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CITY OF TIGi4 RD A 81J'.(L.I)1NG PEA.'41WI.I. I
CRAWLIM l::1EPMJ:'r NO. : HL)8fJ()HJ3
COMMUNITY DEVELOPMENT DEPARTMENT
13125 S W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)6394175 5/ :1.Ell/88
('41A)1'1E S5 : 1.0.526 SW 1%1:N*f' S1
I Ax P5:1.15AA 51-1I1.4: DOVE'14 I ANDINU 1:1-112 60 UK
L AND (JS I;:: : 044 . 51'13
IAXI %:[Zll : VAI.A.)ATIL)IN : 111 7Y ir,315
F14UNT : 20 WEAR:
WOPK CA-AG5 : NUM 1*.)WF'L.L. . UNI 15 : T 1' . 7 RXG*I,-I1, :
1-15E IYI:)1'4* : !:iTNE111LE: FAMIA.Y NO . DELDr-K)OWI : EX I - WOLI UJINS I
MINS T* ' 'T"I'PE : VN NO. V.4A 1,I+:
N W.
1:113 x7140 T' OrA1.N1N(:,,!:i
(:)Cctjl:) LAW) W S : I W:
7'01 Al APk*;.A : 17P6
NO . STORTE5) 2 Isl': 920 FKAJIF, GONG'J': FIRE: PE" r"7
VND: EJOes A 1:4 r.-.'A !;A:.PAP'1
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w4l NE. RA :!*il:L M 1,
1 '1...00x1 L-OAD 1`7 1WE SPPKI. I"? AL.AVIM?
F I-OW((.;I:)M)
Pl-.AN (::1j-1F'(:,K 6Y : bc.,r
REIt"iSLIE, NO
W
M L 1.1;::1:4 'JAY —
N I')UPM 1: T $367 , 00
F DOX 413219.11. F-4.-AiN PF--'V:1A.i.W
11 IIIP38. 15115
OP FlRE. UE131.
TAX
C
0 ' 1110L.N, CHANGEKS
N MIX 1..1'.I_:1.1 JAY
T �IAY MT.L.1-11:34 DLjEJ E)F q4r.'2150 . 00
R I 1111,114LE:Y $600 . 00
A P - 11 - BOX rPM291.
C TIGIAWD 5() . 0
T OP 7 F2 P.'13 < 41:1.00 . 00>
0 (503) 6841 5,q3
R I PEG.I.V01:461AXIN NO . 301,09 1,01 AL : $1. 62*.3. 90
This permit is I;sued subject to the regulations contained In Title 14 I*1E-".Cr--A:P1' NO. —
of the TMC. State of Oregon Specialty Codes,zoning regulations ......
and all other applicable codes and ordinances, and It Is hereby QE:(JIJTnr-.-D
agreed that the work will be done In accordance with the plans and N113
specifications and In compliance with all applicable codes and SEWER
ordinances The issuance of this permit does not waive restrictive F"O(JNr.)A'T*I:()N WAI L. PAIN DPA1N%
covenants Contractor and subcontractors shall have current city PO 5i E AM WA*T1::P L-TNJL'..
