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14072 SW FANNO CREEK DRIVE ADDRESS: i:` ecordslmic,rcflmltargetstuiIding.doc IKSPECI NMICE Cit? Of Tigard Building Department 13125 Aw Ball Blvd. Tigard, Oregon 972231 Inspec-tion Line (Roc-O-Phuna): 639-4175 Business Phones:,/ _ 171 Inspections._ Footing Plbg. Underelab Hach. Rough-An Appr/Sdwlk Found. Plbg. Top Out Can Line FIK Post/Roam Struct. San. Sewer Framing PostlSeam Hoch. Rain Draiok Insulation _plums, Plbq. Underfloor / ►later Line Gyp. Rd. Mwch. Gate Requesteds_ !OW _Time= AH —_ PH AddreesrS(� ;1 ��L�All. Permit Builders TRE FOLLOWING UGRRECTIOKS ARE P.EQUIR&Ds l V Inepector�_ APPROVED DISAPPROVEII APPROVRD SURJECT TO ABOVE --- Call For Reinap. 'CITY OF TI ''ARD CfmRO CIPANC Ur Gf�UACY COMMUNITY DEVELOPMENT DPI?AR T PERMIT #. . . . . . . t MST94-9056 13125 SW Hell Blvd."rigud.Oregon 97223.8109 (9 36- 171 DATE I$SUED t 06/13/94 PARCEL t r 91 12 PS 14900 .i l I ADDRESS. . . t 14012 8W FANNO CREEK DR SUBUIVI$ICN. . . . t COLONY CREEK NO. 6 YONINQtR-7 ULULK. . . - . . . . . . I LOT* * . * . . . . . . soavle7 _ ___-..._.._--.__-____._,_._w__.__._...--..._...___--.____... ........." GLASS OF WORK. t NEW TYPE OF USE. . . t BF OCCUPANCY URP. t R3 OCCUPANCY LOAD t 222 4 TENANT NAME. . . I �vmarkst PATH I JAY MILLER !' a Box 23291 f 16ARD OR 97 ;."hone #t 684-"71543 C;'ontractort _.__-______._.-_-.____-.__.__,__,__ JAY MILLER DO qtly P.*3 q 1 T I nARD OR 97881 !'hnne Mt h84--7.543 :Ing 1i. . I 30101; lir'-#4pAnr•v r1f *her above referenced bkgilding its hereby given, Arid certifiefr l:he compliance, with the State Of Oregon Specialty Cotlps for the: group, OC•rtlrancy, and Lisa under which the refe.rtenceed permit was ivsuec1. �ZtBU LIN[3 SPE CTUF7 POST IN CONSPICUOUS PLACE I INSPECTION �,(Y�CS city of Tigard Building Department 13125 an Ball Blvd. Tigard, oregon 97223 Inspection Line (Roc:-O-Phone)z 639-4175 Business Phone: 039-4171 Inspection:_ __ — ---- Foot/ng Plbg. Underelab Mech. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Can Line (_FINAL: Post/Beam Struct. Jan. Sower Framing (,_-Bldg. Post/Beam Mech Rain Drain Insulation -Plumb Plbq. Underfloor Water Line Gyp. Bd. (�`h• Date Requested`t /J` 1 L/ Timet —AM PM Address: vf� Per/mit O z9L_��� , 11 Builder: 1X-C THE FOLl"hING cORRECTIONS ARE REQUIREDt 2-1 l �. Inspectors Dst_ez APPROVED DISAPPR VED APrROVEJ SUBJECT Tz' ABOVE Call For Ruinrp. INSPECTION NOTICE City of Tigard Btailding tlepartamet 13122 SW Ball Blve. Tigard, r-.Alton 97223 Inspection Line (Rec-O-Phone): 639-4175 Bueiness Phone: 639-4171 Inspection:— --�-•- --�_�`— Rooting Plbg. Underelab Hoch. Rough-in / Appr/Sdwlk Pound. Plbg. Top Out Can Line ` FINALe Post/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mech. Rain Drain Insulation -plumb. Plbg. Underfloor Water Line �} 4vp. Bd. -Hoch. Date Requested//:',� > ✓/w6 / / {T-'imet AH PM Address: / U ( � 64nn2 arcl� a' Parini f:.9q-�� Builder: (� / //����CJ THE FO In CORRECTIONS ARE REQUIRED: — — i i f nappct or: APPROVED -- DISAPPROVED --- AP1+lUfll�b Af1hJ m to hem ___ Call For Reinsp. INSPECTION NOTICE 7 City of Tigard Building Delmirtamant. 