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14363 SW FANNO CREEK COURT ADDRESS: i:',records\micrcflm\targets\building doc CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Ot*gon 97223%0199 (503)634-4171 CF.RTIFIMTE OF OCCUPANCY xxxx PERMIT 1}. . . . . . . 1 M157,93-1(13810 639-4171 DATE ISSUED P08—1.4 1 �M . CUI. � 2SIJP�7, , 7o SITE PDDREGG. . . : 14366 1.)W FANNE) CREEK CT SUBDIVISION. . . . I CQLONh CREEK NO 5 ZONINCS s BLOCK. . . . . . . . . . t LUI . . . . . . . . . . . . . s120 CLASS OF WORK. :UEW TYPE or USE, . . -SF OCCUPANC ,' GRP. IR3 OCCUPANCY LOP,0i1lb 4 VENANT NOsF. . . a Remarlif' I P01H a Owner TOM MILLER BUILDER INC 12454 SW EDGEwA'rER TIGARD OR 912P3 Phone #1 (139-9511 Ccint:-actvrt TUM MILLER BUILDER 12454 SW EDGEWATER TIGARD OR 97223 Phone #a 620-0767 Rerj #. . - 373815 Occupancy of the above reforenced building is herei.1y given, ;And certifie- the compliance with the Stoto Of Oregon Spocialty C-)(Jes for the group, ocrupancy, anti use under which thc- ref f:)e It W.R5 04SUed. UILDININ6P.ECTT N UlL0NC3' OFFICIAL POST V LJNGPICUOUS PLACE Inep19M NUIla Cit? of Tigard Building DOPertOlt 133.25 sw gall sled. Tigard, osv.gam 97223 Inspection Line (Rec-o-phone), 639-4175 Business Phone: 631-4171 Insperttionc '--_ �- -^---- pootinq plbq. Underslab Mech. Rough-in Appr/Sdwlk rRnnd. Plbg. TOP Out � Gas Line VIM$) post/seam struct. San. sewer Framing post/Beam Neth. Rain Drain Insulation -ply. -Mach. plbg. Underfloor Nater Line Gyp. Rd �� 5 TLasa _ Pg Date Itequesteda L �p 1 E,�,. f, A Ct y\V\0 CA of cj Permit Builders _ _.�--� el _ TRH pOLLONINa OORRHC^_'T_Qv4 9M_ lRHQUIRHDa \ -------------- Inspector:_ _ PPROVHD DISAPPROVHO 1�PPROM1IHD sUBJHC'I TO 11Ba`NH Call For ReinsP. INSPiCTIeN ]IOTIC� City of 719ard BhilC-aq Departm"t 13125 M Hall BITd. 219ard, OrSKJOn 9722.1 Inspection Line 01-ha-0-Phone), 639-4175 Business Phone, 639-4171 Inspection, Footing Plbq. Underalab Mech. Rough-in 11ppr//dwlk Pound. Plbg. Top Out Gas Line rIk11Ls Poet/Beas etruct. San. Sewer Framing -Bldg. Post/Beam Hoch. Rain Drain Insulation _pimp Plb9. Underfloor Nater Line y c' �j Oyp, ed. -Mach. Date 3oquestedt ( 1 I 1 Q � (� Tiata ,^ r �(� Addreas,�^(�� �1Q77 �1��1( leer �7� leriit ♦t 1' �L -i3"�.y�jC FM Builders 1 L�� K40-1( l THE FOLLOMI"O OORUCTIONP ARZ REQUIRED, /Z410 vA� ------------ 3 C_�l A ja �A) ----------------- Inspector, Data: 11PPR0{/ED pI9APPROVRp "PRMRD RUBJRCT To ABOVR ----Call