13061 SW MERLIN PLACE 0371d UIPOW /VAS ME
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13061 SW MERLIN PL
CITY OF TIGARD BUILDING INSPECTION DIVISION �nt24.4our Inspection Line: 639- 1176 Business Line: 639-4171
-Date Requested .�` >= AM_ PM _w aLD ----
Location cc) ` E�/�AJ �_-,/� _ Suite --- MEC — —�
Contact Person Ph _ _— PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC ^_ _—
Retaining Wall — ELR
Footing Access:�—
Foundation FPS
Ftg Drain -- SGN
Crawl Drain Inspection Notes: -
Slab -___ -- - SIT
Post&Beam — -
Ext Sheath/Shear
Int Sheath/Shear - •n-
Framing
Insulation
Drywall Nailing
Firewall
Fire Alarm Ala
Fire rm_
Sus{�d Ceiling
Roo
Mise _ --------- _— - -- —
Final
PASS PART FAIL --- --------- - -- --- --- --
N
Post 8 Beam - _-- -- ----_ '-
Under Slab -__-
Top Out
Water Service ----- A _ -- -- - -_--
Sanitary wer ---- - -- — -- ----_-- _—_—___ ___—
anDrans
-rna
ASS PART _ FAIL
liANICAL
Post&Beam -
Rough in
Gas Line --
Smoke Dampers
Final -
PASS PART FAIL
ELECTRICAL
LService - -- ---- — - - - - - -_-
Rough In
W UG/Slab
} Low Voltage -
k Fire Alarm
Fina'
im PASS PART FAIL - -- — - -- -
W SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ]Reinspection fee of; _--required before next inspection. Pay at'.;ity Hall, 13125 SW Hall Blvd
C itch Basin [ ]Please call for reinspection RE:- - _-_-- � ]Unable to Inspect•-no access
Fre Supply Line
IADA
^pnroach/Sidewalk Gate � J Ext
'
Other �15/( \ Innpectar
--
Final
PASS PART FAIL DO NOT REMOVE this Inspection record frolm the job site.
Mir 13 01 OStOur TRC ENG.Vatin6. l110. so3-674-8872 }r. 1
TRC EXCA VA T7NG, .IIVi- PAKBOX 23"
Y� 9oux�n
10 Whoat it msy aonrxm.
7be Mowing is a brWdesoriptkm ofthe storm do in on buWisg 011 at the Bmw=;Rxw
Quail Flollow site. We extended the b Mich pipe chmBkB to AAS a:the 000e01611. Rom the
Ferrsr connwinn we ran the pipe tip towards the buwldk*%jib a wye off to the left lbr UW fi+ont
rain dreims fnllowed by a wye to the r*M for the footitee drain makWS sure that there w"alvMI
M positive now. lfyt)u have any questions pita:*Call me at 503-577-0293.
TAsnic ynu
Biel Tleomes
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CITY OF TIOARD BUILDING INSPECTION DIVISION MS-t ,;�,�� -.:✓v Zs
24-Hour Wspection Line: 139-4175 Buviness Line: 639-4171
L3111a .,
Date Requested 2 —/ -
Z--, AM— PM BLD
Location_ / -30 6 -el 6 !7 _ Suite _ MFG _—
Contact Person _ Ph --_— PLM
Contractcr Ph SWR
BUILDING � Tenant/Owner ELC — ---.---
Retaining Wall� -- ELR —
Footing Access:
oundation FPS
Ig Drain SGN
Crawl Drain Inspection Notes: -
Slab -- SIT
Post 8 Beam ----
Ext Sheath/Shear
Int Sheath/Shear
Framing _-
Insulation
Drywall Nailing
Firelvall
Fire Sprinkler _
Fire Alarm
Susp'd Ceiling _--_-
Roof 4 � 7
Mise - -
Final -
PASS PART FAIL ---- --
PLUMBING
Post A Beam --- - - --
Under Slab _
Top Out -� -
Water Service
unitary Sewer
Rain Drains
Final .—
PASS PART FAIL
MECHANICAL
Post&Beam --- - --
Rough In
Gas Line ----- - -�
Smoke Dampers
Final -- -�---- - -- - ----
PAS ART FA;L
LEL - -- ---- --
L Service -._---•____--
C Rough In
UG/Slab
Low Voltage
larm
J
0 PASS PART FAIL __ _-
9 g
Bsc!fiil/Grading
Sanitary 3 ewer
Storm Drain [ ]Reinspection fee of$_ required before next inspection. Pay at City Halt, 13125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection RE:-._ _- [ I Unable to ire ned-nn access
Fire Supply Line
ADA
Approach'Sidewalk Date����p v r Inspector _ ,;� ExtOther --- -�-- --- -- —
Final
PA88 PART FAIL_ DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD BUILDING 'MPECTIG34 DIVISION
24-Hour Inspection Line: 639-4176 Business Line: 639-4171
./
— Date RequestedBUP�� L AMy _PM BUP
BLD
Location D G/ 5 Suite _ MEC _
Contact Person Ph PLM
Contractor_ Ph SWR
Tenant/Owner _ ELC
Retaining Wall _ ELR
Footing Access'.