1312S 8% Ball Blvd. Tigard, Oregon 97223 Inupeatton Line (Rec--O-Phone)s 639-4175 Business Phone: 639-4171 Inspections looting Plbq. Underslab Mach. Rough-in Appr/Sdvll: Found. Plbg. Top Out Gas Line FINAL; Post/Ream Struct. San. Sewer Framing -Bldg. Post/Bean Mech. Rein Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Meth. Date Requested:�, V ,)&7 n' Time: _ PRAM _PM y� 7� ��irny C�te�', L// Permit !r Addredss �_-- - Builders j (/EIS --- -- TBE FO NG CORRECTIONS AAE REQUIRED: Inspect : - -- _------- nate:-%F +� ___APP OVED UISAPPRgVED APPROVED SUBJECT TO ABOVE V/1-11 For Reinnp. city o: !1 S E O NOPIC'N C: / 1.7125 9ard Bulldloq Depdnt SR Be,. Inspection Line (Rec-o_pho lvd. 7,iq�� Buo "9`01' 9 ,223 s7 Phone: 639•_g171 Inspectiont Footing Found. — ------- Plbg• Undereleb Mech. Rough-in Appr/Bdalk P1� Top Out Gas Line Post/Beam stnlct, FINALr San. Sewer Poet Framing /Beam Mech. -Bldg. Rein Drain Insulation Plbg, Underfloor -plumb• Nater Llne Date Re GYP. Bd. Qtteate�t__ /l v C (2eC ,ti. Address:��� Timet Ru i lder: J�� �. Permit a: / TRE FOLLOWING CORRECTIONSQ - / RE REQUIRED, - nePector: ----__- —"-----�'_--._----__ �•�-f— _ "PROVED D I SAppRO,,� Date: APPROVED SUBJECT TO ABOVE .__Call For Rei nap. .�$ LCT ON NOTICE CitF of Tigard Bu.1141M Depaztueat 13125 BW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone)c 639-1175 Business Phon 39-4171 Inspection: .r Pooting P1 bq. tlnderelab 4h �PPr/Sdwlk Found. —_�/ Y Plbg• Top Out Can Line lINAL: Post/Beam Struct. ttan. Bower homing _Bldg. Post/Beam Mach. Rain Drain Insulation -plumb. Plb9. Underfloor Nater Line Gyp. Rd. (� -Hoch. Date Requested: 7 /9- y - �/ Tim. : A!1 _PM Addrase sQ 4 �p Permit /:��� Builder TBE lOLLOpINO WRRECTIONS ARE REQUIRED: I ---- ----------- Inspector: ' n / - __ ------------ Dotes y/r PROVln DI3APPRnVED F -- APPROVED SU BJErT TO A --_Call Fir Reinsp. INSPECTION NOTICE City of Tigard Bulldlmg Department 13125 am Ball Blvd_ Tigard, Oregon 97223 Inspection Line (Rec•-O-Phones 639-4175 Business Phon 6Y).-4171 Inspections__Footing Plbg.Plbg. Underslab !tech. Rou h-�% Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALS Post/Beam Struct. San. Sewer Framing -Bldg. s am Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line C� Gyp. Bd. -Hoch. l_iJ_L� Date Requestede -Time: _�-- TAH _ PH Addreas:_ ��� /Li(_l) r11 .141_ 1L e_rmit #1 Builder.: _ X��V THE FOLLOWING CORRECTIONS ARE REQUIRED: s,.ector: Date: "-APPROVED DIRAPPROVRD APPROVED VUBJEI-r TO ABOVE _ Call For peinep. INSPE�ia��N NOTICE City of Tigan Hulldl.-q Department 13125 SW Hall Blvd. Tigard, C-myon 972 lnspectien Line (Rec-o-]none): 539-4175 Busineso On63'��-4171 Inspection:---- Footing Plbg. Cnderslab Mach. Rough-in Appr/Sdwlk Pound. `Plbq. ?Op -Cut_, Gas Line FI;+AL: Poet/Ream Strutt. Safi. Satyr Framing -Bldg. Foot/Ream Mach. Rain Drain ]naulation -Plumb. Plbq. Underfloor Nater Line Gyp. Bd. -Meth. Data Rnqueatedt t, Adr'reee:_j (f�17- b-�0m' �I ay D : _ Permit is P'15��5 Builder• TNS FOLLOWING CORRBCPIONS ARR REQUIPRD: i fnnpector _ - - --�`= Dates APFROVPD - DISAPPROVED APPROVRD SUBJECT TO ABOVE -_-Call For Reinsp. INs-MU QNTTI-cE City of Tigard Building Departmen+ 13122 Sw Ball Blvd. Tigard, orogon 97223 Inspection Line (Roc-O-Phone): 639-4175 Rusineon Phone: 639-4171 Inspection!