15605 SW 114th Court Building 3 15605 S.W. 114TH COURT 1 OF 1
BUILDING 3
'OS (&) lq
ilOkA et ) ,JiN4)
Garage. ISI. , CS
BUILDING PERMIT APPLICATION TIGARD DATE JulY I I _,19 35_. 5465
THE UNDERSIGNED HERLdY APPLIES FOR A PERMIT i-OH THt WORK HEREIN INDICATEU BUILDER PHONE U92_-/10.
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE - _
LO1 NO._._ f - 111 ja___.
OWNLP 1.0,,c, _ JOB tiDDRESS 1SbU5 SW 114tb 1i1JGaza/Less. Gaza/Lesps iiQ
— — K.C. ARCHITECT
ENGINEER
BUILDER T.O.C. ADDRESS-_ 15300 SW 1 16Lh DESIGNER
STRUCTURE ® NEW CI REMODEL L7 ADDITION l7 REPAIR 0 RENEWAL r i FIRE DAMAGE O DEMOLITION
L1 RESIDENCE LI COMM LJ EDUCATIONAL [7 GOV'T `J RELIGIOUS LI PATIO n CARPORT 0 GARAGE L. STORAGE ❑ SLABLI FENCE
OCCUPANCY __. M.-_LAND USE ZONE _P4"'12 BLDG.TYPE _ 5N -FIRE ZONE ___ PLAN CHECK BYE "14' HEAT__ _
Construct i - 4unf t garage• all per approved Pian. ----
SEWER PERMIT 0
OCC LOAD FLOOR LOAD HEIGHT 20 NO.STORIES 1 AREA 21 l NO.BEDROOMS VALUE 25.000.
BUILDING DEPARTMENT- I SET BACKS FRONT REAP LEFT SIDE RIGHT SIDE
Permll 1.0.51 __ THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE• ZONING
REGULATIONS AND ALI. APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check "110.83 i _ WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
.VITH ALL APPLICABLE CODES AND ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Su_b•total 281.33 RESTRICTIVE COVENANTS CONTRACTOR AND SUR CONTRACTORS TO HAVE CURRENT CITY BUSINESS
LICENSE SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax 6.82
SDC —
Total 286.15 _ _ _t
----i PDC./ APPUCArlf(1R AGENT
By CZ.
- -- - Receipt No.
Approved 8T41 ADDRESS PHONE
- —
be lance LW 4 .
DATE INSP. TYPE INSPECTION REMARK! II PLUMPING I DATE
!. _ — —
_./__ ` " C.OntfaCtOl
- •
' , _ ` � - - Permit No. - - -t
-t- -t- iii, ' _ AA �� - - , - -
L_ _ I d •, ,�,A.4,_ 0/ Rough-in __- _ -
,_--
— —— --- — --
F nal —
HEATING
i
-- — —— i Contractor I
r
_--- Permit No.
4._
~ 1 — Gm or Oil _ —
RouOh in I
I I Final
-----..—...i.. — -- -- ---- .--- — ---- f —
SEWER
Fin&
I i DRIVEWAY
-.L. -
I
Storm Drainage
(Rain Drain)Final
—__—__f. 1 Sidavwlk
Curb&Strut F.nal
_ Appro rril
ELM. OEJ r. , ' Ad. r TCMPORARY i CERTMCATR OCCUPANCY
ICERTIFIcAi C OCCUPANCY Final
landacapini
i2nnm,'Incl
— _ --- — — — _.1...___.. .
BUILDING PERMIT APPLICATION TIGARD DATE_YLi 1____ is 5464
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE A?— Z"! _
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFC.IFICATIONS. OWNFP PHONE
LOT NO. _--`_.
