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CITE' OF TIGARD
C:C::Ft'r i F I CATE: UF r
COMMU:JITY DEVtr -3MENT DEPARTMENT OCCUPANCY
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13126 SW Hail Blvd.Tigard,ureg, • ."123*8199 (503)839.4171 PE FiM T T #. . . . . . . a MST 3- kik 19
639•-4171 DATE ISSUEDI :11!05/93
PARCELe 2S104AC-09ROO
SITE ADDRESS d 12466 SW MOONING HILL DR
SUBDIltISION. . . . a MORNING HILL NO 9 ZDNINStR-25 `
BLOCK. . . . . . . . . . i LOT. . . . . . . . . . . . . 1235
CLASS OF WORK. 4NEW
TYPE OF USE'. . . :SF
OCCUPANCY GRP. a R3
C)CCUPANCY LOAD: 116 4
I'ENANT NAME. . . .
Remarkse PATH I
Owners
JAY MILLE=R BUILDER INC
P. O. SOX 23291
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TIOARL OR 97281
Phone Os 6E34-75,+3
dont ract or a
JAY MILLER
PO SOX 23291
T I GARD OR 979" 81
Phone IOs 684-7543
Rep #. . r 301.09
Uvcupanry of the above referenced buiIding is hereby given, and cert ifiesr
the compliance with the Gtat�i Of Oregon Gipwr_ ialty Cosies for the group,
occupancy, and k.ise under which the referencP0 permit was issued.
FIRE DEpAFHV .pDIN0 INGPPC 'OR
PUI�_DINCI F� CIAL
POST IN CONSPICUOUS PLACE_"
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� �,IiBPE:T10N NOTICE
Citi of Tigard Bstildioq t ,'' ,• 4 ' �
13125 Bel Nall Blvd. Tigard, Oregon 97223
y Inspection Line (Aec-O•-Phone)t 639-4175 Business Phonss 639-4171yy I
rInspect ion s_-- — — --
rooting Plbg, Onderelab Hoch. Rough-in App!/Bdalk S
round. Plbg. Top Out Gas Line (tINALt
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Post/Beam etruct. San. Bower Framing -Bldg.
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Post/BeaMach. Rain Drain Insulation
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Plbg. aderfloor Nater Line GYP• Rd. ! d•�
Date Requestedt Time: '- PN r
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Addresss �2 +�`� "VA oY � Permit to -�
Builders
g THE FOLLOWING COAAECTI7Ns AM R>tQtTMDt
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PROVED OI3APPAOVED ` APPROIISD BDH.IBCT TO ABOVR
Call For Reinsp.
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' INSPECTION NOTICE 1
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97,223
Inspection Line (Rec--O--$hone)t 9-4x75 Business Phone: 639-4171
Inspections
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looting Plbg. Underel.,6 Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out (Sas Line FINAL-
Pt-,c/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb. I}t
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Plt-j. Underfloor star Line Gyp. Bd. -Hoch.
Date Requested: � I - Times AM PM
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Addresst "W �.�1��--r--�GT..-Ji Permit
Builders_
THE FOLLOWING CORRFCTIONS ?.RE REQUIRED:
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Inspectors -� 7
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UPROM DISAPPPOVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW 1x11 Blvd.Tigard,Onpon 97223.8199 (503)830.4171
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City of Tigard PLUMBING PER TVI I 1 P!a!117k/Ree. #
13125 sw Ha!! Blvd. APPLICATION Permit # —
Tigard OR 97223
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(.503) 639-4171 _ —
Description
ORS 814-21.610 OTY PRICE AMT
,lob FIXTURES
Address -•• 7-50
avatory
—r u or-Tu itnver ore . 7.50
4// -i'�'l /? A4 rr AM : Shower Only 7.50
'w• �� / ator Closet 7-50
Owner /I? N G K/ //�4 o R"I///C /7, ti Dishwasher 7.50
.,w GarbageISpoiY- --
7 /c /� tZ n CJ l: 9 7 2 z_3 Washing Machine 7.50 --
.,•.(«,.., of 6A —) rain --75-0 --
ater,loator 50
M.J.v — a ry ore I ray 7.50
Occupant Urinal 7.50
therixtures(, a y) 7.SO
.50
7.50
MISCELLANEOUS
Contractor o„ ----- ------T�, --
Sewer 1st 100' 30.00
C.V ••"° Sewer-ea,Addit- 100' 15.00
aterSelvice 1st 100' 20.00
y ackZ=dge that I Rave re this Rpplication. t Water Service ea-Addtt-200' 15.00
Information givers Is correct,that 1 am the owner or authorized agent of
the owner,that plans submitted are in complianco with State laws,that I Stone A Rain Drain Ist!00' 30.00
am registered with the Construction Contrw-toes Board,that the number Stone A Rain Drain Add1. 100' 15.00
given is correct. (If exempt hnm State registration,please give reason
below.) Mobile Home Space 25.00
---- — —��- --ffacA Fd-w Prevention
De600 or Anti-Pollution Dovico 7.50
Any Trap or Waste Not
Corvioi.-Wd to a Fixture 7.50
srxtbe new A iFm alteration repair Basin -7aw0—
t&be clone residential p non-resideotW Q --
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Insp.of Exist.Plumbing per h.
