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10220 SW GREENBURG ROAD STE 441-1 neven.�.r,l,.bw..�.�, ....•...,. _:�.............�..�+�.+.�..��.�..w...._.ten._.._-_-,_..�'_.�..�-_.._-.�..... .,._. _.-.__ ......+�... ... ....._..._. �-�.�.�._...._.. ..�_._....,..�._,...:.._,+.,. s..,,....1�,.1�...r/A" .. L_ \ m' p aqc 2�zIF r�lTl., I! � l - IXE LROCOLN .owl PAFKM 14v. T1 0 w MELVIN MARK BROKERAGE rAlf— opt zi) we ip l Eli �..1...._..�._._..._��-- ----- I ; }�1�r-r•�i ����=- C��t���,.�� Il��`1�:�.-I ..(.. � �.�- I � o �-�--- , _ ..._ A `� � W�V�1 I•'-- .•' )it I ; Ill 4A 1:;-.I( ►� , r4, �� v W4 1, P1, �: Vv/ I��'� `" Y _r � .lam(✓ �r^I I.-__ 1����%,( . _. ,�,. � 6 SCALE: f APPROVED BY � � 4'L DRAWN BY (r� DATE: T/�:v�7 1 '�-1 REwsEn SW Greenburg Road Lincoln II North, Suite 441 L I N D A ■ S M I T H phone W3-620-1410 fox 5f r)98.109,1 mobilo 781-0781 of 1 space panning 101 10 5 w nimbus avenue suite b 13 portlond.or 91223 l DRAWING NUMBER If this notice appears clearer Illan the document, the document is of marginal quality• 2/27/97 IIIII� IIII111 111(1(I�I(III I I(IIIII,I(I(I 1 1�111Jill 1111(1 1(1(11111(1(1 1 I(I(!!III(I(I 1 1(1!1(11(:(1 I lllli(I 1(I(I 11(1(1(1 I(1 1 1 1 1 1 1 1 1111 I 100CH MADE 114 CH NA i Ill l ( I (1(111 111(I(I�I(I(a ,i II!lullllllililluiillliil�uil�ii�li�lilnnlnllln�imnlnu inlllni rail�nilnl+ln�i�nnlnnlll►Ilunllinln11111111nnlnnlnullnllnli�1u11in11nnln I � n luilnmm�lnn nnlinl iiiilnnlnnlnii�milinilnnlnnlnnlniimiiluulnnlnu1il1ihmIll III IIIli r . . lb , .y a t 6 t � y I 1 �I O CEPTIFICA CITY IGARD OCCLIPA14CY 246PERMIT' #. . . . . . . : SUP93-or COMMUNITY DEVELOPMENT DPIF44ATMEhT DATE ISSUEDv 10/15/93 13125 SW Hell Blvd.Tigard,Oregon 97223*8199 (E)3)639-4171 PARCEL IS135AS-01002 S ITE A 1)D R R�--)S 10 0 SW U 13 E. N b U R G RD #S. 441 SUBDIVISION— . ' ZONINGiR-12 LALOCK. . .. . . . . . . . LOT. a . . . . . . . . . . . 18 CLASS OF' WORK. :ALT TWE Or USE— sCOM OCCUPqNCY GRP. ::S2 OCCUPANCY LOAD.,21 TENANT NAME. . . -MONEY STORE 1`,einarks: Tenant Improvement- Delete, add int partitions dF doors. Owners MELVIN MARK, OWNER' S REP 10220 SW GREENSURO SUITE #135 TIGARD OR 97223 Phone #t 452-5900 Contractor: MELVIN MARK CONSTRUCTION 10c20 SW GREENBURU 14D SUITE #150 T'ISARD OR 97223 Phoyi% #t 452-5900 Reg #. . 1 64721 Oucupavit.,y of the above referenced buildift is hereby given, And certifie� the compliance with the State Of Oregon 'Spocialty Codes for the group, occuponcy, and use kinder which the neferfinr-.,ed permit was is%kled. FIRE. I)ECARTMENT r1JNG I PECTOR BUILDI 3 ICJAL POST IN CONSPICUOUS PLACE low" .... ............ ............. ... INSBECTION NOTICE cl" of ii.ga!d Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Iripection Line (ROC-o-Phone)t 639-1175 Buci.ncea Phone: 639-4173 i Inspection: Footinq Plbg. Underalab Mech. Rough-in Appr/Sdwlk 'v Found. Plbg. Top Out Gas Lina FINAL -Bl S Post/Beam struct. Ban. Saw *ramingn _.y 5 Post/Ream Mach. Pain Drain Insulation -Plumb. C z Plbg. Underfloor Nater Lina gyp. Bd. -mech. i ° Date Requested= I V (� Tipes AN PN Addieans lJ� p��1G�r�, LlV1(CIVUR_ Permit ► ����v` Max Ks �j D -7g_ l y2V Builder:_) i THE FOLLOWING CORRECTIONS ARE REQUIRED= k X !i i 1' V. i I � I InspeCtOrt DRte: �P PIXYM DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. a I. �6� f r "kngTION "MICB City of Tigard Building Departmant l i 13129 SW Ball Bled. Tigard, Oregon 97223 Inspection Liz.* (Rec-o-Phone)= 6394,175 Business Phone: 639-4171 Inspection= �'�_- it .C' C" u. rooting Plbg. Ond*rslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Lin* JINAIj i - Post/Beam Stsuct. San. Bower Framing -Bldg. Powt/neam N*ch. Rain Drain Insulation -Plumb. Plbg. Underfloor' Nater Line Gyp. Bd. -Mech. Bats Reques�ted=�L� P —_Time= Address:1S `zl < < T� Permit 1=V'l)1 Builder=— ...I _ 1!f2 THE FOLLOWING CORRRCTiUNS ARB RR%VIRED: I 1 —! ( 0 Inspector=--- —^M Date: _!APPROVED DISAPPROVED —� APPROVED SUBJECT TO ABOVE Call For Rwinap. L J hp"M Alm TUALATIN VALLEY FIRE & RESCUE AND BEAVERTON FIRE DEPARTMENT 4755 S.W. Griffith Drivc• P.O. Box 4755 • Beaverton, OR 97076• (503) 526 2469• FAX 526-7538 September 30, 1993 `i Linda Smith ' 10110 S.W. Nimbus, B-13 Portland, Oregon 97223 Re: Money Store Two Lincoln North i 10220 S.W. Greenbu.rg, ,Suite 441 5989B-328-020 Dear Ms. Smith: p i This is a Fire and Life Safety Plan Review and is based on the 1991 editions of the Unifurm Fire Code (UFC) and those sections of the Uniform Building Code (UBC) and Uniform Mechanical CC>LIC (UMC) specifically referencing the fire department, and other local ordinances and regulations. ' Plans are conditionally approved subject to Tigard Building Department requirements and the following items: 1 . The tenant space number must be prominently ? displayed on the street front where it is readily jc i visib:�e to drivers and officers of responding fire Lj apparatus and other emergency vehicles . UFC Sec. 10.208 2 . Not. less than one (1) approved fire extinguisher(s) with a rating of not less than (*) I shall be provided for each (**) square foot of floor area or. Fraction thereof. The travel distance to an extinguisher from any portion of the building, shall not exceed 75 feet. UFC Sec. 10.303 t "Working Smoke Detectors Save Lives i Linda Smith i .September 30, 1993 .Page 2 N, r (*) 2A10B:C - LigLL and Ordinary Hazard 9A10B:C - Extra Hazard (**) 3, 000 - Light Hazard .1,500 - Ordinary Hazard I 1, 000 - Extra Hazard i Note: Where