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CITY CSF T I GAR®
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223e81199 (503)639-4,,71 l*T-4`l1 .(F1(7,A-1*f: U
SITE ADDRESS. . . : 1113/+ �'iW 1 ,-'O'TI*4 i V30
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KLI I V I -,I ON. Ci iS (ILT.5 ' ' BP I T IFAN V Z UA I NN P- I P.
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11111-Ac'-Ki 01- WORK. 2111EW
Oct.: Y LAWN)# 118 4
NANT NAME-
Remi xkv :
Owner
Lk'(31END 1-1()MES� CUPF'OR(O-100
, 160 SW VlAZELrf'JN RD.
SUIT(:' 100
'tl(0414) 011 9'7024
•160 '-A4
[j I 717 1,LA Q1
fletj !4. . 60503
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INSPECTION NOTIrE {�
City of Tigard Building Department
13125 BW Ball Blvd_ Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection: _
Footing Plbg. Underelab. Mech. Rough-in Appr/Sdwlk
Pound. P1bg. Top Out Gas Lire FINAL:
PPost/BearStruct. San. Sewer Framing /"" -Bldg.)
Post/Beam Mech. Rain Drain Innulation / -Plumb.
Plbg. Underfloor Fater Line
Gyp. Bd. :-Mech.
Date Requeste,i:i� + Time: AM _-)L—PM
A"
Addrees:ZZ � 3� A Permit /:�
3uil.der:
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THE FOLLOWING CORZIONS ARF. REQUIRED:
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Inepsctor:�r
APPROVED DI:APPROVRDAPPROVED 8UBJX TO ARMS
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Call For Reinap. r J~!~^ - _
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INSPECTION NOTi_,,E
City of Tigard Building Deptrtaent
13125 Sit Ball Blvd. Tic,ard, Orey m 97223
Inspection Line (Rec--O-Phone): 639.4175 Business Phone: 639-4171
Inspection:
Footing Plbg. UnderBla'j Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas line FINAL:
Poet/Beam Struct. San. Sewer Framing `
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd.
Date Requested:_ �--Time: AN __PM
Address: 4, Permit
RuiIder:
THE FOLLOWING CO CYTONS ARE REQUIRED:
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Impactor: /.[•• .� Dates
APPRMZD DI^APPROVSD I.PPROVED BUBJUM To ADOV=
Call For Rainsp.
!NSPECfION NOTICE
City of Tigard Building Depaxtment
13125 SW Hall elvrf. Tigard, Oregon 97223
Inc.pec:ion Line (Rec-O-Ph e): '639-417)5 Buainess Phone: 639-4171
Inspection:_ ��'/ J __
Footing Plbg �.deralab Hach. Rough--in Appr Sdwlk
Found. Plbg. Top Out Ges Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Inaulation -P1.umb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: Time: AMPM
Address: ' >L� _ Permit
Builder:
THE FOLLOWING C0R4;5I ONS ARE REQUIRED:
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LU
Inapector:_ LET 'MI�J Date$
APPROVEDDISAPPROVED APPROVED OUWNCT TO AHOVR
vCa'll For Reinsp.
s
INSPECTION NOTICE
City of Tigard Ru Ch'ing Department
13125 SW Hall Blvd. Tgard, Oregon 97223
Inspection Line (Rec-O-Phone): 6 -y175 Businena Phone: 639-4171
Inspection•— Ar
Footing Plbg. Underal Mach. Rough--in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/Bean Struct. San. Serer Framing -Bldg.
Post/Bean. Med-t. Rain Drain ` z--lation -Plumb.
Plbq. onderlloor /1Watorr Line
Gyp. Bd. -Hoch.
