12643 SW SORREL DOCK COURT I
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12643 SW Sorrell Dock Ct. w
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IWSFE-CTICN' NOTICE
City of Tijard Builoing Department
LX) P.O. Box 23597
Tigard, Oregon 97223
Phone: 619-4175
Type of Inspection -Ac
Lab! Reques"cll--d-- 5 Tin .L� P.M.
/" I - ,
Address Psrrnilt,–*q-,�� –L
Owner I of
Bvildpr —
The 'ollowing Builf--4 Code deiicie:icies are required to be corrbuted:
pproved
Disapproved
Da I v
CALL FOR REINSPECTION
CI YES 0 NO
1f it EC i IOM NOTICE
City of rigard Building Department
P.O. Box 23347
Tigard, Orpgor 97223
Pr,ono: 639-4175
;i
Type of Inspection
Date Requested Tione_�A•��—`"-r, � /
Address _�cz�/�s /3,�r 't lt�sr—�L.0/C'<'�c.: ps,rrttit *
CTvnerZit # _
Builc,er .
The f•,ilowmn 801ding Cods: deficiencies are requireJl to be co(rected:
i
'`"i-2-� J,t/ /L/k' C�/1�fH.Uc�x C�'" 1:�Dr.iT _,��.�z ,Ci c .,.•�i.r.i�.-_=
t.0 1-1�_.,✓r�:�M ��'`�.✓c*.4 /'.itC�1TL �'s�.._'' _��ts•b.1[77/
JZ
i Pres(nted .o _� _ pproved
i
Inspector _ ' �A, _----- — — Ll Disapproved
Date I� —
CALL FOR ,?EIIVSFECTION
❑ YE$ ❑ NO
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223 !'
Phone: 039-4175
Pype of Inspection
Date Requested—' I Tuna,I Ay�.M. P.M.
Address L(1 � ��— 2�L ` (`I - Permit
Owner Lot #_
Builder IV I �_Lt l U S OVA �.r-� y
The following Building Code deficiencies are required to be corrected:
4__5
�:!�' ,� A.J� n "i,"T.R UC(' ('..L/[/wf/JST1 O�„! •/:.A1'C'
—._ ►�.1.:i,Ac��/..c-r' --s_t� ����'bt3c�l/!' s"c� �k�•` ^S�cs.��
Presented to Approved
Inspector _ __ —_ U Disapproved
Date q_/B_ ore
CALL FOR REINSPECTION
❑ YES ONO
I
CIIYOFTIFARD
CRY OF TWARD 1-1 E-R III 1 1 4 D U F,9 0-4J%3(,
COMMUNITY PjF-',.ELOPMENT DEPARTMFUT t-IRT.M. PIER!"11.7 W,
ORFIGON -
1?125SV- I WIRWi PO Rckx23,197,Tigafri,o"wn 97223(5C3)635 4176 1EILIP-190 0,-�63
DA'rE I SSUf�.D.. j4l�1(4 ' 0
0 1)R L"S 53.. J G 4 3 F)W 5 U k I�L L. 1)U K r.'A RC,-L 1.S 13 3 A I;
3 U b 1)TV 1:S 10 14.
111 F R L..rj':E
1?L.U c 1/1 . . . . . . . . . . .. . . 1 17
S S U E B U r-*' F L-OUR AREAS---------- EXTERIOs"' W11L.I.-
GLSYS COF WORK. --NIi--'W kS V ... . . . .1.(16 S .-9 f 14: S KW
1::'F:* OF' USE::„ »SF' r, V`R 0 1390 f 0 P:'E N I N G c
�7 S
'T y I"'E. 0F' i N TH1.R'D. S: E. W
0 U U[-'A N C Y G R R3 TOT AL 2659 ss f ROOF' CMISI'LIC F-'If"E RET
OcU'(jI*-';A;4'u'1 L-Of-)I):, B S U'111 E N'T f 0 R 1::'() Si E I-"'. 8011 1)
9'T'OR. . 2 I+T*. 20 ft R A G k. 560 T f (JCC(.; SEP,. RA'TED
B u III E z z Af,KS
R E 0,0 S E'V14 R E L)U I R E D
F'L 0 0 R L (4D. . 40 ps f* "5 f-t R",'H't'-. '5 ft F'1R E)f:,KL- SMOK DE ". -Y
DWELL111,43 MITTS.- I FR111 a20 ft REAR»,33 ft 1: 1R F)L R 11
D E 1)R III S:: 4 1*4 f1*11-1',-), J T 11 V, S U R (4 C E c V,R 0 ('-'()R R- 0 R I I N U
VAI UE. $-.