FPS
Ftg Drain
Crawl Drain Inspection Notes: ShN _—— _---
Slab -- ___--— SIT
Post&Besm —
Ext Gheath/Shear
Int Sheath/Shear
Framing
InsulationDrywall Nailing
Nailing
Firewall --
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling
Roof
ina
PART
Post&Beam -- -- — -- --- -- --- __
Ugder Slab
Top Out
Water Service
Sanitary Sewer -- -----__ — _
Rain Drains
PASS PART FAIL
Post& Beam — --- - - -----_
Rough In
Gas Line
oke Dampers
Fin
A PART FAIL
ELECTRICAL ---._.d._�--___.
L Service
1: Rough In
n UG/Slab -----.---_-
� Low Voltage �—�--- _-- �"—�
Fire Alarm
J Final
PASS PART FAIL
a SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ J Reinspection fee of _ —required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Bas'i [ ]Please call for reinspection RE:
Fire Supply Line _ _.__..____ [ J Unable to inspect-no access
ADA ,n
Approach/SidewalkDate d • (,� �- Ext3 r
Other Inspector _
Final
PASS PART FAIL J DO NOT REMOVE this Inspection record from the fob site.
CITY OF TIGARD
13125 S.W. HALL BLVD.
TIGARD, OR 97223
IMPORTANT PERMIT NOTICE
STREAMLINE ELECTRICAL
6017-B F_AS.' 18TH STREET
VANCOUVER, WA 98
Electrical Signature Form
Permit#: MST2000-00256
Date Issued: 8/15/00
Parcel: 2S104DA-12300
Site Address: 13061 SW MERLIN PL
Subdivision: QUAIL HOLLOW -WEST
Block: Lot: 109
Jurisdiction: TIG
Zoning: R-4.5
Remarks: SFD - Rowhouse - Lot 109 - Plan C-NB - Setbacks as per site plan.
Your company has been indicated as the electrical contractor for the permit indicated above. In order for the
electrical permit to be valid, the signature of the supervising electrician is required. Please have the
appropriate individual from your company sign below and return this Electrical Signature Form prior to we
siart of the work to the address above, ATTN: Building Dept.
