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13834 SW LIDEN DRIVE - ! l�Y�41'k.�Alr'i4�fi�a15`l'+M�Mnw..,...:' ��aJtP'1NrtN11frM`}tl *rv5'a�t,f'+n.:w..__ T ADC MSS: t } J 1, I ! F M e ' j f t i:l,,ecords\microflm\targets\building.doc � I•:k Ate=. Y7 . f ...'� �.. ," - .»M'A4V7' AM4� MIMW.yy,rr.... -.. .•,..:vM1M +���4f.%9M=rFiLAI, h':Y'4 a."dydxuC -.;crm»n 1f•SY41V' ,...... a . .t+al::-. ... ,. CERTIFICATE OF OCCUPANCY CITY OF TIGARD PERMIT #. . . . . . . : MST95-0;=6}. COMMUNITY DEVELOPMENT DEPARTMENT DATE I CUED: 01/11/96 13125 8W Hall Blvd,Tigard,O(pon 97221 X9199 (6t.3)639.4171 PARCIFL: 104k3p-0fi 10d� • Si TE ADDRESS. . . o 13834 SW L 1 DTIV DR SUBDIVISION. . . . : CASTLE HILL #c:' 20NINGiR• 12 Pr) BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . 1116 CLASS OF: WORK. :NEW ' TYPE OF USE. . . c SF OCCUPANCY GRP. :`;N CFCC;UP4NCY i_•t3pD� '=. • I 1 1 g r i Itc3mar4s : PATH I � I]wner : DON MOPISSETTE 5000 SW MEADOWS RD SUITE 151 LAME: 05WES0 OR 97035 Phone #:. 620-'75313 Gont;ractor: _._ _......_..... _...__ ._. ._ . _..-._._. ..__._...__._....._._. _. _ i Phone #: F409 305553-3 chis Certificate Wr"ants uccUponcy of the above refer^encecl builcl.i,ig or portion Lhereof and confir-ms that the building has been inspected for compliance with the State of Ov egon Specialty C.ocles •cc,r- the groom, orclApancy, and time under which the refeveliced l p� -mit was is-sued. � 1 � dtl i 1 i BU ILD I NC3 'SPEC:'1"dR BU I I-_D 1 NC3 OrF l C I A v i J POST IN GONE')PICUOUS PLACE a 1 I 1 j� ��tjrYsr 1 t " fr r K a, y�,� 1A ..r iFas r e! lrr . CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Roc•O-Phone): 639-4175 Business Phone: 639-4171 . Inspection:— Footi ig Susp. Ceiling Sprink. Rough-in �ppr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. SewF,r Gas Line Plbg. Underfloor Rain Drain Framing -Plum � Alarm 'Nater Line Insulation - Underflr. Insul, Shear Wall Gyp. Bd ' Date Requested: I ( ( �' Time: AM PM Ad,ires: — - –L`-- Bui,der: I I41-.�.� _Permit#: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: _ __ _ Date: APPROVED _DISAPPROVED I AF�ED SUBJECT TO ABOVE i —Call For Reinsp. I f �) J 1 tf �k hY� CITY OF TIGARD BUILDING INSPECTION NOTICE ti 4 , Inspection Line (Reo-B-Phong): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp, Ceiling Sprink. Rough-in Appr/Sdwlk i Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/deam Mech. San. Sewer Gas Line C9Tdg; Plbg. Underfloor Rain Drain Framing Alarm Nater Lin Insulation (`g ' Underflr. Insul. Shear all Gyp. Bd. 1 Date Requested: C Time: AM PM Address: 3 7 Builder: Permit #: U, THE FOLLOWING CORRECTIONS ARE REQUIRED: Or 1110 C4 Ar h Inspector: Date:_ _APPROVED vDISAPPROVED APPROVED SUBJECT TO ABOVE r 'vCall For Reinsp. i +k, r _ CITY OF TIGAMD BUILDING INSPECTION NOTICE Inspection Line (Hoc-O-Phone): 639-4175 Business Phone: 539-4171 Inspection: Footing Susp, Cedu,'I Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Stiuct, Plbg. Top Out Elec. Rough-in rfT1Q1iT� Post/Beam Mech. San. Sewer Gas Line " -_Bldg. Plbg. Undenloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Undertlr. Insul, Shear Wall Gyp. Bd Date Reque>ted: Time:--AM PM Address: 1 3 Builder: — -- Permit u: ,F"Ir THE FOLLOWING CORRECTIONS ARE REQUIRED: ' r.J 1j.1 1 Ins ertar: Date: ``f APPROVED PROVED !APPROVED SUBJ CT TO ABOVE Call For Reinsp. CITY OF TIGA.RD BUILDING INSPECTION NOTICE f Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: noting Susp. Ceiling Spnnk, Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mach. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mach. San. Sewer Vas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Me Underflr. Insul. ShQar Wa)I, Gyp. Bd. Elect, Date Requested:_ r Time: AM PM ■ Address: Builder: Permit #: THE FOLLOWING CORRECTrONS ARE REQUIRED: Inspector: (4:L,-- .