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8537 SW LUCILLE COURT � +w� :rT^' rsq;':�1�4r�� �r�� �i!;Li �'� I�.�'�� ,u iz^ '�P W•��,�� ��91Y�'� � fz€�'�°� '�� ��� q"'..�'^ A 'W �`i�"�** 'l +^��"" ��.'t, d' �Y J � •Y 6, *4 z h k ' t - 1 i A �. �..».. ,..,, e ,,.», ...,...... . .:.... . ... .,. :.l,G�r1MRh�t.'M':t►.+M'.�4141f''f'� P3'n.... - .,... � _� --- -- CERTIFICATE OF" 'CITY OF TIGARD OCCUPANCY COMMUNITY DEVELOPMENT DEPART %N F'E.f'F- I S , » » . . . ; 2/93, -Q�b�� A UF''1�E ISSEJEDt �E1i'1c3/9;?, 13125 SW Hell Blvd.Tigard,Oregon 97223.849' (503) 'i- 171 PARCEL: i 3 l 35DA I_UI 04 5I TE ADDRESS. » a 086.:x`' 3W L.UC I LLE: CT SUBD ISION BLOC '. . . . . . . . . t l_UC,ILL.E. 7_(7NIrJC�t____._.____,_ .. ._...___�._. OF WORK. t NE. W � TYPE OF USE. . . 15F (1C(:;UC'-f4lNr', URP. ;R3 i (:1CCUL)OW Y LOAD t 222 4 � I ENWNT NAME'. » » n i Rema;<rkst PATH 8 a I i HLAND HOMES i 834 SW 58141 C'ORTLI)ND OR 9722.1 i'hone #t 292-3975 Contractors 6 �AORTHLAND HOMES I !834 SW 58TH 0014TLr' ND OR 97221 Phone iE: Z92-3975 Ileo it., , % 13727 OCCcUp?1nCy of the above referenced building ,.s hereby Wiven, and certifie% T.-hp compliance with the State Of Oregon S PRCia.lty Cudes for the group, occupanr.y, And u so under which the reforenc~ed permit was istst.t�rd» FIREr DE:F"ARTMFN'i I.,D,[NG I1_,�SEC TOR I w...� BUIL.IIINV 01- F IAL Pu-"'r IN CONSPICUOUS PL_Al2 INSP ON NOTICE Cityr of Tigard ilding DcpartsEnt 1312 /Bid hall .�l.�d. Tigard, Oregon 97223 /MCI Inspection Line Re h e�. 39-4175 Business Phone: 639-4171 i Inspection: i Fcotiny P1 Underela11, Mech. Rough-in Appr/.'dwlk Fi:und. (P�bgTopxt Gas Line FINAL: Poet/Beam Struct. Sar: `-9cfwer Framing -RIdg. ' .� Poe:/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Date Requested: _� r _-_TAme: �—_A!. -- PM a:, k R r Address: y ���_/ �� Permit. f: _ a Builder: t THE FOLLOWING CORRECTIONS FRE REQUIRED: _ IV - '4'01�lv kn m00% ;mowc/� r A ele� 10 i. ' 6`�(�h S.��c�i � -- �99y�'�/�y�:y I�'.eEss�•.�2Cc_ AcA.- f Inspectors Date: APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE 1_ 11 For Reinsp. l Y t'� I' MUECTION NOTICE City of Yigar.1 (Building Department 13125 B11 Hall B,vd. Tigard, oregois 97223 inapaction Line (Rec-O-•Phone): 639-4175 Busin,lus Phone: 639-4171 1 Inspection:__------ ' rooting plbg. Underelah Hach. Rough-in Appr./Sdwlk . round. P .bg. Top Out Gas Lina FINALt Post/Beam Struck. San. Sewer Framing -Z?.4q• Post/Beam Rech. Rain Drain Insulation i=p1 > Plbg. Underfloor Water Line Gyp. Bd. -dech. Data Requesteds — Tba9 -- — S r Builders THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector _— Data _ APPROVZD DISAPPROVEDAPPROVED SUBJECT TO _—Call For Reinsp. tic.ueW u�i':s:.n F3JG':1...�.�.": .,:.'IJ....::.•y.r. ,.e. .. 4 1 o tiI L :.dr INSPECTION NOTICE City of Tigard Building Departvw nt- 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Footin9 Plbg. Ur:dersia1- Mech. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gnu Line FINA.,: ' Poet/Beam Struct. San. Sewer Framing -Bldg. . Poet/Beam Mech. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mech. _qTime: _I • Date Requent:r,::_ —�— AM L� r Addroee:_ S � w � T �L— Permtt is Buildar: ---- � Tti/t FOLLOWING CORRFr TI('NS ARE REQMXD: 17 (2 DEP k1 Inepector:_`� ' _ •�I Date:- r�-- APPROVED DISAPPROVED V APPROVED SUBJECT TO ABOVE —Call Fox- Reinap. j »..:..+..swnYswxww++rrw,yarn..wr»«�.+�w..,.,..,.,.h.vn.�-,..wn.,..,.,...w..,.,...»,...o..,...�.,.......�.....,........ -....,..�,.. p, f i 7: ' �NSPECTIO}( NOTICE City or Tigard Building, DepartwOnt 13125 811 Ball Blvd. Tigard, Oregon 97223- ' Inspection Line (Rec-O-Phones 639-4175 Business rh �171 Inspection: -- Footing Plbg. Underslab Hoch. Bough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINALi Poet/Beare Struct. San. Sewer Framing -Bldg. Past/Beam Nech. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line /rL Oyp. sd• -Hach. Date ^aquesteds ) L, -� Uses __1iM // PH Addressr ,/ ( ` VezuLt #t I.`� �L��- ■ Builder: _ .! TBE FOLLOWING CORRXCTIONS ARE REQUIRED* Inspectors Dater _ A., APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call Fox Reinsp. i I}'EyR1 l�tiAk',+WU1k1dY��%a>M3a�rru�,nim:rnvar.,vw,e;:+ID;rwri.ew•�.:d,• a Jr��; rr x'ar•�-k"f�iS.�wF^x �� , ah y �h f , Y MI SPE MON N(YfkC_E City or Tigard Building Departs m 13125 sew Ball Blvd. Tigard, Oregon 3.12, ,v_. -111, Inspection Line IROC-o-Phone)s 639-4175 Business Phbniel 639-4171 I napect ion _—� ----�_-- ---- -- rooting plbg. Undersla , Hoch. Rough-in Appr/Sdwlk I Found. Plbg. Top Out Gas Line FINALS Post/seam Struct. Sar,. Sewer Framing -Bldg. � 9,ost/Beam Hoch. Rain Drain Insulation -Plumb. Plbg. Undarrlooz Nater Lined Gyp. ed� -Mach. Data Reguesteds ee Time: / AM _PM Address: -7 s�S� / �G� 1.�Permit 1{s ��t' _ //��� LBuilder: — — THE FOLLOWING CORRECTIONS ARE REQUIRED: f�G�yi LIZ- -70,L• Inspector: _ Date: APPROVED DISAPPROVE APPROVED SUBJECT TO ABOVE all For Reinop. ✓' h A �1 " 4 r N ECPION NUTSIp� 1 ' city or Tigard Building Depart--- 13125 Alf Bell Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171 4 x j Inspection: Footing Plbg. Underelab Neah. Rough-in Nppr/SdwIP. 5'� I I,7 Pound. Plbg. Top Out Gas Line FINAL- San. Post/Beam Struct. sewer praminq -Bldg. Ipost/[team Mach. Rain Drain Insulatlon -Plumb. Plbg. Underfloor Nater Line gyp. Bd.Y -Mach. Date Requested s Times AN PN Addrowal 5 3 J CCZ permit 1. OJ r , Builder:— TEE FOLLOWING CORRECTIONS ARE RXgJIRED: y � I ..sky-:Ml`IY�{. Y. I r 1 , r .r ,�S�I�.`•5;is '` Inspectors Datet_ "APPROVED _-- DISAPPROVED APPROVED SUBJ16CT' TO ABOYN Call For Reinap. 