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12621 SW SPRINGWOOD DRIVE 12621 SW Springwood Dr. 1 y '.e �,�,,�e _'-"'��'�- w. ,� L.>t fon+ --+:� T'•_ � t i � �'L'��'+RL% ;..1Y �.�� i-�C'j i wr �'Svy,9.s �; j �... � .. � ct _„"C.� •�...Y �fY'ti 't���il � --�„� � � .. �-: �_ 3-:� ..•-�'._— �r�,:r.�r�, �x•s�_�y�y" ,.yam may{'} �y1��, l� , 1` •.r �ti of ...rrJ� Si �r� - �i 'R� �iq~~ - ti �Pw > CAS0C -CyC 4 CITY OF TIGARD OREGON { BU8907a3 t> Owner: Don Morissette Permit No. ' > ` Address: P.O. B-..)x 19524, Portland, OR 97219 � 12621 SW Springwood Dr.Building Address: Occupancy: R3 Land Use Zone R7PD Bldg. Type N �_��Vi � Comments: Certificate is hereby given this 25th day of August ' 1989 � �►:�� id b that said a and that it complies wa ': • ``<i' g my be occupied lwith ied P P requirements of the Building Code for the City of Tigard, as approved 3t5�i by the Tigard City Couaeil. • �\ '�•"� � -�_ Fire Dept. �FFYY J� Building Insp , Buil ing Official' ': . P _ Certificate in Conspicuous Place = ' ( , ,dIF W SL 't=\1 '� is 4- h (i1 ',, • i{J ` �P�_.�_,r+':� Y �(j - - � � Y--i3• V, lL��\/� ................ ar '�`>.`!7 � � s1 W.,,.'*.+",.. `' X11 -:. W.�� �`��y ,. 40 �-.i1d. a' _ •-rl iS'" //' '•r tea' . I �'^+i Jw�� '.i•fr• JWP.'/ 1'.i _ A'" _ •Pf•'.rly. u rr ... 7'r" ' �. �•tYAf .i:'• Qq, t�.W �+�q•,,', Ste' .�y� �¢ .\- rf 1V'•ti �p • �W.r'�.� S!'t � i YF,�,��?_ *- ; --•.�� 1 ,� •� � �"+�;,r'",�� �`� r' `�1��:�w�al��.' '��,r'��•.a,,��„a���.��,��„ny�� �..�•r�„r0�r✓�C4w`• •5�.�•'�,�"4}r,�. .Si i INSPECTION NOTICE City of Tiga:d Building department P.O Box 23397 Tigard, Oregon 97223 Phone 639-4175 L � Type of Wspection — �f c �— Date Requested Time �,/ A. .M Address �!_��'�/ - �'ZL c �trZ'7�[ Permit _ Owner _ Lot #— i Builder --- 27 t' The (following Building Code deficiencies are required to be corrected: Q � Presented to Approved Inspector ._.. _ Dlsepproied Date CALL FOR REINSPECTION ❑ YEb ❑ NO INSPECTION '90TICE City of Tigard Building Dp.partmpnt P.O Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Tvpe of Inspection es- Date Requested —,-2 if Time A.m AddressP.It Owner Lut Builder Z2 The following Building Code deficiencies are required to be corrected: f Presented to ❑ Approv(,d Inspecto- Disapproved Date CALL FOR INSPECTION YES NO 9 LEA EX INSPECTION NOTICE City of Tigard Building Department P.O. Box 23391 Tigard, Oregon 97223 Prone: 639-4115 Type of Inspection Date Requested `� _ Time A.M. P.M. Address _ L4;�4.C.t=Fr�'� Permit Owner ,,. _ _ Lot It BuilderThe following Building Code deficiencies are required to be corrected: Presented to -� �71 Approved -�' oL/ Inspector �_. __ _, Lj Disapproved Date 12— -- CALL FOR REINSPECTION 0 YEB L) NO INSPECTION NOTICE Cit; of Tigard Building