For Reinsp. INSPRCTION ROTICB City of Tigard Building Department 13125 ew Ball Olvd. Tigard, Oregon 97223 Inspection Lina (R*c-O-Phons)t 639-4175 Buvinass Phones 639-4171 Inspections rooting Plbg. Undsrslab /tech. Rough-in Appr/Sdwlk Pound. Plbg. Top Out gas Line FINAL: Yost/Bess Struct. San. Hower rrmang -Bldg. Yost/Bean Mach. Rain Drain Insulation _plumb, Plbg. Underfloor Nater Line G�__§Dd -Mach Date Requested t Timet AM !4; Addrssst 1j ; Permit Mf.:5T J3 BuildersToo,A AM (#Ar THE FOLLOMINo CDRRECTTONS ARE REQUIRED: Inopsetars Data: APPROVED -_ DISAPPROVlD AF-ROVED SUBJECTCT`TO ABOVE / Call For Reinsp. �st_�� INSPECTION NgTICB Oit7 of Tigard Building Department 23125 BA Ball Blvd. Tigard, Oregon 97223 Inspection Lina (Roc-O-Phone)s 639-41iS Business Phoawr''�39-4171 Inspection, 'JA/ Pootint Plbg. Underelab Mech., Rough-in Appr/Sdwlk Found. Plbg. Top out Gas Lino FINALS Post/Beam Struat. Ban. Bawer Rraming -Bldg. _ 9• Post/Roam Moch• Rain Drain afnflltiaa -Plumb. Plbg. Underfloor Nater Line ply, b, -•Meeh. ; Date Requestodd,� �- /t)_T3 /) !lalsf � .......... —c—y-� Address, ?�1>I \ PBs7it h ��. Builders KAQSq TEM FOLLOWING OORRZCTIONS ARE REQUIREDs Inspect ors natal APPROVED DISAPPROVED - APPROVED SUBJECT TO ABOVE __—Call For Rainap. City or Tigard Bulidtmg ��t 13115 BW Hall Blvd. rlgard, , Inspection Lin. (ROC-O � 1 4175-10639- �'agoa 9727��' Inspection, -„-_-. Business Phone, 639-4171 Footing - Plbg. Undorat,ab Mach. Rou Found. __ 4h-in Apps/Bdwlk i L1M� tIMAL, Poet/Seem Btruct. —. -_-- ..� man. sewer �717117inq Post/90&m Much. ltal -Bldg. n Drain Insulation -Plumb, Plbg. Underfloor Nator LLne aYP• Dd. -Mach. Data R•quastad t � Tlmer �� Addr ent a `� IMI _ rc_k C'# Permit Ie BlAildere _ CI�5� s , — T"M FOLLONI" ODRRSCTIOWB ARE REQUIRED. -------------- ------------ � `- --- Inapsctorr --'--¢r--�- �� - APPROVBp DIBI►PPROVtp — ____ MPROVRD 9URJi,CT Tp ABO _��Cell For Reinap. INSP �NI� City of 11 ardBl�Blv b-+1d1 �r�nt +� 13125 811 9x11 i Inspection Line (Reo-�Phgne): 639-97 g� Businessm 7223 Phone: 639_G inspections 1171 Footing Plbg. Underslab Mach. Rough-in Found, APPr/SdwlJt Plbq. Top Out Gas Line Post/Ream Struct, ANAL, San. Sewer Framing Pouf./Beam Meeh. R -Bldg. Rain C.