13231 SW HILLSHIRE DRIVE r�
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CERTIFICATE OF
CITY OF TIGARD PERMIT #. .. . . . . : MST93-0330
COMMUNIT( DEVELOPMENT DEPARTMENT DATE .TSGUED: 0'7/00/96
13125 SW Hall Blvd,Tigard,Oregon 07223.8199 (503)539•4171
PARCEL: .3104C:A--0 7 9010
31JE. ADDRESS. . : 13231. 3W HILLSHIRE DR
SUBDIVISION. . . . . HILL-SHIRE ZONING:R-7 PD
BLOCK. . . . . . . . . . . I_.[)T. . . . . . . . . . . . . .079
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CLASS�OF�WORK. :NEW
TYPE OF USE. . . :SF p ?
OCCUPANC" GRP.1'.1h4.N
OCCUPANCY L.OAr):
Remar,ks: LATH 1.
Owner:
PARROTT MOUN1-AIN CONST
16260 SW BELL RD
SH RWOOD OR 97140
Phone #: 625-6963
Contr-actor, :
PAC WEST PLUMBrNG
110 NE: CCIRNELL_ RD
H1LL_SBORO OR 971,:4
1 pane #: 6-+86441
Req #. . . 81902
t 7hIS Certifici.,te grants occupancy of the above referenced building or portion
thereal" and confirms tha the building has been inspected for compliance with
ith,n State of Oregon Specialty Codes for- the group, occupancy, and us ; under
which the referenced permit was issued.
DYN+� ILI
E?IJBUILDING OFFICIAL
POST IN CONSPICUOUS
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Page No. 1 CASE HISTORY FOR CASE NO.: MST93-0330
PARROTT MOUNTAIN CONST
e 13231 SW HILLSHIRE DR
07/02/96
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
x Code Sent Done Done Date By
R ------ ------------------------------ -------- -------- -------- -------------- -- ------------ ---- ---- --.. -------- -.-
MSTA007 Application reOpived / / / / 06/03/93 PASS JLH 06/09/93 BLT
MSTA010 Plan c-Ireck dep.rsit paid / / ' / 06/03/93 PASS JLH 06/09/93 ALT
� A MSTA020 Plan check by 06/09/93 / / 06!09/93 PASS RT 06/09/93 BLT
MSTA030 Check for prcl.. restrict. / / L6/09/93 06/09/93 PASS RT 06/09/93 BLT
hiSTA092 (F) Issue combination permit / / / / 05/30/93 ISSU RT 06/30/93 JH
MSTA097 Issue plumbing signature forrt / / / / 06/30/93 tSSU RT 06/30/91 JH
MSTA70F Foot/fcund Inap / / / 07/07,193 APP US 07/07/93 GES
MSTA705 Foot/found Insp / / / / 07/16/93 MAINTAIN REHAR CLEARANCES (AS WHEN PEND RB 07/16/93 RB
POURING) ; 1:00 POOR,
raj
MSTA710 Poet/Beam Structural / / / / 07/28/93 APP GS 07/28/93 GES
MSTA711 Post/Beam Mechanical / / / / 07/28/93 APP JS 07/28/93 GES
r
'y. MSTA712 Underfloor insulation / / / 07/30/93 PAS£ RB 07/31)/93 RB
MSTA715 Plm/undslab Insp / / / / ! / 06/09/93 BLT
d`
MSTA717 PLM/Underfloor / / / / 07/28/93 APP G3 07/28!93 GES
y" MSTA720 Mechanical Insp / / / / 09,'17/9, SEE REPORT FAIL Rb 09/17/93 RB
�Ye ff
i'
MSTA720 Mechanical Insp / / ! / 09/20/93 SEE EEPORT FAIL RB U9/21/93 RB
--rf•, 1,..
MSTA720 Mechanical Inap / / / / 09/22/93 PASS TLP 12!09/93 RB
MSTA722 Plumb Top Out / / / / 09/17/4? %Acte ok PART MS 09/7.0/93 MRS
no test on watyer
aril',
MSTA722 Plumb Top Out / / / / 09/24/93 PASS MS 09/27/93 MRS
MSTA725 Framing Insp / / / 09/17/93 SEE REPORT FAIL RB 09/17/93 RB
MST1.725 Framing Insp / / / / 09/22/93 PASS TLP 09/2.9/93 TLP
MSTA726 Framing <PEINSP> / / / / 09/2C/93 SPE REPORT FAIL RB 09/29/93 TLP
MSTA730 Fireplace Insp / / / / 09/20/93 PASS RP 09/21/93 RB
MSTA715 Gas Line Inap / / / 09/24/93 FAIL RB 09/21/93 R13
MSTA735 Gas Line Insp / / / X9/28/93 $879f0 rASS R3 09/29/93 RB
MSTA74G insulation Insp / / / / 09/22/93 PASS TLP 09/29/93 TLP
MSTF.0j Gyp Board Insp / / / / 09/24/93 PASS RB 09/27/93 RB
MFTA,55 Rain drain Insp / / / / 10/29/93c
PAS MS 11/01/93 FJ2S
MSTA 60 Water Line Insp / / / / 11/01,193 no tea- on water FAIL MS 11/02/93 MRS
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MSTA765 Apnr/Sdwl.k Insp / / / / / / 06/09/93 BLT
MSTA'65 P;pr/Sdw1k Insp / / / / 10/20/93 1. Bubble out wheel chair ramp from 5' r'FXD LT 10/26/93 NL
width at P•C.'s to B' at 7 of ramp from Y.
