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13143 SW LAURMONT DRIVE 13143 SW LAURMN'l.' DRIVE EC INSPTION NOTICE — O S City of Tigard Building Department !/ P.O. Box 23397 ` 'V Tigard. O eoon 97223 \ Phone: 639-4175 Type of Inspection Date Requested / _ -Ili �l U:r�A.M. P.M. Address 3 `-� -` CLQ_[{r s1 I L/N 7i _ Permit #t j Owner— — Lot #_ Builder )M2 The following Building Code deficiencies are required to be corrected: - - 119 it I r �'7 — a Presented to •�pn►o;ed Inspector -_V [� Disapproved Date 7 — CALL FOP REINSPECTION f� YES 23'I 0 w w w w ew a� s w � \ice✓ �s - ����-�-.�' w.------��i-ti•--��--moi -- ,�✓tip.%_ ....�`.��`i \:� ii ._. r..,l� GC��:P`w rr "�'��'C+�. �">r •� �m �s ,. .p.4 �� '�y,.'"'�"� 'LT �IJ E w �`~ ry� e 40, e 14Lr) z [3, ■r •-1 lfl 00 ` R � ¢•,, ,ay cd •I a y O to t � F r f4 -1 O ro ►I ; I � U Cd to4-0i NA ,r fV ti d �Q z (tfLyj i f N tOy 0 0 2. V) I � � n .•" a �,�p I bC b= ( td) oqi u cMd obi E-� VIS N 5fi �" I a�sS'L':LYY'G' r CY.• S1T1-T—.. Ia4x x�� .R.., A VA �F r : f ��'. sJk �f11Myy� .MIIIA. It 11E« nIIIPS � r ti � »� l �� .�I';'�' •;i�;� n� �n p , MW MW i INSPECTION NOTICE City of Tigard Building Department P.U. Box 23397 Tigard, Oregon 97223 Phoney 639-4175 y Type of Inspection —� — - - ------------ Date Requested —,L_L-.!� C,� rime_ A.M. P.M. Address Permit Lot BuiwerThe following Building Code deficiencies, aie required to be corrected: nn WOW- Presented to — ❑ Approved Inspector �- Disapproved Date ------ CALL FOR REINSPECTION � YES ❑ NO wi iw wax craw sv ssr Ca `4 JU.0 Mgnr TION NOTICE k.cm" " City of Tigard Building Department P.O Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Date Requestec'_-- % 1 0 —e Time&'V Lj A.M.__ G �P.M. / Address 1 L'J 3 Permit �. r Owner -_-__. �_. _ Lot Builder ._L f�L—L –L�_S1� The following Bui ding Code deficiencies are required to be corrPeted: Presented to Approved Inspector [I Disapproved Date _ Z'` Z..m 8 CALL FOR REINSPECTION ❑ YES (] No A t F6 ECTIUN NOTICE P City of Tigard Building Department2A i(�' P.O. Box 23397 ; T igard, Oreyon 97223 Phone: 639-4175 2 7 1 Type. of Inspection — Date Requested Time_—_— A.M.___,_-_P.M. AddressPermit Owner- _ Lot #- s Builder _y� � :►�-il f The following Building Code deficiencies are required to be corrected: Presented to ._ -- --- — _f Approved Inspector Disapproved Date CALL FOR REINSPECTION ❑ YES ONO iNSPECTION NOTICE , City of Tigard Building Department P O. Box 23397 �Y Tigard, Oregon 97223 Phone 639-4175 Type of Inspection —._ --.�---J-- -- Date Requested l Time_--_. A.M. Address _____ � �„i 1 �/, _.