�— - - -- --- -�..� Footing Plbg. Underslab Mach. Rough-in Appr/S1wlk Found. Plbg. Top Out Can Line FINAL: Post/Beam Strut. San. Sewer Framing -Bldg. Coat/seam Nea. Rain Drain Insulation -Plumb. Plbq. Underfloor Water Line Gyp. Rd. -Neoh. Date Requestedt L f TiM. �1�1t/ /- !N Addreses t �U ` P.it I.. I w Builder: Tnz FOLLOWING CORREL'TION4 ARE REQUIRED: Inspector: _ _^ Date: 3- 9-�_ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE -___—Call For Reinsp.. �1)_B��.ON NOTICB City of Tigard Building Depart:aent 1. 25 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone):: 639-4175usineos Phone: 639-4171 Inspection z----------------- l( ` --- -- rooting Plbg. Underelab oh Mail.. Rough-in Appr/Sdwlk round. Plbg. Top Out Gas Lino FINAL: post/"am Struct. San. Sewer Framing -Bldg. Pout/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line OYp• Rd. h' (� PM Data Requentedt ,� `_Time: LRM _ G Addreeet 1 1 �� -77- / ± Permit #1 C Buildert' 'CHIC rol.IOgINo CORRECTIOms ARE REQUIRED: Inepector:__ / _-T Data. .s !! APPROVED DISAPPROVED APPROVED SUBJw'P To ABOVE Call For Reinup. INACTION NOTICE City or Tigard Building Depsrtaeat 1.3125 BE Bali Blvd. Tigard, Oregon 972 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection= Footing Plbg. Onderslab Mech. Rough-in Appr/Sdwlk Found. Plbg. Top out Gas Line FINAL= Post/Ream Struct. San. Sewer Framing -Bldg. Post/Ream Hoch. (Ain Dral ' Insulation -Plumb. Plbg. Underfloor [( Ne,,� ater LiM Gyp. Ed. -Hoch. - — Z 7 Gy Date Requested: Address e � � '�_ �. � Cv�Q K L-Y Fet7it # Builder= THE FOLLOWING CORRECTIONS ARE RMQOIREDt {I Inspector: !� �. PPROVED DISAPPROVED APPROVED SLYR71RCf To ABOVE ___Call For Neinsp. INSPECTION NOTICE City of Tigard Buildtmg Departasnt 13125 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 0171 Inspection:_. ----- �. ..� ----- -- ---- looting Plbg. Underelab Koch. Rough-in Appr/Sdwlk r- Plbg. Top Out Cas Lina FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor slater Line Gyp. Bd. -Mach. Date Requsste. i Z 2 1( Y�/ j Timm �] Addree-:: kHt) 1I t-&0(/ - C_k'(C 4� Permit #t (qq--[(6( Builders TNM FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: ' - ---�---__.-,-- Data-__—<_ --'APPROVED DISAPPROVED APPROVED SURJErT TO AROVE Call For Reinap. IN¢PECTION NOTICE City of Tigard Building Department 13125 811 Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-0-Phones 639-4175 Business Phones 639-4171 Inspections________ I ` gyp Plbg. Underslab Hoch. Rough-in Appr/Sdwlk (ftund,1 Plbg. Top Out Gas Line FINALS -. Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Mech- ''77 i Date Requnsteds)� 4` 2/17 <� _1'�IMt ,v]/ {A�Ml�C_�` PM Addres■s��/ ( Z L! v1V1D G CLK Permit tt /`LI P51J Bul lder i'_ 'I_- \, . Gy THE FOLLONING CORRECTIONS ARE REQUIREDs Inapectors_ _^ __ Dates 7;PPROVED DISAPPROVRD i.,IPROVED SUMINCf TO ABOVR Call For Rei.nsp. NG "CITY OF TIGARD PLUM MIIT# . PERMIT : MST94-9056 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 02/16/94 13126 SW Hall Blvd.Tigard,Oregon 97223*11M 1433)439-4171 PARCEL: 2S1 1 SPP--CC 1 c:7 SITE ADDRESS. . . : 1.4072: SW FANNO CREEK DR SUBDIVISION. . . . : COLONY CREEK NO. 6 ZONING: R-7 CLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 127 CLASS OF WORK. . :NEW GARBAGE_ DISPOSALS. . r1 TYPE OF USE.. . . . sSF WASHING MACH. . . . . . . 