11174 SW SUMMER LAKE DRIVE rf
F..1
J
.A
h
U
h
I
1.11'74 SW Surtmerlake Dr.
INSPECTION N6flCE
-.ity of Tigard Building Department
P.O. B,x 23337
y(jrd, Oregon 97223
Phone: 639-4175
Typo of Inspection - 4, —--
Date Requested___ ' Time )Or�-�� A.M. P.M.
Aodress
C)wner �--
Lot #—_
Built'.., �—
The following Building Code deficiencies are required to be corrected:
Presented to I ApI4ove dtr--11
Inspectr.r — u Disapproved
Date
-�X- -
CALL FOR REINSPECTION
YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection - _-mO�_
Date Requested . Time_ A.M. P.M.
address7:z'2Lltl�£./permit # �
Owner Lot #
L a __---
Builder _ r
The following Building Code deficiencies are required to i)e corrected:
Presented to .�
_- ---_.- lq Approved
Inspector
Disapproved
y
Date
CALL FOR REINSPECTION
0 YES ❑ NO
� #6T -6
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639 417r
Type of Inspertion
Date Requested �,� 7 _ Tim, A.M. I.M.
Addi ess .. -- �1 ..'-_ !c �Z��/ Zl �hermit
Owner _ Lot #
Builder _Z.Y�/•7ti.�-�
The fallowing Building Code deficiencies are required to :m corrected:
ellleAo
Presented to _
F1 Approved
Inspector
f J Disapp►nvPd
Date
CALL FOR REINSPECTION
L'�YES 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
Type of Inspection
Date Requested—!7-77=V/ `��. `Time _ A.M._ P.M.
Address :zy�.4k�;2 srY/�l�L �. _ Permit
Owner_ Lot #
Builder 'yG2�"'� ''�
The following Building Code de'iciencies ar.- required to be corrected:
Presented to LJ Approved
Inspector _. ovedl
Date
CALL, FOR REINSPECTION
❑ YES ❑ NO
IlRff-fw-ff- !-FkIT�mull"MUFAR,
CinOF T'GARD RUT L 1) NG', PIE RMT 1
u I::?o ci 7"-1
CITY OF TWA RD
COMMUNITY DEVELOPMENT DEPARTMENT ORIGON
13125 S.W.Hall Blvd.,P.O.Box 23397.Tigard,Oregon 97223•(503)6394175 819
sw
MA F, t.07 51AD : SOMMEA-4 LAKE.
UAll. I WiT CIIN
FRONT :
wopl< l':l: N
A 1:GA 1 ,
4 1.,1. NO
1'..X I WALA (:,(:)N!;i I' :
1,40 , E.W)TI-115 :
N . W
N W
NO 1:110t."I l"OW-IT : ILA:PE: r'd:.f
HATED .
3
C)CC i I PAIT? PATEA:) :
(.)I..ltrm'?
6.'1 IV4 1. i if
PE:15SUE. OF NO.
LAST PEASIAJE:
0
W I V
N411.0 . 0(,)
E SUMIL I (.1KCD
: n
R (1114 Y*7F.i83. 0
e'o"I 1. 1 Tia
C Q1 1,
0
N I i11
T
R
A
C
T PREE Ph- J.1.)
0
R
——1 TOYA L
-, permit is issued subject to the regulations contained in Title 14 I., I I 1-,'1 NO .
If the TMC. State of Oregon Specialty Cocies,zoning regulations ........................ ..................
