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CITY OF TIGARD BUILDING INSPECTION 4,,OTICE
Inspection Line ( ec-O-Phone): 639-4175 Business Phone: 639-4171 `
Inspectiun:_ I
S rink. ;lough-in Appr/Sdwlkr
Footing Susp. Ceiling P
ISI '
Foundation Plbg. Underslab Mech. Rough in Fireplace
FINAL:
Post/t3eam StrLICt, Plbg,Top Out Elect Roug h in��
c Gas Line -Bldg. ' �IJ
Post/Beam Mech. San. Sewer
Framing
-Plumb.
Plbg. Underfloor Rain Drain g
Insulation -Mech.
Alarm Water Line -�
UndedIr. Insult Shear Wall GYP• Bd• r 4
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r Time: AM PM
Date Requested:____._______ `
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Address:
- c�c135
Permit#:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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CITY OF TIGARD RUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: l' t>?
Footing Svsp. Ceiling Sprink. Rough-in Appr/S!wlk a 4 4
Foundation Plbg. Underslab Mech. Rough-in FireplaceA.
Post/Bsam Struct. Plbg, Top Out Elec. Rough-in FINAL: `�yi
Pos!/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: C c, Time:,XAMPM t' t`"�'" '•
Address:_-_,�
Bullderf��!( tip I 4 1'1_ Permit
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THE FOLLOY'ING CORRECTIONS ARE REQUIRED:
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unit Development RESTRICTED ENERGY E�LE�CTRICAL APPLICATION✓ I'
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13125 SW Hall Blvd.
Tigard,OR 97223 PERMIT # LlZ9 C� --
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Phone(503)639-4.171 PATE ISSUED �� - 9G �
FAX(503)684-7297 �_ --
TDD No. (503)684-2772
CITY OF TIGARD inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATIOIS 4 TYPE OF WORK
Addr, RESIDENTIAL—Restricted Enemy Fee . . . . . . . . . $44.10
i (FOR ALL SYSTr 1S)
City State tip Check Tvoe of Wprk Involyed:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK 15 SUSPENDED FOR ❑ Au and Stereo Systems
180 DAYS, Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener"
� ❑ Heating,Ventilation and Air Conditioning System"
Contractor IND ype �` �/ ❑ vacuum Syste^is'
193 NEE ❑ Cutter
}OR11AN9r OR 91112 ----—---- - — --
Address m dk"226'x► ---
Date CON'MERCIAL--Fee for each system . . . . . . . . . 140.00
9 --- _ (SEE OAR 918-260-260)
9 u
Property Owner Check pe of WoA InvnlyyiL-
t Contractor's Board Reg. No. _— ❑ Audio arid Stereo Systems
❑ Boiler Controls j
Phone# _ �._ — ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
— — � ❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No ❑ Instrumentation
Address - ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control'
c City State Zip ❑ Medical
This permit is Issued under OAR 918-320-3;0,This appilcant agrees to make only ❑ Nurse Calls
restricted energy installations(100 volt amps or less)under this permit and to do the ❑ outdoor Landscape Lighting"
folt.)wing:
1. Only use elec•rical licensed persons to do installations where required.(Certain 0 Protective Signaling
r sidential and other tra.rsactions are exempt from licensing.These have ❑ Other
.,st,risks(").All others need licensing
2. Call t it an Inspection when all.if the installations under this permit are ready
for inspection at 503.639.41-5.
I ❑ Number of Systems
3. Purchase separate permits fc r all installations that are not ready for Inspection ----�
when h:e inspector Is out to ospect under this permit. "No licenses are required. Licenses are required.or all other installations.
{ 4. Assume resrnnsihility for.imuring that all corrections required by the Inspector --.-------.. --- ----- — -- ---
yare done,and
i 5. Assume responsibility for callin final inspection when al;of the 5. FEES
corrections are completed. //II
The person signing fo is rmit must be the applicant or a person a. Enter Fees $ U
authorized d e a licant.
��-- b. 5% Surcharge(05 x total above) $
SIRn-my, e /7
TOTAL $ .
Authority if other than ap Acant
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CE:RTIFICATS: OF
OUANCY
CITY OF TIG�ARD PERMIl' #. . .CC. .P. . :_ MST95 0131
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 10/05/95
13126 SW Hall Blvd.Tigard,Oregon 97223o8199 (503)639-4171
)ITIH 1363') !aW LIDLL Dk
.3UJID I V 15 1(JN. » » » 04ST'l E H.1 LL_ #c' Z ON 11403 r?
BLOCK. » » » . . I LOT. . C123
CLASG OF WORK. iNEW
7-YPE' Of" USE. . . SE-iF
(3cr-UPANCY GRP. n4aw ..
OCCUPANCY 1_CIADi226 4
I'ENAN r NAME. . . x
Pi-41'H I
Owner-,.
