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1. .1I1 work srdfcamp+y wltr the latest adopted issue or the Lralrorm
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1. Tw contractor !s responsible to ch&cic the clans and sites condltlons l.�r�..J I^--
_ ane L.;` not'ry the architect or ant; errors or omissions pr!or 'a the _
start or Construction,
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t7aoli 3. UA!ttOr calmesnslons have precedence over scaled cllme rs!ons. i
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7125 SN Hampton Street
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If this notice aphea*•s cle:u•er than the 3/4/97
document, the docmneut is of marginal quality.
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On, or TTGARD
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CITY OF TIGARD BUILDING INSPECTION NOTICE ' a
{/ Inspectim'. Line 639-4175 Cosiness Phone 639-4171 y
o Footing Rain Drain Cnver/Service FINA
I
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Meeh.
PIbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
PosUBeam Struct. Mech. Rough-in Gyp. Bd -Bldg.
San. Sewer Cas Line Appr/Sdwlk Reins.
I the-r•
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ate: ° 9t! _ A.M �Z'M. Entrj:_-_
_7L2
Address: Sk
Tsnant:_ Ste: MST:
BUP
Cc 7 wn: MEC
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THE FOLLOWING CORRECTIONS ARE RECD IRED: ELR: .�_ —
L J24,, 1 64L�
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Inspert Date✓f :
_ APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO
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D ..J-- 'UANcY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT ,3. . . . . . . a E�UGc�w—0Gn] I
13125 SW Hall Blvd.Tigard,Oregon 97223+8199 (503)630-4171 DATE 113SUED: 03/25/96
PAPCFL.: 25,1 1 Ar--0.1 400
S I TC. ADDRE GG). . . a 07125 13W HAMPTON ST
SUBDIVISION. . . . : SEVEL.AND NO. 2 ZONING:C- P
BLUCK. . . . . . . . . . a LOT. . . . . . . . . . . . . a 2 Q
CLASS OF WORK. a AL.T
TYPE OF USE. . . :C OMja
OCCUPANCY GRP.
O'CC;LIPANCY LOAD: .10
rE:NANT NAME. . . :GVNW, INC
Remarks : Tenant I mpr: Add, cle 1 et a int part i i i ons, .add shower room.
lawn a r' : _. ...... _ _ ......._._ . .._._..
GVNW, ENI::
7125 SW HAMPTON STREET
7IGARG OR 972'23
Phone #: 624--7075
D
DGontrac:tor.a
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DI-'hone #t
69645
i
'This rertif.icate t]rantS Occupancy of the abovw referenced building or- portion
thereof and confirms that the bu-' iding has huen inspected for c.crmp.liance with
Ithe Citrate of Orgon Spacialty Codes for the Ur-oup, uc 1_1pG,nCry,'\and lose under
ID whichr•Rfet-enc-ed permit was issued.
1 Bull_rJING INS.Sp'E .JR SUlt_DING OFFICIAL.
I POST IN CONSPICUOUS PLACE
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47
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171 pp
Footing Rain Drain Cover/Service INAL. I a
-Plumb.
Foundation Water Line Ceiling ��
Post/Beam Mech. Shear/Sheath Framing -Mech. 06
,
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. h -
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins. +•
the :
aD A.M _P.M. Entry:
Address: _ 2 �'
_ Ste: MST: er"
Tenant:_ BLIP:
_ q_ MEC: ! `
Co wn: PLM:
THE FOLLOWING CORRECTIONS ARE REQ IRED: ELR:
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or
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Inspec Dat
71-
APPROVED __DISAPPROVED/CALL FOR REINSP. CF CO
NUNN.. _.. ., �ywotniM4"nAUMC4N..bLiAOMFYQ�$ 'j �
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February 16, 1996
City of Tigard
i Building Division t /
13125 SW Hall Blvd. �• s
Tigard, OR 97223 1
Re: Permits BUP92-0291, MEC92-0258
Both of the above permits perwined to the remodeling of offices and the installation of a
shower.