OWNER Luaati$ Uev.lui.... MB ADDRESS 15605 SW 114th Ct. ir116. 11x3 - -- –
9 ex) A), .x,0,..,,,,,4,. 9,,, ARCHITECT
ENGINEER
BUILDER TUC ADDRESS ' +^+ tDESIGNER
•�--iii „. r"--
t 2 3 – — – --
STRUCTURE D NEWI 1 REMODEL. CI ADDITION El REPAIR ElRENEWALFIRE DAMAGE_❑ DEMOLITION
J RESIDENCE l.1 COMM CLi EDUCATIONAL P GOV'T RELIGIOUS ❑ PATIO El CAR PORT I—! GARAGE STORAGE El SLABL] FENCE
____ FIRE ZONE .-___ PLAN CHECK BY ETT HEAT__
OCCUPANCY _– �LAND USE ZONE 1�= BLDG TYPE SM
6411
-- Construct 8 uniL apartment Building all per approved Clans and Code
Recuiremaat$. 2-Vintage, 2-Let ibnta► 2-i1arritl►gtoo, 21-Winfield
14 fadroam 14 bathroom 4
SEWER PERMIT 0 –– — ' t(1411-)----
OCC.
\ ---
OCC.LOAD FLOOR L AD 40 HEIGHT 2U* NO STORIES 2 AREA 79b4 NO.BEDROOMS 14 VALUE 26 i ►•
BUILDING DEPARTMENT SET BACKS FRONT REAP __LEFT SIDE RIGHT SIDE
Permit 85O.5U THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 1 552.83 1^i• WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
9U!!KLI pct.
ALL APPLICABLE CODES ANU ORDINANCES THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
340.20 RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY AUSINESS
– I LICENSE SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING
State Tax 34.02
SD
Total I,l l 1.55 C– $2,400.00 Imo/ ;
PDCI 1 $720.00 APPL1 NT OR zOEN
By CZ
Receipt No. I' ) PHONE
Approved ETU - ADDRESS
-- ------- Wages utas.1184 .
111.1111DATE 7:77 ,..,... 7 R,,,,,AR, ..Nz: #77:1
.-2 Li .2+_?.-. -• •, ... .' .., P . ' ..- . ............_ _ _
MI
---t - -
/
, ' ' ce-ie-gre_g R"gh.in • ' A. _ 4 Ar, p -. ),t,
- ...- . -.... _ _ 4,--. _ -...
V7Iit Cil --- laeLesEwe --q9 (C •
I Final I
. _,7./... Ai , .. .e. • HEATING
/01-ilrOgt ° -6.01e. iti#* &* --:LZ(.7._ Contractor/air 4/, 40
...... _ '
, r,,,trei c ‘ Permit N .
49X—f—Sirriee-Afraw:y
A ., 411 rAi i / 4.• X. Gas o, 0•I
----- 2.Z.
/ • ) rOir.. . / --r.... -/ ' NIF. _ Rniigh in
42,..4.______IIL,t •
1•
...V. /t
. _
..._.—,....__ ....___..._
• a! .: 'ilr 'd ‘4A1d;& /.1.-2L
_... SEWER
_L Final
--.
-I 1 Finm DRIVCWAY
--... ...,
I
4- ' . Storm Drainer
_____,_ Main Drain)Final
i Sidewalk
-4
Curb&Street F mai
,
litppr pack ±
--- r
BLDG. DEPT.FINAL —r—, TEMPORARY CERTIFICATE OCCUPANCY
r F RTIF1C ATE 0•!:CUPP WY
C
wol 0 Final
tg ,
I -1 Landscaping
Zoning Final
•
•
o...42,00 Ail 5 .52/ 6 s--
UILDING PERMIT APPLICATION TIGArRD DATA ,11/F '19---
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN NUICATED BUILDER PHON O
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND
SPECIFICATIONS
OWNERPHONE . __
OWNER T b G JOB ` r( It Eta,/jai _ _
CHI
�_, �,�, � GIN R
T , ADDRESf�'_I LL�-4 kr----• DESIGNER
BUILDER 7 D �i f
STRUCTURE @KEW 0 REMODEL O ADDITION O REPAIR _ ❑ RENEWAL 0 FIRE DAMAGE C] DEMOLITIC
feo1rESIOENCE WOta`A 0 EDUCATIONAL 0 GOV 0 REUGIOUS 0 PATIO 0 CAR PORT ❑ GARAGE CJ STORAGE�+ � 0 SLAB❑ FEND
__
OCCUPANCY LAND USE ZONE ALIT__BLDG.TYPE-`S'_ - PLAN CHECP%BY ><.f�.. _ HEAT _-.
n10404 _,2 .... A7i C;;;;Xl‘teirldgeddi- AllOP94.+1 _,1110447V%424.
