The URL can be used to link to this page

11994 SW 129TH PLACE i :�i • f.. N I q9 6 'I 0 a r J .� i:'vcaorcislrni;rotlm\tt+rg,3tslbuilding.uoc m c. y J i a 0 Z ® In N u1 m U) U) 0 (3) CL r N N T ll� a vm m m m _ I v a o x . M Oz o z 0 0 u G LU a � o a a a a N � m J a o a W O m m m i l v � 0 0 V) � Q1 LO m N N � a V Q a � N Cl, ii F— r � [� �. a LU .li V j LL f0 rn m m a i u- w ch U L U U U LO d0 Lei a w iu u; w w o � c O 0- 0 -9- 0 -9 N We H — 0 N ?O •b U � 3 c i U N U y u n N N y C Q C � Z .9 ro ro a c .n 61 rn rn Cl) rn 0 ( rn rn rn m m v fL n (n 1) In ? fn N J 0 CL O 0 0 > 0 0 > U D v y O di S J N w a w (q W (q O �, U Z co to N C o Co n a a M C m J c cl w o m m 0 m m c r_ W o °� fA y N U rn rn d ^� N W d IJ •� Q � f]. fY L4 oOo ~ N J o a c a ro c T U 11 j c (0 IL o Q Q- tr w W uv U C) () M O O Q1 O O O M U U U U U U U U U 00 Q W W W W W W W W W y � N C 0 K O O C V N 'D_ C � V)_ 41 C CD � � C VI fU N d CC y Q+ zZ C,c)c C O DLo O `� j 9 D a a a cuv m S 3 m CL N Y Y D 'o a> o > zw N r O d a a pm a s a i a a s a 4 w C ❑ Y Y Y l� ❑ Q � Ch (f rn C) n M O ^N, N W N A Q « 10 d CL H VI H 0 C' a w t4 dC c w LL J f0 c N d d. C LL LL L LO k Go QQ O o U U UU U a0 LL w � w @i (7 w z } z W O> m z m NOF_ Z Y Y =0.N Z Z Z O OF V) � z_r- a 0 Da- � > w z? W WO NZ �a OWOF- mC) m z F-� 02 JJ e,L N an d Y >m0. } 0.W cl ffl UO a< 2Of 0 c n wozo-ouiz wm zY O w (Dz• 00 } Z m,� p 05- iE( 0 - F- Q a ro ui a j N Z 7 LL �N O U (�CO W N l l 1 J Z m y OZ (O �F 7 a m a .j50. za O 0.pW w W O m NOW v)p 00 N N W a=WF-OJ N >O z Li v) N ZM :t zG-0?mi- -r 3n` 0 (7v)IruJUU —Z mU M M M Cl) M M M Cl) M M r.,) M M M M M M M M O) Cn O) m O) Q) 01 O) Q) Q1 O) Q) O m O) M O O) Q) U) N O) Q) O O O G a 3 O M N d N N N O) O M O) m _ r r � . r CLcli r� 3 3 3 3 iJ 0 0 0 3 °a aZc N J ro 0. m !Y W 0. J m ro m W W W 0. w = CO m m m CL m m m m m LY m s (7 m LY tr O (D (7 2 (7 af 0. 7 N O > = J P N N ro V) (n O V) rn w V) V) O V) O -) rn OCD O J C a v) V) V) V) Z V) N N V) V) z V) z Cl' n' 2 a V) Z Z Q a a a w a d Q Q a W Q W LL Cl- 0. 0. Q 0. a w Q w LL 1 D 0. 0. a m m a CL a m r1 Cl- a LL G a Z LL a a a LL a LL M F. m cn o T J O m N m )n N N F m m m N v� N N N J m m m m G W > X z cy 2 2 2 o' m m rf (7 (D 0 (7 tY tY N C O F- (4 a rn U M M M M M M M M M M M m rn m M Cl) r)) O) R) O) O) m m 0) (P O) Q) O) 0) CO a N N N N N N N N N N M 1_4 (O N N N m N �' 0 3 3 3 cn o o 3 3 3 3 c (n N Cl) CD rn N N O � � M Q 10 N � y�y ~ U C1 � U C ~ d U N C U N (n U T N 2 y O VI J a a a N C a 6J� Z _Z Vl U A c N O c O a N C C C LL rp E in w L p c"S c'i a E E v o —` c c v c c � LL `� E v Ur [ L' L "- a y CC C 1- Q) C O NO :] 'C U_ 7 y O) O) C LLJJ C U U U w m m N A J N m v N A C N m C C N d a c c 8 N v E E a a E � u) E E N _N r 8 O O ) LU 7 rd N Ln >. ry >N O I ro N a) 0 m a E 0. (1 LL n 0. a 0. LL U c U` 0. 7 0. m LL 0. LL LL. Ln N N N O O O O Ln O ti O NCV LI) rr) O Ln Ln OLO f- N O cD LO O r`J M O - N N M d d O)Ln r0 Qt O) M O O Ns 7 r, r- r- r-I r` L- O r` r` r` r- - M > a 4 Q Hha- Ia-_ Q H Q H F Fa- Fa-, Q a Q a H Q Fa- H < la- V) N h V) .^ �� r~!) V) rn N V) N V) U) 0 0 w 0 V) (r) N (n V) V) Z O 'D O a f- ti m c C. LL O ro30a m z~ O O N 5 U m _w J 'O Q� YQ O aCc7 0 0 cr z O L O y w O J Q a E U C. J w 2 Z c a p e - J O - O CJ CY z< �r B CL Q) a LU z a Q C m .M O O z X00 jyn z .JELL ZJ �- U.2 O rl m OM`1 co OM1 O`MI M C N a N N N a a V vm trot cr Of z w w CL O O v> o x a J N Od o -j (nn a V) 7 K V) Z d d o a u a� a a s M T F� m V'^) a VI O m m N F fn LL G O cr yyyy O N M C 0 O Q� •N h N (n Q N Q- �,., N f,J N N O Q O O '- (n N � a 0 Y r Q y 19 C. GC c m N o. 7 U U Jn a N c Cl. c c Lf; O CtC0 U a m c ii l�J O O (n LL .O y J c y o m m a y L a N O- T Q N E _ L. C 0 C9 Q J a LL Q1 co Q Q t Q Q Q Q \ § \ \ /u F- } 2 k/ 2 \§ G 7 G 2 $ $ ( Q) % ~ 3 \ of\m m g 2 2 > � �> 2] � LO CY) ƒ 6 q \ CD a ƒ ƒ ± D ? I (n (n ) \ / d \/ 0 @ � � Ml $ # \ L G § G 2 7 O $ / a ® % $ A @ - 4-1 3 .5 4-0 � \ CL / V) » g w f k 2 ° 0 z 2 / » } \ [ 2 LLJ % � ± r ! ) e s m f » - « % ¥ E o 2 E ) @ ® » \ ° / \ ) 0 \ ) \ \ \ 2 2 k W (r CITY OF .TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4179 �- -� �zq -I? -/ BUP Date Requested AM PM _ BLD _ Location ; I�7`i �� ` V1 Cl CIL Suite _ 1 MEC Contact Person L �1'�=11 C rc �i�(✓` Ph �� Ll PI_M Contractor, Ph — SWR _ BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access Foundation FPS Ftg Drain _ p Insection Notes: SGN Crawl Drain �,�� — Slab I - - '� , ` l( �}F Il ,�ti SIT Post R Beam — ^'-- Ext ,heath/Shear ti ' S In, Sheath/Shear Framing _ _ `— Insulation Drywall Nailing Firewall — � Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PP,F T FAIL -- -- —_— PLUMBING Post& Beam I –`– Under Slab Top Out Water Service L�,/��e —ll U Al — Sanitary Sewe) T'-- Rain Drains C .zAJ c�,J e..