___ Permit # Owner_ ._ — -- Lot --- Builder The following Building Code deficiencies are rectuil,ed to be corrected: Presented to ,� -- -_- __ - Approved Inspector _. _ El Disapproved Gate - 2 CALL FOR REINSPECTION ❑ YES C] NO w, ris s wt iwi nri ssW INSPECTION NOTICE City of Tigard Building Department �1 P.U. Box 23397 J Tigard, Oregon 97223 Phone: 639-4175 Type of InspectionJ 1�� `�` �i rC.w`-�✓ Date .7equested �� - Time .M. P.M. Address -/3/V, 3 7 . ") /./- �)Permit Owner k-t LK c�-)4.1 —,IT Z 2 Builder /)-C/3 o`e'll 12 1.51 The following Building Code deficiencies are required to be corrected: Presented to Approved In-pector -—__---1-- _ — � Disapproved Date -- CALL FOR REINSPECTION �7 YES ❑ NO I INSPECTION NOTICE City of Tigard Building Department P.O. Box 23391 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection lF) 2-�-" ,i j I Date Requested Z.c2 Time _ A.M. Y P.M. Address �, L� (- CLL t /`f)1(') _ Permit # �' Owner _ I_nt Builder -�I —�1_�r L LL11. ;A/ ( 14 [The following Building Code deficiencies are req.uired to be corracted: C� Presented to ❑ Approved Inspector Disapproved Date / Z= gr CALL FOR EINSPECTION YES IA NO INSPEM tON NOTICE p City of "Tigard Building Department P.O. box 23397 ( 1 1 .yard, Oregon 97223 Phone: 639-4175 Type of Inspection Date riequested__ //C9 Time ---A.M. P.M. Address 7 - ��L1 / ✓) 1 G ) L. Permit #_ Owner1 _ L.ot )) #_ Builder The followivig Building Code deficiencies are required to be corrected: if Presented to nApproved Inspector _ �'1 Disapproved Date _—Lz -- CALL. FOUR REINSPECTION e YE8 ❑ NO w ss: w sssr w ass w ss, sssr asst INSPECTION NOTICE 1 City of Tigard Building Department 1 P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection — /Yl���1—'� (C/1 N--� ----- Date Requested__ 3 Time A.M.( P.M. Address /,-2 y S 41 � —L�e-x r Permit # 7.7_ Owner __ Lot #_ BuilderThe following Buildi g Code deficiencies are required to be corrected: / 3_—. .r��iF�^' �r � �'1 ...��ti_ ��''-L-t.- G�c-�.Z.�_, •' 511-+0,- - Presented to ___ -- __ — ApB oved !nspector —_--- i Disapproved Date ---- CALL FOR REINSPECTION f_ ES (_7 NO INSPECTION NOTICE City of Tigard Building Department P.O Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of Inspection Z �azcvm Date Requested " Time A.M.._X_P.M. c" Address _ ( � G L "tel-�7 Permit # L Owner Lot # Bioilder The following Building Code deficiencies are required to be corrected: Presented topproved Inspector I Disapproved Date - - ` Z-I►— ---- -- -- CALL FOR REINSPECTION CJ YES ❑ NO W=-K= C11X OF TIOA RD (a 4 .ARD sull-DING PERIVIX I �� PERM'IT NO . 803011.569 COMMUNITY DEVELOPMENT DEPARTMENT oar GoN 13125 S.W.Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223.(503)6394175 DATE ISSUED . dOR ADDPI-."Gq : 13143 SW 1AIMM(IINT 13114 ' TAX MAP/L.0*1' ISI 33DC: 18500 50H : UILIJAU.'.: AT SUMMd- AAKE PARK 1...1 : ,(10 HK LAND USI'--:: 111.V.P D I (TV SIZE: : VAI UATTON : (361000 SEA kiIIACKS FRONT : 20 PEIAI:4 : 6 WORK CL.ASS : NEW DWIF.-i.I.I.. .UNITS : I EFT ; 6 RT 1' 30 USE 'T'YP'E:: : SINCA-E FAMILY NO.ElVi'DROOMS Al EXT WALL CON!51' CON!5T . 1'YPF.:.* : VN NO . EIA THS : 3 N 5 : L W OCX'UP.Gpl:'-' . : P3 PPO'T .OPENING5 : OCCUPY'. 1._O10113 N 5 E . W TOTAL. APEA : R300 NO. STORIES : 2 1.5 F : 935 ROOF CONST : F'.1 RE RET HEKTI(A-11 20 2ND 12055 AREA SEPAP-1 PATEU: RA-5l*-.:MFK.N*T'7 3RD : OCI('11jr-1 . 