Department P.G Box 21.1q7 Tigard, Oregon 47223 Phone- 639-4175 Type of Inspect;on (late Requested _ �a k Q Ti a A.M. P.M. Address _- -_lel"� •� / � ��g ��Q _ rmit #t Owner - Lot # _ BuilderThe following Building Code deficiencies are required to be corrected: Presented to [1 Approved Inspector �- ❑ Disapproved Date --- CALL FOR RF,INSPECTION ❑ YES ❑ 140 Ill_: ECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection _._Z1; . _ _ �G� 4.� Date Requested Time___ ime__�__ A.M.----P.M. Address Permit # c�� Builder —. ------- The following Building Code deficienc;..., are required to he corrected: Presented to Approved Inspector Disapproved Date CALL FOR REINSPECTION 0 vEa 0 No INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 631)-41 75 Ty-e of Inspection Date requested_ `" �.. I�e - _P.M. i �p rrr Address Permit #� -A0- Owner - - ----- ------ Lot # ---- Builder — The following Buildinq Corse deficiencies are required to be corrected: Presented to --.._ Approved Impactor - ` -------__--�— L Disapproved Dale — CALL FOR REINSPECTION I� ❑ YES 0 NO INSPECTION N01 ICE City of Tigard Building Department P.U. Box 23397 Tigard, Oregon 9722.3 Phone: 639-4175 Type of Inspection Date Requested,_,___, _— Time_� A.M.__._ P.M. Address --- Permit Owner- --- _ Lot Builder — The f)llovvin- Building Code deficiencies are required to he corrected: Presented to ---T-- _ _-_ _-__-__-_-- FrApfrroved Inspector _�1�%7__�___ _ _ _ C� Disapproved Date CALL FOR REINSPECTION [�] YEa 0 NO INSPECTIGN NOTICE City of 'Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection t-'` �• -�-� - Date Requested Tims A.M. < P.M. Address ___ _ Permit # L'z zJ ^ Owner _ Lot # Builder ---- The foA11 wing Building Code deficiencies are required to be corrected: Map ` 0 - - _ - Yj Presented to Approved Inspector — r I_� Disapproved Date CALL FOR REINSPECTION L] YEe O NO INSPECTION NOTICE City of Tigard Building Department / P.O. Box 23397 Tigard, Oregon 97223 i /,,Phone: 639-4175 Type of Inspection _�---1- -4- Date Reauested_ — �� �l Time A.M. P.M. Address _ 4�4' 4a"::�, � C-e, Permit OwnerLot # Builder .!1'I .�� �--- The following Building Code deficiencies are required to be corrected: C� Presented to _ — _ f"1 Approved Z77 Inspector �— ❑ Disapproved Date _ CALL FOR REINSPECTION [I YES L] NO May 30, 1989 C11Y OF TIGA RD Don Morinsette \ OREGON PO Box 19524 Portland, Or 97219 i RE: AMART Chayes Dear Don, Our records show that 1111ART has been paid in full. The . ollowing projects reflect an over payment tc this account, and subsequently a refund has been requested. Building Perm)t 4 12650 SW Springwood Dr. 350.00 890403 11209 SW Suruner Lake Dr. 360.00 890177 127'}`+ SW Sorrel Dock Ct. 360.00 890398 12665 SW Sorrel Dock