flammable or combustible liquids are � used, "B" ratings of extinguishers may need to be higher and travel distances shorter. See requirements in National Fire Protection Association Standard 10-1 . i 3 . Plans referred to and examined by tris office contain no provisions for the alteration or installation of automatic sprinkler system. Not less than three sets of plans for the installation shall be submitted to this office for approval 6 prior to installation. UBC 302 (b) Approval of submitted plans is not an approval of omissions or oversights by this office or of non- compliance with any applicable regulations of local government. If I can be of any further assistance to you, please feel free to contact me at 'i22460� 9. Sincerely, Bradley N. Wanamaker Deputy Fire Marshal BNW:kw r_ cc: City of T.i.gard Building Department / s "T �( ,1,4!p•v r 1 '?#,. "°`6 !F"'� I.S'� ','a„ r,p....,« .wsr' ! .9, ";'S N+, "`i.,'te 4 a L}9 I,;. " y %N Vq� TUALATIN VALLEY FIRE & RESCUE AND BEAVERTON FIRE DEPARTMENT # FIRE MARSHALS OFFICE R 9 J� (503) 526-2469 POSTED: OCCUPANT CONTRACTOR BLDG. PERMIT 0 PROJECT NAME -- {` PLAN REVIEW It LOCATION r� _l JURISDICTION: 1= Be. 2= Du. 3= K.C( 4t= 5= Tu. 6= Sh. 7= Wi+ B= CC 9= WC 0= MC COVER FINAL SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL ❑ Framing ❑ Separation Walls R, SpriClk�er System Shaft n Fire Dampers t (0�►erh � d/Underground) El Alarm System ❑ Hood' Extng Systems ❑ Conference j ❑ Spray Booth ❑ Ceiling, Cover ❑ � Other V i E I i Date: �+ ( Inspector: < < ¢) JB( _lad I � v INSPECTION NOTICE City of Tigard Building Departeont 13125 BN Ball. Blvd. Tigard, Oregoa 97223 Inspection Line iRec-O-Phone): 639/-4275 Business Phone: 639-4171 Inspection:__ Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top out Oar Line FINAL: i Post/Beam Stzuc t. Ban. Sewer Fr.ming -Bldr,. Port/Beam Mach. Rain Drain Insulation -Pliunb. • Plbg. Underfloor Hayter Line// Gyp. Rd. _Mach. Dote Requ/est)edc/ / �' ( � (V L, Time: Addrerr: (gya*kb461 t` Parmit Builders-LLC ' � '��(1���CX THE FOLLOWING CORRECTIONS ARE REQUIRED: `a Inspector:—`� �— Date:_I _ Zg - ! 3 — T APPROVED DIS&PPROVSn APPROVED BURJECT To ABOVE Call For Reinep. I I I INUT- MON HOTICE City of Tigard Building Departaent 1 13125 aw gall Blvd. Tigard, Oregon 97223 Inspection L/i�ae/J(RaC.p-phon♦ z 639-4175 BusiMus Phone, 639-4171 Inspection Ins _h2'jL!