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16255 SW COPPER CREEK DRIVE ADDRESS: i:\records\microflm\targets\building.doc I OF TIGARD C:ERTIFICA"IE or COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY 13125 SW Hell Blvd.Tigard,Oiogon 97223.9199 (603 x639-Kra PERMIT #. . , . . . , C M T9:s Q 1 '5 ' 637-4171 DATE: ISSUED: 1 1 J 10lg:: PARCEL t 28114BA-1 6500 SITE ADDRCSS. . . a 16255 8W COP'I'ER CREEK DR SUBDIVISION. . • . t COPPER R CREEK STAGE 4 ZON I NG e R-7 3LOCK. . . . . . . . . . CLAMS OF WORK. t NE:W TYPE OF USE. . . a 5F OCCUPANCY CARP. a IR3 W. CUPANCY LOAD a 226 4 TCN11117 NOW* . . t Hemeor ka a PATH I Ownera --w••••__,....w. w_�_,._._..._.__._..�_,_.__.w___�_._.__.__ L f-1UPr-l_ K I RISCH BAUM 9 385 5W JUL:A PC_ T I GARD OR 97223 Phovre Ox Contrac:tort _..... _.__._.......__._... ._..__.__._._..__.____�_ DAN REVES OL NE FRAC.. CONTRACTING 13436 SE BADEBRUS14 DR CLACKAMAS OR 97015 Phone Mt 698-2091 Reg #. . p 27678 Occupancy of the ab-..ye referenced building is Thereby given, aliv re,^ttfies the+ compliance with the State Of Urogon Specialty C'rd!ra ft.r the gro"Pq oc,rupAvi y, and use under which the rsferenr..ed per,nit was i .,^ued. FI RE'z" DEPARTMENT DI Cii'T iCrPE:CTOR' i BU I L D I NO &�vnft POST IN CONSPICUOUS PLACE= INSPECTIQR NOTI.r City Of Tigard Bbildin Drpartrent 13123 Sw Hall Nlyd. Tigard. Oregon 97223 Inspection Line (!mac-0.[+hor►r)! dLolol 639-4175 Business Dhoner 639-4171 Inspections Footing Plbg. Underslab Kwh. Rough-in s/Sdrlk -' Found. Plbg. Top Out Gar Line jEINAL� s Post/Beam Struct. San. Sealer !raring -11d�J Post/Beam Nwh. Rain Drain Insulation -P1urtr. Plbg. Underfloor Mater Line Gyp. gd. h 99 -Nech. Date Requested! �) '�d� ` ] �/ Tice! AM _ZLM Addreras1�D it y bk Permit 1! MST4?5 Of2S� builders r ( , CF (B "1 1,3(0 THE FOLLOWING CORRECTIONS ARE REQDIREDt Inrpectore -- --.��_ Dater PROVED DISAPPROVED APPROVED SttBJECT To ABOVE _Call Por Reinsp. INSPECTION NOTICE ......... Vim/ City of Tigard Building DepartEwt 11115 BW Hall Blvd. Tigard, oragun 977=1 Inspection T.,ine (Ree-•O-•Phone)t 639-4175 Businaaa lhOnet 619-4171 Inspections Footing Plbg. Underalab Hach. Rough-in App!/Sftlk end. Plbq. Top Out Gas Line yl Poot/Beam Strutt. San. Sewer Framing _sem, Post/Beam Rech. Rain Drain Insulation !1� Plbg„ Underfloor Nater LLse Ovp. Rd. p� G 2 �- Date Koquesteds_• I > Timor Address Permit Builders� THE FOLLMIN0 CORRECTIONS ARE RRMIREDt IX Tnspertostf� �� --- Datel- -__APPftMD - DISI►PPROVYD _APPROVED SUB.TECT TO ABOVE __ call For Reinsp. APPLICATIONA - STREET IMPROVEMENT/EXCAVATION COPY TO, ORDINANCE NO. 74-14 � :� X (WHITE)-FILE /` (YELLOW)-INSP. jINSTRUCTIONS ON SEPARATE SHEET) S _ _A , OTHER-OTHEI7 AGENCYfj1 . �J (BLUE)• APPLICANT �_______.-•--�[Jit''/ APPROVED W APPLICATION NO.: —4zz. NOT APPROVED U CI I Y OF FIGARD, OREGON FEE AMT.: $ 8�,� �0 PENDING FEE. PMT. ❑ CITY ]RALL RECEIPT,�p PENDING SECURI TY 0 PUBLIC WORKS DEPARTMENT BY i I + DATE. �L PENDING AGENCY "OK" CJ Application and Progress Record ,�} — r _ — — — — r M PENDING INFORMATION FOR STREET IMPROVEMENT/EXCAVATION MAI^sRioN REDCE pNO ANNUAL n PENDING VARIANCE EXPIRA ION DAT �­ / _ PERMIT N0.: ._�. ]"'Q;►` DATE ISSUED: 1x , 9 BY:� (1) APPLICATION IS HEREBY MADE TO EXCAVATE FOR AND INSTALL OMICRft SID90OLK DRIVEWAY APRON AS DESCRIBED HEREIN, IN FULL ACCORDANCE WITH CITY REQUIREMENTS. APPLICANT _ D RQVe8 13436 S-&- Sag rUah r:.ivr, f,: &Ckamm r OR 97015 698-2021 17 A l AsD R mCITY CONTRACTOR__Jeff BOr>r*Y COnatrLiCtion S8t1d%yl OR 668-7351 NAMPE ADI,Ryffr— -a--'"� PLANS BY_-__-_._.�_C-Ltl Starklards & ificatiovs 8 N 'A`Ti "— D` i� ESTIMATED IMPROVEMENT TOTAL VALUATION ( COST): $ 1+400•00 _ DOLLARS .FOR OFFI.lE�1VM 00 (2) EXCAVATION DATA: 0.04 X :_c_ •i •� STREET "DESCRIPTION PROGRESS & INSPECTION STATUS NAME SURFACE CUT CUT CUT MATERIAL INSTALLED ITEM DATE — REMARKS/TYPE BY TYPE LENGTH WIDTH DFPTH ITEM a QUANTITY ON .