Case File ADDRESS :
low
/3129 S
i\records\microflm\targets\building doc
RTIFIE
CITY OF T I CARD CEOCCUPA'ANC
OF
CY
JN��l N1r PERMIT # MST95-01n,
COMMUNITY DEVELOPMENT I , 9
5 p6tol DATE ASS�Jc* ;c 10/19/95
13125 SW Hell Blvd.'Tigard,Oregon 0722368 (so 19-4171
PARCELt 25J.09SA HS0013
SITE ADDRESS. . . 11 139713 GW ALPINE VIEW CT
SUBDIVISION. . . . l; HILLSHIRE GUMMA" ZONINGtR-7 PI)
BLOCK— — — . . . i LOT. . . . . . . . . . . . . I 00B
CLASS OF WORK. *NEW
ryPE Ci F' USE. . . :6F
OCCUPA14CY GRP. %R3
OCCUPANCY LLAD#221 4
TENANT NAME. . . ii
Remarks PATH I
Owner-
1-14L CONSTRUCTION
7110 BW F"I P LOOP
Sul TE 160
TISARD OR 97ai�.,3
Phony, #s 624-7714
;.ontrartors
SHL CONGT'RUCTION INC
-11.0 SW FIR LOOP
OR 17223
lPhone #e 624-7714
Rey #. . v S3769
ThJ % Certificate certifies that rhe Above referenced building or portion
thereof has beeii inspected for compliance w1f:h the Tigard Building Code
For the pt-oup and division of occupancy ard use for which the above,
,Pforenced permit wa-4 issued, and occupancy iq hereby ®r-anted,
.:4463
BUILDING OFF1Cr4L--7
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspoctiow- _
Footing Susp. Coiling Sprink. Rough in Appr'Sdwlk
F-oundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam _,truct. Plbg, Top Out Elec. Rough-in FINAL: /
Post/Beam Mech. San. Sewer Gas Line
-Bld �Q)
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation
Underllr. Insul, Shear Wall
Gyp. Bd. -Elect.
Date Requested: �c' /� Time: AM
PM
AtJdress: , a,
Builder: _ / 7` C
Permit u:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
J"
Inspector:
Date: lCiq
PROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (flecO-Phone): 639-4175 Business Phone: 639-4171 --
Inspection: ur, 0/1 lCj�Q/
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk�7(e
Foundation Plbg. Underslab Mech. Hough-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. l��r0
Alarm Water Line Insulation - ech--)400
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested:__ & / 7//!2 Time: AM PM
Address: 7
Builder:_ Permit
eFO OWING CORRECTIONS ARE REQUIRED: \ CA
C.vim-f-
Cf
(rc,�L�)
Inspector:_ i(2—� Date: 1,13
—APPROVED 94WSAPPROVED ,APPROVED SUBJECT TO ABOVE
P(6all 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 E!3c. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underilr. !nsul. Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address:
Builder: Permit #: �1 / J�--
THE FOLLOWING CORRECTIONS ARE REQUIRED: ��. • 2
Inspector: Date:
—APPROVED $APPROVED _APPROVED SUBJECT TO ABOVE
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 Ele+:. Rough-in FINAL:
Post/Beam Mech. San, Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing
Alarm Wa?er Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requeste ��� G `Time: AM PM
Address:
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector���
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Re(,-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Coiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plb To Out
9• P Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing u
Alarm Water Line Insulation Mech.
Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested:__�� (o j Time: AM PM
Address: l �� 7 ` t--
Builder: % l Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector Date:/0 ,(- S'
APPROVED G'bISAPPR(7D —APPROVED SUBJECT TO ABOVE
L'_/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. Rous'O-in Appr/Sdwlk
Foundation Plbg. Underslab Meeh. Rougl 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 -Meeh.
Undertlr. Insul. Shear Wal Gyp. Bd. �'y Ctc)
G
Date Requested:_ �- Time: AM PM
Address: V _v-t�-��� C7t.
Builder: 7 7Permit k-&— S.S- y n 7 L
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Ins ecto1 cC� � Date:
Ar.�PPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp. F-Fl�
CITY OF TIGARD BUILDING INSPECTION NOTICE /
Inspection Line (Pec-O-Phone): 639-4175 Business Phone: 639-4171 L
Inspection.—
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdw1k '
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: /� r Time: AM PM
Address: / Z 7
Builder: Permit :
THE JOLLO.WING CORREE.CTIONS. ARE REQUIRED:
Inspector: >
—APPROVED `DISAPPROVED 'PROVED SUB.IECT TO A81
E
_Call Fo
it
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 Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underil.. insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: _ .)
Time:—AM PM
Address.