5E.:PARI? RATE-*D : Ml:::ZZAN3:Nl:::'f SASEM' T J�.1-00P I ()Al'.): 410 GA P A(3 r:.--. 4 '0 I' IRR 151411(l P'? Al ARM'? FLOW(GPM) DETEX.-I"? YE!, 1-46444, 1-40 A` . AGGF-i-Aili I? V"LAN LIFIECK BY : I-It rIF:MARKS : REISSUE OF NO. 69EM LAST REISSUE. 11900186113 "El!;'S : 0 w MOPISSEI-TE DON I'F:PM1 T 41 1519 7 . 0 0 N PC) "(:)X '1.952AJ PI-AN 1:1E:VJ'EIW $40 . 00 E R pai-t1atrid FIRE'. DEPT PHONE (50',311 2441-9314 STAI E* TAX 1.'i) f:)!) OTHE.P C ULLOPMEN'T LHARGES : 0 M(•(• RI S SE'J III:: DON s0t.,115 TURM) $250 .00 N T DON MOPISSFY BUTI-DE-P"', 1NC 9 Dc"1 SIT AEL r 11 $600 . 00 R $230 . 00 A BOX 11.932141 PUL,11101 11 C p ci r,A.Lit n d $40 . 00 or 97219 T1:' 0 1:'I--I(.-)NE (.so,-4) e44-9:31-4 R REXIViONAI TON NO. 35533 TOTAL.. : $1. ,5 16.Ell5 This permit is Issued subject to the regulatinns contained in I itle 14 C? of the TMC. State of Oregon Specialty Codes,zoning regulations and all other applicable codes and ordinances, and it is hereby 4EQU-TPED J'.NSPE('.',T-1(-.)N5 agreed that the work will be done In accordance with the plans and r:MIA:NG SE:WEFT specificatio is and in compliance with all applicable codes and 1:70UNDATION WALL 14A:r.N MAINS ordinances The issuance of this permit does not waive restrictive WAIEP LINE covenants Contractor Prid subcontractors shall have current city business tax permits This permit will expire and become null and PL.13.UNOEIPSLAB U I T Y APPP(111-4/sw void if work is not started within 180 days.or it work is suspended or SI.A Ei F I NAL. abandoned for a period of 180 days any time after work has PLH. TOPOUT commenced It shall be the responsibility of the permittee to assure C:'RAM I N(; all re and approved F' IRr-.::I:,,L.A(A:-' GA5SUL I'NATION T (*.,YP . BOARD Permittee Signature Issued By: INSPI'-x(*."T'T(JN 639-41.7,w.) SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE 'EWEr CITY OF TIGA RD W . 5E.881616 (Cli7YOF TWANOD COMMUNITY DEVELOPMENT DEPARTMENT MOON 'T L 1.0/ 6/86 13125 S W Hall Blvd..P.O Box 23397,Tigard,Oregon 97223,(503)639-4175 5 J08 ADOW:75S : 1.314*3 SW L.AUPMONT UP L.AiA INUMBE."P : TAX MAP/11 UT i.w i. '33EX, SUB: V1:1..1...1:AGE AT 5LJMMEPL.AK1::: PAWK 1 10 8K I AND USE.: I-0.P.P D I 0T SYZE: SE.CTION : 4 )'WP - 116 GING.: 1W WORK 03 A5 5 : NE-."W USE SINGI.J.'. F-AM111-Y I I le ill ppT:1.(.zat 1*11, "t g retrp ill (,tj 4-_-(.1 M l:)'I y W:j.t I I M 1.1 r,1.0.011; m.rt of r,eW i.l J.at(,:I.c)n M (:r 4' t I le J.J 1*1 j. r:1.ecl 5eW"r'aJ.qr" Aqerlc�y 'The pcn-mit srxpir•t;.,�w 1.20 cliaijus fi-ain t,I,i a (:lime J "I q;1.1 W(J Me tiata]. ialricit.41-it piaicl W1.3.1 tml '111cil-11,1wi t'vecl J.-P I'l-le pwi-iri:i i. expir,ent . The Aqforic.,y ciciela 111.11, gUIRA ant,*?e the of the t'how %i.(Ie liatei-ialm . 1A' the wewirji- J.% riclit 1.vc:at1,49(J ilit 01rp Lhfi? MhUJ .1 pl-u%pooc-A 1*4 feat, in all. dii-kic.-ti.cinia -Pr,rim th(v, M.Wtill.ric"o givell . :14, 110t MCI thlyl :11,110;tnCtlel- lohlail, iiii.ncl 5:1'clei! i.hro Aqerl('-ty Wil.] 1INISTALL - TYPE 81J.1.1 I t1I4-.'