- r jjY ' APPROVED DISAPPROVED _APPROVED SUBJECT TO�CWEij `Call For Reinsp. 5 rri, r r Y I' 1 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 d Inspection: Footing Susp. Ceiling Sprink. Rough-in pp�/�✓ Foundation Plbg. Underslab Mech. Rough-in Firepl 9 Bost/r3eam 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: f� - _ y�_ Time: AM C' Address: Q Jc/1_'eJ Builder: _Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: OT C6rn acf ro c k- - - mrd �� �tz « I --- , Inspector: lj t�>tit[._`.� Dat P: _APPROVED `DISAPPROVED -- F 7fOVETb'1,U JEG O ABOVE _Call For Reinsp. Ar / , at CITY OF TIGARD BUILDING INSPECTION NOTICE i�,r tj¢ N Inspection Line (Rec-O-Phone): 639-4175 Business Phono: 639-4171 ,'. l t11 ' i Inspection: _ �tl Footing Susp. Ceiling Sprink. Ruugh-in Appr/Sdwlk �. + Foundation i '• Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Sti uct. Pib . To Out 9 P Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg, � Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underfir. Insul. Shaar Wa I —� � -Elect. Date Requested: Ol Time: AM PM Address: Builder: / Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: r t r Inspector. y�,ytatt. ' �,,.nrrrsvvtD _DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. ' I �J � s v� r 1 1 r+}V, 3 F nliv f ':A} �. i lye `},tP• t 1 A. t4 `"Rte r���'�;-�xy1�6 ✓,>', , � �, -. , � �1� y��np a '�� CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech, Rough-in Fireplace Post/Bearn Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech, San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plwnb. Alarm Water Line Ins atio i✓c1 a1 Z Mech. M Underllr. Insul. Shear Wall Gyp. Bd. -Elect. C r' i Date Requested: ii Time:-AM PM Address:_ 1 3 Builder:_ Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: .ern Inspector:—_ ���/`'' L �—.� Date: v f _APPROVE=D _DISAPPROVED APPROVED SUBJEuT TO ABOVE ,Call For Reinsp, w lr Gt liylri� ' 1 I w. 4q. R"t°"����r�� ��� r�fiP"F�;!tl7�W�,t^tt�'���ha�•'�ti�r. i CITY OF TIGARD BUILDING INSPECTION NOTICE ^I ! Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 I//AIL✓t Inspection: \\ Footing Susp, Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab fAech. Rough i /Fireplace Post/Beam Struct, Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San, Sewer Gas Line �- V! ' Bldg. Plbg. Underfloor Rain Drain (Framing)�'7t -Plumb. '� � Alarm Water Line Insulation -Mach. _ 1 Underflr. Insul. Shear Wall Gyp. Bd. -Elect. c 1 C1 Date Requested:_ Time: AM PM "I Address: ti Builder: a r Permit #: THE F=OLLOWING CORRECTIONS ARE REQUIRED: i. r , ,rryR i 4r _ r r>, Inspector: Date: I _ OVED _DISAPPROVED APPROVED SUBJECT TO ABOVE f 6 f' _Call For Reinsp. .� _,F"� \,x,11?{a}•�y . CITY OF TIGARD BUILDING INSPECTION NOTICE inspsction Line (Rec-O-Phone): 639-4175 Business Phune: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab ��rl�ch. Rough-i - Fireplace PostlC:3am Struct. Plbg. Top Out 10/19 E c. Roughin ro(24 FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Pain Drain �ra -Plumb. Alarm Water Line Insulation -Mech. Underflr Insul, Shear Wall Gyp. Bd. -Elect. Dat^ ^equested: w L Time: AM PM Builder: Permit #: _THE FOLLOWING CORRECTIONS ARE REQUIRED: C'x, tt KIP- `.: —__ vim" c..-•r-� _ \c-.V..,�. ce Inspector: _ Date: 2.7 � ) `APPROVED kDISAPPROVED _ APPROVED SUBJEC TO ABOVE Call For Reinsp. A i f 1� CITY OF TIGARD BUILDING INSPECTION NOTICE Insp9ction Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Past/Bearn 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. Underilr. Insul, Shear Wall Gyp. 3d. -Elect. Date Requested: Time: AM PM Address: /-1 Builder: Permit #: l — U Z (p THE FOLLOWING CORRECTIONS ARE REQUIRED: ,s -9, Inspector: 1� `� Date: 1 -2 97 S _APPROVED <bISAPPROVED APPROVED SUBJECT TO ABOVE ` l Call nor Reinsp. I r< r L __� r I CITY OF TIGARD BUILDING INSPECTION NOTICE i sp�ction Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: _ Footing Susp. Ceiling Sprink, Ruugh-in Appr/Sdwlk Foundation Plbg. Underslab Mech, Rough-in Fireplace Post!Beam Struct. Plbg. Tcp Out Elec. Rough-in FINAL: ■ Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. ' Alarm Water Line Insulation -Mech. Undeft. Insul, Shear Wall Gyp. Bd. -Eloct. I p r Date Requested: Time: AM PM Address: Builder: Permit #: THE FOLLOWING CORRECTIONS ARE REQUIRED: Qat 1 . L,..v- J2 [J `y -S G Inspector: // go Z t/� _APPROVED O�=APPROVED _APPROVED SUBJECT TO ABOVE LQ 4"l For Reinsp.