Builder.-C-1Z, IS �jk� 7 71 I"-ermit #: L 95 -
Z
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Le r
�- C S, -t
Inspector: �C_C Date
_APPROVED __DISAPPROVEL _—APPROVED SUBJECT TO ABOVE
ACall For Reinsp. C
C
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Ree-O-Phone): 6394175 Business Phone. 639-4171
Inspection:
looting Susp. Coiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Firaplace
Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINAL:
Post!Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. UndeMoor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. 1 Elect.
Date Requested: _ :dz O Timel AM PM
Address: C11-
Builder: Permit q: �---
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date:—,F- c)" 7,
le-�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:_
r
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 -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulai cn -Mech.
a
Undertlr. Insul. Shear Wall yp. B)I. -Elect.
Date Requested: �_> Time: AM PM
Address:
Builder: Permit #:
THE FOLLOWING CORRECI IONS ARE REQUIRED:
_—r�1 V� .,lt��lJ�[r` t`�G 4(�i c[� r�r 1 r.[/+Cam:
V,7
0) 2v
(tiJ .1 L ( _ �' �19�34c�2 lam+ 2y
��fl�Git 3u AjO T 1illyr� Fac=
41 V4
Inspe tor. _ Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
—Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE \�
Inspection Line (f,,(--0-Phone): 639-4175 Business Phone: 639-4171
Cy Aroe• r; Susi, Ceilim Sprink. Rough-in Appr/Sdwlk
Fou idation Plbg. I.'nderslabc . o�fi� ugh ifFireplace
Pr,st/Be;•i Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drainrami i -Plumb.
Alarm Water LineInln uftio��`�� -Mech.
Underflr. Insul. Shear Wall I Gyp Bd. -Elect.
Date Requested: — l 5— Time: AM &PM
Address: l J c1 -7
Builder. ---+ �_T Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector:_ Oat, : C�
_-APPROVED _DISAPPROVEL &PPRO V17D BJEC TO ABOVE
�)1� `Call For Reins
CITY OF TIGARJ BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ _
Footing Susp. Ceiling Sprink. Rough-in / npr/Sdw1k
Foundation Plbg. UnderslabMech. Rough-in) Firaplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in VI�FINAL:
Post/Bearri Mech. San. Sewer Cas Line) -Bldg.
Plbg. Underfloor Rain Draintng) �'L-Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: 6-( �_Time4AM PM
Address: L-2)2/ 72_ 4 �r-ma=y l cC
Builder: Permit #: �--
T FOLLOWING CORRECTIONS ARE REQUIRED:
l�vti-Q 1 CS A- 09 K
Inspector Date:
APPROVED --"DISAPPROVFD _APPROVED SUBJECT TO ABOVE
all For Reinsp.
L
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 63941'1
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 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 Requested: _ _Time: AM PM
Address:
Builder: _ Permit p: Z-
THE FOLLOWING CORRECTIONS ARE REQUIRED: Z
U10-1 A sem
Inspector AA A.0i Dale:
_APPROVED DISAPPROVED _APPROVED SUBJECT TO ABOVE
rZ, E,�> All For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection 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. 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.
Uiderflr. Insul. Shear Wall ayp. Bd. -Elect.
Da+9 Requested: Ti AM _PM
Address: _ /� /� —
Builder. _Permit #:A �% v\ V -2--
THE FOLLOWING CORRECTIONS ARE REQUIRED: T,
ell
-fi
Inspector: ��/� — Date:_
_APPROVEDDISAPPROVED _APPROVED SUBJECT TC ABOVE
�� all For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection.-_
Footing Susp. Ceilirg Sprink. Rough-in Appr/S6wlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. g. o 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:_ 441 Time: AC•1 PM
Address: - �? L �� 1'11Z ( —tom t.' 6�
Builder:_ Permit #: 7 I 5-
THE
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date
,�APPROV'cD _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: L.—tcc-;I,isi_ c
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Flbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out le Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. x -Elect.