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done In accordance with the plans and I':NAKENC.,
specifications and in compliance with all applicable codes and PCH)l NAI 1.
mclinances The issuance of this permit does not waive restrictive
covenants Contractor and Subcontractors shall have current city
business tax permits This permit will expire and become null and
void if work is not started within 180 days,or if work ISsuspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required Inspections are•equestecl and approved
Permittee Sl9q8tUre
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MA
CITY OF TIG RD
PLAN CHECK APPLICATION
�rrosrw �aPLAN CHECK M �-���-�"
C()MMI iNIIY DEVELOPMEN i DEPARTMENT '�,a PERMIT H t -//0Ci- `
131215 S.W.f Wj RNd,P.U.Boa 23397.Tigard,Omgon 9 rM,(503)639-4175DATE ISSUED
JOB ADDRESF: I 7 y SN Loa-e ! lI(A�ZL7 -i AX MAP/LOT
SUB, LOT: Z LAND USE:
VALUATION: /:�,-j 0
OWNER SPECIAL NOTES
NAME: 5-iti/A/L1 Li �7/F/1?�%���� IL ('1'1`.�E= REISSUE OF: ---_—
ADDRESS: /// 7 J-C✓ i�'nNr it/' �� !�� LAST REISSUE:
FL_OOO PLAIN/
SE ITIVE LAND:
PHONE: C `f C C y 7 7 ILY q- ---
APPROVALS REQUIRED
CONTRACTOR PLANNING: —
NAME: ENGINEERING:
ADDRESS: FIRE DEPT —_ J
- OTHER:
PHONE: _ ITEMS REQUIRED
—�` LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX:
NAME: CALCULATIONS:
ADDRESS: _ TRUSS OETATLS: r_ _-
-- PARKING PLAN: _---
_ _ LANDSCAPE PLAN:
PHONE: OTHER:
CONY TENTS: —
PERMIT H ACCT N DESCRIPTION AMOUNT AMOUNT- PD. DAL. DUE
aici 10-432 00 Building Permit Fees —
_ 10-431 00 Plumbing Permit Fees
10--431 01 Me:hanical Permit Fees _ -
10-230 O1 State Building Tax (5X)
Building -5Q
Plumbing
Mech
10-433 00 Plans Check Fee
Building
Plumbing
Mech
30-202 00 Sewer Connection
30-444 00 Sewer Inspection -
51-448 00 Street System Dew Charge (SDC)
52-449 00 Parks System Dew Charge (PDC)
31-450 00 Storm Drainage Syst Dew Chrg (SSDC)
10-230 09 TRFD _ -
10-230 06 Washington County Fire N1 (95X)
10--220 00 Amart/Wedgewor-d _
TOTAL. va
REC H
APPI_1CANT SIG nTURE
Received By: Date Received:
cn/3587P/18P r
���,;�t .ah• yv.`^` n r•tea,,�"9i o^." :..'•�`ar.,,�•.,r,N'"'.yY �„r. .i �".'^..q, �. ,�r,.....���, ,a �`� .w.
� -49
WMf
' h9tA
CA'I'N
OF OCC
C ' .
#h:
t CITYOFTIGARD {
�q ! OREGON
t��► -. Owner: Don Morissette Permit No.
882285
Address: PO Box 19524 Portland, Or 97219f ' }�f r
s: Building Address: 11174 SW Su nnerlake Dr. '� t
4` t' Occupancy. R-3 Land Use Zone: R7Pn Bldg. T e SN
yp ,d
Comments:
` a Certificate is hereby given this 30th da of March z}� f r
y , 19 89
1 that said building may be occupied and that it complies with all ^ 4
I requirements of the Building Code for the City of Tigard, as approved
';{ •v� by the'i igard City Council.
N.
Fire Dept. `''
uild g Inspector
f0.
i, .T� Building Official
Post Certificate in Conspicuous Place
/t .�'``
.. — — - — .
�{�'• 4�=?� y � *ti. .iY .n���rp.+.F� ._ ''1`�ar• �Ti9� ''+r�.4. �.��pp�
#p
'+'rw. ,+-'.� .0 � moi►;... '�"".-g►�Y....: °^ 'fr,..,+, .�.+„�i �i��5,y�.�`�^�.�t* Syp. '� • � � ;
_/\+i«���\� .tel\��/ '�/��/•��^'� ' `ic+ ^' _ '�w.v � .+J. �. _�•.t`� �
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested Time A.M.-__P.M.
