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14670 SW 130TH AVENUE ADDRESS: 114 "70 Sin/ 30 pct n Pv eoords\n,icrotlm\targetsVwilding.doc J RIPNT CERTiFICATE OF Gist OF T OCCUPANCY PERMIT SUED . . . . : MST92-0217 COMMUNITY DEVELOPMENT DEP DATE- ISSUED: 04/07/93 13126 SW Hall 8,vd.Tigard,Oregon 9722398196 (503)839-4171 PARCEL: .2S109Av-02700 S11 ADDRESS— : 146/0 SW 130TH AVE • SURD IVICION. . . . : .40ODFORD ESTATES ZONXLG:R--1 BLOCK. . . . . . . . . . p LOT. . . . . . . . . . . . . v19 CLASS OF WORK%. -NEW TYPE OF USE. . . s 5 OCCUPANCY GRP. R3 OCCUPANCY LOPDz2c-'3 4 TENANT NAME. . . t Rem;.,it,ks : PATH I 0-jner,i R&W PARTNERS 12300 SW 69TH AVE TIOnFRD OR 97223 Phone #1 639-2639 Contr- actor s RW PARTNERS 12300 W 6!)TH AVE TIGARD OR ')7223 Phone #t 639-2639 Reg Fi. . a 80970 Occupancy of the above referenced buildirip is hereby given, and certifies the cumnliance with the Gtate Of Oregon Specialty Codes for, the group, occ.,upancy, and use under- which the t-efev,enred permit was issued. BUILDING INSPpi.LTOR BUILDIN I IAL POST 114 CONSPICUOUS PLACE Q0 j ® j y ��o� �� PLUMB I rJC; F L F<I 11 r ctnrolFnQerm GC`%VAUNnY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . : MST92--0r.'17 t Y26 SW HWI BNd.P.O.Bax 23M,Tipvd,Or"m 07223(603)639-4176 S I DDRESS. . , 14b70 SW AVE. PARCEL. 21bJ.09n0-•WDF-1 y SU D rl I S l f.:iN. . . . o WCIODF=ORD `E"STATES Z ON I IV.G r. f2-i EX C CES. . . . . . . . . . s LIT. . . ... . . . . . . . 119 CLI'SS OF WORK. . :NEW bARDAGE DIGPO►ALS, . i 1 T Y OE OF' USF. . . . n 5F= WASHING MACH. . . . . . . : i. DACKF I_.OW PREVN•TRS. 0 UcdtJPANCY GPP. . :R3 FLOOR DR11IN',3. . . . . . . :0 TRAPS. . . . . . . . . . . . . . 30 S7CRIES. . . . . . . . :.,: WATF.R 'HFATEEiS. . . . . . . 1 CATCH RASIIVS. . . . . . . :0 F 1.1 TUPES•__....___._..___ ._.., LAUND Y TRAY S. : . . . . o 0 SF RAIN DRAIN' 1 S I NKSF. . . . . . s 1 GRVASL. -I RAP."-). I . . . . . .0 LAVATORIES..'. . . „ - 4 O'THE R f'I X TLJRE:S. . . . . .0 TUB/00WERS. . . . : SEWER LINE ( f:t ) . . . . .0 WATER CLOSETS. . :3 WATER LINE DISh(WC151tir=f1S. . . . : 1 RAIN DRAIN kemarks s PATH 1 OWN(::R: R&W PARTNERS 'TIF" $ 1460. 00 JH 10/01/92 ' 12300 6W 69TH AVU I:IpRT 1. flaky. 50 Jli 10/01/9;:' BPLC: $ 292. 83 JI_F'I 09/22"/92 231?896 TIGARD OR 972.-R-3 B9PC: t 2z:. 5.j JH 111.1/01192 - Phone it: 639--r"0639 SSI'oC s 2D0. V10 JH 10/Vii /9w - PARK $ 500. Q10 JH 10/01/98 -- F'l-ambir,g C ntv-Actors-- _-__ .___.___.....___ MPRT $ 45„ 00 IH 10/01/92 - 01. C: * 11, 25 JH 10/01 /9c: - Name : 1,15PL $ i. r5 JH t0/01 /92 Address PART 8 147, 5Q..- JFI 10/01./,Ie - C i.t Y �a�_.QSt�15�-- _ _St a t e e__�;�_[� _. PSPC t 7. :38 H 10/01/`i - L i p one F2e g #»_ a.f�33fT- L�Lc�./►i.I:...._. _..._....___ _._ REQUIRED INSPECTIONS Inig permit is issi..trd subjer,t to the reg_- ulatinns contained in the Tiraard MUTIir_ipal Foot/found Insp fain drain Insp Cade, 5t,ate of Ore, Specialty Codps and all Post /Beam Strurt Water Line Insp Other applicabl a taws. All ww"k will be dnne Port/ .Aeam Me:r ian 0ppr'•/rdwlk Int p in au(-nrdance with al.