� � z Footing Pl Onderslab Mach. Rough-in S APP r Sdwlk/ Found. � Top pu--t_~} Gas Lina FINAL, Post/Beam Struct. San. Bawer framing _e1d J g, Post/Beam Mach. Rain Drain � Insulation _ply. i I Plbg. UnderfJ.00r Nater Line Gyp, Rd. 3 -Nath. Date Requsstadt Z �J� Time— ..... _ PN Address s— Pe Wit Builder• P THE FOLLOWING CYIRRECTION3 ARE REQUIRED, 1 I - - Dat', l 's APPA011lD DIBAPPROVED ' s ' APPROVED SM941 Ss TO ANIM Call for Rainsp. r W' l S' '..0 - .. - v INSPECTION NOTICE City or Tigan: Building Department 13125 RN Hall Blvd. Tigard, Oregon 97223 x Inspection Line (Rec--O-Phcn(e))t 639-4175 Business Phon 39-4171 Inspections I $---I A,-y� Footing Plbq. Onderalab Meeh. Rough-!n Appr/Sdwlk Found. Plbg. Top out Gas Line FINAL: t Peet/Bram struct. San. Sewer Framing -Bldg. Post/Beam Mach. Rain Drain Insulation -Plumb, P).1>-1. underfloor Nater Line _ Vd) /// _Meah. rate Requestedt -LI -13 Times ) y CPN Addreaai �(n2 ?�� -►Y ��., r 11/3LY Permit ie LX' -02 Builders _ � Y THE FOIJ"AING COTRECTIONS ARE REGOIRED: Inspector �7 —.— -- Dates 1PPROVED DISAPPROVED --_ APPROVED SUBJECT To ARoVE r_al.l For Reinsp. i I i I . N 1pp Ifs t f r' .i i INSILSCTION_NOTTCE City of Tigard BuildAng Department 13225 Sw Ball Blvd. Tigard, Oregon 97223 Inapec'.inn Line (Roc-O-Phone 639- 175 qu.indae Phone: 639-4171 Ineportions___� -7 -- i � TootingPlbg. uindetalab Mach. Rough-in Appr/Sdwlk round. plbg. Top Out Gas Line FINALS Poet/Beam Struct. San. Sewer Framing -Bldg. Poet/Beam Mach. Rain Drain Insulation -Piumb• IPlbp. Underfluor water Line oyp. Bd. -Mach' q Data Requeeteds Times Y_AM Addreses V _11 Permit fie" Z Ruilders TID1 TOLIAMINa CORRECTIONS AAE REQOI TODS r i i i E j ` Inepectorz - --- Date-- -i- ' APPROVED DISAPPROVED APPROVtr) SUBJECT TO ABOVE j 3 '/ f� Call For Reinep. { CI1Y CSF TIGAIRD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hjkti Blvd.Tigard,Oregon 97223a8199 (503)P39-4171 ;.-ERMTT W. P1Mc4,*3----o DATE ISSUED: li-3.1.35AI. ;.wC-,i41VIS1L LOCK. LA' 5 1)': WORV. (I L..r YPE OF WSE. . . . :COM WASHING MACH. .. . . . . . : SACKFLOW PREVNTRS. . : CCUP"AVICY E.37RP. . :OL, FLOOR DRAING. " . . . . . TRAPS). . . . TOR I ES. . . . . . . . t 6, WATER HEATERS. . . . . . CArCH SPS,IN5 I X U RE 1.3 LAUNDRY TRAYS). . . , . :-F WIIN L)RPING. . . t N 13. . . . . . . . . . . UR 1 NALS. . . . . . . . .. . . . U,REF�'i L�E T R A PS . . . ,I W-1 TO 1 Z I j'.i:1. . I I (TTi I P V I X TU Pt LC' , . , . . UB/:iHOWL.iqS. . . . W - SLER LINE (ft ) . WAIL:', I SHWASHL,R5. RAIN DRAIN (ft ) Tw4�n t lmpl-cvement Du!L-te, cit I t Pa Vt t- i C)T1-T, & d Owner: FEES MELVIN MW-4i, OWJ,ILRI :3 p 10220 SW 13 1 RLENBU RG 1Ypv aiiount by date r e Pt S U I L #I PRm"r s i25. 00 Ji-1 09/ 115/93 LT $ 2115 J11-( 09111 UlWARr" IrR 9712A213 1-1'lurlfl -4� )E IEMPLL-F CC 1 95 1 Nov OVERTON GOT ORTLAND OR 97209 Ph,.ine #- V,Z,5 10 ;26. 