Date Reques:.eds f�/ ` — l Z Tittles ___IW'162-0—ok
y 7
Addr-9130:_///• Permit 1t /Q,,;Z _
Bui ldert 2� /
T11E FOLLOWING OO (,'TIONS ARE REQUIREDt
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Inspectors J` Dater _
APPROVED DISAPPROVED ✓ APPROVED SUBJECT TO ABOVE
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Lime (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection•
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINAL:
Post/Beam Struct San. Sewer Framing -Bldg.
Port/Beam Mech. Pain Drain Insulation -Plumb.
Plbg. Underfloor water Line Gyp. Bd. -Nech.
Date Requeated:__Z ——Tis-1
T PN
Address:///.:5 "�.� _^ Permit
i
Builder:,,",
THE FOLLOWING RECTIONS ARE REQUIRED=
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Inspector:
---- ---- -- ^^ate•_ -- -�c)I_..—�z,_
APPROVED DISAPPRMD APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
A21
r;ity of Tigard Buildi-ng Department
13125 SA Ball alvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: --
�� r Sdwlk
F
Plbg. Underele�b Mech. Rough-in APP /
un
Plbg. Top Oast Gas Line F7NAL:
Poet/Beam Struct. San. Sewer
Fro -Bldg.
root/Ream Hoch. Rain Drain
Ynsu.ation -Plumb.
-Hoch.
Plbq. Underfloor Water Line Gyp. Bd.
7 f ime sL- "sic-AN PH
Date Requested: ..�—__
Permit
Address:�_1�
Builder:
TY.E POLLOWING Co r-"PIONS ARE REQUIRED:
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Inspectors ---- -
APPROVED DISAPPROVED APPROVED SjvAJECT TO ABOVE
call For Reinap.
INSPOCTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-u-Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underslab Mech. Rough-in Appr;Sdwlk
Found. Plbg. Top Out Cas Line FJNALs
Post/Beam Struct. San. Sewer Framing -Bldg.
lost/Beam Mech. Rain Drain Insulation -Plumb.
E1bg. Underfloor Water Line Gyp. Bd. - ech.
-'�LWytequeeted:_ ^_JQ .-- TimesAM PM
Address:_ � �- Permit. f:
Builder: ,
THE FOLLDWI� RRECTIONS ARE REQUIRED:
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Inspectors /� Dates
V APPROVED DISAPPROVED __ APPROVED SUBJECT To ABOVE
/�- Call For Reinsp.
IFSPECTION NOTICE ;l/,�
City of Tigard Building Depart:oent C3 %� �
13125 SW Ball Blvd_ Tigard, Oregon S722
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Hater Line Cyr. Bd.� -Mech.
Date Requested: // f! _Time: _AM
Address:_ �" y �tfx__ Permit #12— 6)
Builder! _
THE FOLLOWING COPM CTIONS ARE REQUIRED:
C'crI" Sy Lee 1;71aole -� -_ --
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Inspectors — -- Date:
APPROVE!s DIBAPPROVBD APPROVED SUBJECT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phine): 639-4175 Business Phone: 639-4171
Inspection:
Footing 1bg. Undervlab Mech. Rough-in Appr/Sd,olk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insuliticn ) -Plumb.
Plbg. Underfloor Water Line Gy,. Bd. -Mech.
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Date Requested:_ �=� __Time: __ AM`�M
71
Address. / Q Permit #:-
Builder:
THE FOLLOWING CORESIONS ARE REQUIRED:
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tnapector:__ _ Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
TNSPECTION NOTICE
City of Tigard nuilding Dep&rtnent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-A171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out iGas Line ) FINAL:
Po.t/Beam Struct. San. Sewer Framing -Bldg.
Poet/k am Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested:_ X"/- L Timet AM PM
Address: `� ~ Permit i: �
Builders
THE FOLLOWING, CTIONS ARE REQUIRED:
74, C_117
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Ina,plCt.0[:� `mss �4 hAtR:
APPROVLD DISAPPROVED --- APPROVED SUBJECT TO ABOVE
Cali For Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:__ —-
i
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. ^_`~t. Top Out Gas Iine FINAL:
Post/Beata Struct. San. Sewer r.in1 -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line
9 Gyp. B(:. -Mech.
Date Requested: /v _ Timet
Address:
Au 11der i 7
?'