Address Permit #
Owner I Lot #
Builder
The following Building Code deficiencies are required to be corrected:
C
U. L r z i
K, _5 le- L5 iv
----------
Presented to &A�pproved
Inspector [i Disapproved
1/ 41 1
Date /3'o
CALL FOR REINSPECTION
DYES ONO
INSPECTION NOTICE_ P
City of Tigard Building Department I /
P O. Box 23397 r1 F
Tigard, Oregon 97223 �•
Phone: 639-4175
Type of Inspection 'l lY.�-� �I ("P, � c t�C_
Date Requested 7 ��f/ 2 _ Time __ A.M.�—P.M.
Address t� ) �Z 7 1 h 1-1 ' Permit # �'=J
Owner. _ Lot #
Builder
The following Building Code deficiencies are required to be corrected:
r
Presented to _-- ----�--- -- ---— Approved
Inspector __ El r'-approved
Date
CALL WR REINSPECTION
❑ YE8 ❑ NO
INSPECTION NOTICE
City of Tigard Building Department CI
P.O. Boy: 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested �-� O Time `' A.M._ P.M.
/Z,1261 ���/. Yy7I3'JP rC[ Permit #
Address ,_
Owner _._ Lot #— —
Builder xl� — -- ---The following Building Code deficiencies are required to be corrected.
_..
Presented to _ � --— Approved
Inspector �2�-0tuporoved
l
Date — -- ---- _
CALL FFOOR^ REINSPEVTION'
l.'T YEa ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.U. Box 23597 Cl
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspectionfuw-
Date Requested._-_� SLL�4� L Time A.W . p.M.
Address /// _ �� �n�rl�L/� permit
Owner __ Lot
-_ #
Builder E L.�_._—}The following Building Code deficiencies are required to be corrected:
Presented to 9I,-Approved
u Y'
Inspectai Disapproved
Date
CALL XOR REINSPECTION
0 YES ❑ 140
INSPECTION NOTICE
City of Tigard Building Department
P O Box 23397
Tigard, Orpgon 97223
Phone 619-4175
(i
Type of Inspection — u-L 1 � Ljy,- `��`y
Date Requested C9 --7- o ci Time A.M. P.M.
' t_, Z21C ^ e. Permit 2-1_�S J
Address Z/// 7
Owner_ Lot
Builder Li)1 r ' ` �•� G The following Building Code deficiencies are required to be corrected:
Presented to04 17 _-_-. — ___--.. [ I Aroved',,f'
Inspector � � __ �� Disapproved
Date
CALL FOR REINSPECTION
0 YES ❑ NO
INSPECT i0N NOTICE n n
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection 1
Date Requested C2 63 Time _ A.M. P.M.
Address _1_` /__ �CL�Y1�-7Er (ltc Permit #
Owner Lot #
Builder � --
The following Building Code deficiencies are required/to 7be corrected/:
Presented to �� _ ❑ Approved
Inspector �q [G,Disapprnved
Date 7_
CALL FUDR REINSPECTION
LJ YES O NO
W W1 ,
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone. 639-4175
i
Type of Inspection //
! 1
Time eio r,/- A.M._ P.M.
Date Requested f,^
Address // / _ Permit # 2
Owner _ Lot #
Builder
The following Building Code deficiencies are required to be coorected:
t
Presented to - -- P App(oved
Inspector .—
LJ Disapproved
Date -
CALL FOR REINSPECTION
❑ YES 0 NO
CITYOFTIFARD (C"YOFTfWAIND VICAAKIA' N() . BU00i:?285
COMMUNIT)i DEVELOPMENT DEPARTMENT notacm
13125 S.W.Hall Blvd.,P O.Box 23397,Tigard,Oregon 97223,(503)6394175 12/23/08
filix MOPAXYT 1.51 .3.3AD 1.111.00 SUB. "iUMMEJ-11 OKE L T : :3i:'. H I(
P'7pu
J:Z U, - 1.02 1582 1;
1::.F,I(:)N*T' . ;.-10 PEAT; 1 6
W014K (:X.ASS : NL*'.'W L)WEA L. .UNI'T'S 1.