( � ��-•�5� 2 L ( i 1 • CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection L,ie (Rec-O-Phone). 639-4175 Business Phone: 639-4171 Inspection: Footing Susp. Cei!ing Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL.: Post/Beam Mech. San. Sewerme -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Wator Line Insulation -Mach. Underflr. Insul. Shear 'Nall Gyp. Bd. -Elect. Date Requested: U .7 Time: AM PM Address: // Builder: Permit c THE FOLLOWING CORRECTIONS ARE REQUIRED: 1 -3 c� Inspector: � Date: APPROVED �DISAPPROVED __!'APPROVED SUBJECT TO ABOVE _Call For Reinsp. �•r "VOW, CITY « ' °i(dN5an11MlF + ,"" l1aR' PMT, n:'r `w`S :rrp np�r�+ar xr,«•1u+^.;.. Y ) •,�iJ!'�"�:'. �"1' �o ,t. '_�'m' _ '' .-'i��, #•ir.' - ' dN4'�r '1?�r: �nndi;�(j,�k� r,t. 4 V y I' CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 63P•4171 Inspection: a, Footing Susp, Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace y� Post/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 -Meeh. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. ■ Date Requeste('.__ �L" l`�,q Time: AM PM f f� Address: Builder:{ �I' C/f_ J /�� Permit #: '_35THE FOLLOWING CORRECTIONS ARE REQUIRED: eftafq t ' 'i!v 14 Inspe or: Dater �. J APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE r _Call For Reinsp. y ' i I � 7 - 1. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 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. P g. TOP Ouf /<SJ Eloc. 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 WI Gyp. Bd. -Elect. Date Requested: (� —Time: AM PM Address:-_4-2) 4 Builder: b 5 S - �/(.'t. Permit #: THE FOLLOWING CORRECTIONS ARE REQUIPED: Inspector:// / _— Date: � S PPROVED _DISAPPROVED __APPROVED SUBJECT`TO ABOVE �!r Call For Reinsp. t i,f n k, Y 11 ,7YG tR J y411•ii 4 �l1 I <^ 1 J : r t iyr 111 ��� � j�i KisL' X14 I l CITY OF TIGARD BUILDING INSPECTION NOTICE C \ Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171l Inspection: Footing Susp. Ceiling Sprink. rough-in Appr/Sdwlk Foundation Plbg. Underslab Mach. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mach. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Gyp. Bd. Elect. Date Requested: /G'�/I S Time: AM PM Builder: J C: 14 Permit 4: C�-3 THE FOLLOWING CORRECTIONS ARE REQUIRED: 11ail h, J C ,M O Inspector: r7 �r __APPROVED DISAPPROVED PROVED SUBJECT 1-0 ABOVE Call For Reinso. r` '�' z i l 1 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 1 i Inspection: _ Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. eftJg.`T6 O 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: 1 /� j Time: AM PM Address: Builder: Permit #: f. THE FOL'_OWING CORRECTIONS ARE REQUIRED: r -_-/-7 Inspector. Date —APPROVED'- _DISAPPROVED _APPROVED SUBJECT TO ABOVE II For Reinsp. x CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 I 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/Beam Mech, San. Sewer Gas Line Plbg. Underfloor Rain Drain Framing C � Alain Water Line Insulation e Undellr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: �.J� Time: AM PM Address: Builder: _ Permit #: �� THE FOLLOWING CORRECTIONS ARE REQUIRED: i l JN,`K r �1N I I I I Inspector: Date: APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. • - I • - CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone: 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. g. 