face of curb (see diagram)
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PI No. 2 CASE HIS'T'ORY FOR CASE NO.: MST93-J330
PARROTT MOUNTAIN C014ST
13231 SW HILLSHIRE DR
07/02/96
i.
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd A
Code Sent_ Done Don? Date By
------ --------- - --------------- -------- -------- -------- --- ---------—---- ---- ---- --- -----
MSTA765 ApFr/Sdwlk lnsp / / / / 10/19/93 1. Back form of driveway apron should PEND CB 10/26/93 NL 1
be 10' from fa,.e of curb, not 8 teet. 2.
Install weephole and drain pipe
extending to back of sidewalk at
upstream driveway wing.
MSTA765 Aprr/Sdwlk Insp / / / / 1'12/07/93 1 - Place corner wings on cup of PEND L': )12/15/93 KE
-
wheelchair ramp.
i
MSTA795 Mechanical Final / / / / 12/01/93 DIS GS 12/01/91 GFS
MSTA795 Mechanical Final / / / / 12/03/93 APP GS 12/06/93 GES }
MSTA795 Mechanical Final / / / / 12/08/93 PASS RF 12/99/93 RB
MSTA797 Plumb Final / / / / 11/29/93 not ready FAIL MS 11/30/93 MRS
vacuum breaker hose bibs required X&,v%Y-N 4:%,r_"'\ 3-C �G�l
`J MSTA797 Plumb Final / / / / 12/03/93 see mikas correction DIS GS 12/06/93 GES
J MSTA799 Building Final / / / / 12/01/93 CIS GS 12/01/93 GES
MSTA7'9 Building Final / / / / 12/03/93 DIS GS 17/06/93 GES
MSTA799 Buildiiq Final / / / / 12/06/93 not ready FAIL RB 12/06/93 RB
MSTA799 Build'.ng F•nal / / / /X 12/08/93 ENGINEERIK.; MUST APPROVE BEFOF? FINAL PEND RB 12/09/93 RB
APPROVAL- 'ENDING ISSUES.
M.STB706 Erosion Control / / / / / / 06/09/93 WIT
MSTB713 Crawl Drain / / / / / / 06/09/93 DLT
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Lina: 639-4175 Business Phone: 639-'►171
;r Footing Rain Drain Cover/Service
rl ��` • I
Foundation Water Line Ceiling -Plumb. - 4
w, t Post/Beam Mech. Shear/Sheath Framing -Mech.
r
Plbg.Und/Flr/Slab Pibg.Top Out Insulation -Elect. a z
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bic61
�. '
w, San. Sewer Gas Line Appr/Sdwlk Reins. ks+
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Date: 7 "� % A.M.—PM.— Entry:_
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1 t t�'''ii Address: 1 .3
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Tenant: _ _ Ste: MST: C�L;c�3�
Con/Own: /iz.c � 1 MEC:
PLM: —
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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_APPROVED —DISAPPROVED/CALL FOR REINSP: CF CO „�Itillt
W1 RAS�
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INSPECTION NOTICE
l 7
City of Tigard Building Dep4rtment
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Le`(Rcc-0- hone): 639-4175 Busineep Phone: 639-4171
Inspection:
Footing P1 /Underslib Merh. Rough-in P.ppr/Siwlk
i
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bld
Post/Beam Hoch. Rain Drain Insulations plumb,
Plbq. Underfloor Water Line Gyp. Bd. —Hoch.
Data Requested:_ �� L, &L-11
AM PM
Address: �� (` —
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Builder: ,7
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i
Inspector �—------------ C/'/?`"G
-APPROVED DISAPPROVED APPROVED SUBJErT TO ABOVE
----Call For Reinsp.
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hell Blvd.Tigard,Oregon 97223.6109 (503)630.4171
• PLUMBING PERMIT
PERMIT #. . . . . . . . 1=11_M94--0051
E�9 -4171 DATE ISSUED: 04/04/94
PARCEL: ''`3104CA--07900 �
SITE nDDRESS. . . . 13:=31 SW HILI_SHIRC' DR
jUBL'IVISION. . . . .. HILLSHIRE ZONING: R-7 CSD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :079
CLASS OF WORK. . :ADD GARBAGE DISPOSALS— MOH I LE HOME SPACES. :
TYPE OF USE. . . . :Si= WASHING MACH. . . . . . . : BACKFLOW PIREVNTRS. . : i
OCCUPANCY GRP. . : H3 FLOOR DRCIINS. . . . . . . TRAPS. . . . . . . . . . . . . .