-)proved (:clang. This Pl,m/undslah Insp Me(ihanic:al Final tTO' mit will expire if work is not started r"11-111/Underfloor PlUmh Final within 180 clays of issuance, or if work is Mechanical In%p Bul.lc..ung Final �- rIsc.l onrlecl for more than 113x, days, Plumb Top Out Erosion Control rraminq Insp Crawl Drain t= ireplatre InFp 'r Gag Line Insp �_ � .__. In5uJartion Insp Gyp Board Insp CID Aut�h 'ized 4114,1k hbing Contractor- Signature v Call for in,r)pctinn 639-4175 ,.,,,fit rac:t or Not ps s INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639_4175 Business Phone: 639-4171 inspection:---- Footing nspection: -_Footin plbg. Underalab Mech. Rough-in Appr/Sdwlk j g• 1' Found. Plb To Out Gas Line FINAL: Post/Beam Struct. San. Sower Framing -Bldg. ng 9' Poet/Beam Mech. Rain Drain Insulation -P.umb• Plbg. Underfloor Water Line] Gyp. Bd. -Mech. TimesAM pM Date nequested:_� _ Permit /:-2A Addreue: — Builders .4—^ ,ME FOLLOWING CORRECTIONS ARE REQDIREDs 4. I— F- W THe Inspector:Y C�"PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reiniap. INSPECfIIt! NOTICE City of Tigard Building Department 131:15 SM Ball Blvd_ Tigard, Oregon `7223 Inspection Line (Rec-O-Phone): 639-4175 BuBiress Phone: 639-4171 Inspection: Footing Flbg. Underal.ab Mech. Rough-in Found. Plbg.. Top Out Gas Line FINAL: Posy./Beam Struct. ;tan. Sewer. Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor /AJpter Line Gyp. Pd. -Mach. Date Requested: LI J / __ _Times ___ AM --PM Address: Permit Is-V,2 J Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: LL It — -----------"- --- - I— tn J C7 W - -- - Inapector: j i .x`)1'1 f S bete$ _ ^APPROVED _— OISAP4AOV�C "I'MM ellBJ CT TO AM" --Call for lleinsp. INSPECTION NOTICE ,. City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Businees Phone: 639-4171 Inspections _ Footing Plbg. Undarslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line INAL� Post/Beam Struct. San. Sewer Framingtj:, Post/Beam Mech. Rain Drain Insula`_ion -Plumb. Plbg. Underfloor Water/LineGyp. Bd. -Mach. Date Requested:_ I /b � Time: AM PM Addrean: /` ' f 3v Permit fs Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: rt ti _c co w J Inspectors Dates- "PROM ates-"PROM �� DISAPPROVED APPROVED SUBJECT To ABOVE v� Call For Reinsp. INSPEc.'TION NOTICE w City of Tigard Building Department 13125 811 Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O--Phone): 639-4175 Blaineas Phone: t39-4171 Inspect ion:, Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. San. Sewer Framing -bldg. Pont/Beam Mach. Rain Drain Insulation -.Piummb�. Plbg. Underfloor Water Line Gyp. Bd. �--t�ech. Date Requeste//d: 7 �O-`' _ Timet / AM _ PM Address: �7LD /4 l3U f _ Permit r: `7Z'UZ�7 Builders TBE FOLLOWING CORRECTIONS ARE REQUIRED= ix - - N y — ti .r C7 Ui J Inspectors _ Dater /J 3 APPROVND DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Roinap. INSPECTION !tOTICF. City of Tigard Building Department 13125 SN His-11 Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Bvainess Phone: 639-4171 Inspection:_ 'r —� Footing Plbg. Unde-:�iab Mech. Rough- r/SdwlI Found. Plbg. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plvq. Underfloor Water Llne Gyp. Bd. -Mech. Date Requested: _ — Time: AM 77 PM AddrPse _,_ � S(t1 Permit #: ��V r -7— Builder: — — THE FOLLOWING CORRECTIONS .ARE REQUIRED: ►- :C C.7 W - - — -- L,ETNA T-k mk> Date:_2 -3 -(13 Inspector:_ ----- -- APPROVED L,'�"DISAPPROVXD APPROVED SUBJECT TO ABOVE - all For Reinsp. INSPECTION NOTICE City of Tigcrd Building department 13125 SA Hall Blvd. Tigard, Oregon 47223 Inspection Line (Rec-O-.Phone): 639-4175 Business Phone: 639-4171 Inspection:Footing Plbg.Plbg. Underslab Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Lire FINAL- Pont/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Under:loor Water Line Gyp. Bd. -Mach. Date Requested: Z Time: AM _--PH Address: (P 7e Permit Builder:_ -- THEE FFOOLL-OW- CORRECTIONS ARE REQUIRED: I�� ELCA JE - APP 'LFJ G/-1 FU9 F L'LL C� _ IN A c C.F.s S t-la _LAI�U'�8 T c� I V E 5 r F L' W Inspector: /�l7 71J CI11 f _ Date:' ——APPROVED DISAPPROVED _ APPROVED SUBJECT 110 APOVM call For Reinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: T_ looting Plug. Underslab Mach. P.ough-in Appr/Sdwlk Found. Plbg. Top Out <� Gas Lina FINAL: Post/Beam Struct. Sari. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Hater Lina Gyp. -Mach. Data Recpjestedds �.�r Time: AM PM Address: L/ :F U Permit Builder: THE FOLLOWING CORRECTIONS ARL REQUIRED: t a H I- J r' W — -- - ----. _ - J Inspectors - - Data: APPROVED Di PROVED APPROVED SUBJECT TO ABOVE g"764 7^r. Rsinsp. INSPECTION NOTICE City of Tigard Building Department 13125 SR Ball Blvd. Tigard, Oregon 97223 'nspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection:_ Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas L!ne FINAL: Post/Beam Struct. San. Sewer Framinq -Bldg. Poet/Ream Mech. Rain Drain Inoulation� -Plumb. Plbg. Underfloor Water Line l Gyp. Bd. Mach. Date Requested: �C,� ��• Timet AM _PM Addxesa:_� /L' � Permit 1: -Of�- '6)'_ Builder: _ THE FO G CORRECTIONS ARS REQUIREDt ..XIC 106 �.w U0 Inspector• �' _ Dates APPROM DISAPPROVED G'� APPROVI9D SUBJECT TO ABOVE --Call For Reinsp. INSPECTION NOTICE City of Tigard Building Department v� 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171 Inspection Footing Pl.bg. Underslab ch. Rough-iZ1 Appr/Sdwlk Found. Plbg. Top Out ae LTRII' FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. 8d. -Hoch. Date Requested: Ll—2- ,�-- _Time: // AM M P . Address: /� �,/�7 G Permit t: LJ y7 J Builder: THE FOLLOW CORRECTIONS ARE RRQUIRsD: a. F- w + 't Inspectori ,� ll n Dates//- j "PROM DISAPPROV6h APPROVED SUBJECT To ABOVE Call For Reinep. INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Origor. 