.PV I OUG AREA FJ X TUP1.5. UIS11TS 114WANT IMPPOVEMIrKINIT DWEII L.ING UNITS NO . OF* 41-005 . 1. W MOW15$ETTr:':: DON $35 , 00 J: N Hr.) E R par-tim.ricl x!721.1.0 1 A NE 'TAG' INCTALI.. PHONE (50.3 134l 931.4 (")'I HE R C 0 N MOP I S 45 E 11E (.)ON T DON M(:)P:I:5r5E'TTl--* PUT) D I-- P5 I N C R A Pia 8OX 19"524 C p n r,t 1.m.n cl cir, 97R19 T 0 F11-TONE. 0303) 244-9311.4 R I PEG.ISTPAT ION NO, 35.153-3 TIOTAL 11111. 1 135 00 a. This permit is issued subject to the regulations contained In Title 14 RECEIPT NE). of the TMC. State of Oregon Specialty Codes,zoning regulations and all other applicable codes and ordinances, and it is hereby INS)PEurtuNs agreed that the work will be done In accordance with the plans and POUGH-1N 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 It work is not started within 160 days.or If work Is suspended or abandoned for a period of 180 days any time after work has commenced. It shall be the pVonsiblifty of the permittee to assure all req inspectinn� q, rr,l asted and approved 0 �atu' Permit gnature Issued By SEPARATE PERMITS REQUIRED FOR WORKIL OTHER THAN DESCRIBED ABOVE PLUMBING PE RMI'T CITY OF TIGA CM ✓ PDATE:MIT NO. : PL813161,e4 V A 0 COMMUNITY DEVELOPMENT DEPARTMENT MOM Rp DAISSUED: 10/ 6/6B 1312S S.W.Hall Blvd.,P.O.Box 23397,Tigard.Oregon 97223,(503)6394175 (C 4� PA1M . PM7' .N0. 881369 JOB' r<tDDIIE-SS : 1.31-13 SW LAURMONI' DA 51.1D. VIA L. IAGI:.:' Al' GUMMKPLAKE PAPK L.*7' :40 OK: 1, (iND USE 1:!1. 1 01 5'1:'7_k:: NO: NO: WDRIK CLASS : NEW WA'TE*.P CAAMLY' 3 TRAP I.Jql::: t'v*Pr.-.. STNGLL FAMILY URINAL. BKF'I..UW PRVNI'P CONS IYPE ; VN LAVOWAI OPY 3 I*PAP PRIME P P3 11.1181 S11-10WER R GPE-ASE MAPS I'A"HalAWASHER I GAPBAGE: N0 , S7 L)P T E S . 2 WMMAINC MACHINE I 1*)Wl::.I. L . UNITS : I LAUNOWY T14AY PL OG DPAIN (01A F''L..00P DRAIN iiINK (F-r) WAI'll�'A 1A1L:A'T'EP I S'TOPM/RAIN (FT OTHEP rat,M A 1:4 K ci M(. P,1.S!A.T 117-.: DON PErIM11, $132 . 50 w 1;)(3 BOX 1.9524 N F)ci 1- 1,1 ill ri 0 ar 971219 r:i x*t u AF--'s E (503) P-141-9314 SI'Al F:- TAX $6. 63 5�11-1011 EAAWOLA)MAK P I N 1-101--MAKFAIS PIL.F.JIMPTNU.', T 1.)q3 FKA P50 R A (:P'9 t"t C1#it cii, 970E-)3 T o HIIN N('.) . 39P2 TOTAL: $3.39. 13 RECEIP-11- NO. Tiiic;permit is Issued subject to the regulations contained In Title 14 of the TMC State of Oregon Specialty Codes,zoning regulations INSPE"C'TIONS and an other appl-cable codes and ordinamceS, and it is hereby F111-8 . UNDERS1 AP aqtnPri that the work will be done In accordance with the plans and P(Ri F & OEM s1wrifications and in compliance with all applicable codes and WAI 11-:44 1 :1.NE rit(linances The issuance of this permit does not waive restrictive t rivpnints Contractor and subcontractors shall have current city FOPULFT, hiiq-noss tax permits This permit will expire and become null and 1-4,i*1N D14AIN5 vmd it work is not started within 180 days,or If viork is suspended or IF- :I:NAF.. ;ihandoned for