TP.X FOLLOWING CTIONS ARE REQUIRBDs T
Ineps:ctor: — -- ` -- - - --- --- — -- Da..at
APPROVED DISAPPROVED APPROVED SUBJECT TO ADM
Call For Reinap.
INSPECTION _NOTICE
City of Tigard Building Depai-t�_nt
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 6319-4175 Business Phone: 639-4171
Inspection:_—_
lootinq Plbq. Underelab Mech. Rough-in Appr/Sdwlk
round. �'' Plbq. Top Out Gas Line FIAAL:
Past/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Ad. -Heels.
Date Raqueatedt ��,r/ �Z /Times _ AM
Addrees:_ �S� ��` T--� 'PesJmlt �fC' Z !J7!
Bni.lder-
THF. FO".LZ vINO w. MONS ARE REQVM0:
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Inspector:
�z_APPROVED DISAPPROVED APPRMD SUB.TECT TO APOVE
Call For Reinsp.
INSPECTION_ NOTICE 1
City of Tigard Building Depa-tent
13.125 SW Bail Blvd. Tigard, Oregon 97223
Inspection L'_ne (Rec-O-Phone): 639-4175 Busi.nene Phone: 639-4171
Inepection:—__ --
Footing Plbg. Underelab Hoch. Rough-in Appr/sdwlk
Found. 21bg. Top Out Gan Line FINALS
),oat/Beam Struct. �Sfin. Se r� Framing -Bldg.
Poet/Seem Hoch. in Dr Insulation -Plumb.
Plbq. Underfloor Wator Lu:e Gyp. Rd. -Hoch.
Date Requeeted• 1,U Timet AM _PN
Addreoe: _ �� '✓U ✓`- �� Permit a C _
Builde
'i[4F FOLLOWING CORRECTIONS ARE REQUIRED:
10,
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InepuctOrt -_—_ _. Date:
j APPAOVED -- DISAPPROVED APPROVRD SUBJtCP TO ABOVE
,.C_ Call For Litinep.
INSPECTION N01 iCE
City of Tigard Building Departa must
13125 M Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rer-O-Phones 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam :itruct, San. Sewer Framing -Bldg.
p-a`_;deam Hoch. Rain Drain Insulation: -Plumb.
Plbg. Underfloor Water L-innnee�i Gyp. Bd. -Mach.
Date Requerted: _ / ime: AH _A_PH
Addresst��� L� L� C7��7���L Permit f: F�2
Builders _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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1;-PROVSD `— 019"PHOVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Rall Blvd. Tigard Oregon 97223
Inspection Line (Rec-O-Phone;: 639-4175 Business Phone: 639-4171
Inspection: -
N
Footing Plbg. Underalab Mech. Rough-in ( Appr/Sdwlk )
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.,
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
Date Requested: -�- I " _ 4--/. Times dut PM
address: 3t Permit #s c?2-
Builders
Builders L- 1 """ S Lr 7- ZZ� S
THE FOLLOWING CORRECTIONS ARE REQOIRBDs
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Inspector: L ErYA 7-4pMf15 — Dates 107 _¢_1
_jL_APPTMM DISAPPROVED APPPIMD SUBJECT TO AABBOVE_�
- Call For Reinsp.
INSPECTION NOTICE ; T
City of Tigard Building Department
13125 Sit Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buninens Phone: 639-4171
Innpect-ion: _—
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gia Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet./Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd.� -Mech.
Date Requented: 1L _TimeAN PM
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Address:_ Z L �1 Permit f: —/,7 61
Builder: � �,� ,-
THE FOLUIWING Z 10NS ARE REQUIRED:
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Inspectors Dates'IAt7 C
PPROVRD 0I8APPROVRD APPROVRD QtlRJRCT TO ADM
Call For Rainap.