Re 111 Z%r k V;:
FEUB
R".)0 L R I AW7)('.)N (t 1)t by date '(1e
122 4.3 SW S 0 R R L L- 1)(,'(,'K UT V,R 1,11- $ 313. 5 2)
OR 97PP3 0 0 OP 0 1. 93
r"hc)N-iP 1#- E,5 4 ILIA
1)C)N VI(:'R 113 S L: I'T*F:. ELDERS,
F. 0 113 0 x 1.9 5 c!14
OR'rl fMD GR 9721',')
01" '503-G2V--7b3V 4 T 0 T'A L
'T T
r;!EGUIRED 1hISOEL Ot NIS
This Whit is i:,!IPJ �Ibjvct to the requidtions nontaiiied in the F,C)0 t: f C)1.1'o d I ri!;p
Tigard Municiul Cod?, Stete of Ore. 9PPcidlty Codes and all other
applicable lat:s. All oorl, W! be done ir accordaroce with
approved plan,,. This permit hill expire if warp. is not st.j-ted
within 168 days of issuance. Or if is sus,%enaed for @are
thaw; 188 days.
............... .
A ...........................
...........
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SS U Q(1 14 y ......................C'ALI...... ................. ........ ......................... -—------— ........
I+ I
. fixf, 111sip r-, c)1-1 -, 63 9-4 1 5
.11TY OF:' TIGARD RLCEIF'*r OF PAYMENT RECE I F,T NO. r,94.) X04460
CHECK. AMOUNT 65.46
N'01F. s L.AW30N, R()SERT & MARG0iRE1 CASH (iMOUNT
ADLNF<ESS s 121BA24 SW THUNDERHEAD WAY PAYMENT DATE i 0ll,/06/90
SUBD I V I S I ON
K'AVERI-ON, Ok 970()5-- 1264" OW SOr4R`11. DK
1:J.lRV,OSF or PAYMENT AMCJUNT PAID rur?rosE oF, r�AYMUNT AMOUNT FSAIP
30. 5(-,) bT. SUILD PE-R
FLAN ("JIECK". !-E 25 Q 3.
(nTAL AMOUNT PAID 5. 4 4.)
13125�,W
P.O.0CxC 23397 PLNCK/
CIT v OF TWA RD TKprd C)WCQC41 9M3
COMMUNI-" DEVELOF3MENTDII'AFIIMI--NTC (SGj)659A171 PM41T f zj,�V
D7VM ISSUM
JOB ADDRESS:
TAX
SUB: IDT: 1 A USE:
.1 VAUJATION: 1:7] LnllSPFCM, Nurks
NAME: .
- Ae�ed je,1\1 Rvj-SSM OF:
AADDRESS. 1 77, 77" uo�, PEW)E:
FOOD PLAIN/
F11ONE: SENSrr.nE IAND:
CONIMAC'MR 14 FIANNIM:
e�
ENGLNEERDIG:
AUIZESS: FIRE DEPT
ly
6- r)THER:
PHONE:
BITHI)ERS BCAW AP: _5_F1'e9r_ EKP am:
CAIACLff-AMCKS:
IME: TWM DETAILS:
MORE!