a period of 180 days any time after work has (otTimpriced 11 shall be the responsib'lityof the permittee to assure a!l roqitirnd inspections are requested and approved. I "C"00a I-Iptmitt iqn Nstlprl By 7 'ALI. FUR INSPECTION 639---41'7!:.) SEPARATE PERMITS 141101.11RED FOR WORK OTHER THAN DESCRIBED ABOVE MF.::Cll..l A_ N:I.CAI PEPM I I CITY OFTIGrARD ( D V)I:_:'HM1t*I' W.I . MU8011 . .615 cmOF COMMUNITY DEVELOPMENT DEPARTMENT °"°°" DAIL,. 1.0/ 6/88 13125 S.W Hall Blvd..P.O.Box 23397.Tigard.Oregon 97223,(503)639-4175 P 1:4 T M . I* M'I* . N(:) (3(31.569 ,A)a ADOWESS . 1.3.1 -43 SW I AURMON F DP 'I AX :I.S11 "33CA. Sl-**+. V*.I.'I..l :I*A(.-,[:. Al !AJ(1MFJ4LAI<l' P"(1)"K Al DK I. AND USEE: I OT STZE. : 1 1F M NO 4(:1: WI)PIK L;L.A55 : Nr-.*.:W F(.)PINIALIV., <:).()()I< A7J0 VIANIA 1:4 0.0 USE: 'T'YPL : S:ENGL+-.' FAM11 Y 1= )PIN1011.1ii: 1.00V4 1. A.IR FIANDLN .1 0K CXIINST . I YPF: UN FI (.)(*.)P II-1.)PINIACE. 1::.VAP . (1(J(:)I.AKR 143 Vl-:.N'T' FAN ()E'.N'l SYS'IT.M F31...1-1/C(7MP (314P H0(11) 1. ULP/C.OMP 3­1m,lp L)WEX.L .UNI 11*5 : 1 81-14/("'(3MV, 1"3-30HP 1 NCIINEWAT01:1((,(')M 1:1.1EL TYPE: GAS ULA/COMP 30­150HP RI:!:PA*I.*P MAX . INF UT EA-PI(Aimp 0 V FIF A F: 1m. umpwsy GA5 PTP:I'NG L)UTLET5 I ow PPE*551? FL. 0 MORISSF-FrTF DON PF14MU1' $10 . 00 W 1:11:1 BOX 1,9.51341 PI AN PEVTF. W $9 '75 N E P a r-tl Pt I-)(J l3r. 9 7 2 1.Y *29 . 00 TAX $1. 1?5 R PH(:)Ni-': (503) 2,01,4­0314 1". C 0 N L ING :1.*NC;. T R 1-11AZZA AVIF A (..I...A(:,KAMAS 111P 9701t5 C, PHONE. (503) T 0 PEX.,*f G1140TTON Nrl . TO.I.A. R 11111".)0 . PECEIPT NO. This permit is issued subject to the regu ations contained in Title 14 ------ of the TMC. State of Oregon Specialty Codes,zoning regulations 1:.'.QtJ 1RE:1) INSPIE.CTTUNS and all other applicable codes and o dinances, and it is hereby GAS LINE:. agreed'hat the work will be done in ac;ordance with the plans and POST a 131-:AM speciticatlonb and In compliance wi'h all applicable codes and ROLIGH 1.N ordinances The issuance of this pe mit does rot waive restrictive covenentq Contractor and subcontractors shall have current city I­(NAI­ 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 Rif require I inspections are r led and approved require I gnat 4,,,e, Permitte, nal re lqs,tied By 'A I I... FTP 't WiPF.U,1 *1.ON 639---el 1.7,.*) SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE C17YOFTIGARD PLAN CHECK APPLICATION UF%TnIVFA- PLAN CHECK # // ? y` COMMUNITY 7EVELOPMENT DEPARTMENT PERMIT # 10(o ci 19125 SW IWI BW. P.O.k:'a 2x107.T1rNd.Firepo qj (609)490.4176 DATE ISSUED JOB ADDRESS: TAX MAP/LOT SUB: kjLLjjj(,P r11 SD h w , LO l(w 00,L0T: v LAND USE: /2 VALUATION: OWNER f SPECIAL NOTES NAME: r`� �1 REISSUE OF: ADDRESS: —_ LAST REISSUE: v _21.1 FLOOD PLAIN/ SENSITIVE LAND: PHONE: ;1 APPROVALS REQUIRED CONTRACTOR PLANNING: NAME: ENGINEERING: _ ADDRESS: FIRE DEPT _ OTHER: PHONE: REQUIRED LIST/SUBCONTRACTORS: ARCH/ENGINEER BUS TAX: NAME: CALCULATIONS: ADDRESS: TRUSS DETAILS: -- PARKING PLAN: LANDSCAPE PLAN: _ PHONE: OTHER: CO 1M[;N1 S: �61-iii )7,Y }s - PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE �Yl)­& 10-432 00 Building Permit Fees _--- S,} [ 10-431 00 Plumbing Permit Fees L =��, •_7l �jL.