STORIES. . . . . . . . :` WATER HEATERS. . . . . . . CATCH BASINS. . . . . . . . �
FIXTURES --_—_—____-__- LAUNDRY 1-RAYS„ . . .. . . : S)F7 RAIN DRAINS. . . . .
SINKS. . . . . . . . . . . URINiILS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . .
LAVATORIES. . . . . . OTHER FIXTURES- - .„ . :
TUPI/SHOWERS. . . . : ,EWER LINE (f;; ) . . . . :
WA'i ER CLOSETS. . : WATER LINE (f t ) . . . .
D1SHWOSHE:RG. . . . . RAIN Dr`AIPI (ft) . . . .
Remarks : SPRINKLER Pl_RIhIT
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Owner',: _____.____..___.------____.___-
-----•---__—__._______._.____ FEES ------"---------___
C',�RR0T1" MOUNTAIN CONST type amo _rnt by date recpt
15260 SW BELL RD PRMT $ 15. 00 JG 04/04/94 —
5PCT f 0. 75 JG 04/04/94 —
r-HERWOOD OR 97140
3 Phone #: 615-6963
r
FULLMON SERVICE CO
58k�b SW HOOD
lJOR TLAND OR 9701 -----------_-------------------------
Phone #: 224-52'21 $ 15. 75 TOTAL
Rey #. . .- 67818
- - -- - REQUIRED INSPE=CTIONS
This pervit is issued subject to the regulations contained in the RF'/Backflow Prev
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection ~�
applicable laws. All wore, will be done in accordance with
approved plans. This persit will expire if work is not started
within 180 days of issuance, or if work is suspended for Bare
than 188 days.
1 ermittee ,iynatlare:
Issi_red By :
L'a11 for inspection — 639-4175
L
PLUMBING PERMIT
SW HALL
PtiLdL.
s P. O. BOX 23397
Applicants must hold Oregon Registration to conduct a plumbing TIGARD, OR 97223
business tx mus!be property owner/operator not hiring outside help.
(503)639-4175
Name d Oevebpnsent PlumbinK Permit tIU.
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A6dreas / Description
i 31 ORS - DUAN. PRICE MAT.
E Job Tax ld — Map.No- — —�
Address FIXTURES r
int Block slop Sink 7.50 1
Name or name o saws lavatory — T.50
Tub or Tubr-,hower Comb 7•50
I
i inq res! StowerOnty 7.50
Water Closer 7.50
Owner City/State — LP
Dishwasher 7.500
_
1Of1° Garbage Disposal 7•SO _
' Washing Mactune 7.50 -
>, Name
Floor Drain 7.50
Ltailixn Ad3ress Phone Water Healer -__ --- 7.50
—_ Laundry Room Tray — 7.50 _
Occupant C7ty/Stat•3 zip
Urinal _ 7•50
Name J Other Fixtures(Spedfy) _ — 7.50
a. 7.50
Maiiingass // phom 7.50
Contractor
S
C,(ty/ ta /J
ll I ��"/,�L MISCELLANEOUS — —.
City Bus.Tax No. Sevrer tst 1tX1 =0.0
State tete P Sewer-ca.Addit.100' — 15.00 f
(R"kiential)� h` Water Service 1 st too* _ 20.00 _
1 hereby acknowledge that 1 have read Msisappg st r-^Nut the Information Water Service ea-Admit 2rO' 15.00
given is correct that 1 am registered with the State BvikWs Board.and also Sheath 3 Rain Drain I st.t 00' -- 30 00 __
have a State PlumbkV license Gat the ntm hers given are ccxrscl.out all 15.00
pluwork mbirV wow*be done in ecowden ce with OPPGicable fxov+si m d Oke- Storm b Pin Drain Addit.100' _
eon Revised Statutes Chapters 447 and 693 and appticaGle codes and that MuWle Horne Space
no help wN It o twmK ,,,Pd unless I meted urxfer ORS 693.(M exempt from
Stats registration.please give reason below). Back Flow Preventkx+
HOMEOWNERS-1 Ivxaby certify OW am the owner of a-se property de- Oe"1O°or Anti—Pollution Device 7-50--
arrQsed atwve.at whl--Ie loc *m I propose Iomak.&a pk rrsbksg hsleNetbn for Any Trap or W ante Not
fury own use and this property la not beksg omntu ted for salt.tease or rent Connected to a Future 750
Calcis Ba3)n 7.50_
T — ksso.d E>fst."tunheng 40-00 Per Hr. —
J Spedalty PAKriested fru '40.00 Per Hr.
-- Aker.of Pkrnblrsg wtMsln ---an ExiaB Bldg 15.00 min.
