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13372 SW CLEARVIEW WAY ADDRESS: is\records\microFlm\t argets\building.doc CITY OF TIGARD L..1.FtI i I I U)i L tA COMMUNITY DEVELOPMENT DEPAATMENT OCCO WANC'y SW Hall Blvd.Tigarti,Oregon 97223*8199 (603)039-4171 MI T DATE 15SUF�,V. ld,i i c:I "N)CRUM. . . i 1337e-'. 13W LLEARVIEW WY PONCELs 2010AVC-04H-v- -,UBDIV&SPION. . . . a RENCI-RIEW FSTATFJ,'� 7.UN 1146 R--4. LCL-LL K. . . . . . . a LA17 48 CLASS 01' WOI-";'%. INEV rYPE OF' USE , . . xSr OccupnNcy 011P. 03 OCCUPANCY TENANT NAME— POT11 T t I 0 R WILL.1AMSPON CQNbTl0JCTT.ore 105,11 LN LAKE CJGt%'EUU OR 97034 A. R. WILLIAMSON C01 ! 1050 SCHMORT LANE 02WEGO OR 97034 1.1ccuponvy of thlo Abc►vc- bu, taing is hf.?r,oaby !I vo,-n, a tl Ll L.'V V't I I i V a f-hq ct)mplimnve with ths- Stats! Of Oregon E;pec'ialty Cod(?r for- thv pl-'Oup" oclapavic'. , And usp u1ndrr whith I 'te roferanced poprmit wau IRC: DEP;'1RTMLN1 Y, El11.171 IVC! —67r-r i—ct ii-L L iNAP I ri o-j!14 (-fi, f)CF IN@pMon XMICS City or Tigard MDAieq Department 13125 M Sail Blvd. Tigard, ocagon 97223 I Inspection Line (Rea-O-Phone)o 639-4175 Business Phone 639-4171 f Inspections -- lojoting Plbg. Und&relab Mach. Rough-in Appr/sdwlk pound. Plbg. Top Out Gas Line !I Post/sem struct. San. sewer truing FA Post/sem Mach. Rain Drain Insulation .-Plumb. . .bg. Underfloor M tem Line Gyp. Ed. C Meth Date Requested# L l � Timie3 _Z:AN PH Addreasr C'C Permit fr�1� �,�C- � Builders— TBS POL'.iOMIMG 1ORASCTIOMS ARS R20UIRZD9 Inepec4ort- ---AC%ems - ---- Date APPPiOVSD D/SAPPRavir) � APPROVED SUBJECT TO horwc Ci:l For Rainep. r' INSPECTION NOTICE City of Tigard Building Department. 13125 M Ball Blvd. Tigard, Oregon 97273 Inspection Line (Roc-O-Phone): 639-4175 Husinew Phon')s 639-4171 Inspuctions Footing !,bg. Underslab Marks. Rough-in Arpr/Sdwlk Pound. Pibg. Top Out On■ Line FINAis) Post/Beam Struct. San. Sewer Framing -Bldg. Post/Boam Mach. Rain Dratn Insulation -Plumb rflou Water Line Gyp. Bd. -Mach.0 �1?wrq Itoquestode .3 _.Time: 7 AM PM Pecmit Address: '(�ic7' �) BuildersG�-�-t � TBE FOLLOWING CORRE.1TIONS ARE REQUIR1SD s IiL t< Inspectors natal --------- Data: APIROVED - DISAPPROVED -- _ APPROVED SUBJECT TO ABOVE Call For Rainsp. INSPECTION NOTICF. City of Tigard Building Delartssent 13125 8w Bell Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phone): 639-4175 Busineas : •minas 639-4171 Inspections — Footing :lbg. UnderslAb Mach. Rough-in ZLSdwlk Found. Plbg. Top Out Gas Line FINALS Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Ruin Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Mach. Data Requesteds �� � —Times AM _ PM Addraes:_ / �3 ZZ �- �_L��1 _--- Permit Builders�1�7 �rr -- TBR FOLLOWING CORRECTIONS ARE REQUIRED: Inspectors m � L Datei�J�7 �� 2-APPROVED DISAPPROVED - APPROVED SURJRCT TO ABOVE Call For Ruinsp. iL Pa Z-cr�0" NOTICE City of Tigard Building Department 13125 SM Ball Blvd. Tigard, Oregon 97223 Inspection Line (Re(:-O-Phone)t 679-4175 Buoine,te Phone: 639-4171 Inspection: Footing Plbg. Underslab Mhch. Rough-in Appr./Sdwlk Found. Plbg. Top 'ut Cas Line FINAL: Poet/Beam Struct. San. Surer Framing -Bldg. Poet/Beam Me--h. .rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Bd. -Mech. Date Regueetvdt C! Times _AM PN Addrese:_ I.� �� 11 �� /� (�� _ Permit I: qe2 - Z-O �--- Builder: r TBE FOLLOWING CORRECTIONS ARE REQUIREDt cz Inspector:— _._ Date: Z _ _-APPROVED V_ DISAPPROVED fes' ATPROVRD SUBJECT TO ABOVE Call For Reinap. IYpecTrox NOTcs city or Tigard Building Department ' 13125 BN Hall Blvd. Tigard, Oregon 97223' _I4. Inspection Line (Rec-O-Phonb;e 639-4175 Buei :uss 111�ne: 6J9-4171 Inspections._ Footing Plbg. Underslab Mach. Rough-in Al, -/Sdwlk Found. Plbg. Top Out One Line PINALs Poe: 'neam Struct. Sen. Sewer Framing -Bldg. Post/Beam Mech. Rain Drain Insulation�� -Plumb. Pltg. Underfloor Nater Line Oyp. Bd. -Hach. Date Requesteds_ ,� AH PH Addreass J` Permit EtC�jz [/Z aZ. Builder:-_ IZ?__--7e TRE FOLLOWINJ CORRECTIONS ARE REQUIREDi "nspector: Dates APPROVED DISAPPROVED APPRO'1RD SUB.TECT TO ABOVE __Call For Rtinsp. INSP%,TION NOTICE �{ city of A Bu!lding Department 13125 SM Nal_ A. Tigard, Dragon 9'/223 Inspection Line (Rec-O-.. ane` 639-•4.175 Business Phone: 639-4171 Inepwction:_ Footing Plbg. -slab Mech. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Lincs FINAL: Post/Beam Struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Inuulation -Plumb. Plbg. Underfloor Fater Line Gyp. Bd. -Hoch. Date Requested:_ a2L -ef _—�_ Times /^ AM PM Addrees: /33 permit is Builder: ``�`� --� TRE FOLLOiiIh3 CORRECTIONS ARE REQUIRED: / r Inspectors Dates _ __RPPROVtC DISAPPR01Rp- APPROVEn SUBJECT TO ABOVE i Call For Reinep. INSPECTION NOTICE City of Tigard Building Department 13125 811 Ball Blvd. Tigard, Ot®gon 97223 InspEction Lino jRec-O-Ph-ne)t 639-4175 Business Phone: 639-4171 Inspecciont Footing Plbg. UnderslLb Hoch. Rough-in Appr/Sdwlk Found. Plbg. Top Out ams Lin• ) FINAL: Post/Beam StLuct. San. Sewer raining f -Bldg. Post/Beam Hoch. Rain Drain Insu_—lation -Plumb. Plbg. Underfloor WaateerJ Lin Gyp. Bd. -Meth. Date Requeste1% 4:::,? [7 -/�y _T�= AN kddresst�y' 72, ( H w � Permit 1:!q z Builders THE FOLLOWING CORRECTIONS ARE REQUIREV: Inspectors Datet�2i" yAPPROVEr DISAPPROVED APPROVED SUBJRCT TO ABOVE _—Call For Rei.nsp. INSPECTION N0nCE City of Tigard Building Departareut 13125 M Ball Blwd. Ti Bard, Orvvjon 97223 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspoction: -----___ hootinq Plbq. Underslab ec:h. Rough-in Appr/Sdwlk Found. Pl . bq Top Out � Gas Line FINAL: Post/Be-m