InitiallyGood (5) 15260 SW 100th Ave.
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BUILDING PERMI'l
CITY OF TI 0A RD NO.
C"YOFTW,AoRD
COMMUNITY r)EVELOPMEN'r DEPARTMENT ON '.3 It J.
13125 S.W.RAI Blvd.,P.O.Box 23397.Tigard,Oregon 97223,(50.41 8394175 1: KT N(J .
ADDPWAS ! 1.1%260 15W 1.00'ri-I AVE
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F'PONT' : 20 PEAR : :1.r
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r-w'o 1.*.*(.)S'T* AFISSUE
0 VJ:C"I'D WX A
W *397 . 00
N I'll AN PEVIII-KIAll $258. 05
E 11A.(I A 1:11-) 01:4
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S1 0 1 E.- 'TAX $19 .85
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0 HU'l. 1-1C.'II(SON V WAYNI»: 1.)Cl(". 7,01:1M1 $21.50 . 00
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NO . A
1:11EXXIP'll'
This permit is issued subject to the regulations contained In Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances. and it is hereby ...411 FIFA INS PEC IA:OWS
agreed that the work will be clone In accordance with the plans and 1'(1(')'T :I:NC: Sit IONIEP
specifications and in compliance with all applicable codes and I , i1.JNI.')A YJ ON WAI. I_ PAIN UPAING
ordinances The issuance of this permit does not waive rustrictIve PD!•0 14 Ur:.:AM WA'111:14 LA-NF.'
covenants Contractor and subcontractc rs shall have cu,rent city I U • LINDLPSLAI:3
business tax permits. This permit will ex,)Ire and become null and
void If work Is not started within 180 days,or it work is suspended or
abandoned for a period of 180 days iny time after work has
commenced It shall be the responsit-ility of the permittee to assure I"146MING
All required Inspections nrj requested ani approved F,T 1:4 Ir:1:'L.A C r..-:.
GA!5 L I.Nk-.'
INSIJI-AIJON
jPT
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PermiWee Signature
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lasuel By: --- >-4� Ism 1., 1-1-IN 0.A 10 04 1 :r IN
SEPARA'rE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
A
CITYOFTIGrARD24- PEAr N
KE' O SEII..390-'418
TCITYOFTAARD DNTE: 15SUE.D: 3/:1.Al/£39
COMMUNITY DEVELOPMENT DEPARTMENT iin:[M. rm'r .N(). 89036iiij
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175
5W 1.00111 AVE4 Oii/.) NINEWER: 037A21
AX Mol-,/I t]'1' 7251 JACA 7600 !:')L)D: GIII I- 53II)IF. V.51'A) , 1.,r:PO RK :
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J.X1,I)PE. 1.4 I r V. TENANT' TMI-'1P0Vi:::I1E-.N'T
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....................... .....................
This permit is Issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and It Is hereby 1:1W AA 1 1:N
agreed that the work will be done In accordance with the plans and
specifications and In compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subc,-,tractors shall have current city
business tax permits I hiA permit Will fbz,-Ire and become null and
void it work Is not started Whirl 1180 days,or 6 �nrk',s suspended or
abandoned for a period ct 180 days any time after Work has
commenced.It shall be the responsibility of the permittee to assure
mi, required Inspections are requested and approved.
P rillt
Issued 13y
SEPARATE PERMITS RE0WRE0 FOR WORK OTHER THAN DESCRIBED ABOVE
MECHANICAL I:)l:;'PM:['T
C'TYOFTIFARD I-AEPM1,T, NU.
MYOFTWARD DATEK ISSUED. :3/1.4/(i9
COMMUNITY DEVELOPMENT DEPARTMENT I:Wlf'. 1140 . a'90,1368
13125 S.W.Hall Blvd.,P.O.Box 23497.Tigard,Oregon 97223,(503)6394175
H. 1:7-,717)574[7 1.'15 �60 S Q '1.00 IT-1 FIV ii,-.
2t5:1 I.I.CA 7...)70 UUU: C-,UL.I-** SIDE E'.5TATES L..T 20 1"l<
L AND UWE:: 147PI11
1 01, SIZE:
1,11EM : NO: ilr
WOPK "ll ASS : Nl--.'W 1:1.)IINAGE- (1.001< J. ATP 11-11ANIA-P <10
USE." TYPIr.: STSIL.L.E.- FAMII y FURNACE 1.001<+ AIP HAND1.14 1.01(
CONST . TY1:11 VN F1 OUP FURNACE-: EVAP .COULEW
OCCUP. C30). P.3 1-11ii'ATE-34 VENT FAN
VI--:N'T' VENT' . S Y F-i T M
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NU . STOW TIES R EL.P/Clomp
.1 7:NC:1NE1:4A*YT)P(170M
IWEL.L. . UNITS I rill A/(:,(:)Ml:" 1.l5-30141=, 1N(:.:i:NFPA'T0A(('UM
I::I-JEL. TYPE A 5 r.AAWCOMP 30-30HP REPA- 11:4 UNITS
MAX . INPUT 1:4/C,(]Ml:,, !"304-1.0) UTIAE114
1"7:131E DMpWill GAS OUTLETS
v:r(:;,T,C)P:I:A $10 . 00
0 F4EV:I'.F.::W
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N 01:4 I 1X 11,114ES" 11633.50
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RKCVXPI' NO,
This permit Is issued subject to the regulations contained In Title 14 14F.:(411(:I:TH:C) TINISPECTI.ONS
of the TMC, State of Oregon Specialty Codes.zoning regulations
and all other applicable codes and ordinances, and It Is hereby GAS LJN�..
agreed that the work will be done in accordance with the plans and I a USAN
specifications and in compliance with all applicable codes and I NNA31-4 IN
ordinances. The issuance of this permit does not waive restrlrtive I NAL
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void If work is not started within 180 days,or If work is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved.