__ TR T - r Cr Drive - eee attar - IN EC- E QU _ ESTIMATED STREET OPENING DATE:- / / S ESTIMATED STREET CLOSING DATE: _�—_f T E 11400.00 STREET (3) SECURITY NO. _ _—__ SECURITY AMT: $. _ CLOSE SURETY CO.: __ FINAL U BOND INSPEC '- - CHECK CASH . agar r• (4) PLOT PLAN: INDICATE SITE PFRTINENT PHYSICAL SPECIAL PROVISIONS I CONDITIONS: FEATURES; EXCAVATION I.00ATION AND EXTENT, bee attached — _44,1 1 I ► 1 S. Comer Creek Drive 1 I rk area zi ITEt 16255 S.N. r (5) NOTE THE CITY (,F TIGARD DOES NOT, HEREBY, GRA1.'r PERMISSOON TO AFPLICANTS TO CONDUCT WORK WHERE RIGHT-OF WAY JURISDICTION IS THAT OF WASHINGTON COUNTY C THE STATE OF ORESCIN. THE APPLICANT AGREES 70 DEPOSIT THE REQUIRED SECURITIEA, TO CV%MPL Y WITH ALL PERTINENT LAWS AND CONSTRUCTION SPECIFICATIONS PERTINENT TO CONDUCT OF THE WORK. AND TO SAVE HARMLESS THE CITY AND EMPLOYEES AGAINST ANY INJURY OR DAMAGE WHICH MAY Rff"•:ULT FROM APPLICANTS ACTIONS, APPLICANTS SIGNATUAZE DA-P q T / 'LL�6co 1.Zo 08L6 ash h • - - 6 L 4 N w (O / o L9ZF. , Z P�E6 ` `hah h ., ,.,+3 1\d �o a \ : ;a� > �, z 01£6 ,,, o a O a v 03� yb£b �' � aD 41£6 ' V`6 �h n V N N N \ Q££O 'J 11 64 ;4£6 To 'D to 0£t tit£6 6 \'k V O 1� \ j;9£6 Ulih t. S4f6 a 05£K 9`x`6 6 Oi b5 I Q (C4 °' 49£6 \�� 09£6 91V6 OZb6 4L£6 \� OL86 M6 h 6A�q20 s+,a 0 t6 5 b 6 a U 9 b 6 Gly T o+ ae� 599`6 lE' o,,b0 as> 9 9g30 O L b b '^ a 'V 93IF \. ,ab6 9 0196 909E 446 �z5f a 'cfn — 3� e `� 'o "• l J o 'd \6� �ij L98� 0 InAn ,cf t0 �0 v C, '. I a_ •a I I O N ' o •r �—. ���. ► O G 0 2 L 6 /�''�— f` O A�o� ��GPF'� in 0 �0 AVE. 49 06 i M M n m ti �g 09L6 `?gi' 0rn U 59L6 06[6 G��9L r,c `- MEAOOW000 WAY tn 0 �n N c� ano et u� ` 9Val pn w '0 00 doO40 N Q re) fn in ``\ cLH6 �\ o 0 0 0 0 9996 '9 e 9L96 ,: m °Da+ 5586 ('9 86 \ " - ^ ti to en 8961 Z d'96. 0£86 ga 6 °% oma+ a+ m m �� y�96 o0ss ` Ogg .x,996 6 ^066 n v mQ �Q996 rn 9996 SZes ,\ o 9166 O N ' — `O \ham 0'996 9096 S 0 `'p Q� 4156 12, LD �O p Ob96 bs6 0 IM 9b61 _ .i0 NOSW180 \AZO 4996 ,968 W Fes O ^,Jb6 r� 0896 . 4296 5866 x Oe � OD n to 9L OL66 a a to �9i OZ98 �\ 3AIldp 2- to w C ra"6 _ ONV-N3381, 42001 'nrpt C1('101 VC, 00% 06801 in \ $ Op\ M gtO01 a \ / OL801 1 0 �p0 )y pe 99 gb001 .09OC 001 ggU01 09J01 801 u C4 \ Y O 9f 9 ')01 0g001 9/.1)01 .cn 04 01 m' y�00 Zug 0\\0 �.\ .•a l l R c a,�01 u C 8 0 01 N _ 1 �,�m� .rho �p\p\ 5f 147 b H = L c7A/MOA Ant 12 2 } 114500 ,14600 9 10 �- e 15800 110 h {I1 w TRACT J' �' ey 15900 X914400 $ ' w r r r r ' 1124 a e 109 ��. 14700 w r� -- —' — u 112 j W 108 ���13900 t 16000 _ �• 125 W 14200 104 1381 03 SEE MAP V 0 2S 114AS y* 107 14100 • 800 16100 & 14000 K 13700 126 106 102 • 105 406 E200if 7900 �•a• • 127 °" 13600 19 � � i ti n 16300 101 128 . *400 " FOR AE 8000 If 00 A 20 PURPO! 129 Do NOT \\ x�••1.�30 r• A , FOR At 8100 :J rr r1 �J f21 v s° d 12400 1 s 8200 89 022 w • R OQ �` ~8300 � \ �,11d�" 12.900 �• Ve r. Q C'� 23 � �,• � .,,rlOr! .,� 12600 90Q 8400 b �o1, 91 1 b 400 •� ' 24 �� r�'" < 12700 ll� 68'.) 67 aC4 92�r �. 8500TRACT�Y•� bats 1 +' 25 l [2800< 2200IF c� 11300 90.29 93 87 l 6690.00 o CJ rf m `�\. �. 100 86 95 6600 a 1290(S^�i 11200 + 26 1-1 • 94 65 90.00 ' MILLEN 94.6? 8700 8 1�' 11700 11100 27 62 11 11900 95 X000 64 .oAw 8900 r 96 81 J83 84 85 DATE PRlMI 29 tlk 9000 ir'1r 13200 IV 1 �C 11500 i �• '� _wee`` 97 ®0 � r 91 oo ._ - a n 31 v COMAV# 13300 .t? AREA to a4 98 , c MATCH go, Special Conditions/Provisions- 1. All work shall conform to City of Tigard, Oregon, Standards and Specifications. Note the attached Detail Drawings (Wa. Co. DW-201,CS-345. CS-301, Tigard 71- A-212) applicable hereto. 2. Notify City Inspector Letha Thomas(#630-4171)24 hours before starting any work. 3a. The attached Traffic Control General Requirements applicable hereto. Also, access-to and egress-from parcels of land adjacent to the work area shall be maintained at all times. Pedestrian safety shall be providod for by the contractor at all times. 