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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Holl Blvd.Tigard,Oregon 97223.8199 (503)839-4171
I
Y
MATRIX
MEM°
°
DEVELOPMENT
CORPORATION
CERTIFICATE OF PAYMENT
Received from
the sum of $ (check) for payment of the Traffic
Impart Fee on Lot CAST!,E HILL I .
Present this receipt to the City of Tigard at the time you
obtain a building permit.
2Ld 0- �, , 1993 M.ATRix uGVELOPMENT CORP.
17 1-4
160 S.W. Hazelfern Road
Suite 100
Tigard, Oregon 9224-7771
Phone(503)620-8080
Fax (503) 598-8900 _
CITPLNCK/R1.CT
1 �J1' 1 1V 1 ]►RD �j1PO[loi 233v'e
,• � 'r�,��,Oregon 972.2-1PERMIT �
COMM UN Il 1)KVEL0I MINT I)EI ARTMENT
(503)639-+n1 PATE ISSUED
JOB ADDRESS: l! � �i L ��P r-. 3� TAX MAP/LOT Z-Sl Ri _ i 0C
SUB: LOT: kl —T LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: --V LC1e� \o'..�r��r =r,� __-_-- REISSUE OF: _-- �_--
ADDRESS: V Q . C u 3 _ LAST REISSUE: ------ -------_--_-
C�tzc�v 1 b3' _ FLOOD PLAIN/
PHONE: ��� `1 �_3 ��, 'A�l-N-d \3 c�1 -- SENSITIVE [ANO: �- --_------- --
CONTRACTO_R APPROVALS REQUIRED
NAME: -7S M L_ ----------- PLANNING: -S.ksKC CV - 56GLLS - ►���-
ADDRESS: ��,� ��,_ ENGINEERING: _ _ �-
_ FIRE DEPT:
PHONE: OTHER: -TIF-�-2EDIT �-�T 03 -OW Z
CONTR. BOARD 0: EXP DATE:
ot. CA-3 C"?� ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: \j-,' ,j C a LIST/SUBCONTRACTORS•
MECH:--a-jc 0E0 1'� r nom-r A< IMUS TAX: --- --------- - --
ARCH ENGINEER CALCULATIONS:
NAME: X —�_ 1RUSS DETAILS:
ADDRESS: �`�1 �J v.J c�. �� �v �- , _ OTCCR:
PHONE: c-?,,-1 --
PROPOSED BLDG. USE, 1\
COMMENTS: fl , :, \ �.,. �2 2_
-5 V
APPLICANT Sl'CNA
Received By: Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUF
10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10-431 G1 Mechanical Permit Fees
10-230 01 State Building Tax (5%) x'"2 (_/
Building
Plumbing 6.6�3
Mechanical o?.0 3
LK
3
10-433 00 Plans Check Fee
Building
Plumbing
Mechanical —/ 013
/
10-230 06 Fire
,,hcjA'V-Lz33 30-202. 00 Seger Connection
30-444 00 Sewer Inspection 3 )_ 5
25-448-02 Commercial TIF Fees
25-448-04 In6ustri; TIF Fees _r_
25-448-06 Institutional 1TF Fees
2.5-448-03 Office TIF Fees
25-446- 91 Residential Traffic Fees
2.5-448--05 Ma.-s Transit TIF Fees
52-449 00 Parks System Dev Charge (POC)
31-450 00 Storm Drainage Syst Dev Chrg
24-445-01 Water Quality (Fee in lieu of)
2.4-445-02 Water Quantity (Fee in lieu of)
TOTAL _ .
nm/3587.0.WPI
�NSPBCT�ON NOTICE
City of Tigard Building Department
13125 B11 Bell Blvd. Tigard. Oregon 97223
Inspection Line (Rec-o-Phone)s 639-4175 Buei.rees 1'hono: 639-4171
Inspections
Tooting Plbq
Underelab Mech. Rough-in Appr/Hdwlk
Frnrnd. g•
PlbTop Out Gas Line ■Ilms
--�
Post/Beam etruct. San. Sewati
framing CS: d1H 9
Post/Beam Mech. Rails Drain
Insulation -Plumb•
Plbg. Underfloor / water Line GYP• Rd. %
PM
Timel
Date Regrseeted:--�-_ _` ` /
Permit is���
Addresss� �
THE FOLLOWING CORRECTIOMS ARM REQUIRED:
_ Dates
)iPPROVED - --- DISAPPROVED !� APPR(VED SUR.7Ec T To ADOVE
Call For Reir::
CITY BARD CIE RTIFICATL OF
-T L OF
Cy
COMMUNIT DEVELOPMENT DEPARTMENT OCCUPANCY
"T,4 7
13125 SW Hall Blvd.Tigard,Oregon 97223.6199 (503)639.4171 PE13M I T #. . . . . . . : MST93--OiLi
. 1 ' : DATE I,-:3sUEDg 09/0e/93
SITE ADDRF-G. 14048 SW LIDE1\1 DR PARCEL: '-`S3104KA--0410@
SUBDIVISION. . CASTLE H I LL
BLOCK. . . . . , . . . . LOT. . . . . . . . . . . . . ZON.INC,
CLASG OF' WORK. :NEW
TYPE (IF USE. . . ISF
UCCIJPANCY ORF'. :R3
nf-CUPANCY LOOD- 119 4
1 LNAN T NAMU.. . . "
Rematk� - PATH I
L.. CON3TRUCT*ION INC
r. o. BOX 1633
t04145 3W CANYON RD
BEAVLRTON OR 0707!51633
►`hclnk! #- 641 -4426
1- 1- DEVELOPMENT INC'
P. O. BOX t633
CANYON RD SUITt'." 101
nEAVLRTON OR 97075--1633
I-1hone #1 641 -442'.6
1?cq #- , J! 581P.6
()':'cLlParlcY Of the above rei'erenc-ed bUil-ding 'i 's hereby given, and cert: jfie�,
V
1;hP complianre witf-I the S'8t" Of' Or SpeciAlty Codes for the group,
r)C'c1APa11cY, and use ondei, which the ref'erenced per-mit was issl.lecl.
FIRE' DPPARTMEN'T .......
BUT NG INSP : OR
POST IN CON Sr.',ICU(JUS vq Ar.,E
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171