Ct. 360.00 890402 12654 SW Sorrel Dock Ct- 360.00 890803 13270 SW Laurmont Dr. 360.00 890404 13045 SW Tamera Ln. 360.00 890384 12756 SW Sorrel Dock Ct. 360.00 890401 12701 SW Sorrel Dock Ct. 360.00 881733 11312 SW Summer Lake Dr. 360.00 890796 12621 SW Springwood Dr. 360.00 890798 12663 SW Springwood Dr. 360.00 590799 Total $4,320.00 All pending projects have been adjusted tj reflect this change. If you have aiy questions, regar_dirig this matter, please contact me at 639-4171 Monday through Friday 8:00 pw to 5:00 pm. Thank you, Ile ancy B. White Building Permits Clerk 13125 SW Mall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 ------------- ---- Y INSPEG'fSpN NOTICE City of Tigard Budding Department P.O Box 23397 I Tigard, Oregon 97223 Phone: 635-4175 Type of lijsaection C G A.M. —_P.M. Date Ryquested r / / 1 Address _��C.,i v�(x Permit # �Z.�-� i Lot Owner Builder 1 - ��.-� � .------- - The following Building Code deficiencies are required to be corrected: Presented tk, — / - --I Approved Inspector — i 'J _----- C� Dis.noroved Dite CALL FOR REINSPECTION [] YES ❑ NO i i 2 i �CuF INSPECTION NOTICE City of Tigard Building Department r P.O. Sox 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requested '!L _SZL_ Time A.M._-��r4 P.M. Address ,` t i:2 ���r�C-%��i L C��aCJ� Permit Owner _ Lot Builder ------- The fo4owing Building Code deficiencies are required to be corrected: or Presented to ; Approved Inspector /<h't 7 ---— 1't Disapprove,! Datil CALL FOR REINSPECTION 14--'48 ❑ Pjo y. F )T I DIM,' 1:'I::.rlMl' f l::'I:::PM'.L V NO : Eftk 0390 798 C�TYOTIGARD cm a COMMUNITY DEVELOPMENT DEPARTMEN r DAIF 15/1. a/89 13125SW Hall Blvd.P.O.Box 23197.Tigard.Oregon 91223,(503)639A175 P111 M• PM 1' . NO k-390 75tH JOD ADI)NIESS : 3.26e.2.1. SW 51­'RJ"N(,',W(:)O0 DP TAX M(-1P:'/I-U*T' V'J. 33AD :1.15900 SUB: SUMME'PLAKE LT :8 HK : LAND U51::' : P71:)I:) VALUATION: $ "el.''el P:*PON'T*: 20 PEAR: 1.C WORK (J ASS : NEW DWELL .t.JN:I*. T 5 : 1 5 PIGH'T : 3i-.'. U5k.:'. 'TYPE : SINGLAK FAWEL.Y NO . DE.11311:4.31OMS : 3 EXT . WAI L CONST : C'ON%1' . 1'f1A::: VN NO. 131A'1'1-111:1 : 2. N 5 E W OC.GUP.UPP . : P43 P14101 . UP17.:NTN(.,S : UCCUP .LOAU N S : E : W TOTAL A14EA : 1.::175 NO. STORIE"S : I I S'T' : 1.57 5 r4(:)UF GONGT : G FT PE RE 1"? HET W+T : :1.(11 PNI): nPEA SEPAW? NATED: OCCLA". 5l:-rPAPl? RATED: MEZZANIN!:i"? RASE E M I I 1:A-11fXR -110 GAPAGE: 376 P"IPE SPAKLP? ALARM'? FL(JW(UP 11) YES VlFil'0' GAS 1-11)011 .ACM.KSS'? C(7RP7 PLAN (*'HE"Cl< RY : 1--1-t 1:4-:'MARM, : 1--k.)d JAI-lif-lu F.Ixtvy vc1l.)y PEISSUE: (IF NO . m c)n j:s is I: T T r= DON l"'U'AM 3:T 113416. 00 N P C) OUX 19!52'ri P LAN PEVIEW $'010 . 00 m ll-1 t 1.at.ii d to I', IPE Ul:'*17'1* TAX 1017 . 30 UTHEV-tl $15 . 