25 TOT AL REQU I REI) I NEP,Eur I CIINS pertit itc-id s,ubject to the jjqu,,atj0j-j5 cuyqa,j�pd 11, t�-F ­* I I or.,)- Out Insp -igara MulicPa,' '.ode, State ,,f 01-e. Specialty Codes and all othir aPPlic&tlt laws. 911 wcrk will be done in accordance with approved plans. Tf•IS permit will expire if work is IlDt started within IW days (,f issuance, or if work is susnerced for acre than 180 days. Perni.ittee P c G 39 4 175 CITY OF TIGARD 1 PERMIT I: E C �' I V �I, 113125 SW Ii11I,I. BLVD. 1 r,lNBIN6 P L�ZMI P. O. BOX 23397 Applicants must hold ire,.,n Rcglcti atinrs to conduct a plumbing,-SE P 1. 5 � T I GARDr OR 97223 twsiocss rx must be pro - ty owoerfkveralor rvx hiring outside help. 199 (503)639-4175 - Nerrne f� �k> Lt � ,+ ----- "I 'Y OF TIGAR1.) Plumping Permit No. Add" ss ,, I Dex7ipti,xl Job W (cP N J -`r. ORS 814-21.1310 -_ DUN.APRICE AMT. Tax tnt Map MO. Addreas --- - FIXTURES Lnf Blot* Sr.bd vl9brn _____- -_. Sunk 7.50 . Lavatory ---- 7.50 L �o L t\J.J 1� Tub or Tub/Shower Comb. 7.50 - - aM drrq Tddross - r Shower Ckay 7.50 Owner Ck l! p Wato(clost - 7.50 /Suate _ _ Distnvasher 7.50 CQfw'ne t7V/, Garbage Disposal 7.50 ✓�' �� Wasting Macfune N - Floor Drain 7.50 le Water Heater 7.50 Laundry Room Tray 7.50- Occupant city/state zipauy - --• Urinal 7.50 Other Fedwes(Specify) 7-50 - I 1 '505 to - 5 7.50 Phone Contractor � /State � � ) Dp - -- - ------ T.50 q 7a L?9 MISCEI-LANEOUS - Oty Bum.Tex No. Sewer t st 100" 10.00 - - States. tale s- . p. Sevrer-ea.Addit.100' 15.00 (F at) `I11 L5��J Water Service is1100- 20.00 -_ Mxeby aclanowbdgs-dna+1-have reed 903 appRcekx%that the intomtation Water Service ea.Addit�l�' 15.00 givw7 is Correct,that I am regimilered VAth the State Builder's Board.and also Storm d,FAirl Oram 1 St 100' 10-00 - 'Woo s Stale Pkxnbkng Sown*that the n xnbem given aro Correct that an ----- -- pkxnbirq work will be done in eccordernw with applicable p"rAciorns of Ore- Storm&P:Jn Drain Add`(,-100' 15.00 Qon Revised S'.-flutes t 417 and M and"Gombla codes and that Mot4e Men"Space 25.00 ra help wW I"en>(aloyed unlevi kamed un kw ORS 691.(M eKomp!from - -- ••^= State re(Fs atbn.ptoace give reason be"- Back Flow Poreentiar - --- -- li(WEOWNIERS-1 hereby omtify ate 1 am the owrW of the property do- Device or Anti4'Wkxion Devito 7.50 sonb od above.at which kxxtkxn I prtntx>_se to nuke a pkxt**q kastanetkxn kx Any Trap or Waste Not aay ovm use and"S property Is not bekng CoresirvGsd for amiss.lease or rent Carnrneded 10 a Faturo 7.50 tt --- -- Caach Bash -- - - 7.50 - -- 1 kw.of E.1del Pk,rnt>ing- - 40.00 Per fit. f SpOdAfty 114Quested Inspedbns _'40.0o Per Hr. --- -- ----- --- -------- Rain Drain, _. r i Single Fam. Dwlg. 15.00 AUTHO"QED S14NATUpE Deecibe wort( now(] eddificm❑ efteratiorn U "31381,11 be don© ,esidenlidl n0rrt3eldentiel - - -- Edam me of MINIMUM PERMIT FEE - 25.00bU" 2J Qrj 10 or txoportY_.___.