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BUIL-DING
CITYOFTIFARD
CffV TWARD . . . . . . .
COMMUNITY DEVELOPMENT DEPARTMEliff 0#100N
13125 SW HWI 8W. P.O.Bw M97,Tiq&M,Or"m 97223 (603)&W417S ATE ISSUED: 06/J.0/91
3W SW GARRETT ST PARCEL_: .:.:.,S
SUBDIVISION. . . . FREWINGS ORCHARD TRACTS ZONING: R-121
BLOCK. , .. . . . . . . .
REISSUE: FLOOR PREAS-- EXIEPIOR WALL CONsaRUCTION-
CLASt]i OF WORK,, ! REP Fl RST. . . . : s f Ne S: E: W:
TYPE OF USE.. . . :MF SECOND. . . : sf PROTECT OPENINGS?——
TYPE OF CONST. :5N THIRD— . -. s f, N: S: E W
OCCUPANCY GRP. :R I TOTAL f ROOF CONST:P FIRE RET" ,
OCCUPANCY I-OAD: BASEMENT. : Sf AREA SEP. RATED:
HT ft GARAGE. . . s 0 C :U 73 C P. RATED:
MEZZ..., : REUD ',WETBACKS---____-_ REQUI
FL-001-R LOAD. . . . :50 Psf LEFT: ft RGHT: ft F I R 9-PKC_: SM(iv, DET. ,
DWFLLING UNITS: FRNT: ft REAR: ft FIR ALRM: HNDICP ACC:
B E-D R M S) BATIAS IMF:, cJ* ,"r,F- PRO CORR: PARKING-
VALUL.. 6680
R r m a r,!-(s : IRP-Y-oof over existing w/hot tar- Conglass Class B syst,I. NOTE.- Call fov-
inspecti.ar, of roof pr-iov to iT1flt,?l1i.T1q new i-oofinq system.
Owriev,: FEES
A L F PROPERTIES type smol.int by date t,qC-ir
F). O. BOX 23562 PRMT $ 62. 50 JLH 06/03/91 213857
PLCK $ 40. 63 TLH 06/03/91. gF-A .3B57
TIGAIiD OR 97223 5PCT $ :3. 1.3 JI-1-4 06/03/91 ;::1.1857
Phone #.- 244-65824
CASCADE R00FIt,t1
14905 SW 74TH PVFNUE
UIPPL) OR 972,24
Phone 106 6 TOTAL
390-19
REQUIRED INc3PECTIONS
!-,is pereit is issued subject to the regulations contained in the Roof nailnq Itisp
tgard Municipal Code. State of Ore. Specialty Csdes and P11 other Final Inspectioto
-oclicable laws. All work will be dine in accordance with
Euvroyed plans. This pervit will expire if work is not started
within 180 days of issuance, or if work is suspended for sort
than 180 days.
in i IC t v e 8 1 p n a t�Vr,e-
C all fi:.)t- inspect-ion
q 1 A
' PI.NCK/RFCT #
TIGARD PO°
1312s sw 11Au afw-�.
OF "x 23397 PERMIT #CITY 7 ipard,Oregon 97213
COMMt1N1�.1'Df1'ELOPMI;NTDrpARTMf'NT (503)639-4171 DATE ISSUED
TAX MAP/t.OT
JOB ADDRESS: �t_',�----
_ ----------
'.. LAND USE:
SUB: LOT: e
VALUATION: —
SPECIA�S
OWNER I
���-r--__ P
y-� ,T�,�,�'i.� S REISSUE OF:
NAME: — -_------
J— o Z Z LAST REISSUE:
ADDRESS: . . 20�L -�— FLOOD PLAIN/
SENSITIVE LAND:
PHONE: ?-414
_ _—.---
APPROVAL RE(UIRED
CONTRACTOR —
PLANNING:
_
CNAME: r �CAri) o� t V 6 —
�`� ENGINEERING:
ADDRESS: A, S- ��
Q 2
CAI L Z� FIRE DEPT:
Z
PHONE:,_ ZI -
CONTR. BOARD #: C _-- EXP DATE: —
ITEMS REgUIRED
LIST/SUBCONTRACTORS:
jUBCQWTRACTORS: PLUMB: -----
BUS TAX: -
MECH
CALCULAIIONS: _ —
R1RCCFLENGINEER
TRUSS DETAILS: --
NAME: __ — ---- -____---
— OTHER:
PHONE: _-- -----
PROPOSED BLDG. USE: — — � -Tt
COMMENTS: _a �_ '- 1
o C-cl 0 Gtr pr S S c. A Ct Q _ —
�P
APPLICANT SIGNATURE _ _ C
Dat:e Received: ---
Received By:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. 0111
10-432 00 Building Permit Fees _
10-431 00 Plumbing Permit Fees -
10-431 01 Mechaiical Permit Fees
10--230 01 State building Tax (5%) 3, L_3
Building
Plumbing
Mechanical
10-433 00 Plans Check Fee _ 3
Building _
Plumbing
Mecharical
10-230 06 Fire
30-202 00 Sewer Connection
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
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC) -
31-450 00 Storm bra, iage Syst Dev Chrg
(SSDC) -- - -- -------
24-445-01 dater Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL _(.. -
nm/3587P.WPF
1
T I LIPRD RF,.:C.E"1 FST OF F AYMFNT RECEIPT IVCs. 91-213857
CITY OF w
CHECKC�MCIUNT c Ufa:;, `Sr`?
NAME x C:ASCODE PAC IF IC GROU0 CASH AM11UNT 0. 00
ADDRESS a 1490"`, f•W 74TH AVE: F!AYME;NT A.')T'E c 06/0.3/91
`�UC4A1 V I.�,ICalti x
(� PORTLAND, OR972'24---
pUF poSE C)F' PA'YMENT AMOUNT PAID PURPOSE. OF PAVME NT OMOUN-I PAID
I RU71_UINU r-EFt�w,.__..__.._. ._._.,..____.90. `30 FL.(�N-C;F•IFC:K�rrE-�6-�C •-"----._._......��.�i3
ST. PUIL.D P R 4. (,a BUILDING I-ERM 62. 50
f PLAN CHF:CK Fi_ 6-1C. 40. 63 ST. BUILD F'E R 3. 13
I
i
i
RE- ROOFING PE'RMI V-1
'ruTAI_. AMOUNT PAID _ _. _.� 06:. 50
I
Mind
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT V� 11.76 DATE .
PERMIT IS GIVEN TO n_. .. ol
OF
TO CONNECT A
TO THE SYSTEM OF TIGARD SANITARY DISTRICT r}
AT
THIS PERMIT MOST RE POSTED ON THF DE! '_'RItFD PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION IIAS BEEN COM-
PLE'T'ED.
PERMIT FEE P.AID $... ''........ ..................TIGARD SANITARY DISTRICT
BY _--— —--� __------ ------ -
CONNED"TION INSPECTED AND APPROVED
Superintendent
Date
Address Permit No._/ /7 4
--` _ Pe.rwi.t charge
Owner -------
'- -- -- -- Connection fee 2 ao v
—�'�--- _ Paid by
Type. of Building "-
-� -� '� T Date connected
Service Rate t�440 . --------
� Inspection fee /p
Contractor --'�—
Paid by Date
Size of connection l
— ' Assessment__
'�"--- Paid
f