AUT}IORtZED SIGNATURE Oeta New Bldg.or BUNS.Addtlon 25.00 min. f
I ,aitr;J e fat>il
Describe work new[] addition❑ alterntiorl❑ repair[]1 f d+e15-100
tq be Joule residential(1 non-roeidentiaf n J
j
j Fadstlnp use of
r1p«Property _. — —_-. ,_— SUB-TOTAL -
5t SL RCHARGE
b °d Uy of
A&vorpkp" _^ — - - 25% PLAN REVIEW
NOTICE - -- -- TOTAL
Tula pen- becomes null and void K work or oonempodon auu.xr.ad is"oonr
mond wWA 180 dayaor K onrwftu Son Y war*M euapendad or abwYkxi d br
a parlod d 180 days at any Cm-than wrxk U oorm o owd.
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00N0fTx*t3---.�-_ --------- --
Uete by _— - ---
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f CITY OF TIGOW) RECEIPT OF PAYMFi'NT RF:CF. IPT NCI. a94•-P508"7�7
• CHEEI . AMOUNT a 15. 7E;
AME a F•Cll...l_MAN I+ ERV ZuE CASH AMOUNT H., tc 0
4D1)kFS S a TifiCr s til. HOOD PAYMENT DATF: a 04/04/94
£3UBI)XVISION
PC1Fc•T•L_AND, OR 'i)'I:'(fit W
'URPOSE: OF F'!4YMFNT AM0UNT' F''Al1) PUF�F'OB OF PAYI*IF:NT Ai'i()UNT PAID
_.... _... .... ........ .... ...............
..w._.
IhI+INO PERM 1.5. 00 ST. BUILD PER W. 75
;3i?:31 SW HIl_l.l,HIRF.
U T'AL.. AMOUNT PAID - — 15. 75
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�ISPBCTYON NOTICE n I
ti City of Tigard Building Dw0artweat
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rso-O-Phone): 639-4175 Business Phor_e: 639-4171 1
Inspection:
Footing Plbg. Dnderelab Mech. Rough-in ,,11ppt/Adwlk
Found. Plbg. Top Out Cas Line CtIN11i.:�
c_�_._
Pest/Beam &trust, San. Seyir Framing CGBldq ---
Post/Seam Mach. Rain Drain Insulation _plumb,
Plbg. underfloor Mater Line oyr. Rd. -Hach.
Date Requested: f� V —q ✓ B
I Times .�M PM
Address: Z (1• ..cy//P PwtOit #:
Builder: kAl 0 f 4 (d jt - ?2
�N �f'.nA.� r�a-
THE FOLLOWING CORRECTIONS ARE REQDIRED:
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Inspector:
��,._��i�:_._ Date: � •-� � 6 � � J
tJ APPROVED DISAPPROVED V APPROVRD SUBJECT Tn ABOVE
`_,Call For Reinap.
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SPECTION NOTICE
City of T19ard Building Department
13125 BA Ball Bled. Tigard, Oregon 97723
Inspection Line (Ree-O-.Phone): 639-•41.75 Business Phone: 639-4171
Inspection:
Footing Plbg. Cnderal.ab Mach. Rough-inA /8dwlk
"-------
Found. Plbg. Tup Out Gas Line FINAL: I
Poet/seam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation ._Plumb,
Plbg. Underfloor Water Line Gyp. Bd. -Mach. "S
Date Requested! 12 Ti4
11 ( mes AM PM
AQdrsses I��Z 771 �11.�(5✓t-tk C )(�
Permit 1s
BuilderA (� 5 _
�s ��1 t fr:�ll
THE FOLLOWING CORIINCTIONS ARE REQUIREDt
c-
C-va(f_ -'v le AV f/C -,r4)
R'`,tI,��.,y�`
tt' by F'd �r /rx'4lyr�r)�Iy
}w.L'A !is
yCF*yq!
✓, ry r .
A it's fa
Inspector:_ �` l��tlY7ilti _ Dater
APPROVEDti,
DISAPPROVEDXPPROVED 8UBJECT TO ABOVE
S
Call For Reinap.
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xN�PECTION NOTI(9,,
City Of Tigard Building Depar.,te nt
1_1125 Bw (call Blvd. Tigard. Oregon 97223
Inspectior Line (ROC-O_Phone): 639-4175 Business Phone: 639-4171
Inspections
Footing Plbg. Underalab Mach. Ro::gh-in A
ppr/Sdwlk
Found. Plbq. To Out
P Gaa Line
FINAL
Post/Beam Struct. San. Bower
Framing
�..
Post/Beam Mech. Rain Drain
Insulation
Plhg. Underfloor Nater Line Gyp. Dd. ~
Data Requested: _�2
Address: ( � IC
Permit #:
Builders�'� Y Y��
THE ftLLOWING CORRECTIONS Af,E REQUIRED:
Inspectors
/ Date:
--APPROVED Y DISAPPROVED ^- �—
APPRovnn SUBJECT TO ABOVE
Call For Reinsp.