1 FSPECTION NOTICE City of Tigard Building Departamtt 13125 8w Hail Blvd. Tigard, Oregon 97221 / Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 S ,r Inspections _� - ---- �1` f �F`✓1x` � ' :1 Tooting Plbg. Underelab Mc,Ch Rough-in Appr/Sdwlk round. Plbq. Top Out Gas L � rINALt Post/Beam Struct. San. Sewer i' 1, ramie -Bldg. Post/Beam Mech. Rain Drain `�'Iulation -Plumb. Plbq. Underfloor Mater Lina Gyp. Bd. -Mech. or Date Requested: / 7 `� -1 �Tlmat JLAN _ PN Addr+sa: �� /-7 Permit 1 t �T7 Builder: �, -? THE FOLLOWING CORRECTIONS ARE REQUIRED: ly' ' i 1 x qq �� w"S. Inspector:_��`_v--- — _APPROVED _^ DIfSAPPROVED _- APPROVRD SUBJRCT TO ABOVE ___Call Por Relnsp. f ..7e11 !nw"w'"„".........,:..........•, .......»«.....:,�m,���w.,wwaa�ernx,r+a�+wmvvs au�ci np+wrtr.jNytrW�r•. L d TNS ?E ION NOTICE city of Tigard Building Department 1312S aw Ball Blvc1. Tigard, Oregon 97223 Inspection Lina (Roc-O-Phone): 639-4175 Business Phone: 639-•4171 1 Inspections Footing P1by. Underelab i Meeh. Rough-in) Appr/Sdwlk Found. Plbq. Tcp Out Gas Line PINAL: Post/Beam Struct. San. Sewer. Framing -Bldg. Post/Beam Aech. Rain Drain Insulation -2lumb. Plbg. Underfloor Nater bine Gyp. Bd. -Koch. Date Request ds _ Times ' AM ! PM Addroees 5)3 c t/ Permit 1�,�-3-L�n✓ TBi I,ONINO ODRRECT OMX AR1 RNQOIR;Cs Z s( S - .� C7 d - OCC n li S_ Gcf ap 7- Inspectors Inspectors Date: APPROVED OTSAPPRO APPROVED SUBJECT To ABOVE -__Call For Rei.nsp. : �J ..................... ................................. INSP$CTIOH NONCE - city of Tigard Building Department 13125 B!1 Ball Blvd. Tigard, Oregon 97223 Inns-Ction Line (Rec-.'i-Phone): 639•-4175 Business Phone: 639-4171 f Iuspection:__4_ __ I Footi"g Plbq. Underslab Hoch. Rough-in Appr/Sdwlk Found. � out Gas Line FINAL: • Post/Beam Struct. Han. Bower Framing -Bldg. Post/Beam Hoch_ Rain Drain Insulation -Ply, Plbg. Underfloor Water Lille Gyp. Bd. -Hoch. Date Requestedt�O _ Tiller _PH Address: S:�� a Pex Lt �l "Jd 5 O Builder:---- THE uilder:_— THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector _.-- -- //� -- ------ _ Date: __ O APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. 4. __1 IM MOT LON NQ110E City o! Tigard Building DEpartment Ina X125 RW Bull Blvd. Tigard, Oragoo 97223 pection Lina (Rec-4.). 639_4175 Ausinpas Phone. 639-4171 Inapactl.ons Footing Pound. Plbg. Underslab Mech. Rough-i , Appr/Sdwlk Plbg. Top Out One Line PINALa Poet/Beam Struct. San. Saner. Framing -Bldg. Post/Ream Mech. Rain Drain _ ' Insulation -Plumb. Plbg. Under. loo, Mater L1 . GYP• Bd. -Mach. Data Requent:edt � Timet AN 2M Addreaat •Permit Bw ier s ■ TRE FOLLOWING ODk"CTIONS ARE "QUIRED: _--�-—�- —_'-`--"_ -----------_ Dates -----APPROVED DISAPPROVED APPRtVED SUBJECT TO ABOVE Call For Rainsp. TICE INSPECTION-N Citi of Tigard Building DepBrbermt 3-3125 Sw Ba11 Blvd. Tigard, Ormgon 97223 Inspectio Line (Rec-o-Phone): 639-4175 Business Phone: 9-4171 Inspec-ionx_ - ---- —-- looting Plbg. Underalab Mech. Rough-in Appr/Sdwlk - t Found. Plbg. Trip Out Gas Line FINAL: st/Beam Btruct. San. Sewer Framing -Bldg. -Mach.