The conFtruction was completed by Randy's Maintenance on Decelnlber 5, 1992. To the
best,of our knowledge, the work was inspected and accepted by your building inspectors.
If you have any questions, please call me at 624-7075.
Sincerely,
G„ri-r
James Durant
GVNW Inc./Management
7125 SW Hampton
Tigard, OR 97223
I:\WGRDUADWITY.DUC
TM c;k'NW IN('/MANAGEMENT
PU. Box 2313199• Portland,Oregon 97281 031NI ',125 ti\C' Ilamlxon -Port Innd.Oregon 97223•(501)624-7075.Fox:(503)624-71376
i
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i
May 17, ;994
CITifOF TIGARD
Leonard Construction & Design, Inc. w'
11200 SW 115th Ave. OREGON
Tigard, OR 97223 _
7125 SW HAMPION ST., BUILDING PERMIT #BUP92-0291
The last inspection conducted on this project was a Gyp Board Inspection on
10/30/92. We have no record of any subsequent or final inspections for this
project.
Please advise the Building Division as to the status of this project within 15
days from the date of this letter. At that time, you may schedule the next
required inspection.
Please note that permits become void if there ha-; not been an inspection
performed for over 180 days. In that case, the Building Division may require
a new application and fees to continue the work. Also, a notice of non-
compliance against the property may be recorded by the City. If you need
additional time to complete the project, please contact the Building Division
so that an extension can be discussed.
i
3 s
� d
Notice.a
13125 SW Hall Blvd„ Tigard, OR 97223 (503) 639-411;1 TDD (503) 684-2T/2 -- ------ -----
'NSPZCTION NOTICE
City of TigArHall
Building. Oregon nt �P39-4171 33125 Sp Ball Hlvd. Ti and n 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone
Inspection:_
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Lina FINAL:
Poet/Beam Strnct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Lino ^Gyp. Bd, rJ -N ch.
Date Requested:_,, -346) '�^ Ti`p'93t,01'4fiPM
Address: / `�/ �* +i _
Builders
THE FOLLOWING OORRZCTIONS ARE REQUIRED:
I
I
Inspecto Z
_APPROVEDDISAPPROVED APPROVED SUB.)EEcT T,) ABOVE
_.____—Call For Reinsp. j
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INSPECTION NOTICE
City of Tigard Building Department
1-412S SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 539-4175 Business Phone: 639-4171
Inapecti.on: =�
Footing 11b -_Undprelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plsub.
Plbg. Underfloor Water Line Gyp. Bd. - ech.
Date Requestediy -36— T AM - PM
Address t PerDmit 1.
--
Builder __ • , f6..a:i � % ra-G�"
j
1HE FOLLOWING CORRECTIONS ARE REQUIREUt
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-- � k.
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Inepectort— _ Date:
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APPROVED DISAPPROVED __ APPROVED SUBJECT TO ABOVE
_Call For Rc-inap.
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•
•
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INSPECTIQN NOTICE
City of Tigard Building Departsbrvit
I
13125 Sid Hall, Blvd. Tigard, Oregon 9i_23
Inspection Line (Rec-n-Phor.e): 639-4175 Business Phone: 639-4171
A
Inspection:__
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
?ound. Plbg. Top Out Gas Line FINAL: •
Poet/Rears p*acct. San. Sewer Framing \ -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requestedg_—Aa ` �� Timet AN pM
Address: / ` - J � gJ^� JyL.[iJ LJ /!eloSt' i� �C.3
Builder: 0� ✓
THE FOLLOW G CORRECTIONS ARE REQUIREP:
Inspector
Date-
APPROVED
ate APPROVED _` DISAPPROVED APPROVED SUBJECT TO ABOVE
T _ —Call For Reinsp.
- AA _
5
}�14Pi"'�M" .1.fi:vi�R(llx��*',A td V�:;;J -,chi. r^.,: i ,•...s.. .,,:., ... , ,.,. ... t "�h4•.