Date Requested: Z Timer' \ AM PM
Address: VEL e -r 7c- _
Builder: Permit #: (V's--" C)C' —
9 1 �
THE FOLLOWING CORRECTIONS ARE REQUIRED:
2
G n �
Inspector: ��C,-L � �r Data:�_o�
_APPROVED _DISAPPROVED PPROVED SUBJECT TO ABOVE
_Call For Reinsp. ,-
EJ ,�
tC
WASHINGTON COUNTY ELECTRICAL P E R Illi IT
Department of !_and Use & "transportation
fm^rma
Electrical Inspection Section APPLICATION
155 North First Avenue,#350-12
Hillsboro, Oregon 97124
InAtirm illon. 603 6403470 Fax: 803 603-4412 P�EASE PRINT-. -'
Project/PermitpC C7 ii;r Date
Number Date _
• • • • r
1. Location of In�stalllation 4. Complete Fee Schedule below
Address Lq 7 .-'�li [[u� G Number of Inspections per permit allowed
Building Service Included: Items Cost(ea.) Sum
Cityj`r' «, Suite No. _
�- A. Residenfial-per unit
Tenant Name
(if oommorclal) 1000 sq.ft.or less I $110.00 //Or 4
0-:1C> ( l Map No. _ f� �'O`� Earh or portionrm thereof
sq ft
'Tax Lot _� $25.00
_ �
Limited Energy $25.00 1
Thomas Map Book: P�k.�Q e: Se Ion: Each Manuf d Home or Modular
Directions- ffl#-Ltn=1L K I M h, Dwelling Service or Feeder $68.00 2
B. Services or Feeders
Commercial ❑ Residential }' Installation,aiteretlons or relocation
200 amps or I-)ss $60.00 2
2a. Contractor Installation onl 201 amps to 400 amps $80.00 2
y' 401 amps to 800 amps .-_ $120.00 2
Electrical Contractor C_jn e.vrokee- r I P c T-rti zic, 601 arrps to 1000 amps -- $180.00 2
Address 'O, 6u.e Z_2o;E_j o, ''
�'��/>r r Y 7 z" Over 1000 amps or volts $340.00 2
Date Z- Job Numb r Reconnect only -- - $50.00 2
Proparty Owner HL vs . Kc �bc�
Contractor's License No. _1 -/2 7 c- In Temporary Services or Feeders
Contractor's Board Reg. No. Z.5�,�/ Installation,alteration or relocation
,- 200 amps or loss $50.00 2
4201 amps to 400 amps _.-___ $75.00 2
Signature of Supr, Elec'n ;&L- t--r---S 401 amps to 600 amps $100.00 2
License No._2_0 b S Phone No.STI"^ 7 7 YV ,-_ Over 600 amps to 1000 volts see'B'above
2b. For owner Installations: U. Branch Circuits
New,alteration or extonsion per panel
- a) The fee for branch circuits with
Pr-1 Oars eme PF,on-a Ao. purchase of service or feeder fee.
A r�4- ------ ----- -- Each branch circuit $5.00 2
b) The fee for branch circuits without
purchase of service or feeder hs.
First branch circuit __ $35.06 2
The installation is being made on property I own Each add'nl branch circuit $5.00 _- 2
which is not intended for sale, lease or runt. E. Miscellaneous (Service or Feeder not included)
Each pump or irrigation circle $40.00 2
Owner's Signature _ ____ _ ---_ Each sign or outline lighting $40.00 2
��• Signal circuit(s)or a limited
3. Plan Review section (if required) energy panel,alteration
Please check appropriate hem and enter fee In section 58. or extension $40.00 2
1 & 2 family dwellings over 320 amps sic meter F. Each additional inspection over the allowable
4 or more residential units in one stricture !n any of the above
Per inspection _ $35.00 _
Service over 225 amps; feeder 400 amps or more Per hour $55.00
System over 6001 volts nominal In Plnnt $55.00 _
Building over 3 stories in height
Building over 10,000 sq. ft. 5. Fees
-_ Occupant lo,-,d over 99 persons A. Enter total of above fees $
Manufactured Structures Park or Recreational 5% Surcharge (.05 X total fees) $ 1(1 7S".
Vehicle Park; new, addition or alteration Subtotal $ 2Vbr 75
Classified area or sbuettIre containing special B. Enter 259' of line A for
occupancy as described in N.E.C. Chapter 5 Plan Review if required (Section 3) $ -
Subtotal $
Submlt 2 sets of plans with application where any of the less Bulk Label Fee $ -
above apply. Not required for temporary construction -
services. Balance Due $ 2-yp, 7-5-
For Inspections call 1 tile permh becomes null and vold If the work authrxized by the Permit Is not common-ri
within 1w day e from date of Issuance of ouch permh or h the work authorized Is
64t�-3561 or 693-4415
suspended or abandoned of any time after work is co virminced for a period of IN days,
24-hourrecorder,one working day In advance of need ENehbot Permits are non-refundabN and non transferable.