PsoeilliliAgok .
SEW EA PERMIT I ---- r- -- -- p
HF!GHT NO.STORIES / AREA NO.BEOROOMS�` VALI jo0_
OC(:.LOAD FLOOR LOAD_ .----- RIGHT SIDE r
BUILDING DEPARTMENT — SET BACKS FRONT w REAR411111SOMM.Y.-AL.
1 r�SIDEAIIIMPIOMIr ���
Pertnn y 9 THIS PERMIT tS ISSUED SUBJECT f0 THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZONA
�� ( REGULATIONS AND ALL APPLIC&BIE CODES AND ORDINA,NCE.% AND IT IS HEREBY AGREED THAT TI
Ron /'i d ORK WILL BE DONE IN ACCORDANCE WITH I IIE PLAT S AND SPECIFICATIONS AND IN COMPUANI
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAI'
1.11J "olal i RFSTRICTIVE COVENANTS CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINU
0):
""- .J — UGC,SF_SEPARATE PERMITS REQUIRED I-OR SEWER,PLUMBING AND HEATING.
StTai _.......A.J)- OC -- — -
Tot _ __ -., P01.1APPUC.APO 7R AGENT
•
B II.'.Al 1 Receipt No - PTK)NE -.--—
AppTOveO
1 AOORESS
SSDC --- $
5OC -
PITC -
SEWER CONNECTION S _.-.._
SEWER INSPECTION S
SEWER SURCHARGE S ___
_
1
0-1•" 4",/ 5 ..52; 6 s--
UILDING PERMIT APPLICATION TIGA?D
DATE__ 1 � 19s ......
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOP THE WORK HEREIN INDICATED RBUILDER P oON
e(o�f-31o.�
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANDS ECIFICATIONS. OUT NO. g r "l��'n
OWNERJOti ADDRESS CHI ,
x
•
: TGIN
BUILDER 7a , ADDRESS EH
LL�-�Oy e. DESIGNER
STRUCTURE @KEW ❑ REMODEL 0 ADDITION 0 REPAIR _ 0 RENEWAL 0 FIRE DAMAGE C 7EMOLITIC
'ESIDENCE I ' M 0 EDUCATIONAL 0 GOV'T 0 RELIGIOUS 0 PATIO ❑ CARPORT 0 GARAGE 0 STORAGE 0 SLAB❑ FEW
�' BLDG.TYPE �� - PLAN CHECK BY HEAT OCCUPANCY Al =LAND USE ZONE 11.LJti_ _ �--
Cao__1404' ___ - "".". 474
44.4.101.yreold- iietd_ af.opc1,4?'%0444Z
-P0124104,0, - -
SEWER PERMIT/ �f-f�{ p
OCC.LOAD FLOOR LOAD HEIGHT ,— NO.STORIES /-__ AREA Jii NO.BEOROOMS•"'� VALISw
T- REAR LEFT SIDE J-- RIGHT SIDE 1
BUILDING DEPARTMENT SET BACKS FRONT - ----. --- - ... _ -- - - - - '
PDrrn11 /7a i3O THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE,ZOIVI
��11 � AIAD AES N , AND R HRTHAT
PIonCI»c '/ !I t )_ 4i$ JWORKREGULWILLTONS BE DNONEALL IN ACCORDANCEPPLICABLECODWITHAND THEORDINAPLANS IAA SPFCIFICA1IIS OF.NS E8Y ANDAGREED IN COMPUAt1TI
-- ' WITH ALL APPLIC'BLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WA!,
Sub-tolat / . ' RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINEI
ffffff LICENSE SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
State Tax
Tot17 i
a APPLICANT OR AGENT
Receipt No. PHONE
` ADDRESS
Approved ' I 51r) SI_ ____ -
sstm --- s
SOC -
Ar
P O C - __ 1 .--
SEWER CONNECTION S ___ -
SEWER INSPECTION _ S _____ -
SEWER SURCHARGE �S-
C"ment5 ; -- - -__-------
BUILDING RICFIPI
``�� �, �" `
NAME` OATF JCta-(.1 6:t. --—- - —
ACCT. 0 DESCRIPTION
AMOUNT
,5
Permit fees ! `rJ
10-432 Building -
529
10-431-600 Plumbing Permit Fees $
10-431-601 Mechanical Permit Fees $ ----�����
10-230-501 State Building Tax $ - -�"---_& __
10-433 Plans Check Fee $ — — —
30-443 Sewer Connection (20X) $ ------- --
---
30-202 Sewer Connection (80%) $
30-444 Sewer Inspection $ -
51-448 Street System Dev. Charge (SDC) $ --
52-449-610 Parks I System Div . Charge (POC) $ --
52-449-620 Parks II System Div. Charge (PDC) $ —
31-450 £torr Drainage System Div. Chrg (SSDC) $ -
10-230-505 TR''D (95%) $ _______ _-----
10-478 TRIO (5%) $
10-230-506 Washington County Firm 01 (95%) $
10-478 Washington County Fire 01 (5%) $ -- -
10-220 Amart/Wedgewood $ -
TOTAL $ ` 77'jaQ.