CLTYOFTIFARCI
C"r4mmom MASTER PERMIT
,COMMUNITY DEVELOPMENT DEPARTMEK 0mle" 1,ERM.IT 4. ,. . . . . . . 1YIST92-.006-7
13125 SW FWl Wk.P.O.Box 23397,TlgmM,Or"m 97 (503)630-4175
—r) 177-17SUED: 04/,?'2/92
S1 TE ADDRESS. . . : 11134 1;W 130TH PSE PARCEL: ISI.33DD—CB22
SUBDIVISION. . . . : CASTLES AT BRITTPNY ZONING: KI-12 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . J
EUILDING --------------------------------------
REI SSUE: DWELL ING Ul\ I T5., I BAS17MENT. . . . . . . . .0 S f
CLASS OF WORK. :NEW BEDRMS;3 BATHS:2 GARAGE. . . . . . . . . . ..400 sf
TYPE OF USE, . . :Sr FLOOR REOUTRED
TYPE OF' CONST, :5N F I RST. . 1842 sf LEFT. . :S ft RIGHT. -5 f't
GC CUPANCY GRP. -P3 SECOND. . . -O 5f F R 0 1\1 T. :r_:0 ft REAR. . :;?01 f 1,
STORIES. . . . -, . . . 1 THIRD. . . . .-O sf REQUI
IIEI614T. . . . . . . . : 18 ft TOTAL--- 1. sf SMOKE DETECTORS. : Y
FLOOR LOAD. . . . :40 psf VALUE. . . . . 4 : 91932 PARKING SPAC�S. . :Q1
Remarks : PATH I
PLUMBING ---------------------------------
SINKS. . . . . . . . . . .. I FLOOR DRAINS. . . . .0 BACKFLOW PREVNTRS. . -.0
LOVATURIES. . . . . : � WATER HEATERS. . . * I TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWERS. . . . :3 LAUNDRY Tl--(AYS3. . . 0 CATCH BnISING. . . . . . . :0
WA rER CLOSETs. . :2 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHERS. . . . - I WATER LINE (ft ) . : 100 OTHER FIXTURES. . . . . ..0
GARBAGE DISP— : 1 RAIN DRAIN (ft ) . :O
WASHING MACH. . . tl 5F RAIN T)RAING. . :4
MECHANICAL- ---------------- FEES
F: UEL UNIT HTRS. . :0 type amount ray date t,ecpt
/GAS/ VENTS TIF $ 1380. 00 JLH 04/23/92 —
MAX INPUT:O BTU VENT FANS. . :4 Bl'.,RT $ 401.). 00 JLH 1714/2''3/9 2 —
FURN ( 100K . . : I HOODS. . . . . . : 1 B P L C, $ 265. 85 JLH 04/14/92 226001
FURN ) =100K . . -0 141000STnVES. :0 B5PC 1. 20. 43 JLIA 04/23/92 --
FLQ',R FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 JLH 04/23/92
BOIL/CMP ( 311P:0 OTHUR UNITS:0 PARK 1, ;500. 1/10 JLH 0416,319c'
GAS OUTLETSel MPRT $ 39. 00 JLH 04/23/92
-
Owner: MPLC $ 9. 75 JLH 04/23/92
LE-ULND HOMES CORPORATION M5PC $ 1. 95 JLH 04/23/92
7164'' SW HAZELFERN W.D. PPR T t 132. 50 JLH 04/23/92 —
SUITE 100 P"',PC $ 6. 62 JLH 04/23/92 —
TIGARD OR
14,tone #- 620-8080
LEGEND HOMES CORPORATION
7160 SW HAZELFERN RD,
SUITE 100
TIGARD OR 97224
i
Reg 617,563
$ 3045. 12 TOTAL
This atreit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS
T.-hard Municipal Code. State of Ore. Sperialtv Codes and all other Fnot/found Insp Fir,eplace Insp
applicabie laws, All work will be done in accordance with approved Post/Aeam Stt-urt Gas Line Insp
plans. This pe-mit will 1xvi-e if work is not started within In Fro st/Beilm Mpollan Insulation Insp
-!a s of issLance, or if work is suspended for were than 180 days. Plm/ands lab Insp Gyp Board Insp
PI .M/Undpt-f I.00v- Pain rit-Ain Insp
per-mittee 5irinat u t e - Mectianical, Insp Water Line Insp
Plumb Top Out Appr/c.;dwlk Insp
Mechanical Final.