�C .'Z A/ S ,�/ U LJ 0:,O-A) Final PASS PART FAIL MECHAWiCAL Post& Beam --- --- - -- Rough In Gas Line Smoke Dampers Final PASS _PART FAIL ELECTRICAL ---- _-----_--___r — Sa�vtce- Rough In UG/Slab c� Lew Voltage — v~i F' ",'arm AS PART FAIL y Backfill/Grar!ing Sanitary Sewer -' Storm Drain [ Reinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Benin Fire Supply Line [ )Please call for reinspection RE: j Unable to inspect-no access ADA Approach/Sidewalk Other Date Inspector Final PASS PART FAIL 01NOT REMOVE this Inspection record from the job site. F_ CITY OF T'GAR® ELECTRICAI_ PERMIT PERMIV #: ELC990162 DEVELOPMENT SERVICES DATE ISSUED: 03/22/99 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PARCEL: 1131331)D-16500 SITE ADDRESS. . . : 11994 SW 129TH Pl- SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 5 ZONING:R--4. 5 LOT. . . . . . . . JURISDICTION: 'I' IG BLncK. . . . . . . . . . : I . . . . Pt-o.j e c t De s cr i pt i on : Eie,,Ipncy transfer switch -------- ---------------- ------------- ---------------------------------- UNIT—- — - ---TEMP SRVC/FEEDERS---.— 1000 SF OR LE=SS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/I.RRIGATIOM. . . . : 0 EACH ADD' L. 500SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE L'TGP. - : 0 LIMITED ENERGY. . . . . : 0 401 -- 600 amp. . . . . . . : 0 SIGNAL/PPNEL. . . . . . . : 0 MANE. HM/ SVC/FDR. . - 0 601+amps-1000 Volts. - 0 MINOR LABEL 0 ----SERVICE/FEEDER-------- ------4RANCH CIRCUITS------ INSPECTIONS.-.--- 0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 DOI — 400 amp. . . . . . : 10 Ist W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIPC: 0 IN PLANT. . . . . . . . . . . : 0 Sol — 1000 amp. . . . . : 0 ----------------.--FLAN REVIEW SECTION----._-----------_. 1000+ ECTION------------------ 1000+ amp/volt,. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) LOO ')OLT NOMINAL. . : Reconnect only. . . . . : 0 :QVC/FDR2_25 AMPS. CLASS ARFA/SPEC OCC. : FEES Ownpt t type amoi-int by date recp PRMT $ 35. 00 B 03/.,-:!2/9? 99-313890\ 5PCT $ 1_ 73 B 03/22/99 99--313890\ Phone #: LAWRENCE CHIN $ 336. 75 TOTAL 11994 SW 129TH PL REDUIRED INSPECTIONS TIGARD OR 97223 Rol-kgh--.in Elect' ] Final Phone #: 579-1994 Elect' l Set-vice Reg #. . - ( This persit is issued suhiPct to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This pewit will expire if work is not sta-ted within 180 days of issuance, er if work is suspended for sore than IW days. ATTENTION: Oregon law equires you to follow the roes adopted by the Oregon Utility No'.ification Center. Those rules are set forth in OAR 952-NI-0010 through OAR 952-001-1987. lou may obtain a copy of these rules or direct questions to OUW by calling (503)246-1987. L1__ .�) �c -1, ----------------------._-----OWNER INSTALLATION CC The installation is being made on rooerty I own which is not int-nded fol, lease, or renk. 3 12�2- sale, DATE:>c� OWNER' S SIGNATURE: ----------------CONTRACTOR INSTALLATION S I GNATURE OF SUPR. ELFC1 N: DATE. LICENSE NO: f............4...........4++++++++++++.+++++++++++4•+f•++ +-++•++++++++++.++++++... Call 639-4175 by 7:00 P. M, for an inspection needed the next bi-isiness day ++++++++++f•++++++++++++++++-�-+•++++i.......#-+++++.+++.f............4•...... ..+++++++++++ r CITY OF TIGARD Eleeir icnl Permit Application Plan Check# - 13125 SW HALL BLVD. Rec'd By KI � TIGARD OR 97223 Date Rec'dZZDate to P.E. A Phone (503) 639-4171, x304 Date to DST ik ~ Print cr Type , Inspection (503` u39-4175 Permit# �L C� u Z_ Fax (503) 684-7297 Incomplete or illegible will not be accepted aIle( 1. .Pob Address: 4. Complete Fee Schedule Below: Name of Development_ _ Number of Inspections per permit allowed n Name(or name of bustnes:.;` ,�-6yytZ,��c4L Ih� Service included: Items Cost Sum Address ,f S W `f-lb CL4a. Residential-per unit r C 1000 sq ft.or less $110.00 _ 4 City/State/Zip__I �t C 12 z=3 __ Each additional 500 sq.ft.or Commercial Residential portion thereof $25.00 _ I Limited Energy $25.00 _ Each Manul'd Home or Modular Dwelling Service or Feeder $66.00 _ •� 2a. Contractor installatinn only: (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor_ Installation,alteration,or relocation - --- 200 amps or less $60.00 2 Address, 201 amps to 400 amps $80.00 2 City State-.