5/93
I r
CITY OF -C I GARD — RECEIPT OF PAYMENT RECEIPT PT Nn. 19b-267051
CHECK AMOUNT t 246. 75
NAME a CHEROKEE ELECTRIC, INC:. CASH AMOUNT t 0. 00
I ADDRESS t PnYMENT DATE a 06!21/95
1� PO BOX eame30 SUBDIVISION :
TIGARD OR
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
!'l_ECT'RICAL�rERMIT . 00 ST. ,BUIL[) PER 11. 75
i
i
1 :,978 SW A!.PINE VIEW CT
TO TAi AMOUNT PAID - - _) :46. 75
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Businoss Picone: 639-417T`
Inspection: _
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. CPlba Too Qut- 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: �C cD Time: KAM _ PM
Address: l
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
z
&I –
Inspector: Date:
_APPROVED 'B4F>AP7—call
P. _APPROVED SUBJECT 1"0 ABOVE
dor Reinsp
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:_ _�cz�S�Y� I-L, e sp
Footing Susp. Ceiling Sprink. jugh-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: lQ -�,3 S Time: L--"AM _ PM
Address:-Z 7 F
vie-,✓ CL
Builder:', C - 210 S/ - -60315 Pormit #:fti 157_ 1'5-0/57.L,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
tZ
Cp
Insperaor: Date: ( �
—APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
�7 j_(, Call For ReLnsp.
--
CITY OF TIGARD BUILDING INSPECTION NOTICE \���
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Pough-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 WatQLLm Insulation -Mech.
Underflr. Insul, Shear�Wall, Gyp. Bd. -Elect.
Date Requested: 14 — Z -qS Time: AM PM
Addrass:-2,3 c1. /7�P, "ARE
/j7 C V I'� C/L .
Builder: L-17 L ly r'S>�
Permit #:��� S 015Z
THE FOLLOWING CORRECQUIRED-
all
-- 2
Inspector: \ i Date:
_APPROVED -- DISAPPROVED XAPPROVED SUBJECT TO ABOV,_
�II For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 c
Inspection: -5.6 e g r
Foot:.g 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.
Plhg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line / ir5ulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: 9 Time:�AM PM ,{
Adclress:�o3r�
Builder: L Permit At:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
0-
(12 4A
c>
3 4 T`T
i_
Inspector:_ ��- ���, Uate: �•/4
_APPROVED /DISAPPROVED _APPROVED SUBJECT TO ABOVF
Call For Reinsp.
CITY OF TIG4FID BUILDING INSPECTION NOTICE
Inspecticn Line (Rec-O-Phone): 639-4175 Business Phone: 639.4171
� f
Inspection: 4::�X
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 -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. ear Wall Gyp. Bd. -Elect.
Date Requested: ^� Time:-,&AM PM
'
Builder. L_ " , Permit
THE FOLLOWING CORRECTIONS A " ` '
RE IRED:
ZYe-A
Inspector:
__APPROVED 1DISAPPROVED _APPROVED SUBJECT TO ABOVE
7A— Call For Reinsp.
CITY OF TIGARD BUILLING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: 9zTQ
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbq,Underslab Mech. Rough-in Fireplace
Post/Beam S!ruc 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: 7 �- Time: .—AM _ PM
Address:�CJ
Builder: Permit
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date:
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
V
p Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
,�P st frdaf.—� Plbg. Top Out Elec. Rough-in FINAL:
ost%Bea� an. Se Gas Line -Bldg.
Ib . nderfloor ' ain�a 4Framing -Plumb.
g � �
n Alarm er Lin Insulation -Mech.
Underflr. Insul. Shear WallGyp. Bd. -Elect.,
_ 111 r3
Date Requested: Tim, __AM l PM
Address: i ):2 ZO �—
c
Builder:_ _Permit #:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
In actor:
PPROVED _DISAPPROVED __APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
J
CITY OF TIGARD BUILDING INSPECTION NOTICE j
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appi.'Sdwlk
` oundati Plbg. Underslah Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post Baam 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'/ .� /' Time:=' ` T' .
/ ( � AM
Address: �� / �`� iI-)- V --LQ
Builder: 'armit #: - G �•J'��
THE FOLLOWING CORRECTIONS ARE REQUIRED:
/�i�er� JG�l3L/tet s /7!„ .j/•'C c-�i�ti�
In//spec--tor. Date: C/-
�CPPROVED _-_.I' A,-'PROVED ,APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE {
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 r
Inspection: 1
ootin 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/Bpam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underflocr Rain Drain Framing Plumb.
Alaim Water Line Insula ion -Mach.
Undertlr. Insul Shear Wall Gyp. Bd. -Elect.
i
Date Requested:_ /� 4 Time: AM _PM
Address:__z2_ LZ
Builder: PermitTHE FOLLOWING CORRECTIONS ARE REQUIRED:
c✓ F-� tom?
Inspector: X - Date:
_APPROVED _DISAPPROVED L APPROVED SUBJECT TO ABOVE
Call For Reinsp.