OTHER:
PHONE:
SUPUMMCM).11-3: MUMB:
PEMICT if AC.r_T f DE60=0N AMOUNr AMMUNT FV. PAL. DUE
a. 10-432 00 Eklildffig PetMit FO-_s S-o
10-'31 00 Plumbing Permit Fees
10-431 01 Medhailical Per ait Fr
10-230 01 State Building Tax (5%)
Building
Piumbiny
MhCh
10-433 00 Plans Chet-k Fee
Wilding _-L
Plumbing
Medi
30-202 00 Sewer Cbm,_,�oLion
30-444 00 Sewer Inspection
51-448 00 Stmt Syst Dev amrqe
52-449 00 Parks System Dev Ch-jrg#- (PDC)
31-450 00 Stxyrm Drairege SysL Dev Chrg (SSDC)
10-230 06 Fife
TUTAL
APPFACAN'r SIGMnYRE
Received BY: Date- AAmived:
.ef/3587P.WPF
>L� up, REINr URGINCs:
PROM,'DE (-4 ' •4 5A%R5 -EXTEND FU:.L HE!Gs 4T OF
C"VINE''. HORIZON-A:- '*'IES- L'4' AT 18' O.G.
WITH C2; TIES AT EA" BEND IN '✓ERT!GAL STEEL.
-- VA �.� W"ERE GHIMNE`r' WIDER THAN 40' PROVIDF_
C2! ADDITIONAL VERTICAL RF-'NF. E5ARS
i
` ANG1-+0R GHIP''NE r AT EAC" r LGOR
AND ROS WITi4: (2) 3/10W X 1' 6TRAP5
EMBEDDED INTO G"IMNE`i' 12' t "OOKED AROUND
' OUTER VERT. E5AF415 WIT" 6' E><TENSION
j 1 FASTEN EA. STRAP TO 5TRUCTUR% W/ Cfv ? I&cl NA!Lfi.
i/
4 X 12 �4I +DER
., Pv.RGED 5"C*,E SraELF
1.'4' n 4' X 4' LINTEL
I OKFR GONTROI_ DA^'iPER
_.--�- /- RASED "EAF'T"- wEh?fF1' NEICsNT
4' GONG. SL"!3 W/ 03 MARS AT 9' O.G. EA. WAY
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^i-, �:T�> . '�' .Ga/; ? ` `. �`
�� OF O C C; �
lI��C�� L�.�TCY
CITY OF TIGARD r.
OREGON
t'' '' Owner: Don Nbrisse*_te Permit N0. 881728 . /
- € Address: PO Bm- 19524 Portland, Or 97219
Building Address: 12643 SW Scrrel Dock Ct.
Occupancv: R-3 LanL. Use Zone: P.7PD Bldg. Tyne 5N
,. Comments:
Certificate is hereby given this 27th dap of Mamh , 19-a.9—
that
9 89that said building inay be occupied and that tt complies with all ^ i
' re. uircments of the Building Code for the City of Tigard, as approved f
q g
J I by the Tigard City Council. .
Fire Dept. Build ng" Spector
uilding Official ': '
.A
Post Certificate in Conspicuous Piace '
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f� ,
U �t,,•=' �131ir. �" �'.� r�ii�eP.et. t4� '§q 'Ses'�?','st.`4s+o ��'iPs'`'�
. Y"' � �MIA. !1►�fi,� aR� °1!►Ad ��y
_ w s a tea...+ '....sy€ ',.wY
a ,+ i' 7R, RY=~�k' .n+s�'_ � ' S�yE •'d Lnl',v oy -� /.
�y,.�. ^�Q"" -'�w.:w+� �~'° _• '+y� ..� �` "E„f yam:"yS �'�/ ' "F�.'�,- '..�,.
spa• y�;,,,��a �Ta' '�' +...�a."� 1^'✓
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection Z' F
Date Requested / Time A.M._ _P.M.