91 BACKFLOW PREVNTRS. . a0 OCCUPANCY GRP. . sR3 FLOOR DRAINS. . . . . . . :0 TRAPS. to STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH FIXTURES------- ------- LAUNDRY TkAY,S. . . . . . : 1 SF RAIN DRAINS. . . . . 31 SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . 10 LAVATORIES. . . . . :4 OTHER FIXTURES. . . . . a0 TUB/SHOWERS. . . . s SEWER LINE (ft ) . . . . 10 WATER CLOSETS. . :3 WATER LINE (ft ) . . . . : 100 DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . . so Remarks : PATH I OWNERs ------ ____- -------_--- ----- -------------------FEES---------------- ..JAY MILLER TIF t 1520. 00 JH 02/16/94 P U BOX 23291 BPRT f 421. 00 ,JH 02/16/94 - BPLC $ 273. 65 JLH 022/10/94 94-248/84 TIGARD OR 97 B5PC $ 21. 05 JH 02/16/94 - Phone #: 684-754:3 SSDC $ 280. 00 JH 02/16/94 - FIARI-11 $ 500. 00 JH 02/16/94 Plumbing Conti•act _/__�_�._._---__.__.__- MPRT $ 43. 59, JH 02/16/94 - �. ��L MPL1C $ 10. 08 JH 02/16/94 - Name:__&n. C. � ����1 ,15F(� � 2:. in JH 02/16/94 - Address: PPRT $ 147. 50 JH 02/16/94 - U,ity:_ - State : PSPC $ 7. 38 JH 02/16/94 - Zips _ Phone#:_-___-- �- Reg r --- - - -- REQUIRED INSPECTIONS ------- r This permit is issued subject to the reg- ulations contained in the Tigard Municipal Foot/Found Insp Rain drain Insp Code, State of Or*. Specialty Codes and all Post/Beam Struct Water Line Insp other applicable laws. All work will bs done Past/Beare Meehan Appr/Sdwlk Insp in accordance s-i.th approved plans. This Plm/undslab Insp Mechanical Final permit will expire if work in not started PLM/Underfloor Plumb Final withir. 180 days of issuance, or if work is Mechanical Insp Building Final uspended far more than 180 days. Plumb Top Ouf Erosion Control Framing Iniip Crawl Drain Fireplace Insp Gas Line Insp _ Insulation Insp _ X (3 +p Board Insp AL orixed Plumbing cantractor Signature Call for inspection - 639-4175 Contractor Notess CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT D�����1T PERMIT ##. . . . . . . : MST94-9056 191'25 8W Hall Blvd.Tigard,Jrpon 97223.81 f`'(do3) ffl DATE ISSUED: 02/16/94 PARCEL: 2S112BB-CC127 SITE ADDRESS. . . : 14072 SW FANNO CREEK DR SUBDIVISION. . . . : COLONY CREEK NO. 6 ZON1NGe R-7 3LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 127 -----------------•------------------ BUILDING ------- REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . -0 sf CLASS OF WORK. :NEW BEDRMS:3 BATHS:3 GARAGE. . . . . . . . . . :43O Sf TYPE OF USE. . . :SF FLOOR AREAS— _.________._. REQUIRED SET BACKS------•----- TYPE OF CONST. i 5N FIRST. . . . e 1023 s f LEFT. . :5 ft RIGHT. e 5 ft OCCUPANCY GRP. :R3 SECOND. . . -882 sf FRONT. :20 ft REPR. . :37 ft STORIES. . . . . . . :2 THIRD. . . . z@ sf REQUIRED-------------------- HEIGHT. . . . . . . -------------------HEIGHT. . . . . . . . 