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. 1 Underflr. insul. Shear Wall Gyp. Bd. -Elect. Date Requested: • / c �/ Time: AM PM Address:_ l ,� O'3 ! C� ' .y.`_ �.7 Builder: , r 7 ` Permit #: -, Builder:- f THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: -- ,- Date: `APPROVED —_DISAPPROVED k APPROVED SUBJECT TO ABOVE .75II For Reinsp. t �I DrG..;✓� CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): C39-4175 Business Phone: 639-41711 Inspection: Footing Susp. Ceiling Sprink Rough-in Ap Foundation Plbg. Underslab Mech. Rough-in Fireplace -P6st� eu Plbg. Top Out Elec. Rough-in FINAL: P 113eam Me- San. Sewer Gas Line -Bldg. . UnderfloorsRain Drain Framing Plumb. • Alarm Water Line Insulation -Mach. ' Underllr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: O 1,car Time: AM _ �PM Address: j ?S y _ • /��y Builder: Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: 00 Inspector:-� – Date: eY OVED _DISAPPROVED APPROVED SUBJECT TO ABOVE —Call For Reinsp. I • t , �Cf1,. 11 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. #9,5- lo96gY Permit # _��L95ytS 7t i Phone (503) 639-4171 Date Issued y as- �s CITY OF TIGARDFAX (503) 684-7297 Issued by TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit rIlowed 7 e Address /-)ed 6,k) Z..,L���1 D Service included: Items Cost(ea) Sum City/State/Zip ' , ��7,.�_� •!4 4a. Residential•par unit ` 4 1000 art It or lava /_ $11000 //U Name (or name of business) Each aciddional 500 so It or portion thereof $2600 Commercial❑ Residential LimEadad Energy $2500 Each Manut'd Home or Modular 2 Dwelling Service or Feeder $88 00 2a. Contractor Installation only: 4b.Services or Feeders l Installation,alteration,or relocation 2 Electrical Contractor 04 T'Y , ,/ 200 amps or Isar $60 00 2 Address 0U'w _5r,! /U. IDu �� .• � 201 amps to 400 amps $8000 2 401 amps to 600 amps $120 00 2 City t-n,-, Stated Zip ?oy601 amps to 1000 amps $t e0 00 2 Phone No. o Z- Over 1000 amps or volts $34000 2 Contractor's License No. Reconnect only $5000 Contractor's Board Req. N0. y d4c. Temporary Services or Feeders _ Installation,alteration,or relocation 2 Signature of Supr. Ele �-! y �� 200 amps or loss $5000 2 f License No. Phone No. (c,Y/-RL1 I 201 amps to 400 amps $750(1 2 401 amps to 600 amps $10000 II Over 600 amps to 1000 volts 2b. For owner Installations. see'b'above 4d. Branch Circuits Print Owner's Name New,alteration or a tension per penal Address- n)The tae for branch circuits with City_ State Zip purchssa or service or haMr he. 2 -- Fach branch circuit $500 Phone No. b)The fee for branch circuits Without The installation is being made on property I own which is purchsss or service or hada he. 2 not intended for saln, lease or rent. First branch circuit $3500 2 Each ndddional branch circuit $500 Owner's Signature g 4e. Miscellaneous I (Service or feeder not included) 2 3. Man Review section (if required): Each pump or irrigation circle $4000 2 Each sign or outline lighting $4000 Signal cirrud(s)or a limited energy 2 Please check appropriate item and enter fee in section 5B. panel allaration or extension $40 00 4 or more residential units in one structure Minor Labels(10) $10000 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable In any of the above j as described in N E C Chapter 5 Par Inspection $3500 Pat h01f $6600 Submit 2 sets of plans with application where any of the above In Plant $5500 — apply. Not required for temporary construction services. 5. Fees: 'tt� NOTICE 58. Enter total of above fees $ 5%Surcharge(.05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 31 $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED ❑ Trust Account Y Balance Due $ rortlborns.v..Wc-Pm RO .... t I tY.. n S I4� rF J 1, }r 1 ,... AO L:11Y C')F: 'rt[:;►.IRI) RF.C.3 .1 PI LII' { IIYMhN'I IO-Cf:. II"'I NLI. NAIL a ('1 T Y F:L.F.!;T F�[(; tG �i1.1 't,:'L Y CO 1:.1if:.