Struct. San. Sewer l Framing -Bldg. Post/Beam Mech. Hain Crain _ Insulation -Plumb. Plb,j. Underflo-3r Nater Line Gy- Bd. -Mech. Date Request-ed:_ /!L —,_Times —_�AM /) PM Address:_ �s�•. /'1E y� permit �sC�y -�/ Z�� Z- Builders TNM FOLLOWING CORREMIONS ARE RBQUIRCD: 77 Inspector:— _ __i Date:_--V_ �—APPROVED DTRAPPROVF.D APPROVED SURJECT TC% ABOVE _ Cell For Reinsp. INSPECTION_AOTICE City of Tigard es,i.lding enpsrto at 13125 BW Ball Blvd. Tigard, Oreg-a 97223 I Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspections. Footin; Plbg. Underelab Mech. Rough-in Appr/Sdw1Y_ Found. lbg. Top out J Gas Line FINALS Poet/Beam Struct. San. Sewer Frasi'ij -Bldg. Post/BMam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater line Gyp. Ed. ech. Date Requested, Times AM PM AddreassPermit 1: � Builders TBE FOLLOWINO CORRECTION, ARE RFQUIRED: -— I Dates! APPROVED DISAPPROVRD _— APPROVED SUBJECT TO AWNIC 1� Cell For Reinap. JNSPRC'TION NOTICE city of Tigard Building Department 13125 811 Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec--O-Phone): 639-4175 Business Phone: 639-4171 Inspection: -- -- Footing Plbg. Underslab Hoch. Rough-in Appr!rdwlk Found. Z__.,o Plbg. Top Out Gas Line FINiLe ('10—et/Beam Struc� San. Sewer Framing .-Bldg. Post/Beam Hoch. / Rain Drain Insulation -Plumb. P1:�g. Underfloor Nater Limns Gyp. Bd. -Hach. Date Requesteds_ - / /f Timb PH R Address: Builder.:_- % f�LG'Z�f7[.��1• —^ TRE FOLLOWING CORRECTIONS AAE REQUIRED: �L . r i InspectorrT1N Dater APPROVED DISAPPROVED `/ "PROVED SUBJECT TO ABOV1t Call For Reinsp. i .i XNSPECTION NOTICE City of Tigard Building Depart-01-12t 13125 RM Ball Bled. Tigard, vregon 97223 Inskection Line (R.ec-O-Phone): 619-4175 ©uJinees Phone: 639-4171 Inspection: a Footing Plbg. Undoralab Mach. Rough-in Appr/sdwlk Found. ring. Top Out Gas Lina FINAL: Post/Beam struCt. San. sewer FramLng -Bldg. Post/Beam Much. Rein Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Bd. -Hoch. Date Requented:_ / Time: —AN Addrons:_ �7 _.C_lVI/ Permit Builder:-�LTL�. THEFOLLOWINGCORRECTIONS ARE REQUIRED: � - a Y Inspector.-_ � T _ Date:_!-� G APPROVED DISAPPROVED APPR04:1-N SUBJECT TO ABOVE Call For Reinap. 111BP gUCIi NOTICE city of Tigard Bullding tlepartIm—t 1312S dA Ball Blvd. Tigard, Oregon 97223 It ', Inspection Line (Roc-o-Phono)s 639-4175 Business Phone: 639•4171 Inspections Footing Plbg Underelab Mech. Rough-in Appr/sdwlk Found. Plbg. Top Out gas Line FINALs Poet/Ream Struct. �4' Sewer 1 Framing -Bldg. Prat/Beam Mach. Rain Drain Insulatidn -Plumb. +M1�rM Plbg. Underfloor lWaater Line gyp. Rd. -Noah. Date Requesteds /" E � _Timet AM PN Address / 7� Permit ft� -DTTT� Buildert Gam y TNM *C:.LUNING CORRECTIONS ARE RE(1UIREDs ZY / I r 1 Inspectors— _ �►- Dates i L - __ "PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _-call For Reinap. INSPECTION NOTIC$ City of Tigard Building Department / 13125 BW Ball Blvd. Tigard, Oregon 97'123 Inspection Line (Rec-O-Phone)t 639-4175 Busines, Phunet 639-4171 Inspections sc - -., - Footing Plbg. Underslab Koch. Rough-in Appr/Sdwlk Pound. Plbg. Top Out Gas Line FINALS Post/Beam Struct. Ban. Sewer Framing -Bldg. Post/Beam Koch. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line Gyp. Ed. -Koch. Date Roqueatodt /U /4j7 L Timek'' _ PK Address= 7 Z L ��Lu� crr Permit Pt Z Builders-- THE FOLLOWING CORRECTIONS ARE REQUIREDt 104 do Inspectors_ _�. Datas�_�1�1 A-APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinep. INSPECTION NOTICE Citi of Tigard Building Department 13123 M Sall Blvd. Tigard, Oregon 97223 Inspection Line (Rec-O-Phones 639-4175 Business Phones 639-4171 Inspeations Pibg. Underslab Koch. Rough-in Appr/Odwlk Pound. Plbq. Top Out Gas Line PINALs Post/Bean Struct. San. Bever Framing -Bldg. Post/Beam Meoh. Rain Drain insulation -Plumb. Plbg. Underfloor Nater Line Gyp. 6d. -Meeh. CS-f l Date Requesteds L L\ z - 2 Time AM --PH Address_ ( `?I,J Z n _oL�1/"�l�Yf (1 cy / Permit 0c Buildersj`\ I -1 l_, /�_ U✓\ScS�> r�`� 7 7 (� THE POLLOiP:NG CORRECTIONS ARE RBQUIR=Ds I Inspectors Dates v APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinep. �A► FADr%ROFTICffY� r-1,0MBIN�� rl i�Mi1' COMMUN TY DEVELOPMENT DEPARTMENT ��RD �'�17M r.T lf. . . . , ,. . : MST�3 0c�'tlr2 13125 SW HO RkA P.O.Box 23W.T%wd,CONOW 07 (600)GW417b r SITE,.ADDRESS. . . A 1.3.372 SW CLEARV IEW WY PARCEL A 2S 104DC.-•04600 SUl$DxVISION. . . . s ISENC,�vIEW- ESTATES I ,.. ZONINGr R-4. 5 BLOCK. . , . . . . . A LqT. _ , . . .`. . . . . . . 148 CLASS OF WORK. . ANEW GARBAGE DISPOSALS. . s 1 TYPE OF USE. . . . ASE' WASHING MACH. . . . . . . 11 BACKFL.OW PRE VNTRS. . e 0 OCCUPANCY GRP. '. eR3 FLOOR DRAINS. . . . . . . e0 TRAPS. . . . . . . . . . . . . . :0 STORIES. . . . . . . ..PP WATER HEATERS. . . . . . el CATCH BASINS. . . . . . . a0 FIXTURES--•------.------- LAUNDRY TRAYS. . . . . . It SF RAIN DRAINS. . . . . : 1 SINKS. . . . . . . . . .Mr2 a GREASE. TRAPS'. . . . . . . e6 LAVATORIES. . . . . J 5 OTHER FIXTURES. . . . . .IUB/EsHOWERS. - o-,*A SEWS LINE (ft ) . . . o :O WATT:., CL'.OSE.T9-,,,,;13 A 3 WATEW I.INt` (`ft ) . . . . 0100_­ L) 10vr_UR� 4u � ISHWASHE . . .'. al r?F11N �RATIN' rr '� . ,� FlelAarRkse "PATH 0.._.._ UWNERA t 77� +' A R WILLI,AMSUN'-i.I)NS'TRUCT'1(]N TIF t 1460. 00 JH 09/25/92 - to 50 SCHUKART rN . UPRT $ 5 1T. 00 .JH 09/25/92 W DPLC $ 343. 20 JLH 09/09/92 231425 LAKE USWEGO OR 97034 B5PC f 26. 40 JH 09/25/92 - Phone MA 789--i�428 5ST)1`, 11 280. 00 JH 09/25/92 - PARK $ 500. 00 JH (69/25/9P - I,Ambing Contract or MPRT $ 45. ellb JH 09/85/.W - D MPLG 1- 11. 25 JH 09/25/92 M51:,(: 25 ,II-t 09/2'5/42 - Address : ��..