10943 SW GENEVA STREET i
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CITY QF TIGARD
CERTIFICATE OF
OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT 1-'ERMIT 4. . . . . . . : MSI'93--02 ai
13125 5W Hall Blvd.Tigard,Oregon 97223.8199 (503)630-1171 DAT[-' 1 5faUED t 00/ 16/93
PARCEL: 1 S 134W.1 -0511110
;1 11 fl[.71)ftl.`.i �. . . : 117a��.., >lJ GENKVA ST
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SUBDIVISION. . . . : HART' S L.ANDINCS ZONINGt
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . y IZ12 '.
CLASS OF WORK. :NEW
TYPE: Or, USE. — ;GF`
OCCUPANCY CBPP. t R3
OCCUPANCY LOAD r 230 4
TENANT NAME:. . . r,
f;em:,%rkst PASTH I
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Owners
RENAISSANCE DEVELOPMENT CkJ0QP
Phone #t
Contractors
RENAISSANCE DEVELOPMENT
16'2SW WIL.LAME:T'fE: FALLS DR
WEST LINN OR 97068
Phone #1 557--E1000
leg #. . t 49955 ,. .
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Q=cupancy of the above referenced building its hereby gi .)en, and certifies
the r. oleal. iance with the State Of Or-1-gon Spec:iAlty Codes for the group,
occuppncy, and use under which the referenc-ed permit was issued.
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FIRE LEPARTME'NT BU L IN C3 RECTOR
Lb I Nl(&4- --I AL
POST IN C ONSP I GJOUG DI..ACE {
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INSPECTION NOTICE
City of Tigard Building Depart:enl
13125 SM Hall Blvd. 'Jgard, Ororyan 972:.3 '
Inspection kine (Rec-O-Phone): 639-4175 But. nAes Phone: 639-4171
'
inspection:---
rooting
nspection:—Footing Plbg. Underelab Mech, Rough-in Appr/Sdwlk ty}
Found. Plbg. Top opt Gas Line C FIN _ k7k
Poet/Beam St•uct. San. Sewer Framing Bldg. 1 p
s
Post/Beam Yuch. Rain Drain Insulation
iPlbg. Underfloor Water Line Gyp. Bd. /-Nect'-.1)^•�
--L�-�-� -
� Date Requo/e --
'teds _Times _ AM PH
Addroon:! �1 -7 'RSL/ Permit 4s_ -�
Builder: ��� /5 ��"�� --
THE FOLLOWING CCRRSCTIONS ARE RBQUIRED:
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7nepector
APPROVED DISAPPROVED APPROV:') StIRJF.CT TO ABOVE
Call For Rainsp.
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NI SPRCTION NOTICE
City or Tigard Building Departaent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)& 639-4175 Businesn Phones 639--4171
Inspections__
Footing Plug. Underslab Mech. Rough-in Appr/Sdwlk •
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Scruct. Ban. Sewer Framing toll/ -Bldg.
Post/Beam Hoch. Rain Drain �Inaulatioa V -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -Hoch.
Data Requested:_ 0 I J Tim*: XAN �PM
Address:�uZ D CL1 Permit 11 307
8ui ldwr:j, /L 11 L(�^� 1 �L!I✓� ����fiS
THE FOIS.ONINQ CORRECTIONS ARE REQUIRED:
Inspectors -�,^ Dato:
PROVED DfSAPPROVED APPROVED SUBJE TO ABOVE
---..--Call For Reinsp.
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INSPECTION NOTIC'6
city of Tigard Building I,epartmant
13125 SR Hall Blvd. Tigard, oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspect.ior - - - -
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YC �Footi Plbg. Underalab Mech. Rough-in Appr!Sdwlk y
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Found. Plbg. Top Out Gate Line FINAL=
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor water Line Gyp. Bd.
Irate Requested:__ �E Time: —_-_(�1U1 —_---PM
//ate
hddreee: .�/Qry►�i�/�i Permit
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspoc�,(nr:_. ---- -- -- -- - Date:__ V
t\ APPROVRD DISAPPROVED v— APPROVED SUBJECT TO ABOVE
�f— Call For Reinsp.
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INSPECTION NOTICE JJ /� �
City of Tigard Building Department
13125 Sw pall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-3-Phone); 639-4175 Busines3 Phone; 639-4171 j
Inspection;
a
tooting Plbg. Under.el.ab Mach. Rough-in App;:/Sdwlk,�
!bund. Plbg. Top out Can Line FINAL.
Post/Beam Struct. San. Sewer. framing -Bldg.