�! 10-431 01 Mechanical Permit Fees aU _ r 5Z 10--230 01 State Building Tax (5X) Building Plumbing_ Mech 10-433 00 Plans Check Fee Building Plumbing FYI (�/G Mech' -�-- 30--202_ 00 Sewer Connection 30-444 00 Sewer Inspection --1 51--448 00 Street System Dev Charge (SDC) _ Q 52 .449 01 Parks I System Dev Charge (PDC) c 52--449 02 Parks II System Dev Charge (PDC) 31--450 00 Storm Drainaa_e Syst Dev Chr•g (SSDC) J 10--230 09 TRFD 10-230 06 Washington County Fire #1 (95X) 10--220 Amart/Wedgewood c TOTAL �: � 4� 1 REC #AT SIGNATU E Received Ely: ^_ � ht/3587P/18P Date Received: C17YOFTIGARDPLAN CHECK APP;�CAT ON COMMUNITY DEVELOPMENT DEPARTMENT ;ffy oon PLAN CHECK # `ff a,m 6w we eMa P.O.Boa 23W.%W,a+wn orm(50)M4176 PERMIT DATE ISSUED JOB ADDRESS: S l,� „L1 3 L � _ t 1-.�� MP,P/LOT SUB: �1��.✓)c.t� ri j -k)M Lv Ori LOT: FUSE: VALUATION:_ Go P D SETBACKS: FRONT: 0 REAR: LEFT: RIGHT: WORK CLASS: HEIGHT: iG, TOTAL USE TYPE: SF FLOOR LOAD: _ 1 T: 1_v L Y CONSTR TYPE: SA/ HEAT TYPE: > 2 OCCUP GROUP: DWELL/UNITS: OCCUP LOAD: NO BEDROOMS: ;• ASEMENT: NO STORIES: / NO BATHS: �, GARAGE: IMP SURFACE: APPROVALS REQ'D SPECIAL NOTA►$_. I REQUIRED PLANNING: REISSUE OF: =LIST ENGINEERING: LAST REISSUE `' ��/�/K US TAX: FIRE DEPT.: FLOOD PLAIN/ UI:ATIONS: OTHER,. SEN IND.: USS DETAILS: NG PLAN: _ St;APE PLAN: PIAN CHECK BY: THER: COMMENTS: ACCT DESCRIPTION AMOUNT OWNER r 10-432 00 Buil ing Permit Fees NAME: X10-431 00 Plu inj Permit Fees ��� ADDRESS: tri I Ct 2 10-431 01 M nic.il Permit Fees 5� �5„r �i / 5U 7 ? ( 10-230 01 -State Building Tax (5%) ,'(- 10-433 5X) '(10-433 ID Plans Check Fee ' 'b Y PHONE: y- 30-443 00 Sewer Connection (20x) 30-202 00 Sewer Connection (80x) 3 CONTRACTOR 30-444 00 Sewer Inspection , NAME: .51-448 00 Street System Dev, Charge (SDC) ADDRESS: .52-449 01 Parka I System Dev. Charge (PDC) t � � 52-449 02 Parke II System Dev. Charge (PDC) -- 31-450 0 0 Storm Drainage Syst Dev Chrg(SSDC) TZ' • ' PHONE: 10-230 09 TRFD (952) _ 10-435 00 TRFD (5x) ARCH/ENGINEER 10-230 06 Washington County Fire #1 (95x) s NAME: 10-435 00 Washington County Fire #1 (52) t ADDRESS: 10-220 00 Amart/Wedgewood f-777,♦ TOTAL �� c PHGNE: a,, e_ TTD 30 7 PREPAID REC # DALANCE DUE APPLICANT SIGNATURE. Received By: ��l '.,L� Date Received: ,Z /• .eA s ar sns e. sssr � INSPECTION NOTICE City of Tigard Building Department P.Q. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 �- Type of Inspection P.M. �1 Time A.M. Date Requested _ — Address 7� � � •�J _ Permit #_ 1 Owner — Lot # _ Builder `�— The followi,4 Building Code deficiencies are required to be corrected: �Cx'r --- �--- -_-- �.� Presented to _ '—_ --- --- — ——------ � Approved Inspector — —.---- — isapproved Date -G--L CALL FOR REINSPECTION F"YES C-] NO I