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INSPEC!ION NOTICE
City or Tigard Building Department
13125 an Hall Blvd. Tigard, sh'egon 97223
InrPoction Line (Roc-O-Phonc)s 639-4175 Bueine .: Phone: 639-4171
Inspections
!Dating Plbq. Underslab
Hoch. Rough-in Appr/Sdwl.. 11
Pound. Plbg. Top out Gas Line �I
C`lINl1Lt
Post/Beam struct,
sen. Sewer Framing
Poet/Beam Hoch.
Ral.n Dra,n Insulntlon
-Pltuib. �i �
Plbg. Underfloor Nater Line
Gyp. ad.
Date Requestods )
Timet t`Z3 k�c
Address t k f�
\� -- PM
a..
Permit
Builderr-7
THE MLLONING CORRECTroNs ARE REQUIRED:
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Inspector -..[aj �—
_-_'_.--.----__.__ Dater
---APPRovRrDISAPPROVED
-- APPROVED SUBJECT TO ABOVE
L/ Call For Reinso.
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IIIBPECTIOM MOTiCR
City or Tigard wilding Depart
33125 BW Ball Blvd. Tigard, Orageo 97223
Inspection Line (Rec-O-Phone), 639-4175 Business Phone, 639-4171
Inspections
footing Plbq. Onderalab
Mach. Rough-in Appr/Sdwlk
Found.
Plbq. Top Out Cas Line
yIMAL,
Post/Beam Struct. Ban. Sower .
Traminq -81
Post/Beam Mach. Rain Drain
Insulation -Plumb.
Plbg• Underfloor Nater Line
CYP• Bd. -IfeOh.`
Date Requested,
Addreaat 1 32 7 �� --T�t PM
_ f (( �t r�' r . Permit �,1✓15I t 3-C A40Bullders_t�GLV
fD 2!�
TIS FOLLOWING MRRECTIOPS ARE REQUIRED: � lO f0
or
_A
--------------------
Olt
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Inspector:
—.._-- ---___ Dates
APPROVED �. ;11BAPPRO"D _
/• _ APPROVED SD"CT TO ABOVE
vCall For Roinsp.
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INSPECTION NOTICE
Cit? of Tigard Building Departa�ssnt
13145 M Ball Blvd- Tigard, Oragon 97223
Inspection Line (Roc-O-Phone)r 639-4175 Business Phonon 639-4171
Inspections
rooting Plbg. Onderslab Koch. Rough-in Appr/Sdalk
Found. Plbg. Top Out Gas Line FINALr
Post/Beam 8truct. �=, Framing -Bldg.
Post/Beam Koch. n Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Koch. I
Date Requesteds U LJ
Timet AK PK r
Address: Permit
Builders
TBE FOLLOWING CORRECTIONS ARE RZT-17 D,
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Infpector:—7 A�I� !/ _
Dates
PROVED 13I8APPROVED APPROVED S"BJECT TO ABOVE
Call For Reinap.
p11k 4� mwu.».. .. .,..nwuww:.wn.w.n..,..,.,......... ..,.. -
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MUNCTION NOTICE
City of Tis;asrd Building Departaant
13125 B* Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roe-O-phcns)c 639-4175 Business Phones 639-4171
Inspection:
Footing Plbg. Undorelab Mach. Rough-in r/Sdwlk
Found. Plbq. Toro Out Gas Line FINALS
Post/Beam Struct, Ban. Ses.er Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Ply.
Plbg. Underfloor Nater ',ine Gyp. ed. -Mach.
Date Requested s_ o-r�l_�3
II AM PM �
Address:_ .Z 3 �'/✓�J F�/ �r permit is
r
THE FOLLOWING CORARCTION£. ARE REQOIdZe
;
a �
Inspectors let
Dates
APPROVED DISAPPROVED APPROVED BOBJECP TO ABOW.
Call For Rainap.
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Pips
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NI-.PSCTION NOTICE
j City of Tigard Building Department
i 13125 SIX Hall Blvd. Tigard, orsgon 97223
inspection Line (Roc-O-Phone)s 639-4175 Dusinee■ Phones 639-4171
Inspections _
Footing Plbg. U-tderelab ilech. Rough-in ( J1ppr/Bdwlk
Pound. Plbg. Toys Out Can Line FINALs
Post/Beam Strutt. San. Bowes: Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Ed. -Hoch.
Date Requostslds (� (C� 3 Times AN VX
r
Address t {I ,V' �_I( !' (� Permit j, M�J7 13-L-r � 4
Bssildwrt
THE FOLLOWING CORRECTIONS ARE REQUIREDt
1 --
F t'-'��Yti• _�
dx �, i�.a,
izoa
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Inspectort Dates
APPROVED 1. BPPRRDVED APPROVED BUBJECT TO ABGVE
Call For Reinep.