Post/Beam Mach. Rain Drain Insulation _ply
Plbg, Underfloor Hater Line Gyp, Sd. -Meeh.
Date Requastidr_' ` _-_ _Timer
AM PH
Address-
�.,r�,:t2�2'�s►L_i__�
Builder, Permit�_///
THE FOLLOWING mRREG'TIONS ARE REQUIRED,
VtV-S 21 L-L L N E M 0/Z-r— Com' �3 IMA/,+O
-4-TdAJ---w--C
C 08-1
Inspectorr � �f� ,( �j
------.—_— Dater
--APPROVED DISAPPR(?VED APPROVED SUBJEC► T(+ ABOVE
_—_ call For Reinep.
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INSPECTION NOTICE
City of Tigard Building Depart—t i A
13125 811 Ifall Blvd. Tigard, Oregon 97223
inspection Line (Rec-O-Phone): 639-417! Business Phones 639-4171
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Inspections -- —
Rooting Pl.bg. Underalab Mach. Rough-in hppr/Sdwlk
2
round. Plbg. Top Out Gas Llne FINALS
Post/Beam Struct. San. Sewer Fram)ng -Bldg. pk •
Post/Beam Hoch. Rain Drain: Insula--tiion -Plumb. fj
Plbg. Underfloor aLe! Line Dd. 1 -Mach. t�
t PM
Date Requeotedt TimeAN
—
1111
Address:_ — ermit i 1
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Bulldar:__— --
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TBZ rOLLON_I..: rAMCTIONS A" REQUIRED:
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Inspector:— (� Data:
APPROWD DISAPPROVED APPROVED S1JBJECT TO ABOVE
Call. For Reinsp.
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IMSPEC"CION NOTICE.
City of Tigard Building DepartA mt
23125 AN Hall Blvd. Tigard, Oregon 97227
Inspection Lina (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspect ions _ --
A
!'Doting Plbg. Underslab Nerh. Rough-in Aper/^dalk
pound. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. sower teaming -Bldg.
Post/Beam Hach. 4iq4a,
Inwlation -Plumb.
Plbg. Underfloor Nater Line oyp. Nd. -Hoch.
Dat' Requestede `� _-::me: AIL_-�
Address: Permit 1 Ff� 0
Builders
TBR FOLLOWING CORRACTIONS ARE REQUIRED:
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Inspector �� _ Date: 0 _c
APPROVRD DISAPPROVED _-- APPROVED SUBJECT To ADO,"
Call For Reinep.
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ritl of Tigard Building DePlIrtMm+t
135 IM Hall Blvd. Tigard, Oregon 97223
' Inspect . Line (Rec-o-Phone)t 639-4175 Business Phones 639-4171
Inspection+
Plbg.
Footing
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Underslab h. Roa9h-in) Appr/sdwlk
plbg. Top out aInsua
FINAL.
Found. -
post team struct. San. sewer
Bldg.
post/Beam Hoch. Rain Drain
-plumb.
plbg. Underfloor Nater Line Gyp.
ed. -Hoch.
PH
Date Requested+
Address: ` ! -� 1 Permit 1+
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Builders
TBZ FOLLOWINf3 CORRECTIONS ARE RZOIREDs td'
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Dater "' J 3
Inspectors -- ---
APP1bOVED DISAPPROV�4 APPROVFJ sUBJECT TO nBOVE
cell Fc:: Reinsp.
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INSP4CTION NOTI9
9 .
City of Tigard Building Department
.13125 SM Hall Blvd. Tigard, Oregon 97223
Inspection Ltn' (Rec-O-Phons)t 639-4175 Bueinean Phone: 639-•4171
1
Inspection;
rooting PUM. Onderalab Mech. Rough-in Appr/Sdwlk 3
Found. Plbg. Top Wt) G. ine FINALc
PootlBeara str-u^t. Ban. SetnRr' 1►raming -Bldg.
Poot/Beam Mach. Rain Dr&.in Insulation -Plumb.
Plbg. Underfloor Nater L" Gyp. Bd. -Hoch. ' B)
Data Requestedt__ t-1 —�J _,Timet -AM PN
Addroset < Ati peL.nit
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Builder:
THE FOLLOWING CORRACTIONS ARE REQUIRED-
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APPROVSD DI.RNpPROVED APPROVED SUBJECT M ABOVE
Call For Reinsp.