DUN 1101RISSE.TTE
5000 liw ME.ADOW5 RD
SUIT-E 151
LAKL. 0SWEGO OR 97ql,--,`5
Phonp #c 6;F_'0--7'.j38
Cant Y,aut ur p
DON llORlGP.:J'TE HOMES
5000 UW MEADOWS RD
9 U VTE 151
LAKE (J[-;WE(30 OR 9701-:15
Phonf, #c 62'07530
Reg -H- - v 35533
This ( ert -ificatc- cev-tifced
ier6 that -the above t-eferenbuilding or E.urtion
theve(�)f has been inspected for comr.)liancc- with the Tigard Building CtldO
for- thfr proup and division of occupancy And �.t%e for which the shove
"fer-enced permit im 9 istai.ted, and accupanty is hereby gi--anted.
131.JILI)INC3 tNSFIECTOR BU I LL)I NG (if F I C I At.,
POST IN CONSPICUOUS PL,ACE
CITY OF TIGARD BUILDING INSPECTION NOTICE r,� rj'ps4'
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 �, 1
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Inspection: ;.
I ooting Susp. Ceiling Sprink. Rough-in Appr/Sdr ik
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech, San. Sewer Gas Line
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Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation
UndeHYP lr. Insul. Shear Wall G Bd. -Elect.
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Date Requested: -IN Time: AM PM
Address:
Builder: Permit #: / ��" 6 /3 /
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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APPROVED —DISAPPROVED —APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
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Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
iFoundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Pibg. Top Out Elec. Rough-in FINAL': f
Post/Beam Mech. San. Sewer Gas Line :Bldg—
Plbg. Underfloor Rain Drain Framing
Alarm Water Line Insulation
Underflr. Insul. Shear Wall Gyp. Bd. `EI)ct.
Date Requested: J ""� Time: AM _ PM
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Address:
Builder: Permit#:
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THE FOLLOWING CORRECTIONS ARE REQUIRED: � >rM4
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j Irfspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 1
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Inspection.
j Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwl!c
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sawer Gas Line -Bldg.
r Plbg. Underfloor Rain Drain Framing -Plumb. ; +
Alarm Water Line Insulation -Mech.
Y` Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
r Date Requested: Time: AM PM
^ Address:
Builder: Permit #:(:),A
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date: V 3 `7
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APPROVED X&SAPPROVED _APPROVED SUBJECT TO ABOVE
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CITY OF TIGARD BUILDING INSPECTION NOTICE
i, f' , k• ., f Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
>Y'S
" Inspection: �)'r
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk I
Foundation Plbg. Unde)slab 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 ,- u�mbj
Alarm Water Line Insulation
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. ■ �tt1
Date Requested: S Time: AM PM
Address:� � f �
Builder: Permit t
THE FOLLOWING CORRECTIONS ARE RcOUIRED: �
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Inspector: i //` Date:
_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 d
Inspection:
F Il+ak
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 Mech, San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing Plumb.
Alarm Water Line Ins -lation -Mech.
Underflr. Insul, Shear Wall Gyp. Bd. pec
Date Requested: Time: AM _,KpM
Address:
Builder: '� �l" �D Z-- Permit#:
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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PPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
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At4r , CITY OF TIGARD BUILDING INSPECTION NOTICE U
�,1 + Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Mach. Rough-in Fireplace
Foundation Plbg, Underslab
v �$g
Elec. Rough-in FINAL:
Post/Beam Struc:. Plbg. Top Out `c t '
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Undarflr. Insul. Shear Wallp. B -Elect. x Ja'
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Date Requested:
Address:_ 1 G �� =. t ,y( •�n1 ����
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Builder. Pe'-mit
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector_ _ Date:
_APPROVED DISAPPROVED PROVED SUCJECT TO ABOVE
_Call For Psinsp.
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CITY OF TIGAr. - BUILD!NG INSPECTION NOTICE l
In:pection Line (Rec-O I lone): 639 4175 Business Phone: 639-4171 l 11
Inspectiol c
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in =ireplace
Post/Beam Struct, Plbg. Top Out Elec. Rough-in FINAL
Post/Beam Mech. San. Sewer Gas Line - -Bldg.
Plbg. Underfloor Rain Drain Framinc " -Plumb.
Alarm Water Line nsulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: �_ Time: AM _XPM
Address:
Builder:__` Permit #: - U 3 L
THE FOLLOWING CORRECTIONS ARE REQUIRED:
CA
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Inspector: 6_5 Date:
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_APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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CITY OFTIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 \ __
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk 1
Foundation Plbg. Underslab Mech. Rcugh-in Fireplace
Post/Beam Struct. Plbg. Top Out'IILI Elec. Rough-in 4I1cl FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underflour Rain Drainrami g Plumb.
Alarm Water Line Insulation -Mech.
Undertlr. Insul. Shear Wall b Gyp. Bd. /AM
lect.