(;I� f-IM(..IL1N r r.;AI:44 W11IIJN F Fal lllj�( �.;c, G 8070 SW NI1+11.1(11-; I-'r�iYMl-N'I iI(IIh. s 188/r�"r'f���•� NIS AVPATON, OR I �' Q'7�Ihr1 nl)aS11 IV 1 •.�.t l.lf,l � I i F4.If<r'rr ;1• I n p"r h1F r I[ 1ah11.11 1fJ f 4-'14.1.11 1-'tahth'1:ita1 �'F I '1-1 v IYII N I 1 Lhft 11 u l I I'l►1 ly 410 �'�4,. T•4tl�t I> I'4-Il J I�'I. :�i'Ln 1 i I '•LI.�r+'1 -.fw r t t►I.:N TIw� "TfliNr. AhltlllN'I I'tIt11 - ! a I Y CITY OF TIGARD BUILDING INSPECTION NOTICE ./I Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639.4171 Inspection: Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mach. Rough-in Fireplace Post/Beam Struct, Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mach. Q9an. Se'wg I Gas Line -Bldg, Plbg. Underfloor Framing -Plumb. Alarm afar Line Insulation -Meeh. Underflr. Insul, Shear Wall Gyp. Bd. Date Requested: C � 1 5— Time: U AM PM Address:---L-3-_�3 C� l J Builder:_ Permit THE FOLLOWING CORRECTIONS ARE REQUIRED: r Inspector: x /J' APPROVED ^DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. * II CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171 Inspection: Footin Susp. Ceiling Sprink. Rough-in Appr/Sdwlk ound Plbg. Underslab Merl,. Rough in Fireplace Post/Bearn 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. I Underflr. Insul. Shear Wall l Gyp. Bd. -Elect. Date Requested: ■ Time:_,�<M PM Address: Builder: Permit THE FOLLOWING CORE-CTIONS ARE REQUIRED. I spector: Date: 0 11 CL PROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. c, ,r i PRMPERMIT OF TIGARD PERMIT #. . . . . . . : MST`a':a Ii+ u COMMUNITY DEVELOPMENT DEPARTMENT DATE ICSUE=D: 08,110/95 13125 BW Hall Blvd.Tigard,Orpon 07223.6100 (603)630•/171 PARCEL: 25104I?A-00100 z3I i E ADDREGG. . . . 138"34 CW L-II E:_'N DR ':iUBDIVISION. . . . : CASTLE HILL #2 ZONING: R-1.' PD t_,LCJr�I<.. . . . . . . . . . . LOT. . . . . . . . . . . . . s 116 1 --,LAGS OF WORK. . :NEW GARBAGE DI SPOGALS— : 1 I ? FYPE OF USE, . » , :SF WASHING MACH. . . . . . . : 1 BACKFLOW PREEVNTRS. . : 1 CCL)PANCY GRP. . : R3 FLOOR DRAINS. . . . . . . :G1 TRAPS. . . . . . . . . . . . . .0 _JORIES. . . . . . . . :2 WATER HEATERS. . . . . . : 1 CATCH PASINS. . . . . . . :0 � I IYT'UF7Ef;_._.-________-___ LAUNDRY 7rAY5. . . . . . k`� SF IRAIN ZRAINS. . . . . . I SINKS. . . . . . . . . . : I GREASE TRAP�3. . . . . . . :0 LAVFITORIE S. . . . . .3 OTHER 1'-IXTunus. . . . . .o TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . :0 B WATER CLOSETS. . :3 WA EER LINE (ft) . . . . : 100 DISHWASHERS. . . . ii RAIN LRAIN liem,a;--ks : PATH I OWNER: -______. __...___._._____.___..._._-._-_- -._..__....___.___.__._ ._....--FE=ES____.,_--___-__-_. DON MORISSFTTE SWM 1. 180. 00 B 08/10/95 95--267136 5000 SW MEADOWS RD SWM 100. 00 P 08/10/90 95-269136 SUITE iWi LSC='RT 1 6L-_'0. 'x:0 B 0t3t:+ 0/`3'=, 1)5-L601:36 LANE: O WEGO OR 970. 5 DPLC $ 403. :33 JD 06/29/95 95-26743£ Phone Its: 62'121-7538 DSPC * 31.103 B 00/1+[1/95 `35-- .0")I EAPLC 50. 00 P 08/10/95 95 -2691 'lumbinrl Cant r ,� ,! �:rr: _ C='ARE; f �14)Q'. 0ILI )? 0,11 10/9`1 rj5.._CG'3136 MPRT 4 45. 00 B 08/10/95 95--269136 Name : 1. a I"+ +Zrat147+1`)5 95-269 136 Ad e 1. as B 08/10/95 95--E69136 U • - S h.ipC � _ C:;it y , _ t_.. ;3PT11 $ 2-.23. 0rc) E► 00/ 10/95 95 c:C�'�13C. Zip: F15PC $ 11. 