Call for- inspection — 639-41"75
_;7L7 -4Tr
SEWER CONNECTION
Cir(OFTIFARD FERMIT
CnYOFTMAND PERMIT #. . . . . . . .. SWR92-01335
PoMiWry DEVELOPMENT DEPARTIIENT OROS"
13125 SW HWI 914 P.O.Box 23M,TOW,Or"m 97�N(503)fl?t4175
r,(- ISSUED: Q)4/22/92
ITE ADDRESS. . . : 11134 6W 13le_[H AVE PARCEL: IS133DB—CB22
—i)UP-D I V I S I Ohl. . . . : CASTLES AT .13RITTANY ZONING: Fi 1 PD
'ALOCK. . . . . . . . . . .
LOT. 22
I EmANT NAME.
JSA NO. . . . . . . . . . FIXTURE UNITS. . .
(",LASS OFWORK. . . :NF W DWELL I N6 UN I I'S. . - I
1'YPE OF USF.. . . . . :SF' NO. OF ICU ILDINGS: 1
INSTALL TYPE. . . . :NUSWR IMPERV SURFACE. . : -Sf
�?eviarkc; .* PATH I
FEES ----------------
I—EGEND IAOMI=S CORPORATION type amof.tnt by date recpt
7160 SW HAZELFERN RD. PRmT s 1900. 00 JLH 04/23/92 —
_AJITE 100 INSP $ 35. 00 JLH 04/23/92 —
lIU14RD OR 97,224
Phone #: 620-808171
-.014TRAC1 OR NOT ON FILE
--------------------- ------
$ 00 TO')AL
r�eq
REUUIRED INSPECTIONS
This Applicant agrees to comply with all the rules and regulation: :)ewer- Inspection
J the Unified Sewage Agency. The permit expires IS@ days from
the date issued. The total amount paid will be forfeited if the
nermit expires. The Agency does not guarantee the accuracy of the
,Ade sewer laterals. If the sewer is not located at the measurement
given, the installer shall at-aspect 3 feet in all directions from
the distance given. If riot so located, the installer shall purchase
a "Tap and Side Sewer" Permit and the Agency will install a lateral.
Isst.ted LAY :
CaIl for inspection 639-4175
UlTv OF TICARD RECEIPT Or-' FIAYMF14T RECEIPT NO. 92--j:26001
CHECK AMOUNT z 1000. 00
t HGEND 1.10MES CAS"I-f AMOUNT IA. olel
A 1)V k I'-S F:; z '7160 SW HAZELFERN ROAD PAYMENT VATL. x 04!14
TIGAPD, OR 9 L)P D I V I S I ON
97P24--
PLIPI-I)SE OF: VAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT' PAID
PLP114 CH17CK F'F: 4--27R 250. 00 PLAN CHECK FE 4--PSR 01?50. 00
n. PI. GNCHECK F-"E 4---29R ;:-5 0. 00 PLAN CHECK r-E 4-3.014 250. 00
ae
ui
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(-.AS*I'Lr:'i AT BRITTANY
TOTAL (IMOUNT PAID 00
w
C I'1 Y OF T I GARD — RE=C':E;.I PT OP PAYMENT RE CE I VI i 1\10. 08-2264 ;1
C14fiCK AMOUNT = 4' ,10. 121
NAME LEGAND HOMES CASH AMOUNT V.I. 00
ADDRESS c '1160 13W HAZE.LFERN ROAD, #100 PAYMENT D3A'TE.. a 04,'cc7P/92
TIGARD, CIP SUBDIVISION s
9722 4•
PURP F. OF IIAYMFNT AMOUNT PAID PURPOSE OF PAYMENT AMEWINI Fln11)
BUILDING PERM 409. 00 PLUMBING PERM 1 E". 50
ME`CHAN I CAL F=EE 39. 00 GT. BUILD PEER 29. ft
FLAN CHECK FE :?!;. 60 StEWER LISA 1 40el. (LIG)
SF.14F*R INSPL-XT 35. 00 PARKS, SDC 900. 00,
STORM LAR lid 1:3E 280. 00 RFSIDFN"PIAL T'RAFF IC FELE: 18$10. 00)
MASi.'i TRANSIT TLF FEES 100. 00
F7W 130TH, L I l r ,:?,?