(b./1214P)
/%1,77, 2)
S2
i7,0'71: 4,4
zz74
6,6/.. . 3
J .7'q Co 4if
BUILDING PERMIT APPLICATION TIGARD OATE 7/f i9-
IJ
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PNONE4 Sf. Ui l
PN
ONE
OR AS SHOWN ANO APPROVED IN THE ACOOMPANYING PLANS AND SPECIFICATIONS. ,OWNER NO. ONE
JOS ADDRESS (de`.1.L ,H ___ 7,-,S
OY/NEL,A !l� D i�{1` ARCHITE
ENGINEER
IIUILDER
T AD-RESS��M 1 1 w it°G t DESIGNER _-
STRUCTURE W 4EW ❑ REMODEL ❑ ADDITION ❑ REPAiR 0 RENEWAL 0 FIRE DAMAGE ❑ L`EMOUTIC
!K RESIDENCE ❑ COMM 0 EDUCATIONAL 0 GOV'T 0 RELIGIOUS 0 PATIO 0 CAR'ORT 0 GARAGE 6 STORAGE 0 SLAO❑ FEN(
OCCUPANCY •-' LAND USE ZONE g-11,- SLOG.TYPE
-Vt.ANCHECKBY "_HEAT 5d'k_
Cght ;t,* . ___.$_C•:k -fiZAd-- -
_L_ Alre4tP1416 ' ___ ___
SEINER PERMIT/ m21!'47 y /y
OCC.LOAD FLOOR LOAD Y 0 HEIGHT S7 d'f'''NO.STORIES ?.^ AREA7/` y NC BEDROOMS 1 y Vi ef,
400
BUILDING DEPARTMENT SET BACKS FRONT ��. R J� • LEFT SIDE -� RIGHT SI
Porno •s9. 1Z THIS MIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE.ZON'I
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES. ANO IT IS HEREBY AGREED THAT TI
�j: �t �► 11 A/�N WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLJAN1
,,udl tj� itt s •� Z . F I ORDINANCES.WITH ALL APPUCABLE CODES AND OF
RESTRICTIVE COVENANTS.CONTRACTORAND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINid
LICENSE SEPARATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
5tata Tu '� ki. O ti
SOC --
Tota)
ni. .
APPLICAOR AGENT --� .J� PDC.pA.,C k W ADORE SS --- - PHONE
ET SAO 3 Pce 5 7 r1 __ ---- _____
SSD( -1 s as-u. .v .
soc - .k1_30Q4aN � � - ,-' 4 if 3
P oC- F i.lLQ.La t 13-.(2_2_±_ y 1 7
S-y
4 3 a y •
SEWER LON'N?CION $ 7 'v G • D G IF i
� yv � ZO
SEWER INSPECTION $ 41J , 00 1.