4. Removal/replacement work and damage repair work shall be promptly Initiated and completed to the City's satisfaction. No work shall be considered complete until it is accepted by the City. The City reserves the right to cause testing and certification of work or repairs to be performed, to the City's satisfaction, at permittee's expense. 5. Erosion control sliali be provided for by the contractor. 6. ORS 757.541-571 applies (pre-notification for location of underground facilities, etc.). 7. Conditions of apply. H Aengdoclmaalam%"c-con.mat 3f3� Iii 7 MAX. - 0 MIN. „ DRIVEWAY R/W LINE A IP via w CONTRACTION JOINT OPTIONAL LOOCCAWTION F 6 SIDEWALK EXPANSION JOINT EXPANSION JOINT CURB JOINT SS�� A . I 3$-0" 1!1--0" MIN. (s-0" MAX. • 0" MIN. ! '0" MAX. 3`-0" FACE OF CURB SIDEWALK ADJACENT TO CURB SIDEWALK AWAY FROM CURB PLAN r-I-V2" EXPOSURE USE EXI.aTlNt3 EXP NSION JOINT OR SAWCUT AND ELEVATION B B SEECowe. NO. CSNT. 06. STREET 6r COMPACTED 9UBGnAOE7 -2" OF 3/4" MINUS SECTION A—A NOTES I. CONCRETE SHALL HAVE A MINIMUM BREAKING STRENGTH OF 3000 P.S.I. AFTER 26 DAYS , 6 SACK MIX. 2. CURB JOINT SHALL BE A TRUWELEO JOINT WITH A MINIMUM 1/2" RADIUS ALONG BACK OF CURB. S. EXPANSION JOINTS SHALL BE 1/2" PREMOLDEL ASPHALT IMPREGNATED MATERIAL OR EQUAL, EXTENDING FROM SUBGRADE TO FINISHED GRADE. 4. SEE DWG. NQ CS-300 AND NQ CS-308. WASHINGTON COUNTY "DEPARTMENT OF LAND USE RESIDENTIAL. DRIVEWAY WAND i .4ANSPORTATION f r ` CIVIL llNglNEER DRAWN APWA NO. WASK COUNTY Na . NONE DW—200 A R/W 5 MIN. CURB JOINT SEE NOTE 5 I 2% I ROAD7r•, :. 2" OF 3/4"-0 "COMPACTED SUBGRADE SIDEWALK ADJACENT TO CURB R/W 5, MIN, 6• ROAD .� 2 % will SEE NOTE 5 I . I 2" OF 3/4=0 I COMPACTED SUBGRADE SIDEWALK AWAY FROM CURB NOTES + I. CONCRETE SHALL BE 3000 P.S.I. AT 28 DAYS , 6 SACK MIX , SLUMP RANGE OF I I/2" TO 3" 2. PANELS TO BE 3 FEET LONG 3. EXPANSION JOINTS TO BE PLACED AT SIDES OF DRIVEWAY APPROACHES , UTILITY VAULTS,WHEELCHAIR RAMPS. 0 AT SPACING NOT TO EXCEED 48 FT. 4. FOR SIDEWALKS ADJACENT TO THE CURB 13 POURED AT THE SAME TIME AS THE CURB, THE JOINT BETWEEN THEM SHALL BE A TROWELED JOINT WITH A MIN. 1/2"RADIUS. 5. SIDEWALK SHALL HAVE A MINIMUM THICKNESS OF 6 INCHES IF MOUNTABLE CURB IS USED OR IF SIDEWALK IS INTENDED AS PORTION OF DRIVEWAY . OTHERWISE SIDEWALK SHALL HAVE A MINIMUM THICKNESS OF 4 INCHES . 6. DRAIN BLOCKOUTS IN CURBS SHALL BE EXTENDED TO BACK OF SIDEWALK WITH 3"DIA. PLASTIC PIPE AT 2% SLOPE CONTRACTION JOINT TO BE PLACED OVER PIPE. WASHINGTON COUNTY DEPARTMENT OF _AND USE CONCRETE SIDEWALK AND TRANSPORTA'i!ON DATE CIVIL F-P3*ieER L41AWN APWA NO. WASH. COUNTY Na l b7ha YAm!nf { " NONE CS— 305 FACE OF CURD WIDTH OF STREET 3"1AINAGE TI LOCKOUT 3" I.O. PLASTIC PIP[ WITH COUPLING 1" R 3 ROAD 10 • •- `• 4 I 4. MAX. BASE COURSE •e -9 L FOR DESIGN SPEEDS GREATER THAN 40 MPH THE CMEROENCY MOUNTABLE CURB CS-300 SHALL BE USED. 2 CONCRETE TO HAVE A BREAKING STRENGTH OF 8000 P.S.I. AFTER 28 DAYS. i_ EXPANSION JOINTS. A. TO BE PROVIDED 0 AT EACH POINT OF TANGENCY OF THE CURB . 21 AT EACH COLD JOINT• 3) AT EACH SIOE OF INLET STRUCTURES. 41 A* EACH END OF DRIVEWAYS.. 51 AT LOCATIONS NECESSARY 710 LIMIT SPACING TO 45 FEET. B. MATERIAL TO BE. PRE - MOLOED4 ASPHALT IMPREGNATED, NON-EXTRUDING, WITH A THICKNESS OF 1/2 INCH. 3. CONTRACTION' JOINTS . A. SPACING TO BE NOT MORE THAN 15 FEET . S. THE DEPTH OF THE JOINT SHALL bE AT LEAST 1S, INCHES. . 4. BASE ROCK -2=0 ARS"• -.,.. 95% COMPACTION. BASE. ROCK SIIALL BE TO SUBGRADE OF STREET STRUCTURE OR 4" IN DEPTH, WHICHEVER'IS GREATER . d. DRAINAGE BLACKOUT - 3" DIA. PLASTIC PIPE. A. I.O. PLASTIC PIPE WITH COUPLING, B. DRAINAGE ACCESS PHROyGH EXISTING CURBS SHALL BE CORE DRILLED OR CURE SAW CUT VERTICALLY IA EACH SIDE OF DRAIN S REPOURED TO FULL DEPTH OF CURB. WASHINGTON COUNTY CURB NON- MOUNTABLE DEPARTMENT OF LAND AND TRANSPORTATION Usk FOR USE ON MEDIANS DATE CIVIL ENGINEER DRAWN APWA NO. WASH. CC_ FY N(X ''�a� ELy 6.1" 18 (MOD.) CS- 301 - 92 f w H w r I W (f) a z I I W 1~el Z p I Co F- d I I Z W o i Q c v,� V II W 3: U O ■O ~ 11,U —� M/a I LY a I - ---------J �._ a }-- a O z CO M aU ! cr- ow >- (o D aW I U U < z w { U U r I I a s °h m• W } Q CO