\in Insulation Plbg. Underfloor N -Plumb. ater Ll.ne Date Requsstsds ! ayp. -Mach. Address: 14 - z -__AM PM Vy) (Nat CT Buildsr3 - Permit THE FOLAMINO CORRECTIONS --_�_ An 11fQUIREU: ---�— InspsctT-APPROVED / _ U I 3APPRnp1Ip APPp("D RU"CT TU ARoVR For Rslnap. INSPECTION NOTICZ City of Tigard Building Department 13125 ON Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-(O-Phone)e 639-4175 Busineau Phones 639-4171 Inspections 1 \e fh�p Footing, Plbg. Underslab Mach. Rough-in Appr/Sdalk Found. Plbg. To, Out Gras Line FINALS (Post/Beam atruct.`) San. sever Framing -Bldg. at/Beam"'am Rain Drai:. Insulation -Plumb. Plbg. Underfloor Nater Line 07F. Sd. _Koch. Data Requesteds- _ p `� 3 n(� - Ti., PM Address {?j! 5 '~Cl_l�lV1('1�1( ' _ l f� Permit i+��—� Builder e V L TNR FOLLOWING OORRECTIONS ARE REQUIRM s Inspectors__.__ -L/��------- - ---- Datwi s_ /� APPROVRD DIFAPPROVED — APPROVRD SUBJRfT TO ABOVR Call For Relnsp. i NBPZCPIQt1 IIOTT� � G!tt of Tigard Banwng Dgsartamt 13125 W Ball Blvd, Tigard, Oregon 97223 Inspection Lina (Roc-O-Phone)t 639-4175 Business Phones 639-4171 Inspections looting Plbg, Underalab Mer.! Rough-in APP r/Sdwlk end• Plbg. Top nut Gas Lino ` FIMALs NM^st:Yot. ! San. sower Framing -Bldg. post/saft Itch. Rain l Drain Insulation -Plumb. Plbg- Dndorfloor Mater Line Gyp. ad. -Mach. Date Requested,_ - 17j Tams, AM pM Address, I C1 �L�� �G�1/�(M C '3 1-)-5 � Poreoit 1: Builders � � Y,8112T7 TBZ FOLLOW'"G MRRRCPIONS ARE RRQDIREDj Z , / ............... - — Inspectors / Date: , —!APPROVEDy DISAPPROVED APPROVED BUBJE(R' TO ABOVE _!t�Ca11 For Reinsp. '7 �raocf_R City of =JJeiAlell4u d . T q d� M"— 97223 639-4171 13125 Sw Sall 1,1, T�rB1lsineLs Phones Inspection Lin. (Rwc-0'Phon639-417 Inspections Appr/Sdwlk Plbg• Dnderslsb yACh. Rough-in looti'Y.1 FINAL, Cas Lineplbg• TTP out _Bldg. ��' Framing pert/dam 9trssct San. Sir -plumb- Insulation Post/Seam mech. Rain Drain .Nach. ryyp, ed. underfloor Nater Line `-- pK P lbg• __T iso _ .ste •�_�— Date ReQu ds � � .}� permit R s Address MAk4 7 f Buil.d.rs REWIRED TKn IOMOMING OORC�'IO" AAE RE -� 41P Dates inspectors jL------_-- APPROVED ScRJRCT To AUWE APPROVED __ DIpAPPROVED Call For Reinep- IL+�PEc:Inn.moo j'ccx Citi of Tigard Building Depart ..t 18125 aR Ball Blvd. Tigard, Ors9c n 97223 InePOction bine (ROC-O-Phono)r 639-4175 Business Phonao 639-4171 Inspections Footing Plbg. Ondenlab Hoch. Rough-in Appr/gdwlk pound. plbg' Top out Gas Line FINAL, Post/Bean gtruct. Nn. Safer praising -Bldg. Post/Bean "*Ch. ,�yy. Drain Insulation -Plumb. Plbq. Underfloor _ tai 1 Lina GYP. Ed. -MOCy. Date Requested,_ eA 4 --1-S SlNt (vu ree Address, � � permit; 1 s Builder, r