00 lA'.:'V1i--.L.C)PME:N1 (:,HAP('.;F'.:S . 0 M01"413'.SGEA-M.: DON SIM( S'TORM) It I.?")0 . 00 N T T 1) OINE UN MPPTTE 9LJ3:l 1)1*-::RSi T.W . S0111( !:0'PF.:E1') 11c,00 . 00 FR p cl BOX q,23() . 00 A C 17 ri I,Ill.1%1')d co r 9,721.9 < 11111110 00> T PHONE (,"503) 2441-931,e4 0 0 R REKCA*.�-OPATION W." :3.".15 3:.3 TLYT AL : 1!T 8.Z' PE137".1PT No . This permit Is issued subject to the regulations contained in Title 14 of the TMC, State of Oreocin Specially Codes, zoning regulations 1:4F-(4tj1:PED INSPECTIONS and all other applicable codes and ordinances and It is hereby aqreed that the work will be done In accordance with the plans and F 00 T•1•N1.' 5EWER specifications and In compliance with all applicable codes and 1::'0LJNl)ATTON WALA IIAIN UPAINS ordinances The issuance of this permit does not waive restrictive E)F'f)M WAI'F:-*P 1 :1 NE covenants Contractor and subcontrReto , shall have current city PLA) . k.JN1)l;.A:41*31-.W.') CA' TY f,I'-'P Al C H SW busin-iss tax permits This permit will expire and become null ar.d 5 L.A r-.3 FT'NAI void if work Is not started within 180 days,or if work is suspend,-,d or PL.8 abandoned for a period of 180 days any time after work has commenced It bliall be the responsibility of the permittee to asaute. F11AMINC' ed all required ' actions are requ d and approved re" GA I I NE 1:NSUL.A'T*T':)N GYP - ROARE) Pelmitte naitire o Issued Dy PAI 1 FOR —f.HS 104H —6510 10411tTri SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE P1_UMB*LN(3 PI.*::WM'.1:'T PI;:_'AM17* NO . : F'11_8901365 CITY OF TIGA RD CORD COMMUNITY DEVELOPMENT DEPARTMENT D(VVE. ISSUED: .5/1.2/69 13125 S.W.Hall Blvd_F 0 Box 23397,Tigard.Oregon 97223.(503)639-4175 V'RJ:Ijv1. F)M7'.NO . 890*798 F'i ADDRESS : J.k-2621 SW !'51:*'1:0:N(;WO(11) Wil 1 AX MAP/1 01 I.S1. 3 3A 1.5900 SUD UMME'PLAKE., LJ :F) 8K : I AND USE: . 11471011 1._011, SIZE: .r. r NO : NO: WORK CLASS : NEW WA: ri F USE !:iJ.'NG'I_E* FAMIA.-Y RKF's_(JW PPVN*1'1.1 CONSTAYPE: : VN I AV(:)PA'1'(:)AY O(XLJP . ('.;PP. : 1:43 '11.18 UHOWER VISHWASHEP GARBA(AiK I):l:51::,O!iAI I. NO. !5l'OPIEKS: 3. WA!:iHTN(.-, MALH].Niii: I L)WEA.A.— UNI'T'S : I I.-AUNIA'-4'Y '1*14AY HLDG. DPAIN 11 D:EA 51NK SEWRA (F"T') WA*T EA S'T*OPM/RAXN (F"T 1. C)THEA r4FMAP1<5 FEV:!:i : 0 Manx E; DON VIE341110111, $111 50 W N )1143 1-.4(:)X 1.952-1 E 13 C)r-t 14111-1 d tar V T X'1'Ili f. 5 I A TI: J A X $3 . I FIER C 0 Cil-.110L.MAKEA HAPOLA) N T PLUMB1W., R 1:)t:1 13 C)X 12 5(41 A C ri?vi i.1!w ncl at tor, 19i'Ocl.', T PHONE'. (!`503) 4l,30-1712.113 0 R 14F.*-'(-')'.I:!;i'Y'I:�(-)I*:I.(*)N NO. '39P.P. 'TC)TAL : tM J.P.3. 