7 0T PL_ AMUUNT F-101 D 4730. 12
13125 SW Iiall lltid. PLNCK/RECTCITY O 1 I''lJCll D PO nax 23397 PERMIT # .2 --0'06,
COMMUNITI DEVELOPMENTDEPARTMENT Tigard.Oregon 972D
(503)639-4171 DATE ISSUED
)OB ADDRESS: 1113,1 �.� / It f/7' TAX MAP/LOi /5/
SUB: LG /� ct/ 1-6,4— LOT: ;; LAND USE:
VALUATION: Z _
OWNER SPECIAL NOTES
'SAME: — eq eH 6 P-5 REISSUE OF:
ADDRESS: _ s�l r ��— LAST REISSUE:
FLOOD PLAIN/
NONE: 6 ae-�Q�c� SENSITIVE LAND: -
CONTRACTOR APPROVALS REQUIRED
NAME: �Jf�/yI PLANNING: S A P7 l'
ADDRESS: _ ENGINEERING: �> ! ?
FIRL DEF(:
PHONE: - - OTHER: �� Z -)A -
ONTR. BOARD #: ��� .L EXP DATE:
ITEMS REQUIRED
;UBCONTRACTORS: PLUMB: � �-/L/V 01 LIST/SUBCONTRACTORS:
MECH: �S��N � 67
n1sJ_fie N _ BUS TAX: -
WCH/ENGINEER CALCULATIONS:
NAME: ir ��d�le- - TRUSS DETAILS:
'%DDRESS: OTHER:
PHONE: — - ---_- —
IL
n
F_ ROPOSFD BLDG. USE:
–' OMMENTS:
13
ADPL�t4 ATURE
Received By: __ Date Received: —
PERMIT k ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL�.` DUE
to ijj-,,- l 10-432 00 Building Permit Fees j `7�_'
10-431 00 Plumbing Permit Fees Z, ��f /3L-So
10-431 01 Mechanical Permit Fees 3 •�r 3 t "'
10-230 01 State Building Tax (5%)
Building h^•'44i ���
Plumbing G' G Z ex
Mechanical
a
10-433 00 Plans Check Feel ' `'
Building a26-i- Y.,
i
Plumbing
Mechanical , ')
1C-230 06 Fire — --
,5,,,4,W-Ul30-202 00 Sewcr Connection
30-444 00 Sewer Inspection 3 5'
25-448--02 Commercial TIF Fees __
25-448-04 Industrial TIF Fees _
25-448-06 Institutional TIF Fees
25-448-03 Office 1IF Fees
25-448-01 Residential Triffic Fees 00 __ 7Zsro
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PUC)
31-450 00 Storm Drainage Syst Dev Chrg \ r
SSDC \ F
24-445-01 Water Quality (Fee in lieu of)
ll
24-445-02 Water Quantity (Fee in lieu of)
r
F-
TOTALt
J
nm/3587P.WPF