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TUALATIN VALLEY FIRE & RESCUE
AND
BEAVER TON FIRE DEPARTMENT
•
4,55 S.W. Griffith Drive• P.O. Box 4755 • Beaverton, OR 91076• (503) 526-2469• FAX 526-2538
•
October 13, 1992
+wr
Randolph D. Gravelle
P.O. Box 698
Canby, Oregon 97013
w
i Re: GVNW/Management
7125 S.W. Hampton
60.9OB-016-000
Dear Sir:
This is a Fire and Life Safety Pian Review and is based on the
1968 editions of the Uniform Fire Code (UFC) and "hose sections
of the Uniform Building Code (UBC) and Uniform Mechanical Code
(UMC) specifically referencing the fire department, and other
local ordinances and regulations.
Plans are conditionally approved subject to Tigard Building
Department requirements and the following items:
r
.1 . Address Required: The tenant space number must be
prominently displayed on the street front where it is
readily visible to drivers and officers of responding fire
apparatus and other emergency vehicles. UFC Sec. 10,208
2 . Fire ExtincTuisher Requirement_ Not less than one (1)
approved fire extinguisher(s) with a rating of not less
than (*) shall be provided for each (**) square foot of
floor area or fraction thereof. The travel distance to an
extinguisher from any portion of the building, shall not
exceed 75 feet. UFC Sec. 10.303
(*) 2A10B:C - Lie-int and Urdinary Hazard
4A10B:C - Extra Hazard "
(**)
3, 000 - Light Hazard
1, 500 - Ordinary Hazard
1, 000 - Extra Hazard '
"Hlorklna"Smoke Detectors Save Lives
{
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Randolph D. Gravelle
October 13, 1992
Page 2
i •
Note: Where flammable or combustible liquids arcs used, '
"B" ratings of extinguishers may need to be higher and
travel distances shorter. See requirements in National i •
Fire Protection Association Standard 1.0-1 .
If this building is protected by an automatic fire
protection or required fire or smoke detection system, not �.
! addressed on these plans, contact this office before
proceeding. Demolition, .new construction, or changes in
MVAC could alter or eliminate protection from these life
safety systems.
y Approval of submitted plans is not an approval of omissions or
oversights by this office or of non-compliance with any
applicable regulations of local government.
if I can be of any further assistance to you, please feel free
to contact me at 562-2969.
sincerely,
Bradley-N. Wa.namaker
Deputy Tire Marshal
� r
BNW:kw j
cc.: Tigard Building Department '�
a
C
CITY OF TIGARD
s
OREGON
..7
October 2, 1992
i
i
Donna Bishop
j RuthDeun Property Services, Inc.
14420 SW sixth Street
BVeaverton, OR 97005
r
Project: a W, 2nd Fir, BUP92-0291
7125 SW Hampton Street
Dear Ms. Bishop:
The plans for this project were reviewed for conformity with applicable
codes and are approved. If any changes to the mechanical system are to be
made, please submit plans for review. Mechanical and riumbing rernits are
required in addition to a building permit.
You may ret the permits for the project at your convenience. A list of
required inspections is pri ited on each per^iit. Should you have questions,
or if we may be of aaaistance, please contact us.
Sincerely, _
i
im Jaqua//- (;
Plans Sxa(ainer
FAX (503)684-7297
13125 SW Hail Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 694-2772 — -- --- – - -- -
4
i
CIT- YOFTIFARD LRD
*�OMMUNITY DEVELOPMENT DEPARTMENT BUILDING pEm
RT
13126 SW HWl BW. P.O.Box 23397,Tigmd,CW69011 9122I '60 6394176 1
639-4171 DATE ISSUED: 10/02/9c-,
SITE ADDREbS. . . : 071c`3 SW HANPITON ST PARCEL' c 5 10!AC-0 1400
SUBDIVISION. . . . :� BEVELAND NO. ;R ZONING: C—P
BLOC,,. . . . . . . . . . : LGI.. . . . . . . . . . . . .
REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION--
CLASS OF WORK. :ALT F1 R51. . . . I s f N: S: E: W:
SECOND. . . :2000 s f PROTECT OPEN!
TYPE OF USE. . . :COIN1�: W
TYPE OF CONST. .51\1 THIRD. sf N: S. F I RE RET'? -Y
OCCUPIP.NCY GRP. :B2 2000 s f RO0f:-- CONST:13
OCCUPANCY LOAD:20 BASEIVIENT. I sf AREA SEP. RATED:
STOR. : 2 [11". :24 ft GARAGE. . . : sf OLCU SLi . RATE D.-
BSIYIT':' :N 11EZZ`:N REVD SETBACKS---
LEFT: f t RGHT: ft FIR SPKL:N h10K. P.El . - IN
FLOOR LOAD. . . . :UNITS: 50 Psf FRNT ft RE(.',R. ft FIR ALS3RM.;4 HNDICP ACC:Y
FLOOR
BEDRIYIS: BATHS: IIYIP SURFACE-
PIRO CORR:Y PARKING:
VALUE. $ : 7900
Remarks: 'Tenant Impr: Add, del.ete int par"t1tiOns, add shower room.
Owner: FFES
GVNW, INC type aMOLtnt by date recpt
71.25 SW HAHPITON STREET PR1vlT $ 68. 50 J11 10/02/92
PILCK $ 44. 53 ji
_H @9128192 2 3 2 0 9A
J*1GARD OR 97223 5PICT $ 3. 43 JH 10/02/9r-_
Phone #: 624—*7075
Contractor:
RANDOLPH GRAVELLE
P 0 Box 698
------------------
CANBY OR 97013 $ TOTAL
Phone #- 646-0970
Rey #- . : 69645REQUIRED INSPECTIONS
chis permit is issued subject to the regulations cortained in the Framing Ins
Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp board Insp
applicable laws. Ail work will be dont in accordance with cats C e i Ing Trisp
approved plans. This permit . I expire if work is not started Final inspection
within 180 da%,5 of issuance, or if work is suspended for more
than 180 days.
P e r wI i t t e e S i g n a t i.t V,e hv.\*- II-4A\-Iq
-W;
s s 1.1 e d B Y I
ink Ca 1 for n s p e c t i o n 639-4175
y5 :iY.0 X11 ,.OWN
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CITY OF TINA RLQ cj f No
COMMUNITY DEVELOPMENT DEPARTMENT 01K
19126 Sb+'Hall BArd. P.O.Box 23397,Tigard,Oregon 97223 (603)6394175
--- --------------- -- - PERMIT #. . . . . . . . PLM92-0149
639--4171 DATE ISSUED: 1.0/00/92
SITE ADDRESS. . . : 07125 SW HAMPTON ST PARCEL: 25101AC-01400
SUBDIVISION. . . . : BEVELAND NO. 2 ZONING: C•—P
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . :2O
CLASS OF�WORK. . :ALT _ GARBAGE—DISPOSALS. . '_ — — MOBILE HOME. SPACES. :
TYPE OF USE. . . . :COM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . :
OCCUPANCY GRP. , :B2 FLOOR DRAINS. . . . . . . : •T RAE='S. . . . . . . . . . . . . . : _
STORIES-,. . . . . . . . : WA'TER HF.A•TERS. . . . . . : CATCH BASINS. . . . . . . :
FIXTURES-------- --- LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . :
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE: T'RAPS. , . . . . . .
LAVATORIES. . . . . : OTHER FIXTURES. . . . . :
TUR/SHOWERS. . . . : 1 SEWER LINE (ft ) . . . . :
WATER CLOSETS. . : WATER LINE. (ft ) . . . . :
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
Remarks: Tenant Impr: Add, delete int partitions, add shower room.
Owner: F•EF_:i ___....._.._...__._.._._..•___ ...._.