ca Ir ;u n Z W �a w ? UO W LL t F- W C- W w o 32 _ZW W� I I a. O LD Z I Lr z o a' cr MU ( 00 W 1. + MO I O � W CL w o W 4- I � WO m ~ O m � a N U _. L.t. O O U i m O 1 Lr F- -1 0 - JO 3 m lent 3 d LY D U c TRAFFIC CONTROL GENERAL REQUIREMENTS l • The City, s standard specification for traffic control is "Manual on Uniform Traffic Control Devices for Streets and Highways", U.S. Department of Transportation, F.H.A. , 1988 Ed. 2 . Traffic control shall be provided for as illustrated at all time du:itig work prosecution . No work shall be permitted6n !!11- rolad• during the hours of darkness, nor between darkness to 8 :30 a.m. , nor. 4 :30 p.m. to darkness. 3 . Traffic control devices, flagpersons (etc.) shall be in Place prior to initiation of construction work and shall, at all times, be effectively maintained. 4 • The roadway shall not be closed to through traffic. The contractor shall notify emergency services etc. ) , School District, and Tri-Met 72 hours (fire, police, to initiation of construction work. (minimum) prior imminent traffic disruption shall be Advance warning of motoring public b provided to the general y placement of an advance notification sign at each end of the construction area 72 hours (minimum) before initiation of construction work. 5 . The City Inspector shall be notified 24 hours prior to initiation of work (# 639-4171) . 6 . The work area shall be malnLained in a clean condition, free from obstructions and hazards . Effective erosion control measures shall be provided for. 7 . A temporary hard-surface patch shall beplaced on all trenches within the roadway at the end of each days work. 8 . Minimum travel-lane width shall be twelve (121 ) feet; pedestrian travel shall also be provided for. 9 • The City reserves the right to restrict construction activities during holidays and periods of high traffic levels.. The City reserves the right to add to or modify these requirements as may be necessary to endeavor to more effectively control traffic and to assure Public action shall not relieve the contrr.ctor of re responsibility. dj/4n9doc\mast@r6\tcgr.mst -- ------------ CONSTRUCroNMEW 0 II GENERAL NOTES MK I 1. °N`""` TRAFFIC SIGNS TO BE 48" X 48" M20-�NAICAp I BLACK ON ORANGE. OAp K 2• NC ROAD CLOSURES. * I ►LACZ[A AMCAA O I VW-7A lowI41N. �• THE CITY'S STANDARD SPECIFICATION C I FOR TRAFFIC CONTROL IS "MANUAL ON UNIFORM TRAFFIC CONTROL lov I DEVICES FOR STREETS AND HIGHWAYS 411. U.S. DEPT. OF TRANSPORTATION, ■ ■ F.H.A., 1988 EDITION. a— �• 4. ACTUAL SIGN PLACEMENT•TO BE ADJUST"" IN FIELD. DO NOT REDUCE I° BELOW h "MUMS WITHOUT CITY m APPROVAL. ° w ■■ �. THE CITY RESERVES THE RIGHT TO ADD TO OR MODIFY TRAFFIC CONTROL REQUIREMENTS AS MAY TO EFFECTIVELY CONTROL TRAFFIC RAFFICSAND YTO ASSURE PUBLIC I will. SAFETY. Ip nAoor�t.MCAD W20-7A K LEGEND I p �o°i`Ao O TRAFFIC SIGN K 0 CONSTRUCTION ZONE TRAFFIC CONES OR O noAo s7�a+cnoa APr►iOPRIATE DELINEATION DEVICE. TRAFFIC CONTROL TYPICAL DETAIL DESIGN BY APPROVED BY CITY OF TIGARD DRAWN BY SCALE OREGON DAA CABDRAMNO.N0. _ N.T.S. 4r6_92 r I INSPECTION NOTICE City of Tigord Buildiaq Depa>e#wamt 13125 /O hall Blvd. Tigard, oregom 97223 inopoction Lino (Rae-O-Phono)f 639-4175 Busineas Phonal 639-4171 Inspections / f Footing Plbg. Undoralab Mach. Rough-in Appr/Sdwl� Pound. Plbg. Top Out can Lina FINALS I Poet/Seam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Plumb. Plbq. Underfloor Nater Line Gyp. Bd. -Koch. Data Requostedf - _2q- Timof �_An PM Addreea s 1 7 f' p d v C t r'C - Permit ..