97223 Inspection Line (Rec-A--Phone): 639-4175 B: ai ,ess Phone: 639-4171 Inspection: Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk Pound. Plbg. Top Out l Gas Line FINAL: Poet/Beam Struck. San. Sewer ////////// Framing --Bldg. PoLt/Beam Mach. Rain Drair. insulation -Plumb. Plbg. Underfloor Water Line /// Gyp. Bd. -Mech. Date Requested: (!' - Time: AM _._PM Address:_ ZIV& 7�/ � _ Permit Builder: THE FOLLOWI CORRECTIONS ARE REQUIRED: U' 9 Ll cc E- i U.1 J Inspertor — ter—_ Z%APPROVED DISAPPROJvD APPROVED SUBJECT TO ABOVE call for Reinsp. INSPECTION NOPICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone):: ,,639-4175� �Business Phone: 639-4171 Inspection:^ +\.�W�.YJ. �'t o U — -- Footing Plbg. Underslab Me&. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL.: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Pl:unb. Pibg. Underfloor Water Line Gyp. Bd. -Mech. Data Requeatedt �I - I 75- ` Timer Address: L, fD I `� � J/ / Permit tr Builder: , ,i �� 1 , 1 2 l/,�`IL THE FOLLOWING CORRECTION$ AhS REQUI.1ZD2 G JLC 1- 7- J :L W J Imps-to r_- Dater ^APPROVED ^_ DISAPPROVED APPROVED BUBJECP TO ABOVE Call For Relnnp. IFSPECTION NOTICE City of Tigard Building Department 13125 Sit Hall Blvd. Tigurd, Oregon 9722:1 Inspr:ction Line (Rec-O-Phone): 639-4175 B%isinf..,ss Phone: 639-4171 Inal-ect ion: Footing Plbg, Underslab Me i. Rough-in Appr/Sdwlk Found. Plbq. Top Out Gas Line FINAL: Poet/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Umierfloor Water Line l �Calyp. d. c��,J/�1 -Mech. Date Requentedr, �l� `�� Tir:6�i« AM PH Addreae:- Permit #: Builder• THE FOLIAWINi 0711RECTIONS ARE REWIRED: i r Ur) 1— W APPROVED DISAPPROVED i_ APPROVED SUBjF.CT TO A13OVE —Call For Reinep. INSPECTION NOTICE n , City of Tigard Building Department 13125 SN Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Bueinesa Phone: 639-4171 1nRIection: Fo.)ting Plbg. Underelab Mech. Rough-in Appr/bdwlk Found. Plbg. Top Out Gae LS.ne INAL� Pont/Ream Struct. San. Sewer Framing -Bldg. Pcet/Ream Mech. Rain )rain Inaulation -Plu� Plbg. Underfloor Water Lio-w Gyp. Bd. -Hoch. Date Requested: L� - C —Times AM PM Adclreses Permit is c Ru 1 1 dor s— THE FOLLOWING CORRECTIONS ARE REQUIRED: Cl- 0:C[ --- F- Ln F- rr CD W L Inepectori 2-; --�—j-- ----- -- - nate:� APPROVED f _ DISAPPROVED APPROVED SUBJECT TO ABOVE �J Call For Reinsp. CITYOFTKARD � MASTER F"'ERIYIz-r PERMIT #. . . . . . . : 1113T9��-OLI17 CIiYOF TI�ARD COMMUNITY DEVELOPMENT DEPAyR W, ��+ DA—,.7 1-I_ I ssuE n 1��/ 1/9, 13125 3W SWI Blvd. P.O.Bax 23347,Tiprand,Or"m 9;�6 0k i) 176 511*E ADDRESS. . . : 14670 SW 130TH VIVE PARCEL. 2S109HD WDF'19 SUBDIVISION. . . . : WOODFORD ESTATES 7..ONING: R-7 BLOCK. . . . . . . . . . . L-07. . . . . . . . . . . . . : 19 BUILDING REISSUE: DWELLING UNI-r5: 1 BASEMENT. . . . . . . . :0 sf CLASS OF WORK. :NEW BEDRIYIS:3 BATHS:3 GARAGE. . . . . . . . . . ..424 sf TYDE OF USE. . . :SF FLOOR AREAS-_-.._.______-- REQUIRED SETBACKS-----._____ TYPE OF CONST. :51V F I RST. . . : 157 4 s f LEFT. . :5 fa- R I GH T. :O 1't OCCUPANCY GRP. : R3 SECOND. . . :565 sf F RON'T. :20 ft REAR. . .