- Rain Drain Insulation -Plumb. Mg. Underfloor Water Line Gyp. Bd. -Mech. Date Requested: Timex AMPM . x1 ; Address s k6_3 7 P.—It Builders THE FOLLOWING CORRECTIONS ARE REQUIRBDt (/,/j Le- er A Inspector: Dater �c APPROVED -� DI8AP9ROVE0 v APPROVED SUBJECT TO ABOVR Call For Reinsp. Y rO F TIGARD EGON March 22, 1993 Northland Homes 10211 SW Barbur Blvd. , Roam 202 eortland, OR 97217 Re: Lucille Subdivision This letter is to confirm previous conversations with the building ' inspector from the City of Tigard, with Larry, field representative from Northland Homes. The following are minimum requirements due to the type of soil conditions found on-site, and the way construction method, are being employed installing utilities, streets, etc. , at the same time that footings are being constructed, which is resulting in a large amount of undesirable soils, rock, etc. being moved and deposited ra!-idomly on the job site. • All lote are required to be te:-ted by an independent test lab showing soils will meet minimum standards (UBC 1 & 2 family Code. Also, footings already poured on Lot #1 appear to be substandard with poor consolidation of concrete; poured without proper forming, etc. This footing will also need to be tested to meet minimum standards of 3,000 psi. Tom Pl.escher Building Inspector br/NarthesM.ltr w F �i INSPECTION NOTICE City of Tigard Building Department 13125 SM Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: �_�--------- ~I plbg. Underelab Mach. Rough-in Appr/Sdwl.k `Foote I Plbg. Top Out Gas bine FINALc ' Found. Poet/Beam &tract. San. Sewer Framing -Bldg. i Poet/Beam Mach. Rain Drain Ineu'.ation -Plumb. .9d. -Mech. Plbg. Underfloor Water Li Gyp.Line Time: � . AN PM l Date Requested: permit i:�J_ Addraee: --:f Builder:Builder: THE FOLLOWING CORRECTIONS ARE REQUIRED: i _ Date:�_� jS inspect r: -- APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE call. For Reinsp. ....,,ar. °,xx;x"rwn,4a�sm.wxmur.,...m.r,..+......+.............__.......... r CITYOFT167ARDPLUMBING PERMIT � OOMMUNiTY DEVELOPMENT DEPARTMENT «rwox PERMIT #. . . . . . . : hlST93-0050 � 13125 BW FWD Bbd. P.O.Box 23397,Tfpud,Capon 97223(SM)&49.4176 1 - - r •r Sl Z E ADDRESS. . . : 08537 SW L UC I LLE CT PARCEL: 1 S 135DD--LUC04 1 SUBDIVISION. . . . : LULILLE ZONING: CLASS OF WORK. . :NEW GARBAGE_ DISPOSALS. . : 1 TYPE OF USE. . . . :Sf WASHING MACH. . . . . . . : 1 BACKFLOW PREVNTH5. . :0 OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAPS. . . . . . . . . . . . . . .0 STORIES. . . . . . . . :2_ WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . :0 FIXTURES----- -__..__.