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Date Requested:
(2-S Time: PM
Address: 1 ��� � —vim •
Builder: Permit a: (�
THE FOLLOWING, CORRECI"IONS ARE REQUIRED:
37 i o L=As
Inspector: �r LJ
Ins
P —._'-� Date:
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_APPROVED DISAPPROVED ZAPPROVED 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:
d
Footing Susp. Ceiling Sprink. Rough-in c A NSdwlk
Foundation Plbg. Underslab Mech. Rough-in 'Ffr>�pta��"
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 -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: I I �� y/ Time: AM PM
Address:
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date: —uwr
_APPRCVFD _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: d
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Ber,rn 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 Wal Gyp. Bd. -Elect.
Date Requested/: ? y c Time:, PM
Address: �'�,���
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Builder: Permit a: Z ! 13-L
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THE FOLLOWING CORRECTIONS ARE REQUIRED.
Inspe tor: Date: C
�"y-APPPOVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
1 Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
t Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-1'71
j Inspection:
0
t Footing Susp. Ceiling Sprink. Rougi,-in ^.ppr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. 16g. Top Out Flec. Rough-in FINAL:
Post/Beam Mech. lir—, Gas Line -Bldg.
■
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect. ■
Date Requested: (� _Time: —AM PM
Address:_ v i
Builder:
Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector �.yy j
Date: Ci
—APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
,Call For Reinsp.
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. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer as L�e)
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul, Shear W II Gyp. Bd. -Elect.
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Date Requested:_—,
equested: f Time: AM _ PM
Address:
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_ /J
Date: — �"—
� APPR,)VED _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:_ L ,QLD/7 (/-C�
Footing Susp. Ceiling ..rink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in F49place
Post/Beam Siruct. Plbg, Top Out Elec. Rough-in FINAL:
Post,,Ream 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:_ �7 S Tirne: AM PM
Address: 1 r71 �_�� 1
Builder: �/ 1L �-- Permit #:L [ _C O 10 7
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
In pectora ate: •� ���`��
PPROVED _DISAPPROVED _APPROVED SUI3JECT TO ABOVE
—Ca,' 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 Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Bearn Struct. Plbg, Top Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas L'rn� -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
■
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: (4' �� `�Time: AM PM
Address:_
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_ Date:
_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
!� I Call For Reinsp.
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WASHINGTON COUNTY ELECTRICAL PERMIT '
Department of Land Use & Transportation �
Electrical Inspection Section APPLICATION
155 North First Avenue, #350-12
's Hillsboro, Oregon 97124
,
Information: (503)6404470 Fax: (503) 653-4412
Permit _
PRINTPLEASE
Number �_ C) t✓� 1 Date f
(
Please coinplete all sections, 1 through 5.
4. Complete Fee Schedule below
Number of Inspections per permit allowed 1
t. Location of lnstallatio �J
Address � �tt'_3Q 0 4,141e-,L7 Service included: Items Cost(ea.) Sum
Buildingg A. Residential-per unit
City Suite �f0. �-y�
�- c 1000 sq.ft.or less $110.00 y(✓ 4
Tenant Name Each additional 500 sq.ft H
(if commercial) _ _ or portion thereof $25,00
Limited Energy $25.00 1
Map No. _Tax Lot Each Manutd Home or Modular
/� Dwelling Service or Feeder $68.00 - 2
Thomas Map Book: Page:_1¢!_ Section:\'�
Directions_ _ B. Services or Feeders
Installation,alterations or relocation
200 amps or less _ $60.00 2
Commercial ❑ Residential 201 amps to 400 amps $80.00 _ 2
401 amps to 600 amps $120.00 2
2a. Contractor installation onl 601 amps to 1000 amps $180.00 - 2
Y• Over 1000 amps or volts _ $340.00 - 2
Electrical Contractor t�l (- ' 1 ' `� 1,� P'�/ Reconnect only -- $50.00 - 2
Address
City r f/G v.�, J State Qom_ ZIP9Z2.:2 5 C. Temporary Services or Feelers
Date__ .5--Zjj 9'ti_ Job Number Installation,alteration or relocation
Property Owner_ d_ c�s�' 200 amps or less $517.00 2
Contractor's License No. .:�ti 8 13 Cl� 201 amps to 400 amps __ $75.00 2
Contractor's Board Re No. y P� _ 401 amps to 600 amps $100.00 _ 2
Reg.����"�" Over 600 amps to 1000 volts see'B'above
Signature of Supr. Elea't`i�%,f�� - _ D. Branch Circuits
License No. Phone No. New,alteration or extension per panel
/// a) The foe for branch circuits with
2b. For owner installations: purrhase of service or feeder tee.