No electrical Inspection=will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
BROWNSTONE HOMES LLC STREAMLINE ELECTRICAL
12670 SW 68TH PARKWAY 6017-B EAST 18TH STREET
PORTLAND, OR 97223 VANCOUVER, WA 98
Phone #: 50.3-598-7565 Phone #: 360-993-5080
Re- #: LIC 1111314
ELE 34-432C
L_ SUP 21975
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AN INK SIGNATURE IS REQUIRED ON THIS FORM
Signature of Supervising Ele ncian
If you have any questions, pit call (503) 639-4171, ext. # 310
CITY OF TIGARD BUILDING INSPECTION DIVISION
�
Q--"24-Hour Inspection Line: 639-4176 Businesr Line: 639-4171 ST ✓-00 SG
i BUP
Date Requested AM _PM BLD
Location_1 3 o 6( -S t,✓ M�r�l� � Suite �.1�" MEC -
Contact Person Phi_ 7 � PLM
Contractor Ph _ SWR _
Tenant/Owner _ --
Retalning Wall ELR _
ndAccess:
ouation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab _ _ SIT
Post&Beam r'-
Ext Sheath/Shear
Int Sheath/Shear
Framing _ -r ,� ~S Til _
Insulation ' -
Drywall Nailing 4-
Firewall
Fire Sprinkler 4E5 S-
Fire Alai r.1
SuQp'd Ceiling _
Roof
Misc: -- - ���
Fr
PASV PART --
PLIAIBING
Post&Beam — -- -�--�—
Under Slab
Toa Out
'Nater Service
Sanitary Seyrac
Rain Drains
Final
PASS PART FAIL.MECHANICAL
Post
Post R Beam
Rough It,
Gas Line
Smoke Dampers
Final - -- - ---- —-------- ------
PASS PART FAIL
ELECTRICAL
eL Service
Rough _ —
N
UG/Slab
Low Voltage --
Fire Alarm
Final
m P S PART FAIL _—
C7 IT
W Backfill/Grading
Sanitary Sewer P 00
Storm Dram [ ]Reinspection fee of$ --required before next inspection. Pay at City Hall, 13125 SW Nall Blvu
Catch Basin
Fire Supply Li [ Please call for reinspection RE: [ ]Unable to inspect-r access
ne
ADA
oac /Sidewalk Date �_�_Inspector�� �--� Ex `~f
Final
A PART FAIL DO NOT REMOVE this inspection record from the job site.
Gct-09-00 10:23A Wolcott Plumbing 603 667 11891 P.Ol
cm,OC TIOARD
13116 S.W.HALL BLVD.
TICARD,OR 97223
IMPORTANT PERFAIT NOTICE I
CROMWELL PLUMBING
30666 S KAUFMAN RD
CANBY, OR 97013
Plumbing Signature Form
Pencil#: UST2000-002'6
' Date leuwed; 8115M
P=W: 23104DA-12300
' Site Addrem: 13081 SW MERLIN PL
SuhdtWelon: QUAIL HOLLOW -WEST
Block Lot: 109
Jurisdkilon: TIG
Zoning: R-4.5
Rwrlerke: SFD-Rawhousee -Lot 109 -Plan C-018 -Setbacks ss per site'plan.
IYour company ham been indicataed as the plumbing corltro0or for ttw peirrrit Ind-"ted above. In ortier for the
Iplumbing perrm to be vakl, plause have they appropriate Individual from your company sign below end return
j#Js Plumbing Signature Form prior t�,N thn start of the work to the mddrerss above, AT7W: 13u ldiing Dept_
No plumbing Inal oeatloas wel bo authori"d until this cofneleted form Is received
i
OWNER: PLUMBING CONTRACTOR: a)vL� Q��1mAti,34
BROWNSTONE 140MES ti C -L t'
A!670 SW 65TH 7AIIKWAY f 0 6" /tm1
;W
PORTLAND, ^`Y 572.23
Plume 0: 503-585-21505 Phme#: TKO (gid?)-to(O l l"1b 1
Hep,#: I,IC
PIM ��
AN INK SIGNATURE 16 REQUIRED ON THIS FORM
3ignu utt zed Plumhwr
If ym hinve any questions. please call(503)ON-4171,ext. 6 310
I
I
to In rid ie:it 00/00/01
CITE' OF TIGARD BUILDING INSPECTION DIVISION MST.;?*" •Z
24-Hour Inspection Line: 639-4175 Business Line: 639-41171
BUN
Date Requested AM z''_ /
PM SLD
Location Suite MEC
Contact Person T' Ph -- PLM
Contractor Ph SWR _
BUILDING Tenant/Owner ELC —_—
Retaining Wall _----- EI_Ft
Footing Access:
Foundation FPS
Ftg Drain
SGN
Crawl Drain Inspection Notes:
Slab _ — SIT
Post&Beam
Ext Sheath/Shear _
Int Sheath/Shear
Framing _—
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc
Final —
PASS PART FAIL —
PLUMBING
Post&Beam
Under Slab
Top Out — — — —
Water Service
Sanitary Sewer -- _ —
Rain Drains
Final ---
PASS PART FAIL
MECHANICAL
Post&Beam --- —.-----__ ___-------- _ — __
Rough In
Gas Line --
Smoke Dampers
Final -- ------ — ---- —
PASS PART FAIL
ELECTRICAL — —— —
Service _� ------- —
Rough In
UG/Slab
Low Voltage ---
Fire Alarm
Final
PASS PART FAIL
a Back i GFIM rg -- — ---- —--
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required bofore next inspection. Pay at City Hell, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE: [ ]Unable to inspect- no access
6pp-_oArtLSidewalk _ Date /A/1 a/ Inspector AZV_l�'`__ Ext
Fi
A PART FAIL DO NOT REMOVE this Inspection record from the job site.