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�N_ _CTION NOTICE
City or Tigard Building Dopar4sent t
13135 SW Hall Blvd. Tigard, Oregon 9723
Inspection Line (Rec-C-Phone): 539-4175 Business nye: 639-4171
Inspection:_
Footing Mg. Dndersiab Much. Rough-in Appr/Sdalk
Found. Mg. Top out Gas Line
FSMALt
Post/Beam Struct. I{atl. �Bgfir FKaming -Bldg. yy
Post/Beam Mach. Drain
It}ia� Insulation _plupib, r
Plbg. Underfloor tar Li Gyp. Bd. -Mach. 4f
Date Ragvested: L Times I,1M -pH
Addros/t C�.^
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Builders
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THS FOLLOWING CORRRCTIMS Un RWDIRRDt
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Inspectors C
Dates_
APPnOWD DISAPPROVED APPROVRD SUBJECT To ABOVs
Call For. Reinsp. +
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INSPECTION NOTICE /
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City of. Tigard Building Departsc+nt
13125 SM Hall Blvd. Tigard, Oregon 97223
I
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6 -4171
Inspection:—_
Footing P)bg. Underelab Mech. Rough-in Appr/Sdwlk
Foand. Plbg. Top Out Can Line FINAL:
�p_4/t�/�-�'8truct. San. Sewer Framing -Bldg.
sl�O /Beam Mech_ �n Dr Insulation -Plumb.
g�-Vwderfloor ' ater Line Gyp. Rd. -Mech.
Date Requested:(�S AM PM
Address: C C/�7 Permit -o U b
TRS FOLLOWING CORRECTIONS ARE REQUIREI!
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Inspector
Date:
{ APPROVED DISAPPROVED APPROVED RUBIS. TO OVE
-
" ' r Call For Reinsp.
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CITY OF T 1 GARD — RECEIPT OF PAYMENT RECE:T F"-T NO. :93-239693
CHECK AMOUNT z 166. '77
hIAMk?, s R .NA'I.SSANCt DEVELOPMENT CPSH AMOUNT 0. 01
ADDRESS a PAYMENT DATE_ z 05 04/93 �
SUBDIVISION
PURPOSE OF P(AYi4F.N'f AMOUNT PA PURPOSE OF V-IAYINENT r0 JUNT PAID
BUILDING PERM 130. 00 F.)LUMB 1 NG PERM 15. Dib
MF CHAN I CAL PF 1. `5o ST. BUILD PER 4. 82 f
PLAN CHECK FE 65. 45
LOT 22 HARTS c; LANDING
1094.:3 f3W GE. 'EVO
TOTAL AMOUNT PAID — — — > 166. 77 � 4a
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT •
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.1171
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:::80. 00 Jh 04/30/93
00 J11 041 .31Zf;r1:
JH 04/30/93
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yard t^an.%l pa: �3r; hate ni tlr►t. yeciaJty GaCei and a,: idler i aa't/fr.rl.rnc1 InsN Fir r�Jrl.alce? Ire+;
appllcar.ie inwz. All "ttk, will be dont in accordaut, wilt' 3Nj1io'ed Plast/beam E41-".ic.'•t (aa.s Line I(ISP l
plahb. i:'..I$ per/it N31* ellpi^'e 3f i10r'i,. 15 riot SL&";d Mltn.''. 4r" pci t 1Apekm 1'IE'i i'ian Insulation IrISP
Al.— -s :i5wrice, ar if worit for sore t„an IR ddJs. rilel'�iiclslG+l-; imp Gyl:) OEWLt O)Sp
o t. 1%a1 1 ,;ruin liriEii
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CITY OF TIGARD
,:i ft Ca3M(VL•_. : _.
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COMMUNITY DEVELOPMENT DEPARTMENT PERM I_I 0. • • • • -
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13126 SW Hall Blvd.Tlpud,Oregon 97223.8199 (503)830-4171
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!. . . . . . . . . F:X 111Kf.•_ ON T T'S. . .
-t,F--L IJF lJ6t_. . . NO. (JI I"11 t1 TJ11�lta: ; ,i
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ii`di=ii:�:.,ir•«__... },: ;;r, :} .tr�+ by ciaztc recfat,
PR' '61 JH 04/34/93
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016 TO l k—
R EG?tJ I f?L T NE39" :C;'T.X OPC,
.s Applicant agues to comply wits. ail the rules ano regulations (-IW r, 111 p6 r t I an
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the Unified C,ewage agency. 'r,e permit expires ILQ days from
i' date issuwn. The total amount paid will be forfeited if the
mit erlpires. The Agency does not guarantee t<ie accuracy of the
ae :ewer Jalerais, if the sewer is not located at the measurement
the installer shall prospect 3 feet in ail dxeetions from
e distance given. if not so located, the instailt, snail purchasi<
lap and Side Sewer" permit and the Agency Trill insiail a later-ai.