business tax permits This permit will expire and become null and (:,11Y APPAM-I/SW
iold If work is not started within 180 days,or if work is suspended or
abi nooned for a period of 180 days any time after work has AND F1 NAI-
cor,menced It shall be the responsibility of the permittee to assure 4 1 LIPOIJI,
all required inspections are requested and approved. t-:PAMiNG
F 11411EIN
GWs L.Wh::
Jc TWAA.-A110,14
Permittee Signat0hi GYP . SCU)PE)
Issued By -),�,
(', ,I I F0111 :I.N",l 1 1 1 1 ON 639-41. 75
SEPARATE PERMITS REQUIRED FOR 'YORK OTHER THAN DESCRIBED ABOVE
MFJ:,1AAN1(',Al,-- PEIRM] I
F"E'WIT NO. : ME08011:175
DATE T.SSWED: 5/1.8/88
CITY OF T'��RD CITY OF T147ARD
COMMUNITY DEVELOPMENT DEPARTMENT 0010001 1:n-4:tm . v,m'r .NO Beos-73
A125SM Hall Blvd,P.O.Box 23397.Tigard,Oregon 97223.(503)639-4175
iW I(H.H+ iii,
I Ox M101P r rl 1 '25 3.1.5AA Siil11 DOVLA4 LANl:):i:N(.-; P11-12 1 60 WK :
I AND USE F-1/4 5FI)
LOT SIZE;* :
.VrEm: NO NO ,
WAW (:;I ASS : Nl.:W 1171JANAGE <11.00K AIP HANEW-11-4 00
USE TYPE : SINGLE FAMII Y FURINACX: 10OK4- 1. A1W HANDI P 10 K
VN FL ODA FURNACL. EVAP . (:,(-)OLEW
G'PP 1:43 VIEN I F-AN
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NO , GTOPIE*5 . R FILRMOMP I NM:NE:PATO P(DOM
8LIVU)MID 1-15 1W.'JINERATU(C OM
I,yl*)I:..- CIA$ P.L.AMOW-) 30--"5011-11P 1:41:-PAIP LINIT91
MAX . INPUT 8l-W/(:;OMP 1504-1.11r, I'l-IrEP
I 'i i'4r: r)mr:ns,?
PPIKA017
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PE'MArmc.)
JAY 11110 . 00
0 1:) 1.1 ROX 23P91, V'LoN PEVIEW 3S9 . 13
W T 1DAPI) OR VJX 11.11PES 3127 t.5
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A 1-11-10NE: (50311
C 1"F::G:(S'('PA1'TON NO 47 211
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RELIEUX11 NO
This permit is issued subject to the regulations contained in Title 14 la (AWKPFJ) XWSPE-ECTIONS
of the TMC. State of Oregon Specialty Codes.zoning regulations ts',A!:; L INE
and all other applicable codes and ordinances, and it is hereby P05*1 fv OEM
agreed that the work will be done In accurclance with the plans and A(A JG1-1 IN
specifications and In compliance with all applicable codes and 1- INAI
ordinances The issu.;nce of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits.This permit will expire and become null and
void if work is not started within 180 cloys.or If work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
Permittee Siqnat L. FOP IWIPECTION 6.5'i- 41.75
Issued By
---S PARATE PERMITS REQUIRED FOR WORw', OTHFr THAN DESCRIBED ABOVE
1"L UM111.NG PF AWL I
NO . : PLA0087A
���OF TI��4 RD
CCWAOFW�AIRD
ox_
COMMUNITY DEVELOPMENT DEPARTMENT ORMON DATE ISSULA) . 3/1W/8E)
13125 S.W.Hall Blvd..P.O.Box 23307.Tigard.Oregon 97223.1503)639-4175 PPIM IMT .NG) . 000H73
1.05P6 SW KENT S'T*
FAX MA- PI/L.0'1' SUD: OCIVEA4 LANIXI.M., PI-12 L.F : 60 8K :
LANE) LIGE: 1:4,el
1 .(Tr SIZE !
ITEM: NO: NO
WUAK (:-L-A5)5 : NFEW WAIER U-05U.: 1 3 144AP
USE TYPE: GINGLIE FAMILY UPINAL 1:31110-L(11W PPVNTA
VN L AW)RAI URY X1 IL PAP PRIME.1-4
P3 T1.110 151-10110,141 �.2 GRE-ASR-K TPAP15
DISHWASHI-Ep 1.
GARL.40GE II)ISPOSAL. 1.
WI Iii (OPIES : P WASHINC, MACHINE, 1.
D(A-1.1— L AUNI)PY 'I'PAY E41-11111"P . 0PAIN (131A
F I OOP 1.)Pi')'I:N
SINK (FT)
WATEII I`-I1r.':(-'I'T'P:.P :1.00
OTIAEA
0 Mil I F-.,.V I'LlIlil'. U
W j:J C) I-ROX 2311-.-?91.
