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CITY OF TIGRD C�ROCCUrAN O�
OCCUt�ANCY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT ##. . . . . . . .. MST94--026 -)
13120 9W Hall Blvd.Tigard,Oregon 07223•!f041 (503)830.4171 DATE' ISSUED: 04/04/95
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f-�'ARCG�L c c:a 104CA-�ld,=;E�IZ�O
-)ITE' ADDRESS— i 13694 SW LAUREN LN
: UBDIVISION. . . , a HILLSHIRf~ ZONINGuR -7 FFD
BLOCK. . . « . . « , . . z L01.. . . . . . . . . . . . . .036 �
TYPE: Or-• USC. . . i SF
I OCCUPANCY ORP. 03 �
OC CUPiaNC:Y LOAD" s 234 4
TENANT NAME. . . : �
Remarks. PATH I
Owner � .--� -_... .,__..._____.__._._.____. ......_...._. _. ._. ..__..._....._,...
FRANH, WALKICWICZ
3199 �`4 HILL ST
1 IC30RD OR 972,23
Phorie 44c 232-939 ,
NEW BEST IAOME�i, INC
16j88 SW ESTUARY
# C20 I
REAVE:R VON OR 9717106
Phone #a 645••-5793
Rep #. . * 94444
Occupancy of they above refpv-er1c:.,ed b-li ldinrg is het- +by given, and certifies I
the compliance with the State Of Ov-faqon ripec-ialty Codes for the nr^oup, R
or_cup,arec_y, alncl k.tse uncier, which the r,Afev,piiced Geer w s iss!;e+d. i
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xkIIILD C IN:3PECTOR HIiILD ,_.OF- 'Till..
P051 IN CONGP 1 CUOLJ�i PLACE'.'
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CITY OF TIGARD BUILDING INSPECTION NO ICE
Inspection Line (RecO Phone) 639-4175 business Pho e: 6394
Inspection: 17 "
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Footing Susp• Coiling S rink. Rough-in Fidwlk- ' s�µ,�
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Foundation Plbg. Underslab Mech. Hough in Fireplace
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Post/Beam Struct. Plbg. Top Out Elec. Rough-in e ""^
Post/Beam Mech, San. SewerGas Line Id / Nahj�A4
Plb9• Underfloc Ra:-i Drain Framing -Plum t � li`y E: •?
Alarm Water Line Insulation C'TVlech r
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Underflr. InSUI, Shear W i; Gyp. Bd. Elect.
Date Requested:^s 4 5 Time: AM _._PM
q.'
Address:— 2
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Builder: ;1-
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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e Inspector:
Date: /r—
/"/APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: Z,=>
Focting Susp. Ceiling Sprink. Rough-in pr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech, San. Sewer Gas Line Bldg.
Plbg. Underfloor Rain Drain f=raming Plumb.
Alarm Water Line Insulation #
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Underflr. Insul. Shear Wall Gyp. Bd. -Elect. y
Date Requested:_ 3— 2. 3 - 9.�' Time: AM PM
Address: K � . I
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Builder: Z 73-5/ = t�,_. ..��i Permit #: ? r/-o ZG ..
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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��arl�' - P?ROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
__Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 633-4171
Inspection:
Footing Susp. Ceiling Sprint, Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rouah-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:_ I
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - m6
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. E ect.
Date Requested: _ a�/1 �%�� Time: AM NM
Address: l-
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Builder: Permit a:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:C Date:�� /
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTICIN NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phune: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in =Arpr/Sdwl
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Pos'/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing Plumb"
Alarm Water Line Insulation -Mech.
Underflr. Insul" Shear Wall Gyp. Bd. Elect.
Date Requested: 3 -7 [2,5- Time: AM PM
Address:�0
Builder: Permit #• `� — G -,;z(C
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: ma s Date: --'
_APPROVED _DISAPPROVED e'�,APPROVED SUBJECT TO ABOVE
_C-ill For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling SFrink. Rough-in Appr/Sdwlk I
Foundation Plbg. Undorslab Mech. Rough-in Fireplace
Post/Bearn Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas I.ine -Bldg.
Plbg. Underfloor Rain Drain Frar..ing -Plumb. ■
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall td: -Elect. _ r
Date Requested: I I I -7 (2 5 _Time:� AM PM
Address: /- ��
Builder;, �K io rl ��_ -S 7 `t� Permit
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I THE FOLLOWING COh9ECTiONS ARE REQUIRED:
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Inspector:_ Date: /y
_APPROVED ,DISAPPROVED /APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (rlec-'?-Ph',)net: 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Bean. Mech. San. Sewer Gas Line -Bldg.
P'bg. Underhoor Rain Drain Framing -Plumb.
A!arrn Water Line Insulation `, -Mech.
Underllr. Insul. Shear Wall Qv -ad:_ -Elect.