PLUMBING PERMIT
CITY OF TIGARD PERMIT #. . . . . . . ..I MSTI)!5--O 1')L'
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04/ 12/95
13125 SW Hall Blvd.Tigard,Oregon 97223*8190 (503)639-4171 PARCEL: '2G109- SA HS006
|
_';ITE -- --- - - |
-----------
GARBAGE DISPOSALS 1 �
= OF USE. . . . :SF _.~..^.`~ MACH. . . . . . . . ~ __... --- 17,REVNTRs. '
| ^ ' ~'`E~ L^~'`~^ ' ' '^'' ~^ ^ ^ ' ` ^ ' ^ SrRA-N -R' - -' ' ' ' ' ' '
711111 SW FTR LOOP GWM $ 180. 00 B 04/12/95
lu "70T;1 1, .711215. LAO n 0 4,1 1 1"
REQUIRED INSPECTIONS
�
"ode, State of Ore. Gpecialty Codes and all Foundation Iii'ip G,,,p Board Insp
jLhev- applicable laws. All work will be donp Post/Seam Struct Rain drain Insp
in accot,danca with appv-ovud plans. This Post /rpam mechan Watp�. Line Insp
.-jerlmit will expire if work is not started Crawl Dt-ain Water E'ervice In
Pll.tmb Top Out Building Final
hoi-i zed P�#),Lrt'u Nc"tr4ar 44yr-NSignature
Call. fat- inspection 639-4175
�
�
�
�
�
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it..TR
CITY OF TIGARD► PE PM I MAT . . . . . :PERMIT
M0,T05
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04,112/95
131215 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)8394171
PARCE.L.- 2.'3109BA41!7317.108
31 TE nDDRESS. . . : 139713 SW ALPINE VIEW CT
3UBDIVISION. . . . . HILLSHIRE SUMM.TT ZONING: R-7 PD
:~LOCI(. . . . . . . . . . . LOT. . . . . . . . . . . . . :008
BUILDING
RETSLUE: DWELLING UNITS.- I BASEMENT. . . . . . . . :0 s
CLASS OF WORK. :NEW BEDRMS:4 BATHC:3 GPRAGE. . . . . . . . . . :720 sf
TYPE OF USE. . . -SF FLOOR n12EA5------- - REQUIRED SETBACKS---- ----
TYPE OF CONST. :5N FIRST. . . . s1448 s LEFT. . :3 ft RIGHT. :3 -F
)CCUPANCY GRP. :R'7 SECOND. . . - 1872 s f FRONT. -58 f k REAR. . :24 f
�:')TORIES. . . . . . . :2 FINBGMENT:0 S f REOUI RED------
AEIGIAT. . . . . . . I ft TO'T('41--- :3320 SMOKE DETECTORS. :Y
LOOP LOAD. . . -40 psf VALUE. $.- 20*6385 PAM"INS SPIViCES. . . 1
llernai-ks : PATH I
------------------ - ------------------ PLUMBING -------------
3 1 Nff S. . . . . . . . . . : 1 FLOOR DRnTNS. . . . .q, BACKFLOW PREVNTRS. . -. 1
'-AVATORIES. . . . . :5 WATER HEPTERS. . . . 1 TRAPS. . . . . . . . . . . . . . ..0
1'UB/S1AOW1 RS. . . . .4 LPUNDPY TRAYS. . . il CATCH 13ASING. . . . . . . :0
DATER CLO33ETS. . .3 SEWER LINE (ft ) . :0 GREASE "rRAP0. . . . . . . :0
DISHWASHERS. . . . : I WATr'R LINE ( -Ft ) . : 100 OTHER FIXTURES. . . . . :0
':PnRBAGE DISP. . . : 1 RAIN DRAIN (ft) . %0
WASHING MACHH. . . : 1. OF RAIN DRAINS. . : 1
MECHANICALFUES
7LIEL TYPES------ UNIT HTRS. . 10 type .amount by date r-ecpt
IGPS/ VENTS . . . . . .0 TIF $ 1550. 00 B 04/12/95
MAX INPUTtO BTU VENT FANS— :4 SWM $ 180. 1210 B 104/12:/95
.URN ( 100K . . :0 HOODS. . . . . . : 1 SWM t 100+. 0+0 V. 04/12/95
'-*Llr,N ) =1001'' . . : I WnODSTOVES. :0 or-,RT 4 750. x0 P 04/12/05
r'7LOOR rJRN. . . . :0 CLO DRYERS. : I BPLC $ 487- 83 KAR 03/21/95 95--263173
SOIL/CMP ( 3HP:0 OTHER UNITS: I B5PC t 3 7. 5:3 V 04/12/15
GAS OUTLETS: 1 PARK t 500. 00 B 04/12/95 -
..._._--MPRT t 45. 00 D 914/ 12/05 -
.)wne��: ---- ---
LHL CONSTRUCTION MPl'.0 $ 11. 27, S 04/12/95
711.0 SW FIR LOOP M!__1PC 1 2. 25 S 04/12/95
SUITE 160 3BTH $ 225. 00 B 04/1 !95
'riGARD OR 97e83 P5PC $ 11. 25 B 04/12/95
'-,hone #: 624-771-4 EROS $ 88. 00 S 04/12/95
'C12/95