�. PPR1 $ 170. 00 JH 09/25/92 - CityA - -- _Staatee_ P5pc; $ 8. 50 JH 00/25/92 _ Zips _ Phone##.—. _. _._. Reg #o REQU I REQ IJ INSPECTIONS -_.._..- ._....._ This permit is issued subject to the reg- ulations contained in the Tigard Muni.1_-ipal Foot/fount! Insp Rain drain Insp c"od" , ';tete al` Ore. !ipecial Ey rode . .-tri aill C'n>s�/TTeAre �itrac+ hater Lire Insp other appl icattlp .[Aws. All work will br, done Pn%t !DeAm Nechar, Appr/5dw1k Innp in accordance with approvod plans. Thia Plm/undiilab Insp Merha:nical Final permit will expire if work is tint star'tetl GLM/Underfloor Piuml) Final w�,lrlii.n 160 days of issuance, or if work is Mbchanic,al. Insp Building Final oguspended far mare than 160 days. Plumb "rnp Out Erosion Contral. Framing Insp Crawl Drain Gaa l.Ane Insp 1 lnsiOAt; ion Insp x �. G�1. v �✓ ___._ Gyp board Insp R"tho zed P1mmbing t;ontrac oo Signature Call fi`TiN iny;)octian E,39-4175 f;antrar.tar Notes:__ II CITYOFTIFARDEi 5i-'WER CONNECTION MY PERMIT COMMUNITY DEVELOPMENT DEPARTMENT WAS PE RM I l #. . . . . . . : SWR92—0,:'H', 19125 SW 4dl axed P O.BaK 23397,TiPW,Oregon 97's27(5W)6394175 639-4171 DATE ISSUED: 09/25/92 ^ SITE ADDRESS. . . : 13372 SW CLEARVIEW WY PARCEL' �511��.;Il —04E100 SUBDIVISION. . . . - BENiUH V I CW ESTATES ZONING: R--b. 5 BLOCK. . . . . . . . . . I LOI.. . . . . . . . . . . . . :48 _.----------------------_-------------------------------------------------------- T E.NANT NAME. . . . . s IDSA NCI. . . . . . . . . . : FIXTURE UNITS. . . s LLAGS OF WORK. . . :NEW DWELLING UNITS. . : 1 TYPE OF USE. . . . . :SF NO. OF BUILDINGS: I INSTALL TYPE. . . . :HUSWR IMPERV SURFACE. . : Isf Remarks- PATH I Owner': -------------------------------------- ----------------- FETES N R 14ILLIOMSON CONSTRUCTION type amount by date recpt 1(t150 SLHUKART LN PRMI t 2100. 00 JH 09/25/92 — IIVSr' $ 35. 00 JH 09/x'5/92 -- LAKE OSWE=GO OR 97034 Phone #: 769-2426 Contractors ----------------------------- l:AJNTRACTOR NOT ON FILE Olione #: f 2135. 00 TOTAL Reg #. . : REQUIRED INSPECTIONS ------ This Applicant agrees to comply with all the rules and regulations Sewer- Inspection of the Urified Sewage Agency. The permit expires 180 days f-on _ the date issued. The total amount paid will b^ forfeited it the permit expires. The Agency does not guarantee the accuracy nF the side sewer laterals. If the sewer is not located at the measurevint given, the installer shall prospect 3 feet in all directions from the distance giver. If no: so located, the installer shall purchase a "Tap and Side Sewer" Permit and th ncy w' i t 11 a lateral. f e r m i t t e e S i g n r t r_i r e: 1 s s r_1 e d B y : Lill for, inspection — 639-41115 I C� -� 0�l� CITYOFTIFARD RD 'COMMUNITY DEVELOPMENT DEPARTMENT MASTER PERMIT #1. . . . . . .. .. .FIER :T 