P r�
I Signature
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
'AMUT
PLAR-181W.�, PI.::.
CITY OF TIFA RD rA4OF6 F-,E`IPM3:*1* NO. : P11-8904116
C�CFIYAO�IFID DA'Y'r--' 15SUED: 3/1/1/89
COMMUNITY DEVELOPMENT DEPARTMENT one" 1=AIM . F."MT.N0. 8901560
13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard.Oregon 97223.(503)6394175
I;j Z2 6 0 1:)W :1.0 0 1 11.1 AW-6
MA P/I.A.111, 2E.0, 1.11A. 1600 FiLKil: 53AX: E:!yTA'TLS L.T i?0 L:k
7
l..(:)'1 5*11:Z E
ITEM : NO :
WORK NEW W A'1'1-..P C"L 0 S L T Z TPAP
USI:: I*YI-"IF-.: S 1:N G,I E: F:'AMILY UPINAL B1 -L..Ow PAV"'M
C0141i'l I i"PIE" : 1,1N L AVOPATORY 3 TRAP I:'IP:I:ME:.:P
(J("C1 I V, P 1:1 !43 TOE,, SIAMEP 3 TPAP'3'
(.'APIRAGE D:I:5I:','0SAi I
NO . bTUP11ES : P. WAGI-41NO MOCI-11NEi: 1.
DWA.A... . UNT 1. 1 AUNDPY MAY E.411_130 . DRAIN ( 1*)', 6
1'A...0011 DPAXN
Fol N K 1 SEWEA (F.-y')
WATE R 1AE"ATEP 1. 5TOPWROVEN (1:; F
01+11E.14
0A.
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(A.IPJAPA 0) ili /I G 00
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01:i F'T,X T,1.11priES
r'A 11::: TAX $ 1
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I I I NO
This permit 13 Issued subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations ISI Fr 11NC)G:MZ!iL,.FAI+
and all other applicable codes and ordinances. and it is hereby
ap,-,ed that the work will be done In accordance with the plans and
rpecificallons and In compliance with all applicable codes and We)I t::I-I LINE..
ordinances The issuance of this permit does not waive restrictive I.1 L: I T,
covenants Contractor end subcontractors shall have current city 11N 1)PAT N 1;0
business tax permits This permit will expire and become null and T NAI
void it work is not started within 180 days.or If work is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
011
0
a
-
Perm e Signa urs "
G-s.�Qi � ) ( :AI..I.. VOR 1:N51::+_*(:JR.)N 639-11, V1
Issued By
SEPARATE PERMITS REQUh,'F_D FOR WORK OTHER THAN DESCRIBED ABOVE
CITYOF T167ARD
PLAN CHECK APPLICATION
CTM0•1 � PLAN CHECK b
COMMUNITY DEVELOPMENT Dc.PARTMENT� �/� Moo" PERMIT M _ 41-
13125 S.W.Hai,Blvd,P.O.Box 23397,Tigard,Oregon97223,(:09)6394175 I'1 DATE ISSUED
JOB ADDRESS:i5;44- VV- / GVT-'y / fAX MAN/LOT µsl //CA ?G DO
SUB: LOT: LAND USE: '7 'P d
VALUATION:
OWNER SPECIAL_NOTES
NAME: S T'c9iZ/,q REISSUE OF:
ADDRESS: _ ��4. /7 LAST REISSUE:
_ FLOOD PLAIN/
bLNSITIVE LAND:
APPROVALS REQUIRED
CONTRACTOR PLANNING: —
NAME: 1w//j/1•nit IV Lr' e- a ENGINEERING:
ADDRESS: Pe,-.. F IRE DEPT
PHONE �>/ 5- �7 a e�7 _ _ ITEMS REQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX:
NAME: d r #4 a<JS .1 ) _ CALCULATIONS:
ADDRESS: TRUSS DETAILS:
PARKING PLAN: _
v` - LANDSCAPE PLAN: _ ^�
PHONE::: - T OTHER: — _COMMENTS: 1,� 9'\Ck L -
PERMIT N I'CCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
iia (vP 10-432 00 Huilding Perlrit Fees 0v -� rry
2q e) 10-431 00 Plumbing Permit Fees /ya, uv /ya ,yy
t' I.0-431 01 Mechanical Perrait Fees 3 5L)
10-230 01 State Building Tax (5%)
Building 11 L�-__
Plumbing _ / 100
Mech a,/e
10-433 00 Plans Check Fee
Building 2 OS -
Plumbing
Mech
30-202 00 Sewer Connection _Z1 `�
-� 30--444 00 Sewer Inspection
51--448 00 Street System Dev Charge (SDC)
52--449 00 Parks .system Dev Charge (PD(',)
21-450 00 Sturm Drainage Syst Dev Chrg (SSDC) 2SQ
LO-230 09 TRFo
10-230 OG Washington Coun' v Fire N1 (95X)
10-220 00 Amari./Wedgewor+d
10TA1
REC N ,CL'.;j-7
APP1. PANT SIGNATURE
tk
krceiued By. _ {� Dake Received:
cn/3581P/18P