--Zip 401 amps to 600 amps � $120.00 2 Phone No. 601 amps to 1000 amps $180.00 _ _ 2 .lob No. Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No._ Exp.Date _,_- Reconnect only $50.00 2- OR State CCB Reg. No. Exp.Date _ 4c.Temporary Services or Feeders COT Business Tax or Metro No.-_ _Exp.Date Installation,alteration,or relocation 200 amps or less $50.00 Signature of Supr. Elec'n201 amps to 400 amps $75.00 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. Exp.Date see"b"above Phone No.---- _-- 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name ` qcc �..1, ?�, 0 feeder lee. t. S --- Each branch circuit $5.1x1 Address S (2 t L• -- b)The fee fur branch circuits ,[� City /zt State�jZip_1 �-7 without purchase of � �YAN�'r Phone No. `C 3 service or feeder fee. DD First branch circuit $35.00 The installation is being marle on property I ownwhich is not Each additional branch circuit_ $5.00 -- intended for sale,lease r rent. 4e.Miscellaneous r �• (Service or feeder not Included) Owner's Signature r`'�--�: Each pump or Irrigation circle $40.00 Each sign or outline lighting $40.00 _ 3. Plan Review section (if required):' Signal circuit(s)or a limited energy panel,niteration or extension $40.00 Please check appy,3priate Item and enter fee in section 58. Minor Labels(10) $100.00 Q, 4 or more residential units In one structure 4f.Each additional Inspection over Service and fseder 225 amps or more the allowable in any of the shove tom. _____Systsm over 600 volts nominal I,,, Sp„ t- $35.00 - Classified area or structure containing special occupancy Pol h,„it $55.00 as describod In N.E.C.Chapter 5 n'"I� r ___ $55.00 ---- t-- J 'Submit 2 sets of plans with application where any of the above apply. 5. Fees: Not required for temporary construction services. So.Enter total of above fees $ IT Elf- 5%Surchargb(.05 X total fees) $ LU NOTICE Subtotal $ 5b.Enter 25%of line 6a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If re uir (Sec.3) $ -NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ --IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account# $ Total balance Due I:Ie5TS%ELC9fi APP nev BIBS '~_ ELECTRIC-)L !='ERlrlI7' v i CITY OF TIGARD DATEI ISSUED: Ci COMMUNITY DEVELOPMENT DEPARTMENT' 13125 SW Hell Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PARCEL.: 1`i 1.33DE7 16 00 I TE A1)DRL-GG. . . : 1. 1')94 SW 1 '9TH PL _IDD I V I S I0N. . . . : J I LLAGE AT C;UMMER LPKF FAR),; `-:, ZONING:R-•4. 5 _0C K. . . . . . . . . . . LOT. . . . . . . . . . . . . :201 ),o ject Description: RfaSIDr-_NTIAI_ UNI'r.-.---- _._-TEMP SRVC/FI-=EDERS--•-_ 1000 SF OR LESS. . . . : 0 0 - ;:..00 amp. . . . . . . : PUMP/IRRIGATION. . . . : 0 EACH ADD' l_. 500SF. . . : 0 x:01 - 4017.1 amp. . . . . . . : 0 SIGN/0UT LININ 1-TG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL... . . . . . . : 0 MANE. HM/ 7VE/FDR. . : 0 601+-amps�--117100 volt . . : 0 MINOR I-ADSL. ( 10) . . . : 0 ------SERVICE/FEEDER-•--- -----BRANCH CIRC:UiTS----•-•- -- -AT>D' L INSPECTIONS---- 0 - 200 0 W/9E'RVICC OR r"EEDER: 0 PER INGPF-C;TION. . . . . : 0 2011 400 amp. . . . . . : 0 1st W/O uRVC OR FDR. : i PER HOUR. . . . . . . . . . . • 0 401. - 61110 -amp. . . . . . e 0 UA ADD' I_ DRNCH CIRC: 1 IN PLANT. . . . . . . . . . . : 0 6011 - 1000 amp. . . . . : 0 --_._._.__.__ -.-_-._._--PLAN REVIEW srCTION--__......_____.___.-____. 1010111+ amp/vol.t. . . . . : 0 ) =.4 RFS UNITS. . . . . . . . . > _00 VOLT NOMTNAI.... . : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS". . CLASS AREA/SPEC OCC. : C)wTler. __.__..._.._.._ ..._.__._.._ .___-----_..__._...._.___.__.....____.__...---.-._--._--- ----•--_-_- FEE LAWRENCE CHIN type amoLknt by date recpt 11994 SW 129TH PL_ PR11T $ 40. ZO D 11/09/95' 95--27274:1 SPCT $ c'. 00 D 11/09/95 95-272743 l-IGARD OR 97223 Phone #: 579-1994 Contractor, _ — _._ _—_...__._.—__.____... — — .______ ___._._ __._--------....---._....--. OWNER r 4,2. 