-ovitt-actot,i -------------------------------FRP $ 28. 60 S 04/
LHL CONSTRUCTION INC ERPC f, 28. 60 B 04/12/95
711121 SW P 111 LOOP
TIGIRD OR 97223
'jht;ne #-. 6254-7714
Reg #. . .- 53769
$ 412145. 11. TOTAL
Thi; persit is issued subject to the regulations centaine6 in the REDUIRED INSPECTIONS
'igard Municipal Code, State cf (h-e. Specialty Codes and all other Footing Insp Plomb Top Out
applicable laws. All work will be done in accordance with approved Foundation Insp Framing Insp
Glans. This perait will expire if work is ret started within 180 Post/beam Stt^Lict Fit-eplac:e Insp
lays of issuance, or if work is suspended for sore than 180 da Post/Beam Meehan Gas Line Insp,
C'-awl Drain Inso.t1ation Insp
Permittee t C:
Plm/,jndslata Insp Gyp Boar-d Insp
PLM/Underfloor Pain drain Inep
Is _ted By : Insp Water Line Insp
Call for, inspection -- 639- 417'
SEWER CONNECTION
CITY OF TIGARD PERMIT. . . . .
FERMI' #. . . , . , . . 5Wil9`�
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED:
13125 8W Hall Bbd.Tigard,0r9gon 97223e8199 (503)539-4171 PARCEL: 2S 109SA•--HSOOEI
ITL i=4DDRLC:-. . . . ��j7�b `�1 01- +'d;__ IGW CT
3UHDIVISION. . . . . HILLSHAFRE SUMMIT ZONING: R-•7 FID
:?.LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :0013
1-ENANT NAME. . . . . :
..ISA NO� . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF WORK. . . :NC'W DWELLING UNITS. . : 1
''YPE OF' USE SF NO. OF SU I L.D I NGS: 1
NSTALL TYPE. . . . sBUSWR IMPERV SURFACE. . : : sf
Reinar-ks: PATH I
Owner. -___.___._._..-----_-.---•-------_--_._-_._._.._.____.__...__.___._._._._.____._.... FEES;
�._IAL CONSTRUCTION type allICIAnt by date recpt
7110 SW FIR LOOP PRMT $ O200. 00 B 04/12/95 -
5U17E 160 INSP $ :jF. 00 B 04/1c/15
TIGARD OR 9703
1"11-io+ne #: 624 -7714
Contrartov,+
i7ONTRACTORNOT ON FILE
u ie #: $ 2`;35. 00 TOTAL
REOU I RED 1 NSPECT I ONrc
This Applicant agrees to comply with all the rules and regulations Sewer Irlspe t: ion
of the Unified Sewage Agtncy. The permit expires 180 days from ,_•�_ _ _ _.•_._.._
the date issued. The total amount paid will be forfeited if the
permit expire;. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
yiven, the it-.taller shall prospect 3 feet in all directions from
the distance given. If not so located, the installer- shall purchase —
a "Tap and Side Sewer' Permit and the Agency will install a lateral.
in i t t e e S i.g n 7 t. .r i-e
l tis Li e d D y : &t!�iy1�-.�.
Call for inspect :i or 639--4175
RpsAelntial Buildin Permit Application
City of Tigard (�� ' ��ssC j j,'ya,4 --
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: �32 � k A )", r 1 �c-
Subdivision: �/� jC6 �m,4t ri Lot$ Office Use O
nly
Valuation: �r �i�yi _ Result tDate / / — Initials
Planck/Rec#
New Construction Only: (Square Footage) Permit # M 5� ci S
House: , " Garage: /I-f/ Reissue of
Map & TL # S/41(.A - NSP'5i8
Zone rs- F b
Corner Lot? Y N Flag Lot? Y Plat#� cic-, - I SO fa
6�)
Owner: I
(_�-�- �t'An`CiYc lLc�"I(!`'� Aparovals Required�t
Planning Setbacks _ Solar oI
Address: "] I/ StlQ i- %fig L nf" Engineering
Other
f ! Items Required
Phone: ( 1 6�y')�l y
c-^ Subcontractors _
Contractor: ;,4 V!'l ti _ Truss DQtnils _
Other
Address:
Notes
Phone L—�
I -
Contractor', I.icense # C -
(attach copy of currnnt Oregon license)
Contact Name.