I�� O� �'���� - MASTER PERMIT
PERMIT S. MST2000-00256
DEVELOPMENT SERVICES DATE ISSUED: 8/15/00
13125 SW Ball Blvd.,Tigard, OR 97223 (503)639-4171
SITE ADDRESS: 13061 SW MERLIN PL. PARCEL: 2S104DA-12300
SUBDIVISION: QUAIL HOLLOW- WEST ZONING: R-4.5
BLOCK: LOT: 109 JURISDICTION: TIG
REMARits: SFD - Rowhouse -Lot 109-Plan C-NB - Setbacks as per site plan.
BUILDING
REISSUE: STORIES: 3 FLOOR AREAS REQUIRED SETBACKS REQUIRED
CLASS OF WORK: NFW HEIGHT: 26 -- FIRST: 321 a1 BASEMENT: of�^ LEFT: SMOKE DET!:CTCRS: Y
TYPE OF USE: SF FLOOR LOAD: 40 SECOND: 717 a1 GARAGE: 110 of FRONT: PARKING SPACES:
TYPE OF CONST: 5N DWELLING UNITS: 1 FINBSMENT: 557 of RIGHT:
VALUE' f 123,107.00
OCCUPANCY ORP: R3 15DRM: 3 BATH: 3 TOTAL: 1,62300 of REAR:
PLUMBING
SINKS: 1 WATER CLOSETS: 3 WASHING MACH: I LAUNDRY TRAYS: RAIN DRAIN: TRAPS-
LAVATORIES: 3 DISHWASHERS: I FLOOR DRAINS: SEWER LINES: sr RAIN DRAINS: CATCH BASINS:
TUSISHOWER& 2 GARBAGE DISP: 1 WATER HEATERS: i WATER LINES: eCKFLW PRFVNTR: GREASE TRAPS:
OTHER FIXTURES:
MECHANICAL
FUEL TYPES FURN<100K: BOI0CMP<3HP: VENT FANS: 3 CLOTHES DRVFR: 1
ELF FURN>000K: UNIT HEATERS: HOODS: OTHER 1:
MAX INP: btu FLOOR FURNANCES: VENTS: WOODSTOVES: GAS OUTU-,9;:
ELECTRICAL
RESIDENTIAL UNIT SERVICE FEEDER _TEMP SRVC/FEEDERS BRANCH CIRCUITS KISCELLANI?OUS ADD'L INSPECTIONS
1000 SF OR LESS: 1 0 - 200 amp: 0 - 700 Imp: W(SVC OR FOR: PUMPtIRRIGATION: PER INSPECTION:
FA ADD'L 500SF: 3 201 400 amp- 2n1 - 100 amp: tat W/o SVC1rDH: SIONIOIR LIN LT: PER"OUR:
LIMITf6 ENERGY. 101 - 600 amn: 101 -600 amp: EA ADC 3R CIR: SIGNALIPANEL: IN PLANT:
MANU HMISVCIFDR: 601 - 1000 amp: ldlgmpa-tOJOv: MINOR LABEL:
1000.amptvott:
PLAN REVIEW SECTION
Reconnect Doty:
>+1 RES UNITS: SVCIFDR-273 A.: "0 V NOMINAL: CLS AREAISPC OCC:
_ ELECTRICAL-RESTRICTED ENERGY
A.SF RESIDENTIAL S.COMMERCIAL
AUnIO It STEREO: VACUUM SYSTEM: AUDIO&STEREO: FIRE ALARM: INTFRCOM/PAGINO: OUTDOOR LNDSC LT:
BURGLAR ALARM: OTH: BOILER: HVAC: LANDnCAPE11RR1G. PROTECTIVE SIGNL:
GARAGE OPENER: CLOCK: INSTRUMENTATION: MEDICAL: OTHR:
HVAC: DATAITELE COMM: NURSE CALLS: TOTAL 0 SYSTEMS:
Owner: Contractor: TOTAL FEES: : 2,946.62
This permit is subject to the regulations contained in the
BROWNSTONE HOMES LLC BROWNSTONE HOMES,LLC Tigard Municipal Code,State of OR. Specie'ty';odes and
1?670 SW 68TH PARKWAY 12670 SW 68TH PKWY all other app,ti ebb laws. Ali work wilt be done in
PORTLAND,OR 97223 PORTLAND,OR 97223 accordance with approved plans This peanR will expire N
work is not started within 180 days of iss,janoe,or if the
work is suspended for more than 180 d,ys. ATTENTION:
Poona: Phone: Oregon law require,)you to Iolk3wrules adopted by the
Oregon Utility Notification Center. Those rules are set
Rea 9: LIC 121627 forth in OAR 952-001-0010 through 952-001-0080. You
may obtain copies of these rules or defect questions to