:-r rn r.;,t•��r� :;3 i�r�ai t _r r ria „
;. ,_i 1 i ���•, l ri•}a e r,t i.u n 39 417 ,
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PLUMBING PERMIT I
"CITY OF TIGARD PERM IT' 4f. M13T9,*-, WAw4----j
COMMUNITY DEVELOPMENT DEPARTMENTDPTE, J�iSUEbt 04/27/93 0
13126 SW Hall Blvd.Tigard,Orogon 97223*8199 (603)839.4171
SUE. ADDRESS. 10943 SW 1�IARCEL:
SIJ131)I V I S I ON. HART' S LAND I NG ZONING:
BLOCK. LOT.. . . . . . . . . . . . . 0i2i .
CLASS OF' WORK. . :NEW GARBAGE DISPOSALS— : 1.
TYPE OF" USE. . . . :SF WASsHING MACH. . . . . . . : 1 BACKF-"L.)W PREVNTRS. . -0
OCCUPANCY ORF-1. R3 FLOOR DRAINS. . . v . . . .0 1 RAPS. . . . . . . . . . . . . . ..IZI
STORIES. . . . . . . . :,:: WATER HEATERS. . . . . . : 1 CATCH MAGINS. . . . . . . s0
F1XT1JRES------------ LAUNDRY 'TRAYS. -0 sw nA i i\, DRAINS. . . . .. : I
SINKS. . . . . . . . . . s I GREASE rRAPb. . . . . . . :10
I-AVATORIES. . . . . 94 OTIAER F I X'TURIFS. . . . . .0
TUB/SHOWERS....: SEWER LINE (ft ) . . . . ..0
WA'fER CLOGE'l-S. . :3 WAT'C'.14 LINE ( ft. ) . . . . : 100
DISHOSHERS. . . . : 1 RAIN DRAIN (ft) . . . . ..0
Remarks PA,rH I
OWNER: .........---
RENAISSANCE Df.::VELOPMENI COP P TIF $ 1460. 013 'Jl 1 04/27/93
1672 SW WILLOMET-FE FALLS DR epp'll, $ 388. 00 jh 04/iP7/93
252. 20 JLH
LINN OR 97068 135PC $ 19. 40 Jlq 04/ip.7/rm
Phone #c 657--'739 GSDc is 280. 00 JH 04/27/93
Pn' K ii 500. 00 Jl-1 0.4/0:7/143
ril.imbinq Contractor: -- MPp7* $ 4:,. 510 JH 04/2'7/93
IYIPIL.0 is 1121. 88 JH 04/27/93
Name i: MbPC $ 2. 18 JH 04/27/93
ALI d r e s
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City.- -1 1 PPRT $ 140. 00 JH 04/27/93
a t CA r.
c .5p.c. $ 7. 00 JH 0412-7/93
7 1 P.- Phone#s
Reg #:
'-Lm .�—
REDUIRED lNSPECTIONco
1"h i s permit i �l issued subj-ict to the req--
1.tlationcni container) in the Tigard Municipal Fout/found Insp Rain drain Insp
(,ade, State. of Ov-e. Speciivlty Codes rind all. 1":Iost/Bpaw, 173trl,.ict Water- I.AnO Insp
other applicable laws. All work will be done Fast/Beam Mpchari Pippr/S3,dw I k Insp
+.n acca rd a,n c t, -14 l-h pprv,�e d p I an L. rt,i,, Plm/ ..,nds lab Insp Merhanical Fina i
permit' will expire if* work is not started PLM/Underfloor Plumb Final
'Othin 180 days Mf iSS'Jajjjt:e, Ot` if WOr�k is Mechanical Insp fluildiviij Fina !
�sppncled for more than 1017.1 days. Plumb 'top Oi..it; Erosiou Control
Framing Insp crawl Drain
Fireplace Insp
Gas Line Insp
Ins ulat ion Insp
Gyp Board Insp
Puthorized j Cu.itrac.-tor Signaturp
Call for, inspection 639-4175
1',r)tit ract Notes :
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INSPECTION NOTICE
Cit- or Tigard Hutldtaq Department
13125 BW Hall Blvd. Tigard, Oregon 97223
Inspection Line (DOC-o-Phone)s 639-4175 Business Phone: 639-4171
i
t Inspection:
Plbg. Underslab Hach. Rough-in Appr/Bdwlk r -
Found. Plbq. Top out Gas Line
� FINALt
i
Post/Beam Struct. San. Sewer Framing -Bldg. -
I
4
Post/Beam Mach. Rain Drain Insulation -Ply,
Plbq. Underfloor W ter. Line Gyp. Bd. -Hoch. g,
Date Requcstods �^ — M �PN
Timet (;
Addresses ZQ.� Permit f e ( J•-�C:� C�
Builder:
TM FOLLOWING CORRECTIONS An R►.WIRED:
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-- Datos -7 s
_APPROVED pISAPPPIGM APPROVED BURJECT TO ABOVR
Call For Reinsp.