Addre3s s/3. 54 r`e'.." �C•� Permit 40
Owner _ - _ — Lot #
Puilder ---- -- ---- -The following Building C(de deficiencies are required to be corrected:
`cCr -L [ ( CI -
�- — e7 --
Presented to _ I-Approved
Inspector / ❑ Disapproved
Date
CALL FOR WEINSPECTION
0 YES C7 Nn
INSPECTION NOTICE
City o'Tigard Building Department
P.O. Box 23397 G4
Tigard, Oregon 97223
Pho ie: 639-4175
Type of Inspection r C4
Date Requested Timet Ll r A.M. P.M.
Address Z y q 3 Ce- Permit
Owner Lot
Builder J krn
The following Buildin Code deficiencies are required to be corrected:
5 71f"01) OW/ -r— C�U c lb S s -e-t
:Z 2 f
Presented to Approved
Inspector
V0 � ,,approved
Date
CALL FOR REINSPECTION
&—YES ONO
INSPECTION NOTICE
City of Tigard Building Department
P.Q. Box 23397
Tigard, Oregon 97223
Phone 639-4175
Type of Inspection Driveway Approach and Sidewalk
Date Requested 12/29/88 Time 9°30 A.M. P.M.
Address 1264.3 SW Sorrel Dock Court Permit #_ 681728
Owner_
Lot #
Budder uon Morrissette
The following Building Code deficiencies are required to be corrected:
-- I
Presented to ---- — ppl'oYsd
Inspector ❑ Dlappronsd
Date
CALL FOR REI;,SPECTION
❑ YE8 0 NO
INSPECTION NOTICE
City of Tigard Building Department
P.U. Box 23397 C"1
Tisa 1, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested -. Time A.M._..rP.M.
rel ,_ c
Address _ Permit # h � 2
Owner � L_ l Lot
BuildarL—The following Building Code deficiencies are requi-ed to be corrected:
N
Presented to u P vrbtred
Inspector ❑ br +Pto"d
Date
CALL FOR REINSPECTION
❑ YE8 ❑ NO
t ��� �� )trr 54 INSPECTION NOTICE
City of Tigard building Department !, 1
P.O. Box 23397 ( � 1
,� 2 `�S r P Tigard, Oregon 97223 L
, 74 5 Phone: 639-4175
T1 pe of Inspection '\` �� �{ ��— --- 1—l+J
Date Requested /��y�� � // Time A.M. P
Address ��' ��_�—�L.l �' Permit �M _,
Owner Lot #b__
Builder - / /( ^C.'•L dL
The following Building Code deficiencies are required tc be corrected:
---- ----_ . -------- / / -
33
Presented to
Inspector _� ___ Disapproved
Date
CALL FOR REINSPECTION
❑ YIESt C] NO
INSPEL — .NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
�.,y►�,,P.•C'�' Phone: 639-4175
Type of Inspection
Date Requested �C7` _ _ me A.M. P.M.
Address `' �r- --- _ICj - Permit
Owner Lot # _
Builder
The following Building Code deficiencies are required to be Corrected:
LQ
----�".U.-„'i�� y 11 t all•-LcA�.�� ClrJt'.�""C.
Jl-
7
Presented to — Approved
Inspector
_ `t Disapprali d
Date _ Z — �?-—9-9 —
CALL �F,ORR REINSPECTION
a R7 TES "] NO
r
i
INSPECTION NOTICE
City of Tigard Building Department
P.U. Box 23397 C
Tigard, Oregon 97223
Phone: 639-4178
Type of Inspection e ' —
��' Time A.M. _ P.M.
Date Requested _
Address L -�-`�'"` Permit
Owner _ __-- Lot
Builder� ---
Thp following Building Code deficiencies are required to he corrected:
Presented to __ -- - __ ---_ . Approved
Inspector -_—_ I Disapproved
Date ------
v CALL FOR REINSPECTION
YES NO
INSPECTION NOTICE
City of Tigard Building Department C'�
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection _
r
Date Requested_ U J Time V _ A.M. P.M.