�5� `7 3 Buildorf D�Z_A t^V) 2t,")2 TBS POLLAMING CORRECTIONS lilt RNQUIRIDs A STPEIET �ffeAj i s (21 ILLS a2K D�/TAGT k)oNAj NA A 4 Inspectors L , Thaws-S Datoe� APPROVED _�DIOAPPROVED APPROVED SURJICT TO AHO'VI _ all Por Relnep. INSPSCT10M NOT101 City of Tigard Bedding Departaant 13125 .M Nall Blvd. Tigard, Oregon 97223 Inspection Line (Rea-O-Phones 639-4176 Suainess Phones 639-4171 Inspections Footing Plbg. Underslab Noah. Rough-in APpr/Sdwlk ) Found. Plbg. Top Out Cas Line PINALs Post/Bean atruct. Ban. a Praying -Bldg. Post/Boase Neah. Rain Drain Insulation -Plumb. Plbg. Underfloor Mater Lina Cyp. Bd. -Neah. l Date Requesteds /'�'l (h�p�l�� Tiles c_AM PM Address I LI? _T 1 / .rte, Permit /IP7/T IZi �7.5 Builders THE �f-O-JAMIMO OORRBCPIOMa ARs RS�WIRBDs 1 H 5Tge&T nraliAlcr _ lro "A_ JQtlnJ fIA6It'lA�l AT TNS -1-1&a RFD Fhl 6 1,06-6 R_/L�Z&- OAC1ce- PER .T - � CALL- FOR gKin/SPEGYi-Od 0 Inspectors t-.7h _ Dates 9-72 7J APPROVED DIpSAPIPROVED APPROVED arin"CT TO AgOvR 1/�0i11 for Reinsp. IMSPBCTIOM POTICZ II Citi of Tigard Building Department i�c/f� 13125 W Mal Blvd. Tigard, Oregon 9722] Inspection Line (Rac-O-.Phone)s 639-4175 Business Phone 639-4171 Impactions_, ftoting Plbg. Underslab Mech. Rough-in Appr/Sdwlk hound. Plbg. Top out Gas Line fIMALe Post/Baas fitruct. Ban. sewer framing -8149. PONt/Beam Mach. Rain Drain Insulation -Plumb. PP1119. Underfloor (//Nate! Lila Gyp. lfd. -MeOb. Data Raquestodo — //�� Addnui__ l(< Permit 1, N 'r l 3 nIL Builder c TM fOLLOMIPG COMMONS ARB R/QbIR31D! Inspector / Dates APPR(1VBD DIBAPPROV=D --— APPROVBD B CP A Call For Rainsp, INUMON NOTICE City Of Tigard taildtmg Department X3128 911 tall Blvd. Tigard, Oregon 97223 inapoction Line (Aec-o--Phone)i 639-4175 Business Phones 639-4171 Inspections_ Pooling Plbg. Underslab Mach. Rough-in Apps/adwlk Pound. Plbg. Top Out gas Line FINALS Post/Beans atruct. San. sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Nater Line gyp. Ed. -Meeh, Date Requesteds Tinsel AM PN 1 n Address - Y C _ Permit builders !_1 �1�{� �IYkS� THE FOLLOWING CORRECTIONS ARE RiQUIRBDs Inspectors-' Dates _APPAONED DISAPPROVED APPROVED aUBJEC! TO ABOVE Call For Relnsp. cLtT or l Blv 1 vigor , I]us sw eels usd. llyard, ar"Pa, Inspection Line Iftc-O-Phono)g 639-1175 Business P&L. 639-4171 Inspections footing Plbg. ander■lab 16fth. Rough-in Appr/8"1k Found. Plbg. Top out Oma Line PIBALs Post/Beam struct. Ban. Bever Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. gbderiloor Water Line f� Gyp. Bd. -�h., Date Rpuesteds__ L t) S i _Times h. AM __PM AddresssL-Ljs Permit 0 67 3 Builders gyV ' TNDrZS TBS KILLpMINp CDRRRCiICltO ARB RBgUZhBDs Ins Oct ?_?�,� _ _ Date �ID DIBAPPRdVIM ,_ APPROVRD BV&YW-T 1 Call far Rsinssp. INBPBcrIOB BDTIa Citi of Tigard Bmildlaq aepartmamt 13316 Or Sall Blvd. Tigard, Oregon 97273 Inspection Lina (Rec:-O-Phones 639-4175 Business Pho..a: 639-4171 Inspection# Footing Plk%g. Onderslab Mach. Rough-in Appr/Bdwlk Pound. Plbg. Top Out Cas Line FIMALs Post/Beam struct. Ban. Bower Framing -Bldg_ Post/Be" Mach. Rain Drain nsul to ion -Plumb. Plbg. Onderiloor Mater Line Cep. Bd. 46sch Data Requesteds 1(P /1�`�� _Tines AM PM Address s (W-55- U e Permit f s M 5i -13 n(zs-_ // Builders [916 2_07-1 THE FOLUMINO CORRBCTIONB ARE RBQOIRBDs Inspector _ --- Dates z — APPROVED DIBAPPROVBD APPROVBD 808;4TO ABOVE __Call For Reinsp. INBPBCTION NOTICI CLty of TIOwd Building Departasent 33125 BR Nall Blvd. =!pard. OCegoa 972239F,� Inspection Lina (Rao-O-Phossep 639-4175 Business Phones 639-4171 Inspections roasting Plbg. Onderslab Iprn. Rough-in Appr/Odwlk Found. Plbq. Top out Gas Lina rINALs Post/Baan Btruct. Ban. Nawar CYi1q -Bldg. Post/Beat Mach. Rain Drain < -Plumb. rlbg. Underfloor Q Rater Lina Gyp. Rd. -Nech. Date Requested' p -(1 -���; ` Times _SAN _ PN Address$ I�ISS IA 1Permit r Buildersl01D - I(r p C<Wtj„�,,5 TBR VOI.LORINa CORRRCTIONA ARE RBQDIRBDt d_�'��,v►nQ. C �/� 1V1( « Inspectors _ Dater r APPp4MD DIaAPPROYBO —• _—._ APPROVBD AOB TSC? TO ABG'II' Call Por Reinep. City at Tigard Bal oe�,artnttni /,�.. 