1.22 ft TOTAL--------•-: 1905 s f SMOKE DETECTORS. :Y FLOOR LOAD. . . . :40 psf VALUE. . . . . ♦ : 95370 PARKING SPACES— : 1 Remarks : PATH I ---.._-------------------------------- PLUMBING --------------------------------------- SINKS. . . . . . . . . . .. 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :O LAVATORIES. . . . . :4 WATER HEATERS. . . - 1 TRAPS. . . . . . . . . . . . . . :O TUB/SHOWERS. . . . :2 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0 WATER CLOSETS. . :3 SEWER LINE ( ft) . :0 GREASE TRAPS. . . . . . . eu DISHWASHERS. . . . : 1 WATER LINE (ft ) . : 1O0 OTHER FIXTURES. . . . . i@ GARBAGE DISP. . . : 1 RAIN DRAIN (ft ) . :O WASHING MACH. . . : 1 SF RAIN DRAINS. . e 1 ------------ MECHANICAL __.___.____.__________.----__ --_____-- FEES FUEL T`IPES--------- -- - UNIT HTRS. . :0 type amount by date reept /GAS/ / / VENTS . . . . . :0 TIF $ 1520. 00 iH 02/16/94 - MAX INPUT:O BTU VENT FONS. . :4 BPRT $ 421. 00 JH 02/16/94 - FURN ( 1O0K . . - 1 HOODS). . . . . . : 1 BPLC 1 273. 65 JLH 02/10/94 94-248784 TURN ) -TOOK . . :0 WOODSTOVES. :O 85PC $ 21. 05 JH 02/16/94 -- F-LOUR FURN. . . . :0 CI-O DRYERS. : 1 SSDC t 280. 00 JH 02/16/94 - BOIL/CMP ( 3HP:0 OTHER U19ITS- 1 PARE; f 500. 00 JH 02/16/94 - GAS OUTLETSel MPRT f 43. 50 JH 02/16/94 - Owner: --- -----------_--------._______._---._-_Mf='LC f 10. 88 JH 02/16/94 - JAY MILLER MSPC $ 2. 18 JH 02/16/94 - F O BOX 23291 PPRT $ 147. 50 JH Oc'/16/94 - PSPC t 7. 38 JH O2/16/94 - TIGARD OR 97 Phone 1#e 684-7543 Contractors -•--------------•---•----------- JAY MILLER PO BOX 23291 TIGARD OR 97281 Phone Ne 684-7543 Req 4#. . . 30109 _ - --------------------- -------------- $ 3227. 14 TOTAL This permit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS -- -_---- Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fo�And Insp Fireplace Insp applicable laws. All work will be done in accordance with approved Post/Beam Struct Gays Line Insp plans. This permit will expiry it :ark is not started within 180 Post/Beam Meehan Insulation Insp days of issuance, or if work is suspen'edfo� ! n IN days. P1 m/unds lab Insp Gyp B 3ard Insp PLM/Underfloor Rain drain Insp F'e�•mittee� Signature : ' � _ WV � Mechanical. Insp Water Lino Insp / Plumb Top Out Appr/Sdwlk Insp is-tod Hy : _ Fr�miy,g Insp Mechanical Final Call for, inspection - 639-4175 CITY OF TIGARD SEWER CONNECTION PERMIT COMMUNITY DEVELOPMENT DFP RTM NT PERMIT #. . . . . . . .. SWR94-0065 13f26 BW Hall Blvd.Tigard,Oregon 97223•e1o4 `b 44 71 DA1 E ISSUED: 0`/16/94 PARCEL: 2BI12BB—CC127 SITE ADDRESS. . . : 14072 SW FANNO CREEK DR SUBDIVISION. . ,- . 1 COLONY CREEK NO. 6 ZONING: R-7 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .. 127 TENANT NAME. . . . . : USA NO. . . . . . . . . . : FIXTURE UNITS. . . i CLASS OF WORK. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGSal INSTALL TYPE. . . . :BUSWR IMPS RV SURFACE. . : :sf Remarks: PATH 1 Owner: ------------------------------------------------------- FEES -------_______ JAY MILLS , type amount by date recpt P O BOX 23291 PRMT $ 2200. 00 JH 02/16/94 — INSP 0 35. 