__-_-_ - _ SUB-TOTAL - uee --- -- 5% SURCHARGE 25% PLAN REVIEW N(7 ncE Thla promnit baoo-nun and void r work of oonewx4on audwOod 14 not oom -------- -----1 OTAL rni"x�►1 wkhkt 140 deya,or If oerndntictdon or wrxk 4 Mapendod or 4W Vo ksr - s a Pw401 of Ino 6"N"&rye after Wo.is aortvnwr�ed. Date lasued -- --- by -- - - --- -- - --- P'7 r 1 r, CITY OF IGARD RPU IP'T Of= PAYME'N'T RECEIPT NO. c93-24420i � CHECK AMOUNT c 26. 25 !d(rMC c Df--:: TEMPLE`- CO CASH 0M(]I. NT 0. 00 � `t1DRESS c 1951 NW OVFRTC]N ST RAYMf:�NT DENTE /IS/93 SUBT)I V I S I ON PORTLAND, OR 972 08-- y E.'URPOSE OF PAYMENT ''t•1OUN1' PAID D V"URPOSE OF PAYMEN-r AMOUNT PAID 6-L7UMHINr PERM 2 F;. 00 ST. BUILD PER 1. P5 MONEY STORE. 1P2aO SW GREENAURG RD. , SLJITE- 441 COTAL AMOUNT PAID C'6. : 5 r. T` a F 9 e 1 a:''f ..,..^..+r.---• •--•.-s�-,;fig.;- ;�• BUILDING PERMIT" 1=1- #r RMI� . . . . . . . taUP93 CITY CSF TIGARD -0c4E DATE I:af_!JI:_Il: 09/10/93 COMMUNITY DEVELOPMENT DEPARTMENT ?i 13125 BW Hall Blvd.Tigard,Oregon 97223.8190 (503)030.4171 f"ARGEL : 15.i 35;HB �+]�► ►� A1)DRL.5S. . . : .I.0. �Q; a!i l�F2Cf�l�il'Ui�i:, r.I1 #5. 44.1 GLIBDTVI5ION. . . . . ZONTNG: R-- 12=' REISSUE: FLOOR EXTERIOR WALL C'uNisTRUCTIf]itil.. [:'LASH OF WORK. -ALT FIRST. . . . . sf N: {S: E=: WI I Y w'C: OF' USE. . CONL:C ONO'. . . : s f p'I?UT -CT OPENINGS?.... 4 T'Yl~!E OF CONST. :2FR TIA I RD. . . . :0'035 s+' N: S. E I W: OCCUPANCY GRP. I law TCJTAL_-._ -- : 2 63� s f ROOF CONST:B FIRE RET?I Y � OCCUPANCY LOAD:21 BASEMENT. : sf AREA SEP. RATED: � t ` Ti1R. I G i-47. ;70 ft GA OGL'. . . : s f OCCU SEI '. I4( 7ED: 115MT'?:N MIEZX":N REGD SE.TBACKS-..._._____.__ REUUIRED--_-____._..._..___.__.� _, _. FLOOR LOAD. . . . .50 pv f LEFT: -Ft RGHT. ft f=I R SF•+1,l.:N SMOK DET. . :N DWELLING UNIT'S: F'RNTI ft REAR,. ft F Ifs AL.RM:IV HNDICP ACC:'+' � BEDRMSI BATHS: IMF' SURr-A(,-.Et PRO CORP:Y PARKING: , VALUE. $: 1;-2175 Remarks; Tenant Improvement— Delete, add int partitions R doors. Owner: •__.._..__.....-......._..._._....__.......__....._. _._._._.._.......__.._......_....._._. ...._.._._.. .....___.._. _,.._..__ FEES ME:LVIN MARK, OWNER' S REFS -type amount by date recpt 102LO SW URE NBURG PRM•T $ 8. 50 IV 09/10/93 _ !",,uin, #135 PLC:K, 64. 03 JH 09/01/93 TIGARD OR 97&23 517,C'l 4. 9.3 IF 013/10/93 - Ph on e Op 45:'3--5900 n Contractor: MELVIN MARK CONSTRUCTION' 1 10220 SW GRE:ENBURG RD _UITE 4#1.50 I CARD OR 972'E3 Tirane #: 45i1 1:`.300- $ 16 7. 4.6 TUTA1__ Reg #. . I 5472.1 REQUIRED INSPECTIONS This Fe-sit is issued sub;ect to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Instlla,tion Inslp appllcatle laws. All work will be done in accordance with Gyp Board Insp aprrcve� plans. This permit will expire if work is not started 5f_rsp Cei Ing Insp _,.•_�_� ____.