Each branch circuit $5.00 _ _ 2
not wner's ams one o. b) The fee for branch circuits without
purchase of service or feeder fee. i
Address --- First branch circuit .__ $35.00 2
i Each add'nl branch circuit__ $5.00 _ 2
,�ry tate -- ,� - E. Miscellaneous (Service or Feeder not included)
Each pump or Irrigation circle $40.00 _ 2
The installation, is being made on property I own Loch sign or outline lighting $40.00 2
which is not intended for sale, lease or rent. Signal circuit(s)or a limited
energy panel,alteration
Owner's Signature - or extension $40.00 _ 2 J
F. Each additional Inspection over the allowable t�1
in any of the above
3. Flan Review section (if required) Per inspection $35.00
Per hour $55.00 _
Please check appropriate hem and enter fee In section 5B. In Plant $55.00
_4 or more residential units in one structure
-Service and feeder, 800 amps or more 5. F9es _L}
_System over 600 volts nominal A. Enter total of above fees $
_Classified area or structure containing special 5% Surcharge (.05 X total fees) $
occupancy as described in N.E.C. Chapter 5 Subtotal $
B. Enter 25% of line A for
Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $
above apply. Not required for temporary construction Subtotal $
services. ❑ Trust Account $
Balance Due $
For inspectierts call This permit becomes null and void if the work outhorlxed by the permit Is not commenced
640-3561 or 693-4415 within 180 days from data of issuanu of such permit or If the work authorized is
suapsnded or abandoned at any time after work is commenced for a period of t!e days
24-hour recorder, one working day in advance of need Electrical Permits are nonrefundable and nondronsferabte.
8/94
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~CITY OF TIGARD BUILDING INSPECTION NOTICE L In eco"on Line (Rec-O-Phone): 639-4175 Business Phone: 639 4171 'i
-sp
.Inspection:
Sus Ceiling Sprink. Rough-in Appr/Sdwlk
Footing P g
9•
Foundation
Plb 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 Framing -Plumb.
Alarm
Water a Insulation -Mech.
_ �
Underflr. Instil. �JShear Wall Gyp. Bd. -Elect.
Date Rrquested:- Time:p // --
AM PM
Address: /\ z I &– _
Builder: Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
uj T5
-�=�. USS • --
5Y � 7? I
'l,r– Dat e: C� N
Inspector: —
_APPROVED ZDISAPPROVEI) _APPROVED SUBJECT TO ABOVE
ZCall For Reinsp.
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CITY OFrTIGARD BUILDING INSPECTION NOTICE
-' mgpection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
F►noting 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 -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time:__AM PM I
Address:
Builder. Permit #: C .� 1
THE FOLLOWING CORRECTIONS ARE REQUIRED: ? Z 2
C�
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Inspector:
-_APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CRY 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
PostMeam Struct. Plbg. Top Out Elec. Rough in FINAL:
Post/Beam Me San. Sewer Gas Line -Bldg.
Plbg. Undo—rfl6or Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Undertlr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: ( 1 Time: AM PM
r
Address:— /2,
Builder: Permit #: �3
THE FOLLOWING CORRECTIONS ARE REQUIRED:
/� Date:.5� -.
� —G `•�—
Inspector: 1
I�APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
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. Undprslab Mech. R {.,Ih-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. Ung Gas Line -Bldg.
Plbg. Underfloor QhaL irk Framing -Plumb.
Alarm �W—at—er—Lirw Insulation -Mach.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested: _S c� 3 �JTime:�' la PM e
Address:' 7 c� �_-
c ) I`'
Builder: Permit #:
THE FOLLOWING CORRECTiJNS ARE REQUIRED:
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r: ��/i�j -" Date:_y��f
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ROVED `DISAPPROVED `.,PPROVED SUBJECT TO ABOVE
f
--Call For Reinsp,
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CITY OF TIGARD BUILDING INSPECTION NOTICE 1 ,
Inspection Line Rec-O-Phone): 639-4175 Business Phone: 639 4171
( ���✓✓✓✓
Inspection Q '' c a—k Q_ -
ootiri Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Plb Underslab Mech, Rough-in Fireplace
oundation g
Post/ earn 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.
Underllr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ �7 /r/ �I ( Time: AM PM
Address: 1_3E
Permit #:yJ
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED: N
----------------
�r
Inspector._,_
,A- ----^ te:Da _' � Ti,
/ APPROVED _D'SAPPROVED _APPROVED SUBjL--,T TO ABOVE
—Call For Reinsp.
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j IISING rPURM11
-CITY OF TIGARD DATE* ISC•',JE. D. .: x 05/18/95"'
5/18/95 ' �
COMMUNITY DEVELOPMENT DEPARTMENT
13126 BW Hall Blvd.Tigard,Orpon 07223.6109 (603)639.4171
r I TE: ADL'iliv GG. . . z 136-1': SW L 1:A'_N L'F%
SUBDIVISION. . . . : CASTLE 11IL.L #C ZONING. R- �5 PD
F_;_OCK. . . . . . x . . . .I . . . . . . . . . 1
,PE OF USE. . . . .SF" WASHING MACH. . . . . . . 11 BACKFLOW PREVNTRS. . - 1
:7.,CUPANCY GP3 P. . :P3 FLOOR DRAINS. . . . . . . ;0 TRf)PG. . . . . . . . . . . . . . .