00 TOTAL REQUIRED INSPECTIONS Ceiling Cover Electrical Servi Thane #: Wall Coven Eler_trial Fioal Merl #. . : 000000 This permit is issued subject to the regulations contained in the bard Municipal Codr, State of Ore. Specialty Codes and all other Permittee Signature aoolicable laws. All work will be done in accordance with approved pians. This permit will expire if work is not started within 180 days of issuance. or if work is suspended for more than 180 days. I s s Li ed By OWNER INSTAL_L_ATION [hp -- fhe installation is being made ori property I own which is not intended for sale, lease. or rent. a OWNER' c3 52UNATURE:: U'1 `, DATE. rc " ►- __.._.-CONTRACTOR INSTAI_I_ATION V) Y S 1 GNATIJRE OF SUPR. ELEC' N: DATE: J LICE=NSE NO: -' Call i�or inspection 639-41"/5 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # _� + Date Issued 1►" '� ' i S _ Phone 1,503) 639-4171 FAX (503) 684-7297 CITY OF TIGARD TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development _ —_ Numbtsr of Inspections per permit allowed Address_ ,I'1z Service included Items Cost(ea) Sum City/State/Zipf 1 o 1+._D VI 4a. Ra idential -per unit —7i 1000 s% h, or less $11000 Each additional 500 s 0.or Name (or Warne of bcsinesc) — portion thereof Q $2500 Commeraal J Residential Limited Energy -- $25 oe 1 Each Manurd Home or Modular Dwelling Service or Feeder $6800 2 2a. Contractor installation only: 45. Services or Feeders Installation,alteration,or relocation Electrical Contractor — 200 amps or less $6000 2 Address 201 amps to 400 amps $ao 00 2 401 amps to 600 amps $I20.00 _ 2 City State Zip 00 601 amps to 10 amps $180.00 --__ 2 Phons No. over 1000 amps or volts $34000 ___ 2 Job NO. Reconnect only $5000 �_. 2 contractor's license NO. --- 14c. Temporary Services or Feeders Contractor's Board Peg. No._ installation,alteration,or relocation Signature of Supr. Elec'n 200 amps or less 2 License IVO. Phone No. 201 amps to 400 amps $5500 — - 401 amps to 600 amps $7500 ' Over 600 amps to 1000 volts $100 00 —----- 2b. For owner installations: see"b"above. Print Owner's jVpme T1s: E b 4d. 6,anch Circuits q j t New,alteration or extension per pane Address r a)The lee for branch circuits with City__ ilVagP� S ate 'Lip � purchase o/cervica or feeder lee. Eecf branch circuit $500 Phone No. '�=�1 1 _ b)The lee for branch circuits without The installation is b ing made on property I own which is purchacu of service or feeder fee.! 5r70 not intended for sale, ease or rent. First branch circuit $35 00 3 s Each additional branch circuit �_ $5 00 Z Owner's Signature � 4e Miscellaneous (Service or feeder not Included) 3. Plan Review sectio. f required): Each pump or irrigation circle $4000 _ Each sign or outline lighting S4000 _ Signal circult(s)or a 1'mited energy Please check appropriate Item and enter fee in section 5B. panel,alteration or extension _` $40 00 _ _4 or more residential units In one structure Minor Labels(10) $100 00 o _Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable In any of the above as described in N E C. Chapter 5 Per inspection —_ $35 00 _ r Per hour _, $5500 )— in Plant $5500 Submit 2 sets of plans with application where q 0 the above L apply. Not required for temporary construction services. 5. Fees: 5a. Enter total of above fees $ }c, ` J NOTICE 5% Surcharge (05 X total fees) $ L•—0(7, PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subfotal $ - AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. i=nter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR AP,ANDONED FOR Plan Review If required (Sec.3) $ _ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. wv,n omdra.M ❑ Trust Account aP $ �- pm VP Ralan-e Due $ MEC14AN I CAL I CIT` GF TIGARD PERIYIIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MEC94--01 _ , 13125 SW Hal!Blvd.Tigard,Oregon 97223.8199 (503)839-4171 DATE ISSUED: ± ' PARCEL: 1 S 133DD--16x'00 I T1== ADli11E:;S. . . : 1 1.()4 SW 1'C-'9'1'H FAL ,UBDIVISION. . , , : VILL.AGE= AT SUMMER LAKE PARK c ZONING: R-4. 5 L.GCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :i='01 LASS OF WORT;. . :ADDFLOOR TURN. . . . : LVAD COOLERS: 0 I'YPE OF UST. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 JC;C(.JF'ANCY GRID. . :R3 YENTS W/O APP'L: !ll VENT SYSTEMS: 0 _TO RIES. . . . . . . . : 2 BOILERS/COMPRE SEORS HOODS. . . . . . . : 0 'l1El_ TYPES—____._.___..__.- 0-3 HP. . . . : 1 DOMES. I NC I N: Vi /ELE/ / / 3-15 HP. . . . : 0 COMML. INCIN: 0 'JIAX INPUT: 0 BTU 15'-30 11P. . . . : 0 REDIA T R UNITS: 0 "IRE DAMPERS''. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 JAS PRESSURE. . : 50+ HP1. . . . : 0 CLO DRYERS. . : 0 NO. Of= ATR HONIULrcaG UNITS O''HER UNITS. : S I=URN ( 1001: BTU: 0 ( 10000 c f m : 121 (SAS OUTLETS. : 0 I 'URN ) =:100K BTLI- 0 > 10000 c f m : 0 'temar•ks : AIR C0114DI11IONF_R !'Iwner: —..___________._._____ .______._____--_---__._________._--•._--- FEES ..ARRY CI-41N tvDe amolant lav date recpt L1994 SW 129TH PL PRMT $ 25. 00 SW 05/16/94 — 5PC1 $ 1. 25 SW 05/ 16/94 I'IGARD 01, 17223 Phone #: TRI—cniJNTY TEMPI CONTROL 13651 BE AMBLER RD ';LACf/mMAS OR 97015 ......... i'°h on e #: 777--36374 OR 1$ 26. 25 TOTAL 72623 REQUIRED INSPECTIONS 'his permit is issued subiect to }he regulations conta'ned in the Final Inspection 7ipard Municipal Code, State of Ore. Specialty Codes Fad all otter applicable laws. All work will be done it! accordance with approved plans. This permit will expire if work is not started githin 180 days of issuance. or if work is suspended for more than IAA days. C< `n fermitl:ee 'Jignat�_rre: _ I ss1.led E+v C Call f ,r inspec4. iOn — La39- 4175 J 11 CIA A N I C P)L CITY CSF T I GARD P E R III I'T F.,ER IY1,I T 4. . . . . .. . . NEC'')/4--0124 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SIN Ifell Blvd.Tigard,Oregon 97223.8199 (503',839-41, SITI.H. PDDRE13S. . . .- 11.994 ':)W 12911-1 PL BUBD'1V-lS1QI%.. . . . .. VILI OGE AT SU11MIER LAKE PARK t:i Z01,111AG: R-.4. 5 FLOCK. . . . . . . .. I-O'T. 201 CL')SS OF WOt%;, FLOOR 1::*1.11;N,. EV(41"-. 0 0 L.E TYPE OF USE'. . . . .4.)F UN11' HEATE*RS. V I.:*.N 1' FfIHE;. 0 C C U V,n HC, G R P Y . 1:%',,3 VEN'T'S W/C) YEA'11, S)Y E 11 S 2 - STORIES. . . . .. . . . ..2 B011 E:'RS/CO1qPf'E'3E;URS 1 IOOD'3. .. . . . . 1='ULL. 'T'Y V,E S- 0-3 I. 11q( I Iq E'LL/ 3-••1:'; IA r-,. ("ONIVIL. 'INC1,11: (IAX INPUT: P T'U 1.:5 '13 LI) RE V,Al R U 111'T'5 F- SRE DAMPERS?. . 3 0 0 VI VI. wo(:lr)t3l'OVES. . PkESE)URE. . . L5 0 c HF-1. CLO DRYERS..., NO., OF r.)IR H()NDI 11419 UN I*T*9 0 T H E'r: U ill*1*G., I"URN < 1.00,K f."*T(.)- < J.0000 c.Jn1.-. G(-IS OUT] 1::URN >------100K BTU: > .1.(1000 c'-filiv UR GOIAD11'10NER FEE'E) L(IR R Y C H 114 type a n)c);.t)i t I:)X "date- rf.,Cpt 1. `.)4 SW 12914-1 Pl- PRIll' $ 25. 00 'C)W 05/1(-',/94 15 P C,T $ i.. 25SW (•J5/1.6/94 i IIJARD OR 97223 Phaiie #-. TEA11P CON'TROL 1.3651 Sr:-- WlEiLER kD OR 9*/01'.-P ......... 1:11cille ft: /77-3814 OR $ 26.25 UWAL .......... REOWRLD I.NSPEC'TIONS This permit is issued subject to the regulations raiitaired in the Firia l li-i5;pec—tiart Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. Ali work will be done in accordance with ........... approvk plans. This permit will eYpIre if W00 is not started within 180 days of issliance, or if wort; is suspended for more than 188 days. ............ ................... CA: 1-- r-, r M J.t t i rT 1a a t ....................... ................ ...... .......... ...........- ........ ........ ..... Call lrc)r iti!::riectiurl 639-4175 ' Lam." � 1 � �♦ � , ^ - ' r � f r 1 p M I 1 J CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OF 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 OCCUPANCY xxxx PERMIT #. . . . . . . . MST93-04,.1 639--4171 LATE ISSUED-. 11/'-.~.4/93 PARCEL: 1 S 13.3DD-16501h 51T'E: ADDRESS. . . € 11()!34 SW 12"3TH PL. SUBDIVISION. . . . : V I I.LAGE AT SLIMMER LAKE PARK 5 ?ON I NG:R--4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :201 CLASS OF' WORK. %NEW TYPE: (IF USE, . . :SF (J(-.;':'UPANCY GRP. :R3 OCCUPANCY LOAD:228 4 1CNANT NAME. . . r Remarks : PATH I DON MOR I5;6 TTE HOMES 1.5555 SW RANGY RD SUITE # 201 L.AKE OSWE GO OR 97035 Phone #1: 620--7538 i I Contractor: I7ON MORISSETTE BUILDERS, INC. t5555 SW LAANGY R1% #201 LAKE OSWE0O OR 97035 Shone #: 620--75313 Peg #. . . 325533 Occupancy of the above referenced building is hereby given, and 4ertifLes the compliance with vhA State Of Oregon Specialty Codes for the gr^ui.kp, occupancy, and use under which the reS"eveilced permit was issued. FIRE DEPARTMENT )L_D I NG .� F'ECTOR _ RUIL NGS FICIAL POST IN CONSPICUC'US PLACE J CD W J CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Nall Blvd.Tlpud,Oregon 97223.6199 (503)839-4171 I I rr rs F- N Y h- I r� J / CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Ylpard,Oregon 97223a8l99 (503)630-4171 4 l[ v7 , F_ J :p V3 w J INSPECTION NOTICE city or Tigard Building Department 13125 SR Ball. Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Line FINALo Post/Beam Strutt. San. Sewer Framing Po"t/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Koch. ' Date Requested: �f I L��•,1]1� Times , (—Alf PM Add ream t �/�� IGIPermit #t Uullders {� Y.'"1 "IR FOLLOWING CORRECTIONS ARE REQUIRE'): CL0-4 — C_ H N r-� CD W J Inspectors_ Date:_ 1 -1`' APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _call For Reinsp. �Rl;�ECTION NOTICE ��, City or Tigard Building Department 1312S SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phon•)1 639-4175 Business Phone: 639-4171 Inspectiontu � �/ �v �.�- : ootittq\ Y'v / Plbg. Underslrb Noce. Rough-in Appr/Sdwlk i Toned. Plbq. Top Out Gas Line FINAL: Post/Ream Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -plumb. Plbg. Underfloor jWater Line1 gyp. Bd. -Hoch. mate Reyuestod:,. 11 Vdd l� 2 -7 _ Timet 11 AH p!! I c <l I Z r I� � it a ,t_I A�klreser � eA � -y�J/ Permit BuIIdert C (i/� (DI TRP FoLLOMING oamsCTIONS ARE REQUIRED: U d\'1 CL J C7 - W J Inapsctorr / Dstet _APPROVED DISAPPROVRD APPROVED SUBJECT TO ABOVE �� r_all For Reinsp. JNSPEMON NOTICE City or Tigard Building Department 13125 Ow Ball Blvd. Ti ard, g Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -plumb. Plbg- Underrloor IfarYter/L-ine/ Gyp. Rd. _Meeh. Date Requeste�dy: L/�lD - 3 Time: �_AM _PM Address:-�I (� 7' j� ' \� Permit Builder: THE FOLLOWING CORRECTIONS ARE RBQUIRED: Inspectors �PROViD DISAPJROVRD APPROVED SUBJECT To ABOVR _Call For Rainap. INSPECTION NOTICE City of Tigard Building Departwmt 13125 811 Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 639-4171 Inspectl.ont 1`MAW �r> 1 hooting Plbg. Underelab Mech. Rough-in Appr/Sdwlk �2Fou Plbg. Top Out Gas Line FINAL: -%8* truct San. Sewer Framing -Bldg.- `��t7H6E�Mfech. Rain Drain Insulation _plumb, bq�-r Nater Linn Gyp. Bd. _Koch. Date Requastodt)_(� D�/L 0 -L�✓ Time: 1. AM r PM Address: � 1 'I"I j I� l 11- �I Permit Builders t-1 J MOt iss,M ZL('s-IJ 70 THE FOLLOWING CORRECTIONS ARE REQUIRED: LsL cze V1 ---- Y J Fr - CD W J Inspectors bates —�- — �-APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For keinep. 1r jNSPECTION NOTICE City o! Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Recce-Phone): 639-4175 Business Phone: 639-4171 Inapection: Foc,`.ing Mg. Underelab Hoch. Rough-in Appr/Sdwlk Found. Plbq. Top Out Gas Line PINALt /at/seam it! San. :ewer Framing -Bldg. Roat/Beav McOh Rain Drain Insulation -Plumb. Plbg. Underfloor QWater Line Gyp. Bd. -Hoch. Dato Requeiist/e�d: / Q__Zo -9-5 - Timet . q�AMI I PH Addrsae: I l`��T 124 _at Peroit ft BuIIder:-J, (Voyjj 5� V\�`CQ 2CI3-�1�7a THF. YOT.LOWING CORRECTIONS ARE yREQUIRM 4 1 U � V✓2 � '�C .Q- - kap z .. -�w c� ►9 YJ�' �.�`Q c�i V) — - hti J W J Inspector: bate:_ �� _ AP[AROVRD 012"PIMM �' -AIPMM /OBi1QT TO ALONE cJ� call Rsr AgLM*. INSPECTION NOTICE_ City of Tigard Building Department 13125 80 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Roc-o-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk Fouad. c Plbg.-Top Out Line FINAL: Post/Beam arruct. Man. 8e4er Framing -Bldg. Poet/Boom Hoch. Rain Drain Insulation --Plumb. Plbq. Underfloor Nater Crone Gyp. Bd. -Mach. Date RequesteGd: I LI I _ Time: AM PM Address:�� `(��/�7� �l � Permit 7't)2-1 Builders v\ to THE roLLONINo CORRECTIONS ARE REQUIRED: Inspector: Date:_ ()C-APPROVND DISAPPROVE; APPROVED SUPJECP TO AnoVM Call For Reinsp. INSPECTION NOTICE City of T�gacd Building Department 13125 SR Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phons)r 639-4175 Business Phoney 639-4171 Inapectionr Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top out fins Line FINALt Pont/Beam Strum. San. Sewer Framing -Bldg. Pent/Beam Mach. Rain Drain Insulation -Plumb. PJbg, Underfloor. Nater Line Gyp. Rd. -Koch. Dnte Requestecir� 1 - I Timet -,jJLAM PM nOdrese: Permit �t 93 - 6 '7 nu V 1,1.ert 5 �� :'tiTM FomowING OORRECTIONS ARE REQUIREDt do 67 a rti ti N J My 4-4 w - -- -- _J Inepectorr_ Dater .9 N APPROVED 022" rOWND APPROVED SUBJECT TO ABOVE-R-- Call 7qr Reinep. INSPECTION NOTICE City of Tigard Building Departaant 13125 SR Ball Blvd. Tigard. oregou 97223 napection Line (Rec--O-Phone)s 639-4175 Business Phone: 639-4171 .