Address �' �J ���Yr�,1—_ C—� Permit
Owner (�LcLv-f- -Q-7(4 - j Z Z -- I, )t #.
Builder CIN:1 -)' 1cy -- ---
JThe following Building Cede deficiencies are required to be corrected:
Lou
Presented to _—_ Approved
Inspector _ __ Disapproved
Date _ 7 _—
CALL FOR REINSPECTION
El YES ❑ NO
r
I'�1„FIM C'1'
NO.
*4,
CITY OF �'��RD clli� UATIE ISSUED : 9/ 6/08
COMMUNITY DEVELOPMENT DEPAnTMENT (3e1.,12E)
13125SW dell Blvd.,P.O Box 23397.Tigard.Oregon 97223.15031639-4175
1.261A3 SW C'T'
1117 k4' ' .
-13A.1 6 K :
fAX MAP/L(TV MORNING I
I. AND U!5F. : ITIP0 VALA.JA"-' 1f'.)N t,)30 SE'THAILKS
L,0I 151Z[�'.- F PONT : ?U PIC Alit
WORK GI ASS : NEW l`.)WFJ-.L. .UNITS ; I. I-EFT : 5 1116'4r :
USE TYPE. : SINGI E i.;AMJA-Y NO -BEOPOOMEi : l4xl' .WALL. (:'ONST :
(:1UNC5'T* . 'I'YP1`:: : VN NO BA I'HS 3 N 5 : E.
PPOI OPEN1NUS :
0CX',UP-GPF-' . : P-*5 N: S : EK W
0111:,Xur., -LOAD
1'(')'T'AI.. ARBA 'P.6:19
..e 9 POOF' C 1- RE WE
NO -STORIE.til '. R 2ND: 1.x(90 API--.A SF OAP? PAITO
HU"161-IT : OC XUP . SEPAP? AA,TED:
13ASEMENr?
DASLM
MIK2ZANINE"? GAAAG& 560 F:114-K. SPAI(L"? Al ANMI,
0011 1 OAD. AO FL.OW(GPM) DE11:3:1" It YEKS
HnGP
PLAN BY :
REISSUE OF NO .
$478 . 00
0 M0A:I:S!5LVT*E DON PM I T 1111111,310 . 70
W P t.1 VIOX 1.95PA PLAN PV4:Vtr'.-W
NF,11:411F. 0E.P I'
E 1-.)t3 r-ti,Is.1-1 d TAX
R T HE P
C.,H A- R('A;:5 V.?50 . 00
C M( 1 ? DON 0 n,A $600 00
0 1, Ojq MijpI SaL TIA-il:I
N1,
N $250 00
T
R p c) FKA D(7 PRE PATI) < 111-100 00>
A 13 0 1"1,1 il I 10 1:11- 97P.1.9
C T 91.e. 60
VIAONF- (503) k2Ae4 9'�3 1--'-1
0 I�r.:X.A,L*.0'FIAT JON NO 35533
R
RECAUIXT NO . U5 0
................
This permit is issued subject to the regulations contained in Title 14 1:)E L�T1(INS
of the TMC- state of Oregon Specialty Codes.zoning regulations 1*1EAA1-J1l:;fIF.D ISN
Find all other applicable codes and ordinances. Find it Is hereby I-OUTT N(., E W f:*1 A
agreed that the%ork will be done In accordance with the plans and OuNUAI'TON WAL L. RAIN DRAIN"s
9pecilications and in compliance with all applicable codes and BEAM WA*rH'p LINE
ordinances The issuance of this permit does not waive restrictive PPAGIA Sw
current city LB.UNDEPSI NB (jj*1,j A
covenants. Contractor and subcontractors shall have cu F:-I NAL.
imsiness W� permits, This permit will expire and become null and SI ALA
void if work is not started within 180 days.or if work is suspended or I-IL IR - 1111P(111.11'
abandoned for a period of 180 days any time after work has N 1:1
commenced. It shall be the responsibility of the permittee to assurt. A14-V11-AC11,
all require in ections are requested and approved. G AMS L T NV
t N!:i IIJI A'I'U*31A
ROA
Perr IgnatUre
,AN
G 0 1:0P j Nt;I
Iss,ied By.