171
_DRIES. . . . . . x . ;a WATER HEATERS. . . . . . ... 1 CATCH BASINS. . . . . . . :0
TX'TUP1;*5- .--_.._..._ M_....__.-. 1._()IJ1'4DPY TRI YC-33„ . . SrDRAINS. . . . . : 1 �
;INKS. . . . . . . . . . : I GREASE TRAPS. . . . . . . :0
r.
I..rUATOEtIt ax . . . . :3 OTHER F T XTURES. . . . . :0
7UD/SHOWERS. . . . SEWER LINE~ (ft) . . . . :0
iTF"R B
L.C)�.r_TS. . :':; WA)'CR L I N (f t:' . . . . 100 r
!:
wTSrHWAOHE:RS. „ . . : 1 RAIN DRAIN (ft) . . . . :0 I
� .JNERe _�_..,___.._._.. .. __ ._ .. _._.................._. ._...._ _._._._ __- _.._____._.w_._....--- E' __.__.___.._.._.._,_..._._.
3N MOR 13. E1'T'L aWM 4 i 13!71, Q)0 B 03/1.3/95
:5000 SW MEADOWS RD SWM f, 100. 00 B 05/18/95
151 FI''RT $ 430. '0 13 05/10/95
111 E OSWE GO OR 9703n BF't_C $ 310. 33 JD 03/1 Qi./9S 95-j 2 66276_3
,,one if 1. --0 S!�Pc $ 2''4'. 03 D OIL'/1.C!r?'� f :
PARK i 500. 00 00 13 Q'5/18/95
u ;. rj Contr^:aaci m11 r%T 4:.. "56) 13 05/IG/95
\1 MPLC: 10. 83 D 17.113/18/95 I
Mr;'r,C `I• (3 D 0`1% ..5.
Acid? 313T11 $ 111" 10 B 11/11/11 a
!.t P5pC 'I; 1 1.. x ;5 1) 0 1(3i`3
EROS` a F',/+. rI!Q1 B !?! /1 El/63 5 _
Req #: ticidit: i c:,l•,:0. fees not shown hwrr~^. . , . . . . . .
_......_._...... f,COUI REU I NOPE:C'T I ON , _Thi-,B prat-mit is j. ssued subjer...t t:o thte r-ey..
,'.atians contained in the Tiqar"d Munir,.ipal FaotinU Insp Insulation Ins
,Sde, State of Ott e. Spec: malty Cacir�- and all. rcrit s ,;t, in In%p Gyp Boar•�1 111 sp
then, aopl icable laws. All work will be done Po. ; -' :,F �m 3tvi-tct Rain dr'-ain Tn%p
r.'.t:(701"rleln ce with Thi ri' 1 Me? .-han I^l cl'C +.d r' i.,1.nR Tn"ir? i
permit will expire if wart is not ra.tar,ted Ct'awI iir ain Water" Service In
ihh; in 180 dayB of i�,s,aancr., or^ if wo,-k is rl'Am/undslah Insp Appr'/Sclwlk Insp
.spended for- rear . ,rl 180 E-'LM/Undnr-floor Mechanical Final
Mechanical Insp riun,L, F"inr.1l.
Plumb Tap flat Br_rildi.ncl F'inaI
1 f=rc,minri In 1a E~r asiran C:onbvol.
F'ir,eplace Insp _.._.__..
L.xno Triip
G'l d F''l�_1m�r ;
is ;. c: .:,^ 417~
Cantr^actur^ Notes
�_ 14 � 5
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-` CITY OF TIGARD r
MASTS P PERMIT
1 COMMUNITY DEVELOPMENT DEPARTMENT DATEPERMIT S • • • � • 8/9
13126&W Hall Blvd.Tigard,Oregon 07223.0109 (603)030-4171 DATE I.iaUEwD 7 Q1`Ga/18/9
1 51 TC ADDRESS. . . : I.-Irl 3'9 SW L. 7 DP
SUBDIVISION. . . . : CASTLE HILL ;;2 ZONING: R....2S PD
LILOCR. . . . . . . . . . . LOT. . . . . . . . . . . . . 1;='3
_._._.. _..._ _.._.__.
------ BUILDING
BUILDING
RE I SSUE P DW1=L{.. T NG UN I TS. 1 BAGEME-:NT. . . . . . . . :0
07 WORK. :NEW BEDRMS:.3 riATWG GARAGE". . . . . . . . . . :430 f
r,(F~c Jr um. . . .sr r,_cl(ar Anr`.As .... rr!11JIREL
TYPE OF CONGT. :31\1 FIRST. . . . s 92, 5f LEFT. . :5 ft RIGHT. .5 Ft
OCCUPANCY Cine. s r;? riC�":(3{`tiD. . . :i 9:'. �` rRONT. ;,20 ft RC-Pi 2. . :37 rt,
aTORIES. . . . . . . .2 FINBSMEN' :0 f RLQUIRED __..___..._._.. _......_......_____
ft: TOTAL i7 Z.,0 f SMOKE DETCCTORCI. .'� s
LOOR LOAD. . . . . +0 PSf VALUE. . . . . 118Z.,I t PARKING "'410ES. . s 1.
lem.,xr-ks .: PATH I 1
r ^ 07 t��1C'VrLOW PPr"VNTRS. . : i
3I NI..
ir..,. . . . . . . . . . 1 rl_CtCJr D RA I hl . . . .
