWR892645 13125 SW HWI Blvd P.O.Bak 23M.TIVaId,Omqon Or (503)GS4176 P'RIM- PERMIT #. -. 892622 6,39---4171 7, - DA�E ISSUED" 04/1A/90 SITE ADDRESS. . . : 1.1725 ,,W 1 `9TH P-11- PARCEL: ISI 33T)---D SUBDIVISION. . . . : VILLAGE HSUMMERLAK[- 2 ZONING: R-4. 5 PD BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :51 TENANT NAME. . . . . : USA NO. . . . . . . . . . :40654 FIXTURE: UNIIS. . . . CLASS OF WORK. . . :NEW DWELLING UNI TS. TYPE OF USE. — . . :SF NO. OF' BUIL.D,INGS: I INSTALL TYr'E. . . . :PUSWR I N R V S I J R F A'CE f Reniaflf.s- Ow-le-r.- FEES DON MORISSETTE type a 01 c)t.t)I t 13>, (late -veept PO bOX 19524 V'RMI $ 35. 00 MAN PORTLAND OR 00000-0000 PR M 1 $ 1 r?50- 00 MAN PA Pflc)lle #: 000-600-0000 YM $ 15_'8 5. 0 0 JI.-H 04/1.6/90 Corit-rar,tu-r: DUN MORIssE*TTE BLDERS, INC. P 0 BOX 195)24 PORTLAND OR 9*7219 .......... Vllic)rie #-. 503 244 9314 $ 1285.00 TOTAL Reg This Applicant agrees to comply with all the rules and regulations REOUIRED INSPECTIONS of the Unified Sewage Agency. The permit expires 120 days from the date issued. The total amount paid will be forfeited if the ------- permit eipires. The Agency does not guarantee the accuracy of the side sever 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 "Tip and Side Sever" Permit and thAjenc "ill Inst4l a lateral. ............. ............. UWA Cu_-]— Isisued E4 y. ............... Call fa-r ITISPeCt. i c)1-1 639---41*73 WIN RIM M M.-'(,IAoN I CAL CITY OF TIFA-r& -- 1-1 ER 111. T' crnly '1101110 p.1-..RMIT D. . . . . . . : MEC89PG44 0WIGON1 COMMUNrrY DEVELOPMENT DEPARTMENT r�i 13125 SW FWBlvd P.O.Box 23397,TOM,Onigon 97223;Mr3 -4175 17,R 111- PER M IT #. 8 9 2 6 2 2 63 _ J�j I —DATE IaSULI)m 04/16/991 SITE ADDRESS— : 11.725 SW 129TH 1-11- I.'.1()RCEL,. IS1. 33D--l) SUBDIVISION VILLAGE AT SUMMERLAKE 2 Z0N.'[NG-.- R-4. 5 PD BLOCK.. . . . . . . . . . . 1-07.. . . . . . . . . . . . . :51 ("LASS OF IJORK. . rNEW FLOOR TURN. . . . : EVAP COOLERS: TYPE OF USE. . . . :SF UNIT HEATERS. . VENT FANS. . . c 5 OCCUPANCY GRP. . :R3 VENTS W/O APPL: VENT SYSTELMS: STORIES. . . . . . . . : 2 BOILERS/COMP-ESSORS HOODS. . . „ . . . : I FUEL 0-3 HP. . . . : DOMES. TNCIN: :GAS 3-15 HP. . . . COMMIL. INCIN:: MAX INPUT: BTU 15-30 HP. . . . ;:EIPIAIR UNITS-. FIRE DAMPERS? 30-50 HP. . . . . WOODSTUVES. . : GAS PRESSURE. . . 50+ 1AP”. . . . . CLO DRYERS. . :: NO. OF AIR HANDLING 1.)11.1 TS OTHER UNITS. . ;2 TURN < 100K R*TU-. <x 3.0000 cfm; GAS OUTLETS. .- I FURN )=100K BTun 1 > 11"000 cfin.- Reyna rks: Owrie-r: .......--- FEES .