- 15 ft STORIES. . . . . . . THIRD. . . . :0 sf REQUIRED- _ HE I GHT. . . . . . . . :23 ft TOTAL_------:2139 s f SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . $ : 106021; PARKING SPACES. . : 1 Rt-marks : 17,ATH I PLUMBING .___._._____________•---------.._____.____.___-_ INKS. . . . . . . . . . : .I FLOUR DRAINS. . . . :0 aACKFLObI F'REVhITRS. . :0 Lf.iVATORIES. . . . . :4 WATER HEATERS. . . : 1 -rRAPS. . .. . . . . . . . _I UB/SHOWE:RS. . . . ::-5 LAUNDRY TRAYS. . . :0 CATCH BASINS. . , . . . . :0 WATER CLOSETS. . :3 SEWER LINE: (ft ) . :k GREASE 7•RAPS. . . . . . . :0 DISHWASHERS. . . . : 1 WATER 1 INE ( ft ) . : 100 OTHER FIXTURES. . . . . :0 GARBAGE D I 5P. . . : l RAIN DRP 1 N (ft ) . 0 WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1 -__--------------- MECHPNTCI-IL -----__ ----------------- FEES FUEL TYPES------------ 111\1IT HTRS. . :0 type amount by date recpt /bAS/ / / DENTS . . . . . :0 TIF $ 1460. 00 JH 10/01/92 MAX INPUT:O BI VENT FANS. . :4 BPRT $ 450. 50 JFl 10/01/92 - FURN ( 100K . . :0 HOODS. . . . . . : .1 BPLC $ 2'92"'. 83 JLH 09/22/92 2312'896 FURN ) =100,* . . .- I WOODSTOVES. :0 85PC $ i2,2. 53 JH 10/01/92 -- FLOOR FURN. . . . :O F1.O DRYEERS. : 1 SSDC $ H=BO. 00 JH 10/01/92 - BOIL/CMF ( 3HP:0 OTHER UNITS: 1 F'AR14 $ 500. 00 Jl-I 1Qr/01/92 - GAS OUTLETS: 1 MPRT $ 45. 00 JH 10/01/92 - Owner: ____________._._._-__ ._--------_.___.__._.__..._ HPLC $ 11. 25 JH 10/01/92 R&W PARTNERS IY15PC $ 2. : 5 JH 10/01/92: - 12300 SW 69TH AVE :-'PRT $ 147. 50 JH 10/01/92 PSPC $ 7. 38 J14 10/01/92 - TIGARD OR 97223 Phone #: 639-2639 Contractor: -----_.--._-__-__---_-_---.__.-__ R&W PARTNERS 12300 SW 69TH AVE T 1 DARN OR 97=:_=:3 Phone #: S39-2639 Reg #t. . : 80970 N $ 3219. 24 TOTAL This permit is issued subject to the regulations contained in the -------- REQU RED INSPECTIONS - ------ Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found In.,p Fireplace Insp applicable laws. 41l work will be done in accordance with approved F='ost/Beam Str-r.lc++ Gas Line Insp plans. This permit wiil expire if work is not started within 180 Post/Beam hlech-.(n Insulation Insp days of issuance, or if work is suspended for more than 180 days. Pln/undslab Ir.sp Gyp Board Insp PL.M/Underf _oor Rain drain Insp Permittee Signature : l0actianical Insp Water- Line Insp Plumb lop Out Appr/Sdw.Tk Insp Issued By: X Framing Insp Mechanical Final Call for inspection - 639-4175 J C17Y0F71GrARD cnyOFTW4RD COMMUNITY DEVELOPMENT DEPARTMENT SEWER CONNECTION 13126 SW Hmil Blvd. P.O.Flax 23397,TOW,Orepn 97223(603)639.4176 PE RId I T PERMIT #. . . . . . . : SWR92-41,30,2 D01t:.. 13`�AJED: 101Q411/-)t2' SITE ADDRESS— : 1.4670 SW 130-111 AVE PARCEL: 2SI09AD-WDFI9 SUBDIVISION. . . . : WOODF ORD ESTATES ZONING: R---7 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 19 TENANT NAME. . . . . USA IVO. . . . . . . . . . : FIXTURE UNITS. . . CLASS OF WORK. . . :NEW DWELLING UNITS— : 1 TYPE OF USE. . . . . :SF 1\10. OF BUILDINGS- 1 I 1,131'"LL T Y PE. . . . -FA US W R rlylpERV ;.SURFACE. f Remarks : 1--1H1H I Owner: ----------------------------- FEES R&W PfiRTHLRS type amol-tnt by date recpt 1�300 bW 69TH AVE PHIII $ L100. 