_AVAT0RIES. . . . . s3 WATER HEATE.RS. . . : 1 TRAPS. . . . . . . . . . . . . . :0
ruS/SI'r)WERS. . . . :;'.: LAUNDPY T?AYS. . . .0 CATCH BASINS. . . . . . . :��+ ,
WATER CLOSETS. . : SEWER LINE (ft ) - :0 GRE"FTSE TRf�-'S. . . . . . . :0 �
�IS14141 11'1r.'.P. . . ., : 1. WnTrr I_.ThJC (ft ' . : 100 (STI-!C'R rIXTURra. . . . . : z1
;FiRE3AC:;Ei 1)T51='. . . : i RAiN DRAIN (ft ) . :0
j
wA7.1I, MACI: 1. . . : 1 Sr- RCiIN Jrf�IPJ5. . : 1
__.. MCCId01,41 C17t_ _......_____. ._._ .. .__. _..... EES _.._ .._ __..._._...... ._
J r
Ur'i.. 1 UNIT 14TRC;. . :0 tyG:,r AmoIjrt� Fay dite r•ecpt
/CCacii / / VENT£3 . . . . . :0 SWM $ 1130. 0 Q E3 05/18/95 _.
MAX YNPU,-:O CTL) VENT F("rN . . :4 ,:;1,11 1 $ -
1a ij1. 0121 L1 051,110/0:5
ruRN ti 10OR . . : i HOODF>. . . . . . : i BPRT 1; 480. 50 A 05/10/95
r. :0 I?4PLC t 1;='. 33 JD 03/I0P)5
7LOOR rURN. . . . :0 CLO DRYER':. a i BISPC; t 24. 0.3 11 05/18/95
CaTi ICR UN:T1' : '' l nRK a13e�0. 00 r', 1315 11 1 3 1"3".; 9
I CCAS OLJ'TLCT';: 1 MPRT t 43. 50 D 05/18/95
_..Mr't..C: $ 1.1?, 16 13 0 13/ 5- ..
DON MORI GGETTC M:SPIC $ 18 D 05/16/95
"5000 ;.,W MLADOWS rlu' ;r11"I! l ': ' ,. 00 3 01.r/113/"3 3
SITE 131 F17-jr-T, t 11. w5, B OS/18/9",
'...AIME r''"'(lrr O OR 97035 ERm, s 611, 00 B 075i 18/95
Phone tk: 620--7538 El�iPc `t ,::17..1. 30 B O'S/18/9
rrPr I ,..fl. it0 P I?S/ 111! '3J +
DON MOR16SE:.TTE. HOMES
5000 SW mr_nrjQWr3 RIS
SUITE 151
�.
LAKE 0 WEGO OR ')7035
Phone #. 620_.7", 8 F
t 1117:;. ,77 T'OTOL
Tl,is [Melt is issued subject to the regulations contained in the —_- -- REQUIRED IN:iF''ECTIONS _._._ . ...... 7
Tigard Municipal Ccde, State of Ore. llpecialty Codes and all other root ii7rt Itisp Pl_.m}-) Top OL1t
applicable laks. All wore n111 hp :'rna in accordance with approved Fo,_iriciatt i o n T n s p rra m i ri g I n s F-'
p34419. This pet-sit will r i, vi , itarted within. 130 Pont:/Spasm Struct Fir,epl.Ac:e InSP
') days of issuance, or if work .ed for sore Po,.J /Seam Mec-h,4;i Geis Lirie Inr,V,
rr-awI Dv'a+in In:, _1,ktinn Irisp
Y
P4,1 14 fi i� S,i L{�l.�fs1 1 nl i',I''r ll T. I sl 1J 11'.s p y 1; I�q cl t" i T r1 A
� p I, �,..; . .t'lori- f2ain cir•«aitt Insp
117sra t'.k,':,,,. L..i.n+� 1tixFa
for it)SPVstiorl
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4-WER CONNECTION I
CITY OF TIGARD ,eRr�1iM I PERMIT'T �. . . , . . . : r wR9� �
� � .� al��r
COMMUNITY DEVELOPMENT DEPARTMENT DATC ISSUED: 05/10/95
13125 BW Hall Blvd.Tigard,Orpon 97223.8199 (503)839-4171 PP
,a I TC r��L�i,r,c.,�v. . . 13�iU �ilv i...I I�1..
`' DP'ARCE'L: 2a104A:a�-0f3p00 (.
t
SUSDIVISION. . . . : CASTLE HILL #0' 7.ONIPJG: R-25 F'D
L;COCl:. . . . . . . . . . . LOT. . . . . . . . . . . . . . I E.a
1 7ENANT�NAI+1E. . . ..y. s�.__.. __.._._._..,...—_.__.,__.,,__..__.__..___._.... _...._......w..____..___»....__.. _..._ .........__.____-_---__._....