25 P 00/10/9`5 95-269136 Reg li . Acidit iorrcii f�ac�s hat shown Irene. , . . . , » . -- -- REDUIRED INSPECTIONS ------- This per-mit is isisued subject to the reg- ulations contained in the Tigard Municipal. Footing Insp Ins+.rlation Ins,.. Code, State of Die. `)ppLial.t y Codes :and gall Foundation Insp Gyp Lloard Ivi%: :, other applicable laws. All work will be done Post/Beam Struct Rain drain Insp in accordance with -approved plans. Thi::, Post /beam Mechan WatFrr Line In:sp permit :,'ill expire if work is not started crawl Drain Water Service In t within 180 days of issl..,.ance, or- if work is Plm/undsi,ab In p 0pprt dw1k Insp , ,..1,•,prancfed for- mci± c< thein 1 =,0 days. FILM/Underfloor Mechanical Final i Mechanical Insh Plumb Final t Pl:-rmh Top Out Building Final r I"raming Insp Crotiion rontr,crl F'irepl,ace Irrap Gas Line Ir,sp 1-rtilo+ izeo C-'Erm lriy .011L.; ,L: cjt �igrratur-e Call f,jr, iii.-pec-ti.on 639--41'75 Conti-autor Notes- . -.., .., .�!7!!y�..!!++��pe+-�,.�,,.s,,.,..-.Irv....+..,,.yzq:.k„�•n� ^nR^��+a�s-n.!Mrw�c 1 014 ;r CITY OF TIGARD h1A5'fLR PERMIT " PERMIT !�. . . . . . . : MST95•••Q1,-'r_-,:l 'COMMUNITY DEVELOPMENT DEPARTMENT PATE IS#. . . : . .OS/10/95 T9 [ 13125 SW Hall Blvd.Tigard,Oregon 07223.8104 (603)big-4171 PARCEL. L1.310413A -0-]100 'J I Ts= ADDRESS. . . : 1Z.934 ,3W L_I DCN DR IUBDIVISION. . . . : CASTLE HILL #2 ZONING: R-12 FAD 13LOCI... . . . . . . . . . LOT. . . . . . . . . . . . . : 1 .t 6 RE I SSUE: DWEI_L I NG UN IT S: 1. BASEMENT. . . . . . . . :0 5 f CLASS OF WORK. :NEW BEDRMS: 4 BATHS:3 GARAGE. . . . . . . . . . :?,84 of ` :'YPE OF UE;E. . . :5F FLOOR AREAS__---_.._... _...._ ._ PrIQU I RCD SCTl3ACfIS._..-_.. __.-._.._.__-, ?YPE Or' CONST. : N F 1 RST. , . . : 1:�16 y f L.Ef�'F'. . : 10 ft RIGHT. : ft: OCCUPANCY GRP. :R3 SECOND. . . : 10.184 S f f-RONT. :20 ft REAR. . :40 ft STORIES. . . . . . . .L FINBSME:NT:O 5f RE:C;AIRED•-----•-______- HEIG111... . . . . . . . :t:5 ft ''OTA! : =G00 5f aiylpl'G: DETECTORS. ;Y ■ j; FLOOR LOAD. . . . .40 p5f VALUE:. . . . . 4; : 174364 PARKING SPACE 5. . • 1 Remail{s : PATH I 3 GIi14Kr_'�. . . . . . . . . . . 1 f'I_OOR DRAIIA5. . . . .0 BACK!LOW PRI VNTR5. . : 1 LAVATORIES. . . . . :3 WATER HEATER,Sa. . . : 1 TRAPS. . . . . . . . . . . . . . 10 TUR/SHOWERS. . . . :4 LAUI,IDRY r-RAYS. . . :is CATCH BASINS. . . . . . . :0 t WATER CLOSETS. . : 3 SEWER LING (ft ) . :0 GRE:ASG:' TRAPS. . . . . . . :0 d DI:3HWASHERG. . . . : 1 W(ITLr'; l_IPJI7 (ft ) . : 1.00 OTHER. F T XTURES. . . . . a0 GAR14AGE DISP. . . - 1 RAIN DRAIN (ft , . :0 WASHING MACH. . . : l SF PAIN DRAINS— Ll MECHANICAL _...__._..... ..__._.__.____ ___....._•_._.__._..__.___....._ FEES .. FUEL T•)'F'C3•_..____._.-.-._-___. UNIT 11TRG. . :0 tamol_1nt I)y rJa1, e r-ecpt /G(-')S/ / / VENTS . . . . . :0 SWil t, 18171. 00 B 08/10/95 95-.269i1W, t MAX IIV1'UT:O DTU 'DENT FANS— :4 5W1'l 41 100. 00 B 06/10/95 93 -L69136 F URN ( 117-OK . . :0 HOODS. . . . . . . 1 BPRT $ c+20. 50 B 06/10/95 95-•269136 FLJR1',1 ) :__t00K . . - l WOOE-')TC)VES. :0 DFILC 4 40". 33 .JD OC,' /95 9`;-E 6 7 P 4:'sl3 FLOOR TURN. . . . :0 CLO DRYERS. : 1 BSPC $ 31. 03 B 08/10/95 95._.x'6911;6 BOIL/CMP ( :31-)1=':121 OTHER UNITS). 1 13p,LC 1, 00 C 06/10/91Z 95•--C6')1 GAS OUTLETS: 1 PPRK $ 50171. 0,71 8 08/10/95 95-269136 Owrter s _._.. _. .._____._._.. ._ -- _...__MP T t 45. 00 B 08/10/95 95•-269136 DON MORIESE TTE MPLC 6 11. � 3 B 08/10/95 95-269136 5000 SW MEADOWS RD M f'C 7 2. 7*,:-' B0d/10/95 95-•2691 >( SUITE: 151 3BTH $ 2251. 00 B 08/10/95 95-2691:36 V l_AHIL, OSWEGO OR 7.7035 1._'3PC 1, 11. `5 D 08/10/175 95 -26 )136 Chane #: 620--7538 EROS $ 64. 00 B 08/10/95 95-269136 __-ERPC $ 21 0. 80 1A 013/10/91-. 93 -261)1:.3 f, � CONTRACTOR NOT ON ("ILE: ERPC $ 20. 80 B 08/10/95 95-269136 ' F Rhonr• #: Reg L 2.2 85. 4=1. TOTAL. This pereit is issued subject to the regulations contained in the --......---- REQUIRED INSPECTIONS - -- - Tigard Municipal Code, State of Ore. Specialty Codes and all other Footing Insp G11_Imta Top OUt f applicable laas. All work sill be done in accordance with approved F'oLIndat i ar; Inp F"ram i.ng 1115l, pians. This pereit will expire if 4ork is rct within :80 Post 'Beam Strtrr-t Fir-vplace Insp ' days cf iss4ance, or if Mork is sus nded s 1dA days. Post/Beam Mec-tian Gas Line Insp Crawl Drain In51.rl.ation Permi. l:tee Si.yn�rt;_. e -�! I"'1m11.1rtd�,l.