GVNW INC
type amount by da+e r ecpt
7105 SW HAMPTON STREET' PRIvIT $ 25. 00 JH 1O/O2/92 —
PLCK 41 6. 25 JH 10/02/92 —
T•IGARD OR 9702:3 5PCT $ 1. 25 JH 10/O2/92 — tt
Phone #: 624-7075
Contractor,: ---- ---
CHRISTIAN PLUMBING INC
22919 SW STAFFORD RD
TUAL.ATIN OR 97062 __.__.._____.__.___.__.____._.___.._. ___ ____.____—•- i.
Phone #: 638—•E1231 `5 32. 50 TOTAL
.'deg #. . : 42671
---- -- REQUIRED INSPECTIONS — •_.._____
This pereit is issued subject to the regulations contained in the Roogh—in Insp
Tigard Nuniripal Code, State of Ora. Specialty Codes and all other •fop—out Insp
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This persit will expire if work is not started
within 180 days of i!suance, or if work is suspended for sore
than 180 days.
i
Permittee S i g n a t i_t r e :
issr_red By :
L/ Call for inspection — 639--4175
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�i MECHANICAL.
CITY OF TIOARD 7 ]1--
FTWARD PERI*!I T
COMMUNITY DEVELOPMENT DEPARTMEK'rr 100+ PERMIT' #. . . . . . . : hIEC:92-I`258
13126 SW FWI Btvd. P.O.Box x3397.Tipod,OrOgOn 97223(603)634.417b
.�: __ 1E-,7.-_JJ
SITE ADDRESS. . . : 07125 SW HAMPTON `,T. PARCEL: 2S101AC-01400
SUBDIVISION. . . . : BE:VELAND NO. 2 ZONING: C-P
BLOCK. . . . . . . . . . .• LOT. . . . . . . . . . . .
CLASS OF WORK. - :ALT FLOOR FURIJ. . . . : EVAP COOLERS:
TYPE OF: USE. . . . :CON UN IT HEATERS. . : VENT FANS. . . : 1 -
F'1CCIJPANCY GRP. . :B2 VEr ITS W/O APDL: VENT SYSTEMS:
STOFJES. . . . . . . . : c BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL 0-3 HP. . . . : DOMES. 1 NC 1 N:
3-15 1.1P. . . . COMIAL. I NC I N: r
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS: 1
10--50 HP. . . . : WOODSTOVES. . : f
FIRE DAhIPE.R!3?. . :N
GAS PRESSURE. . . JI(li HP. . . . : CLO DRYERS. . : s
NO. OF UNITS- -___.___-..___ AIR HANDLING UN I T 5 OTHER UNITS. ;
TURN ( 1O0K BTU: (_= 10000 cf m: GAS OUTLETS. :
FURN ) =1O0K BTU: > l.i 0@0 cfm:
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Remarks : Tenant Impr: Add, delete int part ° tions., add shower room.Owner: I
__. __.____._.__ ___..______________-- FEES
GVIVW, INC type amount by date recpt
7125 SW HAMPTON STREET PRMT $ 25. 00 JH 10/02/92 -
PL.CK $ 6. 25 JH 10/02/92 -
TIGARD OR 97223 5PCT $ 1. 25 JH 10/02/92
Phone #: 624-7075
Lon-tractor,
CHRISTIAN F11_UMBING INC
22919 SW STAFFORD RD
TUAL-AT 1 N OR 97062
Phone Phone #: 638-8'x'31 $ .32. 50 TOTAL
Reg #. . : 42671
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Me=hanical Insp r
Tigard Municipal Code, State of Ore. Specialty Codes and all other DLtr_t Inspection
applicable laws. All work sill be done in accordance with Final Inspection
approved plans. This permit will expire if cork is not started --
within 180 days of issuance, or if work is suspended for morethan 18@ 180 days. -- ----- —
Permittee Signature : � �_�__
15 s 1.1 e d P y .
a Cell for inspection - 639--4175
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CITY
uiu SW IIa9 awa. PLNCF'./RECT #OF TIGARD PO��■1JJ97 PERMIT # �---�
('OMMUNITY Dl V[ LOPMI?NT DEPARTMENT I Tipf kOregon 472
(503)639-4171 DATE ISSUED
TAX MAP/LO _
JOB ADDRESS: � � ��� '?u., � ��-•��-. � r-v
SUB: LOT: LAND USE. *} APPROVED TO ISSUE k*
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VALUATION: —
OWN_ SPECIAL NOTES.