Date Requested: ( I �] �� TImeA�l t _.' PM
Address: 124a
Buildor: " r 7 l Permit M: �Iy'C -� ��CJ
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:— �` _ Date: L
_APPR�(O"V�ED !,APPROVED _APPROVED SUBJECT TO ABOVE
e-'*_G,-II For Reinsp.
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INSPECTION NOTICF_ v� ,
City of Tigard Building Departeent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 B•.einess Phone: 639-4171
Inspection:_ —� --- -- -- I
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL-
Post/Beam Struct. San. Sewer Framing / -Bldg.
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Post/Beam Mech. Rain Drain C:-fn-.0 1 -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. Mech.
Date Roquaetede -
/7 (l Time: +Y`_ AM PH"
Addrese: / C7"��N ✓� 7 ' '— permit �s_ 7'y
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Builder _
THE FOLLOWING CORRECTIONS ARE REQUTRED:
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Inspector: ��-�1/� "r Date:
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—--APPROVED — DISAPPROVED __/APPROVED SUBJECT TD ABOVE
--Call For Reinsp.
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� INSPECTION NOTICE
Cit? of Tigard Building DePartu nt
13125 811 Ball Blvd. Tigard, Orego 7223
In®poctiq♦ Line (Aec-O-Phone): 639-4175 Bu neee �•Pio�nes 639
Inspection:,
Footing Plbg. Undo.slab Mech. qh-irii Appr/Sdwlk ,
Pound. Plbg. Tcp Out Cas Line �i FINAL-
Post/Beam Struct. San. Sewer Cf-.:aming
Poet/Bea=n Mech. Rain Draili �hsulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested= r� Times ____AM --,'M
Addtmrf: T `1 Permit f= / �_S C--�
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Bulkier:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectors ,�y_ _ DatR: k —1A4
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t' 4 APPROVED � leb1SAPPROV6D APPROVED SUBJECT TO ABOVE
Call For Reinap.
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INSPECTION NOTICE
City of Tigard Building Department U
13125 SW Ball Dlvd. Tigard„ Oregon 97223
Inspection Line $Ree-O-Phoneys 539-4175 Business P�: 639-4171 f
Foo,Lng Plbg. Underalab V • R li/ .n'/ Appr/sdwlk
Found. Plbg. Top Out1.sna ��TItAL: ,
Poet/Beam Strx.ct. San. Sewer C Framin, 7 -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line / Gyp. Od. -Mech.
Date Requested: llL /`/ Timet AM
Addresas1 L, % C�644en A Evi Permit It
Builders� S
THE FOI&MINO CORRECTIONS ARE REQUIRED:
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Inspector: Dates
APPROVED - DISAPPROVED APPROVED SUBJECT TO ABOVE
K _Call For Reinap.
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INSPECTION NOTICE w •
City of Tigard Building Departnent /
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o—Phons): 639-4175 Business Phone: 639-4171
Inepect'.on: �-_- k C� �.A^ •��a ri1 •
Footing Plbg. Un( -4 ch. Rough-in,ins Appr/Sdwllc
Pound. Plbg. Top Out G L FINAL:
Poet/Beam Struct. San. Sewer rami.
g -.Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb. .
Plbg. Underfloor Water Line Gyp. Bd. -Mech. /
Date Requested= l�l I —Time: ___AM
Addy sa=_!. 3b,24 ���GL/i'�G��l J--Yl Permit
THE FOLLOWING COPRECTIONS ARE REQUIRED:
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Inspector:
APPROVRbDISAPPROVED APPROVP.D SUBJECT TO ABOVE
1 r Call For Rainep.
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INSPECTION NOTICE
City of Tigard Building Depertaent
13125 Bw Ball Blvd. Tigard, Orfgon 97223
Inspection Line (Rae-O-Phone): 639•4175 Business Phone: 639-4171
Inspection:_
Footing Plbg. Underslah Hoch. Rough-in Appr/Sdwlk
Found. P1bq. Top Out Gas Line FINAL:
Post/Genu Struct. Sen. Sewer Framing -Bldg.
Post/Beam Meeh. Rein Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Roquested:_ --Tim: _ _AM ,_PM r
Address: Permit #: - c)
Builder:
�
THE FOLLOWING CGRRBCTION3 ARE AEQUIREO:
I �
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Inspector:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
-`Call For Reinsp. ?
k
r
INSPECTION NOTICE
City of Tigard Building Departnexat
13125 SM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639--4171
Inspect)-on:
Footing Plbg. Underelab Hach. Rough-in Appr/Sdwlk. -
Found. �Out� Gas Line FINAL:
Poet/Ream Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation .-Plumb,
Plbg. Underfloor Water Line 2 Gyp. Bd. -Mech.
DDte Requestedt ) / Time: AH �' ` PH
Address:_ �. 7�a_� Permit
Buildert
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I
Inepectort _ Dates
_- --APPROVED _-�DISAPPROVRb / APPROVED SUBJECT TO ABOVE
Call For Reinsp.
ret t
Ar
s
`j.