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CITY OF T I GARD RECEIPT OF PAYMENT RECEIPT NO. t93--.?39430
CHECK AMOUNT z 4988. 16 �
NAME a RENAISSANCE= DFVE'L.OPMENI' CASH AMOUNT a 0. 00
car.>n�►r-�: o PAYMENT OAT[ o 04/27/93
SUBDIVISION a
-BUILDING URPOSE. OF PAYMENT AMOUNT PAID PURPOSE OF PAYMEN�r AMOLIN'r Fwi)
PERM 388. 00 PLUMBING PERM 140. 00
MECHANICAL, PF. 4.3. r0 ST. BUILD PER 26. '58
PLAN �.,HE^I< FF: 13. 08 SEWER USA 100. 00
SEWER INSPECT 35. 00 PARKS SDC: 500. 00
STORM DRAIN SDC r E1O. 00 REQSIDENTIAI_. TRAF'F'IC FEES 135171. OG)
MASS TRANSIT TIF' FEES 1 10. Del
L.OT P2 HART" 8 LAND I NG
J0943 SW BE:t E"rl
y TOTAL AMOIJ61T ro Io — — — —> 49516. 16 j
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`I 1317SSWffalllilvd. PLNCK/RECT # �� Z 0
Cl4DEP"NI�ENTIGARD PERMIT #
COMMUNDEPARTMENT TiprdOregon 972D
(503)6394171 DATE ISSUED `
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JOB ADDRESS: _ 1n943 Sw [:FNFVA ST TAX MAP/LOT _/5/ 3y4C, /-1COZZ-
SUB: HAR'lt LANDING _ LOT: 22 — LAND USE:
VALUATION: �i�3 l0 9U
— - i
OWNER SPECIAL NOTES
NAME. RENAISSANCE DEVELOPMENT CORP _ — REISSUE OF: -
ADDkESS: 1672 SW WILLAMETTE FALLS DRIVE LAST REISSUE: -
'EST LINN, OREGON 97068 _ FLOOD PLAIN/
PHONE: (503) 557-8000 SIPJSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED S6}(3 9Z-0G9.3
NAME: RENAISSANCE DEVELOPMENT CORP. PLANNING: CDA�nf.Sn/>S
ADDRESS: 1672 SW WILLAMETTE FALLS DRIVE ENGINEERING:
WEST LINN, OREGON 97068 FIRE DEPT:
PHONE: (503) 557-8000 OTHER:
CONTR. BOARD #: __49915 EXP DATE: S/1byL93
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: EAGLE PLUMBING LIST/SUBCONTRACTORS:
MECH: TRI-COUNTY-3-EMP CONTuni. BUS TAX:
ARCH ENGINEEP CP-CULATIONS:
NAME: ALAN MASCORD TRUSS DETAILS:
ADDRESS: 1.515 NW 23RD OTHER:
PORTLAND, OREGON 57210
PHONE: 225-9161
PROPOSED BLDG. USE: _ SFR
COMMENTS: ,!�uy�
��il�iNl- �✓f7,�i�'7 �r�'tc�.Q��r+��T S ,s dc.4�C' �,s O�i�_—__
rP4, TATURF
Received By: __ Date Received:
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:'J.• •••.''t..ir W.M1P,IMM�M>rISFfYtP19I'GMYtl 1x161,:.. - .. u
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PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
IMI 3 22 10-432 00 Building Permit '-ees ��� ,00 � �' _ b� •�
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees tl.-3 v
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.i rrO,V t'.✓
` 1
10-230 01 State Building Tax (5%) -57 q X67'
Building c2,3,qU /
Plumbing 7, 7)
Mechanical7-
10-433 00 Plans Check Fee la• y
'10Iding q.2.0 / •
Plumbing
i Mechanical
10-230 06 Fire
I
�;wQ43-o Fl 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 r
25-448-01 Residential Traffic Fees 13 s v o zyk
25-448-05 Mass Transit TIF Fees //0 u , (
52-449 00 Parks System Dev Charge (PDC) �'ou a •r'
31-450 00 Storm Drainage Syst Dev Chrg } k.
(SSOC)
24-445-01 Water Qualit✓ (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL
nm/3587P.WPF
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