��f, Insp Gyp k)ora),c) 111n1_1 PLM/Underfloor Pair-, dr^a.in InsF. :.red Lay : � ��i�-� hiec:hanic:a1 Insp Water, Line Insp VIM Call for' ins f�F'rt i nn E,-?9 1-7'' r Yt°irtn) j SEWER CONNECTION CITY OF TIGARD F,(~'RMIT 'COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #" " ' ' ' ' ' 0;)TE ISSUED: 06.110; 5 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (603)839.4171 '.:i I T"L Cal)DREGS. . . : 13834 SW L I DEN Dn wx 5UDDIVISION. . . . : CPSTLE HILL #2 ZONING: R-12 PD �. F?�LO(IK. . . . . . . . . . a LOl'. 116. . . . . . . . . . . TGN(-)PIT NAME'. . . . . USA NO. . . . . . . . . . . FIXTURE UNITS. . . . ' .' CI-,(:SS OF WORK. . . :NEW r)W1.-L1._I1h4l:3 UNI TS. . : 1 • TYPE OF USE. . . . . :SF N0. OF' BUILDINGS: 1 l'NSTFa!_.L 'TYPE. . . . :LaU'3WR IMPERV SURF()CE. . : : sf Remarks . CATH I � Owner. _..-..___.___---. __---..._____._____ .___ ._._ _.______._._._.__.__ ._.___._ ' ' FEES - -•----._.__ ___.._ DON MORISSETTE type aMo;_rnt by date react 5000 SW MEADOW' RD PRMT $ 2200. 00 B 00/10/95 9;`) 269126 SIJI I"r" 151 1N[33P $ 35. V10 R 00 1.0/95 35 ;.:69, 1.:::i' ti€ , LAHE OGWEGO OR 97035 Itis ht n n rz it. 6"-0 -7538 CONTRACTOR NUT ON FILE Rhone #: _.,...,-...-_�—_.sir;5. (10 TOTAL Reg REQUIRED I NISPECT I ONES This Applicant agrees to comply with all the r,j;es and regulations Sewer- Inspection, of the Unified Sewage Agency, The permit expires 190 days from the date issued. The total amount paid will be forfeited if the pEreit expires. ThP Agency does not guarantee the acc,.racy of the side sewer laterals. If the sewer is not located at the measurement I given, the installer shall prospa_t 3 feet 1, erections from t:ie distant: given. If not se !oc ed, i to r shall purchase a "Tap and Side Sewer" Permit a-, tf•.4 agy-;.. install a lateral, i Per-mittNe Siynatj.rr-e : --f - 1 I�as,_recd i Call for inspection — 639 41-7.', r J, Residential Building Permit Application i CCity of Tigard 13125 SW Hall Blvd, k Tigard, OR 97223 ,F (503) 639-4171 Jobsite Address: ` Office Use Onlv Subdivision: �', �� �(1 07 I Lot # Planck/Rec # (, Valuation: _ Permit # 9S Corner Lot? Y N Flag Lot? Y N Reissue of Map & TL#• `� I l.'L� BA /owner: - )Q KJ M 0121�aSETIE, - 1"� 2��t „c Approvals Required Q E, Address: G byV ma4p kD• �i i5( k s Planning � �1Y�--t� ,.: ��,C 1. E CaO, 61e c10 � Engineering Phone: 25 X55 Other—T\F CJL L1► ".� -- ` ✓Contractor: Items Required Address: Subcontractors Truss Details Phone: _ Other I Contractor's license # 5 33 WP. i (attach copy of current Oregon license) ul i M " Contact Name & Phone:—Tf N (Po-o--3`j38 CUYY�@Y I0� ���.a,t (S cr-,\CLC-f- C;f w l Subcontractors: Arch itect/Engineer:--T%LLq FtaMEIL L/ Plumbing:bkInsf-I PrK.IE� 1�,UM ( 1� —1 Address:,C—= S'I-r. I Cj ��ilechanical:'i1C.1 C�Uf�1�1-�� ^T�}-1t�• L1pc1'(,E Q��/E(ap C� q'�35 (attach copy of current OR Contractor's License) Phone: JOB DESCRIPTION: Applicant Signature & Phone number Received br y: �'_ Date Received: NJWORDICOMDEWiESAPP � .r a y 9ewh� 4 .� ?� iii ����i�,:yi1��,�1 i.. � ✓, 1��: a ' �r ��➢' �� z ,.; .....,.,,....rori7�.1R��nace�:�Mtisw..�w,r„... � Permit# Account Description Amount Amt. Pd. Bal. Due - Y►1 X95 v a� Bldg. Permit (BUILD) vy Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) 94,53 Bldg: I Plumb: Mech: .t Plan Check (PLANf7l / • S�✓ Bldg: s o3._3 3 i su Plumb: _ Mech: 1 Sewer Connection (SWUSA) Sewer Inspection (SWINSP) 3 3 r Parks Dev Charge (PKSDC) Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) _ �"� UD ' Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) as y Office TIF (TIF-O) / Water Quality (WQUAL) Water Quantity (WQUANT) Fire District (FIRE) Erosion Cntrl Permit (ERPRMT) G Erosion Planck/USA (ERPLAN) _; �y _ �•�' Erosion Planck/COT (EROSN) >L d'L_ _ _ /`� L TOTALS: / J c! d t , f ,� �� Ifh I 4 1 1 ' 6000 S.W.Meadows Rd.,Ste. 161 ' Lake Oswego,OR 87086 Phone:(608)620-7688 FAX:(608)620-7486 p l.Lrr►J 1J0 "'�j �•� i I J� s , Z3i S° r� 00 t Ipl- ZOO 10.6' 2.p11 _ 1 �rtz I > cow eDL � I 6 F E n¢ 1.0 � � R 'ZL.0--a 1 _J I fr. - I I 8 � ' I I 1 LD•r 51 y r �, 11 '7,4'FCv Ir i i, -- Al I 17 k,qy, -�- FROrt :F:F� i in 6R1C:F� i rHw•M:_;EI=� Tr 5i�..r;.