30 PECL:I P T' NU. ) This permit is issued subject to the regulations contained it -tie 14 of the TMC, State of Oregon Specialty Codes.zoning regu )"' and all other applicable codes and ordinances, and it Is I9by agreed that the work will be done in accordance with the plans and PLD •LJNEA.:."'Sl A Ili.? specifications and in compliance with all applicable codes and & 8EA.-i ordinances The issuance of this permit does not waive restrictive WA*T*F.;:r4 I I ML 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 it work is suspended or PA1.11N DRAT.N5 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 In tions are requested and approved required in tions Permittee Sill ature Issued By HS PF 49' ' 6A9 SEPARATE PERMITS REQUIRFED F-OR WORK OTHER THAN DESCRIBED i5_-_01VE MLJ-IAN1(:,AI PENIVIT U I*-'I;;'1RM:I­T O N . Ml:-*:8H 9066 CITYOF T117ARD ( CITY.OFIIGAltr COMMUNITY DEVELOPMENT DEPARTMcNT OR10011 5/1.2/89 13125 S.W.Hall BIV,4 11 0 ri,x 23397.Tigard,Orrgan 97223,(503)639-4115 1::'11).M. [:)M'T* .NO. 890798 JU13 1.;iW SI:)P1N(.-,W0OI) Uk M A F"/L 0 1.S 1. 3*3AD 1.51900 S(. H: !nLIMME.111 AKE LT :8 RK : I AND USE' : p7l:)E) LXXT ti]:ZE:.- 1:TEM . NO : NC) W(')Pl< GL.ASS : NEW F1.44NACL < :I.oOl< I AD4 1-1ANDI.J.4 ( 10 LI S 1151NGLE I: AM]:I._Y IL-IJANA(*.11I­_ 1001<4- AtP HAN01 1:4 3.OK (*.;(:)NS*T .*7YV1I;:. : VN FUJOP FL)WINIACE. 1:::VAP . 11001 EP (:)CCU!::1 . G14P. : P3 VENT' r-'AN VIEW Vl---'N*Y* . SYS'TEM <31-IP 1-10013 NO. STC 131 rl/COMP 3 1.511,1P J.N('.I 1:NE.PA*I'(*)r4( DOM r.)WEI..I- . UWTS : I 01.A:4/(`(.)MI:) 1.5 30HI::1 TN(',:I:NEPATOP(COM FUEL `TYI:)F:* G,A 5 30 115 01••11:+ REPAIP L)IN11"I'S MAX . INPU7, F)LIWCOMP "504-111P ("YTHEP FIRE DMPPS..? GAt5 F-`:IJ)TNG C.)UTLEA5 I. 111GH PRIESS? LAW PRESS,? PE:MARKS : WO M(:)PJ:SSlIi:A-*TI::: DON PF PM I T $1.0 . 00 N P 11:11 DOX 1.9r. 5 PL.AN PF—ViE0 $9 .30 E p m r t 1 in.ri d TUPES *;R7 .15 0 R 51WT' 'TAX $1 . 01 HE.11 C 0 N T BEL.I.- HEAT NG ]'N(:; . R 1.15,1550SV.: PIAZZA AVE A C (:,'I ACKAMAS OR 97013 T r.)I-IONF--' (503) V.413--t184 0 . -.13T. ''Tr .) -147 RE % 4AI*].(.)N N(' This Permit is Issued subject to the regulations contained In Title 14 of the TMC. State of Oregon Specialty Codes,zoning regulations I' E QU:I:PEI:) INISPEZUTTONS and All other applicable codes and ordinances, and it is hereby agreed that the work will be done in accordance with the plans and L.TNE: specifications and In compliance with alf applicable codes and P01:VT EIE.AM ordinances The issuance of this permit does not waive restrictive POLK.4-1 N covenants Contractor and subcontractors shall have current city F*TNAI business tax permits. This permit will expire and become null and void If work is not starteH within 180 days.or it work is suspended or lb,, doned for a period of 180 (a, . any time after work has commenced It shall be the responsibility of the 'it I and ��;rmi as to assure all required ins ns are requested ai 0 d u re Permittee Signa ure Issued By 00' C7 FOR SEPARATE PERMITS REGUIRED FOR WORK OTHER THAN DESCRIBED ABOVE CITY OF TI�� F'.W F.A PF PM 1''T PF I M V I NO. SEA9096*7 RD Cl% 11�ARD I— Ty" COMMUNITY DEVELOPMENT DEPARTMENT Ir-5/12/09 13125 S W.Hall Blvd,P O.Box 23397,Tigard.Oregon 97223,(503)639-4175 1:`PM , PM'T' .NE) . 