INSPECTION NOTICE
I
City of Tigard Building Department
13125 ow Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)e 639-4175 Business Phone: 639-4171
i
s
Inspection:
� I
is z: Footing Plbg. Undorelab Mech. Rough-in Appr/Sdwlk �
Found. Plbg. Top Out Gas Line FINAL:
jY I
'� Post/Beam Struct. Ban. Sewer Framing -Bldg.
� ' C
hy ; '
post/Beam Mach. A� Insulation -Plumb. �
a l r 111bg. Underfloor �1 or Gyp. Bd. -Hoch.
Date Aeluosted: _ _ Time:
AN
✓ 1
1 �
Address: PeMit i s `��
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
f
d S
M1� p
(t A
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2 '''•41111AY vMi (� � I�.
Ino tor: / Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE �Muk
`Call For Reinep.
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INSPECTION NOT_ICR •
Clty of Tigard Building Depertaent I
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phona): 639-4175 Business Phonet 639-4171 1
I
Inspection:_
i Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
WW � Plbg. To Out Cas Line
Pound. bq P FINA..: � •
+fit
Post/Beam St n:ct. n. sews Framing -Bldg.
poet/Beam Mech. Rain Drain Insulation -Plumb. .
Plbg. Underfloor Water Line / Gyp. Ed. -Meeh.
Date Requested: ( � f( jr Time: AM
/ C PM
Addreaa: / �{ L l�y� Permit f:
Builder: (e� 2 ,Z 3
'A" POLIOWING CORRECTIONS ARE REQUIRED:
f
r
Inspector:�` ✓' li `—� '
APPROVEDDatel
_.____- DISAPPROVED APPROVED SUBJECT TO ABOVE
__,_Call Por Reinep,
........^.+wao,maw...,w.....w.......,....w...�,.—,�....-_.-
1
INBPECPION NOTICE ,
pSp City of Tigard Building Department I
9 13125 XW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0 Phoneys 639-4175 Business Phone: 639-4171
t Inspection:—_--
Footing Plbg. Underelab Mach. Rough-4n Appr/Sdwlk I
Found. Plbg. Top Out Gas Line FINAL:
et/Beam Stn: Sen. Sewer Framing --Bldg.
P -B—. Me-� Rain Drain Insulation -Plumb. .
Plbg. Underfloor Water Line Gyp. Bd. -Merh.
Date Requested: � t7 �� Times /1�/AM � \ pM
/ z/_ Cj � t
Address:_/�J
4J / cZ�{,�• ! Permit
Builders
THE FOLLOWING CORRECTIONS ARE REQUIRED:
i,
7-7
Ir
I
CLc .�_oma
Inspector:_ Date:_�� 1
—APPROVED DISAPPROVED APPROVED SUBJECT To AROVF.
For Reinap.
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ItlAPECTIOH
city of Tigard Building Depart�erst ,
1.3125eN Hall Blvd. Tigard, Oregon 97223
Business Phone: 639-4171
Inspection Line (ROC-O-Phone): 639-4175
1
Inspections__
Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Footing
Found. Plbg. Top
Out Cas Lina FINAL:
Post/Beam Strutt. San. sewer
Framing -Bldg.
Post/Beam Mach. Raln Drain
Insulation -plumb. •
Plbg. Underfloor Nater Line Gyp. Bd. -Hoch.
.Jne
PM
Date Requesteds_
/Address.: Permit
Builders Cl�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-
//J/ �� ----e ,-- pate•' — /
Inspector: �-- `--����
APPROVED ,DISAAPPPROVED -� APPROVED SM-(FrT TO ABOVE
Call For Reinep.
111fff
p
.1. .:......, ..�. n . .... i _.,... ., .:.
INSPECTION NOTICE
j City of Tigard Building Dspsrt�t
i 13125 gm Hall Blvd. Tigard, Oregon 97223
Inspection Line (Roc-O-Phone)e 639-4175 Businuu Phone: 639-4171 J
Inspections
Footing Plbg. Underel.ab \ Hoch. ough-in Appr/Sdwlk
a Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Ibq. Underlloor Nater Line Gyp. Bd. --Hoch.
Date Requested: //3 Times _At, _ r PN ■
i ) �
—7 ,
Ad3roea: Permit is
Builders � / /?b
THE !OLLOW'4NG CORRECTIONS ARE REQUIRED:
Inspector. Date:_
? � - ROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep. " i ..,
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CITY QF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 BW Hall Blvd.Tigard,Oregon 07223.6199 (603)E3Y-4171
PLUMBING PERMIT
PC:-RIr1I T #. . . . . . . : F9_ih94---0205 I
639-4171 DATE ISSUED: 09/12/94
l 171ARCEL : 251.04CA .0360+T
Sll'L ADDRESS. . . : 1:3694 SW LAUREN 1-14
SUBDIVISION. . . . : HILLSHIRE "ZONING: R7 PD
E'LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :0:R6
CLASS�OF�WCIR1;. . :NEW' _ GARBAGE-' I SPOSALS. . : _ MOBILE HOME SPACES. : _
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . . BACKFLOW F'REVNTRS. . :
i OCCUPANCY ORF'. . :R3 FLOOR DRAINS. . . , . . . . TRAPS. . . . . . . . . . . . . . .