-ON MORISSETTE type 'Anfoulit by date recpt 1:10 IMX 19524 PRMT $ 10. 00 MAN PLCK $ 12.00 MAN PORTLAND 11R 0000[ -.00CA0 `)PC T 1: 2. Kik) MAN Phone #4 000-000-000b PIRMT $ 38. 00 MON PAYM $ 62. 40 JLH 04/16/90 BELL HEATING INC 1.5550 SE PIAZZA AVE' (AOCKV101:') OR 97015 $ 62. 40 TOTAL A 4 IREQUIRED 1145PECTIONS This permit is issued subject to ';ie regulations contained in the Tigard Nui,iripal Code, State of Ore. Specialty Codes and all ether applicable laws. All work will be dune in accurdance with -------......... approved plans. This permit will expi-e if work is not started within 180 days of issuance, at if work is suspended for more than 188 days. ............. Pe'('111i.ttee Lai]- L4 ISSUed Byz 1A ---------- . ..... Call fo-r iiispec!tiari 639--4175 CITYOFTIGrARD PLUMBING F'E:.RrizT ' COMMUN TY DEVELOPMENT DEPARTMENT �xr oR�o AIS f'EFiMIT #. ' . . ' ' : I"'LMF1��L't,`'.3 13126 SW Holl Bbd. P.O.Box 29397,Tiyud,Oregon 972236sXi1 s39 4175 PRIM. ' "R M I T 0. : 892622 E,31-41.71 DATE* ISSUED: 04/16/90 SITE ADDRESS 11725 SW 129TH PL PARCEL: ISI 33D-D SUBDIVISION . . . . : VILLAGE AT SUMMERLAKE 2 ZONING: R--4. 5 PD . . . . .. . . . . . : LOT. . . . . . . . . .. . . . :51 CLASS OF WORK. . :NE^W GARBAGE: DISPOSALS. . : 1 MOBILES HOME: SPACES. 1_.__.__..__ TYPE: OF USE. . . . :SF WASHING; MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : OCCUPANCY GRP. . rR3 FLOOR DRAINS. . . . « . « : TRAPS. . . » » . . . . . ., .. „ .. ::,TORJE:S.. . . . . . . . .. 2 WATER HEA'TERS. . . . . . . 1 CATCH BASINS. . . . „ . ., . FIXTURES _.._..__......._._......__...._ LAUNDRY TRAYS. . . . . . : 3 SF FAIN DRAINS. . . . . : 1 UFSINALS. . . . . . . . . . . . _ GREASF TRAPS., . . . . . . . LAVATORIES. . . .. . : 3 OTHER F'IXT'URES. . . . . : TUB/SHOWERS. . . . r. .3 SEWER LII41:: (ft) . . . . : WATLR CLOSETS. . : 3 WATER LINE (ft) . . . . : 1 DISHWASHERS. . . . : 1 FAIN DRAIN (ft) . . . . : 1. Remark. Ow rt e r: _._.._._.__.___._._.. _._.___.....___._, _.__._._..._...__. _._..___....._......__..._._.__._ .._.... FEES ..........._......_.__.......__...._.._._.. DON MORIS)E::TTE type amount by date recpt PO BOX 19524 524 PRMT $ 140. 00 MALI / ! SPCT $ 7.00 MAN PORTL_ANI) OFA: 00000-.0000 PAYM `I 147.00 JI_.H 04/16/99 Phone #-. 000 -000-0000 Contrac!t0r: _..___._.._._....__..__._.___..___..____ _.__._......_........ SHOEMAKER" S PLUMBING P 0 BOX 250 E STACADA OR 9'(",q2:3 !::'hone P. 503 636d 7728 $ 14I. 00 TOTAL Reg # . : 56135 _....._._.._..._ REQUIRED INSPECTIONS This pr.r,it is issued subject to the regulath 1s contained in the rigard Municipal CAP, State of Ore. Specialty Curies and all other loplica'-te laws. All work will be done in accordance with aonroved plans. This permit will expire if work is not started within 198 days of issuance, or if work is suspended for more than 198 dare.. .......... Permittee Signatt.irep J�J(. L1-5.iL �_.._.... _ ----__-------.... _.........__.__�_..._.._._.._....._....... .._._......._.._............ Call for inspeetis:iri 6:39•-•41'75 e� ■r is iss ae �s � HISTORY: VIEW UPDATE DELETE ESC View comments for selected item 6t?'TIL)`TNG PERMIT$fifififififib$$$$SARA$fifi$bafifi$$o, $$$3$$$$5�$$$$a$$a$a$$$$$a$$$$a$$C :BUP3')2622 PROJECT:892622 STATUS:I UPD:04/16/90: :JLH: ° r-?R.A'TTFE:DON MORISSETTE PRIM. . :892622 ° SI"E: A)':)RESS:11725 SW 129TH PL ° 66 CASE HISTORY 9466996&66&6AAAAAAASAAA&Req/Sen&Schd/DuefiEnd/Done&&ByAStat$AAC A090 (F) Issue building permit 04/16/90 JLH PASS ° A705 Foot/found Insp 04/19/90 KS PASS ° A710 Post/Beam Insp 04/25/90 GS PASS ° A715 Plm/undslab Insp 04/25/90 GS PASS ° A726 Framing <PRINSP> 06/27/90 KS APP A740 Insulation Insp 07/05/90 KS Al-: ° A745 Gyp Board Insp 07/11/90 KF� APP ° A750 Sewer InEp 04/24/90 TLP APPR ° A750 Sewer Insp 04/24/90 TLP APPR ° A765 P.ppr/Sdwllc Insp 07/18/90 CWV PASS aAAAAAAAA§AAAAAAAAAAAAAAAAAAAAAAAAAAnAfiAfi$AAAAAAAAAAAAAA3AAAAAAAaAAA`AAAAAAAAAi HISTORY: VIEW UPDATE DELETE ESC View comments for selected item 6ARUILDING PERM'T$$$$$$$AA$A$AAAAAAAAa$AAfiAAAA$$$fiAAAAAAAAAAAAAAAAfiAfiAAAAAAAAAC :BI1P892622 PROJECT:892622 STATUS:1 UPD:04/16/90: :JLH: ° PFRMITTEE:DON MORISSETTE PRIM. . :892622 ° SITE ADDRESS:11.725 SW 129TH PL ° ria CASE HISTORY AAAA$$AAAAAAAAAA&hibi&AAReq/Sent$Schd/Due$End/DoneAAeyAt?tatAAAC A090 (F) Issue building permit 04/16/90 JLH FASS ° A705 Foot/found Insp 04/19/90 KS PASS ° A710 Poet/Beam Insp 04/25/90 GS PASS ° A715 Pi.m/undslab Insp 04/25/90 GS PASS ° A726 Framing <REINSP> 06/27/90 KS APP A740 Innulation Insp 07/05/90 KS h?P ° A745 Gyp '3oard Insp 07/11/90 KS APP ° A750 Sewer Insp 04/24/90 TUP APPR ` A750 Se,,er Insp 04/24/90 TLP APPR ° A765 Nppr/Sdwlk Insp 07/18/90 CWV PASS ° aaaaaAAfifiAfiAAAAHSAbAAfiAAAAA5A5AAA5baeaA$(�AAbb$SAfiAgaAaAaAA5a55AA5AAAAAAaAfiaAfi$i HISTORY: VIEW UPDATE DELETE ESC View comments r-3r selected item 6,i BUILDING PERM IT9MAAAAA$AA$AAA$AAAAAAAAAAAAAAAA$$AAAAAAAAAAAAAAAA$AIIAAAAAAAAC :SUP892622 s PROJECT:892622 : STATUS:I : UPD-04/16/90: :JI.H: FFRMITTEE:DON MORISSETTE PRIM. . :892622 SITE ADDRESS:11725 SW 129TH PL 6A CASE HISTORY $AAAAAAAAAAAAAAAAAAAAAAAReq/SentASchd/DuehEnd/Done$$ByAStatAAAC A090 (F) Issue building permit 04/16/90 JLH PASS ° JEW 111 xl��slllillll A740 Insulation Insp 07/05/9 , KS APP ° ° A745 Gyp Board Insp 07/11/90 KS APP A750 Sewer Insp 04/24/90 TLP APPR A750 Sewer Insp 04/24/90 TLP APPR ° ° A765 Appr/Sdwlk Insp 07/ld/90 CWV PASS ° aaAAaAAAAAAfiAAAAAAAAAAAAAAA3AA�zaAAAAaAAaAAAAAAAabbASAAAaAaaaaaaAAAAASAAAAAAAAni HISTORY: VIEW UPDATE DELETE ESC View comments for selected item OABUILDING PERMITAA`aAAF.AAAAAAAAA3AAAAAAAAAAAAAAAAAAAAAAAaAAAAAAAAAAAAA$AAAAAAAt • :BIIP892622 PROJECT:892622 STATUS:I UPD:04/16/90: :JLH: ° ° PERMITTEE:DON MORISSETTE PRIM. . :892622 SITE ADDRESS:11725 SW 129TH PL oA CASE HISTORY AAAAAAAAAAAAAAAAAAAAAAASReq/SentASchd/DueAEnd/DoneAAByAStatAAAt A090 (F) Issue building permit 04/16/90 JLH PAf,S A705 Foot/found Insp 04/19/90 KS PASS A710 Post/Beam Insp 04/25/90 GS PASS ° A715 Plm/urdBlab Insp 04/25/90 GS PASS ° A726 Framing <REINSP> 06/27/90 KS APP ° A740 Insulation Insp 07/05/90 KS APP ° A745 Gyp Board Insp 07/11/90 KS APP ° A750 Sewer. Insp 04/24/90 TLP APPR A750 Sewer Insp 04/24/90 TLP APPR ° A765 Appr/Sdwlk Insp 07/18/90 CWV PASS ° a�aSAAAAAAf�€�AAA5Agb5AbfiAAA€+6A5A5HAfiAAAb3AAAAaAtiAA�A555Af�fiAAaAAAaadAAAA3A�AAaA6i HISTORY: VIEW UPDATE DELETE ESC View comments for selected item 6AME.CHANIC'AL PERMIT'bAAAgAAAA��gSAAAAA6H�A6AA&AAAAAAAAAAA��f�A�SAAAAAAAgAAAAAA6AAt :MEC892644 PROJECT:892622 STATUS:I UPD:04/16/90: :JI,H: ° PERMITTEE:DON MORISSETTE PRIM. . :892622 SITE ADDRESS:11725 SH 129TH PL ° i•5 CASE HISTORY 4AAAAAAAAAAAAAAAAAAAAAAAReq/SentASchd/DueAEnd/UoneAti-ByAStatAAbC ° A007 Application received 05/29/90 FS APP ° A007 Application received 05/29/90 A060 (F) Issue permit 04/16/90 JLH PASS ° ° CITY Or. TTGARE) OV, FAYNEN-r RECEIPT Mo. 90-200207 CHEC+�. AMOUNT e 77-27.85 PJAME r MORISSE'rTE, DON CASH AMOUNT0.On A00RESS r PAYMENT DOTE 04/J6/1;A3 SUDD I V 11 S 1 ON POP'T'LANO, OR 9-7219--- 11,72-5 SW 129TH Ft PURPOSE OF PAYMENT HrJUdNT PAID PURPOSE 01' PAYMENT AMOUNT F A D BUILDING PERtITT W 43 7. CM PLANSIt-46 FEPtII1' µ140. 00 JIFECHANICAL PE M17 48. 00 ST . SUILD PERMIT TAX 5% '?LCIS FL.i-iN (-,HECf,:, FEE 44. 00 SEWER USA 1"50.oil SEWER INE:PECT10114 ..5.00 sTREEI SDC 600. 00 PARKS QC 250. 130 s-roRm DRAIN SDC 00 PLAN CHECk FEE' 248. ST., H.11AL PAMOUNT PAW 3-9 CITYOF TIFARD tmoFncairo PLAN CHECK APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT Osseo" PLAN CHECK N 2- 13125 S:W.Hall Blvd_P.O.Box 21397.Tigard,OmVon ema.(5M)6394176 PERMIT N n DATE ISSUED JOB ADDRESS: 1 -7 ?