11390,79E.) ,JOB AL)DPESS : :11.26,21. 15W !;PAINGWOOD DR (]Sit) NIIMI*A::P : 037311.3 JAX MAP/1-01 ISI 33AD 3.15900 SUB : !AJMMI:.:I4I-AI<V 1-*T : 0 UK : I AND UF-&- : p7po 1 0 T 5:11:Z F: : Sii I'lC,11:0N: 33 *TWP : Is RN('.-', : 1.w WORK CLASS : NEW (HAK: TYPE : SIN(;-E: FAMILY 1*11-MY RILP113A.c.nnt, at(,I r,gvr.e ill tl:l (-,vmply With PLA.I. 1`1.11(0111 RVICI I"IN5LO.Utial-114 Of Agimiiiv.-y . 'T'h*it 13e1`lnit expir-c4m 1.20 +I-CIM th,-I! dlat*i? if-Alli1.10(j . 11-lea titlti&]. illLIN:11.11-11t 13fitid W-J.13. lArl if the 1:1e1`irlit A! envy dcilpi rich. 1ji.itir.- mrltee-1 thin atc�("N.11"ac"y 041 tl%e lclic�iat,:0:11-1 (341 timni viiii.de. %iyiwer- latter-a L 1 1:4' the molwrei, isle I'lut, 19.1 'Lh4:1 givell-1 , thoi.nlsistl.7.(',>r Ilihi".11. 3 fc)et irl it.1.1, fr-cllh 1.1-ICA Qivc' n . 'TT r1c)t m(l the! instia:11tiii. 41.ftilL.I.1 PUI-0-16I.Me. 1IL "'1*I;Ij;) liki-ICI 5j:LCICa -thp. Aclpfri(�y wi:1.3. :i.ri*;ti4LL:I.:I. U L INS T*AI L . 'TYPE : SLITI DINI. SEWI::*.P IMPF-PVTOUSs API;.-."A: 1;: IXTUPI-.: UNITS : IF:'.NAN*YIMPROVEMENT : DWEI-I ING (JIS11TS I NO . OF BI D(*.,'E i I 0 MUP:I:S5F-**.1Tl:.: D01's PF114MIT 1111135 . 00 W N lata 13OX 1952ti CONNF:CTION CHAI:K.sE $A ' 11,00 00 E P Ll I,t.1.41L irl d (a1` R F I-Ilk-"A 11l 560 . 00 C 0 MOAT rMFIE.1,11: 0014 N DON MOPISSF.E.TTE INC . T R 1:3 ri BOX 19524 A C p a r-tl a 1-1(1 "11'71`.1.1.9 T PHONC: ("303) 2-1/11 931.11 0 R P1:::GTI9TPA*T*ION 140. 355313 VOTAL: $1 1 4195.00 PEC,RIPI NO. Lt This permit is issued subject to the regulations contained in Title 14 of the TMC. State of Oregon Specialty Codes, zoning regulations r.,F.Q and all other applicable codes and ordinances. and It is hereby agreed that the work will be done In accordance with the plans and POLAAM-.1 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 business tax permits This permit will expire 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 commenced. It shall be the responsibility of the permittee to assure all required actions are requested and approved Permittee Signature Issued By- PA! POR SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIPED ABOVE ff CYC OF TWA WO_ PLAN CHECK APU COMMUNITY DEVELOPME=NT DEPARTMENT RD (CnYZ0f�1JCA1W1 PERMIT 1312SSW."ma ef+d_P.O.Box?3197.T1gantOregon 97Y13.(:A3)639-41M DATE ISSUED 1 JOB ADDRESS: 12,(62- 1 S ' r ' -V'V I'U W 0 !