____. LAUNDRY TRAYS. . . . . . :0 SF RAIN DRAINS. . . . . : l ■ SINKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0 LAVATORIES. . . . . :2 OTHER FIXTURES. . . . . :0 TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . :0 WATER CLOSETS. . :2 WATER LINE (ft ) . . . . : 100 e DISHWASHERS. . . . : 1 RAIN DRAIN (ft ) . . . . :0 Remarks : PATH 8 OWNER: --------------------------------- ------------------- NORTHLAND HOMES 'T'IF s 1460. 00 JH 02/L0/93 - 1834 SW 581-H BPRT $ 307. 00 JIA 02/10/93 - k BPLC $ 199. 55 JLH 08/26/92 PORTLAND OR 97221 B5PC $ 15. 35 JH 02110/93 _ Phone #: 292-3915 SSDC $ 280. 00 JH 02/10/93 - p'ARK $ 500. 00 JH 02/10/93 - i Plumbing hIP'RT $ 40. 50 JH 02/10/93 - fi HPLC $ 10. 13 JH 02/10/93 - } Name : . T- t h15PC $ 2. 03 JH 02/10/93 - Address ,— _ ' PPRT $ 110. 00 JH 02/10/93 - City ; v __ _State :� _ P5PC $ 5. 50 JH 02/10/9:3 Lip:..�cZ iZ �F'hione#: .� �,�G :9- R e g ZReg #:. _�1. ` _ �y1- rt7 i REQUIRED INSPECT IONS this permit is issued subject to the req-- ulations contained in the 'Tigard Municipal Foot/found Insp Rain drain Insp Code, State of Ore. Specialty Codes and all Post/Beam Struct Water Line Insp other applicable laws. All work will be done Post/Beam Mer_han Apf:rr/Sdwlk Insp in accordance with approved plans. This Plm/ands:lab Insp Mechanical Final j permit will expire if work is not started PLM/Underfloor Plumb Final within 180 days of issuance, or if work is Mechanical Insp Building Final suspended for more than 180 days. Plumb Top Out Erosion Control Framing Insp Crawl Drain Fireplace Insp Gas Line Insp Insulation Insp _ Gyp B o rd Insp horized PlLmbin Contractor Signature Call for inspection - 639-4175 Lontractor IVotes : t CITY OF TIFA RD rcm4nakll) MASTER PERMIT COMMUNffY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MST93--0050 13126 SW Hidl BW P.O.Box 23397,TOM,OrMgDn 97223(SM)6394176 SITE ADDRESS. . . : 08537 SW LUCILLE. CT FIARGEL- 15135DD-LUC04 SUBDIVISION. . . . : LUCILLE ZONING: BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :4 BUILDING REISSUE: DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 sf CLASS OF WORK. .14EW BEDRMS;3 BA THS:2 GARAGE. . . . . . . . . . 1324 sf T'YPE OF USE. . . :SF FLOOR AREAS------------ REQUIRED SETBACKS--------------- TYPE OF CONST. i5N F I RST. . . . :5&:5 5 f LEFT. . :5 ft RIGHT. .5 ft OCCUPANCY GRP. :F'3 SECOND. . . :592 sf FRONT. :20 ft REAR. . .- 15 ft STORIES. . . . . . . 12 THIRD. . . . :0 sf REQUIRED---------------------- HEIGHT HEIGHT. . . . . . . . :22 ft TOTAL------: .1118 sf SMOKE DETECTORS. .-Y FLOOR LOAD. . . . :40 psf VALUE. . . . 57260 PARKING SPACES. . : l Remarl.(s : VIATH 8 ------------------- PLUMB 1 14B ------------------------------------------- SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BACKFLOW PREVNTRS. . :0 LAVATORIES. . . . . :2 WATER HEATERS. . . : 1 TRAI**,S. . . . . . . . . . . . . . :0 ruB/SHOWERS. . . . : 1 LAUNDRY TRAYS. . . :0 CATCH BASING. . . . . . . so WATER CLOSETS. . :2 SEWER LINE (ft ) . :0 GREASE TRAPS. . . . . . . to DISHWASHERS. . . . : 1 WAIER LINE (ft ) . : 100 url-ir-13 F'I XTURES. . . 