USA NO. . . . . . . . . . e FIXTURE UNIT:4 . . ;
1 `.CLASS (IF WORK. . . :NEW DWELLING L11%,11 T rS. . : 1 �
I ryPE OF USE.. . . . . ASF NF1. OFA 0 I LD I NG,S7;: 1
`NSTni.-L. TYPE'— ,. . . :BLISWR imPERV rurrnm . :o , %f
f?emav-k i : F•'AT'I1 I
a —.»._._._.._.__...._.__...� ...»..._.._ ..._. .__._.»._......_....._.._.... FEES 't
DON' t,1011I.SSETTr. tYl;5e 3leaa.irtt; by tiat;e menet
30210 JW MEADOWS RI: PRMT $ r20. fi 0 D 05/118/95 --
11JITE 131 IN Sty $ 371. CIO D On/Ia/95 --
;-AKE OSWIC60 OR 97035
t�harnw it; ;,20 75.:8
' f�ontr�r-t t,t:are
j ^011T''ACTOR NOT ON F-ILE
t.__•L-"115..,00_TO'I'AL._.�....__.»__....__.___—._...
i
RCOU I RCD INSPECTIONS
- -- —_-
'his applicant agrees to comply with all the rules acrd r•egulaticm Sower- Instaer:•tian »_. ._.,.....____...._._.__.....__.
of the Lnified Sewage Agercy, The permit expires 160 days from
the date issued. The total amount paid will 6e forfeited if the
permit expires, The Agency does net guarantee the accfracy of the
Side sewer laterals, If the sewer is ooU located at the seaiurement
givers, the irstaller shall prospect 3 feet in all directions from
he distance given. If not so located, the installer shall purchase ------
d
z "Tap and Side Sewer" Permit and the Aoen�-y `rill inatall a lateral.
'et^mitt C�?iclr,0't+.�
I!s to+.t e td =
Call 'for inspprtior, 631--4175
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Residential Permit 'cationaa _
City of Tigard (
13125 SW Hall Blvd. p7 Irl*s -�+ �•r G
Tigard, OR 97223 �, f
(503) 639-4171 r s r�•� ,s '
r,�rR,►t Ks, iSFr� 9� er � �
�S f' i o
Jobsite Address: Lf%' ,f
Subdivision: 6'.l- 4U L 1.4 I
x� Lot# Office Use Only
Valuation: _/l�' .11� .
Planck/Rec#
-� Permit# ),), 5t q ) l ) I ,
Corner Lot? Y N
Flag Lot? Y N Reissue of
Map &TL# n xr, I61(11A -0 -iS` '`n
Owner. Dot J Moe-1 erose F •440HL-n. I NX Aporovals Required: a
Address: 1- ( Planning
l..iprK9 05NSZ (:x clX035 Engineering
Phone: Other E
" Contractor.
Items Required
Address:
t Subcontractors
Truss Details #
Phone: Other
Contractors License # V X95
(attach copy of current Oregon license)
Contact Name & Phone:
Subcontractors: Architect/Engineer:�Tl�y
Plumbing:t)kbEF 1 PrKE2.b i:�.UM B I N Ca Address:6QQD 4 l�1�rt" v►15 S-I • 15 I
Mechanical:-XI t'_�UPJ''�-I "1$1 t�•�i,,,lI�5 �...f�c1(,E (�
(attach copy of current OR Contractor's License) ' r
Phone: UcDO - -+5 3 G
JOB DESCI T10 _
Applicant Si nature & MuNikknumber
Received by: - Date Received:
WMR0IC0M0EVWE5"P
OW'I .. ..
'R �i♦+,i r•" 1. "V� -
.��U'
Permit* Account Description Amount Amt. Pd. Bal. Due
57'� 0 Bldg. Permit (BUILD) �� �� V��'�' u ✓ '
l � 2i 2Z�..f'✓.
Plumb. Permit (PLUMB)
Mech. Permit (MECH) 3• ,ti U �'�� ✓
State Tax (TAX) 1,� L •w'�.
Bldg: ,, a
Plumb:
Mech:
--�crZ�,Qt' •
Plan Check (PLANCK) 131 7 3 2
Bldg: Z, 3
Plumb:
Mach:
J Sewer Connection (SWUSA) 22 a :2 2 &0
Sewer inspection (SWINSP) ? �' 3 ) ✓
Parks Dev Charges (PKSDC) -5 _S
Storm Drainage Chg (SDSDC) -
� Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
I l,l Commercial T1F (TIF-C)
VV Industrial TIF IF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
( Water Quality (WQUAL) r f r"U
Water Quantity (WQUANT)
i 1
Fire District (FIRE)
Erosion Cnbi Permit (ERPRMT) �
t3>rlflt
Erosion Planck/USA (ERPLAN) �.b'1' ev
Erosion Planck/COT (EROSN) _- , ell
TOTALS: A1130, Z • C � /
-,•�',�i�ij�i•. • j i.•i:. 'ii11y p:.•�' 'i.I�I t � •iii. s �••.•1' 'iii. }�.++ •..ii i� .i:'.