OUNC by calling(503)246-1987.
REQUIRED INSPECTIONS
Sewer Inspection Plmlundslab Insp Framing Insp Firewall Insp Appr/Sdwlk Insp
Footing Insp McLoanical Insp Shear Wall Insp Rain drain Insp Electrical Final
Foundation Insp Plumb Top Out Exterior Sheathing Insl Roof Nailing Mechanical Final
Slab Insp Electrical Se.-vice Insulation Insp Water LIIIe Insp Plumb Final
Underfloor insulation Electrical Rough In Gyp Board Insp Water Service Insp Final inspection
Issued By : �1 C Permittee Signature "if ZZ2_1
Call(503) 63W-4175 by 7:00 p.m.for an Inspection needed the next business day
CITYOF TIG ARD i SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2000-00205
13125 SW Hell Blvd.,Tigard,012 97223 (503) 639-4171 DATE ISSUED: 8/15/MQ
SITE ADDRESS; 1306i SW MERLIN PI_ PARCEL: 23104DA-12300
SUBDIVISION: 00AIL. HOL_I.OW- WEST ZONING: R-4.5
BLOCK: LOT: 109 JURISDICTION: TIG
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SFA NO.OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: SEWER CONNECT FOR NEW SFA
Owner: _ r FEES
BROWNSTONE HOMES L.I_C
12670 SW 68TH PARKWAY Type By Date _ Amount Receipt
PORTLAND, OR 97223 PRMT RCP 8/15/00 $2,300.00 0004505
INSP RCP 8/15/00 $35.00 0004505
Phone: 503-598-7565 Total $2,335.00
' Contractors
Phone:
ig#:
Required Inspections
Sewer Inspection
This Applicant agrees to comply wit;i all the rules and regulations of the Unified Sewage Agency. The permit expires
180 days from the date issued. The total amount paid will be forfeited if the permit expires. 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 located, the installer shall purchase a"Tap and
Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling(503)246-1987. _
Issued by: Permittee Signatur
Call(503)639-4175 by 7:00 P.M.for an Inspection needed the ndxt business day <
CITY OF TIGARD Residential Building (Permit Application Plan Check -
13125 SW HALL BLVD. New ConstructionRec'd ByDate Recd_ 7-1 O
TIGARD, OR 97223 Single Family Attached Date to P.E. -2.5-0.0 c
V 503-639-4171 Date to DST
F 503-684-7297 h / Permit#PGd -vez54
Print or Type Called TpM //S
Incomplete or ills ible applications will not he accepted
_ _ c.t/ tZ 2 m t)y -EO Z Q 5-
- —� Name of Project Nai
Job 0A L alluI Oq
Architect M ilin?Address ^
Address Site Address p �t�yI / 5040AIA AW
ameo� ( 411, LY1 r h) f �i C7 ''Sta�-/�tat Ns A zip P�,7-Ora2
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Owner 'hng Address '��� ���✓ �• �-
�- 1 Engineer Mailing Address
!State MV 00F7R � P �7SrS i0#� W IUiM�s rw�
Name _ y /star 97.�Z X39933
General (N� _
Contractor `�jEf�3tAr6i�9JE {�r�tut �� Describe work New. Addition O Alteration O Repair O
Mailing Address to be done
Prior to permit 7— V lOQI--04' �A/1-k W Additional Description of Woric:� hj rC t:
issuance,a copy ity/state Zi Ph�nen ------ -