0 GARBAGE DISP. . . : 1 RAIN DRAIN (ft) . so WASHING MACH. . . : 1 SF RAIN DRAING. . : 1 --------------- MECHANICAL --------------------------------- FEES FUEL TYPES---------- UNIT H,rRS. . :0 type amount by date Ileept /GAS/ VENTS . . . . . :0 TIF $ 1460. 10 JH 02/10/93 MAX INPUT:0 STU VENT FANS. . :3 BPRT $ 307. 00 JI-A 02/10/93 FURN ( I OOK — : 1 HOODS. . . . . . : 1 BPLC $ 199. 55 JLH 08/26/92 TURN ) =-100K . . :0 WOODSTOVES. :0 B5PC $ 15. 35 JH 02/10/93 FLOOR FURN. . . . :0 CLO DRYERS. : I SSDC $ 280. 00 JH 02/10/93 Boll _/CMP < Xlp:o OTHER UNITSsl PARK $ 500. 00 JH 02/10/9- GAS OUTLETSsl MV,RT $ 41:1. 50 JH 02/10/93j Owners $ .10. 1.3 JH 912/10/93 NORTHLAND HOMES ly13pc $ 2. 03 JH 02/10/93 1834 SW 58TH PP RT $ .1 14.x. 00 JH 02/10/93 PORTLAND OR 97221 P15PC $ 5. 50 JH 02/10/9.3 Phone #: 292--3975 Contractors --------------------------------- NORTHLAND HOMES 1834 SW 58TH PORTLAND OR 972, l Pf-ione #: 292-3975 Reg #. . : 13727 ------------ $ 2930. 06 TOTAL This permit is issued subject to the regulations contained in the ------- REQUIRED INSPECTIONS Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/fottrid Insp Fireplace Insp applicable laws. All work will be done in accordance with approved Post/Beam Struct Gas Line Insp plans, This permit will expire if work is not started within 180 Post/Beam Me&ian InSUlation Insp days of is trance, or if work is sus for more han 188 d (_-'IM/L(T)dSlab Insp Gyp Board Insp Plermittee P'Llyl/Underf I oor Rain drain Insp ►j Insp at r in irm !rum a h g n f cal I Issued By: Op OL(V 4P7/SbWlr ns Fraining Insp Mechanir-al Final Call 1-or inspection 639-4175 _J �l CITYOFTIFARD COMMUNrrY DEVELOPMENT DEPARTMENT � Prvr7Mlr ooN SrrW�R CONNECTION 13125 8W Hell Blvd P.O.Baa 23307,TOW,Oregon 07223 016394175 PERMIT Il. . . . . . . : SWR 9 ;--Ali k'14 6 6;`x9 .41 71 DATE ISSUED: 1 SITE ADDRESS. . . : 08537 bW LUC:I LLE CT PORCE:I_: i S 1;3�j.UD—LUCO/i SUBDIVESION. . . . . LUCILLE= ZONING: I BLOCK. . . . . . . . . . . LO[.. . . . . . . . . . . . . :4 TENANT NAME. . . . . : USA IVU. . . . . . . . . . : FIXTURE UNITS. . . : CLASS (IF WORI',. . . :NEW DWELLING UNITS. . : 1 TYF^E OF USE. . . . . :SF NO. OF BUILDINGS: 1 ■ INSTALL TYPE. . . . :BUSWR I14PERV SURFACE. . : : sf Remarks: PATH 8 ■ Owner: ---____.__._________.._.____.__.___________._________._.____..____..______ FEEDS ----- NORTHLAND HOMES type amount by date recpt"-- 1834 SW 58TH PRMT $ c'100. CAO JH @2/10/93 — PORTLAND OR 974=21 INSP $ 35. 00 JI-1 1112/121/93 — K=^hone #-: 292-3975 CONTRACTOR NOT ON FILE I1Irc)rre it: Rey *1. 1:35. QnZr�TCITAL.