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• !!;�;•. ,;i d�r t'{��};, �1=.� j S=t,{��1,•. i •!'t l.1ft,+. .,° � ��fs� !,t-' gild 1 ,;;••,S!�,f;•. ';ti:�,•..�;: f
�.t.:' .�,., _ ;=��1'ftt 1','it����r, ' �Z�f':i:;t:'S��:f;.,'•' �.;•�! �'t�9:t;��t 'i!#�! ���''��a%ft' iF �F;;S:S;S��1,' ,i��:. '°i'
T'.
C,-edit No: s
Date Issued: 1 s
TRAFFIC IMPACT Fr:.E
�•~ CREDIT VOUCHER �
:frf-% In accordance with the i raf,rc Impact Fee Ordinance, tilatrix Development Corporation
is entitled to _
$1,550 in i raffi., Impact,-,.Qs Credits that can be applied to TIF charges
on lot(s) 63-131 of the Castle Hill No. 2 Devalc ment. i ne use of TIF -%
p credits
:•' '„ are subject to the rules and limitations of the 71F Ordinance. WARNING:
ttit This voucher must be presented at the tim„e of issuance of the 3uilding Psrmr't, or if deferral
was granted issuance of an Occupancy Permit.
MAT,•;IX PEVELCFMEiVT CORPORA i ICN hereby assigns ali its right, °
title and interest in and to that carlain Trak Impact Fee Credit to be ranted
g
•�.i;ti� upon the Issuance of a building permit for Lot 12 3
r” CASTLE HILL NO. 2 subdivision, Washington County, Oregc,7, to the ordarh.
c
's s DON MORISSETTE HOMES, INC.
z .�
r:;•r'�j11 5000 S.W. MEADOWS ROAD s•
'! SUITE 151
LAKE OSWEGO, OR 97035
This assn ,^mart of Tra"'c Impact Fs - de and given this /
� s C,adit is r,a
r day of 1995.
t'rt•s
VA DEVELOFMENT CORPORATION,a. egon Corporation
M
Til a or Position
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' 6000 S.W.Meadows Rd.,Ste. 161
Lake Oswego,OR 87036 i
Phone:(503)620-7638 I
FAX:(50W 620-7486
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Q- F.F.e 7.151
PAT ro .
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> ,Ig�''ZF 'u'etiff"�Ft �4.1` •5it$6dN'fen..ar.+«..:ue.wu... _ 40
l 4 ;
CITY OF T I CARD - REe(-F I F''T OF P(A MENT RFCF I P1 NO. :95—P65636
`
CHECK AMOUNT a 39ao. 07 r
LASH AMOUNT 0. 00
,IN �
ANE a DON MORIf35FTTE HOMES. INCINCPAYMENT DATE G 05/18/95 t.
1�FiDDRESS a RD 5TE 1 ,UnDI VISION
5000 SW MEADOWS °;�,1. E
LAKE OSWEC:O OR 970:35 - �
i l'-URFOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
BUILOING GERM M91-95--0131 480. 50 Pt..IJMBINf3—► LRM37
— .
,MECHANICAL PE. 43. 50 ST. F%1.1 I LD PER
37. 4h6
t II
11--11.(4N CHECK FE 7;'t., 21 SEWER USA SW119 3-0124 1:200. 00 1
I1
E_WE R INSPECT AN PARKS SDC: 500. N1.1 n
H20 DUAL.T TY FACILITY FEE 180. 00 H2O QUANT I TY f"AC:I L I TY FEE 100. 00 �
f ROSTON C*GNTROI..,. RErRMI"TFF-E 64. 1710 EROSION CONTROL PIJIN CK PO. 80
j1[7 ROS T ON CONTROL 20. 90
I
l � �
1 I ,3a39 SW LIDEN DR
,I,ASTLE HILL #2 LOT 103
t
VOTAL AMOUNT PAID - - -y .3980. 27 q
1 �
CITY TIGARE► RE"C;F.TT1T I]!:' r-,0YME=NT FNJ:i :00- NO. :9`.5-R6 '763
Y C,1117CK AMOUNT 00
NAME a DON MORISSC=TTF. (;flr'il-1 0MOUN'T a 0. 00
��1D1JfiEr85 a 5000 11W Mt-,nV0W5 RD P0YMF..NT IDATF" a 03/10/115
!3I.ITrE Vit fa+.IFtJ)IVISTr7N ,
LAKE OSWEGO OR 9 7035--
I_KI.JRPOf:'jL OF POYI1F:NT AMOUNT PAIIy Gl'ft1=OSE OF 4'f4YMt:*NT AMOUN1" PA1D
ON CHFC:K 1' E 3 -t7fRPL_ANC
Y ;TC-F LOT 1
:3839 SW E._I DE_N DR
I O T Fal.._ AMOUNT PAID
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