y� (����� Tee FOIILOIIING CORRECTIOKS ARE RLQAIRED, 7nspactor: __. Date,_ ` ^� DI81pPAOVED A'PROVRD 8p Call. For Ralnsp. IRl�P�I4�Koh' ESQ City of Tigard Building Department 13125 RE Ball Blvd. Tigard. Oregon 97223 Inspection Line (Roc-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: looting Plbg. Underslab wech. Rotlq-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post/Beam Struct. Sa11. /ewer Framing -Bldg. Post/Beam Mach, _in Drain Insulation -plumb. Gyp. ad. -Koch. Plbg. Underfloor Nate! Lige I ! Time: AK 4-lF PK Data Requostodt t Permit I:I> Address: Builder: THE FoLLONING oDRRECTIONN ARM MWIRBDf Inerector:_ _ " Date: APPROVMD VIBI►PPROvan APPROVED SUBJECT To ARMN Call For Reinsp. City of =igesd woUdieq Department 13225 w 8x11 elyd. 'Tigard, Oregon 9722 Impaction Line (Ree-O-Phone)t 639-4175 Business Phones 639-4171 Inapeot ooat _ � otinq ) Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FIMALI Post/Beal Struct. San. sewer Framing -Bldg. Post/Beam Meeh. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Sd. -Maoh. Date Requestedt 2' 1 Tues F �.4�AM PM Addraees I ��)� I'�-� b14 �h �_ Permit f: Builders_--I TEM FOWANIMG COMMONS ARE REQDIREDt I Inspectors Dater 2-e APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. -CITY OF TIGARD LRhDAIL : + COMMUNITY DEVELOPMENT DEPARTMENT 13126 SYN HNI Blvd.T19wd,Or"m 97223*91N (603)639.4171 14363 .Sill F"HNNO t."I IOw. . . . (.LI_ONY '-kiLEK NQ t� l..i.NINGt . . . . . . . . . . . . . 1 ► :tiv 1-1*3 Ell:: WORE. . : '.Lw' GARBA6F Dr'3P GAL.;:'. . t i 0FUS!~. . . . ,;tet WAW I NU MAC:H. . . . . . : . + t, 1W f'FtEVN'1 14S. . lb )PANCV R—:1 FLUOR DRA11\6 , . . . . . to 1POPS. . . . . . . . . . . . . . :0 ?IES. . . . . . 1 WAI ER HEWERS. . . . . . CAT'-+1 BOS 1 NS. , . . . . . :0 LAUNDRY IRAYS. . . . . . :dc ;,;f R AIN 1 1441 t1 . .;. . ., UREASE, T RAP i :0 -IER i ,,X1URLS. . , , . :0 '-.)LWER LINE (fit ) . . . . :171 WWTE R I_I WE (ft ) , , . a 100 RAIN L)W'41 f (ft: ) . . . . *0 r. s . _.-. ,,lL i ,3i.: I 1: L 4L O.'00 Ji ! 07.'iE!9 C), •I fU4,LWATCR BPR"; R 349. 00 JM 4+'i:,_4)/93 _ L3f1',l; 40. 0V1 JL_I.1 06i .,111./9 2 rI;L Llf7 ,r' P`�Jp`f, le 1?- 4..J J;.( 01/, S 'If #: t+.:lr}.,9tj I SSDI_ 9 a't3 h. 00 J14 07/..:') '110, 00 177`!/ .i, t1 b).n rA 1!, Z r. . r �. .......c..._,., ...:.i kfi r.._.... 1+l I:.t t 1 ;,1,b. I.:ti Jul 0 r 1-N/�)�:, �. ,p� - �/` - /�11J'l.�►'r)h ��� ,� ;:. n<. _ / ��0.,1 117. :-14` JH tr.7lJ /rt,3 1 A l7 .. .