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INBPlCTION NOTICE
City of Tigard Building Departnent
13125 aw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec.-O-Phune)e 639-4.175 Business Phones 639-4171
Inspections
Footing Plbg. Underalab Hoch. Rough-in Appr/Sdwlk
1
found. Plbg. TOP Out gas Line
lINALe
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Koch. Rain Drain Insulation
-Plumb.
Plbg. Underfloor Nater Line gyp. Bd. -Nen-h.
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Date Rnque.teds_ j 7
Time: ANAddresesS
� � �(v Permit 1s 1� Q J
Builders
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TBE FOLLOWING ODRR=CTIONS ARE REQUIRBDs
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Inupectors
APPROVf.O DISAPPROVED APPROVED BUSJECT TO ABOVE
�l -_Ca11 For Reinak.
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INSPECTION NOTICE
City of Tigard building Deparb-nt
13125 BSM Hall Blvd. Tigard, Oregon 97223
inspection Line (Roc-O-Phone)Y 639-4175 Business Phones 639-4171
Inspections
root!ng Plbg. Onderslab Koch. Rough-in Appr/Sdwlk
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round. Plbg. Top Out Gas Line rINALs
Post/Beam Struct. Ban. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nates.• Line (/G ed -Meeh.
C'
Data Requested$ 1 L Y' _Times AN PM :
Addy...: 17-2 Z 7 l l (k/ k E Permit #s
Builder$
TNR FOUAMING CORRICTIONS ARE REQUIREDs
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Inspectors • � Dates��
"PROM DISAPPROVED APPROVED SUBJECT TO ABOVR 1
2 Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Departeant
13125 BW Ball Blvd. Tigard, Oregon 97223
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Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
i Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg. I
Poet/Beam Koch. Rain Drain Insulation _Plumb, �
Plbg. Underfloor. Water Line Gyp. Bd. -Mach. '
Date Requested: Times AM /\PN
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Addresesr 1 c -t l .C� N-R Permit is v o -�J
Builders
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors Dates 'T /
APPROVED -✓ Dlg7'a
D APPROVED SUBJECT TO ABOVE
ll For Reinsp.
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INSPECTION NOTICE
City of Tigard Building oeValMeat
13125 M Ball Blvd. Tigard, Orrsgon 97223
Insj,tection Line (Rac-O-Phonp;t 639-4175 Business Phone: 639-4171
'i
Inspections _
Footing Plbg. Onderslab Mach Rough-in Appc/edwlk
Found. lb
Plbg. Top Out ) Gas Line FINALt "
Post/Beam Struct. Ban. Bawer Framing -Bldg.
a
Post/Beam Hoch. Rain Drain Insulation -Plumb. �
Plbg. Underfloor Nater Line Gyp. Bd.
� r Date Requestadt GY - 7
�r me_1"J Ti -Meeh.
I AM PM
Address '7 3Z S 1 I l�11 V P.t7it #�
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Builder:
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TBS FOLLOWING CORRECTIONS ARE RE413IREDt
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Inspector!
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APPROVED DISAPPROVED APPROVED SUBJECT :'O ABOVE ,
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INSPECTION NOTICE
City of Tigard Building Department1&4kN,¢ �a
13125 SII Ball Blvd. Tigard, Oregon 97223 "
Inspection Line (Roc-•O-Phone):. 639-4175 Business Phone: 6.19-
Inspection:_ S� �V)';�,
Footing Plbg. Underslab QWh. (tough-i:! Appr/Sdwlk
y Found. Plbg. Top Out Gas Line FINALS
Poet/Beam Struct. San. Sewer slu�itlg l -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
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Data R ested: -�� 'r(� J _Timet AH PM
Address, 93 r33: c
Permit Li I
builder: +\ ` )`)` ' (_C J (Cq(f J
TIM FOLLOWING CORRECTIONS ARF REQUIRED:
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inspector: Dater
_APPROVED DISAPPROVED -_ APPROVED SU&rECT CO ABOVE
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Call For Reinsp. III
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INSPECTION N ICE
Cit! of Tigard Buildikq Department
13125 BW Gall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phunr)s 635-4175 Business Phones 639-4171 `
Inspection: 1, _
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Fact ing Plbg. Urdarslab �- �h. Rouges-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL=
Post/Beam Struct. San. Sewer ( Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
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Plbg. Underfloor Nater LL. Gyp. Bd. -Much.
Date Requested= -1.�� LI�� —Times AM __PM
Addren=_ 13Z l-7 l Vl1• E AA Permit
Builder= Cli Y Y F til ��1nc� �'� -��o
THE POLL0NING CORRECTIONB ARE REQUIRED=�
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Ci�2 ��Cot.l For Reinsp.
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INSPECTION NOTICd
City of Tigard Building Department
13125 M Ball Blvd. Tigard, Oregon 97223
inspection Line (Ree-O-Phone)t 639-4175 Business Phones 639-4171
Inspection:___
looting Plbq. Underslab Mach. Rough-it✓ APer/sdwlk
/nand. Plbg. Top &it Can Line FINALt
Post/Beam Struct. San. Sewer lraminq -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line Gyp. Bd. -Meeh.