___ _____. within 19.0 days of issuance, or if work is suspended for tore Finial Inspect ion thar. 180 days. +mrmittSe Si 1)ri7.tf_tre „ • vod By _._..._.-C a 1 1 for inspection — 639-4175 y is• r; Y 1� Ir .. w P' NCK RECT # ts�uswi�,uawd. � /Clrff OF TIGARD PERMIT # COMM UNM'DVWLOPME?NT DEPARTMENT Tprd,Orcgm9722J - (503)639-4171 DAI L ISSUED JOB ADDRESS: OZ?� ' nX MAP/LOT SUB: _ � LOT.. _ LAND USE: ** APPS04 TO ISSUE vnLUnTION?"` �� , / 7�� -__--- v:_ _ ....:... . _r � OWNER SPECIAL NOTES NAME: /yle�r�� ��7��I� _ REISSUE OF: ADDRESS: LAST REISSUE: i FLOOD PLAIN/ PHONE _ � � � _ _�. SE14SITIVE LAND: _ i CONTRACTOR APPROVALS RE UQ IRED NAME: PLANNING: ADDRESS: ENGINEERING: FIRE DEPT: PHONE: ' rJ�OC� OTHER: do T—t CONTR. BOARD #: EXP DATE: _v _ ITEMS REQUIRED SOBCONTR,ACTORS: PLUMB: _ LIST/SUBCONTRACTORS: MECH: _ - BUS TAX.- ARCH/ENGINEER AX:ARCH ENGINEER / CALCULATIONS: NAME: _ _ n "ic /l —__ TRUSS DETAILS: _ ADDRESS: Ile i �b,�s OTHER- PHONE: THER-PHONE: 1 PROPOSED BLDG. USE: �IIT `_-_-- COMMENTS: A P P L I M NT I_GN ATU Received B Received: L—_ PERMIT # ACCi # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE 10-432 00 Building Permit fees 10-431 00 Plumbing Permit fees _ 10-431 01 Mechanical Permit Fees _ 10-230 01 State Building Tax (5%) Building — Plumbing Mechanical G� 10-433 00 Plans Check Fee Building • Plumbing Mechanical 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 2.5-448-06 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) "f 31-450 00 Storm Drainage Syst Dev Chrg ' (SSDC) 24-445-01 Water Quality (Fee in lieu of) ` 24-445-02 Water Quantity (Fee in lieu of) TOTAL --- `� _ /ryS a 4 nm/3587P.WPF , r ,1 t ` F CITY t'1F` T I GARD RECEIPT OF PAYMENT RECEIPT NO. a 93--x'441 34 (:HECK AMOUNT a 10.:3. 4.3 NAME a SMITH, LINDA J. CASH AMOUNT 0. 00 ADDRE=SS ¢ 20325 NW QUAIL.. MOE..1.OW PAYMENT DATE 09/13/93 � SUBDTVISTON PORTLAND, OR PURPOSE OF* PAYMENT AMOUNT PA 11) PURPE S)F OF PAYMENT AMOUNT RAI D RU I I_.D I NC 98. 0 ST. BUILD PER 4. 93 l r 'i 10220 SW GRE=ENSURG ROAD, 3011"E #1441 �s TOTAL AMOUNT PAIL) — — — —> 1.03. 43 • .i•Mp'h n i i 4 t . a' j V INSPECTION NOTICE e City of Tigard Building D41partoent ,., 13125 Bit Hall Blvd. Tigard, tiregon 97223 �:. Inspection Line (Rec-O-Phone: 6/39-4175 Business Phone: 639-4171 Inspection: -- i Footing Plbg. Underelab Avth. Rough-is Appr/Sdwlk ` Found. Plbg. Top Out Gas Line FINAL: I I:" I �7 Poet/Bean. Struct. San. Sewer Framing -Bldg. Poet/Beam Hoch. Rain Drain Insulation -Plumb. t Plbg. Underfloor. Water Lina Gyp. Bd. -Mach. c Date Requestede /� �� �i� Timex AMPM Address; ,yU Permit fs Builder_: //Z/] -I- THE FCLLOWING CORRECTI ARE REQUIRED: �1 1 I 'i Inspector.:_ — Date: --APPROV0D DISAPPROVED V APPROVED SUBJECT TO ADOVE Call For Reinsp. a i ,s3 6