Contact Phone: L_ 1
Subcontractors: Architect/Engineer:
Plumbing: 1�lAp v Address:
1f_
Mechanical: .CW,C( �rinnf'C eT
(attach copy of current OR Contractor's Uc te)
n�/ 1 Phone: L
JOB DES
���c.c�� �n� _
Applicant ignature Applicant Phone number
Received by: � _ Date Received:
w gmen.r«.e.
Permit S Account Description Amount Amt. Pd. Bal. Due
,-o/SL Bldg. Permit (BUILD) G. "v ?SO r-4✓
Plumb. Permit (PLUMB) zr _ %
Mach. Permit (MECH) ,i `/? ✓
Stets Tax (TAX) 51, o3 5 .G ✓
Bldg: 37 -3
Plumb: // , Z �� ✓
Mach-. 7, ✓
Plan Check (PLANCK) 9"
Bldg: zjk 7, 13 ✓
Plumb.
i V/
Mech: // ,
Sewer Connecticn (SWUSA) 2-&0 22
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC) Svv S�J
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT) / Z J v
Commercial TIF (TIF-C)
Industrial 11F (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
Water Quality (WQUAL) �- /fa Lx
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN) ?y•Go 2��G a `�
TOTALS: GZ frU, Y Jam` l0
Solar Balance WorFsheet
Address--_���_
Box A calculations : North-South dimension for the lot . rBox A:
This dimension is determined by finding the midpoint of the
North lot line and drawing an intersecting line perpendicular
to that point . Measure the distance from the midpoint of the , )
North lot line to the South lot line along the described line .
ft
11nx B calculations : Shade point height from your structure . Box B :
1 Determine whether measurements will he based on the peak
or eave of your structure . The orientation of the ridge
is also important- . Which
t:i : if the roof line runs North-South, measurements will. be describes
based on the peak of the roof . your lot?
1h: If the roof line runs East-West and the roof pitch is less (Circle one)
than 5/12 , measurements will be based on the eave .
l If the roof line runs East-West and the roof pitch is 5/12 la lb lc
or steeper, measurements will be based on the peak .
2. . Measure change in elevation from front property line to � -1.
finished floor elevation. c ft
3 . Measure distance from finished floor elevation to the
affected peak/eave . .j ft
4 . If the roof line runs North-South, deduct three feet .
If the roof line runs East-West , deduct nothing.
Subtract one foot for each foot of difference in elevation
from the front property 1=_ne to the rear property line, if
the lot slopes up from the front to the reax . If the lot _ �' (
has no slope or slopes up from the rear to the front,
deduct nothing.
r . Total figure for box B :
f=t
Ir)x C. Distance to the shade reduction line . Bux C :
1 . Measure the distance from the North property line to the
foundation. ft
�P to the affected
2 . Measure the distance from the foundation �. f.t_
peak or eave .
� . Total figure for box C: -
f� ft
i
r� d,
Sola,r Balance Worksheet
Address 1--t� 1
Box A calculations : North-South dimension for the lot . i ,r, A:
This dimension is determined by finding the midpoint of the
North lot .line and drawing an intersecting line perpendicular
to that point . Measure the distance from the midpoint of the /
North lot line to the South lot line along the described line .
f t
Box B calculations : Shade point height from your structure . Box B:
1 . Determine whether measurements will be based on the peak
or eave of your structure. . The orientation of the ridge
is also important . Which
1a: If. the roof line .runs North-South, measurements will be describes
based on the peak of the roof . your lot?
lb: if the roof line runs East-West and the goof pitch is less (Circle one)
than 5/12 , measurements will be based on the eave .
tc : If the roof line runs East-West and the roof pitch is 5/12 la Ib 1c
or steeper, measurements will be based on the peak.
2 . Measure change in elevation from front property line to
finished floor elevation. ft
4 . Measrre distance from finished floor elevation to the
affected peak/eave . _ ft
n . If the roof line runs North-South, deduct three feet .
If the roof line runs East-West, deduct nothing.
Subtract one foot for each foot of difference in elevation
from the front property line to the rear property line, if
the lot slopes up from the front to the rear. If the lot _ r�
has no slope or slopes up from the rear to the front, _ ! ft
deduct nothing.
Total figure for box B : '
t
IBox C. Distance to the shade reduction line .
f
1 . Measure the distance from the North property lane to the
f-)undation.
2 . Measure the distance from the foundation to the affected + ft_
peak or eave .
Total fiqur'e for box C: -_----�
ad�' ft
ALAN MASCORD DESIGN ASSOC. , INC.