< i AX MAP/LOT SUB: '�Z'"4AAMU("21(t _ LOT: LAND USE: OWNER SPECIAL NOTES NAME' _ �J 1 REISSUE OF: i ADDRESS: J �' � �U c_ _—_ LAST REISSUE: FLOOD PLAIN/ SENSITIVE LAND: PHONE: _ �t/61-��• I� -- APPROVALS REIRED CONTRACTOR PLANNING:+—gU NAME: ENGINEERING: ADDRESS: FIRE DEPT - OTHER. -_ ITEMS RE4UIRED LIST/SUBCONTRACTORS: ARCH/ENGINEER -�- BUS TAX: -. NAME: I T� I r� CALCULATIONS: ADDRESS: TRUSS DETAILS: PARKING PLAN: _ LANDSCAPE PLAN: PHONE: OTHER: 44 COMMENTS: -_ L " I S Sy LS Y -1 017 2 71 -T PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT ID. BAL. DUE 10-432 00 Building Permit Fees JA uu 10-431 00 Plumbing Permit fees (e4 10-431 01 Mechanical Permit Fees -3 7 5,` 10-230 01 State Building Tax (5X) Building / -3���-- Plumbing �� d Mech 10--433 00 Plans Check Fee Building Z f /s Plumbing _ Mech _ .3 30-207 00 Sewer Connection 30-444 00 Sewer Inspection 51-448 00 Street System Dev Charge (SDC) -Lo-(f 52--449 00 Parks System Dov Charge (PDC) 31-450 00 Storm Drainage Syst Oev Chr-q (SSDC) ___;4 C 10-230 09 TRFD _� ---- - 10-230 06 Washington County Fire N1 (95X) /N-2.20 00 Amart4d(jewood TOTAL RISC AP I TCAN TGNAFURI- -_.._ keceived By: _�[,��r - -_--- Date Received: cn/3587P/18P -elf 3 CITYOF11GARD A4� PLAN CHECK APPLICATION ff CITYOFCOMMUN" DEVELOPMENT DEPARTMENT o E o►GiA� PERMITPLANH0CK 0 ` 13125 SW Hall BMd. P.O.Bac 21397,Tigard,Oregon 9771)(601)61!}1176 DATE ISSUED JOB ADDRESS: I'Z L, S•w �P(L(NL MID SUB: �" ��✓�-� (,K1 4k, LOT: �—"� TAX MAP/LOT �5�--�j 3•�d _ _ LAND USE: VALUAT70N: �``70 S 5;o-' OWNER M SPECIAL NOTES NAME: ►,p('�/S �J REISSUE OF: ADDRESS: LAST REI FLOOD PLAIN/ SENSITIVE LAND: P'�10NE: _ � — APPROVALS REQUIRED_ CONTRACTOR PLANNING: NAME: ENGINEERING: ADDRESS _ _ _ FIRE DEPT _ - - -- OTHER: PHONE: ITEMS REQUIRED LIST/SUHCON'rRACTORS: ARCH/ENGINEER � �, � ( � 1 BUS TAX NAME: J CALCULATIONS: ADDRESS: _ TRUSS DETAILS. _ PARKING PLAN: _ LANDSCAPE PLAN: PHONE, — / OTHER: COMM-NTS: --- PERMIT M ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE C' 10--432 00 Building Permit Fees ��L� / , _Y •; 10-431 00 Plumbing Perm} ' Fees ,� w 3� ri l9 N� 10-431 01 Mechanical Pe ,nit Fees -3 J„sv -� �` ,5,, 10-230 01 State Building Tax (5X) 3 , .23 Building Plumbing Mech j, � �/�/3Y 10-433 00 Plass Chork Fee - ;Y Duilding L�U -- L Plumbing _ Mech / 30-202 00 Sewer Connection 30-444 00 Sewer Inspection _ 3 51 -440 00 Street SVst:em Dov Charge (SDC) .-Cv G:0 c, 52 -449 01 Parks I Systom Dev Charge (PDC) _U 5U 52•-449 02 Parks 11: System Dev Charge (PUC) -- -- 31 -450 00 Storm Drainage Syst Dev Chr•y (SSDC) ,�Sy 10 230 09 1RFD — -— 10-230 06 Washington County Fire N1 (95X) -220 00 Amart/Wedgewood— TOTAL_ -� R EC # APPt WANT STGNATURF Received fly : Date I --_--_-_` 1bu"�./ Date RLCe1Ved: ht/3507P/19P