of all licenses � ` 'b-
are required if Oregon Const.Cont Board Exp Date PROJECT
expired In COT Lic Qj-Ir,dv VALUATION
database AA1,T-1
Mechanical Name- — NEW CONSTRUCTION ONLY:
Sub- ItAL="APNcj Sq. Ft. House: r_ Sq. Ft. GTn
Contractor Mailing Address U 0 !�/
x-61 Indicate the restricted energy installation by the electrical
Prior to permit _� subcontractor in the folio-wing areas
issuance,a copy Ci /State Zip Phone
of all licenses T I�Z�l '?7S-,�j/ Restricted Audio/Stere,)
are required if Oregon Const.Cont Board Exp.Date Energy S Stem Alarms
expired in COT Lic#/�, / Installations Vacuum Irrigation
database 'T ��$3 -7 /91co System S stem
Plumbing Name - (check-II that Other:
Sub- C&-TML"'--1% ��uMgtrUtg ;Nc- a I )
Contractor
Mailing Address Number of Units in Building Unit Number Designation
�360n 5 KA&1FtV*1U 1110 Has the Subdivision Plat recorded? N/A S NO
Prior to permit City/State Zip Phone ✓
issuance,a copy &wol Ir OfQ�- c?j6f.3 1"` 1-71b
of all licenses are Oregon Const.Cont. Board Exp.Date
required if Lic# �) "5/31) h� I hearby acknowledge that I have read this application,that the
expired in COT _ — information given is correct,that I am the owner or authorized agent
database Plumbing Lic # Exp.Date
of the owner,and that plans tied are incompliance with
Oregon State law
- — Name ` Signature of eQp
Electrical 0j� 11t1 �(C?.f't21L• -__-- _____IMTT /o #v
Sub-, Mailing Address Contac�Erson IJa L3C ` Q
Contractor
� A•Ty �-�/'� --� ��
City/State Zip Phot
Prior to permit 'I } '@
issuance, a copy t)w i+�c' w y13 50� FOR OFFICE USE ONLY:
of all licenses are Oregon Const Con( Board Exp Date Plat#: -- Ma !TL#:
required if Lic# J� Zlb 1.�
expired in COT I }O —v--
database Electrical Lic # Exp Date Setbacks: ADA Zone:
34- -43#1 C Y —
Electrical Supervisor Lic q Exp Date Engineerin Approval: Planning Approval: TIF
Ale
3 g,r- 3 AA,• 4/0 a -nu 4 'Z-61A"tJ4
- l A4'`w
i\dsts\formslsfa-new doc 11/20/9P
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• I
CITY OF TIGARD Credit No.: 3 i
Date Issued: _ June 8. 200E
Engineering
Authorization
Date: June 8. 2000
e
TRAFFIC IMPACT FEE
CREDIT VOUCHER Land Use
.�. Casefile No.: 27-51 pD(S'/DHA
In accordance with Ordinance 379 CyM sp Ventures(nam of dmi*W
— -
is entitled to $ 292,254.91_ in Traffic Impact Fee Credits tIha�t can be applied to TIF
charges for development on lot(s) ,all of the Quail HoIIgff WEST Developments. To use
this credit, present this form at the time of issuance of the building permit.
a.«.+
I
Date Permit Numbers Lot Numbers Credit Used Balance
Beginning Balance $_292,25-4-91
Balance carried forward to TIF Credit No.
• Ordinance 379 provides for an expiration 7 years from authorization.
Use . Jitional pages if necessary.
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