SEPARATE PERMITS REQUIRED FOR WORK 0 , HER THAN DESCRIBED ABOVE
I:lt--PMTT' NO. : GIE
CITY OFT167ARDD6')'E-:' ISFLJEU9! 68
/ 8
aht-AND PRIM. ")Kr .NO , 81131.7VII91
COMMUNITY DEVELOPMENT DEPAR-i MENT CMIGON
,J(:)F..4 'liff.p - - -1
8 U'jA NUMBEP 03041P
(q
.. .1
MAP/L.0'1' 1114 MOPIM.NG 6
1 AND LISL : frrt 1;
5EXTION: 'T'WF': HNG
WOPK 01-OMFOS : Nl:;-W
USE." TYPE : 5T.NGI E FAWELY
) Ilk t.c) ("(:11111:04 WJ.th 10.11. r-mlorAvi atrid
SRW0l-'ffi-g1K1 AgOlICAJ claiips fi-ain the? clate litiomied T'h e tri tet.1.
Ot fri P 111:11.d W:1.1 '1 1:)a 4.,Li I,+MA. t'W 0 141 t.I I 0o 1.)oio r,in-1. It, a P i 114 f11w A 5.j 0111 y clr.)e IR glut QUM
arll.vncH Lhiia acctlraf.-y 4:1-1? thiiilt 1.c)c!Ht t':I-rill of
11(.11. 1ric:r. 4.oata at 1,1141, qiVem , the -Naet J-11
11:1.1. Li i.I-o., 10 11 at -F 1-t)M t.1.1 lia (j-I.e1 t at 1-1 cr(.1 411:1.V eia vi T 41 ri a t qi(a 1.a c!a t e ti t h or.-) :11.11 s1 t.a T I.a I in I"a 1.:1.
a aricl Pfal-ini 't mind the Aue)iiL:y 'it
I 5FAL.L. , I YPL
ON
DWE"I LJW.4 UNITS
1`110 OF PI DGS
M01:415SE 1 11,-: PERM11 111111315 . 00
pa I-A.)X C ONNEC'T'10N GHAPGE *1 , 1.00 00
W part land all LINE: 1M., 1N51'A1L.
N
E *'3 6 0 00
R
I M(: WL! TE.: QQN
C D(:)N WMISSE 1"TE TNC
0 N)ca E40X
N
T P 0 l't I.a 11 d car 97 P.J.9
A 'T'O'rAI 'AY!'A
C NO . 355:13
T
0
PECEIP'T NO.
F*.'Qk.JTPE'D INSPE:CITONS
This permit is issued-subject to the regulations contained in Title 14 ROUGH—T.N
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
ordinances The issuance of this permit does not waive restrictive
covenants. Contractor and subconti actors 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 perled of 180 days any time after work has
commenced 11 shall be the responsibility of the permittee to assure
all required inspections are requested and approved
Permittee Signalitre GALL FOP i:(IN 639-41175
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGA R14-i-PM1: NO . . MEH.81317H3
CITYOFTWARD DATF: 1.C.,S U,::.U 9/ a/us
COMMUNITY DEVELOPMENT DEPARTMENT ORIooN
V441 M , VIM I .NO 881728
13125 S W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.(503)639-4175
JOU ADUPIESG : 1.26413 SW SUPPEL.L. L)OCK C'T
TAX MAP/L01 1:JJ13 : MOWING HILL F, L 1 1.1 L.I K
I.-AND USE : RIP0
1.OT SIZE :
NO . NO .