— . . ------- REQUIRED INSPECTIONS --- This Applicant agrees to comply with all the rules and regulations Sewer" Inspection of the Unified Sewage Agency. The permit expires 180 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 side sewer, laterals. If the sewer is not located at the raeasurPeent given, the installer shall prospect 3 feet in all directions fromthe distance given. If not so located, the installer sha?1 purchase a "Tap and Side Sewer" Permit an ge y will i tall tat 1. t'r,r iui. ltr: er 'iiyrrat�_ --- I�s _rc�c.l Irv : — - - C;aI I fur' i nspect i On — 639-4175 . _J "dwil.Mlii,�Mr..aur7lgAlY�Mnvwu.*ww.«:,n.,..,..,...._._,,...... ,.,ua.r _ � '""n0u•rw.m:.>. n„_... _._...nr..... f f 13125 SW Ifall[t1vd. PLNCK/RLCT # CITY or TIGA.RD 1 �COMMUNITY DEVELOPMENT DEPARTMENT 7i�Orcgon97223 PERMIT # / 1 3- G CJ S U (503)639-4171 DATE ISSUED i JOB AODR •SS: " S ' 5�,� �c<c, (I �' TAX MAP/LOT /SI 35pp- LO C O I SUB: LOT: y`' _ LAND USE: VALUATION: OWNER SPECIAL NOTES NAME: o h L,en.ar.c REISSUE OF: ! ADDRESS: LAST REISSUE: FLOOD PLAIN/ PHONE: _ SENSITIVE LAND: i CONTRACTOR APPROVALS REQUIRED SUQ9r na�� NAME: >o ^r r _ — PLANNING: f� ,Se5c Gc7/ orr Ajr.S ADDRESS: _ ENGINEERING: FIRE DEPT: _ PHONE: OTHER: ?1F y� CONTR. BOARD #: 13?,Z_Z EXP DATE: �rQr17EMS REQUIRED SUBCONTRACTORS: PLUMB: /V� f i �: �- J �: LIST/SUBCONTRACTORS: MECH: �V ti C C U&U, BUS TAX: ARCH ENGINEER CALCULATIONS: NAME: TRUSS DETAILS: ADDRESS: _ OTHER: PHONE: PROPOSED BLDG. USE: COMMENTS: 92 -oerg' lenp_S /►'JNS> r APPLICANT SIGNATURE - iReceived By: Date Received: r J ( 1. PERMIT N ACCT N DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE M5i .3 �So 10-432 00 Building Permit Fees ✓ ��� - 10-431 00 Plumbing Permit Fees 10-431 01 Mechanical Permit Fees ✓ �/o,s"a D.�"v 10-230 01 State Building Tax (5%) 8e, Building /S,3 Plumbing Mechanical 2. i 10-433 00 Plans Check Fee i Building Plumbing Mechanical 10-230 06 Fire Swk3 .oLq� 30-202 00 Sewer Connection 210u 30-444 00 Sewer Inspection 3.5 3 25-448-02 r^mmercial TIF Fees 25-448-04 Industrial TIF Fees _ 25-448-06 Institutional TIF Fees _ 25-448-03 Office TIF Fees 25-448-01 Residential Traffic Fees 25-448-05 Mass Transit TIF Fees ZZ,D-OG llU 52-449 00 Parks System Dev Charge (PDC) SOD 31-450 00 Storm Drainage Syst Dev Chrg (SSDC) _ --U 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (fee in lieu of) TOTAL oG nm/3587P.WPF F v� Y f y i ; C I T'Y OF, 7 1 oARD - RLUE T P'T L.IF PA`f ME,N"f RU."'F I F'' NC,I. : ) 3—e,:';E.536 1'.;F-IEL',K AM01.11',1 r 4815. 'A6 i•JfiMl s N1_If;'Tlil_.t�NQ ffl)Ihl ;i L-A'i;H AMOUNT 0. NA i)r.)DpF: a wAYME..N'r DA'T'E. n OL 10/9 i SUBD Y PURPOSE OF PAYME'N'T AMOUNT PATO 1-r1.1RP131SE:. 1]F PAYMENT AMOUNT Pil 1 U BUIr_r7TNG PERM :307. 17.10 PLUMBING PER'll 0(1 NU CHAN I C:AL., PE 40. 50 1E.T. BUILD PEP 68 PLAN CHEUK FF' —40. :,22 SEWER IJf:3fa 0111 � I'WFR INSPECT ;°x. 00 PARKS GDC "—.00. 00 TORM DRAIN SD(, 280. 121171 AR;.=;I DENT T f)L T RAFF I F FC Ef.> 1;3`#01 00 111096 TRANSIT 'TIF FE:F.Ei 1 ICA. 00 i L-OT 4 L.UC.;IL.1X T 'rOTAL AMOUNT 14)I tU - _ .__ _..; e��I 1 �, 0E, qiCt t, �i pr a r ` `•k�ti ��t.. - s :1 n t ,y