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . . CATCH BASING. . . . . . . .
LAUNDRY TRAYS. . . .: . . : SF RAIN DRAIN.13. . . . . .
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAPS. . . • , • •
t
L..AVATORlES. . . . . : OTHER FI XTURES. . - . . ,. .
TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . .
WATER CLOSETS. . : 1 WA1- R LINE ( ft ) . . . . :
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
i Femarks : INSTALLING WATER CLOSE)' IN (.ORAGE AREA
FEES -_..__ -----_•----
FRANK WALKIEWICI type amol_int by date recpt
9199 SW HILL_ ST F'RMT $ 25. 00 BLT 09/1.::/94
5PCT $ 1. 25 BLT 09/12/94
TIGARD OR 97223 '
Phone #: 232-939c:
+ ..l R R 1.'.,LU1Y+t1 I NG
18886 5W SHAW S T
i
! F'lL...UHA OR 97007--1249
Phone #: 642-7776 $ F:6. 25 TC;1T'F11_
Reg #,: , r 72690
REQUIRED I NSPE:CT I ONS
This permit is Issued subject tc the regulations contained ir the Tap--oo_it Insp
Tigard Municipal Code, State of Ore. Specialty Codes and ali other Final Inspection
applicable laws. H11 work will be done in accordance with
approved plans. This permit will expire if work is not started
within 190 days of issuance, or if work is suspended for more
than 190 days. __.__.._.__._........
__..___�___.
F,Pr mi.ttee+ Signatl_ir e :v �
._.__._..._._.._._.____.
Is; By .
__Call for- inspection - 639-1, 175
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit # qt/- 02-
Tigard,
2Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE I
Now Single Family Residences Only �
< ` C11 BATH HOUSE$140.00 EI2 BATH HOUSE$195.00
Job
�y y S v/{^ Gtr ' C33 BATH HOUSE$2-'-5.00
Ax
tures,Fee includes all plumbing ures in the dwelling and the first 100 feet
of water service, sanitary sewer and storm sewer. See fees below.
No" (W'.-Mfs..«I FIXTURES CITY PRICE AMT
Sink 9.00
Mme/Adrr ^ Lavatory 9.00
OWr1@f
Tub or Tub/Shower Comb. 9.00
tet- Shower Only 9.00
Water Closet / 9.00
N-Ir-.4 b' I Dishwasher 9.00
Garbage Disposal 9.00
Occupant Mw" t.„ Ph- Washing Machine 9.00
Floor Drain 9.00
bp Water Heater 9.00
Laundry Room Tray 9.00
Now. 7 Urinal 9.00 i
l rJi n�y Other Fixtures (Specrfy) 9.00 `
M-ip A01mu """ 9.00
ConVactor 9.00
I
ce"U.• 9.00
Sewer 1,0 100' 30.00
°1-""-d"a""' °ry°ui To"° Sewer-e,t. Addlt 100' 25.00
Water Ser lice 1 et 100' 30.00
I hereby acknowledge that I have read this application, that the Water Seriice ea. Addit. 200' 25.00 1
Information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00
1 am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 25.00
number given Is correct. (If exempt from State registration, please
give reason below.) Mobile Home Space 25.00
Back Flow Prevention
Device or Antl-Pollution Device 9.00
Rr-Iwnr a n a�• Any Trap or Waste Not
Connected to a Future 9.00 (f
Describe work new O addition alteration Q repair 0 Catch Basin 3.00
to be done residential 0 non-residential Q Insp. of Exist Plumbing 4 1.00/hr
Specialty Requested Inspections 40.00/hr
Existing use of
budding or property Rain Drain, single fatuity dwelling 30.00
Residential backflow prevention
devices 15.00
Proposed use of
building or property
" --' '(Except residential backflow
prevention devices)
NOTICE *Minimum Fee $25,00 SUBTOTAL �2 C"d
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5%SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED 5
FOR A PERIOG OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PIAN REVIEW 25%. OF SUBTOTAL
TOTAL z
Special Conditions _
_._ Date issued _ by _
4 4
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fa1.1N1)'.I.V 1 I Uhl a
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OR UI PAYhlh.N T (al+1t.)LIN F Pf-M) P(Mil.It 11:` 111 POYM1.-.N C 4.lPIOUN I PI 1.1)
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INSPECTION NOTICE
City of Tigard Building Department
13125 BW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Buvinees Phone: 639-4171
Inspect ion:
ootid Plbg. Underslab Hoch. Rough-in Appr/Sdwlk
.un ) Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -.Bldg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Meeh.
Oeta Re sated: _
Qu ] yJ Z I --_----Time: l �^-
L , '11pM,/ LP. B
Address: / " C / L , ��,(j1�] Permit
Builders I,, _ •-S
--L _THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector✓ ,L �, �^- — ---- Date: OE/ /J
C_7
— APPROVED DISAPPROVED V APPROVED SUBJECT TO ABOVE
--Call For Reinap.