WORK CLASS : NEW FURNACE (1.001( AIR HANDL. 4 < 10
USE *T*YPI'---: SIN(A..-E FAMILY 1=UWNA(2*. 1.00K+ 1. AIR HANL)LP TOK
CONS11 'TYPE : VN FL.U014 F*LJPNACr. EVAP,COOLI::14
P3 HEA TEP VENT FAN L!
VENT VENT . Gy!-:o'L-::M
81...8/COMP (314) HUOD 3.
NO . Si'I*(JR3'A.-.S P FA.P/CL)MP -3 J.51-1P INC INFETIA'11311:4(DOM
DWEI L. .UN I TS t IA R/COMP INCTNI-KP01TOR(COM
ITHEI T yl:..,I;!: GAS till-R/11'.10MIP 30 501.41) RE'Ps.)J.P UN T T S
MAX . INPUT 1.31...8/LOMP 304+417 U.11T1••IEP
FIRE WIPP57 (,;O. S F)*[P:[N(.-, OUTLETS I
HTGH PRF:S13•{
LOW P14%61h'?
PI;:'.MARKG .
MORISSE-TTE." DON PE.V11MIT $10 . 00
0 pill EjOX 195pel PLAN Rl"VI.Elall 1119.'7)
W
N p0l" LI.Mild 01', F EXTI)PES $P-.9 00
R E STA'T'E. 'TAX .95
0 T'j.I r_:174
C
C 81.A L. HLATINIt.1 7:N(..
N
T 1.55501.5E PIAZ7.,6 AVF--'
R ("L.0(-KAMAS$ 0R 9 0 it
C
43-11.1.811 1-*11--I()NF.:. 1.'5032
T NO. /1117 T 01 Al.- : *",)0 . )0
0
PECE 1 I-.1T NO &
This permit Is issued subject to the regulations contained In Title 14 jl:�Q
1. (11PED INSPECTIONS
of the TIVIC. Stale of Oregon Specialty Codps,zoning regulations (;Acs L INt.
and all other applicable codes and ordinances, and It Is hereby
agr.ed that the work will be done in accordance with the plans and PO'VT & DF"AM
specifications and In compliance with all applicable codes and 1:41UGH TN
ordinances The issuance of this permit does nM waive restrictive IF INAL
covenants Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become nui!and
void it work Is not started wl',n!n 180 days.or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be tla responsibility of the permittee to assure
all required Inspections are requested and approved
Pprmittee Signature
.,(I! I 1 011 INSPECTION 639-41175
Issued By ---------
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
PLUMBING PE".14MI'T
CITYOFTICrARD NO : PIA381.1113k-'
(cl7YCW WAIM
COMMUNITY DEVELOPMENT 3EPARTMENT1.)A'T E.' I S to I J E-.D 19/ H/80
13125 S W Hail Blvd,P 0 Box 23397,1 ignrd.0mg-ri 97223.(503)6394175 1 r,pxm. rwr.NO. 81"?1. 12 G
J013 ADOPESS : 1.26/43 SW SOPPElL DD(:,*K (.-I
T AX HAP/11-01' SLID: MORNING; I-11L.L. 0., LT : 17 OK .
11-AND UbE.: . 1:17PO
LOT Si,ZF* -.
:E'T l:.:.M: NO NO.
WUPK CA.ASS NEW wAn.:P cn-om-Y* 7T rF4Ar'
USE: Y'YFIE : SINCLE: FAMILY UPTNAL. BKI::LUW PWVN'T'P
(:XJN!-'s*7* . '1*YP1;;: : VN I AVOWAIDPY 3 744A.F." PAIME.-M
OCII(NiP . (11014P : A3 TI-1191 SHOWEA P— GFIEASE. 'I'RAPI3
01 SHWASHE:P
GAPF)A('.vF-
NO - ST('.)PTE::S : 2 WASHT.NG, MAUHINE: 1.