'T'Yl:)F.-.: : SINGLIK FA111411 Y NO . 1:11:'1' 1:11CHIMS EX I - WAI I C0
ONS
(.'(:)N(:il' Y*Yl:)I;.:: VN 3 N: 1.5 E: W
! .(.-UP G P P . : P3 F)MYT . OPEWINC;S :
'TCYTAI.. APEA : 4`2 R 0
N0 . 5"FO ES 1.51, 9 3 t5 noor C(:1N51' : PEA,?
(M-11, 2 Z.)N r) I"c.6.5 APER SE PAPt
31 I.) 45EPAI-11? PA 1,1:;:U
M 117 2.Z A 14 3:N 1*:.:. DASE:101 1 1
I 1100 I-OAD : lelo CAN(W.."E" 760 ALAPN?
F:LOW((-Ilpm) DE''T'LUTI? Ylk.;.'S
47 A+ 11 11, iii, AE4111P.M9 91
('L.AN I 1-11A,l< 1::!Y : I-], ir,
PFISSUE: (:)I-;' NO.
LAST' REV.iSUF.
0
W MOAT WArl-TE.: DON 111-JAJ0 ."J()
N 1:�(:)X '.IP52AJ
E P(" .1 PLAN IA-.:V1E*:W $28A .33
R t 1.IR 1.1('I DEP"T
'TAX 03
011-11L.'A
C
0
N (10 V4.1155 I 11*-:* 1'.)(')N 011'1!i I'OPM) $21150 . 00
T 1 t1 IN tiowl. T.T.I::. 11A, DO 51,r4r.-KE:
R * " "' 91600 . 00
A Fiox 195f.?A $250 . 00
C Ia 97721.19
T i:)nr-.:PA:l.0 < IVI 0() . 0 >
0 i:!/•11 91*41/1
NO . 3553,31(:YTAIL: IIIII 1. 1 113 .
This Permit 18 issued subject to the regulations contained in Title 14 PECAKIP1' NO, 16111
of the TMC, State of Oregon Specialty Codes. zoning regulations - - - - --••-•••......••••
and all other applicable codes and ordinances, and It 13 hereby
agreed that the work will be done In accordance with the plans and F111(:)T'S N C..s 5EWEN
specifications and In compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive FOUNDAI—ION WALL 1IA.CN DPATN15
covenants Contractor and subcontractors shall have Current city P0151 & MAM W01131 LA:NE
business tax permits This permit will expire and become null and FILS. . 1.1NDEA--ISLA113
void If work Is not started within 180 days.or If work 19 suspended or r-;L.A 1:3 FT NAI...
..
abandoned for a period of 180 days any time after work has
commenced Its be the responsibility oft"rmittee to assure
all required i cti nsa[r7PqUPSteM:anVdpro d
(.,At.s LAME
:1 Wi 1.)1...A'T':I:(:)N
Permittee Si StCure U7 Y P 1: (:)APD
Issued By
6,39-411.'7,':i
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
C'7Y OF TIGA RD PI.-JIM11, No' : SE"613P"3(.2,el
CITYOFTNARD
I
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd..P.O.Box 23397,Tigard,Oregon 97223,(503)639-4175 DOTI.;: ISSUL.'U. :1.R/(2'3 a@
'JOB 111.74 5W Fit)rim[-:,PLAKC, DP USA NUMBEP: 037;.1 7
TAX MAP/101, IS1. 33A1:) 1.51.00 SUB: SUMIME-1:4LAKE-, I-T : '32 r.;j K
LAN I:) USE% : 11-171IDD
1-01, SIZE :
15EMIJON: 33 TWP : :1.w PM, : J.W
WUPK (::LASS : NEW
USE. TYPE' SING1 F. Y
'I'lis sq:ipJic.#&rvt. in.1;Irrot-vi1 1.11 with 181. n+ jjjee jjILj,j..I2j.*..m'I
15VW1.:4r1Lgv Agerit,ij . Fl-lel ti-10. clime ilumt.1dra(J . 141c'? 't.crt,"Cl.
te ti u I,
iol"cil,11111, will. L)k liv,, Aj!) cititmir, ri c)
(3T T'llim litick" lak-,Wce.1, I-F tto(i inc-moir- i41
III-it, mililL.I.A. .3 T*Jcf.rt, 1.1.1
4r r.:t a.r3 I I In r1c)III 0.1f.r qivr_,>rl . Lr ncl.t, iiicl tllcr.