INSPECTION NOTICE
City of Tigard Building Dope t l ,
13125 SW Hall Blvd. Tigard, Oregon 97223 /
Inspection Line (Rec-O•-Phone): 639-4175 Business Phone: 639-4171
Inspection:
doti Pibg. Underslab Mach. Rough-in Appr/Sdwlk
ound. Plbq. Top Out Gas Line PINAL:
Post/Beam Struct. San. Sewer Framing -Bldg. •
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Pltg. Underfloor Water Line G , / Gyp. Bd. -Koch.
Date Requested: l� / I �1 Times AM _-�pM
r
Address: 7 1 � �l.�i��" 2 �y l _ Permit It 21� ,-
Builder:
l�� y -� 7 �� __14'.-t_���
THE FOLLOWING CORRECTION-; ARE REQUIRED:
t
i
U- ati A _
Inspecto •tom Dater
_APPROVED i DISAPPROVED V/ APPROVED SUBJECT TD ABOVE
--i.—call For Reinap.
1 ,r
PLUMBING P1-RM I T
CITY OF TIGARD DATE Tc14 ySUED. . ... . . . : MS94- O�6')
DATE ISSUED: 08/17/94
COMMUNITY DEVELOPMENT DEPARTMENT
P 13125 8W Hall Blvd.Tigard,Oregon 07223.8100 (503)630-4171 2S
( F-'faRCL"L.: �...a104CA--03600
SITE: ADDRESS. . . : 136914 SW LAUREN LN
SUBDIVISION. . . . . HILLSHIRE ZONING: R-7 PD
LALUCK. . . . . . . . . . ,. LOT. . . . . . . . . . . . . :036 ;4
CLASS OF WORK, . :NEW (3ARI3AGF. D 1 SPOSAI_;;. . : 1,
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . :R3 FLOOR DR011�6. . . . . . . :0 T'RAPE. . . . . . . . . . . . . . :0
STORIES. . . . . . . . .2 WATER HEATERS. . . . . . : 1 CATCH !3ASINS. . . . . . . :0 41
FIXTURES-- - - -- - - -- - LAIJND14Y TRAYS. . . . . . :.' SF RAIN DRAINS. . . . . : 1
SINKS. . . . . . . . . .. 1 GREASE TRAPS. . . . . . . :0 �
I_AVPTLJH1. S. . . . . :4 OTHER FIXTURES. . „ . , :0
t l'UN/SHUWERS. . . . : SEWER LINE (ft ) . . . . :0 �
WAl"F.R C:L09ETS. . :3 WATER LINE ( ft ) . . . . : 100
DISHWASHERS. . . . : 1 RAIN DRAIN ( ft ) . . . . :V1
Remarks : PATH I
OWNER: -_.___-.. _---------.________.___.____ __._________.----.-----FEES--
FRANK WAi._KIEWIC7. TIF $ 1550. 00 KS 08/1'7/94 -
'11 • 9 SW HILI_ ST BPR1 $ 650. 50 KS 08/t7/94 --
( BPLC $ 422. 83 JF 07/08/9/4 94-254299
j TI13ARD OR 97.:`x';3 B5PL; 1 32. 53 KS OB/ 11/94 --
Phone #: 232-9392 SSDC $ 280. 00 KS 018/17/94
PARK $ 500. 00 KS 08/17/94 -'
Plumbing Contractor: -_..—.---_._._._____._._ MPRT $ 45. 00 KS 08/17/94 t
MPLC $ 11. 25 KS 08/1'7/94 -
Name : M5Pl:
*`.wn....._._...,.„ ..-„ ......,....,..... ,„N4,w�+IrAMrr/MMWYIMR�M-MM'g0'7MMWAM7m•+»n.. ..., w... ._._ .......+n' ��1�:d..G`xr+re! .• Mfi�^
J
CITY OF TIGARD PERMITS#. . . .. . . : MST94--1 269
COMMUNITY DEVELOPMENT DffP.ARTMENT DATE I S ' IEt": 08/17/94
13125 SW Hell Blvd.Tlpud,Onpon 97223.8199 (503)ll39-4171
PARCEL-: 2S 104CA-03E•+00
SI•T[_ ADDRESS. . . : 1.36134 SW I_AUREH 1_.N t
SUBDIVISION. . . . : HILL_SHIRE ZONING: R-••7 PI)
9 Irl U;L D I N C-; �
a
REISSUE: DWEL-LING UrJ I TS: 1 BASEMENT. . . . . . .'. ;0 s f
WORK. -.NEW OF WORK. NEW BEDRMS:3 PATHS:.3 GARAGE. . . . . . . . . . :918 sf
TYPE OF- USE=. . . :SF� FLUOR AREAS-__-_..__-_____ REUUIRE:D SE'TBALKS-_._____._
TYPE OF CONST. :5N FIRST. . . . :2178 sf LEF"T'. . : 19 ft RIUHT. :20 ft
OCCUPANCY GRP. :R3 SECOND. . . :482 sf FRONT. :20 ft REAR. . ft
STORIES. . . . . . . :2 F 1 NBSMENT,.0 s f PE011I