____ ? N f'hnne At Ca)L�U ' C,O(d`)._ _ E(�'I_L' 3 i�'. 0 JN 0 J,, 7. RF_D r Nb{'rA I IONS _. ._...__ »ueci mitb.j4ct to trip +-pg- Tled in Oe Tiila1•d M1_InlCipal t"oQt/fOUrlcl inijp Rain drain' In•1s;., n,. 5p-e+ f zalty Codp? , and A.) :1 P'nst/Velem atrurt wa*..pr 1_.irir. Jrsp Oil work will he cic,ne Frost/P Am MWcheri pr/Sd � - hi�k Insp wnr+ s frp �i •1tnH '�jl yfThis :IFr fFip l "Olt w j 1 A P)(pire if _ r- is nat starts 1-".1' .:'n' ( iii'" 1'iumb ! ino ,.nig l +"�'1 cJ,iy ;: of i ; 1.tarc: ey or 00 work is McChanira) ln ;:p' Btoildir►g I- i ,ial 111,pinderi ti or mnr-e th r i 180 clays. Pl+.,mb -Trop Out Ev,r,tio-I ar- s p f-"1 t•e p 1 ra�_e l r!�p ..._.._.- __.___....._..._.._.._ Gas Liner l'nsp _ �iyr, Dual-d 1--is,) ,ihi t: c)r ISi.gnat t.tre C:�1 1. fot, i.ns,h2r.t: ; cin -• ',;_, � -�, ' n Nrte3 r- I CITY OF TIGARD -COMMUNITY DEVELOPMENT DEPARTMENT DATE I S--s ,EU: o/l 291 c; 13125 SW Hall Blvd.Tigard,Oregon 07MIelli99 (503)530-4171 $401 ,i ta;a. . •. v 1,* bi '�-IW rANNir CREEK LT z 1)1VIS10rV. . . . I COLONY CREEK NO 5 ',.a ZONING; K. . . . . . . . . . •, !-0 r. . . . . . . . . . . . . . 120 BUILDING l��`t�uL :M:i i '�,s -¢►1' DWELI.1 N(J _�a!y.3 OF WORK. :NEW LALD 1Ma:3 BATHS a 420 C,f OF Ll;a[::. . . F�f_ FLOOR ARGAli_"._._._.__._. RE01 _lIRLD _..�. .- 0F CfiNST, :WAN F-IRS"r. . . : 1397 LEFT. . 95 f't IUH-E . sb rt JOANCY GRP. :k-� `. LLONL). . . .0 s f', F kUN 1'. :20 ft • . , . . . , . 1 THIRD. . . . :0 sf RLGILJIRE.D-- "I U? MI__ ._.__. L,. .b( 5 Y gMtjrL IA:I T'F.G'I tk . « .Y ;OR Lt F+t.'. . , :40 p-, ' VALUk*'. . . . . 7 ; 71621*;:' PO4R' INU SPNC LS. . : 1 , PLUMBING ,. . « . . , . . . . : .t FLUUR UROIN,,i. . . •. :V) BAt"Kr,,i..t3W PRC:Vt-4THG. . :0 t+ uF�1 . . . . . :2? WATER HEAT'ERS. . . : I TRAPS .:' 'i".,, , . . ,. . , . . 10 t 'brt_WkHb. . . I_AUld mY IRHra. « . : LA-1 LH SAS N(,. . . « . . ,. :171 _R L:•LUblF.T:'3. . SL _R L.1NF_ (ft ) . %0 UR AE;I 7HN;-S . . . . . V1 W(4 rti) I-INL (ft ) . :,A'00. , CJS HLR f 1 Y,'1 'de$46E '0116p;. . . : 1 RN1N URPIN (f:t)r erft ^' 1WH I NG MALH. . , . 1 aF- HA I N I RH I N:,. . : i� «_._.._. ,w.,.. MCGHANICFIL ,1- L -TYI'LU _.... ... ......_ _._...._ _ UNIT HTIRS. . -0 r ,pf, amount by d-tc VE.N'TS . . . . . :0 00 JH 07/29/9.1 b I VLNI F f-?NE;. . :.3 1!I"1ri !t !4'.i. 10 lb .1; ! 2!d 1 !i•' . , p i HUM",. . . . . . : I 8<V''LC S <+��, kAV, .JL H 01b/� �!