NAME: V N uj _. REISSUE OF:
ADDRESS: `rye 1 LAST REISSUE: —
FLOOD PLAIN/
PHONE: 'o 1-I --I n J �L _ _ SENSITIVE LAND: _
CONTRACTOR APPROVALS REQUIRED
NAME: Pr rP O-Q(A Iw PLANNING:
i
ADDRESS:^�.O , � x. l�1`� _ ENGINEERING: _
le)�L FIRE DEPT:
PHONE: GGt i G _ OTHER: ,[Yp The
CONTR. BOARD #: EXP DATE: IC
C ,t, 0.%o � .,-- r) , ITEMS kEU'JIRED
SUBCOMTRACTORS: PLUMB: C�cUt` -�t,�`+ - `�'�C� LIST/SUBCONTRACTORS:
MECH: BUS TAX:
AhCN/ENGINEER CALCULATIONS: _
NAME: ' C_ TRUSS DETAILS: _
ADDRESS: 15(0 4' It OTHER: _
M k C\c,0,_w.0,5 0,`ry 1S
PHONE: y I I I _.
PROPOSED BLDG. USE: _ — —
COMMENTS:
i�,Grx:aj
04 Z Cay
APPLICANT SIGNATURE
Recei -d By: Date Received:
•
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAE. DUE
10-432 00 Building Permit Fees �C'�•SSO _
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building
Plumbing _
Mechanical
e
10-433 00 Plans Check Fee !� S�� yL� s3,
Building
P1 umF,i ng
Mechanical
i
10-230 06 Fire
30-202 00 Sewer Connection _
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
25-448-05 Mass Transit TIF Fees
( 52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-�'f5 01 Water Quality (,ee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
1 OTAL AtI,lr _ qqs 3
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nm/3587P.WPF
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CITY OF `C'I GARD .w RECEIPT OF PAYMENT F2ECE T P-r rJO. n 9r:,—Z:322E11
CHECK AMOUNT : 136. 93
NAME' GRAVEt_LE RANDI]I_.PH
q : + CASH AMOUNT s 0. 00
ADDRESS r DSA RANDY' S MAINTENANCE PAYMENT N f DATE c 10/02/90
.'
I PO BOX 699 SUSS f V 191131\1 n
CANDY, OR 9701 .3—
PURPOSE (IF PAYMI—NT AMOUNT PAIL) F'I.IRPOS)E OFF PAYMENT AMOUNT PAwI D
IN
BUILDING PERM DUP92-0291 68. tie ST. BUILD FIE:R
3. 43
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MECHANICAL PW MEC98...0258 25. 00 ST. BUILD PER 1. 25
PLAN CHECK FE C.I. 25 PLUMPING PERM PLM92—•0149 25. 00
�. ST. BUILD Pr-'R 1. M'S PLAN CHECK FE 6. 25
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1 TOTAL AMOUNT PAID —> 136, 143
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CITY � T I C3ARD - RECEIPT OFF �'faYMF PJT
OFRECEIPT NO. 99' i•Sd•�c>Fa
CHECK AMOUNT q 44. '53
s GiFRAI) 'LL_E, F AND(71..PH f�Aril4 faMf�UFJ'T s 0. 00
NAME
1PAYMCN"f DfTtF a 09/;28/92AI)DRE-138 x
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SUBDIVISION o
PURPOSE OF F1faYlrU'NT AMOUNT RAID PURPOSE OF PAYML..N"I" AMOUNT PAID
K''I..AN CHECK FE.._...._._...__� _.._..._._....i+4. :53 _._.._....._.._..._._.-_.__-------........�....-. ...__.__.._..�,_�._..._.. i
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,I TOTAL AMCILINT P011) —> 44. a:3
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