Date Requestedt _Time: AM _PM
Address: Permit 1
Builder:
TM FOLLOWING OORRECTIONS ARS REQUIRED: v 1 3
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Inspectors -' -� Date,_
i APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
all For Relnup.
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INSPECTION NOTICE
ti City of Tigard Building Deparbwmt
13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Fhone): 635-4175 Business Phone: 639-4177.
Inspections _
Footing Plbg. Underslabot
ech. RougY Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloc:r Water Lina Gyp. Bd. -Mech.
I
Date Requested:. 1 I _ Time: q AH _ PH
Address: 1 _ ` �.�v- Q Permit f: `�=
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Builder:
THE FOLLGWING CORRECTIONS ARE REQUIRED:
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Inspector_- Date: r
__APPROVED _ DISAPPROVED APPROVED SUBJECT TO ABOVE
Cell For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department �,..
13125 BW Ball Blvd. Tigard, Gregon 97223
Inspection Line (Rec-O-Phons)s 639-4175 Business Phone: 639-4171
4
Inspection:
Footing Plbg. Underslab C Mech. Rough- Appr/Sdwlk
Found. Plbg. Top Out Can Line FINAL:
�Post/Beam 8truct. Ban. Sewer ('Framing�. -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -mech.
Date Requosted: Times AM PM
Addresses Permit Ir �3 0
Builders
. 3TBE FOLLOWING CORRECTION8 ARE REQUIRED: `
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✓\ Q-c /\ V Q_t�l� L V1 ✓1-'�-G/� �l� z'
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Inspectors Dates
APPROVED DISAPPROVED _ APPROVED SUBJBCT TO ABOVE.
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Call For Reinep.
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INSPECTION NOTICE
C+ltp of Tigard Building Departsient
13125 SW Hall Blvd. Tigard, Oregon 97223 �� I
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspnctf.on:
" I
Footi.:g Plbg. Underslab Mech. Rough-in Appr/Sdwlk ix
sound. Plbg. Top Out Cas Line FINALi I
Post/Beam Struct. San. sewer Framing -Bldg.
Post/Boom Hoch. Rain Drain Insuletlon _plums,
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested:_ _Times AM PN
Address: Permit 1:
Builder: �—
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TME FOLLOWING CORRECTIONS ARE REQUIREDI
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Date:
APPROVED DISAPPROVED r APPROVED SUBJECT TO ABOVE
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Call For Reinap.
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INBPRCTION NOTICE
City of 2lgard Building Departapr=t
13125 BO Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rer-O-Phone)= 639-4175 Business Phone= 639-4171
Inspection=
Footing Plbg. Onderslab Mach. Rough-in Appr/Sdwlk
p found. Plbg. Top Out Gas Line FINAL=
Imost/Beam etruct, Ban. Bower Framing -Bldg.
Pogt/Beam Mach. Rain Drain Insulation -Plumb.
Wlb . Undorfloos' Mater Line Gyp. Bd. -Mach. I
3 •� � , Date ]tem=estedt - Time: AN PN
Address q/ 2-3 '��o /� 'J Permit =L
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Builder= L i ':% ` '
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3„k T'DM foLI.OMING OORRECTIONa An RFQDIRED=
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Inspecicr!_ Date=_
iy APPROVED DISAPPROVED APPROVED 60BJEcT Tn ABOVE
Call For Reinap.
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INSPECTION NOTICE
City of Tigard Building Det V
13125 M Ball blvd. Tigard, Oregon 97223
Re
Inspection Line io-O-Phoneys 639-4175 Business Phones 639-4171
i Inspections ,.
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk r
�� nn Plbg. Tcp Out Gas Line FINALS
Post/Beam Struct. San. Hewer Framing -Bldg.
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Poet/Beam Hoch. Rain DLain Insulatlon -ply, "
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Plbg. Underfloor Nater Line
Gyp. ed. -Meth.
�eDate Requesteds J� ,
s
Time
Addreses /
_ L J' 1/1.n /hermit f s J� L
Builders
TM FOLLOWING CORRECTIONS ARE REQUIREDt
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_ Dates 7 e s3
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
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INSPZCTION NICE
City of Tigard Building Department
13115 BR Hall Blvd. TL9ard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Phonal 639-4111
1 Inspections - —
i
Footing % Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Pound, PlbS. Top Out Gas Line FINALS /
Post/Beam Struct. Ban. Bower Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb. 1
Plbg. Underfloor Mater Lino Gyp. Rd. -Koch.
Date RequastedsZ �-� Times AN PN
Address � Permit i:�'f�
Builder: /;f'ti•'%�/� ��L����')
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors
__APPMM -_ DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Oregon 97223.8199 (603)632.1171
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CITY OF TIGARD . . . . ...