HEIGHT. . .. . . . . . :34 ft TOTAL.—- :2660 s f �.)MOKF DETECTORS. :Y
t FLOOR LOAD. . . . :40 psf VALUE. . . . . `6: 13'% i.i2 F=ARKING SPACES. . : 1
I Remarks : PATH I
PLUMBING
SINKS. . . . . . . . . • 1 FLOOR DRAING. . . . :0 BACKFLOW PRFLVI\ITRS. , : 1
L_AVATORIE'_. . . . . :4 WATER HEATERS. . . : I TRAPS. . . . . . . . . . . . . . :0
TUB/SHOWLRS. 3 LAUNDR'I TRAYS. L'? CATCH BASINS. . . . . . . :0
WATLR C:LOSETS. . :3 SEWER LINE ( ft ) . :0 GREASE TRAPS. . . . . . . :0
DISHWASHF_RS. . . . s 1 WATER LINE. (ft: ) . : 100 OTHER F IXTURLS. . . . . :0 4
GARBAGE DISF'. . . : 1 RAIN DRAIN (ft ) . :0
WASHING MACH. . . : 1 SF RAIN DRAINS. . : 1 i
MECHANICAL. -_._.__._.___.-----•---__.__-______.___-___..w FEES ------
FUEL-
-_--.FUE L- TYPES_..___._..-._._ _.--_.-- UNIT HT'RS. . :0 type amol_tnt by date r•ec:pt
/GAS/ - / / VENTS . . . . . :0 TIF $ 1550. 00 KS 08/17/94 -
MAX INPUT:O BTU VENT FANS. . :4 BPP'T $ 650. 50 KS 08/17/94 -
FURN ( 100K . . :0 HOODS. . . . . . : 1 BPLC $ 422. 83 JF 07/08/94 94--254299
TURN ) =100K . . : 1 WO()DSTOVL S. :0 F15PC $ 3i 53 KS 08/1.7/94 -
FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC $ 280. 00 KS 08/17/94 -
BOIL/CMF ( 314P:0 OTFILR UNI FS: 1 P(IRF( $ 500. 00 KS 08/17/94
GAF; OUTLE:TS: 1 MPRT $ 45. 00 F'S 08/1.7/94 -
Owner _.._...------ _..__-_._ ___ . __._____._ .__._..____._..._._.._.....-_-- ._-.MF'[_C $ 11. 25 KS 08/ 17/94
FRANK WALKIEWICZ M5PC $ 2. 25 KS 08/17/94
9199 SW !TILL_ ST 3P 11-4 $ c_25. 00 K5 08/17/94 -
F'SF'C $ 1 1. 25 KS 08/ 17/94 -
1
1 TIGARD OR 9.72-23 EROS $ 64. 00 KS 08/ 1-7/94
Phane #.- 232--9392 E=RPC $ 20. 80 KS 00/17/94 -
' Cont i'actar,: ----___._.______.._.___ ..__._._. _.._.. __.__ __...._.____..._ERF:'C $ 20. 60 Kai 08/17/94 -
NEW BEST HOMES, INC
16388 SW ESTUARY
# 201
i BEAVERTON OR 97006
Ph(.inp #: 645--5793
Regft— 94444 -__...___._.__._.___ _-•---._______ __ _.__._..__.__.__._
$ 3836. 2=1 TOTAL
This permit is issued subject to the regulations contained in the --- -- - REUUIRE_D INSPECTIONS - -- - -
Tigard Municipal Code, State of Etre. Specialty Codes and all other Foot/fol_tnd Insp Fireplace Insp
applicable laws, All work will be done in accordance with aapr•oved Past/Bean) 5trt.tr_i; Gas I.-ine Insp
plar.s. This permit will expire if work is not started within IN Past/Beam Mechan Insi_tiation Insp
days of issuance, or if work is suspended for more than 180 days. F'lm/Linda lab Insp Gyp Board Insp
- PLM/Underfloor• Rain drain Insp
Permittee Sign i_tr -?`- � Mechanical Insp Water, Line Insp
P11_tmb Tap OI-tt Flppr/Sdwlk Insp
Issued B L' 1 Framing Insp Mechanical, Final
Cal .1 for, in5pecti.on - 639-4175
t, " "'
c�,4St:Y
.,...,,:.cn.,. .,f..w . .,:..,..:.., ....-,. -. ... ., - .... .. ...J,...6..,.wyi�.rw+tii4w.x.. ., ,. .;1.::...., a,„;�,... .,•'.y�"wti.N
irfOF TIGARD SEWER CONNECT I ON
PE RM I T
PERMIT #. . . . . . . . SWR94--0 :55
COMMUNITY DEVELOPMENT DCpFtT,44MT DATE ISSUED: 08/17/94
13125 SW Hall Blvd.Tigard,Oregon 07223.8100 (503)830-4171 "
PARCEL: 2EI04CA-03600 �
SITE ADDRE:SS. . . : 13694 SW LAUREN 1_N
SUBDIVISION. . . . : HILLSHIRE ZONING: R-7 PID
1
BLOCK
. . . . . . . . . .