W11.1 J.111111,1111.1 Ili '11.fit
INSTALL . T,yl:*lE:: E.*.1 I 1111 DTIN(3, 5L.WU'll TMI:',I'.A:'IVIOLJ!;i ATEA :
14.,A'XTI M...': (ANX I's : TF*.N(.)N111`11:440VE:1117141
DWELIANG UNIT'S"
NO. OF BLDG% .
0
W m o Px ss r.-.:i TE: DON PUJ4111 T 10 115 00
N
E 1x43 P.40X 1.952*1 C110NNI;::('.11*TJ0N l,l IFa4TGE $1 , 100 , 00
R l:)rI r t,:1.41111 cI till LINF.-K 'TAP INSIALA
('11THE-A 111360 . 00
C
0
N fl 0 P 1 S"5 E'TT ri-.: DON
T
R DON WIPISSLI'VE RUILDERS INC .
A lacy BOX J 93P./.1
C
P
T 13 r,1-1.a 1.1(1 u r• 97'r.*.!1.9
0 1:'F 10 N F". (''503) RAI Al 19*.3 1-/I
R I P1F-*.'GJj5I*PA'r1QN NO. 3333,.:', 41 A. d'195 . 0 0
This permit is issued Subject to the regulations contained In Title 14 RE.CEIP'T NO.
of the TMC. State of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances, and It is hereby DEW.1144-M INSPECTIONS
agreed that the work will be done In accordance with the plans and I N
specifications and in compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
husiness tax permits This permit will exoire and become null and
void If work Is not started within 180 days,or if work is suspended or
abandoned for a period of 180 days any time after work has
commence shall be the responsibill^the permittee to assure
are
reques
all required in, ec(tons i a stel Fa n pproved
at"
PermititeenatUre
Issued BY:
CALI.- F OR INSPEC-TI(IN
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OFT167ARD
A' NO FIL111112-32i.?
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223.(503)639-4175 U.?121-4/68
JIM;3 ADDPE SS : 1.1.17el 5W
TAX "A.AAD 1.5.1.00 GOB : !.'it IMMI'*:PI A K E., LA* : 32 F.W .
LAND USE. : 11,71:-"1J
LATT, S1:ZF.:-. :
NO: NO
WOPK LA-ASS : NEU wflll EP 05FA, TRAP
USE TYI.N.E . 151N(A I-: 1::'6)MTI.. BKF I OW 1:'PIVNTP
(:ONST VN L AVOWAJ C)PY 3 TRAP
"I[XIIJ)PIA"AP ; 143 511-40141E'14 2
IW(.)!i FIE:P :1.
GAPHAC.'F7 01SPOSAI 'I.
WAIM-41W., MA(:3-11NE
DWEL-L -UNI:T'!; : 1. LAUISIrmy rl.-4AY EALA.)G . DPATINI I DTA
1:1-AJON DPAIJ4
GiNK
IF 1.)