13JL25 w Ball Blvd. Tigaad, air 9722�] Inspection Line IVAC-O-Phones 639-4175 Faxiness Pho 39-4111 Inspections_ Footing Plbg. Underelab Rough-i Appr/Bdwlk j Found. Plbq. Top Out LLfse FINALS Post/Beau Btruct. Ban. Bower Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor c� `Waterr Line gyp. Bd. -Noah. Date Requesteds L ( -41 b Times ___ _ JS AM ... Addreass I4, � r CxLr/ , // Per.it s 1 57 �(3'0I2S_ TBE FOLLOMING OOMCTIOMB ARt RRWtMMt 1 I Inspectort Date, APPROVtD DIBAPPROVRD APPROVRD sOBJtC't Call For Reinsp. INSPECTION BOTICE City or Tigard Bsildlag Dwertosnt 13125 M BR11 Blvd. Tigard, OEsgoe 97223 Inspection Lina (Rea-1-Phone)r 639-4175 Business Phoney 639-4171 Inspection j Footing Plbg. Underslab Mach. h-in Appr/Sdwlk Found. Plbg. Top Out Rs Line, FINALE Post/seam struot. San. sewer lraaing -Bldg. Post/Beate Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water LineZ 0". Sd. -Hoch. Date Requested] 3 / _` /� Ties t G �tAM _PKAddress s 1 L/PL!]! r ( ��� X k Pere!.t 9�M T 13 ��►Z Builders THE FOLLOWING COMMONS ARE REQUIREDt /017 Q ,tet - i Inspectors DatAPP: es DI AP APPROVED SUS"Cf TO ABOVE ___Call For Reinep. INSP=I0N wric; City of Tigard Balla!"g Dspartssot 13135 90 Ball Blvd. Tigard, Ocagm 97133 Inspection Lina (Rw-O-Phone)s 639-1175 Business Phones 6 -4171 Inspections_ root" Plbg. Underslab gech. Rough-in Appr/&dwlk Pound. Plbg. Top Out Gas Lina PINALe Post/Mas strut. San. sower Praying -3149. Post/Bears !tech. Rain Drain Insulation -Pluseb. Plbg. Underfloor Mater LineGyp. lid. -Neth. Date Requesteds_ -,7:) _T_3 Time AN PN Addre ss l e o o rA--)0�/ ! r r Porsit 0. 3ulldersLob - S s TM POLU MMO ODRRECTIONs ARE REQUIREDs c Inspectors Date APPROVED _� DISAPPROVED APPROVED SUBJECT To ABOVE __Call For Rainsp. cttt of Tlyasd ENLUU M bepacb.s - 33125 M Bell blvd. Hgscd, creg a 97223 Inspeat"n Line (Roo-o-Phone)t 639-1175 business Phones E.39-4171 Tooting Tlbg. Underslab Mach. Rough-in Apprlsdwlk Found. Plbq. Tap Out Gas Line Fri", Post/bean struot. Ban. sewer Treeing -bldg. Poet/Beam Mesh. Rain Drain Insulation -Plumb. Plbq. Underfloor 7Water Line Opp. ad. -Mach. Date Requestedo / - 7xl 'j 3 1_Tl � maAM PM Addreses _�? �7 ('� Qy_ l//�� P.rmit ,c Builders Tn FOLLOWING OORMIrIOMs ARB RBWIREDs Inspector z Date / APPROVtD DIa"PROYBD APPROVRo su%jRm To mmr, --Call For Reinsp. Citi or Tigard Wmildimq pspsrtmo t 13323 ON Wall Blvd. Tigard, 09w3tmt 97223 Inspection Lina (Ileo-o-Phonals 639-4175 su noes Phones 639-4171 Inspectlont rooting Plbg. Underslab / Rongh-in Appr/idwlk Pound. Plbg. Top Out Gas Line MALI Post/seam struct. Ban. sews: Pressing -Bldg. Post/seam Mach. Hain Drain Insulation -Plumb. Plbg. Undartloor Mater Line Gyp. Bd. _Mwh. Oat* Requested t, _11 Tleet M PN Addresst S� ) , BuildArt TBR POLUNING OORRBCPIONB ARB RBQUIRBOt i i Inspectors y _ Date APPBOIIlD DIBAPP:WVBD APPRDVED SUBJECT To ABOVE Call For Rsinsp. INSFECTION NOTIC= City of 'r4pwd Nail inn pspartmeat 13126 S* Nall Blvd. ?igaed, Oregom 97223 Inspection Line (Reo-o-Phones 639-4175 Business Phones 639-4171 Inspections__ Footing Plbg. Onderslab Nwh. Rough-in Appr/sdwlk Found. Plbg. Top Out Gas Line FINALs Pnst/Bsam Struat. San. sewn Framing -Bldg. Post/Beam Mach. Aain Drain Insulation -Plumb. tlbg. Onderf!loor Nater Lisa Oyp. Rd. Mach. Data Requesteds_ _ Tues Mach PN Address / L S S � � -_C�rmit Builders THE FOLLOWING CORRECTIONS ARB RSQOIRtDs 7 Inspectors 67` q Dates_ �C APPROVED DISAPPROVED "PROM sunjum TO ABOVE I _:Call For nsinsp. IBSPBCTIM NOTICE Cit! of T19atd BaUdioq Apartment 13175 M Hall Blvd. T19esd, O[+egne 9 inepect:c, Line (Ree-O-Phone) 639-1175 Bueina 63 -4171 Inspections_ Footing Plbg. Underslab Mach. Rough-in Appr/Bdwlk `Found. ✓��r����� Plbg. Top Out "a Line FINAL► Poet/Beam Struct. San. Sower Framing -Bldg. Poet/Beam Neth. Rain Drain Ineulaticta -Plumb. Plbg. Underfloor Mater Line Gyp. ad. -Meeh. Date Requeetedt_ _ �� Tires _>LAN PM Address s .J J L���G�-�Peruit It -7 -Q Builders_ - — THM FOLUMNG CORRECTIONS ARE RBQUIREDt Inepeeto Datet APPROVED DIBAPPnMW APPWIMM BU TO ABOVE Call For Reinsp. Cit? of Tigard 0110111ding Dsporlaot 13126 aw tail ilvd. Yigard, Otiegom 97123 Inspection Lino (Roe-O-Phone)v 639-4175 Business Phone 639-4171 Inspections _ �o�o inq Plbg. Underelab Nsch. Rough-in Appr/8dwlk ( end• plbg. Top out gas Lino FINAL Post/Nu struct. San. Dower Framing -Bldg. Post/team Koch. Rain Drain Insulation -Plumb. ` Plbg. Underfloor Water?Line Orp• Rd. -Meeh. Date Requesteds / Tues AN _PK —� Addroset }CfZ_Z s � ��2"7 --^Permit 5s dl builders TNM FFOLLOWING CORRECTIONS ARM REQUIREDs -�l .. t�C�C.4.liC '✓ r 7 — Inspectors_ Date APPROVED DISAPPROVED rte/APPROVED SUBJECT TO ABOVE Call For Roinap. CITY GF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 8W Hall Blvd.Tigard,Oregon 97223*8199 (503)539-4171tjiq 1 `'�'t'`• " .. . lJ� 1"1ORK.