131268WHrflBbd.P.O.Bac 23397,TigW,OrWn 97221(503)63W-075M5T92~0: 02 639-4171— DA?.E ISSUE-1): 09/25/92 SITE ADDRESS. . . : 13372' SW C:LE(,RVIEW WY PARCEL: 2S104DC-04800 SUBDIVISION. . . . : BF_NCHV I E•W Eca'TATES ZONING: R-•4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :48 BUILDING REISSUES DWcLLING UNITS: 1 BASEMENT. . . . . . . . :0 sf• LLASS OF' WORK. :NEW BEDRMS:3 BAT HS-3 GARAGE. . . . . . . . . . :7'75 s f -1 YNE OF USE.. . . :SF FI_U(JR AREAS-.._-_ - -- -- REQUIRED SE'TBACKS------------- TYPE OF CCINST. :5N FIRST. . . . : 1488 s f LEFT. . : 15 ft RIGHT. :20 ft OLLUPANCY GRP. :R13 SECOND. . . : 1208 s f FRO'VT. 120 - t REAR. . s 30 ft STORIES. . . . . . . :c TH I RD. . . . :0 s f REQU I RED-- HLIGHT. . . . . . . . :29 f+, TOTAL------:2696 sf SMOKE DETECTORS. : Y FLOOR LOAD. . . . :40 pff VALUE. . . . . f : 137`',66 PARKING SPACES. . .- 1 Remarks: PATH I ------------------------------------- PLUMBING -_- ---- SINKS. . . . . . . . . . :2 FLOOR DRAINS. . . . :0 BACKFLOW PREVN. RS. . :O LAVATORIES. . . . . :5 WATER HEATERS. . . : 1 TRAPS. . . . . . . . . . . . . . :0 TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . . . :0 WATER CL0SL7S. . :3 SEWER LINE (-Ft) . :0 GREA6E TRAPS. . . . . . . :0 DJSSHWNSHERS. . . . : 1 WATER LINT ( f•t ) . : 100 OTHER FIXTURES. . . . . :0 bfIRtIAGE DIBP. . . : 1 RAIN DRAIN (ft ) . :0 WASH I NG MACH. . . : 1 SF RAIN DRAINS. . : 1 MECHANICAL -_____.____._.___ __-- ----•---.-•--__.__ FEES ____._---•----._....._ FUEL. TYPES------•------ UNIT HTRS. . :O type amount by date recpt /GAS/ / 1 VENTS . . . . . :0 TIF t 1460. 00 JH 09/25/92 IMAX INPUT-0 BTU VEI\IT FANS. . :4 BPRT f 528. 00 JH 09/: 5/92 - FURN ( 100K . . :0 HOODS. . . . . . .. 1 BPLC $ 343. 20 JLH 09/09/92 P3142':5 FLJRN ) =100K . . .- I WOODSTOVES. :0 B5PC $ 26. 40 JH 09/25/92 -- FLOOR FURN. . . . :0 CLO DRYERS. : 1 SSDC f 280. 1210 JH 09/25/92 - BOIL/CMP ( 3HP:0 OTHER UNITS: 1 PARK $ 500. 00 JH 09/25/92 - GAS OUTLETS: 1 MPRT $ 45. 00 JH 09/25/92 Owner: -- -- -._.______________.__._.___._._.__._..____._._ IVIPLC $ 11. 25 ,JH 09/25/92 - A R WILL_IAMSON CONSTRUCTION I15PL $ 2. 25 JH 09/25/92 - L050 SLHUKART L.ly PPIRT * 1 /0. 00 .JH 09/25/92 - P5PC $ 8. 50 JH 09/25/92 LAKE OSWEGO OR 97034 Phone #s 789-2428 I-ontractor: A. R. W I L_L I AMSON CONSTRUCTION 1050 SCHUKART LANE LAKE OSWEGO OR 97034 Phone #: R e f 3374. 60 TOTAL This permit is issued subject to the repuletint- («ntained in the ---- -- - REQUIRED INSPECTIONS ------ Tigard Municipal Code, State of Ore. Specialty Codes and all other Foot/found Insp Fireplace Insp applicable laws. All work will be done in arr,nrd2nc@ with approved Post/Beam Struct Gas Line Insp plans. This permit will expire if work is not started within 188 Post/Beam Meehan InSl118t ion Insp clays of issuance, or if work is suspendAV for acre tha88 days. F'lm/undslah Insp Gyp Beard Inep PL_M/Underfloot- Rain drain Insp 1- ermittep Gii natt-tre : Mechanical Insp WaterLine Insp Plumb Top Out Appr/Sdwlk Insp Issc.ted Hy : Framing Insp Mechanical Final CITY OF TIGARD RECEIPT OF PAYMENT RECEIPT NO. 192-43204-1 CHECK AMOUNT a 5259. 