LOT. . `- ». . ... y.__i a 03(-,
TENANT
w
TENANT NnME. . . . . .
USA NO. . . . . . . . . . . FIXTURE UNITS. . . .
CLASS OF WORK. . . :NEW DWELLING; UNITS— : 1 w
TYPE= OF USE. . . . . :SF NO. OF DU I LD I NGS: 1
INSTALL TYPE. . . . :BUSWR IMPERV SURFACE. . : S
Remarks: PATH I
Owner; _____._.._________.._.._.__.__.._._.__---.._._._..____.._._..__..-_____..___.__.________- FEES -
F'RANK WALK.IEWICZ type amount by date r^ecpt i
9199 SW HILL S•T' INSP $ 35. 00 JG 08/17/94
PR1+IT $ 2200. 00 JG 08/17/94 -
TIUnRD OR 97223
F'hat�e #: L32-9392
Contractor:
CONTRACTOR NOT' ON FILE
$ 2235. 00 TOTAL
Rey #. . .
------- REOU I RED INSPECTIONS
This Applicant agrees to comply with all the rules and regulations Sev,)ev- Inspection —
sf the Unified Sewage Agency. The permit expires 188 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 •___--_
s1fle s!wer laterals. if the sewer is not located at the measurement
given, *hp installer shall prospect 3 feet in all directions from _ Y
the distance given. If n.k so located, the installer shall purchase
a "Tap and Z?de Sewer" Permit and th• Agency will install a lateral.
1='e i m i.t t PP 'a A-911 a t 1.1 r e: t,- �� �.•
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Call for inspection 639•-4175
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Residential Building Permit Application t`aCk7
clty,of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Z�) ���� � •
(503) 639-4171
LetJobsite Address: l 3 6 y ` '-✓ ret a -e_ j
Subdivision: iSf r Lot# 3 Office Use Only
Valuation: 3'r! 8�;' `', 5� Planck/Rec #
Corner Lot? N Permit#
•
Reissue of
Flag Lot? Y Cj
Map & TL#
Owner: tLf/Z,�,I l(A Fi-e+� I< ���A�kiec�isz Approvals Required
Address: r// /q/V S�-ct�_ Nlarninq
rl7c , G� `� -7/,
Engineering
Phone: t ctt r - X13 (Y Y8,2 Other
Contractor: 11/ec✓ QSf / e-m e<, zl e . Items Re ug Ired
Address: EYZ?
��3r}'cj' S, w, fa,-
j 1 - Subcontractors M! �YA- kAk,, i
Truss Details
Phone: _ y5- 7`7� Other _
Contractor's License #
(attach copy of current Oregon license) -
Contact Name & Phone: ` /1'Y d -I-tr ws'
Subcontractors: Architect/Engineer:_ bIL,i e la koV,4r-
/Plumbing: Tibf��M,6�,�� -- Add,ess: 30,76r, 5,L44 ��=Jd PI-11ti
I Mechanica`ir_� `1�
,- D/n/S 'lyi97"ini7/2 3
(attach copy of current OR Contractor's License)
Phone: 50,E ��cf'- O;2.3
JOB DESCRIPTION: (.enS�rc el'►,-, <' /� Jy fnrl J127"c r
Applicant Fignature & Phone number
Received by: _ Date Received: _ �? Ire-
N MORMCOMDEV\RESAPP,
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Permit# Account Description Amount Amt. Pd. Bal. Due - I+
��yrfy6o* Bldg. Permit (BUILD) /so, S-lJ ✓ �. ,,Z>
Plu► Permit (PLUMB) �l, c ;l �' --� {
o t Mach. Permit (MECH) �/ -G 4 .e ✓
State Tax (TAX) r. 7 '� ✓ U(c' �� 3 ✓
Bldg:
Plumb: J
Mach: ' ' ✓
4 1
Plan Check (PLA K)
Bldg: �� y, 3
Plumb:
Mach: / ' z "Y
l /
c„fLy Sewer Connection (SWUSA) 171 z
Sewer Inspection (SWINSP) '' '
Parks Dev Charge (PKSDC) �5 ✓
Storm Drainage Chq (SDSDC) 1 r-v ✓
Residential TIF (TIF41) / 3 > / ,', d ✓/
Mass Transit TIF (TIF-MT) ' ? ✓
�mmercial TIF (TIF-C)
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WQUAL)
i
Water Quantity (WQUANT)
Fire District (FIRE) /
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion f lanck/COT (EROSN) 1 ?-a,-.d Y
TOTALS:
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CITY OF TIGARD
BUILDING DIVISION I
RESIDENTIAL PLANS SUBMITTAL
IVe,-,_, geS-� eS - PLAN CHECK #
APPLICANT NAME:
tee^ , nom. 9� °�•
ADDRESS: 163,?Y S *;?d PHONE # �, V5"s793
DATE RECEIVED: ^ �� RECEIVED BY: �
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CHECKLIST (All items must be in packet before plan will be reviewed)
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YES NO N/A
3 FULL SETS OF BUILDING PLANS (No red line revisions
bd
or tape-ons).