SEWER SURCHARGE S
s
(2121,Adigiettlytte_Z±f-sL17:_bc ,
fiii .,., X I/ ' _ -
- -- '— J —
--- So
■
BUILDING RECEIPT
;
NAMMM..L L1 �,.s' GATE -- _
ACT N DESCRIPTION AMOUNT
10-432 Building Permit FeEs $ Q-.S-01,-.57)
10-431-600 Plucbing Permit Fees $
10-431-601 Mechanical Permit Feel $
10-230-501 State Building Tax S G-
10-433 Plans Check Fee $ �/ "
30-443 Sewer Connection (20X) $ /J J . O-O
00 30-202 Sewer Connection (80x) $ - ‘` �C /TV ' ��./
30-444 Sewer Inspection S 4Y: OE)
51-448 Street System Oev. Charge (SOC) $ v2i
V61-0/ OZ
52-449-610 Parks I System Dev. Charge (PDC) $
52-449-620 Parks II System Dev. Charge (PDC) $ �,�>1O. vv
31-450 St 1 Drainage System Dev . Chrg (SSDC) S c,;25-‘) ,' 'j?)
10-230-505 TRFD (95x) $
1, 10-478 TRIO (5x) $
10-730-506 Washington County Fin 01 (95%)
10-478 Washington County Fire 01 (5x) $
10-220 Amart/Wedgewood $
TOTAL S ,L__ 2
(bs/1214P)
7 oil
3
sq 4. 41
BUILDING PERMIT APPLICATION TIGARD DATE__74_ IL_Lr
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK 14 REIN INDICATED 3)BUILDER PHONE
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE
Q T NO.
OWIII L A Tips j , JOB ADORES j b.C Sly !1 y D��
�• ARCHI TE
ENGINEER
BUILDER T��/ ADDRESS/r �� 1 CII KC t DESIGNER
STRUCTURE Q NFW 0 REMOOEL _ ❑ ADDITION 0 REPAIR 0 RENEWAL 0 FIRE DAMAGE 0 DEMOLITIC
W ESIOENCE 0 COMM 0 EDUCATIONAL 0 GOV'T 0 RELIGIOUS 0 PATIO 0 CAR POLI( 0 GARAGE G STORAGE 0 SLAB❑ FEN(
O' .v?ANCY •' LAND USE LONE _ t Z. BIAG.TYPE ' _ 'PLAN CHECK BY ('{/ HEAT f Ili_
Co S_ — -
Al=8":÷.(2iLgat)it,kadaal_E_•. e i___ .44 (g_itie_AA 6 1-4 1 4 0 - _
SEWER PERMIT r_::2 I V7 /y it' d /g/A �J�
OCC.LOAD �"' FLOOR LOO O HEIGHT w NO_STORIES AREA7?1 NO.BEDROOMS / f VRLUlr,
_� y
440
BUILDING DEPARTMENT - SET BACKS FRONT R • LEFT SIDE RIGHT SIfifiM�
. IryT1S1—S PEMIT IS ISSUED SUBJECT TO THE REGULAT10N5 CONTAINED IN THE BUILDING CODE,ZON:1
RF.;ULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND RIS HEREBY AGREED THAT T1
knrmil
at cD i 1 39 a,2to WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COUPUANI
F THIS
PERM
T DOES NOT
iSgtral s _` RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS WITH AL L APPLICABLE CODES AND ORDINANCES. THE ISSUANCE TO HA E CURRENT CITI BUSINAEI
IJCENSF_SEP/.RATE PERMITS REQUIRED FOR SEWER.PLUMBING AND HEATING.
:Slats Tax 3 y, •t
SOC--
Total - - - --._---
ISIC ��. v .s-1 PaAPPLICANT ORAGENf
App •�/ - p,.A C k K ADDRESS PtiONE
_ ElTS"& -01 ssru7 - --- -
`:SIR / $ aWU. •&I
,
S 0 C - 00 i.•1di0v , "
PDC - $ A 9 n t 7 ZV ' •0 / ! 7 S
SEWER&ClIONNt:"C�ION S 745'00, . G
SEWER INSPECTION f y , , o� 3 y / 2.o
i-.5 1- ttf S
SEWER SURCHARGE S —
C^^ITe'lts ; - ---- —
____ L,7itr.__ ___tagai#4)_________ ______ re
72444.4v
little
I
I
CITY OF TIGA RD No. 5957
12755 S.W ASH
P.O BOX 23397 Date 7 3-
TIGARD, OR 97223
Name
i
Address —
uv1ISL 11
Lot fBlocklMap
-' SubdlvisionlAddress I I i' i I-
1 GL '
Permit I's 1Bldg.