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Oregon 97223.8190 (603)639-4171
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alit agrees to cotply Math ail the eiikvi and reguias:ans
lwifift Sewage Agency, the pewit expires IN days free
a v issued. The tate!l ata'unt paid iti>i be forfeited it the
kplr'es, frit hgency Maes nat p4rvtte the accurary ui lite
..er laterals. It the seaec is r,rt located i,t the te?suretaenZ
tie in taller shall prospect 3 feet is all direct>,ons fro*
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. CITY OF TIC03"'ARD .
COMMUNITY DEVELOPMEN'r DEPARTMENT ;.'bSiJi,.::�
13125 8W Hall Blvd.Tlpud,Onyon 9722:1.0199 (503)639-4171
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i 1131Halltls Sw H, Dia. PLNCK/RECT #CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT mlprcYom-rn9-rm PERMIT Sl�� O ��4
(503)6,39417' DATE ISSUED
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JOB ADDRESS: _ 13 :2 3 I H;11Sh;re- L r;✓ > _ TAX MAP/LOT aS�G�uy - HS U y
SUB: L LOT: --{-t-- LAND USE:
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VALUATION: /E
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OWNER SPECIAL NOTES
NAME: �--r f ��ti, l�}Y�c� _ REISSUE OF:
ADDRESS: � - �� � . _� ' � C� � _
LAST REISSUE: `
FLOOD PLAIN/
PHONE: (nZS- (�l Y SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED SN g qto-0001
NAME: �'�""` . — PLANNING:
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: OTHER: f
CONTR. BOARD #: E P AT
��(lO ►'' ITE S REQUIRED
SUBCONTRACTORS: PL - .r51 LIST/SUBCONTRACTORS:
/� �
MEC r�_ BUS TAX:
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ARCH ENGINEER CALCULATIONS:
NAME: C — TRUSS DETAILS:
ADDRESS: __�S/� , }_ � rr� OTHER: _
PHONE:
PROPOSED BLDG. USE:
COMMENTS: _� PNE Suu �C
A [CANT SIGNATURE` -1RE'-1 �V
Received BY: Date Received: �,
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PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
rnffj- 33a 10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees A Z, S
10-431 01 Mechanical Permit Feesj�C41 y
10-230 01 State Cuilding Tax (:,°
Building
Plumbing • /3
Mechanical 2.Z�_
10-433 00 Plans Check Fee � •Z J—V V
Building
Plumbing _
Mechanical
10-230 06 Fire
5wre9� o�7G 30-202 00 Sewer Connection 'tQ �Uy _ ���ou
30-444 00 Sewer Inspection
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 f3Sy^ /3,So _
25-448-05 Mass Transit TIF Fees _��y _ //U
52-449 00 Parks System Dev Charge (PDC) S a d Soo _
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) �
24-445-01 Water Quality (Fee in lieu of) _
24-445-02 Water Quantity (Fee in lieu of)
TOTAL S . 73 a- )-V •f�3. �3
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1 CITY OF T1GARD — RECEIPT OF PAYMENT RECEIPT NO. :93-241834 `
CHECK. AMOUNT 5183. 33
,NAME F'ARROTT MOUNTAIN CONSTCASH AMOUNT' 0. 00
PAYMENT DATE 06/30/93
SUBDIVISION
0URf�USC' OF PAYMENT AMOUNT PAID PURPUSE OF PAYMENT AMOUNT PAID
:BUILDING PEkM MST93-03:10____ 438. 00 PLUMBING PERM 16
34. 50
MECHANICAL PE 45. 00 ST. BUILD PER
FLAN CHECK, FE: 78. 05 SEWER USA SWR9:3-0276 2100. 1710
SEWER INSPECT 3�. 00 PARKS SDC 500. 00
STORM DRAIN SDC r 0. 0171 RE'SIDE'NTIAL TRAFFIC FEES 1:350. 00
MASS T RANS I r TIF FEF5 10. 00
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31 SW HI1_L_SIAIRE DRIVE
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TOTAL. AMOUNT PAID _ _. .—.y J 1 F3.:,. 33
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CITY OF' T I GARD RECEIPT OF PAYMENT RE:C:E:I C'T NO, :9 3---.2409 16
CHFCK AMOUNT 250. 00 4
NAME~ . F'ARROTT MOUNTAIN CONST. CASH AMOUNT � 0. 00
ADDRESS J 6260 E36W BELL ROAD PAYMENT DATE s 06/03/93
'iUSDIVIST'IN a
S11E:RWOOD, OR 13'7140_
4
PURPOSE OF PAYMENT AMOUNT FAIT) PURPOE E OF PAYMENT AMOUNT 14.t 1 0
FLAN CHECK FE L90. Vi4'1
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PLANCHFCN, #6-15R OR- 13231 SW H I I_I_SH I RE" DRIVE
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TO•fAL AMOUNT PAID — _ — > 250. 00
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