�iepection: -- Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Line *1NALt poet/Beam Struct. San. Sewer framing, -Bldg. Post/Ream ?tech. Rain Drain Insulation -Plumb. Pll_+y. Underfloor Water Line Gyp. Bd. -Mach. D:te Requested:_— !o -16-I Timet -4v-- AM PM // 1h rdd!:es■:�_�7 ��{ Permit Builders 1 nC� ��C ti'"c — Z y 3'G70 THS yr'OGI.ONING CORRECTIONS ARE REQUIRED: a LLJ J Dater- -- - APPROVED —_ DISAPPROVED--,� APPROVED SUBJECT TO ARMN Call For Reinep. INSPECTION NOTICE City of Tigard Building Department 13125 B11 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone); 639-4175 Business Phone: 639-4171 � I Inspections, L-- Footing Plt3. Underelab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top out Gas Line FINAL: Post/Beam Struct. San. Sewer < Frautngq / -Bldg. ,'oat/Beam Hoch. Rain Drain � Insulation�/ -Plumb. Plbg. Underfloor '/tater Line Gyp. Bd. -Hoch. tlnte Requested, fJ �.� Tim$ _•�_AH / PK hddreest Builder: M_ ry 151Y TBE FOLLOWING CORRECTIONS ARE REQUIRRDt 1 l�r AC y r �Nj_r Q_ .`�. �,��,•� �T,)�Vim.` '�.,� L.�,�., t-Y�,� S � .i�Clti .� `,� _ 1' Inspectorty L/� �� A---, Date.1 '1� APPROVED _ 11 DIBAPPR�►ED -� APPRf'^.RD SU ZIT TO ABOVE Call For Reinsp. INSPECTION NOTICE J�/J d City of Tigard Building Depar*shent 13125 SM 'Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Plbg. Underslab Mech. Rough-in Appr/sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer aming -Bldg. Poet/Beam Mech. Rain Drain insulation -.Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: v \ Time: AM PM ` G ncidrese: ` , 1 �cl }� `• Permit is �� 1 rZ— Builder: 1'NE FOLLOWING CORRECTION3 AM kEQUIREU: 1 2. CA C-0 ci - ct t � �- Ui Inspector:_„ ` V� � Date:_` t APPROVED 1/ DISAPPR D APPROVED SUBJECT TO ABOVR Cell For Reinsp. INSPECTION NOTICE /..1 City of Tigard Building Department 13125 ON Ball Blvd. Tigard, Oregon 97223 \/ Insprct-1-. -ine (Rec-O-Phone): 639-4175 Bustness Phone: 63Q-4171 Inspection: Footing Plbg. Underslab Mech. Rough-in Appr/Sdwl.k Found. Plbg. Top Out Gaa Line FINAL: Post;geam Struct. Sari. Sewer Framing -Bldg. Post./Beam Mech. Rain Drain Insulat n -Plumb. P`bq. Underfloor Water Line Gyp. Bd. -Mech. Date 1equeated: Time: _AM PM � Addreae s � \C�� Q�* �L' Permit I: � � -2 _-L Builder- _ TAE FOLLOWING CORRECTIONS AAE REQUIRED: �� t jS LAAJ-'ice,--- �. «JV l �..� n u c", 'T� c. I''✓1 ✓\.e l--t�-vim• G� LO V��y� I U -�1- _ $ (L C. °! �i..��,�L�,1',�-... i ��r�r c�•c ti's � ---- l� 2 v✓� C J +1 ti►.S Inspector•_ V� � _ Date: v y� APPROVED V DISAP, IVSD APPROVED SUBJECT TO ABOVE. For Reinep. INSPECTION NOTICE n City of Tigard Building Departeent 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171 Inspections r Y Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk Pound. Plt•.j. Top Out / Oas Lino FINAL. Post/Beam Struct. San. Sewer Praising -Bldg. Post/Beam Hoch. Rain Drain (--rneulation Plumb. Plbg. Underfloor WaterLineGyp. 1d. -Hoch. Da•a Requested: I L) C� L, _Times AM _PH G (rte Address s ( 2 ( I Permit #t-` �' y/Y{ 2 Builder: _ _'c -0 Ll FOLLOWING CORRECTIONS ARE REQUIRED: LAL v �-�- �-✓, t ) I T � � GJ�-�--�- t � �s�+.r �—t/\S vim- •a.,� l.-� YV�\S S`..,..-a, 1 VA- w Lo LAJ-' cJ c_ civ �-"_r o ^,`�-�-'—i^r C,► �-✓ A S,, w v, Inspectort i Dates APrROVlD DISAPPROVED APPROVED SUBJECT TO ADO" Call For. Reinsp. INSE!g;ION NOTICE City of Tigard Building Department 13125 BR Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rae-O-Phone)c 639-4175 Bu!iness Phone: 639-4171 Inspection: Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Found. Plbq. Top Out cam Line FINAL: Poet/Be.im Struct. San. Bower Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Mg. Underfloor Nater Line ,cyp. odd / -Koch. Date Requeetedt 1 --Time: __—AN PN Address: Permit 1: Builders TLE FOLLOWING CnRRECTIONS ARE REQUIRED= 2," 0 ,C a _ . c� W J Inspeator: batty:-2 L/-a 3 APPROVED L DISAPPROVED APPRCAMD SU&'ECT TO ABOVE ` mall For Relnep. jN6PECTION NOTICE (� , City or Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Lina (Recce--Phone)s 639-4175 Business Phones 639-4171 Inwpection: Footing Plbg. Underalab Koch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALi Poet/Beam Struct. San. Sewer Framing -83.dg. Post/Beam Hoch. Rain Drain Insndfl -Plumb . Plbg. Underfloor Water Line ,� y . B -Koch. Data Requoateds - P'l _^Time: AMPK Address1 ( �! _2 1+ Permit f=`) � -o'I 2l Builderf�.