— 40.00
Specialty Requested Inspections I.w for
Exlstina use of Ra Drain.sung
bWdng or prapoity_ _— dwelling 15.00
Residential bacldlow prevoneon
Propo�rid use of devious 15.00
but*V or pr°peiV-- ----
'(- cept residential ec low
prevention devices)
NOTICE •Minimum Fee$25.09 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSiRUCiiON 5%SUPCIIARGE
AUTMOR17ED IS NOT COMMENCED WITHIN 180 DAYS,OR IF - —_
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME iTTER WORK IS PLAN RE_YIc1M1l 25%OF SUBTOTAL
COMMENCED.
TOTAL
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CITY OF T I GARD RF.:1..Fr'I P`f (N: V"AY'ME: N T' RF–CF I Vol No. e93—c-.145684
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NAME a Mr.:NAY, W I t..i_.I CHECK K AMOUNT 0. 00
F#M CAISH NMUliN'r a 20. 00
A1)DRF FS Fl* e I P466 SW MORNING HILL DR V'WYMEN`I' DATE'E:' a 11./03/93
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1 1.1F2F='CI!,F: CIF' PAYMENT WMIJUN I F••'W'.E E.) I'l.iF214:1�:F' OF PAYMF N I WMCi1JN 1 FEW t) y
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F"1..1JMB I P40 Pl"RM PF_A9 3—OP45 1;'i. 00 Fi T. 13011 E') 1"'F-.F2
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TOTAL AMOUNT PFI1 I) ) (5. 75 I''1
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INSPECTION NOTICE
Citi of Tigard Building Departisent +
1.3125 sW Ball_ Blvd. Tigard, Oregon 57223 1
Inspection Ling (Rec-O-Phon®)s 639-417° Business Phone: 639-41711+
Inspectiont
Footing Plbg. Underslab Mach. Rough-in r/Sdwlk
Found. Plbg. Top Out Gas Lino FINAL: a
Poet/Beam Struct, San. Sower Fr+uoistg -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nato! Linin Gyp. Rd. - h• � 1'
FI1 �
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Data Requested:
Addroees .) Permit t � G7g1`J
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THE F--IOLLIA)WINO CORRECTIONS ARE REQUIREDS
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Yc Inspector: '�,V1 L1.5 _ Dates ____ �
APPROVED DISAPPROVED APPROVED SUBJE!T TO ABOVE
Call For Reinip.
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INSPECTION NOTICE
City of Tigard Building Department V J
13125 811 Ball Blvd. Tigard, Oregon 9722 /
Inspection Line (Ree-O-Phonw): 639-4175 Business Pho s 49-4171
Inspection:,_
Tooting Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gan Line FINAL:
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Past/Beam Struct. San. Sewer Framing -Bldg.
Post/Boam Mach. Rain Drain Insulation -plumb.
Plbg. Underfloor Nater Line Gyp. Bd -Mach.
Date Requester/"�" AAl�� �I�� y, Time ILCLP AM a PN
Address e z q(rb IvyJ'hIIM V�1 Q 1 Permit
Buildert'j4LI:
THE FOLLOWING 00tR11CTIOMS ARE REQUIRED:
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tlf` q�x Inspector:
—_L— HROVEb DISAPPROVED APPROVEb fiU4;7RfT TO ABOVE
Call For Reinsp.