�' �;=�_ ;'1y„� -l�'f08 1 M #976 F.©::/03 R �r S��t, 1� �;} ��,tLyyR��(y�y !r�i��i ',,::5.14' 'jj''•J:?P..,;.L•.k1 i !�,f:f r;.YiSS�r :'t•��,ra� J.,1SS1j�1>y S}S I {.�br{ '(,i��E• +�•.r.4trZ•YS!t• 7'�•,,.7�,. '�s�tt tri• !. 5 •••:r,+• �,11�r• �.i�,, ;';i' ,. =il`t;, i'N � ,t,; Q r 6� ♦•�i 1 f•f E �!A i iJit' • ',fit r•,'.r �! , r SLi' �'W TJ{�4 ti��f,=�ir ��', c; 'r ,1�,;.��y�'.�LS� ,i�ar •�wi,• l� 1�{s!,','!; yS��!' G. Pid� '},L,�, •.ar.%trl• •k i!1•�►��_, `d ,Eta IT/c�� a j TRAFFIC IMPACT FEE "'f:• ,;...., n OUCHG I •�;� Crl�'.•JtT V � • f ;j IrJ accordance MO. tr"e 1-jt;'c,.-7 lranc�acr Fee OrdMafr.ir ! � ti .., peve•o,..ment Go;paratiorr ,;:�•,;. J is entitled to i ialfic/';,Fact XG91 CrtCrrs brat C,317, ba P p9i,lgd to rlFcharges on lot(s)68-131 c1 r~• Caste Nri'I I�'a 2�e✓e%�r'int, 7,7e are sub,ect to the rulas acrd 1im;tsficnl th s ve TIF Ordimencg. WARNING: •ti•''1•,:titf,,•�, Z TlwTs voucher mist be Nras#n19d cit bh0 tirr'P Cf 4F51;&A. f , a EuWdi,^t ,w'•. �a o � g Psrr•,7, ar if defarr2/ Wes9rBrftedlSa:'Zn.'8 If 9,1 Occ'-carcyNarmfr -4. r MAi r?!X D c!%c L�t r P 1.�;V T"CRPOA.4 771:W hereby sssigris al;rt s;Ight, dile d rarest ^G't t.'r C }� aJ^, it !n Sr J D �t elr,'trn ;re}iic+'rr:,cact rhe •.,edit to be rrartod Nt. uocn the,ssuanca w`P builcrng perm!?for L;�r 7.16l:'_ Eh'IL_ NO. 2 su: -✓islan, Wes,9irrgtcr Cccrt,✓, Oregon, to the crop.,of, (�� .• , it�,�' •'J'J: 1 Ji71p'2551�;j rt c. Pac!.9 8Gt1si'i 7 'C ~f:6SJ Vf 'i 8C'. 2; a iven th.J I day of Augur y;:;•'a f MA TR/,V CEVFLGF,VFiV7 C'r;,PC A 77ON, t 'Jf.; ar. C'ra;,oR Cvr;�oratrorJ Title or Fos,ncn �•.~.,. t,, '.'Ntitirt"';?•E��7:• 11'r;.l, •i','r; •7ii 4�ft '':1�� '.I?. �lt -,;:�;�S� ,•fJ.•:z1 r�' i �• ' � •r "•Ji � T r• 1• � Y t •I.i • h r+P i� 1 •'i S. 7• i' �•i1 �.., �r.�,t�t � �_�Sti4,f'::.;,�`�`� i ,•/� •.t1,1 ?'�tf i 1 � '��ti}d S� �'.,���c? • ++�i1,, .l�f••.'�,f�i.' •i�t`1��••' ;'d4, r k' �c�a Ilr Ft't '�W 'rp,i d ,+ i`dj�',' 3- " ��"4 r�P.� ��'` � •dab' ' 1 d n CITY OF T I CARD - REC:FI PT OF PAYMENT RE:CF I F'T NO. a 95-269136 � • CHECK AMOUNT a 42 70. R 1. IVAME a DON MORISSETTC HOMES, INC CASH AMOUNT 0. ofil ADDREG)i a 5000 SW MEADOWS RD. SUITE: 15p1 PAYMENT IIA.TF': a 08t10!9b r LAKG:. 0SWf:'Ci0, OFiI.1BD I V 15 I ON a y r PURPOSE OF: PAYMENT AMOI.)NT PA 11) F'11RpnsiE: OF PAYMFN'T AMOUNT' PAID BUILDING PERM 620. 50 PLUMS T NO PERM 225. 00 � �i CHAN I CAL VE 43. 00 S•T. BUILD PER 44. 53 FLAN CHECK FE 214. 5A SEWER URA 2200. 00 � SEWER INSOE.CT 35. 00 PARKS SDC 500. 00 � aa�► H2O C.;UAL I TY FACILITY FEE 180. 00 H2O OUANT I T Y FACILITY FEE 100. 00 � I CROSION CONTROL PF.=_RMITFEE 64. 01A EROSION CONTROL PLAN CK 80 E ROS I ON CONTROL 20. 80 n 1,1854 SW UDEN DR. MST 95-0261 ' TU*T AL. AMOUN'T PAID — — -- > 4270. 21 6 i I , CITY CIF. T I(WARD » RE'CF I P'T OF PAYMFN'T PEC:ET PT NO. a 95 26743A r'.Nf:CK AMOUNT a V-50. 00 NAME. DON MORIf,GRI"TE HOMES, INC: C053H AMnIJNT a 0. 00 ADDRESS x PAYMENT DATE a 06I1?9l95 5000 SW MF AL'nws RD STE 151 SUBDIVISION a �� LAKE 0SWF G0 T.:1R I 97035- -- i I'URPOSE OF PAYMENT OMOUNT PA 10 P1.1F7P OS)t (IF PAYMF.=NT 0MOUNT PAID I'I.FAN CHECK FE 6--90R "iQ1. 00 PLAN C:FIF CK FF I 01._ERN CHECK FE 6-92R 00 13934 SW LipE14 DR, 13905 aW NC)RTIiVIEYW DR, 13395 SW L I DFN I►R TOTAL AMOUNT PAID I �, I n '���t 1t*drtld,�r . t ' � r4 r -y , +t� Y�4-:✓.- 1'. �i � y. � �'� !k� S t}t�7 1R' n4,9 It_ � i' n� 1ti .t••.'S 4. + ..hrl '*dyl' fi�, .Ra K, I.,'." i ,�•�.,' '