�I 1 1,55L� �- (_i THE FOLLOWING CORPICTIONS ARE REQUIRED: a h 1— — J L C.7 W J Inspectors V _ Date: APPROM DISAPPROVED APPROVED SUBJECT TO ABOVR 4 i l For Rainap. INSPECTION NOTICE City of Tigard Builds-ng Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line ( c-O-Phone): 639-4175 Business P�ho/n�e:� 639-4171 Inspection: Footing Plbg. Undezelab Hech. ._ugh-in Appr/5dwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct.. Sen. SewerFram�/ -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. underfloor Water Line Gyp. Bd. -Mech. Date Requ+eattedt t Times AM PH Address: l 1 {l p Permit Z , Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: C-1 r V) r_ J Inspectors - � Dato:` o CA APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE C r� —Call For Reinap. INSPECTION NOTICE City of Tigard Building Departaent 13125 Rw Hall Blvd. Tigard, Oregon 97223 Inspection Line (Roc-O-Phone)t 639-4175 Business Phone: 639-4171 Inapectiont Footing Plhg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plhg. Top Out Gas Line FINAL+ Post/Beam Struct. San. Sewer Framing _Bldg. Post/Beata Mac,,. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Linopyp, Bd. -Mach. Date RequeAsttedt. I I IGl3 Times �AtM' / PM Addresel � � +1 t� (' �Z` Permit Builders �S TBt FOLLONIM CORRECTIONS ARE REQUIRF.Ds F-- F-- J C7 la1 Inspector: ____- _ _ _ Datet.— . � APPROVMD DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. NI SPECTION N,�.ICE City of Tigard Buileling Department 13125 SN Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phones 639-4175 Business Phone: 639•4171 Inspections Footing Plbg. Underslab Koch. Rough-in `�_pp� t/Sdvlk — Found. Plbg. Top Out Gas Line FINALt Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Koch. Date Requests//��ds ��// Time: AK pN Addrenot "l1y�Y" Permit Bullder, TNF. FOLLOWING CORRECTIONS ARE AEQUIREDs lA, arta L L _D�.'E ?C 'f /�,C'fl iii., Z1416 -- �? C, J C- LJ Inspector: Gates / APPROVED DISAPPROVED PPROVED SUBJECT TO ABOVE Call For Reinep. CITY OF" TIGARD — RECEIP'T OF PAYMENT RF ',EIPT NO. :93-243045 CHECK "MOUNT 5091. 36 AME `IORIGSETTr�, r)ON CASH AMOUNT a 171. 00 DD RE SS PAYMENT DATE SUBDIVISION -URPOSE OF PAYMENT AMOUNT PAID PURPQ�E OF PAYMENT nMOUNT PAID BUILDING PERM 500. 50 PLUMBING PERM 140. 00 ECHANICAL. PF 45. 00 ST BUILD PER 34. ce )LAN CHECK FE 86. 58 SEWER USA r":200. 00 3EWF-P INSPECT 35. 00 PARKS SDC 250. 00 >- ITORM DRAIN SDC BIA. 00 RESIDENTTAL TRAFFIC FEES 141 V.I. 00 IASS TRANSIT TIF FEES 110. 00 uj -j I OT 2'01 VILLAGE AT SUMMERLAKE #5 11994 SW 129TH PL OTAL AMOUNT PAID 5@91. 36 CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. o93—P42614 CHECK AMOUNT 1 250. 00 14AME t DON MORRISSETTE HOMFS CASH AMOUNT 1 0. 00 1))RESS a 15555 SW BANGN, ROAD PAYMENT DATE o 07/26/93 SUITE #210 SUBDIVISION LAKE OSWEC409 OR 97035— UPPOSE OF PAYMENT AMOUNT PAIn PURPOSE OF PAYMFNT AMOUNT PAID CL LAN CHECK FE 250. 00 ui -i .LANCHECI-� #7 -69R AMOUNT PAID 00 Al uus PLNCK/RECT CITY OF TIGARD r'O°°db'9' PERMIT COMMUNITY DEVELOPMENT DEPARTMENT r'prAOM°"9 ("3)63"1" DATE ISSUED JOB ADDRESS: ;'l 1T`{ J� � i- TAX HAP/LOT SUB: Lz* , < SLOT: /0l LAND USE: VALUATION.- OWNER ALUATION:OWNER SPECIAL NOTES NAME: .! �DYI (71�ISl'Y)� REISSUE OF: ADDRESS: J JsS S A) P--Z-?1 0- L I LAST REISSUE: La FLOOD PLAIN/ PHONE: J SENSITIVE LAND: _ C(►NTRACTOR APPROVALS REQUIRED NAME: _ ___ PLANNING: �f�3ACKS�Syla,2-ol( ADDRESS: ENGINEERING: FIRE DEPT: PHONE: _ OTHER: I CONTR. BOARD 0: EXP DATE: TEMS REQUIRED SUBCONTRACTORS: PLUMB: _ LIST/SUBCONTRACTORS: _ MECH: 4�_4 LQXPY ,AUS TAX: _ ARCN ENGINEER CALCULATIONS: NAME: I l J 7 t- '�l% TRUSS DETAILS: _ ADDRESS: P, OX OTHER: PHONE: C�. —34 - — - a N PROPOSED BLDG. USE: COMMENTS: 1 I'�!f r.�Cah.� ��.� K144 - A!'PLYC"AANT IG ATURE � Received By: ----- -- _____ Date Received: * T PEkMIT 7 ACCT N rDESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit: Fees 10-431 00 Plumbing Permit Fees 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) � •� z�l Building ).D3 6/ Plumbing 7. 60 Mechanical ' i 10-433 00 Plans Check Fee 3 6 86.21' Building 325, 33 Plumbing Mechanical Z 10-230 06 Fire r - /3n-', 6,30-202 00 Sewer Connection 30-444 00 Sewer Inspection 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institt A ona.l TIF Fees 25-448-03 Office TIF flees 25-448-01 Residential Traffic Fees 25-448-05 Mass Transit TIF Fees 52-449 00 Parks Systu:. Oev Charge (POC) 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) t) v 24-445-01 Water Quality (Fee in lieu of) 24--445-02 Water Quantity (Fee in lieu of) TOTAL � l w w - nm/3587P-WPI-