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INSPECTION NOTICE
cLtF of Tigard Building Department
13125 SW Hall Bled. Tigard, Oregon 97223
Inspection Line (Rer-.-O-Phons)c 639-4175 Businesn Phone: 639-4171
Inspection: t
Footing Plbg. Underslab $&ch. Rough-iri' Appr/sdwlk
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Found. Plbg. Top Ont Ole LiriB \a FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -plumb.
Plbg. Underfloor Kiter Line Gyp. Bd. -Mach.
Date Requested: I 1 3 Timet
Address: <' A h^(a' Vl ^v��v'c ( Permit !o`"1 l_ —
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THE FOLLOWING CORRECTIONS ARE REQUIREDI
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Inspector:__----_
-✓_APPROVED -� DISAPPROVED APPROVED SUBJECT TO ABOVE. a
Call. For. Reinap.
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INSPECTION NOTICE
City or Tigard Building Department
13125 BW Val.l Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Ihone)s 639-4175 Business Phoney 639-4171
Inspections
Footing Plbg. Unde-elp.L, Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL.:
Post/Beam Struct. San. Sewer Framing -bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line cyp. Rd. -Mach.
Date Requested: n, / [ ( Times AM PM
Address: (ArX�-i� .!/ '1A Permit
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Bulkier:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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In"ctor: bate:�_3��
APPROVED ,IISAPPROVEO APPROVED SUBJECT TO ABOVE
k, Call For Rainap.
INSPFCTION NOTICE
City of Tigard Building Department
13175 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mach. Rough-in—) Appr/Sdwlk
Found. PTop Out Gas Lina FINALS
Poet/Beam Strur_t. San. Sewer ( Framing -Bldg.
Poet/Beam Mach. Rain Drain \Insulatioa -Plumb.
Plbg. Underfloor water Line Gyp. Bd. -Mach.
Date Requested: Times AM _ PM
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Address ��_7 / _ / G Permit fs / Jy /
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: ^ates
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-APPROVED _ DISAPPROVED APPROVED SUBJY.CT To ABOVE
Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Depwctsent
13125 611 Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)I 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mach. Rough-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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Plbq. Underfloor Natter Line Gyp. Bd. -Koch.
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Date Requestedi 1 --TIM I IL� _AM /1 (� PM
6� _\�1�1V, Permit #I ` 3 U,1 (.-\
Addressl
Buildert
TNR FOLLMING CORRECTIONS ARE REQUIRED: 7
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Tnepector: �-_---._—_—/.--. Date•
APPROVED DISAPPROVED W APPRu '^n 6UBJE!`T TO ABOVE
Call For Reinep.
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INSPECTION NOTICE
City of Tigard Building Departeeat
-7125 SW Ball Blvd- Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ P,
Footln7 Plpq, Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbq. Tc,p Gas Line FINAL:
Post/Beam Struat. San. sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Ply,
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Plbg. Dndwrfloor Water Line Gyp. Bd. -Mach. i.
Date Requested: _
Address s_\� 'V
nn\d1(V����r1J� l' ��r i Peron toJ3 (9
Builder,,
THE FOLLOWING CORRECCIms ARE REQUrRED:
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APPROVED DISPf:J�'Ph APPROVED S09.TECT TO AaMN 1
_Cal] For Reinsp.
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r• INSPECTION NOTICE
11 City of Tigard Building Depertecent
13I25 811 Ball Blued. Tigard, Oregon 97223
Inspecti,n Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspections
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Footing Plbg. Underslab Mich. Rough-in Appr/sdwlk ,
Found. Plbg. Top Out Gwa Line FINAL:
j' "Mrs Post/Beam Struct. !an Framing -Bldg. f2 ,
ate+4+� fw
post/Beam Hoch. Rain Drain Insulation -plumb.
Plbg. Underfloor Wartier Line Gyp. Ed. -Hoch. q
Date Raqueetedc r Time: __AM PH
Addrees:�.�" Mit
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Builder:
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THE FOLLOWING CORRECTIANS ARE REQUIREQ:
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Inepsctorf
Date:
t.; APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
F Call For Reinsp.