Plumb Cash Check i.../Sewer Other Other Rec. By -
T k
Acct. No. Description Amount
10-432 Building Permit Fees
10.431.600 Plumbing Permit Fees
10-431-601 Mechanical Permit Fees
10.230.501 State BId Tax
10-433 Plans Che k Fee t3.40
10-435 Other Licenses & Permits
30-443 Sewer Connection
30-444 Sewer Inspection
24-448 _ Street Syst. Dev. Charge -
25.449.810 _ Parks I Syst. Dev. Char_ge
25-449-620 Parks II Syst. Dev Charge
31-450 _ Storm Drainage Syst_Dev. Charge-_
10-430 Business Tax
10-434 Alarm Permit
10-227 Bail ,
10.4551 Fines TrafflclMisdlParking
10.230- _ CPTA Traffic/MisdlVic. Asst.
10-456 Indigent Defense
30.446.401 Sewer Service/USA ,_
30-446-402 Sewer Service/City
31.447 Storm Drainage
40-475 Bancroft Prin. Pymt.A
40-471 Bancroft Int. Pymt.
10.451 Other Charges for Services 1
--1---11 K Imo- IS `I�- ' 1
- --- --. _L —TOTAL1..,/0 ,. t. la
— ,
..• DEPT. C
t
1i
BUILDING REC PT
NAME: ...../ ,�. .
DATE. ;/.7/..13
'fr.q /i / ; 7'
ACCT. M DESCRIPTION ...0/ AMOUNT
10-432 Builr4, •1 Perm:t Fees $
10-431-600 Plumbing Permit Fees
10-431-601 Mechanical Permit Fees $
10-230-501 State Building Tax $ —
10-133 Plans Check Fee $
30-443 Sewvr Connection (20X) $
30-202 Sewer Connection (80%) $
30-444 Sewer Inspection $
51-448 Street System Dev. Charge (SOC) $
52-119--"610 Parks I System Dev Charge (PDC)
52-449-620 Parks II System Ovv. Charge (PDC) $
31-450 Storm Drainage System Dev Chrc, (SSDC) $
10-230-505 TRIO (95%) $ :m10.•;, /9
1 10-478 TRFO (5%) $ //,0
10-230-506 Washington County Fire 01 (95%) $
10-478 Washington County Fire #1 (5%) $
10-220 Amart/Wedgewood $
TOTAL $ ,� 0
(bo/1214P)
1
1
1
BUILDING RECEIPT
NAME: i !` -- — DATE: 7/3/e
ACCT. N DESCRIPTION AMOUNT
10-432 Building Permit Fees
10-431-600 Plumbing Permit Fees $
10-431-601 Mechanical Permit Fees $
10-230-501 State Building Tax $ _
10-433 Plans Check Fee $ //C'
30-443 Sewer Connection (20X) �
30-202 Sewer Connection (80X) $
30-444 Sewer Inspection $ _
51-448 Street System Dew. Charge (SDC) $
52-449--610 Parks : System Dew Charge (PDC) $
52-449-620 Parks II System Day . Charge (PDC)
31-450 Storm Drainage System Dov Ch g (SSDC) $
10-230-505 TRFD (95%)
10-478 TRFD (5%) s - -_------_-----
10-230-506 Washington County Fire 01 (95%) $
10-478 Washington County Fire Al (5%)
10-220 Amart/Wed ewood
TOTAI
(bo/1214P)
MEMO Tualatin Development Company
Date
To - - lob - -
t AA) tr-7� - ——
172- L ,nl.2 r tiu PJ1-4,-f rel S 4i JA►Lt ni
LO Dc, G'X)(k.Ofti)C,- . rkr. t I L4_ r' 2(14 -- —
(Qt('$6 rJic1 Ff L f r f .;4 f r-T'f -)L�c� . c.0
(4utui) ( I c .PC. / T ----
Iz rt. _------�---
l tfeL It- 7470e' i-A—fvS a __- *' I C'C13 .Signed
f��n