•. iNEW L.11'f.t 't l:,_.I 1.•a iJ�''._ ... .-1, b r 1 .r iJSL. . . . twF WASHttff:(N6 i+�G�CH. . . . . . . ; ! E7(43!cAi I_ll�b G!�2♦".�1'' IFf�. . .41 ��y(' ... '1 ,..�r 13�\11♦ w : i,.r .,.t.fh. R 1.5i441Wf . • t . , �1.! i 117^7�'°•71. x .i x xtr •'Y w u Y a N :.Y.K. Y x . . . „ . .t. blf7X�:R HL A T'E AS. . . . . x CAT iwf 1 CtE,1 MS. . . t fh 40Ysl. , . . . _ ,jii i,'::, . x . _ ilii:,;: r-1.x€l7iLti.,. . x . . :d, ,1~1wFk'h;.;. . . x 3 IS:.Wi R L i NL f f t ) . . . . z ill W.41 P-k LI1,I. :i t . . . . . 1.00 a, i3HLRS. e 1 RAIN ORAL i f7 .0 t of kL. t. �F? ;r�;Hll;ftir i 3i4bF A. 016 JH OZ,26/ ):? A'& 6M JULIA !l- ja F5-1 tf2t.ox .if•! 0,+JEl.,/`33 ' 0Ari1 ii :a. jili1tF`I ( a V , w J I I al41 I. 4 ?iJt..,_.. f t Y __. ___.. _ ...r-t CA E.c _ i :.:r '1_, 1 i, 'i JH 4:` +/.;(: .° f:)3 --- Ph q _ _.w,_...._... REVOIkf:U li\isp` -.CrlUiVt, r h 1 1,S�s�t•?l tll : l; c `; 1 a!:'.1 E?i� Ys°A�1.J�>�C'is I: i ! I',:'' 't'l� , ,� flet) ups,.'Contaimed art the 'Ti:rlal•-f hxc.ipa: c.rol:i sF uvtiti ll')Sb Pairs dl-k, ') .r. ';;j k'� :�3't c1 is F? �; r �:'t§1, v 1't2 l:1 t'!A),t 1 •> r?rl Ci ?i`�! F''f)�� /�$E++1f1 �L t `..1 C'.`� v:,�'C 4�' 1 i ,fj �'c h er appl icabl e 121�f 1-L,l vw' t i tie dotie i!c>5+: /fle et Yif4frh;in Flfr�?r/c�ciw i�. f �CJJtI«tak"11r.1tlh^ $ YJS{'i: d;}�p.1" `+�r11 Ft: ta� TXl] 5 'lIH�1.'tT11�9:.d1] Ifi�p i�c.'i Pliillt t clJ y} !�7.�. T.f l � � "rf l i �..,' �S 7 � .�tit•il T' {: ` hi � ' 1 f 'tFAnre Ui i t v;clt-k 19 i=S IIr'a,t 7C•? ! 1,1sp LA.! I.rj}.n t,1 I. 1 Cllr 1,ded for"' t w,e 'th$tt ,(30 days. Plumb 701) Out F'1'usi,ntt l.tlflt. F T'afif i lqy- ;. ,p f1ta11ffi Li ,, In pi /o \ !n 3 u 1�t a tl r r .I 11 i=•C! � .:._._..�..�.._ __�..__._.�-_ khat tlr9 Call I far' ;nctpp* -,tion h-'.711) 417b W4 Tk. CITY OF TIGARD 90MMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223*91" (503)539-071 p(�;'� I SK.i'ULD: 04/26.1`4 ,..ilii.. 1i i.'.J4.111'..1:. 1_111 ..- S6;41J ISION. . . s CCIPtr'1_12 E RELK STAGE :, Q- 7 Y'♦ 14F.iS5UL:s 1::'WK LL I NU Uk4 i i _,r l i;!A Ll, I-NjT v) 1 CL S OF WUR11. :NLW B',''-DHMS1: BR- H w I-i;1R iliE. . . . . . . . . . 1488 f r" T'f1= i:a1- UGE. . . :sr F ;_i�(]h 4 l�C f 1 y ._. _ t21'r.?!J a.RJc i:• �E:1"k+faCt� 1 _ ...... . ... ',PE.' UP CUNE;r, cSN FIRST. la'6a F L_F:: T. :f3 ft Rlbi­14. :6 l 0RIES. . . . . . 1 H1 RD. . . . so S f. REUU 1 RLD......_. ..,. _ ;"i3TF+1_. r:,,4:fll a t :jIJUI:e LiL.1 C.C:'T C3F'.a AR L:OW). . . . .4+11 is s 1 VALUE. . . . . t e8:4:3k PARKING I fL.�.l1C1tF�z I)MP f f''1:a. , , , c t1.+ �+p)[114 L_1�1�1 i'k±- on i2: . „ 4.'i _All;PiORIL6. . . ., . iL WAlL•H 1�1EFJ1L.�� J. . • . , I �F�1•�. . . . . . . . . . . . . 40 61 so,,"14wr<t3. . .. . s.3' LF1UNDRY NAY;:;: . , ; ? CPTL:11 WA i'�R .`wL''15E TS. s � 51::W1 �C GINE. (ft) .. ,0 OkLAS( TF+tAP$. . . . . . •. 0 01::04WA'm1 LMO. . . . 1 WA CEN i,.INL ( f'!: 7: e 100 GiHLR FIX (URtf-). . . . W 1'+.BAk (i75p. . . : 1 RAIN .DRAIN (ft) . :PJ , A'JHINU 1401.,Hz i' PAIR D 1(E=+J ,._. . , JNJ. 1 .... UNj. 1 ic0 ti'p3+ ''AInowlt by d.'.Atte u 1. till % I VFN'I , . , . , . 112) f lP 4 14b0. 0,9# "`IH 04/.?b 9 9 1 i 1p'ly :0 .7G-i 1.CA>i,'1( spL( 1 s B. 58 .)'L'H" 0,;/Uic Hot s 1 r30'1,; :, , = I Wt.� � 'Uvr'�;. F�t 1:51_1kr" --.13 JF; 04./a,/() L_E)OR F URN. . . . 0 L±_W URS EWI:). : i 5�iLlc $ LVO. 041, J11 1aU1 L/I;it1i ( .311, .�` �'ti l"FIE 17 UNI T'3: 1 FtAm" t :.)Cult. 00 ,IFI 04/i'0/1,:a F"(4i -OUTLETS. 4 iMpk,fr $ 4L;. 00 Jr;l i64/26/r:J3 _ ilvtT.@►'.. ... ..._.. . . _ .�«.._.,. .