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INSPECTION NTICi
City of Tigard Bu la .aq Depart—Ut I
13125 aw Ball Blvd. Tigard* oregim 97123
Inspection Lina (Rec-O-Phona)s 639-4175 Business Phones 639-4171
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Inspections '
looting Plbg. Onderslab Nech. Rough-in appr/sdwlk
loin, P1 Top Out Gas Line FINALS
Post/Beam Btruct. n � '!�- Framing -Bldg. .
Post/Beam Mach. 1.Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line Gyp. Bd. -Koch.
Date Requested: i 1 j /� TLMv AM I PM
Addresses_ ( Z � 1 �fYf/�lLyfV �6 Permit 1s '-/-3 �-'
Builders
THE FOLLOWING OORRSCTIONs ARE RRpOIREDt
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Inspectors !' Datet
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APPROVED urs"PROVED APPROVED BDBJECT TO ABOVE
Call For Reinsp.
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INSPECTION NOTI� /
City of Tigard building Department
13125 SM ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-IO-Phono)s 639-4175 Business Phonal 639-4171
Inspections
Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Boas Struct. San. Bawer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line/ Gyp. Bd. -Noch.
Date Requesteds f Times _,) PM
Address: lP A A Permit
Builders
TBR FOLLOWING CORRZCTIONS ARE REQUIRED1
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Instmectors / Datae_ t
APPROVED DISAPPROVED APPROVED SUBJECT TO ASOVE
_Call For Reinsp.
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INSPECTION NOTICE
City of Tigard Building Department C
13125 BR Ball Blvd. Tigard Orogon 97223 i
Inspect�IQn Line (Rec Phone): 639-4175 BusinePhones 63 4171
Inspection: `;�� ��-(�) . 4 s <• r. i
looting Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
round. Plbg. Top Out Gas Line rINAL:
rty rtsa"r Post/Nero ftr San. Sewer Framing -Bldg.
Rain Drain insulation -Plume.
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Plbg. Underfloor Nater Line Gyp. Rd. -mech.
Date Requwsteds Time: _. AN,/_ PN
Addressy V\'k UMiI 1.&l �M- Permit r s ' 1 ✓ - n�7 l
Builds, a..., M�_l�ay" Ap t r 7:6'1 7/
TBE rOLLONINO CORRECTIONS ARE REQUIRM
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Inspectors_ �_ Date:,
APPROVED ^� DISAPPROVED __APPROVED SUBJECT To ABOVX
Call For Rainsp.
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j(�gPacr�ON NOTI4$
City of Tigard Building Dep-t—nt 1
13125 sw Ball Blvd. Tigard, Oregon 97223 i t
Inspeet:on Line (ROC-O-Phone)s 639-4175 Business Phones 639-4171
Inspections,_._f_00__�`_i,
1
,kppt � Plbg. Underslab Hoch. Rough-in Appr/Sdwlk i
Plbg. Top Out Gas Line sINALs 1 '
sound.j `�4
M.
framing -Bldg. b�t;
post/Beam Struct. San. Sewer �d
-Plumb.
Post/Beam Neth, Rain Drain Insulation
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-Koch. a�
Plbg. Underfloor Nater Line Gyp. �'
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Times
Date Requesteds _
l -Y VN V"! �. �y Permit
Address l�-�
Builders
TBE VOLLONING CORRECPIONS ARE REQUIREDs
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Inspectors Data s
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y APPROVED LISAPPROYED APPROVED SUBJECT To ABOVE
f Call For Reinap.