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R !ii rAX 117 00
01'11-111134
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R I-)C) NOX 2309 25
A •t:l P lit I-'d
C
T PH(:1NF: (503)
0 NO. 30870 '11(TTAI $111'7 . 00
WEGT-JP'T NO,
This permit is issued subject to the regulations contained in Title 14
of the TMC. State of Oregon Specialty Codes, zoning regulations 11EQUIPEM
and all other applicable codes and ordinances. and it is hereby PI F3 .UNDEJISI ALI
agreed that the work will be done In accordance with the plans and P(MA, & E?*Am
specification= and In compliance with all applicable codes and
ordinances I he issuance of this permit does not waive restrictive WAITA I. TNE:'.
covenants Contractor and subcontractors shall have Current city I':'l " . 'TOP"01.1'r
business tax permits This permit will expire and become null and 14AIN DPOIN5
void if work is not started within 180 days.or if work is suopended or F1 NAL
abandoned for a period of 480 days any time after work has
commenced It shall he the responsibility of the permittee to assure
all required inspections are equested and approved
J/
Permittee oSig//up
Issued By: LLAL.L. I: (.,)Cl_. Jail'LIJI— 39 --Al Z-5
�!J -Lftt 6
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
d
SEWER PERMIT C11Y F T167ARD =w�M1r NOaF81J8
'7h
cftriRo
COMMUNITY DEVELOPMENT DEPARTMENT °P'OON DA'T F: Isamu :: 5/1 C1/ti1£a
13125 S.W.Hall Blvd-P.O.Bo"23397,Tigard,Oregon 97223,(503)639-4175 6'I411:M . PM'r ..NO. tii[:t Q 0 7'3
008 AI:)I)NFµSS : 1.0,526 !:ild KENT 1,51' U56 NI.IMOErT : 33168
(AX MrAP1L..0'T r1Fill 1..5AA S:AJ8: DUV1:'.'P I.,.AN0IN(:•; Kafir.•.! 1..'r : 6o F.1K
LAND USF-*: : Nisi -65P J
SEC:'rui : 1.115 T'WP : ca WNG; . w
WT: PK GLASS : tffi'w
U!-1E 'TYPI"-*: SING"LA-i': FAM7:(..,Y
T I1en af.Ia1i:1 :(.ctin.nt. ia.gr'e10to tci (:camI:rly w:i. t.h a1l. r`u:1.ratto iilrirJ r r41rI►.►:1 w.t.1.carfw ca+ t.I1w Uiti i':1 vacl
5ewetr`acge Agetnc^y . The perini.t exxpi.r,em 120 (iaf.yat -+wain -the clift.te :ltnf6cird 1;1*r t.c)t,a►:I.
trm(a►.irtt, pok:i el W:11.1 lava ,'c►ric:fa. t.er(:I :I.f titer pol-in:Lt etxTai r(!a1n 1 htva FA1,len(.!) c►v,ri!i rtc,t, 4;li.iaAr
m.rit,06 that aMr Llrlftf:• y al" the 1.(3r,,a,t,i.ian cif t'ie lai.cies mewwr 1at.t0r41.111 . I f 1.1'1(:1 tavaw(rr.r" i.1n
heat, :1.(aeai.t,w..l tilt. -t,hri) inrtin111f.ir'vvntont. 51:1.ven , the a.ii!6t.ai.l :1.wti mI•ta►11 prci%ipoet::t :'t fpart)t, :1.rt
m.1 :l. ri i.r•(v,(:-.t i.(,rim f r`a fa t l ie cl i.ni t a n c e (4:1.v e't n . 1111 n ei t, si c3 :I.ri ct at,t is(1 , the :L n to t ar:I.:i.a r• s h orA.1.
at "iatla 1911(1 ';a (:Iva 4ivawfvr" '`'ear ma. i, 11111(:' thrill (lgerrir,:y w.i 7 1. :(.iii9"ItR'l 1 in 1 t.k?f`a► I.
.T.N5 rAl...L L . TYlalc: : PLVI:I..I);i:NG 5A.V .14 IMPF::lQV:l:O1L113 APF.A
1: :l'X'TLJPE-': UN), TS : T i::�lAN'1' :CMI'i tf.)VE::t11':N T
UNI T'!a : 1
NO I:)I' I:TL_UGSi . : 'L
O 11:11 IA:11 ,.JAY I"!i:.F!t1:I t lll.il) O!a
W 1:1 t7 PDX 1.':1:3291. CONNE.0 r 1:C11J !111. , 1.00 00
J
E I 'l.C;IA12L) OR I_ TN(. .1.AF.a TNF41411._1.