WATIEP FIEWTE'.114
0
W mcm j:s rr.- UUN PE PM:i
N $1.:3i'.. o
E 1313 EX)x .1.915P.1
111-t 3.ill 1-1 d a1' 1-1 XTUREEC)
5 TATE TAX 6. ew'*.�
C OTHER
0
N HAI:',(*JI D
T IA(:)r:MAIq: :,,I I
R . . ..: S F-1-111MIRYNC-,
A lard H".C)X V15
C
T 111 t 111 C"M(:'h' cis- 97123
0 PHONE- (50 3)
I FI I NO . 3492.a T1111"I'611 $139 . 13
Thi; permit is issued subject to the regulations contained in Title 14 PECE.T.P'T NO , 1610160
of the TMC. State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done In accordance with the plans and
specifications and in compliance with all applicable codes and PI D.UNE)EPSIAH
ordinances The issuance of this permit does not waive restrictive 1:-'WT & EIF.AM
covenants Contractor and subcontractors shall have current city WATEP LANEK
business lax permits. This permit will expire and become null and J1'F
void If work Is not started within 180 days,or if work is suspended or PAIN DPATNL)
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure F::I:NAL.
all required h actions are requ d and approved
'u'
Permittee required
Issued By
('1111 .11'.Wir"EUY TON 6319
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
MECIFIANT.CAL PEPM11
CITYOFTIGARD C11YOFTMM
C%
O�TMMIIDD .::PM.UF M:V
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)6394175
AND AI)PE:I55 : j:jw
X MAP/I 01* 151. 3.3AD 15:100 SUID : S1AjMI:::I4I I<I.,:,
L.T :32 UK :
'I-)I:) (JIGIE : P7PD
WORK CLASS : Nl:;:W 3:*T F,M; ND : NO
F1.44NACE <1001< Al P FIANDI 14 0.0
1.001<4- ATP FIANDI 1:4 1.0K
"SU TYPE: : 15.TN('.-A..E FAM'111...T' F"UPWIC'E
("ON41 - TYPE;.: VN 1:IA4N0CE: F:V(.)I::, . CICH31 E.,11:4
OCCUP. P3
1••IE70)TEA VI"-:N'F FAN
Vl:.::N'T
Vh:N*I' SY57'11M
IRLA/CX]IMP <31.411*) HOOD
�i 1 ON 1.ES : 1:NC,3:NER(1113 P( Il')(')M
ME-1. UNT'rs :
1::,L..0/(::(:)MU:' 15---,30HP TINIC11SIEPATOP((-,('.)M
GAS DfLA/COMP 30 dial IF'
PRIPATP JN1A*4j
t JAX - I NP01'
F TPE: DMr.*lI:..j!;V?
(;A!i I:-`TP:I:NC; 0IJ'TI..E*1'!7
0
W mun:l:sserr�...: DON
N Pl:�:1.nm
E 1.)1:1 DOX 1.951el 2 0 0
R I 'I AN Pi:-.:V:I:V:'W 7.15
1;)(3 r t 1.4K 1-1 d I 1XVURIFS 00
!:i'1 A*1 E 'TA X 91111
C (1,111FA
0
N
T
R F3h1.I "Il
FIRANG :I:N(:,.
A 15550GIF: PIAZZ.A AVE:
C
T CA.6(::KAMAG UP, 970.1.5
0 (503) F!e4'5-1.,I.Fj_j
111611 *1.(,)N N'0. 01,eT'
0 0
This permit is issued subject to the regulations contained In Title 14 P1F*:r.V:J:P,T, NO
of the TMC, State of Oregon Specialty Codes.zoning regulations .............................
and all other applicable codes and ordinances. and It Is herebyt I 11:
agreed that the work will be done in accordance with the plans and ;irm iNti-PEC—IJONG
specifications and In compliance with all applicable codes and L 1 NE
ordinances. The issuance of this permit does not waive restrictive Pois'r a
covenants Contractor and subcontractors shall have current city r4(:XJlGI`+--J:N
business tax permits. This permit will expire and become null and F, :1:N611.
void it work is not started within 180 days,or it work is Suspended or
abandoned for a period of 180 days any time after work has
commenced. I hall be the responsibil the permittee to 119SUre
all required a rtlons arepqueste and pproved.