00 JH 10/01/92 INbF $ 35. 00 JH 10/0 1/9,2 TIGARD OR 97223 Phone #: 639-L639 Lontractor: LONTHACJOR NOT 014 FiLE --------------------------------- Pfl o 11 e # $ 2135. 00 TOTAL Rep #. RLUUIRED INSPECTIONS This Applicant agrees to comply with all the rules and regulations Sewer lnspect :ion of the Unified Sewage Agency. The permit expires 180 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 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 "Tap and Side Sewer" Permit and the Agency will install a lateral. 1,e r in i t;t e e S i y n a t 1-tr e I s-i 1.t e d Dy ------ V) Lal I for inspection 639-4175 • CITY OF TIGARD RECEIPT OF F.IAYMEI\' ,' RECF7r`T NG. C HEr.K AMOUNT 5104. 24 JT ROTH CASH AMOUNT r 0. 17.10 ADDRESS s PAYMENT DATE o 10/01 /92 SUBDIVISION PURPOSE OF PAYMENT PAOUNT PA I D PlJRPOSE- OF PAYMENT AMOUNT P:,PiD BUTI—DING PERM 450. 50 PLUMBING PERM 147. '50 MUCHANICAL CIE 4`'.i. 00 ST. BUILD PER 32. 16 PLAN CHECK FEE 54. 08 SE'WER USP 2100. 00 SEWER INSPECT 35. 00 PARKS SDC 500. 00 :STORM DRAIN SVC ;-80. 00 RE'S IDIzNTIAL TRAFFIC FEES 1350. MASS TRANSIT TIF FFFS110. 04 Lo W LOT 11) WOODFORD EST 14670 SW 1307H TOTAL AMOUNT PAID 5104. 24 CITY 13115 SW f fall Blvd. PLNCK/RECT #OF TIGARD !'' x27397 PERMIT # 5f yz-Gay? COMMUN11T DEVELOPMENT DEPARTMENT Tigard,Oregon 97223 (503)639-4171 DATE ISSUED JOB ADDRESS: �"zo >�GtJ TAX MAP/LOT �S a9Ad 'WOF0 SUB: l-Ve' 4 _7L �' LOT: x17 LAND USE: VALUATION: Z OWNER SPECIAL NOTES NAME: _ �G¢G1/1� STi�C-� REISSUE OF: ADDRESS: LAST REISSUE: FLOOD PLAIN/ PHONE: SENSITIVE LAND: CONTRACTOR f APPROVALS REQUIRED NAME: I EGt�LF�� PLANNING: 9-1—�-(_- ADDRESS: _ 1Z3co sly I _ ENGINEERING: -rl 0n4 17z� FIRE DEPT: PHONE: Co 3Q- 639 _ OTHER: CONTR. BOARD #: ��Q EXP DATE: _ CTEMS REQUIRED SUBCONTRACTORS: PLUMB: �' � �-.� a� y3 �' ��.�� LIST/SUBCONTRACTORS: MECH: - BUS TAX: ARC ENGINEER CALCULATIONS: NAME: loci ?a TRUSS DETAILS: ADDRESS: OTHER: PHONE: PROPOSED BLDG. USE: COMMENTS: J APPLICANT SIG URE Received By: � Date Received: „1 Z Z L PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit Fees 4,T0 ' Su 10-431 00 Plumbing Permit Fees f .� � _ / �/7, .SU 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) Building ;?• S3 _ Plumbing '•�Y Mechanical % 1 10-433 00 Plans Check Fee Building Plumbing Mechanical 10-230 06 Fire so�iZ J3 0 30-202 00 Sewer Connection ✓ "u 30-444 00 Sewer Inspection 25-448-02 Commercial 1IF Fees 25-448-04 Industrial TIF Fees _ 25-448-06 Institutional. TIF Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees /3 25-448-05 Mass Transit TIF Fees I _ o 52-449 10 Parks System Dev Charge (POC) 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) �` ta 8 L) CL 24-445-01 Water Quality (Fee in lieu of) rt Ln 24-445-02 Water Quantity (Fee in lieu of) T H TOTAL -0,; 57q, L y q w i nm/3587P.WPf