__.... .,_�._._.. -_...... _. ..... -. ... ' -1�1F'1..L; '� ii.c.`i 11 kl�1fl�Eai ...'; •-' °F• L..'_I BREL KI RaiCHUPUM 115P1 4 2i L5 JH 04:EX. 9 3 931.315 ':;W ,J1JLUI IL. Z'. `;0 J1- 04Jir;C„ IUAiU) (.IR 972:::3 f-hr3ttc �t uAN 1i VE`� ly {Ve~s 1 L HCl±'{fflraf.;'TINtd : :5,4,36 Esfk' at;fluk:PFt1�E11 1.i1� 1 3:iie: 4'y '1 U'I lIL c-lit ,ts issued suhflrrt tc the r•eyulotions tontained sr, the _ ___ __.. �t UUIREU INS1-EL-1 1UNU fluni^_ipai Lott, State of Ore. Specialty Codes aro all ether Foot/found nrp Fireplace lrrsp appi1C8tie INS. All dori, Will 00 +acne V arrorrarce with epprooed Post/Bee m Litr,i+r.:t Chis Line Insp plans. ;nils persit Will expire it 0011 15 not start!l within IR Posi'/taea•19 me0lari 1M,4utiat Iof, 1tiSp days of issman-0, or, if $404 is r for Wt r 190 dad". (sIm/undslab Irisp t yp Board Insp 1PL1+1/Under-f,1owr4 RaiTi 6i -ain Insfa : it'-we iiyTleTdf.Ut @ I�iE44..tY 1Tlll: l 1'f5p Wdtel.nt? 19iSp Plumb Top (flit faptir•i"`dwIk lr�sjj a rn r.it 4T1�'F� I�lectlaTIILrli F irra? CITY OF TIGARD SLwrR Calv14l::.raT,Uiv IPOMMUNITY DEVELOPMENT DEPARTMENT 13125 8W Hall Blvd.Tigard,Orpon 972239!109 (603)639.4171 11-L MA: . . . . .: r t:;ra. . . : :i� pi~' ,•a�. C,f7L:[.r. �1�F^ Li 1.tii`i ;J ,, . . . 1't)t'i-Yiti.i•t I`, :;Tf GE r+ CJtVI?di_ . li SLOCK. . . . . . . . . . . l..0"r', . . . . . . » aJU. . . . . . . . . . FiXTURL UN 15... Wi. Pi-; CITY OF TIGARD — RECEIPT OF PAYMENT RECEIPT NO. 03-239391 CHECK AMOUNT a 5213. 49 NAME t DAN REVES GENERAL CONTR. CASH AMOUNT a 0. 00 ADDRESS a PAYMENT DATE 04/26/93 SUBDIVISION PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID 505. 50 PLUMBING PERM i6p—.50 MECHANICAL PE 425. 00 ST. BUILD PER 3`'. 66 PLAN CHECK FE 89. 83 SOWER USA 2100. 00 SEWER INSPECT 351. 00 PAPKS SDC 500. 00 STORM DRAIN SDC 280.00 PESIDENTIAL TRAFFIC FFES 1350. 00 MASS TRANSIT TIF FEES 110. 01A LOT 130 COPPER CREEK 04 16255 SW COPPER CREEK DR 70TAL AMOUNT PAID 5213. 49 �h F LNCK/RECT / CITY OF TIGA" PERMIT % �j�SfG 3- ' COMMUNnY DEVELOPM0 T DEPARTMENT I (0°)4"4"' DATF ISSUED JOB ADDRESS: !W-on TAX MAP/LOT SUB: CaP�.,t ' ' 1,� -'.�_ LOT: Zyr /.30 LAND USE: VALUATION: -. ON UR SPECIAL NOTES. NAME: l �l�E� L<��1�1�Sf >m REISSUE OF: __._--- ADDRESS: SW 31'tin PLILL LAST REISSUE: 716,416.0 m FLOOD PLAIN/ PHONE: SENSITIVE LAND: _ QNTRACTOR NAME: _- K dE_S_ rit�r�t- C-_'yN'172�k�]r✓� PLANNING: ADDRESS: j-4C4 ?.5 N P/2- ENGINEERING: FIRE DEPT: _. PHONE: Gz�B.= 010-W __ OTHER: - CONTR. BOARD ��� EXP DATE: lam _ In �) 31 U64 i - CAP. Z,- 12-q� EMS REQUIRE ,� F SUBCON'TR/C�TORS: P 1 �: 7-.S f4•.017 B/A,'e- LIST/SUBCONTRACTORS: N r ^^ t�K- BUS TAX: _ tRCCHLENGINEER 2�NH �-CK� ' Z z / CALCULATIONS: NAME: -._, l.��i�n� ''"►" TRUSS DETAILS: A001'ESS: _ OTHER: PHONE: PROPOSED Bl_OG. USE: COMMENTS: API !CANT SIGNATURE Received BY: _ �_ Date Received: 3—x -3 PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. OU to Jtf L--_0 L4 � 10-432 00 Building Permit Fees J" c,�';s'ok +�V 10-431 00 Plumbing Permit Fees"*r.+ ► .+',' mZ: x ;.r;`,_;�,_ , '� {� 10-431 01 Mechanical Permit Fees 10-•230 01 state Building Tax (5x) Building P 2_ Plumbing Mechanical ,t� / 10-433 00 Plans Check Fein Building ;j11f. ss' Pl u0i ng Mechanical 10-230 06 Fire S«�Ry3 o�lZ 30-?W 00 Sewer Connection '�J _ Au_ 30-444 00 Sewer Inspection 25-448"-02 Commercial TIF Fees 25-448-04 Industrial TIF Fees 25-448-06 Institutional TIF Fees 2' 148-03 Office TIF Fees _ 25-448-01 Residential Traffic Fees 135o 25-448-05 Mass Transit TIF Fees I(U 52-449 00 Parks System Dev Charge (PDC) Iva 31-450 00 Storm Drainage Syst Dev Chrg (5SDC) 24-445-01 Water Quality (Fee in lieu of) 24-445-02 Water Quantity (Fee in lieu of) TOTAL �_�/6 3 " [IMPY'11' WI'I CITY OF I WARD RECEIPT Of- PAYW.N'r RECL I PT NC,. t93--2374144 C14ECK AMOUNT 21!110. elo REVES, DAN CASH AMOUNT a 0. 00 PAYMLNT DATE t 03/02/9.a SUBDIVISION PURPOSE i..IF PAYMENT AMOUNT PAL) PURPOSE OF POYMENT AMOUNT PPTD —N Ct IECK­F-t, __._.2.50. 50 00 I .OT 130 COPPER CREEP, 11.17ALAMOUNT PATI) ."'S co. 00