Permittee 'i r life
Issued By
7 10N
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
1TY0FT16A ... .: �•
PLAN CHECK APPLICATION
c PLAN CHECKC
CAMMUNn Y DEMOPMEW DSPA ti �. �� O11I"0M :DATE DATE tT 288UED
N ���i�. •-
1antsw"VA RaM>t10Mhi ap°" p0�pN114 Ceti - - --
SUm/nz✓ .,U� _ _-.�._. -- TAX MAP/LOT
,ioB AmRFSS: ___�1L�� S �L`:_.-___-_____� -- -. _ LAND I1SF_:
_
:;UI1: �>uNnmE�r,.t o:►� _ LOT: __.... 3 L
VALUATION: -,(02_ ,Y _ ------------ - SPECIAL NOTES
OWNLR // REISSUE OF: -
--
NAM!_; _ N LAST REISSUE:
FLOOD PLAN/
SE:NST.IIVE LAND:
PHONE - �{ - -- —-. ApPRQVALS REQUIRED
PLANNING: _
CONTkAC1-OR ENGINEERING:
NnMt
FIRE DEPT _ __._.....
— --- - - _�`—
ADDRESS: _µ- - OTHER: -- —
PHONE: �- _ _ ITEMS RE: UIRED.
LIST/SUBCONTRACTORS:
BUS TAX:
ARCH/ENGINEER CALCULATIONS:
NAM[ : __ TRUSS DETAILS: __—....._`
ADDRESS: -___ --- --- --
------ _ PARKING PLAN:
LANDSCAPE PLAN:
OTHER: --_
PHONL: __ -- _ --- - -- --
GOMMF NTS:
PERMIT N r ACCT N DESCRTPTION AMOUNT AMOUNT PD. BAL. DUE
U Sv Z/o. 5='
YZL 5 10-432 00 Building Permit Fees `
21Vjj �L. 10--431 00 Plumbing Permit Fees --
c, v✓
�Tr23 z_3 10--431 O1 Mechanical Permit Fe` s V�
10- 230 01 State Building lax 0%) .--W. -- --- --
Bu i ld i ng __--
P l umb i ng
Mech
10 433 00 Plans Check Fee
Buildingj-i-
Plumbing _.�.
Mech
�l?j2`f 30-202 OC Sewer Connection -
30-444 00 Sewer Inspection � ---- - � —
51--448 00 Street System Dev Char'gr� (SDC) �O V
52--449 00 Parks System Dev Charge (PD(,) u
31-450 00 Storm Drainage Syst Dev Chrg (SSDC) _g2n�-70 - -+?---
10-•230 09 TRFD --._..-
10-230 06 Washington County Fire H1 (9b%)
10 -220 00 Amart/Wr.dgew00d --
REG N
Rocoived 11y ___ Date Received:
ROBERT OQUIST, PLS
Land Development Consultants, Inc.
209 N.E. Lincoln Street, Suite "B"
Hillsboro, Oregon 97124
(503) 648•-7013
scales 1" = 30'
XjYD TITLE SURVEY,. tt �.
Lot �� Mei Laz-,'� Date:-5-ZC:)
Lacat Qin ��� 4 4.. N0 1/4 SZ. T I` )I? ,
c' C. ington County, Oregon WA ,
property
I hereby certify that S have surveyed the herein describedp operas
and I find that there are not enoroacbmT21i� iatneot as boundary
property lines lying adjacent thereto•
survey and is Subject to any changes that any subsequent boundary
survey may disclose.
FORt MORTGAGE PURPOSES ONLY
& [
GIs F 0
p50FESSl0NAL'
LAND SUR-VEY
�-
on CON
Rat[ uiaT
arae W d
N
� N ,
c�
D
5 Universal Data Systems
�o0
JZ .
I
ZC) y,
Al n+orrrorn.� rnr
D
5 Universal Data Systems
_ y s
Z 'EI::
��
� y
A� qt4`-nX7f?r n fPVC
JUDI
sl Universal Data Systems
v
11 R4;'7 1 10'rf .a M.v
i
D �
5 Universal data Systems
I � /
I �.L
I /
1 /
N�
C
�UA �� !
LJ
Li 70
l �
i