DWkI.I. .UNVTS : 1. L.AUNDPY 'MAY BLUG. DPAIN ( EXIA
P1.00P DPtiiii
SINK t !IEWER ( T)
WATEM
0 110PI.SSFA IT. UL)N 11111132 .50
W 1311 BOX 1.95PA
N
E P El r't:1.K V,CI fill 1=AXTURE.5
S'TATE TAX
SI-101F.:MAKEP HAPOLD
N G11-40FEMAKEP' S PLUMOTING10
T
A P cl RUX 2J50
A sq!s I,Plic..,atrJai, ar- 970215
T
T V,HONIE 1150*311 630-4788
0 PE-31.11til'PAT31.319 N11 39p.e TOTAL: ►131) . :1 .X,
R - ----1
PE(�,E-TPT NO
This permit Is issued Subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations RE.W.1114:0 IN",PECT-1(INS
and all other applicable codes and ordinanc,?s, and It is hereby PLA-1. AS
agreed that the work will be done In accordance with the plans and VIDS T & PRAM
specifications and In compliance with all applicable codes and
ordinances The Issuance of this permit does not*,,five restrictive W(111134 L.TNE
covenants Contractor and subcontractors shill havn current city PLB 'FOPOUIT
husiness tax permits I his permit will expire and become cull and NAIN E)PAINS
void It work is not started within 180 days,or it work.ssuspended or IF 1.NAL
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assum
all required coons are requested and approved
41,ea C'
I
Permittee naturf,
Issued By I-LbL)- FUR
SEPARATE PERMITS REQUIRED FOR WORK OTHER Tt `kN DESCRIBED ABOVE
CITYOF T- IFARD PLAN CHECK APPLICATION
COMMUNRY DEVELOPMENT DEPARTMENT � i4� PLAN CHECK N
»12ssWHA&,d v,0.8a23Jo7,Tiprd,o,.p,npr7W 4W3) "w»a MOON PERMIT #
(� DATE ISSUED
JOQ ADDRESS: ' t + 17 TAX MAP/LOT
SUB: ���V1�vk}.t.�� _ LOT: LAND USE: - ---''�?�----
VALUATION: _ �,;�
OWNER �^ � SPECIAL N ETES
NAME: r ! I('� I �_� _ _ REISSUE OF:
ADDRESS: LAST REISSUE_~
FLOOD PLAIN/
PHONE: /a c - SENSITIVE LAND: _
CONTRACTOR APPROVALS RE UIREO
NAME: — PLANNING:
ADDRESS: ENGINEERING:
---------- _ FIRE DEPT
-- OTHER: +p
-- _ ITEMS REQUIRED
ARQP ENGINEER LIST/SUBCONTRACTORS:
NAME: --- BUS TAX: _ —'--
ADDRESS: — CALCULATIONS:
TRUSS DETAILS: -
- PARKING PLAN:
PH- — __ LANDSCAPE PLAN
--- OTHER:
COMMFNTS:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. DAL. DUE
_ 10-432 00 Building Permit Fees ` ±7 ao
5 115j, 10-431 00 Plumbing Permit Fees
1►Lt L� 1 tO-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5X)
Building
Plumbing
Mech
10--433 00 Plans Check Fee 32-0.4.s
Building
Plumbing --�-
r Mech
30---202 00 Sewer Connect:ion
30-444 00 Sewer Inspection _ -- U0
5; :4d 0U Street System Dev Charge (SDC) ' "— '- 't'—
52--449 01 Parks I System Dev Charge (PDC) ^� au
52-441 02 Parks I1 System Dev Charge (POC)
31-450 00 Storm Drainage Syst Dev Chrg (SSDC)
10-230 09 TRFD
10-230 06 Washington County Fire #1 (95X)
0-220 00 Amart Wedgewood
TOTAL
REC # Lei j(
APPLICANT SIGNATURE v
Received Ry : - - _ / �� � Date Received: � � �
AMY_
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