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C 1 f 1:1. 1..l?i:12 ..JAY
N "W! M 1:i..l..E F'T D1.11:1-IAF.1
TF1 L) ria DOX F.-'13P91
r PHONE e-01 -.7,5013
R F11::(.,I i'RA'1':I:C1N NO . 101.09 � TOTAL s 1. , 1,311 m"
NOThis permit Is Issued subject to the regulations contained In Title 14 .........._...iMx1�:r:r:gL r',r •
of the TMC, State of Oregon Specialty G ides.zoning regulations !F:41.11 PRO ISPF(�'1"I C1N
and all other applicable codes and ordinances, and 11 is hereby no IGH-A.
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and
ordinances. The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have currw t city
business tax permits This permit will expire and becomi! null and
void If work is not started within 180 days,or If work is suspended or
abandoned for a period of 180 days any time after work has
commenced. It shall be the responsibility of the permittee to assure
all required inspections are requested and approved.
l
Permittee Sign�J
Issued By: ) _._'_•�"11.i.__ 1_('11.4 IIAV:3I�
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
✓Sl !� � aR !! � wr wlr � aea
CITYOFTIFARD t CHECK APPLICATION
PLAN CHECK If
WYOFTn1 RD PERMIT #
COMMUNITY DEVEI OPMENT DEPARTMENT" OREGON 1. DATE ISSUED _
13125 SW Hall Blvd. P.O.Box 23397,Tips d,Or"w 97223(503)E{39.4175 /
JuB ADDRESS: -n �- - TAX MAP/LOT
Sub: LOT. G � LAND USE.VALUATION:
OWNER SPECIAL_ NOTES
NAME: _ REISSUE OF : -
ADDRESS: - -�- LAST REISSUE: _
FLOOD PLAIN/ —
_ SENSITIVE LAND:
PHONE:
_ - APPROVALS REQU-IRED
CONTRACTOR -_ PLANNING:
NIME:: +yi is L;W _ ENGINEERING: _
ADDRESS: --� —_ FIRE DEPT -
OTHCR:
PHONE: _ ITEMS R_FQUIRED
LIST/SUBCONTRACTORS:
ARCH/ENGINEER BUS TAX: _ -
NAME. CALCUL-ATIONS:
ADDRESS: - V _ _ TRUSS DETAILS:- p�
PARKING PLAN:
_ LANDSCAPE PLAN:—
PHONE: — OTHER:
COMMENTS:
PERMIT It ACCT # DESCRIPTION AMOUNT AMOUNT PD, BAL. DUE
10-432 00 Building Permit Fees 7
�i 10-431 00 Plumbing Permit Fees
10--431 01 Mechanical Permit Fees _3 '7
10-230 01 State Building Tax (5%) _� ? _
BuiIding i 5
Plumbing 7 "'
Mech
10-433 00 Plans Check Fee9 "A
;Z L —_
Building ;,7, .
Plumbing
Mech
30-443 00 Sewer- Connection (20%) "' �► ��
30--202. 00 Sewer Connection (80%)
30-444 OO fewer Inspoctiun 13--5 X
51 -448 00 Street System Dev Chargo (SDC)
52-449 01 Parks I System Dev Charge (PUC)
52-449 02 Parks IT System Dev Charge (PDC) ,
31-450 00 Storm Drainage Syst Uev Chrg (S30C) �Z , c�
10- 230 09 1RFD (95X) _
10--435 00 TRFD (5%)
10--230 06 Washington County Fire #1 k95%)
10-435 00 Washington County Fire #1 (5%,) - - -
10-22.0 00 Amart/Wedgawnod
TOTAL ,s 2.55L
REC 11
'iPPI.Tt:ANI SIGNATURE
Received Hy: -- ..... Date Received:
ht/11,47P - "-