►/y:3 ') 5- ; a 5 t3. V ) z 14"!, *0 WUUDS-1'OVL:3. :0 I-A!PL $ 1 , 45 J1: 14,t/ GLO ORY'LRS. t t SSUL 4 8130. 00 J1 0-1/i�9/93 CPiF! If : h tJTIIF_R UNITS. I PAR111 4 -jOO. OQ 34 07/21))),3 GAS OUTLETS: 1 Mr'I.1 ' $ 40. 'A JH 107/29/93 10. 1.3 114 Irl/r9/9.. M MILLER M5PL. 'h 2. 014 JF•I 01129 19.; loz'4 S6J 1:.1 1iFW(if �t F�'f• R w 11.7. `51h JI'�i 111/2.);ti i $ U. 138 JW 0//29!y.'' tr4r.:t N« _- _. ._. ._._...... ... __ .. , _....._....... _.__. __ 1`11LI.-LP 11I..II.LDLf7 UW ED0EWATLR 44HU fig 918 3 )ne tt; t,�;4-9511 37-385 x'1337. 49 J i AL pereit is itsued subject to the regulations contained in the ---' -_ --- RELIUlftf::11 :jNf3V-,f:.CTlUNb - .d Munimpa! Cod?, State of Ore. Specialty Codes and all other F'oat./fol_tnd 1nsp rir_eplaCp InOp ;c:ahle laws. All tiork will bt dons in arcarda^ce wtv ap ved Pc st/Bverr Str-Act Gas Line (nsp This perott will expire if work is tot t"i-te .t'; 88 t:-eigt%Heam Mect-isn Insuiatiov lrrsp if issuanca, Or if ima!•a is suspende r,, Bate y PIP/undslab Insp UYn Hoard In Sp l='LM/Unclprfinor• Hain dt,ain 7n,4p I.ttrrr- r` �t' "" . __. MecH,snical InP13 Watov Line 1, '>p PlIml-, 'rp U'.tt (4p;:w/8tlwlk I SP Framing Insp MpCttart.i.r:3' 1' ii+ �: y 1".3I I f Qr- inC,PFs t J.0r { r I ON CITY OF T IGARD ,� ,..f,:" . . � . . ��. . . . . COMMUNITY DEVELOPMENT DEPARTMENT 13125*W Hall Blvd.Tigard,Oregon 972234199 (503)8394171 PARC I r_'P 13—14 117 fA 14,36"'. LiM t FANNO t:11EIFK IJBION. . . . COLONY !;REEK NO 5 IONIN6. . . . . . . . . . . . NO. a. . . . . . . . F I X Rt RL. UN 1­1S. 'Bq ,W U! W(PiIA. NEW DWELA.111,113 L,ft_ OP USE. . . . . .�SF NO. OF DU I LDI NG5 I LAUSWA IMPERV 6URF'ACE. ark ,.44 ; H a IN'"' type amouril, ry date 1"fn L:P t '4:3- 9W LI)SEWA VER F"Thi7 li ,;Iftloolb JH 07/ -199 S nnt rcct or- 'NTRACTOR N01 UN f`­ILL k.2 35. 00 T-CIT4L REWINE-D jN1,3t::-EC-1 IONS ...... �oplicaflt agrees to cuopy WIV all the .Us" Ano regulations sqwvv- lrle;pectioll nt Q%fin Sewage Agency. The,ptrtit cyp;-et 184 Jays frof date issued. `(he total avoimt paid sol' be r f =sited If the -it expl-as, The Agency cm n3t guarantee the accuracy of the stwr lateral.. It the mor is tot located at tt,# veasureve- :ivtm, the installer shall p.expert33 feel ' al! dire -is filo -hf distallre givon. Ir net st" `,Ocatt:, t mtallp '71p and sive 4wp- fr­w enc ;he cy W!, t 7_1 Cal i for- inspect 1 cri r 41 75 CITY OF TIGARD RECEIPT t'.)F PAYMENT RECEIV-"T Nil. t 93-24i2'7.'4A CHECK AMOUNT : 503P. 49 14ME G MILLER, TOM CASH AMOUNT g 0. 