1305 N.W. 18TH AVENUE
POR'T'LAND, OREGON 97209 (503) 2?.5-9161
SOLAR CALCULATIONS FOR
L.H.L. CONST.
LOT 8
IIILLSHIRE SUMMIT
CITY OF TIGARD
.. . . ..........
GIVEN DESIGN VALUES:
N/S LOT DIMENSION. . . . . . . . . . . . . . . . . . 88. 31
AVERAGE FRONT P.L. ELEV. . . . . . . . . . . . 1.07
AVERAGE REAR P.L. F.LEV. . . . . . . . . . . . . 111
HEIGHT OF RIDGE. . . . . . . . . . . . . . . . . . . . 28
HEIGHT OF EAVE. . . . . . . . . . . . . . . . . . . . . 0
ROOF RISE PER 12 RUN. . . . . . . . . . . . . . . 6
DOES RIDGE RUN NIS. . . . . . . . . . . . . . . . . X
SETBACK DISTANCE FOR SHADE POINT. . . 22
: .
CALCULATED VALUES:
ADJUSTED NIS LOT DIMENSION. . . . . . . . . 88. 33
RIDGE ELEVATION. . . . . . . . . . . . . . . . . . . . 135
EAVE ELEVATION. . . . . . . . . . . . . . . . . . . . . 107
ADDITION TO S.P.N. FOR NIS RIDGE. . . 3
ADDITION TO S.P.H. FOR REAR P.L. . . . 4
ALLOWED SHADE POINT ELEVATION. . . . . . 135. 134
ACTUAL SHADE POINT ELEVATION. . . . . . . 135
BUILDING COMPLIES WITH SOLAR CODE. . .
?228V
6Y
L.H.L. CONST
CI1 Y OF TIGARD
HILLSHIRE SUMMIT
LOT 8
I I, 1 I I SQ. FT.
N 0'28'55" E 111'
108' 4 �_� � �
122.96' L 7
l w
C%l O1 1 it
�'N �� .......................................................'.............�1 .......................................;... ........... N
co �\ :5 1/
♦ MAIN FL000':
A
N
♦
GARAGE ';
♦ . . :. EL.=105:0'' '......�......\• .,.
\ ... . 1" -51
s, �\ 1
DRIVEWAY
/O r, (3500 P.S 1) 0 1
� t
s ♦ � I
op do 100'
` 100'AA5 -1100'
100'
ORIGINAL 04/04/95 MRR
O �-
u�
A L A n MAI ( 0D DIf10n AIIOCIA1Cf InC
1305 N.W. 161-H AVENUE, PORTLAND, OREGON 97209 15031 225-9161 SCALE t " : 2 0 ' - 0 "
CITY OF TTGnRD RECEIPT OF PAYMENT RECEIPT NO. %95-263173
CHECK AMOUNT a 250. 00
LHL. CONSTRUCT ION CASH AMOUNT z 0. 00
711O SW FIR LOOP SUITE 160
PAYMENT DATE a 03/21r95
rXionlVTSION
TIGARD, OREGON 9-72J'32-
PLIPPi 6,E OF PAYMENT AMOUNT PAID PURPOSE OF PAVMENT OMOUNT PAID
P(J4\1 CHECK FE 250. 00
439*78 SW ALPINE VIEW COURT'
10-101 AMOUN7 PF41D P50. 00
CITY OF TICARD RECEIPT OF PAYMENT RECFIFST NO. sciS-264072
CHECK AMOUNT s 6030. 81
�NAME s LHL CONSTRUCTION, INC. CASH AMOUNT c 0. 00
!ADL)RE89 s 7110 SW FIR LOOP S-160 PAYMENT PATE' s 04/1e'l/95
TIGARD, OR SURD IV ISION
97223—
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT f--lAID
gJ I E76 lii4GBERM`-- olsr9lFj—vf 15pe`. 750. 50 PLUMBING PERM 225. oel
MECHANICAL PE 45. 00 ST. BUILD PER 51 . 03
PL(IN CHECK FF. 249. Vrs SEWER USA 2p00. 00
SEWER !NSPECT 35. 00 PARKS SDC 500. 00
RES IDF:NTIAl_ TRAFFIC FEES 1430, 00 MASS TRANSIT T IF' FEES I l?Q1. 00
H20 OVAL ITY FACILITY FEE 180. 00 HPO QUANTITY FACILITY FEE 100. 00
F-POSION CONTROL, PERMITFFF- 86. 9.10 EROSION CONTROL PLAN CK 28. 60
EF40SION rONTROL ?8. 60
tIlf"478 SW ALPINE VI[-:W Cl*.
101W, -MOUNT PAID b030. 81