00 JH 02/16/94 — TIGARD OR 97 Phone #: 684-7543 Contractor: ----------------------------- CONTRACTOR NOT ON FILE -------------------------------------- Phone #: S 2235. 00 TOTAL Reg #. . i -- ----- REQUIRED INSPECTIONS -----This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency.. The permit expires 190 days from the date issued. The total amount paid will be forfeited if the _ permit erpires. 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 locates;, the installer shall purchase a "Tap and Side Sewer' permit and the envy will ins 11 a lateral. mittee Signatures Issued B y . all for inspection — 6.39-4175 D � LITY OF: 116"HI) RECFiF,r OF-: PAYW NT REcF I v-,'r' NO. 04-249008 CHECK AMCIUNT 5212. 14 AME JAY MILLER CASH AMOUNT 0. 1110 1)D R E S 11.4 PAYMENT DATE a OP/16/94 SUBDIVISION `IHRPOGP. OF PAYMENT AM0(INr PWD PURPOSE OF PHYMENf (MOUNI 1-16,410 MILDING PERM 421. 00 PLUMBING Plt;klyl 14 7. 50 FC-.'HAr,IJCAE- PF MI-094-9056 43. 51A ST. BUILD PER 310. 61 I-AN CHECK FE :34. 5:a HEWER USA 00 'F-WF7F3 JNSPF-Cl 35. 00 PARKS SDC hoo� 00 MIRM DRAIN NDC 280. 00 RE-SIDENTIAL THAFFIG FEES 1411A. 010 ASS TFLANS II 'tIF FItES 110. 00 SW FANNO CHERK, COLONY C;RV..-.V.K #6, LOT 121 11.11'fll- AMOUNT PAID 9,P I P. .1.4 OTY13lZ$SW HA p� 7-5),0PLNCK/RECT 0 �OF TIGARD PERMIT B COMMUNITY DEVELOPMENT DEPARTMFIVT 716KAO' a—mu (XO)M4171 DATE ISSUED JOB ADDRESS: IVO ?a 5 W rail ?o US- Dr TAX MAP/1-01- SUB: AP/LD1 SUB: CQ/o C,t EStat25 (oLOT: is 7 LAND USE:: �- VALUATION: _5- -3201 dWl�gE SPECIAL NOTES NAME: TG_ ._mi11.Gr Cl Ir • -T/�c-- • REISSUE OF: ADDRESS: R3.a91 LAST REISSUE: "1" and . FLOOD PLAIN/ PHONE: 8 ?5K3 SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: _ % mr'1 L4.,, PLANNING: _ ADDRESS: — ENGINEERING: FIRE DEPT: PHONE: OTH-R: CONTR. BOARD : EXP DATE: ITEMS REQUIRED SUBCONTRACTORS:, PLUMB: JC2n kkilt"s P1 ln!� LIST/SUBCONTRACTORS: MECH: P11. {ftG�7'r1c� BUS TAX: AR�H/ENGINEER CALCULATIONS: NAME: _ TRUSS DETAILS: _ ADDRESS: OTHER: PHONE: PROPOSED BLDG. USE: COMMENTS: APPLICANT SIGNATURE Received By: Date Received: PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE /»SLV�JOSG 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5x) 3oIG Building aLO-5 Plumbing Mechanical Z 10-433 00 Plans Check Fee 294-- S Building Plumbing Mechanical /Q& / 10-230 06 Fire _ 30-202 00 Sewer Connection 30-444 OG Sewer Inspectior. Sy A 25-448-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional Tit Fees 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees "q- 25-448-05 Mass Transit TIF Fees 52-449 00 Parks System Dev Charge (PDC) S G _ S O U 31-450 00 Storm Drainage Syst Bev Chrg (SSqC) 24-445-01 Water Quality (Fee in lieu of) _ 24-445-02 Water Quantity (Fee in lieu of) — TOTAL .5stiz, 1 U Sl nm/3587P.WPF C I I Y IF TI 60RD HFI-CE I PT Or.' P(4 Y Mt,-..N I RE(4-.1 PT No. .94--P-48784 CHI-".IK AMOUNT 250. 00 AMR a MILLER, JAY CAS14 A01HUNT a 0. 00 DDRESS A PAYMENI DATE r 021 10,'14 4 t2 3IJBD I V I S I ON ,IIHPOSV OF PAYMENT AMOUNT PAID PURPOSE'. OF PAYMENI' AMOIJNJ PA 11) ILAN CHECK FE 250. OIA 407P SW FANNC.) CMU�.K DR (.1.1. 127 LICILONY URLEK F.91 6 (I I'At. AWKIN T PAID P�-,Jvj. 00