00 DDRESS e PAYMENT DATE : 07/29/93 SUBDIVISION c URPOSE OF PAYMENT AMOUNT PAID PUROOSE JF- PAYMENT AMOUNT PAID 349. 00 PLUMBING PERM It 7. 50 ECHANICAI_ PE 40. 50 ST. BUILD PFR L25). 36 -LAN CHECK FE 25. 13 SEWER USA 2200. 00 EWER INSPECT 35. 00 PARKS SDC 1500. 00 TORM DRAIN SD(7 ;7�80. 00 REG,I DENT IAL TRAFFIC FF-r.3 1350. 00 PL,')s TRANSIT TIF FEES 110. 00 _OT 1i7--'0 COLONY CREEK 5 14363 SW FANNO CREEK CT OTAL AMOUNT PAID »>u SW tlag Dw� PLNCVRECT #CITY OF TIGARD PERMIT I COMMUNITY DEVELOPMENT DEPARTMENT Ti0c.Om6'O^97213 ("3)639-4171 DATE ISSUED JOB ADDRESS: � � ��J��LX`fAX MAP/LOl 2SI IZgB i�fi�D SUB:Ccs -reek LOT: 17d-) LAND USE: -- VALUATION: Z -- OWNER SPECIAL NOTES NAME REISSUE REISSUE OF: ADDRESS: _ LAST REISSUE: FLOOD PLAIN/ PHONE: _ SENSITIVE LAND: QONIR&CTOR APPROVALS REQU I RED S(^aSZ- �-- NAME: ( -- I 1 1 i A I11LP PLANNING: ADDRESS: ENGINEERING: _ uf FIRE DEPT: PHONE:'.. " _ OTHER: -411r- CONTR. 1 r- _ CONTR. BOARD #: _ EXP DATE: r 7� ITE14S REQUIRED SUBCONTRACTORS: PLUMB: / LIST/SUBCONTRACTORS: MECH: n�65 BUS TAX: _ ARCH ENGINEER 1 CALCULATIGNS: ��-Y _ NAME: rY )a 1 `�X �J-� -� TRUSS DETAILS: _ ADDRESS: ��(lf�Q _ OTHER: _ PHONE: Pp.?OSED BLDG. USE: � 1ty-e --- COMMENTS: -411 �rC r _ A T S fWATUME Received By: _ Date Received: _ PERMIT # ACCT ° DESCRIPTION AMOUNT AMOUNT PD. BAS. DUE /h>fQ3_o3kV 10-432 00 Building Permit Fees 10-431 00 Plumbing Permit Fees �Z 10-431 01 Mechanical Permit Fees )-v 10-230 01 State Building Tax (5x) -�� �� .� ZJ 1.3 �O Building J 7- Plumbing -_S� / Mechanical S 10-433 00 Plans Check Fee Building Plumbing Mechanical /0-0 / 10-230 06 Fire ./ Sc��2�7-v3Z� 30-202 00 Sewer Connection ov 30-444 00 Sewer Inspection 3 25-448-02 Commercial TIF 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 S U / 13.5v 25-448-05 Mass Transit TIF Fees ; l U //U 52-449 00 Parks System Dev Charge (POC) 5 v / 31,u 31-450 00 Storm Drainage Syst Oev Chrg / (SSDC) a<S'U / aky 24-445-01 Water Quality (Fee in lieu of) _ 24-445-02 Water Quantity (Fee in lieu of) _ TOTAL ,S� 72 �J/� 1�U -S f nm/3587P_WP1- CITY OF TIGARD RECEIVIT OF r,AYIYIFNI" RECEIPT NO. -93-24187E' CHECK AMOUN'r 40. 00 AME TOM MILLER 8L..DR, lN(-, DASH AMOIJN-r 0. 00 DDRESB a 7:AYMENT' DATE 06/30/93 12454 SW EDGEWATFR (-,'T SUBDIVISION 1 IC ARD OR 972e3-,- 'UPPOSE OF PAYMENT AMOUNT PAID PURF:,OGF OF PlAYMEWC AMOUNT PA I D L W CHECK FE 40. 00 11-AW CHECK 6-97R-14363 SW FANNO CREEK Cl TUW4 AMOUNT PAID