-K- S L-'' !Zq 4'` �"(- TAX MAP/LOT SUB: L ar Cvr+' L W1 LAND USE: VALUATION: OWNER SPECIAL NOTES NAME: tom--► S _ S 1N L. REISSUE OF' ADDRESS: 9 LAST REISSUE: _ 1-1 FLOOD PLAIN/ �— SENSITIVE LAND: _ PHONE: — APPROVALS REQUIRED CONTRACTOR PLANNING: NAME: ENGINEERING: ADDRESS: ___ 1IRE DEPT OTHER: PHONE: _ _ ITEMS REQUIRED BUILDERS BOARD N: EXP DATE: - 70 LIST/SUBCONTRACTORS: BUS TAX: ARCH/ENGINEER CALCULATIONS: NAME: — �7L/ C / TRUSS DETAILS: ADDRESS: _ ^_ OT14ER: _ PHONE: I COMMENTS: _ {Zig 1 S$V�r V �-= AM A. C � !L _ ��_`_��?.._� O✓ '��J, '"�. . SUBCONTRACTORS: PLUMB: MECI1: PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DU L 10-432 00 Building Permit Fees c• Y '_ 10-431 00 Plumbing Permit Fees 10- 431 01 Mechanical Permit Fees Al _ 10-230 01 State Building Tax (5X) Building _ Ilumbing tech __ ^ 10-433 00 Pla-is Check Fee Building Plumbing Mech _ 30-202 00 Sewer Connection _ 30--444 00 Sewer Inspection 51-448 00 Street System Dev Charge (SDC) f '� 52--449 00 Parks System Dev Charge (PUC) 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) 1 230 06 Fire _ 10 T A I RFC N -- APPLICA 5I 7 RE Received By,; _ Date Received: (Z_- 7—E/ cn/3507P/18� C11YOF TIGARDcrrYOFTIGA Rc PLAN CHECK APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT 0016 " PLAN CHECK b /,-� 1 13125 S.W.NaN Blvd.P.O.Box 7 T19"d,0^°9Of 97223,(503)63941 TS PERMIT DATE ISSUED ISSUED JOB ADDRESS: / �S _��t !l /tea` � 12 TAX MAP/LUT 1 D D SUB:L " LOT: /Xf LAND USE: _ VALUAFION: _ OWNER �— SPECIAL NOTES NAME: REISSUE OF: ADDRESS: LAST REISSUE: FLO00 PLAIN/ SENSI1IVE LAND: PHONE: APPROVALS RE UIRED CONTRACTOR PLANNING: NAME: i( e;l 1 r ENGINEERING: ADDRESS: FIRE DEPT OTHER: PHONE: ITEMS REQUIRED BUILDERS BOARD EXP DATE: _ _3 -/G -�/� LIST/SUBCONTRACTORS: BUS TAX: ARCH/ENGINEER_ ` (\ 1 CALCULAI'IONS: NAME: _ G __ TRUSS DETAILS: ADDRESS: OTHER: PHONE: COMMENTS: _ W 1 SUBCONTRACTORS: P UMB: - MECH: PERMIT N ACCT 0 DESCRIP ION AMOUNT AMOUNT PD. BAL. DUE �., 10-432 00 Building Per it FeesS.?L•. � O 10--431 00 Plumbing Perm t Fees 10-431 01 Mechanical Pe it Fees 10-230 01 State 8uildin Tax (5%) Building-. " Plumbing G Mech 10--433 00 Plans Check Fee _ Building P11imbing Mech - 30-202 00 Sewer Connection Su 30--444 00 Sewer Inspection 51-448 00 Street System Dev Charge (SDC) v' 52--449 00 Parks Svotem Dev Charge (PDC) z S ♦ a 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) 1 S a 10-230 06 Fire _ ..,_..� TOTAL REC H APPIICAN1 G TURF Received By: Date Received: /Z - cn/3587P/18P ---��-T—