2, 5 SITE PLANS(including tax lot and tax map number, • 3sements,
erosion control provisions, floor elevation of garage and main I
floor, set backs, drive-way location, north arrow, scale, location
and termination of rain drains, corner elevations, and contours
if over 15% grade).
3. [ ] [ ] BUILDING PLANS SHALL REFLECT TOPOGRAPHY OF LOT
(if house is designed for a flat lot and the lot is not flat, revised
drawings are required. No red lines accepted).
4. {,d [ ] [ ] REVISION TO PLANS MUST BE FOLLOWED THROUGH
FROM ROOF TO FOUNDATION (detailed sections may be
different from the originals as a result of your changes. These
portions of the structure that are affected by the change need to
be reflected on the plans. No red lines will be accepted).
5. [ j [ J FLOOR PLAN(S)
6. ] [ ] [ ] FLOOR FRAMING
7• [ ] [ ] TRUSS JOISTS (engineering, aetails and layouts,
8. 6e] [ j [ ] ROOF FRAMING; PLAN (all hips and valley supports indicated
and detailed).
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9. [ ] [ ] ROOF TRUSSES (engineering, details and layouts)
10. [ ] [ ] COMPLETE CROSS SECTION(S) I
11. ALL 4 ELEVATIONS ARE SHOWN - 3 ELEVATIONS FOR
ADDITIONS AND REMODELS
�
12. yq [ ] [ ] BASEMENT WALL, FOUNDATION AND RETAINING WALL �
SECTIONS (will need engineering if walls are 8 ft. high or
higher)
13. WALL BRACING (structure must meet table R-402.10, revised
■
alternate method 93-7, or a lateral design shall be provided)
14. [ ] [ ] [ar] ALL DETAILS REQUIRED BY NO. 13 ABOVE SHALL BE
j INCORPORATED INTO THE PIANS. (Attachments must be
clearly legible and fully referenced in the plans).
15. BEAM CALCULATIONS (all beams over 10 ft. in length or any
beam that supports a point load).
16. fA [ ] [ ] ENERGY CODE PATH IDENTIFIED
DO NOT MAKE CORRECTION IN RED
RED WILL ONLY CAUSE DELAYS
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C I T Y OF 7 1 GARD - RE:CE.I P I' 01 POYMV NT` REL"F A I-11 No . e'14-25to iC.le.'
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INANE' t NEW 13C: l' WOME.S, 1 NC CAUH HMOUN C t 0. Grub
ADDRf`SG 0 16388 SW ESTUARY DR PAYME~N T I.141 F:. a 08/1 '1/94 �
APT #201. I'UBD I V I S I ON e
f BEAVERTON, ORF(;C.IN 97006--
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PURPOSE OF PAYMF'NT t=IMOLINT FSA 11) PURPOSE- OF PAYMENT AMCION T PO i D �
13UILU:1N13 t'C:RM MS794-fPlfay f+`_;Vl. rel 1aL.l1ME3Ihif3 FBF RM c�c:5. 00
f e: MECHANICAL FBF=' 415. 1710 GJT. BUILD I-+R 46. 171:3
FLAN CHECK FIE'' 11:34. Oti SEWER USA 2200. WW �
c.iE:WER INSPECT :3`:,. 1710 PARKS SDC 5100. 00
► STORM DRAIN SDC `80. 0111 REWIDF-IVT IAF_. TRAFFIC FE:rO 1531d. NIS
MA.SIS TRANS 17' TIF FFF S 12'171. 00 F RC SIO1V 1';f)N f ROL. PVRM1'lt•E-'F• 64. V.IO
L HOr I ON CC)N'T'R[)L RL.AM CK C:0. C-10C:f1CJf I CJN t;l'lN T F2UL. ti0. JTN
13694 !"•3W LAUREN LANE:
H I LLSH I RF' LOT 36
TOTAL. AMLII..INT PAID - > 59i:f,1 , I
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1::1 I Y (4 A 114 APO FSE:. A_(I`'I t)F F'GaY'I IF rJ I 12{ t:F.
G:ItA* 1,011114,14
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t I F'A'r hlh h!' ;,i►I I x 01 (AF.l;1.)4
}cillFiD'.0 V 1',f 111J ,
IPIARPOSE Of- f-`AYhIF:N I' 011(Jl.1N V P(O f I�1Jt2f'11'tF: f?I' I'f3►IhF N T ilMl1l IN I PIA (D
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