60 NAM[l a W11—LIAMSON, A. R. CASH AMOUNT W. 00 ADDRESS a PAYMENT DATE a 09 x/92 SUS0 V,IS ION PURPOSE OF PArMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID BUILDING PERM 528. 00 PLUMBING PERM 170. 00 MECHANICAL PE 45. 00 ST. BUILD PER 37. 15 PLAN CHECK FE 104. 45 SEWER USA 100. 00 SEWER INSPECT 35. 00 PARKS SDC 500. 00 STORM DRAIN SOC 280. 00 RESIDENTIAL TRAFFIC FEES 1350. 00 MASS TRANSIT TIF FEES 110. 00 LGT48 OENCHVIEW El,TATES 13178- SW CLEnRVIEW WAY 101AL AMOUNT PAID 60 • �Vl�f L ' m (� A13I25SW Iiall BNa. PLNCK/RECT #CI 1m1y OF 1 I lJ ARD PO Bo:23397 PERMIT N . � COMMUNI I-V DEVELOPMENT DEPARTMENT T,6a,Aomr gnz (50))639-4171 OATE ISSUED TAX MAP S ' 0000 JOB ADDRESS. L01 O DC MAP/ L01 +/ ,/�PCJ `, � LOT: ��� LAND USE: VALUATION: 13 7, L, owta �/ SPECIAL NOTES NAME: ,% � /�l �t��4ti� QLI: .�/LG /�2. REISSUC OF: ADDRESS: /bg?-)_3C_ -4�/ LAST REISSUE: FLOOD PLAIN/ PHONE: 4"zSr,/G��/� _ SENSITIVE LAND: _ CONTRACTOR APPROVALS REQUIRED FIME: � PLANNING: — ADDRESS: — ENGINEERING: FIRE DEPT: PHONE: _ _ OTHER: CONTR. BOARD #: "7_-- EXP DATE. �y-/r,kU �' LT.0S REQUIRE2 SUBCONTRACTORS: PLUMB: � la i,_, I-IST/SUBCONTRACTORS: -- MECH: _ BUS TAX: -- -�_— �RCH/ENGINEEg? CALCULATIONS: _ _ — NAME: _ 91.11coetea- 0 TRUSS DETAILS:��x -ADDRESS: ,. �_ _ OTHER: __ PHONE: PROPOSED BLDG. USE: COMMENTS: AP LICANT SIGNATURE �! Received By: Date Received: ' PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT P0. BAL. DUE 151YZ•02a210-43'2 00 Building Permit Ices, I �J _. 10-431 00 Plumbing Permit Fees 170. 10-431 01 Mechanical Permit Fees 10-230 01 State Building Tax (5%) _37,1= _ -37/1 Building _216, 0 Plumbing . 0_ Mechanical 2.15 10-433 00 Plans Check Fee 354.45 _ 104, S Building Zn Plumbing Mechanical 1.0-230 06 Fire -020 30-202 00 Sewer Connection Z1,00 30-444 00 Sewer Inspection 25-448--02 Commercial 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 o0 —_—_ 1354, •� 25-448-05 Mass Transit TIF Fees iio• ae _ ll D. oy 52-449 00 Parks System Dev Charge (PUC) 5q v ,Sou 31-450 00 Storm Dr,inage Syst Dev Chrg (SSDC) _2.96 24-445-01 Water Quality (Fee in lieu of) - 24-44C ^2 Water Quantity (Fee in lieu of) TOTAL nm/3587P.WPf r i' CITY OF TIGARD — RECEIPT OF PAYMENT PEZEIPT NO. CHECK AMOUNT NAME t W I LL I AMSON, A. R'. CASH AMOUNT a 0. 00 ADDRESS PAYMENT DATE n 09/09/92 SUBDIVISION n PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNY PAID 1i Pl—AN CHECK FE 250. 00 I� �I 1.3:372 SW CLA-',FFV [EW W(VV 1'CITAL AMOUNT PO I D — — > 50. 00