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CITY QF TIG_ ARD
COMMUNITY DEVELOPMENT DEPARTMENT
13129 BW Hall Blvd.Tigard,Oregon 07223.6100 (503)630-4171
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CI1Y OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)83{14171
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CITY OF TIGARD
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COMMUNITY DEVELOPMENT DEPARTMENT DA iE i'SS?Jf�ID t 06 '03 9
v 13125 BW Hall Blvd.Tigard,Orpon 97223.0199 (503)639.4171
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This Pppiir ': agreew it rmiv WWI ail the o atiee and rrg'alatzan,
of the U;iif:eo Sewage Agerc ' :,it pewait expir`ts 180 days froe
the drltc zssaev, ;mi t,tai avount paid rails be fu!•fs;teu it
pa,-ut expires. the Agency does not guar€ntee the acr.ueo,ri ;)f t7e
W# sewer iaterais. if the sere!* i, nut iceateo at t',e reasa eHer;t
tin, tre snstailte 51"aii proiimt ' feet in air directions frog
distance gi''n• if not �o i%,"ter., the insta.lito sha:i pur.r.hase --
78(1 aid ,.:de Sewer Per°e,. ?ntf .hr O.r' . . W01 i—t-i
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'CITY GF TIGARD T � 9 PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT
("3)63-"" DATE ISSUED
JOB ADDRESS: 12'- LD(o- 'bN( MorninQ NTLI -DR TAX MAP/LOT ZS 0fzv`0
SUB: N1ornmjnL)-Z-*E_ LOT: Z35 rYl H LAND USE: -d S
VALUATION: ?y zbr•
OWNER SPECIAL NOTES
NAME: �— CTREISSUE OF: z27 -0/ Z'
ADDRESS: pU I�rS 2'�2-c1 I LAST nEISSUE:
J10Awtol or ll,� 6 I FLOOD PLAIN/
PHONE: 1��� SENSITIVE LAND:
CONTRACTOR APPROVALS_REQUIRED
NAME' -- 4 LLA-LL, I VlL PLANNING: ju� oLA�I
ADDRESS: ENGINEERING:
_ FIRE DEPT.
PHONE: -" OTHER:
CONTR. BOARD #: X50 IL) � EXP DATE: 7•_
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: br-r-1-1 Wafi`_�) LIST/SUBCONTRACTORS:
MECH: BUS TAX:
!
�RCH/ENGINEER CALCULATIONS:
NAME: TRUSS DETAILS:
ADDRESS: _ OTHER:
PHONE:
PROPOSED BLDG. USE: r f l «53-1 `�w T�tc� L� • _
COMMENTS: ')7 0U)
APPLICANT RI NATURE
Received By:--�- Date Received:
H?. 1 44 !'
PkGfr'+
n ....,. r�M�pn9fMreN.^Mwnre.
PERMIT k ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
fn 0 10-432 00 Building Permit Fees .3 73. _
10-431 00 Plumbing Permit Fees
_ 10-431 01 Mechanical Permit Fees �� �y �o ��
10-230 Ol State Building Tax (5%)
Building
Plumbing
Mechanical
10-433 00 Plans Check Fee 0
Building
Plumbing
Mechanical
10-230 06 Fire
s,;,, L3-Q 355 30-202 00 Sewer Connection `z �Lr __- z
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 u 1
1
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC) c� 0 _
i31-450 00 Storm Drainage Syst Dev Chrg
I �
(SSDC) --y _ —
i
24-445-01 Water Quality (I-ee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL
nm/3587P.WPF
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i
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CITY OF T I GARD - RECEIPT OF PAYMENT REC:E I PT' NO. :c),3-24286-1
CHECK AMOUNT : 5110. 56
;NAME : MI1_'._F..R, JAY CASH AMOUNT 0. 00
ADDRESS PAYMENT DATE 06/03/93
SUBDIVISION
1
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PPTD
13
___ _I.JTL_DINQ PERM —_ 373. 00 PLUMBING PERM___ 125.-00
MECHANICAL PE 40. 50 ST. BUI1_D PER 26. 9::1 •.•
I"'l._AN CHECK FF' 10. 13 SEWER USA 2200. 00
'JEWE R INSPECT PECT 35. 00 PARKS SDC 500- 011)
ITORM DRAIN SDC 280. 00 RESIDENTIAL TRAFFIC FEES 1410. 00
MASS 'T'RANT,I T TIF FEES 110. 00
1 .O'T' 235 MORNING HILL_ 9 4
i 2466 SW MORNING HILL DR
i
TO'T'AL AMOUNT PAID 5110. 56 R
I
CITY OF T I GARD - RECEIPT OF PAYMENT RECEIPT NO. :93-242544
CHECK AMOUNT : 290.00
NPME : MILLER, JAY CASH AMOUNT : 0. 00
(A)DRESS PAYMENT DATE : 07/2e/93
SUBDIVISION
i
PURPOSrH OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
F!I.AN CHECK F1 W 50. 00 PLAN C",HECK FE; 40. 410
I
N1.01- 246 MORNING HILL 9: 12650 SW MORNINC3 HILL DR Z5V
I..0-f' 235 MORNING HILL 9: 1P466 SW MORNINGS HILL DR Jwgo
s'I'OTAL AMOUNT PAIL) -- ._ - -? 290. 00
1 .
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